scholarly journals Understanding parent preferences for NHS paediatric allergy services

2020 ◽  
Vol 50 (10) ◽  
pp. 1159-1165 ◽  
Author(s):  
Lavanya Diwakar ◽  
Carole Cummins ◽  
Tracy Roberts
Keyword(s):  
Parent Preferences ◽  
Paediatric Allergy

Patient and parent preferences for orthodontic practices

1999 ◽  
Vol 2 (3) ◽  
pp. 110-123 ◽  
Author(s):  
E. Kenneth Walley ◽  
Stephen L. Silberman ◽  
Orhan C. Tuncay
Keyword(s):  
Parent Preferences

scholarly journals Parent preferences regarding stimulant therapies for ADHD: a comparison across six European countries

2014 ◽  
Vol 23 (12) ◽  
pp. 1189-1200 ◽  
Author(s):  
Beenish Nafees ◽  
Juliana Setyawan ◽  
Andrew Lloyd ◽  
Shehzad Ali ◽  
Sarah Hearn ◽  
...  
Keyword(s):  
European Countries ◽  
Parent Preferences

Paediatric allergy practice in the era of coronavirus disease 2019

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
S. Shahzad Mustafa ◽  
Marcus S. Shaker ◽  
Daniel Munblit ◽  
Matthew Greenhawt
Keyword(s):  
Paediatric Allergy

scholarly journals Ratio of Klebsiella/Bifidobacterium in early life correlates with later development of paediatric allergy

2017 ◽  
Vol 8 (5) ◽  
pp. 681-695 ◽  
Author(s):  
J.S.Y. Low ◽  
S.-E. Soh ◽  
Y.K. Lee ◽  
K.Y.C. Kwek ◽  
J.D. Holbrook ◽  
...  
Keyword(s):  
Intestinal Microbiota ◽  
Allergic Disease ◽  
Early Life ◽  
16S Rrna Gene Sequencing ◽  
Early Infancy ◽  
Rrna Gene ◽  
Microbial Composition ◽  
Healthy Infants ◽  
Increased Risk ◽  
Paediatric Allergy

Several studies have reported that intestinal microbial colonisation patterns differ between non-allergic and allergic infants. However, the microbial signature underlying the pathogenesis of allergies remains unclear. We aim to gain insight into the development of the intestinal microbiota of healthy infants and infants who develop allergy in early life, and identify potential microbiota biomarkers of later allergic disease. Using a case-control design in a Chinese sub-cohort of a Singaporean birth cohort (GUSTO), we utilised 16S rRNA gene sequencing to assess intestinal microbial composition and diversity of 21 allergic and 18 healthy infants at 3 weeks, 3 months and 6 months of age, and correlated the microbiota with allergy at ages 18 and 36 months. Pronounced differences in intestinal microbiota composition between allergic and healthy infants were observed at 3 months of age. The intestine of healthy infants was colonised with higher abundance of commensal Bifidobacterium. Conversely, Klebsiella, an opportunistic pathogen, was significantly enriched in the allergic infants. Interestingly, infants with a high Klebsiella/Bifidobacterium (K/B) ratio (above the population median K/B ratio) at age 3 months had an odds ratio of developing allergy by 3 years of age of 9.00 (95% confidence interval 1.46-55.50) compared to those with low K/B ratio. This study demonstrated a relationship between the ratio of genera Klebsiella and Bifidobacterium during early infancy and development of paediatric allergy in childhood. Our study postulates that an elevated K/B ratio in early infancy could be a potential indicator of an increased risk of allergy development. This line of research might enable future intervention strategies in early life to prevent or treat allergy. Our study provides new insights into microbial signatures associated with childhood allergy, in particular, suggests that an elevated K/B ratio could be a potential early-life microbiota biomarker of allergic disease.

scholarly journals Qualitative study: patients’ and parents’ views on brain tumour MRIs

2019 ◽  
pp. archdischild-2019-317306 ◽  
Author(s):  
Natalie Tyldesley-Marshall ◽  
Sheila Greenfield ◽  
Susan Neilson ◽  
Martin English ◽  
Jenny Adamski ◽  
...  
Keyword(s):  
Young People ◽  
Brain Tumour ◽  
No Value ◽  
Brain Tumours ◽  
Emotional Responses ◽  
Working Relationships ◽  
Structured Interviews ◽  
Children And Young People ◽  
Parent Preferences ◽  
Over Time

BackgroundMRI is essential to the clinical management of children and young people with brain tumours. Advances in technology have made images more complicated to interpret, yet more easily available digitally. It is common practice to show these to patients and families, but how they emotionally respond to, understand and value, seeing brain tumour MRIs has not been formally studied.MethodsQualitative semi-structured interviews were undertaken with 14 families (8 patients, 15 parents) purposively sampled from paediatric patients (0 to 18 years) attending a large UK children’s hospital for treatment or monitoring of a brain tumour. Transcripts were analysed thematically using the Framework Method.ResultsFour themes were identified: Receiving results (waiting for results, getting results back, preferences to see images), Emotional responses to MRIs, Understanding of images (what they can show, what they cannot show, confusion) and Value of MRIs (aesthetics, aiding understanding, contextualised knowledge/emotional benefits, enhanced control, enhanced working relationships, no value). All families found value in seeing MRIs, including reassurance, hope, improved understanding and enhanced feeling of control over the condition. However emotional responses varied enormously.ConclusionsClinical teams should always explain MRIs after ‘framing’ the information. This should minimise participant confusion around meaning, periodically evident even after many years. Patient and parent preferences for being shown MRIs varied, and often changed over time, therefore clinicians should identify, record and update these preferences. Time between scanning and receiving the result was stressful causing ‘scanxiety’, but most prioritised accuracy over speed of receiving results.

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