Journal of paediatrics and child health
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J Paediatr Child Health · Oct 2013
Comparative StudyPoractant alfa versus beractant for respiratory distress syndrome in preterm infants: a retrospective cohort study.
Poractant alfa and beractant are the commonly used animal derived surfactants in preterm infants with respiratory distress syndrome. Between 2005 and 2007, poractant alfa and beractant were alternated every month in our neonatal intensive care unit for 27 months. The aim of this study was to compare the outcomes of preterm infants who received poractant alfa versus beractant. ⋯ The results of our study do not support the need for preferential use of poractant alfa or beractant.
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J Paediatr Child Health · Oct 2013
ReviewManaging snoring and obstructive sleep apnoea in childhood.
Snoring assessment and its differentiation from obstructive sleep apnoea are difficult based upon a parent history and physical examination of the size of the tonsils. Not only is the presence of obstructive sleep apnoea important to diagnose, but confirming its severity is the key determinant in prioritising treatment in a resource-limited setting. This review provides current knowledge on the utility of common diagnostic tests, results of treatment options available and implications of treatment and unrecognised or untreated obstructive sleep apnoea.
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J Paediatr Child Health · Oct 2013
Audit of a clinical guideline for neonatal hypoglycaemia screening.
This study aims to evaluate adherence to a clinical guideline for screening and prevention of neonatal hypoglycaemia on the post-natal wards. ⋯ Most IDM and SGA neonates were screened. While guideline adherence overall was comparable with other studies, neonates were fed late. We recommend staff education about benefits of early (within the first hour) frequent breastfeeding for neonates at risk.
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J Paediatr Child Health · Oct 2013
Clinical and neurological findings of severe vitamin B12 deficiency in infancy and importance of early diagnosis and treatment.
Nutritional vitamin B12 deficiency among children in developing countries may lead to a severe clinical status. In this article, the clinical manifestations of vitamin B12 deficiency and the consequences of delay in its diagnosis have been evaluated. ⋯ As a delay in the diagnosis causes irreversible neurological damage, early diagnosis and treatment is highly important.