Thematische Bibliographien / Paediatric problem

Inhaltsverzeichnis

  1. Zeitschriftenartikel
  2. Dissertationen
  3. Bücher
  4. Buchteile
  5. Konferenzberichte

Auswahl der wissenschaftlichen Literatur zum Thema „Paediatric problem“

Autor: Grafiati
Veröffentlicht am 18. Mai 2024

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Zeitschriftenartikel zum Thema "Paediatric problem"

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Peng, Wan-Sheng, Lian Wang, Hui Zhang, Zhen Zhang, Yu-Meng Wu, Xu Sang, Rui Zhou, Jia-Li Xu und Xin Chen. „Application of virtual scenario simulation combined with problem-based learning for paediatric medical students“. Journal of International Medical Research 49, Nr. 2 (Februar 2021): 030006052097921. http://dx.doi.org/10.1177/0300060520979210.

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Objectives To examine the application and effects of virtual scenario simulation combined with problem-based learning (PBL) in teaching paediatric medical students. Methods Participants were 300 paediatric medical students randomly divided into a study group and control group. Students in the study group were taught using virtual scenario simulation combined with PBL; students in the control group were taught using conventional teaching methods. Academic performance, knowledge of paediatrics, self-evaluation of comprehensive ability and degree of learning satisfaction were evaluated. Results Students in the study group showed considerably higher academic performance and noticeably higher classroom performance. Paediatric knowledge, comprising initiating communication, collecting information, giving information, understanding the paediatric patient and concluding communication, was higher for students in the study group. The degree of learning satisfaction was higher for students in the study group. Conclusion Virtual scenario simulation combined with PBL can effectively improve students’ academic performance, mastery of paediatric knowledge, comprehensive ability evaluation and learning satisfaction. The broader application of this approach should be explored for medical student education.
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Street, Jessica R., Joanna C. E. Wright, Kelvin L. Choo, John F. Fraser und Roy M. Kimble. „Woodstoves uncovered: a paediatric problem“. Burns 28, Nr. 5 (August 2002): 472–74. http://dx.doi.org/10.1016/s0305-4179(02)00046-3.

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Berezhnaya, Irina V., Mariia A. Simakova und Irina N. Zakharova. „Obesity is an important paediatric problem that paediatricians and endocrinologists should address together“. Pediatrics. Consilium Medicum, Nr. 4 (15.12.2021): 346–50. http://dx.doi.org/10.26442/26586630.2021.4.201354.

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The increasing incidence of obesity in children and adolescents with its negative health consequences is one of the global problems of paediatrics and paediatric endocrinology. Approaches to the management of obese children are being developed and scientific and practical programmes for prevention and treatment are being established. Correctly assessing the risks of obesity in the long term and knowing how to influence them can help to reduce these risks. The primary care physician's priority is to make a diagnosis of overweight and obesity in children and to determine appropriate screening and treatment according to current clinical guidelines and known scientific evidence. The aim of this review is to briefly describe the risk factors, current epidemiological features of obesity and to provide a primary screening plan for children with exogenous obesity to assist the practicing paediatrician and paediatric endocrinologist.
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Kim, Lawrence H., Deborah A. Maze, Susan Adams, Sarah Guitonich, Siobhan Connolly, Anne Darton und Andrew J. A. Holland. „Paediatric treadmill injuries: an increasing problem“. Medical Journal of Australia 191, Nr. 9 (November 2009): 516. http://dx.doi.org/10.5694/j.1326-5377.2009.tb02918.x.

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Gough, Joy. „Cracking a complex problem“. Archives of Disease in Childhood 105, Nr. 7 (14.06.2019): 694. http://dx.doi.org/10.1136/archdischild-2019-316862.

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Gough, Joy. „Cracking a complex problem“. Archives of Disease in Childhood 105, Nr. 7 (30.07.2019): 695–96. http://dx.doi.org/10.1136/archdischild-2019-317605.

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Gough, Joy. „Cracking a complex problem“. Archives of Disease in Childhood 105, Nr. 10 (20.08.2019): 991–92. http://dx.doi.org/10.1136/archdischild-2019-317677.

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&NA;. „Hypertension in paediatric patients - no minor problem“. Drugs & Therapy Perspectives 6, Nr. 1 (Juli 1995): 9–11. http://dx.doi.org/10.2165/00042310-199506010-00004.

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Gupta, S., A. Gandhi und R. Manikonda. „Accidental nicotine liquid ingestion: emerging paediatric problem“. Archives of Disease in Childhood 99, Nr. 12 (08.09.2014): 1149. http://dx.doi.org/10.1136/archdischild-2014-306750.

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Chavan, Rahulkumar N., Bhargav Chikkala, Cinjini Das, Somak Biswas, Diptendra Kumar Sarkar und Sushil Kumar Pandey. „Anorectal Malformation: Paediatric Problem Presenting in Adult“. Case Reports in Surgery 2015 (2015): 1–4. http://dx.doi.org/10.1155/2015/625474.

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This is a case report of 22-year-old girl admitted with abdominal distension, vomiting, and chronic constipation since birth. Abdomen was distended, and perineal examination revealed imperforate anus with vestibular fistula (ARM). So far worldwide very few cases have been reported about anorectal malformation presenting in adulthood, and thus extremely little data is available in the literature about an ideal management of anorectal malformation in adults. In our case in the treatment instead of conventional procedure of posterior sagittal anorectoplasty (PSARP) anal transposition was done and till two years after the definitive treatment during follow-up patient has been doing well with Kelly’s score of six. Our experience suggests that anal transposition provides satisfactory outcome in adults presenting late with anorectal malformation.
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Dissertationen zum Thema "Paediatric problem"

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Goswami, Madan Gopal. „An approach towards the development of an expert system for paediatric problem domain“. Thesis, University of North Bengal, 1999. http://hdl.handle.net/123456789/1039.

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Baghdadi, Hani. „Development of paediatric dosage forms of furosemide using the problem structuring method of morphological analysis“. Thesis, London Metropolitan University, 2016. http://repository.londonmet.ac.uk/1148/.

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The lack of age-appropriate (paediatric) authorised medicines is a long-standing problem amongst regulatory authorities, patients, parents and prescribers. This is driven by the paucity of information on clinical efficacy, deficiency in safety data (i.e. biopharmaceutics) and the lack of quality information such as palatability and acceptability data in children. To counteract this deficiency bespoke, unlicensed formulations are formulated by contract manufacturers, hospitals and dispensing pharmacists using a variety of ‘recipes’ and differing manufacturing protocols. In this work, Morphological Analysis as a problem structuring method is deployed using key stakeholders of the problem complex. This method, developed from operational research and design thinking sectors, has the ability to structure and parameterise a complex problem to isolate a smaller subset of an internally consistent solution space for the design of experiments. Hence, Morphological Analysis is used experimentally to decide which pharmaceutical dosage forms of furosemide would be selected as a solution space for paediatric patients with low cardiac output syndrome. Morphological Analysis application resulted in the selection of two different dosage forms for further work (Microemulsion oral liquid dosage form and an Orodispersible Mini-tablet). The furosemide microemulsion formulation was developed using ternary phase diagrams to isolate the efficient self-emulsification regions. A range of experimental techniques and instruments were used to characterise the system such as HPLC, phase stability studies, droplet size determination, surface tension measurement, drug-excipient compatibility studies using FTIR and NMR, viscosity determination, thermodynamic stability assessment and determination of shelf-life via accelerated and long-term stability studies. The optimum composition of the furosemide microemulsion consisted of: MCT Oil 14%, Labrasol 60%-Transcutol-HP 20% (3:1) and Water 6%. A furosemide oro-dispersible mini-tablet formulation (ODMT) was also developed and analysed for quality assessment. The development approach for ODMT used factorial design at two levels with four factors. Pre-formulation studies included drug-excipient compatibility assessment using differential scanning calorimetry and powder flowability evaluation using angle of repose and Hausner’s ratio techniques. For that, sixteen batches of ODMTs were manufactured using a Manesty F3 tablet press; Post-compression testing and characterisation processes were performed and this involved testing for weight variation, hardness assessment, friability, in vitro disintegration, wetting time, drug content analysis, dissolution time and stability of ODMTs under ICH conditions. The optimum composition of furosemide ODMT was found to be (ludiflash excipient + 0.6% magnesium stearate lubricant + 1mg/tablet furosemide API) with 10 minutes mixing time at value 19 compression force.
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Aldridge, Victoria. „Characterisation of paediatric feeding disorders and the underlying factors implicated in their development and maintenance“. Thesis, Loughborough University, 2013. https://dspace.lboro.ac.uk/2134/12356.

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Feeding disorders are psychological conditions that occur during infancy and early childhood, and result in insufficient intake of foods. Existing feeding disorder research identifies a raft of factors associated with predisposition, development and maintenance of feeding disorders, as well as a multitude of potential outcomes for the child and the system around them. However, neither feeding disorders nor their aetiological bases are well defined or uniformly applied in general, academic or clinical domains. Furthermore, the relationships and differences between observable characteristics, diagnostic criteria, and problem perceptions, and the bearing of these on disorder identification and treatment, are under-researched. The numerous definitions and profiles for feeding disorders make comprehension and knowledge gathering very difficult for caregivers and researchers, and thus hinder research and clinical progression in the field. The overarching aim of this thesis was to examine and characterise paediatric feeding disorders. The objective was to characterise and triangulate what feeding disorders are in terms of observable appearance, external perception, and psychometric properties, and better understand what constitutes a feeding disorder from multiple relevant perspectives. A mixed methods approach was taken to the collection and analysis of data, to obtain both depth and breadth of information. The results of the current thesis suggest that feeding disorders are characterised by a variety of behaviours and features within a biopsychosocial model. While physical models of feeding disorders are outdated, the potential for underlying physical contributing factors and resultant physical outcomes was highlighted throughout the current research and should not be ignored. However, overreliance on physicality, under-recognition of psychological processes, and consequent deficits to disorder identification within clinical settings, was also illustrated within the research. Furthermore, significant issues were raised regarding the lack of a consistent and inclusive model of feeding problems and disorders within healthcare systems. Though most clinicians saw feeding on a scale from normal to abnormal and frequently emphasised the value of early identification and treatment, the referral and treatment pathways that were discussed whereby only the most severe or physically affected children were treated, were not consistent with these models. Interviews with mothers highlighted the role of intrinsic child factors within the development of disordered feeding, including challenging behavioural characteristics, sensory sensitivities, difficult temperament, and lack of feeding motivation or avoidance of new foods. The importance of these child factors was supported by psychometric assessment, which identified distinct patterns of child characteristics associated with different types of problematic or disordered feeding, and a strong association between disordered feeding and the parent perception of having a difficult child. Furthermore, video observations of child mealtimes highlighted not only disparity in the amount of food eaten between disordered and non-disordered children, but a considerable deficit in the level of interest, motivation, and engagement with feeding shown by disordered children. Deficits to child feeding motivation pose a problem for parents that is less obvious than extreme emotional reactions, but which can be equally distressing for the parent who views nourishing their child as one of their major responsibilities. This point was reinforced across parent interviews and mealtime observations, and should be a key factor in the identification of families in need of support and intervention. Parent interviews, healthcare professional interviews, and psychometric assessment, all highlighted the considerable presence and role of parent anxiety within feeding disorder development. Parent anxiety was discussed as a potential cause and an outcome of challenging feeding behaviour, exacerbated by the perceived extent of the child s feeding condition and the dearth of support and information about dealing with significant feeding issues. Anxiety was seen by parents and healthcare professionals to influence the feeding strategies used by parents, and without intervention to contribute to a downward spiral of negative feeding interactions. Disordered feeding was also seen to interfere with social interactions, which would otherwise play an important role in the child s feeding and dietary development, and provide social support and guidance for parents. These patterns of problem and disorder perpetuation are liable to persist while general and clinical understanding of feeding disorders is minimal and inconsistent. The findings of the current thesis pose a great variety of potential influences and risk factors for feeding disorder development, supporting an individualistic approach to disorder identification and intervention, and the need for a significant change in the current systems for dealing with feeding disorders. It is essential to take each of the different components into consideration to understand the specific mechanisms underpinning the maintenance of the feeding disorder and aid selection of the most suitable and efficient approach to intervention. The pattern of factors implicated in each individual feeding disorder case will be differentiated according to the child, the parent and the child s general environment. Identification of the full range of children in need of support and intervention is reliant on recognition of the diversity in disorder type, severity and presentation.
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Easton-Carter, Kylie 1973. „The consequences of drug related problems in paediatrics“. Monash University, Dept. of Pharmacy Practice, 2001. http://arrow.monash.edu.au/hdl/1959.1/8988.

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Alderson, Dorothea Priscilla. „Informed consent : problems of parental consent to paediatric cardiac surgery“. Thesis, Goldsmiths College (University of London), 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.702485.

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Power, Kevin J. „How are ethical problems resolved in a paediatric intensive care unit?“ Thesis, De Montfort University, 2012. http://hdl.handle.net/2086/7880.

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Few studies have explored how medical ethics works in practice specifically in terms of the social processes that result in a decision regarding an ethical problem. This is particularly so in the case of children’s intensive care. More than a decade of teaching healthcare ethics to both nurses and doctors prompted a study to examine how ethical problems are resolved in a children’s intensive care unit. This qualitative study addressed this question in a single large children’s intensive care unit in England. The study was guided by grounded theory in examining via individual face to face unstructured and semi-structured interviews what ethical problems were encountered and how they were resolved. Interviews were conducted mainly with doctors and nurses working on an intensive care unit. Two admitting consultant doctors and three parents were also interviewed. The analysis of data gathered in 20 interviews was developed using Strauss and Corbin’s (1998) framework. A theory emerged from the analysis of the data that revealed the most prominent ethical problems in children’s intensive care related to end-of-life situations. Most significant among these was the decision to withdraw life-preserving interventions from a child. The theory outlines a process by which health professionals involved in the care and treatment of a child in intensive care negotiated a consensus on the point at which it was no longer appropriate to continue life-preserving interventions. This consensus was then presented to parents. Parental assent to withdrawal was facilitated, when not immediately forthcoming, by a process of persuasion.
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Star, Kristina. „Safety of Medication in Paediatrics“. Doctoral thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-197323.

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Background: In paediatrics, the limited documentation to guide medication, the lack of suitable dosage forms, and the continuous development in childhood present a scenario where safety of medication is a particular challenge. Aim: To explore reported adverse drug reactions (ADRs) and the challenges in prescribing and administering medicines in paediatrics, in order to identify and suggest areas needing international surveillance within medication safety and improvement in the clinical setting. Methods: Four exploratory studies were conducted. Worldwide reporting of suspected ADRs (individual case safety reports, ICSR) with ages 0-17 years were examined overall. Twenty published case reports and ICSRs for adolescents, who developed a rare and incompletely documented ADR (rhabdomyolysis) during antipsychotic medicine use, were analysed in-depth. Prescribed doses of anti-inflammatory medicines were studied in a UK electronic health record database. Transcribed focus group interviews with 20 registered nurses from four paediatric wards in Sweden were analysed for factors that may promote or hinder safe medication practices. Descriptive statistics, multiple regression, and content analyses were used. Results: Although, skin reactions and anti-infective medicines were most frequently reported, and more reported in paediatric patients than in adults, medication errors and adverse reactions related to psychostimulant medicines were reported with increased frequency during 2005 to February 2010. The in-depth case analysis emphasised the need for increased vigilance following changes in patients’ medicine regimens, and indicated that ICSRs could contribute with clinically valuable information. Prescribed dose variations were associated with type of dosage form. Tablets and capsules were prescribed with a higher dose than liquid dosage forms. Six themes emerged from the interviews: preparation and administration was complex; medication errors caused considerable psychological burden; support from nurse colleagues was highly valued; unfamiliar medication was challenging; clear dose instructions were important; nurses handling medications needed to be accorded higher priority. Conclusions: Age-specific screening of ICSRs and the use of ICSRs to enhance knowledge of ADRs and medication errors need to be developed. Access to age-appropriate dosage forms is important when prescribing medicines to children. To improve medication safety practices in paediatric care, interdisciplinary collaborations across hospitals on national or even global levels are needed.
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Wicksteed, Amy. „A comparative study of maternal eating behaviour, perfectionism, and inflated responsibility in paediatric feeding problems“. Thesis, University of East Anglia, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.399847.

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Saha, Amal Kumar. „Studies on paediatric growth problems in North Bengal districts of India and development of a fuzzy object-oriented knowledge based system for treatment planning“. Thesis, University of North Bengal, 1998. http://hdl.handle.net/123456789/190.

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Åslund, Elin, und Katrin Färnlöf. „Föräldrars upplevelse av för tidigt födda barns magbesvär och stöd som gavs efter utskrivning från neonatalavdelning : En kvalitativ studie“. Thesis, Högskolan Dalarna, Omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:du-31788.

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Bakgrund: Ett för tidigt fött barns tarmar och matsmältningsapparat är inte färdigutvecklade och de kan drabbas i större utsträckning av mag-tarmproblem. Att vårdpersonal har kunskap om upplevelser och stöd kring för tidigt födda barns magbesvär är viktigt. Syfte: Att beskriva för tidigt födda barns mag-tarmbesvär ur föräldrarnas perspektiv samt beskriva vilket stöd som gavs av vårdgivaren. Metod: Denna studie genomfördes med en kvalitativ innehållsanalys med deskriptiv ansats. Data analyserades med en tematisk nätverksanalys. Data bestod av loggboksblad samt skriftliga kommentarer från mödrar. Totalt antal mödrar som inkluderades i denna studie var 148, totalt antal loggboksblad var 133 och 56 skriftliga kommentarer. Resultat: Ett globalt tema, två organisationsteman samt åtta basteman identifierades. De två organisationsteman som framkom var: föräldrarnas upplevelser kring sitt för tidigt födda barn med magbesvär samt Vårdgivarens stöd och föräldrarnas upplevelse och effekt av detta stöd. Det globala temat som framkom var: Vikten av att bli lyssnad på, få stöd, och rätt information i en utsatt situation. Slutsats: Det finns ett behov av individuellt anpassat stöd hos föräldrar till för tidigt födda barn med magbesvär. Trygghet skapades då det upplevdes att vårdgivarna hade god tillgänglighet, var kunniga inom området och gav adekvata rekommendationer. Den stress och oro hos föräldrarna som barnets magbesvär medförde kunde minskas med hjälp av att bli lyssnad på, få individuellt stöd och rätt information.
Background: A prematurely born infant’s intestines and digestive system is not fully developed and may suffer of gastrointestinal problems. It is important that health care staff have knowledge of experiences and support regarding premature born infants. Purpose: To describe preterm infant’s gastrointestinal problems from a parents perspective as well as the type of support provided by medical provider. Method: The study was carried out with a qualitative/descriptive analysis of collected data. Data comprised of 133 logbook notes as well as 56 written comments from the mothers. In total 148 mothers were included in the study. Result: One global theme, two organisational themes and eight base themes were identified. The two organisational themes emerged: Parents experience of their prematurely born infant’s stomach problems and Medical providers support and parents experience and the effect of that support. The global theme emerged: The importance of being listened to, receive support and the correct information in a compromised situation. Conclusion: There is a need for individually tailored support for parents of premature infants with stomach problems. Security was created when parents experienced that the medical providers provided good accessibility, were knowledgeable in the area and made adequate recommendations. The stress and anxiety of the parents caused by the infants stomach problems could be alleviated by being listened to, receive individual support and correct information.
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Bücher zum Thema "Paediatric problem"

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Richard, Welbury, Hrsg. Clinical problem solving in orthodontics and paediatric dentistry. 2. Aufl. Edinburgh: Churchill Livingstone, 2010.

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1935-, Schwartz M. William, Hrsg. Pediatric primary care: A problem-oriented approach. 2. Aufl. Chicago: Year Book Medical Publishers, 1990.

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1935-, Schwartz M. William, Hrsg. Pediatric primary care: A problem-oriented approach. 3. Aufl. St. Louis: Mosby-Year Book, 1997.

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Hutchinson, James H. Practical paediatric problems. 6. Aufl. London: Lloyd-Luke, 1986.

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Zulf, Mughal, und Boyd Robert, Hrsg. Paediatric problems in general practice. 3. Aufl. Oxford: Oxford University Press, 1996.

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Robert, Boyd, Hrsg. Paediatric problems in general practice. 2. Aufl. Oxford [England]: Oxford University Press, 1988.

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Lissauer, Tom. Pocket examinerin paediatrics. Edinburgh: Churchill Livingstone, 1986.

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G, Milner R. D., und Herber S. M, Hrsg. Diagnostic picture tests in paediatrics. London: Wolfe Medical, 1986.

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Cunnington, A. J. (Aubrey J.) und Walker, J. M. (Joanna M.), Hrsg. 100 cases in paediatrics. London: Hodder Arnold, 2009.

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J, Field David, Stroobant John und Willems C. Daman, Hrsg. Paediatrics: An illustrated colour text. Edinburgh: Churchill Livingstone, 1997.

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Buchteile zum Thema "Paediatric problem"

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Plowman, P. N. „Bulk Disease as the Major Problem in the Cure of Paediatric Sarcomas“. In Pediatric Surgical Oncology, 45–63. Berlin, Heidelberg: Springer Berlin Heidelberg, 1989. http://dx.doi.org/10.1007/978-3-642-72643-9_3.

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Pollak, Margaret, und John Fry. „School problems“. In Commonsense Paediatrics, 73–80. Dordrecht: Springer Netherlands, 1986. http://dx.doi.org/10.1007/978-94-011-6367-5_10.

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Pollak, Margaret, und John Fry. „Learning problems“. In Commonsense Paediatrics, 81–85. Dordrecht: Springer Netherlands, 1986. http://dx.doi.org/10.1007/978-94-011-6367-5_11.

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Buschel, Helen, und Daniel Carroll. „Problems with the External Genitalia“. In Paediatric Surgery, 165–78. Boca Raton: CRC Press, 2023. http://dx.doi.org/10.1201/9781003156659-13.

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Pollak, Margaret, und John Fry. „Problem families: children at risk“. In Commonsense Paediatrics, 161–65. Dordrecht: Springer Netherlands, 1986. http://dx.doi.org/10.1007/978-94-011-6367-5_22.

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Baxter, Jonathan A., und Matthew F. Nixon. „Upper Limb Problems in Children with Cerebral Palsy“. In Paediatric Orthopaedics, 393–99. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-41142-2_41.

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Seidenbusch, Michael, Veronika Rösenberger und Karl Schneider. „Specific Problems of Paediatric Radiology“. In Imaging Practice and Radiation Protection in Pediatric Radiology, 13–23. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-18504-6_3.

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Carroll, Daniel. „Common Problems in Remote and Rural Paediatric Surgical Practice“. In Paediatric Surgery, 195–200. Boca Raton: CRC Press, 2023. http://dx.doi.org/10.1201/9781003156659-16.

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Lalitha, Anoop Raveendran Nair, und Manisha Mishra. „Psychosocial Problems in Children with Scoliosis and Their Parents“. In Paediatric Scoliosis, 789–99. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-99-3017-3_50.

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„Paediatric conditions“. In The Problem Knee, 67–103. CRC Press, 2011. http://dx.doi.org/10.1201/b13425-8.

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Konferenzberichte zum Thema "Paediatric problem"

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CIFTDEMIR, Nukhet ALADAG, Tuba EREN und Yasemin KARAL. „OC-66 A new problem in paediatric emergency units in turkey, substance abuse“. In 8th Europaediatrics Congress jointly held with, The 13th National Congress of Romanian Pediatrics Society, 7–10 June 2017, Palace of Parliament, Romania, Paediatrics building bridges across Europe. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-313273.66.

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M, Gonzalez Arias, Buero MM, Salem Z, Yang SL und Valori AV. „Reducing neonatal mortality in Abs General Hospital, Yemen“. In MSF Paediatric Days 2024. NYC: MSF-USA, 2024. http://dx.doi.org/10.57740/2fbez60o.

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BACKGROUND AND OBJECTIVES Since 2015, MSF OCBA has supported Abs General Hospital (AGH) with an 88-bed capacity neonatal ward. In the recent years, annual admissions in the service escalated to an average of 3000 but with persistently high inpatient neonatal mortality rates, usually above 20%. Main causes of mortality in 2022 were prematurity (45%), perinatal asphyxia (21%) and sepsis (20%). To tackle this problem we performed an initial mortality analysis and used it to develop a workplan, which was then implemented during March – April 2023. The plan focused on improving compliance with zero-separation practices and adherence to neonatal care protocols and on reducing nosocomial infection. Specific activities, among many, included ensuring enough space for mothers to stay with their newborns in the ward and implementing a breastfeeding group with weekly meetings. Here we present our assessment of whether and how these measures may have affected neonatal mortality. METHODS Inpatient mortality rates of pre- and post-implementation period were compared from aggregated monthly data in MSF ́s Health Management Information System (HMIS). We conducted analysis stratified by year and by predefined periods – pre-implementation periods: January to August 22 and September 22 to February 23 (reference period) and post- implementation period: May to December 23. Mortality rate ratios (MRR) were calculated using negative binomial regression adjusted for month of admission. RESULTS 1050 neonatal deaths and 5733 exits were included in the analysis period. Our data showed a 24% decrease in overall neonatal mortality (MRR = 0.76, 95%CI 0.60-0.95, p=0.02) during the post-implementation period compared to the reference period, with the reduction affecting all three main causes of mortality equally (prematurity accounted for 46% of all deaths post-implementation, sepsis 21%, and perinatal asphyxia 20%). A significant decrease in mortality (26%) was seen in 2023 when compared to 2022 (MRR = 0.74, 95%CI 0.65-0.85, p<0.05). CONCLUSIONS Neonatal mortality is usually an important challenge in MSF settings. Here we describe some low-cost strategies that have likely contributed to reducing inpatient mortality. A comprehensive approach to neonatal care with involvement of locally-hired staff seems essential for good outcomes and continuity. This experience provides valuable insights for healthcare professionals working in similar settings.
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Griksaitis, MJ, C. Hollingsworth, C. Wesley, J. Huckridge und GM Finn. „G330 Post-traumatic stress disorder is a problem in UK paediatric trainees following the death of a child“. In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 24–26 May 2017, ICC, Birmingham. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-313087.323.

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Gupta, Sahil, Rasmi Palassery, Santhosh K. Devadas, Vinayak Maka und Nalini Kilara. „Epidemiology of Adolescent and Young Adult Cancers in a Tertiary Hospital in South India“. In Annual Conference of Indian Society of Medical and Paediatric Oncology (ISMPO). Thieme Medical and Scientific Publishers Pvt. Ltd., 2021. http://dx.doi.org/10.1055/s-0041-1735371.

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Abstract Introduction There has been an increase in the incidence of malignancies in young Indians, and there is no data reflecting the trend and profile of adolescent and young adult (AYA) cancers. Objectives This study was aimed to ascertain the epidemiology of AYA cancers in a tertiary care center in south India and the trend of AYA cancers during the past 9 years. Materials and Methods All patients aged 15 to 39 years with the diagnosis of cancer who were registered and received treatment with M.S. Ramaiah Hospital during a 9-year period from January 2011 to December 2019 were included. Basic demographic information on age, gender was available along with address and contact information. Using cancer site and morphology codes, the cancers were grouped by the ICD-O coding system of AYA cancers and their clinical information on disease and treatment status were collected retrospectively and analyzed. Results Of the total 946 registered AYA cancer patients, majority of AYA cancer were in age group of 35 to 39 years (39%) and females (58%). When analyzing the data and dividing the AYA population into early (15–24 years) and late (25–39 years), we found that whereas the majority of the patients had hematolymphoid malignancies (48%) in the early group (15–24 years), the late group (25–39 years) had more carcinomas (68%). The percentage distribution of AYA cancers among the study population, lymphoma and leukemia contribute 11% and 15%, respectively, to the patient load and still the carcinomas formed the bulk (58%) of the population. It is interesting to know that breast, genitourinary, and gastrointestinal (GI) malignancies constituted 17.75%, 14.16%, and 14.69% individually. Conclusion AYA oncology consists of a heterogeneous population and the profile differs by geography, sex, and other factors. There has been limited improvement in the past decade but there is a lot more to be done. To assess the problem, we have to identify and characterize the problem and look at the epidemiology of this population. This will require multicenter and international studies with focus on improving outcomes as in pediatric inspired ALL protocols. The trials should be started at local levels to ensure maximum participation. We need to generate data on epidemiology and channel our resources properly to save this precious but so called lost tribe of oncology.
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Susilo, Andi, Nyoman Anita Damayanti, Ernawaty und Nuzulul Kusuma Putri. „Problems in Poor Paediatric Pneumonia Case Findings in Sumenep“. In Indonesian Health Economics Association. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0007030303500354.

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Nyerwanire, Helvi, Erja Mustonen-Ollila, Antti Valpas und Jukka Heikkonen. „Knowledge Management Problems in Paediatrics and Paediatrics Neurology Departments - A Case Study based on the Grounded Theory“. In 7th International Conference on Knowledge Management and Information Sharing. SCITEPRESS - Science and and Technology Publications, 2015. http://dx.doi.org/10.5220/0005630002340241.

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Hornsey, Samantha, Catherine Hill, Beth Stuart, Ingrid Muller und Hazel Everitt. „P031 Management of paediatric sleep problems in primary care: a systematic review“. In BSS Scientific Conference Abstract Book, Birmingham, England. British Thoracic Society, 2019. http://dx.doi.org/10.1136/bmjresp-2019-bssconf.31.

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O'Connor, Suzanne, und Patrick Waterson. „Development of an Evidence Based Toolkit to Support Safe Design for Children“. In Applied Human Factors and Ergonomics Conference. AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001288.

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Visual safety information for children is not well documented. The objective of this research was to identify key issues and requirements at each stage of the design lifecycle. The development and future implementation of a guide seeks to convert evidence-based guidelines into working tools for design practitioners. Semi-Structured Interviews (n=30) conducted August- October 2013 with experts involved in working with children. Including, designers, organisations, child safety experts, applied child development specialists, testing groups, paediatric, academic, Ergonomic and Human Factors Experts. Initial analysis of the interviews identified the main problems with implementing Human Factors and Ergonomics guidance, as well as knowledge needs of design practitioners and other experts. Results look towards development of the toolset to promote a more holistic prevention/ view of safety. Key issues in implementation of the toolset include lack of an accessible format, differences between groups involved in promoting safety, lack of co-ordination between the groups and further national and regional factors.
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Dastur Mackenzie, FM, K. Shepherd, JP Rukabyarwema und T. Lissauer. „G265 Neonatal hypothermia – still a serious problem in a low-income country“. In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics: pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.257.

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F, Rubona, Ibongu E, Bah AJ, Dianouni F und Wepnyui H. „Formation virtuelle comme catalyser d'amelioration des soins neonataux au centre de sante de reference de douentza au Mali“. In MSF Paediatric Days 2024. NYC: MSF-USA, 2024. http://dx.doi.org/10.57740/q5pyocl.

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BACKGROUND AND OBJECTIVES Le Centre de Sante de Référence de Douentza fait face à des nombreux défis des soins néonataux exacerbés par le contexte d’accès très limités. Plusieurs initiatives ont été envisagées notamment le support continu du Pédiatre, analyses des causes des décès et définition des plans d’action, formation au lit des malades. Pour accéder et accompagner le personnel soignant, une formation virtuelle intersectionnelle des soins néonataux a été réalisée pendant 2,5 mois pour une équipe de 7 staffs (infirmières et médecins). Le partage de cette expérience a comme objectif de montrer les bonnes pratiques possibles dans ces contextes. CASE DESCRIPTION Après cette formation virtuelle interactive, l’équipe a pris l’initiative d’identifier les grands défis à relever pour améliorer les soins néonataux à travers une évaluation approfondie (arbre à problèmes) des pratiques de soins dans le projet. La collecte d’informations comprenait des observations sur place à travers des entretiens avec le personnel de santé et avec des accompagnants, des dossiers des patients ainsi que les audits de décès. Définition et implémentation du plan d’amélioration qui a permis : • Réorganisation de la salle de néonatologie en fonction du degré d’urgence : rouge, orange, vert, zone de réanimation. • Meilleure acceptance en interne et sensibilisation sur les soins de la mère kangourou et zéro séparation. • Mise en place et maitrise du protocole de prise en charge (PEC) et de la réanimation néonatale. • Consensus et adoption des critères de PEC (admissions, référence, soins palliatifs). • Travail en amont avec l’équipe de la Promotion de santé et engagement communautaire pour le recours précoce aux soins. CONCLUSIONS La formation virtuelle a permis non seulement d’interagir, d’acquérir des nouvelles connaissances mais aussi l ́analyse et détection des causes profondes du problème, proposer des interventions ciblées à court et moyen terme ; définir le chronogramme d’implémentation ainsi que les indicateurs de suivi. Des changements perceptibles sont opérés et continueront pour des soins néonataux appropriés.
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