Arch Pediat Adol Med
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Arch Pediat Adol Med · Feb 2001
Review Practice Guideline GuidelineConsensus statement for the prevention and management of pain in the newborn.
To develop evidence-based guidelines for preventing or treating neonatal pain and its adverse consequences. Compared with older children and adults, neonates are more sensitive to pain and vulnerable to its long-term effects. Despite the clinical importance of neonatal pain, current medical practices continue to expose infants to repetitive, acute, or prolonged pain. ⋯ Management of pain must be considered an important component of the health care provided to all neonates, regardless of their gestational age or severity of illness.
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Arch Pediat Adol Med · Feb 2001
Randomized Controlled Trial Clinical TrialThe addition of ceftriaxone to oral therapy does not improve outcome in febrile children with urinary tract infections.
To determine whether the addition of a single dose of ceftriaxone sodium to a 10-day course of trimethoprim and sulfamethoxazole hastens urine sterilization or resolution of clinical symptoms in febrile children with urinary tract infections. ⋯ The addition of a single dose of intramuscular ceftriaxone to a 10-day course of oral trimethoprim-sulfamethoxazole for urinary tract infection with fever resulted in no difference at 48 hours in the urine sterilization rate, degree of clinical improvement, or subsequent hospital admission rate.
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Arch Pediat Adol Med · Feb 2001
The effects of regular source of care and health need on medical care use among rural adolescents.
To examine those factors associated with the use of different types of ambulatory health services in a rural adolescent population. ⋯ This study provides compelling evidence that for rural adolescents, having a regular source of care and medical need are the most important predictors of use across a variety of types of ambulatory care.
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To describe the use of a computer education station placed within a pediatric emergency department. ⋯ Pediatric residents are willing to use an educational computer placed in the emergency department. Choice of form and content should take into account the likelihood of short interactions and the demonstrated interest of allied health professionals.
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To assess outcomes of trauma caused by television sets falling onto children. ⋯ The injuries reported are not trivial. Not only did they require hospitalization, but they also resulted in an in-hospital death rate comparable to the 2.5% rate observed in children of the same age group injured by unintentional blunt trauma, inclusive of motor vehicle traffic-related injuries. Since virtually all American children are at risk for such injury, we suggest that television set designs be modified to reduce the incidence and severity of the problem.