Clinical pediatrics
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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.
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Clinical pediatrics · May 2014
Treatment of skin and soft tissue infections in a pediatric observation unit.
To report the success rate of observation unit (OU) treatment of pediatric skin and soft tissue infections (SSTIs) and to see if we could identify variables at the time of initial evaluation that predicted successful OU treatment. ⋯ Our findings suggest that successful OU treatment is possible in a large group of patients needing hospitalization for SSTIs. Consideration of infection location may assist the emergency department clinician in determining the most appropriate unit for admission.
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Clinical pediatrics · May 2014
Treatment of late-onset hearing loss in infants with congenital cytomegalovirus infection.
To evaluate the effect of antiviral treatment on late-onset hearing loss in infants with congenital cytomegalovirus infection. ⋯ In children with late-onset hearing loss due to cytomegalovirus infection, antiviral treatment appears to prevent further deterioration and produce improvement. Controlled studies are needed to verify this observation.