{"title":"Foreword: Infant mental health","authors":"Arthur H. Fierman M.D. (Editor-in-Chief)","doi":"10.1016/j.cppeds.2026.101962","DOIUrl":"10.1016/j.cppeds.2026.101962","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 5","pages":"Article 101962"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth V Seiverling, Lauren Bifulco, Eileen Miller, Robert Stavert, Rachel DeMarco, Niels Kvorning Ternov, Daren R Anderson
{"title":"Dermatology eConsult: Leveraging technology to reduce barriers to pediatric dermatology care at school-based health centers.","authors":"Elizabeth V Seiverling, Lauren Bifulco, Eileen Miller, Robert Stavert, Rachel DeMarco, Niels Kvorning Ternov, Daren R Anderson","doi":"10.1016/j.cppeds.2026.101938","DOIUrl":"https://doi.org/10.1016/j.cppeds.2026.101938","url":null,"abstract":"<p><p>Many pediatric patients face barriers to accessing dermatologic care. A non-profit electronic specialty consultation (eConsult) organization worked with a medical technology company to launch an innovative dermatology eConsult program at 5 School-Based Health Center locations which are part of a statewide Federally-Qualified Health Center. We present a patient case study that highlights the immediate impact these platforms can have on the lives of young patients with skin disease.</p>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101938"},"PeriodicalIF":3.7,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial Board Page","authors":"","doi":"10.1016/S1538-5442(26)00042-8","DOIUrl":"10.1016/S1538-5442(26)00042-8","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 4","pages":"Article 101955"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding the environmental determinants of preterm birth","authors":"Ruth A. Etzel MD, PhD (Associate Editor)","doi":"10.1016/j.cppeds.2026.101942","DOIUrl":"10.1016/j.cppeds.2026.101942","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 4","pages":"Article 101942"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José F. Cordero, Carmen M Vélez, Zaira Rosario, Virginia Casey, Ingrid Padilla, John Meeker, Rita Loch-Caruso, Sean Harris, David Kaeli, Akram Alshawabkeh
{"title":"Understanding the role of environmental pollutants on preterm births in Puerto Rico: The PROTECT approach","authors":"José F. Cordero, Carmen M Vélez, Zaira Rosario, Virginia Casey, Ingrid Padilla, John Meeker, Rita Loch-Caruso, Sean Harris, David Kaeli, Akram Alshawabkeh","doi":"10.1016/j.cppeds.2026.101943","DOIUrl":"10.1016/j.cppeds.2026.101943","url":null,"abstract":"<div><div>Preterm birth (PTB) is a leading worldwide cause of morbidity and mortality among children less than five years old. In 2006, Puerto Rico reported a PTB rate of 19.9%, the highest in the United States that year. Health care factors did not explain the high rate, leading to environmental exposures as potential risk factors. The PROTECT Center studied the role of diverse chemicals in the risk of PTB and other pregnancy outcomes by recruiting and following up a cohort of pregnant persons in northwest Puerto Rico. Study participants had high levels of phthalates, pesticides, metals, and most chemicals tested, and most were associated with PTB and other adverse pregnancy outcomes. Drinking water, personal care, and household products were major sources of exposure. PROTECT also delved into the biological mechanisms underlying PTB. Inflammation and oxidative stress emerged as key mechanisms leading to adverse pregnancy outcomes through endocrine disruption of several hormones. Reporting results back to PROTECT participants was integral to the PROTECT center, which developed diverse approaches to share results. PTB rates in Puerto Rico declined to 12.2% by 2024. Further studies are needed to examine the role that common chemicals used in consumer products may play in adverse pregnancy outcomes. Reducing the impact of environmental chemicals on pregnancy outcomes must be a priority. Efforts to reduce levels of chemicals among persons of reproductive age should start before conception to further reduce the PTB rate in Puerto Rico and the United States.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 4","pages":"Article 101943"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vitamin D and skeletal health: Practical approaches for bone health across the lifespan","authors":"Siham Accacha MD, CDCES, Cynthia Silva MD, Rashida Talib MBBS, MPH, Vaishnavi Ganji MPH, MBBS, Nafeesa Saadi MD, Benjamin Udoka Nwosu MD, FAAP","doi":"10.1016/j.cppeds.2026.101940","DOIUrl":"10.1016/j.cppeds.2026.101940","url":null,"abstract":"<div><div>Vitamin D deficiency represents a global public health concern as studies indicate that half of the world’s population may be deficient in vitamin D, particularly during the winter months. Vitamin D is the primary hormone for bone mineralization in humans. It is essential for the development of the skeleton in the fetus, and further bone development in the extra-uterine environment. There is no current consensus on the recommendations for screening for vitamin D deficiency because of disagreements on the cut-off values by various medical societies, variability in testing methodologies, and a lack of clarity on the cut-off points for skeletal and extra-skeletal functions of vitamin D. As a result, confusion remains among physicians and other healthcare providers regarding when and how to screen for vitamin D, and the therapeutic serum level targets for 25-hydroxyvitamin D. This review examines the current evidence on vitamin D deficiency across the lifespan, approaches to therapy, and the ongoing lack of consensus regarding diagnosis and management of vitamin D deficiency among medical societies.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 3","pages":"Article 101940"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"High-dose Vitamin D and Non-Skeletal Health","authors":"Benjamin Udoka Nwosu MD, FAAP","doi":"10.1016/j.cppeds.2026.101939","DOIUrl":"10.1016/j.cppeds.2026.101939","url":null,"abstract":"<div><div>After several decades of failed vitamin D trials, recent successes in vitamin D studies published since 2024 have demonstrated that high-dose vitamin D therapy and elevated serum 25-hydroxyvitamin D are necessary to demonstrate vitamin D's non-skeletal outcomes in clinical trials. In this review article, we focus on recent randomized controlled trials (RCTs) and large population studies to demonstrate the non-skeletal functions of vitamin D. Diseases and pathologic states covered in this review include prediabetes, type 1 diabetes, type 2 diabetes, multiple sclerosis, atherosclerotic vascular disease, longevity and telomere length preservation. These well-designed randomized controlled trials, large population studies, and long-term studies conclusively demonstrate the strong efficacy and safety of high-dose vitamin D supplementation for non-skeletal health. This review article analyzes these recent studies in light of the 2024 Endocrine Society Guidelines on Vitamin D, which were based on earlier studies. This is particularly important, as these studies indicate that the non-skeletal functions of vitamin D are elicited at a much higher serum concentration of 25-hydroxyvitamin D of 40–60 mg/dL, in contrast to the lower threshold of 20 ng/mL concentration advocated by the Endocrine Society.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 3","pages":"Article 101939"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial Board Page","authors":"","doi":"10.1016/S1538-5442(26)00034-9","DOIUrl":"10.1016/S1538-5442(26)00034-9","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 3","pages":"Article 101947"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pediatricians' role in reducing health care plastic pollution","authors":"Ruth A. Etzel MD, PhD","doi":"10.1016/j.cppeds.2026.101924","DOIUrl":"10.1016/j.cppeds.2026.101924","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 2","pages":"Article 101924"},"PeriodicalIF":3.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}