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Recent Articles

Utility of Serum Bilirubin Screening during the First 24-Hours Following Birth of Pre-Term Neonates <35 Weeks’ Gestation

Neonates with severe hyperbilirubinaemia are at increased risk for neurological morbidity. Risk factors for early onset hyperbilirubinaemia include prematurity, red cell haemolysis and birth trauma. As most neonates are asymptomatic and clinical evaluation in detecting early jaundice limited, clinical practice guidelines at the Royal Women’s Hospital recommend a serum bilirubin (SBR) level in the first 24 hours following birth for neonates <35 weeks’ gestation. Our audit aims to describe the utility of SBR screening in this population

Adolf Hitler and the psychiatrists: Psychiatric debate on the German Dictator’s mental state in The Lancet

Adolf Hitler’s sanity was questioned by many, including psychiatrists. Attempts to understand the German dictator’s mental state started with his ascension to power in 1933 and continue up to the present, providing a historiography that is far more revealing about changing trends in medicine than it is about his mental state. This paper looks at the public comments of various psychiatrists on Hitler’s mental state, commencing with his rise to power to 1933 and culminating in defeat and death in 1945. The views of the psychiatrists were based on public information, largely derived from the news and often reflected their own professional bias. The first public comment on Hitler’s mental state by a psychiatrist was by Norwegian psychiatrist Johann Scharffenberg in 1933. Carl Jung made several favourable comments about him before 1939.

The Effectiveness of an Activity Meter for Overweight Children and Their Caregivers in a Clinical Setting: a Pilot Study

Childhood obesity is epidemic in the United States, but low levels of physical activity and high levels of screen time are modifiable risk factors. An activity meter (AM) program, that utilizes an interactive child-focused website and measures the amount and intensity of physical activity, may promote activity and decrease BMI.The current study tests the feasibility of using an AM program with child-caregiver pairs in a primary care setting. We hypothesize that participants would rate the system as easy to use, would be motivated with their engagement in physical activity, and would continue to use and recommend to others. We hypothesize the AM system would increase children’s physical activity levels and decrease engagement in screen time over the study period. We also measure changes in participants’ body mass index (BMI).Prospective study assessing ease of use and satisfaction with the AM program post-intervention and comparing physical activity and BMI changes in children and caregivers from pre- and post-intervention over a 4-month period.

Macrocystis of the Lung in a Preterm Neonate: Case Report

Thoracic ultrasonography has been used to evaluate pulmonary parenchyma and the macrocystis of the lung in a preterm with congenital cystic adenomatoid malformation type I. The images gained have been important for diagnosis and therapeutic strategies in our case. An infant was prematurely born with congenital cystic adenomatoid malformation type I. The chest X-ray and computerized tomography showed a great opaque area in the entire right lung, we considered performing a pneumonectomy. This opaque area hampered the expansion of left lung. After draining the macrocystis by ultrasonography-guided puncture, it was possible considering and performing the lobectomy due to the reduction of the volume of macrocystis. During follow up at 4 months, the infant did not show complications and the chest X-ray revealed the reduction of volume of the dense area in parenchyma of right lung.