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

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Inotrope use in children with septic shock: a guide for general paediatricians. 脓毒性休克患儿的肌注使用：普通儿科医生指南。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2024-01-23 DOI: 10.1136/archdischild-2021-322339
Constantinos Kanaris, Rula Wahida
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引用次数: 0
Epistle. 书信
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2024-01-23 DOI: 10.1136/archdischild-2024-326835
Neelam Gupta
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引用次数: 0
Airway management in paediatric emergencies outside of an intensive care setting: a quality improvement project using Lean/Six Sigma methodology. 重症监护环境外儿科急诊的气道管理:使用精益/六西格玛方法的质量改进项目。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-05-10 DOI: 10.1136/archdischild-2023-325329
Jamie Pope, Jennifer Boyle, Mark Worrall
{"title":"Airway management in paediatric emergencies outside of an intensive care setting: a quality improvement project using Lean/Six Sigma methodology.","authors":"Jamie Pope, Jennifer Boyle, Mark Worrall","doi":"10.1136/archdischild-2023-325329","DOIUrl":"10.1136/archdischild-2023-325329","url":null,"abstract":"<p><p>Use of a Lean/Six Sigma methodology in a quality improvement project to reduce variation and improve safety in airway management outside of the intensive care environment in a tertiary paediatric hospital.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"463-466"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9444813","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
Medical emergencies in eating disorders. 饮食失调的医疗紧急情况。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-08-29 DOI: 10.1136/archdischild-2022-324484
Holly Pennick, Lesley Cousins, Dilshad Marikar
{"title":"Medical emergencies in eating disorders.","authors":"Holly Pennick, Lesley Cousins, Dilshad Marikar","doi":"10.1136/archdischild-2022-324484","DOIUrl":"10.1136/archdischild-2022-324484","url":null,"abstract":"To cite: Pennick H, Cousins L, Marikar D. Arch Dis Child Educ Pract Ed Epub ahead of print: [please include Day Month Year]. doi:10.1136/archdischild2022324484 © Author(s) (or their employer(s)) 2023. No commercial reuse. See rights and permissions. Published by BMJ. ABOUT THE GUIDELINE Eating disorders are serious mental health disorders that cannot be appropriately managed without both physical and mental healthcare. These illnesses, including anorexia nervosa, have the highest avoidable mortality rates of all mental health conditions. Paediatricians should be aware that the risk of death in children with eating disorders is comparable to that of asthma and diabetes. The COVID19 pandemic and its aftermath have had a significant impact in terms of increased incidence as well as acuity of presentations of children with eating disorders, which has contributed to a 90% increase in hospital admissions in the last 5 years. All paediatricians will encounter children with eating disorders in the acute inpatient setting. We acknowledge the anxiety that may be generated when caring for these children. Medical Emergencies in Eating Disorders (MEED): Guidance on Recognition and Management, was published by the Royal College of Psychiatry, and endorsed by the Academy of Medical Royal Colleges, in May 2022. It provides an important framework for caring for patients with eating disorder when they are most unwell. It is a joint guideline for adults, children and adolescents and succeeds the 2012 Junior MARSIPAN (Management of Really Sick Patients with Anorexia Nervosa) guidance, which most clinicians will have familiarity with. The development of MEED arose from the recognition that medical care for eating disorders was still at times lacking, resulting in preventable deaths, despite admission to hospital. MEED builds on the MARSIPAN guidance by providing: ► An uptodate traffic light risk assessment tool. ► Summary sheets for target clinical groups (including paediatric physicians). ► New advice around more higher calorie refeeding.","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"410-415"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10485898","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
Chloral hydrate - use as a sedative in paediatric settings. 水合氯醛-用作儿科镇静剂。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-07-26 DOI: 10.1136/archdischild-2022-324939
Benjamin Wyness, Joanne Crook, Pam D'Silva, David McCormick
{"title":"Chloral hydrate - use as a sedative in paediatric settings.","authors":"Benjamin Wyness, Joanne Crook, Pam D'Silva, David McCormick","doi":"10.1136/archdischild-2022-324939","DOIUrl":"10.1136/archdischild-2022-324939","url":null,"abstract":"To cite: Wyness B, Crook J, D’Silva P, et al. Arch Dis Child Educ Pract Ed Epub ahead of print: [please include Day Month Year]. doi:10.1136/ archdischild2022324939 © Author(s) (or their employer(s)) 2023. No commercial reuse. See rights and permissions. Published by BMJ. The aim of this article is to discuss chloral hydrate and its place in current therapy in various paediatric settings following the 2021 safety update from the Medicines and Healthcare products Regulatory Agency (MHRA). There are two case studies presented to apply learning relating to the place of chloral hydrate in both paediatric sedation and neurology.","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"445-449"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9876252","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
Sore knee - why and when to call a cardiologist. 膝盖疼痛-为什么和何时打电话给心脏病专家。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-06-08 DOI: 10.1136/archdischild-2023-325651
Ian Scott Kendall, Claire McGinn, Andrew J Sands
{"title":"Sore knee - why and when to call a cardiologist.","authors":"Ian Scott Kendall, Claire McGinn, Andrew J Sands","doi":"10.1136/archdischild-2023-325651","DOIUrl":"10.1136/archdischild-2023-325651","url":null,"abstract":"A young girl received a diagnosis of septic arthritis of the knee unresponsive to standard medical and surgical treatment. We report the patient’s clinical journey with clinical commentary throughout, underlying the importance of differential diagnosis that may open several scenarios and a different final diagnosis accordingly. Finally, we will discuss the treatment and management of the patient’s final diagnosis.","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"450-455"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9967390","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
Acute safeguarding essentials in modern-day paediatrics: neglect, unsupervised minors and modern slavery. 现代儿科的急性保护要点：忽视、无人监督的未成年人和现代奴隶制。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-10-27 DOI: 10.1136/archdischild-2022-325260
Helen Thomas, Daniel Cromb, Hannah Jacob
{"title":"Acute safeguarding essentials in modern-day paediatrics: neglect, unsupervised minors and modern slavery.","authors":"Helen Thomas, Daniel Cromb, Hannah Jacob","doi":"10.1136/archdischild-2022-325260","DOIUrl":"10.1136/archdischild-2022-325260","url":null,"abstract":"<p><p>As part of a case-series exploring acute safeguarding essentials in modern day paediatrics, this article focusses on themes of neglect, unsupervised minors and modern slavery. Considerations around initial management, relevant legislation and useful resources, and available to all professionals involved in safeguarding children.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"397-400"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61566192","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
Recommendations for minimising and monitoring adverse effects of long-term supraphysiological corticosteroid use in children and young persons. 建议尽量减少和监测儿童和青少年长期使用超生理皮质类固醇的不良影响。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-07-14 DOI: 10.1136/archdischild-2023-325402
Claudine Micallef, Shveta Chana
{"title":"Recommendations for minimising and monitoring adverse effects of long-term supraphysiological corticosteroid use in children and young persons.","authors":"Claudine Micallef, Shveta Chana","doi":"10.1136/archdischild-2023-325402","DOIUrl":"10.1136/archdischild-2023-325402","url":null,"abstract":"To cite: Micallef C, Chana S. Arch Dis Child Educ Pract Ed Epub ahead of print: [please include Day Month Year]. doi:10.1136/archdischild2023325402 © Author(s) (or their employer(s)) 2023. No commercial reuse. See rights and permissions. Published by BMJ. INTRODUCTION The mother of a 4yearold boy with a history of nephrotic syndrome presents to the Paediatric Assessment Unit in view of three consecutive urine dip stick tests positive for protein. You discuss that this indicates a relapse and that her child will need to restart systemic corticosteroids. The mother expresses concerns as her child finished a prolonged course of corticosteroids only 3 months ago and has heard that prolonged and/or repeated use of these comes with multiple potentially significant sideeffects including stunting of growth. She asks if there are ways to minimise or prevent these risks, and if anything will be done to monitor them. Supraphysiological doses of corticosteroids are used in the management of various medical conditions in children and young persons (CYP), but guidance on how to minimise and monitor adverse effects is limited in this population. There are also sideeffects that are specific to CYP, and as such require special monitoring. The aim of this article is to provide reasonable guidance that is extrapolated from the limited literature on this topic that is specific to CYP. It will not provide a comprehensive review of the properties and indications of corticosteroids. For the equivalent antiinflammatory doses to prednisolone 5 mg, refer to the British National Formulary for Children/National Institute for Health and Care Excellence 2020.","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"439-444"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9781631","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
Epistle. 书信。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 DOI: 10.1136/archdischild-2023-326561
Neelam Gupta
{"title":"Epistle.","authors":"Neelam Gupta","doi":"10.1136/archdischild-2023-326561","DOIUrl":"10.1136/archdischild-2023-326561","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":"108 6","pages":"391"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400503","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
Guideline review: Child Protection service delivery standards. 指南审查:儿童保护服务提供标准。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-06-13 DOI: 10.1136/archdischild-2022-324130
Chloe Norman, Hannah Jacob
{"title":"Guideline review: Child Protection service delivery standards.","authors":"Chloe Norman, Hannah Jacob","doi":"10.1136/archdischild-2022-324130","DOIUrl":"10.1136/archdischild-2022-324130","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"406-409"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9618542","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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