Paediatrics and Child Health (United Kingdom)最新文献_第5页

Haematuria and proteinuria in childhood 儿童血尿和蛋白尿

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-31 DOI: 10.1016/j.paed.2024.06.013

Andrew Lunn, Thomas A. Forbes

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Polycystic kidney disease and other genetic kidney disorders 多囊肾和其他遗传性肾脏疾病

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-31 DOI: 10.1016/j.paed.2024.06.008

Larissa Kerecuk

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Urinary tract infections in children 儿童尿路感染

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-31 DOI: 10.1016/j.paed.2024.06.012

Hitesh Prajapati

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When do children need kidney replacement therapy? 儿童何时需要肾脏替代疗法？

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-31 DOI: 10.1016/j.paed.2024.06.009

Jascharanpreet Bansal, Wesley Hayes

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Fluid and electrolyte balance in children and young people 儿童和青少年的体液和电解质平衡

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-14 DOI: 10.1016/j.paed.2024.06.011

Michael Coffey, Mark Terris

{"title":"Fluid and electrolyte balance in children and young people","authors":"Michael Coffey, Mark Terris","doi":"10.1016/j.paed.2024.06.011","DOIUrl":"10.1016/j.paed.2024.06.011","url":null,"abstract":"<div><p><span>Intravenous fluids<span><span> are commonly prescribed to children in hospitals. However, there are risks associated with their use. In order to safely prescribe these clinicians should understand the indications for their use, the principles underpinning their use and know the likely complications associated with intravenous fluid administration in children. </span>Intravenous fluids should be prescribed depending on individual needs of each child and with careful monitoring and re-assessment. This review aims to provide a general approach to fluid prescription in children, providing some background of different physiological principles, different fluid composition, and the role of anti-diuretic hormone in fluid </span></span>homeostasis<span><span>. Fluid prescription is discussed, with an approach taking into consideration resuscitation boluses, dehydration, replacing ongoing losses and maintenance requirements. Case examples are provided to further facilitate readers’ comprehension. Electrolyte abnormalities and an approach to the management of deranged electrolytes is addressed. Complications associated with fluid administration are highlighted, in particular, emphasizing the assessment and emergency management of the child with suspected cerebral oedema or hyponatraemic encephalopathy. Special consideration and discussion is given to the differing approach to fluid management of children in the setting of burns or </span>diabetic ketoacidosis.</span></p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 9","pages":"Pages 332-339"},"PeriodicalIF":0.0,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709351","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

How we use point-of-care ultrasound in a paediatric critical care unit: scanning everything, everywhere, all at once 我们如何在儿科重症监护病房使用护理点超声波：一次扫描所有地方的所有内容

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-08 DOI: 10.1016/j.paed.2024.06.014

Andras Husz, Andrea Wood, Amina Joarder, Zoltan Gyorgyi

{"title":"How we use point-of-care ultrasound in a paediatric critical care unit: scanning everything, everywhere, all at once","authors":"Andras Husz, Andrea Wood, Amina Joarder, Zoltan Gyorgyi","doi":"10.1016/j.paed.2024.06.014","DOIUrl":"10.1016/j.paed.2024.06.014","url":null,"abstract":"<div><p>We would like the reader to consider the current paediatric<span> point-of-care ultrasound (POCUS) landscape. Even in the most developed European healthcare systems, paediatric POCUS programmes and users mostly operate in silos and are un-, or at best underrepresented by major professional bodies. While international societies focus on the extent and content of POCUS investigations, guidelines and associated evidence, there is little to no established framework for education and clinical governance<span> standards on this explosively advancing field. Borrowing from fluid dynamics, this rapid advancement generates cavitation, leaving providers and educators exposed in certain crucial areas of ongoing clinical practice covered contemporaneously, or worse, post hoc, allowing for clinical governance<span><span> or medico-legal scrutiny. We give a glimpse into our prospective local POCUS clinical practice initiative and how it complements, advances and affirms our clinical decision making on a daily basis. We'll guide the reader through ward rounds, procedural applications, specialist assessments with allied health professionals, referrals, remote consultations, new patient admissions, and grand rounds. As we are in the process of building a robust, reliable and accountable clinical governance structure around our daily practice, we would also like to demonstrate the need and utility for introductory courses, ongoing educational sessions, established mentorship and regular governance meetings ensuring optimal clinical outcomes. We hope to give insights to clinical practice, deployment, recruitment, education and potential future applications like </span>telemedicine.</span></span></span></p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 9","pages":"Pages 352-357"},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699405","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

Empowering young people with additional needs to prepare for adulthood: an occupational therapist's view 让有额外需求的年轻人为成年做好准备：职业治疗师的观点

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-01 DOI: 10.1016/j.paed.2024.04.004

Victoria King, Erin Killaspy, Rebecca Perks

引用次数: 0

Supporting occupational therapy outcomes for children and young people with cerebral palsy: key considerations for impactful outcomes 支持脑瘫儿童和青少年的职业疗法成果：取得有影响力成果的关键因素

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-01 DOI: 10.1016/j.paed.2024.04.003

Christopher Colborne

{"title":"Supporting occupational therapy outcomes for children and young people with cerebral palsy: key considerations for impactful outcomes","authors":"Christopher Colborne","doi":"10.1016/j.paed.2024.04.003","DOIUrl":"10.1016/j.paed.2024.04.003","url":null,"abstract":"<div><p>Occupational therapy practice for children and young people with cerebral palsy targets many areas to support direct and indirect needs to achieve health, activity performance, and participation outcomes. This aligns with and is complemented by the World Health Organization (2001) International Classification of Functioning, Disability and Health (ICF) framework. This article seeks to support understanding of how occupational therapy practice fits into the ICF framework and to demonstrate the need to address all ICF domains. A broad overview of areas supported by occupational therapists working with children and young people with cerebral palsy GMFCS level III to V is therefore presented. Consideration here is given to environmental factors, hand function and management of secondary effects of neural mechanisms, and supporting activity performance and participation. Additionally, in consideration of these practice examples, this article aims to show that support needs for children and young people with cerebral palsy are ongoing throughout childhood and adolescence and into adulthood. Complexity of presentation means that surveillance mechanisms in services are required. Concurrently, children and young people and their parents/carers require support to enhance abilities to facilitate performance and participation goals independently.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 7","pages":"Pages 216-221"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761849","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 health visitor: where are we now? 健康访视员的作用：我们现在在哪里？

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-01 DOI: 10.1016/j.paed.2024.04.006

Alison Morton

{"title":"The role of the health visitor: where are we now?","authors":"Alison Morton","doi":"10.1016/j.paed.2024.04.006","DOIUrl":"10.1016/j.paed.2024.04.006","url":null,"abstract":"<div><p>Health visiting has been described as the backbone of early years services across the UK and the safety net around all families. This paper explores the role of health visitors and the current context in England. Health visitors lead and deliver the Healthy Child Programme which is the national preventative public health programme covering pregnancy and the first five years of life. It aims to ensure that every child has the best start in life, regardless of where they live. With child health deteriorating, more children falling behind with their development, growing concerns about invisible vulnerable children, widening inequalities and soaring costs of late intervention, there is a clear imperative to act. Health visitors provide an important part of the solution; however, the service is facing significant challenges. When sufficiently resourced, health visitors play a crucial role in ensuring that families get good, joined up support – preventing, identifying and treating problems before they reach crisis point. The benefits of an effective health visiting service accrue to numerous government departments, contributing to a whole system response to address a multitude of policy priorities for babies, children and families across health, education and social care.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 7","pages":"Pages 234-238"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140763992","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 paediatric research environment in the UK: key wins and needs 英国的儿科研究环境：主要成就和需求

Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-01 DOI: 10.1016/j.paed.2024.04.005

Carmen Ho, Alastair G. Sutcliffe

{"title":"The paediatric research environment in the UK: key wins and needs","authors":"Carmen Ho, Alastair G. Sutcliffe","doi":"10.1016/j.paed.2024.04.005","DOIUrl":"10.1016/j.paed.2024.04.005","url":null,"abstract":"<div><p>The evolution of paediatric care in the UK is a compelling journey that reflects medical progress and a profound commitment to improving the health and wellbeing of children. Paediatric medicine has undergone significant transformations, from a nascent field with limited understanding to a dynamic and multidisciplinary domain focused on specialized care and groundbreaking research. This review aims to summarize the major advancements in the various paediatric specialties in the UK. As paediatric care evolved, the emergence of paediatric subspecialties became increasingly prevalent. Paediatric cardiology, haematology, and various other disciplines gained prominence, allowing for more targeted and effective treatments. The integration of research into paediatric medical practice became a driving force, leading to innovative discoveries and therapies. Contemporary paediatric care in the UK is characterized by a holistic approach that extends beyond treating illnesses to promoting overall wellbeing. The ongoing journey reflects a dynamic field that continues to adapt and innovate, promising a brighter and healthier future where every child receives the most effective and compassionate healthcare possible.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 7","pages":"Pages 228-233"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794803","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