{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T17:05:20Z","timestamp":1784653520202,"version":"3.55.0"},"reference-count":63,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["advancesinpediatrics.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Advances in Pediatrics"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.yapd.2026.02.003","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T06:15:57Z","timestamp":1779430557000},"page":"353-370","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Climate Stewardship in the Clinical Setting"],"prefix":"10.1016","volume":"73","author":[{"given":"McKenna F.","family":"Parnes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elliott M.","family":"Weiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Mollie","family":"Grow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.yapd.2026.02.003_bib2","first-page":"1","article-title":"Fifth National Climate Assessment, U.S. Global Change Research Program","year":"2023"},{"issue":"1","key":"10.1016\/j.yapd.2026.02.003_bib5","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1007\/s42822-022-00109-y","article-title":"Rule-governed behavior and climate change: why climate warnings fail to motivate sufficient action","volume":"31","author":"Pietras","year":"2022","journal-title":"Behav Soc Issues"},{"key":"10.1016\/j.yapd.2026.02.003_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.scitotenv.2023.168388","article-title":"Impacts of climate change on the fate of contaminants through extreme weather events","volume":"909","author":"Bolan","year":"2024","journal-title":"Sci Total Environ"},{"issue":"1","key":"10.1016\/j.yapd.2026.02.003_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.fhj.2025.100240","article-title":"Understanding the health impacts of the climate crisis","volume":"12","author":"Maslin","year":"2025","journal-title":"Future Healthc J"},{"issue":"3","key":"10.1016\/j.yapd.2026.02.003_bib10","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1080\/15265161.2024.2303161","article-title":"The kids are not alright: the mental health toll of environmental injustice","volume":"24","author":"Parnes","year":"2024","journal-title":"Am J Bioeth"},{"issue":"1","key":"10.1016\/j.yapd.2026.02.003_bib11","first-page":"46","article-title":"Chronic effects of air pollution on respiratory health in Southern California children: findings from the Southern California Children\u2019s Health Study","volume":"7","author":"Chen","year":"2015","journal-title":"J Thorac Dis"},{"issue":"3","key":"10.1016\/j.yapd.2026.02.003_bib14","doi-asserted-by":"crossref","DOI":"10.1289\/EHP11900","article-title":"Increasing racial and ethnic disparities in ambient air pollution-attributable morbidity and mortality in the United States","volume":"132","author":"Kerr","year":"2024","journal-title":"Environ Health Perspect"},{"issue":"3","key":"10.1016\/j.yapd.2026.02.003_bib21","doi-asserted-by":"crossref","DOI":"10.1016\/j.outlook.2024.102150","article-title":"Application of the socioecological model to mitigate risks of heat illness","volume":"72","author":"Bernhardt","year":"2024","journal-title":"Nurs Outlook"},{"issue":"6","key":"10.1016\/j.yapd.2026.02.003_bib22","article-title":"A pediatrician\u2019s guide to climate change-informed primary care","volume":"51","author":"Philipsborn","year":"2021","journal-title":"Curr Probl Pediatr Adolesc Health Care"},{"key":"10.1016\/j.yapd.2026.02.003_bib23","doi-asserted-by":"crossref","DOI":"10.1016\/j.envint.2025.109661","article-title":"Addressing climate change concerns in pediatric health care settings: exploring parental and physician perspectives","volume":"202","author":"Lin","year":"2025","journal-title":"Environ Int"},{"issue":"6","key":"10.1016\/j.yapd.2026.02.003_bib24","article-title":"Climate change and environmental degradation: bioethical considerations and impact for neonatal care","volume":"49","author":"Parnes","year":"2025","journal-title":"Semin Perinatol"},{"issue":"1","key":"10.1016\/j.yapd.2026.02.003_bib25","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.ijwd.2020.07.006","article-title":"Climate change and pediatric skin health","volume":"7","author":"Schachtel","year":"2020","journal-title":"Int J Womens Dermatol"},{"issue":"6","key":"10.1016\/j.yapd.2026.02.003_bib26","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1097\/ACM.0000000000005633","article-title":"Pediatric resident and program director views on climate change and health curricula: a multi-institution study","volume":"99","author":"Cogen","year":"2024","journal-title":"Acad Med J Assoc Am Med Coll"},{"issue":"3","key":"10.1016\/j.yapd.2026.02.003_bib27","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1097\/ACM.0000000000003719","article-title":"Climate change and the practice of medicine: essentials for resident education","volume":"96","author":"Philipsborn","year":"2021","journal-title":"Acad Med J Assoc Am Med Coll"},{"issue":"6 Suppl","key":"10.1016\/j.yapd.2026.02.003_bib28","doi-asserted-by":"crossref","first-page":"161","DOI":"10.4300\/JGME-D-24-00077.1","article-title":"Incorporating climate change action into pediatric residency training results in institutional change","volume":"16","author":"Mockler","year":"2024","journal-title":"J Grad Med Educ"},{"issue":"0","key":"10.1016\/j.yapd.2026.02.003_bib29","article-title":"Climate emotions, thoughts, and plans among US adolescents and young adults: a cross-sectional descriptive survey and analysis by political party identification and self-reported exposure to severe weather events","volume":"0","author":"Lewandowski","year":"2024","journal-title":"Lancet Planet Health"},{"issue":"12","key":"10.1016\/j.yapd.2026.02.003_bib30","doi-asserted-by":"crossref","first-page":"e863","DOI":"10.1016\/S2542-5196(21)00278-3","article-title":"Climate anxiety in children and young people and their beliefs about government responses to climate change: a global survey","volume":"5","author":"Hickman","year":"2021","journal-title":"Lancet Planet Health"},{"key":"10.1016\/j.yapd.2026.02.003_bib31","article-title":"About one health","year":"2025","journal-title":"One Health"},{"key":"10.1016\/j.yapd.2026.02.003_bib33","unstructured":"Health Cares Climate Footprint, Available at: https:\/\/global.noharm.org\/sites\/default\/files\/documents-files\/5961\/HealthCaresClimateFootprint_092319.pdf (Accessed 13 October 2025), 2019."},{"issue":"12","key":"10.1016\/j.yapd.2026.02.003_bib35","doi-asserted-by":"crossref","first-page":"2071","DOI":"10.1377\/hlthaff.2020.01247","article-title":"Health care pollution and public health damage in the United States: an update","volume":"39","author":"Eckelman","year":"2020","journal-title":"Health Aff"},{"issue":"2","key":"10.1016\/j.yapd.2026.02.003_bib36","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1007\/s40572-024-00434-x","article-title":"Supporting decarbonization of health systems\u2014A review of international policy and practice on health care and climate change","volume":"11","author":"Hough","year":"2024","journal-title":"Curr Environ Health Rep"},{"key":"10.1016\/j.yapd.2026.02.003_bib37","series-title":"How the U.S. Health Care System Contributes to Climate Change, Commonwealth Fund","author":"Seervai","year":"2022"},{"issue":"6","key":"10.1016\/j.yapd.2026.02.003_bib38","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0157014","article-title":"Environmental impacts of the U.S. health care system and effects on public health","volume":"11","author":"Eckelman","year":"2016","journal-title":"PLoS One"},{"key":"10.1016\/j.yapd.2026.02.003_bib39","doi-asserted-by":"crossref","first-page":"47","DOI":"10.3389\/fpubh.2020.00047","article-title":"Are children\u2019s hospitals unique in the community benefits they provide? Exploring decisions to prioritize community health needs among U.S. children\u2019s and general hospitals","volume":"8","author":"Franz","year":"2020","journal-title":"Front Public Health"},{"key":"10.1016\/j.yapd.2026.02.003_bib40","doi-asserted-by":"crossref","first-page":"305","DOI":"10.3389\/fped.2019.00305","article-title":"Why children\u2019s hospitals are unique and So essential","volume":"7","author":"Casimir","year":"2019","journal-title":"Front Pediatr"},{"issue":"11","key":"10.1016\/j.yapd.2026.02.003_bib42","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.diii.2024.06.002","article-title":"Climate change and artificial intelligence in healthcare: review and recommendations towards a sustainable future","volume":"105","author":"Ueda","year":"2024","journal-title":"Diagn Interv Imaging"},{"issue":"24","key":"10.1016\/j.yapd.2026.02.003_bib43","doi-asserted-by":"crossref","first-page":"2303","DOI":"10.1056\/NEJMra2117706","article-title":"Climate change, fossil-fuel pollution, and children\u2019s health","volume":"386","author":"Perera","year":"2022","journal-title":"N Engl J Med"},{"issue":"20","key":"10.1016\/j.yapd.2026.02.003_bib51","doi-asserted-by":"crossref","first-page":"1947","DOI":"10.1001\/jama.2023.20550","article-title":"Infection prevention, planetary health, and single-use plastics","volume":"330","author":"Smith","year":"2023","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.yapd.2026.02.003_bib52","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2025.5264","article-title":"Plastic waste and COVID-19 incidence among Hospital staff after deescalation in PPE use","volume":"8","author":"Sutjipto","year":"2025","journal-title":"JAMA Netw Open"},{"issue":"21","key":"10.1016\/j.yapd.2026.02.003_bib53","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1001\/jama.2024.17961","article-title":"Health care actions for reducing plastic use and pollution","volume":"332","author":"Ong","year":"2024","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.yapd.2026.02.003_bib54","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2025.5269","article-title":"Optimizing personal protective equipment for a sustainable future","volume":"8","author":"Gadgil","year":"2025","journal-title":"JAMA Netw Open"},{"issue":"4","key":"10.1016\/j.yapd.2026.02.003_bib55","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.surge.2024.05.003","article-title":"Does reusable mean green? Comparison of the environmental impact of reusable operating room bed covers and lift sheets versus single-use","volume":"22","author":"Chang","year":"2024","journal-title":"Surgeon"},{"issue":"1","key":"10.1016\/j.yapd.2026.02.003_bib56","doi-asserted-by":"crossref","first-page":"100382","DOI":"10.1016\/j.idh.2025.07.003","article-title":"Gloves off!: environmental and financial impacts of an educational intervention to improve hand hygiene. A quality improvement study","volume":"31","author":"Wilkie-Miskin","year":"2025","journal-title":"Infect Dis Health"},{"issue":"1","key":"10.1016\/j.yapd.2026.02.003_bib57","doi-asserted-by":"crossref","DOI":"10.1002\/oto2.70103","article-title":"Reducing glove overuse in outpatient specialty clinics: cost reduction and environmental benefit","volume":"9","author":"Lalakea","year":"2025","journal-title":"OTO Open"},{"issue":"2","key":"10.1016\/j.yapd.2026.02.003_bib58","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1177\/15598276241283158","article-title":"An innovative program for hospital nutrition","volume":"19","author":"Morgenstern","year":"2024","journal-title":"Am J Lifestyle Med"},{"issue":"9","key":"10.1016\/j.yapd.2026.02.003_bib61","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1056\/NEJMp2412383","article-title":"The moral injury of inhaler prescribing","volume":"392","author":"Feldman","year":"2025","journal-title":"N Engl J Med"},{"issue":"18","key":"10.1016\/j.yapd.2026.02.003_bib62","doi-asserted-by":"crossref","first-page":"1638","DOI":"10.1001\/jama.2025.16524","article-title":"Inhaler-related greenhouse gas emissions in the US: a serial cross-sectional analysis","volume":"334","author":"Feldman","year":"2025","journal-title":"JAMA"},{"issue":"1","key":"10.1016\/j.yapd.2026.02.003_bib63","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1213\/ANE.0000000000006421","article-title":"Project SPRUCE: saving our planet by reducing carbon emissions, a pediatric anesthesia sustainability quality improvement initiative","volume":"137","author":"Hansen","year":"2023","journal-title":"Anesth Analg"},{"issue":"7","key":"10.1016\/j.yapd.2026.02.003_bib64","doi-asserted-by":"crossref","first-page":"3016","DOI":"10.1111\/bcp.15135","article-title":"The environmental impact of inhalers for asthma: a green challenge and a golden opportunity","volume":"88","author":"Wilkinson","year":"2022","journal-title":"Br J Clin Pharmacol"},{"key":"10.1016\/j.yapd.2026.02.003_bib68","unstructured":"Sustainability, Available at: https:\/\/practicegreenhealth.org\/sites\/default\/files\/2024-01\/2023-benchmark-data.pdf (Accessed 14 January 2026), 2023."},{"issue":"1","key":"10.1016\/j.yapd.2026.02.003_bib69","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1093\/eurpub\/ckac174","article-title":"The impact of switching from single-use to reusable healthcare products: a transparency checklist and systematic review of life-cycle assessments","volume":"33","author":"Keil","year":"2022","journal-title":"Eur J Publ Health"},{"key":"10.1016\/j.yapd.2026.02.003_bib70","doi-asserted-by":"crossref","DOI":"10.1016\/j.resconrec.2024.107719","article-title":"Circular economy for medical devices: barriers, opportunities and best practices from a design perspective","volume":"208","author":"Hoveling","year":"2024","journal-title":"Resour Conserv Recycl"},{"issue":"1","key":"10.1016\/j.yapd.2026.02.003_bib71","article-title":"Understanding and quantifying the environmental impact of sterile medical devices: a carbon footprint study of single-use electrosurgical scalpels and their reusable alternatives","volume":"7","author":"Goubil","year":"2025","journal-title":"BMJ Surg Interv Health Technol"},{"issue":"3","key":"10.1016\/j.yapd.2026.02.003_bib73","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2025.2513","article-title":"Carbon emissions from patient travel for health care","volume":"8","author":"Zurl","year":"2025","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.yapd.2026.02.003_bib74","unstructured":"Kruger J. Decarbonizing Health Care: Low-Carbon Transportation Policies Can Reduce Health Care Emissions and Benefit Local Communities, Georgetown Climate Center, 1-38, 2024. Available at: https:\/\/www.georgetownclimate.org\/files\/report\/Decarbonizing_Health_Care_Transportation_GCC_2024.pdf (Accessed 13 October 2025)."},{"key":"10.1016\/j.yapd.2026.02.003_bib75","article-title":"Shifting gears to green: a pilot study on decarbonizing patient transport","volume":"16","author":"Smolen","year":"2024","journal-title":"J Clim Change Health"},{"key":"10.1016\/j.yapd.2026.02.003_bib76","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2020.00472","article-title":"Pediatric critical care and the climate emergency: our responsibilities and a call for change","volume":"8","author":"Wooldridge","year":"2020","journal-title":"Front Pediatr"},{"key":"10.1016\/j.yapd.2026.02.003_bib78","unstructured":"Tackling climate change could be the greatest global health opportunity of the 21st century, The Global Climate & Health Alliance. Available at: https:\/\/climateandhealthalliance.org\/wp-content\/uploads\/2023\/05\/GCHA-Climate-Change-paper.pdf (Accessed 13 October 2025)."},{"key":"10.1016\/j.yapd.2026.02.003_bib79","doi-asserted-by":"crossref","unstructured":"Nordberg L.B., Pohl H., Haavardsholm E.A., Lillegraven S., Bretthauer M. Carbon-Footprint Analyses in RCTs - Toward Sustainable Clinical Practice. N Engl J Med. 2024, 390(24), 2234-2236. doi:10.1056\/NEJMp2402018C","DOI":"10.1056\/NEJMp2402018"},{"issue":"4","key":"10.1016\/j.yapd.2026.02.003_bib80","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1111\/imj.70047","article-title":"Practise as you preach: climate stewardship in healthcare integrating top-down and bottom-up approaches with clinician as positive role models for the community","volume":"55","author":"Ting","year":"2025","journal-title":"Intern Med J"},{"key":"10.1016\/j.yapd.2026.02.003_bib81","unstructured":"Washington State Department of Health, Available at: https:\/\/doh.wa.gov\/community-and-environment\/climate-and-health\/climate-justice (Accessed 13 October 2025)."},{"key":"10.1016\/j.yapd.2026.02.003_bib82","unstructured":"Decarbonization | AHA, Available at: https:\/\/www.aha.org\/topics\/decarbonization (Accessed 13 October 2025)."},{"key":"10.1016\/j.yapd.2026.02.003_bib83","unstructured":"Stanford V. Climate change adaptation: a guide for health and care professionals, Sustainable Healthcare, 2022. Available at: https:\/\/sustainablehealthcare.org.uk\/blog-climate-change-adaptation\/ (Accessed 13 October 2025)."},{"key":"10.1016\/j.yapd.2026.02.003_bib84","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1186\/s12889-024-19459-w","article-title":"Health systems response to climate change adaptation: a scoping review of global evidence","volume":"24","author":"Ansah","year":"2024","journal-title":"BMC Public Health"},{"issue":"4","key":"10.1016\/j.yapd.2026.02.003_bib86","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.8827","article-title":"Primary care physicians\u2019 experiences with and adaptations to time constraints","volume":"7","author":"Nguyen","year":"2024","journal-title":"JAMA Netw Open"},{"issue":"2","key":"10.1016\/j.yapd.2026.02.003_bib87","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.annemergmed.2020.03.010","article-title":"Clinical implications of climate change on US emergency medicine: challenges and opportunities","volume":"76","author":"Sorensen","year":"2020","journal-title":"Ann Emerg Med"},{"issue":"4","key":"10.1016\/j.yapd.2026.02.003_bib88","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/j.jen.2020.10.002","article-title":"A CLIMATE: a tool for assessment of climate-change-related health consequences in the emergency department","volume":"47","author":"Nicholas","year":"2021","journal-title":"J Emerg Nurs"},{"key":"10.1016\/j.yapd.2026.02.003_bib89","article-title":"Anxiety and activism in response to climate change","volume":"62","author":"Clayton","year":"2025","journal-title":"Curr Opin Psychol"},{"issue":"5","key":"10.1016\/j.yapd.2026.02.003_bib90","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1007\/s40596-022-01688-z","article-title":"Climate change and the professional obligation to socialize physicians and trainees into an environmentally sustainable medical culture","volume":"46","author":"Wortzel","year":"2022","journal-title":"Acad Psychiatry"},{"issue":"8","key":"10.1016\/j.yapd.2026.02.003_bib91","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpedsurg.2025.162280","article-title":"Why pediatric surgeons need to care about climate change","volume":"60","author":"Fitzpatrick","year":"2025","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.yapd.2026.02.003_bib92","first-page":"64","article-title":"Climate change and children\u2019s respiratory health","volume":"53","author":"Bignier","year":"2025","journal-title":"Paediatr Respir Rev"},{"issue":"1","key":"10.1016\/j.yapd.2026.02.003_bib93","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1002\/msj.20232","article-title":"Climate change, aeroallergens, and pediatric allergic disease","volume":"78","author":"Sheffield","year":"2011","journal-title":"Mt Sinai J Med J Transl Pers Med"},{"issue":"9","key":"10.1016\/j.yapd.2026.02.003_bib95","article-title":"Climate change and pediatric skin health: emerging threats, innovations, and equity gaps","volume":"17","author":"Multani","year":"2025","journal-title":"Cureus"}],"container-title":["Advances in Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0065310126000046?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0065310126000046?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T16:33:25Z","timestamp":1784651605000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0065310126000046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":63,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S0065310126000046"],"URL":"https:\/\/doi.org\/10.1016\/j.yapd.2026.02.003","relation":{},"ISSN":["0065-3101"],"issn-type":[{"value":"0065-3101","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Climate Stewardship in the Clinical Setting","name":"articletitle","label":"Article Title"},{"value":"Advances in Pediatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.yapd.2026.02.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}