Arch Pediat Adol Med
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Arch Pediat Adol Med · May 1998
ReviewA quantitative review of mortality and developmental disability in extremely premature newborns.
To summarize the literature on mortality rates and prevalences of major neurodevelopmental disabilities and to examine trends of these outcomes over time in extremely premature neonates. ⋯ The prevalence of disabilities had not changed among EI or ES survivors with increasing survival. However, increasing survival of these infants has resulted in a steadily increasing prevalence of children with disabilities.
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Arch Pediat Adol Med · May 1998
Comparative StudyAdolescent girls and pelvic inflammatory disease: experience and practices of emergency department pediatricians.
To describe the experience and practices of emergency department pediatricians in the United States related to the diagnosis and management of pelvic inflammatory disease (PID) in adolescent girls and to compare this experience with Centers for Disease Control and Prevention recommended management guidelines. ⋯ The results of this survey suggest that emergency department pediatricians frequently diagnose PID in adolescent girls and understand the high risk of medical complications in this age group, but their management is often less aggressive than that recommended by Centers for Disease Control and Prevention guidelines and sexually transmitted disease experts.
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Arch Pediat Adol Med · May 1998
Pediatric residents: are they ready to use computer-aided instruction?
To assess pediatric residents' readiness to use computer-aided instruction (CAI). ⋯ Despite positive attitudes toward CAI, pediatric residents are not yet universally ready to use CAI.
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Arch Pediat Adol Med · May 1998
Comparative Study Clinical Trial Controlled Clinical TrialEvaluation of a clinic-based program to promote book sharing and bedtime routines among low-income urban families with young children.
To evaluate a program of anticipatory guidance in which pediatric residents and nurse practitioners in a continuity practice gave parents books for their young children along with developmentally appropriate educational materials describing why and how to share the books and promoting reading as part of a bedtime routine. ⋯ This simple and inexpensive intervention by pediatric house staff, consisting of the provision of children's books and educational materials at well-child visits, resulted in increased enjoyment of and participation in child-centered book-related activities in low-income families. Primary care providers (ie, physicians and nurse practitioners) serving underserved pediatric populations may have a unique opportunity to promote child-centered literacy in at-risk groups.
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Arch Pediat Adol Med · May 1998
Efficacy of peripherally inserted central venous catheters placed in noncentral veins.
Peripherally inserted central venous catheters (PICCs) are commonly used intravenous access devices in children. Although PICCs are intended to be placed in central veins, many fail to reach this location. These noncentral PICCs are used for administration of medications and isotonic solutions. ⋯ Our study demonstrates that PICCs placed in noncentral veins provide reliable and safe intravenous access for administration of many medications and isotonic solutions for about 2 weeks' duration. The placement of PICCs in central veins may be restricted to those children who need central vascular access because of the type of intended therapy.