Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Nov 2008
Subsequent sexually transmitted infection after outpatient treatment of pelvic inflammatory disease.
To determine the frequency of recurrent sexually transmitted infections (STIs) and/or pelvic inflammatory disease (PID), the average time until subsequent infection following a baseline PID diagnosis, and age- and insurance-related associations with subsequent diagnoses. ⋯ Adolescents treated for PID are at risk for subsequent STI and/or PID for a 48-month period. Given the need to prevent future infections in these vulnerable youths, efforts to explore the value of ongoing strategies for risk reduction after diagnosis are warranted.
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Arch Pediatr Adolesc Med · Nov 2008
Long-term health status in childhood survivors of meningococcal septic shock.
To assess long-term health status in patients who survived meningococcal septic shock in childhood. ⋯ In patients who survived meningococcal septic shock in childhood, one-third showed long-term neurological impairments, ranging from mild to severe and irreversible. Patients reported poorer general health as measured by HUI2 and HUI3.
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Arch Pediatr Adolesc Med · Oct 2008
Multicenter Study Comparative StudyInfluenza vaccine effectiveness among children 6 to 59 months of age during 2 influenza seasons: a case-cohort study.
To measure vaccine effectiveness (VE) in preventing influenza-related health care visits among children aged 6 to 59 months during 2 consecutive influenza seasons. ⋯ In 2 seasons with suboptimal antigenic match between vaccines and circulating strains, we could not demonstrate VE in preventing influenza-related inpatient/ED or outpatient visits in children younger than 5 years. Further study is needed during years with good vaccine match.
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Arch Pediatr Adolesc Med · Oct 2008
Medical error disclosure among pediatricians: choosing carefully what we might say to parents.
To determine whether and how pediatricians would disclose serious medical errors to parents. ⋯ This study found marked variation in how pediatricians would disclose a serious medical error and revealed that they may be more willing to do so when the error is more apparent to the family. Further research on the impact of professional guidelines and innovative educational interventions is warranted to help improve the quality of error disclosure communication in pediatric settings.
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Arch Pediatr Adolesc Med · Oct 2008
No change in weight-based teasing when school-based obesity policies are implemented.
To examine rates of weight-based teasing before initiation of school-based childhood obesity prevention policies (Arkansas Act 1220 of 2003) and during the 2 years following policy implementation, as well as demographic factors related to weight-based teasing. ⋯ Although the effectiveness of school-based obesity prevention policies remains unclear, policy changes did not lead to increased weight-based teasing among children and adolescents.