308 results match your criteria BMJ paediatrics open[Journal]


Understanding COVID-19 in children may provide clues to protect at-risk populations.

BMJ Paediatr Open 2020 14;4(1):e000702. Epub 2020 May 14.

Infection and Immunity, Murdoch Children's Research Institute, Parkville, Victoria, Australia.

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http://dx.doi.org/10.1136/bmjpo-2020-000702DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234865PMC

Evaluation of a continuous neonatal temperature monitor for low-resource settings: a device feasibility pilot study.

BMJ Paediatr Open 2020 7;4(1):e000655. Epub 2020 May 7.

Department of Pediatrics, University of Malawi College of Medicine, Blantyre, Southern Region, Malawi.

Objective: Evaluate a novel continuous temperature monitor in a low-resource neonatal ward.

Design: We developed a low-cost continuous neonatal temperature monitor (NTM) for use in low-resource settings. Accuracy of NTM was initially assessed in the laboratory. Read More

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http://dx.doi.org/10.1136/bmjpo-2020-000655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228652PMC

The covid-19 outbreak: a Chinese school student's life in isolation for 73 days.

Authors:
Surong Duan

BMJ Paediatr Open 2020 6;4(1):e000699. Epub 2020 May 6.

The Chengdu 7th Middle School, Chengdu, Sichuan, China.

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http://dx.doi.org/10.1136/bmjpo-2020-000699DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223346PMC

Improving newborn heart rate assessment using a simple visual timer.

BMJ Paediatr Open 2020 6;4(1):e000638. Epub 2020 May 6.

Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.

Objective: Newborn resuscitation relies on accurate heart rate (HR) assessment, which, during auscultation, is prone to error. We investigated if a 6 s visual timer (VT) could improve HR assessment accuracy during newborn simulation.

Design: Prospective observational study of newborn healthcare professionals. Read More

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http://dx.doi.org/10.1136/bmjpo-2020-000638DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223635PMC

Paediatric critical illness associated with respiratory infection: a single-centre, retrospective cohort study.

BMJ Paediatr Open 2020 27;4(1):e000640. Epub 2020 Apr 27.

Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.

Objectives: To describe critically ill children with respiratory infections, classify them by infection syndrome type and determine the prevalence of detection.

Study Design: A retrospective, single-centre cohort study. All children aged 2 months-18 years with presumed respiratory infection who were admitted to a tertiary hospital paediatric intensive care unit (PICU) between September 2015 and October 2016 were eligible. Read More

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http://dx.doi.org/10.1136/bmjpo-2020-000640DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213883PMC

Growth hormone treatment in Prader-Willi syndrome patients: systematic review and meta-analysis.

BMJ Paediatr Open 2020 29;4(1):e000630. Epub 2020 Apr 29.

Universidade de Sao Paulo, Sao Paulo, Brazil.

Background: Growth hormone (GH) treatment is currently recommended in Prader-Willi syndrome (PWS) patients.

Objectives: To evaluate the impact (efficacy and safety) of the use of recombinant human GH (rhGH) as a treatment for PWS.

Method: We performed a systematic review and, where possible, meta-analysis for the following outcomes: growth, body mass index, body composition, cognitive function, quality of life, head circumference, motor development/strength, behaviour and adverse effects. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213882PMC

Healthcare access for children and families on the move and migrants.

BMJ Paediatr Open 2020 13;4(1):e000588. Epub 2020 Apr 13.

Royal College of Paediatrics and Child Health, London, UK.

Background: The United Kingdom (UK) National Health Service (NHS) charging regulations have increasingly restricted migrants' healthcare access, in the context of a wider national policy shift over the past few years intending to create a 'hostile environment' for migrants. With an estimated 144 000 undocumented children living in the UK and increasing public concern that these regulations are negatively impacting migrant health and well-being, as well as contravening international child rights agreements, it has become imperative to understand their implications.

Methods: A mixed methods digital survey, covering attitudes towards and understanding of UK healthcare charging, and giving space for relevant case submission, was disseminated through communications channels of the Royal College of Paediatrics and Child Health (RCPCH) to their members. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000588DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213513PMC

Assessment of: self-management skills towards transition readiness and patient portal use among Hispanic adolescent and young adult patients.

BMJ Paediatr Open 2020 26;4(1):e000658. Epub 2020 Apr 26.

Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.

We conducted a 15-item self-answered survey to assess self-management skills and explore interest in a patient portal among publicly insured Hispanic youths ages 12-25. Out of 61 participants, 33% did not know how to schedule an appointment, 50% how to refill prescriptions, 58% how to access their personal health information, 84% were unaware of the portal and 92% never used it. Referring to the portal as an online application increased participants interest by 39%. Read More

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http://dx.doi.org/10.1136/bmjpo-2020-000658DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204810PMC

Cohort study of neonatal resuscitation skill retention in frontline healthcare facilities in Bihar, India, after PRONTO simulation training.

BMJ Paediatr Open 2020 20;4(1):e000628. Epub 2020 Apr 20.

School of Medicine and Department of Obstetrics-Gynecology and Reproductive Sciences, University of California San Francisco, San Francisco, California, USA.

Background: Use of simulation in neonatal resuscitation (NR) training programmes has increased throughout low-income and middle-income countries. Many of such programmes have demonstrated a positive impact on NR knowledge and skill acquisition along with reduction of early neonatal mortality and fresh stillbirth rates. However, NR skill retention after simulation programmes remains a challenge. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000628DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204812PMC

Behavioural activation for overweight and obese adolescents with low mood delivered in a community setting: feasibility study.

BMJ Paediatr Open 2020 26;4(1):e000624. Epub 2020 Apr 26.

Department of Health Sciences & the Hull York Medical School, University of York, York, North Yorkshire, UK.

Background: Mood and weight problems are common in young people, yet few treatments address both conditions concurrently. Behavioural activation (BA) has shown promise as a treatment for adults with comorbid obesity and depression. This study aimed to examine the feasibility and acceptability of a manualised BA treatment targeting weight and mood problems in young people. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000624DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204816PMC

A referral pathway for potentially abnormal neurodevelopment in children with heart disease in the United Kingdom: a Delphi consensus.

BMJ Paediatr Open 2020 21;4(1):e000587. Epub 2020 Apr 21.

NIHR Great Ormond Street Hospital Biomedical Research Centre, London, UK.

Introduction: Children with congenital heart disease have complex medical and neurodevelopmental needs. We aimed to develop a multi-professional consensus-based referral pathway applicable to action the results of the brief developmental assessment (BDA), a validated early recognition tool, that categorises the neurodevelopmental status as green (appropriate for age), amber (equivocal) or red (delayed) in children aged between 4 months and 5 years.

Methods: A Delphi consensus survey detailing two scenarios-a child categorised as delayed (red) and another as equivocal (amber) on administration of the BDA at the time of discharge from the tertiary centre-was sent to 80 expert professionals from primary, secondary and tertiary care seeking agreement on next steps and referral pathways. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000587DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204815PMC

Single-centre prospective observational study on postdelivery room care.

BMJ Paediatr Open 2020 14;4(1):e000602. Epub 2020 Apr 14.

Neonatology, Universitätsklinikum Göttingen, Göttingen, Niedersachsen, Germany.

Objectives: As quality of care in the delivery room has major impact on outcome of preterm infants, multiple guidelines have been established in recent years. There is, however, little evidence on how to proceed during postdelivery room care, the time of transfer and admission to the neonatal intensive care unit (NICU). The aim of this study was to identify processes taking place during this period with potential impact on outcome. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000602DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199916PMC

Establishment of consensus on content and learning objectives for an interprofessional education in childhood cancer: a Delphi survey.

BMJ Paediatr Open 2020 1;4(1):e000634. Epub 2020 Apr 1.

Department of Clinical Medicine, University of Copenhagen, Kobenhavn, Denmark.

Background: Complex treatment, care and rehabilitation require continuous healthcare professional development and maintenance of competencies in collaboration with other professionals. Interprofessional education in childhood cancer involves several groups of healthcare professionals with both general and specific knowledge and skills.

Objective: To establish consensus on content and interprofessional learning objectives for an interprofessional education in childhood cancer. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000634DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7173955PMC

Cognitive-behavioural therapy combined with music therapy for chronic fatigue following Epstein-Barr virus infection in adolescents: a feasibility study.

BMJ Paediatr Open 2020 9;4(1):e000620. Epub 2020 Apr 9.

Pediatrics, Akershus University Hospital, Lørenskog, Norway.

​background: Cognitive-behavioural therapy (CBT) is effective in chronic fatigue syndrome. However, CBT has not been investigated in postinfectious chronic fatigue (CF), nor is it known whether addition of therapeutic elements from other disciplines might be feasible. We studied the feasibility of a combined CBT and music therapy intervention for CF following Epstein-Barr virus (EBV) infection in adolescents. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000620DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7173952PMC

Paediatric drugs trials in China.

BMJ Paediatr Open 2020 31;4(1):e000618. Epub 2020 Mar 31.

Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Shandong University, Jinan, China.

Objective: Clinical trials of children's drugs are of great significance to rational drug use in children. However, paediatric drugs trials in China are facing complex challenges. At present, the investigation data on registration status of paediatric drug trials in China are still relatively lacking, and relevant research is urgently needed. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7173953PMC

Prevalence, risk factors and consequences of newborns born small for gestational age: a multisite study in Nepal.

BMJ Paediatr Open 2020 31;4(1):e000607. Epub 2020 Mar 31.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Objective: To identify the prevalence, risk factors and health impacts associated with small for gestational age (SGA) births in Nepal.

Methods: A cross-sectional study was conducted in 12 public hospitals in Nepal from 1 July 2017 to 29 August 2018. A total of 60 695 babies delivered in these hospitals during the study period were eligible for inclusion. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7173954PMC

Antibiotic prescribing in neonatal sepsis: an Australian nationwide survey.

BMJ Paediatr Open 2020 17;4(1):e000643. Epub 2020 Mar 17.

National Centre for Infections in Cancer, University of Melbourne, Melbourne, Victoria, Australia.

Objective: To evaluate quality and variation in antibiotic prescribing for neonatal sepsis.

Design: We analysed prescribing in hospitalised neonates using the National Antimicrobial Prescribing Survey in Australian neonates from 1 January 2014 to 31 December 2018.

Setting: Data from antibiotic point prevalence surveys performed in hospitals, ranging from rural hospitals to tertiary paediatric and maternity hospitals within Australia. Read More

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http://dx.doi.org/10.1136/bmjpo-2020-000643DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101048PMC

The impact of level of neonatal care provision on outcomes for preterm babies born between 27 and 31 weeks of gestation, or with a birth weight between 1000 and 1500 g: a review of the literature.

BMJ Paediatr Open 2020 17;4(1):e000583. Epub 2020 Mar 17.

Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.

Objective: There is evidence that birth and care in a maternity service associated with a neonatal intensive care unit (NICU) is associated with improved survival in preterm babies born at <27 weeks of gestation. We conducted a systematic review to address whether similar gains manifested in babies born between 27+0 and 31+6 weeks (hereafter 27 and 31 weeks) of gestation, or in those with a birth weight between 1000 and 1500 g.

Methods: We searched Embase, Medline and CINAHL databases for studies comparing outcomes for babies born between 27 and 31 weeks or between 1000 and 1500 g birth weight, based on designation of the neonatal unit where the baby was born or subsequently cared for (NICU vs non-NICU setting). Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101044PMC

Parent-reported early sleep problems and internalising, externalising and dysregulation symptoms in toddlers.

BMJ Paediatr Open 2020 10;4(1):e000622. Epub 2020 Mar 10.

Department of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.

Background: The concurrence of sleep and socio-emotional development in children is well accepted. However, the predictive role of sleep problems in infancy and the development of emotional and behavioural problems later in childhood remain still unclear. Therefore, in this study we examined the associations between sleep problems in early childhood and internalising, externalising and dysregulation symptoms in toddlers. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000622DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066614PMC

Nationwide, population-based study of school grades in practical and aesthetic subjects of children treated for brain tumour.

BMJ Paediatr Open 2020 15;4(1):e000619. Epub 2020 Mar 15.

Department of Special Education, Stockholm University, Stockholm, Sweden.

Background: Children treated for brain tumour (hereafter termed paediatric brain tumour survivors (PBTS)) often need extra support in school because of late-appearing side effects after their treatment. We explored how this group of children perform in the five practical and aesthetic (PRAEST) subjects: home and consumer studies, physical education and health, art, crafts and music.

Methods: In this nationwide population-based study of data from the Swedish Childhood Cancer Registry and Statistics Sweden, we included 475 children born between 1988 and 1996, diagnosed with a brain tumour before their 15th birthday. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000619DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073787PMC

Interventions to treat pain in paediatric CFS/ME: a systematic review.

BMJ Paediatr Open 2020 5;4(1):e000617. Epub 2020 Mar 5.

Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK.

Background: Paediatric chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is common (prevalence 1%-2%). Two-thirds of children experience moderate or severe pain, which is associated with increased fatigue and poorer physical function. However, we do not know if treatment for CFS/ME improves pain. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059437PMC

Asylum seeking children and adolescents in Australian immigration detention on Nauru: a longitudinal cohort study.

BMJ Paediatr Open 2020 15;4(1):e000615. Epub 2020 Mar 15.

School of Women's and Children's Health, University of New South Wales - Randwick Campus, Randwick, New South Wales, Australia.

Introduction: Immigration detention has a profound and negative impact on the physical health, mental health, development and social-emotional well-being of children, adolescents and their families. Australian clinicians will report results from detailed health and well-being assessments of asylum seeking children and adolescents who have experienced prolonged immigration detention.

Methods And Analysis: This is a national, multicentre study with a longitudinal cohort design that will document health and well-being outcomes of the children and adolescents who have been detained in offshore detention on the remote island of Nauru. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000615DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073805PMC

Interventions to improve quantitative measures of parent satisfaction in neonatal care: a systematic review.

BMJ Paediatr Open 2020 15;4(1):e000613. Epub 2020 Mar 15.

Neonatal Medicine, School of Public Health, Faculty of Medicine, Imperial College London, London, UK.

Objective: Interventions improving parent satisfaction can reduce parent stress, may improve parent-infant bonding and infant outcomes. Our objective was to systematically review neonatal interventions relating to parents of infants of all gestations where an outcome was parent satisfaction.

Methods: We searched the databases MEDLINE, EMBASE, PsychINFO, Cochrane Central Register of Controlled Trials, CINAHL, HMIC, Maternity and Infant Care between 1 January 1946 and 1 October 2017. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073789PMC

Exposure and attitudes to adolescent health amongst Paediatric trainees in Northern Ireland: a mixed-methods study.

BMJ Paediatr Open 2020 8;4(1):e000563. Epub 2020 Mar 8.

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

Aims: To determine the exposure and attitudes of paediatric trainees towards adolescent medicine.

Methods: All paediatric trainees in the Northern Ireland deanery (n=107) were invited to participate in an online survey in March 2016. The questionnaire was based on the 'Modified Perceptions of Adolescent Issues and Resources: Care of Adolescents' questionnaire. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000563DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061885PMC

Brought in dead cases to a tertiary referral paediatric emergency department in India: a prospective qualitative study.

BMJ Paediatr Open 2020 12;4(1):e000606. Epub 2020 Feb 12.

Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Objectives: Brought in dead (BID) presentation is profoundly related to prehospital variables including disease-related determinants and social and system-related factors. Identifying these factors would help us recognise various gaps in health services.

Setting: Tertiary paediatric emergency department (ED) in north India. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000606DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047481PMC
February 2020

Parental understanding of our communication of morbidity associated with paediatric cardiac surgery: a qualitative study.

BMJ Paediatr Open 2020 26;4(1):e000578. Epub 2020 Feb 26.

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

Background: Following paediatric cardiac surgery, quality of life may be significantly impacted by morbidities associated with cardiac surgery. Parental understanding of the potential for postoperative morbidity is important for informed decision making. As part of a broader research study, we aimed to elicit parental understanding and experience of the communication of morbidities following their child's cardiac surgery, using traditional focus groups together with an online forum. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047488PMC
February 2020

The health impact on children affected by parental imprisonment.

BMJ Paediatr Open 2020 10;4(1):e000275. Epub 2020 Feb 10.

Behavioural and Social Sciences, University of Huddersfield, Huddersfield, UK.

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http://dx.doi.org/10.1136/bmjpo-2018-000275DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047477PMC
February 2020

Ethical dilemmas in providing acute medical care at home for children: a survey of health professionals.

BMJ Paediatr Open 2020 6;4(1):e000590. Epub 2020 Feb 6.

Hospital-in-the-Home Department & Infectious Diseases Unit, General Medicine, The Royal Children's Hospital, Melbourne, Victoria, Australia.

Objective: Acute care at home is increasing. We aimed to determine the views of healthcare professionals on the ethics of providing home care and compare the impact of situational changes on their opinions.

Design: An analysis of opinions of home healthcare professionals. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000590DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015051PMC
February 2020

Thirtieth anniversary of the UN Convention on the Rights of the Child: advancing a child rights-based approach to child health and well-being.

BMJ Paediatr Open 2020 12;4(1):e000589. Epub 2020 Jan 12.

University of Victoria, Victoria, British Columbia, Canada.

Global challenges to children's health are rooted in social and environmental determinants. The UN Convention on the Rights of the Child (CRC) articulates the rights required to address these civil-political, social, economic and cultural determinants of child well-being. The principles of child rights-universality, interdependence and accountability-define the tenets of social justice and health equity required to ensure all rights accrue to all children, and the accountability of individuals and organisations (duty-bearers) to ensure these rights are fulfilled. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000589DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015043PMC
January 2020

Double burden of malnutrition among Indian schoolchildren and its measurement: a cross-sectional study in a single school.

BMJ Paediatr Open 2020 2;4(1):e000505. Epub 2020 Feb 2.

Pediatrics, MIMER, Pune, Maharashtra, India.

Objective: This cross-sectional study set in a single school on the outskirts of a large city aimed to document the extent of double burden of malnutrition (coexistence of overnutrition and undernutrition) among Indian schoolchildren from lower socioeconomic groups, and to determine if mid-upper arm circumference (MUAC) can be used as a proxy for body mass index (BMI).

Subjects: The total number of participants was 1444, comprising 424 girls and 1020 boys belonging to playgroups and grades 1 to 7.

Measurements: Anthropometric measurements, such as participants' MUAC, height and weight were measured using standard techniques. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000505DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015044PMC
February 2020

Advancing child nutrition science in the scaling up nutrition era: a systematic scoping review of stunting research in Guatemala.

BMJ Paediatr Open 2019 31;3(1):e000571. Epub 2019 Dec 31.

Centre for Research in Indigenous Health, Wuqu' Kawoq | Maya Health Alliance, Tecpán, Chimaltenango, Guatemala.

Introduction: Ever since the 1960s, Guatemala has been a principle site for global academic research on child growth and nutrition. Nevertheless, Guatemala still has one of the highest rates of child stunting in the world. Since 2012, Guatemala has had a comprehensive national policy on stunting, calling for a renewed investment in innovative, multilevel nutrition interventions and implementation science. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000571DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015046PMC
December 2019

Incidence of newborn resuscitative interventions at birth and short-term outcomes: a regional population-based study.

BMJ Paediatr Open 2019 29;3(1):e000592. Epub 2019 Dec 29.

Department of Paediatrics, Stavanger University Hospital, Stavanger, Norway.

Objectives: To determine the incidence and characteristics of resuscitative interventions at different gestational ages and short-term outcomes after resuscitation.

Design Setting And Patients: A prospective observational study in an unselected population at Stavanger University Hospital, Norway, from October 2016 until September 2017.

Interventions: Using a data collection form and video recordings, we registered and analysed resuscitative interventions. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6936999PMC
December 2019

Healthcare utilisation in children with SMA type 1 treated with nusinersen: a single centre retrospective review.

BMJ Paediatr Open 2019 5;3(1):e000572. Epub 2019 Dec 5.

Paediatric Respiratory Service, University Hospital of North Midlands NHS Trust, Stoke-on-Trent, UK.

Background: Nusinersen has been used to treat spinal muscular atrophy type 1 (SMA1) in the UK since 2017. While initial trials showed neuromuscular benefit from treating SMA1, there is little information on the respiratory effects of nusinersen. We aimed to look at the respiratory care, hospital utilisation and associated costs in newly treated SMA1. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937078PMC
December 2019

Income inequality and social gradients in children's height: a comparison of cohort studies from five high-income countries.

BMJ Paediatr Open 2019 28;3(1):e000568. Epub 2019 Nov 28.

Department of Psychology, Concordia University, Montreal, Québec, Canada.

Background: Health and well-being are better, on average, in countries that are more equal, but less is known about how this benefit is distributed across society. Height is a widely used, objective indicator of child health and predictor of lifelong well-being. We compared the level and slope of social gradients in children's height in high-income countries with different levels of income inequality, in order to investigate whether children growing up in all socioeconomic circumstances are healthier in more equal countries. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937032PMC
November 2019

Paediatric neuro-oncology rehabilitation in the UK: carer and provider perspectives.

BMJ Paediatr Open 2019 15;3(1):e000567. Epub 2019 Dec 15.

Clinical and Experimental Sciences, University of Southampton, Southampton, Hampshire, UK.

Objective: The provision of rehabilitation services after childhood brain tumour has not been established, despite a recent parliamentary call for urgent action. This service evaluation aimed to determine what specialist paediatric neuro-oncology rehabilitation services were available across the UK at the time of the surveys and whether the needs of patients and their families were being met.

Design: Cross-sectional on-line surveys. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000567DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937011PMC
December 2019

The Paediatrician's role in understanding and supporting parenting practices through a health behaviour lens.

BMJ Paediatr Open 2019 4;3(1):e000560. Epub 2019 Dec 4.

Pediatrics, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1136/bmjpo-2019-000560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937037PMC
December 2019

Antibiotic prescription in the outpatient paediatric population attending emergency departments in Lombardy, Italy: a retrospective database review.

BMJ Paediatr Open 2019 11;3(1):e000546. Epub 2019 Dec 11.

Laboratory for Mother and Child Health, Department of Public Health, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy.

Objectives: This study aimed to assess the appropriateness of antibiotic prescription in children seen in emergency departments (EDs) and to compare prescription profiles in ED and primary care.

Design: This is a retrospective analysis of healthcare administrative databases.

Setting: The study analysed data collected in emergency departments (EDs) and primary care practices (PCPs) in Lombardy, Italy. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000546DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937000PMC
December 2019

How are behavioural interventions delivered to children (5-11 years old): a systematic mapping review.

BMJ Paediatr Open 2019 10;3(1):e000543. Epub 2019 Dec 10.

Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK.

Context: Behavioural interventions are used to prevent, manage and treat a wide variety of conditions including obesity, diabetes, chronic pain, asthma and emotional difficulties. There has been inadequate attention to the delivery of behavioural interventions to younger children (5-11 years old).

Objective: Our objectives were to describe the characteristics of behavioural interventions for children aged 5-11 years. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000543DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937047PMC
December 2019

Ensuring migrants' right to health? Case of undocumented children in Israel.

BMJ Paediatr Open 2019 23;3(1):e000490. Epub 2019 Dec 23.

Physicians for Human Rights Israel, Tel Aviv, Israel.

After 18 years of providing government-subsidised medical insurance for children of undocumented migrants, the Israeli Ministry of Health (MOH) decided in 2018 to abruptly reverse its policy. Many children will have access to medical care only in cases of emergency. The policy change is set to potentially impact several thousands of children currently living or born in Israel. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000490DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937016PMC
December 2019

Sociodemographic and clinical risk factors for paediatric typical haemolytic uraemic syndrome: retrospective cohort study.

BMJ Paediatr Open 2019 17;3(1):e000465. Epub 2019 Dec 17.

Health Protection Research Unit in Gastrointestinal Infections, National Institute for Health Research, Liverpool, UK.

Objectives: Haemolytic uraemic syndrome (HUS) following Shiga toxin-producing (STEC) infection is the the most common cause of acute renal failure among children in the UK. This study explored differential progression from STEC to HUS by social, demographic and clinical risk factors.

Methods: We undertook a retrospective cohort study linking two datasets. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6936988PMC
December 2019

Child health in Scotland: getting it right for every child?

BMJ Paediatr Open 2019 23;3(1):e000420. Epub 2019 Dec 23.

Child Health, University of Aberdeen, Aberdeen, UK.

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http://dx.doi.org/10.1136/bmjpo-2018-000420DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937007PMC
December 2019

Diagnostic accuracy of perinatal post-mortem ultrasound (PMUS): a systematic review.

BMJ Paediatr Open 2019 11;3(1):e000566. Epub 2019 Nov 11.

Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, UK.

Objective: Ultrasound is ubiquitous in live paediatric imaging; however, its usage in post-mortem setting is less established. This systematic review aims to evaluate the diagnostic accuracy of paediatric post-mortem ultrasound (PMUS).

Design: MEDLINE, Embase and Cochrane Library databases were queried for studies published between 1998 and 2018 assessing PMUS diagnostic accuracy rates in children<18 years old, using autopsy as reference standard. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000566DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863669PMC
November 2019

Pilot study of an integrated model of sleep support for children: a before and after evaluation.

BMJ Paediatr Open 2019 10;3(1):e000551. Epub 2019 Nov 10.

Sheffield City Council, Sheffield, UK.

Objective: Despite the success of behavioural sleep support interventions in the third sector, sleep support is not universally available for families in the UK. The aim of the study was to provide evidence of efficacy and to propose a delivery model for integrated sleep support for families of vulnerable children.

Design And Setting: A sleep support intervention was carried out in Sheffield Local Authority evaluated using a preintervention and postintervention study design by Sheffield Children's National Health Service (NHS) Trust. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000551DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863653PMC
November 2019

Leprosy in children: a Cuban experience on leprosy control.

BMJ Paediatr Open 2019 10;3(1):e000500. Epub 2019 Nov 10.

Juan Manuel Marquez Pediatric Teaching Hospital, La Habana, Cuba.

Background: Children are believed to be the most vulnerable group to leprosy. Childhood leprosy reflects disease transmission in the community as well as the efficiency of ongoing disease control programmes. In Cuba, leprosy is not a national health problem; however, new childhood leprosy cases are diagnosed every year. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000500DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863670PMC
November 2019

Investigating the association between early years foundation stage profile scores and subsequent diagnosis of an autism spectrum disorder: a retrospective study of linked healthcare and education data.

BMJ Paediatr Open 2019 11;3(1):e000483. Epub 2019 Nov 11.

Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.

Objective: We set out to test whether the early years foundation stage profile (EYFSP) score derived from 17 items assessed by teachers at the end of reception school year had any association with autism spectrum disorder (ASD) diagnosis in subsequent years. This study tested the feasibility of successfully linking education and health data.

Design: A retrospective data linkage study. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000483DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863697PMC
November 2019

Correction: Predictors for expired CO2 in neonatal bag-mask ventilation at birth: observational study.

Authors:

BMJ Paediatr Open 2019;3(1):e000544corr1. Epub 2019 Oct 18.

[This corrects the article DOI: 10.1136/bmjpo-2019-000544.]. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000544corr1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830461PMC
October 2019

Cuba's success in child health: what can one learn?

BMJ Paediatr Open 2019 30;3(1):e000573. Epub 2019 Oct 30.

Child Health, University of Nottingham School of Medicine, Derby, UK.

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http://dx.doi.org/10.1136/bmjpo-2019-000573DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830455PMC
October 2019

Adrenal suppression from glucocorticoids: preventing an iatrogenic cause of morbidity and mortality in children.

BMJ Paediatr Open 2019 23;3(1):e000569. Epub 2019 Oct 23.

Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.

Adrenal suppression (AS) is an important side effect of glucocorticoids (GCs) including inhaled corticosteroids (ICS). AS can often be asymptomatic or associated with non-specific symptoms until a physiological stress such as an illness precipitates an adrenal crisis. Morbidity and death associated with adrenal crisis is preventable but continues to be reported in children. Read More

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http://dx.doi.org/10.1136/bmjpo-2019-000569DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830460PMC
October 2019