scholarly journals 241 Use of telemedicine in a developmental and behavioural paediatric service during the COVID-19 pandemic:initial experiences of caregivers & providers, singapore

2021 ◽  
Author(s):  
Mae Yue Tan ◽  
Ying Qi Kang ◽  
Shang Chee Chong ◽  
Mulay Kalyani Vijayakumar ◽  
Tammy Su Hui Lim ◽  
...  
Keyword(s):  
Paediatric Service

Paediatric service

1955 ◽  
Vol 30 (S1) ◽  
pp. 15-22
Author(s):  
W. R. F. Collis ◽  
P. C. D. MacClancy
Keyword(s):  
Paediatric Service

scholarly journals P138 Are adolescents prepared for transition? A survey of practice in Northern Ireland

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Claire Masih ◽  
Dearbhla McKenna ◽  
Michelle McHenry ◽  
Madeline Rooney
Keyword(s):  
Northern Ireland ◽  
Geographical Area ◽  
Retrospective Chart Review ◽  
Clinical Information ◽  
Transition Process ◽  
Young Person ◽  
Paediatric Rheumatology ◽  
Adult Care ◽  
Transition Clinic ◽  
Paediatric Service

Abstract Background In Northern Ireland we have a single paediatric rheumatology service in which patients often stay until the end of education, before transferring to adult care. We lack a formal transition clinic or uniform process for transition. We wished to investigate whether adolescents transitioning to adult rheumatology care are sufficiently prepared for the process. Methods We surveyed the charts of patients within the paediatric rheumatology service aged over 16 years. Excluding patients who had were not under active follow up and those who had completed transition we studied 86 patients in a retrospective chart review. We studied the seven areas of readiness for transfer as recommended in the 'Ready Steady Go' programme. Results We had a population eligible for transition of 57 female and 29 male patients between the ages of 16 and 26. Around fifty percent had JIA, most commonly oligoarticular and polyarticular with other diagnoses including Raynauds, JIO, mechanical and pain conditions. Fifteen of these had been referred to the appropriate geographical area for transfer to adult service and 71 were yet to be referred. Readiness for transfer was poorly documented. Lifestyle issues (diet, exercise) and vocational (school, hobbies) were the best addressed with 41 and 56 patients respectively having at least one discussion on these aspects. Knowledge, self advocacy, ADLs, psychosocial and transition aspects were poorly documented. Conclusion We acknowledged that time pressures may have restricted what was recorded following appointments with focus on clinical information. However, we are aware of the lack of a formal transition programme within Northern Ireland and we feel this may contribute to patients spending a relatively prolonged time within the paediatric service. We have implemented quality improvement by using the 'Ready Steady Go' questionnaires within the paediatric service to improve preparedness for adult transfer and are reviewing our service of paediatric transfer. Introduction of the ‘Hello to adult services’ questionnaire by adult rheumatologists may help to achieve a more successful transition process by highlighting areas in which the young person may benefit from extra care by their adult team. Disclosures C. Masih None. D. McKenna None. M. McHenry None. M. Rooney None.

scholarly journals Quality improvement project aimed at integrating an adapted mindfulness-based stress reduction programme into a paediatric psychology service

2019 ◽  
Vol 8 (3) ◽  
pp. e000514
Author(s):  
Jacqueline Doyle ◽  
Megan Hitchcock ◽  
Deborah Christie
Keyword(s):  
Quality Improvement ◽  
Young People ◽  
Stress Reduction ◽  
Group Intervention ◽  
Acute Stress ◽  
Timely Manner ◽  
Improvement Project ◽  
Psychology Service ◽  
Paediatric Service ◽  
Chronic Health Problems

In our paediatric service, referrals for young people with chronic health problems significantly increased in times of acute stress, for example, during exams, and offering support in a timely manner was often a challenge. In order to respond more efficiently to this increase, a group intervention was introduced.

Female genital mutilation (FGM) in UK children: a review of a dedicated paediatric service for FGM

2020 ◽  
Vol 105 (11) ◽  
pp. 1075-1078 ◽  
Author(s):  
Sakaria Ali ◽  
Roshnee Patel ◽  
Alice Jane Armitage ◽  
Hazel Isabella Learner ◽  
Sarah M Creighton ◽  
...  
Keyword(s):  
Female Genital Mutilation ◽  
Large Scale ◽  
Clinical Findings ◽  
Genital Mutilation ◽  
Number Of Children ◽  
Looked After Children ◽  
Paediatric Service ◽  
The Uk ◽  
Almost All ◽  
Female Genital

ObjectiveTo describe the presentation and management of children with suspected or confirmed female genital mutilation (FGM) referred to a specialist paediatric clinic.MethodsData collected included referral source, age, ethnicity, circumstances of FGM and clinical findings in accordance with the WHO FGM classification.ResultsBetween September 2014 and January 2019, 148 children attended the clinic of whom 55 (37.2%) had confirmed FGM. Police or social care referred 112 (76%) children. The proportion of looked-after children (LAC) was significantly higher in the group with confirmed FGM (17/55, 31%) compared with children where FGM was not confirmed (5/93, 5%). In almost all children where FGM was confirmed, FGM was initially disclosed by the child or family (53/55, 96%) and of these 48/55 (87%) underwent FGM prior to UK entry. The remaining seven cases were British children, potentially meeting legal criteria under the FGM Act, and one resulted in a successful prosecution.ConclusionsThe number of children with FGM was significantly lower than expected based on UK prevalence estimates. Most children had undergone FGM prior to UK entry, and the majority of cases were initially disclosed by the child or family themselves. These results reflect the lack of large-scale proof of the practice of FGM in the UK and are consistent with growing evidence of the abandonment of FGM among communities after migration.

Paediatric service

1955 ◽  
Vol 31 (S1) ◽  
pp. 18-24
Author(s):  
W. R. F. Collis ◽  
P. C. D. MacClancy
Keyword(s):  
Paediatric Service

scholarly journals Citation context and impact of ‘sleeping beauties’ in paediatric research

2016 ◽  
Vol 44 (6) ◽  
pp. 1212-1221 ◽  
Author(s):  
Jernej Završnik ◽  
Peter Kokol ◽  
Stefano del Torso ◽  
Helena Blažun Vošner
Keyword(s):  
Service Organization ◽  
Adult Health ◽  
Paediatric Research ◽  
Medical Homes ◽  
Citation Context ◽  
New Knowledge ◽  
Sleeping Beauties ◽  
Paediatric Service ◽  
The Impact ◽  
Organizational Needs

Objectives ‘Sleeping beauties’, i.e. publications that are not cited for a long while, present interesting findings in science. This study analysed the citation trends of sleeping beauties in paediatric research. Methods The study used bibliometric software to analyse the papers citing sleeping beauties in paediatric research, to understand the context in which paediatric sleeping beauties were finally cited and the impact of these sleeping beauties on paediatric research. Results Two paediatric sleeping beauties, addressing medical homes and the transition from paediatric to adult health care, respectively, awakened in response to organizational needs. Both presented novel concepts of paediatric service organization that became important because of an increased need for optimization of services. Conclusion All sleeping beauties bring new knowledge that becomes important only after several years. Paediatric sleeping beauties exhibited unique characteristics; however, their presence in paediatric research shows that knowledge acquisition in paediatrics resembles that in other disciplines.

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