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Mashup Score: 3Parasitic infections: what do paediatricians need to know? - 3 day(s) ago
Parasitic infections and the medications used to treat them may be unfamiliar to many paediatricians. Parasitic infections, however, are not uncommonly seen in children in the UK. We summarise infections which are commonly seen, currently recommended treatment and practical guidance on formulations, adverse effects and treatment choice.
Source: adc.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 6Importance of using the correct statistics - 3 day(s) ago
With interest we read the recent paper by Banerjee et al concerning validation of an electrical biosensing technology (regional impedance cardiography) to monitor cardiac output in neonates.1 The authors conclude that this technique is valid for cardiac output measurement and that its use may help clinicians to make better informed haemodynamic management decisions.1 Cardiac output measurement is essential in all circulatory unstable critically ill patients for guiding clinicians in tailoring haemodynamic management to the individual needs, like fluid loading or the use of cardiovascular drugs. However, this can only lead to any health benefit when the cardiac output measurement used exhibits an acceptable accuracy and precision. …
Source: fn.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 5Acute Safeguarding Essentials in Modern-day Paediatrics: Sexual Relationships, Consent and Confidentiality - 4 day(s) ago
As the third case in the acute safeguarding essentials in modern-day paediatrics series, this article focuses on sexual relationships, consent and confidentiality. Using the scenario of a 15-year-old girl presenting to the emergency department with a positive pregnancy test, it begins with a guide to taking a psychosocial history in young people followed by discussion about some of the legality surrounding sexual relationships in adolescents, issues around consent and considerations for confidentiality in this age group.
Source: ep.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 23D printing: a useful tool for safe clinical practice in children with complex vasculature - 4 day(s) ago
Background 3D printing has been used in different medical contexts, although it is underutilised in paediatrics. We present the first use of 3D printing in the management of three paediatric patients with complex renovascular disease. Methods Patient-specific 3D models were produced from conventional 2D imaging and manufactured using 3D polyjet printing technology. All three patients had different underlying pathologies, but all underwent multiple endovascular interventions (renal artery balloon angioplasty) prior to 3D printing and subsequent vascular surgery. The models were verified by an expert radiologist and then presented to the multidisciplinary team to aid with surgical planning. Results Following evaluation of the 3D-printed models, all patients underwent successful uni/bilateral renal auto-transplants and aortic bypass surgery. The 3D models allowed more detailed preoperative discussions and more focused planning of surgical approach, therefore enhancing safer surgical plann
Source: adc.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 2ADC Podcast: Frames, and poorly kidneys on Apple Podcasts - 4 day(s) ago
Show ADC Podcast, Ep Frames, and poorly kidneys – Apr 12, 2024
Source: podcasts.apple.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 8Multiple magnet ingestion causing volvulus - 4 day(s) ago
A 22-month-old boy presented to the emergency department with a 2-day history of constipation and a 1-day history of non-bilious vomiting. Examination showed a soft, distended abdomen with sluggish bowel sounds. Abdominal X-ray (figure 1) showed distended small bowel loops, lack of bowel gas distally and five foreign bodies in the right iliac fossa, likely magnetic beads from a sibling’s new toy, although the ingestion was not witnessed. Figure 1 Abdominal X-ray showing dilated loops of bowel …
Source: adc.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 15
Objective Recovery from acute wheeze and asthma attacks should be supported with safety netting, including treatment advice. We evaluated emergency department (ED) discharge practices for acute childhood wheeze/asthma attacks to describe variation in safety netting and recovery bronchodilator dosing. Design Two-phase study between June 2020 and September 2021, comprising (1) Departmental discharge practice survey, and (2) Analysis of written discharge instructions for caregivers. Setting Secondary and tertiary EDs in rural and urban settings, from Paediatric Emergency Research in the UK and Ireland (PERUKI). Main outcome measures Describe practice and variation in discharge advice, treatment recommendations and safety netting provision. Results Of 66/71 (93%) participating sites, 62/66 (93.9%) reported providing written safety netting information. 52/66 (78.8%) ‘nearly always’ assessed inhaler/spacer technique; routine medication review (21/66; 31.8%) and adherence (16/66; 21.4%) were
Source: adc.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 1
A healthy, thriving 6-month-old girl presented with a peculiar patterning of ‘V’-shaped ridges found in all her fingernails excluding the thumbs (figure 1). Toenails were unaffected and examination of the parents did not demonstrate any similar pattern of nail ridging. Figure 1 Fingernail demonstrating V-shaped ridging. Her birth weight was 2.5 kg and there was oligohydramnios. Her mother’s haemoglobin and iron levels were normal. The infant was exclusively …
Source: adc.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 11
### Key messages Aminoglycosides are a class of broad-spectrum, bactericidal antibiotics of which amikacin, gentamicin and tobramycin are the most commonly prescribed. These antibiotics are frequently prescribed for children, usually for infections, which are caused by aerobic Gram-negative pathogens. 1 Aminoglycosides are very poorly absorbed from the gastrointestinal tract, due to their lack of lipophilicity. Therefore, they must be administered parenterally. They are also concentration dependent, which means that the ratio between the peak concentrations (Cmax) to the pathogen’s minimum inhibitory concentration (MIC) is the pharmacokinetic-pharmacodynamic index, which is a marker for antimicrobial activity and effectiveness. To achieve an effective clinical response, a Cmax/MIC ratio between 8 and 12 has been advised, although this is based on adult data.1 Aminoglycosides have a narrow therapeutic margin, so therapeutic drug monitoring must be used to monitor for toxicity. High seru
Source: ep.bmj.comCategories: General Medicine News, General Journals & SocietTweet
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Mashup Score: 14
The decision to start home-blended feeds in gastrostomy-fed children can feel controversial. Blending home-prepared foods for administration through a gastrostomy tube, while logical in many ways, has been constrained by a lack of safety and efficacy data in comparison to decades of ‘real-world experience’ with enteral formulae. As a result, professional bodies such as the British Dietetic Association (BDA) and the European Society of Paediatric Gastroenterology, Hepatology and Nutrition, while encouraging dietitians to support those home-blending, have stopped short of recommending its routine use.1 2 Despite this, increasing numbers of families are now choosing to give their tube-fed children home-blended food and standardised support may not be available for all. We therefore welcome the publication of data from the YourTube study. This prospective, multicentre cohort study of 180 gastrostomy-fed children in the UK (104 home-blended diets, 76 exclusive sterile formula at baseline) p
Source: adc.bmj.comCategories: General Medicine News, PediatricsTweet
Review Parasitic infections: what do paediatricians need to know? @EisenSar https://t.co/n2prjXOIBA https://t.co/oBvYep11Vw