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Archives this month.(Brief Article)
June 1, 2001... Fathers--good for families, bad for patients?
This year in the UK, doctors have faced resounding criticism from the media and parliamentarians (although patients still seem quite kindly disposed towards their physicians). Two words crop up...
Reflecting on Redfern: What can we learn from the Alder Hey story?(hospital in Liverpool, England)
June 1, 2001... In 1998 the General Medical Council (GMC) charged two Bristol surgeons and their medical director with misconduct on the grounds that they had failed to recognise and act upon their poor outcome results. [1] In September 1999, the enquiry set...
Perinatal pathology in 2001.
June 1, 2001... Paediatricians will not need to be convinced of the value of the necropsy examination. Necropsies have received extensive adverse coverage in the press during the last year, the main issue being the retention of organs without the knowledge of...
Changing physician behaviour.
June 1, 2001... Changing physician behaviour has become an important focus of medicine over the past two decades. [1-3] The rapid expansion of medical knowledge and concerns about quality of care, have led to the birth of both the practice guideline movement...
Necropsies in African children: consent dilemmas for parents and guardians.
June 1, 2001... Abstract
Background--Necropsy examination provides a good index of the accuracy of clinical diagnosis and the quality of treatment, but its use in sub-Saharan Africa is limited.
Aims-To identify the main reasons for parents'/guardians'...
Screening and surveillance for autism and pervasive developmental disorders.
June 1, 2001... Screening and surveillance
Screening and surveillance are different but related activities involving the detection of impairments with a view to prevention or amelioration of consequent disability and handicap. Screening is the prospective...
Coverage of neonatal screening: failure of coverage or failure of information system.(Statistical Data Included)
June 1, 2001... Abstract
Objectives--To evaluate neonatal screening coverage using data routinely collected on the laboratory computer.
Subjects--90 850 births in 14 North East Thames community provider districts over a 21 month period.
...
Should infants be screened for anaemia? A prospective study investigating the relation between haemoglobin at 8, 12, and 18 months and development at 18 months.(Statistical Data Included)
June 1, 2001... Abstract
Aims--To investigate the relation between haemoglobin in children followed longitudinally from 8 to 18 months, and developmental outcome at 18 months.
Methods--The Avon Longitudinal Study of Pregnancy and Childhood (ALSPAC)...
Is regional paediatric surveillance useful? Experience in Wales.(Statistical Data Included)
June 1, 2001... Abstract
The Welsh Paediatric Surveillance Unit was established in 1994 to monitor the incidence and prevalence of a number of uncommon disorders of childhood in Wales. Its work complements that of the British Paediatric Surveillance Unit....
An approach to investigation of easy bruising.
June 1, 2001... Easy bruising presents several investigative dilemmas in primary and secondary practice, not least because it raises the spectre of physical abuse. When, and to what extent, should general paediatricians investigate before referral to a...
Efficacy and safety of nitrous oxide in alleviating pain and anxiety during painful procedures.
June 1, 2001... Abstract
Aims--To evaluate the efficacy and safety of nitrous oxide for children undergoing painful procedures.
Methods--Ninety children requiring repeated painful procedures (lumbar puncture, bone marrow aspirate, venous cannulation,...
Response to influenza immunisation during treatment for cancer.(Statistical Data Included)
June 1, 2001... Abstract
Aims--To assess the annual risk of influenza infection in children with cancer and the immunogenicity of a trivalent split virus influenza vaccine in these children.
Methods-Eighty four children with cancer were tested for...
Symptomatic rickets in adolescence.
June 1, 2001... Abstract
Aim--To describe 21 cases of symptomatic rickets in adolescents.
Methods--The setting was a primary and secondary care hospital in Saudi Arabia providing medical care to Saudi Arab company employees and their families. Cases...
Distal renal tubular acidosis with severe hypokalaemia, probably caused by colonic [H.sup.+]-[K.sup.+]-ATPase deficiency.
June 1, 2001... Abstract
We describe a 21 month old male infant who presented with failure to thrive associated with severe hypokalaemia and metabolic acidosis, together with hypomagnesaemia. Evaluation revealed marked renal and probable faecal potassium...
Bone marrow transplantation for CD40 ligand deficiency: a single centre experience.
June 1, 2001... Abstract
Background--CD40 ligand (CD40L) deficiency is a rare X linked immunodeficiency disorder leading to recurrent bacterial infection, with cryptosporidial enteritis and subsequent hepatic cirrhosis. Bone marrow transplantation offers...
Hyperammonaemia in critically ill septic infants.
June 1, 2001... Abstract
Three infants with subphrenic abscess, pyonephrosis, and obstructive ureterocoele respectively had grossly increased concentrations of plasma ammonia. This was considered to be a result of infections with urea splitting organisms....
Asthma admissions and weather conditions in Costa Rica.
June 1, 2001... Abstract
In Costa Rica there is little information about asthma admissions. In this report the monthly asthma admissions and weather data for a seven year period were reviewed. The hospital asthma admissions showed notable seasonal...
Bone status in cystic fibrosis.
June 1, 2001... Abstract
Aim--To investigate bone mineral status of children with cystic fibrosis (CF).
Methods--In 29 children with CF and 49 matched controls, bone mineral content (BMC), projected bone area (BA), and areal bone mineral density...
Lung function measurements in young children with spinal muscle atrophy; a cross sectional survey on the effect of position and bracing.
June 1, 2001... Abstract
Background--Spinal muscular atrophy (SMA) affects respiratory muscles, which in addition to progressive scoliosis leads to respiratory impairment. Children with developing scoliosis are usually treated with spinal bracing to delay...
LETTERS TO THE EDITOR.(Letter to the Editor)
June 1, 2001... The discovery that Helicobacter pylori is the prime cause of peptic ulcer disease, is one of the most important advances in medicine in the 20th century. Subsequently, its importance in the causation of gastric cancer has been recognised. It is...
Improving newborn infant health development in developing countries.(Review)
June 1, 2001... Improving newborn infant health development in developing countries. Edited by Costello AJ and Manandhar D. Imperial College Press. (Pp 570, hardback; [pound]99.00) UK: Imperial College Press. ISBN 1 86094 097 8
Improving neonatal care, as...
Doctors for children in public care.(Review)
June 1, 2001... Doctors for children in public care. M Mather. ([pound]14.95; paperback). British Agencies for Adoption & Fostering, 2000. ISBN 1873868812
This is the first book in recent times to deal with the health services needed for children looked...
Crying as a sign, a symptom, and a signal.(Review)
June 1, 2001... Crying as a sign, a symptom, and a signal. Edited by Barr RG, Hopkins B, Green JA. (Pp 228, hardback, [pound]45) UK: Cambridge University Press, 2000. ISBN 1 898 6831 2
Unexplained crying in young babies is a common and puzzling...
Preventitive management of children with congenital abnormalities and syndromes.(Review)
June 1, 2001... Preventitive management of children with congenital abnormalities and syndromes. GN Wilson and WC Cooley. (Paperback including CD-rom). UK: Cambridge University Press. ISBN 0 521 77673 2
As more and more rare syndromes are described and the...
A-Z of medical writing.(Review)
June 1, 2001... A-Z of medical writing. Albert T. (Paperback) London: BMJ Books. ISBN 0 7279 1487 1
Many doctors have difficulty with medical writing. There is a crying need for concise, clear text whether it be for papers, grant applications, books/book...
Manual of tropical pediatrics.(Review)
June 1, 2001... Manual of tropical pediatrics. Edited by Seear, MD. (Pp 480, hardback, [pound]50.00) UK: Cambridge University Press, 2000. ISBN 0 521 65835 7
This is a handsome book, with hard, thick covers, quality printing, and superb illustrations. It...