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 child poverty reduction. Establishment of a comprehensive national poverty reduction plan is essential to improving progress. The present review identifies the key components of an effective poverty reduction strategy. These elements include effective poverty screening, promoting healthy child development and readiness to learn, ensuring food and housing security, providing extended health care coverage for the uninsured and using place-based solutions and team-level interventions. Specific economic interventions are also reviewed. Addressing the social determinants of health in these ways is crucial to narrowing disparities in wealth and health so that all children in Canada reach their full potential. :Les effets néfastes de la pauvreté des enfants sont bien attestés. Pourtant, les progrès sont lents au Canada en matière de réduction de la pauvreté. Il y a un écart important entre ce que l’on sait sur l’éradication de la pauvreté et ce qui est fait. Les pédiatres peuvent jouer un rôle important pour corriger cet écart s’ils comprennent la pauvreté des enfants et font progresser les mesures de réduction. Il est essentiel de créer un plan national détaillé de réduction de la pauvreté pour améliorer ces progrès. La présente analyse présente les principaux éléments d’une stratégie efficace de réduction de la pauvreté. Ces éléments comprennent un dépistage efficace de la pauvreté, la promotion d’un développement sain de l’enfant et de la préparation à apprendre, l’assurance de la sécurité alimentaire et de la sécurité de logement, l’offre d’une couverture étendue d’assurance-maladie aux non-assurés et l’utilisation de solutions territoriales et d’interventions d’équipes. Des interventions économiques précises sont également examinées. Il est essentiel de se pencher sur les déterminants sociaux de la santé pour réduire les disparités sur le plan de la richesse et de la santé, afin que tous les enfants du Canada réalisent leur plein potentiel.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Sharma S,Ford-Jones Edoi
10.1093/pch/20.4.203subject
Has Abstractpub_date
2015-05-01 00:00:00pages
203-7issue
4eissn
1205-7088issn
1918-1485journal_volume
20pub_type
杂志文章,评审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:Objective:To examine changes in the awareness, use, feasibility, and barriers associated with the Canadian Physical Activity and Sedentary Behaviour Guidelines for Children and Youth ages 0-17 years in a sample of Canadian paediatricians, and to assess tools/resources developed by the Canadian Paediatric Society (CPS)....
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx006
更新日期:2017-03-01 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::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::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: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: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::Over the past decade, the unfortunate reality is that the income gap has widened between Canadian families. Educational outcomes are one of the key areas influenced by family incomes. Children from low-income families often start school already behind their peers who come from more affluent families, as shown in measu...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.8.701
更新日期:2007-10-01 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::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: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::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::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::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: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::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::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: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::Persistent fetal circulation (PFC), also known as persistent pulmonary hypertension of the newborn, is defined as postnatal persistence of right-to-left ductal or atrial shunting, or both in the presence of elevated right ventricular pressure. It is a relatively rare condition that is usually seen in newborns with res...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/6.10.744
更新日期:2001-12-01 00:00:00
abstract::The management of patients with headaches is a major component of every paediatric practice. In a nationally representative sample of Canadian adolescents, it was found that 26.6% of those 12 to 13 years of age and 31.2% of those 14 to 15 years of age reported that they experienced headaches at least once per week.The...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/14.1.24
更新日期:2009-01-01 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::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::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:To evaluate the effectiveness of a multidisciplinary paediatric asthma clinic in reducing the morbidity associated with paediatric asthma. METHODS:An initial survey of need was undertaken in the community of Orillia, Ontario and the surrounding area. The clinic was established as a separate entity from the a...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/9.3.159
更新日期:2004-03-01 00:00:00
abstract::An 8-year-old girl on guanfacine extended-release (GXR) for attention-deficit/hyperactivity disorder presented with somnolence, bradycardia and hypotension during a heat wave. No overdose was suspected. She was admitted to the intensive care unit for monitoring and ongoing fluid resuscitation for hypotension. Electroc...
journal_title:Paediatrics & child health
pub_type:
doi:10.1093/pch/pxx172
更新日期:2018-04-01 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
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::Adolescents who suffer from chronic pain also report complex syndrome-associated disability and distress that can detrimentally affect the quality of their lives and the lives of their family members. Over the past 10 years, there have been significant developments in both methods of assessment and in treatment progra...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.2.117
更新日期:2007-02-01 00:00:00
abstract:Background:Functional abdominal pain disorders (FAPD) are prevalent in the paediatric population, however, there is currently no consensus regarding best practices for treatment. The use of probiotics is becoming popular to treat FAPD. The goal of this rapid review is to synthesize the best evidence on the use of probi...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/pxz036
更新日期:2019-09-01 00:00:00
abstract::The present statement reviews the evidence for universal newborn hearing screening (UNHS). A systematic review of the literature was conducted using Medline and using search dates from 1996 to the third week of August 2009. The following search terms were used: neonatal screening AND hearing loss AND hearing disorders...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/16.5.301
更新日期:2011-05-01 00:00:00