The Journal of pediatrics
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The Journal of pediatrics · Dec 2006
Persistence of obstructive sleep apnea syndrome in children after adenotonsillectomy.
To investigate the relative contribution of various risk factors to the surgical outcome of adenotonsillectomy for obstructive sleep apnea syndrome in children. ⋯ Adenotonsillectomy yields improvements in respiratory abnormalities in children with obstructive sleep apnea syndrome. Complete normalization occurs in only 25% of the patients. Obesity and AHI at diagnosis are the major determinant for surgical outcome. When normalization of respiratory measures occurs after surgery, normalization of sleep architecture will also ensue.
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The Journal of pediatrics · Nov 2006
Randomized Controlled Trial Multicenter StudySafety of reduced-antigen-content tetanus-diphtheria-acellular pertussis vaccine in adolescents as a sixth consecutive dose of acellular pertussis-containing vaccine.
The safety of a booster dose of a reduced-antigen-content tetanus-diphtheria-acellular pertussis (Tdap) vaccine was evaluated in adolescents previously vaccinated with five doses of acellular pertussis-containing vaccine. ⋯ These results suggest that Tdap is well tolerated as a sixth consecutive dose of acellular pertussis-containing vaccine.
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The Journal of pediatrics · Nov 2006
Multicenter StudyAssociation of emergency department care factors with admission and discharge decisions for pediatric patients.
We evaluated overutilization or underutilization of inpatient resources to measure the emergency department (ED) decision-making process and its association with the following care factors: annual pediatric volume, presence or absence of a pediatric emergency medicine specialist; and presence or absence of ED residents. ⋯ There is significant variability in ED decision-making for children. Residents but not volume or presence of a pediatric emergency medicine specialist are associated with increased differences in admission decisions. The process by which these differences occur was not investigated.