Posts

Do Clinical Data From Transgender Adolescents Support the Phenomenon of “Rapid-Onset Gender Dysphoria”?

Although emergence of gender dysphoria at puberty is long established, a distinct pathway of “rapid onset gender dysphoria” (ROGD) was recently hypothesized based on parental data. Using adolescent clinical data, we tested a series of associations that would be consistent with this pathway, however our results did not support the ROGD hypothesis. source https://www.jpeds.com/article/S0022-3476(21)01085-4/fulltext?rss=yes

Optimizing the Children’s Hospitals Graduate Medical Education Payment Program (CHGME) at a Time of Pediatric Workforce Challenges and Health Need

As child health needs have evolved, there remain serious shortages and maldistribution of the pediatric workforce (1). These shortages render children, particularly those in rural areas, vulnerable to inadequate access to both general pediatric clinicians and especially subspecialists. (2). Although some family medicine physicians also see children, the vast majority of children in the U.S. are seen by primary care and subspecialty pediatricians (3, 4). source https://www.jpeds.com/article/S0022-3476(21)01082-9/fulltext?rss=yes

Sunday Funnies

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Marvin by Tom Armstrong ( arcamax.com/thefunnies )                   source http://www.thepediablog.com/2021/11/14/sunday-funnies-480/

Genetic Spectrum Identified by Exome Sequencing in a Chinese Pediatric Cerebral Palsy Cohort

To explore the genetic spectrum of cerebral palsy (CP) in a Chinese paediatric cohort. source https://www.jpeds.com/article/S0022-3476(21)01084-2/fulltext?rss=yes

Determinants of Quality of Life in Children with Inborn Errors of Metabolism Receiving a Restricted Diet

To investigate the determinants of quality of life (QoL) in children with inborn errors of metabolism with restricted diet (IEMRDs) using a single theory-based multidimensional model. source https://www.jpeds.com/article/S0022-3476(21)01086-6/fulltext?rss=yes

Is It Time For COVID-19 Vaccine Mandates?

H.B. is the immediate past voting member of the Advisory Committee on Immunization Practices/CDC; Editor – Office Pediatrics Series, Current Opinion in Pediatrics; Faculty, Masters Program in Healthcare Management/TH Chan Harvard School of Public Health; serves on the Data and Safety Monitoring Board of Takeda; and is the PI of a Breastfeeding Promotion grant, New York State Department of Health. V.V. is a voting member of the Advisory Committee on Immunization Practices/CDC and President of the Franny Strong Foundation. source https://www.jpeds.com/article/S0022-3476(21)01095-7/fulltext?rss=yes

Clinician and Ethicist Perspectives: Understanding Moral Distress in Gender-Affirming Care for Pediatric Patients

Numerous clinical, ethical, legal, and social complexities contribute to shared decision-making challenges in caring for transgender and gender diverse youth. As clinicians and ethicists collaborating in a multidisciplinary pediatric transgender care program, we work to provide gender-affirming care to children and adolescents in the context of their family and community. Together, we represent the disciplines of pediatric psychology, psychiatry, and endocrinology, adolescent medicine, and clinical ethics. source https://www.jpeds.com/article/S0022-3476(21)01059-3/fulltext?rss=yes