The Journal of pediatrics
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The Journal of pediatrics · Sep 2015
The Treatment of Juvenile Fibromyalgia with an Intensive Physical and Psychosocial Program.
To assess the short-term and 1-year outcomes of children with fibromyalgia treated with intensive physical and occupational therapy (PT/OT) and psychotherapy. ⋯ Children with fibromyalgia can be successfully treated without medications with a very intensive PT/OT and psychotherapy program. They have significantly improved pain and function by subject report and objective measures of function.
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The Journal of pediatrics · Sep 2015
The BIG Score and Prediction of Mortality in Pediatric Blunt Trauma.
To examine the association between in-hospital mortality and the BIG (composed of the base deficit [B], International normalized ratio [I], Glasgow Coma Scale [G]) score measured on arrival to the emergency department in pediatric blunt trauma patients, adjusted for pre-hospital intubation, volume administration, and presence of hypotension and head injury. We also examined the association between the BIG score and mortality in patients requiring admission to the intensive care unit (ICU). ⋯ The BIG score accurately predicts mortality in a population of North American pediatric patients with blunt trauma independent of pre-hospital interventions, presence of head injury, and hypotension, and identifies children with a high probability of survival (BIG <16). The BIG score is also associated with mortality in pediatric patients with trauma requiring admission to the ICU.
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The Journal of pediatrics · Sep 2015
Glucocorticoids and Hospital Length of Stay for Children with Anaphylaxis: A Retrospective Study.
To evaluate whether glucocorticoid administration is associated with improved outcomes in children with anaphylaxis. ⋯ The use of glucocorticoids was inversely associated with prolonged LOS among children hospitalized with anaphylaxis, but was not associated with 3-day ED revisits among discharged children. These findings support the use of glucocorticoids in children hospitalized with anaphylaxis.
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The Journal of pediatrics · Sep 2015
Randomized Controlled Trial Multicenter StudyAutomated versus Manual Oxygen Control with Different Saturation Targets and Modes of Respiratory Support in Preterm Infants.
To determine the efficacy and safety of automated adjustment of the fraction of inspired oxygen (FiO2) in maintaining arterial oxygen saturation (SpO2) within a higher (91%-95%) and a lower (89%-93%) target range in preterm infants. ⋯ A-FiO2 control improved SpO2 targeting across different SpO2 ranges and reduced hypoxemia in preterm infants on noninvasive and invasive respiratory support.