Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Sep 2011
Randomized Controlled TrialPaternal vs maternal kangaroo care for procedural pain in preterm neonates: a randomized crossover trial.
To test paternal vs maternal kangaroo care (KC) to reduce pain from heel lance. ⋯ Mothers were marginally more effective than fathers in decreasing pain response. Future research should address feasibility issues and nonparent providers of KC during painful procedures.
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Arch Pediatr Adolesc Med · Sep 2011
Randomized Controlled Trial Multicenter Study Comparative StudyComparative efficacy and safety of 4 randomized regimens to treat early Pseudomonas aeruginosa infection in children with cystic fibrosis.
To investigate the efficacy and safety of 4 antipseudomonal treatments in children with cystic fibrosis with recently acquired Pseudomonas aeruginosa infection. ⋯ No difference in the rate of exacerbation or prevalence of P aeruginosa positivity was detected between cycled and culture-based therapies. Adding ciprofloxacin produced no benefits.
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Arch Pediatr Adolesc Med · Sep 2011
Randomized Controlled Trial Comparative StudyEfficient intravenous access without distress: a double-blind randomized study of midazolam and nitrous oxide in children and adolescents.
To determine whether treatment with midazolam or with nitrous oxide is more efficient in facilitating intravenous (IV) access in lean and obese children and adolescents. ⋯ Compared with treatment with midazolam, treatment with 50% nitrous oxide during IV line procedures results in a shorter total procedure time, improved rate of IV access, and a better experience for the child or adolescent. Only under rare circumstances should obese children or adolescents be treated with midazolam because of the long procedure time.
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Arch Pediatr Adolesc Med · Sep 2011
Effects of the limited English proficiency of parents on hospital length of stay and home health care referral for their home health care-eligible children with infections.
To examine the relationship of limited English proficiency of parents to hospital length of stay (LOS) and to home health care referral for their home health care eligible-children with infections. ⋯ Among pediatric inpatients with infections requiring long-term antibiotics, a primary caregiver with limited English proficiency was identified as an important independent risk factor for both increased LOS and decreased number of home health care referrals.