November 2008
35 posts
[Review] Macrogol (polyethylene glycol) based... →
Introduction: The evidence base to support the use of laxatives in children is very limited, although previous reviews have suggested that osmotic laxatives may be preferred. Following the…
[Original articles] Deriving temperature and age... →
Objectives: To describe the reference range for heart rate in children aged 3 months -10 years presenting to primary care with self-limiting infections.
Design: Cross-sectional study of…
[Papers] Growth Monitoring Following Traumatic... →
Hypopituitarism is an important consequence of traumatic brain injury (TBI). Growth monitoring can be used as an indicator of pituitary function in children. A retrospective audit of case notes of…
[Original articles] Prophylactic oral nystatin for... →
Background: Invasive fungal infection is an important cause of mortality and morbidity in extremely preterm babies. Colonization with Candida is a risk factor for systemic infection. We…
[Review] Macrogol (polyethylene glycol) based... →
Introduction: The evidence base to support the use of laxatives in children is very limited, although previous reviews have suggested that osmotic laxatives may be preferred. Following the…
[Original articles] Deriving temperature and age... →
Objectives: To describe the reference range for heart rate in children aged 3 months -10 years presenting to primary care with self-limiting infections.
Design: Cross-sectional study of…
[Original articles] Effects of infant feeding... →
Objective: The influence of infant feeding practices on weight gain during childhood remains unresolved, with few studies adjusting appropriately for confounding factors. We examined the effect…
[Papers] Opportunistic growth measurements are not... →
Opportunistic growth measurements have been recommended in the UK to complement universal measurement of a child’s growth at school entry. This study analysed the effectiveness of opportunistic…
[Original articles] Varying gender pattern of... →
Objective: This paper explores gender in relation to Scottish child injury mortality over time.
Design: Injury mortality data for children aged 0-14 years in Scotland were obtained from the…
[Review] Teenage pregnancies: who suffers? →
The UK is reported to have the highest rate of teenage pregnancies (girls aged 15-17 years) in Europe. In this review, we examine the epidemiology of teenage pregnancy in the UK and consider the…
[Original articles] Assessment of doctors'... →
Objective: To determine the utility of a novel paediatric consultation assessment tool (PCAT)
Design: Developed to measure clinicians‘ communication behaviour with children and their…
Out of town for 2 weeks →
Dear readers
I am scheduled to be out of Male’ for 2 weeks beginning 21st November 2008. I will be traveling to Chiang Mai, Thailand to join a Fellowship program on Infant and Young Child…
[Original articles] An audit of transfers for... →
Objective: To audit the access to specialist services for infants requiring transfer for surgical care in the neonatal networks in England in 2007.
Methods: Data on neonates transferred for…
[Papers] Respiratory data from pulse oximetry in... →
To investigate whether valid respiratory data could be extracted from the pulse oximeter plethysmographic (pleth) trace in healthy newborn infants, we collected pleth data from the foot and…
[Papers] Paediatric Respiratory Nursing Posts in... →
British Guidelines on Asthma recommend nurse delivered structured discharges for all children with asthma. We carried out a postal and telephone survey to look at the provision of this. 20 out of…
[Original articles] Do systemic symptoms predict... →
Background and aims: In the NICE guideline on childhood urinary tract infection (UTI), it is assumed that the presence or severity of systemic symptoms, especially fever, predict for renal…
[Original articles] Predicting adult metabolic... →
Objectives: To assess whether serial measurements of childhood body mass index (BMI) give clinically useful predictions of the risk of developing adult metabolic syndrome and impaired glucose…
[Original articles] Reading and communication... →
Background: Birth in periods with universal newborn screening (UNS) for PCHI and early confirmation of PCHI have been associated with superior subsequent language ability in children with…
A reader comments.
In response to the Q&A post; Breastmilk drops for the eye
Anonymous reader: What a shocker; Another doctor pushing medicine and not real God given holistic solutions. Ever wonder why medicine seems to be the only answer for these prescription pushers? $$$$
Myself: Anonymous, you seem to be ignoring that fact that breast milk was made available by god for the purpose of nutrition for the baby....
Revisited: Breastmilk drops for the eye.
When babies scratch their eyes or when the eyes go red , it has been a practice in the Maldives to put breast milk in the eyes of the baby. So, I was wondering whether this practice is right? What makes it right? Does breast milk really reduce the itching and if so why is it?
That is a common practice in many parts of the world. What is common practice, however, does not necessarily make it a...
[Original articles] Prenatal Benzoate Treatment in... →
Objective: In patients with severe urea cycle defects (UCD) metabolic decompensation with hyperammonaemia typically occurs during the first days of life resulting in severe neurological damage or…
[Original articles] Outcome of severely anemic... →
Objective: Fetal anemia is a well known complication of pregnancy which might have an ominous effect on the course of the pregnancy, labor and child’s development. The aim of this study was to…
Diarrhoea again! →
I have observed a sudden increase in the number of children presenting with an acute Diarrheal disease over the past couple of weeks. I am also aware of an increase in the number of children with…
[Original articles] Action on Immunisation. No... →
Immunisation is one of most evidence-based activities of the NHS, and much of its success owes to the sensible use of information systems which both run the programme and at the same time evaluate…
[Original articles] Association between school... →
Objective: To investigate factors associated with school attendance and physical function in paediatric Chronic Fatigue Syndrome/Myalgic Encephalopathy (CFS/ME).
Design: Cross sectional study.…
[Original articles] Memory and attention problems... →
Objective: To understand more about the problems children with CFS/ME experience with their memory and attention, and to test the feasibility of quantitative measurement of both memory and…
[Original articles] Prenatal Benzoate Treatment in... →
Objective: In patients with severe urea cycle defects (UCD) metabolic decompensation with hyperammonaemia typically occurs during the first days of life resulting in severe neurological damage or…
[Original articles] Prognosis in isolated... →
Objectives: To investigate prognosis of the fetus with isolated gastroschisis and bowel dilatation from a systematic review of the literature. We aimed to compare the incidence of a) intrauterine…
[Original articles] Outcome of severely anemic... →
Objective: Fetal anemia is a well known complication of pregnancy which might have an ominous effect on the course of the pregnancy, labor and child’s development. The aim of this study was to…
[Original articles] Risk of stillbirth and... →
Background: Babies of mothers with psychotic disorders are known to have higher rates of poor obstetric outcome, including higher mortality rates. This population-based study investigates risks…
[Original articles] Range of UK practice regarding... →
Objective: To establish the range of opinion regarding thresholds at which phototherapy and exchange transfusion are used to treat neonatal hyperbilirubinaemia in the United Kingdom.
Design: A…
Children visiting the sick at the hospitals. →
During the visiting hours at IGMH, we see several kids going in and coming out of hospital wards, visiting members of their family and friends who are admitted for treatment. Their numbers are not…
[Original articles] Patterns of brain injury and... →
Objective: To document perinatal events, brain imaging, neurophysiology and clinical outcome in term infants with early post-natal collapse (PNC).
Design: Tertiary referral centre,…
[Original articles] B-type Natriuretic Peptide to... →
Objective: Determine whether b-type natriuretic peptide (BNP) levels can guide therapy for a patent ductus arteriosus (PDA) to reduce the number of indomethacin (INDO) doses without increasing…
Another emerging Enteroviral illness in Male? →
Since returning to work last Thursday, I have seen a few kids with what appears to be an Enteroviral illness. Enteroviral infections have the potential to cause epidemics. Epidemiological…