Helena Clements

Home truths: why housing matters for child health and development

Helena Clements, Alison Y. Firth

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Insights from young doctors: why climate change matters to paediatricians and what actions we can take

James Patrick Finlay, Helena Clements, Erva Nur Cinar

Children bear 90% of the primary disease burden caused by climate change. Over 500 million live in areas vulnerable to extreme weather events. Without mitigation strategies, 131 000 children could die each year from climate-related illnesses by 2030. 1

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Chameleon project: a children’s end-of-life care quality improvement project

Toni Wolff, Caroline Dorsett, Alexander J. Connolly, Nicola Kelly et autres

In response to there being no specialist paediatric palliative care (PPC) team in a region of England, we undertook a 12-month quality improvement project (funded by National Health Service England's Marginal Rate Emergency Threshold and Readmission fund) to improve children's end-of-life care.Improvements …

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Correction, article no. 3476: Hub and spoke model: making rural healthcare in India affordable, available and accessible

Helena Clements

Recurrent vomiting and lethargy in an infant--just another viral illness?

Jennifer Cheung, Mark J. Sharrard, Helena Clements

An 18 month old girl was admitted to hospital to be investigated for failure to thrive and developmental delay. She presented with a three day history of vomiting, poor fluid intake, and lethargy. She had no fever or associated diarrhoea. She had …

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Interim safety data on the ZICE trial: A randomized phase III, open-label, multicener, parallel group clinical trial to evaluate and compare the efficacy, safety profile, and tolerability of oral ibandronate versus intravenous zoledronate in the treatment of patients with breast cancer with bone metastases.

Peter J. Barrett-Lee, N. Murray, James M. Abraham, Angela Claire Casbard et autres

1085 Background: The IV bisphosphonate zoledronate is widely used in the UK to treat metastatic bone disease from breast cancer. Oral bisphosphonates may have advantages over IV but this has not been formally assessed. Bisphosphonates are associated with renal toxicity and with …

Catch-up growth in small-for-gestational-age term infants: a randomized trial

Mary S. Fewtrell, Ruth Morley, Rebecca Anne Abbott, Atul Singhal et autres

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Randomized Trial of Nutrient-Enriched Formula Versus Standard Formula for Postdischarge Preterm Infants

Alan J. Lucas, Mary S. Fewtrell, Ruth Morley, Atul Singhal et autres

OBJECTIVES: Preterm infants are frequently discharged from the hospital growth retarded and show reduced growth throughout childhood. In a large efficacy and safety trial, we tested the hypothesis that nutritional intervention in the first 9 months postterm would reverse postdischarge growth deficits …

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Rationalised prescribing for community acquired pneumonia: a closed loop audit

Helena Clements

AIMS: To audit the management of community acquired pneumonia before and after the introduction of a protocol. To determine the aetiology of pneumonia using routine investigations and polymerase chain reaction (PCR). METHODS: Retrospective and prospective audit following the introduction of a management …

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Infants exposed to MRI in utero have a normal paediatric assessment at 9 months of age.

Helena Clements, Keith Duncan, Katherine Fielding, Penny Anne Gowland et autres

Any differences in detailed paediatric assessment at 9 months of age in infants exposed to echo planar MRI in utero from 20 weeks gestation to term were investigated by performing a case controlled prospective observational study of 20 infants. They had all …

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Efficacy and safety of long-chain polyunsaturated fatty acid supplementation of infant-formula milk: a randomised trial

Alan J. Lucas, Mai Stafford, Ruth Morley, Rebecca Anne Abbott et autres

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Pneumonia: current challenges and treatment

Helena Clements, Terence J. Stephenson

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