Paediatrics & child health最新文献_第10页

Retained primary teeth: A clinical complaint not to be dismissed 乳牙保留:临床投诉不应被驳回

4区医学

Paediatrics & child health Pub Date : 2023-10-18 DOI: 10.1093/pch/pxad069

Christy W M Leung, Ting Fan Leung

引用次数: 0

No adults allowed: Adolescents and Medical Decision Making 成人不得入内:青少年与医疗决策

4区医学

Paediatrics & child health Pub Date : 2023-10-16 DOI: 10.1093/pch/pxad068

Elisheva T A Nemetz, Ryan S Huang, Sunit Das

引用次数: 0

Identifying child maltreatment during virtual medical appointments through the COVID-19 pandemic 在COVID-19大流行期间查明虚拟医疗预约期间的儿童虐待行为

4区医学

Paediatrics & child health Pub Date : 2023-09-28 DOI: 10.1093/pch/pxad064

Stephanie Lim-Reinders, Michelle G K Ward, Claudia Malic, Kathryn Keely, Kristopher Kang, Nita Jain, Kelley Zwicker

{"title":"Identifying child maltreatment during virtual medical appointments through the COVID-19 pandemic","authors":"Stephanie Lim-Reinders, Michelle G K Ward, Claudia Malic, Kathryn Keely, Kristopher Kang, Nita Jain, Kelley Zwicker","doi":"10.1093/pch/pxad064","DOIUrl":"https://doi.org/10.1093/pch/pxad064","url":null,"abstract":"Abstract Background Throughout the COVID-19 pandemic there has been a documented decline in reports to child protective services, despite an increased incidence of child maltreatment. This is concerning for increasing missed cases. This study aims to examine if and how Canadian paediatricians are identifying maltreatment in virtual medical appointments. Methods A survey was sent through the Canadian Paediatric Surveillance Program (CPSP) to 2770 practicing general and subspecialty paediatricians. Data was collected November 2021 to January 2022. Results With a 34% (928/2770) response rate, 704 surveys were eligible for analysis. At least one case of child maltreatment was reported by 11% (78/700) of respondents following a virtual appointment. The number of cases reported was associated with years in medical practice (P = 0.026) but not with the volume (P = 0.735) or prior experience (P = 0.127) with virtual care, or perceived difficulty in identifying cases virtually (Cramer’s V = 0.096). The most common factors triggering concern were the presence of social stressors, or a clear disclosure. The virtual physical exam was not contributory. Nearly one quarter (24%, 34/143) required a subsequent in-person appointment prior to reporting the case and 32% (207/648) reported concerns that a case had been identified late, or missed, following a virtual appointment. Some commented that clear harm resulted. Conclusions Many barriers to detecting child maltreatment were identified by paediatricians who used virtual care. This survey reveals that virtual care may be an important factor in missed cases of child maltreatment and may present challenges to timely identification.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135344879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Des expériences négatives de l'enfance à la santé relationnelle précoce : les conséquences pour la pratique clinique. 从负面童年经历到早期关系健康：对临床实践的影响。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2023-09-23 eCollection Date: 2023-10-01 DOI: 10.1093/pch/pxad026

Robin C Williams

{"title":"Des expériences négatives de l'enfance à la santé relationnelle précoce : les conséquences pour la pratique clinique.","authors":"Robin C Williams","doi":"10.1093/pch/pxad026","DOIUrl":"10.1093/pch/pxad026","url":null,"abstract":"Les enfants grandissent et se développent dans un environnement de relations. Des relations sécuritaires, stables et bienveillantes contribuent à consolider la résilience et à atténuer les répercussions des expériences négatives. La promotion de la santé relationnelle en pratique clinique recentre l'attention accordée aux expériences négatives de l'enfance sur les expériences positives de l'enfance. Cette approche, qui évalue les forces et les atouts d'une famille, peut être intégrée à la fois aux rendez-vous réguliers de l'enfant en santé et aux soins surspécialisés. Il est optimal de réaliser de telles interventions pendant la période prénatale ou le plus rapidement possible avant l'âge de trois ans, mais il n'est jamais trop tard pour les entreprendre. Le présent document de principes décrit comment les cliniciens peuvent adopter une approche de santé relationnelle lors de chacune de leurs rencontres médicales s'ils comprennent ce qu'est le stress toxique et ses effets sur le cerveau en développement, les relations familiales et le développement de l'enfant; à quel point les relations, expériences et comportements positifs peuvent en atténuer les effets et renforcer la résilience; quels sont les signes observables de la santé relationnelle et des risques relationnels dans les interactions entre les parents et l'enfant; quelles sont les caractéristiques de relations thérapeutiques de confiance avec les familles et comment en optimiser les avantages par les échanges et la pratique clinique.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"28 6","pages":"377-393"},"PeriodicalIF":1.8,"publicationDate":"2023-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10517240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41139293","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

Evaluation and management of enuresis in the general paediatric setting. 一般儿科环境中遗尿的评估和管理。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2023-09-23 eCollection Date: 2023-10-01 DOI: 10.1093/pch/pxad023

James Harris, Alisa Lipson, Joana Dos Santos

引用次数: 0

L'évaluation et la prise en charge de l'énurésie en pédiatrie générale. 一般儿科遗尿的评估和管理。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2023-09-23 eCollection Date: 2023-10-01 DOI: 10.1093/pch/pxad024

James Harris, Alisa Lipson, Joana Dos Santos

引用次数: 0

From ACEs to early relational health: Implications for clinical practice. 从ACE到早期关系健康：对临床实践的启示。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2023-09-23 eCollection Date: 2023-10-01 DOI: 10.1093/pch/pxad025

Robin C Williams

{"title":"From ACEs to early relational health: Implications for clinical practice.","authors":"Robin C Williams","doi":"10.1093/pch/pxad025","DOIUrl":"10.1093/pch/pxad025","url":null,"abstract":"Children grow and develop in an environment of relationships. Safe, stable, nurturing relationships help build resilience and buffer the negative impact of adverse experiences. Promoting relational health in clinical practice shifts the focus from adverse childhood experiences (ACEs) to positive childhood experiences (PCEs). This approach evaluates a family's strengths and assets, and can be incorporated into both well-child and subspecialty care. While the optimal window for such interventions is in the prenatal period or as early as possible within the first 3 years of life, it is never too late to start. This statement describes how clinicians can bring a relational health approach to any medical encounter by understanding: what toxic stress is and how it can affect the developing brain, family relationships, and child development; how positive relationships, experiences, and behaviours can help buffer such effects and build resilience; observable signs of relational health and risk in parent-child interactions; the attributes of trustful, therapeutic relationships with families; and how to optimize these benefits through conversation and clinical practice.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"28 6","pages":"377-393"},"PeriodicalIF":1.8,"publicationDate":"2023-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10517248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162048","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

COVID-19 vaccine confidence, concerns, and uptake in children aged 5 and older in Calgary, Alberta: a longitudinal cohort study 阿尔伯塔省卡尔加里5岁及以上儿童对COVID-19疫苗的信心、担忧和吸收:一项纵向队列研究

4区医学

Paediatrics & child health Pub Date : 2023-09-19 DOI: 10.1093/pch/pxad062

Emily J Doucette, Leah Ricketson, Tarannum Tarannum, Isabella Alatorre, Joslyn Gray, Cora Constantinescu, Susan Kuhn, Jessica K E Dunn, James D Kellner

{"title":"COVID-19 vaccine confidence, concerns, and uptake in children aged 5 and older in Calgary, Alberta: a longitudinal cohort study","authors":"Emily J Doucette, Leah Ricketson, Tarannum Tarannum, Isabella Alatorre, Joslyn Gray, Cora Constantinescu, Susan Kuhn, Jessica K E Dunn, James D Kellner","doi":"10.1093/pch/pxad062","DOIUrl":"https://doi.org/10.1093/pch/pxad062","url":null,"abstract":"Abstract Objectives Beginning early in the pandemic, there was a worldwide effort to develop effective vaccines against the SARS-CoV-2 virus. Before and after the approval and implementation of vaccines, there were concerns about their need as well as their safety and rapid development. We explored child demographic characteristics and parental concerns to identify factors associated with the decision to vaccinate. Methods A cohort of 1035 children from Calgary was assembled in 2020 to participate in 5 visits every 6 months for survey completion and blood sampling for SARS-CoV-2 antibodies. Visits 1 to 2 occurred before approval of vaccines for children; Visits 3 to 5 occurred after vaccine approval for different age groups. We described vaccine concerns and utilized logistic regression to examine factors associated with the decision to vaccinate in children ≥5 years of age. Results Children ≥12 years of age, of non-white or non-black ethnicity, and who had received previous influenza vaccines had higher odds of being vaccinated against SARS-CoV-2. Children with previous SARS-CoV-2 infection had lower odds of being vaccinated. The most common concerns in early 2021 were about vaccine safety. By summer 2022, the most common concern was a belief that vaccines were not necessary. Through the study 88% of children were vaccinated. Conclusions Age, ethnicity, previous infections, and vaccine attitudes were associated with parental decision to vaccinate against SARS-CoV-2. For children who remained unvaccinated, parents continued to have safety concerns and questioned the necessity of the vaccine. Complacency about the need for vaccination may be more challenging to address and overcome than concerns about safety alone.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"177 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135060308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paediatric obesity and Crohn’s disease: a descriptive review of disease phenotype and clinical course 儿童肥胖和克罗恩病:疾病表型和临床病程的描述性回顾

4区医学

Paediatrics & child health Pub Date : 2023-09-16 DOI: 10.1093/pch/pxad065

Jacob McCoy, Michael R Miller, Melanie Watson, Eileen Crowley, Jessica P Woolfson

{"title":"Paediatric obesity and Crohn’s disease: a descriptive review of disease phenotype and clinical course","authors":"Jacob McCoy, Michael R Miller, Melanie Watson, Eileen Crowley, Jessica P Woolfson","doi":"10.1093/pch/pxad065","DOIUrl":"https://doi.org/10.1093/pch/pxad065","url":null,"abstract":"Abstract Objectives In an era of increasing paediatric obesity and inflammatory bowel disease (IBD), this study evaluates the disease phenotype and clinical course of Crohn’s disease (CD) in paediatric patients who are obese or overweight. Methods This is a retrospective, single-center, descriptive observational study from January 2010 to May 2020. Participants were included if they were: aged 2 to 18 years at the time of diagnosis, had a confirmed diagnosis of CD, and met WHO criteria for overweight or obesity at the time of diagnosis or within one year before diagnosis. Results A total of 345 patient charts with CD were screened during the study period, with 16 patients meeting inclusion criteria. Median age of patients was 15.5 years (IQR = 13.6, 16.1). Of the 15 patients over 10 years of age, median anthropometrics at diagnosis included body mass index (BMI) of 27.2 (IQR = 24.9, 29.4) and BMI for age z-score of 1.82 (IQR = 1.58, 2.19). Presenting symptoms included abdominal pain (80.0%), diarrhea (66.7%), hematochezia (66.7%), and weight loss (26.7%). Five patients (33.3%) had obesity-related complications. Median time from symptom onset to diagnosis was 146 days (IQR = 31, 367), and median time from diagnosis to remission was 229 days (IQR = 101.8, 496.3). Conclusions Patients with elevated BMI and CD present with typical symptoms of IBD, although weight loss was a less common presenting symptom. Time to disease remission is delayed, and obesity-related complications are common. Primary care providers must have a high degree of clinical suspicion in patients to prevent delays to gastroenterology referral and to improve time to disease remission.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135307176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Language: the ignored determinant of health 语言:被忽视的健康决定因素

4区医学

Paediatrics & child health Pub Date : 2023-09-12 DOI: 10.1093/pch/pxad066

Yasmeen Mansoor, Tania Wong, Jeannette L Comeau

引用次数: 0