For over twenty years there have been papers highlighting the use of complementary and alternative medicine (CAM). The use in children is increasing across the world and estimated at between 10% and 89%. There is a wide belief they are safe. We know that doctors do not routinely ask parents about use in clinics and we also know that parents don’t want to inform doctors as they don’t think that the doctor will know about the particular CAM or indeed be interested. Farrington et al. [Acta Paediatr 2019;108: 419–422. doi:10.1111/apa.14595] present a simple collection …. To read the full article, log in using your NHS OpenAthens details.
Free access. Paediatric health providers and educators influence infant mortality through advocacy and training within families and communities. This research sought to establish the efficacy and training of two-finger versus two-thumb-encircling techniques for lone responder infant chest compressions with ventilations in initially trained infant caregivers.
Editorial. Sudden out-of-hospital cardiac arrest with unsuccessful cardiopulmonary resuscitation (CPR) is the third leading cause of death in industrialised nations. Up to 70% of out-of-hospital cardiac arrests are witnessed by family members, friends and other bystanders. A greater percentage of cardiac arrests in infants are likely to involve first responders who are the child’s family members or other close caregivers. There is considerable rescuer variation in compression treatment styles, as shown in figure 1.1 When compared with adults, relatively few CPR data exist regarding treatment of children during cardiac arrest. As a result, internationally agreed CPR guidelines have been developed with data often extrapolated from adults or animal studies.2. To read the full article, log in using your NHS OpenAthens details.
This letter sets out:
how much funding local authorities are getting as part of the children’s social care strengthening families protecting children (SFPC) programme
the purpose of the children’s social care strengthening families protecting children programme
Our first version is now ready for stress testing by a select group of parents and families from our charity partner, WellChild. If you're joining us at RCPCH Conference and exhibition on 13-15 May, come to our stand for a sneak preview!
Open access. The prevalence of asthma and obesity have increased over the last decades. A possible association between these two chronic illnesses has been suggested, since the prevalence of asthmatic symptoms rises with increasing Body Mass Index (BMI). However, asthma is only one of several possible causes of shortness of breath in obese children. The aim of this study is to evaluate the prevalence of overtreatment with asthma medication in a cohort overweight/obese children with respiratory symptoms visiting a pediatric outpatient clinic.
The media reports may give the impression that this study refutes previous thinking that social media use can have a detrimental effect of wellbeing. In fact the findings don't seem to be so clear cut.
The study found that social media use is linked with reduced life satisfaction, while less social media use is linked with greater life satisfaction. But the links were very small and may not be significant.
The study has a number of limitations.
The UK's Royal College of Paediatrics and Child Health (RCPCH) does not set time limits for different age groups because there's a lack of evidence.
They recommend that parents should approach the issue on a case by case basis, rather than trying to use a "one-size-fits-all" approach.
To understand the case mix of three different paediatric services, reasons for using an acute paediatric service in a region of developing integrated care and where acute attendances could alternatively have been managed.. To read the full article, log in using your MPFT NHS OpenAthens details.
Young Black, Asian and Minority Ethnic children who care for ill or disabled relatives are more likely than other young carers to be isolated from support services, a Barnardo’s report published today reveals.
This report outlines steps that Government departments and other agencies should take to improve transitions for young people. However, no single Government department or agency can take on this challenge by working alone. A solution to addressing multiple disadvantage in young people’s lives will require a co-ordinated response.
A 5-year-old boy with known type 1 diabetes mellitus (T1DM), treated with insulin, presents to the paediatric diabetes outpatient department for his routine clinic review. The family have started the boy on a ketogenic diet (<50 g of carbohydrates daily with target blood ketones of 2–3 mmol/L) to improve his diabetes control and for additional perceived health benefits. On the ketogenic diet, the patient’s insulin needs decreased, his HbA1c is good (41mmol/L/5.2%) and his height and weight are increasing along the 75th centile for his age. He has normal screening bloods (including lipids) and a normal ECG.
The paediatric diabetes multidisciplinary team traditionally recommend a low-fat, high-carbohydrate diet for children with T1DM. The team have no experience of using a ketogenic or low-carbohydrate diet for the management of T1DM in children treated with insulin. You wonder if there is evidence to support the ketogenic diet in children with T1DM and if there are potential risks associated with the low-carbohydrate diet.. To read the full article, log in using your MPFT NHS OpenAthens details.
A pioneering NHS pilot scheme to help vulnerable children improve their sleep patterns has delivered significant improvements to families’ health and wellbeing.
The programme in Sheffield, developed by the NHS, the Children’s Sleep Charity and Sheffield City Council, delivers sleep clinics to children from troubled backgrounds or with very challenging behaviour, resulting in children sleeping well and performing better at school, while freeing up time for parents to recharge and be better able to look after their family.
New guidelines from the World Health Organisation (WHO) for children under 5 are “useful benchmarks” but require cautious interpretation, says RCPCH's Dr Max Davie.
According to new guidelines from the World Health Organisation (WHO), children under five must spend less time sitting watching screens or restrained in prams and seats if they are to grow up healthy. WHO also advise they get better quality sleep and have more time for active play.
This study is not particularly persuasive.
The overall difference between children using screens for more than 2 hours or less than 30 minutes was tiny: only a 2.2 score difference in their attention problem scores.
Though the children using screens for more than 2 hours had a higher risk of clinically significant attention problems or significant ADHD symptoms, these problems only affected around 1% of the whole study sample. So these are very small numbers
Conclusion: All children reported some impact on their body and self and/or in some activities after the use of the suit. The parents also saw improvements during the trial period. However, the results are inconclusive and a larger study is needed to determine if the suit is useful from a longer perspective and whether it can affect activity and participation in daily activities for children with spasticity. You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Achieving Consensus: advice for paediatricians and other health professionals on prevention, recognition and management of conflict in paediatric practice suggests practices which aim to support professionals to identify and reduce disharmony whilst maintaining the child’s best interest.
The proposed North Midlands Regional Adoption & Permanency Partnership is backed by the Department for Education and involves working with Shropshire Council, Stoke-on-Trent City Council and Telford and Wrekin Council.
Children from Staffordshire will remain the responsibility of the county council, but the joint project will provide a wider range of prospective adopters and carers to find the right home.
The dramatic decline in the popularity of smoking since the turn of the millennium could largely be the result of increased education and awareness of the harms of smoking, and that it's now less socially acceptable, particularly since the smoking ban in public places.
But what will be of concern to some is that while teens may be less likely to try smoking or think it acceptable, there may have been a massive increase in the perceived acceptability of vaping and the number of teens who have tried e-cigarettes if they'd been asked about it in the surveys.
This House of Commons Library briefing paper provides an overview of the key challenges currently facing local authority children’s social care services in England, including: increasing demand for children’s social care; funding pressures; poor and inadequate services in some areas; workforce challenges; and poor outcomes for children in need.
E-learning tools are now available for cardiovascular disease prevention, adult obesity, antimicrobial resistance, physical activity, social prescribing, giving children the best start in life and supporting those at risk of, or experiencing, homelessness.
Research by Oxford University academics has found little evidence of a relationship between screen time and wellbeing in adolescents.
Based on data from more than 17,000 teenagers, the study casts doubt on the widely accepted notion that spending time online, gaming or watching TV, especially before bedtime, can damage young people’s mental health.
The fifth edition incorporates the latest evidence and reflects the changing healthcare landscape, taking global examples and applying these to policy and practice in different UK healthcare services. Furthermore, unlike previous editions, Health for All Children 5 begins in pregnancy and includes new topics such as perinatal parental mental health problems and school readiness.
The book makes recommendations for practitioners and commissioners, and has been used as the basis of briefings for public health bodies and Governments in the UK.
Multivariate analysis of Children's Society data to see which factors contribute to loneliness in children aged 10 to 15 years. The focus is on poverty and the child's perspective.
How do you use information for your work and CPD? What do you think of MPFT library services? Tell us here and you could win £25 vouchers: https://www.surveymonkey.co.uk/r/B2JVNPR
There is no gold standard in body composition measurement in pediatric patients with obesity. Therefore, the aim of this study was to investigate if there are any differences between two bioelectrical impedance analysis techniques performed in children and Open access. adolescents with obesity.
Paediatric Early Warning Scores (PEWS)are used in hospitalised patients to detect physiological deterioration and is being used increasingly throughout healthcare systems with a limited evidence based. There are two versions in general use that can lead to a clinical response, either by triggering an action or by reaching a ‘threshold’ when graduated responses may occur depending on the value of the score. Most evidence has come from research based on paediatric inpatients in specialist children’s hospitals, although the range of research is expanding, taking into account other clinical areas such as paediatric intensive care unit, emergency department and the prehospital setting. . To read the full article, log in using your NHS OpenAthens details.
To determine if the detection of physical abuse in young children with fractures is of uniform high standard in the East Anglia Region of the UK, and whether we can identify areas for improvement in our detection of high-risk groups.. To read the full article, log in using your NHS OpenAthens details.
Editorial. Recent changes to NHS charging regulations undermine child health and represent an unprecedented departure from the founding principles of the NHS. Justified by the narrative of ‘health tourism’,1 NHS ‘overseas visitors’ charging regulations now restrict access to NHS care for undocumented migrants living in the UK. This includes an estimated 600 000 people, including 120 000 children, of whom 65 000 were born in the UK
This spreadsheet provides data from the Hospital Episode Statistics (HES) dataset starting from 2011 to 2018. This includes inpatient care figures from National Health Service (NHS) hospitals across England.
NHS England has published a Clinical Review of NHS Access Standards. It contains proposals to speed up access to mental health services as well as revised measures for treatment in A&E.
Rapid demographic, epidemiological, and nutritional transitons have brought a pressing need to track progress in adolescent health. Here, we present country-level estimates of 12 headline indicators from the Lancet Commission on adolescent health and wellbeing, from 1990 to 2016.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Open access. Anxiety may be associated with poor attendance at school, which can lead to a range of adverse outcomes. We systematically reviewed the evidence for an association between anxiety and poor school attendance.
It's no surprise that having children disrupts parents' sleep. However, it is surprising that the change is so long-lasting, with sleep not having recovered to pre-pregnancy levels 4 to 6 years later.
The study provides interesting information to quantify the amount of sleep loss parents experience, and how that changes over time.
It does have some limitations, mainly that the sleep information is based on self-report, not backed by technical measures.
This study supports earlier studies that the MMR vaccine has no link with the risk of autism.
It follows a 2014 review that pooled the results of 10 observational studies on childhood vaccine and found no evidence of any link between the MMR vaccine and autism.
The strength of this study is that it follows a large number of children. This makes the findings more reliable when assessing a fairly rare outcome like autism, and reduces the possibility that the findings are down to chance.
Children most at risk of starting school without the basic language and communications skills are set to benefit from expert education support at home.
Health visitors – who routinely do home visits to check on a child’s development at age two – will receive additional training to identify speech, language and communication needs early on, with a new assessment and support package.
PHE is encouraging parents to swap children's sugary foods and drinks for healthier alternatives and protect children’s teeth by using fluoride toothpaste.
According to a new paper published in the Archives of Disease in Childhood, few multivitamin products for children supply the recommended dose of 400 IU (international units) a day of vitamin D.
Of a survey of 91 different products available in the UK, supplements containing only vitamin D or labelled specifically ‘for healthy bones’ typically had a higher vitamin D content, although some products contained very low levels of the vitamin.
The Education Committee's holds round-table discussion with representatives from the health sector, including Caroline Dinenage MP, Minister of State for Care, about the issues facing the health sector when supporting children with SEND.