The Journal of pediatrics
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The Journal of pediatrics · Mar 2004
Use of telemedicine to provide pediatric critical care inpatient consultations to underserved rural Northern California.
To report a novel application of telemedicine and to assess the resulting quality and satisfaction of care. Study design An existing telemedicine program was evaluated through the use of a nonconcurrent cohort design. Cohorts of patients were compared by means of the Pediatric Risk of Mortality, version III (PRISM III), to adjust for severity of illness and assess risk-adjusted mortality rates. Satisfaction and quality of care surveys administered to the pediatric patient's parents and providers were also analyzed. ⋯ This study demonstrates that a regional pediatric ICU-based telemedicine program providing live interactive consultations to a rural adult ICU can provide quality care that is considered highly satisfactory to a select group of critically ill pediatric patients.
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The Journal of pediatrics · Feb 2004
Oxygenation and hemodynamics in left and right cerebral hemispheres during induction of veno-arterial extracorporeal membrane oxygenation.
Oxygenation and hemodynamics in the left and right cerebral hemispheres were measured during induction of veno-arterial extracorporeal membrane oxygenation (VA-ECMO). ⋯ The initiation of VA-ECMO causes changes in cerebral oxygenation and hemodynamics but without a difference in effect on left and right cerebral hemispheres.
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The Journal of pediatrics · Feb 2004
Case ReportsDeath caused by hyperglycemic hyperosmolar state at the onset of type 2 diabetes.
Seven obese African American youth were considered to have died from diabetic ketoacidosis (DKA) due to type 1 diabetes, despite meeting the criteria for hyperglycemic hyperosmolar state and not for DKA. All had previously unrecognized type 2 diabetes, and death may have been prevented with earlier diagnosis or treatment.
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The Journal of pediatrics · Feb 2004
Differences in antibiotic prescribing patterns for children younger than five years in the three major outpatient settings.
To perform a comprehensive analysis of the use of antibiotics in three major sites for outpatient care: private office-based clinics, emergency departments (ED), and hospital-based clinics. ⋯ There has been a decline in antibiotic prescribing in children <5 years of age, which was most notable in office-based and emergency department settings.