Arch Pediat Adol Med
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Arch Pediat Adol Med · Dec 2003
Follow-up urine cultures and fever in children with urinary tract infection.
The American Academy of Pediatrics practice parameter for urinary tract infection suggests a repeat urine culture if the expected clinical response is not achieved within the first 48 hours of therapy. The utility of repeat urine cultures and clinical significance of fever at 48 hours is unclear. ⋯ Follow-up urine cultures were of no utility in children hospitalized for urinary tract infection, including those with fever lasting beyond 48 hours or those with an underlying urologic disease. Fever beyond 48 hours is common and should not be used as a criterion for obtaining a repeat urine culture. These conclusions are valid for children with vesicoureteral reflux. Such an approach would result in significant cost savings.
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Arch Pediat Adol Med · Dec 2003
Predictors and tracking of body mass index from adolescence into adulthood: follow-up of 18 to 20 years in the Oslo Youth Study.
To examine tracking of body mass index (BMI) (weight in kilograms divided by the square of height in meters) from age 15 to 33 years, to examine the effect of adolescent and adult health-related behavior and parents' BMI and education on adult BMI; and to examine changes in lifestyle factors as predictors of adult overweight and obesity. ⋯ Tracking of BMI from adolescence into adulthood was substantial. Changes in LTPA between adolescence and adulthood predicted the risk of adult overweight, suggesting that the foundation for adult body weight is laid during adolescence. Implications of this would be to emphasize physical activity among youths.
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Arch Pediat Adol Med · Nov 2003
Randomized Controlled Trial Clinical TrialA randomized trial of eutectic mixture of local anesthetics during lumbar puncture in newborns.
To determine the efficacy of a topical anesthetic cream, eutectic mixture of local anesthetics (EMLA), in alleviating pain associated with lumbar puncture in newborns. ⋯ Lumbar puncture in newborns produces pain responses. Eutectic mixture of local anesthetics is an efficacious agent for reducing the pain associated with needle insertion and withdrawal during lumbar puncture in newborns.
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Arch Pediat Adol Med · Nov 2003
Randomized Controlled Trial Comparative Study Clinical TrialEvaluation of a new lancet device (BD QuikHeel) on pain response and success of procedure in term neonates.
To evaluate 2 heel lancet devices in terms of pain response and success of the procedure in neonates undergoing the newborn screening test. ⋯ The BD QuikHeel lancet is superior to the BD Safety-Flow lancet for blood collection in term neonates undergoing the newborn screening test.