The Journal of pediatrics
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The Journal of pediatrics · Jan 2015
Randomized Controlled TrialProbiotics for infantile colic: a randomized, double-blind, placebo-controlled trial investigating Lactobacillus reuteri DSM 17938.
To investigate the effectiveness of Lactobacillus reuteri DSM 17938 for the treatment of infantile colic in breastfed Canadian infants, compared with placebo. ⋯ Administration of L reuteri DSM 17938 significantly improved colic symptoms by reducing crying and fussing times in breastfed Canadian infants with colic.
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The Journal of pediatrics · Jan 2015
Comparative Study Observational StudyPulse oximetry measures a lower heart rate at birth compared with electrocardiography.
To examine the effect of time after birth on heart rate (HR) measured by pulse oximetry (PO) (HRPO) and electrocardiography (ECG) (HRECG). ⋯ In infants at birth, HRPO is significantly lower compared with ECG with clinically important differences in the first minutes.
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The Journal of pediatrics · Jan 2015
Efficacy and safety of high-dose propranolol for the management of infant supraventricular tachyarrhythmias.
To report our experience with high-dose propranolol monotherapy for prophylaxis and treatment of infant supraventricular arrhythmias (SAs). ⋯ High-dose propranolol is safe and reasonably successful in the treatment of infant SA. Inpatient control may be a predictor of continued outpatient efficacy.
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The Journal of pediatrics · Dec 2014
Multicenter Study Observational StudyEmergency department practice variation in computed tomography use for children with minor blunt head trauma.
To describe factors associated with computed tomography (CT) use for children with minor blunt head trauma that are evaluated in emergency departments. ⋯ Substantial variation exists in the use of CT for children with minor blunt head trauma not explained by patient severity or rates of positive CT scans or clinically important traumatic brain injuries.
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The Journal of pediatrics · Dec 2014
Multicenter StudyAccuracy of the abdominal examination for identifying children with blunt intra-abdominal injuries.
To determine the accuracy of complaints of abdominal pain and findings of abdominal tenderness for identifying children with intra-abdominal injury (IAI) stratified by Glasgow Coma Scale (GCS) score. ⋯ The sensitivity of abdominal findings for IAI decreases as GCS score decreases. Although abdominal computed tomography is not mandatory, the risk of IAI is sufficiently high that diagnostic evaluation is warranted in children with isolated abdominal pain or tenderness.