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Paediatric services

Derek Richards
Data sourcesPubMed, Scopus, Web of Science and Google Scholar databases. Websites of scientific societies of dental traumatology, paediatric dentistry, endodontics, oral-maxillofacial surgery and World Health Organization and the US Centres for Disease Control and Prevention were searched. There were no language restrictions, but the search was limited to the years 1996-2016.Study selectionObservational studies reporting proportions of individuals with at least one TDI (prevalence) and who developed TDI (incidence rate) were considered...
June 2018: Evidence-based Dentistry
Fiona Williams, Aileen McCafferty, Colin Dunkley, Martin Kirkpatrick
PURPOSE: To survey patient and carer experience for children and young people with epilepsy across the United Kingdom. METHODS: We used a Patient Reported Experience Measure methodology to explore perceived satisfaction with their epilepsy service. A survey collected anonymised proxy data on demography and illness severity, and perceptions of interaction with clinicians, ease of access to the service and the quality and quantity of epilepsy information provided...
June 8, 2018: Seizure: the Journal of the British Epilepsy Association
Jolin Wong, Serene Siu Tin Lim
INTRODUCTION: Paediatric epidurals can present technical challenges due to wide variations in age and weight among children, ranging from neonates to teenagers. This study evaluated the skin-to-epidural distance in the thoracic and lumbar regions to determine the relationship between age, weight and ethnicity and depth to the epidural space in our Singapore paediatric population. METHODS: Data from the Acute Pain Service was prospectively collected over 16 years...
June 21, 2018: Singapore Medical Journal
Aaron Drovandi, Kelvin Robertson, Matthew Tucker, Niechole Robinson, Stephen Perks, Therése Kairuz
Clinical pharmacists provide beneficial services to adult patients, though their benefits for paediatric hospital patients are less defined. Five databases were searched using the MeSH terms 'clinical pharmacist', 'paediatric/paediatric', 'hospital', and 'intervention' for studies with paediatric patients conducted in hospital settings, and described pharmacist-initiated interventions, published between January 2000 and October 2017. The search strategy after full-text review identified 12 articles matching the eligibility criteria...
June 19, 2018: European Journal of Pediatrics
Gary James Connett, Arvind Nagra
Successful transfer to adult services is the paediatric team's anticipated endpoint for the care they provide to their patients. The preceding transition process needs to be well planned and designed to address young peoples' psycho-social, educational and vocational as well as their medical needs. Ready, Steady, Go is a generic programme that has been successfully implemented to make the transition process an integral part of the routine care of young people with cystic fibrosis. Used in combination with other initiatives, the programme helps achieve the more seamless transfer of young people better prepared to meet their ongoing needs...
May 18, 2018: Paediatric Respiratory Reviews
M An, J G Kim, J Kim
BACKGROUND: The measure of processes of care (MPOC) is a widely used instrument to assess parents' perception of the extent to which healthcare services they and their child receive are family centred. The purpose of this study was to examine the reliability and validity of the Korean translation of the MPOC (Korean MPOC). METHODS: The Korean MPOC was completed by 198 parents of children receiving rehabilitation services in five provinces in South Korea. According to the Canadian validation procedures, analyses for internal consistency, construct and concurrent validity, and test-retest reliability were performed...
July 2018: Child: Care, Health and Development
Fernanda Maria Silveira Souto, Bárbara Vilela Giampietro, Julia Thiemi Takiuti, Lucia Maria Arruda Campos, Carlos Eduardo Hirata, Joyce Hisae Yamamoto
AIMS: To analyse the clinical features, systemic associations, treatment and visual outcomes of uveitis in children from a referral centre in São Paulo, Brazil. METHODS: Clinical records of patients under 16 years old who attended the Uveitis Service, Hospital das Clinicas, Faculdadede Medicina, Universidade de São PauloFMUSP, between April and September 2017, were reviewed retrospectively. Patients with incomplete medical records, previous ocular trauma, or less than six6 months of follow-up were excluded...
June 15, 2018: British Journal of Ophthalmology
Linda Hollén, Rosemary Greenwood, Rebecca Kandiyali, Jenny Ingram, Chris Foy, Susan George, Sandra Mulligan, Francesca Spickett-Jones, Simon Booth, Anthony Sack, Alan Emond, Ken Dunn, Amber Young
OBJECTIVES: To evaluate the impact of low-friction (LF) bedding on graft loss in an acute burn care setting, and to examine the feasibility and costs of using LF bedding compared with standard care. DESIGN: Proof of concept before and after study with feasibility of delivering the intervention. SETTING: Three burns services within two UK hospital trusts. PARTICIPANTS: Inclusion criteria were patients older than 4 weeks, who received a skin graft after burn injury and were admitted overnight...
June 14, 2018: BMJ Open
Hassan Sarah, Keeler Barrie, Lakhoo Kokila
INTRODUCTION: In recent years there has been a trend towards centralisation of services for general paediatric surgery in the United Kingdom. Fewer District General Hospitals supply provision of paediatric surgery, placing a strain on Specialist Centres. The cause behind the decline is unclear but lack of interest from general surgical trainees may be a contributing factor. A survey was conducted across current higher surgical trainees to review this. MATERIALS AND METHODS: A short online survey (Typeform) was sent nationally to higher general surgical trainees...
June 9, 2018: International Journal of Surgery
Inmaculada Concepción Jemes Campaña, Rita Pilar Romero-Galisteo, María Teresa Labajos Manzanares, Noelia Moreno Morales
INTRODUCTION: Early Intervention (EI), as a paediatric service, has the duty of quantifying the results and the quality of its services provided. The accessibility of valid and reliable tools allows professionals to evaluate the quality of these services. MAIN OBJECTIVE: The aim of this study is to review the scientific literature on tools used to measure the methodological and service quality in EI. METHODS: A search was made in different databases: Medline (from PubMed), Web of Science, PsycINFO, Cochrane, Scopus, ERIC and Scielo...
June 7, 2018: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Asif Sandhu, Naeem Liaqat, Khadija Waheed, Sara Ejaz, Amna Khanum, Ambreen Butt, Fawad Ahmad Randhawa, Sajid Hameed Dar
The objective of this study was to determine the level of educational environment among residents working in our hospital using Post graduate hospital educational environment measure (PHEEM). This cross-sectional study was conducted at services hospital, Lahore. All the Post-graduate residents (PGR's) working at Services hospital, Lahore were asked to fill a proforma having 2 parts: Bio-data and PHEEM. Out of 110 PGR's, 87 completed questionnaires, of which majority labelled education environment into level 3 (71%)...
May 2018: JPMA. the Journal of the Pakistan Medical Association
Marita Macken, James Chan, Bernadette O'Hare, Hannah V Thornton, Queen Dube, Neil Kennedy
Background: Provider initiated testing and counselling (PITC) is recommended for all inpatients in Malawi if they have not been tested in the previous 3 months. However testing rates remain low among children. We audited the effect of implementing a bedside diagnostic HIV testing service to determine if it would improve testing rates amongst paediatric inpatients. Methods: We audited the existing HIV testing service to determine the numbers of children being tested for HIV...
September 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
Eva Skovslund Nielsen, Bianca Taaning Wichaidit, John Rosendahl Østergaard, Charlotte Ulrikka Rask
OBJECTIVE: To explore paediatricians' attitudes to and treatment practice for children with functional seizures (FS). METHODS: In a nationwide survey, all 64 Danish neuro-paediatricians and social paediatricians were invited to complete a structured questionnaire encompassing FS-related issues that included beliefs and attitudes about aetiology and diagnostic assessment, current strategies for management, experienced need for clinical guidelines and better treatment options...
May 24, 2018: European Journal of Paediatric Neurology: EJPN
Marilyn Butler, Elizabeth Drum, Faye M Evans, Tamara Fitzgerald, Jason Fraser, Ai-Xuan Holterman, Howard Jen, Matthew Kynes, Jenny Kreiss, Craig D McClain, Mark Newton, Benedict Nwomeh, James O'Neill, Doruk Ozgediz, George Politis, Henry Rice, David Rothstein, Julie Sanchez, Mark Singleton, Francine S Yudkowitz
Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries are increasingly engaged in resource-limited areas, with short-term missions as the most common form of involvement. However, consensus recommendations currently do not exist for short-term missions in pediatric general surgery and associated perioperative care. The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc...
May 2018: Paediatric Anaesthesia
R Kernan, A Carroll, N McGrath, C M Donnell, N P Murphy
While Type 2 Diabetes in childhood has become increasingly prevalent throughout the world, in our service we found that only 2% (7/320) of children and adolescents with diabetes aged <16 years had type 2 diabetes. All type 2 subjects were overweight or obese and six of seven were non-Caucasian. Mean age at presentation was 12.8 years. Six patients (85%) had complications, most commonly hypertension. Although Type 2 Diabetes in children remains relatively rare in our cohort, identification of these children is important as management differs from Type 1 Diabetes...
January 10, 2018: Irish Medical Journal
David Healy, Joanna Le Noury, Jon Jureidini
The data supporting the use of "antidepressants" in children and adolescents is largely unavailable. Academic publications give a different picture as regards benefits and harms to publications from regulatory other sources. Despite disagreements about the data driving use of these medicines, in practice "antidepressants" may now be the most commonly used drugs by adolescent girls, and children's mental health services are attracting increasing attention.This paper reviews the difficulties surrounding the data...
May 25, 2018: International Journal of Risk & Safety in Medicine
Jackson Thomas, Rachel Davey, Gregory M Peterson, Christine Carson, Shelley F Walton, Tim Spelman, Tom Calma, Pascale Dettwiller, Jacinta Tobin, Faye McMillan, Paul Collis, Mark Naunton, Sam Kosari, Julia K Christenson, Andrew Bartholomaeus, John McEwen, Peter Fitzpatrick, Kavya E Baby
INTRODUCTION: In remote Aboriginal communities in Australia, scabies affects 7 out of 10 children before their first birthday. This is more than six times the rate seen in the rest of the developed world. Scabies infestation is frequently complicated by bacterial infection, leading to the development of skin sores and other more serious consequences, such as septicaemia and chronic heart and kidney diseases. Tea tree oil (TTO) has been used as an antimicrobial agent for several decades with proven clinical efficacy...
May 31, 2018: BMJ Open
S Gray, T Cheetham, H McConachie, K D Mann, J R Parr, M S Pearce, A Colver
AIM: We hypothesized that participant well-being and satisfaction with services would be positively associated with a satisfactory clinical course during transition from child to adult health care. METHODS: Some 150 young people with Type 1 diabetes mellitus from five diabetes units in England were recruited to a longitudinal study of transition. Each young person was visited at home four times by a research assistant; each visit was 1 year apart. Satisfaction with services (Mind the Gap; MTG) and mental well-being (Warwick-Edinburgh Mental Well-being Scale; WEMWBS) were captured...
May 31, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Shivani Fox-Lewis, Wyatt Genasci Smith, Vary Lor, Gregor McKellar, Chea Phal, Andrew Fox-Lewis, Paul Turner, Leakhena Neou, Claudia Turner
Background: Worldwide, reduction in under-five mortality has not sufficiently included neonates, who represent 45% of deaths in children of age under five years. The least progress has been observed in resource-limited settings. Methods: This mixed methods study conducted at a Cambodian non-governmental paediatric hospital described the key priorities of the ongoing neonatal service. Routinely collected data from the hospital and microbiology databases included the number of admissions, discharges and deaths and the number of cases of bacteraemias (2011-2016)...
May 28, 2018: Journal of Tropical Pediatrics
S W Considine, N F Davis, L C McLoughlin, P Mohan, J C Forde, R Power, G Smyth, D M Little
INTRODUCTION: Transplant units are exploring strategies to increase the availability of donor kidneys. The use of en-bloc kidney transplantation (EBKT) from paediatric donors represents one potential solution. We present our long-term experience with paediatric EBKT among adult recipients. METHODS: Twenty-three paediatric to adult EBKTs were performed by the Irish National Kidney Transplant Service between 1990 and 2016. The primary outcome variable was long-term en-bloc allograft survival rate...
May 25, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
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