In the article “Variation in Hospitalization Rates Following Emergency Department Visits in Children with Medical Complexity” by Coller et al (J Pediatr 2019; 214:113–20.e1), a middle initial was not inclulded in an author's name. The author's correct name is Christian D. Pulcini, MD, MEd, MPH.
To assess whether the location of 71 Down syndrome specialty care clinics in the US make them inaccessible to a considerable portion of the American population.
Congenital diaphragmatic hernia (CDH) is a complex disease that causes severe hypoxemic respiratory failure and significant morbidity and mortality.1 In the most severe cases, CDH is characterized by lung hypoplasia, severe pulmonary hypertension (PH), and cardiac dysfunction.2 Despite many advances in therapeutic options for CDH, the related PH and poor cardiac function often remain refractory to medical interventions, such as inhaled nitric oxide (iNO) therapy, and persist as the most common indications for extracorporeal membrane oxygenation therapy (ECMO) in the newborn period.
A 5-year-old-boy, born to nonconsanguineous parents, presented with global developmental delay and seizures. As a neonate, he had right focal tonic seizures and later developed asymmetric infantile spasms, generalized tonic seizures, and atypical absence seizures. He was on multiple antiepileptic drugs with only partial response. Examination showed microcephaly, right hemiparesis, and whorled hypopigmented patches over the trunk and left thigh (Figure 1; available at www.jpeds.com). Magnetic resonance imaging of the brain showed left hemimegalencephaly (Figure 2).
A 1-month-old female patient was referred to our hospital with a history of noisy breathing and poor weight gain. The noisy breathing worsened when the patient was crying or feeding, and feeding was sometimes difficult due to respiratory distress. The patient was delivered vaginally at term with a birth weight of 2.3 kg. On examination, her pulse rate, respiratory rate, body temperature, and oxygen saturation were 158 beats per minute, 44 breaths per minute, 37.2°C, and 99% on room air, respectively.
To examine the frequency of hospital admissions before and after gastrostomy insertion in children with severe intellectual disability.
Breastfeeding has multiple health and social benefits and is regarded by most experts, including the American Academy of Pediatrics, as the optimal feeding practice for newborns. Even so, in the US, rates of breastfeeding initiation and continued breastfeeding at 6 and 12 months remain well below Healthy People 2020 national goals. In 1991, the World Health Organization and the United Nations Children's Fund launched the Baby-Friendly Hospital Initiative to improve breastfeeding initiation at birth and breastfeeding duration through the first year of life.
To determine the timing of peak coronary artery dilation and the characteristics of patients who present with new-onset coronary artery dilation during the acute phase of Kawasaki disease with an initial normal echocardiogram.
To identify, in children the normal rate of carotid-femoral pulse wave velocity (cfPWV) progression, and whether presence of cardiometabolic risk factors is associated with cfPWV.
Persistent pulmonary hypertension of the newborn (PPHN) can complicate the clinical course of neonates born term and preterm with acute hypoxemic respiratory failure (HRF) and contributes to high morbidity and mortality.1,2 In a study of infants born at term and near-term, PPHN occurred in approximately 2 per 1000 live births.3 In contrast, the prevalence of PPHN among 12 954 infants born extremely preterm from a Japanese cohort was reported at 8.1%, with the trend increasing over the past decade due to increased survival of infants with extremely low birth weight and the growing awareness of PPHN in infants born preterm.