Journal of paediatrics and child health最新文献

{"title":"Oral Health Inequities: Using Every Opportunity for Opportunistic Oral Healthcare","authors":"John M. D. Thompson,&nbsp;Jessica Wilson,&nbsp;Catherine A. Byrnes,&nbsp;Hugh Trengrove,&nbsp;Pauline Koopu,&nbsp;Corina Grey,&nbsp;Alison Leversha","doi":"10.1111/jpc.70156","DOIUrl":"10.1111/jpc.70156","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aim of this study was to determine if caries-free rates and the number of teeth affected by caries in children from inpatient, day stay, and specialist outpatient clinic groups differed significantly from the population and by ethnicity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We extracted admissions for general medical admissions (inpatient) and day stay surgery for grommets (day stay) for 2019 from Starship Children's Hospital, Auckland, New Zealand, and children on the Auckland bronchiectasis register (specialist outpatient clinic). Oral health data was extracted from the Auckland Regional Dental Service database until the end of 2021. The primary outcome was caries free at approximately 5 years of age (±1 year) and the secondary outcome was decayed, missing, filled teeth (dmft) score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were significant differences in the caries free rates and dmft scores by ethnicity at the population level and across all three selected patient groups. Compared to the ARDS population, neither the proportion with caries nor the number of teeth affected were different in the inpatient or day stay groups within ethnic groups. These patient groups were less likely to have an oral health record than the ARDS population. The specialist outpatient clinic group had significantly lower caries free status than the ARDS population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Poor oral health pervades children in the Auckland region with significant inequities. Structures and systems committed to reducing inequities for Māori and other underserved populations (including Pacific peoples) need to be developed urgently to improve access and uptake of the free service including the opportunistic circumstance of hospital appointments and admissions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 10","pages":"1612-1620"},"PeriodicalIF":1.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Enduring Passion for Paediatric Radiology","authors":"Michael Ditchfield,&nbsp;Lee Coleman,&nbsp;Christine Rodda","doi":"10.1111/jpc.70141","DOIUrl":"10.1111/jpc.70141","url":null,"abstract":"&lt;p&gt;Dr. Valerie Mayne was a pioneering force in Australian radiology. Her career spanned more than five decades and paralleled the transformation of medical imaging. Beginning in the era of plain films, fluoroscopy, and handwritten reports, she witnessed and helped shape the evolution of radiology through ultrasound, CT, MRI, and digital imaging.&lt;/p&gt;&lt;p&gt;Val graduated from the University of Melbourne in 1961, one of just 12 women in her class. After completing her residency in Ballarat (1962–1963), she began her 4-year radiology training at St. Vincent's Hospital, Melbourne, on the completion of which she was appointed to the Radiology Department at Melbourne's Royal Children's Hospital (RCH), where her career flourished.&lt;/p&gt;&lt;p&gt;From 1972 to 1976, Val served as Deputy Director of Radiology at RCH, becoming the first woman appointed Director in 1976. She held this role until 1981 and was instrumental in introducing ultrasonography to the Department, earning her Diploma in Medical Ultrasound in 1980. Val's focus later turned to skeletal dysplasia, an area in which she became an internationally recognised expert. Initially working closely with Professor David Danks and geneticist Dr. John Rogers, she co-founded the RCH bone dysplasia X-ray library, a resource that supported research and diagnosis for decades. Val's exceptional expertise in the radiological diagnosis of rachitic bone disease and bone dysplasias was widely recognised throughout her career. In more recent years, she worked closely with Professor Ravi Savarirayan, clinical geneticist and Group Leader of Skeletal Biology and Disease at Murdoch Children's Research Institute, Melbourne, until her retirement in 2021; her publications in this area spanned a period of four decades, and her contributions in this field continued well into her 80s.&lt;/p&gt;&lt;p&gt;Val also held senior positions at Nepean Hospital, including Director of Medical Imaging (1998–2003) and Area Director for the Wentworth Area Health Service. She was instrumental in establishing Nepean's first MRI unit during this period.&lt;/p&gt;&lt;p&gt;At 67, Val returned to Melbourne—not to retire, but to continue her clinical and academic work at Monash Medical Centre and RCH. She officially retired from RCH in 2021 at the age of 85 years, concluding a remarkable 55-year career.&lt;/p&gt;&lt;p&gt;Val was a founding member of the Australian Society of Paediatric Imaging and, in 2010, was awarded Life Membership of the Royal Australian and New Zealand College of Radiologists in recognition of her immense contributions to radiology, education, and research. In 2014, she received the Elizabeth Turner Medal, the highest peer accolade at RCH, for exceptional clinical care.&lt;/p&gt;&lt;p&gt;Known for her candour, intellect, and compassion, Val mentored generations of radiologists. She was unflinching in her opinions but always acted with integrity, warmth, and charm. Her legacy lives on in the many she taught and inspired.&lt;/p&gt;&lt;p&gt;Born in the mid-1930s, Val was a devoted wife and mother","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 9","pages":"1531-1532"},"PeriodicalIF":1.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Paediatric Surgical Teaching and Learning in a Medical Program Through Online Learning","authors":"Stephanie I. Bowen,&nbsp;Hasantha Gunasekera,&nbsp;Jennifer L. Anderson,&nbsp;Andrew J. A. Holland,&nbsp;S. V. S. Soundappan,&nbsp;Karen M. Scott","doi":"10.1111/jpc.70154","DOIUrl":"10.1111/jpc.70154","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Surging Australian medical student numbers over the past two decades have strained hospital teaching capacity, impacting student exposure to paediatric surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Improving access to education in paediatric surgery for medical students by creating an online learning module and evaluating its efficacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To determine learning needs, we conducted two medical student focus groups in September 2018 and anonymous evaluation surveys, using 5-point Likert scales. Using feedback, local curricula guidelines and curricula from other medical schools, medical educators and paediatric surgeons created an online self-directed learning module, implemented in October 2018. Post-implementation, we used mixed methods to assess effectiveness, including additional focus groups the following month and evaluation surveys. Pre- and post-intervention assessment results were compared. We analysed quantitative data using descriptive statistics and qualitative data using inductive content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Over the study period there were 919 students. Eighteen participated in pre-implementation focus groups. Sixteen participated in post-implementation focus groups. There were 109 student feedback survey responses. Pre-implementation, there was dissatisfaction with paediatric surgical teaching, including inadequate framework, inconsistencies in teaching quality, and inequity in teaching quantity. Post-implementation, students exhibited high levels of satisfaction with teaching quality and quantity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The online learning module improved access to, and satisfaction with, paediatric surgery learning, enabling equitable distribution of educational material. There may be a broader role for online learning for undergraduate surgical education, particularly where there are accessibility issues, but further research and analysis are required.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 10","pages":"1604-1611"},"PeriodicalIF":1.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiological Stability During Kangaroo Mother Care Among Very-Low-Birthweight Premature Infants, Supported by Non-Invasive Respiratory Support","authors":"Jhonatan Harari,&nbsp;Arieh Riskin,&nbsp;Julia Titarchuk,&nbsp;Adir Iofe,&nbsp;Ori Hochwald,&nbsp;Liron Borenstein-Levin","doi":"10.1111/jpc.70153","DOIUrl":"10.1111/jpc.70153","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the changes in oxygenation and heart rate (HR) stability among very low birth weight (VLBW) premature infants supported by non-invasive ventilation (NIV) during kangaroo mother care (KMC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective observational pilot study. 30-min SpO₂ and HR histograms of VLBW infants supported with NIV were documented before, during, and after KMC. A validated classification system was used to classify each histogram as stable/unstable, based on the distribution of the histogram and the time spent in SpO₂ ≤ 80%. Time spent in different SpO₂ ranges was also calculated from the histogram.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-seven infants were included in the study (mean ± SD gestational age 27.6 ± 1.7, birth weight 1010 ± 237 g). Oxygenation stability and time spent in different SpO₂ ranges before, during, and after KMC were comparable. Infants spent more time within the normal HR range of 120–160 bpm during KMC as compared to the period before. No clinically significant differences in min-max FiO₂, number of apnea events, or body temperature were observed during the three study periods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>During KMC among VLBW premature infants supported by NIV, oxygenation stability was maintained and HR stability improved. These findings should reassure care teams and parents regarding the safety of KMC among this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 10","pages":"1598-1603"},"PeriodicalIF":1.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Australasian Bronchiolitis Guideline: 2025 Update","authors":"Meredith L. Borland,&nbsp;Kate Loveys,&nbsp;Franz E. Babl,&nbsp;Elizabeth Cotterell,&nbsp;Libby Haskell,&nbsp;Sharon O’Brien,&nbsp;Ed Oakley,&nbsp;Catherine L. Wilson,&nbsp;Jane Alsweiler,&nbsp;David Armstrong,&nbsp;Simon S. Craig,&nbsp;Nigel W. Crawford,&nbsp;Dianne Crellin,&nbsp;Sonja Crone,&nbsp;Trevor Duke,&nbsp;Shane George,&nbsp;Christine Jeffries-Stokes,&nbsp;Nidhi Krishnan,&nbsp;Anna Lithgow,&nbsp;Ken Peacock,&nbsp;Tomas Ratoni,&nbsp;Peter Richmond,&nbsp;Annie Smith,&nbsp;Rebecca Starkie,&nbsp;David Thomas,&nbsp;Alexandra Wallace,&nbsp;Michael Zhang,&nbsp;Emma Tavender,&nbsp;Stuart R. Dalziel,&nbsp;the Paediatric Research in Emergency Departments International Collaborative (PREDICT) Network, Australasia","doi":"10.1111/jpc.70144","DOIUrl":"10.1111/jpc.70144","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To provide updated evidence-based clinical guidance in the management of infants with bronchiolitis presenting to emergency departments (EDs), general paediatric, or intensive care units (ICUs) in Australia and Aotearoa New Zealand (AoNZ) following the first publication in 2016.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The Paediatric Research in Emergency Departments International Collaborative (PREDICT) network guideline working group appraised, summarised, and updated evidence from 1 January 2000 to 24 January 2024 addressing 41 questions (30 from the 2016 guideline and 11 new questions for 2025). Recommendations were developed using GRADE methodology and revised after a period of external consultation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The literature search identified 26 467 citations with 431 included in 41 recommendations providing 11 new and 7 key updates. The key changes included: (i) refinement of the clinical features of bronchiolitis, (ii) addition of new risk factors for severity of illness, (iii) advice on the role of biomarkers for unexpected deterioration or admission to ICU, (iv) guidance on glucocorticoids in SARS-CoV-2 co-infection, (v) guidance on combined glucocorticoids/inhaled epinephrine in severe bronchiolitis requiring ICU level care, (vi) refinement of oxygen saturation targets, (vii) guidance on humidified high flow therapy and continuous positive airway pressure, (viii) recommendation on use of RSV prevention therapies/immunisations for babies and mothers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The updated Australasian Bronchiolitis Guideline provides clinicians across Australasian settings with the latest evidence-based guidance on the management of the commonest condition in infancy requiring hospital admission.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 8","pages":"1197-1215"},"PeriodicalIF":1.4,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70144","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technology-Facilitated Sexual Abuse and Exploitation of Children Is Everyone's Problem; How Can Healthcare Practitioners Respond to the Second Global Pandemic of the 21st Century? A Narrative Review","authors":"Joanna Tully,&nbsp;Susan McLean,&nbsp;Janine Rowse","doi":"10.1111/jpc.70148","DOIUrl":"10.1111/jpc.70148","url":null,"abstract":"<p>Sexual harm of children online is commonplace. The proposed ban on social media for children under 16 in Australia has been met with mixed responses about its likely effectiveness in preventing harm, as well as the possible negative effect on caregiver vigilance and children's willingness to report. Consideration of the possibility of online sexual harm may now be even more important, and healthcare practitioners are well placed in their interactions with children and caregivers to provide advice and recognise and respond to concerns. This article explores the spectrum of Technology-Facilitated Child Sexual Abuse and Exploitation (TFCSAE) and provides guidance for practitioners, including around recognising alerting signs, useful tips for caregivers, a suggested framework for conversations with children, as well as including helpful resources for children and families. The need for the development of specific training for healthcare practitioners in Australia in relation to the recognition and response to TFCSAE is discussed.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 9","pages":"1378-1384"},"PeriodicalIF":1.4,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70148","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obesity, Diet, Physical Activity and Sleep in Argentinian Adolescents Before and After the COVID-19 Lockdown","authors":"Alicia B. Orden,&nbsp;Fabrizio Catalani,&nbsp;Javier A. Fraire,&nbsp;Noelia Deltetto,&nbsp;Analisa Beneitez,&nbsp;Lucia Martin,&nbsp;Marcos A. Mayer","doi":"10.1111/jpc.70151","DOIUrl":"10.1111/jpc.70151","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>There have been numerous studies on the health effects of the COVID-19 lockdown, but long-term effects remain unknown. This study compares the pre- and postpandemic periods to assess changes in lifestyle habits affecting weight in adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a longitudinal prospective study on a cohort of 378 Argentinian adolescents assessed in 2019 and 2022. Anthropometric data included body mass index (Z_BMI) and waist-to-height ratio (WHtR). Lifestyle habits encompassed sleep, time to sleep, daily physical activity (DPA) and diet quality index (DQI). Changes in these outcomes were assessed by nonparametric two-way repeated measures analysis of variance (ANOVA) according to sex, BMI status at baseline and socioeconomic status (SES).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The WHtR increased significantly from baseline to follow-up regardless of sex and SES, with no changes in BMI. The DQI increased with higher SES. From baseline to follow-up, there was a significant increase regardless of sex or SES. In contrast, changes in DPA were associated with BMI status at baseline, being significantly higher in overweight subjects at follow-up. Sleep shortening with increased interval between bedtime and falling asleep was consistent across all groups, with boys having the greatest increase in sleep time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The observed increase in abdominal obesity and worsening of sleep patterns could be consequences of a prolonged COVID-19 lockdown, whose deleterious effects on adolescent health require further research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 10","pages":"1589-1597"},"PeriodicalIF":1.4,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659487","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":"Methodology of the Updated and Expanded Australasian Bronchiolitis Guideline","authors":"Kate Loveys,&nbsp;Emma J. Tavender,&nbsp;Franz E. Babl,&nbsp;Elizabeth Cotterell,&nbsp;Libby Haskell,&nbsp;Sharon O’Brien,&nbsp;Ed Oakley,&nbsp;Catherine Wilson,&nbsp;Meredith L. Borland,&nbsp;Stuart R. Dalziel,&nbsp;the Paediatric Research in Emergency Departments International Collaborative (PREDICT) Network","doi":"10.1111/jpc.70145","DOIUrl":"10.1111/jpc.70145","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bronchiolitis is the most common reason for hospital admission in infants in Australia and Aotearoa New Zealand (AoNZ), with care historically affected by practice variation, including use of ineffective therapies. The Paediatric Research in Emergency Departments International Collaborative (PREDICT) developed the first Australasian (Australia, AoNZ) bronchiolitis guideline in 2016, providing evidence-based guidance on the management of infants (&lt; 12 months of age), presenting or admitted to hospital with bronchiolitis. In 2022, PREDICT initiated a guideline update to include new evidence and expand the scope to include intensive care (up to intubation), management of SARS-CoV-2 co-infection, and respiratory syncytial virus prevention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This article outlines the methodology used in the guideline update, following AGREE and CheckUp reporting standards.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A Guideline Advisory Group and Guideline Development Committee, consisting of 29 clinical and methodological experts from Australasia, developed the guideline with consumer input. Forty-one scoping questions on 25 topics were investigated. Systematic searches were performed by a subject librarian across five electronic databases (last search 24/01/24). Screening of 13,932 new articles occurred independently, in duplicate in two stages. The results of 431 articles were synthesized narratively and quantitatively where appropriate, per topic. Risk of bias was evaluated using appropriate tools. GRADE methodology was used to assess evidence quality and develop the recommendations, which were finalised through consensus voting across three guideline development meetings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The update produced 41 recommendations (33 evidence-based, 8 consensus-based; including 11 new and 7 with key revisions), covering bronchiolitis investigations, management and RSV prevention. Interest-holder groups consulted on the recommendations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Australasian Bronchiolitis Guideline was updated and expanded according to AGREE and CheckUp reporting standards.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 8","pages":"1169-1181"},"PeriodicalIF":1.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144649770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of a Ward Round Teaching Tool in a Paediatric Oncology Department","authors":"Trisha A. Soosay Raj,&nbsp;Natacha Omer,&nbsp;Amy Z. Gray","doi":"10.1111/jpc.70155","DOIUrl":"10.1111/jpc.70155","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Despite ward rounds being fundamental to hospital-based clinical training, the reported educational value is low. Especially in busy environments, missed learning opportunities occur due to implicit learning, time barriers, and lack of ward round structure. The STIC framework (<i>S</i>et, <i>T</i>arget, <i>I</i>nspect, <i>Close</i>) provides a learner-centred, structured approach to ward round teaching, aimed to enhance education within limited timeframes. We aimed to investigate how the introduction of the STIC framework impacts on learner-centred teaching within a tertiary Paediatric Oncology department.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed-methods approach was used to evaluate framework implementation, with two participant groups comprising 16 junior and senior doctors over 3 months. Surveys were used to document junior staff experience on rounds pre- and post-implementation, with focus groups and interviews used for all participants to explore satisfaction and attitudes to the tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Learner satisfaction improved across all domains of the framework, specifically opportunities for leading clinical encounters and learning on consultant-led rounds. Despite consultants reporting lack of uptake, trainees reported improved teaching. Consultant beliefs and enthusiasm had a strong impact on trainee satisfaction. Trainees placed a high value on active participation and autonomy for their learning. Factors distinct to teaching were reported to affect learner satisfaction, such as planning, time management, and departmental culture.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We demonstrate enhanced teaching despite poor perceived uptake, demonstrating the potential of the STIC framework with further implementation. Our study also highlights that in addition to a specific teaching focus, consultant engagement and a safe clinical learning environment are crucial for learning.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 10","pages":"1582-1588"},"PeriodicalIF":1.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144649771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weakness, Abdominal and Limb Pain in a 17-Year-Old With Type 1 Diabetes","authors":"Yasmin Abohalima,&nbsp;Hernan Gonorazky,&nbsp;Elizabeth Pulcine,&nbsp;Jacob Joel Kirsh Carson,&nbsp;Anierhe E. Joan Abohweyere,&nbsp;Vinay Kukreti","doi":"10.1111/jpc.70130","DOIUrl":"10.1111/jpc.70130","url":null,"abstract":"&lt;p&gt;A previously healthy 17-year-old male presented to the emergency department (ER) with a month-long history of widespread abdominal pain, non-bilious vomiting and early satiety, notably 3 months after a new diagnosis of type 1 diabetes mellitus (T1DM). He was afebrile with no history of bloody stools, and a negative review of constitutional, genitourinary, cardiovascular, respiratory and neurological systems. A recent CT of his abdomen showed no evidence of mechanical obstruction. This had been the patient's fourth ER visit for abdominal pain in the last 2 months. Since his T1DM diagnosis, he had been adherent to his insulin regimen, and his most recent glycosylated haemoglobin (HbA1c) was 8.5%, a reduction from 13.6% at diagnosis. Upon admission, his point-of-care glucose was elevated, however, blood gas analysis was within normal values, and there was no biochemical evidence to support a diagnosis of diabetic ketoacidosis. Whilst in the hospital, gastroenterology was consulted, and a scintigraphic gastric emptying test was performed, confirming delayed gastric emptying. However, despite treatment with domperidone, his abdominal pain remained refractory to best medical management, and he developed several new symptoms. He began to complain of a symmetrical burning pain, followed by paresthesia, in his ankles, gradually ascending to his mid-calves, with associated objective weakness in his feet, ankles and knees. He was found to have several autonomic symptoms, including systolic hypertension ranging from 140–150/90–110 mmHg, with a tachycardia of 100–120 bpm. His neurologic review of symptoms was negative for focal neurological signs and symptoms, headaches, vision loss, cranial neuropathies and bowel or bladder dysfunction.&lt;/p&gt;&lt;p&gt;On exam, the patient had normal function of his cranial nerves, diminished power of 4/5 along his feet, ankles and knees bilaterally, +1 reflexes at the knees and absent reflexes at the ankles. In the lower extremities, there was a diminished pinprick, temperature, pain and vibration sensation below the knees with significant allodynia. His neurologic exam in his upper extremities was normal. He had normal pulmonary effort, a normal cardiovascular exam, a normal abdominal exam and no lymphadenopathy.&lt;/p&gt;&lt;p&gt;There was no family history of autoimmune diseases or neurological disorders.&lt;/p&gt;&lt;p&gt;The patient's blood work was within normal limits, with normal haemoglobin concentration (160 g/L), white count (7.0 × 10E9/L), neutrophils (4.7 × 10E9/L) and pH (7.38). Biochemical markers were normal, including creatinine (75 μmol/L), urea (4.4 mmol/L), and thyroid hormone (3.69 mIU/L), with negative urine ketones. Further investigations, including vitamin B12 (456 pmol/L) and vitamin E (alpha tocopherol 11.5 μmol/L, gamma tocopherol 2 μmol/L) were within normal ranges. A lumbar puncture showed elevated protein (0.76), elevated albumin (0.511), with a normal nucleated cell count (1.0) and negative CSF inflammatory markers in keepi","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 9","pages":"1520-1522"},"PeriodicalIF":1.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}