4,390 results match your criteria: "BC Children's Hospital[Affiliation]"

While a low degree of energy compensation is typically reported over the 24 h following a session of exercise, the prolonged impact of a bout of exercise on energy intake remains unclear. To overcome the challenge associated with accurately measuring energy intake in a free-living environment, this study employed the use of a meal replacement beverage to assess the 3 day impact of an exercise session on energy intake. In a randomized, crossover study, 14 participants (8 male, 6 female) completed two trials: (1) EX: 75 min exercise on a motorized treadmill (75% VO); and (2) SED: 75 min sedentary control session.

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Article Synopsis
  • Limited decision-support tools are available for shared decision-making (SDM) about food oral immunotherapy (OIT), prompting the creation of a new pediatric decision-aid tool covering various foods, forms, and ages.
  • The tool was developed through an iterative process involving expert feedback and assessment measures, resulting in a user-friendly, 4-page aid that helps caregivers understand therapy options, risks, and benefits.
  • Evaluation showed that the decision-aid was well-received by 135 caregivers, reporting high confidence in their choices and low uncertainty, indicating its effectiveness in supporting SDM for OIT initiation.
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Management of anaphylaxis after pre-hospital epinephrine use in children with food-induced anaphylaxis.

Ann Allergy Asthma Immunol

December 2024

Division of Pediatric Allergy, Clinical Immunology, and Dermatology, Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada.

Background: Previous guidelines recommend prompt epinephrine administration, followed by observation in the emergency department (ED). The need for transfer in all cases of anaphylaxis has recently been challenged.

Objective: To evaluate the need for additional ED treatment among children with anaphylaxis who received prehospital epinephrine.

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Microbial colonization programs are structured by breastfeeding and guide healthy respiratory development.

Cell

September 2024

Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada; Manitoba Interdisciplinary Lactation Centre (MILC), Children's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada. Electronic address:

Article Synopsis
  • The study examined how breastfeeding and microbial colonization in infants are related to respiratory health, specifically asthma risk, by analyzing data from over 2,200 children.
  • Researchers discovered that early cessation of breastfeeding can lead to the early introduction of certain harmful microbes linked to immune issues and asthma, while extended breastfeeding supports healthier microbial development.
  • The findings emphasize the significance of prolonged breastfeeding for better respiratory health in children and point to potential new targets for interventions aimed at preventing asthma.
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Introduction: Cannabis products have been used in the management of headaches in adults and may play a role in pediatric chronic pain. Canadian pediatricians report increasing use of cannabis for the management of chronic headaches, despite no well-controlled studies to inform its dosing, safety, and effectiveness. The aim of our clinical trial is to determine the dosing and safety of a Cannabidiol (CBD)-enriched Cannabis Herbal Extract (CHE) for the treatment of chronic headaches in adolescents.

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Exploring What Motivates Parents of Children Living With Medical Complexity to Participate in Research.

Child Care Health Dev

September 2024

Canuck Place Children's Hospice, BC Children's Hospital Research Institute, Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.

Background: The study aimed to understand the experience of and identify the motivations for parents participating in health research for their children with medical complexity (CMC). Patient-oriented research strategies are increasingly important in health research to ensure that the voices of patients and parents help shape and direct research programmes. To bring a family-centred and patient-oriented focus to our research and objectives, we asked parents about their experiences when they participated in healthcare research related to their child with CMC.

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Asking difficult questions about fetal alcohol spectrum disorder in the context of the child, the mother, and the systems in which they live.

Lancet Child Adolesc Health

November 2024

Division of Developmental Pediatrics, Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada; Sunny Hill Health Centre at BC Children's Hospital, Vancouver, BC, Canada.

Alcohol is a known teratogen and prenatal alcohol exposure remains a major ongoing public health concern. Fetal alcohol spectrum disorder has become the diagnosis for describing individuals who have been affected by prenatal alcohol exposure. In this Viewpoint, we raise major concerns about its continued use as a diagnostic term in how it perpetuates a misleading and outdated narrative about child development and maternal health.

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Our scoping review sought to describe how Etuaptmumk or Two-Eyed Seeing is used and reported on in Indigenous health research. Using the JBI scoping review methodology, we extracted uses of Etuaptmumk/Two-Eyed Seeing from 83 articles and then categorized the reported uses of Etuaptmumk/Two-Eyed Seeing according to Huria et al.'s eight CONSIDER statement domains (governance, prioritization, relationships, methodologies, participation, capacity, analysis and interpretation, and dissemination).

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Understanding of newborn immune ontogeny in the first week of life will enable age-appropriate strategies for safeguarding vulnerable newborns against infectious diseases. Here we conducted an observational study exploring the immunological profile of infants longitudinally throughout their first week of life. Our Expanded Program on Immunization - Human Immunology Project Consortium (EPIC-HIPC) studies the epigenetic regulation of systemic immunity using small volumes of peripheral blood samples collected from West African neonates on days of life (DOL) 0, 1, 3, and 7.

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Introduction: Vaccination during pregnancy is recommended but uptake is low and evidence on the topic is limited.

Aims: This study aimed to identify the drivers of current behavior and barriers to change for health care practitioners (HCPs) and pregnant patients in Canada.

Methods: This study is an in-depth qualitative investigation of the factors influencing HCPs' vaccination communication during pregnancy, as well as factors influencing pregnant patients' vaccination uptake in Canada using the Theoretical Domains Framework.

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The gut microbiome is a complex, unique entity implicated in the prevention, pathogenesis, and progression of common gastrointestinal diseases. While largely dominated by bacterial populations, advanced sequencing techniques have identified co-inhabiting fungal communities, collectively referred to as the mycobiome. Early studies identified that gut inflammation is associated with altered microbial composition, known as gut dysbiosis.

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Background: Life with end-stage organ failure is accompanied by an accumulation of traumatic medical or surgical experiences. Despite recovery after solid organ transplantation (SOT), many children and adolescents develop post-traumatic stress symptoms (PTSS). PTSS remain underappreciated as a major comorbidity in SOT programs, despite their association with decreased quality of life.

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Article Synopsis
  • First branchial cleft anomalies are rare issues in the head and neck area that some kids are born with, and there's not much info on how to classify or treat them properly.
  • * Expert doctors worked together to come up with better ways to identify and manage these anomalies using a method called the Delphi method.
  • * They created a new classification system and treatment guidelines to help doctors give better care to kids with these conditions.
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The Impact of Age of Diagnosis in Children with Primary Ciliary Dyskinesia.

Ann Am Thorac Soc

September 2024

The Hospital for Sick Children, Division of Respiratory Medicine, Translational Medicine, Research Institute, Toronto, Ontario, Canada.

Article Synopsis
  • The study explores the impact of the age at which patients are diagnosed with primary ciliary dyskinesia (PCD) on their long-term clinical outcomes.
  • Researchers analyzed data from 110 patients diagnosed with PCD from 2000 to 2022, categorizing them into three groups based on age at diagnosis: early (<1 year), typical (1-7 years), and late (8-14 years).
  • Results indicated that patients diagnosed later had worse lung function (measured by FEV1) and higher rates of pulmonary issues, highlighting the disadvantages of late diagnosis in managing PCD effectively.
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Background: Pharmacogenetic testing in clinical settings has improved the safety and efficacy of drug treatment. There is a growing number of studies evaluating pharmacogenetic implementation and identifying barriers and facilitators. However, no review has focused on bridging the gap between identifying barriers and facilitators of testing and the clinical strategies adopted in response.

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Dietary supplements including vitamins, minerals, and natural health products are commonly consumed by those aiming to optimize fertility and pregnancy outcomes. The aim of this survey was to describe supplementation practices among individuals who were pregnant or trying to conceive in Vancouver, Canada. An online survey was conducted among 500 individuals who were pregnant ( = 250) or trying to conceive ( = 250).

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Developmental and epileptic encephalopathies after successful treatment of pediatric ALL: A case series and review of literature.

Epileptic Disord

December 2024

Department of Pediatrics, Division of Neurology, Faculty of Medicine, BC Children's Hospital, University of British Columbia Vancouver, Vancouver, British Columbia, Canada.

Article Synopsis
  • Successful treatment of acute lymphoblastic leukemia (ALL) involves multiagent chemotherapy and CNS prophylaxis, but a minority of patients can develop drug resistant epilepsy (DRE) and epileptic encephalopathies (EE) like Lennox-Gastaut syndrome (LGS).
  • A study of four ALL remission patients revealed that all patients faced significant challenges, including DRE, moderate intellectual disability, and neuropsychiatric issues, with symptoms often beginning around the age of 5.6 years.
  • The findings suggest that younger age at diagnosis (under 3 years) may increase the risk of developing DRE and EEs, while common palliative treatments like the ketogenic diet and corpus callosotomy show limited effectiveness.
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is a Gram-negative bacterium found in various water and land environments and organisms, including insects and mammals. Some strains encode gene homologs of virulence factors found in pathogenic Enterobacterales members, such as serovar Typhimurium and . Whether these genes are pathogenic determinants in is not known.

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Slipped capital femoral epiphysis: emphasis on early recognition and potential pitfalls.

Skeletal Radiol

September 2024

Department of Orthopaedic Surgery, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.

Article Synopsis
  • Recent research emphasizes the role of femoral head shape and minor instability in the growth plate as early indicators of SCFE, which can be seen in imaging before a full slip occurs.
  • To improve diagnosis, it's important to examine the growth plate's structure and compare it to the healthy hip; using cross-sectional imaging judiciously can help clarify early cases and guide treatment for more severe instances.
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Human PBMC-based assays are often used as biomarkers for the diagnosis and prognosis of disease, as well as for the prediction and tracking of response to biological therapeutics. However, the development and use of PBMC-based biomarker assays is often limited by poor reproducibility. Complex immunological assays can be further complicated by variation in cell handling before analysis, especially when using cryopreserved cells.

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Optimal Timing of Pulmonary Valve Replacement-The Holy Grail in Tetralogy of Fallot.

Can J Cardiol

December 2024

Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada; Children's Heart Centre, BC Children's Hospital, Vancouver, British Columbia, Canada. Electronic address:

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Empathy in order to close the gap in pain management.

CJEM

September 2024

Divisions of Pediatric Emergency Medicine and Pediatric Clinical Pharmacology, Department of Pediatrics, BC Children's Hospital and BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.

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