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https://www.readbyqxmd.com/read/29662693/paediatric-and-obstetric-outcomes-at-a-faith-based-hospital-during-the-100-day-public-sector-physician-strike-in-kenya
#1
Mary Beth Adam, Sarah Muma, Jecinter Achieng Modi, Mardi Steere, Nate Cook, Wayne Ellis, Catherine T Chen, Arianna Shirk, John K Muma Nyagetuba, Erik N Hansen
Published reviews of national physician strikes have shown a reduction in patient mortality. From 5 December 2016 until 14 March 2017, Kenyan physicians in the public sector went on strike leaving only private (not-for-profit and for-profit) hospitals able to offer physician care. We report on our experience at AIC-Kijabe Hospital, a not-for-profit, faith-based Kenyan hospital, before, during and after the 100-day strike was completed by examining patient admissions and deaths in the time periods before, during and after the strike...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29661559/stickler-syndrome-in-children-a-radiological-review
#2
N McArthur, A Rehm, N Shenker, A J Richards, A M McNinch, A V Poulson, J Tanner, M P Snead, P W P Bearcroft
AIM: To review the radiological findings of the largest cohort to date of paediatric patients with Stickler syndrome, all with confirmed molecular genetic analysis and sub-typing. PATIENTS AND METHODS: It is understood that the National Health Service (NHS) commissioned service at Addenbrookes Hospital, Cambridge, UK has the largest cohort of Stickler syndrome patients in the paediatric age group worldwide with 240 registered children. Fifty-nine were assessed radiologically and for their genotypes...
April 13, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29656273/the-feasibility-and-concurrent-validity-of-performing-the-movement-assessment-battery-for-children-2nd-edition-via-telerehabilitation-technology
#3
Kristy Nicola, Jemimah Waugh, Emily Charles, Trevor Russell
BACKGROUND: In rural and remote communities children with motor difficulties have less access to rehabilitation services. Telerehabilitation technology is a potential method to overcome barriers restricting access to healthcare in these areas. Assessment is necessary to guide clinical reasoning; however it is unclear which paediatric assessments can be administered remotely. The Movement Assessment Battery for Children - 2nd Edition is commonly used by various health professionals to assess motor performance of children...
April 12, 2018: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29645069/-childhood-ischemic-cerebrovascular-disease-in-a-paediatric-emergency-service-a-descriptive-study
#4
P Garcia-Sanchez, R Lopez-Lopez, L Rubio-Gordon, B Rosich-Del Cacho, L Tesouro-Rodriguez, M A Rivas-Paterna, M A Perez-Moneo Agapito, S Garcia-Garcia
AIM: To describe the clinical presentation, risk factors and complementary tests in patients of our paediatric emergency service with a final diagnosis of ischemic stroke. PATIENTS AND METHODS: Retrospective, analytical and observational study, performed in a Paediatric Emergency Service of a tertiary-level hospital. We included patients aged 1 month to 14 years during a 12-years period with a final diagnosis of ischemic cerebrovascular disease (CVD). We analyzed personal history, symptomatology and initial complementary tests...
April 16, 2018: Revista de Neurologia
https://www.readbyqxmd.com/read/29643017/the-importance-of-expert-opinion-based-data-lessons-from-the-european-paediatric-association-union-of-national-european-paediatric-societies-and-associations-epa-unepsa-research-on-european-child-healthcare-services
#5
https://www.readbyqxmd.com/read/29621601/results-from-the-third-scottish-national-prevalence-survey-is-a-population-health-approach-now-needed-to-prevent-hai
#6
Shona Cairns, Cheryl Gibbons, Aynsley Milne, Hazel King, Melissa Llano, Laura MacDonald, William Malcolm, Chris Robertson, Jacqueline Sneddon, Jennifer Weir, Jacqui Reilly
BACKGROUND: Healthcare associated infections (HAI) are a major public health concern and a significant cause of morbidity and mortality. A robust and current evidence base that is specific to local, national and Europe-wide settings is necessary to inform the development of strategies to reduce HAI and contain antimicrobial resistance (AMR). AIM: To measure the prevalence of HAI and antimicrobial prescribing and identify key priority areas for interventions to reduce the burden of infection...
April 2, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29618237/transition-from-paediatric-to-adult-healthcare-for-young-people-with-cystic-fibrosis-parents-information-needs
#7
Imelda Coyne, Helen Malone, Emma Chubb, Alison E While
Parents of young people with cystic fibrosis (YPWCF) play an important role during the transition from paediatric to adult health services. There is limited evidence on parental information needs and the extent to which they are met. An online survey was conducted targeting a finite population of 190 parents of YPWCF in Ireland. Fifty-nine parents responded (31% response rate). Parents reported the need for more general preparation and timing of the transfer, more information regarding the differences between adult and child health services and how their child will self-manage his/her illness in the future...
January 1, 2018: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/29609472/perceived-confidence-competence-and-training-in-evidence-based-treatments-for-eating-disorders-a-survey-of-clinicians-in-an-australian-regional-health-service
#8
Richard Lakeman, Christine McIntosh
OBJECTIVES: Eating disorders (EDs) are challenging to treat and contribute to considerable morbidity and mortality. This study sought to identify the educational preparedness, competence and confidence of clinicians to work with people with EDs; and to identify how services might be improved. METHODS: Clinicians who worked in the emergency department, medical, paediatric wards and mental health services were invited to complete an online survey. RESULTS: From the 136 surveys returned, 73% of respondents reported little or no confidence working with EDs...
March 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29609145/seizure-characteristics-and-the-use-of-anti-epileptic-drugs-in-children-and-young-people-with-brain-tumours-and-epileptic-seizures-analysis-of-regional-paediatric-cancer-service-population
#9
Chiara Pilotto, Jo-Fen Liu, David A Walker, William P Whitehouse
PURPOSE: Epileptic seizures complicate the management of childhood brain tumours. There are no published standards for clinical practice concerning risk factors, treatment selection or strategies to withdraw treatment with antiepileptic drugs (AED). METHOD: we undertook a case note review of 120 patients with newly diagnosed brain tumours, referred to a regional paediatric cancer service. RESULTS: data was available on 117/120 (98%) children <18 years: median age at tumour presentation was 8...
March 21, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/29577410/adult-care-providers-perspectives-on-the-transition-to-adult-care-for-emerging-adults-with-type-1-diabetes-a-cross-sectional-survey
#10
S Michaud, K Dasgupta, L Bell, J-F Yale, N Anjachak, S Wafa, M Nakhla
AIMS: To assess adult diabetes care providers' current transition practices, knowledge about transition care, and perceived barriers to implementation of best practices in transition care for emerging adults with Type 1 diabetes mellitus. METHODS: We administered a 38-item web-based survey to adult diabetes care providers identified through the Québec Endocrinologist Medical Association and Diabetes Québec. RESULTS: Fifty-three physicians responded (35%)...
March 25, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29570559/the-health-care-transition-of-youth-with-liver-disease-into-the-adult-health-system-position-paper-from-espghan-and-easl
#11
Pietro Vajro, Björn Fischler, Patrizia Burra, Dominique Debray, Antal Dezsofi, Salvatore Guercio Nuzio, Nedim Hadzic, Loreto Hierro, Joerg Jahnel, Thierry Lamireau, Patrick McKiernan, Valerie McLin, Valerio Nobili, Piotr Socha, Francoise Smets, Ulli Baumann, Henkjan J Verkade
BACKGROUND: Medical advances have dramatically improved the long-term prognosis of children and adolescents with once-fatal hepatobiliary diseases. However, there is no generally accepted optimal pathway of care for the transition from paediatric care to the adult health system. AIM: The purpose of this position paper is to propose a transition process for young people with paediatric onset hepatobiliary diseases from child-centred to adult-centred healthcare services...
March 22, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29570554/paediatric-intestinal-pseudo-obstruction-evidence-and-consensus-based-recommendations-from-an-espghan-led-expert-group
#12
Nikhil Thapar, Efstratios Saliakellis, Marc A Benninga, Osvaldo Borrelli, Joe Curry, Christophe Faure, Roberto De Giorgio, Girish Gupte, Charles H Knowles, Annamaria Staiano, Yvan Vandenplas, Carlo Di Lorenzo
OBJECTIVES: Chronic intestinal pseudo-obstructive (CIPO) conditions are considered the most severe disorders of gut motility. They continue to present significant challenges in clinical care despite considerable recent progress in our understanding of pathophysiology, resulting in unacceptable levels of morbidity and mortality. Major contributors to the disappointing lack of progress in paediatric CIPO include a dearth of clarity and uniformity across all aspects of clinical care from definition and diagnosis to management...
March 22, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29552921/a-randomized-controlled-trial-to-compare-two-methods-of-constraint-induced-movement-therapy-to-improve-functional-ability-in-the-affected-upper-limb-in-pre-school-children-with-hemiplegic-cerebral-palsy-catch-trial
#13
Pauline M Christmas, Catherine Sackley, Max G Feltham, Carole Cummins
OBJECTIVE: To determine the feasibility and short-term efficacy of caregiver-directed constraint-induced movement therapy to improve upper limb function in young children with hemiplegic cerebral palsy. DESIGN: Randomized controlled trial with masked assessment. SETTING: Community paediatric therapy services. SUBJECTS: Pre-school children with hemiplegic cerebral palsy. INTERVENTIONS: Caregiver-directed constraint-induced movement therapy administered using either 24-hour short-arm restraint device (prolonged) or intermittent holding restraint during therapy (manual)...
March 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29545410/the-paediatrician-and-the-management-of-common-gynaecological-conditions
#14
REVIEW
Joanne K Ritchie, Pallavi Latthe, Deepthi Jyothish, Joanne C Blair
Paediatric gynaecology is an emerging discipline. Since 2000, there has been an advanced training programme in paediatric gynaecology available for obstetric and gynaecology trainees; additionally, a set of clinical standards1 for the care of paediatric and adolescent patients has been developed by The British Society of Paediatric and Adolescent Gynaecology (BritSPAG). BritSPAG is a multidisciplinary group of professionals including gynaecologists, paediatricians, paediatric urologists and endocrinologists...
March 15, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29543052/are-we-doing-better-barium-enema-reduction-of-intussusception
#15
L Prana, S Baijoob, B Rampersad
Introduction Intussuception remains one of the most common surgical abdominal emergencies in the paediatric population. The aim of this study was first to re-evaluate our non-operative reduction rate of intussusception using multiple interval barium enemas and second to investigate or discuss an audit cycle, providing evidence and validating the modification of clinical practice. Materials and methods This five-year retrospective study performed at one of two institutions at which a paediatric surgical service is offered...
March 15, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29540420/protocol-for-the-economic-evaluation-of-a-complex-intervention-to-improve-the-mental-health-of-maltreated-infants-and-children-in-foster-care-in-the-uk-the-best-services-trial
#16
Manuela Deidda, Kathleen Anne Boyd, Helen Minnis, Julia Donaldson, Kevin Brown, Nicole R S Boyer, Emma McIntosh
INTRODUCTION: Children who have experienced abuse and neglect are at increased risk of mental and physical health problems throughout life. This places an enormous burden on individuals, families and society in terms of health services, education, social care and judiciary sectors. Evidence suggests that early intervention can mitigate the negative consequences of child maltreatment, exerting long-term positive effects on the health of maltreated children entering foster care. However, evidence on cost-effectiveness of such complex interventions is limited...
March 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29535107/diagnosis-of-sporadic-neurofibromatosis-type-2-in-the-paediatric-population
#17
Geetha Anand, Grace Vasallo, Maria Spanou, Saumya Thomas, Michael Pike, Didu Sanduni Kariyawasam, Sanjay Mehta, Allyson Parry, Juliette Durie-Gair, James Nicholson, Karine Lascelles, Vanessa Everett, Frances Mary Gibbon, Nicola Jarvis, John Elston, Dafydd Gareth Evans, Dorothy Halliday
OBJECTIVE: Onset of symptoms in severe sporadic neurofibromatosis type 2 (NF2) is typically within childhood; however, there is poor awareness of presenting features in young children, potentially resulting in delayed diagnosis and poorer outcome. We have reviewed presentation of sporadic paediatric NF2 to raise awareness of early features, highlighting those requiring further investigation. DESIGN: Patients diagnosed with NF2 at age ≤16 and seen between 2012 and 2015 were notified via the British Paediatric Neurology Surveillance Unit or identified through the English NF2 service...
March 13, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29534994/health-outcomes-for-youth-with-type-1-diabetes-at-18-months-and-30-months-post-transition-from-pediatric-to-adult-care
#18
K Farrell, R Fernandez, Y Salamonson, R Griffiths, D J Holmes-Walker
AIMS: To identify (a) determinants of glycated haemoglobin (HbA1c) at 18 and 30 months following transition in young people with Type 1 diabetes mellitus (T1DM) to a youth-specific diabetes service; and to (b) evaluate the impact of the service on acute admissions with diabetic ketoacidosis (DKA) over a 14-year period. METHODS: An audit of records of youth with T1DM referred from paediatric services to the multidisciplinary transition service at Westmead Hospital, from 2001 to 2012, and followed-up to 2014...
March 10, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29528089/challenges-impeding-integration-of-oral-health-into-primary-health-care
#19
Zahra Ghorbani, Mina Pakkhesal, Shahnam Arshi, Mohammad J Eghbal, Marzieh Deghatipour, Marc Tennant, H Malekafzali Ardakani
The primary healthcare (PHC) services in the Islamic Republic of Iran have succeeded in addressing high levels of communicable diseases; however, they seem less able to deal with maternal and paediatric oral diseases. The aim of this study was to examine problems in integrating oral health services into PHC. This was a qualitative research study comprising focus group discussions and interviews. Five focus-group discussions were held with midwives, family healthcare practitioners, rural PHC workers, duty-service dentists, and public health dentists...
March 5, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29516552/exploring-the-need-for-transition-readiness-scales-within-cystic-fibrosis-services-a-qualitative-descriptive-study
#20
Mary Bourke, Catherine Houghton
AIMS AND OBJECTIVES: The aim of this study was to explore health care professionals' (HCP) and patients' perceptions of the potential use of a Transition Readiness Scale (TRS) in cystic fibrosis care. This included an examination of barriers and facilitators to its implementation along with the identification of key items to include in a TRS. BACKGROUND: Due to increasing life expectancy and improved quality of life, more adolescents with cystic fibrosis are transitioning from paediatric to adult health care...
March 8, 2018: Journal of Clinical Nursing
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