Abstract:
BACKGROUND:Child abuse and neglect (CAN) represents an international public health and societal problem, the extent and nature of which are inadequately understood. Child and youth protection programs (CYPPs), based in 16 Canadian paediatric academic health science centres, identify, manage, treat and prevent cases of CAN. OBJECTIVES:To ascertain the structure, resources and functioning of Canadian CYPPs. METHODS:Telephone interviews were conducted with the directors of the 16 CYPPs. RESULTS:Full-time equivalent staffing ranged from 0.25 to 18.7 people. All programs were staffed with physicians. The majority of programs had social workers (14 of 16) and administrative staff (12 of 16), while fewer programs had a dedicated nurse (nine of 16) or psychologists (six of 16). All CYPPs provided medical examinations and psychosocial assessments, consultation and coordination of CAN cases within the hospital and with community professionals, expert medico-legal opinions and representation in court, and hospital in-service and community outreach education and advocacy. Nine centres participated in regular multi-agency reviews of cases. Fourteen centres had specialized teams for acute sexual assault. Academic activities include lectures to medical students (16 of 16), undergraduate clinical electives (11 of 16), mandatory clinical rotations for paediatric residents (10 of 16) and/or electives (15 of 16), a fellowship (one of 16) and research on CAN-related issues (11 of 16). CAN documentation was inconsistent and limited, underestimating the number of cases assessed within the CYPPs. CONCLUSION:CYPPs appear to need further resources to care for maltreated children and their families. A national, standardized database to document CAN cases would aid in the allocation of resources to help develop policies and programs that effectively address the needs of CAN victims and their families, and to prevent CAN.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Bennett S,Plint AC,Mackay Msubject
Has Abstractpub_date
2007-03-01 00:00:00pages
205-9issue
3eissn
1205-7088issn
1918-1485journal_volume
12pub_type
杂志文章abstract:Objective:To determine if treatment failure varies based on ROME III classification and adherence to guideline congruent therapy among children diagnosed in an emergency department with functional constipation. Methods:Children aged 1 month to 18 years who were diagnosed with constipation in a paediatric emergency dep...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxy121
更新日期:2019-06-01 00:00:00
abstract::Family physicians, paediatricians, nurse practitioners and all primary health care providers are well-positioned in the health care system to provide identification and intervention for developmental delay in early childhood. This can be accomplished through the promotion of healthy child development by supporting chi...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/13.10.845
更新日期:2008-12-01 00:00:00
abstract::Mitigating the harmful effects of adverse social conditions is critical to promoting optimal health and development throughout the life course. Many Canadians worry over food access or struggle with household food insecurity. Public policy positions breastfeeding as a step toward eradicating poverty. Breastfeeding ful...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx067
更新日期:2017-07-01 00:00:00
abstract:Background:Constipation is a common condition in children. Little is known about the acute health care utilization of constipated children, including how many present to the paediatric emergency department (ED), the spectrum of presenting complaints, investigations and treatments used. Methods:We conducted a cross-sec...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx041
更新日期:2017-06-01 00:00:00
abstract::[This corrects the article on p. 12 in vol. 20, PMID: 25722635.]. ...
journal_title:Paediatrics & child health
pub_type: 已发布勘误
doi:
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Current recommendations suggest that routine screening for hypoglycemia should be performed in all term newborns with a birth weight (BW) below the 10th percentile. The impact of updated growth curves on the incidence of hypoglycemia in small-for-gestational-age (SGA) newborns has not been evaluated. OBJECT...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/15.5.271
更新日期:2010-05-01 00:00:00
abstract::Concerns about vaccine safety make some parents hesitant about immunization. Health care providers are pivotal in helping parents understand that Canada is a leader in vaccine safety. The present practice point provides an update on the eight components of Canada's vaccine safety system: (1) an evidence-based pre-lice...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx102
更新日期:2017-07-01 00:00:00
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journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/10.1.25
更新日期:2005-01-01 00:00:00
abstract::The present paper describes research on the skills and processes associated with word and text reading acquisition in preschool children and during the first years of school. The aim is to provide an overview that gives a sense of the important milestones in language and literacy acquisition. A comparison of children'...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/11.9.589
更新日期:2006-11-01 00:00:00
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journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx126
更新日期:2018-02-01 00:00:00
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journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/20.2.77
更新日期:2015-03-01 00:00:00
abstract::Child sexual abuse is an important and not uncommon problem. Children who have been sexually abused may present to a physician's office, urgent care centre, or emergency department for medical evaluation. A medical evaluation can provide reassurance to both child and caregiver, identify care needs, and offer an accura...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/pxaa019
更新日期:2020-04-01 00:00:00
abstract::In Canada, cerebral palsy (CP) is the most common physical disability, affecting approximately 2 to 3 per 1,000 individuals. Paediatricians are sure to encounter and care for children with CP and their families. The role of the general paediatrician in caring for a child with CP is crucial, from diagnosis to providing...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxaa100
更新日期:2020-09-16 00:00:00
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journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/13.6.499
更新日期:2008-07-01 00:00:00
abstract::Nontyphoidal Salmonella (NTS) infections are primarily transmitted by contaminated food or water or contact with carrier animals (particularly reptiles), and present with diarrhea. Antibiotics do not decrease the severity or duration of diarrhea and may increase the incidence of NTS carriage, so they should only be us...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/pxy199
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:To assist in the diagnosis of retinopathy of prematurity (ROP) to facilitate treatment in a timely manner to help prevent blindness. DATA SOURCES:Systematic review using MEDLINE including the following key words, "retinopathy of prematurity", "retrolental fibroplasia", "blind", "blindness", "vision screening...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::Arthropod-borne diseases do not occur commonly in Canada. Nevertheless, Canadians run the risk of contracting certain infections within the country during arthropod season, as well as when travelling abroad. Therefore, it is important that clinicians are aware of the possible occurrence of arthropod-borne diseases, an...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/5.4.206
更新日期:2000-05-01 00:00:00
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journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/15.7.e19
更新日期:2010-09-01 00:00:00
abstract::In the face of negative media attention, community members and Elders from the First Nation community of Maskwacis identified the importance of promoting community strengths and reframing perceptions of their community. Two research questions were addressed: (1) How do youth in Maskwacis view their community strengths...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx178
更新日期:2018-07-01 00:00:00
abstract:INTRODUCTION:A number of reports suggest that Aboriginal cultural status is a major risk indicator for drug and alcohol use. The primary purpose of the present paper was to determine whether Aboriginal cultural status is independently associated with risk behaviours, such as marijuana use and alcohol abuse, among youth...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/14.4.225
更新日期:2009-04-01 00:00:00
abstract::Children with acute asthma exacerbations frequently present to an emergency department with signs of respiratory distress. The most severe episodes are potentially life-threatening. Effective treatment depends on the accurate and rapid assessment of disease severity at presentation. This statement addresses the assess...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/17.5.251
更新日期:2012-05-01 00:00:00
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journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/16.2.105
更新日期:2011-02-01 00:00:00
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journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/9.9.627
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Health care professionals (HCPs) may be involved in counselling women after an antenatal diagnosis of various fetal anomalies. Many pregnant women consider termination of pregnancy (TOP) after antenatal diagnosis of various fetal anomalies. Little is known, however, about the attitudes of HCPs regarding TOP ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/17.8.e86
更新日期:2012-10-01 00:00:00
abstract::The clinical management of febrile children continues to evolve, especially in the light of vaccines against Haemophilus influenzae type B and more recently, Streptococcus pneumoniae. These vaccines have decreased the risk of serious bacterial illness in most children, allowing for a more selective approach to investi...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.6.469
更新日期:2007-07-01 00:00:00
abstract::The present article is intended to inform paediatricians about the associations between ambient air pollution and adverse health outcomes in children within the context of current epidemiological evidence.The majority of the current literature pertains to adverse respiratory health outcomes, including asthma, other re...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
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journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/7.6.386
更新日期:2002-07-01 00:00:00
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journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/13.1.31
更新日期:2008-01-01 00:00:00
abstract::Respite care is one integral component of the transition process from paediatric to adult health care, and is of particular importance to individuals with medical complexities. Numerous gaps that exist within the current system limit a child and family's ability to access quality respite care during a time when it is ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx142
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:The importance of the teaching role of residents in medical education is increasingly being recognized. There are little data about how this role is perceived within training programs or how residents develop their teaching skills. The aims of the present study were to explore the perspectives of Canadian pa...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/13.8.675
更新日期:2008-10-01 00:00:00