Arch Pediat Adol Med
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Arch Pediat Adol Med · Jan 2004
Smoking cessation counseling with young patients: the practices of family physicians and pediatricians.
To investigate family physicians' and pediatricians' practice of and perceived barriers to smoking cessation counseling among patients 18 years and younger. ⋯ Improvement in smoking cessation counseling skills and practices is needed among physicians treating children and adolescents.
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Arch Pediat Adol Med · Jan 2004
Comparative StudyThe effect of prior interactions with a primary care provider on nonurgent pediatric emergency department use.
To determine the effect of parental reported difficulty getting care without long waits from a primary care provider (PCP) on nonurgent pediatric emergency department (ED) use. ⋯ Parental-reported previous difficulty getting care without long waits from a PCP is a risk factor for nonurgent ED use.
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Arch Pediat Adol Med · Jan 2004
Comparative StudyComparison of traditional and plethysmographic methods for measuring pulsus paradoxus.
In the evaluation of patients with acute asthma, pulsus paradoxus (PP) is an objective and noninvasive indicator of the severity of airway obstruction. However, in children PP may be difficult or impossible to measure. Indwelling arterial catheters facilitate the measurement of PP, but they are invasive and generally reserved for critically ill patients. ⋯ Measurement of PP using the pulse oximeter-pulse plethysmographic waveform offers a simple and noninvasive method for evaluating patients with airway obstruction.
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Arch Pediat Adol Med · Dec 2003
Multicenter StudyMeasurement of urinary S100B protein concentrations for the early identification of brain damage in asphyxiated full-term infants.
Perinatal asphyxia is a major cause of mortality and morbidity. To date there are no reliable methods to detect which infants will develop brain damage after asphyxia insult. We investigated whether measurements of urine levels of S100B in asphyxiated full-term newborns may be a useful tool for early detection of postasphyxia brain damage. ⋯ Longitudinal S100B protein measurements in urine soon after birth are a useful tool to identify which asphyxiated infants are at risk of long-term neurologic sequelae.
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Arch Pediat Adol Med · Dec 2003
The incidence of pain in children with severe cognitive impairments.
Children with severe cognitive impairments are believed to suffer pain frequently. ⋯ Children with severe cognitive impairments experience pain frequently, mostly not due to accidental injury. Children with the fewest abilities experience the most pain.