Rozprawy doktorskie na temat „Children’s hospitals”
Utwórz poprawne odniesienie w stylach APA, MLA, Chicago, Harvard i wielu innych
Sprawdź 50 najlepszych rozpraw doktorskich naukowych na temat „Children’s hospitals”.
Przycisk „Dodaj do bibliografii” jest dostępny obok każdej pracy w bibliografii. Użyj go – a my automatycznie utworzymy odniesienie bibliograficzne do wybranej pracy w stylu cytowania, którego potrzebujesz: APA, MLA, Harvard, Chicago, Vancouver itp.
Możesz również pobrać pełny tekst publikacji naukowej w formacie „.pdf” i przeczytać adnotację do pracy online, jeśli odpowiednie parametry są dostępne w metadanych.
Przeglądaj rozprawy doktorskie z różnych dziedzin i twórz odpowiednie bibliografie.
Sutton, Kathleen Rose Creagh, i res cand@acu edu au. "A Study of the Mater Children’s Hospital Tile Project". Australian Catholic University. School of Arts and Sciences, 2005. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp105.11092006.
Pełny tekst źródłaTchou, Michael J. M. D. "Patterns of Electrolyte Testing Utilization at Children’s Hospitals for Common Inpatient Conditions". University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1543839434925304.
Pełny tekst źródłaJohnson, Laverne Michelle. "Measurement of service quality and customer satisfaction at a children’s hospital in the Western Cape". Thesis, Cape Peninsula University of Technology, 2017. http://hdl.handle.net/20.500.11838/2658.
Pełny tekst źródłaHealthcare facilities across South Africa are increasingly facing a myriad of societal, fiscal, political and cultural challenges associated with demands for greater quality in the provision of healthcare services. This study measures service quality and customer satisfaction at a Cape Town hospital (hereinafter referred to as Hospital X), with the aim of providing its management with information to enable them to enhance service quality and thus improve customer satisfaction. It is essential to note that the respondents in this study were the parents or guardians of patients. The views of the patients were not obtained directly from them as it would have been unethical for minors to have participated in the survey. Their parents or guardians were surveyed in order to obtain the requisite data. The problem investigated was that management at public hospitals does not regularly research what customers need from a service quality point of view, Therefore, Hospital X may be failing to provide a quality service to its customers, namely, parents and guardians. Against this background, the researcher set out to measure customer perceptions and expectations of service quality by making use of the SERVQUAL model. “Customer expectation” is what the customer can reasonably expect given the available resources and is likely to be influenced by personal needs and past experience. “Customer perceptions” are totally subjective and based on the customer’s interaction with the service provided at Hospital X. The SERVQUAL model (reliability, assurance, tangibles, empathy and responsiveness), is commonly known as the RATER model, RATER being an acronym formed from the first letter of each of the five dimensions of SERVQUAL. The study incorporates the SERVQUAL dimensions within a survey comprising a number of questions structured on a six-point Likert scale. The results of applying the SERVQUAL model will indicate whether or not Hospital X provides a quality service to their customers. The study seeks to demonstrate the importance of service quality and customer satisfaction to hospital management, as well as the impact that effective service quality can have on customers’ evaluation of their overall hospital experience. (The term customer will be used interchangeably with parent and/or guardian in this study.)
Carlson, Jacqueline Marie, i Hilda Mercedes Galan. "An Exploration Of Creative Arts Therapies In Pediatric Hospitals". Digital Commons at Loyola Marymount University and Loyola Law School, 2016. https://digitalcommons.lmu.edu/etd/293.
Pełny tekst źródłaKarnas, Diana Maria Girardi. "The psychology of the environment in children's health care setting : James Whitcomb Riley Hospital for Children - Cancer Unit". Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845987.
Pełny tekst źródłaDepartment of Architecture
Bishop, Katherine G. "From their perspectives children and young people's experience of a paediatric hospital environment and its relationship to their feeling of well-being /". University of Sydney, 2008. http://hdl.handle.net/2123/3962.
Pełny tekst źródłaThis study was conducted to increase our understanding of children and young people’s experience of a hospital environment and to identify the salient attributes of the physical environment in their experience. There were three specific aims: to describe children and young people’s experience of a hospital environment and identify what constitutes a supportive paediatric environment; to examine the role of the physical environment in patients’ feeling of well-being; and to highlight the capacity of participatory research with children and young people to inform evidence-based paediatric design. At this stage, there has been very little healthcare design research carried out with populations of children and young people. Well-being research with children and young people in paediatric environments that identifies the potential supportive attributes in this environment is also very limited. Historically research on children’s health and well-being has been dominated by a focus on the prevalence of disorders, problems and disabilities. More recently, in response to the change to health promotion, positive attributes have been included in well-being and satisfaction measures. At this stage, there are still many fewer positive measures. Within the body of literature that exists in healthcare, healthcare design research, and well-being research, there are only a small number of participatory studies that focus on children and young people’s experience of hospitalisation, and an even smaller number that include children and young people’s experience of hospital environments. The picture that is created by the research that exists is patchy. There is a need for a more holistic understanding of children and young people’s experience of hospitalisation and of hospital environments from their own perspectives. Based on these gaps in current knowledge, two research questions were developed. The first was concerned with describing children and young people’s experience of the sociophysical environment of a paediatric hospital. The second question was concerned with understanding the role of the physical environment in children and young people’s feeling of well-being in a hospital environment. In addressing these questions, the intention was to identify attributes within the hospital setting which collectively comprise a supportive environment for children and young people and which contribute to children and young people’s feeling of well-being in a paediatric setting. The current study was conducted as an exploratory qualitative case study and carried out at the Children’s Hospital at Westmead, in Sydney, Australia. Using participatory research techniques, the sequence of the study included two pilot studies and the main study. The focus was on understanding the experiences of longer-term patients of a paediatric hospital environment. In the main study 25 children and young people, aged between 9-18 years, who had been in hospital for at least a week completed semi-structured interviews in which they talked about their response to the environment of the hospital and their experience of hospitalisation. Data analysis was completed using a combination of concept mapping and thematic analysis techniques. Preliminary findings were used as the basis of a further member-checking task carried out with a further six children and young people before conclusions were reached. The findings reveal that children and young people’s experience of a paediatric setting involves a number of major areas of influence including their personal situation, their social experience, their interaction with the physical environment, opportunities and characteristics of the organisation, and the effect of time. The findings also reveal that children’s feeling of well-being within this experience is linked to their ability to feel comfortable in the environment, to maintain a positive state of mind, and to remain positively engaged with the experience and the environment. This research reveals a dynamic relationship between children and young people and a paediatric environment that children and young people actively manage and shape. It reveals some of the key considerations in children and young people’s experience of hospitalisation. It also reveals why these considerations are important and what role they play in patients’ experience and feeling of well-being. These findings provide the basis for further research and they have implications for future design and research practice in paediatric healthcare settings.
Carvalho, Ana Rosa Rebelo Ferreira de. "A classe hospitalar sob o olhar de professores de um hospital público infantil". Pontifícia Universidade Católica de São Paulo, 2008. https://tede2.pucsp.br/handle/handle/15776.
Pełny tekst źródłaCoordenação de Aperfeiçoamento de Pessoal de Nível Superior
This aim of this study was to understand the significance that teachers in a Hospital Class, at a children's hospital in São Paulo, give to their work. The term Hospital Class is recognized by the Ministry of Education and Sport s (MEC/ SEESP) Bureau for Special Education, and refers to pedagogic-educational care for children and young people, which takes place in health-care environments, whether in cases of hospitalization, daily or weekly outpatient services or full mental health treatment. Three teachers who have worked in Hospital Classes at a public children s hospital for at least a year took place in this research. Data were collected through semistructured interviews and analyzed from a qualitative approach perspective, by analyzing content. Data was collected at the hospital at a time and place chosen by the participants. After examining the data and the purpose of the study, three main themes were identified: the importance that the participants attach to their work; prospects for the future of the participants, and the participants educational background. The analysis showed that the teachers believe their work has a role that goes beyond that of a mere teacher. However, the participants reported feeling satisfied and recognized for the duties they perform, despite finding it difficult to cope with the socioeconomic status of patients and with possible deaths. The deaths of child patients affect their professional, personal and family lives, which probably occurs because of the lack of specific training, interdisciplinary work and psychological support. The results demonstrate that there is a need for specific preparation for working in a hospital environment and such individuals should be included in the health care team
O presente trabalho teve por objetivo compreender o significado que as professoras da Classe Hospitalar, de um hospital público infantil de São Paulo, atribuem ao seu trabalho. O termo Classe Hospitalar é reconhecido pela Secretaria de Educação Especial do Ministério da Educação e do Desporto (MEC/SEESP), e refere-se ao atendimento pedagógico-educacional a crianças e jovens, que ocorre em ambientes de tratamento de saúde, tanto em circunstância de internação como em atendimento em hospital-dia e hospital-semana ou em serviços de atenção integral à saúde mental. Participaram desta pesquisa três professoras que atuam em Classes Hospitalar de um hospital público infantil, a pelo menos um ano. Os dados foram coletados através de entrevistas semi-estruturadas e analisados a partir da perspectiva da abordagem qualitativa, por meio da análise de conteúdo. A coleta de dados foi realizada na instituição hospitalar em local e horário definidos pelas participantes. A partir dos dados coletados e do objetivo da pesquisa, foram definidos três núcleos temáticos: significado atribuídos ao trabalho pelas participantes; perspectivas de futuro das participantes; e contexto histórico de formação das participantes. A análise indicou que as professoras atribuem ao seu trabalho uma função que extrapola o papel de professor. Entretanto, as participantes relatam sentirem-se gratificadas e reconhecidas pela função que exercem, apesar de demonstrarem dificuldades em lidar com a situação socioeconômica dos pacientes e com possíveis óbitos. Em relação ao óbito de crianças, relatam afetá-las nas esferas profissionais, pessoais e familiares, o que provavelmente ocorre devido à falta de formação específica, à ausência de um trabalho interdisciplinar e de um serviço de apoio psicológico. Os resultados apontam para a necessidade de preparo específico para atuar no ambiente hospitalar e de incluir tais profissionais na equipe de saúde
O'Reilly, Glenda. "Families in today's health care system : the experience of families during pediatric admission". Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=78189.
Pełny tekst źródłaIn the study, both parents and paediatric professionals described a multitude of experiences and needs of families during a child's admission to a paediatric ward in an acute care setting. Understanding the experiences and needs of families is important for professionals. The information collected in this study provides some insight into the culture that families experience when their child is admitted to a paediatric ward in an acute care hospital.
Lindsay, Bruce. "Who cares? : the morphology of 'caring' in children's hospitals, 1852-1950, with special reference to the Jenny Lind Hospital for Sick Children, Norwich". Thesis, University of East Anglia, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.323466.
Pełny tekst źródłaShah, Phalguni S. "Children's preventive health care center with aspect of play for a child". Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/897516.
Pełny tekst źródłaDepartment of Architecture
Aniruth, Sunildutt. "Maxillofacial fractures in children attending the Red Cross War Memorial Children's Hospital". Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
Pełny tekst źródłas Hospital (RXH) for the past twenty years, no study had been undertaken to determine the age, gender, number of patients per year, aetiology, patterns, and management of maxillofacial fractures at this institution. A retrospective records based study was undertaken to determine these features. This study accessed the records of patients seen at the trauma unit at RXH, from 1994 to 2003 inclusive, and referred for maxillofacial attention.
One-hundred-and-five patient records were obtained and analyzed using the SPSS statistic package. One-hundred-and-twenty-seven fractures were recorded in one hundred and five patients. The age of the patients ranged from one to thirteen. Sixty-five male and forty female patients were seen. Dentoalveolar fractures were the most common fracture seen in both the midface and mandible. Midface fractures were more common than mandibular fractures. Falls, followed by motor vehicle accidents, were the most common cause of facial fractures. Most fractures were successfully managed by closed procedures. At this institution, nasal and frontal fractures have surprisingly little or no input from the Department of Oral and Maxillofacial Surgery.
Gurria, Juan P. "Thrombocytosis Following Pancreatectomy with Islet Autotransplantation in Children: Cincinnati Children's Hospital Experience". University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1521191336859138.
Pełny tekst źródłaBarnes, Pamela Alice. "Hospitals and childhood : a case study of the The Royal Manchester Children's hospital, "Pendlebury" 1829-1999". Thesis, University of Manchester, 2001. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.508799.
Pełny tekst źródłaLee, Wing-yee Wendy. "Hospital as playground". Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25948295.
Pełny tekst źródłaNeal, Kamilah J. "An exploratory study of children’s hospital social workers’ attitudes toward children with physical disabilities". DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2000. http://digitalcommons.auctr.edu/dissertations/3777.
Pełny tekst źródłaKennedy, Andrew. "The health of young children and the foundation of British children's hospitals, c.1830-1860". Thesis, University of Central Lancashire, 2014. http://clok.uclan.ac.uk/11158/.
Pełny tekst źródłaLee, Wing-yee Wendy, i 李穎怡. "Hospital as playground". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31985294.
Pełny tekst źródłaSmith, Lara. "Neurocognitive outcome of HIV-infected children on antiretroviral therapy at Red Cross Children's Hospital". Master's thesis, University of Cape Town, 2004. http://hdl.handle.net/11427/11190.
Pełny tekst źródłaCentral nervous system involvement contributes significantly to the morbidity and mortality of paediatric HIV infection. The spectrum of CNS morbidity varies from minor developmental disabilities to severe, progressive encephalopathy. Therefore regular developmental evaluation should be regarded as an essential component of the overall care of HIV-infected children. Antiretroviral therapy may arrest or even reverse neurocognitive and motor deficits associated with HIV infection.
Sfandyari, Fard E. "An investigation into the consideration of children and young peoples' preferences in children's hospital design". Thesis, University of Salford, 2013. http://usir.salford.ac.uk/30693/.
Pełny tekst źródłaStewart, Moira Connell. "An examination of the factors associated with the presentation of children at the Royal Belfast Hospital for Sick Children and of the hospital resources used in their management". Thesis, Queen's University Belfast, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357511.
Pełny tekst źródłaMoraes, Myrian Soares de. "Brincando e sendo feliz: a pedagogia hospitalar como proposta humanizadora no tratamento de crianças hospitalizadas". Pós-Graduação em Educação, 2013. https://ri.ufs.br/handle/riufs/4900.
Pełny tekst źródłaEste texto de dissertação tem como tema a Pedagogia Hospitalar. A partir deste, são discutidos aspectos abrangentes da humanização hospitalar: políticas, concepções da criança ativa, olhar dos profissionais, brinquedoteca. Trago a questão de como a política de humanização é imersa no hospital e quais as representações da equipe de saúde a respeito das atividades pedagógicas que acontecem no hospital com um viés humanizador. Apresento como objetivo geral analisar a perspectiva da humanização hospitalar no enfoque da legislação e suas interfaces com o trabalho pedagógico. Os objetivos específicos, a fim de responder tal questionamento são os seguintes: analisar a perspectiva da humanização hospitalar defendida na Política de Humanização Hospitalar; analisar a prática pedagógica sob o olhar da perspectiva da humanização hospitalar; discutir aspectos teóricos sobre a criança hospitalizada a partir da Sociologia da Infância; identificar as representações da equipe de saúde a respeito das atividades pedagógicas realizadas com o público infantil hospitalizado. Esta pesquisa é classificada como uma pesquisa qualitativa com caráter bibliográfico, documental e utilizando também entrevistas. Os documentos discutidos são a Política Nacional de Humanização e o programa que antecedeu tal política, o Programa Nacional de Humanização da Assistência Hospitalar, assim como leis que viabilizam o atendimento destinado à criança hospitalizada como sujeito de potencialidades sociais. As entrevistas serviram de suporte para que os profissionais da saúde expressassem seus pensamentos sobre o trabalho pedagógico realizado com as crianças hospitalizadas. O trabalho identificou um respaldo legal conciso para a atuação do pedagogo no hospital por meio de atividades pedagógicas, assim como situou a realidade da criança hospitalizada, como agente social, o que traz à tona suas potencialidades. Para concluir, as informações coletadas aproximaram os olhares dos médicos entrevistados com a perspectiva do trabalho pedagógico no hospital.
Omarjee, Zakiyya. "An audit of endocrine dysfunction in children with craniopharyngiomas at Red Cross Children's Hospital and Groote Schuur Hospital from 1976 to 2004". Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/26765.
Pełny tekst źródłaTarrants, Marcy Lynnette Herman Robert D. "Pediatric versus non-pediatric hospital markets : determinants of operating margins". Diss., UMK access, 2007.
Znajdź pełny tekst źródła"A dissertation in public affairs and administration and education." Advisor: Robert D. Herman. Typescript. Vita. Title from "catalog record" of the print edition Description based on contents viewed July 30, 2008 Includes bibliographical references (leaves 86-90). Online version of the print edition.
Switala, Juli. "Evaluation of children with haemophagocytic lymphohistiocytosis (HLH) at Red Cross War Memorial Children's Hospital 1991-2010". Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11104.
Pełny tekst źródłaHaemophagocytic Lymphohistiocytosis (HLH) is a rare haematological disorder in children. However, this is probably an underestimation due to the difficulty in diagnosing the disease. HLH is characterized clinically by persistent fevers, organomegaly, cytopaenias and typical biochemical derangements viz. hypertriglyceridaemia, hyperferritinaemia and hypofibrinogenaemia. Other associated findings include decreased natural killer cell (NKC) function and raised soluble CD 25. The exact pathophysiology of HLH is not completely understood but involves a trigger (often an infection) which sets off an uncontrolled inflammatory cascade, characterized by an increase in hyperactivated macrophages and T lymphocytes which leads to increased production of cytokines, alongside reduced cellular cytotoxicity as a result of reduced or absent NKC function.
Buys, Heloise. "Klebsiella pneumoniae bloodstream infections in hospitalised children at Red Cross War Memorial Children's Hospital : 2006 - 2011". Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/19901.
Pełny tekst źródłaMteshana, Phindile. "Use of the PCR technique to diagnose meningitis in children admitted to Red Cross War Memorial Children’s Hospital". Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/30122.
Pełny tekst źródłaEke, Christopher Bismarck. "A Retrospective review of medical gastrointestinal endoscopy in children attending Red Cross War Memorial Children’s Hospital, Cape Town". Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31539.
Pełny tekst źródłaMlotha-Mitole, Rachel. "A retrospective review of acute liver failure in children admitted at Red Cross War Memorial Children's Hospital". Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33863.
Pełny tekst źródłaRutledge, M. Hannah. "Patient Family and Hospital Staff Information Needs at a Pediatric Hospital: an Analysis of Information Requests Received by the Family Resource Libraries". Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc801947/.
Pełny tekst źródłaPage, Jacqueline. "Parent and physician decision making in children with suspected ear infection presenting to a children's hospital emergency department". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0017/MQ48175.pdf.
Pełny tekst źródłaKija, Edward Nkingwa. "Bone metabolism abnormalities in children with epilepsy at Red Cross War Memorial Children's Hospital, Cape Town, South Africa". Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27013.
Pełny tekst źródłaCavota, João Joaquim Gunza. "Primary health care facilities for street children : a study of the street children's requirements in designing community hospitals in Angola". Master's thesis, University of Cape Town, 1997. http://hdl.handle.net/11427/28254.
Pełny tekst źródłaBibliography: pages 122-126.
This dissertation studies the delivery of health care to street children. ft investigates the existing street children's facilities and the health system in Ang of a in order to determine an appropriate type of health facilities for the special health needs of these children. The study was based on a review of bibliographic material on street children and related subjects. The findings from this review were tested through a series of interviews with professionals working with street children in Angola and with ~treet children randomly selected from shelters and on the streets in Luanda. The questionnaires were designed for evaluation of the street children's facilities, the health system and to determine street children's preferences and attitudes towards formal institutions in a context where th'e main cause of family disintegration was war. The study concluded that street children's health needs in Angola would be better catered for through independent primary health centres provided with partial in-patient services (temporary sf eeping and eating facilities for children under medical care). These centres would serve mainly children with no access to shelters and those living in shelters without health centres. The study formulates guidelines and presents a design example of the type offacifity proposed.
Stowers, Louisa Lockhart Lau Tin-Man. "An approach to improve children's hospital facilities by incorporating a play system with stimuli that allows for imaginative play to aid in children's development". Auburn, Ala, 2009. http://hdl.handle.net/10415/1744.
Pełny tekst źródłaMaree, Leana. "Investigating the aetiology of respiratory tract infections in children admitted to Tygerberg Children’s Hospital using molecular methods and viral culture". Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/71902.
Pełny tekst źródłaIncludes bibliography
ENGLISH ABSTRACT: Introduction Acute respiratory tract infections cause significant morbidity and mortality worldwide, and are the main reason for the utilisation of health care services. Identifying the aetiological cause of lower respiratory tract infections (LRTIs) is difficult at the best of times, and more than 20 viruses and bacteria have been associated with LRTIs, which cannot be distinguished with clinical examination alone. Viruses can be detected in respiratory samples by a variety of methods, and without exception molecular methods have proven to be more sensitive than non-molecular-based tests. The increased sensitivity of molecular methods may assist in expanding our knowledge of the pathogenesis of severe respiratory tract infections, and could have a positive influence on patient management, infection control, vaccination strategies and public health. Aims and objectives 1. Determine the viral causes of lower respiratory tract infections requiring admission in using shell vial culture with immunofluorescent staining and two multiplex PCR assays, the Seeplex® RV15 ACE Detection system (Seeplex® RV15 ACE) and the Respiratory Multiplex Real-Time RT-PCR LightMix® Customised Kit (Resp Multiplex RT-PCR). 2. Compare the Seeplex® RV15 ACE and the Resp Multiplex RT-PCR with shell vial culture for the detection of respiratory viruses in routine diagnostic respiratory samples. 3. Examine the demographic and clinical characteristics associated with each respiratory viral pathogen. Materials and Methods One hundred and thirty-eight paediatric patients, admitted to Tygerberg Children’s Hospital from May 2010 to August 2010 with a presumptive diagnosis of an acute respiratory tract infection were included in the study. Nasopharyngeal or tracheal aspirates were collected, and all samples were tested by all three diagnostic methods. Clinical, demographic and laboratory data were collected through a systematic review of medical and laboratory records and subsequently anonymised Results Thirty-seven viruses were detected in 36 samples (26.1%) by shell vial culture with immunofluorescent staining; 169 viruses in 102 samples (73.9%) with the Seeplex® RV15 ACE; and 90 viruses in 73 samples (52.9%) with the Resp Multiplex RT-PCR. Shell vial culture had excellent specificity, but low sensitivity for all of the respiratory viruses. Conversely, the Seeplex® RV15 ACE had excellent sensitivity for all viruses, but slightly lower specificity. This was due to the detection of additional viruses, which may have been true positives due to the increased sensitivity of this assay. The Resp Multiplex RTPCR had excellent sensitivity and specificity. At least one respiratory pathogen could be identified in 80% of the patients. At least one virus was detected in 57% of patients, bacterial micro-organisms in 6%, and both viral and bacterial pathogens in 17%. Viral-bacterial co-infections were associated with increased severity compared to other infections, as these children were more likely to receive steroids and a blood transfusion (p = 0.002), and more likely to require mechanical ventilation (p < 0.001) and admission to the intensive care unit (p = 0.04). Conclusions We confirmed that molecular techniques are significantly more sensitive than shell vial culture for the detection of respiratory viruses in children. Due to their highly specific nature and the genetic variability observed in viruses, an excellent, continuous quality control programme is essential to ensure the continued superiority of these assays. Viral-bacterial co-infection is associated with increased severity of LRTIs in children. Further research is needed to elucidate the precise pathogenic and immunologic mechanism of this interaction.
AFRIKAANSE OPSOMMING: Inleiding Akute lugweg infeksies is verantwoordelik vir beduidende morbiditeit en mortaliteit wêreldwyd en is die hoofrede vir die benutting van gesondheidsdienste. Identifisering van die oorsaak van laer lugweg infeksies is baie moeilik en meer as 20 virusse en bakterieë word hiermee geassosieer. Ongelukkig kan kliniese ondersoek alleen nie onderskei tussen die verskillende organismes nie. Respiratoriese virusse kan deur ‘n wye verskeidenheid van toets metodes aangetoon word. Molekulêre metodes is sonder uitsondering meer sensitief as nie-molekulêre metodes. Hul verhoogde sensitiwiteit mag help om ons kennis oor die patogenese van erge lugweg infeksies te verbreed en kan ’n positiewe invloed op pasiëntbehandeling, infeksiebeheer, immunisasie strategieë en publieke gesondheidsorg hê. Doel van die Ondersoek 1. Bevestig die virale oorsake van laer lugweg infeksies deur gebruik te maak van “shell vial” kultuur met immunofluoressensie en twee veelvoudige molekulêre toetse, die Seeplex® RV15 ACE en die Resp Multiplex RT-PCR. 2. Vergelyk die Seeplex® RV15 ACE en die Resp Multiplex RT-PCR met “shell vial” kultuur vir die aantoning van respiratoriese virusse in roetine diagnostiese monsters. 3. Ondersoek die demografiese en kliniese eienskappe wat met elke respiratoriese patogeen geassosieer word. Metodiek en Materiaal Een honderd agt-en-dertig kinders wat toegelaat is tot Tygerberg Kinderhopitaal vanaf Mei 2010 tot Augustus 2010 met ’n voorlopige diagnose van ’n akute lugweg infeksie is in die studie ingesluit. Nasofaringeale of trageale aspirate is van elke pasiënt gekollekteer en met al drie diagnostiese metodes ondersoek. Kliniese, demografiese en laboratorium data is gekollekteer deur ’n sistematiese ondersoek van mediese en laboratorium rekords en daarna anoniem gemaak. Resultate Sewe-en-dertig virusse is in 36 monsters (26.1%) aangetoon deur “shell vial” kultuur met immunofluoressensie; 169 virusse in 102 monsters (73.9%) deur die Seeplex® RV15 ACE; en 90 virusse in 73 monsters (52.9%) deur die Resp Multiplex RT-PCR. “Shell vial” kultuur het uitstekende spesifisiteit gehad, maar sensitiwiteit was laag vir al die virusse. Teenoorgesteld hiermee het die Seeplex® RV15 ACE hoë sensitiwiteit vir al die viruses gehad, maar effe laer spesifisiteit. Dit was as gevolg van die aantoning van addisionele virusse, wat moontlik ware positiewe resultate kon wees as gevolg van die verhoogde sensitiwiteit van hierdie toets metode. Die Resp Multiplex RT-PCR het uitstekende sensitiwiteit en spesifisiteit gehad. Ten minste een respiratoriese patogeen is in 80% van die pasiënte geidentifiseer. Een of meer virusse was in 57% van die pasiënte aangetoon, bakterieë in 6% en beide virale en bateriële patogene in 17%. Virale-bakteriële ko-infeksies, in vergelyking met ander infeksies, was geassosieer met meer ernstige lugweg infeksies aangesien hierdie kinders meer geneig was om steroïede en ’n bloedtransfusie te ontvang (p = 0.002). Hulle het ook meer waarskynlik meganiese ventilasie (p < 0.001) en toegang tot die intensiewe sorg eenheid benodig (p = 0.04). Gevolgtrekkings Ons het bevesitg dat molekulêre tegnieke aansienlik meer sensitief is as “shell vial” kultuur vir die aantoning van respiratoriese virusse in kinders. As gevolg van hul hoogs spesifieke aard en die genetiese variasie waargeneem in virusse, is ’n uitstekende deurlopende kwaliteitsbeheer program noodsaaklik vir die voortgesette uitneemendheid van hierdie metodes. Virale-bakteriële ko-infeksies word geassosieer met meer ernstige laer lugweg infeksies in kinders. Verdere navorsing is nodig om die presiese patogenetiese en immunologiese meganisme van hierdie interaksie toe te lig.
Tavares, Alan Ferreira Pinheiro 1989. "Projeto, construção e teste de protótipo de maca para transporte de crianças de um até dez anos de idades". [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/265781.
Pełny tekst źródłaDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Engenharia Mecânica
Made available in DSpace on 2018-08-27T21:51:49Z (GMT). No. of bitstreams: 1 Tavares_AlanFerreiraPinheiro_M.pdf: 45828556 bytes, checksum: df420c63706176638cd3d63b5f5ba1c0 (MD5) Previous issue date: 2015
Resumo: No transporte, por ambulâncias, as crianças estão expostas a riscos fatais ao serem transportadas em macas de adultos as quais não atendem a antropometria infantil. A situação é agravada ao considerar o fato das ambulâncias se locomoverem em altas velocidades e necessitarem frequentemente reduzi-las de modo abrupto. Neste cenário, buscou-se projetar, construir e testar um protótipo de maca com um sistema de retenção eficaz para transportes emergenciais de crianças. O diferencial do projeto em relação às outras macas infantis, existentes no mercado internacional, está na versatilidade de realizar transportes tanto em ambulâncias quanto em áreas de resgate de difícil acesso veicular. O projeto de maca infantil possibilita atender uma ampla gama de pacientes de pequeno porte desde crianças na faixa etária de 1 (um) ano até 10 (dez) anos de idade. Trata-se de uma maca desenvolvida para rápido manuseio e armazenagem por ser dobrável e de fácil instalação sobre qualquer maca de adulto normatizada pela ABNT. O principal fator de segurança está vinculado ao sistema de retenção regulável, com facilidade de rápida fixação e remoção da criança. Foram realizados testes de impacto, com velocidade aproximada de 18 (dezoito) km/h, utilizando a maca de adulto e a maca infantil. O manequim com massa de 22 kg, representativo de uma criança de 6 (seis) anos de idade, foi instalado nas posições sentado e deitado. Os dados coletados, via um programa computacional Kinovea adequado para análise de biomecânica, permitiram estimar o deslocamento do manequim com grande precisão. Utilizou-se um aplicativo instalado em um celular com sistema operacional Android para registrar as desacelerações ocorridas no momento do impacto. A maca infantil apresentou uma retenção significativamente superior à obtida com a maca de adulto, tanto no deslocamento da cabeça quanto do tronco do manequim. Na posição deitado, o manequim chegou a ser ejetado para fora da maca, o que nunca ocorreu utilizando a maca infantil. Os testes realizados com o protótipo da maca validaram o projeto e a solução construtiva que estão vinculados a uma patente a ser depositada no Brasil
Abstract: In transportation, for ambulances, children are exposed to fatal risks by transported in adult gurneys that are not adapted to child anthropometry. The situation is escalated when considering the fact that the ambulances move up in high speeds and with frequently need to reduce abruptly velocity. In this field, we tried to design, build and test a prototype gurney with an effective restraint system for emergency transport children. The differential of the project regards to other children gurneys that exist in the international market; its versatility to perform both transport in ambulances and possible land rescue. Child gurney enables a wide range of small patients from children with one (1) until ten (10) years old, designed for fast handling and storage by be foldable and easy to install on any adult gurney standardized by ABNT. The main safety factor is linked to the adjustable retention system with facility for rapid attachment and the child's removal. Impact tests were performed, with an approximate speed of 18 (twenty) km / h, using the adult gurney and child gurney. The dummy with mass 22 kg, representing a child with 6 (six) years old, was installed in sitting and lying positions. Data collected via a computer program Kinovea suitable for biomechanical analysis, allowed to estimate displacement of the dummy with great precision. It was used a smartphone based on Android operational system to register decelerations occurred on impact. Child gurney had a higher retention regarding to adult gurney both the displacement of the head when the dummy torso restraint. In two teste with lying position, the dummy was ejected out of the gurney, fact that had never happened with child gurney. Tests conducted with the prototype gurney validated the project and the constructive solution that are bind to a patent to will be implanted in Brazil
Mestrado
Materiais e Processos de Fabricação
Mestre em Engenharia Mecânica
Dosier, Sharla June. "Satisfaction Determinants: Parents with Children Admitted to an Adult Inpatient Surgical Unit". Thesis, Montana State University, 2006. http://etd.lib.montana.edu/etd/2006/dosier/DosierS0506.pdf.
Pełny tekst źródłaMostert, Colin. "The diversity of malignant rhabdoid tumours : a morphological, immunohistochemical and ultrastructural review of cases from the Red Cross Children's Hospital and Groote Schuur Hospitals". Master's thesis, University of Cape Town, 1997. http://hdl.handle.net/11427/26788.
Pełny tekst źródłaMeyer, Sarah. "Children's preferences for color schematics of hospital rooms". Connect to resource, 2007. http://hdl.handle.net/1811/28522.
Pełny tekst źródłaTitle from first page of PDF file. Document formatted into pages: contains 29 p. Includes bibliographical references (p. 27-29). Available online via Ohio State University's Knowledge Bank.
Soo, Yan Ho Michelle. "Coping with hospital admission in children /". St. Lucia, Qld, 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17815.pdf.
Pełny tekst źródłaSchondelmeyer, Amanda C. M. D. "The Frequency of Physiologic Monitor Alarms in a Children’s Hospital". University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1428064830.
Pełny tekst źródłaWege, Martha Helena. "A retrospective review of the prevalence and management of anaemia in children in at Red Cross War Memorial Children's Hospital". Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/19898.
Pełny tekst źródłaIntroduction Childhood anaemia is a major public health problem, iron deficiency being most common. WHO estimates anaemia to occur in 24.1% of pre-school South African children. Our study describes prevalence and management of anaemia in children aged 6 - 36 months presenting to a children's hospital. Methods In a retrospective cross-sectional study, laboratory data were used to estimate prevalence of anaemia in children aged 6 - 36 month presenting to medical emergency or ambulatory services of Red Cross Children's Hospital in 2012. A random sample of 50% of anaemic children was sampled for detailed review. Results 2661 subjects were included. Anaemia (H b < 10.5) was found in 40.8 % (1088/2661. Children presenting to medical emergency had a higher prevalence of anaemia compared to those presenting to ambulatory services ( 42.7% vs. 34.9 % ; p=0.001 ). Anaemia prevalence increased with decreasing age with RR 1.25 (95% CI 1.10 - 1.43) and RR 1.15 (95% CI 1.02 - 1.31) in children aged 6 - 11 months and 12 - 23 months respectively compared to children aged 24 - 36 months. Microcytosis was found in 51.3% (558/1088) of anaemic children and in 19.3% (n=303/1573) of children without anaemia ; p<0.001 Folders were reviewed i n 502 children with anaemia , 36.1% had mild anaemia (Hb 10 - 10.5g/dl), while moderate ( Hb 8 - 10 g/dl ) and severe ( Hb < 8 g/dl ) anaemia was found in 52.5% and 11.4% respectively. Breastfeeding for longer than six months was associated with higher risk of microcytic anaemia [RR 1.26 (95%CI 1.08 - 1.47)]. Only 12.2 % (31 /254) of children with microcytic anaemia received adequate iron therapy, 50.0 % (127/254) received no iron therapy. Conclusions Prevalence of anaemia in children presenting to hospital is higher than predicted for well children in South Africa. The risk is higher in younger and acutely sick children. Prolonged breasting is associated with increased risk of microcytosis. Most children with suspected iron deficiency anaemia did not receive appropriate treatment.
Fitzwanga, Kaiser. "Transfusion practices among children undergoing cardiac surgery admitted to the Red Cross War Memorial Children's Hospital Paediatrics Intensive Care Unit". Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29879.
Pełny tekst źródłaShi, Zuoming. "Little Garden: A Postmortem for an Interactive Project for Children's Hospitals". Thesis, The University of Arizona, 2015. http://hdl.handle.net/10150/577320.
Pełny tekst źródłaHedlund, Jannica. "En litteraturstudie om barns upplevelser av att möta sällskapsdjur på sjukhus". Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-26101.
Pełny tekst źródłaNilsson, Maria, i Cecilia Johnsson. "Parents`experiences when their children are tended at hospitals". Thesis, Kristianstad University College, Department of Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-3851.
Pełny tekst źródłaBackground: In Sweden the healthcare has moved from the homes to the hospitals, as the system has developed. Parents were not allowed to visit their children when they were hospitalised in the past. It was noticed in the beginning of the 20th century that it might be harmful for the children to be left without parents at the hospital. Today it is considered a fact that the parents should stay with their hospitalised children and the healthcare is based on a family-centered care.
Aim: The aim of this literature study was to elucidate parents experience when having hospitalised children.
Method: Eleven scientific articles were analysed on the basis of qualitative content analysis. Units of meaning were selected and divided in main and sub categories.
Results: The result shows that it is stressing to have hospitalised children. Parents experience need of information and support. The parents experience a need to be close to their children and to attend the healthcare on own conditions in order to be able to cope with the situation.
Discussion: It is not a common situation for parents to have their child hospitalised. Nurses should therefore get information about each specific family in order to support the family in their situation.
Rocha, Simone Maria da. "Narrativas infantis: o que nos contam as crian?as de suas experi?ncias no hospital e na classe hospitalar". Universidade Federal do Rio Grande do Norte, 2012. http://repositorio.ufrn.br:8080/jspui/handle/123456789/14533.
Pełny tekst źródłaCoordena??o de Aperfei?oamento de Pessoal de N?vel Superior
This dissertation focuses on the narratives of children hospitalized with chronic diseases. The overall goal is to deduce, from the look of the child health care, hospital class contributions to the process of school inclusion. The research is part of the qualitative ethnographical approach and is based on the principles and research methods (auto)biographical in education and schooling in hospital. Participated in the investigation 05(five) children, aged between 06 (six) and 12 (twelve) years of age, treated at the Center for Children s Onco-Hematology, Varela Santiago Children s Hospital in Natal-RN. The corpus used for the analysis comprises five (05) narrative interviews, 03 (three) drawings made by children as well as records in the researcher s field diary. The sources were collected during the months of August 2010 to February 2011. The analysis revealed that the inclusion of the hospital class, and ensure the right to education, contributes to the construction of strategies for coping with illness and hospitalization, as it promotes autonomy, comfort, playfulness and self-knowledge, the rand the world, easing the stress of hospitalization. The figure of the teacher took the class hospital in the voices of children, a reliever and minimizing the role of double exclusion that cause illness and hospitalization, showing the contributions to (re) construction of identity and subjectivity constitution strengthened. The children interviewed said that the hospital class leave the hospital more cheerful. The playfulness and learning experiences in the hospital are seen by children as actions that go beyond the physical treatment of the disease, since it provides them with acceptance and understanding of hospitalization and illness, to give them affective security and emotional. In conclusion, the narratives of children confirm that the service class hospital ensures continuity of schooling, but they reveal, namely, that this service provides them socialization among peers and with adults, strengthening the emotional, social and cognitive biopsychosocial perspective of attention
Esta disserta??o tem como foco as narrativas de crian?as hospitalizadas com doen?as cr?nicas. O objetivo geral ? depreender, a partir do olhar da crian?a em tratamento de sa?de, as contribui??es da classe hospitalar para seu processo de inclus?o escolar. A pesquisa se insere na abordagem qualitativa de cunho etnogr?fico e fundamenta-se nos princ?pios e m?todos da pesquisa (auto)biogr?fica em educa??o e nas teorias da escolariza??o hospitalar. Participaram da investiga??o 05 (cinco) crian?as, entre 06 (seis) e 12 (doze) anos de idade, em tratamento no Centro de Onco-Hematologia Infantil, do Hospital Infantil Varela Santiago, em Natal-RN. O corpus utilizado para a an?lise compreende 05 (cinco) entrevistas narrativas, 03 (tr?s) desenhos, realizados pelas crian?as, al?m dos registros no di?rio de campo da pesquisadora. As fontes foram recolhidas durante os meses de agosto de 2010 a fevereiro de 2011. A an?lise revelou que a inclus?o pela classe hospitalar, al?m de assegurar o direito ? educa??o, contribui para a constru??o de estrat?gias de enfretamento ao adoecimento e ? hospitaliza??o, na medida em que promove autonomia, conforto, ludicidade e o conhecimento de si mesmo, do outro e do mundo, amenizando o estresse decorrente da interna??o hospitalar. A figura da professora da classe hospitalar assumiu, nas vozes das crian?as, um papel apaziguador e minimizador da dupla exclus?o que o adoecimento e a hospitaliza??o provocam, evidenciando as contribui??es para a (re)constru??o de identidades fortalecidas e a constitui??o de subjetividades. As crian?as entrevistadas afirmam que as classes hospitalares deixa o hospital mais alegre. A ludicidade e as aprendizagens experienciadas no hospital s?o vistas pelas crian?as como a??es que v?o al?m do tratamento f?sico da doen?a, uma vez que lhes proporciona a aceita??o e a compreens?o da hospitaliza??o e do adoecimento, ao transmitir-lhes seguran?a afetiva e emocional. Em conclus?o, as narrativas das crian?as ratificam que o servi?o da classe hospitalar assegura a continuidade da escolariza??o, mas elas revelam, notadamente, que esse servi?o proporciona-lhes a socializa??o entre pares e com os adultos, fortalecendo os aspectos emocionais, sociais e cognitivos, numa perspectiva de aten??o
Lachman, Peter Irwin. "Referral patterns to the Red Cross War Memorial Children's Hospital". Master's thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/26634.
Pełny tekst źródłaDavidson, Alan. "Wilms' tumour outcomes at Red Cross Children's Hospital 1979-2003". Master's thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/14308.
Pełny tekst źródłaBACKGROUND: In Africa Wilms' tumour frequently presents with advanced disease. This study reports our results over 25 years using the National Wilms' Tumor Study Group approach of primary surgery, in the form of nephrectomy, followed by chemotherapy. A small number of these tumours are bilateral and here surgery has evolved from simple nephrectomy into the use of nephron-sparing techniques. METHODS: A retrospective analysis was performed on all patients diagnosed with Wilms' tumour between January 1979 and December 2003. Treatment was according to National Wilms' Tumor Study Group protocols. For unilateral Wilms' tumour primary surgery, where possible, was followed by adjuvant chemotherapy with vincristine and dactinomycin. Doxorubicin was added for stage III and IV tumours. Other drugs were used for unfavourable histology, and radiotherapy was reserved for local stage III tumours and pulmonary metastases. Patients with bilateral Wilms' tumours underwent initial bilateral biopsy, neoadjuvant chemotherapy and tumourectomy. Where indicated, nephrectomy (partial or complete) involved using ice dam topical cooling and vascular control, and in one case bench surgery and extensive renal reconstruction with orthotopic autotransplantation. Revision tumourectomy was utilized on three occasions for recurrence in areas of nephroblastomatosis. Radiotherapy was reserved for pulmonary metastases and palliation. RESULTS: There were 188 children with unilateral Wilms' tumour and 20 with bilateral Wilms' tumour. Among those with unilateral Wilms' tumour fifty seven (30.3%) were stage I, 33 (17.6%) were stage II, 60 (31.9%) were stage III and 38 (20.2%) were stage IV. Twenty-four patients (12.8%) had unfavourable histology. Fifteen of the bilateral Wilms' tumours had a synchronous presentation, one with liver metastases at diagnosis, and five were metachronous. Nephroblastomatosis was identified in 18 of the 20 patients (90%) with bilateral Wilms' tumour. One hundred and forty five patients are alive and disease free, 23 to 318 months from diagnosis. The estimated 5-year overall survival for all unilateral Wilms' tumours was 78.3%; 82.8% for favourable histology and 47.3% for unfavourable histology. Among those with favourable histology, estimated 5-year overall survival was 94.6% for stage I, 96.2% for stage II, 78.4% for stage III and 54.2% for stage IV. There was no difference in overall survival between those favourable histology stage III tumours that were operable and those deemed inoperable. Intra-operative spillage was uncommon (8%), and did not increase local relapse rate. Survival of stage IV disease has not improved over the last decade. mong those with bilateral Wilms' tumours, 11 are alive free of disease one to fifteen years after completing treatment, all with well-preserved renal function. Nine have died (two of unrelated disease), including six of the seven with spread outside the kidney. All three with unfavourable histology are alive, as are four of the five with a metachronous presentation. Survival for bilateral Wilms' tumour has improved markedly in the last decade. CONCLUSIONS AND RECOMMENDATIONS" National Wilms' Tumor Study Group protocols employed in a South African setting with highly competent and experienced surgical care, produced results for non-metastatic favourable histology unilateral Wilms' tumour comparable to those of the National Wilms' Tumor Study Group. For bilateral Wilms' tumours appropriate chemotherapy together with conservative (nephron-sparing) and innovative surgery produced good results with preservation of adequate renal function in nearly all cases. We can seek to improve outcomes via better risk stratification with molecular markers, new adjuvant chemotherapy regimes for high risk tumours and novel surgical approaches to improve nephron-sparing in bilateral Wilms' tumour. Improving results in Stage IV patients may depend as much on earlier diagnosis, as on advances in therapeutics.
Moore, David Paul. "Aspect of tuberculosis case management at Red Cross Children's Hospital". Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/10863.
Pełny tekst źródłaIncludes bibliographical references (leaves 151-165).
Aim: To describe the spectrum of tuberculosis in children <15 years of age attending Red Cross War Memorial Children's Hospital between January 2006 and December 2008. Methods: A retrospective review of a paper-based Notifications Register and a database of culture-confirmed tuberculosis were undertaken. Laboratory and clinical data were analysed. Results: 1,314 episodes of tuberculosis were identified amongst 1,300 children. 433 (33%) of all cases were culture-confirmed; however, 120 (27.7%) of all culture-confirmed cases were not recorded in the paper-based Notifications Register. Conclusions: To improve the clinical service, detection of HIV co-infection in children undergoing evaluation for tuberculosis should be enhanced and strategies adopted to ensure that all children with culture- confirmed disease are notified and access antituberculosis therapy.
Livesley, Joan. "Children's experiences as hospital in-patients : voice, competence and work". Thesis, University of Salford, 2010. http://usir.salford.ac.uk/26780/.
Pełny tekst źródła