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Journal of Paediatrics and Child Health

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https://www.readbyqxmd.com/read/27862541/paediatrician-beliefs-and-practices-around-influenza-vaccination
#1
James P Newcombe, Rajneesh Kaur, Nicholas Wood, Holly Seale, Pamela Palasanthiran, Thomas L Snelling
AIM: The uptake of influenza vaccination in children with high-risk medical conditions continues to be low in Australia and internationally. We aimed to determine Australian paediatricians' beliefs and practices around the influenza vaccination of children. METHODS: This was conducted as a cross sectional survey of paediatricians from two tertiary paediatric hospitals in Sydney. RESULTS: There were 101 participants. Influenza vaccination was not prioritised compared with other vaccines and clinical issues, with fewer than half of respondents strongly agreeing that influenza vaccination was useful...
November 15, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27862529/implementation-of-dextrose-gel-in-the-management-of-neonatal-hypoglycaemia
#2
Marene Ter, Ikhwan Halibullah, Laura Leung, Susan Jacobs
AIM: The aim of this study was to evaluate dextrose gel in the management of neonatal hypoglycaemia in the postnatal wards at an Australian tertiary level perinatal centre. METHODS: An audit was performed before and after implementation of dextrose gel. Pre-implementation, neonatal hypoglycaemia was managed with feed supplementation alone, and dextrose gel was used in addition to feed supplementation in the post-implementation phase. Outcomes included admission to neonatal intensive care unit (NICU) for management of hypoglycaemia, proportion of neonates who achieved normoglycaemia (defined as blood glucose ≥2...
November 15, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27862592/retrograde-continence-enema-in-children-with-spina-bifida-not-as-effective-as-first-thought
#3
Sebastian K King, Lefteris Stathopoulos, Loreto Pinnuck, Judy Wells, John Hutson, Yves Heloury
AIM: The aim of the study is to investigate the effectiveness of Peristeen retrograde continence enema (RCE) in the management of faecal incontinence in children with spina bifida. METHODS: We identified a homogenous group of spina bifida patients in whom RCE was initiated (Jan 2006-July 2013). Confidential assessments included (i) Fecal Incontinence Quality Of Life (FIQOL), (ii) St Marks Faecal Incontinence score, (iii) Cleveland Clinic Constipation score and (iv) Neurogenic Bowel Dysfunction score...
November 10, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27862527/prevalence-of-head-injury-and-medically-diagnosed-concussion-in-junior-level-community-based-australian-rules-football
#4
Mark D Hecimovich, Doug King
AIM: For junior-level Australian Rules Football there is a paucity of head injury and concussion surveillance data; thus, the primary aim was to document head injury and concussion incidence in participants aged 9-17 years with a secondary aim to identify the mechanism-of-injury. METHODS: A prospective cohort study in which a designated representative for each of the 41 teams recorded on a weekly basis the number of head injuries suspected of being a concussion, diagnosed concussions and the mechanism-of-injury during competition games over the course of a 12-game season...
November 10, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27859955/seventeen-years-of-kasai-portoenterostomy-for-biliary-atresia-in-a-single-southeast-asian-paediatric-centre
#5
Li Wei Chiang, Chuan Yaw Lee, Gita Krishnaswamy, Shireen Anne Nah, Ajmal Kader, Christina Ong, Yee Low, Kong Boo Phua
AIM: Biliary atresia (BA) has preponderance in Asian populations with Kasai portoenterostomy (KP) regarded as the first-line standard of care. Yet reports from Southeast Asia remain scant. This study reviews the demographics, short- and medium-term outcomes for our cohort, and evaluates prognostic factors for outcome. METHODS: All patients diagnosed with BA between January 1997 and December 2013 were included. Clinical data were obtained from medical records. Jaundice clearance was defined as total bilirubin < 20 µmol/L within 6 months after KP...
November 8, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27748557/health-professional-and-community-perspectives-on-reducing-barriers-to-accessing-specialist-health-care-in-metropolitan-aboriginal-communities-a-semi-structured-interview-study
#6
Christian Young, Allison Tong, Hasantha Gunasekera, Simone Sherriff, Deanna Kalucy, Peter Fernando, Jonathan C Craig
AIM: To describe the perspectives of health professionals and communities on an innovative health service delivery project, Hearing EAr health and Language Services (HEALS). HEALS was a government funded initiative to improve access to specialist ear, nose and throat and speech pathology services for Aboriginal families living in metropolitan areas. METHODS: Semi-structured interviews were conducted with 21 health-care professionals (clinicians, health service managers and Aboriginal health workers) and 16 care givers of children who participated in HEALS...
October 17, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27734555/the-effectiveness-of-pre-operative-clown-intervention-on-psychological-distress-a-systematic-review-and-meta-analysis
#7
Yongfu Zhang, Yuan Yang, Wing Yt Lau, Samradhvi Garg, Jianxin Lao
AIM: This study aims to provide an overview of the current knowledge available on the effectiveness of pre-operative clown intervention on psychological distress in children and parents. METHODS: PubMed, MEDLINE, Embase and PsycINFO databases were searched to identify relevant studies. Systematic review procedures were followed including a quality assessment. Meta-analysis of suitable studies was conducted. RESULTS: Eight studies were included; six reported that clown intervention reduced children's pre-operative anxiety, while one found that children's pre-operative distress levels were unchanged...
October 13, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27717116/clinical-significance-of-liver-histology-on-outcomes-in-biliary-atresia
#8
Nicholas L Webb, Ashish Jiwane, Chee Y Ooi, Scott Nightinghale, Susan E Adams, Usha Krishnan
AIM: Biliary atresia (BA) literature has focussed on the relationship between age at Kasai procedure (KP) and post-KP outcomes. This study primarily examines post-KP outcomes including, 6-month normalisation of bilirubin, 5-year native liver survival (NLS), development of portal hypertension (PHT) and incidence of ascending cholangitis at a single tertiary paediatric centre in Australia. The study also evaluated prognostic factors which may influence these aforementioned outcomes. METHODS: Retrospective chart review of all BA cases between 1999 and 2014...
October 7, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27714962/utility-of-blood-cultures-in-children-admitted-to-hospital-with-community-acquired-pneumonia
#9
Tessa R Davis, Hannah R Evans, Jennifer Murtas, Aimee Weisman, J Lynn Francis, Ahmed Khan
AIM: The aim of the study was to assess the utility of blood cultures in children admitted to hospital with community-acquired pneumonia. The primary outcome was the number of positive blood culture results, and secondary outcomes included the effect of positive blood culture results on management, and the identification of other clinical/biochemical variables that could predict blood culture results or the course of illness. METHODS: A retrospective data analysis was carried out on all children admitted to Gosford Hospital during the 2-year period from July 2013 to June 2015...
October 7, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27714893/ethnic-disparities-in-infectious-disease-hospitalisations-in-the-first-year-of-life-in-new-zealand
#10
Mark R Hobbs, Susan Mb Morton, Polly Atatoa-Carr, Stephen R Ritchie, Mark G Thomas, Rajneeta Saraf, Carol Chelimo, Anthony Harnden, Carlos A Camargo, Cameron C Grant
AIM: Infectious disease (ID) hospitalisation rates are increasing in New Zealand (NZ), especially in pre-school children, and Māori and Pacific people. We aimed to identify risk factors for ID hospitalisation in infancy within a birth cohort of NZ children, and to identify differences in risk factors between ethnic groups. METHODS: We investigated an established cohort of 6846 NZ children, born in 2009-2010, with linkage to a national data set of hospitalisations...
October 7, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27714884/coding-paediatric-outpatient-data-to-provide-health-planners-with-information-on-children-with-chronic-conditions-and-disabilities
#11
Elizabeth Craig, Neal Kerr, Gabrielle McDonald
AIM: In New Zealand, there is a paucity of information on children with chronic conditions and disabilities (CCD). One reason is that many are managed in hospital outpatients where diagnostic coding of health-care events does not occur. This study explores the feasibility of coding paediatric outpatient data to provide health planners with information on children with CCD. METHODS: Thirty-seven clinicians from six District Health Boards (DHBs) trialled coding over 12 weeks...
October 7, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27709723/road-map-for-improvement-point-prevalence-audit-and-survey-of-central-venous-access-devices-in-paediatric-acute-care
#12
Amanda J Ullman, Marie Cooke, Tricia Kleidon, Claire M Rickard
AIM: To identify the prevalence, management and complications associated with central venous access devices (CVADs) within Australian paediatric facilities, providing a map for clinicians, researchers and managers to focus solutions. METHODS: A point prevalence audit and survey of CVAD practices in Australian tertiary paediatric hospitals between September and November 2015, using validated data collection tools. RESULTS: Across the six sites, 1027 patients were screened with CVADs prevalent in 26...
October 6, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27704652/epidemiology-clinical-characteristics-laboratory-findings-and-severity-of-respiratory-syncytial-virus-acute-lower-respiratory-infection-in-malaysian-children-2008-2013
#13
Khuen F Ng, Kah K Tan, Zhi H Sam, Grace Ss Ting, Wan Y Gan
AIM: The aim of this study is to describe epidemiology, clinical features, laboratory data and severity of respiratory syncytial virus (RSV) acute lower respiratory infection (ALRI) in Malaysian children and to determine risk factors associated with prolonged hospital stay, paediatric intensive care unit (PICU) admission and mortality. METHODS: Retrospective data on demographics, clinical presentation, outcomes and laboratory findings of 450 children admitted into Tuanku Jaafar Hospital in Seremban, Malaysia from 2008 to 2013 with documented diagnosis of RSV ALRI were collected and analysed...
October 5, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27701803/eligibility-criteria-for-therapeutic-hypothermia-from-trials-to-clinical-practice
#14
Shailender Mehta, Anjali Joshi, Barbara Bajuk, Nadia Badawi, Sarah McIntyre, Kei Lui
AIM: Whole body therapeutic hypothermia (TH) for hypoxic ischaemic encephalopathy was introduced into clinical practice in New South Wales (NSW) and Australian Capital Territory in 2007. State-wide policy adopting the eligibility criteria and practice based on trial-designs was published in 2009. METHODS: The study was conducted by retrospectively reviewing medical records of all TH infants born between 2007 and 2011 in NSW and Australian Capital Territory to examine if eligibility criteria (assessed against evidence-based policy directives) were met...
October 4, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27701795/adequacy-of-palliative-care-in-a-single-tertiary-neonatal-unit
#15
Deborah Gilmour, Mark W Davies, Anthony R Herbert
AIM: End-of-life care remains part of the scope of practice in all neonatal units. This study aimed to characterise the end-of-life care provided in an Australian tertiary neonatal centre, where paediatric palliative care was accessible via a consultative service. METHODS: This retrospective cohort study examined indicators of quality palliative care provided to 46 infants born within a 30-month period. The cohort included four infants who received palliative care consultations additional to usual neonatal care...
October 4, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27701789/acute-pancreatitis-complicating-choledochal-cysts-in-children
#16
Mathievathaniy Muthucumaru, Damir Ljuhar, Gayathri Panabokke, Eldho Paul, Ramesh Nataraja, Peter Ferguson, Charuta Dagia, Tom Clarnette, Sebastian King
AIM: To analyse the characteristics of patients with choledochal cysts presenting with acute pancreatitis. METHODS: Multicenter retrospective review of all paediatric patients (<18 years) with choledochal cysts managed over a 14-year period (2001-2014) at two tertiary paediatric surgical centres. Patient data were analysed for demographics, presentation, radiological classification of cyst type (Todani), operative interventions, complications and long-term follow-up...
October 4, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27701787/delayed-diagnosis-an-important-prognostic-factor-for-oesophageal-atresia-in-developing-countries
#17
Suleyman Cuneyt Karakus, Bulent Hayri Ozokutan, Unal Bakal, Haluk Ceylan, Mehmet Sarac, Seval Kul, Ahmet Kazez
AIM: The aim of this study is to analyse the effect of delayed diagnosis on mortality rates, and evaluate the role of delayed diagnosis as a new prognostic factor in patients with oesophageal atresia (OA), especially in developing countries. METHODS: The records of 80 consecutive patients with OA (2008-2013) were reviewed. Patients were divided into two groups according to the time of diagnosis. As we demonstrated the effect of delayed diagnosis on mortality, we decided to develop a new classification that will be utilised to predict the prognosis of OA...
October 4, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27701785/paediatric-lymphoedema-a-retrospective-chart-review-of-86-cases
#18
Hilary Watt, Davinder Singh-Grewal, Orli Wargon, Susan Adams
AIM: To define the clinical characteristics, investigations, management and outcomes of lymphoedema in a paediatric cohort. METHODS: A retrospective chart review of children with lymphoedema seen at two tertiary paediatric hospitals since 1998. Telephone interviews with parents were performed when information was missing. Information recorded included demographic data, features of diagnosis and clinical presentation, symptoms, complications and treatment. RESULTS: A total of 86 patients with lymphoedema were identified...
October 4, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27701784/infectious-morbidity-and-resource-use-in-children-under-2%C3%A2-years-old-at-childcare-centres
#19
Guadalupe Del Castillo-Aguas, Ana Gallego-Iborra, Mario Gutiérrez-Olid, Olga Pérez-González, Ginesa Moreno-Muñoz, Juana M Ledesma-Albarrán
AIM: To analyse the associations between childcare centres and infectious morbidity and resource consumption. METHODS: Cohort study from birth to 2 years. OUTCOME VARIABLE: number and types of infections, drug consumption and medical visits. Exposure variable: attending or not attending a childcare centre. School age: 6-12, >12-18, >18-24 months. RESULTS: The initial cohort comprised 445 children, and the final cohort comprised 419 children...
October 4, 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27696573/children-referred-for-specialty-care-parental-perspectives-and-preferences-on-referral-follow-up-and-primary-care
#20
Gary L Freed, Erin Turbitt, Marina Kunin, Sarah Gafforini, Lena Sanci, Neil Spike
AIM: Over the last decade, there has been a dramatic increase in the number of referrals for paediatric subspecialty care and in overall appointments (new and review) to these doctors. We sought to determine the perspective of parents regarding their role in the initiation of referrals, their preferences for follow-up and the role of general practitioners (GPs) in care co-ordination. METHODS: Self-completed survey in outpatient paediatric clinics (general paediatrics and four subspecialties) at two children's hospitals in Victoria...
October 3, 2016: Journal of Paediatrics and Child Health
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