The Journal of pediatrics
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The Journal of pediatrics · Jan 2012
B-type natriuretic peptide and rebound during treatment for persistent pulmonary hypertension.
To investigate whether serum B-type natriuretic peptide (BNP) is a useful biomarker in evaluating the course of persistent pulmonary hypertension of the newborn (PPHN) and the effectiveness of treatment. ⋯ BNP, a biomarker of cardiac ventricular strain, proved to be useful in evaluating the efficacy of PPHN treatment, and moreover, BNP helps to predict a rebound of PPHN.
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The Journal of pediatrics · Jan 2012
Computed tomography for minor head injury: variation and trends in major United States pediatric emergency departments.
To investigate the variation and trends in neuroimaging in children examined for minor head injury at major US pediatric emergency departments. ⋯ In this study, we found significant practice variation in CT use at pediatric hospitals examining children with minor head injury. These data may help guide national benchmarks for the appropriate use of CT imaging in pediatric patients with minor head injury.
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The Journal of pediatrics · Jan 2012
Protracted bacterial bronchitis in young children: association with airway malacia.
To examine associated findings and clinical outcome in young children with prolonged cough, wheeze, and/or noisy breathing in whom high colony counts of potentially pathogenic bacteria were cultured from bronchoalveolar lavage (BAL) during diagnostic flexible fiberoptic bronchoscopy. ⋯ High colony counts of potentially pathogenic bacteria associated with neutrophilia in the BAL identifies protracted bacterial bronchitis. The predominance of airway malacia in these patients suggests an etiologic role for those airway anomalies. The potential for chronic airway damage from protracted bacterial bronchitis warrants further investigation.