Parents' and carers' impression of "quality" within a Paediatric Emergency Department.

Background: Quality improvement systems are needed to overcome the 'Quality Gap' - difference between evidence-based guidelines and the care delivered. While there are a large array of potential quality assurance measures exists in the Paediatric Emergency Department, parent's/carer's perception of these is unknown. This study aimed to identify what 'quality of care' means to parents/carers of Paediatric Emergency Department (PED) patients, further determine which aspects of these are most important to them.

Primary replacement for the management of exposed orbital implant.

: We present a series of primary orbital implant replacement for cases of implant exposure to describe our experience of this one-staged surgical approach. : This study reports on a one-stage technique which involved the removal of the exposed implant or dermis fat graft (DFG) and insertion of a secondary (replacement) in the same procedure, with a variety of materials, including autologous tissue. Re-exposure in a socket where a DFG was placed was defined as a new defect in the newly epithelialized conjunctiva or dehiscence of the dermis-conjunctiva junction.

Bilateral sectoranopia caused by bilateral geniculate body infarction in a 14-year-old boy with inflammatory bowel disease.

Bilateral lesions of the lateral geniculate bodies are rare and produce unusual field defects that can be predicted on the basis of their vascular anatomy. We report a rare case of bilateral sectoranopic visual field defects caused by bilateral infarction of the lateral geniculate nucleus in a 14-year-old boy with inflammatory bowel disease and recurrent pancreatitis.

Giant cell reparative granuloma of the orbit.

This report describes a case of an orbital giant cell reparative granuloma in an 85-year-old woman. Giant cell reparative granulomas are fibro-osseous benign proliferations typically found in the jawbones and rarely in the orbital bones. All previously described cases in the orbit have been in younger patients, classically in the third to fourth decades.

Arousal from sleep in infants is impaired following an infection.

Numerous studies have postulated a link between recent infection and Sudden Infant Death Syndrome (SIDS). In this study we contrasted arousal responses from sleep in infants on the day of discharge from hospital following an infection with those when fully recovered and also with well age-matched control infants. Thirteen term infants comprised the infection group and nine well infants acted as age-matched controls.