The Journal of pediatrics
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The Journal of pediatrics · Nov 2014
White matter microstructure and cognition in adolescents with congenital heart disease.
To describe the relationship between altered white matter microstructure and neurodevelopment in children with dextro-transposition of the great arteries (d-TGA). ⋯ Within the group with d-TGA, regions of reduced white matter microstructure are associated with cognitive performance in a pattern similar to that seen in healthy adolescents and adults. Diminished white matter microstructure may contribute to cognitive compromise in adolescents who underwent open-heart surgery in infancy.
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The Journal of pediatrics · Nov 2014
The availability and the adherence to pediatric guidelines for the management of syncope in the Emergency Department.
To evaluate the impact of the 2009 Italian pediatric clinical guidelines on the management of syncope. ⋯ Providing practitioners in the ED with age-oriented clinical guidelines increased the efficiency of clinical management of pediatric syncope. Our study demonstrated that the implementation of pediatric clinical guidelines on syncope improve diagnosis, reduce hospital admissions, and decrease the use of unnecessary diagnostic tests.