Reinterpretation of Chromosomal Microarrays with Detailed Medical History
To investigate the utility of a detailed medical history in the interpretation of chromosomal microarray  results for pediatric patients with a constitutional disease. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 14, 2020 Category: Pediatrics Authors: Midhat S. Farooqi, Shirelle Figueroa, Garrett Gotway, Jason Wang, Hung S. Luu, Jason Y. Park Tags: Original Articles Source Type: research

Human Herpesvirus 6 Detection during the Evaluation of Sepsis in Infants Using the FilmArray Meningitis/Encephalitis Panel
We used the FilmArray meningitis/encephalitis panel for evaluation of sepsis in febrile neonates. We detected human herpesvirus 6, a virus we did not routinely test for previously, in the cerebrospinal fluid of 7 neonates. In all 7 cases, detection of the virus did not warrant antiviral treatment. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 14, 2020 Category: Pediatrics Authors: Keerti L. Dantuluri, Katherine C. Konvinse, Jennifer Crook, Isaac P. Thomsen, Ritu Banerjee Tags: Brief Reports Source Type: research

Improving the Health of All Children in Our Community: The Nationwide Children's Hospital and Franklin County, Ohio, Pediatric Vital Signs Project
Historically, pediatrics has been focused on improving outcomes for all children, yet current practice arrangements limit the ability of pediatricians to focus on population healthcare. In the late 19th century, the time of the field's founding as a distinct specialty, pediatricians instituted population health initiatives to improve nutrition and sanitation and reduce the spread of infectious disease.1 A century later, the American Academy of Pediatrics (AAP) identified the need to address the “new morbidities” of psychosocial and behavioral problems with a focus on the environmental factors that can lead to o...
Source: The Journal of Pediatrics - May 14, 2020 Category: Pediatrics Authors: Alex R. Kemper, Kelly J. Kelleher, Steven Allen, Christine Sander, Richard J. Brilli Tags: Commentary Source Type: research

Neonatal Hypoglycemia: GLOW at the End of the Tunnel?
Nearly 50  years ago, The Journal published a landmark review of hypoglycemia in children by Pagliara, Karl, Haymond, and Kipnis from St. Louis Children's Hospital.1 This 2-part review focused on recent advances in the physiology of fuel homeostasis during fasting as the foundation for diagnosis and treatmen t of the many metabolic and endocrine hypoglycemia disorders of childhood. In a short section devoted to neonatal hypoglycemia, the authors noted that fetal glucose is provided by placental transfer from the maternal circulation so that ambient glucose concentrations in the fetus are similar to mate rnal levels. (...
Source: The Journal of Pediatrics - May 14, 2020 Category: Pediatrics Authors: Diva D. De Leon, Charles A. Stanley Tags: Editorial Source Type: research

Type 1 Diabetes and Celiac Disease: Can (and Should) We Raise the Cut-off of Tissue Transglutaminase Immunoglobulin A to Decide Whether to Biopsy?
Celiac disease prevalence is high and increasing worldwide, albeit with wide regional variations around the globe.1,2 The prevalence seems to be significantly greater in children than in adults (0.9% vs 0.5%; P   (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 14, 2020 Category: Pediatrics Authors: Stefano Guandalini Tags: Editorials Source Type: research

Colchicine and Leukopenia: Clinical Implications
Colchicine is the mainstay of treatment for familial Mediterranean fever. We investigated the frequency of leukopenia in 213 patients with familial Mediterranean fever treated with standard doses of colchicine (0.5-2.0  mg/day). We found that 23 patients (10.8%) had reversible leukopenia, 3 moderate, and none severe and that their rate of infections was not increased. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 14, 2020 Category: Pediatrics Authors: Erdal Sag, Yagmur Bayindir, Aydin Adiguzel, Selcan Demir, Yelda Bilginer, Selin Aytac, Seza Ozen Tags: Brief Reports Source Type: research

Brown Plaque with Ripple-pattern on Nasolabial Fold
A 12-year-old boy presented with a 6-month history of asymptomatic brown plaques on his nasolabial fold which had not disappeared despite repetitive cleansing with soap and water. Physical examination showed a ripple-pattern area of brown plaque with well-defined borders on his nasolabial fold (Figure 1). No other body part was involved and there were no systemic symptoms. A punch biopsy taken from his nasolabial fold showed papillomatosis of the epidermis associated with irregular acanthosis and prominent lamellar hyperkeratosis with intracorneal orthokeratotic whorls. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 14, 2020 Category: Pediatrics Authors: Yue-Tong Qian, Dong-Lai Ma Tags: Insights and Images Source Type: research

Cardiovascular risk markers and cognitive performance in children
Markers of cardiovascular risk and cognitive performance were assessed in 347 children. In contrast to body mass index and blood pressure, only retinal microcirculation explained a unique proportion of variance in inhibitory control and information processing, when dependencies between markers of cardiovascular risk were accounted for. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 14, 2020 Category: Pediatrics Authors: S. Ludyga, S. K öchli, M. Gerber, O. Faude, L. Zahner, H. Hanssen Tags: Brief Reports Source Type: research

The Harms of Carrier Status Identification: A Cautionary Warning Against Newborn Sequencing
Two manuscripts by Farrell et al in this volume of The Journal explore the potential psychosocial complications of carrier status notification for sickle cell hemoglobinopathy (SCH) and cystic fibrosis (CF) after newborn screening (NBS). Both articles stem from the Wisconsin Project on Improvement of Communication and Process Outcomes after Newborn Screening. In the first, qualitative telephone interviews with parents were conducted after NBS carrier status was disclosed by a primary care provider to evaluate for effectiveness of results communication, misconception of the child ’s risk for disease, and parental anxi...
Source: The Journal of Pediatrics - May 14, 2020 Category: Pediatrics Authors: Wadsworth Williams, Lainie F. Ross Tags: Editorials Source Type: research

Changes in Children's Healthcare Visits During Coronavirus Disease-2019 Pandemic in Hangzhou, China
The lower than expected rates of children affected by coronavirus disease-2019 does not mean that there was no impact on children's health. Using data on pediatric healthcare visits before and after the breakout of coronavirus disease-2019 and historical data, we identified pediatric conditions that were most affected by the pandemic and epidemic control measures during the pandemic. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 13, 2020 Category: Pediatrics Authors: Haomin Li, Gang Yu, Huilong Duan, Junfen Fu, Qiang Shu Tags: Brief Reports Source Type: research

A Pediatric Emergency Department Protocol to Avoid Intrahospital Spread of SARS-CoV-2 during the Outbreak in Bergamo, Italy
The pandemic of coronavirus SARS-CoV-2 disease affected Northern Italy, spreading from the Bergamo province to the entire country. During reorganization of our emergency department to support patients presenting with coronavirus SARS-CoV-2 disease, we aimed to evaluate whether children play a role in intrahospital spread of the infection. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 13, 2020 Category: Pediatrics Authors: Emanuele Nicastro, Angelo Mazza, Annalisa Gervasoni, Angelo Di Giorgio, Lorenzo D'Antiga Tags: Brief Reports Source Type: research

A Pediatric Emergency Department Protocol to Avoid Intrahospital Dispersal of SARS-CoV-2 during the Outbreak in Bergamo, Italy
The pandemic of coronavirus SARS-CoV-2 disease affected Northern Italy, spreading from the Bergamo province to the entire country. During reorganization of our emergency department to support patients presenting with coronavirus SARS-CoV-2 disease, we evaluated whether children play a role in intrahospital spread of the infection. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 13, 2020 Category: Pediatrics Authors: Emanuele Nicastro, Angelo Mazza, Annalisa Gervasoni, Angelo Di Giorgio, Lorenzo D'Antiga Tags: Brief Reports Source Type: research

Changes in Children ’s Healthcare Visits During COVID-19 Pandemic in Hangzhou, China
H.L. was supported by the National Natural Science Foundation of China (81871456) and National Key R&D Program of China (2016YFC0901905). J.F. was supported by Zhejiang University special scientific research fund for COVID-19 prevention and control. The authors declare no conflicts of interest. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 13, 2020 Category: Pediatrics Authors: Haomin Li, Gang Yu, Huilong Duan, JunFen Fu, Qiang Shu Tags: Brief Reports Source Type: research

Severe Coronavirus Disease-2019 in Children and Young Adults in the Washington, DC, Metropolitan Region
We report 177 infected children and young adults, including 44 hospitalized and 9 critically ill patients, with a comparison of patient characteristics between infected hospitalized and nonhospitalized cohorts, as well as critically ill and noncritically ill cohorts. Children15  years of age were over-represented among hospitalized patients (P = .07). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 12, 2020 Category: Pediatrics Authors: Roberta L. DeBiasi, Xiaoyan Song, Meghan Delaney, Michael Bell, Karen Smith, Jay Pershad, Emily Ansusinha, Andrea Hahn, Rana Hamdy, Nada Harik, Benjamin Hanisch, Barbara Jantausch, Adeline Koay, Robin Steinhorn, Kurt Newman, David Wessel Tags: Brief Report Source Type: research

Severe COVID-19 in Children and Young Adults in the Washington, DC Metropolitan Region
R.S. serves as an Associate Editor for The Journal of Pediatrics. The other authors declare no conflicts of interest. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 12, 2020 Category: Pediatrics Authors: Roberta L. DeBiasi, Xiaoyan Song, Meghan Delaney, Michael Bell, Karen Smith, Jay Pershad, Emily Ansusinha, Andrea Hahn, Rana Hamdy, Nada Harik, Benjamin Hanisch, Barbara Jantausch, Adeline Koay, Robin Steinhorn, Kurt Newman, David Wessel Tags: Brief Reports Source Type: research

Pathways to Improve Pediatric Asthma Care: A Multisite, National Study of Emergency Department Asthma Pathway Implementation
To determine the effects of pediatric asthma pathway implementation in a diverse, national sample of emergency departments (EDs). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 11, 2020 Category: Pediatrics Authors: Sunitha V. Kaiser, Michael D. Johnson, Theresa A. Walls, Stephen J. Teach, Esther M. Sampayo, Nanette C. Dudley, Joseph J. Zorc Tags: Original Articles Source Type: research

Clinical Characteristics and Outcomes of Hospitalized and Critically Ill Children and Adolescents with Coronavirus Disease 2019 (COVID-19) at a Tertiary Care Medical Center in New York City
To describe the clinical profiles and risk factors for critical illness in hospitalized children and adolescents with COVID-19. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 11, 2020 Category: Pediatrics Authors: Jerry Y. Chao, Kim R. Derespina, Betsy C. Herold, David L. Goldman, Margaret Aldrich, Jacqueline Weingarten, Henry M. Ushay, Michael D. Cabana, Shivanand S. Medar Tags: Original Articles Source Type: research

Unintended Consequences of Coronavirus Disease-2019: Remember General Pediatrics
We describe cases of delayed diagnosis of diabetes leading to severe diabetic ketoacidosis; our aim is to highlight the need to apply basic pediatric principles for optimal care. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 10, 2020 Category: Pediatrics Authors: Valentino Cherubini, Anisha Gohil, Ananta Addala, Angela Zanfardino, Dario Iafusco, Tamara Hannon, David M. Maahs Tags: Brief Report Source Type: research

Treatment Discontinuation within 3  Years of Levothyroxine Initiation among Children Diagnosed with Congenital Hypothyroidism
To measure the rates of thyroid gland imaging and levothyroxine (L-T4) discontinuation and to assess whether discontinuation was monitored with thyroid-stimulating hormone testing in subjects with congenital hypothyroidism. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 10, 2020 Category: Pediatrics Authors: Alex R. Kemper, Scott D. Grosse, Mei Baker, Allison J. Pollock, Cynthia F. Hinton, Stuart K. Shapira Tags: Original Article Source Type: research

The Importance of Continuing Breastfeeding during Coronavirus Disease-2019: In Support of the World Health Organization Statement on Breastfeeding during the Pandemic
There are many questions and concerns about the coronavirus disease 2019 (COVID-19), including its implications for breastfeeding.1 This commentary draws on a statement and recommendations recently issued by the Regional Office for Europe of the World Health Organization with the contribution of the European Pediatric Association-Union of National European Pediatric Societies and Associations and other main European pediatric organizations.1 Our aim is to provide pediatricians with further guidance on breastfeeding and related safety measures during COVID-19, particularly in instances where a mother has or may have COVID-1...
Source: The Journal of Pediatrics - May 10, 2020 Category: Pediatrics Authors: Julianne Williams, Leyla Namazova-Baranova, Martin Weber, Mehmet Vural, Julije Mestrovic, Angel Carrasco-Sanz, Joao Breda, Nino Berdzuli, Massimo Pettoello-Mantovani Tags: European Paediatric Association Source Type: research

Adolescent Opioid Misuse Attributable to Adverse Childhood Experiences
To estimate the proportion of opioid misuse attributable to adverse childhood experiences (ACEs) among adolescents. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 10, 2020 Category: Pediatrics Authors: Elizabeth A. Swedo, Steven A. Sumner, Sietske de Fijter, Luke Werhan, Kirkland Norris, Jennifer L. Beauregard, Martha P. Montgomery, Erica B. Rose, Susan D. Hillis, Greta M. Massetti Tags: Original Articles Source Type: research

Milia-Like Idiopathic Calcinosis Cutis: When Waiting Is the Best Option
A 6-month-old boy was referred to our department for the presence of diffuse multiple whitish, pseudomilia-like papules on the skin of the extremities since birth. The patient was well-appearing, and afebrile, with normal vital signs. The examination revealed multiple, yellow-white, firm, small, subcutaneous nodules and papules (Figure 1, A-C). The lesions were present only on the extremities, arms and legs. The lesions were in different stages, with a precise evolution process toward extrusion of a whitish material, erosion and healing (Figure 1, A). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 10, 2020 Category: Pediatrics Authors: M. Grazzini, A. Bassi, C. Mazzatenta Tags: Rediscovering the Physical Exam Source Type: research

Unintended Consequences of COVID-19: Remember General Pediatrics
We describe cases of delayed diagnosis of diabetes leading to severe diabetic ketoacidosis; our aim is to highlight the need to apply basic pediatric principles for optimal care. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 10, 2020 Category: Pediatrics Authors: Valentino Cherubini, Anisha Gohil, Ananta Addala, Angela Zanfardino, Dario Iafusco, Tamara Hannon, David M. Maahs Tags: Brief Reports Source Type: research

Treatment Discontinuation within 3 Years of Levothyroxine Initiation among Children Diagnosed with Congenital Hypothyroidism
To measure the rates of thyroid gland imaging and levothyroxine (L-T4) discontinuation and to assess whether discontinuation was monitored with thyroid stimulating hormone (TSH) testing in subjects with congenital hypothyroidism. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 10, 2020 Category: Pediatrics Authors: Alex R. Kemper, Scott D. Grosse, Mei Baker, Allison J. Pollock, Cynthia F. Hinton, Stuart K. Shapira Tags: Original Articles Source Type: research

The importance of continuing breastfeeding during COVID-19: in support to the WHO statement on breastfeeding during the pandemic
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 10, 2020 Category: Pediatrics Authors: Julianne Williams, Leyla Namazova-Baranova, Martin Weber, Mehmet Vural, Julije Mestrovic, Angel Carrasco-Sanz, Joao Breda, Nino Berdzuli, Massimo Pettoello-Mantovani Tags: AMSPDC Source Type: research

Increase in Brain Volumes after Implementation of a Nutrition Regimen in Infants Born Extremely Preterm
To assess the effect of early life nutrition on structural brain development in two cohorts of extremely preterm infants, before and after implementation of a nutrition regimen containing more protein and lipid. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 7, 2020 Category: Pediatrics Authors: Pauline E. van Beek, Nathalie H.P. Claessens, Antonios Makropoulos, Floris Groenendaal, Linda S. de Vries, Serena J. Counsell, Manon J.N.L. Benders Tags: Original Articles Source Type: research

Bridging Prenatal and Pediatric Care: A Proposed Simple Yet Novel Approach to Preventing Family Violence
Nearly 4% of children in the United States experience physical abuse by a caregiver and 21% witness family violence at least once in their lifetime.(1) The American Academy of Pediatrics (AAP) recommends an indirect approach to identifying risk factors for child abuse: pediatricians should obtain a thorough social history and learn the family ’s struggles and strengths, offer anticipatory guidance on the stressors involved with raising a child, and be alert to signs and symptoms of maltreatment and intimate partner violence. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 7, 2020 Category: Pediatrics Authors: Melissa A. Bright, Lindsay A. Thompson, Dikea Roussos-Ross, Diana Montoya-Williams, Nancy Hardt Tags: Commentary Source Type: research

Impact of Skin-to-Skin Parent-Infant Care on Preterm Circulatory Physiology
To ascertain the impact of skin-to-skin care between parents and infants on cardiac function and cerebral blood flow in preterm infants. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 7, 2020 Category: Pediatrics Authors: Arvind Sehgal, Itamar Nitzan, Nicole Jayawickreme, Samuel Menahem Tags: Original Articles Source Type: research

Addressing Faculty Emotional Responses during the Coronavirus 2019 Pandemic
Although the clinical impact of Coronavirus 2019 (COVID-19) on children has been limited,1 many pediatric faculty are being affected by the increased risk of work-related infection, furloughs, and staff redeployments.2 There is potential collateral damage on faculty well-being. As an academic medical center located in New York, one of the first cities in the US to be impacted by COVID-19, the Children's Hospital at Montefiore redeployed faculty to care for adult patients with COVID-19, reorganized pediatric space to accommodate an increased pediatric and adult census, while serving as the only major pediatric inpatient ser...
Source: The Journal of Pediatrics - May 6, 2020 Category: Pediatrics Authors: Elaine E. Schulte, Carol A. Bernstein, Michael D. Cabana Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc Source Type: research

Experience with Parent Follow-Up for Communication Outcomes after Newborn Screening Identifies Carrier Status
To conduct interviews with a multiyear sample of parents of infants found to have heterozygous status for sickle cell hemoglobinopathy or cystic fibrosis during newborn blood screening (NBS). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 6, 2020 Category: Pediatrics Authors: Michael H. Farrell, Alison La Pean Kirschner, Audrey Tluczek, Philip M. Farrell Tags: Original Articles Source Type: research

Tinea Capitis: Bedside Diagnosis by Dermoscopy
An otherwise healthy 8-year-old girl presented with a 2-month history of mildly pruritic, area of alopecia on her scalp. Examination revealed a well-circumscribed, annular (4  × 3 cm), slight scaly, noninflammed, grayish-white patch of hair loss (Figure, A). Marked hair fragility was elicited on hair pull; no cervical lymphadenopathy was noted. Other mucocutaneous sites were uninvolved. Dermoscopic (Dermlite, DL4, polarized/contact mode, 10×, San Juan Capistrano, Ca lifornia) evaluation of the alopecic patch showed multiple black dots, comma hair, and corkscrew hair along with peripilar scales (F...
Source: The Journal of Pediatrics - May 6, 2020 Category: Pediatrics Authors: Avik Panigrahi, Abheek Sil, Surajit Kumar Biswas Tags: Rediscovering the Physical Exam Source Type: research

Cerebellopontine Angle Lipoma Manifesting as Trigeminal Neuralgia
A 10-year-boy presented with episodic lancinating pain in the right cheek, aggravated with chewing. The stabbing pain was distributed over the second division of the trigeminal nerve. Each episode lasted for several seconds, and episodes occurred at a frequency of 20-30 times a day, occasionally awakening the patient. He could obtain partial relief by rubbing his cheek. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 6, 2020 Category: Pediatrics Authors: Sanjeev Kumar Bhoi, Suprava Naik Tags: Insights and Images Source Type: research

Addressing Faculty Emotional Responses During the COVID19 Pandemic
Although the clinical impact of COVID-19 on children has been limited,1 many pediatric faculty are being affected by the increased risk of work-related infection, furloughs, and staff redeployments.2 There is potential collateral damage on faculty well-being. As an academic medical center located in New York, one of the first cities in the United States to be impacted by COVID-19, the Children ’s Hospital at Montefiore redeployed faculty to care for adult COVID-19 patients, reorganized pediatric space to accommodate an increased pediatricand adult census, while serving as the only major pediatric inpatient service op...
Source: The Journal of Pediatrics - May 6, 2020 Category: Pediatrics Authors: Elaine E. Schulte, Carol A. Bernstein, Michael D. Cabana Tags: AMSPDC Source Type: research

Hypertension During Diabetic Ketoacidosis in Children
To characterize hemodynamic alterations occurring during diabetic ketoacidosis (DKA) in a large cohort of children and to identify clinical and biochemical factors associated with hypertension. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 6, 2020 Category: Pediatrics Authors: Andrew DePiero, Nathan Kuppermann, Kathleen M. Brown, Jeff E. Schunk, Julie K. McManemy, Arleta Rewers, Michael J. Stoner, Leah Tzimenatos, Aris Garro, Sage R. Myers, Kimberly S. Quayle, Jennifer L. Trainor, Maria Y. Kwok, Lise E. Nigrovic, Cody S. Olsen, Tags: Original Articles Source Type: research

Caring for Pediatric Patients with Diabetes amidst the Coronavirus Disease 2019 Storm
Coronavirus disease 2019 (COVID-19) caused by the novel severe acute respiratory syndrome (SARS-CoV-2) virus is a rapidly progressing pandemic with more than 2.5 million infected persons worldwide and a World Health Organization estimated mortality rate of 6.9% at the time of writing. As clinicians, it is imperative that we keep ourselves informed of the daily emerging scientific evidence in order to understand the impact of COVID-19 on our patients, particularly those belonging to a high-risk group, such as the diabetic population. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 5, 2020 Category: Pediatrics Authors: Cindy Ho, Ng Nicholas Beng Hui, Lee Yung Seng Tags: Commentary Source Type: research

Caring for Pediatric Patients with Diabetes amidst the COVID-19 Storm
Coronavirus disease 2019 (COVID-19) caused by the novel severe acute respiratory syndrome (SARS-CoV-2) virus is a rapidly progressing pandemic with more than 2.5 million infected cases worldwide and WHO estimated mortality rate of 6.9% at the time of writing. As clinicians, it is imperative that we keep ourselves informed of the daily emerging scientific evidence in order to understand the impact of COVID-19 on our patients, particularly those belonging to a high-risk group, such as the diabetic population. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 5, 2020 Category: Pediatrics Authors: Ho Cindy, Ng Nicholas Beng Hui, Lee Yung Seng Tags: Commentary Source Type: research

Rapid Implementation of an Adult Coronavirus Disease 2019 Unit in a Children's Hospital
To describe the rapid implementation of an adult coronavirus disease 2019 (COVID-19) unit using pediatric physician and nurse providers in a children's hospital and to examine the characteristics and outcomes of the first 100 adult patients admitted. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 4, 2020 Category: Pediatrics Authors: Kaitlyn Philips, Audrey Uong, Tara Buckenmyer, Michael D. Cabana, Daphne Hsu, Chhavi Katyal, Katherine O'Connor, Tania Shiminski-Maher, Patricia Hametz Tags: Original Article Source Type: research

Glucose Profiles in Healthy Term Infants in the First 5  Days: The Glucose in Well Babies (GLOW) Study
To determine postnatal changes in plasma and interstitial glucose concentrations of healthy infants receiving current recommended care and to compare the incidence of low concentrations with recommended thresholds for treatment of at-risk infants. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 4, 2020 Category: Pediatrics Authors: Deborah L. Harris, Philip J. Weston, Greg D. Gamble, Jane E. Harding Tags: Original Articles Source Type: research

Raising the Cut-Off Level of Anti-Tissue Transglutaminase Antibodies to Detect Celiac Disease Reduces the Number of Small Bowel Biopsies in Children with Type 1 Diabetes: A Retrospective Study
To study the optimal cut-off value for anti-tissue transglutaminase type 2 IgA antibodies (TG2A) in serum to select for diagnostic small bowel biopsies for celiac disease in children with type 1 diabetes mellitus. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 4, 2020 Category: Pediatrics Authors: Margreet Wessels, Anouk Velthuis, Ellen van Lochem, Eline Duijndam, Gera Hoorweg-Nijman, Ineke de Kruijff, Victorien Wolters, Eveline Berghout, Jos Meijer, Jan Alle Bokma, Dick Mul, Janielle van der Velden, Lian Roovers, M. Luisa Mearin, Petra van Setten Tags: Original Articles Source Type: research

The Prevalence of Hypermobility in Children with Irritable Bowel Syndrome and Functional Abdominal Pain Is Similar to that in Healthy Children
To test the hypothesis that the prevalence of joint hypermobility is greater in children with irritable bowel syndrome and functional abdominal pain than in healthy control children and is related to gastrointestinal symptoms and psychosocial distress (anxiety, depression, and somatization). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 4, 2020 Category: Pediatrics Authors: Robert J. Shulman, Mariella M. Self, Danita I. Czyzewski, Jerry Goldberg, Margaret Heitkemper Tags: Original Articles Source Type: research

Glomerular Hyperfiltration Is Associated with Liver Disease Severity in Children with Nonalcoholic Fatty Liver Disease
To determine the prevalence of renal impairment in a large cohort of youths with histologically confirmed nonalcoholic fatty liver disease (NAFLD), and to determine its association with liver disease severity. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 4, 2020 Category: Pediatrics Authors: Toshifumi Yodoshi, Ana Catalina Arce-Clachar, Qin Sun, Lin Fei, Kristin Bramlage, Stavra A. Xanthakos, Francisco Flores, Marialena Mouzaki Tags: Original Articles Source Type: research

The Diversity of Pediatric Residency Programs across Europe: Admission Procedures, Curricula and Duration of Courses
The European Young Paediatricians Association1 (EURYPA) is an independent pan-European scientific association created with the aim of supporting the educational efforts of the new generations of European pediatricians. The overall purpose is to improve the health of children through networking, educational initiatives, training, multicenter research projects, and sharing of opportunities among pediatric residents, trainees and young pediatricians.2 The purpose of this commentary is to describe the activities of EURYPA and to discuss the issue of the diversity of pediatric residency programs across Europe, with the aim of c...
Source: The Journal of Pediatrics - May 4, 2020 Category: Pediatrics Authors: Ruya Meric, Roy Gavin Stone, Vasile Valeriu Lupu, S øren Lomholt, Marija Slobođanac, Balázs Andras Maár, Enrica Manca Tags: European Paediatric Association Source Type: research

Rapid Implementation of an Adult COVID-19 Unit in a Children ’s Hospital
Abstract (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 4, 2020 Category: Pediatrics Authors: Kaitlyn Philips, Audrey Uong, Tara Buckenmyer, Michael D. Cabana, Daphne Hsu, Chhavi Katyal, Katherine O ’Connor, Tania Shiminski-Maher, Patricia Hametz Tags: Original Articles Source Type: research

Missed or Delayed Diagnosis of Kawasaki Disease During the 2019 Novel Coronavirus Disease (COVID-19) Pandemic
Due to “stay at home” orders and risk of COVID-19, many parents now hesitate or fear seeking in-person consultation for their children. This has led to reductions in emergency room visits and hospital admissions for other critical illnesses. Additionally, health care providers have focused on COVID-19 management during the pandemic. Because of Bayesian thinking, other diseases may be underdiagnosed or undergo delayed treatment. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 3, 2020 Category: Pediatrics Authors: Ashraf S. Harahsheh, Nagib Dahdah, Jane W. Newburger, Michael A. Portman, Maryam Piram, Robert Tulloh, Brian W. McCrindle, Sarah D. de Ferranti, Rolando Cimaz, Dongngan T. Truong, Jane C. Burns Tags: Letters to the Editor Source Type: research

Renal arterial Doppler perfusion pattern with and without ductal steal
Acute kidney injury (AKI) is a known phenomenon in premature infants with hemodynamically significant patent ductus arteriosus (PDA). Ductal steal may result in widened pulse pressure, bounding pulses, pulmonary overflow and organ injury with reduced blood flow to brain, intestines, or kidney. Assessing for vascular steal at bedside includes obtaining Doppler arterial flow patterns in various organs including the kidney. The pattern of reduced flow and organ(s) affected in symptomatic PDA may be variable. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 3, 2020 Category: Pediatrics Authors: A. Stritzke Tags: Insights and Images Source Type: research

Defining the Effect of Medical Treatment on Respiratory Needs in Patients with Type 1 Spinal Muscular Atrophy
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 3, 2020 Category: Pediatrics Authors: Ayse Filiz Yetimakman, Selman Kesici, Benan Bayrakci, Antonio M. Esquinas Tags: Letters to the Editor Source Type: research

Addressing Burnout: Symptom Management Versus Treating the Cause
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 3, 2020 Category: Pediatrics Authors: Amy Houtrow Tags: Editorials Source Type: research

Reply
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 3, 2020 Category: Pediatrics Authors: Valeria A. Sansone, Eugenio Mercuri Tags: Letters to the Editor Source Type: research

Paracetamol (Acetaminophen) for Patent Ductus Arteriosus: Where Do We Stand?
The patent ductus arteriosus (PDA) closes spontaneously by the end of the first postnatal week in most preterm  infants ≥28 weeks of gestation.1 In contrast, 50%-70% of infants (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 1, 2020 Category: Pediatrics Authors: Nancy K. Hills, Ronald Clyman Tags: Editorial Source Type: research

Psychosocial interventions in families with a child with congenital heart disease
We read the mixed-methods study by Gramszlo et  al regarding parent perspectives on psychosocial interventions for congenital heart disease (CHD).1 Parents of young children reported a need for an intervention targeting 6 themes: hospital care, parental self-care and stress management, communication with medical providers, challenges after hosp italization, neurodevelopment, and social support. Parents reported that the intervention should be brief, targeted at specific stages of care, and delivered in-person by a multidisciplinary team. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 1, 2020 Category: Pediatrics Authors: Malindi van der Mheen, Elisabeth M.W. J. Utens Tags: Letter to the editor Source Type: research