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Archives of Disease in Childhood
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#1Ashifa Trivedi (Hillingdon Hospitals NHS Foundation Trust)
#2Sadhna Sharma (Hillingdon Hospitals NHS Foundation Trust)
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A quality improvement project to increase the rate of paediatric medicines reconciliation was carried out in a district general hospital between April and July 2018. Baseline data collected from our paediatric ward shows that medicines reconciliation by doctors is only accurately completed 50% of the time. Evidence shows that medicines-related patient safety incidents are more likely when medicines reconciliation happens more than 24 hours after a person is admitted to an acute setting. The aim ...
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Research is vital to paediatrics; however, many trainees feel there is a deficit in their opportunities, experience and exposure in this area. Three training regions in the UK, the West Midlands, Wales and Peninsula, have recently started region-wide, trainee-led research and governance collaboratives aimed at improving trainee access and education in research, undertaking good quality, multicentre audit, quality improvement and pilot projects in collaboration across the regions and implementing...
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#1Matthew Edward Ryan (University of Liverpool)
#2Catrin Barker (Boston Children's Hospital)H-Index: 2
Last. Daniel B Hawcutt (University of Liverpool)H-Index: 12
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Ranitidine is currently in very short supply both in the UK and around the world. Major manufacturers have undertaken a product recall, and new stock is not being released to the market. Despite the sudden shortage of ranitidine occurring from mid-October, shortly before the previous Brexit deadline, this situation is not related to the UK’s relationship with the EU. Rather, this situation has arisen because of concerns over potentially carcinogenic impurities within the medication and affects m...
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Differentiated thyroid cancer is a rare disease in children and adolescents and manifests exclusively in the form of papillary thyroid cancer (PTC). We present a rare case of PTC who presented initially with lung symptoms and miliary nodules on chest X-ray. This case emphasises the important differential of miliary mottling of the lungs. A 7-year-old girl presented with history of neck swelling and change in voice for the past 9 months and progressively worsening dyspnoea for 5 months. She was a...
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#1Francesca Seregni (Cambridge University Hospitals NHS Foundation Trust)
#2Saraswathy Sabanathan (Cambridge University Hospitals NHS Foundation Trust)
Last. Deepa Krishnakumar (Cambridge University Hospitals NHS Foundation Trust)
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A previously well 15-year-old boy presented to the emergency department with sudden-onset severe back pain and inability to weight bear. Preceding this event, he stretched out in bed and felt a click in his back. On examination, he was alert and interactive with normal vital signs. Neurological examination of the lower limbs demonstrated bilateral hypotonia and reduced power to 2/5 proximally and distally, absent reflexes, sensory level at L2 with paraesthesia (pins and needles) and dysaesthesia...
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#1Nee Na Kim (GOSH: Great Ormond Street Hospital)
#2Dilshad MarikarH-Index: 3
The National Institute for Health and Care Excellence (NICE) published guidelines on prescribing antibiotics in acute sinusitis (October 2017)1 and acute sore throat (January 2018).2 The guidelines aim to reduce unnecessary microbial prescription that may lead to adverse effects and bacterial resistance. Box 1 ### FeverPAIN and Centor Criteria #### FeverPAIN criteria Each of the FeverPAIN criteria score one point (maximum score of …
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Last. Gillian Rea (Belfast Health and Social Care Trust)
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An 8-month-old boy presented with a week’s history of left lower limb swelling. He was apyrexic, well and developmentally age appropriate. He was born at 35+5 via by C-section for breech presentation, weighing 3.47 kg (97th centile). His left calf measured 21.5 cm and the right calf 19.5 cm. The overlying skin showed mild eczema. There was no circulatory compromise of the left leg, and he was systemically well. X-rays of the left tibia and fibula were normal. He received oral antibiotics for pre...
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A 17-year-old patient with Crohn’s disease underwent intravenous iron infusion (Ferinject [ferric carboxymaltose]) as treatment for iron deficiency anaemia (haemoglobin 103 g/L, ferritin 6 μg/L) as per the British Society of Paediatric Gastroenterology, Hepatology and Nutrition1 guidelines (20 mg/kg, maximum of 1000 mg per single dose). Pain at the cannula site was reported during the infusion, which was immediately stopped, with the cannula removed and resited to continue the infusion. Two days...
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#1Robert J. Graham (Boston Children's Hospital)H-Index: 17
#2Francesco Muntoni (GOSH: Great Ormond Street Hospital)H-Index: 99
Last. Alan H. Beggs (Boston Children's Hospital)H-Index: 71
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Purpose Individuals with X-linked myotubular myopathy (XLMTM) who survive infancy require extensive supportive care, including ventilator assistance, wheelchairs and feeding tubes. Half die before 18 months of age. We explored respiratory support and associated mortality risk in RECENSUS, particularly among patients ≤5 years old who received respiratory support at birth; this subgroup closely matches patients in the ASPIRO trial of gene therapy for XLMTM. Design RECENSUS is an international, ret...
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#1David Colvin (Royal Belfast Hospital for Sick Children)
#2P Mallett (Royal Belfast Hospital for Sick Children)
Last. William A. McCallion (Royal Belfast Hospital for Sick Children)H-Index: 8
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No examination of a child’s abdomen or gastrointestinal system is complete without an examination of the ’backside9 or perineum, however there is often reluctance among paediatricians to perform this examination routinely. This article aims to describe how to use perineal examination in infants and children. It discusses the indications and stepwise approach to performing a per-rectal examination and interpretation of the findings one could expect to encounter. We include four cases encompassing...
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Top fields of study
Surgery
Intensive care medicine
Pediatrics
Diabetes mellitus
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