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 HV. Objective:To determine the availability of previous measurements at time of referral for short stature and to determine predictors of a PED. Methods:A retrospective chart review was performed on all referrals for short stature to a single paediatric endocrinologist between January 2008 and December 2014. Standard practice following receipt of a referral for short stature included repeated requests to the referring physician for previous measurements. Results:A total of 324 charts of patients aged 11 months to 18 years were reviewed and 286 were eligible for inclusion. Previous measurements were available in 72.4%, and 44.8% of these were found to have a PED. There was a significant relation between HV<25th percentile and a PED (P<0.0001) and between height deficit (HD) and a PED (P<0.0001). Logistic regression analysis showed that a HV<25th percentile and a HD>2 standard deviations, increased the odds of PED by a factor of 5.12 (P<0.001) and 1.39 (P<0.005), respectively. Conclusion:HV is a significant predictor of a PED. Our higher rate of previous measurement availability is likely due to our effective referral screening protocol. The availability of these measurements, which are essential for HV calculation, are likely to reduce delays in diagnosis and management.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Yue D,Miller MR,Clarson CLdoi
10.1093/pch/pxy079subject
Has Abstractpub_date
2019-05-01 00:00:00pages
e74-e77issue
2eissn
1205-7088issn
1918-1485pii
pxy079journal_volume
24pub_type
杂志文章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:OBJECTIVE:To assess, in the newborn, the efficacy of a standard taping treatment used in children for two selected congenital toe abnormalities (curly/varus/underlapping toes and overlapping toes), and compare the outcome with the available world literature. METHODS:All children referred by their family physician betw...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.9.755
更新日期:2007-11-01 00:00:00
abstract::[This corrects the article DOI: 10.1093/pch/pxy072.]. ...
journal_title:Paediatrics & child health
pub_type: 杂志文章,已发布勘误
doi:10.1093/pch/pxy163
更新日期:2019-02-01 00:00:00
abstract::Sepsis is a systemic inflammatory response to suspected or proven infection. Given its importance in terms of morbidity and mortality, a number of initiatives by several professional societies in recent years have led to the development of guidelines for the recognition and timely management of sepsis. The principal e...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxz178
更新日期:2020-11-02 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: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::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::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::Disability is a major public health concern worldwide and the situation for children with disabilities is even more serious. The present article will focus on the issue of children with disabilities in low-income countries. Approximately one-third of the world's disabled population is children and many of these disabl...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/10.5.269
更新日期:2005-05-01 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::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: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::Antimicrobial stewardship is a recent concept that embodies the practical, judicious use of antimicrobials to decrease adverse outcomes from antimicrobials while optimizing the treatment of bacterial infections to reduce the emergence of resistant pathogens. The objectives of the present statement are to illustrate th...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/19.5.261
更新日期:2014-05-01 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::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::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: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: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::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: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: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
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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::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:Aim:To investigate the implementation of amplitude-integrated electroencephalography (aEEG) as bedside monitoring tool of cerebral function in tertiary Canadian Neonatal Intensive Care Units (NICU) over the past decade. Methods:Longitudinal study consisting of online surveys of neonatologists on the use of aEEG in 200...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxz091
更新日期:2019-10-10 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::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: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, includ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/8.1.16
更新日期:2003-01-01 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: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