Managing multisystem parechovirus infection in a neonate - an experience from rural Australia.

Human parechovirus (HPeV) infections in neonates and infants have been linked to outbreaks in regions including Australia, Northern Europe, and the US, resulting in long-term neurological complications. HPeV symptoms range from mild gastroenteritis and respiratory issues to severe systemic illness, including seizures and neurological damage. Human parechovirus type 3 (HPeV3) has emerged as a significant cause of sepsis-like illness in infants aged less than 3 months.

Incidence and presenting features of paediatric type 1 diabetes mellitus and diabetic ketoacidosis in a regional Australian health service.

Aim: To determine the incidence and presenting features of type 1 diabetes mellitus and diabetic ketoacidosis in a paediatric population serviced by a regional health service in Queensland, Australia.

Methods: All patients less than 16 years old diagnosed with type 1 diabetes mellitus between 01 January 2015 and 31 December 2021 were included in this retrospective, observational study. The electronic medical records of each patient were reviewed to collect data on demographics, presentation and ongoing diabetes care.

Descriptive feedback with targeted education to improve telephonic escalation of care: a simulation-based study.

Background: Awareness of communication failures in healthcare has necessitated the implementation of standardized, validated handover tools such as Identification, Situation, Background, Assessment, Recommendation (ISBAR). Although educational sessions improve communication, the effectiveness of individualized care escalation communication training is unknown. The primary aim was to conduct a simulation-based study to assess individualized one-on-one communication training for junior medical doctors for improving care escalation in pediatric emergencies.

Neonatal retrievals from a regional centre: Outcomes, missed opportunities and barriers to back transfer.

Aim: High-risk neonates are retrieved from regional centres to tertiary neonatal units when the required care of the baby exceeds the clinical capabilities of the birthing facility. However, there is limited research on the outcomes of neonatal retrievals from regional special care centres and the barriers to back transfer of neonates from a tertiary centre are not well established. This study aimed to review the outcome of neonatal retrievals >32 weeks gestation from a regional referral centre.

Safety of stimulant medications for attention deficit hyperactivity disorder in paediatric congenital heart disease.

Aim: To review current literature regarding the safety of stimulant medications for treatment of attention deficit hyperactivity disorder in paediatric congenital heart disease (CHD) patients.

Methods: Embase, MEDLINE complete, CINAHL complete and Psychology and Behavioural Sciences Collection were searched for relevant articles from January 1980 to July 2022.

Results: One hundred and three articles were identified during the initial search after removal of duplicates.

Is intravenous magnesium sulphate safe to be administered outside the critical care setting?

Aim: To review current evidence regarding the safety of intravenous bolus magnesium sulphate for the treatment of children with acute severe asthma in the non-critical care setting.

Methods: MEDLINE via Ovid, Embase and the Cochrane Library were searched for relevant articles.

Results: Four hundred and eighteen articles were identified during the initial search after removal of duplicates.

A cautionary tale of hyperbilirubinaemia in subhepatic appendicitis.

Subhepatic appendicitis is rare in children and often presents with atypical symptoms and signs, resulting in delayed diagnosis with attendant complications. The presence of hyperbilirubinemia could be a marker of complicated appendicitis and may assist rural physicians to seek specialist assistance early.

Epidemiology and outcomes of gastroschisis in Tasmania.

Aim: To describe the epidemiology and outcomes of gastroschisis in Tasmania.

Methods: A retrospective analysis of all pregnancies complicated by gastroschisis in Tasmania from 1996 to 2015 was undertaken (epidemiology cohort), and the presentation, surgical management and outcomes (surgery cohort) were reviewed for the period between September 1990 and July 2015.

Results: Gastroschisis was detected in 58 pregnancies during the 20-year epidemiology cohort period, giving an incidence of 4.

Acampomelic form of campomelic dysplasia with SOX9 missense mutation.

Campomelic dysplasia is a skeletal dysplasia characterized by flat face, Pierre Robin sequence, shortening and bowing of long bones and club feet. The authors describe a case of "acampomelic" campomelic dysplasia that differs from classical campomelic dysplasia by the absence of bone bowing. This condition is among the most common skeletal dysplasias but is often misdiagnosed in the absence of overt campomelia.

Congenital chikungunya.

Chikungunya virus (CHIKV) infection manifesting in neonates is very rare. The prevalence of the entity was described only recently. We describe a neonate with chikungunya who presented with severe thrombocytopenia and features of multisytem involvement.

Congenital Afibrinogenemia presenting as antenatal intracranial bleed: a case report.

Congenital afibrinogenemia is a very rare inherited coagulation disorder, characterized by virtual absence of plasma fibrinogen (factor I). There are only about 250 cases reported in the world literature 1. We describe a case of congenital afibrinogenemia which presented as an antenatally detected intracranial bleed.