Pediatrics
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To determine the effects of increased physician training and a structured clinical form on physician documentation of child physical abuse. ⋯ Little improvement in physician documentation of child physical abuse was noted between 1980 and 1995 despite increased efforts to educate housestaff in the evaluation of child abuse during this time period. Although a structured form prompted physicians to document dates and times and to illustrate physical injuries on the diagram provided, it did not significantly improve documentation of other items.
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Historical Article
Pioneers and modern ideas. Rheumatic fever--a half-century perspective.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of supination/flexion to hyperpronation in the reduction of radial head subluxations.
To compare supination at the wrist followed by flexion at the elbow (the traditional reduction technique) to hyperpronation at the wrist in the reduction of radial head subluxations (nursemaid's elbow). ⋯ In the reduction of radial head subluxations, the hyperpronation technique required fewer attempts at reduction compared with supination, was successful more often than supination, and was often successful when supination failed.
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Comparative Study Clinical Trial Controlled Clinical Trial
Decreasing nonurgent emergency department utilization by Medicaid children.
To test interventions to decrease the utilization of hospital emergency departments (EDs) for routine, nonemergent health care among Medicaid recipients. ⋯ Interventions in pediatric EDs aimed at decreasing subsequent ED utilization for nonurgent care can be effective, resulting in modest decreases in the cost of health care for a Medicaid population.