The Independent Review of gender identity services for children and young people (The Cass Review) was commissioned by NHS England to make recommendations about the services provided by the NHS to children and young people who are questioning their gender identity or experiencing gender incongruence and/or gender dysphoria.. In order to better understand the existing evidence base the Review ...

Aims Reducing term admissions to neonatal units is an NHS Improvement priority. Separation of mother and baby may interrupt the bonding process with consequences for maternal and neonatal health. Respiratory problems are the commonest reason for term admission. Many require only a short period of CPAP but are routinely commenced on IV antibiotics and fluids, necessitating a …

Conclusions Despite current literature lacking high quality methodologies and the need for caution when interpreting or extrapolating results, there is a clear general consensus that Makaton is effective in facilitating communication and social interaction in children and young people. It allows children flexibility in communicating in ways that suit them, increasing feelings of inclusivity ...

Objective To assess efficacy and tolerability of semaglutide as a weight loss treatment for children living with comorbid obesity. Design Retrospective observational study of the first 50 children from a weight management service treated with semaglutide for at least 6 months. Setting A tertiary paediatric multidisciplinary weight management clinic …

Vitamin B12 is essential for the development of the central nervous system. The lack of the vitamin B12 leads to neurological symptoms developing more rapidly in the first year of life. The most common neurologic symptoms observed during infancy are apathy, developmental delay or retardation, involuntary movements, hypotonia, and seizures. In our study, the objective was to determine the ...

Most children in hospital who are clinically deteriorating are monitored regularly, and their treatment is escalated effectively. However a small, but significant, number of deteriorating children experience suboptimal outcomes because of a failure to recognise and respond to acute deterioration early enough leading to unintended harm. Tragically this occasionally can have fatal consequences ...

Background Increasing numbers of children and adolescents experiencing gender dysphoria/incongruence are being referred to specialist gender services and there are various published guidelines outlining approaches to clinical care. Aim To examine the recommendations about the management of children and/or adolescents (age 0-18) experiencing gender dysphoria/incongruence in published guidelines ...

Aim To define COVID toes and fingers in paediatrics, and to explain the aetiology, the assessment and investigation management, the diagnosis, the clinical presentation and the care management including the use of oral nifedipine in this newly found disease during the COVID-19 pandemic. In addition, we will illustrate the process using the multi-disciplinary approach to prepare the Paediatric ...

Many additives, some of which have no nutritional value, can be legally used in processed foods. They intensify colour, thicken, increase shelf life and enhance flavour. Regulatory authorities issue approvals as safe within acceptable quantitative limits. Ultra-processed foods (UPFs) contain combinations of all these additives and are particularly attractive to children. Many publications ...

Jan 9, 2025 · Strong rare-earth magnet ingestion by children is dangerous. Multiple magnets can attract one another from different parts of the gastrointestinal tract to cause obstruction, fistulation or perforation.1 The incidence of paediatric magnet ingestions appears to be increasing.2 In response to this hazard, the Royal College of Emergency Medicine (RCEM) Best Practice Guidelines were published in ...