An Infant with Tachypnea and Failure to Thrive
A 2-month-old, full-term, immunized female infant with chronic congestion presented with difficulty feeding, poor weight gain, and hypoxia. One month prior to presentation, she began taking smaller volumes of formula, became fussier with feeds, and developed tachypnea unrelated to feeds. She was breastfed with formula supplementation but had suboptimal weight gain. On day of admission, she was found to have oxygen saturations in the 80s at her pediatrician's office. In the emergency department, she had central cyanosis, tachypnea, and increased work of breathing. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 31, 2018 Category: Pediatrics Authors: Austin Ostermeier, Sonya Tang Girdwood, Karen Jerardi, Amy Guiot Tags: Insights and Images Source Type: research

A Girl with Gorham –Stout Disease
A 3-year-old girl with shortness of breath for 1 week was admitted to our hospital for the management of dyspnea. Examination revealed a firm, violaceous, depressed lesion (10  cm × 10 cm) on the right chest, shoulder, and upper arm region with no signs of inflammation, and her right lung breath sounds were absent. Her respiratory rate was 48 times/minute, and there were no obviously associated anomalies. A chest radiograph was taken (Figure 1). The image showe d profound osteolysis of the right humerus and scapula with near-complete resorption of the clavicle, complicated by a righ...
Source: The Journal of Pediatrics - August 31, 2018 Category: Pediatrics Authors: Zuopeng Wang, Kai Li Tags: Rediscovering the Physical Exam Source Type: research

Diet during Pregnancy and Infancy and the Infant Intestinal Microbiome
To determine the association between diet during pregnancy and infancy, including breastfeeding vs formula feeding, solid food introduction, and the infant intestinal microbiome. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 30, 2018 Category: Pediatrics Authors: Jessica H. Savage, Kathleen A. Lee-Sarwar, Joanne E. Sordillo, Nancy E. Lange, Yanjiao Zhou, George T. O'Connor, Megan Sandel, Leonard B. Bacharier, Robert Zeiger, Erica Sodergren, George M. Weinstock, Diane R. Gold, Scott T. Weiss, Augusto A. Litonjua Tags: Original Articles Source Type: research

Reply
Leite et  al raise concerns regarding the consensus definition of growth restriction in the newborn. We kindly thank them for their feedback and the chance to put these issues in perspective. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 30, 2018 Category: Pediatrics Authors: Irene M. Beune Tags: Letters to the Editor Source Type: research

Passive Smoking Exacerbates Nicotinamide-Adenine Dinucleotide Phosphate Oxidase Isoform 2 –Induced Oxidative Stress and Arterial Dysfunction in Children with Persistent Allergic Rhinitis
To characterize nicotinamide-adenine dinucleotide phosphate oxidase isoform 2 (NOX2), oxidative stress, and endothelial function in children with and without allergic rhinitis and to ascertain the effect of passive smoke exposure on these factors, because there is an established association between allergic rhinitis and increased cardiovascular risk in adults. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Lorenzo Loffredo, Anna Maria Zicari, Francesca Occasi, Ludovica Perri, Roberto Carnevale, Simona Battaglia, Francesco Angelico, Maria Del Ben, Francesco Martino, Cristina Nocella, Alessio Farcomeni, Giovanna De Castro, Marzia Duse, Francesco Violi Tags: Original Articles Source Type: research

Microscopic Bacteriuria Detected by Automated Urinalysis for the Diagnosis of Urinary Tract Infection
To evaluate the test performance of microscopic bacteriuria by automated urinalysis for presumptive urinary tract infection (UTI) in young children. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Pradip P. Chaudhari, Michael C. Monuteaux, Richard G. Bachur Tags: Original Articles Source Type: research

Novel Lipid Thresholds for Screening Predict the Need for Pharmacotherapy
To identify non-high-density lipoprotein cholesterol (HDL-C) and HDL-C thresholds for pediatric nonfasting lipid screens that are more predictive of the need for lipid-lowering pharmacotherapy and estimate numbers of potentially avoidable fasting lipid panels. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Amy Zawacki, Ann Dodge, Jens Eickhoff, Wendy Sun, Erin Marriott, J. Carter Ralphe, Amy L. Peterson Tags: Original Articles Source Type: research

The Oxygen Load Supplied during Delivery Room Stabilization of Preterm Infants Modifies the DNA Methylation Profile
To determine whether the amount of oxygen provided during postnatal stabilization changes the DNA methylome in preterm infants. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Sheila Lorente-Pozo, Anna Parra-Llorca, Antonio N úñez-Ramiro, María Cernada, David Hervás, Nuria Boronat, Juan Sandoval, Maximo Vento Tags: Original Articles Source Type: research

Copy Number Variants of Undetermined Significance Are Not Associated with Worse Clinical Outcomes in Hypoplastic Left Heart Syndrome
To determine the prevalence, spectrum, and prognostic significance of copy number variants of undetermined significance (cnVUS) seen on chromosomal microarray (CMA) in neonates with hypoplastic left heart syndrome (HLHS). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Andrew L. Dailey-Schwartz, Hanna J. Tadros, Mahshid Sababi Azamian, Seema R. Lalani, Shaine A. Morris, Hugh D. Allen, Jeffrey J. Kim, Andrew P. Landstrom Tags: Original Articles Source Type: research

Association of Atrial Septal Defects and Bronchopulmonary Dysplasia in Premature Infants
To evaluate the association between the presence of an atrial septal defect (ASD) and the odds of developing bronchopulmonary dysplasia (BPD) in premature infants. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Karan R. Kumar, David A. Clark, Evan M. Kim, Jasmine D. Perry, Kaylyn Wright, Sheikisha A. Thomas, Elizabeth J. Thompson, Rachel G. Greenberg, P. Brian Smith, Daniel K. Benjamin, Matthew M. Laughon, Reese H. Clark, Christoph P. Hornik Tags: Original Articles Source Type: research

Caregiving Disruptions Affect Growth and Pubertal Development in Early Adolescence in Institutionalized and Fostered Romanian Children: A Randomized Clinical Trial
To determine the effects of foster care vs institutional care, as well as disruptions in the caregiving environment on physical development through early adolescence. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Dana E. Johnson, Alva Tang, Alisa N. Almas, Kathryn A. Degnan, Katie A. McLaughlin, Charles A. Nelson, Nathan A. Fox, Charles H. Zeanah, Stacy S. Drury Tags: Original Articles Source Type: research

The Impact of Pulmonary Hypertension in Preterm Infants with Severe Bronchopulmonary Dysplasia through 1 Year
To assess the effect of pulmonary hypertension on neonatal intensive care unit mortality and hospital readmission through 1 year of corrected age in a large multicenter cohort of infants with severe bronchopulmonary dysplasia. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Joanne M. Lagatta, Erik B. Hysinger, Isabella Zaniletti, Erica M. Wymore, Shilpa Vyas-Read, Sushmita Yallapragada, Leif D. Nelin, William E. Truog, Michael A. Padula, Nicolas F.M. Porta, Rashmin C. Savani, Karin P. Potoka, Steven M. Kawut, Robert DiGeroni Tags: Original Articles Source Type: research

Early Antibiotic Exposure and Adverse Outcomes in Preterm, Very Low Birth Weight Infants
To determine whether antibiotic use in the first 14 postnatal days in preterm, very low birth weight (birth weight of ≤1500 g) infants is associated with risk after 14 days of age for late-onset sepsis, necrotizing enterocolitis (NEC), or death after controlling for severity of illness using the Clinical Risk Index in Babies II score, and determine whether duration of antibiotic exposure was associated with ris k of adverse outcomes. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Joseph B. Cantey, Alaina K. Pyle, Phillip S. Wozniak, Linda S. Hynan, Pablo J. S ánchez Tags: Original Articles Source Type: research

Early Mobilization in Critically Ill Children: A Systematic Review
To characterize how early mobilization is defined in the published literature and describe the evidence on safety and efficacy on early mobilization in critically ill children. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Carlos A. Cuello-Garcia, Safiah Hwai Chuen Mai, Racquel Simpson, Samah Al-Harbi, Karen Choong Tags: Original Articles Source Type: research

Child Poverty: New Opportunities for Pediatricians
When the US Bureau of Labor Statistics announced in May that we had hit the lowest unemployment rate —3.9%—since 2000, few felt a wave of relief. Americans may be employed, but wages are stagnant. A review of workers in the labor market found men entering the market in 1983 had a 10%-19% decrease in median lifetime income compared with those entering in 1967.1 Further, an analysis of Congressio nal Budget Office data found widening income inequality; since 1979, those in the top 1% have had a 228% increase in their income, whereas the middle 60% and bottom 20% have had a 42% and 69% increase, respectively. (Sou...
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Lucy E. Marcil, Barry S. Zuckerman Tags: Editorials Source Type: research

Do Short-Term Exercise Interventions Improve Cardiometabolic Risk Factors in Children?
To explore the impact of short-term exercise of varying intensity on traditional risk factors for cardiometabolic disease. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Anneke van Biljon, Andrew J. McKune, Katrina D. DuBose, Unathi Kolanisi, Stuart J. Semple Tags: Original Articles Source Type: research

Chronic Bullous Dermatosis of Childhood and the String of Pearls Sign
A previously well 5-year-old boy presented to the emergency department with a 1-week history of pruritic papules on both elbows that had progressed to scattered annular lesions on his buttocks, elbows, and legs with interspersed tense bullae (Figure  1). He was not receiving any medication and remained systemically well throughout. The itching had not been relieved with antihistamine. He had no infectious contacts. He had a normal cardiovascular, respiratory, and abdominal examination and was afebrile with observations appropriate for his age . (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Christopher Tate, William Christian, Louise Newell Tags: Rediscovering the Physical Exam Source Type: research

Reply
We thank Saxena et  al for their thoughtful comments and suggestions. We agree that the issue of gastric residual volume evaluation for feeding advancement is important in infants of very low birth weight. However, a significantly larger proportion of infants born preterm have a birth weight>1500 g, yet there is a scarcity of evidence about the significance of gastric residual volumes and feeding advancement even in this relatively low-risk population group. Also, in many neonatal units including our center, it was the standard of care to rely on gastric residual volumes in decisions relating to the advancements of...
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Balpreet Singh, Niels Rochow, Christoph Fusch, Sumesh Thomas Tags: Letters to the Editor Source Type: research

Fetal and neonatal growth restriction: new criteria, renew challenges
Beune et  al published a statement on growth restriction in the newborn, building on a similar initiative in obstetrics.1,2 These statements press experts in both fields to critically evaluate their current diagnostic practices regarding fetal growth restriction. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Debora F.B. Leite, Elias F. de Melo, Renato T. Souza, Louise C. Kenny, Jose G. Cecatti Tags: Letters to the Editor Source Type: research

Proximal Preaxial Hallucal Polysyndactyly with Tibial Hemimelia: Diabetic Embryopathy
A 3-kg boy born full term with congenital malformations was born to a 23-year-old mother with type 2 diabetes for the past 3 years, class B, according to the White classification.1 She was managed initially with a diabetic diet and oral hypoglycemic agents. Her first antenatal check-up was performed at 11 weeks of gestation; thereafter, her blood glucose levels were monitored every 10-15 days. Due to uncontrolled diabetes (glycated hemoglobin A1c was 8.2% in second trimester), she was started on regular insulin along with oral hypoglycemic agents. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Vidushi Mahajan, Megha Goyal Tags: Rediscovering the Physical Exam Source Type: research

The Long Journey to Eradication of Hepatitis C Virus Infection Should Begin with the Smallest Victims
In this volume of The Journal, Epstein et  al1 have made an important and timely contribution to our understanding of the need to improve hepatitis C virus (HCV) testing of pregnant women with opioid use disorder as well as their infants. The authors used electronic health records for a 10-year cohort of 879 women with opioid use disorder from an obstetric clinic serving women with substance use disorders. Only 85% of the women were screened for HCV. Of the 68% who were seropositive, only 72% had HCV RNA testing and 71% were viremic. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 29, 2018 Category: Pediatrics Authors: Kathleen B. Schwarz, Wikrom Karnsakul Tags: Editorials Source Type: research

Predictors of Prolonged Breast Milk Provision to Very Low Birth Weight Infants
To identify factors associated with prolonged maternal breast milk (BM) provision in very low birth weight (VLBW) infants. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 28, 2018 Category: Pediatrics Authors: Andrew Romaine, Reese H. Clark, Briana R. Davis, Kaitlin Hendershot, Vance Kite, Madeleine Laughon, Isaac Updike, Marie Lynn Miranda, Paula P. Meier, Aloka L. Patel, P. Brian Smith, C. Michael Cotten, Daniel K. Benjamin, Rachel G. Greenberg Tags: Original Articles Source Type: research

Trends in Hospital Treatment of Empyema in Children in the United States
To evaluate trends in procedures used to treat children hospitalized in the US with empyema during a period that included the release of guidelines endorsing chest tube placement as an acceptable first-line alternative to video-assisted thoracoscopic surgery. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 28, 2018 Category: Pediatrics Authors: Michelle M. Kelly, Ryan J. Coller, Jonathan E. Kohler, Qianqian Zhao, Daniel J. Sklansky, Kristin A. Shadman, Anne Thurber, Christina B. Barreda, M. Bruce Edmonson Tags: Original Articles Source Type: research

Perinatal Transmission of Hepatitis C Virus: Defining the Cascade of Care
The US National Viral Hepatitis Action Plan calls for major efforts to expand hepatitis C virus (HCV) diagnosis and treatment; prenatal care settings are potential venues for expanding HCV testing. We aimed to characterize the HCV diagnostic cascade for women and infants and investigate factors associated with linkage and follow-up. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 28, 2018 Category: Pediatrics Authors: Rachel L. Epstein, Vishakha Sabharwal, Elisha M. Wachman, Kelley A. Saia, Claudia Vellozzi, Susan Hariri, Benjamin P. Linas Tags: Original Articles Source Type: research

Factors affecting delirium after pediatric cardiac surgery
I read with interest the report by Alvarez et  al.1 The authors performed an observational study on 99 patients undergoing cardiac surgery and concluded that delirium is common in patients in the pediatric cardiac intensive care unit and is associated with longer length of stay. The authors should be congratulated for their well-designed study on an important topic in hospitalized subjects.2,3 In addition, the current emphasis on the need to reduce healthcare costs by reducing length of stay makes the topic relevant in perioperative medicine. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 28, 2018 Category: Pediatrics Authors: Mark C. Kendall Tags: Letters to the Editor Source Type: research

Reply
We would like to thank Degraeuwe for his comments. We agree that the neonatal Early-Onset Sepsis (EOS) calculator was not designed to be applied to a subpopulation of infants such as those exposed to clinical chorioamnionitis. We agree that the calculator was not meant to be used as a diagnostic tool. Unfortunately, many physicians across the country are using it for this purpose, as evidenced by several published papers, quality improvement projects, and surveys of physician practice.1-4 However, even when it is applied appropriately to assess the risk of early-onset sepsis in all infants born ≥34 weeks of gestation, i...
Source: The Journal of Pediatrics - August 28, 2018 Category: Pediatrics Authors: David Carola, Jay Greenspan, Zubair H. Aghai Tags: Letters to the Editor Source Type: research

Slow Steps Toward Transition
It was just over 35 years ago that Giulio Barbero, MD, a pediatrician, penned a letter in the Annals of Internal Medicine encouraging internists to concede that they might learn something from pediatricians and exhorting pediatricians to trust their patients to internists.1 At that time, transition was described as occurring by default, rather than by design.2 Surgeon General C. Everett Koop at a conference in 1984 in Wayzata, Minnesota, and then a follow-up convocation in 1989 in Jekyll Island, Georgia, addressed some of the shortfalls of transition, not the least of which was a recognition that there was a lack of resear...
Source: The Journal of Pediatrics - August 28, 2018 Category: Pediatrics Authors: Eric T. Meininger, Mary A. Ott Tags: Editorials Source Type: research

Early Life Adversity with Height Stunting Is Associated with Cardiometabolic Risk in Adolescents Independent of Body Mass Index
To evaluate cardiovascular and metabolic function in youths adopted internationally from orphanages/institutions (postinstitutionalized) who were height-stunted at adoption. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 23, 2018 Category: Pediatrics Authors: Brie M. Reid, Michelle M. Harbin, Jessica L. Arend, Aaron S. Kelly, Donald R. Dengel, Megan R. Gunnar Tags: Original Articles Source Type: research

Body Mass Index Changes in Early Childhood
To longitudinally investigate body mass index (BMI) in young children in Ireland and identify factors and critical time points associated with changes in BMI. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 23, 2018 Category: Pediatrics Authors: Samira Barbara Jabakhanji, Fiona Boland, Mark Ward, Regien Biesma Tags: Original Articles Source Type: research

Echocardiographic estimation of elevated right ventricular afterload in preterm infants at risk for pulmonary hypertension: next steps
We read with interest the report by Levy et  al,1 in which the authors use sophisticated echocardiographic variables as surrogates for right ventricular (RV) afterload (or pulmonary hemodynamic measures) and provide data on RV abnormalities in a cohort of infants born preterm with or without bronchopulmonary dysplasia (BPD) vs healthy infant s born at term, at age 1 year. They report that right heart Doppler-derived echocardiographic indices of pulmonary vascular disease (PVD) (eg, pulmonary artery acceleration time [PAAT]) are inversely correlated with gestational age. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 23, 2018 Category: Pediatrics Authors: Martin Koestenberger, Georg Hansmann Tags: Letters to the Editor Source Type: research

50 Years Ago in The Journal Of Pediatrics
Vald és-Dapena M, Birle LJ, McCovern JA, McGillen JF, Colwell FH. J Pediatr 1968;73:387-94. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Ola Didrik Saugstad Tags: 50 Years Ago Source Type: research

50 Years Ago in The Journal Of Pediatrics
Neerhout RC. J Pediatr 1968;73:364-73. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Simon Lam Tags: 50 Years Ago Source Type: research

50 Years Ago in The Journal of Pediatrics
Fisch RO, Gravem HJ, Engel RR. J Pediatr 1968;73:395-403. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Stephannie M.B. Voller Tags: 50 Years Ago Source Type: research

An Appeal for Implementing Social Assistance and Welfare Programs for European Children Challenged by Parental Loss
The loss of a parent is a severe crisis for children and adolescents. According to the life cycle model, the crisis originates from different roots and causes and leads to a large spectrum of acute psychomental and physical effects on child health and later may induce long-term effects on adult health. There are several scenarios that involve the separation of children and adolescents from their mothers and fathers (Table  I; available at www.jpeds.com), and there are short- and long-term effects of parental loss on health (Tables II and III; available at www.jpeds.com). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Jochen Ehrich, Pietro Ferrara, Giovanni Corsello, Giulia Franceschini, Annamaria Sbordone, Ida Giardino, Tudor Lucian Pop, Luigi Nigri, Fugen Cullu, Massimo Pettoello-Mantovani Tags: European Paediatric Association Source Type: research

Family Planning in Pediatrics: An Appeal for Enhanced Training
As a third-year medical student wrapping up my obstetrics and gynecology rotation, I prepared for my final clinic patient: a 6-week postpartum visit for a woman who was interested in a contraceptive implant. I gathered the supplies as I awaited her arrival —only to return them to the supply closet an hour later. She became yet another name on the lengthy list of postpartum no-shows. I wondered about the reproductive fate of this woman and of the numerous others who missed this key visit for re-initiation of contraception, particularly as I had learn ed that, for many of our uninsured patients, this would be the last ...
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Lee A. Trope, Jayme L. Congdon, Lauren Brown, Barry Zuckerman Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc. Source Type: research

UTICalc may enhance UTI risk-estimation in young children
Shaikh N, Hoberman A, Hum SW, Alberty A, Muniz G, Kurs-Lasky M, et  al. Development and Validation of a Calculator for Estimating the Probability of Urinary Tract Infection in Young Febrile Children. JAMA Pediatr 2018;172:550-6. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Alastair D. Hay Tags: Current Best Evidence Source Type: research

Quintupling inhaled fluticasone at first sign of exacerbation
Jackson DJ, Bacharier LB, Mauger DT, Boehmer S, Beigelman A, Chmiel JF, et  al. Quintupling Inhaled Glucocorticoids to Prevent Childhood Asthma Exacerbations. N Engl J Med 2018;378:891-901. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Tim W. Harrison Tags: Current Best Evidence Source Type: research

Adolescent electric cigarette use is associated with subsequent marijuana use
Dai H, Catley D, Richter KP, Goggin K, Ellerbeck EF. Electronic Cigarettes and Future Marijuana Use: A Longitudinal Study. Pediatrics 2018;141:pii: e20173787. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Jonathan Klein Tags: Current Best Evidence Source Type: research

Mass azithromycin distribution reduces sub-Saharan childhood deaths
Keenan JD, Bailey RL, West SK, Arzika AM, Hart J, Weaver J, et  al. Azithromycin to Reduce Childhood Mortality in Sub-Saharan Africa. N Engl J Med 2018;378:1583-92. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Patricia B. Pavlinac, Judd L. Walson Tags: Current Best Evidence Source Type: research

USMLE scores, more than one's residency program, correlate with ABP board scores
Welch TR, Olson BG, Nelsen E, Beck Dallaghan GL, Kennedy GA, Botash A. United States Medical Licensing Examination and American Board of Pediatrics Certification Examination Results: Does the Residency Program Contribute to Trainee Achievement. J Pediatr 2017;188:270-4.e3. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Alan Schwartz Tags: Current Best Evidence Source Type: research

The role of gender and gender equity in The Journal of Pediatrics
Williams et  al examined the gender of corresponding authors, reviewers, and editors to determine if there were differences in publication recommendations and outcomes for manuscripts submitted to The Journal of Pediatrics in 2015-2016. Female corresponding authors submitted a proportional number of manuscript s to The Journal and these manuscripts were accepted at equal rates, regardless of the editor's or the reviewer's gender. However, women received fewer invitations to review manuscripts and were less likely to accept or complete reviews. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Meghan McDevitt, William F. Balistreri Tags: The Editors' Perspectives Source Type: research

Helping NICU parents face the future
One of the biggest questions weighing on NICU parents' minds is what the future will bring, and a sense of optimism about the future is important to enduring a lengthy hospitalization. Will their child be healthy with good quality of life? Will their child be happy with a circle of friends? Neonatologists and NICU providers spend a great deal of time supporting and counseling families as they wrestle with these important questions. We clinicians tend to focus on the medical condition of the infant to predict long-term physical and neurodevelopmental outcomes. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Robin H. Steinhorn Tags: The Editors' Perspectives Source Type: research

More evidence for the importance of early life nutritional status on child health outcomes
A concept that continues to gain ground is that the in utero environment —including maternal health, nutritional status, diet, environmental exposures to medications, toxins, and more—can have an important influence on long-term health outcomes. Supported by numerous epidemiologic, clinical, and biological observations, the Developmental Origins of Health and Disease is a field of discovery that promises to shed new light on disease prevention and health promotion. The report in this volume of The Journal by Abera et al adds another important data point that underscores the importance of fetal growth and n...
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Christopher Duggan Tags: The Editors' Perspectives Source Type: research

Modern compilation of etiology of invasive bacterial infection in infants < 60 days of age
Woll et  al present the compilation of bacteriologically confirmed bloodstream infection (BSI) and meningitis in infants (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Sarah S. Long Tags: The Editors' Perspectives Source Type: research

Confused about what tests to order for altered mental status?
Many readers of The Journal who practiced prior to the advent of the electronic medical record (EMR) will remember charting by hand the chief complaint of “ΔMS” for the child who presented to the emergency department with unexplained delirium, altered mentation, or encephalopathy. ΔMS has now given way to “altered mental status” or “AMS” in the EMR, but has the approach to evaluating the child changed or improved? (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Paul G. Fisher Tags: The Editors' Perspectives Source Type: research

Table of Contents
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Source Type: research

Masthead
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Source Type: research

Information for Readers
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Source Type: research

Amplitude-Integrated Electroencephalography for Early Recognition of Brain Injury in Neonates with Critical Congenital Heart Disease
To study perioperative amplitude-integrated electroencephalography (aEEG) as an early marker for new brain injury in neonates requiring cardiac surgery for critical congenital heart disease (CHD). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 22, 2018 Category: Pediatrics Authors: Nathalie H.P. Claessens, Lotte Noorlag, Lauren C. Weeke, Mona C. Toet, Johannes M.P.J. Breur, Selma O. Algra, Antonius N.J. Schouten, Felix Haas, Floris Groenendaal, Manon J.N.L. Benders, Nicolaas J.G. Jansen, Linda S. de Vries Tags: Original Articles Source Type: research

Conflicting Guidelines on Young Children's Screen Time and Use of Digital Technology Create Policy and Practice Dilemmas
Across the globe, many children live in a digitally enmeshed world. Education and industry authorities encourage the use of digital technology by children to prepare them to thrive in a digital world. Health authorities, in contrast, discourage young children's use of digital technology and raise concerns about the potential negative effects on children's physical, cognitive, emotional, and social well-being. This paper articulates the differing perspectives of education and health authorities that result in a dilemma for those charged with providing for young children's health, care, education, development, and well-being...
Source: The Journal of Pediatrics - August 20, 2018 Category: Pediatrics Authors: Leon Straker, Juliana Zabatiero, Susan Danby, Karen Thorpe, Susan Edwards Tags: Commentary Source Type: research