Journal of paediatrics and child health
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J Paediatr Child Health · Jul 2006
Nodding off or switching off? The use of popular media as a sleep aid in secondary-school children.
To describe the use of media as a sleep aid in adolescents and relate this to their sleep routines and feelings of tiredness. ⋯ Using media as a sleep aid appears to be common practice among adolescents. Those who reported using music, television, and computer games more often as a sleeping aid slept fewer hours and were significantly more tired.
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J Paediatr Child Health · Jul 2006
Audit of feeding practices in babies<1200 g or 30 weeks gestation during the first month of life.
In 2002, the composition of the breast milk fortifier used in our hospital changed, giving increased protein and energy. We therefore decided to prospectively audit nutritional management in our unit and to compare nutritional intake and growth in our babies with published data. ⋯ Overall, nutritional intakes and weight gain in this cohort of babies lie within the recommended ranges, although protein intakes in the smallest babies are at the lower end of the range. Enteral feeds are introduced early and advanced rapidly, but we have a low incidence of necrotising enterocolitis. However, babies still fell across weight centiles, suggesting that actual intakes for these tiny babies may be inadequate.
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J Paediatr Child Health · May 2006
Case ReportsWithdrawal of neonatal mechanical ventilation against the parents' wishes.
Neonatologists and parents usually agree when intensive treatment should be stopped. We describe the management of two babies where there was disagreement between the parents and hospital staff, and discuss the medical, legal and ethical implications of the two cases.
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J Paediatr Child Health · Mar 2006
Non-fatal injuries among Pacific infants in Auckland: data from the Pacific Islands families first two years of life study.
Child injury is the leading cause of mortality and morbidity in developed countries. While Pacific infant death rates are relatively high in New Zealand, little is known about non-fatal injury rates. We seek to describe maternally reported injury in Pacific infants aged between 0-24 months. ⋯ Among Pacific infants, non-fatal injury is common and injury incidence rates are considerably higher than national levels. Male infants and those born into ethnically mixed families, where the father was of Pacific Island ethnicity and the mother was non-Pacific, were at increased relative risk of injury and might benefit from specific injury prevention targeting. However, given the high injury incidence levels found, we advocate that investigation and targeting of culturally appropriate prevention strategies for all Pacific families with young children is required to reduce injury rates for Pacific infants in New Zealand.
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J Paediatr Child Health · Mar 2006
Randomized Controlled TrialDoes measuring respiratory function improve neonatal ventilation?
To determine whether using a respiratory function monitor alters clinicians' choice of ventilator settings, tidal volumes or blood gases in the first 48 h of ventilation. ⋯ Using the Florian respiratory function monitor in the first 48 h of ventilation with the Infant Star ventilator did not alter the choice of ventilator settings, tidal or minute volumes or arterial blood gases. Possible explanations for this result include lack of power due to the small numbers recruited and bias due to the unblinded nature of the trial.