Pub Date : 2025-10-24DOI: 10.1136/archdischild-2024-328409
Claire Elizabeth Stewart, Tess Hayden, Luximi Kabilan, Vanessa Impey
{"title":"My Voice Matters: improving the quality and quantity of the voice of the child captured in child protection medical assessments by introducing a visual communication toolkit.","authors":"Claire Elizabeth Stewart, Tess Hayden, Luximi Kabilan, Vanessa Impey","doi":"10.1136/archdischild-2024-328409","DOIUrl":"10.1136/archdischild-2024-328409","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327842","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}
Pub Date : 2025-10-24DOI: 10.1136/archdischild-2024-328158
Jodie Nguyen, Praveen Kishore, Cassie Lawn
{"title":"Implementation of a novel point-of-care technology: the Genedrive MT-RNR1 test.","authors":"Jodie Nguyen, Praveen Kishore, Cassie Lawn","doi":"10.1136/archdischild-2024-328158","DOIUrl":"10.1136/archdischild-2024-328158","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509555","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}
Pub Date : 2025-10-24DOI: 10.1136/archdischild-2025-328996
Jonathan Talbot, Neil Chanchlani, Anthony Edward Wiskin, Lakshmi Selvarajan
Acute pancreatitis is a potentially life-threatening condition that can arise from various aetiologies, including medications, infections, obstructive processes, trauma, systemic diseases or remain idiopathic. Timely and accurate diagnosis, particularly identification of precipitating factors, is essential for effective management. The INSPPIRE (International Study Group of Paediatric Pancreatitis) criteria offer a comprehensive approach to diagnosing and evaluating potential causes. Core management strategies, encompassing fluid resuscitation, pain control, nutritional support and judicious use of antimicrobial agents, are fundamental in minimising unnecessary interventions and optimising patient outcomes, ultimately reducing hospital length of stay. In cases of recurrent acute pancreatitis, further investigation can help identify underlying medical conditions and guide appropriate treatment.
{"title":"Fifteen-minute consultation: Acute pancreatitis in paediatrics.","authors":"Jonathan Talbot, Neil Chanchlani, Anthony Edward Wiskin, Lakshmi Selvarajan","doi":"10.1136/archdischild-2025-328996","DOIUrl":"https://doi.org/10.1136/archdischild-2025-328996","url":null,"abstract":"<p><p>Acute pancreatitis is a potentially life-threatening condition that can arise from various aetiologies, including medications, infections, obstructive processes, trauma, systemic diseases or remain idiopathic. Timely and accurate diagnosis, particularly identification of precipitating factors, is essential for effective management. The INSPPIRE (International Study Group of Paediatric Pancreatitis) criteria offer a comprehensive approach to diagnosing and evaluating potential causes. Core management strategies, encompassing fluid resuscitation, pain control, nutritional support and judicious use of antimicrobial agents, are fundamental in minimising unnecessary interventions and optimising patient outcomes, ultimately reducing hospital length of stay. In cases of recurrent acute pancreatitis, further investigation can help identify underlying medical conditions and guide appropriate treatment.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145369308","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}
Pub Date : 2025-10-24DOI: 10.1136/archdischild-2024-328416
Lindsay Mulligan, Sarah Louise Williamson
{"title":"Bug busters: a quality improvement project on reducing late-onset sepsis on the neonatal unit.","authors":"Lindsay Mulligan, Sarah Louise Williamson","doi":"10.1136/archdischild-2024-328416","DOIUrl":"10.1136/archdischild-2024-328416","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327841","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}
Pub Date : 2025-10-24DOI: 10.1136/archdischild-2025-328514
Benita Morrissey, Roland Bensted, Geeta Gopal, Yvonne John, Eneida Thaci, Victoria Bryant, Shammey Begum, Amelia Hume, Olwen Cowen, Mamta Vaidya, Andrea Vigille, Georgios Eleftheriou, Kath Evans, Susie Minson
{"title":"Joy in work: a multidisciplinary quality improvement project designed to improve staff well-being in an inner-city children's hospital.","authors":"Benita Morrissey, Roland Bensted, Geeta Gopal, Yvonne John, Eneida Thaci, Victoria Bryant, Shammey Begum, Amelia Hume, Olwen Cowen, Mamta Vaidya, Andrea Vigille, Georgios Eleftheriou, Kath Evans, Susie Minson","doi":"10.1136/archdischild-2025-328514","DOIUrl":"10.1136/archdischild-2025-328514","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849713","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}
Pub Date : 2025-10-22DOI: 10.1136/archdischild-2025-328954
Alexandra Blaschitz, Wolfgang Högler
Children and young people presenting with recurrent fractures pose a diagnostic challenge for clinicians. Such patients require early referral to a tertiary paediatric centre with bone specialists and a multidisciplinary team taking a comprehensive, modern approach to unravel the underlying causes. Using a guiding diagnostic algorithm, incorporating a thorough medical history, informed clinical examinations, targeted laboratory tests, state-of-the-art imaging and molecular genetic analyses, specialists can expedite the identification of underlying causes of bone fragility in children.The modern diagnostic approach integrates the latest evidence-based guidelines and technological advancements, thus enabling a swift and effective management strategy. This fifteen-minute consultation equips healthcare professionals with the necessary information to optimise history taking and basic case evaluation and provides insights into procedures at tertiary bone centres. Good collaboration among general paediatricians, orthopaedic surgeons and paediatric bone specialists ultimately enhances the care and outcomes for children with recurrent fractures.
{"title":"Fifteen-minute consultation: Modern diagnostic approach to the child with recurrent fractures.","authors":"Alexandra Blaschitz, Wolfgang Högler","doi":"10.1136/archdischild-2025-328954","DOIUrl":"10.1136/archdischild-2025-328954","url":null,"abstract":"<p><p>Children and young people presenting with recurrent fractures pose a diagnostic challenge for clinicians. Such patients require early referral to a tertiary paediatric centre with bone specialists and a multidisciplinary team taking a comprehensive, modern approach to unravel the underlying causes. Using a guiding diagnostic algorithm, incorporating a thorough medical history, informed clinical examinations, targeted laboratory tests, state-of-the-art imaging and molecular genetic analyses, specialists can expedite the identification of underlying causes of bone fragility in children.The modern diagnostic approach integrates the latest evidence-based guidelines and technological advancements, thus enabling a swift and effective management strategy. This fifteen-minute consultation equips healthcare professionals with the necessary information to optimise history taking and basic case evaluation and provides insights into procedures at tertiary bone centres. Good collaboration among general paediatricians, orthopaedic surgeons and paediatric bone specialists ultimately enhances the care and outcomes for children with recurrent fractures.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356910","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}
Pub Date : 2025-10-01DOI: 10.1136/archdischild-2025-328991
Sruthi Arakkal, Raman Lakshman
{"title":"Urinary tract infection (recurrent): antimicrobial prescribing (NICE NG112).","authors":"Sruthi Arakkal, Raman Lakshman","doi":"10.1136/archdischild-2025-328991","DOIUrl":"https://doi.org/10.1136/archdischild-2025-328991","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208523","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}
Pub Date : 2025-09-18DOI: 10.1136/archdischild-2024-328203
Rebecca Dobra, Christopher Short, Kiyo Wong, Clare Saunders, Mary Abkir, Samantha Irving, Jane C Davies
Transformative changes in the health of children with cystic fibrosis (CF) mean that more sensitive outcome measures are needed to monitor paediatric CF lung disease. Multiple breath washout (MBW) and its primary readout lung clearance index are gaining increasing traction as an endpoint for clinical trials in the CF space and show promise as a clinical investigation. In this article, we use four clinically based questions to explore what MBW can and cannot (yet) do and highlight some of its strengths and weaknesses as an investigation. We end by discussing how we can increase the utility of MBW as an investigation in children with CF.
{"title":"Utility and interpretation of multiple breath washout in children with cystic fibrosis.","authors":"Rebecca Dobra, Christopher Short, Kiyo Wong, Clare Saunders, Mary Abkir, Samantha Irving, Jane C Davies","doi":"10.1136/archdischild-2024-328203","DOIUrl":"10.1136/archdischild-2024-328203","url":null,"abstract":"<p><p>Transformative changes in the health of children with cystic fibrosis (CF) mean that more sensitive outcome measures are needed to monitor paediatric CF lung disease. Multiple breath washout (MBW) and its primary readout lung clearance index are gaining increasing traction as an endpoint for clinical trials in the CF space and show promise as a clinical investigation. In this article, we use four clinically based questions to explore what MBW can and cannot (yet) do and highlight some of its strengths and weaknesses as an investigation. We end by discussing how we can increase the utility of MBW as an investigation in children with CF.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"214-217"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980447","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}
Pub Date : 2025-09-18DOI: 10.1136/archdischild-2024-327852
Yincent Tse, Nicola Vasey, Rhys Thomas, Suzy Leech, Stephen Owens, John Sayer
Paediatricians across many specialities and pharmacists are increasingly being asked to prescribe, or jointly look after, children treated with mammalian target of rapamycin (mTOR) inhibitors (eg, sirolimus and everolimus). There is an expanding list of conditions including tuberous sclerosis and vascular malformations where treatment with mTOR inhibitors may help. This brief practice pointer summarises the practical steps before starting these treatments, what potential side effects to discuss with families and what monitoring arrangements should be put in place.
{"title":"How to use mTOR inhibitors in children.","authors":"Yincent Tse, Nicola Vasey, Rhys Thomas, Suzy Leech, Stephen Owens, John Sayer","doi":"10.1136/archdischild-2024-327852","DOIUrl":"10.1136/archdischild-2024-327852","url":null,"abstract":"<p><p>Paediatricians across many specialities and pharmacists are increasingly being asked to prescribe, or jointly look after, children treated with mammalian target of rapamycin (mTOR) inhibitors (eg, sirolimus and everolimus). There is an expanding list of conditions including tuberous sclerosis and vascular malformations where treatment with mTOR inhibitors may help. This brief practice pointer summarises the practical steps before starting these treatments, what potential side effects to discuss with families and what monitoring arrangements should be put in place.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"228-231"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434372","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}
Pub Date : 2025-09-18DOI: 10.1136/archdischild-2024-327571
Chiara Rodaro, Federica Corona, Viola Ceconi, Andrea Taddio, Elisabetta Cattaruzzi, Giorgio Cozzi, Francesco Baldo, Egidio Barbi
{"title":"A persistent torticollis.","authors":"Chiara Rodaro, Federica Corona, Viola Ceconi, Andrea Taddio, Elisabetta Cattaruzzi, Giorgio Cozzi, Francesco Baldo, Egidio Barbi","doi":"10.1136/archdischild-2024-327571","DOIUrl":"10.1136/archdischild-2024-327571","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"225-226"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694607","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}
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