Safety Considerations in the Use of Ketorolac for Postoperative Pain.

Background: Ketorolac use has significantly expanded for postoperative pain management since it first became available in the United States, primarily due to well established effects on patient pain scores and its ability to reduce perioperative opioid requirements. As an inhibitor of cyclooxygenase, ketorolac use has raised clinical concern including particular controversy regarding its potential effects on bone healing, postoperative kidney function and perioperative bleeding.

Objective: To review the supporting data from clinical studies addressing the safety of ketorolac use for postoperative pain.

Telemedicine and face-to-face care for pediatric obesity.

The University of California Davis Medical Center (Sacramento, CA) has pioneered the use of telemedicine in its approach to childhood obesity to cover more than 20 rural clinics in California. In our study, we compared the outcomes of the Telemedicine Weight Management Clinic (TM) with those of its face-to-face (FTF) Weight Management Clinic counterpart over the last 5 years, predicting the results to be equivalent or in favor of TM. All children seen in the TM from June 2006 to June 2011 were included (n=121), and encounter notes in medical records were reviewed.

In their words: connecting on-line weblogs to developmental processes.

This paper seeks to connect adolescents' communication within on-line weblogs or blogs to developmental processes. A total of 195 English language blogs written by self-identified 14- to 18-year-olds were selected; three entries from each blog were analysed, resulting in a sample of 585 entries. Blogger demographics, self-presentation, and blog entries (format, style, content, and tone) were coded.