Clinical pediatrics
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Clinical pediatrics · Jun 2014
Randomized Controlled TrialA randomized controlled trial of clinician-led tactile stimulation to reduce pain during vaccination in infants.
Clinician-led tactile stimulation (rubbing the skin adjacent to the injection site or applying pressure) has been demonstrated to reduce pain in children and adults undergoing vaccination. ⋯ Tactile stimulation cannot be recommended as a strategy to reduce vaccination pain in infants because of insufficient evidence of a benefit.
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Injuries from bicycles is a leading cause of trauma in children. We sought to investigate the epidemiology of bicycle handlebar injuries. ⋯ Physicians should be aware of the serious impact of bicycle handlebar injury to the abdomen. The mechanism alone should raise the suspicion of internal organ injury, and timely imaging and surgical consultation.
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Clinical pediatrics · Jun 2014
Randomized Controlled TrialFrequency of bathing in the management of atopic dermatitis: to bathe or not to bathe?
Atopic dermatitis prevalence has increased in the developed world in recent decades, and effective management is vital to improve patients' quality of life. ⋯ The frequency of bathing did not seem to play an important role in the management of atopic dermatitis. Clinicians should focus on the need for adequate skin hydration.
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Clinical pediatrics · Jun 2014
Variability of the institutional review board process within a national research network.
To determine the variability of the institutional review board (IRB) process for a minimal risk multicenter study. ⋯ IRB experiences were highly variable across study sites. These findings indicate that multicenter research projects should anticipate barriers to timely study implementation. Improved IRB standardization or centralization for multicenter clinical studies would facilitate this type of practice-based clinical research.