journal
https://read.qxmd.com/read/36865762/anxiety-in-children-and-youth-part-1-diagnosis
#1
REVIEW
Benjamin Klein, Rageen Rajendram, Sophia Hrycko, Aven Poynter, Oliva Ortiz-Alvarez, Natasha Saunders, Debra Andrews
Anxiety disorders are the most common mental health concerns affecting Canadian children and adolescents. The Canadian Paediatric Society has developed two position statements that summarize current evidence regarding the diagnosis and management of anxiety disorders. Both statements offer evidence-informed guidance to support paediatric health care providers (HCPs) making decisions around the care of children and adolescents with these conditions. The objectives of Part 1, which focuses on assessment and diagnosis, are to: (1) review the epidemiology and clinical characteristics of anxiety disorders and (2) describe a process for assessment of anxiety disorders...
February 2023: Paediatrics & Child Health
https://read.qxmd.com/read/36865761/prenatal-cannabis-use-and-its-impact-on-offspring-neuro-behavioural-outcomes-a-systematic-review
#2
JOURNAL ARTICLE
Mary Thompson, Merima Vila, Li Wang, Lehana Thabane, Alison K Shea
INTRODUCTION: Cannabis is a widely used substance in pregnancy, yet there is a paucity of literature addressing the neuro-behavioural consequences for prenatally exposed children. Our systematic review synthesizes currently available data for the impact of prenatal cannabis use on offspring intelligence and cognitive functioning. METHODS: MEDLINE, EMBASE, PsychINFO, CINAHL, and Clinicaltrials.gov were searched. Observational studies comparing prenatal cannabis use to controls were included...
February 2023: Paediatrics & Child Health
https://read.qxmd.com/read/36865760/a-5-year-old-boy-with-persistent-cough
#3
Rafiaa Valji, Anne Hicks
No abstract text is available yet for this article.
February 2023: Paediatrics & Child Health
https://read.qxmd.com/read/36865759/metabolic-acidosis-during-continuous-glucagon-therapy-for-neonatal-hypoglycemia
#4
JOURNAL ARTICLE
Rebecca Hoban, Christopher Tomlinson, Erin Chung, Jordan Mann
OBJECTIVES: Refractory neonatal hypoglycemia may be treated with glucagon infusions, which have been associated with thrombocytopenia and hyponatremia. After anecdotally noting metabolic acidosis during glucagon therapy in our hospital, an outcome not previously reported in the literature, we aimed to quantify occurrence of metabolic acidosis (base excess >-6) as well as thrombocytopenia and hyponatremia during treatment with glucagon. METHODS: We performed a single-centre retrospective case series...
February 2023: Paediatrics & Child Health
https://read.qxmd.com/read/36865758/severe-iron-deficiency-anemia-in-the-paediatric-emergency-department-a-retrospective-study
#5
JOURNAL ARTICLE
Matthew Speckert, Lana Ramic, Nicholas Mitsakakis, Vid Bijelić, Mira Liebman, Elaine Leung
BACKGROUND: Transfusion is discouraged in hemodynamically stable children with severe iron deficiency anemia (IDA). Intravenous (IV) iron sucrose (IS) could be an alternative for some patients; however, there is a paucity of data on its use in the paediatric emergency department (ED). METHODS: We analyzed patients presenting with severe IDA at the Children's Hospital of Eastern Ontario (CHEO) ED between September 1, 2017, and June 1, 2021. We defined severe IDA as microcytic anemia <70 g/L and either a ferritin <12 ng/mL or a documented clinical diagnosis...
February 2023: Paediatrics & Child Health
https://read.qxmd.com/read/36865757/anxiety-in-children-and-youth-part-2-the-management-of-anxiety-disorders
#6
REVIEW
Susan Bobbitt, Anne Kawamura, Natasha Saunders, Suneeta Monga, Melanie Penner, Debra Andrews
Anxiety disorders are the most common mental health concerns affecting Canadian children and adolescents. The Canadian Paediatric Society has developed two position statements that summarize current evidence regarding the diagnosis and management of anxiety disorders. Both statements offer evidence-informed guidance to support paediatric health care providers (HCPs) making decisions around the care of children and adolescents with these conditions. The objectives of Part 2, which focuses on management, are to: (1) review the evidence and context for a range of clinical approaches that combine behavioural and pharmacological interventions to effectively address impairment, (2) describe the roles of education and psychotherapy in the prevention and treatment of anxiety disorders, and (3) outline the use of pharmacotherapy, with side effects and risks...
February 2023: Paediatrics & Child Health
https://read.qxmd.com/read/36865756/when-feelings-hurt-learning-how-to-talk-with-families-about-the-role-of-emotions-in-physical-symptoms
#7
JOURNAL ARTICLE
Katelynn E Boerner, Amrit K Dhariwal, Andrea Chapman, Tim F Oberlander
Emotions are at the core of all human experiences, but talking about emotions is challenging, particularly in the context of medical encounters focused on somatic symptoms. Transparent, normalizing, and validating communication about the mind-body connection opens the door for respectful, open dialogue between the family and members of the care team, acknowledging the lived experience that is brought to the table in understanding the problem and co-creating a solution.
February 2023: Paediatrics & Child Health
https://read.qxmd.com/read/36865755/evaluation-of-activation-criteria-in-paediatric-multi-trauma
#8
JOURNAL ARTICLE
Neta Cohen, Adrienne L Davis, Gidon Test, Dana Singer-Harel, Yehonatan Pasternak, Suzanne Beno, Dennis Scolnik
OBJECTIVE: To explore the optimal set of trauma activation criteria predicting paediatric patients' need for acute care following multi-trauma, with particular attention to Glasgow Coma Scale (GCS) cut-off value. METHODS: A retrospective cohort study of paediatric multi-trauma patients aged 0 to 16 years, performed at a Level 1 paediatric trauma centre. Trauma activation criteria and GCS levels were examined with respect to patients' need for acute care, defined as: direct to operating room disposition, intensive care unit admission, need for acute interventions in the trauma room, or in-hospital death...
February 2023: Paediatrics & Child Health
https://read.qxmd.com/read/36756238/care-maps-de-medicalizing-children-with-medical-complexity
#9
JOURNAL ARTICLE
Blossom G Dharmaraj, Sherri Adams, Julia Orkin
Children with medical complexity (CMC) have extremely high health care needs. Given their chronic complex diagnoses and involvement of multiple care providers, they are often over medicalized and seen as a list of diagnoses rather than as a child. Parents of CMC are extraordinary caregivers and advocates for their children. Parental values and perspectives are critical drivers of medical decision making, therefore highlighting the importance of collaboration between all members of the medical team. For health care providers (HCPs) to holistically guide and support families, an all encompassing, big picture understanding of CMC and their family is needed, and care maps are one such vehicle to provide this insight...
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36583075/medical-management-of-gastro-esophageal-reflux-in-healthy-infants
#10
JOURNAL ARTICLE
Isabelle Chevalier, Carolyn E Beck, Marie-Joëlle Doré-Bergeron, Julia Orkin
Clinical symptoms attributed to gastro-esophageal reflux disease (GERD) in healthy term infants are non-specific and overlap with age-appropriate behaviours. This practice point reviews the evidence for medically recommended management of this common condition. Current recommendations to manage GERD include feeding modifications such as thickening feeds or avoiding cow's milk protein. There is limited evidence for pharmacological management, including acid suppressive therapy or prokinetic agents, with the risks of such treatments often outweighing possible benefits due to significant safety and side effect concerns...
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36583074/clinical-features-at-diagnosis-of-sickle-cell-disease-prior-to-universal-newborn-screening-in-alberta
#11
JOURNAL ARTICLE
Dania A Monagel, Jessica Monteiro, Jennifer Thull-Freedman, Angela Ruzycki, Michael Leaker, MacGregor Steele
OBJECTIVES: Sickle cell disease (SCD) is an inherited multisystem disorder with complications starting in the first year of life. Newborn screening (NBS) can identify infants with SCD and is associated with decreased morbidity and mortality. Variation in availability of NBS in Canada, and lack of standardized screening for immigrant children, may lead to delayed diagnosis. METHODS: This was a retrospective cohort study of 126 children aged 0-18 years with SCD registered with the SCD clinic at the Alberta Children's Hospital between January 2003 and January 2018, prior to province-wide universal NBS for SCD...
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36583073/-not-available
#12
REVIEW
Rilla Schneider, Ana Sant'Anna
No abstract text is available yet for this article.
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36583072/a-4-year-old-male-with-painless-hematuria-anemia-and-jaundice
#13
Andrés Felipe Fajardo, Mihir Bhatt, Marija Kacar
No abstract text is available yet for this article.
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36583071/effectiveness-of-parental-education-about-pain-in-the-neonatal-period-on-knowledge-attitudes-and-practices-a-systematic-review-and-meta-analysis
#14
REVIEW
Carol McNair, Nevart Chirinian, Elizabeth Uleryk, Bonnie Stevens, Mary McAllister, Linda S Franck, Anna Taddio, Vibhuti Shah
BACKGROUND: Despite the availability of effective, safe, and feasible pain management strategies, infant pain remains undertreated. Parents can play a key role in advocating for or delivering pain management strategies if they are educated. To date, a quantitative synthesis of the effectiveness of parental education about pain management in the neonatal period has not been performed. OBJECTIVE: To systematically review the effectiveness of parental education during the neonatal period on pain management in infancy...
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36583070/-not-available
#15
REVIEW
Rilla Schneider, Ana Sant'Anna
No abstract text is available yet for this article.
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36580084/correction-care-maps-de-medicalizing-children-with-medical-complexity
#16
(no author information available yet)
[This corrects the article DOI: 10.1093/pch/pxac044.].
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36575663/exploring-the-impact-of-covid-19-on-families-of-children-with-developmental-disabilities-a-community-based-formative-study
#17
JOURNAL ARTICLE
Tali Filler, Pardeep Kaur Benipal, Ripudaman Singh Minhas, Shazeen Suleman
BACKGROUND: COVID-19 continues to disproportionately impact families of children with developmental disabilities (DD). There is an urgent need to understand these families' experiences, particularly those that face economic or social marginalization. This qualitative study sought to identify the experiences of families of children with DD during the COVID-19 pandemic. METHODS: Using phenomenology, in-depth interviews (IDIs) were conducted with caregivers and health care providers of children with DD living in a large urban Canadian city...
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36575662/xylofuns-xylocaine-to-freeze-during-unpleasant-nasopharyngeal-swabs-in-children-a-randomized-controlled-trial
#18
JOURNAL ARTICLE
François Gagnon, Jocelyn Gravel, Camille Duranceau, Emilie Vallieres, Maala Bhatt, Stuart Harman, Evelyne D Trottier
OBJECTIVES: To evaluate the efficacy of intranasal vaporized lidocaine in reducing pain for children undergoing a nasopharyngeal (NP) swab in the Emergency Department (ED). STUDY DESIGN: A randomized blinded clinical trial was conducted in a paediatric ED. Both participants and the researcher evaluating the primary outcome were blinded. Children aged 6 to 17 years old requiring a NP swab were eligible. Participants were randomly allocated to receive intranasal lidocaine or a sham treatment prior to their NP swab...
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36524026/innovative-online-care-a-cross-sectional-survey-study-of-potential-benefits-and-challenges-of-online-lactation-consultation-service-with-paediatrician-consultation
#19
JOURNAL ARTICLE
Muhammad Akhter Hamid, Anubha Kumar, Luxhman Gunaseelan, Atchaya Arulchelvan, Abhinav Sinha, Sidra Razi, Muzhda Subhan, Sarah Subhan, Suruchi Kapoor, Asim Salim
BACKGROUND: Telelactation, a virtual lactation support platform, is a convenient and effective way of providing virtual breastfeeding support services and communicating proper breastfeeding techniques to new mothers to address any breastfeeding challenges and boost overall maternal breastfeeding confidence all from the comfort of their homes. This Ontario Health Insurance Plan (OHIP) covered service benefits more mothers in the remote areas where in-person LC service is not easily accessible...
December 2022: Paediatrics & Child Health
https://read.qxmd.com/read/36524025/estimating-the-impact-of-menstrual-poverty-on-adolescents-in-nova-scotia
#20
JOURNAL ARTICLE
Mary Lukindo, Victoria Price, Meghan Pike
BACKGROUND: Menstrual poverty is defined as the inability of people who menstruate to obtain menstrual products due to financial burden. The impact of menstrual poverty is not well studied in developed countries. OBJECTIVES: This study aims to estimate the impact of menstrual poverty on adolescents who reside in Nova Scotia (NS), Canada. METHODS: A web-based, 25-item questionnaire, the adolescent Menstrual Poverty Questionnaire (aMPQ), was developed and distributed via social media...
December 2022: Paediatrics & Child Health
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