March 2009
32 posts
[Original articles] Maternal pre-pregnancy body... →
Objective: To investigate the association between (self-reported) maternal pre-pregnancy BMI (pBMI), and child’s weight, height and BMI at age 14 months.
Design: Prospective multi-ethnic…
[Original articles] Spinal Injury in Motor Vehicle... →
Objective: To determine whether age is associated with serious spinal injury in pediatric motor vehicle occupants, after controlling for crash-related factors.
Design & setting: Retrospective…
[Review] Hearing Screening in Newborns. Systematic... →
Objective: To evaluate the benefits and harms of universal newborn hearing screening programmes in the detection of hearing impairment.
Methods: In the absence of randomised trials evaluating…
[Original articles] The early stool patterns of... →
Aim: To investigate whether children with autistic spectrum disorder (ASD) have bowel symptoms consistent with an underlying enterocolitis.
Methods: Information on children’s stool patterns…
[Leading articles] Trainees in difficulty →
There are many reasons why the term ‘trainee in difficulty’ or perhaps even worse ‘problem doctor’ strikes fear into the hearts of consultant trainers. It may be because of issues around patient…
[Review] Drug misuse in pregnancy - losing sight... →
Maternal drug misuse can seriously affect the health of the fetus and newborn infant. The association of maternal drug misuse with prematurity, intra-uterine growth restriction (IUGR) and neonatal…
[Review] The treatment of protozoal infections in... →
Intestinal protozoan infections are still highly prevalent world-wide both in industrialised and unindustrialised countries, but especially in the latter where they may be the cause of important…
[Original articles] Diagnostic value of... →
Background and objective: Subependymal pseudocysts and choroid plexus cysts are seen in newborns on cerebral ultrasound. Clinicians are unsure whether these findings are related to an underlying…
[Review] The fetal circulation and congenital... →
The interactions between the postnatal development of the circulation and the presence of congenital cardiovascular malformations have been recognized for many years [1]. The changes in the…
[Original articles] Long Term Follow Up of VLBW... →
Background: In a previous randomized trial, volume controlled ventilation (VCV) was noted to be efficacious in ventilating very preterm and extremely low birth babies.
Objective: To compare…
[Original articles] Oral nystatin prophylaxis and... →
Background: The value of antifungal prophylaxis depends partly on the incidence of neonatal fungal infection. We compared the incidence of fungal infection in babies in neonatal units which do…
[Original articles] Bannayan-Riley-Ruvalcaba... →
Bannayan- Riley- Ruvalcaba syndrome (BRRS) is an autosomal dominant condition characterised by macrocephaly, developmental delay and subtle cutaneous features. BRRS results from mutations in the…
[Papers] Intranasal diamorphine for acute sickle... →
The painful crisis is the commonest acute presentation of sickle cell disease (SCD), yet effective pain control in hospital is often delayed, inadequate and dependent on injected opiates….
[Original articles] Drug development for children:... →
It is unacceptable that many drugs prescribed to children have not been proven safe and effective for them. Yet some of the necessary drug studies do not provide the participating children direct…
Dhivehi versions of The Online Clinic (blog) and...
Several visitors to my sites have on many occasions requested that I have Dhivehi versions of the Online Clinic and the Question box. I have tried several template modifications (Blogger, Tumblr, etc) but haven’t come up with anything that satisfy me! I think it is just me, not a problem with internet, that I cannot get Dhivehi content to appear clean, clutter-free and well-presented. I...
[Review] Quality indicators and quality assessment... →
Quality indicators are systematically developed statements that can be used to assess the appropriateness of specific healthcare decisions, services and outcomes. In this review, we highlight the…
[Original articles] Are adolescents with chronic... →
Objective: To compare the prevalence and intensity of victimization from bullying, and the characteristics of the victims of bullying, comparing adolescents with and without chronic conditions.
…
[Original articles] Congenital aortic valvar... →
Objective: Congenital valvular aortic stenosis is a common congenital heart malformation. The rate of progression in childhood, however, remains to be established. We assessed progression of peak…
[Original articles] Changing trends in... →
Objective: To characterize prescribing trends of the most commonly prescribed antiepileptic drugs (AEDs) in adolescent females in the UK, carbamazepine (CBZ), sodium valproate (VPA) and…
[Review] Gastroesophageal Reflux Disease in... →
Gastroesophageal reflux disease (GORD) provides a diagnostic and therapeutic challenge to many Neonatologists. Reflux of gastric contents is common in preterm infants but usually not pathological….
[Original articles] Cardiac troponin I at birth is... →
Objective: Neonates produce predominantly skeletal muscle troponin I (TnI) in the myocardium; however, in asphyxiated neonates, high levels of cardiac troponin I (cTnI) have been found. We…
[Original articles] Atropine, fentanyl and... →
Objective: Describe intubation conditions and adverse events when using atropine fentanyl +/- succinylcholine as premedication.
Design: Prospective observational study, as part of a quality…
[Original articles] Visual Assessment of Jaundice... →
Objective: To determine the accuracy of predischarge visual assessment of jaundice for estimating bilirubin concentration and predicting risk of significant neonatal hyperbilirubinemia.
…
[Original articles] Very Preterm Children show... →
Objectives: Neurodevelopmental outcomes associated with preterm birth are of major health and educational concern. This study examined the neuromotor, cognitive, language and…
[Review] An update: Ultrasound structural fetal... →
Screening for fetal anomalies by an ultrasound scan was introduced in many maternity units in United Kingdom in the late 1970s, and has become routine in most since then though there is little…
[Original articles] Academic attainment and... →
Aim: To assess academic attainment and special educational needs (SEN) in extremely preterm (EP) children in middle childhood.
Methods: Of 307 EP (=25 weeks) survivors born in the UK and…
[Original articles] Prospective parental consent... →
Background: Pessimism regarding prospectively consented paediatric autopsy research in the UK has resulted from organ retention controversies, recent changes in the Coroners’ (Amendment) Rules…
[Original articles] Budesonide improves decreased... →
Objective: Inhaled corticosteroids (ICS) are commonly used to treat wheezing disorders in children but few studies have investigated the effect of ICS on lung function in infants. We evaluated…
Accepting the strike but not the method? →
Lessons not learned?
Maldives has seen 4 major industrial strikes in recent years. The Taxi drivers strike, teachers strike, the tourism workers strike and now a “strike” by doctors at IGMH….
[Leading articles] Overriding competent medical... →
In an era of patient centred care, competent and informed health choices are accorded respect. But should this also be true for healthcare decisions of young people, even where they conflict with…
[Original articles] Budesonide improves decreased... →
Objective: Inhaled corticosteroids (ICS) are commonly used to treat wheezing disorders in children but few studies have investigated the effect of ICS on lung function in infants. We evaluated…
[Leading articles] 'The menace of psychiatry':... →
In spite of many examples of successful paediatric liaison with psychology, psychiatry, psychotherapy, mental nursing and social work, institutional ambivalence about mental health persists and…