Abstract：
OBJECTIVES:To assess factors associated with granting of the Disability Living Allowance (DLA) for Down syndrome. DESIGN:Cross-sectional survey. SETTING:Families with a child with Down syndrome enrolled in a community-based trial of vitamin supplementation. PARTICIPANTS:156 children with trisomy 21 (59% male, 20% non-white) were enrolled before 7 months of age and 138 completed follow-up. MAIN OUTCOME MEASURES:Before the child was 2 years old, we surveyed parents about applications for the DLA and socioeconomic factors, and assessed the child's development. RESULTS:Application for the DLA was not associated with ethnicity or speaking English. Significantly fewer ethnic minority parents (OR = 0.10; 95% CI 0.03 to 0.35; 69% vs 96%, risk difference 27%) and parents with English as a second language (OR = 0.15: 95% CI 0.04 to 0.62; 67% vs 93%, risk difference 26%) were granted the DLA. Amongst those granted the DLA, ethnic minority families were significantly less likely to be granted a higher monetary award (OR = 0.19; 95% CI 0.06 to 0.55). Severity of disability, reflected by quartile of Griffiths Developmental Quotient or the presence of severe cardiac disease requiring surgery, was not associated with application, granting or level of the DLA award. CONCLUSIONS:Although all children with Down syndrome meet some of the criteria for the DLA, only 80% were receiving this benefit. The decision to award the DLA and the monetary level of the award favoured white, English speaking parents and was not related to severity of disability. Routine monitoring of awards by ethnicity and language spoken is needed. TRIAL REGISTRATION NUMBER:NCT00378456.
journal_name
Arch Dis Childjournal_title
Archives of disease in childhoodauthors
Ellis J,Logan S,Pumphrey R,Tan HK,Henley W,Edwards V,Moy R,Gilbert Rdoi
10.1136/adc.2006.112839subject
Has Abstractpub_date
2008-01-01 00:00:00pages
14-6issue
1eissn
0003-9888issn
1468-2044pii
adc.2006.112839journal_volume
93pub_type
杂志文章abstract：:A questionnaire relating to smoking habits, respiratory symptoms, and health attitude was administered to schoolchildren aged between 11 and 17 throughout a defined geographical area in both 1975 and 1979, with a valid response from 10498 and 12002 young people respectively. Each cohort was almost entirely different. ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.57.5.352
更新日期：1982-05-01 00:00:00
abstract：:Information is presented about 19 children, under age 7 years, from 17 families, whose mothers consistently gave fraudulent clinical histories and fabricated signs so causing them needless harmful medical investigations, hospital admissions, and treatment over periods of time ranging from a few months to 4 years. Epis...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.57.2.92
更新日期：1982-02-01 00:00:00
abstract：:The range of thermal control and the thermoneutral range of preterm infants under 30 weeks' gestation was calculated by extrapolation of data from studies on more mature infants. Even assuming some thermoregulatory capacity, the range of control is less than 3 degrees C, the thermoneutral range is less than 0.5 degree...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.58.7.504
更新日期：1983-07-01 00:00:00
abstract：OBJECTIVE:Despite decreasing mortality, functional impairments in children with transposition of the great arteries (TGA) are still a concern. This study analyses health-related physical fitness (HRPF), arterial stiffness and health-related quality of life (HRQoL) in children with anatomically repaired TGA regarding co...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/archdischild-2018-316444
更新日期：2019-09-01 00:00:00
abstract：:The aim of the present study was to characterise plasma concentrations of cholecystokinin (CCK) after breast feeding in newborn infants. Fifty eight healthy full term exclusively breast fed infants were investigated at 4 (1) (2-6) days of age. Each infant contributed one blood sample collected just before, immediately...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.68.1_spec_no.46
更新日期：1993-01-01 00:00:00
abstract：:Renal candidal bezoar is uncommonly encountered in neonatal intensive care. An affected neonate who improved only after surgical removal of obstructive fungus from the renal pelvis and local irrigation with amphotericin B is described. The need for early consideration of surgical intervention is stressed. ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.67.1_spec_no.63
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:Most babies receive at least some formula milk. Variations in formula-feeding practices can have both short- and long-term health consequences. The literature on parents' experiences of bottle-feeding was systematically reviewed to understand how formula-feeding decisions are made. METHODS:Relevant English-l...
journal_title：Archives of disease in childhood
pub_type： 杂志文章,评审
doi：10.1136/adc.2008.151910
更新日期：2009-08-01 00:00:00
abstract：:1 case study and a clinical study with laboratory rats examined the question of breast milk jaundice. The case study confirmed clinical diagnosis of breast milk jaundice. The clinical study compared the effects of breast milk and 3alpha, 20beta-pregnanediol on the conjugation of bilirubin and o-aminophenol by rat li...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.46.246.195
更新日期：1971-04-01 00:00:00
abstract：:The relevance of providing a rapid anticonvulsant monitoring service was assessed over a five year period at a paediatric epilepsy outpatient clinic. Altogether 481 drug assays were performed on 144 patients when considered clinically indicated. Drugs most frequently assayed were carbamazepine and sodium valproate, si...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.65.3.264
更新日期：1990-03-01 00:00:00
abstract：OBJECTIVE:There are no objective ambulatory studies on the temporal relationship between reflux and cough in children. Commercial pHmetry loggers have slow capture rates (0.25 Hz) that limit objective quantification of reflux and cough. The authors aimed to evaluate if there is a temporal association between cough and ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.2009.177733
更新日期：2011-05-01 00:00:00
abstract：:An 11 year old boy presented with severe acute hereditary coproporphyria. Despite supportive measures his condition deteriorated after admission. Haem arginate, started two days after presentation, produced appreciable inhibition of porphyrin precursor overproduction and clinical improvement. ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.66.6.730
更新日期：1991-06-01 00:00:00
abstract：OBJECTIVES:To describe common patterns of bath water scald injuries in children, to examine differences between accidental and non-accidental bath water scalds in children, and to examine potential for prevention. DESIGN:A two year six month retrospective analysis of admissions to a specialist burns unit. SETTING:The...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.71.2.156
更新日期：1994-08-01 00:00:00
abstract：AIM:To examine evolution of the physical characteristics of Marfan's syndrome throughout childhood. METHODS:40 children were ascertained during the development of a regional register for Marfan's syndrome. Evolution of the clinical characteristics was determined by repeat evaluation of 10 patients with sporadic Marfan...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.76.1.41
更新日期：1997-01-01 00:00:00
abstract：:Simplified guidelines for the emergency care of children have been developed to improve the triage and rapid initiation of appropriate emergency treatments for children presenting to hospitals in developing countries. The guidelines are part of the effort to improve referral level paediatric care within the World Heal...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.81.6.473
更新日期：1999-12-01 00:00:00
abstract：:One hundred of the 192 survivors of repaired oesophageal atresia at the Royal Children's Hospital, Melbourne, aged one year and over on 1 November 1973, were reviewed to determine the frequency of respiratory complications. 78 children suffered from more than 3 attacks of bronchitis per year during the first 3 years o...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.51.4.279
更新日期：1976-04-01 00:00:00
abstract：OBJECTIVE:To develop a clinical algorithm to identify paediatric patients who should be offered HIV testing in a setting of moderate HIV prevalence and limited resources. METHODS:In a prospective cross-sectional study at Port Moresby General Hospital, Papua New Guinea, carers of inpatients were offered HIV testing and...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.2009.179143
更新日期：2011-01-01 00:00:00
abstract：:Urinary glycosaminoglycan (GAG) excretion was measured in children with idiopathic urolithiasis (15 girls and 10 boys; mean (SD) age 6.2 (2.4) years) and in healthy controls (10 girls and 14 boys; mean (SD) age 6.8 (3.8) years). GAG excretion was expressed as a GAG/creatinine (mg/g) ratio and was evaluated using dimet...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.80.3.271
更新日期：1999-03-01 00:00:00
abstract：:Thyroid function was studied in 54 low birthweight infants during a 3-week period. Each infant was placed in one of three groups. Group 1 (n = 21), infants who were well and appropriately grown fro gestational age; group 2 (n = 23), infants who were appropriately grown but who had hyaline membrane disease; group 3 (n ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.56.3.214
更新日期：1981-03-01 00:00:00
abstract：OBJECTIVE:To examine the value of neurodevelopmental examination, fragile X testing, iron studies, and other screening procedures in children with mild to moderate learning difficulties. DESIGN:A cross sectional case-control study. SUBJECTS:A 34% random sample (n = 130) of children with mild to moderate learning diff...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.76.3.264
更新日期：1997-03-01 00:00:00
abstract：:Two cross sectional surveys, 24 years apart, using the same respiratory questionnaire, were carried out to examine changes in prevalence rates of cough, phlegm, and wheeze and to relate changes in wheeze to objective peak expiratory flow rates (PEFRs). The surveys were done in towns in southern and northern England an...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.68.6.729
更新日期：1993-06-01 00:00:00
abstract：:The influence of physical housing quality on childhood asthma expression, especially the effect of exposure to moulds, allergens, and pollutants, is well documented. However, attempts to explain increasing rates and severity of childhood asthma solely through physical environmental factors have been unsuccessful, and ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章,评审
doi：10.1136/adc.2006.098376
更新日期：2006-11-01 00:00:00
abstract：:To assess the bacteriological quality of unpooled expressed breast milk, a pilot bottle sample of each donation was examined before the milk was given to the neonate. Provided the milk did not contain greater than 2500 organisms/ml or potential pathogens it was used unheated. Milk containing between 2500 and 5000 orga...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.54.10.760
更新日期：1979-10-01 00:00:00
abstract：:Clinical observations and findings on imaging are reported in six newborns with symmetrical thalamic lesions (STL). In three cases the diagnosis was confirmed by postmortem examination. Characteristic observations in this series and 17 previously reported cases include no evidence of perinatal asphyxia, high incidence...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.67.1_spec_no.15
更新日期：1992-01-01 00:00:00
abstract：BACKGROUND:Vanessa is a 34-year-old lawyer married to a police officer. Her first baby was born after a perfect pregnancy and labour until fetal distress necessitated an easy Ventouse extraction late in the second stage. Baby F had normal Apgar scores and weighed 2920 g. This paper records a conversation between Vaness...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.2006.101600
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:Primary school children in low-income countries are at risk of many diseases and poor health affects attendance, cognition and ability to learn. Developing school health and nutrition strategies has been extensively highlighted as a global priority, with a particular focus on complex programme design. Howeve...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/archdischild-2016-311605
更新日期：2017-09-01 00:00:00
abstract：:Six children are described who developed diarrhoea associated with Clostridium difficile during the course of haemolytic uraemic syndrome. The significance of this infection is discussed within the context of the pathophysiology of haemolytic uraemic syndrome. ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.69.2.239
更新日期：1993-08-01 00:00:00
abstract：:Cotton wool balls have been used to aid the collection of urine from infants. Concentrations of two urinary proteins, albumin and retinol binding protein, decreased by 40 and 80% respectively within 15 minutes of contact with the cotton wool. Cotton wool balls should not be used when investigating proteinuria. ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.67.12.1486
更新日期：1992-12-01 00:00:00
abstract：AIMS:To compare the effectiveness of short course (2-4 days) with standard duration oral antibiotic treatment (7-14 days) for urinary tract infection (UTI). METHODS:Meta-analysis of randomised controlled trials using a random effects model. Ten trials were eligible, involving 652 children with lower tract UTI recruite...
journal_title：Archives of disease in childhood
pub_type： 杂志文章,meta分析,评审
doi：10.1136/adc.87.2.118
更新日期：2002-08-01 00:00:00
abstract：INTRODUCTION:Despite immunisation, antibiotics and intensive care management, infection with Streptococcus pneumoniae remains a major cause of morbidity and mortality in children. The WHO currently recommends vaccinating infants with either a 3+0 schedule (6 weeks, 3-4 and 4-6 months of age) or 2+1 schedule (2 doses be...
journal_title：Archives of disease in childhood
pub_type： 杂志文章,随机对照试验
doi：10.1136/archdischild-2018-316254
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Heart murmurs are common in children, and they are often referred to a specialist for examination. A clinically innocent murmur does not need further investigation. The referral area of the University Hospital is large and sparsely populated. A new service for remote auscultation (telemedicine) of heart murm...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.87.4.297
更新日期：2002-10-01 00:00:00
