Most Read Articles
18 Aug 2018
Despite the absence of a substance use problem, regular cannabis use is associated with psychosocial impairment among adolescents and young adults, a study suggests. On the other hand, regular users with cannabis use disorder appear to exhibit high psychiatric comorbidity and more severe psychosocial impairment.
07 Sep 2018
Children with Down syndrome appear to have an elevated risk of developing severe respiratory syncytial virus (RSV) infection, a study has found.
21 Mar 2018
During the Kuala Lumpur International Neonatology Conference held in conjunction with the World Prematurity Day 2017, Dato Dr Musa Mohd Nordin spoke on the importance of immunizing children with the diphtheria-tetanus-acellular pertussis-inactivated poliovirus-Haemophilus influenzae type b (DTaP-IPV-Hib) vaccine. He highlighted the role of Hexaxim® as a fully liquid, ready-to-use, 6-in-1 (including hepatitis B) vaccine for the primary and booster vaccinations of infants and toddlers. Meanwhile, Dr Yong Junina Fadzil discussed the benefits of quadrivalent influenza vaccines (QIVs) in providing children with broader protection against influenza B viruses.
Jairia Dela Cruz, 01 Sep 2018
Tight glycaemic control does not yield significant short-term survival gains and risk reductions for infections when compared with a conventional glucose-lowering strategy in critically ill patients in the paediatric intensive care unit, according to a meta-analysis.

Video diversion boosts fundoscopy success rate in young children

14 Jun 2018
The screen dilemma: when babies or toddlers only eat with a screen in front of them

Playing a video as a diversion during fundoscopy appears to increase the success rate of the operation in young children, according to a recent study.

Researchers performed a prospective, multi-practitioner, multi-clinic, randomized controlled trial involving 101 young children (mean age 2.8 years) who were randomized to fundoscopy with or without video diversion assistance. Success was defined as being able to visualize the fundus within 60 seconds.

In a total of 202 fundi examined, the absolute success rate was significantly higher in operations with vs without video diversion assistance (84 percent vs 64 percent; p<0.001).

Subgroup analysis showed that such effect was driven mostly by improvements in the very young patients who did vs did not have video assistance (1–2 years; 79 percent vs 55 percent; p=0.004). No significant improvements were observed in the 3–4-year age group (92 percent vs 79 percent; p=0.104).

In terms of secondary outcomes, the mean time required to visualize the optic disc was significantly shorter in the video vs nonvideo group (14.6 vs 19.9 s; p<0.01), with the effect being more pronounced in the 1–2-year-old subgroup (21.7 vs 23.6 s; p<0.01). Improvements in time to view were not observed in the 3–4-year-old subgroup (16.7 vs 15.6 s; p=0.14).

The perceived difficulty, measured by the 10-point Likert scale, likewise significantly improved in fundoscopy performed with video assistance, as assessed by practitioners (33-percent improvement) and caregivers (42-percent improvement).

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
18 Aug 2018
Despite the absence of a substance use problem, regular cannabis use is associated with psychosocial impairment among adolescents and young adults, a study suggests. On the other hand, regular users with cannabis use disorder appear to exhibit high psychiatric comorbidity and more severe psychosocial impairment.
07 Sep 2018
Children with Down syndrome appear to have an elevated risk of developing severe respiratory syncytial virus (RSV) infection, a study has found.
21 Mar 2018
During the Kuala Lumpur International Neonatology Conference held in conjunction with the World Prematurity Day 2017, Dato Dr Musa Mohd Nordin spoke on the importance of immunizing children with the diphtheria-tetanus-acellular pertussis-inactivated poliovirus-Haemophilus influenzae type b (DTaP-IPV-Hib) vaccine. He highlighted the role of Hexaxim® as a fully liquid, ready-to-use, 6-in-1 (including hepatitis B) vaccine for the primary and booster vaccinations of infants and toddlers. Meanwhile, Dr Yong Junina Fadzil discussed the benefits of quadrivalent influenza vaccines (QIVs) in providing children with broader protection against influenza B viruses.
Jairia Dela Cruz, 01 Sep 2018
Tight glycaemic control does not yield significant short-term survival gains and risk reductions for infections when compared with a conventional glucose-lowering strategy in critically ill patients in the paediatric intensive care unit, according to a meta-analysis.