26,138 results match your criteria Archives Of Disease In Childhood[Journal]


What's New in the Management of Neonatal Early-Onset Sepsis?

Arch Dis Child Fetal Neonatal Ed 2022 May 26. Epub 2022 May 26.

Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA

The expert guidelines highlighted in this review provide an evidence-based framework for approaching at-risk infants and allow for a more limited and standardised approach to antibiotic use. While these guidelines have significantly reduced antibiotic utilisation worldwide, optimally each unit would individualise their approach to early onset sepsis (EOS) based on the neonatal population they serve and available resources. As advancements in EOS research continue and limitations with sepsis prediction tools are addressed, it is inevitable that our risk stratification and management guidelines will become more precise. Read More

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Training packages for the use of child development tools in low/middle-income countries: a review.

Arch Dis Child 2022 May 23. Epub 2022 May 23.

Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.

Background: We are now moving beyond the focus of 'child survival' to an era which promotes children thriving and developing rather than simply 'surviving'. In doing so, we are becoming more aware of the large variation of child development screening tools available globally, but in particular, those in low/middle-income countries (LMICs).

Methods: This narrative review identifies 24 child development tools used in LMICs. Read More

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Local nitroglycerin to facilitate peripheral arterial cannulation in children: systematic review and meta-analysis.

Arch Dis Child 2022 May 20. Epub 2022 May 20.

Neonatology, Perth Children's Hospital Neonatal Clinical Care Unit, Nedlands, Western Australia, Australia.

Background: Neonates and children admitted to intensive care units require peripheral arterial cannulation to monitor their blood pressures and for blood sampling, but many times it is unsuccessful.

Objective: To conduct a systematic review and meta-analysis to evaluate the efficacy and safety of local nitroglycerin (NTG) to facilitate peripheral artery cannulation in neonates and children.

Review Methods: PubMed, EMBASE, CINAHL, Emcare and Cochrane library were searched till August 2021. Read More

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Higher childhood pneumonia admission threshold remains in Lao PDR: an observational study.

Arch Dis Child 2022 May 18. Epub 2022 May 18.

Asia-Pacific Health Research Group, Murdoch Children's Research Institute, Parkville, Victoria, Australia.

Objectives: WHO Integrated Management of Childhood Illness (IMCI) guidelines changed pneumonia hospitalisation criteria in 2014, which was implemented in Lao People's Democratic Republic (Lao PDR) in 2015. We determined adherence to: current (2014) IMCI guidelines for children presenting to hospitals with pneumonia, current outpatient management guidelines and identified hospitalisation predictors.

Design: Prospective observational study (January 2017 to December 2018). Read More

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Fifteen-minute consultation: A guide to the paediatric primary survey.

Arch Dis Child Educ Pract Ed 2022 May 17. Epub 2022 May 17.

Emergency Department, Temple Street Children's University Hospital, Dublin, Dublin, Ireland.

It's 21:00 and you receive a stand-by call from the local ambulance service. Peter, a 9-year-old boy, was riding an electric scooter and has collided with a car. He has reduced consciousness, signs of shock and is hypoxic. Read More

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Clinical outcomes of preterm infants while using automated controllers during standard care: comparison of cohorts with different automated titration strategies.

Arch Dis Child Fetal Neonatal Ed 2022 May 16. Epub 2022 May 16.

Neonatology, Leiden University Medical Center, Leiden, The Netherlands.

Objective: To compare short-term clinical outcome after using two different automated oxygen controllers (OxyGenie and CLiO).

Design: Propensity score-matched retrospective observational study.

Setting: Tertiary-level neonatal unit in the Netherlands. Read More

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Changes in adolescents' planned hospital care during the COVID-19 pandemic: analysis of linked administrative data.

Arch Dis Child 2022 May 16. Epub 2022 May 16.

Institute of Health Informatics, University College London, London, UK.

Objective: To describe changes in planned hospital care during the pandemic for vulnerable adolescents receiving children's social care (CSC) services or special educational needs (SEN) support, relative to their peers.

Design: Observational cohort in the Education and Child Health Insights from Linked Data database (linked de-identified administrative health, education and social care records of all children in England).

Study Population: All secondary school pupils in years 7-11 in academic year 2019/2020 (N=3 030 235). Read More

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Oral and Swallowing Abilities Tool (OrSAT) in nusinersen treated patients.

Arch Dis Child 2022 May 16. Epub 2022 May 16.

Pediatric Neurology Unit and Centro Clinico Nemo, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Lazio, Italy

Introduction: The aim of the study was to longitudinally assess swallowing abilities in nusinersen-treated patients with type 1 spinal muscular atrophy.

Methods: Twenty infants with type 1 SMA (11 female and 9 male) treated with nusinersen between 3 weeks and 15 months of age, were assessed using the Oral and Swallowing Abilities Tool (OrSAT). The duration of the follow-up after treatment ranged between 12 months and 62 months. Read More

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Comparison of regional versus global growth charts for the classification of small-for-gestational age neonates.

Arch Dis Child Fetal Neonatal Ed 2022 May 12. Epub 2022 May 12.

Pediatrics, All India Institute of Medical Sciences, New Delhi, Delhi, India

Objective: To compare the performance of regional versus global charts for identifying small-for-gestational age (SGA) neonates with short-term adverse outcomes.

Design: Prospective cohort study.

Setting: Level-3 neonatal unit in India. Read More

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Do you know when the inhaler is empty?

Arch Dis Child 2022 May 12. Epub 2022 May 12.

Department of Respiratory Medicine, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK

Background: Medication review is recommended at asthma appointments. The presence of propellant in the metered dose inhalers (MDIs) makes it challenging to identify when the inhaler is empty. The COVID-19 pandemic has resulted in move towards more virtual monitoring of care. Read More

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Being involved: what RCPCH does for members and vice versa.

Authors:
Steve Turner

Arch Dis Child 2022 May 12. Epub 2022 May 12.

NHS Grampian, Aberdeen, UK

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Impact of COVID-19 pandemic on emergency department attendances for young people.

Arch Dis Child 2022 May 12. Epub 2022 May 12.

Faculty of Medicine, University of Southampton, Southampton, UK

Introduction: There are concerns that the COVID-19 pandemic is having an indirect negative impact on young people. We aimed to assess the impact of the pandemic on emergency department (ED) presentations and admissions.

Design: We analysed ED presentations and admissions from a 5-year period (April 2016-February 2021). Read More

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What information can we use to help determine futility in paediatric patients presenting in traumatic cardiac arrest?

Arch Dis Child 2022 May 12. Epub 2022 May 12.

Paediatric Intensive Care, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

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Vestibular and balance dysfunction in children with congenital CMV: a systematic review.

Arch Dis Child Fetal Neonatal Ed 2022 May 11. Epub 2022 May 11.

Academic Paediatrics, Royal Alexandra Children's Hospital, Brighton, UK.

Objective: This systematic review evaluates vestibular and balance dysfunction in children with congenital cytomegalovirus (cCMV), makes recommendations for clinical practice and informs future research priorities.

Design: MEDLINE, Embase, EMCARE, BMJ Best Practice, Cochrane Library, DynaMed Plus and UpToDate were searched from inception to 20 March 2021 and graded according to Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) criteria.

Patients: Children with cCMV diagnosed within 3 weeks of life from either blood, saliva and/or urine (using either PCR or culture). Read More

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Effects of the SARS-CoV-2 pandemic on perinatal activity in Yorkshire and the Humber region during 2020: an interrupted time series analysis.

Arch Dis Child Fetal Neonatal Ed 2022 May 11. Epub 2022 May 11.

Embrace Transport Service, Sheffield Childrens' Hospital NHS Foundation Trust, Barnsley, UK.

Objective: To assess the impact of public health measures taken during the COVID-19 pandemic on perinatal health indicators.

Design: Interrupted time series analysis comparing periods of the pandemic with the previous 5 years.

Setting: Yorkshire and the Humber region, England (2015-2020). Read More

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Outpatient parenteral antimicrobial therapy: how young is too young?

Arch Dis Child 2022 May 10. Epub 2022 May 10.

General Medicine, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.

Objective: To report the use, and assess the efficacy and outcomes of outpatient parenteral antimicrobial therapy (OPAT) in neonates (≤28 days of age), compared with older infants (1-12 months of age).

Design: A prospective 8-year observational study from September 2012 to September 2020.

Setting: The Hospital-in-the-Home (HITH) programme of the Royal Children's Hospital Melbourne. Read More

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Myanmar paediatricians during military coup: we strike and survive.

Arch Dis Child 2022 May 10. Epub 2022 May 10.

Neurology Department, Darent Valley Hospital, Dartford, UK.

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Short-term pulmonary and systemic effects of hydrocortisone initiated 7-14 days after birth in ventilated very preterm infants: a secondary analysis of a randomised controlled trial.

Arch Dis Child Fetal Neonatal Ed 2022 May 9. Epub 2022 May 9.

Neonatology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands

Objective: Observational studies in preterm infants suggest that systemic hydrocortisone improves pulmonary condition but may also lead to systemic adverse effects. We report the short-term pulmonary and systemic effects of hydrocortisone initiated in the second week.

Design: Randomised placebo-controlled trial. Read More

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Effect of antibiotics in the first week of life on faecal microbiota development.

Arch Dis Child Fetal Neonatal Ed 2022 May 9. Epub 2022 May 9.

Laboratory of Microbiology, Wageningen University & Research, Wageningen, The Netherlands

Background: Infants are frequently exposed to antibiotics (AB) in the first week of life for suspected bacterial infections. Little is known about the effect of AB on the developing intestinal microbiota. Therefore, we studied intestinal microbiota development with and without AB exposure in the first week of life in term born infants. Read More

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Parental presence during neonatal transfers conducted by a national transport service.

Arch Dis Child Fetal Neonatal Ed 2022 May 9. Epub 2022 May 9.

ScotSTAR Scottish Neonatal Transport Service, Glasgow, UK.

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Prolonged IgG recovery following rituximab administration.

Arch Dis Child 2022 May 9. Epub 2022 May 9.

Paediatric Immunology and Infectious Diseases, Great North Children's Hospital, Newcastle upon Tyne, UK.

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STAMP: a 5-year project to reduce paediatric prescribing errors.

Arch Dis Child Educ Pract Ed 2022 May 5. Epub 2022 May 5.

Paediatrics, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, Greater London, UK.

We describe an ongoing quality improvement project to reduce paediatric prescribing errors following our earlier interventions previously published. Read More

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The role of screening and surveillance in the detection of childhood vision impairment and blindness in the UK.

Arch Dis Child 2022 May 5. Epub 2022 May 5.

Population, Policy and Practice Research and Teaching Department, University College London GOS Institute of Child Health, London, UK

Objective: Understanding pathways to detection for childhood visual impairment (VI) is critical for planning services. We aimed to describe patterns of detection for childhood VI.

Design And Setting: Cross-sectional study using data from British Childhood Visual Impairment and Blindness Study 2. Read More

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What should be done to protect children from COVID-19 in the UK?

Arch Dis Child 2022 May 5. Epub 2022 May 5.

Heart and Lung Division, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

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Patient and public involvement in paediatric medical education.

Arch Dis Child Educ Pract Ed 2022 May 2. Epub 2022 May 2.

Department of Child Health, Centre for Medical Education, Queens University Belfast, Belfast, UK.

The benefits of involving patients and the public in medical education are well documented, however there is a need to further explore how this can be translated to the setting of paediatric medical education. This article aims to identify how organisations can facilitate the involvement of paediatric patients and their parents/carers.While involving children in research can present challenges, we describe examples where organisations have successfully involved young people in clinical research and selection of research topics. Read More

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