JAMA pediatrics
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Clinical Trial
Feasibility of web-based self-triage by parents of children with influenza-like illness: a cautionary tale.
Self-triage using web-based decision support could be a useful way to encourage appropriate care-seeking behavior and reduce health system surge in epidemics. However, the feasibility and safety of this strategy have not previously been evaluated. ⋯ This pilot study suggests that web-based decision support to help parents and adult caregivers self-triage children with influenza-like illness is feasible. However, prospective refinement of the clinical algorithm is needed to improve its specificity without compromising patient safety.
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Randomized Controlled Trial
Twelve-month follow-up of cognitive behavioral therapy for children with functional abdominal pain.
To determine whether a brief intervention for children with functional abdominal pain and their parents' responses to their child's pain resulted in improved coping 12 months later. ⋯ Results suggest long-term efficacy of a brief intervention to reduce parental solicitousness and increase coping skills. This strategy may be a viable alternative for children with functional abdominal pain.
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Clinical Trial
Prospective evaluation of point-of-care ultrasonography for the diagnosis of pneumonia in children and young adults.
To determine the accuracy of point-of-care ultrasonography for the diagnosis of pneumonia in children and young adults by a group of clinicians. ⋯ Clinicians are able to diagnose pneumonia in children and young adults using point-of-care ultrasonography, with high specificity.
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To investigate the risk of self-injury in parentally cancer-bereaved youth compared with their nonbereaved peers. ⋯ One-fifth of cancer-bereaved youth reported self-injury, representing twice the odds for self-injury in their nonbereaved peers, regardless of any of the adjustments we made. Raised awareness on a broad basis in health care and allied disciplines would enable identification and support provision to this vulnerable group.
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To determine the current rate of inpatient bariatric surgical procedures among adolescents and to analyze national trends of use from 2000 to 2009. ⋯ Despite the worsening childhood obesity epidemic, the rate of inpatient bariatric procedures among adolescents has plateaued since 2003. The predominant procedure type has changed to minimally invasive techniques, including laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass. Trends show low complication rates and decreasing length of stay, despite increasing comorbid conditions among patients.