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Data from a large pediatric primary care network demonstrates increases in positive depression and suicide risk screens during the COVID-19 pandemic.What's Known on This Subject: Adolescent mental heath concerns have increased during the COVID-19 pandemic. Adolescents are routinely screened for depression and suicidality in pediatric primary care, but past studies have not examined changes in these outcomes during the pandemic in the primary care setting. What This Study Adds:Using electronic health record data from a large pediatric primary care network, this study identified increases in the proportion of adolescents screening positive for depressive symptoms and suicide risk in pediatric primary care during the pandemic, especially among female adolescents.

IMPORTANCEMissed opportunities for human papillomavirus (HPV) vaccination during pediatric health care visits are common.OBJECTIVES To evaluate the effect of online communication training for clinicians on missed opportunities for HPV vaccination rates overall and at well-child care (WCC) visits and visits for acute or chronic illness (hereafter referred to as acute or chronic visits) and on adolescent HPV vaccination rates.

Introduction: Quitlines are effective in helping smokers quit, but pediatrician quitline referral rates are low, and few parents who smoke use the service. This study compared enrollment of parents who smoke in the quitline using electronic referral with that using manual referral. Study design: The study was designed as a pragmatic RCT. Setting/participants: Participants were recruited from one large, urban pediatric primary care site in Philadelphia, Pennsylvania with a high percentage of low-income families. Participants included adult parents who smoked and were present at their child's healthcare visit. Intervention: Pediatricians screened for tobacco use; smokers were given brief advice to quit and, if interested in quitting, were referred to the quitline. The eReferral ("warm handoff") involved electronically sending parent information to the quitline (parent received a call within 24-48 hours). Control group procedures were identical to eReferral, except the quitline number

Structure M13-1 is a public monumental building in the heart of ancient El Perú-Waka’, Petén, Guatemala, and is the location of Burial 61, an entombed Late Classic (seventh-century) ruler. In this report, we discuss mortuary evidence that we believe permits identification of the interred as the historically known queen, Lady K'abel.