An international study across 11 neonatal networks found substantial variations in survival and major morbidities among preterm infants born at 22 to 23 weeks' gestation. ja.ma/4qKMIrJ

Editorial: The study by Richter et al. highlights that preterm birth results in increased health care use and a higher risk of various morbidities across multiple organ systems for at least the first five years of life. ja.ma/4ovCDNY

In this population-based cohort study, despite neonatal care advancements, children born preterm required more health care resources and faced greater health challenges in their first 5 years. ja.ma/496mpG5

Viewpoint: The rapid adoption of generative AI by US adolescents raises concerns about misinformation, body image, mental health risks, and social connection, highlighting the need for evidence-driven interventions and safeguards. ja.ma/3Jk05hW

The national rate of pediatric firearm deaths increased by 54% from 2004 to 2023, with most US youth now living in states where firearm injury is the leading cause of death. ja.ma/47tB3Gm

Confirmed cases of child maltreatment declined in the US from 2012 to 2023, but disparities persisted, with highest incidence among Black children and increasing gaps over time for sexual abuse in female children. ja.ma/491OIWf

The Court’s ruling would impact similar laws in roughly half the states trying to mitigate the devastatingly negative impact of conversion efforts. Learn more in this Viewpoint. ja.ma/47tzZCm

Automated insulin delivery systems are an effective way to improve measures of glucose management in children and adolescents with type 1 #diabetes. ja.ma/4qMMeBs

Virtual reality, 2D videos, and 2D games reduced pediatric perioperative anxiety and pain and improved induction compliance. ja.ma/4oOFEsc

Viewpoint: Earlier treatment of H pylori infection in children may prevent gastric cancer in adulthood, outweighing concerns about antibiotic resistance and reinforcing guideline-based therapy discussion. ja.ma/3XcANFt

Among US youth aged 8 to 19 years, nearly all with BMI-defined obesity also had excess adiposity. The overall prevalence of commission-defined obesity was more than double the prevalence of BMI-defined obesity. ja.ma/49rw7D6

The JAMA Summit on Firearm Violence gathered experts from medicine, policy, engineering, and community groups to develop a plan for reducing firearm harms by 2040. Learn more in this Special Communication: ja.ma/4qHjPwH

Exposure to childhood adversity was associated with elevated all-cause mortality risk among adults with diabetes, hypertension, or mild-to-moderate emergency visits. ja.ma/3LdQiKQ

Children and young adults with neurodevelopmental conditions in New Zealand have a 4.7-fold higher mortality risk, with elevated risks for medical, injury, and suicide-related deaths. ja.ma/48V8iDr

Viewpoint: #Obesity medications for youth offer clinically significant weight loss, yet barriers in access and uncertainty about long-term effects necessitate an ethical framework for pediatric decision-making. ja.ma/4nGYIIg

Viewpoint: The CDC now lists the #COVID19 vaccine for healthy children as a shared decision-making option, raising uncertainty about how clinicians should approach vaccine conversations. ja.ma/4qw8i37

From 2020 to 2023, 0.27% of Medicaid-enrolled youth received new OUD diagnoses and 0.09% had a nonfatal opioid overdose—most with additional psychiatric or substance use conditions. ja.ma/4nnXuBm

In a randomized trial of parents with neonatal ICU experience, clinician disclosure of personal opinion in a simulated tracheostomy decision did not affect parental preparation for decision-making or treatment choices. ja.ma/3X47KDX

Viewpoint: Precision psychiatry can benefit from understanding the timing of stressful experiences relative to neurodevelopmental plasticity. ja.ma/4qwhQuO

The first US atlas of pediatric acute care regions, derived from real use patterns, outperformed adult geographic frameworks in representing where children receive and are referred for acute care. ja.ma/47mtnEl

Viewpoint: The BEST Timeout model enhances child abuse reporting by minimizing bias and fostering informed, transparent decisions. ja.ma/430T107

Poisonings in children are usually accidental and are a common cause of injury. This JAMA Pediatrics Patient Page discusses the most common causes of poisoning in children and safety tips to prevent poisoning. ja.ma/3WWw1vE

Screening for high lipid levels in children is more complicated than screening in adults and can detect 2 conditions. This JAMA Pediatrics Patient Page describes what parents should consider in deciding whether to have their child screened for high lipid levels. ja.ma/474Y7ed

Editorial: Emotion regulation processes identified by neuroimaging may serve as important targets for designing and refining future pediatric interventions and research collaborations. ja.ma/4qssKBX

RCT: Neurofunctional changes were linked to improvements in maternal emotion socialization practices and reductions in adolescent anxiety and overall internalizing symptoms at 6-month follow-up. ja.ma/43Ao3Mq

Comprehensive policy changes restricting vaccine exemptions were associated with improved vaccination coverage among kindergartners during a period of elevated vaccine hesitancy. ja.ma/4qxaRCb

Stimulant marketing to physicians and advanced practice clinicians increased between 2021 and 2023, especially among psychiatrists and nurse practitioners. ja.ma/474JDLo

#Obesity and #overweight significantly contribute to obesity-related conditions in US youth, highlighting the need for effective prevention and treatment strategies. ja.ma/3L2xQok

Nearly 17 million US adolescents and young adults are eligible for #GLP1 receptor agonist therapy primarily due to #obesity, with substantial numbers uninsured or lacking regular health care access. ja.ma/47yRPUl

Viewpoint: The termination of the #ACHDNC necessitates the establishment of a new national body to ensure centralized guidance and timely updates for screening programs. ja.ma/4o1Jaj0

Viewpoint: Cultural context and family perspectives shape autism assessment and diagnosis. Considering pluralism and prioritizing therapeutic support may improve outcomes, especially for mild presentations. ja.ma/4o0dDy7

Prevalence rates for adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) among US adolescents remained stable from 2016 to 2023, with most individual ACEs varying by less than 2% and PCEs by less than 7% across eight years. ja.ma/47xjghb

🗓️ Tomorrow, October 20, at 9:00 AM at #EAPS2025: ➡️ Plenary talk with @jamapediatrics.com Editor Dimitri Christakis, “Digital addiction: the other 21st century epidemic” in Auditorium I.

📚 Outcomes of Preterm Infants Born at 22 to 23 Weeks’ Gestation in 11 International Neonatal Networks, from JAMAPediatrics. 🔗 Free to read online during #EAPS2025. ja.ma/42LOT44

📢 Attending #EAPS2025? ➡️ Join the "Beyond Medicine 02: How to get published in paediatrics" publishing session. 📆 Today, Sunday, October 19, with @jamapediatrics.com in 45 minutes at 10:30 AM in Hall 5B.

Federal and state-level Universal Free School Meal policies during and after the #COVID19 pandemic effectively increased participation in school meal programs. ja.ma/43kvJST

📚 Gonorrhea and Chlamydia Screening for Adolescents and Young Adults in Emergency Departments, from @jamapediatrics.com. ➡️ Free to read online during #EAPS2025. ja.ma/4960xun

💬 Viewpoint: Adequate material resources, not just supportive parenting, are critical for healthy child development—current poverty measures may underestimate families’ needs. ja.ma/494mFVW

During the #COVID19 pandemic, child #depression was associated with subsequent increases in maternal depression, highlighting the need for family-centered mental health approaches. ja.ma/43ohuwm

📢 Heading to #EAPS2025? Attend “Digital addiction: the other 21st century epidemic” Plenary talk 📍, and hear @jamapediatrics.com Editor Dimitri Christakis. 🗓️ Monday, October 20, at 9:00 AM in Auditorium I.

📚 Get an editor’s tips for publishing in high impact journals at #EAPS2025. 📍Hear from @jamapediatrics.com Editor Dimitri Christakis in the "Beyond Medicine 02: How to get published in paediatrics" session. ➡️ Sunday, October 19, at 10:30 in Hall 5B.

Heading to #EAPS2025? 🗓️ Check out our page created for attendees. ➡️ Find recent articles and podcasts & get information for authors on @jama.com, @jamapediatrics.com, and @jamanetworkopen.com. ja.ma/48vTD1q

Are you at #EAPS2025? JAMA Pediatrics is now on Bluesky! 🦋 Stay connected for new publications, expert perspectives, policy discussions, and the latest developments in pediatric medicine from the oldest continuously published pediatric journal in the United States. #PedSky