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Malta Joint Paediatric Clinic, Santa Lucija Pharmacy, Santa Lucija (2025)

24/09/2025

Dear Parents,

It is common for babies to show some difficulty when trying to pass stool, and many parents worry that their little one may be constipated. One of the frequent concerns we see in infancy is a condition called dyschezia. This is when a young baby strains, cries, and sometimes even turns red in the face for several minutes before finally passing a soft stool. It can look uncomfortable, but in reality, this is not constipation. It simply happens because your baby is still learning how to coordinate the muscles needed to push stool out. Dyschezia is normal in the first months of life and usually improves on its own with time.

Constipation, on the other hand, is different. A baby is considered constipated when the stools are hard, dry, or infrequent, and when passing them seems painful. In infants, constipation is more likely when formula is used, when there are changes in feeding, or later when solid foods are introduced. Signs that your child may be truly constipated include very hard pellet-like stools, blood on the stool due to straining, or your baby appearing in significant pain.

If your baby is otherwise feeding well, gaining weight, and the stool that eventually comes out is soft, then what you are seeing is likely just dyschezia and nothing to worry about. However, if stools are consistently hard, if your child is refusing feeds, vomiting, or if there is persistent blood in the stool, it is important to seek advice from a paediatrician.

We encourage parents not to rush to use medications or suppositories unless advised by a doctor. Most of these issues resolve with time and gentle care.

Sincerely,

Malta Joint Paediatric Clinic

06/09/2025

ᴛʜᴇ ᴍᴇᴀsʟᴇs, ᴍᴜᴍᴘs, ᴀɴᴅ ʀᴜʙᴇʟʟᴀ (ᴍᴍʀ) ᴠᴀᴄᴄɪɴᴇ: ᴀ ʟɪꜰᴇ-sᴀᴠɪɴɢ ɪᴍᴍᴜɴɪᴢᴀᴛɪᴏɴ

The Measles, Mumps, and Rubella (MMR) vaccine is a combination shot that protects against three highly contagious viral diseases: measles, mumps, and rubella. These diseases, though once common, are now largely preventable thanks to the widespread use of the MMR vaccine. This article explores the importance of the vaccine, dispels common fears, and highlights why getting vaccinated is crucial for both individual and community health.

𝘈𝘥𝘥𝘳𝘦𝘴𝘴𝘪𝘯𝘨 𝘝𝘢𝘤𝘤𝘪𝘯𝘦 𝘊𝘰𝘯𝘤𝘦𝘳𝘯𝘴: 𝘍𝘢𝘤𝘵𝘴 𝘖𝘷𝘦𝘳 𝘍𝘦𝘢𝘳

Measles, mumps, and rubella are viral infections that can lead to serious health complications. Measles can cause severe respiratory problems, encephalitis (brain inflammation), and even death, especially in young children and immunocompromised individuals. Mumps can result in painful swelling of the salivary glands, and in rare cases, can lead to deafness, meningitis, and fertility problems in both males and females. Rubella, also known as German measles, is particularly dangerous for pregnant women, as it can lead to congenital rubella syndrome (CRS), which can cause severe birth defects like heart problems, deafness, and blindness in infants.

The MMR vaccine, which is typically given to children at 1 year of age with a second dose around 4 to 6 years, offers a safe and effective means to prevent these diseases. When the vaccine coverage is high, the transmission of these viruses is significantly reduced, protecting those who cannot be vaccinated, such as babies too young for the vaccine and individuals with certain medical conditions.

𝘈𝘥𝘥𝘳𝘦𝘴𝘴𝘪𝘯𝘨 𝘝𝘢𝘤𝘤𝘪𝘯𝘦 𝘊𝘰𝘯𝘤𝘦𝘳𝘯𝘴: 𝘍𝘢𝘤𝘵𝘴 𝘖𝘷𝘦𝘳 𝘍𝘦𝘢𝘳

Despite the overwhelming evidence supporting the safety and effectiveness of the MMR vaccine, some people remain hesitant. This is largely due to misconceptions about the vaccine’s side effects and an infamous but debunked study from the 1990s that falsely linked the MMR vaccine to autism. This claim has been thoroughly investigated and discredited by numerous large-scale studies and expert reviews.

In fact, a 2019 study published in Annals of Internal Medicine followed over 95,000 children and found no increased risk of autism linked to the MMR vaccine. The original study, which claimed a link between the MMR vaccine and autism, was retracted in 2004 due to serious ethical and methodological flaws, and its author lost his medical license.

Another common concern is that the MMR vaccine causes harmful side effects. While mild side effects like fever or a rash can occur, these are generally short-lived and far less serious than the diseases the vaccine prevents. Serious side effects, such as allergic reactions, are extremely rare, and the benefits of vaccination far outweigh the risks.

𝘗𝘳𝘰𝘵𝘦𝘤𝘵𝘪𝘯𝘨 𝘊𝘰𝘮𝘮𝘶𝘯𝘪𝘵𝘪𝘦𝘴: 𝘏𝘦𝘳𝘥 𝘐𝘮𝘮𝘶𝘯𝘪𝘵𝘺

One of the most important reasons to get vaccinated is to protect not just yourself, but also the broader community. When a large portion of the population is vaccinated, it reduces the overall spread of disease, which helps protect those who are vulnerable and unable to receive the vaccine. This is known as "herd immunity." For diseases like measles, which are highly contagious and can spread rapidly, achieving herd immunity through high vaccination rates is crucial in preventing outbreaks.

𝘛𝘩𝘦 𝘉𝘰𝘵𝘵𝘰𝘮 𝘓𝘪𝘯𝘦: 𝘝𝘢𝘤𝘤𝘪𝘯𝘢𝘵𝘪𝘰𝘯 𝘚𝘢𝘷𝘦𝘴 𝘓𝘪𝘷𝘦𝘴

The MMR vaccine is a safe, effective, and vital tool in the fight against measles, mumps, and rubella. By choosing to get vaccinated, you are not only protecting yourself and your loved ones but also contributing to the health of your community. The evidence is clear: the benefits of vaccination far outweigh the risks, and the MMR vaccine remains one of the most important public health tools we have to prevent serious illness and death.

Getting vaccinated helps keep these preventable diseases at bay, ensuring a healthier future for generations to come.

Regards,

Malta Joint Paediatric Team

05/09/2025

Dear Parents,

One of the scariest things for any parent is to see their child suddenly stop breathing, turn pale or even blue, and sometimes go limp. These frightening events are often what we call breath-holding spells or, in some cases, syncope (fainting). While they look alarming, most of the time they are not harmful and children outgrow them with age.

What are breath-holding spells?
These are episodes where a child, usually between 6 months and 6 years old, will hold their breath—often after crying hard, being upset, scared, or in pain. The child may suddenly turn blue (cyanotic type) or very pale (pallid type). Sometimes they briefly lose consciousness or become floppy. The whole episode usually lasts less than a minute, although it feels much longer to a worried parent.

Why do they happen?
Breath-holding spells are not under the child’s control. They are a reflex response of the body and not a sign of bad behavior. In cyanotic spells, strong emotions or crying trigger the breath-holding. In pallid spells, a sudden fright, shock, or bump to the head may cause the heart rate to briefly slow down, leading to fainting.

What should you do?
The most important thing is to stay calm. Lay your child on their side in a safe place and ensure nothing is blocking their airway. Do not shake them or put anything in their mouth. The child will usually start breathing again on their own. After the episode, they may be tired or want to sleep for a short while.

When to see a doctor?
Although most spells are harmless, you should consult your paediatrician if:

Episodes are frequent or prolonged.

Your child has jerking movements or prolonged unresponsiveness.

Spells happen without any clear trigger.

There is a family history of heart problems or sudden fainting.

Your doctor may check for conditions like anaemia, as this can sometimes make spells more likely. Reassurance and understanding are often all that is needed, and most children grow out of these episodes by school age.

In summary: Breath-holding spells and fainting episodes are usually benign and self-limiting, but they can be terrifying to watch. Knowing what to expect, how to respond, and when to seek help can give you peace of mind.

Warm regards,

Malta Joint Paediatric Team.

01/09/2025

Dear Parents,

One of the exciting milestones in your child’s early years is the appearance of their first teeth. These “baby teeth,” also called primary teeth, not only help your child chew and speak but also guide the proper alignment of the permanent teeth that will follow later.

Most babies will start teething around 6 months of age, though this can vary widely. The first teeth to appear are usually the bottom front teeth (lower central incisors). Shortly after, the upper front teeth (upper central incisors) come through. From there, teeth usually erupt in a fairly predictable pattern:

6–10 months: Lower front teeth appear.

8–12 months: Upper front teeth erupt.

9–13 months: Upper side teeth (lateral incisors) emerge.

10–16 months: Lower side teeth follow.

13–19 months: First molars (back chewing teeth) appear.

16–23 months: Canines (pointed teeth) come through.

23–33 months: Second molars erupt.

By about 3 years of age, most children will have a complete set of 20 baby teeth.

Teething can cause fussiness, drooling, and chewing on objects. Cool teething rings, gentle gum massages, or a clean cold washcloth to chew on often help. Fever, severe diarrhoea, or rashes are not caused by teething—if these happen, it’s best to check with your doctor.

As for dental care, it is recommended to book the first dental check-up by age one, or within 6 months after the first tooth erupts. This early visit helps ensure teeth are developing properly and gives parents a chance to discuss brushing, fluoride, and cavity prevention.

Remember, even baby teeth need care. Brushing twice daily with a small smear of reduced fluoride toothpaste is important as soon as the first year. Good habits formed early will help protect your child’s smile for years to come.

Warm regards,

Malta Joint Paediatric Team

01/09/2025

Dear Parents,

As our little ones grow into their toddler and early school years, many of us wonder whether vitamins or probiotics are necessary to support their health. With so many products on the shelves, it can be hard to know what is truly helpful and what may not be needed.

For children who enjoy a balanced diet with fruits, vegetables, proteins, grains, and dairy, most vitamins and minerals are already covered by food. In these cases, extra vitamin supplements usually aren’t needed. However, even good eaters may benefit from vitamin D, since it is difficult to get enough from diet and sunlight alone. Vitamin D helps build strong bones and supports immunity, so daily supplementation is widely recommended.

For children who are picky eaters or have very restricted diets, vitamins can help fill the gaps. An age-appropriate multivitamin may be considered, especially if your child avoids entire food groups (like dairy or meat). Iron, for example, is important for brain development, but it is often missed in children with limited diets. Still, it is best to check with your child’s doctor before starting any supplement, as giving unnecessary amounts can sometimes do more harm than good.

When it comes to probiotics, research shows they may be useful in certain situations—such as reducing the length of tummy bugs, easing constipation in some children, or supporting gut health after antibiotics. But for everyday use in healthy children, the benefits are less clear. Probiotics are generally safe, but they should not replace a varied diet rich in fibre, fruits, and vegetables, which naturally feed the “good bacteria” in the gut.

In short:

Vitamin D is recommended for most children.

Other vitamins may be needed if your child is a very picky eater or has a restricted diet, but always discuss this with your paediatrician.

Probiotics can be helpful in certain situations but are not a must for all children.

Every child is different, and the best step is to encourage healthy eating habits while using supplements only when there’s a clear need.

Warm regards,

Malta Joint Paediatric Team

28/07/2025

Dear Parents,

Have you noticed that your baby always tilts their head to one side or seems to prefer looking in just one direction? This could be a sign of a condition called torticollis — a common issue seen in newborns and young infants.

Torticollis simply means “twisted neck.” In babies, it often happens when the neck muscles are tight or shortened on one side. The most common type is congenital muscular torticollis, usually caused by the baby's position in the womb or pressure during delivery. It’s not something you caused, and it’s not usually painful for the baby — but it can affect how their head and neck develop over time if left untreated.

You might notice your baby always looking one way, having difficulty turning their head fully, or developing a flat spot on the back or one side of the head (called positional plagiocephaly). Some babies may also seem fussy when you try to turn their head the other way.

When should you speak to your paediatrician?

Your baby always turns their head to the same side or tilts it consistently

There is a visible lump or tightness in the neck muscle

Your baby has limited movement of the head or neck

There’s a flattened area on the head or the ears seem uneven

You're concerned about their posture or the way they’re developing

The good news is, with early detection, torticollis can be treated effectively. Treatment usually involves simple stretching exercises, positioning techniques, and sometimes physiotherapy. In most cases, babies improve within a few months with regular gentle exercises at home.

Encouraging your baby to turn their head both ways during play and tummy time is also helpful. Early action makes a big difference and helps your baby’s neck muscles grow equally on both sides.

If you’re worried or have questions, don’t hesitate to speak with your paediatrician. We’re here to help guide you and your baby through every step of their development.

Warm regards,

Your Paediatric Team

28/07/2025

Dear Parents,

If you’ve ever noticed red sores, crusty patches, or golden scabs around your child’s mouth, nose, or limbs, chances are it could be impetigo. This is a common skin infection in young children — especially in warmer months — and although it might look alarming, it’s usually easy to treat.

Impetigo is caused by bacteria, most commonly Staphylococcus or Streptococcus. These germs can enter the skin through tiny cuts, grazes, insect bites, or even eczema patches. It’s very contagious and can spread quickly through touch, shared towels, or close contact with other children — which is why outbreaks sometimes happen at schools or nurseries.

It usually starts as small red spots or blisters that break open and form honey-coloured scabs. The rash can be itchy or mildly painful, and often appears around the mouth, nose, arms or legs — but it can really appear anywhere.

𝗦𝗼 𝘄𝗵𝗲𝗻 𝘀𝗵𝗼𝘂𝗹𝗱 𝘆𝗼𝘂 𝘀𝗲𝗲 𝗮 𝗱𝗼𝗰𝘁𝗼𝗿?

While mild cases may clear with good hygiene and over-the-counter antiseptic creams, you should consult your paediatrician if:

The rash is spreading quickly or appears on multiple areas of the body

Your child develops a fever, feels generally unwell, or is in pain

The affected skin becomes red, swollen, or hot — signs of a deeper infection

The sores aren’t improving within a few days of home care

There’s a history of recurrent impetigo or underlying skin conditions like eczema

Doctors can prescribe an antibiotic cream or, in more severe cases, oral antibiotics. To prevent it from spreading to others, keep your child at home until 48 hours after starting treatment, avoid sharing towels or bedding, and keep nails trimmed to prevent scratching.

Impetigo is usually harmless but needs prompt treatment to prevent complications. The good news is, with the right care, most children recover quickly and fully.

Warm regards,

Your Paediatric Team

28/07/2025

Dear Parents,

You might have noticed your child asking for water or juice more often than usual — sometimes even waking up at night to drink. While children naturally need more fluids than adults due to their high activity levels and faster metabolism, excessive thirst, known as polydipsia, can sometimes point to something more concerning.

Common causes of increased drinking include hot weather, vigorous play, salty foods, or minor viral illnesses — especially when they’ve had a fever, vomiting, or diarrhoea. In such cases, extra fluids help them stay hydrated and bounce back quickly.

However, there are times when a child’s constant thirst could be a red flag.

One of the most important conditions we worry about is Type 1 Diabetes. In this case, children may drink a lot, urinate frequently, lose weight unexpectedly, or feel very tired. The body, unable to manage sugar levels properly, tries to flush out the excess sugar through urine — leading to thirst.

Another possible cause is poorly controlled diabetes insipidus, a rare condition where the kidneys don't manage fluid properly. Although less common, it still requires medical assessment.

Some children may also drink large amounts out of habit, anxiety, or sensory preferences — particularly those with behavioural conditions — but even in such cases, it's worth checking in with your doctor to rule out any medical issues.

𝐖𝐡𝐞𝐧 𝐬𝐡𝐨𝐮𝐥𝐝 𝐲𝐨𝐮 𝐬𝐞𝐞𝐤 𝐦𝐞𝐝𝐢𝐜𝐚𝐥 𝐚𝐝𝐯𝐢𝐜𝐞?
Your child is frequently urinating, even waking multiple times at night.

You notice unexplained weight loss or tiredness.

They are wetting the bed again after having been dry.

The thirst seems extreme or sudden without an obvious reason like exercise or heat.

You have a family history of diabetes.

If any of these sound familiar, please speak to your paediatrician. A simple urine or blood test can provide important answers. Early detection of any underlying problem makes a big difference.

With warm wishes,

Your Paediatric Team

24/07/2025

Dear Parents,

You may have heard of the term tongue-tie or perhaps been told your baby has one. Medically known as ankyloglossia, tongue-tie is a condition present from birth where the thin piece of tissue under the tongue (the lingual frenulum) is unusually short, thick, or tight. This can limit how much the tongue moves.

How Does It Present?
In infants, the most common sign of tongue-tie is difficulty with breastfeeding. You might notice:

Poor latch or slipping off the breast

Frequent feeding or fussiness during feeds

Prolonged feeding sessions

Clicking sounds while feeding

Ni**le pain or damage in the breastfeeding mother

Poor weight gain in some cases

As babies grow, some may continue to have challenges, such as:

Difficulty licking or sticking out the tongue

Speech difficulties (in some children, though not all)

Trouble with oral hygiene or eating certain foods (e.g. licking ice cream)

Short and Long-Term Problems
In the early months, the main concern is feeding—particularly breastfeeding. Tongue movement is essential for efficient milk transfer and comfort for both mother and baby.

Long-term concerns may include speech articulation issues, dental hygiene challenges, and difficulty with certain oral activities, though many children compensate well over time without intervention.

How Is It Managed?
Assessment is usually clinical. A healthcare professional will look at the tongue’s appearance and movement and ask about feeding issues.

Not all tongue-ties need treatment. If feeding is going well, no intervention may be needed.

If feeding problems are significant and clearly linked to tongue-tie, a simple procedure called a frenotomy may be advised. This involves snipping the tight frenulum under the tongue. It’s quick, can often be done without anaesthetic in young babies, and many parents notice an immediate improvement in feeding.

If concerns persist beyond infancy—such as speech difficulties—referral to a speech and language therapist and further evaluation may be needed.

Final Thoughts
Tongue-tie can be worrying, but it’s often manageable. The key is early recognition and support, especially with feeding. If you’re concerned about your baby’s feeding or tongue movement, speak to your paediatrician for guidance.

Warm regards,

Your Malta Joint Paediatric Team

24/07/2025

Dear Parents,

It can be quite concerning to notice your child making sudden movements or sounds that seem involuntary or repetitive. These are often known as tics, and they are actually quite common in childhood.

What Are Tics?
Tics are sudden, quick movements or sounds that happen without the child intending them. These can include eye blinking, throat clearing, shoulder shrugging, or even humming. Many children can temporarily hold them back, but they often return—especially when a child is tired, stressed, or excited. Most tics are harmless and tend to come and go.

When Should You Worry?
In many cases, tics are part of a transient tic disorder, which usually resolves within a year. If they last longer than a year or if both movements and sounds are involved, your child may have Tourette Syndrome, which is still manageable.

It’s important to differentiate tics from other types of involuntary movements like:

Chorea (flowing, dance-like movements),

Seizures (sudden jerks or spells of unresponsiveness),

Stereotypies (repetitive movements often seen in autism),

Or movements triggered by stress or certain medications.

What Will the Doctor Do?
A paediatric neurologist will ask about the pattern and history of the movements, and check for any signs that may suggest other conditions. Most of the time, no special tests are needed. However, blood tests or brain scans may be considered if the movements are unusual, started suddenly, or are causing concern.

How Are Tics Managed?
For many children, no treatment is needed—especially if the tics don’t bother the child or interfere with daily life. Just understanding the condition and reducing stress can help a lot.

In more severe cases, behavioural therapy (such as habit-reversal training) can be very effective. Sometimes, medications may be used—especially if the tics are distressing or linked to conditions like ADHD or OCD, which are common in children with tics.

Final Reassurance
Most tics improve with time and don’t lead to long-term problems. The key is to provide reassurance, avoid drawing attention to the tics, and support your child emotionally.

If you're ever unsure, don't hesitate to speak to your doctor.

Warm regards,

Malta Joint Paediatric Clinic Team

21/07/2025

Dear Parents,

Constipation is a common concern in infants and toddlers, often causing discomfort for little ones and worry for caregivers. While it's usually not serious, understanding the causes, signs, and when to seek help can make a big difference.

𝘞𝘩𝘢𝘵 𝘊𝘢𝘶𝘴𝘦𝘴 𝘊𝘰𝘯𝘴𝘵𝘪𝘱𝘢𝘵𝘪𝘰𝘯?
In infants, constipation may occur when transitioning from breastmilk to formula or when introducing solid foods. Formula-fed babies tend to pass firmer stools than breastfed ones. In toddlers, it’s often related to diet—too little fibre or not enough fluids can slow things down. Some children also avoid going to the toilet due to fear or previous painful bowel movements, creating a cycle of holding and worsening constipation.

𝘏𝘰𝘸 𝘵𝘰 𝘚𝘱𝘰𝘵 𝘐𝘵
Constipation isn’t just about how often a child poos, but also how hard or difficult it is. Signs to watch for include:

Infrequent stools (less than three times per week)

Hard, dry, pellet-like stools

Straining or pain when passing stool

A bloated tummy or poor appetite

Withholding behaviour (e.g., crossing legs, hiding, or crying when they feel the urge)

Infants may become fussy or cry more, especially when trying to pass a stool. You might also notice a small amount of blood on the stool or toilet paper due to tiny a**l fissures caused by straining.

𝘌𝘢𝘳𝘭𝘺 𝘔𝘢𝘯𝘢𝘨𝘦𝘮𝘦𝘯𝘵
Simple changes can often help:

For infants: If your baby is formula-fed, ensure the correct formula preparation. A little cooled, boiled water between feeds may help (consult your doctor first). If starting solids, include pureed fruits like prunes, pears, and peaches.

For toddlers: Encourage fibre-rich foods such as whole grains, fruits, and vegetables. Ensure they’re drinking enough water. Physical activity helps, too—movement keeps the bowels active.

Routine and relaxation around toileting can also help. Try to create a calm, regular toilet time after meals and praise your child for trying, not just succeeding.

𝘞𝘩𝘦𝘯 𝘵𝘰 𝘚𝘦𝘦 𝘵𝘩𝘦 𝘋𝘰𝘤𝘵𝘰𝘳
Speak to your doctor if:

There is ongoing constipation despite dietary changes

Your child is in significant discomfort

There is blood in the stool

Constipation is accompanied by vomiting, weight loss, or poor growth

Persistent constipation may need further assessment or gentle medications like stool softeners, which should only be given under medical advice.

Remember, you are not alone—constipation is common, manageable, and treatable.

Warm regards,

Malta Joint Paediatric Clinic Team

17/07/2025

Understanding Red Eyes in Children – A Parental Guide

Dear Parents,

Red eyes in children are a frequent concern and can stem from a variety of causes—some minor, others requiring medical attention. As a parent, understanding the reasons behind red eyes, how to manage them at home, and when to seek help can offer both comfort and clarity.

Why do red eyes occur?
Redness in the eyes is usually due to inflammation or irritation of the blood vessels on the surface of the eye (the conjunctiva). This can happen when the eye is infected, allergic, or exposed to irritants like dust or smoke. Sometimes, even a harmless action like rubbing the eyes can lead to temporary redness.

Common causes include:

Viral conjunctivitis: Often part of a cold, this is highly contagious and usually comes with watery discharge and mild itchiness.

Bacterial conjunctivitis: Typically produces a thick yellow or green discharge, and one or both eyes may be stuck shut in the morning.

Allergic conjunctivitis: Triggered by pollen, dust, or pet dander, this usually affects both eyes and is associated with intense itchiness and watery discharge.

Foreign bodies or trauma: A speck of dust or an accidental poke can cause one red, irritated eye.

Dry eyes or eye strain: Especially in children spending long hours on screens.

Immediate management
Start by gently cleaning any discharge with warm boiled water and cotton wool, wiping from the inside corner outwards. Encourage your child not to rub their eyes. For allergies, rinsing the eyes with saline and using antihistamine drops (if recommended) can help. Bacterial infections may require antibiotic eye drops prescribed by your doctor.

When to seek medical attention
Consult your GP or paediatrician if:

The redness doesn’t improve within 2–3 days

There is significant pain, light sensitivity, or swelling

Your child complains of blurred vision

The eye is injured or there’s suspicion of a foreign object

The condition keeps recurring

Long-term considerations
Recurrent red eyes due to allergies may need long-term allergy management. In cases of frequent infections, it’s important to teach good hygiene—like handwashing and not sharing towels or pillows. For screen-related dryness, encourage regular breaks and blinking exercises.

With the right approach, most cases of red eyes resolve quickly and without complication. As always, don’t hesitate to reach out if you're unsure.

Warm regards,

Malta Joint Paediatric Team

Malta Joint Paediatric Clinic

24/09/2025

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Monday	13:00 - 19:00
Tuesday	16:00 - 19:00
Wednesday	16:00 - 19:00
Thursday	13:00 - 19:00
Friday	16:00 - 19:00
Saturday	08:20 - 17:00