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.

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

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

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 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 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 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

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.

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 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

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

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