Paediatrics & child health最新文献

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A rash not to miss: Langerhans cell histiocytosis. 皮疹不可错过:朗格汉斯细胞组织细胞增多症。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-20 eCollection Date: 2025-05-01 DOI: 10.1093/pch/pxae095
Faith Cormier, Cathryn Sibbald
{"title":"A rash not to miss: Langerhans cell histiocytosis.","authors":"Faith Cormier, Cathryn Sibbald","doi":"10.1093/pch/pxae095","DOIUrl":"10.1093/pch/pxae095","url":null,"abstract":"<p><p>A 12-month-old patient presented with persistent seborrheic dermatitis and a diaper rash, unresponsive to topical medications. She was diagnosed with Langerhans cell histiocytosis.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 2","pages":"58-59"},"PeriodicalIF":1.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199790","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
Recognizing adverse drug events related to paediatric medication compounding. 识别与儿科药物复合相关的药物不良事件。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-15 eCollection Date: 2025-05-01 DOI: 10.1093/pch/pxae094
Charlotte Moore Hepburn, Brynn Aucoin, Michael Dickinson
{"title":"Recognizing adverse drug events related to paediatric medication compounding.","authors":"Charlotte Moore Hepburn, Brynn Aucoin, Michael Dickinson","doi":"10.1093/pch/pxae094","DOIUrl":"10.1093/pch/pxae094","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 2","pages":"56-57"},"PeriodicalIF":1.8,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199797","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
Experience with sociodemographic data collection in the Canadian paediatric surgical context: A quality improvement initiative. 加拿大儿科外科背景下的社会人口统计数据收集经验:质量改进倡议。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-15 eCollection Date: 2025-05-01 DOI: 10.1093/pch/pxae093
Jeannette P So, Kayla Wiebe, Simon Kelley, Clyde Matava, Roxanne Kirsch
{"title":"Experience with sociodemographic data collection in the Canadian paediatric surgical context: A quality improvement initiative.","authors":"Jeannette P So, Kayla Wiebe, Simon Kelley, Clyde Matava, Roxanne Kirsch","doi":"10.1093/pch/pxae093","DOIUrl":"10.1093/pch/pxae093","url":null,"abstract":"<p><p>Groups that experience social inequities have poorer health outcomes; however, Canadian healthcare institutions do not routinely collect data to identify those with health inequities. This quality improvement initiative assessed response rates for different methods of sociodemographic data collection using a questionnaire developed to support the ethical prioritization of paediatric non-urgent surgery. Of the 329 families contacted, 85.4% (281/329) completed the questionnaire and of those, 79.7% (224/281) provided sociodemographic data. Surgeon asking in the clinic had the highest response rate (100.0%, 5/5), followed by phone calls from surgical booking administrators (81.6%, 93/114), and a research assistant asking in the clinic (81.0%, 34/42). Sociodemographic data collection is feasible in a Canadian paediatric hospital setting and response rates were higher when completed in person and by staff supporting the care of the patient. The next steps will be to incorporate patient social determinants of health data into decision-making for surgical prioritization.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 2","pages":"49-55"},"PeriodicalIF":1.8,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199793","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
Liveborn children with trisomy 18: A retrospective review. 活产儿童18三体:回顾性回顾。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-15 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae097
Evelyn Armour, Melissa J MacPherson, Cheryl Mack, Maryna Yaskina, Michael van Manen
{"title":"Liveborn children with trisomy 18: A retrospective review.","authors":"Evelyn Armour, Melissa J MacPherson, Cheryl Mack, Maryna Yaskina, Michael van Manen","doi":"10.1093/pch/pxae097","DOIUrl":"10.1093/pch/pxae097","url":null,"abstract":"<p><strong>Background: </strong>Historically, children born alive with trisomy 18 were considered to have a lethal genetic condition such that no medical interventions were provided. While survival is now recognized to be possible, these children's lives include aspects of technological dependency, medical complexity, and neurodevelopmental disabilities.</p><p><strong>Objectives: </strong>The primary aim of this study was to describe the outcomes of a contemporary Canadian population-based cohort of children born alive with trisomy 18.</p><p><strong>Methods: </strong>A retrospective study was conducted to review the records of children born alive with trisomy 18 from January 2012 to December 2023 in Central/Northern Alberta. Demographic and clinical information were abstracted, including features reported in the literature associated with morbidity and mortality. Outcomes were described, including technological dependency, time spent in the hospital, and survival.</p><p><strong>Results: </strong>In total, 37 liveborn infants with complete trisomy 18 were identified. While most died in hospital following medical-surgical interventions and/or comfort-care palliation, nine were discharged home. All of these children had been born at term with a birthweight ≥1750 g. While they relied on medical technologies such as home oxygen and feeding tubes at the time of discharge, most were able to spend a considerable amount of time at home rather than being re-hospitalized. At the time of this review, four remain alive varying in age from 6 to 9 years.</p><p><strong>Conclusions: </strong>Trisomy 18 is not a homogeneous clinical condition. Some children may have their lives extended to spend their lives at home with their families.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"164-170"},"PeriodicalIF":1.8,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541792","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
Acute flaccid paralysis: A call for clinical vigilance. 急性弛缓性麻痹:临床警惕的呼吁。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-15 eCollection Date: 2025-02-01 DOI: 10.1093/pch/pxae100
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}
引用次数: 0
Le diagnostic et la prise en charge de la syphilis congénitale : ne laisser passer aucune occasion. 诊断和治疗先天性梅毒:机不可失。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-12 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxae040
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}
引用次数: 0
Diagnosis and management of congenital syphilis: Avoiding missed opportunities. 先天性梅毒的诊断和管理:避免错失良机。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-12 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxae044
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}
引用次数: 0
Un guide pour la prise en charge communautaire des troubles des conduites alimentaires en pédiatrie. 以社区为基础的儿科饮食失调管理指南。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-12 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxae039
Marian Coret, Ellie Vyver, Megan Harrison, Alene Toulany, Ashley Vandermorris, Holly Agostino
{"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}
引用次数: 0
A guide to the community management of paediatric eating disorders. 儿科饮食失调社区管理指南》。
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-12-12 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxae037
Marian Coret, Ellie Vyver, Megan Harrison, Alene Toulany, Ashley Vandermorris, Holly Agostino
{"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}
引用次数: 0
Therapeutic Dilemma: Melatonin or not? 治疗困境:是否需要褪黑素?
IF 1.8 4区 医学
Paediatrics & child health Pub Date : 2024-11-19 eCollection Date: 2025-02-01 DOI: 10.1093/pch/pxae083
Savithiri Ratnapalan, Michael Rieder
{"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}
引用次数: 0
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