Madely Health Headlines Commentary for May 16, 2012
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Archive
Category: PediatricsMadely Health Headlines Commentary for February , 2012
Madely Health Headlines Commentary for January 6, 2012
Study investigating sleep problems in infants suffers from selection bias and did not exam the children in question Play Now | Play in Popup | DownloadSource:
Babies’ sleep problems may persist over years, study says
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Madely Health Headlines Commentary for December 13, 2011
The consequences of untreated strep throat (bacterial tonsillitis) can include rare childhood mood disorders Play Now | Play in Popup | DownloadMadely Health Headlines Commentary for November, 30 2011
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Chicken Pox Vaccine Protects Small Infants Too, Not Just Vaccinated Children
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“Varicella in Infants After Implementation of the US Varicella Vaccination Program”
Sandra S. Chaves, MD, MSc, Adriana S. Lopez, MHS, Tureka L. Watson, MS, Rachel Civen, MD, Barbara Watson, MD, Laurene Mascola, MD, Jane F. Seward, MBBS, MPH
Pediatrics doi: 10.1542/peds.2011-0017
Madely Health Headlines Commentary for November 1, 2011
Madely Health Headlines Commentary for September 30, 2011
Fish oil supplementation during pregnancy did not influence child brain development Play Now | Play in Popup | DownloadSource:
Fish oil pills don’t improve kids’ braininess
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Doctor decries IVF legacy of ‘sick babies’
Lack of IVF regulations increases obstetrical and neonatal risks because of multiple births Play Now | Play in Popup | DownloadMadely Health Headlines Commentary for September 21, 2011
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Study suggests flu shots keep kids out of hospital
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Comparison of the ASQ and PEDS in Screening for Developmental Delay in Children Presenting for Primary Care
Madely Health Headlines Commentary for July 12, 2011
British government wanting kids to exercise three hours daily to prevent obesity shows that they are missing the bigger picture Play Now | Play in Popup | DownloadSource:
Children Under Five Need at Least Three Hours of Daily Exercise
Madely Health Headlines Commentary for June 16, 2011
Study recommends one to five-year old children have 2 cups of whole milk a day; dairy producers happy, children won't be Play Now | Play in Popup | DownloadSource:
Madely Health Headlines Commentary for June 15, 2011
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Madely Health Headlines Commentary for June 14, 2011
Study suggests autism screening has too many false positives and a discussion about a sunscreen use survey Play Now | Play in Popup | DownloadSource:
Routine autism screenings bad for kids: Study
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Madely Health Headlines Commentary for May 3, 2011
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Pediatric surgeons set targets to cut wait times
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Waiting for children’s surgery in Canada: the Canadian Paediatric Surgical Wait Times project
Madely Health Headlines Commentary for May 2, 2011
Progress towards an easy-to-implement autism screening test for one-year-olds Play Now | Play in Popup | DownloadSource:
Screening: An Autism Questionnaire at Checkup Time
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Detecting, Studying, and Treating Autism Early: The One-Year Well-Baby Check-Up Approach
Madely Health Headlines Commentary for March 30, 2011
Facebook and instant messaging may interfere with face to face communication skills and social development Play Now | Play in Popup | DownloadSource:
Madely Health Headlines Commentary for March 28, 2011
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Herbal Remedies No Help for Colicky Babies
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Madely Health Headlines Commentary for March 16, 2011
Younger children suffered more injuries as hockey body contact rules relaxed Play Now | Play in Popup | DownloadSource:
Madely Health Headlines Commentary for March 1, 2011
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Madely Health Headlines Commentary for February 15, 2011
Long-term effects of continued energy drink consumption requires further study Play Now | Play in Popup | DownloadSource:
Madely Health Headlines Commentary for January 19, 2011
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Phthalates to be restricted in children’s toys
Madely Health Headlines Commentary for January 18, 2011
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Do video games fuel mental health problems?
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Pathological Video Game Use Among Youths: A Two-Year Longitudinal Study
Madely Health Headlines Commentary for January 13, 2011
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Antibiotics best for treating ear infections: studies
Studies Support Antibiotics from the Start for Otitis Media
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Klein JO “Is acute otitis media a treatable disease?” N Engl J Med 2011; 364: 168-169.
Madely Health Headlines Commentary for November 25, 2010
CHEO's health care coordinator program helps simply care for the region's sickest children Play Now | Play in Popup | DownloadMadely Health Headlines Commentary for November 11, 2010
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Congo Republic Declares a Polio Emergency
This is an illustration of what is presumed to be a safe region after universal polio vaccination yet when the vaccination rate drops off or an enclave of people decides not to vaccinate or who have not been vaccinated, the disease makes a comeback.
There remain parents who continue to reject vaccination for their children and despite their representing a minority, it does not take much to reduce the herd immunity level below the 90-95% level required to protect those who have not been vaccinated.
We need to acknowledge the lessons learned from more unfortunate regions of the world.
Madely Health Headlines Commentary for October 21, 2010
New treatment established for rare childhood blood vessel disease of the brain Play Now | Play in Popup | DownloadSource:
Hope for kids with dangerous inflammatory disease
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Immunosuppressants Improves Neurological Outcomes in Children With Angiitis of the CNS
Madely Health Headlines Commentary for October 20, 2010
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Madely Health Headlines Commentary for October 4 , 2010
Universal infant vaccination against diarrhea-causing rotavirus recommended by Canadian Pediatric Society Play Now | Play in Popup | DownloadSource:
Madely Health Headlines Commentary for September 8 , 2010
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Madely Health Headlines Commentary for August 31 , 2010
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Sports-Related Concussions on the Rise in Kids
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Emergency Department Visits for Concussion in Young Child Athletes
Madely Health Headlines Commentary for August 18, 2010
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Madely Health Headlines Commentary for August 10, 2010
Study shows breast development beginning earlier in girls, causality needs to be determined Play Now | Play in Popup | DownloadSource:
Girls as young as 7 hitting puberty: U.S. study
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Frank M. Biro, MD, director, Division of Adolescent Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati.
Biro, F. Pediatrics, published online Aug. 9, 2010.
Warren Seigel, MD, Committee on Adolescence, American Academy of Pediatrics; chair, department of pediatrics, Coney Island Hospital, Brooklyn, N.Y.
CDC: “Childhood Overweight and Obesity.”
Madely Health Headlines Commentary for July 27, 2010
CMAJ editorial expresses concern sabout energy drink marketing and health consequences for children and adolescents Play Now | Play in Popup | DownloadSource:
Caffeinating” children and youth
Madely Health Headlines Commentary for July 22, 2010
Madely Health Headlines for June 10, 2010
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Madely Health Headlines Commentary for June 1, 2010
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The Minister of Children and Youth announces that every child will receive an enhanced 18-month visit:
Family Physicians Play Key Roles in Healthy Child Development
Conducting an enhanced 18 month well-baby visit
The enhanced 18-month well-baby visit builds on the current 18-month check-up. It is an initiative designed to build strong partnerships among family physicians, parents and community services. The initiative introduces a process, using standardized tools, for physicians to have a discussion with parents on child development and parenting, to identify those children who will require referral to specialized services and to inform parents about the local community programs that promote healthy child development and early learning.
Recommended tools
The Expert Panel on the 18-Month Well-Baby Visit recommended the use of the Rourke Baby Record (Ontario version) and the Nipissing District Developmental Screen™ (NDDS™), a parent-completed developmental checklist. Both tools were offered as examples in the schedule of benefits and are available on a number of websites, including the OCFP’s (www.ocfp.on.ca – 18-Month Well-Baby Visit).
The Evidence
-Recent studies show that 25-30% of children are arriving at school without the skills necessary to learn and succeed (Offord Centre, Early Development Instrument (EDI)).
-Evidence suggests clinical judgment alone is not sufficient for identifying all vulnerable children (GAC 18 month Clinical Report). Using a consistent, comprehensive evaluation process with every child that combines clinical judgment with the Rourke Baby Record and NDDS™ will significantly improve identification of all children at risk, even those who clinically do not appear to be at risk.
Why focus on an enhanced visit at 18 months?
-Family practices are one of the only places where all children are routinely seen in the first two years (97% of children aged 0 to 2 in Ontario: ICES data). Some children are not routinely seen again until 5 years of age. The 18-month visit is an ideal opportunity for health promotion, prevention and early intervention.
-70% of parents have concerns about the social and mental development of their child, and about their parenting skills, but only 28% actually discuss these with their family doctor (GAC 18-month Clinical Report). Having every parent complete the NDDS™ gives them the opportunity to reflect on their child’s development and creates the opportunity for them to express their concerns and address their questions to you.
What family doctors can do
-All parents and children can benefit from the resources in the community such as the Ontario Early Years Centres, libraries, and recreation centres. Encourage parents to access the universal parenting and play programs in the community.
-Make a referral to community/specialized services if you have any concerns. Avoid the unwise ‘wait and see’ strategy.
-Research has proven that children whose parents read with them consistently from an early age are more likely to be successful in school. Encourage reading, speaking, singing and telling stories to all children from birth. Simple reminders to families from their physician about the importance of reading with their child everyday have a big impact on behaviour (Read, Speak, Sing Literacy Program, http://cps.ca).
Education and information to support the enhanced visit
-An online education and information strategy accessed through an 18-month web portal has been developed and is available at: (http://machealth.ca/programs/18-month).
-Mainpro credit modules are available.
-The OCFP’s Healthy Child Development program can be presented in your community (contact Mary Clelland at 416 867 9646 ext. 50).
-Helpful resource manuals Healthy Child Development – Improving the Odds and Healthy Child Development – Facing the Challenges can be downloaded from the OCFP website (www.ocfp.on.ca – Healthy Child Development).
Background Information
-Definition/required elements of service: Well-baby care is a periodic assessment of a well newborn/infant during the first two years of life including complete examination with weight and measurements, and instructions to the parent(s) or patient’s representative regarding health care.
-Rourke Baby Record (RBR) 2009 Ontario version (www.rourkebabyrecord.ca , http://machealth.ca/programs/18-month or www.cfpc.ca or http://www.cps.ca or in the “forms” section of www.ontariomd.ca) is an evidence-based point of care tool for health professionals in the delivery of the enhanced visit.
-Nipissing District Developmental Screen™ (NDDS™) http://ndds.ca or http://machealth.ca/programs/18-month, or in the “forms” section of http://www.ontariomd.ca) is a parent-completed developmental checklist for recording the development and progress of infants and children within certain age groupings.
-Any ‘no’ responses are red flags that indicate possible delay, warrant further investigation, possible referral and a follow up.
-The developmental tasks are set beyond the time when most children would have achieved the skill. The activities on the 15-month NDDS can help to prepare for the 18-month screen.
-GAC clinical report
-Final Report to the OCFP for the Evidence to Support the 18-Month Well-Baby Visit
Madely Health Headlines Commentary for May 24, 2010
Neurological development is normal in infants following scheduled vaccine schedule Play Now | Play in Popup | DownloadSource:
Many vaccines at once OK for kids’ brains: study
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On-time Vaccine Receipt in the First Year Does Not Adversely Affect Neuropsychological Outcomes
Madely Health Headlines Commentary for February 17, 2010
Madely Health Headlines Commentary for February 4, 2010
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Chemical imbalance may explain crib death: study
Low Serotonin Eyed as Mechanism for SIDS
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Brainstem Serotonergic Deficiency in Sudden Infant Death Syndrome
Madely Health Headlines Commentary for January 25, 2010
Safety Considerations and Potential Interactions of Vitamins: Should Vitamins Be Considered Drugs? Play Now | Play in Popup | DownloadSource:
Many parents unaware of the risks of vitamins
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Safety Considerations and Potential Interactions of Vitamins: Should Vitamins Be Considered Drugs?
Madely Health Headlines Commentary for October 28, 2009
