Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Dec 2011
Randomized Controlled TrialHelium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial.
To compare nebulized racemic epinephrine delivered by 70% helium and 30% oxygen or 100% oxygen followed by helium-oxygen inhalation therapy via high-flow nasal cannula (HFNC) vs oxygen inhalation via HFNC in the treatment of bronchiolitis. ⋯ Nebulized racemic epinephrine delivered by helium-oxygen followed by helium-oxygen inhalation therapy delivered by HFNC was associated with a greater degree of clinical improvement compared with that delivered by oxygen among infants with bronchiolitis. Trial Registration clinicaltrials.gov Identifier: NCT00116584.
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Arch Pediatr Adolesc Med · Dec 2011
Dating violence among adolescents presenting to a pediatric emergency department.
To determine the prevalence and characteristics of dating violence experienced by adolescents seeking care in a pediatric emergency department and how often adolescents reporting victimization follow up with suggested resources. ⋯ Dating violence perpetration and victimization rates for both boys and girls who had at least 1 dating relationship are high in this pediatric emergency department population.
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Arch Pediatr Adolesc Med · Oct 2011
Retinal hemorrhages in low-risk children evaluated for physical abuse.
To describe the prevalence of retinal hemorrhage (RH) in children without intracranial injury who are being evaluated for abusive head trauma and to validate previously derived criteria for identifying patients within this population who are at low risk of having RH on dilated eye examination. ⋯ In children evaluated for physical abuse who fulfill a set of low-risk criteria, the dilated eye examination should not be a necessary component of the abuse evaluation. Use of these criteria can significantly decrease the number of children who need to undergo a dilated eye examination as part of an evaluation for abusive head trauma.
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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.