Clinical pediatrics
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Clinical pediatrics · Oct 2011
Subdural hematoma in infants without accidental or nonaccidental injury: benign external hydrocephalus, a risk factor.
Benign external hydrocephalus (BEH) is considered a self-limiting condition in infants. Subdural hematoma (SDH) in infants without a history of trauma indicates nonaccidental injury (NAI). The authors studied whether SDH can complicate BEH without apparent trauma. ⋯ Development was normal in 8 on follow-up. On follow-up imaging of 8, SDH completely resolved in 3, markedly reduced in 3, and remained stable in 2. BEH is a risk factor for SDH in infants, thus not always benign.
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Clinical pediatrics · Sep 2011
Interprofessional team training in pediatric resuscitation: a low-cost, in situ simulation program that enhances self-efficacy among participants.
Simulation-based interprofessional team training is important to ensure high-quality, safe patient care, but several barriers exist, including diverging learning needs and schedules as well as limited available resources. ⋯ A collaborative approach to design and implementation of interprofessional team training can lead to a sustainable program that serves both patient safety and training requirements set forth by professional organizations.
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Clinical pediatrics · Sep 2011
Prevention and treatment of childhood obesity: care received by a state medicaid population.
Based on chart review for a representative cluster sample of North Carolina Medicaid enrollees aged 3 to 5 years (n = 1951) and 13 to 16 years (n = 1922) years, this study describes prevalence, practice patterns, and comorbidities related to overweight/obese immediately prior to 2007 Expert Recommendations. In total, 16% of children in both age groups were overweight, and 20% (ages 3-5 years) and 25% (ages 13-16 years) were obese. For 3- to 5-year-olds, body mass index percentile was infrequently recorded (22%) or plotted on growth charts (24%), and weight status category was rarely documented (10%). ⋯ In both groups, documentation of counseling in nutrition or physical activity was rare (16% for ages 3-5 years; 7% for ages 13-16 years). In adolescents, approximately 20% received recommended laboratory screening and overweight/ obesity was significantly associated with chart-documented asthma, back pain, prediabetes, gastroesophageal reflux disease, hypertension, and sleep apnea. Whether improvements in documentation of care followed these new guidelines deserves further research.
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Clinical pediatrics · Aug 2011
No more tears? Maternal involvement during the newborn screening examination.
Babies often show signs of discomfort and distress by crying during the neonatal screening examination (NSE). The authors hypothesized that supporting the baby with maternal participation may reduce infant crying during NSE. The objective of this study was to document incidental infant crying during NSE, before and after training residents, on maternal involvement and infant comfort techniques to help. ⋯ Newborn infants cry less and mothers were more satisfied with NSEs when shown simple support and comfort techniques for their babies.
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Clinical pediatrics · Aug 2011
Epidemiology of bowling-related injuries presenting to US emergency departments, 1990-2008.
Objective. To examine bowling-related injuries presenting to US emergency departments (EDs) from 1990 to 2008. Methods. ⋯ Conclusions. Bowling injuries vary by age and gender. Further research on such differences is needed to drive the development of targeted, evidence-based injury prevention strategies.