941 results match your criteria Archives of disease in childhood. Education and practice edition[Journal]


Throat and ear infections in children: URTI in the time of COVID-19.

Arch Dis Child Educ Pract Ed 2020 Jun 26. Epub 2020 Jun 26.

NIHR Southampton Clinical Research Facility, Southampton, UK.

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http://dx.doi.org/10.1136/archdischild-2020-318854DOI Listing

Teenage boy with bullous rash.

Arch Dis Child Educ Pract Ed 2020 Jun 23. Epub 2020 Jun 23.

Pediatrics, Baylor College of Medicine, Houston, Texas, USA

-A 14-year-old boy with recent antibiotic treatment for tonsillitis, presented to the emergency department with 1-week history of worsening rash and haemorrhagic bullae involving the bilateral legs, trunk and hands (figures 1 and 2). Laboratory results were significant for proteinuria (2+protein) and haematuria (1+, 5-10 red blood cells/high power field); 24 hours urinary protein and renal function were within normal limits. The patient had an inconclusive skin biopsy. Read More

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http://dx.doi.org/10.1136/archdischild-2019-317600DOI Listing

Fifteen-minute consultation: A structured approach to the management of stroke in a child.

Arch Dis Child Educ Pract Ed 2020 Jun 19. Epub 2020 Jun 19.

Paediatric Neurology, Royal Manchester Children's Hospital, Manchester, UK.

Childhood stroke is a rare but important diagnosis. Even though most children with stroke are ultimately cared for by specialist multidisciplinary paediatric neurology teams, their initial presentation will have been to a general paediatric admissions team. Assessing and managing children who present with stroke in the general paediatric setting can be challenging due to wide variation in its clinical features and underlying aetiologies. Read More

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http://dx.doi.org/10.1136/archdischild-2020-319107DOI Listing

Fifteen-minute consultation: a structured approach to the child with primary amenorrhea.

Arch Dis Child Educ Pract Ed 2020 Jun 19. Epub 2020 Jun 19.

Paediatric Endocrinology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

Puberty is a life-changing time in the life of a young person, with physical, psychological and social considerations. Amenorrhea is derived from Latin: a-'not', men-'month' and rhein-'flow', meaning absence of monthly flow. In medical terms, it is a symptom describing absence of menstruation. Read More

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http://dx.doi.org/10.1136/archdischild-2019-317999DOI Listing

Gastro-oesophageal reflux in preterm infants: American Academy of Pediatrics guideline 2018.

Authors:
Anna Rodgers

Arch Dis Child Educ Pract Ed 2020 Jun 16. Epub 2020 Jun 16.

Paediatrics, North Middlesex University Hospital NHS Trust, London N18 1QX, UK

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http://dx.doi.org/10.1136/archdischild-2020-319375DOI Listing

Paediatric procedural sedation in the emergency department: is ketamine safe?

Arch Dis Child Educ Pract Ed 2020 Jun 10. Epub 2020 Jun 10.

Emergency Medicine, Sidra Medical and Research Center, Doha, Qatar

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http://dx.doi.org/10.1136/archdischild-2019-318610DOI Listing

Two-year-old girl with metabolic acidosis and hyperkalaemia.

Arch Dis Child Educ Pract Ed 2020 May 28. Epub 2020 May 28.

Department of Pediatrics, Pediatrics, IRCCS Istituto Giannina Gaslini, University of Genova, Genova, Italy.

Hyperkalaemia hypertension and metabolic acidosis in children can pose a challenge of both diagnosis and management. This case chronicles the diagnostic journey of a 2-year-old girl with hyperkalaemia associated with hypertension and metabolic acidosis accidentally detected during a viruses. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318393DOI Listing

Not measuring residual gastric volumes in preterm infants can increase the progression of enteral nutrition with earlier discharge from hospital.

Arch Dis Child Educ Pract Ed 2020 May 27. Epub 2020 May 27.

Neonatology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

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http://dx.doi.org/10.1136/archdischild-2019-318671DOI Listing

NICE guidance on diagnosis and management of cystic fibrosis.

Arch Dis Child Educ Pract Ed 2020 May 23. Epub 2020 May 23.

Department of Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK

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http://dx.doi.org/10.1136/archdischild-2019-316882DOI Listing
May 2020
1.456 Impact Factor

Malar rash in a young child with neurodevelopmental delay: a quiz.

Arch Dis Child Educ Pract Ed 2020 May 23. Epub 2020 May 23.

Dermatology, American University of Beirut Medical Center, Beirut, Lebanon

-A 14-month-old boy born to consanguineous parents presented to our Dermatology Department with a 6-month history of a malar eczematous rash that worsens with sun exposure. He had butterfly-shaped, hyperpigmented exfoliating plaques, preceded by blister formation (figure 1). He was also noticed to have enophthalmos, a pinched nose, microcephaly and a cachectic physique. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318334DOI Listing

Young victims of youth violence: using youth workers in the emergency department to facilitate 'teachable moments' and to improve access to services.

Arch Dis Child Educ Pract Ed 2020 May 23. Epub 2020 May 23.

Association for Young People's Health, London, UK

There have been rising concerns in the UK about the levels of serious violence between young people, especially serious physical violence and knife crime. Interactions with young people in the emergency department (ED) at the time of injury provide an opportunity for screening and intervention in order to reduce the risk of repeat attendances. However, paediatricians and other healthcare workers can feel unsure about the best way to intervene. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318251DOI Listing

Fifteen-minute consultation: Fertility preservation in children with cancer.

Arch Dis Child Educ Pract Ed 2020 May 15. Epub 2020 May 15.

Paediatric Oncology, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, UK.

Advances in the treatment of childhood cancer have led to significant numbers of children surviving into adulthood and beyond. There is therefore an increasing focus on reduction of long-term effects of treatment including subfertility. In this article, we give an overview of the different methods of fertility preservation and how to discuss this important topic in children newly diagnosed with cancer. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318619DOI Listing

Point-of-care ultrasound could be an effective alternative to radiology-performed imaging in the diagnosis of intussusception and pneumonia in children.

Arch Dis Child Educ Pract Ed 2020 May 15. Epub 2020 May 15.

Emergency Medicine, Royal Hospital for Children Glasgow, Glasgow, Glasgow, UK.

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http://dx.doi.org/10.1136/archdischild-2020-318868DOI Listing

Fifteen-minute consultation: recognising and addressing rude, undermining and bullying behaviour.

Arch Dis Child Educ Pract Ed 2020 May 13. Epub 2020 May 13.

Neonatology, Evelina London Children's Hospital, London, UK.

We set ourselves very high standards at work and when there is a sense that somehow we have failed, we are left feeling disappointed and frustrated. We all set very high standards for ourselves. When those feelings are exacerbated by the embarrassment of a public dressing down, especially if there isn't an opportunity to explain just how difficult the situation had been, we are left feeling angry and let down. Read More

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http://dx.doi.org/10.1136/archdischild-2020-319101DOI Listing

The problem with gentamicin: reducing administration and prescribing errors in neonates treated for early onset infection with gentamicin.

Arch Dis Child Educ Pract Ed 2020 May 5. Epub 2020 May 5.

Neonatal Department, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK.

We describe a quality improvement (QI) project to reduce the number of administration and prescribing errors with gentamicin on a local neonatal unit in a district general hospital, from January 2017 to August 2019. Baseline data collected showed seven errors in the first 16 months of the project (from 1999 doses). The aim of this QI project was to have no low-level, moderate-level or severe level harm errors in the intervention period. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318546DOI Listing
May 2020
1.456 Impact Factor

How to interpret IGF-1 and growth hormone stimulation tests.

Arch Dis Child Educ Pract Ed 2020 May 5. Epub 2020 May 5.

Paediatric Endocrinology, Leeds Teaching Hospitals NHS Trust, Leeds, UK

You are seeing an 11-year-old boy in a general paediatric clinic referred with short stature. His height is below the 0.4th centile. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318466DOI Listing

Fifteen-minute consultation: Recognition and management of the child or young person who has ingested a novel psychoactive substance.

Arch Dis Child Educ Pract Ed 2020 May 4. Epub 2020 May 4.

Oxleas NHS Foundation Trust, London, UK.

Intoxicated children and young people (CYP) attending the paediatric emergency department (PED) are typically under the influence of alcohol or established recreational agents such as cannabis or ecstasy. The last decade or so has seen an increase in the numbers of CYP in PED who have used novel psychoactive substances (NPS). In this review, we describe four different functional classes of NPS, their legal status, clinical effects, acute management and interventions to reduce harm. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318390DOI Listing
May 2020
1.456 Impact Factor

Specialist neonatal respiratory care for babies born preterm (NICE guideline 124): a review.

Arch Dis Child Educ Pract Ed 2020 Apr 28. Epub 2020 Apr 28.

Department of Paediatrics, North Middlesex University Hospital NHS Trust, London, UK.

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http://dx.doi.org/10.1136/archdischild-2019-317461DOI Listing

Research in practice: fitting it together.

Authors:
John R Apps

Arch Dis Child Educ Pract Ed 2020 Apr 22. Epub 2020 Apr 22.

Cancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, UK

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http://dx.doi.org/10.1136/archdischild-2019-318689DOI Listing

What is proteomics?

Arch Dis Child Educ Pract Ed 2020 Apr 2. Epub 2020 Apr 2.

Department of Infectious Disease, Imperial College London, London, UK.

Proteomics is the study of a large number of proteins in biological systems. We aim to introduce the complex field to paediatricians and present some recent examples of applications to paediatric problems. Various approaches have been used to study proteomes. Read More

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http://dx.doi.org/10.1136/archdischild-2019-317434DOI Listing

Renal replacement therapy and conservative management: NICE guideline (NG 107) October 2018.

Arch Dis Child Educ Pract Ed 2020 Mar 24. Epub 2020 Mar 24.

Department of Paediatric Nephrology, Evelina London Children's Hospital, London, UK.

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http://dx.doi.org/10.1136/archdischild-2019-316892DOI Listing

A 5-day course of penicillin V may be an effective treatment for streptococcal pharyngitis.

Authors:
Stacy Wightman

Arch Dis Child Educ Pract Ed 2020 Mar 20. Epub 2020 Mar 20.

Neonatal Unit, University Hospital Wishaw, NHS Lanarkshire, Lanarkshire, UK

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http://dx.doi.org/10.1136/archdischild-2019-318740DOI Listing

Child with acute weakness: don't forget the salts.

Arch Dis Child Educ Pract Ed 2020 Mar 16. Epub 2020 Mar 16.

Paediatric ED, Royal Belfast Hospital for Sick Children, Belfast, UK.

Case summaryA 10-year-old boy presented with severe progressive generalised weakness on a background of 3 days of diarrhoea and vomiting. Vital signs were normal. Peripheral neurological examination revealed grade 1-2 power in all limbs, hypotonia and hyporeflexia. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318286DOI Listing

Fifteen-minute consultation: Keeping young school children safe online using the 'SOCKS' workshop.

Arch Dis Child Educ Pract Ed 2020 Mar 11. Epub 2020 Mar 11.

Haringey Council, Paediatric Registrar in Public Health, London, UK.

This paper aims to raise awareness of cyberbullying and online safety among health practitioners and provide some useful advice and key messages to help facilitate conversations with children and young people about internet use. The paper also discusses the role of 'SOCKS' (Stamp Out Cyberbullying & Keep Safe), a novel teaching workshop aimed at primary school children, which aims to generate awareness and understanding before they become regularly exposed to the dangers of the online world. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318248DOI Listing

Child with prolonged leg pain and bruising.

Arch Dis Child Educ Pract Ed 2020 Mar 8. Epub 2020 Mar 8.

Department of Paediatrics, Lister Hospital, Stevenage, UK.

A 12-year-old boy was admitted to the paediatric ward with a 4-month history of worsening pain and bruising to his legs, which had resulted in a progressive reduction in his mobility. He initially had had difficulty weight bearing, which had then progressed further making him wheelchair bound. On examination, there was extensive bruising (figure 1) to his oedematous legs, worse on his right leg compared with his left. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318124DOI Listing

Fifteen-minute consultation: Imaging in paediatric major trauma.

Arch Dis Child Educ Pract Ed 2020 Mar 4. Epub 2020 Mar 4.

RCEMLearning, Royal College of Emergency Medicine, London, UK.

With trauma being a leading cause of death for children, identifying all sustained injuries remains a priority for clinicians, and imaging is a key diagnostic tool to ensure that is achieved. However, children have a greater risk of detrimental effects of ionising radiation than adults. Clinicians therefore have to balance limiting their patients' radiation exposure to 'as low as reasonably achievable' with the need for diagnostic accuracy. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318247DOI Listing

An unusual cause of stridor.

Arch Dis Child Educ Pract Ed 2020 Mar 4. Epub 2020 Mar 4.

Department of Paediatric Respiratory Medicine, Bristol Royal Hospital for Children, Bristol, UK

A 12-month-old infant was referred with a 6-week history of recurrent admissions with worsening stridor. On each previous admission, the stridor responded well, but transiently, to oral dexamethasone. At this presentation, he required high-dependency unit care with high flow oxygen due to marked increased work of breathing. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318092DOI Listing

An adolescent with recurrent ankle swelling.

Arch Dis Child Educ Pract Ed 2020 Mar 2. Epub 2020 Mar 2.

Institute for Maternal and Child Health-IRCCS Burlo Garofolo, Trieste, Italy.

A 14-year-old girl was admitted to our institute with a history of intermittent bilateral ankle swelling, and moderate but progressively worsening pain which has lasted for 2 years.The patient's history was unremarkable. She did not take medications and was not involved in any sports activity. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318096DOI Listing

Umbilical cord milking in preterm infants is comparable to delayed cord clamping in providing placental transfusion.

Arch Dis Child Educ Pract Ed 2020 Feb 25. Epub 2020 Feb 25.

Neonatology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

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http://dx.doi.org/10.1136/archdischild-2019-318341DOI Listing
February 2020

Problem solving in clinical practice: the sick infant with low sodium and high potassium.

Arch Dis Child Educ Pract Ed 2020 Feb 21. Epub 2020 Feb 21.

Translational and Clinical Research Institute, Newcastle University c/o Department of Paediatric Endocrinology, Great North Children's Hospital, Newcastle upon Tyne, UK.

Many paediatricians will be faced with a sick infant who on investigation is found to have hyponatraemia and hyperkalaemia at some time in their career. The focus of initial management includes the treatment of potentially life-threatening hyperkalaemia with concurrent investigation aiming to elucidate whether the underlying cause reflects a primarily renal or endocrine pathology. We describe the presentation of two infants who each presented with one of the more common underlying diagnoses that led to this biochemical disturbance and discuss the approach to immediate treatment, diagnostic work-up and longer term management. Read More

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http://dx.doi.org/10.1136/archdischild-2019-317756DOI Listing
February 2020

Fifteen-minute consultation: Management of the infant born to a mother with toxoplasmosis in pregnancy.

Arch Dis Child Educ Pract Ed 2020 Feb 18. Epub 2020 Feb 18.

Department of Paediatric Infectious Diseases, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.

Congenital toxoplasmosis occurs following transplacental transfer of Irrespective of symptom status at birth, infants with congenital infection may develop serious long-term sequelae, including learning disability, seizures, hydrocephalus, motor and hearing deficits, chorioretinitis and retinal scarring with impaired vision. Timely diagnosis facilitates early initiation of therapy, aimed at prevention or amelioration of adverse clinical consequences. Diagnosis can be difficult, however, since acutely infected mothers are often asymptomatic and laboratory testing can be complex. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316603DOI Listing
February 2020

Fifteen-minute consultation: A clinical approach to the management of the child with hypertonia.

Arch Dis Child Educ Pract Ed 2020 Feb 12. Epub 2020 Feb 12.

Children's Neurosciences, Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Elevated tone (hypertonia) is a common problem seen in the paediatric clinic. For most children and young people, hypertonia is just one aspect of a broader disorder of movement and posture. This paper describes a clinical approach to the management of hypertonia in children, considering the contribution of high tone to the functional problems experienced by the child, the potential adverse effects of reducing tone, side effects of the intervention and the importance of setting objectives/goals for intervention which can be measured at follow-up. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315978DOI Listing
February 2020

High-dose vitamin D supplementation in pregnancy reduces rates of enamel defects in children.

Arch Dis Child Educ Pract Ed 2020 Feb 12. Epub 2020 Feb 12.

NHS Lothian, Dentist within the Paediatric Oral Health Service, Scotland, UK.

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http://dx.doi.org/10.1136/archdischild-2020-318811DOI Listing
February 2020

Fifteen-minute consultation: Time Out as an alternative to toxic debrief.

Arch Dis Child Educ Pract Ed 2020 Feb 11. Epub 2020 Feb 11.

Paediatric Psychology Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Debriefing is well established in healthcare teams after acute events, with a focus on clinical learning, improving practice and performance; however, the term is perceived by psychologists as something quite different. This article describes the Time Out model as a standardised method of providing support to staff after events that may cause distress. In addition to exploring clinical issues, the model aims to promote peer support networks, educate staff regarding common reactions to traumatic events and signpost to other sources of support. Read More

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http://dx.doi.org/10.1136/archdischild-2019-317180DOI Listing
February 2020

Use of non-steroidal anti-inflammatory drugs in paediatrics.

Arch Dis Child Educ Pract Ed 2020 Feb 7. Epub 2020 Feb 7.

Department of Paediatric Rheumatology, Addenbrooke's Hospital, Cambridge, Cambridgeshire, UK.

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http://dx.doi.org/10.1136/archdischild-2019-317228DOI Listing
February 2020

Parent training improves language development in children with, or at risk of, language impairment.

Arch Dis Child Educ Pract Ed 2020 Feb 7. Epub 2020 Feb 7.

Department of Paediatrics, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK

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http://dx.doi.org/10.1136/archdischild-2019-318349DOI Listing
February 2020

Implementation of a health surveillance clinic for children with Down syndrome.

Arch Dis Child Educ Pract Ed 2020 Feb 5. Epub 2020 Feb 5.

Paediatrics, Academic Centre, Tallaght University Hospital, University of Dublin Trinity College, Dublin, Ireland

The implementation of the multidisciplinary Down Syndrome Health Surveillance clinic at Children's Health Ireland at Tallaght, Dublin has shown significant improvements in the adherence to guidelines as well as providing health promotion strategies such as information on immunisations. Our project provides a framework which would be potentially emulated and used in other medical conditions. The reduction in clinic attendances and co-ordination of same-day appointments has improved parental satisfaction as well as the quality of care. Read More

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http://dx.doi.org/10.1136/archdischild-2019-317126DOI Listing
February 2020

Salbutamol administered preoperatively to children undergoing tonsillectomy resulted in a significant reduction in rates of respiratory adverse events.

Arch Dis Child Educ Pract Ed 2020 Jan 22. Epub 2020 Jan 22.

General Paediatrics, Royal Hospital for Children, Glasgow, Scotland, UK.

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http://dx.doi.org/10.1136/archdischild-2019-318590DOI Listing
January 2020

General Data Protection Regulation (GDPR) and Data Protection Act 2018: What does this mean for clinicians?

Authors:
Bridget Francis

Arch Dis Child Educ Pract Ed 2020 Jan 20. Epub 2020 Jan 20.

Quality Governance, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK

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http://dx.doi.org/10.1136/archdischild-2018-316057DOI Listing
January 2020

General data protection regulation: What does this mean in terms of law and ethics?

Authors:
Adam Lawton

Arch Dis Child Educ Pract Ed 2020 Jan 20. Epub 2020 Jan 20.

Great Ormond Street Hospital, Children NHS Foundation Trust, London WC1N 3JH, UK

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http://dx.doi.org/10.1136/archdischild-2019-318519DOI Listing
January 2020

General data protection regulation: What does this mean for research?

Arch Dis Child Educ Pract Ed 2020 Jan 20. Epub 2020 Jan 20.

Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health Library, London, London, UK.

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http://dx.doi.org/10.1136/archdischild-2018-316055DOI Listing
January 2020

Background and current data protection legislation.

Authors:
Adele Picken

Arch Dis Child Educ Pract Ed 2020 Jan 20. Epub 2020 Jan 20.

Information Governance, Royal College of Paediatrics and Child Health, London WC1X 8SH, UK

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http://dx.doi.org/10.1136/archdischild-2018-316724DOI Listing
January 2020

Fifteen-minute consultation: Kawasaki disease: how to distinguish from other febrile illnesses: tricks and tips.

Arch Dis Child Educ Pract Ed 2020 Jun 3;105(3):152-156. Epub 2020 Jan 3.

Paediatric Cardiology, Bristol Royal Hospital For Children, Bristol, UK.

Kawasaki disease (KD) is challenging to diagnose because there is no specific laboratory test and the presentation is often similar to common childhood infections. We highlight some of those KD diagnostic challenges. KD, a self-limiting vasculitis, can cause coronary artery aneurysms. Read More

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http://dx.doi.org/10.1136/archdischild-2019-316834DOI Listing

Clinical armour.

Arch Dis Child Educ Pract Ed 2020 Jun 30;105(3):176. Epub 2019 Dec 30.

Community Child Health Department, Virgin Care Ltd, Bath, UK.

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http://dx.doi.org/10.1136/archdischild-2019-318596DOI Listing

Compassion.

Arch Dis Child Educ Pract Ed 2020 Jun 30;105(3):188. Epub 2019 Dec 30.

Community Child Health Dept, Virgin Care Ltd, Bath, UK.

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http://dx.doi.org/10.1136/archdischild-2019-318597DOI Listing

Something hazy drifting in the air….

Arch Dis Child Educ Pract Ed 2019 Dec 19. Epub 2019 Dec 19.

Paediatrics, Sunderland Royal Hospital, Sunderland, UK.

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http://dx.doi.org/10.1136/archdischild-2019-317535DOI Listing
December 2019

Phenytoin and levetiracetam are equally effective second-line treatments for status epilepticus.

Arch Dis Child Educ Pract Ed 2019 Dec 11. Epub 2019 Dec 11.

Department of General Paediatrics, Royal Hospital for Children Glasgow, Glasgow G83 0UA, UK

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http://dx.doi.org/10.1136/archdischild-2019-318038DOI Listing
December 2019

Formula feeding results in better growth and weight gain compared to donor breast milk in preterm and low birthweight infants, with a greater risk in necrotising enterocolitis.

Arch Dis Child Educ Pract Ed 2019 Dec 10. Epub 2019 Dec 10.

Department of Neonatology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

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http://dx.doi.org/10.1136/archdischild-2019-318459DOI Listing
December 2019