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Paediatrics & Child Health

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https://read.qxmd.com/read/31241061/moving-upstream-the-case-for-aces-screening
#1
Priya Watson
No abstract text is available yet for this article.
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31241059/routine-aces-screening-is-not-recommended
#2
John D McLennan, Harriet L MacMillan, Tracie O Afifi, Jill McTavish, Andrea Gonzalez, Charlotte Waddell
No abstract text is available yet for this article.
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239820/lead-toxicity-with-a-new-focus-addressing-low-level-lead-exposure-in-canadian-children
#3
Irena Buka, Catherine Hervouet-Zeiber
Although acute and subacute lead toxicity requiring active treatment is rare in Canada, paediatricians need to be aware of new evidence linking lower lead levels to neurodevelopmental deficits. Health Canada has identified potential exposures occurring prenatally, in infancy and during early childhood from food and water, household dust, soil, and mouthing products that contain lead. Children with neurodevelopmental problems who live in older housing and newcomers to Canada may be at greater risk. Symptoms may be latent, subtle, and chronic...
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239819/safe-living-strategies-for-the-immunocompromised-child
#4
Natalie A Bridger, Upton D Allen
This practice point provides guidance for clinicians caring for immunocompromised children, with focus on preventing or managing infection risks associated with a range of activities and exposures. The consequences of these infections depend on numerous factors, including but not limited to the nature of the child's immunocompromised state, general health, and the virulence of the organism involved.
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239818/neuroprotection-from-acute-brain-injury-in-preterm-infants
#5
REVIEW
Michelle Ryan, Thierry Lacaze-Masmonteil, Khorshid Mohammad
Infants born at ≤32+6 weeks gestation are at higher risk for intracranial ischemic and hemorrhagic injuries, which often occur in the first 72 hours postbirth. Antenatal strategies to reduce the incidence of acute brain injuries include administering maternal corticosteroids and prompt antibiotic treatment for chorioamnionitis. Perinatal strategies include delivery within a tertiary centre, delayed cord clamping, and preventing hypothermia. Postnatal strategies include empiric treatment with antibiotics when chorioamnionitis is suspected, the cautious use of inotropes, the avoidance of blood PCO2 fluctuation, and neutral head positioning...
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239817/muscle-problems-in-juvenile-onset-acid-maltase-deficiency-pompe-disease
#6
Eugenio Zapata-Aldana, Hugh J McMillan, Tony Rupar, Catherine Brunel-Guitton, Pranesh Chakraborty, John J Mitchell, Johannes Roth, Mark A Tarnopolsky, Lesley Turner, Craig Campbell
No abstract text is available yet for this article.
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239816/frequency-and-etiology-of-persistent-neonatal-hypoglycemia-using-the-more-stringent-2015-pediatric-endocrine-society-hypoglycemia-guidelines
#7
Rozeanna Skovrlj, Seth D Marks, Celia Rodd
Objective: To determine if there was a significant increase in Endocrine consultations postinitiation of the more stringent 2015 guidelines for persistent neonatal hypoglycemia. Methods: A retrospective chart review was conducted using data from November 2011 to October 2016. All infants with persistent hypoglycemia past 72 hours of life were included. Data included age, critical sample values, anthropometric measures, and maternal health. Descriptive statistical analyses were performed as was an interrupted time series analysis assuming a Poisson distribution...
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239815/delays-in-diagnosis-of-nephrotic-syndrome-in-children-a-survey-study
#8
Asha Hollis, Allison Dart, Catherine Morgan, Cherry Mammen, Michael Zappitelli, Rahul Chanchlani, Susan Samuel
Background: Clinical experience suggests that childhood nephrotic syndrome is frequently diagnosed incorrectly, leading to delays in providing effective treatment. We hypothesized that the health care setting is an important determinant of diagnostic success, with implications for the patient and family health care experience. Our objectives were: (1) to characterize the relationship between diagnostic success and health care setting for the diagnosis of nephrotic syndrome, (2) to determine types and frequencies of incorrect diagnoses, and (3) to understand the burden placed on patients and families as a result of incorrect and incomplete diagnoses...
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239814/influence-of-refrigeration-or-freezing-on-human-milk-macronutrients-and-energy-content-in-early-lactation-results-from-a-tertiary-centre-survey
#9
Luminița Păduraru, Gabriela Ildikó Zonda, Andreea-Luciana Avasiloaiei, Mihaela Moscalu, Daniela Cristina Dimitriu, Maria Stamatin
Background: Neonates with severe conditions that cannot be breastfed should receive fresh or preserved expressed human milk in addition to parenteral nutrition. Objective: To identify the time during lactation when the macronutrients provide maximum energy and evaluate the effect of refrigeration and freezing. Methods: We analyzed the composition of fresh milk, refrigerated at +4°C and frozen at -20°C, expressed by mothers of 60 preterm and 30 term infants from a level III maternity, in colostrum, transitional, and mature milk...
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239813/shared-decision-making-during-antenatal-counselling-for-anticipated-extremely-preterm-birth
#10
Conor Barker, Sandra Dunn, Gregory P Moore, Jessica Reszel, Brigitte Lemyre, Thierry Daboval
Objectives: To explore health care providers' (HCPs) perceptions of using shared decision making (SDM) and to identify facilitators of and barriers to its use with families facing the anticipated birth of an extremely preterm infant at 22+0 to 25+6 weeks gestational age. Study Design: Qualitative descriptive study design: we conducted interviews with 25 HCPs involved in five cases at a tertiary care centre and completed qualitative content analysis of their responses...
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239812/parental-preferences-on-diagnostic-imaging-tests-for-paediatric-appendicitis
#11
Claudia Martinez-Rios, Jennifer R McKinney, Nadine Al-Aswad, Arvind K Shergill, Ada F Louffat, Lillian Sung, Karen E Thomas, Suzanne Schuh, George Tomlinson, Rahim Moineddin, Andrea S Doria
Objectives: To determine parental preferences for diagnostic imaging tests (DITs) for paediatric appendicitis, to rank the attributes impacting the DIT selection and to identify DIT attributes that would cause parents to switch their DIT. Methods: Parents of children who had an abdominal ultrasound (US) for right lower quadrant pain were interviewed. Two DITs were compared at a time, parents were asked to indicate their preferred test and to rank its attributes according to the impact each attribute had on their selection...
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239811/use-of-a-standardized-asthma-severity-score-to-determine-emergency-department-disposition-for-paediatric-asthma-a-cohort-study
#12
Pavan Judge, Raymond Tabeshi, Ren Jie Yao, Garth Meckler, Quynh Doan
Background: We recently introduced a clinical practice pathway for the management of asthma that uses the Pediatric Respiratory Assessment Measure (PRAM) to guide emergency department (ED) treatment and disposition. The pathway recommends discharge for patients who achieve improvement to PRAM <4 at 1 hour after the last bronchodilator. We evaluated practice variation and patient outcomes associated with PRAM-directed disposition recommendations. Methods: We conducted a retrospective cohort study of children aged 2 to 17 years treated for moderate asthma (PRAM score 4-7) using our asthma clinical pathway...
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239810/a-paediatric-perspective-on-hormonal-contraception-and-breast-cancer-risk-new-literature-about-a-recurring-question
#13
Ellie Vyver, Loris Y Hwang
The New England Journal of Medicine recently featured an original research article, 'Contemporary Hormonal Contraception and the Risk of Breast Cancer'. ( Source: Mørch LS, Skovlund CW, Hannaford PC, Iversen L, Fielding S, Lidegaard Ø. Contemporary hormonal contraception and the risk of breast cancer. N Engl J Med 2017;377(23):2228-39 ). This study of 1.8 million women ages 15 to 49 years in Denmark found that women who were currently or recently using any type of hormonal contraception had an increased risk of breast cancer and this risk increased with longer duration of use...
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239809/difficult-to-digest-a-hard-diagnosis-to-swallow
#14
EDITORIAL
Justin Lam, Laurence Arsenault-Blanchard, Alene Toulany
No abstract text is available yet for this article.
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239808/acute-ataxia-in-a-healthy-19-month-old-girl
#15
EDITORIAL
Jason Li Jia, L Kieswetter, R G Moodie, Y Etoom, Peter Wong, X Y Wang
No abstract text is available yet for this article.
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239807/identical-twins-with-microcytosis
#16
EDITORIAL
Kathleen Moolman, Victoria Price, Robyn McLaughlin
No abstract text is available yet for this article.
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31239806/paediatric-health-care-in-the-metoo-era-advocating-for-survivors-of-sexual-violence
#17
Corry Azzopardi, Tanya D Smith
We are witnessing a momentous cultural shift in how we understand, respond to, and resist sexual violence. Rise of the #MeToo movement has ignited a viral wave of consciousness raising, dialogue, and advocacy on an international scale. Women and girls have been empowered to share their stories of sexual assault, bringing to light the widespread prevalence of gender-based violence. As the shame and blame that have silenced victims gradually diminish, we anticipate a continued upward trend in sexual assault disclosure among youth, and corresponding increase in demand for trauma-informed paediatric sexual assault services...
July 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31111833/erratum-toddler-with-ptosis-now-you-see-it-now-you-don-t
#18
(no author information available yet)
[This corrects the article DOI: 10.1093/pch/pxy031.].
June 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31111832/catch-the-moment-the-power-of-turning-mistakes-into-precious-learning-opportunities
#19
Emanuela Ferretti, Kristina Rohde, Gregory P Moore, Thierry Daboval
We developed a series of small group workshops that aim to facilitate communication during very challenging ethically sensitive scenarios within a Neonatal-Perinatal Medicine (NPM) postgraduate curriculum at the University of Ottawa. These workshops are called Scenario-Oriented Learning in Ethics (SOLE). This educational intervention aims to focus attention on the learner's needs and to help them recognize, define, and view each communicative or behavioural mistake as an occasion to achieve a personal-defined learning goal in a controlled environment free of judgement...
June 2019: Paediatrics & Child Health
https://read.qxmd.com/read/31111831/needs-assessment-of-ethics-and-communication-teaching-for-neonatal-perinatal-medicine-programs-in-canada
#20
Thierry Daboval, Emanuela Ferretti, Ahmed Moussa, Michael van Manen, Gregory P Moore, Ganesh Srinivasan, Alexandru Moldovan, Amisha Agarwal, Susan Albersheim
Objective: To explore ethics education needs in Canadian Neonatal Perinatal Medicine (NPM) training programs. Methods: A retrospective review of NPM trainees' performance at the National NPM Objective Structured Clinical Examination (OSCE) was undertaken for 2012 to 2017 and two distinct cross-sectional online surveys were carried out. One survey targeted recently graduated neonatologists (RGNs) who completed 2 years' training in a Canadian NPM program between 2010 and 2015; the other survey was sent to Canadian NPM training program directors (PDs)...
June 2019: Paediatrics & Child Health
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