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Veiga, Eneida Quadrio de Oliveira [UNIFESP]. "O ensino da pediatria nas escolas de graduacao em medicina do estado do Rio de Janeiro". Universidade Federal de São Paulo (UNIFESP), 2005. http://repositorio.unifesp.br/handle/11600/20533.
Pełny tekst źródłaO objetivo deste estudo é conhecer, analisar e refletir sobre como vem ocorrendo o Ensino da Pediatria na Graduação das Escolas Médicas do Rio de Janeiro, delineando algumas características dos docentes responsáveis por este ensino e correlacionando os dados obtidos com a literatura pertinente. A investigação destas questões se deu a partir de 15 Coordenadores, responsáveis pelo Ensino da Pediatria nos 16 Cursos de Graduação em Medicina em funcionamento no Estado. Optamos por desenvolver uma pesquisa de caráter exploratório, descritiva, realizada através de um estudo do tipo corte transversal e construída a partir de abordagem quantitativa e qualitativa. Os dados foram obtidos a partir de entrevistas semi-estruturadas e de documentos institucionais . Na organização do ensino entre os cursos investigados, observa-se que a inserção da pediatria, os cenários de aprendizagem utilizados, os critérios para seleção dos conteúdos divergem pouco entre si. As dificuldades mais referidas estão afeitas à infraestrutura e ao projeto pedagógico do curso, principalmente a questão da integração intra e inter disciplinas, a articulação docente assistencial e o sistema de avaliação que, para a maioria, encontra-se focado no processo avaliativo do aluno. Discutem-se alguns traços do perfil docente, além de se verificar que os atributos considerados mais significativos para o exercício da docência de pediatria estão baseados na perspectiva humanística, no gostar do que faz, no domínio do assunto, na capacidade de ensinar, na dedicação e na disponibilidade do docente. O percentual de titulação acadêmica encontrado revela a busca docente e institucional pela capacitação profissional. Acreditamos, com este estudo, estar contribuindo para a melhor compreensão do ensino da pediatria como parte fundamental para a formação geral do médico na graduação além de incentivar a busca de novos caminhos que apontem para a melhor qualidade e aperfeiçoamento deste ensino.
The aim of this study is understand, analyze and reflect about how the Pediatric’s Teaching in Undergraduated in Medical Schools of Rio de Janeiro, has been occuring, outlining some characteristics of the responsible professors for this teaching and correlating the obtained data with the pertinent literature. The research of this question was given to 15 coordinators, responsible for Pediatrics teaching at the 16 open undergraduated courses in the state. We opted to develop a research of investigative and descriptive character, carried through a crossover study and built from a quantitative and qualitative approach. The dada were obtained from semi-structured interviews and from institucional documents. Concerning the teaching organization among the investigated courses, it was observed that the insertion of pediatrics, the utilized scenes of learning, the criteria for the selection of the contents diverge a little bit between each other. The majority mentioned difficulties are related to the infrastructure and the pedagogical project of the course, mainly the intra and inter discipline integration questions, the assistencial teaching articulation and the evaluation system that, for the majority, has been focused in the scholar’s evaluation process. Some traces of the teaching profile have been debated, besides it has been verified that the attributes considered more significant for the exercise of Pediatrics teaching are based on the humanistic perspective, in being pleased to what one makes, in the domain of the subject, in the capacity for teaching, in the devotion and availability of the professor. The percentage of titled academic found, reveals the teaching and the institucional search for the professional qualification. We believe, with this study, to be contributing for a better understanding of the pediatrics teaching as a fundamental part for the doctor’s general formation in the undergraduated, besides stimulating the search of new ways that lead to a better quality and improvement of this teaching.
BV UNIFESP: Teses e dissertações
Wood, David L. "Comorbidities of Pediatric Epilepsy". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5188.
Pełny tekst źródłaColeman, Kerrie. "Pediatric Medication Administration Efficacy| A High-fidelity Pediatric Simulation Workshop for Pediatric Nurses". Thesis, Carlow University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10262152.
Pełny tekst źródłaThe purpose of this scholarly project was to examine the use of a high-fidelity simulation workshop to improve accuracy with pediatric dosage calculations among practicing pediatric nurses. The NLN Jeffries Simulation Theory provided a framework for this descriptive quantitative project. A convenience sample of 15 pediatric nurses completed a 10-question pediatric dosage calculation pre-test, a high-fidelity simulation workshop, a 10-question pediatric dosage calculation post-test, and a post-simulation evaluation survey. In addition, a one-month follow-up 10-question pediatric dosage calculation post-test and a one-month follow-up post- high-fidelity simulation workshop survey were administered via Survey Monkey©, in which 12 pediatric nurse participants completed. Pre-tests and post-tests were analyzed for central tendency and a t-test analysis was performed for statistical significance. Results revealed statistical significance between pre-test and post-test as well as statistical significance between post-test and one-month follow-up post-test. The Likert scale post-simulation survey and one month post-simulation survey were analyzed for central tendency. The results from the post simulation survey and one-month follow-up survey revealed the participants agreed to strongly agreed the high-fidelity simulation workshop impacted their proficiency and accuracy in calculating pediatric dosages. The findings from this project provides insights into the use of high-fidelity simulation as a continuing education tool for the practicing pediatric nurse in relation to pediatric medication efficacy.
Schetzina, Karen E. "Irritability and Intractable Crying". Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/5118.
Pełny tekst źródłaMatias, Erica Oliveira. "Nursing practice assessment in the process of pediatrics intravenous drug administration". Universidade Federal do CearÃ, 2015. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=13393.
Pełny tekst źródłaO processo de administraÃÃo de medicamento por via intravenosa (IV), uma das atividades mais importante da equipe de Enfermagem, possui alta incidÃncia na assistÃncia à crianÃa em situaÃÃo de urgÃncia e emergÃncia. Tal processo à considerado de alta complexidade e, quando nÃo planejado, controlado e monitorado por meio de indicadores, fica exposto à imprevisibilidade de seus resultados, interferindo na qualidade da assistÃncia. Objetivou-se avaliar a prÃtica de enfermagem no processo de administraÃÃo de medicamento por via IV na crianÃa. Trata-se de um estudo exploratÃrio, descritivo, observacional, de natureza quantitativa, desenvolvido no setor de urgÃncia e emergÃncia de um hospital pediÃtrico de referÃncia da esfera municipal de Fortaleza-CE. A populaÃÃo do estudo foi constituÃda por 69 profissionais de enfermagem que participaram do processo de administraÃÃo de medicamento pela via IV e que estavam nas escalas de trabalho durante o perÃodo do estudo na unidade investigada. A amostra dos profissionais foi composta por 36 tÃcnicos de enfermagem e 2 enfermeiros. Para o nÃmero de observaÃÃes, considerou-se o cÃlculo para populaÃÃo finita, com um total de 327 observaÃÃes do processo de administraÃÃo de medicamento por via IV. Para a coleta de dados realizou-se entrevista com a equipe de enfermagem e observaÃÃo sistemÃtica do processo de administraÃÃo de medicamento por via IV na crianÃa, considerando sete etapas, quais sejam: leitura da prescriÃÃo mÃdica, higienizaÃÃo das mÃos, preparo do material e medicaÃÃo, orientaÃÃo acerca do procedimento, tÃcnica de punÃÃo e administraÃÃo do medicamento. Tais etapas possuem ao total 47 aÃÃes. Os dados foram armazenados em um banco de dados produzidos no Excel do Windows 2010, analisados estatisticamente e de acordo com a literatura pertinente. O estudo foi aprovado pelo Comità de Ãtica sob parecer N0 805.953. Constatou-se que em 15% das observaÃÃes o profissional de enfermagem nÃo compreendeu a prescriÃÃo mÃdica devido à letra ilegÃvel do profissional. Em 78,0% das observaÃÃes nÃo houve a higienizaÃÃo das mÃos. Identificou-se que todos os profissionais utilizaram equipamento de proteÃÃo individual (gorro e mÃscara), entretanto nenhum utilizou luvas. Dentre as 327 observaÃÃes destacaram-se como dispositivo intravenoso perifÃrico mais utilizado o scalp n 21 (63,3%); escolha das veias do arco dorsal da mÃo (83,9%); Ãxito na primeira tentativa da punÃÃo venosa (82,6%); orientaÃÃo sobre o procedimento para crianÃa e/ou responsÃvel (5,5%); acalma a crianÃa (82,6%); realizaÃÃo de antissepsia da pele no local a ser puncionado com algodÃo embebido com Ãlcool a 70% (100%); aguarda a evaporaÃÃo do antissÃptico para em seguida dar prosseguimento ao procedimento (45,6%); descarte adequado dos materiais utilizados durante o procedimento (89,3%); checou a prescriÃÃo imediatamente apÃs a administraÃÃo do medicamento (86,8%). Concluiu-se desempenho insatisfatÃrio em 23 aÃÃes do processo de administraÃÃo de medicamento por via IV. Portanto, sugere-se o desenvolvimento de capacitaÃÃo para os profissionais de enfermagem acerca do processo de administraÃÃo de medicamento.
Krishna, Shilpa. "Pediatric Pal". Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10635704.
Pełny tekst źródłaGlobal explosion of mobile technology has engendered a new instrument to address the challenges in public health and to revolutionize the paradigm of healthcare access and delivery system. Today mobile phone coverage has increased to a significant 90% of the world’s population. The rising ubiquity and infiltration of mobile phones has kindled the beginning of a new era in healthcare, mobile health (mHealth). mHealth is the amalgamation of mobile telecommunication and multimedia into an on the go mobile health care delivery system.
Pediatric Pal is a mHealth application targeted to care for children and help build a healthier tomorrow for them. Pediatric Pal is designed to be the “Drive Thru” for the pediatric healthcare system. The mhealth app focuses on giving patients access to a highly sophisticated medical diagnosis tool. By using latest searching technologies, the system can take a pattern of symptoms in everyday language and instantly compute from our vast database. The app design and development will be outsourced to a web design Hyperlink solutions agency. Database for the app will be maintained in house and test runs will be run within the house.
The main source of revenue for the app will be from user subscription and upfront cash payment. Premium downloads will bring in the extra revenue as well.
Pediatric Pal puts world’s medical knowledge at the patients fingertips and enables them to make sense of your symptoms. It will change the way patients speak to their doctor forever.
Dodd, Will. "Pediatric Endocrinology". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8914.
Pełny tekst źródłaDodd, Will. "Pediatric Neurology". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8916.
Pełny tekst źródłaDodd, Will. "Pediatric Emergencies". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/8917.
Pełny tekst źródłaDodd, Will. "Pediatric Emergencies". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8925.
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.
Dodd, Will. "Pediatric Emergency Medicine". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8915.
Pełny tekst źródłaDodd, Will. "Pediatric Respiratory Disease". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/8938.
Pełny tekst źródłaPolaha, Jodi, i C. Anderson. "Pediatric Behavioral Health". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6671.
Pełny tekst źródłaElangovan, Saravanan, i Shannon Bramlette. "Pediatric Audiological Evaluation". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1575.
Pełny tekst źródłaTuell, Dawn, Debra Mills, Rebecca Powers i Karen E. Schetzina. "Evaluation and Utilization of a Pediatric Internet Curriculum". Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etsu-works/5062.
Pełny tekst źródłaJohnson, Kiana, Cuoghi Edens, Peter Chira, Aimee O. Hersh, Y. Ingrid Goh, Joyce Hui-Yuen, Rebecca E. Sadun i in. "Differences in Healthcare Transition Views, Practices, and Barriers Among North American Pediatric Rheumatology Providers from 2010 to 2018". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7015.
Pełny tekst źródłaAlvarez, Jorge Alex. "Pediatric Dilated Cardiomyopathy: Baseline Predictors of Outcomes in the Pediatric Cardiomyopathy Registry". Scholarly Repository, 2009. http://scholarlyrepository.miami.edu/oa_dissertations/475.
Pełny tekst źródłaBreit, Elyse. "Education for Pediatric Oncology Nurses on Fertility Preservation of Pediatric Oncology Patients". Honors in the Major Thesis, University of Central Florida, 2014. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1578.
Pełny tekst źródłaB.S.N.
Bachelors
Nursing
Nursing
De, Vos Jacques Pinard. "Automated pediatric cardiac auscultation". Thesis, Link to the online version, 2005. http://hdl.handle.net/10019/1008.
Pełny tekst źródłaAugutis, Marika. "Pediatric spinal cord injury /". Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-129-6/.
Pełny tekst źródłaMahler, Sebastian. "Compliant pediatric prosthetic knee". [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002278.
Pełny tekst źródłaYoung, Nancy, i J. G. Wright. "Measuring Pediatric Physical Function". Lippincott, Williams & Wilkins, 1995. https://zone.biblio.laurentian.ca/dspace/handle/10219/111.
Pełny tekst źródłaSedighian, Pouye. "Pediatric heart sound segmentation". Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1526952.
Pełny tekst źródłaRecent advances in technology have facilitated the prospect of automatic cardiac auscultation by using digital stethoscopes. This in turn creates the need for development of algorithms capable of automatic segmentation of the heart sound. Pediatric heart sound segmentation is a challenging task due to various factors including the significant influence of respiration on the heart sound. This project studies the application of homomorphic filtering and Hidden Markov Model for the purpose of pediatric heart sound segmentation. The efficacy of the proposed method is evaluated on a publicly available dataset and its performance is compared with those of three other existing methods. The results show that our proposed method achieves accuracy of 92.4% ±1.1% and 93.5% ±1.1% in identification of first and second heart sound components, and is superior to four other existing methods in term of accuracy or time complexity.
Rice, Judy A. "Pediatric Behavioral Health Disorders". Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/7610.
Pełny tekst źródłaHartley, Kimberly. "Greenness and Pediatric Health". University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1583999404572734.
Pełny tekst źródłaBisio, Valeria. "Pediatric AML: from prognostic biomarkers to functional characterization". Doctoral thesis, Università degli studi di Padova, 2016. http://hdl.handle.net/11577/3424355.
Pełny tekst źródłaLa leucemia acuta mieloide (LAM) è una malattia geneticamente eterogenea,caratterizzata da ricorrenti anomalie molecolari. Nonostante la prognosi dei pazienti pediatrici affetti da LAM sia notevolmente migliorata negli ultimi anni, il tasso di ripresa di malattia è di circa il 30% 1–3. Numerosi studi sono emersi per identificare nuove anomalie genetiche o vie di segnale deregolate nella LAM pediatrica al fine di migliorare la stratificazione dei pazienti nelle diverse classi di rischio, e di conseguenza poter adottare dei percorsi terapeutici specifici e più mirati. Ad oggi tuttavia, per circa il 50% dei casi non si trova alla diagnosi un marcatore molecolare noto in grado di garantire una corretta stratificazione del paziente. Per tale ragione il mio dottorato di ricerca ha avuto come primo scopo la ricerca e l’identificazione di nuovi marcatori molecolari alla diagnosi , e di studiarne il ruolo prognostico affinché si possa garantire una più corretta diagnosi a un più alto numero di pazienti, e si possa valutarne in caso un ruolo anche come marker di monitoraggi durante la terapia del paziente. Infine, allo scopo puramente diagnostico, è stato abbinato uno scopo di ricerca di base, cioè caratterizzare il processo neoplastico mediato da alcuni di questi marcatori molecolari, cercando di identificare dei geni malattia che possano servire essere dei candidati target terapeutici, utili a porre le basi per una gestione sempre più personalizzata e quindi efficace della terapia. Inizialmente ho effettuato una serie di screening molecolari con l’intento di valutare l'incidenza di alcune anomalie genetiche precedentemente conosciute solo tramite case report o identificate tramite sequenziamento massivo dell’RNA. In particolare, ho definito la del(4)(q12)FIP1L1-PDGFRA, la t(16;21)(p11;q22)FUS-ERG, la t(8;16)(p11;p13)MOZ-CBP, la t(11;17)(q23;q12-21)MLL-AF17, t(4;11)(q35;q23)MLL-ARGB2, la t(3;5)(q25;q34)NPM1-MLF1, il MLLPTD, e la t(11;17)(p15.5;p13)NUP98-PHF23 come eventi mutazionali rari nella coorte pediatrica italiana arruolata nel protocollo LAM 2001-02 (totale pazienti N=482). Al contrario, la t(5;11)(q35;p15.5)NUP98-NSD1 è stata riscontrata avvenire con una frequenza del 4%, e spesso in concomitanza alla mutazione FLT3-ITD (nel 50% dei casi). Tale traslocazione è stata inoltre valutata per il suo peso prognostico, rivelandosi un fattore prognostico negativo perché associato ad un elevato rischio di recidiva e morte. Poi, un altro screening ha riguardato la valutazione delle presenza di mutazioni a carico del gene c-KIT, in un gruppo di pazienti già con riarrangiamento del CBF. Le mutazioni di questo recettore delle tirosin chinasi sono già state ampiamente descritte in numerosi studi soprattutto riguardanti pazienti adulti affetti da LAM4. I risultati confermano un’alta frequenza di mutazione di c-KIT anche nei pazienti pediatrici con t(8;21)RUNX1-RUNX1T1 (25%) e con inv(16)CBFB-MYH11 ( 18.5%). Il valore prognostico negativo è risultato significativo solo nel gruppo con RUNX1-RUNX1T1, per i quali, l’identificazione di queste mutazioni potrebbero supportare l’uso di eventuali terapie con inibitori delle tirosin chinasi per migliorare la loro cura. Oltre alla diagnosi, il marcatore molecolare può avere un ruolo fondamentale anche durante il corso della malattia. Mi sono occupata di mettere a punto lo studio della malattia residua minima (MRM) mediante PCR quantitativa per tre importanti marker ricorrenti nelle LAM pediatriche. Ad oggi, il monitoraggio della MRM nella LAM pediatrica è scarsamente utilizzato. Qui, si propone il monitoraggio della MRM tramite la RQ-PCR dopo chemioterapia di induzione nei pazienti con t(8;21) e FLT3-ITD in grado di individuare i pazienti a più alto rischio di recidivare. Aver identificato la t(8;21) e FLT3-ITD come buoni marcatori molecolari per il monitoraggi della MRM, consentirà ai clinici di poter valutare delle strategie alternative in quei pazienti che potrebbero beneficiare di terapie farmacologiche supplementari al fine di evitare la ripresa della malattia. Infine, molto tempo del mio dottorato è stato impegnato alla caratterizzazione biologica e funzionale di alcuni marcatori molecolari ricorrenti con il fine ultimo di identificare nuovi possibili target terapeutici per migliorare la cure e la sopravvivenza dei pazienti. In primis, ipotizzando che la diversa risposta terapeutica dei casi FLT3-ITD abbia origine da una diversità biologia, abbiamo effettuato delle analisi di espressione genica su questo gruppo di pazienti. Questo studio ha permesso di identificare un profilo di espressione genica caratteristico per i pazienti che riducendo meno la malattia dopo l’induzione vanno incontro a un più alto rischio di ricadere. I processi biologici arricchiti in questi pazienti sono risultati riguardare la metilazione e l’acetilazione degli istoni, suggerendo che eventuali agenti deacentilanti o demetilanti, in combinazione con la terapia convenzionale, possano migliorare la sopravvivenza libera da avventi avversi di questi pazienti. Un altro studio funzionale ha preso in esame la t(6;11)(q27;q23)MLL-AF6. Circa il 10% della popolazione pediatrica italiana presenta uno dei riarrangiamenti a carico del gene MLL , tra questi la t(6;11) presenta la prognosi peggiore5,6. Attraverso studi in vitro, ho rivelato che la proteina AF6 endogena si localizza nel citoplasma insieme all’oncogene RAS in cellule di midollo osseo sano. Viceversa, nei pazienti con traslocazione t(6;11), AF6 è stato riscontrato essere nel nucleo impedendo il fisiologico controllo di RAS nel citoplasma, comportandone un’iper-attivazione della via. Sia il silenziamento di AF6 sia il trattamento con inibitori di RAS hanno confermato il ruolo chiave del pathway di RAS nel sostenere l’aggressività di questa leucemia. Infine, lo studio ha comprovato il Tipifarnib, farmaco già in uso nelle RASopatie7, come nuovo farmaco utilizzabile nei pazienti pediatrici con t(6;11). Il terzo studio funzionale ha riguardato un gene molto nuovo nella LAM pediatrica, il gene NUP98. Le traslocazioni somatiche associate a questo gene8–10 si sono riscontrate non rare nella corte pediatrica LAM italiana (4.6%). Lo studio più funzionale ha poi chiarito che ciascuna di queste traslocazioni identificate una diversa biologia così come un diverso ruolo prognostico . Grazie all’analisi di espressione genica ho identificato l’instabilità genetica come il processo biologico maggiormente deregolato in questo gruppo di pazienti con NUP98-LAM. Tale processo è stato verificato in vitro grazie a colture cellulari primarie di pazienti NUP98-NSD1 riarrangiati. Inoltre, ho dimostrato che il fattore di trascrizione CREB controlla la trascrizione del gene NUP98, cosi come di tutte le oncoproteine che si riscontrano nelle LAM mantenere l’N terminale dello stesso. Questi risultati identificano il ruolo funzionale della chimera NUP98-NSD1, e candidano CREB a possibile bersaglio terapeutico per combattere l’espressione della chimera e quindi la progressione della malattia . In conclusione, durante i tre anni di dottorato di ricerca ho caratterizzato una serie di marcatori molecolari che hanno permesso una migliore e più dettagliata stratificazione dei pazienti alla diagnosi. Dato il valore prognostico dei vari marcatori, essi sono stati inclusi nel nuovo protocollo terapeutico LAM 2013, che conferisce alla genetica molecolare un ruolo determinante nel guidare la terapia. Infine gli studi funzionali hanno finora portato all‘identificazione di nuovi target specifici in vari sottogruppi di LAM a prognosi infausta. Studi futuri sono in corso per valutare questi biomarcatori come target terapeutici da utilizzare per incrementare le possibilità di curare i bambini affetti da LAM .
Bhatt, Maala. "Prospective validation of the Pediatric Appendicitis Score in a Canadian pediatric emergency department". Thesis, McGill University, 2008. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=21915.
Pełny tekst źródłaObjectif: Les systèmes de scores cliniques tentent d'améliorer l'exactitude du diagnostique de l'appendicite aiguë chez l'enfant. Le Score d'Appendicite Pédiatrique (PAS) était le premier score créé spécifiquement pour les enfants et avait démontré une excellente performance dans l'étude de dérivation lorsque administrée par des chirurgiens pédiatriques. Notre objectif était de valider le score dans une population non-référée par les médecins médicaux. Méthodes: Un groupe de convenance d'enfants, ages de 4 à 18 ans, se présentant à l'urgence de l'Hôpital de Montréal pour Enfants avec une suspicion d'appendicite a été évalué prospectivement. Les composantes du score étaient collectées sur des formulaires standardisés par les médecins d'urgence, à aveugle. Les résultats ont été établis par l'examen des spécimens pathologiques pour les enfants subissant la chirurgie et par suivi de téléphonique pour les enfants qui ont eu leur congé de l'hôpital. Les patients présentant l'histologie ont confirmé l'appendicite et ceux sans appendicite (inclut des patients qui a subi l'appendectomy mais qui a eu l'histologie négative) ont été comparés. Nous présentons des informations sur l'exactitude diagnostique du Score d'Appendicite Pédiatrique. Résultats: Des enfants inscrits qui ont répondu aux critères d'inclusion (n=246), 83 (34%) ont eu la pathologie appendicite prouvée. En utilisant le seuil suggéré dans l'étude de dérivation (PAS 5), rapporté un nombre exagérément élevé de faux positifs (37.6%) et de faux négatifs (7.2%) a été obtenu. La performance du score était améliorée lorsque deux seuils étaient employés. Quand des enfants avec un score PAS de < ou = 4 ont eu leur congeé sans investigations suppleméntaires, la sensibilité était 97.6% avec une valeur négatif prédictive de 97.7%. Quand un PAS 8 ou plus a déterminé la nécessité d'une appendicectomie, la spécificité du score était 9
Pickering, Kristina Marie. "Pediatric Behavioral Health Best Practices in the Children's Emergency Department". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7057.
Pełny tekst źródłaQuizhpi, Cristian, Karen Schetzina i David Wood. "Breaking the Cycle of Childhood Adversity Through Pediatric Primary Care Screening and Interventions: A Pilot Study". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7660.
Pełny tekst źródłaDonà, Daniele. "Development and Implementation of Pediatric In-Hospital Antimicrobial Stewardship Policy Through Pediatric Clinical Pathways". Doctoral thesis, Università degli studi di Padova, 2018. http://hdl.handle.net/11577/3424781.
Pełny tekst źródłaLa resistenza antimicrobica è un problema globale che sta diventando sempre più importante a causa dell'abuso di antibiotici. Il tasso di prescrizionein Italia è tra i più alti in Europa.Pertanto risulta opportuno implementare dei programmi di stewardship al fine fi migliorare le prescrizioni antibiotiche.Come primo passo per lo sviluppo di una stewardship antibiotica, in Pronto Soccorso pediatrico di Padova sono stati implementatideiclinicalpathways (CPs) delineanti uno standard di cure per otite media acuta,faringotonsillite e polmonite acquisita in comunità. Scopo.L’obiettivo primario di questo studio è quello di valutarela differenza nella gestione della terapia antibioticaad un anno dall’implementazione deiCPs.. Scopo secondario è confrontare i fallimenti terapeutici prima e dopo l’implementazione dei CPs. Metodi. L’implementazione è avvenuta dal 1 ottobre 2015 nel Pronto Soccorso Pediatrico di Padova, dopo una collaborazione con il Children’s Hospital di Philadelphia, e, in tale occasione, si sono tenuti tre seminari per presentare il progetto ai medici del Pronto Soccorso e sono stati consegnati a ciascuno i CPssottoforma di pocket card. Si è valutata la differenza delle prescrizioni tra il periodo 15/10/2014-15/04/2015 (periodo Pre intervento) e il periodo 15/10/2015-15/04/2016 (periodo Post) e i risultati sono stati presentati in settembre 2016. L’osservazione del presente studio è avvenuta nel periodo 15/10/2016-15/04/2017 (periodo 1-year post). Tutti i risultati del periodo 1-year postsono stati confrontati con quelli del periodo Pre e del periodo Post. Abbiamo valutato le differenze tra i tre gruppi per quanto riguarda la variazione delle prescrizioni con l’ITS, il confronto tra dosaggi e durata con il test di Kruskal Wallis e i tassi di fallimento terapeutico con il test del chi quadro . Risultati. In caso di otite media acuta (OMA) nel periodo 1-year postl'aumento delle scelta della vigile attesa come first-line therapy si è mantenuto stabilmente al di soprade; periodo Pre (21.7% vs 28.9%)(p=0,008). In caso di terapia antibiotica, è aumentata la scelta di amoxicillina (52,8%, nel Pre 32% e nel Post 51,6%, p<0,001) e diminuita la scelta di antibiotico ad ampio spettro. Tra i pazienti vaccinati e senza OMA complicata la scelta ad ampio spettro è ricaduta sul 4,7% dei pazienti(nel Pre 29,8%, nel Post 7,2%, p<0,001). Per quanto riguarda i pazienti con diagnosi di faringotonsillite: la diagnosi di faringotonsillite streptococcica è stata posta nel 63,2% dei casi nel 1-Year post (nel Pre 50,7%, nel Post 45,4%) contestualmente all'incremento, statisticamente significativo,della popolazione nella fascia di età 3-15 anni. .La scelta è ricaduta per il 93,2% sull’amoxicillina (nel Pre 53,6%, nel Post 93,4%). Per la polmonite acquisita in comunità, il rapporto prescrizione/pazienti è diminuito a 1,02 (nel Pre 1,3, nel Post 1,12,) aumentando perciò l’opzione della monoterapia. La scelta dell’amoxicillinaè avvenuta nell’82,5% dei casi (nel Pre 52,1%, nel Post 69,6%, p<0,001) con diminuzione soprattuttodelle prescrizioni di macrolidi 2,1% (nel Pre 19,7%, nel Post 6,5%).Nessuna differenza statisticamente significativa e' stata riscontrata nel fallimento terapeuticodi tutte e tre le patologie analizzate otite media acuta (p=0,31), faringotonsillite (p=0,98) e polmonite acquisita in comunità (p=0,11). Conclusioni. I risultati ottenuti confermano l’efficacia dei CPs e la validità del metodo usato per implementarli in un ambiente come il Pronto Soccorso Pediatrico.
Dapena, Archilés Marta. "Implementation of occult hepatitis screening in the spanish cohort of hiv-infected pediatric patients". Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/399351.
Pełny tekst źródłaHIV-infected patients can now enjoy a longer life expectancy with almost no AIDS defining episodes if diagnosed promptly, as is the case for most vertically infected children in our setting. The question is whether this longer life expectancy is free of comorbidities or whether other medical conditions will appear. Liver disease is a good example of this epidemiological change. A worse outcome of liver disease is expected through both the direct action of the virus and the effect of the antiretroviral drugs. Moreover, HIV itself is considered a risk factor that contributes to increased MTCT of the hepatitis virus. Furthermore, the infection rates of HBV and HCV are considerably higher in patients living with HIV, as they share most of the transmission routes. HIV-infected patients prone to uncommon variations of hepatotropic coinfections which are serologically silent, namely, occult hepatitis B infection and seronegative HCV infection. These entities bring an increased risk of disease reactivation, progression and evolution to chronic and severe liver damage, especially in children who acquire the virus early in life. Current regular screening methods may miss the diagnosis of these coinfections in immunocompromised patients. The inclusion of screening for OBI and seronegative hepatitis C in routine HIV patient monitoring would be a useful tool to identify those patients at risk of hepatic decompensation. In HIV-infected children who face the prospect of a lifetime coinfection, this possibility would be of particular interest, and highly beneficial, as it would become possible to anticipate secondary clinical conditions and future complications. This is a cross-sectional study among the Spanish cohort of HIV-infected children (CoRISPe) in order to assess the prevalence of HBV and HCV infection and occult hepatitis as well. Secondarily noninvasive liver fibrosis assessment through biochemical serum markers was made. A total of 254 patients were included in this study. Three (1.2%) and 13 (5%) patients respectively had serological markers compatible with overt cHBV and cHCV infection. Two patients showed spontaneous clearance of HCV infection. Six children were considered probable OBI cases, 2 presenting with anti-HBc alone and 4 with an anti-HBc+/anti-HBs+ serological pattern, although blood HBV DNA testing was negative in all cases. Two patients (0.8%) had seronegative HCV infection. Noninvasive assessment of liver fibrosis was pathological in all 3 with overt cHBV and in 7 out of 13 with overt cHCV, warning of a possible underlying fibrosis. One HCV-infected patient showed simultaneous alteration of the three scores included in the study. Five out of 6 probable OBI cases appeared to have altered ALT/AST ratio but APRI index and FIB-4 scores were normal in all patients with occult hepatitis. Both cases of seronegative HCV infection showed abnormal scores values. Among HIV-monoinfected children, 77% showed raised ALT/AST ratios, while 5.7% presented APRI abnormal values. Just one patient showed FIB-4 score abnormality. The HBV and HCV prevalence coinfection rates in this cohort appear to be in keeping with previously published data, in the absence of wider prevalence coinfection data for the HIV-infected pediatric population. The global rate of occult hepatitis coinfection cases detected in this cohort was low (3.1%). However, molecular diagnosis assays are indicated to increase the sensitivity of detection and minimize the risk of under-diagnosis and its clinical implications in adulthood. Further research is needed to assess the suitability of using biochemical scores in these populations in order to approach good levels of sensitivity and specificity, and to correlate this method to liver fibrosis assessed by imaging and/or biopsy.
Hu, Jackie, i Grace Lin. "Perspectives of Rural and Non-Rural Community Pharmacists in Pediatric Dosing and Recommendations". The University of Arizona, 2017. http://hdl.handle.net/10150/624181.
Pełny tekst źródłaObjectives: To assess the perceived confidence level of community pharmacists in utilizing weight-based dosing, dispensing prescriptions, counseling, and recommending over-the-counter medications for the pediatric population in rural and non-rural settings. Methods: A 33-item questionnaire generated through REDCap was distributed to 11,280 pharmacists registered with the Arizona State Board of Pharmacy via email from March 14 to April 4 of 2017. The survey collected information on the participants’ experiences in managing pediatric prescriptions and demographics. Results: Of the 11,280 surveys distributed, a total of 857 responses were submitted by the end of the survey period (7.6%) and 482 responses were included in the analysis; 49 (10.2%) were practicing in rural areas and 433 (89.8%) were practicing in non-rural areas (including urban and suburban) in Arizona. There was no significant difference in the rural group compared to the non-rural group regarding experiences with dispensing pediatric medications. In regards to the confidence level, there was a significant difference between the two groups in calculating and recommending weight-based dosing for prescription and OTC pediatric medications (p = 0.022 and 0.031, respectively) and identifying a dosing error in pediatric prescriptions (p = 0.016). Conclusions: Community pharmacists practicing in rural and non-rural settings in Arizona had similar experiences with dispensing pediatric medications and confidence levels in managing medications for pediatric patients.
Johnson, Kiana. "Pediatric Lupus Transitional Care: An Interactive Experience. A Fly on the Wall: Youth and Young Adult Perspectives". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7019.
Pełny tekst źródłaStamos-Destounis, Bonnie. "Pediatric impairments in Canada's Arctic". Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=68258.
Pełny tekst źródłaA data collection instrument (DCI) was developed to obtain clinical data from medical files in each of the Community Health Centres. Impairments rather than disabilities were described and possible causal factors were identified. Data collection took place during the month of June, 1989.
Nearly 13% of Inuit children living in the Baffin area have impairments. Of this group, 15.9% have multiple impairments. The prevalence of children with sensory impairments is 49.4/1000, with neurological impairments is 28.7/1000, with systemic impairments is 30.2/1000 and with multiple impairments is 20.5/1000 children. Over 50% of the impairments reported were due to infectious diseases such as meningitis and chronic otitis media.
The results of this study provide a basis for the development of community based programs which emphasize prevention of impairments in children.
Recommendations for the development of appropriate rehabilitation programs are discussed in the context of the policies of the Canadian government pertaining to the needs of Aboriginal persons with disabilities.
陳桂儀 i Kwai-yi Jacqueline Chan. "DNA methylation and pediatric cancer". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31970370.
Pełny tekst źródłaHaidar, Samer. "The pediatric neurofeedback therapy center". Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10105253.
Pełny tekst źródłaThis business plan proposes a neurofeedback therapy clinic to treat children diagnosed with Attention-deficit/hyperactivity disorder (ADHD) and are in search of a non-pharmaceutical intervention. ADHD is the most commonly diagnosed disorder among children between the ages 4-18. By stimulating arousal in the frontal portion of the brain through neurofeedback therapy, the symptoms of ADHD can be regulated. This proposal includes a market analysis, a feasibility and SWOT analysis, a review of legal and regulatory issues, and finally, a financial analysis.
Abbou, Samuel. "Liquid Biopsy in Pediatric Sarcoma". Thesis, université Paris-Saclay, 2022. http://www.theses.fr/2022UPASL037.
Pełny tekst źródłaAbstract: Liquid biopsy is an opportunity for improved diagnosis, treatment monitoring and genomic studies in oncology. Substantial effort in recent years has focused on circulating tumor DNA (ctDNA) and circulating tumor cells (CTC). However, pediatric cancer, including sarcomas, are still largely unexplored disease areas in this field.In this work, we sought to explore several aspects of liquid biopsy applied to pediatric sarcomas including their clinical use at diagnosis and as a tool to understand tumor biology. We first present a review of the literature demonstrating the feasibility of applying liquid biopsy to pediatric solid malignancies. Then, we report a methodological study using CTC for diagnostic purposes in translocation driven sarcomas. This approach identified fusions from as little as two unstained slides of FFPE tumor biopsy tissue, from CTC collected from tumor-bearing mice, and from liquid biopsy samples from patients with known fusion-positive cancers. The second study focuses on ctDNA for prognostication at the time of diagnosis in rhabdomyosarcoma by detecting copy number alterations, rearrangements, and single-nucleotide variants. Our study demonstrates that baseline ctDNA detection is feasible and has prognostic value. The last part of this work presents the development of a workflow to isolate single sarcoma cancer cells for sequencing, with an ultimate goal to analyze CTC genomic features at a single-cell resolution.This work explores several clinically and scientifically relevant aspects of liquid biopsy in pediatric sarcoma. We showed that liquid biopsy has utility at diagnosis in two different applications. Further development in this field will require a strong knowledge of tumor-specific biology, the clinical care of patients with these diseases, and the adaption of new technologies. My findings demonstrate the transformative possibilities this research may bring to the care of patients with pediatric sarcomas
Chan, Kwai-yi Jacqueline. "DNA methylation and pediatric cancer". Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2515526x.
Pełny tekst źródłaSeyedan, Sheyda. "Pediatric Heart Transplants and Compliance". Thesis, The University of Arizona, 2011. http://hdl.handle.net/10150/144579.
Pełny tekst źródłaProctor-Williams, Kerry. "Interprofessional Practice: A Pediatric Perspective". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1820.
Pełny tekst źródłaMazzocchi, A. "ENERGY REQUIREMENTS OF PEDIATRIC PATIENTS". Doctoral thesis, Università degli Studi di Milano, 2016. http://hdl.handle.net/2434/355255.
Pełny tekst źródłaPiercey, Lisa M., i Karen E. Schetzina. "Development and Implementation of an Evidence-Based Pediatric Asthma Clinical Pathway". Digital Commons @ East Tennessee State University, 2004. https://dc.etsu.edu/etsu-works/5093.
Pełny tekst źródłaWeddle, Phillip, Hanna Phan i Terri Warholak. "Pediatric Education Diagnosis Survey (PEDS): Analyzing Pediatric Education within PharmD Programs in the United States". The University of Arizona, 2013. http://hdl.handle.net/10150/614311.
Pełny tekst źródłaSpecific Aims: To evaluate the level of didactic and experiential pediatric education currently provided in ACPE-accredited Doctorate of Pharmacy (PharmD) programs throughout the United States by comparing geographic location and type of institution. Methods: Questionnaires were administered electronically to pediatric clinicians through the American College of Clinical Pharmacy (ACCP) Pediatric Practice and Research Network (PRN) listserve and consisted of demographic questions as well as questions regarding the number of hours of didactic pediatric education within courses, the number of hours of experiential education, and the specific pediatric experiences available to students. Main Results: Questionnaires were completed by 36 Colleges of Pharmacy (29%) and included 26 dedicated pediatric faculty, 9 adjunct pediatric faculty, and 1 non-pediatric faculty who were the primary instructors for pediatric education. The average reported number of pediatric didactic hours was 16.3±19.2 hours. Pediatric didactic education was similar between private and state funded institutions (p=0.24) as well as geographic location (p=0.74). The percentages of students taking the different types of experiential rotations were similar between state funded and private institutions (p=0.64). There was a significant difference between regions for the percentage of students participating in pediatric APPE rotations (p<0.001). Specifically, the Northeast and Midwest regions showed a higher percentage than the South Atlantic, South Central, and West regions (p<0.001). Programs commonly reported the following pediatric rotations: general pediatrics (78%), pediatric critical care (69%), neonatal critical care (67%), and pediatric ambulatory care (28%). Conclusion: Pediatric didactic and experiential education appears to be consistent between state and privately-funded institutions as well as between geographic regions with the exception of a higher percentage of students in the Northeast and Midwest participating in pediatric APPE.
Chambers, Danielle. "An Exploration of the Referral Behaviors of Pediatric Medical Professionals for Pediatric Behavioral Disordered Sleep". OpenSIUC, 2018. https://opensiuc.lib.siu.edu/theses/2338.
Pełny tekst źródłaOnesty, Victoria M. "Assessment of Pediatric-Focused Brief Motivational Interviewing Training of Dental Students and Pediatric Dental Residents". VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5309.
Pełny tekst źródłaDyer, Halie, Byron Brooks, Karen Schetzina i Jodi Polaha. "Behavioral Health Referrals in Pediatric Primary Care". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6624.
Pełny tekst źródłaQuizhpi, Cristian, Karen Schetzina, Gayatri Jaishankar, Robert Tolliver, Deborah Thibeault, Hakyong Gloria Kwak, Olushola Fapo, J. Gibson, Katie Duvall i David Wood. "Breaking the Cycle of Childhood Adversity Through Pediatric Primary Care Screening and Interventions: A Pilot Study". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/7687.
Pełny tekst źródłaBALDOVINI, CHIARA. "“IMMUNOHISTOCHEMICAL CHARACTERIZATION OF A SERIES OF PEDIATRIC MEDULLOBLASTOMAS” - Investigation of JAM molecules expression in pediatric medulloblastoma". Doctoral thesis, Università degli studi di Genova, 2019. http://hdl.handle.net/11567/970811.
Pełny tekst źródłaPolaha, Jodi, i Karen Schetzina. "A Collaborative Practice Model for Pediatric Primary Care". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6670.
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