Tesis sobre el tema "Pediatrcic Surgery"
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Kugelberg, Maria. "Prevention of complications in pediatric cataract surgery /". Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-111-3/.
Texto completoTan, Hock Lim. "The development of paediatric endoscopic surgery /". Title page, contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09MD/09mdt161.pdf.
Texto completoSong, Yinchen. "Intraoperative Guidance for Pediatric Brain Surgery based on Optical Techniques". FIU Digital Commons, 2015. http://digitalcommons.fiu.edu/etd/2207.
Texto completoGreathouse, Kristin Cora. "Immune Function and Risk for Complications After Pediatric Cardiac Surgery". The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1531406235471343.
Texto completoYoung, Nancy y J. G. Wright. "Measuring Pediatric Physical Function". Lippincott, Williams & Wilkins, 1995. https://zone.biblio.laurentian.ca/dspace/handle/10219/111.
Texto completoRisso, Amanda Creste Martins da Costa Ribeiro [UNESP]. "A comunidade da suspensão de cirurgias pediátricas: motivos e sentimentos envolvidos no processo". Universidade Estadual Paulista (UNESP), 2008. http://hdl.handle.net/11449/101963.
Texto completoHospital Das Clinicas da Faculdade de Medicina de Botucatu
Secretaria de Saúde do Estado de São Paulo
A hospitalização é uma experiência complexa e pode apresentar-se como agradável ou não, sendo agravada no caso de necessidade de intervenção cirúrgica, principalmente quando o paciente é criança. Na prática, observa-se todo um movimento de reorganização pessoal do paciente e de seus familiares para enfrentar esse momento. Quando a cirurgia é suspensa, o paciente e seus familiares estão sujeitos a um desconforto maior, que pode gerar sentimentos de insegurança, angústia e ansiedade. Este estudo teve como objetivo identificar e descrever a percepção de quinze mães e/ou responsáveis por crianças de 0 a 18 anos, internadas num hospital de ensino do interior do Estado de São Paulo, após receberem a notícia de que a cirurgia de seu filho (a) seria suspensa. Foi um estudo descritivo com abordagem qualitativa, que utilizou o referencial teórico da Comunicação Interpessoal e o referencial metodológico da Análise de Conteúdo. Os resultados evidenciaram que as suspensões de cirurgias pediátricas são um fato presente na instituição, que trazem repercussões ao paciente e seus familiares e à organização institucional; que a comunicação entre profissionais da equipe de saúde, pacientes e familiares sobre procedimentos a serem realizados ou não, é inadequada; que a atuação da enfermagem no momento da notícia da suspensão da cirurgia precisa ser pontual e efetiva.
Hospitalization is a complex experience which may or may not be agreeable; this can be made worse if surgical intervention is required, especially when the patient is a child. In practice a personal struggle can be seen in the patient and family to brave this moment. When surgery is suspended, the patient and family are subjected to a stronger discomfort, which can cause feelings of insecurity, distress, and anxiety. The objective of this study was to identify and describe the perceptions of fifteen mothers or guardians of children between 0 and 18 years old admitted in a teaching hospital in the interior of São Paulo State Brazil, after receiving news that surgery for their child was suspended. This was a descriptive qualitative study which used Interpersonal Communication as theoretical reference and Analysis of Content as the methodology. Results showed that suspension of pediatric surgery in our institution causes repercussions to patients, their families, and institution organisation; that communication between health team professionals, patients and families about procedures to be performed or not performed, is inadequate; and that nursing action at the moment when news of surgery suspension is given must be prompt and effective.
Hazeltine, Max D. "Impact of Weekend Versus Weekday Admission on Pediatric Trauma Patient Morbidity and Mortality". eScholarship@UMMS, 2021. https://escholarship.umassmed.edu/gsbs_diss/1130.
Texto completoMartin, Keith J. "Association between Unscheduled Pediatric Primary Care Visits and Risk of Developmental Delay". University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1613745845662717.
Texto completoBurns, Lisa A. "Ambulatory Blood Pressure And Cardiac Remodeling After Adenotonsillectomy In Pediatric Sleep Apnea". University of Cincinnati / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384334242.
Texto completoHill, Samantha. "Near infra-red spectroscopy in a pediatric population undergoing cardiac surgery". Thesis, McGill University, 2010. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=94951.
Texto completoIntroduction: Le Near Infra-Red Spectroscopy (NIRS) utilitisé durant la période opératoire peut réduire les complications neurologiques postopératoires. L'utilisation du NIRS chez la population pédiatrique et les variations associées au placement des senseurs sont sous étudiées. Objectifs: Explorer les performances du NIRS chez les enfants lors de chirurgies cardiaques; décrire les variations significatives du NIRS (20%) en comparaison aux niveaux témoins; établir des corrélations entre les événements et les variables mesurées; établir l'utilité d'un second senseur. Méthodes: Une revue rétrospective de données NIRS obtenues de façon prospective. Les relations observées seront évaluées avec les tests Student-t, chi-squared, et de régression logistique. Résultats: Des variations significatives en comparaison aux valeurs témoins ont été observées. Plusieurs de ces variations ont eu lieu lorsque les patients n'étaient pas supportés par la circulation extracorporelle ou lors de son initiation. Les augmentations et diminutions du NIRS sont significativement reliées au PaO2, à l'hématocrite, à la pression artérielle moyenne (p<0.05) et au paCO2 (p<0.01), respectivement. Des variations unilatérales du NIRS sont fréquentes, particulièrement chez les patients cyanosés et chez les patients males. Conclusion: Chez cette population pédiatrique, des déviations significatives du NIRS sont associées à certaines variables physiologiques. Le deuxième senseur ajoute des informations utiles.
Bailey, Laurie J. "Postoperative Neuropsychological Outcomes in Pediatric Patients Undergoing Temporal Lobe Epilepsy Surgery". Thesis, University of North Texas, 2013. https://digital.library.unt.edu/ark:/67531/metadc407806/.
Texto completoWhittle, Ian Roger. "Clinical applications of somatosensory evoked potentials in pediatric neurosurgery /". Title page, contents and summary only, 1985. http://web4.library.adelaide.edu.au/theses/09MD/09mdw627.pdf.
Texto completoKopp, Tara M. M. D. "Unscheduled Evaluation or Advice for Poorly Controlled Pediatric Fracture Pain – A Cross-Sectional Study". University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563295890995465.
Texto completoHanke, Samuel P. M. D. "Readmission within 30 Days of Pediatric Cardiac Surgery: Incidence, Risk Factors and Resource Utilization". University of Cincinnati / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384869980.
Texto completoStalets, Erika L. M. D. "Time to antibiotics and outcomes in pediatric septic shock". University of Cincinnati / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1377870939.
Texto completoSnell, Jennifer Miranda. "Pediatric Emergence Delirium in the Postoperative Setting". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3921.
Texto completoSusanto, Steffenie. "Pediatric venipuncture| Child Life specialists' perspectives". Thesis, Mills College, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1538411.
Texto completoDuring procedures like venipuncture, Child Life Specialists are able to incorporate non-pharmacological measures when most medical staff focused on pharmacological measures. There is little research about what types of interventions Child Life Specialists believe are effective at minimizing children's pain and increasing coping skills during venipuncture. The purpose of the current study was to examine Child Life Specialists' perspectives on the different techniques available in the hospital setting. An online survey of 75 Certified Child Life Specialists asked about the types of techniques that Child Life Specialists use during venipuncture. Further, questions asked how Child Life Specialists felt about the efficacy of pharmacological and non-pharmacological techniques with a variety of different ages. Results revealed that Child Life Specialists felt that combining two techniques helps to minimize pain during venipuncture for pediatric patients more than the use of a single technique. These results applied to preschoolers, school-aged children and adolescents.
Keywords: child life specialist, venipuncture, pain, distress
Huezo, Karen L. "Delay in transfer of severely injured pediatric trauma patients". University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1313695930.
Texto completoTaylor, Veronica. "Needle Guide Efficacy and Safety in Pediatric Renal Biopsies". University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563527742490046.
Texto completoLilley, Christine Megan. "Psychological predictors of children's pain and parents' medication practices following pediatric day surgery". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ56577.pdf.
Texto completoFossum, Magdalena. "Urothelial cell culturing : in vitro and in vivo studies in reconstructive pediatric surgery /". Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-100-8/.
Texto completoHanson, Holly R. M. D. "Describing Pediatric Acute Kidney Injury in the Emergency Department". University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459528673.
Texto completoHawley, Torrey. "Pediatric Obesity and Peri-Operative Adverse Events". VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/453.
Texto completoRisso, Amanda Creste Martins da Costa Ribeiro. "A comunidade da suspensão de cirurgias pediátricas : motivos e sentimentos envolvidos no processo /". Botucatu : [s.n.], 2008. http://hdl.handle.net/11449/101963.
Texto completoBanca: Maria Alice Ornellas Pereira
Banca: Lígia Gomes Fahl
Resumo: A hospitalização é uma experiência complexa e pode apresentar-se como agradável ou não, sendo agravada no caso de necessidade de intervenção cirúrgica, principalmente quando o paciente é criança. Na prática, observa-se todo um movimento de reorganização pessoal do paciente e de seus familiares para enfrentar esse momento. Quando a cirurgia é suspensa, o paciente e seus familiares estão sujeitos a um desconforto maior, que pode gerar sentimentos de insegurança, angústia e ansiedade. Este estudo teve como objetivo identificar e descrever a percepção de quinze mães e/ou responsáveis por crianças de 0 a 18 anos, internadas num hospital de ensino do interior do Estado de São Paulo, após receberem a notícia de que a cirurgia de seu filho (a) seria suspensa. Foi um estudo descritivo com abordagem qualitativa, que utilizou o referencial teórico da Comunicação Interpessoal e o referencial metodológico da Análise de Conteúdo. Os resultados evidenciaram que as suspensões de cirurgias pediátricas são um fato presente na instituição, que trazem repercussões ao paciente e seus familiares e à organização institucional; que a comunicação entre profissionais da equipe de saúde, pacientes e familiares sobre procedimentos a serem realizados ou não, é inadequada; que a atuação da enfermagem no momento da notícia da suspensão da cirurgia precisa ser pontual e efetiva.
Abstract: Hospitalization is a complex experience which may or may not be agreeable; this can be made worse if surgical intervention is required, especially when the patient is a child. In practice a personal struggle can be seen in the patient and family to brave this moment. When surgery is suspended, the patient and family are subjected to a stronger discomfort, which can cause feelings of insecurity, distress, and anxiety. The objective of this study was to identify and describe the perceptions of fifteen mothers or guardians of children between 0 and 18 years old admitted in a teaching hospital in the interior of São Paulo State Brazil, after receiving news that surgery for their child was suspended. This was a descriptive qualitative study which used Interpersonal Communication as theoretical reference and Analysis of Content as the methodology. Results showed that suspension of pediatric surgery in our institution causes repercussions to patients, their families, and institution organisation; that communication between health team professionals, patients and families about procedures to be performed or not performed, is inadequate; and that nursing action at the moment when news of surgery suspension is given must be prompt and effective.
Mestre
Carnevale, Franco A. "Ethics and pediatric critical care : a conception of a 'thick' bioethics". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ37101.pdf.
Texto completoPelligra, Amanda. "Surgical Pathway Implementation for Pediatric Patients with Multiple Chronic Conditions Undergoing Complex Hip Surgery". Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1617296741840046.
Texto completoMéllo, Dominique Cavalcanti. "O acompanhante de criança submetida à cirurgia cardíaca: possibilidades de atuação do enfermeiro". Universidade do Estado do Rio de Janeiro, 2007. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=751.
Texto completoIn my professional experience in assistance, in a state hospital specialized in Cardiology, taking care of children with congenital cardiopathy, I lived situations that occurred from less orientation to the companions. Then, surged some questions about what kind of information this companion receive when they know that the child will suffer a surgery and what can happen to them. Thus, when the nurse receive them, in the hospital, has to pay attention in some aspects as: the companion understand what happen with the child since the health condition of the child until the surgery procedure, besides what can occur in the hospitalization context. In this sense I traced as the object the study of the ambulatory of pediatric cardiopathy surgery, and the objective to comprehend the companion expectative that come from the attending of pediatric surgery cardiopathy. In this way, was possible the apprehensions of the typical actions of the companion that brought the child to the attending of cardiac surgery ambulatory. It is a study with descriptive - exploratory character, of qualitative type, fundamentally based on the Sociological Phenomenology of Alfred Schutz. The subjects were the companions of the children that suffered cardiac surgery and returned from the ambulatory review. The phenomenological interview was the tool utilized to suck in the speeches from this subjects, that in the face to face relation was enabled to comprehend the descriptions of the vivencial experiences and to apprehend the typical action of this social actors. Therefore utilized the orientation question that permitted the capitation of purpose-for: Which are your expectative for the attending when you come back to the ambulatory? Then the typical action grew up from the words of the child companions that suffered a cardiac surgery is to obtain a good news. These women has in common to have a child that suffered a cardiac surgery and this vivencial makes them with the preoccupation that must pass the same situation again, otherwise, the child has to suffer another cardiac surgery. They hope that this does not occur or the gap between the meetings become more distant and the return of them to the hospital become minor. I believe that the nursing approach at the nursing meeting can make less the tensions created in this companions from the expectative of knowing that the child would hospitalize to do another surgery or not, and the information about the homecare that can help them to make more tranquilized. Thus I think that the nurse must realize the health assistance centered on the child and the person who accompany jutting out that the care involves the entire context among the child and what is around, or else, the companion.
Carlotto, Alan Gabriele. "Comparison of Two Survey Instruments Measuring Quality of Life in Pediatric Dentofacial Patients". The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1489662161586063.
Texto completoMcWhorter, Linda G. "A Broken Heart| The Impact of Pediatric Open Heart Surgery on Parents' Wellbeing and Parenting". Thesis, The University of North Carolina at Charlotte, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10746597.
Texto completoAccording to the pediatric medical traumatic stress model, pediatric medical experiences can create posttraumatic stress symptoms (PTSS) in pediatric patients and in their parents and siblings. While the impact of traumatic medical experiences has been studied in parents of children with a variety of pediatric conditions, little is known about how the resulting PTSS may affect parenting. The relational PTSD model suggests that suboptimal parenting patterns can result from parental PTSS. One condition with high potential for traumatic medical events is critical congenital heart disease (CHD), which requires open heart surgery during infancy. This qualitative study examined the experience of parental PTSS and parenting in a sample of parents (N=12; 4 fathers, 8 mothers) of children with critical CHD. Using interpretive phenomenological analysis, focus group data were analyzed to determine 1) the ways in which CHD has affected parents’ lives; 2) the parents’ experience of PTSS related to CHD; 3) parenting patterns; and 4) the relationships between parental PTSS and parenting patterns. The following themes emerged: seeking/receiving social support, giving back, positive changes, overprotective and permissive parenting, and lasting effects of the traumatic medical experiences. Parents reported experiencing PTSS from all four PTSD symptom clusters. In addition, vicarious trauma and continuous traumatic stress were reported. Parents reported parenting patterns of overprotection and permissiveness; overprotection was suggested by the relational PTSD model. Finally, parenting a child with CHD was found to be a gendered experience, with fathers and mothers reporting different experiences on a variety of themes. Clinical considerations include the importance of parent to parent support, the different experiences of fathers and mothers, and the need to screen for PTSS among parents of children with CHD. Future research should consider quantitative studies with larger samples to assess the relationship between PTSD and parenting in this population.
Anand, Kanwaljeet Singh. "Metabolic and endocrine effects of surgery and anaesthesia in the human newborn infant". Thesis, University of Oxford, 1985. http://ora.ox.ac.uk/objects/uuid:4457039a-fe91-47d1-9fe2-d8b778991428.
Texto completoHusein, Murad. "Ultrasound and video-bronchoscopy to assess the subglottic diameter in the pediatric population Dr. Murad Husein". Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33003.
Texto completoUltrasound and video-bronchoscopy strongly correlated with endotracheal tube sizing in measuring the subglottic diameter. Ultrasound had measurements that were always smaller while video-bronchoscopy had measurements that were slightly larger than endotracheal tube sizing. Video-bronchoscopy may be more accurate than endotracheal tube sizing as the latter method will often underestimate the size of the lumen due to its own limitations. The smaller values obtained by ultrasound suggest it is not ideal to give absolute measurements in this area, but rather a potential tool to detect change of lumen size on follow-up.
Melendo, Pérez Susana. "Profilaxis quirúrgica en un programa de uso adecuado de antimicrobianos en pediatría (PROA-NEN)". Doctoral thesis, Universitat Autònoma de Barcelona, 2021. http://hdl.handle.net/10803/672038.
Texto completoIntroducción. La infección de la herida quirúrgica (IHQ) es una infección relacionada con la asistencia sanitaria frecuente, con importante impacto clínico. El buen uso de la profilaxis antibiótica quirúrgica (PAQ) ha demostrado ser una medida eficaz en la disminución de la incidencia de IHQ. No obstante, la adherencia a las guías de PAQ es subóptima, con un uso excesivo de los antibióticos. Todos los programas PROA (adultos y pediátricos) deben poseer una línea de trabajo estratégica para mejorar la PAQ. Desde la institucionalización del PROA pediátrico de nuestro centro (PROA-NEN) en 2015, la optimización de la PAQ fue un objetivo primordial. Objetivo: evaluar el impacto de una intervención de un programa PROA específico pediátrico (PROA-NEN) en la calidad de la PAQ y en la incidencia de IHQ en un hospital pediátrico de tercer nivel. Pacientes y métodos. Estudio prospectivo, cuasiexperimental, unicéntrico, de un hospital pediátrico de tercer nivel. Se incluyeron pacientes pediátricos no neonatales, sometidos a cirugías no ambulatorias durante 5 periodos de estudio de 21 días cada uno (2016-2018). Se analizaron variables basales de los pacientes y de las cirugías realizadas. El análisis de la calidad de la PAQ se realizó con indicadores de proceso y de resultado. Los indicadores de proceso fueron los publicados en 2013 por el ECDC: disponibilidad de un equipo multidisciplinar destinado a la implantación de la PAQ, disponibilidad de un responsable del cumplimiento de la PAQ intraquirófano, adecuación temporal de la PAQ, adecuación de la indicación, tipo de antibiótico y redosificación intraoperatoria de la PAQ y duración de la PAQ. Referente a indicadores de resultado, se midió el consumo del antibiótico en PAQ a través de DOT (días de tratamiento) y como indicador clínico se evaluó la incidencia de IHQ. Resultados. Se analizaron 425 cirugías (62 preintervención y 363 posintervención), de todas las especialidades quirúrgicas pediátricas. Un total de 403 pacientes, 56,6% de sexo masculino y con una mediana de edad de 6,3 años, (p25: 2,1, p75: 11,9 años). Según el grado de contaminación, un 72% fueron cirugías limpias, un 20%, limpias-contaminadas y un 8%, sucias. En un 52% la PAQ estaba indicada. Referente al análisis posterior, hubo una mejora generalizada de todos los indicadores de proceso. La adecuación en el tiempo de administración de la PAQ previo a la cirugía aumentó desde un 34,4% hasta el 49,2% (p=0,12). Se observó una mejora en la adecuación de la indicación de la PAQ, desde un 77% hasta un 91,5% (p=0,002). Con una mejoría significativa en la no administración de la PAQ cuando no estaba indicada (desde un 54,5% a un 87% de adecuación, p=0,001). En referencia al uso adecuado del antibiótico, hubo un aumento del cumplimiento, del 67,5% al 91,4% posintervención (p=0,001). La duración de la PAQ, inferior a las 24 horas, fue adecuada en el 67,6% en el periodo preintervención y en un 79,5% posteriormente (p=0,129). El cumplimiento completo de la PAQ aumentó de manera significativa desde un 31,5% hasta un 57% (p<0,005). En cuanto al consumo de antibióticos en las áreas quirúrgicas, se observó una tendencia al descenso, con DOT/100 estancias de 69 en el periodo preintervención, y de 60, en el año 2018. Los resultados clínicos mostraron un índice de infección del 3 % en el primer periodo y del 0,8% tras la intervención PROA-NEN. Conclusión. Una intervención PROA, dirigida a la PAQ ha demostrado mejorar la calidad de su uso, con un descenso del consumo innecesario e inadecuado de los antibióticos administrados con dicha indicación, y disminuir la incidencia de IHQ.
Introduction. Surgical site infection (SSI) is a common healthcare-related infection with significant clinical impact. The correct use of surgical antibiotic prophylaxis (SAP) has proven to be an effective measure in reducing the incidence of SSI. However, adherence to SAP guidelines is suboptimal, with excessive use of antibiotics. All antibiotic stewardship programs (ASP) must have a strategic line of work to improve SAP. Since the institutionalization of the paediatric ASP of our centre (PROA-NEN) in 2015, the optimization of the SAP has been a primary objective. Objective: to evaluate the impact of an intervention of a specific paediatric ASP (PROA-NEN) on the quality of the SAP and on the incidence of SSI in a tertiary paediatric hospital. Patients and methods. A prospective, quasi-experimental, single-centre study of a third-level paediatric hospital. Non-neonatal paediatric patients, who underwent non-ambulatory surgeries during 5 study periods of 21 days each (2016-2018), were included. Baseline variables of the patients and the surgeries performed were analysed. The analysis of the quality of the SAP was carried out with process and result indicators. The process indicators were those published in 2013 by the ECDC: availability of a multidisciplinary team for the implementation of the SAP, availability of a person responsible for compliance with the intraoperative SAP, temporal adequacy of the SAP, adequacy of the indication, type of antibiotic and intraoperative redosing of SAP and duration of SAP. Regarding outcome indicators, the consumption of the antibiotic in SAP was measured through DOT (days of treatment) and the incidence of SSI was evaluated as a clinical indicator. Results. 425 surgeries were analysed (62 pre-intervention and 363 post-intervention), from all paediatric surgical specialties. A total of 403 patients, 56.6% male and with a median age of 6.3 years ( p25: 2,1, p75: 11,9 years) According to the degree of contamination, 72% were clean surgeries, 20% were clean-contaminated and 8% were dirty. In 52% the SAP was indicated. Regarding the subsequent analysis, there was a general improvement of all the process indicators. The adequacy in the time of administration of the SAP prior to surgery increased from 34.4% to 49.2% (p = 0.12). An improvement in the adequacy of the SAP indication is projected, from 77% to 91.5% (p = 0.002). With a significant improvement in not administering SAP when it was not indicated (from 54.5% to 87% of adequacy, p = 0.001). Regarding the appropriate use of the antibiotic, there was an increase in compliance, from 67.5% to 91.4% post-intervention (p = 0.001). The duration of the PAQ, less than 24 hours, was adequate in 67.6% in the pre-intervention period and in 79.5% afterwards (p = 0.129). Complete compliance with the SAP increased significantly from 31.5% to 57% (p <0.005). Regarding the consumption of antibiotics in surgical areas, a downward trend is shown, with DOT / 100 stays of 69 in the pre-intervention period, and 60, in 2018, in the first period and 0.8% after the PROA-NEN intervention. Conclusion: An ASP intervention, aimed at SAP has been shown to improve the quality of its use, with a decrease in the unnecessary and inappropriate use of antibiotics administered with this indication, with decreasing the incidence of SSI.
Universitat Autònoma de Barcelona. Programa de Doctorat en Pediatria, Obstetrícia i Ginecologia
Edelstein, Mark R. "Examining the prevalence of persistent postsurgical pain in pediatric spinal fusion surgery patients: a biopsychosocial approach". Thesis, Boston University, 2013. https://hdl.handle.net/2144/12094.
Texto completoObjective: Despite extensive literature on chronic pain in surgical and nonsurgical adult patient populations and in the pediatric nonsurgical patient population, the acute to chronic postsurgical pain transition in children has been a largely neglected area of research. The purpose of this study was to examine the prevalence of persistent postsurgical pain in patients with adolescent idiopathic scoliosis who undergo spinal fusion surgery and to explore baseline differences between patients in varying longitudinal pain trajectories. Methods: The Scoliosis Research Society Questionnaire-30, which includes pain, self- image, mental health, and activity subscales, was administered to 219 patients at a large Northeast children’s hospital preoperatively and at one- and two-years postoperatively through their involvement in the Prospective Pediatric Scoliosis Study. A subset of these patients (n=77) also completed follow-up data at five-years post-surgery. Pain among this sample (in the past six months, in the past month, and at rest) was examined at each of the time points. Longitudinal pain trajectories were identified using the SAS PROC TRAJ procedure, and trajectory groups were compared for baseline differences in age, self-image, and mental health functioning through one-way analysis of variance and post- hoc analyses. Results: Preoperative pain was high in this sample, with 36% of patients prior to surgery reporting pain in the past month. The number of patients reporting pain in the past month postoperatively fell to 13% at one-year post-surgery but increased to 17% and 20% respectively at two- and five-years follow-up. A five-trajectory model emerged with a “no pain” group, a “pain improvement” group, a “short-term pain” group, a “delayed pain” group, and a “high pain” group with significant differences in baseline age (p<.01), self-image (p<.01), and mental health functioning (p<.01) found across groups. Conclusions: The study suggests that pediatric persistent postsurgical pain is potentially a significant health concern. This study also provides preliminary evidence that baseline psychosocial factors may contribute to patients’ longitudinal pain experiences postoperatively. Efforts should be taken to better understand the role that these predictors play in the emergence of persistent postsurgical pain in pediatric surgical patients and to explore how biological factors affect somatosensory phenotypes in this patient population.
Lin, Nancy Y. "Applications of Hyperpolarized 129-Xenon Magnetic Resonance Imaging in Pediatric Asthma". University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1593268100652155.
Texto completoMinar, Phillip. "Validation of Neutrophil CD64 Blood Biomarkers to Detect Mucosal Inflammation in Pediatric Crohn’s Disease". University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1515508268721564.
Texto completoScaggs, Huang Felicia. "Potential Pathogens Are Predominant in the Oral Microbiome of Pediatric Intensive Care Unit Patients". University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563272800210079.
Texto completoLegro, Amanda B. R. "Nutrition support and clinical outcomes of children in a pediatric intensive care unit". Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527973.
Texto completoThe purpose of this thesis was to investigate the impact of enteral nutrition (EN) support factors on days of mechanical ventilation (MV) and length of stay (LOS) in a pediatric intensive care unit (PICU) among subjects age 3 7 weeks to 21 years. Specifically, nutrition support factors included a) days to reach prescribed calories, b) days to reach prescribed protein, c) percentage of prescribed calories received, and d) percentage of prescribed protein received through the use of EN.
Purposive sampling was used to select subjects that received nutrition support in the PICU. Data was collected via chart review within the time frame January 1, 2011 to August 1, 2013.
The results demonstrated MV days and LOS were significantly different for patients who reached prescribed calories and protein within 72 hours of admission. LOS was also significantly different for patients who received at least 80% prescribed calories.
Hoefgen, Erik R. "Leveraging an Outpatient Pharmacy to Reduce Medication Waste in Pediatric Asthma Hospitalizations". University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1583998769748808.
Texto completoHiger, Samantha B. "Pressure-time profile analysis to select surfaces that effectively redistribute pediatric occipital pressure". Thesis, Tufts University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1589455.
Texto completoPressure ulcers are a hospital-acquired condition with reported incidence of up to 27% in acutely ill infants and children, who are particularly vulnerable during long periods of immobilization. Pressure is a key risk factor for pressure ulcer formation and pressure-redistributing surfaces are used in the clinical setting to mitigate this risk. However, there is a lack of information on the most effective surfaces available to redistribute pressure in pediatric patients, especially because the occiput is the highest risk location for pediatric patients, while the sacrum and heels are at highest risk for adults. The aim of this research is to evaluate the pressure-redistributing properties of surfaces used to redistribute pressure under the bony prominence of the occiput of hospitalized pediatric patients through pressure mapping experiments on healthy children.
A commercially available pressure mapping system is validated for use in the pediatric population through studies on sensitivity, accuracy, creep and repeatability. Then, the capacitive pressure sensor is used to measure mean peak pressure and contact area between the occipital region of the skull of children under 6 years old and each of four pressure-redistributing surfaces: gel, foam, fluidized, and air cushion. Lastly, finite element analysis is performed to simulate the pressure generated on the occiput during contact with a foam surface for two loading conditions. Predictions from the finite element model are compared to experimental pressure mapping data. The results of this study provide clinical recommendations for pediatric pressure ulcer prevention protocols.
Polly, Sarah. "Medical Management Adherence as an Outcome of Genetic Counseling in a Pediatric Setting". University of Cincinnati / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1353100601.
Texto completoLaskin, Benjamin L. "Cost-Effectiveness of Screening Strategies for Latent Tuberculosis in Pediatric Idiopathic Nephrotic Syndrome". University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1303846107.
Texto completoCheng, Pak-ho y 鄭柏濠. "P wave characteristics and QRS duration in patients after Fontan-type procedures". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B43781627.
Texto completoОвечкін, Вячеслав Семенович, Вячеслав Семенович Овечкин, Viacheslav Semenovych Ovechkin, Леонід Васильович Гуменюк, Леонид Васильевич Гуменюк, Leonid Vasylovych Humeniuk, Д. В. Кудінов y А. В. Гнашко. "Розвиток дитячої хірургії Сумщини: історія та сучасність". Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27364.
Texto completoОстанні десятиліття спостерігається стрімкий розвиток дитячої хірургії Сумщини, з’являються її нові напрями, відбувається вдосконалення медичного обладнання та лікувально-діагностичних методик. Не припиняється науково-педагогічна робота, завдяки якій область повністю забезпечує себе висококласними фахівцями відповідного профілю та ведеться підготовка лікарів-дитячих хірургів навіть для інших країн світу. Проте, досі в науковій літературі не існує жодного дослідження, присвяченого історії розвитку дитячої хірургії Сумщини, хоча знання основних віх минулого свого фаху є невід’ємною складовою лікаря - професіонала. При цитуванні документа, використовуйте посилання http://essuir.sumdu.edu.ua/handle/123456789/27364
Vadivelu, Ramanan. "'Fixclips' : internal fixation system in paediatric orthopaedics". Thesis, University of Warwick, 2008. http://wrap.warwick.ac.uk/2305/.
Texto completoMcGuirk, Simon Prosser. "Staged surgical palliation and ventricular performance in functionally single ventricle anatomy". Thesis, University of Birmingham, 2010. http://etheses.bham.ac.uk//id/eprint/1005/.
Texto completoSquires, James E. "Diagnostic and Predictive Value of Serum Biomarkers in Biliary Atresia". University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396454327.
Texto completoShah, Shilpa. "Procalcitonin Trends in the Treatment of Suspected Bacterial Infection". University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396532808.
Texto completoCasey, Rebecca. "An exploration of brain injury : from the dependent child to the brain injury survivor". Thesis, University of Warwick, 2015. http://wrap.warwick.ac.uk/76997/.
Texto completoKerrey, Benjamin T. "Rapid sequence intubation for pediatric emergency patients: higher frequency of failed attempts and adverse effects by video review". University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1321371035.
Texto completoEversaul, Julie. "Pediatric patients and nutrition support| What percentage are meeting their caloric needs seven days following admission". Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527549.
Texto completoSecondary malnutrition, due to an underlying disease or disorder, is a considerable concern for medical staff when a child is resident at a hospital. Nutrition for growth of the child is in competition with necessary nutrition used during metabolic stress. The intention of this investigation is to indicate if nutrition goals are being met to prevent or improve acute malnutrition, and if further investigation is necessary for potential hospital wide intervention. The data obtained includes goal rates (80-110% of prescribed caloric goals) of nutrition administered to patients (ages 2-18 years) on enteral nutrition, parenteral nutrition, and a combination of enteral and parenteral nutrition on the 7th day of admission during a singular calendar year. An audit of existing electronic records for 2011 of the pediatric hospital identified approximately 50% of patients were meeting 80-110% of their prescribed caloric goals to help prevent or manage existing malnutrition.