Journal of paediatrics and child health最新文献

{"title":"Profuse Neonatal Haematochezia and the Limits of First Impressions.","authors":"Akihisa Nitta, Shinichiro Tanaka, Chiharu Miyayama, Yuji Oto, Satomi Koyama, Tomozumi Takatani","doi":"10.1111/jpc.70621","DOIUrl":"https://doi.org/10.1111/jpc.70621","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136731","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}

{"title":"Intestinal Lithobezoars in Children: A Case Report of Two Patients With Distinct Aetiologies.","authors":"Sami Al Rawahi, Khaloud Al Mamari, Nawal Al Rasbi, Yusriya Al Rawahi","doi":"10.1111/jpc.70623","DOIUrl":"https://doi.org/10.1111/jpc.70623","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127807","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}

{"title":"Isotretinoin-Associated Paroxysmal Neurological Symptoms in an Adolescent Girl: A Case Report.","authors":"Igor Jarosław Feszak, Piotr Brzeziński, Piotr Kawczak, Tomasz Bączek","doi":"10.1111/jpc.70583","DOIUrl":"https://doi.org/10.1111/jpc.70583","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127780","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}

{"title":"Paediatric-Pharmacy Shared Care Improves Access and Efficiency in Developmental Paediatrics.","authors":"Jasmine Ucas, Ian Hughes, Danielle J Borg, Olivia Holland, Karyn Reynolds, Angela Owens","doi":"10.1111/jpc.70589","DOIUrl":"https://doi.org/10.1111/jpc.70589","url":null,"abstract":"<p><strong>Background: </strong>Rising prevalence of neurodevelopmental disorders, including attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), has increased demand for developmental paediatric services. Ongoing medication review requirements place increasing pressure on paediatrician-led models. Pharmacist-led shared care may improve capacity and access; however, evidence in paediatric outpatient settings remains limited.</p><p><strong>Aim: </strong>To evaluate the impact of a paediatric-pharmacy shared-care model on wait times, service capacity and efficiency compared with medical-only care.</p><p><strong>Methods: </strong>We conducted a two-phase observational study. Phase 1 retrospectively analysed service activity from 2019 to 2024, including patient numbers, occasions of service, wait times, failure-to-attend rates, and financial outcomes. Phase 2 prospectively audited 100 pharmacist-led consultations to characterise clinical activities.</p><p><strong>Results: </strong>Patient numbers increased by 87%, and the proportion receiving pharmacist-led shared care rose from 4.1% to 25.3%. Pharmacy clinics had shorter wait times than medical clinics (1.84 vs. 7.64 months; p < 0.001). Following transition to shared care, median medical occasions decreased from 3 to 2 while total occasions increased from 3 to 5 (both p < 0.001). Pharmacy clinics demonstrated greater revenue efficiency (revenue-to-cost ratio 2.97 vs. 1.73). Pharmacists conducted comprehensive medication reviews including medication counselling, adherence assessment, and non-pharmacological support within a supervised framework.</p><p><strong>Conclusion: </strong>The paediatric-pharmacy shared-care model was associated with shorter wait times, greater cost-efficiency, and redistribution of routine medication reviews to pharmacists, with increased overall review frequency despite fewer medical appointments per patient. Pharmacist reviews were comprehensive and delivered within a supervised framework. These findings support pharmacist-led shared care as a scalable strategy to improve access and workforce capacity in developmental paediatrics.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111177","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}

{"title":"Advancing Predictive Modelling in Neonatal Acute Kidney Injury.","authors":"Aadi Pandya, Arnav Vyas, Sidharth Sethi, Rupesh Raina","doi":"10.1111/jpc.70603","DOIUrl":"https://doi.org/10.1111/jpc.70603","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111144","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}

{"title":"Primary Varicella Infection Presenting as Kaposi Varicelliform Eruption in an Unimmunized Infant With Severe Atopic Dermatitis: A Case Report.","authors":"Anjali Agrawal, Bo Borch-Christensen, Vanessa Gildenstern, Jaron A Smith","doi":"10.1111/jpc.70608","DOIUrl":"https://doi.org/10.1111/jpc.70608","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111210","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}

{"title":"Paediatricians' Support for Adolescent Vaping Cessation in Australia: A National Cross-Sectional Study.","authors":"Naima Nimmi, Bindu Joseph, Habib Bhurawala, Smita Shah, Anita Munoz, Muhammad Aziz Rahman","doi":"10.1111/jpc.70605","DOIUrl":"https://doi.org/10.1111/jpc.70605","url":null,"abstract":"<p><strong>Background: </strong>Adolescent vaping is rising globally and in Australia, and evidence on paediatricians' cessation support is scarce. This study examined predictors of paediatricians' engagement in vaping cessation among adolescents, focusing on disparities in knowledge, attitudes, practices and barriers across various sociodemographic and professional factors.</p><p><strong>Methods: </strong>A nationwide cross-sectional, web-based survey was conducted among paediatricians and paediatric registrars practising across Australia between May and October 2023. Data were collected using a structured questionnaire on demographics, knowledge, attitudes and barriers (28-item Likert scale) and practices adapted from the WHO 5A framework. Multivariable logistic regression was conducted to investigate the association.</p><p><strong>Results: </strong>A total of 90 paediatricians participated, of whom 67.5% were female and 78.8% practised in metropolitan areas. A vast majority (90%) recognised its addictive nature and nearly all (97.7%) of them viewed vaping among adolescents as a gateway to tobacco and other substance use. Only one in three were aware of referral options for cessation, over two-thirds routinely advised against vaping, one in five provided cessation support and one-third arranged follow-up care. Some variation was observed by age and gender; however, evidence of systematic differences by geographic location or primary medical training was limited after adjustment. Senior paediatricians were more likely to recognise EVALI symptoms and less likely to report time constraints. Key barriers included limited referral knowledge, insufficient time and discomfort, which significantly impeded engagement.</p><p><strong>Conclusion: </strong>Although paediatricians recognised vaping as a major concern, their support rarely extended to routine cessation care, demonstrating the need for clearer referral pathways and targeted training.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111128","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}

{"title":"Systemic Factors Associated With Paediatric Dental General Anaesthesia Utilisation in Aotearoa New Zealand: A Scoping Review.","authors":"Sathananthan Kanagaratnam, Philip J Schlüter","doi":"10.1111/jpc.70611","DOIUrl":"https://doi.org/10.1111/jpc.70611","url":null,"abstract":"<p><strong>Aim: </strong>To identify systemic factors associated with paediatric dental general anaesthesia (DGA) utilisation among children aged 0-13 years in Aotearoa New Zealand (NZ), using a multilevel conceptual framework.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with PRISMA-ScR guidelines. Peer-reviewed literature published between 2000 and 2025 was identified through searches of PubMed and Google Scholar. Eligible studies examined paediatric DGA, dental hospitalisation or contributing factors in NZ. Data were extracted and synthesised across four domains: disease burden, service access, treatment pathways and structural and social determinants. Study quality was assessed using the Mixed Methods Appraisal Tool.</p><p><strong>Results: </strong>Sixteen studies were included. Persistent severe early childhood caries was consistently associated with DGA utilisation, particularly among Māori, Pacific and socioeconomically disadvantaged children. Health system factors-including delayed access to community oral health services, missed appointments, workforce constraints and variation in referral practices-were also associated with increased hospitalisation. Treatment-related factors, including restoration failure and repeat DGA, contributed to service demand, although evidence was primarily observational. Structural and social determinants, including socioeconomic deprivation and access barriers, influenced both disease burden and service engagement. Evidence regarding migration was limited and inconclusive.</p><p><strong>Conclusions: </strong>Increasing paediatric DGA utilisation in NZ is associated with interacting clinical, health system and structural factors. As the current evidence base is largely observational, causal inference is limited. Reducing demand will likely require coordinated prevention-focused strategies, improved service access and continuity and attention to structural and social inequities, supported by further research.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111117","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}

{"title":"Congenital Ichthyosis and Jordans' Anomaly: A Diagnostic Clue to Chanarin-Dorfman Syndrome.","authors":"Harun Yildirim, Sule Caliskan Kamis, Onur Recep Gunduz, Savas Ozturk, Ebru Aydin Yildirim","doi":"10.1111/jpc.70552","DOIUrl":"10.1111/jpc.70552","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":"2058-2061"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794501","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}

{"title":"Phakomatosis Pigmentovascularis Type IIb With Sturge-Weber Syndrome Presenting as Stroke-Like Episodes.","authors":"Sneha Vaidya, Rajwanti Vaswani, Sonu Antony, Gayatri Deshmukh, Rachel Julie Noronha","doi":"10.1111/jpc.70548","DOIUrl":"10.1111/jpc.70548","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":"2070-2073"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148840304","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}