Author Interviews, Environmental Risks, Pediatrics, Race/Ethnic Diversity / 29.09.2023

MedicalResearch.com Interview with:

[caption id="attachment_60883" align="alignleft" width="200"]Dr. Devon Payne-Sturges, DrPH, MPH, MEngr Associate Professor Maryland Institute for Applied Environmental Health School of Public Health University of Maryland, College Park Dr. Payne-Sturges[/caption]

Dr. Devon Payne-Sturges, DrPH, MPH, MEngr
Associate Professor
Maryland Institute for Applied Environmental Health
School of Public Health
University of Maryland, College Park

MedicalResearch.com: What is the background for this study?

Response: My co-authors and I conducted this study to fill a knowledge gap and to inform the work of Project TENDR. No systematic or scoping review had examined both exposure disparities and the joint effects of combined exposures of environmental neurotoxicants and social disadvantage as they relate to disparities in neurodevelopmental outcomes specifically among children living in the U.S.

Our study is the first to summarize the evidence on 7 neurotoxicants that children in the U.S. are routinely exposed to and we examined both disparities in these exposures and disparities in the effects of those exposures on children’s brain development, cognition, and behavior by race, ethnicity, and economic status.

We reviewed over 200 independent studies spanning five decades from 1974 to 2022 on social disparities in exposure to 7 exemplar neurotoxic chemicals and pollutants, including chemical mixtures, and their relationship with disparities with neurodevelopmental outcomes among children in the U.S.

Author Interviews, JAMA, OBGYNE, Pediatrics / 03.09.2023

MedicalResearch.com Interview with: [caption id="attachment_60822" align="alignleft" width="165"]Dr Robert EvesResearch Associate at Universität Bielefeld Honorary research fellow at the University of Warwick Guest researcher at DIW Berlin Dr. Eves[/caption] Dr Robert Eves Research Associate at Universität Bielefeld Honorary research fellow at the University of Warwick Guest researcher at DIW Berlin MedicalResearch.com: What is the background for this study? Response: When an infant is born their birthweight percentile is often calculated. This indicates how big the infant is relative to other infants born at the same gestational age (weeks of pregnancy). In long-term follow-up of at-risk infants, being born below the 10th percentile has been considered a risk factor for later cognitive development. However, we thought that this above or below the 10th percentile cut-off was unlikely to reflect the true association between birthweight percentiles and later cognitive development. First of all, we thought that it was unlikely that there would be a dramatic difference between someone born at the 9th vs. 11th percentile. Secondly, we wanted to determine if there was a point when birthweight percentiles could get too large (i.e is there a Goldilocks effect, maybe you should not be too small but not too big either)
Author Interviews, Biomarkers, Infections, Inflammation, Pediatrics / 18.08.2023

[caption id="attachment_60779" align="alignleft" width="150"]Myrsini Kaforou, PhDSenior Lecturer in Bioinformatics  Department of Infectious Disease Imperial College London Prof. Kaforou[/caption] MedicalResearch.com Interview with: Myrsini Kaforou, PhD Senior Lecturer in Bioinformatics Department of Infectious Disease Imperial College London MedicalResearch.com: What is the background for this study? Response:  Children very often present to hospital and clinics with fever, but fever is a non-specific disease symptom. The identification of the cause of fever poses a great challenge for the clinical teams worldwide. The available diagnostic tests are neither quick or accurate enough to fully base decisions on, such as withholding or administering antibiotics. For example, cultures may take days or even weeks to provide a result. In our research group, we are working on novel approach; instead of trying to identify the causative pathogen, which is often inaccurate or impossible, we are studying the genes in the patient's blood that are "switched on" or "switched off" during the infection or the disease in general. Using computational/bioinformatics methods, we are able to identify out of thousands of genes, the combinations of genes, "the biosignatures" for each disease. In the past we had shown that this approach works to distinguish bacterial from viral infection, or tuberculosis disease from other conditions that mimic its symptoms. But with this work we have shown for the first time that a single set of genes, a "single gene panel" can be used to discriminate between 6 broad and/or 18 specific infectious or inflammatory conditions that cause fever in children.
Author Interviews, Microbiome, Pediatrics, PLoS / 13.08.2023

MedicalResearch.com Interview with: Sebastian Hunter – M.Sc. student with Dr. Brett Finlay and Dr. Sara Mostafavi University of British Columbia MedicalResearch.com: What is the background for this study? Response: This study started as an exploratory project to evaluate the effects of the early microbiota on infant brain development and emerging cognitive capacities. This arises from the increase research around the gut-brain-microbiome axis and its pursuit to uncover how the microbiome helps in the development of a healthy brain, as the microbiota colonization occurs before most neural systems are fully matured and have been linked to later brain health..
Author Interviews, JAMA, Lipids, Pediatrics, USPSTF / 26.07.2023

MedicalResearch.com Interview with: [caption id="attachment_60674" align="alignleft" width="133"]Li Li, M.D., Ph.D., M.P.HWalter M. Seward Professor Chair of Family Medicine Director of population health University of Virginia School of Medicine Editor-in-chief of The BMJ Family Medicine Dr. Li joined the U.S. Preventive Services Task Force in January 2021 Dr. Li Li[/caption] Li Li, M.D., Ph.D., M.P.H Walter M. Seward Professor Chair of Family Medicine Director of population health University of Virginia School of Medicine Editor-in-chief of The BMJ Family Medicine Dr. Li joined the U.S. Preventive Services Task Force in January 2021 MedicalResearch.com: What is the background for this study? What are the main findings? Response: The Task Force reviewed the latest available evidence to evaluate whether screening all children and adolescents who are 20 years old or younger for high cholesterol improves their heart health into adulthood. At this time, there is not enough evidence to determine whether or not screening all kids is beneficial, so we are calling for additional research on the effectiveness of screening and treatment of high cholesterol in kids and teens.
Author Interviews, Genetic Research, JAMA, Pediatrics / 17.07.2023

MedicalResearch.com Interview with: [caption id="attachment_60600" align="alignleft" width="125"]Professor, Jonathan Davis, MD,Chief of Newborn Medicine Tufts Medical Center and Dr. Davis[/caption] Prof. Jonathan Davis, MD, Chief of Newborn Medicine Tufts Medical Center and [caption id="attachment_60599" align="alignleft" width="125"]Jill Maron, MD, MPHChief of Pediatrics Executive Director, Mother Infant Research Institute Vice Chair, Pediatric Research, Tufts Medical Center Women & Infants Hospital of Rhode Island Dr. Maron[/caption]   Jill Maron, MD, MPH Chief of Pediatrics Women & Infants Hospital of Rhode Island   MedicalResearch.com: What is the background for this study? Response: The Genomic Medicine for Ill Neonates and Infants (GEMINI) trial was designed to be the first comparative study to explore the diagnostic yield, clinical utility and time to diagnosis between whole genomic sequencing (WGS) and a targeted genomic sequencing panel specifically designed to detect gene disorders that present in early life. GEMINI was a US based study that enrolled 400 hospitalized infants, along with their available parents, suspected of having an undiagnosed genetic diagnosis. Every participant underwent testing on each platform simultaneously, allowing us to better understand the limitations and advantages of each approach.
Author Interviews, Cannabis, JAMA, OBGYNE, Pediatrics / 26.06.2023

MedicalResearch.com Interview with: [caption id="attachment_60541" align="alignleft" width="128"]Alex P. Miller, PhDTranSTAR T32 Postdoctoral Fellow Department of Psychiatry  Washington University School of Medicine St. Louis, MO Dr. Miller[/caption] Alex P. Miller, PhD TranSTAR T32 Postdoctoral Fellow Department of Psychiatry Washington University School of Medicine St. Louis, MO   MedicalResearch.com: What is the background for this study? Response: Adolescent cannabis use is increasing in the United States. Prior research suggests that people who start using cannabis earlier are more likely to engage in problematic use and also experience greater mental health challenges and socioeconomic disadvantages overall. For example, children who begin using cannabis early are more likely to have behavioral problems and disorders and are more less likely to complete school. In our study, we used data from the Adolescent Brain Cognitive Development (ABCD) Study, which is following nearly 12,000 kids across the nation to track behavior and brain development as well as health from middle childhood to young adulthood. We looked at what factors are associated with the initiation of cannabis use by age 12-14.
Author Interviews, Diabetes, Karolinski Institute, Pediatrics, Weight Research / 28.02.2023

MedicalResearch.com Interview with: [caption id="attachment_60075" align="alignleft" width="128"]Yuxia Wei | PhD Student Unit of Epidemiology Institute of Environmental Medicine Karolinska Institutet Stockholm | Sweden Yuxia Wei[/caption] Yuxia Wei | PhD Student Unit of Epidemiology Institute of Environmental Medicine Karolinska Institutet Stockholm | Sweden   MedicalResearch.com: What is the background for this study? Response: Diabetes is traditionally known for having two types (type 1 diabetes and type 2 diabetes). However, it is becoming increasingly clear that diabetes is much more complex than this traditional classification. Several attempts have been made to address this heterogeneity and in 2018, a  Swedish ground-breaking study proposed that there are five distinct subtypes of diabetes in adults. They have been replicated in different populations and it has been shown that there are differences between the subtypes in terms of genetics and risks of complications. Another way of elucidating the relevance of these subtypes is to investigate whether the influence of known risk factors for diabetes is different on different subtypes. Our study is one of the first attempts to address this. We used a study design known as Mendelian randomization, to investigate the influence of childhood obesity on these diabetes subtypes that typically occur after age 35. This work was a collaboration between Karolinska institutet in Stockholm, University of Bristol in the UK and Sun Yat-Sen University in China.
Author Interviews, Genetic Research, NIH, Pediatrics / 20.02.2023

MedicalResearch.com Interview with: [caption id="attachment_60043" align="alignleft" width="100"]Natalie Shaw, M.D., MMSc.Principal Investigator Head of the Pediatric Neuroendocrinology Group Dr. Shaw holds a secondary appointment in NIEHS  Reproductive and Developmental Biology Laboratory. Dr. Shaw[/caption] Natalie Shaw, M.D., MMSc. Principal Investigator Head of the Pediatric Neuroendocrinology Group Dr. Shaw holds a secondary appointment in NIEHS Reproductive and Developmental Biology Laboratory.   MedicalResearch.com: What is the background for this study? Would you briefly describe the two affected conditions? Dr. Shaw: Congenital arhinia is a rare congenital malformation characterized by the complete absence of an external nose and internal olfactory (smell) structures.  It is frequently associated with eye and reproductive defects.  Facioscapulohumeral muscular dystrophy (FSHD) type 2 is a form of muscular dystrophy that presents in young adulthood.  Both conditions are caused by mutations in the gene SMCHD1.  In FSHD type 2, we know that loss of SMCHD1 activity leads to expression of a toxic protein called DUX4 in muscle.  The cause of arhinia was unknown.
Author Interviews, Autism, JAMA, Pediatrics, UCSD / 08.02.2023

MedicalResearch.com Interview with: [caption id="attachment_59999" align="alignleft" width="150"]Karen Pierce, Ph.D.Professor, Department of Neurosciences, UCSD Co-Director, Autism Center of Excellence, UCSD Dr. Pierce[/caption] Karen Pierce, Ph.D. Professor, Department of Neurosciences, UCSD Co-Director, Autism Center of Excellence, UCSD MedicalResearch.com: What is the background for this study? Response: The mean age of ASD diagnosis and eventual treatment remains at ~52 months in the United States1 - years beyond the disorder’s prenatal origins2, and beyond the age when it can be reliably diagnosed in many cases3. Currently the only way to determine if a child has autism spectrum disorder (ASD) is to receive a developmental evaluation from an experienced clinician (usually a licensed clinical psychologist). There are often long waiting lists, and only a small number of clinicians have the experience required to make early-age (i.e., between 12-36 months) diagnoses of ASD. Thus, there are many places in the country as well as world wide wherein children wait months or years to receive a formal diagnosis due to a lack of available expertise. Moreover, diagnostic evaluations are expensive and usually cost the parent and/or insurance approximately ~$2,000 or more per evaluation.  Finally, clinical evaluations usually take between 2-3 hours to complete and result in fatigue for both the parent and toddler. Eye-tracking, which generates biologically-relevant, objective, and quantifiable metrics of both visual and auditory preference profiles in babies and toddlers in just minutes, is a technology that can dramatically change how ASD is diagnosed.
Accidents & Violence, Author Interviews, JAMA, Pediatrics / 20.12.2022

MedicalResearch.com Interview with: Rebecca F. Wilson, PhD Division of Violence Prevention National Center for Injury Prevention and Control US Centers for Disease Control and Prevention, Atlanta, Georgia MedicalResearch.com: What is the background for this study? What are the main findings? Response: Our report shows the homicide rate among children aged 0 to 17 years has been increasing annually on average 4.3% since 2013, and rose sharply from 2019 to 2020. The largest 2019 to 2020 rate increases were among children 11-17 years old, boys, and Black children. Overall increases varied by geography and demographics, with some racial and ethnic disparities persisting for more than 20 years. Firearms were the most common weapon used in child homicides. Homicides of younger children (infants to 10 years) were mostly perpetrated by parents and caregivers and precipitated by abuse and/or neglect. Homicides of older children (11-17 years) were mostly perpetrated by someone known to them, like a friend or acquaintance, and precipitated by crime, arguments, and community violence.
Dental Research, Pediatrics / 27.10.2022

The British Dental Association stays on top of important trends that affect health. Baby food is the latest research subject in their crosshairs. With infant health a high concern, there is good reason to take a longer look at food consumption. Oral Care Exams Your first infant oral exam at NorthStar Dental Care will go into detail about the dos and don’ts of nutrition. Preventing oral health issues will eliminate some of the most debilitating problems when growing up. This is why the latest research from the BDA is so important, but the devil is still in the details. Before going down the rabbit hole of information, make sure that your baby is scheduled and up to date with all of their dental appointments. The first exam is one of many, with each one after being just as important as the last.
Author Interviews, Dermatology, Infections / 15.07.2022

MedicalResearch.com Interview with: Dr Dilip Kachhawa, MD Department of Skin & Venereal Disease Dr Sampurnanand Medical College Jodhpur, Rajasthan, India MedicalResearch.com:  What are the main findings? [caption id="attachment_59328" align="alignleft" width="150"]Molluscum DermNet Nz image Molluscum DermNet image[/caption] Response: Molluscum Contagiosum (MC) is an infection caused by molluscipoxvirus. It is difficult to study since the virus only survives in human skin, and therefore there isn’t an animal or cell model to study potential treatments. Molluscum lesions appear as raised, domed shaped skin-colored lesions and can occur anywhere on the body but are most common on the face, neck, arms, legs, and abdomen. Sometimes there are few lesions, but clusters of several lesions can appear. Children are the most likely to get molluscum, and the virus is highly contagious, transmitted by direct contact with infected skin or contaminated objects, like towels, linens and toys. Scratching can cause autoinoculation which is when a person reinfects themself. MC is very common, impacting an estimated 6 million adults and mostly children in the US each year. In 2010, there was an estimated 122 million cases worldwide. It occurs primarily in humid and warm climates, and transmission via swimming pools and bathtubs may be possible. Therefore, molluscum is often called “water warts.” Many physicians may take a “watch and wait” approach since the virus may clear on its own. However, it can take months to up to 5 years for some to experience complete clearance, In the meantime, the person is still highly contagious and may spread the virus to others, particularly children. Lesions can be bothersome, causing itching and sometimes a secondary infection. There is also a psychosocial component. In a recent study, 1 in 10 children with molluscum experienced a major quality of life issue. Berdazimer Gel, 10.3% is a potential first-in-class topical controlled-nitric oxide releasing medication containing Berdazimer (sodium), a new chemical entity, and the active ingredient in berdazimer gel 10.3%. The mechanism of action of berdazimer in the treatment of molluscum is unknown, but in vitro lab studies show that the nitric oxide, released when berdazimer is combined with a hydrogel, may impede viral replication and perhaps help body’s natural immune response against molluscum.
Author Interviews, Environmental Risks, Hepatitis - Liver Disease, JAMA / 06.07.2022

MedicalResearch.com Interview with: [caption id="attachment_59315" align="alignleft" width="150"]Vishal Midya, PhD, MStat Postdoctoral Researcher Icahn School of Medicine at Mount Sinai Dr. Midya[/caption] Dania Valvi, MD MPH PhD Assistant Professor Department of Environmental Medicine and Public Health Co-Director, MS in Epidemiology Icahn School of Medicine at Mount Sinai Email: dania.valvi@mssm.edu MedicalResearch.com:  What is the background for this study?    Response: Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease in children in the U.S., Europe and other world regions, currently affecting 1 in every 10 children, and 1 in every 3 children with obesity in the U.S. The rate of pediatric NAFLD has more than doubled in recent decades following the epidemic rates also noted for childhood obesity. There is increasing interest in the role that environmental chemical exposures may play in NAFLD etiology, since several animal studies have shown that prenatal exposures to endocrine-disrupting chemicals (EDCs) cause liver injury and damage; but, until now, the potential effects of prenatal EDC mixture exposures in pediatric NAFLD had not been studied.
Allergies, Author Interviews, JAMA, Pediatrics / 06.07.2022

MedicalResearch.com Interview with: [caption id="attachment_59303" align="alignleft" width="150"]Victoria Soriano PhD Research Assistant/Officer, Population Allergy University of Melbourne Dr. Soriano[/caption] Victoria Soriano PhD Research Assistant/Officer, Population Allergy University of Melbourne   MedicalResearch.com:  What is the background for this study?  Response: Peanut allergy is one of the most common childhood food allergies, and children rarely grow out of it. The only proven way to prevent peanut allergy is to give infants age-appropriate peanut products in the first year of life. We previously showed there was a dramatic increase in peanut introduction from 2007-11 to 2018-19, following changes to infant feeding guidelines. We wanted to know if earlier peanut introduction would reduce peanut allergy in the general population (in Melbourne, Australia).
Author Interviews, JAMA, Mental Health Research, Pediatrics, Social Issues / 13.04.2022

MedicalResearch.com Interview with: Regina Triplett, M.D., M.S. Developmental Neuroscience Post-Doctoral Research Scholar Department of Neurology Washington University in St. Louis, MO  MedicalResearch.com:  What is the background for this study?  What are the main findings?  Response: This is an ongoing, longitudinal, prospective study of 399 pairs of mothers studied throughout pregnancy and their infants, designed to investigate exposure to early life adversity (prenatal poverty and stress) on infant brain development and behavior in early childhood. We examined measures of maternal socioeconomic status including neighborhood factors and stress/mental health during pregnancy in relation to data from infant brain MRI scans conducted in the first weeks after birth. We found that poverty during pregnancy is associated with reduced size and folding of infant brains. We found these associations across the whole brain and not specific to one region.
Author Interviews, Environmental Risks, Pediatrics, Toxin Research / 07.03.2022

MedicalResearch.com Interview with: [caption id="attachment_58840" align="alignleft" width="150"]Jeanette Stingone PhD Assistant Professor, Epidemiology Mailman School of Public Health Columbia University Dr. Stingone[/caption] Jeanette Stingone PhD Assistant Professor, Epidemiology Mailman School of Public Health Columbia University MedicalResearch.com:  What is the background for this study?  What are the main findings? Response: Lead is a well-established neurotoxin, particularly when exposure occurs early in life and in childhood. Associations between elevated blood lead levels and lower scores on tests of neurodevelopment and cognition are seen consistently across studies, even when examining lower levels of exposure. While reducing exposure to lead is the primary intervention to prevent these adverse outcomes, there aren’t many interventions designed to support the neurodevelopment of children who have been exposed to lead. Some municipalities consider elevated blood lead levels as a criteria for inclusion in Early Intervention programs. Early Intervention programs are mandated under the Individuals with Disabilities Education Act and provide services for children younger than 3 years old with disabilities or developmental delays. The objective of this study was to compare 3rd grade standardized test scores among children who had elevated blood lead levels early in life to see if children who had received Early Intervention services performed better on these tests than those who did not receive services. Using matching methods and an existing administrative data linkage of children who were born and attended public school in New York City, we observed that children exposed to lead who received Early Intervention services scored higher on standardized tests in both math and English Language arts than children exposed to lead who did not receive services. 
Author Interviews, Insomnia, Pediatrics / 17.02.2022

MedicalResearch.com Interview with: [caption id="attachment_58809" align="alignleft" width="153"]Julio Fernandez-Mendoza, PhD, CBSM, DBSM Associate Professor of Psychiatry & Behavioral Health Sleep Research & Treatment Center Director, Behavioral Sleep Medicine Program Penn State Health Milton S. Hershey Medical Cente Dr. Fernandez-Mendoza[/caption] Julio Fernandez-Mendoza, PhD, CBSM, DBSM Associate Professor of Psychiatry & Behavioral Health Sleep Research & Treatment Center Director, Behavioral Sleep Medicine Program Penn State Health Milton S. Hershey Medical Center MedicalResearch.com:  What is the background for this study?  Is insomnia familial? Response: Consistent research has shown that about 25% of school-age children have insomnia symptoms consisting of difficulties initiating or maintaining sleep. However, what has remained unknown is to what extent those insomnia symptoms persist all the way into adulthood, or whether they developmentally remit (go away with age) as the child grows into adolescence or young adulthood. This is the question that our study focused on.
Author Interviews, JAMA, OBGYNE, STD / 16.02.2022

MedicalResearch.com Interview with: [caption id="attachment_58781" align="alignleft" width="150"]Irene A. Stafford, M.S., M.D. Associate Professor Associate Program Director Maternal - Fetal Medicine Fellowship Department of Obstetrics and Gynecology Division of Maternal Fetal Medicine McGovern Medical School at UTHealth Dr. Stafford[/caption] Irene A. Stafford, M.S., M.D. Associate Professor Associate Program Director Maternal - Fetal Medicine Fellowship Department of Obstetrics and Gynecology Division of Maternal Fetal Medicine McGovern Medical School at UTHealth Houston MedicalResearch.com:  What is the background for this study? Response: We have observed disproportionately high-rates syphilis in the US over the last several years, and here in Texas. As this is now leading to health alerts in our cities, it is key we bring attention to this infection regarding risks to the pregnant patient and her fetus. Syphilis carries a nearly 40% neonatal mortality rate, so testing and treating is key in preventing this devastating neonatal infection. We need to encourage and offer testing at intake to pregnancy care, and any time a patient desires to be tested for STI.  
Author Interviews, JAMA, Pediatrics / 16.02.2022

MedicalResearch.com Interview with: [caption id="attachment_58751" align="alignleft" width="200"]Izzuddin M Aris, PhD Assistant Professor Department of Population Medicine, Harvard Medical School Division of Chronic Disease Research Across the Lifecourse, Harvard Pilgrim Health Care Institute Boston, MA Dr. Aris[/caption] Izzuddin M Aris, PhD Assistant Professor Department of Population Medicine, Harvard Medical School Division of Chronic Disease Research Across the Lifecourse Harvard Pilgrim Health Care Institute Boston, MA MedicalResearch.com:  What is the background for this study?  Response: Puberty is a key stage during child development. Previous research indicates that children in the United States are entering puberty at younger ages. These children may be in danger of developing certain diseases, such as type 2 diabetes, later in life. A better understanding of how early life factors affect puberty development is important for combating earlier puberty onset. .
Author Interviews, Environmental Risks, JAMA, OBGYNE, Pediatrics / 04.02.2022

MedicalResearch.com Interview with: [caption id="attachment_58736" align="alignleft" width="200"]Anders Hviid M.Sc.,Dr.Med.Sci. Head of Department (acting), Professor of Pharmacoepidemiology, Department of Epidemiology Research Statens Serum Institut Dr. Hviid[/caption] Anders Hviid M.Sc.,Dr.Med.Sci. Head of Department (acting), Professor of Pharmacoepidemiology, Department of Epidemiology Research Statens Serum Institut MedicalResearch.com:  What is the background for this study?  Response: An unusually low number of extremely preterm births have been observed in some countries during the initial covid-19 lockdowns. We speculated that this could be because of fewer infections, reduced activity levels, less stress etc. These are also factors that change with the seasons, and we hypothesized that extremely preterm birth might be associated with seasonality.
Author Interviews, Cannabis, JAMA, Pediatrics / 07.01.2022

MedicalResearch.com Interview with: [caption id="attachment_58615" align="alignleft" width="150"]Daniel Myran, MD, MPH, CCFP, FRCPC Family and Public Health and Preventive Medicine Physician  CIHR Fellow, Ottawa Hospital Research Institute  Department of Family Medicine Innovation Fellow University of Ottawa  Dr. Myran[/caption] Daniel Myran, MD, MPH, CCFP, FRCPC Family and Public Health and Preventive Medicine Physician CIHR Fellow, Ottawa Hospital Research Institute Department of Family Medicine Innovation Fellow University of Ottawa MedicalResearch.com: What is the background for this study? Response: Canada legalized recreational, or non-medical, cannabis in October 2018. Canada took phased approach to legalization initially only allowing flower-based cannabis products and oils and after one year permitting the sale of commercial cannabis edibles (e.g. THC containing candies, baked goods, and drinks). In this study we took advantage of this phased roll out of legal cannabis to understand the impact of legalization on cannabis exposures or poisonings in children aged 0-9 years and the contribution of different types of cannabis products to these events.
Author Interviews, Columbia, COVID -19 Coronavirus, Pediatrics / 06.01.2022

MedicalResearch.com Interview with: [caption id="attachment_58598" align="alignleft" width="200"]Dani Dumitriu, MD, PhD Assistant Professor of Pediatrics (in Psychiatry) The Sackler Institute for Developmental Psychobiology Columbia University, New York Dr. Dumitriu[/caption] Dani Dumitriu, MD, PhD Assistant Professor of Pediatrics (in Psychiatry) The Sackler Institute for Developmental Psychobiology Columbia University, New York MedicalResearch.com: What is the background for this study? What are the main findings?  Response: A lot of research has focused on the effects of COVID-19 in various vulnerable populations, such as elderly individuals, immunocompromised patients, and individuals with severe comorbidities. However, one vulnerable population that has remained relatively understudied are the infants exposed to maternal COVID-19 disease during pregnancy. While early on in the pandemic we and other groups showed reassuring data on low risk of vertical transmission, meaning the passing of the virus from mother-to-infant is rare, this does not necessarily mean that these infants wouldn't experience long-term consequences related to the maternal infection through other means. We know from other viral illness that maternal illness, most commonly through the activation of her immune system, can lead to a cascade of events that affect fetal development. This is why a large number of physicians and researchers at Columbia University spearheaded the COVID-19 Mother Baby Outcomes (COMBO) Initiative -- to look at potential long-term health effects on both infants and mothers.
Author Interviews, Cannabis, Neurology, Pediatrics / 15.12.2021

MedicalResearch.com Interview with: Rayyan Raja Zafar BSc. MSc. MRSB. Medical Research Council Doctoral Training Partnership (MRC DTP) PhD Candidate Centre for Psychedelic research & Neuropsychopharmacology Division of Psychiatry Department of Brain Sciences, Faculty of Medicine Professor David Nutt DM, FRCP, FRCPsych, FSB, FMedSci Faculty of Medicine, Department of Brain Sciences The Edmond J Safra Chair in Neuropsychopharmacology Imperial College London MedicalResearch.com: What is the background for this study? Response: Since 2018 medical cannabis prescription has become legal in the UK for patients to access. In spite of this legal change less than 3 NHS prescriptions have been made available and access to whole-plant medical cannabis products has been restricted largely to private prescriptions with very few clinicians prescribing such products. There has been a lot of anecdotal and real world evidence of the value of whole-plant medical cannabis in children suffering with treatment resistant epilepsy.
Author Interviews, Dental Research, JAMA, Pediatrics, USPSTF / 10.12.2021

MedicalResearch.com Interview with: [caption id="attachment_58505" align="alignleft" width="150"]Michael Cabana, M.D., M.A., M.P.H professor of pediatrics at the Albert Einstein College of Medicine. He is also physician-in-chief at the Children's Hospital at Montefiore and the chair of the Department of Pediatrics at the Albert Einstein College of Medicine U.S. Preventive Services Task Force Dr. Cabana[/caption] Michael Cabana, M.D., M.A., M.P.H Professor of Pediatrics Albert Einstein College of Medicine. Physician-in-chief , Children's Hospital at Montefiore Chair of the Department of Pediatrics Albert Einstein College of Medicine Member, U.S. Preventive Services Task Force  MedicalResearch.com: What is the background for this study and recommendation statement?  Response: Dental caries, also known as cavities or tooth decay, is the most common chronic disease in children in the United States and can develop in any child whose teeth have come in. Many young children under five years old do not visit a dentist, so the Task Force reviewed the latest evidence on how primary care clinicians can help prevent tooth decay in young children. The Task Force’s research led to two important findings: all young children whose teeth have come in should have fluoride varnish applied by their clinician, and all children six months and older whose water supply doesn’t contain enough fluoride should receive fluoride supplements. Both approaches can help prevent cavities in kids. The Task Force also determined that there is not enough evidence to recommend for or against screening for tooth decay in the primary care setting for children under five. This is consistent with the Task Force’s 2014 recommendation on dental caries.
Author Interviews, HPV, Vaccine Studies / 01.10.2021

MedicalResearch.com Interview with: [caption id="attachment_58184" align="alignleft" width="150"]Holly Frost, MD Assistant Professor Pediatrics University of Colorado Anschutz School of Medicine Dr. Frost[/caption] Holly Frost, MD Assistant Professor Pediatrics University of Colorado Anschutz School of Medicine [caption id="attachment_58185" align="alignleft" width="150"] Dr. Sebastian[/caption] Thersia Sebastian, MD Pediatrics, Denver Health  MedicalResearch.com: What is the background for this study? Response: Among children with acute otitis media (AOM) S.pneumoniae, H.influenzae, and M.catarrhalis are the predominant bacterial otopathogens. Historically, the gold standard for diagnosing otopathogens has been through middle ear fluid (MEF) culture. The challenge with MEF culture is that it is time-consuming and requires expert training often only done by specialists, thereby limiting its diagnostic utility to guide routine clinical care. Recent studies have shown that there is a high correlation between nasopharyngeal (NP) and MEF organisms during AOM. It is easier to collect NP swabs and less training is required. Thus, NP samples could serve as a surrogate for detection of otopathogens, potentially making identification of otopathogens practical and feasible in a typical practice environment compared to a MEF collection. Identification of otopathogens could be critical in treatment management of AOM, especially in the era of antimicrobial stewardship efforts to overall reduce unnecessary antibiotic use. Our goal was to compare the sensitivity and specificity of NP PCR to NP culture for common bacteria that cause ear infections. 
Author Interviews, COVID -19 Coronavirus, Pediatrics, Vaccine Studies / 28.09.2021

MedicalResearch.com Interview with: [caption id="attachment_57633" align="alignleft" width="200"]Dr. Baktari Dr. Baktari[/caption] Jonathan Baktari, MD CEO of e7health.com Dr. Baktari, CEO discusses Pfizer’s recent announcement that their vaccine trial for children ages 5-11 has been safe and effective, marking a major milestone in the fight against COVID-19.   MedicalResearch.com: What risks should parents weigh? Response: Pfizer has already said that based on their studies the lower dose two shot COVID vaccine for children is safe, meaning that their data shows minimal side effects. If that data is correct, then we should expect the same minor symptoms we see with teenagers to the COVID vaccine 
Author Interviews, CMAJ, COVID -19 Coronavirus, Pediatrics / 27.09.2021

MedicalResearch.com Interview with: [caption id="attachment_58162" align="alignleft" width="200"]Shaun K. Morris MD, MPH, FRCPC, FAAP, DTM&H Divisions of General Pediatrics Clinician-Scientist, Division of Infectious Diseases Division of Infectious Diseases at the Hospital for Sick Children (SickKids)  for the Canadian Paediatric Surveillance Program COVID-19 Study Team Dr. Morris[/caption] Shaun K. Morris MD, MPH, FRCPC, FAAP, DTM&H Divisions of General Pediatrics Clinician-Scientist, Division of Infectious Diseases Division of Infectious Diseases at the Hospital for Sick Children (SickKids) for the Canadian Paediatric Surveillance Program COVID-19 Study Team MedicalResearch.com: What is the background for this study? Response: The SARS-CoV-2 virus can cause the disease we now call COVID-19. In early 2020, when the SARS-CoV-2 virus first spread outside of China, it quickly became apparent that cases may be seen in Canada. It was not known at the time how infection with the virus would affect children and youth. Because more severe disease from other respiratory viruses often disproportionally affect the very young, we expected that a similar pattern may be seen with SARS-CoV-2. We also did not know if children and youth with certain underlying medical conditions may be at higher risk for more severe disease. Ultimately, this study was designed to get a better understanding of how often children and youth in Canada are hospitalized with SARS-CoV-2 infection, how often severe disease happens, and which children or youth may be at higher risk for severe disease.     
Author Interviews, Columbia, Emergency Care, JAMA, Pediatrics, Race/Ethnic Diversity, Yale / 17.09.2021

MedicalResearch.com Interview with: [caption id="attachment_58134" align="alignleft" width="201"]Destiny Tolliver, MD National Clinician Scholars Program Yale University School of Medicine New Haven, CT 06510-8088 Dr. Tolliver[/caption] Destiny Tolliver, MD National Clinician Scholars Program Yale University School of Medicine New Haven, CT 06510-8088 Katherine Nash MD, MHS Assistant Professor of Pediatrics Columbia University Irving Medical Center MedicalResearch.com: What is the background for this study? Response: This study was motivated by work from our colleagues in the adult Emergency Medicine world. Earlier this year Dr. Ambrose Wong and colleagues published work describing racial disparities in the physical restraint of adults in the ED. This prompted our group to consider whether these disparities were also present for children.