• Clinical and sociodemographic characteristics associated with disease severity in juvenile recurrent respiratory papillomatosis: A study of 104 patients in a tertiary care pediatric hospital

    4 monthes ago - By International Journal of Pediatric Otorhinolaryngology

    Juvenile recurrent respiratory papillomatosis is generally aggressive and with a high recurrence rate. Currently, there is no definite curative treatment for JRRP. Therefore, a greater understanding of the aspects that influence the severity and prognosis of the disease is required.
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  • A Randomized Controlled Trial of an Eczema Care Plan

    4 monthes ago - By Academic Pediatrics

    To test whether an eczema care plan would improve provider documentation and management, decrease eczema severity, and increase patient quality of life in the pediatric primary care setting.
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  • Survivability of Existing Peripheral Intravenous Access Following Blood Sampling in a Pediatric Population

    4 monthes ago - By Journal of Pediatric Nursing

    Although pediatric patients report venipuncture as their most feared experience during hospitalization, blood sampling from peripheral intravenous accesses is not standard of care. Blood sampling from PIVs has long been considered by healthcare personnel to harm the access. In an effort to minimize painful procedures, pediatric nursing staff conducted a prospective, observational study to determine if blood sampling using existing PIVs resulted in the loss of the access. The ability to obtain the sample from the PIV was measured along with patient and PIV characteristics.
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  • Implementation of a Nurse Driven Pathway to Reduce Incidence of Hospital Acquired Pressure Injuries in the Pediatric Intensive Care Setting

    4 monthes ago - By Journal of Pediatric Nursing

    A large, freestanding pediatric hospital in the southern United States saw a 117% increase in reported hospital acquired pressure injuries between 2013 and 2015, with the intensive care units being the units of highest occurrence.Design and MethodsA quality improvement project was designed and implemented to assist with pressure injury prevention. Literature review confirmed that pediatric HAPIs are a challenge and that usage of bundles and user-friendly guidelines/pathways can help eliminate barriers to prevention.
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  • Medical Management of a Prolactinoma in a 15-Year-Old Girl

    4 monthes ago - By The Journal of Pediatrics

    A 15-year-old girl presented to her primary care physician for evaluation of recurrent headaches with occasional blurry vision, periodic white discharge from the left nipple, and primary amenorrhea. Family history was notable for maternal breast cancer. On physical examination, patient was Tanner stage 5 for both pubic hair and breast development and all cranial nerves were grossly intact. Initial laboratory results were as follows: prolactin 1070.0 ng/mL , testosterone 31 ng/dL (reference, 
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  • Diagnosis and management of pediatric sinusitis: A survey of primary care, otolaryngology and urgent care providers

    4 monthes ago - By International Journal of Pediatric Otorhinolaryngology

    The aims of this project were two-fold: 1) To assess pediatric primary care , pediatric otolaryngology and pediatric urgent care providers' perception of their adherence to the 2013 American Academy of Pediatrics established guidelines for the diagnosis and management of acute bacterial rhinosinusitis in children 1-18 years old and 2) to assess the same providers' practice patterns in the diagnosis and management of pediatric chronic rhinosinusitis .
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