Arch Pediat Adol Med
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Arch Pediat Adol Med · Jul 2004
Editorial CommentYouths' involvement with guns: motivation vs availability.
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Arch Pediat Adol Med · Jun 2004
Comparative StudyParents' assessment of quality of care and grief following a child's death.
Deaths among children are rare, but the effect on family members is profound. Compared with adult deaths, information about grief, recovery, and quality of care is sparse. ⋯ Although there were some differences in grief responses among parents, satisfaction-with-care scores were high. Further studies should examine the role of satisfaction with care in parental grief response and incorporate the reporting of experiences rather than simple ratings to measure satisfaction with care.
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Arch Pediat Adol Med · Jun 2004
Impact of pulse oximetry and oxygen therapy on length of stay in bronchiolitis hospitalizations.
Infants hospitalized with bronchiolitis are frequently monitored with a pulse oximeter. However, there is little consensus on an acceptable lower limit of oxygenation. No previous studies have examined how the use of pulse oximetry and supplemental oxygen therapy affects length of stay. ⋯ Hospitalizations of some infants with bronchiolitis are prolonged by a perceived need for supplemental oxygen therapy based on pulse oximetry readings. Further investigation into outcomes of different levels and durations of oxygen desaturation is needed and would have the potential to reduce practice variability and shorten the length of stay.
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Arch Pediat Adol Med · Jun 2004
Review Meta Analysis Comparative StudyEfficacy and safety of acetaminophen vs ibuprofen for treating children's pain or fever: a meta-analysis.
To summarize studies testing the efficacy and safety of single-dose acetaminophen and ibuprofen for treating children's pain or fever. ⋯ In children, single doses of ibuprofen (4-10 mg/kg) and acetaminophen (7-15 mg/kg) have similar efficacy for relieving moderate to severe pain, and similar safety as analgesics or antipyretics. Ibuprofen (5-10 mg/kg) was a more effective antipyretic than acetaminophen (10-15 mg/kg) at 2, 4, and 6 hours posttreatment.
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Arch Pediat Adol Med · Jun 2004
Comparative StudyCharacterization of interpersonal violence events involving young adolescent girls vs events involving young adolescent boys.
Multiple studies have demonstrated that girls are engaging in interpersonal violence. However, little is known about the potentially unique aspects of violent events involving girls. ⋯ Violent events involving preadolescent and early adolescent girls are more likely to be in response to a previous event and to involve the home environment and family member intervention. Health care professionals should screen violently injured girls for safety concerns and retaliation plans and consider engaging the family in efforts to prevent future events.