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Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis - British Medical Journal
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Conclusions: Educational programmes for the self management of asthma in children and adolescents improve lung function and feelings of self control, reduce absenteeism from school, number of days with restricted activity, number of visits to an emergency department, and possibly number of disturbed nights. Educational programmes should be considered a part of the routine care of young people with asthma...
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Does early physical activity predict body fat change throughout childhood? - Preventive Medicine
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Conclusion: This longitudinal study adds strong support for the hypothesis that higher levels of physical activity during childhood lead to the acquisition of less body fat by the time of early adolescence...
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Applied physiology: the newborn skin - Current Paediatrics
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The most important function of the skin is to provide a protective barrier between the body and the environment. It limits loss of body water, prevents absorption of noxious agents and protects against physical trauma. The epidermal barrier begins to develop in mid-gestation and is fully formed by about 32 weeks gestation...
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Social paediatrics - Current Paediatrics
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Social paediatrics concerns the duty of paediatricians to do their best to ameliorate the effects of poverty and disadvantage in children. Disadvantage has profound effects on children but the United Nations Convention on the Rights of the Child helps to focus our work not only on treating disease, but also on preventing it. Specific groups of disadvantaged children – looked-after children, children in refuges and refugee children – have particular health needs...
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Colonic manometry in children with defecatory disorders: role in diagnosis and management - American Journal of Gastroenterology
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Conclusion: Colonic manometry may provide information useful in guiding therapy in a subgroup of patients with defecatory disorders...
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Infant sleep disturbance - Current Paediatrics
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Clinicians are commonly consulted by the parents of infants aged 6–24 months who are distressed by their infant's sleep disturbance. Infant sleep disturbance (ISD) presents as frequent night awakening, delays in sleep onset and co-sleeping that is not of the parents' choice. Conflicting advice leaves parents unsure regarding management...
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Management of germ cell tumours in childhood - Current Paediatrics
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Germ cell tumours are a group of rare benign and malignant neoplasms of unknown cause, and may be gonadal or extragonadal (intracranial or extracranial). Teratomas are the most common and are usually benign. Malignant germ cell tumours often secrete the tumour markers alpha-fetoprotein and human chorionic gonadotrophin, which are useful in diagnosis and monitoring...
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Minimizing the discomfort of neonatal intensive care - Current Paediatrics
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Pain is an ubiquitous experience in immature infants receiving intensive care and is an important, but not sole, source of stress among these babies. Pain and stress appear to have an effect on behaviour and pain response later in life. It has been shown that appropriate analgesia with opiates reduces the pain response and that this might have a beneficial effect on the child's response to pain later in life...
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NICE for children? - Current Paediatrics
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The National Institute for Clinical Excellence was established as a National Health Service Special Health Authority in 1999 in response to increasing concern about variations in the quality of care provided by the National Health Service in England and Wales. This paper outlines the role of the Institute, describes its two main guidance programmes and highlights how professionals can influence and be involved in the work of the Institute...
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Non-Hodgkin's lymphoma: current management - Current Paediatrics
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Around 100 new cases of non-Hodgkin's lymphoma are diagnosed each year in the UK, accounting for 7% of childhood cancer. Immunophenotype and stage are used to determine treatment, current treatment resulting in more than 70% long-term survival. The extent of disease at diagnosis is the most important prognostic factor...
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