Publications by authors named "J D Brierley"

Unlabelled: Since the inception of transplantation, it has been crucial to ensure that organ or tissue donations are made with valid informed consent to avoid concerns about coercion or exploitation. This issue is particularly challenging when it comes to infants and younger children, insofar as they are unable to provide consent. Despite their vulnerability, infants' organs and tissues are considered valuable for biomedical purposes due to their size and unique properties.

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Background: The number of children requiring prolonged mechanical ventilation (PMV) has increased with the advancement of medical care. We aimed to estimate the prevalence of PMV worldwide, document demographic and clinical characteristics of children requiring PMV in paediatric intensive care units (PICUs), and to understand variation in clinical practice and health-care burden.

Methods: This international, multicentre, cross-sectional cohort study screened participating PICUs in 28 countries for children aged >37 postgestational weeks to 17 years who had been receiving mechanical ventilation (MV; invasive or non-invasive) for at least 14 consecutive days.

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Article Synopsis
  • Paediatric acute liver failure is a serious condition that has high rates of illness and death, presenting challenges for medical professionals in its management.
  • Emergency liver transplantation is necessary for 10-20% of patients, but about 10% are considered too unwell for the procedure due to medical or ethical reasons.
  • The scarcity of donor livers necessitates a careful assessment of transplant eligibility, taking into account medical, social, logistical, and ethical factors to avoid unnecessary risks and ensure fair allocation of resources.
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