journal
https://read.qxmd.com/read/33451994/indirect-effects-of-the-covid-19-pandemic-on-paediatric-healthcare-use-and-severe-disease-a-retrospective-national-cohort-study
#1
Thomas C Williams, Clare MacRae, Olivia V Swann, Haris Haseeb, Steve Cunningham, Philip Davies, Neil Gibson, Christopher Lamb, Richard Levin, Catherine M McDougall, Jillian McFadzean, Ian Piper, Alastair Turner, Stephen W Turner, Margrethe Van Dijke, Donald S Urquhart, Bruce Guthrie, Ross J Langley
OBJECTIVES: To determine the indirect consequences of the COVID-19 pandemic on paediatric healthcare utilisation and severe disease at a national level following lockdown on 23 March 2020. DESIGN: National retrospective cohort study. SETTING: Emergency childhood primary and secondary care providers across Scotland; two national paediatric intensive care units (PICUs); statutory death records. PARTICIPANTS: 273 455 unscheduled primary care attendances; 462 437 emergency department attendances; 54 076 emergency hospital admissions; 413 PICU unplanned emergency admissions requiring invasive mechanical ventilation; and 415 deaths during the lockdown study period and equivalent dates in previous years...
January 15, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33451993/intestinal-parasites-among-children-with-diarrhoea-from-santiago-cape-verde
#2
LETTER
Denise Andrade Colito, Roberto Dorta-Guerra, Hailton Spencer Da Costa Lima, Carine Pina, Deisy Gonsalvez, Basilio Valladares, Pilar Foronda
No abstract text is available yet for this article.
January 15, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33441316/fetal-alcohol-spectrum-disorders-an-overview-of-current-evidence-and-activities-in-the-uk
#3
REVIEW
Lisa Schölin, Raja A S Mukherjee, Neil Aiton, Carolyn Blackburn, Sarah Brown, Kate M Flemming, Paul R Gard, Helen Howlett, Moira Plant, Alan D Price, Jennifer Shields, Lesley A Smith, Michael Suttie, David C Zammitt, Penny A Cook
Estimates for the UK suggest that alcohol consumption during pregnancy and prevalence of fetal alcohol spectrum disorder (FASD)-the most common neurodevelopmental condition-are high. Considering the significant health and social impacts of FASD, there is a public health imperative to prioritise prevention, interventions and support. In this article, we outline the current state of play regarding FASD knowledge and research in the UK, which is characterised by a lack of evidence, a lack of dedicated funding and services, and consequently little policy formulation and strategic direction...
January 13, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33441315/conservative-treatment-of-appendicitis-in-children-a-randomised-controlled-feasibility-trial-contract
#4
Nigel J Hall, Simon Eaton, Frances C Sherratt, Isabel Reading, Erin Walker, Maria Chorozoglou, Lucy Beasant, Wendy Wood, Michael Stanton, Harriet Corbett, Dean Rex, Natalie Hutchings, Elizabeth Dixon, Simon Grist, Esther M Crawley, Bridget Young, Jane M Blazeby
OBJECTIVE: To establish the feasibility of a multicentre randomised controlled trial to assess the effectiveness and cost-effectiveness of a non-operative treatment pathway compared with appendicectomy in children with uncomplicated acute appendicitis. DESIGN: Feasibility randomised controlled trial with embedded qualitative study to inform recruiter training to optimise recruitment and the design of a future definitive trial. SETTING: Three specialist paediatric surgery centres in the UK...
January 13, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33436391/work-of-a-paediatric-bioethics-centre-during-the-covid-19-pandemic-first-phase
#5
Joe Brierley, Sarah Aylett, Anne MacNiven, Mariana Dittborn
OBJECTIVES: Decisions with an ethical component have been controversial during the COVID-19 pandemic, whether leaked intensive care unit (ICU)-rationing documents, transfer of people to care-homes to 'protect the National Health Service' or the duty to treat patients despite inadequate personal protective equipment. To counter criticism of ethics per se, and to help those planning ethics support we describe the practical work of a children's hospital bioethics team in supporting children, families and clinicians during this unprecedented period...
January 12, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33419730/population-based-surveillance-of-severe-microcephaly-and-congenital-zika-syndrome-in-canada
#6
Shaun K Morris, Daniel S Farrar, Steven P Miller, Marianna Ofner, Ari Bitnun, Chantal R M Nelson, Michael Shevell, Aideen M Moore, Joanne Tataryn, Jane A Evans, Amy R Zipursky, Charlotte Moore Hepburn
PURPOSE: To estimate the minimum incidence of congenital Zika syndrome (CZS) and severe microcephaly in Canada and describe key clinical, epidemiological, aetiological and outcome features of these conditions. METHODS: Two separate national surveillance studies were conducted on CZS and severe microcephaly using the well-established Canadian Paediatric Surveillance Program from 2016 to 2019. Over 2700 paediatricians across Canada were surveyed monthly and asked to report demographic details, pregnancy and travel history, infant anthropometry, clinical features and laboratory findings of newly identified cases...
January 8, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33419729/childhood-acute-respiratory-illnesses-will-normal-inadequate-services-be-resumed
#7
REVIEW
Prasad Nagakumar, Andrew Bush, Atul Gupta
No abstract text is available yet for this article.
January 8, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33419728/why-are-certain-age-bands-used-for-children-in-paediatric-studies-of-medicines
#8
REVIEW
Kalle Hoppu, Helena Fonseca
Rational prescribing of medicines requires evidence from clinical trials on efficacy, safety and the dose to be prescribed, based on clinical trials. Regulatory authorities assess these data and information is included in the approved summary of product characteristics. Regulatory guidelines on clinical investigation of medicinal products in the paediatric population generally propose that studies are done in defined age groups but advise that any classification of the paediatric population into age categories is to some extent arbitrary or that the age groups are intended only as a guide...
January 8, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33419727/case-for-change-a-standardised-inpatient-paediatric-early-warning-system-in-england
#9
REVIEW
Damian Roland, Philippa Anna Stilwell, Peter-Marc Fortune, John Alexander, Simon J Clark, Simon Kenny
Most children in hospital who are clinically deteriorating are monitored regularly, and their treatment is escalated effectively. However a small, but significant, number of deteriorating children experience suboptimal outcomes because of a failure to recognise and respond to acute deterioration early enough leading to unintended harm. Tragically this occasionally can have fatal consequences. Investigations into these rare events highlight common themes of missed early signs of deterioration in children, prompting regulatory agencies to suggest paediatric early warning systems (PEWS) to aid clinical practice...
January 8, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33419726/what-is-the-risk-of-missing-orbital-cellulitis-in-children
#10
Laila F Ibrahim, Franz E Babl, Sandy M Hopper, Penelope A Bryant
BACKGROUND: Preseptal cellulitis can be difficult to distinguish from orbital cellulitis in children. The majority of patients with periorbital infections are admitted for intravenous antibiotics. This study aimed to investigate the risk of missing orbital cellulitis and the outcomes of missed patients. METHODS: A prospective cohort study of children aged 3 months to 18 years diagnosed with preseptal cellulitis over 5 years. Data were collected prospectively, including demographics, clinical features and outcomes...
January 8, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33419725/wormian-bones-thinking-beyond-osteogenesis-imperfecta
#11
Rebecca Kylie Halligan, Leanne Royle, Claire Lloyd, Roshni Vara, Moira Shang-Mei Cheung
No abstract text is available yet for this article.
January 8, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33419724/lethality-of-racism-for-black-children-in-the-usa-a-primer
#12
REVIEW
Max Jordan Nguemeni Tiako, Eugenia C South, Heather H Burris
No abstract text is available yet for this article.
January 8, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33408067/safeguarding-in-the-covid-19-pandemic-a-uk-tertiary-children-s-hospital-experience
#13
LETTER
Kavitha Masilamani, William B Lo, Ashish Basnet, Jane Powell, Desiderio Rodrigues, William Tremlett, Deepthi Jyothish, Geoff Debelle
No abstract text is available yet for this article.
January 6, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33408066/first-judgement-on-clinical-ethics-committees
#14
REVIEW
Robert Wheeler
No abstract text is available yet for this article.
January 6, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33408065/does-beckwith-wiedemann-syndrome-require-intensive-wilms-tumour-surveillance
#15
Colin P McGrath, Michael A Boyle
No abstract text is available yet for this article.
January 6, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33402327/improved-diet-quality-a-missing-ingredient-for-accelerating-stunting-reduction-an-example-from-ethiopia
#16
REVIEW
Kaleab Baye
No abstract text is available yet for this article.
January 5, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33402326/telephone-guided-self-help-for-mental-health-difficulties-in-neurological-conditions-a-randomised-pilot-trial
#17
Sophie D Bennett, Isobel Heyman, Anna E Coughtrey, Sophia Varadkar, Terence Stephenson, Roz Shafran
OBJECTIVE: This study aimed to conduct a randomised pilot trial to assess the feasibility of a randomised controlled trial (RCT) to investigate the effect of telephone-guided self-help for the treatment of mental health difficulties in children with neurological conditions. DESIGN: Preliminary RCT. The primary outcome measure was the Strengths and Difficulties Questionnaire. SETTING: Neurology clinics in a national tertiary paediatric hospital...
January 5, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33402325/descriptive-study-of-parents-perceptions-of-paediatric-ward-rounds
#18
Julia Barrington, Clare Polley, Carolyn van Heerden, Amy Gray
OBJECTIVES: To explore parents' perceptions of ward rounds in two different ward settings (medical and surgical unit) in a tertiary paediatric hospital in Australia and to understand key factors influencing them. DESIGN: A descriptive study was conducted based on 100 semistructured interviews across two different inpatient units: medical (n=50) and surgical (n=50). Quantitative data, obtained from closed-ended responses, were analysed using descriptive statistics...
January 5, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33402324/should-children-be-vaccinated-against-covid-19-now
#19
REVIEW
Brian Li Han Wong, Mary Elizabeth Ramsay, Shamez N Ladhani
No abstract text is available yet for this article.
January 5, 2021: Archives of Disease in Childhood
https://read.qxmd.com/read/33361068/first-do-no-harm-practitioners-ability-to-diagnose-system-weaknesses-and-improve-safety-is-a-critical-initial-step-in-improving-care-quality
#20
Mike English, Muthoni Ogola, Jalemba Aluvaala, Edith Gicheha, Grace Irimu, Jacob McKnight, Charles A Vincent
Healthcare systems across the world and especially those in low-resource settings (LRS) are under pressure and one of the first priorities must be to prevent any harm done while trying to deliver care. Health care workers, especially department leaders, need the diagnostic abilities to identify local safety concerns and design actions that benefit their patients. We draw on concepts from the safety sciences that are less well-known than mainstream quality improvement techniques in LRS. We use these to illustrate how to analyse the complex interactions between resources and tools, the organisation of tasks and the norms that may govern behaviours, together with the strengths and vulnerabilities of systems...
December 23, 2020: Archives of Disease in Childhood
journal
journal
20044
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"