Showing papers by "Evelyn Constantin published in 2019"
TL;DR: There is notable variability in the prevalence of sleep problems between subgroups of children with CP and objective measures (such as polysomnography or actigraphy in well-described, large, broadly recruited samples are recommended.
27 citations
TL;DR: Higher zBMI is associated with increased risk for iron deficiency in children between 1 and 3 years, and should be considered as a risk factor in targeted screening.
16 citations
TL;DR: In this article, the prevalence of behavioral difficulties in preschool-and school-aged children with cerebral palsy (CP) was found to be associated with sleep problems and nighttime pain.
15 citations
TL;DR: Sleep, non-ambulatory status and presence of comorbidities are important determinants of HRQoL in children with CP, and monitoring sleep, psychosocial functioning and pain is important in this population, as their management should improve HRZoL.
12 citations
TL;DR: The current state of Canadian training, clinical services, research, and advocacy initiatives related to non-respiratory sleep disorders, with a specific focus on insomnia, are outlined.
9 citations
TL;DR: Consumption of higher-fat cow's milk was associated with a small increase in non- HDL cholesterol but not greater odds of having high non-HDL cholesterol, and further research is needed to assess this relationship with other CVD risk factors in young children.
5 citations
TL;DR: This review focuses exclusively on five successful pharmacological treatments for insomnia in children and adolescents with chronic pain conditions, and presents concepts and recommendations based on current medical evidence and the knowledge of medical experts in the field.
Abstract: The purpose of this chapter is to provide a review and expert opinion supporting pharmacological treatments for insomnia in children and adolescents with chronic pain conditions. Insomnia as an independent disorder is defined as dissatisfaction with sleep quantity or quality, clinically significant distress or impairment in daytime functioning, and a specific time pattern of occurrence. Independent of the pathological context, insomnia is more frequent in adolescents than in children. The impact of insomnia on pediatric patients is quite profound, especially on those affected by chronic pain, where the prevalence of insomnia is significantly greater than in those without pain. Despite the intense effect of insomnia on physical, emotional, and cognitive health, as well as on the efficacy of interdisciplinary therapy, currently, there are no pharmacological guidelines for this population. Thus, the diagnosis and successful treatment of insomnia in children with chronic pain conditions often represent a significant challenge for clinicians. The management of insomnia requires an interdisciplinary team that includes a physician, physiotherapist, and psychologist. Specific therapies for insomnia include sleep hygiene counseling, cognitive behavioral therapy, and pharmacological interventions. This review focuses exclusively on five successful pharmacological treatments for insomnia in children and adolescents with chronic pain conditions, and presents concepts and recommendations based on current medical evidence and the knowledge of medical experts in the field.
1 citations
TL;DR: Engaging residents in teaching cHCPs could lead to enhanced and unique learning benefits compared to the traditional RAT approach, which is a promising strategy for RAT curricula aiming at best preparing trainees for their future role as educators.
Abstract: Purpose: The learning benefits associated with residents teaching peers and junior trainees are well documented. However, the concept of Reverse Educational Distance (RED), when residents teach an academically senior audience, is poorly described. Methods: We explored Pediatric residents' and community health care providers' (cHCPs) perceptions of a RED teaching intervention, whereby residents would engage in teaching cHCPs. We explored the anticipated learning benefits, challenges, and ways to optimize its implementation in a residency program. We conducted a descriptive qualitative study with focus groups. We also compared RED with the traditional Resident-As-Teacher (RAT) approach from a theoretical framework perspective. Results: Benefits anticipated by residents included: (1) optimizing their incentive to learn; (2) focusing on the practical 'real-world application' of knowledge; and (3) a better understanding of community practice. Benefits anticipated by cHCPs included: (1) being updated on evidence-based practices; and (2) improving collaboration between cHCPs and future pediatricians. The major anticipated challenge was the residents' lack of clinical experience, for which key solutions were proposed. Conclusions: Engaging residents in teaching cHCPs could lead to enhanced and unique learning benefits compared to the traditional RAT approach. RED is a promising strategy for RAT curricula aiming at best preparing trainees for their future role as educators.
1 citations