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Evaluating and caring for children with a suspected learning disorder in community practice. 在社区实践中评估和照顾疑似学习障碍儿童。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-30 eCollection Date: 2024-12-01 DOI: 10.1093/pch/pxae089
Justine Cohen-Silver, Meta van den Heuvel, Sloane Freeman, Jacqueline Ogilvie, Tara Chobotuk
{"title":"Evaluating and caring for children with a suspected learning disorder in community practice.","authors":"Justine Cohen-Silver, Meta van den Heuvel, Sloane Freeman, Jacqueline Ogilvie, Tara Chobotuk","doi":"10.1093/pch/pxae089","DOIUrl":"10.1093/pch/pxae089","url":null,"abstract":"<p><p>Learning challenges are common in school-aged children, with 5% to 10% meeting the criteria for a specific learning disorder (SLD, previously termed a 'learning disability'). Learning disorders can present in community practice settings as behaviour challenges, school avoidance, or as symptoms of a mental health problem. Concomitant issues may include a mental health disorder, a genetic, metabolic, or neurological condition, or developmental delay. This practice point offers guidance to paediatric health care professionals regarding the presentation and diagnosis of an SLD, including information on psychoeducational assessments, a medical workup for children with learning challenges, possible comorbid health issues, and points for improvement and advocacy in support of families and children with a range of learning issues.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 8","pages":"544-552"},"PeriodicalIF":1.8,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Literacy in school-aged children: A paediatric approach to advocacy and assessment. 学龄儿童的读写能力：儿科宣传和评估方法。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-30 eCollection Date: 2024-12-01 DOI: 10.1093/pch/pxae088
Anne Kawamura, Angela Orsino, Scott McLeod, Mark Handley-Derry, Linda Siegel, Jocelyn Vine, Nicola Jones-Stokreef
{"title":"Literacy in school-aged children: A paediatric approach to advocacy and assessment.","authors":"Anne Kawamura, Angela Orsino, Scott McLeod, Mark Handley-Derry, Linda Siegel, Jocelyn Vine, Nicola Jones-Stokreef","doi":"10.1093/pch/pxae088","DOIUrl":"10.1093/pch/pxae088","url":null,"abstract":"<p><p>Literacy is a key social determinant of health that affects the daily socioemotional lives of children and their economic prospects later in life. Being able to read, write, and understand written text is essential to participating in society, achieving goals, developing knowledge, and fulfilling potential. Yet a significant proportion of adults in Canada do not have the literacy skills they need to meet and manage increasingly complex workforce demands. Paediatric care providers play a pivotal role in identifying children and families at risk for low literacy. This statement offers approaches for assessing children and counselling families to improve reading skills while advocating for their right to access evidence-based reading instruction.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 8","pages":"531-543"},"PeriodicalIF":1.8,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Musings of the editor in the last print issue of Paediatrics & Child Health. 编辑在最后一期《儿科与儿童健康》杂志上的沉思。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-30 eCollection Date: 2024-12-01 DOI: 10.1093/pch/pxae096
Joan L Robinson
{"title":"Musings of the editor in the last print issue of <i>Paediatrics & Child Health</i>.","authors":"Joan L Robinson","doi":"10.1093/pch/pxae096","DOIUrl":"https://doi.org/10.1093/pch/pxae096","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 8","pages":"483-484"},"PeriodicalIF":1.8,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute flaccid paralysis: A call for clinical vigilance. 急性弛缓性麻痹：临床警惕的呼吁。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-15 eCollection Date: 2025-02-01 DOI: 10.1093/pch/pxae100
Nicole Salem, Elsie Grudeski, Tim F Booth, Disha Bhagat, Marina I Salvadori
{"title":"Acute flaccid paralysis: A call for clinical vigilance.","authors":"Nicole Salem, Elsie Grudeski, Tim F Booth, Disha Bhagat, Marina I Salvadori","doi":"10.1093/pch/pxae100","DOIUrl":"10.1093/pch/pxae100","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 1","pages":"6-7"},"PeriodicalIF":1.8,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Le diagnostic et la prise en charge de la syphilis congénitale : ne laisser passer aucune occasion. 诊断和治疗先天性梅毒：机不可失。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-12 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxae040
Sergio Fanella, Ari Bitnun, Michelle Barton, Laura Sauvé
{"title":"Le diagnostic et la prise en charge de la syphilis congénitale : ne laisser passer aucune occasion.","authors":"Sergio Fanella, Ari Bitnun, Michelle Barton, Laura Sauvé","doi":"10.1093/pch/pxae040","DOIUrl":"10.1093/pch/pxae040","url":null,"abstract":"<p><p>La syphilis congénitale peut provoquer un arrêt de grossesse et une morbidité importante chez les nouveau-nés. L'épidémie actuelle de syphilis congénitale au Canada (particulièrement dans l'Ouest canadien) est une urgence sanitaire évitable. Les taux font foi d'un manque de contrôle de la syphilis dans la communauté et d'un manque de ressources de santé publique pour éviter une propagation qui s'est amorcée avant la pandémie de COVID-19. Les facteurs de risque incluent l'absence de soins prénatals, l'utilisation de méthamphétamines et d'autres substances psychoactives et l'instabilité du logement. Le dépistage, le traitement et le suivi pendant la grossesse, y compris chez les partenaires, constituent la pierre angulaire de la prévention. Les cliniciens qui s'occupent de nouveau-nés ont besoin d'examiner les aspects du traitement de la mère, le risque de réinfection, les résultats de la sérologie appariée de la syphilis chez la mère et le nouveau-né, de même que l'évaluation clinique du nouveau-né. Une évaluation complète du risque orientera la prise en charge et le suivi efficaces des nouveau-nés exposés à la syphilis <i>in utero</i>.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 7","pages":"463-479"},"PeriodicalIF":1.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosis and management of congenital syphilis: Avoiding missed opportunities. 先天性梅毒的诊断和管理：避免错失良机。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-12 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxae044
Sergio Fanella, Ari Bitnun, Michelle Barton, Laura Sauvé
{"title":"Diagnosis and management of congenital syphilis: Avoiding missed opportunities.","authors":"Sergio Fanella, Ari Bitnun, Michelle Barton, Laura Sauvé","doi":"10.1093/pch/pxae044","DOIUrl":"10.1093/pch/pxae044","url":null,"abstract":"<p><p>Congenital syphilis can result in pregnancy loss and substantial morbidity in newborns. The current epidemic of congenital syphilis in Canada (especially Western Canada) is a preventable public health emergency. Rates indicate a lack of control of syphilis within the community and insufficient public health resources to prevent spread that predate the COVID-19 pandemic. Risk factors include lack of prenatal care, methamphetamine and other substance use, and unstable housing. The cornerstone of prevention is identification, treatment, and follow-up during pregnancy, including of partners. Clinicians caring for newborns need to consider aspects of maternal treatment, reinfection risk, the results of paired maternal and infant syphilis serology, and infant clinical assessment. A complete risk assessment will guide effective management and follow-up of infants exposed in utero to syphilis.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 7","pages":"463-479"},"PeriodicalIF":1.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Un guide pour la prise en charge communautaire des troubles des conduites alimentaires en pédiatrie. 以社区为基础的儿科饮食失调管理指南。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-12 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxae039
Marian Coret, Ellie Vyver, Megan Harrison, Alene Toulany, Ashley Vandermorris, Holly Agostino
{"title":"Un guide pour la prise en charge communautaire des troubles des conduites alimentaires en pédiatrie.","authors":"Marian Coret, Ellie Vyver, Megan Harrison, Alene Toulany, Ashley Vandermorris, Holly Agostino","doi":"10.1093/pch/pxae039","DOIUrl":"10.1093/pch/pxae039","url":null,"abstract":"<p><p>Les troubles des conduites alimentaires (TCA) désignent un groupe de maladies graves au potentiel mortel qui se déclarent généralement pendant l'adolescence et peuvent être associés à de graves complications médicales et psychosociales. Ils peuvent avoir d'importantes répercussions sur les proches et les autres membres de la famille. Les professionnels de la santé jouent un rôle important pour les dépister et les prendre en charge chez les adolescents et les jeunes adultes. Le présent document de principes aide les professionnels de la santé en milieu communautaire à dépister, diagnostiquer et traiter les TCA dans la population pédiatrique. Les modalités de dépistage, les indications d'hospitalisation, les complications médicales et la surveillance des jeunes ayant un TCA sont résumées. Les données probantes à jour appuient le recours au traitement familial comme modalité thérapeutique psychologique de première ligne auprès des adolescents ayant un TCA restrictif. Les traitements familiaux dépassent peut-être la portée de pratique de certains médecins en milieu communautaire, mais le présent document de principes en examine les éléments fondamentaux. Au diagnostic d'un TCA, les professionnels de la santé qui mettent rapidement ces éléments à exécution en milieu communautaire peuvent ralentir l'évolution de la maladie et donner des conseils aux familles.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 7","pages":"446-462"},"PeriodicalIF":1.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A guide to the community management of paediatric eating disorders. 儿科饮食失调社区管理指南》。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-12 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxae037
Marian Coret, Ellie Vyver, Megan Harrison, Alene Toulany, Ashley Vandermorris, Holly Agostino
{"title":"A guide to the community management of paediatric eating disorders.","authors":"Marian Coret, Ellie Vyver, Megan Harrison, Alene Toulany, Ashley Vandermorris, Holly Agostino","doi":"10.1093/pch/pxae037","DOIUrl":"10.1093/pch/pxae037","url":null,"abstract":"<p><p>Eating disorders (EDs) are a group of serious, potentially life-threatening illnesses that typically have their onset during adolescence and can be associated with severe medical and psychosocial complications. The impact of EDs on caregivers and other family members can also be significant. Health care providers (HCPs) play an important role in the screening and management of adolescents and young adults with EDs. This position statement assists community-based HCPs with recognizing, diagnosing, and treating EDs in the paediatric population. Screening modalities, indications for hospitalization, medical complications, and monitoring of young people with EDs are summarized. Current evidence supports the use of family-based treatment (FBT) as the first-line psychological therapeutic modality for adolescents with restrictive EDs. While the provision of FBT may be beyond the scope of practice for some community physicians, this statement reviews its core tenets. When an ED is diagnosed, early application of these principles in the community setting by HCPs may slow disease progression and provide guidance to families.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 7","pages":"446-462"},"PeriodicalIF":1.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic Dilemma: Melatonin or not? 治疗困境：是否需要褪黑素？
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-11-19 eCollection Date: 2025-02-01 DOI: 10.1093/pch/pxae083
Savithiri Ratnapalan, Michael Rieder
{"title":"Therapeutic Dilemma: Melatonin or not?","authors":"Savithiri Ratnapalan, Michael Rieder","doi":"10.1093/pch/pxae083","DOIUrl":"10.1093/pch/pxae083","url":null,"abstract":"<p><p>Sleep disturbances are common in childhood, especially among neurodivergent children. There are few proven therapeutic options. Melatonin is a hormone that is critical to the normal human sleep cycle. Melatonin therapy has been proven to be effective in adults with jet lag and there is emerging evidence that it may be of value when used in low doses for neurodivergent children. There is however no evidence that melatonin is of utility in addressing sleep problems in otherwise well children.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 1","pages":"8-10"},"PeriodicalIF":1.8,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coping Power at the REACH School Network: A pilot feasibility study. REACH学校网络的应对能力：试点可行性研究。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-11-17 eCollection Date: 2024-12-01 DOI: 10.1093/pch/pxae060
Saisujani Rasiah, Brendan F Andrade, Justine Cohen-Silver, Anjali Suri, Shajitha Rasiah, Joelene Huber, Sloane J Freeman
{"title":"Coping Power at the REACH School Network: A pilot feasibility study.","authors":"Saisujani Rasiah, Brendan F Andrade, Justine Cohen-Silver, Anjali Suri, Shajitha Rasiah, Joelene Huber, Sloane J Freeman","doi":"10.1093/pch/pxae060","DOIUrl":"10.1093/pch/pxae060","url":null,"abstract":"<p><strong>Objectives: </strong>School-based health centres (SBHCs) provide developmental and mental health care to children with socioeconomic disparities. We piloted a validated behavioural intervention called Coping Power (CP) for children with disruptive behaviour through our SBHC program. The objective of this pilot study was to examine the feasibility of CP in the SBHC setting.</p><p><strong>Methods: </strong>All parent/caregiver and child dyads enrolled in CP from 2018 to 2019 and 2021 to 2022 were invited to participate in the study. Demographic information and behaviour rating scales were collected at baseline. Feasibility metrics included attendance and satisfaction survey responses.</p><p><strong>Results: </strong>A total of 31 parent/caregiver-child dyads were included. Approximately 40% of families had an annual income of <$49,999. Regarding attendance, 22/31 children/parent/caregiver dyads (70.9%) missed ≤2 sessions. Thirteen parents/caregivers completed the CP satisfaction survey and indicated that they were either 'somewhat' (n = 4) or 'very satisfied' (n = 9) with the program. Of the 18 children who completed the satisfaction survey, 13 (72.2%) shared that either the 'sort of' or 'for sure' group helped them cope with their anger better.</p><p><strong>Conclusions: </strong>This pilot study found that CP delivered within the SBHCs was feasible. Improving access to CP for disadvantaged children may improve mental health outcomes.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 8","pages":"493-500"},"PeriodicalIF":1.8,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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