Journal of paediatrics and child health最新文献_第2页

PSANZ 2025 Poster

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-03-27 DOI: 10.1111/jpc.70011

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Late-Breaking Posters

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-03-27 DOI: 10.1111/jpc.70029

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PSANZ 2025 Oral Poster

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-03-27 DOI: 10.1111/jpc.70009

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PSANZ 2025 Best of the Best

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-03-27 DOI: 10.1111/jpc.70010

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Late-Breaking Oral Presentations

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-03-27 DOI: 10.1111/jpc.70028

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Transfer to Home of Low-Birth-Weight Infants in Kangaroo Mother Care (KMC)-A Point of Care Quality Improvement (POCQI) Approach.

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-03-25 DOI: 10.1111/jpc.70040

Anjali S Raj, Vishwas Rao, R Deepa, Hindumathy Babu, Sandra Shaju, Suman V Rao

{"title":"Transfer to Home of Low-Birth-Weight Infants in Kangaroo Mother Care (KMC)-A Point of Care Quality Improvement (POCQI) Approach.","authors":"Anjali S Raj, Vishwas Rao, R Deepa, Hindumathy Babu, Sandra Shaju, Suman V Rao","doi":"10.1111/jpc.70040","DOIUrl":"https://doi.org/10.1111/jpc.70040","url":null,"abstract":"Background: Kangaroo mother care (KMC) is the standard of care for low birth weight (LBW) infants. Transport of a stable LBW infant from the hospital to home at discharge poses a significant risk of hypothermia. Though this risk can be mitigated by KMC, LBW infants are not routinely transferred back to KMC at the time of discharge.Objective: Aim: To improve transfer to the home of LBW infants in KMC at the time of discharge from the baseline of < 1% to 50% in 6 weeks with the point of care quality improvement (POCQI) approach.Methods: LBW infants discharged home during the study period were enrolled. The quality team (QI) team explored barriers to back transfer in KMC through fishbone analysis. Four plan-do-study-act (PDSA) cycles were implemented (Policy of transport KMC, ambulation in KMC during hospital stay, root cause analysis of missed babies, and Reinforcement of practice using posters). Acceptability was defined as reaching the destination in KMC and efficacy as euthermia at the destination.Results: Of 59 LBW infants discharged home during the study period, 89% were discharged in transport KMC. The acceptability was 98%; 6% had interruptions during the journey. Efficacy was 88% with a mean temperature of 36.9°C. All parents felt it was a safe method of transport. Mean hours of KMC increased from 4 h prior to the study to 8 h after. The practice was sustained at 74% following the study.Conclusion: A QI approach improves transfer to the home of LBW infants in KMC. It is a safe, effective, and acceptable mode of transport for LBW infants and aids in maintaining euthermia. However, continuous efforts are needed to sustain this practice.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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A Mixed-Methods Evaluation of a Maternal Child Health Nurse Education Programme Using Moore's Outcomes Framework for Continuing Medical Education.

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-03-23 DOI: 10.1111/jpc.70037

Emma King, Lichin Lim, Amy Gray

{"title":"A Mixed-Methods Evaluation of a Maternal Child Health Nurse Education Programme Using Moore's Outcomes Framework for Continuing Medical Education.","authors":"Emma King, Lichin Lim, Amy Gray","doi":"10.1111/jpc.70037","DOIUrl":"https://doi.org/10.1111/jpc.70037","url":null,"abstract":"Aim: Maternal Child Health Nurses (MCHN) play an integral role in child health in the community yet lack professional development opportunities. A tertiary hospital sought to fill this gap and developed an online MCHN education programme. This study aimed to assess the impact of the programme on MCHN confidence, knowledge and practice and to understand the factors influencing its impact.Methods: MCHN enrolled in the programme were invited to participate in a mixed method study based on Moore's Outcomes Framework for continuing medical education. Quantitative data from surveys collected pre and post live webinars and at 6 months post programme implementation assessed participant knowledge and confidence, and the quality of the programme. Qualitative data from individual semi-structured interviews was analysed inductively to understand impact.Results: Reported knowledge and confidence improved after each webinar (for knowledge from 2.60 out of 4 (95% CI 2.54-2.66) to 3.45 out of 4 (95% CI 3.40-3.59) post-webinar (p < 0.001) and for confidence from 2.58 out of 4 (95% CI 2.52-2.64) to 3.42 out of 4 (95% CI 3.38-3.47) post-webinar (p < 0.001)). Four themes emerged which facilitated the programme impact: filling a continuing education void, supporting diverse learning styles and needs, enhancing practice and advocacy through empowerment and fostering connections and respect.Conclusion: We demonstrated that a well-designed online education programme led to increased knowledge, confidence and changes in practice. It facilitated connection and respect and reinforced MCHN value and contribution. It highlighted and addressed an educational gap within the MCHN continuing education landscape and has proven to be sustainable and impactful.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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BK Virus-Related Haemorrhagic Cystitis in Non-Transplanted Children With Leukaemia.

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-03-22 DOI: 10.1111/jpc.70042

Dilek Kaçar, Zeliha Güzelküçük, Ayça Koca Yozgat, Melek Işık, Sare Gülfem Özlü, Neşe Yaralı

{"title":"BK Virus-Related Haemorrhagic Cystitis in Non-Transplanted Children With Leukaemia.","authors":"Dilek Kaçar, Zeliha Güzelküçük, Ayça Koca Yozgat, Melek Işık, Sare Gülfem Özlü, Neşe Yaralı","doi":"10.1111/jpc.70042","DOIUrl":"https://doi.org/10.1111/jpc.70042","url":null,"abstract":"Background: Although it is well-known in transplant recipients, BK virus (BKV)-related haemorrhagic cystitis (HC) is an unexpected complication in children with leukaemia on standard chemotherapy.Methods: This retrospective observational study reported non-transplanted children who experienced BKV-related HC during acute lymphoblastic leukaemia (ALL) or acute myeloid leukaemia treatment. Disease status, HC grade, BKV copy number in urine, blood counts, imaging findings, HC treatments and preceding oral mucositis and posterior reversible encephalopathy syndrome (PRES) were evaluated.Results: Twenty-three children with leukaemia were tested in urine BKV polymerase chain reaction for haematuria aetiology, and BKV was detected in 14 (60.9%). Seven of the patients (50%) had T cell ALL, 10 were 10 years old and older (71.4%) and 11 were male (78.6%). All patients were in the consolidation phase of therapy, and except one, all were in remission during HC. The mean BKV copy number in the urine was 0.443 × 109 ± 0.203 × 109/mL. Four patients (28.6%) had grade I, seven (50.0%) had grade II, and three patients (21.4%) had grade III HC. HC grades were correlated with neutrophil to lymphocyte ratio (rs = 0.616, p = 0.019). Preceding/concomitant oral mucositis in nine (64.3%) and PRES in the previous 3 months in five patients (35.7%) have been noted.Conclusions: BKV-related HC is a potential complication of patients with leukaemia during the consolidation phase of treatment. The risk factors of BKV-related HC in children with leukaemia are similar to those of haematopoietic stem cell transplantation recipients.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Can Risk Factors and Opportunities to Be Observed Explain Why Culturally and Linguistically Diverse Children Have Less Child Protection Contact?

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-03-20 DOI: 10.1111/jpc.70036

Razlyn Abdul Rahim, R Pilkington, K D'Onise, J Lynch

{"title":"Can Risk Factors and Opportunities to Be Observed Explain Why Culturally and Linguistically Diverse Children Have Less Child Protection Contact?","authors":"Razlyn Abdul Rahim, R Pilkington, K D'Onise, J Lynch","doi":"10.1111/jpc.70036","DOIUrl":"https://doi.org/10.1111/jpc.70036","url":null,"abstract":"Aim: Compared prevalence of risk factors for child protection (CP) contact and contact patterns with health, education and housing systems as opportunities to be observed for reporting to CP between Culturally and Linguistically Diverse (CALD) and non-CALD children.Method: Health, births, education and public housing data for children and parents from 12 months before the child's birth to age 7 from the South Australian Better Evidence, Better Outcomes, Linked Data platform.Participants: SA-born children in their first year in public school from 2009 to 2015 (n = 76 563). CALD: non-Indigenous, language other than English/Indigenous/Sign, or at least one parent born in a non-English speaking country.Outcomes: antenatal visits, 1-4-week check attendance, emergency presentations, and hospital admissions (0-7 years), preschool attendance, parental records for mental health, alcohol and other drug (AOD) use, self-harm, family domestic violence (FDV), maltreatment and housing insufficiency.Results: Contact for antenatal visits, 1-4-week check, and hospital admissions (0-7 years) were comparable across both groups. CALD children had more emergency presentations (RD 7.7% points, 95% CI 6.8-8.9). By age 7, more non-CALD children had at least one parent with mental health issues (RD 5.9 [95% CI 5.3-6.6]), AOD (RD 5.8 [95% CI 5.4-6.2]) and housing insufficiency (RD 7.8 [95% CI 6.9-8.6]). The prevalence of other risk factors was similar across both groups.Conclusion: The lower CP contact in CALD children is likely explained by a lower prevalence of CP risk factors and not due to fewer opportunities to be observed in their contact with the three systems.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Giant Cell Hepatitis With Autoimmune Haemolytic Anaemia in a Young Infant: Case Report.

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-03-20 DOI: 10.1111/jpc.70035

Hanan Abouelkhel, Hamza Haj Mohamad, Abdelrahman Nouh, Ahmed Albarkouky, Amna Yahya, Siesta Amin

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