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 © 2010 Published by Elsevier Inc. All rights reserved. Paediatrics and Child Health1751-7222207July 2010 © 2010 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722210001265/abstract?rss=yesEditorial Board10.1016/S1751-7222(10)00126-5Paediatrics and Child Health 20, 7 (2010)2010-07-01Paediatrics and Child Health2010-07-01207S1751-7222(10)X0007-5iihttp://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722210000442/abstract?rss=yesAbstract: How the diagnosis of neurodevelopmental disability is communicated to the family has long-lasting effects. When clarification of the diagnosis takes a long time, this is particularly hard for child health professionals to manage well, and a joint understanding of the process with the family is important. Guidelines for the conduct of the diagnostic consultation are presented.The impact of the child's disability on the family depends on many factors, including the child's behaviours, available resources and the family's coping strategies. By understanding families' individual differences, professionals can provide excellent health care but also help families to promote the child's quality of life and social participation.Parental reaction to disabilityJill Kisler, Helen McConachie10.1016/j.paed.2010.02.010Paediatrics and Child Health 20, 7 (2010)2010-07-01Paediatrics and Child Health2010-07-01207S1751-7222(10)X0007-5Symposium: Special Needs309314http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722210000715/abstract?rss=yesAbstract: Bullying is a major problem for children. There are well-defined risk factors for bullying that are individual and social. Beyond the immediate trauma of experiencing bullying, victims are at high risk of later physical and emotional disorders. Bullies are the generators of this trauma but also suffer poor long-term effects as a result of their participation. Bystanders are also not immune from bullying's toxic effects nor innocent from its occurrence. While most often occurring at schools, paediatric clinicians can identify and support children suffering from bullying. They also have the unique opportunity to engage the schools and wider society on anti-bullying initiatives. This article will outline the risk, signs and symptoms of bullying to help clinicians identify and address these children in need.The effects of bullyingDouglas Vanderbilt, Marilyn Augustyn10.1016/j.paed.2010.03.008Paediatrics and Child Health 20, 7 (2010)2010-07-01Paediatrics and Child Health2010-07-01207S1751-7222(10)X0007-5Symposium: Special Needs315320http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722210000399/abstract?rss=yesAbstract: Feeding difficulties are common in children with neurological impairments and impact on growth and nutrition, general health, developmental outcomes and quality of life. Factors such as gross motor skills, seating and positioning for feeding, oral motor dysfunction, effectiveness of swallowing, co-morbidities and feeding related behaviours all influence a child's ability for safe and effective feeding. Identification of feeding problems relies on careful assessment involving a number of professionals. Management strategies are best delivered by a multi-professional team skilled in the care of children with neurological impairment and feeding impairments. The wider effects of feeding difficulty on the psychological health of both child and carer must be considered.Feeding difficulties in disabled childrenMorag J. Andrew, Peter B. Sullivan10.1016/j.paed.2010.02.005Paediatrics and Child Health 20, 7 (2010)2010-07-01Paediatrics and Child Health2010-07-01207S1751-7222(10)X0007-5Symposium: Special Needs321326http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722210000375/abstract?rss=yesAbstract: A review of recent recommendations supporting enhanced support to children and young people with disabilities through the Aiming High initiative. Including a regions response to this national plan and supporting case vignettes.The higher you climb the further you see! Aiming High for children with disabilityJane Williams, Antonia Wolff, Sue Dryden10.1016/j.paed.2010.02.003Paediatrics and Child Health 20, 7 (2010)2010-07-01Paediatrics and Child Health2010-07-01207S1751-7222(10)X0007-5Symposium: Special Needs327330http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722210001186/abstract?rss=yesAbstract: Down syndrome, trisomy 21, is the most common autosomal trisomy, and commonest identifiable cause of learning disability. Despite current prenatal screening practice birth prevalence continues to be around 1/1000 live births.Children with Down syndrome have an increased risk of congenital abnormalities and a wide range of treatable medical problems. Paediatricians have a key role in ensuring that these are recognized and treated so that the children’s progress is not hampered by additional secondary but preventable disability, and so that health problems do not prevent them reaching their potential.In this article we consider the paediatrician’s role with a suggested approach to medical management throughout childhood, and a review of the most frequently occurring health issues. These are cardiac, respiratory, gastrointestinal and haematological disorders, thyroid dysfunction, hearing and vision problems, cervical spine and other orthopaedic problems, immune and autistic spectrum disorders, growth and sexual development.Medical management of children with Down syndromePatricia M. Charleton, Jennifer Dennis, Elizabeth Marder10.1016/j.paed.2010.06.006Paediatrics and Child Health 20, 7 (2010)2010-07-01Paediatrics and Child Health2010-07-01207S1751-7222(10)X0007-5Symposium: Special Needs331337http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722210000958/abstract?rss=yesAbstract: Forty per cent of a child’s waking life is spent in school and one of the most intrusive impacts on the success or otherwise of this experience is that of reading difficulties. Developmental dyslexia has a high genetic contribution affecting 50% of children with dyslexic parents. The paediatrician may be consulted for a child with dyslexia to advocate, interpret predisposing factors in the child’s developmental and medical history and offer scientific interpretation of the vast range of theories and interventions proposed for dyslexia. The purpose of this article is to orientate the paediatrician to what they need to know, so that they can maximize their contribution in the care of children with developmental dyslexia within a multidisciplinary team. It will cover the epidemiology and definition, the underlying hypotheses and underpinnings as well as the clinical diagnosis and examination, the longer-term prospects for affected children and the role of interventions.Dyslexia: what do paediatricians need to know?Anne O’Hare10.1016/j.paed.2010.04.004Paediatrics and Child Health 20, 7 (2010)2010-07-01Paediatrics and Child Health2010-07-01207S1751-7222(10)X0007-5Occasional Review338343http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722210001174/abstract?rss=yesFailure to get the basics right is common at all levels of asthma care. This is highlighted by three recent papers. In a therapeutic study a comparison of azithromycin and montelukast as add on therapies in children with apparently poorly controlled asthma despite being prescribed 400 mcg/day budesonide and long acting β-2 agonists was rendered futile because most of the nearly 300 patients screened either were non-compliant with therapy or turned out to have only mild or no asthma. Two other studies which tried to prove that measuring exhaled nitric oxide gave added value in asthma monitoring foundered because even the control groups improved dramatically with increased attention to detail. So if an asthmatic child is apparently not responding to treatment, Back to Basics! We have coined the acronym WADDLER to use as a checklist ().Avoiding common mistakes in the management of asthma: or, is the child a WADDLER?Andrew Bush, Cara Bossley, Louise Fleming, Nicola Wilson10.1016/j.paed.2010.06.005Paediatrics and Child Health 20, 7 (2010)2010-07-01Paediatrics and Child Health2010-07-01207S1751-7222(10)X0007-5Personal Practice344346http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722210000430/abstract?rss=yesSelf-assessmentMatthew Murray, James Nicholson10.1016/j.paed.2010.02.009Paediatrics and Child Health 20, 7 (2010)2010-07-01Paediatrics and Child Health2010-07-01207S1751-7222(10)X0007-5Self-Assessment347350