Paediatrics & child health最新文献

{"title":"No Wrong Way to Feel.","authors":"Zhaohui Su","doi":"10.1093/pch/pxaf037","DOIUrl":"https://doi.org/10.1093/pch/pxaf037","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 6","pages":"446"},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233186","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":"Thick periungual desquamation in refractory Kawasaki disease.","authors":"Shogo Akahoshi, Kazuki Iio","doi":"10.1093/pch/pxaf050","DOIUrl":"https://doi.org/10.1093/pch/pxaf050","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 6","pages":"444-445"},"PeriodicalIF":2.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233128","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":"How not to miss congenital syphilis.","authors":"Joan L Robinson","doi":"10.1093/pch/pxaf019","DOIUrl":"10.1093/pch/pxaf019","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 5","pages":"380-381"},"PeriodicalIF":2.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016098","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":"The ages and stages of paediatric social prescribing.","authors":"Mackenzie Merrell Macza Heidel, Lorynn Labbie, Andrea Moir, Emi Rucinski, Ananna Arna, Maia Poon, Maggie Wang, Shaoni Chakraborty, Sarah Wong, Lily Yang, Alejandra Van Dusen, Jessica Maher","doi":"10.1093/pch/pxaf045","DOIUrl":"https://doi.org/10.1093/pch/pxaf045","url":null,"abstract":"<p><p>Social determinants of health can profoundly impact child and adolescent health outcomes. As demands on Canadian primary health care continue to grow, there is an increasing risk that patients' needs will go unmet. Social prescribing offers a practical way to address these concerns across all ages. Using a personalized approach, social prescribing enables healthcare professionals to identify individuals' non-medical needs and connect them with appropriate community resources via dedicated community connectors. These connectors can collaborate with children, adolescents, and their families to explore their values, co-create a social prescription, support its implementation, and provide longitudinal follow-up. Pediatric healthcare providers are particularly well-poised to make these referrals to deliver comprehensive care that supports their patients' holistic development. This commentary highlights representative examples of Canadian social prescribing initiatives that can benefit pediatric patients, emphasizing how these practices can be adapted across developmental stages and grow alongside the individual.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 6","pages":"432-436"},"PeriodicalIF":2.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233134","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":"Factors affecting continuation of mother's-own-(breast)milk feeding until discharge from the NICU for infants born preterm less than 32 weeks: A cohort study.","authors":"Bryarre Gudmundson, Mary Seshia, Sharla Fast, Chelsea Day, Christy Pylypjuk","doi":"10.1093/pch/pxaf035","DOIUrl":"10.1093/pch/pxaf035","url":null,"abstract":"<p><strong>Objectives: </strong>To quantify the feeding volumes and factors associated with feeding mothers-own-(breast) milk until discharge for preterm neonates born less than 32 weeks.</p><p><strong>Methods: </strong>This was a retrospective cohort study (2010-2020). Neonates born <32 weeks and admitted to NICU with stored feeding records were eligible for inclusion. Information about daily feeding patterns (volume and sources), maternal demographics, birth data, and postnatal conditions were abstracted using standard data collection forms. Descriptive and inferential statistics were used to analyze results and compare groups.</p><p><strong>Results: </strong>Of 436 newborns born <32 weeks, 372 met the inclusion criteria for the final analysis. While 87.9% of neonates had fed with mother's-own-milk initiated, only 53.5% continued these feeds until discharge from NICU. Over the study period, there was a significant decline in both initiation (<i>P</i> = 0.002) and continuation of feeds with mother's-own-milk (<i>P</i> < 0.0001). Factors positively associated with the continuation of mother's-own-milk to hospital discharge included older maternal age (<i>P</i> = 0.0002) and primiparity (<i>P</i> = 0.002). Continuation of mother's-own-milk was also associated with an earlier date of first feed with mother's-own-milk and higher volumes of breast milk production (<i>P</i> < 0.004). Volume of mother's-own-milk fed on Day 7 of admission was significant in predicting continuation to discharge. Factors negatively associated with continuation of feeds to discharge included high BMI (<i>P</i> = 0.009), cigarette smoking (<i>P</i> = 0.004), substance abuse (<i>P</i> = 0.0001), multiples (<i>P</i> = 0.038), and remote residence (<i>P</i> = 0.002).</p><p><strong>Conclusions: </strong>Early initiation of mother's-own-(breast)milk improves continuation throughout NICU admission until discharge. Investigation into barriers to breastfeeding and targeted support for mothers (particularly those that are younger, multiparous, and/or from remote locations) are urgently needed.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 6","pages":"518-526"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233125","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":"Milian's ear sign: A sign for facial erysipelas.","authors":"Kazuki Iio, Yusuke Hagiwara","doi":"10.1093/pch/pxaf044","DOIUrl":"10.1093/pch/pxaf044","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 5","pages":"371-372"},"PeriodicalIF":2.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016081","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":"Validation of the adolescent menstrual poverty questionnaire.","authors":"Mary Lukindo, Hannah Cameron, Victoria Price, Mandy Bouchard, Meghan Pike","doi":"10.1093/pch/pxaf002","DOIUrl":"10.1093/pch/pxaf002","url":null,"abstract":"<p><strong>Background: </strong>Menstrual poverty is the inability to obtain menstrual products due to financial, social, cultural, and political barriers to accessing menstrual products. It affects 65% of adolescents in Nova Scotia, but its impact on adolescents in Canada remains unknown. The adolescent Menstrual Poverty Questionnaire (aMPQ) was designed to assess the impact of menstrual poverty on adolescents living in countries with higher socioeconomic status. This study aims to translate the aMPQ into French and to validate it in both English and French to facilitate nationwide use.</p><p><strong>Methods: </strong>The aMPQ was translated to French using forward translation by a professional translation service, then backward translation by a bilingual investigator. English and French speaking physicians specialized in adolescence care were recruited to participate in content validity assessment of the English and French aMPQs by completing a web-based survey containing rating scales from 1 to 4 on both clarity and relevance for each of the 27 items of the aMPQ. The Content Validity Index (CVI) for each Item (I-CVI) and for the general Scale (S-CVI) were calculated. An I-CVI of 0.78 or higher and an S-CVI of 0.90 or higher supports content validity.</p><p><strong>Results: </strong>Twelve physicians completed content validity surveys for the English and French aMPQ. Each question on the aMPQ had an I-CVI above 0.78 for both relevance and clarity. The S-CVI was 0.98.</p><p><strong>Conclusion: </strong>Content validity of the aMPQ in both English and French was established. The aMPQ is a valid bilingual tool and can be used for nationwide assessment of the impact of menstrual poverty on adolescents.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 5","pages":"402-405"},"PeriodicalIF":2.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016046","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":"An innovative approach to patient and family involvement in postgraduate medical education.","authors":"Sureka Pavalagantharajah, Marriam Khan, Clara Moore, Karen Beattie, Andrea Hunter, Elif Bilgic, Bojana Babic","doi":"10.1093/pch/pxaf022","DOIUrl":"10.1093/pch/pxaf022","url":null,"abstract":"<p><p>Although there is growing knowledge surrounding the value of involving patients and families in pediatrics residency training, based on a web-based survey of program directors (PDs) in Departments of Pediatrics across Canada, only 42% reported engaging patients and families in their formal residency curriculum. However, all respondents acknowledged the value of partnering with patients and families. Given this, we developed an educational intervention in partnership with our local Family Advisory Council members, that allows for (a) family voices to be heard and incorporated, and (b) direct interaction and conversation between families and pediatric residents. The intervention was divided into three sections: patient and family stories, a presentation about communicating effectively with parents, and a panel discussion. Overall, both family and resident feedback was overwhelmingly positive; hence, the success of our novel approach highlights the need to consider additional learning opportunities to actively involve patients and/or families within residency education.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 5","pages":"356-358"},"PeriodicalIF":2.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016065","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":"Caring for children with medical complexity: Homecare nurses' point of view.","authors":"Samantha Mekhuri, Natalie Pitch, Richa Patel, Abigail Mi-Hae Shin, Krista Keilty, Stephanie Chu, Julia Orkin, Reshma Amin","doi":"10.1093/pch/pxaf038","DOIUrl":"https://doi.org/10.1093/pch/pxaf038","url":null,"abstract":"<p><strong>Objectives: </strong>Children with medical complexity (CMC) have intense care demands, dependence on medical technology, and rely on homecare nursing. This study aimed to understand home care nurses' (HCN) experiences caring for CMCs to optimize their home-based place of employment, improve HCN-patient relationships to enhance care and promote CMCs to remain at home with their families safely.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 21 HCNs caring for CMC using medical technology. Interviews were analyzed using content analysis.</p><p><strong>Results: </strong>Two themes emerged: the unique experiences of a homecare nurse and interactions with patients and their families. Interviews revealed the role is rewarding, and HCNs developed meaningful connections with patients and their families. However, HCNs experienced several challenges in providing quality care.</p><p><strong>Conclusions: </strong>Understanding HCN's perspectives is critical to improving their experience in the role and enhancing care for their patients. These findings can inform the implementation of support needed to optimize the work experience for HCNs.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 6","pages":"508-517"},"PeriodicalIF":2.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233058","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":"Indigenizing paediatric concussion injury prevention.","authors":"Scott Ramsay","doi":"10.1093/pch/pxaf043","DOIUrl":"https://doi.org/10.1093/pch/pxaf043","url":null,"abstract":"<p><p>This commentary addresses the urgent need for culturally responsive approaches to concussion prevention for Indigenous children in Canada, who face disproportionately higher injury rates compared to non-Indigenous populations. Current prevention strategies do not consider Indigenous priorities of children in Canada, creating a critical gap in culturally appropriate interventions. Effective Indigenization of concussion prevention requires collaborative development between health care professionals and cultural experts, community-specific approaches that respect diverse practices across Indigenous groups, and integration of traditional knowledge with Western medicine. This call to action urges researchers to develop community-led research questions, policy-makers to adapt protocols in partnership with Indigenous communities, and health care professionals to incorporate traditional healing practices. By addressing these missing priorities, we can create more equitable, effective concussion prevention strategies for Indigenous children in Canada.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 6","pages":"429-431"},"PeriodicalIF":2.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233193","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}