Abstract：
OBJECTIVE:To describe an approach to history, physical examination and investigation for the developmentally delayed child. METHODS:A review of electronic databases from 1997 to 2001 was done searching for articles relating to the approach to or investigations of children with developmental delay. Five studies, including a review of a consensus conference on evaluation of mental retardation, were chosen because of their general approaches to developmental delay and/or mental retardation, or specific evaluations of a particular laboratory investigation. CONCLUSIONS:A diagnosis or cause of mental retardation can be identified in 20% to 60% of cases. Evaluation of the developmentally delayed child should include a detailed history and physical examination, taking special care to record a three-generation pedigree, as well as to look for dysmorphic features. If no other cause is apparent, routine investigations should include a chromosome study and fragile X studies. Further investigations are warranted depending on the clinical features.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Meschino WSdoi
10.1093/pch/8.1.16subject
Has Abstractpub_date
2003-01-01 00:00:00pages
16-9issue
1eissn
1205-7088issn
1918-1485journal_volume
8pub_type
杂志文章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：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：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：:Riga-Fede is the rare condition of benign ulceration caused by repetitive trauma to the lingual tissues by the teeth in children younger than two years of age. The differential diagnosis includes infective and neoplastic conditions. Histological diagnosis is required when the symptoms fail to resolve with standard man...
journal_title：Paediatrics & child health
pub_type：
doi：10.1093/pch/15.9.581
更新日期：2010-11-01 00:00:00
abstract：:Idiopathic neonatal priapism is a rare and poorly understood phenomenon. The case of an otherwise healthy premature male newborn who was noted to have a persistent penile erection on the first day of life is presented. A Doppler ultrasound of the penis was performed, along with the first-ever cavernous blood gas analy...
journal_title：Paediatrics & child health
pub_type：
doi：10.1093/pch/16.1.e6
更新日期：2011-01-01 00:00:00
abstract：Background:Hyperbilirubinemia is a common neonatal condition requiring timely management to prevent acute bilirubin encephalopathy. Management protocols allow nonphysicians to initiate designated actions prior to physician assessment. Objective:To assess the effectiveness of a nurse-initiated neonatal jaundice managem...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxx056
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:To determine the current prevalence of smoking among First Nations youth living on reserve within the Saskatoon Tribal Council, and to determine the independent risk indicators associated with smoking among First Nations youth. METHODS:Students in grades 5 to 8 attending school within the Saskatoon Tribal Co...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/16.10.e71
更新日期：2011-12-01 00:00:00
abstract：:Maintenance of plasma glucose depends on a normal endocrine system, functional enzyme levels for glycogenolysis, gluconeogenesis and other processes, and there must be an adequate supply of endogenous fat, glycogen and substrates of gluconeogenesis. Neonatal hypoglycemia should be defined as serum glucose less than 2....
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/3.1.16
更新日期：1998-01-01 00:00:00
abstract：:While terms such as 'essential' and 'nonessential' used amidst the COVID-19 pandemic may serve a practical purpose, they also pose a risk of obstructing our view of the harmful indirect health consequences of this crisis. SARS-CoV-2 cases and deaths in children are minimal compared to adults, but the pandemic impacts ...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxaa077
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Many intervention studies typically require data from several centres to ensure adequate power. The usual intention is to pool data after testing for heterogeneity. Sites that differ in sample characteristics may, on the one hand, complicate the assessment of the intervention, but on the other hand, they may...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/8.7.433
更新日期：2003-09-01 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：:This practice point summarizes the use of antiviral drugs to manage influenza illness in children and youth for the 2012/2013 season. It excerpts a recently published, full-length update of Canadian recommendations for clinicians on the use of antiviral drugs for the prevention and treatment of influenza, with a focus...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：2013-03-01 00:00:00
abstract：:The incidence of early-onset group B streptococcal (GBS) sepsis in the neonatal population has decreased substantially since the introduction of maternal intrapartum antibiotic prophylaxis and routine prenatal screening. However, these strategies have not reduced the incidence of late-onset GBS infections. Additional ...
journal_title：Paediatrics & child health
pub_type：
doi：10.1093/pch/16.6.e48
更新日期：2011-06-01 00:00:00
abstract：:Widespread varicella vaccination in Canada since 2007 has changed the epidemiology of chickenpox, with a significant decline in varicella-related hospitalizations. However, there will always be a varicella-susceptible population because of immune-compromising treatments or conditions and/or parental vaccine refusal. T...
journal_title：Paediatrics & child health
pub_type： 杂志文章,评审
doi：10.1093/pch/pxy096
更新日期：2018-09-01 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：: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：OBJECTIVE:To determine whether reminder notices would improve the timeliness of toddler-age vaccinations. DESIGN:Prospective, randomized, controlled trial. POPULATION STUDIED:Two convenience cohorts of 320 children due to receive either measles-mumps-rubella (MMR) vaccine (at 12 months of age) or diphtheria-pertussis...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：1999-09-01 00:00:00
abstract：:Recreation, globalization, migration, and families visiting friends and relatives (VFRs) overseas have increased the frequency of international travel and potential exposures to tropical diseases. Young infected patients can present a diagnostic challenge to clinicians when they return to Canada, with significant cons...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxy138
更新日期：2018-12-01 00:00:00
abstract：Introduction:In June 2012, the government of Canada severely restricted the scope of the Interim Federal Health Program that had hitherto provided coverage for the health care needs of refugee claimants. The Quebec government decided to supplement coverage via the provincial health program. Despite this, we hypothesize...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxx115
更新日期：2017-11-01 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：:Within the paediatric population, changing patterns of circumcisions have confounded the epidemiology and presentation of lichen sclerosus (LS). We sought to evaluate the incidence, demographics, and clinical features of patients presenting to a single Albertan paediatric urologist with LS. This retrospective descript...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxy172
更新日期：2020-06-01 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：:Respiratory syncytial virus (RSV) is recognized as an important cause of childhood morbidity and mortality. Vaccine development has been challenging in young infants and has required the advent of molecular technologies to optimize the safety profile, while maintaining immunogenicity of live-attenuated vaccines. Prote...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/8.10.605
更新日期：2003-12-01 00:00:00
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 ...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：2007-03-01 00:00:00
abstract：:Canadian children and youth travelling overseas face numerous environmental risks, including trauma, extreme temperatures, sun exposure, high altitudes, environmental pollution, and a variety of bites, stings and envenomations. Because skilled emergency response is limited or nonexistent in places where serious illnes...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/5.7.387
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVES:To review the risks of injury to children in the hospital setting and to provide an overview of the factors which influence the approach to hospital safety, including institutional liability, hospital accreditation, patient safety and risk management issues. METHODS:Fatal and nonfatal injuries to children i...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：2004-05-01 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：OBJECTIVE:To explore the factors associated with the sex disparity showing a greater prevalence of obesity/overweight in boys compared with girls in Chinese school children. METHODS:Sampled students and their parents were asked to complete a questionnaire. Perceptions of weight status by the parents, grandparents and ...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/19.7.e113
更新日期：2014-08-01 00:00:00
abstract：:Over the past 30 years, there has been a resurgence in the use of storytelling and narrative in medicine. At first glance, the trend to incorporate art forms into medicine appears to run counter to the rise of the more objective and positivist evidence-based medicine movement. In the present article, the authors provi...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/11.10.665
更新日期：2006-12-01 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
