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https://www.readbyqxmd.com/read/28091358/a-survey-of-exercise-advice-and-recommendations-in-united-kingdom-paediatric-cardiac-clinics
#1
Craig A Williams, Lucy Gowing, Richard Horn, Alan Graham Stuart
BACKGROUND: Physical activity and exercise have important health benefits for children and adolescents with CHD. The objective of this study was to survey the provision of advice and recommendations in United Kingdom paediatric CHD clinics. METHODS: A three-page questionnaire was sent out to paediatric cardiac consultants in the United Kingdom, paediatric consultants with expertise in cardiology, and nursing staff (Paediatricians with Expertise in Cardiology Special Interest Group), as well as all members of the British Congenital Cardiovascular Association...
January 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28091357/assessment-of-the-need-for-a-cardiac-morphology-curriculum-for-paediatric-cardiology-fellows
#2
Lindsay S Rogers, Melissa Klein, Jeanne James, Michael FitzGerald
BACKGROUND: Expert knowledge of cardiac malformations is essential for paediatric cardiologists. Current cardiac morphology fellowship teaching format, content, and nomenclature are left up to the discretion of the individual fellowship programmes. We aimed to assess practices and barriers in morphology education, perceived effectiveness of current curricula, and preferences for a standardised fellow morphology curriculum. METHODS: A web-based survey was developed de novo and administered anonymously via e-mail to all paediatric cardiology fellowship programme directors and associate directors in the United States of America; leaders were asked to forward the survey to fellows...
January 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/27943388/is-the-short-axis-view-of-the-fetal-heart-useful-in-improving-the-diagnostic-accuracy-of-outlet-ventricular-septal-defects
#3
Andrea Dall'Asta, Claudio Cavalli, Letizia Galli, Nicola Volpe, Adi Weiss, Christine Tita Kaihura, Aldo Agnetti, Tiziana Frusca, Tullio Ghi
OBJECTIVES: Outlet ventricular septal defects (VSDs) are usually suspected on the five chamber view of the fetal heart however postnatal confirmation occurs only in a small number of cases. The aim of this study was to assess if the systematic assessment of the short axis view may improve the prediction of antenatally detected outlet VSDs. METHODS: Cases where isolated outlet VSD was suspected on the five chamber view were assessed using the short axis scanning plane for confirmation of the defect...
December 11, 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27895830/development-of-a-subspecialty-cardiology-curriculum-for-paediatric-registrars-in-malawi-implementation-of-a-long-distance-hybrid-model
#4
Laura Newberry, Neil Kennedy, Elizabeth A Greene
BACKGROUND: Malawi has a high burden of paediatric cardiac disease but a limited number of health providers familiar with these chronic diseases. Given the rising number of Malawian postgraduate paediatric trainees at the University of Malawi College of Medicine, we sought to remedy this lack of basic cardiology training with a long-distance, module-based curriculum that could be utilised independently, as needed, with on-site teaching. We also wished to evaluate the initial modules for utility and improvement in knowledge and confidence in each topic...
June 2016: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/27893455/patient-radiation-doses-in-paediatric-interventional-cardiology-procedures-a-review
#5
R W Harbron, S Dreuil, M-O Bernier, M S Pearce, I Thierry-Chef, C-L Chapple, H Baysson
A large number of investigations into the radiation doses from x-ray guided interventional cardiology procedures in children have been carried out in recent years. A review was conducted of these studies, gathering data on kerma area product (P KA), fluoroscopic screening time (FT), air kerma, and estimates of effective dose and organ doses. The majority of studies focus on P KA and FT with no estimation of dose to the patient. A greater than ten-fold variation in average P KA was found between different studies, even where data were stratified by patient age or weight...
November 28, 2016: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/27843561/predictors-of-poor-outcome-among-children-with-heterotaxy-syndrome-a-retrospective-review
#6
Eiméar McGovern, Eoin Kelleher, James E Potts, John O'Brien, Kevin Walsh, Lars Nolke, Colin J McMahon
OBJECTIVE: To determine predictors of poor outcome in patients with heterotaxy syndrome. METHODS: A retrospective review of children with heterotaxy syndrome, in a single tertiary paediatric cardiology centre, was conducted between 1 January 1997 and 1 January 2014 to determine predictors of poor outcome. Poor outcome was defined as death, cardiac transplantation or New York Heart Association (NYHA) functional class III or IV. RESULTS: There were 35 patients diagnosed with heterotaxy syndrome, 17 of whom were diagnosed antenatally...
2016: Open Heart
https://www.readbyqxmd.com/read/27821886/microcephaly-in-north-east-brazil-a-retrospective-study-on-neonates-born-between-2012-and-2015
#7
Juliana Sousa Soares de Araújo, Cláudio Teixeira Regis, Renata Grigório Silva Gomes, Thiago Ribeiro Tavares, Cícera Rocha Dos Santos, Patrícia Melo Assunção, Renata Valéria Nóbrega, Diana de Fátima Alves Pinto, Bruno Vinícius Dantas Bezerra, Sandra da Silva Mattos
OBJECTIVE: To assess the number of children born with microcephaly in the State of Paraíba, north-east Brazil. METHODS: We contacted 21 maternity centres belonging to a paediatric cardiology network, with access to information regarding more than 100 000 neonates born between 1 January 2012 and 31 December 2015. For 10% of these neonates, nurses were requested to retrieve head circumference measurements data from delivery-room books. We used three separate criteria to classify whether a neonate had microcephaly: (i) the Brazilian Ministry of Health proposed criterion: term neonates (gestational age ≥ 37 weeks) with a head circumference of less than 32 cm; (ii) Fenton curves: neonates with a head circumference of less than -3 standard deviation for age and gender; or (iii) the proportionality criterion: neonates with a head circumference of less than ((height/2))+10) ± 2...
November 1, 2016: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/27757248/an-outbreak-investigation-of-congenital-rubella-syndrome-in-solomon-islands-2013
#8
Kara N Durski, Carol Tituli, Divi Ogaoga, Jennie Musto, Cynthia Joshua, Alfred Dofai, Jennie Leydon, Eric Nilles
INTRODUCTION: During May 2012, a rubella outbreak was declared in Solomon Islands. A suspected case of congenital rubella syndrome (CRS) was reported from one hospital 11 months later in 2013. This report describes the subsequent CRS investigation, findings and measures implemented. METHODS: Prospective CRS surveillance was conducted at the newborn nursery, paediatric and post-natal wards, and the paediatric cardiology and ophthalmology clinics of the study hospital from April to July 2013...
January 2016: Western Pacific Surveillance and Response Journal: WPSAR
https://www.readbyqxmd.com/read/27730300/closure-of-coronary-artery-fistula-in-childhood-treatment-techniques-and-long-term-follow-up
#9
Martin Christmann, Ricarda Hoop, Hitendu Dave, Daniel Quandt, Walter Knirsch, Oliver Kretschmar
INTRODUCTION: Coronary artery fistula (CAF) is a rare congenital anomalous connection between the coronary arteries (CA) and a cardiac chamber or great vessel. Treatment options of symptomatic CAF consist of transcatheter or surgical closure. METHODS: Retrospective analysis of all patients with CAF diagnosed between 1993 and 2014 concerning treatment approaches and follow-up after closure. RESULTS: In a cohort of more than 25000 patients, 194 (<0...
October 11, 2016: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://www.readbyqxmd.com/read/27701490/audit-of-availability-and-distribution-of-paediatric-cardiology-services-and-facilities-in-nigeria
#10
Ekanem N Ekure, Wilson E Sadoh, Fidelia Bode-Thomas, Adeola A Orogade, Adeola B Animasahun, Oluwatoyin O Ogunkunle, Iretiola Babaniyi, Maxwell U Anah, Barbara E Otaigbe, Adebiyi Olowu, Frances Okpokowuruk, Samuel I Omokhodion, Ogechi C Maduka, Uvie U Onakpoya, Daberechi K Adiele, Usman M Sani, Mustapha Asani, Christopher S Yilgwan, Queennette Daniels, Chinyere C Uzodimma, Chika O Duru, Mohammad B Abdulkadir, Joseph K Afolabi, John A Okeniyi
BACKGROUND: Paediatric cardiac services in Nigeria have been perceived to be inadequate but no formal documentation of availability and distribution of facilities and services has been done. OBJECTIVE: To evaluate and document the currently available paediatric cardiac services in Nigeria. METHODS: In this questionnaire-based, cross-sectional descriptive study, an audit was undertaken from January 2010 to December 2014, of the personnel and infrastructure, with their distributions according to geopolitical zones of Nigeria...
August 2, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27677745/transition-from-paediatric-to-adult-care-of-adolescent-patients-with-congenital-heart-disease-a%C3%A2-pathway-to-optimal-care
#11
A M M Strijbosch, R Zwart, N A Blom, B J Bouma, M Groenink, S M Boekholdt, R de Winter, B J M Mulder, A P Backx
INTRODUCTION: Adolescents with congenital heart disease transition from a paediatric to an adult setting. This is associated with loss-to-follow-up and suboptimal care. Increasing numbers of patients justify a special program. In this study we evaluated the cooperative program between paediatric and adult cardiology departments in a tertiary referral centre. METHODS: In this retrospective study, patients with congenital heart disease with at least one appointment scheduled at the transition program between January 2010 and January 2015 were included...
November 2016: Netherlands Heart Journal
https://www.readbyqxmd.com/read/27649630/-giant-coronary-aneurysms-in-infants-with-kawasaki-disease
#12
Antonio Sánchez Andrés, Inmaculada Salvador Mercader, Julia Seller Moya, José Ignacio Carrasco Moreno
INTRODUCTION: Kawasaki disease (KD) is an acute vasculitis of unknown origin and predominant in males. The long-term effects of the disease depend on whether there are coronary lesions, particularly aneurysms. The prognosis of patients with giant aneurysms is very poor due to their natural progression to coronary thrombosis or severe obstructive lesions. OBJECTIVES: A series of 8 cases is presented where the epidemiology and diagnostic methods are described. The treatment of the acute and long-term cardiovascular sequelae is also reviewed...
September 16, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/27645708/psychosocial-health-and-quality-of-life-among-children-with-cardiac-diagnoses-agreement-and-discrepancies-between-parent-and-child-reports
#13
Bhavika J Patel, Lillian Lai, Gary Goldfield, Renee Sananes, Patricia E Longmuir
Psychosocial health issues are common among children with cardiac diagnoses. Understanding parent and child perceptions is important because parents are the primary health information source. Significant discrepancies have been documented between parent/child quality-of-life data but have not been examined among psychosocial diagnostic instruments. This study examined agreement and discrepancies between parent and child reports of psychosocial health and quality of life in the paediatric cardiology population...
September 20, 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/27641539/ehealth-literacy-and-preferences-for-ehealth-resources-in-parents-of-children-with-complex-chd
#14
Nadine A Kasparian, Nathan Lieu, David S Winlaw, Andrew Cole, Edwin Kirk, Gary F Sholler
: Introduction This study aimed to (a) examine eHealth literacy, beliefs, and behaviours in parents of children with complex CHD, and (b) identify parents' preferences for the content, format, features, and functions of eHealth resources for CHD. Materials and methods Families (n=198) of children born between 2008 and 2011 and diagnosed with CHD requiring surgery were mailed a survey assessing a range of variables including eHealth literacy, beliefs, and behaviours as well as preferences for the format, functions, features, and content of eHealth resources for CHD...
September 19, 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/27628296/feasibility-and-utility-of-portable-ultrasound-during-retrieval-of-sick-term-and-late-preterm-infants
#15
Kathryn Browning Carmo, Tracey Lutz, Andrew Berry, Martin Kluckow, Nick Evans
AIM: To determine the role of clinician performed ultrasound (CPU) during the retrieval and transport of critically ill term and near term newborns. METHODS: A neonatologist with portable ultrasound accompanied a sample of newborn retrievals to perform cardiac and cerebral ultrasound before and after transportation. RESULTS: A total of fifty-five babies were studied. Median birthweight: 3350 g (2220-5030 g). CPU led to a change in the planned receiving hospital in ten babies...
December 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/27540224/children-s-warfarin-clinic-an-audit-of-the-new-pharmacist-led-telephone-service-based-on-a-unique-computerised-system-compared-to-the-ward-based-paper-system
#16
Teresa Brooks, Jennifer Brown, Elaine Woolley
AIMS: To audit the new pharmacist-led telephone service for warfarin dosing and monitoring of INR, and compare it to the previous system. The previous system was based on the paediatric cardiology ward, dosing by junior medical staff to dose and documented on a paper system. Also to audit the parent satisfaction of the new system. METHODS: Search the computerised system to reveal 73 patients on warfarin with a total of 1547 INRs, and looked for any complications or out of range results...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27499412/feasibility-of-pulse-oximetry-pre-discharge-screening-implementation-for-detecting-critical-congenital-heart-lesions-in-newborns-in-a-secondary-level-maternity-hospital-in-the-western-cape-south-africa-the-popsicle-study
#17
A M Van Niekerk, R M Cullis, L L Linley, L Zühlke
BACKGROUND: Early detection of critical congenital heart disease (CCHD) through newborn pulse oximetry (POx) screening is an effective strategy for reducing paediatric morbidity and mortality rates and has been adopted by much of the developed world. OBJECTIVES: To document the feasibility of implementing pre-discharge POx screening in well babies born at Mowbray Maternity Hospital, a busy government hospital in Cape Town, South Africa. Parent and staff acceptance was assessed...
August 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/27326228/evaluation-of-the-american-heart-association-2015-revised-jones-criteria-versus-existing-guidelines
#18
Dinesh Kumar, Euden Bhutia, Pradeep Kumar, Binoy Shankar, Atul Juneja, Sudha Chandelia
OBJECTIVES: To compare the diagnostic yield of acute rheumatic fever (ARF) by the American Heart Association/ American College of Cardiology (AHA/ACC) 2015 revised Jones criteria with the WHO 2004 and Australian guidelines 2012. METHODS: Retrospective observational study in 93 cases of suspected ARF admitted to the Division of Paediatric Cardiology between January 2012 and December 2014. WHO 2004, Australian guidelines and AHA/ACC 2015 Jones criteria were applied to assess definite and probable ARF...
2016: Heart Asia
https://www.readbyqxmd.com/read/27322729/decreased-false-positive-adolescent-pre-athletic-screening-with-seattle-criteria-interpreted-electrocardiograms
#19
Jamie N Colombo, Ricardo A Samson, Santiago O Valdes, Omar Meziab, David Sisk, Scott E Klewer
Sudden cardiac arrest is a rare but devastating cause of death in young adults. Electrocardiograms may detect many causes of sudden cardiac arrest, but are not routinely included in pre-athletic screening in the United States of America partly because of high rates of false-positive interpretation. To improve electrocardiogram specificity for identifying cardiac conditions associated with sudden cardiac arrest, an expert panel developed refined criteria known as the Seattle Criteria. Ours is the first study to compare standard electrocardiogram criteria with Seattle Criteria in 11- to 13-year-olds...
June 20, 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/27317508/what-kinds-of-cases-do-paediatricians-refer-to-clinical-ethics-insights-from-184-case-referrals-at-an-australian-paediatric-hospital
#20
Rosalind J McDougall, Lauren Notini
Clinical ethics has been developing in paediatric healthcare for several decades. However, information about how paediatricians use clinical ethics case consultation services is extremely limited. In this project, we analysed a large set of case records from the clinical ethics service of one paediatric hospital in Australia. We applied a paediatric-specific typology to the case referrals, based on the triadic doctor-patient-parent relationship. We reviewed the 184 cases referred to the service in the period 2005-2014, noting features including the type of case, the referring department(s) and the patient's age at referral...
September 2016: Journal of Medical Ethics
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