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Journal of Paediatrics and Child Health

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https://www.readbyqxmd.com/read/30242942/case-of-congenital-nystagmus
#1
David Nichols
No abstract text is available yet for this article.
September 21, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30242935/evaluation-of-neurological-behaviour-in-late-preterm-newborn-infants-using-the-hammersmith-neonatal-neurological-examination
#2
En Yi Joanne Chin, Vijay R Baral, Imelda L Ereno, John C Allen, Kelly Low, Cheo Lian Yeo
AIM: We hypothesise that clinically well late-preterm infants (LPI) (34+0 -36+6 weeks) are neurologically more immature than their term counterparts, and this immaturity persists even when these infants reach term-corrected age (TCA). The primary aim of our study was to characterise and contrast the neurodevelopmental profile of well LPI with full-term infants (FTI) (39+0 -41+6 weeks) using the Hammersmith Neonatal Neurological Examination (HNNE). Our secondary aim was to obtain local reference ranges for the 34 items in the HNNE in an Asian-dominant population...
September 21, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30238684/online-referral-and-immediate-appointment-selection-system-empowers-families-and-improves-access-to-public-community-paediatric-clinics
#3
Ajay Kevat, Jacqui Manohar, Nicole Bate, Katrina Harris
AIM: We aimed to introduce a low-cost combined online referral and immediate appointment selection system (CORIAS) to empower referrers and parents by allowing them to schedule an appointment at a time and location of their choosing in conjunction with the referrer at the time of referral. This was because an unacceptably high rate of reported lost referrals, combined with a high rate of failure to attend initial appointments (FTAs), was noted at a six-site community paediatric clinic service...
September 21, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30238540/servo-controlled-cooling-during-neonatal-transport-for-babies-with-hypoxic-ischaemic-encephalopathy-is-practical-and-beneficial-experience-from-a-large-uk-neonatal-transport-service
#4
Nuria Torre Monmany, Joanna Behrsin, Andrew Leslie
AIM: Servo-controlled therapeutic hypothermia is a routine therapy for babies with hypoxic-ischaemic encephalopathy in the neonatal unit and is delivered in designated cooling centres. It is increasingly being used during neonatal transport in the UK to deliver this therapy in a timelier manner for babies not born in a cooling centre. Prior to the implementation of this treatment, passive cooling alone was used in transport. Comparison of passive and servo-controlled cooling during neonatal transfers with reference to: (i) the proportion of babies in the therapeutic range (33-34°C) at three time points during the transport mission (arrival of the team at the referring unit, departure of the team from the referring unit and at the completion of transport); (ii) the proportion of babies overcooled at any point once the transport team was present (<33°C); and (iii) duration of phases of the transfer to evaluate the impact of active cooling on how long it takes to undertake transfer...
September 21, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30226023/gastric-emptying-in-children-with-type-1-diabetes-mellitus-a-pilot-study
#5
Jody A Porter, Karen E MacKenzie, Brian A Darlow, Ross Butler, Andrew S Day
AIM: Delayed gastric emptying (GE) has been demonstrated in adults with type 1 diabetes mellitus (T1DM). Little is known about GE in children with T1DM. Most methods to measure GE are invasive, that is, scintigraphy, or are only indirectly related to GE, that is, electrogastrography. Carbon-13 breath testing is a non-invasive, very low-risk procedure that accurately correlates with GE time. This was a pilot study to determine the feasibility of using carbon-13 breath testing to measure GE in children with T1DM and healthy controls...
September 17, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30218473/paediatric-electroencephalograph-the-benefits-of-guidelines
#6
Brooke E Thompson Nee Milner, David Newsom, Andrew White
AIM: The electroencephalogram (EEG) is an important but often over-relied upon investigation in evaluating paroxysmal events of childhood. The UK National Institute for Health and Care Excellence (NICE) guidelines for epilepsy help clinicians decide which children should/should not have an EEG. Would introduction of these guidelines in our hospital change the ordering practices of our hospital clinicians? Would introduction reduce unnecessary tests and improve rapidity of obtaining an EEG? METHODS: Paediatric EEG requests, results and, where possible, the patient hospital chart were reviewed before and after introduction of an EEG request form (Appendix I) which provided ordering advice as per the NICE epilepsy guideline...
September 15, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30218466/albuminuria-and-low-bone-mineral-density-in-paediatric-patients-with-type-1-diabetes
#7
Karla S Costa de Souza, Iago de Souza Gomes, Yonara M da Costa Oliveira, Melina Bezerra Loureiro, Heglayne Pereira Vital da Silva, Thamara Rodrigues de Melo, Marcos Gonzaga Dos Santos, Raul Hernandes Bortolin, José J Maciel Neto, Ricardo F Arrais, Maria das G Almeida, Marcela Abbott Galvão Ururahy, Adriana A de Rezende
AIM: To evaluate glycaemic control and its influence on albuminuria and bone mineral density (BMD) in children and adolescents with type 1 diabetes (T1D). METHODS: We collectively assessed 84 T1D children/adolescents (T1D group), aged between 6 and 17 years, and then divided them into two groups according to their glycaemic profile (T1D with good glycaemic control (T1DG group) and T1D with poor glycaemic control (T1DP group)). Serum glucose, glycated haemoglobin, serum urea, serum creatinine, urinary albumin-to-creatinine ratio (ACR), estimated glomerular filtration rate and BMD levels were assessed...
September 15, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30218465/admission-temperature-and-hospital-outcomes-in-extremely-preterm-infants
#8
Victoria Yj Tay, Srinivas Bolisetty, Barbara Bajuk, Kei Lui, John Smyth
AIM: To evaluate trends in admission temperature and its effect on mortality and short-term morbidities in extremely preterm infants. METHODS: A regional cohort study of infants born at 23-28 weeks' gestation and admitted to the 10 neonatal intensive care units in New South Wales and the Australian Capital Territory between 1994 and 2012. Hypothermia was defined as skin temperature <36°C on admission to the neonatal intensive care unit. The primary outcome was hospital mortality...
September 15, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30218463/rare-cause-of-maternal-and-neonatal-hypercalcaemia
#9
Lucy McBride, Amy Crosthwaite, Christine Houlihan, Zornitza Stark, Christine Rodda
No abstract text is available yet for this article.
September 15, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30209852/introduction-and-uptake-of-electronic-growth-charts-in-southern-new-zealand
#10
Gloria J Dainty, David M Reith, Barry J Taylor
AIM: The introduction of an electronic system for recording and displaying growth measurements replaces multiple paper growth charts and theoretically improves the availability and consistency of information to support clinical decision-making. Introducing this in a single New Zealand District Health Board provided the opportunity to evaluate usage in hospital settings and determine the uptake of growth recording in a defined population. METHODS: All records between 2010 and 2015 in the Southern District Health Board (SDHB) anthropometry database were downloaded and examined in a retrospective cohort analysis...
September 13, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30209846/the-role-of-skin-testing-and-extended-antibiotic-courses-in-assessment-of-children-with-penicillin-allergy-an-australian-experience
#11
Annabelle Arnold, Aine Sommerfield, Anoop Ramgolam, Kristina Rueter, Saravanan Muthusamy, Valerie Noble, Britta S von Ungern-Sternberg, Michaela Lucas
AIM: To determine if skin testing (ST) in addition to extended oral provocation challenge (OPC) is necessary for beta-lactam allergy verification in an Australian paediatric population. METHODS: This was a retrospective study (176 children) that undertook assessments for beta-lactam allergy from 2006 to 2015 at a tertiary paediatric hospital. Patients either underwent direct OPC without ST or ST plus challenge if ST was negative. RESULTS: The analysis included children with a history of varying rash types/severity as well as angioedema and reported anaphylaxis...
September 13, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30198175/predictive-risk-factors-for-complicated-pneumonia-in-malaysian-children
#12
Jian Min Ooi, Kah Peng Eg, Karuthan Chinna, Anna M Nathan, Jessie A de Bruyne, Surendran Thavagnanam
AIM: To investigate baseline characteristics associated with complicated community-acquired pneumonia (CAPc) in Malaysian children. CAPc, such as pleural effusion and/or empyema, is on the rise, especially in Southeast Asian children, and the reasons for this are unknown. METHODS: A retrospective study was conducted on all children aged 2-16 years who were admitted to the University Malaya Medical Centre with community-acquired pneumonia between 2012 and 2014...
September 9, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30198164/outcomes-of-infants-born-at-borderline-viability-23-25-weeks-gestation-who-received-cardiopulmonary-resuscitation-at-birth
#13
Dimple Goel, Daphne D'cruz, Pranav Jani
AIM: The practice of providing advanced resuscitative measures to infants born at borderline viability (23-25+6 weeks gestation) varies among clinicians due to perception of futility. The aim of our study was to compare mortality and major morbidities in infants born at borderline viability who did not receive cardiopulmonary resuscitation (CPR) in the delivery room (No DR-CPR) as compared to those who did (DR-CPR). METHODS: A retrospective analysis of prospectively collected data of infants born between 23 and 25+6 weeks gestation who were resuscitated at birth at the study centre or admitted to neonatal intensive care unit from peripheral hospitals, over 8 years (2007-2014)...
September 9, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30198119/a-21st-century-plague-of-biblical-proportions
#14
Andrew Biggin
Modern medicine has eradicated smallpox, contained polio and is making significant advances in personalised/genetic medicine. However, we are facing a pandemic of apocalyptic proportions, and there is currently no vaccine or United Nations Charter to help address this issue. Following its insidious spread in the 1980s, the full impact of this phenomenon on civilisation has not been fully appreciated. It has slipped under the radar of the International Classification of Diseases (ICD-10) and Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classification systems...
September 9, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30198118/telling-the-truth-to-young-children-ethical-reasons-for-information-disclosure-in-paediatrics
#15
REVIEW
Nicholas Hudson, Merle Spriggs, Lynn Gillam
When parents ask doctors not to disclose certain information to a child, doctors are challenged to articulate ethical reasons for giving information to children. This paper maps out the professional and legal landscape in which information-giving to children is taking place and identifies the key ethical arguments that have been made for disclosure of information to the child patient. We focus on pre-adolescent children, who have not reached a developmental stage that would see them regarded as 'mature minors'...
September 9, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30184291/vaccine-preventable-disease-following-allogeneic-haematopoietic-stem-cell-transplant-in-western-australia
#16
Anne L Ryan, Fiona Kerr, Hazel Gough, Tina L Carter, Rishi S Kotecha
AIM: Infection is an important and frequent cause of mortality and morbidity following allogeneic haematopoietic stem cell transplantation (HSCT). This study was conducted to determine the epidemiology and clinical phenotype of vaccine-preventable disease in children who have undergone HSCT following the implementation of a standard revaccination programme. METHODS: Children receiving first allogeneic HSCT in Western Australia between January 2005 and December 2014 were eligible for recruitment...
September 5, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30168236/medication-error-trends-and-effects-of-person-related-environment-related-and-communication-related-factors-on-medication-errors-in-a-paediatric-hospital
#17
Elizabeth Manias, Noel Cranswick, Fiona Newall, Ellie Rosenfeld, Carlye Weiner, Allison Williams, Ian Ck Wong, Narelle Borrott, Jerry Lai, Sharon Kinney
AIM: This study aimed to examine reported medication error trends in an Australian paediatric hospital over a 5-year period and to determine the effects of person-related, environment-related and communication-related factors on the severity of medication outcomes. In particular, the focus was on the influence of changes to a hospital site and structure on the severity of medication errors. METHODS: A retrospective clinical audit was undertaken over a 5-year period of paediatric medication errors submitted to an online voluntary reporting system of an Australian, tertiary, public teaching paediatric hospital...
August 31, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30168229/what-exposures-in-early-life-are-risk-factors-for-childhood-obesity
#18
REVIEW
Seema Mihrshahi, Louise A Baur
Globally, estimates show that 41 million children younger than 5 years of age are affected by overweight and obesity. In many regions of the world, these prevalence rates have increased dramatically, especially in low- and middle-income countries, making childhood obesity a global policy issue. Recent data show that many children are already affected by overweight or obesity by the time they start school; hence, the examination of early exposures, with interventions around these exposures, is warranted. In this review, we outline the main modifiable exposures in early life that can lead to an increased risk of obesity...
August 31, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30161286/completeness-of-protocols-for-clinical-trials-in-children-submitted-to-ethics-committees
#19
Pathma D Joseph, Patrina Hy Caldwell, Elizabeth H Barnes, Kay Hynes, Catherine S Choong, Sean Turner, Claire Vosk, Jessie White, Kate Richichi, Jonathan C Craig
AIM: Studies of published clinical trials involving children have shown frequent omissions in key aspects of design and conduct, but these problems may be artefactual and due to editorial processes and space limitations. To determine actual design and conduct, we analysed the completeness of key domains in trial protocols involving children submitted to Human Research Ethics Committees. METHODS: The ethics committees of all eight children's hospitals in Australia were invited to participate...
August 30, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30161281/methicillin-resistant-staphylococcus-aureus-skin-and-soft-tissue-infections-in-young-people-in-custody-in-new-south-wales
#20
Leigh Haysom, Melanie Cross, Rebecca Anastasas, Stephen Hampton, Marilyn Harris, Kimberley Sneddon
AIM: Methicillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infections (SSTIs) are problematic for incarcerated adolescents but have not been previously researched. METHODS: This was a 2-year prospective study of all New South Wales Juvenile Custodial Centres involving incarcerated youth aged 12-20 years. The main outcomes measured were MRSA SSTIs, MRSA molecular subtypes and associations with MRSA infection. Variables included age, gender, SSTI site and type, Indigenous status, incarceration time, lifetime incarcerations, intravenous drug use, overweight/obesity, recent antibiotic use and health centre presentations...
August 30, 2018: Journal of Paediatrics and Child Health
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