Arch Pediat Adol Med
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Arch Pediat Adol Med · Jun 2000
Comparative Study Clinical TrialCombined analgesia and local anesthesia to minimize pain during circumcision.
Pain of circumcision is only partially relieved by single modalities, such as penile nerve block, lidocaine-prilocaine cream, and sucrose pacifiers. ⋯ Infants circumcised with the Mogen clamp and combined analgesia have substantially less pain than those circumcised with the Gomco clamp and lidocaine-prilocaine cream. Because of the immense pain during circumcision, combined local anesthesia and analgesia using the Mogen clamp should be considered.
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Arch Pediat Adol Med · Jun 2000
Rotavirus-associated diarrhea in outpatient settings and child care centers. The Greater Toronto Area/Peel Region PRESI Study Group. Pediatric Rotavirus Epidemiology Study for Immunization.
To determine the prevalence of rotavirus infection in outpatient and child care center (CCC) settings during the seasonal rotavirus outbreak and to describe associated health care utilization. ⋯ Across a variety of outpatient and CCC settings, rotavirus is an important cause of diarrhea and a major cause of health care utilization.
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Arch Pediat Adol Med · Jun 2000
Comparative StudyAntioxidant capacity and oxygen radical diseases in the preterm newborn.
Bronchopulmonary dysplasia, intraventricular hemorrhage, necrotizing enterocolitis, and retinopathy of prematurity may be different manifestations of oxygen radical diseases of prematurity (ORDP). ⋯ Cord serum antioxidant capacity correlates with gestational age but does not predict ORDP risk.
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Arch Pediat Adol Med · May 2000
Multicenter StudyViolence prevention in the emergency department: clinician attitudes and limitations.
To assess emergency department (ED) clinicians' attitudes and behaviors regarding identification, assessment, and intervention for youth at risk for violence in the ED. ⋯ Emergency department clinicians recognize the need for evaluation of youth at risk for violence. They are able to identify violently injured youth, but less often perform risk assessment to guide patients to appropriate follow-up resources. Further investigation should address clinician barriers to the complete care of violently injured youth in the ED.
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Arch Pediat Adol Med · Apr 2000
Clinical decision rule to identify febrile young girls at risk for urinary tract infection.
To develop a clinical prediction rule to identify febrile young girls needing urine culture for evaluation of urinary tract infection (UTI). ⋯ Using this clinical decision rule, a strategy of obtaining urine cultures from girls younger than 2 years with a score of 2 or more would lead to identification of 95% of children with UTI and elimination of 30% of unnecessary urine cultures.