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Kindness really does help the medicine go down. 善良真的有助于药效的发挥。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-02-06 eCollection Date: 2024-02-01 DOI: 10.1093/pch/pxad091
Mitchell Zelman
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引用次数: 0
La prise en charge des nourrissons de 90 jours ou moins, fiévreux mais dans un bon état général. 治疗 90 天以内发烧但全身状况良好的婴儿。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-02-06 eCollection Date: 2024-02-01 DOI: 10.1093/pch/pxad084
Brett Burstein, Marie-Pier Lirette, Carolyn Beck, Laurel Chauvin-Kimoff, Kevin Chan
{"title":"La prise en charge des nourrissons de 90 jours ou moins, fiévreux mais dans un bon état général.","authors":"Brett Burstein, Marie-Pier Lirette, Carolyn Beck, Laurel Chauvin-Kimoff, Kevin Chan","doi":"10.1093/pch/pxad084","DOIUrl":"10.1093/pch/pxad084","url":null,"abstract":"<p><p>On constate des pratiques très variées en matière d'évaluation et de prise en charge des jeunes nourrissons fiévreux. Bien que la plupart des jeunes nourrissons fiévreux mais dans un bon état général soient atteints d'une maladie virale, il est essentiel de détecter ceux qui sont à risque de présenter des infections bactériennes invasives, notamment une bactériémie et une méningite bactérienne. Le présent document de principes porte sur les nourrissons de 90 jours ou moins dont la température rectale est de 38,0 °C ou plus, mais qui semblent être dans un bon état général. Il est conseillé d'appliquer les récents critères de stratification du risque pour orienter la prise en charge, ainsi que d'intégrer la procalcitonine à l'évaluation diagnostique. Les décisions sur la prise en charge des nourrissons qui satisfont aux critères de faible risque devraient refléter la probabilité d'une maladie, tenir compte de l'équilibre entre les risques et les préjudices potentiels et faire participer les parents ou les proches aux décisions lorsque diverses options sont possibles. La prise en charge optimale peut également dépendre de considérations pragmatiques, telles que l'accès à des examens diagnostiques, à des unités d'observation, à des soins tertiaires et à un suivi. Des éléments particuliers, tels que la mesure de la température, le risque d'infection invasive à <i>Herpes simplex</i> et la fièvre postvaccinale, sont également abordés.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 1","pages":"50-66"},"PeriodicalIF":1.8,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10848124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139707497","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
Access to appropriate interpretation is essential for the health of children. 获得适当的口译服务对儿童的健康至关重要。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-02-06 eCollection Date: 2024-02-01 DOI: 10.1093/pch/pxad054
Charles Hui
{"title":"Access to appropriate interpretation is essential for the health of children.","authors":"Charles Hui","doi":"10.1093/pch/pxad054","DOIUrl":"10.1093/pch/pxad054","url":null,"abstract":"<p><p>With 20% of Canadians reporting a mother tongue other than English or French, it is not uncommon for health professionals and patients to be proficient in different languages. When a physician and patient cannot properly communicate, there is potential for misunderstanding, which can lead to poor clinical outcomes and hospital readmission. Professional interpretation services are associated with improved communication, health care use, clinical outcomes, and satisfaction with care. Using untrained or ad hoc interpreters-including family members-has been shown to increase errors of omission, substitution, editorialization, and addition. Children and youth are not sufficiently developmentally mature to act as interpreters in health care. Using children and youth as interpreters in health care settings places them in an inappropriate and potentially difficult situation that may have lasting negative effects on both their own mental health and their relationships with other family members.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 1","pages":"43-49"},"PeriodicalIF":1.8,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10848118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139707495","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
Social prescribing: Moving pediatric care upstream to improve child health and wellbeing and address child health inequities 社会处方：将儿科护理推向上游，改善儿童健康和福祉，解决儿童健康不平等问题
IF 1.9 4区 医学
Paediatrics & child health Pub Date : 2024-01-24 DOI: 10.1093/pch/pxae002
Caitlin Muhl, Susan Bennett, Stéphanie Fragman, Nicole Racine
{"title":"Social prescribing: Moving pediatric care upstream to improve child health and wellbeing and address child health inequities","authors":"Caitlin Muhl, Susan Bennett, Stéphanie Fragman, Nicole Racine","doi":"10.1093/pch/pxae002","DOIUrl":"https://doi.org/10.1093/pch/pxae002","url":null,"abstract":"Social prescribing is a means for trusted individuals in clinical and community settings to connect people who have non-medical, health-related social needs to non-clinical supports and services within the community through a non-medical prescription. Evaluations of social prescribing programs for the pediatric population have demonstrated statistically significant improvements in participants’ mental, physical, and social wellbeing and reductions in healthcare demand and costs. Experts have pointed to the particularly powerful impact of social prescribing on children’s mental health, suggesting that it may help to alleviate the strain on the overburdened mental health system. Social prescribing shows promise as a tool to move pediatric care upstream by addressing non-medical, health-related social needs, hence why there is an urgent need to direct more attention towards the pediatric population in social prescribing research, policy, and practice. This demands rapid action by researchers, policymakers, and child health professionals to support advancements in this area.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"43 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139555536","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 health system impact of an early respiratory viral season in Eastern Ontario, Canada: A descriptive analysis. 加拿大安大略省东部早期呼吸道病毒季节对儿科医疗系统的影响：描述性分析。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2023-12-22 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxad082
Lynn Meng, Liam Bruce, Melanie Buba, Connor McLean, Lise Bisnaire, Ken J Farion, Lindy Samson, Nisha Thampi
{"title":"Paediatric health system impact of an early respiratory viral season in Eastern Ontario, Canada: A descriptive analysis.","authors":"Lynn Meng, Liam Bruce, Melanie Buba, Connor McLean, Lise Bisnaire, Ken J Farion, Lindy Samson, Nisha Thampi","doi":"10.1093/pch/pxad082","DOIUrl":"10.1093/pch/pxad082","url":null,"abstract":"<p><strong>Objectives: </strong>We examined trends in patient volumes and care intensity among children admitted with laboratory-confirmed respiratory viral infections over 5 years in Ottawa, following the most recent and intense respiratory viral season experienced throughout the Ontario paediatric health system.</p><p><strong>Methods: </strong>This was a retrospective cohort study of patients at the Children's Hospital of Eastern Ontario (CHEO) in Ottawa, who were diagnosed with a laboratory-confirmed respiratory viral infection in the first 72 h of admission between October 22, 2017 and March 25, 2023. Their admissions were stratified by age groups and level of care intensity, based on unit of admission and/or additional ventilatory needs, with Level 3 patients requiring intensive care unit admission, and evaluated for trends over six surveillance periods that began in Week 35 (early September) and ended in Week 34 (end-August) of the following year.</p><p><strong>Results: </strong>During the surveillance period from August 28, 2022 to March 25, 2023, there was an early, steep and twofold increase in admissions due to respiratory viral infections compared to previous periods, driven largely by Respiratory Syncytial Virus and Influenza A. Despite similar age distributions, there was a larger volume of Level 2 and 3 admissions, and higher proportion of patients requiring Level 2 care intensity in inpatient medicine units (23.4% versus 10.4% in pre-pandemic years; P < 0.001).</p><p><strong>Conclusions: </strong>The most recent viral season was associated with elevated volumes and higher inpatient acuity compared to previous years and underscores the need for additional operational and human health resources to support paediatric health systems through these predictable surge periods.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 7","pages":"434-439"},"PeriodicalIF":1.8,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829565","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
La détection et la prise en charge d’une croissance atypique 检测和管理非典型生长
IF 1.9 4区 医学
Paediatrics & child health Pub Date : 2023-12-20 DOI: 10.1093/pch/pxad056
Linda Casey, Tanis R Fenton
{"title":"La détection et la prise en charge d’une croissance atypique","authors":"Linda Casey, Tanis R Fenton","doi":"10.1093/pch/pxad056","DOIUrl":"https://doi.org/10.1093/pch/pxad056","url":null,"abstract":"Résumé En pédiatrie, il est fondamental d’évaluer la croissance de l’enfant, mais un tableau clinique de plus en plus complexe peut compliquer l’évaluation des profils de croissance. Le présent point de pratique s’appuie sur des études de cas représentatives pour décrire les principaux éléments de l’interprétation des profils de croissance courants et la réponse à privilégier. Le clinicien qui connaît ces profils courants et leur étiologie sera mieux en mesure d’y répondre de manière appropriée et de limiter le risque de sous-diagnostiquer ou de surdiagnostiquer les retards de croissance.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"22 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138820887","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
Breastfeeding and human milk in the NICU: From birth to discharge 新生儿重症监护室中的母乳喂养和母乳：从出生到出院
IF 1.9 4区 医学
Paediatrics & child health Pub Date : 2023-12-20 DOI: 10.1093/pch/pxad034
Christopher Tomlinson, Laura N Haiek
{"title":"Breastfeeding and human milk in the NICU: From birth to discharge","authors":"Christopher Tomlinson, Laura N Haiek","doi":"10.1093/pch/pxad034","DOIUrl":"https://doi.org/10.1093/pch/pxad034","url":null,"abstract":"It is well recognized that human milk is the optimal nutritive source for all infants, including those requiring intensive care. This statement reviews evidence supporting the importance of breastfeeding and human milk for infants, and why breastfeeding practices should be prioritized in the neonatal intensive care unit (NICU). It also reviews how to optimally feed infants based on their stability and maturity, and how to support mothers to establish and maintain milk production when their infants are unable to feed at the breast.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"8 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138820802","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
Recognizing and addressing atypical growth 认识和处理非典型生长
IF 1.9 4区 医学
Paediatrics & child health Pub Date : 2023-12-20 DOI: 10.1093/pch/pxad057
Linda Casey, Tanis R Fenton
{"title":"Recognizing and addressing atypical growth","authors":"Linda Casey, Tanis R Fenton","doi":"10.1093/pch/pxad057","DOIUrl":"https://doi.org/10.1093/pch/pxad057","url":null,"abstract":"While child growth evaluation is fundamental to paediatric practice, an increasingly complex clinical picture can complicate interpretation of growth patterns. This practice point uses representative case studies to illustrate key features of interpretation and response to commonly encountered growth patterns. Awareness of these common patterns and their etiologies will enhance the clinician’s ability to respond appropriately and minimize the risk for under- or over-diagnosis of growth impairment.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"21 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138821216","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
L’allaitement et le lait humain en soins intensifs néonatals : de la naissance jusqu’au congé 新生儿重症监护中的母乳喂养和母乳：从出生到出院
IF 1.9 4区 医学
Paediatrics & child health Pub Date : 2023-12-20 DOI: 10.1093/pch/pxad035
Christopher Tomlinson, Laura N Haiek
{"title":"L’allaitement et le lait humain en soins intensifs néonatals : de la naissance jusqu’au congé","authors":"Christopher Tomlinson, Laura N Haiek","doi":"10.1093/pch/pxad035","DOIUrl":"https://doi.org/10.1093/pch/pxad035","url":null,"abstract":"Résumé Il est bien établi que le lait humain est la source nutritive optimale pour tous les nouveau-nés, y compris ceux qui ont besoin de soins intensifs. Le présent document de principes examine les données probantes qui appuient l’importance de l’allaitement et du lait humain pour les nouveau-nés, de même que les raisons pour lesquelles les pratiques d’allaitement doivent être priorisées à l’unité de soins intensifs néonatals. Il aborde aussi l’alimentation optimale des nouveau-nés en fonction de leur stabilité et de leur maturité, ainsi que la manière de soutenir les mères pour qu’elles établissent et maintiennent leur production de lait lorsque leur nouveau-né est incapable de se nourrir au sein.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"115 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138821033","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
Creating a Low-Stimulus Clinic to improve immunization success rates for children with alternate environment needs: A quality improvement initiative 创建低刺激诊所，提高有替代环境需求儿童的免疫接种成功率：质量改进倡议
IF 1.9 4区 医学
Paediatrics & child health Pub Date : 2023-12-13 DOI: 10.1093/pch/pxad081
Megan McDonald, Shauna Gallaugher, Elise Kammerer, Samina Ali
{"title":"Creating a Low-Stimulus Clinic to improve immunization success rates for children with alternate environment needs: A quality improvement initiative","authors":"Megan McDonald, Shauna Gallaugher, Elise Kammerer, Samina Ali","doi":"10.1093/pch/pxad081","DOIUrl":"https://doi.org/10.1093/pch/pxad081","url":null,"abstract":"Patients with specific sensory needs may face barriers to receiving their immunizations. Therefore, a Low-Stimulus Clinic was created in Alberta. Modifications to regular clinic space included lower visual and auditory input, access to longer appointment times and private clinic spaces, development of pre-appointment comfort plans, and offering of in-vehicle immunization. Between April 2021 and May 2022, 90% (641/712) of booked patients were successfully immunized. The top reasons for accessing the clinic included autism spectrum disorder (229/712, 32%), and needle fear/phobia (195/712, 27%). The Low-Stimulus Clinic had a high rate of successful vaccination for populations that may otherwise have been less likely to receive immunizations. Its workflows support the principles of choice, collaboration, and control in creating a positive immunization experience for patients and their families. Having such clinics widely available is a key step in reducing barriers to accessing vaccines for individuals with specific sensory needs.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"9 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138579145","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
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