Abstract:
:Although multiple critical steps are taken to minimize the risk of infection from transfusion of blood or blood products in developed countries, this risk can never be entirely eliminated. In Canada, the risks of noninfectious transfusion reactions, such as transfusion-related acute lung injury and major allergic or anaphylactic reactions, are greater than that of infection. This updated practice point provides an overview of transfusion infection risks in Canada. Infectious agents, systemic conditions, donor and recipient factors, and collection and infusion techniques are considered. Suggestions are offered to improve both system and process, and to help practitioners who are discussing informed consent with patients and parents before administering blood or a blood product. :Dans les pays industrialisés, de multiples mesures essentielles sont prises pour réduire au minimum le risque d’infection par une transfusion de sang ou de produits sanguins, mais ce risque ne peut jamais être réduit à zéro. Au Canada, le risque de réactions non infectieuses à des transfusions, telles que le syndrome respiratoire aigu post-transfusionnel et les réactions allergiques ou anaphylactiques majeures, est plus élevé que le risque d’infection. Le présent point de pratique présente une mise à jour des risques d’infections causées par les transfusions au Canada. Les auteurs y examinent les agents infectieux, les maladies systémiques, les facteurs liés aux donneurs et aux receveurs et les techniques de collecte et de perfusion. Ils proposent des suggestions pour améliorer à la fois le système et le processus et pour aider les praticiens qui discutent du consentement éclairé avec les patients et les parents avant d’administrer du sang ou un produit sanguin.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Macdonald NE,O'Brien SF,Delage Gdoi
10.1093/pch/17.10.e102subject
Has Abstractpub_date
2012-12-01 00:00:00pages
e102-6issue
10eissn
1205-7088issn
1918-1485journal_volume
17pub_type
杂志文章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::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:OBJECTIVE:The death of a child is a tragedy resulting in family trauma and disorganization. The present study sought to evaluate the intensity of grief experienced by parents who have lost a child in the perinatal period (stillbirth, premature baby, term baby less than one month) and parents who have lost a child after...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/8.6.363
更新日期:2003-07-01 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::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
abstract::Canadian subspecialty residency training programs are developed around the learning objectives listed in the seven Canadian Medical Education Directives for Specialists (CanMEDS) criteria. Delivering content on objectives outside of those traditionally acquired in clinical rotations can be a challenge. In the present ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/17.10.544
更新日期:2012-12-01 00:00:00
abstract::The New England Journal of Medicine recently featured an original research article, 'Contemporary Hormonal Contraception and the Risk of Breast Cancer'. (Source: Mørch LS, Skovlund CW, Hannaford PC, Iversen L, Fielding S, Lidegaard Ø. Contemporary hormonal contraception and the risk of breast cancer. N Engl J Med 2017...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxy169
更新日期:2019-07-01 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:Background:Referrals to paediatric endocrine clinics for short stature are common. Height velocity (HV) is an essential component of the evaluation of short stature as growth deceleration often reflects an underlying paediatric endocrine diagnosis (PED). Access to previous measurements facilitates prompt calculation of...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxy079
更新日期:2019-05-01 00:00:00
abstract::In the past three decades, rapidly changing demographic characteristics have been witnessed in western society. Concurrently, numerous culture-related studies have attested to the disparity in health services among different ethnic groups. Reports have shown contributing factors that can render main stream services in...
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::Sexual activity and experimentation are normative parts of adolescent development that may, at the same time, be associated with adverse health outcomes, including the acquisition of sexually transmitted infections, unplanned pregnancy, and teen dating violence. Anticipatory guidance regarding sexual and reproductive ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxaa122
更新日期:2020-12-16 00:00:00
abstract::Nutrition for Healthy Term Infants is the new national statement on nutrition for infants from birth to 24 months, developed collaboratively by the Canadian Paediatric Society, Dietitians of Canada and Health Canada.The document summarizes the existing scientific literature on infant nutrition and presents principles ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/3.2.109
更新日期:1998-03-01 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::Hydrogenation of fat products is used in the food industry to extend their shelf life. Trans fats are the result of partial hydrogenation of unsaturated fat. Trans fats increase low-density lipoprotein cholesterol and decrease high-density lipoprotein cholesterol, thus increasing the risk of cardiovascular disease. Ca...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/15.6.373
更新日期:2010-07-01 00:00:00
abstract::Acute otitis media (AOM) continues to be a common infection in young children. Milder disease, usually due to viruses or less virulent bacteria, resolves equally quickly with or without antibiotics. A bulging tympanic membrane, especially if yellow or hemorrhagic, has a high sensitivity for AOM that is likely to be ba...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/21.1.39
更新日期:2016-01-01 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: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::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: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:BACKGROUND/OBJECTIVES:In 2001, a chart review of children referred to the authors' endocrine clinic because of short stature revealed that many were referred with insufficient baseline data, had normal height velocity and were within genetic target height. Therefore, a two-way fax communication system was implemented b...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/18.10.533
更新日期:2013-12-01 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::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::Bone marrow aspiration (BMA) and bone marrow trephine biopsy are important procedures for the diagnosis of hematological malignancies and nonmalignant diseases in children. During BMA, bone marrow particles are obtained for analysis including microscopic morphologic evaluations and differential counts. During a trephi...
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::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::Medically unexplained symptoms in young people can present a challenge for primary care physicians to manage. Despite the prevalence of this clinical problem, physicians feel ill-equipped to deal with it. Families may attribute symptoms to an organic cause, despite the absence of identified pathology, and often resist...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2008-07-01 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::There have been publically expressed concerns about the costs and allocation of neonatal and perinatal health care resources in Canada and elsewhere for the past 15 years. This paper reports information from a symposium held during the 1996 Canadian Paediatric Society (CPS) annual meeting sponsored by the CPS Section ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/4.1.51
更新日期:1999-01-01 00:00:00
abstract::In the present longitudinal study, the physical growth and health of 36 early-deprived postinstitutionalized Romanian orphans (ROs; 17 boys) adopted by Canadian families are documented. Data were collected for each child at three time points: at 11 months postadoption, at 4.5 years of age and at 10.5 years of age. Dat...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2006-02-01 00:00:00
abstract::An Alternate Funding Plan (AFP) was introduced at the Hospital for Sick Children in 1990 as the fee-for-service model was incapable of meeting the academic mandate of the Department of Pediatrics. The plan was challenged by some members of the Ontario Medical Association and community paediatricians as inefficient, to...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/pxy159
更新日期:2019-05-01 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