Adi Klein-Kremer

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OBJECTIVES Abdominal pain is one of the most common symptoms in children. The aim of this study was to determine the rate of opioid analgesia in children with abdominal pain presenting to the pediatric Emergency Department (ED) and to identify factors associated with administration of opioids. METHODS We retrospectively reviewed all charts of patients(More)
OBJECTIVES AND METHODS The aim of the present retrospective, cross-sectional, descriptive study was to determine the characteristics of febrile 3- to 36-month-old children who were admitted to the emergency department (ED) with the chief complaint of fever and returned with the same complaint within 72 hours (returning group), compared with age-matched(More)
The use of opioid analgesia for acute abdominal pain of unclear etiology has traditionally been thought to mask symptoms, alter physical exam findings, delay diagnosis, and increase morbidity and mortality. However, studies in children and adults have demonstrated that administering intravenous opioids to patients with acute abdominal pain induces analgesia(More)
AIM The purpose of the current research was to examine whether the theory of planned behaviour (TPB) succeeds in predicting nursing and medical staff reporting of suspected child abuse. BACKGROUND Despite the rising incidence of child abuse in Israel, medical and nursing staff reports of suspected child abuse remain low. METHODS This descriptive,(More)
Valproic acid intoxication may be associated with cerebral, cardiovascular, respiratory, gastrointestinal, and hematologic complications. We report a case of a 7-year-old girl, epilepsy-treated chronically with valproic acid, sulthiame, and clonazepam, who presented to the emergency room because of a global deterioration during the preceding 2 months,(More)
Seizures in children are a frightening experience for families and care providers. Because the duration of seizure activity impacts on morbidity and mortality, effective methods for seizure control should be instituted as soon as possible, preferably before arrival at the hospital. Since parental methods of drug delivery are not available to most(More)
Urinary tract infection (UTI) is a common bacterial infection among infants and children. Predicting which children with upper UTI will develop long-term sequelae remains difficult. We aimed at evaluating the predictive value of urine concentrations of interleukin-6 (UIL-6) and interleukin-8 (UIL-8) in subsequent renal scarring. In the current observational(More)
The aim of this research study is to identify risk factors typical of different types of suspected child abuse reported at a hospital. The study was based on 114 cases of children for whom some type of abuse was reported. Physical abuse was the most frequently reported of all types of suspected child abuse. Most victims of sexual abuse were female and at(More)
Background: Viral meningitis (VM) is mostly common among infants. Its induction by enteroviruses (EVM) is associated with morbidity and is primarily diagnosed by lumbar puncture, which may yield false negatives. We evaluated the frequency of VM by polymerase chain reaction (PCR) among infants with no detected pleocytosis. Furthermore, as literature suggests(More)
temperature of 39.6oC, pulse 105/min, blood pressure 114/76, and respiratory rate 35 breaths/minute. His left hip joint showed a limitation in extension and flexion. The white blood cell count was 8700/mm3 with 60% neutrophils, and erythrocyte sedimentation rate of 74 mm/ hour. C-reactive protein was 101 mg/dl. Left hip joint infection was suspected and(More)