The Journal of pediatrics
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The Journal of pediatrics · Dec 2013
Multicenter StudyTiming of interventions in the delivery room: does reality compare with neonatal resuscitation guidelines?
To determine the proportion of infants who had the tasks recommended in the neonatal resuscitation guidelines performed within 30 and 60 seconds of birth, and the time taken to perform each task. ⋯ Most newborns were not managed within the time frame recommended in resuscitation guidelines. The recommended 30- and 60-second intervals may be too short.
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The Journal of pediatrics · Dec 2013
Pediatric primary care provider practices, knowledge, and attitudes of human immunodeficiency virus screening among adolescents.
To evaluate pediatric primary care provider (PCP) HIV screening practices, knowledge, and attitudes. ⋯ Although providers practicing in urban areas were more likely to report screening adolescents for HIV than those in suburban areas, overall self-reported screening rates were low, and several barriers were identified commonly. Future interventions should target increasing providers' knowledge and addressing concerns about confidentiality, requirements and counseling time, and follow-up of results.
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The Journal of pediatrics · Dec 2013
Multicenter StudyVariability in the implementation of rapid response teams at academic American pediatric hospitals.
Pediatric rapid response teams have become standard over the past decade, but are organized heterogeneously at US academic hospitals, with rare financial support. To compare rapid response team efficacy, pediatric hospitals should agree on standard outcome measures, whether it be a standard definition of floor arrest or of clinical deterioration.
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The Journal of pediatrics · Dec 2013
Patterns of growth in ambulatory males with Duchenne muscular dystrophy.
To provide weight-for-age, height-for-age, and body mass index-for-age growth reference standards for ambulatory, steroid-naïve males, ages 2-12 years, with Duchenne muscular dystrophy (DMD) and to compare these growth curves to the 2000 Centers for Disease Control and Prevention growth charts for boys, which serve as references of physical size and growth for the general male pediatric population in the US. ⋯ Charts representing the pattern of growth in ambulatory, steroid-naïve males with DMD can facilitate monitoring of growth and early detection of unusual growth patterns. Use of these growth standards also will assist in monitoring responses to corticosteroid treatment.
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The Journal of pediatrics · Dec 2013
Hyponatremia in children with bronchiolitis admitted to the pediatric intensive care unit is associated with worse outcomes.
To characterize the relationship between hyponatremia (serum sodium <135 mEq/L) and clinical outcomes in children ages 1 month to 2 years admitted to the pediatric intensive care unit (PICU) with bronchiolitis. ⋯ Pediatric patients diagnosed with bronchiolitis who present with a serum sodium concentration less than 135 mEq/L within 2 hours of admission to the PICU fare worse than their cohorts with normonatremia. A prospective study to evaluate the effects of hyponatremia appears justified.