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JAMA Pediatrics
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JAMA Pediatrics

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Oral clefts are relatively common birth defects and parents worry about their newborns even though surgery and other treatments correct appearance and restore crucial functioning. But does being born with an oral cleft impact health outcomes for these children when they grow to be young adults? http://ja.ma/2dwvpcB

Importance Parents regularly express concern about long-term health outcomes for children who are born with an oral cleft. Objective To assess whether oral clefts affect the health and ability to work of young adults. Design, Setting, and Participants A population-based cohort ...
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Freestanding children’s hospitals had the largest financial losses for pediatric inpatients covered by Medicaid, suggesting hospitals may be unlikely to offset decreased Disproportionate Share Hospital (DSH) payments from caring for fewer uninsured patients as a result of health insurance expansion. http://ja.ma/2cTEGeB

Importance Medicaid payments tend to be less than the cost of care. Federal Disproportionate Share Hospital (DSH) payments help hospitals recover such uncompensated costs of Medicaid-insured and uninsured patients. The Patient Protection and Affordable Care Act reduces DSH payments in anticipation of fewer uninsured patients and therefore decreased uncompensated ...
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How to Read a Systematic Review and Meta-analysis and Apply the Results to Patient Care http://ja.ma/2cdDnoo
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Much attention has been given to the importance of the intestinal microbiota and the effects of early exposure to antibiotics. In this longitudinal cohort study, Korpela and coauthors examine whether the positive metabolic effects of breastfeeding are affected by antibiotic use. The protective...
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Primary care physicians are critical in identifying children and adolescents who have thyroid disorders. Early identification and treatment helps to optimize growth and development. http://ja.ma/2c99Gqp
Importance Normal thyroid gland function is critical for early neurocognitive development, as well as for growth and development throughout childhood and adolescence. Thyroid disorders are common, and attention to physical examination findings, combined with selected laboratory and radiologic tools, aids in the early diagnosis and treatment. ...
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Using #science to reduce the #health consequences of early #childhood #adversity. http://ja.ma/2bfY0zl

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Could thiamine-fortified fish sauce help fight infant beriberi in southeast Asia? http://ja.ma/2b8EJlQ
Importance Infantile beriberi, a potentially fatal disease caused by thiamine deficiency, remains a public health concern in Cambodia and regions where thiamine-poor white rice is a staple food. Low maternal thiamine intake reduces breast milk thiamine concentrations, placing breastfed infants at risk of beriberi. Objective ...
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Symptom exacerbation after #concussion appeared to be common in a secondary analysis of a clinical trial that included 63 children studied for 10 days after injury. http://ja.ma/2aHPfQn

Importance Recovery from concussion generally follows a trajectory of gradual improvement, but symptoms can abruptly worsen with exertion. This phenomenon is poorly understood. Objectives To characterize the incidence, course, and clinical significance of symptom exacerbations (spikes) in children after concussion. Design, Setting, ...
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Science, Medicine, Public Health, Peer-review, Medical Journal
Introduction
JAMA Pediatrics is an international, peer-reviewed journal published weekly online and monthly in print.