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Sample records for child hospitalized

  1. Hospital-Sponsored Child Care: A 1988 National Survey.

    Science.gov (United States)

    American Coll. of Healthcare Executives, Chicago, IL.

    A representative sample of 965 U.S. hospitals was surveyed for the purpose of obtaining information about: (1) current and projected involvement in provision of child care services to employees and their communities; and (2) hospitals' views of the costs and benefits of offering child care services, and of appropriate governmental policies.…

  2. Primary Supervision: Massachusetts General Hospital's child and adolescent psychiatry seminar

    Science.gov (United States)

    Jellinek, Michael S.

    2007-01-01

    In this article, the author describes "Primary Supervision", a seminar he has led for approximately 20 years, which is designed for the entire class of nine first-year residents in Child and Adolescent Psychiatry training at Massachusetts General Hospital. The seminar meets for 1 hour each week throughout the first year. Through 900 hours of…

  3. Smoking during pregnancy and hospitalization of the child

    DEFF Research Database (Denmark)

    Wisborg, Kirsten; Henriksen, Tine Brink; Obel, Carsten;

    1999-01-01

    was independent of postpartum smoking habits. If all pregnant women smoking 15 or more cigarettes per day stopped smoking, approximately 5% of all admissions to hospitals before 8 months of age could be avoided. smoking during pregnancy, hospitalization of children. Udgivelsesdato: 1999-Oct......OBJECTIVES: To study the association between smoking during pregnancy and hospitalization of the child before 8 months of age. DESIGN: A follow-up study of 1974 children born in 1991 and 1992. RESULTS: Overall, 158 (8%) of the children were hospitalized during the first 8 months of life. Compared...... with children whose mothers did not smoke during pregnancy, children with mothers who smoked 1 to 14 cigarettes per day had no increased risk of being hospitalized (relative risk: 1.1; 95% confidence interval: 0.8-1.5), whereas children whose mothers smoked 15 or more cigarettes per day had twice as high a risk...

  4. Child care is not a substantial risk factor for gastrointestinal infection hospitalization

    DEFF Research Database (Denmark)

    Kamper-Jørgensen, Mads; Andersen, Lise Geisler; Simonsen, Jacob;

    2008-01-01

    The objective was to study the effect of age at first enrollment into child care and other child care-related factors on the risk for hospitalization from gastrointestinal infection.......The objective was to study the effect of age at first enrollment into child care and other child care-related factors on the risk for hospitalization from gastrointestinal infection....

  5. Reliability of Routinely Collected Hospital Data for Child Maltreatment Surveillance

    OpenAIRE

    Campbell Margaret; Waller Garry S; Scott Debbie A; McKenzie Kirsten

    2011-01-01

    Abstract Background Internationally, research on child maltreatment-related injuries has been hampered by a lack of available routinely collected health data to identify cases, examine causes, identify risk factors and explore health outcomes. Routinely collected hospital separation data coded using the International Classification of Diseases and Related Health Problems (ICD) system provide an internationally standardised data source for classifying and aggregating diseases, injuries, causes...

  6. Reliability of Routinely Collected Hospital Data for Child Maltreatment Surveillance

    Directory of Open Access Journals (Sweden)

    Campbell Margaret

    2011-01-01

    Full Text Available Abstract Background Internationally, research on child maltreatment-related injuries has been hampered by a lack of available routinely collected health data to identify cases, examine causes, identify risk factors and explore health outcomes. Routinely collected hospital separation data coded using the International Classification of Diseases and Related Health Problems (ICD system provide an internationally standardised data source for classifying and aggregating diseases, injuries, causes of injuries and related health conditions for statistical purposes. However, there has been limited research to examine the reliability of these data for child maltreatment surveillance purposes. This study examined the reliability of coding of child maltreatment in Queensland, Australia. Methods A retrospective medical record review and recoding methodology was used to assess the reliability of coding of child maltreatment. A stratified sample of hospitals across Queensland was selected for this study, and a stratified random sample of cases was selected from within those hospitals. Results In 3.6% of cases the coders disagreed on whether any maltreatment code could be assigned (definite or possible versus no maltreatment being assigned (unintentional injury, giving a sensitivity of 0.982 and specificity of 0.948. The review of these cases where discrepancies existed revealed that all cases had some indications of risk documented in the records. 15.5% of cases originally assigned a definite or possible maltreatment code, were recoded to a more or less definite strata. In terms of the number and type of maltreatment codes assigned, the auditor assigned a greater number of maltreatment types based on the medical documentation than the original coder assigned (22% of the auditor coded cases had more than one maltreatment type assigned compared to only 6% of the original coded data. The maltreatment types which were the most 'under-coded' by the original coder

  7. Designing child-sized hospital architecture: Beyond preferences for colours and themes

    OpenAIRE

    Verschoren, Laure; Annemans, Margo; Van Steenwinkel, Iris; Heylighen, Ann

    2015-01-01

    Hospitals tend to be associated with being ill and suffering from pain. Especially for children a hospital stay can be a poignant experience. On top of not feeling well, they have to exchange their familiar environment for the structured hospital system. Our study explored the role of architecture in making hospital stays more pleasant for children. More precisely, we investigated what child-friendly hospital architecture means from the perspective of young patients, and what role architectur...

  8. [Quality control of hospital preparations: results concerning capsules production in a child hospital].

    Science.gov (United States)

    Mathaut, S; Bordenave, J; Fratta, A; Benoit, G

    2006-01-01

    In France, lack of paediatric drugs leads pharmacies to produce many hospital preparations in order to meet prescribers'needs. To ensure the quality of these preparations, the pharmacy department of the Armand Trousseau Child Hospital set up a quality control system of its capsules. It integrates both European Pharmacopeia's requirements (Mass and Content uniformity test) and more strict internal quality specifications. They include exactitude of the average content compared to the awaited content, coefficient of variation of the contents and, "modified" content uniformity test. These criteria and the percentage of nonconformity are used as indicators to assure quality follow-up of the preparations. We reviewed quality control records for five hospital preparations produced over the last three years. We highlighted that lower dosage showed a higher percentage of nonconformity compared to higher dosage. Type of active ingredients was a key factors too (1,0% and 14.8% of non conform batches for ursodesoxycholic acid and for morphine hydrochloride respectively). Analysis showed that the essential character of content test because mass test is not predictive of the conformity of the batch. Content test was the main criterion to judge batches conformity. Thus, it will be generalized to all our preparations. These study results helped us to implement new procedures to assure an ongoing improvement of our practices of preparation. PMID:16449938

  9. The hospital child protection teams in approaching issues of child abuse and neglect Review

    OpenAIRE

    Beyazova, Ufuk; Şahin, Figen

    2007-01-01

    Child abuse is one of the leading causes of morbidity and mortality in infants and children A multidisciplinary approach like the “Child Protection Team” is strongly encouraged to ensure adequate evaluation treatment and follow up of a potentially abused child Recently the increasing interest in the community regarding child abuse and neglect and the construction of child protection services are nbsp; important improvements for our country Child abuse and neglect should be a part of graduate ...

  10. How to design child-friendly hospital architecture? Young patients speaking

    OpenAIRE

    Verschoren, Laure; Annemans, Margo; Van Steenwinkel, Iris; Heylighen, Ann

    2015-01-01

    For children a hospital stay can be a poignant experience. To understand how hospital environments could be designed that make hospitalization more pleasant for them, we investigated what child-friendly hospital architecture means from young patients’ perspective. We conducted observations on a children oncology ward, and interviews with young patients their parents, and professional caregivers. This uncovers highly personal experiences which add detail to insights available in literature . F...

  11. Hospitalization for mental illness among parents after the death of a child

    DEFF Research Database (Denmark)

    Li, Jiong; Laursen, Thomas Munk; Precht, Dorthe Hansen;

    2005-01-01

    with parents who did not lose a child, parents who lost a child had an overall relative risk of a first psychiatric hospitalization for any disorder of 1.67 (95 percent confidence interval, 1.53 to 1.83). Bereaved mothers had a higher relative risk of being hospitalized for any psychiatric disorder than...... five years or more after the death. Conclusions The risk of psychiatric hospitalization was increased among parents, especially mothers, who lost a child.......Background The loss of a child is considered one of the most stressful events in the life of a parent. We hypothesized that parental bereavement increases the risk of hospital admission for a psychiatric disorder, especially for affective disorders. Methods We studied a cohort of 1,082,503 persons...

  12. Treatment of a Psychotic Trainable Retarded Child in a Day Hospital for Children with Average Intelligence.

    Science.gov (United States)

    Zang, Louis C.; Cohen, Jonathan L.

    The case study describes the progress of a psychotic trainable mentally retarded child who at age seven entered a day psychiatric hospital for disturbed children with average intelligence. The boy's therapist describes changes in the child's peer interaction, academic performance, group psychotherapy participation, and psychological test…

  13. Breastfeeding and child cognitive outcomes: Evidence from a hospital-based breastfeeding support policy

    OpenAIRE

    Del Bono, Emilia; Rabe, Birgitta

    2012-01-01

    This paper estimates the causal effects of breastfeeding on early child development using exogenous variation in breastfeeding support policies across UK maternity hospitals. Based on data from the Millennium Cohort Study, we find that mothers giving birth in hospitals where such policies are implemented are between 8 and 9 percentage points more likely to breastfeed exclusively at 4 and 8 weeks than mothers who give birth in other hospitals. The effect of breastfeeding are found to be large ...

  14. Inpatient child mortality by travel time to hospital in a rural area of Tanzania

    OpenAIRE

    Manongi, Rachel; Mtei, Frank; Mtove, George; Nadjm, Behzad; Muro, Florida; Alegana, Victor; Noor, Abdisalan M; Todd, Jim; Reyburn, Hugh

    2014-01-01

    OBJECTIVE To investigate the association, if any, between child mortality and distance to the nearest hospital. METHODS The study was based on data from a 1-year study of the cause of illness in febrile paediatric admissions to a district hospital in north-east Tanzania. All villages in the catchment population were geolocated, and travel times were estimated from availability of local transport. Using bands of travel time to hospital, we compared admission rates, inpatient case fatality rate...

  15. Severe hypernatremia in a hospitalized child: Munchausen by proxy

    OpenAIRE

    Su, Erik; SHOYKHET, MICHAEL; Bell, Michael J.

    2010-01-01

    An 8-week old child presented to a referring institution with profuse diarrhea and infectious enteritis for one week. He was intitially treated for suspected Salmonella spp sepsis and meningitis as it was found in the stool, but the child’s illness progressed manifested by paroxysmal profuse diarrhea and increased urine output. After several weeks, he suffered a sagittal venous thrombosis and intracranial hemorrhage. Subsequently the child was transferred to our institution for intestinal eva...

  16. Hospital based emergency department visits attributed to child physical abuse in United States: predictors of in-hospital mortality.

    Directory of Open Access Journals (Sweden)

    Veerajalandhar Allareddy

    Full Text Available OBJECTIVES: To describe nationally representative outcomes of physical abuse injuries in children necessitating Emergency Department (ED visits in United States. The impact of various injuries on mortality is examined. We hypothesize that physical abuse resulting in intracranial injuries are associated with worse outcome. MATERIALS AND METHODS: We performed a retrospective analysis of the Nationwide Emergency Department Sample (NEDS, the largest all payer hospital based ED database, for the years 2008-2010. All ED visits and subsequent hospitalizations with a diagnosis of "Child physical abuse" (Battered baby or child syndrome due to various injuries were identified using ICD-9-CM (International Classification of Diseases, 9th Revision, Clinical Modification codes. In addition, we also examined the prevalence of sexual abuse in this cohort. A multivariable logistic regression model was used to examine the association between mortality and types of injuries after adjusting for a multitude of patient and hospital level factors. RESULTS: Of the 16897 ED visits that were attributed to child physical abuse, 5182 (30.7% required hospitalization. Hospitalized children were younger than those released treated and released from the ED (1.9 years vs. 6.4 years. Male or female partner of the child's parent/guardian accounted for >45% of perpetrators. Common injuries in hospitalized children include- any fractures (63.5%, intracranial injuries (32.3% and crushing/internal injuries (9.1%. Death occurred in 246 patients (13 in ED and 233 following hospitalization. Amongst the 16897 ED visits, 1.3% also had sexual abuse. Multivariable analyses revealed each 1 year increase in age was associated with a lower odds of mortality (OR = 0.88, 95% CI = 0.81-0.96, p < 0.0001. Females (OR = 2.39, 1.07-5.34, p = 0.03, those with intracranial injuries (OR = 65.24, 27.57-154.41, p<0.0001, or crushing/internal injury (OR = 4.98, 2.24-11.07, p<0.0001 had higher odds of

  17. Legal Outcomes of Sexually Abused Children Evaluated at the Philippine General Hospital Child Protection Unit

    Science.gov (United States)

    Sugue-Castillo, Mariella

    2009-01-01

    Objectives: To describe the legal outcomes and factors associated with case reaching court and conviction for sexual abuse of children seen at the Philippine General Hospital Child Protection Unit (PGH-CPU) from 1997 to 2000. Methods: Mixed transdisciplinary research design combined longitudinal cohort with qualitative methods. Data were obtained…

  18. Severe hypernatremia in a hospitalized child: munchausen by proxy.

    Science.gov (United States)

    Su, Erik; Shoykhet, Michael; Bell, Michael J

    2010-10-01

    An 8-week-old infant presented to a referring institution with profuse diarrhea and infectious enteritis for 1 week. He was initially treated for suspected Salmonella spp. sepsis and meningitis, because the organism was found in the stool, but the child's illness progressed, manifested by paroxysmal profuse diarrhea and increased urine output. After several weeks, he suffered a sagittal venous thrombosis and intracranial hemorrhage. Subsequently the child was transferred to a tertiary center for intestinal evaluation. The patient's diarrhea and excessive diuresis resolved, and his sodium normalized soon after transfer. Four days later, however, after his mother arrived, he immediately developed severe hypernatremia (serum sodium concentration [Na(+)] = 214 mEq/L), with resumption of diarrhea and excessive diuresis. A gastric aspirate during the crisis demonstrated an extremely high sodium content, [Na(+)] = 1416 mEq/L, consistent with salt intoxication. Surveillance of the mother revealed that she manipulated the indwelling nasogastric tube; confronted, she admitted to salt administration. This case describes one of the ways that Munchausen syndrome by proxy can manifest with profound neurologic sequelae, and highlights the need for close observation and swift intervention when sufficient cause is present. PMID:20837306

  19. The Impact of a Management Protocol on the Outcomes of Child Abuse in Hospitalized Children in Hong Kong

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    Lee, Anselm C. W.; Li, C. H.; So, K. T.

    2006-01-01

    Objective: To study the outcomes of children hospitalized for suspected child abuse before and after the implementation of a management protocol in a hospital in Hong Kong. Study period: Two 2-year periods before (1994-1995) and after (2002-2003) the implementation of the protocol in 1998. Methods: This is a retrospective hospital chart review in…

  20. Brincar no hospital: estratégia de enfrentamento da hospitalização infantil Playing in the hospital: coping strategy in child hospitalization

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    Alessandra Brunoro Motta

    2004-04-01

    Full Text Available Estudos indicam que a hospitalização pode afetar o desenvolvimento da criança, interferindo na qualidade de vida. Para lidar com essa situação, o brincar tem funcionado como estratégia de enfrentamento. Procurando-se avaliar a importância dada ao brincar pela criança e caracterizar atividades lúdicas possíveis no hospital, 28 crianças hospitalizadas com câncer (6-12 anos, em Vitória/ES, foram entrevistadas e responderam a um instrumento especialmente elaborado (AEH - Avaliação das Estratégias de Enfrentamento da Hospitalização - Conjunto B: Brincar no hospital, contendo 20 desenhos de brinquedos e brincadeiras, classificados em jogos de Exercícios, Simbólicos, de Acoplagem, de Regras e Atividades Diversas. 78,6% das crianças relataram que gostariam de brincar no hospital, o que é justificado principalmente pela sua função lúdica, na companhia de outras crianças internadas. Não houve diferenças significativas nas escolhas entre as categorias de brincadeiras. O instrumento mostrou que o brincar pode ser um recurso adequado para a adaptação da criança hospitalizada, permitindo personalizar a intervenção.Studies have shown that the hospitalization can affect a child development interfering with his/her quality of life. In order to deal with this situation, the act of playing has worked as a coping strategy. With the purpose to assess of the importance children give to play and to characterize possible playful activities in the hospital, 28 children hospitalized with cancer (6-12 years in Vitória, ES, were interviewed and took part on an instrument specially developed (AEH Evaluation of the Coping Strategies of the Hospitalization - group B: Playing in the hospital, consisting of 20 drawings of toys and games classified in games of Exercises, Symbolic Game, Game of Connection, Game of Rules and a variety of Activities. 78,6% of the children said that they would like playing in the hospital, which is justified mainly

  1. [Treatment of eating disorders in adolescents--the view of a child and adolescence psychiatric hospital].

    Science.gov (United States)

    Pfeiffer, Ernst; Hansen, Berit; Korte, Alexander; Lehmkuhl, Ulrike

    2005-04-01

    The paper presents--in the sense of clinical guidelines--reality of clinical care in a child and adolescence university hospital specialised on eating disorders. Need of a multimodal therapeutic approach is emphasized, including normalisation of weight and eating behaviour, nursing and pedagogical measures, individual, group and family therapy, completed by body therapy, art and music therapy and in case psychopharmacotherapy. Recommendations for overcoming weak spots are made.

  2. [Treatment of eating disorders in adolescents--the view of a child and adolescence psychiatric hospital].

    Science.gov (United States)

    Pfeiffer, Ernst; Hansen, Berit; Korte, Alexander; Lehmkuhl, Ulrike

    2005-04-01

    The paper presents--in the sense of clinical guidelines--reality of clinical care in a child and adolescence university hospital specialised on eating disorders. Need of a multimodal therapeutic approach is emphasized, including normalisation of weight and eating behaviour, nursing and pedagogical measures, individual, group and family therapy, completed by body therapy, art and music therapy and in case psychopharmacotherapy. Recommendations for overcoming weak spots are made. PMID:15918540

  3. Experiences of parenting a child with medical complexity in need of acute hospital care.

    Science.gov (United States)

    Hagvall, Monica; Ehnfors, Margareta; Anderzén-Carlsson, Agneta

    2016-03-01

    Parents of children with medical complexity have described being responsible for providing advanced care for the child. When the child is acutely ill, they must rely on the health-care services during short or long periods of hospitalization. The purpose of this study was to describe parental experiences of caring for their child with medical complexity during hospitalization for acute deterioration, specifically focussing on parental needs and their experiences of the attitudes of staff. Data were gathered through individual interviews and analyzed using qualitative content analysis. The care period can be interpreted as a balancing act between acting as a caregiver and being in need of care. The parents needed skilled staff who could relieve them of medical responsibility, but they wanted to be involved in the care and in the decisions taken. They needed support, including relief, in order to meet their own needs and to be able to take care of their children. It was important that the child was treated with respect in order for the parent to trust the staff. An approach where staff view parents and children as a single unit, as recipients of care, would probably make the situation easier for these parents and children. PMID:25352538

  4. Child Maltreatment; Types and effects: Series of six cases from a university hospital in Oman

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    Muna Al-Saadoon

    2012-02-01

    Full Text Available Child maltreatment (CM is common worldwide, and can take many forms. It may even endanger the child’s life, especially when younger children are the victims. CM affects the child’s quality of life and consequently leads to long term issues to be dealt with by the child, family and community. This case series discusses six children who have been subjected to CM, and diagnosed by the child protection team of the departments of Child Health and Behavioural Medicine at Sultan Qaboos University Hospital (SQUH, Oman. The aim of this case series is to increase the level of awareness of CM among Oman’s medical professionals and to highlight the difficulties encountered in diagnosing and providing optimal care for these children. Although treatment is provided in Oman’s health care system, it is clear that there are gaps in the existing system which affect the quality of child protection services provided to the children and their families.

  5. Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey

    OpenAIRE

    TIRAŞ, Ülkü

    2009-01-01

    Aim: Data on child maltreatment in Turkey would appear to be scarce. This manuscript aims to address the prevalence and severity of child maltreatment in Turkey. Materials and methods: We report on 215 cases at the Ministry of Health’s Ankara Training and Research Hospital that were followed-up by the multidisciplinary Child Protection Team (CPT) between 1 January 2001 and 31 December 2005. The data collected on subjects included characteristics of the victims and the perpetrators,...

  6. Hospital-Based Multidisciplinary Teams Can Prevent Unnecessary Child Abuse Reports and Out-of-Home Placements

    Science.gov (United States)

    Wallace, Gregory H.; Makoroff, Kathi L.; Malott, Heidi A.; Shapiro, Robert A.

    2007-01-01

    Objective: To determine how often and for what reasons a hospital-based multidisciplinary child abuse team concluded that a report of alleged or suspected child abuse was unnecessary in young children with fractures. Methods: A retrospective review was completed of all children less than 12 months of age who, because of fractures, were referred to…

  7. Outcomes of prevention of HIV mother-to-child transmission in Cipto Mangunkusumo Hospital

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    Dina Muktiarti

    2012-09-01

    Full Text Available Background Human immunodeficiency virus (HIV infection is increasing worldwide. One route of HIV transmission is from mother to child, during pregnancy, delivery or breastfeeding. Prevention of mother-to-child transmission may be an effective strategy to reduce the cases of new HIV infections. Objectives To investigate the incidence of HIV infection in infants born to mothers with HIV and who received prophylactic therapy at birth, as well as to note the outcomes of HIV-infected children in this program. Methods This retrospective study was carried out over a 9-year period, from January 2003 to December 2011. The participants were HIV-exposed infants who attended the HIV clinic, at the Department of Child Health, Cipto Mangunkusumo Hospital Jakarta. Infants were treated according to the prevention of mother-to-child transmission (PMTCT protocol at CMH. Parents’ and infants’ data was recorded. The end point of this study was recording of HIV-infection status in the infants. Results There were 238 infants included in this study. HIV infection was confirmed in 6 (2.5% infants, while 170 (72.4% subjects were uninfected, and 62 (26.1% subjects were lost to foloow-up. No subjects who underwent complete PMTCT management were infected. Most subjects were male, full-term, and delivered by caesarean section in our hospital. The most frequently observed parental risk factor was intravenous drug use. Maternal antiretroviral theraphy (ART was given during pregnancy in most cases. Morbidities in all subjects were low. Conclusion The PMTCT program at CMH was effective for reducing the number of HIV-infected infants from mothers with HIV

  8. Therapeutic Hypothermia and Out-of-Hospital Cardiac Arrest in a Child with Hypertrophic Obstructive Cardiomyopathy

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    Nancy Spurkeland

    2015-01-01

    Full Text Available Neurologic outcomes following pediatric cardiac arrest are consistently poor. Early initiation of cardiopulmonary resuscitation has been shown to have positive effects on both survival to hospital discharge, and improved neurological outcomes after cardiac arrest. Additionally, the use of therapeutic hypothermia may improve survival in pediatric cardiac arrest patients admitted to the intensive care unit. We report a child with congenital hypertrophic obstructive cardiomyopathy and an out-of-hospital cardiac arrest, in whom the early initiation of effective prolonged cardiopulmonary resuscitation and subsequent administration of therapeutic hypothermia contributed to a positive outcome with no gross neurologic sequelae. Continuing efforts should be made to promote and employ high-quality cardiopulmonary resuscitation, which likely contributed to the positive outcome of this case. Further research will be necessary to develop and solidify national guidelines for the implementation of therapeutic hypothermia in selected subpopulations of children with OHCA.

  9. Using Routinely Collected Hospital Data for Child Maltreatment Surveillance: Issues, Methods and Patterns

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    Scott Debbie A

    2011-01-01

    maltreatment cases. Conclusion This study has demonstrated that hospital data could provide valuable information for routine monitoring and surveillance of child maltreatment, even in the absence of population-based linked data sources. With national and international calls for a public health response to child maltreatment, better understanding of, investment in and utilisation of our core national routinely collected data sources will enhance the evidence-base needed to support an appropriate response to children at risk.

  10. Child abuse and neglect as seen in General Hospital, Kuala Lumpur--a two year study.

    Science.gov (United States)

    Kassim, M S; George, R; Kassim, K; Begum, M; Cherian, M P; Tajudin, A K; Chandran, V; Anan, A; Reddy, R; Singh, J

    1989-06-01

    Eighty-six children diagnosed as child abuse and/or neglect were admitted to the Paediatric wards of the General Hospital, Kuala Lumpur during 1985 and 1986. Of these cases, 62 were of physical abuse, six of sexual abuse, one case of both physical and sexual abuse and 17 of neglect. There were 25 boys and 61 girls. Thirty-four of these children were Malays, 16 Chinese, 26 Indians, three mixed and seven illegal immigrants. Twenty-one were below the age of one year, 24 from one to four years, 25 from five to nine years and 16 were ten years and above. The abusers were mainly close members of the family. Of these children, 24 were sent back to their parents and 11 to their relatives home. Twenty-seven were taken into care by the Ministry of Social Welfare and the remaining seven children who were illegal immigrants, were deported with their parents. Only one child was successfully fostered. Eleven children were taken away from the hospital by their parents or guardians without the knowledge of the health staff. There were five deaths in the series. PMID:2626119

  11. Child abuse and neglect as seen in General Hospital, Kuala Lumpur--a two year study.

    Science.gov (United States)

    Kassim, M S; George, R; Kassim, K; Begum, M; Cherian, M P; Tajudin, A K; Chandran, V; Anan, A; Reddy, R; Singh, J

    1989-06-01

    Eighty-six children diagnosed as child abuse and/or neglect were admitted to the Paediatric wards of the General Hospital, Kuala Lumpur during 1985 and 1986. Of these cases, 62 were of physical abuse, six of sexual abuse, one case of both physical and sexual abuse and 17 of neglect. There were 25 boys and 61 girls. Thirty-four of these children were Malays, 16 Chinese, 26 Indians, three mixed and seven illegal immigrants. Twenty-one were below the age of one year, 24 from one to four years, 25 from five to nine years and 16 were ten years and above. The abusers were mainly close members of the family. Of these children, 24 were sent back to their parents and 11 to their relatives home. Twenty-seven were taken into care by the Ministry of Social Welfare and the remaining seven children who were illegal immigrants, were deported with their parents. Only one child was successfully fostered. Eleven children were taken away from the hospital by their parents or guardians without the knowledge of the health staff. There were five deaths in the series.

  12. Child dental fear and behavior: The role of environmental factors in a hospital cohort

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    B S Suprabha

    2011-01-01

    Full Text Available Introduction: Information on the origin of dental fear and uncooperative behavior in a child patient is important for behavior management strategy. The effects of environmental factors have been comparatively less studied, especially in an Indian scenario. Objectives: To find the association of (1 age, gender, family characteristics, previous medical, and dental experiences with dental fear and behavior (2 dental fear with dental behavior. Materials and Methods: A cross-sectional questionnaire study involving 125 children aged between 7 and 14 years undergoing dental treatment under local anesthesia. The parent completed a questionnaire on family situation, medical history, and past dental experiences of the child. Child′s dental fear was recorded using Children′s Fear Survey Schedule-Dental Subscale and behavior was rated using Frankl Behaviour Rating Scale. Statistical Analysis: Data were analyzed using chi square test and binary logistic regression analysis. Results: Unpleasant experience in dental clinic and age of the child significantly influenced dental behavior. Visited pediatrician in the past one year, prior history of hospital admission, previous visit to dentist, experience at the first dental visit, and age of the child were contributing factors for dental fear. There was also significant association between dental fear levels and behavior. Conclusions: In 7 to 14 year olds, dental fear influences dental behavior, but the factors affecting them are not the same. Although dental fear decreases and dental behavior improves with age, experiences at the previous dental visits seem to influence both dental fear and behavior. Past medical experiences are likely to influence dental fear but not dental behavior.

  13. Lower respiratory tract infection hospitalizations among American Indian/Alaska Native children and the general United States child population

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    Eric M. Foote

    2015-11-01

    Full Text Available Background: The lower respiratory tract infection (LRTI-associated hospitalization rate in American Indian and Alaska Native (AI/AN children aged <5 years declined during 1998–2008, yet remained 1.6 times higher than the general US child population in 2006–2008. Purpose: Describe the change in LRTI-associated hospitalization rates for AI/AN children and for the general US child population aged <5 years. Methods: A retrospective analysis of hospitalizations with discharge ICD-9-CM codes for LRTI for AI/AN children and for the general US child population <5 years during 2009–2011 was conducted using Indian Health Service direct and contract care inpatient data and the Nationwide Inpatient Sample, respectively. We calculated hospitalization rates and made comparisons to previously published 1998–1999 rates prior to pneumococcal conjugate vaccine introduction. Results: The average annual LRTI-associated hospitalization rate declined from 1998–1999 to 2009–2011 in AI/AN (35%, p<0.01 and the general US child population (19%, SE: 4.5%, p<0.01. The 2009–2011 AI/AN child average annual LRTI-associated hospitalization rate was 20.7 per 1,000, 1.5 times higher than the US child rate (13.7 95% CI: 12.6–14.8. The Alaska (38.9 and Southwest regions (27.3 had the highest rates. The disparity was greatest for infant (<1 year pneumonia-associated and 2009–2010 H1N1 influenza-associated hospitalizations. Conclusions: Although the LRTI-associated hospitalization rate declined, the 2009–2011 AI/AN child rate remained higher than the US child rate, especially in the Alaska and Southwest regions. The residual disparity is likely multi-factorial and partly related to household crowding, indoor smoke exposure, lack of piped water and poverty. Implementation of interventions proven to reduce LRTI is needed among AI/AN children.

  14. THE LEARNING OF TAKING CARE OF THE CHILD'S FAMILY HOSPITALIZED BY GROUP ACTIVITIES

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    Carla Natalina da Silva Fernandes

    2006-04-01

    Full Text Available SUMMARY: This study aims to know the student's learning in the process of taking care of the relative companion of hospitalized child/adolescent. This is a qualitative design of descriptive and exploratory research. The investigation was accomplished with 12 academic of the 5th of the nursing graduation class at the Federal University of Goiás. The data collection was made by a semi-structured interview applied to the students from December 2004 to January 2005. The analysis was based on thematic analysis which allowed the identification of two categories: 1 Understanding nurses academic formation to care families, that it explores the way as students notices them formation to take care of the child and of her family and 2 The meaning of caring by group strategies, that detaches aspects of the learning of the use of activities in group with relatives. In the students' perspective, that was an important experience for providing moments to stay together and facilitating the care offered to the child and family, as well as it made possible the reflection about the necessary abilities to think and to do the humanized care in the context of the established relationships among family-patient-nurses. The students still detach some aspects that feel need of improvements from teachers and of the health institution, showing the relevance to consider the student's evaluation as an instrument for constant renewal of the pedagogic practices, as well as for the improvement of the quality of the attendance in health. KEY WORDS: Pediatric Nursing; Higher Education; Group Processes

  15. Clinical Commentary by Barbara Segal, a Consultant Child and Adolescent Psychotherapist Working in University College London Hospitals

    Science.gov (United States)

    Segal, Barbara

    2010-01-01

    This moving clinical account describes the psychotherapeutic work of a child psychotherapist undertaken in a hospital room with 13-year-old Maya, after the sudden onset of a terrifying and serious illness, Guillain-Barre syndrome, leaving her with paralysis and extreme weakness. The first session takes place almost three weeks after Maya's…

  16. Impact of hospital delivery on child mortality: An analysis of adolescent mothers in Bangladesh.

    Science.gov (United States)

    Pal, Sarmistha

    2015-10-01

    New medical inventions for saving young lives are not enough if these do not reach the children and the mother. The present paper provides new evidence that institutional delivery can significantly lower child mortality risks, because it ensures effective and timely access to modern diagnostics and medical treatments to save lives. We exploit the exogenous variation in community's access to local health facilities (both traditional and modern) before and after the completion of the 'Women's Health Project' in 2005 (that enhanced emergency obstetric care in women friendly environment) to identify the causal effect of hospital delivery on various mortality rates among children. Our best estimates come from the parents fixed effects models that help limiting any parents-level omitted variable estimation bias. Using 2007 Bangladesh Demographic Health Survey data from about 6000 children born during 2002-2007, we show that, ceteris paribus, access to family welfare clinic particularly boosted hospital delivery likelihood, which in turn lowered neo-natal, early and infant mortality rates. The beneficial effect was particularly pronouncedamong adolescent mothers after the completion of Women's Health Project in 2005; infant mortality for this cohort was more than halved when delivery took place in a health facility. PMID:26363451

  17. Using Routinely Collected Hospital Data for Child Maltreatment Surveillance: Issues, Methods and Patterns

    OpenAIRE

    Scott Debbie A; McKenzie Kirsten

    2011-01-01

    Abstract Background International data on child maltreatment are largely derived from child protection agencies, and predominantly report only substantiated cases of child maltreatment. This approach underestimates the incidence of maltreatment and makes inter-jurisdictional comparisons difficult. There has been a growing recognition of the importance of health professionals in identifying, documenting and reporting suspected child maltreatment. This study aimed to describe the issues around ...

  18. The effectiveness of the solidary care ahead of events that follow the chronicle illness process of the hospitalized child

    Directory of Open Access Journals (Sweden)

    Alexandra Maria Alves

    2006-08-01

    Full Text Available Article of research that objectified to identify how the nurses carrie through the solidary care front to the alterations in the evolution of the hospitalized child that lead to the chronicle illness process. The methodology is qualitative through the exploratory- description method. The subjects had been nine assisstencial nurses who act in pediatric units of a great hospital of Curitiba-PR wich is reference in the pediatric area in all Brazil. For the collection of the information we used the half-structuralized interview. To accomplish the analysis of the depositions we followed the content analysis proposal by Bardin (1991. The ethical rules had been followed in agreement to the Resolution 196/96. All the subjects had signed the term of content of written informed consent. After the transcription of the interviews that had been recorded, we initiate the categorization. Three Units of Context and six Units of Meaning had been apprehended.The Units of Context include the perception of the chronicle illness process of the hospitalized child by the nurse; the perception of the nursing actions of solidary care by the family and, pointing characteristics that interpose the solidary care. For the analysis of the depositions it was possible to perceive that the lack of familiar structure is visible, therefore the child remains long time in the hospital, modifying its daily routine, affecting the family and changing its routine, that is, coexisting with the chronicle illness process imposes alterations in the existing space and temporality of the child. The family and child need support supplied by the nurse in solidary care. The solidary care is perceived by the bond, interest, contact, dialogue, support, the presence, the listening, for the empathy, reliable transmission and hope. It can be established with multiprofessional work, preparation of the team, knowledge, availability, respect for the other. The solidary care is a process, an event that

  19. Comparison of anti-retroviral therapy treatment strategies in prevention of mother-to-child transmission in a teaching hospital in Ethiopia

    OpenAIRE

    Kumela K; Amenu D; Chelkeba L

    2015-01-01

    Background: More than 90% of Human immunodeficiency virus (HIV) infection in children is acquired due to mother-to-child transmission, which is spreading during pregnancy, delivery or breastfeeding. Objective: To determine the effectiveness of highly active antiretroviral and short course antiretroviral regimens in prevention of mother-to-child transmission of HIV and associated factors Jimma University Specialized Hospital (JUSH). Method: A hospital based retrospective cohort study w...

  20. Time to presentation, pattern and immediate health effects of alleged child sexual abuse at two tertiary hospitals in Addis Ababa, Ethiopia

    OpenAIRE

    Girgira, Timketa; Tilahun, Birkneh; Bacha, Tigist

    2014-01-01

    Background Children are vulnerable to abuse and violence because their level of development makes them unable to protect themselves. Such adversities during early childhood may have a negative impact on the future lives of the victims. This study was done to determine the delay to hospital presentation, clinical manifestations and immediate health effects of child sexual abuse in two tertiary care hospitals in Ethiopia. Methods We reviewed records of all cases of child sexual and physical abu...

  1. An IBCLC in the Maternity Ward of a Mother and Child Hospital: A Pre- and Post-Intervention Study

    Directory of Open Access Journals (Sweden)

    Antonella Chiurco

    2015-08-01

    Full Text Available Published evidence on the impact of the integration of International Board Certified Lactation Consultants (IBCLCs for breastfeeding promotion is growing, but still relatively limited. Our study aims at evaluating the effects of adding an IBCLC for breastfeeding support in a mother and child hospital environment. We conducted a prospective study in the maternity ward of our maternal and child health Institute, recruiting 402 mothers of healthy term newborns soon after birth. The 18-month intervention of the IBCLC (Phase II was preceded (Phase I by data collection on breastfeeding rates and factors related to breastfeeding, both at hospital discharge and two weeks later. Data collection was replicated just before the end of the intervention (Phase III. In Phase III, a significantly higher percentage of mothers: (a received help to breastfeed, and also received correct information on breastfeeding and community support, (b started breastfeeding within two hours from delivery, (c reported a good experience with the hospital staff. Moreover, the frequency of sore and/or cracked nipples was significantly lower in Phase III. However, no difference was found in exclusive breastfeeding rates at hospital discharge or at two weeks after birth.

  2. Methodological challenges in following up patients of a hospital child protection team: is there a recruitment bias?

    Directory of Open Access Journals (Sweden)

    Lips Ulrich

    2010-11-01

    Full Text Available Abstract Background The aims of this study are to describe the methodological challenges in recruiting a follow-up sample of children referred to an interdisciplinary hospital child protection team (CPT and to compare participating versus non-participating groups on several demographic variables and maltreatment characteristics. Methods Of the 319 in- and outpatients referred to the CPT at University Children's Hospital Zurich from 2005–2006 a sample of 180 children was drawn to contact for a follow-up. The children and their parents were asked to participate in a face-to-face interview at the hospital; in 42 cases the children and parents consented to do so. Alternatively, the parents could take part in a telephone interview (n = 39. Non-participation resulted because no contact or adequate communication in German, French, or English could be established (n = 49 or because the parents or children refused to participate (n = 50. Results Participants and non-participants did not differ significantly in mean child age at follow-up, gender, family status, place of residence, certainty and type of maltreatment, and type of perpetrator. However, the child's nationality had a significant impact: Percentages of foreign nationals were higher in the fully participating group (45%; n = 19 and the non-contactable group (53%; n = 26 and significantly lower in the refusal (26%; n = 10 and the telephone interview group (18%; n = 9. Although a high percentage of families had moved in the few years since the CPT intervention (32%; n = 57, the percentage of moves was not significantly higher in non-participants compared to participants. Conclusions Further research is needed to support these results in different national backgrounds and to test for biases in variables not included – especially socioeconomic status. This includes gathering more detailed information on non-participants, while respecting ethical boundaries. Overall, the fact that only child

  3. Child Maltreatment: Types and effects: Series of six cases from a university hospital in Oman

    OpenAIRE

    Muna Al-Saadoon; Marwan Al-Sharbati; Ibtisam El Nour; Basma Al-Said

    2012-01-01

    Child maltreatment (CM) is common worldwide, and can take many forms. It may even endanger the child’s life, especially when younger children are the victims. CM affects the child’s quality of life and consequently leads to long term issues to be dealt with by the child, family and community. This case series discusses six children who have been subjected to CM, and diagnosed by the child protection team of the departments of Child Health and Behavioural Medicine at Sultan Qaboos University H...

  4. Risk factors for preterm birth in five Maternal and Child Health hospitals in Beijing.

    Directory of Open Access Journals (Sweden)

    Yun-Ping Zhang

    Full Text Available BACKGROUND: Preterm birth, the birth of an infant prior to 37 completed weeks of gestation, is the leading cause of perinatal morbidity and mortality. Preterm infants are at greater risk of respiratory, gastrointestinal and neurological diseases. Despite significant research in developed countries, little is known about the causes of preterm birth in many developing countries, especially China. This study investigates the association between sciodemographic data, obstetric risk factor, and preterm birth in five Maternal and Child Health hospitals in Beijing, China. METHODS AND FINDINGS: A case-control study was conducted on 1391 women with preterm birth (case group and 1391 women with term delivery (control group, who were interviewed within 48 hours of delivery. Sixteen potential factors were investigated and statistical analysis was performed by univariate analysis and logistic regression analysis. Univariate analysis showed that 14 of the 16 factors were associated with preterm birth. Inter-pregnancy interval and inherited diseases were not risk factors. Logistic regression analysis showed that obesity (odds ratio (OR = 3.030, 95% confidence interval (CI 1.166-7.869, stressful life events (OR = 5.535, 95%CI 2.315-13.231, sexual activity (OR = 1.674, 95%CI 1.279-2.191, placenta previa (OR 13.577, 95%CI 2.563-71.912, gestational diabetes mellitus (OR = 3.441, 95%CI1.694-6.991, hypertensive disorder complicating pregnancy (OR = 6.034, 95%CI = 3.401-10.704, history of preterm birth (OR = 20.888, 95%CI 2.519-173.218 and reproductive abnormalities (OR = 3.049, 95%CI 1.010-9.206 were independent risk factors. Women who lived in towns and cities (OR = 0.603, 95%CI 0.430-0.846, had a balanced diet (OR = 0.533, 95%CI 0.421-0.675 and had a record of prenatal care (OR = 0.261, 95%CI 0.134-0.510 were less likely to have preterm birth. CONCLUSIONS: Obesity, stressful life events, sexual activity, placenta previa

  5. Everyone's business: developing an integrated model of care to respond to child abuse in a pediatric hospital setting.

    Science.gov (United States)

    Connolly, Sarah

    2012-01-01

    In pediatric hospitals, social work plays a central role in the prevention, identification, and management of child abuse. Children who are suspected of having been abused or neglected require an evaluation of their psychosocial situation. As an integral member of the health care team, the social worker is well placed to undertake comprehensive psychosocial assessments including information on the child's development, parental capacity, family, and community supports. Current practice approaches have seen a shift away from a narrow, "expert" approach to child protection. This article describes the development of an integrated model of social work service delivery to better respond to vulnerable and at-risk children in a pediatric hospital setting. Developing a new model of service required strategic planning, consultation, and endorsement from senior hospital management. The new model aimed to ensure a high quality, responsive social work service to children at risk of physical abuse, neglect, or cumulative harm. The change necessitated understanding of current research evidence, development of best practice guidelines, and effective communication with staff and external stakeholders. Policy development, implementation of practice guidelines, staff training, data collection, and service evaluation are described. The role of social work management and leadership were central in creating change. Visionary leadership is widely regarded as key to successful organizational change. The management approach included consultation with staff, building commitment to the need for change, addressing staff concerns, and providing a vision of enhanced client outcomes as a result of the change process. This article provides a candid overview of challenges and barriers to change. Change strategies described are easily transferable to other social work settings. PMID:22251389

  6. Everyone's business: developing an integrated model of care to respond to child abuse in a pediatric hospital setting.

    Science.gov (United States)

    Connolly, Sarah

    2012-01-01

    In pediatric hospitals, social work plays a central role in the prevention, identification, and management of child abuse. Children who are suspected of having been abused or neglected require an evaluation of their psychosocial situation. As an integral member of the health care team, the social worker is well placed to undertake comprehensive psychosocial assessments including information on the child's development, parental capacity, family, and community supports. Current practice approaches have seen a shift away from a narrow, "expert" approach to child protection. This article describes the development of an integrated model of social work service delivery to better respond to vulnerable and at-risk children in a pediatric hospital setting. Developing a new model of service required strategic planning, consultation, and endorsement from senior hospital management. The new model aimed to ensure a high quality, responsive social work service to children at risk of physical abuse, neglect, or cumulative harm. The change necessitated understanding of current research evidence, development of best practice guidelines, and effective communication with staff and external stakeholders. Policy development, implementation of practice guidelines, staff training, data collection, and service evaluation are described. The role of social work management and leadership were central in creating change. Visionary leadership is widely regarded as key to successful organizational change. The management approach included consultation with staff, building commitment to the need for change, addressing staff concerns, and providing a vision of enhanced client outcomes as a result of the change process. This article provides a candid overview of challenges and barriers to change. Change strategies described are easily transferable to other social work settings.

  7. Hospital Based Emergency Department Visits Attributed to Child Physical Abuse in United States: Predictors of In-Hospital Mortality

    OpenAIRE

    Veerajalandhar Allareddy; Rahimullah Asad; Min Kyeong Lee; Romesh P Nalliah; Sankeerth Rampa; Speicher, David G; Rotta, Alexandre T; Veerasathpurush Allareddy

    2014-01-01

    OBJECTIVES: To describe nationally representative outcomes of physical abuse injuries in children necessitating Emergency Department (ED) visits in United States. The impact of various injuries on mortality is examined. We hypothesize that physical abuse resulting in intracranial injuries are associated with worse outcome. MATERIALS AND METHODS: We performed a retrospective analysis of the Nationwide Emergency Department Sample (NEDS), the largest all payer hospital based ED database, for the...

  8. Hospital Based Emergency Department Visits Attributed to Child Physical Abuse in United States: Predictors of In-Hospital Mortality

    OpenAIRE

    Allareddy, Veerajalandhar; Asad, Rahimullah; Lee, Min Kyeong; Romesh P Nalliah; Rampa, Sankeerth; Speicher, David G; Rotta, Alexandre T; Allareddy, Veerasathpurush

    2014-01-01

    Objectives: To describe nationally representative outcomes of physical abuse injuries in children necessitating Emergency Department (ED) visits in United States. The impact of various injuries on mortality is examined. We hypothesize that physical abuse resulting in intracranial injuries are associated with worse outcome. Materials and Methods We performed a retrospective analysis of the Nationwide Emergency Department Sample (NEDS), the largest all payer hospital based ED database, for the ...

  9. [The Asahi Model-Regional Mental Health Services at Department of Psychiatry and Child Psychiatry, Asahi General Hospital].

    Science.gov (United States)

    Aoki, Tsutomu

    2015-01-01

    The Asahi model, Psychiatric Services of Department of Psychiatry and Child Psychiatry, Asahi General Hospital, is characterized by multiple dimensions of mental health services, such as multidisciplinary team approach, medical cooperation, specialized psychiatric treatment of acute care, clozapine and modified ECT, outreach services of home nursing and assertive community treatment, and the close and mutual coordination with housing services and social welfare services. The Asahi Model makes it possible to be deinstitutionalized, to improve patients satisfaction, to shorten hospitalization, to decrease psychiatric emergency visits and to be of service in a natural disaster. It also might prevent the relapse of schizophrenics within twelve months after discharge and improve the quality of mental health staffs trainings to support patients better. In the future, we will need to work on providing sectorized care, early psychosis intervention programs, to construct networking systems of clozapine and modified ECT, to strengthen growth of home nursing, and to take place mental health anti-stigma campaigns. PMID:26552318

  10. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  11. Hospitalized youth and child abuse: a systematic examination of psychiatric morbidity and clinical severity.

    Science.gov (United States)

    Keeshin, Brooks R; Strawn, Jeffrey R; Luebbe, Aaron M; Saldaña, Shannon N; Wehry, Anna M; DelBello, Melissa P; Putnam, Frank W

    2014-01-01

    Many children and adolescents who require psychiatric hospitalization have been physically or sexually abused, yet the association between reported histories of abuse and the complexity and severity of mental illness among psychiatrically hospitalized youth is poorly described with regard to current inpatient psychiatric practice. We sought to determine the association between histories of abuse and psychiatric complexity and severity in psychiatrically hospitalized youth including comorbidity patterns, psychotropic medication use, reason for admission and length of hospitalization. A systematic chart review was performed on 1433 consecutive psychiatric hospitalizations of children and adolescents that occurred over a 10-month period. Children with a history of abuse were more likely to be diagnosed with multiple DSM-IV-TR disorders than non-traumatized children. A history of sexual abuse was associated with more medication use than in their non-traumatized peers and a higher likelihood of treatment with antipsychotic medications, both at admission and discharge. Physical and sexual abuse were independently associated with increased length of stays, with exposure to both physical and sexual abuse associated with a 2-day increase in duration of hospitalization compared to non-traumatized patients. The findings from this study draw attention to the adverse impact of abuse on psychiatric morbidity and complexity and suggest the need for trauma-informed treatment in psychiatric hospital settings. PMID:24041456

  12. Assessing Child Maltreatment in Children Born to Mothers Who Used Methamphetamine during Pregnancy at Siriraj Hospital, Bangkok, Thailand: A Pilot Study

    OpenAIRE

    Patcharoros, Nontima; Chulakadabba, Sudsabuy; Na Manorom, Nattawadee; Boon-yasidhi, Vitharon

    2014-01-01

    Studies on maltreatment of children born to methamphetamine abusing mothers are lacking. This cross-sectional study examined child maltreatment among children born at Siriraj Hospital, Bangkok, Thailand, to mothers who used methamphetamines during pregnancy. During the study period between July 2011 and January 2012, 34 caretakers of these children were interviewed using the ISPCAN Child Abuse Screening Tool-Parent Version (ICAST-P) to assess their disciplinary actions. The associations betwe...

  13. Management of physical child abuse in South Africa:Literature review and children's hospital data analysis

    NARCIS (Netherlands)

    Janssen, T.L. (T. L.); M. van Dijk (Monique); Al Malki, I. (I.); A.B. van As (Àrjan Bastiaan)

    2013-01-01

    textabstractBackground: The reason for this review is the lack of data on the management of physical abused children in Africa. The primary goal of the first part is to outline the management of physical child abuse in (South) Africa and provide suggestions for other governments in Africa on which t

  14. Determination of behavioral reactions of a child of 3-6 ages group to be hospitalized due to an acute illness

    OpenAIRE

    Zümrüt Başbakkal; Sibel Sönmez; Nesrin Şen Celasin; Figen Esenay

    2010-01-01

    The study is executed with mothers of children aged 3-6 (n=170) whose children were hospitalized for the first time between the dates of 15.07.2003 and 15.06.2006, who were reachable by phone and accepted to participate in the study aiming determination of behavioral reactions of a child of 3-6 ages group to be hospitalized due to an acute illness.In this study, for data gathering "Personal Information Form" including 15 questions and "Inquiry Form of Behavior Changes of  3-6 Ages Group Child...

  15. Alojamiento conjunto madre-hijo y lactancia humana exclusiva Joined mother-child hospital lodging and exclusive human lactation

    Directory of Open Access Journals (Sweden)

    SAMUEL FLORES-HUERTA

    1997-03-01

    Full Text Available Objetivo. Conocer la influencia del alojamiento conjunto (AC madre-hijo, en la frecuencia de lactancia humana exclusiva (LHE, desde el nacimiento hasta los cuatro meses de vida. Material y métodos. Estudio de cohortes no aleatorizado realizado en la clínica de lactancia del Hospital "Luis Castelazo Ayala", del Instituto Mexicano del Seguro Social, de enero de 1993 a octubre de 1994, en el que participaron 178 binomios madre-hijo (BMH sanos con gestación de término. El grupo con alojamiento conjunto (AC se integró con 90 BMH, y la madre recibió asesoría para lactar; 88 se atendieron en forma separada, sin asesoría para lactar. Se realizó análisis estadístico de los datos para apreciar frecuencia y asociaciones de las variables. Resultados. La alimentación se registró como LHE, fórmula o ambas. Los grupos con y sin AC se estratificaron por la forma de nacimiento, parto o cesárea. Con X² de Mantel-Haenszel y de rango logarítmico se aceptaron diferencias con pObjective. To determine the influence of joined mother-child hospital lodging (JL on the frequency of exclusive human lactation (EHL from birth to four months of age. Material and methods. Non-randomized cohort study performed at the lactation clinic of the "Luis Castelazo Ayala" Hospital of the Mexican Social Security Institute from January 1993 to October 1994 which included 178 healthy mother-child pairs (MCP with term pregnancy. The jointly lodged group (JL consisted of 90 MCP in which mothers received assessment for lactation; 88 MCP were lodged separately and no assessment was provided. Results were statistically analyzed to determine frequency and variable associations. Results. Feeding was recorded as either EHL, powdered milk or both. Groups with or without JL were stratified by form of birth, either labor or Cesarean section. With the Mantel-Haenszel X² and logarithmic range, differences were significant with p<0.05. During the study, global lactation was similar

  16. Auditing the needs of recovery room staff providing care for the child in an acute hospital.

    Science.gov (United States)

    Nicholas-Holley, J

    2016-05-01

    This article examines the results of an audit into recovery nurse knowledge and understanding of paediatric care standards. It will critically analyse the availability of current standards for children's services in the recovery room and discuss the need for a national document specifically dedicated to standards of practise for the care of the child in the recovery room providing immediate post operative care. The article will also look at the development of such a document. PMID:27400487

  17. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    The challenge could be briefly seen in these terms: hospitals as places for treatment where there’s a technology focus and hospitals for healing where there’s a human focus. In the 60s - 70s wave of new hospital building, an emphasis on technology can be seen. It’s time to move from the technology...... is to minimize the negative effects of stress inducing environments based on research results. Which stress inducing factors? We can look around at some old hospitals and see they are noisy, confusing, ugly, monotonous, hard, cold, artificial, and dark; qualitative terms which can indicate what we shouldn......’t be doing in hospitals. Design factors which should be carefully considered include: Light, as in daylight, artificial light, its color, its temperature, the level and quality of lighting and the effects of light on circadian rhythms. There is documented evidence in: users’ satisfaction, orientation, 24...

  18. Child hospitalization due to severe malaria is associated with the ICAM-1(Kilifi) allele but not adherence patterns of Plasmodium falciparum infected red blood cells to ICAM-1

    NARCIS (Netherlands)

    Mwanziva, C.; Mpina, M.; Balthazary, S.; Mkali, H.; Mbugi, E.V.; Mosha, F.; Chilongola, J.

    2010-01-01

    This study aimed at determining whether the predisposition of a mutation at position 179 of the ICAM-1 gene to child hospitalization due to malaria was mediated by changes in adherence properties of IRBCs to ICAM-1. ICAM-1 genotypes were determined by nested polymerase chain reaction of isolated DNA

  19. Access to basic sanitation and hospitalization for acute diarrheal disease: a study of child vulnerability

    Directory of Open Access Journals (Sweden)

    Raphael Mendonça Guimarães

    2013-06-01

    Full Text Available Objective: The aim of this study was to evaluate the differential vulnerability of children in relation to environmental sanitation conditions.Methods: An ecological study was conducted about the association between the trend in rates of hospitalization for acute diarrheal disease (ADD and the population covered by basic sanitation in Brazil by Brazilian states, and stratified by age. The polynomial regression model was used to assess trends. Results: Using data from sanitation coverage and hospitalization rate for ADD, an inverse correlation was found between the two variables, with the correlation having greater magnitude and statistical significance for children (adults: r = -0.259, p = 0.184; children: r = -0.406, p = 0.032. Moreover, there was a statistically significant association for the number of hospitalizations for ADD in children, including the global data for Brazil (SIR = 3.17, 95 % CI 2.95 to 3.42. Conclusions: Improved knowledge and information about children and their windows of susceptibility to environmental agents will help to identify susceptible subgroups and ages, as well as to plan specific preventive measures.

  20. Determination of behavioral reactions of a child of 3-6 ages group to be hospitalized due to an acute illness

    Directory of Open Access Journals (Sweden)

    Zümrüt Başbakkal

    2010-02-01

    Full Text Available The study is executed with mothers of children aged 3-6 (n=170 whose children were hospitalized for the first time between the dates of 15.07.2003 and 15.06.2006, who were reachable by phone and accepted to participate in the study aiming determination of behavioral reactions of a child of 3-6 ages group to be hospitalized due to an acute illness.In this study, for data gathering "Personal Information Form" including 15 questions and "Inquiry Form of Behavior Changes of  3-6 Ages Group Children After Being Hospitalized" with 30 questions were used. Date gathering forms were carried out as pre-test by using face-to-face interview method with mothers of 3-6 aged children who were hospitalized for the first time and were in first 12 hours of hospitalization. "Inquiry Form of Behavior Changes of 3-6 Ages Group Children After Being Hospitalized" was re-carried out with mothers by phone 1 month after children being discharged from hospital.In analyzing of datas statistical programme of SPSS 13.0 for Windows was used. In statistical evaluation;  number-percent dispersion, Wilcoxon Sing Rank test and Paired Sample-t test were used.According to the results obtained from the study, 57.6% of children are male with age average of 4,46±1,18 and 52.3% of them were hospitalized due to Gastroentestinal System Illnesses. A significant difference was determined between average points of behavior changes of 3-6 ages group children hospitalized due to an acute illness before hospitalized (10,735±4,882 and after being discharged from hospital (15,0476±4,306. In the study, it is observed that there are some behavioral changes in children after being hospitalized such as being cranky before going to bed and during eating, disquiet, bed-wetting, seperation anxiety, excessive attachment to a parent, to need help even for the things he/she could accomplish, to have fear from new environments, people or objects, bad temper attacks, fear of doctor/nurse and hospital

  1. Age-appropriate feeding practices and nutritional status of infants attending child welfare clinic at a Teaching Hospital in Nigeria

    Directory of Open Access Journals (Sweden)

    Umar M Lawan

    2014-01-01

    Full Text Available Background: Appropriate infant feeding is the key to optimum infant and child development and survival. This study investigates age-appropriate infant feeding practices and nutritional status of infants attending the immunization and child welfare clinic at Aminu Kano Teaching Hospital. Materials and Methods: Using a cross-sectional descriptive design, a sample of 300 sets of infants (age ≤12 months and caregivers was systematically selected and studied. The data were analyzed using the MINITAB ® 12.21 (USA statistical software. Results: All the infants studied were still on breast milk. Most of the mothers demonstrated correct body positioning (89.9 and attachment (78.7% during breastfeeding, and effective suckling was demonstrated in 77.0%. Interestingly, none of the infants was either exclusively breastfed for 6 months or currently on exclusive breastfeeding. Furthermore, only 64 (58.2% of the 110 infants that were more than 6 months of age had appropriately been started on complementary feeding from 6 months of age. Overall, most caregivers (88.7% had "fair" to "good" infant feeding practices. The practices were significantly associated with their level of education, and their relationship with the infants. Up to 40.0% and 73.7% of the infants had varying degrees of wasting and stunting respectively. Infant feeding practices and the age of the infants emerged as the only factors significantly associated with stunting, while both the caregivers′ practices and age of the infants emerged as significant predictors of wasting in the infants. Conclusion and Recommendations: Barely 3 years to the 2015 target of the millennium development goals (MDGs, infant feeding and nutritional status still poses a serious threat to the dream of realizing the MDG-4. The Ministry of Health and relevant developing partners in this region should as a matter of urgency, formulate and implement a strong community-based public health intervention program to

  2. Determination of behavioral reactions of a child of 3-6 ages group to be hospitalized due to an acute illnessDetermination of behavioral reactions of a child of 3-6 ages group to be hospitalized due to an acute illness

    OpenAIRE

    Nesrin Şen Celasin; Sibel Sönmez; Zümrüt Başbakkal; Figen Esenay

    2010-01-01

    The study is executed with mothers of children aged 3-6 (n=170) whose children were hospitalized for the first time between the dates of 15.07.2003 and 15.06.2006, who were reachable by phone and accepted to participate in the study aiming determination of behavioral reactions of a child of 3-6 ages group to be hospitalized due to an acute illness.In this study, for data gathering "Personal Information Form" including 15 questions and "Inquiry Form of Behavior Changes of 3-6 Ages Group Child...

  3. Does participation in preventive child health care at the general practitioner minimise social differences in the use of specialist care outside the hospital system?

    DEFF Research Database (Denmark)

    Mårtensson, Solvej; Hansen, Kristine Halling; Olsen, Kim Rose;

    2012-01-01

    INTRODUCTION: The primary purposes of preventive child health care in Denmark are to help ensure a healthy childhood and to create preconditions for a healthy adult life. The aim of this study is to examine whether participation in age-appropriate preventative child health care affects...... with a specialist than children from more affluent families. CONCLUSIONS: Ensuring participation in preventive child health care at the GP may reduce the social gap in utilisation of specialised health care that exists between children from families of different income levels....... the association between the socioeconomic position of the family and subsequent use of specialised health care outside the hospital system. METHODS: The study population was children born in 1999 and living in Denmark between 1 January 2002 and 31 December 2006 (n=68,366). The study investigated whether...

  4. Mother-to-child transmission of HIV: the pre-rapid advice experience of the university of Nigeria teaching hospital Ituku/Ozalla, Enugu, South-east Nigeria

    Directory of Open Access Journals (Sweden)

    Ibeziako Ngozi S

    2012-06-01

    Full Text Available Abstract Background Mother-to-child transmission of human immune deficiency virus (HIV is the most common route of HIV transmission in the pediatric age group. A number of risk factors contribute to the rate of this transmission. Such risk factors include advance maternal HIV disease, lack of anti-viral prophylaxis in the mother and child, mixing of maternal and infant blood during delivery and breastfeeding. This study aims to determine the cumulative HIV infection rate by 18 months and the associated risk factors at the University of Nigeria Teaching Hospital, Enugu. Results A retrospective study, involving HIV exposed infants seen at the pediatric HIV clinic of UNTH between March 2006 and September 2008. Relevant data were retrieved from their medical records. The overall rate of mother to child transmission of HIV in this study was 3.9% (95% CI 1.1%- 6.7%. However, in children breastfed for 3 months or less, the rate of transmission was 10% (95% CI −2.5%-22.5%, compared to 3.5% (95% CI 0.5%-6.5% in children that had exclusive replacement feeding. Conclusions This retrospective observational study shows a 3.9% cumulative rate of mother-to-child transmission of HIV by 18 months of age in Enugu. Holistic but cost effective preventive interventions help in reducing the rate of mother-to-child transmission of HIV even in economically-developing settings like Nigeria.

  5. Hospital Performance Indicators and Their Associated Factors in Acute Child Poisoning at a Single Poison Center, Central Saudi Arabia.

    Science.gov (United States)

    Alanazi, Menyfah Q; Al-Jeriasy, Majed I; Al-Assiri, Mohammed H; Afesh, Lara Y; Alhammad, Fahad; Salam, Mahmoud

    2015-12-01

    Admission rate and length of stay (LOS) are two hospital performance indicators that affect the quality of care, patients' satisfaction, bed turnover, and health cost expenditures. The aim of the study was to identify factors associated with higher admission rates and extended average LOS among acutely poisoned children at a single poison center, central Saudi Arabia.This is a cross-sectional, poison and medical chart review between 2009 and 2011. Exposures were child characteristics, that is, gender, age, body mass index (BMI), health history, and Canadian 5-level triage scale. Poison incident characteristics were, that is, type, exposure route, amount, form, home remedy, and arrival time to center. Admission status and LOS were obtained from records. Chronic poisoning, plant allergies, and venomous bites were excluded. Bivariate and regression analyses were applied. Significance at P Poison substances were pharmaceutical drugs (63%) versus chemical products (37%). Main exposure route was oral (98%). Home remedy was observed in (21.9%), which were fluids, solutes, and/or gag-induced vomiting. Almost (52%) arrived to center >1 h. Triage levels: non-urgent cases (58%), less urgent (11%), urgent (18%), emergency (12%), resuscitative (1%). Admission rate was (20.6%) whereas av. LOS was 13 ± 22 h. After adjusting and controlling for confounders, older children (adj.OR = 1.19) and more critical triage levels (adj.OR = 1.35) were significantly associated with higher admission rates compared to younger children and less critical triage levels (adj.P = 0.006) and (adj.P = 0.042) respectively. Home remedy prior arrival was significantly associated with higher av. LOS (Beta = 9.48, t = 2.99), compared to those who directly visited the center, adj.P = 0.003.Hospital administrators are cautioned that acutely poisoned children who received home remedies prior arrival are more likely to endure an extended LOS. This non-conventional practice

  6. A multi-disciplinary education process related to the discharging of children from hospital when the child has been diagnosed with type 1 diabetes - a qualitative study

    Directory of Open Access Journals (Sweden)

    Hallström Inger

    2010-05-01

    Full Text Available Abstract Background Worldwide, insulin-dependent type 1 diabetes is one of the most frequently diagnosed long-term endocrine disorders found in children and the incidences of this diseased is still increasing. In Sweden the routines are, according to national guidelines, when the child is diagnosed with type 1 diabetes, the child and its family remains at the hospital for about two weeks. There is limited knowledge about how a diabetes team handles a child and its family from admission to discharge, therefore the purpose of this study was to seek a deeper understanding of how the diabetes team's parent/child education process works, from admission to discharge, among families with a child newly diagnosed with type 1 diabetes. Methods Qualitative data collection was used. Four focus-group interviews, with a sample of three diabetes teams from different paediatric hospitals in the south western part of Sweden, were conducted and the data recorded on tape and then analysed using qualitative content analysis. Results The results indicate that achieving a status of self-care on the part of the patient is the goal of the diabetes education programme. Part of the programme is aimed at guiding the child and its parents towards self-help through the means of providing them with knowledge of the disease and its treatment to enable the whole family to understand the need for cooperation in the process. To do this requires an understanding, by the diabetes team, of the individualities of the family in order to gain an overall picture. Conclusion The results of this study show that the diabetes education programme is specifically designed for each family using the internationally recommended clinical practice guidelines with its specific aims and objectives. Achieving the families' willingness to assist in the self-care of the child care is the goal of the parent education process. To achieve this, the paediatric diabetes specialist nurse and the diabetes

  7. Determination of behavioral reactions of a child of 3-6 ages group to be hospitalized due to an acute illnessDetermination of behavioral reactions of a child of 3-6 ages group to be hospitalized due to an acute illness

    Directory of Open Access Journals (Sweden)

    Nesrin Şen Celasin

    2010-02-01

    Full Text Available The study is executed with mothers of children aged 3-6 (n=170 whose children were hospitalized for the first time between the dates of 15.07.2003 and 15.06.2006, who were reachable by phone and accepted to participate in the study aiming determination of behavioral reactions of a child of 3-6 ages group to be hospitalized due to an acute illness.In this study, for data gathering "Personal Information Form" including 15 questions and "Inquiry Form of Behavior Changes of 3-6 Ages Group Children After Being Hospitalized" with 30 questions were used. Date gathering forms were carried out as pre-test by using face-to-face interview method with mothers of 3-6 aged children who were hospitalized for the first time and were in first 12 hours of hospitalization. "Inquiry Form of Behavior Changes of 3-6 Ages Group Children After Being Hospitalized" was re-carried out with mothers by phone 1 month after children being discharged from hospital.In analyzing of datas statistical programme of SPSS 13.0 for Windows was used. In statistical evaluation; number-percent dispersion, Wilcoxon Sing Rank test and Paired Sample-t test were used.According to the results obtained from the study, 57.6% of children are male with age average of 4,46±1,18 and 52.3% of them were hospitalized due to Gastroentestinal System Illnesses. A significant difference was determined between average points of behavior changes of 3-6 ages group children hospitalized due to an acute illness before hospitalized (10,735±4,882 and after being discharged from hospital (15,0476±4,306. In the study, it is observed that there are some behavioral changes in children after being hospitalized such as being cranky before going to bed and during eating, disquiet, bed-wetting, seperation anxiety, excessive attachment to a parent, to need help even for the things he/she could accomplish, to have fear from new environments, people or objects, bad temper attacks, fear of doctor/nurse and hospital, fear

  8. Thoughts about group construction of maternal and child health hospitals%妇幼保健院集团化建设的思考

    Institute of Scientific and Technical Information of China (English)

    胡祖斌

    2012-01-01

    我国医疗保健市场竞争日趋激烈,妇幼保健机构面临双重压力的考验:一方面其本身存在着投资少、规模小、设备落后、人才技术缺乏、先天禀赋不足的问题;另一方面医疗机构的迅猛发展和扩张,对市场空间的挤占,使得它更显得弱小和单薄.为了寻求生存和发展,适应市场的竞争,妇幼保健机构应该走集团化发展的道路.此研究分析了妇幼保健机构面临的形势,提出了走集团化发展道路的优势,并就如何推进妇幼保健机构集团化建设提出了设想.%The competition in medical health care market becomes fierce with each passing day, the maternal and child health institutions face double tests: On the one hand, they have the disadvantages of less investment, small scale, outdated facilities, a lack of talent and technology and inadequate congenital endowment; on the other hand, the rapid development and expansion of the medical institutions squeeze the market space and make the maternal and child health institutions seem more weaker and smaller. In order to seek for survival and development, the maternal and child health institutions should take the road of collectivization development to adapt to the market competition. The article analyzed the situation that the maternal and child health institutions faced, presented the advantages of collectivization development and proposed ideas of how to promote the collectivization construction of maternal and child health hospitals.

  9. A mãe, seu filho hospitalizado e o brincar: um relato de experiência Mother, hospitalized child and playing: an experience report

    Directory of Open Access Journals (Sweden)

    Maria de Fátima Pinheiro da Silva Junqueira

    2003-04-01

    Full Text Available O presente relato baseia-se em um trabalho realizado nas enfermarias pediátricas do Instituto Fernandes Figueira/FIOCRUZ, Rio de Janeiro, que teve o objetivo de observar e fortalecer o vínculo entre a mãe e seu filho hospitalizado através do brincar. O trabalho prático é descrito a partir de seu embasamento teórico. Para finalizar, algumas reflexões são apresentadas acerca do papel do brincar na relação mãe-filho no âmbito hospitalar.The present report is based on a work accomplished in the pediatric wards of the Instituto Fernandes Figueira/FIOCRUZ, Rio de Janeiro, aiming to observe and to fortify the attachment between mother and her hospitalized child, through the act of playing. The practical work is described established on its theoretical basis. Some considerations on the role of playing in the mother-child relationship under a hospital context are presented.

  10. Maltrato infantil y del adolescente registrado en un hospital de referencia nacional, 2006 - 2011 Child and adolescent abuse recorded at a national referral hospital, 2006 - 2011

    Directory of Open Access Journals (Sweden)

    Lorena Escalante-Romero

    2012-03-01

    Full Text Available Objetivos. Realizar una descripción de los registros del Instituto Nacional de Salud del Niño (INSN, desde enero de 2006 hasta septiembre de 2011, sobre maltrato infantil y del adolescente, lo cual permite la caracterización del agredido y del agresor. Materiales y métodos. Se realizó un análisis de fuentes secundarias, basado en registros de la "Ficha de evaluación de violencia familiar y maltrato infantil", aplicada por el Módulo de Atención al Maltrato Infantil y del Adolescente en Salud (MAMIS del INSN. La ficha incluye datos del agredido, del agresor y las características de la agresión. Se diferenció el tipo de agresión como: sexual, física, psicológica o por abandono. Se muestran los resultados en frecuencias y porcentajes. Resultados. Se incluyeron 1798 registros. El 63,9% eran niñas y el 39,9% fueron adolescentes. El 60,6% de los agresores fueron varones y el 65,8% de las agresiones ocurrieron en casa. El 48,6% fueron registros de agresión sexual, que fue más frecuente en niñas (73,2% y adolescentes (44,4%; en el 9,6% de los casos existió coito. Conclusiones. En los registros del MAMIS del INSN, la agresión en niñas fue la más frecuente; el agresor con frecuencia era un varón y la mayoría de las agresiones ocurrieron en el domicilio del menor. La agresión sexual fue casi la mitad de la serie.Objectives. To describe the records of child and adolescent abuse of the Instituto Nacional de Salud del Niño (INSN from January 2006 to September 2011, characterizing the victim and perpetrator. Materials and methods. A secondary sources analysis was performed, based on the domestic violence and child abuse records, from froms administered by Child Abuse and Adolescent Health Unit (MAMIS at the INSN. The records include data of the victim, offender and characteristics of the aggression. Types of aggression were categorized as: sexual, physical, psychological or neglection. Frequencies and percentages are presented

  11. Lack of knowledge about mother-to-child HIV transmission prevention in pregnant women at Tijuana General Hospital, Baja California, Mexico.

    Science.gov (United States)

    Becka, Chandra M; Chacón-Cruz, Enrique; Araneta, Maria Rosario; Viani, Rolando M

    2015-01-01

    The objective of this study was to identify determinants of human immunodeficiency virus (HIV) knowledge regarding mother-to-child transmission (MTCT) among pregnant women at Tijuana General Hospital, Baja California, Mexico. Between March and November 2003, patients from the prenatal care (n = 1294) and labor and delivery (L&D) units (n = 495) participated in a cross-sectional study to measure HIV knowledge. Less than one-third (30%) knew that HIV could be transmitted to a child during delivery, and 36% knew that HIV could be transmitted by breast-feeding. Only 27% knew that an MTCT could be prevented. Prenatal patients were more likely to know that MTCT was preventable (prenatal: 31% versus L&D 25%; P = .02). Logistic regression indicated that prenatal patients (odds ratio = 1.49, confidence interval 1.07-2.07) were more likely to know that HIV could be transmitted through breast-feeding. Overall, both groups had poor knowledge regarding MTCT of HIV.

  12. Monitoring Child Abuse and Neglect at a Population Level: Patterns of Hospital Admissions for Maltreatment and Assault

    Science.gov (United States)

    O'Donnell, Melissa; Nassar, Natasha; Leonard, Helen; Mathews, Richard; Patterson, Yvonne; Stanley, Fiona

    2010-01-01

    Objectives: To investigate the prevalence, trends, and characteristics of maltreatment and assault related hospital admissions and deaths among children; and identify common injuries and conditions associated with these admissions using routinely collected morbidity and mortality data. Methods: A retrospective cohort study of all children aged…

  13. Integration of Services for Victims of Child Sexual Abuse at the University Teaching Hospital One-Stop Centre

    OpenAIRE

    Elwyn Chomba; Laura Murray; Michele Kautzman; Alan Haworth; Mwaba Kasese-Bota; Chipepo Kankasa; Kaunda Mwansa; Mia Amaya; Don Thea; Katherine Semrau

    2010-01-01

    Objective. To improve care of sexually abused children by establishment of a “One Stop Centre” at the University Teaching Hospital. Methodology. Prior to opening of the One Stop Centre, a management team comprising of clinical departmental heads and a technical group of professionals (health workers, police, psychosocial counselors lawyers and media) were put in place. The team evaluated and identified gaps and weaknesses on the management of sexually abused children prev...

  14. [Neonatal and child tetanus morbidity and mortality in the University hospitals of Abidjan, Côte d'Ivoire (2001-2010)].

    Science.gov (United States)

    Aba, Y T; Cissé, L; Abalé, A K; Diakité, I; Koné, D; Kadiané, J; Diallo, Z; Kra, O; Oulaï, S; Bissagnéné, E

    2016-08-01

    The lack of data on neonatal tetanus and children in university hospitals (UH) in Abidjan for over a decade has motivated the realization of this study. The objective of this study is to evaluate the morbidity and mortality related to neonatal tetanus (NT) and child tetanus (CT) in Abidjan University Hospital from 2001 to 2010. It is a retrospective study, multicenter analysis with records of newborns and children suffering from tetanus in the three UH of Abidjan. The collection and analysis of data were made by the SPHINX 4.5 and EPI.INFO 6.0 software. In ten years, 242 cases of tetanus (53 NT cases and 189 CT cases) were collected with a predominance of cases after the fifth year of life (59.5%). The incidence rate of NT was less than 1 case per 1,000 live births. All mothers of the newborns were inhabiting the city of Abidjan. Their median age was 19 years [16-32] and 64% were teenagers. Gateways were dominated by umbilical wounds (77.3%) in the NTand skin wounds (59%) in CT. The cure rate was 30.2% in the NT and 60% in the CT. Lethality was 60% for NT and 22% for CT with a positive correlation with young age (neonates: p = 4.10-7, age <5 years: p = 0.01), lack of intraspinal injection of tetanus serum (p = 8.10-6), the absence of conventional antibiotic therapy (p = 0.023), the existence of metabolic complications (p = 2.10-5), the score of ≥ 4 Dakar (p = 0.005). Tetanus remains a real morbidly cause among children in Abidjan University Hospital with high lethality. However, the incidence of NT seems consistent with the incidence threshold desired by WHO.

  15. Psychological screening in children with diabetes mellitus type-I at the Children's Hospital and the Institute of Child Health, Multan

    International Nuclear Information System (INIS)

    Objective: To determine the frequency of psychological problems in diabetic children. Methods: The cross-sectional study was conducted at the Diabetic clinic of the Children's Hospital and the Institute of Child Health, Multan, Pakistan, from March to December 2011. Diabetic patients aged 7-15 years, who were on insulin therapy for at least one year were included in the study. Demographic data, history and physical examination were recorded. Glycosylated haemoglobin level was checked in all cases, and the Childhood Depression Inventory was used to assess the psychological well-being of the children. A minimum score of 13/54 was used to screen for depression. SPSS 19 was used for statistical analysis. Results: Out of 86 diabetic children, clinical depression was observed in 29 (33.7%). Poor socioeconomic status (21/29; 72.4%), longstanding disease (16/29; 55.1%) and adolescence age (20/29; 69%) were the major factors associated with depressive symptoms. Conclusion: Depression is a commonly associated psychological disorder in diabetic children, and should be addressed along with medical and dietary management. (author)

  16. The Perceived Impact Of The PPTCT Programme On The Management Of Parent To Child HIV And AIDS Transmission A Case Study Of Chikuku Hospital

    Directory of Open Access Journals (Sweden)

    Mashamba Tarashika

    2015-08-01

    Full Text Available ABSTRACT The study was carried out to investigate the perceived impact of the PPTCT programme on the management of parent-to-child HIV and AIDS transmission in Chikuku rural hospital community in Bikita district. A case study was used. A sample of ten expecting couples on Chikuku PPTCT programme and ten expecting mothers who were not on Chikuku PPTCT but attending ANC there participated in the study. Five professional counsellors also participated. Questionnaires and the interviews were used as data collection instruments. The data collected was analysed and interpreted using descriptive statistics and narratives. Tables were used to present the data and each question was analysed. The general findings agree with the reviewed literature as reflected that awareness and knowledge of PPTCT services and knowledge of its benefits was common but there were certain hurdles that need to be overcome in implementing and utilising them effectively. The clarion call is to review and reorganise the existing polices and current approaches in increasing PPTCT service uptake in communities similar to the study area. Recommendations were also made for programme implementers and policy makers in respect of the research findings in order to plan for the future.

  17. Asthma - child - discharge

    Science.gov (United States)

    Pediatric asthma - discharge; Wheezing - discharge; Reactive airway disease - discharge ... Your child has asthma , which causes the airways of the lungs to swell and narrow. In the hospital, the doctors and nurses helped ...

  18. 提高基层妇幼保健院药事管理水平的探讨%Exploration on the improvement of drug administration in maternal and child health care hospital at county level

    Institute of Scientific and Technical Information of China (English)

    张爱娟

    2013-01-01

    Objective: To explore how to further improve the drug administration in maternal and child health care hospital at county level. Methods: Based on the internal requirement and significance of drug administration in maternal and child health care hospital at county level. We analyzed the essence of drug administration, importance of strengthening drug administration in maternal and child health care hospital at county level under circumstance of health care reform and existing difficulty in the drug administration at present time. In the end, we developed our own points of view on how to improve drug administration in maternal and child health care hospital at county level. Results:Maternal and child health care hospital at county level should adapt the new challenge under circumstance of health care reform, improve the management. Conclusion:According to the new health care reform, it is vital to enhance self performance steadily and consistently as to achieve the improvement of drug administration and service quality gradually.%目的:探讨如何进一步提高基层妇幼保健院药事管理水平。方法:以县级妇幼保健院药事管理工作的内在要求和意义为基础,分析药事管理工作的内涵、医改背景下加强县级妇幼保健院药事管理的意义以及现阶段药事管理工作面临的困难和问题等诸多要素,并就如何提升县级妇幼保健院药事管理工作水平阐述自己的观点。结果:县级妇幼保健院围绕医改的新形势、新要求持续改进,做好药事管理工作。结论:医改的新形势要求县级妇幼保健院须不断的完善自身建设,促进医院药事管理水平和服务质量的不断提高。

  19. AWARENESS ABOUT EMERGENCY CONTRACEPTIVE PILLS VERSUS CONVENTIONAL CONTRACEPTIVE METHODS AMONG MOTHERS ATTENDING MATERNAL AND CHILD HEALTH (MCH CLINIC, BAPUJI HOSPITAL, DAVANGERE, KARNATAKA

    Directory of Open Access Journals (Sweden)

    Vandana

    2015-02-01

    Full Text Available BACKGROUND: Unwanted pregnancies are a major public health problem for both developing and developed nations, which generally results from ineffective use of contraceptives and end up in induced abortions. Emergency contraception sometimes called “morning after”, “postcoital” or “second chance pills” can be used to prevent pregnancy after an unprotected sex. Attention has been focused on the potential for emergency contraception to reduce the number of unwanted pregnancies and thus abortion rate. OBJECTIVES: 1 . To compare the awareness about emergency contraceptive pills and conventional contraceptive methods among mothers attending MCH clinic, Bapuji Hospital, Davangere. 2. To study the socio - demographic profile of the above group. METHODS: A pre - tested, semi - structured questionnaire was used to know the awareness about emergency contraceptive pills versus conventional contraceptive methods among mothers attending MCH clinic, Bapuji hospital, Davangere from 1 st October 2011 to 31 st December 2011. Data was entered into Excel sheet and was analysed using SPSS software version 17. Data was described as proportions, categorical data using chi square test. RESULTS: A total of 500 mothers were included in the study for duration of 3months. Approximately 80% of the respondents were in the age group of 21 - 30yrs, 72.8% from urban background, 83.4% were Hindus, 55% were from joint family. Approximately 49% belonged to socioeconomic class II and III, 97.2% were literate and 86.6% were housewives. 31.8% had knowledge about emergency contraception which is very less when compared to 84.2% of conventional methods. 6.2% have practiced emergency contraception which is very poor when compared to 47.5% of conventional methods. 77.8% were aware of female sterilization. The most common known temporary method of contrac eption was Cu - T (71% followed by OCP (60.6%. Most common method used by couples was condom (21.8% followed by Cu - T (19

  20. Music in child care

    OpenAIRE

    Maria Polikandrioti; Ioannis Koutelekos

    2007-01-01

    Music has been used therapeutically for many centuries, and numerous studies have researched the curative and preventative powers of music in several diseases. Music, as a therapy was shown to have positive effects in child care, such as in premature infants, children in emergency care, children receiving surgery, children in oncology departments and handicapped children. The aim of this review was to study the therapeutic effects of music in child care at hospital. The method οf this study i...

  1. Music in child care

    Directory of Open Access Journals (Sweden)

    Maria Polikandrioti

    2007-07-01

    Full Text Available Music has been used therapeutically for many centuries, and numerous studies have researched the curative and preventative powers of music in several diseases. Music, as a therapy was shown to have positive effects in child care, such as in premature infants, children in emergency care, children receiving surgery, children in oncology departments and handicapped children. The aim of this review was to study the therapeutic effects of music in child care at hospital. The method οf this study included bibliography research from both the review and the research internatio nal literature, which was referred to the therapeutic effects of music in Children's Hospital. Results: Most studies focus on the beneficial effects of music to child. The results of the study showed that music is widely used to enhance well‐being and appears to exert direct effects to child, which are mainly related to physiology and psychology, including changes in the vital signs, reductions in anxiety and pain, distraction of attention from unpleasant sensations and better communication with the environment at hospital. Furthermore, music exerts indirect effects to child since is able to cause positive modifications in nurses' behaviour and conduces to better performance in their duties. Conclusions: Music consists a low-cost "therapeutic instrument" for nurses to apply to child-patient and is found to be effective in producing positive outcomes. The nurses' knowledge of music therapy need to be improved and the therapeutic impact of music must be a result from systematic professional application.

  2. Clustering of acute respiratory infection hospitalizations in childcare facilities

    DEFF Research Database (Denmark)

    Kamper-Jørgensen, Mads; Benn, Christine Stabell; Simonsen, Jacob;

    2010-01-01

    To estimate how risk of acute respiratory infection (ARI) hospitalization in children attending childcare facilities with a recently (within 1 month) hospitalized child is affected by gender, age and other characteristics.......To estimate how risk of acute respiratory infection (ARI) hospitalization in children attending childcare facilities with a recently (within 1 month) hospitalized child is affected by gender, age and other characteristics....

  3. Child life services.

    Science.gov (United States)

    2014-05-01

    Child life programs are an important component of pediatric hospital-based care to address the psychosocial concerns that accompany hospitalization and other health care experiences. Child life specialists focus on the optimal development and well-being of infants, children, adolescents, and young adults while promoting coping skills and minimizing the adverse effects of hospitalization, health care, and/or other potentially stressful experiences. Using therapeutic play, expressive modalities, and psychological preparation as primary tools, in collaboration with the entire health care team and family, child life interventions facilitate coping and adjustment at times and under circumstances that might otherwise prove overwhelming for the child. Play and developmentally appropriate communication are used to: (1) promote optimal development; (2) educate children and families about health conditions; (3) prepare children and families for medical events or procedures; (4) plan and rehearse useful coping and pain management strategies; (5) help children work through feelings about past or impending experiences; and (6) establish therapeutic relationships with patients, siblings, and parents to support family involvement in each child's care. PMID:24777212

  4. Treatment for Child Abusers

    Science.gov (United States)

    Tracy, James J.; Clark, Elizabeth H.

    1974-01-01

    Staff of a child abuse program in a Philadelphia hospital worked with parents in their own homes to help them develop greater competence as adults and as parents. This article describes the use of social learning theory, with some techniques of behavior therapy, as the basis for treatment. (Author)

  5. Design of paediatric hospitals.

    Science.gov (United States)

    Lambert, Veronica

    2016-05-01

    The impact of healthcare environments on children and young people's (CYP) health and psychosocial wellbeing has attracted much attention in recent years. This sits within the realm of the political drive for enhanced awareness of the need to take account of the rights and voice of the child. Perhaps as a direct result of the United Nations Convention on the Rights of the Child, and recognition from evidence in adult population studies of the impact of healthcare environments on psychosocial healing, contemporary times have witnessed a discernible movement towards enhancing quality care by promoting child and adolescent-friendly hospital environments. The Council of Europe guidelines on child-friendly health care moved to place the rights and needs of children at the heart of health care. The Council acknowledges that the delivery of child-oriented services, which includes the notion of family-centred care, should be delivered in child and family friendly environments. However, knowledge about what constitutes a child-friendly healthcare environment from CYP's perspective is often lacking with hospital architectural blueprints predominantly designed around adult proxy-reported assumptions about the needs and desires of children.

  6. Design of paediatric hospitals.

    Science.gov (United States)

    Lambert, Veronica

    2016-05-01

    The impact of healthcare environments on children and young people's (CYP) health and psychosocial wellbeing has attracted much attention in recent years. This sits within the realm of the political drive for enhanced awareness of the need to take account of the rights and voice of the child. Perhaps as a direct result of the United Nations Convention on the Rights of the Child, and recognition from evidence in adult population studies of the impact of healthcare environments on psychosocial healing, contemporary times have witnessed a discernible movement towards enhancing quality care by promoting child and adolescent-friendly hospital environments. The Council of Europe guidelines on child-friendly health care moved to place the rights and needs of children at the heart of health care. The Council acknowledges that the delivery of child-oriented services, which includes the notion of family-centred care, should be delivered in child and family friendly environments. However, knowledge about what constitutes a child-friendly healthcare environment from CYP's perspective is often lacking with hospital architectural blueprints predominantly designed around adult proxy-reported assumptions about the needs and desires of children. PMID:27214414

  7. Missed opportunities for breast awareness information among women attending the maternal and child health services of an urban tertiary hospital in Northern Nigeria

    Directory of Open Access Journals (Sweden)

    Lofty-John Chukwuemeka Anyanwu

    2016-01-01

    Conclusion: Most of the opportunities to educate women on breast awareness were missed at the postnatal and ICs of our hospital. Integrating breast health education into MCH care programs in developing countries will assist in the early detection of breast pathologies.

  8. Analysis on the demands of medical service quality of obstetrical department in maternal and child health hospital%妇幼保健院产科医疗服务质量需求分析

    Institute of Scientific and Technical Information of China (English)

    谭光明; 冯占春; 陈莉; 张小庄; 罗先琼

    2011-01-01

    Objective: To explore the demands of obstetrical customers on medical service quality in maternal and child health hospital.Methods: According to the questionnaire designed, the obstetrical customers were investigated randomly in maternal and child health hospital of Guangdong from March to May 2010, then the results were analyzed.Results: The demand of the customers on obstetric medical service quality was most above 80%; the demands on the technical level of medical workers, the equipment satisfying need, the fame of the hospital in local areas, no accidents, dealing with critical situations quickly and correctly, responsibility of the medical workers, accurate and timely diagnosis, good operation skills and conforming specification, contacting the patients (family members) for some special cases,good ethics, good service attitude, reasonable treatment, respecting the right to know and process quality of patients, satisfied service and reasonable funds were all above 90%.Conclusion: The obstetrical customers have higher requirement on medical service quality of maternal and child health hospital, and the hospital should improve the medical service quality and satisfy them.%目的:探讨妇幼保健院产科顾客对医疗服务质量的需求.方法:按照预先设计的调查问卷从2010年3月~2010年5月对广东省某妇幼保健院产科的顾客进行随机抽样调查并对结果进行分析.结果:顾客对妇幼保健院产科医疗服务质量的需求绝大部分均在80%以上,而对结构质量的医护人员技术水平、仪器设备能满足需要和医院在当地声誉及不出现医疗差错事故、危急情况能快速正确处理、医务人员有责任心、诊断准确及时、医务人员操作熟练且符合规范、有特殊情况随时与病人(家属)联系、医务人员医德、医风好、医务人员服务态度好、处理方案合理、医务人员尊重患者的知情权以及结果质量、服务满意

  9. Child Abuse

    Science.gov (United States)

    ... or puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse. Most abused children suffer greater emotional than physical damage. An abused child may become ...

  10. 高校附属医院城市社区妇幼保健服务模式探讨%Investigation on maternal and child health care service mode in urban communities adjacent to affiliated hospitals of colleges and universities

    Institute of Scientific and Technical Information of China (English)

    任菲菲; 刘沫

    2013-01-01

    Objective: To explore maternal and child health care service mode in urban communities adjacent to affiliated hospitals of colleges and universities, and provide new thoughts and methods for public hospital reform.Methods: Convenience sampling method was used to conduct questionnaire investigation on 395 pregnant women from a community managed by a tertiary hospital in urban area of Jinzhou city in Liaoning province, the requirements of pregnant women for health care knowledge and hospital community medical service mode were analyzed.Results: The requirements of pregnant women with different social and demographic characteristics for health education knowledge and patterns varied.Conclusion: As a new maternal and child health care management work service mode, community maternal and child health care adjacent to affiliated hospitals of colleges and universities in urban areas can strengthen the supports from hospitals for maternal and child health care service, quicken personnel training of maternal and child health care, enhance the active service cognition of nursers to maternal and child health care nursing, and provide new thoughts and methods for a promoting more effective maternal and child health care management mode and public hospital reform.%目的:探索高校附属医院城市社区妇幼保健服务模式,为公立医院改革提供新思路、新方法.方法:采用便利抽样方法,对辽宁省锦州市区由三级医院管理的某社区395名孕产妇进行问卷调查,分析孕产妇对保健知识和医院社区医疗服务模式的需求.结果:不同社会人口学特征的孕产妇对健康教育知识及健康教育方式的需求均不同.结论:高校附属医院城市社区妇幼保健作为一种新的妇幼保健管理工作服务模式,能增强医院对妇幼保健服务的支持,加快妇幼保健专业人才的培养,强化护理人员对妇幼保健护理的主动服务意识,为促进更加有效的妇幼保健管理模式和公

  11. 健康管理在出院后产褥期母婴健康中的影响研究%Health Management in the Hospital After the Impact of,aternal and Child Health Research in Puerperium

    Institute of Scientific and Technical Information of China (English)

    何茜

    2015-01-01

    目的:探究健康管理在出院后产褥期母婴健康中的影响。方法选取2014年5—6月在该院分娩的206例孕妇,将其随机分成观察组与对照组(各103例),观察组孕妇在出院后采用产褥期母婴健康管理,对照组孕妇采用常规服务。产后复查对两组孕妇产褥期母婴的健康状况、服务需求采用问卷形式进行调查。结果观察组在母亲生理心理、母乳喂养及新生儿健康等项目显著优于对照组,其差异有统计学意义(P<0.05)。结论健康管理对产褥期母婴出院后的健康具有重要意义,更好地保障产褥期母婴出院后的健康,为临床进行产褥期母婴的保健延伸服务提供依据。%Objective To explore the health management in the hospital after puerperium effects of maternal and child health. Methods Selected in May 2014-June 2014 in our hospital 206 pregnant women in childbirth, will be randomly divided into obser-vation group and control group(103 cases), observation group of pregnant women after discharge using health management in puer-perium, control group in pregnant women with normal service. After review of two groups of pregnant women in puerperium mater-nal and child health survey questionnaires survey. Results The observation group in the physical, psychological, breastfeeding mother and newborn health project significantly better than control group, the difference is statistically significant(P<0.05). Con-clusion Health management is of great significance to the health of maternal and infant after discharge in puerperium, better safe-guard puerperium maternal and child health, after discharge for clinical provide a basis for maternal and infant health care in puerperium extends service.

  12. Looking after young eye patients in hospital

    Directory of Open Access Journals (Sweden)

    Caroline Ayilo

    2010-03-01

    Full Text Available Admission into hospital can be an anxious and unsettling time for a child, whether it is for a planned eye procedure or as a result of an eye injury. There is a lot you can do to make the hospital experience as positive as possible to reduce stress and anxiety for both child and parent.

  13. Perfil das condutas médicas que antecedem ao óbito de crianças em um hospital terciário A profile of the medical conduct preceding child death at a tertiary hospital

    Directory of Open Access Journals (Sweden)

    Henrique A.F. Tonelli

    2005-04-01

    Full Text Available OBJETIVO: estudar o perfil de assistência aos pacientes pediátricos que evoluem para o óbito em um hospital universitário, incluindo descrição dos modelos, comparações entre setores, associações de fatores, participações envolvidas e registro das decisões. MÉTODOS: estudo transversal observacional. Foram revistos por um dos autores os registros médicos e de enfermagem dos pacientes falecidos, tendo sido aplicados entrevistas e questionários aos membros da equipe assistente. O período do estudo foi de 12 meses (de 01º de maio de 2002 a 30 de abril de 2003. RESULTADOS: foram analisados 106 casos. Os modelos de assistência mais empregados no hospital foram não-oferta de suporte de vida (51,9% e reanimação malsucedida (44,3%. As decisões de não reanimar foram mais tardias no centro de tratamento intensivo (p OBJECTIVE: To study the profile of care provided to pediatric patients suffering fatal outcomes at a university hospital, including: description of models, comparisons between units, associated factors, participants involved and records of decisions made. METHODS: Cross-sectional study. One of the investigators reviewed the medical and nursing records of deceased patients. Interviews were held and questionnaires filled out with the care team members over a period of 12 months (May 1, 2002 to April 30, 2003. RESULTS: The study included 106 cases. The most frequent treatment patterns at the hospital were: withholding advanced life support (51.9% and unsuccessful cardiopulmonary resuscitation (44.3%. The decision to make a do-not-resuscitate order occurred later in the intensive care unit (p < 0.05. The restricted care category was more prevalent in the neonatal unit and among patients with chronic diseases that limit survival (p < 0.05. The professionals that most often participated in the decision-making process were the unit's treating physician and resident (52.8% and the medical team (31.1%. Parents or guardians were

  14. Perfil das condutas médicas que antecedem ao óbito de crianças em um hospital terciário A profile of the medical conduct preceding child death at a tertiary hospital

    OpenAIRE

    Henrique A.F. Tonelli; Joaquim A. C. Mota; José S. Oliveira

    2005-01-01

    OBJETIVO: estudar o perfil de assistência aos pacientes pediátricos que evoluem para o óbito em um hospital universitário, incluindo descrição dos modelos, comparações entre setores, associações de fatores, participações envolvidas e registro das decisões. MÉTODOS: estudo transversal observacional. Foram revistos por um dos autores os registros médicos e de enfermagem dos pacientes falecidos, tendo sido aplicados entrevistas e questionários aos membros da equipe assistente. O período do estud...

  15. Epidemiology and geographical distribution of child abuse in Hong Kong

    OpenAIRE

    Ho, Po-ki, Polly; 何寶琪

    2013-01-01

    Objectives: The objectives of this study are 1) To study the epidemiology and geographical distribution of child abuse in Hong Kong. 2) To study the district differences in co-morbidities of child abuse. Methods: Children under 19 years old with diagnostic codes for child abuse and child maltreatment from 1st January 2001 to 31st December 2010 were retrieved from Hospital Authority database. Demographics, hospital admission data and co-morbidities diagnosis were retrieved. The data ...

  16. CHANGING TRENDS OF HIV INFECTION IN PPTCT (PREVENTION OF PARENT TO CHILD TRANSMISSION GOVERNMENT GENERAL HOSPITAL, GUNTUR, ANDHRA PRADESH, SOUTH INDIA, 2002-2013

    Directory of Open Access Journals (Sweden)

    Venkateswara Rao

    2014-09-01

    Full Text Available : INTRODUCTION: The objective of this study is to know the various changing trends in the HIV infection in the antenatal women attending the PPTCT department, Government General Hospital, Guntur, Andhra Pradesh, during 2002 to 2013. METHODS: This is a retrospective study done in Government General Hospital, Guntur, Andhra Pradesh, during 2002 to 2013. The data was collected from the records maintained in the PPTCT department and the changing trends of HIV infection in antenatal women were studied. RESULTS: The prevalence rate of HIV infection in antenatal women decreased from 4.4% to 0.84%. Monthly average number of HIV positive deliveries in our institution varies from 150 to 250 cases. Percentage of caesarian section done was about 20% of cases. More number of cases were from urban than rural areas. Initially the cases were more in low socio-economic status. Young primigravida women around 20 years were more infected. High risk behavior of the husband was mainly responsible for the transmission of the disease. HIV infection was common in the innocent housewife. CONCLUSION: The study concludes that the HIV infection among pregnant women in our institution shows various changing trends and a decreasing incidence due to the effective implementation of the PPTCT programme under the National AIDS control programme started in the year 2002.

  17. Evaluation of Consultations Requested from the Departments of Child and Adolescent Psychiatry of Uludağ University Hospital within the Previous Year

    Directory of Open Access Journals (Sweden)

    Merve Çolpan

    2013-12-01

    Full Text Available In­tro­duc­ti­on: Consultation-liaison psychiatry is a field of psychiatry which investigates associations among clinical medicine in general, different fields of specialties and psychic and psychosocial entities. This psychiatric discipline deals with diagnosis, treatment, follow-up of psychiatric, and psychosocial disorders associated with physical diseases. The objective of this study was to review causes of consultations requested from departments of child and adolescent mental health, and diseases (PAMHD, sociodemographic data of the cases, and treatment approaches related to these cases. Materials and Methods: Patient information related to the consultations requested from the department of child and adolescent psychiatry by the clinics of emergency medicine, and other clinics in the Uludag University, Faculty of Medicine (UUFM between January 2012 and January 2013 were retrospectively screened. Results: PAMHD consultations were requested from 0.48% of the cases in the UUFM who referred to the outpatient clinics of pediatric emergency, and 3.25% of the inpatients aged less than18 years. A total of 275 cases (females, 51.5%; and males, 48.5% with a mean age of 13.5±4.23 years were evaluated. Consultations were most often requested from the clinics of pediatric emergency (27%, pediatric hematology (12.5%, and pediatric nephrology (12.5% in decreasing order of frequency. Of the cases, 7.6% had not received any psychiatric diagnosis. Psychiatric diagnoses were mostly adjustment disorder (26.2%, depressive disorder (20.7%, and anxiety disorder (15.3%. Medical treatment was administered to 36% of the evaluated cases. Conclusions: Our study reveals that psychiatric disorders, mainly adjustment disorders and depressions, are frequently seen in patients with physical diseases. Apparently, screening studies performed have revealed annual increases in the number of consultations evaluated. Outcomes of our study emphasized the merit of these

  18. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This datalayer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  19. 63例我院儿童药品不良反应报告分析%An Analysis on 6 3 Reports on Child's ADR in Our Hospital

    Institute of Scientific and Technical Information of China (English)

    秦梦春

    2015-01-01

    Objective:To analyze the report on child's adverse drug reaction in some hospital during the period from 2013 to 2014 and find out its characteristics and laws .Methods:According to criteria specified by national ADR monitoring center,an analysis was made on the 6 3 reports on child's adverse drug reaction col-lected during the period from January 2013 to September 2014.Results:In all the 63 reports on child's ADR, the incidence rate of ADR resulted from intravenous administration was the highest ,and was up to 82.54%;the proportion of ADR resulted from antibacterial drug was the highest of all,it was up to 68.25%,and ceph-alosporins was the commonest;the commonest clinical features was the damage in skin and other accessories. Conclusion:It is necessary to strengthen ADR monitoring and report work and promote reasonable pharmacy.%目的::分析某院2013年~2014年儿童药品不良反应(ADR)发生的特点与规律,为儿科临床合理、安全用药提供参考。方法:按照国家 ADR监测中心制定的标准,对某院2013年1月~2014年12月收集到的63例儿童药品不良反应报告进行分析。结果:63例儿童不良反应报告中,静脉给药途径致 ADR发生率最高,占82.54%;抗菌药物致 ADR发生率最高,占68.25%,以头孢菌素类多见;最常见 ADR临床表现为皮肤级其附件损害。结论:加强某院 ADR监测和上报工作,促进我院合理用药。

  20. Improvements in child resistant containers.

    OpenAIRE

    Sibert, J R; Clarke, A J; Mitchell, M P

    1985-01-01

    The numbers of children under 5 years in South Glamorgan admitted to hospital because of accidental poisoning have been analysed for 1980-4. There has been no significant fall in those taking solid dose, prescribable medications since the voluntary agreement between the government and the pharmaceutical profession in 1981 on child resistant containers. Most children still take these poisons from containers of an ordinary, non-child resistant type. Aspirin poisoning has remained at the same lo...

  1. 农村地区县妇幼保健院助产服务现状及优势分析%Analysis on current situation and advantages of midwifery service in maternal and child health care hospital at county level in rural area

    Institute of Scientific and Technical Information of China (English)

    罗荣; 金曦; 杜立燕; 胡文玲; 谷丽紧

    2013-01-01

    目的:调查农村地区不同类别助产机构产科服务提供情况及服务能力,对县妇幼保健院助产服务现状和优势进行分析.方法:在全国随机抽取44个地市全部助产服务机构2010年产科服务情况进行问卷调查,重点对农村地区(县和县级市)中不同类型助产机构进行分析.结果:农村助产服务机构中县妇幼保健院占6.5%,县妇幼保健院产科床位数占辖区产科总床位数的18.1%,分娩数量占辖区分娩量的42.9%,平均每个县妇幼保健院年分娩为1 259人,高于县级综合性医院和其他医疗机构.县妇幼保健院中能提供综合产科和综合新生儿科服务的比例最高分别为85.3%、61.9%,高于县级综合性医院83.1%、59.4%,并明显高于其他医疗机构32.4%、19.3%.结论:县妇幼保健院是农村地区助产服务的主要力量之一,与其他助产机构相比,县妇幼保健院在助产服务提供数量和能力方面都具有一定优势.应进一步加强对妇幼保健机构的规范化建设,以保证其职能的履行.%Objective:To investigate the obstetrical service providing status and service ability of different types of midwifery institutions in rural area,and analyze the current situation and advantages of midwifery service in county maternal and child health care hospitals.Methods:The whole midwifery institutions in 44 cities were randomly selected,the obstetrical service statuses of the midwifery institutions in 2010 were investigated by a questionnaire,different types of midwifery institutions in rural area (counties and county-level cities) were analyzed.Results:Among the midwifery service institutions in rural area,county maternal and child health care hospitals accounted for 6.5%,the number of beds in obstetrical departments of county maternal and child health care hospitals accounted for 18.1% of the total number of beds in obstetrical departments of county maternal and child health care hospitals

  2. Scoliosis surgery - child

    Science.gov (United States)

    Spinal curvature surgery - child; Kyphoscoliosis surgery - child; Video-assisted thoracoscopic surgery - child; VATS - child ... Before surgery, your child will receive general anesthesia. This will make your child unconscious and unable to feel pain ...

  3. Factors associated with utilization of insecticide-treated nets in children seeking health care at a Ugandan hospital: perspective of child caregivers.

    Science.gov (United States)

    Nankinga, Ziadah; Muliira, Joshua Kanaabi; Kalyango, Joan; Nankabirwa, Joaniter; Kiwuwa, Steven; Njama-Meya, Denise; Karamagi, Charles

    2012-10-01

    In Uganda malaria causes more morbidity and mortality than any other disease and children below 5 years contribute the biggest percentage of malaria related mortality. Insecticide treated nets (ITNs) are currently one of the most cost effective option for reducing malaria-related morbidity and mortality, however the factors affecting their utilization in Uganda are still not well understood. This study examined the prevalence and factors associated with ITN utilization among children of age 0-12 years seeking health care from a Ugandan hospital using caregiver's reports. A cross sectional design was used to collect data using a semi-structured questionnaire from 418 participants. Binary logistic regression was employed to determine predictors of ITN utilization. Results show that the prevalence of ITN utilization among children seeking health care was 34.2%. ITN utilization was higher among children of age <5 years [37.0, 95% CI 31.81-42.21] as compared to children aged ≥5 years [22.9, 95% CI 13.77-32.01]. Source of mosquito net (OR = 13.53, 95% CI = 6.47-28.27), formal employment by head of household (OR = 6.00, 95% CI = 1.95-18.48), sharing a bed with parent (s) (OR = 2.61, 95% CI = 1.21-5.63) and number of children below 12 years in a household (OR = 0.80, 95% CI = 0.65-0.99), were significant predictors of utilization. ITN utilization among children was below the set national target. The predictors identified by this study reveal opportunities that can be taken advantage of by malaria control programs to achieve the desired rates of utilization and subsequently malaria prevention in children. PMID:22323100

  4. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This data layer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  5. Hospitals; hospitals13

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — Hospital Facilities information was compiled from several various sources. Main source was the RI Department of Health Facilities Regulation database, License 2000....

  6. Démarche estratégica em unidade materno infantil hospitalar Démarche estratégica en unidad materna infantil hospitalaria Strategic Démarche in a mother and child hospital unit

    Directory of Open Access Journals (Sweden)

    Maria Angélica Carvalho Andrade

    2009-02-01

    and the operational level of an institution, in search of a continuous and flexible planning of projects. The objective of the study is to describe the application of this approach in the evaluation of a hospital unit. METHODOLOGICAL PROCEDURES: The approach was adapted to and applied at a mother and child unit of a public state hospital in the municipality of Serra, Northeastern Brazil. Hospital management analysis was conducted with the indirect involvement of institutional agents, who acted as key informants from April to July, 2006. Besides the meetings with key informants, data was also collected from the following sources for the year 2005: Inpatient records from the obstetric center, maternity and nursery wards, statistical report of the perinatal outcomes from the mother and child unit; records from the ambulatory care unit for breastfeeding. RESULTS: The most valued segments were: The Neonatal Intensive Care Unit, The Obstetric Surgery Center, and The Obstetric Center. The Program of Humanized Care for the Mother and Newborn was also highly valued. The main weaknesses pointed out were the low level of articulation with the network (partnership with municipal network; the lack of hospital beds and technological investment necessary for responding adequately to the demand; excessive professional rotation due to temporary assignments and the deficient implementation of the humanization policies, compromising the strategic success factors of the segments. CONCLUSIONS: The results indicate the method's potential for discussing the hospital mission and performing analysis of hospital management, pointing out strategies for improving the quality and competitiveness of the segments and for greater integration and insertion in the service network.

  7. Early childbirth, health inputs and child mortality: recent evidence from Bangladesh

    OpenAIRE

    Maitra, Pushkar; Pal, Sarmistha

    2007-01-01

    This paper examines the relationship between early childbearing, parental use of health inputs and child mortality in Bangladesh. In order to account for the potential endogeneity of the age at birth and use of health inputs, (hospital delivery and child vaccination) in the child mortality regression, we jointly estimate mother’s age at childbirth, hospital delivery, child vaccination and child mortality taking into account of unobserved mother level heterogeneity. There is evidence of signif...

  8. HCAHPS - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...

  9. Hospital Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find...

  10. Child Care and Child Nutrition

    Science.gov (United States)

    Karolak, Eric

    2009-01-01

    The weak economy is challenging the child care program budget. Fluctuations in enrollment come up against rising costs making every penny count. So for many reasons a federal program that helps defray the costs of snacks and meals in child care programs is particularly important and timely. In this article, the author pushes for the…

  11. Employer-Supported Child Care in Ontario.

    Science.gov (United States)

    Ontario Ministry of Community and Social Services, Toronto.

    Six case studies describing current employer-supported child care services in Ontario are presented. The studies describe the PLADEC Day Care Center of the Kingston Psychiatric Hospital, the day care center at the Chedoke-McMaster Hospitals in Hamilton, the Early Learning Centre at Durham College in Oshawa, the Hydrokids day care center at the…

  12. Caregiver-fabricated illness in a child.

    Science.gov (United States)

    Koetting, Cathy

    2015-01-01

    In October 2004, a case of caregiver-fabricated illness in a child was identified in a children's hospital in the Midwest. This case report begins with a discussion and explanation of the various nomenclatures that have been used by the healthcare community such as Munchausen syndrome by proxy, factitious disorder by proxy, medical child abuse, and caregiver-fabricated illness in a child. A discussion of case facts is then presented, which includes key concepts that nurses should know regarding a diagnosis of caregiver-fabricated illness in a child and the interventions that should be taken. PMID:25900681

  13. Benefícios da permanência de participação da mãe no cuidado ao filho hospitalizado Beneficios de la permanencia de participación de la madre en el cuidado al hijo hospitalizado Benefits of mothers' permanence and participation in the care for their hospitalized child

    Directory of Open Access Journals (Sweden)

    Rosemeire Cristina Moretto Molina

    2009-12-01

    ón por el poder cuidar del hijo. Es preciso que los enfermeros repiensen su comportamiento en lo que se refiere a la madre acompañante y adopten actitudes que favorezcan su participación en el cuidado del hijo hospitalizado.The purpose of the present study was to identify, according to the mothers' perspective, the benefits related to her permanence and participation in the care for her child hospitalized at a Pediatric Intensive Care Unit (PICU. The theoretical framework was Cross-cultural Nursing Theory, and the methodological framework was the assistant convergent research approach. Data was collected from six mothers of children hospitalized at a PICU of a University Hospital, in the period from January to May 2007, through interviews and active observation. Analysis was conducted following four generic processes: collection, synthesis, theorization and application. The results evidenced that the mothers' presence and care increased the attachment between mother and child, increased mothers' confidence, and made the child calmer. This produced positive feelings such as joy and satisfaction for being able to care for their child. Nurses should review their behavior toward the mothers accompanying their child at the hospital, and adopt attitudes that support her participation in the care for her hospitalized child.

  14. Disobedient Child

    Science.gov (United States)

    ... of their parents' rules and of their own self-control. Sometimes, however, these conflicts are more than occasional ... a timeout until he calms down and regains self-control. When your child is obedient and respectful, compliment ...

  15. Utilização de serviços de reabilitação pelas crianças e adolescentes dependentes de tecnologia de um hospital materno-infantil no Rio de Janeiro, Brasil Use of rehabilitation services by technology-dependent children and adolescents in a maternal and child hospital in Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Cláudia Zornoff Gavazza

    2008-05-01

    Full Text Available O objetivo deste estudo é caracterizar descritivamente a dependência tecnológica e a utilização de serviços de reabilitação pela população de crianças e adolescentes de um hospital materno-infantil do Rio de Janeiro, Brasil. O estudo transversal descreveu as características demográficas da criança e sócio-econômicas do cuidador e família, como também o tipo de dependência tecnológica e a utilização de serviços de reabilitação. A população do estudo é composta de pré-escolares (56,3%, do sexo masculino (58,3%, residentes na região metropolitana do Estado do Rio de Janeiro (89,6%. São oriundos de famílias com rendimentos mensais até dois salários mínimos (70,9%, cuidados sobretudo por suas mãe (93,8%, que possuem escolaridade menor ou igual ao ensino fundamental (54,2% e não trabalham (89,6%. Dos entrevistados, um total de 22,9% depende de três tipos diferentes de tecnologias, sendo o suporte medicamentoso (87,5% a mais utilizada. O tratamento de reabilitação é financiado preponderantemente pelo Sistema Único de Saúde (SUS e instituições filantrópicas, sendo o fisioterapeuta motor (60,4% o profissional de maior demanda nesse tratamento. O hospital estudado concentra todos os atendimentos médicos especializados e a maior parte dos tratamentos em reabilitação.The objective of this study was to describe the dependence on technology and use of rehabilitation services by children and adolescents in a maternal and child hospital in Rio de Janeiro, Brazil. Using a cross-sectional design, the following variables were analyzed: gender and age of the children and adolescents, socioeconomic characteristics of the family, technology dependence, and use of rehabilitation services. The majority of the study population consisted of preschoolers (56.3%, boys (58.3%, residing in Greater Metropolitan Rio de Janeiro (89.3%, from low-income families (70.9%, and cared for mainly by their mothers (93.8%, who in turn have

  16. 妇幼保健院药学管理中品管圈的应用实践%Application and practice of the pharmacy management of maternal and Child Health Hospital of coil

    Institute of Scientific and Technical Information of China (English)

    李鑫

    2015-01-01

    Objective:the analysis of the application ef ect of quality control circle theory in the pharmacy management of maternal and child health hospital.Methods:according to the basic steps of quality control circle activity schedule activities,analyzes the existing problems in the pharmacy management in our hospital,work out solutions to the problems.Results:the im-plementation of QCC,the incidence of the problem of pharmacy management in pharmacy store was significantly decreased,the lack of communication and the bad project down the largest pro-portion,87.5%,in fact,prescription writing is not complete,80% pharmacists responsibility heart is not strong,the incidence rate of decline of 75%,ranked third;circle by means of quality control,work enthusiasm and the sense of responsibility of the members,communication and coordination,cohesion and the ability to solve problems and quality control methods have the capaci-ty to improve.Conclusion:the quality control circle activity can ef ectively improve the working enthusiasm of the pharmacy management,enhance the sense of responsibility,reduce the error rate in the pharmacy management,improve the quality of pharmaceutical care.%目的:分析品管圈理论在妇幼保健院药学管理中的应用效果。方法:按照品管圈活动的基本步骤安排各项活动,分析我院药学管理中存在的问题,针对问题制定对策。结果:实施品管圈活动后,药事管理中各项问题的发生率均有显著下降,其中与药库缺乏沟通这一不良项目的下降比例最大,为87.5%,其实为医师处方书写不完整,为80%,药师责任心不强发生率下降75%,位列第三;通过品管圈活动,各圈员的工作积极性、责任感、沟通配合、凝聚力、解决问题的能力、品管手法等能力均有所提高。结论:品管圈活动可有效提高药学管理人员的工作积极性,增强其责任心,降低药学管理中的差错率,提高药学服务质量。

  17. Clinical analysis of hospitalized pediatric patients in Guigang Maternal and Child Health-Care Hospital from 2012 to 2014%贵港市妇幼保健院2012~2014年儿科住院病例临床特点分析

    Institute of Scientific and Technical Information of China (English)

    段捷华; 余冬林; 张俊华; 覃睿

    2016-01-01

    目的:进一步了解贵港市妇幼保健院普通儿科住院病例临床情况,为做好该地区儿童疾病医疗和预防保健工作提供科学依据。方法对该院普通儿科2012-01-01~2014-12-31出院的7981例电子病案资料进行回顾性统计分析。结果7981例住院儿童中男5340例(66.90%),女2641例(33.10%),男∶女=2.02∶1,男性明显多于女性。0~12月患儿最多,共5531例,占全部病例的69.30%。疾病构成比前5位顺位是支气管肺炎、支气管炎、小儿肠炎、咽扁桃腺炎、地中海贫血。平均住院时间为4.01 d,84.28%的患儿住院时间不足7 d。按季节顺位是夏2772例(34.73%)、春2103例(26.35%)、冬1604例(20.10%)、秋1502例(18.82%)。按出院月份构成比前3位顺位是4月(12.10%)、5月(11.97%)、6月(10.27%)。治愈率为91.20%,病死率0.03%。结论三年间儿科住院病例临床特点:(1)男性明显多于女性;(2)12个月以内的婴儿为主;(3)呼吸、消化系统感染性疾病为主;(4)住院时间短;(5)夏季病例较多秋季病例较少,按月份顺位前3位分别是4月、5月及6月,应引起临床医师及医院管理者的高度重视。%Objective To explore the clinical situation of general pediatric inpatients in Guigang Maternal and Child Health-Care Hospital, and provide a scientific basis for the treatment and prevention of childhood diseases in the region.Methods The electronic medical records of 7 981 discharged pediatric inpatients from January 2012 to December 2014 were analyzed retrospectively.Results The male children were more than female children;The lar-gest number of children was at the age of 0~12 months, accounting for 69.30%in all cases.The most common five diseases in order were pneumonia, acute bronchitis, infantile enteritis, Pharynx tonsillitis and Mediterranean anemia. The average time of hospitalization was 4

  18. Child labor

    OpenAIRE

    Udry, Christopher

    2007-01-01

    In recent years, there has been an astonishing proliferation of empirical work on child labor. An Econlit search of keywords "child lab*r" reveals a total of 6 peer reviewed journal articles between 1980 and 1990, 65 between 1990 and 2000, and 143 in the first five years of the present decade. The purpose of this essay is to provide a detailed overview of the state of the recent empirical literature on why and how children work as well as the consequences of that work. Section 1 defines terms...

  19. CHILD ALLOWANCE

    CERN Multimedia

    Human Resources Division

    2001-01-01

    HR Division wishes to clarify to members of the personnel that the allowance for a dependent child continues to be paid during all training courses ('stages'), apprenticeships, 'contrats de qualification', sandwich courses or other courses of similar nature. Any payment received for these training courses, including apprenticeships, is however deducted from the amount reimbursable as school fees. HR Division would also like to draw the attention of members of the personnel to the fact that any contract of employment will lead to the suppression of the child allowance and of the right to reimbursement of school fees.

  20. Child abuse

    International Nuclear Information System (INIS)

    Child abuse is common in most, if not all, Western nations; it probably occurs worldwide. It may be a major factor in the increase in violence throughout much of the world. Radiologists who treat children should think of the possibilitys of abuse whenever they diagnose a fracture, intracranial bleed, ar visceral injury, especially when the history is not compatible with their findings. Metaphyseal 'corner' fractures in infants usually are caused by abuse. Less than 20% of abused children, however, present injuries that can be recognized by radiologic techniques. Consequently normal roentgenograms, nuclear medicine scans, ultrasound studies, and computed tomograms do not exclude child abuse. (orig.)

  1. Prevent Child Abuse America

    Science.gov (United States)

    ... call the police . Crisis and support contacts For Child Abuse Reporting Numbers in your State please visit: Child ... suspected child abuse and neglect. Parent Resources Prevent Child Abuse America (800) CHILDREN A resource for tips, referrals, ...

  2. Parental unemployment and child health

    OpenAIRE

    Mörk, Eva; Sjögren, Anna; Svaleryd, Helena

    2014-01-01

    We analyze to what extent health outcomes of Swedish children are worse among children whose parents become unemployed. To this end we combine Swedish hospitalization data for 1992-2007 for children 3-18 years of age with register data on parental unemployment. We find that children with unemployed parents are 17 percent more likely to be hospitalized than other children, but that most of the difference is driven by selection. A child fixed-effects approach suggests a small effect of parental...

  3. CHILD TRAFFICKING

    OpenAIRE

    Pallavi Chincholkar

    2016-01-01

    Human trafficking is the third biggest beneficial industry on the planet. Child trafficking unlike many other issues is found in both developed and developing nations. NGOs evaluate that 12,000 - 50,000 ladies and kids are trafficked into the nation every year from neighboring states for the sex exchange.

  4. Child Laborers

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    "When I was 12, I started working in a cotton mill as a child laborer." Fan Xiaofeng, the former vice-director of the Labor Protection Department of the All-China Federation of Trade Unions, wrote this sentence in one of her books. In 1932, she came to

  5. 某妇幼保健院医院感染现患率调查%Pevalence rate of healthcare-associated infection in a maternal and child health care hospital

    Institute of Scientific and Technical Information of China (English)

    李晖; 高晓玲; 钟巧; 刘珺; 林春燕; 沈嘉茵

    2015-01-01

    目的:了解某妇幼保健院2014年医院感染情况,为进一步目标性监控提供科学循征依据。方法采用床旁调查与在架运行病历调查相结合的方法,对该院住院患者进行医院感染横断面调查。结果实查住院患者768例,发现医院感染9例,医院感染现患率为1.18%;现患率排名居前3位的科室依次为产科重症监护室(ICU,9.09%)、新生儿 ICU(NICU,5.80%)、妇二区(2.22%);抗菌药物使用率为30.34%(233例),其中预防性使用抗菌药物134例,占57.51%;单一用药者165例,占70.82%。医院感染患者共检出病原菌5株,其中无乳链球菌2株,肺炎克雷伯菌、粪肠球菌、腐生葡萄球菌各1株,除无乳链球菌外,其余3株均为多重耐药菌。结论医院应高度重视多重耐药菌的感染监控,采取目标性监测与集束化干预的方法,以降低多重耐药菌医院感染的发生。%Objective To understand healthcare-associated infection(HAI)in a maternal and child health care hos-pital,so as to provide scientific evidences for further targeted surveillance.Methods A cross-sectional survey was performed by bedside visiting and medical record reviewing.Results Of 768 hospitalized patients,9(1 .18%)had HAI,the top 3 highest prevalence rates were found in obstetrical intensive care unit (9.09%),neonatal intensive care unit (5.80%)and gynecological department II(2.22%).Antimicrobial usage rate was 30.34%(n=233),134 of which (57.51 %)were prophylactic use,165 were mono-therapy(70.82%).A total of 5 pathogenic bacteria were isolated,the number of Streptococcus agalactiae ,Klebsiella pneumonia ,Enterococcus faecalis ,and Staphylococcus saprophyticus was 2,1 ,1 ,and 1 respectively,except Streptococcus agalactiae ,the other 3 strains were multidrug-resistant organisms(MDROs).Conclusion Surveillance on MDRO infection should be paid much attention,the oc-currence of MDRO infection

  6. Child pornography

    OpenAIRE

    Pavlović, Zoran S.; Petković, Nikola; Matijašević Obradović, Jelena

    2014-01-01

    The abuse of children for pornographic purposes is a serious sociological, criminological and victimological problem of today which, despite all preventive and restrictive activities on an international level, shows a tendency of global expansion. The fact that the Republic of Serbia has only recently actively joined the fight against child pornography on the Internet indicates the need for critical analysis of the existing national, penal, and legal solutions and their harmonization with the...

  7. Parents’ experience confronting child burning situation

    OpenAIRE

    Valdira Vieira de Oliveira; Ariadne da Silva Fonseca; Maísa Tavares de Souza Leite; Luciana Soares dos Santos; Adélia Dayane Guimarães Fonseca; Conceição Vieira da Silva Ohara

    2016-01-01

    Objective: to understand experiences of parents in a child burning situation during the hospitalization process. Methods: phenomenological research in view of Martin Heidegger, held with seven assisting parents at a pediatrics unit of a general hospital in Montes Claros. The information was obtained by phenomenological interview, containing the question guide: “What does it mean to you being with a son who is suffering with burns?”. Results: during the experience, parents revealed anguish, fe...

  8. Histories of Child Maltreatment and Psychiatric Disorder in Pregnant Adolescents

    Science.gov (United States)

    Romano, Elisa; Zoccolillo, Mark; Paquette, Daniel

    2006-01-01

    Objective: The study investigated histories of child maltreatment and psychiatric disorder in a high-risk sample of pregnant adolescents. Method: Cross-sectional data were obtained for 252 pregnant adolescents from high school, hospital, and group home settings in Montreal (Canada). Adolescents completed a child maltreatment questionnaire and a…

  9. Social Networking Family of Caregivers during Hospitalization of Children

    Directory of Open Access Journals (Sweden)

    Marina Menezes

    2016-06-01

    Full Text Available Objective To identify and analyze the significant networks of family, social and hospital support described by the family caregivers of hospitalized children 5-12 years during the hospital stay. Method Descriptive study, exploratory and qualitative study conducted with 20 caregivers of children hospitalized in a hospital in a city in southern Brazil, through semi-structured interviews and significant social networks maps, tailored to the hospital setting. Results Data analysis showed that the most active social network was comprised of families through emotional support, material aid and services. Relations with hospital health care team and the hospital context were cited as providing support to the caregivers of the hospitalized child. Conclusions The identification of social networks in the child’s hospitalization course enables equip professionals working in the institution aiming at better targeting of actions and care for the family and hospitalized children.

  10. Representações de mães sobre hospitalização do filho prematuro Representaciones de las madres sobre la hospitalización del hijo prematuro Representations of mothers about the hospitalization of their premature child

    Directory of Open Access Journals (Sweden)

    Nilba Lima de Souza

    2009-10-01

    Full Text Available Estudo qualitativo que objetivou conhecer as representações de mães sobre a hospitalização do filho prematuro na Unidade de Terapia Intensiva Neonatal (UTIN. Inclui dezoito mães de prematuros internados na UTIN de um hospital escola em Natal (RN. Utilizou-se a entrevista semi-estruturada e na análise dos dados evidenciou-se que a hospitalização do filho é representada pelas mães por significados, sentimentos, dificuldades e incertezas. Considera-se que a prematuridade representa um desafio materno desde o momento da constatação do parto pré-termo, prosseguindo com os percalços inerentes a hospitalização e requer conhecimento, escuta e diálogo dos profissionais de saúde de forma efetiva para fortalecimento da adequação materna a prematuridade.Estudio cualitativo con el objeto de conocer las representaciones maternas sobre la hospitalización del hijo prematuro en una Unidad de Terapia Intensiva Neonatal (UTIN. Muestra de dieciocho madres de prematuros internados en la UTIN de un hospital clínico en Natal (RN. Utiliza entrevista semi-estructurada. Los datos constatan que la hospitalización del hijo supone para las madres significados, sentimientos, dificultades e incertidumbres. El parto prematuro representa un reto para la madre desde el momento de la constatación del parto pre-término, continúa con los percances inherentes la hospitalización y requiere conocimiento, escucha y diálogo por parte de los profesionales de salud con el fin de preparar a la madre para dicho parto prematuro.Qualitative study aimed at knowing the representations of mothers about the hospitalization of their premature son in a Neonatal Intensive Care Unit (NICU. The sample was composed of eighteen mothers of premature newborns hospitalized in a school hospital in Natal, Brazil. A semi-structured interview was used and data analysis showed that hospitalization of a child is represented by the mothers as meanings, feelings, difficulties and

  11. CHILD ABUSE, FENOMENA DAN KEBIJAKAN DI INDONESIA

    Directory of Open Access Journals (Sweden)

    Suci Wulansari

    2012-11-01

    Full Text Available Research about child abuse in Indonesia done by United Nations Children's Funds (UNICEF results a concerned condition. The same opinion is also declared by Indonesian Commission on Children Protection. The increasing number of child abuse in Indonesia is highlighted in international society. Child abuse causes many negative effects for physical, mental, and or sexual of children, that effect for the growth and development of child thus leads to rise the lost generation. Medical officers hope to be able to do an early diagnose, prevention, and right therapy to minimize the negative impacts that can happen. Raising competencies of health care providers and building more hospitals that can be an integrated crisis centre in child abuse is a must. The government has built some policies to prevent children from child abuse, that has to be socialized, implemented an evaluated. It is hoped that Health Department has to make a continued and integrated systems and make a standard procedures for all of health care providers to prevent and provide the right therapy for the victim of child abuse. Key words: Child Abuse, growth and development, policies

  12. FAQ: Child Sexual Exploitation

    Science.gov (United States)

    ... Support FAQ: Child Sexual Exploitation What is child pornography? Federal law (18 U.S.C. §2256(8)) defines ... person under the age of 18. Is child pornography a crime? It is a federal crime to ...

  13. My Child Is Stealing

    Science.gov (United States)

    ... might do so anyway because they lack enough self-control . Preteens and teens know they're not supposed ... About a Child Who Steals? Teaching Your Child Self-Control Disciplining Your Child Childhood Stress Nine Steps to ...

  14. Voyage through Childhood into the Adult World: A Guide to Child Development. Lifeways Series. Second Edition.

    Science.gov (United States)

    Frommer, Eva A.

    Originally written for students at St. Thomas' Hospital in London, this guide to child development offers an overview of child development for parents, teachers, and all adults concerned with raising children. Many of the book's ideas come from direct work with children and draw on Rudolf Steiner's approach to child development. The book's…

  15. Child Abuse and Neglect in Saudi Arabia: Journey of Recognition to Implementation of National Prevention Strategies

    Science.gov (United States)

    Al Eissa, Majid; Almuneef, Maha

    2010-01-01

    Objectives: To describe increased child abuse and neglect (CAN) reporting and the characteristics of the reports in the context of the development of a system of intervention for one of the hospital-based child protection centers in Riyadh, Saudi Arabia aligned with the United Nations Convention on the Rights of the Child (CRC) Article 19.…

  16. FOCUS OF TRAINING IN CHILD PSYCHIATRY--THE INDIVIDUAL, THE FAMILY, AND THE COMMUNITY.

    Science.gov (United States)

    KOLANSKY, HAROLD; STENNIS, WILLIAM

    THIS TRAINING PROGRAM FOR CHILD PSYCHIATRISTS DEPARTS FROM TRADITIONAL APPROACHES BY EMPHASIZING THE USE OF ALLIED MENTAL HEALTH DISCIPLINES, EXPERIENCE WITH FAMILY CHILD RELATIONSHIPS, AND A THOROUGH FOUNDATION IN NORMAL CHILD DEVELOPMENT. RESIDENTS BEGIN BY OBSERVING CHILDREN IN NURSERY SCHOOLS, DAY CAMPS, HOSPITAL NURSERIES, PEDIATRIC WARDS,…

  17. Criança hospitalizada: percepção das mães sobre o vínculo afetivo criança-família Niño hospitalizado: el vinculo afectivo niño-família Hospitalized children: mothers' perception about the affective child-family link

    Directory of Open Access Journals (Sweden)

    Beatriz Rosana Gonçalves de Oliveira

    1999-12-01

    Full Text Available Este trabalho objetivou verificar a percepção da mãe que tem seu filho doente hospitalizado, sobre a importância de sua permanência durante o período de internação para manutenção do vínculo afetivo criança-família. Os dados empíricos foram coletados com mães de crianças hospitalizadas, que não estavam acompanhando a internação do seu filho, num hospital público em Cascavel - Paraná, utilizando-se entrevista semi-estruturada. A análise dos dados demonstrou que as mães reconhecem a importância em permanecer com seu filho num período de estresse como o da hospitalização, porém, os fatores externos que influenciam seu cotidiano, muitas vezes não permitem que exerçam sua vontade de ficar com seus filhos.Este trabajo tiene como objetivo verificar la percepción de la madre que tiene su hijo enfermo hospitalizado, sobre la importancia de su permanencia durante el periodo de internación para la manutención del vinculo afectivo del niño-familia. Los dados empíricos fueron colectados con madres de niños hospitalizados, que no estaban acompañando la internación de su hijo, en un hospital publico en Cascavel ¾ Paraná, utilizase una entrevista semi-estructurada. El análisis de los datos demostró que las madres reconocen la importancia en permanecer con su hijo en un periodo de estrés como de la hospitalización, sin embargo, los factores externos que influencian su cotidiano, muchas veces no permiten que ejerzan su voluntad de quedar con sus hijos.This purpose of this research was to verify the perception of the mother who has her child sick and hospitalized, about the importance of her permanence during the hospitalization time for the maintenance of the affective child-family link. Empiric data were collected with mother's of hospitalized children, who were accompanying the hospitalization of their children in a public hospital at the Cascavel city in the West of Paraná, Brazil, through semi-structured interviews

  18. Hospital fundamentals.

    Science.gov (United States)

    Althausen, Peter L; Hill, Austin D; Mead, Lisa

    2014-07-01

    Under the current system, orthopaedic trauma surgeons must work in some form of hospital setting as our primary service involves treatment of the trauma patient. We must not forget that just as a trauma center cannot exist without our services, we cannot function without their support. As a result, a clear understanding of the balance between physicians and hospitals is paramount. Historical perspective enables physicians and hospital personnel alike to understand the evolution of hospital-physician relationship. This process should be understood upon completion of this chapter. The relationship between physicians and hospitals is becoming increasingly complex and multiple forms of integration exist such as joint ventures, gain sharing, and co-management agreements. For the surgeon to negotiate well, an understanding of hospital governance and the role of the orthopaedic traumatologist is vital to success. An understanding of the value provided by the traumatologist includes all aspects of care including efficiency, availability, cost effectiveness, and research activities. To create effective and sustainable healthcare institutions, physicians and hospitals must be aligned over a sustained period of time. Unfortunately, external forces have eroded the historical basis for the working relationship between physicians and hospitals. Increased competition and reimbursement cuts, coupled with the increasing demands for quality, efficiency, and coordination and the payment changes outlined in healthcare reform, have left many organizations wondering how to best rebuild the relationship. The principal goal for the physician when partnering with a hospital or healthcare entity is to establish a sustainable model of service line management that protects or advances the physician's ability to make impactful improvements in quality of patient care, decreases in healthcare costs, and improvements in process efficiency through evidence-based practices and protocols. PMID

  19. A child with pica. A case presentation.

    Directory of Open Access Journals (Sweden)

    Lidia Rosa Pérez González

    2005-04-01

    Full Text Available This is a case of a 4 year old child who was brought to the provincial Pediatric Hospital because of faecal stones. Iron deficit and intestinal parasites were found . The patient received treatment for 6 months till the ingestion of stones disappeared with the control of the etiologic factors that caused it.

  20. Helping Your Child through Early Adolescence -- Helping Your Child Series

    Science.gov (United States)

    ... CHILD'S ACADEMIC SUCCESS Helping Your Child Through Early Adolescence -- Helping Your Child Series PDF (1 MB) For ... Acknowledgements Tips to Help Your Child through Early Adolescence No Child Left Behind < Previous page | ^ Top ^ | Next ...

  1. Recognizing child maltreatment in Bangladesh.

    Science.gov (United States)

    Khan, N Z; Lynch, M A

    1997-08-01

    Concern is increasing in Bangladesh over child abuse, neglect, and exploitation. Children from all walks of life are being treated at the Child Development Center (CDC) Dhaka Shishu Hospital for neurodevelopmental problems resulting from abuse and neglect. Efforts to protect children from sexual harassment result in girls being isolated at home or married at an early age. Some young brides are eventually abandoned and forced into prostitution. Early marriage reflects the lack of acknowledgement of a period of adolescence and the belief that puberty is a marker of adulthood. Many girls aged 8-16 are employed as live-in domestic servants, and many suffer sexual as well as emotional abuse. Garment factories, on the other hand, offer girls an escape from extreme poverty, domestic service, and early marriage but are threatened by forces that condemn child labor. Rather than ending such opportunities, employers should be encouraged to provide employees with educational and welfare facilities. The CDC seeks to explore the extent and depth of the problem of child abuse while recognizing the special circumstances at work in Bangladesh. It is also necessary to raise awareness of these issues and of the discrepancies between the law and cultural practices. For example, the legal marriage age of 18 years for a woman and 21 years for a man is often ignored. Additional forms of abuse receiving the attention of women's organizations and human rights groups include the trafficking of children. A network of concerned organizations should be created to work against the child abuse, neglect, and exploitation that Bangladesh has pledged to overcome by signing the UN Convention on the Rights of the Child. PMID:9280385

  2. Recognizing child maltreatment in Bangladesh.

    Science.gov (United States)

    Khan, N Z; Lynch, M A

    1997-08-01

    Concern is increasing in Bangladesh over child abuse, neglect, and exploitation. Children from all walks of life are being treated at the Child Development Center (CDC) Dhaka Shishu Hospital for neurodevelopmental problems resulting from abuse and neglect. Efforts to protect children from sexual harassment result in girls being isolated at home or married at an early age. Some young brides are eventually abandoned and forced into prostitution. Early marriage reflects the lack of acknowledgement of a period of adolescence and the belief that puberty is a marker of adulthood. Many girls aged 8-16 are employed as live-in domestic servants, and many suffer sexual as well as emotional abuse. Garment factories, on the other hand, offer girls an escape from extreme poverty, domestic service, and early marriage but are threatened by forces that condemn child labor. Rather than ending such opportunities, employers should be encouraged to provide employees with educational and welfare facilities. The CDC seeks to explore the extent and depth of the problem of child abuse while recognizing the special circumstances at work in Bangladesh. It is also necessary to raise awareness of these issues and of the discrepancies between the law and cultural practices. For example, the legal marriage age of 18 years for a woman and 21 years for a man is often ignored. Additional forms of abuse receiving the attention of women's organizations and human rights groups include the trafficking of children. A network of concerned organizations should be created to work against the child abuse, neglect, and exploitation that Bangladesh has pledged to overcome by signing the UN Convention on the Rights of the Child.

  3. Hospital Inspections

    Data.gov (United States)

    U.S. Department of Health & Human Services — Welcome to hospitalinspections.org, a website run by the Association of Health Care Journalists (AHCJ) that aims to make federal hospital inspection reports easier...

  4. Hospital marketing.

    Science.gov (United States)

    Carter, Tony

    2003-01-01

    This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation.

  5. Preventing Child Abuse and Neglect

    Science.gov (United States)

    ... Abuse & Neglect Fatalities Preventing Child Abuse & Neglect National Child Abuse Prevention Month Overview Promoting Child & Family Well-Being Public ... Abuse & Neglect Preventing Child Abuse & Neglect Resources on child abuse prevention, protecting children from risk of abuse, and strengthening ...

  6. Child Abuse and Neglect Programs: Practice and Theory.

    Science.gov (United States)

    Holmes, Monica B.

    Presented are detailed reports of eight child abuse and neglect programs, and a synthesis of the information obtained through onsite visits to programs and a review of the literature. Provided in Part I are the descriptive case studies of two hospital-based programs (Children's Trauma Center, Children's Hospital Medical Center, Oakland,…

  7. Causes of Child Abuse

    OpenAIRE

    Deveci, S. Erhan; Açık, Yasemin

    2003-01-01

    Child abuse is an important public health problem that is present almost in every society and environment at different level and intensities. For implementation of child abuse protection measures it is necessary to investigate its causes. In this review, causes of child abuse was attempted to investigate with respects to the society and institution, family and individual and child related factors.

  8. Toilet Training Your Child

    Science.gov (United States)

    ... to be present when you go to the bathroom and make your child feel comfortable in the bathroom. Allow your child to see urine and bowel ... begin teaching your child to go to the bathroom. Keep your child in loose, easily removable pants. ...

  9. Who Owns Child Abuse?

    OpenAIRE

    Gerald Cradock

    2014-01-01

    Expectations of contemporary child protection apparatuses are strongly influenced by beliefs inherited from the nineteenth century child rescue movement. In particular, the belief that child abuse determination is obvious. However, this assumption fails to make a distinction between nineteenth century’s emphasis on impoverished environments and the twentieth century introduction of the pathological child abuser. Moreover, the proliferation of kinds of child abuse, and the need to distinguis...

  10. Effects of Stress on Mothers of Hospitalized Children in a Hospital in Iran

    Directory of Open Access Journals (Sweden)

    Tayebeh HASAN TEHRANI

    2012-10-01

    Full Text Available AbstractObjectiveHospitalization of a child can cause severe anxiety and stress in the parents, especially for the mother. This stress consequently affects the treatment course of the child. Hereby, we investigate the impact of different stressors in mothers of hospitalized children.Materials & MethodsIn this cross-sectional study, 225 mothers of hospitalized children in the pediatric ward of Besat hospital were randomly selected and studied. Data collection tool was a two-part questionnaire gathered by interviewing the mother. The first part included demographic information of the patients. The second part included questions regarding stressors in four different categories; child-related factors, environmental factors, socioeconomic factors and health professional factors. SPSS 16.5 was used for statistical analysis and data were analyzed by one way ANOVA and T test.ResultsIn the child-related factor category, fear of child death (84%; in the socioeconomic factor category, fear of disease in the other siblings (84%; in the environmental factor category, unpleasant odors in the ward (56%; and in the health professional category, not enough explanation about inserting IV lines, (54.2% constituted the most important factors.There was a meaningful correlation between the stressors and the mothers’ age and occupation, child age, days of hospitalization, types of admission and health insurance coverage, but there was no meaningful correlation between stressors and other factors.ConclusionProfessional and in depth training programs should be provided for health care providers and nursing staff regarding dealing with mothers of hospitalized children.

  11. Screening for Depression in Hospitalized Pediatric Patients

    OpenAIRE

    Mohammad-Reza ESMAEELI; Reza ERFANI SAYAR; Ali SAGHEBI; ELMI, Saghi; Shagheyegh RAHMANI; Elmi, Sam; Akram RABBANI JAVADI

    2014-01-01

    How to Cite This Article: Esmaeeli M, Erfani Sayar R, Saghebi A, Elmi Saghi, Rahmani Sh, Elmi S, Rabbani Javadi A. Screening for Depression in Hospitalized Pediatric Patients. Iran J Child Neurol. 2014 Winter; 8(1):47-51. ObjectiveIn chronically ill children who are hospitalized, many mood changes occur. For example, in children with cancer or renal failure, prolonged hospitalization and chemotherapy can lead to depression. With the improved survival of childhoodmalignancies, the effect of tr...

  12. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

    Academic hospitality is a feature of academic life. It takes many forms. It takes material form in the hosting of academics giving papers. It takes epistemological form in the welcome of new ideas. It takes linguistic form in the translation of academic work into other languages, and it takes touristic form through the welcome and generosity with…

  13. Hospital Malnutrition

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

    Malnutrition seen in hospitals usually occurs as some form of protein-energy malnutrition (PEM). Primary PEM results from an acute or chronic deficiency of both protein and calories. Secondary PEM, or cachexia, results from a disease or medical condition such as cancer or gastrointestinal disease that alters requirements or impairs utilization of nutrients.

  14. Hospitality Management.

    Science.gov (United States)

    College of the Canyons, Valencia, CA.

    A project was conducted at College of the Canyons (Valencia, California) to initiate a new 2-year hospitality program with career options in hotel or restaurant management. A mail and telephone survey of area employers in the restaurant and hotel field demonstrated a need for, interest in, and willingness to provide internships for such a program.…

  15. Child Abuse in India

    OpenAIRE

    Mohammad Reza Iravani

    2011-01-01

    Child abuse is harm to, or neglect of, a child by another person, whether adult or child. Child abuse happens in all cultural, ethnic, and income groups. Child abuse can be physical, emotional - verbal, sexual or through neglect. Abuse may cause serious injury to the child and may even result in death. A problem that is only beginning to come into light in India rape, sexual abuse, and sexual harassment are worldwide issues of gender violence. There is very little research done in this area i...

  16. National Child Abuse and Neglect Data System (NCANDS) Child File

    Data.gov (United States)

    U.S. Department of Health & Human Services — The National Child Abuse and Neglect Data System (NCANDS) Child File data set consists of child-specific data of all reports of maltreatment to State child...

  17. 妇幼保健医院多重耐药菌感染状况及耐药性5年监测分析%Surveillance Analysis of Infection Status and Resistance of Multi-drug Resistant Bacteria in Ma-ternal and Child Health Hospital in 5 Years

    Institute of Scientific and Technical Information of China (English)

    陈敏; 谭浩; 毛安华

    2014-01-01

    【目的】了解妇幼保健医院多重耐药菌(MDRB)的检出情况和耐药趋势,为预防和治疗临床感染提供实验室依据。【方法】对湖南省妇幼保健院2008年1月至2012年12月临床分离的MDRB鉴定和药敏试验结果进行回顾性分析。【结果】五年分离MDRB 1648株,检出率呈环比逐年升高的趋势( P <0.05),其中革兰阴性菌59.64%高于革兰阳性菌40.36%的检出率( P <0.05)。MDRB革兰阴性菌中,肠杆菌科菌对美洛培南高度敏感,铜绿假单胞菌和鲍氏不动杆菌广泛多重耐药;M D RB革兰阳性菌中耐甲氧西林葡萄球菌(MRS)未发现耐万古霉素菌株。【结论】近五年来该院送检标本MDKB检出率呈上升趋势,革兰阴性菌所占比重较高,且耐药情况严重。妇幼保健医院婴童患者免疫功能不大成熟及孕产妇免疫功能低下,定期进行细菌耐药的监测对预防和治疗临床感染更显重要。%[Objective]To understand the detection status of multidrug-resistant bacteria(MDRB) and the trend of drug resistance in order to provide experimental data for prevention and therapy of clinical infection .[Methods]The results of MDRB identification and drug sensitive test in maternal and child health hospital of Hunan province from Jan .2008 to Dec .2012 were analyzed retrospectively .[Results]Totally 1648 strains of MDRB were isolated in 5 years and the detection rate showed the rising trend year by year ( P<0 .05) .Among them ,Gram-negative bacteria accounted for 59 .64% ,which was higher than that of Gram-positive bacteria (40 .36% )( P <0 .05) .In Gram-negative bacteria of MDRB ,Enterobacteriaceae bacteria were highly sensitive to meropenem ,while pseudomonas aeruginosa and Baumannii acinetobacter were widespread multidrug-resist-ance .Vancomycin resistant strains were not found in methicillin-resistant staphylococcus aureus (MRS) of Gram-positive bacteria of MDRB .[Conclusion

  18. FPG Child Development Institute

    Science.gov (United States)

    ... Development, Teaching, and Learning The Frank Porter Graham Child Development Institute will partner with Zero to Three to ... Education October 4, 2016 More Frank Porter Graham Child Development Institute The University of North Carolina at Chapel ...

  19. Child Dental Health

    Science.gov (United States)

    Healthy teeth are important to your child's overall health. From the time your child is born, there are things you can do to promote healthy teeth and prevent cavities. For babies, you should clean ...

  20. Cholesterol and Your Child

    Science.gov (United States)

    ... Tropical Delight: Melon Smoothie Pregnant? Your Baby's Growth Cholesterol and Your Child KidsHealth > For Parents > Cholesterol and ... child's risk of developing heart disease later. About Cholesterol Cholesterol is a waxy substance produced by the ...

  1. Your Child's Habits

    Science.gov (United States)

    ... or working on a craft. Reward and praise self-control . For example, allow your little girl to use ... Aid: Nosebleeds Obsessive-Compulsive Disorder Teaching Your Child Self-Control Temper Tantrums How Can I Stop My Child ...

  2. Who Owns Child Abuse?

    Directory of Open Access Journals (Sweden)

    Gerald Cradock

    2014-11-01

    Full Text Available Expectations of contemporary child protection apparatuses are strongly influenced by beliefs inherited from the nineteenth century child rescue movement. In particular, the belief that child abuse determination is obvious. However, this assumption fails to make a distinction between nineteenth century’s emphasis on impoverished environments and the twentieth century introduction of the pathological child abuser. Moreover, the proliferation of kinds of child abuse, and the need to distinguish child abusers from non-abusers, means knowledge is now spread across an array of disciplines and professions, which necessarily destabilizes the definition of child abuse. The increasing exposure of alternate care systems as potentially abusive has similarly destabilized the old common sense solution to neglected children—namely removal. Finally, as uncertainty increases, and definitions become more divergent, the question of what child abuse is, and what should be done about it, becomes increasingly politicized.

  3. Child Care Subsidies and Child Development

    Science.gov (United States)

    Herbst, Chris M.; Tekin, Erdal

    2010-01-01

    Child care subsidies are an important part of federal and state efforts to move welfare recipients into employment. One of the criticisms of the current subsidy system, however, is that it overemphasizes work and does little to encourage parents to purchase high-quality child care. Consequently, there are reasons to be concerned about the…

  4. Child-to-Child programme in Malaysia.

    Science.gov (United States)

    Kasim, M S; Abraham, S

    1982-09-01

    Even though Malaysia is a relatively prosperous country amongst the developing nations, it is still be set by problems of a rapidly increasing population. The economic cake is also unevenly distributed and there are pockets of poverty in the slums surrounding the towns as well as in the rural areas. Added to that is the problem of ignorance and superstition especially amongst its adult population. It is due to these problems that the Child-to-Child programme has found special application in Malaysia. The Child-to-Child has been introduced through either the government agencies or the voluntary organizations. Through the Ministry of Education, the concept has found its ways through the schools and the state department of education. The Ministry of Information and Broadcasting has also introduced the concept of Child-to-Child in the media. The voluntary organizations have also introduced the concept of Child-to-Child in their projects. The Sang Kancil project has to some extent used the idea in the running of its activities. The Health and Nutrition Education House have found that by applying the concept and using older children to help in running its activities, its over all objective which is the improvement of the health of the children in the slums could be reached more easily.

  5. What makes a child a 'competent' child?

    Science.gov (United States)

    van Rooyen, Amanda; Water, Tineke; Rasmussen, Shayne; Diesfeld, Kate

    2015-12-01

    Competence is a vital component of the informed consent process. The perceived level of a child's competence may influence their degree of participation in health decisions that affect them. It is the responsibility of the health professional to gauge a child's level of competence. Child competence, however, is not a static attribute that is linked to age. Rather, it is dynamic, changing in nature and dependent on a child's previous experiences, personal attributes, network of relationships around them and cultural and environmental context. Consequently, there is no single verified assessment tool to assist in the recognition of competence for New Zealand children. Adding to this complexity are the unclear interpretations of New Zealand health legislation and policy regarding whether or not a child can legally consent or refuse healthcare advice and treatment without the consent of a legal guardian. Under the Care of Children Act 2004 and the Code of Health and Disability Services Consumers' Rights 1996, the Health and Disability Commissioner states "a child may consent themselves [to health treatment] if and when the child achieves sufficient understanding and maturity to understand fully what is proposed". This paper poses the question: What is 'competency' and how is this decided? For the purpose of this article, 'child' pertains to those under the age of 16 years. PMID:26913912

  6. 儿童心理科住院患儿陪护家长出现焦虑状况的应对分析%Analysis of Child Psychologist Hospitalized Children Accompany Parents to Deal with Anxiety Situation

    Institute of Scientific and Technical Information of China (English)

    陈绍荣; 丁辉燕; 贾翠花

    2014-01-01

    目的:分析儿童心理科住院患儿陪护家长出现焦虑状况的原因,并提出相应的应对措施。方法收集我院2013年1月至2013年12月期间诊治的儿童心理科住院患儿陪护家长160例作为研究对象,采用回顾性的方式分析其临床资料,总结陪护家长出现焦虑状况的原因,并提出相应的应对措施。结果研究结果显示,本组家长陪护期间出现焦虑情绪共计95例,占总数的59.38%,出现焦虑情绪的原因主要是担心患儿疾病无法治愈、经济负担、觉得精神病丢人、失去治疗信心、对孩子的期望值不得不降低等;通过对患儿家长实施心理护理、健康教育之后其焦虑状况得到明显的改善,护理前其焦虑评分为(58.27±10.27),护理后焦虑评分为(28.37±5.36),另外55例陪护家长的焦虑评分为(17.29±3.59)。结论儿童心理科住院患儿陪护家长会因为环境原因、心理因素等各方面因素而出现焦虑状况,降低了治疗和护理依从性,对陪护家长及时进行心理护理和健康教育能有效改善其焦虑状况,值得在临床应用上推广。%Objective To analyze causes of children's mental hospital nursing of children parents anxiety status, and put forward the corresponding countermeasures. Methods In our hospital from January 2013 to December 2013 year children's psychology department 160 cases of hospitalized children with parents as the research object, using theretrospective analysis of clinical data of the way, summarize the cause ofaccompanying parents anxiety status, and put forward the corresponding countermeasures. Results The results showed that, during the term of this group of parents accompanying appear anxiety in 95 cases, accounting for 59.38% of the total, cause of anxiety is mainly concerned with disease is incurable, economic burden, feel shame, lose confidence in the treatmentof mental illness, the children's expectations to

  7. Refining Measurement of Substance Use Disorders Among Women of Child-Bearing Age Using Hospital Records: The Development of the Explicit-Mention Substance Abuse Need for Treatment in Women (EMSANT-W) Algorithm.

    Science.gov (United States)

    Derrington, Taletha Mae; Bernstein, Judith; Belanoff, Candice; Cabral, Howard J; Babakhanlou-Chase, Hermik; Diop, Hafsatou; Evans, Stephen R; Kotelchuck, Milton

    2015-10-01

    Substance use disorder (SUD) in women of reproductive age is associated with adverse health consequences for both women and their offspring. US states need a feasible population-based, case-identification tool to generate better approximations of SUD prevalence, treatment use, and treatment outcomes among women. This article presents the development of the Explicit Mention Substance Abuse Need for Treatment in Women (EMSANT-W), a gender-tailored tool based upon existing International Classification of Diseases, 9th Edition, Clinical Modification diagnostic code-based groupers that can be applied to hospital administrative data. Gender-tailoring entailed the addition of codes related to infants, pregnancy, and prescription drug abuse, as well as the creation of inclusion/exclusion rules based on other conditions present in the diagnostic record. Among 1,728,027 women and associated infants who accessed hospital care from January 1, 2002 to December 31, 2008 in Massachusetts, EMSANT-W identified 103,059 women with probable SUD. EMSANT-W identified 4,116 women who were not identified by the widely used Clinical Classifications Software for Mental Health and Substance Abuse (CCS-MHSA) and did not capture 853 women identified by CCS-MHSA. Content and approach innovations in EMSANT-W address potential limitations of the Clinical Classifications Software, and create a methodologically sound, gender-tailored and feasible population-based tool for identifying women of reproductive age in need of further evaluation for SUD treatment. Rapid changes in health care service infrastructure, delivery systems and policies require tools such as the EMSANT-W that provide more precise identification methods for sub-populations and can serve as the foundation for analyses of treatment use and outcomes.

  8. Economics of child labour

    OpenAIRE

    Fatima, Ambreen

    2013-01-01

    The dissertation aims to explore the supply and demand side determinant of child labour at macro, meso and micro level. At macro level it explores the effect of globalization (defined as openness to trade and inflow of foreign direct investment) and credit market imperfections on child labour. At meso level it explores the effect of labour market conditions on child labour. As the above two levels of analysis are mainly concerned with the demand for child labour, the micro level analysis expl...

  9. Causes of Child Abuse

    OpenAIRE

    S. Erhan Deveci; Yasemin Acik

    2003-01-01

    Child abuse is an important public health problem that is present almost in every society and environment at different level and intensities. For implementation of child abuse protection measures it is necessary to investigate its causes. In this review, causes of child abuse was attempted to investigate with respects to the society and institution, family and individual and child related factors. [Archives Medical Review Journal 2003; 12(4.000): 396-405

  10. Causes of Child Abuse

    Directory of Open Access Journals (Sweden)

    S. Erhan Deveci

    2003-08-01

    Full Text Available Child abuse is an important public health problem that is present almost in every society and environment at different level and intensities. For implementation of child abuse protection measures it is necessary to investigate its causes. In this review, causes of child abuse was attempted to investigate with respects to the society and institution, family and individual and child related factors. [Archives Medical Review Journal 2003; 12(4.000: 396-405

  11. Disciplining Your Child

    Science.gov (United States)

    ... are ways to ease frustration and avoid unnecessary conflict with your child. Be Aware of What Your Child Can and ... moment, wait to cool down, apologize to your child, and explain how you will handle the situation in the future. Be sure to keep your ...

  12. [Autism and child protection].

    Science.gov (United States)

    Coron, Guillaume

    2014-01-01

    The fostering of an autistic child deemed to be a child at risk leads one to question one's professional practices. In a children's home, an approach guided by psychoanalysis can recognise the benefits of behavioural or cognitive approaches. The aim of the professional's particular educational position is therefore to construct a relationship with each child.

  13. Hospitalização infantil: concepções da enfermagem acerca da mãe acompanhante Hospitalización infantil: concepciones de la enfermería acerca de la madre acompañante Child hospitalization: nursing conceptions about the mother's companion

    Directory of Open Access Journals (Sweden)

    Daniela Dias Quirino

    2010-06-01

    que la enfermería redireccione su trabajo con el objetivo de construir vínculos y un cuidado integral.The presence of the family is fundamental in the care of hospitalized child, because it is a source of protection and security by providing an environment less aggressive. The objective of this study was understood the concepts of the nursing staff about the mother's companion. This is an exploratory qualitative research, developed in a hospital relating to infant care in the Northeast, held between April and May of 2007 through semi-structured interview. Data were subjected to thematic analysis and the ethical respected. We identified that the mother is recognized as important person in supporting the child, but has not received proper care by healthy professionals. Perceived as agents in the process work, the mother does not participate in decision making, but carries the responsibility of nursing care. So it is important that nursing reorient their work with the aim of building links and a comprehensive care.

  14. Child care in Vrsac and its development

    Directory of Open Access Journals (Sweden)

    Šljapić Živa

    2002-01-01

    Full Text Available Documents concerning history of medicine during the Turkish reign (1552-1716 are very rare. However, there is evidence of plague epidemic in 18th century and cholera epidemic in the 19th century. The first medical institutions: The German Communal Hospital, The Serbian Hospital and the Pharmacy were founded in the second half of the 18th century. In the year 1803, children were vaccinated against variola. The first Serbian book about child care – "Čadoljub" was written by Dr. Gavrilo Pekarović (1812-1851 during his studies of medicine in Budapest. In 1927 the city founded a dispensary for the newborn. The Polyclinic for schoolchildren was established as a part of the Health Center in 1934. After World War II, Children's Department was opened in the Health Center, later on it was turned into Mother and Child Center. At the beginning of 1955, a provisional children's ward with 18 beds was established in the former sanatorium, whereas till the end of the year it had 49 beds. In May 1965, it was moved into a new hospital building. After integration of Hospital and the Health Center into a Medical Center in 1967, a department for children was founded and it consisted of the emergency center and a hospital. Parents counseling, dispensary for children and dispensary for schoolchildren were founded in August 1971. .

  15. Parental Perceptions of Hospital Care in Children with Accidental or Alleged Non-Accidental Trauma

    Science.gov (United States)

    Ince, Elif E.; Rubin, David; Christian, Cindy W.

    2010-01-01

    Objective: To determine whether a suspicion or diagnosis of child abuse during hospitalization influences parental perceptions of hospital care in families of children admitted with traumatic injuries. Method: Parents of children younger than 6 years of age admitted with traumatic injuries to a large urban children's hospital were recruited to…

  16. O uso da simulação realística como metodologia de ensino e aprendizagem para as equipes de enfermagem de um hospital infanto-juvenil: relato de experiência = The use of realistic simulation as teaching-learning methodology for nursing staff in a child-adolescent hospital: experience report

    Directory of Open Access Journals (Sweden)

    Abreu, Aguilda Gomes de

    2014-01-01

    Conclusão: O uso da simulação realística mostrou-se como uma metodologia inovadora para realização de treinamentos na instituição, por replicar experiências da vida real favorecendo um ambiente de interatividade entre os participantes, facilitando o processo de ensino - aprendizagem das equipes de enfermagem que atuam no Hospital infanto-juvenil

  17. Child sexual abuse in Minna, Niger State Nigeria

    OpenAIRE

    I Abdulkadir; H H Musa; L W Umar; Musa, S.; W.A. Jimoh; M Aliyu Na′uzo

    2011-01-01

    Background: Child sexual abuse is a widespread form of child abuse that has remained the most under-reported. In our communities, much remains unknown of this act which often leaves victims traumatised with unsavoury memory that tends to affect their psychosocial development. The study evaluted the socio-demographic features and the nature of sexual abuse as seen in the outpatient department of general hospital Minna, Niger state. Patients and Methods: The case notes of patients who presented...

  18. From child to child: children as communicators.

    Science.gov (United States)

    Phinney, R; Evans, J

    1993-01-01

    Older children commonly care for their younger siblings while parents work to provide for the household. Through play, dance, and talk, children tend to interact with each other more intensely than do adults. In so doing, messages and awareness are exchanged more effectively. Child-to-Child is an active, child-centered learning approach which aims to capitalize on this phenomenon by training older siblings to be effective communicators. This approach has been formally practiced in over 70 countries since 1979. Child-to-Child encourages children to learn the meaning and importance of health messages on their own. Children will then be most likely to retain and communicate information throughout the family, to neighbors, and to the general community. No blueprint exists, however, on which program planners may base the design of new programs. Programs should instead be adapted by those living within the community and culture to fit local needs and circumstances. Nonetheless, the Aga Khan Foundation supported the study of 7 highly different Child-to-Child projects over 3 years in India to obtain some sense of which program elements are successful and potentially useful in other settings. The study revealed that all of the programs helped increase the health knowledge of children and teachers. Little information was obtained on the extent to which information was diffused by children within the community. Overall, the study produced the following results: planners should consider using Child-to-Child projects in schools; teacher training should be made a priority; administrative support should be provided; entire staffs should be made to feel involved in the decision making process; obstacles to changing teaching methods should not be underestimated; teaching materials should be locally made; projects should be integrated into official curricula; program topics should be relevant to local realities; respected authorities should be called upon to reinforce the validity

  19. Um filho quando eu quiser?: o caso da França contemporânea A child if I want when I want… Reviewing women's aspiration through IVF uses in a French Hospital

    Directory of Open Access Journals (Sweden)

    Laurence Tain

    2005-04-01

    Full Text Available A livre escolha da maternidade e do momento de vivê-la foram reivindicações centrais e unânimes do movimento de mulheres nos anos 1970. Em uma primeira fase, esse embate foi amplamente acompanhado por profissionais da área médica, com a difusão de práticas medicalizadas de contracepção e de aborto. Em contrapartida, as tecnologias reprodutivas que permitem adiar a idade da maternidade foram acolhidas com controvérsias pelas feministas: será que essa medicalização da procriação contribuiria para libertar as mulheres dos limites cronológicos ou, pelo contrário, as confinaria a um destino maternal? É essa questão que esse artigo pretende esclarecer, a partir da experiência social da fecundação in vitro nas duas últimas décadas, sobretudo a realizada em um hospital francês.Choosing freely motherhood and its calendar was a central and unanimous claim of the women's lib in the seventies. First, women and professionals belonging to the medical circle fought together to make contraception and abortion available. Nevertheless, feminists have been divided before reproductive technologies that could allow to delay pregnancies: would this medicalization of procreation contribute to emancipate women from time constraints or, on the contrary, contribute to lock them into a maternal destiny? This paper will try to shed light on this problem by discussing IVF social experience in France during the last two decades.

  20. Maternal thyroid dysfunction and risk of seizure in the child

    DEFF Research Database (Denmark)

    Andersen, Stine Linding; Laurberg, Peter; Wu, Chunsen;

    2013-01-01

    Thyroid hormones are essential for brain development, and maternal thyroid disease may affect child neurocognitive development. Some types of seizures may also depend upon early exposure of the developing central nervous system, and we hypothesized that maternal thyroid dysfunction could increase...... the risk of seizure in the child. In a Danish population-based study we included 1,699,693 liveborn singletons, and from the Danish National Hospital Register we obtained information on maternal diagnosis of hyper- or hypothyroidism and neonatal seizure, febrile seizure, and epilepsy in the child. Maternal...... diagnosis of thyroid dysfunction before or after birth of the child was registered in two percent of the singleton births. In adjusted analyses, maternal hyperthyroidism and hypothyroidism first time diagnosed after birth of the child were associated with a significant increased risk of epilepsy...

  1. MORBIMORTALIDAD EN LA UNIDAD DE CUIDADOS INTENSIVOS PEDIÁTRICOS DEL HOSPITAL INFANTIL UNIVERSITARIO DE MANIZALES DURANTE LOS AÑOS 2006 Y 2007 Morbidity and mortality in pediactric intensive care unit of Child Hospital Manizales University during 2006 and 2007

    Directory of Open Access Journals (Sweden)

    Paula Andrea Botero-González

    2010-01-01

    Full Text Available Antecedentes. La Unidad de Cuidados Intensivos Pediátricos del Hospital Infantil de la Cruz Roja "Rafael Henao Toro" de la ciudad de Manizales, Colombia, se ha convertido en referencia para esta zona del país. No se cuenta con estudios en los que se analice la epidemiología de esta unidad, datos que podrían ser importantes en varios sentidos. Objetivo. Realizar un estudio epidemiológico de la población que ingresa a la Unidad de Cuidados Intensivos Pediátricos en el Hospital Infantil Universitario de Manizales (Colombia, años 2006, 2007. Material y métodos. Estudio de corte transversal. Las variables empleadas fueron: edad, fecha de ingreso y egreso, género, procedencia, seguridad social, causa de ingreso, tiempo de estancia, procedimientos utilizados, causa de egreso, destino de alta y causas de mortalidad. Resultados. Se presenta una serie de 341 pacientes pediátricos críticos cuya edad media fue 6.8 años, género masculino 61%, de aéreas rurales 56.2%. Las enfermedadesResumen Antecedentes. La Unidad de Cuidados Intensivos Pediátricos del Hospital Infantil de la Cruz Roja "Rafael Henao Toro" de la ciudad de Manizales, Colombia, se ha convertido en referencia para esta zona del país. No se cuenta con estudios en los que se analice la epidemiología de esta unidad, datos que podrían ser importantes en varios sentidos. Conclusiones. Con la investigación realizada se logró la identificación de las causas más frecuentes de ingreso a la Unidad de Cuidados Intensivos Pediátricos, tales como enfermedades infecciosas y generales. Se establecieron las enfermedades que incidían en una alta mortalidad en dicha Institución, como se representó en la relación entre causa de ingreso y egreso, observándose mayor mortalidad en las enfermedades infecciosas.Background. The Pediatric Intensive Care Unit of the "Hospital Infantil Universitario de la Cruz Roja Rafael Henao Toro" in Manizales (Colombia, has become a reference center for

  2. Child health nurses in the Solomon Islands: lessons for the Pacific and other developing countries

    OpenAIRE

    Colquhoun Samantha; Ogaoga Divi; Tamou Mathias; Nasi Titus; Subhi Rami; Duke Trevor

    2012-01-01

    Abstract Objectives To understand the roles of nurses with advanced training in paediatrics in the Solomon Islands, and the importance of these roles to child health. To understand how adequately equipped child health nurses feel for these roles, to identify the training needs, difficulties and future opportunities. Design Semi-structured interviews. Settings Tertiary hospital, district hospitals and health clinics in the Solomon Islands. Participants Twenty-one paediatric nurses were intervi...

  3. The Effect of Child Access Prevention Laws on Non-Fatal Gun Injuries

    OpenAIRE

    Jeff DeSimone; Sara Markowitz

    2005-01-01

    Many states have passed child access prevention (CAP) laws, which hold the gun owner responsible if a child gains access to a gun that is not securely stored. Previous CAP law research has focused exclusively on gun-related deaths even though most gun injuries are not fatal. We use annual hospital discharge data from 1988-2001 to investigate whether CAP laws decrease non-fatal gun injuries. Results from Poisson regressions that control for various hospital, county and state characteristics, i...

  4. Suspected child abuse: cost in medical time and finance.

    OpenAIRE

    Summers, C. L.; Molyneux, E. M.

    1992-01-01

    In a prospective study the number of children attending the Royal Liverpool Children's Hospital (RLCH) for examination after allegations of child abuse, and the type of abuse involved, was recorded from July to December 1990. The cost to the hospital of these examinations and initial investigations was assessed. The study was carried out in the major and minor accident and emergency departments and the Rainbow Centre of the RLCH. In six months 181 children were examined. Cases of sexual abuse...

  5. Parents' perceptions and needs of children's hospital discharge information.

    Science.gov (United States)

    Keatinge, Diana; Stevenson, Karen; Fitzgerald, Mary

    2009-08-01

    Two linked descriptive qualitative studies, conducted 12 months apart aimed to identify parents' perceptions of discharge information relating to a recent admission of their child to hospital. Study one participants included parents (n = 7) who telephoned a paediatric telephone triage service seeking information about their child's postdischarge care. Study 2 included parents (n = 12) of children admitted to a regional hospital's general paediatric ward. Data were collected via semi-structured interviews conducted with parents following their child's discharge from hospital. These data were analysed using qualitative content analysis separately. The studies were linked in so far as the results from study one informed the modification of the design of study two and its interview protocol. Both studies revealed verbal as well as written information is helpful to parents, plain language usage is important, messages from the health-care team are sometimes inconsistent, and parents need information specific to their particular circumstances. PMID:19703052

  6. Pediatric Hospital: The Paradigms of Play in Brazil

    Directory of Open Access Journals (Sweden)

    Lino de Macedo

    2015-01-01

    Full Text Available The role of play in Brazilian children’s hospitals is highlighted, as well as the perspective of humanization in Brazil. Some aspects of our culture are crucial to understanding the importance of play considering our society. Sabara Children’s Hospital (“Hospital Infantil Sabará” in Brazil is used particularly to discuss humanization. To understand the issue of play in Brazil, it is important to discuss hospitals in their social context, their history, current roles in children’s care, humanization history and child development, according to the approaches of Piaget and Winnicott that are used in our culture.

  7. Analysis of pathogenic bacterium and antimicrobial susceptibility about child bacterial diarrhea in our hospital from 2010 to 2012%2010-2012年我院儿童细菌性腹泻病原菌及药敏分析

    Institute of Scientific and Technical Information of China (English)

    胡云海; 范忠祥; 杜成雪

    2013-01-01

    Objective To investigate the etiology, epidemiologic features, and antibiotic resistance of isolated pathogens from children with bacterial diarrhea, so as to provide important evidence for paediatrics clinical therapy. Methods The fecal samples of 246 children with infectious diarrhea between January 2010 and January 2012 were colected and cultured. The antimicrobial susceptibilties were tested by the micro-broth dilution method. Results A total of 39 isolates of pathogenic bacterium (15.9%) were obtained, including Citrobacter freundi (n=15), Salmonela typhimurium (n=10), Shigela (n=6), Escherichia coli (n=4), Klebsiela pneumoniae (n=2), and Proteus vulgaris (n=2). The detection rate of pathogenic bacteria presented highest in children under 3 years (89.7%). Ampicilin、amoxicilin/clavulanate potassium、sulfamethoxazole compound、cefamezin、gentamycin、ofloxacin、tobramycin in al showed great drug resistant rate, even 100%. Less than 20% of isolates were resistant to the third generation cephalosporins and aztreonam. There was no resistance to cefepime and tienam. Conclusion Opportunistic bacteria and Salmonela typhimurium were the major pathogen among children with bacterial diarrhea in our hospital, and concentrated on infants. The antimicrobial resistance of common pathogenic bacterial was serious, which should be noted.%  目的分析儿童细菌性腹泻病原菌、流行病学特征及其耐药性,指导临床合理用药。方法对我院2010年1月至2012年1月感染性腹泻患儿的新鲜标本进行细菌分离培养,采用微量肉汤稀释法进行药敏试验。结果从246份标本中检出39株病原菌,检出率为15.9%。其中氟劳地枸橼酸杆菌15株,鼠伤寒沙门氏菌10株,志贺菌属6株,大肠埃希氏菌4株,肺炎克雷伯杆菌2株,普通变形杆菌2株。病原菌的检出率以3岁以下婴幼儿最高,占89.7%。氨苄西林、阿莫西林/克拉维酸钾、复方新诺明、头孢唑啉、庆大

  8. International child health

    DEFF Research Database (Denmark)

    Kruse, Alexandra Y; Høgh, Birthe

    2007-01-01

    diseases and neonatal complications, over half associated with malnutrition. Conditions we could prevent and treat. One of UN's Millennium Development Goals is to reduce child mortality. However child health is more than mortality and morbidity indicators, it includes growth and development. Udgivelsesdato......International child health has improved. Better healthcare strategies, like IMCI, have contributed implementing basic interventions: vaccinations, nutrition supplement, oral rehydration and antibiotics. But 11 million children still die every year before they turn five, most from infectious...

  9. Measuring child marriage

    OpenAIRE

    Minh Cong Nguyen; Quentin Wodon

    2012-01-01

    Child or early marriage is recognized as an important development and human rights issue that affects girls especially in many developing countries. The practice has been linked to psychological, health, and education risks. These negative impacts explain why in many countries child marriage has been prohibited by law but often with little effect. While child marriage has been recognized as a major issue, its measurement has remained unsophisticated. Existing studies tend to simply report the...

  10. Child Labor and Globalization

    OpenAIRE

    Elias Dinopoulos; Laixun Zhao

    2006-01-01

    The paper embeds child labor in a standard two-sector general-equilibrium model of a small open economy facing perfectly competitive markets, efficiency wages, and free-trade. The modern sector produces a homogeneous good using skilled adult labor and capital, and offers effort-based efficiency wages. The agrarian (traditional) sector produces a homogeneous good using unskilled (child and adult) labor and skilled adult labor, and offers nutritional efficiency wages to child workers. Nutrition...

  11. Prevention of Child Maltreatment

    OpenAIRE

    Lane, Wendy Gwirtzman

    2014-01-01

    Pediatricians and other health care providers can play a number of important roles in the prevention of child maltreatment. As part of routine patient care, pediatricians can provide anticipatory guidance for effective discipline and parent-child communication, screen for maltreatment risk factors, and refer parents and families to effective community-based programs. This article will help pediatricians incorporate child abuse prevention into their practice. Resources for systematizing antici...

  12. Towards understanding child abuse

    OpenAIRE

    Clara Inés Carreño; Alicia Rey

    2010-01-01

    This research is a contribution to the understanding of childhood andthe child maltreatment within the framework of the state of the art of the knowledge produced in the experiences of research / intervention carried out under the Specialization Program on Child Maltreatment Prevention of Javeriana University, between 2002 to 2006. The article recreates the outstanding of this concern in Colombia, offers reinterpretations to the speech built and poses some bases to analyze the child maltreatm...

  13. Identification and Evaluation of Abused Children at Imam Hossein Hospital

    OpenAIRE

    Arabghol, Fariba; Derakhshanpour, Firooze; Davari Ashtiyani, Rozita; Chimeh, Narges; Panaghi, Layli

    2016-01-01

    Background Child abuse is a phenomenon that confronts the child, family, and society with irretrievable physical and mental injuries, and its negative effects continue until adulthood. Objectives The present study was conducted to identify and evaluate cases of abused children at a medical center. Patients and Methods This is a descriptive-analytic study. The subjects were all children and adolescents who were referred to Imam Hussein hospital within 6 months due to physical or psychiatric re...

  14. Child-robot interaction in the wild: Advice to the aspiring experimenter

    NARCIS (Netherlands)

    Ros, R.; Nalin, M.; Wood, R.; Baxter, P.; Looije, R.; Demiris, Y.; Belpaeme, T.; Giusti, A.; Pozzi, C.

    2011-01-01

    We present insights gleaned from a series of child-robot interaction experiments carried out in a hospital paediatric department. Our aim here is to share good practice in experimental design and lessons learned about the implementation of systems for social HRI with child users towards application

  15. 20 CFR 222.58 - When a child is living with an employee.

    Science.gov (United States)

    2010-04-01

    ... employee and the employee has parental control and authority over the child's activities. The child is... working away from home or hospitalization. However, the employee must have parental control and authority... in prison is not “living with” the employee, since the employee does not have parental control...

  16. Safer Beginnings: Perinatal Child-Parent Psychotherapy for Newborns and Mothers Exposed to Domestic Violence

    Science.gov (United States)

    Lieberman, Alicia F.; Diaz, Manuela A.; Van Horn, Patricia

    2009-01-01

    Pregnancy is a time of heightened risk for domestic violence and of increased vulnerability to traumatic events. In this article, the authors explain how the experience of domestic violence during pregnancy threatens the newborn's healthy development as well as the parent-child relationship. San Francisco General Hospital's Perinatal Child-Parent…

  17. Towards understanding child abuse

    Directory of Open Access Journals (Sweden)

    Clara Inés Carreño

    2010-02-01

    Full Text Available This research is a contribution to the understanding of childhood andthe child maltreatment within the framework of the state of the art of the knowledge produced in the experiences of research / intervention carried out under the Specialization Program on Child Maltreatment Prevention of Javeriana University, between 2002 to 2006. The article recreates the outstanding of this concern in Colombia, offers reinterpretations to the speech built and poses some bases to analyze the child maltreatment from the perspective of the adult-child relationships.

  18. Persisting high hospital and community childhood mortality in an urban setting in Guinea-Bissau

    DEFF Research Database (Denmark)

    Veirum, Jens Erik; Biai, Sidu; Jakobsen, Marianne;

    2007-01-01

    AIM: To describe paediatric hospitalization in a West African capital in relation to overall childhood mortality in the community and to evaluate the potential impact of improved management at the hospital. METHODS: Hospital data on child admissions in a 6-year period were linked to information...... in a community-based longitudinal surveillance system. Paediatric hospitalization rates, risk factors for hospitalizations, community mortality, in-hospital mortality and the proportion of deaths occurring at hospital were examined. RESULTS: Almost 15% of infants and 45% of children less than 5 years of age had...... been hospitalized, and 24% of all deaths in the community occurred in-hospital. Community infant and under-three mortality rates were 110 and 207 per 1,000 person-years, respectively. In-hospital mortality remained persistently high from 1991 to 1996 and the overall in-hospital mortality was 12...

  19. Analysis on epidemic situation of notifiable infectious diseases in a maternal and child health hospital from 2006-2011%2006-2011年中山市妇幼保健医院法定传染病疫情分析

    Institute of Scientific and Technical Information of China (English)

    黄桑

    2013-01-01

    [Objective] To understand the incidence and distribution of notifiable infectious diseases in Maternal and Child Health Hospital of Zhongshan City in the recent 6 years,to discusses the distribution and the change tendency,and scientific basis for developing and improving control strategies and measures in the future.[Methods]The epidemic data of notifiable infectious disease reported in this hospital from 2006-2011 were collected and analyzed by Excel.[Results]A total of 30 588 cases of 22 kinds of notifiable infectious diseases were reported in our hospital during 2006-2011,None of Class A was reported.6307 cases of 15 kinds of infectious diseases of Class B were reported,and 24281 cases of 7 types were Class C.The main diseases reported were hand,foot and mouth disease (HFMD),infectious diarrhea,viral hepatitis and syphilis which accounted for more than 90.47% of total cases.During this period,diarrhea,viral hepatitis and syphilis were listed in the first 5 places in each year.[Conclusion] Diarrhea and HFMD are common infectious diseases reported in this hospital.The incidence rates of viral hepatitis and syphilis are relatively high in 6 years.Therefore,the preschool children 'hand hygiene work must be strengthened,as well as the health education and management of infectious disease of the surrounding restaurants and entertainment service industry.%目的 为了解中山市妇幼保健医院近6年传染病的发病状况和分布特征,探讨其分布规律和变化趋势,为今后制定和完善防治策略与措施提供科学依据.方法 收集该院2006-2011年报告的法定报告传染病疫情资料,采用Excel软件进行汇总分析.结果 2006-2011年该院共报告法定传染病22种30 588例,无甲类传染病报告,其中乙类传染病15种6 307例,丙类传染病7种24 281例.主要报告传染病病种是手足口病、感染性腹泻、病毒性肝炎和梅毒,占报告发病总数的90.47%.感染性腹泻、病毒性肝炎、

  20. Incentivando o vínculo mãe-filho em situação de prematuridade: as intervenções de enfermagem no Hospital das Clínicas de Ribeirão Preto Incentivando el vínculo madre-hijo en situación de prematuridad: las intervenciones de enfermería en el Hospital de las Clínicas de la ciudad de Ribeirão Preto Encouraging mother-child attachment in prematurity situations: nursing interventions at the Ribeirão Preto Clinical Hospital

    Directory of Open Access Journals (Sweden)

    Carmen Gracinda Silvan Scochi

    2003-08-01

    hospitalizados. Consideramos que nuestra experiencia favoreció el establecimiento del vinculo y apego madre-hijo y familia, resultando en una mayor interacción de la familia con el bebe, en especial, de la madre, y mayor interés en el aprendizaje de sus cuidados, además de la satisfacción manifestada por la atención recibida.This study aims at describing nursing actions performed in the high-risk neonatal units at a university hospital of the University of São Paulo at Ribeirão Preto so as to favor mother-child attachment in prematurity situations. The nurse accompanies parents in their first visit, giving them support as well as information concerning the equipment surrounding the newborn and encouraging skin-to-skin contact, touching and talking. Parents' access to and staying with high-risk newborns is permanently allowed. A visiting program by grandparents and siblings of pre-term newborns was implemented, even when under intensive care, which encourages family contact. Parents participate in a support group with other parents who experienced the situation of having their pre-term children in serious conditions and hospitalized. We consider that our experience has favored the establishment of mother-child and family attachment, observing greater interaction between the family and the newborn, particular involving the mother. Greater interest in learning about care as well as satisfaction concerning the assistance received have also been expressed by families.

  1. Hospital Outpatient PPS Partial Hospitalization Program LDS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Outpatient Prospective Payment System (OPPS) Partial Hospitalization Program LDS This file contains select claim level data and is derived from 2010 claims...

  2. Can hospitals compete on quality? Hospital competition.

    Science.gov (United States)

    Sadat, Somayeh; Abouee-Mehrizi, Hossein; Carter, Michael W

    2015-09-01

    In this paper, we consider two hospitals with different perceived quality of care competing to capture a fraction of the total market demand. Patients select the hospital that provides the highest utility, which is a function of price and the patient's perceived quality of life during their life expectancy. We consider a market with a single class of patients and show that depending on the market demand and perceived quality of care of the hospitals, patients may enjoy a positive utility. Moreover, hospitals share the market demand based on their perceived quality of care and capacity. We also show that in a monopoly market (a market with a single hospital) the optimal demand captured by the hospital is independent of the perceived quality of care. We investigate the effects of different parameters including the market demand, hospitals' capacities, and perceived quality of care on the fraction of the demand that each hospital captures using some numerical examples. PMID:25711185

  3. Loss of a child - resources

    Science.gov (United States)

    Child death - resources; Resources - loss of a child ... The following organizations are good resources for information on the loss of a child: The Compassionate Friends -- www.compassionatefriends.org Bereaved Parents of the USA -- www.bereavedparentsusa. ...

  4. Child neglect and psychological abuse

    Science.gov (United States)

    ... or neglect, call 911. Call the Childhelp National Child Abuse Hotline (1-800-4-A-CHILD). Know that ... can/identifying/. Accessed November 21, 2014. Read More Child abuse - physical Update Date 11/20/2014 Updated by: ...

  5. Planning an outing from hospital for ventilator-dependent children.

    Science.gov (United States)

    Gilgoff, I S; Helgren, J

    1992-10-01

    Returning ventilator-dependent children to the home environment has become a well-accepted occurrence. The success of a home program depends on careful pre-discharge planning in order to ensure the child's medical safety, and adequate preparation to ensure the child's and family's adjustment to an active community life after discharge. To achieve this, involvement in community activities must begin while the child is still in hospital. As part of a complete rehabilitation program, nine ventilator-dependent children were taken on an inpatient outing to Disneyland. The planning and goals of the outing are described.

  6. Hospital-acquired pneumonia

    Science.gov (United States)

    ... tends to be more serious than other lung infections because: People in the hospital are often very sick and cannot fight off ... prevent pneumonia. Most hospitals have programs to prevent hospital-acquired infections.

  7. Structural Measures - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospitals and the availability of structural measures at that hospital. A structural measure reflects the environment in which hospitals care for...

  8. Hospitals as health educators

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000862.htm Hospitals as health educators To use the sharing features ... health education, look no further than your local hospital. From health videos to yoga classes, many hospitals ...

  9. Critical Access Hospitals (CAH)

    Science.gov (United States)

    ... will not. Each hospital must perform its own financial analysis to determine if being a Prospective Payment System (PPS) hospital or a CAH would result in a better financial return. For financially distressed hospitals, even if CAH ...

  10. Surgery, Hospitals, and Medications

    Science.gov (United States)

    ... OTC products that are not commonly stocked in hospital pharmacies. Examples include: Salagen ® , Evoxac ® , and Restasis ® Eye drops, ... of your medication will be sent to the hospital pharmacy for verification. Depending on hospital policy, you may ...

  11. Patient survey (HCAHPS) - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...

  12. Parent & Child Perceptions of Child Health after Sibling Death

    Science.gov (United States)

    Roche, Rosa M.; Brooten, Dorothy; Youngblut, JoAnne M.

    2016-01-01

    Background Understanding children’s health after a sibling’s death and what factors may affect it is important for treatment and clinical care. This study compared children’s and their parents’ perceptions of children’s health and identified relationships of children’s age, gender, race/ethnicity, anxiety, and depression and sibling’s cause of death to these perceptions at 2 and 4 months after sibling death. Methods 64 children and 48 parents rated the child’s health “now” and “now vs before” the sibling’s death in an ICU or ER or at home shortly after withdrawal of life-prolonging technology. Children completed the Child Depression Inventory and Spence Children’s Anxiety Scale. Sibling cause of death was collected from hospital records. Results At 2 and 4 months, 45% to 54% of mothers’ and 53% to 84% of fathers’ ratings of their child’s health “now” were higher than their children’s ratings. Child health ratings were lower for: children with greater depression; fathers whose children reported greater anxiety; mothers whose child died of a chronic condition. Children’s ratings of their health “now vs before” their sibling’s death did not differ significantly from mothers’ or fathers’ ratings at 2 or 4 months. Black fathers were more likely to rate the child’s health better “now vs before” the death; there were no significant differences by child gender and cause of death in child’s health “now vs before” the death. Conclusions Children’s responses to a sibling’s death may not be visually apparent or become known by asking parents. Parents often perceive their children as healthier than children perceive themselves at 2 and 4 months after sibling death, so talking with children separately is important. Children’s perceptions of their health may be influenced by depression, fathers’ perceptions by children’s anxiety, and mother’s perceptions by the cause of sibling death.

  13. Your Child's Vision

    Science.gov (United States)

    ... Things to Know About Zika & Pregnancy Your Child's Vision KidsHealth > For Parents > Your Child's Vision Print A A A Text Size What's in ... La vista de su hijo Healthy eyes and vision are a critical part of kids' development. Their ...

  14. Media and child development

    NARCIS (Netherlands)

    J. Piotrowski; H.G.M. Vossen; P.M. Valkenburg

    2015-01-01

    Decades of research have shown that the relationship between media and childhood is not unidirectional but reciprocal. In this article, both directions of the media-child development relationship are presented. We discuss how child development predisposes children's media use and preferences by revi

  15. Child Wellness and Happiness

    Science.gov (United States)

    Rettew, David C.

    2009-01-01

    Wellness and happiness should be considered in the clinical treatment of child and adolescent psychiatry, in addition with thinking about illness. Meanwhile, various studies on child and adolescent psychiatry,which includes an article from the "Journal of Happiness Studies," are discussed.

  16. Child Sexual Abuse

    Science.gov (United States)

    ... example, by a friend, neighbor, child care person, teacher, or stranger. When sexual abuse has occurred, a child can develop many distressing ... t tell children to 'always do everything the teacher or baby-sitter tells you to ... of guilt about the abuse, and begin the process of overcoming the trauma. ...

  17. The Child Welfare Cartel

    Science.gov (United States)

    Stoesz, David

    2016-01-01

    The probity of the Children's Bureau's National Child Welfare Workforce Institute (NCWWI) is examined with respect to the status of child welfare as well as the performance of social work education. By requiring that funding go only to accredited schools of social work, which is not authorized by relevant provisions of the Social Security Act,…

  18. Choosing Child Care

    Science.gov (United States)

    ... a parent, you want to ensure that your child is safe and happy in a childcare environment that is fun, educational, and nurturing. Here are ... person or program? Do you believe that your child will be happy and have the ... in this environment? If none of the caregivers or childcare centers ...

  19. Child Poverty & Public Policy.

    Science.gov (United States)

    Chafel, Judith A., Ed.

    This collection documents how far we still are in the United States from putting our knowledge about child well being and policy into practice. It provides an overview of the changing nature of child poverty in the United States through the contributions of authors who use a number of qualitative and quantitative approaches to look at children in…

  20. Weaning Your Child

    Science.gov (United States)

    ... baby and makes it possible to leave your child with a caregiver. It's important to remember that infants over 6 months should have solid foods as well as breast milk. After 1 year, breast milk alone does not provide all the nutrients a growing child needs; solid foods must become a regular part ...

  1. Divorce Child Custody Disputes.

    Science.gov (United States)

    Houlgate, Laurence D.

    1987-01-01

    Examines ethical issues in making policy decisions regarding divorce child custody disputes. Suggests dilemma occurs when legislator must decide between discretionary standard promoting best interest of child and nondiscretionary arbitrary assignment of custody. Advocates normative analysis of various types of dispute-settling processes and…

  2. Child Care at CERN

    CERN Document Server

    CERN, Child Care Initiative

    2008-01-01

    This is a document summarizing a survey of child care needs of CERN staff and users which was performed in February 2008 by the CERN Child Care Initiative. The document presents the analysis of this data. Conclusions on the minimal facilities size are derived and possible funding source at the European Union are discussed.

  3. Ileostomy and your child

    Science.gov (United States)

    ... Now your child has an opening called a stoma in their belly. Waste will pass through the stoma into a pouch that collects it. You and ... child will need to take care of the stoma and empty the pouch many times a day. ...

  4. Headstart for Every Child.

    Science.gov (United States)

    Butler, Annie L.

    An early learning kit provides a booklet of ten articles on educational head starts for children along with an activity packet for classroom use. The articles deal with: the crucial early school years; emotional preparation of the child; broadening a child's background; selecting toys and games; reading readiness; mathematical skills; learning to…

  5. Identification of ICD Codes Suggestive of Child Maltreatment

    Science.gov (United States)

    Schnitzer, Patricia G.; Slusher, Paula L.; Kruse, Robin L.; Tarleton, Molly M.

    2011-01-01

    Objective: In order to be reimbursed for the care they provide, hospitals in the United States are required to use a standard system to code all discharge diagnoses: the International Classification of Disease, 9th Revision, Clinical Modification (ICD-9). Although ICD-9 codes specific for child maltreatment exist, they do not identify all…

  6. The battered child syndrome

    International Nuclear Information System (INIS)

    The recognition of a battered child represents a challenge for all groups of adults dealing with children. Radiology plays a special role in this setting. By detection typical injuries, imaging is able to confirm the suspicion of a battered child. Recognition of those injuries on films, taken for other reasons, gives the caretaker an important hint, thus maybe preventing a fatal outcome for the child. One of the most important injury types is represented by the so called ''shakin baby syndrome''. The infant is held by the thorax and shaken. Thus causing a repetitive acceleration-deceleration trauma, which leads to the typical paravertebral rib fractures, intracranial bleeding and eye injuries. After shaking the child is thrown away, with subsequent injuries. The aim of this article is the presentation of an overview regarding the radiology of the battered child. Typical examples will be shown. (orig.)

  7. Child prostitution in Thailand.

    Science.gov (United States)

    Lau, Carmen

    2008-06-01

    Child prostitution is an old, global and complex phenomenon, which deprives children of their childhood, human rights and dignity. Child prostitution can be seen as the commercial sexual exploitation of children involving an element of forced labour, and thus can be considered as a contemporary form of slavery. Globally, child prostitution is reported to be a common problem in Central and South America and Asia. Of all the south-east Asian nations, the problem is most prolific in Thailand. In Thailand, there appears to be a long history of child prostitution, and this article explores the factors that underpin the Thai child sex industry and the lessons and implications that can be drawn for health care and nursing around the world.

  8. Child labor in the US

    Directory of Open Access Journals (Sweden)

    Wegmann David

    2003-01-01

    Full Text Available This paper presents a report on child labor in the U.S. that reviewed the positive and negative aspects of work for youth. Working was found to provide young people with valuable lessons about responsibility, punctuality, interacting with people and learning about money management, increasing self-esteem and helping them become independent and skilled. Research findings suggested that working during high school may contribute to increased rates of employment and better wages up to a decade after high school completion. Research concerning the hazards associated with work indicated that, each year, tens of thousands of young people are seen in hospital emergency departments for work-related injuries, hundreds require hospitalization, and more than 70 die of work-related injuries. Long work hours during the school year were associated with problem behaviors. The report points out some important questions: updating regulations on allowable work hours, eliminating less stringent regulation of agricultural work, revising outdated rules against hazardous work, developing and implementing a comprehensive plan for monitoring the injuries, illnesses, and hazards, building workplace health and safety information into school-based programs, and developing criteria for designating "commendable workplaces for youth."

  9. Characteristics of Hospital-Based Munchausen Syndrome by Proxy in Japan

    Science.gov (United States)

    Fujiwara, Takeo; Okuyama, Makiko; Kasahara, Mari; Nakamura, Ayako

    2008-01-01

    Objective: This article explores characteristics of Munchausen Syndrome by Proxy (MSBP) in Japan, a country which provides an egalitarian, low cost, and easy-access health care system. Methods: We sent a questionnaire survey to 11 leading doctors in the child abuse field in Japan, each located in different hospital-based sites. Child abuse doctors…

  10. Child labor, schooling, and child ability

    OpenAIRE

    Akresh, Richard; Bagby, Emilie; de Walque, Damien; Kazianga, Harounan

    2012-01-01

    Using data collected in rural Burkina Faso, this paper examines how children's cognitive abilities influence households' decisions to invest in their education. To address the endogeneity of child ability measures, the analysis uses rainfall shocks experienced in utero or early childhood to instrument for ability. Negative shocks in utero lead to 0.24 standard deviations lower ability z-sc...

  11. An Important Opportunity for Family Planning Education: Mothers with Children Hospitalized in Children Governmental Hospital, Diyarbakir-2004.

    OpenAIRE

    Alpay Çakmak; Melikşah Ertem

    2005-01-01

    Family planning is an important tool to avoid maternal deaths. But unfortunately women have no chance to reach family planning services particularly in developing countries. All contacts with health professionals of women should be evaluate a opportunity for family planning education. In this study we aimed to show the fact that children hospital is also an important opportunity for family planning education. We interviewed 352 women with a child hospitalized in Children Governmental Hospita...

  12. Child maltreatment in India.

    Science.gov (United States)

    Singhi, Pratibha; Saini, Arushi Gahlot; Malhi, Prabhjot

    2013-11-01

    Child maltreatment is a global problem but is more difficult to assess and manage in developing countries such as India where one-fifth of the world's total child population resides. Certain forms of maltreatment such as feticide, infanticide, abandonment, child labour, street-begging, corporal punishment and battered babies are particularly prevalent in India. Most physicians still need to be sensitized in order to suspect child abuse on the basis of unexplained trauma, multiple fractures, parental conflict and other corroborative evidence. This article summarizes the various aspects of this major problem in resource-poor settings in the hope that it will assist in the planning of services addressing child physical and sexual abuse and neglect in India and in other developing countries. A culture of non-violence towards children needs to be built into communities in order to provide an environment conducive to the overall development of the child. Rehabilitation of abused children and their families requires a multi-disciplinary service including paediatricians, child psychologists and social workers, and the training of police forces in how to tackle the problem. PMID:24070123

  13. Cyber child sexual exploitation.

    Science.gov (United States)

    Burgess, Ann Wolbert; Mahoney, Meghan; Visk, Julie; Morgenbesser, Leonard

    2008-09-01

    A 2-year review of 285 child cyber crime cases reported in the newspaper revealed how the Internet offenders were apprehended, the content of child pornography, and crime classification. A subsample of 100 cases with data on offender occupation revealed 73% of cases involved people in positions of authority. The dynamics of child cyber crime cases direct the implications for nursing practice in terms of evidence-based suspicion for reporting, categorizing the content of Internet images, referral of children for counseling, and treatment of offenders. PMID:18822999

  14. Hospital marketing revisited.

    Science.gov (United States)

    Costello, M M

    1987-05-01

    With more hospitals embracing the marketing function in their organizational management over the past decade, hospital marketing can no longer be considered a fad. However, a review of hospital marketing efforts as reported in the professional literature indicates that hospitals must pay greater attention to the marketing mix elements of service, price and distribution channels as their programs mature. PMID:10283019

  15. Prolonged postoperative desaturation in a child with Down syndrome and atrial septal defect

    Directory of Open Access Journals (Sweden)

    Renu Sinha

    2011-01-01

    Full Text Available We report prolonged desaturation in a child with Down syndrome (DS and atrial septal defect due to undiagnosed interstitial lung disease. An 18-month-old child with DS was scheduled for bilateral lens aspiration for cataract. The child had atrial septal defect and hypothyroidism. He also had delayed milestones and hypotonia with episodes of recurrent respiratory tract infection necessitating repeated hospitalization. Preoperative evaluation was unremarkable. General anaesthesia and controlled ventilation using proseal laryngeal mask airway was instituted. He had uneventful intraoperative period. In the postoperative period, the child had desaturation 1 hour after surgery on discontinuation of oxygen supplementation by face mask, which improved with oxygen therapy. Supplemental oxygen via face mask was continued and weaned off over several days. On further evaluation, the child was diagnosed as having interstitial lung disease. He improved and discharged from the hospital 15 days after the surgery with room air saturation of 90%.

  16. The role of a child life specialist in a pediatric radiology department

    Energy Technology Data Exchange (ETDEWEB)

    McGee, Kristen [Children' s Hospital, Department of Radiology, 300 Longwood Avenue, Boston, MA 02115 (United States)

    2003-07-01

    Child life programming is predominantly developed in inpatient areas throughout major pediatric hospitals. However, the trend toward outpatient services has increased the need for facilities to develop child life positions to assist in the teaching demands of patients and families coming in for routine hospital visits. Since radiology is often the first experience for families, but not the last, it is essential to involve them in a positive experience. Imaging facilities serving pediatric patients are currently developing or considering child life programs. A certified child life specialist (CCLS) is committed to developing programming that enhances the child's understanding and involvement in their medical experience. This paper provides an outline of the responsibilities and areas of expertise of the CCLS in a pediatric radiology department. The reviewed program is based on, but not limited, to fluoroscopy. (orig.)

  17. Father-Child Play Behaviors and Child Emotion Regulation

    OpenAIRE

    Hagman, Amanda

    2014-01-01

    This study uses the father-child activation theory, which identifies the father-child relationship as a source for self-regulation learning. Father-child play behaviors during toddlerhood were examined for their contribution to self-regulation skills, specifically emotion regulation and aggression. This study examined father-child play behaviors of emotion amplification, intrusiveness, positive regard, and child emotion regulation seeking in the National Early Head Start (EHS) Evaluation. Fat...

  18. Can family pediatricians in Italy identify child abuse? A survey.

    Science.gov (United States)

    Romeo, Lucia; Gibelli, Daniele; Giannotta, Federica; Zocchi, Maria T; Rossi, Roberto C; Kustermann, Alessandra; Cattaneo, Cristina

    2016-06-01

    The introduction of the concept of child abuse has radically changed the mode of interaction between pediatricians and children, but also the practice of sanitary personnel in primary care centers, who are often the first to see victims of maltreatment. This study aims at illustrating the results of a questionnaire sent to family doctors, pediatricians and hospitals in Milan and surrounding areas concerning child abuse. Among all the operators, 273 returned the questionnaires. The results show scarce knowledge on how to report to judicial authority in cases of child abuse (51.5%), mainly because of lack of basilar information concerning the manner of reporting. For what concerns specific training, almost half the subjects recruited for the study admitted not to have attended any congress or meeting concerning child maltreatment in the last three years. In the same time span, more than one third has not read any scientific articles concerning child abuse. In addition, 75.6% admit to not ever having attended any professional training course concerning child maltreatment. This study highlights the scarce knowledge on the behalf of pediatricians and general practitioners regarding how to deal with child abuse and the importance of proper training programs. PMID:27176667

  19. Hypoglycemia in the hospital

    OpenAIRE

    Shomali, Mansur

    2011-01-01

    Hypoglycemia is a common adverse event affecting hospitalized patients with diabetes. This paper reviews the data regarding optimization of glucose in hospitalized patients, discusses the scope and significance of hypoglycemia in the hospital, and makes recommendations on how to reduce the risk of this serious adverse event. Keywords: hypoglycemia; hospital; diabetes; insulin(Published: 18 July 2011)Citation: Journal of Community Hospital Internal Medicine Perspectives 2011, 1: 7217 - DOI: 10...

  20. Your Child's Cough

    Science.gov (United States)

    ... and when to go to the doctor. "Barky" Cough Barky coughs are usually caused by a swelling ... happens when the child inhales (breathes in). Whooping Cough Whooping cough is another name for pertussis, an ...

  1. Surviving Your Child's Suicide

    Science.gov (United States)

    ... of your child that will never be answered. Depression Lack of energy, sleep problems, inability to concentrate, ... a zip code. Search Connect with us on Facebook Find Support Video Online Support Community Connect, share ...

  2. CDC Child Growth Charts

    Data.gov (United States)

    U.S. Department of Health & Human Services — CDC child growth charts consist of a series of percentile curves that illustrate the distribution of selected body measurements in U.S. children. Pediatric growth...

  3. Understanding Child Traumatic Stress

    Science.gov (United States)

    ... Public Awareness Sustainability Policy Issues Understanding Child Traumatic Stress Page Contents: Responding to Danger When Danger Turns ... malevolence, and human accountability. Back to Top Posttraumatic Stress Responses For reasons that are basic to survival, ...

  4. Normal Child Behavior

    Science.gov (United States)

    ... in Action Medical Editor & Editorial Advisory Board Sponsors Sponsorship Opporunities Spread the Word Shop AAP Find a ... is "normal" depends upon the child's level of development, which can vary greatly among children of the ...

  5. Iron and Your Child

    Science.gov (United States)

    ... Story" 5 Things to Know About Zika & Pregnancy Iron and Your Child KidsHealth > For Parents > Iron and ... enough iron in their daily diets. How Much Iron Do Kids Need? Kids require different amounts of ...

  6. Child with NF1

    Science.gov (United States)

    ... can lead some ado- lescents to feelings of depression, anxiety and social isolation. Counseling and assisting the child in finding a social network can help significantly. In addition to promoting local ...

  7. Your Child's Weight

    Science.gov (United States)

    ... ll need an accurate height and weight measurement. Bathroom scales and tape measures aren't always precise. ... child's health, level of physical activity, and eating habits, as well as your family medical history. The ...

  8. Child Behavior Disorders

    Science.gov (United States)

    ... misbehave some times. And some may have temporary behavior problems due to stress. For example, the birth ... family may cause a child to act out. Behavior disorders are more serious. They involve a pattern ...

  9. Child abuse - physical

    Science.gov (United States)

    ... 24 hours a day, 7 days a week. Interpreters are available to help in 170 languages. The ... drug problems Emotional problems or mental illness High stress Does not look after the child's hygiene or ...

  10. Office of Child Care

    Science.gov (United States)

    ... Learn more about the Child Care Rule > OCC Publishes Approved FY 2016-2018 CCDF Plans The Plan ... Instructions Information Memoranda Policy Interpretation Questions Technical Bulletins Administration for Children & Families U.S. Department of Health & Human ...

  11. Helping Your Overweight Child

    Science.gov (United States)

    ... are high in calories, sugar, and salt like sugary drinks, chips, cookies, fries, and candy refined grains (white ... make smoothies. Buy fewer high-calorie foods like sugary drinks, chips, cookies, fries, and candy. Offer your child ...

  12. Effects of Stress on Mothers of Hospitalized Children in a Hospital in Iran

    Directory of Open Access Journals (Sweden)

    Tayebeh HASAN TEHRANI

    2013-01-01

    Full Text Available How to cite this article: Hasan Tehrani T, Haghighi M, Bazmamoun H. Effects of Stress on Mothers of Hospitalized Children in a Hospital in Iran. Iran J Child Neurol Autumn 2012;6(4:39-45.Abstract Objective Hospitalization of a child can cause severe anxiety and stress in the parents, especially for the mother. This stress consequently affects the treatment course of the child. Hereby, we investigate the impact of different stressors in mothers of hospitalized children. Materials & Methods In this cross-sectional study, 225 mothers of hospitalized children in the pediatric ward of Besat hospital were randomly selected and studied. Data collection tool was a two-part questionnaire gathered by interviewing the mother. The first part included demographic information of the patients. The second part included questions regarding stressors in four different categories; child-related factors, environmental factors, socioeconomic factors and health professional factors. SPSS 16.5 was used for statistical analysis and data were analyzed by one way ANOVA and T test. Results In the child-related factor category, fear of child death (84%; in the socioeconomic factor category, fear of disease in the other siblings (84%; in the environmental factor category, unpleasant odors in the ward (56%; and in the health professional category, not enough explanation about inserting IV lines, (54.2% constituted the most important factors. There was a meaningful correlation between the stressors and the mothers’ age and occupation, child age, days of hospitalization, types of admission and health insurance coverage, but there was no meaningful correlation between stressors and other factors. Conclusion Professional and in depth training programs should be provided for health care providers and nursing staff regarding dealing with mothers of hospitalized children. References: Marilyn JH, David W. Wong's essentials of pediatric nursing. 8th ed. Canada: Mosby; 2008. p. 659

  13. Child nutrition: Peru

    International Nuclear Information System (INIS)

    Malnutrition stunts physical growth and/or limits mental development in one child out of three in developing countries and is a factor in one-third of the 13 million child deaths which occur annually in developing countries. The Department of Technical Co-operation is sponsoring a programme, with technical support from the Human Health Division, to evaluate the effectiveness of a Government food supplement intervention to combat malnutrition in Peru. (IAEA)

  14. Microfinance and child labour

    OpenAIRE

    Blume, Jonas; Breyer, Julika

    2011-01-01

    Aims to assess the role of microfinance as an instrument in combating child labour. Reviews the economic literature drawing on empirical evidence of the impact of microfinance on poverty, income stability, overall household wellbeing and the demand for child labour taking a comprehensive perspective on microfinance which includes loans for consumption, savings, insurance, financial services for improving the access to education, and awareness raising. Examines the direct experience of microfi...

  15. ''Battered child'' syndrome

    International Nuclear Information System (INIS)

    Synonyms for the 'battered child' syndrome (BCS) are terms describing the physical and body aspects of the process, such as 'child abuse', or 'non-accidental injury'. These are to be distinguished from the psychic aspects and abuse, emotional and bodily neglect, and sexual abuse. Most cases are one or another combination of these aspects. Radiology is the essential method for giving proof of such abuses, identifying the signs of maltreatment in a medical record, or for disproving suspected abuse. (orig./AJ)

  16. Child sex rings.

    OpenAIRE

    Wild, N J; Wynne, J M

    1986-01-01

    Details of 11 child sex rings identified in one working class community were obtained by interviewing investigating police officers and examining health and social services records. The rings contained 14 adult male perpetrators and 175 children aged 6-15 years. Most perpetrators used child ringleaders to recruit victims; others became a "family friend" or obtained a position of authority over children. Secrecy was encouraged and bribery, threats, and peer pressure used to induce participatio...

  17. Hospital-based home care for children with cancer

    DEFF Research Database (Denmark)

    Hansson, Helena; Hallström, Inger; Kjaergaard, Hanne;

    2011-01-01

    Hospital-based home care (HBHC) is widely applied in Pediatric Oncology. We reviewed the potential effect of HBHC on children's physical health and risk of adverse events, parental and child satisfaction, quality of life of children and their parents, and costs. A search of PubMed, CINAHL...... for children with cancer....

  18. STUDY OF MATERNAL MORTALITY IN A TERTIARY CARE HOSPITAL

    OpenAIRE

    Sandhya Devi; Madhuri; Sarada Bai; Srividya

    2015-01-01

    BACKGROUND: A woman dies from complications of child birth every minute . The major causes for maternal mortality in India are uncontrolled fertility , inaccessibility or inadequate utilization of health care facilities , illiteracy , ignorance and gender discrimination . OBJECTIV ES: (1 ) To identify various causes of maternal deaths in a teaching hospital . (2 ) To study the profile of population attending the tertiary hos...

  19. Traumatic ureteropelvic disruption in the child

    International Nuclear Information System (INIS)

    Traumatic disruption of the ureter from the renal pelvis is a rare injury because the ureteropelvic junction is situated deep in the retroperitoneum and is thus protected by the spine and paraspinal muscles. The mechanism for this injury is thought to be the stretching of the proximal ureter by sudden extreme hyperextension of the trunk. As a non-fatal injury, this occurs only in the child because of the greater elasticity and mobility of the young skeleton. At The Children's Hospital we have seen 3 cases of avulsion of the ureter from the pelvis following blunt trauma. (orig.)

  20. Facilitators and barriers to screening for child abuse in the emergency department

    Directory of Open Access Journals (Sweden)

    Louwers Eveline CFM

    2012-10-01

    Full Text Available Abstract Background To identify facilitators of, and barriers to, screening for child abuse in emergency departments (ED through interviews with ED staff, members of the hospital Board, and related experts. Methods This qualitative study is based on semi-structured interviews with 27 professionals from seven Dutch hospitals (i.e. seven pediatricians, two surgeons, six ED nurses, six ED managers and six hospital Board members. The resulting list of facilitators/barriers was subsequently discussed with five experts in child abuse and one implementation expert. The results are ordered using the Child Abuse Framework of the Dutch Health Care Inspectorate that legally requires screening for child abuse. Results Lack of knowledge of child abuse, communication with parents in the case of suspected abuse, and lack of time for development of policy and cases are barriers for ED staff to screen for child abuse. For Board members, lack of means and time, and a high turnover of ED staff are impediments to improving their child abuse policy. Screening can be promoted by training ED staff to better recognize child abuse, improving communication skills, appointing an attendant specifically for child abuse, explicit support of the screening policy by management, and by national implementation of an approved protocol and validated screening instrument. Conclusions ED staff are motivated to work according to the Dutch Health Care Inspectorate requirements but experiences many barriers, particularly communication with parents of children suspected of being abused. Introduction of a national child abuse protocol can improve screening on child abuse at EDs.

  1. Freqüência de lesões perineais ocorridas nos partos vaginais em uma instituição hospitalar Frecuencia de lesiones perineales ocurridos en los partos naturales en una institución hospitalaria Frequency of perineal lesions occurred during natural child labour in a hospital institution

    Directory of Open Access Journals (Sweden)

    Jaqueline de Oliveira Santos

    2008-12-01

    y en la instituición. Esto demuestra que persiste una clara falta de respeto a los derechos humanos de las mujeres.During the process of natural child labour, most of women suffers some kind of perineal trauma when they go into natural childbirth labor, due to spontaneous perineum lacerations or episiotomies. The objective of this study of quantitative and descriptive approach is to document the number of perineal traumas occurred in women during natural childbirths in a hospital institution. This study was created based on 279 files of women who delivered their babies by natural birth a hospital institution that practiced tradicional obstetricsduring a period from July to December 2006. In 11,82% of the cases no lesions were reported. The episiotomy was practiced in 86,99% of the women and 3,25% suffered episiotomy and perineal lacerations in 1 and 2 degrees, 9,76% of the women had their perineum intact. The practice of the episiotomy was not justified in the files and it is practiced as a routine without any selective criteria by the institution, demonstrating that the disrespect to human rights of women still persists.

  2. Preventing child maltreatment: An evidence-based update

    Directory of Open Access Journals (Sweden)

    Gonzalez A

    2008-01-01

    Full Text Available Child maltreatment is a significant public health problem associated with a broad range of negative outcomes in children and adolescents that can extend into adulthood. This review summarizes information about programs aimed at the prevention of child maltreatment evaluated by controlled trials, with a focus on home visitation programs. It does not include programs aimed at prevention of child sexual abuse, the subject of a separate review in this series. We discuss those programs that include one or more measures of child maltreatment and related outcomes (reports of abuse and neglect, injuries, hospitalizations and emergency room visits. Most programs targeting at-risk families have not shown evidence of effectiveness in preventing abuse or neglect. An important exception is the Nurse Family Partnership (NFP, a program provided by nurses to first-time socially disadvantaged mothers beginning prenatally that has undergone rigorous evaluation in three randomized controlled trials. It has shown consistent effects in reducing reports of maltreatment and associated outcomes as well as additional benefits in maternal and child health in high-risk families. A second exception is the promising Early Start program provided by nurses and social workers to at-risk families beginning postnatally. One randomized controlled trial of the program has shown reduced rates of parental reports of severe abuse and hospital attendance for injuries and poisonings, based on records. The characteristics of the NFP and Early Start programs are discussed with special emphasis on ways in which they differ from other home visitation programs.

  3. Hospitable Classrooms: Biblical Hospitality and Inclusive Education

    Science.gov (United States)

    Anderson, David W.

    2011-01-01

    This paper contributes to a Christian hermeneutic of special education by suggesting the biblical concept of hospitality as a necessary characteristic of classroom and school environments in which students with disabilities and other marginalized students can be effectively incorporated into the body of the classroom. Christian hospitality, seen…

  4. Hospital demand for physicians.

    Science.gov (United States)

    Morrisey, M A; Jensen, G A

    1990-01-01

    This article develops a derived demand for physicians that is general enough to encompass physician control, simple profit maximization and hospital utility maximization models of the hospital. The analysis focuses on three special aspects of physician affiliations: the price of adding a physician to the staff is unobserved; the physician holds appointments at multiple hospitals, and physicians are not homogeneous. Using 1983 American Hospital Association data, a system of specialty-specific demand equations is estimated. The results are consistent with the model and suggest that physicians should be concerned about reduced access to hospitals, particularly as the stock of hospitals declines. PMID:10104050

  5. Disparities in the Medical Examination of Children in the Home of a Child with Suspected Physical Abuse

    Science.gov (United States)

    Campbell, Kristine A.; Squires, Janet; Cook, Lawrence J.; Berger, Rachel P.

    2009-01-01

    Objective: To identify factors predicting the medical examination of children living in a home with a child referred to child protection services (CPS) for suspected physical abuse. Methods: Medical providers at Children's Hospital of Pittsburgh referred 189 children for suspected physical abuse to CPS between November 1, 2004 and May 1, 2006…

  6. Young traffic victims' long-term health-related quality of life : Child self-reports and parental reports

    NARCIS (Netherlands)

    Sturms, LM; van der Sluis, CK; Groothoff, JW; ten Duis, HJ; Eisma, WH

    2003-01-01

    Objectives: To describe the long-term health-related quality of life (HRQOL) reported by young traffic injury victims and to assess the child-parent agreement on the child's HRQOL. Design: Cohort study with a mean follow-up of 2.4 years. Setting: Traumatology department in a university hospital in T

  7. An Experimental Study of the Effects of Employer-Sponsored Child Care Services on Selected Employee Behaviors. Executive Summary.

    Science.gov (United States)

    Dawson, Ann Gilman; And Others

    This executive summary describes a study conducted to determine whether different kinds of employer-supported child care services had differing effects on service users. Turnover and attendance data on 891 randomly selected female employees were gathered from 39 companies and hospitals offering on-site or off-site child care, information and…

  8. The application of hospitality elements in hospitals.

    Science.gov (United States)

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority. PMID:23424818

  9. The application of hospitality elements in hospitals.

    Science.gov (United States)

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority.

  10. Hospitality: transformative service to children, families, and communities.

    Science.gov (United States)

    Melton, Gary B

    2014-11-01

    Hospitality is an ancient moral practice that was deeply embedded in early Judaism, Christianity, and Islam. Hospitality requires acceptance of, service to, and respect for people who lack a place in the community. The contemporary importance of this practice reflects the social disconnection and economic disadvantage of many young parents and the high frequency of separation of young people, including many young parents, from their communities. Such social deterioration substantially increases the risk of child maltreatment. Building on the proposals of the U.S. Advisory Board on Child Abuse and Neglect, Strong Communities for Children demonstrated the effectiveness of community building in reducing such risk. It further suggested the importance of both relying on and learning from hospitable people in strengthening support for children and their parents.

  11. Hospitality: transformative service to children, families, and communities.

    Science.gov (United States)

    Melton, Gary B

    2014-11-01

    Hospitality is an ancient moral practice that was deeply embedded in early Judaism, Christianity, and Islam. Hospitality requires acceptance of, service to, and respect for people who lack a place in the community. The contemporary importance of this practice reflects the social disconnection and economic disadvantage of many young parents and the high frequency of separation of young people, including many young parents, from their communities. Such social deterioration substantially increases the risk of child maltreatment. Building on the proposals of the U.S. Advisory Board on Child Abuse and Neglect, Strong Communities for Children demonstrated the effectiveness of community building in reducing such risk. It further suggested the importance of both relying on and learning from hospitable people in strengthening support for children and their parents. PMID:25486150

  12. Bourdieu at the bedside: briefing parents in a pediatric hospital.

    Science.gov (United States)

    LeGrow, Karen; Hodnett, Ellen; Stremler, Robyn; McKeever, Patricia; Cohen, Eyal

    2014-12-01

    The philosophy of family-centered care (FCC) promotes partnerships between families and staff to plan, deliver, and evaluate services for children and has been officially adopted by a majority of pediatric hospitals throughout North America. However, studies indicated that many parents have continued to be dissatisfied with their decision-making roles in their child's care. This is particularly salient for parents of children with chronic ongoing complex health problems. These children are dependent upon medical technology and require frequent hospitalizations during which parents must contribute to difficult decisions regarding their child's care. Given this clinical issue, an alternative theoretical perspective was explored to redress this problem. Pierre Bourdieu's theoretical concepts of field, capital, and habitus were used to analyze the hierarchical relationships in pediatric acute care hospitals and to design a briefing intervention aimed at improving parents' satisfaction with decision making in that health care setting.

  13. Bourdieu at the bedside: briefing parents in a pediatric hospital.

    Science.gov (United States)

    LeGrow, Karen; Hodnett, Ellen; Stremler, Robyn; McKeever, Patricia; Cohen, Eyal

    2014-12-01

    The philosophy of family-centered care (FCC) promotes partnerships between families and staff to plan, deliver, and evaluate services for children and has been officially adopted by a majority of pediatric hospitals throughout North America. However, studies indicated that many parents have continued to be dissatisfied with their decision-making roles in their child's care. This is particularly salient for parents of children with chronic ongoing complex health problems. These children are dependent upon medical technology and require frequent hospitalizations during which parents must contribute to difficult decisions regarding their child's care. Given this clinical issue, an alternative theoretical perspective was explored to redress this problem. Pierre Bourdieu's theoretical concepts of field, capital, and habitus were used to analyze the hierarchical relationships in pediatric acute care hospitals and to design a briefing intervention aimed at improving parents' satisfaction with decision making in that health care setting. PMID:24467272

  14. Hospital Compare - Archived Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare is a consumer-oriented website that provides information on how well hospitals provide recommended care to their patients. This information can...

  15. HCAHPS Hospital Survey

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Hospital Survey The intent of the HCAHPS initiative is to provide a standardized survey...

  16. Knowledge, attitude and practice towards child adoption amongst women attending infertility clinics in Lagos State, Nigeria

    Directory of Open Access Journals (Sweden)

    Adenike O. Omosun

    2011-02-01

    Full Text Available Background: Child adoption is a recommended alternative form of infertility management. Infertility is of public health importance in Nigeria and many other developing nations. This is a result of its high prevalence and especially because of its serious social implications as the African society places a passionate premium on procreation in any family setting. Objectives: The aim of this study was to determine the knowledge, attitude and practice of child adoption amongst women attending infertility clinics in teaching hospitals in Lagos State and to determine the factors that influence their attitude and practice towards it.Method: A cross-sectional descriptive design was used. Data were collected by using a structured questionnaire which was interviewer-administered. The study was conducted in the two teaching hospitals in Lagos State (LUTH [Lagos University Teaching Hospital] and LASUTH [Lagos State University Teaching Hospital] from amongst 350 women attending the gynaecological clinics. All the patients under management for infertility at the gynaecology clinics during the period of the study were interviewed.Results: Many respondents (85.7% had heard of child adoption and 59.3% of them knew the correct meaning of the term. More than half of the respondents (68.3% said that they could love an adopted child but less than half of them (33.7% were willing to consider adoption. Only 13.9% has ever adopted a child. The major reason given for their unwillingness to adopt was their desire to have their own biological child. Factors that were favourable towards child adoption were Igbo tribe identity, an age above 40 years, duration of infertility above 15 years, and knowing the correct meaning of child adoption.Conclusion: There is a poor attitude to adoption even amongst infertile couples. Interventions need to be implemented to educate the public on child adoption, to improve their attitude towards adoption and to make it more acceptable.

  17. CLINICO - HAEMATOLOGICAL PROFILE AND OUTCOME OF CEREBRAL MALARIA IN A TEACHING HOSPITAL OF SOUTH EAST RAJASTHAN

    OpenAIRE

    Gautam Lal; Rajendra Kumar

    2015-01-01

    AIM: Evaluation of Clinico - hematological profile and outcome of cerebral malaria in semi urban hospital situated in endemic area. MATERIAL AND METHODS : A cross - sectional hospital - based study was conducted from August to November, 2014 at Department of Paediatrics SRG Zanana Hospital, Jhalawar Rajasthan. Every child, except who was previously abnormal neurologically, of the age of six month to 12 years, presented with a history of fever in...

  18. Interruptions: Derrida and Hospitality

    OpenAIRE

    Mark W. Westmoreland

    2008-01-01

    Come in. Welcome. Be my guest and I will be yours. Shall we ask, in accordance with the Derridean question, "Is not hospitality an interruption of the self?" What is the relationship between the interruption and the moment one enters the host's home? Derrida calls us toward a new understanding of hospitality - as an interruption. This paper will illuminate the history of hospitality in the West as well as trace Derrida's discussions of hospitality throughout many of works. The overall goal of...

  19. Interação familiar/acompanhante e equipe de enfermagem no cuidado à criança hospitalizada: perspectivas para a enfermagem pediátrica Interacción familia/acompañante y equipo de enfermería en el cuidado al niño hospitalizado: perspectivas para la enfermería pediátrica Interaction of family/companion and nurse team in hospitalized child care: pediatric nursing perspectives

    Directory of Open Access Journals (Sweden)

    Tania Vignuda de Souza

    2010-09-01

    grado de complejidad. La familia/acompañante considera que el equipo de enfermería ha tenido atención con el niño. Cabe señalar que en el momento en que el niño es admitido en el hospital, pueden presentarse interferencias por parte de su familia y/o acompañantes, tales como miedo y falta de confianza. Llegamos a la conclusión de que los miembros de la familia y/o acompañantes que permanecen más tiempo en la institución hospitalaria - o que retornan a ella porque su familiar es readmitido - aprenden a asimilar la cultura del hospital, adoptan el uso de la terminología científica y desarrollan estrategias para proteger al niño.The objectives of the present study are to describe the care provided by the family/companion and the nursing team for children during their hospitalization, to analyze the strategies established between the family/companion and the nursing team used in the care of the child and to discuss the interaction of family/companion and the nursing team during the care of hospitalized children. This is a qualitative case study. The subjects of this research were the family members/companions and the members of the nursing team. The data was analyzed using thematic analysis. The family/companion's care is equal to the one provided at home and also the nursing team care is the one that requires a certain degree of complexity. The family/companion considers that the nurse team gives attention to their children. When the child is admitted to the hospital, some degree of interference is observed, such as fear and mistrust. We concluded that family members and companions who stay in the hospital for longer periods of time - or return because their family member is readmitted - learn to assimilate the hospital culture, adopt the use of scientific terminology and develop strategies to protect the child.

  20. The Role of Child Care Providers in Child Abuse Prevention

    Science.gov (United States)

    Seibel, Nancy L.; Gillespie, Linda G.; Temple, Tabitha

    2008-01-01

    Child care providers are likely to be the professionals who most frequently interact with families with young children. Thus, infant and toddler child care providers are uniquely positioned to recognize and respond to families' needs for information and support. This article describes knowledge, skills, and strategies that support child care…

  1. Child Care Subsidy Use and Child Development: Potential Causal Mechanisms

    Science.gov (United States)

    Hawkinson, Laura E.

    2011-01-01

    Research using an experimental design is needed to provide firm causal evidence on the impacts of child care subsidy use on child development, and on underlying causal mechanisms since subsidies can affect child development only indirectly via changes they cause in children's early experiences. However, before costly experimental research is…

  2. Is child work necessary?

    OpenAIRE

    Bhalotra, Sonia

    2000-01-01

    This paper investigates whether the income from child wage work is necessary to the survival of rural households in Pakistan. It is by no means obvious that it is. For instance, children may work because the returns to work exceed the returns to school, or because parents are selfish or short-sighted. It is argued here that, if child work is necessary, then the income effect of a wage change will dominate the substitution effect and the labour supply curve will be "forward falling" or negativ...

  3. The visually impaired child.

    Science.gov (United States)

    Thompson, Lisa; Kaufman, Lawrence M

    2003-02-01

    This article discusses the causes of childhood blindness and how the primary care provider may begin the appropriate steps toward diagnosing and managing the visually impaired child. Community resources (see Box 3) and low-vision programs in schools should be used so that parents do not need to reinvent strategies to raise a blind child. Worldwide, childhood blindness, which places is a tremendous burden on families and communities of the third world, is mostly preventable with improved hygiene, diet, and immunization. PMID:12713115

  4. Screening for Depression In Hospitalized Pediatric Patients

    Directory of Open Access Journals (Sweden)

    Mohammad-Reza ESMAEELI

    2013-12-01

    Full Text Available Abstract How to Cite This Article: Esmaeeli M, Erfani Sayar R, Saghebi A, Elmi Saghi, Rahmani Sh, Elmi S, Rabbani Javadi A. Screening for Depression in Hospitalized Pediatric Patients. Iran J Child Neurol. 2014 Winter; 8(1:47-51. Objective In chronically ill children who are hospitalized, many mood changes occur. For example, in children with cancer or renal failure, prolonged hospitalization and chemotherapy can lead to depression. With the improved survival of childhood malignancies, the effect of treatment on child’s psychosocial well-being becomes increasingly relevant. In this study, we examined the prevalence of depression in hospitalized children with chronic and acute conditions in Dr Sheikh Pediatrics Hospital in Mashhad. Materials & Methods After receiving the approval from the Ethics Committee of Mashhad University of Medical Sciences, we did this cross-sectional descriptive study, from April to June 2012 in Dr Sheikh Pediatric Hospital in Mashhad. Ninety children, aged between 8 to 16 years, were screened for depression. The sampling method was census. Children with a history of depressive or other mental disorders were excluded. Three groups of children (children with chronic renal disease, malignancy, and acute disease were evaluated for depression using standard Children Depression Inventory Questionnaire (CDI. Two specifically trained nurses with the supervision of a psychiatrist filled out the questionnaires at patients’ bedside. Depression scores were then analyzed by SPSS software. Results Of 90 children, 43(47.7% were male and 47(52.2% were female. The Children’s mean age was 11±2.3 years, and the mean length of hospitalization was 8±5.3 days. Depression was detected in various degrees in 63% of patients (N=57, and 36.6% of children (N=32 had no symptoms of depression. Severe depression was not seen in any of the patients with acute illness. More than half of patients with cancer and chronic kidney disease had

  5. Death of a Special Needs Child

    Science.gov (United States)

    ... iGive.com Purchase Through AmazonSmile Contact Us Donate Death of a Special Needs Child When a child ... Needs Child Dies The grief that follows the death of a special-needs child comes not only ...

  6. Marital Problems and the Exceptional Child

    Science.gov (United States)

    Araoz, Daniel

    1977-01-01

    The exceptional child, because he/she does not fulfill the parental expectations of a child's behavior, becomes a disturbing child and frequently is labeled as disturbed. The case of one such child is presented and conclusions are drawn. (Author)

  7. Causes of Deaths in Children under-Five Years Old at a Tertiary Hospital in Limpopo Province of South Africa

    OpenAIRE

    Ntuli, Sam Thembelihle; Malangu, Ntambwe; Alberts, Marianne

    2013-01-01

    Objective: Accurate and timely information on the causes of child deaths is essential in guiding efforts to improve child survival, by providing data from which health profiles can be constructed and relevant health policies formulated. The purpose of this study was to identify causes of death in children younger than 5 years-old in a tertiary hospital in South Africa. Methods: Death certificates from the Pietersburg/Mankweng hospital complex, for the period of January 1, 2008 through Decembe...

  8. Child Abuse: The Hidden Bruises

    Science.gov (United States)

    ... AACAP Facts for Families Guide Skip breadcrumb navigation Child Abuse - The Hidden Bruises Quick Links Facts For Families ... 5; Updated November 2014 The statistics on physical child abuse are alarming. It is estimated hundreds of thousands ...

  9. When Your Child Has Tinnitus

    Science.gov (United States)

    ... an ENT Doctor Near You When Your Child Has Tinnitus When Your Child Has Tinnitus Patient Health Information News media interested in ... be continuous or sporadic. This often debilitating condition has been linked to ear injuries, circulatory system problems, ...

  10. Interruptions: Derrida and Hospitality

    Directory of Open Access Journals (Sweden)

    Mark W. Westmoreland

    2008-06-01

    Full Text Available Come in. Welcome. Be my guest and I will be yours. Shall we ask, in accordance with the Derridean question, "Is not hospitality an interruption of the self?" What is the relationship between the interruption and the moment one enters the host's home? Derrida calls us toward a new understanding of hospitality - as an interruption. This paper will illuminate the history of hospitality in the West as well as trace Derrida's discussions of hospitality throughout many of works. The overall goal of this project is to provide readers of Derrida with a sort of reference guide for his discussions on and deconstructive approach to hospitality.

  11. Medicare Hospital Spending Per Patient - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — The "Medicare hospital spending per patient (Medicare Spending per Beneficiary)" measure shows whether Medicare spends more, less or about the same per Medicare...

  12. Skin manifestations of child abuse

    OpenAIRE

    Ermertcan Aylin; Ertan Pelin

    2010-01-01

    Child abuse is a major public health problem all over the world. There are four major types of abuse: physical abuse, sexual abuse, emotional abuse and neglect. The most common manifestations of child abuse are cutaneous and their recognition; and differential diagnosis is of great importance. Clinicians, especially dermatologists, should be alert about the skin lesions of child abuse. In the diagnosis and management of child abuse, a multidisciplinary approach with ethical and legal procedur...

  13. Does child abuse cause crime?

    OpenAIRE

    Currie, Janet; Tekin, Erdal

    2006-01-01

    Child maltreatment, which includes both child abuse and child neglect, is a major social problem. This paper focuses on measuring the effects of child maltreatment on crime using data from the National Longitudinal Study of Adolescent Health (Add Health). We focus on crime because it is one of the most socially costly potential outcomes of maltreatment, and because the proposed mechanisms linking maltreatment and crime are relatively well elucidated in the literature. Our work addresses many ...

  14. Santa Barbara Cottage Hospital.

    Science.gov (United States)

    1984-01-01

    The 465-bed Santa Barbara Cottage Hospital is the largest medical facility on the California coast between Los Angeles and the San Francisco bay area. The hospital dates back to 1888, when a group of local citizens began raising funds to build a "cottage-style" hospital for the growing community. Their original plans called for a complex in which each medical specialty would be housed in a separate bungalow. Even then, however, such a decentralized plan was too costly, so work began instead on a single cottage for all hospital departments. The first Cottage Hospital opened in 1891, with 25 beds housed in a two story Victorian building. Now a hugh medical complex employing some 1,500 people, the hospital continues to be called "Cottage" after the original home-like building. Rodney J. Lamb has been Hospital Administrator for the last 30 years.

  15. Child Sexual Abuse and Exploitation: Guest Editor’s Introduction

    Directory of Open Access Journals (Sweden)

    Michael Salter

    2015-07-01

    Full Text Available One of the most unnerving aspects of child sexual abuse is that it is constantly manifesting in unexpected ways. The current Royal Commission into Institutional Responses to Child Sexual Abuse has collected testimony of abuse in churches, schools, out-of-home care, hospitals and religious communities, demonstrating the breadth of institutional arrangements whose structures and cultures have facilitated child sexual abuse. Cases of serious and prolonged sexual abuse in family contexts have been excluded from the terms of reference of the Royal Commission but nonetheless continue to surface in media reports. In 2013, twelve children were permanently removed from an extended family living in rural NSW in what has been described as one of the worst cases of child abuse in Australia, involving intergenerational incest going back at least three generations (Auebach 2014. Another recent high-profile case involved the use of the Internet to facilitate the sexual exploitation of an adopted child by his parents in Queensland (Ralston 2013. These cases challenge the received wisdom that child sexual abuse is characterised by the victimisation of one child by one opportunistic offender. Such incidents suggest instead that child sexual abuse takes varied and systemic forms, and can operate to perpetuate and entrench toxic cultures and power structures.   This special issue on Child Sexual Abuse and Exploitation is a timely contribution to ongoing efforts to understand the multiplicity of child sexual abuse. It is an interdisciplinary collection of insights drawn from criminology, sociology, psychiatry, psychology and psychoanalysis, and includes papers from academic researchers alongside academic practitioners whose writing is grounded in their work with affected individuals and communities. A key aim of the special issue is to contextualise the diversity of child sexual abuse socially, politically and historically, recognising the dynamic and iterative

  16. The Development of a Pediatric Inpatient Experience of Care Measure: Child HCAHPS®

    Science.gov (United States)

    Toomey, Sara L.; Zaslavsky, Alan M.; Elliott, Marc N.; Gallagher, Patricia M.; Fowler, Floyd J.; Klein, David J.; Shulman, Shanna; Ratner, Jessica; McGovern, Caitriona; LeBlanc, Jessica L.; Schuster, Mark A.

    2016-01-01

    CMS uses Adult HCAHPS® scores for public reporting and pay-for-performance for most U.S. hospitals, but no publicly available standardized survey of inpatient experience of care exists for pediatrics. To fill the gap, CMS/AHRQ commissioned the development of the Consumer Assessment of Healthcare Providers and Systems Hospital Survey – Child Version (Child HCAHPS), a survey of parents/guardians of pediatric patients (<18 years old) who were recently hospitalized. This Special Article describes the development of Child HCAHPS, which included an extensive review of the literature and quality measures, expert interviews, focus groups, cognitive testing, pilot testing of the draft survey, a national field test with 69 hospitals in 34 states, psychometric analysis, and end-user testing of the final survey. We conducted extensive validity and reliability testing to determine which items would be included in the final survey instrument and to develop composite measures. We analyzed national field test data from 17,727 surveys collected from 11/12-1/14 from parents of recently hospitalized children. The final Child HCAHPS instrument has 62 items, including 39 patient experience items, 10 screeners, 12 demographic/descriptive items, and 1 open-ended item. The 39 experience items are categorized based on testing into 18 composite and single-item measures. Our composite and single-item measures demonstrated good to excellent hospital-level reliability at 300 responses per hospital. Child HCAHPS was developed to be a publicly available standardized survey of pediatric inpatient experience of care. It can be used to benchmark pediatric inpatient experience across hospitals and assist in efforts to improve the quality of inpatient care. PMID:26195542

  17. Child Abuse: The Educator's Responsibilities.

    Science.gov (United States)

    California State Office of the Attorney General, Sacramento. School Safety Center.

    Addressing educators and citing the California Penal Code, this booklet discusses the legal responsibilities of persons in child care situations regarding incidents of suspected child abuse. Included are: (1) a definition of child abuse and neglect; (2) reporting procedures including liability of failure to report and immunity of the reporting…

  18. Trends in Child Maltreatment Literature.

    Science.gov (United States)

    Behl, Leah E.; Conyngham, Heather A.; May, Patricia F.

    2003-01-01

    Child maltreatment articles (n=2090) published from 1977-1998 were reviewed. Across the period studied, quantitative articles and articles on child sexual abuse increased and theoretical articles and articles on physical abuse decreased. Articles examining child neglect or emotional abuse remained consistently low. Participant recruitment from…

  19. Death of an Adult Child

    Science.gov (United States)

    ... iGive.com Purchase Through AmazonSmile Contact Us Donate Death of an Adult Child The death of any child, regardless of cause or age, ... the situations that may have caused their child’s death. Judgmental statements from others indicating that the child ...

  20. CURRICULUM GUIDE, CHILD CARE CENTERS.

    Science.gov (United States)

    California State Dept. of Education, Sacramento.

    CALIFORNIA CHILD CARE CENTERS WERE ESTABLISHED IN 1943 TO SUPPLY SERVICES TO CHILDREN OF WORKING MOTHERS. THE CHILD CARE PROGRAM PROVIDES, WITHIN NURSERY AND SCHOOLAGE CENTERS, CARE AND EDUCATIONAL SUPERVISION FOR PRESCHOOL AND ELEMENTARY SCHOOL AGE CHILDREN. THE PHILOSOPHY OF THE CHILD CENTER PROGRAM IS BASED UPON THE BELIEF THAT EACH CHILD…

  1. Family Interactions and Child Psychopathology.

    Science.gov (United States)

    Donenberg, Geri R.; Nelson, Dana

    Previous research has not correlated parent-child interaction patterns with different forms of child psychopathology. This study examined whether parent-child interaction corresponded with childhood depression/anxiety and childhood aggression. Forty-two clinically-referred children and adolescents, 8 to 16 years old, were classified into four…

  2. The Child Whisperer

    Science.gov (United States)

    Peters, Dane L.

    2012-01-01

    Unquestionably, Maria Montessori's insights into child development were both innate and learned, derived from her many years of working with children. Her work, practices, philosophy, and passion have staying power that, so far, spans a century and are a testament to her dedication and abilities. In this article, the author explains why he sees…

  3. Child Nutrition Program

    Institute of Scientific and Technical Information of China (English)

    潘志强

    2005-01-01

    The Child Nutrition Program invites all students to participate in the school breakfast and lunch program at school. Our goal is to improve the health and education of students by providing nutritious meals that promote food choices for a healthy diet. Failure to eat balanced meals increases the risk of illness including obesity ,

  4. Measuring Child Rhythm

    Science.gov (United States)

    Payne, Elinor; Post, Brechtje; Astruc, Lluisa; Prieto, Pilar; Vanrell, Maria del Mar

    2012-01-01

    Interval-based rhythm metrics were applied to the speech of English, Catalan and Spanish 2, 4 and 6 year-olds, and compared with the (adult-directed) speech of their mothers. Results reveal that child speech does not fall into a well-defined rhythmic class: for all three languages, it is more "vocalic" (higher %V) than adult speech and has a…

  5. The Gifted Dyslexic Child

    Science.gov (United States)

    Eide, Brock; Eide, Fernette

    2009-01-01

    A major reason why dyslexia is likely to be missed or mislabeled in an intellectually gifted child is the lack of a specific, clearly recognized definition to enable diagnosis of dyslexia. It's crucial that adults working with gifted students understand that average or even above reading comprehension does not by itself guarantee that a gifted…

  6. Preventing Child Abuse

    Science.gov (United States)

    Alvy, Kerby T.

    1975-01-01

    Focuses on two major and general approaches to analyzing the problems of child abuse; briefly discusses the prevention implications; deals with the individual physical abuse of children, with particular emphasis on the relationship between theoretical formulations of the causes of individual physical abuse and preventative programs; and, finally,…

  7. Internet and child pornography

    Directory of Open Access Journals (Sweden)

    Seda Çağlar

    2010-04-01

    Full Text Available Nowadays, internet use and access is becoming increasingly common as a great entertainment, communication and educational resource for children as well as for adults. Internet is a perfect environment for children, for exploring the world, learning and having fun. However, access to illegal sites that contain violence and sexuality, and contact dangerous people are among the particular risks for children using the internet. It is a known fact that, internet and developing technology make the production and distribution of child pornography cheaper and easier. There has been consensus on the need of creating a plan and increasing the awareness in the community for the fight against child pornography. Because of the increasing internet use and the risk for children mentioned, nurses got new responsibilities. Nurses have to inform society, especially families and children, about safe internet use. In this review, legal regulations about the fight against child pornography on the internet, the reasons that lay the ground for child pornography and their negative effects on children has been addressed.

  8. Death of a child.

    OpenAIRE

    Goertzen, J

    1993-01-01

    The death of a small child from a terminal illness is an uncommon but influential event in a family physician's career. Through dialogue with colleagues and friends, self-reflection, and acknowledgment of some of the difficulties, this experience can stimulate personal growth.

  9. Child Care Aware

    Science.gov (United States)

    ... a stream of our activity across multiple social networks by visiting the Child Care Aware® of America Social Dashboard. Visit Our Social Dashboard Follow and Engage Copyright 2015 CCAoA. All Rights Reserved. Careers Privacy Policy Site Terms Newsroom Contact Us Pin It on ...

  10. Child Care Centres.

    Science.gov (United States)

    Australian Dept. of Labour and National Service, Melbourne. Women's Bureau.

    Based on a survey of legislation relating to full-day care for preschool children of working mothers and a study of records, this report: (1) covers the number of registered child care centers in Australia and the number of children being served, (2) sets the conditions applying to registration of centers, (3) indicates the extent and levels of…

  11. STRESS IN PEDIATRIC PATIENTS--THE EFFECT OF PROLONGED HOSPITALIZATION.

    Science.gov (United States)

    Mîndru, Dana Elena; Stănescu, Ralnca Stefania; Mioara, Calipsoana Matei; Duceac, Letiţia Doina; Rugina, Aurica; Temneanu, Oana Raluca; Ungureanu, Monica; Florescu, Laura

    2016-01-01

    Long-term hospitalization emotionally impacts any patient, especially children, and is defined as a long period of time during which the patient is hospitalized and experiences isolation from his or her family, friends and home. Stressful situations trigger a nonspecific response that involves multiple physiological mechanisms. Currently, because of the complexity of these mechanisms, there are no laboratory markers that allow the quantification of the stress intensity felt by the patient. Laboratory determinations currently used in evaluating the response to stress are neuroendocrine, immunological and metabolic. The neuroendocrine system is the first to respond to stressful events. Stress stimulates the hypothalamus, leading to the release of CRH, which stimulates the pituitary gland to produce ACTH. Chronic stress directs the synthesis towards cortisol, which may lead to hypo secretion of the other adrenal steroid hormones. The hospital and the disease are stressors for children and caregivers, since stress can interfere with the normal development of young patients, affecting them in the long term. Admitting a child to hospital means interrupting his or her normal daily life and changing the environment that is familiar to him or her. Therefore, the involvement of the family doctor is very important, as many conditions can be solved by visiting his or her office and thus eliminating the need for hospitalization in a pediatric hospital. If, however, the nature of the condition requires that the child should be seen by a pediatrician, the period of hospitalization should not be much extended so as to prevent the appearance of other possible problems that might influence the child's state. PMID:27483728

  12. Development of Child-Teen Obesity Treatment Service Platform

    Science.gov (United States)

    Lim, Kahyun; Lee, Byung Mun

    2016-01-01

    Objectives This study aimed to develop an effective and efficient obesity treatment and management service platform for obese children/teenagers. Methods The integrated smart platform was planned and established through cooperation with service providers such as hospitals and public health centers, obese children/teenagers who constitute the service's user base, and IT development and policy institutions and companies focusing on child-teen obesity management and treatment. Results Based on guidelines on intervention strategies to manage child-teen obesity, we developed two patient/parent mobile applications, one web-monitoring service for medical staff, one mobile application for food-craving endurance, and one mobile application for medical examinations. Conclusions The establishment of the integrated service platform was successfully completed; however, this study was restrictively to the hospital where the pilot program took place. The effectiveness of the proposed platform will be verified in the future in tests involving other organizations. PMID:27525166

  13. [Canton Hospital and public health in Canton].

    Science.gov (United States)

    Li, Jichou; Guo, Qiang

    2015-07-01

    Canton Hospital was not only the most influential missionary hospital in South China, but also the first one brought the concept and practice of public health to Guangzhou. In the late Qing Dynasty, it conducted free vaccination, plague treatment, health education and so on, demonstrating the importance of public health to the people. In the period of the Republic of China, it extensively cooperated with the government and social organizations in developing school health, maternal and child health, communicable disease control and epidemiological investigations to actively serve the social group. In the 1930s, its public health activities extended towards the rural areas of Guangzhou, and promoted the convergence of rural and urban medical and health services. The three-level medical system that it built provided demonstration model for the establishment of Chinese rural medical system. PMID:26815022

  14. Guidelines for skeletal surveys in Suspected Child Abuse

    DEFF Research Database (Denmark)

    Mussmann, Bo

    Purpose/Objective Child abuse imaging differs from general musculoskeletal imaging in the demands for low noise. The consequences of misdiagnosis are serious. The images are directly involved in legal processes and the child and the family faces major consequences if the images are not adequate....... If head trauma or fractures are overlooked, or if the radiological diagnosis is uncertain, abused children may be sent home with violent parents or caregivers. If no abuse has taken place, and the certainty of the diagnosis is questionable, it may result in prolonged hospitalization of an innocent family....... In many cases supplement images or a complete reexamination of the child were needed in order to state a second opinion, resulting in unnecessary excess radiation dose. Materials and methods A literature review was performed and the results were discussed at an initial meeting at Odense University...

  15. Hospital diversification strategy.

    Science.gov (United States)

    Eastaugh, Steven R

    2014-01-01

    To determine the impact of health system restructuring on the levels of hospital diversification and operating ratio this article analyzed 94 teaching hospitals and 94 community hospitals during the period 2008-2013. The 47 teaching hospitals are matched with 47 other teaching hospitals experiencing the same financial market position in 2008, but with different levels of preference for risk and diversification in their strategic plan. Covariates in the analysis included levels of hospital competition and the degree of local government planning (for example, highly regulated in New York, in contrast to Texas). Moreover, 47 nonteaching community hospitals are matched with 47 other community hospitals in 2008, having varying manager preferences for service-line diversification and risk. Diversification and operating ratio are modeled in a two-stage least squares (TSLS) framework as jointly dependent. Institutional diversification is found to yield better financial position, and the better operating profits provide the firm the wherewithal to diversify. Some services are in a growth phase, like bariatric weight-loss surgery and sleep disorder clinics. Hospital managers' preferences for risk/return potential were considered. An institution life cycle hypothesis is advanced to explain hospital behavior: boom and bust, diversification, and divestiture, occasionally leading to closure or merger.

  16. Many parents think their child is dying when having a first febrile convulsion.

    Science.gov (United States)

    Baumer, J H; David, T J; Valentine, S J; Roberts, J E; Hughes, B R

    1981-08-01

    Fifty parents of 36 consecutive children admitted to hospital with their first febrile convulsion were interviewed shortly after the event. Very few parents voluntarily said that they had thought their child was dying, but when asked specifically the majority said they had thought the child was dying or likely to die. This common fear should be kept in mind when discussing febrile convulsions with parents, who are unlikely to volunteer the information. PMID:7274593

  17. [The midwife-child health nurse collaboration, a link between the maternity unit and neonatology].

    Science.gov (United States)

    Pallaro, Audrey; Polzin, Karine

    2016-01-01

    Collaborative work forms part of the well-treatment and improvement of quality of care approach. It is also of benefit to the medical and paramedical teams. Within the parent-child unit of Libourne hospital, the midwife and child health nurse collaborate throughout the pregnancy, and especially during the post-partum period. The teams work together notably around the care of "high-risk" births and in particular when the newborn is hospitalised in a kangaroo care unit.

  18. Epidemiology of child injuries in Uganda: challenges for health policy

    OpenAIRE

    Renee Yuen-Jan Hsia; Doruk Ozgediz; Sudha Jayaraman; Patrick Kyamanywa; Milton Mutto; Kobusingye, Olive C.

    2011-01-01

    Globally, 90% of road crash deaths occur in the developing world. Children in Africa bear the major part of this burden, with the highest unintentional injury rates in the world. Our study aims to better understand injury patterns among children living in Kampala, Uganda and provide evidence that injuries are significant in child health. Trauma registry records of injured children seen at Mulago Hospital in Kampala were analysed. This data was collected when patients were seen initially and i...

  19. Noma in an Afghani child: a case report.

    Science.gov (United States)

    Barrera, Jose; Connor, Matthew P

    2012-05-01

    We present a case of Cancrum Oris, also known as Noma, in a child treated by an Otorhinolaryngologist at a United States-led Joint Forces hospital in Afghanistan. Noma is a deadly, necrotizing infection of the face that is rarely seen in wealthy nations but can cause significant morbidity in third world countries. Through a literature review, we report the incidence, risk factors, clinical features, and proposed treatment for this disease.

  20. Gray cases of child abuse: Investigating factors associated with uncertainty.

    Science.gov (United States)

    Chaiyachati, Barbara H; Asnes, Andrea G; Moles, Rebecca L; Schaeffer, Paula; Leventhal, John M

    2016-01-01

    Research in child abuse pediatrics has advanced clinicians' abilities to discriminate abusive from accidental injuries. Less attention, however, has been paid to cases with uncertain diagnoses. These uncertain cases - the "gray" cases between decisions of abuse and not abuse - represent a meaningful challenge in the practice of child abuse pediatricians. In this study, we describe a series of gray cases, representing 17% of 134 consecutive children who were hospitalized at a single pediatric hospital and referred to a child abuse pediatrician for concerns of possible abuse. Gray cases were defined by scores of 3, 4, or 5 on a 7-point clinical judgment scale of the likelihood of abuse. We evaluated details of the case presentation, including incident history, patient medical and developmental histories, family social histories, medical studies, and injuries from the medical record and sought to identify unique and shared characteristics compared with abuse and accidental cases. Overall, the gray cases had incident histories that were ambiguous, medical and social histories that were more similar to abuse cases, and injuries that were similar to accidental injuries. Thus, the lack of clarity in these cases was not attributable to any single element of the incident, history, or injury. Gray cases represent a clinical challenge in child abuse pediatrics and deserve continued attention in research.

  1. Transition from hospital to home following pediatric solid organ transplant: qualitative findings of parent experience.

    Science.gov (United States)

    Lerret, Stacee M; Weiss, Marianne E; Stendahl, Gail; Chapman, Shelley; Neighbors, Katie; Amsden, Katie; Lokar, Joan; Voit, Ashley; Menendez, Jerome; Alonso, Estella M

    2014-08-01

    Transplant providers are challenged to determine appropriate interventions for patients and families due to limited published research regarding the context of the post-discharge experience from the perspective of parents of transplanted children. The purpose of this study is to describe the parent perspective of the transition from hospital to home following their child's solid organ transplant. Within a mixed-methods design, 37 parents of pediatric heart, kidney, and liver transplant recipients from three pediatric hospitals responded to qualitative interview questions on the day of hospital discharge and three wk following hospital discharge. Insight to the discharge preparation process revealed necessary education components. Post-discharge themes were identified for coping, knowledge, and adherence. The parents' responses provide awareness as to specific stressors and concerns parents are faced with when their child is discharged from the hospital after solid organ transplant and opportunities for ways the transplant team can provide support. PMID:24814154

  2. Family environment and child development

    Directory of Open Access Journals (Sweden)

    Tina Kavčič

    2005-04-01

    Full Text Available The paper presents an overview of research findings on influence of family environment, especially parental behaviour, on child's development. Contemporary authors question early socialization researchers' claims that family characteristics and parental behaviour have important influence on behaviour of their children. Later researchers examined the size and durability of possible effects of family environment on child development. In addition, they focused on establishing whether it is actually the parental behaviour that influences child's development or, on the contrary, parental behaviour represents mainly a reaction to child's characteristics. Behaviour genetic studies have provided evidence that many traditional measures of family environment, including measures of parental behaviour, show genetic influence, thus reflecting genetically influenced child characteristics. Behaviour geneticists also suggest that environmental influences on child (personality development include predominantly non-shared environment, i.e. individual child's specific experiences, his/her own perceptions and interpretations of objectively same events. Based on empirically determined significant genetic effects on most behavioural traits and inconclusive results of studies on effects of family environment on child development some authors believe that it is not the parents, but rather genetic factor and/or peers who have the key role in child development. With respect to findings of behaviour genetics numerous recent studies of relations between family environment and child development involve child specific measures of (extrafamilial environment and examine the interactions between characteristics of an individual and those of his/her environment.

  3. The Economic Burden Attributable to a Child's Inpatient Admission for Diarrheal Disease in Rwanda.

    Directory of Open Access Journals (Sweden)

    Fidele Ngabo

    Full Text Available Diarrhea is one of the leading causes of childhood morbidity and mortality. Hospitalization for diarrhea can pose a significant burden to health systems and households. The objective of this study was to estimate the economic burden attributable to hospitalization for diarrhea among children less than five years old in Rwanda. These data can be used by decision-makers to assess the impact of interventions that reduce diarrhea morbidity, including rotavirus vaccine introduction.This was a prospective costing study where medical records and hospital bills for children admitted with diarrhea at three hospitals were collected to estimate resource use and costs. Hospital length of stay was calculated from medical records. Costs incurred during the hospitalization were abstracted from the hospital bills. Interviews with the child's caregivers provided data to estimate household costs which included transport costs and lost income. The portion of medical costs borne by insurance and household were reported separately. Annual economic burden before and after rotavirus vaccine introduction was estimated by multiplying the reported number of diarrhea hospitalizations in public health centers and district hospitals by the estimated economic burden per hospitalization. All costs are presented in 2014 US$.Costs for 203 children were analyzed. Approximately 93% of the children had health insurance coverage. Average hospital length of stay was 5.3 ± 3.9 days. Average medical costs for each child for the illness resulting in a hospitalization were $44.22 ± $23.74 and the total economic burden was $101, of which 65% was borne by the household. For households in the lowest income quintile, the household costs were 110% of their monthly income. The annual economic burden to Rwanda attributable to diarrhea hospitalizations ranged from $1.3 million to $1.7 million before rotavirus vaccine introduction.Households often bear the largest share of the economic burden

  4. Hospital Clowning as Play Stimulus in Healthcare

    Directory of Open Access Journals (Sweden)

    Laura Anes

    2014-10-01

    Full Text Available A serious illness, a chronic medical condition or a hospital bed should not deny any child her/his basic right to play, a right essential for children’s development and general wellbeing. In fact, it is in these frightening and anxious moments that play and the stimulus that it provides can help the most. This article will focus on the impacts and benefits of professional hospital clowning for the wellbeing and recovery process of ill and hospitalized children. Our experience has shown that through interactive play and humor, “clowndoctors” can create an enabling and supportive environment that facilitates children’s adaptation to the hospital setting and improves their acceptance of medical procedures and staff. While moving from bedside to bedside, RED NOSES clowndoctors encourage children’s active participation and support their natural instinct to play, fully including them in the interaction, if the children wish to do so. Therefore, clowndoctor performances offer ill children much needed stimulus, self-confidence and courage, elements fundamental to reducing their vulnerability. In this piece, a special emphasis will be put on the various approaches used by RED NOSES clowndoctors to bond and reach out to children suffering from different medical conditions.

  5. 2013年长沙市妇幼保健院病原菌监测及细菌耐药性分析%Surveillance of Pathogenic Bacterium and Analysis of Bacterial Resistance in Changsha Maternal and Child Health Hospital in 2013

    Institute of Scientific and Technical Information of China (English)

    陈娜; 谭秋荣; 邓倩; 李莉明; 喻南慧

    2014-01-01

    Objective] To understand the resistance of clinical isolates obtained from Changsha maternal and child health hospital in 2013 to commonly used antimicrobial agents .[Methods]Kirby‐Bauer(K‐B) method was used for anti‐bacterial drug susceptibility test of 1882 stains of bacteria isolated from our hospital in 2013 .According to 2013 national committee for clinical and laboratory standards institute(CLSI) ,the results were analyzed .[Results] A total of 1882 pathogenic strains were clinically isolated and included 557 Gram‐positive bacteria(29 .60% ) ,803 Gram‐negative bacteria (42 .67% ) and 522 fungi(27 .73% ) .Among Gram‐positive bacteria ,the detection rate of methicillin resistant staphylo‐coccus aureus(MASA) was 32 .94% ,and vancomycin and linezolid‐resistant staphylococcus aureus were not found ,and the sensitivity of staphylococcus epidermidis to oxacillin was high(90 .32% ) ,and the Enterococcus faecalis was sensitive to ampicillin and the resistant rate was 6 .25% ,and the sensitivity of Streptococcus agalactiae to ampicillin was 100% .A‐mong Gram‐negative bacteria ,Escherichia coli and Klebsiella pneumonia producing the extended spectrum beta‐lactamases (ESBLs) were not found ,and the sensitivity of Moraxelle catarrhalis to Ampicillin and Sulbactam was 100% ,and the re‐sistance rate of Haemophilus influenzae to Ampicillin and Sulbactam was 8 .51% .[Conclusion] Regular surveillance of bacterial drug resistance is helpful to understand the transition of bacterial drug resistance and can provide a theoretical ba‐sis for rational administration .%目的 了解2013年长沙市妇幼保健院临床分离菌株对常用抗菌药物的耐药性。方法 对本院2013年临床分离的1882株细菌采用K‐B法进行抗菌药物敏感试验,按美国临床实验室标准化协会(CLSI)2013年版判断结果。结果 临床分离菌株共1882株,其中革兰阳性菌557株(29.60%),革兰阴性菌803株(42.67

  6. Comprehensiveness in child healthcare teaching in Undergraduate Nursing: perspective of teachers

    Directory of Open Access Journals (Sweden)

    Emília Gallindo Cursino

    2014-02-01

    Full Text Available This qualitative study analyzed, from the teacher’s perspective, if the principle of comprehensiveness is included in child healthcare teaching in nursing education. The participants were 16 teachers involved in teaching child healthcare in eight undergraduate nursing programs. Data collection was performed through interviews that were submitted to thematic content analysis. The theory in teaching incorporates comprehensive care, as it is based on children’s epidemiological profile, child healthcare policies and programs, and included interventions for the promotion/prevention/rehabilitation in primary health care, hospitals, daycare centers and preschools. The comprehensive conception of health-disease process allows for understanding the child within his/her family and community. However, a contradiction exists between what is proposed and what is practiced, because the teaching is fragmented, without any integration among disciplines, with theory dissociated from practice, and isolated practical teaching that compromises the incorporation of the principle of comprehensiveness in child healthcare teaching.

  7. [Comprehensiveness in child healthcare teaching in Undergraduate Nursing: perspective of teachers].

    Science.gov (United States)

    Cursino, Emilia Gallindo; Fujimori, Elizabeth; Gaíva, Maria Aparecida Munhoz

    2014-02-01

    This qualitative study analyzed, from the teacher's perspective, if the principle of comprehensiveness is included in child healthcare teaching in nursing education. The participants were 16 teachers involved in teaching child healthcare in eight undergraduate nursing programs. Data collection was performed through interviews that were submitted to thematic content analysis. The theory in teaching incorporates comprehensive care, as it is based on children's epidemiological profile, child healthcare policies and programs, and included interventions for the promotion/prevention/rehabilitation in primary health care, hospitals, daycare centers and preschools. The comprehensive conception of health-disease process allows for understanding the child within his/her family and community. However, a contradiction exists between what is proposed and what is practiced, because the teaching is fragmented, without any integration among disciplines, with theory dissociated from practice, and isolated practical teaching that compromises the incorporation of the principle of comprehensiveness in child healthcare teaching. PMID:24676116

  8. CHILD LABOR DISGRACE

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The Shanxi Province child labor scandal has shocked China to its core. Over 1,000 children were forced into illegal labor by morally bankrupt brick kiln businesses, throwing a depressing shroud over China’s rapid development. Uncovering these tales of abduction, death and the physical and mental abuse endured by these children has been a proud moment for China’s press. Several hundred of the kiln slave children have now been reunited with their families. Kiln owners, contractors and accomplices are being brought to justice or hunted down, some even charged with murder.However, in all this gloom some good has surfaced.Public and government attention is now focused on erasing child labor once and for all and for better protecting workers’ rights, hopefully ridding China of such disgraces in the future.

  9. The Odense Child Cohort

    DEFF Research Database (Denmark)

    Kyhl, Henriette Boye; Jensen, Tina Kold; Barington, Torben;

    2015-01-01

    BACKGROUND: The importance of the environment on the development of the fetus and infant throughout early life is increasingly recognised. To study such effects, biological samples and accurate data records are required. Based on multiple data collection from a healthy pregnant population......, the Odense Childhood Cohort (OCC) study aims to provide new information about the environmental impact on child health by sequential follow-up to 18 years of age among children born between 2010 and 2012. METHODS: A total of 2874 of 6707 pregnancies (43%) were recruited between January 2010 and December 2012...... provides material for in-depth analysis of environmental and genetic factors that are important for child health and disease. Registry data from non-participating women and infants are available which ensures a high degree of comparable data....

  10. Mother-child communication

    DEFF Research Database (Denmark)

    Demuth, Carolin

    2015-01-01

    Communication with children plays a crucial role not only for cognitive and social-emotional development but also in a more general sense for an understanding of self and self in relation to others. Research from linguistic anthropology and cultural developmental psychology have shown...... will therefore ultimately lead to different cultural developmental pathways. While traditional research in developmental psychology has focused on mother–child dyads and experimental designs there is an increasing recognition of the need for naturalistic studies of everyday communication with children including...... that there exists a great variety of cultural genres of communicating with children that are in line with the relevant broader cultural ideologies of good child care. Culture, communication, and self- development are inextricably intertwined. Culturally distinct communicative practices in which children participate...

  11. Immigrant Child Poverty

    DEFF Research Database (Denmark)

    Galloway, Taryn Ann; Gustafsson, Björn; Pedersen, Peder J.;

    2015-01-01

    Immigrant and native child poverty in Denmark, Norway, and Sweden 1993–2001 is studied using large sets of panel data. While native children face yearly poverty risks of less than 10 percent in all three countries and for all years studied the increasing proportion of immigrant children...... with an origin in middle- and low-income countries have poverty risks that vary from 38 up to as much as 58 percent. At the end of the observation period, one third of the poor children in Norway and as high as about a half in Denmark and in Sweden are of immigrant origin. The strong overrepresentation...... of immigrant children from low- and middle-income countries when measured in yearly data is also found when applying a longer accounting period for poverty measurement. We find that child poverty rates are generally high shortly after arrival to the new country and typically decrease with years since...

  12. Hospital Contacts With Infection and Risk of Schizophrenia

    DEFF Research Database (Denmark)

    Nielsen, Philip Finn Rising; Benros, Michael E; Mortensen, Preben B

    2014-01-01

    unrelated to maternal infection during pregnancy has not been studied to nearly the same extent and the results are far from conclusive. Data were drawn from 2 population-based registers, the Danish Psychiatric Central Register and the Danish National Hospital Register. We used a historical population...... a hospital contact with infection before their schizophrenia diagnosis (45%). Our results indicate that individuals who have had a hospital contact with infection are more likely to develop schizophrenia (relative risk [RR] = 1.41; 95% CI: 1.32-1.51) than individuals who had not had such a hospital contact......Infections and immune responses have been suggested to play an important role in the etiology of schizophrenia. Several studies have reported associations between maternal infections during pregnancy and the child's risk of schizophrenia; however, infection during childhood and adolescence...

  13. Cohabitation and Child Wellbeing.

    Science.gov (United States)

    Manning, Wendy D

    2015-01-01

    In recent decades, writes Wendy Manning, cohabitation has become a central part of the family landscape in the United States-so much so that by age 12, 40 percent of American children will have spent at least part of their lives in a cohabiting household. Although many children are born to cohabiting parents, and cohabiting families come in other forms as well, the most common cohabiting arrangement is a biological mother and a male partner. Cohabitation, Manning notes, is associated with several factors that have the potential to reduce children's wellbeing. Cohabiting families are more likely than married families to be poor, and poverty harms children in many ways. Cohabiting parents also tend to have less formal education-a key indicator of both economic and social resources-than married parents do. And cohabiting parent families don't have the same legal protections that married parent families have. Most importantly, cohabitation is often a marker of family instability, and family instability is strongly associated with poorer outcomes for children. Children born to cohabiting parents see their parents break up more often than do children born to married parents. In this way, being born into a cohabiting family sets the stage for later instability, and children who are born to cohabiting parents appear to experience enduring deficits of psychosocial wellbeing. On the other hand, stable cohabiting families with two biological parents seem to offer many of the same health, cognitive, and behavioral benefits that stable married biological parent families provide. Turning to stepfamilies, cohabitation's effects are tied to a child's age. Among young children, living in a cohabiting stepfamily rather than a married stepfamily is associated with more negative indicators of child wellbeing, but this is not so among adolescents. Thus the link between parental cohabitation and child wellbeing depends on both the type of cohabiting parent family and the age of the

  14. Cohabitation and Child Wellbeing.

    Science.gov (United States)

    Manning, Wendy D

    2015-01-01

    In recent decades, writes Wendy Manning, cohabitation has become a central part of the family landscape in the United States-so much so that by age 12, 40 percent of American children will have spent at least part of their lives in a cohabiting household. Although many children are born to cohabiting parents, and cohabiting families come in other forms as well, the most common cohabiting arrangement is a biological mother and a male partner. Cohabitation, Manning notes, is associated with several factors that have the potential to reduce children's wellbeing. Cohabiting families are more likely than married families to be poor, and poverty harms children in many ways. Cohabiting parents also tend to have less formal education-a key indicator of both economic and social resources-than married parents do. And cohabiting parent families don't have the same legal protections that married parent families have. Most importantly, cohabitation is often a marker of family instability, and family instability is strongly associated with poorer outcomes for children. Children born to cohabiting parents see their parents break up more often than do children born to married parents. In this way, being born into a cohabiting family sets the stage for later instability, and children who are born to cohabiting parents appear to experience enduring deficits of psychosocial wellbeing. On the other hand, stable cohabiting families with two biological parents seem to offer many of the same health, cognitive, and behavioral benefits that stable married biological parent families provide. Turning to stepfamilies, cohabitation's effects are tied to a child's age. Among young children, living in a cohabiting stepfamily rather than a married stepfamily is associated with more negative indicators of child wellbeing, but this is not so among adolescents. Thus the link between parental cohabitation and child wellbeing depends on both the type of cohabiting parent family and the age of the

  15. Child Care Subsidy Programs

    OpenAIRE

    David Blau

    2000-01-01

    Child care and early education subsidies are an important part of government efforts to increase economic independence and improve development of children in low-income families in the United States. This chapter describes the main subsidy programs in the U.S., discusses economic issues that arise in designing such programs and evaluating their effects, and surveys evidence on the effects of the programs. An important theme of the chapter is the tradeoff between the policy goals of increasing...

  16. Decomposing child poverty reduction.

    OpenAIRE

    Bradshaw, J.; M Huby

    2014-01-01

    European countries vary in the extent to which they succeed in reducing poverty using social transfers. However, we do not have good ways of understanding how these different outcomes are achieved. It is therefore very difficult to learn lessons from abroad. This paper uses micro data from the EU Statistics on Income and Living Condition (SILC), and attempts to decompose reductions in child poverty rates and gaps into the contribution made by children, old age, social exclusion, housing and w...

  17. In-hospital mortality among a cohort of cirrhotic patients admitted to a Tertiary Hospital

    Directory of Open Access Journals (Sweden)

    Mohammad A Alsultan

    2011-01-01

    Full Text Available Background/Aim : To determine the mortality rate in a cohort of hospitalized patients with cirrhosis and examine their resuscitation status at admission. Materials and Methods : A retrospective chart review was conducted of patients with cirrhosis who were admitted to a tertiary care hospital in Riyadh, Saudi Arabia, from January 1, 2009, to December 31, 2009. Results: We reviewed 226 cirrhotic patients during the study period. The hospital mortality rate was 35%. A univariate analysis revealed that worse outcomes were seen in patients with advanced age or who had worse child-turcotte-pugh (CPT scores, worse model for end-stage liver disease (MELD scores, low albumin and high serum creatinine. Using a multivariate analysis, we found that advanced age (P=0.004 and high MELD (P=0.001 scores were independent risk factors for the mortality of cirrhotic patients. The end-of-life decision were made in 34% of cirrhotic patients, and the majority of deceased patients were "no resuscitation" status (90% vs. 4%, P<0.001. Conclusions : The relatively high mortality in cirrhotic patients admitted for care in a tertiary hospital, Saudi Arabia was comparable to that reported in the literature. Furthermore, end-of-life discussions should be addressed early in the hospitalization of cirrhotic patients.

  18. Child passenger safety.

    Science.gov (United States)

    Durbin, Dennis R

    2011-04-01

    Despite significant reductions in the number of children killed in motor vehicle crashes over the past decade, crashes continue to be the leading cause of death for children 4 years and older. Therefore, the American Academy of Pediatrics continues to recommend inclusion of child passenger safety anticipatory guidance at every health-supervision visit. This technical report provides a summary of the evidence in support of 5 recommendations for best practices to optimize safety in passenger vehicles for children from birth through adolescence that all pediatricians should know and promote in their routine practice. These recommendations are presented in the revised policy statement on child passenger safety in the form of an algorithm that is intended to facilitate their implementation by pediatricians with their patients and families. The algorithm is designed to cover the majority of situations that pediatricians will encounter in practice. In addition, a summary of evidence on a number of additional issues that affect the safety of children in motor vehicles, including the proper use and installation of child restraints, exposure to air bags, travel in pickup trucks, children left in or around vehicles, and the importance of restraint laws, is provided. Finally, this technical report provides pediatricians with a number of resources for additional information to use when providing anticipatory guidance to families. PMID:21422094

  19. Girl child and social change.

    Science.gov (United States)

    Seth, P

    1995-01-01

    This article discusses the state of social change and the disparity between India's Constitutional aims and actual practice in addressing gender inequality and the special risks of female children in India. The second part of this article summarizes Constitutional articles and laws relating to protection of women and a girl child. Before birth, a female child is at risk of fetal death. A woman is at risk of poorly performed abortions and maternal mortality. After birth, a girl child is at risk of child care of younger siblings, housework, lack of education, wage work for the household, sexual abuse, vulnerability at work or school or on the street, murder by her parents, abuse, malnutrition, and desertion. The SAARC summit declared 1990 the Year of the Girl Child. UN conventions and a world summit focused on the Rights of the Child. A child has a right to freedom from exploitation, neglect and abuse, and access to food, health care, and education. Articles 14, 15, and 16 of India's Constitution guarantee protection from discrimination on grounds of religion, race, caste, sex, or place of birth and equality of opportunity in public employment. Article 23 prohibits trafficking in humans and forced labor. Article 24 prohibits child labor under the age of 14 years. Article 39 assures an adequate means of livelihood, equal pay, and protection from child abuse and economic pressure to work in jobs unsuitable to a child's age and strength. Article 45 provides for free and compulsory education up to 14 years of age. Article 51 prohibits derogatory practices against women. Article 325 and 326 prohibits sex discrimination. Other laws pertain to dowry, marriage age, prostitution, abortion, juvenile justice, kidnapping, obscenity, procurement of a minor, sexual offenses, divorce and child support, child care, maternity benefits, and cruelty by a husband or relatives. The girl child in India continues to live in perpetual threat, both physiological and psychological. PMID

  20. Girl child and social change.

    Science.gov (United States)

    Seth, P

    1995-01-01

    This article discusses the state of social change and the disparity between India's Constitutional aims and actual practice in addressing gender inequality and the special risks of female children in India. The second part of this article summarizes Constitutional articles and laws relating to protection of women and a girl child. Before birth, a female child is at risk of fetal death. A woman is at risk of poorly performed abortions and maternal mortality. After birth, a girl child is at risk of child care of younger siblings, housework, lack of education, wage work for the household, sexual abuse, vulnerability at work or school or on the street, murder by her parents, abuse, malnutrition, and desertion. The SAARC summit declared 1990 the Year of the Girl Child. UN conventions and a world summit focused on the Rights of the Child. A child has a right to freedom from exploitation, neglect and abuse, and access to food, health care, and education. Articles 14, 15, and 16 of India's Constitution guarantee protection from discrimination on grounds of religion, race, caste, sex, or place of birth and equality of opportunity in public employment. Article 23 prohibits trafficking in humans and forced labor. Article 24 prohibits child labor under the age of 14 years. Article 39 assures an adequate means of livelihood, equal pay, and protection from child abuse and economic pressure to work in jobs unsuitable to a child's age and strength. Article 45 provides for free and compulsory education up to 14 years of age. Article 51 prohibits derogatory practices against women. Article 325 and 326 prohibits sex discrimination. Other laws pertain to dowry, marriage age, prostitution, abortion, juvenile justice, kidnapping, obscenity, procurement of a minor, sexual offenses, divorce and child support, child care, maternity benefits, and cruelty by a husband or relatives. The girl child in India continues to live in perpetual threat, both physiological and psychological.

  1. [Status of pediatric hospital medicine in Spain: a report by the Spanish Pediatric Hospital Medicine Society (SEPHO)].

    Science.gov (United States)

    Ramos Fernández, J M; Montiano Jorge, J I; Hernández Marco, R; García García, J J

    2014-11-01

    Few reports are available on the status of pediatric hospital medicine in Spain. This has prompted the Spanish Society of Hospital Pediatrics (SEPHO) to conduct a study to determine the status of pediatric hospital care received. Data released by the Ministry of Health, the National Institute of Statistics have been used in the study, and an analysis was made of the results of a computerized survey designed and developed by SEPHO and available on the Internet for completion from November 2011 to December 2012 among Spanish hospitals. The results of this survey are part of the beginning of our journey as an association, and the current status of child and family welfare during hospitalization needs to be determined in order to consider and, where appropriate, make recommendations for improvement and standardization of care. The study, still unpublished, is to determine the state of pediatric hospital care as seen and analyzed from the perspective of the professionals directly involved in pediatric general hospital care. We included hospitals of different size and complexity of care. The aim of this report is to present the results of the survey and relate it to demographic and health care data from official sources.

  2. Parent-Child Interaction Therapy: Enhancing Parent-Child Relationships

    OpenAIRE

    Anthony J. Urquiza; Susan Timmer

    2012-01-01

    Disruptive child behavior problems are common problems for parents and can be associated with serious delinquent behaviors and aggressive/violent behaviors in adolescence and adulthood. Parenting interventions to address disruptive child behavior problems has gained widespread acceptance. One of these parenting interventions is Parent-Child Interaction Therapy (PCIT). PCIT is a 14- to 20-week, founded on social learning and attachment theories, designed for children between 2 and 7 years of a...

  3. Prevalence of nasal carriage and diversity of Staphylococcus aureus among inpatients and hospital staff at Korle Bu Teaching Hospital, Ghana

    DEFF Research Database (Denmark)

    Egyir, Beverly; Guardabassi, Luca; Nielsen, Søren Saxmose;

    2013-01-01

    There is a paucity of data on Staphylococcus aureus epidemiology in Africa. Prevalence of nasal carriage and genetic diversity of S. aureus were determined among hospital staff (HS) and inpatients (IP) at the largest hospital in Ghana. In total, 632 nasal swabs were obtained from 452 IP and 180 HS...... and ST72–SCCmec V). Altogether, these data indicate a high diversity of S. aureus, low levels of MRSA carriage, and a higher chance of nasal carriage of multidrug-resistant S. aureus among IP compared with HS in this hospital....... in the Child Health Department (CHD) and Surgical Department (SD). S. aureus carriage prevalences were 13.9% in IP and 23.3% in HS. The chance of being a carrier was higher in HS (P = 0.005) and IP staying ≤7 days in hospital (P = 0.007). Resistance to penicillin (93%), tetracycline (28%) and fusidic acid (12...

  4. Towards the collaborative hospital

    DEFF Research Database (Denmark)

    Prætorius, Thim; Hasle, Peter; Edwards, Kasper;

    2015-01-01

    Hospitals are increasingly faced with conflicting demands as they have to respond to increasing patient demands as well as financial, clinical and quality challenges. To handle these demands the hospital need to reconfigure its organization, and we propose to build on a concept for the collaborat......Hospitals are increasingly faced with conflicting demands as they have to respond to increasing patient demands as well as financial, clinical and quality challenges. To handle these demands the hospital need to reconfigure its organization, and we propose to build on a concept...... for the collaborative hospital as new organizational form which is better equipped to respond to the challenges facing modern hospitals. The collaborative hospital is an ambidextrous organization that opens for pursuing both exploration and exploitation within the same organizational structure. The basic principles...... of the collaborative hospital concern the creation of an appropriate balance between standardization and local autonomy, shared purpose centred around providing the best possible care, and use of enabling structures that sustain the new ways of collaborative work. The chapter builds on the theoretical framework...

  5. ROLE OF HOSPITAL ADMINISTRATION

    OpenAIRE

    UDAYSINH R. MANEPATIL

    2013-01-01

    Hospital administration is the management of the hospital as a business. The administration is made up of medical and health services managers (sometimes called health care executives and health care administrators) and assistant administrators. Administrations range in size and the duties of the administrator depends on the size of the administration.

  6. Mental hospitals in India.

    Science.gov (United States)

    Krishnamurthy, K; Venugopal, D; Alimchandani, A K

    2000-04-01

    This review traces the history of the mental hospital movement, initially on the world stage, and later in India, in relation to advances in psychiatric care. Mental hospitals have played a significant role in the evolution of psychiatry to its present statusThe earliest hospital in India were established during the British colonial rule. They served as a means to isolate mentally ill persons from the societal mainstream and provide treatments that were in vogue at the time. Following India's independence, there has been a trend towards establishing general hospital psychiatry units and deinstitutionalization, while at the same time improving conditions in the existing mental hospitals.Since 1947, a series of workshops of superintendents was conducted to review the prevailing situations in mental hospitals and to propose recommendations to improve the same. Implementation of the Mental Health Act, 1987, and grovernmental focus upon mental hospital reform have paved way for a more specific and futuristic role for mental hospitals in planning psychiatric services for the new millenium, especially for severe mental illnesses. PMID:21407925

  7. Hospitality, Tourism, and Recreation.

    Science.gov (United States)

    Novachek, James

    The Northern Arizona Hospitality Education Program is an exemplary three-year project designed to help students, mainly Indian, obtain job skills and attitudes necessary for successful employment in the hospitality industry. Nine high schools from Apache, Coconino, and Navajo Counties participated in the project. Objectives included providing an…

  8. Hospitality Services. Curriculum Guide.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This guide, which was developed as part of Texas' home economics education program, is intended to assist teachers of a hospitality services course focusing on the food and lodging segments of the hospitality and tourism industry. The first 40% of the approximately 600-page guide consists of strategies for teaching each of 29 essential…

  9. The relation between child death and child maltreatment

    OpenAIRE

    Jenny, C; Isaac, R

    2006-01-01

    The death of a child is a sentinel event in a community, and a defining marker of a society's policies of safety and health. Child death as a result of abuse and neglect is a tragic outcome that occurs in all nations of the world. The true incidence of fatal child abuse and neglect is unknown. The most accurate incidence data of such deaths have been obtained from countries where multi‐agency death review teams analyse the causes of child fatalities, as is done in the United States and Austra...

  10. Special needs and child welfare: healing the child.

    Science.gov (United States)

    Lederman, Cindy S

    2007-01-01

    Passage of the Adoption and Safe Families Act of 1997 has placed the child at the center of the child welfare system. Courts bear the ultimate responsibility for the safety and well-being of these children, including those with disabilities. Findings from the Child and Family Service Reviews, however, indicate less-than-optimal conformity in a number of states regarding the physical and mental well-being of children. A multidisciplinary approach involving jurisprudence, science, and financing is required to bring about better compliance. Collaboration among legal, medical, dental, and child advocacy organizations is necessary for healing children in the welfare system to become a national imperative. PMID:17566535

  11. Identification and Evaluation of Abused Children at Imam Hossein Hospital

    Directory of Open Access Journals (Sweden)

    Arabghol

    2016-02-01

    Full Text Available Background Child abuse is a phenomenon that confronts the child, family, and society with irretrievable physical and mental injuries, and its negative effects continue until adulthood. Objectives The present study was conducted to identify and evaluate cases of abused children at a medical center. Patients and Methods This is a descriptive-analytic study. The subjects were all children and adolescents who were referred to Imam Hussein hospital within 6 months due to physical or psychiatric reasons and were diagnosed with child abuse and neglect by a child and adolescent psychiatrist. The number of these children was 73. Children and their parents were assessed by schedule for affective disorders and schizophrenia (SADS, Kiddie-SADS, and child abuse and demographic questionnaires. The statistical methods of mean and standard deviation were used to analyze the data. Results 56 cases (76% were physically abused, 53 cases (72.6% were emotionally abused, and 3 cases (12.3% were neglected. The most common psychiatric disorder in abused children was ADHD (65.8%. The next most common were oppositional defiant disorder, obsessive compulsive disorder, general anxiety disorder, and enuresis. About 80% of the abused children had at least one psychiatric disorder. The most common psychiatric disorders in mothers were general anxiety disorder (34.8% and depression (33.3%, and in fathers, it was substance abuse (19.7%. Conclusions Child abuse is a common phenomenon that relates to psychiatric disorders in the abused child or abuser parents. It seems that on-time identification and appropriate interventions can prevent further negative consequences for the child, family, and society.

  12. Patient life in hospital

    DEFF Research Database (Denmark)

    Ludvigsen, Mette Spliid

    Patient life in hospital.A qualitative study of informal relationships between hospitalised patients Introduction Within a patientology framework, this PhD dissertation is about an empirical study on patient life that provides insight into the nature of informal relationships between patients...... in hospitals today. Purpose The purpose was to explore how informal relationships between patients affect their hospital experiences in the hospital. The assumption is that, on the one hand, the impacts on patients' suffering affect the way they act and experience encounters with fellow patients for good....... Methods The study is designed within a phenomenological-hermeneutical philosophic frame of reference and is based on ethnographic fieldwork among hospitalised patients in a Danish university hospital. Data for the study were collected through participant observations over a period of 18 months. Nine males...

  13. One-Year Retrospective Analysis of Forensic Cases Referred to Child and Adolescent Psychiatry Outpatient Clinic in the Province of Adiyaman

    OpenAIRE

    Funda Gumustas; Yasemin Yulaf; Sebla Gokce; Sema Saglam; Emel Koyuncu Kutuk

    2014-01-01

    Purpose: This study’s aim is to investigate child and adolescent cases referred for forensic examination to our child and adolescent psychiatry outpatient clinic. Material and Methods: File informations of 121 cases who referred to Adiyaman University Training and Research Hospital, child psychiatry clinic between 01 June 2012 and 31 May 2013 were reviewed retrospectively. Socio-demographic characteristics of the children and reasons for referral determined. The study was focused on ...

  14. The Impact of Caregiver Distress on the Longitudinal Development of Child Acute Post-traumatic Stress Disorder Symptoms in Pediatric Injury Victims

    OpenAIRE

    Ostrowski, Sarah A.; Ciesla, Jeffrey A.; Lee, Timothy J.; Irish, Leah; Christopher, Norman C.; Delahanty, Douglas L.

    2011-01-01

    Objective The present study prospectively examined the development of child PTSD symptoms (PTSS) and the impact of caregiver PTSS on child PTSS following injury. Methods One hundred and eighteen ED patients and their caregivers were interviewed in-hospital and 2- and 6-weeks posttrauma. Structural equation modeling and hierarchical linear regressions examined the development of PTSS. Results A model combining child and caregiver 2-week PTSS into one latent family PTSS variable provided the be...

  15. Parental health and child schooling

    OpenAIRE

    Bratti, Massimiliano; Mendola, Mariapia

    2011-01-01

    Evidence on the role of parental health on child schooling is surprisingly thin. We explore this issue by estimating the short-run effects of parents\\' illness on child school enrollment. Our analysis is based on household panel data from Bosnia-Herzegovina, a country whose health and educational systems underwent extensive destruction during the 1992-1995 war. Using child fixed effects to correct for potential endogeneity bias, we find that — contrary to the common wisdom that shocks to the ...

  16. What Matter for Child Development?

    OpenAIRE

    Fali Huang

    2006-01-01

    This paper estimates production functions of child cognitive and social development using a panel data of nine-year old children each with over two hundred home and school inputs as well as family background variables. A tree regression method is used to conduct estimation under various specifications. A small subset of inputs is found consistently important in explaining variances of child development results, including the number of books a child has at various ages and how often a mother r...

  17. Clinical psychology and child protection

    OpenAIRE

    O'Brien, Elaine; Carey, Sean; Carr, Alan.

    2000-01-01

    In this 1998 postal survey of 140 clinical psychologists working in eight Health Boards and Voluntary agencies in the Republic of Ireland, it was found that clinical psychologists from child mental health, adult mental health and services for people with physical and intellectual disabilities were involved in child abuse and protection work. Clinical psychologists' child protection work spanned a number of domains including validation, general assessment, risk assessment, treatment of victims...

  18. Child-Visiting and Domestic Abuse.

    Science.gov (United States)

    Shepard, Melanie

    1992-01-01

    Explains problems with child visiting in cases of domestic abuse. Data on domestic abuse, child care concerns, and child adjustment problems were collected from 25 mothers and 22 fathers at a child visiting program serving separated and abusive families. Psychological abuse of mothers correlated with child adjustment problems. (BB)

  19. Diarrhea - what to ask your doctor - child

    Science.gov (United States)

    What to ask your doctor about diarrhea - child; Loose stools - what to ask your doctor - child ... FOODS What foods can make my child's diarrhea worse? How should I prepare the foods for my child? If my child is still breastfeeding or bottle feeding, do I need to ...

  20. Struggle for the Soul: John Lawrence Childs

    Science.gov (United States)

    Stallones, Jared

    2010-01-01

    John Lawrence Childs was born in Eau Claire, Wisconsin on January 11, 1889, the second child of John Nelson Childs and Helen Janette (Nettie) Smith. In childhood Childs absorbed the values of industry, democracy, and a traditional, but socially conscious, religion. Childs was a Methodist and an intensely private person not given to talking about…

  1. Defining Quality Child Care: Multiple Stakeholder Perspectives

    Science.gov (United States)

    Harrist, Amanda W.; Thompson, Stacy D.; Norris, Deborah J.

    2007-01-01

    Multiple perspectives regarding the definition of quality child care, and how child care quality can be improved, were examined using a focus group methodology. Participants were representatives from stakeholder groups in the child care profession, including child care center owners and directors (3 groups), parents (3 groups), child caregivers (3…

  2. Smallpox vaccination and all-cause infectious disease hospitalization

    DEFF Research Database (Denmark)

    Sørup, Signe; Villumsen, Marie; Ravn, Henrik;

    2011-01-01

    There is growing evidence from observational studies and randomized trials in low-income countries that vaccinations have non-specific effects. Administration of live vaccines reduces overall child morbidity and mortality, presumably due to protection against non-targeted infections. In Denmark......, the live vaccine against smallpox was phased out in the 1970s due to the eradication of smallpox. We used the phasing-out period to investigate the effect of smallpox vaccination on the risk of hospitalization for infections....

  3. Asthma mortality in the Danish child population

    DEFF Research Database (Denmark)

    Jørgensen, Inger Merete; Jensen, V B; Bülow, S;

    2003-01-01

    Child death due to asthma is a rare and potentially preventable event. We investigated possible risk factors for death due to asthma in children and adolescents, as a step towards preventing or minimizing asthma death in this age group, and improving asthma management and care. We reviewed all 108...... cases of asthma death in 1-19-year-olds in Denmark, 1973-1994. Copies of death certificates, hospital records, information from general practitioners, and autopsy records were obtained. The information was assessed with particular reference to: features and duration of asthma before death; severity...... of asthma; time and place of death; long-term and ongoing medical treatment; quality of medical care; circumstances of final illness; and medical treatment during the final episode of asthma. Age groups of 1-4 years, 5-14 years, and 15-19 years were analyzed separately and in aggregate. Death occurred...

  4. Child neglect: assessment and intervention.

    Science.gov (United States)

    Hornor, Gail

    2014-01-01

    Neglect is often a neglected form of child maltreatment even though it is the most common and deadliest form of child maltreatment. Pediatric nurse practitioners (PNPs) will most likely encounter neglected children in their practice. It is crucial that PNPs recognize child neglect in a timely manner and intervene appropriately. This continuing education article will help PNPs understand and respond to child neglect. Neglect will be defined and risk factors will be discussed. Children who are neglected can experience serious and lifelong consequences. The medical assessment and plan of care for children with concerns of suspected neglect will be discussed.

  5. Newborn Parent Based Intervention to Increase Child Safety Seat Use

    Directory of Open Access Journals (Sweden)

    Xiangxiang Liu

    2016-08-01

    Full Text Available This paper intends to assess the effect of a maternity department intervention on improvement of knowledge and use of child safety seats (CSS among newborn parents. An intervention study included three groups (one education plus free CSS intervention group, one education only group, and one control group. The participants were parents of newborns in the maternity department of two hospitals. Both of the intervention groups received a folded pamphlet of child passenger safety, a height chart and standardized safety education during their hospital stay after giving birth. The education plus free CSS intervention group received an additional free CSS and professional installation training at hospital discharge. The control group received a pamphlet with educational information about nutrition and food safety. Three months after enrollment, a telephone follow-up was conducted among participants in the three groups. Data on child passenger safety knowledge, risky driving behaviors, and use of CSS were evaluated before and after the intervention. A total of 132 newborn parents were enrolled in the study; of those, 52 (39.4% were assigned into the education plus free CSS intervention group, 44 (33.3% were in the education intervention only group, and 36 (27.3% were in the control group. No significant differences existed in demographics among the three groups. There was a significant difference in newborn parents’ child passenger safety knowledge and behaviors in the three groups before and after the intervention. In addition, the CSS use increased significantly in the education plus free CSS group after the intervention compared to parents in the education only or control groups. Education on safety, combined with a free CSS and professional installation training, were effective at increasing newborn parents’ knowledge and use of CSS. Future studies with larger sample sizes and longer follow-up are needed to determine a long-term effect of the

  6. Newborn Parent Based Intervention to Increase Child Safety Seat Use

    Science.gov (United States)

    Liu, Xiangxiang; Yang, Jingzhen; Cheng, Fuyuan; Li, Liping

    2016-01-01

    This paper intends to assess the effect of a maternity department intervention on improvement of knowledge and use of child safety seats (CSS) among newborn parents. An intervention study included three groups (one education plus free CSS intervention group, one education only group, and one control group). The participants were parents of newborns in the maternity department of two hospitals. Both of the intervention groups received a folded pamphlet of child passenger safety, a height chart and standardized safety education during their hospital stay after giving birth. The education plus free CSS intervention group received an additional free CSS and professional installation training at hospital discharge. The control group received a pamphlet with educational information about nutrition and food safety. Three months after enrollment, a telephone follow-up was conducted among participants in the three groups. Data on child passenger safety knowledge, risky driving behaviors, and use of CSS were evaluated before and after the intervention. A total of 132 newborn parents were enrolled in the study; of those, 52 (39.4%) were assigned into the education plus free CSS intervention group, 44 (33.3%) were in the education intervention only group, and 36 (27.3%) were in the control group. No significant differences existed in demographics among the three groups. There was a significant difference in newborn parents’ child passenger safety knowledge and behaviors in the three groups before and after the intervention. In addition, the CSS use increased significantly in the education plus free CSS group after the intervention compared to parents in the education only or control groups. Education on safety, combined with a free CSS and professional installation training, were effective at increasing newborn parents’ knowledge and use of CSS. Future studies with larger sample sizes and longer follow-up are needed to determine a long-term effect of the intervention. PMID

  7. Newborn Parent Based Intervention to Increase Child Safety Seat Use.

    Science.gov (United States)

    Liu, Xiangxiang; Yang, Jingzhen; Cheng, Fuyuan; Li, Liping

    2016-01-01

    This paper intends to assess the effect of a maternity department intervention on improvement of knowledge and use of child safety seats (CSS) among newborn parents. An intervention study included three groups (one education plus free CSS intervention group, one education only group, and one control group). The participants were parents of newborns in the maternity department of two hospitals. Both of the intervention groups received a folded pamphlet of child passenger safety, a height chart and standardized safety education during their hospital stay after giving birth. The education plus free CSS intervention group received an additional free CSS and professional installation training at hospital discharge. The control group received a pamphlet with educational information about nutrition and food safety. Three months after enrollment, a telephone follow-up was conducted among participants in the three groups. Data on child passenger safety knowledge, risky driving behaviors, and use of CSS were evaluated before and after the intervention. A total of 132 newborn parents were enrolled in the study; of those, 52 (39.4%) were assigned into the education plus free CSS intervention group, 44 (33.3%) were in the education intervention only group, and 36 (27.3%) were in the control group. No significant differences existed in demographics among the three groups. There was a significant difference in newborn parents' child passenger safety knowledge and behaviors in the three groups before and after the intervention. In addition, the CSS use increased significantly in the education plus free CSS group after the intervention compared to parents in the education only or control groups. Education on safety, combined with a free CSS and professional installation training, were effective at increasing newborn parents' knowledge and use of CSS. Future studies with larger sample sizes and longer follow-up are needed to determine a long-term effect of the intervention. PMID

  8. Hospital diversification: evaluating alternatives.

    Science.gov (United States)

    Hammer, L

    1987-05-01

    The appropriateness of diversification as a growth strategy for hospitals is discussed, and planning for diversification is described. Because new forms of health-care delivery are now in direct competition with hospitals, many hospitals are confronting environmental pressures and preparing for future survival through diversification. To explore the potential risks and benefits of diversification, the hospital must identify opportunities for new business ventures. Diversification can be "related," through an expansion of the primary product line (health care), or "unrelated," into areas not directly associated with health care. The hospital must establish specific criteria for evaluating each diversification alternative, and the two or three most attractive options should be analyzed further through a financial feasibility study. The hospital should also seek legal advice to determine the implications of diversification for maintenance of tax status, antitrust limitations, and applicability of certificate of need. Although diversification may not be appropriate for every institution, hospitals should consider it as a strategy for increasing their revenue base, confronting environmental pressures, and securing future survival. PMID:3300300

  9. Hospital diversification: evaluating alternatives.

    Science.gov (United States)

    Hammer, L

    1987-05-01

    The appropriateness of diversification as a growth strategy for hospitals is discussed, and planning for diversification is described. Because new forms of health-care delivery are now in direct competition with hospitals, many hospitals are confronting environmental pressures and preparing for future survival through diversification. To explore the potential risks and benefits of diversification, the hospital must identify opportunities for new business ventures. Diversification can be "related," through an expansion of the primary product line (health care), or "unrelated," into areas not directly associated with health care. The hospital must establish specific criteria for evaluating each diversification alternative, and the two or three most attractive options should be analyzed further through a financial feasibility study. The hospital should also seek legal advice to determine the implications of diversification for maintenance of tax status, antitrust limitations, and applicability of certificate of need. Although diversification may not be appropriate for every institution, hospitals should consider it as a strategy for increasing their revenue base, confronting environmental pressures, and securing future survival.

  10. Child sexual abuse

    International Nuclear Information System (INIS)

    Background: Child sexual abuse with significant impact on victim's physical, mental and social health has now been recognized as existing on an appreciable scale worldwide. Diversity of opinions exist about the concept, types, prevalence and repercussions along with a paucity of systematic and scientific work in the developing world including Pakistan. Objective: This paper aims at reviewing the literature for clarification of concept, update of estimates and correlates, and to identify lines for future research. Data sources: The literature was search through BMJ-Medline for international data, supplemented by local data through CPSP-MEDLIP service. The search term child sexual abuse with associated sub-heads were used. No constraint of time period, publication type or source applied except english Language version Comparative findings: Wide variations identified in conceptual boundaries with consequent impact on prevalence estimates. Agreement found for its existence as an international problem with rates ranging from 7% - 36% for women and 3% - 29% for men. Female abused 1.5-3 times more than male with exponential high rates in age group 3-6 years and 8-11 years. In 2/3 cases the perpetrator identified belonged to nuclear or extended family. Significant association exists with early onset of psychiatric ailments like substance abuse, eating disorders, personality disorders, dissociative disorders and depression. Conclusion and Suggestion: The need for extensive research studies in immense in developing countries like Pakistan where environmental circumstances suggest its presence at rates higher than the identified elsewhere. In addition to facilitate awareness and perhaps to clarify the concept as well as the prevalence of child sexual abuse researchers need to select methodologies and instruments with international comparison in mind. (author)

  11. Child health in Greenland

    DEFF Research Database (Denmark)

    Niclasen, Birgit V L; Bjerregaard, Peter

    2007-01-01

    of problems might differ. The child mortality is relatively high and unevenly distributed. The acute disease pattern is dominated by infections, mostly airway infections. Otitis and its sequelae is a problem. An increase in chronic conditions such as atopy, asthma, obesity, and disabilities has taken place....... Overweight and obesity have tripled in 20 years and are a health threat as well as constituting negative health behaviour. Social ill health, socioeconomic inequity, and sociocultural changes also influence health but their consequences are not well investigated in children. CONCLUSIONS: A relatively high...

  12. Child Computer Interaction SIG

    DEFF Research Database (Denmark)

    Read, Janet; Hourcade, Juan Pablo; Markopoulos, Panos;

    The discipline of Child Computer Interaction (CCI) has been steadily growing and it is now firmly established as a community in its own right, having the annual IDC (Interaction and Design for Children) conference and its own journal and also enjoying its role as a highly recognisable and vibrant...... contributor to the ACM CHI conference. Having recently been given status as an IFIP (International Federation for Information Processing) TC13 working group, the community now needs to make plans around its academic themes and its coherence as a developing academic community. The CCI SIG at CHI aims to use...

  13. Child Sexual Abuse

    OpenAIRE

    HROBAŘOVÁ, Petra

    2008-01-01

    My thesis deals with the problems of sexual abuse of children. It is divided into nine chapters, each of which has a subhead. In the first part, I focused on the term of child sexual abuse. In the second part, I focused on the problem of sexual abuse of children by family members. In the third part, I explained the term of commercial sexual violence committed against children. In the fourth part, I focused on the victims of sexual abuse and in the following part, I focused on the perpetrators...

  14. Child health in Colombia.

    Science.gov (United States)

    Nieto, G Arias; Mutis, F Suescun; Mercer, R; Bonati, M; Choonara, I

    2009-11-01

    Colombia is a country with major problems, mainly a high degree of inequality and an unacceptably high level of violence (both armed military conflict and crime related). There are unacceptably high variations in health and health provision. Despite these difficulties, there are important steps being taken by both the government and independent organisations to try and improve child health and to achieve the Millennium Development Goals in relation to poverty, hunger and health issues. The participation of different sectors and stakeholders (including government, non-governmental organisations and other organisations of civil society) is essential to overcome Colombian history and to promote a better place for children. PMID:19586926

  15. On spaces of hospitality

    DEFF Research Database (Denmark)

    Greve, Anni

    Although specialists in hospitality have worked extensively on hospitality with respect to relations between different nations or between nations and individuals of a different nationality, for instance when they seek asylum, Jacques Derrida preferred to focus instead upon the relationship between...... the market place, the religious sanctuary and places for the performing arts and cultural heritage. For the modern city they are the tightly woven fabric of social reality, and their configuration can make certain cities more hospitable than others, is the leading idea....

  16. Aggregate Economic Shocks, Child Schooling, and Child Health

    OpenAIRE

    Francisco H.G. Ferreira; Schady, Norbert

    2009-01-01

    Do aggregate economic shocks, such as those caused by macroeconomic crises or droughts, reduce child human capital? The answer to this question has important implications for public policy. If shocks reduce investments in children, they may transmit poverty from one generation to the next. This paper uses a simple framework to analyze the effects of aggregate economic shocks on child schoo...

  17. Mother-Child Disagreement in Reports of Child Anxiety: Effects of Child Age and Maternal Anxiety

    OpenAIRE

    Niditch, Laura A.; Varela, R. Enrique

    2010-01-01

    The present study examined effects of maternal anxiety, child age, and their interaction on mother-child anxiety reporting disagreement while taking into account the direction of each informant's report relative to the other. Participants were 41 dyads of mothers and clinically anxious children aged 7-13. A hierarchical regression revealed a significant interaction between maternal anxiety and child age (β = .30, p < .05). A graph of this interaction indicated that when maternal anxiety is hi...

  18. Safety for Your Child: 10 Years

    Science.gov (United States)

    ... Stages Listen Español Text Size Email Print Share Safety for Your Child: 10 Years Page Content Article ... out if your child's friends carry guns. Sports Safety At this age your child may be playing ...

  19. Fostering the Battered and Abused Child.

    Science.gov (United States)

    McFadden, Emily Jean

    1980-01-01

    This article describes a 20-hour, eight-week course for experienced foster parents. Goals include understanding the causes of child abuse, understanding the consequences of child abuse, and understanding the interaction patterns which provoke child abuse. (Author/DB)

  20. How to Talk to Your Child's Doctor

    Science.gov (United States)

    ... Know About Zika & Pregnancy Talking to Your Child's Doctor KidsHealth > For Parents > Talking to Your Child's Doctor ... an important role in your child's health? The Doctor-Patient Relationship Today, doctors are pressured to see ...

  1. Helping Your Child Deal with Death

    Science.gov (United States)

    ... About Zika & Pregnancy Helping Your Child Deal With Death KidsHealth > For Parents > Helping Your Child Deal With ... important points to remember in all cases. Explaining Death in a Child's Terms Be honest with kids ...

  2. Fever and Taking Your Child's Temperature

    Science.gov (United States)

    ... About Zika & Pregnancy Fever and Taking Your Child's Temperature KidsHealth > For Parents > Fever and Taking Your Child's ... a mercury thermometer.) previous continue Tips for Taking Temperatures As any parent knows, taking a squirming child's ...

  3. Optimal Hospital Layout Design

    DEFF Research Database (Denmark)

    Holst, Malene Kirstine

    This PhD project presents a design model that generates and evaluates hospital designs with respect to long-term performances and functionalities. By visualizing and quantifying costs and performances in the early design phases, it is possible to make design choices based on a qualified, profound...... foundation. The basis of the present study lies in solving the architectural design problem in order to respond to functionalities and performances. The emphasis is the practical applicability for architects, engineers and hospital planners for assuring usability and a holistic approach of functionalities...... and performances. By formal descriptions, a design model can weigh and compare the impact of different perspectives and, even in the early design phase, it can visualize and quantify consequences for design choices. By qualitative study of hospital design and hospital functionality, formal descriptions develop...

  4. Hospital Readmissions Reduction Program

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  5. Hospital Readmission Reduction

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  6. Service Robots for Hospitals

    DEFF Research Database (Denmark)

    Özkil, Ali Gürcan

    services to maintain the quality of healthcare provided. This thesis and the Industrial PhD project aim to address logistics, which is the most resource demanding service in a hospital. The scale of the transportation tasks is huge and the material flow in a hospital is comparable to that of a factory. We...... believe that these transportation tasks, to a great extent, can be and will be automated using mobile robots. This thesis consequently addresses the key technical issues of implementing service robots in hospitals. In simple terms, a robotic system for automating hospital logistics has to be reliable...... manual work and offer many advantages beyond robotics. Finally, this thesis outlines our contributions in representation of multi-floor buildings, which is a vital requirement to achieve robust and practical, real-world service robot applications....

  7. Hospital Compare Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — These are the official datasets used on the Medicare.gov Hospital Compare Website provided by the Centers for Medicare and Medicaid Services. These data allow you...

  8. Hospitals of The Future

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    An overseas biometric and RFID solutions provider eyes up China’s emerging healthcare IT solutions market New mothers in China can look forward to more peaceful hos-pital stays without worries that their precious newborns might be

  9. Physician-Owned Hospitals

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 6001 of the Affordable Care Act of 2010 amended section 1877 of the Social Security Act to impose additional requirements for physician-owned hospitals to...

  10. Hospital Outpatient PPS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 4523 of the Balanced Budget Act of 1997 (BBA) provides authority for CMS to implement a prospective payment system (PPS) under Medicare for hospital...

  11. Outpatient Imaging Efficiency - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — Use of medical imaging - provider data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical...

  12. Premier Hospital Historical Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — To provide a historical overview of the participating hospitals, before the first project report, Premier Healthcare Informatics has used data already available for...

  13. Child abuse by drowning.

    Science.gov (United States)

    Griest, K J; Zumwalt, R E

    1989-01-01

    Drowning as a form of subtle fatal child abuse is difficult to distinguish from accidental immersion or from sudden unexpected natural death when the circumstances of immersion are concealed. Homicidal drownings are unwitnessed, usually occurring in the home, and the victims are young, either infants or toddlers. Accidental drownings are more likely to involve toddlers or older children in public areas such as swimming pools, drainage ditches, lakes, and rivers. This is especially true in rural areas. In cities, bathtubs remain a major site of accidental childhood drownings. Perpetrators of deliberate drownings often fit the sociopathologic profile of a child abuser. Because there is often a survival interval between immersion and death, pathologic findings consistent with postimmersion syndrome suggest the cause of death. Foreign material in the lungs, if immersion was other than in clear tap water, and injuries of the face are other positive correlating factors. A thorough investigation of the circumstances and cooperation between the investigating agency and the pathologist are essential to determine the correct manner of death in these cases.

  14. Grove - Stobhill Hospital

    OpenAIRE

    Urquhart, Donald

    2009-01-01

    Grove - Stobhill Hospital; A series of permanent artworks installed within the new build Stobhill Hospital in Glasgow, with the artists Ken Dingwall, Olwen Shone and Andreas Karl Shulze made in response to text works by Thomas A Clark. Project managed by Reiach and Hall Architects & Chris Fremantle. Commissioned by NHS Greater Glasgow & Clyde. Applying a conceptual approach to landscape representation the works examine the therapeutic aspect of contemporary art within an architectural...

  15. Trick questions: cosmopolitan hospitality

    OpenAIRE

    Eleanor Byrne

    2013-01-01

    Byrne’s paper consists of two parallel texts. The first explores the limits of cosmopolitanism in practice, taking as its subject the Life in the UK Citizenship Test, inaugurated under the Labour Government in 2005. It argues that the test exemplifies the predicament of all attempts at cosmopolitan hospitality as unconditional welcoming, through a discussion of the relation between questioning and welcoming the stranger. Establishing the relationship between cosmopolitanism and hospitality a...

  16. Toward a network hospitality

    OpenAIRE

    Germann Molz, Jennie

    2014-01-01

    The growing popularity of online hospitality exchange networks like Couchsurfing and Airbnb point toward a new paradigm of sociality for a mobile and networked society as hospitable encounters among friends and strangers become entangled with social media and networking technologies. Inspired by Andreas Wittel’s notion of ‘network sociality’, this paper introduces the concept of ‘network hospitality’ to describe the kind of sociality that emerges around these new mobile, peer–to–peer, and onl...

  17. [Hospital organizational structure].

    Science.gov (United States)

    Bittar, O J

    1994-01-01

    The basic point for an Institution to work is the existence of a definite organizational structure that puts together similar areas allowing decisions and the operationalization of different tasks. Knowledge and analysis of structures of private and public hospitals and a bibliography review about the issue is the purpose of this paper. Suggestions are given about the elaboration of small structures and the utilization of matrix management in order to accomplish the hospitals objectives.

  18. Hacking the hospital environment

    DEFF Research Database (Denmark)

    Boisen, Kirsten A; Boisen, Anne Bank; Thomsen, Stine Legarth;

    2016-01-01

    BACKGROUND: There is a need for youth-friendly hospital environments as the ward environment may affect both patient satisfaction and health outcomes. OBJECTIVE: To involve young people in designing youth-friendly ward environment. METHODS: We arranged a design competition lasting 42 h (Hackathon...... participation. The design concepts and ideas were in line with current evidence regarding pleasing hospital environment and youth-friendly inpatient facilities and may be applicable to other young patients....

  19. Nutrition support in hospitals

    DEFF Research Database (Denmark)

    Kondrup, Jens

    2005-01-01

    Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance.......Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance....

  20. The Child's Conception of Space.

    Science.gov (United States)

    Piaget, Jean; Inhelder, Barbel

    This book deals with the development of the child's notion about space. The authors' investigations have been concerned with the order and manner in which children begin to imagine or visualize the various spatial entities and spatial characteristics of objects. They report that the child first recognizes various objects by sense of touch alone…

  1. Child Maltreatment and Adolescent Development

    Science.gov (United States)

    Trickett, Penelope K.; Negriff, Sonya; Ji, Juye; Peckins, Melissa

    2011-01-01

    Child abuse and neglect, often collectively called child maltreatment, are huge social problems affecting millions of children and adolescents in America. Adolescents are affected both by maltreatment which occurred during childhood with lingering effects and by maltreatment that continues into or begins in adolescence. Several decades of research…

  2. Jamaican American Child Disciplinary Practices

    Science.gov (United States)

    Carter, Stephaney

    2011-01-01

    Little is known about child disciplinary practices in Jamaican American families. Literature on child discipline in Jamaica and other Caribbean nations has mainly focused on physical discipline, and no empirical studies have investigated the types of discipline used in the Jamaican American community. The purpose of this study was to describe…

  3. Illinois: Child Care Collaboration Program

    Science.gov (United States)

    Center for Law and Social Policy, Inc. (CLASP), 2012

    2012-01-01

    The Illinois Child Care Collaboration Program promotes collaboration between child care and other early care and education providers, including Early Head Start (EHS), by creating policies to ease blending of funds to extend the day or year of existing services. While no funding is provided through the initiative, participating programs may take…

  4. Identifying the Gifted Child Humorist.

    Science.gov (United States)

    Fern, Tami L.

    1991-01-01

    This study attempted to identify gifted child humorists among 1,204 children in grades 3-6. Final identification of 13 gifted child humorists was determined through application of such criteria as funniness, originality, and exemplary performance or product. The influence of intelligence, development, social factors, sex differences, family…

  5. Child Abuse and Mandated Reporting

    Science.gov (United States)

    Woika, Shirley; Bowersox, Carissa

    2013-01-01

    Teachers and teachers-in-training are mandated reporters; they are legally required to report any suspected child abuse or neglect. This article describes: (1) How to file a report; (2) How prevalent child abuse is; (3) What abuse is; (4) What it means to be a mandated reporter; (5) When the report should be made; and (6) What to do if abuse is…

  6. Child Malnutrition and Antenatal Care

    NARCIS (Netherlands)

    N. Forero-Ramirez; L.F. Gamboa (Luis); A.S. Bedi (Arjun Singh); R.A. Sparrow (Robert)

    2014-01-01

    markdownabstract__Abstract__ Objective. To examine the effect of prenatal care (PNC) on the level and distribution of child stunting in three Andean countries—Bolivia, Colombia, and Peru—where expanding access to such care has been an explicit policy intervention to tackle child malnutrition in ute

  7. Child mortality in rural India

    NARCIS (Netherlands)

    B. van der Klaauw (Bas); L. Wang (Lihong)

    2011-01-01

    textabstractThis paper focuses on infant and child mortality in rural areas of India. We construct a flexible duration model, which allows for frailty at multiple levels and interactions between the child's age and individual, socioeconomic, and environmental characteristics. The model is estimated

  8. The Child Welfare Cartel, "Redux"

    Science.gov (United States)

    Stoesz, David

    2016-01-01

    In response to "The Child Welfare Cartel," defenders of the National Child Welfare Workforce Institute (NCWWI) make three errors: First, restricting federal funds to schools of social work is "not" authorized by the statute cited in the creation of NCWWI. Second, social work is "not" the only discipline engaged in…

  9. What Are Good Child Outcomes?

    Science.gov (United States)

    Moore, Kristin Anderson; Evans, V. Jeffery; Brooks-Gunn, Jeanne; Roth, Jodie

    This paper considers the question "What are good child outcomes?" from the perspectives of developmental psychology, economics, and sociology. Section 1 of the paper examines good child outcomes as characteristics of stage-salient tasks of development. Section 2 emphasizes the acquisition of "human capital," the development of productive traits…

  10. Postpartum Depression and Child Development.

    Science.gov (United States)

    Murray, Lynne, Ed.; Cooper, Peter J., Ed.

    Only recently has the research on postpartum depression dealt with the disorder's effects on child development. This book explores the impact of postpartum depression on mother-infant interaction and child development, its treatment, and postpartum psychosis. The chapters are: (1) "The Nature of Postpartum Depressive Disorders" (Michael O'Hara);…

  11. Sisters in Dutch hospitals.

    Science.gov (United States)

    van den Bergh-Braam, A H

    1985-11-01

    This study focuses on hospital sisters in 30 Dutch hospitals. The so-called role-set approach has been adopted. In this approach the sisters are the focal persons. Direct superiors, specialists, registered nurses and student nurses acted as role-senders. The possible number of respondents is 600 (120 of each group). The response of hospital sisters is 100%, that of role-senders 88%. The study started out as an attempt to collect background information on the causes of wastage of sisters. High wastage rates are generally regarded as an indication of an unfavourable working environment. Since hospital sisters occupy a key position in hospitals, the ward problems will be studied from their angle. Although wastage rates have dropped recently, it does not necessarily follow that the working environment has improved. Wastage is known to act as a safety valve, thus allowing tensions to resolve. The threat of unemployment clogs this outlet, which increases the tensions on the hospital ward. Data from the study show that work overload is one of the major stress factors for sisters. Analyses demonstrated that there exists a relationship between work overload and tensions with the management and direct superiors, tensions in job execution, irritableness on the ward, low self-esteem, health complaints and psychological condition. Sisters with an excessive job involvement refer to work overload more often than their moderate colleagues. There is a relationship between an unfavourable working environment and irritableness of sisters.

  12. Instilling eye drops and ointment in a baby or young child

    Directory of Open Access Journals (Sweden)

    Ingrid Mason

    2010-03-01

    Full Text Available Extra care is necessary when instilling eye drops and eye ointment in babies and children. It is also important that parents and carers are taught how to continue the treatment when the child leaves the eye clinic or hospital setting. Allow parents to practice, and supervise and support them until they feel confident to do it on their own.

  13. An epidemiological perspective on gastroenteritis in child day care centers : Assessment of impact and risk

    NARCIS (Netherlands)

    Enserink, R.

    2014-01-01

    The impact of gastroenteritis related to Dutch DCCs is substantial, particularly among the very young attendees. Attending a DCC roughly doubles a child’s probability of experiencing an episode of gastroenteritis that requires a visit to a general practitioner or hospital. A child might experience a

  14. Rural-Urban Disparities in Child Abuse Management Resources in the Emergency Department

    Science.gov (United States)

    Choo, Esther K.; Spiro, David M.; Lowe, Robert A.; Newgard, Craig D.; Hall, Michael Kennedy; McConnell, Kenneth John

    2010-01-01

    Purpose: To characterize differences in child abuse management resources between urban and rural emergency departments (EDs). Methods: We surveyed ED directors and nurse managers at hospitals in Oregon to gain information about available abuse-related resources. Chi-square analysis was used to test differences between urban and rural EDs.…

  15. Insufficient knowledge about battered child syndrome among doctors in the emergency department

    DEFF Research Database (Denmark)

    Villadsen, Jenny Korsgaard; Bersang, Ann Buhl; Thorninger, Rikke;

    2014-01-01

    The aim of the study was to determine the present knowledge regarding battered child syndrome (BCS) among doctors in the emergency department. Nineteen doctors with different educational levels from seven hospitals in Denmark were interviewed. For children younger than 18 months, 68%, 65% and 25...

  16. Curricular Adaptations in Inpatient Child Psychiatry for the 21st Century: The Flexner Model Revisited

    Science.gov (United States)

    Bell, Cathy K.; Guerrero, Anthony; Matsu, Courtenay; Takeshita, Junji; Haning, William; Schultz, Karen

    2010-01-01

    Objective: The authors describe curricular modifications created in response to the changing culture of medical education, health care systems, academic medicine, and generational differences. The authors propose a model child psychiatry inpatient curriculum that is sustainable within a community teaching hospital in the 21st century. Methods: The…

  17. Facilitators and barriers to screening for child abuse in the emergency department

    NARCIS (Netherlands)

    E.C.F.M. Louwers (Eveline (Eefje)); I.J. Korfage (Ida); M.J. Affourtit (Marjo); H.J. de Koning (Harry); H.A. Moll (Henriëtte)

    2012-01-01

    textabstractBackground: To identify facilitators of, and barriers to, screening for child abuse in emergency departments (ED) through interviews with ED staff, members of the hospital Board, and related experts.Methods: This qualitative study is based on semi-structured interviews with 27 profession

  18. Child sexual abuse in Minna, Niger State Nigeria

    Directory of Open Access Journals (Sweden)

    I Abdulkadir

    2011-01-01

    Full Text Available Background: Child sexual abuse is a widespread form of child abuse that has remained the most under-reported. In our communities, much remains unknown of this act which often leaves victims traumatised with unsavoury memory that tends to affect their psychosocial development. The study evaluted the socio-demographic features and the nature of sexual abuse as seen in the outpatient department of general hospital Minna, Niger state. Patients and Methods: The case notes of patients who presented to the General Out-patient Department (GOPD of General Hospital Minna were analysed for cases, of sexual assault, sexual abuse or rape seen between January 2008 and December 2008. Results: A total of 32 cases were seen, 90.1% of whom were children less than 17 years old; 75% were aged 6 - 15 years. All the cases were of the penile penetrative type (vaginal in girls and anal in boys. All the perpetrators were adult males known to, and resident in, the neighbourhood of their victims. Conclusion: There is need to build the capacity of health care providers to enable them manage child sexual abuse and its long-term effects in Minna.

  19. Child maltreatment: Abuse and neglect

    Directory of Open Access Journals (Sweden)

    Bengü Pala

    2011-03-01

    Full Text Available Each year, millions of children around the world are the victims and witnesses of physical, sexual and emotional violence. Child maltreatment is a major global problem with a serious impact on the victims’ physical and mental health, well-being and development throughout their lives and, by extension, on society in general. Family physicians who are involved in the care of children are likely to encounter child abuse and should be able to recognize its common presentations. There is sufficient evidence that child maltreatment can be prevented. The ultimate goal is to stop child maltreatment before it starts.In this paper, the characteristics of the perpetrators and victims of child maltreatment, maltreatment types, risk factors, differential diagnosis and discuss about strategies for preventing were summarized.

  20. Organization of Nursing work regarding the integration of family care for hospitalized children

    OpenAIRE

    Janaína Lopes da Silva; Emelynne Gabrielly de Oliveira Santos; Cintia Capistrano Teixeira Rocha; Cecília Nogueira Valença; Osvaldo de Góes Bay Júnior

    2016-01-01

    Objective: to discuss the organization of Nursing technician’s work in the interface of the care of family members of hospitalized children and to identify their perception of the insertion of family in caring for this child. Methods: this is an exploratory descriptive study with a qualitative approach, undertaken in the pediatric inpatient unit of a university hospital with six Nursing technicians, through semi-structured interviews. Results: professionals realized the importance of the fami...

  1. Magical attachment: Children in magical relations with hospital clowns

    Directory of Open Access Journals (Sweden)

    Lotta Linge

    2012-02-01

    Full Text Available The aim of the present study was to achieve a theoretical understanding of several different-age children's experiences of magic relations with hospital clowns in the context of medical care, and to do so using psychological theory and a child perspective. The method used was qualitative and focused on nine children. The results showed that age was important to consider in better understanding how the children experienced the relation with the hospital clowns, how they described the magical aspects of the encounter and how they viewed the importance of clown encounters to their own well-being. The present theoretical interpretation characterized the encounter with hospital clowns as a magical safe area, an intermediate area between fantasy and reality. The discussion presented a line of reasoning concerning a magical attachment between the child and the hospital clowns, stating that this attachment: a comprised a temporary relation; b gave anonymity; c entailed reversed roles; and d created an emotional experience of boundary-transcending opportunities.

  2. Children in Different Activities: Child Schooling and Child Labour

    OpenAIRE

    Rana Ejaz Ali Khan

    2003-01-01

    Using primary data from two districts of Pakistan, this article analyses the supplyside determinants of child labour. The study finds that the birth-order of the child has a significant association with schooling and labour decision of child: first school enrolment of children is delayed; there exists gender disparity in favour of male children; the children from female-headed households are more likely to go to school; the education of the head of household has a positive impact on child’s s...

  3. Anesthetizing the obese child

    DEFF Research Database (Denmark)

    Mortensen, Anette; Lenz, Katja; Abildstrøm, Hanne;

    2011-01-01

    The prevalence of childhood obesity is increasing. The focus of this review is the special anesthetic considerations regarding the perioperative management of obese children. With obesity the risk of comorbidity such as asthma, obstructive sleep apnea, hypertension, and diabetes increases....... The obese child has an increased risk of perioperative complications especially related to airway management and ventilation. There is a significantly increased risk of difficult mask ventilation and perioperative desaturation. Furthermore, obesity has an impact on the pharmacokinetics of most anesthetic...... drugs. This has important implications on how to estimate the optimal drug dose. This article offers a review of the literature on definition, prevalence and the pathophysiology of childhood obesity and provides suggestions on preanesthetic evaluation, airway management and dosage of the anesthetic...

  4. [An experience in applying Watson's theory in caring for an enterovirus-infected child and his primary caregiver].

    Science.gov (United States)

    Wen, Shu-Hui; Wu, Li-Min

    2004-06-01

    Enterovirus is commonly seen in children. Its morbidity and mortality rate is about 18% (Department of Health, the Executive Yuan, 2003). This paper documents the use of Watson's theory in the care of a child aged two years and seven months and his primary caregiver. During the nursing process, the application of care and concern for the child and primary caregiver provided confidence, comfort, and relief of fear and anxiety caused by hospitalization, enabling the patient, during his time in hospital, to make physical and psychological progress. The caregiver was also able to gain an understanding of how to care for a child with enterovirus, which diminished some of the pressure caused by his admission to hospital and placed him and his family at the center of the nursing care.

  5. STUDY OF MATERNAL MORTALITY IN A TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Sandhya Devi

    2015-05-01

    Full Text Available BACKGROUND: A woman dies from complications of child birth every minute . The major causes for maternal mortality in India are uncontrolled fertility , inaccessibility or inadequate utilization of health care facilities , illiteracy , ignorance and gender discrimination . OBJECTIV ES: (1 To identify various causes of maternal deaths in a teaching hospital . (2 To study the profile of population attending the tertiary hospital . Methodology : A retrospective study was conducted in a tertiary hospital over a period of 2 years (January 2013 - December 2014 and data was analysed manually using case sheets and maternal death audit forms . RESULTS: In the study period , there were 11636 deliveries and 97 maternal deaths . The direct causes accounted for 77 maternal deaths with haemorrhage , hype rtension and sepsis as leading causes of maternal mortality . Conclusion : Emphasis on health education , need for regular antenatal checkups and proper training of health personnel is required to reduce maternal mortality .

  6. Trick questions: cosmopolitan hospitality

    Directory of Open Access Journals (Sweden)

    Eleanor Byrne

    2013-08-01

    Full Text Available Byrne’s paper consists of two parallel texts. The first explores the limits of cosmopolitanism in practice, taking as its subject the Life in the UK Citizenship Test, inaugurated under the Labour Government in 2005. It argues that the test exemplifies the predicament of all attempts at cosmopolitan hospitality as unconditional welcoming, through a discussion of the relation between questioning and welcoming the stranger. Establishing the relationship between cosmopolitanism and hospitality as envisaged in Derrida’s reading of Kant it asks what kind of cosmopolitan hospitality is either possible or desirable by exploring what Derrida calls the ‘perversions’ inherent in the structures of hospitality. It focuses on the concept of the ‘trick questions’ that the state asks the foreigner observed by Derrida in his reading of The Apology of Socrates; questions that seem to invite answers but foreclose the possibilities of a free response. The second text asks how this logic that Derrida identifies can be pushed or coaxed into new ways of addressing the perceived threats of ‘unconditional’ hospitality through a reading of ‘unconditional hospitality’ as queer in the work of Tove Jansson.

  7. Religiousness in hospitals

    Directory of Open Access Journals (Sweden)

    John Koutelekos

    2011-10-01

    Full Text Available The aim of the present study was to review the literature about religiousness within hospitals. The method οf this study included bibliography research from both the review and the research literature, in the "pubmed data base" which referred to the religiousness within hospitals. Results : According to the literature research an administrative institution, such as hospital does not include only one culture but on the contrary many different cultures that interact since health professionals have their own background. Hospital as a place of special care, that has its' own culture, is expected to fulfill patients' needs (family, social, occupational, health and disease. Faith is encouraged in hospitals where the icons and Christian churches are prevalent, while faith individuals express their deeper need for pray. The tendency of religious individuals to ask for an upper support mainly in difficult circumstances such as for recovery in the clinical environment is deeply rooted in its' soul and consists an element of its' nature. Conclusions: In contemporary Greek reality, medical science has always had at the practice a great charity: religion.

  8. Factors associated with caregiver burden in a child and adolescent psychiatric facility in Lagos, Nigeria: a descriptive cross sectional study

    OpenAIRE

    Dada Mobolaji U; Okewole Niran O; Ogun Oluyemi C; Bello-Mojeed Mashudat A

    2011-01-01

    Abstract Background Definitions of burden of care stress the effect of the patient's mental illness on the family. There are generally very few studies in this environment on caregiver burden in child/adolescent mental ill-health. This study aimed to identify patient and caregiver characteristics that are associated with caregiver burden. Method Caregivers of patients attending the Child and Adolescent Clinic of the Neuropsychiatric Hospital, Yaba, Lagos [n = 155] were consecutively recruited...

  9. Factors associated with caregiver burden in a child and adolescent psychiatric facility in Lagos, Nigeria: a descriptive cross sectional study

    OpenAIRE

    Mobolaji U Dada; Okewole, Niran O; Ogun, Oluyemi C; Bello-Mojeed, Mashudat A.

    2011-01-01

    Background Definitions of burden of care stress the effect of the patient's mental illness on the family. There are generally very few studies in this environment on caregiver burden in child/adolescent mental ill-health. This study aimed to identify patient and caregiver characteristics that are associated with caregiver burden. Method Caregivers of patients attending the Child and Adolescent Clinic of the Neuropsychiatric Hospital, Yaba, Lagos [n = 155] were consecutively recruited over a o...

  10. Child neurology: Past, present, and future: part 1: history.

    Science.gov (United States)

    Millichap, John J; Millichap, J Gordon

    2009-08-18

    The founding period of child neurology occurred in 3 phases: 1) early individual contributory phase, 2) organized training phase, and 3) expansion phase. In the late 19th and early 20th centuries, individuals in pediatrics, neurology, and psychiatry established clinics and made important contributions to the literature on childhood epilepsy, cerebral palsy, and pediatric neurology. The latter half of the 20th century saw the organization of training programs in pediatric neurology, with fellowships supported by the NIH. This development was followed by a rapid expansion in the number of trainees certified in child neurology and their appointment to divisions of neurology in children's hospitals. In recent years, referrals of children with neurologic disorders have increased, and disorders previously managed by pediatricians are often seen in neurology clinics. The era of subspecialization is embraced by the practicing physician. The present day status of pediatric neurology and suggestions for the future development of the specialty are subjects for further discussion.

  11. Unusual Presentation of Dengue Fever; A child with acute myocarditis

    Directory of Open Access Journals (Sweden)

    Moaz Aslam

    2016-02-01

    Full Text Available Dengue fever (DF is an acute febrile illness that follows a self-limiting course. However, some patients suffer from complications, including myocarditis, due to the involvement of other organs. A child presented at the Aga Khan University Hospital in Karachi, Pakistan, in June 2013 with a high-grade fever, malaise and epigastric pain radiating to the chest. Positive DF antigen and immunoglobulin M assays confirmed the diagnosis of DF. Persistent bradycardia with low blood pressure led to further cardiac investigations which showed a decreased ejection fraction and raised serum cardiac enzymes, indicating myocardial damage. With supportive care and use of inotropes, the spontaneous normalisation of cardiac enzyme levels and ejection fraction was observed. The child was discharged five days after admission. This case highlights the importance of identifying myocarditis in DF patients suffering from cardiac symptoms that are not explained by other potential aetiologies. Awareness, early suspicion and supportive care are essential to ensure favourable outcomes.

  12. Munchausen syndrome by proxy: an alarming face of child abuse.

    Science.gov (United States)

    Gehlawat, Pratibha; Gehlawat, Virender Kumar; Singh, Priti; Gupta, Rajiv

    2015-01-01

    Munchausen syndrome by proxy (MSBP) is emerging as a serious form of child abuse. It is an intentional production of illness in another, usually children by mothers, to assume sick role by proxy. It is poorly understood and a controversial diagnosis. Treatment is very difficult. We present a case of 9-year-old boy brought to Pt. B. D. Sharma, PGIMS, Rohtak, a tertiary care hospital in northern India by his father and paternal uncle with complaints of hematemesis since July 2012. He underwent many invasive procedures until the diagnosis of MSBP was finally considered. The examination of the blood sample confirmed the diagnosis. The child was placed under custody of his mother. The case was reported to social services, which incorporated whole family in the management. PMID:25722520

  13. Munchausen syndrome by proxy: An alarming face of child abuse

    Directory of Open Access Journals (Sweden)

    Pratibha Gehlawat

    2015-01-01

    Full Text Available Munchausen syndrome by proxy (MSBP is emerging as a serious form of child abuse. It is an intentional production of illness in another, usually children by mothers, to assume sick role by proxy. It is poorly understood and a controversial diagnosis. Treatment is very difficult. We present a case of 9-year-old boy brought to Pt. B. D. Sharma, PGIMS, Rohtak, a tertiary care hospital in northern India by his father and paternal uncle with complaints of hematemesis since July 2012. He underwent many invasive procedures until the diagnosis of MSBP was finally considered. The examination of the blood sample confirmed the diagnosis. The child was placed under custody of his mother. The case was reported to social services, which incorporated whole family in the management.

  14. Oral manifestations of a child with chronic vomiting.

    Science.gov (United States)

    Kim, Seong-Oh; Kwak, Ji-Youn; Choi, Byung-Jai; Lee, Jae-Ho

    2005-01-01

    Perimolysis is a type of intrinsic erosion--an irreversible dental demineralization linked to chronic regurgitation--which causes teeth to be more susceptible to dental caries. The purpose of this case report was to study a 35-month-old chronic vomiting child who visited the Department of Pediatric Dentistry in Yonsei Dental Hospital, Seoul, South Korea, for an evaluation of and treatment for the loss of tooth structure of his primary teeth. To prevent further destruction of the teeth and maintain occlusal height, all the posterior teeth were restored with stainless steel crowns and all the anterior teeth were restored with resin veneer crowns after pulpal treatment under general anesthesia. Therefore, when a child suffering from chronic vomiting visits a pediatric dental clinic, it is prudent to: (1) perform all possible dental treatment to control vomiting's adverse influences on the oral structures; and (2) refer the patient to a pediatrician to determine the cause of vomiting. PMID:16294931

  15. CLINICAL-EPIDEMIOLOGICAL ISSUES OF ACQUIRED CHILD METHEMOGLOBINEMIA

    Directory of Open Access Journals (Sweden)

    Letiția-Doina DUCEAC

    2016-03-01

    Full Text Available Nowadays, intoxication with nitrates continues to represent an important aspect in child pathology. Methemoglobinemia symptoms appear when the human body is exposed to high amounts of toxic compounds.The aim of this work was to evaluate the main clinical, biological and development issues of affected patients hospitalized in a specialized clinic. Acquired methemoglobinemia cases of the ”blue child syndrome” type are more frequent than in born ones. The factors considered for the study were the environment from which patients came, a thorough clinical inspection, data on age, nutrition, methemoglobinemia values, other treatments followed, associated diseases and evolution prognosis. The conclusion of the investigation was that a low living standard, a poor health education, the climate, the presence of ground fertilizers and the type of nourishment determined a significant increase of methemoglobinemia patients.

  16. A case of emmonsiosis in an HIV-infected child

    Directory of Open Access Journals (Sweden)

    Harsha Lochan

    2015-04-01

    Full Text Available Opportunistic fungal infections can cause significant morbidity and mortality in immunocompromised patients. We describe a paediatric case of an unusual disseminated fungal infection. A three-year-old HIV-infected child with severe immunosuppression (CD4+ T-cell count 12 × 106 /L was admitted to hospital with pneumonia, gastroenteritis and herpes gingivostomatitis. Despite antibacterial and antiviral therapy, he experienced high fevers and developed an erythematous maculopapular rash and abdominal tenderness. The child’s condition progressively worsened during the admission. A thermally dimorphic fungus was cultured from bone marrow and identified as an Emmonsia species on DNA sequencing. The patient made a good recovery on amphotericin B deoxycholate and antiretroviral therapy. Itraconazole was continued for a minimum of 12 months, allowing for immune reconstitution to occur. This case is the first documented description of disseminated disease caused by a novel Emmonsia species in an HIV-infected child in South Africa.

  17. The Cognitive Dissonance between Child Rescue and Child Protection

    NARCIS (Netherlands)

    K.E. Cheney (Kristen)

    2015-01-01

    textabstract‘Saving orphans’ has become an industry that irrevocably harms children and undermines the development of child welfare systems. We must replace the drive to rescue with the desire to protect.

  18. Diagnostic imaging of child abuse

    International Nuclear Information System (INIS)

    This book provides a description for all the known radiological alterations occurring in child abuse. This allows for precise interpretation of findings by radiologists. It also helps eliminate the confusion among both clinicians and non-medical personnel involved in the diagnosis, management, and legal issues related to child abuse. CONTENTS: Introduction; Skeletal trauma: general considerations; Extremity trauma; Bony thoracic trauma; Spinal trauma; Dating fractures; Visceral trauma; Head trauma; Miscellaneous forms of abuse and neglect; The postmortem examination; Differential diagnosis of child abuse; Legal considerations; Psychosocial considerations; Technical considerations and dosimetry

  19. Foster Care and Child Health.

    Science.gov (United States)

    McDavid, Lolita M

    2015-10-01

    Children in foster care need more from health providers than routine well-child care. The changes in legislation that were designed to prevent children from languishing in foster care also necessitate a plan that works with the child, the biological family, and the foster family in ensuring the best outcome for the child. This approach acknowledges that most foster children will return to the biological family. Recent research on the effect of adverse childhood experiences across all socioeconomic categories points to the need for specifically designed, focused, and coordinated health and mental health services for children in foster care.

  20. Internal auditing in hospitals.

    Science.gov (United States)

    Edwards, Don; Kusel, Jim; Oxner, Tom

    2003-01-01

    The authors analyzed two national surveys to determine answers for two basic questions: How do the roles of internal auditors compare with those of their counterparts in other industries and to what extent over the past 6 years have the activities of internal auditors changed? Internal auditors in hospitals allocate their time primarily to financial/compliance and operational types of audits, as do their counterparts. The current trend is toward more operational types of audits. In the early years of employment, staff turnover in hospitals is significantly higher than in all combined industries, often leading to internal auditors' filling other positions in the organization. Hospital staff salaries are higher than are salaries in other industries combined. Staff composition continues to reflect the growing presence of women in the field. The majority of internal auditing directors believe that their salaries are fair, would recommend internal auditing as a career position, and are treated as valued consultants in the organization.

  1. Child nutrition, child health, and school enrollment : a longitudinal analysis

    OpenAIRE

    Alderman, Harold; Behrman, Jere R.; Lavy, Victor; Menon, Rekha

    1997-01-01

    Better health and nutrition are thought to improve children's performance in school, and therefore their productivity after school. Most literature ignores the fact that child health and schooling reflect behavioral choices, so the estimated impact of health and nutrition on a child's schooling reflects biases in the studies. Using an explicit dynamic model for preferred estimates, the authors use longitudinal data to investigate how children's health and nutrition affect school enrollment in...

  2. Hospital Prices Increase in California, Especially Among Hospitals in the Largest Multi-hospital Systems

    Directory of Open Access Journals (Sweden)

    Glenn A. Melnick PhD

    2016-06-01

    Full Text Available A surge in hospital consolidation is fueling formation of ever larger multi-hospital systems throughout the United States. This article examines hospital prices in California over time with a focus on hospitals in the largest multi-hospital systems. Our data show that hospital prices in California grew substantially (+76% per hospital admission across all hospitals and all services between 2004 and 2013 and that prices at hospitals that are members of the largest, multi-hospital systems grew substantially more (113% than prices paid to all other California hospitals (70%. Prices were similar in both groups at the start of the period (approximately $9200 per admission. By the end of the period, prices at hospitals in the largest systems exceeded prices at other California hospitals by almost $4000 per patient admission. Our study findings are potentially useful to policy makers across the country for several reasons. Our data measure actual prices for a large sample of hospitals over a long period of time in California. California experienced its wave of consolidation much earlier than the rest of the country and as such our findings may provide some insights into what may happen across the United States from hospital consolidation including growth of large, multi-hospital systems now forming in the rest of the rest of the country.

  3. Drawing Hospital Foodscapes

    DEFF Research Database (Denmark)

    Tvedebrink, Tenna Doktor Olsen; Fisker, Anna Marie; Kirkegaard, Poul Henning

    This poster presents a series of drawings depicting the initial considerations made with the Ph.D. project for an improved ‘Interior Design for Food’ in a Danish hospital ward. The project concerns a study on the ontological and symbolic interrelationship possibly existing between food and archit......This poster presents a series of drawings depicting the initial considerations made with the Ph.D. project for an improved ‘Interior Design for Food’ in a Danish hospital ward. The project concerns a study on the ontological and symbolic interrelationship possibly existing between food...

  4. London Hospital Food Project

    OpenAIRE

    Westley Consulting Ltd.,

    2004-01-01

    The aim of the London is to incresae the amount of local and organic food served in four London hospitals. It is hoped that the project will not only result in healthier and better quality meals for hospital patients, staff and visitors, but will also benefit local communities, through supporting farming and food businesses in London and the South East. It is funded by the King's Fund, Defra and the European Agricultural Guidance and Guarantee Fund, and focuses on the food served in the ...

  5. Hospitality and aesthetics

    OpenAIRE

    Bergflødt, Sigurd

    2013-01-01

    Tobias Nygren is Professor and Head of Department at the School of Hospitality, Culinary Arts, and Meal Science in Grythyttan, Sweden. He has been working for several years on meals, restaurants and hospitality. We meet at Grythyttan, and we need a few more lines to describe the place, which is quite unique in the Nordic food landscape. The School of Culinary Arts is a branch of the Örebro University and since 1993 it has offered multidisciplinary studies, combining science with practical sk...

  6. Marketing the hospital library.

    Science.gov (United States)

    Bridges, Jane

    2005-01-01

    Many librarians do not see themselves as marketers, but marketing is an essential role for hospital librarians. Library work involves education, and there are parallels between marketing and education as described in this article. It is incumbent upon hospital librarians actively to pursue ways of reminding their customers about library services. This article reinforces the idea that marketing is an element in many of the things that librarians already do, and includes a list of suggested marketing strategies intended to remind administrators, physicians, and other customers that they have libraries in their organizations. PMID:15982957

  7. Everyday Child Language Learning Early Intervention Practices

    Science.gov (United States)

    Dunst, Carl J.; Trivette, Carol M.; Raab, Melinda

    2014-01-01

    The language intervention model developed and evaluated at the Center on Everyday Child Language Learning (CECLL) is described. The model includes 4 components: interest-based child learning opportunities, the everyday family and community activities that are sources of interest-based child learning, the methods for increasing child participation…

  8. Parent-Child Interaction Therapy: Enhancing Parent-Child Relationships

    Directory of Open Access Journals (Sweden)

    Anthony J. Urquiza

    2012-07-01

    Full Text Available Disruptive child behavior problems are common problems for parents and can be associated with serious delinquent behaviors and aggressive/violent behaviors in adolescence and adulthood. Parenting interventions to address disruptive child behavior problems has gained widespread acceptance. One of these parenting interventions is Parent-Child Interaction Therapy (PCIT. PCIT is a 14- to 20-week, founded on social learning and attachment theories, designed for children between 2 and 7 years of age with disruptive, or externalizing, behavior problems. This article will provide a brief review of the history of PCIT, a description of the basic components of PCIT, and an overview of recent developments that highlight the promise of PCIT with maltreating parent-child relationships, traumatized children, and in developing resilience in young children. In addressing the three basic treatment objectives for PCIT (i.e., reduction in child behavior problems, improving parenting skills, enhancing the quality of parent-child relationships, there is an abundance of research demonstrating very strong treatment effects and therefore, its value to the field. Recent research has also demonstrated the value of PCIT in reducing trauma symptoms in young children.

  9. A Comparison of Rural and Urban Partial Hospital Programs for Children and Adolescents.

    Science.gov (United States)

    Doan, Richard J.; Petti, Theodore A.

    1990-01-01

    Compares rural and urban child and adolescent partial hospital mental health programs in Pennsylvania. Rural areas were much smaller, more exclusively served adolescents, had stronger financial and administrative links to local community health centers and special education authorities, and had more deficient educational facilities. (KS)

  10. Profile of burn sepsis challenges and outcome in an exclusive children's hospital in Chennai, India

    OpenAIRE

    Ramakrishnan, K.M.; Jayaraman, V.; Mathivanan, T.; Babu, M.; B. Ramachandran; Sankar, J.

    2012-01-01

    A group of 273 paediatric patients admitted to Kanchi Kamakoti Childs Trust Hospital Burn Unit, Chennai, India between the years 2004 to 2010 were analysed retrospectively. Of these, 89 were suffering from sepsis and septic shock and 15 died. Strict adherence to antibiotic administration and to the Paediatric Intensive Care Unit (PICU) and management protocol improved the outcome, especially in 2009 and 2010.

  11. Does biological relatedness affect child survival?

    Directory of Open Access Journals (Sweden)

    2003-05-01

    Full Text Available Objective: We studied child survival in Rakai, Uganda where many children are fostered out or orphaned. Methods: Biological relatedness is measured as the average of the Wright's coefficients between each household member and the child. Instrumental variables for fostering include proportion of adult males in household, age and gender of household head. Control variables include SES, religion, polygyny, household size, child age, child birth size, and child HIV status. Results: Presence of both parents in the household increased the odds of survival by 28%. After controlling for the endogeneity of child placement decisions in a multivariate model we found that lower biological relatedness of a child was associated with statistically significant reductions in child survival. The effects of biological relatedness on child survival tend to be stronger for both HIV- and HIV+ children of HIV+ mothers. Conclusions: Reductions in the numbers of close relatives caring for children of HIV+ mothers reduce child survival.

  12. Child Welfare Outcomes Data Portal

    Data.gov (United States)

    U.S. Department of Health & Human Services — The most current Child Welfare Outcomes data is featured on this site. Through the site, you can view the data before the full report is published. The most...

  13. Your child and the flu

    Science.gov (United States)

    ... or a cough. Other symptoms you may notice: Chills, sore muscles, and headache Runny nose Acting tired ... extra clothes, even if your child has the chills. This may keep their fever from coming down, ...

  14. A Child Becomes a Reader

    Science.gov (United States)

    ... DC: National Institute of Child Health and Human Development. Snow, C. E., Burns, M. S., & Griffin, P. (Eds.). (1998). Preventing Reading Difficulties in Young Children. Washington, DC: National Academy Press. ...

  15. Conscious Choking: Adult and Child

    Medline Plus

    Full Text Available Refresher Center Home FIRST AID, CPR and AED LIFEGUARDING Refresher Conscious Choking—Adult and Child (2:25) QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our Store ...

  16. Child health and parental relationships

    DEFF Research Database (Denmark)

    Loft, Lisbeth Trille Gylling

    2011-01-01

    Using longitudinal national-level representative data from Denmark, this study considers the link between child disability or chronic illness and parental relationship termination as measured by the point in time at which one parent, following the breakup of the relationship, no longer resides...... in the household. By means of event-history techniques, I examine whether a Danish family's experience of having a child diagnosed with a disability or chronic illness affects the chances of parental relationship termination. My findings suggest that families with a child with disabilities or chronic illness do...... have a higher risk of parental relationship termination, when compared to families where no diagnosis of child disability or chronic illness is reported....

  17. Conscious Choking: Adult and Child

    Medline Plus

    Full Text Available Refresher Center Home FIRST AID, CPR and AED LIFEGUARDING Refresher Conscious Choking—Adult and Child (2:25) QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our ...

  18. Enteral nutrition - child - managing problems

    Science.gov (United States)

    ... tube with warm water. If you have a nasogastric tube, remove and replace the tube (you will need ... child coughs or gags when you insert the nasogastric tube: Pinch the tube, and pull it out. Comfort ...

  19. When your child has diarrhea

    Science.gov (United States)

    ... ency/patientinstructions/000693.htm When your child has diarrhea To use the sharing features on this page, ... sports drinks is OK. Diet for Children With Diarrhea In many cases, you can continue feeding your ...

  20. Vitamin D and Your Child

    Science.gov (United States)

    ... 5 Things to Know About Zika & Pregnancy Vitamin D and Your Child KidsHealth > For Parents > Vitamin D ... to get it. Who's at Risk for Vitamin D Deficiency? Things like a lack of direct sunlight ...

  1. Evaluation of the enuretic child.

    Science.gov (United States)

    Rushton, H G

    1993-07-01

    Nocturnal enuresis is a symptom of environmental, physical, and psychosocial factors. In addition to a physical examination, the initial workup of the enuretic child should include a careful voiding, psychosocial, and family history. Studies have shown that the parents of enuretic children often have a history of enuresis. An increased incidence of enuresis has also been demonstrated in children from large families and lower socioeconomic groups. Daytime voiding symptoms (e.g., frequency, urgency, or enuresis) suggest the possibility of underlying voiding dysfunction. A complete urinalysis and urine culture also should be performed to exclude urinary infection and certain metabolic or nephrologic disorders. Finally, it is important that the treating physician understand the attitudes of both the child and the family concerning enuresis. Parents who feel that the child is at fault need to be educated and reassured. A careful, complete evaluation will allow the physician to tailor treatment to the individual child and family.

  2. Screening for Depression In Hospitalized Pediatric Patients

    Directory of Open Access Journals (Sweden)

    Mohammad-Reza ESMAEELI

    2014-01-01

    Full Text Available How to Cite This Article: Esmaeeli M, Erfani Sayar R, Saghebi A, Elmi Saghi, Rahmani Sh, Elmi S, Rabbani Javadi A. Screening for Depression in Hospitalized Pediatric Patients. Iran J Child Neurol. 2014 Winter; 8(1:47-51. ObjectiveIn chronically ill children who are hospitalized, many mood changes occur. For example, in children with cancer or renal failure, prolonged hospitalization and chemotherapy can lead to depression. With the improved survival of childhoodmalignancies, the effect of treatment on child’s psychosocial well-being becomes increasingly relevant. In this study, we examined the prevalence of depression in hospitalized children with chronic and acute conditions in Dr Sheikh Pediatrics Hospital in Mashhad.Materials & MethodsAfter receiving the approval from the Ethics Committee of Mashhad University of Medical Sciences, we did this cross-sectional descriptive study, from April to June 2012 in Dr Sheikh Pediatric Hospital in Mashhad. Ninety children, aged between 8 to 16 years, were screened for depression. The sampling method was census. Children with a history of depressive or other mental disorders were excluded.Three groups of children (children with chronic renal disease, malignancy, and acute disease were evaluated for depression using standard Children Depression Inventory Questionnaire (CDI. Two specifically trained nurses with the supervisionof a psychiatrist filled out the questionnaires at patients’ bedside. Depression scores were then analyzed by SPSS software.ResultsOf 90 children, 43(47.7% were male and 47(52.2% were female. The Children’s mean age was 11±2.3 years, and the mean length of hospitalization was 8±5.3 days.Depression was detected in various degrees in 63% of patients (N=57, and 36.6% of children (N=32 had no symptoms of depression. Severe depression was not seenin any of the patients with acute illness. More than half of patients with cancer and chronic kidney disease had moderate

  3. Play of a Preschool Child

    OpenAIRE

    VONDRÁČKOVÁ, Šárka

    2009-01-01

    Bachelor's thesis deals with the problems in the life of a pre -school child. The theoretical part is based on the general views and attitudes, supported by professional literature, which relate to the characteristics of the game, its importance and the diagnostic and educational opportunities. There is the part of the development characteristics of preschool age in terms of games and toys too. The research (practical) part finds out the perception of the game of pre- school child by a teache...

  4. Work, Welfare, and Child Maltreatment

    OpenAIRE

    Christina Paxson; Jane Waldfogel

    2002-01-01

    This paper examines how child maltreatment is affected by the economic circumstances of parents. 'Child maltreatment' encompasses a wide range of behaviors that adversely affect children. It includes neglect, physical abuse, sexual abuse, and other forms of abuse or neglect. Using state-level panel data on the numbers of reports and substantiated cases of maltreatment, we examine whether socioeconomic factors play different roles for these different types of maltreatment. A key finding is tha...

  5. Child's right to special care.

    Science.gov (United States)

    Sharma, A; Gupta, S

    1991-01-01

    In 1924, the League of Nations adopted the 1st international law recognizing that children have inalienable rights and are not the property of their father. The UN Declaration on the Rights of the Child emerged in 1959. 1979 was the International Year of the Child. In 1990 there was the World Summit on Children and the UN General Assembly adopted the Global Convention on the Rights of the Child. The convention included civil, economic, social, cultural, and political rights of children all of which covered survival, development, protection, and participation. At the end of 1990, 60 countries had ratified the convention, thus including it into their national legislation. Even though India had not yet endorsed the Convention by the end of 1991, it expressed its support during the 1st workshop on the Rights of the Child which focused on girls. India has a history of supporting children as evidenced by 250 central and state laws on their welfare such as child labor and child marriage laws. In 1974, India adopted the National Policy for Children followed by the establishment of the National Children's Board in 1975. The Board's activities resulted in the Integrated Child Development Services Program which continues to include nutrition, immunization, health care, preschool education, maternal education, family planning, and referral services. Despite these laws and actions, however, the Indian government has not been able to improve the status of children. For example, between 1947-88, infant mortality fell only from 100/1000 to 93/1000 live births and child mortality remained high at 33.3 in 1988 compared with 51.9 in 1971. Population growth poses the biggest problem to improving their welfare. Poverty also exacerbates their already low status. PMID:12317284

  6. Child maltreatment: Abuse and neglect

    OpenAIRE

    Bengü Pala; Murat Ünalacak; İlhami Ünlüoğlu

    2011-01-01

    Each year, millions of children around the world are the victims and witnesses of physical, sexual and emotional violence. Child maltreatment is a major global problem with a serious impact on the victims’ physical and mental health, well-being and development throughout their lives and, by extension, on society in general. Family physicians who are involved in the care of children are likely to encounter child abuse and should be able to recognize its common presentations. There is sufficien...

  7. the Parent Child Purchase Relationship

    OpenAIRE

    Nash, Catriona, (Thesis)

    2009-01-01

    This is an interpretive inquiry into the ‘parent-child purchase relationship’. This study aims to understand the parent-child purchase relationship from the consumer perspective, rather than the much reported ‘vested interest’ perspective, in order to enhance and inform an understanding of the phenomenon. Commencing with an overview of current literature, specifically that of the pester power phenomenon, to contextualise the theoretical framework, the extant construct of pester power is exami...

  8. Combating Child Obesity in America

    OpenAIRE

    Canavan, Erin

    2006-01-01

    This paper examines the child obesity epidemic that is gripping our nation, and explores various causes and treatments that may help to defeat child obesity. First there is a description of the obesity epidemic, its causal factors, and its consequences. Additionally there is a summary and critique of the FDA’s obesity report and recommendations. There is a description of drug treatments that are available for obese children and why more research is necessary to ensure the s...

  9. Irish child sexual abuse victims attending a specialist centre

    OpenAIRE

    O'Riordan, Beth; Carr, Alan.; Turner, Rhonda

    2003-01-01

    We profiled a cohort of CSA cases referred for assessment to a specialist child sexual abuse (CSA) centre in a national paediatric hospital in Ireland. Historical and clinical data were drawn from records of 171 cases. The majority of cases were referred by social workers following purposeful disclosure of CSA. Three quarters of the cases were female with a mean age of 9 years. They were from a wide spectrum of socioeconomic groups and many had suffered a range of family adversities. In most ...

  10. Mothers’ approach to feverish child and fever phobia Original Article

    OpenAIRE

    Esenay, Figen Işık; İşler, Ayşegül; Kurugöl, Zafer; Conk, Zeynep; KOTUROĞLU, Güldane

    2007-01-01

    Aim: This study was planned to determine mother’s knowledge thoughts and attitudes about fever fever phobia fear situations and related factors Material and Method: The study was carried out with 426 mothers who had a child aged between 0 to 6 years and who were admitted to the pediatric policlinic of Ege University Hospital in a four month period Data was collected using a questionnaire form that included 17 open ended and multiple choiced questions; the results were evaluated using the numb...

  11. Does biological relatedness affect child survival?

    OpenAIRE

    David Bishai; Heena Brahmbhatt; Ron Gray; Godfrey Kigozi; David Serwadda; Nelson Sewankambo; El Daw Suliman; Fred Wabwire-Mangen; Maria Wawer

    2003-01-01

    Objective: We studied child survival in Rakai, Uganda where many children are fostered out or orphaned. Methods: Biological relatedness is measured as the average of the Wright’s coefficients between each household member and the child. Instrumental variables for fostering include proportion of adult males in household, age and gender of household head. Control variables include SES, religion, polygyny, household size, child age, child birth size, and child HIV status. Results: Presence of ...

  12. Social Media Use in Child Welfare Practice

    OpenAIRE

    Todd Edward Sage; Melanie Sage

    2016-01-01

    The scholarly child welfare literature offers little information about the use of social media by child welfare workers. We conducted a study of 171 child welfare workers across several states using an online survey. The resulting data offer insights from workers about current practices related to social media use in a child welfare work setting. Most respondents see social media as an acceptable tool for conducting child welfare assessments. Respondents describe strains and benefits of socia...

  13. Hospitals Embrace SMS Technology

    Institute of Scientific and Technical Information of China (English)

    Julie Clothier; 张琳

    2004-01-01

    @@ It is great for organizing meetings, to tell someone a piece of information and even voting for your favorite "Big Brother"① housemate. Now, text messaging is increasingly being used by UK hospitals to remind patients about outpatient② appointments-and could potentially save the National Health Service③ millions of pounds every year.

  14. Responsible Hospitality. Prevention Updates

    Science.gov (United States)

    Colthurst, Tom

    2004-01-01

    Responsible Hospitality (RH)--also called Responsible Beverage Service (RBS)--encompasses a variety of strategies for reducing risks associated with the sale and service of alcoholic beverages. RH programs have three goals: (1) to prevent illegal alcohol service to minors; (2) to reduce the likelihood of drinkers becoming intoxicated; and (3) to…

  15. Hospital restructuring and burnout.

    Science.gov (United States)

    Greenglass, Esther R; Burke, Ronald J

    2002-01-01

    Increasingly, organizations are experiencing changes as a result of extensive downsizing, restructuring, and merging. In Canada, government-sponsored medicine has been affected as hospitals have merged or closed, reducing essential medical services and resulting in extensive job loss for hospital workers, particularly nurses. Hospital restructuring has also resulted in greater stress and job insecurity in nurses. The escalation of stressors has created burnout in nurses. This study examines predictors of burnout in nurses experiencing hospital restructuring using the MBI-General Survey which yields scores on three scales: Emotional exhaustion, Cynicism, and Professional efficacy. Multiple regressions were conducted where each burnout scale was the criterion and stressors (e.g., amount of work, use of generic workers to do nurses' work), restructuring effects, social support, and individual resources (e.g., control coping, self-efficacy, prior organizational commitment) were predictors. There were differences in the amount of variance accounted for in the burnout components by stressors and resources. Stressors contributed most to emotional exhaustion and least to professional efficacy. Individual resources were more likely to contribute to professional efficacy and least to emotional exhaustion. Stressors and resources accounted for approximately equal amounts of variance in cynicism. Three conclusions were drawn. First, present findings parallel others by showing that individual coping patterns contribute to professional efficacy. Second, emotional exhaustion was found to be the prototype of stress. Third, prior organizational commitment, self-efficacy, and control coping resulted in lower burnout.

  16. Hospitals as food arenas

    DEFF Research Database (Denmark)

    Poulsen, Signe; Jørgensen, Michael Søgaard

    2010-01-01

    also identified. Research limitations: The assessment of the dietary changes based on the canteen take-away food was only based on indirect assessments based on interviews with users and non-users and furthermore based on a questionnaire at one of the hospitals. Value/originality: Canteen take...

  17. Speech intelligibility in hospitals.

    Science.gov (United States)

    Ryherd, Erica E; Moeller, Michael; Hsu, Timothy

    2013-07-01

    Effective communication between staff members is key to patient safety in hospitals. A variety of patient care activities including admittance, evaluation, and treatment rely on oral communication. Surprisingly, published information on speech intelligibility in hospitals is extremely limited. In this study, speech intelligibility measurements and occupant evaluations were conducted in 20 units of five different U.S. hospitals. A variety of unit types and locations were studied. Results show that overall, no unit had "good" intelligibility based on the speech intelligibility index (SII > 0.75) and several locations found to have "poor" intelligibility (SII SII than unoccupied spaces on average. Additionally, staff perception of communication problems at nurse stations was significantly correlated with SII ratings. In a targeted second phase, a unit treated with sound absorption had higher SII ratings for a larger percentage of time as compared to an identical untreated unit. Taken as a whole, the study provides an extensive baseline evaluation of speech intelligibility across a variety of hospitals and unit types, offers some evidence of the positive impact of absorption on intelligibility, and identifies areas for future research.

  18. Hospital restructuring and burnout.

    Science.gov (United States)

    Greenglass, Esther R; Burke, Ronald J

    2002-01-01

    Increasingly, organizations are experiencing changes as a result of extensive downsizing, restructuring, and merging. In Canada, government-sponsored medicine has been affected as hospitals have merged or closed, reducing essential medical services and resulting in extensive job loss for hospital workers, particularly nurses. Hospital restructuring has also resulted in greater stress and job insecurity in nurses. The escalation of stressors has created burnout in nurses. This study examines predictors of burnout in nurses experiencing hospital restructuring using the MBI-General Survey which yields scores on three scales: Emotional exhaustion, Cynicism, and Professional efficacy. Multiple regressions were conducted where each burnout scale was the criterion and stressors (e.g., amount of work, use of generic workers to do nurses' work), restructuring effects, social support, and individual resources (e.g., control coping, self-efficacy, prior organizational commitment) were predictors. There were differences in the amount of variance accounted for in the burnout components by stressors and resources. Stressors contributed most to emotional exhaustion and least to professional efficacy. Individual resources were more likely to contribute to professional efficacy and least to emotional exhaustion. Stressors and resources accounted for approximately equal amounts of variance in cynicism. Three conclusions were drawn. First, present findings parallel others by showing that individual coping patterns contribute to professional efficacy. Second, emotional exhaustion was found to be the prototype of stress. Third, prior organizational commitment, self-efficacy, and control coping resulted in lower burnout. PMID:15137570

  19. Introduction: rethinking child care research.

    Science.gov (United States)

    Besharov, Douglas J; Morrow, Jeffrey S

    2006-10-01

    This introduction summarizes the articles in this collection. It describes how the articles address one or more of the key elements of the child care research model: (a) selecting and measuring the independent variablesto determine the characteristics ("qualities") of the child care environment (and, in some studies, the characteristics of parents and family), (b) selecting and measuring the dependent variablesto determine the child's physical and developmental status after a period of time in a particular child care arrangement (usually a school year) compared with that of children in other arrangements (or simply the same child before spending time in the arrangement), (c) establishing causal linksbetween the independent and dependent variables that are either assumed in randomized experiments or estimated through statistical controls in nonexperimental studies, and (d) assessing impacts across subgroups to see whether the program benefits one particular group more (or less) than others. The collection closes with a proposal to develop a systematic federal research program to pursue improvements in child care and early childhood education programs. PMID:16966675

  20. Fighting Child Sexual Abuse

    Directory of Open Access Journals (Sweden)

    Pesanayi Gwirayi

    2013-01-01

    Full Text Available This study investigated secondary school pupils’ views on strategies that can be used to prevent child sexual abuse (CSA. A survey design was adopted as the operational framework for data gathering. Data were collected from three secondary schools, all in the Gweru district of Zimbabwe. The sample comprised 268 secondary pupils (50% female; M age = 15.42, SD = 1.376. Each participant was asked to write down three main strategies that can be used to fight CSA on a given questionnaire. The responses were then analyzed using the thematic content analysis technique. The study revealed that most pupils believed that CSA can be prevented through teaching them about it and also reporting to the police. Another significant finding was that pupils’ responses tended to vary with gender and level of education. Whereas female respondents suggested that CSA can be fought by avoiding strangers, saying no to sexual advances, and having reliable friends, their male counterparts suggested teaching the community about CSA, forming new clubs, and enacting life imprisonment for perpetrators, among other suggestions. In terms of level of education, Form 2 participants suggested avoiding strangers, staying home at night, whereas their Form 4 counterparts suggested lessons for Guidance and Counseling, saying no to sexual advances, and having reliable friends. These findings unequivocally demonstrate the need to vigorously engage secondary school pupils in activities aimed at fighting CSA to safeguard their inalienable human rights.

  1. Child custody evaluations.

    Science.gov (United States)

    Bernet, William

    2002-10-01

    Because divorce is so common, it is important for our society to find ways to minimize the psychological trauma that is experienced by children of divorced parents. Ideally, divorcing parents would not fight so much over the children, in front of the children, and through the children. When disputes do arise regarding custody, visitation, and parenting plans, mental health professionals can assist the judges who make the final decisions by performing competent custody evaluations. These evaluations should be conducted in a systematic manner, should consider several critical factors in an unbiased manner, and should result in recommendations that promote the best interests of the children. In most cases, the goal is for each child to have strong, healthy relationships with both parents. After conducting an evaluation, it is usually possible to make recommendations regarding custody, parenting arrangements, and forms of counseling and therapy that should be helpful to the family members. It is important to communicate these recommendations in an articulate manner, whether verbally or in the written report.

  2. Os diagnósticos de enfermagem da taxonomia da NANDA em mulheres com o filho prematuro hospitalizado e o sistema conceitual de King Los diagnosticos de enfermería de la taxonomía de la NANDA de mujeres con hijo prematuro hospitalizado y el sistema conceptual de King Nursing diagnoses from NANDA's taxonomy in women with a hospitalized preterm child and King's conceptual system

    Directory of Open Access Journals (Sweden)

    Cláudia Silveira Viera

    2000-12-01

    Full Text Available Os objetivos deste estudo foram identificar os diagnósticos de enfermagem em mães com o filho prematuro hospitalizado em UTI Neonatal, mediante a utilização do Sistema Conceitual de King e da Taxonomia I dos diagnósticos de enfermagem da NANDA (1999. Para tanto utilizou-se a metodologia de estudo de caso aplicada a 35 puérperas. Foram identificados oito diagnósticos de enfermagem com freqüência igual ou maior que 50%, a saber, Risco para Infecção, Risco para Injúria, Integridade Tissular Prejudicada, Manutenção da Saúde Alterada, Risco para Amamentação Ineficaz; Risco para Alteração no Desenvolvimento do Apego entre Pais e Filho; Medo; Conflito no Desempenho de Papéis dos Pais.Los objetivos de este estudio fueron: identificar los diagnósticos de enfermería de madres con hijo prematuro hospitalizado en una Unidad de Tratamiento Intensivo Neonatal mediante la utilización del Sistema Conceptual de King y la Taxonomía I de los diagnósticos de enfermeria de la NANDA (1999. Para esto se utilizó la metodología del estudio de caso a 35 puerperas. Fueron identificados ocho diagnósticos con frecuencia igual o mayor de 50%, el Riesgo para Daño, Riesgo para Lesión, Integridad del Tejido Dañada, Mantenimiento de la Salud Alterada, Riesgo para lactancia Ineficaz; Riesgo para Alteración en el Desarrollo del Apego entre Padres e Hijo; Miedo; Conflicto en el desempeño del Papel Paternal.This study aimed at identifying nursing diagnoses presented by mothers with a hospitalized preterm child in an NICU by the use of King's Conceptual System and Taxonomy I of NANDA's nursing diagnoses. The case-study methodology was applied to 35 puerperal women. Eight diagnoses were identified, the frequency of which was over 50%, as follows: Risk of Infection, Risk of Injury, Impaired Tissue Integrity, Altered Health Maintenance, Risk of Inefficient Breast-feeding; Risk of Altered Parent/Infant Attachment; Fear; Parental Role Conflict and Impaired

  3. [Leadership in the hospital].

    Science.gov (United States)

    Schrappe, Matthias

    2009-01-01

    Current concepts in leadership and governance on the level of supervisory board, management and departments are often considered as insufficient to cope with the profound structural change which actually takes place in the German health care system. While vertical and horizontal disconnecting is typical of the professional bureaucracy of hospitals, transition from functional to divisional structure further increases this risk. Accordingly, medical experts are oriented towards their professional peers and patient care on the one side; on the other side the management gets isolated and looses operative and strategic control. Several studies provide evidence for the relevance of role models to serve as agents of change, which are now developed into the concept of "Clinical Governance": evidence-based medicine, guidelines, continuous quality improvement, safety culture, resource accountability and organisational learning. The present situation makes it necessary to extend this conception, which focuses on the departmental level in an organisation with divisional features, to one of "Clinical Corporate Governance". This term, which also includes supervisory structures and the management board and is relevant for the total hospital and company, respectively, is based on the corporate governance concept. Inside the hospital, the management and the heads of the departments have to agree that (1) experts really need to be integrated into the decision process, and that (2) the outcomes of the entire hospital have to be regarded as equal or superior to the aims of a single department. The public image of the hospital should be one of a strong and reliable partner in health care and health care business on a local, regional and national level. Members of the supervisory board should clearly put corporate aspects above political and other implications and pay attention to personal independence from the leaders of the medical departments.

  4. [Leadership in the hospital].

    Science.gov (United States)

    Schrappe, Matthias

    2009-01-01

    Current concepts in leadership and governance on the level of supervisory board, management and departments are often considered as insufficient to cope with the profound structural change which actually takes place in the German health care system. While vertical and horizontal disconnecting is typical of the professional bureaucracy of hospitals, transition from functional to divisional structure further increases this risk. Accordingly, medical experts are oriented towards their professional peers and patient care on the one side; on the other side the management gets isolated and looses operative and strategic control. Several studies provide evidence for the relevance of role models to serve as agents of change, which are now developed into the concept of "Clinical Governance": evidence-based medicine, guidelines, continuous quality improvement, safety culture, resource accountability and organisational learning. The present situation makes it necessary to extend this conception, which focuses on the departmental level in an organisation with divisional features, to one of "Clinical Corporate Governance". This term, which also includes supervisory structures and the management board and is relevant for the total hospital and company, respectively, is based on the corporate governance concept. Inside the hospital, the management and the heads of the departments have to agree that (1) experts really need to be integrated into the decision process, and that (2) the outcomes of the entire hospital have to be regarded as equal or superior to the aims of a single department. The public image of the hospital should be one of a strong and reliable partner in health care and health care business on a local, regional and national level. Members of the supervisory board should clearly put corporate aspects above political and other implications and pay attention to personal independence from the leaders of the medical departments. PMID:19545081

  5. Medicine Poisoning in Child

    Directory of Open Access Journals (Sweden)

    Vera Lígia Montenegro de Albuquerque

    2003-12-01

    Full Text Available The aims of this study were to identify the main medications responsible for exogenous poisoning of children attended at a referral emergency hospital of Fortaleza, Ceará State,Brazil; to describe the most prevalent age and gender, as well as the main reactions presented by poisoned children. It was a documental retrospective study of 203 records of patients attended in 1997 at the Toxicology Center of Ceará. Our results showed that antidepressants, bronchodilators and vitamins were the most common agents; 77% of poisoned children were between 1 and 4 years of age, and 54% were males; somnolence, psicomotor excitement, tachycardia and vomiting were the most commonly encountered reactions. In conclusion, these medicines represents an important cause of children poisoning, Families must attempt to the safe storing and dealing with these products. It is mandatory that the government determines the utilization of special packages for children protection in our country.

  6. A família da Criança Dependente de Tecnologia: aspectos fundamentais para a prática de enfermagem no ambiente hospitalar La familia del niño dependiente de tecnología: aspectos fundamentales para la práctica de enfermería en el ambiente hospitalario The family of the technology-dependent child: fundamental aspects for hospital nursing practices

    Directory of Open Access Journals (Sweden)

    Noélia Silva Ladislau Leite

    2007-03-01

    atender centrado en la patología/enfermedad e incluir a la familia en el proceso terapéutico. El estudio apunta hacia la relevancia de desarrollar modelos de cuidado centrado en las familias aplicables al cotidiano hospitalario.The objective of this article is to discuss the significant changes that occurring inside of the organization of the families related to the care of a technology-dependent child (TDC. We carried out a qualitative study, using half-structured interviews for data collection. Research subjects were four TDC's families. Four dimensions for family changes were outlined: emotional, social, financial and impact on daily activities. We observed that changes really occur within TDC's families. And these changes are multidimensional. The complexification of the health-illness state and technology dependence remains a challenge for service organization and for approaching hospital staff, thus it becomes necessary to rethink disease-centered care and include the family in the therapeutical process. In this sense, this study points to the relevance of developing family-centered care model suitable for the hospital's quotidian.

  7. Hospital-acquired infections - when are hospitals legally liable?

    Science.gov (United States)

    McQuoid-Mason, David

    2012-04-12

    Hospital-acquired infections (nosocomial infections) are acquired in healthcare settings by patients admitted for reasons unrelated to the infection or not previously infected when admitted to the facility. Liability for hospital-acquired infections depends on whether the hospital: (i) has introduced best practice infection control measures; (ii) has implemented best practice infection control measures; or (iii) will be vicariously liable for negligent or intentional failures by staff to comply with the infection control measures implemented. A hospital and hospital administrators may be held directly liable for not introducing or implementing best practice infection control measures, resulting in harm to patients. The hospital may also be held vicariously liable where patients have been harmed because hospital staff negligently or intentionally failed to comply with the infection control measures that have been implemented by the hospital, during the course and scope of their employment.

  8. The game of hospitality

    OpenAIRE

    Knudsen, Hanne

    2011-01-01

    In current discourse, the family is construed as the basis of the school’s work. Accordingly, the family’s socialisation of the child becomes a governmental task for the school. It is not enough for the school to clarify the exact expectations to the parents; the school needs the parents to imagine all the ways in which what goes on in the family is relevant to the child’s behaviour in school. New technologies are applied to stretch the parents’ imagination. This article presents a case study...

  9. Health-e-Child a grid platform for european paediatrics

    CERN Document Server

    Skaburskas, K; Shade, J; Manset, D; Revillard, J; Rios, A; Anjum, A; Branson, A; Bloodsworth, P; Hauer, T; McClatchey, R; Rogulin, D

    2008-01-01

    The Health-e-Child (HeC) project [1], [2] is an EC Framework Programme 6 Integrated Project that aims to develop a grid-based integrated healthcare platform for paediatrics. Using this platform biomedical informaticians will integrate heterogeneous data and perform epidemiological studies across Europe. The resulting Grid enabled biomedical information platform will be supported by robust search, optimization and matching techniques for information collected in hospitals across Europe. In particular, paediatricians will be provided with decision support, knowledge discovery and disease modelling applications that will access data in hospitals in the UK, Italy and France, integrated via the Grid. For economy of scale, reusability, extensibility, and maintainability, HeC is being developed on top of an EGEE/gLite [3] based infrastructure that provides all the common data and computation management services required by the applications. This paper discusses some of the major challenges in bio-medical data integr...

  10. A arteterapia e a promoção do desenvolvimento infantil no contexto da hospitalização Arteterapia y la promoción del desarrollo infantil en el contexto de la hospitalización Art therapy and child development in a hospitalization context

    Directory of Open Access Journals (Sweden)

    Ana Cláudia Afonso Valladares

    2011-09-01

    Full Text Available O presente estudo teve como objetivos avaliar e comparar o desenvolvimento de crianças hospitalizadas, antes e após intervenções de Arteterapia. Esta pesquisa descritiva-exploratória realizou-se por meio de estudos de caso de fundo qualitativo, baseados na avaliação desenvolvimental de crianças. A pesquisa contou com cinco participantes na faixa etária entre sete e dez anos, no Hospital de Doenças Tropicais (HDT de Goiânia, Goiás, em 2006. Seus resultados mostraram que as intervenções de Arteterapia foram eficazes na promoção do desenvolvimento infantil. Concluiu-se, então, que a Arteterapia constitui-se num meio para canalizar, de maneira positiva, as variáveis do desenvolvimento da criança hospitalizada e neutralizar os fatores de ordem afetiva que, naturalmente, surgem, além de expor os potenciais mais saudáveis da criança, por vezes pouco estimulados no contexto da hospitalização.Las finalidades de este estudio fueron las de evaluar y comparar el desarrollo de niños hospitalizados, antes y después de intervenciones de Arteterapia. Esta investigación descriptiva-exploratoria nos permitió realizar estudios de caso cualitativos, basados en la evaluación del desarrollo de niños. Participaron del estudio cinco participantes con edad entre siete y diez años, en el Hospital de Enfermedades Tropicales (HDT de Goiânia, Goiás, Brasil, en 2006. Los resultados mostraron que las intervenciones de Arteterapia fueron eficaces en la promoción del desarrollo infantil. Se concluye que la Arteterapia es un recurso para canalizar, de manera positiva, las variables del desarrollo del niño hospitalizado y neutralizar los factores de orden afectivo que, naturalmente, surgen, además de exponer los potenciales más sanos del niño, por veces poco estimulados en el contexto de la hospitalización.This study aimed to evaluate and compare the development of hospitalized children before and after art therapy interventions. Qualitative

  11. [Child abuse in the family].

    Science.gov (United States)

    De Almeida, Helena Nunes; André, Isabel Margarida; De Almeida, Ana Nunes

    2002-01-01

    The objective of this study is to carry out a current survey of the situation of child abuse in the family. It is based on a national survey conducted in 1996, which was addressed to childcare professionals (in the areas of health, education and social services). This survey was based, on the one hand, on a wide-ranging definition of child abuse, including within it not just active forms of physical and psychic violence against the child, but also forms of (both material and affective) privation, omission or negligence which affect the child's growth and development. On the other hand, this study also favoured a contextual approach to child abuse. 1,126 institutions in Portugal were contacted and 755 valid survey responses were received. This report outlines some of the results obtained, namely by providing a description of the sample of the 755 child abuse victims, the respective social and family contexts to which they and the aggressors belong, as well as the types of abuse which have been committed against them; and a typology of forms of abuse and negligence, describing not just the internal aspects that make up child abuse directly, but also its relationship to the child's social and family contexts of belonging. The typology was derived from the statistical handling of the data gathered (factorial analysis of multiple matches, followed by a hierarchical analysis into clusters). A number of key concepts are summarised in the conclusion. Children of all age groups and of both sexes, and from all types of families and social backgrounds, regardless of their place in the phratry, are subject to abuse in Portugal. But different types of abuse and negligence are associated with the contexts to which the children and their families belong. Healthcare professionals are irreplaceable when it comes to detecting the wide variety of types of child abuse, and are an essential look-out post for two types of abuse which often slip through the net of other professionals

  12. [Child abuse in the family].

    Science.gov (United States)

    De Almeida, Helena Nunes; André, Isabel Margarida; De Almeida, Ana Nunes

    2002-01-01

    The objective of this study is to carry out a current survey of the situation of child abuse in the family. It is based on a national survey conducted in 1996, which was addressed to childcare professionals (in the areas of health, education and social services). This survey was based, on the one hand, on a wide-ranging definition of child abuse, including within it not just active forms of physical and psychic violence against the child, but also forms of (both material and affective) privation, omission or negligence which affect the child's growth and development. On the other hand, this study also favoured a contextual approach to child abuse. 1,126 institutions in Portugal were contacted and 755 valid survey responses were received. This report outlines some of the results obtained, namely by providing a description of the sample of the 755 child abuse victims, the respective social and family contexts to which they and the aggressors belong, as well as the types of abuse which have been committed against them; and a typology of forms of abuse and negligence, describing not just the internal aspects that make up child abuse directly, but also its relationship to the child's social and family contexts of belonging. The typology was derived from the statistical handling of the data gathered (factorial analysis of multiple matches, followed by a hierarchical analysis into clusters). A number of key concepts are summarised in the conclusion. Children of all age groups and of both sexes, and from all types of families and social backgrounds, regardless of their place in the phratry, are subject to abuse in Portugal. But different types of abuse and negligence are associated with the contexts to which the children and their families belong. Healthcare professionals are irreplaceable when it comes to detecting the wide variety of types of child abuse, and are an essential look-out post for two types of abuse which often slip through the net of other professionals

  13. The child anxiety impact scale: examining parent- and child-reported impairment in child anxiety disorders.

    Science.gov (United States)

    Langley, Audra K; Falk, Avital; Peris, Tara; Wiley, Joshua F; Kendall, Philip C; Ginsburg, Golda; Birmaher, Boris; March, John; Albano, Ann Marie; Piacentini, John

    2014-01-01

    The purpose of the current investigation was to examine the factor structure, reliability, and construct validity of both the Child and Parent version of the Child Anxiety Impact Scale (CAIS) using data obtained from the Child/Adolescent Anxiety Multimodal Study (Walkup et al., 2008 ). The CAIS child and parent versions measure anxiety-related functional impairment in school, social, and family domains. Participants were 488 children ages 7 to 17 (M age = 10.7, SD = 2.8 years) enrolled as part of the CAMS study across 6 sites and their primary parent or caregiver. Families participated in a structured diagnostic interview and then completed the CAIS along with other measures. Confirmatory factor analysis revealed that the a priori three-factor structure (school, social, and home/family) for the CAIS parent- and CAIS child-report was a reasonable fit, with a comparative fit index of .88 and root mean square error of approximation of .05. Internal consistency was very good for total score and subscales of both versions of the scale (Cronbach's α = .70-.90). The CAIS total scores demonstrated good construct validity, showing predicted significant correlations with the Child Behavior Checklist (CBCL) Internalizing Scale, the Multidimensional Anxiety Scale for Children (MASC) and Screen for Child Anxiety Related Emotional Disorders (SCARED) Total Scores, the Pediatric Anxiety Rating Scale, and the Children's Global Assessment Scale. In addition, CAIS Social and School subscales were significantly related to similar subscales on the CBCL, SCARED, and MASC. The results provide support that the CAIS is a reliable and valid measure for the assessment of the impact of anxiety on child and adolescent functioning.

  14. Rota virus Diarrhea in Hospitalized Children

    International Nuclear Information System (INIS)

    Objective: To determine the frequency and clinical features of Rota virus diarrhea in children presenting in a tertiary care hospital. Study Design: A cross-sectional, observational study. Place and Duration of Study: National Institute of Child Health, Karachi, from January to June 2007. Methodology: A total of three hundred children of either gender aged 1 month to 5 years, who presented with diarrhea of < 7 days as a primary illness were enrolled. Children with bloody diarrhea or nosocomial gastroenteritis acquired during hospitalization for other disease were not included. Detection of Rota virus in stool was done by enzyme linked immunoassay. Results: Out of 300 children, 188 (63%) tested positive and 112 (37%) tested negative for Rota virus. Positive Rota virus cases in 7 - 12 months of age was (n = 34, 18.08%). Overall, 151 (80.3%) children with Rota virus were less than 3 years old. 182 (60.7%) had fever, 118 (39.3%) had vomiting and 156 (82.9%) children had both fever and vomiting. Conclusion: This study shows that Rota virus is a common organism causing diarrhea in children less than 3 years of age. There is a need to incorporate Rota virus vaccine in the national EPI program to decrease the disease burden as highlighted in this study. (author)

  15. Incentivando o vínculo mãe-filho em situação de prematuridade: as intervenções de enfermagem no Hospital das Clínicas de Ribeirão Preto Incentivando el vínculo madre-hijo en situación de prematuridad: las intervenciones de enfermería en el Hospital de las Clínicas de la ciudad de Ribeirão Preto Encouraging mother-child attachment in prematurity situations: nursing interventions at the Ribeirão Preto Clinical Hospital

    OpenAIRE

    Carmen Gracinda Silvan Scochi; Maria de Lourdes do Patrocínio Kokuday; Maria José Sartori Riul; Léa Silvia Sian Rossanez; Luciana Mara Monti Fonseca; Adriana Moraes Leite

    2003-01-01

    O objetivo deste estudo é descrever as ações da enfermagem realizadas nas unidades neonatais de risco de um hospital-escola de Ribeirão Preto-USP, no sentido de favorecer o vínculo e apego mãe-filho em situação de prematuridade. A enfermeira acompanha os pais na primeira visita, procurando apoiá-los e informando-os sobre os equipamentos que cercam o recém-nascido, incentivando o contato pele-a-pele, o toque e a fala. O acesso e permanência dos pais junto aos bebês de risco são liberados.Foi i...

  16. The reasons to look for a university hospital’s childish medical treatment which is requested by parents or somebody responsible for the child Os motivos de procura pelo Pronto Socorro Pediátrico de um Hospital Universitário referidos pelos pais ou responsáveis

    Directory of Open Access Journals (Sweden)

    Edilaine Giovanini Rossetto

    2008-10-01

    Full Text Available Health services are managed hierarchically in three levels of technological complexity: primary, secondary and tertiary, and the population should use them according to the specificity of their complaints, aiming at more efficiency and universal access. In practice, the population prefers to go to tertiary level hospitals for simple problems, which could easily be solved by Basic Health Service Units (BHUs. The objective of this survey was to find out the reasons why parents or children caretakers look for high complexity hospitals, and how frequently they make use of basic health services. This research interviewed 222 parents and caretakers of children who were undergoing medical treatment at the Pediatrics Emergency Room from a School Hospital located in the city of Londrina, in March and April of 2006. Data analysis showed that , although 80,6% of the population interviewed used the BHUs , 56,7% of the children seen at the Pediatrics Emergency Room came with no referrals, and 33,3% chose the ER for its quality services. The most frequent complaint was fever ( 21,6% and other external causes took the last position with only 1, 4% of the cases . Results from the study showed that the Londrina State University School Hospital Pediatrics Emergency Room sees a great number of children with simple complaints which could be easily solved by basic level health care. However, in general, most hospitals have been legitimized by the population, used to always look for hospitals, rather than BHUs , whenever they need any kind of health care. Os serviços de saúde são organizados, hierarquicamente, em três níveis de complexidade tecnológica: primário, secundário e terciário, e a população deveriam acessá-los conforme a especificidade de suas queixas, visando, dessa forma, maior eficiência na utilização dos recursos e universalização do acesso. Na prática, percebe-se que a população prefere recorrer a hospitais de nível terciário para

  17. Benefícios da permanência de participação da mãe no cuidado ao filho hospitalizado Beneficios de la permanencia de participación de la madre en el cuidado al hijo hospitalizado Benefits of mothers' permanence and participation in the care for their hospitalized child

    OpenAIRE

    Rosemeire Cristina Moretto Molina; Sonia Silva Marcon

    2009-01-01

    Este estudo objetivou levantar, na perspectiva das mães, os benefícios relacionados à sua permanência e participação no cuidado ao filho internado na UTIP. Utilizamos como referencial teórico a Teoria Transcultural do Cuidado e como referencial metodológico a Pesquisa Convergente-Assistencial. Os dados foram coletados junto a seis mães de crianças internadas na UTIP de um hospital universitário, no período de janeiro a maio de 2007, por meio de entrevistas e observação participante. Na anális...

  18. Predictors of mother–child interaction quality and child attachment security in at-risk families

    OpenAIRE

    SimonaDe Falco

    2014-01-01

    Child healthy development is largely influenced by parent–child interaction and a secure parent–child attachment is predictively associated with positive outcomes in numerous domains of child development. However, the parent–child relationship can be affected by several psychosocial and socio-demographic risk factors that undermine its quality and in turn play a negative role in short and long term child psychological health. Prevention and intervention programs that support parenting skills ...

  19. Informant Discrepancies in Assessing Child Dysfunction Relate to Dysfunction Within Mother-Child Interactions

    OpenAIRE

    De Los Reyes, Andres; Kazdin, Alan E.

    2006-01-01

    Examined whether mother-child discrepancies in perceived child behavior problems relate to dysfunctional interactions between mother and child and stress in the mother. Participants included 239 children (6–16 years old; 58 girls, 181 boys) referred for oppositional, aggressive, and antisocial behavior, and their mothers. Mother-child discrepancies in perceived child behavior problems were related to mother-child conflict. Moreover, maternal stress mediated this relationship. The findings sug...

  20. [Hospital clinical ethics committees].

    Science.gov (United States)

    Gómez Velásquez, Luis; Gómez Espinosa, Luis Néstor

    2007-01-01

    The scientific and technological advances have been surprising, more in the two last decades, but they don't go united with to the ethical values of the medical professional practice, it has been totally escaped, specially when the biological subsistence, the maintenance of the life through apparatuses and the mechanisms that prolong the existence are who undergoes an alteration that until recently time was mortal shortly lapse. It is common listening that exist a crisis in the medical profession, but what really is it of human values, which as soon and taken into nowadays, actually professional account, which gives rise to a dehumanization towards the life, the health, the disease, the suffering and the death. The ideal of the doctor to give to service to the man in its life and health, as well to be conscious that the last biological process that must fulfill is the death, and when it appears, does not have considered as a actually professional failure. It has protect to the patient as the extreme cruelty therapeutic, that it has right a worthy death. It's taking to the birth of the hospital ethics committees, they have like function to analyze, to advise and to think about the ethical dilemmas that appear actually clinical or in the biomedical investigation. In 1982 in the UEA only 1% of its hospitals had a ethics committees; by 1988, it was 67% and the 100% in 2000. In Mexico the process of the formation by these committees begins, only in the Military Central Hospital, to count the ethics committee on 1983, also the Hospital no. 14 of the IMSS in Guadalajara, it works with regularity from 1995, with internal teaching of bioethic. The Secretariat of Health has asked the formation of the bioethical committees in each hospital, and order the it was be coordinated by the National Committee of Bioética. The integration of these committees is indispensable that their members have the knowledge necessary of bioética. The Mexican Society of Ortopedia, conscious of