Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Feb 2008
Effect of war on weapon-related deaths in Croatian children and youth.
To identify trends in weapon-related deaths associated with the Homeland War (1991-1995) among children in Croatia. ⋯ The Homeland War led to an increase in weapon-related deaths of all intents. Programs that focus on the prevention of weapon-related injuries should be integrated into programs that assist countries in rebuilding after political unrest.
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Arch Pediatr Adolesc Med · Feb 2008
Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center.
To study the effect of an intervention on prevention of respiratory arrest and cardiopulmonary arrest (CPA) and to characterize ward CPAs by preceding signs and symptoms and initial cardiac rhythm. ⋯ Transition to a PMET was not associated with a change in CPAs but was associated with a significant decrease in the incidence of ward respiratory arrests. We also describe children who may have benefited from the PMET but whose data were not captured by current outcome measures. Finally, we present a new method for categorization of ward CPAs based on preceding signs and symptoms and initial cardiac rhythm.
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Arch Pediatr Adolesc Med · Feb 2008
ReviewSystematic review of randomized controlled trials examining written action plans in children: what is the plan?
To evaluate the independent effect of a written action plan vs no plan and to compare different plans to identify characteristics of effective plans in children with asthma. ⋯ Although there are limited data to firmly conclude that provision of an action plan is superior to none, there is clear evidence suggesting that symptom-based plans are superior to peak flow-based plans in children and adolescents.
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Arch Pediatr Adolesc Med · Feb 2008
Review Case ReportsMultiple magnet ingestion as a source of severe gastrointestinal complications requiring surgical intervention.
To raise awareness of the dangers associated with magnet ingestion in children. ⋯ Ingestion of multiple magnets can cause minimal initial physical examination findings but result in significant complications, including bowel perforation, volvulus, ischemia, and death. Early surgical intervention can prevent significant morbidity and mortality. Clinical vigilance should be exercised in these cases and early surgical consultation with an aggressive surgical approach is recommended. Parents should be warned against the dangers of children's toys that contain these powerful magnets.