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Otalgia and eschar in the external auditory canal in scrub typhus complicated by acute respiratory distress syndrome and multiple organ failure.

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BACKGROUND Scrub typhus, a mite-transmitted zoonosis caused by Orientia tsutsugamushi, is an endemic disease in Taiwan and may be potentially fatal if diagnosis is delayed. METHODS We encountered a 23-year-old previously healthy Taiwanese male soldier presenting with the right ear pain after

Pacifier use and morbidity in the first six months of life.

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OBJECTIVE To assess the prevalence of pacifier use and whether this habit adversely affects the health of 6-month-old infants. METHODS Data collected via self-completion questionnaires from mothers forming part of the prospective, population-based Avon Longitudinal Study of Pregnancy and

Telephone encounters in a university pediatric group practice. A 2-year analysis of after-hour calls.

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The records of off-hours calls received by the University of Colorado Pediatric Group Practice from 4:30 p.m. throughout 8:00 a.m. weekdays and all day Saturday, Sunday, and holidays were audited. An answering service and pageboy system ensured 24-hour, 7-day-a-week accessibility through a single

Exclusion of ill children from child-care centers in Israel.

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The aim of the study was to examine criteria for ill children in child-care centers. A questionnaire on practices of exclusion/return of children according to specific signs and symptoms was mailed to the directors of care centers in central Israel. Thirty-six of the 60 questionnaires (60%) were

An assessment of pediatric after-hours telephone care: a 1-year experience.

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BACKGROUND Pediatric after-hours telephone triage by call center nurses is an important part of pediatric health care provision. OBJECTIVE To use a computerized database including the after-hours telephone calls for 90% of the pediatricians in Colorado to examine: (1) the epidemiology of after-hours

Vitamin A deficiency is associated with gastrointestinal and respiratory morbidity in school-age children.

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Infection is an important cause of morbidity throughout childhood. Poor micronutrient status is a risk factor for infection-related morbidity in young children, but it is not clear whether these associations persist during school-age years. We examined the relation between blood concentrations of

Pitfalls in acute febrile illness diagnosis: interobserver agreement of signs and symptoms during a dengue outbreak.

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To compare and evaluate interobserver (nurses and physicians) agreement for dengue clinical signs and symptoms, including the WHO diagnostic algorithm.Agreement of clinical history defines the capacity of the examiner to measure a given clinical parameter

Ethno medical knowledge of plants used by irula tribes, chengal combai, the nilgiris, tamilnadu.

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A total of 22 species of plants used by Irula community people are described based on ethnomedical field survey. These plants belong to 17 families and are used to treat a wide range of discomforts like cough, cold, body ache, earache, stomachache, headache, diarrhea, snake bite, rheumatism etc. the

Antibiotics self-medication among medical and nonmedical students at two prominent Universities in Benghazi City, Libya.

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BACKGROUND Trivial use of antibiotics is a major reason for the spread of antibiotics resistance. The aim behind undertaking this investigation was to study the prevalence antibiotics self-medication among university students in Benghazi city. METHODS A questionnaire-based cross-sectional, survey

[Efficacy and safety of potassium clavulanate/amoxicillin (CLAVAMOX) dry syrup in children with otitis media].

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To evaluate the efficacy and safety of CLAVAMOX dry syrup (potassium clavulanate/amoxicillin) in children with otitis media, we conducted a postmarketing surveillance from February to September 2006. The analysis was made on the basis of 470 survey sheets collected from 127 medical institutions, of

Acute Agitation and Self-Injury in a 5-Year Old with Autism.

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A 5-year-old nonverbal child with autism spectrum disorder (ASD) was admitted to inpatient pediatrics with new onset agitation and self-injurious behavior. His parents described him as a pleasant child without previous episodes of self-injury. Four days before admission, the parents noted new

Indigent children who are denied care in the emergency department.

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We conducted a six-month prospective study of the diagnoses and outcomes of 588 children who were denied care in our emergency department under a new primary-care case management health system for 100,000 indigent patients. The mean patient age was 4.7 years (39% were less than 2 years old). The

[Acute otitis media in childhood].

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Because of its distinct anatomy, pathogens can quickly reach the middle ear of a child and cause acute otitis media. Depending on the age of the child, the clinical symptoms can vary from intense earaches, fever, pressure sensation and hearing loss to vomiting, diarrhea and refusal of food by

Clinical study of Mycoplasma pneumoniae pneumonia.

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From 1982 to 1991, we experienced 76 patients with Mycoplasma pneumoniae pneumonia which were confirmed by serologic tests. There were 32 (42%) male and 44 (58%) female patients. One patient had underlying disease of diabetes mellitus while the other patients were in good health. The age ranged from

[Health of women living near oil wells and oil production stations in the Amazon region of Ecuador].

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OBJECTIVE Investigate the environmental conditions in and the state of health of women who live in rural communities surrounded by oil wells and oil production stations in the Amazon region of Ecuador. METHODS We used a comparative cross-sectional design, classifying exposure according to the

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