Clinical pediatrics
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The supine sleep position is recommended to reduce sudden infant death syndrome risk. Swaddling may improve adherence with supine placement. ⋯ Parents often use swaddling to comfort the infant, and most find it effective. Parents who routinely use swaddling are more likely to place their infant supine if swaddled. Swaddling may be a strategy for parents of infants who have difficulty sleeping in the supine position.
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Clinical pediatrics · Mar 2012
Do youth hockey coaches allow players with a known concussion to participate in a game?
Ice hockey is a high-risk sport for concussion. It is important that coaches have an understanding of concussion, although previous studies have demonstrated poor knowledge of concussion recognition and management by youth coaches. A cross-sectional survey with 7 case scenarios was completed by 314 youth hockey coaches. ⋯ Statistical analysis found an inverse relationship between the coaches' age and consideration of continued participation. This places athletes at significant risk for further injury and is not consistent with current concussion guidelines. USA Hockey should provide additional concussion training for their coaches as well as mandatory health care clearance following a concussion.
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Clinical pediatrics · Mar 2012
Bilious vomiting does not rule out infantile hypertrophic pyloric stenosis.
To describe the incidence of bilious vomiting in infants with infantile hypertrophic pyloric stenosis that presented to a pediatric emergency department. ⋯ Bilious emesis was the presenting symptom in a small proportion of infants with infantile hypertrophic pyloric stenosis.
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Clinical pediatrics · Mar 2012
Family-centered rounds: views of families, nurses, trainees, and attending physicians.
To study the impact of family-centered rounds for general pediatrics inpatients. ⋯ Family participation may shorten inpatient rounds. Families and staff were satisfied with family-centered rounds, though senior resident autonomy requires attention.