Arch Pediat Adol Med
-
Arch Pediat Adol Med · Feb 1998
Social determinants of pediatric residents' injury prevention counseling.
Social norms imparted by preceptors and the requirements necessary to pass American Board of Pediatrics' examinations are potentially important contributors to physician behavior. ⋯ Perceived professional norms regarding injury prevention are related to pediatric residents' counseling, Preceptors should be aware that they transmit professional norms to residents. Also, the American Board of Pediatrics can increase residents' attention to injury prevention by informing them that it will be a topic included in the board examination.
-
Arch Pediat Adol Med · Feb 1998
Oral fluid therapy. A promising treatment for vasodepressor syncope.
To investigate the predictive value of an intravenous fluid bolus during tilt table testing on clinical outcome and to evaluate of oral therapy is an effective treatment for patients with vasodepressor syncope. ⋯ Our data suggest that oral fluid therapy is an effective treatment for vasodepressor syncope in our population. Fluid bolus response during tilt table testing has a high positive but a low negative predictive value of response to oral fluid therapy. We now recommend oral fluid therapy as a primary intervention and reserve tilt table testing for oral fluid therapy failures.
-
Arch Pediat Adol Med · Jan 1998
Comparative StudyThe use of an objective structured clinical examination with postgraduate residents in pediatrics.
To evaluate the usefulness of an objective structured clinical examination (OSCE) for assessing and providing feedback to postgraduate residents in pediatrics. ⋯ The OSCE can provide a useful formative evaluation of postgraduate residents, but the usefulness of the evaluation data and the feedback must be balanced with the logistic difficulties and expense.
-
Arch Pediat Adol Med · Dec 1997
Comparative StudyRisks for bacteremia and urinary tract infections in young febrile children with bronchiolitis.
To compare the risks for bacteremia and urinary tract injections (UTI) in young febrile children with and without bronchiolitis. ⋯ Previously healthy febrile children aged 24 months or younger with bronchiolitis are unlikely to have bacteremia or UTI. Therefore, routine cultures of the blood and urine in these patients are unnecessary. More data are needed regarding the subset of febrile infants aged 2 months or younger with bronchiolitis.