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- W2019010732 abstract "poorly predictive. The WBC count was the least useful finding, with a sensitivity of 36% and predictive value of 5%. (4) Use of a combination of findings did not markedly improve the analyzed values. (5) A group of patients assessed by physicians as not having bacteremia (score 5) with functional status _> 5, and with no localized evidence of infection, did not include any patients with bacteremia. This group was reliably separated from the rest (p < 0.02), and included no false negatives i.e., a 100% predictive value was found. These findings indicate that obtaining a blood culture and absolute white blood cell count from each patient was not essential for effective diagnosis and treatment. Since there are apparent similarities between these patients and those reported by others, 1-4 it is recommended that a physician when evaluating a previously healthy child under age 24 months presenting with a temperature 39.5~ rectal or higher utilize history, including functional status, and physical examinat ion to determine the tests needed. The study supports the notion that a good history and physical examination are essential components of the evaluation of each child. No other procedures should be considered routine." @default.
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- W2019010732 date "1981-08-01" @default.
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- W2019010732 title "Lack of 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D in human milk" @default.
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- W2019010732 doi "https://doi.org/10.1016/s0022-3476(81)80459-3" @default.
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