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Pediatric inflammatory bowel disease: What’s new and what has changed? Paediatr. Child Health (IF 1.9) Pub Date : 2024-03-09 Alexandra S Hudson, Hien Q Huynh
The incidence and prevalence of inflammatory bowel disease (IBD) is on the rise in North America and worldwide, with young children being the fastest growing patient population. It is therefore essential for pediatricians and pediatric sub-specialists to be able to recognize signs and symptoms suspicious for a new diagnosis of IBD, as well as potential complications associated with IBD or its treatment
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L’accès à des services d’interprétation appropriés, essentiel pour la santé des enfants Paediatr. Child Health (IF 1.9) Pub Date : 2024-02-07 Charles Hui
Résumé Puisque 20 % des Canadiens déclarent avoir une autre langue maternelle que le français ou l’anglais, il n’est pas rare que les professionnels de la santé et les patients maîtrisent des langues différentes. Lorsqu’un médecin et son patient ne peuvent pas communiquer correctement, ils courent le risque de mal se comprendre, ce qui peut se solder par de mauvais résultats cliniques et une réadmission
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Access to appropriate interpretation is essential for the health of children Paediatr. Child Health (IF 1.9) Pub Date : 2024-02-07 Charles Hui
With 20% of Canadians reporting a mother tongue other than English or French, it is not uncommon for health professionals and patients to be proficient in different languages. When a physician and patient cannot properly communicate, there is potential for misunderstanding, which can lead to poor clinical outcomes and hospital readmission. Professional interpretation services are associated with improved
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Health care utilization after enrollment in an outpatient structured clinical program for children with medical complexity Paediatr. Child Health (IF 1.9) Pub Date : 2024-02-06 Stacey Cook, Matt Hall, Isabel Stringfellow, Jay G Berry
Objectives Although children with medical complexity (CMC) with high health resource utilization use outpatient structured clinical programs (SCP) to optimize their health, little is known about variation in trends of their health service use shortly after enrollment. We measured these trends and assessed the utility of patient characteristics to predict them. Methods Retrospective analysis of 506
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Social prescribing: Moving pediatric care upstream to improve child health and wellbeing and address child health inequities Paediatr. Child Health (IF 1.9) Pub Date : 2024-01-24 Caitlin Muhl, Susan Bennett, Stéphanie Fragman, Nicole Racine
Social prescribing is a means for trusted individuals in clinical and community settings to connect people who have non-medical, health-related social needs to non-clinical supports and services within the community through a non-medical prescription. Evaluations of social prescribing programs for the pediatric population have demonstrated statistically significant improvements in participants’ mental
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La détection et la prise en charge d’une croissance atypique Paediatr. Child Health (IF 1.9) Pub Date : 2023-12-20 Linda Casey, Tanis R Fenton
Résumé En pédiatrie, il est fondamental d’évaluer la croissance de l’enfant, mais un tableau clinique de plus en plus complexe peut compliquer l’évaluation des profils de croissance. Le présent point de pratique s’appuie sur des études de cas représentatives pour décrire les principaux éléments de l’interprétation des profils de croissance courants et la réponse à privilégier. Le clinicien qui connaît
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L’allaitement et le lait humain en soins intensifs néonatals : de la naissance jusqu’au congé Paediatr. Child Health (IF 1.9) Pub Date : 2023-12-20 Christopher Tomlinson, Laura N Haiek
Résumé Il est bien établi que le lait humain est la source nutritive optimale pour tous les nouveau-nés, y compris ceux qui ont besoin de soins intensifs. Le présent document de principes examine les données probantes qui appuient l’importance de l’allaitement et du lait humain pour les nouveau-nés, de même que les raisons pour lesquelles les pratiques d’allaitement doivent être priorisées à l’unité
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Recognizing and addressing atypical growth Paediatr. Child Health (IF 1.9) Pub Date : 2023-12-20 Linda Casey, Tanis R Fenton
While child growth evaluation is fundamental to paediatric practice, an increasingly complex clinical picture can complicate interpretation of growth patterns. This practice point uses representative case studies to illustrate key features of interpretation and response to commonly encountered growth patterns. Awareness of these common patterns and their etiologies will enhance the clinician’s ability
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Breastfeeding and human milk in the NICU: From birth to discharge Paediatr. Child Health (IF 1.9) Pub Date : 2023-12-20 Christopher Tomlinson, Laura N Haiek
It is well recognized that human milk is the optimal nutritive source for all infants, including those requiring intensive care. This statement reviews evidence supporting the importance of breastfeeding and human milk for infants, and why breastfeeding practices should be prioritized in the neonatal intensive care unit (NICU). It also reviews how to optimally feed infants based on their stability
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Creating a Low-Stimulus Clinic to improve immunization success rates for children with alternate environment needs: A quality improvement initiative Paediatr. Child Health (IF 1.9) Pub Date : 2023-12-13 Megan McDonald, Shauna Gallaugher, Elise Kammerer, Samina Ali
Patients with specific sensory needs may face barriers to receiving their immunizations. Therefore, a Low-Stimulus Clinic was created in Alberta. Modifications to regular clinic space included lower visual and auditory input, access to longer appointment times and private clinic spaces, development of pre-appointment comfort plans, and offering of in-vehicle immunization. Between April 2021 and May
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The experience of youth on the waitlist for gender-affirming care in Manitoba Paediatr. Child Health (IF 1.9) Pub Date : 2023-12-10 Jennifer L Bhatla, Kristin James, Kaylen (Kay) A E Lamb, Chrystal Neault-Lount, Jennifer L P Protudjer, Shayne D Reitmeier, Megan Cooney, Brandy Wicklow
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
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Coming in Hot: A quality improvement approach to improving care of febrile infants Paediatr. Child Health (IF 1.9) Pub Date : 2023-11-20 Joel Gupta, Amy R Zipursky, Jonathan Pirie, Gabrielle Freire, Amir Karin, Mary Kathryn Bohn, Khosrow Adeli, Olivia Ostrow
Background and Objectives Significant practice variation exists in managing young infants with fever. Quality improvement strategies can aid in risk stratification and standardization of best care practices, along with a reduction of unnecessary interventions. The aim of this initiative was to safely reduce unnecessary admissions, antibiotics, and lumbar punctures (LPs) by 10% in low-risk, febrile
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Risk of attention deficit hyperactivity disorder diagnosis following multiple exposures to general anesthesia in the paediatric population: A systematic review and meta-analysis Paediatr. Child Health (IF 1.9) Pub Date : 2023-11-16 Megan Skakum, Audrey Katako, Jenna Mitchell-Dueck, M Florencia Ricci, Kelly Russell
Objectives The risk of attention deficit hyperactivity disorder (ADHD) following multiple exposures to anesthesia has been debated. Our objective was to systematically review the literature to examine the association between multiple exposures to general anesthesia before age 5 and subsequent diagnosis of ADHD. Methods A systematic search of EMBASE, PubMed, and SCOPUS was performed using key search
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Healthcare professionals’ perspectives on optimizing pain care-related education at a Canadian children’s hospital: A qualitative study Paediatr. Child Health (IF 1.9) Pub Date : 2023-11-06 Elise Kammerer, Delane Linkiewich, Samina Ali
Objectives Pain affects all children and youth, yet acute and procedural pain remains undertreated in Canadian hospitals. To improve pain management practices in paediatric hospitals, it is necessary to understand how healthcare professionals (HCPs) wish for educational interventions to be designed to improve their pain management practice. Methods Semi-structured interviews were conducted with 18
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An affirming approach to caring for transgender and gender-diverse youth. Paediatr. Child Health (IF 1.9) Pub Date : 2023-10-25 Ashley Vandermorris,Daniel L Metzger
Increasing numbers of youth identify as transgender or gender-diverse (TGD). Many paediatricians and primary care providers (PCPs) will encounter this population in their practice, either for gender-related care or general health needs. This statement is intended as a resource to guide paediatricians and PCPs in implementing an affirming approach to routine health care provision for all youth. Furthermore
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La promotion de l'évolution optimale de la santé mentale chez les enfants et les adolescents. Paediatr. Child Health (IF 1.9) Pub Date : 2023-10-25 Wilma Arruda,Stacey A Bélanger,Janice S Cohen,Sophia Hrycko,Anne Kawamura,Margo Lane,Maria J Patriquin,Daphne J Korczak
Les dispensateurs de soins pédiatriques sont souvent le premier point de contact des enfants et des adolescents aux prises avec des problèmes de santé mentale, mais ils ne possèdent pas nécessairement les ressources (p. ex., l'accès à une équipe multidisciplinaire) ni la formation nécessaires pour procéder à leur dépistage ou à leur prise en charge. Le présent document de principes conjoint décrit
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Une approche d'affirmation pour les soins aux jeunes transgenres et de diverses identités de genre. Paediatr. Child Health (IF 1.9) Pub Date : 2023-10-25 Ashley Vandermorris,Daniel L Metzger
Un nombre croissant de jeunes s'identifient comme transgenres ou de diverses identités de genre. De nombreux pédiatres et dispensateurs de soins de première ligne accueilleront cette population dans leur pratique, dans le cadre de soins liés au genre ou de soins de santé généraux. Le présent document de principes se veut une ressource pour orienter les pédiatres et les dispensateurs de soins de première
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Promoting optimal mental health outcomes for children and youth. Paediatr. Child Health (IF 1.9) Pub Date : 2023-10-25 Wilma Arruda,Stacey A Bélanger,Janice S Cohen,Sophia Hrycko,Anne Kawamura,Margo Lane,Maria J Patriquin,Daphne J Korczak
While paediatric care providers are often the first point of contact for children or youth experiencing mental health challenges, they may lack the resources (e.g., access to a multidisciplinary team) or training to adequately identify or manage such problems. This joint statement describes the key roles and competencies required to assess and address child and youth mental health problems, and the
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Retained primary teeth: A clinical complaint not to be dismissed Paediatr. Child Health (IF 1.9) Pub Date : 2023-10-18 Christy W M Leung, Ting Fan Leung
Retained primary teeth (RPT) may be an isolated finding, or one associated with other clinical complaints. In order to achieve timely and accurate diagnosis, it is helpful for paediatricians to perform thorough work-up for these patients. The article aims at providing an overview of the inborn medical causes that may be related to children with RPT, as well as their corresponding investigation and
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No adults allowed: Adolescents and Medical Decision Making Paediatr. Child Health (IF 1.9) Pub Date : 2023-10-16 Elisheva T A Nemetz, Ryan S Huang, Sunit Das
The majority of the literature focused on whether consent should be extended to the adolescent population arises from themes adapted from American tort law. In contrast to the USA, Ontario does not delineate an age of consent for medical treatment and relying on American guidelines to guide practice in Ontario is problematic. While the literature is saturated with discussions for and against seeking
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Evaluation and management of enuresis in the general paediatric setting Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 James Harris, Alisa Lipson, Joana Dos Santos
Assessing enuresis involves distinguishing monosymptomatic from non-monosymptomatic for this common paediatric problem, and identifying concomitant comorbidities. Addressing co-occurring factors concurrently ensures the best opportunity for a satisfactory outcome. Treatment begins with patient and family education on the natural history of enuresis and practical behavioural guidance. Evidence to support
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101 The Impact of Sociodemographic Factors on Youth Academic Achievement During the COVID-19 Pandemic in Ontario, Canada Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Sloane Freeman, Ripudaman Minhas, Jennifer Hove, Timothy Guimonda
Background The COVID-19 pandemic interrupted education and widened socioeconomic disparities. In Ontario, schools were closed for 28 weeks, longer than any other state, province, or territory in North America. School interruptions and remote learning are known to have short and long-term negative effects, which differ by socioeconomic status, on students’ academic outcomes. Objectives The objective
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64 Consensus Practice Recommendations Regarding Parental Presence in Canadian NICUs to Inform Ongoing and Post Pandemic Policies Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Marsha Campbell-Yeo, Fabiana Bacchini, Marc Beltempo, Lynsey Alcock, Prakeshkumar Shah, Tanya Bishop, Douglas Campbell, Addie Chilcott, Jeanette Comeau, Justine Dol, Amy Grant, Jonathan Gubbay, Brianna Hughes, Amos Hundert, Darlene Inglis, Alanna Lakoff, Yasmin Lalani, Thuy Mai Luu, Jenna MacMorton, Souvik Mitra, Michael Narvey, Karel O’Brien, Paula Robeson, Michelle Science, Rachel Van Woezik, Leah
Introduction/Background In March 2020, parental presence restriction policies were introduced in Canadian NICUs as institutions aimed to prevent COVID-19 transmission during the emerging global pandemic. However, parental presence in NICUs is necessary for maximizing parent and infant health outcomes, and there continues to be significant variation in parental restriction across Canadian NICUs. Objectives
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40 Analgesia in Sickle Cell Disease: Do We Give the Right Dose? A Systematic Review of Pharmacokinetic Studies Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Niina Kleiber, Ann-Sophie Czech, Gabrielle Bernier, Yves Pastore, Marie-Joëlle Doré-Bergeron, Evelyne D Trottier, Yves Théorêt, Julie Autmizguine, Alix Pincivy
Background Children with sickle cell disease (SCD) suffer from lifelong episodes of unpredictable acute pain that alter their quality of life. Despite prompt pain treatment, hospitalization is often required for pain management. SCD is a multisystemic disease affecting organ function (e.g., renal hyperfiltration, change in liver blood flow). Altogether, these changes could alter pharmacokinetics (PK)
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56 Survival and Long-term Outcomes of Children who Survived after End-of-Life Decisions in the NICU Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Annie Janvier, Béatrice Boutillier, Valérie Biran, Keith Barrington, Laurence Caeymaex
Background The majority of deaths in neonatal intensive care units (NICU) follow end-of-life decision-making. Most discussions regarding the withdrawal or withholding of life-sustaining interventions (WWLST) occur when infants are dependent on life-sustaining technology (LST) to stay alive. These children are often expected to die within a relatively short time if LST is withheld or withdrawn. The
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77 Qualitative Needs Assessment of Child and Caregiver Perspectives to Inform Design of an Artificial Intelligence-enhanced Social Robot to Improve Paediatric Emergency Care Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Summer Hudson, Fareha Nishat, Samina Ali, Sasha Litwin, Brittany Wiles, Mary Ellen Foster, Jennifer Stinson
Background Children routinely experience under-treated pain and distress related to medical procedures, such as intravenous insertions (IVI), which can have negative consequences in both the short-term (e.g., fear, inability to complete procedure) and long-term (e.g., needle phobia, healthcare avoidance). Socially assistive robots (SARs) are a promising tool to manage pain and distress in paediatric
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3 Implementation of Family-based Treatment Principles in the Primary Care Management of Paediatric Anorexia Nervosa Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Mehrieh Ramini, Maya Leitner, Holly Agostino
Background Anorexia nervosa (AN) is a complex illness frequently beginning in adolescence and often associated with significant medical complications. In Canada, youth with AN typically first present to a primary care provider. Currently, the standard of care for paediatric restrictive eating disorders is Family Based Treatment (FBT). However, access to this modality remains limited. Numerous principles
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54 Preterm Parents Identified Meaningful Outcomes: Involving Parents in Implementing Change Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Annie Janvier, Anne Synnes, Mei Mei Lam, Fabiana Bacchini, Melissa Jones, Karen Bong, Lindsay Richter, Thuy Mai Luu
Background The Canadian Neonatal Follow-Up Network (CNFUN) reports on neurodevelopmental impairments (NDI) in the very preterm population but has never asked parents which outcomes and definitions are meaningful to them. The Parent Voices group conducted four studies which showed differences between parents and CNFUN perspectives on definitions, severity, composite outcomes, which outcomes, and the
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92 Trends in COVID-19 Vaccination Coverage among Children <5 Years of Age in Canada Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Ahash Jeevakanthan, Brigitte Ho Mi Fane, Sophia Roubos
Introduction/Background COVID-19 vaccinations for those aged 6 months to 5 years were announced in the summer of 2022. Specifically, Moderna Spikevax and Pfizer-BioNTech Comirnaty were authorized on July 14, 2022, and September 9, 2022, respectively. Given that this was the last age group to become eligible for vaccination against COVID-19, promoting and measuring vaccination coverage in this vulnerable
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21 Cross-sectoral Care for Transitional Aged Youth (TAY) with Autism Spectrum Disorders and Intellectual Disabilities (ASD/IDD) Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Elizabeth Young, Megan Henze, Shanthiya Nallathamby, Thivia Jegathesan, Laurie Green, Karen Weyman, Barry Isaacs, Alvin Loh, Karen Milligan
Background The Transition Clinic for Youth and Young Adults (TAY clinic) with ASD/IDD is a unique partnership between the Developmental Sector and Health care sector. Surrey Place Centre, St. Michaels Family Health Teams and Developmental Paediatrics work with families of adolescents and young adults ages 14-22 to help transition from paediatrics-based healthcare and developmental services to adult
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1 Youth Experiencing Homelessness Presenting to an Urban Paediatric Emergency Department: A Descriptive Study Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Amelie Lachance-Soulard, Megan Harrison, Sarah Reid
Background Youth experiencing homelessness (YEH) have high rates of both mental and physical health concerns. This population faces multiple barriers in accessing care, resulting in unaddressed needs and reliance on Emergency Departments (ED). In Canada, the use of the paediatric ED by YEH has not been well described, and there is no data exploring the effects of the COVID-19 pandemic lockdown on ED
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41 Evaluating Immunization Status and Barriers to Immunization for Patients Admitted to the Stollery Children's Hospital Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Brittany Lissinna, Chelsea Gilbert, Calla Isaac, Qaasim Mian, Karen Forbes
Introduction/Background Routine immunization is an effective public health intervention. Despite this, immunization coverage in Alberta remains below national targets. While vaccine hesitancy is a frequently cited barrier, underimmunization is likely multifactorial. Previous research has shown that hospitalization presents an opportunity to “catch-up” children who are underimmunized. Unfortunately
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15 Parent and Clinician Perspectives on Acceptability of Paediatric Autism Therapies Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Isabelle Caven, Melanie Penner
Background Autistic children and their families access services, such as occupational therapy (OT), speech language pathology (SLP) services, applied behaviour analysis (ABA)-based therapies and physiotherapy (PT). There are varying levels of evidence supporting the efficacy of these therapies, and some autistic-led advocacy is critical of the methods and aims of certain services. There is limited
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7 Ethical Dilemmas Faced by Healthcare Professionals when Considering a Report to Child Protection: Experiences and Perspectives from a Tertiary Paediatric Centre Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Clara Low-Decarie
Background Child maltreatment is an important global problem that is increasingly being recognized as a public health issue as well as a violation of children’s fundamental rights. Mandatory reporting is a legislative attempt to decrease its prevalence and impacts. It is generally thought that these laws improve child maltreatment detection rates. However, the actual effects of such laws, as well as
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13 “Don’t Want to Be in the Room? Never. Can’t Be in the Room? Yes”: A Mixed Methods Analysis of Barriers and Facilitators to Parental Presence at the Bedside in a Paediatric Intensive Care Unit Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Emily Poole, Molly Ryan, Janet Curran, Jennifer Foster
Background Though a paediatric intensive care unit (PICU) admission is overwhelming for families, bedside parental presence improves child comfort, reduces parental anxiety, and enables family engagement. Previous research has focused on parental presence during events (rounds, resuscitation, and procedures), but little is known about factors influencing parental presence at their child’s bedside for
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49 Systematic Review and Meta-analysis of SARS-CoV-2 Vaccine Acceptance in Parents of Children Aged 5-11 Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Caitlyn Hui, Pierre-Philippe Piche-Renaud, Joelle Peresin, Elahe Karimi Shahrbabak, Ciobha O'Kelly, Andrea Macikunas, Tingting Yan, Costanza Di Chiara, Lauren Tailor, Daniel S Farrar, Shaun K Morris
Background Despite the well-studied benefits and safety of SARS-CoV-2 vaccines, many caregivers of children aged 5 to 11 years old remain hesitant to have their child vaccinated. Reasons for vaccine non-acceptance and barriers specific to children aged 5-11 and caregivers are poorly understood. Objectives Our study aims to: 1) Assess proportion of parents who are acceptant of vaccines in different
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6 Evaluation of a Standardized Kawasaki Disease Protocol for Management and Follow-Up Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Rachael Iseman, Lillian Lai, Marc Zucker, Johannes Roth, Elayna Jackson
Background In 2017, it was recognized that there was significant variation in the management and follow-up of Kawasaki disease (KD) at our institution, resulting in inefficient use of hospital resources and patient confusion. A multidisciplinary team from cardiology, rheumatology, emergency medicine, infectious diseases (ID), and general paediatrics created a standardized protocol distributed on October
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57 Butterflies and Ribbons: The Positive Impact of Educational Strategies to Optimize Communication with Parents after the Perinatal Loss of a Co-twin Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Annie Janvier, Béatrice Boutillier, Alexie Bigras-Mercier, Nicholas Embleton, Sophie Bélanger, Audrey Larone Juneau, Christine Tremblay
Background In neonatology, multiples pregnancies are common: 50% of twins and 95% of triplets are admitted to the NICU. Unfortunately, it is not rare for one baby to die. When this happens, parents are in a unique situation: they need to mourn their baby, while continuing to visit their other baby(ies) in the NICU. Communication with parents in these circumstances has been demonstrated to be sub-optimal
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52 An Evaluation of Satisfaction with Emergency Department Care in Children and Adolescents with Mental Health Concerns Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Conné Lategan, Stephen Freedman, Amanda Newton, Antonia Stang, Jennifer Thull-Freedman, Eddy Lang, Paul Arnold, Michael Stubbs
Background Increasingly, the emergency department (ED) is a vital safety net for children and adolescents with mental health concerns seeking crisis care. Evaluating patient and parent/caregiver experience and satisfaction with care is essential to improve the quality of mental health services provided. Objectives The primary objective was to evaluate total satisfaction with the delivery of ED mental
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85 Incidence of Intravenous Immunoglobulins-related Adverse Events in Children Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Mathilde Chaloult-Lavoie, Marie-Claude Pelland-Marcotte, Elisabeth Poulin, Laurence Amélie Hayes, Pierre Ouellet, Jade Côté
Background Intravenous immunoglobulins (IVIG) therapy is increasingly used in the treatment of various paediatric diseases. Data about frequency and underlying mechanisms of IVIG-related adverse events (IVIG-AEs) in children are limited. Objectives Objectives of this study were to document the incidence of IVIG-AEs in paediatric hospitalized patients and identify risk factors for IVIG-AEs. Design/Methods
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81 A Snapshot of Entrustability of Acute Care Procedural Skills in Paediatrics Residents Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Maaz Mirza, Karen Forward, Quang Ngo, Elif Bilgic, Ronish Gupta
Background General paediatricians are expected to be competent in the resuscitation of children and important to this competency is the ability to perform certain acute care procedural skills. Paediatric residents are expected to be competent in these procedural skills by the end of their training as specified by the Royal College (RCPSC). However, the extent to which residents are actually competent
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36 Quality Improvement Integrated Kangaroo Mother Care (QIiKMC)-Development with Evidence-based Practice for Improving Quality (EPIQ) to Improve Learning and Implementation Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Doug McMillan, Nalini Singhal, Stella Kyoyagala, Susan Niermeyer, Julieth Kabirigi, William Keenan, Ashish KC, Majeeda Kamaluddeen, Khalid Aziz
Introduction/Background Kangaroo Mother Care (KMC) improves outcome for small newborns, but implementation has been slow. This lag may be associated with lack of short, effective learning programs for healthcare workers, and limited ability to overcome barriers to KMC program development. Objectives To develop a practical learning program for KMC with focus on facilitating healthcare workers assisting
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66 Association of Low Hemoglobin at Birth and Neurodevelopmental Outcomes in Preterm Neonates < 29 Weeks’ Gestation: A Retrospective Cohort Study Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Mohamed Elkhouli, Kamini Raghuram, Thanna Elhanafy, Elizabeth Asztalos, Rudaina Banihani, Prakesh S Shah, Adel Mohamed
Background Low hemoglobin (Hb) at birth is not an uncommon presentation for infants born preterm. The association of early anemia and neurodevelopmental outcomes in extremely preterm infants is not well studied. Objectives The objective of this study was to assess neurodevelopmental outcomes at 18-24 months corrected age (CA) of preterm infants with Hb <120 gm/l compared to those with Hb ≥120 gm/l
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98 Seeing the Unseen– A Retrospective Review of the Demographic Characteristics of a Place-based, Inner-City Social Paediatrics Program Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Judy So, Sunny Sun, Annie Kim, Saina Nemati, Michelle Kim, Gwyneth McIntosh, Kristina Pikksalu, Christine Loock, Matthew Carwana
Background Social paediatrics is a holistic approach to child and youth health that considers the society and environment the child lives in, and aims to address social determinants of health (SDoH) to improve health equity. Place-based social paediatrics clinics minimize health disparities through outreach programs, navigational support, and facilitating access to specialty care services. This model
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46 Association of Empiric Antibiotic Selection on Clinical Outcomes in Hospitalized Children with Severe Orbital Infections: A Multicenter Cohort Study Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Emily Nguyen, Sanjay Mahant, Jessica Cichon, Cornelia M Borkhoff, Olivier Drouin, Catherine Pound, Julie Quet, Gita Wahi, Ann Bayliss, Gemma Vomiero, Jessica Foulds, Ronik Kanani, Mahmoud Sakran, Anupam Sehgal, Eleanor Pullenayegum, Elysa Widjaja, Arun Reginald, Nikolaus E Wolter, Patricia C Parkin, Peter J Gill, Carsten Krueger
Background Antibiotic selection in children with periorbital and orbital infections is often empiric and regimens vary widely among institutions in their spectrum and inclusion of anti-anaerobic and anti-staphylococcal agents. Objectives Currently, there are no national clinical guidelines for antibiotic selection and no studies comparing commonly used antibiotic regimens in orbital infections. We
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27 EDI Practices Amongst Academic Leaders at a Tertiary Paediatric Centre Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Natasha Johnson, Kassia Johnson, April Kam, Sarah Khan, Gita Wahi, Megan Lacy
Background Our university’s strategic approach to Equity, Diversity and Inclusion (EDI) includes institutional capacity and commitment. Embedded within this pillar is the establishment of “systems, structures and policies that sustain EDI commitments through leadership, governance and accountability”. 1.Objectives: To ascertain baseline EDI practices of Division Leaders and the Department Executive
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C1 (Clinical Case) Case Presentation: Acute Genital Ulceration in a 15-Year-Old Girl Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Alyssa Smith, Nadin Abbas, Marina Yacob
Introduction/Background Genital ulceration may occur in various conditions, and requires a systematic approach to its diagnosis. This should include consideration of both infectious and non-infectious etiologies. The most common causes of genital ulceration are herpes simplex virus (HSV) types 1 and 2 and syphilis (Treponema pallidum). Genital HSV may be asymptomatic or painful, and may present with
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C4 (Clinical Case) Vascular Ehlers-Danlos Syndrome in the Paediatric Population: A Case Report of an Internal Bleed Caused by Ruptured Pseudoaneurysm Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Nour Alkindi, Abdurahman Andijani, Samara Zavalkoff, Karl Muchantef
Introduction/Background Ehlers-Danols syndrome (EDS) is a connective tissue disease characterized by joint hypermobility, skin hyperextensibility and tissue fragility. EDS has six types. Type IV EDS: vascular EDS (vEDS), is rare but also the most malignant. Case Description We report a 15-year-old boy with a previous history of spontaneous colon perforation and two left shoulder dislocations. He presented
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R2 (Resident Advocacy Project) Reducing the Risk of ATV-related Harm in Saskatchewan Children Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Alyssa Zucchet, Karen Leis
Rationale and Objectives All-terrain vehicles (ATVs) are the second highest cause of transport-related hospitalizations, emergency room visits, and disabilities in Saskatchewan citizens of all ages. Saskatchewan law restricts the use of ATVs by children aged 12-16 and bans the use of ATVs by children under the age of 12 on public land. Previous CPS status reports had found this level of legislation
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C5 (Clinical Case) Coccobacillary Meningitis and Septic Embolic Infarcts in an Ex-Preterm Infant: An Unexpected Pathogen Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Karina Burke, Sulwan Algain, Farah Abdulsatar, Fatimah Almutawa, Keng Tay, Michelle Barton-Forbes
Introduction/Background Pasteurella multocida causes life-threatening zoonotic invasive infections in immunocompromised individuals and those at extremes of age (neonates and elderly). Bacteremia, meningitis, and endocarditis are serious complications that are associated with up to 25-30% mortality. Case Description A 7-week-old ex-34-week preterm female infant presented with a one-day history of fever
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100 Exploring the Experiences of Refugee Claimant Youth and their Caregivers with Navigating Healthcare in Canada Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Chioma Newbube, Puneet Parmar, Shazeen Suleman, Martha Taylor
Background In 2022 alone, 27,000 refugee claimants entered Canada, seeking protection. Although refugee claimants are ineligible for provincial health insurance programs, the Interim Federal Health Program (IFHP) provides coverage for basic medical care and supplemental services. However, previous studies have shown that only 24% of paediatricians are registered for IFHP, suggesting limited access
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5 The Relationship between National Paediatric Research Funding and Health Outcomes in Canada Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Analyssa Cardenas, Malvina Chhina, Alexandria Martin, Brittany Cormier, Jessica Savoie, Christine Chambers, Jennifer Parker, Sarah De La Rue, Noni MacDonald, Ruth Warre, Isabel Jordan
Introduction The Canadian Institutes of Health Research (CIHR) is Canada's federal funding agency for health research. CIHR invests approximately $1 billion each year to support health research. A recent cross-sectional analysis of 14,060 paediatric grants from the National Institutes of Health (NIH) showed that funding for paediatric research was correlated with level of disease burden, although certain
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51 Mental Health Trajectories of Children and Caregivers who Accessed School-based Health Centres during the COVID-19 Pandemic Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Saisujani Rasiah, Sloane Freeman, Justine Cohen-Silver, Gerald Lebovic, Keying Xu, Jonathan Maguire
Background School-based health centres (SBHCs) improve health care access for students with mental health concerns, especially for disadvantaged communities who face access barriers. During the pandemic, health care access was restricted; however our SBHCs remained accessible. How SBHCs supported children’s and parents’/caregivers’ mental health during the pandemic is unclear. Objectives The primary
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42 Enacting Meaningful Change in the Face of Adversity – Use of a Sentinel Event to Pilot the Creation of a Rapid Response System in a Tertiary Paediatric Care Centre Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Mariam Naguib, Hajare Iraqi, Anab Rebecca Lehr, Catherine Rich, Joshua Feder, Biagina-Carla Farnesi
Introduction/Background Although rare, in-hospital paediatric mortality occurs at a rate of 12.66 per 1000 admissions. Delayed recognition of clinical deterioration is a modifiable factor in such adverse events. In paediatric patients, subtle changes in vital signs often precede acute deterioration and provide an opportunity for early intervention and prevention of further deterioration. Based on this
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4 Adolescents Identifying their Barriers to Access Mental Health and Addiction Services in a Small Rural Canadian Town Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Oliva Ortiz-Alvarez, Regina Cozzi, Heather Blackburn, Hana Marmura
Background Mental health illnesses or disorders and addictions are common in the Canadian population. Despite the huge burden associated with child and adolescent mental health disorders around the world, in Canada and in our local communities there are gaps in the provision of care for this population. Teenagers are particularly vulnerable to the inadequate provision of care, as services have been
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24 Characteristics and Outcomes of Hospitalized Children by SARS-Cov-2 Lineage: An IMPACT Surveillance Network Analysis Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Daniel Farrar, Julie Bettinger, Annick Audet, Aaron Campigotto, Shelley Deeks, Olivier Drouin, Joanne Embree, Elie Haddad, Scott Halperin, Tajdin Jadavji, Kescha Kazmi, Melanie Laffin Thibodeau, Charlotte Moore Hepburn, Jesse Papenburg, Rupeena Purewal, Manish Sadarangani, Laura Sauvé, Sarah Wilson, Rae Yeung, Karina Top, Fatima Kakkar, Shaun Morris
Introduction/Background Changes in relative virulence of SARS-CoV-2 lineages among children remain poorly understood, yet are important considerations for vaccination and health resource management. Further evidence is needed to assess the burden of severe paediatric COVID-19 due to the Omicron variant. Objectives In this study, we aimed to compare presenting features and disease severity among hospitalized
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61 Antibiotic Resistant Patterns of Bacterial Pathogens Causing Invasive Neonatal Infections in Northern Alberta Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Joseph Ting, Adrien Lam, Alena Tse-Chang, Mao-cheng Lee
Background Antimicrobial resistance is one of the most serious global health threats facing the world today. The neonatal intensive care unit (NICU) is a clinical environment that houses newborn infants who are highly susceptible to overwhelming infection. Early and decisive treatment with powerful anti-microbials tends to be the preferred clinical choice for treating sick infants empirically. Prolonged
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30 Promoting Child and Youth Rights Literacy and the United Nations’ Convention on the Rights of the Child (UNCRC) for Equity-deserving Populations: A Multi-Partner, Mixed Methods Pilot Study Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Sanya Grover, Catherine Binda, Will Lau, Amy Beevor-Potts, Lauren Bondi, Sabrina Gill, Lisa Ritland, Alysha McFadden, Clea Bland, Damian Duffy, Matthew Carwana, Kate Hodgson, Ziba Vaghri, Christine Loock
Background The UNCRC outlines the rights of children and youth to develop their greatest potential. These rights provide a framework for a child-centred approach in paediatric clinical practice and are associated with improved patient outcomes and experiences. While these rights are increasingly acknowledged globally, more work is needed within clinical settings to adopt this rights-based approach
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53 Adolescent Dialectical Behaviour Therapy: Levels of Care Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Olivia MacLeod, Marjorie Robb, Anne Gillies
Introduction/Background A growing body of research supports the efficacy of Dialectical Behavioural Therapy (DBT) for adolescents with various mental health diagnoses, but a traditional DBT program uses intensive resources (weekly individual and group therapy). To see whether a less intensive program could benefit certain participants, a complementary program called “DBT Lite” was designed and implemented
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19 Characterization of Neurodevelopmental Comorbidities within a Paediatric Population with a First Epileptic Seizure Paediatr. Child Health (IF 1.9) Pub Date : 2023-09-23 Bertrand Leduc, Paola Diadori, Philippe Major, Jennifer Gagné, Jonathan Bitton, Soumia Aboulamer, Gabrielle Beetz
Background Epilepsy is the most common paediatric neurological disorder. An estimated 4% of the general population will have an unprovoked epileptic seizure at least once in their lifetime. Of these, about 40% will experience a recurrence within two years. The International League Against Epilepsy (ILAE) established that one part of the definition of epilepsy was the onset of a first seizure with a