Archives of pediatrics & adolescent medicine
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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.
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Arch Pediatr Adolesc Med · Apr 2010
Multicenter StudyLearning that leads to action: impact and characteristics of a professional education approach to improve the care of critically ill children and their families.
To determine the impact of an innovative professional educational approach on clinicians' confidence and ability to make institutional improvements in pediatric palliative care. ⋯ The intervention was successful in improving clinicians' confidence and catalyzed improvements in pediatric palliative care within participating institutions. Relational learning holds promise for professional learning, especially when the educational goal is tied to enabling a shift in social and ethical norms.
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Arch Pediatr Adolesc Med · Apr 2010
ReviewPsychiatric morbidity in pediatric critical illness survivors: a comprehensive review of the literature.
To review the prevalence of psychiatric syndromes in pediatric critical illness survivors as well as to summarize data on vulnerabilities and pediatric intensive care unit exposures that may increase risk of developing these syndromes. ⋯ Psychiatric morbidity appears to be a substantial problem for pediatric critical illness survivors. Future research should include more in-depth assessment of post-critical illness depressive, anxiety, and psychotic symptoms, validate existing psychiatric instruments, and clarify how vulnerability factors, pediatric intensive care unit service-delivery characteristics, and severity of critical illnesses are associated with subsequent psychopathology.
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Arch Pediatr Adolesc Med · Mar 2010
Considerations about hastening death among parents of children who die of cancer.
To estimate the frequency of hastening death discussions, describe current parental endorsement of hastening death and intensive symptom management, and explore whether children's pain influences these views in a sample of parents whose child died of cancer. ⋯ More than 10% of parents considered hastening their child's death; this was more likely if the child was in pain. Attention to pain and suffering and education about intensive symptom management may mitigate consideration of hastening death among parents of children with cancer.