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AAP Grand Rounds Blog
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Blog
Published: June 2018
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Published: June 2018
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Published: June 2018
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Published: June 2018
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Published: May 2018
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Published: May 2018
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Published: May 2018
Blog
Published: May 2018
Abstract
Acute chest syndrome (ACS) is a dangerous complication of sickle cell disease (SCD), with significant mortality. Two landmark prospective studies in the 1980s and 90s defined much of the etiologic and epidemiologic features of ACS, but much has changed (for the better) in the management of SCD since that time. Can an administrative database study help define current features of ACS?
Blog
Published: April 2018
Abstract
The study combines both retrospective and prospective cohort studies with conclusions that virtually lay out the parameters for designing prospective randomized controlled trials that could lead to changes in clinical practice. With apologies to Ms. Browning, let me count the ways I love this study.
Blog
Published: April 2018
Abstract
In the study introduction, the authors point out an important difference in epidemiologic study design that is worth mention. Their study utilized 2 databases, the Massachusetts Pregnancy to Early Life (PELL) database and the Massachusetts Bureau of Substance Abuse Services (BSAS) Management Information System.
Blog
Published: April 2018
Abstract
The study originates from the Kaiser Permanente of Southern California health system which, because of its large patient population and electronic health record system, has the ability to measure practice and health outcomes with large study sample size. In this instance, investigators looked at 4 years' worth of blood pressure measurements in children between 3 and 17 years of age.
Blog
Published: March 2018
Blog
Published: March 2018
Abstract
Developmental dysplasia of the hip (DDH) is the focus of screening examinations in the newborn period. Early identification can prevent need for more complicated treatment, such as casting or surgical correction, that may be necessary when DDH is diagnosed after 3-6 months of age.
Blog
Published: March 2018
Blog
Published: March 2018
Abstract
All children have bruises from time to time, and one of many challenges in front-line pediatric practice is deciding when bruises should raise a flag for further investigation. This prospective observational study helps though still doesn't provide a definitive set of "rules" for triggering evaluation.
Blog
Published: February 2018
Blog
Published: February 2018
Blog
Published: February 2018
Blog
Published: February 2018
Blog
Published: January 2018
Abstract
When it comes to my own health, I try to explore all available evidence to guide my decisions. Should I drink more or less coffee or wine, should I try to adhere to the Mediterranean diet, what types of exercise are best? Sadly, I have to admit that I don't know the answers to any of those questions.