Articles de revues : « Clinic of the child »

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Gyamfi, Addae Boateng Adu, et Benjamin Adjei. « Child Welfare Clinic Attendance among Children 24-59 Months in Assin North Municipality, Ghana ». International Journal for Innovation Education and Research 1, n^o 4 (31 décembre 2013) : 59–68. http://dx.doi.org/10.31686/ijier.vol1.iss4.126.

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Child welfare clinics form an important component of the health care system in Ghana and renders invaluable health care services to children under five years. Despite the numerous advantages associated with child welfare clinic attendance, there are reported cases of low attendance among children 24-59 months. It is in line with this that the study examined child welfare attendance among children aged 24-59 months. Employing both qualitative and quantitative methods, the study selected 240 respondents for primary data collection and analysis in the Assin North Municipality of Ghana. It was established that child welfare clinic attendance declines by age of the child due to schooling, completion of immunization schedule and distance to the clinics among other factors. It was also found that the level of education of caregivers and distance travelled to the child welfare clinic have influence on child welfare clinic attendance. On the bases of the findings recommendations were made to capture children 24-59 months for child welfare services in schools. Secondly, health workers should sensitize care givers on the importance of child welfare clinic attendance for children aged 24-59 months.

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El-Badri, Selim M., et Paul McArdle. « Comparison with attendance at child medical and surgical clinics ». Psychiatric Bulletin 22, n^o 9 (septembre 1998) : 554–56. http://dx.doi.org/10.1192/pb.22.9.554.

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A widespread perception exists that attendance at child psychiatry clinics is especially poor. The reported rate of non-attendance at a child psychiatry outpatient clinic is 61%. However, other child health clinics also suffer a high rate of non-attendance. In this paper we examine the hypothesis that rates of non-attendance are higher in child psychiatry than In other child health out-patient clinics.

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Siedner, Mark J., John D. Kraemer, Mark J. Meyer, Guy Harling, Thobeka Mngomezulu, Patrick Gabela, Siphephelo Dlamini et al. « Access to primary healthcare during lockdown measures for COVID-19 in rural South Africa : an interrupted time series analysis ». BMJ Open 10, n^o 10 (octobre 2020) : e043763. http://dx.doi.org/10.1136/bmjopen-2020-043763.

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ObjectivesWe evaluated whether implementation of lockdown orders in South Africa affected ambulatory clinic visitation in rural Kwa-Zulu Natal (KZN).DesignObservational cohortSettingData were analysed from 11 primary healthcare clinics in northern KZN.ParticipantsA total of 46 523 individuals made 89 476 clinic visits during the observation period.Exposure of interestWe conducted an interrupted time series analysis to estimate changes in clinic visitation with a focus on transitions from the prelockdown to the level 5, 4 and 3 lockdown periods.Outcome measuresDaily clinic visitation at ambulatory clinics. In stratified analyses, we assessed visitation for the following subcategories: child health, perinatal care and family planning, HIV services, non-communicable diseases and by age and sex strata.ResultsWe found no change in total clinic visits/clinic/day at the time of implementation of the level 5 lockdown (change from 90.3 to 84.6 mean visits/clinic/day, 95% CI −16.5 to 3.1), or at the transitions to less stringent level 4 and 3 lockdown levels. We did detect a >50% reduction in child healthcare visits at the start of the level 5 lockdown from 11.9 to 4.7 visits/day (−7.1 visits/clinic/day, 95% CI −8.9 to 5.3), both for children aged <1 year and 1–5 years, with a gradual return to prelockdown within 3 months after the first lockdown measure. In contrast, we found no drop in clinic visitation in adults at the start of the level 5 lockdown, or related to HIV care (from 37.5 to 45.6, 8.0 visits/clinic/day, 95% CI 2.1 to 13.8).ConclusionsIn rural KZN, we identified a significant, although temporary, reduction in child healthcare visitation but general resilience of adult ambulatory care provision during the first 4 months of the lockdown. Future work should explore the impacts of the circulating epidemic on primary care provision and long-term impacts of reduced child visitation on outcomes in the region.

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Handy, S., C. Feehan, J. Burnham et Q. Harris. « A child sexual abuse clinic ». Psychiatric Bulletin 17, n^o 5 (mai 1993) : 288–90. http://dx.doi.org/10.1192/pb.17.5.288.

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It is only in the very recent past that health care professionals have accepted the reality of child sexual abuse (CSA), and it has only been classified as a separate category in Index Medicus since 1987. Since then, the literature has expanded enormously and various treatment strategies have developed.

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Muhamad Rohim. « Dental Clinic Interior Model as an Alternative to Child Anxiety ». Journal of Sosial Science 2, n^o 1 (25 janvier 2021) : 74–78. http://dx.doi.org/10.46799/jsss.v2i1.90.

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Background:. Children experience higher anxiety than adults this is due to emotional differences and mental development according to age, one of the efforts to overcome anxiety is to provide dental health education using methods, media and models of dental clinic rooms tailored to the needs of the child. In general, dental clinic rooms have white and creepy shades. The interior model of the dental clinic is made specifically to address the anxiety of the child at the time of childcare. Research Objective: produce an interior model of dental clinics as an alternative to child anxiety management Method: Research and Development (R&D) method, and model test using quasi-experimental non randomized control group pre-test and post-test design. Sampling techniques with purposive sampling, the study subjects were children who performed treatment at the dental clinic, divided into 2 groups of 20 children each, group 1. intervention of dental clinic interior models with wall wallpapers and acoustic videostimulions and 2. Media posters and dental health counseling as a control group. Data tested with Wilcoxon and Mann-whitney tests. Result: "Dental Clinic Interior Model" effective as an alternative to child anxiety management is shown with a p-value value of 0.036. There is a difference in the effectiveness of the "dental clinic interior model" with counseling and poster for child anxiety management is shown with a p-value of 0.102. The test results are not paired with a p-value of 0.036. Conclusion : "Dental Clinic Interior Model" effectively lowers children's anxiety levels

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Muhamad Rohim. « Dental Clinic Interior Model as an Alternative to Child Anxiety ». Journal of Social Science 2, n^o 1 (25 janvier 2021) : 70–73. http://dx.doi.org/10.46799/jss.v2i1.90.

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Background:. Children experience higher anxiety than adults this is due to emotional differences and mental development according to age, one of the efforts to overcome anxiety is to provide dental health education using methods, media and models of dental clinic rooms tailored to the needs of the child. In general, dental clinic rooms have white and creepy shades. The interior model of the dental clinic is made specifically to address the anxiety of the child at the time of childcare. Research Objective: produce an interior model of dental clinics as an alternative to child anxiety management Method: Research and Development (R&D) method, and model test using quasi-experimental non randomized control group pre-test and post-test design. Sampling techniques with purposive sampling, the study subjects were children who performed treatment at the dental clinic, divided into 2 groups of 20 children each, group 1. intervention of dental clinic interior models with wall wallpapers and acoustic videostimulions and 2. Media posters and dental health counseling as a control group. Data tested with Wilcoxon and Mann-whitney tests. Result: "Dental Clinic Interior Model" effective as an alternative to child anxiety management is shown with a p-value value of 0.036. There is a difference in the effectiveness of the "dental clinic interior model" with counseling and poster for child anxiety management is shown with a p-value of 0.102. The test results are not paired with a p-value of 0.036. Conclusion : "Dental Clinic Interior Model" effectively lowers children's anxiety levels

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Khan, Muhammad Amir, Syeda Somyyah Owais, Sehrish Ishaq, John Walley, Haroon Jehangir Khan, Claire Blacklock, Muhammad Ahmar Khan et Muhammad Waqar Azeem. « Process evaluation of integrated early child development care at private clinics in poor urban Pakistan : a mixed methods study ». BJGP Open 1, n^o 3 (22 août 2017) : bjgpopen17X101073. http://dx.doi.org/10.3399/bjgpopen17x101073.

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BackgroundIn poor urban Pakistan, private GP clinics lack adequate services to promote early child development (ECD) care. A clinic-based contextualised ECD intervention was developed for quarterly tool-assisted counselling of mothers.AimTo explore the experience and implementation of ECD intervention by the private care providers and clients, for further adaptation for scaling of quality ECD care, at primary level private healthcare facilities in Pakistan.Design & settingA mixed methods approach using quantitative records review and qualitative interviews at poor urban clinics in Rawalpindi and Lahore, Pakistan.MethodQuantitative data from study-specific records were reviewed for 1242 mother–child pairs registered in the intervention. A total of 18 semi-structured interviews with clinic staff, mothers, and research staff were conducted at four clinics. The interviews were audiorecorded and transcribed verbatim.ResultsDistrict Health Office (DHO) support allowed transparent and effective selection and training of clinic providers. Public endorsement of ECD care at private clinics and the addition of community advocates promoted ECD care uptake. Clinic settings were found feasible for clinic assistants, and acceptable to mothers, for counselling sessions. Mothers found ECD counselling methods more engaging compared to the usual care provided.ConclusionIn poor urban settings where public health care is scarce, minimal programme investment on staff training and provision of minor equipment can engage private clinics effectively in delivering ECD care.

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STEINHAUSEN, HANS-CHRISTOPH, et DIETMAR GÖBEL. « Enuresis in Child Psychiatric Clinic Patients ». Journal of the American Academy of Child & ; Adolescent Psychiatry 28, n^o 2 (mars 1989) : 279–81. http://dx.doi.org/10.1097/00004583-198903000-00022.

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Hermsen, Jan. « Working in a child guidance clinic ». Psychiatric Bulletin 17, n^o 10 (octobre 1993) : 628. http://dx.doi.org/10.1192/pb.17.10.628.

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Tucker, Helen. « Working in a child guidance clinic ». Psychiatric Bulletin 18, n^o 2 (février 1994) : 110–11. http://dx.doi.org/10.1192/pb.18.2.110-b.

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Williams, J. Mark G., John J. Murray, Charles A. Lund, Barbara Harkiss et Argelia de Franco. « ANXIETY IN THE CHILD DENTAL CLINIC ». Journal of Child Psychology and Psychiatry 26, n^o 2 (mars 1985) : 305–10. http://dx.doi.org/10.1111/j.1469-7610.1985.tb02268.x.

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Khan, Muhammad Amir, Syeda Somyyah Owais, Shazia Maqbool, Sehrish Ishaq, Haroon Jehangir Khan, Fareed A. Minhas, Joseph Hicks, Muhammad Ahmar Khan et John D. Walley. « Is integrated private-clinic based early child development care effective ? A clustered randomised trial in Pakistan ». BJGP Open 2, n^o 2 (26 juin 2018) : bjgpopen18X101593. http://dx.doi.org/10.3399/bjgpopen18x101593.

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BackgroundIn Pakistan, high prevalence of delays in early child development (ECD) is associated with poverty and lack of mothers’ caregiving skills. GP clinics, the main sources of care in poor urban localities, lack quality ECD care delivery. A contextualised intervention was developed and tested to enable GPs to deliver clinic-based, tool-assisted ECD counselling of mothers on a quarterly basis.AimTo assess the effectiveness of delivering a contextualised ECD mother-counselling intervention.Design & settingClustered randomised controlled trial, in poor urban localities of Pakistan. Locality clusters were allocated to intervention and control arm using simple randomisation.MethodA total of 2327 mother–child pairs were recruited at 32 GP clinics, one from each cluster-locality; 16 GP clinics per arm. The clinic-based counselling intervention covering child stimulation, nutrition, and maternal mental health was delivered mainly by clinic assistants to mothers at ≤6 weeks, and 3, 6, and 9 months of child age. At 12 months of child age, each mother–child pair was assessed for the primary outcome, that is, delays in the five development domains (determined by Ages and Stages Questionnaire-3 [ASQ-3] score); and secondary outcomes, namely the prevalence of stunting and maternal depression (determined by Patient Health Questionnaire-9 [PHQ-9] score). The outcome assessors were blinded to the cluster–arm allocation. Outcome analyses were calculated on cluster-level.ResultsAt 12 months, the number of children with delay in two or more development domains was significantly lower in the intervention arm (-0.17 [95% confidence interval {CI} = -0.26 to -0.09]; P<0.001) compared to the control arm. The difference in the prevalence of child stunting and maternal depression were also significant at -0.21% (95% CI = -0.30 to -0.13; P<0.001) and -0.23% (95% CI = -0.29 to -0.18; P = 0.000) respectively.ConclusionContextualised ECD care, when delivered at GP clinics in poor urban localities, can effectively reduce the developmental delays during the first 12 months of the child's life.

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Kidd, Sharon A., Melissa Raspa, Renée Clark, Holly Usrey-Roos, Anne C. Wheeler, Jessica A. Liu, Amanda Wylie et Stephanie L. Sherman. « Attendance at Fragile X Specialty Clinics : Facilitators and Barriers ». American Journal on Intellectual and Developmental Disabilities 122, n^o 6 (1 novembre 2017) : 457–75. http://dx.doi.org/10.1352/1944-7558-122.6.457.

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Abstract The objectives were to describe the demographic characteristics of children with Fragile X syndrome (FXS) and to determine predictors of attendance at Fragile X (FX) clinics. Findings from the Community Support Network (CSN) and Our Fragile X World (OFXW) samples showed that children who attended FX Clinics were mostly male, high-school aged or younger, and white, non-Hispanic. Using logistic regression models, awareness about FX Clinic services, guardian education, and income (CSN), and child age, family income, and total number of co-occurring conditions (OFXW) were predictors of clinic attendance. Demographic and child characteristics accounted for a large portion of the explained variance. Importantly, symptom severity and parent knowledge about services were independent predictors beyond the demographic characteristics of families.

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Tatasari, Titis. « PENGARUH SIKAP KEPEMIMPINAN TRANSFORMASIONAL TERHADAP KINERJA PEGAWAI DI KLINIK IBU DAN ANAK AREA PONDOK JATI, SIDOARJO ». Jurnal Riset Entrepreneurship 2, n^o 2 (30 août 2019) : 42. http://dx.doi.org/10.30587/jre.v2i2.981.

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This study aims to analyze the effect of transformational leadership on empowerment in employees of Pondok Jati Mother and Child Clinic, Sidoarjo analyzing the influence of transformational leadership on employee work behavior of Pondok Jati Mother and Child Clinic, Sidoarjo; The data analysis method uses Structural Equation Model (SEM). The results showed that transformational leadership had a significant and positive effect on the empowerment of employees at Pondok Jati Mother and Child Clinic, Sidoarjo, transformational leadership had a significant and positive effect on work behavior of Pondok Jati, Mother and Child Clinic employees, Sidoarjo, transformational leadership had no significant and influential effect on positively on the performance of employees of the Pondok Jati, Sidoarjo Mother and Child Clinic, empowerment has no significant effect and positively influences on the performance of the Pondok Jati, Sidoarjo Mother and Child employees, work behavior has a significant and positive effect on the performance of the Pondok Jati, Mother and Child Clinic employees, Sidoarjo.

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Oyungu, Eren, Anna Roose, Ananda Roselyne Ombitsa, Rachel C. Vreeman et Megan S. McHenry. « Child Development Monitoring in Well-baby Clinics in Kenya ». International Journal of Maternal and Child Health and AIDS (IJMA) 10, n^o 1 (7 mai 2021) : 128–33. http://dx.doi.org/10.21106/ijma.473.

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Background: Maternal and child health (MCH) clinics represent an integrated approach for providing healthcare to pregnant women and children 0-59 months of age. Although MCH clinics are also charged with monitoring child development, which involves tracking developmental milestones, it is unclear how these services are provided or perceived within the clinic. This study aimed to describe self-reported knowledge, perceptions, and practice of developmental monitoring in selected MCH clinics in western Kenya. Methods: This cross-sectional descriptive study was conducted within six clinics. We administered a descriptive survey to measure caregiver and healthcare staff attitudes towards and awareness of developmental monitoring; we also reviewed MCH booklets to identify services received at the clinic. Data collection occurred over a period of one day at each of the six clinic sites. The data were analyzed using descriptive statistics. Results: During the study period, 78 caregiver-child pairs presented to the clinics and had their MCH booklets reviewed. The median child age was three months (interquartile range [IQR]: 1-8 months). Most caregivers were aware of weight monitoring and immunization services; however, when asked specifically about developmental monitoring, only 2.6% of caregivers were aware this service was available at the clinics. Nearly 80% of caregivers reported that they would be very interested in developmental monitoring services. Thirty-three MCH healthcare staff were interviewed about services provided and goals of clinical care. Fewer healthcare staff (60.6%) identified their roles in developmental monitoring compared to their roles in growth (90.9%) and nutritional monitoring (84.8%). Developmental milestones had not been recorded in any of the 78 MCH booklets. However, 78.1% of healthcare staff indicated support for developmental screening. Conclusion and Global Health Implications: While developmental monitoring was valued by healthcare providers, it was not consistently performed at the six clinics in our study. We recommend further work to raise awareness about developmental monitoring and to measure the implications of increased caregiver knowledge and perceptions on developmental monitoring practice. Copyright © 2021 Oyungu, et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

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Lind, Judith. « Barnets bästa vid assisterad befruktning ». Socialvetenskaplig tidskrift 30, n^o 2 (2 octobre 2023) : 605–26. http://dx.doi.org/10.3384/svt.2023.30.2.4442.

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The best interests of the child in assisted reproduction – assessments of parent potential in treatment with autologous and donor gametes Considerations of the welfare of the intended child in assisted reproduction include the assessment of candidates’ capacity to care for the child. Swedish legislation prescribes the evaluation of candidates’ psychological and social circumstances only when gametes from a donor are used for treatment. However, accounts of the evaluation process by fertility clinic staff indicate that candidates’ social and psychological circumstances are also considered in non-donor treatment. While legislation demands that a professional behavioural scientist is involved in the assessment for donor treatment, this is not the case for non-donor treatment. Candidates for non-donor treatment are reported as being evaluated by a counsellor only if they attract the negative attention of clinic staff through self-disclosed information or their behaviour during visits to the clinic. The outcome is an evaluation process in non-donor treatment that is non-transparent and therefore unpredictable for candidates. This article is based on focus group discussions with fertility clinic staff at four public clinics in Sweden.

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Krell, Robert, et Meng-Eng Lem. « The “Marathon Assessment” in Child Psychiatry : A Service to Underserviced Areas ». Canadian Journal of Psychiatry 34, n^o 6 (août 1989) : 606–8. http://dx.doi.org/10.1177/070674378903400621.

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The University of British Columbia Child and Family Psychiatry Outpatient Department has, since 1974, conducted intensive child psychiatry assessments of patients referred from outlying areas. The marathon assessment, as we have called it, requires up to three days during which clinic staff conduct interviews with the referred patient and family, and perform specific investigations as necessary. By the end of the third day, the clinic team presents its findings and recommendations to the family, and by phone and letter to the referral source with arrangement for follow-up by physicians and/or mental health clinics in the patient's geographic region. The marathon evaluation has proven a worthy alternative to outreach visits by a travelling child psychiatrist and to inpatient hospital evaluations. The reasons for the advantages are enumerated.

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Hossain, Sarowat, SM Rowshan Alam, Mahabubul Islam, Shah Shahjada Miah, Md Abu Hanifa, Zakir Hossain Sarker, Taslim Fatema, Munira Begum et Labib Hasan. « Services Provided Through Community Clinic : Access and Utilization by Rural People ». Journal of Rangpur Medical College 7, n^o 2 (3 novembre 2022) : 20–24. http://dx.doi.org/10.3329/jrpmc.v7i2.62640.

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Background: Community clinics (CC) have been restarted in 2009 by the government of Bangladesh through a project called “Revitalization of Community Health Care Initiatives in Bangladesh” (RCHCIB) to accomplish the ambitious project of establishing 18,000 community clinics. Since then 10,723 Community clinics have been established and they provide free health and family planning services to rural people (for every 6000 population one CC). Objective: The study aimed to assess the prevalence of access and utilization of services provided through community clinics by rural people. Methods: This cross-sectional descriptive study was conducted in Palashbari, Gaibandha district from 15th March 2019 to 20th April 2019. 568 respondents were selected conveniently from the catchment area of 6 community clinics (CCs). Data were collected by face-to-face interviews with a pretested structured questionnaire. Results: Among 568 respondents, majority ware in the age group of 31-50 years (45.4%),female (83%) and housewives (76.8%).93.5% of the respondents visited community clinics. And 85.6% were benefited from the community clinic service. Maternal and child health service utilization was poor (pregnancy registration 27.6%, ANC and PNC 45.2%, family planning services 49.3%) and there is no normal delivery service in the community clinic. 66.2% of the respondents availed EPI Services, 45.8% received Health Education, 65.3% received Vitamin-A Supplementation, 59.9% availed Child Care Services, 71.7% received Treatment of Minor Illness and Diseases, 17.4% availed Referral Services. Conclusion: The CCs are well located in terms of access. According to the Respondents' services provided by the community, the clinic was average. Maternal and child health services, pregnancy, and birth registration were below the mark. There is no normal delivery service and according to the respondent’s opinion referral system was also poor. J Rang Med Col. September 2022; Vol. 7, No. 2:20-24

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Arborelius, Elisabeth, et Barbara Peterson. « Smoking Discussions at the Child Health Clinic ». Scandinavian Journal of Caring Sciences 10, n^o 3 (septembre 1996) : 169–74. http://dx.doi.org/10.1111/j.1471-6712.1996.tb00331.x.

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Evered, C. J., P. D. Hill, D. M. Hall et S. C. Hollins. « Liaison psychiatry in a child development clinic. » Archives of Disease in Childhood 64, n^o 5 (1 mai 1989) : 754–58. http://dx.doi.org/10.1136/adc.64.5.754.

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Horrigan, Joseph P., Linmarie Sikich, Helen E. Courvoisie et L. Jarrett Barnhill. « Alternative Therapies in the Child Psychiatric Clinic ». Journal of Child and Adolescent Psychopharmacology 8, n^o 4 (janvier 1998) : 249–50. http://dx.doi.org/10.1089/cap.1998.8.249.

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Akkaya-Kalayci, T., K. Dervic et M. H. Friedrich. « Viennese transcultural outpatient clinic for child psychiatry ». European Psychiatry 22 (mars 2007) : S334. http://dx.doi.org/10.1016/j.eurpsy.2007.01.1139.

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Khanna, Sumant, et Shoba Srinath. « Cyclic Vomiting in the Child Guidance Clinic ». Indian Journal of Psychological Medicine 18, n^o 2 (juillet 1995) : 24–31. http://dx.doi.org/10.1177/0975156419950204.

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Elder, John P., et Rene Salgado. « The Well Baby Lottery : Motivational Procedures for Increasing Attendance at Maternal and Child Health Clinics ». International Journal of Health Services 18, n^o 1 (janvier 1988) : 165–71. http://dx.doi.org/10.2190/a5m3-5ht9-jm5b-m4u9.

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A lottery system was used to improve attendance at four well baby clinics in four colonias in Tijuana, Mexico. Mothers earned one lottery ticket for each visit to each clinic during the intervention period. At the end of each month, ticket receipts were entered into drawings for one of three bags of groceries. The lottery system was evaluated within a “multiple baseline design” whereby the intervention was staggered across the four clinics on a month-by-month basis. Although attendance was not enhanced uniformly, an overall improvement of 25 percent was realized. The lottery system was at times hampered by administrative problems, such as the breakdown of a public address system used to announce the open hours of a clinic in one of the colonias.

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Muktiyo, Widodo. « Marketing Strategy and the Potency of Inclusive Education Throughout Surakarta Ex-Residency ». KOMUNITAS : International Journal of Indonesian Society and Culture 8, n^o 1 (18 février 2016) : 13–21. http://dx.doi.org/10.15294/komunitas.v8i1.5211.

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This research studied marketing strategy and promotion communication in child growth and development clinic as the pillar of inclusive education. Particularly, the objectives of current research were to map the market of child growth and development clinic throughout Surakarta Ex-residency, to recommend the marketing strategy in child growth and development clinic, to analyze the external factors affecting the child growth and development clinic sustainability, and to recommend differentiation and promotion communication of child growth and development clinic. This study was taken place in Surakarta ex-residency. The type of research used was mixed-method. The strategy employed was quantitative descriptive and grounded research. The result of research showed that potency of inclusive education market in Surakarta ex-residency was sufficiently high, as could be seen from the highly potential development of child growth and development clinic. The result of research also showed the marketing strategy of growth and development clinic and market share in each area of Surakarta ex-residency (Solo, Wonogiri, Sukoharjo, Boyolali, Klaten, Sragen): (a) affordable price, (b) product variation adjusted with the most case: learning retarded, mental retarded, quadriplegic, deaf and multiple disabled, (c) safe, kids-friendly physical environment and adequate facility, (d) service hour and time clarity for each type of service, (e) experience medical personnel, (f) promotion through a variety of media types, (g) cooperation and network system.

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Osborn, Lucy M., Janice R. Sargent et Scott D. Williams. « Effects of Time-in-Clinic, Clinic Setting, and Faculty Supervision on the Continuity Clinic Experience ». Pediatrics 91, n^o 6 (1 juin 1993) : 1089–93. http://dx.doi.org/10.1542/peds.91.6.1089.

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Study objective. To evaluate the effects of setting, type of supervision, and time in clinic on the resident continuity clinic experience. Design. Prospective cohort with preintervention and postintervention measures. Settings. Pediatric residents selected one of three clinic settings for their continuity clinic experience. These included a traditional, university-based clinic, private practice offices, and publicly funded community-based clinics. Subjects. All pediatric residents at the University of Utah Health Sciences Center, July 1985 through June 1991. Interventions. Using varied clinic sites, matching residents one or two to one with preceptors for their continuity clinic, increasing continuity clinic from 1 to 2 half-days per week. Measurements and main results. Residents in private offices had the most varied experience, seeing more patients, more acute care, and a broader age range of patients than residents at other sites. They were more likely both to be observed by their preceptors during patient visits and to observe their preceptors delivering care. Because the number of patients seen per session rose, increasing continuity clinic time from one to two half-days per week more than doubled the number of patients seen per week. Increased time away from hospital did not affect scores on the Pediatric In-Training Examination. While test scores were similar for incoming residents, those in private offices scored higher on the final Behavioral Pediatrics Examination (P < .05). Conclusions. Clinic setting, time in clinic, and faculty supervision affect the quality of the continuity clinic experience. Increased time in clinic resulted in a broader exposure to patients. Residents placed in private offices had a more varied patient mix, were more closely supervised, and seemed to gain primary care skills more rapidly than residents at other sites.

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Bradford, Judith Young, et Patricia S. O’Sullivan. « The Relationship Between the Use of Health Clinics in Rural Mississippi Schools and the CHIP-AE Adolescent Health Profile ». Journal of School Nursing 23, n^o 5 (octobre 2007) : 293–98. http://dx.doi.org/10.1177/10598405070230050801.

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School health clinics are one way to meet the objectives in Healthy People 2010 for adolescent health. To determine the relationship between adolescent health status and use of the school health clinics in four Mississippi high schools, the Child Health and Illness Profile–Adolescent Edition (CHIP-AE) was used. The CHIP-AE identifies health status, giving scores on resilience, comfort, risks, and satisfaction, resulting in health profiles. One hundred seventy-one 9th-graders participated in this descriptive study. Students with the highest discomfort and risk scores had no use of the school health clinic. Students with fair health profiles were the highest users of the school health clinic when compared to all other profiles. Of those students with very poor health status, 60% reported the school health clinic was their only source of health care. In this study, the term school health clinic refers to the health office staffed by a nurse without an advanced degree.

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Sumoski, Diane M. « Raising the Bar in Child Welfare Law ». SMU Law Review 77, n^o 3 (2024) : 635. https://doi.org/10.25172/smulr.77.3.13.

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This article explores the unique opportunities arising from child welfare law practice in clinical legal education. While training law students for lawyering in all practice areas, the clinic can also inspire experienced child welfare practitioners to raise the level of their practice. The article provides an overview of the child welfare practice in Texas, the various roles of lawyers in the system, the special training required for these lawyers, and how the lawyers are employed and paid. The article proposes that the clear impact of child welfare legal practice on clients, combined with its interdisciplinary complexity, creates an ideal combination for motivating law students to zealous representation while teaching them how to apply real facts to a wide variety of law and policy in a culturally competent framework. Because SMU’s clinic students are eager learners experiencing lawyering firsthand, without bearing the burden of the “billable hour,” they can explore issues and model best practices in the Dallas community. The Child Advocacy Clinic’s work representing children and former foster youth stands as a proving ground for current issues and best practices. In turn, SMU Dedman Law can turn the lessons learned in the robust clinic practice to provide essential training to the child welfare community at large. The article also relies on, and was greatly inspired by, clinic students’ words in describing the lawyering experiences they gained through the clinic.

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Smith, PEggy B., Maxine L. Weinman et Ruth S. Buzi. « Young Males Attending a Family-Planning Clinic : Some Ideas about Consequences of Child Abuse ». Psychological Reports 85, n^o 2 (octobre 1999) : 529–32. http://dx.doi.org/10.2466/pr0.1999.85.2.529.

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33 young males attending a family-planning clinic were asked about the consequences of child abuse as it affects behavioral problems of teens and their interest in programs that deal specifically with these problems. Nine reported they had been victims of abuse. Most believed that drug and alcohol misuse and suicide were the major consequences of child abuse. Fifteen were interested in programs for prevention of child abuse but not for specific problems such as substance misuse and smoking cessation. This study's findings suggest that family-planning clinics with services for males must address their behavioral as well as medical needs.

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Conoley, Jane Close, et Collie W. Conoley. « Collaboration for child adjustment : Issues for school- and clinic-based child psychologists. » Journal of Consulting and Clinical Psychology 59, n^o 6 (décembre 1991) : 821–29. http://dx.doi.org/10.1037/0022-006x.59.6.821.

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Angier, Heather, Tamar Wyte-Lake, Shannon Williams, Sara McCrimmon, Laura Moreno, Jennifer E DeVoe et Deborah Cohen. « A Qualitative Study of Two Oregon Family Medicine Clinics to Explain Parent and Child Healthcare Initiation and Engagement ». Journal of Patient Experience 9 (janvier 2022) : 237437352211336. http://dx.doi.org/10.1177/23743735221133654.

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Background: Parental factors are associated with children's receipt of recommended care but not adequately described. Methods: We conducted a qualitative study of patients with at least two visits who were a primary caregiver for a child who also had at least two visits at the same clinic in 1/2018–12/2019 from two Oregon family medicine clinics. We stratified patients by child age and number of caregiver visits and randomly selected caregivers. Participants were interviewed in accordance with approval by our Institutional Review Board between 12/2020 and 4/2021. The data were analyzed using a grounded theory approach. Results: 12 caregivers (termed parents) were interviewed; half were single parents and three-quarters had a history of substance use disorder and/or a mental health condition. Parents focused on the importance of keeping themselves healthy to keep their families healthy. They described similar reasons for choosing to initiate and continue care for themselves and their children at the same clinic, including: convenience, trust, relationships, and receiving whole-person and whole-family care. Many valued having a healthcare “home” for their entire family. We developed a figure that highlights three themes that capture the interrelated factors parents identified as supporting healthcare use for themselves and their families. These overarching themes included: healthcare initiation; healthcare engagement and continuity; and parent bringing child to the same clinic for healthcare. Conclusion: Our data suggests that long-standing patient-clinic relationships for parents and children can support family-focused healthcare.

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Syed, Taseen Ahmed, Muhammad Hassaan Bashir, Samid Muhammad Farooqui, Allshine Chen, Sixia Chen, Salman Nusrat et Javid Fazili. « Treatment Outcomes of Hepatitis C-Infected Patients in Specialty Clinic vs. Primary Care Physician Clinic : A Comparative Analysis ». Gastroenterology Research and Practice 2019 (4 juin 2019) : 1–7. http://dx.doi.org/10.1155/2019/8434602.

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Background. Oral direct-acting antivirals (DAAs) provide an exceptional opportunity to treat hepatitis C virus (HCV) infection. Goals. We compared the treatment outcomes between specialty and primary care physician (PCP) clinics for patients treated with DAAs. Methods. We performed a retrospective analysis of patients treated for HCV in our PCP clinics and specialty; liver and gastroenterology clinics and gastroenterology clinics. We used the two-sided t-test and the chi-square test to compare the means of continuous and categorical variables, respectively. Results. Data from a total of 377 patients was analyzed (PCP clinic: n=185 and specialty clinic: n=192). There was no significant difference between age, race, and gender. Model for End-Stage Liver Disease (MELD) and Child-Turcotte-Pugh (CTP) scores were comparable at baseline. Greater than 90% of the patients achieved sustained virological response (SVR) with no difference between the groups. Conclusions. Uncomplicated patients can be treated for hepatitis C by their PCPs with DAAs with similar treatment outcomes to specialty clinics. There should be explicit guidelines on patient eligibility for treatment by PCPs vs. specialists.

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Onwuka, Chidinma Ifechi, Euzebus Chinonye Ezugwu, Samuel Nnamdi Obi, Chidozie Onwuka, Cyril Chukwudi Dim, Chibuike Chigbu, Eric Asimadu, Ijeoma Victoria Ezeome, Tochukwu Christopher Okeke et Chukwuemeka Anthony Iyoke. « Postnatal care services use by mothers : A comparative study of defaulters versus attendees of postnatal clinics in Enugu ». PLOS ONE 18, n^o 3 (30 mars 2023) : e0280315. http://dx.doi.org/10.1371/journal.pone.0280315.

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Introduction Despite much emphasis on the reproductive health of women, maternal mortality is still high, especially in postnatal period. Objective To assess the prevalence of postnatal care use and reasons for defaults among mothers attending the child immunization clinics in Enugu, Nigeria. Methods This was a cross-sectional comparative study of 400 consecutive nursing mothers who presented at the Institute of Child Health of UNTH and ESUTH, Enugu for Second dose of the Oral Polio Vaccine (OPV2) for their babies at 10 weeks postpartum. Data was collected using Interviewer-administered questionnaire and subsequently analyzed with version 22.0 IBM SPSS software, Chicago, Illinois. A p-value of less than 0.05 was considered as statistically significant. Result The prevalence of the 6th week postnatal clinic attendance among the mothers was 59%. The majority of the women (60.6%) who had antenatal care by skilled birth attendants attended postnatal clinic. Unawareness and being healthy were the main reasons for not attending postnatal clinic. Following multivariate analysis, place of antenatal (OR = 2.870, 95% C.I = 1.590–5.180, p < 0.001) and mode of delivery (OR = 0.452, 95% C.I = 0.280–0.728, p = 0.001) were the only significant predictors of postnatal clinic attendance (p < 0.05). Conclusion Postnatal clinic attendance by women in Enugu is still suboptimal. The main reason for non-attendance of the 6th week postnatal clinic was lack of awareness. There is need for healthcare professionals to create awareness about the importance of postnatal care and encourage mothers to attend.

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Kubo, Ritsuko, et Hiroyuki Makihara. « Significance of WISC-IV in child psychiatric clinic ». Proceedings of the Annual Convention of the Japanese Psychological Association 83 (11 septembre 2019) : 1C—023–1C—023. http://dx.doi.org/10.4992/pacjpa.83.0_1c-023.

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Kohon, Valli Shaio. « Commentary by a Tavistock Clinic-Trained Child Psychotherapist ». British Journal of Psychotherapy 11, n^o 4 (juin 1995) : 609–12. http://dx.doi.org/10.1111/j.1752-0118.1995.tb00772.x.

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McCrystal, Angela. « Maternal and child health in a Calcutta clinic ». British Journal of Midwifery 6, n^o 11 (novembre 1998) : 696–700. http://dx.doi.org/10.12968/bjom.1998.6.11.696.

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Goulden, Annette, et Elund Dorkings. « A mothers' group in a child guidance clinic ». Psychiatric Bulletin 16, n^o 5 (mai 1992) : 286–87. http://dx.doi.org/10.1192/pb.16.5.286.

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Chaudhury, S., PL Prasad, R. Zacharias, T. Madhusudan et R. Saini. « Psychiatric Morbidity Pattern in a Child Guidance Clinic ». Medical Journal Armed Forces India 63, n^o 2 (avril 2007) : 144–46. http://dx.doi.org/10.1016/s0377-1237(07)80059-1.

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Mordock, John B. « The real world of the child guidance clinic ». Administration and Policy in Mental Health 23, n^o 3 (janvier 1996) : 211–30. http://dx.doi.org/10.1007/bf02108321.

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Riley, Catrina, et Ruth Crawford. « Reducing health didparities for low decile children and families : a nurse-led response ». Journal of Primary Health Care 2, n^o 3 (2010) : 243. http://dx.doi.org/10.1071/hc10243.

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BACKGROUND AND CONTEXT: Reducing health disparities for children living in deprived areas has been difficult to achieve. This paper describes the implementation of a nurse-led, child-specific clinic within a general practice setting to improve health outcomes for high needs Maori/Pacific Island and NZDep96 quintile groups 4 and 5 children and their whanau/families. ASSESSMENT OF PROBLEM: The medical centre that implemented the clinic had a high number of enrolled children with chronic and recurrent morbidities. Children frequently did not attend clinic appointments, and there was high use of after-hours services. RESULTS: An outcome audit after 18 months demonstrated a significant (>30%) reduction in eczema severity, daily irritability, and daily occurrence of pain. Post-intervention fewer children were hospitalised and there was a 50% reduction in antibiotic use. STRATEGIES FOR IMPROVEMENT: The aim of the nurse-led clinic was to improve health gains, facilitate morbidity control of chronic conditions, and to offer prevention strategies to promote wellness for the target population. The reduction of morbidity severity by 10% was measured with specific morbidity scoring systems for eczema, constipation and nocturnal enuresis. Other outcome indicators measured vomiting/reflux, wheezing/coughing, constipation/soiling, irritability, sleep disturbances, hospital admissions, and antibiotic use. LESSONS: Nurse-led clinics facilitated by nurses with advanced skills can reduce health disparities for the target population. The amount of time the nurse is able to spend with the child and whanau/family, and the provision of opportunistic assessments as required, has effected positive change in those children most in need. KEYWORDS: Child health; low decile families; Maori/Pacific families: chronic conditions; nurse-led clinic

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Jasleen Kaur, Navjot Kaur, Heena Walia, Gauri Gill, Nicholas Chinemeze Azuh et Rhythm Sharma. « Behaviour Management of Children in a Dental Clinic ». International Healthcare Research Journal 7, n^o 12 (9 mars 2024) : RV1—RV6. http://dx.doi.org/10.26440/ihrj/0712.03617.

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The dental healthcare team treats a child in a pediatric clinic using a child management approach that is both effective and efficient. Managing children in a pediatric clinic requires a delicate balancing act between the child, the parent, and the dentist. It takes effective communication abilities to give dental treatment to youngsters. In addition to the well-known personality trait of anxiety, additional factors have also been discovered to contribute to the persistence of behavioral issues during dental procedures. It is often acknowledged that behavior management plays a crucial role in providing dental care for kids. It is undoubtedly difficult to deny a child the necessary dental care if their behavior in the office or dental clinic cannot be controlled.

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Bachmann, Max O., et Peter Barron. « Why Wait so Long for Child Care ? An Analysis of Waits, Queues and Work in a South African Urban Health Centre ». Tropical Doctor 27, n^o 1 (janvier 1997) : 34–38. http://dx.doi.org/10.1177/004947559702700113.

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Long waits at large urban clinics obstruct primary care delivery, imposing time costs on patients, deterring appropriate utilization and causing patient dissatisfaction. This paper reports on an innovative attempt by staff in a large South African urban health centre to analyse a system of queues and preventive and curative services for pre-school children, and thereafter to evaluate changes. The study had a cross-sectional work study design, with repeated measurement of waiting times after 13 months. At baseline the preventive clinic was found to have several inessential processes and waits; these were eliminated or overlapped, and clinic sessions per week were increased. A year later median waiting times had decreased substantially in the preventive clinic, but had increased in the curative clinic. Simple research can explain long waits, inform and measure changes, and provide evidence to justify primary care integration and would be useful in health centres and hospital outpatient departments in developing countries.

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Rooney, Brenda L., Brian K. Allen, Pamela J. Strutt et Edward B. Hayes. « Development of a Screening Tool for Prediction of Children at Risk for Lead Exposure in a Midwestern Clinical Setting ». Pediatrics 93, n^o 2 (1 février 1994) : 183–87. http://dx.doi.org/10.1542/peds.93.2.183.

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Objective. Universal screening for childhood lead poisoning is becoming quite common, with many states having legislation requiring screening. We set out to determine whether a questionnaire could be used to identify children at risk for exposure to lead to determine whether selective screening of those at risk was possible. Methods. Parents of 370 children 12 to 36 months of age having well-child examinations completed a questionnaire and their children were screened by a fingerstick capillary blood lead test at two clinics. Results. Of patients from clinic A, 5.4% had lead levels ≥10 µg/dL compared with 16.8% of those from clinic B (P < .001). This difference between clinics could not be explained by the demographic characteristics of the patients or by differences in their potential exposures to lead. We evaluated the five questions suggested by Centers for Disease Control and Prevention for anticipatory guidance for their ability to identify children with elevated blood lead levels. In clinic A, this instrument had a sensitivity of 76.9% and a negative predictive value of 96.5%. In clinic B, it had a sensitivity of 63.6% and a negalive predictive value of 81.4% . Based on an assessment of significant items from a large questionnaire, we determined five questions that were the best predictors of risk. On the basis of this risk assessment, 100% of the children from clinic A with elevated lead levels and 90.9% of the children from clinic B with elevated lead levels were classified as being at "high risk." Had this risk assessment been used as an initial screen in this sample, 40% of the patients from clinic A and 37% of the patients from clinic B would not have been screened with a blood lead test, because they were classified as being at "low risk." Conclusions. Results of this study suggest that there is great variability in the prevalence of elevated lead levels and potential risks between clinics within a fairly homogeneous community; however, selective screening with a community-specific questionnaire may be feasible if the prevalence is low and the risks to the population are known.

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Srikanth, Jayanthi, Pankaj Kumar, Kavya G. Upadhya et Pushpa Rajanna. « A comparative study on vaccination default rates among children aged 9-24 months attending a static immunization clinic in urban and rural area of Bangalore ». International Journal Of Community Medicine And Public Health 6, n^o 1 (24 décembre 2018) : 248. http://dx.doi.org/10.18203/2394-6040.ijcmph20185251.

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Background: Immunization contributes significantly to the achievement of millennium development goal number 4 and is one of the eight elements of primary health care. Effective utilization of immunization services is associated with reduced infections in young children with immature immune system and improved child health outcome. The objectives of the study were to compare the default rates for vaccine doses in immunization schedule; to study the factors responsible for default; to describe the socio-demographic profile of study subjects.Methods: An observational study was conducted in the urban and rural Primary health centre on immunization days for 3 months. The study subjects were children aged (9-24) months attending immunization clinics. Their care givers were interviewed regarding socio-demographic profile and causes for default. Sample size calculated was 184 (92) each from urban and rural clinic).Results: Among 184 care givers interviewed, mean age of study subjects was 14.9±4.6 months in urban & 14.6±4.9 months in rural clinic. Default rates for vaccination were 5.4% (birth dose), 7.6% (6th wk.) both in urban & rural clinic. However, for further doses i.e., 10th week, 14th week, 9 months and 18 months the default rates were slightly higher in rural compared to urban clinic. Commonest reason for default was mother not aware that child had missed dose (urban 52.2% and rural 42.3%) followed by child being sick (urban 26.6% and rural 30.4%).Conclusions: The overall default rate was found to be very high which is a serious concern and need to be addressed in order to prevent eventual dropouts.

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Arizona, Popy, Yunias Setiawati, Nining Febriyana et Royke Tony Kalalo. « The Epidemiology of Pediatric Mental Disorders in Child Psychiatric Outpatient Clinic at Dr. Soetomo General Hospital Surabaya, Indonesia ». Scholars Journal of Applied Medical Sciences 9, n^o 9 (15 septembre 2021) : 1398–405. http://dx.doi.org/10.36347/sjams.2021.v09i09.016.

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Background: Mental disorders in children need special interventions to ensure better quality of life. The epidemiology of pediatric mental disorders is needed to prepare sufficient facilities for their treatment. Purpose: The aim of this study is to describe the epidemiology of pediatric mental disorders in child psychiatric outpatient clinic at Dr. Soetomo General Hospital, Surabaya in the year 2019 and 2020. Methods: This study is a descriptive observational study that uses the medical records of pediatric patients with mental disorders at the child psychiatric outpatient clinic at Dr. Soetomo General Hospital between January 2019 and December 2020. The data was analyzed using descriptive statistics. Results: There were a total of 2773 patient visits to the child psychiatric outpatient clinic of Dr. Soetomo General Hospital, Surabaya between January 2019 and December 2020. Patient visits were 51.37% lower in 2020 compared to 2019. Autism (atypical and childhood autism) is the most frequent cases diagnosed in child psychiatric outpatient clinic of Dr. Soetomo General Hospital in 2019 and 2020. Conclusions: There is a decrease of patient visits in child psychiatric outpatient clinic at Dr. Soetomo General Hospital starting from the second quarter of 2020. Most cases diagnosed in both 2019 and 2020 were Atypical autism, ADHD with predominant inattentive presentation, and Childhood autism.

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Krupa, Murugesan, Prakash Boominathan, Swapna Sebastian et Padmasani Venkat Ramanan. « Assessment of Communication in Children With Autism Spectrum Disorder in South India : Influence of Environment ». Communication Disorders Quarterly 41, n^o 1 (10 septembre 2018) : 34–41. http://dx.doi.org/10.1177/1525740118793978.

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Assessment of communication skills in children with autism spectrum disorder (ASD) is challenging in an unfamiliar clinical environment due to their limited verbal output and inadequate motivation to communicate. To analyze whether the communication sample recorded at clinic represents the child’s competence and performance, this study compared caregiver–child interaction in 24 to 48 months old children with ASD ( n = 10, M = 38.2 months) at clinic and home. The 30-minute caregiver–child interaction at clinic and home was video recorded and analyzed for frequency of pragmatic acts (initiations and responses) and duration of joint engagement. Results indicated that children initiated and responded more at home than at clinic, whereas caregivers initiated and responded more at clinic. The study provides evidence that communication profile of children with ASD in multiple environments needs to be considered for obtaining representative and reliable communication sample for child-centered assessment and intervention.

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Kompithra, Rajeev Z., Magdalenal R, Leni G. Mathew, Valsan P. Verghese et T. Jacob John. « A High Volume, User-Friendly Immunization Clinic in Vellore, India : A Model for Urban Hospitals ». Journal of Immunization 1, n^o 1 (20 mars 2016) : 1–8. http://dx.doi.org/10.14302/issn.2577-137x.ji-15-834.

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The Expanded Program on Immunization (EPI) in India delivers vaccines under its policy, through government hospitals, health centers and outreach clinics. However, the national average full immunization coverage is stagnating at about 70%. The days and times of clinics are not always convenient for mothers working at home or employed outside. Moreover, vaccines not under EPI, but recommended by the Indian Academy of Pediatrics (IAP), are unavailable there, forcing mothers to go to private sector immunization clinics to get them. Recognizing the local need for user-friendly immunization clinic, we designed one in the Department of Child Health. The impetus came from local demand by a civil society organization (Rotary Club of Vellore). Our immunization clinic is open every working day (8.30 am to 4.00 pm) offering both groups of vaccines. Its success is illustrated by the fact that over 7000 children per month receive immunization in this clinic. We describe its design and operation so that this model may be replicated in other urban hospitals with pediatric sections.

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Patno, Karyn M., Paul C. Young et Joseph D. Dickerman. « Parental Attitudes About Confidentiality in a Pediatric Oncology Clinic ». Pediatrics 81, n^o 2 (1 février 1988) : 296–300. http://dx.doi.org/10.1542/peds.81.2.296.

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Children and parents who attend pediatric oncology clinics often develop close relationships with other patients and may question clinic staff about another child's disease, therapy, or status. To assess parental attitudes concerning the dissemination of information by the clinic staff, questionnaires were mailed to the parents of all 154 patients who have attended pediatric oncology clinic since 1972. There were 100 (65%) responses including 77 from 99 living (78%) and 23 from 55 deceased patients (42%). Parents were asked whether clinic staff should respond completely to questions from other clinic parents regarding six aspects of their child's cancer. Percentages of parents who favored complete information sharing without their explicit consent about each of the aspects were as follows: diagnosis, 83%; medication/side effects, 85%; laboratory results, 66%; general status, 87%; occurrence of relapse, 77%; development of terminal phase, 67%. Neither the survival status (living v deceased) nor whether the patient was receiving therapy or not affected responses significantly. Benefit from receiving information about other children from clinic staff was reported by 82% of parents.

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Howards, Penelope P., James C. Thomas et Jo Anne Earp. « Do clinic-based STD data reflect community patterns ? » International Journal of STD & ; AIDS 13, n^o 11 (1 novembre 2002) : 775–80. http://dx.doi.org/10.1258/095646202320753745.

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Sexually transmitted disease (STD) interventions in communities are often based on studies conducted in STD clinics. Clinic-based studies are relatively easy to conduct, but they do not include all people at risk for STDs in the community. Although it is widely believed that clinic-based data present a biased picture of the community, the differences between clinical and community perspectives seldom have been quantified. The Sexually Transmitted Epidemic Prevention (STEP) Project included in-depth standardized interviews administered in an STD clinic and the neighbourhoods of the same town. The populations could be quantitatively compared on some questions. The two samples yielded similar estimates of the proportions using condoms, the average age at first intercourse, and the proportion sexually abused as a child. Risky sexual behaviours were more common in the clinic population, however, and the community sample was more socio-economically stable. Clinic-based data may be useful for targeting high risk people in the community but less useful for reaching those at lower risk. The utility of clinic-based studies for community-based interventions may be enhanced by collecting extra information from clinic patients with lower risk profiles.

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Ubeysekara, A., et N. Cox. « Attendance at child psychiatric clinics ». Psychiatric Bulletin 22, n^o 7 (juillet 1998) : 435–37. http://dx.doi.org/10.1192/pb.22.7.435.

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A study of 41 families who failed to attend their first appointment at a child psychiatric clinic is described. The study was prospective over a period of one year and the families were interviewed personally; 14.9% failed their first appointment. Improvement of the child's symptoms during the waiting period, anxiety about seeing a psychiatrist/social worker, financial difficulties and the invitation to the family to attend were common reasons given for non-attendance. Another important factor was that families were ill-prepared by the referrers.

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