Paediatrics and Child Health (United Kingdom)最新文献

Children and young people with mental health issues admitted to the hospital: a toolkit for the general paediatrician 入院就诊的有精神健康问题的儿童和青少年：普通儿科医生工具包

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-10-22 DOI: 10.1016/j.paed.2024.09.005

Marianne Leach, Laura Sand, Mel Wood

{"title":"Children and young people with mental health issues admitted to the hospital: a toolkit for the general paediatrician","authors":"Marianne Leach, Laura Sand, Mel Wood","doi":"10.1016/j.paed.2024.09.005","DOIUrl":"10.1016/j.paed.2024.09.005","url":null,"abstract":"<div><div>As the number of children and young people (CYP) attending the emergency department (ED) with a mental health crisis is increasing, it has become evident that neither the environment nor the training for general paediatricians is adequate to meet CYPs’ mental health needs. This short article provides an essential toolkit for paediatricians and other healthcare professionals working with CYP. It provides a resource encompassing skills and knowledge to promote understanding of mental health crises and strategies to address these when CYP are in ED or admitted to the ward. It will allow general paediatricians to address the agitation and distress experienced by many CYP in EDs or on paediatric wards and use verbal de-scalation techniques rather than medications. The toolkit highlights how to take an appropriate mental health history, perform a mental state examination and if necessary medical investigations required, as well as providing an overview of the legal framework under which mental health conditions are managed in different age groups. A short section highlights the most common mental health issues and their management. Lastly, the CAMHS structure is explained to support the multi-professional collaboration needed to ensure CYP are managed appropriately between teams and have the best support and care possible in the ED and on paediatric wards.</div></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 12","pages":"Pages 444-455"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722149","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

Acute-onset psychosis in children and young people 儿童和青少年的急性发作性精神病

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-10-05 DOI: 10.1016/j.paed.2024.09.001

Sofia Manolesou, Marinos Kyriakopoulos

引用次数: 0

Counselling prospective adoptive parents about the mental health of birth parents: what does this mean for the child? 就亲生父母的心理健康问题为未来的收养父母提供咨询：这对孩子意味着什么？

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-09-23 DOI: 10.1016/j.paed.2024.09.002

Shuang Wang, Lynn Snow

引用次数: 0

Self-assessment 自我评估

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-09-17 DOI: 10.1016/j.paed.2024.09.004

Ewan Spencer, Peter Heinz

引用次数: 0

Resilient and healthy enough to care? Exploring the role of the medical adviser for adoption and fostering in providing advice on the health of substitute carers 有足够的复原力和健康状况来照顾孩子？探讨收养和寄养医疗顾问在为替代照料者的健康提供建议方面的作用

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-09-14 DOI: 10.1016/j.paed.2024.08.006

Carolyn Sampeys, Deborah Price Williams

{"title":"Resilient and healthy enough to care? Exploring the role of the medical adviser for adoption and fostering in providing advice on the health of substitute carers","authors":"Carolyn Sampeys, Deborah Price Williams","doi":"10.1016/j.paed.2024.08.006","DOIUrl":"10.1016/j.paed.2024.08.006","url":null,"abstract":"<div><div>The assessment of physical and mental health is an integral part of the process of choosing substitute carers for children and young people. It must be done during adoption, foster care or kinship and special guardian assessments. Medical Advisers for adoption and fostering from a paediatric or general practice background are ideally placed to undertake this review of the GP-completed Adult Health report. Having the knowledge and experience to write evidence-based advice for social workers undertaking the assessment of the substitute carers is paramount. While medical advisers are able to review health conditions in substitute carers which may impact on their ability to care and be emotionally available, they are also able to hold the possible short and long-term needs of a vulnerable and possibly damaged child at the centre of the process. The complexity of children for whom substitute carers are sought has increased and carers need to be resilient, emotionally available and healthy enough to care for and nurture a child until adulthood which can be at 18 years, or beyond if there are additional needs.</div></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 11","pages":"Pages 424-429"},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530931","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

Point-of-care ultrasound (POCUS) for the child with acute abdominal pain 为急性腹痛患儿进行护理点超声检查 (POCUS)

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-09-14 DOI: 10.1016/j.paed.2024.09.003

David McCreary

引用次数: 0

Drugs and alcohol in pregnancy: what a paediatrician needs to know, how to ask and why it matters 孕期吸毒和酗酒：儿科医生需要知道什么、如何询问以及为什么重要

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-09-11 DOI: 10.1016/j.paed.2024.08.007

Michelle Bond, Dannika Buckley

{"title":"Drugs and alcohol in pregnancy: what a paediatrician needs to know, how to ask and why it matters","authors":"Michelle Bond, Dannika Buckley","doi":"10.1016/j.paed.2024.08.007","DOIUrl":"10.1016/j.paed.2024.08.007","url":null,"abstract":"<div><div>Antenatal substance misuse is a significant problem and the effects on the developing child can be long lasting. It is estimated that 20–30% of pregnant women smoke, 15% drink alcohol, 3–10% use cannabis and 0.5–3% use cocaine worldwide. Many parents make efforts to stop or cut down alcohol, cigarette and drug use during pregnancy. However, many pregnancies are unplanned and may be recognized late. Addicted parents may not be able to stop drug and alcohol use without support. Illicit drugs, nicotine and alcohol in the maternal blood stream cross to the foetus via the placenta and have a direct effect of the developing foetus. These effects can include poor fetal growth, increased risk of stillbirth, congenital malformations, and long-lasting impacts on development. The impact of these antenatal exposures might not become apparent until much later in childhood. Children who have been exposed to drugs and alcohol <em>in utero</em> may present to paediatricians at any stage in childhood with a range of health and developmental problems. This article will explore the immediate and long-term impact of exposure to these substances in pregnancy and consider how to obtain an accurate history of exposure to drugs and alcohol in pregnancy as part of standard paediatric history taking.</div></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 11","pages":"Pages 430-435"},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530932","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

Breaking down communication barriers 打破沟通障碍

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-09-11 DOI: 10.1016/j.paed.2024.08.008

Qasim Malik, Evangeline Buck, Mary Salama

引用次数: 0

Hirschsprung's disease 赫氏综合症

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-09-10 DOI: 10.1016/j.paed.2024.07.001

Hemanshoo Thakkar, Joe Curry

{"title":"Hirschsprung's disease","authors":"Hemanshoo Thakkar, Joe Curry","doi":"10.1016/j.paed.2024.07.001","DOIUrl":"10.1016/j.paed.2024.07.001","url":null,"abstract":"<div><div>Hirschsprung's disease (HD) is a congenital functional disorder characterized by the absence of ganglion cells in the enteric nervous system. The estimated incidence of HD is 1 in 5000 live births with up to 60% of patients having associated anomalies. This short article aims to provide paediatricians with an overview of the condition and the recent developments in our understanding. Short-segment rectosigmoid disease is seen in 75% of cases with infants presenting with abdominal distension, bilious vomiting and delayed passage of meconium. A bedside rectal suction biopsy is the gold-standard in confirming the diagnosis of HD. The absence of ganglion cells in the myenteric and submucosal plexi in the presence of thickened hypertrophic nerves (more than40 microns diameter) is diagnostic of HD. There are no medical options to treat HD, however rectal washouts can be used to bridge the gap to surgery. Contemporary management of this condition involves a single-stage pull-through that can be performed using various techniques including minimal access surgery. Long-term problems in with HD are common and these include obstructive symptoms (10–30%), constipation (10–15%), enterocolitis (10–15%) and true faecal incontinence (1–2%). Furthermore 20–30% of adults report symptoms of incontinence and constipation as well as poor sexual function. Future research is being focussed on novel gene therapies including stem-cell therapy and the use of CRISPR/CA9 to edit parts of the genome.</div></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 10","pages":"Pages 359-362"},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142312382","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

Online life for a child in care 托管儿童的网上生活

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-09-10 DOI: 10.1016/j.paed.2024.08.001

Vicki Walker

引用次数: 0