ADC podcast

In the September 2017 podcast, we have two evidence-based cases, an exposition of shared decision making, and a zingier feel to the podcast which we’d like you to appreciate fully. You can read the full articles on plant oils for baby soft skin here - http://adc.bmj.com/content/102/9/873 - and melatonin for sleep disturbances in children with intellectual disability here - http://adc.bmj.com/content/102/9/870 - along with our blog discussing all manner of EBM things at blogs.bmj.com/adc. The ADC Archimedes podcast, home of the best evidence-paediatrics chat, is presented by Bob Phillips, the Social Media and Archimedes Editor.

Professor of Obstetrics and Gynaecology at University of Cambridge Gordon Smith discusses a leading article from the July Edition of the Archives of Disease in Childhood Fetal and Neonatal edition with Associate Editor Jonathan Davis. The article states that administration of betamethasone to women with threatened preterm delivery at 34–36 weeks of gestational age to reduce the risk of neonatal respiratory morbidity may cause long-term harm through effects on the infant’s brain. This podcast includes a postscript with a response from the authors of the paper discussed. Read the full paper here: http://dx.doi.org/10.1136/archdischild-2016-312333.

Professor of Obstetrics and Gynaecology at University of Cambridge Gordon Smith discusses a leading article from the July Edition of the Archives of Disease in Childhood Fetal and Neonatal edition with Associate Editor Jonathan Davis. The article states that administration of betamethasone to women with threatened preterm delivery at 34–36 weeks of gestational age to reduce the risk of neonatal respiratory morbidity may cause long-term harm through effects on the infant’s brain. This podcast includes a postscript with a response from the authors of the paper discussed. Read the full paper here: http://dx.doi.org/10.1136/archdischild-2016-312333.

Associate Editor of Archives of Disease in Childhood Fetal and Neonatal edition Jonathan Davis is joined by two authors included in the May 2017's issue of the journal: Deirdre Murray and Louise Kenny (both from the Irish Centre for Fetal and Neonatal Translational Research, Cork University Maternity Hospital, Ireland). They are two of the authors of ‘Thin-for-gestational age infants are at increased risk of neurodevelopmental delay at 2 years’. Read the full article: http://fn.bmj.com/content/102/3/F197. The Cork BASELINE Birth Cohort Study was funded by the National Children's Research Centre. The SCOPE study was funded by the Health Research Board, Ireland. More from the ADC FN May 2017's edition here: http://fn.bmj.com/content/102/3.

Associate Editor of Archives of Disease in Childhood Fetal and Neonatal edition Jonathan Davis is joined by two authors included in the May 2017's issue of the journal: Deirdre Murray and Louise Kenny (both from the Irish Centre for Fetal and Neonatal Translational Research, Cork University Maternity Hospital, Ireland). They are two of the authors of ‘Thin-for-gestational age infants are at increased risk of neurodevelopmental delay at 2 years’. Read the full article: http://fn.bmj.com/content/102/3/F197. The Cork BASELINE Birth Cohort Study was funded by the National Children's Research Centre. The SCOPE study was funded by the Health Research Board, Ireland. More from the ADC FN May 2017's edition here: http://fn.bmj.com/content/102/3.

We're back! The ADC Archimedes podcast, home of the best evidence-paediatrics chat in Soundcloud has been reborn. This month, Bob Phillips, the Social Media and Archimedes Editor, talks runny poo and how to reduce it (see 'Probiotics in acute infectious diarrhoea: should we run with it?' here http://adc.bmj.com/content/102/8/782) and what to pre-med a prem in the own words of Tim van Hasselt, Birmingham Children’s Hospital, (read 'What is the best sedative to give as premedication for neonatal intubation?' here http://adc.bmj.com/content/102/8/780.1). There's also our usual scintillating rant on something evidencey (see http://adc.bmj.com/content/102/8/780.2). http://adc.bmj.com

We're back! The ADC Archimedes podcast, home of the best evidence-paediatrics chat in Soundcloud has been reborn. This month, Bob Phillips, the Social Media and Archimedes Editor, talks runny poo and how to reduce it (see 'Probiotics in acute infectious diarrhoea: should we run with it?' here http://adc.bmj.com/content/102/8/782) and what to pre-med a prem in the own words of Tim van Hasselt, Birmingham Children’s Hospital, (read 'What is the best sedative to give as premedication for neonatal intubation?' here http://adc.bmj.com/content/102/8/780.1). There's also our usual scintillating rant on something evidencey (see http://adc.bmj.com/content/102/8/780.2). http://adc.bmj.com

Paediatric training and the practice of paediatrics is built on the bedrock of ensuring best possible health outcomes for all children, optimising opportunity for those without full health and contributing to a voice, in advocacy, for children. In the world’s high-income countries (HICs), child health outcomes are comparatively good, and the paediatric workforce well trained to manage the health issues of children. Paediatric training and continuing professional development is generally under the authority of paediatric societies or colleges. Such organisations are well funded and supported, have long traditions of curriculum and resource development with supervisors trained in postgraduate training and supervision. They have a history of matching training needs to the health needs of their children. Some attempt at supporting advocacy and a voice for children is made, and a sense that paediatricians do all they can for the underprivileged is instilled during training. Such approaches are right and proper, but do they miss something fundamental? The question is the starting point of this podcast. ADC Global Child Health editor Nick Brown interviews Professor Kevin Forsyth (Department of Paediatrics and Child Health, Flinders University School of Medicine, Adelaide, Australia) about his article published in the June 2017 edition of ADC. The article 'Strengthening the global paediatric workforce: the need for a global strategy to ensure better health outcomes for children' is accessible on the ADC website: http://adc.bmj.com/content/102/6/585.

Paediatric training and the practice of paediatrics is built on the bedrock of ensuring best possible health outcomes for all children, optimising opportunity for those without full health and contributing to a voice, in advocacy, for children. In the world’s high-income countries (HICs), child health outcomes are comparatively good, and the paediatric workforce well trained to manage the health issues of children. Paediatric training and continuing professional development is generally under the authority of paediatric societies or colleges. Such organisations are well funded and supported, have long traditions of curriculum and resource development with supervisors trained in postgraduate training and supervision. They have a history of matching training needs to the health needs of their children. Some attempt at supporting advocacy and a voice for children is made, and a sense that paediatricians do all they can for the underprivileged is instilled during training. Such approaches are right and proper, but do they miss something fundamental? The question is the starting point of this podcast. ADC Global Child Health editor Nick Brown interviews Professor Kevin Forsyth (Department of Paediatrics and Child Health, Flinders University School of Medicine, Adelaide, Australia) about his article published in the June 2017 edition of ADC. The article 'Strengthening the global paediatric workforce: the need for a global strategy to ensure better health outcomes for children' is accessible on the ADC website: http://adc.bmj.com/content/102/6/585.

The automated control of inspired oxygen in the preterm infants is discussed in this podcast. Associate Editor of Archives of Disease in Childhood Fetal and Neonatal edition Jonathan Davis is joined by two authors included in the January 2017 issue of the journal: Christian Poets (Department of Neonatology, University Children's Hospital, Tübingen, Germany) and Peter Dargaville (Department of Paediatrics, Royal Hobart Hospital, Hobart, Tasmania, Australia). Find more details of the ADC Fetal & Neonatal edition here: http://fn.bmj.com/content/102/1/F1. Read the three articles mentioned in this podcast here: • “Automated FiO2 control: nice to have, or an essential addition to neonatal intensive care?” http://fn.bmj.com/content/102/1/F5 • Development and preclinical testing of an adaptive algorithm for automated control of inspired oxygen in the preterm infant http://fn.bmj.com/content/102/1/F31 • Clinical evaluation of a novel adaptive algorithm for automated control of oxygen therapy in preterm infants on non-invasive respiratory support http://fn.bmj.com/content/102/1/F37.

The automated control of inspired oxygen in the preterm infants is discussed in this podcast. Associate Editor of Archives of Disease in Childhood Fetal and Neonatal edition Jonathan Davis is joined by two authors included in the January 2017 issue of the journal: Christian Poets (Department of Neonatology, University Children's Hospital, Tübingen, Germany) and Peter Dargaville (Department of Paediatrics, Royal Hobart Hospital, Hobart, Tasmania, Australia). Find more details of the ADC Fetal & Neonatal edition here: http://fn.bmj.com/content/102/1/F1. Read the three articles mentioned in this podcast here: • “Automated FiO2 control: nice to have, or an essential addition to neonatal intensive care?” http://fn.bmj.com/content/102/1/F5 • Development and preclinical testing of an adaptive algorithm for automated control of inspired oxygen in the preterm infant http://fn.bmj.com/content/102/1/F31 • Clinical evaluation of a novel adaptive algorithm for automated control of oxygen therapy in preterm infants on non-invasive respiratory support http://fn.bmj.com/content/102/1/F37.

The Critical Creative Innovative Thinking (CCIT) is a forum formed at the Aga Khan University (AKU) in Karachi, Pakistan, aiming to provide an arena conducive to lateral thinking and to equip biomedical professionals with the skill set to enable and promote creativity and innovation in paediatric care for resource-limited backgrounds. The promoter of this project, Asad Mian, (Departments of Emergency Medicine, Paediatrics & Child Health, AKU) tells global commissioning editor of ADC, Nick Brown, how the CCIT is making a positive difference in Pakistan and could be applied to other low-income settings. Dr Mian is also an Associate Professor at the AKU. Read the article “Paediatric Innovation In Pakistan Our Experience And A Call To Action” in the Archives of Diseases in Childhood website: http://adc.bmj.com/content/early/2017/05/26/archdischild-2016-312123.

The Critical Creative Innovative Thinking (CCIT) is a forum formed at the Aga Khan University (AKU) in Karachi, Pakistan, aiming to provide an arena conducive to lateral thinking and to equip biomedical professionals with the skill set to enable and promote creativity and innovation in paediatric care for resource-limited backgrounds. The promoter of this project, Asad Mian, (Departments of Emergency Medicine, Paediatrics & Child Health, AKU) tells global commissioning editor of ADC, Nick Brown, how the CCIT is making a positive difference in Pakistan and could be applied to other low-income settings. Dr Mian is also an Associate Professor at the AKU. Read the article “Paediatric Innovation In Pakistan Our Experience And A Call To Action” in the Archives of Diseases in Childhood website: http://adc.bmj.com/content/early/2017/05/26/archdischild-2016-312123.

The global eradication of polio is closer than ever. Milestones in this effort include the eradication of type-2 polio (one of three), the ongoing introduction of inactivated polio vaccine (IPV) into routine immunisation schedules, and the complex synchronised switch from trivalent OPV (all three types) to bivalent OPV (types 1 and 3) in all OPV-using countries during two weeks in April, 2016. A year on since the implementation of that switch, Julie Garon (Department of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA) describes it as an “overall huge success”, involving coordination and commitment from all levels of vaccination programs. However, work is still needed to eliminate the final cases of wild poliovirus. Ms. Garon talks Associate Editor of ADC Nick Brown through the rationale behind and the steps involved in the unprecedented synchronised switch from tOPV to bOPV. Read the full article by Julie Garon et al., “The polio endgame: rationale behind the change in immunisation” at the Archives of Disease in Childhood website:adc.bmj.com/content/102/4/362.

The global eradication of polio is closer than ever. Milestones in this effort include the eradication of type-2 polio (one of three), the ongoing introduction of inactivated polio vaccine (IPV) into routine immunisation schedules, and the complex synchronised switch from trivalent OPV (all three types) to bivalent OPV (types 1 and 3) in all OPV-using countries during two weeks in April, 2016. A year on since the implementation of that switch, Julie Garon (Department of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA) describes it as an “overall huge success”, involving coordination and commitment from all levels of vaccination programs. However, work is still needed to eliminate the final cases of wild poliovirus. Ms. Garon talks Associate Editor of ADC Nick Brown through the rationale behind and the steps involved in the unprecedented synchronised switch from tOPV to bOPV. Read the full article by Julie Garon et al., “The polio endgame: rationale behind the change in immunisation” at the Archives of Disease in Childhood website:adc.bmj.com/content/102/4/362.