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}
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}
{"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}
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}
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}
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}
{"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}
{"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}
{"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}