This was a prospective cohort study of traumatically injured adolescents aged 12 to 18 who were admitted to a level I regional trauma center. Physician billing revenue increased 25% in the first 6 months, then continued to increase steadily.
The survey was sent to all PHs at St Louis Children's Hospital. Being a community hospitalist differs widely among programs. Meta-analysis was performed examining physician revisitation rates and symptomatic return to baseline. Given the numerous pressing national issues, both domestic and foreign, the same trend will likely occur.Primary Care Utilization and Detection of Emotional Distress After Adolescent Traumatic Injury: Identifying an Unmet Need (vol 117, pg 130, 2006)Few investigations have assessed the primary care detection of adolescent posttraumatic emotional distress after an injury. Twenty-one percent of experienced PHs and 4% of inexperienced PHs identified all 6 N2O contraindications. Outcome variables included LOS, PICU, magnesium, and intravenous (IV) steroids.
For each SUD subtype studied, the direction of the effect of exposure to pharmacotherapy was similar to that seen for the any SUD category. Overall, 16% of patients were made NPO, 75% received intravenous fluids, and 9% received enteral tube feedings. Six hundred fourteen infants weighing 3 days of age, and 5 were discharged or transferred before ROP screening.
There was no significant decrease in birth length or weight, or the frequency of small for gestational age infants.
Jane trained in Kansas City, and I trained in Philadelphia.
A total of 181 children admitted for respiratory illness were studied. Carotid elasticity indices showed no differences across the cotinine groups. The purpose of our study first was to describe the nature and the ages of introduction of complementary feeding among early weaned breastfed infants up to their first birthday and second was to assess the nutritional adequacy of these complementary foods by creating a child feeding index and to investigate its association with child nutritional status. More specifically, they sought to determine whether the routine use of IV acetaminophen would reduce postoperative morphine requirements in patients …The Prevalence of Bacteremia in Pediatric Patients With Community-Acquired Pneumonia: Guidelines to Reduce the Frequency of Obtaining Blood CulturesThe goal of this study was to determine the prevalence of bacteremia in pediatric patients with community-acquired pneumonia (CAP) at our institution and to test the effectiveness of newly developed guidelines for obtaining blood cultures. IVIG was the most common (64.5%) initial medication chosen to treat rKD, followed by methylprednisolone (27.1%) and infliximab (8.3%); however, there was significant regional variability.
Ongoing teaching tools are necessary to assess and maintain the knowledge of sedation providers regarding rare events during PS that can improve their proficiency.Assessment of Pediatric Residents' Communication and Interpersonal Skills During Family-Centered RoundsResidency training programs are required to assess and document residents' competency in communication.
The infants admitted for bronchiolitis did not demonstrate weight loss in this study; however, an association was seen between NPO status and prolonged LOS.Pediatric hospital medicine has become a viable long-term career choice. Mean CAT scores and associations between the evaluator groups were determined. Despite data limitations, we believe that neonatal diagnosis of CH represents perhaps the greatest success of newborn screening programs. Cox proportional hazards regression was used to determine independent risk factors for threshold ROP.
DM decreased maternal estradiol before lambing.
Children also underwent determination of nasal volume, skin prick tests with 7 common local allergens, flow volume curves, and nitric oxide measurement in expired air. Retrospectively comparing clinical management against a local practice guideline that recommends more restricted use of blood cultures (based on age, comorbid conditions, immunization status, and illness severity), the authors noted that 45% of those with cultures obtained were considered “low risk” for bacteremia; none of these children had true bacteremia detected. Higher cotinine concentrations were associated with increased aortic stiffness index values. We reviewed all pediatric cases of renal abscesses treated over a 10-year period in our medical center. We conclude that conservative treatment with intravenous antibiotics may be a reasonable initial approach.The goal of this study was to assess the current status of neonatal abstinence syndrome management from prenatal counseling to postdischarge follow-up care. Prenatal counseling for at-risk mothers is offered by 56.5% of responders. Threshold ROP (ie, requiring ablative therapy within 72 hours of diagnosis) was defined by the criteria of the American Academy of Pediatrics Section on Ophthalmology ROP subcommittee.
Question: Why can it be more concerning to find buprenorphine pill fragments in the mouth than to have a known ingestion in which pills are swallowed? Childhood exposure to tobacco smoke (verified with serum cotinine levels) decreases aortic elastic properties in healthy children.Summer Sunburn and Sun Exposure Among US Youths Ages 11 to 18: National Prevalence and Associated FactorsEpidemiologic evidence suggests that ultraviolet radiation (UVR), from sun exposure and sunburns during early life, is associated with increased risk of melanoma and other skin cancers in adulthood. Post-FCR, the difference in internparent scores disappeared and their scores were significantly correlated (r18 = 0.73, P < .001).
The high frequency of sunscreen use during the sunburning episodes suggests the need to educate youth and parents better about proper use of these agents, as well as the importance of practicing other sun protection behaviors, such as wearing hats and protective clothing and avoiding the sun during peak exposure times.
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