270 results match your criteria: "GRACE Centre[Affiliation]"

Background/objectives: Cerebral palsy (CP) affects a substantial number of children, particularly in low- and middle-income countries such as Bangladesh. Maternal health literacy is critical to the health and well-being of children with CP, particularly in low-resource settings. In this study, we sought to assess how the mPower (mother's power) community-based intervention impacted mothers' CP-specific knowledge, as well as their utilization of rehabilitation services in rural Bangladesh.

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Aim: To describe the timing and causes of post-neonatally acquired cerebral palsy (PNN-CP) and map the implementation of relevant preventive strategies against cause-specific temporal trends in prevalence.

Methods: Data for a 1975-2014 birth cohort of children with PNN-CP (brain injury between 28 days and 2 years of age) were drawn from the Victorian and Western Australian CP Registers. Descriptive statistics were used to report causal events and timing.

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Aim: To explore parents' experiences of early screening for cerebral palsy (CP) in three Australian states.

Method: This is a qualitative description study using semi-structured interviews. Participants were parents of children who had CP (n = 5), or high risk of CP (n = 10), or no CP (n = 11) at 2 years, and had completed early screening for CP.

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Cerebral palsy as a childhood-onset neurological disorder caused by both genetic and environmental factors.

Semin Fetal Neonatal Med

November 2024

Neurogenetics Research Program, Adelaide Medical School, University of Adelaide, Adelaide, Australia; Australian Collaborative Cerebral Palsy Research Group, Robinson Research Institute, University of Adelaide, Adelaide, Australia.

Cerebral palsy (CP) is a clinical term used to describe a spectrum of movement and posture disorders resulting from non-progressive disturbances in the developing fetal brain. The clinical diagnosis of CP does not include pathological or aetiological defining features, therefore both genetic and environmental causal pathways are encompassed under the CP diagnostic umbrella. In this review, we explore several genetic causal pathways, including both monogenic and polygenic risks, and present evidence supporting the multifactorial contributions to CP.

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Aim: To determine school attendance and its predictors among children with cerebral palsy (CP) in Bangladesh using population-based data.

Method: This study utilized data from the Bangladesh Cerebral Palsy Register (BCPR), a population-based register of children with CP aged less than 18 years in Bangladesh. Sociodemographic, clinical, and educational data were documented, and descriptive statistics and multivariate regression analyses were used to identify potential predictors of school attendance.

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Objective: This study aims to explore the associated impairments of cerebral palsy (CP) and their correlates among children with CP in Vietnam.

Design: Descriptive cross-sectional study using hospital-based surveillance.

Setting: National Children's Hospital, Hanoi, Vietnam between June and November 2017.

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Neuropromotion in the neonatal intensive care unit: A step up from neuroprotection and a new norm.

Dev Med Child Neurol

October 2024

The Children's Hospital at Westmead - Grace Centre for Newborn Intensive Care, Sydney Children's Hospital Network, Westmead, New South Wales, Australia.

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Article Synopsis
  • The guidelines are created by the British Gynaecological Cancer Society and British Menopause Society to help healthcare professionals support women treated for gynaecological cancer, especially regarding menopausal symptoms that can affect life quality.* -
  • Cancer treatments like surgery, radiotherapy, and chemotherapy can impact hormonal function, and the guidelines discuss the use of hormone replacement therapy (HRT) based on cancer type and when it should start post-treatment.* -
  • The document also highlights the effectiveness and safety of vaginal estrogens for urogenital symptoms and reviews alternative treatments to HRT, including both medication and lifestyle approaches.*
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Mental health screening for parents following surgical neonatal intensive care unit (NICU) discharge.

Early Hum Dev

November 2024

Heart and Mind Wellbeing Center, Cincinnati Children's Hospital, Cincinnati, OH 45229, United States of America. Electronic address:

Admission to the surgical neonatal intensive care unit (sNICU) is a stressful experience. Care is often complex, with inherent risks and potential complications. This study describes the implementation of an outpatient mental health screening process for parents of infants admitted to a sNICU.

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Epidemiology of cerebral palsy among children in Ghana.

Afr J Disabil

September 2024

School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia.

Article Synopsis
  • - The study aimed to fill the gap in understanding the prevalence and characteristics of cerebral palsy (CP) among children in Ghana by creating the first comprehensive register for affected children.
  • - Out of 455 children registered, a significant majority had CP connected to pre- or perinatal issues, with many experiencing severe forms of motor impairment and associated challenges in education and rehabilitation.
  • - The findings underscore a critical need for targeted interventions to enhance the health and quality of life for children with CP in Ghana, as many have not received necessary rehabilitation services.
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Neonatal encephalopathy: a systematic review of reported treatment outcomes.

BMJ Paediatr Open

September 2024

Health Research Board -Trials Methodology Research Network (HRB-TMRN), University of Galway, Galway, Ireland.

Article Synopsis
  • Neonatal encephalopathy (NE) is a serious condition impacting newborns, where therapeutic hypothermia is the standard treatment, yet many still face long-term issues; the paper aims to create a Core Outcome Set (COS) for consistent reporting in studies.* -
  • A systematic review of 116 papers identified 386 reported outcomes from NE studies, categorized into 18 domains, highlighting a lack of uniformity as no single outcome was universally reported across studies.* -
  • The findings emphasize the need for standardized outcome measures, including family input, to improve the comparison of treatments and enhance research on NE.*
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Introduction: Compromised neonatal intensive care unit neonates are at risk of acquiring late-onset infections (late-onset sepsis [LOS]). Neonates born with congenital anomalies (CAs) could have an additional LOS risk.

Methods: Utilising the population-based Australian and New Zealand Neonatal Network data from 2007 to 2017, bacterial LOS rates were determined in very preterm (VPT, <32 week), moderately preterm (MPT, 32-36 weeks), and term (FT, 37-41 weeks) neonates with or without CA.

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A growing number of genes have been identified in individuals with cerebral palsy (CP); however, many of these studies have poor compliance with the cerebral palsy clinical description. This systematic review aimed to assess the quality of the cerebral palsy clinical description/phenotype in cerebral palsy genetic studies published between 2010 and 2024 and report clinically relevant genes based on the quality of the cerebral palsy phenotype. An expert panel developed 6 criteria to review the reported cerebral palsy phenotype/description for each included study.

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Standard of care genetic testing has undergone significant changes in recent years. The British Gynecological Cancer Society and the British Association of Gynecological Pathologists (BGCS/BAGP) has re-assembled a multidisciplinary expert consensus group to update the previous guidance with the latest standard of care for germline and tumor testing in patients with ovarian cancer. For the first time, the BGCS/BAGP guideline group has incorporated a patient advisor at the initial consensus group meeting.

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Evaluation of gastroschisis feeding protocol: A retrospective cohort study.

J Paediatr Child Health

November 2024

Grace Centre for Newborn Intensive Care, The Children's Hospital of Westmead, Sydney, New South Wales, Australia.

Aim: The primary objective of this study is to determine the impact of a standardised feeding protocol for infants with gastroschisis on early enteral feeds, suck feeds, management of gastric residuals and breastfeeding at discharge. Secondary objectives were evaluation of growth, length of stay in neonatal intensive care unit (NICU), the duration of total parental nutrition (TPN), blood-culture confirmed sepsis and serum bilirubin level (SBR).

Methods: This single-centre retrospective quality improvement project included infants admitted to a quaternary care NICU for management of gastroschisis from 2010 to 2021.

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Clinical characteristics and outcomes of perinatal stroke in Australia: Population-based longitudinal study.

J Paediatr Child Health

October 2024

Discipline of Child and Adolescent Health, Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney, New South Wales, Australia.

Aim: Perinatal stroke is one of the main causes of hemiplegia and seizure disorder. This study aimed to analyse the clinical characteristics and outcomes of perinatal stroke in a cohort of Australian children for its early detection.

Methods: A population-based prospective longitudinal study on perinatal stroke up to 2 years of age, was conducted from 2017 to 2019.

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Background: Limited knowledge on nutritional epidemiology in Ghanaian children with Cerebral Palsy (CP) necessitates a comprehensive investigation for an improved understanding of malnutrition in this population.

Objectives: We aimed to describe the epidemiology of malnutrition among children with CP in Ghana.

Methods: The study used data collected as part of the Ghana CP Register (GCPR).

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Long-Term Outcomes Following Hypoxic Ischemic Encephalopathy.

Clin Perinatol

September 2024

Grace Centre for Newborn Intensive Care, The Children's Hospital at Westmead, Hawkesbury Road, Westmead, New South Wales 2145, Australia; CP Alliance Research Institute, Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Article Synopsis
  • * Therapeutic hypothermia (TH) has shown to enhance recovery in full-term and late preterm infants with moderate to severe HIE, while research is ongoing for its effectiveness in those with mild or preterm HIE.
  • * Current studies are exploring different adjuvant therapies alongside TH, but so far, there’s no evidence that these additional treatments improve long-term outcomes for affected infants.
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Neurologic depression in term/near-term neonates (neonatal encephalopathy, NE) is uncommon with modern obstetric care. Asphyxial birth, with or without co-factors, accounts for a minority of NE, while maldevelopment (congenital malformations, growth aberrations, genetic, metabolic and placental abnormalities) plays an enlarging role in identifying etiologic subgroups of NE. The terms NE and hypoxic-ischemic encephalopathy (HIE) have not been employed uniformly, hampering research and clinical care.

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British Gynaecological Cancer Society (BGCS) ovarian, tubal and primary peritoneal cancer guidelines: Recommendations for practice update 2024.

Eur J Obstet Gynecol Reprod Biol

September 2024

University of Exeter, Exeter, UK; Department of Gynaecological Oncology, GRACE Centre, Musgrove Park Hospital, Somerset NHS Foundation Trust, Taunton TA1 5DA, UK. Electronic address:

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Background: 'Neonatal encephalopathy' (NE) describes a group of conditions in term infants presenting in the earliest days after birth with disturbed neurological function of cerebral origin. NE is aetiologically heterogenous; one cause is peripartum hypoxic ischaemia. Lack of uniformity in the terminology used to describe NE and its diagnostic criteria creates difficulty in the design and interpretation of research and complicates communication with families.

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Clinical characteristics, associated comorbidities and hospital outcomes of neonates with sleep disordered breathing: a retrospective cohort study.

BMJ Paediatr Open

June 2024

Discipline of Child & Adolescent Health, Faculty of Medicine & Health, The University of Sydney, Cerebral Palsy Alliance Research Institute, Camperdown, Sydney, New South Wales, Australia.

Article Synopsis
  • * Conducted as a retrospective analysis at a tertiary care unit in New South Wales, the research involved 80 neonates, revealing that significant factors for referral included increased work of breathing and apnoea with oxygen desaturation, along with a high prevalence of comorbidities.
  • * Findings indicate that most neonates had moderate to severe SDB, with polysomnography (PSG) being an effective diagnostic tool; a multidisciplinary approach was essential for treatment management, with many infants being discharged on non-invasive ventilation.
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Background: Nurse perceptions of developmental care practices have been researched globally for almost 30 years. Yet, there is a lack of research exploring this subject in the specialised setting of the surgical neonatal intensive care unit (sNICU). This research explores the effect of developmental care education programs on sNICU nurses' perceptions of developmental care.

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