Paediatrics and Child Health (United Kingdom)最新文献

Developing a video-based educational resource for young people with asthma 为患有哮喘的年轻人开发基于视频的教育资源

Paediatrics and Child Health (United Kingdom) Pub Date : 2025-10-01 DOI: 10.1016/j.paed.2025.07.004

Moira Gibbons, Nicki Barker, Nichola Butler, Heather Elphick

引用次数: 0

My child won't sleep! Recognising and managing sleep disorders in children and young people 我的孩子睡不着！认识和管理儿童和青少年的睡眠障碍

Paediatrics and Child Health (United Kingdom) Pub Date : 2025-10-01 DOI: 10.1016/j.paed.2025.07.003

Lauren Williams, Thomas Maycock, Vanessa Hewertson, Jahnaky Suththanantha, Jasmine Krieg, Sarusan Kugarajah, Desaline Joseph

{"title":"My child won't sleep! Recognising and managing sleep disorders in children and young people","authors":"Lauren Williams, Thomas Maycock, Vanessa Hewertson, Jahnaky Suththanantha, Jasmine Krieg, Sarusan Kugarajah, Desaline Joseph","doi":"10.1016/j.paed.2025.07.003","DOIUrl":"10.1016/j.paed.2025.07.003","url":null,"abstract":"<div><div>Anecdotally sleep takes up a third of a person's life, however, for many Children and Young People (CYP), it can feel like a good night's sleep is elusive. The refrain “my child won't sleep” is common in both general practitioner and paediatric clinics and it can feel overwhelming for both parents, carers, and professionals. With over 70 sleep disorders, differentiation and treatment options can feel confusing. This article focuses on circadian rhythm disorders, insomnia, parasomnia, and sleep related movement disorders providing an outline of these conditions and giving treatment advice. We will discuss the importance of utilizing behavioural interventions as a first line treatment, with pharmacological interventions used to support behavioural interventions, or in cases where behavioural intervention alone has not been effective. In all cases of children who struggle to sleep, it is important that treatment decisions are made on a case by case basis, allowing for individual needs, and neurodiversity. With appropriate, individualized support nearly all CYP can sleep well.</div></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"35 10","pages":"Pages 325-332"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145247884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Respiratory syncytial virus (RSV): recent advances in preventative strategies and visions for the future 呼吸道合胞病毒（RSV）：预防策略的最新进展和对未来的展望

Paediatrics and Child Health (United Kingdom) Pub Date : 2025-10-01 DOI: 10.1016/j.paed.2025.07.005

Geraldine Campbell, Peter Mallett, Shaun O'Hagan

{"title":"Respiratory syncytial virus (RSV): recent advances in preventative strategies and visions for the future","authors":"Geraldine Campbell, Peter Mallett, Shaun O'Hagan","doi":"10.1016/j.paed.2025.07.005","DOIUrl":"10.1016/j.paed.2025.07.005","url":null,"abstract":"<div><div>Respiratory syncytial virus (RSV) has a significant global impact, especially amongst vulnerable infants with immature immune systems. Elevated hospitalization and mortality rates within this group underscore this substantial risk. Until 2022, the only available preventive was the costly monoclonal antibody, palivizumab, which requires monthly winter injections, limiting its use to high-risk infants. Significant progress has led to the recent ground-breaking approval of two further RSV preventatives for infants: an extended half-life monoclonal antibody, nirsevimab (Beyfortus®) and a protein-based maternal vaccine, RSVpreF (Abrysvo®). Following authorization, several European countries, including Spain, France and Italy introduced nirsevimab during the 2023/24 RSV season. In contrast, the maternal RSV vaccine was integrated into antenatal immunization programmes within the United Kingdom and Argentina. Given the swiftly changing landscape of RSV prevention, this review offers timely insights into significant clinical trials and emerging real-world evidence; emphasizing the considerable effectiveness of current preventatives, as well as considering those under development. We also consider the potential impact on the National Health Service (NHS), including a changing disease burden, and the role of the paediatrician and broader multidisciplinary team in enhancing public health policy, supporting immunization campaigns and contributing to future research.</div></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"35 10","pages":"Pages 341-346"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145247897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What's new in paediatric asthma? 儿童哮喘有什么新进展？

Paediatrics and Child Health (United Kingdom) Pub Date : 2025-10-01 DOI: 10.1016/j.paed.2025.07.001

Muhammad F Zulkifli, Michael P Yanney, Jayesh Mahendra Bhatt

{"title":"What's new in paediatric asthma?","authors":"Muhammad F Zulkifli, Michael P Yanney, Jayesh Mahendra Bhatt","doi":"10.1016/j.paed.2025.07.001","DOIUrl":"10.1016/j.paed.2025.07.001","url":null,"abstract":"<div><div>It is well documented that asthma outcomes for children and young people in the UK are amongst the worst in Europe and in high-income countries worldwide. Several reports in the last 10 years have evaluated the reasons for the poor outcomes, with a high degree of concordance between the report findings. In this review, we summarise the key findings of these reports and how they are being addressed by new treatment strategies in updated guidance published annually by the Global Initiative for Asthma (GINA) and the latest update of the joint British Thoracic Society (BTS), National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN) Asthma guideline. We discuss the importance of an early and accurate asthma diagnosis; the problem of poor recognition of asthma severity and the dangers of short acting beta agonists (SABA) overuse and inhaled corticosteroid (ICS) underuse. We summarise the evidence for anti-inflammatory reliever (AIR) strategy and maintenance and reliever therapy (MART) which are now advocated in all new asthma guidance due to compelling evidence showing their positive impact on most treatment outcome measures. Finally, we highlight changes to Salbutamol weaning guidance in children discharged from hospital following an acute asthma exacerbation.</div></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"35 10","pages":"Pages 315-319"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145247882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Respiratory complications of neurodisability in children and young people 儿童和青少年神经残疾的呼吸并发症

Paediatrics and Child Health (United Kingdom) Pub Date : 2025-10-01 DOI: 10.1016/j.paed.2025.07.002

Matthew Hurley

引用次数: 0

The changing landscape of eating disorders in children: a guide to understanding, diagnosis and management 儿童饮食失调的变化：理解、诊断和管理指南

Paediatrics and Child Health (United Kingdom) Pub Date : 2025-09-01 DOI: 10.1016/j.paed.2025.06.003

Laura Duthie

引用次数: 0

The presentation of avoidant restrictive food intake disorder (ARFID) in children with complex backgrounds 逃避型限制性食物摄入障碍在复杂背景儿童中的表现

Paediatrics and Child Health (United Kingdom) Pub Date : 2025-09-01 DOI: 10.1016/j.paed.2025.06.005

Miriam Smyth, Lee D Hudson

引用次数: 0

Nutrition in paediatric critical care 儿科重症监护中的营养

Paediatrics and Child Health (United Kingdom) Pub Date : 2025-09-01 DOI: 10.1016/j.paed.2025.06.001

Lynne Latten

{"title":"Nutrition in paediatric critical care","authors":"Lynne Latten","doi":"10.1016/j.paed.2025.06.001","DOIUrl":"10.1016/j.paed.2025.06.001","url":null,"abstract":"<div><div><span>Optimal nutrition is a cornerstone of recovery for critically ill children in the paediatric </span>critical care<span><span><span> unit, influencing metabolic stability, immune function, and tissue repair. This paper explores current practices in paediatric critical care nutrition, examining the metabolic changes induced by </span>critical illness, strategies for assessing energy and protein requirements and the challenges in implementing early enteral or </span>parenteral nutrition<span><span>. It highlights the role of a multidisciplinary healthcare team in ensuring appropriate nutritional interventions tailored to the child's evolving clinical status. This short article discusses key evidence, guidelines, and practical considerations for choosing the right feeding route and regimen, addressing concerns such as feed intolerance, delayed gastric emptying, and the risk of complications like aspiration and infection. Additionally, the timing of </span>parenteral nutrition and its potential benefits when delayed are examined, as well as alternative feeding options, such as peptide-based formulas. This paper aims to provide a comprehensive overview of best practices for optimizing nutritional support in critically ill paediatric patients.</span></span></div></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"35 9","pages":"Pages 289-293"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing leadership skills in paediatric training 发展儿科培训的领导技能

Paediatrics and Child Health (United Kingdom) Pub Date : 2025-09-01 DOI: 10.1016/j.paed.2025.06.004

Hugo Brundle, Debora M Freitas

{"title":"Developing leadership skills in paediatric training","authors":"Hugo Brundle, Debora M Freitas","doi":"10.1016/j.paed.2025.06.004","DOIUrl":"10.1016/j.paed.2025.06.004","url":null,"abstract":"<div><div>Doctors are often required to demonstrate leadership skills in a wide variety of environments. Despite this, throughout medical school and in postgraduate training<span>, opportunities to foster such skills are limited. This is especially true in consultant-led specialties such as paediatrics. We aim to highlight ways to improve these skills through non-clinical and clinical examples. Good leadership requires a range of styles, skills, and abilities, and the wherewithal to change and adapt as necessary. There are a variety of leadership styles – from commanding to democratic – that paediatric trainees will be required to develop during training, as well as the emotional intelligence to change as the situation requires. Focusing down to clinical and non-clinical examples, paediatric trainees will be faced with events such as cardiac arrests, complaints and errors, audits, and teaching. These events provide opportunities to develop the ability to lead with care, develop others, evaluate the service, make changes, and inspire others. These are cornerstones of medical leadership, and opportunities to develop them must be taken. In summary, paediatric trainees can maximize opportunities to develop a wide range of leadership skills and styles throughout training, in both clinical and non-clinical roles. These skills can be developed at any stage of training and will be applicable throughout training and beyond.</span></div></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"35 9","pages":"Pages 311-314"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current approaches to the assessment, management and prevention of wasting and nutritional oedema in children 评估、管理和预防儿童消瘦和营养性水肿的当前方法

Paediatrics and Child Health (United Kingdom) Pub Date : 2025-09-01 DOI: 10.1016/j.paed.2025.06.002

Mary Iwaret Otiti, Stephen John Allen

{"title":"Current approaches to the assessment, management and prevention of wasting and nutritional oedema in children","authors":"Mary Iwaret Otiti, Stephen John Allen","doi":"10.1016/j.paed.2025.06.002","DOIUrl":"10.1016/j.paed.2025.06.002","url":null,"abstract":"<div><div>Acute malnutrition in under 5s, manifest by wasting and nutritional oedema, remains a persistent global challenge with the greatest burdens in Asia and Sub-Saharan Africa. This article outlines practical, evidence-based approaches to diagnosis, management and prevention based on the 2023 WHO guidelines. Current terminology and classification of wasting and nutritional oedema and key pathophysiological mechanisms are described. A systematic management approach distinguishes between uncomplicated and complicated severe acute malnutrition. The cornerstones of community-based therapeutic care for uncomplicated cases are the use of ready-to-use therapeutic food and close monitoring. Acute malnutrition with complications such as poor appetite and infections require admission. To account for the reductive adaptation that occurs in malnutrition and avoid the risks of rapid re-feeding, inpatient management occurs in 2 phases: stabilization that addresses immediate life-threatening issues and complications followed by nutritional rehabilitation with preparation for discharge. Infants under 6 months are an especially vulnerable group requiring specialized approaches characterized by integrated care that recognizes the interdependence of children and caregivers. Prevention strategies emphasize multisectoral approaches aligned with the Global Action Plan for Child Wasting. By implementing these evidence-based approaches, health professionals can significantly improve outcomes for children with or at risk of wasting and nutritional oedema particularly in low resource settings and make an essential contribution to global efforts to achieve many of the Sustainable Development Goals.</div></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"35 9","pages":"Pages 294-300"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0