The Journal of pediatrics
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The Journal of pediatrics · Oct 2015
Trends in Pediatric Emergency Department Utilization for Mental Health-Related Visits.
To describe trends in utilization of pediatric emergency department (PED) resources by patients with mental health concerns over the past 10 years at a tertiary care hospital. ⋯ Mental health-related visits represent a significant and growing burden for the emergency department at a tertiary care PED. These results highlight the need to reassess the allocation of health resources to optimize acute management, risk assessment, and linkage to mental health services upon disposition from the PED.
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The Journal of pediatrics · Oct 2015
Observational StudyExhaled Carbon Dioxide and Neonatal Breathing Patterns in Preterm Infants after Birth.
To examine the amount of exhaled carbon dioxide (ECO2) with different breathing patterns in spontaneously breathing preterm infants after birth. ⋯ ECO2 varies with different breathing patterns and increases with gestational age and over time. ECO2 may be an indicator of lung aeration and that postnatal ECO2 monitoring may be useful in preterm infants in the delivery room.
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The Journal of pediatrics · Oct 2015
Maternal Asthma, Preterm Birth, and Risk of Bronchopulmonary Dysplasia.
To study the relationship between maternal asthma and the development of bronchopulmonary dysplasia (BPD). ⋯ Asthma in mothers who did not receive antenatal steroid treatment is associated with an increased risk of BPD in their preterm infants.
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The Journal of pediatrics · Sep 2015
Trends in Ambulatory Care for Children with Concussion and Minor Head Injury from Eastern Massachusetts between 2007 and 2013.
To characterize trends in health care utilization and costs for children diagnosed with concussion or minor head injury within a large pediatric primary-care association. ⋯ Over the past 7 years, health care encounters for children diagnosed with concussion or minor head injury increased substantially in eastern Massachusetts. Care for these injuries increasingly shifted from the emergency department to primary-care and specialty providers.
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The Journal of pediatrics · Sep 2015
The Treatment of Juvenile Fibromyalgia with an Intensive Physical and Psychosocial Program.
To assess the short-term and 1-year outcomes of children with fibromyalgia treated with intensive physical and occupational therapy (PT/OT) and psychotherapy. ⋯ Children with fibromyalgia can be successfully treated without medications with a very intensive PT/OT and psychotherapy program. They have significantly improved pain and function by subject report and objective measures of function.