Arch Pediat Adol Med
-
Arch Pediat Adol Med · Jun 2001
Effects of phenobarbital on cerebral blood flow velocity after endotracheal suctioning in premature neonates.
To examine the effect of phenobarbital administration on anterior cerebral artery blood flow velocity before and after endotracheal suctioning in premature neonates. ⋯ In very low-birth-weight neonates, endotracheal suctioning is associated with decreases in TcPO(2) and increases in MABP and AUVC. Treatment with phenobarbital attenuates the increases in MABP and AUVC but not the decreases in TcPO(2) after endotracheal suctioning.
-
Arch Pediat Adol Med · Jun 2001
"Love our kids, lock your guns": a community-based firearm safety counseling and gun lock distribution program.
Safer storage practices may reduce injury rates by limiting youth access to firearms. ⋯ This program prompted reporting of safer firearm storage practices, particularly among parents. Longer follow-up, verification of self-reports and correct use, testing of gun locks, and monitoring firearm injury rates after distribution programs are needed to establish the public health potential of this approach.
-
Arch Pediat Adol Med · Jun 2001
Dental concerns unrelated to trauma in the pediatric emergency department: barriers to care.
To describe patients with nontraumatic dental problems treated in our pediatric emergency department (PED) and to determine if barriers to access prompted seeking care in the PED rather than from a dentist or dental clinic. ⋯ Many pediatric patients do not have regular dental care, and this is associated with a lack of primary medical care. Access barriers to acute dental care include lack of insurance or funds, lack of a dentist, and limited hours of dental care sites. Improved insurance reimbursement, active enrollment of adolescents into preventive dental care, and expansion of provider hours may limit PED dental visits and improve the health of patients.
-
Arch Pediat Adol Med · May 2001
Multicenter StudyDelivery of smoking prevention and cessation services to adolescents.
To describe the delivery of smoking prevention and cessation screening and counseling practices to adolescents and to examine the effect of physician specialty, sex, practice characteristics, and familiarity with preventive care guidelines on the delivery of smoking cessation counseling services. ⋯ Familiarity with smoking cessation guidelines and physician's specialty and practice style with adolescents are associated with better delivery of tobacco cessation counseling to adolescents.