Archives of disease in childhood
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Randomized Controlled Trial Comparative Study
Medicine dosing by weight in the home: can parents accurately weigh preschool children? A method comparison study.
To determine the accuracy with which parents can estimate preschool children's weight using home scales in order to calculate antipyretic dose. ⋯ Weight can be estimated accurately enough to calculate antipyretic medicine doses by the minority of parents having scales that can be used to estimate their child's weight.
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Randomized Controlled Trial
Improved junior paediatric prescribing skills after a short e-learning intervention: a randomised controlled trial.
Medication errors are common, with junior doctors accounting for the majority in acute healthcare. Paediatrics is uniquely challenging, but the evidence base to guide prescribing education is limited. The authors set out to develop a short, educationally sound, low cost e-learning resource for paediatric prescribing to improve junior doctors' prescribing skills and to evaluate its effectiveness. ⋯ This short e-learning resource significantly improved the paediatric prescribing skills of junior doctors. Outcomes were maintained at 3 months, suggesting the utility of low cost, low fidelity, educationally sound e-learning interventions. However, the direct impact on patient outcomes following this intervention has yet to be determined.
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Review Meta Analysis
Neuroimaging: what neuroradiological features distinguish abusive from non-abusive head trauma? A systematic review.
To identify the evidence base behind the neuroradiological features that differentiate abusive head trauma (AHT) from non-abusive head trauma (nAHT). ⋯ Multiple SDH over the convexity, interhemispheric haemorrhages, posterior fossa SDH, HII and cerebral oedema are significantly associated with AHT and should be considered together with clinical features when identifying the condition.
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Review Comparative Study
Systematic review of studies comparing combined treatment with paracetamol and ibuprofen, with either drug alone.
To evaluate the evidence surrounding the use of combinations of paracetamol and ibuprofen in the treatment of fever. ⋯ There is little evidence of any benefit or harm from the combined treatment compared with the use of each drug alone. In the absence of such benefit, there is little to recommend the unnecessary use of polypharmaceutical methods to treat a symptom that does not require treatment, when effective monotherapies exist.
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Multicenter Study
Place of death and palliative care following discharge from paediatric intensive care units.
To determine where children die following discharge from paediatric intensive care units (PICUs) in Great Britain and to investigate if this varies by discharge to palliative care. ⋯ Children referred to palliative care services at discharge from PICU are more likely to die in the community (home or hospice) than children not referred to palliative care.