Arch Pediat Adol Med
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Arch Pediat Adol Med · Jan 2007
Resource utilization and expenditures for overweight and obese children.
To compare health care utilization and expenditures for healthy-weight patients, overweight patients, and patients with diagnosed and undiagnosed obesity and to examine factors associated with a diagnosis of obesity. ⋯ Increased health care utilization and charges reported in obese adults are also present in obese children. Most children with obesity had not been diagnosed as having obesity in this administrative data set.
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Arch Pediat Adol Med · Jan 2007
Randomized Controlled TrialMultimicronutrient supplementation for undernourished pregnant women and the birth size of their offspring: a double-blind, randomized, placebo-controlled trial.
To evaluate the effect of multimicronutrient supplementation for undernourished pregnant women on the birth size of their offspring, incidence of low-birth-weight infants (<2500 g), and early neonatal morbidity. ⋯ Compared with iron and folic acid supplementation, the administration of multimicronutrients to undernourished pregnant women may reduce the incidence of low birth weight and early neonatal morbidity.
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Arch Pediat Adol Med · Jan 2007
Multicenter StudyHospital volumes for common pediatric specialty operations.
To describe hospital volumes for common pediatric specialty operations, to evaluate hospital and patient characteristics associated with operations performed at a low-volume hospital, and to evaluate outcomes with hospital volume. ⋯ Many children undergoing common pediatric specialty operations had these procedures performed in low-volume hospitals. Low-volume hospitals were less likely to be children's or teaching hospitals. Children undergoing tracheotomy experienced higher rates of complications in low-volume hospitals. Further research is needed to identify the reasons why so many children have these operations performed in low-volume hospitals.
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Arch Pediat Adol Med · Jan 2007
Randomized Controlled TrialEffect of multisource feedback on resident communication skills and professionalism: a randomized controlled trial.
To determine whether augmenting standard feedback on resident performance with a multisource feedback intervention improved pediatric resident communication skills and professionalism. ⋯ A multisource feedback intervention positively affected communication skills and professional behavior among pediatric residents.
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Arch Pediat Adol Med · Nov 2006
Randomized Controlled TrialHome-visiting intervention to improve child care among American Indian adolescent mothers: a randomized trial.
To assess the impact of a paraprofessional-delivered home-visiting intervention to promote child care knowledge, skills, and involvement among pregnant American Indian adolescents. ⋯ A paraprofessional-delivered, family-strengthening home-visiting program significantly increased mothers' child care knowledge and involvement. A longer and larger trial is needed to understand the intervention's potential to improve adolescent parenting and related child outcomes in American Indian communities.