Background: Prenatal exposure to environmental factors, such as greenspace and active living environments, has been associated with numerous health benefits, including improved neurodevelopmental outcomes. Although cerebral palsy (CP) is not typically linked these exposures, emerging evidence suggests that factors during pregnancy may influence brain development, making it important explore their potential role in CP risk. Methods: We conducted a retrospective cohort study using...

Although musculoskeletal disorders (MSD) are among the most prevalent chronic conditions, minimal attention has been paid to paediatric population. The aim of this study is describe annual prevalence healthcare contacts for MSD by children and youth age 0-19 years, including type MSD, care delivery setting specialty physician consulted. Analysis data on all with in Ontario, Canada using from universal health insurance databases ambulatory emergency department (ED) visits, same-day outpatient...

This multilevel study examines access to rheumatologists for all arthritis and inflammatory arthritis, taking into account geographic availability of rheumatologists, primary care physicians (PCPs), population characteristics (e.g., socioeconomic status [SES]).We analyzed data from the (age ≥18 years) living in 105 health planning areas Ontario, Canada on visits musculoskeletal disorders. Using a survey Geographic Information System analysis, an index was calculated, incorporating distance...

Bronchiolitis is the most common reason for admission to hospital in first year of life, with increasing hospitalization rates Canada. Respiratory support high-flow nasal cannula (HFNC) being routinely used paediatric centres, though evidence efficacy continuing be evaluated. We examined impact HFNC on intubation rates, and critical care unit (PCCU) length stay (LOS), PCCU tertiary centres conducted a multicentre, interrupted time series analysis examine pre- postimplementation...

Healthcare systems, specifically operating rooms, significantly contribute to greenhouse gas emissions. Addressing room environmental sustainability requires understanding current practices, opinions, and barriers. This is the first study assessing attitudes perceptions of otolaryngologists on sustainability.Cross-sectional virtual survey.Email survey active members Canadian Society Otolaryngology-Head Neck Surgery.A 23-question was developed in REDCap. The questions focused four themes: (1)...

Abstract: The urea-cycle functions to facilitate ammonia excretion, a disruption of which results in the accumulation toxic metabolites. neurological outcome neonatal-onset defects (UCDs) is poor, and there are no good predictors prognosis beyond levels at presentation. role neuroimaging UCDs unclear. We describe magnetic resonance imaging (MRI) findings two patients with (argininosuccinic aciduria citrullinemia) presentation 2-year follow-up, present review literature on this age-group....

Children must often be transported to dedicated pediatric centers receive specialized medical and surgical care, which places them at risk for significant deterioration life-threatening events. Studies designed identify mitigate these events have been limited by variability in the selection definition of The objective this study was evaluate indicators that represent during transport patients are relevant future research initiatives medicine.We conducted a modified Delphi consisting four...

Transport of pediatric patients is common due to healthcare regionalization. We set out determine the frequency in-transit critical events during care transport and identify factors associated with these events.Retrospective cohort study using administrative clinical data.Single provider in Ontario, Canada.All transports between January 1, 2005, December 31, 2010.The primary outcome was events, defined by an adaptation a recent consensus definition. In-transit occurred 1,094 (12.3%) 8,889...

The risk of adverse health events is expected to increase with hotter temperatures, particularly among the most vulnerable groups such as elderly persons and children. objective this study was assess association between extreme heat daily emergency department visits children (0 17 years) in Southwestern Ontario.We examined average maximum temperature, relative humidity, paediatric June through August 2002 2019. We reviewed from two academic hospitals. Daily meteorological data local weather...

This study aimed to better understand the unique aspects of pediatric critical care transport programs across Canada by characterizing current workforce each program.A cross-sectional questionnaire was sent 13 medical directors Canada's teams, and 2 nonhospital-affiliated services. If a children's hospital did not have dedicated team for transport, regional providing this service identified.Eight intensive units surveyed unit-based teams. The median annual volume 8 hospital-based teams 371...

Objective To develop standardized definitions for a list of indicators that represent significant events during pediatric transport, which were previously identified by national Delphi study. Methods We designed three-phase consensus process applied methodology to combination electronic questionnaires and live meeting. Results Thirty-one transport experts evaluated total 59 indicators. Twenty-four represented or interventions did not require definition. One indicator was removed from the...

Access of intraosseous (IO) compartments is a commonly used technique that an invaluable asset in emergency resuscitation. Prehospital IO success rates using semi-automatic insertion devices vary between 70 and 100% pediatric patients. There are limited data on time to duration function the prehospital setting. Recent studies department (PED) setting have also suggested IOs may be less successful infant population. We explored use access for resuscitation, encompassing settings.This...

<sec> <title>BACKGROUND</title> In Canada, the health care system has been estimated to generate 33 million metric tons of greenhouse gas emissions annually. Health systems, specifically operating rooms (ORs), are significant contributors emissions, using 3 6 times more energy than hospital’s average unit. </sec> <title>OBJECTIVE</title> This quality improvement study aimed investigate knowledge, attitudes, and perceptions staff members patients on sustainability in OR, as well identify...

Background In Canada, the health care system has been estimated to generate 33 million metric tons of greenhouse gas emissions annually. Health systems, specifically operating rooms (ORs), are significant contributors emissions, using 3 6 times more energy than hospital’s average unit. Objective This quality improvement study aimed investigate knowledge, attitudes, and perceptions staff members patients on sustainability in OR, as well identify opportunities for initiatives barriers...

In Canada, critically ill pediatric patients require transfer to a tertiary care center for definitive medical and surgical management. Some studies suggest that family accompaniment could compromise care; currently, limited research has examined patient safety outcomes during critical transport with presence, no Canada-specific data currently exists. The primary objective of this study was compare the rate adverse events by specialized team parental those without accompaniment. Secondary...

Abstract Background Research on intra- and inter-regional variations in emergency department (ED) visits among children can provide a better understanding of the patterns ED utilization further insight into how contextual features urban environment may be associated with these health events. Our objectives were to assess intra-urban inter-urban variation paediatric (PED) census metropolitan areas (CMAs) Ontario Alberta, Canada explore if factors related material social deprivation, proximity...

<ns4:p>This article was migrated. The marked as recommended. In response to a curricular vision of improved social accountability, our Doctor Medicine program launched year-long integrated Social course designed and implemented for Year 1 medical school students. Our is moderate sized serving region close 2 M people in central Canada. Schulich School &amp; Dentistry Program at Western University, London, Ontario Canada, grounded four-year curriculum, each year comprised up 171 students with...

1. Erin R. Peebles, MD, FRCPC* 2. Tamara A. VanHooren, FRCPC* 3. Anna C. Gunz, FRCPC* 4. Marina I. Salvadori, FRCPC* 1. *Western University, London, Ontario, Canada A 32-day-old boy presents to the emergency department with a 12-hour history of poor feeding and lethargy. The child was born at 34+1 weeks spent 2 in NICU, where he fed infant ready-made formula by gavage as gradually increased his suckling. He discharged 5 days before presentation. On assessment, is noted be pale,...