Paediatrics & child health最新文献_第3页

Coping Power at the REACH School Network: A pilot feasibility study. REACH学校网络的应对能力：试点可行性研究。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-17 eCollection Date: 2024-12-01 DOI: 10.1093/pch/pxae060

Saisujani Rasiah, Brendan F Andrade, Justine Cohen-Silver, Anjali Suri, Shajitha Rasiah, Joelene Huber, Sloane J Freeman

{"title":"Coping Power at the REACH School Network: A pilot feasibility study.","authors":"Saisujani Rasiah, Brendan F Andrade, Justine Cohen-Silver, Anjali Suri, Shajitha Rasiah, Joelene Huber, Sloane J Freeman","doi":"10.1093/pch/pxae060","DOIUrl":"10.1093/pch/pxae060","url":null,"abstract":"Objectives: School-based health centres (SBHCs) provide developmental and mental health care to children with socioeconomic disparities. We piloted a validated behavioural intervention called Coping Power (CP) for children with disruptive behaviour through our SBHC program. The objective of this pilot study was to examine the feasibility of CP in the SBHC setting.Methods: All parent/caregiver and child dyads enrolled in CP from 2018 to 2019 and 2021 to 2022 were invited to participate in the study. Demographic information and behaviour rating scales were collected at baseline. Feasibility metrics included attendance and satisfaction survey responses.Results: A total of 31 parent/caregiver-child dyads were included. Approximately 40% of families had an annual income of <$49,999. Regarding attendance, 22/31 children/parent/caregiver dyads (70.9%) missed ≤2 sessions. Thirteen parents/caregivers completed the CP satisfaction survey and indicated that they were either 'somewhat' (n = 4) or 'very satisfied' (n = 9) with the program. Of the 18 children who completed the satisfaction survey, 13 (72.2%) shared that either the 'sort of' or 'for sure' group helped them cope with their anger better.Conclusions: This pilot study found that CP delivered within the SBHCs was feasible. Improving access to CP for disadvantaged children may improve mental health outcomes.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 8","pages":"493-500"},"PeriodicalIF":1.8,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111533","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

Gender-affirming practices for the general paediatrician. 普通儿科医生的性别肯定做法。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-16 eCollection Date: 2025-02-01 DOI: 10.1093/pch/pxae082

Basil Kadoura, Rubaina Farin, Ashley Vandermorris

引用次数: 0

Persistent hyperbilirubinemia in a 1-week-old male. 1周龄男性持续性高胆红素血症。

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

Trying to be an Early BIRD: An exploration of factors impacting British Columbia's intervention referral and diagnosis of cerebral palsy. 试图成为一个早起的鸟：影响不列颠哥伦比亚省脑瘫干预转诊和诊断的因素探讨。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-15 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae076

Taylor McIntosh, Vivian Wong, Akshdeep Sandhu, Mor Cohen-Eilig, Ram Mishaal

{"title":"Trying to be an Early BIRD: An exploration of factors impacting British Columbia's intervention referral and diagnosis of cerebral palsy.","authors":"Taylor McIntosh, Vivian Wong, Akshdeep Sandhu, Mor Cohen-Eilig, Ram Mishaal","doi":"10.1093/pch/pxae076","DOIUrl":"10.1093/pch/pxae076","url":null,"abstract":"Objectives: To identify the average age of cerebral palsy (CP) diagnosis and referral for intervention services in British Columbia (BC) and explore key factors that may impact these outcomes.Methods: This study is a retrospective analysis of the Canadian CP Registry in BC between 2012 and 2021 (n = 187). Chart review recovered additional data on the ages of diagnosis and referral for intervention. The influence of clinical and demographic variables on the two outcomes were explored: Gross Motor Function Classification System (GMFCS) level, presence of non-motor disability, hallmark risk factors for CP, and ethnicity.Results: The mean age of CP diagnosis in the cohort was 25 months (standard deviation [SD]: 18), and the mean age of referral for intervention services was 3.8 months (SD: 4.6). A child at GMFCS level V was, on average, diagnosed 25.6 months earlier than a child with GMFCS level I (confidence interval [CI]: -39.625, -11.588, P = 0.001). GMFCS was not found to have a similarly high level of association with the age of referral for intervention. Ethnicity and the presence of non-motor disability did not have notable associations for either outcome. Children with hallmark risk factors were referred 7.5 months earlier than those without (CI: -11.4, -3.61, P < 0.005).Conclusions: GMFCS level is the most significant predictor of an early or late CP diagnosis. This may encourage increased education and resource efforts being placed towards early diagnosis of children with lower GMFCS levels. This project hopes to act as a starting point for further research efforts into facilitating early diagnosis within BC and Canada.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"134-139"},"PeriodicalIF":1.8,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541797","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

The digital health landscape at children's hospitals in Canada. 加拿大儿童医院的数字健康状况。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-11-15 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae080

Cathie-Kim Le, Sarah Mousseau, Amy R Zipursky, Karim Jessa, Daniel Rosenfield, Julia Yarahuan, Chase Parsons, Adam P Yan

{"title":"The digital health landscape at children's hospitals in Canada.","authors":"Cathie-Kim Le, Sarah Mousseau, Amy R Zipursky, Karim Jessa, Daniel Rosenfield, Julia Yarahuan, Chase Parsons, Adam P Yan","doi":"10.1093/pch/pxae080","DOIUrl":"10.1093/pch/pxae080","url":null,"abstract":"Objectives: Canadian hospitals have historically lagged behind peer nations in terms of adoption of digital health tools. The aim of this study was to assess the current state of adoption of digital health tools at children's hospitals in Canada.Methods: We conducted an online survey of Canadian pediatric tertiary-care hospitals between January and July 2023. The 35-item questionnaire was administered in English and French. Hospital characteristics, informatics infrastructure data and electronic health record (EHR) functionality data were summarized using descriptive statistics.Results: The survey was completed by 15 of the 17 (88.2%) pediatric hospitals in Canada. All institutions had an EHR with 10 (66.6%) being fully digitized and five (33.3%) being partially digitized. Funding and availability of clinicians with expertise in clinical informatics were cited as barriers to implementing digital health tools. The availability of core EHR functionalities ranged from 53.3% for medication to 100% for the presence of a laboratory and radiology information system. Only five (33.3%) institutions reported that they had a patient portal.Discussion: While all hospitals in this study had an EHR, functionalities varied greatly between centers. Canada lags behind the United States in terms of adoption of digital health tools such as patient portals likely due to governmental mandates and incentives, and a focus on cultivating a physician informatics workforce.Conclusion: Canadian pediatric hospitals lag behind peer institutions in digital maturity. This study highlights the perceived need from hospitals for policies, funding, and resources from the Canadian government to help increase the uptake of comprehensive EHRs.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"150-156"},"PeriodicalIF":1.8,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541794","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

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