Arch Pediat Adol Med
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Arch Pediat Adol Med · Sep 2005
Randomized Controlled Trial Comparative Study Clinical TrialPressure-regulated volume control ventilation vs synchronized intermittent mandatory ventilation for very low-birth-weight infants: a randomized controlled trial.
To test the hypothesis that pressure-regulated volume control (PRVC), an assist/control mode of ventilation, would increase the proportion of very low-birth-weight infants who were alive and extubated at 14 days of age as compared with synchronized intermittent mandatory ventilation (SIMV). ⋯ In mechanically ventilated infants with birth weights of 500 to 1249 g, using PRVC ventilation from birth did not alter time to extubation.
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Most end-of-life decision-making studies have, until now, involved either the general population or newborn infants. ⋯ While not inconsiderable, the percentage of end-of-life decisions was lower for children than for adults and newborn infants. Most children are not considered to be able to participate in the decision-making process. Decisions are generally discussed with parents and other caregivers and, if possible, with the child.
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Arch Pediat Adol Med · Sep 2005
ReviewA systematic review of the role of hydrolyzed infant formulas in allergy prevention.
To critically examine the published literature to determine whether feeding hydrolyzed infant formulas from birth has a role in allergy prevention. ⋯ Extensively hydrolyzed casein formulas and partially hydrolyzed whey formulas are appropriate alternatives to breast milk for allergy prevention in infants at risk. Because atopic disease in children cannot be predicted, the use of these formulas in the general population should be considered, and one must weigh cost, compliance, and long-term benefits.
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Arch Pediat Adol Med · Jul 2005
Comparative StudyPrehospital and in-hospital mortality: a comparison of intentional and unintentional traumatic brain injuries in Colorado children.
To describe the incidence and case-fatality rates of traumatic brain injury (TBI) in young children in Colorado, to compare these injuries based on intentionality and outcome (prehospital death, in-hospital death, or survival), and to model the association of intentionality with TBI-related mortality. ⋯ Intentionality--independent of severity--raises the mortality of TBI in young children.