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Archives of Disease in Childhood

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https://www.readbyqxmd.com/read/28446425/prevalence-and-risk-factors-for-functional-constipation-in-adolescent-nigerians
#1
Ekong Emmanuel Udoh, Shaman Rajindrajith, Niranga Manjuri Devanarayana, Marc A Benninga
OBJECTIVES: To determine the prevalence and risk factors for functional constipation (FC) in adolescent Nigerians. METHOD: A cross-sectional study was conducted in rural and urban areas of two states in the southern part of Nigeria. Adolescents aged 10-18 years were recruited from 11 secondary schools, using a stratified random sampling technique. A validated self-administered questionnaire on Rome III criteria for diagnosing FC and its predisposing factors was filled by each participant in a classroom setting...
April 26, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28446424/hormone-supplementation-for-pubertal-induction-in-girls
#2
REVIEW
Debbie Matthews, Louise Bath, Wolfgang Högler, Avril Mason, Arlene Smyth, Mars Skae
Pubertal induction in girls with ovarian insufficiency aims to mimic normal puberty, a highly complex process. Here we amalgamate the sparse global evidence and propose three options for pubertal induction regimens including oral ethinyloestradiol, and oral and transdermal 17β-oestradiol. The introduction of progestogens is discussed and the transition to hormone supplementation for adult women. The merits and disadvantages of the different options are detailed. The available evidence indicates that transdermal 17β-oestradiol has the most favourable efficacy, safety and cost profile but randomised controlled trials are urgently required to determine which regimen provides the best clinical outcomes...
April 26, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28442470/late-outcomes-in-children-with-langerhans-cell-histiocytosis
#3
Tin Wai Chow, Wing Kwan Leung, Frankie Wai Tsoi Cheng, Shekhar Medhukar Kumta, Winnie Chiu Wing Chu, Vincent Lee, Matthew Ming Kong Shing, Chi Kong Li
INTRODUCTION: Langerhans cell histiocytosis (LCH) is a rare disease with diverse clinical courses. Despite improvement in survival outcomes in the recent decades, sequelae of the disease remain a concern. This study aimed to provide information on the long-term outcomes in patients with LCH, particularly on the sequelae and any associated factors. METHOD: Medical records of patients with diagnosis of LCH and being managed in our centre were retrospectively reviewed...
April 25, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28442469/recurrent-superficial-lymphangitis-after-insect-bites
#4
Patrick M Meyer Sauteur, Patrick Orban, Martin Theiler
No abstract text is available yet for this article.
April 25, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28442468/strengthening-the-global-paediatric-workforce-the-need-for-a-global-strategy-to-ensure-better-health-outcomes-for-children
#5
Kevin D Forsyth
No abstract text is available yet for this article.
April 25, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28442467/recognition-and-assessment-of-atypical-and-ambiguous-genitalia-in-the-newborn
#6
REVIEW
Justin H Davies, Timothy Cheetham
The baby with atypical or ambiguous genitalia is usually born in secondary care. For most clinicians, this is an unfamiliar and challenging scenario with the potential for life-long ramifications arising from a consultation led by an unprepared clinician. Language needs to be used carefully with particular clarity when liaising with parents, local health professionals and the specialist multidisciplinary team. Confidence in the recognition and assessment of atypical or ambiguous genitalia in a newborn will guide the local clinician when deciding on the initial investigations required and is a foundation for subsequent management...
April 25, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28442466/preventing-rotavirus-in-africa
#7
Robert Scott-Jupp
No abstract text is available yet for this article.
April 25, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28442465/the-romanian-adoption-experiment
#8
Robert Scott-Jupp
No abstract text is available yet for this article.
April 25, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28416561/requirements-for-and-current-provision-of-rehabilitation-services-for-children-after-severe-acquired-brain-injury-in-the-uk-a-population-based-study
#9
Louise Hayes, Simon Shaw, Mark S Pearce, Rob J Forsyth
OBJECTIVES: Survival with brain injury is an outcome of severe illness that may be becoming more common. Provision for children in this situation has received little attention. We sought to estimate rates of severe paediatric acquired brain injury (ABI) requiring rehabilitation and to describe current provision of services for these children in the UK. METHODS: This study conducted an analysis of Hospital Episode Statistics data between April 2003 and March 2012, supplemented by a UK provider survey completed in 2015...
April 17, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28416560/horizontal-schools-based-health-programme-in-rural-kenya
#10
James Bogie, Ben Eder, Dan Magnus, Onguko David Amonje, Martina Gant
BACKGROUND: Primary school children in low-income countries are at risk of many diseases and poor health affects attendance, cognition and ability to learn. Developing school health and nutrition strategies has been extensively highlighted as a global priority, with a particular focus on complex programme design. However, such programmes are relatively untested in low-income settings. METHOD: We implemented a complex school health and nutrition programme in two schools in Western Kenya over 3 years...
April 17, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28408468/avoidance-of-voiding-cystourethrography-in-infants-younger-than-3-months-with-escherichia-coli-urinary-tract-infection-and-normal-renal-ultrasound
#11
Jean-Yves Pauchard, Hassib Chehade, Chafika Zohra Kies, Eric Girardin, Francois Cachat, Mario Gehri
BACKGROUND AND OBJECTIVE: Urinary tract infection (UTI) represents the most common bacterial infection in infants, and its prevalence increases with the presence of high-grade vesicoureteral reflux (VUR). However, voiding cystourethrography (VCUG) is invasive, and its indication in infants <3 months is not yet defined. This study aims to investigate, in infants aged 0-3 months, if the presence of Escherichia coli versus non-E. coli bacteria and/or normal or abnormal renal ultrasound (US) could avoid the use of VCUG...
April 13, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28408467/isolated-mild-sleep-associated-hypoventilation-in-children-with-down-syndrome
#12
Wai Wong, Dennis Rosen
INTRODUCTION: Children with Down syndrome (DS) have a high incidence of obstructive sleep apnea (OSA) that is often associated with hypoventilation. Little is known, however, about the prevalence of sleep-associated hypoventilation independent of OSA in these children. METHODS: Retrospective chart review of all children with DS under 18 years of age undergoing polysomnography at a tertiary care paediatric hospital during a 2-year period. Exclusion criteria were as follow: those requiring oxygen or positive-pressure ventilation; with tracheostomy, baseline hypoxia, unrepaired cyanotic heart disease, pulmonary hypertension, and cerebral palsy; or OSA with >5 obstructions/hour...
April 13, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28408466/-best-interests-in-paediatric-intensive-care-an-empirical-ethics-study
#13
Giles Birchley, Rachael Gooberman-Hill, Zuzana Deans, James Fraser, Richard Huxtable
OBJECTIVE: In English paediatric practice, English law requires that parents and clinicians agree the 'best interests' of children and, if this is not possible, that the courts decide. Court intervention is rare and the concept of best interests is ambiguous. We report qualitative research exploring how the best interests standard operates in practice, particularly with decisions related to planned non-treatment. We discuss results in the light of accounts of best interests in the medical ethics literature...
April 13, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28404554/oesophageal-eosinophilia-in-children-with-coeliac-disease
#14
Anne Ari, Sara Morgenstern, Gabriel Chodick, Manar Matar, Ari Silbermintz, Amit Assa, Yael Mozer-Glassberg, Firas Rinawi, Vered Nachmias-Friedler, Raanan Shamir, Noam Zevit
OBJECTIVES: An association between coeliac disease (CD) and eosinophilic oesophagitis (EoE)/oesophageal eosinophilia (EE) has been suggested. We sought to characterise children with CD+EE in-depth and assess the contribution of each condition to the clinical presentation and treatment response. STUDY DESIGN: Medical records of children with both CD+EE, or isolated EoE diagnosed between 2000 and 2014, were retrospectively reviewed and compared with patients with isolated CD or epigastric pain...
April 12, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28404553/airway-emergencies-presenting-to-the-paediatric-emergency-department-requiring-advanced-management-techniques
#15
Leopold Simma, Domenic Cincotta, Stefan Sabato, Elliot Long
BACKGROUND: Airway emergencies presenting to the emergency department (ED) are usually managed with conventional equipment and techniques. The patient group managed urgently in the operating room (OR) has not been described. AIMS: This study aims to describe a case series of children presenting to the ED with airway emergencies managed urgently in the OR, particularly the anaesthetic equipment and techniques used and airway findings. METHODS: A retrospective cohort study undertaken at The Royal Children's Hospital, Melbourne, Australia...
April 12, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28404552/priority-setting-in-paediatric-preventive-care-research
#16
Mikael Lavigne, Catherine S Birken, Jonathon L Maguire, Sharon Straus, Andreas Laupacis
OBJECTIVES: To identify the unanswered research questions in paediatric preventive care that are most important to parents and clinicians, and to explore how questions from parents and clinicians may differ. DESIGN: Iterative mixed methods research priority setting process. SETTING: Toronto, Ontario, Canada. PARTICIPANTS: Parents of children aged 0-5 years enrolled in a research network in Toronto, and clinicians practising in Toronto, Ontario, Canada...
April 12, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28396448/paediatric-early-warning-systems-pews-and-trigger-systems-for-the-hospitalised-child-time-to-focus-on-the-evidence
#17
EDITORIAL
Peter J Lillitos, Ian K Maconochie
No abstract text is available yet for this article.
April 10, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28391249/is-hla-testing-for-coeliac-disease-helpful-in-associated-autoimmune-conditions
#18
EDITORIAL
Mark P Tighe, R Mark Beattie
No abstract text is available yet for this article.
April 8, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28377450/specialist-paediatric-palliative-care-services-what-are-the-benefits
#19
Sarah Mitchell, Andrew Morris, Karina Bennett, Laiba Sajid, Jeremy Dale
BACKGROUND: The number of children and young people (CYP) living with life-limiting and life-threatening conditions is rising. Paediatric palliative care is a relatively new aspect of healthcare, the delivery of which is variable, with a wide range of healthcare and voluntary sector providers involved. Policy recommendations are for Specialist Paediatric Palliative Care (SPPC) services to be supported by a physician with specialist training. AIM: To examine the research evidence regarding the distinct benefits of SPPC services, with 'Specialist Paediatric Palliative Care' defined as palliative care services supported by a specialist physician...
April 4, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28377449/acute-infectious-hepatitis-in-hospitalised-children-a-british-paediatric-surveillance-unit-study
#20
Serena Braccio, Adam Irwin, Andrew Riordan, Delane Shingadia, Deirdre A Kelly, Sanjay Bansal, Mary Ramsay, Shamez N Ladhani
BACKGROUND: Hepatitis remains a key public health priority globally. Most childhood cases are caused by viruses, especially hepatitis A virus (HAV) and hepatitis B virus (HBV). This study aimed to estimate the burden of acute infectious hepatitis in hospitalised children and to describe their clinical characteristics and outcomes. METHODS: Paediatricians in the UK and Ireland reported cases in children aged 1 month to 14 years diagnosed between January 2014 and January 2015 (inclusive) through the British Paediatric Surveillance Unit (BPSU) and completed a detailed questionnaire...
April 4, 2017: Archives of Disease in Childhood
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