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The experience of children with disabilities and their families during the COVID-19 pandemic: what lessons can we learn? 残疾儿童及其家庭在 COVID-19 大流行期间的经历：我们可以吸取哪些经验教训？
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-01 DOI: 10.1016/j.paed.2024.04.002
Lindsay Pennington, Hannah Merrick, Amanda Allard, Christopher Morris, Jeremy R. Parr, Resetting Services Group
{"title":"The experience of children with disabilities and their families during the COVID-19 pandemic: what lessons can we learn?","authors":"Lindsay Pennington,&nbsp;Hannah Merrick,&nbsp;Amanda Allard,&nbsp;Christopher Morris,&nbsp;Jeremy R. Parr,&nbsp;Resetting Services Group","doi":"10.1016/j.paed.2024.04.002","DOIUrl":"10.1016/j.paed.2024.04.002","url":null,"abstract":"<div><p>COVID-19 has had serious, negative impacts on children's health and development. But the impacts have not been felt equally. Disabled children and their families have been hit particularly hard. In this paper we summarize UK legislation to limit the spread of the virus and describe how services to disabled children changed as a result. We discuss the long-term deleterious impacts of changes in service provision on the health and wellbeing of disabled children and the parent carers supporting them. We close with lessons learned for resetting services to support the ongoing recovery of children and their families and recommendations for delivering services better in future emergencies to ensure that disabled children's health and wellbeing is maintained.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 7","pages":"Pages 211-215"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140785922","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
Meeting speech, language and communication needs: a whole-systems, population-based approach 满足言语、语言和交流需求：以人群为基础的全系统方法
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-07-01 DOI: 10.1016/j.paed.2024.04.001
Marie Gascoigne
{"title":"Meeting speech, language and communication needs: a whole-systems, population-based approach","authors":"Marie Gascoigne","doi":"10.1016/j.paed.2024.04.001","DOIUrl":"10.1016/j.paed.2024.04.001","url":null,"abstract":"<div><p>Speech, language and communication needs (SLCN) remain one of the main areas of concern impacting children and young people's life outcomes. This article sets out the case for taking a population-health based approach to anticipating need and building whole systems around children in their functional contexts, whether home, early years setting, school or further education. The demand on services providing speech and language therapy continues to increase year on year. Using a population-health approach to predicting areas of higher anticipated SLCN and establishing robust collaborative approaches to improving the context for children and young people vulnerable to SLCN, there is the potential to address a significant number needs within everyday contexts. This approach continues to require a highly skilled speech and language therapy workforce. For maximum impact, those skills should be deployed in the places children and young people live, learn and have leisure, working directly with children but also ensuring the wider workforce are supported to enable early identification, prevention, and intervention. This approach requires a move away from a traditional referral model to one of easy access to expertise. Finally, the implications for paediatric services and the opportunities presented by a different way of using the multi-disciplinary team are proposed.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 7","pages":"Pages 201-210"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140787415","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
A practical approach to outpatient triage 门诊病人分流的实用方法
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-05-06 DOI: 10.1016/j.paed.2024.03.004
Sally E. Edwards
{"title":"A practical approach to outpatient triage","authors":"Sally E. Edwards","doi":"10.1016/j.paed.2024.03.004","DOIUrl":"10.1016/j.paed.2024.03.004","url":null,"abstract":"<div><p>Outpatient triage is an expectation on the Consultant team and is often not a training opportunity that arises frequently to the doctor in training. Understanding the process of triage from the point of referral to the appointment being offered can help ensure that the process is effective. To provide the best patient journey, that is both safe and timely is important and triage is crucial to ensuring this occurs. Understanding your directory of services, the triage process and systems used and looking at how primary care-secondary care services work together is vital to being able to effectively triage.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 6","pages":"Pages 197-199"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039497","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
Non-invasive ventilation in neonatal care: where are we now? 新生儿护理中的无创通气：进展如何？
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-05-01 DOI: 10.1016/j.paed.2024.02.001
Tayyaba Yasmeen, Prashant Mallya, Sundaram Janakiraman
{"title":"Non-invasive ventilation in neonatal care: where are we now?","authors":"Tayyaba Yasmeen,&nbsp;Prashant Mallya,&nbsp;Sundaram Janakiraman","doi":"10.1016/j.paed.2024.02.001","DOIUrl":"10.1016/j.paed.2024.02.001","url":null,"abstract":"<div><p>Survival of extremely preterm infants has improved from enhanced antenatal care and high uptake of antenatal steroids along with early use of surfactant. However, the burden of ventilator-induced lung injury (VILI) and bronchopulmonary dysplasia (BPD) has proportionately increased. Despite a greater understanding of pulmonary graphics and advances in neonatal ventilation techniques such as volume-targeted ventilation, lung morbidities remain high. Since the advent of CPAP in the early 70's, there have been several attempts to expand the non-invasive ventilation (NIV) techniques to improve survival and reduce morbidity. NIV is perceived to be ‘gentler’ and therefore better accepted for use throughout the UK. We present a comprehensive review of the key modes of non-invasive respiratory support currently used in preterm and term infants, including their mechanism of action and evidence of benefit from clinical trials.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 5","pages":"Pages 143-147"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140464648","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
Neonatal anaemia 新生儿贫血
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-05-01 DOI: 10.1016/j.paed.2024.02.007
Tanoj Gopalan Kollamparambil, Will Carroll, Divianath Kuttiyat Rayaroth
{"title":"Neonatal anaemia","authors":"Tanoj Gopalan Kollamparambil,&nbsp;Will Carroll,&nbsp;Divianath Kuttiyat Rayaroth","doi":"10.1016/j.paed.2024.02.007","DOIUrl":"10.1016/j.paed.2024.02.007","url":null,"abstract":"<div><p>Neonatal anaemia is a prevalent challenge in neonatal intensive care units. This arises from an interplay of physiological and non-physiological processes. Blood loss, diminished red blood cell production and increased erythrocyte breakdown are the primary contributors. Effective preventive and treatment strategies require an understanding of the likely underlying cause. Management of anaemia in premature infants involves additional complexities. This article provides an overview of the more important aspects of neonatal anaemia. It considers the various contributing factors and pathophysiology in term and preterm infants. We suggest an approach to the diagnosis and management of neonatal anaemia, highlighting the value of the various diagnostic tests within the neonatal intensive care unit. Crucial aspects addressed include the preventive measures that clinicians need to focus on and evidence-based treatment strategies.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 5","pages":"Pages 154-159"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140464549","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
Ear and hearing health in children 儿童耳朵和听力健康
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-05-01 DOI: 10.1016/j.paed.2024.02.004
Tamsin Holland Brown, Shelly Chadha
{"title":"Ear and hearing health in children","authors":"Tamsin Holland Brown,&nbsp;Shelly Chadha","doi":"10.1016/j.paed.2024.02.004","DOIUrl":"10.1016/j.paed.2024.02.004","url":null,"abstract":"<div><p>Hearing loss is common in childhood. The most common causes of hearing loss varies by age. In childhood this is most frequently due to Otitis Media with Effusion (OME, also known as ‘glue ear’) or Chronic Suppurative Otitis Media (CSOM)). In adolescence hearing loss can result from exposure to loud noise from environmental causes or personal listening devices. Hearing loss has a significant impact upon the ability to learn, socialize and work. Effective early interventions exist and make a difference to speech, access to education, socialization and employment opportunities. The World Health Organization is prioritizing hearing health globally via the World Hearing Forum (WHF) and child health organizations are invited to join. This short review, aimed at healthcare professionals working with children and young people highlights the scale of the problem, provides a global perspective and outlines some of the possible solutions.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 5","pages":"Pages 166-170"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140467761","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 long-term indirect impact of Covid-19 on child health Covid-19 对儿童健康的长期间接影响
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-05-01 DOI: 10.1016/j.paed.2024.02.003
Loucia Ashikkali , Andrew John Robertson Seggie , Christine Johnson
{"title":"The long-term indirect impact of Covid-19 on child health","authors":"Loucia Ashikkali ,&nbsp;Andrew John Robertson Seggie ,&nbsp;Christine Johnson","doi":"10.1016/j.paed.2024.02.003","DOIUrl":"10.1016/j.paed.2024.02.003","url":null,"abstract":"<div><p>The Covid-19 pandemic created unprecedented circumstances around the world. From the beginning of the pandemic, it became apparent that the direct and acute effects of the infection had a greater impact on the adult population and therefore skewed the care and services available towards adult medicine. Due to the strict social distancing rules enforced, which included school closure, a state of isolation for the young was created. In September 2020 we published a report that suggested the indirect impacts of the pandemic on children which were based on evidence from previous pandemics and small Covid-19 case studies as a means of advocating for the wellbeing of children and young people. We have now moved past the severe acute phase of the disease and the societal restrictions. In this 2023 review, we have searched the literature and used our personal experiences as paediatricians to explore whether our previous hypotheses were observed during the pandemic and to suggest further management plans to avoid the long-term repercussions of the disease on children and prepare for the future.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 5","pages":"Pages 160-165"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463719","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
Neurodisability and risk of hypopituitarism: to screen or not to screen? 神经残疾与垂体功能减退症的风险：筛查还是不筛查？
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-05-01 DOI: 10.1016/j.paed.2024.02.005
Theodora Papanikolaou, Jeremy Kirk, Zainaba Mohamed
{"title":"Neurodisability and risk of hypopituitarism: to screen or not to screen?","authors":"Theodora Papanikolaou,&nbsp;Jeremy Kirk,&nbsp;Zainaba Mohamed","doi":"10.1016/j.paed.2024.02.005","DOIUrl":"10.1016/j.paed.2024.02.005","url":null,"abstract":"<div><p>Children with neurodisabilities are a very diverse group. Endocrine dysfunction is not always anticipated but screening for potential risk of developing hypopituitarism is important in clinical practice. Hypopituitarism in children with neurodisability can be part of an underlying congenital syndrome or acquired. Diagnosis of hypopituitarism on clinical grounds is challenging in some cases. Accurate growth monitoring is more difficult in this group due to orthopaedic factors, such as spasticity, spinal deformities such as scoliosis or joint contractures. Moreover, the signs and symptoms of hypopituitarism may mimic those associated with their neurodisability itself. These can overlap or exacerbate each other and the onset is sometimes insidious. In this review, we focus on the pituitary hormone deficiencies most commonly associated with neurodisability and offer practical advice for healthcare professionals. We explain when it is important to consider further pituitary function investigations and when and why referral to a paediatric endocrinologist is required.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 5","pages":"Pages 171-175"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268324","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 evolving role of dietitians in neonatal units and beyond 营养师在新生儿科及其他科室不断发展的作用
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-05-01 DOI: 10.1016/j.paed.2024.02.002
Michaela Smith, Moriam Mustapha
{"title":"The evolving role of dietitians in neonatal units and beyond","authors":"Michaela Smith,&nbsp;Moriam Mustapha","doi":"10.1016/j.paed.2024.02.002","DOIUrl":"10.1016/j.paed.2024.02.002","url":null,"abstract":"<div><p>Over the past few decades, the role of neonatal dietitians has undergone substantial transformation. Anticipated ongoing evolution is in line with the evolving goals of neonatal care, expanding beyond mere neonatal survival to encompass the enhancement of the quality of life and long-term outcomes for both ill and premature infants and their families. This review will describe the vital role that neonatal dietitians can fulfil, from the unit level to the broader network level, in collaboration with families and the comprehensive multidisciplinary team. It highlights the importance of optimal neonatal dietetic staffing, both within neonatal units and in broader healthcare contexts, to achieve these objectives effectively.</p></div>","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 5","pages":"Pages 148-153"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967079","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
Self-assessment 自我评估
Paediatrics and Child Health (United Kingdom) Pub Date : 2024-05-01 DOI: 10.1016/j.paed.2024.02.006
Clare Leung, Charlotte McCallum, Rebecca Price, Natalie Bee
{"title":"Self-assessment","authors":"Clare Leung,&nbsp;Charlotte McCallum,&nbsp;Rebecca Price,&nbsp;Natalie Bee","doi":"10.1016/j.paed.2024.02.006","DOIUrl":"https://doi.org/10.1016/j.paed.2024.02.006","url":null,"abstract":"","PeriodicalId":38589,"journal":{"name":"Paediatrics and Child Health (United Kingdom)","volume":"34 5","pages":"Pages 176-178"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140842687","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
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