The clinical content is based on the Public Health England parental awareness campaign materials that were developed in collaboration with the UK Sepsis Trust and launched in December 2016.
The film is evidence-based, and co-designed with parents, to standardise the safety netting advice clinicians provide for parents of children under five with fever, or suspected infection, being discharged home from the Emergency Department or Primary Care settings.
Problem
New parents don’t always know how much or how little to feed babies, especially when new born. Staff give guidance but have no easy, visual aid.
This article describes a longitudinal ethnographic research project in a Grade 1 classroom enrolling L2 learners and Anglophones. Using a community-of-practice perspective rarely applied in L2 research, the author examines three classroom practices that she argues contribute to the construction of L2 learners as individuals and as such reinforce traditional second language acquisition perspectives. More importantly, they serve to differentiate participants from one another and contribute to community stratification. In a stratified community in which the terms of stratification become increasingly visible to all, some students become defined as deficient and are thus systematically excluded from just those practices in which they might otherwise appropriate identities and practices of growing competence and expertise.
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.
While the conclusions – that children need time to work things out for themselves – may be correct (at least for some children), headlines blaming mothers for children's difficulties at school can be discouraging and unhelpful.
The right-to-die debate has gone a step futher in Belgium. Charlotte McDonald-Gibson speaks to a mother who wants others to avoid her baby’s slow, painful death.
Editorial. We can all remember individual children in whom a deterioration went unrecognised. Sometimes fatally. Our defences were little more than the pearls offered by senior colleagues of grave warning signs: ‘beware grunting in an infant’ or ‘watch out for a tachycardia after the temperature has fallen’. But this advice was unstructured, and children are so different, and their comorbidities so broad, we failed some of them. Paediatric Early Warning Systems (PEWS) are serious attempts to reduce the unacceptable and dangerous variability in this recognition and response process. Scoring systems should provide age-appropriate thresholds for concern for single parameters or aggregated abnormal physiology and prompt standardised responses. The idea has such natural appeal that PEWS use was soon advocated by a number of national bodies1 2 without evidence........... To read the full article, log in using your NHS OpenAthens details.
We can all remember individual children in whom a deterioration went unrecognised. Sometimes fatally. Our defences were little more than the pearls offered by senior colleagues of grave warning signs: ‘beware grunting in an infant’ or ‘watch out for a tachycardia after the temperature has fallen’. But this advice was unstructured, and children are so different, and their comorbidities so broad, we failed some of them. Paediatric Early Warning Systems (PEWS) are serious attempts to reduce the unacceptable and dangerous variability in this recognition and response process.. To read the full article, log in using your NHS OpenAthens details.
The government will overhaul the way child deaths are investigated after an independent review found the Serious Case Review process was “discredited” and unfit for purpose.
Under the current system, Local Safeguarding Children’s Boards are required to undertake Serious Case Reviews when a child dies or is seriously injured and abuse or neglect is thought to be involved.
The government will replace this locally-commissioned system with a new centralised framework based on a mixture of national and local reviews. Ministers believe the new system will bring greater consistency, speed and quality to investigations.
In a guest blog anticipating the start of 'flu season, RCPCH immunisation experts, Professor Helen Bedford and Dr David Elliman share their thoughts on improving rates of vaccination among children, some misconceptions around the flu vaccination and the role of the paediatrician.
Children’s services provided by Shropshire Council have been rated as ‘good’ overall by Government inspectors Ofsted, following a four-week inspection in September and October this year.
To compare the predictive performance of 18 paediatric early warning systems (PEWS) in predicting critical deterioration. To read the full article, log in using your NHS OpenAthens details.
To compare the predictive performance of 18 paediatric early warning systems (PEWS) in predicting critical deterioration. To read the full article, log in using your NHS OpenAthens details.
The use of low-dose inhaled corticosteroids (ICS) to treat children with asthma can be life-transforming, and this is confirmed repeatedly when they are made widely available for the first time in a low and middle income setting.1 However, reading the National Report on Asthma Deaths (NRAD)2 among other documents makes it very clear that progress has stalled. In response to this perception, a Lancet commission has recently been published.3 This annotation reviews some of the implications of that document for paediatrics.. To read the full article, log in using your NHS OpenAthens details.
Families, Systems, & Health35.1 (Mar 2017): 91-93.
Effective communication is critical, including in the pediatric primary care setting. Pediatric primary care providers (PPCPs) are in a unique position to address psychosocial and mental health concerns during office visits, and effective communication skills play a crucial role in providing an opportunity for parents and patients to disclose and discuss such concerns. In this article, the authors encourage two relatively simple strategies that have shown potential for enhancing effective communication in pediatric primary care regarding mental health and psychosocial issues: (a) ensure that pediatric residents and practicing providers have access to brief, targeted communications training and (b) strongly promote the use of screening tools both to encourage discussion and to assist in identifying children who may benefit from further assessment and/or treatment. To read the full article, log in using your NHS OpenAthens details.
The need to review health service provision for children and young people (CYP) with disabilities and their families in the United Kingdom has been expressed in multiple reports: the most consistent message being that services need to be tailored to meet their individual needs. Our aim was to understand the hospital-related needs and experiences of CYP with intellectual disabilities.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The Nuffield Trust and the Association for Young People's Health have today published the first ever international comparison of young people's health measures over time, comparing the UK to 18 other high-income countries. Professor Russell Viner, President of the RCPCH, responds.
K. Gyllstrom, und M. Moens. SIGIR '10: Proceeding of the 33rd international ACM SIGIR conference on Research and development in information retrieval, Seite 731--732. New York, NY, USA, ACM, (2010)