The Journal of pediatrics
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The Journal of pediatrics · Jan 2010
Outcomes at age 2 years of infants < 28 weeks' gestational age born in Victoria in 2005.
To determine the survival rates and neurosensory outcomes of infants born at gestational age 22-27 weeks in the state of Victoria in 2005 and compare theses data with those for similar infants born in the 1990s. ⋯ Survival rates for infants born at 22-27 weeks' gestational age have not increased since the late 1990s, but the neurosensory outcome in survivors has improved.
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The Journal of pediatrics · Jan 2010
Categorizing neonatal deaths: a cross-cultural study in the United States, Canada, and The Netherlands.
To clarify the process of end-of-life decision-making in culturally different neonatal intensive care units (NICUs). ⋯ Death in the NICU occurred differently within and between countries. Distinctive end-of-life decisions can be categorized separately by using a model with uniform definitions of withholding/withdrawing mechanical ventilation correlated with the patient's physiological condition. Cross-cultural comparison of end-of-life practice is feasible and important when comparing NICU outcomes.
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The Journal of pediatrics · Dec 2009
Randomized Controlled TrialCan montelukast shorten prednisolone therapy in children with mild to moderate acute asthma? A randomized controlled trial.
To examine whether outpatient post-stabilization therapy with montelukast produces more treatment failures than prednisolone. ⋯ Montelukast does not represent an adequate alternative to corticosteroids after outpatient stabilization in mild to moderate acute asthma. This population should receive oral corticosteroids after discharge.
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The Journal of pediatrics · Dec 2009
Permanent pediatric diplomate awareness of and perspectives on maintenance of certification.
Since diplomates of the American Board of Pediatrics with permanent certificates will not be required to participate in the Maintenance of Certification (MOC) program, we determined the perceptions of permanent certificate holders about MOC and their degree of interest in participation. ⋯ A wide range of attitudes and perceptions about MOC exists among holders of permanent certificates. Concerns about the importance of MOC to parents and the usefulness of MOC participation in improving quality of care will need to be addressed.
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The Journal of pediatrics · Dec 2009
Case ReportsEffective desensitization to imiglucerase in a patient with type I Gaucher disease.
We describe a child who had anaphylactic hypersensitivity to imiglucerase therapy for Gaucher disease. Treatment was stopped and symptoms returned. After immune desensitization to imiglucerase using a rush protocol, the patient was able to resume treatment and has not had further hypersensitivity complications to date.