New articles in the GANM Library - Aspects of Pediatrics

Dear GANM community,


In this week’s edition of the GANM Research Library Brief we would like to share three articles centering around the topics of Attention Deficit Disorder (ADD), COVID-19, and pediatric emergency physicians.



Lin, L., Xu, S., Wu, Q., …& Dong, G. (2021). Association of prenatal, early postnatal, or current exposure to secondhand smoke with attention-deficit/hyperactivity disorder symptoms in children. JAMA Network Open, 4(5):e2110931. doi:10.1001/jamanetworkopen.2021.10931


In this recently published article, researchers wanted to figure out if there is an association between prenatal, early postnatal, or current exposure to secondhand smoke with ADD/ADHD. In this cross-sectional study of approximately 45,000 school age children it was found that exposure whether during pregnancy to childhood was associated with higher odds. Furthermore, the results concluded that exposure during the prenatal and early postnatal periods put children more at risk than in childhood period. This elucidates the need for public health interventions to reduce secondhand smoke exposure!



Chow, E. J. (2021). The multisystem inflammatory syndrome in adults with SARS-CoV-2 infection—another piece of an expanding puzzle. JAMA Network Open, 4(5):e2110344. doi:10.1001/jamanetworkopen.2021.10344


In this commentary by Dr. Eric Chow the topic of multisystem inflammatory syndrome (MIS), thought to only impact the health of children, is now being seen in more and more adults. Dr. Chow goes on to speak about 15 adult patients with MIS, of which 33% required intensive care. This mysterious syndrome is cause for concern due to it’s nature and the questions surrounding the treatment of it. Although MIS is rare in adults there is a need for more research on the etiology, clinical course of treatment and patient outcomes. 



Bennett, C. L., Espinola, J. A., Sullivan, A. F., … & Camargo, C. A. (2021). Evaluation of the 2020 pediatric emergency physician workforce in the US. JAMA Network Open, 4(5):e2110084. doi:10.1001/jamanetworkopen.2021.10084


What are the characteristics of pediatric emergency physician workforce, and where do they work? In this recent study including approximately 2,000 physicians 99% reported working in an urban area while three states had no pediatric emergency physicians at all, and three had that specialty in one county. Overall, this study shines light on the need for more pediatric care in rural areas across the US, especially in lower socioeconomic settings.

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