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Paediatrics & Child Health

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https://www.readbyqxmd.com/read/29773958/failing-to-thrive-abdominal-pain-and-vomiting-a-hairy-situation
#1
EDITORIAL
Victoria A Au, Jonathan P Wong, Isvarya Venu, Rosemary G Moodie, Yousef Etoom, Luke Kieswetter, J Ted Gerstle, Peter D Wong
No abstract text is available yet for this article.
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769815/paediatric-patient-navigation-models-of-care-in-canada-an-environmental-scan
#2
Alison Luke, Shelley Doucet, Rima Azar
Objectives: (1) To provide other organizations with useful information when implementing paediatric navigation programs and (2) to inform the implementation of a navigation care centre in New Brunswick for children with complex health conditions. Methods: This environmental scan consisted of a literature review of published and grey literature for paediatric patient navigation programs across Canada. Additional programs were found following discussions with program coordinators and navigators...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769814/combined-deficiencies-of-25-hydroxyvitamin-d-and-anemia-in-preschool-children-with-severe-early-childhood-caries-a-case-control-study
#3
Shannon Deane, Robert J Schroth, Atul Sharma, Celia Rodd
Background: Severe early childhood caries (S-ECC) is common and has adverse affects on children's health. Children with S-ECC have been shown to have anemia or vitamin D deficiency. No studies have assessed the presence of combined deficiencies with S-ECC. The purpose of our study was to examine whether those with S-ECC had a higher prevalence of combined anemia and low 25-hydroxyvitamin D (25(OH)D) compared to controls. Covariates associated with elevated parathyroid hormone (PTH), previously noted in S-ECC, were examined...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769813/paediatric-vision-screening-in-the-primary-care-setting-in-ontario
#4
Tran D Le, Rana Arham Raashid, Linda Colpa, Jason Noble, Asim Ali, Agnes Wong
Objectives: Early intervention is critical to prevent treatable causes of vision loss in children. The objectives of the current study are: (1) to assess how well primary care physicians in Ontario follow the vision screening guidelines for children as recommended by the Canadian Paediatric Society and the Rourke Baby Record and (2) to identify barriers to vision screening in the primary care setting. Design: Cross-sectional survey. Methods: A 19-question survey was mailed out to 1000 randomly selected family physicians (family MDs), 1000 general practitioners (GPs) and 1000 paediatricians in Ontario as listed in the 2013 Canadian Medical Directory...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769812/response-to-the-routine-use-of-oral-steroids-in-paediatric-asthma-is-not-routine
#5
Neale Smith, Alice Wang, Kaitlyn Shaw, Gabriella Groeneweg, Ran D Goldman, Bryan Wilkinson, Ricardo Jimenez, Leah Mwai, Bruce Carleton
No abstract text is available yet for this article.
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769811/the-routine-use-of-oral-steroids-in-paediatric-asthma-is-not-routine
#6
Brian A Kuzik
No abstract text is available yet for this article.
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769810/wisdom-from-the-well
#7
Douglas D McMillan
No abstract text is available yet for this article.
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769809/managing-infants-born-to-mothers-who-have-used-opioids-during-pregnancy
#8
Thierry Lacaze-Masmonteil, Pat O'Flaherty
The incidence of infant opioid withdrawal has grown rapidly in many countries, including Canada, in the last decade, presenting significant health and early brain development concerns. Increased prenatal exposure to opioids reflects rising prescription opioid use as well as the presence of both illegal opiates and opioid-substitution therapies. Infants are at high risk for experiencing symptoms of abstinence or withdrawal that may require assessment and treatment. This practice point focuses specifically on the effect(s) of opioid withdrawal and current management strategies in the care of infants born to mothers with opioid dependency...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769808/decision-making-around-gastrostomy-tube-feeding-in-children-with-neurologic-impairment-engaging-effectively-with-families
#9
Sanjay Mahant, Eyal Cohen, Katherine E Nelson, Peter Rosenbaum
Children with neurologic impairment may not be able to feed safely or sufficiently by mouth to maintain an adequate nutritional state. Gastrostomy tube (G-tube) feeding is an important, often essential, intervention in such situations. However, many parents and families struggle with the decision to proceed with G-tube feeding. This practice point reviews common reasons for decisional conflict in parents and explores key aspects of life with G-tube feeding. A framework for shared decision-making and the International Classification of Functioning, Disability and Health (ICF) approach are highlighted...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769807/immunization-of-the-immunocompromised-child-key-principles
#10
Dorothy L Moore
The immunization of immunocompromised children requires vaccination strategies that provide maximum protection with minimal harm. Responsibility for immunization is shared by their primary care providers and their specialists. Detailed guidelines are published in the current version of the Canadian Immunization Guide and general principles are outlined here.
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769806/paediatric-type-1-diabetes-2018-clinical-and-research-insights
#11
Stephen J Zborovski, Farid H Mahmud
The management of children and adolescents with type 1 diabetes continues to progress as clinical and technological innovations enter into practice. Variability in glucose readings can present a significant challenge for care providers, patients and families alike and recent research demonstrates that insulin selection and site-related lipohypertrophy can significantly influence blood glucose levels. New technology aims to improve both glycemic control and quality of life. New insulin analogues have been developed and insulin pumps and continuous glucose monitoring systems continue to evolve toward a fully closed-loop system...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769805/genome-wide-sequencing-technologies-a-primer-for-paediatricians
#12
Robin Z Hayeems, Kym M Boycott
Genetic testing has been a routine part of paediatic medicine for decades. Over time, the number of genetic tests available for children presenting with features thought to be explained by an underlying genetic aetiology has expanded considerably. Genome-wide sequencing approaches (e.g., whole-exome sequencing, whole-genome sequencing) are now emerging as the most comprehensive approaches to genetic diagnosis that we have seen to date; multiple serial tests that were once required for a child under diagnostic investigation can now be accomplished in a single assay...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769804/prevalence-of-alcohol-tobacco-cannabis-and-other-illicit-substance-use-in-a-population-of-canadian-adolescents-with-type-1-diabetes-compared-to-a-general-adolescent-population
#13
Kathryn Potter, Paola Luca, Danièle Pacaud, Heidi Virtanen, Alberto Nettel-Aguirre, Laura Kaminsky, Josephine Ho
Background: Youth with chronic conditions may engage in risky behaviour to the same, if not higher, degree as their healthy peers. Objectives: To determine the prevalence of alcohol, tobacco, cannabis and illicit substance use in adolescents with type 1 diabetes (T1DM) compared to a general adolescent population. Methods: Cross-sectional survey of adolescents with T1DM (13 to 18 years). A published contemporary Canadian youth survey on use of alcohol, tobacco and illicit drugs was used as data representative of the general adolescent population...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769803/gender-dysphoria-assessment-and-action-for-youth-review-of-health-care-services-and-experiences-of-trans-youth-in-manitoba
#14
Jack Heard, Amanda Morris, Nicole Kirouac, Jennifer Ducharme, Simon Trepel, Brandy Wicklow
Objectives: To describe the paediatric transgender population accessing health care through the Manitoba Gender Dysphoria Assessment and Action for Youth (GDAAY) program, and report youth's experiences accessing health care in Manitoba. Methods: Demographic, medical, surgical and mental health information was extracted from the medical records of youth referred to the GDAAY program (n=174). A 77-item online survey was conducted with a subset of those youth (n=25) to identify common health care experiences and perceptions of trans youth in Manitoba...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769802/who-height-charts-can-be-safely-substituted-when-calculating-bp-z-scores-in-a-north-american-clinic-setting
#15
Celia J Rodd, Daniel L Metzger, Atul K Sharma
Objectives: The Public Health Agency of Canada has officially adopted growth charts from the World Health Organization (WHO); nevertheless, North American blood pressure (BP) Z-scores and percentiles still depend on height Z-scores based on growth charts from the US Centers for Disease Control (CDC), which may differ significantly, particularly in toddlers. Since many practitioners simply replace CDC height scores with WHO equivalents for diagnosing hypertension, we explore the impact of this substitution on BP Z-scores in real-world BPs measured on more than 22,000 children aged 2 to 18 years...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29769801/an-approach-to-isolated-thrombocytopenia-in-an-outpatient-setting
#16
EDITORIAL
Elaine Leung, Eileen McBride
No abstract text is available yet for this article.
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29688236/l-%C3%A3-valuation-m%C3%A3-dicale-des-fractures-en-cas-de-soup%C3%A3-ons-de-maltraitance-les-nourrissons-et-les-jeunes-enfants-atteints-d-une-l%C3%A3-sion-squelettique
#17
Laurel Chauvin-Kimoff, Claire Allard-Dansereau, Margaret Colbourne
Les fractures sont des lésions courantes pendant l'enfance. La plupart sont causées par un traumatisme accidentel, mais les traumatismes non accidentels (maltraitance) sont de graves causes de fractures qui ne sont pas toujours dépistées, notamment chez les nourrissons et les jeunes enfants. Le présent point de pratique passe en revue les caractéristiques cliniques qui soulèvent des soupçons de lésions squelettiques non accidentelles et expose une méthode de prise en charge reposant sur les publications à jour et les lignes directrices publiées...
April 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29688229/the-medical-assessment-of-fractures-in-suspected-child-maltreatment-infants-and-young-children-with-skeletal-injury
#18
Laurel Chauvin-Kimoff, Claire Allard-Dansereau, Margaret Colbourne
Fractures are common injuries in childhood. While most fractures are caused by accidental trauma, inflicted trauma (maltreatment) is a serious and potentially unrecognized cause of fractures, particularly in infants and young children. This practice point identifies the clinical features that prompt concern for inflicted skeletal injury and outlines a management approach based on current literature and published guidelines, including the clinician's duty to report suspicion of child abuse to child welfare authorities...
April 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29686499/be-an-astute-observer-of-leadership-both-good-and-bad
#19
Alan L Goldbloom
No abstract text is available yet for this article.
April 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29686498/innovating-to-educate-paediatric-consultant-generalists-for-the-new-canadian-health-care
#20
Gary Tithecott, Simon Levin, Guido Filler
Responsibility for training general paediatricians in Canada lies primarily with the 17 paediatric academic health sciences centres with more programmatic emphasis on subspecialty training and less on preparing residents for general paediatrics. However, the greatest unmet demand in the paediatric workforce will be for consulting paediatric generalists. Here, we define the need for paediatric generalists and list deficiencies in current models to promote more consulting community general paediatricians. The limited presence of general paediatricians as role models reduces the potential for learners to better understand the role of generalists in our specialty...
April 2018: Paediatrics & Child Health
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