Journal of paediatrics and child health最新文献

{"title":"Unstructured Parental Feedback at A Tertiary Maternity Hospital: A Cohort Study Using Routinely Collected Health Data.","authors":"Mohamed E Abdel-Latif, Junyu Cheng, David A Todd, Deborah Davis, Naif Alzahrani, Hazel Carlisle, Rafat Hussain","doi":"10.1111/jpc.16788","DOIUrl":"https://doi.org/10.1111/jpc.16788","url":null,"abstract":"<p><strong>Background: </strong>Hospital care for neonates can be challenging for parents, and a negative parental experience can affect the well-being of the infant after discharge. A family-centred approach is the gold standard of care in neonatology.</p><p><strong>Aim: </strong>This study aimed to identify common themes in voluntary unstructured feedback received from parents and caregivers of infants admitted to the neonatal intensive care unit, special care nursery or postnatal ward or followed up by neonatal outpatient services at a tertiary Australian Women and Children's Hospital. These findings are intended to inform the development of effective family-centred neonatal care approaches.</p><p><strong>Methods: </strong>This single-centre observational study used routinely collected unstructured parental voluntary feedback received between 2010 and 2021. All feedback is entered prospectively in the online consumer feedback module of a reporting database (RiskMan). Deductive thematic analysis (whereby themes, codes and categories were chosen prior to the analysis) was used to analyse the extracted quotations.</p><p><strong>Results: </strong>During the study period, 3533 unstructured feedback items were received. Most of the feedback received was compliments (2725/3533, 77.1%). The main feedback category was 'staff competency and efficiency', which accounted for 80.8% (2201/2755) of the compliments and 45.0% (364/808) of the complaints. Most complaints were from outpatient services and postnatal wards and centred around 'infrastructure and systems' (280/808, 34.7%) and 'information, explanation and communication' (152/808, 18.8%).</p><p><strong>Conclusions: </strong>Parental satisfaction was positively affected by 'staff competency and efficiency'. This study supports collecting and analysing unstructured feedback to reflect parental experiences and drive quality improvement.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007112","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":"Identifying High-Risk Patients for Paediatric Unplanned Readmissions: Insights From a Western Sydney Hospital.","authors":"Owen Wraight, Huma Sadulla, Gary Low, Anthony Liu, Habib Bhurawala","doi":"10.1111/jpc.16782","DOIUrl":"https://doi.org/10.1111/jpc.16782","url":null,"abstract":"<p><strong>Aim: </strong>To identify factors and diagnoses associated with unplanned readmission of paediatric patients to a Western Sydney metropolitan hospital.</p><p><strong>Method: </strong>A retrospective cross-sectional study on paediatric patients admitted to a non-tertiary hospital in Western Sydney from January 2017 to December 2022. Multivariate modelling was used to determine demographic factors and diagnoses associated with unplanned readmission.</p><p><strong>Results: </strong>1334 (6.3%) of 21 262 admissions had an unplanned readmission within 28 days of the initial admission. Being First Nations had an OR of 1.31 (95% CI 1.11-1.54), while each additional day of admission had an OR of 1.05 (95% CI 1.03-1.07). Increasing age had an OR of 0.95 (95% CI 0.93-0.96) per year, and those admitted during the COVID pandemic had an OR of 0.61 (95% CI 0.54-0.69). A diagnosis of diabetes was found to have an OR of 2.36 (95% CI 1.45-3.84) and bronchiolitis an OR of 1.9 (95% CI 1.53-2.36), whereas a diagnosis of injury had an OR of 0.76 (95% CI 0.58-0.99) and otitis media an OR of 0.23 (95% CI 0.11-0.49).</p><p><strong>Conclusions: </strong>Being First Nations and having a longer length of stay increased the likelihood of unplanned readmission in paediatric patients, while older age and admission during the COVID pandemic decreased the likelihood. A diagnosis of diabetes or bronchiolitis, among others, increased the likelihood of unplanned readmission. Conversely, a diagnosis of injury or otitis media decreased the likelihood of unplanned readmission. This lays the groundwork for further research and targeted interventions to reduce unplanned readmissions and associated costs.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006771","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":"Circumstances Versus Efforts: Dissecting the Drivers of Adolescent Obesity Inequality.","authors":"Kangkang Zhang, Jiaxue Fan, Xinpeng Xu, Hua You","doi":"10.1111/jpc.16784","DOIUrl":"https://doi.org/10.1111/jpc.16784","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have focused predominantly on socioeconomic disparities in adolescent obesity, but the sources of inequality may be more extensive.</p><p><strong>Objectives: </strong>We aim to quantify and decompose the inequality of opportunity (IOp) in adolescent obesity caused by circumstances and examine the indirect effects of these circumstances on obesity through key effort factors.</p><p><strong>Methods: </strong>Based on the IOp framework and previous evidence, we categorised age, gender, socioeconomic status, and family-school environments of adolescents (N = 9117) as circumstances and obesity-related behaviours as efforts. The IOp was quantified and decomposed to determine the contribution of each circumstance. We also analysed the association between sleep debt and the circumstances to calculate the magnitude of indirect effects.</p><p><strong>Results: </strong>Of the obesity-related behaviours, only sleep debt showed a significant association with obesity (OR = 1.21, p < 0.05). Age and gender contributed 45.97% to the IOp, whereas socioeconomic status contributed 10.43% and family-school environments contributed 43.59%. Older and female adolescents whose fathers held high-status occupations tended to suffer from obesity due to sleep debt, while the opposite was true for adolescents whose mothers exercised, only children, boarders, high school students, and those from wealthier families.</p><p><strong>Conclusions: </strong>Family-school environments contribute much greater to the IOp in adolescent obesity than socioeconomic status, and sleep debt plays an essential mediating role. The government bears the responsibility to undertake corresponding prioritised actions.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006844","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":"Study of Children Aged Under 2 Years Admitted With RSV at Four Australian Hospitals [2021–2022]","authors":"Nigel W. Crawford,&nbsp;Annette Alafaci,&nbsp;Julia E. Clark,&nbsp;Joshua R. Francis,&nbsp;Christopher C. Blyth,&nbsp;Catherine Pienaar,&nbsp;Cara Minney-Smith,&nbsp;Sonia Dougherty,&nbsp;Anjalee Panditha,&nbsp;Laura Francis,&nbsp;Ian G. Barr","doi":"10.1111/jpc.16769","DOIUrl":"10.1111/jpc.16769","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Primary aim was to review severe acute respiratory infections (SARI) hospitalisations caused by respiratory syncytial virus (RSV) in children aged &lt; 2 years in paediatric hospitals in Australia. Secondary aims included RSV subtyping, assessing RSV seasonality and contributing to the World Health Organisation's RSV surveillance programme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We prospectively reviewed the medical records of children (&lt; 2 years of age) with a confirmed SARI who were admitted to one of four major Australian paediatric hospitals and had a respiratory sample analysed by Polymerase Chain Reaction (PCR). A detailed dataset was completed for RSV positive cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between 1 January 2021 and 31 December 2022, 2290 RSV (laboratory-confirmed) admissions were identified (53.4% of all SARI admissions). Approximately 50% of all RSV cases were aged 0–6 months. RSV-A predominated in 2021 with peak infections observed in summer while in 2022 RSV-B predominated with peak infections in the more traditional winter months.</p>\u0000 \u0000 <p>The median total length of stay (LOS) for RSV positive admissions was 46 h (IQR: 22–82 h). 9% of these children required an ICU admission with a prolonged median LOS 68 h (IQR: 40–112 h). Respiratory support utilisation was consistent over the 2 years. 1.8% required mechanical ventilation; 4.6% continuous positive airway pressure; 23.3% high flow oxygen; and 50.8% low flow oxygen.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>RSV in children continues to cause a significant disease burden at Australian tertiary paediatric centres. Ongoing hospital surveillance is required to document the impact of RSV preventative therapies that have become available in 2024.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 3","pages":"482-490"},"PeriodicalIF":1.6,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.16769","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007110","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":"Paediatric Acute Urinary Retention in Central Queensland","authors":"Samah Nasr,&nbsp;Jian Yang Lim,&nbsp;Saseema Sammani Nugapitiya,&nbsp;Dong Yu,&nbsp;Arifuzzaman Khan,&nbsp;Sunday Pam","doi":"10.1111/jpc.16779","DOIUrl":"10.1111/jpc.16779","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The aetiology of paediatric acute urinary retention (PAUR) is poorly documented across English medical literature and none from Australasia. This study aimed to document incidence, aetiology and associated time to diagnoses and treatment of PAUR in regional Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a retrospective study of children aged 0–17 years at presentation to two regional hospitals from 01.01.2008–31.12.2018. Data were extracted from patient files following a search for documented cases of acute urinary retention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 56 presentations from 53 children with sex ratio (M:F) of 1.4:1. The median age at presentation was 5.9 (IQR 2.8, 13.3) years, with bimodal peaks at 2–4 years and 12–16 years. Using Poisson regression model, the population incidence increased over the period (<i>p</i> &lt; 0.05). The commonest aetiologies were post-operative (13; 23%), medications excluding anaesthesia (7; 13%), urinary tract infection (UTI) (6; 11%) and phimosis/balanitis (6; 11%), faecal impaction (6; 11%), neoplasia (5; 9%) and uncertain (10; 18%). Time to diagnosis had a median of 3 (IQR 0,14.5) h and a mean of 9.2 (±13.7) h. Time to treatment had a median of 0 (IQR 0,2.5) h and a mean of 3.6 (±11.2) h. Most cases (43/47; 92%) had successful urethral catheterisation, with one requiring suprapubic tap. Nine cases (16%) spontaneously resolved. Analgesia was provided in 49 cases (88%). Majority (40; 71%) were discharged and 15(27%) cases referred.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The most common aetiologies for PAUR were post-operative causes, medication use, UTI, phimosis/balanitis and faecal impaction, all providing opportunities for intervention. The incidence significantly increased over time. Diagnoses and treatment were early in most cases.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 3","pages":"465-471"},"PeriodicalIF":1.6,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.16779","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006778","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":"Angiostrongylus cantonensis Meningo-Encephalitis in Children—Heightened Awareness Needed During Prolonged Wet Weather Conditions","authors":"Nadia Hasan,&nbsp;Clare Nourse,&nbsp;Claire Heney,&nbsp;Rogan Lee,&nbsp;Vishal Kapoor,&nbsp;Angela Berkhout","doi":"10.1111/jpc.16780","DOIUrl":"10.1111/jpc.16780","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p><i>\u0000 Angiostrongylus cantonensis,</i> the leading cause of eosinophilic meningoencephalitis, is well established in eastern Australia. Prolonged wet weather in Queensland during 2021–2022 coincided with anecdotal reports of increased neuroangiostrongyliasis cases, prompting an evaluation of paediatric cases from 2013 to 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective observational study reviewed children (0–16 years) with cerebrospinal fluid (CSF) eosinophilia (≥ 10% of the total CSF leukocyte count) and/or <i>A. cantonensis</i> testing (serology or polymerase chain reaction) between 01/01/2013 and 31/12/2022, using statewide laboratory data and patient records.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighty children were identified: 59 (74%) had CSF eosinophilia without <i>A. cantonensis</i> testing, 9 (11%) had CSF eosinophilia with <i>A. cantonensis</i> testing, and 12 (15%) had <i>A. cantonensis</i> testing without CSF eosinophilia. Neuroangiostrongyliasis was either proven or probable in seven children: five (71%) during 2021–2022, coinciding with prolonged wet weather. A significant positive correlation was observed between rainfall and case numbers (<i>r</i> = 0.88, <i>p</i> &lt; 0.01). Median age of diagnosed children was 4 years (IQR 1.8–8.5, range 1.5–13 years) and five (71%) were male. Snail or slug exposure was reported in four (57%) children. All children presented with vomiting, and six also had a headache and focal neurology (86%). Abnormal neuroimaging was noted in six (86%) cases. Five children received corticosteroid therapy alone (71%), while two (29%) were managed conservatively. There were no deaths, but one child had persistent focal neurological abnormalities at discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Awareness of <i>A. cantonensis</i> and exposure risks is crucial, especially during prolonged wet weather conditions. While most children in this study had good outcomes, this is not always the case.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 3","pages":"472-481"},"PeriodicalIF":1.6,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.16780","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006840","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 Effect of Swing on Stress and Comfort in Premature Newborns: A Randomised Controlled Trial.","authors":"Hediye Karakoç, Arzu Çiftçi, Büşra Ayhan","doi":"10.1111/jpc.16785","DOIUrl":"https://doi.org/10.1111/jpc.16785","url":null,"abstract":"<p><strong>Objectives: </strong>The study was conducted to investigate the effect of swing on stress and comfort in premature newborns who could not be reunited with their mothers.</p><p><strong>Methods: </strong>The study was conducted in a randomised controlled experimental design. The intervention group included newborns who received swing intervention (n = 64) and the control group included newborns who did not receive swing intervention (n = 64). Research data were collected using Newborn Information Form, Premature Infant Comfort Scale and ALPS neo newborn pain and stress assessment scale. The research data were collected two times, before and after the intervention was completed.</p><p><strong>Result: </strong>Experimental and control groups were similar regarding descriptive characteristics. There was no difference between the groups after the swing intervention (p > 0.05). It was determined that there was no significant difference between the groups in terms of comfort levels before and after the swing intervention (p > 0.05). When the intra-group mean scores were compared, it was determined that the comfort level increased in the intervention group before and after the swing intervention, and there was a significant difference between the mean scores (p = 0.028).</p><p><strong>Conclusion: </strong>It was determined that swing intervention did not affect the stress and comfort level of the newborn.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007111","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":"Sitosterolemia-An Underdiagnosed and Heterogeneous Lipid Disorder. A Case Series From a Tertiary Care Centre in Australia.","authors":"Dilhara Gamage, Kerryn Chisholm, Tatjana Kilo, Siew Ean Ooi, Shubha Srinivasan","doi":"10.1111/jpc.16778","DOIUrl":"https://doi.org/10.1111/jpc.16778","url":null,"abstract":"<p><strong>Aims: </strong>Sitosterolemia, is a disorder of increased plant sterol levels leading to a variable presentation and haematological manifestations. Although considered rare, the prevalence is likely underestimated due to the variable phenotype and challenges in diagnosis. The delayed diagnosis may lead to cardiovascular complications. We reviewed the presentation and management of patients with sitosterolemia in our clinic.</p><p><strong>Method: </strong>We report 4 children aged 18 months to 18 years with variable manifestations from xanthomas to haemolytic anaemia who were subsequently confirmed to have sitosterolemia on genetic testing.</p><p><strong>Results: </strong>One patient presented with xanthomas, two patients with haematological manifestations and the other with an abnormal lipid profile. All patients had a strong family history of lipid disorders and cardiovascular disease at a young age. All patients had confirmatory genetic testing and were managed with dietary adjustments and ezetimibe resulting in improvement of lipid and haematological profiles.</p><p><strong>Conclusion: </strong>Sitosterolemia is a likely underdiagnosed lipid disorder due to variable phenotype and specialised genetic and biochemical diagnostic tests. Early diagnosis and treatment fully reverse the clinical manifestations and associated complications.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006790","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":"Evaluating Paediatric Injury Hospitalisations From Indoor Trampoline Parks Across Australia: A Multi-Centre Study","authors":"Kei Yan Tsoi,&nbsp;Lisa N. Sharwood,&nbsp;Guy D. Eslick,&nbsp;Carlos Nunez,&nbsp;Anne Morris,&nbsp;Nicole Williams,&nbsp;Christine Erskine,&nbsp;Susan Adams","doi":"10.1111/jpc.16770","DOIUrl":"10.1111/jpc.16770","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The introduction and increasing popularity of indoor trampoline facilities has seen increases in the incidence of trampoline park injuries (TPIs), particularly amongst the paediatric population. A challenge to the development of effective injury prevention interventions is the limited study pool of detailed activity and outcome data to provide better understanding of the characteristics of injurious events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study of individuals under 16 years of age hospitalised after TPI from November 2018 to December 2021 was conducted. Patient demographics and TPI characteristics were collected through prospective case notifications from clinicians across Australia, via the Australian Paediatric Surveillance Unit. Additional data were collected using retrospective medical record review at two major paediatric centres in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 48 cases of TPIs were reported: median age was 9.5 years with 28 (58.3%) being males. The most common injury mechanism was a fall on the trampoline (<i>n</i> = 34, 72.3%). The most commonly injured body region was upper limb (<i>n</i> = 27, 56.3%), followed by lower limb (<i>n</i> = 11, 22.9%): all limb injuries involved a fracture. Most patients required operative intervention (<i>n</i> = 37, 90.2%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results from this study suggest that serious injuries continue to occur at trampoline parks, and thus remain an injury concern that requires attention. This issue needs to be addressed with consistent application of the Australian Standard, along with other injury prevention initiatives.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 3","pages":"457-464"},"PeriodicalIF":1.6,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978930","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":"Recurrent Hand Oedema and Abdominal Pain","authors":"Laura Leite-Almeida,&nbsp;Débora Silva,&nbsp;Margarida Dias,&nbsp;Diana Bordalo,&nbsp;Sylvia Jacob","doi":"10.1111/jpc.16783","DOIUrl":"10.1111/jpc.16783","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 3","pages":"516-517"},"PeriodicalIF":1.6,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978932","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}