Long-term pediatric weight management studies have been predominantly carried out with affluent, white populations. Thus, evidence on successful management of childhood obesity is limited, especially in inner-city, ethnically diverse populations.
This randomized controlled trial bridges the gap in the pediatric obesity treatment literature by revealing a sustained treatment effect on anthropometric and metabolic markers after a family-based lifestyle intervention versus traditional clinical care in inner-city, ethnically diverse populations.
Pneumococcus is the most commonly identified bacterial cause of community-acquired pneumonia. Pediatric pneumonia hospitalizations have decreased since the introduction of the pneumococcal conjugate vaccine in 2000. However, few data exist on national trends in the incidence of pediatric outpatient pneumonia.
This study provides the first comprehensive national estimates of pediatric outpatient pneumonia incidence. Rates of outpatient pediatric pneumonia have not changed despite introduction of the pneumococcal conjugate vaccine, and broad-spectrum antibiotic prescribing for outpatient pneumonia is commonplace.
Quality-improvement techniques are increasingly effective...