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Journal of Paediatrics and Child Health

Daniel Wk Chan, Joyce Cm Lam
No abstract text is available yet for this article.
November 13, 2018: Journal of Paediatrics and Child Health
Lijuan Xiu, Maria Hagströmer, Linnea Bergqvist-Norén, Elin Johansson, Kerstin Ekbom, Viktoria Svensson, Claude Marcus, Mirjam Ekstedt
AIM: To study the sleep development and sleep characteristics in children at different obesity risks, based on parental weight, and also to explore their weekday-weekend sleep variations and associated family factors. METHODS: A total of 145 children participating in a longitudinal obesity prevention project were included, of which 37 had normal-weight parents (low obesity risk), and 108 had overweight/obese parents (high obesity risk). Sleep diaries at ages 1 and 2 years were used to study sleep development in children at different obesity risks...
November 10, 2018: Journal of Paediatrics and Child Health
Nicholas G Larkins, Armando Teixeira-Pinto, Jonathan C Craig
Proteinuria is an important biomarker commonly used to detect and manage kidney disease in children. There are now a variety of methods available to measure urinary protein loss, and physicians are faced with several contrasting strategies: 24-h or timed collection versus spot samples (first-morning or random), measurement of total urinary protein versus selective measurement of urinary albumin, unadjusted urine protein concentration versus protein-to-creatinine ratio and the use of dipstick versus laboratory-based methods...
November 9, 2018: Journal of Paediatrics and Child Health
Chung-Jen Chen, Sabrina Bakeera-Kitaka, Ezekiel Mupere, Philip Kasirye, Deogratias Munube, Richard Idro, Heather Hume, Betsy Pfeffer, Philip LaRussa, Nancy S Green
AIM: We aimed to assess the receipt of recommended care for young children with sickle cell disease (SCD) in a central SCD clinic in Kampala Uganda, focusing on standard vaccination and antibacterial and antimalarial prophylaxis. METHODS: A cross-sectional assessment of immunisation status and timeliness and prescribed antibacterial and antimalarial prophylaxis was performed in a sample with SCD aged ≤71 months in Mulago Hospital SCD Clinic. Government-issued immunisation cards and clinic-issued visit records for prescribed prophylaxis were reviewed...
November 9, 2018: Journal of Paediatrics and Child Health
Alison J Hayes, Victoria Brown, Eng Joo Tan, Anna Chevalier, Mario D'Souza, Chris Rissel, Louise A Baur, Li Ming Wen, Marj L Moodie
AIM: To describe patterns of health-care utilisation and costs of a cohort of Australian children in the first 5 years of life and to investigate demographic factors associated with high health-care utilisation. METHODS: This was a secondary data analysis of prospectively linked health-care utilisation data, including primary and secondary health-care consults, hospitalisations and emergency. The subjects were 350 children from a disadvantaged area of Sydney. Outcomes were the frequency and cost of all health-care consults from birth to 5 years of age...
November 9, 2018: Journal of Paediatrics and Child Health
Snehal Shah, Lakshmi Nagarajan, Linda Palumbo, Peter Walsh, Jonathan Silberstein, Patricia Cannell, Soumya Ghosh
AIM: A new-onset seizure clinic (NOSC) was established at our hospital in 2011, with the aim to provide accurate diagnosis and appropriate management to children with new-onset seizures or seizure mimics. METHODS: We report on the data analysis of the first 200 children seen in NOSC. A paediatric neurologist or paediatric/neurology trainee under supervision of a neurologist reviewed all the children. A detailed history and clinical examination were undertaken. Electroencephalogram (EEGs) were undertaken prior to clinic review in most emergency departments...
November 8, 2018: Journal of Paediatrics and Child Health
Alexander Ngoo, Omar Rodriguez-Acevedo, Daniel Carroll, Harry Stalewski, Bhanu Mariyappa Rathnamma
No abstract text is available yet for this article.
November 8, 2018: Journal of Paediatrics and Child Health
Gerben Keijzers, Amy Sweeny, Julia Crilly, Norm Good, Cate M Cameron, Gabor Mihala, Jae Thone, Paul A Scuffham
AIM: To describe the relationship between emergency department (ED) diagnosis of infectious disease and immunisation status in children ≤5 years. We also aimed to demonstrate feasibility of proof-of-concept linkage between disparate databases. METHODS: Data from a cohort of 3404 children born in Southeast Queensland/Far North New South Wales between 2006 and 2011 were linked to Australian Childhood Immunisation Registry data and Emergency Department Information System data for presentations between 2006 and 2014...
October 31, 2018: Journal of Paediatrics and Child Health
Aaron Wiggins, David Coghill
No abstract text is available yet for this article.
October 30, 2018: Journal of Paediatrics and Child Health
Jerry Wales, Jason Yates
AIM: Peer review is one component of the improvement of diabetes care delivered by the National Health Service (NHS) in England and Wales. Queensland has a decentralised model of service provision with an established state diabetes network. METHODS: The NHS scheme was adapted for use in Australia, and seven trained reviewers were recruited to visit 14 'hub' centres, which in turn covered 29 'spoke' units delivering care to over 95% of all public patients <16 years old in the state...
October 30, 2018: Journal of Paediatrics and Child Health
Weiwei Zhang, Fenghai Niu, Xueyun Ren
AIM: To evaluate the association of maternal pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) with offspring growth from birth to 12 months in China. METHODS: A retrospective cohort of 3764 mother-child dyads, with children born between June 2014 and June 2016, was identified in an electronic medical record database. Maternal pre-pregnancy body weight and height measurements throughout pregnancy were extracted, and body weights and lengths of their children had been measured at birth, 3, 6, 9 and 12 months...
October 30, 2018: Journal of Paediatrics and Child Health
Krista Monkhouse, Patrina Hy Caldwell, Elizabeth H Barnes
AIM: To explore associations between weight and type/frequency of urinary incontinence (UI) in children presenting to a tertiary hospital incontinence clinic. METHODS: We retrospectively reviewed medical records of children who first attended the incontinence clinic at The Children's Hospital at Westmead between January 2004 and December 2014. A random sample of 1000 children was selected from 2022 patient records, and data were collected on weight, height, age, gender, UI parameters, bowel habits and medical history...
October 16, 2018: Journal of Paediatrics and Child Health
Amy K Keir, Oliver Karam, Nicolette Hodyl, Michael J Stark, Helen G Liley, Prakesh S Shah, Simon J Stanworth
AIM: To assess the prevalence, types and indications for fluid bolus therapy in neonates with haemodynamic compromise. METHODS: This was a pragmatic, international, multicentre observational study in neonatal units across Australasia, Europe and North America with a predefined study period of 10-15 study days per participating neonatal unit between December 2015 and March 2017. Infants ≤28 days of age who received a fluid bolus for the management of haemodynamic compromise (≥10 mL/kg given at ≤6 h) were included...
October 16, 2018: Journal of Paediatrics and Child Health
Jus Rakhra, Gabrielle Williams, Ben J Marais, Jonathan C Craig, Hasantha Gunasekera
AIM: To compare the spectra of pathogens causing febrile urinary tract infections (UTI) in children, treatment and antimicrobial susceptibility between 2004-2006 and 2007-2009. METHODS: UTI were identified from a cohort study of febrile children younger than 5 years presenting to a large tertiary children's hospital's emergency department with febrile illnesses. We compared pathogenic profiles, antibiotic choices and susceptibilities between 2004-2006 and 2007-2009 and tested for differences using χ2 and Fisher's exact tests...
October 15, 2018: Journal of Paediatrics and Child Health
Anita J Campbell, Christopher C Blyth, Christopher J Hewison, Yu-Ping Chen, Leanne Gough, Zoy Goff, Asha C Bowen
AIM: Bacteraemia episodes were assessed to calculate a hospital-wide central line-associated blood stream infection (CLABSI) rate per 1000 catheter-days. Secondary objectives were to describe risk factors, microbiology and outcomes of children with CLABSI. METHODS: A retrospective study was conducted at an Australian tertiary paediatric hospital in children <18 years who had blood culture sampling during the 2-year period, 2014-2015. All blood culture results were extracted from the hospital's laboratory information system...
October 13, 2018: Journal of Paediatrics and Child Health
Angela Wilson, Deborah Fearon
No abstract text is available yet for this article.
October 13, 2018: Journal of Paediatrics and Child Health
Mark G Elliman, Oulaivanh Vongxay, Bandith Soumphonphakdy, Amy Gray
AIM: Hyponatraemia is a common and potentially deadly complication affecting hospitalised children world-wide. Hypotonic intravenous fluids can be a significant exacerbating factor. Exclusive use of isotonic fluids, coupled with rigorous blood monitoring, has proven effective in reducing hyponatraemia in developed settings. In developing countries, where hyponatraemia is often more common and severe, different factors may contribute to its incidence and detection. We aimed to determine the prevalence and disease associations of hyponatraemia and describe the intravenous maintenance fluid prescribing practices in a Lao paediatric intensive care unit...
October 13, 2018: Journal of Paediatrics and Child Health
Joshua Kirkpatrick, Sarah Bowie, Seyed A Mirjalili
AIM: Significant ethnic variation has been demonstrated in the closure of the anterior fontanelle (AF); however, to date, this has not been investigated in the Māori/Pasifika population. METHODS: The computed tomography scans of 163 individuals (116 Māori/Pasifika and 47 New Zealand (NZ) European) aged between birth and 4 years were retrospectively analysed to investigate the surface area (SA) and time of closure of the anterior and posterior fontanelles in New Zealand...
October 12, 2018: Journal of Paediatrics and Child Health
Alison M Vogel, Diana R Lennon, Bert van der Werf, Max Diack, Jocelyn M Neutze, Maraekura Horsfall, Diane Emery, William Wong
AIM: A retrospective Auckland-wide (total population approximately 1.4 million) study of hospital admissions from 2007 to 2015 was conducted to assess trends in admissions for acute post-streptococcal glomerulonephritis (APSGN) in children aged 0-14 years. METHODS: International Statistical Classification of Diseases (ICD10) discharge codes were used to identify potential cases of APSGN, and electronic clinical records and laboratory data were compared with established case definitions for definite or probable APSGN...
October 12, 2018: Journal of Paediatrics and Child Health
Fallon Cook, Fiona Mensah, Jordana K Bayer, Harriet Hiscock
AIM: To examine, in a community cohort of healthy one-month-old infants, (i) the prevalence of early infant sleeping, crying and feeding problems; (ii) the extent to which they co-exist; and (iii) infant and mother characteristics associated with each problem alone and with comorbid problems. METHODS: A survey at 4 weeks of infant age examined the presence of infant sleeping, crying and feeding problems (yes/no); parenting self-efficacy; rating of self as a tense person; and doubts about parenting at bedtime...
October 12, 2018: Journal of Paediatrics and Child Health
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