Paediatrics & child health最新文献

{"title":"The dangers of dieting in adolescence.","authors":"Megan E Harrison, Ashley Vandermorris, Ellie Vyver, Allison Rodrigues, Holly Agostino, Amy Robinson, Alene Toulany","doi":"10.1093/pch/pxaf129","DOIUrl":"https://doi.org/10.1093/pch/pxaf129","url":null,"abstract":"<p><p>Dieting is a common occurrence during adolescence. Dieting behaviours and cognitions can have a profound impact during this critical period of development, when youth have a heightened sensitivity to appearance and are actively forming their body image. Adolescents are particularly susceptible to internalizing the myriad and conflicting \"health\" messages disseminated through mainstream and social media, peer interactions, family dynamics, school systems and health care encounters. These messages can influence their perception of what constitutes a \"normal\" or \"healthy\" body, motivating dieting behaviours that are undertaken in an attempt to change their body weight or shape (or both).</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"258-265"},"PeriodicalIF":2.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699190","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}

{"title":"Pharmacological management of acute migraine attacks in children and adolescents presenting to the emergency department.","authors":"Sarah Rogers, Serena L Orr, Brigitte Parisien, Laurel Chauvin-Kimoff","doi":"10.1093/pch/pxaf139","DOIUrl":"https://doi.org/10.1093/pch/pxaf139","url":null,"abstract":"<p><p>This practice point applies to children and adolescents presenting to the emergency department with acute migraine. Current recommendations on management from relevant studies are summarized with the goal of decreasing practice variation among providers and preventing potential harm to patients. The first-line option for treatment of acute migraine attacks is metoclopramide, and potential second-line options include occipital nerve blocks and intra-nasal lidocaine. Opioids should not be used to treat migraine.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"275-280"},"PeriodicalIF":2.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699211","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}

{"title":"Virtual family-centred rounds support high-quality care in paediatric inpatients: A mixed-methods process evaluation.","authors":"Melanie Buba, Catherine Dulude, Stephanie Sutherland, Dennis Newhook, Holly Ockenden, James Donner, W James King","doi":"10.1093/pch/pxaf127","DOIUrl":"10.1093/pch/pxaf127","url":null,"abstract":"<p><strong>Objectives: </strong>Virtual care use exploded during the COVID-19 pandemic, but comprehensive evaluations of inpatient virtual care are lacking. This process evaluation of virtual family-centred rounds (vFCR) aimed to determine if vFCR supports high-quality care with comparable effectiveness, usefulness, and acceptability to in-person family-centred rounds.</p><p><strong>Methods: </strong>This mixed-methods evaluation was conducted in a freestanding academic tertiary care children's hospital from May to June 2021. Virtual observations were used to evaluate the effectiveness of vFCR compared to in-person rounds and timing benchmarks. In-person observations were used to collect vFCR technology usability data. Questionnaires were distributed postrounds to understand patient/family and medical team perceptions of vFCR effectiveness, satisfaction, safety, and technology usability.</p><p><strong>Results: </strong>Adherence to the core components of family-centred rounds during vFCR was variable. vFCR timing was consistent with benchmarks despite regular delays. The majority (93%) of survey respondents were satisfied with vFCR, and 67% felt it was important to do FCR virtually during the pandemic for increased safety. Importantly, vFCR was perceived by 97% of medical team members as supporting shared decision-making with patients and families and 78% of patients/families felt like valued partners in their (child's) care. vFCR technology was perceived as easy or very easy to use by 95% of respondents.</p><p><strong>Conclusion: </strong>Virtual family-centred rounds were found to be effective, safe and met with high levels of satisfaction by patients/families and medical team members. The technology was perceived to be easy to learn and use. Rounds efficiency and transition times were identified as opportunities for improvement.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"207-214"},"PeriodicalIF":2.5,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699173","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}

{"title":"Erratum: Society Note on 123 papers to add disclaimer.","authors":"","doi":"10.1093/pch/pxag013","DOIUrl":"10.1093/pch/pxag013","url":null,"abstract":"&lt;p&gt;&lt;p&gt;[This corrects the article DOI: 10.1093/pch/pxx076.][This corrects the article DOI: 10.1093/pch/pxw006.][This corrects the article DOI: 10.1093/pch/21.5.263.][This corrects the article DOI: 10.1093/pch/21.1.29.][This corrects the article DOI: 10.1093/pch/20.8.435.][This corrects the article DOI: 10.1093/pch/20.6.309.][This corrects the article DOI: 10.1093/pch/20.5.237.][This corrects the article DOI: 10.1093/pch/20.3.153.][This corrects the article DOI: 10.1093/pch/20.2.92.][This corrects the article DOI: 10.1093/pch/20.1.52.][This corrects the article DOI: 10.1093/pch/19.8.445.][This corrects the article DOI: 10.1093/pch/19.7.389.][This corrects the article DOI: 10.1093/pch/19.5.239.][This corrects the article DOI: 10.1093/pch/19.3.139.][This corrects the article DOI: 10.1093/pch/19.2.89.][This corrects the article DOI: 10.1093/pch/18.10.512.][This corrects the article DOI: 10.1093/pch/18.8.423.][This corrects the article DOI: 10.1093/pch/18.7.360.][This corrects the article DOI: 10.1093/pch/18.5.251.][This corrects the article DOI: 10.1093/pch/18.3.142.][This corrects the article DOI: 10.1093/pch/18.2.94.][This corrects the article DOI: 10.1093/pch/18.1.36.][This corrects the article DOI: 10.1093/pch/17.10.572.][This corrects the article DOI: 10.1093/pch/17.5.246.][This corrects the article DOI: 10.1093/pch/17.3.123.][This corrects the article DOI: 10.1093/pch/17.2.101.][This corrects the article DOI: 10.1093/pch/17.1.29.][This corrects the article DOI: 10.1093/pch/16.5.269.][This corrects the article DOI: 10.1093/pch/16.1.12.][This corrects the article DOI: 10.1093/pch/15.10.640a.][This corrects the article DOI: 10.1093/pch/15.10.675.][This corrects the article DOI: 10.1093/pch/15.9.571.][This corrects the article DOI: 10.1093/pch/15.8.490.][This corrects the article DOI: 10.1093/pch/15.7.411.][This corrects the article DOI: 10.1093/pch/15.5.256.][This corrects the article DOI: 10.1093/pch/15.4.226.][This corrects the article DOI: 10.1093/pch/15.3.135.][This corrects the article DOI: 10.1093/pch/15.2.69.][This corrects the article DOI: 10.1093/pch/15.1.45.][This corrects the article DOI: 10.1093/pch/15.1.45a.][This corrects the article DOI: 10.1093/pch/14.9.571.][This corrects the article DOI: 10.1093/pch/14.8.499.][This corrects the article DOI: 10.1093/pch/14.7.431.][This corrects the article DOI: 10.1093/pch/14.6.388.][This corrects the article DOI: 10.1093/pch/14.5.285.][This corrects the article DOI: 10.1093/pch/14.4.218.][This corrects the article DOI: 10.1093/pch/14.3.160.][This corrects the article DOI: 10.1093/pch/14.2.123.][This corrects the article DOI: 10.1093/pch/14.1.1.][This corrects the article DOI: 10.1093/pch/13.9.772.][This corrects the article DOI: 10.1093/pch/13.8.723.][This corrects the article DOI: 10.1093/pch/13.7.610.][This corrects the article DOI: 10.1093/pch/13.6.492.][This corrects the article DOI: 10.1093/pch/13.5.386.][This corrects the article DOI: 10.1093/pch/13.4.298.][This corrects the article DOI: 10.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"288-289"},"PeriodicalIF":2.5,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699247","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}

{"title":"Erratum: Society Note on 15 papers to add disclaimer.","authors":"","doi":"10.1093/pch/pxag012","DOIUrl":"10.1093/pch/pxag012","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/pch/pxaf076.][This corrects the article DOI: 10.1093/pch/pxaf062.][This corrects the article DOI: 10.1093/pch/pxae100.][This corrects the article DOI: 10.1093/pch/pxae082.][This corrects the article DOI: 10.1093/pch/pxae078.][This corrects the article DOI: 10.1093/pch/pxad073.][This corrects the article DOI: 10.1093/pch/pxad059.][This corrects the article DOI: 10.1093/pch/pxad036.][This corrects the article DOI: 10.1093/pch/pxad019.][This corrects the article DOI: 10.1093/pch/pxab031.][This corrects the article DOI: 10.1093/pch/pxab032.][This corrects the article DOI: 10.1093/pch/pxy153.][This corrects the article DOI: 10.1093/pch/pxy155.][This corrects the article DOI: 10.1093/pch/pxy077.][This corrects the article DOI: 10.1093/pch/pxx153.].</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"287"},"PeriodicalIF":2.5,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699175","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}

{"title":"A new Canadian clinical practice guideline for managing obesity in children: Some tried, some true and some very new.","authors":"Catherine S Birken, Ilona Hale, Geoff D C Ball","doi":"10.1093/pch/pxaf075","DOIUrl":"https://doi.org/10.1093/pch/pxaf075","url":null,"abstract":"<p><p>With the recent publication of an updated clinical practice guideline for managing pediatric obesity in Canada, pediatricians, healthcare providers, and families have access to up-to-date, evidence-based recommendations to support shared decision making for children and adolescents living with obesity. This commentary provides a brief overview of the new guidelines including new methods and approaches used, recommendations regarding intervention effectiveness for behavioural and psychological interventions, pharmacological and surgical interventions, practical guidance to assist providers in implementing the guidelines in clinical practice, and a summary of areas in obesity management that need more attention.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"193-195"},"PeriodicalIF":2.0,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698384","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}

{"title":"Cultural safety in practice: Providing quality health care for First Nations, Inuit, and Métis children and youth.","authors":"Emilie Beaulieu, Sara Citron, Ryan Giroux, Cheyenne Laforme, Amber Miners, Brett Schrewe, Elizabeth Sellers","doi":"10.1093/pch/pxaf108","DOIUrl":"10.1093/pch/pxaf108","url":null,"abstract":"<p><p>In Canada, cultural safety in health care has emerged in response to the racism and systemic discrimination that Indigenous peoples often face when accessing care. Grounded in cultural humility, antiracism, and trauma-informed care, cultural safety aims to ensure that Indigenous children and youth receive equitable, quality care. While understanding the principles of cultural safety is important, this statement focuses on applying these concepts in daily practice. Paediatric health care providers can pursue building a culturally safe practice by applying the 'learn, self-reflect, and act' framework. They should also consider the home environment, language, and cultural heritage of each child, youth, and family seen in practice, alongside the barriers to and facilitators of healthy living that Indigenous children and youth experience in Canada. Being mindful of health care system policies and practices-and how they affect patient care both locally and historically-is an important step toward offering culturally safe care in any practice setting.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"228-234"},"PeriodicalIF":2.5,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698376","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}

{"title":"Paediatric compounding and formulations in Canada: A primer for prescribers and call to action for government.","authors":"Charlotte Moore Hepburn, Catherine Litalien, Derek McCreath, Geert 't Jong","doi":"10.1093/pch/pxaf098","DOIUrl":"https://doi.org/10.1093/pch/pxaf098","url":null,"abstract":"<p><p>Most medications are developed and manufactured with adult needs in mind. When no commercially available medication formulation is suitable to meet a child's needs, an adult medication must be manipulated to facilitate safe and appropriate administration. This process is known as compounding and is a common practice in paediatric medicine. Reliance on compounding to meet the needs of paediatric patients means that prescribers caring for children must be aware of this practice along with its intrinsic, associated risks. In parallel, there is an urgent need for Health Canada, health technology assessment bodies, provincial/territorial formulary managers, and pharmaceutical manufacturers to work together to address the complex issues that compromise access to commercially available, child-friendly formulations in Canada.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 2","pages":"142-147"},"PeriodicalIF":2.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444311","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}

{"title":"Practical tips for paediatricians: It hurts, swells and changes color, maybe its complex regional pain syndrome-Tips for early diagnosis and treatment.","authors":"Krista Baerg","doi":"10.1093/pch/pxaf093","DOIUrl":"10.1093/pch/pxaf093","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 2","pages":"84-86"},"PeriodicalIF":2.5,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444543","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}

{"title":"Care provider training: Dysregulation in eating disorders and management.","authors":"Jessica Willis, Renee Pang, Elisabeth Yorke","doi":"10.1093/pch/pxaf103","DOIUrl":"https://doi.org/10.1093/pch/pxaf103","url":null,"abstract":"<p><strong>Objectives: </strong>To understand how e-learning modules affect health care providers' (HCP) confidence in managing emotional distress among adolescents hospitalized for eating disorders (EDs).</p><p><strong>Methods: </strong>Paediatric HCPs completed e-modules outlining approaches to managing emotional distress in adolescents with EDs. Participants completed premodule and postmodule mixed method surveys. Results were analyzed using descriptive statistics, Wilcoxon signed-rank test and content analysis.</p><p><strong>Results: </strong>Sixteen participants completed surveys. Participants reported lacking confidence when caring for adolescents with EDs. Participants rarely (1/15) received training on meal support or distress management. After module completion, there was a significant increase in perceived confidence in managing distress (<i>r</i> = 0.16, <i>P</i> = 0.005), meal support (<i>r</i> = 0.11, <i>P</i> = 0.002) and caring for patients (<i>r</i> = 0.12, <i>P</i> = 0.034).</p><p><strong>Conclusion: </strong>Results of this study support that e-modules are perceived as an effective method of education for providers caring for adolescents with EDs. This pilot data can be used to develop emotional distress e-learning across care locations and disciplines.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 2","pages":"87-90"},"PeriodicalIF":2.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444572","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}