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Study assessing the practice and/or knowledge of targeted professional or parent

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1. A national survey of propofol infusion use by paediatric anaesthetists in Great Britain and Ireland

This study aimed to explore findings of a national survey of propofol infusion use by paediatric anaesthetists in Great Britain and Ireland

Abstract:

BACKGROUND: Since the introduction of propofol in 1977, it has been widely used for the induction and maintenance of anaesthesia and for sedation on the intensive care unit. Recently, case reports of suspected propofol infusion syndrome (PRIS) following short term infusions have been published. We set out to obtain a picture of the current use of propofol infusions by paediatric more...

International Classification:

Practice/knowledge - propofol infusion

Categories:

propofol infusion;

Geography:

Republic of Ireland and the United Kingdom

Paediatr Anaesth, Vol: 18 Page: 488-93 June 2008
M. Hill; W. Peat; S. Courtman

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2. A survey of neonatal nutrition policies and practices in the UK and Eire

This study aimed to assess the prevalence of nutrition policies in neonatal units in the UK and Eire

Abstract:

Optimal nutrition is one of the fundamental components for infants to reach their full growth and neurodevelopmental potential. Best practice is facilitated by a contemporaneous, multidisciplinary, evidence-based nutrition policy. Such evidence has recently been reviewed. We have assessed: the prevalence of nutrition policies in neonatal units in the UK and Eire; their application to more...

International Classification:

Practice/knowledge - neonatal nutrition policies

Categories:

neonatal nutrition policies

Geography:

Republic of Ireland and the United Kingdom

Matern Child Nutr, Vol: 3 Page: 120-8 April 2007
D. P. Tuthill

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3. A survey of the use of 2D ultrasound guidance for insertion of central venous catheters by UK consultant paediatric anaesthetists

This study aimed to explore findings from a survey on the use of 2D ultrasound guidance for insertion of central venous catheters by United Kingdom consultant paediatric anaesthetists

Abstract:

BACKGROUND AND OBJECTIVE: National Institute for Clinical Excellence guidance states that 2D imaging ultrasound guidance should be used when inserting internal jugular venous lines in adults and children in the elective situation and should be considered in most clinical circumstances requiring central venous catheter insertion. This survey explored the availability, training and use of more...

International Classification:

Practice/knowledge - insertion of central venous catheters

Categories:

insertion of central venous catheters

Geography:

Republic of Ireland and the United Kingdom

Eur J Anaesthesiol, Vol: 24 Page: 71-5 January 2007
G. Tovey; M. Stokes

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4. Anesthetic management of preschool children with penetrating eye injuries: postal survey of pediatric anesthetists and review of the available evidence

This study aimed to explore pediatric anesthetists regarding their anesthesia management of a screaming child with a penetrating eye injury

Abstract:

BACKGROUND: Pediatric anesthetists were surveyed regarding their anesthesia management of a screaming child with a penetrating eye injury. The results are reviewed in relation to the available evidence in the literature. METHODS: A postal survey was sent to all the members of the APA living in the UK. Seven clinical questions were asked regarding the management of penetrating eye injury more...

International Classification:

Practice/knowledge - management of a screaming child with a penetrating eye injury

Categories:

management of a screaming child with a penetrating eye injury

Geography:

Republic of Ireland and the United Kingdom

Paediatr Anaesth, Vol: 16 Page: 769-76 July 2006
J. Seidel; T. Dorman

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5. Antifungal prophylaxis for the prevention of neonatal candidiasis?

This study aimed to explore the use of antifungal prophylaxis in the prevention of neonatal candidiasis

Abstract:

BACKGROUND: Randomized controlled trials suggest that prophylactic administration of antifungal agents reduce the rate of colonization and invasive Candida infection in a subgroup of high-risk very low birth weight (VLBW) neonates. The extent of antifungal prophylaxis use in the United Kingdom and Ireland is unknown. METHODS: A postal questionnaire was administered to neonatologists more...

International Classification:

Practice/knowledge - antifungal prophylaxis

Categories:

antifungal prophylaxis; candidiasis

Geography:

Republic of Ireland and the United Kingdom

Acta Paediatr, Vol: 97 Page: 430-3 April 2008
M. J. O'Grady; E. M. Dempsey

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6. Antimicrobial policies in the neonatal units of the United Kingdom and Republic of Ireland

This study aimed to explore antibiotic and antifungal policies in British and Irish neonatal units

Abstract:

OBJECTIVES: To review antibiotic and antifungal policies in British and Irish neonatal units (NNUs). METHODS: A telephone survey was performed regarding empirical antimicrobial guidelines of NNUs in the UK and Republic of Ireland. RESULTS: The response rate was 91% (202 of 222 NNUs). The guidelines from all responding units covered group B Streptococcus and Escherichia coli, the most more...

International Classification:

Practice/knowledge - antibiotic and antifungal policies in neonatal units

Categories:

antibiotic and antifungal policies in neonatal units

Geography:

Republic of Ireland and the United Kingdom

J Antimicrob Chemother, Vol: 61 Page: 743-5 March 2008
A. M. Fernando; P. T. Heath; E. N. Menson

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7. Assessing oxygen requirement after discharge in chronic lung disease: a survey of current practice

This study aimed to explore the criteria used to assess oxygen requirement after discharge in chronic lung disease

Abstract:

In order to survey current management of oxygen in children with chronic lung disease (CLD) of prematurity in the United Kingdom and Ireland, 260 questionnaires asking about criteria that were considered important when removing supplemental oxygen from a child with CLD were sent to consultant paediatricians identified as being likely to be involved in the follow-up of children with CLD. more...

International Classification:

Practice/knowledge - chronic lung disease oxygen requirements

Categories:

chronic lung disease oxygen requirements

Geography:

Republic of Ireland and the United Kingdom

Eur J Pediatr, Vol: 161 Page: 428-30 August 2002
A. Solis; G. Harrison; B. N. Shaw

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8. Blood gas monitoring in very low birth weight infants receiving respiratory support: A survey of current practice in the UK and Ireland

This study aimed to explore current blood gas monitoring in very low birth weight infants receiving respiratory support

Abstract:

Aim: To determine the frequency with which different methods of blood gas monitoring are used during each phase of neonatal critical care. Method: Data on the modality of monitoring of respiratory gas parameters in very low birth weight (VLBW) infants receiving respiratory support (ventilation or supplemental oxygen) were requested from 101 neonatal units in the United Kingdom (UK) and more...

International Classification:

Practice/knowledge - blood gas monitoring

Categories:

blood gas monitoring;

Geography:

Republic of Ireland and the United Kingdom

Journal of Clinical Excellence, Vol: 4 Page: 403-410 2003
V. Ganesan; S. Malbon; P. W. Jones; S. A. Spencer

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9. Cochlear implantation - United Kingdom and Ireland surgical survey

This study aimed to explore cochlear implantation in the United Kingdom and Ireland

Abstract:

Cochlear implantation has now become a routine procedure in the management of severe to profound deafness. An initial survey was carried out in late 1997 of the surgeons carrying out implantation in the United Kingdom and Ireland, requesting details of medical and surgical aspects of cochlear implantation. A follow-up survey was conducted in early 2002 to evaluate any changes in more...

International Classification:

Practice/knowledge - cochlear implants

Categories:

cochlear implants

Geography:

Republic of Ireland and the United Kingdom

Cochlear Implants Int, Vol: 4 Page: 11-21 March 2003
K. P. Gibbin; C. H. Raine; A. Q. Summerfield

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10. Delegation in paediatric anaesthesia: a postal survey

This study aimed to explore the consensus view from United Kingdom paediatric anaesthetic consultants of what practical skills are safe and appropriate for an anaesthetic trainee to perform during an initial 3-month module in paediatric anaesthesia

Abstract:

BACKGROUND: We wished to determine a consensus view from UK paediatric anaesthetic consultants of what practical skills are safe and appropriate for an anaesthetic trainee to perform during an initial 3-month module in paediatric anaesthesia. METHODS: A postal survey was sent to all UK and Ireland members of the Association of Paediatric Anaesthetists (APA). This questionnaire was more...

International Classification:

Practice/knowledge - anaesthesia

Categories:

training in anaesthesia;

Geography:

Republic of Ireland and the United Kingdom

Paediatr Anaesth, Vol: 11 Page: 349-54 May 2001
G. R. Lauder

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11. Exclusion of androgen insensitivity syndrome in girls with inguinal hernias: current surgical practice

This study aimed to explore the current surgical practice of exclusion of androgen insensitivity syndrome in girls with inguinal hernias

Abstract:

To review the current approach of paediatric surgeons to the exclusion of androgen insensitivity syndrome (CAIS) in girls with inguinal hernias (IH), a questionnaire was sent to all specialist paediatric surgeons in the United Kingdom and Ireland asking if they exclude CAIS, how they exclude it, and what they say to parents preoperatively. In all, 32 surgeons responded (29%); 41% made more...

International Classification:

Practice/knowledge - androgen insensitivity syndrome inguinal hernias

Categories:

surgical practice - androgen insensitivity syndrome inguinal hernias

Geography:

Republic of Ireland and the United Kingdom

Pediatr Surg Int, Vol: 18 Page: 701-3 December 2002
D. M. Burge; I. S. Sugarman

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12. Exploring consensus in practice with youth who are sexually abusive: findings from a Delphi study of practitioner views in the United Kingdom and the Republic of Ireland

This study aimed to explore levels of consensus among practitioners in the United Kingdom and the Republic of Ireland about good practice in relation to youth who are sexually abusive

Abstract:

This article presents the findings of a study exploring current levels of consensus among practitioners in the United Kingdom (UK) and the Republic of Ireland (ROI) about good practice in relation to youth who are sexually abusive. A three-stage Delphi procedure was used to survey the views of 78 practitioners, experienced in this field, on a range of matters relating to preferred more...

International Classification:

Practice/knowledge - Sexual abuse-good practice in relation to youth who have experienced abuse

Categories:

sexually abusive

Geography:

Republic of Ireland and the United Kingdom

Child Maltreat, Vol: 11 Page: 146-56 May 2006
S. Hackett; H. Masson; S. Phillips

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13. Intravenous postoperative fluid prescriptions for children: a survey of practice

This study aimed to explore the rates and types of intravenous fluids being prescribed postoperatively for children in the United Kingdom

Abstract:

BACKGROUND: Postoperative deaths and neurological injury have resulted from hyponatraemia associated with the use of hypotonic saline solutions following surgery. We aimed to determine the rates and types of intravenous fluids being prescribed postoperatively for children in the UK. METHODS: A questionnaire was sent to members of the British Association of Paediatric Surgeons (BAPS) and more...

International Classification:

Practice/knowledge - intravenous fluids

Categories:

intravenous fluids;

Geography:

Republic of Ireland and the United Kingdom

BMC Surg, Vol: 8 Page: 10 2008
P. Davies; T. Hall; T. Ali; K. Lakhoo

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14. Management of anticoagulation and its reversal during paediatric cardiopulmonary bypass: a review of current UK practice

This study aimed to obtain an overview of current practice of management of anticoagulation and its reversal from paediatric cardiac surgical units of Great Britain and Ireland

Abstract:

Protocols for management of heparin and protamine administration in patients undergoing open-heart surgery have been developed from experience gained mainly in adult practice. However, it has been demonstrated that there are marked differences between paediatric and adult patients in their response to systemic anticoagulation and its reversal. The aim of this study was to obtain an more...

International Classification:

Practice/knowledge - anticoagulation

Categories:

anticoagulation

Geography:

Republic of Ireland and the United Kingdom

Perfusion, Vol: 15 Page: 191-201 June 2000
M. Codispoti; P. S. Mankad

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15. National review of maternity care for women with HIV infection

This study aimed to assess adherence to the British HIV Association 2001 guidelines for the management of HIV-infected pregnant women

Abstract:

OBJECTIVE: To assess adherence to the British HIV Association (BHIVA) 2001 guidelines for the management of HIV-infected pregnant women. METHODS: A survey and a case note review were carried out using structured questionnaires sent to providers of adult HIV care in the UK and Ireland. Participants were women with HIV infection who delivered a live or stillborn infant between October more...

International Classification:

Practice/knowledge - HIV-guidelines

Categories:

HIV-guidelines

Geography:

Republic of Ireland and the United Kingdom

HIV Med, Vol: 7 Page: 275-80 July 2006
C. McDonald; H. Curtis; A. de Ruiter; M. A. Johnson; J. Welch

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16. Neonatal vitamin K prophylaxis in Great Britain and Ireland: the impact of perceived risk and product licensing on effectiveness

This study aimed to explore the current use of vitamin K prophylaxis in newborns and review the efficacy and effectiveness of regimens used

Abstract:

OBJECTIVE: To determine current use of vitamin K (VK) prophylaxis in newborns and review the efficacy and effectiveness of regimens used. DESIGN: Efficacy and effectiveness calculated using current practice details, data from Southern Ireland and two previous surveys, together with contemporaneous studies of vitamin K deficiency bleeding (VKDB). SETTING: Current survey: United Kingdom more...

International Classification:

Practice/knowledge - Vitamin K

Categories:

vitamin K prophylaxis

Geography:

Republic of Ireland and the United Kingdom

Arch Dis Child, Vol: 92 Page: 754-8 September 2007
A. Busfield; A. McNinch; J. Tripp

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17. Operative vaginal delivery and the use of episiotomy--a survey of practice in the United Kingdom and Ireland

This study aimed to explore the views and current practice of obstetricians with regard to operative vaginal delivery and the use of episiotomy

Abstract:

OBJECTIVE: To establish the views and current practice of obstetricians with regard to operative vaginal delivery and the use of episiotomy. STUDY DESIGN: A national survey of consultant obstetricians and specialist registrars practising in the United Kingdom and Ireland registered with the Royal College of Obstetricians and Gynaecologists (RCOG), London. A postal questionnaire was sent more...

International Classification:

Practice/knowledge - episiotomy

Categories:

episiotomy

Geography:

Republic of Ireland and the United Kingdom

Eur J Obstet Gynecol Reprod Biol, Vol: 136 Page: 178-83 February 2008
M. Macleod; D. J. Murphy

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18. Pilot survey of Hashimoto's encephalopathy in children

This study aimed to explore findings of a survey of clinical data on Hashimoto's encephalopathy in children

Abstract:

Hashimoto's encephalopathy (HE) is a steroid responsive, relapsing encephalopathy associated with thyroid autoantibodies. Paediatric literature mainly consists of case reports of the disease. A questionnaire survey of 68 consultant paediatric neurologists was undertaken through the British Paediatric Neurology Association in 2002 to gather preliminary data about this condition. The more...

International Classification:

Practice/knowledge - Hashimoto's encephalopathy

Categories:

Hashimoto's encephalopathy

Geography:

Republic of Ireland and the United Kingdom

Dev Med Child Neurol, Vol: 47 Page: 556-8 August 2005
N. A. Gayatri; W. P. Whitehouse

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19. Resuscitation of thermal injuries in the United Kingdom and Ireland

This study aimed to explore current practice in resuscitation of thermal injuries in the United Kingdom and Ireland

Abstract:

Summary The purpose of this study was to examine the consistency of burns resuscitation practice throughout UK and Ireland. Twenty-six Burns Units were identified via the National Burn Bed Bureau and surveyed via a postal questionnaire. Twenty-three units returned a completed questionnaire, covering all of the units treating children and 17 out of 20 units that treat adults. Nearly all more...

International Classification:

Practice/knowledge - esuscitation of thermal injurie

Categories:

resuscitation of thermal injurie

Geography:

Republic of Ireland and the United Kingdom

Journal of Plastic, Reconstructive & Aesthetic Surgery, Vol: 60 Page: 682-685 2007
R. H. J. Baker; M. A. Akhavani; N. Jallali

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20. Specialist services and transitional care in paediatric endocrinology in the UK and Ireland

This study aimed to explore current provision of specialist and transitional paediatric endocrine services in the UK and Ireland

Abstract:

OBJECTIVE: To assess current provision of specialist and transitional paediatric endocrine services in the UK and Ireland. DESIGN: A questionnaire was sent to paediatric endocrinologists requesting details of patients receiving GH and also details of specialist and transitional services. RESULTS: Of 72 questionnaires received, 56 [21 from historical growth centres (group 1), 10 from more...

International Classification:

Practice/knowledge - paediatric endocrine services

Categories:

paediatric endocrine services

Geography:

Republic of Ireland and the United Kingdom

Clin Endocrinol (Oxf), Vol: 65 Page: 59-63 July 2006
J. Kirk; P. Clayton

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21. Surgical practice for infantile hypertrophic pyloric stenosis in the United Kingdom and Ireland--a survey of members of the British Association of Paediatric Surgeons

This study aimed to explore current practices regarding operative strategy and antibiotic policy in treating infantile hypertrophic pyloric stenosis

Abstract:

PURPOSE: Operative strategy and antibiotic policy in treating infantile hypertrophic pyloric stenosis (IHPS) may vary widely. This study surveys current practice in the United Kingdom and Ireland among members of the British Association of Paediatric Surgeons. METHODS: The study used postal and email survey of consultant pediatric surgeons. RESULTS: One hundred five questionnaires were more...

International Classification:

Practice/knowledge - infantile hypertrophic pyloric stenosis

Categories:

infantile hypertrophic pyloric stenosis

Geography:

Republic of Ireland and the United Kingdom

J Pediatr Surg, Vol: 43 Page: 1227-9 June 2008
D. Mullassery; D. Perry; A. Goyal; E. C. Jesudason; P. D. Losty

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22. Survey of the use of oesophageal and precordial stethoscopes in current paediatric anaesthetic practice

This study aimed to explore the use of oesophageal and precordial stethoscopes for monitoring in current Paediatric anaesthetic in the United Kingdom and Ireland

Abstract:

BACKGROUND: The aim of the study was to examine the use of oesophageal and precordial stethoscopes for monitoring in current paediatric anaesthetic practice in the UK and Ireland. METHODS: A postal survey of members of the Association of Paediatric Anaesthetist of Great Britain and Ireland was undertaken. RESULTS: One hundred and forty-five questionnaires were returned with a response more...

International Classification:

Practice/knowledge - use of oesophageal and precordial stethoscopes for monitoring

Categories:

use of oesophageal and precordial stethoscopes for monitoring

Geography:

Republic of Ireland and the United Kingdom

Paediatr Anaesth, Vol: 11 Page: 437-42 July 2001
A. Watson; A. Visram

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23. The measurement of blood pressure and the detection of hypertension in children and adolescents

This study aimed to explore the standardization of measurement of blood pressure and the detection of hypertension in children and adolescents

Abstract:

Despite the publication of several expert committee guidelines for the measurement of blood pressure (BP) and the diagnosis of hypertension in children and adolescents, it was our perception and clinical experience that there still appeared to be a general lack of standardisation of BP measurement techniques and little consensus on the criteria for diagnosing hypertension. To more...

International Classification:

Practice/knowledge - blood pressure

Categories:

blood pressure;

Geography:

Republic of Ireland and the United Kingdom

J Hum Hypertens, Vol: 15 Page: 419-23 June 2001
G. Y. Lip; M. Beevers; D. G. Beevers; M. J. Dillon

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24. The philosophy of practice governs the rate of obstetric intervention: analysis of 212 units in the United Kingdom

This study aimed to explore the relationship between the practices of obstetric intervention in individual obstetric units

Abstract:

OBJECTIVE: To investigate the relationship between the practices of obstetric intervention in individual units. STUDY DESIGN: A retrospective analysis of the annual statistical returns to the Royal College of Obstetricians and Gynaecologists of 222 units in the UK for 1997-98. RESULTS: A total of 212 units that delivered more than 1000 babies were analyzed. A positive correlation was more...

International Classification:

Practice/knowledge - Pregnancy, childbirth and the puerperium - practices of obstetric intervention

Categories:

practices of obstetric intervention

Geography:

Republic of Ireland and the United Kingdom

J Matern Fetal Neonatal Med, Vol: 13 Page: 267-70 April 2003
M. P. O'Connell; E. M. Gurney; S. W. Lindow

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25. Trauma experience in the UK and Ireland: analysis of orthopaedic training using the FHI eLogbook

This study aimed to explore data on trainee, trainer, hospital and training programme performance in Trauma and Orthopaedics

Abstract:

Surgical trainees routinely provide evidence of their training and operative experience for assessment. National comparative data on the number of procedures performed during training was previously unavailable in the UK. Since 2003 every trainee in Trauma and Orthopaedics (T&O) in the UK and Ireland has submitted data recording their operative experience electronically via the Faculty more...

International Classification:

Practice/knowledge - Trauma and Orthopaedics

Categories:

Trauma and Orthopaedics

Geography:

Republic of Ireland and the United Kingdom

Injury, Vol: 39 Page: 844-52 August 2008
S. S. Jameson; A. Lamb; W. A. Wallace; J. L. Sher; C. Marx; M. R. Reed

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26. Type I collagenases in bronchoalveolar lavage fluid from preterm babies at risk of developing chronic lung disease

This study aimed to assess whether increased collagenolysis precedes severe chronic lung disease

Abstract:

OBJECTIVE: To assess whether increased collagenolysis precedes severe chronic lung disease (CLD). METHODS: Matrix metalloproteinase-1 (MMP-1) and MMP-8 (enzymes that degrade type I collagen, the main structural protein of lung extracellular matrix) were measured by enzyme linked immunosorbent assay in 100 bronchoalveolar lavage samples taken during the first 6 postnatal days from 45 more...

International Classification:

Practice/knowledge - severe chronic lung disease

Categories:

severe chronic lung disease

Geography:

Republic of Ireland and the United Kingdom

Arch Dis Child Fetal Neonatal Ed, Vol: 84 Page: F168-71 May 2001
D. G. Sweet; K. J. McMahon; A. E. Curley; C. M. O'Connor; H. L. Halliday

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27. UK and Ireland experience of bone anchored hearing aids (BAHA(registered trademark)) in individuals with Down syndrome

This study aimed to evaluate the indications, surgical techniques and post-operative problems seen in children with Down syndrome fitted with bone anchored hearing aids

Abstract:

Objective: To evaluate the indications, surgical techniques and post-operative problems seen in children with Down syndrome fitted with bone anchored hearing aids (BAHA(registered trademark)). Methods: A postal survey of all registered United Kingdom and Ireland BAHA(registered trademark) centres. Results: There was a 98% response rate to the survey. Eighty-one centres in the United more...

International Classification:

Practice/knowledge - bone anchored hearing aids

Categories:

Down syndrome; bone anchored hearing aids

Geography:

Republic of Ireland and the United Kingdom

International Journal of Pediatric Otorhinolaryngology, Vol: 70 Page: 981-986 2006
P. Z. Sheehan; P. S. Hans

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Irish Child Health Database - Peer Reviewed Papers

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Study assessing the practice and/or knowledge of targeted professional or parent

1. A national survey of propofol infusion use by paediatric anaesthetists in Great Britain and Ireland

Abstract:

International Classification:

Categories:

Geography:

2. A survey of neonatal nutrition policies and practices in the UK and Eire

Abstract:

International Classification:

Categories:

Geography:

3. A survey of the use of 2D ultrasound guidance for insertion of central venous catheters by UK consultant paediatric anaesthetists

Abstract:

International Classification:

Categories:

Geography:

4. Anesthetic management of preschool children with penetrating eye injuries: postal survey of pediatric anesthetists and review of the available evidence

Abstract:

International Classification:

Categories:

Geography:

5. Antifungal prophylaxis for the prevention of neonatal candidiasis?

Abstract:

International Classification:

Categories:

Geography:

6. Antimicrobial policies in the neonatal units of the United Kingdom and Republic of Ireland

Abstract:

International Classification:

Categories:

Geography:

7. Assessing oxygen requirement after discharge in chronic lung disease: a survey of current practice

Abstract:

International Classification:

Categories:

Geography:

8. Blood gas monitoring in very low birth weight infants receiving respiratory support: A survey of current practice in the UK and Ireland

Abstract:

International Classification:

Categories:

Geography:

9. Cochlear implantation - United Kingdom and Ireland surgical survey

Abstract:

International Classification:

Categories:

Geography:

10. Delegation in paediatric anaesthesia: a postal survey

Abstract:

International Classification:

Categories:

Geography:

11. Exclusion of androgen insensitivity syndrome in girls with inguinal hernias: current surgical practice

Abstract:

International Classification:

Categories:

Geography:

12. Exploring consensus in practice with youth who are sexually abusive: findings from a Delphi study of practitioner views in the United Kingdom and the Republic of Ireland

Abstract:

International Classification:

Categories:

Geography:

13. Intravenous postoperative fluid prescriptions for children: a survey of practice

Abstract:

International Classification:

Categories:

Geography:

14. Management of anticoagulation and its reversal during paediatric cardiopulmonary bypass: a review of current UK practice

Abstract:

International Classification:

Categories:

Geography:

15. National review of maternity care for women with HIV infection

Abstract:

International Classification:

Categories:

Geography:

16. Neonatal vitamin K prophylaxis in Great Britain and Ireland: the impact of perceived risk and product licensing on effectiveness

Abstract: