Archives of Disease in Childhood最新文献

{"title":"Unlocking paediatric technology: the hurdles of ethics, regulation and adoption.","authors":"Paul Dimitri","doi":"10.1136/archdischild-2026-330392","DOIUrl":"https://doi.org/10.1136/archdischild-2026-330392","url":null,"abstract":"","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extension is not inclusion: why children need their own inclusion health definition.","authors":"Radhini Karunaratne, Tami Benzaken, Bhanu Williams, Benita Morrissey, Sarah Eisen","doi":"10.1136/archdischild-2026-331125","DOIUrl":"https://doi.org/10.1136/archdischild-2026-331125","url":null,"abstract":"","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does performance on the Ages and Stages Questionnaire-3 assessment at age 2 estimate the effect on the Early Years Foundation Stage at age 5? A longitudinal observational study using routine data.","authors":"Josie Dickerson, Yanhua Xu, Rob Shore, Hollie C Henderson, Dawn Lee, Kerry Bennett, Phillippa Degnan, Kuldeep Sohal, Mark Mon-Williams, John Wright, Kate E Mooney","doi":"10.1136/archdischild-2026-330601","DOIUrl":"https://doi.org/10.1136/archdischild-2026-330601","url":null,"abstract":"","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paediatric escalation area and corridor care in the emergency department: a secondary analysis of the UNCORKED study.","authors":"Daniel R Owens, Fraser Birse, Chidi Anakebe, Damian Roland, Ryan McHenry, Ben Clarke, Tom Roberts","doi":"10.1136/archdischild-2026-330704","DOIUrl":"https://doi.org/10.1136/archdischild-2026-330704","url":null,"abstract":"","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of financial incentives to improve medication adherence for children and young people with asthma: a qualitative study.","authors":"Jasmine Hine, Andy Bush, Anna De Simoni, Chris Griffiths, Gabrielle Judah, Sukeshi Makhecha, Louise Fleming","doi":"10.1136/archdischild-2026-331321","DOIUrl":"https://doi.org/10.1136/archdischild-2026-331321","url":null,"abstract":"","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mean arterial pressure for children in US emergency department and prehospital settings.","authors":"Sriram Ramgopal, Remle Crowe, Alison Treichel, Christian Martin-Gill","doi":"10.1136/archdischild-2026-330623","DOIUrl":"10.1136/archdischild-2026-330623","url":null,"abstract":"","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is paediatric conscious sedation as effective as general anaesthesia for removing aural and nasal foreign bodies?","authors":"Ze Ping Tan","doi":"10.1136/archdischild-2026-331418","DOIUrl":"https://doi.org/10.1136/archdischild-2026-331418","url":null,"abstract":"","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tuberculosis screening: where are our blind spots?","authors":"Sarah Eisen","doi":"10.1136/archdischild-2026-331122","DOIUrl":"https://doi.org/10.1136/archdischild-2026-331122","url":null,"abstract":"","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Financial INcentives to improve Asthma (FINA): a pilot RCT to improve medication adherence for children and young people with asthma.","authors":"Jasmine Hine, Andy Bush, Anna De Simoni, Chris Griffiths, Gabrielle Judah, Louise Fleming","doi":"10.1136/archdischild-2026-331320","DOIUrl":"https://doi.org/10.1136/archdischild-2026-331320","url":null,"abstract":"<p><strong>Objective: </strong>To assess effectiveness and feasibility of financial incentives to improve medication adherence for children and young people (CYP) with asthma.</p><p><strong>Design: </strong>Pilot randomised controlled trial measuring adherence in CYP using an electronic monitoring device (EMD) with twice-daily reminders; design supported by patient and public involvement.</p><p><strong>Setting: </strong>CYP were recruited between 2 and 12 weeks after attendance at an emergency department (ED) following a severe asthma exacerbation.</p><p><strong>Patients: </strong>CYP aged 11-17 years old with asthma, who were prescribed inhaled corticosteroids for at least 6 months prior to their exacerbation, owned their own smartphone and understood verbal and written English.</p><p><strong>Interventions: </strong>Intervention CYP received £1 per complete morning/£1 per complete evening inhaler dose(s) for 12 weeks (max £168). Controls received usual care (with EMD and reminder use) with no financial incentives.</p><p><strong>Main outcome measures: </strong>adherence, asthma control and psychological outcomes. Feasibility assessed by recruitment, randomisation and intervention delivery indicators.</p><p><strong>Results: </strong>32 CYP (mean age: 13.4 years (±1.64, SD); 65.6% male) were enrolled; 16 randomised to intervention. After 12 weeks, those who received financial incentives had higher median adherence (73.0%, range: 23.0-89.0%), compared with control (56.0%, range: 7.0-87.0%); this did not reach significance (p=0.077). During follow-up, intervention and control adherence significantly decreased (to 39.0%, range: 0.0-72.0%, p=0.012 and 31.5%, range: 3.0-62.0%, p=0.002, respectively). Study implementation was challenging due to slow recruitment and technological issues.</p><p><strong>Conclusions: </strong>In this small pilot study, financial incentives were not effective in sustaining adherence. Improved technology is necessary for a definitive study. Future work could explore individual characteristics that contribute to successful financial incentive use in CYP.</p><p><strong>Trial registration number: </strong>NCT05322044.</p>","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>Streptococcus pneumoniae</i> haemolytic uraemic syndrome in Aotearoa New Zealand across changing pneumococcal conjugate vaccine eras.","authors":"Alexander Boyd Humphrey, Chanel Prestidge, Amanda Dickens, Jillian Haszard, Julie Morgan, Xiaoyun Ren, Owen Sinclair, Andrew Anglemyer, Emma Best","doi":"10.1136/archdischild-2026-330946","DOIUrl":"https://doi.org/10.1136/archdischild-2026-330946","url":null,"abstract":"<p><strong>Objective: </strong>To describe the epidemiology, clinical features, microbiology and outcomes of paediatric <i>Streptococcus pneumoniae</i> haemolytic uraemic syndrome (SpHUS) in Aotearoa New Zealand across changing pneumococcal conjugate vaccine (PCV) eras.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Setting: </strong>National paediatric tertiary referral centre, New Zealand.</p><p><strong>Patients: </strong>Children aged 0-15 years with SpHUS between 2008 and 2024.</p><p><strong>Main outcome measures: </strong>Clinical presentation, microbiology and serotype distribution, acute severity and long-term renal outcomes.</p><p><strong>Results: </strong>39 cases were identified; 26/39 (67%) occurred between 2020 and 2024. Median age was 18 months, with 26/39 (67%) aged <2 years. Māori and Pacific children comprised 24/39 (62%) of cases. Complicated pneumonia was the predominant presentation (36/39, 92%). Among 32 cases with serotype data, 27/32 (84%) were serotype 19A, including 21/21 cases from 2020 to 2024. Most children were PCV-immunised (31/39, 79%), with 6/32 (19%) infected with vaccine-covered serotypes. Disease severity was high: 35/39 (90%) required intensive care and 31/39 (79%) required kidney replacement therapy (median 13 days). Mortality was 2/39 (5%) and 2/39 (5%) required kidney transplantation. Among survivors with follow-up, 13/30 (43%) had chronic kidney disease.</p><p><strong>Conclusions: </strong>SpHUS in New Zealand has increased since 2020, during a period of rising invasive pneumococcal disease, predominantly involving serotype 19A, with high acute severity and substantial long-term kidney morbidity. The burden is disproportionately borne by Māori and Pacific children, highlighting the need for ongoing surveillance and vaccine strategies responsive to local epidemiology.</p>","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}