OBJECTIVE: For most newborns, congenital heart defects (CHD) appear to be isolated anomalies and the brain is presumed to have normal developmental potential. Most studies of neurodevelopmental outcomes have focused on operative management strategies. METHODS: Infants with complex…

OBJECTIVE: To identify characteristics of adolescents who access health care in a children's hospital emergency department (ED) compared with a general ED. METHODS: We performed a retrospective comparative study of an urban children's ED and the adjacent general ED. Participants…

Young men who have sex with men (MSM) represent an increasing number of new HIV infections in many communities. Many individuals still hold beliefs that may lead to discrimination against HIV-positive individuals. HIV stigma is associated with negative health and psychosocial outcomes…

Adolescents comprise a substantial portion of the children in child welfare supervised out-of-home care. This article considers the evidence base for an array of services to adolescents in out-of-home care and evaluates the existing research base for each program. This review advances…

This article reviews the challenges health care systems face as they attempt to improve health care outcomes for children in foster care. It discusses several of the promising health care strategies occurring outside the perimeter of child welfare and identifies some of the key…

OBJECTIVE: To determine availability of and test whether on-site mental health providers (MHP) is associated with greater odds of reported mental health consultation and referral among primary care pediatricians. METHODS: Pediatricians were identified from the American Medical…

Asthma is the most common chronic illness of childhood and leading cause of pediatric hospitalization. Patient/parent adherence rates to medications and home-management recommendations are low. The provision of incentives for adherence to parents has had limited consideration. The…

OBJECTIVE: The objective of this study was to assess the proportion of emergency medicine physicians who had prescribed emergency contraception pills to adolescents, to identify potential barriers to emergency contraception pill prescription for adolescents, and to assess…

OBJECTIVE: The goal was to describe the utility of skeletal surveys and factors associated with both skeletal survey use and referral to child protective services for infants with skull fractures in the absence of significant intracranial injury. METHODS: A retrospective chart review…

OBJECTIVE: We identified maternal, provider, and community predictors among infants for late initiation of immunizations. METHODS: We performed a retrospective cohort study of infants born between January 1, 2002, and December 31, 2004, in Philadelphia, Pennsylvania. Primary outcomes…