The Journal of pediatrics
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To compare the frequency and severity of apneic events in very low birth weight (VLBW) infants before and after blood transfusions using continuous electronic waveform analysis. ⋯ Blood transfusions are associated with decreased apnea in VLBW infants, and apneas are less frequent at higher hematocrits.
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The Journal of pediatrics · Sep 2012
Blunt head trauma in children in a community health care setting: outcomes and variables associated with the use of computed tomography.
To evaluate the incidence of clinically important traumatic brain injury (ciTBI) in children presenting to a community hospital setting and identified factors associated with computed tomography (CT) use. ⋯ Patients in our community hospital setting are at low risk of ciTBI. The clinical indicators used to determine the need for CT in patients with more significant mechanisms of injury to pediatric or academic centers may not apply to this group. Future studies are required to determine which clinical indications are significant in this setting.
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The Journal of pediatrics · Sep 2012
The 2011 Tuscaloosa tornado: integration of pediatric disaster services into regional systems of care.
To empirically describe the integration of pediatric disaster services into regional systems of care after the April 27, 2011, tornado in Tuscaloosa, Alabama, a community with no pediatric emergency department or pediatric intensive care unit and few pediatric subspecialists. ⋯ Essential aspects of preparation include pediatric-specific clinical skills, supplies and equipment, operational disaster plans, and interagency practice embedded in everyday work. Opportunities for improvement identified include more timely response to warnings, improved practices for identifying unaccompanied children, and enhanced child safety in shelters. Successful responses depended on integration of pediatric services into regional systems of care.
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To identify urine biomarkers predictive of acute kidney injury (AKI) in infants admitted to level 2 and 3 neonatal intensive care units with birth weight >2000 g and 5-minute Apgar score ≤ 7. ⋯ Urinary biomarkers can predict AKI in neonates admitted to level 2 and 3 neonatal intensive care units.
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The Journal of pediatrics · Aug 2012
Longitudinal experiences of children remaining at home after a first-time investigation for suspected maltreatment.
To describe longitudinal change in risk for children remaining at home following a first-time investigation for suspected maltreatment. ⋯ Children remaining at home following a first-time investigation for maltreatment live with persistent risk factors for repeat maltreatment. Appropriate service referrals are uncommon, but may be associated with meaningful reduction in risk over time. Pediatricians and policy makers may be able to improve outcomes in these families with appropriate service provision and referrals.