Paediatrics & child health最新文献_第8页

Social prescribing: Moving pediatric care upstream to improve child health and wellbeing and address child health inequities 社会处方：将儿科护理推向上游，改善儿童健康和福祉，解决儿童健康不平等问题

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2024-01-24 DOI: 10.1093/pch/pxae002

Caitlin Muhl, Susan Bennett, Stéphanie Fragman, Nicole Racine

引用次数: 0

Paediatric health system impact of an early respiratory viral season in Eastern Ontario, Canada: A descriptive analysis. 加拿大安大略省东部早期呼吸道病毒季节对儿科医疗系统的影响：描述性分析。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2023-12-22 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxad082

Lynn Meng, Liam Bruce, Melanie Buba, Connor McLean, Lise Bisnaire, Ken J Farion, Lindy Samson, Nisha Thampi

{"title":"Paediatric health system impact of an early respiratory viral season in Eastern Ontario, Canada: A descriptive analysis.","authors":"Lynn Meng, Liam Bruce, Melanie Buba, Connor McLean, Lise Bisnaire, Ken J Farion, Lindy Samson, Nisha Thampi","doi":"10.1093/pch/pxad082","DOIUrl":"10.1093/pch/pxad082","url":null,"abstract":"Objectives: We examined trends in patient volumes and care intensity among children admitted with laboratory-confirmed respiratory viral infections over 5 years in Ottawa, following the most recent and intense respiratory viral season experienced throughout the Ontario paediatric health system.Methods: This was a retrospective cohort study of patients at the Children's Hospital of Eastern Ontario (CHEO) in Ottawa, who were diagnosed with a laboratory-confirmed respiratory viral infection in the first 72 h of admission between October 22, 2017 and March 25, 2023. Their admissions were stratified by age groups and level of care intensity, based on unit of admission and/or additional ventilatory needs, with Level 3 patients requiring intensive care unit admission, and evaluated for trends over six surveillance periods that began in Week 35 (early September) and ended in Week 34 (end-August) of the following year.Results: During the surveillance period from August 28, 2022 to March 25, 2023, there was an early, steep and twofold increase in admissions due to respiratory viral infections compared to previous periods, driven largely by Respiratory Syncytial Virus and Influenza A. Despite similar age distributions, there was a larger volume of Level 2 and 3 admissions, and higher proportion of patients requiring Level 2 care intensity in inpatient medicine units (23.4% versus 10.4% in pre-pandemic years; P < 0.001).Conclusions: The most recent viral season was associated with elevated volumes and higher inpatient acuity compared to previous years and underscores the need for additional operational and human health resources to support paediatric health systems through these predictable surge periods.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 7","pages":"434-439"},"PeriodicalIF":1.8,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829565","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

La détection et la prise en charge d’une croissance atypique 检测和管理非典型生长

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2023-12-20 DOI: 10.1093/pch/pxad056

Linda Casey, Tanis R Fenton

引用次数: 0

Breastfeeding and human milk in the NICU: From birth to discharge 新生儿重症监护室中的母乳喂养和母乳：从出生到出院

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2023-12-20 DOI: 10.1093/pch/pxad034

Christopher Tomlinson, Laura N Haiek

引用次数: 0

Recognizing and addressing atypical growth 认识和处理非典型生长

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2023-12-20 DOI: 10.1093/pch/pxad057

Linda Casey, Tanis R Fenton

引用次数: 0

L’allaitement et le lait humain en soins intensifs néonatals : de la naissance jusqu’au congé 新生儿重症监护中的母乳喂养和母乳：从出生到出院

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2023-12-20 DOI: 10.1093/pch/pxad035

Christopher Tomlinson, Laura N Haiek

引用次数: 0

Creating a Low-Stimulus Clinic to improve immunization success rates for children with alternate environment needs: A quality improvement initiative 创建低刺激诊所，提高有替代环境需求儿童的免疫接种成功率：质量改进倡议

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2023-12-13 DOI: 10.1093/pch/pxad081

Megan McDonald, Shauna Gallaugher, Elise Kammerer, Samina Ali

引用次数: 0

The experience of youth on the waitlist for gender-affirming care in Manitoba 马尼托巴省等待性别确认护理的青少年的经历

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2023-12-10 DOI: 10.1093/pch/pxad087

Jennifer L Bhatla, Kristin James, Kaylen (Kay) A E Lamb, Chrystal Neault-Lount, Jennifer L P Protudjer, Shayne D Reitmeier, Megan Cooney, Brandy Wicklow

{"title":"The experience of youth on the waitlist for gender-affirming care in Manitoba","authors":"Jennifer L Bhatla, Kristin James, Kaylen (Kay) A E Lamb, Chrystal Neault-Lount, Jennifer L P Protudjer, Shayne D Reitmeier, Megan Cooney, Brandy Wicklow","doi":"10.1093/pch/pxad087","DOIUrl":"https://doi.org/10.1093/pch/pxad087","url":null,"abstract":"Objectives Waitlist times for adolescents to be seen for initial assessment for gender-affirming hormone therapy in Manitoba, Canada are often 2 years. The purpose of this study was to understand the experiences of waitlisted youth and to assess the impact of social work contact for accessing relevant resources. Methods A qualitative, semi-structured interview study was conducted. Youth aged 14 to 17 years on the provincial transgender clinic waitlist for 12 to 24 months for gender-affirming hormone therapy assessment and their caregivers were recruited. Eight youth and nine caregivers were interviewed. Separate interviews were conducted for youth and their caregivers. All interviews were virtual, recorded, and transcribed prior to thematic analysis. Results Three themes and eight subthemes were identified. Youth (n = 8) and caregivers (n = 9) described barriers to supported transition in the following three themes: (1) ‘In a Black Hole’: Describing the lack of communication, relevant resources, and mental health supports, (2) ‘Structural Transphobia’: A summary term outlining the attitudinal, technological, physical, and architectural barriers faced by the participants, and (3) ‘Manitoba: An Information Desert’: describing the systemic barriers faced including lack of knowledgeable providers and reliable information within the province. Conclusions Although delays in gender-affirming therapy were noted, youth socially transitioned and accessed existing resources. However, mental health concerns persisted, and participants felt frustrated and unsupported during their extensive wait times. Improved experiences may be achieved by additional communication from the clinic, hands-on assistance with accessing relevant resources, and an improved online presence.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"12 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138569288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oxygen saturation in healthy-term neonates at high altitude: A multisite prospective study. 高海拔地区健康足月新生儿的血氧饱和度：多地点前瞻性研究。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2023-11-24 eCollection Date: 2024-11-01 DOI: 10.1093/pch/pxad072

Prakash Kannan Loganathan, Alberto Nettel-Aguirre, Abhay Lodha, Essa Al Awad, Carlos Fajardo, Vrinda Nair, Jeanne Scotland, Nalini Singhal, Marilyn Young, Kristin York, Yacov Rabi

{"title":"Oxygen saturation in healthy-term neonates at high altitude: A multisite prospective study.","authors":"Prakash Kannan Loganathan, Alberto Nettel-Aguirre, Abhay Lodha, Essa Al Awad, Carlos Fajardo, Vrinda Nair, Jeanne Scotland, Nalini Singhal, Marilyn Young, Kristin York, Yacov Rabi","doi":"10.1093/pch/pxad072","DOIUrl":"10.1093/pch/pxad072","url":null,"abstract":"Objectives: To determine oxygen saturation (SpO2) values and their variability in healthy-term neonates at high altitude.Methods: In a prospective multisite, non-randomized blinded study, we performed SpO2 measurements in healthy neonates admitted to postnatal wards and followed up in Public Health Nurse Clinics (PHNC) in Calgary, Alberta, Canada. We recruited healthy-term neonates (≥37 weeks) between 6 and 24 h of age. Neonates underwent simultaneous pre- and post-ductal SpO2 recordings every 12 to 24 h until hospital discharge and again in the PHNC within a few days after discharge. Neonates were followed for 8 weeks to ascertain their health status.Results: We included data for 252 neonates in hospital and 105 neonates presenting to the PHNC for follow-up. In hospital, the mean pre- and post-ductal SpO2 were 94.3% and 96.0%, respectively. In the PHNC, mean pre- and post-ductal SpO2 were 94.4% and 95.6%, respectively. Desaturation episodes occurred frequently at a median rate of once every 5 minutes. The median duration of pre-ductal desaturation episodes was longer in hospital than in the PHNC for all SpO2 thresholds (P < 0.05).Conclusion: SpO2 levels in healthy-term neonates at high altitude are approximately 94% and remained stable over the first few days after birth. Desaturation episodes are common in the immediate neonatal period, but their duration decreases over time, and they are not associated with clinical deterioration.Clinic trials.org (NCT02095041).","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 7","pages":"422-428"},"PeriodicalIF":1.8,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829561","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

Practical tips for the use of the Canadian milk ladder for paediatricians. 儿科医生使用加拿大奶梯的实用技巧。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2023-11-23 eCollection Date: 2024-05-01 DOI: 10.1093/pch/pxad076

Sujen Saravanabavan, Julia Upton

引用次数: 0