The Journal of pediatrics
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The Journal of pediatrics · Mar 2007
Characteristics of children with vomiting after minor head trauma: a case-control study.
To study selected factors associated with vomiting after minor head trauma in children. ⋯ Post-traumatic vomiting is significantly related to personal or familial predisposition to vomit rather than to the presence of intracranial lesions.
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The Journal of pediatrics · Feb 2007
Prolonged QTc intervals and decreased left ventricular contractility in patients with propionic acidemia.
To investigate electrophysiological and functional signs of myocardial damage in patients with propionic acidemia (PA), an inborn error of metabolism caused by deficiency of propionyl CoA carboxylase (PCC). ⋯ The majority of patients with PA (even in clinically stable situations) have disturbances in cardiac electrophysiology that can contribute to cardiac complications. Possible mechanisms include effects of toxic metabolites or deprivation of essential substrates. To avoid life-threatening complications, we recommend regular cardiological evaluations in this group of patients.
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The Journal of pediatrics · Dec 2006
Correlates of violent behavior among adolescents presenting to an urban emergency department.
To examine rates and correlates of self-reported perpetrated violence among teens presenting to an urban emergency department. ⋯ Youth presenting to urban emergency departments report high rates of perpetrating violence in the past year that, on the basis of other studies, is likely to continue. These results suggest that future emergency department-based violence prevention efforts should consider universal screening of adolescents.
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The Journal of pediatrics · Dec 2006
Multicenter Study Comparative StudyComparison of chronic illness among children receiving mechanical ventilation in a cohort of children's hospitals in 1991 and 2001.
To compare the prevalence of chronic illness and characteristics of children who underwent mechanical ventilation in a cohort of patients at large children's hospitals between 1991 and 2001. ⋯ The increase in mechanical ventilation in hospitalized children is due to both an increased incidence of chronic illness and higher use within diagnostic categories. Unlike utilization of some services, the use of mechanical ventilation in hospitalized children may be a marker of increased severity of illness and need, because it is plausible that mechanical ventilation use is not primarily supply-sensitive.