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A brief digest of the March issue

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ADC Précis provides a brief digest of the current issue. Of course it is no substitute for reading the full article yourself, but we hope that it provides a flavour of the journal contents, and alerts you to articles to suit your interest. Sign up at http://adc.bmjjournals.com/cgi/etoc to receive ADC to your inbox as the new issues of the journal are published. You do not need to subscribe to ADC to benefit from this service.

In the March issue:

Perspectives

NHS reform

Stephenson discusses the impact of NHS reform on children’s services. (pp 18990)

Malnutrition

Oruamabo discusses the WHO malnutrition guidelines, aimed at reducing the 60% of deaths attributed to undernutrition in under 5s in the developing world. (pp 1934)

Malnutrition

Allen and Lagunju review the impact of undernutrition in the developing world. (pp 191–2)

Leading article

Cystic fibrosis

Enderby and Duoll review the role of hypertonic saline in cystic fibrosis in the light of recent new evidence. (pp 195–7)

Original research

HIV

In a South African series, provision of antiretroviral therapy improved survival to discharge from PICU, but only half survived to discharge from hospital. (pp 234–41)

Malnutrition

WHO malnutrition guidelines were feasible in South African setting, although difficulties delivering and maintaining training eroded any positive impact. (pp 198–204)

Child protection

An intensive home visiting intervention improved maternal sensitivity and infant cooperativeness in at-risk families. (pp 229–33)

Training

Focus groups of overseas doctors training in the UK identifies a number of potential barriers to progress. (pp 219–23)

Metabolic syndrome

In Hong Kong schoolchildren, metabolic syndrome risk factors include overweight, a family history of diabetes, and going to less academic schools. (pp 224–8)

Sleep disordered Breathing

In overweight and obese Belgian children there is a high prevalence of central sleep apnoeas. (pp 205–8)

Phenylketonuria

In phenoketonuria, people who cease dietary restrictions during adolescence have mild, but measurable cognitive defects. (pp 213–18)

Asthma

A series of surveys over 25-year period in young children in Greece demonstrates an increase in asthma, and continued male predominance. (pp 209–12)

Case reports

CO poisoning

CO poisoning is a rare but important cause QT prolongation. (pp 244–5)

Injury

Impersonation of superheroes is an important cause of injury in children. (pp 242–3)

Reviews

A review of the strategies now available to minimise neonatal brain injury. (pp 261–5)

Neonatal brain injury

A personal review of how research in the past 5 years has influenced an academic general paediatrician. (pp 246–50)

Late effects

A review of who, what, when, why and how long term follow up should be conducted in children’s malignancy. (pp 257–60)

Unexplained fractures

A review of the causes of pathological fracture in infancy. (pp 251–6)

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