Arch Pediat Adol Med
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Arch Pediat Adol Med · Nov 2004
Asthma and lung function 20 years after wheezing in infancy: results from a prospective follow-up study.
To determine the outcome until adulthood after wheezing in infancy, compared with pneumonia in infancy and with controls. ⋯ The increased risk for asthma persists until adulthood after bronchiolitis in infancy.
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Arch Pediat Adol Med · Oct 2004
Comparative Study Clinical TrialChild neurodevelopmental outcome and maternal occupational exposure to solvents.
Many women of reproductive age are employed in industries involving exposure to organic solvents. Animal toxicological studies and human case reports demonstrate that high exposure to solvents causes neurodevelopmental toxicity in exposed offspring. Data from occupationally exposed women and their children are few. ⋯ In utero exposure to organic solvents is associated with poorer performance on some specific subtle measures of neurocognitive function, language, and behavior. Reducing exposure in pregnancy is merited until more refined risk assessment is possible. Further studies that address exposure to specific solvents, dose, and gestational timing of exposure are needed.
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Arch Pediat Adol Med · Oct 2004
Comparative StudyIncidence and risk factors of fall injuries among infants: a study in Greece.
To assess the incidence of fall injuries among infants in Greece, overall and by type of nursery equipment. ⋯ Falls are a common cause of serious infant injuries, and nursery equipment is frequently involved in the injury-causing event.
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Arch Pediat Adol Med · Oct 2004
Effect of recent antipyretic use on measured fever in the pediatric emergency department.
To determine the prevalence of recent antipyretic use among febrile infants at a pediatric emergency department (ED) and to test the hypothesis that recent antipyretic use is associated with lower measured temperatures in the ED. ⋯ Although many febrile infants seen in the pediatric ED have recently received antipyretics, only a few have received a therapeutic dose between 1 and 5 hours prior to arrival. Among febrile infants seen in the ED, recent antipyretic use is associated both with a higher reported Tmax and with higher measured temperatures at the ED. Patients treated with a therapeutic antipyretic dose 1 to 5 hours prior to arrival experience more defervescence from their Tmax than untreated subjects.
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Arch Pediat Adol Med · Sep 2004
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialA multisite randomized trial of the effects of physician education and organizational change in chronic-asthma care: health outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II Study.
Traditional primary care practice change approaches have not led to full implementation of national asthma guidelines. ⋯ Planned care (nurse-mediated organizational change plus peer leader education) is an effective model for improving asthma care in the primary care setting. Peer leader education on its own may also serve as a useful model for improving asthma care, although it is less comprehensive and the treatment effect less pronounced.