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}
Pub Date : 2025-09-18DOI: 10.1136/archdischild-2024-327168
Olivia Falconer, Katie Knight, Sebastian Jason Gray
Inhalers are the mainstay of asthma treatment, but are responsible for a disproportionately high level of carbon emissions compared with other aspects of healthcare. There is a growing interest among CYP in discussing the environmental impact of their treatment with healthcare staff. In this article, we outline an individualised approach to modifying asthma treatment to be more sustainable. We explore options including prescribing dry powder inhalers over pressurised metered dose inhalers, choosing inhaler devices with lower carbon footprints, improving disposal and recycling of inhalers, and optimising basic asthma care through routine reviews, prescription management and during exacerbations.
{"title":"Fifteen-minute consultation: Considering greener asthma treatments for children and young people.","authors":"Olivia Falconer, Katie Knight, Sebastian Jason Gray","doi":"10.1136/archdischild-2024-327168","DOIUrl":"10.1136/archdischild-2024-327168","url":null,"abstract":"<p><p>Inhalers are the mainstay of asthma treatment, but are responsible for a disproportionately high level of carbon emissions compared with other aspects of healthcare. There is a growing interest among CYP in discussing the environmental impact of their treatment with healthcare staff. In this article, we outline an individualised approach to modifying asthma treatment to be more sustainable. We explore options including prescribing dry powder inhalers over pressurised metered dose inhalers, choosing inhaler devices with lower carbon footprints, improving disposal and recycling of inhalers, and optimising basic asthma care through routine reviews, prescription management and during exacerbations.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"204-208"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301744","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-2024-327675
Elias Vouzounis, Anna Hutchins, Ashan Kandiah, Sarah Darnell, Isabel Johnson, Louise Humphreys, Stefania Nodari, Rebecca Bethany Mitting
{"title":"The National Institute of Health and Care Research Associate Principal Investigator scheme: experiences of paediatric staff.","authors":"Elias Vouzounis, Anna Hutchins, Ashan Kandiah, Sarah Darnell, Isabel Johnson, Louise Humphreys, Stefania Nodari, Rebecca Bethany Mitting","doi":"10.1136/archdischild-2024-327675","DOIUrl":"10.1136/archdischild-2024-327675","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"218-220"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191377","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-2024-328264
Alexandra Joy Colebrook, Swati Pradhan
{"title":"Guideline review of NICE impetigo: antimicrobial prescribing NG153.","authors":"Alexandra Joy Colebrook, Swati Pradhan","doi":"10.1136/archdischild-2024-328264","DOIUrl":"10.1136/archdischild-2024-328264","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"240-242"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442720","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-2024-328050
Veronica Grigoletto, Giorgio Cozzi, Ingrid Schiulaz, Giulia Gortani, Veronica Lazzaretto, Alessandro Amaddeo
{"title":"A raving adolescent with a skin rash.","authors":"Veronica Grigoletto, Giorgio Cozzi, Ingrid Schiulaz, Giulia Gortani, Veronica Lazzaretto, Alessandro Amaddeo","doi":"10.1136/archdischild-2024-328050","DOIUrl":"10.1136/archdischild-2024-328050","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"223-224"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484697","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-2024-328057
Hannah L Mechie, Salima Yasmin, James Thomson, Noellie Mottershead
{"title":"PED-TV: educational videos in the waiting area-a quality improvement project.","authors":"Hannah L Mechie, Salima Yasmin, James Thomson, Noellie Mottershead","doi":"10.1136/archdischild-2024-328057","DOIUrl":"10.1136/archdischild-2024-328057","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"237-239"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191374","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-2024-328307
Harry Apperley, Mark Hayden, Chinthika Piyasena
Globally, air pollution is the greatest environmental threat to public health. As well as exacerbating climate change, which continues to degrade population health and economic activity, air pollution has direct health effects that disproportionately impact the most disadvantaged. Air pollution widens inequality, with children's respiratory health, development and well-being shouldering a significant burden. Here, we aim not only to highlight the burgeoning issue of air pollution and its far-reaching impacts on child health, but also to empower and equip clinicians, families and children to intervene in tackling air pollution as part of a local and international agenda.
{"title":"Fifteen-minute consultation: Talking to children and young people about air pollution.","authors":"Harry Apperley, Mark Hayden, Chinthika Piyasena","doi":"10.1136/archdischild-2024-328307","DOIUrl":"10.1136/archdischild-2024-328307","url":null,"abstract":"<p><p>Globally, air pollution is the greatest environmental threat to public health. As well as exacerbating climate change, which continues to degrade population health and economic activity, air pollution has direct health effects that disproportionately impact the most disadvantaged. Air pollution widens inequality, with children's respiratory health, development and well-being shouldering a significant burden. Here, we aim not only to highlight the burgeoning issue of air pollution and its far-reaching impacts on child health, but also to empower and equip clinicians, families and children to intervene in tackling air pollution as part of a local and international agenda.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"209-213"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082291","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}
{"title":"Skeletal abnormalities and a low alkaline phosphatase.","authors":"Catriona Maeve McKay, Noina Abid, Mairead McGinn, Stephanie Whittaker-Axon","doi":"10.1136/archdischild-2024-328144","DOIUrl":"10.1136/archdischild-2024-328144","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"221-222"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808540","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-2024-327715
Emma Wilkinson, Holly Cunningham, Catriona McDonald, Rohini Gite
{"title":"Basic principles of parenteral nutrition for paediatrics and term neonates.","authors":"Emma Wilkinson, Holly Cunningham, Catriona McDonald, Rohini Gite","doi":"10.1136/archdischild-2024-327715","DOIUrl":"10.1136/archdischild-2024-327715","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"232-236"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442716","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-2024-327734
Angela Tang, Sebastian Jason Gray, Gary Connett, Katharine Pike
Asthma is the most common chronic disease of childhood. Acute asthma attacks are a frequent reason for emergency presentation in children and young people (CYP), and fatal asthma attacks can occur even in those thought to have mild disease. Asthma treatment in the UK has until recently relied heavily on a strategy of regular 'maintenance' inhaled corticosteroid (ICS) and separate 'reliever' inhalers containing short-acting beta-agonist (SABA) taken as needed to relieve symptoms (most commonly relievers contain salbutamol). This strategy is vulnerable to poor adherence to maintenance treatment and over-reliance on SABA inhalers, both of which increase airway inflammation and the risk of asthma attack. An alternative strategy using a single fixed-dose inhaler combining ICS with a fast-onset long-acting beta 2-agonist (eg, formoterol) as either anti-inflammatory reliever (AIR) or as maintenance and reliever therapy (MART) is gaining support. In randomised controlled studies as well as pragmatic real-world studies in people with mild to moderate asthma, AIR and MART have been shown to be as effective as standard fixed ICS with as-required SABA and better than SABA-only treatment. Additionally, the Symbicort Turbohaler, th most-studied of the devices licensed for MART/AIR currently, is an inhaled powder device which does not require a spacer and is potentially more environmentally friendly compared with pressurised metered-dose inhaler and metered-dose inhaler devices while being equally effective. Our article aims to review some of the evidence base for AIR/MART in CYP, while giving practical guidance on how to incorporate them into paediatric asthma management.
{"title":"Fifteen-minute consultation: Maintenance and reliever therapy for the management of asthma in children and young people.","authors":"Angela Tang, Sebastian Jason Gray, Gary Connett, Katharine Pike","doi":"10.1136/archdischild-2024-327734","DOIUrl":"10.1136/archdischild-2024-327734","url":null,"abstract":"<p><p>Asthma is the most common chronic disease of childhood. Acute asthma attacks are a frequent reason for emergency presentation in children and young people (CYP), and fatal asthma attacks can occur even in those thought to have mild disease. Asthma treatment in the UK has until recently relied heavily on a strategy of regular 'maintenance' inhaled corticosteroid (ICS) and separate 'reliever' inhalers containing short-acting beta-agonist (SABA) taken as needed to relieve symptoms (most commonly relievers contain salbutamol). This strategy is vulnerable to poor adherence to maintenance treatment and over-reliance on SABA inhalers, both of which increase airway inflammation and the risk of asthma attack. An alternative strategy using a single fixed-dose inhaler combining ICS with a fast-onset long-acting beta 2-agonist (eg, formoterol) as either anti-inflammatory reliever (AIR) or as maintenance and reliever therapy (MART) is gaining support. In randomised controlled studies as well as pragmatic real-world studies in people with mild to moderate asthma, AIR and MART have been shown to be as effective as standard fixed ICS with as-required SABA and better than SABA-only treatment. Additionally, the Symbicort Turbohaler, th most-studied of the devices licensed for MART/AIR currently, is an inhaled powder device which does not require a spacer and is potentially more environmentally friendly compared with pressurised metered-dose inhaler and metered-dose inhaler devices while being equally effective. Our article aims to review some of the evidence base for AIR/MART in CYP, while giving practical guidance on how to incorporate them into paediatric asthma management.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"198-203"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733387","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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