Pediatrics
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Comparative Study
Impact of family presence during pediatric intensive care unit rounds on the family and medical team.
Our objectives were to determine the impact of family presence during PICU rounds on family satisfaction, resident teaching, and length of rounds and to assess factors associated with family satisfaction. ⋯ Family satisfaction is high, but families of patients on the first day of admission may need special attention. The medical team should conduct rounds in a manner that addresses the privacy concerns of families. Residents often think that teaching is decreased when families are present.
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Comparative Study
The "fear factor" for surgical masks and face shields, as perceived by children and their parents.
The goal was to determine whether young children and their parents prefer physicians wearing clear face shields or surgical masks. ⋯ Physicians and parents have a perception that surgical masks are frightening to all children. Our study has shown that this perception is not completely true. Face shields may be a better choice, however, because both parents and children would prefer this option.
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Randomized Controlled Trial Multicenter Study
Dimenhydrinate in children with infectious gastroenteritis: a prospective, RCT.
Vomiting is a common symptom in children with infectious gastroenteritis. It contributes to fluid loss and is a limiting factor for oral rehydration therapy. Dimenhydrinate has traditionally been used for children with gastroenteritis in countries such as Canada and Germany. We investigated the efficacy and safety of dimenhydrinate in children with acute gastroenteritis. ⋯ Dimenhydrinate reduces the frequency of vomiting in children with mild dehydration; however, the overall benefit is low, because it does not improve oral rehydration and clinical outcome.
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Randomized Controlled Trial Comparative Study
Beliefs and barriers to follow-up after an emergency department asthma visit: a randomized trial.
Studies in urban emergency departments (EDs) have found poor quality of chronic asthma care and identified beliefs and barriers associated with low rates of follow-up with a primary care provider (PCP). ⋯ An ED-based intervention influenced beliefs but did not increase PCP follow-up or asthma-related outcomes.
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Randomized Controlled Trial
Improvement of short- and long-term outcomes for very low birth weight infants: Edmonton NIDCAP trial.
Our objective was to determine the impact of Newborn Individualized Developmental Care and Assessment Program (NIDCAP)-based care on length of stay of very low birth weight (VLBW) infants. Secondary outcome measures were days of ventilation, incidence of chronic lung disease, and 18-month neurodevelopmental outcomes. ⋯ NIDCAP-based care for VLBW infants improved short- and long-term outcomes significantly.