Paediatrics & child health
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Paediatr Child Health · Apr 2009
The role of economic and cultural status as risk indicators for alcohol and marijuana use among adolescents.
A number of reports suggest that Aboriginal cultural status is a major risk indicator for drug and alcohol use. The primary purpose of the present paper was to determine whether Aboriginal cultural status is independently associated with risk behaviours, such as marijuana use and alcohol abuse, among youth after multivariate adjustment for other factors, such as socioeconomic status. ⋯ To be more successful, future policies directed toward reducing risk behaviours among youth should consider neighbourhood income characteristics.
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Paediatr Child Health · Oct 2003
Procedural sedation and analgesia for paediatric patients in the emergency department.
Children presenting to the emergency department (ED) often require sedation for brief procedures such as fracture and dislocation reductions, laceration repairs, and imaging procedures that are painful, anxiety provoking or both. This article presents three cases of paediatric patients who require sedation and/or analgesia, and summarizes important aspects of procedural sedation for the primary care practitioner in the emergency setting. ⋯ Emphasis is placed on indications, contraindications, dosing, timing and advantages and disadvantages of each. Reversal agents are mentioned, and discharge criteria are outlined.
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Paediatr Child Health · Sep 2003
Does a paediatric after-hours clinic use evidence-based guidelines in the management of acute otitis media?
To determine whether a paediatric after-hours clinic uses evidence-based management in the treatment of acute otitis media, and compare this management with that provided in a paediatric emergency department and a general hospital emergency department. ⋯ The paediatric after-hours clinic provided a high level of adherence to a clinical practice guideline and had a low utilization of resource intensive investigations.