Paediatrics and Child Health (United Kingdom)最新文献

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Is this normal, doctor? Ten normal variants in infancy 这正常吗,医生?婴儿期的十种正常变异
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-02-01 DOI: 10.1016/j.paed.2023.11.006
Peter Heinz
{"title":"Is this normal, doctor? Ten normal variants in infancy","authors":"Peter Heinz","doi":"10.1016/j.paed.2023.11.006","DOIUrl":"https://doi.org/10.1016/j.paed.2023.11.006","url":null,"abstract":"<div><p><span>Recognizing what is normal constitutes a key skill for medical practitioners, especially paediatricians. It is a necessary requisite to providing reassurance<span><span> and avoiding unnecessary referrals, investigations and treatment<span>. Normal variants are atypical or uncommon findings in a given population which are of no clinical or pathological significance yet fall within the spectrum of what is considered the normal range. The list of conditions discussed in this article is by no means complete or comprehensive but merely a reflection of frequently encountered issues in primary care, </span></span>paediatric outpatients<span> and the paediatric </span></span></span>emergency department<span>; they include infantile dyschezia, ‘catch down’ growth, familial macrocephaly<span><span>, positional plagiocephaly, asymmetrical thigh creases, sacral dimples, physiological </span>anisocoria, PURPLE screaming episodes, gastro-oesophageal reflux and infant gratification and also provide guidance on what not to miss. This short article provides essential guidance for those new to paediatric outpatients or those less familiar with providing advice and guidance to worried parents.</span></span></p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 2","pages":"Pages 74-77"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139654043","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
Understanding recent advances in genomic testing in paediatric oncology 了解儿科肿瘤基因组检测的最新进展
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-02-01 DOI: 10.1016/j.paed.2023.11.001
Serena L. Robinson, Nicola Seneviratne, Madhumita Dandapani
{"title":"Understanding recent advances in genomic testing in paediatric oncology","authors":"Serena L. Robinson,&nbsp;Nicola Seneviratne,&nbsp;Madhumita Dandapani","doi":"10.1016/j.paed.2023.11.001","DOIUrl":"10.1016/j.paed.2023.11.001","url":null,"abstract":"<div><p><span><span>Advancements in genomics have had a significant impact on our ability to diagnose and treat several health conditions, notably cancer. In this article, we discuss the evolution of genomic methods from the early first-generation genome sequencing methods such as </span>Sanger sequencing to the latest technology. We also discuss how clinicians can decide which test to use depending on what type of result is required. We discuss the </span>clinical significance<span> of genomic testing including identification of cancer predispositions<span> syndromes, the role of genomics in accurately diagnosing a number of cancers, as well as the utility of genomic data to predict response to targeted therapies. Finally, we detail some of the targeted therapies currently available to treat the various types of childhood cancers. The expansion of genomic testing within the NHS and the essential nature of genomic data to accurately diagnose and optimally treat childhood cancers also poses challenges to the healthcare system both in terms of infrastructure and personnel.</span></span></p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 2","pages":"Pages 43-48"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139189956","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 is health equity and why do children need it now more than ever? 什么是健康公平,为什么儿童现在比以往任何时候都更需要健康公平?
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-01-19 DOI: 10.1016/j.paed.2023.12.002
Abigail Knight, Dhanya Gardner, Cat Crook, Elizabeth Crabtree, Nicola Ennis, Douglas Simkiss, Jessica Allen
{"title":"What is health equity and why do children need it now more than ever?","authors":"Abigail Knight,&nbsp;Dhanya Gardner,&nbsp;Cat Crook,&nbsp;Elizabeth Crabtree,&nbsp;Nicola Ennis,&nbsp;Douglas Simkiss,&nbsp;Jessica Allen","doi":"10.1016/j.paed.2023.12.002","DOIUrl":"10.1016/j.paed.2023.12.002","url":null,"abstract":"<div><p>Health equity enables everyone to have the best possible opportunity for good health regardless of their social circumstance. In this article we set out why it is so vital that this begins in childhood, particularly at a time when increased costs of living in many countries are exacerbating health inequities further. We examine the impact of addressing the social determinants of health at individual, population and systems levels, and why this is the business of all partners involved in the local health economy. In the UK, integrated care systems (ICS) are early in their development. In this short article, we describe the work of the Children and Young People's Health Equity Collaborative: a collaboration between children's charity Barnardo's, the Institute of Health Equity, Birmingham and Solihull ICS, Cheshire and Merseyside ICS, and South Yorkshire ICS. This details a three-year programme designed to establish enablers for this whole systems approach. This includes a Children and Young People's Health Equity Framework, a dynamic data measurement tool to direct action for longer term outcomes and supporting child health equity interventions. Children and young people's voice is central to our work, combining academic evidence with lived experience of what really matters to them.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 3","pages":"Pages 85-91"},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139638337","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
Child and adolescent immunisation in the UK: current issues 英国儿童和青少年免疫接种:当前问题
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-01-10 DOI: 10.1016/j.paed.2023.12.001
Helen E Bedford, David AC Elliman
{"title":"Child and adolescent immunisation in the UK: current issues","authors":"Helen E Bedford,&nbsp;David AC Elliman","doi":"10.1016/j.paed.2023.12.001","DOIUrl":"10.1016/j.paed.2023.12.001","url":null,"abstract":"<div><p>The UK immunisation programme for children and adolescents is highly successful with generally high uptake of vaccines and low rates of vaccine preventable diseases. However, for the past 10 years there has been a year on year small but concerning decrease in vaccine uptake. This was accelerated by the impact of the COVID-19 pandemic. In this article we consider the reasons for less-than-optimal vaccine uptake, discuss recent changes to the schedule and describe the significant further changes in prospect.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 3","pages":"Pages 81-84"},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458146","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
Early intervention to improve neurodevelopmental outcomes for high-risk infants 早期干预,改善高风险婴儿的神经发育结果
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-01-09 DOI: 10.1016/j.paed.2023.12.003
Andrew Elliot-Smith, Audrienne Sammut, Betty Hutchon, Nazakat Merchant, Frances O'Brien, Angela Huertas-Ceballos
{"title":"Early intervention to improve neurodevelopmental outcomes for high-risk infants","authors":"Andrew Elliot-Smith,&nbsp;Audrienne Sammut,&nbsp;Betty Hutchon,&nbsp;Nazakat Merchant,&nbsp;Frances O'Brien,&nbsp;Angela Huertas-Ceballos","doi":"10.1016/j.paed.2023.12.003","DOIUrl":"10.1016/j.paed.2023.12.003","url":null,"abstract":"<div><p>Many babies cared for on a neonatal unit are at risk of adverse neurodevelopmental outcomes. The aim of early intervention (EI), therefore, is to support a child and their family to achieve the best outcome possible. Notably, EI is not one specific thing. The term encompasses a wide range of approaches and interventions that can vary in a number of ways, including who undertakes them, where they happen and when they start. There is debate as to the most effective approach, but the evidence supports the implementation of EI from soon after birth, continuing post-discharge. Furthermore, involving the parents in EI is critical, not only to ensure sustained effects throughout childhood, but also because of the beneficial impact on parental wellbeing. All in all, the evidence shows improved neurodevelopmental outcomes for children exposed to EI, particularly in the short-term. This review will explore what EI means in practice, considering the variations in application, as well as the evidence of benefit. It will also consider the limitations of current research.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 3","pages":"Pages 92-98"},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455752","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
The role of the school nurse in the UK: where are we now? 英国校医的作用:我们现在在哪里?
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-01-09 DOI: 10.1016/j.paed.2023.12.004
Sallyann Sutton, Sharon White
{"title":"The role of the school nurse in the UK: where are we now?","authors":"Sallyann Sutton,&nbsp;Sharon White","doi":"10.1016/j.paed.2023.12.004","DOIUrl":"10.1016/j.paed.2023.12.004","url":null,"abstract":"<div><p><span>In the UK, school nurses play a crucial role in promoting the health and wellbeing of children and young people, giving them the best start in life and supporting them to sustain optimal health. They have a vital and unique link between education settings, home and the community. Their key role is within the public health<span><span> arena, they are an important part of the primary health care team and a key link for acute and community </span>paediatric<span> teams and therapies. The onset of school nursing came in the Victorian era with a focus on improving the health of children living in poverty, this coincided with a report from the British army at the time which highlighted that young men joining the service were unfit for purpose. Now, in the 21</span></span></span><sup>st</sup> century, we are faced with widening health inequalities, shocking levels of poverty and increases in the number of people living with major illness and mental health problems. It is argued that the school nurse has never been more essential in supporting the health and well-being of children and young people which includes their integral role in safeguarding. In this article we will explore why this might be the case, the difficulties and opportunities and, importantly, how, alongside our paediatric colleagues in both community and acute settings, we can best garner our combined efforts to rise above and beyond the escalating challenges.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 3","pages":"Pages 99-103"},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457790","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
Working for children in a Poverty Truth Commission 在贫困真相委员会中为儿童工作
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-01-05 DOI: 10.1016/j.paed.2023.12.005
Carol Hebden, Alicia Vernalls, Suwinder Hundal, Doug Simkiss
{"title":"Working for children in a Poverty Truth Commission","authors":"Carol Hebden,&nbsp;Alicia Vernalls,&nbsp;Suwinder Hundal,&nbsp;Doug Simkiss","doi":"10.1016/j.paed.2023.12.005","DOIUrl":"10.1016/j.paed.2023.12.005","url":null,"abstract":"<div><p>The social determinants of health<span> are increasingly well understood by paediatricians. Policy and individual practitioner actions are emerging and have been described in previous Social Paediatrics symposia in this journal. This article describes a Poverty Truth Commission; an innovative approach to addressing the impact of poverty of children's health. This brings people who may not otherwise spend much time together, takes away job titles and uses the power of storytelling to effect change in the members of the commission and beyond.</span></p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 3","pages":"Pages 104-110"},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392190","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 do you do when you have no evidence? 没有证据时该怎么办?
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-01-01 DOI: 10.1016/j.paed.2023.10.004
Bob Phillips, Sheena Mukkada
{"title":"What do you do when you have no evidence?","authors":"Bob Phillips,&nbsp;Sheena Mukkada","doi":"10.1016/j.paed.2023.10.004","DOIUrl":"10.1016/j.paed.2023.10.004","url":null,"abstract":"<div><p>Evidence based medicine is all well and good, but what should you do when there is no evidence? How might you act differently if the absence of evidence relates to an acute problem, a complex chronic issue or a life-limiting situation? This is even more likely to be an issue when dealing with particular groups of patients. There is often a paucity of evidence when considering treatments or interventions for children and young people. This paper will guide the readers through various levels of absence of evidence, and while it won't be able to tell you what to do, it will give you different ways of looking at the problem.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 1","pages":"Pages 17-20"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751722223001786/pdfft?md5=157ce90dbda5d6614324b9a33dc6cc57&pid=1-s2.0-S1751722223001786-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135565049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to write a good research grant proposal 如何撰写优秀的研究补助金提案
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-01-01 DOI: 10.1016/j.paed.2023.10.002
Elaine M. Boyle, Frances J. Mielewczyk
{"title":"How to write a good research grant proposal","authors":"Elaine M. Boyle,&nbsp;Frances J. Mielewczyk","doi":"10.1016/j.paed.2023.10.002","DOIUrl":"10.1016/j.paed.2023.10.002","url":null,"abstract":"<div><p>Research is increasingly important for the delivery of the best possible paediatric care and in the training of healthcare professionals. Many young clinicians are now looking for some way of becoming involved in research during their training, and some will wish to develop a formal academic component to their career or study for a higher postgraduate degree. Research funding is essential to enable high quality research, but training in how to apply for such funding is limited. While it is no substitute for detailed guidance and support from a trusted and experienced research colleague, this article aims to provide practical guidance for new researchers setting out to write their first grant proposal. It stresses the importance of being proactive in selecting the correct research environment, ensuring adequate support and supervision and identifying the necessary knowledge and expertise needed to deliver the project efficiently and effectively. It also highlights the important steps involved in developing a proposal, writing and submitting the application, and provides suggestions for maximizing chances of success. Whilst the focus of this article is based upon the authors' experience in the UK, the general principles are more widely applicable to healthcare professionals working with babies, children and young people everywhere.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 1","pages":"Pages 6-10"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751722223001762/pdfft?md5=2be0a786f45d5f98a18713a6e2de0004&pid=1-s2.0-S1751722223001762-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139294746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Screen-time: ensuring excellence in online teaching 屏幕时间:确保卓越的在线教学
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-01-01 DOI: 10.1016/j.paed.2023.10.007
Martina Larsson, Nadia Shad, Rebecca Hulbert, Alice Roueché, Chloe Macaulay
{"title":"Screen-time: ensuring excellence in online teaching","authors":"Martina Larsson,&nbsp;Nadia Shad,&nbsp;Rebecca Hulbert,&nbsp;Alice Roueché,&nbsp;Chloe Macaulay","doi":"10.1016/j.paed.2023.10.007","DOIUrl":"10.1016/j.paed.2023.10.007","url":null,"abstract":"<div><p>Online and virtual learning grew exponentially during the coronavirus pandemic in all areas, including medical education. It is now a well-established part of clinical teaching. This raises questions about which learning content should be delivered online; how it should be delivered and, crucially, how to engage learners in the online environment. We summarise a range of approaches and key considerations to enable appropriate clinical content to be delivered online and propose a number of teaching modalities for use within medical education. Preparation, including faculty training and development, is key to the ongoing effectiveness and success of online learning. We provide an online learning checklist and suggest ground rules to consider when approaching online teaching. Furthermore, we summarise a number of online platforms, applications and resources that aim to enhance learner engagement and encourage you to explore, innovate and reflect on your online teaching journey as an educator.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 1","pages":"Pages 34-40"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751722223001816/pdfft?md5=31ec2b4630d428663c6df3ba8a499ff2&pid=1-s2.0-S1751722223001816-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139303245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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