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Use of pulse oximetry as an investigative test for paediatric respiratory sleep disorders. 使用脉搏血氧仪作为儿科呼吸性睡眠障碍的调查试验。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-06-06 DOI: 10.1136/archdischild-2022-324846
Lucy Everitt, Phoebe Roberts, Hazel J Evans
{"title":"Use of pulse oximetry as an investigative test for paediatric respiratory sleep disorders.","authors":"Lucy Everitt, Phoebe Roberts, Hazel J Evans","doi":"10.1136/archdischild-2022-324846","DOIUrl":"10.1136/archdischild-2022-324846","url":null,"abstract":"<p><p>The article covers the following elements: practical and technological considerations for optimising data collection and output; reference ranges for oximetry parameters across the ages; things to consider when interpreting a pulse oximetry study (eg, sleep/wake times); the ability of pulse oximetry to predict obstructive sleep apnoea; using oximetry as a screening tool for sleep disordered breathing in children with Down syndrome; things to consider when setting up a home oximetry service; and a case of an infant being weaned from oxygen using pulse oximetry studies.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"429-438"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583155","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 solve a clinical conundrum: Have you tried a trio exome analysis? 如何解决一个临床难题:你试过三外显子组分析吗?
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-07-04 DOI: 10.1136/archdischild-2021-322910
Felicity Beal, Richard Coward, Caroline Platt
{"title":"How to solve a clinical conundrum: Have you tried a trio exome analysis?","authors":"Felicity Beal, Richard Coward, Caroline Platt","doi":"10.1136/archdischild-2021-322910","DOIUrl":"10.1136/archdischild-2021-322910","url":null,"abstract":"<p><p>The following report describes the clinical journey of a 5-month-old male infant who presented with a significant kidney injury following a diarrhoeal illness. His course was complicated by severe hypertension and a number of acute life-threatening events necessitating periods of time on the intensive care unit, where he received ventilatory support and underwent renal replacement therapy and treatment with a monoclonal antibody therapy.We take the reader on a stepwise journey from presentation through to final diagnosis, discussing important biochemical, haematological and radiological features where learning points are discussed. Guidance on the use of genomic testing strategies for the non-geneticist is provided in some detail with a particular focus on the trio exome analysis that identified the diagnosis for this young boy.This complex case not only provides a number of excellent learning opportunities but also highlights the importance of early involvement of the clinical genetics team and the relevance of the trio exome analysis for rapid identification of rare monogenic diseases.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"456-462"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9761484","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
Safeguarding children a priority. 保护儿童是当务之急。
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-2023-326307
David Lewis
{"title":"Safeguarding children a priority.","authors":"David Lewis","doi":"10.1136/archdischild-2023-326307","DOIUrl":"10.1136/archdischild-2023-326307","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"392-393"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61566193","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 treatment of Lyme disease in children. 儿童莱姆病的诊断和治疗。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-09-19 DOI: 10.1136/archdischild-2023-325398
Atessa Bahadori, Nicole Ritz, Petra Zimmermann
{"title":"Diagnosis and treatment of Lyme disease in children.","authors":"Atessa Bahadori, Nicole Ritz, Petra Zimmermann","doi":"10.1136/archdischild-2023-325398","DOIUrl":"10.1136/archdischild-2023-325398","url":null,"abstract":"<p><p>Lyme disease is a zoonotic infection caused by the spirochete <i>Borrelia burgdorferi</i> sensu lato which is transmitted to humans mainly by tick bites. The global incidence of Lyme disease is rising, and children are more frequently affected. The disease can manifest in various organs causing non-specific symptoms. The lack of sensitive and specific diagnostic tests makes the management of Lyme disease challenging. This article offers up-to-date clinical algorithms for the management of children with suspected or diagnosed Lyme disease.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"422-428"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41156805","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
NICE guideline review: Epilepsies in children, young people and adults NG217. NICE指南回顾:儿童、青少年和成人的癫痫。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-06-20 DOI: 10.1136/archdischild-2022-324427
Katherine Elizabeth Anne Jones, Rachel Howells, Andrew A Mallick, Siba Prosad Paul, Indranil Dey
{"title":"NICE guideline review: Epilepsies in children, young people and adults NG217.","authors":"Katherine Elizabeth Anne Jones, Rachel Howells, Andrew A Mallick, Siba Prosad Paul, Indranil Dey","doi":"10.1136/archdischild-2022-324427","DOIUrl":"10.1136/archdischild-2022-324427","url":null,"abstract":"To cite: Jones KEA, Howells R, Mallick AA, et al. Arch Dis Child Educ Pract Ed Epub ahead of print: [please include Day Month Year]. doi:10.1136/archdischild2022324427 © Author(s) (or their employer(s)) 2023. No commercial reuse. See rights and permissions. Published by BMJ. BACKGROUND Epilepsy is the most common significant longterm neurological condition of childhood. The prevalence in children in the UK is approximately 4 per 1000 children. It affects 1 in 220 children and young people in the UK with on average two children with epilepsy in every primary school and nine in every secondary school. The National Institute for Health and Care Excellence (NICE) defines epilepsy as a ‘condition in which a person is prone to recurrent epileptic seizures’ and epileptic seizure as a ‘transient occurrence of signs and or symptoms as the result of a primary change to the electrical activity (abnormally excessive or synchronous) within the brain’. The International League against Epilepsy is more specific, defining epilepsy as a disease of the brain defined by at least two unprovoked seizures occurring more than 24 hours apart, one unprovoked seizure and a high probability of further seizures or a diagnosis of an epilepsy syndrome.","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"416-421"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9723027","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: 2
Widespread rash, leg pain and increased muscle bulk. 广泛的皮疹，腿部疼痛和肌肉增加。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-12-01 Epub Date: 2023-10-24 DOI: 10.1136/archdischild-2023-326135
Siddhi Chawla, Aditya Charan, Gajanand Singh Tanwar
{"title":"Widespread rash, leg pain and increased muscle bulk.","authors":"Siddhi Chawla, Aditya Charan, Gajanand Singh Tanwar","doi":"10.1136/archdischild-2023-326135","DOIUrl":"10.1136/archdischild-2023-326135","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"467-468"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159401","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
Acute safeguarding essentials in modern-day paediatrics. 现代儿科的急性防护要点。
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-2023-325773
Helen Thomas, Daniel Cromb, Hannah Jacob
{"title":"Acute safeguarding essentials in modern-day paediatrics.","authors":"Helen Thomas, Daniel Cromb, Hannah Jacob","doi":"10.1136/archdischild-2023-325773","DOIUrl":"10.1136/archdischild-2023-325773","url":null,"abstract":"<p><p>This case series addresses the complexities of child safeguarding in modern-day paediatrics, exploring common themes and key pieces of legislation, while emphasising the centrality of the child's welfare in decision-making at all times. It discusses the evolving nature of child protection, including the importance of a multiagency approach and the rising impact of the internet and social media on child welfare, necessitating awareness of online risks and the development of mitigation strategies. Each article presents a case vignette, prompts for consideration, discussions on specific safeguarding concerns, practical considerations, and relevant legislation. Key learning points are emphasised, with links to additional freely available online resources. Ultimately, the series aims to equip paediatric professionals with the necessary tools and techniques to manage safeguarding cases and prioritise the well-being of children and young people.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"394-396"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61566191","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
Mysterious chronic skin lesions. 神秘的慢性皮肤损伤。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2023-04-07 DOI: 10.1136/archdischild-2023-325412
Hortense Petat, Billal Tedbirt, Abdeljallil Zeggay, Isabelle Michelet, Claire Morin, Christophe Marguet
{"title":"Mysterious chronic skin lesions.","authors":"Hortense Petat,&nbsp;Billal Tedbirt,&nbsp;Abdeljallil Zeggay,&nbsp;Isabelle Michelet,&nbsp;Claire Morin,&nbsp;Christophe Marguet","doi":"10.1136/archdischild-2023-325412","DOIUrl":"10.1136/archdischild-2023-325412","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"361-362"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9313954","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
Four months of tuberculosis (TB) treatment is non-inferior to the current 6-month treatment in drug-susceptible paediatric TB. 4个月的结核病治疗并不比目前6个月的药物敏感儿童结核病治疗差。
IF 1 4区 医学
Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2023-10-01 Epub Date: 2022-09-07 DOI: 10.1136/archdischild-2022-324395
Graciaa Singhal, Amanda Jane Friend
{"title":"Four months of tuberculosis (TB) treatment is non-inferior to the current 6-month treatment in drug-susceptible paediatric TB.","authors":"Graciaa Singhal,&nbsp;Amanda Jane Friend","doi":"10.1136/archdischild-2022-324395","DOIUrl":"https://doi.org/10.1136/archdischild-2022-324395","url":null,"abstract":"Study design Design: An openlabel, noninferiority, randomised controlled trial. Allocation: 1:1 allocation, stratified by age, HIV status, treating centre and ethambutol use. Blinding: Single blinding of diagnosis and endpoint tuberculosis (TB) review committees. Study question Setting: Uganda, Zambia, South Africa and India. Patients: 1204 children (aged <16 years) with symptomatic, nonsevere, smearnegative TB due to the start of firstline treatment. Intervention: 8 weeks of standard treatment as per local guidelines, followed by isoniazid/rifampicin for 16 weeks in the control arm, and 8 weeks in the intervention arm. Primary outcomes: ’Unfavourable’ status by 72 weeks, including treatment failure, loss to followup or death. A modified intentiontotreat analyses was carried out. Secondary outcomes: Adverse event of grade ≥3 and economic analyses to estimate costs and health outcomes. Followup: 72 weeks (18 months) from the start of treatment. Main results The % of participants that had a primaryoutcome event was 3% in both treatment groups (adjusted difference, −0.4 percentage points; 95% confidence interval, −2.2 to 1.5). The noninferiority of 4 months treatment was consistent across every subgroup analysis.","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":"108 5","pages":"373"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154261","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 : 2023-10-01 DOI: 10.1136/archdischild-2023-326271
Neelam Gupta
{"title":"Epistle.","authors":"Neelam Gupta","doi":"10.1136/archdischild-2023-326271","DOIUrl":"https://doi.org/10.1136/archdischild-2023-326271","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":"108 5","pages":"313"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41156413","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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