ep.bmj

Vascular rings in the current era: is this a new disease requiring a new approach?

Historically, vascular rings, formed by a right or double aortic arch, have been diagnosed in childhood following symptoms or signs of tracheo-oesophageal compression. Many of these features might be ...
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Fifteen-minute consultation: Integrated child health: Part 1 – Why integrated care matters

Integrated care for children and young people in England represents a transformative shift towards holistic, person-centred health services tailored to the needs of local communities. In this first ...
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Fifteen-minute consultation: Integrated child health: Part 2 – Clinical practice

This article explores the core components of effective integrated care for children and young people, moving beyond theory to present practical implementation. It outlines five essential elements: ...
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Improving the provision of neonatal education for junior paediatric resident doctors

3 St George’s Hospital NHS Foundation Trust, London, UK With fewer opportunities for neonatal exposure within training, it is imperative to provide opportunities for paediatric residents to learn the ...
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Table 1

Neonatal death 278/1417 (19.6%) 331/1406 (23.5%) 0.84 (0.72 to 0.97) Still birth or neonatal death 393/1532 (25.7%) 444/1519 (29.2%) 0.88 (0.78 to 0.99) Possible maternal bacterial infection 68/1416 ...
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Table 2

Measure Leg length Check the pelvis is aligned and measure from anterior superior iliac spine to medial malleolus on the same leg— check both legs. Leg length discrepancy is suggestive of pathology ...
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DOES DRINKING “FLAT” COLA PREVENT DEHYDRATION IN CHILDREN WITH ACUTE GASTROENTERITIS?

Children's Emergency Department, Watford General Hospital, Watford, Hertfordshire WD18 0HB, UK Children's Emergency Department, Watford General Hospital, Vicarage Road, Watford, Hertfordshire WD18 0HB ...
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The diagnosis and management of acute otitis media: American Academy of Pediatrics Guidelines 2013

Correspondence to Somiah Siddiq, Department of ENT, Birmingham Childrens Hospital NHS Foundation Trust, Steelhouse Lane, Birmingham B4 6NH, UK; somiah.siddiq{at}nhs.net In February 2013, the American ...
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Table 4

ESR, erythrocyte sedimentation rate; FBC, full blood count; GH, growth hormone; IGF, insulin-like growth factor; LFTs, liver function tests; MRI, magnetic resonance ...
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Table 2

Standardised mean difference in Westley score −0.76 (−0.99 to −0.54) −1.17 (−1.83 to −0.52) −0.77 (−1.72 to 0.17) Relative likelihood of any improvement 1.4 (1.1 to 1.8) 1.3 (1.1 to 1.6) 1.2 (1.1 to 1 ...
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Table 2

Outcomes Thumb-sucking or nail–biting, OR (95% CI) Thumb–sucking, OR (95% CI) Nail-biting, OR (95% CI) Atopic sensitisation/positive skin prick test at 13 years (n=724) 0.64 (0.45 to 0.90) 0.64 ( 0.42 ...
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Fifteen-minute consultation: Management of acute dystonia exacerbation and status dystonicus

Dystonia is a common disorder of movement and tone, characterised by sustained or intermittent muscle contractions causing abnormal movements, postures or both. Children and young people with dystonia ...