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Showing papers in "Paediatrics and Child Health in 2013"


Journal ArticleDOI
TL;DR: An evidence-based overview regarding children's exposure to intimate partner violence, including epidemiology, risks, consequences, assessment and interventions to identify and prevent both initial exposure and impairment after exposure is provided.

126 citations


Journal ArticleDOI
TL;DR: The paediatric community should engage in health care reform discussions focused on chronic disease to ensure that the complex needs of these children are met.

89 citations


Journal ArticleDOI
TL;DR: Mortality from BPD has improved over the past three decades despite significant trends toward more pronounced prematurity and lower birth weights, and significant trends were observed for lower mortality despite lower gestational age and birth weight.

81 citations


Journal ArticleDOI
TL;DR: There is sound evidence that preventive dental visits improve oral health and reduce later costs, and good evidence that fluoridation therapy decreases the rate of dental caries, particularly in high-risk populations.

80 citations


Journal ArticleDOI
TL;DR: The present review focuses on the impact of childhood maltreatment on the hypothalamic-pituitary-adrenal axis and immune system function in both children and adults.

79 citations


Journal ArticleDOI
TL;DR: To optimize performance, young athletes need to learn what, when and how to eat and drink before, during and after activity.

72 citations


Journal ArticleDOI
TL;DR: The authors reviewed the evidence on dietary exposures and allergy prevention in infants at high risk for developing allergic conditions and revisited previous dietary recommendations for pregnancy, breastfeeding and formula feeding, and provided an approach for introducing solid foods to high-risk infants.

56 citations


Journal ArticleDOI
TL;DR: The proportion of children meeting the new Canadian Sedentary Behaviour Guidelines for the Early Years (zero to four years of age) and parental attitudes toward and barriers to reducing screen time are assessed.

48 citations


Journal ArticleDOI
TL;DR: This practice point outlines the development process, principles of infant feeding, and recommendations for clinicians in Health Canada, and recommends for clinicians.

43 citations



Journal ArticleDOI
TL;DR: An apparently hyperactive 10-year-old boy who had moved to Canada with his family from Eastern Europe as refugees came to your office for an assessment, and it was revealed that he had been treated for toxoplasmosis when he was two years of age.

Journal ArticleDOI
TL;DR: A preliminary assessment of sexual knowledge among a sample of Ontario adolescents who had completed their high school sexual education requirements demonstrated concerning gaps in sexual knowledge despite completion of theirSexual education requirements.

Journal ArticleDOI
TL;DR: The types and scale of homelessness in Canada is described, and reasons why youth turn to the street are reviewed, risks of the 'street economy' and barriers to health care are reviewed.

Journal ArticleDOI
TL;DR: Current understanding of the problem is outlined, recent research is summarized and detailed recommendations are made for the prescription of IV maintenance fluids in children between one month and 18 years of age.

Journal ArticleDOI
TL;DR: This review focuses on ‘healthcare transition', redefining it to encompass more than the process of physically moving between services, reflecting the need for all services to provide ongoing developmentally appropriate healthcare to adolescents and young adults.

Journal ArticleDOI
TL;DR: This document replaces a previous Canadian Paediatric Society position statement on weaning published in 2004 and states that physicians need to guide and support mothers through the weaning process.

Journal ArticleDOI
TL;DR: QoL in patients with spina bifida is related to urinary continence, and this effect appears to be independent of the type and level of the spinal dysraphism and the presence or absence of a shunt.

Journal ArticleDOI
TL;DR: The process and outcomes of the development of the AHKC's position on active video games for children and youth are outlined, and in light of the available evidence, AHKC does not recommend AVGs as a strategy to help children be more physically active.

Journal ArticleDOI
TL;DR: There is a wide variety of mental health care practices in Canadian paediatric EDs, and consideration of which resources are required to ensure evidence-based, effective services are provided to children and youth is necessary.

Journal ArticleDOI
TL;DR: Wide interhospital differences suggest that the predicament of limited access to health care of these groups of vulnerable medically uninsured children needs to be addressed through further research to inform policies and develop training.

Journal ArticleDOI
TL;DR: It is suggested that few Canadian children and youth have sufficient physical activity levels, and that greater efforts are required across sectors to promote and facilitate physical activity opportunities forChildren and youth in Canada.

Journal ArticleDOI
TL;DR: Some paediatricians' knowledge was found to be associated with practices that were in accordance with professional society recommendations and the lack of dental knowledge and training in residency limits the paediatrics' role in promoting children's oral health in daily practice.

Journal ArticleDOI
TL;DR: Clinicians will be helped to distinguish between accidental and inflicted bruises, to evaluate and manage bruising in the context of suspected child maltreatment, and to evaluate for an underlying medical predisposition to bruising.

Journal ArticleDOI
TL;DR: Performance of the cut-off points for detecting elevated BP in adolescents 13 to 18 years of age compared favourably with previous studies, showing high sensitivity and specificity.

Journal ArticleDOI
TL;DR: The evaluation of patients with acute trauma to the head at the time of initial assessment is addressed; the subsequent management of such patients in the paediatric intensive care unit is not described.

Journal ArticleDOI
TL;DR: Suggested steps include: understanding the specific parental vaccine concerns; using motivational interviewing techniques; staying on message and using clear language to present evidence of disease risks, and vaccine benefits and risks fairly and accurately.

Journal ArticleDOI
TL;DR: Azithromycin should be avoided in patients with a significant risk of bacteremia, and it is generally not recommended for the treatment of acute pharyngitis, acute otitis media or pneumococcal community-acquired pneumonia in the paediatric population.

Journal ArticleDOI
TL;DR: The knowledge translation intervention improved PHN immunizers' attitudes, beliefs and practices regarding paediatric vaccination pain management and may result in a better immunization experience for children, caregivers and immunizers.

Journal ArticleDOI
TL;DR: This practice point focuses solely on managing acute Otitis externa, without acute otitis media, tympanostomy tubes or a perforation being present.

Journal ArticleDOI
TL;DR: Understanding the independent risk indicators associated with suicide ideation among on-reserve First Nations youth living on reserve will hopefully aid in appropriate interventions.