Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Jan 2008
Injuries sustained by high school rugby players in the United States, 2005-2006.
To describe the incidence and characteristics of injuries among US high school rugby players and to identify possible injury risk factors. ⋯ As the popularity of youth rugby continues to grow in the United States, increasing numbers of physicians and certified athletic trainers will find themselves treating rugby-related injuries and answering questions from parents about the comparative safety of rugby. To our knowledge, this is the first large-scale study to describe injury rates and identify possible injury risk factors among US high school rugby players.
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Arch Pediatr Adolesc Med · Jan 2008
Newborn care by pediatric hospitalists in a community hospital: effect on physician productivity and financial performance.
To describe financial outcomes and physician productivity associated with the inclusion of well-newborn services in a pediatric hospitalist program in a community hospital. ⋯ Community hospital pediatric hospitalist programs with dedicated 24-hour staffing and a low inpatient census can be expected to operate at a substantial financial deficit if hospitalist care is limited to inpatient care and procedures. Financial performance of these programs may be improved by expanding the role of the pediatric hospitalist to include newborn care.
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Arch Pediatr Adolesc Med · Dec 2007
Comparative StudyDiscussion of illness during well-child care visits with parents of children with and without special health care needs.
To compare parents of children with special health care needs (CSHCN) with other parents to determine parents' expectations and priorities for discussing concerns related to a child's acute or chronic illness at well-child care visits, the association of unmet expectations and priorities with satisfaction, and whether discussing illness displaces prevention topics. ⋯ Discussing illness is frequently expected and highly prioritized at well-child care visits, particularly for parents of CSHCN. Unmet expectations are associated with lower satisfaction. Incorporating illness concerns at well-child care visits may improve chronic disease management.
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Arch Pediatr Adolesc Med · Nov 2007
Randomized Controlled TrialA randomized controlled trial of fluoxetine and cognitive behavioral therapy in adolescents with major depression, behavior problems, and substance use disorders.
To evaluate the effect of fluoxetine hydrochloride vs placebo on major depressive disorder, substance use disorder (SUD), and conduct disorder (CD) in adolescents receiving cognitive behavioral therapy (CBT) for SUD. ⋯ Fluoxetine and CBT had greater efficacy than did placebo and CBT on one but not both depression measures and was not associated with greater decline in self-reported substance use or CD symptoms. The CBT may have contributed to higher-than-expected treatment response and mixed efficacy findings, despite its focus on SUD.