3,708 results match your criteria: "The Royal Children's Hospital[Affiliation]"

Regulation of developmentally controlled enhancer activity by extrinsic signals in normal and malignant cells: AP-1 at the centre.

Front Epigenet Epigenom

September 2024

Blood Cell Development Group, Novo Nordisk Foundation Center for Stem Cell Medicine, Murdoch Children's Research Institute, The Royal Children's Hospital, Parkville, Victoria 3052 Australia, Country.

The ability of cells to respond to external stimuli is one of the characteristics of life as we know it. Multicellular organisms have developed a huge machinery that interprets the cellular environment and instigates an appropriate cellular response by changing gene expression, metabolism, proliferation state and motility. Decades of research have studied the pathways transmitting the various signals within the cell.

View Article and Find Full Text PDF
Article Synopsis
  • Concerns about pulmonary regurgitation after transannular patch repair (TAP) for Tetralogy of Fallot remain, leading researchers to compare various right ventricular outlet tract reconstruction techniques.
  • A comprehensive search identified 34 studies involving nearly 8,900 patients, focusing on outcomes like mid-term pulmonary regurgitation and postoperative mortality.
  • Results showed TAP had a higher risk of pulmonary regurgitation compared to techniques like TAP with neo-valve creation (TAPN) and valve-sparing (VS), with VS also linked to lower postoperative mortality and reduced ventilation time.
View Article and Find Full Text PDF

Aims: To explore the experiences, and perceptions of nurses who are told to withhold clinical information from children diagnosed with serious illnesses.

Design: An interpretative qualitative phenomenological design was used for the study. Sampling was purposive and data were collected using semi-structured interviews from nurses working in a paediatric setting within the preceding 5 years.

View Article and Find Full Text PDF

Virtual reality for routine immunisations in needle phobic children with and without developmental disabilities: A pilot study.

Vaccine

December 2024

Department of General Medicine, The Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia. Electronic address:

Unlabelled: Virtual reality for routine immunisations in needle phobic children with and without developmental disabilities: a pilot study.

Background: Virtual Reality (VR) headsets can improve needle procedure success and experiences for children, but they have not been evaluated to support immunisation in children with anxiety and behavioural challenges. This study assessed the feasibility and acceptability of VR for immunisation in children with needle phobia, including children with and without developmental disabilities.

View Article and Find Full Text PDF

Ganciclovir and valganciclovir are first-line treatments for cytomegalovirus in immunocompromised children; however, the optimal therapeutic target remains unclear. This review identified 6 studies that showed clearance of cytomegalovirus viremia occurs with a median area under the concentration-time curve (AUC24) between 23 and 70 μg·h/mL, with no clear correlation with efficacy or toxicity.

View Article and Find Full Text PDF

Objective: To examine recent changes in the birth prevalence of cerebral palsy in Australia; to examine the functional mobility of children with cerebral palsy by residential remoteness.

Study Design: Population-based register study; analysis of Australian Cerebral Palsy Register (ACPR) data.

Setting, Participants: Children with cerebral palsy born in Australia, 1995-2016, and included in the ACPR at the time of the most recent state/territory data provision (31 July 2022).

View Article and Find Full Text PDF

Objective: To identify the types of conditions reported in peer-reviewed literature that result in chronic musculoskeletal lower limb pain in children and adolescents and explore the alignment of these conditions with the chronic pain reporting codes indexed in the International Classification of Diseases 11th Revision (ICD-11).

Design: This scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

Data Sources: Five electronic databases were searched (Medline, EMBASE, PsycINFO, CINAHL and the Cochrane Library).

View Article and Find Full Text PDF

Crushed posaconazole delayed-release tablets for antifungal prophylaxis and treatment in children.

J Antimicrob Chemother

December 2024

Department of Pharmacy, Children's Cancer Centre, and General Medicine, The Royal Children's Hospital, Melbourne, Australia.

Objectives: Therapeutic drug monitoring (TDM) is recommended for posaconazole to achieve target concentrations of ≥0.7 mg/L and ≥1.0 mg/L for prophylaxis and treatment of invasive fungal infection (IFI), respectively.

View Article and Find Full Text PDF

Background: The gold standard for diagnosis of meningitis is the isolation of a pathogen from cerebrospinal fluid (CSF) by culture or PCR. However, treatment is routinely commenced based on CSF findings prior to microbiological results. This study determined the predictive value of CSF parameters for diagnosing bacterial and viral meningitis in young infants.

View Article and Find Full Text PDF

Enteric neural stem cell (ENSC) therapy offers great promise for neurointestinal diseases; however, current isolation methods yield insufficient neurons for regenerative applications. Multiomic profiling of enteric glial cells (EGCs) suggests that subpopulations within myenteric ganglia (MyGa) are a reservoir of highly neurogenic ENSCs. Here, we describe protocols to enrich for intraganglionic EGCs by isolating intact fragments of MyGa, generating cultures with higher neuronal purity than traditional methodologies isolating intramuscular single cells (IM-SCs).

View Article and Find Full Text PDF

Background: Rising proportions of antimicrobial resistance (AMR) have been observed in both Staphylococcus aureus and Enterococcus spp. isolates.

Methods: The Australian Group on Antimicrobial Resistance (AGAR) surveillance program captures clinical and microbiological data of isolates detected in blood cultures across Australia.

View Article and Find Full Text PDF

Clinical findings of long-term ambulatory video EEG following routine EEG.

Epilepsy Behav

December 2024

Seer, Melbourne, Australia; Department of Medicine, St. Vincent's Hospital Melbourne, University of Melbourne, Fitzroy, Australia; Graeme Clark Institute for Biomedical Engineering, University of Melbourne, Parkville, Australia.

Article Synopsis
  • This study evaluates the effectiveness of routine EEG (rEEG) followed by long-term ambulatory EEG (aEEG) in diagnosing abnormalities and capturing events in a cohort of 95 patients.
  • Findings showed that abnormal EEG results increased from 18% with rEEG to 33% with aEEG, and non-epileptic events were detected in 35% of aEEG cases, while no non-epileptic events appeared in rEEG.
  • The results suggest that aEEG significantly enhances diagnostic outcomes, especially in adults, and advocates for further research to maximize its clinical application.
View Article and Find Full Text PDF

Introduction: Musicality is an innate capability and the fundamental architectures necessary for music processing are present from birth. However, there is a notable gap in pediatric specific music neuroscience research and research that employs ecologically valid musical stimuli.

Methods: This pragmatic feasibility study aimed to assess the utility of EEG collected via pre-existing clinical monitoring to describe the processing of familiar song as an ecologically valid stimulus, in the underrepresented pediatric population.

View Article and Find Full Text PDF

ESMO Resilience Task Force recommendations to manage psychosocial risks, optimise well-being, and reduce burnout in oncology.

ESMO Open

October 2024

Gynaecology Unit, The Royal Marsden NHS Foundation Trust, London; Division of Clinical Studies, The Institute of Cancer Research, London, UK. Electronic address:

Background: Burnout in health care professionals (HCPs) results from exposure to psychosocial risks at work. Left unaddressed, burnout can lead to chronic health problems, increased staff turnover, reduced work hours, absenteeism, and early retirement from clinical practice, thus impacting patient care. The European Society for Medical Oncology (ESMO) Resilience Task Force (RTF) was established in December 2019 to support the well-being of oncology HCPs globally.

View Article and Find Full Text PDF

Background: Gram-negative bloodstream infections are associated with significant morbidity and mortality in children. Increasing antimicrobial resistance (AMR) is reported globally, yet efforts to track pediatric AMR at a national level over time are lacking.

Methods: The Australian Group on Antimicrobial Resistance (AGAR) surveillance program captures clinical and microbiological data of isolates detected in blood cultures across Australia.

View Article and Find Full Text PDF

In the academic community, discussions and debates are a natural and vital part of the research process [...

View Article and Find Full Text PDF

Hepatitis C in Children-An Asia-Pacific Concise Perspective.

Pathogens

October 2024

Gastroenterology and Clinical Nutrition, The Royal Children's Hospital Melbourne, Parkville, VIC 3052, Australia.

Article Synopsis
  • The discovery of hepatitis C virus (HCV) in 1989 has led to the development of effective direct-acting antiviral treatments that can cure the disease.
  • Increasing treatment rates and decreasing transmission could make HCV eradication possible, but achieving this goal involves significant challenges.
  • The article discusses the management of children with HCV in the Asia-Pacific region and highlights various difficulties and complexities in addressing the issue.
View Article and Find Full Text PDF

Aim: To explore collaboration and social dynamics within paediatric Morbidity and Mortality meetings.

Design: Qualitative Exploratory Case Study Methodology incorporating semi-structured interviews and qualitative observations.

Methods: Data were collected in a large quaternary paediatric hospital in Melbourne, Australia.

View Article and Find Full Text PDF

Aim: This scoping review aims to expansively review the reporting of Indigenous status, ethnicity, culture, language and country of birth in Australian paediatric clinical studies.

Methods: Scoping review of Australian clinical studies, including randomised controlled trials, non-randomised controlled trials, cluster randomised controlled trials and quasi-experimental studies, with paediatric participants (<18 years) or mixed adult and paediatric participants. PubMed, Cumulated Index to Nursing and Allied Health Literature and Embase databases were searched for clinical studies published 1 January 2018 to 28 November 2022.

View Article and Find Full Text PDF

Surgical anatomy of aortic root: Toward precise and durable aortic, neo-aortic, and truncal valve repairs.

J Thorac Cardiovasc Surg

October 2024

Department of Cardiac Surgery, The Royal Children's Hospital, Melbourne, Australia; University of Melbourne, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia; Melbourne Children's Centre for Cardiovascular Genomics and Regenerative Medicine, Melbourne, Australia. Electronic address:

View Article and Find Full Text PDF

Purpose: Blepharocheilodontic (BCD) syndrome is a rare condition with eyelid ectropion, euryblepharon, lagophthalmos, congenital cleft lip/palate, and oligodontia. BCD syndrome is an autosomal dominant inherited disorder and has multiple associations with systemic diseases. We present three new cases of BCD syndrome and a literature review of the periocular manifestations of BCD and their management.

View Article and Find Full Text PDF

Introduction: Intra-operative neuromonitoring including somatosensory evoked potentials, motor evoked potentials, and electromyography, have replaced the Stagnara wake-up test to allow early detection of neurological change during paediatric spinal deformity surgery. It is important for surgeons to recognize alerts triggered by loss of these potentials and act accordingly to prevent iatrogenic neurological damage intra-operatively. This study was conducted to determine the sensitivity and specificity of neuromonitoring alerts in paediatric spinal deformity correction surgery.

View Article and Find Full Text PDF

Nutrition support in children discharged from the pediatric intensive care unit: A bi-national prospective cohort study (ePICUre).

J Pediatr Gastroenterol Nutr

October 2024

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Article Synopsis
  • The study investigates nutrition support for critically ill children after they leave the pediatric intensive care unit (PICU), focusing on their recovery phase and identifying current nutrition practices.
  • Data was collected from children admitted to nine PICUs over two weeks, looking at their nutrition intake from the first full day in the ward and at various intervals up to 28 days post-admission.
  • Results show that a significant number of children were not meeting their estimated energy and protein needs, despite receiving nutritional support like enteral nutrition (EN) and parenteral nutrition (PN) during their recovery.
View Article and Find Full Text PDF