Paediatrics and Child Health RSS feed: Current Issue. Paediatrics and Child Health is the continuously updated review of paediatrics and child health (formerly Current Paediatrics ) Paediatrics and Child Health is an authoritative and comprehensive resource that provides all paediatricians and child health care specialists with up-to-date reviews on all aspects of hospital/community paediatrics and neonatology, including investigations and technical procedures in a 4-year cycle of 48 issues. The emphasis of the journal is on the clear, concise presentation of information of direct clinical relevance to both hospital and community-based paediatricians. Contributors are chosen for their recognized knowledge of the subject. The journal is abstracted and indexed in Current Awareness in Biological Sciences. The layout of the journal, including the design and colour, enables fast assimilation of key information. For ease of reference, Paediatrics and Child Health is available in print and online formats. Formerly Current Paediatrics http://www.paediatricsandchildhealthjournal.co.uk/?rss=yesElsevier Inc.en © 2012 Published by Elsevier Inc. All rights reserved. Paediatrics and Child Health1751-7222225May 2012 © 2012 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722212000674/abstract?rss=yesEditorial Board10.1016/S1751-7222(12)00067-4Paediatrics and Child Health 22, 5 (2012)2012-05-01Paediatrics and Child Health2012-05-01225S1751-7222(12)X0005-2iihttp://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722211002009/abstract?rss=yesAbstract: The purpose of the Article is to explain the respective roles of the trial judge and the medical expert in care proceedings, the circumstances under which the court requires expert evidence and the way in which it fits into the “wider canvas”. It also considers how the court system is striving to improve the way in which the evidence is received in order to avoid unnecessary demands on the valuable resource of the medical expert.The role of the medical expert in care proceedingsJames Tillyard QC10.1016/j.paed.2011.08.008Paediatrics and Child Health 22, 5 (2012)2012-05-01Paediatrics and Child Health2012-05-01225S1751-7222(12)X0005-2Symposium: Social Paediatrics177180http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS175172221100223X/abstract?rss=yesAbstract: Advocacy means speaking out for the disempowered. It is as important a skill for paediatricians as communication but is less well taught. Advocacy applies to the paediatrician’s everyday work with child patients and also to the field of prevention in relation to a population of children. Paediatricians are powerful advocates because of their position and their perceived lack of bias, and they have ready access to those in positions of power.Advocacy has a long history in paediatrics and examples are given from the UK and USA. Its underpinning principles are drawn from the UN Convention on the rights of the child, which requires states to offer provision, protection and participation to children and young people. Its articles provide guidance on the scope of advocacy. Current issues requiring advocacy in the UK include special needs children in the education system, adolescents in hospital and outpatients, corporal punishment in the home, and child mental health and violence against children.Advocacy must be integrated into paediatric training as it is likely to be required even more in the future as services become more complex.Advocacy and the paediatricianTony Waterston10.1016/j.paed.2011.09.007Paediatrics and Child Health 22, 5 (2012)2012-05-01Paediatrics and Child Health2012-05-01225S1751-7222(12)X0005-2Symposium: Social Paediatrics181185http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722211002381/abstract?rss=yesAbstract: The quality of children’s parental attachments has profound, far-reaching implications because immaturity means that they depend on these to progress safely towards independence. Attachment develops through parental attunement to infants’ needs, establishing their preconceptions of relationships and foundations of verbal and non-verbal communication. In giving meaning to feelings and body signals, attuned parenting builds self-awareness. By modulating stress, it contributes to programming of the stress systems, with life-long implications for regulation, behaviour and physical and psychological health, including major causes of mortality.Suboptimal attachment falls on a spectrum ranging from mildly insecure to profoundly dysfunctional. Quality of attachment is relevant to symptom presentation, illness behaviour, service use, and optimal paediatric care. Unsatisfactory childhood attachment frequently underlies intergenerational parenting problems. It is an important consideration in all child protection decisions and their implementation. Enabling children to achieve adequate parental attachment is an overriding priority in working with children in care and in adoptive homes, and is a priority for every child.Children’s attachmentsCorinne Rees10.1016/j.paed.2011.10.001Paediatrics and Child Health 22, 5 (2012)2012-05-01Paediatrics and Child Health2012-05-01225S1751-7222(12)X0005-2Symposium: Social Paediatrics186192http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722211002228/abstract?rss=yesAbstract: Children with complex health needs include children with disabilities, children with assisted technology and children with palliative care needs. Increasingly care for these children happens outside of hospital. Key issues are effective assessment without duplication and coordinated care involving multi-disciplinary and inter-agency teams. Joint commissioning, key working and integrated care pathways are important developments which, with a focus on listening to children and their families as they express their needs, are resulting in improved care. An understanding of the role of other practitioners and agencies is an essential component to good care for these children.Community care of children with complex health needsDouglas E. Simkiss10.1016/j.paed.2011.09.006Paediatrics and Child Health 22, 5 (2012)2012-05-01Paediatrics and Child Health2012-05-01225S1751-7222(12)X0005-2Symposium: Social Paediatrics193197http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722211002459/abstract?rss=yesAbstract: Air pollution remains a major threat to children’s health. In high-income countries, most outdoor air pollution is from fossil fuel combustion, and most indoor pollution is from cooking and environmental tobacco smoke (ETS). Outdoor pollution in medium- and low-income countries is a mix of fossil-fuel, solid fuel (e.g. coal) and biomass (wood), and indoor pollution is from biomass smoke, solid fuels and ETS. Over the last decade, new data suggest that both biomass smoke and ETS increases the vulnerability of children to bacterial pneumonia, and that fossil-fuel and biomass smoke impair children’s neurocognitive development. Further research is needed to establish biological plausibility for these associations.New insights into air pollution and children’s healthJonathan Grigg10.1016/j.paed.2011.11.002Paediatrics and Child Health 22, 5 (2012)2012-05-01Paediatrics and Child Health2012-05-01225S1751-7222(12)X0005-2Symposium: Social Paediatrics198200http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722212000285/abstract?rss=yesAbstract: Almost one in 700 young adults is a survivor of childhood malignancy, but about 60% of long-term survivors have at least one and 30–40% at least two chronic medical problems whilst 30% have a severe, life-threatening or disabling adverse effect. Such late adverse effects have a wide range of presentations and may lead to potentially far-reaching consequences, not only during the important period of childhood and adolescent growth and development but also during future adult life.The first part of this series of two reviews highlights some of the commoner and more serious late effects of treatment for childhood and adolescent malignancy by focussing on toxicity affecting specific organs, physiological systems and tissues, including the nervous, sensory, endocrine, reproductive, cardiovascular, respiratory, gastrointestinal/hepatobiliary, urinary tract and musculoskeletal systems, as well as damage to the teeth and skin.Long-term effects of cancer therapy in children – organs, systems and tissuesRoderick Skinner10.1016/j.paed.2012.02.009Paediatrics and Child Health 22, 5 (2012)2012-05-01Paediatrics and Child Health2012-05-01225S1751-7222(12)X0005-2Occasional Review201206http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722212000297/abstract?rss=yesAbstract: Rhythmic movements, such as head-banging, at sleep onset are common in infancy and usually resolve by school entry. For some children however they can persist and cause daytime sleepiness. Noise from the movements can also disrupt the sleep of other family members. This article outlines a practical approach to the evaluation and management of this disorder.Rhythmic movement disorder: managing the child who head-bangs to get to sleepPhilippa M. Haywood, Catherine M. Hill10.1016/j.paed.2012.02.010Paediatrics and Child Health 22, 5 (2012)2012-05-01Paediatrics and Child Health2012-05-01225S1751-7222(12)X0005-2Personal Practice207210http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722212000479/abstract?rss=yesSelf-assessmentPriya Sukhtankar, Marc Tebruegge, Saul N. Faust10.1016/j.paed.2012.03.005Paediatrics and Child Health 22, 5 (2012)2012-05-01Paediatrics and Child Health2012-05-01225S1751-7222(12)X0005-2Self-Assessment211215