Paediatrics & child health最新文献_第2页

Persistent hyperbilirubinemia in a 1-week-old male.

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-15 eCollection Date: 2025-02-01 DOI: 10.1093/pch/pxae081

Sarah White, Sarah Tehseen, Karen S Leis, Morgan J Hewitt, Daphne Yau

引用次数: 0

Cow's milk protein allergy in infants and children. 婴幼儿牛奶蛋白过敏。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-12 eCollection Date: 2024-09-01 DOI: 10.1093/pch/pxae043

Pushpa Sathya, Tanis R Fenton

{"title":"Cow's milk protein allergy in infants and children.","authors":"Pushpa Sathya, Tanis R Fenton","doi":"10.1093/pch/pxae043","DOIUrl":"10.1093/pch/pxae043","url":null,"abstract":"Cow's milk protein allergy (CMPA) is an immune-mediated reaction to cow's milk proteins, which can involve multiple organ systems including the gastrointestinal tract. Immunoglobulin E (IgE)-mediated response results in rapid onset of allergic symptoms that are easily recognizable. However, delayed (i.e., non-IgE/cell-mediated) or mixed (IgE- and cell-mediated) reactions produce a host of symptoms that overlap with other conditions and vary widely in onset and severity. Determining whether symptoms represent immune-mediated CMPA, non-immunologic reaction to cow's milk, or are unrelated to cow's milk exposure is challenging yet essential for effective management. While the clinical presentation of non-IgE-mediated CMPA can vary, this condition is usually self-limited and resolves by 1 to 6 years of age. Food antigen-specific immunoglobulin G (IgG) panels that are not evidence-based should be avoided because they can lead to overdiagnosis of presumed food intolerances. Overdiagnosis of CMPA can result in overuse of extensively hydrolyzed formulas and have significant cost implications for families. This statement focuses on delayed non-IgE/cell-mediated CMPA and assists health care providers to distinguish between and identify varied reactions to cow's milk, discusses the role of diagnostic testing, and provides management recommendations based on best evidence.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 6","pages":"382-396"},"PeriodicalIF":1.8,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625597","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

A father's reflections on grief, suffering, and community. 一位父亲对悲伤、苦难和社区的思考。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-12 eCollection Date: 2024-09-01 DOI: 10.1093/pch/pxae056

Peter Nieman

引用次数: 0

L'allergie aux protéines du lait de vache chez les nourrissons et les enfants. 婴幼儿牛奶蛋白过敏。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-12 eCollection Date: 2024-09-01 DOI: 10.1093/pch/pxae042

Pushpa Sathya, Tanis R Fenton

{"title":"L'allergie aux protéines du lait de vache chez les nourrissons et les enfants.","authors":"Pushpa Sathya, Tanis R Fenton","doi":"10.1093/pch/pxae042","DOIUrl":"10.1093/pch/pxae042","url":null,"abstract":"L'allergie aux protéines du lait de vache (APLV) est une réaction à médiation immunitaire aux protéines du lait de vache, qui peut toucher de multiples systèmes organiques, y compris le tractus gastro-intestinal. Une réaction induite par les immunoglobulines E (IgE) entraîne l'apparition rapide de symptômes allergiques faciles à reconnaître. Cependant, des réactions tardives (non induites par les IgE ou les cellules) ou mixtes (induites par les IgE et les cellules) entraînent une série de symptômes qui ressemblent à d'autres affections et dont le moment d'apparition et la gravité sont très variables. Il est difficile de déterminer si les symptômes sont attribuables à une APLV à médiation immunitaire, à une réaction non immunologique au lait de vache ou à autre chose que l'exposition au lait de vache, mais il est essentiel d'y parvenir pour proposer une prise en charge efficace. Le tableau clinique de l'APLV non induite par les IgE peut varier, mais cette affection, généralement autorésolutive, disparaît entre l'âge de un et six ans. Il faut éviter les batteries de dosages des immunoglobulines G (IgG) pour déceler les intolérances alimentaires spécifiques aux antigènes qui ne reposent pas sur des données probantes, parce qu'elles peuvent entraîner un surdiagnostic de prétendues intolérances alimentaires. Le surdiagnostic d'APLV peut être responsable de la surutilisation de préparations fortement hydrolysées, ce qui a des répercussions financières importantes pour les familles. Le présent document de principes, qui traite de l'APLV non induite par les IgE ou les cellules, aide les professionnels de la santé à distinguer et reconnaître les diverses réactions au lait de vache, aborde le rôle des tests diagnostiques et fournit des recommandations de prise en charge en fonction des données probantes exemplaires.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 6","pages":"382-396"},"PeriodicalIF":1.8,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625606","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

Les objectifs des échanges sur les soins et de la planification préalable des soins chez les patients d'âge pédiatrique atteints d'une maladie grave. 儿科危重病人护理交流和预先护理计划的目标。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-12 eCollection Date: 2024-09-01 DOI: 10.1093/pch/pxae038

Adam Rapoport

引用次数: 0

Goals of care conversations and advance care planning for paediatric patients living with serious illness. 儿科重病患者的护理目标对话和预先护理规划。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-12 eCollection Date: 2024-09-01 DOI: 10.1093/pch/pxae041

Adam Rapoport

引用次数: 0

Implementing a resident-led transition-specific bootcamp curriculum during pediatric residency training: Our 3-year experience.

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-07 eCollection Date: 2024-12-01 DOI: 10.1093/pch/pxae077

Aristides Hadjinicolaou, Mylène Dandavino, David D'Arienzo, Kimberley Kaspy, Elisa Ruano Cea

{"title":"Implementing a resident-led transition-specific bootcamp curriculum during pediatric residency training: Our 3-year experience.","authors":"Aristides Hadjinicolaou, Mylène Dandavino, David D'Arienzo, Kimberley Kaspy, Elisa Ruano Cea","doi":"10.1093/pch/pxae077","DOIUrl":"10.1093/pch/pxae077","url":null,"abstract":"Objectives: Postgraduate programs that use 'bootcamps' to help trainees transition into new clinical roles usually solely target entry to residency, failing to address other critical transition periods. We developed, implemented, and evaluated a resident-led transition-specific bootcamp curriculum in our Pediatrics program and described our first 3 years of experience.Methods: Our bootcamp curriculum was developed around Kern's framework. A needs assessment identified key transition periods (Incoming Resident [IR]; Night Float [NF]; Ward Senior [WS]). Teaching content and methods were informed by Residents-As-Teacher principles. Program evaluation included surveys exploring trainees' satisfaction, and perceived knowledge and self-efficacy before and after bootcamp participation. For the IR bootcamp, knowledge and behaviour were objectively assessed through written examinations and Observed Structured Clinical Examinations (OSCEs).Results: Twenty-seven pediatric residents participated in the IR bootcamp, 26 in the NF bootcamp, and 25 in the WS bootcamp. Trainees' baseline self-reported knowledge and confidence around clinical skills taught showed an improving trend post-bootcamp in all transition periods. Strengths identified included the level-appropriate teaching content and residents' engagement as teachers.Conclusions: Bootcamps can help residents adapt to new roles and should target all key transitions within the training continuum. Capitalizing on resident leadership for bootcamp curriculum development and implementation is instrumental to its success.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 8","pages":"485-490"},"PeriodicalIF":1.8,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483824","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

Supporting adolescents presenting with illicit drug toxicity.

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-06 eCollection Date: 2024-12-01 DOI: 10.1093/pch/pxae078

Matthew Carwana, Eva Moore, Nicholas Chadi

引用次数: 0

Correction to: The Critical Lens: It is time to start using the right test for febrile young infants. 更正：关键透镜：是时候开始对发热的幼儿使用正确的测试了。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-10-25 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxae084

引用次数: 0

Correction to: 101 The Impact of Sociodemographic Factors on Youth Academic Achievement During the COVID-19 Pandemic in Ontario, Canada. 更正：101 加拿大安大略省 COVID-19 大流行期间社会人口因素对青少年学业成绩的影响。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-10-21 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxae074

引用次数: 0