ADC podcast: Recent Episodes
BMJ Group
Our podcasts cover a range of child health issues from the Archives of Disease suite of journals including Fetal & Neonatal and Education & Practice. The podcasts are a regular rotation of editor highlights, coverage of specific articles, as well as interviews with authors and specialists. * The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
We do like it when we get to say the equivalent of “well, it’s a bit more complicated than that”, and, well, it is often, isn’t it? Seeking out the deviants is something which can be very worthwhile too. 10.1136/archdischild-2026-330854
Commonly, things get advised and sold because they seem like a great idea (and make money), but that doesn’t always equate to actually working. What about squirting saline up the noses of children with acute rhinosinusitis? Is that a good thing? You can read about it here, too 10.1136/archdischild-2026-330418
This podcast is written and presented by Prof Bob Phillips (Hull-York Medical School, UK), Archimedes section editor of Archives of Disease in Childhood. He brings you the monthly episode about evidence-based medicine for paediatricians.
We would love for you to be involved in Archi [https://adc.bmj.com/pages/authors#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor of ADC, Dr Rachel Agbeko, bring you the monthly Atoms - the highlights of the July 2026 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/111/7/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Doing stuff is easy, not doing stuff is hard, particularly if you’ve been doing it for a year. This isn’t just about smoking, drinking, and wild banjo playing on the porch at midnight, though we talk about it on the podcast (https://adc.bmj.com/content/111/5/457.2), but also echoed in an upcoming Editorial (https://adc.bmj.com/content/early/2026/04/03/archdischild-2026-330309).
If reality were alterable by waving your hand, do you think you might do it? If you’re intrigued, the work on X-rays for PICC-tips might enthrall you (https://adc.bmj.com/content/111/5/457.1) or just wave at people. See what happens. (Note, the ADC is not responsible for any adverse events if you do this in London rather than the North!).
This podcast is written and presented by Prof Bob Phillips (Hull-York Medical School, UK), Archimedes section editor of Archives of Disease in Childhood. He brings you the monthly episode about evidence-based medicine for paediatricians.
We would love for you to be involved in Archi [https://adc.bmj.com/pages/authors#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor of ADC, Dr Rachel Agbeko, bring you the monthly Atoms - the highlights of the June 2026 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/111/6/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor of ADC, Dr Rachel Agbeko, bring you the monthly Atoms - the highlights of the May 2026 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/111/5/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
When is a trial not a trial? Can you make a big dataset work as if it was randomised? Can we really use real-world evidence rather than trial evidence for clinical decision-making? Read here: https://adc.bmj.com/content/111/4/373.2
The hardest decisions are those where the answer is truly complex, evolving and really involves an understanding of patient values and attitudes. This is a non-traditional Archimedes that attempts to address such a query with a fictional patient with long QT syndrome and a desire to go and do competitive sports. It needs to be read slowly and digested: https://adc.bmj.com/content/111/4/373.1
This podcast is written and presented by Dr Bob Phillips (York District Hospital, UK), Archimedes section editor of Archives of Disease in Childhood. He brings you the monthly episode about evidence-based medicine for paediatricians.
We would love for you to be involved in Archi [https://adc.bmj.com/pages/authors#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
If you’ve got debris on a bladder ultrasound, that means there’s a UTI, doesn’t it? This month, we have a team of crack nephrologists looking in detail at floaty bits and bacteria being spotted by soundwaves: https://adc.bmj.com/content/111/3/283.1
We also bemoan the problem of wanting to smooth things out too quickly and make everyone do the same thing unnecessarily. Diversity and difference are sometimes a superpower! https://adc.bmj.com/content/111/2/193.2
This podcast is written and presented by Archives of Disease in Childhood's Archimedes section editor, Dr Bob Phillips (York District Hospital, UK), who brings you the monthly episode about evidence-based medicine for paediatricians.
We would love for you to be involved in Archi [https://adc.bmj.com/pages/authors#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor of ADC, Dr Rachel Agbeko, bring you the monthly Atoms - the highlights of the April 2026 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/111/4/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor of ADC, Dr Rachel Agbeko, bring you the monthly Atoms - the highlights of the March 2026 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/111/3/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
We’re absolutely committed to being the most awkward section of the Archives of Disease in Childhood, and this month we’re managing it with not only having a gender-indeterminate ‘voice’ in this section and anthropomorphising a chunk of journal, but by leaping forward and backward in time.
AI has not been involved with this writing, but we’ll all be aware of where AI is creeping into our own professional and personal lives. Can it help in our high-quality evidence-based medicine, though? (Read more https://adc.bmj.com/content/111/2/193.2). Is it the future?
And looking to the past, should we be recommending breast milk for neonatal sticky eyes? And if not, why not? Again, a full explanation can be found in the journal: https://adc.bmj.com/content/111/2/193.1
We would love for you to be involved in Archi [https://adc.bmj.com/pages/authors#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor of ADC, Dr Rachel Agbeko brings you the monthly Atoms - the highlights of the February 2026 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/111/2/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, brings you the monthly Atoms - the highlights of the January 2026 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/111/1/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown brings you the monthly Atoms - the highlights of the December 2025 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/12/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Crashing back into your ears with the grace of a three-year-old ballet dancer, Archimedes blusters about how we can measure ‘feeling better’ [https://adc.bmj.com/content/110/10/844.2] and what I might need to learn.
This leads onto difficult neurology, following on from neonates last month, but in more grown-up children with cases around complex epilepsy and the use of cannabidiols - specifically their chance to improve quality of life [https://adc.bmj.com/content/110/10/844.1].
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko bring you the monthly Atoms - the highlights of the November 2025 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/11/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko bring you the monthly Atoms - the highlights of the October 2025 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/10/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko bring you the monthly Atoms - the highlights of the September 2025 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/9/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown brings you the monthly Atoms - the highlights of the August 2025 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/8/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko bring you the monthly Atoms - the highlights of the July 2025 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/7/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko bring you the monthly Atoms - the highlights of the June 2025 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/6/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown brings you the monthly Atoms - the highlights of the May 2025 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/5/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko bring you the monthly Atoms - the highlights of the April 2025 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/4/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko bring you the monthly Atoms - the highlights of the March 2025 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/3/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the January 2025 issue. The Fantoms article:
https://fn.bmj.com/content/110/1/1
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Archives of Disease in Childhood's Archimedes section editor, Dr Bob Phillips (York District Hospital, UK) brings you the monthly episode about evidence-based medicine for paediatricians. Today, with a bonus interview with Mr Josh Totty, NIHR Clinical Lecturer in Plastic Surgery:
We’re thinking about balancing acts in our wonderings about how to do evidence-based practice this month [https://adc.bmj.com/content/110/2/170.2]. That balances some deeply thoughtful writing about what genetic tests do in children with unexplained early developmental impairment - while you can get the faintest hints of the question in our podcast, you’d be well advised to read the thoughtful paper to really understand the answers [
https://adc.bmj.com/content/110/2/170.1]
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko bring you the monthly Atoms - the highlights of the February 2025 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/2/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Archives of Disease in Childhood's Archimedes section editor, Dr Bob Phillips (York District Hospital, UK) brings you the monthly episode about evidence-based medicine for paediatricians. Today, with a bonus interview with Mr Josh Totty, NIHR Clinical Lecturer in Plastic Surgery:
Prep for an LP, stat! We previously talked in an Archimedes about the really low chance of meningitis in UTI in infants [https://adc.bmj.com/content/96/6/602.2] but what about those infants with actual bacteraemia and a UTI - are they the group at higher risk who need invasive investigation? Listen on or read here to find out https://adc.bmj.com/content/110/1/79.1
You’ll be glad to hear that the PICO is taken to task as well this month too https://adc.bmj.com/content/110/1/79.2
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko bring you the monthly Atoms - the highlights of the January 2025 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/110/1/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
It’s tricky to do balancing sometimes, and while you might not immediately think of it, a door can sometimes open your way to a new way of considering stuff as we talk about, but you can read about too: https://adc.bmj.com/content/109/12/1036.2
Then there’s something we often do think about. And struggle with. How do we know how long terms meds might affect people in the long term? What about melatonin for severe sleep disturbance? It’s a good job someone’s done the work for you and the detailed outputs are very readable: https://adc.bmj.com/content/109/12/1036.1
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko bring you the monthly Atoms - the highlights of the December 2024 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/109/12/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Archives of Disease in Childhood's Archimedes section editor, Dr Bob Phillips (York District Hospital, UK) brings you the monthly episode about evidence-based medicine for paediatricians. Today, with a bonus interview with Mr Josh Totty, NIHR Clinical Lecturer in Plastic Surgery:
It might come as a surprise to those who aren’t surgeons, but we have (quite excellent) interview proof of how a clinical question with solidly debatable options led to a trainee-led clinical trial in plastic surgery and onwards to a more straightforward approach to fixing nail-bed injuries. You can read more about it here - https://adc.bmj.com/content/109/11/954.1
We also talk - less interestingly - about the way that sometimes phrases which suggest expertise don’t always mean the same in clinical practice guidelines -
https://adc.bmj.com/content/109/11/954.2
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Archives of Disease in Childhood's Archimedes section editor, Dr Bob Phillips (York District Hospital, UK) brings you the monthly episode about evidence-based medicine for paediatricians:
Fairly frequently we who are sub-, or sub-sub- specialised will look at some research which we don’t want to agree with and say “But it doesn’t apply to My Special Darlings!”. And most of the time we’re wrong - after all, children who present with the same condition often have the same condition, regardless of what else they’re having going on at the same time. Sometimes there might be a feature which meaningfully alter disease trajectory in respect of the new illness though, and we need to ask: “Are my darlings different?”. That query is investigated this month https://adc.bmj.com/content/109/10/861.1
We also ask the questions “When should we stop?”, and “How should we decide?” - https://adc.bmj.com/content/109/10/861.2
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown brings you the monthly Atoms - the highlights of the November 2024 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/109/11/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, brings you the monthly Atoms - the highlights of the October 2024 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/109/10/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Archives of Disease in Childhood's Archimedes section editor, Dr Bob Phillips (York District Hospital, UK) brings you the monthly episode about evidence-based medicine for paediatricians:
We all know opiates can constipate folks very badly. Some of us from personal experience. We know hospitalisation, not eating well, and not moving much make it worse. And we all should recognise the significant drop in quality of life that comes with severe constipation. There’s been an explosion of treatments for grown/ups in this realm - so could we be using the PAMORA drugs for kids [read more at https://adc.bmj.com/content/109/9/767.1] and how different are kids than adults anyway? [https://adc.bmj.com/content/109/9/767.2].
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown brings you the monthly Atoms - the highlights of the September 2024 issue.
Read it on the Archives of Disease in Childhood website:
https://adc.bmj.com/content/109/9/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Archives of Disease in Childhood's Archimedes section editor, Dr Bob Phillips (York District Hospital, UK) brings you the monthly episode about evidence-based medicine for paediatricians:
We’ve all been in this situation (apart from perhaps some intensivists), any of us in the “I don’t want to cannulate them again!” park when dealing with little folks who probably need antibiotics, but do they really need IV? And this tension is greater when it’s a neonate, or an immunocompromised kiddo. We’ve got some good news in this pod, about the babies at least, and you can read more here https://adc.bmj.com/content/109/8/681.1
You can also find out how the word estimand isn’t a typo and why PICO+ rules - https://adc.bmj.com/node/230129
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe on your preferred platform. And if you enjoy the ADC Podcast, leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Let’s make it magical from the beginning, and offer the value of point-of-care ultrasounds for placing umbilical venous catheters. Is it worthwhile or are they just more things for micro intensivists to play with? Read here: https://adc.bmj.com/content/109/7/598.1
We also talk about fidelity, interventions, tests and the like, and we’ll even point you to another perhaps helpful paper, even though it is not an Archimedes! (https://adc.bmj.com/content/109/7/543).
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes]. Just ask the questions that your patients are offering you, and tell us how you’re finding our podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform. And if you enjoy the ADC Podcast, please leave us a rating and a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown brings you the monthly Atoms - the highlights of the August 2024 issue.
Read it on the Archives of Disease in Childhood website:
https://adc.bmj.com/content/109/8/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown brings you the monthly Atoms - the highlights of the July 2024 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/109/7/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
We spoke last month about how the way a topic is introduced makes you understand it differently [https://adc.bmj.com/content/109/3/248.2], but this month we might have a practical example of how seeking preferences can be tricky [https://adc.bmj.com/content/109/7/598.1]
This links to how to rehydrate kids who’ve failed an oral rehydration challenge; NG or IV? [https://adc.bmj.com/content/109/6/515.1]
We would love for you to be involved in Archi [https://adc.bmj.com/pages/authors/#archimedes] - just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically every month. And if you enjoy our podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the May 2024 issue. The Fantoms article:
https://fn.bmj.com/content/109/3/229
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the June 2024 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/109/6/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
It’s an interview podcast this month, where we talk with the author of “Supporting parents of children born with differences in sex development” [https://adc.bmj.com/content/109/5/438.1]: a paper you need to read in the May issue of ADC and a chat you need to listen to. We also discuss how differential diagnosis can be evidence-based, and how that might be useful in your practice [https://adc.bmj.com/content/109/5/438.2]. Hopefully you’ll go away thinking “OOOOOO! I didn’t realise we would be able to ask research-type stuff about that sort of thing!”.
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes]. Just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Not anything like a record*, but like an obstetrician encouraging the downward trajectory of a bum-settled baby getting ready to squeeze out. Or, more medically sounding, external cephalic version for breech delivery. But, even if successful, are such babies still at greater risk of developmental hip dysplasia? Read here and find out even more than the pod tells you [https://doi.org/10.1136/archdischild-2023-326394]
*This is a reference to an ancient song, which itself referred to an obsolete method of sound reproduction
You might also want to listen to our rather grey, but meaningful, reflection on greyness in literature [https://doi.org/10.1136/archdischild-2024-327058]
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes] - just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, brings you the monthly Atoms - the highlights of the May 2024 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/109/5/i
Please listen to our regular podcasts and subscribe on Apple Podcasts, Spotify, or your favourite platform to get episodes automatically downloaded to your device. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Prof. Bob Phillips, ADC's Archimedes Editor, sometimes finds things that used to be called something now are called something else. He finds things he hadn’t heard of and assumes they were something else, but they aren’t, they’re something different! This is a long way of saying - if you’ve never heard of paediatric acute focal bacterial nephritis - you should listen to this podcast and have a read [https://adc.bmj.com/content/109/3/248.1].
You might also want to think about how the way a topic is introduced makes you understand it differently… and learn more about the joy of framing [https://adc.bmj.com/content/109/3/248.2].
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes] - just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically every month. And if you enjoy our podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, brings you the monthly Atoms - the highlights of the April 2024 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/109/4/i
Please listen to our regular podcasts and subscribe on Apple Podcasts, Spotify, or your favourite platform to get episodes automatically downloaded to your device. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
None of us want bad things to happen; we went into this career to reduce the number or severity of badness for babies, children and young people after all. But how to tell if our actions are leading to more adverse effects… it’s touched on in the podcast but read more here (https://adc.bmj.com/content/109/2/167.2)
We’re also thinking about balancing badness - the possible problems of NSAIDs alongside the problems from PPIs used trying to prevent them. There’s a really good read and discussion of the challenges here (https://adc.bmj.com/content/109/2/167.1)
We would love for you to be involved in Archi (https://adc.bmj.com/pages/authors/#archimedes) - just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the March 2024 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/109/3/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Honey, sweetie pie, babe … all the sorts of slushy nominative phrases that get thrown into the droning movies and teen-focussed telly programmes we probably love to watch. But honey, the bear-beloved treat, could that help with hay fever? An intrepid evidence-based gang tried to answer the question for you (https://adc.bmj.com/content/109/1/71.1)
And we also chat in this podcast about the problems of cheap boots and damp toes (indirectly). (https://adc.bmj.com/content/109/1/71.2)
We would love for you to be involved in Archi (https://adc.bmj.com/pages/authors/#archimedes) - just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
When treating children with cancer and febrile neutropenia, you may ask yourself, "Are urinary cultures a waste of time?"
Prof. Bob Phillips (1) of the ADC Archimedes podcast joins ADC Spotlight host Dr. Rachel Agbeko to reflect on this question, basing their discussion on the paper, "Role of urine culture in paediatric patients with cancer with fever and neutropenia: a prospective observational study". They consider the strength of evidence for urine culture testing in such cases, and whether there is an opportunity to reduce the burden on young cancer patients and their families.
Read the paper:
https://adc.bmj.com/content/108/12/982
(1) Department of Paediatric Haematology and Oncology, Leeds Teaching Hospitals NHS Trust, Leeds, UK
The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole.
Please listen to our regular podcasts and subscribe on your favourite platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review on Apple (https://apple.co/48Jhlo6) or Spotify (https://spoti.fi/491FAxu).
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the February 2024 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/109/2/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Proving something is safe, or that bad things don’t happen, is always hard. Really hard. And when people turn to the published literature to investigate adverse effects you have to send them much praise - like the team have done in this month's Archimedes when looking at if baclofen causes seizures (https://adc.bmj.com/content/108/12/1028.1).
The other thing we often struggle with is how much we can lump stuff together in a systematic review (https://adc.bmj.com/content/108/12/1028.2). So we chat about that. If you’re comparing fruit salad with potato salad, it’s probably fine to have apples and oranges (and banana and kiwi) in the same bowl. If you’re looking to see which apple to bake in a pie, you don’t want your crab apples in with your pippins and Granny Smiths. Baking tips can be found in this podcast too, it transpires.
We would love for you to be involved in Archi (https://adc.bmj.com/pages/authors/#archimedes) - just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the January 2024 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/109/1/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the December 2023 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/12/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
The world advanced through the Next Great Thing. Like the C5 electric scooter, Hindenberg air ship and velocipedes. It’s always easy to see the next great thing being ignored when you look backwards in time - but what about looking forwards? Is video-assisted thoracoscopic draining of complicated infected pleural fluid really any better than a tiny plastic pipe and squirting in some fibrin muncher? (https://adc.bmj.com/content/108/11/940.1)
We chat about that, and your commoner medical devices (https://adc.bmj.com/content/108/11/940.2) on this month’s podcast.
We would love for you to be involved in Archi (https://adc.bmj.com/pages/authors/#archimedes) - just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
This month, Dr. Rachel Agbeko, Senior Editor of ADC, is joined by Dr. Catherine Branthwaite to discuss the viewpoint, "Safeguarding concerns in the Illegal Migration Bill".
They speak about the key points of the bill, its scientific shortcomings, and put it into the context of global rights of children.
Read the paper: https://adc.bmj.com/content/early/2023/05/15/archdischild-2023-325589
(1) Paediatrics, Imperial College Healthcare NHS Trust, London, UK
The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole.
Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the November 2023 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/11/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
In this month's Archimedes section of ADC: there are a lot of things in life that are obvious like crash barriers making roads safer, giving iprotropium for wheezy bronchiolitis or using C-reactive protein to differentiate bacterial and viral infections… oh wait … well … one out of three …
This podcast is all about how you sometimes need to state the obvious (https://adc.bmj.com/content/108/10/862.2) and sometimes you need to question it (https://adc.bmj.com/content/108/10/862.1). Have a listen and consider what you’d do.
We would love for you to be involved in Archimedes (https://adc.bmj.com/pages/authors/#archimedes) - just ask the questions that your patients are offering you - and tell us how you’re finding the podcast offerings.
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the July 2023 issue. The Fantoms article: https://fn.bmj.com/content/108/4/323
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the October 2023 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/10/865
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
This month, Dr. Rachel Agbeko, Senior Editor of ADC, is joined by Dr. Ian Sinha (1) and Dr. Alice Lee (1) to discuss their review, "Child poverty and health inequalities in the UK: a guide for paediatricians."
They provide insight into the varying definitions of poverty, and how paediatricians can make the most difference in their communities.
Read the paper: https://adc.bmj.com/content/108/2/94
(1) Alder Hey Children's NHS Foundation Trust, Liverpool, UK
The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole.
Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Back to the cut and thrust of clinical neonatology for the September 2023 Archimedes, where we visit the challenge of sugar-free babies again. How do you move forward with uncertainty about the adverse effects of medicines but significant problems with the adverse effects of disease processes? [doi 10.1136/archdischild-2023-325726]
We also flicker our minds back to the Olden Days, when analysers were simpler and viral PCRs were Special And Rare. And where Jones criteria were more in evidence than circulating IL23 levels. We ask - how does time change things? [doi 10.1136/archdischild-2023-326113]
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes] - just ask the questions that your patients are offering you - and tell us how you’re fidning the podcast offerings.
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the September 2023 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/9/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
This month, Dr. Rachel Agbeko, Senior Editor of ADC, is joined by Dr. Jonathan Coutts (1), to discuss a viewpoint titled, "Toxic and addictive effects of nicotine on children and adolescents: are we sleepwalking into a public health disaster?"
In their conversation they touch on reported statistics relating to adolescent vaping behaviour, EVALI syndrome, and the often-quoted "95% safer" rating of e-cigarettes versus standard cigarette consumption.
Read the paper: https://adc.bmj.com/content/early/2022/08/09/archdischild-2022-323891
The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole.
(1) Neonatology Department, Royal Hospital for Children, Glasgow, UK
Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Welcome to a new world of Archimedes mini-pods; for those days when you don’t have an Archimedes to listen to or explore, you can pick up the latest issue and train your critically appraising eye on another article.
This month we look at one of the best descriptions of the development (and limitations) of a multivariable prediction model we’ve seen in some time [DOI 10.1136/archdischild-2022-325158 - https://adc.bmj.com/content/108/8/608]. Prediction - and what to do about it - has been a longstanding fave of Archi and gets all the gold stars. [DOI 10.1136/archdischild-2021-322314 - https://adc.bmj.com/content/106/6/609.2]
We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes] - just ask the questions that your patients are offering you - and tell us what you think of the miniPods.
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the August 2023 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/8/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
This month, Dr. Rachel Agbeko, Senior Editor of ADC, is joined by Claire Zhang (1), to discuss a scoping review of the literature on children's use of healthcare in the UK, and ethnic differences and inequities found there. Children's healthcare outcomes are an important factor in health across the general lifespan, but most studies on healthcare utilisation deal only with adults, so this is a topic with a need for further exploration.
Read the paper: https://adc.bmj.com/content/108/7/518
The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole.
(1) National Perinatal Epidemiology Unit, Population Health Department, Oxford, UK
Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, brings you the monthly Atoms - the highlights of the July 2023 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/7/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the May 2023 issue. The Fantoms article: https://fn.bmj.com/content/108/3/209
Additional links:
Nasal High-Flow Therapy during Neonatal Endotracheal Intubation
https://www.nejm.org/doi/full/10.1056/NEJMoa2116735
Nebulised surfactant to reduce severity of respiratory distress: a blinded, parallel, randomised controlled trial
https://fn.bmj.com/content/104/3/F313
Delayed versus Immediate Cord Clamping in Preterm Infants
https://www.nejm.org/doi/10.1056/NEJMoa1711281
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the June 2023 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/6/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the June 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/6/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
If you’ve ever wondered why tests sometimes don’t really work when you start using them then you’ll really want to listen to this episode .. or read this instead - https://adc.bmj.com/content/108/5/411.2 Or maybe you’ve lain awake at night worrying about how common portal vein thrombosis is in neonates and what that might mean for the baby … again, you’ll really want to get your ears attached to this podcast and take a few minutes to admire the search strategy here - https://adc.bmj.com/content/108/5/411.1We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes] - just ask the questions that your patients are offering you.Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the May 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/5/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the March 2023 issue. The Fantoms article: https://fn.bmj.com/content/108/2/95 Additional links:Caffeine Therapy for Apnea of Prematurityhttps://www.nejm.org/doi/full/10.1056/nejmoa054065 Survival Without Disability to Age 5 Years After Neonatal Caffeine Therapy for Apnea of Prematurityhttps://jamanetwork.com/journals/jama/fullarticle/1104870 Survival Without Disability to Age 5 Years After Neonatal Caffeine Therapy for Apnea of Prematurityhttps://jamanetwork.com/journals/jama/fullarticle/1104865 Academic Performance, Motor Function, and Behavior 11 Years After Neonatal Caffeine Citrate Therapy for Apnea of Prematurityhttps://jamanetwork.com/journals/jamapediatrics/fullarticle/2617993Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
A patient and their family will often ask the most sensible, thoughtful questions and we’ll head to the evidence to find that research doesn’t quite fit the bill. We discuss this in both the abstract ‘what’s the methodological issues here’ bit of Achimedes (https://adc.bmj.com/content/108/4/323.2) and bring it to life via our case of the specialist core exercises system (https://adc.bmj.com/content/108/4/323.1). Have a listen and find out more.We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes] - just ask the questions that your patients are offering you.Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the April 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/4/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
This month, Dr. Rachel Agbeko, Senior Editor of ADC, is joined by Dr. Bernadette O'Hare(1), to discuss the impact of the climate crisis on children's health and healthcare worldwide. She is a senior lecturer in Global Health at both St. Andrews, Scotland and the Kamuzu University of Health Sciences in Malawi, and a consultant paediatrician. With the Government Revenue and Development Estimations (GRADE) team, she studies the impact of global policies on government revenue and therefore on public services and children’s right to their determinants of health. Related editorial: https://adc.bmj.com/content/107/5/417The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole.Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Jonathan Davis, ADC associate editor, is joined by Arun Sett(1), Dr. Sheryle Rogerson(2), and Dr. Peter Davis(3) to discuss the paper "Lung ultrasound of the dependent lung detects real-time changes in lung volume in the preterm lamb", as well as the lung ultrasound method's applicability to neonatal treatment.Related links:https://fn.bmj.com/content/108/1/51http://www.ncbi.nlm.nih.gov/pubmed/27596161https://thorax.bmj.com/content/72/1/83https://www.asum.com.au/education/ccpu-course/ccpu-neonatal/Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832(1) Joan Kirner Women's and Children's Hospital, Melbourne, Australia & Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Australia (2) The Royal Women's Hospital, Melbourne, Australia (3) Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Australia
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the March 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/3/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Sudden Unexpected Postnatal Collapse can be a really disturbing event, and one where the whole team need to pull together. A trio of international neonatologists considered if therapeutic hypothermia might be an option for the baby - while we summarise in this podcast their full thoughts are seriously worth a read: https://adc.bmj.com/content/108/3/236.1We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes] - and your index problem can be far more mundane, and doesn’t have to be neonatal.Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Neonates are a breadth of … well… actually breathing is one of the big issues they have. Adding a squirt of finely curated surfactant we know can help them out, and LISA (less invasive surfactant administration) is probably the best at the job. But it’s pretty stressful having things splashed into your lungs, so should we be giving premedication? Listen on for a short answer, or read the full paper here: https://adc.bmj.com/content/108/2/141.1We would love for you to be involved and submit your very own Archi [https://adc.bmj.com/pages/authors/#archimedes] - and you’ll be doing the world a favour as we explain in detail too.Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the February 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/2/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the January 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/1/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
The joy of Arcimedes is the breadth of what it covers. For instance, have you ever considered the management of NTM lymphedenits with MAC? (That’s not a sneaky way of getting a cosmetics company to sponsor our EBM slot.) If you’ve no idea what that last butone sentence means … listen on! If you have, listen on anyway! And if you’re struggling with the bit in parentheses, then wander down to your local department store and glance around the make-up counters. The full paper can be read here [ https://adc.bmj.com/content/107/12/1131.1 ]We would love for you to be involved and submit your very own Archi [adc.bmj.com/pages/authors/#archimedes] - it’s more fun than tidying up the mess kitchen.Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the December 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/12/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the November 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/11/i
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by paediatric oncologist Dr Isaac Odame(1) to discuss the origin and spread of sickle cell disease, its diagnosis and treatment, and the wide difference in outcomes for those of varying economic backgrounds. Related article: https://adc.bmj.com/content/early/2022/09/07/archdischild-2021-323633
The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole.
Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
(1) Haematology Section Head in the Division of Haematology/Oncology and Medical Director of the Global Sickle Cell Disease Network at the Centre for Global Child Health at The Hospital for Sick Children (SickKids), Professor and Director of the Division of Adult and Paediatric Haematology in the Departments of Medicine and Paediatrics at the University of Toronto (U of T).
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the October 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/10/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
We want to make you think and consider in this podcast, so we’re wondering if you know if honey can be helpful after tonsillectomies - to reduce pain (https://adc.bmj.com/content/107/9/845.1). And when we are wondering about that, we might already be considering the challenges in assessing subjective outcomes (https://adc.bmj.com/content/107/9/845.2)… and beyond that, getting involved with your own 'Archi' [adc.bmj.com/pages/authors/#archimedes] Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the August 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/9/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
This month, Dr. Rachel Agbeko, Senior Editor of ADC, is joined by Prof. Julie Mytton(1) and Prof. Sunil Joshi(2) to discuss their new model of injury surveillance in Nepalese emergency departments, the trends in injuries affecting children, and the implications of these. Read the paper 'Epidemiology of paediatric injuries in Nepal: evidence from emergency department injury surveillance' on the ADC website - https://adc.bmj.com/content/106/11/1050. The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole. Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
(1) Professor of Public Health at University of the West of England, Bristol, UK (2)Professor at Dep. Community Medicine, Director of Nepal Injury Research Centre, Nepal
Last month we gave you a sneaky audio advanced peek into traumatic cardiac arrest - https://adc.bmj.com/content/107/7/695.1 - and so this month we are encouraging you to take a step back and think about why on earth we are doing this difficult, demanding, and intellectually brain stretching stuff of critically appraising clinical research studies - https://adc.bmj.com/content/107/8/772.1 - and beyond that, getting involved and creating some Archi’s yourself - adc.bmj.com/pages/authors/#archimedes. Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the August 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/8/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
We are faced in paediatrics with some very, very difficult situations. Where our humanity and medical training come to the fore - in working with families dealing with the cliff edge of their child’s mortality - is where we need to put the same emotional and intellectual effort we would want if the tables were turned. At these times, knowing our advice is based on the best available evidence may have even greater importance. This month we address this in two different fields of care. The ED, and traumatic cardiac arrest [https://adc.bmj.com/content/107/7/695.1] and in the neonatal intensive care, with a resistant intracardiac thrombosis [https://adc.bmj.com/content/early/2022/05/10/archdischild-2022-323789]. We also spend a few moments pleading with you not to be beguiled by the power of p [https://adc.bmj.com/content/107/7/695.2]… and while less clinical, that’s as important. Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the July 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/7/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the March 2022 issue. The Fantoms article: https://fn.bmj.com/content/107/2/115 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by paediatric oncologist Dr Amanda Friend(1) to discuss the methods employed for fertility preservation for children of various ages and sexes who are undergoing cancer treatment. Read the paper 'Inconsistencies in fertility preservation for young people with cancer in the UK' for free for one month on the ADC website: https://adc.bmj.com/content/107/3/265 and in March's issue. The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole. Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832 (1) Leeds Institute of Medical Research, University of Leeds, and Paediatric and Adolescent Oncology, Leeds Teaching Hospitals NHS Trust, UK
This month we have an interlude in our rush to ask, acquire, appraise and apply the next quality evidence available to our clinically greedy hands, and spend five minutes going over the process of creating an Archimedes. Dr. Bob Philips, Social Media, and Archimedes Editor take you through what you might expect … what might be asked of you … and how to give the fruits of your intellectual inquiry stand the best chance of hitting print (and this podcast). Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the June 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/6/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Welcome back to the ADC Spotlight podcast, the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health.
This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by Mr Robert Wheeler, paediatric and neonatal surgeon and honorary senior lecturer in medical law (1) to discuss the shortage of clinical provision, and the placements for children requiring assessment and treatment for mental illness.
Read the paper 'Providing beds for children' for free for one month on the ADC website: https://adc.bmj.com/content/107/2/114 and on the February's issue. More from the author about clinical law and ethics: https://blogs.bmj.com/medical-ethics/2022/05/01/law-ethics-basic-science/
The ADC Spotlight series is produced by Letícia Amorim and edited by Brian O'Toole. Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
(1) Consultant Paediatric & Neonatal Surgeon at the Wessex Regional Centre for Paediatric Surgery, University Hospital Southampton NHS Foundation Trust, UK.
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the January 202 issue. The Fantoms article: https://fn.bmj.com/content/107/1/1
Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
This month we go all buggy, thinking about how we can use EU-level regulatory frameworks to help us act in our clinical lives (https://adc.bmj.com/content/107/5/507.2). We also address the persuasive power of an accelerated BCG reaction in children… fort noted by Koch of Koch’s Postulates in rodents (https://adc.bmj.com/content/107/5/507.1), and ask a partially useful question that might save many hours and many many stabs - are CVC concentrations of tobramycin good enough to judge how to dose in children? (https://adc.bmj.com/content/107/5/512). Please do tell us what you think of the podcast or the section, and if you’re revisiting the Journey to the West in TV form, on any of the socials. Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the May 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/5/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Croaking and wheezing and slightly exhausted… not the average neonatologist but Archimedes this month is brought to you from post-natal palaces and 'post-nasal drip'. We start thinking about how best to communicate a post-natal diagnosis of Down syndrome(https://adc.bmj.com/content/107/4/409.1), which is prefaced by some thoughts on what it means to undertake a ‘good’ qualitative study(https://adc.bmj.com/content/107/4/409.2). We have more on this on our blog site, in this series: https://blogs.bmj.com/adc/category/qualitative/ We then dive down from the wards into the NICU where we wonder how to shift the clogged secretions of a grot-filled lung, and someone suggests DNAse, which sounds a lot like magic, but magic that can be evidence-based(https://adc.bmj.com/content/107/4/411). When you’ve had a listen tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself croaked Archi or in active conversation too. Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the April 2022 issue. They start this month by addressing the consequences of wars on children in light of the latest war in Ukraine. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/4/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
A bit like aircraft, intubating and extubating are the awkward and skill-requiring parts of a ventilator journey. Well, not so much the tube removal itself, but the choice of when to do it. And we’ve got a topic report which asks if the ubiquitous ultrasound could help us with that decision: (https://adc.bmj.com/content/107/3/303.1). As for popping a tube in, how do you know it’s in the right place? Slide that probe over - at least in neonates - and see if you can see the tip located properly (https://adc.bmj.com/content/107/3/305). So while we’re thinking about tubes and ways of working, perhaps we need to consider just how do we test such ‘craft’ interventions? Well… have a listen and while the whole answer won’t be revealed … some starter thoughts might be (https://adc.bmj.com/content/107/3/303.2). Tie down your garden furniture, hold onto your fence posts, and tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself spoken by Archi. Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the March 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/3/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
When we ask our PICO questions, how often do we think about what we’re not asking … and when should we revise them? That’s the core of this little piece which encourages us to think about thinking a bit - https://adc.bmj.com/content/107/2/193.2. Far less profound, and far more helpful, is the question of if twins (and triplets and higher orders) are at greater risk of RSV just by being doublets (which really should be what we call them) - https://adc.bmj.com/content/107/2/193.1. And almost as useful is if you can stop a child with annoying sniffles having annoying sniffles when all else fails by splashing them with monteleukast - https://adc.bmj.com/content/107/2/197. So for now, kick back in the snow, tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself spoken by Archi.
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the February 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/2/i
We’re never going to be satisfied with the search of direct randomised evidence in paediatrics - unless we’re working in the hallowed hills of 'paed oncology' of course - so how should we think about the weight of evidence to change things? There’s a classic lack of direct, trial data when it comes to considering when to give vaccines after TNF-alfa treatments in pregnancy [https://adc.bmj.com/content/107/1/93.1] but what is out there can be digested and considered and given as a pithy conclusion … as can the consideration of radiotherapy for a non-malignant condition … (something we’ve tended to shy away from after treating - effectively - ringworm with scalp focussed zapping and accidentally creating meningiomas where there was only an annoying fungal infection before) … should you block or blast in Grave’s disease? [https://adc.bmj.com/content/107/1/97] Enjoy, tell us what you think, and submit your own following the instructions on the website and you too could be subject to this sort of internet delight [https://adc.bmj.com/content/106/11/1135.2].
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the January 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/1/i
We visit the land of diagnostics in our thinking again this month, deciding when a test can really help us by pressing on to make, or exclude, a diagnosis, and when it simply nudges us a bit one way or another (YOU’LL NEED TO FIND LINK - STARTS There’s something unnerving about getting a test result. And is title is ‘Spins and snouts’)
But then we leap away from it, like a young gazelle or enthusiastic neutrophil, to ask the question “Should all infants with delayed cord separation be investigated for leucocyte adhesion deficiency?” [https://adc.bmj.com/content/106/12/1233] You might already guess the answer - nothing in medicine is an all or nothing - except when it is - but it’s an excellent interview and explanation. The other topic takes in the land of spinal surgery and asks if it can help lung function in (some) kids with cerebral palsy…[https://adc.bmj.com/content/106/12/1231.1]
Enjoy, tell us what you think, and submit your own following the instructions on the website and you too may have an interview on Her Majesty’s Own Internet to share with your Aunties.
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the December 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/12/i
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the November 2021 issue. The Fantoms article: https://fn.bmj.com/content/106/6/571 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832 Other related material mentioned in the podcast: https://soundcloud.com/bmjpodcasts/perinatal-management-of-extreme-preterm-birth-before-27-weeks-of-gestation-a-framework-for-practice
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the September 2021 issue. The Fantoms article: https://fn.bmj.com/content/106/5/457 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832 Other related papers mentioned in the podcast: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2780513
Extracting urine has been the subject of Archimedes in the past, but this month wee (geddit?) have questions relating to when you’ve found a UTI. Could you treat a wee one with oral rather than IV antibiotics? (Full answer here: https://adc.bmj.com/content/106/11/1135.1) Should you make all the little ones with UTI to bend around and take a few mls of CSF from them? (Read on … https://adc.bmj.com/content/106/11/1138). Good questions - and more are possible too - keep sending them. We also consider how things can be subject to our alternative ways of thinking about new and old things, and that, for almost everything to be honest, there’s not a level playing field. And we could do with understanding and working on that (https://adc.bmj.com/content/106/11/1135.2). Enjoy, feedback, and submit (following the instructions on the website though. No one wants to waste time and have to go back and rewrite things over and over again do they?).
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the November 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/11/i
Have you ever had a question you thought … “OOOO! That’s an Archimedes in waiting that is!”. Well, join in the footsteps of those who have climbed the craggy path through submission, review, Editorial Board and onwards to the sunny pastures of ‘Online First’ and eventually the Paper Journal (where, like one of our colleagues, your Gran can try and order one from the newsagents because she’s so proud of you). The Grannies being delighted this month will be able to learn all about if their migrainous adolescent grandchildren will benefit from magnesium to reduce their headache frequency of severity (https://adc.bmj.com/content/106/10/1027), and far from benign taught to suck eggs they may have their perception of weaning foods challenged when it comes to egg introduction to the diet of four month olds (https://adc.bmj.com/content/106/10/1024.1). Their wisdom will be already full of the knowledge that just because something’s always been this way doesn’t make it right, but they may like to hear about how we think momentum and inertia apply in medicine too (and here’s the ship-related podcast that’s mentioned: https://timharford.com/2019/11/cautionary-tales-ep-1-danger-rocks-ahead/) https://adc.bmj.com/content/106/10#Archimedes https://adc.bmj.com/content/106/10/1024.2
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the October 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/10/i
Have you ever wanted to get your Archimedes answer to a clinical question into our journal and onto this podcast? Did you worry that because it was about a strange device for making balloons blow up by using your nose that we’d laugh it out of the park? Well - you need not have worried - but it’s already been done (see https://adc.bmj.com/content/106/9/923.1). Same with uncertainties about single-dose old-fashioned UDP-N-acetylglucosamine enolpyruvul transferase disruptors (https://adc.bmj.com/content/106/9/925). I’ll leave this as a tease for you to have to listen to find out which antibiotic is being explored here. We cover some thoughts on using older or re-focussed therapies too (https://adc.bmj.com/content/106/9/923.2). SO - don’t hold back from your clinical question dream - crack on and submit, following our instructions to authors after you’ve spotted a great question even if it has an old (but interesting) answer.
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the September 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/9/i
This podcast is a roundtable discussion of recent papers on Laryngeal mask use in neonates. ADC Editor Jonathan Davis (NICU Perth Children's Hospital) interviews Charles Rohr (Southmead Hopsital, Bristol, England; Newborn Services, John Radcliffe Hospital, Oxford, UK), Calum Roberts (Monash Hospital, Melbourne, Australia), and Joyce O'shea (Royal Hospital for Children Glasgow, Scotland) Related articles from ADC Fetal and Neonatal edition: https://fn.bmj.com/content/early/2021/04/21/archdischild-2020-319398 https://fn.bmj.com/content/106/3/342 https://fn.bmj.com/content/106/3/336 Other papers mentioned in this podcast: https://www.nejm.org/doi/full/10.1056/NEJMoa2005333 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380574&isReview=true
The deliciousness of a fresh home-grown strawberry is tricky to top, isn’t it? And the sense of disappointment when you realise a slug has felt the same way about it? This glimpse into my gastronomic preferences also relates to a critical appraisal note from this month (https://adc.bmj.com/content/106/8/821.2) It’s shockingly relevant to one of the articles too - a belief changer perhaps - about ultrasound screening in Beckwith-Weiderman syndrome (https://adc.bmj.com/content/106/8/824). The other might make you wish hard for tomorrow when the sun is shining over your resuscitation dolly [HT to all the musical theatre kids there] and how often we need to learn how to bounce up and down and sing about elephants (https://adc.bmj.com/content/106/8/821.1). You too can have months of hard work summarised in a few minutes by someone with a sketchy understanding if you submit an Archimedes by following our instructions to authors after you’ve spotted a great question that needs an answer.
It’s the height of summer in the UK and, of course, this makes our thoughts turn to concussion, slipped upper femoral epiphyses and proxy outcomes. (Well, to be honest, I’m not sure it really does... but if you do play out more maybe concussion is more likely and certainly some orthopaedic things are?) SUFE is something we do occasionally see and want to prevent really long term consequences. If one side has slipped though, should the surgical team go in and pin the other in place? (https://adc.bmj.com/content/106/7/715.1) And of course one of the issues with this sort of thing is that the outcomes we really want to see many be many, many years away. Can we use an ‘early warning’, surrogate or proxy for that outcome? And do you know what that even means? (https://adc.bmj.com/content/106/7/715.2) If people, rather than UFEs, slip, then banging heads and getting concussions are not uncommon. Rugby league has introduced a system of head injury assessment to improve the safety of players after such events. But should those young contenders in Academy sides, like other teens, stay away from media screens to reduce the chance of problems after? (https://adc.bmj.com/content/106/7/720) All these questions are addressed, if not answered, this month. And you can throw your own Q&A into the ring too - submit an Archimedes by following our instructions and have fun (in the sun, but with a hat and lots of sunscreen on).
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the August 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/8/i
Editor-in-Chief of ADC, Nick Brown, brings you the monthly Atoms - the highlights of the July 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/7/i
Have you been faced with a vomiting child in the ED and wanted to make it stop? (Not the ED shift .. well maybe .. but vomiting?) This is the month for you. Our first question asks if we can give dex not pred for asthma attacks (https://adc.bmj.com/content/106/5/509), which is a bit easier as a single shot, and bit less puke-making, but is it as good against asthma? The second asks if we can safely give ondansetron to kids who have bumped their heads (https://adc.bmj.com/content/106/5/507.1) without masking significant problems … well … we’ll leave you to read or listen to find the answer to that. Something else that frequently makes folks feel sick is searching multiple electronic databases, so we’ve a few tips to avoid that sensation too. Non-pharmacological this time (https://adc.bmj.com/content/106/5/507.2). Can this be the month when the plethora of ED stuff makes you want to submit an Archimedes about something too? From a hidden corner, where adoption, hepatology, neonates or renal medicine reigns? Do it. Follow our instructions and have fun.
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the May issue. Read the Fantoms here: https://fn.bmj.com/content/106/3/229 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at podcasts.apple.com/gb/podcast/adc-…ast/id333278832 Other related papers mentioned in the podcast: https://fn.bmj.com/content/106/3/336 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380574&isReview=true
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the June 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/6/i
Do you always keep your phone on the latest OS? Do you tend to play the alpha releases? Have you only just moved to streaming TV services? Where do you sit on the curve of innovation adoption in medical practice? We chat about this (https://adc.bmj.com/content/106/4/401.2) before launching into a discussion of how single parents fare compared to couples in the world of child adoption (read more here: https://adc.bmj.com/content/106/4/401.1). We stay off the track of medicinal products and devices with a report on the best ways to deal with heatstroke… Summer might come at some point… in our second report (https://adc.bmj.com/content/106/4/405). What we don’t have is a large social media outcry over the lack of music, song and dance in the podcast, but maybe this is the month it starts, or maybe it’s the month when you too submit an Archimedes about something that caught your paediatric eye?
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the May2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/5/i
When was the last time you had a twinge in your navicular? Did you know you could develop an eponymous osteochondrosis? And if a child did go and do that - what should you do about it? (Yes. This is a non-stop tease. You’ll have to listen or read here https://adc.bmj.com/content/106/3/303 to find out more.) Now that almost seamlessness leads into our leader - how do you know what you don’t know - and how to keep abreast of the width of your ignorance (https://adc.bmj.com/content/106/3/301.2) and raises two questions in neonatal seizures: 1. Should you use phenobarbitone or levetiracetam to stop fits, and 2. How do you pronounce levetiracetam?(https://adc.bmj.com/content/106/3/301.1) Do use the opportunity of not knowing to be delighted in the opportunity to learn more, and maybe even submit an Archimedes about it.
Are we reliable, as a podcast and a source of information? What does that word even mean? Well we delve a little deeper into that in this edition (https://adc.bmj.com/content/106/2/195.2) We also ask the question about what degree of weight loss for a healthy newborn really IS normal (https://adc.bmj.com/content/106/2/195.1) and while it’s fascinating, I’d advise using this knowledge wisely and approaching guideline writers rather than your midwifery colleagues with your newfound limits of Normal. Our other question swings into the sicker end of babies, and for those who’ve limited recent intubation experience is massively relevant as it’s focussed on using laryngeal mask airways (https://adc.bmj.com/content/106/2/197). Have fun listening to us, and do let us know what you think.
ADC Fetal and Neonatal’s Associate Editor Jonathan Davis and the Edition Editor of the journal Ben Stenson discuss the highlights from the March issue. Read the Fantoms here: https://fn.bmj.com/content/106/2/115 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at podcasts.apple.com/gb/podcast/adc-…ast/id333278832
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the April 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/4/i
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the March 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/3/i
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the February2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/2/i
ADC Fetal and Neonatal’s Associate Editor Jonathan Davis interviews Haribalakrishna Balasubramanian (Department of Neonatology, Surya Hospitals, Mumbai, Maharashtra, India), and Anitha Ananthan (Department of Neonatology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India) about their recent systematic review and meta-analysis on cord milking in preterm delivery. Read the relevant papers on the ADC website: https://fn.bmj.com/content/105/6/572 https://fn.bmj.com/content/103/6/F539
We all have moments of crying out “But why on EARTH did they do that study?” after a blisteringly obvious result is revealed … and we chat a little here about why that might be the case (https://adc.bmj.com/content/106/1/90.2) but the real story of this episode is all about antiepileptic drugs (AED) and bones. We start asking the question “Do children on AED get thinner bones?” (https://adc.bmj.com/content/106/1/92) and lead from there to the question “Well should we prescribe Vitamin D to all of them?” (https://adc.bmj.com/content/106/1/90.1). If anyone here isn’t aware of it, you should take extra special precautions if you’re prescribing sodium valproate to patients who could become pregnant: the short version would be “prescribe something else”.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the January 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/1/i
Do opiates make pain more bearable than non-steroidals in the emergency department? When you’ve got a really, really painful musculoskeletal injury? Well, listen up to find the answer, and read here: https://adc.bmj.com/content/105/12/1229.1. And you know that we leave a four-week gap between live-attenuated immunisations, but do we really need to do that, especially with more modern ones? (https://adc.bmj.com/content/105/12/1232) After wondering about how to define not knowing, we now talk about what levels of certainty we might need in different situations … and, well, it won’t be a spoiler to say “It Depends” (https://adc.bmj.com/content/105/12/1229.2). You could join in too! Submit your paper, tell us your pronouns (Archi likes we/they) and be A Published Author.
Editor-in-Chief of ADC, Nick Brown, brings you the monthly Atoms - the highlights of the December 2020 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/105/12/i
ADC Fetal and Neonatal’s Associate Editor Jonathan Davis and the Edition Editor of the journal Ben Stenson discuss the highlights from the November issue. Read the Fantoms here: https://fn.bmj.com/content/105/6/571 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832 More related links: Cord Miking https://fn.bmj.com/content/103/6/F539 Aztec study https://bmjopen.bmj.com/content/10/10/e041528 Sepsis risk calculator https://neonatalsepsiscalculator.kaiserpermanente.org/ https://fn.bmj.com/content/105/2/118 https://pubmed.ncbi.nlm.nih.gov/29514161/ Ureaplasma review https://fn.bmj.com/content/99/1/F87.long
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the November 2020 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/105/11/i
We all know steroids are anti-inflammatory - but should they be used as a kid with Kawaski disease walks through the door? We wonder about that in this issue (https://adc.bmj.com/content/105/11/1120.1), along with what sort of beta blocker you can use for high-risk infantile haemangiomas … can you just rub a bit of magic cream on and make it go away (https://adc.bmj.com/content/105/11/1124).
And we also wonder and twitter about the limits of knowing, and how we can do better with our words sometimes; separating the uncertain, the unclear and the ambiguous.(https://adc.bmj.com/content/105/11/1120.2)
You could join in too! Submit your paper, tell us your pronouns (Archi likes we/they) and be A Published Author.
ADC Fetal and Neonatal’s Associate Editor Jonathan Davis interviews Karen Luyt, University of Bristol, and David Odd, University of Cardiff, about the DRIFT-10 study and other studies related to intervention of post-haemorrhagic ventricular dilation. Read more on the ADC Fetal and Neonatal website - https://fn.bmj.com/content/105/5/466 - and on the September issue of the journal. The other mentioned papers: https://www.jpeds.com/article/S0022-3476(20)30996-3/fulltext https://www.frontiersin.org/articles/10.3389/fped.2020.00238/full
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the October 2020 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/105/10/i
The broader effects of the COVID-19 pandemic on children are discussed in this ADC Spotlight podcast. ADC’s Senior Editor Rachel Agbeko is joined by paediatrician, epidemiologist and Editor-in-Chief of the journal, Dr Nick Brown; Dr Liz Whittaker, clinical lecturer and consultant paediatric infectious diseases and immunology, Imperial College London; and Professor Russell Viner, President of the Royal College of Paediatrics and Child Health. Read some of the papers related to this podcast: - Promoting and supporting children’s health and healthcare during COVID-https://adc.bmj.com/content/105/7/620 - COVID-19: lessons to date from China https://adc.bmj.com/content/early/2020/05/12/archdischild-2020-319261 - Lockdown: more domestic accidents than COVID-19 in children https://adc.bmj.com/content/early/2020/06/01/archdischild-2020-319547 - COVID-19: lessons learned from a paediatric high consequence infectious diseases unit https://adc.bmj.com/content/early/2020/06/09/archdischild-2020-319114 - Impact of COVID-19 pandemic on paediatric services at a referral centre in Pakistan: lessons from a low-income and middle-income country setting https://adc.bmj.com/content/early/2020/06/28/archdischild-2020-319424 - Reopening schools during the COVID-19 pandemic: governments must balance the uncertainty and risks of reopening schools against the clear harms associated with prolonged closure https://adc.bmj.com/content/early/2020/08/02/archdischild-2020-319963 - Young people’s views on their role in the COVID-19 pandemic and society’s recovery from it https://adc.bmj.com/content/early/2020/08/30/archdischild-2020-320040 And explore the dozens of papers published by ADC related to these topics on this special page: https://adc.bmj.com/pages/collections/covid19/ Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832
ADC Fetal and Neonatal’s Associate Editor Jonathan Davis and the Edition Editor of the journal Ben Stenson discuss the highlights from the September issue. Read the Fantoms here: https://fn.bmj.com/content/105/5/457 Discover the issue here: fn.bmj.com/content/105/5
What proportion of children do you think report bullying? Do you think if, like the kids on the deserted island of Lord of the Flies, you have asthma that it’s worse? We discuss this and the evidence behind it this month - https://adc.bmj.com/content/105/9/903.1 … and we also talk about choosing chips too - https://adc.bmj.com/content/105/9/903.2. Where the podcast can’t quite capture the complexity and beauty in writing is in an Archi report about the management of drooling in children with cerebral palsy - you can read it properly here - https://adc.bmj.com/content/105/9/906 - or listen to a greatly abbreviated version in this podcast. Tell us the answers to your evidence-based questions by sending in your own Archimedes too, also while you’re around, share the love by sharing this podcast with your grannies, siblings and colleagues.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the September 2020 issue.
Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/105/9/i
A discussion of the BAPM framework for practice on management of babies <27 weeks' gestation, the editorial and viewpoint published in the May edition of the journal. ADC Fetal and Neonatal’s Associate Editor Jonathan Davis talks to Dr Helen Mactier, Consultant Neonatologist and President British Association of Perinatal Medicine; Dr Annie Janvier, Pediatrics and Clinical Ethics, University of Montreal, Canada; and Dr Dominic Wilkinson, Oxford Uehiro Centre for Practical Ethics, University of Oxford, UK.
Related links are: fn.bmj.com/content/105/3/232 fn.bmj.com/content/105/3/230 fn.bmj.com/content/105/3/240
I’m fairly sure we are all a bit exhausted by this pandemic. It’s not been nice. There have been changes which we all wonder about, trying to find silver linings, feeling awkward .. and which we muse on in this podcast (and here https://blogs.bmj.com/adc/2020/06/24/learnable-moments/ )
The meat of this month’s Archi is two issues which may make us uncomfortable as paediatricians too; how effective are non-standard therapies for tension headache (https://adc.bmj.com/content/early/2020/06/19/archdischild-2020-319303) and in addition to intensive psychological support and food, should we be offering exogenous oestrogens for bone health in teenage girls with anorexia? (https://adc.bmj.com/content/early/2020/06/09/archdischild-2019-318571)
We want to know how you’re thinking about evidence based practice too - what makes you feel uncomfortable enough to get to the library and look for the evidence - let us know or send us your Archi! Kids need evidence too.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the August 2020 issue.
Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/105/8/i
ADC Fetal and Neonatal’s Associate Editor Jonathan Davis and the Edition Editor of the journal Ben Stenson discuss the highlights from the July issue. Read the Fantoms here: https://fn.bmj.com/content/105/4/343 Discover the issue here: https://fn.bmj.com/content/105/4
You might be able to hear the tinkle of a tiny bell and the purr of a kitten on this month’s offerting, while you’re considering whywe have fewer trials of the ‘normal’ than we do of the extraordinary (https://blogs.bmj.com/adc/2020/05/20/questioning-the-minutiae/) and then be impressed by those who have tried to see if nasal lignocaine helps kids when they’re having an NG passed ( https://adc.bmj.com/content/early/2020/06/03/archdischild-2020-319197 ). You might also wonder if you’re about to request a CXR for a kid whose well and just had their chest drain taken out if you could save them, yourself, and the radiology team a lot of hassle by reading this one (https://adc.bmj.com/content/early/2020/05/31/archdischild-2020-318814)
We want to know how you’re thinking about evidence based practice too - let us know or send us your Archi!
And remember. Satay Alert. Control The Potatoes. Save Lives.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the July 2020 issue.
Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/105/7/i
With the explosion of the pre-print and the idol of peer review returning, we keep needing to think carefully about an evidence-based approach to our practice (https://blogs.bmj.com/adc/2020/04/25/the-problems-and-power-of-peer-review/) and follow the lead of those considering the use of laryngeal mask airways rather than proper tubes for neonates (https://adc.bmj.com/content/105/6/601.1) and also those brave souls who consider sending families home with skin decontamination regimens to reduce staph skin infections (https://adc.bmj.com/content/105/6/603) We want to know how you’re thinking about evidence-based practice too - let us know or send us your Archi! As with last month we would like to thank you: stay home. Go To Work. Save Lives.
The number of people forcibly displaced from their homes because of conflict, persecution, natural disasters and famine is increasing globally, reaching 68.5 million at the end of 2017. Over half of the world’s refugees are children. This podcast discusses how the experiences of child refugees, asylum seekers and undocumented migrants in England impacts on their health and presents recommendations as to how their health needs can be met. ADC’s Senior Editor Rachel Agbeko talks to Dr Amy Stevens (Health Education England Yorkshire) and the ADC Health Policy editor, John Puntis, Read the related review: http://dx.doi.org/10.1136/archdischild-2018-316614 The accompanying paper: http://dx.doi.org/10.1136/archdischild-2018-316474
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the June 2020 issue.
Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/105/6/i
This podcast is a discussion of the circulation response to cord clamping in congenital diaphragmatic hernia in an animal model. Jonathan Davis talks to Philip DeKoninck and Aidan Kashyap, both from The Ritchie Centre, Hudson Institute of Medical Research, Melbourne, Australia, who are authors of a study which concludes that physiologically-based cord clamping (PBCC) may improve the cardiopulmonary transition at birth in newborns with a congenital diaphragmatic hernia (CDH), after research with lambs. Read it on the ADC Fetal and Neonatal website: https://fn.bmj.com/content/105/1/18
ADC Fetal and Neonatal’s Associate Editor Jonathan Davis and the Edition Editor of the journal Ben Stenson discuss the highlights from the March issue. Read the Fantoms here: https://fn.bmj.com/content/105/2/115 Discover the issue here: https://fn.bmj.com/content/105/2
It’s a difficult world to live in, and our powers of communication are probably at their most needed right now. We discuss how to be clear about evidence based decision making ( https://blogs.bmj.com/adc/2020/03/19/in-pandemics-clear-thinking-and-explanations-matter-even-more/) and the presence of families in resuscitation (https://adc.bmj.com/content/early/2019/11/28/archdischild-2019-318314 ). We’re also addressing a thorny and difficult issue of inhaled budesonide in reducing chronic lung disease, but not increasing mortality. (https://adc.bmj.com/content/early/2020/03/26/archdischild-2019-318762 ) Stay Home. Go To Work. Save Lives.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the May 2020 issue. Read it on the Archives of Disease in Childhood website: http://dx.doi.org/10.1136/archdischild-2020-319275
The rationale for mandatory fortification of flour with folic acid is discussed in this ADC Spotlight podcast. Senior editor of ADC Rachel Agbeko talks to Nicholas Wald and Joan Morris, both from the Population Health Research Institute, St George’s, University of London, about their recent paper which is a response to the 2019 UK Government’s public consultation on the folic acid fortification of flour and grains. They also discuss what products should be fortified and the mean daily folic acid intake increase fortification should achieve across the population. The fortification of flour with folic acid (vitamin B9) should help prevent neural tube defects (NTDs). Read the paper for free on the ADC website: https://adc.bmj.com/content/105/1/6
How do we know when something it good enough? Close enough that we can use product A instead of product B? Well, that’s the issue we’ve addressed in our methods chat this month (https://adc.bmj.com/content/105/3/304.2) We’ve also looked at what used to be the things that sprang to mind with breathing difficulties; bronchiolitis and asthma. For bronchs - what dose of high flow oxygen (https://adc.bmj.com/content/105/3/304.1)? For asthma - could macrolides save the day (https://adc.bmj.com/content/105/3/306)? Have a listen, comment, subscribe, review us and let us know how lovely we are via all our social media. Will will appreciate it lots.
Jonathan Davis talks to Professor Yuan Shi - Department of Neonatology, Chongqing Medical University Affiliated Children's Hospital, China, who recently published recommendations for pregnant and new born babies in suspected infection with Covid-19. They also discuss what signs to look out for in patients. Read the letter on the on the ADC website (https://fn.bmj.com/content/early/2020/03/04/archdischild-2020-318996). It was accepted on February 20, 2020 and first published March 4, 2020.
Editor-in-Chief of ADC Nick Brown and Rachel Agbeko bring you the monthly Atoms - the highlights of the April 2020 issue.
Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/105/4/i
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the March 2020 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/105/3/i
The delight we all have in neonates spills over this issue, where we tackle the thorny issues of QTc prolongation with domperidone (https://adc.bmj.com/content/105/2/202) and how best to manage the concerns of a midwife over an raised cord blood lactate (https://adc.bmj.com/content/105/2/200.1). Sadly, how to remember how to calculate QTc or work in a constructive interprofessional manner aren’t all cleared up.
We also consider what isn’t being said when people write (https://adc.bmj.com/content/105/2/200.2) with a focus on clinical research reports.
Have a listen, comment, subscribe, review us and let us know how lovely we are via all our social media. Will will appreciate it lots.
Later than usual, this is the podcast about the Archimedes of the December 2019 issue. Children seem to throw up because they are poorly, or because they are excited, or because they are hot, or because they had too many fizzy sweeties, or because they know you’ve just had the car cleaned. So how do we manage a child who’s had a little head bump and has thrown up once? Find out in this podcast (and read more here: https://adc.bmj.com/content/104/12/1231) You can also discover if slow and steady is better than quick and often, at least when it comes to vancomycin dosing and tiny people (https://adc.bmj.com/content/104/12/1229.1 ). The answer’s obvious, of course, but .. well. Both could ‘obviously’ be correct, couldn’t they? And we also talk about how to know if two things which seems to have changed are really the same from a different viewpoint, sort of. Well, it’s a tricky idea but one which is worth getting to understand (https://adc.bmj.com/content/104/12/1229.2 ) When you’ve listened, please comment, and make sure you subscribe, review us and let us know how lovely we are via all our social media. Will will appreciate it lots.
The infant mortality rate in USA exceeds that of most other developed nations, ranking 26th among Organisation for Economic Co-operation and Development countries. This ADC Spotlight podcast is about inequity and health. Professor Heather Burris is the first author of the paper “Racial disparities in preterm birth in the US; a biosensor of physical and social environmental exposures” (https://adc.bmj.com/content/104/10/931). Professor Richard David is the author of the accompanying editorial “Inequity at Birth and Population Health” (https://adc.bmj.com/content/104/10/929). Both can be found in the October edition of Archives of Disease in Childhood and on our website at adc.bmj.com.
Editor-in-Chief of ADC Nick Brown and Senior Editor Rachel Agbeko bring you the monthly Atoms - the highlights of the February 2020 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/105/2/i
MRI is essential to the clinical management of children and young people with brain tumours and it is common practice to show these to patients and families, but how they emotionally respond to seeing brain tumour imaging? Rachel Agbeko explores the qualitative study "Patients’ and parents’ views on brain tumour MRIs" with the leading author of the paper Natalie Tyldesley-Marshall (Research fellow at the Institute of Applied Health Research, University of Birmingham, UK) and Dr Gail Halliday, Consultant in Paediatric Oncology, Great North Children’s Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust. You can read the paper FREE for a month: https://adc.bmj.com/content/early/2019/08/07/archdischild-2019-317306
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the January 2020 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/105/1/i
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the December 2019 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/104/12/i
This month brings big decisions and how to make them in our critical appraisal note (https://adc.bmj.com/content/104/11/1114.2) and this flows seamlessly into the questions too... almost like there’s some planning involved. We’re asking if prenatal echo can tell us who will need emergency atrial septostomies to make birth as safe to home as close to home a reality (https://adc.bmj.com/content/104/11/1114.1.abstract), and if apparently asymptomatic babies and children with malrotation really need and operation to untwirl their guts (https://adc.bmj.com/content/104/11/1116). If these get you excited to write your own story, head on over to the instructions to authors and find out how https://adc.bmj.com/pages/authors/#archimedes Don’t forget to like, subscribe, review us and let us know how lovely we are via all our social media too (please).
What if children could vote earlier? And before that, could they make themselves heard by entrusting their parents with their vote? Professor Neena Modi (Imperial College London, UK) says ‘yes’ and ‘yes’. Listen to the thought-provoking conversation with ADC’s Senior Editor Rachel Agbeko. The two paediatricians discuss the evidence behind these proposals and the role of doctors in the process of giving children a voice. Read the related paper on the Archives of Disease in Childhood website (free for a month): https://adc.bmj.com/content/early/2019/05/16/archdischild-2018-316523. There’s also a letter on this topic. “Age of consent?” is co-authored by a young person, Joseph Brown, as well as co-peer-reviewed by young people: https://adc.bmj.com/content/early/2019/09/17/archdischild-2019-318106.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the November 2019 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/104/11/i
Does bronchiectasis trouble you at night? Or during the day? Or the weekends? Would you like to brush up on the best evidence to treat and prevent exacerbations? Pop onto this podcast or read more here https://adc.bmj.com/content/early/2019/07/20/archdischild-2019-317562
You’ll I’m sure be wondering about how much you can extrapolate from the adult data into the kids, and this short appraisal note on our blog might help you https://blogs.bmj.com/adc/2019/08/22/neonates-are-not-tiny-children/
Bearing that in mind, the use of coffee to keep bronchi-babes out of the ICU will be of great interest to the student of EBM. So … you can swig in the summary we have here on how good it seems to be: https://adc.bmj.com/content/early/2019/07/20/archdischild-2019-317668
Don’t forget to like, subscribe, review us and let us know how lovely we are via all our social media too.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the October 2019 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/104/10/i
Discussion of a cross over RCT of oxygen automation in nasal high flow oxygen and the associated editorial. ADC Fetal & Neonatal Associate Editor Jonathan Davis talks to Charles Roehr (Oxford University Hospitals); Peter Reynolds (St. Peters Hospital, Chertsy, Surrey); and Peter Dargaville (Royal Hobart, Tasmania, Australia). Read the paper 'Randomised cross-over study of automated oxygen control for preterm infants receiving nasal high flow': https://fn.bmj.com/content/104/4/F366. Read the editorial 'Automated oxygen control in the preterm infant: automation yes, but we need intelligence': https://fn.bmj.com/content/104/4/F346
We have all manner of interesting stuff this month - if you want to keep troublesome cold sores away you can read the extra stuff here http://doi.org/10.1136/archdischild-2019-317249 after listening to our summary - if you want to help crying colic-y babies with probiotics you may want to brush up here http://doi.org/10.1136/archdischild-2019-317368
You may also want to write your own Archi - which is brilliant! Just make sure you know how you’re incorporating evidence, expert experience and expert opinion though - again you can listen or read about it here https://doi.org/10.1136/archdischild-2019-317948
Don’t forget to like, subscribe, review us and let us know how lovely we are via all our social media too.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the September 2019 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/104/9/i
Last month we asked about newborn baby checks being enhanced with pulse oximetry - this month we’re asking “What should you do with a sacral dimple?” (The answer is not “Throw it in the brig until it’s sober”). The answer - in terms of ultrasounding or not - can be found here (https://adc.bmj.com/content/104/8/816.1). You might also be wondering about the mineralisation of your jejunally fed kids too… I know I’ve spent many minutes wondering about how to spell that .. and if copper really is a trace element of importance beyond it’s pretty rusting. This knowledge thirst too can be slaked - here (https://adc.bmj.com/content/104/8/817) And if that’s not enough, we chat about the sometimes tricky issue of balancing the benefits against the harms of an intervention (or test, or measurement), which involves maths, but only those we teach to primary school children (https://adc.bmj.com/node/208810) If you do want to know other things, and we’ve not covered them, why just write your own Archi and submit it to us?
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the August 2019 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/104/8/i
How do we approach parents about organ donation? In the second episode of the ADC Spotlight, Rachel Agbeko invites an intensivist, Dr Susan Bratton, (Pediatric Critical Care Medicine, University of Utah, Salt Lake City, USA) and a psychologist, Dr Anne-Sophie Darlington (School of Health Sciences, University of Southampton, UK) to talk about end of life care for children and organ donation. They are the authors of two papers available for free for a month on the ADC website: - Parents’ experiences of requests for organ and tissue donation: The value of asking: https://adc.bmj.com/content/early/2019/05/10/archdischild-2018-316382 - Bereaved ICU Parental End of Life Care Goals: Including Organ Donation Regardless of Eligibility: https://adc.bmj.com/content/early/2019/05/25/archdischild-2019-317214.
All over the world, tonight, you can hear the sound of babies being examined for covert abnormalities. One of those tests would be the click-hip-thing, one pulse oximetry. Can we make pulse oximetry better though - well here’s an Archi that asks just that (https://adc.bmj.com/content/104/5/504). More babies could be found in those very special fish tanks with portholes - popping them out of those and into cots would be nicer for the families but maybe harder for the smallest children to grow and stay stable in temperature. The question you’re asking is clearly ‘but is 1.6kg big enough?’ … (https://adc.bmj.com/content/104/7/707.1) To start with we question the value of knowing things (https://blogs.bmj.com/adc/2019/04/25/look-away-now-if-you-dont-want-to-know-the-results/) but if you do want to know things, and we’ve not covered them, why not have a crack at your own Archi and submit it to us?
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the July 2019 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/104/7/i
Welcome to the new ADC Spotlight podcast! We'll be covering areas that don’t usually get much attention or might be taken for granted with the goal of promoting dialogue. In this first podcast, Rachel Agbeko, Associate Editor of Archives of Disease in Childhood, is joined by Jennifer Preston, Senior Patient and Public Involvement Manager at the University of Liverpool, Hugh Davies, Paediatrician and Research Ethics Advisor at the Health Research Authority and Bob Phillips, Paediatric Oncologist and Social Media and Archimedes Editor for ADC. They are the authors of four papers about research with children, which are part of a series being published between April and July 2019 by ADC (https://adc.bmj.com/): - In the April issue the Leading article ’Research beyond the hospital walls’ and the review ‘Making research central to good paediatric practice’. - In May the review ‘How to involve children and young people (CYP) in what is, after all, their research’. - In June the review ‘A framework to help design and review research involving children’. - In July the review ‘How to navigate the ethical review of research’.
The application of the best available evidence sometimes leaves you deciding which systematic review of RCTs is the best, and sometimes scrabbling in the tattered remnants of case reports. This podcast takes you across that spectrum from thinking about zinc supplementation for pneumonia in western Europe (https://adc.bmj.com/content/104/6/605.1) to the removal of a VP shunt in a child with appendicitis (https://adc.bmj.com/content/104/6/607 )… who also have a VP shunt, obviously. And we reference Baby Shark and LazyTown too (https://adc.bmj.com/content/104/6/605.2). Why not have a listen, wonder at the marvellousness of medicine, and give us your thoughts via the website or Twitter?
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the June 2019 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/104/6/i
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the May 2019 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/104/5/i
Sometimes there are days where you wish you’d not done something, and for many of us, those will be the days after drinking on an evening/night/early-morning out. (And for those who live in Oxford; it’s NEVER the kebab van. It’s the beer.) But there are gems of wisdom to be found by those who observe the socially unfettered antics, as you’ll hear if you listen in. You’ll also get to learn about how best to manage an asymptomatic twin if their sib is admitted with group B strep disease, [https://adc.bmj.com/content/104/4/401.1] or if a baby with a simple pneumothorax can be cured with more oxygen than usual [https://adc.bmj.com/content/104/4/405] Why not have a listen, ponder your drinking habits, and give us your thoughts via the website or Twitter?
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the April 2019 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/104/4/i.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the March 2019 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/104/3/i.
There are some questions which are really hard - this month people are trying to answer them. These include “Can I prevent SIDS with a baby sleeping bag?” [https://adc.bmj.com/content/104/3/305] and “Which pressor is first choice in children with septic shock?” [https://adc.bmj.com/content/104/3/303.1] and also - “How often is too often to cry ‘Wolf!’?” [ https://blogs.bmj.com/adc/2016/03/02/how-often-can-you-cry-wolf/]. Why not have a listen and give us your thoughts via the website or Twitter?
The Editor's Choice paper of the ADC Fetal & Neonatal January edition explores the characteristics of successful neonatal intensive care units and is the topic of a broader discussion between Jonathan Davis, ADC Fetal & Neonatal Associate Editor, and Dr Joseph Kaempf, Women and Children’s Services, Department of Neonatology, Portland, USA. Dr Kaempf is the corresponding author of the paper “Using a composite morbidity score and cultural survey to explore characteristics of high proficiency neonatal intensive care units” (https://fn.bmj.com/content/104/1/F13). Read the related editorial as well, “The secret sauce: secrets of high performing neonatal intensive care units” (https://fn.bmj.com/content/104/1/F4). The other study mentioned in this podcast can be accessed here: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2203907.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the February 2019 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/104/2/i.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the January 2019 issue. Read the highlights on the Archives of Disease in Childhood website: https://adc.bmj.com/content/104/1/i.
When do questions get too tricky? What fluid should you use for what job? How quickly should you do it? And what reindeer based evidence might be hiding in this month’s Archimedes podcast?
Well you can read the answers to some of these questions in the editorialising section [https://adc.bmj.com/content/103/12/1178.2], a nephrology view of fluid composition [https://adc.bmj.com/content/103/12/1178.1] and a speedsters thinking on cerebral oedema [https://adc.bmj.com/content/103/12/1180] .. or you can listen in .. or both!
Happy Christmas everyone.
The complications of neonatal intubation are discussed in this podcast. Joyce O'Shea and Marta Thio, both from the Newborn Research Centre, Royal Women’s Hospital, Melbourne, Australia, talk to the ADC Fetal & Neonatal Associate Editor Jonathan Davis. Read the paper on the ADC FN website: https://fn.bmj.com/content/103/5/F408.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the December 2018 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/103/12/i.
Bob Phillips discusses the November 2018 Archimedes section discussing two clinical questions from the journal. QUESTION 1: Do children with Down syndrome benefit from extra vaccinations? https://adc.bmj.com/content/103/11/1085 QUESTION 2: Etanercept or adalimumab: which is a better biological therapy for juvenile idiopathic arthritis? https://adc.bmj.com/content/103/11/1087 Towards evidence based medicine for paediatricians https://adc.bmj.com/content/103/11/1058
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the November 2018 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/103/11/i.
By highlighting what is new in paediatric medication safety, as well as the gaps that remain, the authors of this paper hope to continue to foster focus on this critically important area. Dr Claire Lemer (Consultant in children's health) and Dr Dan Hawcutt (Senior Lecturer Paediatric Clinical Pharmacology, University of Liverpool) discuss the paper published by ADC, “What is new in paediatric medication safety?”. Read it here: https://adc.bmj.com/content/early/2018/08/27/archdischild-2018-315175.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the October 2018 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/103/10/i.
Discussion of paper "Outcomes of oxygen saturation targeting during delivery room stabilisation of preterm infants", included on the ADC Fetal and Neonatal issue of September 2018. https://fn.bmj.com/content/103/5/F446
This podcast is a conversation between Dr Jan Aldridge, Consultant Clinical Psychologist at Martin House Children’s Hospice, Yorkshire, and Dr Bob Phillips, Consultant Paediatric Oncologist, about the challenges of working directly with children who are dying and their families. It’s based on a great paper from the Education and Practice section (ep.bmj.com/content/102/4/182) and we hope it brings to life some of the challenges we face. Conversation on this welcome!
In this episode, ADC’s Editor-in-Chief Nick Brown talks to Mark Peters, Professor of Paediatric Intensive Care at Great Ormond Street Hospital. They discuss the recent editorial published in ADC regarding the risks of supplemental oxygen in acute illness. http://dx.doi.org/10.1136/archdischild-2018-315437
This month, ADC's Social Media and Archimedes Editor Bob Phillips has learned quite a lot about things he never realised he never knew about - like chelation of heavy metals for altering behaviour in people with autistic spectrum disorder (adc.bmj.com/content/early/2018/07/14/archdischild-2018-315338), and if horse beats human in the race to help infants with botulism (adc.bmj.com/content/early/2018/07/14/archdischild-2018-315498). Not all Archimedes questions need to be this rarified though - earaches, positron emission tomography and chloride channel activators are all just as welcome. Listen, enjoy, and share with your Grandparents just for fun. https://adc.bmj.com/content/103/9#Archimedes
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the September 2018 issue in a very short podcast. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/103/9/ii.
There may be people old enough to remember chalk at school, or young enough to recall playing with massive sticks of it on the tarmac outside. That’s not relevant in this Archimedes though, as we grapple with renal stones and how to get rid of them (adc.bmj.com/content/103/8/806.1) and how much Vitamin D does a preterm need to have nicely crunchy bones (adc.bmj.com/content/103/8/808).
Does reading that make you think “How much wood does a woodchuck chuck if a woodchuck could chuck wood?”
Anyway - enjoy and share. And send in both your Archimedes and tongue twisters for future editions. https://adc.bmj.com/content/103/8#Archimedes
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the August 2018 issue in a very short podcast. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/103/8/i.
Severe acquired subglottic stenosis is a serious consequence of intubation for mechanical ventilation in neonatal intensive care unit graduates, especially in preterm infants, concludes a case-control study discussed in this podcast. The paper adds that this serious complication may be prevented by minimising trauma during intubations, avoiding recurrent extubation/reintubations and using appropriate sized endotracheal tubes. Listen to the conversation between the ADC Fetal & Neonatal Associate Editor Jonathan Davis and Rebecca Thomas (Consultant neonatologist at Perth Children's Hospital, Australia) here and read the paper at: https://fn.bmj.com/content/103/4/F349.
After giving you all the heads-up on the process of doing an Archimedes last month, this month we address ways of improving breathing. First, in the emergency department - we’re asking should you use pred or dex in wheeze (https://adc.bmj.com/content/103/7/707.1) and then in the neonatal intensive care unit where we’re questioning what sort of device to use to puff pressure into those teeny tiny noses? (https://adc.bmj.com/content/103/7/709). We’ve got a spot of philosophy too. https://adc.bmj.com/content/103/7#Archimedes
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the July 2018 issue in a very short podcast. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/103/7/ii.
The ambition to halve the number of deaths and brain injuries related to births by 2030 was announced by the Department of Health in England, in 2015. The study discussed in this podcast presents a pragmatic case definition and annual incidence rates from data held in the National Neonatal Research Database (NNRD). Chris Gale (Section of Neonatal Medicine, Imperial College London, UK), tells ADC Fetal & Neonatal Associate Editor Jonathan Davis how his team is working with the NHS on the ambition of making England "the safest place in the world to have a baby". Read the study here: fn.bmj.com/content/early/2017/10/22/archdischild-2017-313707.
Listen up folks! In the spirit of carefree nuns and clean mountain air, Archimedes has had a burst of newness. This month, we talk to Alisha Burnham, published Archi Author, about the process of doing an Archimedes and how you too can get started.
Considering the large increase in the number of children and adolescents who question conventional gender expectations and seek to develop a body that is congruent with their gender feelings, how can paediatricians best respond? Dysphoria v. dysmorphia; or diagnosis v. recognition are some of the concepts and distinctions you’ll hear about in this podcast, which is an absorbing conversation between the ADC’s Editor-in-Chief Nick Brown and Gary Butler, Professor at the University College London Hospital NHS Trust, UK. For more information about the topics included in this podcast, read the review on the ADC website, which will also be included in the journal’s July 2018 issue: “Assessment and support of children and adolescents with gender dysphoria” - http://adc.bmj.com/content/early/2018/04/26/archdischild-2018-314992.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the June 2018 issue in a very short podcast. Read the highlights on the Archives of Disease in Childhood website: http://adc.bmj.com/content/103/6/i.
Too tiny or too young to have ivermectin? Well, you might not think so after listening to this month’s podcast or reading the informative article here: http://adc.bmj.com/content/103/5/514.1. Just don’t find yourself scratching too much. And if you’re a bit frustrated by recurrent viral wheeze in your toddler, have you thought about leukotriene antagonists? (Well stop thinking about it now; listen up to find out why you can save yourself the hassle of giving them - http://adc.bmj.com/content/103/5/519.) There may even be singing. Read all the Archimedes for May 2018 on the Archives of Disease in Childhood website: http://adc.bmj.com/content/103/5#Archimedes.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the May 2018 issue in a very short podcast. Read the highlights on the Archives of Disease in Childhood website: http://adc.bmj.com/content/103/5/i.
What’s the safety and tolerability of the new enriched synthetic surfactant CHF5633? Associate Editor of ADC FN Jonathan Davis is joined by David Sweet (Royal Maternity Hospital, Belfast) to discuss a first-in-human clinical study of two human surfactant proteins in preterm babies with respiratory distress syndrome. Read the Archives of Disease in Childhood: Fetal & Neonatal's open access paper "A first-in-human clinical study of a new SP-B and SP-C enriched synthetic surfactant (CHF5633) in preterm babies with respiratory distress syndrome": http://fn.bmj.com/content/102/6/F497.
You wanted interviews, about how to get blood from the feet of neoates? You’ve come to the right spot; this month covers this issue http://adc.bmj.com/content/103/4/401 and also the thorny thing about which growth chart you use - the customised one the mum has been carrying throughout pregnancy or the one you just got from the stationary file in the office http://adc.bmj.com/content/103/4/399.1 ? We also talk how pathology might be worthwhile. And still no singing. Read the Archimedes for April 2018 here: http://adc.bmj.com/content/103/4#Archimedes
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the April 2018 issue in a very short podcast. Read the highlights on the Archives of Disease in Childhood website: http://adc.bmj.com/content/103/4/i.
Professor of Neonatology Colm O'Donnell, University College Dublin, and Neonatologist Emily Kiernan, British Colombia Women's Centre, Vancouver, discuss a randomised trial on skin cleansing in preterm neonates, Clorhexidine vs Iodine, with Jonathan Davis, Associate Editor of ADC FN. Read the free paper “2% chlorhexidine–70% isopropyl alcohol versus 10% povidone–iodine for insertion site cleaning before central line insertion in preterm infants: a randomised trial” here: http://fn.bmj.com/content/103/2/F101.
This month has work from lower/middle-income countries offering to impact up care both within those resource settings, and the high-income countries that usually provide the bulk of Archi’s feeds. There are questions about the validity of 'PCV/3' as a haemoglobin estimate: adc.bmj.com/content/103/3/301 and uncertainty about if zinc should be given to children with diarrhoea on Salisbury Plain: adc.bmj.com/content/103/3/297.1 We also have the horror of spelling tests rearing their head. And no singing. More on the ADC’s February 2018 Archimedes here: http://adc.bmj.com/content/103/3/297.2
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the March 2018 issue in a very short podcast. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/103/3/i.
Professor Ulrich Thome, Division of Neonatology, University Hospital for Children and Adolescents, University of Leipzig, Germany, joins Jonathan Davis to discuss the paper "Neurodevelopmental outcomes of extremely low birthweight infants randomised to different PCO2 targets: the PHELBI follow-up study". The Associate Editor of ADC Fetal and Neonatal edition spoke with the author at the Joint European Neonatal Societies meeting in Venice. Read the paper included in the September's 2017 edition of the journal here: http://fn.bmj.com/content/102/5/F376.
It’s Musical Month in Archimedes as the podcast explores the nature of regret and rationality, has a snippet of song, and then goes on to more seriously see if Vitamin D can help with Growing pains. Read the article: http://adc.bmj.com/content/103/2/203. Also in this podcast, should you swallow or dribble antibiotics for ear infections in children with grommets? More details here: http://adc.bmj.com/content/103/2/200.1. More on the ADC’s January 2018 Archimedes here: http://adc.bmj.com/content/103/2/200.2.
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the February 2018 issue in a just over 5-minute podcast. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/103/2/i.
Associate Editor of ADC Fetal and Neonatal edition Jonathan Davis discusses delayed cord clamping in preterm birth with Jon Dorling (Nottingham Clinical Trials Unit, Queen’s Medical Centre, University of Nottingham, UK), Sam Oddie (Centre for Reviews and Dissemination, Hull York Medical School, University of York, UK). Related articles: Randomised trial of cord clamping and initial stabilisation at very preterm birth - http://fn.bmj.com/content/103/1/F6. Editorial: Timing is everything - http://fn.bmj.com/content/103/1/F2. Fifteen-minute consultation: stabilisation of the high-risk newborn infant beside the mother - http://ep.bmj.com/content/102/5/235.
Nick Brown brings you the monthly Atoms - the highlights of the January 2018 issue in a few words. Read the highlights on the ADC website: http://adc.bmj.com/content/103/1/i.
The January 2018 Archimedes podcast contains all sorts of fun looking at the safety of ACE-inhibitors in children - http://adc.bmj.com/content/103/1/106.1, squaring up to the Rule of Three (malaria tests in this instance) - http://adc.bmj.com/content/103/1/1.1 - and we also talk validation and revalidation in an attempt to predict the future http://adc.bmj.com/content/103/1/106.2. The ADC Archimedes podcast, home of the best evidence-paediatrics chat, is presented by Bob Phillips, the Social Media and Archimedes Editor. http://adc.bmj.com/content/103/1#Archimedes
Stepping back from doing things is the theme of the December 2017’s Archimedes podcast with questions of how not to engage in pointless practices at the forefront of our minds. Read about the lack of advantage of high-dose aspirin in Kawasaki disease here - http://adc.bmj.com/content/102/12/1180.1 - and follow-up x-rays for round pneumonia here - http://adc.bmj.com/content/102/12/1182 -, whose leading author, Patrick McCrossan (Paediatrics, Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland, UK), is interviewed in this podcast. The ADC Archimedes podcast, home of the best evidence-paediatrics chat, is presented by Bob Phillips, the Social Media and Archimedes Editor. http://adc.bmj.com/content/102/12#Archimedes
Nick Brown is the new Editor-in-Chief of Archives and Disease in Childhood. Listen to his vision for the journal in this podcast, which will bring you Atoms - the highlights of this issue in a few words. Read the highlights of the December 2017 issue here: http://adc.bmj.com/content/102/12/i.
The October 2017’s Archimedes podcast includes answers to “Have you ever wondered if it might be worth trying to do an Archi?” and “What came first, the ‘brufen or the necrotic flesh?” along with cerebrospinal fluid (CSF) analysis and musings on the nature of evidence-based medicine. Read more about varicella-zoster virus (VZV) and non-steroidal anti-inflammatories here - http://adc.bmj.com/content/102/10/988.1 - and how to interpret delayed CSF results here - http://adc.bmj.com/content/102/10/990. The ADC Archimedes podcast, home of the best evidence-paediatrics chat, is presented by Bob Phillips, the Social Media and Archimedes Editor.
In the September 2017 podcast, we have two evidence-based cases, an exposition of shared decision making, and a zingier feel to the podcast which we’d like you to appreciate fully. You can read the full articles on plant oils for baby soft skin here - http://adc.bmj.com/content/102/9/873 - and melatonin for sleep disturbances in children with intellectual disability here - http://adc.bmj.com/content/102/9/870 - along with our blog discussing all manner of EBM things at blogs.bmj.com/adc. The ADC Archimedes podcast, home of the best evidence-paediatrics chat, is presented by Bob Phillips, the Social Media and Archimedes Editor.
Professor of Obstetrics and Gynaecology at University of Cambridge Gordon Smith discusses a leading article from the July Edition of the Archives of Disease in Childhood Fetal and Neonatal edition with Associate Editor Jonathan Davis. The article states that administration of betamethasone to women with threatened preterm delivery at 34–36 weeks of gestational age to reduce the risk of neonatal respiratory morbidity may cause long-term harm through effects on the infant’s brain. This podcast includes a postscript with a response from the authors of the paper discussed. Read the full paper here: http://dx.doi.org/10.1136/archdischild-2016-312333.
Associate Editor of Archives of Disease in Childhood Fetal and Neonatal edition Jonathan Davis is joined by two authors included in the May 2017's issue of the journal: Deirdre Murray and Louise Kenny (both from the Irish Centre for Fetal and Neonatal Translational Research, Cork University Maternity Hospital, Ireland). They are two of the authors of ‘Thin-for-gestational age infants are at increased risk of neurodevelopmental delay at 2 years’. Read the full article: http://fn.bmj.com/content/102/3/F197. The Cork BASELINE Birth Cohort Study was funded by the National Children's Research Centre. The SCOPE study was funded by the Health Research Board, Ireland.
More from the ADC FN May 2017's edition here: http://fn.bmj.com/content/102/3.
We're back! The ADC Archimedes podcast, home of the best evidence-paediatrics chat in Soundcloud has been reborn. This month, Bob Phillips, the Social Media and Archimedes Editor, talks runny poo and how to reduce it (see 'Probiotics in acute infectious diarrhoea: should we run with it?' here http://adc.bmj.com/content/102/8/782) and what to pre-med a prem in the own words of Tim van Hasselt, Birmingham Children’s Hospital, (read 'What is the best sedative to give as premedication for neonatal intubation?' here http://adc.bmj.com/content/102/8/780.1). There's also our usual scintillating rant on something evidencey (see http://adc.bmj.com/content/102/8/780.2). http://adc.bmj.com
Paediatric training and the practice of paediatrics is built on the bedrock of ensuring best possible health outcomes for all children, optimising opportunity for those without full health and contributing to a voice, in advocacy, for children. In the world’s high-income countries (HICs), child health outcomes are comparatively good, and the paediatric workforce well trained to manage the health issues of children. Paediatric training and continuing professional development is generally under the authority of paediatric societies or colleges. Such organisations are well funded and supported, have long traditions of curriculum and resource development with supervisors trained in postgraduate training and supervision. They have a history of matching training needs to the health needs of their children. Some attempt at supporting advocacy and a voice for children is made, and a sense that paediatricians do all they can for the underprivileged is instilled during training. Such approaches are right and proper, but do they miss something fundamental?
The question is the starting point of this podcast. ADC Global Child Health editor Nick Brown interviews Professor Kevin Forsyth (Department of Paediatrics and Child Health, Flinders University School of Medicine, Adelaide, Australia) about his article published in the June 2017 edition of ADC.
The article 'Strengthening the global paediatric workforce: the need for a global strategy to ensure better health outcomes for children' is accessible on the ADC website: http://adc.bmj.com/content/102/6/585.
The automated control of inspired oxygen in the preterm infants is discussed in this podcast. Associate Editor of Archives of Disease in Childhood Fetal and Neonatal edition Jonathan Davis is joined by two authors included in the January 2017 issue of the journal: Christian Poets (Department of Neonatology, University Children's Hospital, Tübingen, Germany) and Peter Dargaville (Department of Paediatrics, Royal Hobart Hospital, Hobart, Tasmania, Australia). Find more details of the ADC Fetal & Neonatal edition here: http://fn.bmj.com/content/102/1/F1. Read the three articles mentioned in this podcast here: • “Automated FiO2 control: nice to have, or an essential addition to neonatal intensive care?” http://fn.bmj.com/content/102/1/F5 • Development and preclinical testing of an adaptive algorithm for automated control of inspired oxygen in the preterm infant http://fn.bmj.com/content/102/1/F31 • Clinical evaluation of a novel adaptive algorithm for automated control of oxygen therapy in preterm infants on non-invasive respiratory support http://fn.bmj.com/content/102/1/F37.
The Critical Creative Innovative Thinking (CCIT) is a forum formed at the Aga Khan University (AKU) in Karachi, Pakistan, aiming to provide an arena conducive to lateral thinking and to equip biomedical professionals with the skill set to enable and promote creativity and innovation in paediatric care for resource-limited backgrounds.
The promoter of this project, Asad Mian, (Departments of Emergency Medicine, Paediatrics & Child Health, AKU) tells global commissioning editor of ADC, Nick Brown, how the CCIT is making a positive difference in Pakistan and could be applied to other low-income settings.
Dr Mian is also an Associate Professor at the AKU. Read the article “Paediatric Innovation In Pakistan Our Experience And A Call To Action” in the Archives of Diseases in Childhood website: http://adc.bmj.com/content/early/2017/05/26/archdischild-2016-312123.
The global eradication of polio is closer than ever. Milestones in this effort include the eradication of type-2 polio (one of three), the ongoing introduction of inactivated polio vaccine (IPV) into routine immunisation schedules, and the complex synchronised switch from trivalent OPV (all three types) to bivalent OPV (types 1 and 3) in all OPV-using countries during two weeks in April, 2016.
A year on since the implementation of that switch, Julie Garon (Department of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA) describes it as an “overall huge success”, involving coordination and commitment from all levels of vaccination programs. However, work is still needed to eliminate the final cases of wild poliovirus.
Ms. Garon talks Associate Editor of ADC Nick Brown through the rationale behind and the steps involved in the unprecedented synchronised switch from tOPV to bOPV.
Read the full article by Julie Garon et al., “The polio endgame: rationale behind the change in immunisation” at the Archives of Disease in Childhood website:adc.bmj.com/content/102/4/362.
Bob Philips introduces the latest Archimedes podcast. Follow the links below to read the articles.
Towards evidence based medicine for paediatricians - http://adc.bmj.com/content/102/3/285.2
QUESTION 1: What is the risk of a repeat reaction to amoxicillin or a cephalosporin in children with a history of a non-immediate reaction to amoxicillin? - http://adc.bmj.com/content/102/3/285.1
QUESTION 2: Does prophylactic nystatin prevent invasive fungal infections in immunocompetent critically ill children on broad-spectrum antibiotics? - http://adc.bmj.com/content/102/3/288
Education and Practice edition editor introduces his highlights of the December 2016 issue of the journal.
Read the choices here: http://ep.bmj.com/content/101/6/281
Access the full issue here: http://ep.bmj.com/content/101/6.
FNN Associate Editor Jonathan Davis interviews Annie Janview on her editorial Delivery room practices for extremely preterm infants: the harms of the gestational age label. The editorial relates to the original article Delivery room management of extremely preterm infants: the EPIPAGE-2 study.
You can read the articles here:
Original Article Delivery room management of extremely preterm infants: the EPIPAGE-2 study - http://fn.bmj.com/content/early/2016/02/02/archdischild-2015-308728.full
Editorial Delivery room practices for extremely preterm infants: the harms of the gestational age label - http://fn.bmj.com/content/101/5/F375.full
Global Child Health editor Nick Brown interviews Chris Paton and Hilary Edgcombe on their article Enhancing emergency care in low-income countries using mobile technology-based training tools.
You can read the article here: http://adc.bmj.com/content/101/12/1149.full
Mark Beattie introduces his highlights from the November 2016 issue of ADC.
Here are the links to the articles discussed:
Catch-up growth and metabolic outcomes in adolescents born preterm - http://adc.bmj.com/content/101/11/1026.abstract
Recent advances in the management of infants born <1000 g - http://adc.bmj.com/content/101/11/1053.full
A comparison of preprepared commercial infant feeding meals with home-cooked recipes - http://adc.bmj.com/content/101/11/1037.full
Is the prevalence of hypertension in overweight children overestimated? - http://adc.bmj.com/content/101/11/998.full
Integrated care: a solution for improving children's health? - http://adc.bmj.com/content/101/11/992.extract
Read the full issue here: http://adc.bmj.com/content/101/11.toc
Ian Wacogne introduces his highlights from the October 2016 E&P issue, discussing the following articles:
How to interpret mast cell tests - http://ep.bmj.com/content/101/5/246
Openness and honesty when things go wrong: the professional duty of candour (GMC guideline) - http://ep.bmj.com/content/101/5/243.full
A paediatrician's guide to clinical trials units - http://ep.bmj.com/content/101/5/265.full
HR-pQCT: a non-invasive ‘biopsy’ to assess bone structure and strength - http://ep.bmj.com/content/101/5/268
Using animal models to improve care of neonatal encephalopathy - http://ep.bmj.com/content/101/5/271
Read the full issue here: http://ep.bmj.com/content/101/5.toc
Mark Beattie introduces his highlights from the October 2016 issue of ADC.
Here are the links to the articles discussed:
I've got 99 problems but a phone ain't one: Electronic and mobile health in low and middle income countries - http://adc.bmj.com/content/101/10/974.full
Selecting children for head CT following head injury - http://adc.bmj.com/content/101/10/929.full
Clinical presentation of childhood leukaemia: a systematic review and meta-analysis - http://adc.bmj.com/content/101/10/894.full
Related editorial: When should I suspect childhood leukaemia? - http://adc.bmj.com/content/101/10/874.full
Update on carbohydrates and health: the relevance of the Scientific Advisory Committee on Nutrition report for children - http://adc.bmj.com/content/101/10/876.extract
Family income and young adolescents’ perceived social position: associations with self-esteem and life satisfaction in the UK Millennium Cohort Study - http://adc.bmj.com/content/101/10/917.full
You can access the whole issue here: http://adc.bmj.com/content/101/10.toc
Mark Beattie introduces his highlights from the September 2016 issue of ADC.
Here are the links to the articles discussed:
Is it taking longer to die in paediatric intensive care in England and Wales? - http://adc.bmj.com/content/101/9/798.full Related editorial: Dying later, surviving longer - http://adc.bmj.com/content/101/9/783.full
Pathways between health, education and income in adolescence and adulthood - http://adc.bmj.com/content/101/9/825.abstract
Learning from excellence in healthcare: a new approach to incident reporting - http://adc.bmj.com/content/101/9/788.full
Quality Improvement Structured, supported feeding admissions for restrictive eating disorders on paediatric wards - http://adc.bmj.com/content/101/9/836.full
A bundle improves eye care in PICU - http://adc.bmj.com/content/101/9/832.full
Bob Phillips discusses the September 2016 Archimedes section discussing two clinical questions from the journal.
QUESTION 1: Should the passage of a nasogastric tube be universal to all babies born to mothers with polyhydramnios or targeted to those with additional findings on ultrasound? http://adc.bmj.com/content/101/9/866.1.extract
QUESTION 2: Is frusemide necessary following red cell transfusion in preterm neonates? http://adc.bmj.com/content/101/9/868.extract
Towards evidence based medicine for paediatricians http://adc.bmj.com/content/101/9/866.2.extract
Global Child Health editor Nick Brown interviews Adnan Hyder about his recent ADC paper on road traffic incident prevention in lower middle income countries.
Read the paper here: http://adc.bmj.com/content/early/2016/08/19/archdischild-2015-309586.abstract
Bob Phillips discusses the August 2016 Archimedes section discussing two clinical questions from the journal.
QUESTION 1: Teething issues: can doxycycline be safely used in young children? http://adc.bmj.com/content/101/8/772.1.extract
QUESTION 2: Is the lateral decubitus position best for successful paediatric lumbar puncture? http://adc.bmj.com/content/101/8/774.extract
Towards evidence based medicine for paediatricians http://adc.bmj.com/content/101/8/772.2.extract
A discussion of the moral distress experienced by nursing and medical professionals within neonatal intensive care units (NICUs) and paediatric intensive care units (PICUs). Nick Brown interviews David Field, who wrote an accompanying editorial to the systematic review.
Systematic Review Moral distress within neonatal and paediatric intensive care units: a systematic review - http://adc.bmj.com/content/101/8/701.full
Linked Editorial Moral distress: an inevitable part of neonatal and paediatric intensive care? - http://adc.bmj.com/content/101/8/686.full
Related podcast Life-Limiting and Life-Threatening Conditions in Children: a Framework for Practice - https://soundcloud.com/bmjpodcasts/the-archimedes-podcast-november-2015?in=bmjpodcasts/sets/adc-podcast
Mark Beattie introduces the highlights from the August 2016 issue of ADC.
You can read the full issue here: http://adc.bmj.com/content/101/8.toc
Featured articles: Exploring the impact of early life factors on inequalities in risk of overweight in UK children: findings from the UK Millennium Cohort Study - http://adc.bmj.com/content/101/8/724.full
Who comes back with what: a retrospective database study on reasons for emergency readmission to hospital in children and young people in England - http://adc.bmj.com/content/101/8/714.abstract
Is asthma overdiagnosed? - http://adc.bmj.com/content/101/8/688.full
Moral distress within neonatal and paediatric intensive care units: a systematic review - http://adc.bmj.com/content/101/8/701.full
Related article: Moral distress: an inevitable part of neonatal and paediatric intensive care? - http://adc.bmj.com/content/101/8/686.full
Poverty and child health in the UK: using evidence for action - http://adc.bmj.com/content/101/8/759.full
Edition editor Ian Wacogne discusses this month's epistle, drawing attention to his highlights of the issue.
You can read the August 2016 edition of the journal here: http://ep.bmj.com/content/101/4.toc
Maintaining compassion and preventing compassion fatigue: a practical guide - http://ep.bmj.com/content/101/4/170
Fifteen-minute consultation on problems in the healthy child: sleep - http://ep.bmj.com/content/101/4/175
The role of paediatricians in public health for children and young people - http://ep.bmj.com/content/101/4/181
FNN Associate Editor Jonathan Davis interviews Peter Reynolds, Brett Manley and Mark Davies in an extended debate on the use of nasal high flow (nHF) for stabilisation of babies born at <30 weeks gestation in the delivery room (DR) and transfer to the neonatal intensive care unit (NICU).
Read the related Editor's Choice article and editorial here:
Research Article: Stabilisation of premature infants in the delivery room with nasal high flow - http://fn.bmj.com/content/101/4/F284.full
Editorial: Nasal high flow: going viral? - http://fn.bmj.com/content/101/4/F282.full
Global Child Health editor Nick Brown interviews Pratap Kumar about paper I've got 99 problems but a phone ain't one: Electronic and mobile health in low and middle income countries, an analysis of ehealth innovations in Kenya looking at access and quality while considering the costs of healthcare.
Read the paper here: http://adc.bmj.com/content/early/2016/06/13/archdischild-2015-308556.abstract
Global Child Health editor Nick Brown interviews author Nathalie MacDermott on the article Viral Haemorrhagic Fever in Children.
You can read this Editor's Choice article for free here: http://adc.bmj.com/content/101/5/461.full
Mark Beattie introduces the July 2016 edition of ADC. Find the papers discussed below:
Prevention of neural tube defects in the UK: a missed opportunity - http://adc.bmj.com/content/101/7/604.full
Fortification of flour with folic acid is an overdue public health measure in the UK - http://adc.bmj.com/content/101/7/593.full
Outbreak of Zika virus disease in the Americas and the association with microcephaly, congenital malformations and Guillain–Barré syndrome - http://adc.bmj.com/content/101/7/600.full
Health of adolescent refugees resettling in high-income countries - http://adc.bmj.com/content/101/7/670.full
Is screening for urine infection in well infants with prolonged jaundice required? Local review and meta-analysis of existing data - http://adc.bmj.com/content/101/7/614.abstract
Editor-in-Chief Mark Beattie introduces his highlights from the June 2016 issue of the journal.
Read the articles here: adc.bmj.com/content/101/6.toc
Recovery position significantly associated with a reduced admission rate of children with loss of consciousness - http://adc.bmj.com/content/101/6/521.abstract Positioning the breathing but unresponsive patient: what is the evidence? - http://adc.bmj.com/content/101/6/508.extract Voice problems in school-aged children following very preterm birth - http://adc.bmj.com/content/101/6/556.abstract A qualitative study of sleep quality in children and their resident parents when in hospital - http://adc.bmj.com/content/101/6/546.abstract Are parents’ anxiety and depression related to child fussy eating? - http://adc.bmj.com/content/101/6/533.abstract What is a normal blood glucose - http://adc.bmj.com/content/101/6/569.abstract Recognition, assessment and management of hypoglycaemia in childhood - http://adc.bmj.com/content/101/6/575.full
Jonathan Davis interviews Stuart Hooper and Arjan Te Pas on the subject of respiratory transition in the newborn.
Read the article here: http://fn.bmj.com/content/101/3/F266.full?sid=461f6520-74ed-40c4-8b9d-ffab75c5c4b4
Bob Phillips guides us through the June 2016 Archimedes section. This month the questions are:
Are paediatric oncology patients at risk of transfusional iron overload? http://adc.bmj.com/content/101/6/586.1.extract
Is HLA typing for coeliac disease helpful in children with type 1 diabetes mellitus? http://adc.bmj.com/content/101/6/590.extract
Ian Wacogne introduces his highlights from the April 2016 Education and Practice issue.
You can read these highlights and indeed the whole issue here: ep.bmj.com/content/101/3.toc
Robert Scott-Jupp introduces the May 2016 ADC section Lucina.
Read the highlights here:
Screening for autism: http://adc.bmj.com/content/101/5/454.extract
Does changing gender make children happier?: http://adc.bmj.com/content/101/5/460.extract
Robert Scott-Jupp introduces the March 2016 Lucina section of the journal.
You can read these here: http://adc.bmj.com/content/101/3/296.full
Robert Scott-Jupp introduces ADC's May 2016 edition of the Lucina section.
Read these for yourself here:
http://adc.bmj.com/content/101/5/504.extract
Robert Scott-Jupp introduces the April 2016 Archivist choices on vitamin d deficiency and rickets.
You can read the paper here: http://adc.bmj.com/content/101/4/408.full
Robert Scott-Jupp introduces the April 2016 Archivist choice on proton beam therapy
You can read the paper here: http://adc.bmj.com/content/101/4/355.full
Nick Brown introduces his highlights from the May 2016 issue of the journal.
Read the articles here: http://adc.bmj.com/content/101/5.toc
Viral haemorragic fevers: http://adc.bmj.com/content/101/5/461 CMV-related hearing loss: http://adc.bmj.com/content/101/5/433 Thromboembolism: http://adc.bmj.com/content/101/5/427 Neonatal resuscitation: http://adc.bmj.com/content/101/5/439 Inflammatory bowel disease: http://adc.bmj.com/content/101/5/469 & http://adc.bmj.com/content/101/5/475 Acute lymphoblastic leukaemia: http://adc.bmj.com/content/101/5/449
Robert Scott-Jupp introduces the March 2016 Archivist choice on early weight gain and diabetes.
You can read the article here: http://adc.bmj.com/content/101/3/277.full
An early look at May's Archimedes section. Bob Phillips introduces section and you can find the articles here: http://adc.bmj.com/content/current#Archimedes
Mark Beattie interviews Richard Russull about his second paper in the May 2016 edition of Archives of Disease in Childhood - Management of Ulcerative Colitis.
Read the Open Access paper here: http://adc.bmj.com/content/101/5/469.full
Mark Beattie interviews Richard Russell about his Open Access paper Management of Crohn's Disease
Read the paper here: http://adc.bmj.com/content/101/5/475.full
Robert Scott-Jupp discusses the March 2016 Archivist section of the journal.
Antidepressants in pregnancy and autism http://adc.bmj.com/content/101/3/240.full
Ian Wacogne introduces his highlights from the April 2016 Education and Practice issue.
You can read these highlights and indeed the whole issue here: http://ep.bmj.com/content/101/2.toc
Mark Beattie discusses the April 2016 Atoms section of the journal, highlighting the most interesting papers from the issue.
Read the issue here: adc.bmj.com/content/101/4.toc
Mark Beattie discusses the March 2016 Atoms section of the journal, highlighting the most interesting papers from the issue.
Read the issue here: http://adc.bmj.com/content/101/3.toc
Jonathan Davis interviews Alistair Gunn and Jeff Kaiser about their March 2016 FNN Editor's Choice article 'Hypoglycaemia and hyperglycaemia are associated with unfavourable outcome in infants with hypoxic ischaemic encephalopathy: a post hoc analysis of the CoolCap Study'
Read the free article here: http://fn.bmj.com/content/101/2/F149.full
Bob Phillips discusses February's ADC Archimedes questions.
QUESTION 1: Are household contacts of patients with invasive group A streptococcal disease at higher risk of secondary infection?
QUESTION 2: Are intravenous fluid boluses beneficial in late preterm or term infants with suspected haemodynamic compromise?
Find the articles here: http://adc.bmj.com/content/101/2.toc
Robert Scott-Jupp discusses the February 2016 Lucina articles in Archives of Disease in Childhood.
Ian Wacogne, ADC EP Editor, talks you through his picks of the February issue.
For all the content from the issue, see: http://ep.bmj.com/content/101/1.toc
Robert Scott-Jupp discusses the January 2016 Archivist articles in Archives of Disease in Childhood.
Bob Phillips discusses January's ADC Archimedes questions.
QUESTION 1: Can paediatric early warning systems predict serious clinical deterioration in paediatric inpatients?
QUESTION 2: What is the best strategy to promote water consumption in children?
Find the articles here: http://adc.bmj.com/content/101/1.toc#Archimedes
Robert Scott-Jupp discusses the January 2016 Lucina articles in Archives of Disease in Childhood.
Editor-in-Chief Mark Beattie walks us through the issue highlights including: Conflict in a paediatric hospital, childhood varicella vaccination, Controversies in the diagnosis and management of growth hormone deficiency, The morbidity and mortality meeting, New meningococcal vaccination programme launched.
Find the content here: http://adc.bmj.com/content/101/1.toc
Jonathan Davis speaks to Professor Marlow and Dr Alangady, two of the authors of the article: The attitudes of Neonatologists towards extremely preterm infants.
Here's a link to the article: http://fn.bmj.com/content/101/1/31.full
In this podcast Dr Nick Brown talks to Dr Winston Nguyen about his paper published in ADC titled "Paediatric cardiac surgery in low-income and middle-income countries: a continuing challenge".
The discuss the historical difficulties with treating cardiac risk in low income countries and methods that are being used to improve care in the future.
Read the full paper: http://adc.bmj.com/content/100/12/1156.full?sid=e7e3d24f-d730-4cef-8054-32d390d3b4fb
Bob Phillips talks you through this month's Archimedes questions.
Question 1: Co-trimoxazole dosing dilemma: what is the right dose?
Question 2: Unexpected neutropenia in a febrile, but immunocompetent, child
Link: http://adc.bmj.com/content/100/11.toc#Archimedes
Bob Phillips discusses December's ADC Archimedes questions.
Question 1: Does prophylactic paracetamol prevent fever after vaccination in infants?
Question 2: Do standing frames and other related physical therapies reduce the risk of fractures in children with cerebral palsy?
Editor-in-Chief Mark Beattie walks us through the issue highlights including: self-asphyxial behaviours (the choking game), chronic fatigue syndrome and advances in the management of Duchenne muscular dystrophy.
Find the content here: http://adc.bmj.com/content/100/12.toc
Ian Wacogne, ADC EP Editor, talks you through his picks of the December issue. For all the content from the issue, see: http://ep.bmj.com/content/100/6.toc
Listen to Mark Beattie discuss the November issue highlights including the dangers of ingesting magnetised toys and ADC:E&P's Twitter journal club article: Head Injury from Falls in Children Younger than 6 Years of Age.
Find the content here: http://adc.bmj.com/content/100/11.toc
In this podcast Dr Mark Beattie, Editor-in-Chief of ADC, talks to Dr Vic Larcher from the Royal College of Pediatrics and Child Health about a supplement recently published in the journal.
The supplement is entitled "Making decisions to limit treatment in life-limiting and life-threatening conditions in children: a framework for practice" and can be found online here http://adc.bmj.com/content/100/Suppl_2.toc
Mark Beattie talks you through his highlights from October's issue, including UK child death rates compared with other EU countries, sudden infant death syndrome, and talking with children about their health.
Read all the content here: http://adc.bmj.com/content/100/10.toc
In this podcast Dr Nick Brown, global health editor, talks to Dr Rob Klaassen about his paper recently published in the journal. They discuss Thalasseemia in developing countries, availability of medication and various methods to treat excess iron.
Full paper http://adc.bmj.com/content/early/2015/08/19/archdischild-2014-308112.full
Bob Phillips talks you through this month's Archimedes questions.
Question 1: Phenobarbital for preventing mortality and morbidity in full-term newborns with perinatal asphyxia in a resource-poor setting
Question 2: Can faecal calprotectin be used as an effective diagnostic aid for necrotising enterocolitis in neonates?
Link: http://adc.bmj.com/content/100/10.toc#Archimedes
In this podcast Dr Nick Brown speaks to Julia Downing about the recently published paper "Children's palliative care in low- and middle-income countries". They cover the problems facing palliative care professionals in different countries as well as case studies of successful care institutions.
Full paper >> http://adc.bmj.com/content/early/2015/09/13/archdischild-2015-308307.full
In this podcast Dr Jonathan Davis talks to Dr Ben Stenson and Dr Dominic Wilkinson about their recent paper "Don't stop now? How long should resuscitation continue at birth in the absence of a detectable heartbeat?". They discuss the ethical and practical problems behind deciding when to stop resuscitation on a new born and take a look at the current guidelines.
To read the full paper >> http://fn.bmj.com/content/100/6/F476.full
Ian Wacogne, ADC EP Editor, talks you through his picks of the October issue.
For all the content from the issue, see: http://ep.bmj.com/content/100/5.toc
Mark Beattie talks you through his highlights from September's issue, including the long term effects of bullying, cognitive faction in adolescents with chronic fatigue, and fever.
Read all the content here: http://adc.bmj.com/content/100/9.toc
Bob Phillips talks you through this month's Archimedes questions.
Firstly: Does vitamin D supplementation prevent acute lower respiratory tract infections in children?
Secondly: What are the risk factors for antibiotic resistant Gram-negative bacteraemia in children with cancer?
Links: Towards evidence based medicine in paediatrics: predictive factors - http://adc.bmj.com/content/100/9/892.2.full
Question 1 - http://adc.bmj.com/content/100/9/892.1.full
Question 2 - http://adc.bmj.com/content/100/9/895.full
Investment in early childhood initiatives in low-income and middle-income countries (LMICs) is increasing. These initiatives use early childhood developmental assessment tools (CDATs) as outcome measures.
In this podcast Nick Brown talks to Saraswathy Sabanathan from the Oxford University Clinical Research Unit and Melissa Gladstone from the Department of Women and Children's Health at the University of Liverpool about a recent paper in the journal.
Full article >> http://adc.bmj.com/content/100/5/482.full
Nick Brown talks to Suzanne T Anderson and Gabriella Watson, both Gambia Unit, Medical Research Council, about managing poststreptococcal complications, such as acute rheumatic fever and rheumatic heart disease, in resource-limited settings.
Read the full paper: http://goo.gl/yFFW0f
Mark Beattie discusses his picks from August's issue, including defining normal heart rate, conflict escalation in paediatric services, and recent advances in interventional cardiology.
For all the content from the issue, see: http://adc.bmj.com/content/100/8.toc
In this podcast Dr Nick Brown and Dr Ian Balfour-Lynn discuss tachypnoea in the well baby and the best approach to a scenario that a number of doctors can easily get a bit confused by.
Here's the link to the article, which is free to read: http://adc.bmj.com/content/100/8/722.full
Bob Phillips talks you through this month's Archimedes questions: firstly whether oral salbutamol is useful in resource-poor settings and secondly the role of methotrexate in severe atopic eczema in children.
Read the articles: adc.bmj.com/content/100/8.toc#Archimedes
Mark Beattie discusses his picks from the July issue of the journal, including prevalence of severe childhood obesity in England, bed sharing and sudden infant death and daytime napping.
For all the articles see http://adc.bmj.com/content/100/7.toc
In this podcast Dr Nick Brown, global heath editor, talks to Dr Jess Morgan from Calderdale Royal Hospital, West Yorkshire and Dr Colin Powell from the Noah's Ark Childrens Hospital for Wales about the recent Archimedes question in ADC about intravenous maintenance fluids for children.
This question, although not a global issue, is still a problem which affects many hospital doctors and the Archimedes article looks into hospitalised children requiring intravenous maintenance fluids (population), do isotonic solutions (intervention) compared with hypotonic solutions (comparison) reduce the risk of hyponatraemia (outcome)?
Archidemes>> http://adc.bmj.com/content/100/7/715.full Editorial>> http://adc.bmj.com/content/early/2015/07/10/archdischild-2015-308858.full
Bob Phillips talks you through this month's Archimedes question of whether it is possible to predict the severity of allergic reactions in children with IgE-mediated food allergy.
Read the articles: http://adc.bmj.com/content/100/6.toc#Archimedes
Mark Beattie talks you through his picks of June's ADC, including autoimmune encephalitis, optimal management of allergic rhinitis, and why was this child not brought?
For all the content see: http://adc.bmj.com/content/100/6.toc
Editor in Chief Mark Beattie goes through his picks of May's journal, including making decisions to limit treatment in life-limiting and life-threatening conditions, patterns of bruising in preschool children, and physical and neurodevelopmental outcomes in children with single-ventricle circulation.
Read all the papers here: http://adc.bmj.com/content/100/5.toc
ADC Editor in Chief Mark Beattie takes you through his picks from the March edition, including disability and economic disadvantage, advance care planning, and anti TNF therapy for paediatric IBD.
For all the content from the issue see: http://adc.bmj.com/content/100/4.toc
ADC Editor in Chief Mark Beattie takes you through his picks from the March edition, including hallucinations and illusions in migraine in children, childhood obesity, and fear of oxygen therapy for children in Malawi.
For all the content from the issue see: http://adc.bmj.com/content/100/3.toc
Bob Phillips talks you through this month's Archimedes topics, including probiotic supplementation in children with autism spectrum disorder.
Read the articles: http://adc.bmj.com/content/100/5.toc#Archimedes
Bob Phillips talks you through this month's Archimedes questions, including is breastfeeding useful in the management of neonatal abstinence syndrome?
For the full articles, see http://adc.bmj.com/content/100/4.toc#Archimedes
As 2015 marks 15 years of the Millennium Development Goals, Nick Brown, ADC's Global Health commissioning editors, talks us through their history and what they have done for child health.
He also gives an overview of the supplement ADC have published on the progress of the goals thus far.
Read the supplement (for free): http://adc.bmj.com/content/100/Suppl_1.toc
ADC Editor in Chief Mark Beattie takes you through his picks from the February edition.
For all the content from the issue see: http://adc.bmj.com/content/100/2.toc
ADC Editor in Chief Mark Beattie takes you through his picks from the January edition.
The topics are EEG in the assessment of ‘staring' in children with autistic spectrum disorder, bile stained vomiting in the neonatal period, management of peanut allergy, and the safety of paracetamol.
For all the content from the issue see: http://adc.bmj.com/content/100/1.toc
Nick Brown talks to Sadia Shakoor, Department of Pathology and Microbiology, Aga Khan University, Karachi, Pakistan, about her review examining TB programmes in Afghanistan, Pakistan, India and Bangladesh.
Dr Shakoor and colleagues evaluated the current capacity of TB control programmes in these four countries to diagnose, treat and quantify childhood TB, and propose practical solutions to gaps in achieving integrated paediatric TB management.
Read the full review: http://goo.gl/9FPvri
Bob Phillips talks you through this month's Archimedes questions, including is the use of plastic bags for thermoregulation in term neonates effective in preventing hypothermia in a low-resource setting? And is a child at risk following a community-acquired needlestick injury?
For the full articles, see http://adc.bmj.com/content/99/12.toc#Archimedes
ADC Editor in Chief Mark Beattie takes you through his picks from the December edition.
The topics are recognition of Duchenne muscular dystrophy, litigation, toxic shock syndrome, common visual problems in children with disability, and propranolol for infantile haemangioma.
For all the content from the issue see: http://adc.bmj.com/content/99/12.toc
Sickle cell disease (SCD) is a gene disorder causing a debilitating syndrome. Recently, population migration has meant that SCD now has a worldwide distribution and that a substantial number of children are born with the condition in higher-income areas, including large parts of Europe and North and South America.
ADC Global Health editor Nick Brown talks to co author Thomas Williams about the biology of the disease, this new global spread and the burden of SCD in resource-poor countries.
Read the full paper: http://bmj.co/1Hq2L3h
Bob Phillips talks you through this month's Archimedes questions, including should newborns of mothers with isolated antibodies to hepatitis B core antigen be immunised? Does topical local anaesthetic reduce pain from vaccinations in infants?
For the full articles, see http://adc.bmj.com/content/99/11.toc#Archimedes
Mark Beattie discusses his picks from November's ADC.
For all the content from the issues, see: http://adc.bmj.com/content/99/11.toc
Mark Beattie discusses his picks from October's ADC.
For all the content from the issues, see: http://adc.bmj.com/content/99/10.toc
Neonatal jaundice is predominantly a benign condition that affects 60%–80% of newborns worldwide but progresses to potentially harmful severe hyperbilirubinaemia in some.
Despite the proven therapeutic benefits of phototherapy for preventing extreme hyperbilirubinaemia, acute bilirubin encephalopathy or kernicterus, several low-income and middle-income countries continue to report high rates of avoidable exchange transfusions, as well as bilirubin-induced mortality and neurodevelopmental disorders.
A review recently published in ADC examines the contributory factors to the burden of severe hyperbilirubinaemia and kernicterus and provide strategies for improving care.
ADC Global Health editor Nick Brown talks to co-author Tina Slusher, Department of Pediatrics, University of Minnesota & Hennepin County Medical Center, Minneapolis, to hear what they suggest.
Read the full paper: http://goo.gl/7fO5h1
Bob Phillips talks you through this month's Archimedes questions, including is ultrasound scanning as sensitive as CT in detecting skull fractures in children presenting following head injury? And should children who have a febrile seizure be screened for iron deficiency?
For the full articles, see http://adc.bmj.com/content/99/10.toc
Mark Beattie discusses his picks from September's ADC.
For all the content from the issues, see: http://adc.bmj.com/content/99/9.toc
Mark Beattie discusses his picks from August's ADC.
For all the content from the issues, see http://adc.bmj.com/content/99/7.toc
Listen here to a shortcut to the answers for these clinical questions:
Ultrarapid intravenous rehydration in children who are dehydrated from viral gastroenteritis: does it work? http://adc.bmj.com/content/99/9/878.1.full
Humidified heated high flow nasal cannula versus nasal continuous positive airway pressure for providing respiratory support following extubation in preterm newborns http://adc.bmj.com/content/99/9/880.full
After that, you might want to read about studies which compare some therapy to "standard care": http://blogs.bmj.com/adc/2014/07/09/compared-to-standard-care/
As always, let us know your thoughts on the podcasts via twitter or facebook, or comment on the podcast page.
Community-acquired pneumonia (CAP) remains a force to reckon with, as it accounts for 1.1 million of all deaths in children less than 5 years of age globally, with disproportionately higher mortality occurring in the low and middle income-countries (LMICs) of Southeast Asia and Africa.
Existing strategies to curb pneumonia-related morbidity and mortality have not effectively translated into meaningful control of pneumonia-related burden.
A recent systematic review in ADC looks at trials conducted in LMICs to determine the most suitable antibiotic therapy for treating pneumonia (very severe, severe and non-severe). ADC global health commissioning editor Nick Brown talks to one of the authors, Rehana Salam, Division of Women and Child Health, The Aga Khan University, Karachi, Pakistan, to hear what they found.
Read the paper: http://goo.gl/ZCw0Rr
Summer might be here, and the time might be right for dancing in the streets, but for the dedicated follower of EBM, there's only one thing to listen to.
This month's Archimedes podcast covers a rant about journal clubs, using subcutaneous fluids in children and the treatment of congenital CMV infection. The papers can be found here: http://adc.bmj.com/content/99/8.toc
As always, comments on the podcast, section and EBM in general are very welcome by email to info.adc@bmj.com or on twitter @ADC_BMJ.
Mark Beattie discusses his picks from July's ADC.
For all the content from the issues, see http://adc.bmj.com/content/99/7.toc
In this month's Archimedes update, Dr Bob Phillips wonders about when to
act, when to stop acting, and when to do nothing at all - in the context
of diagnostic testing - and summarises two Archimedes reports; one on
whether or not to apply splints to neonates you've cannulated, the other
on the need for septic screens in neonates with soft tissue infections.
The full papers can be found here:
Splints - http://adc.bmj.com/content/99/7/694.1.extract
Septic Screens - http://adc.bmj.com/content/99/7/695.extract
Diagnostic Thresholds - http://adc.bmj.com/content/99/7/694.2.extract
He also encourages you to get in touch by email to info.adc@bmj.com
or on twitter @ADC_BMJ.
Managing even uncomplicated HIV infection is a major undertaking. When compounded by nutritional compromise, as it so often is, it becomes many times more complex. When the two co-exist, mortality rises exponentially so awareness, prevention, early identification and aggressive management are essential.
In this podcast, ADC's global health editor Nick Brown talks to Anna Rose, UCL, about her recent paper which examines both the HIV/ malnutrition relationship and the multiple spokes, social and medical required to tackle this global problem.
Read the full paper here: http://goo.gl/ojCTxO
Editor Mark Beattie discusses his highlights from the June edition of ADC.
Find all the content from the issue here: http://adc.bmj.com/content/99/6.toc
Listen to the referenced podcast on HIV and malnutrition here: http://goo.gl/D31I6X
Mark Beattie discusses his selection from May's edition.
For all the content, see http://adc.bmj.com/content/99/5.toc
The ADC FN EPIcure2 podcast he mentions is available here http://goo.gl/5Mn50M
FN editor Martin Ward Platt talks through his picks from May 2014's edition.
For all the articles, see http://fn.bmj.com/content/99/3.toc
In this month's Archimedes podcast, section editor Bob Phillips discusses the ADC blog series on the basics of evidence based medicine http://goo.gl/CQM4P8 and two questions regarding diagnostic cerebral catheterisation http://goo.gl/ulmSr6 and measuring serum sodium from capilliary blood samples http://goo.gl/uAFhKH. There's also a bonus treat of a haematological top tip.
Research understanding the lives of children with disabilities in low-income and middle-income countries has predominantly focused on prevalence studies with little progress on evidence-based service development. At the same time, global attention in child health has shifted from child survival strategies to those that bring child survival and development together.
Aisha Yousafzai, Aga Khan University, Karachi, Pakistan, has led a review in May's ADC which examines whether intervention research can be better aligned with current theoretical constructs of disability and international guidelines that advocate for the realisation of rights for children with disabilities and inclusive early childhood development.
ADC global health editor Nick Brown asks her about the conclusions.
Read the full paper:
Moving beyond prevalence studies: screening and interventions for children with disabilities in low-income and middle-income countries http://goo.gl/ISp259
Ronny Cheung, Department of Paediatrics, Imperial College Healthcare NHS Trust, and Claire Lemer, Evelina Children's Hospital, Guy's and St Thomas’ NHS Trust, look at the role of data in improving the quality of care for children and young people: how they can help to identify a problem, guide design of solutions, and evaluate changes in practice.
Drs Lemer and Cheung introduce some principles for measurement in the field of quality improvement, and discuss how to use and present data to maximise their value and impact in quality improvement initiatives.
Read the full article: Equipped: quality improvement: Using data to improve care http://goo.gl/ZOmp6u
It is vital to involve children, young people and families in the design, delivery and improvement of their care. Their involvement can range from individuals giving feedback, such as patient stories, to collaborative work including patient groups and communities helping to develop and commission services.
In this podcast Sophie Robertson, Paediatric Department, Portsmouth Hospitals NHS Trust, Kate Pryde, Department of Child Health, University Hospital Southampton NHS Foundation Trust and Kath Evans, Head of Patient Experience - Maternity, Newborn, Children and Young People, NHS England, discuss the methods of involving patients in care, and how this can lead to meaningful participation and improvement of services.
Read their ADC article on this topic:
Patient involvement in quality improvement: is it time we let children, young people and families take the lead? http://goo.gl/ETgGW1
Archimedes editor Dr Bob Phillips discusses April's Archimedes questions.
For the articles, see this month's edition of the journal: http://adc.bmj.com/content/99/4.toc
Editor Mark Beattie discusses some choice papers from April's ADC.
For all the content in this edition, see: http://adc.bmj.com/content/99/4.toc
Editor Mark Beattie talks through his highlights from the March edition.
For all the content, see: http://goo.gl/qgrA4V
Professor Neil Marlow is the lead author on the EPIcure2 paper published In ADC Fetal and Neonatal. He has led several large studies of the outcome of preterm delivery, including the first EPIcure study which was influential in shaping aspects of current national policy.
Neil has been Professor of Neonatal Medicine at University College, London, since 2008, having previously been the chair of Neonatal Medicine in Nottingham, and he is a past President of the European Society for Paediatric Research.
Read the full paper, open access, here: http://goo.gl/NAd6gd
The previous publications from EPIcure2 to which he refers in the podcast are BMJ 2012;345:e7961 and BMJ 2012;345:e7976.
There is a long standing perception that treating cancer in children in low and middle income countries is not cost effective and, as a result, there has been less investment in this area than many higher profile counterparts such as HIV and malaria.
In an innovative and compelling paper, Nickhill Bhakta, Fellow in Haematology/Oncology at St Jude's Lutheran children's hospital, Tennessee, debunks this myth. Basing his model on two common cancers he elegantly demonstrates that the majority of children can easily be treated well within the cost effective criteria set by the WHO.
In this podcast, he tells ADC Global Health editor Nick Brown that rethinking the approach to this group of largely curable diseases is overdue.
Read the full paper: http://bit.ly/1dQljHo
Editor Mark Beattie takes us through his picks from January's ADC.
All the content from the issue is available here: adc.bmj.com/content/99/2.toc
Editor Mark Beattie takes us through his picks from January's ADC.
All the content from the issue is available here: http://adc.bmj.com/content/99/1.toc
Despite advances in prevention, rapid diagnosis and treatment and
being a focus disease for the Millenium Development Goals, malaria
continues to claim an unacceptable number of lives.
The first experiments in malaria vaccinology date back several
decades. There was excitement on the release of the Colombian Spf66
vaccine in the 1980s but this was followed by disappointed as the
trial results did not translate into the expected effictiveness on the
ground. Since then, molecular advances have seen a new wave of
candidate vaccines including the RTS.
In this podcast, ADC's global health editor Nick Brown discusses with Lorenz von Seidlein, an eminent malariologist at Menzies School of Health Research, Australia, the reasons why an effective vaccine has proved so elusive, the range of new candidates and hopes for the future.
Read Lorenz's full article here: http://adc.bmj.com/content/98/12/981.full
Editor Mark Beattie takes us through his picks from December's ADC.
All the content from the issue is available here: http://adc.bmj.com/content/98/12.toc
In this podcast Dr Ashley Reece introduces thoughts and comment from Dr Alice Roueche and Dr Jane Runacles, the authors of the second article in the EQUIPed series published in the Education and Practice section of Archives of Disease in Childhood in December 2013.
This paper, entitled 'Improving Care for the Deteriorating Child', gives insight into approaching a Quality Improvement project using the very unwell child as a example.
Read the full paper bit.ly/1hquMwr
Archimedes editor Dr Bob Phillips discusses December's Archimedes questions.
For the articles, see this month's edition of the journal: http://adc.bmj.com/content/98/12.toc
Editor Mark Beattie takes us through his picks from November's ADC.
All the content from the issue is available here: http://adc.bmj.com/content/98/11.toc
The first of a series of articles on quality improvement in paediatrics and child health was published in the Education and Practice section of Archives in September 2013.
Joining Dr Ashley Reece are series authors, Dr Bob Klaber and Dr Alice Roueche. They discuss what quality improvement is and headline the future articles in this series.
The first of a series of articles on quality improvement in paediatrics and child health was published in Education and Practice in September 2013.
In this podcast Dr Ashley Reece discusses the series with Dr Bob Klaber and Dr Alice Roueche. They discuss why these articles were commissioned, what quality improvement is and how it fits into our clinical practice with examples of QI initiatives. They also headline future articles in this series on which more podcasts are planned.
Archimedes editor Dr Bob Phillips discusses November's Archimedes questions.
For the articles, see this month's edition of the journal: adc.bmj.com/content/98/11.toc#Archimedes.
Archimedes editor Dr Bob Phillips discusses October's Archimedes questions.
For the articles, see this month's edition of the journal: http://adc.bmj.com/content/98/10.toc#Archimedes.
Editor Mark Beattie takes us through his picks from October's ADC.
All the content from the issue is available here: http://adc.bmj.com/content/98/10.toc
Editor Mark Beattie takes us through his picks from September's ADC.
All the content from the issue is available here: http://adc.bmj.com/content/98/9.toc
In this podcast, Mark Beattie discusses the editor’s highlights from the August edition of ADC.
For all the papers discussed, see this month’s edition of the journal http://adc.bmj.com/content/98/8.toc.
Archimedes editor Dr Bob Phillips discusses August's Archimedes questions.
For the articles, see this month's edition of the journal: http://adc.bmj.com/content/98/8.toc#Archimedes.
In an innovative new venture, paediatric registrar, Tessa Davis, introduces the ADC twitter journal club, the first twitter paediatric journal club.
The first paper was discussed between 8pm and 9pm BST on Wednesday 12th June.
Follow @ADC_JC and use the hashtag #ADC_JC.
More information on the ADC Journal Club and Twitter is available at http://blogs.bmj.com/adc/2013/06/05/adc_jc-archives-of-disease-in-childhoods-first-twitter-journal-club/.
In an innovative new venture, Paediatric Registrar, Tessa Davis, introduces the ADC Twitter Journal Club, the first Twitter Paediatric Journal Club. Follow @ADC_JC and use the hashtag #ADC_JC. More information on the ADC Journal Club and Twitter is available at http://blogs.bmj.com/adc/2013/06/05/adc_jc-archives-of-disease-in-childhoods-first-twitter-journal-club/.
In this podcast, Mark Beattie discusses the editor’s highlights from the July edition of ADC.
For all the papers discussed, see this month’s edition of the journal http://adc.bmj.com/content/98/7.toc.
In this podcast, Mark Beattie discusses the editor’s highlights from the June edition of ADC.
For all the papers discussed, see this month’s edition of the journal http://adc.bmj.com/content/98/6.toc.
Archimedes editor Dr Bob Phillips discusses March’s Archimedes questions, including what are the options for treating latent TB infection in children [http://bit.ly/145Ew3u], and can a conservative approach to the treatment of hypertrophic pyloric stenosis with atropine be considered a real alternative to surgical pyloromyotomy [http://bit.ly/13YmaVL]?
In this podcast, Mark Beattie discusses the editor’s highlights from the May edition of ADC.
For all the papers discussed, see this month’s edition of the journal adc.bmj.com/content/98/5.toc
We are delighted to offer you our first podcast. Harry Baumer, a consultant paediatrician from Plymouth, UK who writes about guidelines for ADC, and Ian Balfour-Lynn, a consultant in paediatric respiratory medicine at the Royal Brompton Hospital in London and an ADC associate editor, discuss the new asthma guidelines from both the British Thoracic Society and the National Institute of Health. In the podcast they discuss:
Use of inhaled cortical steroids (ICS) in infants
What are the side effects of ICS?
Are long-acting beta agonists safe in children?
What are the differences between the NIH and BTS recommendation regarding environmental approaches to asthma?
We have posted both a short (18 minutes) and long version (28 minutes) of their discussion. Please email us your thoughts about this podcast (howard.bauchner@bmc.org) and suggestions for future ones.
Professor Howard Bauchner
Editor
See also this related article http://ep.bmj.com/cgi/content/extract/93/2/66
In the first part of a 2-part series of Podcasts about General Paediatrics, 3 General Paediatricians discussing its future.
Dr Lakshman Raman, General Paediatrician and Chair of the General Paediatrics’ Specialist Advisory Group of RCPCH; Dr Colin Powell, General Paediatrician and Chair of the British Association of General Paediatrics and Dr Andy Raffles, General Paediatrician and former London Deanery Regional Advisor
They discuss the issues with Podcast Editor, Dr Ashley Reece, who is also a General Paediatrician - What is General Paediatrics and how should General Paediatricians be trained? Why do Paediatric trainees feel they need a specialism? Why is General Paediatrics like General Practice? What are the challenges for the future of General Paediatrics. Listen to part 1 to find out more.
Carrying on from “General paedatrics - what are the problems” this podcast features, Dr Lakshman Raman, Dr Colin Powell and Dr Andy Raffles. They talk to Podcast Editor, Dr Ashley Reece, and provide some insights into meeting the problems set out in the previous podcast.
This latest ADC podcast is hosted by Becky Hodgkinson, Paediatric Specialist Registrar and Chair of the London Deanery School of Paediatrics’ Trainees’ Committee.
She talks with fellow trainees’ committee representatives, Chloe Macaulay, Medical Teaching Fellow and Paediatric Specialist Registrar, Ronny Cheung, Previous Fellow in Medical Education who has developed a WPBA e-package and Raj Kainth, Fellow in Medical Education, London Deanery School of Paediatrics.
This podcast will be of value to trainee and trainers. Listen to find out how to be opportunistic in order to get the assessments done, tips to make mini-CEX manageable, how to put a learning slant on the assessments and ideas about making feedback meaningful. A section of Top Tips on how to get the best out of the assessments is posted separately.
Following on from the previous podcast, here are the team’s top tips for making the most of your workplace based assessment.
In this podcast Bob Phillips, the editor of the Archimedes section of Archives, explains what Archimedes is, introduces the concept of evidence based medicine, and tells you how you can contribute.
Archimedes editor Dr Bob Phillips discussed September’s Archimedes questions which include whether to ultrasound when a newborn is found to have preauricular skin tag or sinus, whether to prescribe methyphenidate for cancer treatment related fatigue and the use of nasal sumatriptan for migraine.
Archimedes editor Dr Bob Phillips discusses March’s Archimedes questions, which include if atropine is an effective therapy for pyloric stenosis, and how long to treat patients with latent TB, and with what?
In this podcast, Mark Beattie discusses the editor’s highlights from the April edition of ADC.
For all the papers discussed, see this month’s edition of the journal http://adc.bmj.com/content/98/4.toc.
Welcome to this first in a new series of ADC podcasts, where editor Mark Beattie takes you through the highlights from the latest issue.
This edition covers the March journal, for all the papers discussed see adc.bmj.com.