Articles: pediatrics.
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Multicenter Study
General anesthesia for pediatric dermatologic procedures: risks and complications.
To assess the safety and adverse events associated with the use of general anesthesia in children undergoing elective dermatologic procedures. ⋯ The use of general anesthesia for dermatologic procedures in a children's hospital setting appears safe, with a low rate of complications.
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Clinical pediatrics · Apr 2005
Multicenter StudyVariation in establishing a diagnosis of obesity in children.
Consensus guidelines provide recommendations for the diagnosis and management of obesity. We conducted a medical record review of children initially diagnosed with obesity at a general pediatrics visit. ⋯ In multivariate analysis, male patients were more likely to have diet history documentation; female patients were more likely to have weight loss program referrals. Future research should assess pediatricians' perceptions about obesity to better understand clinical practice patterns.
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Pediatric emergency care · Apr 2004
Review Multicenter Study Comparative StudyPractice patterns of pediatric versus general emergency physicians for pain management of fractures in pediatric patients.
To determine if there are actual differences between pediatric emergency medicine (PEM) physicians and general emergency medicine (GEM) physicians in the management of pain in pediatric patients with fractured extremities. ⋯ In our study, most children with an extremity fracture and greater than one-third of children with a severe fracture did not receive pain medications in the emergency department. Overall, both PEM physicians and GEM physicians have similar practices of analgesic administration for fracture reduction, with a notable exception in the types of agents used during procedural sedation. GEM physicians documented discharge pain medications and prescribed prescription analgesics more often than PEM physicians.
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Multicenter Study
Evaluation of cultural competence and antiracism training in child health services.
To evaluate the acceptability and effectiveness of cultural competence and antiracism training to professionals providing services to ill or disabled children. ⋯ Appropriate cultural competence and antiracism training is both effective and acceptable in child health services.
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Multicenter Study
Delivery of pediatric after-hours care by call centers: a multicenter study of parental perceptions and compliance.
Despite the rapid growth of centralized call centers to provide after-hours triage to patients of multiple providers, little is known about the perceptions of parents regarding this type of care and their compliance with triage disposition recommendations. ⋯ Parental satisfaction with pediatric call centers was uniformly high in 4 different geographic locations, and almost all parents who reported any effect on their relationship with their primary provider assessed it as positive. Compliance with recommendations for urgent evaluation or home care was relatively high but for intermediary dispositions was low. In most cases in which noncompliance occurred, parents reported hearing a different disposition. Additional study is needed to clarify whether noncompliance, especially in cases in which an urgent recommendations was made, is attributable to poor nurse communication of the recommended disposition, parental misinterpretation, or parental difference of opinion.