Pediatrics
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Randomized Controlled Trial Clinical Trial
Parents and procedures: a randomized controlled trial.
Previous work has shown that parents prefer to be present when their children undergo common invasive procedures, although physicians are ambivalent about parental presence. ⋯ In general, parents have indicated that they want to be present when their children undergo procedures. The results of this study challenge the traditional belief that parental presence negatively affects our ability to successfully complete procedures. We should encourage parents who want to be present to stay during procedures.
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Comparative Study
Experience in a neonatal intensive care unit affects pain response.
To determine the effect of being in the neonatal intensive care unit (NICU) on pain responses in infants of 32 weeks' postconceptual age (PCA). ⋯ Preterm infants who spend PCA weeks 28 through 32 in an NICU are less mature in their pain response than newborn premature infants of 32 weeks' PCA. Greater frequency of invasive procedures is associated with behavioral immaturity, whereas birth factors are associated with physiological immaturity.
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Motor vehicle-related injuries continue to be of paramount importance to adolescents. This statement describes why teenagers are at particularly great risk, suggests topics suitable for office-based counseling, describes innovative programs, and proposes steps for prevention for pediatricians, legislators, educators, and other child advocates.
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To estimate the potential benefit of increasing bicycle helmet use among children and adolescents in the United States. ⋯ There continues to be a need to advocate for greater use of bicycle helmets, particularly among young children. Helmet design changes should be considered to prevent mouth injuries.