A VICTORIAN CHILD AND THE CHILDREN'S HOSPITAL (1881)

PEDIATRICS ◽  
1981 ◽  
Vol 68 (6) ◽  
pp. 868-868
Author(s):  
T. E. C.
Keyword(s):  
Poor Child ◽  
Victorian Era ◽  
Children's Hospital ◽  
Wide Difference ◽  
The Poor ◽  
Children’S Hospital ◽  
The Rich ◽  
Divine Order ◽  
Brothers And Sisters ◽  
At Home

The following description of life in a children's hospital appeared in The Children's Sunday Album, published in London in 1881.1 The wide difference between the rich and the poor child was usually accepted in the Victorian era as part of the Divine order of things. Look at this picture well, you little, bright, happy children, who are well and strong, or even any afflicted like these, and be grateful for the cheerful homes, the loving friends, the comforts which surround you! Good generous people, pitying and loving little children, have sent enough money to support them, and have them taught trades to enable them to lead useful lives, though they are cripples. See how busily at work this big girl is at the end of the form; but her crutches lying beside her tell only too plainly of her misfortune. Bad nursing in their babyhood, joyless unchildlike lives in crowded dirty streets, cause the children of the London poor to be wretched sufferers; and it is a piteous, touching sight to visit the hospitals which have been built for these poor little creatures. Everything is done for them that skill and kindness can do; but it is not like you at home in your beautiful nurseries, with your toys and books, your loving mother, and healthy little brothers and sisters making merry round. In each little bed is some poor, suffering child, tended by kind nurses certainly, but no mothers. Think of this, little ones, when inclined to be fractious and cross, and troublesome, and bless God who has made your lot so bright.

RUNAWAY CHILDREN, OR DROMOMANIA—A 1913 VIEW

PEDIATRICS ◽  
1971 ◽  
Vol 47 (6) ◽  
pp. 1032-1032
Author(s):  
T. E. C.
Keyword(s):  
Young People ◽  
The Other ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
At Home

Young People's problems are not too different from one generation to the next. We hear a great deal today about young people who run away from home. But even in 1913, Dr. Leonard Guthrie, of London's Paddington Green Children's Hospital, considered the issue of runaway children important enough to warrant publication of the following in one of the best pediatric textbooks ever published in English. Dromomania may be a high-sounding name for playing "truant" but different causes of vagrancy should be recognized. Imaginative and romantic children will sometimes roam in search of adventure. Some, like St. Theresa, seek martyrdom; and some, like Maggie Tulliver, run away to be gypsyqueens because they do not reign at home. Some not only wander abroad at every opportunity, but account for doing so by inventing stories of ill usage and privation, in which they may appear to believe. Others seem to obey a nomadic instinct to stay out and sleep out whenever they get the chance. . . . The ordinary truant is easily detected as a rule by his general demeanor, and by the manner in which he has occupied his time of unenforced leisure. A short and sharp shrift awaits him in accordance with his deserts. But truancy is not abnormal, whereas there is a distinctly morbid or neurotic element in all the other forms of vagrancy or dromomania. It is only the highly neurotic and sensitive schoolboy who runs away to escape punishment or persecution. A single escapade may result from mere thoughtlessness or from habits of morbid introspection and selfish disregard for the feelings of others.

THE FIRST AMERICAN PLEA FOR A PERMANENT HOSPITAL FOR SICK CHILDREN (1852)

PEDIATRICS ◽  
1982 ◽  
Vol 69 (3) ◽  
pp. 281-281
Author(s):  
T. E. C.
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Sick Child ◽  
Personal Care ◽  
Children's Hospital ◽  
Financial Difficulties ◽  
The Poor ◽  
Children’S Hospital ◽  
Sick Children

In 1852, James Stewart (1799-1864), under the pen name "Phiopedos," originated a plan for the establishment of a children's hospital in New York City. When the institution was opened on March 1, 1854, under the name of the New York Nursery and Child's Hospital, it was the only hospital on this continent devoted to children. (There had been a hospital devoted exclusively to sick children in Boston as early as 1846, but financial difficulties forced it to close after a few years.) "Philopedos" wrote1: It must be evident to all who will reflect upon the large amount of sickness there is among the children of the poor in our city [New York], that hospital accommodations for them are among its most urgent wants. In the dwellings of the very poor there is almost always .. absence of everything necessary for the ordinary relief of the sick, and especially of the unremitting attention that is needed by them. The necessity of constant occupation to obtain the means of existence, precludes the possibility ...of devoting any time to the requirements of the sick; and it is from this want of attendance, next to want of pure air, that children suffer most. For those who have the necessary comforts for the sick, or who have the time that they may bestow upon their families, when they most require it, dispensary attendance is sufficient for their wants in sickness; but when it is known that many children are absolutely destitute of all these—indespensable as they are—the necessity of proving well-ventilated accomodations is evident; a place where all the wants of the sick [child] may be supplied, and especially when personal care must form an essential pant of the arrangement;—a need only to be supplied by the establishment of a well-organized hospital....

scholarly journals Burden of febrile neutropenia in paediatric oncology: Experience from Children’s Hospital Lahore Pakistan

2021 ◽  
Vol 14 (4) ◽  
pp. 166-169
Author(s):  
Alia Ahmad ◽  
Fauzia Shafi Khan ◽  
Wasila Shamim ◽  
Aman Salman Ahmad
Keyword(s):  
Risk Factors ◽  
Febrile Neutropenia ◽  
Hospital Stay ◽  
Travel Time ◽  
Basic Knowledge ◽  
Duration Of Symptoms ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Tract Infections ◽  
At Home

Background: Infection is the major cause of morbidity and mortality in children with cancer. Chemotherapy induced febrile neutropenia-associated mortality is much higher in low-middle-income countries than in high-income countries, emphasizing the need of prevention, early identification and timely management of infection related complications in these children. Objective of this prospective study was to analyze the burden of chemotherapy induced febrile neutropenia and to assess the leading risk factors. Patients and methods: Prospective cohort study was done in 100 patients with febrile neutropenia (fever of 38.3℃ and ANC <500) admitted in the Haematology/Oncology Department of Children’s Hospital Lahore (CHL) from July to August 2016. All the children on curative chemotherapy were included in this study and children with relapse and on palliation were excluded from this study. Risk factors including knowledge of parents and caregivers about febrile neutropenia, travel time from home to hospital and duration of symptoms at home before seeking treatment and reasons for delayed response in these children’s febrile illness, were analyzed for duration of hospital stay considered as a burden on the Haematology/Oncology Department. Data regarding their age, sex, and clinical features, baseline CBC, course of therapy, hospital stay and understanding of caregivers regarding febrile neutropenia was analyzed. The first line therapy was IV Piperacillin-Tazobactam and IV Amikacin. SPSS-16 software was used to analyze the data and a p-value of <0.05 was considered as statistically significant. Results: Total 100 patients with age ranging from <1 to 15 years were included. Male to female ratio was 1.7:1, 72% of the cases had Acute Lymphoblastic Leukaemia and 28% with solid tumors. About, 28% had last chemotherapy received in 72 hours, 30% in last week and rest in more than a week time 36% had upper respiratory tract infections, 18% gastrointestinal infections, 20% mucositis, 10% no focus found and rest 16% had other manifestations. Only 2 % presented in less than one hour of start of symptoms, 27% <24 hours, 61% in <5 days and 10% >5 days duration of symptoms. 45% had Hb <8 gm/dL, 33% had platelets <50,000 mm3, and 54% had WBC <1000 and 63% had ANC <100. 29% presented with the first episode while 51% had 3 or more febrile neutropenia episodes. 28% cases stayed 1 hour distance from CHL while 72% had to travel >1-5 hours to reach the primary treatment center. 66% received paracetamol at home, 17 had oral antibiotics while 17% had no treatment before reaching hospital. Only 19% caregivers had adequate awareness regarding adequate management of febrile neutropenia, 72% had some understanding while 9% had no knowledge about febrile neutropenia. 46% had financial issues, 41% were unaware while, 13% showed negligence in seeking treatment. Only 2 patients stayed for a day, 46% stayed for 5 days and 48% for more than 5 days. Conclusion: Febrile neutropenia episodes accounted for 25% of monthly admissions of the Haematology/Oncology Department of Children’s Hospital Lahore. Majority of these caregivers had inadequate basic knowledge of standard management of febrile neutropenia aggravated by increased travel time from their homes to the hospital.

scholarly journals Evaluation of Parent's Knowledge About Fever

2021 ◽  
pp. 27-35
Author(s):  
Najlae El Hafidi ◽  
Nour Mekaoui ◽  
Badr Sououd Benjelloun Dakhama ◽  
Lamya Karboubi
Keyword(s):  
Emergency Department ◽  
Medical Emergency ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Pediatric Consultation ◽  
And Behavior ◽  
Frequent Reason ◽  
At Home

Introduction: Fever in children is the most frequent reason for pediatric consultation. Aims of the Study: To assess parent's knowledge and behavior regarding fever in children before the consultation. Methodology: This survey was carried out among 614 who agreed to answer a pre-established questionnaire, having consulted in the pediatric medical emergency department of the children's hospital in rabat. Results: Fever was defined in 64.2% of parents as a temperature above the threshold of 38 ° C. It was measured in 37.9% of cases by the axillary method, the drugs most used were paracetamol and ibuprofen, with the use of paracetamol first in 73.9%, the administration of the drug was based of the weight in 58.7%. Angina was considered the most likely cause of fever (72.7% of cases). Conclusion: The results of our survey show the need to improve parent's knowledge of fever as well as its management at home.

INTERNATIONAL NEWS

PEDIATRICS ◽  
1952 ◽  
Vol 10 (5) ◽  
pp. 634-635
Keyword(s):  
Great Britain ◽  
Young Children ◽  
International News ◽  
General Hospitals ◽  
Children's Hospital ◽  
Large Numbers ◽  
Middlesex Hospital ◽  
Children’S Hospital ◽  
Sick Children ◽  
At Home

Centenary of "Great Ormond Street" The first patient was admitted to The Hospital for Sick Children, Great Ormond Street, London in 1852. Notice the capital "T." It has been said that all who have ever worked at this hospital are touched thereafter with a certain arrogance and hence the "T." It is believed that this was the first children's hospital in Great Britain to provide both for outpatients and inpatients. Up to 1852 there had been "dispensaries" for sick children, but the fear of infection and the devastating results when young children were herded together had prevented any development of inpatient facilities. The general hospitals excluded children. They died at home in large numbers. All this was changed by Dr. Charles West. He was an obstetrician on the staff of the Middlesex Hospital where he gave the lectures on diseases of children to the students—a common practice in those days.

scholarly journals An Audit of Pain Management Following Pediatric Day Surgery at British Columbia Children’s Hospital

2012 ◽  
Vol 17 (5) ◽  
pp. 328-334 ◽  
Author(s):  
Serena Shum ◽  
Joanne Lim ◽  
Trish Page ◽  
Elizabeth Lamb ◽  
Jennifer Gow ◽  
...  
Keyword(s):  
British Columbia ◽  
Pain Management ◽  
Management Strategies ◽  
Multimodal Analgesia ◽  
Day Surgery ◽  
Hospital Data ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Postanesthetic Care Unit ◽  
At Home

A prospective audit of 225 children was conducted to evaluate current pain management strategies both in-hospital and at home following day surgery at British Columbia Children’s Hospital (Vancouver, British Columbia). Anesthetic, postanesthetic care unit and surgical day care unit records were collected to generate in-hospital data. A telephone questionnaire was administered 48 h postdischarge for at home data. Pain reports and scores were significantly higher (P<0.01) at home compared with in-hospital. Children undergoing certain procedures were more likely to experience significant pain. Although good pain control was commonly achieved after surgery, improvements may be possible by increasing the use of multimodal analgesia, providing standardized written discharge instructions and using surgery-specific pediatric analgesia guidelines.

scholarly journals A Translation into English of Khalil I. Al-Fuzai’s “Before the Station”

2018 ◽  
Vol 6 (11) ◽  
pp. 27-30
Author(s):  
Gassim H. Dohal
Keyword(s):  
Saudi Arabia ◽  
Social Role ◽  
Young Person ◽  
Arabic Text ◽  
Adult Men ◽  
The Poor ◽  
The Family ◽  
Brothers And Sisters ◽  
At Home

Hassan sits behind his wooden box selling cigarettes and matches. In front of him, he sees people struggling to make a living. This scene illustrates what is going on inside the poor boy’s mind. It dramatizes the inability of Hassan to cope with what is going on around him. Yet he has to find a way to earn money and make a living, and this is the reason he is sitting before the station.As a boy, Hassan is not expected to play such a social role, which is usually managed by adult men. That is why a man asks Hassan, “Do you sell cigarettes?” expecting that he is taking the place of an adult who will be back soon.Hassan is not the only young person who is in charge of a family in the society, as the story indicates that “there are many people like him scattered in front of this car station.” Particularly during the 70s and early 80s, such a case was common.Indeed, Hassan has only his mother at home. Imagine if he had brothers and sisters: what would happen to this boy? Hassan’s family is not the typical family in Saudi Arabia; it is hard to find a family with only one child. Though culturally and traditionally the family is encouraged to have many children, yet it is the society here that grants Hassan's mother no other option but to send her son out so as to assume his dead father’s responsibilities. In brief, Khalil I. Al-Fuzai manages in this story to criticize the society that creates and enforces traditional and cultural restrictions and at the same time does not provide solutions to the problems of families and individuals like Hassan. Finally, in my translation, some well-known words are kept with their original pronunciation and written in italics to keep the reader aware of the Arabic text.3

Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry
Keyword(s):  
Tracheostomy Tube ◽  
Pediatric Population ◽  
Interdisciplinary Approach ◽  
Extended Period ◽  
Speech Development ◽  
Tube Placement ◽  
Background Information ◽  
Speaking Valve ◽  
Children's Hospital ◽  
Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

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