Arch Pediat Adol Med
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Arch Pediat Adol Med · Apr 1996
Letter Review Case ReportsAortic dissection in a 5-year old girl with Marfan's syndrome.
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Arch Pediat Adol Med · Apr 1996
Childhood victims of violence. Hospital utilization by children with intentional injuries.
To describe the utilization of hospital resources by children admitted with intentional injuries. ⋯ Intentionally injured children use more hospital resources and consequently incur higher hospital charges than those with unintentional injuries. Injury acuity contributes to this phenomenon, as do complex social needs. These data suggest that efforts directed at preventing intentional injuries will significantly affect injury-related health care costs.
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Arch Pediat Adol Med · Apr 1996
Randomized Controlled Trial Clinical TrialOutpatient treatment of croup with nebulized dexamethasone.
To determine if treating children who have acute, moderate croup with nebulized dexamethasone sodium phosphate in the emergency department results in clinical improvement by 4 hours and a decrease in the hospitalization rate. ⋯ Treatment of moderate croup with nebulized dexamethasone results in clinical improvement within 4 hours. We did not show a decrease in hospitalization rates, although our sample size was only large enough to detect a 67% reduction in the rate of hospitalization. Given the infectious complications and the absence of evidence for a sustained clinical effect, we do not recommend that patients with croup be treated with nebulized dexamethasone.
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Arch Pediat Adol Med · Apr 1996
Improving participation and interrater agreement in scoring Ambulatory Pediatric Association abstracts. How well have we succeeded?
To determine whether increasing the number and types of raters affected interrater agreement in scoring abstracts submitted to the Ambulatory Pediatric Association. ⋯ The number and expertise of those rating abstracts increased from 1990 to 1995. However, interrater agreement did not change and remained low. Further efforts are needed to improve the interrater agreement.