Resource and outcome in paediatric diabetes services.

Abstract:

:The availability of resource (staffing and services) in all 21 paediatric diabetes services in Yorkshire and Humber Strategic Health Authority, UK was surveyed and this information was combined with demographic and clinical data on 2683 children and young people with diabetes (aged 0-23 years) to assess whether level of resource was associated with glycaemic control (mean HbA1c %). Multilevel modelling and graphical techniques were used to analyse the relationship between resource and outcome for paediatric diabetes services. No services achieved all resource recommendations based on National Institute for Health and Clinical Excellence guidelines, but there was no direct association between level of resource and glycaemic control after controlling for deprivation, age and duration of diabetes. Transitional care, nurse caseload and access to specialist services are not adequately resourced but variation in outcome between services is not accounted for by level of resource.

journal_name

Arch Dis Child

authors

Harron KL,McKinney PA,Feltbower RG,Holland P,Campbell FM,Parslow RC

doi

10.1136/adc.2010.198275

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

526-8

issue

6

eissn

0003-9888

issn

1468-2044

pii

adc.2010.198275

journal_volume

97

pub_type

杂志文章
  • Quantitative morphological studies of developing human cerebellar cortex in various disease states.

    abstract::A quantitative morphological assessment was carried out of the cellularity and staining properties of the cells of the layers of the human cerebellar cortex, both in the normal child and in 41 children suffering from a series of disorders including mental retardation. A computerized image analyser and highly standardi...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.51.12.964

    authors: Gadson DR,Emery JL

    更新日期:1976-12-01 00:00:00

  • Costs and outcomes in a regional neonatal intensive care unit.

    abstract::At the Birmingham Maternity Hospital the mean cost of caring for surviving infants who require neonatal intensive care ranges from approximately pounds 2500 (for infants above 1500 g birthweight), to pounds 5500 (for infants 1000 to 1499 g birthweight), to pounds 10 000 (for infants less than 1000 g birthweight). The ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.59.11.1064

    authors: Newns B,Drummond MF,Durbin GM,Culley P

    更新日期:1984-11-01 00:00:00

  • The neurodevelopmental progress of infants less than 33 weeks into adolescence.

    abstract:BACKGROUND:Several studies have shown an increased incidence of neurodevelopmental impairment in very preterm survivors at school age compared with controls. AIM:To compare findings in the same cohort at 8 years and 15 years. METHODS:A total of 151 of the 224 eligible infants born before 33 weeks of gestation from 19...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.2002.006676

    authors: O'Brien F,Roth S,Stewart A,Rifkin L,Rushe T,Wyatt J

    更新日期:2004-03-01 00:00:00

  • Height and weight pattern up to 20 years after treatment for acute lymphoblastic leukaemia.

    abstract:OBJECTIVE:To assess height and body mass index standard deviation scores up to 20 years after treatment for acute lymphoblastic leukaemia (ALL). SUBJECTS AND METHODS:Height and body mass index standard deviation scores were measured in 33 patients (14 boys and 19 girls) with childhood ALL at diagnosis, after the end o...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.79.2.161

    authors: Birkebaek NH,Clausen N

    更新日期:1998-08-01 00:00:00

  • Unsuspected Pneumocystis carinii pneumonia at presentation of severe primary immunodeficiency.

    abstract:BACKGROUND:Pneumocystis carinii is an important pathogen in immunodeficiency but may be an unrecognised cause of respiratory compromise. OBJECTIVES:To ascertain the incidence of P carinii pneumonia (PCP) at presentation of severe combined immunodeficiency (SCID), whether it had been diagnosed, and the effect of treatm...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.82.2.144

    authors: Berrington JE,Flood TJ,Abinun M,Galloway A,Cant AJ

    更新日期:2000-02-01 00:00:00

  • Epidemiology of traumatic brain injury in children receiving intensive care in the UK.

    abstract:AIMS:To describe the epidemiology of children with traumatic brain injury (TBI) admitted to paediatric intensive care units (PICUs) in the UK. METHODS:Prospective collection of clinical and demographic information from paediatric and adult intensive care units in the UK and Eire between February 2001 and August 2003. ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,多中心研究

    doi:10.1136/adc.2005.072405

    authors: Parslow RC,Morris KP,Tasker RC,Forsyth RJ,Hawley CA,UK Paediatric Traumatic Brain Injury Study Steering Group.,Paediatric Intensive Care Society Study Group.

    更新日期:2005-11-01 00:00:00

  • Childhood cancers in Zambia before and after the HIV epidemic.

    abstract::Human immunodeficiency virus (HIV) related cancers in children are not as common and as well described as in adults. An HIV epidemic has been prevalent in Zambia since 1983-1984. To study the effect of the epidemic on the epidemiology of cancers in children a retrospective study was undertaken at the University Teachi...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.73.2.100

    authors: Chintu C,Athale UH,Patil PS

    更新日期:1995-08-01 00:00:00

  • Effects of sleeping position on development of infant cardiovascular control.

    abstract:OBJECTIVE:Sudden Infant Death Syndrome (SIDS) is associated with prone sleeping, and circulatory failure has been hypothesised to be a factor in the fatal event. We aimed to determine the effect of prone sleeping on heart rate (HR) and blood pressure (BP) control over the first 6 months of life. SUBJECTS:Term infants ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.2007.132860

    authors: Yiallourou SR,Walker AM,Horne RS

    更新日期:2008-10-01 00:00:00

  • A longitudinal study of blood pressure in Spanish schoolchildren. Working Group of Cardiovascular Risk Factors in Childhood and Adolescence.

    abstract::Blood pressure (BP) values and the phenomenon of tracking were evaluated in a group of 481 schoolchildren over a nine year period starting at age 6 years. BP values were obtained yearly by taking the mean of two measurements at one visit, measurements were taken by only two observers during the study. For both systoli...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.81.2.169

    authors: Sánchez-Bayle M,Muñoz-Fernández MT,González-Requejo A

    更新日期:1999-08-01 00:00:00

  • Acute effects of instillation of surfactant in severe respiratory distress syndrome.

    abstract::Doppler ultrasound measurements of pulmonary blood flow in 20 babies with severe respiratory distress syndrome treated in a randomised controlled trial of surfactant replacement showed that the immediate improvement of oxygenation was not associated with a significant increase in pulmonary blood flow. Reduction in ven...

    journal_title:Archives of disease in childhood

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/adc.64.1_spec_no.13

    authors: Halliday HL,McCord FB,McClure BG,Reid MM

    更新日期:1989-01-01 00:00:00

  • Foot length--a new and potentially useful measurement in the neonate.

    abstract::The foot length, occipito-frontal head circumference (OFC), crown-rump, and crown-heel length (CHL) of 123 neonates of gestational ages 26-42 weeks, were measured between 12 hours and 5 days. A gauge, designed and constructed at St Mary's Hospital, Manchester, was used to measure foot length. In term babies (37-42 wee...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.54.3.226

    authors: James DK,Dryburgh EH,Chiswick ML

    更新日期:1979-03-01 00:00:00

  • Hidden sources of fluid and sodium intake in ill newborns.

    abstract::Fluids used for flushing arterial catheters, bronchial lavage, and drug administration are not normally considered when assessing daily fluid intake, yet infants weighing less than 1000 g at birth gained up to 12 ml/kg/day of extra fluid and 2.4 mmol/kg/day (mean) of extra sodium from these hidden sources. ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.61.7.695

    authors: Noble-Jamieson CM,Kuzmin P,Airede KI

    更新日期:1986-07-01 00:00:00

  • Nedocromil sodium and exercise induced asthma.

    abstract::Serial exercise tests were carried out by 12 children with asthma on two study days. After a control exercise test either nedocromil sodium 4 mg or placebo were given double blind by metered dose inhaler. Highly significant inhibition of exercise induced asthma occurred after nedocromil, lasting for over two hours. ...

    journal_title:Archives of disease in childhood

    pub_type: 临床试验,杂志文章

    doi:10.1136/adc.62.4.412

    authors: Chudry N,Correa F,Silverman M

    更新日期:1987-04-01 00:00:00

  • Body composition in paediatric intestinal failure patients receiving long-term parenteral nutrition.

    abstract:OBJECTIVE:Outcome of children with intestinal failure (IF) has improved on treatment with parenteral nutrition (PN). The effects of PN and IF on body composition (BC) are unknown. The aim was to review BC in PN-treated children and those weaned off and to compare with reference data. DESIGN:Children on long-term/home ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2012-303516

    authors: Pichler J,Chomtho S,Fewtrell M,Macdonald S,Hill S

    更新日期:2014-02-01 00:00:00

  • A drug utilisation study of antidepressants in children and adolescents using the General Practice Research Database.

    abstract:AIMS:To characterise prescribing patterns of antidepressants (ATDs) to children and adolescents aged < or =18 years in the UK. METHODS:Subjects issued at least one ATD prescription between 1 January 1992 and 31 December 2001 were identified from the UK General Practice Research Database. Prescribing patterns, annual p...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.2004.064956

    authors: Murray ML,de Vries CS,Wong IC

    更新日期:2004-12-01 00:00:00

  • Phenobarbitone prophylaxis of intraventricular haemorrhage.

    abstract::Thirty preterm infants (birthweight under 1500 g) were treated with phenobarbitone to examine its effectiveness in reducing the incidence of intraventricular haemorrhage (IVH), the control group comprising 28 infants. The treated group had 57% incidence of IVH and mortality of 13% compared with 68% and 14%, respective...

    journal_title:Archives of disease in childhood

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/adc.61.2.196

    authors: Anwar M,Kadam S,Hiatt IM,Hegyi T

    更新日期:1986-02-01 00:00:00

  • Patterns of long-term ADHD medication use in Australian children.

    abstract:OBJECTIVE:Adherence to attention-deficit/hyperactivity disorder (ADHD) medication treatment is often suboptimal. This can compromise patient outcomes. We aimed to describe the patterns of ADHD medication use in Australian children, and characteristics associated with patterns of use. DESIGN:Dispensing data were analys...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2019-317997

    authors: Efron D,Mulraney M,Sciberras E,Hiscock H,Hearps S,Coghill D

    更新日期:2020-06-01 00:00:00

  • Specialist paediatric palliative care services: what are the benefits?

    abstract:BACKGROUND:The number of children and young people (CYP) living with life-limiting and life-threatening conditions is rising. Paediatric palliative care is a relatively new aspect of healthcare, the delivery of which is variable, with a wide range of healthcare and voluntary sector providers involved. Policy recommenda...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/archdischild-2016-312026

    authors: Mitchell S,Morris A,Bennett K,Sajid L,Dale J

    更新日期:2017-10-01 00:00:00

  • Constipation and reversible urinary tract abnormalities.

    abstract::Urinary tract anomalies were prospectively investigated with ultrasound in 29 children with functional constipation. These children were compared before and after treatment with 451 age matched healthy controls without constipation. The bladder residue and upper renal tract dilatation after micturition were significan...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.70.1.56

    authors: Dohil R,Roberts E,Jones KV,Jenkins HR

    更新日期:1994-01-01 00:00:00

  • Minor congenital anomalies and ataxic cerebral palsy.

    abstract::The incidence of minor congenital anomalies was examined in 36 patients with ataxic cerebral palsy, in unaffected family members, and in 100 unrelated control subjects. None of the control subjects or family members had more than four anomalies, and 25 of 36 (69%) of the patients had more than four. The distribution o...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.64.4.557

    authors: Miller G

    更新日期:1989-04-01 00:00:00

  • Maternal depression and low maternal intelligence as risk factors for malnutrition in children: a community based case-control study from South India.

    abstract:AIMS:To determine whether current and postpartum maternal depression and low maternal intelligence are risk factors for malnutrition in children. METHODS:In rural South India 72 children with malnutrition were identified from a central register; 72 controls were matched for age, gender, and residence. RESULTS:Major d...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.2002.009738

    authors: Anoop S,Saravanan B,Joseph A,Cherian A,Jacob KS

    更新日期:2004-04-01 00:00:00

  • PACS (picture archiving and communication systems): filmless radiology.

    abstract::A picture archiving and communication system (PACS) is a computerised means of replacing the roles of conventional radiological film. This review describes the Hammersmith PACS, and discusses the advantages and disadvantages of PACS systems. ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/adc.83.1.82

    authors: Strickland NH

    更新日期:2000-07-01 00:00:00

  • Disproportionate head growth retardation in cystic fibrosis.

    abstract::Monthly increments of length, weight gain, and head circumference were recorded from birth to 4 years of age in 52 children with cystic fibrosis. At birth the children showed stunting. Standard deviation (SD) scores at birth for height, weight, and head circumference were -1.24, -0.72, and -1.82 respectively. Over the...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.72.2.150

    authors: Ghosal S,Taylor CJ,Pickering M,McGaw J,Beckles-Willson N,Wales JK

    更新日期:1995-02-01 00:00:00

  • Effect of obesity on endogenous secretion of growth hormone in Turner's syndrome.

    abstract::Nocturnal growth hormone secretion over a 12 hour period was assessed at 20 minute intervals in 25 prepubertal subjects with Turner's syndrome and 11 normal prepubertal girls of short stature to try and elucidate the relationship between body weight and endogenous secretion of growth hormone in Turner's syndrome. Ther...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.66.10.1184

    authors: Lu PW,Cowell CT,Jimenez M,Simpson JM,Silink M

    更新日期:1991-10-01 00:00:00

  • Peer mentoring: evaluation of a novel programme in paediatrics.

    abstract:BACKGROUND:Mentoring is important for personal and professional development of doctors. Peer mentoring is a core skill in the UK paediatric postgraduate curriculum. However, there is a paucity of peer mentoring programmes aimed at postgraduate doctors in training (postgraduate trainees), and there are no such schemes w...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2013-304277

    authors: Eisen S,Sukhani S,Brightwell A,Stoneham S,Long A

    更新日期:2014-02-01 00:00:00

  • The doctor, the father, and the social scientist.

    abstract::Life was sorted. With membership of the college under my belt, and my paediatric training completed, I needed a new challenge. I decided to launch into the deep waters of qualitative research. Stepping out with some trepidation into semistructured interviews and grounded theory, I soon found that the water was neither...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.88.1.44

    authors: Sidebotham P

    更新日期:2003-01-01 00:00:00

  • Infantile meningitis in England and Wales: a two year study.

    abstract::A two year prospective study identified 1922 cases of meningitis in children under 1 year of age. A further 201 cases were identified from other sources. The annual incidence of meningitis during the first year of life was 1.6/1000; during the first 28 days of life it was 0.32/1000, and among postneonatal infants it w...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.66.5.603

    authors: de Louvois J,Blackbourn J,Hurley R,Harvey D

    更新日期:1991-05-01 00:00:00

  • Value of cystography in urinary tract infections.

    abstract::Fifty-one children with a bacteriologically proven urinary tract infection had both an intravenous urogram (IVU) and a micturating cystogram. The IVU was normal in 35. Only 6 of these children showed reflux in the cystogram, affecting 7 of the 70 ureters at risk. Since reflux on its own does not cause renal damage, wh...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.51.11.893

    authors: Moncrieff MW,Whitelaw R

    更新日期:1976-11-01 00:00:00

  • Intestinal lymphangiectasia. Long-term results with MCT diet.

    abstract::The clinical course of 6 children with primary intestinal lymphangiectuasia who have been treated with low fat medium chain triglyceride-supplemented diets for between 3 and 8 years (4 for longer than 5 years) is described. Though laboratory findings indicate continuing chyle leak, evidence for long-term benefit from ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.50.4.269

    authors: Tift WL,Lloyd JK

    更新日期:1975-04-01 00:00:00

  • Bilateral or unilateral cochlear implantation for deaf children: an observational study.

    abstract:OBJECTIVE:Cochlear implantation in one ear (unilateral implantation) has been the standard treatment for severe-profound childhood deafness. We assessed whether cochlear implantation in both ears (bilateral implantation) is associated with better listening skills, higher health-related quality of life (health utility) ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.2009.160325

    authors: Lovett RE,Kitterick PT,Hewitt CE,Summerfield AQ

    更新日期:2010-02-01 00:00:00