Paediatrics & child health最新文献_第4页

Implementing a resident-led transition-specific bootcamp curriculum during pediatric residency training: Our 3-year experience. 在儿科住院医师培训期间实施住院医师主导的过渡期特定训练营课程：我们3年的经验。

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. 支持出现非法药物中毒的青少年。

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

Etiology of community-acquired bacterial meningitis in children at a tertiary-care centre in Montreal, Canada. 加拿大蒙特利尔一家三级保健中心儿童社区获得性细菌性脑膜炎的病因学

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-10-20 eCollection Date: 2025-05-01 DOI: 10.1093/pch/pxae057

Anne-Sophie Besner, Christian Renaud, Jocelyn Gravel

{"title":"Etiology of community-acquired bacterial meningitis in children at a tertiary-care centre in Montreal, Canada.","authors":"Anne-Sophie Besner, Christian Renaud, Jocelyn Gravel","doi":"10.1093/pch/pxae057","DOIUrl":"10.1093/pch/pxae057","url":null,"abstract":"Objectives: This study aimed to identify the bacteria responsible for community-acquired bacterial meningitis in infants and children.Methods: This was a retrospective cohort study including children aged 1 day to 18 years with confirmed bacterial meningitis, evaluated at a tertiary-care, Canadian emergency department between 2014 and 2022. The primary outcome was the pathogen identified. Other variables of interest were complications, age, and diagnostic method. Medical charts were reviewed by a co-investigator and 25% were assessed in duplicate.Results: All 79 eligible cases were included. The main causal agents were Group B Streptococcus (GBS) (n = 20; 25%), Streptococcus pneumoniae (n = 16; 20%), Neisseria meningitidis (n = 16; 20%), and Haemophilus influenzae (n = 9; 11%). Etiology exhibited age-dependent variations, with 85% of GBS and 100% of Escherichia coli infections in children under 2 months. All pneumococcal and Group A Streptococcus cases were in children older than 6 months. All children infected by S. pneumoniae were vaccinated but the serotype was not covered by vaccination in 7/8 infections. All children with N. meningitidis were either too young to be vaccinated (n = 10) or infected by a serotype not covered by the given vaccine. Fifty-five bacteria were identified by cerebrospinal fluid culture, 17 by Polymerase Chain Reaction (PCR), and 7 by both methods.Conclusion: GBS is now the leading etiology of paediatric community-acquired bacterial meningitis at our centre. The etiology of bacterial meningitis varies greatly by age. Future studies should focus on improving the serotype spectrum of vaccines, identifying strategies to lower GBS infection, and improving the use of PCR as a diagnostic tool.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 2","pages":"83-91"},"PeriodicalIF":1.8,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199792","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

Health insurance for all children in Quebec? Ethical reflections on the implementation of PL 83. 魁北克所有儿童都有医疗保险吗？实施pl83的伦理思考。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-10-19 eCollection Date: 2024-12-01 DOI: 10.1093/pch/pxae071

Annie Liv, Patricia Li, Ryoa Chung, Samir Shaheen-Hussain, Saleem Razack, Joanne Liu, Gaucher Nathalie

{"title":"Health insurance for all children in Quebec? Ethical reflections on the implementation of PL 83.","authors":"Annie Liv, Patricia Li, Ryoa Chung, Samir Shaheen-Hussain, Saleem Razack, Joanne Liu, Gaucher Nathalie","doi":"10.1093/pch/pxae071","DOIUrl":"10.1093/pch/pxae071","url":null,"abstract":"The adoption of Projet de loi 83 (PL83) in 2021 aimed to grant previously uninsured migrant children in Quebec access to provincial public health insurance. Three years later, health professionals continue to encounter children who should be eligible for provincial insurance through PL83 but remain uninsured and who face various structural barriers that contribute to this limited access (language, administrative navigation, and access to information). This commentary, based on the conceptual framework of the ethics of care, considers autonomy as the ability to make one's own choices with support from others. Contrary to a conception of autonomy as self-sufficiency, the ethics of care encourages the design of policies and implementation measures capable of helping vulnerable individuals overcome barriers. In the case of access to healthcare for migrant children, we suggest presumptive eligibility and raising awareness among all key stakeholders who interact with parents, from admission and administrative staff to physicians.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 8","pages":"528-530"},"PeriodicalIF":1.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483820","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

Use of a two-bag fluid administration protocol in the treatment of paediatric diabetic ketoacidosis: A retrospective review. 使用双袋液体给药方案治疗儿童糖尿病酮症酸中毒：回顾性回顾。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-10-19 eCollection Date: 2025-05-01 DOI: 10.1093/pch/pxae061

Rebecca Druken, Venita Harris, Elizabeth Wong, Farah Abdulsatar, Andrea Ens, Emma Metivier, Michael Miller, Jagraj Brar

{"title":"Use of a two-bag fluid administration protocol in the treatment of paediatric diabetic ketoacidosis: A retrospective review.","authors":"Rebecca Druken, Venita Harris, Elizabeth Wong, Farah Abdulsatar, Andrea Ens, Emma Metivier, Michael Miller, Jagraj Brar","doi":"10.1093/pch/pxae061","DOIUrl":"10.1093/pch/pxae061","url":null,"abstract":"Objectives: The 'two-bag method' for the treatment of diabetic ketoacidosis (DKA) uses two intravenous fluid bags, only one of which contains 10% dextrose. The bags are run concurrently with rates adjusted according to a rate change table to allow the relative amount of dextrose administered to be adjusted over time, without the need for bag replacements. The Children's Hospital at London Health Sciences Centre (CHLHSC) two-bag protocol is a simplified version of that used by other centres. The objective of this study was to ensure implementation of the CHLHSC two-bag protocol continues to provide safe and effective treatment of paediatric DKA and decreases resource utilization.Methods: This retrospective chart review compared treatment pre- and post-protocol implementation.Results: A total of 22 admissions were included. No significant differences in efficacy or safety outcomes were found between the protocol groups. There was no statistically significant difference between the two and one-bag protocols in time to normalization of serum bicarbonate (13.80 ± 7.68 versus 15.01 ± 7.53 h, P = 0.714), blood glucose correction (8.75 ± 4.86 versus 11.85 ± 4.92 h, P = 0.152), and critical care unit length of stay (24.26 ± 9.94 versus 32.30 ± 13.36, P = 0.399). The nursing staff appeared to appropriately implement the rate change table, but the chart documentation was poor.Conclusions: The CHLHSC simplified two-bag protocol provides a safe and effective alternative to the one-bag protocol for DKA correction in paediatric patients and may also result in decreased resource utilization.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 2","pages":"92-97"},"PeriodicalIF":1.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199798","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

Anorexia nervosa with comorbid autism spectrum disorder: Optimizing care for youth, caregivers, and health care providers. 神经性厌食症合并自闭症谱系障碍：优化对青少年、照顾者和医疗服务提供者的护理。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-10-11 eCollection Date: 2024-09-01 DOI: 10.1093/pch/pxae022

Alon Coret, Holly Agostino

引用次数: 0

Opioid deaths in children in Ontario: A province-wide study. 安大略省儿童阿片类药物死亡：一项全省范围的研究。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-10-10 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae064

Katrina Assen, Elizabeth Urbantke, Michael Wilson, Michael Rieder

{"title":"Opioid deaths in children in Ontario: A province-wide study.","authors":"Katrina Assen, Elizabeth Urbantke, Michael Wilson, Michael Rieder","doi":"10.1093/pch/pxae064","DOIUrl":"10.1093/pch/pxae064","url":null,"abstract":"Objectives: Opioid-related deaths are an ongoing concern. There have been increasing numbers of fentanyl-related adult deaths with limited knowledge of the characteristics and circumstances of opioid toxicity deaths in children. Our aim was to address this using province-wide data capturing all deaths in children under the age of 10 years in Ontario.Methods: Data were extracted from the opioid investigative aid database at the Office of the Chief Coroner from the implementation of the system from October 1, 2017, to October 31, 2021. This collects all opioid-related deaths in Ontario (population 14.7 million). A chart review was undertaken on all deaths under 10 years of age. Patient characteristics were calculated as percentages; descriptive analysis was conducted.Results: Ten deaths in children under the age of 10 occurred during the study period. The average age was 1.9 years with the oldest being 4 years and 9 months. The causative opioid was fentanyl alone in four cases (40%), fentanyl and other drugs in four cases (40%), and hydromorphone and methadone in one case each (10%). Most cases involved improperly stored medication or illicit substances. All children who died had previous child protection service involvement, and at least 70% of their families had previous police involvement.Conclusions: Fentanyl was the primary substance involved in 80% of deaths. Several potential areas of system change include education on fentanyl risk to young children, careful storage of illicit substances, and implications for how the child protection system intervenes in homes where the use of opioids and illicit substance use is reported to occur.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"122-125"},"PeriodicalIF":1.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541793","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

Response to the Letter to the Editor on the Canadian Paediatric Society statement on gender-affirming care. 对加拿大儿科学会关于性别确认护理声明的致编辑信的回应。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-10-10 eCollection Date: 2024-09-01 DOI: 10.1093/pch/pxae066

Ashley Vandermorris, Dan Metzger, Ellie Vyver, Megan Harrison, Johanne Harvey

引用次数: 0