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There is a paucity of data regarding emergency department (ED) provider type and computed tomography (CT) scan use in the evaluation of pediatric patients with abdominal pain without trauma. The purpose of this retrospective single community hospital study was to determine if there was a difference in CT use between emergency medicine physicians (EMPs) and pediatricians (PEDs) in all patients younger than 18 years with abdominal pain without trauma who presented to the ED during the study period. The study included 165 patients. EMPs saw 83 patients and used CT in 31 compared with PEDs who saw 82 patients and used CT in 12 (P = .002). EMPs used CT significantly more frequently than PEDs in the designated sample. Economic pressures may cause changes in ED provider type in community and rural hospitals and this study shows that ED provider type may affect medical decision making, including CT use.

C h a s n o f f , William J . B u r n s a n d K a y r e e n B u r n s .( S p o n . b y S t a n S h u l m a n ) . N o r t h w e s t e r n U n i v e r s i t v Medical School. D e~a r tm e n t s of P e d i a t r~c s a n d P s y c h i a t r y , C h~c a g o .In o r d e r t o ? v a l u a t e t h e e f f e c t s of maternal a b u s e o f nonn a r c o t i c d r u g s d u r i n g p r e g n a n c y , f o u r g r o u p s of i n f a n t s b o r n t o d r u g -a d d i c t e d m o t h e r s w e r e e v a l u a t e d a n d compared t o a c o n t r o l g r o u p of n o r m a l s . G r o u p I i n f a n t s (N=51) w e r e d e l i v e r e d t o m o t h e r s o n methadone m a i n t e n a n c e , G r o u p I1 i n f a n t s (N=22) t o s e d a t i v e / s t i m u l a n t ( n o n n a r c o t i c ) -a b u s i n g m o t h e r s , G r o u p 111 (N=13) t o T ' s a n d b l u e s -a b u s i n g m o t h e r s , G r o u p IV (N=9) t o P C P -a b u s i n g m o t h e r s a n d G r o u p V (N=27) t o m o t h e r s who h a d n o e v i d e n c e of d r u g a b u s e .All f i v e g r o u p s w e r e similar in maternal a g e , g r a v i d i t y , socioeconomic c l a s s a n d neonatal g e s t ational a g e . S i g n i f~c a n t d e c r e a s e s in w e i g h t , l e n g t h a n d h e a d c i r c u m f e r e n c e a t b i r t h w e r e f o u n d (ANOVA) f o r t h e n a r c o t i ce x p o s e d ( G r o u p s I a n d 111) i n f a n t s while n o n n a r c o t i c -e x p o s e d i n f a n t s d e m o n s t r a t e d normal g r o w t h p a r a m e t e r s a t b i r t h . Using t h e BNBAS, G r o u p I i n f a n t s d e m o n s t r a t e d d e f i c i t s in visual a n d a u d i l o r y o r i e n t a t i o n a n d motor m a t u r i t y .All f o u r g r o u p s of d r u g -e x p o s e d n e o n a t e s d e m o n s t r a t e d d e f i c i t s in s t a t e c o n t r o l . G r o u p IV i n f a n t s , in a d d i t i o n , s h o w e d ~n c r e a s e d lability o f s t a t e a n d p o o r consolability when c o m p a r e d t o all o t h e r d r u g g r o u p s ( F i s c h e r ' s L S D ) .On t h e Bayley S c a l e s , s c o r e s f o r all g r o u p s , i n c l u d i n g t h e c o n t r o l , b e g a n t o fall away from t h e normal r a n g e a t 18 m o n t h s of a g e , a phenomenon n o t uncommon in i n f a n t s f r o m lower socioeconomic homes. -S e m F c o n c e n t r a t i o n i n c r e a s e d w i t h repeated d o s e s beyond that expected f o r the r e p o r t e d plasma t+ o f 7-19 hrs. S~& F concentration a f t e r the second dose was s i g n i f i c a n t l y h i g h e r than F level a f t e r the initial o b s e r v e d when g i v e n f r e q u e n t repeated d o s e s o f F to n e w t o m inf a n t s . REGIONAL CEREBRAL BLOOD FLOW (CBF) DURING BICUCULLINE INDUCED SEIZURES ( S ) IN THE NEWBORN PIGLET WITH OR332 WITHOUT PHENOBARBITAL (PB). M . CLOZEL, P. MONIN, J . L . DAVAL, P. VERT, C e n t r e de Recherche B i o l o g i e Medecine du DCvelop--pement Humain, U n i v e r s i t e de NANCY I , FRANCE. I n a d u l t a n i m a l s , S induce i m ...

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