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 investigation and empirical treatment. However, children younger than three months of age still require an aggressive approach to investigation and careful follow-up. Certain laboratory criteria can allow safe management of even young infants on an outpatient basis. The present article outlines an age-based approach to investigation and management of children with fever.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Pusic MVdoi
10.1093/pch/12.6.469subject
Has Abstractpub_date
2007-07-01 00:00:00pages
469-472issue
6eissn
1205-7088issn
1918-1485journal_volume
12pub_type
杂志文章abstract:BACKGROUND:Despite the important role of drug therapy in children, there is often a lack of readily available information regarding the indications and dosing regimens for medications in paediatrics. OBJECTIVE:To collect data on where family physicians obtain this prescribing information. METHOD:A structured question...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/8.4.219
更新日期:2003-04-01 00:00:00
abstract::The harmful effects of child poverty are well documented. Despite this, progress in poverty reduction in Canada has been slow. A significant gap exists between what is known about eradicating poverty and its implementation. Paediatricians can play an important role in bridging this gap by understanding and advancing c...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/20.4.203
更新日期:2015-05-01 00:00:00
abstract:INTRODUCTION:In September 2005, the Alberta government introduced the daily physical activity (DPA) initiative, which requires that students from grades 1 to 9 be physically active in school for a minimum of 30 min per day. OBJECTIVE:To obtain information on whether and how the DPA initiative has been implemented in C...
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::[This corrects the article on p. 583 in vol. 12.][This corrects the article on p. 591 in vol. 12.]. ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.10.858
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Paediatric electrocardiograms (ECGs) are ordered and interpreted by general paediatricians; however, no previous studies have evaluated the accuracy of their ECG interpretations. OBJECTIVE:To determine general paediatricians' practice and opinions regarding ECG use, accuracy of their interpretation of paedi...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/19.2.77
更新日期:2014-02-01 00:00:00
abstract::There is a growing focus in the medical community on de-escalating medical treatments where appropriate; however, specific efforts to reduce medication burden in patients with polypharmacy has largely been targeted toward adult populations. Polypharmacy increases the risk of adverse drug reactions in children, and tha...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxy188
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVES:To determine the use and potential interactions of natural health products (NHPs) with conventional medications in children with life-limiting illnesses. METHODS:The present study was a retrospective medical record review of palliative care patients <18 years of age who were admitted for respite care to a C...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/20.1.23
更新日期:2015-01-01 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
abstract:Objectives:Children with attention deficit/hyperactivity disorder (ADHD) are frequently treated with psycho-stimulant agents causing a modest but significant increase in blood pressure and heart rate. The objective of this study was to define blood pressure characteristics in children with ADHD treated with a variety o...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx207
更新日期:2018-09-01 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::Canada lags behind other countries when it comes to investing in families with children. Canada, therefore, fails to promote health by not optimizing early development. The authors diagnose the Canadian failure. The problem is not research or fiscal capacity, but rather a sickness in Canadian culture. Four ailments ar...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/14.10.685
更新日期:2009-12-01 00:00:00
abstract::The ability to communicate effectively with patients and families is paramount for good patient care. This practice point reviews the importance of communicating effectively in cross-cultural encounters. The concept of cultural competence is introduced, along with the LEARN (Listen, Explain, Acknowledge, Recommend, Ne...
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
abstract::Concussion has emerged as an important public health issue affecting thousands of Canadians annually. Health care providers including paediatricians, family and emergency medicine physicians, nurses, and nurse practitioners are commonly tasked with the responsibility of providing primary care to patients with acute co...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxy171
更新日期:2019-06-01 00:00:00
abstract::Obesity is recognized by the World Health Organization as an emerging epidemic with significant health risks. This paper outlines the issues for overweight and obese adolescents in Canada, and provides guidelines for providing practical, office-based management in the community. The focus is upon promoting healthy app...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract:BACKGROUND:A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. OBJECTIVE:To determine whether the use of bundled interventions that include a checklist during central-line inser...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/19.4.176
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:The optimal timing for changing intravenous (IV) administration sets that contain total parenteral nutrition (TPN), with and without lipids, in neonates remains unknown. OBJECTIVE:To determine whether decreasing the frequency of changing IV administration sets (>24 h versus every 24 h) in neonates increases...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:
更新日期:2012-11-01 00:00:00
abstract::Cranial asymmetry occurring as a result of forces that deform skull shape in the supine position is known as deformational plagiocephaly. The risk of plagiocephaly may be modified by positioning the baby on alternate days with the head to the right or the left side, and by increasing time spent in the prone position d...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/16.8.493
更新日期:2011-10-01 00:00:00
abstract::Although acute and subacute lead toxicity requiring active treatment is rare in Canada, paediatricians need to be aware of new evidence linking lower lead levels to neurodevelopmental deficits. Health Canada has identified potential exposures occurring prenatally, in infancy and during early childhood from food and wa...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxz080
更新日期:2019-07-01 00:00:00
abstract::Clinical trials in paediatric cancer continue to be a key factor in progress toward better treatment and prognosis. Paediatricians and family physicians may be asked by patients and families for their advice regarding participation in such trials. The significant advances in the success of treatment of paediatric canc...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
abstract::Helicobacter pylori infection is acquired in childhood and plays a causative role in chronic gastritis, peptic ulcer disease and the development of gastric cancer. The present review focuses on recent advances in the management of H pylori infection in children and provides an update of current Canadian guidelines reg...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/9.10.709
更新日期:2004-12-01 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::Hyperbilirubinemia is very common and usually benign in the term newborn infant and the late preterm infant at 35 and 36 completed weeks' gestation. Critical hyperbilirubinemia is uncommon but has the potential for causing long-term neurological impairment. Early discharge of the healthy newborn infant, particularly t...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.5.401
更新日期:2007-05-01 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::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
abstract:OBJECTIVE:To determine whether a simple, nonsurgical treatment for congenital ear abnormalities (lop-ear, Stahl's ear, protruding ear, cryptotia) improved the appearance of ear abnormalities in newborns at six weeks of age. METHODS:This is a descriptive case series. All newborns with identified abnormalities were refe...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/10.6.327
更新日期:2005-07-01 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::A 1992 meta-analysis did not find enough evidence to recommend one method of umbilical cord care as the 'best'. However, certain agents were deemed acceptable including triple dye, silver sulfadiazine and antibiotic ointments. In this paper, the authors sought to discover whether there was now evidence to support one ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/4.2.105
更新日期:1999-03-01 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
abstract:BACKGROUND:Formal sexual education is a mandatory component of the high school curriculum in most Canadian provinces. The present study was a preliminary assessment of sexual knowledge among a sample of Ontario adolescents who had completed their high school sexual education requirements. METHODS:A questionnaire, test...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2013-02-01 00:00:00
abstract:Objective:To evaluate the relative incidence of cardiogenic and septic shock in term neonates and identify findings that help differentiate the two entities. Study Design:We conducted a retrospective chart review of term neonates presenting to British Columbia Children's Hospital (BCCH) with decompensated shock of an ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxz078
更新日期:2019-06-24 00:00:00