Also this part "the President said he did not know what the MRI was meant to diagnose, nor on what part of his body it had been performed. “I have no idea,” Trump said."

Ask anyone who has had a brain MRI - they 100% remember if their head was inside the machine or not.

I've wondered how many folks couldn't attend last year and have two years worth of submissions saved up!

Additional factors associated with lower rates of nirsevimab receipt in US include:

-Older age (OR 0.60; CI 0.58–0.62)
-Black race (OR 0.53; CI 0.43–0.65)
-Very low Child Opportunity Index (OR 0.70; CI 0.54–0.91)
-Public insurance (OR 0.79; CI 0.67–0.92)

Nirsevimab is available in the US, but there are still gaps that put infants at risk:

1. Sometimes reserved for high risk infants (preterm, NICU) at the delivery hospital.
2. Not available at all pediatric practices.
3. Adults and older kids who are not eligible for mab or vaccination.

Numerous additional benefits found in other studies:

Student Participation, Attendance, Academic Performance, Diet Quality, Food Security, and Body Mass Index:
doi.org/10.3390/nu13...

Childhood Obesity:
doi.org/10.1542/peds...

Blood Pressure Outcomes Among Youth:
doi.org/10.1001/jama...

Future studies are needed to investigate potential drivers of inequities in referral patterns (transportation, childcare, language access, receipt of appropriate anticipatory guidance, and mistrust of the healthcare system) and further explore the quality of the consultation provided.

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In the periviable cohort, access to care appeared to be a contributing factor.

Pregnant people who did not receive consultation were more likely to:
-have inadequate prenatal care (39.1% v 8.1%)
-shorter time from admission to delivery (<1h v 70h)

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