The Journal of pediatrics
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The Journal of pediatrics · May 2003
Comparative StudyDoes age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes.
To evaluate symptoms and neurocognitive recovery patterns after sports-related concussion in high school and college athletes. ⋯ Caution and systematic evaluation should be undertaken before returning athletes with concussion to competition. Sole reliance on the self-report of the athlete may be inadequate. Preliminary data may suggest a more protracted recovery from concussion in high school athletes.
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The Journal of pediatrics · May 2003
Initiation of home mechanical ventilation in children with neuromuscular diseases.
To determine how often home mechanical ventilation (HMV) is instituted electively in children with respiratory failure from neuromuscular diseases and whether there were opportunities to discuss therapeutic options with patients/families before respiratory failure. ⋯ Most patients with neuromuscular disease had HMV initiated nonelectively after acute respiratory failure caused by pneumonia. Opportunities for discussing the therapeutic options with patients and families before respiratory failure were missed or ineffective.
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The Journal of pediatrics · May 2003
Clinical TrialRelations between exhaled nitric oxide and measures of disease activity among children with mild-to-moderate asthma.
Exhaled nitric oxide (FE(NO)) was evaluated in children with asthma after 4 to 6 years of treatment with budesonide, nedocromil, or albuterol as needed. ⋯ Budesonide therapy was more effective than nedocromil in reducing FE(NO). Unfortunately, the effects of long-term budesonide were not sustained after its discontinuation. FE(NO) may be a complementary tool to current practice guidelines in assessing asthma control and medication response.