Journal of paediatrics and child health
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J Paediatr Child Health · Apr 2013
Comparative StudyEvaluating Canadian children: WHO, NHANES or what?
The 2006 World Health Organization (WHO) growth charts have been widely adopted by Canadian dieticians for growth monitoring of Canadian children rather than the National Health and Nutrition Examination Survey (NHANES III) reference data. It has been unclear as to which is the most appropriate. ⋯ Our results reveal substantial differences between both reference populations and thus interpretation needs to be done with caution, especially when labelling results as abnormal.
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J Paediatr Child Health · Mar 2013
C-reactive protein versus erythrocyte sedimentation rate, white blood cell count and alkaline phosphatase in diagnosing bacteraemia in bone and joint infections.
Bacteraemia is common in childhood acute bone and joint infections and demands urgent treatment. Blood C-reactive protein (CRP), erythrocyte sedimentation rate and white blood cell count (WBC) are well known and established markers in these infections. Instead, no information is available on serum alkaline phosphatase whose concentration is known to increase in septic conditions. ⋯ None of the markers could reliably diagnose bacteraemia. CRP alone was significantly higher among bacteraemic patients.
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J Paediatr Child Health · Mar 2013
Randomized Controlled TrialBolus fluid therapy and sodium homeostasis in paediatric gastroenteritis.
The study aims to assess the risk of developing hyponatraemia when large-volume bolus fluid rehydration therapy is administered. ⋯ Large-volume bolus rehydration therapy with 0.9% saline is safe. It does not promote the development of hyponatraemia over the short term, but hastens the resolution of baseline hyponatraemia.
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J Paediatr Child Health · Jan 2013
Clinical TrialEffect of a multifaceted intervention on documentation of vital signs and staff communication regarding deteriorating paediatric patients.
To evaluate the impact of newly designed Paediatric Early Warning Scores and an accompanying education package, COMPASS, on the frequency of documentation of vital signs and communication between health professionals and associated medical review in deteriorating paediatric patients. ⋯ A multifaceted intervention for the early recognition and response to clinical deterioration in children significantly improved documentation of vital signs, communication and time to medical review.