Paediatrics & child health最新文献_第4页

Paediatric end-of-life care and cardiopulmonary resuscitation. 儿科临终关怀和心肺复苏。

IF 2 4区医学

Paediatrics & child health Pub Date : 2025-05-08 eCollection Date: 2025-08-01 DOI: 10.1093/pch/pxaf021

Sara Rizakos, Roxanne Kirsch, Kevin Weingarten, Andrew Helmers

引用次数: 0

Optimizing energy balance in youth: reducing sugar-sweetened beverages and screen time. 优化年轻人的能量平衡：减少含糖饮料和屏幕时间。

IF 2 4区医学

Paediatrics & child health Pub Date : 2025-05-07 eCollection Date: 2025-07-01 DOI: 10.1093/pch/pxae107

Hannah M Murphy, Kelsey M Stanford, Scott V Harding

引用次数: 0

A 22-month-old girl with yellow nodules. 一个22个月大的女孩，有黄色结节。

IF 2 4区医学

Paediatrics & child health Pub Date : 2025-05-06 eCollection Date: 2025-08-01 DOI: 10.1093/pch/pxaf006

Gaganvir Parmar, Jonathan P Wong, Peter D Wong

引用次数: 0

Patterns of intentional overdoses in young patients: a retrospective cohort study in Québec, Canada (2020-2022). 年轻患者故意过量用药的模式：加拿大qu忧郁（2020-2022）的一项回顾性队列研究。

IF 2 4区医学

Paediatrics & child health Pub Date : 2025-05-06 eCollection Date: 2025-08-01 DOI: 10.1093/pch/pxaf017

Audrée Elliott, Isabelle Bilodeau, Caroline Sirois, Maude St-Onge

{"title":"Patterns of intentional overdoses in young patients: a retrospective cohort study in Québec, Canada (2020-2022).","authors":"Audrée Elliott, Isabelle Bilodeau, Caroline Sirois, Maude St-Onge","doi":"10.1093/pch/pxaf017","DOIUrl":"10.1093/pch/pxaf017","url":null,"abstract":"Introduction: In Canada, suicide/self-harm is the second-leading cause of injury-related deaths. Data from Canadian poison centres suggest that the number of suspected intentional self-harm involving poisoning is increasing, with youth being particularly affected. Understanding this trend is crucial for developing effective interventions.Methods: We conducted a retrospective cohort study using data from the Québec poison centre's ToxiQc database. All self-harm cases in patients aged 6 to 12 and 13 to 19 years between January 1, 2020 and December 31, 2022 were included. We extracted variables on patient demographics, substance exposure, route of administration, caller location and final outcome. We used descriptive statistics to analyze the cases.Results: A total of 5241 cases were included, with 84.7% being female and a mean age of 15.9 years. Most exposures occurred at home, with school being the second most common location for the 6 to 12 years. Single-substance exposures (64%) and oral exposure (99%) were predominant. Acetaminophen (31%) (95% CI [29, 32]), antidepressants (29%) (95% CI [28, 31]) and NSAIDs (17%) (95% CI [16, 18]) were the top three categories of substances involved. Natural health products ranked among the top 10 substances, with melatonin present in 87% (27/31) of cases for ages 6 to 12 and 90% (193/214) for ages 13 to 19. A small proportion of the cases had a known unfavourable outcome with moderate effect (5.3%%) (95% CI [4.6, 6.01]) and major effect (0.9%) (95% CI [0.69, 1.3]).Conclusion: Accessibility likely explains the substances used in self-harm, with both over-the-counter and prescribed medications frequently involved. It is crucial to promote prevention messages to physicians, pharmacists and parents on safely storing a minimum amount of medication at home and assisting children in managing their medication.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 5","pages":"414-420"},"PeriodicalIF":2.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016017","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

L'évaluation médicale en cas de soupçons de trauma crânien causé par la maltraitance des enfants. 对疑似虐待儿童造成的颅脑损伤进行医疗评估。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2025-05-01 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae072

Michelle Shouldice, Michelle G K Ward, Kathleen Nolan, Emma Cory

{"title":"L'évaluation médicale en cas de soupçons de trauma crânien causé par la maltraitance des enfants.","authors":"Michelle Shouldice, Michelle G K Ward, Kathleen Nolan, Emma Cory","doi":"10.1093/pch/pxae072","DOIUrl":"10.1093/pch/pxae072","url":null,"abstract":"Le trauma crânien causé par la maltraitance des enfants, une conséquence grave de la violence envers les enfants, est associé à une morbidité et une mortalité importantes, particulièrement chez les nourrissons et les jeunes enfants. Les professionnels de la santé ont un rôle important à jouer, y compris pour détecter et traiter ces enfants, signaler les craintes de maltraitance aux services de protection de l'enfance, évaluer les lésions et les troubles médicaux connexes, soutenir les enfants et leur famille et transmettre l'information médicale clairement aux familles, aux autres professionnels de la santé, aux services de protection de l'enfance et au milieu juridique. Les symptômes associés aux traumatismes crâniens recoupent souvent ceux d'autres maladies courantes de l'enfance, et les signes externes de lésions peuvent être discrets ou même inexistants. Par conséquent, le trauma crânien causé par la maltraitance des enfants est souvent négligé et détecté tardivement, ce qui contribue au risque que les sévices se poursuivent. Pour évaluer un traumatisme crânien en cas de soupçons de maltraitance d'enfant, il faut examiner les causes médicales éventuelles des observations cliniques et déterminer la présence de lésions occultes. Le présent point de pratique fournit aux professionnels de la santé des conseils pour qu'en cas de soupçons, ils détectent le trauma crânien causé par la maltraitance d'un nourrisson ou d'un enfant et procèdent à l'évaluation médicale des lésions et des blessures.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"189-194"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541791","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

Somatic symptom and related disorders: Guidance on assessment and management for paediatric health care providers. 躯体症状和相关疾病：儿科卫生保健提供者评估和管理指南

IF 2 4区医学

Paediatrics & child health Pub Date : 2025-04-23 eCollection Date: 2025-07-01 DOI: 10.1093/pch/pxae115

Natasha Ruth Saunders, Anne Kawamura, Olivia MacLeod, Alexandra Nieuwesteeg, Claire De Souza

引用次数: 0

Les troubles à symptomatologie somatique et apparentés: directives d'évaluation et de prise en charge pour les professionnels de la santé des enfants. 体细胞和相关体征障碍：儿童保健专业人员的评估和管理指南。

IF 2 4区医学

Paediatrics & child health Pub Date : 2025-04-23 eCollection Date: 2025-07-01 DOI: 10.1093/pch/pxae114

Natasha Ruth Saunders, Anne Kawamura, Olivia MacLeod, Alexandra Nieuwesteeg, Claire De Souza

{"title":"Les troubles à symptomatologie somatique et apparentés: directives d'évaluation et de prise en charge pour les professionnels de la santé des enfants.","authors":"Natasha Ruth Saunders, Anne Kawamura, Olivia MacLeod, Alexandra Nieuwesteeg, Claire De Souza","doi":"10.1093/pch/pxae114","DOIUrl":"https://doi.org/10.1093/pch/pxae114","url":null,"abstract":"Les troubles à symptomatologie somatique et apparentés (TSSA) représentent un défi important en pédiatrie en raison de leurs répercussions sur le bien-être et le fonctionnement de l'enfant et de l'adolescent ainsi que sur les systèmes familiaux. Le présent document de principes contient des directives détaillées pour les professionnels de la santé au sujet de l'évaluation et de la prise en charge de ces troubles et des stratégies de communication lors des rencontres cliniques. Les autrices présentent divers diagnostics, de même que les tableaux cliniques fréquents et les approches recommandées pour procéder aux évaluations médicales des patients et des familles et entretenir des communications avec eux dès le début du parcours diagnostique. Ils décrivent les traitements fondés sur des données probantes à adopter après la confirmation du diagnostic. Ils passent également en revue des approches psychoéducatives qui contribuent à éviter le fardeau des soins découlant des interventions et des examens médicaux inutiles et ainsi à raccourcir le parcours diagnostique et à promouvoir des traitements de réadaptation plus fonctionnels. Ils exposent enfin des stratégies particulières pour soutenir les patients et leur famille et pour valider leurs points de vue.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 4","pages":"338-345"},"PeriodicalIF":2.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775964","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

Medical assessment of suspected traumatic head injury due to child maltreatment (THI-CM). 疑似儿童虐待所致创伤性头部损伤的医学评估。

IF 2 4区医学

Paediatrics & child health Pub Date : 2025-04-23 eCollection Date: 2025-06-01 DOI: 10.1093/pch/pxae073

Michelle Shouldice, Michelle G K Ward, Kathleen Nolan, Emma Cory

{"title":"Medical assessment of suspected traumatic head injury due to child maltreatment (THI-CM).","authors":"Michelle Shouldice, Michelle G K Ward, Kathleen Nolan, Emma Cory","doi":"10.1093/pch/pxae073","DOIUrl":"10.1093/pch/pxae073","url":null,"abstract":"Traumatic head injury due to child maltreatment (THI-CM) is a serious form of child abuse with significant morbidity and mortality, particularly in infants and young children. Healthcare providers have important roles to play, including identifying and treating these children, reporting concerns of child maltreatment to child welfare authorities, assessing for associated injuries and medical conditions, supporting children and their families, and communicating medical information clearly to families and other medical, child welfare, and legal professionals. Symptoms associated with head trauma often overlap with those of other common childhood illnesses, and external signs of injury may be subtle or absent. As a result, THI-CM is frequently overlooked and its identification is often delayed, leading to a risk of ongoing injury. Assessing for head trauma in cases of possible child maltreatment includes considering medical causes for clinical findings and assessment for occult injuries. This practice point provides health care providers with guidance for identifying and medically assessing suspected THI-CM in infants and children.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 3","pages":"184-196"},"PeriodicalIF":2.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12402887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993151","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

Home-based phototherapy for neonatal hyperbilirubinemia: A one-time Canadian Paediatric Surveillance Program Survey. 新生儿高胆红素血症的家庭光疗：一次加拿大儿科监测项目调查。

IF 2 4区医学

Paediatrics & child health Pub Date : 2025-04-17 eCollection Date: 2025-07-01 DOI: 10.1093/pch/pxae045

Karissa Young, Charlotte Moore Hepburn, Michael Miller, Farah Abdulsatar

{"title":"Home-based phototherapy for neonatal hyperbilirubinemia: A one-time Canadian Paediatric Surveillance Program Survey.","authors":"Karissa Young, Charlotte Moore Hepburn, Michael Miller, Farah Abdulsatar","doi":"10.1093/pch/pxae045","DOIUrl":"10.1093/pch/pxae045","url":null,"abstract":"Objectives: Home-based phototherapy (HP) has gained traction as an alternative to hospital-based treatment for neonatal hyperbilirubinemia, but the safety of this practice remains unclear. This study aimed to identify adverse events (AEs) associated with HP in Canada.Methods: A one-time survey, distributed through the Canadian Paediatric Surveillance Program, collected retrospective data from paediatricians. The survey included questions about the use of HP, AEs associated with HP, potential HP AE risk factors, and outcomes. A descriptive statistical analysis was conducted.Results: The survey response rate was 31% (844/2741), with 497 respondents indicating that they provide care for neonatal hyperbilirubinemia. Among those 497 respondents, 58 (12%) reported working at a centre that provides HP. AEs were reported by 15 (3%) physicians with 21 cases of AEs associated with HP in the preceding 12 months. Most AEs resulted in admissions or readmissions to the hospital for inpatient phototherapy. No serious AEs or long-term consequences were reported. Risk factors were identified in 67% of cases, with infant-related factors identified more frequently than provider, system, or family-related factors. Formal protocols for patient assessment and follow-up were in place at most centres that provide HP.Conclusion: This survey revealed no serious AEs related to HP, as reported by paediatricians in Canada, in the preceding 12 months. The survey also revealed that while HP is available in Canada, there is limited access and a lack of standardization to its administration. This study provides valuable insights into the safety and practice of HP for neonatal hyperbilirubinemia in Canada.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 4","pages":"279-283"},"PeriodicalIF":2.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775960","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 effects of recreational cannabis legalization in Alberta on poison control centre calls and paediatric emergency department visits. 艾伯塔省娱乐性大麻合法化对中毒控制中心电话和儿科急诊室就诊的影响。

IF 2 4区医学

Paediatrics & child health Pub Date : 2025-04-11 eCollection Date: 2025-07-01 DOI: 10.1093/pch/pxae090

Sarah Johnson, Dominic Allain, Scott Lucyk, Michelle Simonelli, Theresa Loch, Mathieu Chin

{"title":"The effects of recreational cannabis legalization in Alberta on poison control centre calls and paediatric emergency department visits.","authors":"Sarah Johnson, Dominic Allain, Scott Lucyk, Michelle Simonelli, Theresa Loch, Mathieu Chin","doi":"10.1093/pch/pxae090","DOIUrl":"https://doi.org/10.1093/pch/pxae090","url":null,"abstract":"Objectives: To characterize cannabis-related presentations to the two major paediatric emergency departments (EDs) in Alberta as well as calls to Alberta's Poison and Drug Information Services (PADIS) and detect any changes in relation to legalization.Methods: This was a retrospective medical record review analyzing all paediatric (ages 0 to 18) ED presentations for cannabis-related concerns. The two sites included were the Stollery Children's Hospital in Edmonton and the Alberta Children's Hospital in Calgary. We searched the PADIS database for all calls in the province for 'Cannabinoids and Analogues' for ages 0 to 19. The rates prior to and after legalization were compared.Results: While we saw no overall difference in ED visits, pre- and post-legislation we found an increase in unintentional overdoses in children under 12 years of age (7% versus 15%, proportion change 1.13). The severity of presentations did not change during this time period (37% versus 42%, P 0.254). We also found an increase in calls to PADIS in the 2 years after legalization. There was an increase in exposure to edible cannabis formulations during this time period.Conclusion: This study combines a province-wide medical record review of ED visits with poison control centre information to provide a complete look at cannabis intoxication in paediatric patients over the time of legalization. It adds to the growing body of evidence that legalization of recreational cannabis, especially edible formulations has resulted in increased unintentional overdoses in young children.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 4","pages":"268-272"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775973","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