scholarly journals A national, cross-sectional survey of children's hospital-based safety resource centres

BMJ Open ◽  
2014 ◽  
Vol 4 (3) ◽  
pp. e004398 ◽  
Author(s):  
Sadiqa Kendi ◽  
Mark R Zonfrillo ◽  
Karen Seaver Hill ◽  
Kristy B Arbogast ◽  
Michael A Gittelman
Keyword(s):  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Children’S Hospital

scholarly journals NUTRITIONAL STATUS OF ACUTE RESPIRATORY INFECTION CHILDREN 6-23 MONTHS AND SOME CHILD FEEDING PRACTICES OF MOTHERS AT THE MATERNITY AND CHILDREN'S HOSPITAL OF HA NAM PROVINE IN 2016-2018

2021 ◽  
Vol 62 (4) ◽  
Author(s):  
Nguyen Van Dung ◽  
Nguyen Thi Thinh ◽  
Pham Van Phu
Keyword(s):  
Nutritional Status ◽  
Respiratory Infections ◽  
Feeding Practices ◽  
Cross Sectional Survey ◽  
Child Feeding ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Child Feeding Practices ◽  
Significant Difference ◽  
Children’S Hospital

A cross-sectional survey on 523 pairs of mother and suffered from acute respiratory infections child6-23 months old treated at the Maternity and Children’s Hospital of Ha Nam provine in 2016-2018to assess the nutritional status of children and describe some mother’s child-feeding practices. Theresults showed that: The rates of stunting and wasting of children were high: 21.2% and 11.1%(respectively); the rate of underweight was 14.0%. The rates of mothers who breastfeed their babieslate after the first hour after birth and of mothers who give complementary foods too early or too late(before 6 months or after 8 months of age) were quite high: 62.5% and 53.0% (respectively); the rateof mothers squeezed colostrum before first breastfeeding was 24.3%. Children who were started oncomplementary feeding at the wrong time compared with those who were fed at the right time hadhigher rates of stunting: 24.2% and 18.8% (respectively) (OR=1, 4; 95%CI 0.9-2.3) but no statisticallysignificant difference (p=0.1075); the rate of underweight malnutrition was also higher: 19.5% and7.8% (respectively) statistically significant difference (OR=2.9; 95%CI 1.6-5.3; p=0.0001).

Factors associated with fatigue in children with cancer at the end of life

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 8574-8574
Author(s):  
C. K. Ullrich ◽  
J. M. Hilden ◽  
J. W. Sheaffer ◽  
C. L. Moore ◽  
C. B. Berde ◽  
...  
Keyword(s):  
End Of Life ◽  
Successful Treatment ◽  
Patient Characteristics ◽  
Cross Sectional Survey ◽  
Children With Cancer ◽  
Cross Sectional ◽  
Factors Associated ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Univariate Analyses

8574 Background: Fatigue is prevalent in children with cancer but is poorly understood. Improved understanding of this symptom will inform development of interventions aimed at alleviating it. Methods: Cross-sectional survey conducted between 1997–2001 of 144 parents of children who died of cancer cared for at Dana-Farber Cancer Institute/Children’s Hospital Boston and Children’s Hospital and Clinics, St Paul and Minneapolis (response rate 65%). Parents reported the child’s experience of symptoms in the last month of life and associated suffering, and patient characteristics. Determinants of suffering from, and treatment of fatigue were explored with univariate analyses adjusting for physician and time since death. A logistic regression model was built to determine factors associated with suffering from fatigue, with a threshold for entry of P<.05, and accounting for physician clustering. Results: Almost all children experienced fatigue and 50% suffered significantly from it (a great deal/a lot versus some/a little/none at all). Only 15% received treatment, and of them, 79% were not successfully treated. Univariate analyses revealed significant associations between suffering from fatigue and suffering from pain, dyspnea, anorexia, diarrhea, and nausea/vomiting, as well sadness, anemia and successful treatment of pain (P<.05). Treatment of fatigue was associated with side effects from treatment of pain (OR 3.9, P=.008) and treatment of dyspnea (OR 3.9, P=.02). In the multivariate analysis of suffering from fatigue, successful treatment of pain remained significant (OR 4.2, P=.009). Conclusions: Suffering from fatigue is common in children with cancer at the end of life and efforts to palliate it are limited. Significant fatigue is highly associated with other symptoms and their treatments. Increased attention to treatment-related fatigue and evaluation of interventions such as stimulants may be effective in ameliorating fatigue in children with advanced cancer. No significant financial relationships to disclose.

Pain Outcomes in a US Children's Hospital: A Prospective Cross-Sectional Survey

2015 ◽  
Vol 5 (1) ◽  
pp. 18-26 ◽  
Author(s):  
S. J. Friedrichsdorf ◽  
A. Postier ◽  
D. Eull ◽  
C. Weidner ◽  
L. Foster ◽  
...  
Keyword(s):  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Pain Outcomes ◽  
Children’S Hospital

scholarly journals Subclinical Characteristics and Treatment Results of Shigella in Gastroeterology Department, Vietnam National Children’s Hospital 2019

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Hong Tu Nguyen ◽  
Thi Thuy Ha Dang ◽  
Bich Ngoc Hoang ◽  
Thi Luong Nguyen
Keyword(s):  
Treatment Failure ◽  
Treatment Effectiveness ◽  
Descriptive Study ◽  
Stool Culture ◽  
Cure Rate ◽  
Treatment Results ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Results Of Treatment ◽  
Children’S Hospital

Purpose: To describe some subclinical characteristics of Shigella dysentery in children of the Gastroenterology Department at the Vietnam National Children’s Hospital in 2019 and review the results of treatment in these patients. Methods: A cross-sectional descriptive study was conducted on patients under 15 years of age admitted to the Gastroenterology Department at Vietnam National Children's Hospital. Results: The CRP index increased to 81.8%, of which the increase was mainly in the S.sonnei group. The rate of the most common bacteria strain is S.sonnei accounting for 87.1%, followed by S.fexneri 11.8%, S.dysenteriae encountered a case of 1.1%. No cases of stool culture resulted in S.boydii. The cure rate with Ciprofloxacin is 89.5%. The recovery rate is quite high, 93.3%, the percentage of patients who are also significantly better at 6.7% and there is no case of treatment failure. Conclusions: The number of leukocytes and CRP in the peripheral blood is increased in most cases. The main antibiotic used is Ciprofloxacin, the treatment effectiveness with Ciprofloxacin antibiotic is 89.5%, the cure rate is high and there is no case of treatment failure.

scholarly journals Prevalence, Types and Risk Factors of Congenital Anomalies (A Hospital Based Study)

2020 ◽  
Author(s):  
Amira M. Shalaby ◽  
Amira F. EL-Gazzar
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Congenital Anomalies ◽  
Urban Areas ◽  
Positive Family History ◽  
Consanguineous Marriage ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Significant Difference ◽  
Children’S Hospital

Abstract Background: Congenital anomalies (CA) are common causes of infant’s and childhood deaths and disability. Objectives: The aim of the study is to determine the prevalence, describe the types and risk factors of congenital anomalies among newborns admitted to Neonatal Intensive Care Unit (NICU) of a Children's Hospital. Study design: It is a prospective observational study(analytic cross sectional study) was performed and screening of the newborn admitted at NICU of a Children's Hospital during the period of 6 months from 1 to 12-2017 to the end of 5-2018. The sample was 346 newborns, 173 cases and 173 control. We collected data using a record checklist and an interviewing questionnaire.Results: There were a significant difference between cases and control concerning gestational age (P=0.001), single or multiple babies (P=0.002), residence (P=0.001), consanguineous marriage (P=0.01) and family history of unfavorable outcome (P=0.001). We also found that the most common type of congenital anomalies was gastrointestinal anomalies 63 cases (36.4%) with tracheoesophageal fistula 17 cases (27%) being the most common GIT anomalies. Then the musculoskeletal anomalies being the second common anomalies 14.5% with diaphragmatic hernia 10 cases being the most common in musculoskeletal anomalies followed by other anomalies (22 multiple +1Conjoined Twins 23 cases (13.3%) followed by circulatory anomalies 22 cases (12.7%), followed by CNS anomalies 18 cases (10%). Conclusion: The prevalence of congenital anomalies was 22.97%. The most common anomalies were gastrointestinal anomalies (GIT), musculoskeletal anomalies, multiple anomalies and circulatory system anomalies. The risk factors were consanguineous marriage, positive family history, urban areas, full-term and singleton pregnancies.

scholarly journals A Cross-Sectional Analysis of the BC Children’s Hospital Cleft Palate Program Waitlist

2019 ◽  
Vol 27 (4) ◽  
pp. 311-318 ◽  
Author(s):  
Leslie Tze Fung Leung ◽  
Christine A. Loock ◽  
Rebecca Courtemanche ◽  
Douglas J. Courtemanche
Keyword(s):  
Cleft Palate ◽  
Plastic Surgery ◽  
Wait Time ◽  
Wait Times ◽  
Service Needs ◽  
Cross Sectional ◽  
Clinical Assessments ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Sectional Analysis

Objective: A 2016 review of the BC Children’s Hospital Cleft Palate - Craniofacial Program (CPP) revealed that one-third of patients met the program’s care recommendations and half met the American Cleft Palate-Craniofacial Association guidelines. This study reviews patients on the CPP waitlist and determines median wait times and missed clinical assessments as well as identifies how wait times are influenced by medical complexity, specialized speech service needs, vulnerability, and distance from clinic. Design: Cross-sectional. Setting: BC Children’s Hospital Cleft Palate—Craniofacial Program. Patients: Five hundred seventy-six waitlisted patients. Main Outcome Measures: Additional wait time after recommended appointment date. Correlation of additional wait time with diagnosis, number of specialists required, speech services needed, vulnerability, and distance from the clinic. Missed plastic surgery, speech, and orthodontic assessments according to CPP team recommendations and ACPA guidelines. Results: Patients had a median additional wait time of 11 months (interquartile range: 5-27). Longer additional wait times were associated with a craniofacial diagnosis ( P = .019), a need for formal speech assessments or evaluations ( P < .001), or a requirement to see multiple specialists ( P < .001). Vulnerability and distance from clinic did not affect wait times. Plastic surgery assessments were not available at the preschool and preteen time points for 45 (8%) patients, 355 (62%) patients were unable to access speech assessments, and 120 (21%) were unable to complete an orthodontic assessment. Conclusion: Patients wait up to an additional year to be seen by the CPP and miss speech, orthodontic, and surgical assessments at key developmental milestones. Additional resources are required to address these concerns.

scholarly journals Epidemiological profile of unintentional accidents in children over a period of 4 years

2021 ◽  
Vol 319 ◽  
pp. 01007
Author(s):  
Aiat Allah Skiredj ◽  
Fadoua Boughaleb ◽  
Loubna Aqqaoui ◽  
Toualouth Lafia ◽  
Assia Mouad ◽  
...  
Keyword(s):  
Everyday Life ◽  
Medical Insurance ◽  
Cross Sectional Study ◽  
Road Accident ◽  
Unintentional Injuries ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Surgical Emergencies ◽  
Children’S Hospital ◽  
Epidemiological Profile

Background: Unintentional injuries are one of the most important public health problems among children in developed and some developing countries. Aim: Our purpose is to determine the prevalence of everyday life unintentional injuries among children admitted for at least 24 hours in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. Methods: A cross-sectional study of unintentional injuries in children was undertaken over 4 years (2016- 2019) in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. The data were analysed by statistical software Jamovi 1.6.23. Drownings and foreign bodies were excluded. Results: 1204 patients were screened, of which 545 files were studied. The median age was 8 years[4;12] with 36,5% were less than 6 years old, 70,4% were boys. The most injuries occurred mostly during winters and summers (41,6 vs 33,8%). The medical insurance plan was provided by compulsory medical insurance (AMO) and RAMED (Medical Assistance Scheme) (30,4% and 46.5% respectively). The main circumstances were accidents of everyday life (52%) with predominance of falls. For the public road accident, pedestrians were predominant. Hospital stay did not exceed 24 hours (73%) mainly in the surgical emergency department.

scholarly journals Current Situation of Treatment and Follow-up Re-examination of Children with Epilepsy at Vietnam National Children’s Hospital

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Thi Huyen Tran ◽  
Vu Hung Cao ◽  
Van Hoc Tran ◽  
Danh Ngon Nguyen
Keyword(s):  
Treatment Time ◽  
Age Of Onset ◽  
Treatment Compliance ◽  
Duration Of Treatment ◽  
Cross Sectional ◽  
Female Ratio ◽  
Children's Hospital ◽  
Male Female Ratio ◽  
Children’S Hospital

Purpose: To assess treatment compliance and follow-up appointment of children with epilepsy at the Vietnam National Children’s Hospital in 2019. Method: A cross-sectional descriptive study was conducted on pediatric patients and primary caregivers came for examination and treatment at the Neurology Department, Vietnam National Children’s Hospital from January 2019 to December 2019. Results: Mean age was 74.3 ± 45.1 (month age). The most common age group was the 2-6 year old group (40.5%), the lower rate was the 6-12 year old group (30.0%), and rest groups was the low rate. The male: female ratio is 1.43:1. Most of the main caregivers are parents (92.5%). Average treatment time was 20.4 ± 15.7 months, the rate of good adherence to treatment 43.5%, 31.5% of children had  moderated adhering to treatment and 25.0% had poor adhering to treatment. Within 6 months, 40.5% of children re-examined on time. The reasons for not complying with on-time re-examination were mainly due to the caregiver's busy work or the child was busy at school (37.8%) and the distance from home to hospital (26.1%). Conclusions: The percentage of patients who complied with treatment and re-examination was not high. Factors that were statistically significant for children's non-compliance were: health insurance level, age of onset, duration of treatment, and frequency of attacks following treatment.

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