2,458 results match your criteria Paediatrics and Child Health [Journal]


The p.P479L variant in CPT1A is associated with infectious disease in a BC First Nation.

Paediatr Child Health 2019 May 6;24(2):e111-e115. Epub 2018 Aug 6.

Department of Pathology and Laboratory Medicine, BC Children's Hospital, University of British Columbia, Vancouver, British Columbia.

Background: The hepatic carnitine palmitoyltransferase I () p.P479L variant is common in Aboriginal populations across coastal British Columbia, Alaska, the Canadian North, and Greenland. While the high frequency of this variant suggests positive selection, other studies have shown an association with sudden unexpected death in infancy and infection. Read More

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https://academic.oup.com/pch/article/24/2/e111/5067175
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http://dx.doi.org/10.1093/pch/pxy106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462176PMC
May 2019
3 Reads

Differences in hospital length of stay between neonates exposed to buprenorphine versus methadone in utero: A retrospective chart review.

Paediatr Child Health 2019 May 17;24(2):e104-e110. Epub 2018 Jul 17.

Department of Obstetrics and Gynecology, Northern Ontario School of Medicine, Thunder Bay, Ontario.

Introduction: Neonatal abstinence syndrome is a growing concern in neonatal intensive care units in rural and remote settings.

Methods: A retrospective chart review was conducted of 180 mother-infant dyads born with in utero exposure to buprenorphine (n=60), methadone (n=60) or to other opioids (n=60) to determine neonatal length of stay in hospital, number of days on morphine, day of life of initiation of morphine and the need for phenobarbital.

Results: The length of stay in hospital for neonates was 5. Read More

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http://dx.doi.org/10.1093/pch/pxy091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462130PMC

Determinants of scholarly project completion in a paediatric resident program in Canada.

Paediatr Child Health 2019 May 28;24(2):e98-e103. Epub 2018 Jun 28.

Department of Paediatrics and Child Health, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba.

Background: The primary aims of this study were to: 1) assess barriers and facilitators of completing scholarly projects from residents and faculty mentor perspectives, 2) determine the perceived value of new initiatives designed to support resident scholarly projects and 3) determine if these initiatives led to changes in resident publications.

Design And Methods: Between June and September 2014, we surveyed 18 paediatric residents and 41 faculty mentors regarding barriers to resident scholarly project completion and the value of new initiatives to support scholarly activity. We also tracked scientific publications by residents before and after implementation of these initiatives. Read More

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https://academic.oup.com/pch/article/24/2/e98/5046549
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http://dx.doi.org/10.1093/pch/pxy089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462124PMC
May 2019
1 Read

Nasal CPAP on paediatric air transport in the Canadian Arctic: A case series.

Paediatr Child Health 2019 May 13;24(2):e94-e97. Epub 2018 Jun 13.

Department of Anaesthesia, Qikiqtani General Hospital, Iqaluit, Nunavut.

Aims: Paediatric transport in remote regions of Canada represents a huge challenge given the acuity of the patients, immense distances, weather and lack of road infrastructure. Transport of patients in the Baffin region of Nunavut is completed entirely by air transport. Two very common paediatric transports are in regards to lower respiratory tract infections and premature deliveries in small rural communities north of Iqaluit. Read More

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http://dx.doi.org/10.1093/pch/pxy088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462123PMC

Investigating the need for routine ultrasound screening to detect developmental dysplasia of the hip in infants born with breech presentation.

Paediatr Child Health 2019 May 27;24(2):e88-e93. Epub 2018 Jun 27.

Department of Pediatrics, Queen's University, Kingston, Ontario.

Objectives: Breech presentation is a recognized risk factor for developmental dysplasia of the hip (DDH). Within North America, there is a lack of consensus on screening guidelines for DDH in infants with a negative physical examination of the hips. This study evaluates the need for ultrasound screening in all breech born infants to detect DDH and whether this is influenced by gender, gestational age and mode of delivery. Read More

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http://dx.doi.org/10.1093/pch/pxy081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462178PMC
May 2019
1 Read

Anticipatory guidance for behaviour concerns: School age children.

Paediatr Child Health 2019 May 18;24(2):e78-e87. Epub 2018 Jul 18.

Division of Developmental Pediatrics, Department of Pediatrics, University of Alberta, Edmonton, Alberta.

Parenting powerfully influences children's cognitive and social-emotional development. Parents often have behaviour concerns and seek advice from their clinician. This paper is an evidence-based clinic tool to empower clinicians to promote pro-social behaviour through developmentally-targeted strategies that parents can use to decrease problem behaviour. Read More

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http://dx.doi.org/10.1093/pch/pxy080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462114PMC
May 2019
1 Read

Evaluation of referrals for short stature: A retrospective chart review.

Paediatr Child Health 2019 May 13;24(2):e74-e77. Epub 2018 Jun 13.

Children's Hospital, London Health Sciences Centre, London, Ontario.

Background: Referrals to paediatric endocrine clinics for short stature are common. Height velocity (HV) is an essential component of the evaluation of short stature as growth deceleration often reflects an underlying paediatric endocrine diagnosis (PED). Access to previous measurements facilitates prompt calculation of HV. Read More

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https://academic.oup.com/pch/article/24/2/e74/5036792
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http://dx.doi.org/10.1093/pch/pxy079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462116PMC
May 2019
2 Reads

Population-based study of early-onset neonatal sepsis in Canada.

Paediatr Child Health 2019 May 24;24(2):e66-e73. Epub 2018 Apr 24.

Keenan Research Centre of the Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario.

Objective: To determine the incidence, types of organisms and resistance patterns involved in early-onset neonatal sepsis in Canada.

Study Design: Early-onset neonatal sepsis cases were identified through the Canadian Paediatric Surveillance Program. Neonates were excluded if they were asymptomatic or if intracranial procedures preceded a positive cerebrospinal fluid culture. Read More

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https://academic.oup.com/pch/article/24/2/e66/4983126
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http://dx.doi.org/10.1093/pch/pxy018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462127PMC
May 2019
1 Read

Teething necklaces and bracelets pose significant danger to infants and toddlers.

Paediatr Child Health 2019 May 7;24(2):132-133. Epub 2018 Nov 7.

Department of Paediatrics, Western University, London, Ontario, Canada.

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http://dx.doi.org/10.1093/pch/pxy155DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462135PMC

Vaccine-preventable diseases: Uncommon disease primer for the front-line provider.

Paediatr Child Health 2019 May 13;24(2):130-131. Epub 2019 Apr 13.

Canadian Paediatric Society, Infectious Diseases and Immunization Committee, Ottawa, Ontario.

This practice point provides quick information for front-line health care providers on vaccine-preventable diseases which, given the success of immunization programs in Canada, are now uncommon or rarely seen. These infections can still occur in children and youth from Canada and elsewhere, and their clinical identification has important public health implications. Knowledge of signs and symptoms, immunizing travellers and newcomers to Canada, awareness of outbreaks in-community and elsewhere, and early consultation with an expert in infectious diseases and public health authorities in suspected cases, are key preventive care measures. Read More

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https://academic.oup.com/pch/article/24/2/130/5453786
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http://dx.doi.org/10.1093/pch/pxz044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462137PMC
May 2019
2 Reads

Invasive group A streptococcal disease: Management and chemoprophylaxis.

Paediatr Child Health 2019 May 13;24(2):128-129. Epub 2019 Apr 13.

Canadian Paediatric Society, Infectious Diseases and Immunization Committee, Ottawa, Ontario.

Reporting of severe invasive group A streptococcal disease (IGAS) has increased in Canada over the past decade, highlighting the importance of optimal chemoprophylaxis and management strategies. Canadian guidelines have had variable uptake across Canada. This practice point updates relevant aspects of these guidelines, with a focus on chemoprophylaxis of contacts of IGAS cases and clinical management of IGAS. Read More

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https://academic.oup.com/pch/article/24/2/128/5453785
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http://dx.doi.org/10.1093/pch/pxz039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462117PMC
May 2019
1 Read

Evidence for clinicians: Atypical antipsychotics for disruptive behaviour disorders in children and youths.

Authors:
Iliana Ortega

Paediatr Child Health 2019 May 9;24(2):125-127. Epub 2018 Dec 9.

Clinical Fellow, Psychopharmacology Research Unit, University of Calgary, Mathison Centre for Mental Health Research & Education, Calgary, Canada.

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https://academic.oup.com/pch/article/24/2/125/5236856
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http://dx.doi.org/10.1093/pch/pxy156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462132PMC
May 2019
1 Read

Acute encephalopathy associated with influenza infection: Case report and review of the literature.

Paediatr Child Health 2019 May 28;24(2):122-124. Epub 2018 Jun 28.

Departments of Pediatrics and Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia.

Influenza has been associated with neurological complications. We describe the case of a toddler who presented with symptoms and signs of acute encephalopathy and hydrocephalus. Neuroimaging demonstrated cerebral edema and multifocal diffusion restriction in the thalamus and splenium of the corpus callosum. Read More

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http://dx.doi.org/10.1093/pch/pxy085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462119PMC

Is NSAID use in children associated with the risk of renal injury?

Paediatr Child Health 2019 May 11;24(2):119-121. Epub 2019 Jan 11.

Department of Paediatrics, Children's Hospital/London Health Sciences Centre, Schulich School of Medicine & Dentistry, Western University, London, Ontario.

Renal injury is known to be a risk of nonsteroidal anti-inflammatory drug (NSAID) therapy in adults. While this appears to be much less common in children, there are some groups of children who do appear to be at risk of renal injury associated with NSAID therapy and clinicians caring for these patients need to be cognizant of this potential risk. Read More

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http://dx.doi.org/10.1093/pch/pxy183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462120PMC

Dextrose gels for neonatal transitional hypoglycemia: What are we giving our babies?

Paediatr Child Health 2019 May 5;24(2):115-118. Epub 2019 Feb 5.

Division of Neonatology, Department of Pediatrics, University of British Columbia, Vancouver, British Columbia.

Transitional hypoglycemia is common in at-risk newborns, frequently resulting in therapeutic interference with bonding and breastfeeding; 40% dextrose gel massaged to the buccal mucosa has been shown to decrease hypoglycemia <2.6 mmol/L and NICU admissions. However, in the absence of a newborn-specific product, over-the-counter diabetes-care products with poorly documented composition are being used for neonates. Read More

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https://academic.oup.com/pch/article/24/2/115/5306890
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http://dx.doi.org/10.1093/pch/pxy185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462133PMC
May 2019
1 Read

Relaxation training for management of paediatric headache: A rapid review.

Paediatr Child Health 2019 May 7;24(2):103-114. Epub 2019 Feb 7.

Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta.

The objective of this review was to assess the evidence on relaxation training for management of paediatric headaches. Our methodology was a rapid review of English-language peer reviewed published literature focused on studies evaluating relaxation training as a primary or adjunct management option for headache in a paediatric population (0 to 18 years of age). Seven studies involving 571 children were included in the review. Read More

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https://academic.oup.com/pch/article/24/2/103/5308619
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http://dx.doi.org/10.1093/pch/pxy157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462122PMC
May 2019
1 Read

Alternate funding plans have made their mark on academic departments of paediatrics in Canada.

Paediatr Child Health 2019 May 3;24(2):98-102. Epub 2019 Feb 3.

Department of Pediatrics, the Hospital for Sick Children, Toronto, Ontario.

An Alternate Funding Plan (AFP) was introduced at the Hospital for Sick Children in 1990 as the fee-for-service model was incapable of meeting the academic mandate of the Department of Pediatrics. The plan was challenged by some members of the Ontario Medical Association and community paediatricians as inefficient, too costly, and possibly a challenge to the fee-for-service system. At present, 28 years later, there are nine productive Department of Pediatrics AFPs across Canada. Read More

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http://dx.doi.org/10.1093/pch/pxy159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462136PMC

Is physician dismissal of vaccine refusers an acceptable practice in Canada? A 2018 overview.

Paediatr Child Health 2019 May 1;24(2):92-97. Epub 2018 Oct 1.

Department of Pediatrics, Dalhousie University, IWK Health Centre, Halifax, Nova Scotia.

Despite robust evidence that routine immunization is effective and safe, some parents refuse some or all vaccines for their children. In 2007, concern that Canadian paediatricians and family physicians might be considering dismissal of vaccine refusers from their practices prompted an ethical, legal, and public health analysis which concluded that dismissal was professionally problematic. We now reassess this important issue in the Canadian context updating ethical, legal, and public health considerations highlighting changes since 2007. Read More

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http://dx.doi.org/10.1093/pch/pxy116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462121PMC

PANDAS/PANS in childhood: Controversies and evidence.

Paediatr Child Health 2019 May 9;24(2):85-91. Epub 2018 Dec 9.

Division of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada.

Since first defined in 1998, paediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and its later, broader iteration, paediatric acute-onset neuropsychiatric syndrome (PANS), have garnered significant attention and controversy. The role of streptococcal infection in children with explosive onset obsessive-compulsive disorder and new onset tics, the natural history of this entity, and the role of symptomatic and disease-modifying therapies, including antibiotics, immunotherapy, and psychoactive drugs, are all issues that have yet to be definitively addressed. While definitive proof of the autoimmune hypothesis of PANDAS is lacking, given the heightened attention to this entity and apparent rise in use of this diagnostic category, addressing questions around diagnosis, treatment, and etiology is imperative. Read More

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https://academic.oup.com/pch/article/24/2/85/5236858
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http://dx.doi.org/10.1093/pch/pxy145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462125PMC
May 2019
1 Read

Identification of neonatal abstinence syndrome in the community: Infants born into Canada's opioid crisis.

Authors:
Amanda Haas

Paediatr Child Health 2019 May 14;24(2):81-84. Epub 2018 Aug 14.

University of Saskatchewan - College of Nursing, Saskatoon, Saskatchewan, Saskatchewan.

Opioid use in Canada continues to rise. Infants exposed to opioids in utero are at high risk for neonatal abstinence syndrome. Signs and symptoms of withdrawal may not develop before the infant is discharged home. Read More

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http://dx.doi.org/10.1093/pch/pxy098DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462139PMC
May 2019
1 Read

Scholarly training objectives and requirements for paediatric residents in Canada.

Paediatr Child Health 2019 May 8;24(2):76-80. Epub 2018 Jun 8.

Department of Paediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba.

In the absence of national standards for scholarly requirements, paediatric resident training varies significantly across Canadian programs. This variability may contribute to significant differences in trainee experiences and productivity. A panel of coordinators of paediatric resident research programs from across Canada met in 2014, to share experiences and identify barriers to successful resident scholarly activity. Read More

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http://dx.doi.org/10.1093/pch/pxy070DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462126PMC

Multiple telangiectasias in a child.

Paediatr Child Health 2019 May 28;24(2):74-75. Epub 2018 Jul 28.

Department of Dermatology, Centro Hospitalar do Porto, Porto, Portugal.

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http://dx.doi.org/10.1093/pch/pxy103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462131PMC

Split frenulum: Nonaccidental trauma or frenotomy?

Paediatr Child Health 2019 May 24;24(2):72-73. Epub 2018 Jul 24.

Sheldon Kennedy Child Advocacy Centre, Calgary, Alberta.

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http://dx.doi.org/10.1093/pch/pxy087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462128PMC

A 10-year-old female with unilateral seventh cranial nerve palsy.

Paediatr Child Health 2019 May 30;24(2):69-71. Epub 2018 May 30.

Department of Paediatrics, Division of Paediatric Medicine, Hospital for Sick Children, University of Toronto, Toronto, Ontario.

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https://academic.oup.com/pch/article/24/2/69/5025653
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http://dx.doi.org/10.1093/pch/pxy069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462134PMC
May 2019
1 Read

A boy with developmental regression.

Paediatr Child Health 2019 May 18;24(2):67-68. Epub 2018 May 18.

Department of Paediatrics, University of Calgary Cumming School of Medicine, Alberta Children's Hospital, Calgary, Alberta.

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http://dx.doi.org/10.1093/pch/pxy067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462138PMC

Whistling an unfamiliar tune.

Paediatr Child Health 2019 May 2;24(2):65-66. Epub 2018 Jul 2.

Department of Paediatrics, Centre mère-enfant Soleil, CHU de Québec, Université Laval, Québec City, Québec.

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http://dx.doi.org/10.1093/pch/pxx108DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462118PMC

The CARD™ System for improving the vaccination experience at school: Results of a small-scale implementation project on program delivery.

Paediatr Child Health 2019 Apr 29;24(Suppl 1):S54-S67. Epub 2019 Mar 29.

Niagara Region Public Health & Emergency Services, Thorold, Ontario.

Objective: We conducted a small-scale implementation study that integrated The CARD™ System (C-Comfort, A-Ask, R-Relax, D-Distract)-a multifaceted knowledge translation intervention designed to improve the vaccination experience at school-within the school vaccination program.

Methods: Mixed methods design, including a controlled clinical trial and focus group interviews. The experimental group included five schools whereby CARD™ was implemented. Read More

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http://dx.doi.org/10.1093/pch/pxz021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438865PMC
April 2019
1 Read

The CARD™ System for improving the vaccination experience at school: Results of a small-scale implementation project on student symptoms.

Paediatr Child Health 2019 Apr 29;24(Suppl 1):S42-S53. Epub 2019 Mar 29.

Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.

Background: Many students are afraid of receiving vaccinations at school. We implemented a novel, multifaceted knowledge translation intervention incorporating evidence-based vaccination coping strategies-The CARD™ System (C-Comfort, A-Ask, R-Relax, D-Distract)-and evaluated impact on student attitudes, knowledge, coping strategies used, and symptoms during school-based vaccinations.

Methods: Mixed methods. Read More

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http://dx.doi.org/10.1093/pch/pxz020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438866PMC
April 2019
1 Read

Piloting The CARD™ System for education of students about vaccination: Does it improve the vaccination experience at school?

Paediatr Child Health 2019 Apr 29;24(Suppl 1):S35-S41. Epub 2019 Mar 29.

Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.

Objective: Many students are fearful of vaccine injection-associated pain. In prior research, we created Knowledge Translation (KT) tools to address school vaccinations and associated pain, fear, and fainting. The objectives of this pilot implementation project were to determine the acceptability and impact of these KT tools on student knowledge, attitudes, and perceptions of their vaccination experience. Read More

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http://dx.doi.org/10.1093/pch/pxz019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438862PMC

Stakeholder feedback on The CARD™ System to improve the vaccination experience at school.

Paediatr Child Health 2019 Apr 29;24(Suppl 1):S29-S34. Epub 2019 Mar 29.

Niagara Region Public Health & Emergency Services, Thorold, Ontario.

Objective: School-based vaccination programs can be a source of distress for many students due to the pain from the needle injection and related fears. We created a multifaceted Knowledge Translation (KT) intervention to address vaccination and pain, fear, and fainting called The CARD™ System. The objectives were to document acceptability of key tools included in the multifaceted KT intervention and their effectiveness in improving knowledge and attitudes about vaccination pain and fear. Read More

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http://dx.doi.org/10.1093/pch/pxz018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438868PMC

Involving stakeholders in informing the development of a Knowledge Translation (KT) intervention to improve the vaccination experience at school.

Paediatr Child Health 2019 Apr 29;24(Suppl 1):S19-S28. Epub 2019 Mar 29.

Niagara Region Public Health & Emergency Services, Thorold, Ontario.

Objective: Pain, fear, and fainting management during school-based vaccinations is suboptimal. The objective was to examine stakeholder perceptions of barriers and facilitators to better practices. Method: Six semi-structured focus groups were conducted in Niagara Region, Ontario: two parent groups (n=7); one grade 7 to 8 student group (n=9); two nurse groups (n=12); and one school staff group (n=6). Read More

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https://academic.oup.com/pch/article/24/Supplement_1/S19/542
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http://dx.doi.org/10.1093/pch/pxz017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438867PMC
April 2019
3 Reads

Overview of a Knowledge Translation (KT) Project to improve the vaccination experience at school: The CARD™ System.

Paediatr Child Health 2019 Apr 29;24(Suppl 1):S3-S18. Epub 2019 Mar 29.

Niagara Region Public Health & Emergency Services, Thorold, Ontario.

Background: Students experience fear, pain, and fainting during vaccinations at school. While evidence-based interventions exist, no Knowledge Translation (KT) interventions have been developed to mitigate these symptoms. A multidisciplinary team-the Pain Pain Go Away Team-was assembled to address this knowledge-to-care gap. Read More

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http://dx.doi.org/10.1093/pch/pxz025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438869PMC

Pain Pain Go Away: Improving the vaccination experience at school.

Authors:
Anna Taddio

Paediatr Child Health 2019 Apr 29;24(Suppl 1):S1-S2. Epub 2019 Mar 29.

Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.

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https://academic.oup.com/pch/article/24/Supplement_1/S1/5421
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http://dx.doi.org/10.1093/pch/pxz016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438864PMC
April 2019
4 Reads

Guidelines for vitamin K prophylaxis in newborns.

Paediatr Child Health 2018 Sep 16;23(6):394-402. Epub 2018 Aug 16.

College of Family Physicians of Canada, Maternity and Newborn Care Program Committee, Mississauga, Ontario.

Newborns are at risk for vitamin K deficiency bleeding (VKDB) caused by inadequate prenatal storage and deficiency of vitamin K in breast milk. Systematic review of evidence to date suggests that a single intramuscular (IM) injection of vitamin K at birth effectively prevents VKDB. Current scientific data suggest that single or repeated doses of oral (PO) vitamin K are less effective than IM vitamin K in preventing VKDB. Read More

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https://academic.oup.com/pch/article/23/6/394/5075070
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http://dx.doi.org/10.1093/pch/pxy082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234429PMC
September 2018
4 Reads

Evaluation of the child with global developmental delay and intellectual disability.

Paediatr Child Health 2018 Sep 16;23(6):403-419. Epub 2018 Aug 16.

Canadian Paediatric Society, Mental Health and Developmental Disabilities Committee, Ottawa, Ontario.

Global developmental delay (GDD) and intellectual disability (ID) are common concerns in the paediatric setting. Etiologies of both conditions are highly heterogeneous. The American Academy of Pediatrics, the American Academy of Neurology and the British Columbia-based Treatable Intellectual Disability Endeavor (TIDE) protocol have each proposed multitiered investigations of GDD/ID to guide physicians toward an understanding of etiology that optimizes therapeutic yield. Read More

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http://dx.doi.org/10.1093/pch/pxy093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234423PMC
September 2018
1 Read

School, child care and camp exclusion policies for chickenpox: A rational approach.

Paediatr Child Health 2018 Sep 16;23(6):420-427. Epub 2018 Aug 16.

Canadian Paediatric Society, Infectious Diseases and Immunization Committee, Ottawa, Ontario.

Widespread varicella vaccination in Canada since 2007 has changed the epidemiology of chickenpox, with a significant decline in varicella-related hospitalizations. However, there will always be a varicella-susceptible population because of immune-compromising treatments or conditions and/or parental vaccine refusal. This document updates and replaces a 1999 statement by the Canadian Paediatric Society. Read More

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http://dx.doi.org/10.1093/pch/pxy096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234420PMC
September 2018
1 Read

Developmental functioning and symptom severity influence age of diagnosis in Canadian preschool children with autism.

Paediatr Child Health 2019 Feb 2;24(1):e57-e65. Epub 2018 Jul 2.

Department of Psychiatry, McGill University, Montreal, Quebec.

Background: Early diagnosis of autism spectrum disorder (ASD) is essential in most Canadian jurisdictions to access interventions that improve long-term child outcomes. Our main objective was to identify factors associated with timing of ASD diagnosis in five provinces across Canada.

Methods: Factors influencing age of diagnosis were assessed in the analyses of an inception cohort of children diagnosed with ASD between ages 2 and 5 years. Read More

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https://academic.oup.com/pch/article/24/1/e57/5047490
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http://dx.doi.org/10.1093/pch/pxy076DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376294PMC
February 2019
5 Reads
1.545 Impact Factor

Infection prevention and control in paediatric office settings.

Authors:
Dorothy L Moore

Paediatr Child Health 2018 Dec 19;23(8):547-548. Epub 2018 Nov 19.

Canadian Paediatric Society, Infectious Diseases and Immunization Committee, Ottawa, Ontario.

Transmission of infection in the paediatric office is an issue of increasing concern. This document discusses routes of transmission of infection and the principles of current infection control measures. Prevention includes appropriate office design and administrative policies, triage, routine practices for the care of all patients (e. Read More

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http://dx.doi.org/10.1093/pch/pxy160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241892PMC
December 2018

Needle stick injuries in the community.

Authors:
Dorothy L Moore

Paediatr Child Health 2018 Dec 19;23(8):532-546. Epub 2018 Nov 19.

Canadian Paediatric Society, Infectious Diseases and Immunization Committee, Ottawa, Ontario.

When children sustain injuries from needles discarded in public places, concerns arise about possible exposure to blood-borne viruses. The risk of infection is low, but assessment, counselling, and follow-up of the injured child are needed. This statement reviews the literature concerning blood-borne viral infections after injuries from needles discarded in the community, and provides recommendations for the prevention and management of such incidents. Read More

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http://dx.doi.org/10.1093/pch/pxy129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241928PMC
December 2018
1 Read

Facilitating discharge from hospital of the healthy term infant.

Paediatr Child Health 2018 Dec 19;23(8):515-531. Epub 2018 Nov 19.

Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario.

This statement provides guidance for health care providers to ensure the safe discharge of healthy term infants who are born in hospital and who are ≥37 weeks' gestational age. Hospital care for mothers and infants should be family-centred, with healthy mothers and infants remaining together and going home at the same time. The specific length of stay for newborn infants depends on the health of their mother, infant health and stability, the mother's ability to care for her infant, support at home, and access to follow-up care. Read More

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http://dx.doi.org/10.1093/pch/pxy127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242107PMC
December 2018

A cohort study of intranasal fentanyl for procedural pain management in neonates.

Paediatr Child Health 2018 Dec 24;23(8):e170-e175. Epub 2018 May 24.

Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.

Objectives: The objective of this cohort study was to document experience with intranasal (IN) fentanyl analgesia for procedural pain management in neonates in a surgical neonatal intensive care unit. A consecutive sample of 23 neonates without intravenous access treated with IN fentanyl was included.

Methods: Data were extracted from medical charts, including infant characteristics, indication for IN fentanyl, dose, physiologic parameters (heart rate, respiratory rate, oxygen saturation, blood pressure) and pain scores. Read More

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http://dx.doi.org/10.1093/pch/pxy060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241873PMC
December 2018

Establishing Bayley-III cut-off scores at 21 months for predicting low IQ scores at 3 years of age in a preterm cohort.

Paediatr Child Health 2018 Dec 9;23(8):e163-e169. Epub 2018 Apr 9.

Community Health Sciences, University of Calgary, Calgary, Alberta.

Objective: To evaluate predictive validity and establish cut-off scores on the Bayley-III at age 21 months that best predict Intelligence Quotient (IQ) scores <70 or <80) at 3 years in a high-risk preterm cohort.

Method: Bayley-III evaluations at 21 months corrected age and intellectual assessments, primarily with the WPPSI-III, at 3 years corrected age were conducted with 520 infants born less than 29 weeks gestational age or less than 1250 g birth weight. Receiver Operator Characteristic (ROC) curves were used to establish Bayley-III Cognitive Composite cut-off scores that maximized Sensitivity and Specificity in predicting low IQ. Read More

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https://academic.oup.com/pch/article/23/8/e163/4964836
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http://dx.doi.org/10.1093/pch/pxy038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242003PMC
December 2018
7 Reads

Paediatricians underuse recommended genetic tests in children with global developmental delay.

Paediatr Child Health 2018 Dec 5;23(8):e156-e162. Epub 2018 Apr 5.

Research Center, CHU Sainte-Justine, Montréal, Quebec.

Objectives: To assess paediatricians' use of genetic testing for children with global developmental delay (GDD).

Study Design: We developed and piloted a questionnaire assessing the use of genetic tests in children with GDD and awareness of relevant guidelines. All practicing Quebec paediatricians were contacted. Read More

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https://academic.oup.com/pch/article/23/8/e156/4961424
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http://dx.doi.org/10.1093/pch/pxy033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241916PMC
December 2018
5 Reads

Hypoglycemia in unmonitored full-term newborns-a surveillance study.

Paediatr Child Health 2018 Dec 10;23(8):509-514. Epub 2018 Mar 10.

Department of Pediatrics, Queen's University.

Background And Objectives: Hypoglycemia monitoring is not recommended for most full-term newborns. We wished to determine the incidence, presentation and case characteristics of hypoglycemia in low-risk newborns.

Methods: With the assistance of the Canadian Paediatric Surveillance Program, we conducted a national study of severe hypoglycemia in apparently low-risk full-term newborns. Read More

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https://academic.oup.com/pch/article/23/8/509/4925979
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http://dx.doi.org/10.1093/pch/pxy025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242033PMC
December 2018
9 Reads

Reliability testing of the HEARTSMAP psychosocial assessment tool for multidisciplinary use and in diverse emergency settings.

Paediatr Child Health 2018 Dec 6;23(8):503-508. Epub 2018 Mar 6.

School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia.

Objective: HEARTSMAP is a tool developed to facilitate assessment and management of paediatric mental health (MH) patients by emergency department (ED) clinicians. We evaluate the inter-rater reliability of HEARTSMAP when administered by clinicians of various backgrounds.

Methods: In a cross-sectional study initiated in 2016, collaborating clinician evaluators (n=16) applied the HEARTSMAP tool to evaluate a set of 50 fictional clinical vignettes, digitally in an approach consistent with the anticipated tool's access and usage in clinical settings. Read More

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http://dx.doi.org/10.1093/pch/pxy017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242031PMC
December 2018

A 5-month-old with failure to thrive.

Paediatr Child Health 2018 Dec 28;23(8):501-502. Epub 2018 Mar 28.

Department of Paediatrics, CHU de Québec - Université Laval, Quebec City, Quebec.

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https://academic.oup.com/pch/article/23/8/501/4955791
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http://dx.doi.org/10.1093/pch/pxy032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241966PMC
December 2018
7 Reads

A teenage boy with asymptomatic papules on his upper lip.

Paediatr Child Health 2018 Dec 15;23(8):499-500. Epub 2018 Mar 15.

Department of Pediatrics, University of British Columbia, Vancouver, British Columbia.

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https://academic.oup.com/pch/article/23/8/499/4937798
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http://dx.doi.org/10.1093/pch/pxy010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241960PMC
December 2018
5 Reads

Knowledge and practice of harm-reduction behaviours for alcohol and other illicit substance use in adolescents with type 1 diabetes.

Paediatr Child Health 2019 Feb 7;24(1):e51-e56. Epub 2018 Jun 7.

Department of Pediatrics, Alberta Children's Hospital, Calgary, Alberta.

Objective: To survey adolescents with type 1 diabetes mellitus (T1DM) about their knowledge and application of harm-reduction recommendations when they engage in alcohol and other illicit substance use.

Methods: Cross-sectional survey and chart review of adolescents with T1DM aged 13 to 18 years.

Results: One hundred and ninety patients were approached and 164 were included in the analysis. Read More

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http://dx.doi.org/10.1093/pch/pxy075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376295PMC
February 2019
2 Reads

Timing of introduction of allergenic solids for infants at high risk.

Paediatr Child Health 2019 02 15;24(1):56-57. Epub 2019 Feb 15.

Canadian Paediatric Society, Allergy Section, Ottawa, Ontario.

Food allergy affects an estimated 2 to 10% of the population, with evidence of increasing prevalence over time. Preventing food allergy has become an important public health goal. Health Canada currently recommends breastfeeding infants exclusively until they are 6 months old, while acknowledging that in individual practice, signs of infant readiness may guide the introduction of complementary foods a few weeks earlier. Read More

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http://dx.doi.org/10.1093/pch/pxy195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376285PMC
February 2019
2 Reads

Diagnosis and management of typical, newly diagnosed primary immune thrombocytopenia (ITP) of childhood.

Paediatr Child Health 2019 Feb 15;24(1):54-55. Epub 2019 Feb 15.

Canadian Paediatric Society, Acute Care Committee, Ottawa, Ontario.

This practice point applies to children aged 90 days through 17 years who have typical, newly diagnosed primary immune thrombocytopenia (ITP). Current recommendations on management and information from recent studies are summarized with the goal of decreasing variable practice among providers and improving patient-centred care. Options for initially managing young patients with ITP who experience bruising, petechiae, or occasional mild epistaxis not interfering with daily living include observation without pharmacotherapy as a first-line option. Read More

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http://dx.doi.org/10.1093/pch/pxy197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376287PMC
February 2019
2 Reads