Pediatrics
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Effectiveness of protective eyewear in reducing eye injuries among high school field hockey players.
To determine if injury rates differ among high school field hockey players in states that mandated protective eyewear (MPE) versus states with no protective eyewear mandate (no MPE). ⋯ Among high school field hockey players, playing in a no-MPE state results in a statistically significant higher incidence of head and face injuries versus playing in an MPE state. Concussion rates among players in MPE and no-MPE states were similar, indicating that addition of protective eyewear did not result in more player-player contact injuries, challenging a perception in contact/collision sports that increased protective equipment yields increased injury rates.
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Comparative Study
Health care provider and caregiver preferences regarding nasogastric and intravenous rehydration.
Despite evidence supporting its use, nasogastric rehydration is rarely used in North America. We conducted a prospective, cross-sectional, 3-phase study to evaluate current perspectives. ⋯ In keeping with caregiver desires, health care providers in a Canadian emergency department employ intravenous rehydration when oral rehydration fails. Enhanced change management strategies will be required for nasogastric rehydration to become adopted in this environment.
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To investigate inflatable bouncer-related injuries to children in the United States. ⋯ The number and rate of pediatric inflatable bouncer-related injuries have increased rapidly in recent years. This increase, along with similarities to trampoline-related injuries, underscores the need for guidelines for safer bouncer usage and improvements in bouncer design to prevent these injuries among children.
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Comparative Study
Pediatricians' use of health information technology: a national survey.
There are limited national data on pediatric health information technology adoption rates. Our objective was to determine pediatricians' adoption rates of electronic health record systems (EHRs), barriers to adoption, and features of the systems adopted. ⋯ Pediatric adoption of fully functional EHRs lags general adoption. Barriers to adoption include financial and productivity concerns, but pediatricians are also concerned about finding systems that meet their needs. Few pediatricians use a system that is pediatric-supportive. To help identify pediatric-supportive systems, EHR certification efforts should include these requirements.
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To determine the self-reported practices and attitudes surrounding concussion diagnosis and management in a single, large pediatric care network. ⋯ Although pediatric primary care and emergency medicine providers regularly care for concussion patients, they may not have adequate training or infrastructure to systematically diagnose and manage these patients. Specific provider education, decision support tools, and patient information could help enhance and standardize concussion management.