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Paediatrics & Child Health

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https://read.qxmd.com/read/30681669/adhd-in-children-and-youth-part-1-etiology-diagnosis-and-comorbidity
#1
REVIEW
Stacey A Bélanger, Debbi Andrews, Clare Gray, Daphne Korczak
Attention-deficit hyperactivity disorder (ADHD) is a chronic neurodevelopmental disorder. Three position statements have been developed by the Canadian Paediatric Society, following systematic literature reviews. Statement objectives are to: 1) Summarize the current clinical evidence regarding ADHD,2) Establish a standard for ADHD care, and3) Assist Canadian clinicians in making well-informed, evidence-based decisions to enhance care of children and youth with this condition. Specific topics reviewed in Part 1, which focuses on diagnosis, include: prevalence, genetics, pathophysiology, differential diagnosis and comorbid psychiatric disorders and developmental disorders...
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30681666/adhd-in-children-and-youth-part-3-assessment-and-treatment-with-comorbid-asd-id-or-prematurity
#2
REVIEW
Brenda Clark, Stacey A Bélanger
Attention-deficit hyperactivity disorder (ADHD) is a chronic neurodevelopmental disorder. Three position statements have been developed by the Canadian Paediatric Society, following systematic literature reviews. Statement objectives are to: 1) Summarize the current clinical evidence regarding ADHD,2) Establish a standard for ADHD care, and3) Assist Canadian clinicians in making well-informed, evidence-based decisions to enhance care of children and youth with this condition. Specific topics reviewed in Part 3, which focuses on associated autism spectrum disorder, intellectual disability, and prematurity, include the challenges of diagnostic assessment, common presentations, the role of genetics, and treatment, including the benefits of physical activity...
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30681665/adhd-in-children-and-youth-part-2-treatment
#3
REVIEW
Mark E Feldman, Alice Charach, Stacey A Bélanger
Attention-deficit hyperactivity disorder (ADHD) is a chronic neurodevelopmental disorder. Three position statements have been developed by the Canadian Paediatric Society, following systematic literature reviews. Statement objectives are to: 1) Summarize the current clinical evidence regarding ADHD,2) Establish a standard for ADHD care, and3) Assist Canadian clinicians in making well-informed, evidence-based decisions to enhance care of children and youth with this condition. Specific topics reviewed in Part 2, which focuses on treatment, include: evidence and context for a range of clinical approaches, combining behavioural and pharmacological interventions to address impairment more effectively, the role of parent and teacher (or other caregiver) training, the use of stimulant and nonstimulant medications, with effects and risks, and dosing and monitoring protocols...
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30374224/transitioning-in-hydrocephalus-current-practices-in-canadian-paediatric-neurosurgery-centres
#4
Navneet Singh, Patrick J McDonald
Introduction: Advances in perinatal care in the developed world have resulted in more children living into adulthood with complex chronic health conditions. Transition is a process to improve and maximize the functional status of adolescents via the provision of adequate and appropriate health services in adulthood. This process is frequently disjointed, fragmented and inconsistent and inadequate transition increases morbidity, hospital admissions and urgent interventions. Ten thousand children are diagnosed with hydrocephalus annually in North America...
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30374223/exposure-to-agricultural-hazards-among-children-who-visit-farms
#5
William Pickett, Nathan King, Barbara Marlenga, Joshua Lawson, Louise Hagel, Valerie Elliot, James A Dosman
Background: Children are commonly injured on farms, yet no studies provide evidence about exposures that leave rural children visiting farms at risk. Objectives: The objectives of this study were to study (a) how frequently rural nonfarm children are exposed to farms, farm work and associated activities; and (b) the safety conditions and practices on farms being visited. Methods: A cross-sectional survey was administered in Saskatchewan, Canada to rural parents during 2014...
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30374222/screening-for-kidney-disease-in-indigenous-canadian-children-the-finished-screen-triage-and-treat-program
#6
Allison Dart, Barry Lavallee, Caroline Chartrand, Lorraine McLeod, Thomas W Ferguson, Navdeep Tangri, Audrey Gordon, Tom Blydt-Hansen, Claudio Rigatto, Paul Komenda
Background: Indigenous populations are disproportionately affected by kidney failure at younger ages than other ethnic groups in Canada. As symptoms do not occur until disease is advanced, early kidney disease risk is often unrecognized. Objectives: We sought to evaluate the yield of community-based screening for early risk factors for kidney disease in youth from rural Indigenous communities in Canada. Methods: The FINISHED project screened 11 rural First Nations communities in Manitoba, Canada after community and school engagement...
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30374221/hyponatremia-in-children-with-pneumonia-rarely-means-siadh
#7
Alfredo Tagarro, María-Dolores Martín, Nazaret Del-Amo, David Sanz-Rosa, Mario Rodríguez Md PhD, Juan-Carlos Galán Md PhD, Enrique Otheo
Background: Hyponatremia (HN) < 135 mmol/L is a frequent finding in children with community-acquired pneumonia (CAP). We aimed to determine the proportion of syndrome of inappropriate antidiuretic hormone secretion (SIADH) among patients with CAP and HN. Moreover, we wished to investigate the relationship between HN and inflammatory markers, bacterial etiology and prognosis in hospitalized children with CAP. Methods: We carried out a prospective, observational, multicentre, prospective cohort study...
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30374220/learn-cps-curriculum-satisfaction-survey-of-final-year-paediatric-residents-who-participated-in-a-pilot-initiative-to-improve-uptake-of-cps-position-statements-and-practice-points
#8
Mihir D Bhatt, Moyez Ladhani
No abstract text is available yet for this article.
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30374219/respiratory-syncytial-virus-hospitalization-and-incurred-morbidities-the-season-after-prophylaxis
#9
Michelle L Butt, LouAnn Elliott, Bosco A Paes
Objectives: The primary objective of this study was to determine the incidence and incurred morbidities of Respiratory syncytial virus (RSV)-related hospitalization (RSVH), the season following completion of prophylaxis. Methods: A retrospective study was conducted of all infants enrolled in a prophylaxis clinic in one institution during the 2009 to 2014 RSV seasons. RSV infection was identified by Diseases codes and confirmed by RSV-positivity. Data were classified into five groups based on indications for prophylaxis...
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30374218/observations-of-the-hidden-curriculum-on-a-paediatrics-tertiary-care-clinical-teaching-unit
#10
Asif Doja, M Dylan Bould, Chantalle Clarkin, Marc Zucker, Hilary Writer
Objective: The hidden curriculum is a set of influences that function at the level of organizational structure and culture which fall outside the formal curriculum, and are often unarticulated or unexplored. Learning associated with the hidden curriculum may have negative consequences on trainee educational development. The study goal was to examine how aspects of the hidden curriculum were enacted during ward rounds on a tertiary care general paediatrics clinical teaching unit (CTU)...
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30374217/practical-tips-for-paediatricians-assessment-and-management-of-young-children-with-iron-deficiency
#11
Patricia C Parkin, Cornelia M Borkhoff
No abstract text is available yet for this article.
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30374216/canadian-paediatric-society-clinical-practice-recommendations-for-children-and-adolescents-with-attention-deficit-hyperactivity-disorder
#12
Stacey A Bélanger
No abstract text is available yet for this article.
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30374215/please-don-t-make-us-write-an-essay-reflective-writing-as-a-tool-for-teaching-health-advocacy-to-medical-students
#13
Mary Jane Smith
Health advocacy is an important role for every physician. However, there is no consensus on the best methods to teach this critical medical competency. In 2014, Memorial University of Newfoundland instituted a health advocacy essay as part of the evaluation of clinical clerks during their paediatrics rotation. As the paediatric clerkship discipline coordinator, I evaluate these essays. In their essays, students describe opportunities for advocacy in children's health, experiences during the rotation and they provide their reflections on applying their new knowledge...
November 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30455582/what-does-mainstream-media-say-about-enzyme-replacement-therapies
#14
Stephanie Skinner, Katrina Assen, Ian Mitchell
Introduction: Enzyme replacement therapies (ERTs) are expensive drugs that can be used to treat certain inherited diseases. ERTs are not universally covered across provinces and costs are beyond the means of most patients. Media reports are commonly used to lobby for provincial ERT funding for specific patients. As physicians may be confronted with these media reports by patients, this study explored medical reporting regarding ERTs in print media. Methods: Canadian Newsstream database was searched for articles about three ERTs-Elaprase™, Naglazyme™ and Vimizim™...
September 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30455581/cost-savings-of-implementing-the-sickkids-paediatric-orthopaedic-pathway-for-proximal-humerus-fractures-in-ontario-canada
#15
Eric J Crawford, Daniel Pincus, Mark W Camp, Peter C Coyte
Background: The SickKids Paediatric Orthopaedic Pathway (SKPOP) for proximal humerus fractures may safely reduce the number of radiographs and follow-up assessments for children with these injuries. The study objective was to examine potential cost-savings of the SKPOP from the perspective of the Ministry of Health and Long-term Care (MOHLTC). Methods: Two sets of resource profiles, based on direct health care costs were created for a cohort of patients treated at our institution: the first based on actual follow-up assessment values, and the other based on follow-up assessments according to the SKPOP...
September 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30455580/blood-pressure-in-children-with-attention-deficit-hyperactivity-disorder
#16
Silviu Grisaru, Melissa Yue, Susan M Samuel, Kathleen H Chaput, Lorraine A Hamiwka
Objectives: Children with attention deficit/hyperactivity disorder (ADHD) are frequently treated with psycho-stimulant agents causing a modest but significant increase in blood pressure and heart rate. The objective of this study was to define blood pressure characteristics in children with ADHD treated with a variety of medications in a community setup. Methods: Children registered at a large paediatric clinic in Calgary, AB with documented histories of ADHD were randomly contacted...
September 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30455579/a-retrospective-analysis-of-clinical-characteristics-of-childhood-narcolepsy
#17
Simranpal Dhanju, Suhail Al-Saleh, Reshma Amin, Shelly K Weiss, Allison Zweerink, Alene Toulany, Brian J Murray, Indra Narang
Aim: Narcolepsy, encompassing excessive daytime sleepiness (EDS), cataplexy, sleep paralysis and hypnogogic hallucinations, was previously considered rare in childhood. Recently, cases of childhood narcolepsy have increased significantly and the reasons for this may include the increasing awareness of narcolepsy as well as the H1N1 vaccination. The aim of this study was to describe the clinical characteristics of childhood narcolepsy, specifically focusing on cataplexy subtypes that may facilitate early recognition of narcolepsy...
September 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30455578/neonatal-abstinence-syndrome-a-better-way
#18
Paul Thiessen
No abstract text is available yet for this article.
September 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30455577/-finding-gory-bringing-home-an-unwanted-aquatic-traveler
#19
Hana Mijovic, Erika Henkelman, David M Goldfarb
No abstract text is available yet for this article.
September 2018: Paediatrics & Child Health
https://read.qxmd.com/read/30455576/tonsillectomy-or-adenotonsillectomy-versus-nonsurgical-management-for-obstructive-sleep-disordered-breathing-in-children
#20
Matthew Bromwich
No abstract text is available yet for this article.
September 2018: Paediatrics & Child Health
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