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Archives of Disease in Childhood-Education and Practice Edition最新文献

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Best practice: Childhood immunisations-current practice, common challenges and future considerations. 最佳做法：儿童免疫接种——当前做法、共同挑战和未来考虑。
IF 0.9 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2025-08-24 DOI: 10.1136/archdischild-2024-328397
Lyndsay Sarah Kennedy, Jonathan Pinsker, Ruth Bland
{"title":"Best practice: Childhood immunisations-current practice, common challenges and future considerations.","authors":"Lyndsay Sarah Kennedy, Jonathan Pinsker, Ruth Bland","doi":"10.1136/archdischild-2024-328397","DOIUrl":"https://doi.org/10.1136/archdischild-2024-328397","url":null,"abstract":"<p><p>Vaccinations are a global public health success and prevent over 5 million deaths annually, worldwide. Unfortunately, over recent years, vaccine uptake has been declining in the UK, which has led to a re-emergence of vaccine-preventable diseases. This, in addition to planned changes in the childhood vaccination schedule and increasing medical complexity, means that childhood vaccinations can be a challenging and confusing area for many healthcare professionals looking after children. This review outlines the upcoming changes to the schedule and addresses common challenges for healthcare professionals when considering vaccine administration to children. These include vaccination in immunocompromised individuals, intercurrent illness, religious and dietary objections and unknown vaccination status. Parents may have concerns around vaccine safety that need to be considered, although this is beyond the scope of this article. We hope that this article will equip paediatric healthcare professionals with greater knowledge and confidence around childhood vaccinations in the UK and encourage an opportunistic approach to vaccination.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979763","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
Diagnosis and confirmation of death in children: a focus on the 2025 UK guidelines. 儿童死亡的诊断和确认：关注2025年联合王国指南。
IF 0.9 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2025-08-22 DOI: 10.1136/archdischild-2024-328350
Rebecca Jeyaraj, Emma C Alexander, Sadaf Bhayat, Joe Brierley
{"title":"Diagnosis and confirmation of death in children: a focus on the 2025 UK guidelines.","authors":"Rebecca Jeyaraj, Emma C Alexander, Sadaf Bhayat, Joe Brierley","doi":"10.1136/archdischild-2024-328350","DOIUrl":"https://doi.org/10.1136/archdischild-2024-328350","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979841","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: Illness management in type 1 diabetes. 15分钟咨询：1型糖尿病的疾病管理。
IF 0.9 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2025-08-07 DOI: 10.1136/archdischild-2024-328407
Katie Louise Tucker, Tracey Stephenson, Mathew Mathai
{"title":"Fifteen-minute consultation: Illness management in type 1 diabetes.","authors":"Katie Louise Tucker, Tracey Stephenson, Mathew Mathai","doi":"10.1136/archdischild-2024-328407","DOIUrl":"https://doi.org/10.1136/archdischild-2024-328407","url":null,"abstract":"<p><p>Children and young people with type 1 diabetes (T1D) often require support when faced with the common illnesses and infections of childhood. Illnesses particularly associated with fever can cause glucose management to be less predictable and more of a challenge, leading them to seek advice from healthcare professionals. In hours, this is often provided by specialist paediatric diabetes teams. Out of hours, particularly in the district general setting, this falls to the specialist paediatric trainee on call. Increasing use of technology in the management of diabetes can make this feel even more daunting. Providing correct advice is essential as it can prevent morbidity associated with diabetic ketoacidosis and hypoglycaemia. It also generates trust in the wider clinical team.This article demonstrates the application of national and international guidance on managing illness in T1D to provide practical advice for the general paediatrician in managing common out of hours scenarios.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805284","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
Rapidly evolving purpuric lesions in a neonate. 新生儿迅速发展的紫癜性病变。
IF 0.9 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2025-08-04 DOI: 10.1136/archdischild-2025-328963
Mossaab Hassoun, Ayman Houjairy
{"title":"Rapidly evolving purpuric lesions in a neonate.","authors":"Mossaab Hassoun, Ayman Houjairy","doi":"10.1136/archdischild-2025-328963","DOIUrl":"https://doi.org/10.1136/archdischild-2025-328963","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144786017","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
Family integrated care-a BAPM framework for practice. 家庭综合护理——BAPM实践框架。
IF 0.9 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2025-07-28 DOI: 10.1136/archdischild-2024-328179
Catarina Pinto Carr, Paul Cawley
{"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}
引用次数: 0
Vascular rings in the current era: is this a new disease requiring a new approach? 当今时代的血管环：这是一种需要新方法的新疾病吗？
IF 1.1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2025-07-23 DOI: 10.1136/archdischild-2024-327517
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}
引用次数: 0
Common types of vascular rings: a pictorial guide. 常见的血管环类型：图片指南。
IF 1.1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2025-07-23 DOI: 10.1136/archdischild-2024-328266
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}
引用次数: 0
A toddler with fever and coryzal symptoms. 一名幼儿发烧并伴有冠状动脉痉挛症状。
IF 1.1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2025-07-18 DOI: 10.1136/archdischild-2024-327738
Christy Wing Man Leung, Ting Fan Leung
{"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}
引用次数: 0
OptiClamp: implementing optimal cord management for babies born <34 weeks gestation. OptiClamp：对妊娠<34周的婴儿实施最佳脐带管理。
IF 1.1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2025-07-18 DOI: 10.1136/archdischild-2024-327545
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}
引用次数: 0
Approach to neonatal thrombocytopenia. 新生儿血小板减少症的治疗方法。
IF 1.1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2025-07-18 DOI: 10.1136/archdischild-2024-327519
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}
引用次数: 0
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