Paediatrics & child health最新文献

L'évaluation médicale en cas de soupçons de trauma crânien causé par la maltraitance des enfants. 对疑似虐待儿童造成的颅脑损伤进行医疗评估。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2025-05-01 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae072

Michelle Shouldice, Michelle G K Ward, Kathleen Nolan, Emma Cory

{"title":"L'évaluation médicale en cas de soupçons de trauma crânien causé par la maltraitance des enfants.","authors":"Michelle Shouldice, Michelle G K Ward, Kathleen Nolan, Emma Cory","doi":"10.1093/pch/pxae072","DOIUrl":"10.1093/pch/pxae072","url":null,"abstract":"Le trauma crânien causé par la maltraitance des enfants, une conséquence grave de la violence envers les enfants, est associé à une morbidité et une mortalité importantes, particulièrement chez les nourrissons et les jeunes enfants. Les professionnels de la santé ont un rôle important à jouer, y compris pour détecter et traiter ces enfants, signaler les craintes de maltraitance aux services de protection de l'enfance, évaluer les lésions et les troubles médicaux connexes, soutenir les enfants et leur famille et transmettre l'information médicale clairement aux familles, aux autres professionnels de la santé, aux services de protection de l'enfance et au milieu juridique. Les symptômes associés aux traumatismes crâniens recoupent souvent ceux d'autres maladies courantes de l'enfance, et les signes externes de lésions peuvent être discrets ou même inexistants. Par conséquent, le trauma crânien causé par la maltraitance des enfants est souvent négligé et détecté tardivement, ce qui contribue au risque que les sévices se poursuivent. Pour évaluer un traumatisme crânien en cas de soupçons de maltraitance d'enfant, il faut examiner les causes médicales éventuelles des observations cliniques et déterminer la présence de lésions occultes. Le présent point de pratique fournit aux professionnels de la santé des conseils pour qu'en cas de soupçons, ils détectent le trauma crânien causé par la maltraitance d'un nourrisson ou d'un enfant et procèdent à l'évaluation médicale des lésions et des blessures.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"189-194"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541791","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

Prioritizing Equity: A Call to Implement Freely Available and Accessible Patient-Reported Outcome Measures in Paediatric Gender-Affirming Care. 优先考虑公平：呼吁在儿科性别确认护理中实施免费提供和可获取的患者报告结果措施。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2025-04-02 eCollection Date: 2025-05-01 DOI: 10.1093/pch/pxaf009

Liam Jackman, Cynthia Chan, Chloë Jacklin, Eve Deck, Ann C Lee, Melissa Stepney, Abhilash Jain, Jeremy Rodrigues, Rakhshan Kamran

引用次数: 0

Letter to the Editor: GENDER-Q Youth will measure outcomes that matter to youth seeking gender-affirming care. 致编辑的信：性别平等青年将衡量对寻求性别肯定护理的青年至关重要的结果。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2025-04-02 eCollection Date: 2025-05-01 DOI: 10.1093/pch/pxaf008

Manraj N Kaur, Shane D Morrison, Natasha Johnson, Shelby Deibert, Andrea L Pusic, Anne F Klassen

引用次数: 0

Training and usage of language interpretation services among health care providers in a large Canadian pediatric centre. 在加拿大一家大型儿科中心的卫生保健提供者中培训和使用语言口译服务。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2025-02-25 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae110

Nicholas Brochez, Bonnieca Islam, Qaasim Mian, Karen L Forbes

{"title":"Training and usage of language interpretation services among health care providers in a large Canadian pediatric centre.","authors":"Nicholas Brochez, Bonnieca Islam, Qaasim Mian, Karen L Forbes","doi":"10.1093/pch/pxae110","DOIUrl":"10.1093/pch/pxae110","url":null,"abstract":"Objectives: Canada has a diverse population and one of the highest immigration rates in the world. Non-English or French language preference populations face barriers accessing health care, which leads to increased rates of adverse events. Adequate training of health care providers (HCPs) with language interpretation services (LIS) and having accessible LIS are crucial to improve the quality of patient care. We sought to identify HCPs' prior training, and use of and attitudes toward LIS in a Canadian tertiary pediatric centre.Methods: An electronic survey was developed and distributed to a diverse group of pediatric HCPs at the Stollery Children's Hospital in Edmonton, Alberta between October 2022 and February 2023. Survey completion was anonymous and voluntary. Descriptive statistics were used for quantitative data and thematic analysis for free text responses.Results: Three hundred forty-five HCPs accessed the survey and 281 (81%) completed it. Fifty-three percent of respondents encountered a pediatric non-English or French language preference patient/family once weekly or more and 51.5% reported no previous training in the use of LIS in patient care. In-person interpreters were perceived as the most effective LIS modality. Barriers to using LIS included: inability to access desired modality and/or language; insufficient time; and lack of comfort in effective usage.Conclusions: HCPs perceive LIS as integral to patient care and convenient to use, yet most report no prior training. This study identifies multiple barriers to using LIS and suggested improvements include enhancing LIS accessibility, reliability, and LIS education. These results will help inform local LIS initiatives and resource allocation.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"176-183"},"PeriodicalIF":1.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541795","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

Incidence and severity of paediatric sledding injuries during the COVID-19 pandemic. COVID-19大流行期间儿童雪橇损伤的发生率和严重程度

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-12-31 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae098

Domenic F Alaimo, Nishita T Sharif, Redjana Carciumaru, Stephanie C Scott, April J Kam

{"title":"Incidence and severity of paediatric sledding injuries during the COVID-19 pandemic.","authors":"Domenic F Alaimo, Nishita T Sharif, Redjana Carciumaru, Stephanie C Scott, April J Kam","doi":"10.1093/pch/pxae098","DOIUrl":"10.1093/pch/pxae098","url":null,"abstract":"Objectives: During the coronavirus disease 2019 (COVID-19) pandemic, we observed an increase in sledding injuries resulting in paediatric emergency department (PED) visits. We sought to describe the potential impact of the pandemic on the incidence and severity of sledding injuries in children.Methods: We conducted a descriptive, retrospective cohort study of children with sledding injuries presenting to the PED in a tertiary care centre. We compared injuries occurring before and after the start of the pandemic, using March 11, 2020 as a cut-off. Children aged 0 to 17 years presenting with sledding injuries were eligible for inclusion. We compared monthly visit counts of sledding injuries, demographics, site and type of injury, disposition, surgical intervention, return visits, and length of inpatient admissions.Results: In total, 243 visits for sledding injuries were analysed. There were 13 presentations in 2018, 31 in 2019, 30 in 2020, 105 in 2021, and 64 in 2022. The mean age was 8.6 years (standard deviation 3.7), with 53.5% of injuries occurring in males. Head injuries and sprains/strains were the most common site and type of injury, respectively (n = 103, 41.4%). There was a significant increase in the number of sledding injuries between pre-COVID-19 and COVID-19 years (P = 0.048). There were no significant differences in demographic and injury characteristics.Conclusions: We identified a significant increase in PED visits for sledding injuries during the pandemic. Examining epidemiological trends of sledding injuries can facilitate advocacy for improved communication of injury prevention recommendations in the event of future infectious disease outbreaks.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"171-175"},"PeriodicalIF":1.8,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541789","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

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

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

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

引用次数: 0

Frequency and impact of paediatric acute-onset neuropsychiatric syndrome/paediatric autoimmune neuropsychiatric disorders associated with streptococcal infections diagnosis in Canada. 加拿大与链球菌感染诊断相关的儿科急性发作神经精神综合征/儿童自身免疫性神经精神疾病的频率和影响

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-12-23 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae092

Rachel Goren, Ari Bitnun, Asif Doja, Peter J Gill, Ronald M Laxer, Deborah M Levy, Tamara Pringsheim, Paul Sandor, Eluen Ann Yeh, Colin Wilbur, Sefi Kronenberg, Michelle Shouldice

{"title":"Frequency and impact of paediatric acute-onset neuropsychiatric syndrome/paediatric autoimmune neuropsychiatric disorders associated with streptococcal infections diagnosis in Canada.","authors":"Rachel Goren, Ari Bitnun, Asif Doja, Peter J Gill, Ronald M Laxer, Deborah M Levy, Tamara Pringsheim, Paul Sandor, Eluen Ann Yeh, Colin Wilbur, Sefi Kronenberg, Michelle Shouldice","doi":"10.1093/pch/pxae092","DOIUrl":"10.1093/pch/pxae092","url":null,"abstract":"Objectives: This study aims to estimate the prevalence of the PANS/PANDAS diagnostic label in Canada and describe its impact on families, patients, and health care.Methods: Through the Canadian Paediatric Surveillance Program (CPSP), a monthly form was distributed to paediatricians from December 2019 to November 2021, requesting reports of children who received the diagnostic label of PANS/PANDAS between the ages of 3 and 18 years seen in the previous month. Descriptive and association statistical analyses were performed.Results: Eighty-four cases (57% female, median age of symptom onset 7.8 years interquartile range [IQR] = 5) who received the diagnostic label of PANS/PANDAS were included. Prevalence was found to be 1 in 60,155 (0.0017%). Core diagnostic criteria for PANS/PANDAS (obsessive-compulsive disorder or tics or acute food refusal) were not present in 12% of cases (10/84). Only 22% reported sudden symptom onset. Infection was associated with symptom onset or exacerbation in less than one-third of cases. The majority exhibited two or more neuropsychiatric symptoms (95%). There was significant health care utilization and symptom burden amongst cases. There was a significant difference in the certainty of diagnosis between physicians and families (P < 0.05).Conclusions: PANS/PANDAS diagnoses, while rare, significantly impact children, families, and the health care system. Diagnostic uncertainty underscores the challenges professionals and families face in accessing effective care, emphasizing the need for education and evidence-based clinical practice guidelines.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"157-163"},"PeriodicalIF":1.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541788","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

Trends of paediatric hypertension screening and management in primary care before and during the coronavirus disease 2019 pandemic: A retrospective cohort study. 2019冠状病毒病大流行之前和期间初级保健中儿科高血压筛查和管理的趋势：一项回顾性队列研究

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-12-23 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae079

Leanne Kosowan, Rahul Chanchlani, Allison Dart, Michael Wu, Rita Costa, Alexander Singer

{"title":"Trends of paediatric hypertension screening and management in primary care before and during the coronavirus disease 2019 pandemic: A retrospective cohort study.","authors":"Leanne Kosowan, Rahul Chanchlani, Allison Dart, Michael Wu, Rita Costa, Alexander Singer","doi":"10.1093/pch/pxae079","DOIUrl":"10.1093/pch/pxae079","url":null,"abstract":"Objectives: We assessed trends in primary care paediatric blood pressure (BP) screening, follow-up, and treatment before and during the coronavirus disease 2019 (COVID-19) pandemic.Methods: Retrospective cohort study using electronic medical records from the Canadian Primary Care Sentinel Surveillance Network to capture paediatric visits (aged 3 to 18) between January 1, 2011, and December 31, 2020. Time-series analysis was performed using documentation of monthly BP, high BP, follow-up of abnormal BP, and antihypertensive prescribing. We assessed differences between pre (January 1, 2011 to March 11, 2020) and during COVID-19 (March 12, 2020 to December 31, 2020).Results: Of 343,191 paediatric patients, 30.9% had ≥1 paediatric BP documented. Documentation of BP increased each year from 17.3% in 2011 to 19.8% in 2019 (β = 0.05, 95% CI 0.04, 0.07, P < 0.001), with a decrease in trend in 2020 to 11.0% (β = -16.95, 95% CI -18.91, -14.99, P < 0.001). There was an increasing pre-pandemic trend for laboratory screening and prescribing (β = 0.12, 95% CI 0.1, 0.14, P < 0.0001; β = 0.02, 95% CI 0.02, 0.02, P < 0.0001). During the COVID-19 pandemic, laboratory screening further increased (24.5% to 31.1%; β = 5.19, 95% CI 2.03, 8.35, P = 0.002), whereas there was no significant change in prescribing trends (1.3% to 1.4%; β = 0.15, 95% CI -0.01, 0.32, P = 0.07).Conclusions: Documentation of BP increased annually, then declined precipitously during the COVID-19 pandemic. Despite lower BP screening and follow-up, the prevalence of hypertension and antihypertensive prescribing remained stable. Clinical practice trends in primary care highlight areas to improve the care and management of hypertensive paediatric patients.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"140-149"},"PeriodicalIF":1.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541796","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