The PaedsHub Pod

In this episode Dr Lorna Hack speaks to Dr Priyank Rajan, a clinical fellow working in Oncology & Haematology, about the lived experience of a cancer diagnosis.

Resources discussed:

-Under 16s cancer experiencesurvey

(https://under16cancerexperiencesurvey.co.uk/visual-summaries)

- Patient and parent perspectives on paediatric cancer multidisciplinary team working and national advisory panels in the UK: a qualitative research study

(https://adc.bmj.com/content/109/4/321)

Charities:

-Teenage Cancer Trust

-Young Lives vs Cancer

Dr Rajan’s book recommendations: ‘The Emperor of All Maladies’ by Siddhartha Mukherjee and ‘The Surrender Experiment’ by Michael Singer.

Please let us know your thoughts. Your feedback will help us keep the podcast relevant to you. Perhaps you’d like to suggest an article for a future episode? If you are interested in contributing leave us a comment!

In this episode, Dr Felicity Cooksey speaks to Dr Kate McCann about adverse childhood experiences. Dr Kate McCann is a community child health consultant and member of the Trauma Informed Strategy Group in Somerset.

We discuss how adverse childhood experiences may impact a child’s development and the importance of recognising and responding to childhood trauma.

Recommended Resources:

TED Talks

• Dr Nadine Burke Harris – TED talk: How childhood trauma affects health across a lifetime.

• Molly Wright- TED talk: How Every Child Can Thrive by Five

Articles

• Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998 May;14(4):245-58.

• Nelson CA, Scott RD, Bhutta ZA, Harris NB, Danese A, Samara M. Adversity in childhood is linked to mental and physical health throughout life. BMJ. 2020 Oct 28;371:m3048.

Books

• The Body Keeps the Score by Bessel van der Kolk

• The Deepest Well by Dr Nadine Burke Harris

• Goodnight Mister Tom by Michelle Magorian

• The Secret Garden by Frances Hodgson Burnet

Websites

• The Bucharest Early Intervention Project. Available at https://www.bucharestearlyinterventionproject.org/

• Center on the Developing Child at Harvard University https://developingchild.harvard.edu/

• EHCAP- Mindful Emotion Coaching https://mindfulemotioncoaching.co.uk/

• UK trauma council https://uktraumacouncil.org/

• Oxford Brain Story https://www.oxfordbrainstory.org/

This episode, the Paedshub Pod team got together for our annual roundup. Felicity Cooksey, Leila Ellis, Lorna Hack and Paulina Connolly discuss 12 articles that we enjoyed over the past year from ADC. Happy New Year!

Articles & related resources:

1. Barriers to initiating and implementing palliative and end of life care for children with life-limiting conditions- A mixed methods study in a UK Children’s Hospital.

https://adc.bmj.com/content/107/Suppl_2/A299.1

2. Pharmacokinetic and pharmacodynamic data from the NEOLEV1 and NEOLEV2 studies. 

https://adc.bmj.com/content/109/10/854

3. Family poverty, neighbourhood greenspace and perinatal outcomes.

https://adc.bmj.com/content/109/12/1017

4. Near-fatal and fatal asthma and air pollution: are we missing an opportunity to ask key questions?

https://adc.bmj.com/content/109/8/616

5. Fifteen-minute consultation: The prepubescent gender-diverse child: how to answer parents’ questions. 

https://ep.bmj.com/content/109/3/106

Additional resources:

https://cass.independent-review.uk/home/publications/final-report/

6. Children born to subfertile couples, how are they doing? Evidence from research.

https://adc.bmj.com/content/early/2024/04/07/archdischild-2023-326023

7. Delivery room dextrose gel for preterm hypoglycaemia (the GEHPPI study): a randomised placebo-controlled trial.

https://fn.bmj.com/content/early/2024/11/17/archdischild-2024-327313

8. Fifteen-minute consultation: Group A streptococcal pharyngitis, diagnosis and treatment in children.

https://ep.bmj.com/content/109/5/210

Additional resources:

FeverPAIN score: https://www.mdcalc.com/calc/3316/feverpain-score-strep-pharyngitis#evidence

9. Nasogastric tube feeding under physical restraint of children and young people with mental disorders: a comprehensive audit and case series across paediatric wards in England. https://adc.bmj.com/content/109/8/649

10. Recognition, prevention and management of ‘digital harm’. 

https://ep.bmj.com/content/109/3/120

Additional resources:

11. Achieved oxygen saturations and risk for bronchopulmonary dysplasia with pulmonary hypertension in preterm infants.

https://adc.bmj.com/content/109/11/941

12. Fifteen-minute consultation: Empowering children, young people and families through shared decision-making: a practical guide. 

https://ep.bmj.com/content/109/6/264

Our entertainment recommendations:

Books:

Films & Series:

In this episode Dr Lorna Hack speaks to Dr Anirban Majumdar about Spinal Muscular Atrophy, and the remarkable advances made in managing this condition in the twenty-first century.

Dr Majumdar is a Consultant Paediatric Neurologist at the Bristol Royal Hospital for Children, and delivers the regional Neuromuscular Service.

We discuss: the genetic basis of SMA, the targets of disease modifying treatments, the pros and cons that guide treatment choice, and monitoring of treatment efficacy.

Article: https://adc.bmj.com/content/108/Suppl_2/A199

Dr Majumdar’s book recommendations: ‘Yellowface’ by R. F. Kuang and ‘The Spanish Civil War’ by Antony Beevor.

In this episode, Dr Felicity Cooksey talks with Dr Marie Monaghan about idiopathic intracranial hypertension. Dr Monaghan is a general paediatric consultant with

Dr Monaghan discusses her experiences of working abroad, why cases of idiopathic intracranial hypertension are predicted to rise and how to approach a suspected

In this episode, Dr Leila Ellis welcomes Nicola O'Donnell to the podcast to discuss psychosocial support for childhood cancer survivors. Nicola is a Health Psychologist and is completing the final year of a PhD with the University of York exploring psychoeducation interventions for young people with retinoblastoma funded by the Childhood Eye Cancer Trust (CHECT).

Resources:

Charities:

Support lines:

Book recommendation:

Please let us know what you thought of this episode. Your

In this episode Dr Lorna Hack speaks to Dr Dinesh Giri about obesity, it's growing prevalence and associated complications. Tertiary management for obese children is discussed, including the increasing use of medication.

Dr Giri is a Paediatric Endocrine Consultant at the Bristol Royal Hospital for Children, and is part of the team who run the weight management service.

Dr Giri's book recommendation: 'The Secret' by Rhonda Byrne

Articles discussed:

Gap in obesity monitoring in preschool children:

https://adc.bmj.com/content/108/Suppl_2/A64.2

Review of paediatric fatty liver disease:

https://adc.bmj.com/content/106/1/3

Waist-to-height-ratio superior to BMI in identifying obese children:

https://www.nature.com/articles/s41390-024-03112-8

Resources for families:

https://beezeebodies.com/resources/

Thank you for listening!

In this episode Dr Paulina Connolly welcomes Professor Ramanan to the Podcast. Professor Ramanan is a Consultant Paediatric Rheumatologist at Bristol Royal Hospital for Children, and Associate Editor of Archives of Disease in Childhood. They explore the evidence behind current treatment strategies for Kawasaki disease, reviewing the recent paper from Archives titled 'Infliximab for intensification of primary therapy for patients with Kawasaki disease and coronary artery aneurysms at diagnosis'

The full link to the article can be found below:

https://adc.bmj.com/content/108/10/833

Prof Ramanan also references the recent editorial in ADC 'Thinking beyond intravenous immunoglobulin for Kawasaki disease' which provides an overview of the current adjunctive treatments and supporting evidence:

https://adc.bmj.com/content/108/10/781

In this episode, Dr Felicity Cooksey talks with Dr Denize Atan about nutritional blindness. Dr Atan is an Associate Professor and an Honorary Consultant in Neuro-ophthalmology at the Bristol Eye Hospital. She co-authored a review published in Archives of Disease in Childhood titled ‘Nutritional blindness from avoidant-restrictive food intake disorder- recommendations for the early diagnosis and multidisciplinary management of children at risk from restrictive eating.’

The link to the full article can be found below:

https://adc.bmj.com/content/early/2023/07/05/archdischild-2022-325189

Dr Atan discusses the importance of asking about diet, why growth measurements can lead to false reassurance and the traffic light algorithm they propose for managing patients with ARFID who are at risk of visual and other neurological complications.

Dr Atan’s book recommendation was ‘Lessons in Chemistry’ by Bonnie Garmus.

This episode the Paedshub Pod team Felicity Cooksey, Leila Ellis and Paulina Connolly discuss 12 articles that we enjoyed over the past year from ADC. Happy Christmas!

Leila's recommendations from Fetal and Neonatal:

Marshall A, Ladlow OJ, Bannink C, et al. Apnoea-triggered increase in fraction of inspired oxygen in preterm infants: a randomised cross-over study Archives of Disease in Childhood - Fetal and Neonatal Edition.

https://fn.bmj.com/content/early/2023/08/28/archdischild-2023-325849

Cromb D, Hall M, Story L, et al. Clinical value of placental examination for paediatricians. Archives of Disease in Childhood - Fetal and Neonatal Edition

https://fn.bmj.com/content/early/2023/09/26/archdischild-2023-325674

Suonpera E, Lanceley A, Ni Y, et al. Parenting stress and health-related quality of life among parents of extremely preterm born early adolescents in England: a cross-sectional study. Archives of Disease in Childhood - Fetal and Neonatal Edition

https://fn.bmj.com/content/early/2023/10/24/archdischild-2023-325429

van Hasselt TJ, Gale C, Battersby C, et al. Paediatric intensive care admissions of preterm children born <32 weeks gestation: a national retrospective cohort study using data linkage. Archives of Disease in Childhood - Fetal and Neonatal Edition.

https://fn.bmj.com/content/early/2023/11/03/archdischild-2023-325970

Felicity's recommendations from Archives:

Byrne S, Sledge H, Franklin R on behalf of the CORAL Study group, et al. Social communication skill attainment in babies born during the COVID-19 pandemic: a birth cohort study Archives of Disease in Childhood 2023;108:20-24

https://adc.bmj.com/content/108/1/20

Pereyra-Elías R, Carson C, Quigley MA. Association between breastfeeding duration and educational achievement in England: results from the Millennium Cohort Study Archives of Disease in Childhood 2023;108:665-672.

https://adc.bmj.com/content/108/8/665

Zhang CX, Quigley MA, Bankhead C, et al. Ethnic differences and inequities in paediatric healthcare utilisation in the UK: a scoping review Archives of Disease in Childhood 2023;108:518-524.

 https://adc.bmj.com/content/108/7/518

Storch-De-Gracia P, Fernández JL, Velasco R, et al. Invasive

https://adc.bmj.com/content/108/6/445

Paulina's recommendations from Education & Practice:

Abdalhady M, Harrison CM. Early switch of intravenous to oral antibiotic therapy in clinically well neonates with a probable bacterial infection is as effective as a full course of intravenous antibiotics therapy. Archives of Disease in Childhood - Education and Practice 2023;108:290-291.

https://ep.bmj.com/content/108/4/290

Low A, Blyth FJ. Infants reported for maltreatment had an increased risk of death from medical causes. Archives of Disease in Childhood - Education and Practice 2023;108:142.

https://ep.bmj.com/content/108/2/142

Barrington J, Polley C, van Heerden C, et al. Parents’ attitudes to medical education on paediatric ward rounds. Archives of Disease in Childhood -Education and Practice 2023;108:134-138.

https://ep.bmj.com/content/108/2/134

Mulholland M, Glancy C, Sweeney E, et al. An ulcerated lesion in a previously well child. Archives of Disease in Childhood - Education and Practice 2023;108:74-76.

https://ep.bmj.com/content/108/1/74

Our book recommendations: 

And finally our Podcast recommendations: