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Archives of Disease in Childhood. Education and Practice Edition

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https://www.readbyqxmd.com/read/28536138/critically-ill-children-did-not-benefit-from-tight-glycaemic-control
#1
Angela Katrina Lucas-Herald, Kenneth J Robertson
No abstract text is available yet for this article.
May 23, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28536137/the-right-care-every-time-improving-adherence-to-evidence-based-guidelines
#2
Jane Runnacles, Alice Roueché, Peter Lachman
Guidelines are integral to reducing variation in paediatric care by ensuring that children receive the right care, every time. However, for reasons discussed in this paper, clinicians do not always follow evidence-based guidelines. Strategies to improve guideline usage tend to focus on dissemination and education. These approaches, however, do not address some of the more complex factors that influence whether a guideline is used in clinical practice. In this article, part of the Equipped Quality Improvement series, we outline the literature on barriers to guideline adherence and present practical solutions to address these barriers...
May 23, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28500023/an-apparently-simple-case-of-fever-and-sore-throat
#3
Richard Freeman
No abstract text is available yet for this article.
May 12, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28495667/fifteen-minute-consultation-in-the-normal-child-challenges-relating-to-sexuality-and-gender-identity-in-children-and-young-people
#4
Thomas O'Neill, Justin Wakefield
Lesbian, gay, bisexual and transgender (LGBT+) young people face several challenges in their daily lives, including specific healthcare inequalities. Negative societal attitudes towards sexual and gender minorities, and the effects of regular experiences of bullying and homophobia/transphobia exacerbate the normal trials and tribulations of childhood and adolescence. Barriers to accessing healthy activities, such as sport, are created by perceived stigma and real-life experiences. Healthcare environments are by default heteronormative and contribute to the isolation and exclusion of LGBT+ young people...
May 11, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28495666/how-to-use-nasal-nitric-oxide-in-a-child-with-suspected-primary-ciliary-dyskinesia
#5
Kim Simpson, Malcolm Brodlie
Measuring nasal nitric oxide (nNO) is increasingly used as part of testing for primary ciliary dyskinesia (PCD). The diagnosis of PCD is often delayed until after bronchiectasis is established and auditory damage has occurred. It is important that all paediatricians are aware of clinical features that are suggestive of PCD that should prompt diagnostic testing. nNO levels are recognised to be low in people with PCD and results generated by static chemiluminescence analysers using velum closure technique in older children have good sensitivity and specificity...
May 11, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28495665/general-anaesthesia-under-the-age-of-4-years-has-minimal-impact-on-future-academic-performance
#6
Amanda Jane Friend, Thomas Engelhardt, Tom Hansen
No abstract text is available yet for this article.
May 11, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28487434/fifteen-minute-consultation-practical-pain-management-in-paediatric-palliative-care
#7
Emily Jane Harrop, Karen Brombley, Katherine Boyce
Pain and distress in the paediatric palliative care population can be very difficult to manage. Clinical scenarios range from the acute management of cancer-related pain at the end of life to the ongoing long-term support of children with complex multimodal pain related to progressive neurological conditions. Understanding the child's underlying condition, possible causes of pain and their preferred mode of communication are important to the delivery of holistic care. Modification of environmental factors, basic care consideration and non-pharmacological measures have a large role to play, alongside conventional analgesics...
May 9, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28487433/fifteen-minute-consultation-the-child-with-pica
#8
Ben McNaughten, Thomas Bourke, Andrew Thompson
Pica is defined as the persistent ingestion of non-nutritive substances for more than 1 month at an age at which this behaviour is deemed inappropriate. It occurs most commonly in children, in patients with learning disabilities and in pregnancy. The aetiology of pica is poorly understood and is probably multifactorial. Clinical assessment can be difficult. History and examination should be tailored to address potential complications of the substance being ingested. Complications can be life threatening. Pica often self-remits in younger children...
May 9, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28468821/how-to-use%C3%A2-lymph-node-biopsy-in-paediatrics
#9
Sarah Farndon, Sam Behjati, Nico Jonas, Boo Messahel
Lymphadenopathy is a common finding in children. It often causes anxiety among parents and healthcare professionals because it can be a sign of cancer. There is limited high-quality evidence to guide clinicians as to which children should be referred for lymph node biopsy. The gold standard method for evaluating lymphadenopathy of unknown cause is an excision biopsy. In this Interpretation, we discuss the use of lymph node biopsy in children.
May 3, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28468820/a-source-of-tension
#10
Helen Williams
No abstract text is available yet for this article.
May 3, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28468819/gradual-withdrawal-of-desmopressin-in-patients-with-enuresis-leads-to-fewer-relapses-than-an-abrupt-withdrawal
#11
Rebecca Amy Dalrymple, Ian D Wacogne
No abstract text is available yet for this article.
May 3, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28456752/use-of-high-or-low-fio2-during-initial-resuscitation-did-not-impact-survival-or-neurodevelopmental-outcomes-of-preterm-infants
#12
Amanda Jane Friend, Sam J Oddie
No abstract text is available yet for this article.
April 29, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28416513/what-is-broad-range-16s-rdna-pcr
#13
Amani Patel, Kathryn A Harris, Felicity Fitzgerald
No abstract text is available yet for this article.
April 17, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28363956/facial-palsy-in-a-baby-with-acute-otitis-media
#14
Carolina D'Anna, Mario Diplomatico, Vincenzo Tipo
No abstract text is available yet for this article.
March 31, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28302733/continuing-professional-development-putting-the-learner-back-at-the-centre
#15
Colin Macdougall, Melanie Epstein, Lorna Highet
Continuing professional development (CPD) is changing. Once seen as flexible on the basis of personal choice and mainly consisting of conferences and lecture style meetings, it is now much more likely to be specified, mandatory and linked to specific regulatory or quality improvement activities. This may not be well aligned with how adult professionals learn best and the evidence of resulting change in practice is limited. Also there is a danger of losing out on serendipity in learning by pushing experienced professionals into focusing excessively on mandatory activities that seem to be increasingly 'ticking the box'...
March 16, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28302732/an-unusual-cause-of-chest-pain-in-a-teenage-girl
#16
Ben McNaughten, Andrew Thompson, Dara O'Donoghue
No abstract text is available yet for this article.
March 16, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28289038/-i-can-t-tell-my-child-they-are-dying-helping-parents-have-conversations-with-their-child
#17
J Aldridge, K Shimmon, M Miller, L K Fraser, B Wright
This paper explores the challenges of resolving conflicting feelings around talking with a child about their terminal prognosis. When children are left out of such conversations it is usually done with good intent, with a parent wishing to protect their child from anxiety or loss of hope. There is however growing evidence that sensitive, timely, age appropriate information from those with whom children have a good relationship is helpful both for the child and their family. There is no evidence that involving children in sensitive and timely discussions creates significant problems, rather that withholding information may lead to confusion, frustration, distress and anger...
March 13, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28148538/handy-paediatric-dermatology
#18
Enrico Valerio, Francesca Parata, Mario Cutrone
No abstract text is available yet for this article.
April 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28073809/diabetes-insipidus-and-the-use-of-desmopressin-in-hospitalised-children
#19
Charlotte J Elder, Paul J Dimitri
No abstract text is available yet for this article.
April 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27998893/management-of-children-and-young-people-with-headache
#20
William P Whitehouse, Shakti Agrawal
Headache is very common in children and young people. The correct advice and treatment requires consideration of a wide differential diagnosis between primary and secondary headaches, and also of the different types of primary headache. The International Classification of Headache Disorders gives useful descriptions and diagnostic criteria that are especially useful for primary headaches. The National Institute for Health and Care Excellence (NICE) Clinical Guideline 150 provides evidence-based recommendations on treatments for adults and young people from age 12 years...
April 2017: Archives of Disease in Childhood. Education and Practice Edition
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