The Journal of pediatrics
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The Journal of pediatrics · Jun 2014
Multicenter Study Comparative StudyEffect of Hispanic ethnicity and language barriers on appendiceal perforation rates and imaging in children.
To determine the association between Hispanic ethnicity and limited English proficiency (LEP) and the rates of appendiceal perforation and advanced radiologic imaging (computed tomography and ultrasound) in children with abdominal pain. ⋯ Hispanic ethnicity with LEP is an important risk factor for appendiceal perforation in pediatric patients brought to the emergency department with possible appendicitis. Among patients with moderate clinical severity, Hispanic ethnicity with LEP appears to be associated with lower imaging rates. This effect of English proficiency and Hispanic ethnicity warrants further investigation to understand and overcome barriers, which may lead to increased appendiceal perforation rates and differential diagnostic evaluation.
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The Journal of pediatrics · Jun 2014
Multicenter Study Comparative StudyDevelopmental outcomes of very preterm infants with tracheostomies.
To evaluate the neurodevelopmental outcomes of very preterm (<30 weeks) infants who underwent tracheostomy. ⋯ Tracheostomy in preterm infants is associated with adverse developmental outcomes and cannot mitigate the significant risk associated with many complications of prematurity. These data may inform counseling about tracheostomy in this vulnerable population.
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The Journal of pediatrics · Jun 2014
Multicenter Study Comparative StudyLong-term efficacy of interleukin-1 receptor antagonist (anakinra) in corticosteroid-dependent and colchicine-resistant recurrent pericarditis.
To evaluate the long-term response and safety of interleukin-1 receptor antagonist (anakinra) in recurrent pericarditis. ⋯ The long-term use of anakinra in monotherapy is associated with persistent control of recurrent pericarditis.