Full Text Journal Articles by
Author J Balfe

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Longitudinal assessment of cardiac function in infants with Down’s syndrome using novel echocardiography techniques – project protocol

Aisling Smith, Eleanor Molloy, Jan Miletin, Anna Curley, Joanne Balfe, Orla Franklin, Afif EL-Khuffash,

Background: Down’s syndrome (DS) is the most common chromosomal abnormality globally. Ireland has one of the highest rates of DS in the western world with an incidence of 1:444 live births. Congenital heart disease (CHD) and pulmonary hypertension (PH) are the commonest morbidities affecting the cardiovascular system in DS. PH ... Read more >>

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Children's Palliative Care; the identified Learning Needs of Paediatricians.

L Whitla, M Devins, E J Molloy, M Twomey, M O'Reilly, J Balfe,

Aim To determine baseline learning needs of Paediatricians in Ireland when caring for children with palliative care needs. Methods A questionnaire based online survey was conducted. Results One hundred and fourteen paediatricians responded to the survey, the majority were Specialist Registrars but almost half were consultant paediatricians (46% n=52). Most ... Read more >>

Ir Med J (Irish medical journal)
[2020, 113(6):95]

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Implementation of a health surveillance clinic for children with Down syndrome.

Niamh C Lagan, Fiona Mc Grane, Dean Huggard, Jennifer Sharkey, Claire Purcell, Joanne Balfe, Eleanor Molloy,

The implementation of the multidisciplinary Down Syndrome Health Surveillance clinic at Children's Health Ireland at Tallaght, Dublin has shown significant improvements in the adherence to guidelines as well as providing health promotion strategies such as information on immunisations. Our project provides a framework which would be potentially emulated and used ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Multiorgan involvement and management in children with Down syndrome.

Niamh Lagan, Dean Huggard, Fiona Mc Grane, Timothy Ronan Leahy, Orla Franklin, Edna Roche, David Webb, Aengus O' Marcaigh, Des Cox, Afif El-Khuffash, Peter Greally, Joanne Balfe, Eleanor J Molloy,

AIM:To review multiorgan involvement and management in children with Down syndrome (DS). METHODS:A literature review of articles from 1980 to 2019 using the MEDLINE interface of PubMed was performed using the following search terms- [Down syndrome] or [Trisomy 21] AND [Cardiology] or [Respiratory] or [neurodevelopment] or [epilepsy] or [musculoskeletal] or ... Read more >>

Acta Paediatr (Acta paediatrica (Oslo, Norway : 1992))
[2020, 109(6):1096-1111]

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Increased systemic inflammation in children with Down syndrome.

Dean Huggard, Lynne Kelly, Emer Ryan, Fiona McGrane, Niamh Lagan, Edna Roche, Joanne Balfe, T Ronan Leahy, Orla Franklin, Derek G Doherty, Eleanor J Molloy,

Children with Down syndrome (DS) develop more infections, have an increased mortality from sepsis and an increased incidence of chronic inflammatory conditions. Cytokine dysregulation may underpin these clinical sequelae and raised pro-inflammatory biomarkers are a feature in adults with DS. The importance of the anti-inflammatory mediators IL-1ra and IL-10, as ... Read more >>

Cytokine (Cytokine)
[2020, 127:154938]

Cited: 3 times

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Altered Toll-Like Receptor Signalling in Children with Down Syndrome.

Dean Huggard, W J Koay, Lynne Kelly, Fiona McGrane, Emer Ryan, Niamh Lagan, Edna Roche, Joanne Balfe, T Ronan Leahy, Orla Franklin, Ana Moreno-Oliveira, Ashanty M Melo, Derek G Doherty, Eleanor J Molloy,

Toll-like receptors (TLRs) are the key in initiating innate immune responses. TLR2 is crucial in recognising lipopeptides from gram-positive bacteria and is implicated in chronic inflammation. Children with Down syndrome (DS) are prone to infections from these pathogens and have an increased risk of autoimmunity. Sparstolonin B (SsnB) is a ... Read more >>

Mediators Inflamm (Mediators of inflammation)
[2019, 2019:4068734]

Cited: 2 times

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Permanent Childhood Hearing Loss in Ireland: Diagnostic Yield from Aetiological Evaluation in a Paediatric Clinic

J Balfe, E Curtis, C O’Neill,

Ir Med J (Irish medical journal)
[2019, 112(1):862]

Cited: 0 times

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Altered endotoxin responsiveness in healthy children with Down syndrome.

Dean Huggard, Fiona McGrane, Niamh Lagan, Edna Roche, Joanne Balfe, Timothy Ronan Leahy, Orla Franklin, Ana Moreno, Ashanty M Melo, Derek G Doherty, Eleanor J Molloy,

BACKGROUND:Down syndrome (DS) is the most common syndromic immunodeficiency with an increased risk of infection, mortality from sepsis, and autoinflammation. Innate immune function is altered in DS and therefore we examined responses in CD11b and Toll like receptor 4 (TLR-4), which are important immune cell surface markers upregulated in response ... Read more >>

BMC Immunol (BMC immunology)
[2018, 19(1):31]

Cited: 3 times

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National Survey Of The Aetiological Assessment Service Of Permanent Childhood Hearing Loss In Ireland

J Balfe, N Van Der Spek, D Waldron,

Aim The Universal Neonatal Hearing Screening Programme (UNHS) was implemented nationally in 2014. All infants identified with permanent childhood hearing loss (PCHL) should have a paediatric assessment performed. This survey aimed to assess available paediatric services and to inform service development. Methods All paediatricians involved in assessment of infants with PCHL were identified. ... Read more >>

Ir Med J (Irish medical journal)
[2018, 111(8):804]

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Question 2: Does heavy metal chelation therapy improve the symptoms of autism spectrum disorder.

Niamh C Lagan, Joanne Balfe,

Arch Dis Child (Archives of disease in childhood)
[2018, 103(9):910-911]

Cited: 0 times

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Coeliac disease in children with Down syndrome in Ireland.

Mohamed Alsaffar, Joanne Balfe, Fiona McGrane, Montasser Nadeem, Shoana Quinn, Eleanor Molloy,

Arch Dis Child (Archives of disease in childhood)
[2019, 104(2):200-201]

Cited: 0 times

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Children with life-limiting conditions: establishing accurate prevalence figures.

J Ling, M O'Reilly, J Balfe, C Quinn, M Devins,

Ir Med J (Irish medical journal)
[2015, 108(3):93]

Cited: 1 time

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Nephrocalcinosis in glucose-galactose malabsorption, association with renal tubular acidosis.

Walid El-Naggar, J Williamson Balfe, Maha Barbar, Doris Taha,

We report an association of renal tubular acidosis (RTA) in two children with glucose-galactose malabsorption (GGM), who were found to have nephrocalcinosis. Although GGM has been reported previously with nephrocalcinosis, this report is the first to show that renal tubular acidosis could explain the coexistence of nephrocalcinosis in patients with ... Read more >>

Pediatr. Nephrol. (Pediatric nephrology (Berlin, Germany))
[2005, 20(9):1336-1339]

Cited: 6 times

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Fatal lymphoproliferative disorder in a child with Schimke immuno-osseous dysplasia.

Doris Taha, Cornelius F Boerkoel, John Williamson Balfe, Mohammed Khalifah, Emily A Sloan, Maha Barbar, Abdulrazzaq Haider, Hassan Kanaan,

Schimke immuno-osseous dysplasia (SIOD) is a rare autosomal recessive disorder characterized by spondyloepiphyseal dysplasia, nephrotic syndrome, and cell-mediated immunodeficiency. Mutations in the SMARCAL1 gene (SW1/SNF2-related, matrix-associated, actin-dependent regulator of chromatin, subfamily a-like1) cause SIOD. We report a patient with SIOD and SMARCAL1 mutations, who presented with fever of unknown origin ... Read more >>

Am J Med Genet A (American journal of medical genetics. Part A)
[2004, 131(2):194-199]

Cited: 6 times

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Urinary bladder perforation in a premature infant with Down syndrome.

Mahaboob Basha, Muhammad Subhani, Ali Mersal, Saad Al Saedi, J Williamson Balfe,

Urinary bladder perforation due to bladder catheterization in neonates is a rare iatrogenic complication. It has been reported secondary to various causes and a variety of surgical settings in neonates. A case of urinary bladder perforation due to catheterization in a premature baby with Down syndrome, who presented with progressive ... Read more >>

Pediatr. Nephrol. (Pediatric nephrology (Berlin, Germany))
[2003, 18(11):1189-1190]

Cited: 6 times

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Autosomal recessive polycystic kidney disease: outcomes from a single-center experience.

Rhona Capisonda, Veronique Phan, Jeffrey Traubuci, Alan Daneman, J Williamson Balfe, Lisa M Guay-Woodford,

Autosomal recessive polycystic kidney disease (ARPKD) is a relatively common form of pediatric polycystic kidney disease with an incidence of 1:20,000 live births. Previous reports, primarily from populations of European origin, indicate that the clinical presentation and disease course are quite variable. Using a retrospective study design, we sought to ... Read more >>

Pediatr. Nephrol. (Pediatric nephrology (Berlin, Germany))
[2003, 18(2):119-126]

Cited: 40 times

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Angiotensinogen M235T genotype predicts progression in chronic renal allograft dysfunction.

G V Ramesh Prasad, Dushanthi Pinnaduwage, Robert K Parkes, Julian Midgley, J Williamson Balfe, Robert A Hegele, Shelley B Bull, Edward H Cole, Alexander G Logan,

BACKGROUND: Genotypes of the renin-angiotensin system have been implicated in essential hypertension and in progression of native kidney diseases, but gene effects on progression in chronic renal allograft dysfunction are unclear. METHODS: To examine gene effects on long-term renal allograft function, we conducted a prospective cohort study of 210 nondiabetic ... Read more >>

Transplantation (Transplantation)
[2003, 75(2):209-216]

Cited: 6 times

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Children with hypoalbuminemia on continuous peritoneal dialysis are at risk for technique failure.

Gulati, Stephens, Balfe, Secker, Harvey, Balfe,

BACKGROUND: Few data are available on the clinical significance of hypoalbuminemia [serum albumin (SA) <35 g/L] in children with end-stage renal disease (ESRD) on continuous peritoneal dialysis (CPD). This study was conducted to analyze the prevalence of hypoalbuminemia, its predictive factors, and its clinical impact in these children. METHODS: A ... Read more >>

Kidney Int. (Kidney international)
[2001, 59(6):2361-2367]

Cited: 9 times

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Ambulatory blood pressure monitoring after renal transplantation in children.

H Morgan, I Khan, A Hashmi, D Hebert, B W McCrindle, J W Balfe,

Hypertension occurs commonly following renal transplantation and may cause end organ damage, such as cardiac hypertrophy. This study seeks to determine which features of hypertension are related to cardiac hypertrophy in children after renal transplantation. Ambulatory blood pressure monitoring (ABPM) was performed in 45 pediatric patients, 4.9+/-3.0 years after renal ... Read more >>

Pediatr. Nephrol. (Pediatric nephrology (Berlin, Germany))
[2001, 16(11):843-847]

Cited: 52 times

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Ultrasound biomicroscopy of the eye in cystinosis.

N Mungan, K K Nischal, E Héon, L MacKeen, J W Balfe, A V Levin,

OBJECTIVE:To describe the ocular ultrasound biomicroscopy (UBM) findings in patients with cystinosis. METHODS:Six patients with infantile nephropathic cystinosis, aged 16 to 25 years, and 6 controls (matched for age and spherical refractive error) were examined clinically and with UBM. Scleral reflectivity, corneal and iris thickness, central anterior chamber depth, angle ... Read more >>

Arch. Ophthalmol. (Archives of ophthalmology (Chicago, Ill. : 1960))
[2000, 118(10):1329-1333]

Cited: 9 times

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Ambulatory blood pressure monitoring in children: a large center's experience.

I A Khan, M Gajaria, D Stephens, J W Balfe,

Ambulatory blood pressure monitoring (ABPM) is well established in adults and is becoming common in children. We reviewed 190 ABPM studies retrospectively (since 1990) to assess the failure rate, and analyzed the data from 97 patients 5-19 years old (1992-1996) to review the experience gained from the use of this ... Read more >>

Pediatr. Nephrol. (Pediatric nephrology (Berlin, Germany))
[2000, 14(8-9):802-805]

Cited: 31 times

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Nosocomial transmission of tuberculosis (TB) associated with care of an infant with peritoneal TB.

A G Matlow, A Harrison, A Monteath, P Roach, J W Balfe,

Nosocomial transmission of tuberculosis (TB) after exposure to infected peritoneal fluid has not been described. We report the exposure of 111 healthcare workers to infected dialysate from an infant with TB peritonitis. Two (5%) of 39 primary-care nurses, but no doctors or environmental service workers, had apparent tuberculin skin test ... Read more >>

Infect Control Hosp Epidemiol (Infection control and hospital epidemiology)
[2000, 21(3):222-223]

Cited: 7 times

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Effects of amino acid dialysis compared to dextrose dialysis in children on continuous cycling peritoneal dialysis.

I U Qamar, D Secker, L Levin, J A Balfe, S Zlotkin, J W Balfe,

OBJECTIVE:To compare the biochemical and nutritional effects of amino acid dialysis with dextrose dialysis in children receiving continuous cycling peritoneal dialysis (CCPD). DESIGN:A prospective randomized cross-over study. SETTING:Nonhospitalized patients. PATIENTS:Seven children aged 1.8 to 16.0 years (mean 8.1 years) with end-stage renal disease who were receiving CCPD. INTERVENTIONS:Each patient received ... Read more >>

Perit Dial Int (Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis)
[1999, 19(3):237-247]

Cited: 7 times

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Complications of gastrostomy feeding in children receiving peritoneal dialysis.

Ramage, Harvey, Geary, Hébert, Balfe, Balfe,

Gastrostomy tube (g-tube) feeding is recognized to improve the nutritional delivery to children with end-stage renal disease. A retrospective study was undertaken assessing the complications of g-tube feeding in children receiving peritoneal dialysis (PD). Twenty-three patients, mean age 3.8+/-3.2 years received PD and g-tube feeding for 758 patient-months, with 127 ... Read more >>

Pediatr. Nephrol. (Pediatric nephrology (Berlin, Germany))
[1999, 13(3):249-252]

Cited: 17 times

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Efficacy of gastrostomy feeding in infants and older children receiving chronic peritoneal dialysis.

I J Ramage, D F Geary, E Harvey, D J Secker, J A Balfe, J W Balfe,

OBJECTIVE:To assess the efficacy of supplemental gastrostomy tube (g-tube) feeding in infants and children receiving chronic peritoneal dialysis (CPD). DESIGN:Retrospective observational study. SETTING:Pediatric nephrology division of tertiary care center. PATIENTS:Fifteen patients undergoing g-tube insertion while receiving CPD were included in the study, and were subdivided, on the basis of age, ... Read more >>

Perit Dial Int (Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis)
[1999, 19(3):231-236]

Cited: 23 times

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