MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Archives of Disease in Childhood' source. Fri, 19 Mar 2010 16:12:23 +0100 http://www.medworm.com/index.php?rid=3286001&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F156%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3286001 Fri, 19 Feb 2010 09:09:56 +0100 3286001 http://www.medworm.com/index.php?rid=3286000&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F153%3Frss%3D1 Three unrelated children from ethnically diverse backgrounds who were treated for acute leukaemia became profoundly and irreversibly deaf during treatment. Aminoglycoside levels were within the therapeutic range. Genetic testing showed all three to have a maternally inherited mutation of mitochondrial DNA, m.1555A>G, known to cause sensitivity to the ototoxic effects of aminoglycosides. One child has received a cochlear implant, and another will be implanted shortly. Children diagnosed with acute leukaemia should be tested for this mutation at diagnosis, and alternative antibiotics chosen for the treatment of sepsis. Consideration should be given to elective testing of other groups of patients likely to receive aminoglycosides. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3286000 Fri, 19 Feb 2010 09:09:56 +0100 3286000 http://www.medworm.com/index.php?rid=3285999&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F151%3Frss%3D1 An audit of local practice was undertaken as regards requests for thyroid function tests (TFT) in children aged between birth and 3 months at two local hospitals in South West England between 2005 and 2008. A total of 406 tests were performed (2.6 tests per week) over a 2-year period at a teaching hospital (70 tests per 1000 live births yearly), with 233 tests (1.5 tests per week) performed over a 3-year period at a local district hospital (39 tests per 1000 live births yearly). The highest proportion of all the tests was performed as routine investigation of prolonged neonatal jaundice (64% and 55%, respectively). Other common indications were maternal thyroid disorders (5.4% vs 4.7%) and suspected neonatal thyroid disorders (3% vs 9%). There was no confirmed diagnosis of infantile thyroi... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285999 Fri, 19 Feb 2010 09:09:56 +0100 3285999 http://www.medworm.com/index.php?rid=3285998&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F150%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285998 Fri, 19 Feb 2010 09:09:56 +0100 3285998 http://www.medworm.com/index.php?rid=3285997&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F149%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285997 Fri, 19 Feb 2010 09:09:56 +0100 3285997 http://www.medworm.com/index.php?rid=3285996&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F146%3Frss%3D1 Conclusions Overall, prednisolone treatment in these children was not shown to adversely affect their height SDS. This was true even at doses of prednisolone up to 0.5–0.75 mg/kg/day. There was some decline in height SDS seen during periods of higher steroid use (over 0.75 mg/kg/day), but periods on lower doses allowed for adequate catch up growth. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285996 Fri, 19 Feb 2010 09:09:56 +0100 3285996 http://www.medworm.com/index.php?rid=3285995&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F141%3Frss%3D1 Conclusions This unique nationwide study shows that 19% of children admitted to Dutch hospitals are malnourished at admission. This high prevalence underlines the need for routine screening and treatment of malnutrition in hospitalised children. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285995 Fri, 19 Feb 2010 09:09:56 +0100 3285995 http://www.medworm.com/index.php?rid=3285994&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F136%3Frss%3D1 Conclusions The competitive and punitive educational environment leads to high levels of stress and psychosomatic symptoms in Chinese primary schoolchildren. Measures to reduce unnecessary stress on children in schools should be introduced urgently. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285994 Fri, 19 Feb 2010 09:09:56 +0100 3285994 http://www.medworm.com/index.php?rid=3285993&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F130%3Frss%3D1 Conclusions The authors concluded that there is a lack of high-quality evidence regarding all elements of newborn hearing screening. Early identification and early treatment of children with hearing impairments may be associated with advantages in language development. Other patient-relevant parameters, such as social aspects, quality of life, and educational development, have not been adequately investigated. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285993 Fri, 19 Feb 2010 09:09:56 +0100 3285993 http://www.medworm.com/index.php?rid=3285992&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F129%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285992 Fri, 19 Feb 2010 09:09:56 +0100 3285992 http://www.medworm.com/index.php?rid=3285991&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F125%3Frss%3D1 Conclusions Flexible bronchoscopy remains a very relevant tool in the diagnostic and therapeutic management of childhood pulmonary tuberculosis but resulted in treatment modification or microbiological proof in a minority of our patients. We propose that flexible bronchoscopy in children with pulmonary tuberculosis be limited to those who show tracheobronchial luminal narrowing on an initial CT scan. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285991 Fri, 19 Feb 2010 09:09:56 +0100 3285991 http://www.medworm.com/index.php?rid=3285990&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F119%3Frss%3D1 Conclusions In this longitudinal study of young people with T1D, measurement of SDMA, in contrast to eGFR, proved to be a reliable marker in identifying changes in filtration rates associated with the development of microalbuminuria (MA). (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285990 Fri, 19 Feb 2010 09:09:56 +0100 3285990 http://www.medworm.com/index.php?rid=3285989&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F113%3Frss%3D1 Conclusions Prescribing and medication administration errors are not uncommon in paediatrics, partly as a result of the extra challenges in prescribing and administering medication to this patient group. The causes and extent of these errors need to be explored locally and improvement strategies pursued. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285989 Fri, 19 Feb 2010 09:09:56 +0100 3285989 http://www.medworm.com/index.php?rid=3285988&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F107%3Frss%3D1 Conclusions Compared with unilateral cochlear implantation, bilateral implantation is associated with better listening skills in severely-profoundly deaf children. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285988 Fri, 19 Feb 2010 09:09:56 +0100 3285988 http://www.medworm.com/index.php?rid=3285987&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F100%3Frss%3D1 Conclusions The management of children with suspected viral encephalitis appears haphazard in many cases. Guidelines for the management of children with suspected viral encephalitis are needed. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285987 Fri, 19 Feb 2010 09:09:56 +0100 3285987 http://www.medworm.com/index.php?rid=3285986&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F94%3Frss%3D1 Conclusion These results suggest there is either a spread of obesity across socio-economic groups and/or something special about the high-/low-prevalence areas that affects the likelihood of obesity. The microlevel spatial analyses displayed the variations in obesity across Leeds thoroughly, identifying high-risk populations. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285986 Fri, 19 Feb 2010 09:09:56 +0100 3285986 http://www.medworm.com/index.php?rid=3285985&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F89%3Frss%3D1 Conclusions There are a disproportionate number of children from areas of higher deprivation being referred for palliative care services. There has been a recent increase in the number of children from South Asian families being referred to palliative care services in Yorkshire. Survival times for children and young people receiving care from a hospice can vary from hours and days to more than 20 years. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285985 Fri, 19 Feb 2010 09:09:56 +0100 3285985 http://www.medworm.com/index.php?rid=3285984&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F83%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285984 Fri, 19 Feb 2010 09:09:56 +0100 3285984 http://www.medworm.com/index.php?rid=3285983&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2F79%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285983 Fri, 19 Feb 2010 09:09:56 +0100 3285983 http://www.medworm.com/index.php?rid=3285982&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2Fi%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3285982 Fri, 19 Feb 2010 09:09:56 +0100 3285982 http://www.medworm.com/index.php?rid=3127970&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F78%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127970 Tue, 29 Dec 2009 18:48:53 +0100 3127970 http://www.medworm.com/index.php?rid=3127969&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F73%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127969 Tue, 29 Dec 2009 18:48:53 +0100 3127969 http://www.medworm.com/index.php?rid=3127968&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F70%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127968 Tue, 29 Dec 2009 18:48:53 +0100 3127968 http://www.medworm.com/index.php?rid=3127967&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F68-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127967 Tue, 29 Dec 2009 18:48:53 +0100 3127967 http://www.medworm.com/index.php?rid=3127966&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F68-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127966 Tue, 29 Dec 2009 18:48:53 +0100 3127966 http://www.medworm.com/index.php?rid=3127965&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F59%3Frss%3D1 This article considers factors contributing to professional difficulty. It is suggested that understanding emotional abuse from the first principles of the causes and implications of the dysfunctional parent–child relationships it represents can help prevention, recognition and timely intervention. It may facilitate the professional communication needed to build up a picture of emotional abuse and of the emotional context of physical and sexual abuse. Doing so may contribute to the safety of child protection practice. The long-term cost of emotional abuse for individuals and society should be a powerful incentive for ensuring that development of services and clinical research are priorities, and that the false economy of short-term saving is avoided. (Source: Archives of Disease in C... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127965 Tue, 29 Dec 2009 18:48:53 +0100 3127965 http://www.medworm.com/index.php?rid=3127964&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F55%3Frss%3D1 Child protection professionals working in diverse societies are regularly faced with value conflicts. Recognising these, and resolving them in the best interests of children, is a task that requires child protection specialists to make complex judgements and decisions. In this paper the philosophical concepts of absolutism and relativism to child abuse are applied, and it explores how this approach has practical relevance to solving ethical dilemmas in child protection. Children’s interests are best served by erring towards an absolutist approach to the diagnosis and recognition of maltreatment and towards a relativistic approach in determining how services respond to a harmful incident or situation. Absolutism and relativism are not alternatives, but part of a continuous process of ... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127964 Tue, 29 Dec 2009 18:48:53 +0100 3127964 http://www.medworm.com/index.php?rid=3127963&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F54-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127963 Tue, 29 Dec 2009 18:48:53 +0100 3127963 http://www.medworm.com/index.php?rid=3127962&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F54-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127962 Tue, 29 Dec 2009 18:48:53 +0100 3127962 http://www.medworm.com/index.php?rid=3127961&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F53%3Frss%3D1 Bleeding from the nose has been a point of controversy in the field of child protection in the UK in recent years. Epistaxis in childhood is common but is unusual in the first year of life. Oronasal blood in infancy has been proposed as a marker of child abuse in this age group, but despite this widely held belief, there is a lack of published evidence in this area. The case is reported of an infant who presented at one month of age with serious inflicted injuries, who had been seen in the emergency department only 13 days previously with a "spontaneous" self-limiting nose bleed. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127961 Tue, 29 Dec 2009 18:48:53 +0100 3127961 http://www.medworm.com/index.php?rid=3127960&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F51%3Frss%3D1 Determining the prevalence of primary ciliary dyskinesia (PCD) in different populations has proved difficult, with estimates varying between one in 4000 to one in 40 000. The aim of this study was to determine the incidence of PCD in a well-defined highly consanguineous Asian population in the UK. Over a 15-year period all patients suspected of having PCD in the Asian population of Bradford, UK, were tested by measurement of ciliary beat pattern, frequency and electron microscopy. The prevalence of PCD in the population studied was one in 2265. 52% of the patients' parents were first cousins. All patients had a history of chronic cough and nasal symptoms from the first year of life. 73% had a history of neonatal respiratory distress. Clinical suspicion of PCD should be high in populations ... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127960 Tue, 29 Dec 2009 18:48:53 +0100 3127960 http://www.medworm.com/index.php?rid=3127959&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F48%3Frss%3D1 Fine needle aspiration biopsy (FNAB) offers a simple outpatient technique for specimen collection in child tuberculosis suspects with peripheral lymphadenopathy. To perform FNAB with mycobacterial culture on an outpatient basis requires use of a sterile transport medium to facilitate bedside inoculation, maintain organism viability and reduce contamination risk en route to the laboratory. The mycobacterial yield and time to positive culture following bedside inoculation into standard mycobacterial growth indicator tubes were compared with initial inoculation into an inexpensive "in-house" liquid growth medium. Of 150 FNAB performed, 57 (38%) cultured Mycobacterium tuberculosis complex. There was one case each with non-tuberculous mycobacteria and Mycobacterium bovis BCG; the remaining 55 b... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127959 Tue, 29 Dec 2009 18:48:53 +0100 3127959 http://www.medworm.com/index.php?rid=3127958&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F46%3Frss%3D1 This study shows a large and worrying decline in cardiorespiratory fitness in children from an affluent area of England. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127958 Tue, 29 Dec 2009 18:48:53 +0100 3127958 http://www.medworm.com/index.php?rid=3127957&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F42%3Frss%3D1 Conclusions: The continual reduction in active smoking prevalence in children is welcome. That there was no significant increase in SHS exposure at home after the nationwide workplace smoking ban suggests that the ban did not increase smoking inside homes. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127957 Tue, 29 Dec 2009 18:48:52 +0100 3127957 http://www.medworm.com/index.php?rid=3127956&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F35%3Frss%3D1 Conclusions: Although the major pathogen responsible for bronchiolitis remains RSV, the infection can also be caused by RV and hBoV. Demographic characteristics and clinical severity of the disease may depend on the number of viruses or on the specific virus detected. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127956 Tue, 29 Dec 2009 18:48:52 +0100 3127956 http://www.medworm.com/index.php?rid=3127955&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F31%3Frss%3D1 Conclusions: Children who were born SGA have a higher, although not significant, aortic thickening than those who were born AGA. Umbilical cord hs-CRP concentrations do not seem to be involved in this process. Instead, hs-CRP concentrations were significantly related to systolic BP values in children who were born SGA, suggesting that hs-CRP at birth could be associated with sympathetic system hyperactivity and with the stress response during childhood. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127955 Tue, 29 Dec 2009 18:48:52 +0100 3127955 http://www.medworm.com/index.php?rid=3127954&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F26%3Frss%3D1 Conclusion: The results of this pilot study suggest that a specially made bed that nurses the infant at 40° supine body position reduces regurgitation, acid reflux and reflux-associated symptoms. However, the intervention was open, the sample size small and the withdrawal rate was substantial. Larger trials are needed. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127954 Tue, 29 Dec 2009 18:48:52 +0100 3127954 http://www.medworm.com/index.php?rid=3127953&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F25%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127953 Tue, 29 Dec 2009 18:48:52 +0100 3127953 http://www.medworm.com/index.php?rid=3127952&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F20%3Frss%3D1 Conclusions: After introduction of the programme, treatment refusal decreased and event-free survival increased significantly among poor families. However, improved knowledge, skills and communication are still required to combat the high rates of toxic death and treatment dropout. Treatment intensity should be accompanied by improved supportive care. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127952 Tue, 29 Dec 2009 18:48:52 +0100 3127952 http://www.medworm.com/index.php?rid=3127951&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F12%3Frss%3D1 Conclusions: This study describes characteristics and temporal changes in childhood stroke mortality in the 20th century. In particular, the higher mortality rates in males and infants, the importance of deaths from haemorrhagic stroke and the finding of a decline in birth cohort mortality since the 1950s provide aetiological insights. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127951 Tue, 29 Dec 2009 18:48:52 +0100 3127951 http://www.medworm.com/index.php?rid=3127950&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F7%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127950 Tue, 29 Dec 2009 18:48:52 +0100 3127950 http://www.medworm.com/index.php?rid=3127949&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F3%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127949 Tue, 29 Dec 2009 18:48:52 +0100 3127949 http://www.medworm.com/index.php?rid=3127948&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2F1%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127948 Tue, 29 Dec 2009 18:48:52 +0100 3127948 http://www.medworm.com/index.php?rid=3127947&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2Fi%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3127947 Tue, 29 Dec 2009 18:48:52 +0100 3127947 http://www.medworm.com/index.php?rid=3014253&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F1002%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014253 Fri, 20 Nov 2009 18:02:29 +0100 3014253 http://www.medworm.com/index.php?rid=3014252&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F1000-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014252 Fri, 20 Nov 2009 18:02:29 +0100 3014252 http://www.medworm.com/index.php?rid=3014251&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F1000-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014251 Fri, 20 Nov 2009 18:02:29 +0100 3014251 http://www.medworm.com/index.php?rid=3014250&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F999%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014250 Fri, 20 Nov 2009 18:02:29 +0100 3014250 http://www.medworm.com/index.php?rid=3014249&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F998%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014249 Fri, 20 Nov 2009 18:02:29 +0100 3014249 http://www.medworm.com/index.php?rid=3014248&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F997%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014248 Fri, 20 Nov 2009 18:02:29 +0100 3014248 http://www.medworm.com/index.php?rid=3014247&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F996-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014247 Fri, 20 Nov 2009 18:02:29 +0100 3014247 http://www.medworm.com/index.php?rid=3014246&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F996-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014246 Fri, 20 Nov 2009 18:02:29 +0100 3014246 http://www.medworm.com/index.php?rid=3014245&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F995-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014245 Fri, 20 Nov 2009 18:02:28 +0100 3014245 http://www.medworm.com/index.php?rid=3014244&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F995-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014244 Fri, 20 Nov 2009 18:02:28 +0100 3014244 http://www.medworm.com/index.php?rid=3014243&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F992%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014243 Fri, 20 Nov 2009 18:02:28 +0100 3014243 http://www.medworm.com/index.php?rid=3014242&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F991%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014242 Fri, 20 Nov 2009 18:02:28 +0100 3014242 http://www.medworm.com/index.php?rid=3014241&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F988-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014241 Fri, 20 Nov 2009 18:02:28 +0100 3014241 http://www.medworm.com/index.php?rid=3014240&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F988-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014240 Fri, 20 Nov 2009 18:02:28 +0100 3014240 http://www.medworm.com/index.php?rid=3014239&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F983%3Frss%3D1 This article summarises current evidence on the use of fluconazole in preterm neonates and discusses the concerns surrounding its use in nurseries. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014239 Fri, 20 Nov 2009 18:02:28 +0100 3014239 http://www.medworm.com/index.php?rid=3014238&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F981%3Frss%3D1 We report an 11-year-old female with severe and prolonged neutropenia after irinotecan-based chemotherapy. The patient’s genotyping revealed polymorphisms in both UGT1A1 and SLCO1B1. To our knowledge, this is the first case report of combined genotyping of both UGT1A1 and SLCO1B1 in a child with severe irinotecan toxicity. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014238 Fri, 20 Nov 2009 18:02:28 +0100 3014238 http://www.medworm.com/index.php?rid=3014237&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F979%3Frss%3D1 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. Intranasal diamorphine (IND) has been used in paediatric emergency departments for management of acute pain associated with fractures, but the analgesic effect is short lived. We evaluated its efficacy and safety when given in combination with intravenous or oral morphine for rapid analgesia for children presenting to our emergency department with painful crisis of SCD. In phase 1, nine patients received IND plus intravenous morphine. In phase 2, 13 received IND plus oral morphine. There was a rapid improvement in pain score; the proportions in severe pain at t = 0, 15, 30 and 120 minutes in phase 1 were ... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014237 Fri, 20 Nov 2009 18:02:27 +0100 3014237 http://www.medworm.com/index.php?rid=3014236&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F974%3Frss%3D1 Conclusions: Our evidence supports the wider use of diamorphine administration by nasal drops in children, as it shows that adequate plasma levels of morphine are usually achieved. However, we demonstrated significantly attenuated and delayed peak plasma morphine levels with lower levels at 1 h with intranasal compared with intravenous diamorphine. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014236 Fri, 20 Nov 2009 18:02:27 +0100 3014236 http://www.medworm.com/index.php?rid=3014235&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F970%3Frss%3D1 Conclusion: In our study, pharmacy supply was not associated with self-reported adherence. Most importantly, adherence and age were significant predictors of reaching undetectable viral loads. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014235 Fri, 20 Nov 2009 18:02:27 +0100 3014235 http://www.medworm.com/index.php?rid=3014234&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F968%3Frss%3D1 We present five patients (out of approximately 570 patients at our institution who were prescribed regular β-blockers over the same time period) who had severe hypoglycaemic episodes whilst taking β-blockers for prevention of arrhythmia. We demonstrate how such an episode may be misinterpreted as an arrhythmic event and how this could lead to inappropriate escalation of medical therapy or even implantation of an automatic implantable cardiac defibrillator. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014234 Fri, 20 Nov 2009 18:02:27 +0100 3014234 http://www.medworm.com/index.php?rid=3014233&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F965%3Frss%3D1 Conclusions: These findings provide some evidence that the effects of different genotypes aggravate each other concerning weight change. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014233 Fri, 20 Nov 2009 18:02:27 +0100 3014233 http://www.medworm.com/index.php?rid=3014232&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F962%3Frss%3D1 Conclusions: Contingency measures for children needing paediatric intensive care are needed to absorb the likely increase in activity expected due to pandemic influenza this winter. Because of variations in provision by region, the role of paediatric retrieval services will be especially important. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014232 Fri, 20 Nov 2009 18:02:26 +0100 3014232 http://www.medworm.com/index.php?rid=3014231&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F959%3Frss%3D1 Conclusions: Children born SGA-L become short adults and weigh less at age 17 years than children with a normal birth length. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014231 Fri, 20 Nov 2009 18:02:26 +0100 3014231 http://www.medworm.com/index.php?rid=3014230&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F955%3Frss%3D1 Conclusions: Children were equally distributed in their preference for BP device. There was a wide variation between the two methods of BP measurement, which suggests that comparison of automated BP measurements with normative data obtained by sphygmomanometer is not valid. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014230 Fri, 20 Nov 2009 18:02:26 +0100 3014230 http://www.medworm.com/index.php?rid=3014229&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F954%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014229 Fri, 20 Nov 2009 18:02:26 +0100 3014229 http://www.medworm.com/index.php?rid=3014228&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F950%3Frss%3D1 Conclusion: Routinely collected child health record height/length and weight data are compatible with no systematic bias, at least in children over 8 months old, supporting their use in clinical practice and research. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014228 Fri, 20 Nov 2009 18:02:26 +0100 3014228 http://www.medworm.com/index.php?rid=3014227&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F949%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014227 Fri, 20 Nov 2009 18:02:26 +0100 3014227 http://www.medworm.com/index.php?rid=3014226&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F944%3Frss%3D1 Conclusions: Children can estimate their body size using visual or verbal methods with some accuracy, but show greater underestimation at higher weights, especially in girls. These findings suggest that underestimation is more widespread than has been assumed, which has implications for health education among school-aged children. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014226 Fri, 20 Nov 2009 18:02:25 +0100 3014226 http://www.medworm.com/index.php?rid=3014225&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F938%3Frss%3D1 Conclusions: Survival for IF at 56% was lower than reported from non-UK supra-regional centres, and nationally collected data, possibly reflecting pre-selected referral populations. Data from regional centres with complete ascertainment may be important both when counselling parents and when planning regional and national HPN and IF specialist services. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014225 Fri, 20 Nov 2009 18:02:25 +0100 3014225 http://www.medworm.com/index.php?rid=3014224&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F932%3Frss%3D1 Conclusions: From these data the authors conclude that low dietary calcium intake is associated with resistance to PTH. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014224 Fri, 20 Nov 2009 18:02:25 +0100 3014224 http://www.medworm.com/index.php?rid=3014223&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F930%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014223 Fri, 20 Nov 2009 18:02:25 +0100 3014223 http://www.medworm.com/index.php?rid=3014222&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F927%3Frss%3D1 Conclusion: There have been very marked practice changes over the last 10–15 years. This trend followed the publication of scientific evidence which has raised doubts about the benefit of performing these investigations. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014222 Fri, 20 Nov 2009 18:02:24 +0100 3014222 http://www.medworm.com/index.php?rid=3014221&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F921%3Frss%3D1 Conclusions: The prevalence of dyskinetic cerebral palsy appears to have increased in children with a normal birth weight. They have frequently experienced perinatal adverse events. Most children have a severe motor impairment and several accompanying impairments. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014221 Fri, 20 Nov 2009 18:02:24 +0100 3014221 http://www.medworm.com/index.php?rid=3014220&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F920%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014220 Fri, 20 Nov 2009 18:02:24 +0100 3014220 http://www.medworm.com/index.php?rid=3014219&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F919%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014219 Fri, 20 Nov 2009 18:02:24 +0100 3014219 http://www.medworm.com/index.php?rid=3014218&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2F917%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014218 Fri, 20 Nov 2009 18:02:24 +0100 3014218 http://www.medworm.com/index.php?rid=3014217&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F12%2Fi%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=3014217 Fri, 20 Nov 2009 18:02:24 +0100 3014217 http://www.medworm.com/index.php?rid=2914390&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F916%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914390 Thu, 22 Oct 2009 00:11:52 +0100 2914390 http://www.medworm.com/index.php?rid=2914389&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F915-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914389 Thu, 22 Oct 2009 00:11:52 +0100 2914389 http://www.medworm.com/index.php?rid=2914388&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F915-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914388 Thu, 22 Oct 2009 00:11:52 +0100 2914388 http://www.medworm.com/index.php?rid=2914387&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F914-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914387 Thu, 22 Oct 2009 00:11:52 +0100 2914387 http://www.medworm.com/index.php?rid=2914386&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F914-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914386 Thu, 22 Oct 2009 00:11:52 +0100 2914386 http://www.medworm.com/index.php?rid=2914385&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F912%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914385 Thu, 22 Oct 2009 00:11:52 +0100 2914385 http://www.medworm.com/index.php?rid=2914384&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F911%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914384 Thu, 22 Oct 2009 00:11:52 +0100 2914384 http://www.medworm.com/index.php?rid=2914383&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F909-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914383 Thu, 22 Oct 2009 00:11:52 +0100 2914383 http://www.medworm.com/index.php?rid=2914382&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F909-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914382 Thu, 22 Oct 2009 00:11:52 +0100 2914382 http://www.medworm.com/index.php?rid=2914381&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F904%3Frss%3D1 is a rare disease. Depending on which organs are involved, the disease may prove rapidly fatal, develop a chronic reactivating but therapy-responsive pattern or resolve spontaneously. Understanding of the pathology of the disease is progressing rapidly, and while clinical trials of standard chemotherapy agents continue, it is likely that novel targeted therapy will become feasible in the next decade. Permanent consequences of the disease are more commoner than generally realised. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914381 Thu, 22 Oct 2009 00:11:52 +0100 2914381 http://www.medworm.com/index.php?rid=2914380&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F900%3Frss%3D1 Colombia is a country with major problems, mainly a high degree of inequality and an unacceptably high level of violence (both armed military conflict and crime related). There are unacceptably high variations in health and health provision. Despite these difficulties, there are important steps being taken by both the government and independent organisations to try and improve child health and to achieve the Millennium Development Goals in relation to poverty, hunger and health issues. The participation of different sectors and stakeholders (including government, non-governmental organisations and other organisations of civil society) is essential to overcome Colombian history and to promote a better place for children. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914380 Thu, 22 Oct 2009 00:11:52 +0100 2914380 http://www.medworm.com/index.php?rid=2914379&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F899%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914379 Thu, 22 Oct 2009 00:11:52 +0100 2914379 http://www.medworm.com/index.php?rid=2914378&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F897%3Frss%3D1 We describe two cases of a non-epileptic florid movement disorder presenting as status epilepticus. Both patients presented with florid jerking of the limbs and eyes. Convulsive status epilepticus related to presumed meningitis or encephalitis was suspected in both cases. The patients received treatment for seizures, without resolution of the abnormal movements, resulting ultimately in anaesthetic, intubation and ventilation. EEGs showed no epileptic discharges. The diagnosis was opsoclonus myoclonus syndrome in both. One patient was treated with adrenocorticotropic hormone (40 IU/day), the other with prednisolone (4 mg/kg/day) with rapid resolution of symptoms. Neither patient had an underlying neoplasm or infectious agent identified. To date, neither patient has suffered a relapse of sym... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914378 Thu, 22 Oct 2009 00:11:52 +0100 2914378 http://www.medworm.com/index.php?rid=2914377&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F894%3Frss%3D1 The characteristics of sudden infant death syndrome (SIDS) in the French region of Languedoc-Roussillon from 2003–2008 were examined in a retrospective study of two groups classified as unexplained sudden unexpected death in infancy (SUDI) (SIDS, n = 27) or explained SUDI (n = 22). The interval between the time the baby was last observed alive (time of last feed) and the discovery of death was evaluated. In SIDS, 67% (18/27) of deaths were discovered during the day (09:00–21:00 h) mostly within 4 h after feeding (66%). In explained SUDI, 68.2% of deaths were discovered at night and time intervals between the last feed and discovery of death were longer (mean 7.1 h, p<0.01). Most SIDS deaths were discovered during the day and explained SUDI discovered at night. Variations in ... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914377 Thu, 22 Oct 2009 00:11:52 +0100 2914377 http://www.medworm.com/index.php?rid=2914376&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F888%3Frss%3D1 Conclusions: A combination of vital signs can be used to differentiate children with serious infections from those with less serious infections in a paediatric assessment unit and has comparable sensitivity to more complicated triage systems. The diagnostic value of combined vital signs and the NICE traffic light system remains to be determined in populations where the prevalence of severe illness is much lower. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914376 Thu, 22 Oct 2009 00:11:52 +0100 2914376 http://www.medworm.com/index.php?rid=2914375&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F883%3Frss%3D1 Conclusions: The risk of melamine-associated nephrolithiasis was related to duration of consumption of contaminated products and estimated melamine exposure levels. Though urine melamine was not a sensitive test, it might serve as an exposure biomarker in melamine-associated nephrolithiasis. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914375 Thu, 22 Oct 2009 00:11:52 +0100 2914375 http://www.medworm.com/index.php?rid=2914374&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F882%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914374 Thu, 22 Oct 2009 00:11:52 +0100 2914374 http://www.medworm.com/index.php?rid=2914373&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F876%3Frss%3D1 Conclusions: Feasible dietary modifications of the precursor fatty acid profile via n-3 PUFA-rich vegetable oil favoured n-3 LC-PUFA synthesis in the complementary feeding period when LC-PUFA intake from breast milk and formula is decreasing. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914373 Thu, 22 Oct 2009 00:11:52 +0100 2914373 http://www.medworm.com/index.php?rid=2914372&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F875%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914372 Thu, 22 Oct 2009 00:11:52 +0100 2914372 http://www.medworm.com/index.php?rid=2914371&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F873%3Frss%3D1 Conclusions: Convulsions alone are unlikely to cause retinal haemorrhages in children under 2 years of age. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914371 Thu, 22 Oct 2009 00:11:52 +0100 2914371 http://www.medworm.com/index.php?rid=2914370&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F868%3Frss%3D1 Conclusions: The prevalence of congenital cryptorchidism was higher than earlier estimates in UK populations. Furthermore, this study for the first time describes acquired cryptorchidism or "ascending testis" as a common entity in male infants, which is possibly associated with reduced early postnatal androgen activity. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914370 Thu, 22 Oct 2009 00:11:52 +0100 2914370 http://www.medworm.com/index.php?rid=2914369&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F860%3Frss%3D1 Conclusions: This systematic review shows that apnoea and retinal haemorrhage have a high odds ratio for association with iBI. This review identifies key features that should be recorded in the assessment of children where iBI is suspected and may help clinicians to define the likelihood of iBI. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914369 Thu, 22 Oct 2009 00:11:52 +0100 2914369 http://www.medworm.com/index.php?rid=2914368&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F855%3Frss%3D1 Conclusions: The higher BMI and larger waist of daughters of women with preeclampsia was only present if their mothers were obese. These results suggest that preeclampsia in obese women may lead to a distinct disadvantage in body size for their daughters in early puberty. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914368 Thu, 22 Oct 2009 00:11:52 +0100 2914368 http://www.medworm.com/index.php?rid=2914367&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F849%3Frss%3D1 Conclusion: There is a continuing need to educate carers of infants in the management of ARI, particularly those of younger age and those with limited family support. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914367 Thu, 22 Oct 2009 00:11:52 +0100 2914367 http://www.medworm.com/index.php?rid=2914366&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F844%3Frss%3D1 Conclusions: Exposure to lead early in childhood has effects on subsequent educational attainment, even at blood levels below 10 µg/dl. These data suggest that the threshold for clinical concern should be reduced to 5 µg/dl. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914366 Thu, 22 Oct 2009 00:11:52 +0100 2914366 http://www.medworm.com/index.php?rid=2914365&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F841%3Frss%3D1 Conclusion: We propose that sterile site infections in which common toxigenic bacteria are identified indicate a brief bacteraemic episode prior to death. This might reflect an ineffective innate response to invasive pathogens that results in reduced clearance of the bacteria. Thymomegaly observed consistently among infants diagnosed under the category of SIDS might have its origins in prenatal life, perhaps generated via in utero infection or exposure to microbial antigens which results in thymocyte priming. There is consistent evidence for an infectious aetiology in many unexplained SUDI. Future directions for research are suggested. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914365 Thu, 22 Oct 2009 00:11:52 +0100 2914365 http://www.medworm.com/index.php?rid=2914364&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F840%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914364 Thu, 22 Oct 2009 00:11:52 +0100 2914364 http://www.medworm.com/index.php?rid=2914363&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F834%3Frss%3D1 Conclusion: CDH patients are at risk for subtle cognitive and behavioural problems, probably not related to CDH severity. Perception of general health is reduced compared to the reference population, indicating that CDH survivors and their parents believe their health is poor and likely to get worse. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914363 Thu, 22 Oct 2009 00:11:52 +0100 2914363 http://www.medworm.com/index.php?rid=2914362&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F831%3Frss%3D1 Conclusion: While a period of neutrality may reflect a professional response to uncertainty by holding back until consensus emerges, it may also represent a missed opportunity to promote evidence-based practice. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914362 Thu, 22 Oct 2009 00:11:51 +0100 2914362 http://www.medworm.com/index.php?rid=2914361&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F829%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914361 Thu, 22 Oct 2009 00:11:51 +0100 2914361 http://www.medworm.com/index.php?rid=2914360&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F827%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914360 Thu, 22 Oct 2009 00:11:51 +0100 2914360 http://www.medworm.com/index.php?rid=2914359&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2F823%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914359 Thu, 22 Oct 2009 00:11:51 +0100 2914359 http://www.medworm.com/index.php?rid=2914358&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F11%2Fi%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2914358 Thu, 22 Oct 2009 00:11:51 +0100 2914358 http://www.medworm.com/index.php?rid=2849141&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F822%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849141 Mon, 21 Sep 2009 17:01:43 +0100 2849141 http://www.medworm.com/index.php?rid=2849140&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F821-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849140 Mon, 21 Sep 2009 17:01:43 +0100 2849140 http://www.medworm.com/index.php?rid=2849139&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F821-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849139 Mon, 21 Sep 2009 17:01:43 +0100 2849139 http://www.medworm.com/index.php?rid=2849138&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F817%3Frss%3D1 Conclusions: This study displayed the accuracy of "parental triage," that is, parents assess their child’s health and generally engage in appropriate care-giving and care-seeking behaviours before presenting to a paediatric emergency department. Highlighted are the deficiencies in current primary care services available to families and the perception that not all cases deemed as non-urgent by the emergency department are able to be dealt with in a primary care setting. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849138 Mon, 21 Sep 2009 17:01:43 +0100 2849138 http://www.medworm.com/index.php?rid=2849137&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F816%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849137 Mon, 21 Sep 2009 17:01:43 +0100 2849137 http://www.medworm.com/index.php?rid=2849136&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F812%3Frss%3D1 Life-course persistent conduct disorder is a major public health problem with implications for individual health and for society at large. Recent evidence has shown that treatment can be cost-effective, and early symptom detection is improving. We weigh the evidence for and against the introduction of population screening for conduct disorder in early childhood using Wilson and Jungner’s criteria. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849136 Mon, 21 Sep 2009 17:01:43 +0100 2849136 http://www.medworm.com/index.php?rid=2849135&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F806%3Frss%3D1 The health of children born and living at high altitude is shaped not only by the low-oxygen environment, but also by population ancestry and sociocultural determinants. High altitude and the corresponding reduction in oxygen delivery during pregnancy result in lower birth weight with higher elevation. Children living at high elevations are at special risk for hypoxaemia during infancy and during acute lower respiratory infection, symptomatic high-altitude pulmonary hypertension, persistence of fetal vascular connections, and re-entry high-altitude pulmonary oedema. However, child health varies from one population group to another due to genetic adaptation as well as factors such as nutrition, intercurrent infection, exposure to pollutants and toxins, socioeconomic status, and access to me... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849135 Mon, 21 Sep 2009 17:01:43 +0100 2849135 http://www.medworm.com/index.php?rid=2849134&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F801%3Frss%3D1 Conclusions: This observational study suggests that earlier feeding habits might affect the clinical expression of NASH from 3 to 18 years later, with an apparent drug-like preventive effect of breastfeeding. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849134 Mon, 21 Sep 2009 17:01:43 +0100 2849134 http://www.medworm.com/index.php?rid=2849133&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F795%3Frss%3D1 Conclusions: The declining prevalence of overweight in Dutch girls may indicate reversal of previous trends in the Netherlands. However, in Turkish children overweight prevalence and obesity is high and increasing. Further public health action is necessary, especially for Turkish children. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849133 Mon, 21 Sep 2009 17:01:43 +0100 2849133 http://www.medworm.com/index.php?rid=2849132&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F790%3Frss%3D1 Discussion: CVST has non-specific presenting features and a high risk of significant morbidity. CVST is typically found in association with a predisposing condition. Although heparin is the mainstay of treatment, thrombolysis may reverse deterioration as seen in three cases in this series. However, there is insufficient evidence to recommend the routine use of thrombolysis at present. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849132 Mon, 21 Sep 2009 17:01:43 +0100 2849132 http://www.medworm.com/index.php?rid=2849131&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F785%3Frss%3D1 Conclusion: In children with heart disease risk factors for RSV admission are Down syndrome, cardiomyopathy and haemodynamically significant heart disease. Young age and cardiac decompensation are associated with a more severe course of RSV disease. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849131 Mon, 21 Sep 2009 17:01:43 +0100 2849131 http://www.medworm.com/index.php?rid=2849130&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F780%3Frss%3D1 Conclusions: Nurse-led assessments including a home visit can help identify potentially modifiable factors for poorly controlled symptoms in children with problematic asthma. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849130 Mon, 21 Sep 2009 17:01:43 +0100 2849130 http://www.medworm.com/index.php?rid=2849129&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F775%3Frss%3D1 Conclusions: Violence against women was associated with an increased risk of fetal and early childhood growth impairment, adding to the multitude of confirmed and plausible health consequences caused by this problem. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849129 Mon, 21 Sep 2009 17:01:43 +0100 2849129 http://www.medworm.com/index.php?rid=2849128&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F768%3Frss%3D1 Conclusions: Serial measurements of childhood BMI give useful predictions of adult risk and could guide advice to children and parents on preventing later disease. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849128 Mon, 21 Sep 2009 17:01:43 +0100 2849128 http://www.medworm.com/index.php?rid=2849127&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F763%3Frss%3D1 Conclusions: Frequent absence for medical reasons is common, and more comprehensive management, including psychiatric assessment, is required to prevent long-term adverse consequences. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849127 Mon, 21 Sep 2009 17:01:43 +0100 2849127 http://www.medworm.com/index.php?rid=2849126&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F762%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849126 Mon, 21 Sep 2009 17:01:43 +0100 2849126 http://www.medworm.com/index.php?rid=2849125&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F757%3Frss%3D1 Conclusions: Children with CFS/ME appear to experience problems with attention, which may have adverse implications for verbal memory. These cognitive problems may explain some of the educational difficulties associated with CFS. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849125 Mon, 21 Sep 2009 17:01:43 +0100 2849125 http://www.medworm.com/index.php?rid=2849124&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F756%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849124 Mon, 21 Sep 2009 17:01:43 +0100 2849124 http://www.medworm.com/index.php?rid=2849123&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F752%3Frss%3D1 Objective: To investigate factors associated with school attendance and physical function in paediatric chronic fatigue syndrome/myalgic encephalopathy (CFS/ME). Design: Cross-sectional study. Setting: Regional specialist CFS/ME service. Patients: Children and young people aged under 18 years. Outcome measures: Self-reported school attendance and physical function measured using the physical function subscale of the Short Form 36. Methods: Linear and logistic regression analysis of data from self-completed assessment forms on children attending a regional specialist service between 2004 and 2007. Analyses were done in two groups of children: with a completed Spence Children’s Anxiety Scale (SCAS) and with a completed Hospital Anxiety and Depression Scale (HADS). Results: Of 211... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849123 Mon, 21 Sep 2009 17:01:43 +0100 2849123 http://www.medworm.com/index.php?rid=2849122&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F745%3Frss%3D1 Conclusions: Our data indicate that the New Zealand candidate vaccine administered in three doses to this group of 6–8-month-old infants was safe and immunogenic against the candidate vaccine strain NZ98/254 (Neisseria meningitidis B:4:P1.7b,4). (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849122 Mon, 21 Sep 2009 17:01:43 +0100 2849122 http://www.medworm.com/index.php?rid=2849121&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2Fi%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2849121 Mon, 21 Sep 2009 17:01:43 +0100 2849121 http://www.medworm.com/index.php?rid=2817409&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F822%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817409 Sun, 20 Sep 2009 23:00:00 +0100 2817409 http://www.medworm.com/index.php?rid=2817408&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F821-b%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817408 Sun, 20 Sep 2009 23:00:00 +0100 2817408 http://www.medworm.com/index.php?rid=2817407&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F821-a%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817407 Sun, 20 Sep 2009 23:00:00 +0100 2817407 http://www.medworm.com/index.php?rid=2817406&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F817%3Frss%3D1 Conclusions: This study displayed the accuracy of "parental triage," that is, parents assess their child’s health and generally engage in appropriate care-giving and care-seeking behaviours before presenting to a paediatric emergency department. Highlighted are the deficiencies in current primary care services available to families and the perception that not all cases deemed as non-urgent by the emergency department are able to be dealt with in a primary care setting. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817406 Sun, 20 Sep 2009 23:00:00 +0100 2817406 http://www.medworm.com/index.php?rid=2817405&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F816%3Frss%3D1 (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817405 Sun, 20 Sep 2009 23:00:00 +0100 2817405 http://www.medworm.com/index.php?rid=2817404&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F812%3Frss%3D1 Life-course persistent conduct disorder is a major public health problem with implications for individual health and for society at large. Recent evidence has shown that treatment can be cost-effective, and early symptom detection is improving. We weigh the evidence for and against the introduction of population screening for conduct disorder in early childhood using Wilson and Jungner’s criteria. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817404 Sun, 20 Sep 2009 23:00:00 +0100 2817404 http://www.medworm.com/index.php?rid=2817403&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F806%3Frss%3D1 The health of children born and living at high altitude is shaped not only by the low-oxygen environment, but also by population ancestry and sociocultural determinants. High altitude and the corresponding reduction in oxygen delivery during pregnancy result in lower birth weight with higher elevation. Children living at high elevations are at special risk for hypoxaemia during infancy and during acute lower respiratory infection, symptomatic high-altitude pulmonary hypertension, persistence of fetal vascular connections, and re-entry high-altitude pulmonary oedema. However, child health varies from one population group to another due to genetic adaptation as well as factors such as nutrition, intercurrent infection, exposure to pollutants and toxins, socioeconomic status, and access to me... Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817403 Sun, 20 Sep 2009 23:00:00 +0100 2817403 http://www.medworm.com/index.php?rid=2817402&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F801%3Frss%3D1 Conclusions: This observational study suggests that earlier feeding habits might affect the clinical expression of NASH from 3 to 18 years later, with an apparent drug-like preventive effect of breastfeeding. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817402 Sun, 20 Sep 2009 23:00:00 +0100 2817402 http://www.medworm.com/index.php?rid=2817401&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F795%3Frss%3D1 Conclusions: The declining prevalence of overweight in Dutch girls may indicate reversal of previous trends in the Netherlands. However, in Turkish children overweight prevalence and obesity is high and increasing. Further public health action is necessary, especially for Turkish children. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817401 Sun, 20 Sep 2009 23:00:00 +0100 2817401 http://www.medworm.com/index.php?rid=2817400&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F790%3Frss%3D1 Discussion: CVST has non-specific presenting features and a high risk of significant morbidity. CVST is typically found in association with a predisposing condition. Although heparin is the mainstay of treatment, thrombolysis may reverse deterioration as seen in three cases in this series. However, there is insufficient evidence to recommend the routine use of thrombolysis at present. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817400 Sun, 20 Sep 2009 23:00:00 +0100 2817400 http://www.medworm.com/index.php?rid=2817399&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F785%3Frss%3D1 Conclusion: In children with heart disease risk factors for RSV admission are Down syndrome, cardiomyopathy and haemodynamically significant heart disease. Young age and cardiac decompensation are associated with a more severe course of RSV disease. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817399 Sun, 20 Sep 2009 23:00:00 +0100 2817399 http://www.medworm.com/index.php?rid=2817398&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F780%3Frss%3D1 Conclusions: Nurse-led assessments including a home visit can help identify potentially modifiable factors for poorly controlled symptoms in children with problematic asthma. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817398 Sun, 20 Sep 2009 23:00:00 +0100 2817398 http://www.medworm.com/index.php?rid=2817397&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F775%3Frss%3D1 Conclusions: Violence against women was associated with an increased risk of fetal and early childhood growth impairment, adding to the multitude of confirmed and plausible health consequences caused by this problem. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817397 Sun, 20 Sep 2009 23:00:00 +0100 2817397 http://www.medworm.com/index.php?rid=2817396&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F768%3Frss%3D1 Conclusions: Serial measurements of childhood BMI give useful predictions of adult risk and could guide advice to children and parents on preventing later disease. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817396 Sun, 20 Sep 2009 23:00:00 +0100 2817396 http://www.medworm.com/index.php?rid=2817395&cid=s_32752_33_f&fid=32752&url=http%3A%2F%2Fadc.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F10%2F763%3Frss%3D1 Conclusions: Frequent absence for medical reasons is common, and more comprehensive management, including psychiatric assessment, is required to prevent long-term adverse consequences. (Source: Archives of Disease in Childhood) Archives of Disease in Childhood journals http://www.medworm.com/rss/comments.php?id=2817395 Sun, 20 Sep 2009 23:00:00 +0100 2817395