A5101651915- Simulation-Based Education in Healthcare
- Child and Adolescent Health
- Innovations in Medical Education
- Adolescent and Pediatric Healthcare
- Tracheal and airway disorders
- Airway Management and Intubation Techniques
- Neonatal Respiratory Health Research
- Pregnancy and preeclampsia studies
- Diversity and Career in Medicine
- Childhood Cancer Survivors' Quality of Life
- Birth, Development, and Health
- Cardiac Arrest and Resuscitation
- Intestinal Malrotation and Obstruction Disorders
- Disaster Response and Management
- Meta-analysis and systematic reviews
- Healthcare Systems and Technology
- Medical Education and Admissions
- Family and Patient Care in Intensive Care Units
- Mobile Health and mHealth Applications
- Congenital gastrointestinal and neural anomalies
- Foreign Body Medical Cases
- Esophageal and GI Pathology
- Elder Abuse and Neglect
- Infective Endocarditis Diagnosis and Management
- Respiratory Support and Mechanisms
Royal Belfast Hospital for Sick Children
2003-2024
Orygen Youth Health
2024
The University of Melbourne
2024
Belfast Health and Social Care Trust
2013-2023
Musgrove Park Hospital
2019
University of Northern Colorado
2018
Hospice UK
2017
University of Oregon
2001
Ninewells Hospital
1992
Overweight and obesity are highly prevalent in people with severe mental illness (SMI). Antipsychotic-induced weight gain (AIWG) is one of the most commonly reported distressing side effects treatment living SMI place a high value on avoidance this effect. Metformin effective pharmacological intervention studied for prevention AIWG yet clear guidelines lacking evidence has not translated into practice. The aim research was to develop guideline use metformin AIWG.
Objective Explore children’s and adolescents’ (CADs’) lived experiences of healthcare professionals (HCPs). Design Scoping review methodology provided a six-step framework to, first, identify organise existing evidence. Interpretive phenomenology methodological principles for, second, an interpretive synthesis the life worlds CADs receiving healthcare, as represented by verbatim accounts their experiences. Data sources Five key databases (Ovid Medline, Embase, Scopus, Cumulative Index to...
The relationship between confidence and competence in clinical skills development is complex but important. This study aims to determine undergraduate paediatric student performing three common framed as Objective Structured Clinical Examination (OSCE) scenarios compare this with subsequent assessed performance. also explore possible barriers successful completion.A mixed-methods was conducted on medical students. Cross-sectional questionnaire data relating a number of were compared...
Objective To determine whether an elevated fetal umbilical artery Doppler (UAD) pulsatility index (PI) at 28 weeks’ gestation, in the absence of growth restriction (FGR) and prematurity, is associated with adverse neurocognitive outcome children aged 12 years. Methods Prospective cohort study, comparing a normal UAD PI (<90th centile) (n=110) those (≥90th (n=40). was performed 28, 32 34 weeks gestation. At years age, all were assessed under standardised conditions Queen's University,...
Differences in the gaze behaviour of experts and novices are described aviation surgery. This study sought to describe clinicians from different training backgrounds during a simulated paediatric emergency.Clinicians four clinical areas undertook emergency. Participants wore SMI (SensoMotoric Instruments) eye tracking glasses. We measured fixation count dwell time on predefined interest taken key interventions.Paediatric intensive care unit (PICU) consultants performed best focused longer...
Social disorganization theory (Shaw & McKay, 1929) is a common explanation for crime.However, few studies have examined its significance the of crime in rural areas.The current study utilizes county level data from United States Department Health and Human Services to examine characteristics social both urban areas which these factors greater contribute rates.The findings are consistent with previous research that finds significant differences between regarding causes crime.Overall, this...
Abstract Objective: To determine if high umbilical artery Doppler (UAD) pulsatility index (PI) is associated with cardio-vascular (CV) risk-factors in children at age 12 years.We studied 195 years who had in-utero UAD studies performed 28 weeks' gestation. The were grouped according to whether their PI was (indicating poor feto-placental circulation) or normal. At we assessed CV risk factors, including anthropometric measures, blood pressure, pulse wave velocity (a measure of arterial...
A 13-year-old boy with a background of Prader-Willi syndrome (PWS) was admitted to the regional paediatric intensive care unit, community-acquired pneumonia. Despite week intravenous antibiotics, resolution inflammatory markers and resolving consolidation on radiograph, he remained feverish. Fever unknown origin investigations were negative diagnosed central thermal dysregulation secondary hypothalamic dysfunction in PWS. Following hyperpyrexia period, rhabdomyolysis renal failure developed....
This article suggests communicative steps and strategies to help healthcare professionals achieve the ideals of child-centred care, which place children young people at centre policy practice. For those with 15 s, not min, our suggestions can be summarised like this: active agents in their own care by asking, listening well, being curious explaining things clearly an accessible but condescending way.
Abstract The efects of fine needle aspiration on subsequent mammography were studied in a group women who referred with palpable breast lumps. Fifty-two aged between 36 and 73 (median 53) years underwent before within 5 days aspiration. Preaspiration postaspiration mammograms examined ‘blind’ by one radiologist. In ten cases, diference was seen the preaspiration films. seven (aged 36–50 years) this due to aspirated cysts. three diferences unexpected more significant, although radiological...
In paediatric practice feeding, eating, drinking and swallowing difficulties are present in up to 1% of children. Dysphagia is any disruption the swallow sequence that results compromise safety, efficiency or adequacy nutritional intake. Swallowing may lead pharyngeal aspiration, respiratory poor It causes sensory motor dysfunction impacting on a child’s ability experience normal feeding. Incoordination can result oral aspiration where fluid food misdirected enters airway, choking physically...
Creatine kinase (CK) remains an essential tool for assessment of muscular weakness and pain in children despite the advent advanced diagnostic tests this field. It is also useful diagnosing monitoring various other conditions. This article will explore physiology CK clinical situations where estimation can help clinicians’ decision-making process with diagnosis management these Some scenarios are used to highlight how be different situations. The role as a biomarker myocardial injury has...
One of the major challenges facing obstetrician-gynecologists, especially those serving populations that are diverse in culture and circumstances, is to identify address barriers keep women from seeking timely preventive prenatal health care. The Department Obstetrics Gynecology at Rochester General Hospital held a community focus groups learn more about women's attitudes toward In addition economic issues, such as lack insurance an inability pay, organizers found many factors prevent or...
This article aims to provide a structured and concise guide for the general paediatrician managing child with hemihypertrophy. Hemihypertrophy is relatively uncommon condition. The significance that proportion of those affected are at risk developing malignancies in childhood. For these children regular surveillance required. We have outlined how one might assess investigate presenting also formulated practicable strategy which line current Royal College Paediatrics Child Health (RCPCH)...
Abstract Background Children and adolescents form a distinct patient group, whose experiences are relatively under-represented in research. Surveys have shown that healthcare professionals (HCPs) do not always communicate with them well, leaving children under-involved unsure who to ask when concerned. Recent qualitative studies recognised HCPs major influence on children’s adolescents’ experiences, where poorer interactions can lead fear, missed appointments potentially worse clinical...
You are a paediatric registrar who is called by the emergency department to assess febrile 13-month-old infant. On clinical review of infant, you feel lumbar puncture (LP) indicated and they stable enough for procedure. preparing infant one new staff nurses in asks what position would prefer baby be held. She has seen children another unit being placed both lying sitting positions LP. You only familiar with lateral decubitus proceed this technique. Later wonder if positioning influences...
An 11-year-old girl was admitted for further investigation as to the cause of her bilateral papilloedema and periorbital swelling. She had a 2-week history headache unilateral eyelid swelling, 2-day right-sided groin CT MRI scans revealed soft tissue adjacent lateral orbital walls within extraconal aspects both orbits, more on right than left. The also extensive lymphadenopathy above below diaphragm. patient underwent bone marrow studies biopsy lymph node in groin. results normal with no...
Cystic fibrosis (CF) is the most common life-threatening autosomal-recessive disease affecting Caucasians in western world. The sweat test main diagnostic for CF. It indicated as part of clinical assessment infants that have picked up on national neonatal screening programme. may also be requested where suspicion a diagnosis CF exists despite normal results. This article outlines physiological basis behind testing and technical aspects performing test. Indications are considered. aims to...
A previously well, 14-month-old girl presented with acute decreased level of consciousness. There was no history trauma, systemic upset or significant family history. Blood pressure within normal range and focal neurological deficit elicited on examination. Neuroimaging revealed a subarachnoid haemorrhage secondary to basilar tip aneurysm. Patient underwent endovascular embolisation good clinical outcome. Follow-up MRI anterior circulation vasospasm, although clinically asymptomatic, she...
Strong communication, empathy and interpersonal skills are crucial to good clinical practice. Actors trained in interpretations of the Stanislavski system draw on their own life experience develop character. We hypothesised that simulation enhanced by actors would be an ideal way for our senior trainees advanced communication skills. developed a training course based challenging situations which occur paediatrics like child death safeguarding. were briefed invited characters behave respond...
Objective: To determine if an elevated fetal umbilical artery Doppler pulsatility index is associated with abnormal respiratory function and atopy in children aged 12 years.Methods: This prospective case-control study compared that had (>90th centile) to those a normal (<90th centile). All subjects were delivered at full-term appropriate growth for gestational age. Outcome measures included; (i) presence of asthma and/or atopy; (ii) spirometry measurements (iii) serum C-reactive protein...
Acute bronchiolitis is the most common respiratory condition under 1 year of age. In UK and Ireland, approximately one in three infants will develop first year life ~2%–3% all require hospitalisation.1 severe cases, children are admitted to paediatric intensive care (PICU) for ventilation supportive treatment. An admission a critical unit an extremely stressful time their families. It also has significant implications on workload resources. High-flow nasal cannula oxygen (HFNCO) treatment...
You are the paediatric registrar on night shift in a busy district general hospital. Earlier day, 2-year-old boy with symptoms and signs of lower respiratory tract infection (LRTI) was admitted to ward. He is now febrile, nurse charge contacts you ask if she can give him dose ibuprofen control his temperature. recall teaching session hospital about association between non-steroidal anti-inflammatory drug (NSAID) use invasive bacterial infection. wonder giving context LRTI not without...
Aim The early administration of antibiotics in sepsis reduces mortality and improves outcomes. This randomised control trial evaluated the effect environmental priming (EP) on healthcare student performance a simulated paediatric scenario. Methods Medical nursing students were into primed unprimed groups. Primed groups received both direct virtual priming. Each group completed standardised Time to achieve five key clinical interventions was recorded. Mini focus conducted explore perceptions...