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1.  Listen to your drummer 
Paediatrics & Child Health  2010;15(1):7-8.
PMCID: PMC2827313  PMID: 21197159
6.  Is lead a concern in Canadian autistic children? 
Paediatrics & Child Health  2010;15(1):17-22.
BACKGROUND:
The Centers for Disease Control and Prevention (CDC) threshold for intervention for blood lead level (BLL) is greater than 0.48 μmol/L, but new research suggests that there are adverse effects at any level of exposure. Children with autism are at increased risk for lead exposure and intoxication, and have later and more prolonged exposures because of exploratory oral behaviours and pica.
OBJECTIVE:
To estimate the mean BLL and prevalence of high BLL in a convenience sample of autistic children living in northern Alberta, based on the CDC threshold for intervention.
METHODS:
Children with autism were recruited from the clinics at the Glenrose Rehabilitation Hospital in Edmonton, Alberta. A complete blood count and differential, serum ferritin and BLL were requested after consent was obtained. Summary statistics were reported. For dichotomous outcomes, proportions were presented. Continuous outcomes for the two groups with a BLL of 0.1 μmol/L or greater, or less than 0.1 μmol/L were compared.
RESULTS:
None of the children tested had a BLL exceeding 0.48 μmol/L. Nine children (19%) had BLLs of 0.1 μmol/L or greater but less than 0.48 μmol/L, and 39 (81%) had BLLs of less than 0.1 μmol/L. Those with a BLL of 0.1 μmol/L or greater had significantly more pica or oral exploratory behaviours.
CONCLUSION:
Children with autism in northern Alberta may not be at risk for elevated BLLs that exceed the CDC threshold for intervention. They should be screened for lead exposure risk factors and tested if there are risks, especially behaviours relating to pica and oral exploration of objects. Clinicians may need to further explore the reasons for low-level exposures to lead in the autistic population.
PMCID: PMC2827318  PMID: 21197164
Autism; Development; Environment; Lead; Toxins
7.  Erratum 
Paediatrics & Child Health  2010;15(1):22.
In the section on economic considerations (page 524, the last paragraph before recommendations), the final three sentences should read, “For infants younger than one year of age living in the town of Iqaluit, the actual cost per admission avoided was $162,551. However, for infants less than six months of age living in communities outside of Iqaluit, there was actually a cost savings of $633 per admission averted. This cost saving was even greater ($8,118 per admission avoided) for infants younger than six months of age living in the highest risk communities”. The significance of these findings is that while a cost was incurred with the use of palivizumab to prevent an admission to hospital in infants younger than one year of age who lived in Iqaluit itself, there were actual cost savings of $633 and $8,118 per admission prevented for infants younger than six months of age who lived outside of Iqaluit and in the highest risk communities, respectively.
The Canadian Paediatric Society, Paediatrics & Child Health journal and the publisher apologize for this error.
PMCID: PMC2827319
8.  The health of Canada’s children. Part I: Canadian children’s health in comparative perspective 
Paediatrics & Child Health  2010;15(1):23-29.
In the present article, the state of Canadian children’s health is provided through an examination of scores on a set of key health indicators. National and provincial infant mortality rates show little recent improvement, and in the case of low birth weight rates, a worsening trend is evident. These health indicators are strongly related to income, and studies documenting these associations are reviewed. Compared with other wealthy nations, Canada performs poorly with regard to infant mortality rates and somewhat less so for low birth weight rates. For other health indicators and measures of the quality of the social determinants of children’s health (such as poverty) and children’s well-being, Canada’s performance suggests that there are numerous areas for improvement.
PMCID: PMC2827320  PMID: 21197166
Paediatrics; Public policy; Social policy
9.  Letter to the Editor 
Paediatrics & Child Health  2010;15(1):30.
PMCID: PMC2827321  PMID: 21197167
10.  Family-based treatment of children and adolescents with anorexia nervosa: Guidelines for the community physician 
Paediatrics & Child Health  2010;15(1):31-35.
Anorexia nervosa (AN) is a serious life-threatening illness that typically has its onset during the adolescent years. Evidence regarding the optimal treatment of AN in children and teenagers is growing; however, much remains unknown. Although current treatment approaches vary in Canada and elsewhere, the evidence to date indicates that family-based treatment (FBT) is the most effective treatment for children and teenagers with AN. A key component of the FBT model is that the parents are given the responsibility to return their child to physical health and ensure full weight restoration. An understanding of the basic principles and philosophy underlying FBT allows the physician to initiate elements of this evidence-based intervention to young patients with AN and their families.
PMCID: PMC2827322  PMID: 21197168
Anorexia nervosa; Child and adolescent; Eating disorder; Family therapy; Outpatient
11.  Le traitement familial des enfants et des adolescents anorexiques : Des lignes directrices pour le médecin communautaire 
Paediatrics & Child Health  2010;15(1):36-40.
L’anorexie mentale (AM) est une maladie grave qui met la vie en danger et qui fait généralement son apparition pendant l’adolescence. Les données probantes au sujet du traitement optimal de l’AM chez les enfants et les adolescents sont en croissance, mais il reste beaucoup à apprendre. Même si les démarches thérapeutiques actuelles varient au Canada et ailleurs, les données jusqu’à présent indiquent que le traitement familial (TF) est le plus efficace pour les enfants et les adolescents anorexiques. Un élément essentiel du modèle de TF, c’est que les parents sont investis de la responsabilité de rétablir la santé physique de leur enfant et de s’assurer de la reprise complète de son poids. Le médecin qui comprend les principes fondamentaux et la philosophie du TF peut mettre en place les éléments de cette intervention fondée sur des faits probants auprès des jeunes patients anorexiques et de leur famille.
PMCID: PMC2827323
Anorexia nervosa; Child and adolescent; Eating disorder; Family therapy; Outpatient
14.  Canadian Paediatric Surveillance Program 2009 quiz 
Paediatrics & Child Health  2010;15(1):45-47.
PMCID: PMC2827326  PMID: 21197170
15.  Promises, promises... 
Paediatrics & Child Health  2009;14(10):649-650.
PMCID: PMC2807800  PMID: 21119805
18.  The power of building systems 
Paediatrics & Child Health  2009;14(10):654-655.
PMCID: PMC2807803  PMID: 21119808
19.  From defeat to victory? 
Paediatrics & Child Health  2009;14(10):656-657.
PMCID: PMC2807804  PMID: 21119809
20.  So many words, so little action 
Paediatrics & Child Health  2009;14(10):658-659.
PMCID: PMC2807805  PMID: 21119810
24.  Early childhood programs and the education system 
Paediatrics & Child Health  2009;14(10):666-668.
Policy makers, advocates and experts agree that the current delivery of early childhood development programs is fragmented. Many point to the education system as a better alternative for a more coherent approach that has the necessary infrastructure in place in communities, and is well placed to meet the needs of all young children and their families. In other jurisdictions, early childhood development programs have moved into education. In Canada, provincial and local school authorities are taking on more early childhood programs.
PMCID: PMC2807809  PMID: 21119814
Early childhood development; Education; Outcomes
25.  Early childhood development: One developmental paediatrician’s story 
Paediatrics & Child Health  2009;14(10):669-670.
The present article is a discussion of the lessons that a paediatrician has learned from the evidence on early childhood development. The information that has been gathered is being used for advocacy for the creation of more efficient and higher quality programming that is accessible to all children. It is believed that by providing access to centralized and consolidated programming within neighbourhoods, more individuals will be reached earlier and more effectively.
PMCID: PMC2807810  PMID: 21119815
Advocacy; Early childhood development; Early childhood development agenda; Prevention

Results 1-25 (1206)