3,413 results match your criteria: "Sydney Children's Hospital.[Affiliation]"

Article Synopsis
  • The skin is the largest organ and skin infections can seriously affect health and self-image, which prompted a systematic review that updates treatment strategies for various skin infections prevalent in resource-limited settings.
  • This review builds on a previous one from 2019 and incorporates new data on conditions like atopic dermatitis and head lice to revise the Australian National Healthy Skin guidelines.
  • A thorough search of medical literature from 1960 to 2022 identified 68 studies focusing on the treatment of specific skin infections among Indigenous populations in lower-income areas, leading to key recommendations based on the evidence gathered.
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Article Synopsis
  • Many individuals with rare diseases, like Epidermolysis Bullosa (EB), experience difficulties in getting timely diagnoses and specialized care.
  • EB affects about 1 in 20,000 people, and challenges can start during pregnancy.
  • In Australia, the National Epidermolysis Bullosa Dressing Scheme (NEBDS) provides important antenatal education and support, particularly highlighted through two case studies of families with EB Simplex (EBS) in regional areas.
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Background: Having a brother or sister who has a chronic illness (lasting >6 months and requiring long-term care) or life-limiting condition (LLC; where cure is highly unlikely and the child is expected to die) has major impacts on siblings. Parent-sibling illness-related communication may contribute to siblings' capacity to cope.

Objectives: In this study, we aimed to explore parent-sibling illness-related communication, from the perspectives of parents and siblings.

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Article Synopsis
  • Traumatic abdominal wall hernia is rare, often linked to high-speed motor vehicle accidents, particularly in kids, and can involve serious injuries like bowel perforation and blunt aortic injury.
  • A 13-year-old boy suffered multiple severe injuries, requiring extensive surgical management including bowel resection and laparostomy, and he underwent a total of 36 procedures.
  • The complexity of his case necessitated a collaborative approach among various specialists, highlighting the challenges of managing such a significant injury and the need for tailored treatment plans.
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Metabolic outcomes in women 6 months and 2 years after preeclampsia versus normotensive pregnancy: A P4 study.

Clin Obes

February 2025

Discipline of Women's Health, UNSW Medicine and Health, UNSW Sydney, Sydney, New South Wales, Australia.

Preeclampsia is associated with an increased risk of long-term cardiometabolic disease; however, little is known regarding metabolic factors in the early postpartum years potentially contributing to these health disparities. This study aimed to compare body composition, serum biochemical parameters, energy balance and diet 6 months and 2 years after normotensive pregnancy versus preeclampsia. This is the longitudinal metabolic sub-study of the Postpartum Physiology, Psychology and Paediatric cohort study.

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Article Synopsis
  • This study looked at how early treatment helps babies with spinal muscular atrophy (SMA), a condition that affects muscles.
  • Researchers checked the health of 66 babies treated within the first 6 weeks of life and found good results, like all babies being able to sit up on their own.
  • However, some babies with a certain genetic marker (two SMN2 copies) had a harder time walking compared to those with more copies, showing that more studies are needed to improve their care.
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The demand for direct-to-patient (DTP) telegenetics (genetics services delivered via videoconferencing) in genetic counseling practice has rapidly increased, particularly since the COVID-19 pandemic. Recent telegenetics literature is mostly quantitative and not in the Australian context. A qualitative interview study was conducted to address this gap.

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Article Synopsis
  • Embedding precision medicine in pediatric oncology aims to improve treatment for children with cancer, showing promising potential for future care.
  • The first comprehensive study in Australia evaluates the costs associated with implementing precision medicine for high-risk childhood cancers, specifically through the Zero Childhood Cancer Precision Medicine Programme.
  • The estimated costs in 2021 Australian dollars are $12,743 per patient for access, $14,262 for identifying the molecular cause, and $21,769 for making recommendations, providing valuable insights for clinical management strategies.
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Article Synopsis
  • Infantile haemangiomas (IH) are the most common benign vascular tumors in children and often require treatment for cases that cause disfigurement or functional impairment.
  • Propranolol has been the first-line treatment since 2008, but it can lead to side effects like hypoglycemia and sleep disturbances.
  • Atenolol, a different beta blocker, has shown similar effectiveness with fewer adverse effects, suggesting it might be a better alternative, although more research is needed on dosing and managing rebound growth.
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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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  • ARID1A and ARID1B duplications are linked to Coffin-Siris syndrome, but ARID1B duplications have not been previously associated with a specific clinical phenotype until now.
  • A study analyzed 16 cases of ARID1A and 13 cases of ARID1B duplications, revealing that ARID1A duplications resulted in more severe symptoms, including intellectual disabilities and growth delays, while both groups displayed similar features.
  • The research identified unique DNA methylation patterns in ARID1A duplication patients, which differ from those with loss-of-function variants, suggesting the presence of a distinct clinical phenotype for both ARID1A and ARID1B duplications, indicating a new type of
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Article Synopsis
  • Tuberous sclerosis complex (TSC) is a condition that affects multiple systems in the body, and individuals with no identified mutations tend to have milder symptoms compared to those with confirmed genetic causes.
  • * A study analyzed an Australian group with TSC who had no mutations identified (NMI) and used advanced DNA sequencing techniques to understand their phenotypes better.
  • * The findings revealed that NMI individuals exhibit similar traits to those with certain known variants, achieving a 72% diagnostic success rate by identifying previously missed mosaic variants through comprehensive testing methods.
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Utilisation of Medicare chronic disease management item numbers for people with cancer in Queensland, Australia.

Aust Health Rev

December 2024

Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, SA, Australia; and Cancer and Palliative Care Outcomes Centre, Faculty of Health, Queensland University of Technology (QUT), Qld, Australia; and Human Performance Research Centre, INSIGHT Research Institute, University of Technology Sydney (UTS), NSW, Australia; and Exercise Medicine Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia; and Institute for Health Research, University of Notre Dame Australia, WA, Australia.

Objective Chronic disease is common in people with cancer. However, the utilisation of Medicare chronic disease management (CDM) items for cancer patients in Australia remains unexplored. This study investigates Medicare CDM item numbers relating to people with cancer, including general practitioner (GP) and allied health CDM item numbers, and any associated sociodemographic factors.

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Impact of highly effective modulator therapy on gastrointestinal symptoms and features in people with cystic fibrosis.

Paediatr Respir Rev

September 2024

Meyer Children's Hospital, IRCCS, Department of Paediatric Medicine, Cystic Fibrosis Regional Reference Center, Meyer Children's Hospital, Florence, Italy. Electronic address:

Highly effective modulator therapy (HEMT), particularly the triple combination elexacaftor-tezacaftor-ivacaftor (ETI), significantly improved clinical outcomes and quality of life in people with Cystic Fibrosis (pwCF). This review analyzes current knowledge on the impact of HEMTs on gastrointestinal (GI) symptoms and features in pwCF. A descriptive review of English literature until February 29, 2024, was conducted using medical databases.

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Management of ulcerative colitis and Crohn's disease, the main subtypes of inflammatory bowel disease (IBD), focuses on the induction and maintenance of remission. Tacrolimus, a member of a group of drugs termed calcineurin inhibitors, may have a role in the medical management of IBD when given either systemically or topically. This review aimed to evaluate the available data focusing on the use of topical tacrolimus in the management of IBD.

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Parental Perceptions and Knowledge towards Asthma Action Plans.

J Asthma

September 2024

Respiratory Department, Sydney Children's Hospital Randwick, Sydney Children's Hospital Network, NSW, Australia.

Introduction: Personalised Asthma Action Plans (AAPs) are a cornerstone of paediatric asthma management. We aimed to assess parental knowledge and perceptions of the use of AAPs in managing their child's asthma.

Methods: In 2023 we conducted a cross-sectional survey to assess knowledge and perceptions of AAPs in parents/caregivers of children aged 0-17 years with asthma who had an AAP and attended respiratory clinics at Sydney Children's Hospital, Randwick.

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Introduction: Uterus transplant (UTx) has emerged as a groundbreaking solution for individuals with uterine factor infertility (UFI). This study is the first in Australia to explore the psychosocial functioning of potential recipients assessed for the nation's initial UTx clinical trial and to compare their psychological profiles with those from international UTx trials.

Material And Methods: This is a mixed methods prospective study incorporating standardized psychological measures and semi-structured interviews.

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Pediatric end-of-life (EOL) care at home is often provided by community palliative care (CPC) nurses who do not specialize in pediatrics. This study aimed to better understand the challenges CPC nurses face when providing EOL care to children at home. A total of 52 CPC nurses across New South Wales (NSW), Australia, participated in an online survey about their training, attitudes, and experiences regarding the provision of home-based pediatric EOL care.

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Article Synopsis
  • The study analyzed invasive pneumococcal disease (IPD) cases in children at five pediatric hospitals in Australia over 5.5 years, highlighting the impact of pneumococcal conjugate vaccines (PCV) on IPD epidemiology.
  • Out of 377 IPD episodes in 375 children, 90% had received at least three doses of PCV, with the majority experiencing complicated pneumonia; however, the findings also noted a concerning rate of serious infections caused by non-vaccine serotypes (NVTs).
  • The research prompts the need for changes in treatment protocols, as 17% of NVTs showed resistance to ceftriaxone, suggesting that vancomycin should be included in the
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Background: Long QT syndrome is a lethal arrhythmia syndrome, frequently caused by rare loss-of-function variants in the potassium channel encoded by . Variant classification is difficult, often because of lack of functional data. Moreover, variant-based risk stratification is also complicated by heterogenous clinical data and incomplete penetrance.

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Utility of genomic testing in children, adolescents, and young adults with cancer.

J Natl Cancer Inst

September 2024

Dermatology Research Centre, The University of Queensland, Frazer Institute, Brisbane, Queensland, Australia.

Genomic testing can inform the diagnosis and personalise management of cancers in children, adolescents, and young adults (CAYA). This scoping review explored the clinical utility and impact of genomic testing in general CAYA cancer cohorts. Relevant records published in English between 2017-2024 were identified by searching PubMed.

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Synovial herniation pits are benign, round radiolucent lesions surrounded by a thin sclerotic rim within the superolateral aspect of the proximal femoral neck that are most commonly seen in the physically active adult population. Here we report, to the best of our knowledge, the first pediatric case of synovial herniation pits showing focal FDG uptake on a PET/CT scan in a 15 year old boy with Hodgkin's Lymphoma.

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