The Journal of pediatrics
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The Journal of pediatrics · Dec 2013
Diagnostic testing and treatment of pediatric headache in the emergency department.
To describe the variability in diagnostic testing and treatment of headaches in children presenting to the emergency department (ED) with use of a nationally representative sample. ⋯ There is significant variability in the evaluation and treatment of pediatric headache in the ED. Despite evidence-based clinical guidelines for migraine headache, a large number of children continue to receive opioids and ionizing radiation in the ED.
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The Journal of pediatrics · Dec 2013
Randomized Controlled TrialMaternal vitamin D3 supplementation during the third trimester of pregnancy: effects on infant growth in a longitudinal follow-up study in Bangladesh.
To estimate the effects of prenatal vitamin D supplementation on infant growth in Dhaka, Bangladesh. ⋯ Maternal vitamin D3 supplementation (35 000 IU/wk) during the third trimester of pregnancy enhanced early postnatal linear growth in a cohort of infants in Bangladesh.
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The Journal of pediatrics · Dec 2013
A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality.
To evaluate the effectiveness of a hospital-wide initiative to improve patient safety by implementing high-reliability practices as part of a quality improvement (QI) program aimed at reducing all preventable harm. ⋯ Substantial reductions in serious safety event rate, preventable harm, hospital mortality, and cost were seen after implementation of our multifaceted approach. Measurable improvements in the safety culture were noted as well.
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The Journal of pediatrics · Dec 2013
Comparative StudyDistinguishing cardiac syncope from vasovagal syncope in a referral population.
To identify characteristics that distinguish cardiac from vasovagal syncope. ⋯ Cardiac and vasovagal syncope have dramatic differences in presentation. A screening rule that uses historic features, physical examination findings, and electrocardiogram will accurately separate patients requiring further evaluation for cardiac etiology from those with vasovagal syncope in whom cardiology referral is unnecessary.