OBJECTIVES To assess the impact of a clinical decision model for febrile children at risk for serious bacterial infections (SBI) attending the emergency department (ED). METHODS Randomized controlled trial with 439 febrile children, aged 1 month-16 years, attending the pediatric ED of a Dutch university hospital during 2010-2012. Febrile children were randomly assigned to the intervention (cl...

BACKGROUND Effective prevention of excessive alcohol use has the potential to reduce the public burden of disease considerably. We investigated the cost-effectiveness of Screening and Brief Intervention (SBI) for excessive alcohol use in primary care in the Netherlands, which is targeted at early detection and treatment of 'at-risk' drinkers. METHODOLOGY AND RESULTS We compared a SBI scenario...

OBJECTIVES Premature infants are at higher risk of developing serious bacterial infections (SBI). However, the incidence of SBI in ex-premature infants presenting to the emergency department (ED) remains undetermined. The objective of this study is to examine the incidence of SBI in ex-premature infants with a postconceptional age of less than 48 weeks presenting to a pediatric ED. METHODS A ...

Silicone breast implants (SBI) induce formation of a periprosthetic, often inflammatory, fibrovascular neo-tissue called a capsule. Histopathology of explanted capsules varies from densely fibrotic, acellular specimens to those showing intense inflammation with activated macrophages, multinucleated giant cells, and lymphocytic infiltrates. It has been proposed that capsule-infiltrating lymphocy...

Differentiation of serious bacterial infection (SBI) from self-limiting viral illness in febrile infants younger than three months is a significant challenge for clinicians. We aimed to assess the risk factors for SBI in febrile infants. Data were obtained from 221 infants younger than three months who visited a single community referral hospital for fever and underwent a complete sepsis workup...

Although alcohol screening and brief intervention (SBI) reduces drinking in primary care patients with unhealthy alcohol use, incorporating SBI into clinical settings has been challenging. We systematically reviewed the literature on implementation studies of alcohol SBI using a broad conceptual model of implementation, the Consolidated Framework for Implementation Research (CFIR), to identify ...

BACKGROUND There is controversy surrounding the management of young children who have a fever without a source (FWS). Several strategies have been designed with the purpose of managing children with FWS. AIMS To assess the applicability of a standardized guideline for children up to 36 months of age with FWS. SETTING Pediatric emergency unit, Al-Adan Hospital, Kuwait City, Kuwait, from May ...

OBJECTIVE Obesity is an important concern for both adults and students. The study evaluates the effect of school-based intervention (SBI) on sedentary life style (SLS), physical activity (PA) and body mass index (BMI) among the students in Urmia, Iran. METHODS The study was undertaken from 31 December 2013 to 21 June 2014. A total of 80 male students were randomly selected from single-sex jun...

This article presents an investigation of the relationship between lesioning and neuroimaging methods of assessing functional specialisation, using synthetic brain imaging (SBI) and lesioning of a connectionist network of past-tense formation. The model comprised two processing 'routes': one was a direct route between layers of input and output units, while the other, indirect, route featured a...

The study investigates the construct validity of a self-report questionnaire for dispositional sensitivity to befallen injustice (SBI; Schmitt, Neumann, & Montada, 1995). The items are combinations of four indicators of SBI (frequency of perceived injustice, intensity of anger, intrusiveness/perseverance of thoughts about the event, punitivity) with various types of unfair situations (e.g., per...