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Can we apply more generalism in child health? 我们能在儿童健康方面应用更多的通才吗？
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2023-03-16 DOI: 10.1136/archdischild-2022-325268
Stephen W Turner, Rupal Shah, Kate Dharmarajah, Hannah Jacob
{"title":"Can we apply more generalism in child health?","authors":"Stephen W Turner, Rupal Shah, Kate Dharmarajah, Hannah Jacob","doi":"10.1136/archdischild-2022-325268","DOIUrl":"10.1136/archdischild-2022-325268","url":null,"abstract":"To cite: Turner SW, Shah R, Dharmarajah K, et al. Arch Dis Child Educ Pract Ed Epub ahead of print: [please include Day Month Year]. doi:10.1136/archdischild2022325268 © Author(s) (or their employer(s)) 2023. No commercial reuse. See rights and permissions. Published by BMJ. INTRODUCTION TO GENERALISM Generalism has been defined as ‘an approach to the delivery of health care, be it to individuals, families, groups or to communities. Its principles apply wherever and whenever people receive care and advice about their health and wellbeing. The generalist approach applies equally to individuals and to clinical teams. It is one facet of medical professionalism’. Generalism has been advocated by numerous bodies including the Royal College of Physicians, the Academy of Medical Royal Colleges and Health Education England. Generalism is part care provision for children and young people, but we are not aware of any publications which describe generalism in the context of child health or highlight the benefits and limitations of generalism to paediatricians. Central to generalism is the understanding that connecting children, young people and their families to the correct activities and services in their community can help mental and physical health and address social needs. Social prescribing is a term used to describe this process of connection. The aims of this article are to (i) raise generalism in the mind of the reader, (ii) use case studies to identify how healthcare staff can improve child health and well being and (iii) provide examples of social prescribing. The reader is encouraged to identify local social prescribing options and consider becoming involved in local health and social care partnerships.","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"363-365"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9492522","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}
引用次数: 0
Fifteen-minute consultation: Rectal bleeding in children. 15分钟会诊：儿童直肠出血。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2022-12-23 DOI: 10.1136/archdischild-2022-324626
Huria Metezai, Amar Wahid, Ceri Jones, Jordan Evans
{"title":"Fifteen-minute consultation: Rectal bleeding in children.","authors":"Huria Metezai,&nbsp;Amar Wahid,&nbsp;Ceri Jones,&nbsp;Jordan Evans","doi":"10.1136/archdischild-2022-324626","DOIUrl":"10.1136/archdischild-2022-324626","url":null,"abstract":"<p><p>Bleeding per rectum in children is an infrequent presentation associated with a wide range of differential diagnoses, from benign to life-threatening. Irrespective of the underlying aetiology, it is typically a worrisome symptom for caregivers. Published data are limited, particularly for the UK population, from which to provide clear evidence-based guidance for assessment and management of infants, children and young people presenting with bleeding per rectum. In this Fifteen-Minute Consultation, we therefore explore the common aetiologies and combine opinions from acute paediatrics, paediatric gastroenterology and paediatric surgery to offer a structure for a diagnostic approach and initial management of lower gastrointestinal bleeding in infants, children and young people.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"320-325"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10428321","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}
引用次数: 0
Developing and assessing health information technologies: opportunities and challenges. 开发和评估卫生信息技术：机遇与挑战。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2023-01-18 DOI: 10.1136/archdischild-2022-324521
Matthew Thomas Neame, Kathrin Cresswell, Ian Sinha, Daniel B Hawcutt
{"title":"Developing and assessing health information technologies: opportunities and challenges.","authors":"Matthew Thomas Neame,&nbsp;Kathrin Cresswell,&nbsp;Ian Sinha,&nbsp;Daniel B Hawcutt","doi":"10.1136/archdischild-2022-324521","DOIUrl":"10.1136/archdischild-2022-324521","url":null,"abstract":"Department of General Paediatrics, Alder Hey Children’s Hospital, Liverpool, UK The University of Edinburgh, Usher Institute of Population Health Sciences and Informatics, Edinburgh, UK Department of Paediatric Respiratory Medicine, Alder Hey Children’s NHS Foundation Trust, Liverpool, UK National Institute for Health Research (NIHR) Clinical Research Facility, Alder Hey Children’s Hospital, Liverpool, UK Department of Women’s and Children’s Health, University of Liverpool, Liverpool, UK","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"369-372"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10599090","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}
引用次数: 0
Two-year-old boy with sparse hair. 头发稀疏的两岁男孩。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2023-03-30 DOI: 10.1136/archdischild-2023-325315
Hager Barakizou
{"title":"Two-year-old boy with sparse hair.","authors":"Hager Barakizou","doi":"10.1136/archdischild-2023-325315","DOIUrl":"10.1136/archdischild-2023-325315","url":null,"abstract":"Our patient was born full term and with no complications from nonconsanguineous healthy parents. He was referred to the paediatrics department at 2 years of age for sparse hair. He had a history of recurrent and unexplained fever since he was 3 months old. He was unable to sweat and had dry skin. The maternal uncle of the proband, aged 20 years has the same complaint. On examination, the growth and the mental development were normal. He had skin, hair (figure 1) and teeth (figure 2) abnormalities. His temperature was 38.3°C. The rest of the examination was unremarkable. Screening for sepsis was negative.","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"359-360"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9214300","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}
引用次数: 0
How to use lumbar puncture manometry in children. 如何在儿童中使用腰椎穿刺测压法。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2023-01-20 DOI: 10.1136/archdischild-2022-324881
Jonathon Aa Holland, Jonathan P Funnell, Rhea Mittal, Deepa Krishnakumar
{"title":"How to use lumbar puncture manometry in children.","authors":"Jonathon Aa Holland,&nbsp;Jonathan P Funnell,&nbsp;Rhea Mittal,&nbsp;Deepa Krishnakumar","doi":"10.1136/archdischild-2022-324881","DOIUrl":"10.1136/archdischild-2022-324881","url":null,"abstract":"<p><p>Measurement of cerebrospinal fluid pressure through lumbar puncture (LP) manometry is an essential practical skill all paediatricians should possess competency in. The ability to perform manometry is crucial in the diagnosis of idiopathic intracranial hypertension and can provide critical information on raised (or lowered) intracranial pressure in other clinical scenarios. Practitioners should be familiar with the procedure and in particular with equipment available to them locally. In this article, we will describe an approach to LP manometry. The online supplemental material includes an instructional video as well as supporting practical information.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"340-346"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/bb/edpract-2022-324881.PMC10511985.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10598893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fifteen-minute consultation: Management of constipation in childhood. 15分钟咨询：儿童便秘的治疗。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2023-03-30 DOI: 10.1136/archdischild-2023-325375
Sian Copley, Maureen Lawson, David Anthony King
{"title":"Fifteen-minute consultation: Management of constipation in childhood.","authors":"Sian Copley,&nbsp;Maureen Lawson,&nbsp;David Anthony King","doi":"10.1136/archdischild-2023-325375","DOIUrl":"10.1136/archdischild-2023-325375","url":null,"abstract":"<p><p>Constipation is common in childhood. It is a frequent presentation to primary care and common reason for referral to secondary and tertiary care. In the majority of cases, childhood constipation is idiopathic, with no significant underlying cause, but still presents a significant issue to patients, families and healthcare providers. We consider a case of idiopathic constipation, review the current evidence base for investigations and treatment and suggest practical management strategies.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"314-319"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9220052","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}
引用次数: 0
Diarrhoea, vomiting and reduced wet nappies - a familiar story with unexpected twists. 腹泻、呕吐和尿不湿——这是一个熟悉的故事，却有着意想不到的转折。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2023-06-20 DOI: 10.1136/archdischild-2023-325682
Elena Jones, JongEun Song, Shouja Alam
{"title":"Diarrhoea, vomiting and reduced wet nappies - a familiar story with unexpected twists.","authors":"Elena Jones,&nbsp;JongEun Song,&nbsp;Shouja Alam","doi":"10.1136/archdischild-2023-325682","DOIUrl":"10.1136/archdischild-2023-325682","url":null,"abstract":"<p><p>Vomiting and diarrhoea is a common presenting complaint in paediatrics. Most often it is due to a benign and self-limiting infectious illness. Here, we explore the diagnostic journey of a 7-month-old infant with these symptoms presenting in a secondary care hospital and the overnight clinical problem solving involved in tackling the unexpected complexities.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"385-390"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9723022","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}
引用次数: 0
Postexposure prophylaxis for varicella/shingles: a review of the UKHSA guidelines. 水痘/带状疱疹暴露后预防：UKHSA指南综述。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2023-05-26 DOI: 10.1136/archdischild-2022-324738
Rebecca Jeyaraj, Eliza Alexander, Teresa Cutino-Moguel, Susan Li, Ranjev Kainth
{"title":"Postexposure prophylaxis for varicella/shingles: a review of the UKHSA guidelines.","authors":"Rebecca Jeyaraj,&nbsp;Eliza Alexander,&nbsp;Teresa Cutino-Moguel,&nbsp;Susan Li,&nbsp;Ranjev Kainth","doi":"10.1136/archdischild-2022-324738","DOIUrl":"10.1136/archdischild-2022-324738","url":null,"abstract":"To cite: Jeyaraj R, Alexander E, CutinoMoguel T, et al. Arch Dis Child Educ Pract Ed Epub ahead of print: [please include Day Month Year]. doi:10.1136/ archdischild2022324738 © Author(s) (or their employer(s)) 2023. No commercial reuse. See rights and permissions. Published by BMJ. BACKGROUND Varicella zoster virus (VZV) is a human herpes virus that causes chickenpox (or varicella) and shingles. Chickenpox, which occurs with primary VZV infection, is highly contagious and is typically a mild illness in childhood. Shingles, which occurs with reactivation of latent VZV, is less common in childhood than adulthood but can still affect both immunocompromised and immunocompetent children following previous chickenpox infection or varicella vaccination.","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"355-359"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9525442","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}
引用次数: 0
Using coaching skills in paediatric practice: a summary of use and benefits. 在儿科实践中使用指导技能：使用和益处总结。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2023-06-01 DOI: 10.1136/archdischild-2023-325528
Lucine Nahabedian, Noushig Nahabedian
{"title":"Using coaching skills in paediatric practice: a summary of use and benefits.","authors":"Lucine Nahabedian,&nbsp;Noushig Nahabedian","doi":"10.1136/archdischild-2023-325528","DOIUrl":"10.1136/archdischild-2023-325528","url":null,"abstract":"<p><p>This paper sets out the use and benefits of adopting a coaching style of conversation within our everyday practice. Here, we present two case examples within a paediatric setting which applies coaching skills to different contexts to help progress meaningful conversations.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"366-368"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561684","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}
引用次数: 0
Gene therapy for spinal muscular atrophy. 脊髓性肌萎缩的基因治疗。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2023-07-09 DOI: 10.1136/archdischild-2023-325359
Vasantha Lakshmi Gowda, Heinz Jungbluth, Elizabeth Wraige
{"title":"Gene therapy for spinal muscular atrophy.","authors":"Vasantha Lakshmi Gowda,&nbsp;Heinz Jungbluth,&nbsp;Elizabeth Wraige","doi":"10.1136/archdischild-2023-325359","DOIUrl":"10.1136/archdischild-2023-325359","url":null,"abstract":"To cite: Gowda VL, Jungbluth H, Wraige E. Arch Dis Child Educ Pract Ed Epub ahead of print: [please include Day Month Year]. doi:10.1136/archdischild2023325359 © Author(s) (or their employer(s)) 2023. No commercial reuse. See rights and permissions. Published by BMJ. INTRODUCTION Spinal muscular atrophy (SMA) is a severe neurodegenerative condition resulting from recessive mutations in the SMN1 gene and insufficient survival motor neuron (SMN) protein production. Lack of SMN protein causes irreversible degeneration of lower motor neurons and consequential muscle atrophy and weakness. Onasemnogene abeparvovec, marketed under the name Zolgensma, directly replaces the SMN1 gene using a nonreplicating, nonpathogenic modified adenoassociated virus serotype9 (AAV9). In this article, we outline the patient selection process for treatment with onasemnogene abeparvovec, with some illustrative clinical examples.","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"347-350"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9820163","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}
引用次数: 1
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