Trace amounts of
#COVID19
vaccine mRNAs were detected in the breast milk of some lactating women. Caution is warranted regarding
#breastfeeding
infants younger than six months in the first two days after maternal COVID-19 vaccination.
#Research
#Research
A cluster randomized controlled trial of a novel mindfulness curriculum found no impact on pediatric intern burnout, mindfulness, or empathy. Ongoing research is needed to identify interventions that decrease burnout among trainees.
@FraimanYarden
An Australian randomized clinical trial found that ‘pre-emptive’ therapy during infancy reduced
#autism
diagnostic behaviors and improved language ability across early childhood
The question we should be asking now is not do or do not children spread
#SARSCoV2
, but what we should do with the knowledge we have accumulated since the pandemic began regarding acquisition and transmission of SARS-CoV-2 in children
Study found, among young children responding to initial therapy, a 5-day antibiotic strategy was superior to a 10-day strategy for treatment of non-severe pneumonia.
New study finds that school closures have only a modest association with reduced
#SARSCov2
transmission. Voluntary behavior change has a strong association
Maternal IgG antibodies to
#SARSCoV2
are efficiently transferred across the placenta, demonstrating the potential for maternally-derived antibodies to provide neonatal protection from
#COVID19
.
18 country study in >2000 pregnant women with and without
#COVID19
shows higher complication and death rates in symptomatic, but not asymptomatic, women with COVID-19. Their babies were at greater risk of neonatal complications, mainly due to preterm birth
Attributing mass shootings to serious mental illness stigmatizes a vulnerable and marginalized population, fails to i.d. individuals at highest risk for firearm violence, & distracts attention from policy changes most likely to reduce gun violence
New study found two-times more infants in the ICU get a diagnosis and precision care when they get genomes. First-line genomes may reduce healthcare disparities by providing equitable access to dx
Survey study finds adult smokers who took up non-tobacco flavored e-cigarettes were more likely to subsequently quit smoking than those who used tobacco flavored e-cigarettes.
@YaleHPM
Study found, among young children responding to initial therapy, a 5-day antibiotic strategy was superior to a 10-day strategy for treatment of non-severe pneumonia.
Flat head syndrome is caused by prolonged pressure on an infant’s skull during pregnancy or early infancy. This JAMA Patient Page describes the types, prevention, and treatment of flat head syndrome in infants.
Most viewed in the last 7 days from
@JAMAPediatrics
:
What is the association between screen time and adult words spoken, child vocalizations, and conversational turns when children are 12 to 36 months of age?
Study from
@CincyChildrens
found that children in households reporting food insecurity or problems accessing nutrition benefit programs in the first 4 months of life were associated with adverse behavioral functioning at 6 months.
The first cross-sectional study of children in N American PICUs with
#COVID19
. Of 46 PICUs, 35% had admitted children with
#COVID19
. Most had chronic medical conditions, mortality was 4.2%. Children have better outcomes than adults with severe COVID-19
Systematic review and meta-analysis of longitudinal studies including children and adolescents found an increase in depression symptoms during the
#COVID19
pandemic, particularly among female individuals and those from relatively higher-income backgrounds.
Short course treatment (five days of oral amoxicillin) for pediatric community-acquired pneumonia not requiring hospitalization appears to offer more benefit than harm and should be considered for inclusion in treatment guidelines
Study suggests increases in screen time when children are 12 to 36 months of age is associated with decreases in talking and interaction during the early years.
Heart murmurs in children are the most common reason for referral to a pediatric cardiologist. This Patient Page discusses evaluation of heart murmurs in children.
A cohort study of 123,175 offspring born in Manitoba, Canada from 2005 to 2016 found that epidural labor analgesia is not associated with an increased risk of autism spectrum disorder in the offspring
Most viewed in the last 7 days from
@JAMAPediatrics
:
This JAMA Pediatrics Patient Page describes the benefits of eating family meals together at home.
A cluster randomized controlled trial of a novel mindfulness curriculum found no impact on pediatric intern burnout, mindfulness, or empathy. Ongoing research is needed to identify interventions that decrease burnout among trainees.
@FraimanYarden
Environmental resources and enhancement in the first year of life may facilitate every infant’s ability to thrive, setting the stage for a more positive developmental trajectory.
This year’s review of pediatric medical overuse articles highlights established and emerging practices that represent medical overuse in the pediatric setting
Delaying inguinal hernia repair in preterm infants until after neonatal intensive care unit discharge and when infants were older than 55 weeks’ postmenstrual age appears to reduce the likelihood of serious adverse events.
JAMA and JAMA Network journals join journals worldwide to call on health professionals to warn the public about major danger to health and essential life support systems posed by the threat of nuclear war and urge action to prevent use of nuclear weapons.
We found significantly increased risk of unsafe behaviors related to driving, drugs, alcohol, sex, aggression, and self-harm among youth who reported insufficient sleep. Sleeping less than 6 hours was associated with >3 times the risk of suicidal behaviors
Randomized controlled trial found that adding two hours of extracurricular outdoor physical activity per day did not comprise children’s academic performance, alleviating parents’ concerns and promoting more outdoor physical activity for children.
Measles cases are spreading in the US.
This JAMA Patient Page explains measles diagnosis, potential complications, and information about treatment and prevention.
Click the link to learn more.
In the
#news
: "Babies given antibiotics and antacids are up to 400% more likely to develop allergies and eczema, study finds"
Read more via
@MailOnline
In children with symptomatic UTI who improve with 5 days of antibiotics, standard-course therapy was associated with lower rates of treatment failure compared to short-course therapy.
Analyses suggest children younger than 5 years with mild to moderate
#COVID19
have high amounts of
#SARSCoV2
viral RNA in their nasopharynx compared with older children and adults
Pediatric cardiac intensive care units at 15
@pc4quality
hospitals used a cardiac arrest (CA) prevention bundle and saw a 30% relative reduction in adjusted CA rate. Control hospitals showed no change.
@bubblesdadee
@MGaies
#PedsCards
#PedsCICU
Parents often worry when their child has any pain in their chest. This Patient Page describes common causes for chest pain in children, heart-related causes of chest pain, and what an evaluation with a pediatric cardiologist might look like.
Autism spectrum disorder (ASD) is a neurodevelopmental disorder with symptoms of impaired social communication and restricted, repetitive behaviors or interests. This JAMA Patient Page describes ASD and its signs and symptoms, diagnosis, & therapy options.
Study found
#mentalhealth
care utilization by children and adolescents increased 10% above expected through the first year of the
#COVID19
pandemic with 73% of care delivered virtually. Young females were disproportionately affected.
A new study reports that a small number of pediatric patients are at risk for poor long-term outcomes of multisystem inflammatory syndrome in children.
Medical error is a leading cause of death in the US, and understanding contributing factors is crucial. A new study at
#jamapeds
reports that hospitalized children of parents uncomfortable with English are at twice the risk of an adverse event.
Staph aureus transmission risk from parents to their newborns poses a dilemma for NICUs because family-centered care and infant-parent bonding via skin-to-skin contact and kangaroo care are strongly emphasized core values
@pzach13
What are the outcomes from
#MIS
-C/
#PIMS
-TS? One year outcomes from a national UK cohort all needing
#PedsICU
care show 9% long term cardiological sequelae, with no biochemical predictors. General outcomes very good
Children ≤2yrs who got the recommended 2 doses of
#flu
#vaccine
were almost half as likely to have medical visit with flu than children who only rec'd 1
JAMA Pediatrics Patient Page describes why it is important for children to see their pediatrician for any concern about a reaction to penicillin before a child is considered to have a penicillin allergy.
Dads show up for pediatric visits more often than we think. They're also almost as likely as moms to show signs of
#depression
. Let's not forget them. Read more from
@erikarosecheng
and
@aaronecarroll
The results of this systematic review and meta-analysis suggest that physical activity interventions can alleviate symptoms of depression in children and adolescents.
This Patient Page describes why your baby may need to spend time in the neonatal intensive care unit, what will happen there, and what to expect when your baby goes home.
Little is known about the relationship between adverse and positive childhood experiences (PCEs). According to a new study
@JAMAPediatrics
, increased PCEs are associated with better adult mental and relational health.
#mentalhealth
#adversity
Heavy menstrual bleeding causes reduced quality of life for adolescents. Pediatricians should understand the common causes and the association with
#bleedingdisorders
Most viewed in the last 7 days from
@JAMAPediatrics
:
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.
Study found that caution may be required in administering antenatal corticosteroids given the associated neurocognitive and/or psychological harms for children with late-preterm and full-term birth.