Feature Publications

Suzanne S Dunne1*, Niamh M Cummins1, Ailish Hannigan1,2, Bill Shannon1, Colum Dunne1,2 and Walter Cullen1,2

Aim: To evaluate the quality of paediatric audits from 1966 to 1999.
Methods: A Medline search was performed using the MeSH terms audit, child, paediatric (and pediatric).
Predefined core elements of audit were used as inclusion criteria for entry of an article into this study. These criteria were as follows: (1) an article deals with a healthcare topic; (2) a standard is predefined; (3) actual practice is evaluated; (4) actual practice is compared with the standard. The fifth criterion of audit, dissemination of information and reaudit, was not an inclusion criterion, as it was not used in the early years covered by this study. Empirical grading of standards was used.

Context: Retrospective studies suggest that adolescents with craniopharygnioma and hypothalamic obesity have increased sleep-disordered breathing (SDB).
Objectives: The objectives of this study were to compare the prevalence of SDB in adolescents with craniopharyngioma-related obesity compared with body mass index (BMI)-matched controls and to explore possible relationships between SDB, insulin resistance, and adipocytokines.
Design: This was a cross-sectional study of obese craniopharyngioma and obese control adolescents.

Visiting Seminars

Joseph Keane is a Consultant Respiratory Physician in St. James’s Hospital, and Associate Professor of Medicine in Trinity College. He completed a clinical and research post-doctoral fellowship in Pulmonary and Critical Care Medicine at Boston University School of Medicine.

A graduate of the University of Queensland, Dr Lavery trained at Princess Alexandra Hospital in Queensland as well as Repatriation General Hospital in Melbourne.  He undertook his Colorectal Fellowship at the Cleveland Clinic under Rupert B. Turnbull, M.D. and was appointed to the staff of the Cleveland Clinic in 1976.