{"title":"Family integrated care-a BAPM framework for practice.","authors":"Catarina Pinto Carr, Paul Cawley","doi":"10.1136/archdischild-2024-328179","DOIUrl":"https://doi.org/10.1136/archdischild-2024-328179","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maya Asir, Kirsty Brennan, Jane Heraghty, Alice Hurn, Haran Jogeesvaran, Grace Moriarty, Andrew Nyman, Simona Turcu, Trisha V Vigneswaran
{"title":"Vascular rings in the current era: is this a new disease requiring a new approach?","authors":"Maya Asir, Kirsty Brennan, Jane Heraghty, Alice Hurn, Haran Jogeesvaran, Grace Moriarty, Andrew Nyman, Simona Turcu, Trisha V Vigneswaran","doi":"10.1136/archdischild-2024-327517","DOIUrl":"https://doi.org/10.1136/archdischild-2024-327517","url":null,"abstract":"<p><p>Historically, vascular rings, formed by a right or double aortic arch, have been diagnosed in childhood following symptoms or signs of tracheo-oesophageal compression. Many of these features might be attributed to other non-surgical diagnoses, such as asthma, postviral symptoms or simply, sensory feeding behaviours. This has often led to families being falsely reassured, resulting in delayed referral to specialist services for assessment and definitive surgical treatment. Despite surgery, it is common for these postnatally diagnosed patients to have persistent symptoms.In the modern era, most vascular rings are diagnosed prenatally, having been identified on routine ultrasound screening in mid-pregnancy. This has resulted in an exponential increase in the diagnosis of the right aortic arch and double aortic arch, leading to a new form of these conditions for health practitioners to manage-a diagnosis prior to possible clinical presentation. Early symptoms of a vascular ring may be subtle, atypical or not evident despite having a significant degree of tracheal compression, and thus, there is a window for early intervention before symptoms affect a child's health. Understanding which patients with vascular rings can be managed conservatively and which require surgery to improve outcomes and reduce longer-term morbidity and physical limitations is crucial. The recent literature on the diagnosis, assessment, management and outcomes of isolated vascular rings is reviewed, and our institutional pathway to manage these patients is discussed.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Milou Pm Van Poppel, Natasha Stephenson, Haran Jogeesvaran, Simone Speggiorin, Halkwat Nuri, Trisha V Vigneswaran
{"title":"Common types of vascular rings: a pictorial guide.","authors":"Milou Pm Van Poppel, Natasha Stephenson, Haran Jogeesvaran, Simone Speggiorin, Halkwat Nuri, Trisha V Vigneswaran","doi":"10.1136/archdischild-2024-328266","DOIUrl":"https://doi.org/10.1136/archdischild-2024-328266","url":null,"abstract":"<p><p>A vascular ring is when vascular structures encircle the trachea and oesophagus and can lead to compression of these structures, and in the current era, these are commonly diagnosed prenatally. This pictorial piece describes the anatomical features of the three most encountered vascular rings in contemporaneous practice, namely, right aortic arch with left-sided ductal ligament and aberrant left subclavian artery; right aortic arch with left-sided ductal ligament and mirror image branching pattern and double aortic arch. A combination of fetal, paediatric and surgical images are used to display the anatomical features.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A toddler with fever and coryzal symptoms.","authors":"Christy Wing Man Leung, Ting Fan Leung","doi":"10.1136/archdischild-2024-327738","DOIUrl":"10.1136/archdischild-2024-327738","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"158-186"},"PeriodicalIF":1.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helen Cockcroft, Helen McDermott, Sarah Louise Williamson
{"title":"OptiClamp: implementing optimal cord management for babies born <34 weeks gestation.","authors":"Helen Cockcroft, Helen McDermott, Sarah Louise Williamson","doi":"10.1136/archdischild-2024-327545","DOIUrl":"10.1136/archdischild-2024-327545","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"187-191"},"PeriodicalIF":1.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Megan Dunlop, Nick Fordham, Timothy Watts, Yinru Lim
{"title":"Approach to neonatal thrombocytopenia.","authors":"Megan Dunlop, Nick Fordham, Timothy Watts, Yinru Lim","doi":"10.1136/archdischild-2024-327519","DOIUrl":"10.1136/archdischild-2024-327519","url":null,"abstract":"<p><p>A low platelet count (thrombocytopenia) is a common finding especially in neonates who are admitted to the neonatal intensive care unit. Due to the varied causes that can lead to neonatal thrombocytopenia, assessment and management can be challenging. Having an understanding of the causes of neonatal thrombocytopenia and their natural progression would help guide subsequent management. Therefore, we will be exploring the different circumstances where thrombocytopenia occurs and how to interpret and manage the neonate with thrombocytopenia in this interpretations article.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"174-179"},"PeriodicalIF":1.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth O'Mahony, Helen Bedford, Robin Marlow, Susan M Sherman, Elizabeth Whittaker, Felicity Fitzgerald
{"title":"Fifteen-minute consultation: Should I get my child the varicella (chickenpox) vaccine?","authors":"Elizabeth O'Mahony, Helen Bedford, Robin Marlow, Susan M Sherman, Elizabeth Whittaker, Felicity Fitzgerald","doi":"10.1136/archdischild-2024-327700","DOIUrl":"10.1136/archdischild-2024-327700","url":null,"abstract":"<p><p>The Joint Committee on Vaccination and Immunisation (JCVI) has recently recommended the introduction of the varicella (chickenpox) vaccine into the UK's routine childhood immunisation schedule. This was previously only available to a small group of eligible children or through private healthcare providers. Engaging families in conversations around vaccines is recognised as important for informed decision-making, and professionals leading these discussions need to be confident and well-informed. This article aims to provide an overview of the evidence behind the decision to introduce varicella (chickenpox) vaccine, and addresses anticipated questions.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"159-163"},"PeriodicalIF":1.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RCPCH guideline review: guidance for refugee and asylum-seeking children and young people.","authors":"Nina Tanna, Hannah Jacob","doi":"10.1136/archdischild-2023-326104","DOIUrl":"10.1136/archdischild-2023-326104","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"164-167"},"PeriodicalIF":1.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Practical guide to the use of medicines in paediatric sleep disorders.","authors":"Heather E Elphick, Moira Gibbons, Hemant Kulkarni","doi":"10.1136/archdischild-2024-327011","DOIUrl":"10.1136/archdischild-2024-327011","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"168-173"},"PeriodicalIF":1.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}