Publications by authors named "J A Langton"

Background: Paediatric critical care nurses face challenges in promptly detecting patient deterioration and delivering high-quality care, especially in low-resource settings (LRS). Patient monitors equipped with data-driven algorithms that monitor and integrate clinical data can optimise scarce resources (e.g.

View Article and Find Full Text PDF
Article Synopsis
  • - Integrated youth services (IYS) like Foundry are a key response to the youth mental health and substance use crisis in Canada, expanding to 11 physical centers and adding virtual services during the COVID-19 pandemic.
  • - The study analyzed data from 23,749 unique youth (ages 12-24) who accessed services between April 2018 and March 2021, revealing a consistent rate of high distress and poor self-rated mental health regardless of the pandemic.
  • - Findings indicate a significant increase (65%) in clients during the study period, emphasizing the importance of youth-centered practices for future service improvements within IYS.
View Article and Find Full Text PDF

Background: Critically ill children require close monitoring to facilitate timely interventions throughout their hospitalisation. In low- and middle-income countries with a high disease burden, scarce paediatric critical care resources complicates effective monitoring. This study describes the monitoring practices for critically ill children in a paediatric high-dependency unit (HDU) in Malawi and examines factors affecting this vital process.

View Article and Find Full Text PDF
Article Synopsis
  • TIPS (Transjugular intrahepatic portosystemic shunt) is an underutilized treatment for complications of portal hypertension, prompting this study to analyze patient demographics, reasons for the procedure, and outcomes in two regional hepatology centers over a six-year period.
  • A total of 48 patients with an average age of 56 underwent TIPS, primarily due to refractory ascites and variceal bleeding, showing high survival rates of 93% at 3 months and 77% at 1 year post-procedure.
  • The study found significant reductions in hospital costs and paracentesis procedures after TIPS, confirming its safety and effectiveness for managing portal hypertension complications in regional healthcare settings.
View Article and Find Full Text PDF

In low-resource settings, a reliable bedside score for timely identification of children at risk of dying, could help focus resources and improve survival. The rapid bedside Liverpool quick Sequential Organ Failure Assessment (LqSOFA) uses clinical parameters only and performed well in United Kingdom cohorts. A similarly quick clinical assessment-only score has however not yet been developed for paediatric populations in sub-Saharan Africa.

View Article and Find Full Text PDF