Arch Pediat Adol Med
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Arch Pediat Adol Med · Dec 1994
Comparative StudyComparison of neonatal nurse practitioners, physician assistants, and residents in the neonatal intensive care unit.
To compare patient care delivery by neonatal nurse practitioners and physician assistants with that of pediatric residents in the intensive care setting. ⋯ Neonatal nurse practitioners and physician assistants are an effective alternative to residents for patient care in the neonatal intensive care unit.
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The article by Markel in the new Historical Perspectives of Pediatrics section of the ARCHIVES brings back a flood of memories, as I belong to the generation of pediatricians who actually used tank respirators in treating patients with poliomyelitis. In 1949, the city of Baltimore, Md, closed its contagious disease hospital (Sydenham), which served all of Maryland, and transferred its function to the Baltimore City Hospitals. The reasoning, in addition to a very low occupancy rate at Sydenham, was that the only contagious disease then likely ever to occur in epidemic form was poliomyelitis.
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Arch Pediat Adol Med · Oct 1994
Bronchial asthma and hyperreactivity after early childhood bronchiolitis or pneumonia. An 8-year follow-up study.
To determine the infantile risk factors and long-term outcome up to 8 to 10 years of age for bronchial asthma and hyperreactivity in children with early-childhood bronchiolitis or pneumonia. ⋯ The risk of bronchial asthma was increased after infantile bronchiolitis. Moreover, bronchial hyperreactivity was increased after both infantile bronchiolitis and pneumonia. Methacholine inhalation challenge was a sensitive but nonspecific test for diagnosing bronchial asthma. Both bronchiolitis and pneumonia resulting in hospitalization in early childhood distinguish a group of children with an increased risk for long-term lung function abnormalities and pulmonary illnesses.