Archives of disease in childhood
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Multicenter Study
Children with pneumonia: how do they present and how are they managed?
To describe the spectrum of clinical features and management of community acquired pneumonia in the UK. ⋯ There is a high rate of intravenous antibiotic administration in hospital admissions for pneumonia. Despite lobar CXR changes not being independently associated with severe disease, initial lobar CXR changes and clinical assessment in children independently influenced management decisions, including admission and route of antibiotics.
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Multicenter Study
Barriers to education of overseas doctors in paediatrics: a qualitative study in South Yorkshire.
To explore the factors that may influence the progress of doctors who come from the Indian subcontinent to train in paediatrics in the UK. ⋯ Several intercultural factors were identified that could act as barriers to the progress of overseas doctors training in paediatrics in the UK. Increased awareness of these factors within the teams would be the first step in resolving some of the issues.
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Multicenter Study
Derivation of the children's head injury algorithm for the prediction of important clinical events decision rule for head injury in children.
A quarter of all patients presenting to emergency departments are children. Although there are several large, well-conducted studies on adults enabling accurate selection of patients with head injury at high risk for computed tomography scanning, no such study has derived a rule for children. ⋯ A highly sensitive clinical decision rule is derived for the identification of children who should undergo computed tomography scanning after head injury. This rule has the potential to improve and standardise the care of children presenting with head injuries. Validation of this rule in new cohorts of patients should now be undertaken.
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Multicenter Study
Sudden infant death syndrome and sleeping position in pre-term and low birth weight infants: an opportunity for targeted intervention.
To determine the combined effects of sudden infant death syndrome (SIDS) risk factors in the sleeping environment for infants who were "small at birth" (pre-term (<37 weeks), low birth weight (<2500 g), or both). ⋯ The combined effects of SIDS risk factors in the sleeping environment and being pre-term or low birth weight generate high risks for these infants. Their longer postnatal stay allows an opportunity to target parents and staff with risk reduction messages.
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Multicenter Study
Epidemiology of traumatic brain injury in children receiving intensive care in the UK.
To describe the epidemiology of children with traumatic brain injury (TBI) admitted to paediatric intensive care units (PICUs) in the UK. ⋯ TBI in children requiring intensive care is more common in those from poorer backgrounds who have been involved in accidents as pedestrians. The summer peak in injury occurrence for 0-10 year olds and late afternoon timing give clear targets for community based injury prevention.