The Lancet Child & Adolescent Health
@LancetChildAdol
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A vital voice for improving young lives, The Lancet Child & Adolescent Health publishes top quality research and trusted comment and opinion. #Lancet200
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Joined January 2017
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On IDAHOBIT, our Editorial responds to new & proposed US laws prohibiting trans youth from receiving gender-affirming health care: trans youth have the same right to health and wellbeing as all people
#IDAHOBIT2021
#TransYouth
#trans
100
331
772
New
#COVID19
Research: An international call for cases identified 38 children with neurological disease related to
#SARSCoV2
infection
Recurring patterns of disease were identified, with
#neuroimaging
abnormalities ranging from mild to severe
11
336
423
New research by
@timspector
& team: Children with
#COVID19
typically recovered within a week and had few symptoms (average illness lasted 6 days, with an average of 3 symptoms). Almost all symptomatic children (98%) recovered by 8 weeks.
10
206
361
Insufficient sleep can compromise cognitive functions and cause behavioural problems in emerging adolescents. New research recommends a minimum of 9hrs sleep a night for 9-12 year olds.
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140
351
A positive view of
#MentalHealth
is a crucial step towards reframing the narrative and redirecting investments.
We support
@UNICEF
@Save_children
in calling for commitment and leadership across sectors.
#MindRightsNow
#OnMyMind
8
66
211
Note that
#IDAHOBIT
- the International Day Against Homophobia, Transphobia & Biphobia - marks the decision in 1990 to remove homosexuality from the International Classification of Diseases. Trans youth shouldn't be discriminated against either
#LGBT
#LGBTQ
#LGBTQIA
#IDAHOBIT2021
7
36
198
New Viewpoint by
@OrbenAmy
@livia_tomova
@sjblakemore
calls for an increased sensitivity during the
#COVID19
response to the needs of
#adolescents
, for whom peer interaction is a vital aspect of development
#MentalHealth
1
83
157
.
@thelancet
has announced it's 2020 Campaign will centre on child and adolescent health! A great opportunity for everyone in the field. We look forward to many exciting collaborations with internal and external colleagues over the coming 12 months
#Lancet2020
We aim to engage & galvanise political leaders, policy makers, civil society & NGOs, researchers & clinicians, funders & commercial organisations, & children and young people.
Please join us to make a difference with our
#Lancet2020
Campaign
7
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In very
#preterm
infants, delayed cord clamping (at least 60 s, w/o milking) reduced the risk of death or major disability at 2 years by 17%, compared with immediate cord clamping
Study by Kristy Robledo, William Tarnow-Mordi & team:
@alphacollab
#neoEBM
1
67
132
How can we promote healthy movement behaviours (
#PhysicalActivity
,
#ScreenTime
,
#sleep
) in children during the
#COVID19
pandemic?
New Comment by
@tonyokely
& colleagues:
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We're sharing profiles of influential Black colleagues in health & medicine during
#BlackHistoryMonth
, and we want to highlight the tireless work of Grace Imru to reduce Kenya's under-5 mortality rate
@ProfIrimu
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133
As part of
#Lancet200
, we are inviting essays from young people.
What are the key issues in health facing children and young people now? What issues are important to you and your peers, but neglected by those in positions of power?
Tell us! 👉
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NEW study modelled UK school reopening alongside the loosening of restrictions across society, and finds that a second wave of
#COVID19
can be avoided if accompanied by a
#TestTraceIsolate
strategy with sufficiently broad coverage
6
97
124
NEW: Majority of adolescents worldwide are not sufficiently physically active, putting their current and future health at risk: findings from first ever global trends for girls and boys aged 11-17 years across 146 countries
@WHO
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NEW: Our Commission on
#pediatricpain
sets out 4 transformative goals to improve the lives of
#children
and
#adolescents
with pain
#4goals4pain
—Make pain matter, understood, visible, and better
#paediatricpain
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86
114
Children and young people remain at low risk of COVID-19 mortality. We report the latest data from seven countries, comparing COVID-19 deaths to all-cause mortality in under-19s between March 2020 to Feb 2021.
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Finally, tho many young people are more accepting of
#LGBTIQ
people than their elders, not so in
#Africa
. This Feature explores how criminalisation, religion & political rhetoric maintain homophobia, transphobia &biphobia
@OutRightIntl
#IDAHOBIT2021
#LGBT
5
9
92
Inspiring opening from
@drgigiosler
: "“When I think about championing diversity, I don’t just think about more women. I look around the room and think “who is not here?”. Intentional representation is key in academia.
#LancetWomen
1
44
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Many countries have implemented national
#schoolclosures
in response to
#COVID19
NEW Rapid Systematic Review:
@RCPCHPresident
R Viner et al discuss effectiveness of school closures & other school social distancing practices during
#coronavirus
outbreaks
8
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Role theory of schools &
#adolescenthealth
: Viewpoint proposes a new theory of how
#school
influences health as a context where students playing roles before an audience of teachers & peers may adopt risk behaviours
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We're so excited to introduce our refreshed International Advisory Board! It beautifully reflects our internationality, diversity, and engagement with experts at all stages of their careers, as well as the breadth of our remit. Take a peek 👀
9
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In response to the
#COVID19
pandemic, 188 countries have implemented country-wide
#schoolclosures
NEW Editorial discusses the risks and opportunities for children and adolescents, including on mental health and risky behaviour
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Explore the latest research on interventions to optimise development and minimise excessive weight gain in children at
#LancetSummitObesity
.
Book your free place at
#childobesity
#DOHAD
2
27
91
This month, we had the pleasure to profile Grace Irimu
@ProfIrimu
, who has been working tirelessly for decades to reduce Kenya's
#Under5Mortality
rate
Dramatic progress has been made, but Irimu still thinks there is a lot to do. Read more here:
#SDGs
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Every day is
#SuicidePreventionDay
Adolescents who self-harm have a considerable risk of future
#suicide
, and understanding the relationship between the two can help inform interventions that best support young people
This Article explores the links
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We cannot accept a world where 160 million children
are denied an education and forced into exhausting
work in dangerous conditions. Pandemic recovery plans must include efforts to eliminate child labour.
Read our new Editorial:
@ilo
@UNICEF_uk
@WHO
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The news that children currently face might seem almost unspeakable. But, together, we must find words, and ways, to give voice to their experience
New Comment by
@alansteinoxford
& colleagues
@OxPsychiatry
:
#COVID19
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55
84
Hot off the heels of
#Tokyo2020
, new research shows that more
#ScreenTime
and less
#PhysicalActivity
is associated with reduced mental
#Wellbeing
, in a dose-dependent relationship
Full article by
@Asad_K88
& team⏩
@UQ_News
@UQHealth
3
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New Editorial: The benefits of
#YouthParticipation
in health research are clear, but making
#youth
involvement the norm requires a shift in culture and attitudes at all levels.
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84
Early data from
@KingsCollegeNHS
shows no evidence of more severe disease in children with new
#SARSCoV2
variant
#B117
#COVID19
@Lungclinic
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51
84
“Stop calling me ‘resilient’ and fix the problems.”
New Essay by
@AbbyRosenbergMD
& colleagues on
#resilience
, and how language and policies exacerbate
#MentalHealth
disparities
0
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New case series—
@paolodecoppi
& colleagues
@GreatOrmondSt
report eight children with
#COVID19
with symptoms of atypical
#appendicitis
before rapid deterioration requiring hospitalisation and, in some cases, intensive care support
#PedsICU
#PedsGI
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One major barrier to the treatment of children with drug-resistant
#TB
has been the absence of child-friendly formulations of key second-line medications. Comment by Jennifer Furin & colleagues:
#LancetTB
#WorldTBDay
#LancetTBFree
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We are delighted to receive our first Impact Factor, 8.543!
A big thank you to our authors, reviewers, and International Advisory Board members for all their support!
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NEW: In nearly all 146 countries analysed, girls were less active than boys & prevalence of female insufficient activity has not improved since 2001: national, city & local leaders should promote the importance of
#physicalactivity
@WHO
#BeActive
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The most common imaging patterns were postinfectious immune-mediated acute disseminated encephalomyelitis-like changes of the brain (16 patients), myelitis (8 patients), and neural enhancement (13 patients).
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"The notion of health as a product of quality schooling should be embedded within schools' core policies".
@NickyJGray
@didjourdan
explain how we must support every
#school
to become a foundation for healthy lives
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31
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@maryrenfrew
, the first midwife to be awarded fellowship, advocates for relationship-based care
“There are serious problems with some of the current practices in maternal & infant health; we need to take a hard look at the evidence & work out how we can do things differently”
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17
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For many
#autistic
young people "stereotypes & the stigma that they reinforce might be a greater barrier to wellbeing than the characteristics of autism itself"
@JacdenHouting
& colleagues explore the development of
#stigma
& efforts to challenge it
3
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In an Editorial, we applaud the inspirational young Americans advocating for greater gun control in the USA, and call for child and adolescent health organisations to show their solidarity with this important youth movement.
#NeverAgain
#MarchForOurLives
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NEW—"School routines are important coping mechanisms for young people with mental health issues. When schools are closed, they lose an anchor in life"
In a Feature, Joyce Lee speaks to experts about
#mentalhealth
effects of
#schoolclosures
during
#COVID19
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New October Issue is out—with research on
#COVID19
illness duration,
#RacialDisparities
in PICUs,
#PhysicalActivity
screen-time & wellbeing,
#FoodAddiction
, childhood
#obesity
, weight gain after preterm birth, & much more
Cover art: Iverson Steel, age 9
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New Research—First Europe-wide study of 582 children & adolescents confirms
#COVID19
predominately causes mild disease and fatalities are very rare (4 deaths, <1%).
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Very excited to announce that our first issue is online (& free)! Check out content on
#cyberbullying
,
#Zika
& more!
0
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NEW Case report by Terry Dean & colleagues
@ChildrensNatl
: Cardiac dysfunction and thrombocytopenia-associated multiple organ failure inflammation phenotype in a severe
#pediatric
case of
#COVID19
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90% of the world's children with
#HIV
live in sub-Saharan Africa. Marked deficits in bone density were found in children aged 8–16 with HIV in
#Zimbabwe
, increasing the risk of fracture. Read the new research by Ruramayi Rukuni & team
@LSHTM
#LancetHIV40
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Do you have an MD or PhD in a child or adolescent health relevant field, a passion for research, and a desire to disseminate the most critical issues in paediatrics? We're hiring a Senior Editor for our London office and would love to hear from you if so.
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NEW RESEARCH: free! Two studies on adolescent
#LongCovid
. Both found high symptom burden in COVID positive and negative participants; very heterogenous symptom profile. Pandemic has had profound impact on all adolescents.
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Now we are three! Having launched The Lancet Child & Adolescent Health in September, 2017, this issue marks our 3rd anniversary!
Read our new Editorial as we reflect back and look ahead:
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Progress is still needed to improve child health and end preventable deaths among children <5 years
New cause-specific estimates of infant mortality for 2000-19 are explored in this Article by Jamie Perin and colleagues
@JohnsHopkinsSPH
,
@LSHTM
&
@WHO
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NEW: An active surveillance study by
@shamezladhani
& team
@PHE_uk
found very low rates of symptomatic or asymptomatic
#SARSCoV2
infection in students and staff following partial and full reopening of primary schools in England in June and Sept 2020
5
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Progress update! Remember our pledge to double our representation of female authors from LMICs this year? We're aiming for 7.5% (up from 3.3% in 2018). Six months in, we've reached 6.3%! Submit your papers here
#lancetwomen
0
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Thrilled to see our advisory board member
@sjblakemore
taking her rightful place amongst the portraits of eminent scientists on the walls of
@royalsociety
#Sohn2018
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"how many more training sessions and lectures will it take before we actually decrease the racial inequity in infant mortality, or the adverse policing of Black and Brown families within our own hospitals?"
A call to action from
@ShaqBell
& colleagues
3
21
46
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36
42
New case series—Cyril Sahyoun & colleagues
@Hopitaux_unige
describe three
#adolescents
presented in septic shock, two of whom met definition for
#pediatric
multisystem inflammatory syndrome temporally associated with
#COVID19
#PedsICU
#PIMSTS
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28
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On International
#ChildhoodCancer
Day, our latest editorial highlights progress and priorities for improving the lives of young people with
#cancer
#Together4kidswcancer
#ICCD
1
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New finding from the
#ALSPAC
cohort: Young people who identify as
#SexualMinorities
consistently experience more symptoms of
#depression
and report more
#SelfHarm
than
#heterosexual
youths throughout their school years and into early adulthood
@CO90s
0
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6 month follow up of children with
#PIMSTS
: most symptoms were resolved, but fatigue, difficulty exercising, and emotional difficulties persisted in some children …
#COVID19
@GreatOrmondSt
@KarynMoshal
#ECCMID2021
1
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The strange endurance of
#CorporalPunishment
Despite its ubiquity, research into the effects of corporal punishment is almost entirely uniform in its agreement that the practice does not work & has enduring negative effects on children
New Feature:
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22
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We did it! Back in Feb at
#LancetWomen
, we
pledged to double the representation of women from LMICs among our commissioned authors (3.5% --> 7%). We made 8%!! Thank you to everyone who wrote for us.
1
10
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40% of children with
#IntellectualDisability
have a diagnosable mental disorder, but the extent of unmet need is high.
@VasoTotsika
& colleagues propose four directions for addressing the
#MentalHealth
inequity in intellectual disability:
0
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“Medical trainees of colour & those from marginalised backgrounds often enter medicine with ideals that are more than simply pursuing a career. There is a passion for serving the communities we come from”
Farooq Kazi & Ammara Mushtaq profile
@DrRayMD
1
6
44
Many of us have been told that we are simply “unfit”... that we should “push through” our symptoms, discomfort, and illness... This makes us feel ignored and gaslighted.
Sanjana and Eden from
@LongCovidKids
share their experience of
#LongCovid
:
3
19
44
New research: Group B Streptococcus disease, a major cause of neonatal death, also affects mortality risk & neurodevelopmental outcomes in later childhood
#LongGBS
#meningitis
#sepsis
@joylawn
@GBSSupport
@LSHTM
0
20
44
On
#WorldMeningitisDay
, new
#OA
research by
@joylawn
and colleagues shows the burden of infant iGBS disease remains unacceptably high, despite intrapartum prophylactic antibiotic strategies & advanced neonatal care
#longGBS
#meningitis
@LSHTM
@GBSSupport
0
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#ActuallyAutistic
people are clear that they do not need fixing or a cure, but rather recognition, acceptance, and support for their way of being
On
#AutismAwareness
day, our Editorial invites reflection on how we view
#autism
:
1
18
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New Editorial: to end violence against women, discussions & initiatives must span the genders & include adolescents -- to change cultural gender norms, create more gender equitable societies & foster healthy relationships ⬇️
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20
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We are absolutely thrilled to introduce our new Youth Advisory Panel within our International Advisory Board
Youth participation is key to effecting change & we're looking forward to the valuable perspectives they'll bring to our work. Here they are 🧵👇
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14
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NEW Comment—A contingency plan for the management of the 2019 novel
#coronavirus
outbreak in
#NICUs
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Life beyond the PICU is picking up—how can early rehabilitation and mobilization in the
#PedsICU
help to reduce harms and improve outcomes? We interviewed
@SapnaKmd
&
@karen_choong
to learn more:
#ICUrehab
#criticalillness
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28
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"There is a need to raise awareness of healthy preparation for
#pregnancy
as a concept from an early age", starting in
#childhood
and
#adolescence
. Read more on
#preconceptionhealth
in the new
@TheLancet
series:
0
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No
#child
or young person should be disadvantaged because of the colour of their skin. It's time to improve the
#diversity
of
#pediatric
skin images
New Correspondence from the
@DFTBubbles
@DFTBSkinDeep
core team:
2
20
41
Perinatal
#SARSCoV2
transmission is unlikely and allowing
#newborns
to room-in and breastfeed is safe, with appropriate precautions.
Comment by
@melissacmorgan
:
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Our September issue is live! With content on
#LongCOVID
in children; neurodevelopmental impairments after
#meningitis
; sickle cell anaemia &
#malaria
; severe acute
#hepatitis
in children; & much more
Read it here:
Cover image by Isobella Liquit, age 12
1
14
39
A surge in cases of
#Kawasaki
disease,
#PIMSTS
, or
#MISC
has not been reported in Asia. Is Kawasaki disease in the
#COVID19
era a distinct clinical phenotype?
New Comment by
@leejanhau
,
@ongsoomay
, Kai-Qian Kam:
2
16
41
#Menstruation
, a sign of good health, must be normalised, and celebrated.
#ItsTimeForAction
. Read our Editorial on Normalising menstruation, empowering girls 👉
@MHDay28May
@WASHUnited
#MenstrualHygiene
#MHDay2019
1
21
39
Ahead of
#IWD2020
, we profile
@DrCChambers
, Scientific Director
@CIHR_IHDCYH
, who is passionate about translating research knowledge into improvements in clinical practice.
Check out
#ItDoesntHaveToHurt
&
@KidsInPain
!
#LancetWomen
#WomenInScience
0
17
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Our November issue is out! Read about the global burden of
#HIV
and other
#STIs
, growth hormone treatment for SGA,
#ClimateChange
and allergies, and detection of vaping & substance use in
#adolescents
Cover by Matthew Watkins, age 6
1
8
37
Methylphenidate was effective in reducing
#ADHD
symptoms and improving functionality, and behavioural parent training was effective in improving functionality for preschool children with ADHD after 8 weeks of treatment.
New RCT by
@gvpolanczyk
& team:
1
20
36
On this 6th International Day of Women & Girls in Science, we want to celebrate how far
#genderequality
in
#education
has come, although there's still a long way to go. Read more in this comment:
0
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#IDPD
is a timely reminder that many struggles experienced by
#children
with
#disabilities
are the result of a society that marginalises and excludes them. Read our editorial here:
#LeaveNoOneBehind
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