Myofibroma —A Common Congenital Lesion
A newborn girl presented with an erythematous nodule, 3-cm in diameter behind the ear, with ectatic vessels and a central alopecic ulcerated area (Figure  1). Ultrasound showed a noncompressible, well-defined lesion above the bone without an intralesional vascular signal (Figure 2; available at www.jpeds.com). The differential of potential causes of neonatal masses of the head/scalp is shown in the Table (available at www.jpeds.com).1,2 The nodule texture, extracranial localization, and the absence of internal vascular signal, suggested myofibroma as the most probable diagnosis. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 11, 2019 Category: Pediatrics Authors: Mario Diplomatico, Francesco Esposito, Ferdinando Aliberti, Pierluigi Marzuillo, Maria Elena Errico, Orsola Ametrano Tags: Insights and Images Source Type: research

Reply
We were encouraged to learn that frontline clinicians agree with our study findings and share our concern about an increased risk of neuropsychiatric events (NPSEs) in children with asthma who are prescribed montelukast. Dr Kovesi suggests that our results may even underestimate that risk. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 11, 2019 Category: Pediatrics Authors: Yaron Finkelstein, Teresa To Tags: Letters to the Editor Source Type: research

Association of Neonatologist Continuity of Care and Short-Term Patient Outcomes
To describe neonatologist continuity of care and estimate the association between these transitions and selected patient outcomes. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 11, 2019 Category: Pediatrics Authors: Kerri Z. Machut, Ankur Datta, Jason Z. Stoller, Rakesh Rao, Amit Mathur, Theresa R. Grover, Zeenia Billimoria, Karna Murthy Tags: Original Article Source Type: research

Implications of Mothers' Social Networks for Risky Infant Sleep Practices
To describe the structure of networks in a cohort of mothers and to analyze associations of social network characteristics and norms with infant sleep practices. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 11, 2019 Category: Pediatrics Authors: Rachel Y. Moon, Rebecca F. Carlin, Benjamin Cornwell, Anita Mathews, Rosalind P. Oden, Yao I. Cheng, Linda Y. Fu, Jichuan Wang Tags: Original Article Source Type: research

Transition Readiness in Adolescents and Young Adults with Heart Disease: Can We Improve Quality of Life?
We previously reported common knowledge deficits and lack of transition readiness in 13- 25-year-olds with congenital or acquired heart disease. The aims of this study were to re-evaluate transition readiness in this cohort at follow-up and to examine the relationship between changes in transition readiness and quality of life (QOL). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 7, 2019 Category: Pediatrics Authors: Karen Uzark, Katherine Afton, Sunkyung Yu, Ray Lowery, Cynthia Smith, Mark D. Norris Tags: Original Article Source Type: research

Neuropsychiatric side effects of montelukast
Glockler-Lauf et  al1 provide important information about the incidence of serious neuropsychiatric side effects (NPSEs) because of montelukast; however, there are important limitations. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 7, 2019 Category: Pediatrics Authors: Thomas Kovesi Tags: Letters to the Editor Source Type: research

Racial and Ethnic Differences in Pediatric Pulmonary Hypertension: An Analysis of the Pediatric Pulmonary Hypertension Network Registry
To investigate racial and ethnic differences in pulmonary hypertension subtypes and survival differences in a pediatric population. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 5, 2019 Category: Pediatrics Authors: Mei-Sing Ong, Steve Abman, Eric D. Austin, Jeffrey A. Feinstein, Rachel K. Hopper, Usha S. Krishnan, Mary P. Mullen, Marc D. Natter, J. Usha Raj, Erika B. Rosenzweig, Kenneth D. Mandl, Pediatric Pulmonary Hypertension Network and National Heart, Lung, and Tags: Original Article Source Type: research

Challenges to Eating, Swallowing, and Aerodigestive Functions in Infants: A Burning Platform That Needs Attention!
Dysphagia manifests as eating-swallowing-aerodigestive difficulties in infants and is a significant contribution to the escalating healthcare burden. Each year in the US, new diagnoses of pediatric dysphagia add an estimated 500  000 cases1 to an existing overall pool of 13 million patients with dysphagia, which is likely to increase as the population ages. In fact, the primary contributing factor for delays in discharge from the intensive care units (ICUs) is the inability to achieve adequate and safe oral intake. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 5, 2019 Category: Pediatrics Authors: Sudarshan R. Jadcherla Tags: Editorials Source Type: research

Diagnostic Yield of an Algorithm for Neonatal and Infantile Cholestasis Integrating Next-Generation Sequencing
To evaluate the performance of a diagnostic protocol for neonatal/infantile cholestasis in which the main clinical patterns steered the early use of different genetic testing strategies. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 31, 2019 Category: Pediatrics Authors: Emanuele Nicastro, Angelo Di Giorgio, Daniela Marchetti, Chiara Barboni, Anna Cereda, Maria Iascone, Lorenzo D'Antiga Tags: Original Article Source Type: research

Reply
We appreciate the work that Dr Jennifer Nelson is doing at the national level with her team through the American Academy of Pediatrics and to see a comprehensive approach to breastfeeding education targeted to multiple levels of the medical community. The fact that this project advisory committee is supported by an impressive number of stakeholder organizations shows the importance of breastfeeding education as a cornerstone in changing toward a culture of breastfeeding support. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 31, 2019 Category: Pediatrics Authors: Megan H. Pesch, Sarah Tomlinson, Kanakadurga Singer, Heather L. Burrows Tags: Letters to the Editor Source Type: research

Support for breastfeeding physicians
With interest, we read the commentary by Pesch  et al on the need for pediatricians to support their fellow breastfeeding colleagues.1 The American Academy of Pediatrics currently is funded by the Centers for Disease Control and Prevention to address improvements in breastfeeding-related physician education and training. As part of this projec t, the American Academy of Pediatrics, with input from representatives of the American College of Obstetrics and Gynecology, the American Academy of Family Physicians, and multiple other stakeholder organizations on the Project Advisory Committee developed the “Physic...
Source: The Journal of Pediatrics - May 31, 2019 Category: Pediatrics Authors: Jennifer M. Nelson, Ngozi Onyema-Melton, Lauren E. Hanley, Joan Younger Meek, Julie K. Wood Tags: Letters to the Editor Source Type: research

A Randomized Controlled Study of Low-Dose Hydrocortisone Versus Placebo in Dopamine-Treated Hypotensive Neonates Undergoing Hypothermia Treatment for Hypoxic −Ischemic Encephalopathy
To investigate whether hydrocortisone supplementation increases blood pressure and decreases inotrope requirements compared with placebo in cooled, asphyxiated neonates with volume-resistant hypotension. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 30, 2019 Category: Pediatrics Authors: Kata Kovacs, Eniko Szakmar, Unoke Meder, Laszlo Szakacs, Anna Cseko, Barbara Vatai, Attila J. Szabo, Patrick J. McNamara, Miklos Szabo, Agnes Jermendy Tags: Original Articles Source Type: research

Attributable Delay of Discharge for Children with Long-Term Mechanical Ventilation
To assess the reasons for discharge delays for children with long-term mechanical ventilation. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 29, 2019 Category: Pediatrics Authors: Sarah A. Sobotka, Carolyn Foster, Emma Lynch, Lindsey Hird-McCorry, Denise M. Goodman Tags: Original Articles Source Type: research

The North Carolina Experience with Mucopolysaccharidosis Type I Newborn Screening
To evaluate the performance of a 2-tiered newborn screening method for mucopolysaccharidosis type I (MPS I) in North Carolina. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 24, 2019 Category: Pediatrics Authors: Jennifer L. Taylor, Kristin Clinard, Cynthia M. Powell, Catherine Rehder, Sarah P. Young, Deeksha Bali, Sara E. Beckloff, Lisa M. Gehtland, Alex R. Kemper, Stacey Lee, David Millington, Hari S. Patel, Scott M. Shone, Carol Woodell, Scott J. Zimmerman, Don Tags: Original Article Source Type: research

Pediatric Hospital Medicine Board Certification: A Solution, but to Which Problem?
In 1996, 2 internists named Wachter and Goldman published a position paper in which they first used the term hospitalist.1 The fact that the authors employed quotation marks around the term underscored how new it was to most readers. The authors offered the vague definition of hospitalists as “specialists in inpatient medicine” while focusing almost exclusively on providers for adult patients. In pediatrics, hospitalist programs began to develop somewhat more slowly, but they steadily followed the adult trajectory. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 24, 2019 Category: Pediatrics Authors: David I. Rappaport, Jane Ierardi, Jay S. Greenspan Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc. Source Type: research

A Neonate with Unexplained Hair Loss
A 4-month-old girl presented with a 2-week history of patchy hair loss on her scalp; parents reported that her scalp hair began shedding while bathing. The patient had received intermittent treatment with topical glucocorticoids following a clinical diagnosis of neonatal occipital alopecia, but the hair loss did not improve. Physical examination revealed patchy, irregular, “moth-eaten” patches of alopecia over the entire scalp (Figure, A). No erythematous macules with subtle scales were present on her truck, extremities, palms, or soles. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 23, 2019 Category: Pediatrics Authors: Bin Zhang, Li Wei, Lin Ma Tags: Insights and Images Source Type: research

Incidence of Thyroid Disease in Adolescent Females Presenting with Heavy Menstrual Bleeding
The incidence of thyroid disease in adolescents with heavy menstrual bleeding is unknown. A retrospective cross-sectional study of 427 adolescents presenting with heavy menstrual bleeding found 0.23% (95% CI 0%-0.7%) had thyroid disease, lower than that expected in the general population. Thyroid testing should only be considered when other symptomatology is present. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 23, 2019 Category: Pediatrics Authors: Angela C. Weyand, Elisabeth H. Quint, Gary L. Freed Tags: Brief Reports Source Type: research

50 Years Ago in The Journal of Pediatrics
Schrager G. J Pediatr 1969;74:966-8. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Philip J. Hashkes Source Type: research

50 Years Ago in The Journal of Pediatrics
Blattner RJ. J Pediatr 1969;74:991-3 (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Swati Kalra, Piyush Gupta Source Type: research

50 Years Ago in The Journal of Pediatrics
Matheny AP Jr, Vernick J. J Pediatr 1969;74:953-9. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Sarah A. Sobotka, Lainie Friedman Ross Source Type: research

50 Years Ago in The Journal of Pediatrics
Baird HW, Pileggi AJ, Harley RD. J Pediatr 1969;6:937-45. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Payal Gupta, Piyush Gupta Source Type: research

50 Years Ago in The Journal of Pediatrics
Usher R, McLean F J Pediatr 1969;74:901-10. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Jannicke H. Andresen, Ola Didrik Saugstad Source Type: research

50 Years Ago in The Journal of Pediatrics
Weeks RS, Ravitch MM. J Pediatr 1969;74:911-6 (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Peter R. Farrell, Michael K. Farrell Source Type: research

The State of Children's Health in Europe
The health status of the European population is supervised constantly through the national public health agencies in their respective countries and monitored by the several nongovernmental organizations dedicated to public health active in Europe.1 In particular, the European Union (EU) supervises the health of the population in its 28 member nations by means of the Directorate for Health and Food Safety.2 The Directorate bases its proposals and legislative interventions both on data from the single nations and the statistical analysis provided by Eurostat, the official statistical office of the EU, situated in Luxembourg,...
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Paolo Biasci, Angel Carrasco Sanz, Tudor Lucian Pop, Massimo Pettoello-Mantovani, Antonio D'Avino, Luigi Nigri Tags: European Paediatric Association Source Type: research

Trends in Pediatric Chair Sex Distribution and Tenure over Time: A Survey of 714 Pediatric Chairs from the Association of Medical School Pediatric Department Chairs
The Board of Directors of the Association of Medical School Pediatric Department Chairs (AMSPDC) convenes semiannually to discuss issues relevant to the membership of the organization. At the meeting in 2015, members of the Board expressed concerns about whether the proportion of female chairs was growing apace with the increasing number of women in pediatrics and if pressures faced by chairs were leading to a decrease in tenure. As a result, the Board set forth to examine the demographics of pediatric chairs, focusing in particular on sex and tenure, but also more broadly on the specialties of pediatric chairs, internal v...
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Edie Weller, Richard Jacobs, Valerie P. Opipari, Robert W. Wilmott, Gary Fleisher Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc. Source Type: research

Making the Consult Interaction More Than a Transaction: Helping Fellows Be Better Teachers and Residents Be Better Learners
The pediatric patient admitted to an academic medical center has become increasingly complex,1 often requiring multispecialty care and inpatient consultations. Communication during consultations most frequently occurs between trainees, specifically a subspecialty consultant fellow and a resident on the primary team requesting the consultation.2 This interaction, in which the resident has a question for the fellow consultant, and the fellow has the expertise to provide an answer, involves many adult learning principles (eg, “task-centered learning” and “readiness to learn,” etc). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Ariel S. Winn, Diane E.J. Stafford, Eli M. Miloslavsky, Jakob I. McSparron, Amit S. Grover, Debra Boyer Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc. Source Type: research

Disproving junk science
Philosophers, scientists, and statisticians have debated for centuries whether and how one can prove a negative. We can take proving a negative to an extreme and state that you can never prove beyond reasonable doubt that something does not exist (eg, Nessie might still swim somewhere deep in Scotland ’s Loch Ness). However, this argument from ignorance, a claim that a proposition is true simply because it has not yet been proven false, is a logical fallacy of those who endorse “alternative facts,” alternative belief systems, or alternate universes. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Paul G. Fisher Tags: The Editors' Perspectives Source Type: research

Early psychosocial environment and cardiometabolic risk
There is increasing interest in the concept that early life exposures, including adverse childhood experiences, may be associated with later obesity, metabolic syndrome, and increased risk for atherosclerotic cardiovascular disease. In this volume of The Journal, Doom et al utilized a longitudinal study in Chile to study these potential relationships. Because this was a retrospective cohort study, there were some limitations in what was measured and when measurements were made. They used maternal depressive symptoms, stressful life events, poor support for child development, absence of the father, and socioeconomic status ...
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Stephen R. Daniels Tags: The Editors' Perspectives Source Type: research

An important marker explained
The “classic metaphyseal lesion,” a unique corner fracture of long bones, has long been considered a specific marker of child abuse. Although a few paid defendant “experts” have attempted to challenge this concept, it has continued to be accepted by child abuse specialists. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Thomas Welch Tags: The Editors' Perspectives Source Type: research

Recovery and the family tree of Morpheus
“There is a time for many words, and there is also a time for sleep” — Homer (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Denise M. Goodman Tags: The Editors' Perspectives Source Type: research

Table of Contents
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Source Type: research

Masthead
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Source Type: research

Information for Readers
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Source Type: research

The Role of Genetic Predisposition, Programing During Fetal Life, Family Conditions, and Post-natal Diet in the Development of Pediatric Fatty Liver Disease
To evaluate, in patients with nonalcoholic fatty liver disease (NAFLD), the role of lifetime exposures associated with genetic predisposition, family history (parental obesity, economic income), programming during fetal life (gestational age, birthweight), being breastfed or not, and later biomarkers of dietary habits and lifestyle in the development of fibrosis. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Antonella Mosca, Valentina De Cosmi, Fabio Parazzini, Massimiliano Raponi, Anna Alisi, Carlo Agostoni, Valerio Nobili Tags: Original Articles Source Type: research

Health Outcomes and Quality of Life Indices of Children Receiving Blenderized Feeds via Enteral Tube
To determine whether clinical and patient-reported outcomes differ in children receiving blenderized diets compared with conventional formula. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Bridget Hron, Eliza Fishman, Margot Lurie, Tracie Clarke, Zoe Chin, Lisa Hester, Elizabeth Burch, Rachel Rosen Tags: Original Article Source Type: research

Intrathoracic Kidney
A 10-month-old girl presented to the emergency department with a 2-day history of fever up to 40 °C and vomiting. Her oxygen saturation was 100% on room air. Findings of a chest examination revealed normal breath sounds. The rest of the physical examination was unremarkable. Her white blood count was 19 200/μL, and a plain radiograph of the chest showed rounded opacity in the left lower lobe (Figure, A and B, arrows). She was treated with oral amoxicillin. Four days later, she returned to the emergency department due to persistence of the fever and a maculopapular rash. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2019 Category: Pediatrics Authors: Orli Megged, Ruth Cytter-Kuint Tags: Insights and Images Source Type: research

US Pediatrician Practices and Attitudes Concerning Childhood Obesity: 2006 and 2017
To compare primary care pediatricians' practices and attitudes regarding obesity assessment, prevention, and treatment in children 2  years and older in 2006 and 2017. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 18, 2019 Category: Pediatrics Authors: Brook Belay, Mary Pat Frintner, Janice L. Liebhart, Jeanne Lindros, Megan Harrison, Blake Sisk, Carrie A. Dooyema, Sandra G. Hassink, Stephen R. Cook Tags: Original Article Source Type: research

Effect of Umbilical Cord Blood Sampling versus Admission Blood Sampling on Requirement of Blood Transfusion in Extremely Preterm Infants: A Randomized Controlled Trial
To evaluate the effect of blood sampling from the placental end of the umbilical cord compared with initial blood sampling from neonates, on the need for first packed red blood cell transfusion in extremely preterm infants. We hypothesized that cord blood sampling could delay the time to first blood transfusion. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 18, 2019 Category: Pediatrics Authors: Haribalakrishna Balasubramanian, Priyanka Malpani, Mythily Sindhur, Nandkishor S. Kabra, Javed Ahmed, Lakshmi Srinivasan Tags: Original Articles Source Type: research

A Child with Hemorrhagic Bullous Lesions
A 10-year-old girl presented with a history of a palpable rash, peri-umbilical abdominal pain, and arthritis of both ankles. She subsequently developed multiple blisters on her arm, which later turned black. She also had hematemesis and blood in her stools concomitantly. Family history was noncontributory. She was referred to our institute for the suspicion of necrotizing fasciitis and septicemia. On examination, she had hemorrhagic bullae and black necrotic lesions around the left elbow and forearm (Figure). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 18, 2019 Category: Pediatrics Authors: Dharmagat Bhattarai, Himanshi Chaudhary, Revathi Deglurkar, Pandiarajan Vignesh Tags: Insights and Images Source Type: research

A Positive Association Between Dietary Intake of Higher Cow's Milk-Fat Percentage and Non −High-Density Lipoprotein Cholesterol in Young Children
To determine the association between cow's milk-fat and non −high-density lipoprotein (non-HDL) cholesterol, a marker of cardiovascular disease (CVD) risk in young children, and whether this association is mediated by the typical volume of cow's milk consumed. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 16, 2019 Category: Pediatrics Authors: Vincent C.H. Wong, Jonathon L. Maguire, Jessica A. Omand, David W.H. Dai, Gerald Lebovic, Patricia C. Parkin, Deborah L. O'Connor, Catherine S. Birken, TARGet Kids! Collaboration Tags: Original Articles Source Type: research

The Impact of the American Academy of Pediatrics Brief Resolved Unexplained Event Guidelines on Gastrointestinal Testing and Prescribing Practices
To determine if hospitalization, testing, diagnosis, and management of suspected gastroesophageal reflux, and follow-up visits decreased since introduction of American Academy of Pediatrics guidelines for brief resolved unexplained events (BRUEs). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 15, 2019 Category: Pediatrics Authors: Daniel R. Duncan, Amanda S. Growdon, Enju Liu, Kara Larson, Madeline Gonzalez, Kerri Norris, Rachel L. Rosen Tags: Original Article Source Type: research

Risk Factors and Outcomes of Nonmelanoma Skin Cancer in Children and Young Adults
To identify risk factors associated with nonmelanoma skin cancer (NMSC) occurrence and survival in children. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 15, 2019 Category: Pediatrics Authors: Jennifer T. Huang, Carrie C. Coughlin, Elena B. Hawryluk, Kristen Hook, Stephen R. Humphrey, Lacey Kruse, Leslie Lawley, Hasan Al-Sayegh, Wendy B. London, Ashfaq Marghoob, Thuy L. Phung, Elena Pope, Pedram Gerami, Birgitta Schmidt, Sarah Robinson, Diana B Tags: Original Articles Source Type: research

Early Onset Primary Adrenal Insufficiency in Males with Adrenoleukodystrophy: Case Series and Literature Review
The lifetime risk for adrenal insufficiency in male children with adrenoleukodystrophy (ALD) is estimated at 80%-86%. Prior to newborn screening, male children with ALD were identified by family history or after symptom development. These young patients with ALD and adrenal insufficiency support newborn screening for ALD. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 14, 2019 Category: Pediatrics Authors: Liane Eng, Molly O. Regelmann Tags: Brief Reports Source Type: research

Dosing and Safety of Off-label Use of Caffeine Citrate in Premature Infants
To characterize the dosing and safety of off-label caffeine citrate in a contemporary cohort of extremely premature infants. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 14, 2019 Category: Pediatrics Authors: Mihai Puia-Dumitrescu, P. Brian Smith, Jian Zhao, Angela Soriano, Elizabeth H. Payne, Barrie Harper, Ellen Bendel-Stenzel, Fernando Moya, Rakesh Chhabra, Lawrence Ku, Matthew Laughon, Kelly C. Wade, Best Pharmaceuticals for Children Act –Pediatric Trial Tags: Original Article Source Type: research

Chronic Herpes Simplex Virus Infection in an Immunosuppressed Girl
A 6-year-old girl had a 3-year history of systemic juvenile idiopathic arthritis that was treated with prednisone and methotrexate. She presented with painful blisters, erosions, ulcerations with surface exudation, and crusts around mouth, oral mucosa, tongue, umbilicus, and right index finger (Figure); these had been present for 40  days. Tzanck smear revealed mutinucleated giant cells. Skin biopsy taken from umbilicus revealed numerous multinucleate giant cells and ballooning degeneration of keratinocytes. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 14, 2019 Category: Pediatrics Authors: Yue-Tong Qian, Jin-Yuan Ma, Jia-Wei Liu, Wei Liu, Dong-Lai Ma Tags: Rediscovering the Physical Exam Source Type: research

Risk of Repeat Concussion Among Patients Diagnosed at a Pediatric Care Network
To quantify the risk of repeat concussions for children and identify demographic and clinical aspects of the index concussion associated with repeat injury. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 14, 2019 Category: Pediatrics Authors: Allison E. Curry, Kristy B. Arbogast, Kristina B. Metzger, Ronni S. Kessler, Matthew J. Breiding, Juliet Haarbauer-Krupa, Lara DePadilla, Arlene Greenspan, Christina L. Master Tags: Original Articles Source Type: research

Does Tonsillectomy Increase Obesity Risk in Children with Down Syndrome?
To examine weight changes relative to surgical success in children with Down syndrome and obstructive sleep apnea (OSA). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 10, 2019 Category: Pediatrics Authors: Amanda G. Ruiz, Dexiang Gao, David G. Ingram, Francis Hickey, Matthew A. Haemer, Norman R. Friedman Tags: Original Article Source Type: research

Echography-Guided Surfactant Therapy to Improve Timeliness of Surfactant Replacement: A Quality Improvement Project
To improve time of surfactant administration with a surfactant replacement protocol based on semiquantitative lung ultrasound score (LUS) thresholds. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 9, 2019 Category: Pediatrics Authors: Roberto Raschetti, Nadya Yousef, Giulia Vigo, Gianluigi Marseglia, Roberta Centorrino, Rafik Ben-Ammar, Shivani Shankar-Aguilera, Daniele De Luca Tags: Original Article Source Type: research

Non-Cystic Fibrosis −Related Meconium Ileus: GUCY2C-Associated Disease Discovered through Rapid Neonatal Whole-Exome Sequencing
Meconium ileus is caused by cystic fibrosis; however, mutations in the GUCY2C gene also cause this disease. We  report non-cystic fibrosis meconium ileus in an infant of non-Middle Eastern origin with compound heterozygous mutations in GUCY2C. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 9, 2019 Category: Pediatrics Authors: Jeremy D. Woods, Kurlen S.E. Payton, Pedro A. Sanchez-Lara, Margaret Au, Charles F. Simmons, John M. Graham Tags: Brief Reports Source Type: research

Social Connectedness Factors that Facilitate Use of Healthcare Services: Comparison of Transgender and Gender Nonconforming and Cisgender Adolescents
To compare social connectedness factors that facilitate use of primary, dental, and mental healthcare services among transgender and gender nonconforming (TGNC) and cisgender adolescents. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 9, 2019 Category: Pediatrics Authors: Lindsay A. Taliaferro, Brittany M. Harder, Nik M. Lampe, Shannon K. Carter, G. Nic Rider, Marla E. Eisenberg Tags: Original Articles Source Type: research