Journal of paediatrics and child health
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J Paediatr Child Health · Oct 2009
Case ReportsBezold's abscess: a serious complication of otitis media.
This report describes a case of Bezold's abscess, a rare complication of mastoiditis, following otitis media. Included is a discussion of mastoiditis and its management.
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J Paediatr Child Health · Sep 2009
The epidemiology of health conditions of newly arrived refugee children: a review of patients attending a specialist health clinic in Sydney.
To determine the prevalence of common diseases in newly arrived refugee children, resettled in Sydney, by region of birth. To identify health needs of refugee children in Australia. ⋯ Our findings suggest that screening refugee children for common treatable conditions, even if they are asymptomatic, is paramount. In addition to infectious diseases screening, nutritional deficiencies should routinely be screened for.
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J Paediatr Child Health · Sep 2009
Emergency management of paediatric status epilepticus in Australia and New Zealand: practice patterns in the context of clinical practice guidelines.
To establish current acute seizure management through a review of clinical practice guidelines (CPGs) and reported physician management in the 11 largest paediatric emergency departments in Australia (n= 9) and New Zealand (n= 2) within the Paediatric Research in Emergency Departments International Collaborative (PREDICT) network, and to compare this with Advanced Paediatric Life Support (APLS) guidelines and existing evidence. ⋯ Initial seizure management by CPG recommendations and reported physician practice was broadly similar across PREDICT sites and consistent with APLS guidelines. Practice was variable for second/third line SE management. Areas of controversy would benefit from multi-centred trials.
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J Paediatr Child Health · Jul 2009
Comparative StudyComparison of temporal artery, mid-forehead skin and axillary temperature recordings in preterm infants <1500 g of birthweight.
Preterm infants are prone to temperature maintenance problems due to immature thermoregulatory mechanism and relatively large body surface area. The objective of the present study was to evaluate the performance of a new non-invasive infrared thermometer applied to the mid-forehead and temporal artery in comparison with axillary temperature recordings by mercury-in-glass thermometer, and to determine the discomfort caused by these procedures in preterm infants on incubator care. ⋯ The infrared skin thermometer applied to the mid-forehead is a useful and valid device for easy and less painful measurement of skin temperature in preterm infants <1500 g of birthweight.