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Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the June 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/6/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

Welcome back to the ADC Spotlight podcast, the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by Mr Robert Wheeler, paediatric and neonatal surgeon and honorary senior lecturer in medical law (1) to discuss the shortage of clinical provision, and the placements for children requiring assessment and treatment for mental illness. Read the paper 'Providing beds for children' for free for one month on the ADC website: https://adc.bmj.com/content/107/2/114 and on the February's issue. More from the author about clinical law and ethics: https://blogs.bmj.com/medical-ethics/2022/05/01/law-ethics-basic-science/ The ADC Spotlight series is produced by Letícia Amorim and edited by Brian O'Toole. Please listen to our regular podcasts and subscribe to 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 (1) Consultant Paediatric & Neonatal Surgeon at the Wessex Regional Centre for Paediatric Surgery, University Hospital Southampton NHS Foundation Trust, UK.

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the January 202 issue. The Fantoms article: https://fn.bmj.com/content/107/1/1 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

This month we go all buggy, thinking about how we can use EU-level regulatory frameworks to help us act in our clinical lives (https://adc.bmj.com/content/107/5/507.2). We also address the persuasive power of an accelerated BCG reaction in children… fort noted by Koch of Koch’s Postulates in rodents (https://adc.bmj.com/content/107/5/507.1), and ask a partially useful question that might save many hours and many many stabs - are CVC concentrations of tobramycin good enough to judge how to dose in children? (https://adc.bmj.com/content/107/5/512). Please do tell us what you think of the podcast or the section, and if you’re revisiting the Journey to the West in TV form, on any of the socials. Please listen to our regular podcasts and subscribe to 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 the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the May 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/5/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

Croaking and wheezing and slightly exhausted… not the average neonatologist but Archimedes this month is brought to you from post-natal palaces and 'post-nasal drip'. We start thinking about how best to communicate a post-natal diagnosis of Down syndrome(https://adc.bmj.com/content/107/4/409.1), which is prefaced by some thoughts on what it means to undertake a ‘good’ qualitative study(https://adc.bmj.com/content/107/4/409.2). We have more on this on our blog site, in this series: https://blogs.bmj.com/adc/category/qualitative/ We then dive down from the wards into the NICU where we wonder how to shift the clogged secretions of a grot-filled lung, and someone suggests DNAse, which sounds a lot like magic, but magic that can be evidence-based(https://adc.bmj.com/content/107/4/411). When you’ve had a listen tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself croaked Archi or in active conversation too. Please listen to our regular podcasts and subscribe to 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 the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the April 2022 issue. They start this month by addressing the consequences of wars on children in light of the latest war in Ukraine. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/4/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

A bit like aircraft, intubating and extubating are the awkward and skill-requiring parts of a ventilator journey. Well, not so much the tube removal itself, but the choice of when to do it. And we’ve got a topic report which asks if the ubiquitous ultrasound could help us with that decision: (https://adc.bmj.com/content/107/3/303.1). As for popping a tube in, how do you know it’s in the right place? Slide that probe over - at least in neonates - and see if you can see the tip located properly (https://adc.bmj.com/content/107/3/305). So while we’re thinking about tubes and ways of working, perhaps we need to consider just how do we test such ‘craft’ interventions? Well… have a listen and while the whole answer won’t be revealed … some starter thoughts might be (https://adc.bmj.com/content/107/3/303.2). Tie down your garden furniture, hold onto your fence posts, and tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself spoken by Archi. 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 the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the March 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/3/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

When we ask our PICO questions, how often do we think about what we’re not asking … and when should we revise them? That’s the core of this little piece which encourages us to think about thinking a bit - https://adc.bmj.com/content/107/2/193.2. Far less profound, and far more helpful, is the question of if twins (and triplets and higher orders) are at greater risk of RSV just by being doublets (which really should be what we call them) - https://adc.bmj.com/content/107/2/193.1. And almost as useful is if you can stop a child with annoying sniffles having annoying sniffles when all else fails by splashing them with monteleukast - https://adc.bmj.com/content/107/2/197. So for now, kick back in the snow, tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself spoken by Archi.

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the February 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/2/i

We’re never going to be satisfied with the search of direct randomised evidence in paediatrics - unless we’re working in the hallowed hills of 'paed oncology' of course - so how should we think about the weight of evidence to change things? There’s a classic lack of direct, trial data when it comes to considering when to give vaccines after TNF-alfa treatments in pregnancy [https://adc.bmj.com/content/107/1/93.1] but what is out there can be digested and considered and given as a pithy conclusion … as can the consideration of radiotherapy for a non-malignant condition … (something we’ve tended to shy away from after treating - effectively - ringworm with scalp focussed zapping and accidentally creating meningiomas where there was only an annoying fungal infection before) … should you block or blast in Grave’s disease? [https://adc.bmj.com/content/107/1/97] Enjoy, tell us what you think, and submit your own following the instructions on the website and you too could be subject to this sort of internet delight [https://adc.bmj.com/content/106/11/1135.2].

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the January 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/1/i

We visit the land of diagnostics in our thinking again this month, deciding when a test can really help us by pressing on to make, or exclude, a diagnosis, and when it simply nudges us a bit one way or another (YOU’LL NEED TO FIND LINK - STARTS There’s something unnerving about getting a test result. And is title is ‘Spins and snouts’) But then we leap away from it, like a young gazelle or enthusiastic neutrophil, to ask the question “Should all infants with delayed cord separation be investigated for leucocyte adhesion deficiency?” [https://adc.bmj.com/content/106/12/1233] You might already guess the answer - nothing in medicine is an all or nothing - except when it is - but it’s an excellent interview and explanation. The other topic takes in the land of spinal surgery and asks if it can help lung function in (some) kids with cerebral palsy…[https://adc.bmj.com/content/106/12/1231.1] Enjoy, tell us what you think, and submit your own following the instructions on the website and you too may have an interview on Her Majesty’s Own Internet to share with your Aunties.

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the December 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/12/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 2021 issue. The Fantoms article: https://fn.bmj.com/content/106/6/571 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 Other related material mentioned in the podcast: https://soundcloud.com/bmjpodcasts/perinatal-management-of-extreme-preterm-birth-before-27-weeks-of-gestation-a-framework-for-practice

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the September 2021 issue. The Fantoms article: https://fn.bmj.com/content/106/5/457 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 Other related papers mentioned in the podcast: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2780513

Extracting urine has been the subject of Archimedes in the past, but this month wee (geddit?) have questions relating to when you’ve found a UTI. Could you treat a wee one with oral rather than IV antibiotics? (Full answer here: https://adc.bmj.com/content/106/11/1135.1) Should you make all the little ones with UTI to bend around and take a few mls of CSF from them? (Read on … https://adc.bmj.com/content/106/11/1138). Good questions - and more are possible too - keep sending them. We also consider how things can be subject to our alternative ways of thinking about new and old things, and that, for almost everything to be honest, there’s not a level playing field. And we could do with understanding and working on that (https://adc.bmj.com/content/106/11/1135.2). Enjoy, feedback, and submit (following the instructions on the website though. No one wants to waste time and have to go back and rewrite things over and over again do they?).

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the November 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/11/i

Have you ever had a question you thought … “OOOO! That’s an Archimedes in waiting that is!”. Well, join in the footsteps of those who have climbed the craggy path through submission, review, Editorial Board and onwards to the sunny pastures of ‘Online First’ and eventually the Paper Journal (where, like one of our colleagues, your Gran can try and order one from the newsagents because she’s so proud of you). The Grannies being delighted this month will be able to learn all about if their migrainous adolescent grandchildren will benefit from magnesium to reduce their headache frequency of severity (https://adc.bmj.com/content/106/10/1027), and far from benign taught to suck eggs they may have their perception of weaning foods challenged when it comes to egg introduction to the diet of four month olds (https://adc.bmj.com/content/106/10/1024.1). Their wisdom will be already full of the knowledge that just because something’s always been this way doesn’t make it right, but they may like to hear about how we think momentum and inertia apply in medicine too (and here’s the ship-related podcast that’s mentioned: https://timharford.com/2019/11/cautionary-tales-ep-1-danger-rocks-ahead/) https://adc.bmj.com/content/106/10#Archimedes https://adc.bmj.com/content/106/10/1024.2