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Journal Club

How best to reduce injection pain—lidocaine creamA comparison of 4 levels of pain management of routine vaccine injections found that of the remedies tried, only liposomal lidocaine applied at the injection site provided consistent relief.
Are parents receptive to counseling about firearm safety?Results of a survey of more than 1360 parents conducted in pediatricians’ waiting rooms found that 75% of parents agree that pediatricians should advise about safe storage of firearms; those who disagreed were likely to be firearm owners.
How to evaluate young febrile infantsA large retrospective study of how infants with fever without a cause are evaluated found that physicians are selective in deciding which of these babies will have blood, urine, or cerebral spinal fluid cultures.
Limiting duration of antibiotics in OM limits their effectivenessTreating children with acute otitis media with amoxicillin-clavulanate for 5 days is less effective than following standard 10-day treatment, according to a study in 520 such children who were aged 6 to 23 months.
Concentration matters in newer urinalysis techniquesIn a retrospective study of 27,000 infants aged younger than 3 months evaluated for urinary tract infection (UTI) with paired urinalysis and urine culture, investigators set out to determine the optimal urine white blood cell (WBC) threshold for UTI when using an automated urinalysis system stratified by urine concentration.
Overweight is not treated in children hospitalized with asthmaA retrospective record review for youngsters admitted with asthma to a Midwestern children’s hospital revealed that overweight and obesity were underrecognized, underdiagnosed, and undertreated.
Medication or placebo to prevent migraine?A trial comparing amitriptyline, topiramate, and placebo for prevention of migraine in children and adolescents with a history of migraine found that all 3 had about the same effect on reducing headache frequency or headache-related disability.
Effective early autism intervention has long-term impactA follow-up trial conducted 6 years after the conclusion of a randomized controlled trial of early intervention in autism spectrum disorder demonstrated that the intervention had a long-term effect on autism symptoms and continued effects on parent and child social interaction.
Oral syringes dose more accurately than cupsParents are less likely to make dosing errors when giving their child liquid medications if they use an oral syringe--rather than a cup-- to measure the dose, a recent trial showed.
More time spent standing in school reduces BMIChildren who spent 2 consecutive years in classrooms outfitted with desks at which they worked standing (or while sitting on a stool) had a significantly lower body mass index (BMI) than their peers in classrooms with traditional standard desks, a recent study reported.

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