Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Jun 2010
Medical end-of-life decisions in children in Flanders, Belgium: a population-based postmortem survey.
To estimate the prevalence of end-of-life decisions and to describe their characteristics and the preceding decision-making process in minors in Belgium. ⋯ Medical end-of-life decisions are frequent in minors in Flanders, Belgium. Whereas parents were involved in most end-of-life decisions, the patients themselves were involved much less frequently, even when the ending of their lives was intended. At the time of decision making, patients were often comatose or the physicians deemed them incompetent or too young to be involved.
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Arch Pediatr Adolesc Med · Jun 2010
Randomized Controlled TrialRandomized trial of teaching brief motivational interviewing to pediatric trainees to promote healthy behaviors in families.
That pediatric resident trainees would demonstrate increased counseling skill following training in brief motivational interviewing (MI). ⋯ Pediatric trainees' skills in behavior change counseling improved following the combination of training in brief MI plus personalized feedback.
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Arch Pediatr Adolesc Med · Jun 2010
Risks of propofol sedation/anesthesia for imaging studies in pediatric research: eight years of experience in a clinical research center.
To quantify the incidence of adverse events associated with anesthesia given for research-driven imaging studies and to identify risk factors for those events in pediatric research subjects. ⋯ In our clinical research sample of high-risk children who received sedation/anesthesia by an anesthesiologist, we observed a low incidence of adverse events and no long-term complications. Risk factors for adverse events included higher ASA classification, increasing anesthetic duration, and presence of airway abnormalities.