Pediatrics
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Randomized Controlled Trial Comparative Study
High-dose inhaled fluticasone does not replace oral prednisolone in children with mild to moderate acute asthma.
Inhaled corticosteroids are not as effective as oral corticosteroids in school-aged children with severe acute asthma. It is uncertain how inhaled corticosteroids compare with oral corticosteroids in mild to moderate exacerbations. ⋯ Airway obstruction in children with mild to moderate acute asthma in the emergency department improves faster on oral than inhaled corticosteroids.
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Findings from published studies suggest that the postoperative recovery process is more painful, slower, and more complicated in adult patients who had high levels of preoperative anxiety. To date, no similar investigation has ever been conducted in young children. ⋯ Preoperative anxiety in young children undergoing surgery is associated with a more painful postoperative recovery and a higher incidence of sleep and other problems.
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Our objectives with this study were to describe the prevalence of bullying involvement (ie, bullying and victimization) among children from a multigenerational study and to examine the relationship of these childhood behaviors and exposure to intimate partner violence. ⋯ In our sample, children who were 6 to 13 years of age reported a substantial amount of bullying and victimization; a large majority were bully-victims and female. Regression analyses did not show that children who were exposed to intimate partner violence were more likely to engage in relational bullying. However, children who are exposed to intimate partner violence have a higher likelihood of internalizing behaviors and physical aggression.
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An estimated 24,200 children younger than 15 years, 20,700 (85%) of whom were younger than 5 years, were treated in US hospital emergency departments in 2005 for shopping cart-related injuries. Approximately 4% of shopping cart-related injuries to children younger than 15 years require admission to the hospital. Injuries to the head and neck represent three fourths of all injuries. ⋯ The current US standard for shopping carts should be revised to include clear and effective performance criteria for shopping cart child-restraint systems and cart stability to prevent falls from carts and cart tip-overs. This is imperative to decrease the number and severity of shopping cart-related injuries to children. Recommendations from the American Academy of Pediatrics regarding prevention of shopping cart-related injuries are included in the accompanying policy statement.