Travelling to seek healthcare is a very ancient practice, which has evolved into multi-billion-pound industry. Dr George Guiton, Fiona Finlay and Liz Plastow explore its history discuss the potential implications for children today

Attention Deficit Hyperactivity Disorder (ADHD) is now recognized as a disorder that can persist into adulthood, and therefore, there need for transitional care.To find out about the experiences of community pediatricians across UK when transferring patients with ADHD to adult care.A questionnaire was sent 100 consultant asking their experiences.The majority respondents thought proportion would require referral services only 22% were aware dedicated clinic adults in area. Many had tried...

'County lines' is the term used for proliferating mobile phone lines by gangs to infiltrate county towns where a profitable drug market identified. The National Crime Agency reports that 88% of police areas in England and Wales have either an established or emerging County Lines problem their area. With estimated 46 053 aged 10-18 years gang, activities devastating impact on young people, vulnerable adults local communities. Young people engaged are at hugely increased risk child sexual...

The value of the latex agglutination test in meningitis was assessed. This positive 60% cases Streptococcus pneumoniae, 93% Haemophilus influenzae type b, and 39% Neisseria meningitidis infections. We cannot support view that this more valuable than Gram staining partially treated recommend its routine use. It may, however, be if does not identify an organism or it suggests meningococcal infection.

To audit doctors' knowledge of informed consent.10 consent scenarios with "true", "false", or "don't know" answers were completed by doctors who care for children at a large district general hospital. These questions tested clinicians' could give in different clinical situations.Royal United Hospital, Bath, UK.51 participated (25 paediatricians and 26 other clinicians). Paediatricians scored higher than clinicians (average correct response 69% v 49%). Only 36% (9/25) 8% (2/26) realised that...

To identify who provides medical support to students with Attention Deficit Hyperactivity Disorder (ADHD) while in higher education.A questionnaire pack was sent 50 undergraduate student health centres attached education colleges/universities.Eighty-two per cent of practices returned questionnaires. Forty-nine had ADHD, those 76% were on methylphenidate. Fifty-two saw only their general practitioner (GP) for follow up and the rest jointly managed by GP with: psychiatrists, paediatricians,...

Abstract Aims To describe how paediatric consultants report dealing with child and neonatal deaths as part of their daily work. Background Paediatric are involved children families facing death through illness. This study focused on consultant's involvement around the time including: decision making its associated difficulties, talking to parents use coping strategies. Consultants more than 5 years experience were asked what has taught them less that they felt was biggest change from being a...

Summary This study was undertaken to evaluate a range of drug information leaflets from both an adolescent and professional perspective. 72 adolescents were interviewed in focus groups within school settings. Fifteen paediatricians also individually. Participants asked consider the under following categories: initial impact, content overall suitability for adolescents. Paediatricians not good judges which would appeal They tended choose with comic strip illustrations those written ‘cool’ or...

To ascertain information about the use of mobile phones on a young person's hospital unit and to obtain views nursing staff people benefits their use.A qualitative study using pre-piloted questionnaire was given 50 admitted consecutively district general in four-week period. A separate nine members team over same time period.Most had access phone while ward. total 30 per cent were told they could phone, 75 those made calls or sent texts ward, 80 received texts, 20 used ward at station. All...

To find out whether doctors who work with children have a basic knowledge of tissue and organ donation which would allow them to initiate discussions families.Anonymous self-completed questionnaire containing information about administered 56 working in paediatrics, emergency medicine intensive care one district general hospital.89% were aware that could donate solid organs after death although 39.3% thought incorrectly premature babies eligible. Respondents generally less knowledgeable age...

ABSTRACT Objective To determine whether children with disabilities attending special schools have the same immunisation uptake rate as local general child population. Design Cross‐sectional survey of computer database records for area. Setting Community population Bath clinical area, south‐west England. Sample The 136 three in area and 272 randomly selected age sex matched controls. Measurement Uptake rates all vaccines covered by routine schedule UK. Results Immunisation were significantly...

There is a groundswell of support and enthusiasm for prioritising staff breaks. Within trusts, there have been some high-profile campaigns started we believe at Guys St Thomas’.1 The British Medical Association (BMA) are also launching their #giveusabreak campaign.2 Health Education England National Service Mental Wellbeing report highlights this.3 But …

<h3>Aims</h3> Many children and young people use the internet for playing games to help with homework, but some their of is excessive. Families have asked whether a connection between ADHD Internet Addiction known. We aim answer this question. <h3>Methods</h3> Searches PUBMED EMBASE were carried out using keywords “ADHD”, “Internet addiction” “pathological use”. All studies identified as relevant reviewed independently by two researchers. <h3>Results</h3> or Problematic Use (PIU) excessive...