Journal articles on the topic 'Children's hospital design'
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Bilec, M. M., R. J. Ries, K. L. Needy, M. Gokhan, A. F. Phelps, E. Enache-Pommer, M. J. Horman, et al. "Analysis of the Design Process of Green Children's Hospitals: Focus on Process Modeling and Lessons Learned." Journal of Green Building 4, no. 1 (February 1, 2009): 121–34. http://dx.doi.org/10.3992/jgb.4.1.121.
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Healthcare facilities are among the most complicated facilities to plan, design, construct and operate. A new breed of hospitals is considering the impact of the built environment on healthcare worker productivity and patient recovery in their design, construction, and operation. A crucial subset of healthcare facilities are children's hospitals where the consequences of poor building system design and performance have the potential to seriously impact young lives with compromised health. Green facilities are not always pursued: they are perceived as difficult to build and costing more than equivalent conventional hospitals. This study explored the design process of the Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC) and Penn State's Hershey Medical Center Children's Hospital to understand the critical steps and processes for green children's hospital design. Producing a series of process maps that identify the key characteristics in the complex design requirements of a green children's hospital, this paper reveals the importance of design process to design quality. More broadly, this research will help future project teams meet the complex design requirements of green children's hospitals.
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Ha, Ji-Min, and Soo-Been Park. "Child-friendly Design Factors for Children's Hospital Planning." Journal of the architectural institute of Korea planning & design 30, no. 10 (October 30, 2014): 87–95. http://dx.doi.org/10.5659/jaik_pd.2014.30.10.87.
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Pasha, Samira. "Barriers to Garden Visitation in Children's Hospitals." HERD: Health Environments Research & Design Journal 6, no. 4 (July 2013): 76–96. http://dx.doi.org/10.1177/193758671300600405.
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OBJECTIVE: This study aimed to identify barriers to use of outdoor spaces in Texas pediatric healthcare facilities. BACKGROUND: Available research on hospital healing gardens and outdoor spaces has indicated that despite several health benefits of garden visitation for staff, patients, and family members, these amenities are not being used to their fullest capacity. Previous researchers have recommended design features such as comfortable seats and adequate shade to increase garden visitation in healthcare setting. However no quantitative data have demonstrated significance of correlation between presence of these design features and garden use. The present study served to statistically support design guidelines suggested by previous researchers and introduce new guidelines. METHODS: Site visits and surveys were conducted in five green outdoor spaces in three pediatric hospitals in east Texas. Hospital visitors, family members, and staff responded to questions concerning barriers to garden visitation, their visitation habits, and satisfaction with the garden features. The study was reviewed and approved by Institutional Review Boards of the relevant hospitals and academic institutions. RESULTS: A negative significant correlation was found between staff garden use and dissatisfaction with quality of seats and poor shade. While quality of seats didn't impact visitor and family member garden visitation, a significant negative correlation was found between poor shade and their garden use. CONCLUSIONS: The study served to statistically support previous design suggestions for hospital gardens, and introduced new design guidelines. Design recommendations include functionality, visibility, accessibility, exclusivity, and availability of shade and seats.
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Shin, Hae-kyung, Hyo-yeong Kim, Hyun-Jung Kim, Min-kyung Kim, Hyun-joo Shin, Hoo-yun Lee, Jee-hee Han, and Hye-jung Lee. "The development and evaluation of a pediatric nurse education program to improve nursing competency for newly graduated nurses in a children’s hospital." Journal of Korean Academic Society of Nursing Education 28, no. 2 (May 31, 2022): 179–92. http://dx.doi.org/10.5977/jkasne.2022.28.2.179.
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Purpose: The purpose of this study is to identify the effects of a standardized educational program to improve nursing competency on newly graduated nurses in a children's hospital after developing and applying a pediatric nurse education program. The effectiveness of the program was confirmed by evaluating the clinical competency and field adaptation.Methods: In the first step, an education program was developed using the analysis, design, development, implementation and evaluation (ADDIE) model. As a second step, a similar experimental study of a single group repeat measures design was conducted to evaluate the clinical competency and field adaptation over time after application of the program. Additionally, a focus group interviews were conducted to collect subjective data on the effects and improvement points of the program.Results: As a result of applying the program, there was a significant change in the clinical competence and the field adaptation of newly graduated nurses in a children’s hospital. The categories derived from the focus group interviews were “getting special guidance,” “better care,” “becoming a nurse at a children's hospital” and “winning together.”Conclusion: It was confirmed that the education program enhances the clinical competency of new nurses in children's hospitals. In addition, it provided the necessary data to understand the experiences of new nurses, help them adapt effectively, and establish appropriate interventions.
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FU, XIAO. "Research on Color Design of Children's Hospital under Visual Effect." Convergence of Humanities, Social Science an Art’s Academy 4, no. 1 (February 20, 2020): 119–36. http://dx.doi.org/10.37846/soch.3.2.119.
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Thiel, Cassandra L., Kim LaScola Needy, Robert Ries, Diane Hupp, and Melissa M. Bilec. "Building design and performance: A comparative longitudinal assessment of a Children's hospital." Building and Environment 78 (August 2014): 130–36. http://dx.doi.org/10.1016/j.buildenv.2014.04.001.
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Özgen, Elif. "Evaluation on the change of healing perception at healthcare facilities the royal children's hospital." International Journal of Emerging Trends in Health Sciences 2, no. 1 (June 28, 2018): 07–13. http://dx.doi.org/10.18844/ijeths.v2i1.3423.
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Healthcare constructions are public buildings that necessitate technical, healing and medical conditions, require common action from a number of disciplines and accommodate differing scales within themselves. Recently, these constructions have been a field of study whose momentum have continued to speed up for varying disciplines in terms of healing factors. This condition can be evaluated in terms of the basic requirement of “well-being†for each individual, the fact that the definition of health has become more comprehensive and the changes on spatial requirements in accord with developing technology. The definition by World Health Organization (WHO) will be distinctive for designers. WHO stated that “Health is not only protection from diseases and microbes but also a state of well-being physically, mentally and socially.†Furthermore, excitement, hope and other positive emotions that can be conveyed to human soul through design can be viewed as the basis of health philosophy constructed on the condition of “well-being†Even though the concept of health involves a comprehensive definition, its perception by users indicates change over time and it can be considered that this perception is far from a holistic approach in parallel with the definition of health. Healthcare constructions include places that have negative connotations in the conscious of the society. The design of modern healing places as livable spots, environments to where feelings of belonging can be attached and environments of relaxing and healing therapeutics has become a delayed requirement. This will only start with understanding the role of place on healing. Hospitals can be regarded as type of constructions that are convenient to healing reading. Therefore, the efforts to create theoretical background have been put forward in this study in order to evaluate the relation between healthcare constructions and perception of places to provide reading over hospitals. The study will mention hospital buildings in the historical process and changes on the healing perception of people. It is impossible to design the study independent of users in this healing reading from past to present. With the evaluation carried out in this respect, today’s spatial construction perception will be evaluated over The Royal Children’s Hospital, Melbourne, Australia and providing recommendations on construction design is targeted.
Keywords: Healing Places, Hospitals, Hospital design, Healing Design, Healthcare Constructions, Spatial Perception.
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Sukel, Kayt. "Vital Design." Mechanical Engineering 141, no. 04 (April 1, 2019): 30–35. http://dx.doi.org/10.1115/1.2019-apr1.
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Engineering and medicine has been intertwined for a very long time and in the recent years the relationship has been getting stronger and more important to the advance of healthcare. Surgeons and engineers are collaborating are using 3-D models to plan complex procedures. To do that, engineers must speak a language surgeons can understand. This article looks at how Boston Children's Hospital has invested in the Cardiac Surgery Research department and wants engineers engaged “in the room where it happens.” Then they can observe, study, and communicate with surgeons to truly understand their problems and the type of solutions that they would want to use.
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Vukman, Diana, Petra Viličnik, Nada Vahčić, Dario Lasić, Tena Niseteo, Ines Panjkota Krbavčić, Ksenija Marković, and Martina Bituh. "Design and evaluation of an HACCP gluten-free protocol in a children's hospital." Food Control 120 (February 2021): 107527. http://dx.doi.org/10.1016/j.foodcont.2020.107527.
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Carr, Anna M., Matilde Irigoyen, Allan M. Arbeter, Robert S. Wimmer, Robert S. McGregor, Charles R. Reed, and Daniel V. Schidlow. "A Collaborative Model for Inpatient Training in a Small Pediatric Residency Program." Journal of Graduate Medical Education 3, no. 3 (September 1, 2011): 383–86. http://dx.doi.org/10.4300/jgme-d-10-00216.1.
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Abstract Background The nationwide decline in pediatric admissions to community hospitals threatens the sustainability of small pediatric residency programs. Little is known about the response of small programs to this challenge. Objectives We report on the design and evaluation of an innovative, collaborative model for pediatric inpatient training between an academic community medical center and a children's hospital. Methods We describe the operational, academic, and financial features of the model. Outcome measures include patient volume and subspecialty mix, resident and faculty perceptions as reported in an anonymous survey, and Accreditation Council for Graduate Medical Education Residency Review Committee (RRC) review. Results In 2003, Albert Einstein Medical Center (Einstein) closed its pediatric inpatient unit and established an independent teaching service at St Christopher's Hospital for Children (St Christopher's) in Philadelphia, Pennsylvania. Under the new model, patient volume and subspecialty mix more than tripled. Einstein residents and faculty identified 5 major strengths: level of responsibility and decision making, caring for medically complex children, quality of teaching, teamwork, and opportunity to participate in academic activities at a children's hospital. St Christopher's leadership reported increased volume, no disruption of their residency program, and no dilution of clinical teaching material. The Einstein program was reaccredited by the RRC in 2006 for 2 years and in 2009 for 4 years. Conclusion A collaborative model for inpatient training was successful in maintaining a community hospital–based pediatric residency program. Positive outcomes were documented for the residency program, the parent community hospital, and the collaborating children's hospital.
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Asfar, Taghrid, Robert C. Klesges, Stacy D. Sanford, Deborah Sherrill-Mittleman, Leslie L. Robison, Melissa M. Hudson, Grant Somes, James M. Boyett, and Harry Lando. "Trial design: The St. Jude Children's Research Hospital Cancer Survivors Tobacco Quit Line study." Contemporary Clinical Trials 31, no. 1 (January 2010): 82–91. http://dx.doi.org/10.1016/j.cct.2009.09.004.
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Crowther, David M., Marcia L. Buck, Michelle W. McCarthy, and Virginia W. Barton. "Improving Pediatric Adverse Drug Event Reporting through Clinical Pharmacy Services." Journal of Pediatric Pharmacology and Therapeutics 16, no. 4 (October 1, 2011): 285–90. http://dx.doi.org/10.5863/1551-6776-16.4.285.
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OBJECTIVES The purpose of this study was to summarize adverse drug event (ADE) reporting and to characterize the type of healthcare practitioners involved in reporting over a 10-year period at a 120-bed university-affiliated children's hospital. METHODS The University of Virginia Children's Hospital ADE database was analyzed for records involving pediatric patients. Data from patients <18 years of age who were admitted to the University of Virginia Children's Hospital between January 1, 2000, and December 31, 2009, were analyzed. Data collected included drug name and therapeutic class of the suspected causative agent, description of the event, severity, causality, outcome, and the type of healthcare practitioner reporting the event. RESULTS A total of 863 ADEs were reported over the 10-year period. The 5 most common types reported were extravasation injury (10%), rash (8%), hypotension (5%), pruritus (5%), and renal failure (3%). A total of 196 (21%) cases were categorized as mild, 436 (47%) cases as moderate, and 296 (32%) cases as severe. Further characterization of extravasations was performed to identify trends relating to potential causes. In 45 (57%) reports, parenteral nutrition was identified as the causative agent. Full recovery was documented in 21 (47%) extravasations. Of the total events reported, 83% were reported by pharmacists, 16% by nurses, and <1% by other healthcare practitioners. CONCLUSIONS Results of this study are consistent with those of previous studies involving ADE reporting in children's hospitals. This consistency is due in part to system design and use of unit-based pharmacists as the primary reporters.
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Klatte, J. Michael, Kathleen Kopcza, Alexander Knee, Evan R. Horton, Erica Housman, and Donna J. Fisher. "Implementation and Impact of an Antimicrobial Stewardship Program at a Non-freestanding Children's Hospital." Journal of Pediatric Pharmacology and Therapeutics 23, no. 2 (March 1, 2018): 84–91. http://dx.doi.org/10.5863/1551-6776-23.2.84.
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OBJECTIVES Pediatric Antimicrobial Stewardship Programs (ASP) have been associated with improvements in antibiotic utilization and patient outcomes; however, ASP studies originating from non-freestanding children's hospitals are lacking. In this study, we present the implementation and impact of a multidisciplinary ASP that employs a collaborative physician and pharmacist driven thrice-weekly prospective audit-with-feedback approach at a non-freestanding children's hospital. METHODS Implementation was assessed via descriptive design. Pediatric inpatients maintained on predefined targeted antibiotics of interest for 48 to 72 hours preceding ASP review were eligible for inclusion. Outcomes evaluated included ASP recommendation and provider acceptance rates (overall and by antibiotic and provider specialty). Impact was examined using an interrupted time series design (with a preimplementation period of August 1, 2013, to July 31, 2014 and postimplementation period of December 1, 2014 to May 31, 2016). Eligibility included all targeted antibiotic usage among pediatric inpatients, with a control group comprising those who received antibiotics requiring preauthorization. Outcomes analyzed included days of antibiotic therapy per 1000 patient days (DOT/1000 PD) and 30-day hospital readmission rates over time. RESULTS Postimplementation, 882 antibiotic reviews were performed on 637 patients, with 327 recommendations generated. Reviews of patients maintained on vancomycin and clindamycin, and of those under care of intensivist and hospitalist physicians, were most likely to prompt recommendations. A mean targeted antibiotic usage decrease of 24.8 DOT/1000 PD (95% confidence interval, −62 to 14) was observed postimplementation, with no change in 30-day readmissions (0.64% during both periods). CONCLUSIONS ASP implementation at a non-freestanding children's hospital was feasible and allowed for identification of areas for targeted quality improvement, while demonstrating modest antibiotic use reduction without adversely impacting patient care.
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Tapiainen, Terhi, Gurli Bär, Urs B. Schaad, and Ulrich Heininger. "Influenza Vaccination Among Healthcare Workers in a University Children's Hospital." Infection Control & Hospital Epidemiology 26, no. 11 (November 2005): 855–58. http://dx.doi.org/10.1086/502508.
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AbstractObjectives:To evaluate the attitudes of pediatric healthcare workers (HCWs) toward influenza vaccination and to increase their rate of immunization.Methods:A survey was conducted among pediatric HCWs using an anonymous questionnaire. Survey results were used to design an intervention to increase the immunization rate of staff. Immunization rates before (2003-2004) and after (2004-2005) intervention were assessed using immunization clinic records.Setting:A university children's hospital in Switzerland.Interventions:(1) An informational letter based on misconceptions noted in the survey, (2) educational conversations with head nurses, (3) more “walk-in” immunization clinics, and (4) a direct offer of influenza immunization on the wards.Results:Among vaccine nonrecipients, doubts about the efficacy and necessity of influenza immunization were prevalent and more often reported by nurses than physicians (75% vs 41%, P = .002; and 55% vs 23%, P = .001, respectively). Physicians more often than nurses reported lack of time as a reason for not receiving influenza vaccination (23% vs 5%, P = .01). After intervention, the immunization rate of HCWs increased from 19% to 24% (P = .03). The immunization rate of physicians increased from 43% to 64% (P = .004). No change was noted among nurses (13% vs 14%) and other HCWs (16% vs 16%).Conclusions:Misconceptions about influenza vaccination were prevalent among pediatric staff, particularly nurses. Active promotion and educational efforts were successful in increasing the immunization rate of physicians but not nurses and other HCWs.
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Mccrossin, Robert. "Successes and failures with grand rounds via videoconferencing at the Royal Children's Hospital in Brisbane." Journal of Telemedicine and Telecare 7, no. 2_suppl (December 2001): 25–28. http://dx.doi.org/10.1258/1357633011937047.
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Grand rounds at the Royal Children's Hospital in Brisbane began to be conducted by videoconference in 1997. They were held each week and started at 07:45. A total of 44 multisite videoconferences were held in the year 2000, to an average of 10 sites in Queensland. The remote audience for each conference was about 60 people. The local audience at the Royal Children's Hospital comprised 20–40 people. Many other centres made requests to join the grand rounds, but expansion was not possible because of technical limitations. The lessons learned during four years of close partnership with provincial centres mirror Hippocrates: ‘The need is great, the scope wide, growth inexorable and timing difficult’. Everyone basically wants to do a good job, and most errors can be overcome by good design and dedicated technical support.
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Utary, Latifah, Setiamurti Raharadjo, and Doddy Friestya Asharsinyo. "APLIKASI TEMA DESAIN RUMAH SAKIT IBU DAN ANAK BERDASARKAN KARAKTER PENGGUNA RUANG." Idealog: Ide dan Dialog Desain Indonesia 3, no. 1 (April 29, 2018): 23. http://dx.doi.org/10.25124/idealog.v3i1.1780.
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Other than as a means of serving the special health examination of the mother during the pregnancy to pre post childbirth and providing service for the health of children, mothers and children's hospital must also pay attention to aspects of psychiatric or psychological patients and patient needs in order to design can support the recovery process. In addition to the need for facilities that can accomodate an entire user activity, its atmosphere also required space can provide a sense of comfort when residing therein. One way to build the desired room atmosphere users by application of the theme on the space. Therefore, the writing aims to determine the themes that correspond to the user's character and how these themes in the determination process. Research carried out using quantitative methods through questionnaires and continued with the qualitative method which will discuss the process of determining the desired theme and the theme of today’s society forinterior Women’s and Children’s Hospital.
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Cooper, William O., Harry D. Atherton, Madelyn Kahana, and Uma R. Kotagal. "Increased Incidence of Severe Breastfeeding Malnutrition and Hypernatremia in a Metropolitan Area." Pediatrics 96, no. 5 (November 1, 1995): 957–60. http://dx.doi.org/10.1542/peds.96.5.957.
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Objective: To identify common characteristics among infants with breastfeeding malnutrition in a region with an increasing incidence of breastfeeding malnutrition. Design. Retrospective case series. Setting. A 361-bed regional tertiary care children's hospital in a 1.7 million population metropolitan area. Patients. Case series: five infants with severe breast-feeding malnutrition and hypernatremia admitted to a tertiary care children's hospital over a 5-month period. Retrospective case review: 166 infants admitted between 1990 and 1994 with the diagnosis of dehydration, hypernatremia, or malnutrition. Main Outcome Measures. Maternal characteristics, age at presentation, percent loss from birth weight, serum sodium, average age at birth hospital discharge, neurologic, or cardiovascular complications. Results. Five infants were admitted to a children's hospital over a 5-month period with severe breastfeeding malnutrition and hypernatremia. The average weight loss at time of readmission was 23% (± 8%) from birth weight. The average presenting sodium was 186 ± 19 mmol/L. Three suffered significant complications. From 1990 through 1994, there was a statistically significant (P < .05) annual increase in the number of infants admited with breastfeeding malnutrition and hypernatremia. Conclusions. While breastfeeding malnutrition and hypernatremia is not a new problem, this cluster of infants represents an increase in frequency and severity of the problem and could be a consequence of several factors, including inadequate parent education about breastfeeding problems and inadequate strategies for infant follow-up.
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Carter, B., D. Clare, M. Hochmann, A. Osborne, and T. Fraser. "An Alarm for Monitoring CPAP." Anaesthesia and Intensive Care 21, no. 2 (April 1993): 208–10. http://dx.doi.org/10.1177/0310057x9302100214.
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We have built a device for use within the hospital and at home that is designed to warn of circuit disconnection when used in conjunction with continuous positive airway pressure (CPAP) therapy delivered via ventilators or CPAP generating systems. The Royal Children's Hospital CPAP alarm is a compact, battery operated alarm and monitor of circuit pressure. The device includes intrinsic safety features including a safety blow-off valve, a high pressure alarm and design features that make the device practical, safe and easy to use by both trained hospital personnel and home care attendants with limited training.
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Kasekete, MD, P. Kuona, C. Timire, JK Chun, KJ Nathoo, and HA Mujuru. "Clinical characteristics and outcome of children admitted with bronchiolitis at Sally Mugabe Hospital, Harare, Zimbabwe." Central African Journal of Medicine 68, no. 7-12 (January 16, 2023): 32–39. http://dx.doi.org/10.4314/cajm.v68i7-12.2.
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Main Objective: To document clinical characteristics and outcomes of patients admitted with bronchiolitis at the Children's Hospital, Harare March 2018 to February 2019.
Study Design: A hospital based analytical cross sectional study.
Study Setting: The study was conducted at the Children's Hospital, Sally Mugabe Hospital.
Materials and Methods: Children aged 2months to 2 years hospitalised with bronchiolitis Results: A total of 206 children were recruited. Mean age was 5.4 (SD ±4.3) months with 148 (72%) less than six months. The male to female ratio of 1.8:1. Only 15% of the children were born preterm (85%). The main symptoms were cough (91%), rhinorrhoea (69%) and hot body (66%). Thirteen percent had a comorbid condition. Physical examination findings were mainly tachypnoea (89%) and hypoxia (83%). A severe modified Tal (mTal) score was noted in 116(56%) children at admission and 51(25%) still had a severe mTal score when repeated within 12 hours of admission. The median length of hospital stay was 4 days (IQR 3; 6) and 90(44%) children had a prolonged stay (>4 days). Only 3 (1.5%) children died. A high repeat mTal score, wasting, hypoxia and expiratory/inspiratory wheezes, were associated with a prolonged hospital stay. (p= 0.025, p= 0.004, p=0.001, p= 0.007 respectively).
Conclusion: Majority of children admitted with bronchiolitis were less than 6 months of age. There was a male predominance. Bronchiolitis causes high morbidity but low mortality in children from this low-income setting.
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Headrick, Linda A., Amy Richardson, and Gregory P. Priebe. "Continuous Improvement Learning for Residents." Pediatrics 101, Supplement_3 (April 1, 1998): 768–74. http://dx.doi.org/10.1542/peds.101.s3.768.
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Physicians must be ready to assume an active role in the design, implementation, and improvement of emerging models of health care delivery. Knowledge and skill in continuous improvement prepare them to engage seriously in the processes of change, on the basis of the same scientific principles they always have relied on in the use of evidence to improve outcomes. This includes include the ability to 1) identify the health needs of the individuals and communities for which they provide health services; 2) assess the impact of current practice with appropriate outcome measures; 3) discover what in the process of health care may be contributing to less than desired outcomes; 4) design and test interventions to change the process of care to improve outcomes; 5) act as an effective member of the interdisciplinary team required to complete these tasks; and 6) consider ethical principles and professional values when making decisions about change in health services delivery. Graduate medical education presents special opportunities and challenges for learning about continuous improvement. Early experiences at Rainbow Babies and Children's Hospital in Cleveland and Children's Hospital in Boston suggest how we might prepare pediatricians and other physicians to create positive change and continually improve health care.
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Mohammadi, S. Mehrdad, S. Farzad Mohammadi, Jerris R. Hedges, Morteza Zohrabi, and Omid Ameli. "Introduction of a quality improvement program in a children's hospital in Tehran: design, implementation, evaluation and lessons learned." International Journal for Quality in Health Care 19, no. 4 (June 15, 2007): 237–43. http://dx.doi.org/10.1093/intqhc/mzm021.
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Ha, Ji-Min, and Soo-Been Park. "User Evaluation for User-Oriented Children's Hospital Design - Focused on the Mothers of Child Inpatients and the Nurses -." Korean Institute of Interior Design Journal 25, no. 1 (February 29, 2016): 192–200. http://dx.doi.org/10.14774/jkiid.2016.25.1.192.
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Rogers, Beverly B., James L. Adams, Alexis B. Carter, Francine Uwindatwa, Cynthia B. Brawley, Charles G. Cochran;, Leah N. Bryan, Elizabeth P. Weinzierl, and Sampath Prahalad. "The Impact of Disruption of the Care Delivery System by Commercial Laboratory Testing in a Children's Health Care System." Archives of Pathology & Laboratory Medicine 143, no. 1 (May 23, 2018): 115–21. http://dx.doi.org/10.5858/arpa.2017-0529-oa.
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Context.— Disruption of outpatient laboratory services by routing the samples to commercial reference laboratories may seem like a cost-saving measure by the payers, but results in hidden costs in quality and resources to support this paradigm. Objective.— To identify differences when outpatient tests are performed at the Children's Healthcare of Atlanta (Children's) Hospital lab compared to a commercial reference lab, and the financial costs to support the reference laboratory testing. Design.— Outpatient testing was sent to 3 different laboratories specified by the payer. Orders were placed in the Children's electronic health record, blood samples were drawn by the Children's phlebotomists, samples were sent to the testing laboratory, and results appeared in the electronic health record. Data comparing the time to result, cancelled samples, and cost to sustain the system of ordering and reporting were drawn from multiple sources, both electronic and manual. Results.— The median time from phlebotomy to result was 0.7 hours for testing at the Children's lab and 20.72 hours for the commercial lab. The median time from result posting to caregiver acknowledgment was 5.4 hours for the Children's lab and 18 hours for the commercial lab. The commercial lab cancelled 2.7% of the tests; the Children's lab cancelled 0.8%. The financial cost to support online ordering and reporting for testing performed at commercial labs was approximately $640,000 per year. Conclusions.— Tangible monetary costs, plus intangible costs related to delayed results, occur when the laboratory testing system is disrupted.
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Franck, Kevin H., Roger R. Marsh, Udayan K. Shah, and William P. Potsic. "Effects of Clarion Electrode Design on Mapping Levels in Children." Annals of Otology, Rhinology & Laryngology 111, no. 12 (December 2002): 1128–32. http://dx.doi.org/10.1177/000348940211101212.
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The design of the placement of the Clarion cochlear implant's intracochlear electrode array has undergone 2 revisions since its introduction, each to improve modiolar proximity. Stimulation with modiolar proximity may reduce current requirements for threshold levels and most comfortable levels of stimulation. This study analyzed the effects of electrode design on programming levels for deaf children implanted with the 3 cochlear implant designs and followed at The Children's Hospital of Philadelphia. Psychophysical data were reported if measurements were taken approximately 3 months after initial activation, and programming parameters included nonsequential monopolar stimulation of 75-μs-per-phase biphasic pulses presented at 813 Hz per electrode. The threshold level and most comfortable programming level were measured by standard clinical techniques appropriate for children. The results indicate that the 2 electrode placement revisions have each significantly reduced threshold levels and most comfortable stimulation levels. These results are discussed in the context of device aesthetics, safety, and function.
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Roberts, Michael, Michael Milano, and Jessica Lee. "Medical Diagnoses of Pediatric Dental Patients Treated under General Anesthesia: A 19 Year Review." Journal of Clinical Pediatric Dentistry 33, no. 4 (July 1, 2009): 343–45. http://dx.doi.org/10.17796/jcpd.33.4.0g1011377763254n.
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Objective: The objective of this study was to examine the records of pediatric dental patients treated under general anesthesia to determine if there had been any significant change in preoperative diagnoses between 1990-99 and 2000-08. Study Design: The records of 3298 pediatric dental patients treated in the operating room under general anesthesia at the University of North Carolina (UNC) Children's Hospital were examined and medical diagnoses recorded. The number of cases treated by calendar year was obtained. Results:The results of this study did not find any significant differences in percentage frequency of medical diagnoses between the years of 1990-99 and 2000-08. There has been a steady increase in the number of cases treated under general anesthesia over the period of the study. Conclusions: 1. Dental care under general anesthesia remains an important treatment option. 2. The medical diagnoses of children provided dental treatment under general anesthesia has not changed significantly over the past nineteen years at the UNC Children's Hospital. 3. The demand to provide dental care for children under general anesthesia has continued to increase.
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Jumrani, J., A. Apriyanto, and Solmin Paembonan. "Aplikasi Pendaftaran Pasien Berbasis Android Pada Poli Anak Rumah Sakit Umum Andi Djemma Masamba." Kesatria : Jurnal Penerapan Sistem Informasi (Komputer dan Manajemen) 3, no. 1 (January 30, 2022): 18–25. http://dx.doi.org/10.30645/kesatria.v3i1.93.
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This study aims to build and design an application and implement a Patient Registration Android-Application at the Pediatric Clinic of Andi Djemma Masamba General Hospital. The type of research used is descriptive qualitative research, which is a series of activities or processes to reveal the process of the system process. This research also uses the method waterfall with data collection techniques using data documentation, interviews, and observations. In planning this enlistment application, the UML (model Brought together Displaying Language) comprises of utilization case outlines, movement graphs, arrangement charts and class graphs. Design a logical database using MySQL. The software used in the design and implementation of the system uses XAMPP as a web server, PhpMySQL as a database, visual studio as a web design editor, and android studio as android design editor. Based Patient Registration Android-Application at the Children's Outpatient Clinic of Andi Djemma Masamba General Hospital includes a patient registration page, doctor's schedule, reports, and pediatric poly info. This application has been tested (test case) in order to obtain an application that runs well.
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Aulia Asman, Liza, and Hidayati. "DESCRIPTION OF MOTHER'S LEVEL OF KNOWLEDGE ABOUT PLAY ACTIVITIES IN PRESCHOOL AGE CHILDREN TREATED IN THE CHILDREN'S ROOM." Jurnal Cahaya Mandalika ISSN 2721-4796 (online) 2, no. 2 (July 9, 2021): 53–58. http://dx.doi.org/10.36312/jcm.v2i2.387.
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Playing is activity could not separate from life child’s whose pain and be care in hospital. When the children was brought to the hospital meet the doctor, nurse and hearting medical action, this situation make the child’s worry. Worry cause of children is different, especially preschool, injury and pain cause of hearting procedure will worry cause. To minimization worried to use effective nursing planning, one of them is requirement play in hospital. Playing in hospital is parent responsibility and nurse of pediatric word. The children feel comfort and free to expression that feeling if playing accompany by parent. The important of Involvement parent, that common knowledge of patent about playing preschool. The purpose of this research are to find out descriptive of stage mother’s knowledge about activity playing to child preschool who be care on pediatric word. This research used descriptive methodology design that do to mothers have preschool on pediatric word general district Hospital. The populations are 17 mothers’ has preschool child who be care on pediatric word of general district hospital Padang Pariaman and technical sampling with method total sampling. Data analyses are used statistic univariat. This research result obtain knowledge stage mothers is enough (56,45%) For that need the existence policy of hospital institution of pediatric, to add knowledge of mothers about important playing activity pediatric word and conducted playing activity to children has and do playing activity to child who be care on pediatric words.
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Simpao, Allan, Luis Ahumada, Beatriz Larru Martinez, Ana Cardenas, Talene Metjian, Kaede Sullivan, Jorge Gálvez, Bimal Desai, Mohamed Rehman, and Jeffrey Gerber. "Design and Implementation of a Visual Analytics Electronic Antibiogram within an Electronic Health Record System at a Tertiary Pediatric Hospital." Applied Clinical Informatics 09, no. 01 (January 2018): 037–45. http://dx.doi.org/10.1055/s-0037-1615787.
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Background Hospitals use antibiograms to guide optimal empiric antibiotic therapy, reduce inappropriate antibiotic usage, and identify areas requiring intervention by antimicrobial stewardship programs. Creating a hospital antibiogram is a time-consuming manual process that is typically performed annually. Objective We aimed to apply visual analytics software to electronic health record (EHR) data to build an automated, electronic antibiogram (“e-antibiogram”) that adheres to national guidelines and contains filters for patient characteristics, thereby providing access to detailed, clinically relevant, and up-to-date antibiotic susceptibility data. Methods We used visual analytics software to develop a secure, EHR-linked, condition- and patient-specific e-antibiogram that supplies susceptibility maps for organisms and antibiotics in a comprehensive report that is updated on a monthly basis. Antimicrobial susceptibility data were grouped into nine clinical scenarios according to the specimen source, hospital unit, and infection type. We implemented the e-antibiogram within the EHR system at Children's Hospital of Philadelphia, a tertiary pediatric hospital and analyzed e-antibiogram access sessions from March 2016 to March 2017. Results The e-antibiogram was implemented in the EHR with over 6,000 inpatient, 4,500 outpatient, and 3,900 emergency department isolates. The e-antibiogram provides access to rolling 12-month pathogen and susceptibility data that is updated on a monthly basis. E-antibiogram access sessions increased from an average of 261 sessions per month during the first 3 months of the study to 345 sessions per month during the final 3 months. Conclusion An e-antibiogram that was built and is updated using EHR data and adheres to national guidelines is a feasible replacement for an annual, static, manually compiled antibiogram. Future research will examine the impact of the e-antibiogram on antibiotic prescribing patterns.
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Briller, Sherylyn H., Stephanie Myers Schim, Celia S. Thurston, and Kathleen L. Meert. "Conceptual and Design Issues in Instrument Development for Research with Bereaved Parents." OMEGA - Journal of Death and Dying 65, no. 2 (October 2012): 151–68. http://dx.doi.org/10.2190/om.65.2.e.
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Many childhood deaths in the United States occur in pediatric intensive care units (PICUs) and parents have special needs in this death context. As an interdisciplinary research team, we discuss conceptual and design issues encountered in creating a new instrument, the Bereaved Parent Needs Assessment—PICU, for assessing parents' needs in this setting. Using a qualitative approach, our team previously explored how the culture and related ways of providing care in one urban Midwestern children's hospital PICU affected parents' bereavement needs and experiences. We describe using this qualitative foundation in the development of a new quantitative instrument to more widely validate and measure bereaved parents' needs around the time of a child's death across multiple PICUs. We highlight a series of issues that warrant consideration in designing a research instrument for this vulnerable population including setting and context, format and content, temporality, recruitment, and content expertise.
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Fransisca Yudita Widhiastuti, Agnes Mahayanti, and Christin Ririn Widianti. "Hubungan Tingkat Pengetahuan Orang Tua Tentang Penyakit DHF Dengan Kecukupan Kebutuhan Cairan Anak Dengan DHF di Ruang Perawatan Anak Rumah Sakit Panti Rapih Yogyakarta." I Care Jurnal Keperawatan STIKes Panti Rapih 3, no. 1 (March 18, 2022): 52–62. http://dx.doi.org/10.46668/jurkes.v3i1.155.
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Background: Knowledge is a guide in shaping one's actions. Dengue Hemorrhagic Fever (Dengue Hemoragic Fever) is an infectious disease caused by the dengue virus which causes acute fever. Dengue fever generally goes away on its own. Supportive treatment that is given is replacement of fluids by drinking lots of water and getting plenty of bed rest. Administration of fluids is the main management of DHF patients.
Purpose : The purpose of this study was to determine the relationship between the level of parental knowledge about DHF with the adequacy of meeting the water needs of children suffering from DHF in the pediatric ward at Panti Rapih Hospital.
Methods: This study used a quantitative type, analytic survey design with a cross sectional approach. The population in this study were DHF patients who underwent treatment in the children's room at the Panti Rapih hospital. The sampling technique used was accidental sampling where respondents were taken DHF patients who were treated in the child care room on December 21, 2020 - January 21, 2021 with a total of 30 respondents. The research instruments used were questionnaires and assessment sheets for children's fluid needs.
Results: The result of this study is that there is a significant relationship between the level of parental knowledge about DHF with the adequacy of fulfilling children's fluid needs (Pv = 0.016).
Conclusion: There is a relationship between the level of parental knowledge about DHF with the adequacy of fulfilling the fluid needs of children suffering from DHF in the child care room at Panti Rapih Hospital. It is hoped that the nurses in the child care room will pay more attention to the understanding of parents about the illness suffered by patients so that they can help the healing process.
Key words: knowledge of DHF, adequacy of fluids
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McQueen, Kellie D., and Jerrod D. Milton. "Multicenter Postmarketing Surveillance of Ondansetron Therapy in Pediatric Patienrs." Annals of Pharmacotherapy 28, no. 1 (January 1994): 85–92. http://dx.doi.org/10.1177/106002809402800116.
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OBJECTIVE: To identify prescribing patterns of ondansetron, to provide a general overview of the therapeutic responses and possible adverse effects to ondansetron in selected children's hospitals, and to evaluate this methodology of surveillance and assess its effectiveness as a means to collect postmarketing experience with a drug in pediatric patients. DESIGN: This survey examined the use of ondansetron in 210 children. Complete drug and medical histories, indications, doses, possible ondansetron-associated adverse reactions, and daily responses to ondansetron therapy were recorded by a study pharmacist for each patient. Patients were followed until discharged from the clinic or hospital and/or until ondansetron therapy was discontinued. SETTING: The survey was conducted in seven free-standing children's hospitals across the US. Hospitals ranged in size from 100 to 331 beds (average 234). One hospital was located on the West coast, one on the East coast, one in the Rocky Mountain region, one in the Southwest region, and three in the Midwest. PARTICIPANTS: The selection of study participants was limited to member free-standing children's hospitals of the Pediatric Pharmacy Administrative Group. Selection was based on geographic location and availability of a pharmacist to coordinate the study. One pharmacist at each study site served as surveillance coordinator. Each pharmacist monitored without intervention the use of ondansetron in 30 children. Patients were enrolled consecutively from physicians' orders for ondansetron. Enrollment was open to clinic and hospital patients. Patients were excluded if more than 48 hours of retrospective review was required. MAIN OUTCOME MEASURES: The survey queried patient demographics, type of antineoplastic therapy administered, indications and dosing regimen(s) for ondansetron, additional antiemetic agents administered, and clinical response. Adverse drug reactions and prescriptions for ondansetron on discharge were recorded. An evaluation of response rates in hospital patients based on exposure to antineoplastic regimens causing acute (within 24 h) or delayed emesis (after 24 h) was formulated after data collection. Off-label use was summarized. RESULTS: Surveys from 197 of the 210 patients enrolled were complete for evaluation. Ondansetron was used to treat chemotherapy-induced emesis in 88 percent of the patients and 12 percent received it for various other indications. Ondansetron dosing was off-label in 15 percent and 73 percent prior to and after an emetogenic exposure, respectively. Twenty-six percent of the patients were younger than four years. Dosages ranged from 0.15 to 0.45 mg/kg, given in various schedules. The injectable form was given both intravenously and orally. There was a significant difference in the mean number of doses in hospital (9 ± 7.3) versus clinic (2 ± 1.5) patients (p<0.0001). Eighty-seven percent of all patients had a complete or major overall response. Possible ondansetron-associated adverse reactions were similar to those of previous reports for all patients, although some recorded reactions are not currently included in package labeling. CONCLUSIONS: This study documents off-label use of ondansetron in children. Further study of ondansetron use in children less than four years of age, and for indications other than chemotherapy-induced emesis, is needed. Additional evaluation into the most cost-effective dosing of ondansetron would also be valuable.
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Kashif, Muhammad, Mahwish Faizan, Huma Zafar, Maria Saeed, and Fatima Shahid. "Challenges Faced by Post-Treatment Childhood Cancer Patients and Families; The Children's Hospital, Lahore Experience." Pakistan Armed Forces Medical Journal 72, no. 3 (June 27, 2022): 1055–59. http://dx.doi.org/10.51253/pafmj.v72i3.7265.
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Objective: To assess challenges faced by post-treatment childhood cancer patients and families in a developing country.
Study Design: cross-sectional study.
Place and Duration of Study: The Children's Hospital and the Institute of Child Health Lahore, from Jul to Dec 2020.
Methodology: 105 children and their parents were enrolled on OPD of the Department of Paediatric Hematology and Oncology. The parents were questioned regarding the duration of follow-up after treatment and the challenges they faced during this interval in association with socioeconomic dynamics, education and awareness of parents, travelling distance from the hospital, behavioural changes in children, toxicities/disabilities due to treatment, effect on other siblings, and various factors.
Results: In this study, the mean age of children was 9.40 ± 2.90 years. There were 55 (52.4%) males while 50 (47.6%) females. There were 35 (33.3%) children who had acute lymphocytic leukaemia, while 15 (14.3%) with Hodgkin Lymphoma, 12 (11.4%) with Wilms tumour, 10 (9.5%) with Non-Hodgkin Lymphoma, 9 (8.6%) with germ cell tumour and 7 (6.7%) with acute myeloid leukaemia. Mostly, 89 (84.8%) children received chemotherapy, while 12 (11.4%) children received chemotherapy as well as radiotherapy, and 4 (3.8%) children underwent surgery along with other treatments. The distance from the hospital was more than 50 km in >90 cases. Moreover, 42 (40.0%) children were found malnourished. Out of 105, 71 parents reported that the treatment affected their jobs, while 52 (49.5%) parents had to change their residence. The family's economic status wasaffected in 77 (73.3%) cases because of the treatment...........
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Broering, Camilla Volpato, and Maria Aparecida Crepaldi. "Psychological preparation for surgery: verbal report of the drawing-story." Estudos de Psicologia (Campinas) 30, no. 3 (September 2013): 367–74. http://dx.doi.org/10.1590/s0103-166x2013000300006.
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Communicating with hospitalized children for invasive procedures usually takes place in a veiled and indirect way. This present study evaluated children's verbal report on the drawings that they produced in situations of the psychological preparation for surgery. The research was conducted with 30 participants divided into two preparation groups (verbal information and toys), users of a children's hospital who used the technique of drawing-story. There were three distinct stages: a) the child receives instruction on the design history and hears a story the day before the surgery; b) the psychological preparation, in both groups submitted to different programs of preparation, and c) reapplication of the technique of drawing-story, on the day of the surgery, after preparation. Both preparation programs were effective in reducing the pre-surgical stress, and evaluated the types of reactions, such as feelings of inferiority, abandonment and insecurity, regardless of the applied program.
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Coffin, Cheryl M., Krista Spilker, Holly Zhou, Amy Lowichik, and Theodore J. Pysher. "Frozen Section Diagnosis in Pediatric Surgical Pathology: A Decade's Experience in a Children's Hospital." Archives of Pathology & Laboratory Medicine 129, no. 12 (December 1, 2005): 1619–25. http://dx.doi.org/10.5858/2005-129-1619-fsdips.
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Abstract Context.—Intraoperative consultations, including frozen sections (FSs), are essential for patient care and are a key quality component in anatomic pathology. Little data exists about the use, frequency, and type of discrepancies and deferral rates of FS diagnoses in pediatric and adolescent surgical pathology. Objective.—The purpose of this study was to analyze indications, discrepancies, and deferrals for all FSs performed at a children's hospital during a 10-year period. Design.—All FSs for 1995–2004 were reviewed for indications, discrepancies, deferred diagnoses, and turnaround time. Discrepancies were categorized into major and minor subtypes according to potential impact on patient care. Results.—A total of 35 611 surgical pathology cases were accessioned, with 2839 intraoperative consultations, which included 2783 FSs and 56 nonmicroscopic consultations. Most frequent indications included questions related to neoplasms (tumor detection, specimen adequacy, triage, classification, and margins) and suspected Hirschsprung disease. In these consultations, 115 discrepancies (4%) were identified, of which 7 (0.2%) were major, with potentially significant clinical impact, and 108 (3.9%) were minor. The major discrepancies included tumor, ganglion cell, or organism detection. The minor discrepancies involved sampling error, reclassification of benign or malignant neoplasms without clinical consequences, tumor typing or grading, and ganglion cell identification without clinical impact. Deferrals in 718 FSs (25% deferral rate) included tumor classification from generic to specific, identification of organisms, and evaluation of lymph node biopsies for lymphoma. Turnaround time exceeded 20 minutes in 403 cases (14%). Conclusions.—The FS rate of 7.8% overall and 5% of surgical pathology cases is similar in children's and general hospitals. The major discrepancy (discordance) rate is lower, which may reflect the different indications for FS in children and adolescents. Evaluation of colonic biopsies for ganglion cells is a diagnostic pitfall. The deferral rate of 25% reflects the definition of a deferred diagnosis. Traditional definitions of deferred and discordant FS diagnoses should be refined to reflect the increasing use of adjunct techniques, especially in tumor classification. These findings emphasize that, in children and adolescents, most FSs are performed for tumor classification, triage, detection, and specimen adequacy, and for possible Hirschsprung disease. In children and adolescents, FSs are used infrequently to identify normal or unknown tissue, to analyze a lesion in a radiographically directed specimen, or to detect lymph node metastases. The differences in pediatric and adolescent FS indications and use underscore the importance of focused education in pediatric surgical pathology.
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Hibberd, Suzannah. "INVOLVING CHILDREN AND THEIR PARENTS IN RESEARCH DESIGN." Archives of Disease in Childhood 101, no. 9 (August 17, 2016): e2.73-e2. http://dx.doi.org/10.1136/archdischild-2016-311535.75.
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BackgroundArticle 12 of the UN Convention on the Rights of the Child, states that children should be involved in decisions that directly affect them.1 Research involving children should ensure that the opinions and assistance of children and young people is sought at the beginning of the project as their perspectives may influence all aspects of the research design.AimTo describe the challenges recruiting paediatric patients and members of the public to consult on the design of a research project.MethodPosters were put up around the Children's Hospital including pharmacy to recruit paediatric patients and parents to review a research proposal involving children with long-term conditions.ResultsThere were two responses to the poster, a father and his 15 year old daughter, and a father with a 2 year old child. The father of the 15 year old attended the initial planning meeting, unfortunately the 15 year old and the father of the 2 year old were unable to attend on the day although both agreed to participate in the project. The meeting gave the opportunity to explain the research proposal and answer questions. It was established that the lay team would review the lay summary, participant information leaflet (PIL), and questionnaires that would be sent to the participants. It was arranged that all further contact would be via email due to travel constraints.Patient and public involvement (PPI) in research requires the individuals to be reimbursed for their time. The National Institute for Health Research rate is £18.75 per hour. The lay team members were informed of this and were reimbursed for attending the planning meeting.ConclusionsThe use of posters to recruit PPI into the research design had limited success. Since recruitment, the Children's Hospital has launched a youth partnership which may be able to assist in recruitment of lay team members in the future.The logistics of how to pay the lay team members needed to be resolved before their recruitment to ensure timely payment. A form has been created to enable timely payment.Face to face meetings allow for greater discussion between all lay members which may lead to more ideas and opinions being generated than when communicating via email. When working via email, the amount of time spent on the project can not be verified. It should be specified from the start how long the work is expected to take. An advantage of using email is that costs reimbursed do not include travel expenses.When involving young people of school age it must be remembered that meetings need to be arranged outside of school hours which may be difficult for the researcher to accommodate.The lay members of the team provided valuable feedback regarding the wording of the lay summary, PIL and research tools leading to alterations being made before submission to the ethics committee.
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Zaki, Mahmoud Ahmed, Shahira Sayed Sharafuddin, Hosny Ahmed Dewer, and Alaa Zeinelabedin Abdelhafeez. "Therapeutic Landscape as a Healthcare Facility in Egypt: Design and Evaluation Process." International Journal of Research in Engineering, Science and Management 3, no. 11 (November 29, 2020): 111–20. http://dx.doi.org/10.47607/ijresm.2020.385.
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Outdoor natural environments are well proven to have psychological, physical, and social benefits, particularly those attached to healthcare facilities. Despite that, the Egyptian Codes devoid of data related to the design of such gardens, which hinders the design process and the inclusion of these spaces within health care facilities. Thus, this paper seeks to reach a set of considerations for the design of different types of therapeutic gardens by summarizing the findings and recommendations of some evidence-based design (EBD) research and post-occupancy evaluations (POEs). Post-occupancy evaluations lack to determining the percentage of achieving the design principles in the garden. Therefore, in addition to the behavioral and visual observations to evaluate Children's Cancer Hospital garden in Egypt (CCHE), an audit tool was integrated to combine the advantages of audit tools and POEs. With this merging, we can reach a steady form of post-occupancy evaluations of pediatric cancer hospital’s gardens to be a guide for future researches and landscape architects.
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Suhariati, Hindyah Ike, and Endang Yuswatiningsih. "The Influence Of Massage On Sleep Quality In Children's Pre-School." Babali Nursing Research 1, no. 3 (November 30, 2020): 149–54. http://dx.doi.org/10.37363/bnr.2020.1329.
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Introduction: Sleep disturbance is one of the problems that is often encountered in preschool children. About 44,2% of preschoolers experience sleep disorders. Sleep disorders can affect children's behavior and emotions, cause drowsiness during the day, reduce children's attention at school, get tired easily, reduce physical activity, reduce memory, children become fussy and temper tantrums. The purpose of this study is to analyze the effect of giving massage to sleep quality in preschool children in a Kindergarten in Lawang Hospital.
Methods: The design in this study is the Pre-Experiment (Pre and Post-test design). The Affordable population is all preschool age children in a Kindergarten in Lawang who have 45 sleep disorders, the sample in this study amounted to 35 children. The sampling technique used was Simple Random Sampling. Analysis of paired data (pre and post-test) on sleep quality variables used the Wilcoxon test. If the statistical test results obtained p <0.05, then H1 is accepted, it means the research hypothesis is accepted.
Results: The results showed the quality of sleep before giving massage mostly poor, the quality of sleep after giving massage is mostly good, there is an effect of giving massage to the quality of sleep in preschool children in a Kindergarten in Lawang.
Conclusion: The study concludes that there is an effect of giving massage to the quality of timber in preschool children in a Kindergarten in Lawang.
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Nikkhah, Sarah, Swaroop John, Krishna Supradeep Yalamarti, Emily L. Mueller, and Andrew D. Miller. "Family Care Coordination in the Children's Hospital: Phases and Cycles in the Pediatric Cancer Caregiving Journey." Proceedings of the ACM on Human-Computer Interaction 6, CSCW2 (November 7, 2022): 1–30. http://dx.doi.org/10.1145/3555187.
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When a child is hospitalized with a serious illness, their family members must process emotional stress, quickly absorb complicated clinical information, and take on new caregiving tasks. They also have to coordinate with each other and with other family caregivers without abandoning existing work and home life responsibilities. Previous CSCW and HCI research has shown how the patient's experience changes across the illness journey, but less is known about the effect of this journey on family caregivers and their coordination work. CSCW technologies could support and augment family care coordination work across the journey, reducing stress levels and improving families' ability to stay connected and informed. In this paper, we report findings from an interview study we conducted with 14 parents of children undergoing extended hospitalization for cancer treatment. We propose the concept of caregiving coordination journeys and describe caregivers' current communication and coordination practices across different phases of the hospitalization journey, from diagnosis and early hospitalization to extended hospitalization and beyond. We characterize families' caregiving coordination routines across different time scales, and describe the current role of communication technologies in families' coordination practices. We then propose design opportunities for social computing technologies to support and augment families' communication and caregiving work during the hospitalization journey of their child.
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Dayu Annesti Viana and Sri Pandu Utami. "Parents' Oral and Dental Health Behavior as Predictors of Children's Oral and Dental Health Status." DENTA 16, no. 1 (February 28, 2022): 13–20. http://dx.doi.org/10.30649/denta.v16i1.3.
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Parents are considered to have the knowledge to teach their children basic things about maintaining a healthy body. The cultivation of oral health behavior should start at an early age and start from the family environment. Childhood is the beginning of behavior formation, therefore parents are expected to be able to educate their children to behave properly to maintain healthy teeth and mouth. The purpose of this study was to determine the oral health behavior of parents to determine the oral health status of children in the pedodontics department of the Baiturrahmah University Dental Hospital. This research type is quantitative with analytic survey method with cross sectional research design. The population was pediatric patients who took care at the Paedodonti Department of the Baiturrahmah Hospital in July 2020. The results showed that the educational status, tooth brushing behavior, eating sweet eating behavior, the habit of bringing children to the dentist and complaints in the oral cavity of the parents gave a picture. predictions for their children about oral health. Parents' behavior will have an effect on their children because indirectly the habits of parents will be imitated and made an example for their children
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Zaidah, Lailatuz Laila. "ANALYSIS OF FACTORS THAT AFFECT DELAYED DEVELOPMENT IN CHILDREN AGE 12-24 MONTHS IN YOGYAKARTA HOSPITAL." Jurnal Fisioterapi dan Rehabilitasi 4, no. 1 (January 23, 2020): 54–63. http://dx.doi.org/10.33660/jfrwhs.v4i1.99.
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ABSTRACT
Children are the nation's next generation, so the quality of future generations depends on the quality of children's development, especially in infants aged three years (toddlers), because the first three years of life, growth and development of brain cells are still ongoing.
It is said to be a golden period because infancy lasts very briefly and cannot be repeated again. It is said to be a critical period because at this time the baby is very sensitive to the environment and requires good nutrition and stimulation for growth. and its development. Between growth and development must run simultaneously. While delayed development is a developmental disorder which is usually caused by risk factors of pre-natal, natal, and post-natal.
This study will identify the relationship between the behavior of providing developmental stimulation to improve children's motor development in overcoming delayed development in children aged 12-24 months, by examining using the DDST II Test (Denver Development Screening Test) II. Methods This study uses an analytic observational design with a cross sectional approach, with a multivariate analysis design. The sampling method uses purposive sampling technique with the number of research respondents as many as 60 children in the Yogyakarta PKU Hospital and the independent clinic Child Growth.
The results of the nonparametric statistical analysis test with the Likelihood Ratio in gross motor development obtained significance values α = 0.01; whereas in the development of fine motor, a significance value of α = 0.01 is obtained, while in the development of language, a significance value of α = 0.00 The conclusion of this study is the relationship between the behavior of stimulation with the development of gross motor, fine motor, and language. The specific objective is to find out the behavior of development stimulation in overcoming delayed development in children aged 12-24 months
Keyword: development, delayed development, developmental stimulation
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Heulitt, Mark J., Bonnie J. Taylor, Sherry C. Faulkner, Lorrie L. Baker, Carl W. Chipman, James H. Harrell, and Stephen H. VanDevanter. "Inter-Hospital Transport of Neonatal Patients on Extracorporeal Membrane Oxygenation: Mobile-ECMO." Pediatrics 95, no. 4 (April 1, 1995): 562–66. http://dx.doi.org/10.1542/peds.95.4.562.
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Objective. To describe the equipment, personnel requirements, training, management techniques, and logistic problems encountered in the design and implementation of a mobile extracorporeal membrane oxygenation (ECMO) program. Design. This is a report of a technique for the transport of patients on ECMO and a description of our retrospective case series. Settings. The study was conducted at a regional referral children's hospital and ECMO unit. Patients. Thirteen neonatal medical patients with acute respiratory failure were transported with mobile-ECMO. Results. Over a 24-month period, we transported 13 neonatal patients with mobile-ECMO. The reason for transport with mobile-ECMO was inability to convert from high-frequency ventilation (4 of 13), patient already on ECMO (1 of 13), and patient deemed too unstable for conventional transport (8 of 13). Eleven of the 13 patients were transported from other ECMO centers. Of the 13, 9 survived. No major complications during transport were reported for any of the patients. Follow-up data were available on all nine survivors of neonatal mobile- ECMO. Eight of these had normal magnetic resonance imaging scans of the brain; the ninth had a small hemorrhage in the left cerebellum. Conclusion. Our limited series shows that patients can be safely transported with mobile-ECMO. This program does not replace the early appropriate transfer for ECMO-eligible patients to an ECMO center.
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Anjum, Naveed, Muhammad Yousuf, Zia Ur Rehman, Faisal Zafar, Irum Aslam, and Hafiz Muhammad Ishfaq. "Etiological Risk Factors Profile of Arterial Ischemic Stroke in Children at A Tertiary Care Children's Hospital." Pakistan Journal of Medical & Health Sciences 16, no. 10 (October 30, 2022): 325–27. http://dx.doi.org/10.53350/pjmhs221610325.
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Objective: To determine the etiological risk factors of arterial ischemic stroke (AIS) in children. Study Design: An observational cohort study. Place and Duration of the Study: Neurology department of “The Children's Hospital and Institute of Child Health, Multan”, from January 2020 to December 2020. Methods: Children in the age group from one month of age to 12 years with a history of acute onset of focal neurological deficit of upper motor nerve and positive findings on neuroimaging were included in the study. The workup included baseline lab testing, neuroimaging, cardiac evaluation, and cerebro-spinal fluid (CSF) laboratory testing. We used predesigned proforma for recording the patient's details and the possible etiology of the stroke. Results: In a total of 84 children, 28 (33.3%) were male and 56 (66.7%) were female. Age ranged from 4 months to 11 years with a mean age of 3.4±2.2 years. Etiological risk factors identified in 62 (73.8%) patients and were remained undetermined in 22 (26.2%) patients. The risk factors identified were central nervous system infection arteriopathy in 22 (26.2%), iron deficiency anemia 20 (23.8%), cardiac disorders 11 (13.1%), moyamoya disease in 5 (6.0%), and mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes in 4 (4.8%) patients. Practical Implications: It is essential to know the etiology of risk factors responsible for AIS as the management and prognosis are directly influenced by them. Conclusion: Infection-associated arteriopathy was the most common etiological risk factor for arterial ischemic stroke in our study population. Keywords: Anemia, arterial ischemic stroke, central nervous system, moamoya
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Septiani, Vina, Pudjiastuti Kartidjo, and Fenny Asri Nurdiani. "The Rationality of Antibiotics Use on Inpatient Department of Pediatric in One of the Hospital in Cimahi." Borneo Journal of Pharmacy 2, no. 2 (November 14, 2019): 125–32. http://dx.doi.org/10.33084/bjop.v2i2.1044.
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The purpose of this study is to assess the rationality of the use of antibiotics from inpatients in one hospital in Cimahi, West Java. The research about rationality analysis of antibiotics at pediatric inpatient in one of the hospitals in Cimahi was done retrospectively use descriptive analysis design. The data source was the medical record of a patient who treated at the children's inpatient ward from January through March 2017. The result shows that 39% of infected patients were children under one-year-old. Three significant cases of diseases that occurred in the period were bronchopneumonia, typhoid fever, and typhoid fever+bronchopneumonia. Antibiotics therapy was given as single therapy as well as combination, where cefotaxime (51%) and ceftriaxone (42%) were the most antibiotics widely used as single therapy. Antibiotic use at children inpatient ward during the period January � March 2017 on bronchopneumonia, typhoid fever, and typhoid fever + bronchopneumonia patients was not 100% rational referring to criteria: correct diagnosis, correct indication, the correct drug of choice, correct dosage, correct method, and correct time interval of drug administration.
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Biffi Gentili, Guido, Fabrizio Dori, and Ernesto Iadanza. "Dual-Frequency Active RFID Solution for Tracking Patients in a Children's Hospital. Design Method, Test Procedure, Risk Analysis, and Technical Solution." Proceedings of the IEEE 98, no. 9 (September 2010): 1656–62. http://dx.doi.org/10.1109/jproc.2010.2053330.
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Girianto, Pria Wahyu Romadhon. "Parents' Knowledge of Genetic Care and UTI Events in Toddlers in the Children's Ward." Journal of Applied Nursing and Health 4, no. 2 (December 30, 2022): 164–71. http://dx.doi.org/10.55018/janh.v4i2.56.
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Background: Infections of the urinary tract caused by bacterial invasion are known as urinary tract infections (UTI). The ability of parents to Genetalia’s care can be seen in how to clean Genetalia, cleaning during urinating or defecating, habits of disposable diaper changing, and habits of anal cleansing. This study aimed to investigate the correlation between the parents' ability to care for their children with the incidence of UTI in toddlers in the children's ward of Amelia Hospital Pare Kediri. Methods: The design used in this study was cross-sectional. There were 81 respondents in the research of toddlers who fulfilled inclusion criteria. This was done using purposive sampling. The independent variables were the parents' ability to take care of their children and the dependent variables were the incidence of UTI in their children. Data was collected using respondent observations. Results: The result showed that almost all respondents have a lack of parents' ability to care for their children (65.4%) and almost all toddlers have an incidence of urinary tract infection (63.3%). After analyzing the data with the cramers v contingency coefficient test and obtaining = 0.000, H1 was accepted and Ho was rejected, indicating that there was a relationship between family support and quality of life. r = 0 to 79. Conclusion: In order to prevent the increasing incidence of UTI, it is recommended that hospitals increase the preventive efforts of ISK events in infants by providing counseling to parents using media such as leaflets, brochures, or video screenings.
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Taggart, Melissa W., and Randall Craver. "Causes of Death, Determined by Autopsy, in Previously Healthy (or Near-Healthy) Children Presenting to a Children's Hospital." Archives of Pathology & Laboratory Medicine 130, no. 12 (December 1, 2006): 1780–85. http://dx.doi.org/10.5858/2006-130-1780-coddba.
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Abstract Context.—Childhood mortality statistics are based on death certificates. The causes of death listed on death certificates may not be confirmed by autopsy findings, and mortality statistics may reflect deaths of many children with chronic disease. The diseases responsible for nontraumatic deaths of previously healthy children cannot be determined from these statistics. Objective.—To identify causes of nontraumatic death in previously healthy or near-healthy children presenting to a children's hospital. Design.—Retrospective review of autopsy protocols from 572 children who died at Children's Hospital of New Orleans in Louisiana between 1985 and 2003, with the premise that autopsy was done after most deaths of previously healthy or near-healthy children. Causes of death were grouped by disease processes and age groups and were compared to premortem clinical diagnoses. Results.—Eighty-eight autopsy protocols were from children who were previously healthy or near healthy before the hospital admission during which they died. The median age was 11.4 months and the median length of stay was 2 days. Infection, primarily of the central nervous system and systemic (septicemia), was the most common cause of death (53%, 47 cases). Neoplasia, primarily of the central nervous and hematologic systems, was the second most common cause (15%, 13 cases). The predominant organ system involved with disease was the nervous system (36%, 32 cases). Unrecognized congenital disorders were found in approximately 10% of the cases. Conclusions.—Infectious diseases are a frequent cause of death in previously healthy children. Fatal diseases most frequently affect the nervous system. Autopsy provides valuable information in the death of healthy children.
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Wijaya, Sapondra, Wahyu Dwi Ari Wibowo, Abdul Rokhman, Firman Nugraha Putra, Huswatun Azmarina Yulandari, and Encan Reazsari Anisya. "Mother's Smart Card Effect on Mother's Knowledge and Awareness of Children's Fever in The Pre-Hospital Phase." Babali Nursing Research 3, no. 2 (July 31, 2022): 127–34. http://dx.doi.org/10.37363/bnr.2022.3296.
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Introduction: Fever increases body temperature above 37.50 C, making the child uncomfortable; the child's body and face are hot, red, and shivers. Fever conditions also affect parents, especially mothers who will also feel anxious. This study aimed to determine the effect of the Mother's Smart Card on the knowledge and awareness of mothers in the management of children with fever in the pre-hospital phase.
Methods: This study used a Quasi-Experimental design with a pre-test and post-test approach with a purposive sampling technique on 40 mothers. A mother's knowledge is measured by knowledge about fever. In contrast, vigilance is measured by how the mother behaves and her accuracy in making decisions when her child has a fever. All measurements used a questionnaire.
Results: The results of data analysis using paired t-test showed a significant effect of the Mother's Smart Card on mother's knowledge and awareness in managing children with fever at home with a p-value of 0.000.
Conclusion: This means that the Mother's Smart Card can increase the knowledge and awareness of mothers in the management of children with fever in the pre-hospital phase. This result is hoped that the Mother’s Smart Card can be a reference in increasing mothers' knowledge and awareness and minimizing treatment in inappropriate health facilities that can be at risk of transmitting other diseases.
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Ho, Peter T. C., Judy A. Estroff, Harry Kozakewich, Robert C. Shamberger, Craig W. Lillehei, Holcombe E. Grier, and Lisa Diller. "Prenatal Detection of Neuroblastoma: A Ten-Year Experience From the Dana-Farber Cancer Institute and Children's Hospital." Pediatrics 92, no. 3 (September 1, 1993): 358–64. http://dx.doi.org/10.1542/peds.92.3.358.
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Objectives. To assess the relative frequency of, the clinical and pathological correlates in, and the prognosis of the subset of infants with neuroblastoma who were identified initially by prenatal ultrasonography. Design. Retrospective review of all patients with neuroblastoma evaluated between 1982 and 1992. Setting. Large, urban, tertiary care children's hospital in Boston, Massachusetts. Patients. Eleven infants with neuroblastoma initially detected with prenatal sonograms were identified. Results. Nine patients had adrenal tumors; two had thoracic paraspinal tumors. Typical diagnostic evidence for neuroblastoma including a palpable abdominal mass and elevations in urinary catecholamines were not commonly seen postnatally. These patients had multiple favorable prognostic indicators including low stage of disease (10/11), favorable biological markers including cellular DNA content (5/5) and N-myc oncogene copy number (5/5), and histopathology suggestive for neuroblastoma in situ (7/11). All patients were treated by surgical resection. One patient exhibited progression of disease postoperatively, but demonstrated a complete clinical response to multiagent chemotherapy. Overall survival in our population was excellent with no deaths seen at a mean follow-up of 37 months (range 3 to 120 months). Conclusions. Patients with neuroblastoma identified by prenatal ultrasonography generally, although not exclusively, follow a clinically favorable course in which surgical resection is curative. Chemotherapy is not indicated unless substantial progression of disease occurs.
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Wijaya, Sapondra, Bambang Soewito, Mawadda Umi, Devi Fitria, and Vina Ayu Saputri. "PENGARUH KARTU PINTAR IBU TERHADAP PENGETAHUAN IBU DALAM PENATALAKSANAAN DIARE PADA ANAK DI PRE HOSPITAL PADA MASA PANDEMI COVID-19 DI LUBUKLINGGAU." Coping: Community of Publishing in Nursing 9, no. 1 (February 28, 2021): 30. http://dx.doi.org/10.24843/coping.2021.v09.i01.p05.
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Abstract
Restrictions on activities outside the home were imposed during the Covid-19 pandemic to minimize the spread of the Covid-19 virus. One of the activities outside the home that is often carried out is taking medication at a health facility. Children are an age group that is vulnerable to disease exposure. Many diseases that often occur in children, including diarrhea. One of the places prone to disease transmission is in health facilities, while children with diarrhea tend to be taken by their parents to health facilities. Therefore, there is a need for socialization about the handling of diarrhea in the pre-hospital phase or at home, so that children can be treated at home first if the conditions allow. The purpose of this study was to determine the effect of the Mother's Smart Card, which is a simplification of the MTBS book, on knowledge in managing diarrhea in children in the pre-hospital phase. This study used a quasi-experimental design with a pre and post test approach with purposive sampling technique on 30 mothers. Maternal knowledge is measured from knowledge of diarrhea and its management. The results of data analysis using the paired t-test showed that there was a significant effect of the Mother's Smart Card on the mother's knowledge in managing children's diarrhea at home with a value of p = 0.000. This means that the Mother's Smart Card can increase maternal knowledge in the management of pre-hospital phase children's diarrhea. This result is expected that the Mother's Smart Card can be a reference in increasing maternal knowledge, and minimizing treatment in inappropriate health facilities that can be at risk of Covid-19 transmission.
Keywords: Children, Covid-19, Diarrhea, Mommy Smart Card, Pre Hospital
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Jogezai, Atiya, Varda Tuz Zahra, and Ambreen Fatima. "Frequency of Urinary Tract Infection in Febrile Children without Any Focus on Infection." Pakistan Journal of Medical and Health Sciences 16, no. 10 (October 30, 2022): 825–27. http://dx.doi.org/10.53350/pjmhs221610825.
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Background: In newborns and young children, a urinary tract infection is a frequent hidden cause of fever. Children younger than a year old who appear with fever and symptoms of UTI are usually given treatment for something else. Objectives: The objective of this study was to assess the prevalence of UTI in children presenting to a tertiary care hospital between the ages of 1 month and 36 months with nonspecific fever. Duration and study settings: The Children's Hospital Pakistan Institute of Medical Science, SZABMU, Islamabad, was the site of this trial, which ran from Jan 2018 to June 2018. Study design: Descriptive cross sectional Methodology: After a complete medical history and physical examination, a urine sample was taken for testing and culture using a soft tube in younger children and a clean catch approach in older children or those who are cooperative. Urisys 2400 was used to analyse the urine samples. Larger children's urine samples were grown on CLED agar plates (cysteine lactose, electrolyte deficient). Clinitek Siemens, a haematology analyser, was used to determine the number of white blood cells in the blood. The Pakistan Institute of Medical Sciences in Islamabad is home to a state-of-the-art laboratory where tests including leucocyte count, urine DR, and culture were conducted. A pre-designed proforma was used to record the patient's demographic information, medical history, diagnosis, and laboratory results. Results: In this study, 6.47 percent (n=18) of 278 children aged 1 to 36 who presented to a tertiary care hospital with a fever and no other obvious signs of infection were found to have a urinary tract infection. Conclusion: Children arriving to a tertiary care hospital with a fever and no other signs of infection are not likely to have a urinary tract infection. Keywords: UTI in children with diffuse fever and no obvious source of infection.