Brief Motivational Intervention To Improve Adolescent Sexual Health Service Uptake: A Pilot Randomized Controlled Trial In The Emergency Department
To test the hypothesis that our motivational sexual health intervention (SexHealth) would increase health service uptake when compared with control. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 15, 2021 Category: Pediatrics Authors: Melissa K. Miller, Delwyn Catley, Amber Adams, Vincent S. Staggs, M. Denise Dowd, Stephani Stancil, Elizabeth Miller, Catherine L. Satterwhite, Jose Bauermeister, Kathy Goggin Tags: Original Articles Source Type: research

Do the Potential Medical Benefits of Phase 1 Pediatric Oncology Trials Justify the Risks? Views of the US Public
To assess the US public ’s views on whether the potential medical benefits of phase 1 pediatric oncology trials justify the risks. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 15, 2021 Category: Pediatrics Authors: Will Schupmann, Xiaobai Li, David Wendler Tags: Original Articles Source Type: research

Trends of Dyslipidemia in Korean Youth According to Sex and Body Mass Index: Based on the Korea National Health and Nutrition Examination Survey (2007- 2018)
To assess trends of dyslipidemia among youth, we investigated secular trends in serum lipid levels from 2007 to 2018 and the current prevalence of dyslipidemia in Korean children and adolescents. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 15, 2021 Category: Pediatrics Authors: Kyungchul Song, Soyoung Jeon, Hye Sun Lee, Han Saem Choi, Junghwan Suh, Ahreum Kwon, Ho-Seong Kim, Hyun Wook Chae Tags: Original Articles Source Type: research

Eating Behaviors and Diet Quality in Chinese Preschoolers with and without Autism Spectrum Disorder: A Case-Control Study
To compare mealtime behaviors and diet quality in Chinese preschoolers with autism spectrum disorder (ASD) and typically developing preschoolers in Hong Kong. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 15, 2021 Category: Pediatrics Authors: Suey S.Y. Yeung, Ruth Chan, Liz Li, Dorothy Chan, Jason Leung, Ting-fan Leung Tags: Original Articles Source Type: research

Cerebral Palsy in Very Preterm Infants: A Nine-Year Prospective Study in a French Population-Based Tertiary Center
To describe the prevalence of cerebral palsy (CP) at age 2 years in infants born before 33 weeks of gestation and to analyze the fetal neuroprotective effect of the antenatal administration of magnesium sulfate treatment on CP. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 15, 2021 Category: Pediatrics Authors: Cl ément Chollat, Emmanuelle Bertrand, Alice Petit-Ledo, Caroline de Vansay, Caroline Voisin, Ivana Dabaj, André Gillibert, Stéphane Marret, Perinatal Network of Upper Normandy Tags: Original Articles Source Type: research

Acute and Chronic Placental Abnormalities in a Multicenter Cohort of Newborn Infants With Hypoxic-Ischemic Encephalopathy
To examine the frequency of placental abnormalities in a multicenter cohort of newborn infants with hypoxic-ischemic encephalopathy (HIE), and to determine the association between acuity of placental abnormalities and clinical characteristics of HIE. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 15, 2021 Category: Pediatrics Authors: Lina Chalak, Raymond W. Redline, Amy M. Goodman, Sandra E. Juul, Taeun Chang, Toby D. Yanowitz, Nathalie Maitre, Dennis E. Mayock, Andrea L. Lampland, Ellen Bendel-Stenzel, David Riley, Amit M. Mathur, Rakesh Rao, Krisa P. Van Meurs, Tai-Wei Wu, Fernando Tags: Original Articles Source Type: research

Reply
We appreciate the commentary by Arisaka et  al and agree that there is a need to clarify relationships between insulin resistance and body mass index (BMI) in “early maturers.” Although Arisaka et al mention the importance of clarifying these relationships specifically in terms of sex differences, we believe it is equally important to consider race/ethnicity differences as well. Indeed, numerous studies have shown that insulin resistance differs by race/ethnicity. For example, Haffner et al found that nondiabetic non-Hispanic Blacks (NHBs) and Hispanics have increased insulin resistance and highe...
Source: The Journal of Pediatrics - June 12, 2021 Category: Pediatrics Authors: Eric Morris Bomberg, Oppong Yaw Addo, Kyriakie Sarafoglou, Bradley Scott Miller Tags: Letters to the Editor Source Type: research

Body Mass Index Adjusted for Pubertal Status and Metabolic Risk
In a recent cross-sectional population-based study across race, Bomberg et al [1] found that adjusting for pubertal maturation in characterizing weight status reduced the prevalence of overweight and obesity. This indicates that body mass index (BMI) percentile-for-age overestimates weight status if maturation is unaccounted for. This is an important finding for those who practice pediatric obesity in a clinical setting. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 12, 2021 Category: Pediatrics Authors: Osamu Arisaka, Junko Naganuma, Go Ichikawa, Satomi Koyama, Toshimi Sairenchi Tags: Letters to the Editor Source Type: research

Reply: Body Mass Index Adjusted for Pubertal Status and Metabolic Risk
We appreciate the commentary by Arisaka et al and agree that there is a need to clarify relationships between insulin resistance and body mass index (BMI) in “early maturers.” While the authors mention the importance of clarifying these relationships specifically in terms of sex differences, we believe it is equally important to consider race/ethnicity differences as well. Indeed, numerous studies have shown that insulin resistance differs by race/et hnicity. For example, Haffner et al found that non-diabetic non-Hispanic Blacks (NHBs) and Hispanics have increased insulin resistance and higher acute insulin res...
Source: The Journal of Pediatrics - June 12, 2021 Category: Pediatrics Authors: Eric Morris Bomberg, Oppong Yaw Addo, Kyriakie Sarafoglou, Bradley Scott Miller Tags: Letters to the Editor Source Type: research

Cluster Randomized Trials in Pediatric Research
In an article published in this volume of The Journal, Hymel et  al described the findings of the effectiveness of the PediBIRN (Pediatric Brain Injury Research Network) 4-variable clinical decision rule (CDR), aimed at improving abuse evaluations and reducing rates of missed abusive head trauma in pediatric intensive care settings.1 The CDR was assessed via a randomized trial, but a specific type of trial, referred to as a cluster randomized trial (CRT). Also known as group randomized trials, there is no shortage of articles that explain CRTs. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 11, 2021 Category: Pediatrics Authors: Matthew J. Gurka Tags: Statistics, Explained Source Type: research

Neck Tilt in a Child
A 12-year-old girl presented with a two-year history of progressive neck tilt and left hemiparesis. On examination, she had left-sided torticollis which was painless, uncorrectable on active and passive neck movements, and without any palpable muscle contractures (panel A). Her limbs were spastic, with left sided motor-power of 4/5 and weak hand grip (80%); the rest of her neurological and general-physical examination was unremarkable. A reconstructed computed tomography (CT) of the craniovertebral junction revealed an atlantoaxial dislocation in anteroposterior direction with associated bony anomalies (panel C). (Source: ...
Source: The Journal of Pediatrics - June 11, 2021 Category: Pediatrics Authors: Madhivanan Karthigeyan, Pravin Salunke Tags: Rediscovering the Physical Exam Source Type: research

Maternal Inflammation in Pregnancy: Setting the Pattern for Brain Development during Infancy and Beyond
Despite advances in prenatal and neonatal care, neurological abnormalities that arise during the first year of life remain a stubbornly persistent problem. Although many types of neurological abnormalities have been linked to specific genetic factors or environmental insults during pregnancy or early life, the etiology of many cases of perinatal neurological abnormalities remains undetermined. Preterm birth has been identified as an important risk factor associated with neurological abnormalities during the first year of life.(1) However, as in the case of neurological abnormalities, the causes of many cases of preterm bir...
Source: The Journal of Pediatrics - June 11, 2021 Category: Pediatrics Authors: Robert H. Yolken Tags: Editorials Source Type: research

A Primer on Cluster Randomized Trials in Pediatric Research
In a recent article published in The Journal, Hymel et al1 described the findings of the effectiveness of the PediBIRN (Pediatric Brain Injury Research Network) four-variable clinical decision rule (CDR), aimed at improving abuse evaluations and reducing rates of missed abusive head trauma (AHT) in pediatric intensive care settings. The CDR was assessed via a randomized trial, but a specific type of trial referred to as a cluster randomized trial (CRT). Also known as group randomized trials, there is no shortage of articles that explain CRTs.2 Here, I attempt to provide additional clarity to the motivations, advantages, an...
Source: The Journal of Pediatrics - June 11, 2021 Category: Pediatrics Authors: Matthew J. Gurka Source Type: research

Adolescents ’ Digital Technology Interactions and Importance: Associations With Demographics and Social Media Frequency
Technology use is nearly ubiquitous and highly important to today ’s adolescents. The majority of adolescents engage with digital media, approximately 45% of adolescents describe that they are ‘almost constantly’ connected.(1) Understanding patterns of technology use is critical towards determining technology interactions that may be beneficial or harmful to adolescents. However, measuring individual adolescent’s technology use is challenging. Most studies have focused on technology assessments using self-reported(2) or passively observed(3) frequency of use. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 10, 2021 Category: Pediatrics Authors: Megan A. Moreno, Kole Binger, Qianqian Zhao, Jens Eickhoff Tags: Brief Reports Source Type: research

Neonatal Fever With Hepatomegaly and a Rapidly Involuting Congenital Hemangioma
A 12-day-old boy was brought to our tertiary neonatal intensive care unit with fever and hepatomegaly. He was vaginally delivered at 40 weeks of gestation, weighing 3690 g. At 4 days of age, he developed a fever of 38.0 °C and blood test showed a C-reactive protein (CRP) of 3.4 mg/dl. Despite treatment with broad-spectrum antibiotics, the fever persisted, and computed tomography revealed a large hepatic tumor, suggesting the possibility of a hepatic abscess. On admission, his white blood cell count was 19,600/μl, CRP 12.5 mg/dl, normal liver enzymes and coagulation, and alpha-fetoprotein 4,530 ng/ml. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 8, 2021 Category: Pediatrics Authors: Kenichi Suga, Masashi Suzue, Ryuji Nakagawa, Hiroki Ishibashi Tags: Insights and Images Source Type: research

Increased Exposure to Violence and Risk of Neurodevelopmental Disorders in Children
Exposure of children and adolescents to violence has significant short and long-term consequences in regard to academic, social, physical, and psychological functioning1,2. The relationship of exposure to traumatic events, including various forms of violence, with depression, anger, anxiety, dissociation, posttraumatic stress, and total trauma symptoms has been widely debated 1. 2,3 It is largely accepted that adverse early life experiences and abusive events suffered during childhood, can cause profound effects on the development and function of the nervous system, and an increased risk of neurodevelopmental disorders4. (...
Source: The Journal of Pediatrics - June 4, 2021 Category: Pediatrics Authors: Pietro Ferrara, Giulia Franceschini, Giovanni Corsello, Julije Mestrovic, Ida Giardino, Mehmet Vural, Tudor Lucian Pop, Leyla Namazova-Baranova, Flavia Indrio, Massimo Pettoello-Mantovani Source Type: research

Infant with “Ascites”
A 10-month-old boy presented with progressive generalized abdominal distension noted since 6 months of age. There was no history of jaundice, periorbital puffiness, sacral or pedal edema. There was no vomiting or constipation. Growth and development were appropriate for age. Examination revealed a non-tender distended abdomen with dull percussion note and positive fluid thrill. Ultrasonogram showed a large amount of free fluid in abdomen with internal echoes and septations. Hemogram, liver, renal, echocardiogram and urine routine examinations were normal. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 3, 2021 Category: Pediatrics Authors: Aathira Ravindranath, Rajkumar Prannath Wadhwa, Benaganahalli Shivalingappa Sandeep, Kumar Kuntikana Srikrishna Tags: Insights and Images Source Type: research

Neonatal Cranial Ultrasound Findings Among Infants Born Extremely Preterm: Associations With Neurodevelopmental Outcomes at Ten Years of Age
To examine the association between neonatal cranial ultrasound abnormalities among infants born extremely preterm and neurodevelopmental outcomes at ten years of age. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 3, 2021 Category: Pediatrics Authors: Heather Campbell, Jennifer Check, Karl C.K. Kuban, Alan Leviton, Robert M. Joseph, Jean A. Frazier, Laurie M. Douglass, Kyle Roell, Elizabeth N. Allred, Lynn Ansley Fordham, Stephen R. Hooper, Hernan Jara, Nigel Paneth, Irina Mokrova, Hongyu Ru, Hudson P. Tags: Original Articles Source Type: research

Association Between Number of Siblings and Cardiovascular Risk Factors in Childhood and in Adulthood: The Cardiovascular Risk in Young Finns Study
To determine the association of number of siblings on cardiovascular risk factors in childhood and in adulthood. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 1, 2021 Category: Pediatrics Authors: Jukka Pihlman, Costan G. Magnussen, Suvi P. Rovio, Katja Pahkala, Eero Jokinen, Tomi P. Laitinen, Nina Hutri-K ähönen, Päivi Tossavainen, Leena Taittonen, Mika Kähönen, Jorma SA. Viikari, Olli T. Raitakari, Markus Juonala, Joel Nuotio Tags: Original Articles Source Type: research

Swollen Ankle with a Hole: Brodie Abscess
A 12-year-old boy presented with a 1-year history of  painful swelling of the left ankle. The pain was recurrent, exacerbated by mechanical loading, occasionally nocturnal, and responsive to nonsteroidal anti-inflammatory drugs. The patient was afebrile. Physical examination revealed a tender, nonfluctuating swelling of the left distal tibia, withou t flare or erythema; the range of motion was painfully limited. Inflammatory markers and complete blood count were normal. Tuberculin skin test resulted negative. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 28, 2021 Category: Pediatrics Authors: Benedetta Bossini, Prisca Da Lozzo, Ester Conversano, Flora Maria Murru, Sara Della Paolera, Andrea Taddio, Alberto Tommasini Tags: Insights and Images Source Type: research

Swollen Ankle With a Hole: Brodie ’s Abscess
A 12-year-old boy presented with a 1-year history of painful swelling of the left ankle. The pain was recurrent, exacerbated by mechanical loading, occasionally nocturnal, and responsive to NSAIDs. The patient was afebrile. Physical examination revealed a tender, non-fluctuating swelling of the left distal tibia, without flare or erythema; the range of motion was painfully limited. Inflammatory markers and complete blood count were normal. Tuberculin skin test resulted negative. Plain radiographs showed a longitudinal lytic lesion extending across the growth plate of the left distal tibial metaphysis, highly suggestive of ...
Source: The Journal of Pediatrics - May 28, 2021 Category: Pediatrics Authors: Benedetta Bossini, Prisca Da Lozzo, Ester Conversano, Flora Maria Murru, Sara Della Paolera, Andrea Taddio, Alberto Tommasini Tags: Insights and Images Source Type: research

Efficacy and Safety of IV Sildenafil in the Treatment of Newborn Infants with, or at Risk of, Persistent Pulmonary Hypertension of the Newborn (PPHN): A Multicenter, Randomized, Placebo-Controlled Trial
To investigate the efficacy and safety of sildenafil added to inhaled nitric oxide (iNO) for newborn infants with persistent pulmonary hypertension of newborn (PPHN) or hypoxic respiratory failure (HRF) at risk of PPHN. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 27, 2021 Category: Pediatrics Authors: Christine M. Pierce, Min H. Zhang, Baldvin Jonsson, Dinu Iorga, Narayan Cheruvu, Cecile C. Balagtas, Robin H. Steinhorn Tags: Original Article Source Type: research

Efficacy and Safety of IV Sildenafil in the Treatment of Newborn Infants With, or at Risk of Persistent Pulmonary Hypertension of the Newborn (PPHN): A Multicenter, Randomized, Placebo-Controlled Trial
Data sharing statement: Upon request, and subject to certain criteria, conditions, and exceptions (see https://www.pfizer.com/science/clinical-trials/trial-data-and-results for more information), Pfizer will provide access to individual de-identified participant data from Pfizer-sponsored global interventional clinical studies conducted for medicines, vaccines, and medical devices: (1) for indications that have been approved in the United States and/or European Union; or (2) in programs that have been terminated (i.e., development for all indications has been discontinued). Pfizer will also consider requests for the protoc...
Source: The Journal of Pediatrics - May 27, 2021 Category: Pediatrics Authors: Christine M. Pierce, Min H. Zhang, Baldvin Jonsson, Dinu Iorga, Narayan Cheruvu, Cecile C. Balagtas, Robin H. Steinhorn Tags: Original Articles Source Type: research

Median raphe cysts: why surgical excision should be performed in childhood
Bayne et  al reported the clinical presentation of the uncommon entity of a median raphe cyst of the perineum.1 They outlined the embryologic fusion as a major pathogenetic mechanism, the benign course of the abnormality, and proposed complete surgical excision to avoid recurrence.1 (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 26, 2021 Category: Pediatrics Authors: Xenophon Sinopidis, Maria Athanasopoulou, Eleni Kourea, George Georgiou Tags: Letters to the Editor Source Type: research

Median raphe cysts-why surgical excision should be performed in childhood.
Bayne et al reported the clinical presentation of the uncommon entity of a median raphe cyst of the perineum.1 They outlined the embryologic fusion as a major pathogenetic mechanism, the benign course of the abnormality, and proposed complete surgical excision to avoid recurrence.1 (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 26, 2021 Category: Pediatrics Authors: Xenophon Sinopidis, Maria Athanasopoulou, Eleni Kourea, George Georgiou Tags: Letters to the Editor Source Type: research

Effects of N95 Mask Use on Pulmonary Function in Children
To assess whether the use of an N95 mask by children was associated with episodes of desaturation or respiratory distress. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 24, 2021 Category: Pediatrics Authors: Riccardo Lubrano, Silvia Bloise, Alessia Marcellino, Claudia Proietti Ciolli, Alessia Testa, Enrica De Luca, Anna Dilillo, Saverio Mallardo, Sara Isoldi, Vanessa Martucci, MariaTeresa Sanseviero, Emanuela Del Giudice, Concetta Malvaso, Claudio Iacovelli, Tags: Original Articles Source Type: research

Youth involved in the justice system: Emergency department screening and health promotion
Youth involved in the justice system have significant health comorbidities including high rates of mental health disorders, substance use disorders and chronic health problems.1,2 Moreover, justice-involved youth tend to live in disadvantaged, urban neighborhoods, and evidence poor educational attainment with high rates of suspension and drop-outs from school.3 As such, health care providers, advocates and researchers universally recognize the importance of connecting justice-involved youth to needed services for mental health, substance use and medical treatment. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 22, 2021 Category: Pediatrics Authors: Lauren Magee, Matthew C. Aalsma Tags: Editorials Source Type: research

50 Years Ago in The Journal of Pediatrics
Melish ME, Glasgow LA. Staphylococcal scalded skin syndrome: the expanded clinical syndrome. J Pediatr 1971;78:958-67. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Shashi Kant Dhir, Piyush Gupta Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Pincus T, Hughes GRV, Pincus D, Tina LU, Bellanti JA. Antibodies to dsDNA in childhood systemic lupus erythematosus. J Pediatr 1971;78:981-4. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Limor Ashkenazi, Philip J. Hashkes Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Kuhns LR, Poznanski AK. Endotracheal tube position in the infant. J Pediatr 1971;78:991-6. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Lauren E. Boudreau, James F. Padbury Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Roe TF, Hallatt JG, Donnell GN, Ng WG. Childbearing by a galactosemic woman. J Pediatr 1971;78:1026-30. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Runar Almaas, Ola Didrik Saugstad Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Drash A. Diabetes mellitus in childhood: a review. J Pediatr 1971;78:919-41. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Jennifer M. Ikl é, David M. Maahs Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Van den Berg BJ, Yerushalmy J. Studies on convulsive disorders in young children. II. Intermittent phenobarbital prophylaxis and recurrence of febrile convulsions. J Pediatr 1971;78:1004-12. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Aparna Polavarapu, Solomon L. Mosh é Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Greensher H, Mofenson C, Borofsky L, Sharma R. Lumbar puncture in the neonate: a simplified technique. J Pediatr 1971;78:1034-5. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: William Bonadio, Joseph Decristofaro Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Orr ER, Riley HD Jr. Sporotrichosis in childhood: report of ten cases. J Pediatr 1971;78:951-7. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: John Verrinder Veasey, Marco Aur élio P. Sáfadi Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
McCracken GH. Changing pattern of the antimicrobial susceptibilities of Escherichia coli in neonatal infections. J Pediatr 1971;78:942-7. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Stephanie Popofsky, Rebecca Pellett Madan Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Swanson SL, Santen RJ, Smith DW. Multiple lentigines syndrome: new findings of hypogonadotrophism, hyposmia, and unilateral renal agenesis. J Pediatr 1951;48:1037-9. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Sarah E. Sheppard, Ian D. Krantz Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Coleman M. Serotonin concentrations in whole blood of hyperactive children. J Pediatr 1971;78:985-90. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Jessica M. Jary, Terrill Bravender Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Chamberlain JL, Perry LW. Infantile periarteritis nodosa with coronary and brachial aneurysms: a case diagnosed during life. J  Pediatr 1971;78:1039-42. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Samuel S. Gidding Tags: Original Article Source Type: research

50 Years Ago in The Journal of Pediatrics
Fiser RH, Maetz HM, Treuting JJ, Decker WJ. Activated charcoal in barbiturate and glutethimide poisoning of the dog. J Pediatr 1971;78:1045-7. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Bryan Combs, Philip Toltzis Tags: Original Article Source Type: research

Race impacts concussion
Over the past decade The Journal of Pediatrics and other journals have published an abundance of studies on youth concussion, often with a focus on sports-related concussion. Pediatricians have thus become increasingly familiar with the diagnosis and management of concussion, and our children have no doubt benefitted from attention to what was a previous neglected injury. But, how well do we understand the mechanism of injury? Do all children suffer the same mechanism for concussion? (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Paul G. Fisher Tags: The Editors' Perspectives Source Type: research

Making the grade with quality reports
The current volume of The Journal includes a study from Fogel et al at Penn State, which reports on the results of a quality improvement study at their institution. These workers aimed to improve adherence with current guidelines on lead screening in children in some of their affiliated practices. The study found that an educational intervention produced very little change in practitioner behavior, as assessed by medical record documentation of appropriate lead testing. However, introduction of a point of care (POC) testing device in one of the clinics resulted in striking and durable improvement in screening. (Source: The...
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Thomas R. Welch Tags: The Editors' Perspectives Source Type: research

Autism screening: The perfect vs the good
There is no question that we, with our current screening tools are imperfect at identifying many children with the heterogeneous Autism Spectrum Disorder (ASD) (Pediatrics 2020;145:e20193447. doi:10.1542/peds.2019-3447). Until we have more accurate and culturally appropriate methods, pediatricians and other providers of care to children must continue to rely on a variety of broadband developmental screening and autism-specific instruments, and do so at any early age when interventions can have the greatest impact. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Jane A. Oski Tags: The Editors' Perspectives Source Type: research

Table of Contents
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Source Type: research

Masthead
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Source Type: research

Information for Readers
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Source Type: research

Care for chronic musculoskeletal pain varies across age
An increasing prevalence of chronic musculoskeletal (MSK) pain conditions has been documented for children, adolescents, and young adults. Despite this increase, there has been scarce literature examining treatment modalities for MSK and, in particular, differences in treatments across ages. In this volume of The Journal, Feldman and Nahin reported treatment trends for children and young adults who had received care for MSK. The results indicated that non-opioid medication use was the most commonly prescribed intervention, relative to other interventions such as counseling and physical therapy, and that the primary mode of...
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Henry S. Roane Tags: The Editors' Perspectives Source Type: research

Changes in Self-reported Quality of Life as Survivors of Extremely Preterm Birth Enter Adulthood
Advances in perinatal care of mothers and newborn infants have led to large increases in survival after extremely preterm birth. Currently, with proactive perinatal care, almost one-third of infants born at 22 weeks of gestation survive.1 Interest continues to grow in long-term outcomes among survivors of extreme prematurity. Extreme prematurity is associated with high rates of perinatal brain injury, chronic lung disease, retinopathy, and systemic infections and contributes disproportionately to the burden of neurodevelopmental impairments, such as cognitive impairment, and accompanying functional impairments. (Source: Th...
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Genevieve Taylor, T Michael O ’Shea Tags: Editorials Source Type: research

Pachydermodactyly
An otherwise healthy 17-year-old male presented with a 5-year history of asymptomatic progressive swelling involving multiple fingers of both hands. There was no history of pruritus. Physical examination revealed nontender fusiform swelling of the soft tissue over the dorsal, medial and lateral aspects of the proximal interphalangeal joints of the fingers (except the thumbs) bilaterally (Figures 1 and 2). The range of motion of the fingers was unaffected. A clinical diagnosis of pachydermodactyly was made. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Alexander K.C. Leung, Joseph M. Lam Tags: Rediscovering the Physical Exam Source Type: research

Ethics of Organ Transplantation in Persons with Intellectual Disability
Historically, individuals with intellectual disability and end-stage organ disease were discriminated against by transplant professionals and often excluded from transplantation waitlists. Despite antidiscrimination legislation, some transplant programs continue to include intellectual disability as a relative, if not an absolute, contraindication to listing for an organ; this is true for both pediatric and adult individuals in end-stage organ disease. This commentary opposes the absolute exclusion of patients with intellectual disability and end-stage organ disease from transplantation waitlists provided that the candidat...
Source: The Journal of Pediatrics - May 20, 2021 Category: Pediatrics Authors: Lainie Friedman Ross Tags: eflections on thics and dvocacy in hild ealth Source Type: research