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Securement to Prevent Noncuffed Central Venous Catheter Dislodgement in Pediatrics JAMA Pediatr. (IF 24.7) Pub Date : 2024-07-15 Tricia M. Kleidon, Jessica Schults, Victoria Gibson, Derek J. Roebuck, Deborah Peirce, Ruth Royle, Robert S. Ware, Joshua Byrnes, Elizabeth Andresen, Paula Cattanach, Anna Dean, Colleen Pitt, Malanda Ramstedt, Craig A. McBride, Stephanie Hall, Claire M. Rickard, Amanda J. Ullman
ImportanceCatheter dislodgement is a common complication for children with tunneled or peripherally inserted noncuffed central venous catheters (CVCs). A subcutaneous anchor securement system (SASS) may reduce this risk compared with traditional adhesive securement.ObjectiveTo compare dislodgement of noncuffed CVCs secured with SASS with dislodgement of noncuffed CVCs secured with sutureless securement
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Mental Health of Transgender Youth Following Gender Identity Milestones by Level of Family Support JAMA Pediatr. (IF 24.7) Pub Date : 2024-07-15 Travis Campbell, Samuel Mann, Yana van der Meulen Rodgers, Nathaniel M. Tran
ImportanceTransgender youth are at an elevated risk for adverse mental health outcomes compared with their cisgender peers. Identifying opportunities for intervention is a priority.ObjectiveTo estimate differences in the association between gender identity milestones and mental health outcomes among transgender youth, stratified by level of family support.Design, Settings, and ParticipantsThis retrospective
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Disparities in Psychiatric Emergency Department Boarding of Children and Adolescents JAMA Pediatr. (IF 24.7) Pub Date : 2024-07-08 Lindsay N. Overhage, Benjamin Lê Cook, Meredith B. Rosenthal, Alex McDowell, Nicole M. Benson
ImportanceSince the COVID-19 pandemic, emergency department boarding of youth with mental health concerns has increased.ObjectiveTo summarize characteristics (including gender, age, race, ethnicity, insurance, diagnosis, and barriers to placement) of youth who boarded in emergency departments while awaiting inpatient psychiatric care and to test for racial, ethnic, and gender disparities in boarding
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Updated Guidelines for Atopic Dermatitis—AAAAI/ACAAI Joint Task Force JAMA Pediatr. (IF 24.7) Pub Date : 2024-07-08 Kathryn E. Wheeler, Derek K. Chu, Lynda Schneider
This Viewpoint discusses the updated guidelines from the American Academy of Allergy, Asthma, and Immunology (AAAAI)/American College of Allergy, Asthma and Immunology (ACAAI) Joint Task Force on atopic dermatitis (eczema) management.
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The Need for Age Restrictions on Sales of Nonalcoholic Beverages JAMA Pediatr. (IF 24.7) Pub Date : 2024-07-08 Molly A. Bowdring, Judith J. Prochaska
This Viewpoint discusses the current restrictions of nonalcoholic beverage sales to minors across several states and the need for expansion of those restrictions.
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Diet Quality Among Children JAMA Pediatr. (IF 24.7) Pub Date : 2024-07-08 Guodong Ding, Chaochao Wen, Yan Chen, Angela Vinturache, Yongjun Zhang
This cross-sectional study uses data from the National Health and Nutrition Examination Survey and the USDA’s Food Patterns Equivalents Database from 2005 to 2020 to assess temporal changes in diet quality among US children aged 12 to 23 months.
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COVID-19 Vaccination in the First Trimester and Major Structural Birth Defects Among Live Births JAMA Pediatr. (IF 24.7) Pub Date : 2024-07-01 Elyse O. Kharbanda, Malini B. DeSilva, Heather S. Lipkind, Paul A. Romitti, Jingyi Zhu, Kimberly K. Vesco, Thomas G. Boyce, Matthew F. Daley, Candace C. Fuller, Darios Getahun, Lisa A. Jackson, Joshua T. B. Williams, Ousseny Zerbo, Eric S. Weintraub, Gabriela Vazquez-Benitez
ImportanceCOVID-19 vaccination is recommended throughout pregnancy to prevent pregnancy complications and adverse birth outcomes associated with COVID-19 disease. To date, data on birth defects after first-trimester vaccination are limited.ObjectiveTo evaluate the associated risks for selected major structural birth defects among live-born infants after first-trimester receipt of a messenger RNA (mRNA)
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The Role of Family Support in Moderating Mental Health Outcomes for LGBTQ+ Youth in Primary Care JAMA Pediatr. (IF 24.7) Pub Date : 2024-07-01 Joseph DelFerro, Joseph Whelihan, Jungwon Min, Maura Powell, Gabrielle DiFiore, Ari Gzesh, Scott Jelinek, Karen T. G. Schwartz, Molly Davis, Jason D. Jones, Alexander G. Fiks, Brian P. Jenssen, Sarah Wood
ImportanceLesbian, gay, bisexual, transgender, queer, and/or questioning (LGBTQ+) youth face worse mental health outcomes than non-LGBTQ+ peers. Family support may mitigate this, but sparse evidence demonstrates this in clinical settings.ObjectivesTo compare depression and suicide risk between LGBTQ+ and non-LGBTQ+ youth in primary care settings and to investigate whether family support mitigates these
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The Crucial Role of Patient Advocates in Pediatric Oncology Research—Insights From ACCELERATE JAMA Pediatr. (IF 24.7) Pub Date : 2024-07-01 Nicole Scobie, Teresa de Rojas, Vickie Buenger
This Viewpoint explores the important role that patient advocates play in pediatric oncology as exemplified by ACCELERATE, a multiparty collaboration that centers advocate involvement in pediatric oncology research.
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Excess US Deaths Attributable to High All-Cause Mortality Rates Among Youths Aged 0 to 19 Years JAMA Pediatr. (IF 24.7) Pub Date : 2024-07-01 Steven H. Woolf, Derek A. Chapman
This cross-sectional study compares US mortality rates among youths aged 0 to 19 years with rates in 16 high-income countries, calculates excess deaths from 1999 to 2019, and examines temporal trends through 2021.
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Initial Oxygen Concentration for the Resuscitation of Infants Born at Less Than 32 Weeks’ Gestation JAMA Pediatr. (IF 24.7) Pub Date : 2024-06-24 James X. Sotiropoulos, Ju Lee Oei, Georg M. Schmölzer, Sol Libesman, Kylie E. Hunter, Jonathan G. Williams, Angela C. Webster, Maximo Vento, Vishal Kapadia, Yacov Rabi, Janneke Dekker, Marijn J. Vermeulen, Venkataseshan Sundaram, Praveen Kumar, Risma K. Kaban, Rinawati Rohsiswatmo, Ola D. Saugstad, Anna Lene Seidler
ImportanceResuscitation with lower fractional inspired oxygen (FiO2) reduces mortality in term and near-term infants but the impact of this practice on very preterm infants is unclear.ObjectiveTo evaluate the relative effectiveness of initial FiO2 on reducing mortality, severe morbidities, and oxygen saturations (SpO2) in preterm infants born at less than 32 weeks’ gestation using network meta-analysis
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Social Media Use and Internalizing Symptoms in Clinical and Community Adolescent Samples JAMA Pediatr. (IF 24.7) Pub Date : 2024-06-24 Luisa Fassi, Kirsten Thomas, Douglas A. Parry, Amelia Leyland-Craggs, Tamsin J. Ford, Amy Orben
ImportanceIn response to widespread concerns about social media’s influence on adolescent mental health, most research has studied adolescents from the general population, overlooking clinical groups.ObjectiveTo synthesize, quantify, and compare evidence on the association between social media use and internalizing symptoms in adolescent clinical and community samples.Data SourcesPeer-reviewed publications
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Infant Deaths After Texas’ 2021 Ban on Abortion in Early Pregnancy JAMA Pediatr. (IF 24.7) Pub Date : 2024-06-24 Alison Gemmill, Claire E. Margerison, Elizabeth A. Stuart, Suzanne O. Bell
ImportancePrior observational research has shown that infants born in states with more abortion restrictions are more likely to die during infancy. It is unclear how recent and more severe abortion bans in the US have impacted infant mortality.ObjectiveTo examine whether Texas Senate Bill 8 (SB8), which banned abortions after embryonic cardiac activity and did not allow exemptions for congenital anomalies
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A Role for Health Systems in Addressing Chronic Absenteeism JAMA Pediatr. (IF 24.7) Pub Date : 2024-06-24 Michelle Shankar, Danielle G. Dooley, Rushina Cholera
This Viewpoint highlights opportunities for US pediatric health systems to address chronic absenteeism using school attendance data and collaborations between school and health systems.
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Determining Associations Between Intervention Amount and Outcomes for Young Autistic Children JAMA Pediatr. (IF 24.7) Pub Date : 2024-06-24 Micheal Sandbank, James E. Pustejovsky, Kristen Bottema-Beutel, Nicolette Caldwell, Jacob I. Feldman, Shannon Crowley LaPoint, Tiffany Woynaroski
ImportanceHealth professionals routinely recommend intensive interventions (ie, 20-40 hours per week) for autistic children. However, primary research backing this recommendation is sparse and plagued by methodological flaws.ObjectiveTo examine whether different metrics of intervention amount are associated with intervention effects on any developmental domain for young autistic children.Data SourcesA
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Disability Competent Care in Pediatric Milestones JAMA Pediatr. (IF 24.7) Pub Date : 2024-06-17 Amy J. Houtrow, Angela M. Garcia, Jason Edinger, Unoma Akamagwuna
This cross-sectional study examines how disability competencies are addressed in the Accreditation Council for Graduate Medical Education’s milestones for pediatric specialties.
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Financial Incentives and Treatment Outcomes in Adolescents With Severe Obesity JAMA Pediatr. (IF 24.7) Pub Date : 2024-06-17 Amy C. Gross, Rebecca L. Freese, Megan O. Bensignor, Eric M. Bomberg, Donald R. Dengel, Claudia K. Fox, Kyle D. Rudser, Justin R. Ryder, Carolyn T. Bramante, Sarah Raatz, Francesca Lim, Chin Hur, Aaron S. Kelly
ImportanceAdolescent severe obesity is usually not effectively treated with traditional lifestyle modification therapy. Meal replacement therapy (MRT) shows short-term efficacy for body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) reduction in adolescents, and financial incentives (FIs) may be an appropriate adjunct intervention to enhance long-term efficacy
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Pediatric Primary Care Billing Trends After the 2021 Evaluation and Management Coding Changes JAMA Pediatr. (IF 24.7) Pub Date : 2024-06-10 Naveed Rabbani, Laura Burckett Patane, Jonathan Hatoun, Emily Trudell Correa, Louis Vernacchio
This cross-sectional study examines the differences in billing trends for pediatric patient care compared with adult care after the 2021 evaluation and management (E/M) policy changes.
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Global Prevalence of Overweight and Obesity in Children and Adolescents JAMA Pediatr. (IF 24.7) Pub Date : 2024-06-10 Xinyue Zhang, Jiaye Liu, Yinyun Ni, Cheng Yi, Yiqiao Fang, Qingyang Ning, Bingbing Shen, Kaixiang Zhang, Yang Liu, Lin Yang, Kewei Li, Yong Liu, Rui Huang, Zhihui Li
ImportanceOverweight and obesity in childhood and adolescence is a global health issue associated with adverse outcomes throughout the life course.ObjectiveTo estimate worldwide prevalence of overweight and obesity in children and adolescents from 2000 to 2023 and to assess potential risk factors for and comorbidities of obesity.Data SourcesMEDLINE, Web of Science, Embase, and Cochrane.Study SelectionThe
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Immediate vs Gradual Brace Weaning Protocols in Adolescent Idiopathic Scoliosis JAMA Pediatr. (IF 24.7) Pub Date : 2024-06-03 Prudence Wing Hang Cheung, Oi Kiu Olivia Chan, Hao Wu, Marcus Kin Long Lai, Lester Po Kwan Wong, Shiyu Tang, Jason Pui Yin Cheung
ImportanceLack of evidence and consensus for brace weaning protocol in adolescent idiopathic scoliosis (AIS) results in clinicians prescribing gradual weaning in the hope of avoiding curve deterioration after weaning. However, gradual weaning contributes to prolonged brace wear, which can affect spinal stiffness and health-related quality of life (HRQoL).ObjectiveTo determine whether gradual weaning
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Spirometry Interpretation After Implementation of Race-Neutral Reference Equations in Children JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-31 Erick Forno, Daniel J. Weiner, Christian Rosas-Salazar
ImportanceThe implications of adopting race-neutral reference equations on spirometry interpretation in children remain unknown.ObjectiveTo examine how spirometry results and patterns change when transitioning from Global Lung Function Initiative (GLI) race-specific reference equations (GLIR, 2012) to GLI race-neutral reference equations (GLIN, 2023).Design, Setting, and ParticipantsCross-sectional
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Differential Changes in Benefits Use During Pregnancy Across Demographic Groups Following Benefits Digitization JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-28 Muqi Guo, Margaret McConnell
This cross-sectional study examines differential changes in participation in the Special Supplemental Nutrition Program for Women, Infants, and Children during pregnancy across demographic groups, following the transition to electronic benefit transfer.
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Patterns of Adverse Childhood Experiences and Neurocognitive Development JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-28 Jing Yu, Denise L. Haynie, Stephen E. Gilman
ImportanceEarly life adversity is associated with higher risk of many adult health problems, including mental illness, substance abuse, suicide attempt, and chronic diseases. Many previous studies investigated adversities one at a time or investigated the health toll associated with the cumulative number of adversities.ObjectiveTo examine the co-occurrence of adversities among children and how specific
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What Parents Need to Know About Peanut Allergy JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-20 Alexander W. Fender, Jennifer L. Thompson, Lindsay A. Thompson
This JAMA Pediatrics Patient Page describes peanut allergy guidelines and the importance of giving peanut protein to young children to prevent development of an allergy.
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Variations by State in Firearm Suicide Among US Children and Young Adults, 2016-2021 JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-20 Kerri A. McKie, Rebecca C. Bell, Lois K. Lee
This cross-sectional study examines variations by state in firearm suicide rates in US children and young adults from 2016 to 2021 using data from the Centers for Disease Control and Prevention.
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Prevalence and Correlates of Unstable Housing Among US Children JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-20 Lydie A. Lebrun-Harris, Megan Sandel, Richard Sheward, Ana Poblacion, Stephanie Ettinger de Cuba
ImportanceHousing instability is an important public health issue, particularly for children. This study provides nationally representative estimates of unstable housing among US children.ObjectiveTo examine unstable housing prevalence; differences by sociodemographic characteristics, health, and state of residence; and associations with other hardships.Design, Setting, and ParticipantsThis survey
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Time for a Kids Progress Administration JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-20 Neal Halfon, Shirley Ann Russ, Nathaniel Z. Counts
This Viewpoint proposes the creation of a Kids Progress Administration housed under the US Department of the Treasury to address children’s long-term health and well-being.
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Safe and Equitable Pediatric Clinical Use of AI JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-13 Jessica L. Handley, Christoph U. Lehmann, Raj M. Ratwani
This Viewpoint provides recommendations and stakeholder actions to support safe and equitable use of artificial intelligence (AI) in pediatric clinical settings.
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US Immigration Policy Stressors and Latinx Youth Mental Health JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-13 Kathleen M. Roche, Rebecca M. B. White, Roushanac Partovi, Elizabeth Vaquera, Todd D. Little
ImportanceThe youth mental health crisis is exacerbated for Latinx adolescents, a group whose families are targets of anti-immigrant rhetoric and policy.ObjectiveTo investigate how immigration-related stressors are associated with disruptions in parent-child relationships and, in turn, the mental health symptoms of Latinx adolescents.Design, Setting, and ParticipantsData for this prospective cohort
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Effect of Low-Dose Iron Supplementation on Early Development in Breastfed Infants JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-13 Ludwig Svensson, Grzegorz Chmielewski, Emilia Czyżewska, Magnus Domellöf, Zofia Konarska, Małgorzata Pieścik-Lech, Cornelia Späth, Hania Szajewska, Anna Chmielewska
ImportanceBreastfed infants are at risk of iron deficiency, which is associated with suboptimal development. There is a paucity of evidence on the effects of iron supplementation on child development, and current guidelines are divergent.ObjectiveTo assess whether daily iron supplementation, 1 mg/kg, between 4 and 9 months in exclusively or predominantly breastfed infants improves psychomotor development
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Long-Term Cardiovascular Outcomes in Children and Adolescents With Hypertension JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-06 Cal H. Robinson, Junayd Hussain, Nivethika Jeyakumar, Graham Smith, Catherine S. Birken, Allison Dart, Janis Dionne, Anika Garg, Sujane Kandasamy, Sabine Karam, Stacey Marjerrison, Andrew M. South, Lehana Thabane, Gita Wahi, Michael Zappitelli, Rahul Chanchlani
ImportanceHypertension affects 6% of all children, and its prevalence is increasing. Childhood hypertension tracks into adulthood and is associated with subclinical cardiovascular disease; however, there is a lack of evidence linking childhood hypertension to cardiovascular outcomes, which may contribute to underdiagnosis and undertreatment.ObjectiveTo determine the long-term associated risk of major
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Relaxation Therapy and Human Milk Feeding Outcomes JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-06 Ilana Levene, Nurul Husna Mohd Shukri, Frances O’Brien, Maria A. Quigley, Mary Fewtrell
ImportanceHuman milk feeding is a key public health goal to optimize infant and maternal/parental health, but global lactation outcomes do not meet recommended duration and exclusivity. There are connections between lactation and mental health.ObjectiveTo appraise all available evidence on whether the provision of relaxation interventions to lactating individuals improves lactation and well-being.Data
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Certificates of Confidentiality and Mandatory Reporting JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-06 Leslie E. Wolf, Natalie Ram, Elizabeth J. Letourneau
This Viewpoint discusses the importance of obtaining federal certificates of confidentiality to free researchers to perform important research into child sexual abuse.
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Mandatory Child Protective Services Reporting for Substance-Exposed Newborns and Peripartum Outcomes JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-06 Rohan Khazanchi, Elisha M. Wachman, Davida M. Schiff, Anna Modest, Kelley A. Saia, Heather E. Hsu
This cross-sectional study examines data across 17 birthing hospitals before and after a policy change at Boston Medical Center in how reporting decisions are made in cases of prenatal substance exposure.
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Outcomes of Children Admitted to a Pediatric Observation Unit With a Psychiatric Comanagement Model JAMA Pediatr. (IF 24.7) Pub Date : 2024-05-05 Rachel G. Kasdin, Mary Rojas, William Bonadio, Manuella Zisu, Barbara Barnett, Yvette Calderon, Czer Anthoney E. Lim
This cohort study describes outcomes of children requiring admission for mental health emergencies who receive psychiatric cotreatment in a pediatric observation unit.
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Artificial Intelligence Chatbots and Their Influence on Learning JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-29 Arezoo Movaghar, Lindsay A. Thompson
This JAMA Pediatrics Patient Page describes what artificial intelligence chatbots are and how they may influence learning among children.
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Implications of Health Equity for Children With Disabilities JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-29 Kara B. Ayers, Ilka Riddle
This Viewpoint discusses how the National Institutes of Health designation of individuals with disabilities as a health disparity population can boost research participation and funding and expand health care access for pediatric patients with disabilities.
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Identification of Human-Generated vs AI-Generated Research Abstracts by Health Care Professionals JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-29 Dennis Ren, Andrew James Tagg, Helena Wilcox, Damian Roland
This survey study assesses the ability of health care professionals to discern whether abstracts were written by investigators or by an artificial intelligence (AI) chatbot.
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Physical Fitness and Risk of Mental Disorders in Children and Adolescents JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-29 Huey-Ling Chiang, Yi-Fang Chuang, Yi-An Chen, Chen-Te Hsu, Chien-Chang Ho, Hsiu-Tao Hsu, Yi-Han Sheu, Susan Shur-Fen Gau, Li-Lin Liang
ImportanceWith the rising prevalence of mental disorders among children and adolescents, identifying modifiable associations is critical.ObjectiveTo examine the association between physical fitness and mental disorder risks.Design, Setting, and ParticipantsThis nationwide cohort study used data from the Taiwan National Student Fitness Tests and National Health Insurance Research Databases from January
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Opioid Overdose Knowledge Among Adolescents and Young Adults JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-22 Christina E. Freibott, Noel Vest, Michael D. Stein, Sarah Ketchen Lipson
This cross-sectional study examines awareness of opioid overdose, the ability to administer naloxone, and the willingness to help during an overdose on college campuses across the US.
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Biological Poverty Line for Infants—Evidence and Implications JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-22 Joan L. Luby, Mark R. Rank, Deanna M. Barch
This Viewpoint discusses whether protective and promotive interventions in brain development would benefit from identification of a “biological poverty line” during pregnancy and early childhood, above which the brain is informed and enhanced by experience in positive ways, and below which adverse experiences may influence the brain in ways that do not support long-term health trajectories.
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Developmental Milestone Attainment in US Children Before and During the COVID-19 Pandemic JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-22 Sara B. Johnson, Molly Kuehn, Jennifer O. Lambert, J. Paul Spin, Lauren M. Klein, Barbara Howard, Raymond Sturner, Eliana M. Perrin
ImportanceRestrictions related to the COVID-19 pandemic disrupted the lives of young children, but the association between the pandemic and any changes in early childhood developmental milestone achievement in the US remains unclear.ObjectivesTo determine the association between the COVID-19 pandemic and changes in developmental screening scores among US children aged 0 to 5 years and to investigate
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Neonatal Phototherapy—The Need to Measure and Document JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-15 Michael A. Goldenhersh, Arthur I. Eidelman
This Viewpoint discusses the need for universal standards of recording and measuring phototherapy administered to infants to monitor for potential adverse effects in the long term.
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Burden of Childhood Cancer and the Social and Economic Challenges in Adulthood JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-15 Márk Viktor Hernádfői, Dóra Kornélia Koch, Tamás Kói, Marcell Imrei, Rita Nagy, Vanda Máté, Réka Garai, Jessica Donnet, József Balogh, Gábor T. Kovács, Andrea Párniczky, Péter Hegyi, Miklós Garami
ImportanceSignificant advancements in pediatric oncology have led to a continuously growing population of survivors. Although extensive research is being conducted on the short-, medium-, and long-term somatic effects, reports on psychosocial reintegration are often conflicting; therefore, there is an urgent need to synthesize the evidence to obtain the clearest understanding and the most comprehensive
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Recreational Cannabis Legalization, Retail Sales, and Adolescent Substance Use Through 2021 JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-15 Rebekah Levine Coley, Naoka Carey, Claudia Kruzik, Summer Sherburne Hawkins, Christopher F. Baum
This cross-sectional study using survey datasets evaluates recreational cannabis legalization and retail sales policies and adolescent substance use through 2021.
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Unintended Perinatal Health Consequences Associated With a Swedish Family Policy JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-08 Enrico Debiasi, Helena Honkaniemi, Siddartha Aradhya, Anders Hjern, Ann-Zofie Duvander, Sol P. Juárez
ImportanceThe 1980 and 1986 Swedish so-called speed premium policies aimed at protecting parents’ income-based parental leave benefits for birth intervals shorter than 24 and 30 months, respectively, but indirectly encouraged shorter birth spacing and childbearing at older ages, both risk factors for several perinatal health outcomes. Whether those policy changes are associated with perinatal health
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Naked-Eye 3-Dimensional Vision Training for Myopia Control JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-08 Rui Xie, Feng Zhao, Jianhong Yu, Bin Luo, Zhidong Jiang, Xiaoyun Qiu, Yingpin Cao, Yuxia Yang, Kezhe Chen, Yuan Zhang, Xiaoling Luo, Zhirong Wang, Yingting Zhu, Yehong Zhuo
ImportanceEarly onset of myopia increases the risk of high myopia, which can lead to irreversible retinal damage and even loss of central vision.ObjectiveTo investigate the efficacy and safety of naked-eye 3-dimensional vision training (NVT) in preventing the progression of myopia in children.Design, Setting, and ParticipantsThis randomized clinical trial was conducted in 3 hospitals from May 25, 2022
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Vitamin C Supplementation Among Pregnant Smokers and Airway Function Trajectory in Offspring JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-08 Cindy T. McEvoy, Lyndsey E. Shorey-Kendrick, Kelvin D. MacDonald, Byung S. Park, Eliot R. Spindel, Cynthia D. Morris, Robert S. Tepper
This secondary analysis of a randomized clinical trial analyzes the association of vitamin C supplementation in women who smoked during pregnancy with airway function trajectory in their offspring at 4 to 6 years of age.
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Association of Fetal Catecholamines With Neonatal Hypoglycemia JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-01 Henrike Hoermann, Martijn van Faassen, Marcia Roeper, Carsten Hagenbeck, Diran Herebian, Anneke C. Muller Kobold, Juergen Dukart, Ido P. Kema, Ertan Mayatepek, Thomas Meissner, Sebastian Kummer
ImportancePerinatal stress and fetal growth restriction increase the risk of neonatal hypoglycemia. The underlying pathomechanism is poorly understood. In a sheep model, elevated catecholamine concentrations were found to suppress intrauterine insulin secretion, followed by hyperresponsive insulin secretion once the adrenergic stimulus subsided.ObjectiveTo determine whether neonates with risk factors
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Novel Peripheral Intravenous Catheter Securement for Children and Catheter Failure Reduction JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-01 Brooke Charters, Kelly Foster, Benjamin Lawton, Leonard Lee, Joshua Byrnes, Gabor Mihala, Corey Cassidy, Jessica Schults, Tricia M. Kleidon, Ruth McCaffery, Kristy Van, Vanessa Funk, Amanda Ullman
ImportancePeripheral intravenous catheters (PIVCs) facilitate essential treatment. Failure of these essential devices is frequent and new securement strategies may reduce failure and improve patient outcomes.ObjectiveTo evaluate clinical effectiveness of novel PIVC securement technologies for children to reduce catheter failure.Design, Setting, and ParticipantsA 3-arm, parallel group, superiority randomized
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Suicidal Thoughts and Behaviors Among Children and Adolescents With Autism Spectrum Disorder JAMA Pediatr. (IF 24.7) Pub Date : 2024-04-01 Benjamin Joffe Schindel, Briella Baer Chen, Holly C. Wilcox, Alison R. Marvin, J. Kiely Law, Paul H. Lipkin
This survey study uses data from the Mental Health and Suicidal Behaviors Questionnaire to examine the age at onset of suicidal thoughts and behaviors among children and adolescents aged 8 to 17 years who have been diagnosed with autism spectrum disorder (ASD).
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Mental Health of Adolescents Exposed to the War in Ukraine JAMA Pediatr. (IF 24.7) Pub Date : 2024-03-25 Ryunosuke Goto, Irina Pinchuk, Oleksiy Kolodezhny, Nataliia Pimenova, Yukiko Kano, Norbert Skokauskas
ImportanceWith exposure to traumatic events and reduced access to mental health care, adolescents of Ukraine during the Russian invasion since February 2022 are at high risk of psychiatric conditions. However, the actual mental health burden of the war has scarcely been documented.ObjectiveTo investigate the prevalence of a positive screen for psychiatric conditions among adolescents amidst the ongoing
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Sources of Contraception Among Adolescents and Young Adults JAMA Pediatr. (IF 24.7) Pub Date : 2024-03-25 Michelle Shankar, Sarah Wood, Mona Sharifi, Deena Kelly Costa, Maureen Canavan, Meredithe McNamara, Deepa R. Camenga
This cross-sectional study describes the nationwide pattern of contraception access by sociodemographic characteristics and health care settings among US youth aged 15 to 24 years.
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Artificial Intelligence Simulation of Adolescents’ Responses to Vaping-Prevention Messages JAMA Pediatr. (IF 24.7) Pub Date : 2024-03-25 Paschal Sheeran, Alexander Kenny, Andrea Bermudez, Kurt Gray, Emily F. Galper, Marcella Boynton, Seth M. Noar
This quality improvement study investigates if a large language model could simulate adolescents’ responses to vaping-prevention campaigns and identify the most effective messages to address the public health crisis of adolescent vaping.
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Estimated Childhood Lead Exposure From Drinking Water in Chicago JAMA Pediatr. (IF 24.7) Pub Date : 2024-03-18 Benjamin Q. Huynh, Elizabeth T. Chin, Mathew V. Kiang
ImportanceThere is no level of lead in drinking water considered to be safe, yet lead service lines are still commonly used in water systems across the US.ObjectiveTo identify the extent of lead-contaminated drinking water in Chicago, Illinois, and model its impact on children younger than 6 years.Design, Setting, and ParticipantsFor this cross-sectional study, a retrospective assessment was performed
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Childhood Overweight and Obesity During and After the COVID-19 Pandemic JAMA Pediatr. (IF 24.7) Pub Date : 2024-03-18 Anna Fäldt, Sahar Nejat, Natalie Durbeej, Anton Holmgren
This cohort study analyzes the prevalence of overweight and obesity among preschool children in Sweden before, during, and after the COVID-19 pandemic and longitudinal trends in body mass index.
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Digital Dialogue—How Youth Are Interacting With Chatbots JAMA Pediatr. (IF 24.7) Pub Date : 2024-03-18 Nicholas Pratt, Ricky Madhavan, Jeremy Weleff
This Viewpoint describes the use of large language model chatbots in social, educational, and therapeutic settings and the need to assess when children are developmentally ready to engage with them.
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Basic Environmental Supports for Positive Brain and Cognitive Development in the First Year of Life JAMA Pediatr. (IF 24.7) Pub Date : 2024-03-18 Joan L. Luby, Max P. Herzberg, Caroline Hoyniak, Rebecca Tillman, Rachel E. Lean, Rebecca Brady, Regina Triplett, Dimitrios Alexopoulos, David Loseille, Tara Smyser, Cynthia E. Rogers, Barbara Warner, Christopher D. Smyser, Deanna M. Barch
ImportanceDefining basic psychosocial resources to facilitate thriving in the first year of life could tangibly inform policy and enhance child development worldwide.ObjectiveTo determine if key environmental supports measured as a thrive factor (T-factor) in the first year of life positively impact brain, cognitive, and socioemotional outcomes through age 3.Design, Setting, and ParticipantsThis prospective
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Age and Probability of Spontaneous Umbilical Hernia Closure JAMA Pediatr. (IF 24.7) Pub Date : 2024-03-11 Katherine He, Dionne A. Graham, Louis Vernacchio, Jonathan Hatoun, Laura Patane, Shannon L. Cramm, Shawn J. Rangel
This cohort study of children younger than 6 years uses electronic health records to investigate whether a child’s age is associated with the probability of spontaneous umbilical hernia closure and to refine guidelines for surgical repair.
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Partnering With Parents to Dismantle “Good-Death” Narratives JAMA Pediatr. (IF 24.7) Pub Date : 2024-03-11 Elizabeth G. Broden, Sarah McCarthy, Jennifer M. Snaman
This Viewpoint dismantles the notion of a “good death” in pediatrics using quotes from bereaved parents and provides actionable alternatives to improve quality end-of-life care for dying children and their families.