Journal of paediatrics and child health最新文献

{"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,&nbsp;Lichin Lim,&nbsp;Amy Gray","doi":"10.1111/jpc.70037","DOIUrl":"10.1111/jpc.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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 (<i>p</i> &lt; 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 (<i>p</i> &lt; 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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 6","pages":"879-886"},"PeriodicalIF":1.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70037","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"BK Virus-Related Haemorrhagic Cystitis in Non-Transplanted Children With Leukaemia","authors":"Dilek Kaçar,&nbsp;Zeliha Güzelküçük,&nbsp;Ayça Koca Yozgat,&nbsp;Melek Işık,&nbsp;Sare Gülfem Özlü,&nbsp;Neşe Yaralı","doi":"10.1111/jpc.70042","DOIUrl":"10.1111/jpc.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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 (<i>r</i>\u0000 _s = 0.616, <i>p</i> = 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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 6","pages":"873-878"},"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}

{"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,&nbsp;R. Pilkington,&nbsp;K. D'Onise,&nbsp;J. Lynch","doi":"10.1111/jpc.70036","DOIUrl":"10.1111/jpc.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>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 (<i>n</i> = 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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 6","pages":"865-872"},"PeriodicalIF":1.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70036","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giant Cell Hepatitis With Autoimmune Haemolytic Anaemia in a Young Infant: Case Report","authors":"Hanan Abouelkhel,&nbsp;Hamza Haj Mohamad,&nbsp;Abdelrahman Nouh,&nbsp;Ahmed Albarkouky,&nbsp;Amna Yahya,&nbsp;Saista Amin","doi":"10.1111/jpc.70035","DOIUrl":"10.1111/jpc.70035","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 6","pages":"974-977"},"PeriodicalIF":1.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663391","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":"Two Different Paths of Treatment for Relapsed-Refractory Infantile Fibrosarcoma: Classical or Trendy?","authors":"Funda Tekkesin,&nbsp;Begum Sirin Koc,&nbsp;Selime Aydogdu,&nbsp;Dilek Ece,&nbsp;Sevinc Tasar,&nbsp;İlkay Tosun,&nbsp;Suar Caki Kilic","doi":"10.1111/jpc.70039","DOIUrl":"10.1111/jpc.70039","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 6","pages":"978-980"},"PeriodicalIF":1.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663393","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":"Rare Neonatal Fungal Infection: Trichophyton Rubrum as a Cause of Dermatophytosis","authors":"Sofia Maria Silva Faria,&nbsp;Inês Fátima Neto Gandra,&nbsp;Catarina Homem Gouveia Neto Viveiros,&nbsp;Joel Lopes Reis,&nbsp;Ana Cristina Santos Oliveira,&nbsp;Maria Antónia Cordeiro Read,&nbsp;Ana Isabel Aldeia Azevedo","doi":"10.1111/jpc.70038","DOIUrl":"10.1111/jpc.70038","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 5","pages":"814-816"},"PeriodicalIF":1.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657402","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":"Determinants of Gross Motor Function in Children With Ambulatory Spastic Cerebral Palsy: A Cross-Sectional Study in Turkey","authors":"Atahan Turhan,&nbsp;Merve Kurt-Aydin,&nbsp;Tülay Tarsuslu","doi":"10.1111/jpc.70034","DOIUrl":"10.1111/jpc.70034","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to explore the determinants of gross motor function in ambulatory children with spastic cerebral palsy (CP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixty-eight children diagnosed with spastic CP type were included in the study. Sociodemographic and clinical information of children with CP and their families was recorded. Children's gross motor function level was classified using the Gross Motor Function Classification System; gross motor function was assessed using the Gross Motor Function Measure-66 (GMFM-66); and parental quality of life was assessed using the Paediatric Quality of Life Scale Family Effects Module (PedsQL-FIM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>No significant differences were observed in gross motor function or parental quality of life between hemiparetic and diparetic CP groups. However, children residing in urban areas showed significantly higher gross motor function and parental quality of life compared to those in rural areas (<i>p</i> &lt; 0.05). Moderate correlations were found between gross motor function and physical functioning as well as place of residence (<i>p</i> &lt; 0.05). Multiple regression indicated that physical functioning and urban residence were significant predictors of gross motor function, accounting for 37.9% of the variance in the GMFM-66 score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study shows that the quality of life of parents of children and residence in the urban area are independent predictors of gross motor function in children with CP. These findings highlight the importance of considering family well-being and environmental factors when developing interventions to improve gross motor function outcomes in children with CP.</p>\u0000 \u0000 <p>\u0000 <b>Trial Registration:</b> NCT06439446</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 5","pages":"795-801"},"PeriodicalIF":1.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649414","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":"Challenge in a Malrotation Case: Presentation Mimicking Severe Combined Immunodeficiency","authors":"Jana Fathelbab,&nbsp;Deniz Cagdas,&nbsp;Dicle Canoruc Emet,&nbsp;Berna Oguz,&nbsp;Fatih Andiran","doi":"10.1111/jpc.70030","DOIUrl":"10.1111/jpc.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Malrotation is a congenital anomaly characterized by improper positioning of the intestines that can cause a range of symptoms from asymptomatic to life-threatening, including midgut volvulus. Diagnosis of malrotation can be particularly challenging in cases where symptoms resemble those of other illnesses, such as severe combined immunodeficiency (SCID).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Report</h3>\u0000 \u0000 <p>In this case study, we describe a 2-month-old girl with midgut volvulus secondary to malrotation. She was initially diagnosed with SCID and referred to our center for hematopoietic stem cell transplantation (HSCT). However, her gastrointestinal (GI) problems persisted even after receiving treatment for a suspected immunodeficiency. Imaging finally revealed the underlying malrotation. Unfortunately, by that time, the patient had developed major consequences, such as intestinal perforation, sepsis, and eventually death as a result of the delayed diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This case highlights how crucial it is to take GI anomalies into account when making a differential diagnosis for newborns who present with sepsis and immune suppression. Early imaging and a multidisciplinary approach are essential for timely diagnosis and treatment to prevent the progression to a fatal outcome.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 5","pages":"810-813"},"PeriodicalIF":1.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623497","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":"Prolonged Fever in Children: An Inpatient Diagnostic Framework for Infections in Australia","authors":"Heshani Rupasinghe,&nbsp;Clare Nourse,&nbsp;Jennifer Robson,&nbsp;Angela Berkhout","doi":"10.1111/jpc.70027","DOIUrl":"10.1111/jpc.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>There are many causes of fever in children, ranging from common and self-limiting to serious and life threatening. Careful assessment of children with prolonged fever without an obvious or identified source requires detailed history and examination with consideration of infections unique to the specific geographical region and individual exposure risks. Previous recommendations for diagnostic work-up have provided valuable insights, but none have been tailored to the Australian inpatient setting. Recognising this gap, a diagnostic approach for infections specifically designed for the Australian child admitted to hospital with prolonged fever (<span></span><math>\u0000 <semantics>\u0000 <mrow>\u0000 <mo>≥</mo>\u0000 </mrow>\u0000 </semantics></math> 38.0°C) exceeding 7 days is provided.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>National Health and Medical Research Council Level V.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 4","pages":"532-539"},"PeriodicalIF":1.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623499","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":"Stay Put or Move Out? A Review of Acute Respiratory Illness Transfers Out of a Peripheral Centre and Their Characteristics: A Retrospective Cohort Study","authors":"James Pho,&nbsp;Alison Tran,&nbsp;Mani Suleiman,&nbsp;David Tran,&nbsp;Wei Qi Fan,&nbsp;Rebekah Barker,&nbsp;Rami Subhi","doi":"10.1111/jpc.70033","DOIUrl":"10.1111/jpc.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To describe the characteristics of children transferred out of a peripheral centre for the management of acute respiratory illness and explore opportunities for decentralising paediatric high dependency care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A single-centre, retrospective cohort study, including children transferred out of a peripheral centre with diagnoses of asthma, bronchiolitis, pneumonia and pleural effusion. Patient characteristics and management were recorded from the medical records. Transfers were classified as ‘within scope’ and ‘outside scope’ of a peripheral paediatric centre. A multivariate regression was used to identify predictors of within scope transfers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between September 2015 and September 2023, there were 852 transfers, of which 165 (19.4%) met the study inclusion criteria. Ninety-three (56.4%) transfers were within scope. Pre-transfer diagnoses of preschool asthma, bronchiolitis, use of high flow nasal prong therapy (HFNP) and transfer directly from the emergency department (rather than ward) were more common for within scope transfers. HFNP was used in 103 (62.4%) of patients, including 74 (79.6%) of within scope transfers. Within scope transfers were predicted by preschool asthma (aOR 17.1, 95% CI 2.1–142.2, <i>p</i> = 0.01) and HFNP therapy pre-transfer (aOR 5.4, 95% CI 2.2–13.2, <i>p</i> &lt; 0.0001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study shows a cohort of patients that could benefit from a model of care involving decentralising paediatric high dependency care, particularly children with preschool asthma, and those transferred for closer monitoring on HFNP therapy. More work needs to be done to define the scope of practice, guidelines and training, staffing and resourcing and systems for safety netting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 5","pages":"787-794"},"PeriodicalIF":1.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623501","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}