DR CHARLES WEST ON THE PROPER APPROACH TO THE ILL CHILD (1850)

PEDIATRICS ◽  
1989 ◽  
Vol 83 (6) ◽  
pp. 1015-1015
Author(s):  
T. E. C.
Keyword(s):  
Nervous System ◽  
Know How ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
The Face ◽  
Medical Historian

Charles West (1816-1898), founder of the Children's Hospital, Great Ormond Street, London, has been described by Fielding H. Garrison, America's leading medical historian, as: "The greatest English pediatrist of his time, and perhaps the most genial practitioner of the art who ever lived." West's pediatric treatise, first published in 1848, opens with this admirable advice on the approach to the ill child. The quiet manner and the gentle voice which all who have been ill know how to value in their attendants, are especially needed when the patient is a child. Your first object must be not to alarm it; if you suceed in avoiding this danger, it will not be long before you acquire its confidence; do not therefore, on entering the room, go at once close up to the child, but, sitting down sufficiently near to watch it, and yet so far off as to attract its attention, put a few questions to its attendant. While doing this, you may, without seeming to notice it, acquire a great deal of important information; you may observe the expression of the face, the character of the respiration, whether slow or frequent, regular or unequal, and if the child utter any sound, you may attend to the character of the cry. All your observations must be made without staring the child in the face, little children, especially if ill, seem always disturbed by this, and would be almost sure to cry. If the child be asleep at the time of your visit, your observations may be more minute; the kind of sleep should be noticed, whether quiet or disturbed, whether the eyes be perfectly closed during it, or partly open as they are in many cases where the nervous system is disordered: you may, too, if the sleep seem sound, venture to count the frequency of the respiration, and the beat of the pulse, but in doing this you should be careful not to arouse the child. It should be awoke gently by the nurse or mother, and a strange face should not be the first to meet its eye on awakening. If it were awake when you entered the room, it will probably in a few minutes have grown accustomed to your presence, and will allow you to touch its hand, and feel its pulse.

Private Practice

2016 ◽  
pp. 35-42
Author(s):  
Donald W. Winnicott
Keyword(s):  
Public Health ◽  
Child Psychiatry ◽  
Private Practice ◽  
Child Psychology ◽  
Children's Hospital ◽  
Health Clinics ◽  
Children’S Hospital ◽  
The Face ◽  
Public Health Clinics

In this essay, Winnicott expresses his opinion that it would be a tragedy if private practice in child psychiatry were to disappear in the face of public health clinics. Winnicott describes his own contribution to the field of child psychology through his work at Paddington Green Children’s Hospital and states his belief that private practice provides an economical psychiatric method when compared with ordinary clinic results.

CARBAPENEM ANTIBIOTIC DOSE MODE FOR PEDIATRIC PATIENT AT CAN THO CHILDREN’S HOSPITAL

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Bui Dang Lan Huong ◽  
Le Thi Kim Ngan ◽  
Doan Thanh Truc ◽  
Bui Tung Hiep
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Dose Regimen ◽  
Dosage Regimen ◽  
Recommended Dose ◽  
Children's Hospital ◽  
Treatment Dose ◽  
Children’S Hospital ◽  
Antibiotic Dose ◽  
Carbapenem Antibiotic

Objective: Analyzing the dose regimen of carbapenem antibiotics used in pediatric patients at Can Tho Children’s Hospital.Objects and methods: retrospective-descriptive study on 140 medical records of patients being treated at departments of Can Tho Children’s Hospital during the period from June 1st, 2020 toDecember 31st, 2020. Results: Regarding the dosage regimen characteristics of meropenem showed that 20.3% and 10.8%of meropenem’s indications for the dose of meropenem for non-central nervous system infections and meningitis treament was appropriate according to the recommendations. Meanwhile, up to63.5% of the dose was higher than the recommended dose and 5.5% of the treatment dose was lower than the recommended dose. Regarding imipenem dosage regimen characteristics from the resultsshowed that 71.2% of the dose of imipenem for the treatment of infections non-central nervous system complied with recommendations according to the literature. However, more than 20% of the recommended dose for patients was lower than recommended dose. Conclusion: The meropenem dose regimen was consistent with the recommendation was low. The imipenem dose regimen was consistent with the relatively high recommendation.

GASTROENTERITIS IN INFANTS ASSOCIATED WITH SPECIFIC SEROTYPES OF ESCHERICHIA COLI

PEDIATRICS ◽  
1956 ◽  
Vol 17 (2) ◽  
pp. 192-195
Author(s):  
Aaron H. Stock ◽  
Mary E. Shuman
Keyword(s):  
Escherichia Coli ◽  
Diarrheal Disease ◽  
Enteric Bacteria ◽  
E Coli ◽  
Children's Hospital ◽  
Salmonella Infections ◽  
Children’S Hospital ◽  
The Face ◽  
Pittsburgh Area

Except in the face of an epidemic the incidence of isolation of E. coli 0111:B4 and 055:B5 in the Pittsburgh area, as reflected by bacteriologic studies carried out on all patients with gastroenteritis admitted to a children's hospital, was low in a 3-year period. The incidence of salmonella infections was relatively higher. No shigella infections were found. It may be seen from the tables that in approximately 80 per cent of the patients with diarrheal disease no enteric bacteria known to be pathogenic could be isolated.

scholarly journals “Doc McStuffins: Doctor for a Day” Virtual Reality (DocVR) for Pediatric Preoperative Anxiety and Satisfaction - A Feasibility Study (Preprint)

2020 ◽  
Author(s):  
Jeffrey I. Gold ◽  
Erin T. Annick ◽  
Arianna S. Lane ◽  
Katherine Ho ◽  
Ryan T. Marty ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Los Angeles ◽  
Healthcare Provider ◽  
Preoperative Anxiety ◽  
Child Life ◽  
Provider Satisfaction ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
The Face ◽  
Therapeutic Play

BACKGROUND Preoperative anxiety is a common occurrence among children and is associated with a host of maladaptive post-operative behaviors. Consequently, increased attention has been placed on interventions to reduce preoperative anxiety and its associated outcomes. Child Life preparation prior to surgery includes evidence-based practices such as age-appropriate distraction and therapeutic play. Virtual reality (VR) is a promising addition to the Child Life toolbox to address anxiety prior to surgery. The current study evaluates the implementation and feasibility of a VR experience, “Doc McStuffins: Doctor for a Day Virtual Reality Experience” (DocVR), developed by Disney Junior in collaboration with Children’s Hospital Los Angeles, to target pediatric preoperative anxiety. OBJECTIVE The primary aim of this study was to examine the feasibility and efficacy of DocVR for preoperative anxiety. A secondary aim is to improve patient, caregiver, and healthcare provider satisfaction with the preoperative experience. METHODS Fifty-one patients (age 6 to 14 years) scheduled for surgery in the Ambulatory Surgery Center (ASC) and the main Operating Room (OR) at Children’s Hospital Los Angeles were approached for participation in Disney’s DocVR experience. The patients played the DocVR experience for an average of 18 minutes (3 to 55 minutes). Irrespective of surgical procedure, patients and their families were eligible, as long as they had no known marked cognitive or visual impairments, which would interfere with completing the survey and engaging in the DocVR experience. RESULTS Patients who tried the DocVR experience (n=51) responded overwhelmingly positively to both the VR technology and to the game itself. Patients experienced a statistically significant decrease in anxiety following DocVR game play (Z = -3.26, P = .001). On the Facial Affective Scale, the percentage of patients who chose the face with the most positive facial expression to represent their affect increased from 24% pre-VR to 49% post-VR. Furthermore, 97% of patients reported feeling more comfortable at the hospital and 74% reported feeling less scared at the hospital after playing the game. 94% of patients enjoyed the game, and 88% of patients reported feeling both ‘Interested’ and ‘Involved’ in the game. CONCLUSIONS DocVR is a feasible and beneficial VR experience to relieve pediatric preoperative anxiety and improve satisfaction in the preoperative area. The VR experience resulted in a decrease in overall anxiety and an increase in overall positive affect during the preoperative time. Patients also responded positively to the game, confirming their interest in the content and affirming the quality of the DocVR experience. The positive response to the game indicates that DocVR has the potential to make the overall preoperative experience less anxiety-producing and more comfortable, which leads to improved patient satisfaction. Naturally, improved patient outcomes lead to improved caregiver and healthcare provider satisfaction.

scholarly journals GC-08TREATMENT AND OUTCOME OF PEDIATRIC NON-MIDLINE CENTRAL NERVOUS SYSTEM GERMINOMA: CHILDREN'S HOSPITAL LOS ANGELES EXPERIENCE

2016 ◽  
Vol 18 (suppl 3) ◽  
pp. iii43.4-iii43
Author(s):  
Kee Kiat Yeo ◽  
Hung Tran ◽  
Kenneth Wong ◽  
Nathan Robison ◽  
Ashley Margol ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Los Angeles ◽  
Children's Hospital ◽  
Children’S Hospital

Ewing's sarcoma of the mandible: a combined approach to treatment

2002 ◽  
Vol 26 (4) ◽  
pp. 409-412 ◽  
Author(s):  
Allen Fred Fielding ◽  
Rochelle Lindemeyer ◽  
Julie Wood-Harris ◽  
Michael Hartman
Keyword(s):  
Malignant Tumor ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Long Bones ◽  
Incisional Biopsy ◽  
Combined Approach ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
The Face ◽  
Caucasian Female

Ewing's Sarcoma (ES) is a malignant tumor, which arises primarily in children. Most commonly found in the long bones and pelvis, it rarely is found in the bones of the face. This is a report of ES of the mandible in a nine-year-old Caucasian female. Treatment for this malignancy included an incisional biopsy, chemotherapy and radiotherapy protocol to the involved area in accordance with St. Christopher's Hospital and the Children's Hospital of Philadelphia. The patient is currently diseasefree and has been for approximately five years.

Alterations of the Fundus in Hypernatremia

PEDIATRICS ◽  
1966 ◽  
Vol 37 (5) ◽  
pp. 855-855
Author(s):  
DR. COSTOS APOSTIKIS
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Considerable Influence ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
The Central Nervous System ◽  
Pathological Image ◽  
Hypernatremic Dehydration

Disturbance in electrolyte equilibrium as a result of dehydration, especially hypernatremic dehydration, seems to have a considerable influence on the eye, besides its effect on the central nervous system. In 18 infants suffering from dehydration observed at the children's hospital "Saint Sophia" in Athens, nine presented varying degrees of hypernatremia. Seven of these, with higher values of Na in the serum ranging from 160 mEq to 182 mEq, displayed a pathological image of the fundus, consisting of an edema of the area between disc and macula, undefined disc limits, and, occasionally, small spotted capillary hemorrhages.

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