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45 papers 0 to 25 followers
https://www.readbyqxmd.com/read/27520066/fifteen-minute-consultation-supporting-bereaved-parents-at-the-time-of-a-child-s-death
#1
Su Laurent, Julia Samuel, Tracy Dowling
If you are facing a discussion with parents whose child has died, your humanity is as important as your clinical knowledge and skill. Nothing you can say will ever take away the emotional pain they are facing but your involvement on a very human level will make a difference. Listening builds a trusting relationship and is essential if families are to be responded to effectively. The key components needed for good support are honesty, information, choices and time. Parents need to be guided through what will happen next and to know who to turn to when they leave the hospital...
August 12, 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27412044/fifteen-minute-consultation-safety-assessment-prior-to-discharge-of-patient-admitted-for-self-harm
#2
Annie Swanepoel
Paediatricians often admit young people who have self-harmed, as advised by the National Institute for Health and Care Excellence guidelines. A full psychosocial assessment is essential to understand the underlying needs and risks. In this paper we focus on what the discharging doctor needs to know to arrange for a safe discharge. This involves reviewing the admission notes for red flags. We also give advice on the verbal and non-verbal communication skills needed to contain both the doctor's and the patient's difficult feelings...
July 13, 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27469126/fifteen-minute-consultation-on-the-healthy-child-breast-feeding
#3
F Cleugh, A Langseth
Despite extensive evidence about the benefits of breast feeding for both infants and mothers, breastfeeding rates in the UK remain low. Most infants presenting with feeding issues are otherwise well but are often over diagnosed with clinical conditions such as maternal milk insufficiency, cow's milk intolerance or reflux. With simple advice and troubleshooting common problems, all child health professionals can support mothers to establish and continue breast feeding exclusively for longer.
July 28, 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27473151/fifteen-minute-consultation-the-child-with-systemic-arterial-hypertension
#4
Cheentan Singh, Helen Jones, Helen Copeman, Manish D Sinha
Hypertension in children is a relatively uncommon condition but its prevalence is increasing with the rising rates of excess weight during childhood. It is important that hypertension is diagnosed early in children, particularly in those with symptoms, in those with secondary causes and in those with target organ damage. This article presents a systematic approach to the evaluation of a child with arterial hypertension, highlighting important points on history and examination, out-of-office monitoring and baseline investigations before consideration for more detailed investigations and treatment...
July 29, 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27378521/fifteen-minute-consultation-public-health-for-paediatricians-adolescent-public-health
#5
Dougal S Hargreaves, Bhanu Williams, Fiona Straw, Anna Gregorowski, Arrash Yassaee, Delan Devakumar
Paediatricians have a key role to play in ensuring a holistic, integrated approach is taken to meeting adolescent health needs. There is increasing evidence that failure to do so can lead to poor healthcare experience, avoidable ill health and increased need for healthcare services, both in the short term and in adult life. This article aims to guide paediatricians in answering the questions 'How well are the public health and clinical needs of the adolescent population in my area being met? And how can we improve?'...
October 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27389545/fifteen-minute-consultation-the-agar-plates-your-microbiology-colleagues-want-you-to-be-scared-about
#6
G Winzor, J Gray, M Patel
The WHO has recognised antibiotic resistance as one of the greatest threats to human health. As a microbiologist, antibiotic resistance is a problem that keeps me awake at night and inevitably the impact of antibiotic resistance on paediatricians is a matter of when, and not if. I fear for the future of paediatric services such as neonatology, oncology and elective surgery. A recent US study found that 26.8% of post chemotherapy infections and 38.7-50.9% of post-operative infections were caused by bacteria resistant to standard antibiotic prophylaxis...
July 7, 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27307463/fifteen-minute-consultation-diagnosis-and-management-of-congenital-cmv
#7
Tejshri Shah, Suzanne Luck, Mike Sharland, Seilesh Kadambari, Paul Heath, Hermione Lyall
Congenital cytomegalovirus (cCMV) infection can result in permanent neurological problems and is a potentially preventable cause of sensorineural hearing loss in the UK. There is an urgency to diagnose and assess cCMV as antiviral treatment and has only been shown to be effective if started in the first 4 weeks of life. A recent randomised controlled trial of 6 months of treatment using oral valganciclovir has shown modest benefit in preventing hearing deterioration and in improving some neurodevelopmental outcomes...
October 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27112910/fifteen-minute-consultation-on-problems-in-the-healthy-child-sleep
#8
Jessica R Turnbull, Michael Farquhar
Sleep-related issues are common reasons children present to health professionals. Many factors can adversely affect sleep quality, and there are many associations of inadequate sleep, including behavioural problems, obesity and accidental injury. We review the current evidence, and suggest practical management strategies to promote better sleep, and hopefully, better functioning for child and family alike.
August 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27150358/fifteen-minute-consultation-approach-to-management-of-respiratory-problems-in-children-with-neurodisability
#9
Sonal Kansra, Kelechi Ugonna
Children with neurodisability have an increased prevalence of respiratory symptoms and morbidity. Several underlying physiological impairments and coexistent problems, like aspiration, make these children vulnerable to respiratory difficulties. The management of these respiratory problems is aimed at improving the quality of life, reducing the risk of exacerbations and further lung damage. This is based on identifying and, where possible, modifying physiological impairments, managing any exacerbating factors and proactive treatment of any complications...
October 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26837501/fifteen-minute-consultation-medically-unexplained-symptoms
#10
David John Cottrell
Medically unexplained symptoms are common and not always easy to manage. A wide range of symptoms may be presented and anxiety in the child, family and paediatrician about the possibility of a missed serious organic diagnosis may hamper effective management. Evidence-based approaches to a number of different presenting problems share a number of components. A model for assessment and management based on clinical experience and this evidence base is described.
June 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26933045/fifteen-minute-consultation-problems-in-the-healthy-child-toilet-training
#11
Hannah Jacob, Ben Grodzinski, Caroline Fertleman
Toilet training is a process that all healthy children go through. It is one of the developmental milestones for which parents most often seek medical help. Despite this, many paediatricians feel unconfident managing children presenting with a toilet training problem. We address some common questions arising when assessing and managing such a child, including identifying rare but important diagnoses not to miss.
June 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26396225/fifteen-minute-consultation-tics-and-tourette-syndrome
#12
Min Tsui Ong, Santosh R Mordekar, Arnab Seal
Tic disorders including Tourette syndrome (TS) are neuropsychiatric disorders that are common referrals to paediatricians, paediatric neurologists and child psychiatrists. Although differentiating tics and TS from other movement disorders is not difficult, it is essential to detect comorbid conditions and their contribution to TS.
April 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26464416/fifteen-minute-consultation-an-evidence-based-approach-to-research-without-prior-consent-deferred-consent-in-neonatal-and-paediatric-critical-care-trials
#13
Kerry Woolfall, Lucy Frith, Angus Dawson, Carrol Gamble, Mark D Lyttle, Bridget Young
No abstract text is available yet for this article.
February 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26546583/fifteen-minute-consultation-a-structured-approach-to-the-recognition-and-management-of-concussion-in-children-and-adolescents
#14
Anand Nitin Kanani, Stuart Hartshorn
Concussion is a disturbance in brain function caused by a direct or indirect force, which is transmitted to the head. The incidence of concussion is rising, and poor recognition of symptoms, with inappropriate management strategies, increases the risk of long-term cognitive and neuropsychiatric complications. We address some common questions that arise when assessing and managing patients with suspected concussion.
April 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26201347/fifteen-minute-consultation-on-limiting-investigations-in-the-fainting-child
#15
Michael Harris, Frances Bu'Lock
Syncope can be a dramatic and frightening experience for the patient and onlookers. It can also be a confusing area for doctors, with a lack of diagnostic certainty and a differential that ranges from the completely benign to the life-threatening. This is a tricky area for clinicians, who can find it difficult to reassure their patients and their families. The aim of this article is to present a clear scheme for appropriate investigation and referral of paediatric patients with syncope. The aim of investigations in such cases should be to confirm or exclude serious, life-threatening causes of syncope...
February 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26239652/fifteen-minute-consultation-for-a-child-not-attending-school-a-structured-approach-to-school-refusal
#16
Felicity Katz, Elizabeth Leith, Eleni Paliokosta
Paediatric consultations in school refusal cases need to explore the presenting medical symptoms and discuss with families any psychological function of the problems that have led to non-attendance. Understanding possible reinforcements of the child's avoidant behaviour, liaising with school and reassurance of the parents are often enough to manage the situation. However, more chronic and persistent refusal often require support from an extended team around the child, often requiring input from mental health professionals...
February 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26135356/fifteen-minute-consultation-when-is-a-seizure-not-a-seizure-part-2-the-older-child
#17
REVIEW
Mohamed O E Babiker, Manish Prasad
Paroxysmal non-epileptic events (PNEs) refer to episodic changes in behaviour, sensation or consciousness that lead to unusual movements, which may resemble epileptic seizures, but are not, due to excessive neuronal firing in the cerebral cortex. A significant proportion of patients seen in epilepsy clinics do not actually have epilepsy. Therefore, it is paramount for clinicians to be able to recognise these transient non-epileptic events in order to avoid unnecessary antiepileptic treatments and to provide appropriate management as required...
December 2015: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26135355/fifteen-minute-consultation-when-is-a-seizure-not-a-seizure-part-1-the-younger-child
#18
Manish Prasad, Mohamed O E Babiker
Paroxysmal non-epileptic events (PNEs) are common, and occur in all age groups ranging from neonates to young adults. The key to diagnosis in the majority is a detailed history and careful observation. However, a few can pose diagnostic challenges for the paediatrician to differentiate them from epileptic seizures. PNEs are usually recurrent, stereotyped and some of them tend to repeatedly occur within the same context. Although the vast majority have a benign nature, they can be a source of parental anxiety, unnecessary investigations and even potentially harmful treatments...
February 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/25990215/fifteen-minute-consultation-autoimmune-encephalitis
#19
REVIEW
Sarah Clews, Sharmila Jeyasing, Ming Lim
Autoimmune encephalitis (AE) is increasingly diagnosed in children, and can result in severe long-term disability. We use a clinical case to illustrate the core clinical features, initial investigations and management of this potentially treatable condition, and describe the common presenting neurological syndromes alongside highlighting differences between each autoantibody subtype.
December 2015: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/25827433/fifteen-minute-consultation-on-children-hearing-voices-when-to-worry-and-when-to-refer
#20
REVIEW
M Elena Garralda
Auditory hallucinations are uncommon paediatric presentations, but they can be alarming and lead to emergency consultations. This review outlines the phenomenology of auditory hallucinations, their assessment and clinical significance. Auditory hallucinations are seen in the course of acute medical disorders, often together with decreased levels of consciousness, as in febrile illness and in toxic, neurologically compromised states; they can also be a feature of episodic neurological conditions such as migraine and temporal lobe epilepsy...
October 2015: Archives of Disease in Childhood. Education and Practice Edition
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