Arch Pediat Adol Med
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Arch Pediat Adol Med · Sep 2002
Multicenter StudyEstimates of the incidence and costs associated with handlebar-related injuries in children.
The US Consumer Product Safety Commission is considering handlebar regulation regarding impact performance to address the risk of abdominal and pelvic organ injuries in bicyclists. ⋯ Handlebar-related abdominal and pelvic organ injuries pose a serious health risk to children and result in substantial health care costs. Requirements for safer handlebar designs may provide one avenue to achieve a health and economic benefit.
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Arch Pediat Adol Med · Aug 2002
Pediatric residents' attitudes and behaviors related to counseling adolescents and their parents about firearm safety.
Firearms continue to be a major cause of mortality in adolescence. Although the American Academy of Pediatrics strongly encourages pediatricians to counsel adolescents and their parents on firearm safety, few residency programs educate their trainees in this area. More in-depth information is needed to design effective educational interventions. ⋯ To increase counseling practices, clinical preceptors should aim to strengthen residents' comfort in counseling and to develop specific ways to enhance their perceived effectiveness in counseling parents.
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Arch Pediat Adol Med · Aug 2002
Comparative StudyThe rural-urban continuum: variability in statewide serious firearm injuries in children and adolescents.
To compare rates of serious firearm injuries among children and adolescents treated in a statewide trauma system. ⋯ Rates of serious firearm injuries among children and adolescents are 10-fold higher in urban than nonurban regions. Assaultive injury mechanisms predominated in urban areas, unintentional injuries in the nonurban counties. Firearm injury statistics are heavily influenced by events in the urban counties. Intervention and prevention strategies need to account for these regional discordances to optimize efficacy.
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Arch Pediat Adol Med · Aug 2002
Persistence of posttraumatic stress in violently injured youth seen in the emergency department.
To determine if symptoms of posttraumatic stress, initially evaluated in the emergency department (ED) setting, persist over time. ⋯ This study provides preliminary evidence that acute stress symptoms, assessed in the ED in the immediate aftermath of a traumatic injury, are useful indicators of risk for later posttraumatic stress.
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Arch Pediat Adol Med · Aug 2002
Implementation of a program to teach pediatric residents and faculty about domestic violence.
To obtain information about pediatric resident and staff knowledge, attitudes, and screening practices related to domestic violence (DV), to implement a domestic violence education program, and to evaluate whether the program resulted in changes in these 3 domains. ⋯ To our knowledge, this is one of the first pediatric studies to demonstrate that using a short, multifaceted educational module, it is possible to change DV screening practices and to increase identification of DV victims among pediatric residents, continuity clinic faculty, and certified-registered nurse practitioners at a pediatric teaching hospital.