The Journal of pediatrics
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The Journal of pediatrics · Dec 2013
Association between maintenance fluid tonicity and hospital-acquired hyponatremia.
To evaluate whether the administration of hypotonic fluids compared with isotonic fluids is associated with a greater risk for hyponatremia in hospitalized children. ⋯ Hyponatremia was common regardless of maintenance fluid tonicity; however, the administration of hypotonic maintenance fluids compared with isotonic fluids was associated with a greater risk of developing hospital-acquired hyponatremia. Additional clinical characteristics modified the hyponatremic effect of hypotonic fluid, and it is possible that optimal maintenance fluid therapy now requires a more individualized approach.
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The Journal of pediatrics · Dec 2013
Pediatric primary care provider practices, knowledge, and attitudes of human immunodeficiency virus screening among adolescents.
To evaluate pediatric primary care provider (PCP) HIV screening practices, knowledge, and attitudes. ⋯ Although providers practicing in urban areas were more likely to report screening adolescents for HIV than those in suburban areas, overall self-reported screening rates were low, and several barriers were identified commonly. Future interventions should target increasing providers' knowledge and addressing concerns about confidentiality, requirements and counseling time, and follow-up of results.
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The Journal of pediatrics · Dec 2013
Multicenter StudyVariability in the implementation of rapid response teams at academic American pediatric hospitals.
Pediatric rapid response teams have become standard over the past decade, but are organized heterogeneously at US academic hospitals, with rare financial support. To compare rapid response team efficacy, pediatric hospitals should agree on standard outcome measures, whether it be a standard definition of floor arrest or of clinical deterioration.