The biological and social determinants of childhood obesity: comparison of two cohorts 50 years apart
To determine whether the same relationships between early life risk factors and socioeconomic status with childhood BMI are observed in a modern cohort (2000) compared with an historic cohort (1947). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 15, 2020 Category: Pediatrics Authors: N. Robinson, J.A. MCKay, M.S. Pearce, V. Albani, C.M. Wright, A.J. Adamson, H. Brown Tags: Original Articles Source Type: research

Osteochondrosis of ischiopubic synchondrosis —Van Neck-Odelberg Disease
A 14-year-old boy was evaluated in the pediatric rheumatology clinic for recurrent gluteal and perineal pain for one year. He described an uncomfortable pain that persisted throughout the day and sometimes resulted in restriction of physical activity. There were no trauma or disease reported. On physical examination, his height and weight based on age and sex were normal, and puberty consistent with Tanner stage IV. There was a stinging pain, when pressure was applied to his right groin and to the right side of the perineum. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 14, 2020 Category: Pediatrics Authors: Nuran Sabir, Pinar Çakmak, Neslihan Yılmaz, Selçuk Yüksel Tags: Insights and Images Source Type: research

Response to Outcomes from the Centers for Disease Control and Prevention 2018 Breastfeeding Report Card: Public Policy Implications
Thank you for publishing content highlighting the importance of evaluating breastfeeding programs and policies. We wish to raise several methodological concerns with the recent analysis1 of CDC ’s Breastfeeding Report Card data2 and percent Baby Friendly Hospital Initiative (BFHI) births:3 (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 14, 2020 Category: Pediatrics Authors: Andrei Stefanescu, Betsy Dancisak, Jennifer Le, Marci Brewer, Paula Schreck Tags: Letters to the Editor Source Type: research

Reply
We appreciate the opportunity to respond to the thoughtful comments on the methodology we employed in our analysis of breastfeeding outcomes and their relationship to designation as a Baby Friendly Hospital. The authors state that they performed alternative analyses using the 2014 birth cohort and weighted regression as well as sensitivity analysis of the 2016 births and obtained results different from ours. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 13, 2020 Category: Pediatrics Authors: Joel L. Bass, Tina Gartley, Ronald Kleinman Tags: Letters to the Editor Source Type: research

Adult Cardiovascular Health Risk and Cardiovascular Phenotypes of Prematurity
Survival for extremely low birth weight (ELBW) infants has improved dramatically over the past 20 years.[1] The nature of these advances is multifactorial and relates to increased appreciation of organ vulnerability, improved understanding of disease mechanisms, enhanced diagnostic precision, and improved therapeutic options. Unfortunately, the advances that underlie enhanced survival do not guarantee avoidance of neonatal morbidity or adverse long-term outcomes. In addition, life-saving treatments may have unintended negative effects on organ development and performance. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 12, 2020 Category: Pediatrics Authors: Melissa L. Bates, Philip T. Levy, Anne Monique Nuyt, Kara N. Goss, Adam J. Lewandowski, Patrick J. McNamara Tags: Medical Progress Source Type: research

Normative Values for Cardiopulmonary Exercise Stress Testing Using Ramp Cycle Ergometry in Children and Adolescents
To provide sex, age, and race specific reference values for ramp cycle ergometer cardiopulmonary exercise test (CPET) in children in the United States. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 11, 2020 Category: Pediatrics Authors: Danielle S. Burstein, Michael G. McBride, Jungwon Min, Alexander A. Paridon, Sarah Perelman, Erika M. Huffman, Shannon O ’Malley, Julia Del Grosso, Herman Groepenhoff, Stephen M. Paridon, Julie A. Brothers Tags: Original Articles Source Type: research

Development of a Risk Model for Pediatric Hospital-Acquired Thrombosis: A Report from the CHAT Consortium
To identify pertinent clinical variables discernible on the day of hospital admission that can be used to assess risk for hospital-acquired-VTE (HA-VTE) in children. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 10, 2020 Category: Pediatrics Authors: Julie Jaffray, Brian Branchford, Neil Goldenberg, Jemily Malvar, Stacy E. Croteau, Michael Silvey, John H. Fargo, James D. Cooper, Nihal Bakeer, Richard Sposto, Lingyun Ji, Neil A. Zakai, E. Vincent S. Faustino, Amy Stillings, Emily Krava, Guy Young, Aras Tags: Original Articles Source Type: research

Target Based Care: An Intervention to Reduce Variation in Postoperative Length of Stay
To derive care targets and evaluate the impact of displaying them at the point of care on postoperative length of stay (LOS). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 10, 2020 Category: Pediatrics Authors: Andrew Y. Shin, Isabelle J. Rao, Hannah K. Bassett, Whitney Chadwick, Joseph Kim, Alaina K. Kipps, Komal Komra, Ling Loh, Katsuhide Maeda, Monica Mafla, Laura Presnell, Paul J. Sharek, Katherine M. Steffen, David Scheinker, Claudia A. Algaze Tags: Original Articles Source Type: research

Reassessing the Use of Proton Pump Inhibitors and Histamine-2 Antagonists in Critically Ill Children: A Systematic Review and Meta-Analysis
To determine the association between stress ulcer prophylaxis on gastrointestinal bleeding, nosocomial pneumonia, mortality, and length of stay in the pediatric intensive care unit (PICU). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 8, 2020 Category: Pediatrics Authors: Dominic Wen Jie Yao, Chengsi Ong, Nichola Mary Eales, Rehena Sultana, Judith Ju-Ming Wong, Jan Hau Lee Tags: Original Articles Source Type: research

Child Mouthing of Feces and Fomites and Animal Contact are Associated with Diarrhea and Impaired Growth among Young Children in the Democratic Republic of the Congo: A prospective cohort study
To identify exposure pathways to fecal pathogens that are significant contributors to diarrheal diseases and impaired growth in young children, and to evaluate scalable interventions to reduce fecal contamination from these pathways. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 8, 2020 Category: Pediatrics Authors: Christine Marie George, Lucien Bisimwa Cirhuza, Jennifer Kuhl, Camille Williams, Nicole Coglianese, Elizabeth Thomas, Sarah Bauler, Ruthly Fran çois, Ronald Saxton, Amani Sanvura Presence, Alves Birindwa, Bisimwa Rusanga Jean Claude, Jamie Perin, Patrick Tags: Original Articles Source Type: research

Coronary Involvement in Cardiac Neonatal Lupus
A male infant, born to a mother who was receiving hydroxychloroquine because of Systemic Lupus Erythematosus, tested positive for autoantibodies anti-SSA/Ro. His laboratory tests revealed thrombocytopenia and elevated liver enzymes; antinuclear antibodies were positive (1:160), and strongly positive for anti-SSA/Ro and anti-histone antibodies. These findings were consistent with neonatal lupus erythematosus. Echocardiography showed striking and uniform coronary artery dilatations, with right coronary artery (RCA) cross-sectional diameter being 2 mm (Z-score 3.5), Left Main Coronary Artery (LMCA) 2 mm (Z-score 2.8) and Left...
Source: The Journal of Pediatrics - September 8, 2020 Category: Pediatrics Authors: Francesca Miselli, Guglielmo Capponi, Marco Greco, Andrea Azzarelli, Giovanni Battista Calabri Tags: Insights and Images Source Type: research

Evaluation of Gastroesophageal Reflux Disease One Year after Esophageal Atresia Repair: Paradigms Lost from a Single Snapshot?
to analyze the findings of both pH impedance (MII-pH) and endoscopy/histopathology in children with esophageal atresia at the age of one year, according to current recommendations for the diagnosis of gastroesophageal reflux disease (GERD) in EA. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 8, 2020 Category: Pediatrics Authors: Renato Tambucci, Sara Isoldi, Giulia Angelino, Filippo Torroni, Simona Faraci, Francesca Rea, Erminia Francesca Romeo, Tamara Caldaro, Luciano Guerra, Anna Chiara Iolanda Contini, Monica Malamisura, Giovanni Federici di Abriola, Paola Francalanci, Andrea Tags: Original Articles Source Type: research

Mother ’s Own Milk Biomarkers Predict Coming to Volume in Pump-dependent Mothers of Preterm Infants
To assess serial secretory activation biomarker concentrations (sodium [Na], potassium [K], Na:K ratio, protein, lactose, citrate) in mother ’s own milk (MOM) from pump-dependent mothers of preterm infants to determine associations with coming to volume (CTV), defined as producing at least 500mL/day MOM by day 14 postpartum. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 8, 2020 Category: Pediatrics Authors: Rebecca Hoban, Clarisa Medina Poeliniz, Emily Somerset, Ching Tat Lai, Judy Janes, Aloka L. Patel, Donna Geddes, Paula P. Meier Tags: Original Articles Source Type: research

Community-Onset SARS-CoV-2 Infection in Young Infants: A Systematic Review
To summarize and evaluate current reports on community-onset severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in young infants. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 7, 2020 Category: Pediatrics Authors: Elyse G. Mark, W. Christopher Golden, Maureen M. Gilmore, Anna Sick-Samuels, Melanie S. Curless, Lawrence M. Nogee, Aaron M. Milstone, Julia Johnson Tags: Original Articles Source Type: research

Gastrointestinal Basidiobolomycosis – A mimicker of lymphoma
A previously healthy, well-nourished 3-year-old boy presented with fever, abdominal pain, constipation, and abdominal distension for 15 days. Examination showed pallor, no peripheral lymphadenopathy, and a firm mass in the periumbilical and left lumbar area. Investigations revealed anemia (hemoglobin 7.8 g/dL) and eosinophilia (absolute eosinophil count 3300). Computed tomography (CT) revealed a heterogeneously enhancing conglomerate necrotic mass encasing the jejunum, terminal ileum, ascending colon, and transverse colon (Figure, A). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 7, 2020 Category: Pediatrics Authors: Aathira Ravindranath, Gautham Pai, Moinak Sen Sarma, Anshu Srivastava, Richa Lal, Vinita Agrawal, Rungmei Marak, Surender Kumar Yachha, Ujjal Poddar, Pallavi Prasad Tags: Insights and Images Source Type: research

Family Integrated Care for Preterm Infants in China: A Cluster Randomized Controlled Trial
To explore whether Family Integrated Care (FICare) is feasible and improves the outcomes of preterm infants in China. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 5, 2020 Category: Pediatrics Authors: Mingyan Hei, Xiangyu Gao, Ying Li, Xirong Gao, Zhankui Li, Shiwen Xia, Qianshen Zhang, Shuping Han, Hongxia Gao, Shaohan Nong, Aimin Zhang, Jia Li, Yanchen Wang, Xiang Y. Ye, Shoo K. Lee Tags: Original Articles Source Type: research

Off the Charts: Identifying and visualizing BMI trajectories of rural, poor youth
To identify BMI trajectories utilizing methods and graphing tools that maintain and visualize variability of BMIs ≥95th percentile, and to investigate individual differences in early sociodemographic risk, infant growth and feeding patterns, and maternal weight status on these trajectories. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 5, 2020 Category: Pediatrics Authors: Brandi Y. Rollins, Lori A. Francis Tags: Original Articles Source Type: research

Risk of Cancers in Pediatric Inflammatory Bowel Diseases Patients: A Systematic Review and Meta-Analysis
We performed a systematic review and meta-analysis to evaluate the risk of the development of cancers in patients with pediatric-onset inflammatory bowel disease (IBD). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 5, 2020 Category: Pediatrics Authors: Yuga Komaki, Fukiko Komaki, Akihiro Yamada, Dejan Micic, Akio Ido, Atsushi Sakuraba Tags: Original Articles Source Type: research

Childhood Obesity is Associated with Poor Academic Skills and Coping Mechanisms
To assess the relationship between obesity and select childhood flourishing markers including academic skills and coping strategies. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 4, 2020 Category: Pediatrics Authors: Natasha Gill, Annie Gjelsvik, Laura Y. Mercurio, Siraj Amanullah Tags: Original Articles Source Type: research

Kinetics of viral clearance and antibody production across age groups in SARS-CoV-2 infected children
To improve understanding of transition from viral infection to viral clearance, and antibody response in pediatric patients with SARS-CoV-2 infection. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 3, 2020 Category: Pediatrics Authors: Burak Bahar, Cyril Jacquot, Yunchuan D. Mo, Roberta L. DeBiasi, Joseph Campos, Meghan Delaney Tags: Original Articles Source Type: research

Decision Accuracy and Safety of Transcutaneous Bilirubin Screening at Intermountain Healthcare
To quantify the risk that transcutaneous bilirubin (TcB) screening would fail to recommend phototherapy for a neonate who would have qualified for it if total serum bilirubin (TSB) screening were used. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 2, 2020 Category: Pediatrics Authors: Olive S. Konana, Timothy M. Bahr, Holly R. Strike, Jennifer Coleman, Gregory L. Snow, Robert D. Christensen Tags: Original Articles Source Type: research

Sounding the Alarm on Sleep: A Negative Association Between Inadequate Sleep and Flourishing
To assess the national prevalence of inadequate sleep among school-age children and its relationship with childhood flourishing. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 2, 2020 Category: Pediatrics Authors: Hoi See Tsao, Annie Gjelsvik, Sakina Sojar, Siraj Amanullah Tags: Original Articles Source Type: research

Promoting Pediatric Preventive Visits Through Quality Improvement Initiatives in the Primary Care Setting
To evaluate if quality improvement (QI) capacity-building in affiliated primary care practices could increase WCV uptake. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 2, 2020 Category: Pediatrics Authors: Megan Rose, Heather Maciejewski, Joshua Nowack, Brad Stamm, Gilbert Liu, Charitha Gowda Tags: Original Articles Source Type: research

QTc Prolongation in Pediatric Patients with Diabetic Ketoacidosis
To investigate the association between diabetic ketoacidosis (DKA) and prolonged QTc interval and to assess for correlation between DKA severity and QTc prolongation. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 2, 2020 Category: Pediatrics Authors: Michelle M. Perez, Shivanand Medar, Leanne Quigley, Bradley C. Clark Tags: Original Articles Source Type: research

Treatment of Chronic Hepatitis C in Young Children Reduces Adverse Outcomes and Is Cost-Effective Compared to Deferring Treatment to Adulthood
To evaluate the cost-effectiveness of treating young children with chronic hepatitis C virus (HCV) with new direct acting antivirals (DAAs). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 2, 2020 Category: Pediatrics Authors: Emma Greenaway, Alexander Haines, Simon C. Ling, Murray Krahn Tags: Original Articles Source Type: research

Intravenous lipid for preterm infants: the right amount, at the right time, of the right kind.
Great strides have been made in starting enteral nutrition earlier and advancing faster in very preterm infants, especially with mother ’s milk and human donor milk, appropriately fortified (1). Many of these infants, however, still do not receive recommended amounts of nutrients to meet expected growth requirements, especially in the first week or two after birth (2). As a result, efforts persist to provide more nutrition intrave nously to these infants right after birth, which for the most part been successful in promoting nitrogen balance and early growth, if not longer term neurodevelopment. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 1, 2020 Category: Pediatrics Authors: William W. Hay Tags: Editorials Source Type: research

Disability, Hospital Care, and Cost: Utilization of Emergency and Inpatient Care by a Cohort of Children with Intellectual and Developmental Disabilities
To use medical claims data to determine patterns of healthcare utilization in children with intellectual and developmental disabilities, including frequency of service utilization, conditions that require hospital care, and costs. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 1, 2020 Category: Pediatrics Authors: Scott Lindgren, Emily Lauer, Elizabeth Momany, Tara Cope, Julie Royer, Lindsay Cogan, Suzanne McDermott, Brian S. Armour Tags: Original Articles Source Type: research

Lower Level of Plasma 25-Hydroxyvitamin D in Children at Diagnosis of Celiac Disease Compared with Healthy Subjects: A Case-Control Study
To evaluate the vitamin D status of children with a new diagnosis of celiac disease compared with healthy controls. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 1, 2020 Category: Pediatrics Authors: Elena Lionetti, Tiziana Galeazzi, Vera Dominjanni, Ilaria Acquaviva, Giulia N. Catassi, Mario Iasevoli, Basilio Malamisura, Carlo Catassi Tags: Original Articles Source Type: research

A Large Abdominal Mass in a Child Presenting with Fever and Urinary Symptoms: An Infected Urachal Cyst
A 6-year-old boy was admitted to a tertiary pediatric hospital with a two-week history of fevers, night sweats, lower abdominal pain, and dysuria. Initial inflammatory markers were elevated, but urine culture was negative for urinary tract infection (UTI). Abdominal ultrasound revealed a complex hypoechoic mass lesion arising from the anterior abdominal wall, extending from the umbilicus into the pelvis and compressing the bladder, initially concerning for possible soft tissue malignancy (Figure 1). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 31, 2020 Category: Pediatrics Authors: Patrick JB. Walker, Rebecca Anderson, Julian Kelly Tags: Insights and Images Source Type: research

A Rash Diagnosis: BCG and Kawasaki Disease
A 9-month-old Japanese girl presented with a one week history of fever, irritability, bilateral non-exudative conjunctivitis, erythematous lips, and a rash on her left arm (Figure). Following laboratory evaluation she was diagnosed with Incomplete Kawasaki Disease and treated successfully with intravenous immunoglobulin (IVIG) and aspirin. The rash subsequently resolved over a period of several weeks. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 31, 2020 Category: Pediatrics Authors: Lucy Burgess, Kyle Maus, Erich Maul Tags: Insights and Images Source Type: research

Reopening K-12 Schools in the Era of Coronavirus Disease 2019: Review of State-Level Guidance Addressing Equity Concerns
To determine how state guidance documents address equity concerns in K-12 schools during the coronavirus disease 2019 pandemic. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 28, 2020 Category: Pediatrics Authors: Alice Li, Michael Harries, Lainie Friedman Ross Tags: Original Articles Source Type: research

Reopening K-12 Schools in the Era of COVID-19: Review of State-level Guidance Addressing Equity Concerns
To determine how state guidance documents address equity concerns in K-12 schools during the COVID-19 pandemic. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 28, 2020 Category: Pediatrics Authors: Alice Li, Michael Harries, Lainie Friedman Ross Tags: Original Articles Source Type: research

The Chicken or the Egg: One Statistical Approach for Determining the Direction of Influence
In a previous volume of The Journal, Berge et al1 attempted a “which comes first, the chicken or the egg?” argument when it comes to parental feeding practices and young child eating behaviors. Their statistical method of choice was cross-lagged path analysis (CLPA). This is an appropriate statistical technique for this research question, as the technique allows one to examine a feedback loop across repeated measurements. I present the fundamentals of CLPA and assume an understanding of basic regression techniques. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 27, 2020 Category: Pediatrics Authors: Christa L. Lilly Source Type: research

Clinical Factors Influencing Time To Decannulation In Children with Tracheostomy and Ventilator Dependence Secondary to Bronchopulmonary Dysplasia
To determine if demographic or clinical factors affected time to tracheostomy decannulation for patients with severe bronchopulmonary dysplasia (BPD). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 27, 2020 Category: Pediatrics Authors: Julie Fierro, Joseph Piccione, Scott Lorch Tags: Original Articles Source Type: research

Prevalence of Feeding Disorders: A Tough Reality to Swallow
Children with feeding disorders are seen by practitioners of every pediatric medical and surgical specialty, and the causes of these disorders are as varied as the clinicians who treat these patients. Yet despite their pervasiveness, pediatric feeding disorders are woefully understudied. In this volume of The Journal, Kovacic et al finally bring some much-needed data and perspective to the field of pediatric feeding disorders by reporting, for the first time, the prevalence of feeding disorders across age spans (1). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 27, 2020 Category: Pediatrics Authors: Rachel Rosen Tags: Editorials Source Type: research

Trisomy 21 and COVID-19 in Pediatric Patients
We present 4 pediatric patients with trisomy 21 (T21) and associated comorbidities who developed COVID-19 requiring hospitalization. A review of the literature revealed that co-morbidities associated with T21 may predispose patients to severe disease. Children with T21 should be considered high risk and monitored carefully if infected with SARS-CoV-2. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 26, 2020 Category: Pediatrics Authors: Alexander M. Newman, Ravi Jhaveri, Ami B. Patel, Tina Q. Tan, Jacqueline M. Toia, Mehreen Arshad Tags: Brief Reports Source Type: research

Symptom Burden, School Function, and Physical Activity One-Year Following Pediatric Concussion
To characterize symptom burden, school function, and physical activity in youth one year following acute concussion and those with subsequent repeat concussion. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 25, 2020 Category: Pediatrics Authors: Jacquie van Ierssel, Andr ée-Anne Ledoux, Ken Tang, Rhonda Correll, Keith Owen Yeates, Gerald Gioia, Stephen B. Freedman, Gurinder Sangha, Kathy Boutis, Darcy Beer, William Craig, Emma Burns, Angelo Mikrogianakis, Alexander S. Dubrovsky, Isabelle Gagnon, Tags: Original Articles Source Type: research

A Randomized Placebo-Controlled Pilot Trial of Early Targeted Non-Steroidal Anti-Inflammatory Drugs in Preterm Infants with a Patent Ductus Arteriosus
To establish the feasibility of a future large randomized trial to compare early treatment with non-steroidal anti-inflammatory drugs (NSAIDs) versus awaiting spontaneous PDA closure. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 25, 2020 Category: Pediatrics Authors: Koert de Waal, Nilkant Phad, Michelle Stubbs, Yan Chen, Martin Kluckow Tags: Original Articles Source Type: research

Peritonsillar Abscess in an Infant
An 8-month-old girl presented to the emergency department (ED) with a 3 day history of fever, decreased oral intake, and limited neck and jaw movement. Her examination was notable for right-sided palatal edema, a left-shifted uvula, and an obstructed view of the oropharynx. A computed tomography (CT) scan of the neck demonstrated a 4 cm right peritonsillar abscess with significant mass effect on the airway (Figure 1 and Figure 2). She was managed with non-invasive airway support and intravenous steroids plus intravenous ampicillin/sulbactam. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 21, 2020 Category: Pediatrics Authors: Bruna B.C. Olson, Mark R. Zonfrillo, Lauren M. Allister Tags: Insights and Images Source Type: research

Puffy eyes and pale face
A 2-year-old girl, fed with a goat milk-based formula, presented to our clinic with progressively puffy eyes over two weeks. No fever, cardiovascular symptoms, or gastrointestinal symptoms were mentioned by her mother. The girl was born at a gestational age of 28 weeks, with a birth weight of 890 grams (at 29th percentile) and a birth length of 32 cm (at 6th percentile). On examination, her weight was 10.5 kg (34th percentile), and her height was 81.4 cm (15th percentile). Periorbital pitting edema and facial pallorwere noted (Figure 1). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 20, 2020 Category: Pediatrics Authors: Ming-Yang Shih, Meng-Che Wu, Yun-An Chen, Jiaan-Der Wang Tags: Rediscovering the Physical Exam Source Type: research

Upregulation of Nfat5 mRNA and Fzd4 mRNA as a Marker of Poor Outcome in Neonatal Hypoxic-Ischemic Encephalopathy
To evaluate umbilical cord messenger ribonucleic acid (RNA) expression as biomarkers for the grade of hypoxic-ischemic encephalopathy (HIE) and long-term neurodevelopment outcome. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 20, 2020 Category: Pediatrics Authors: Marc Paul O ’Sullivan, Sophie Casey, Mikael Finder, Caroline Ahearne, Gerard Clarke, Boubou Hallberg, Geraldine B. Boylan, Deirdre M. Murray Tags: Original Articles Source Type: research

Abusive and Non-abusive Traumatic Brain Injury: Different Diseases – Not Just Different Intent
The current clinical approach to abusive head trauma (AHT) largely follows the diagnostic process for other types of traumatic brain injury (TBI), except when it comes to social management. Although it is important to protect the child from further injury, the argument goes, the brain injury is the brain injury, right? With these assumptions, it is logical to suspect abuse based largely on factors like an inconsistent or implausible history, to diagnose AHT with similar methods used for other TBI, and to manage AHT using the same medicines, procedures and algorithms. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 20, 2020 Category: Pediatrics Authors: Daniel M. Lindberg Tags: Editorials Source Type: research

A Proposed Technique to Enhance Strategic Plan Implementation Using Continuous Quality Improvement Methodologies
Strategic plan development in higher education, academic medicine, and non-profit settings is well established. However, there are few publications on the application of continuous quality improvement (CQI) to implement strategic plans. Using rapid-cycle testing borrowed from CQI can be a viable and familiar model for academic medical centers to use in implementing their strategic planning. Upon completing a strategic planning process, the University of Rochester Medical Center (URMC) Golisano Children's Hospital (GCH) used CQI processes to implement their strategic plan and track progress. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 19, 2020 Category: Pediatrics Authors: Patrick D. Brophy, Katy Stevenson, Jeffrey Kaczorowski, Jan Schriefer Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc. Source Type: research

50 Years Ago in The Journal of Pediatrics
Hurwitz RA, Simmons RL, Girod DA. Survival of infants with severe congenital heart disease. J Pediatr 1970; 77:412-6. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 19, 2020 Category: Pediatrics Authors: Erin A. Paul, Daphne T. Hsu Source Type: research

50 Years Ago in The Journal of Pediatrics
Reinhart JB. The doctor's dilemma: whether or not to recommend continuous renal dialysis or renal homotransplantation for the child with end-stage renal disease. J Pediatr 1970;77:505-6. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 19, 2020 Category: Pediatrics Authors: Lainie Friedman Ross Source Type: research

50 Years Ago in The Journal of Pediatrics
Calabro JJ. Management of juvenile rheumatoid arthritis. J Pediatr 1970;77:355-65. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 19, 2020 Category: Pediatrics Authors: Philip J. Hashkes Source Type: research

50 Years Ago in The Journal of Pediatrics
Schiff D, Aranda JV, Stern L. Neonatal thrombocytopenia and congenital malformations associated with administration of tolbutamide to the mother. J Pediatr 1970;77:457-58. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 19, 2020 Category: Pediatrics Authors: Philip F. Giampietro Source Type: research

50 Years Ago in The Journal of Pediatrics
Chawla V, Chandra RK, Bhujwala RA, Ghai OP. A comparative trial of hetacillin and chloramphenicol in typhoid fever. J Pediatr 1970;77:471-3. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 19, 2020 Category: Pediatrics Authors: Pinky Meena, Piyush Gupta Source Type: research

50 Years Ago in The Journal of Pediatrics
Pratt CB, Simone JV, Zee P, Aur RJ, Johnson WW. Comparison of daily vs weekly L-asparaginase for the treatment of childhood acute leukemia. J Pediatr 1970;77:474-83. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 19, 2020 Category: Pediatrics Authors: Wallace Bourgeois Source Type: research

50 Years Ago in The Journal of Pediatrics
Lees MH. Cyanosis of the newborn infant. Recognition and clinical evaluation. J Pediatr 1970;3:484-98. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 19, 2020 Category: Pediatrics Authors: Jannicke H. Andresen, Ola Didrik Saugstad Source Type: research