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Archives of Disease in Childhood

Betsy Cleave, Maria Cartmill, Shiu Shing Soo, Harish Vyas
Children with shunts commonly present with fever, and often the focus of infection will be unrelated to their shunt. However, as shunt infections may present with few or even no specific symptoms, evaluation of a child with a shunt presenting with fever should be careful and comprehensive to ensure shunt infections are not missed. Treatment of an infected shunt involves removal of the shunt followed by a long course of antibiotics; missing or partially treating shunt infections can result in significant morbidity and potentially even mortality...
October 20, 2016: Archives of Disease in Childhood
Isabella Giuseppin, Enrico Valerio, Mario Cutrone
No abstract text is available yet for this article.
October 20, 2016: Archives of Disease in Childhood
(no author information available yet)
No abstract text is available yet for this article.
October 19, 2016: Archives of Disease in Childhood
Ellen Bamberger, Jacob Genizi, Nogah Kerem, Ayalla Reuven-Lalung, Niva Dolev, Isaac Srugo, Amnon Rofe
OBJECTIVE: Emotional intelligence (EI) is the individual's ability to perceive, understand and manage emotion and to understand and relate effectively to others. We examined the degree to which EI training may be associated with a change in EI among different medical personnel and patient satisfaction. DESIGN, SETTING AND PARTICIPANTS: The EI of 17 physicians and 10 nurses in paediatric ward was prospectively evaluated with Bar-On's EI at baseline and after 18 months...
October 13, 2016: Archives of Disease in Childhood
Louise Morgan, Sophie Khadr, Susan Bewley
OBJECTIVE: To describe demographic and assault-related characteristics of children attending an acute sexual assault referral centre in London within a week of alleged sexual assault. DESIGN: Retrospective case note review of all children aged 12 years and under who reported between 1 January 2008 and 31 December 2013. MAIN OUTCOME MEASURES: Age, sex, ethnicity, drugs and alcohol around the time of assault, nature of offence, relationship with perpetrator, additional violence, verbal threats, presence of injury...
October 13, 2016: Archives of Disease in Childhood
Maureen O'Leary, Karen Edmond, Sian Floyd, Lisa Hurt, Caitlin Shannon, Gyan Thomas, Sam Newton, Betty Kirkwood, Sara Thomas
OBJECTIVES: Global vaccination policy advocates for identifying and targeting groups who are underserved by vaccination to increase equity and uptake. We investigated whether birth weight and other factors are determinants of neonatal BCG vaccination in order to identify infants underserved by vaccination. METHODS: We used logistic regression to calculate adjusted ORs (AORs) for the association between birth weight (categorised as non-low birth weight (NLBW) (≥2...
October 13, 2016: Archives of Disease in Childhood
Fernando Maria de Benedictis, Andrew Bush
Wheeze is a common symptom in young children and is usually associated with viral illnesses. It is a major source of morbidity and is responsible for a high consumption of healthcare and economic resources worldwide. A few children have a condition resembling classical asthma. Rarer specific conditions may have a wheezy component and should be considered in the differential diagnosis. Over the last half century, there have been many circular discussions about the best way of managing preschool wheeze. In general, intermittent wheezing should be treated with intermittent bronchodilator therapy, and a controller therapy should be prescribed for a young child with recurrent wheezing only if positively indicated, and only then if carefully monitored for efficacy...
October 4, 2016: Archives of Disease in Childhood
Annie Theodore, Vengudi Sankar
No abstract text is available yet for this article.
September 30, 2016: Archives of Disease in Childhood
Evelien Snauwaert, Johan Vande Walle, Pauline De Bruyne
PURPOSE: Since 1997, strong incentives have been introduced worldwide to improve access to safe and effective medicines addressing the therapeutic needs of children. ACE inhibitors, the most prescribed antihypertensive drugs in the paediatric population, are one of the prototype drugs targeted by the legislation initiatives. Our purpose in assembling this review is to evaluate and describe the current evidence for the efficacy and safety profile of ACE inhibitors in the paediatric population...
September 28, 2016: Archives of Disease in Childhood
Stuart Jarvis, Roger C Parslow, Pat Carragher, Bryony Beresford, Lorna K Fraser
OBJECTIVE: To determine the clinical stage (stable, unstable, deteriorating or dying) for children and young people (CYP) aged 0-25 years in Scotland with life-limiting conditions (LLCs). DESIGN: National cohort of CYP with LLCs using linked routinely collected healthcare data. SETTING: Scotland. PATIENTS: 20 436 CYP identified as having LLCs and resident in Scotland between 1 April 2009 and 31 March 2014. MAIN OUTCOME: Clinical stage based on emergency inpatient and intensive care unit admissions and date of death...
September 28, 2016: Archives of Disease in Childhood
Janis Armstrong, Elaine Buchanan, Hazel Duncan, Kathleen Ross, Konstantinos Gerasimidis
OBJECTIVE: There is an emerging interest in the use of blenderised food for tube-feeding (BFTF). This survey explored paediatric dietitians' perceptions and experiences of BFTF use. DESIGN: A web-based questionnaire was distributed to the Paediatric group of the British Dietetic Association. The survey captured dietitians' personal opinions and experience supporting children on BFTF, and the perceptions of carers. RESULTS: Of the 77 respondents, 19 were aware of professional guidelines and 63 had never received training on BFTF...
September 27, 2016: Archives of Disease in Childhood
Yvonne Kelly, Afshin Zilanawala, Amanda Sacker, Robert Hiatt, Russell Viner
OBJECTIVE: Early puberty in girls is linked to some adverse outcomes in adolescence and mid-life. We address two research questions: (1) Are socioeconomic circumstances and ethnicity associated with early onset puberty? (2) Are adiposity and/or psychosocial stress associated with observed associations? DESIGN: Longitudinal data on 5839 girls from the UK Millennium Cohort Study were used to estimate associations between ethnicity, family income, adiposity and psychosocial stress with a marker of puberty...
September 26, 2016: Archives of Disease in Childhood
Amit Assa, Yael Frenkel-Nir, Ya'ara Leibovici-Weissman, Dorit Tzur, Arnon Afek, Lior H Katz, Zohar Levi, Raanan Shamir
OBJECTIVES: To investigate the impact of coeliac disease (CD) diagnosis on anthropometric measures at late adolescence and to assess trends in the prevalence of diagnosed CD over time. DESIGN: A population based study. PATIENTS: Prior to enlistment, at the age of 17 years, most of the Israeli Jewish population undergoes a general health examination. Subjects' medical diagnoses are entered into a structured database. INTERVENTIONS: The enlistment database was thoroughly searched for CD cases between the years 1988 and 2015...
September 26, 2016: Archives of Disease in Childhood
Alexandra H Wallace, Stuart R Dalziel, Brett R Cowan, Alistair A Young, Kent L Thornburg, Jane E Harding
OBJECTIVE: To compare long-term cardiovascular outcomes in survivors of fetal anaemia and intrauterine transfusion with those of non-anaemic siblings. DESIGN: Retrospective cohort study. SETTING: Auckland, New Zealand. PARTICIPANTS: Adults who received intrauterine transfusion for anaemia due to rhesus disease (exposed) and their unexposed sibling(s). EXPOSURE: Fetal anaemia requiring intrauterine transfusion...
September 23, 2016: Archives of Disease in Childhood
Hilary Edgcombe, Chris Paton, Mike English
In this paper, we discuss the role of mobile technology in developing training tools for health workers, with particular reference to low-income countries (LICs). The global and technological context is outlined, followed by a summary of approaches to using and evaluating mobile technology for learning in healthcare. Finally, recommendations are made for those developing and using such tools, based on current literature and the authors' involvement in the field.
September 22, 2016: Archives of Disease in Childhood
Monika Tasani, Justin Daniels, Jemima Mellerio, Anna Martinez
No abstract text is available yet for this article.
September 21, 2016: Archives of Disease in Childhood
Camille Aupiais, Romain Basmaci, Brice Ilharreborde, Audrey Blachier, Marie Desmarest, Chantal Job-Deslandre, Albert Faye, Stéphane Bonacorsi, Corinne Alberti, Mathie Lorrot
AIM: Childhood arthritis arises from several causes. The aim of this observational study is to compare the clinical and biological features and short-term outcome of different types of arthritis because they have different treatment and prognoses. METHODS: Children <16 years of age hospitalised in a French tertiary care centre for a first episode of arthritis lasting for less than 6 weeks who underwent joint aspiration were retrospectively included. We performed non-parametrical tests to compare groups (septic arthritis (SA), juvenile idiopathic arthritis (JIA) and arthritis with no definitive diagnosis)...
September 21, 2016: Archives of Disease in Childhood
Benjamin G Fisher, Raman Lakshman
No abstract text is available yet for this article.
September 21, 2016: Archives of Disease in Childhood
T Norris, K Hawton, J Hamilton-Shield, E Crawley
OBJECTIVE: Identify the prevalence of obesity in patients with chronic fatigue syndrome (CFS) compared with healthy adolescents, and those identified with CFS in a population cohort. DESIGN: Cross-sectional analysis of multiple imputed data. SETTING: Data from UK paediatric CFS/myalgic encephalomyelitis (CFS/ME) services compared with data collected at two time points in the Avon Longitudinal Study of Parents and Children (ALSPAC). PATIENTS: 1685 adolescents who attended a CFS/ME specialist service between 2004 and 2014 and 13 978 adolescents aged approximately 13 years and 16 years participating in the ALSPAC study...
September 21, 2016: Archives of Disease in Childhood
Brian J Anderson, Nick Hg Holford
No abstract text is available yet for this article.
September 21, 2016: Archives of Disease in Childhood
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