Article
Psychology, Developmental
Jamie M. Julian, Bianca Salvetti, Jordan Held, Paula M. Murray, Lucas Lara-Rojas, Johanna Olson-Kennedy
Summary: The study found that most AYA learned to bind online and participants in the binding cohort were misgendered less. Additionally, there was a significant correlation between increased chest dysphoria and lower life satisfaction.
JOURNAL OF ADOLESCENT HEALTH
(2021)
Article
Behavioral Sciences
Ludivine Brunissen, Eli Rapoport, Katarzyna Chawarska, Andrew Adesman
Summary: This study found that girls with ASD are more likely to have gender expressions and behaviors during childhood that do not conform to traditional gender norms, and experience greater distress over gender-related concerns, highlighting the need for individualized support.
Article
Medicine, General & Internal
Diana Klinger, Stefan Riedl, Heidi Elisabeth Zesch, Sofia-Marie Oehlke, Sabine Voelkl-Kernstock, Paul L. L. Plener, Andreas Karwautz, Oswald D. D. Kothgassner
Summary: This study aimed to assess and compare the mental health of transgender youth by sex assigned at birth. The results showed that assigned male at birth (AMAB) adolescents were more likely to have internalizing problems, while assigned female at birth (AFAB) adolescents were more likely to have externalizing problems.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Psychology, Developmental
Diane Chen, Mere Abrams, Leslie Clark, Diane Ehrensaft, Amy C. Tishelman, Yee-Ming Chan, Robert Garofalo, Johanna Olson-Kennedy, Stephen M. Rosenthal, Marco A. Hidalgo
Summary: This study aimed to characterize two developmental cohorts of transgender and nonbinary youth and describe their gender identity-related milestones and baseline mental health functioning. The results indicate that youth in the GnRHa cohort appeared to have better psychosocial functioning than those in the GAH cohort.
JOURNAL OF ADOLESCENT HEALTH
(2021)
Article
Psychiatry
Bianca Machado Borba Soll, Anna Martha Fontanari, Angelo Brandelli Costa, Itala Chinazzo, Dhiordan Cardoso Silva, Fernanda Guadagnin, Silza Tramontina, Maria Ines Rodrigues Lobato
Summary: The study analyzed sociodemographic and clinical data of transgender youth seeking health care at the Gender Identity Program in southern Brazil. Results showed that 45.8% of the young people had psychiatric comorbidities, with almost half (45.4%) having two or more psychiatric comorbidities in addition to gender dysphoria. The gender affirmation model, focusing on global assessment and personalized guidance, was found to be adequate, highlighting the importance of multidisciplinary health services specializing in gender for promoting the general well-being of transgender youth.
FRONTIERS IN PSYCHIATRY
(2021)
Article
Endocrinology & Metabolism
Anna Valentine, Shanlee Davis, Anna Furniss, Nadia Dowshen, Anne E. Kazak, Christopher Lewis, Danielle F. Loeb, Leena Nahata, Laura Pyle, Lisa M. Schilling, Gina M. Sequeira, Natalie Nokoff
Summary: This study using a large database found that transgender and gender-diverse youth have an increased risk of overweight/obesity compared to matched controls. Screening and tailored weight management for TGDY are necessary.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2022)
Article
Public, Environmental & Occupational Health
Reidar Schei Jessen, Ira Ronit Hebold Haraldsen, Erik Stanicke
Summary: The research found that for transgender and gender non-conforming youth, their relationship with their own body and sexuality, as well as their interactions with others and societal norms, have a significant impact on their subjective experiences.
SOCIAL SCIENCE & MEDICINE
(2021)
Article
Psychology, Multidisciplinary
Claudia C. Garcia, Karine Schwarz, Angelo B. Costa, Cesar A. Bridi Filho, Maria Ines R. Lobato
Summary: The study found that transgender women's perceptions of their mothers were significantly different from those concerning their fathers. Transgender men and women had a positive perception of their relationship with their mothers and a negative perception of their fathers. In terms of parenting practices, women felt that their mothers exhibited more positive practices than their fathers.
FRONTIERS IN PSYCHOLOGY
(2021)
Review
Pediatrics
Jacob C. Arnold, Meredithe McNamara
Summary: Transgender and gender-diverse (TGD) youth experience a discordance between their assigned sex and gender identity. Compassionate care by informed clinicians is beneficial for all TGD youth. Some may need additional psychological support and medical treatments for gender dysphoria (GD), while discrimination and stigma can negatively impact their mental health. This review highlights the importance of understanding TGD youth and providing appropriate medical treatments for GD, considering the current socio-political climate.
CURRENT OPINION IN PEDIATRICS
(2023)
Article
Psychology, Developmental
Jack L. Turban, Dana King, Jason J. Li, Alex S. Keuroghlian
Summary: The study found that TGD children who undergo social transition may have better mental health outcomes in adulthood, but these outcomes may deteriorate if they experience gender identity-based harassment during K-12. Therefore, it is the responsibility of clinicians to emphasize the importance of adolescents having safe and affirming social environments.
JOURNAL OF ADOLESCENT HEALTH
(2021)
Article
Urology & Nephrology
T. O. Nieder, T. K. Mayer, S. Hinz, S. Fahrenkrug, L. Herrmann, Inga Becker-Hebly
Summary: The study investigated satisfaction with transition-related care (TRC) in adolescents with gender dysphoria (GD) at the Hamburg Gender Identity Service, finding that higher individual treatment progress scores (ITPS) were associated with greater satisfaction with TRC. Participants generally showed high satisfaction with TRC received at the clinic. No adolescents regretted treatment at follow-up and were mainly satisfied with the physical results of transition-related medical interventions (TRMIs).
JOURNAL OF SEXUAL MEDICINE
(2021)
Review
Health Care Sciences & Services
Pierluigi Diana, Susanna Esposito
Summary: While the significance of gender has recently been recognized, its influence on neurological development and neuropsychiatric disorders among young people has long been understood. Gender disparities in these disorders exist among pediatric population, indicating the necessity of new guidelines. Further research is urgently needed to understand the role of gender in diagnosis, development, and treatment of neurologic and neuropsychiatric diseases, particularly in children and adolescents. It is also important to consider unique risks associated with gender disorders and gender dysphoria when approaching pediatric patients.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Psychiatry
Liat Perl, Asaf Oren, Zohar Klein, Tomer Shechner
Summary: The study found that the COVID19 lockdown had negative effects on the mental health of transgender and gender nonconforming (TGN) youth as well as cisgender youth, but TGN youth showed higher levels of symptoms and fewer adaptive emotional regulation strategies.
PSYCHIATRY RESEARCH
(2021)
Article
Psychiatry
Milla Karvonen, Kirstin Goth, Sami J. Eloranta, Riittakerttu Kaltiala
Summary: Adolescents with features of gender dysphoria (GD) show no significant problems in identity development, and may even have a better integration of their identity compared to the general population.
FRONTIERS IN PSYCHIATRY
(2022)
Article
Pediatrics
Christine N. N. Moser, Mirae J. J. Fornander, Christina M. M. Roberts, Anna M. M. Egan, Gail Robertson
Summary: Transgender/gender diverse (TGD) youth have high rates of underweight and overweight/obesity, and factors associated with BMI category include self-described weight, weight management intentions, unhealthy weight management, prescription of psychiatric medications, and medications associated with weight gain. Self-described weight is the strongest predictor of BMI category.
Letter
Hematology
Chieh Min Benjamin Lai, Audi Setiadi, Angeliki Barlas, Amin Kanani, Persia Pourshahnazari, Heather A. Leitch, Daniel L. Metzger, Hayley Merkeley, Catherine M. Biggs
BRITISH JOURNAL OF HAEMATOLOGY
(2022)
Article
Endocrinology & Metabolism
Aysha Ayub, Crystal Ng, Elodie Portales-Casamar, Daniel Metzger, Shazhan Amed
Summary: The objective of this study is to establish the BC Pediatrics Diabetes Registry (BC-PDR) for quality improvement and coordination of pediatric diabetes care. Patient-level and visit-level data were collected, and progress has been made in the past 3 years.
CANADIAN JOURNAL OF DIABETES
(2022)
Article
Pediatrics
Greta R. Bauer, Margaret L. Lawson, Daniel L. Metzger
Summary: Although the hypothesis of rapid onset gender dysphoria was proposed based on parental data, the results from adolescent clinical data did not support this hypothesis.
JOURNAL OF PEDIATRICS
(2022)
Article
Pediatrics
Tricia S. Tang, Bushra Mahmood, Shazhan Amed, Heather McKay
Summary: The afterschool Bhangra dance intervention was found to be feasible, acceptable, and associated with improvements in cardiorespiratory fitness and other physical fitness indices among South Asian children.
Article
Pediatrics
Ilona Hale, Terri Fergus, Holly Buhler, Megan Purcell, Shazhan Amed
Summary: This study aimed to assess the feasibility of a brief responsive feeding education intervention conducted by public health nurses during routine well-baby visits, and to evaluate whether this intervention affects parents' attitudes and behavior related to responsive feeding. The results demonstrated that the intervention was feasible and acceptable, and had a positive impact on parent feeding style.
Article
Endocrinology & Metabolism
Sajad Niyyati, Alex Fung, Qian Zhang, Crystal Ng, Shazhan Amed, Jeffrey N. Bone, Shabnam Ziabakhsh, Brenden E. Hursh
Summary: There was rapid uptake of pediatric diabetes telehealth at the onset of the COVID-19 pandemic. As exposure to telehealth continued to increase, virtual visits improved in ease of use and satisfaction. The odds of indicating higher preference for future telehealth visits also increased in the later pandemic group. Eighty percent of participants would like their future care to include telehealth visits.
CANADIAN JOURNAL OF DIABETES
(2023)
Article
Pediatrics
Kiana W. Yau, Tricia S. Tang, Matthias Gorges, Susan Pinkney, Shazhan Amed
Summary: A mobile app was co-created with children, parents, and healthcare providers to support healthy behavior change. The app includes features such as gamification, goal setting, daily steps, family-based rewards, and daily notifications, and allows for shared decision-making with children as active agents in behavior change.
JMIR PEDIATRICS AND PARENTING
(2023)
Article
Pediatrics
Fatema S. Abdulhussein, Susan Pinkney, Matthias Gorges, Tibor van Rooij, Shazhan Amed
Summary: This study collected the perspectives of caregivers of children and youths with type 1 diabetes and pediatric diabetes healthcare providers to design an integrative digital health platform. The study identified similar challenges and needs among caregivers and healthcare providers, such as mental health support, integration of diabetes technology and device data, and collaboration on care plans. The results will inform the development of an early prototype of the digital health platform.
JMIR PEDIATRICS AND PARENTING
(2023)
Review
Endocrinology & Metabolism
Reena Titoria, Andrea Fung, Tricia S. Tang, Shazhan Amed
Summary: Currently, there is limited research on technology-mediated peer support in pediatric type 1 diabetes. This study summarized the interventions, such as phone-based text messages, video, web portal, and social media, and their potential to improve diabetes care and outcomes. However, further well-designed studies are needed to address the needs of diverse populations and settings, and assess the sustainability of intervention effects.
Editorial Material
Pediatrics
Ashley Vandermorris, Daniel L. Metzger
Summary: An increasing number of young people identify as transgender or have diverse gender identities. Pediatricians and primary care providers need to adopt an affirming approach in providing regular care for these individuals. This document serves as a resource to guide pediatricians and primary care providers in responding to the needs of transgender and gender-diverse youths and their families, including information on medical transition and specialized services if desired and deemed relevant. The demand for gender-affirming care is expected to continue rising, and some providers may wish to acquire the necessary knowledge and skills for initiating hormonal blockers and gender-affirming hormones in adolescents. This document does not provide clinical guidelines but offers fundamental information on various elements of gender-affirming care, recognizing that not all individual adolescents may require such interventions. Additional resources for acquiring the necessary skills to offer gender-affirming interventions are also proposed.
PAEDIATRICS & CHILD HEALTH
(2023)
Editorial Material
Pediatrics
Ashley Vandermorris, Daniel L. Metzger
Summary: This passage discusses the increasing number of transgender or gender-diverse youth and emphasizes the need for pediatricians and primary care providers to implement an affirming approach to healthcare for this population. It provides information on counseling for TGD youth and their families, options for medical transition, and referrals to specialized services. Additionally, it mentions the potential need for healthcare providers to develop knowledge and skills in initiating hormone-blocking agents and gender-affirming hormones for adolescents.
PAEDIATRICS & CHILD HEALTH
(2023)
Article
Endocrinology & Metabolism
Joseph Leung, Naseem Al-Yahyawi, Heywood Choi, Laura Stewart, Jeffrey Bone, Tricia Tang, Shazhan Amed
Summary: This study found an inverse relationship between diabetes distress and transition readiness in youths with type 1 diabetes transitioning to adult care. Targeting diabetes distress may also improve transition readiness in this population.
PEDIATRIC DIABETES
(2023)
Review
Pediatrics
Kiana W. Yau, Tricia S. Tang, Matthias Gorges, Susan Pinkney, Annie D. Kim, Angela Kalia, Shazhan Amed
Summary: This paper conducted a systematic review on the effectiveness of mobile apps in preventing childhood obesity. The results showed significant improvements in physical activity, dietary outcomes, and BMI. Gamification, behavioral monitoring, and goal setting were common features of the mobile apps. However, the effectiveness of mobile apps in improving anthropometric measures remains unclear.
JMIR PEDIATRICS AND PARENTING
(2022)
Article
Medicine, General & Internal
Marshall Dahl, Daniel L. Metzger
Summary: Endocrine therapy can help reduce gender dysphoria or incongruence by changing physical characteristics. Feminizing treatment involves ovarian hormones or anti-androgen drugs, while masculinizing treatment involves testosterone supplementation. For youth, gonadotropin-releasing hormone agonist therapy can be used to suppress unwanted puberty. Physicians must be trained to provide individualized treatment and ensure the safety of youth transitioning.
BRITISH COLUMBIA MEDICAL JOURNAL
(2022)
Article
Pediatrics
Tarun Aurora, Audrey Cole, Parul Rai, Paul Lavoie, Carrie Mcivor, Lisa M. Klesges, Guolian Kang, Janaka S. S. Liyanage, Heather M. Brandt, Jane S. Hankins
Summary: This study evaluated the effectiveness of a vaccine strategy bundle in increasing HPV vaccine initiation and completion rates in a specialty clinic setting. By implementing the bundle, which included staff education, provider incentives, offering vaccines in clinics, and verifying vaccine completion, the clinic successfully improved HPV vaccine initiation and completion rates among sickle cell disease patients.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Nienke M. Halbmeijer, Wes Onland, Jeroen Dudink, Filip Cools, Anne Debeer, Anton H. van Kaam, Manon J. N. L. Benders, Niek E. van der Aa
Summary: In ventilated infants born preterm, high dose systemic hydrocortisone initiated between 7 and 14 days after birth did not have a significant impact on brain development.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Katherine Melton, Jianfang Liu, Hossein Sadeghi, Maureen George, Arlene Smaldone
Summary: This study aims to identify predictors of change in lung function and body weight during health care transition in cystic fibrosis (CF) patients. The study findings highlight the importance of CF RISE program engagement and reducing gaps in care for improving the transition of adolescents and young adults with CF.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Laura A. Duckworth, Kimberly A. Sutton, Nurmohammad Shaikh, Jinli Wang, Carla Hall-Moore, Lori R. Holtz, Phillip I. Tarr, Ronald C. Rubenstein
Summary: The study tested the usefulness of various biomarkers as indicators of gut dysfunction in cystic fibrosis (CF) and investigated the repeatability of these measures in individuals over short periods and their correlation with clinical outcomes. The results showed that elevated levels of fLcn2 in individuals with CF may predict worsened pulmonary function.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Lindsey Haack, Nikkan Das, Arvind Hoskoppal, Mark Debrunner, Tarek Alsaied, Gaurav Arora
Summary: RAE on ECG has a low positive predictive value for RAE on echocardiogram in previously healthy young patients. The highest yield for RAE on echocardiogram was observed in patients who were <1 year of age, had RAE in the anterior precordial leads, or displayed right ventricular hypertrophy on ECG.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Michael A. Padula, Khatija Naing, Tara L. Wenger, Irfan Ahmad, Carl H. Coghill, K. Taylor Wild, S. Alex Rottgers, Cory M. Resnick, Jeffrey Goldstein, Zarmina Ehsan, Donna Watkins, Nicole Deptula, Kuan-Chi Lai, Janet Lioy, Semsa Gogcu, Christopher M. Cielo
Summary: This study describes the spectrum of disease and burden of care in infants with congenital micrognathia. The results show that these infants commonly require surgical intervention and tube feedings, and disparities based on race and among centers were identified.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Michael P. Fundora, Manvitha Kalicheti, Guantao Zhao, Kevin O. Maher, Nicoleta Serban
Summary: This study investigated the variation of outpatient opioid prescribing in postoperative pediatric cardiac patients across the US. The results showed that there were significant differences in opioid prescribing by race, ethnicity, sex, and region.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Jia Guo, Brooklyn J. Fraser, Leigh Blizzard, Michael D. Schmidt, Terence Dwyer, Alison J. Venn, Costan G. Magnussen
Summary: There is a correlation between childhood and adulthood cardiorespiratory fitness.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Nianzhou Xiao, Michelle Starr, Adrienne Stolfi, Gilad Hamdani, Shireen Hashmat, Stefan G. Kiessling, Christina Sethna, Mahmoud Kallash, Robyn Matloff, Robert Woroniecki, Keia Sanderson, Ikuyo Yamaguchi, Stephen D. Cha, Michael G. Semanik, Rahul Chanchlani, Joseph T. Flynn, Mark Mitsnefes
Summary: This multicenter study reports that most infants diagnosed with idiopathic hypertension in the NICU will discontinue antihypertensive treatment within 2 years of discharge. Antenatal steroid treatment is associated with a decreased likelihood of needing antihypertensive therapy for more than 1 year.
JOURNAL OF PEDIATRICS
(2024)
Editorial Material
Pediatrics
Kanwaljit Singh, John Concato, Jonathan M. Davis
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Yaxing Meng, Harri Niinikoski, Suvi P. Rovio, Brooklyn J. Fraser, Feitong Wu, Antti Jula, Tapani Ronnemaa, Jorma S. A. Viikari, Olli T. Raitakari, Katja Pahkala, Costan G. Magnussen
Summary: This 26-year study shows a correlation between early-life non-HDL-C levels and future levels. Early dietary counseling can reduce the risk of high pediatric non-HDL-C, emphasizing the importance of early interventions in preventing cardiovascular risks.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Kelsey A. B. Gastineau, Rebecca Bell, Allison Hanes, Sandra Mckay, Eric Sigel, Filoteia Popescu, Evan C. Sommer, Shari Barkin
Summary: This study aimed to assess the self-reported counseling outcomes for a firearm safe storage counseling training program provided by the American Academy of Pediatrics. The results demonstrated significant improvement in counseling self-efficacy and frequency one month after the training.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Kathryn E. K. Berlin, William Scott, Sara Dawson, David Brousseau, Joanne M. Lagatta
Summary: This prospective cohort study aimed to investigate the impact of bronchopulmonary dysplasia (BPD) on the health-related quality of life (HRQL) of infants from NICU hospitalization to one year post-discharge. The study found that lower HRQL during NICU stay was associated with earlier gestational age, postnatal corticosteroid usage, outborn status, and gastrostomy tube placement. Lower HRQL at 3 and 12 months post-discharge was associated with readmissions, home oxygen use, parent-reported difficulty breathing, lower developmental scores, and not playing with other children. Most parents reported similar or improved HRQL after discharge, but parents of infants with respiratory symptoms experienced less improvement. Efforts to improve parent HRQL should focus on respiratory symptoms and social isolation.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
Garett J. Griffith, Alan P. Wang, Robert I. Liem, Michael R. Carr, Tyler Corson, Kendra Ward
Summary: This study developed reference values for cardiorespiratory fitness in children aged 6-18 years without underlying heart disease, measured by peak oxygen uptake and treadmill time. Fitness levels increased with age in males but not females. Males generally exhibited higher fitness levels compared to females in the same age groups.
JOURNAL OF PEDIATRICS
(2024)
Article
Pediatrics
David S. Liu, Patricia Miller, Anna Rothenberg, Carley Vuillermin, Peter M. Waters, Andrea S. Bauer
Summary: This study aims to determine if children with elbow flexion contracture (EFC) caused by brachial plexus birth injury (BPBI) are more likely to develop shoulder contracture and undergo surgical treatment. A retrospective review was conducted on children under 2 years old with BPBI who presented to a single children's hospital. The results showed that patients with EFC had reduced shoulder range of motion and higher odds of shoulder contracture and surgical treatment. Prompt referral to a BPBI specialty clinic is recommended for evaluation and potential surgery.
JOURNAL OF PEDIATRICS
(2024)
