The Journal of pediatrics
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The Journal of pediatrics · Jan 2010
Is acute lobar nephronia the midpoint in the spectrum of upper urinary tract infections between acute pyelonephritis and renal abscess?
To examine acute lobar nephronia (ALN) in the spectrum of upper urinary tract infections between acute pyelonephritis (APN) and renal abscess. ⋯ We suggest that simple ALN be regarded clinically as the progression of APN. By contrast, complicated ALN is a distinct, more severe disease entity, and it may relate to or progress to renal abscess. ALN is probably not the midpoint in the traditional dynamic spectrum of upper urinary tract infections between APN and renal abscess.
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The Journal of pediatrics · Jan 2010
Case ReportsBrown recluse spider (Loxosceles reclusa) envenomation leading to acute hemolytic anemia in six adolescents.
Loxosceles reclusa (brown recluse spider) bites often cause local envenomation reactions; however, acute hemolysis from systemic loxoscelism is rare. To highlight this important diagnostic consideration for unexplained hemolysis in areas endemic for brown recluse spiders, we report on 6 adolescents with acute hemolytic anemia from presumed L reclusa bites.
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The Journal of pediatrics · Jan 2010
Outcomes at age 2 years of infants < 28 weeks' gestational age born in Victoria in 2005.
To determine the survival rates and neurosensory outcomes of infants born at gestational age 22-27 weeks in the state of Victoria in 2005 and compare theses data with those for similar infants born in the 1990s. ⋯ Survival rates for infants born at 22-27 weeks' gestational age have not increased since the late 1990s, but the neurosensory outcome in survivors has improved.
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The Journal of pediatrics · Jan 2010
Categorizing neonatal deaths: a cross-cultural study in the United States, Canada, and The Netherlands.
To clarify the process of end-of-life decision-making in culturally different neonatal intensive care units (NICUs). ⋯ Death in the NICU occurred differently within and between countries. Distinctive end-of-life decisions can be categorized separately by using a model with uniform definitions of withholding/withdrawing mechanical ventilation correlated with the patient's physiological condition. Cross-cultural comparison of end-of-life practice is feasible and important when comparing NICU outcomes.