Changes to the UK childhood immunisation schedule
Sep 26, 2024 · ### SUMMARY The immunisation schedule is designed to optimise protection from serious infectious diseases by providing individual direct protection and, where appropriate, sustained population-level control through herd immunity. Recommendations for each vaccine take into account the age-specific risk for a disease/infection (often early childhood), risk of complications, vaccine efficacy and ...
Homepage | Archives of Disease in Childhood
2 days ago · The Independent Review of gender identity services for children and young people (The Cass Review) was commissioned by NHS England to make recommendations about the services provided by the NHS to children and young people who are questioning their gender identity or experiencing gender incongruence and/or gender dysphoria.. In order to better understand the existing evidence base the Review ...
Imaging rules in paediatric trauma: the PECARN decision rules for …
Oct 1, 2024 · Recently, two important papers on paediatric trauma were published by investigators from the Paediatric Emergency Care Applied Research Network (PECARN): a validation paper for the prediction rules for computed tomography (CT) imaging of children with minor head and blunt abdominal trauma1 and a prediction rule for cervical spine imaging of children with blunt neck trauma.2 Funded by the ...
Guidelines for the diagnosis and management of cow’s milk …
Our aim was to develop guidance for general paediatricians and primary care physicians in diagnosing and managing cow’s milk protein allergy in infants. The guidelines were developed by discussion based on existing national recommendations and standards, clinical experience and, whenever possible, evidence from the literature. Separate algorithms cover breast-fed and formula-fed infants. The ...
Poverty and child health in the UK: using evidence for action
There are currently high levels of child poverty in the UK, and for the first time in almost two decades child poverty has started to rise in absolute terms. Child poverty is associated with a wide range of health-damaging impacts, negative educational outcomes and adverse long-term social and psychological outcomes. The poor health associated with child poverty limits children's potential and ...
Disseminated cutaneous mastocytosis | Archives of Disease in …
A 13-day-old female baby presented with diffuse red-brown plaques and bullae over the whole body without diarrhoea or seizure. She was born at 39+3 weeks of gestation with a birth weight of 2460 g via spontaneous vaginal delivery. On physical examination, waxy, red-brown macules and indurated plaques were observed (figure 1), with scattered blisters (with arrow) and erosions. A positive Darier ...
The patient’s outcome, not the surgeon’s opinion, defines surgical ...
In contrast to the editorial, Defining Surgical Success, 1 we advocate for including the voices of patients and parents when defining how successfully children with surgical conditions have been treated. The editorial proposes, without supporting evidence, definitions of successful treatment of key conditions. For children with oesophageal atresia, the definition proposed is …
Current evidence-based recommendations on investigating …
Introduction Global developmental delay (GDD) affects 1%–3% of the population of children under 5 years of age, making it one of the most common conditions presenting in paediatric clinics; causes are exogenous, genetic (non-metabolic) or genetic (metabolic). Recent advances in biotechnology and genetic testing mean that the investigations available to perform for children under 5 years are ...
Cardiovascular effects of mechanical ventilation
The influence of ventilation on cardiac function. Spontaneous and mechanical ventilation induce changes in intrapleural or intrathoracic pressure and lung volume, which can independently affect the key determinants of cardiovascular performance: atrial filling or preload; the impedance to ventricular emptying or afterload; heart rate and myocardial contractility.
Consensus recommendations for the assessment and …
Background Idiopathic intracranial hypertension (IIH) is a potentially disabling condition. There is a lack of evidence and national guidance on how to diagnose and treat paediatric IIH, leading to variation in clinical practice. We conducted a national Delphi consensus via the Children’s Headache Network to propose a best-practice diagnostic and …