Editorial Board
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - July 1, 2022 Category: Pediatrics Source Type: research
What's new in attention-deficit/hyperactivity disorder: updates on assessment and management
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition typically associated with hyperactivity, impulsivity and inattention. While the prevalence in the UK has been relatively stable over the last few years, groups such as those with other neurodevelopmental disorders or those known to the youth justice system, have a higher prevalence than the average population, while other groups, such as girls with the inattention-subtype, are recognized as being underrepresented. As an increasing proportion of children require an ADHD assessment, the time taken to reach a diagnosis has significantly increase...
Source: Paediatrics and Child Health - June 30, 2022 Category: Pediatrics Authors: Olatokunbo Sanwo, Hifzi Huzair Tags: Symposium: special educational needs and disability Source Type: research
This child can: participation in sport for children with vision impairment
All children benefit from access to sports, exercise and leisure. It is important not just for physical health, but also for emotional wellbeing and social connectivity. Vision impairment refers to a bilateral uncorrectable reduction in vision and is experienced by 1 in 1000 young people under the age of 16 in the UK. Many children with vision impairment experience barriers in their access to sport and exercise, and a traditional medical model of disability would associate these barriers with the pathology of ophthalmological disease. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - June 24, 2022 Category: Pediatrics Authors: Sarah Holton Tags: Symposium: special educational needs and disability Source Type: research
Management of Henoch –Schönlein purpura
Henoch –Schönlein purpura (HSP) is the commonest childhood vasculitis, with a peak incidence in the autumn months. This supports the supposition that it is precipitated by viral infection, which then leads to the production of abnormally glycosylated immunoglobulin A (IgA) and the formation of immune co mplexes containing this IgA. All organs can be affected, but the purpuric skin lesions are necessary to make the diagnosis. There is little evidence for or against any particular therapeutic strategy and management of the acute episode is mainly supportive with analgesics as necessary. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - June 18, 2022 Category: Pediatrics Authors: Graham Smith Tags: Symposium: nephrology Source Type: research
Augmentative and alternative communication for children with speech, language and communication needs
Augmentative and alternative communication (AAC) is the collective term for a broad range of techniques, strategies and devices which can support children with communication difficulties who may have little or no intelligible speech. This may include manual signs or systems of symbols, words or letters that can be used to construct messages and convey meaning. This review discusses the ways in which AAC systems are categorized and outlines some key principles of assessment and intervention, using the World Health Organization's International Classification of Functioning, Disability and Health for Children and Young People...
Source: Paediatrics and Child Health - June 14, 2022 Category: Pediatrics Authors: Tom Griffiths, Michael Clarke, Katie Price Tags: Symposium: special educational needs and disability Source Type: research
Dental health for children with special educational needs and disability
There are 1.37 million children and young people (CYP) with special educational needs and disability (SEND) in the UK. These CYP have more complex needs and may require more expertise, support and reasonable adjustments in the dental setting. There are high levels of unmet dental need for this cohort of CYP. Unmanaged dental disease, such as dental caries, can impact on a child's quality of life and wellbeing. All healthcare professionals who have contact with CYP with SEND have an important role to play in trying to improve the oral health of their patients. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - June 12, 2022 Category: Pediatrics Authors: Annabelle Carter, Lisa Clarke, Claire Stevens Tags: Symposium: special educational needs and disability Source Type: research
Screen time: how much is too much?
The narrative that screen time has exponentially increased, and that this poses a threat to child health, is common in both media and professional outlets. The author challenges this narrative and offers a critique of our concept of screen time. He then reviews the implication of recent events including COVID lockdown before providing a framework for discerning what screen use is, in fact, problematic, and what professionals can do to help families make changes. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - June 9, 2022 Category: Pediatrics Authors: Max Davie Tags: Personal practice Source Type: research
Safer children, healthier lives: reducing the burden of serious accidents to children
COVID-19 has placed huge pressures on clinicians and front line practitioners across the UK. The focus has been, understandably, on the day to day challenges that the pandemic has brought. But lockdown measures have also put a spotlight on safety in the home – a place where we have all spent so much more time. This is one place where there may be fewer safeguards and less protection from the risks of serious injury, especially to young children. Preventable accidental injury remains a leading cause of death and acquired disability for children in the UK. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - June 2, 2022 Category: Pediatrics Authors: Ian Evans Source Type: research
Editorial Board
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - June 1, 2022 Category: Pediatrics Source Type: research
Idiopathic nephrotic syndrome: a clinical approach
Children with new-onset nephrotic syndrome invariably present to general paediatrics in the first instance. Many with known nephrotic syndrome under the care of a paediatric nephrologist will present to local services with complex relapses. Using a case-based approach, this review aims to equip the general paediatrician with the skills: to assess and manage a child with a new presentation of nephrotic syndrome, to identify the complications associated with the nephrotic state, to choose the most appropriate steroid regimen and to identify those patients who should be referred to a paediatric nephrologist. (Source: Paediatr...
Source: Paediatrics and Child Health - May 11, 2022 Category: Pediatrics Authors: Karen Norman, Martin Christian Tags: Symposium: nephrology Source Type: research
Paediatric renal stone disease: investigation and management for the paediatrician
Paediatric renal stone disease is uncommon but its incidence is increasing. There has been a shift from predominantly infective stones to a higher rate of metabolic stones. It may present with non-specific symptoms of abdominal pain, haematuria, recurrent urinary tract infections, or may even be found incidentally. Ultrasound scanning should be the first line of imaging in children with suspected renal calculi. If detected, this should be followed by a thorough investigation of underlying causes with blood and urinary analyses to investigate metabolic causes, and further imaging to detect anatomical anomalies and for surgi...
Source: Paediatrics and Child Health - May 11, 2022 Category: Pediatrics Authors: Claudia Koh, Manoj U. Shenoy Tags: Symposium: Nephrology Source Type: research
Tobacco addiction in young people: the paediatrician's role
Smoking is the leading cause of preventable deaths worldwide. Both first- and second-hand tobacco smoking are a major cause of morbidity in children. Smoking has both a health and an economic impact. Whilst there has been legislation in the UK that has impacted tobacco use, there remain about 88,000 children who start smoking each year in the UK. There is an increasing focus to treat tobacco addiction as a disease, and the dependency is more likely to start in the adolescent years. The paediatrician has an important role in systematically identifying smokers and offering highly cost-effective treatments to smokers in order...
Source: Paediatrics and Child Health - May 8, 2022 Category: Pediatrics Authors: Caroline K. Nyakundi, Duncan G. Fullerton Tags: Occasional review Source Type: research
Practical approach to answering questions about bed wetting (enuresis) in children
This article provides an overview of the diagnosis, investigation and treatment of enuresis by addressing the questions most commonly asked by parents or carers looking after a child suffering with enuresis. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - May 7, 2022 Category: Pediatrics Authors: Joanna C. Clothier Tags: Symposium: Nephrology Source Type: research
Editorial Board
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - May 1, 2022 Category: Pediatrics Source Type: research
Allyship: an incremental approach to addressing microaggressions in medicine
This article presents some principles of allyship in relation not only to racial equality, also to other areas of equality, diversity and inclusion. An existing and relatively well-known communication tool from Crisis Resource Management ( ‘PACE’ – Probe, Alert, Challenge, Escalate) has been adapted for use by allies who witness microaggressions in the healthcare workplace. We provide worked examples that demonstrate how the tool can be used to address microaggressions ‘in the moment’, and direct people to resources that may help them educate themselves about minority groups. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - April 26, 2022 Category: Pediatrics Authors: Kunal Babla, Sinny Lau, Omowunmi Akindolie, Trisha Radia, Camilla Kingdon, Andrew Bush, Atul Gupta Tags: Personal practice Source Type: research
