Archives of Disease in Childhood. Fetal and Neonatal Edition articles from January 2004

Archives of Disease in Childhood. Fetal and Neonatal Edition archives from January 2004

NHS Direct: commentary on the review by McLellan.(Commentary)(National Health Service)
January 1, 2004... As recognised by the National Audit Office, in just five years, NHS Direct has established an impressive track record for customer satisfaction and patient safety, empowering patients to make better informed choices about their own...

Colonic transit times and behaviour profiles in children with defecation disorders: commentary on the paper by Benninga et al.(Commentary)
January 1, 2004... When the editorial committee discussed whether to accept the paper by Benninga et al for publication, (1) some members raised concerns over the propriety of undertaking rectal manometry on children with abdominal pain. In response, the...

Health economics in paediatrics: the literature is smaller in children than for adults.(Commentary)
January 1, 2004... Health economics has developed on a truly massive scale in the past 20 years. As the pressure on health budgets has grown, so too has the "priesthood" seen by politicians and funding agencies as well equipped to answer key questions about...

Blood transfusion: risks and benefits.(Leading Article)
January 1, 2004... Transfusion of blood and blood products to infants and children is not without risk. In recent years, the risks of blood transfusion have been highlighted by the reports of the Serious Hazards of Transfusion scheme (SHOT), which collects data...

Massacre of the innocents.(Images in Paediatrics)(painting by Sir Peter Paul Rubens)
January 1, 2004... Sir Peter Paul Rubens' (1577-1640) recently discovered masterpiece "The Massacre of the Innocents" (1609-1611) has received transient notoriety as the world's most expensive painting. Rubens' striking depiction of state sponsored murder of...

Variations in neurodegenerative disease across the UK: findings from the national study of progressive intellectual and neurological deterioration (PIND).(Original Article)
January 1, 2004... Arch Dis Child 2004;89:8-12 Aims: To identify any UK children with variant Creutzfeldt-Jakob disease (vCJD) and obtain information about the causes of progressive intellectual and neurological deterioration (PIND) and the geographical...

Cochlear implants and meningitis.(Archivist)
January 1, 2004... Three firms in the USA make cochlear implants and nearly 10 000 American children have such a device. In June 2002 one of the manufacturers notified the US Food and Drug Administration of 15 reports of cochlear implant-associated bacterial...

Colonic transit times and behaviour profiles in children with defecation disorders.(Original Article)
January 1, 2004... Arch Dis Child 2004;89:13-16 Aims: To evaluate children referred for defecation disorders using the child behavioural checklist (CBCL). Methods: A total of 215 patients were divided into three groups: 135 (5-14 years of age) with...

Correction.(Correction Notice)
January 1, 2004... The authors of the paper by Feltbower et al in the August issue (Type 2 and other forms of diabetes in 0-30 year olds: a hospital-based study in Leeds, UK, Arch Dis Child 2003;87:679-9) would like to fully acknowledge the help and support of...

Personality functioning: the influence of stature.(Original Article)
January 1, 2004... Arch Dis Child 2004;89:17-21. doi: 10.1136/adc.2002.010694 Background: The Wessex Growth Study has monitored the psychological development of a large cohort of short normal and average height control participants since school entry. ...

Steroids for Kawasaki disease.(Archivist)(Brief Article)
January 1, 2004... Standard initial treatment for Kawasaki disease in the USA is a single dose of intravenous immunoglobulin (IVIG) 2 gm/kg plus aspirin 80-100 mg/kg/day. The role of steroid treatment is controversial. Steroids have been used either as initial...

Comparison of evoked arousability in breast and formula fed infants.(Original Article)
January 1, 2004... Arch Dis Child 2004;89:22-25 Background: Currently, there is no consistent evidence that breast feeding reduces the risk for sudden infant death syndrome (SIDS). Arousal from sleep is believed to be an important survival mechanism that...

Trends in paediatric health economic evaluation: 1980 to 1999.(Original Article)
January 1, 2004... Arch Dis Child 2004;89:26-29 Background: Although standard methods for conducting economic evaluations have evolved, little attention has been paid to their application in paediatrics. The Paediatric Economic Database Evaluation (PEDE)...

Ethnic group differences in overweight and obese children and young people in England: cross sectional survey.(Original Article)
January 1, 2004... Arch Dis Child 2004;89:30-36 Aims: To determine the percentage of children and young adults who are obese or overweight within different ethnic and socioeconomic groups. Methods: Secondary analysis of data on 5689 children and young...

Soy formula complicates management of congenital hypothyroidism.(Original Article)
January 1, 2004... Arch Dis Child 2004;89:37-40. doi: 10.1136/adc.2002.009365 Aims: To test the hypothesis that feeding soy formula to infants with congenital hypothyroidism (CH) leads to prolonged increase of thyroid stimulating hormone (TSH). ...

Retropharyngeal abscess.(Archivist)
January 1, 2004... Descriptions of the clinical features of retropharyngeal abscess (RPA) in textbooks and journals have been varied. Some have described a presentation similar to that of acute epiglottitis, with fever, stridor, and drooling. Others have...

Greek adolescents, fitness, fatness, fat intake, activity, and coronary heart disease risk.(Original Article)
January 1, 2004... Arch Dis Child 2004;89:41-44 Background: A dramatic increase in adult mortality rates from coronary heart disease (CHD) in Greece, accompanied by increased prevalence of CHD risk factors in children, has been documented. However, there...

Progressive fibrosis of the quadriceps muscle.(Images in Paediatrics)
January 1, 2004... This 15 year old boy presented when 3 years old because of maternal concern about "not walking right". He was born at term weighing 2.4 kg, was admitted to the special care baby unit, and treated for septicaemia with intramuscular...

Prevalence of tic disorders among primary school students in the city of Pavia, Italy.(Original Article)
January 1, 2004... Arch Dis Child 2004;89:45-47 Background: The prevalence of tic disorders in children varies from 1% to 29% depending on the characteristics of the study population, the diagnostic criteria, and the study design and methods. Aims: To...

Ethnic differences in the rates of BCG vaccination.(Audit)
January 1, 2004... Arch Dis Child 2004;89:48-49 An audit of the selective neonatal BCG immunisation programme showed that only 51% of eligible infants received the vaccination. Infants of Indian subcontinental origin (ISC) were significantly more likely to...

Nasal/buccal midazolam use in the community.(Short Report)
January 1, 2004... Arch Dis Child 2004;89:50-51. doi: 10.1136/adc.2002.019836 A telephone survey was carried out to evaluate the effectiveness and convenience of nasal/buccal midazolam in terminating prolonged seizures in the community. A total of 33/40...

Bicycle helmet campaigns and poverty.(Archivist)
January 1, 2004... Bicycle helmet campaigns increase helmet use but there is uncertainty about their effect on head injuries. During and after a campaign in Quebec, Canada (Farley et al. J Epidemiol Community Health 2002;57:668-72) head injuries were reduced in...

The progression of maternal RSV antibodies in the offspring.(Short Report)(respiratory syncytial virus)
January 1, 2004... Arch Dis Child 2004;89:52-53. doi: 10.1136/adc.2002.017780 The concentrations of maternal anti-RSV IgG antibodies were followed in 49 healthy newborns over the first six months of life. At birth, 41 mothers (83%) tested positive for...

International parallels in leukaemia and diabetes epidemiology.(Short Report)
January 1, 2004... Arch Dis Child 2004;89:54-56 Acute lymphoblastic leukaemia (ALL) and type 1 diabetes have an environmental aetiology and common epidemiological features. Incidence rates and national characteristics of both conditions were investigated...

NHS Direct: virtually engaged.(Review)(National Health Service)
January 1, 2004... Arch Dis Child 2004;89:57-59 In the five years since its launch in March 1998, NHS Direct in England and Wales has established itself as the world's largest provider of telephone healthcare advice. NHS Direct now handles over half a...

The effect of asthma and its treatment on growth.(Review)
January 1, 2004... Arch Dis Child 2004;89:60-63. doi: 10.1136/adc.2003.014365 Asthma has little, if any, significant effect on attained adult height. Untreated asthma results in a delay of puberty by approximately 1.3 years, and pubertal delay is likely to...

Pacemaker twiddling.(Images in Paediatrics)
January 1, 2004... A 10 year old boy with severe learning disabilities had a permanent subpectoral endocardial pacemaker for intermittent heart block. Twenty three months later, he presented with an episode of collapse associated with pacemaker failure. Chest x...

Pitfalls in the assessment of body composition in survivors of acute lymphoblastic leukaemia.(Original Article)
January 1, 2004... Arch Dis Child 2004;89:64-68 Background: Body fat mass (FM) and fat free mass (FFM) in childhood are often estimated by conversion of a measured variable into compartmental body composition using constants or regression equations that...

Performance of blood tests in diagnosis of inflammatory bowel disease in a specialist clinic.(Original Article)
January 1, 2004... Arch Dis Child 2004;89:69-71 Aims: To determine the reliability of a panel of blood tests in screening for ulcerative colitis and Crohn's disease. Methods: The subjects were 153 children referred to a paediatric gastroenterology...

A randomised crossover trial of facemask efficacy.(Short Report)
January 1, 2004... Arch Dis Child 2004;89:72-73 The efficacy of different facemasks that can be used in the delivery of aerosol medication to children with recurrent wheeze or asthma was investigated. The results showed a statistically significant...

Fusidic acid resistance in Staphylococcus aureus: this review summarises current knowledge of the microbiological and clinical aspects of fusidic acid resistance in Staphylococcus aureus, and makes recommendations about fusidic acid prescribing and further research.(Review)
January 1, 2004... Arch Dis Child 2004;89:74-77. doi: 10.1136/adc.2003.019695 Fusidic acid is a narrow spectrum antibiotic derived from Fusidium coccineum that has been used for over 35 years to treat infections with Staphylococcus aureus. (1) Fusidic acid...

End stage renal disease due to bilateral renal malakoplakia.(Case Report)
January 1, 2004... Arch Dis Child 2004;89:78-79 Malakoplakia typically affects the bladders of immunocompromised adults who have defective intracellular killing of Escherichia coli. Renal malakoplakia is rare in children and generally has a good outcome....

Years of medical experience versus parental instinct.(BackChat)
January 1, 2004... When I was 12 our dog had puppies. From my point of view it was a happy accident, and I watched the birth with great interest. She had four puppies; to the human eye they looked virtually identical. To my surprise she accepted and cared for...

Towards evidence based medicine for paediatricians.(Archimedes)
January 1, 2004... Arch Dis Child 2004;89:81-86 In order to give the best care to patients and families, paediatricians need to integrate the highest quality scientific evidence with clinical expertise and the opinions of the family. (1) Archimedes seeks...

Does early administration of dexamethasone improve neurological outcome in children with meningococcal meningitis?(Archimedes)
January 1, 2004... A 6 month old boy was admitted to the paediatric ward with history of fever, non-blanching petechial rash, shrill cry, and poor capillary refill. He required 20 ml/kg of fluid bolus. After a full sepsis screening including a lumbar puncture,...

Should nifedipine be used to counter low blood sugar levels in children with persistent hyperinsulinaemic hypoglycaemia?(Archimedes)
January 1, 2004... A 5 year old boy, suffering from hyperinsulinaemic hypoglycaemia since infancy and arterial hypertension secondary to polycystic kidney disease, was given nifedipine (0.3 mg/kg three times a day) to treat his high blood pressure. Normotension...

Do steroids help children with acute urticaria?(Archimedes)
January 1, 2004... A 4 year old girl presents with an itchy urticarial rash. There were no other symptoms. Her general practitioner has prescribed an oral antihistamine but the rash has persisted. You wonder if there is a role for oral steroids in this...

Does prompt tympanostomy improve speech, language, and cognitive development?(Journal Watch: Pediatrics & Adolescent Medicine)
January 1, 2004... Does prompt tympanostomy improve speech, language, and cognitive development? * Pediatricians have been haunted by concerns that chronic middle-ear effusion (MEE)--prevalent during the critical period for speech and language...

Gastroesophageal reflux.(Journal Watch: Pediatrics & Adolescent Medicine)
January 1, 2004... Gastroesophageal reflux * Faced with the common problem of gastroesophaged reflux (GER), pediatricians must often decide if medical evaluation is worthwhile or whether a tincture of time is all that is needed. The AAP has endorsed a guideline...

Asthma: from childhood to adulthood.(Journal Watch: Pediatrics & Adolescent Medicine)(Brief Article)
January 1, 2004... Asthma: from childhood to adulthood * Parents often want to know how long asthma will persist in their children. In a longitudinal, population-based study from New Zealand, children were enrolled shortly after birth, and they or their parents...

What's the solution when a newborn is hypotensive?(Journal Watch: Pediatrics & Adolescent Medicine)(Brief Article)
January 1, 2004... What's the solution when a newborn is hypotensive? * Hypotension is common during the first day of life in both term and preterm infants. Because the development of acute low blood pressure is unpredictable, general pediatricians--often the...

Miconazole and clobazam; a useful interaction in Dravet's syndrome?(Letters)
January 1, 2004... If you have a burning desire to respond to a paper published in ADC or F & N, why not make use of our "rapid response" option? Log onto our website (www.archdischild.com), find the paper that interests you, and send your response via...

Fever phobia revisited.(Letters)
January 1, 2004... The National Coordinating Centre for Health Technology Assessment recently issued a commissioning brief calling for proposals to look at "the clinical effectiveness of paracetamol alone, ibuprofen alone, and paracetamol and ibuprofen in...

Juvenile myasthenia gravis mimicking recurrent VI nerve palsy of childhood.(Letters)
January 1, 2004... A 5 year old Asian boy presented to the paediatrician with diplopia following ear ache. Isolated VI nerve palsy was suspected. Full blood count, ESR, magnetic resonance imaging (MRI), and ENT examination were normal. He recovered within a...

RCPCH guideline appraisal on EEG after first seizure.(Letters)
January 1, 2004... A recent RCPCH guideline appraisal asserted: "There is no need for an EEG following a first simple afebrile seizure". (1) This is puzzling. A "simple afebrile seizure" is not an entity recognised in the ILAE diagnostic scheme. (2) More...

Severe vitamin D deficient rickets in black Afro-Caribbean children.(Letters)
January 1, 2004... Concern has been raised over the past few years, at the prevalence of rickets in British Asian children (1) and recent immigrants to the UK. (2) Here we describe five cases of severe rickets in children of second generation Black-African or...

Hyperchloraemic acidosis consistent with ammonium chloride administration.(Letters)
January 1, 2004... We report an infant with recurrent self limiting hyperchloraemic acidosis. This 1 month old girl was admitted with vomiting, decreased feeding, and rapid breathing. On examination she was lethargic and tachypnoeic with normal blood pressure...

Voiding dysfunction in Duchenne muscular dystrophy.(Letters)
January 1, 2004... We read with interest the report by MacLeod et al who described urinary symptoms in 46 (62%) of 74 male children with Duchenne muscular dystrophy (DMD). (1) The authors comment that "The neurological basis for this dysfunction is...

Prevention of hyponatraemia.(Letters)
January 1, 2004... At least two children in Northern Ireland have died in recent years as a result of severe hyponatraemia (serum sodium <130 mmol/l). (1) Death or neurological morbidity related to this condition has been reported in more than 50 children. (2)...

Miliaria crystallina complicating staphylococcal scalded skin syndrome.(Images in Paediatrics)
January 1, 2004... A 7 year old male child was admitted to our hospital during the summer with staphylococcal scalded skin syndrome (SSSS). After five days of appropriate treatment, he was to be discharged. Unexpectedly, while he was playing in the ward, his...

Lucina.(progressive cerebellocerebral atrophy, squinting, medical costs, asthma, etanercept and infliximab risks, water fluoridation, brain tumors, cystic fibrosis, methyl mercury risk)
January 1, 2004... Progressive cerebellocerebral atrophy is the name given to an apparently new syndrome by workers in Israel (Journal of Medical Genetics 2003;40:e96). They describe seven children from six families, all Sephardi Jews from Iraq or Morocco. The...

Should euthanasia be legal? An international survey of neonatal intensive care units staff: a commentary on the paper by Cuttini et al.(Commentary)
January 1, 2004... Active euthanasia has been mainly discussed in geriatric medicine, allowing old people to be relieved of unacceptable suffering. It is often a question of assisted suicide when the patient's will can be respected. This has been practiced in...

Should euthanasia be legal? An international survey of neonatal intensive care units staff: a commentary on the paper by Cuttini et al.(Commentary)
January 1, 2004... The members of the EURONIC group have investigated the attitudes and practice of nurses and doctors with regard to euthanasia in neonatal units throughout Europe. Not surprisingly, they have found a wide range of beliefs and actions...

Disentangling PK-PD in neonates: a commentary on the paper by Allegaert et al.(Commentary)(comparison of propacetamol to paracetamol)
January 1, 2004... Neonatal analgesia is a humane consideration, and paracetamol offers a reasonable alternative for mild to moderate pain. The investigation of propacetamol, an intravenous prodrug of paracetamol (acetaminophen), in premature neonates after...

Can polyclonal intravenous immunoglobulin limit cytokine mediated cerebral damage and chronic lung disease in preterm infants?(Review)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F5-F8 Recent evidence suggests that inflammatory cytokines may play an important role in cerebral and pulmonary injury, especially in preterm infants. Immunomodulatory agents may help to limit such...

Isolated mild fetal ventriculomegaly.(Review)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F9-F13 Ventriculomegaly is an excess of fluid in the lateral ventricles within the developing cerebrum. It is usually diagnosed at a routine fetal anomaly scan at 18-22 weeks gestation. Management...

Project 27/28: an enquiry into the quality of care and its effect on the survival of babies born at 27-28 weeks.(Annotation)
January 1, 2004... The Confidential Enquiry into Stillbirths and Deaths in Infancy (CESDI) devised Project 27/28 to identify the patterns of perinatal practice and service that may have affected the risk of a neonatal death between [27.sup.+0] and [28.sup.+6]...

Oral sucrose analgesia for preterm infant venepuncture: clear benefit of sucrose analgesia for preterm neonates during venepuncture is shown.(Leading Article)
January 1, 2004... Although studies of oral sucrose solution for procedure related pain in neonates have been subjected to a meta-analysis and a systematic review, several problems have been noted, and only one small trial focused on the role of oral sucrose...

Should euthanasia be legal? An international survey of neonatal intensive care units staff.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F19-F24 Objective: To present the views of a representative sample of neonatal doctors and nurses in 10 European countries on the moral acceptability of active euthanasia and its legal regulation....

Pharmacokinetics of single dose intravenous propacetamol in neonates: effect of gestational age.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F25-F28 Aim: To investigate the pharmacokinetics and pharmacodynamics of single dose propacetamol in preterm and term infants on the first day of life. Methods: Neonates were stratified by...

Human fetal and maternal corticotrophin releasing hormone responses to acute stress.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F29-F32 Objectives: To study the effect of acute stress, caused by intrauterine needling at the intrahepatic vein (IHV), on fetal plasma concentrations of corticotrophin releasing hormone (CRH),...

Outcomes of infants born to mothers receiving methadone for pain management in pregnancy.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F33-F36 Objective: To assess the outcomes of infants born to mothers receiving methadone for the management of pain in pregnancy. Design: A retrospective audit was conducted of neonatal...

Non-expert use of the cerebral function monitor for neonatal seizure detection.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F37-F40 Background: The cerebral function monitor (CFM) is widely used to detect neonatal seizures, but there are very few studies comparing it with simultaneous electroencephalography (EEG). ...

Correction.(Correction Notice)
January 1, 2004... The paper by Whitby et al (Low field strength magnetic resonance imaging of the neonatal brain Arch Dis Child Fetal Neonatal Ed 2003;88:F203-F208) was missing an acknowledgement. The authors wish to thank the "Babes in Arms" charity to whom...

Does radio-opaque contrast improve radiographic localisation of percutaneous central venous lines?(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F41-F43 Background: Percutaneous central venous lines (long lines) are commonly used in neonatal practice. The position of these lines is important, because incorrect placement may be associated...

Long line positioning in neonates: does computed radiography improve visibility?(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F44-F45 Objectives: To assess the use of soft copy reporting of computed radiography (CR) images in determining intravenous long line tip position in neonates and compare visibility rates with hard...

Early physiological development of infants with intrauterine growth retardation.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F46-F50 Objectives: To assess the patterns of early postnatal physiological adaptation and maturation in intrauterine growth retarded (IUGR) infants by measuring changes in sleeping deep body...

Associations between perinatal interventions and hospital stillbirth rates and neonatal mortality.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F51-F56 Background: Previous studies suggest that high risk and low birthweight babies have better outcomes if born in hospitals with level III neonatal intensive care units. Relations between...

Acellular pertussis vaccine given by accelerated schedule: response of preterm infants.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F57-F60 Objective: To describe the immune response of preterm infants to a diphtheria/tetanus/three component acellular pertussis (DTaP) vaccine, under an accelerated schedule, and the effects of...

Chorioamnionitis increases matrix metalloproteinase-8 concentrations in bronchoalveolar lavage fluid from preterm babies.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F61-F64 Objective: To determine the effects of chorioamnionitis and antenatal corticosteroids on matrix metalloproteinase-8 (MMP-8) concentrations in bronchoalveolar lavage (BAL) fluid from preterm...

Hyperinsulinaemic hypoglycaemia in preterm neonates.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F65-F67 Hyperinsulinism in infancy (HI) is an important cause of severe and recurrent hypoglycaemia in newborn infants. It usually appears in infants born at term, and only one case of its...

Characteristics of neonates with isolated rectal bleeding.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F68-F70 Objective: To determine the characteristics of full term and preterm neonates with isolated rectal bleeding (IRB), and to follow the outcome of these low risk patients. Design: A...

Parental concern and distress about infant pain.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F71-F75 Objective: To describe parent views on infant pain care and to explore relations between parents' experience of their infant's pain care and parental stress. Design: Descriptive, cross...

Neutrophil and monocyte adhesion molecules in bronchopulmonary dysplasia, and effects of corticosteroids.(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F76-F83 Aims: To study a longitudinal change in the expression of adhesion molecules CD11b, CD18, and CD62L on neutrophils and monocytes in very low birth weight babies who develop respiratory...

Correction.(Correction Notice)
January 1, 2004... Please note that there is an error in the author list for the article by Burgess et al (Consent for clinical research in the neonatal intensive care unit: a retrospective survey and a prospective study Arch Dis Child Fetal Neonatal Ed...

How safe is intermittent positive pressure ventilation in preterm babies ventilated from delivery to newborn intensive care unit?(Original Article)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F84-F87 Objectives: To examine whether clinically determined ventilator settings will produce acceptable arterial blood gas values on arrival, in preterm infants ventilated from delivery to the...

Exhaled nitric oxide in chronically ventilated preterm infants.(Case Report)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F88-F89 Exhaled nitric oxide (eNO) levels were measured in eight ventilated infants, mean gestational age 25.8 (SD 1.7) weeks and postnatal age 55 (SD 39) days, before and after three days of...

Novel genotype of mevalonic aciduria with fatalities in premature siblings.(Case Report)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F90-F91 Mevalonic aciduria is described in two very low birthweight siblings with unspecific clinical signs and recurrent septicaemia. Both died within the first 2 months of life. DNA analysis...

Urinary ascites and anuria caused by bilateral fungal balls in a premature infant.(Case Report)
January 1, 2004... Arch Dis Child Fetal Neonatal Ed 2004;89:F92-F94 A case is reported of anuria and urinary ascites secondary to bilateral ureteropelvic obstruction by fungal balls. Management consisted of bilateral nephrostomy drainage with local...

Cold comfort for babies.(Letters)(technique for premature infants alleviates hypothermia)
January 1, 2004... If you have a burning desire to respond to a paper published in the ADC or F & N, why not make use of our "rapid response" option? Log on to our website (www.archdischild.com), find the paper that interests you, click on "full text and...

Haematological consequences of placental insufficiency.(Letters)
January 1, 2004... Abnormal development of the placental vasculature is responsible for maternal and fetal impacts of uteroplacental insufficiency. (1) Umbilical artery (UA) Doppler allows the non-invasive assessment of the severity of this vascular...