Archives of disease in childhood
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Randomized Controlled Trial
Scald risk in social housing can be reduced through thermostatic control system without increasing Legionella risk: a cluster randomised trial.
To quantify the effects of a thermostatic control system in social (public) housing on the prevalence of dangerous (>60°C) water temperatures and on fuel consumption. ⋯ The thermostatic control with daily sterilisation was effective in capping hot water temperatures and therefore reduced scald risk. Although expected to save energy, fuel consumption was increased relative to the control group. Trial registration ClinicalTrials.gov ID: NCT00874692.
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Randomized Controlled Trial Comparative Study
Medicine dosing by weight in the home: can parents accurately weigh preschool children? A method comparison study.
To determine the accuracy with which parents can estimate preschool children's weight using home scales in order to calculate antipyretic dose. ⋯ Weight can be estimated accurately enough to calculate antipyretic medicine doses by the minority of parents having scales that can be used to estimate their child's weight.
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Multicenter Study
Treatment for paediatric low cardiac output syndrome: results from the European EuLoCOS-Paed survey.
To characterise current hospital practice and use of prescribing resources related to drug treatment for low cardiac output syndrome (LCOS) in children with open heart surgery (OHS) in Europe. ⋯ Drug treatment for LCOS in children with OHS across Europe is highly variable, possibly partly reflecting the lack of evidence and prescribing standards on the use of medicines. Milrinone, epinephrine, dopamine and dobutamine are mostly used, and should be prioritised for future research on LCOS treatment. Such research should be aimed at increasing the level of evidence for clinical practice guidelines to improve the standard of care.
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'Liberating the NHS' and the new outcomes framework place information at the heart of the management of the National Health Service (NHS) and develop further the quality framework defined by Lord Darzi. In support of children, paediatricians have a responsibility to understand the informatics agenda and to ensure that data collection is as accurate as possible. There are particular difficulties in supplying a comprehensive health record for children and providing them with the benefits of access to their health records. It is essential that paediatricians work to ensure that these problems are overcome and that children do not miss out because of legal, practical and ethical issues which can be overcome, but often are permitted to stand in the way of real improvements.
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Multicenter Study
Place of death and palliative care following discharge from paediatric intensive care units.
To determine where children die following discharge from paediatric intensive care units (PICUs) in Great Britain and to investigate if this varies by discharge to palliative care. ⋯ Children referred to palliative care services at discharge from PICU are more likely to die in the community (home or hospice) than children not referred to palliative care.