scholarly journals Functional outcomes in children related to self-care, mobility, and social function after stroke in early childhood: a cohort study

2022 ◽  
Author(s):  
Larissa Audi Teixeira Mota ◽  
Daniela Rodrigues Baleroni Silva ◽  
Luzia Iara Pfeifer
Keyword(s):  
Early Childhood ◽  
Functional Outcomes ◽  
Self Care ◽  
Social Function ◽  
Underlying Disease ◽  
Mortality Factor ◽  
Functional Domains ◽  
Functional Rehabilitation ◽  
Age Appropriate ◽  
Hospital Stays

ABSTRACT Background: Stroke has been increasingly recognized as an important morbidity and mortality factor in neonates and children. Children have different and more diverse risk factors than adults, commonly related to an underlying disease. Stroke may compromise functional capacity in children. Few studies have focused on functional outcomes related to activities and participation. Objectives: To investigate post-stroke functionality of children related to self-care, mobility, and social function. Methods: We assessed the functional outcome of 14 children younger than 7.5 years who suffered a stroke in early childhood through the use of the Pediatric Evaluation of Disability Inventory (PEDI). Results: The average age of the sample at assessment was 3.6 ± 1.4 years (2 - 6 years). The average scores in the PEDI functional domains of self-care, mobility, and social function were, respectively, 37.6 ± 15.4, 36.2 ± 15.4, and 48.7 ± 11.1. Children showed age-appropriate functional outcomes in the PEDI functional domains: 71.4% of them in self-care and mobility and 92.9% in social function. Children with bilateral injuries (p = 0.05) and longer hospital stays (r = -0.79, p = 0.001) showed the worst scores in PEDI's social function domains. Conclusions: Overall, our sample of preschool children showed age-appropriate functional outcomes on self-care, mobility, and social function domains after stroke. However, children with bilateral injuries and longer hospital stays showed the worst scores in social function domains. We recommend focusing on functional rehabilitation to promote activities and participation and to monitor the development of children's social skills after stroke.

scholarly journals Social Environmental Moderators of Long-term Functional Outcomes of Early Childhood Brain Injury

2016 ◽  
Vol 170 (4) ◽  
pp. 343 ◽  
Author(s):  
Shari L. Wade ◽  
Nanhua Zhang ◽  
Keith Owen Yeates ◽  
Terry Stancin ◽  
H. Gerry Taylor
Keyword(s):  
Early Childhood ◽  
Brain Injury ◽  
Functional Outcomes ◽  
Social Environmental

Texture Consumption Patterns of 8- to 12-Month-Old Infants: A Reflection of Typical Feeding Development

2021 ◽  
pp. 1-10
Author(s):  
Amy L. Delaney ◽  
Megan Van Hoorn ◽  
Sarah Staskiewicz ◽  
Mary Beth Feuling ◽  
Stephanie Pladies ◽  
...  
Keyword(s):  
Early Childhood ◽  
Consumption Patterns ◽  
List Type ◽  
Typically Developing ◽  
Accurate Identification ◽  
Feeding Disorder ◽  
Healthy Infants ◽  
Age Appropriate ◽  
Pediatric Feeding ◽  
Feeding Development

Purpose The lack of age-appropriate expectations for the acquisition of feeding skills and consumption of textured food in early childhood inhibits early and accurate identification of developmental delay in feeding and pediatric feeding disorder. The objective of this study was to describe texture intake patterns in a cohort of typically developing infants between 8 and 12 months of age, with the aim of informing future research to establish targets for feeding skill acquisition. Method Using cross-sectional methodology, we studied the presence of liquid and solid textures and drinking methods in the diet, consumption patterns by texture and drinking methods, and caloric intake by texture via caregiver questionnaire and 3-day dietary intake record in 63 healthy infants between 8 and 12 months of age. Descriptive statistics and a one-way analysis of variance were conducted to compare the effect of age on texture intake patterns. Results Findings reveal rapid advancement of intake patterns for texture overall and for energy intake by texture between 8 and 12 months of age. Whereas liquids continue to provide a large proportion of total energy through this time, solids contribute an equal proportion of energy by 12 months of age. Conclusions This study describes texture intake patterns in a cohort of typically developing infants between 8 and 12 months of age by examining the presence of texture and drinking methods, liquid and solid consumption patterns, and energy intake by texture. When applied to data from a future population sample, findings will provide a threshold for age expectations for typical and disordered feeding development to aid in the detection of developmental delay in feeding and pediatric feeding disorder. What Is Known: Expectations regarding early feeding development have been focused on nutrition parameters. Lack of standardized, age-appropriate expectations for texture progression in infancy and early childhood inhibits early and accurate identification and treatment of pediatric feeding disorder. What Is New: We have described changes in dietary composition by texture and drinking method in healthy infants. Together with nutritional composition, this study describes a more comprehensive assessment of infant feeding, particularly to clinicians who need to diagnose feeding skill deficits. Supplemental Material https://doi.org/10.23641/asha.16879615

Architecting for Connected Healthcare

2012 ◽  
pp. 306-325
Author(s):  
Torben Tambo ◽  
Nikolai Hoffmann-Petersen ◽  
Karsten Bejder
Keyword(s):  
Healthcare System ◽  
Change Process ◽  
Large Scale ◽  
Enterprise Architecture ◽  
Self Care ◽  
Home Monitoring ◽  
Technological Changes ◽  
The Everyday ◽  
Scale Population ◽  
Hospital Stays

The healthcare system is in many countries operated by the governments, and interaction with the healthcare system is one of the most frequent interactions between citizen and government. Demographic, medical, and technological changes are likely to bring new aspects of connectedness into the everyday life of people and place healthcare and homecare professionals in new roles. A transformation is taking place where hospital best practices are constantly reducing patient’s in-hospital stays to alternative, less-costly care—notably at home. Telemedicine, telehealth, eHealth, home monitoring, and self-care are essential aspects of this transformation. Many issues are influencing this transformation, and new barriers are showing up where others are removed. A broadly oriented enterprise architecture effort is presented for the underpinning of the change process. The architectural approach encompasses views of the citizen, the healthcare system, the information infrastructure, and the citizen-oriented technology. A case of telemonitoring and self-care is presented using mobile hypertension measurement on a large-scale population cohort. Evaluation of the acceptance and success of the solutions is done within a combined understanding including technology, economy, organization, and culture.

scholarly journals Oral rehabilitation in a child with early childhood caries: a case report

2021 ◽  
Vol 69 ◽  
Author(s):  
Fernanda Miori PASCON ◽  
Carolina STEINER-OLIVEIRA ◽  
Priscila Alves GIOVANI ◽  
Regina Maria PUPPIN-RONTANI ◽  
Kamila Rosamilia KANTOVITZ
Keyword(s):  
Quality Of Life ◽  
Early Childhood ◽  
Early Childhood Caries ◽  
Positive Impact ◽  
Treatment Plan ◽  
Pediatric Dentistry ◽  
Functional Rehabilitation ◽  
Oral Rehabilitation ◽  
Childhood Caries

ABSTRACT The aim of the current study is to present a treatment approach in a case of severe early childhood caries (ECC). A 5-year-old girl was referred to the Pediatric Dentistry Division with multiple premature tooth loss, masticatory difficulties, prolonged breast-feeding, and low quality of life, who was diagnosed with severe ECC. A three-phased treatment plan was implemented: 1. Disease control – consisting of behavioral changes in oral hygiene habits, diet guidance, professional biofilm removal followed by fluoride application and temporary restorations; 2. Infection control – teeth extractions and pulpotomy; and 3. Functional rehabilitation – direct and semi-indirect resin restorations, a removable partial and total prostheses in the lower and upper jaws, respectively. In conclusion, the proposed multidisciplinary approach resulted in a positive impact on the patient’s nutrition and growth, speech production, communication, self-image, and social functioning leading to an improved quality of life.

scholarly journals Effect of ERAS Combined with Comfortable Nursing on Quality of Life and Complications in Femoral Neck Fractures of the Aged People

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Hu Ping ◽  
Xu Ling ◽  
Yiwei Xue ◽  
Fanghui Dong
Keyword(s):  
Quality Of Life ◽  
Postoperative Complications ◽  
Femoral Neck ◽  
Hip Joint ◽  
Self Care ◽  
Joint Function ◽  
Sf 36 ◽  
Barthel Score ◽  
Hospital Stays

Objective. To explore the effect of enhanced recovery after surgery (ERAS) combined with comfortable nursing on the quality of life and complications of elderly patients with femoral neck fracture (FNF). Methods. From May 2019 to May 2020, 80 senile FNF patients who admitted to our hospital were treated by total hip arthroplasty (THA). All patients were randomly divided upon admission into a control group (CG) with usual care and a study group (RG) with ERAS combined with comfort care of 40 patients each. The postoperative efficacy was assessed by Harris score of hip joint function, and the psychology was evaluated by self-rating anxiety scale (SAS). The SF-36 score of quality of life, the time of catheter removal, the time of getting out of bed, the hospital stays, the satisfaction of nursing, and the Barthel score of self-care ability were compared between the two groups before and after nursing, and the incidence of postoperative complications was also evaluated. Results. Compared with the CG, the SF-36 score of quality of life and Barthel score of self-care ability in the RG were dramatically higher, while the SAS score of anxiety was dramatically lower. Besides, the time of catheter removal, the time of getting out of bed, and the hospital stays in the RG were dramatically lower ( P  < 0.05). Furthermore, the nursing satisfaction and postoperative efficacy of patients in the RG were obviously higher (both P  < 0.05), while the incidence of complications in the RG was obviously lower ( P  < 0.05). Conclusion. ERAS combined with comfortable nursing can improve the hip joint function, quality of life, and self-care ability scores of senile FNF patients; relieve the anxiety in patients; and reduce the incidence of postoperative complications, which is valuable to be applied extensively.

Comparison of retroperitoneal and transperitoneal robotic partial nephrectomy by pentafecta perioperative and renal functional outcomes.

2019 ◽  
Vol 37 (7_suppl) ◽  
pp. 602-602
Author(s):  
Chang Il Choi ◽  
Seong Il Seo
Keyword(s):  
Glomerular Filtration Rate ◽  
Glomerular Filtration ◽  
Partial Nephrectomy ◽  
Tumor Size ◽  
Functional Outcomes ◽  
Filtration Rate ◽  
Operative Time ◽  
Estimated Glomerular Filtration Rate ◽  
Robotic Partial Nephrectomy ◽  
Hospital Stays

602 Background: To compare and analyze surgical, oncological and functional outcomes of transperitoneal (TRPN) and retroperitoneal robotic partial nephrectomy (RRPN). Methods: Out of 566 consecutive patients who underwent RAPN by a single surgeon from December 2008 to July 2017, this study included 523 patients (TRPN 310, RRPN 213) who evaluated preoperative and 1-year postoperative estimated glomerular filtration rate (eGFR). Our primary endpoint was to compare the perioperative and postoperative outcomes of both approaches by the measure of Pentafecta (negative surgical margin, no 30-day complication, warm ischemic time (WIT) ≤25 minutes, return of estimated glomerular filtration rate (eGFR) to > 90% from baseline and no upstaging of chronic kidney disease). Secondary endpoint was to find the factors associated with Pentafecta by multivariate regression analysis. Results: No significant difference was found in terms of age, BMI, laterality, history of hypertension or diabetes, ASA grade, tumor size and RENAL nephrometry score. These outcomes were lower in the RRPN group: operative time [median (IQR) 244 (202-295) vs. 273 (230-314); p < 0.001], WIT [median (IQR) 19 (15-25) vs. 21 (16-27); p < 0.008] and estimated blood loss (EBL) [median (IQR) 100 (60-200) vs. 150 (100-200); p < 0.003]. Hospital stay, baseline eGFR, 1-year postoperative eGFR, the rate of Pentafecta achievement, recurrence and complications were not different. The rate of WIT ≤ 25 minutes was solely significantly different (TRPN 69.7% vs. RRPN 77.9%, p = 0.045) in the Pentafecta criteria. Multivariate analysis revealed tumor size [OR (95% CI) 0.641 (0.536-0.767), p < 0.001) and hospital stays (OR 0.639, p < 0.001) as predictive for lack of Pentafecta. Conclusions: RRPN demonstrated less operative time, WIT and EBL than TPRN. Pentafecta achievements were equivalent in both approaches. Tumor size and hospital stays were found as predictive factors of Pentafecta.

Do it yourself: The role of early self-care ability in social skills in Japanese preschool settings

2021 ◽  
pp. 014303432110632
Author(s):  
Zhu Zhu ◽  
Emiko Tanaka ◽  
Etsuko Tomisaki ◽  
Taeko Watanabe ◽  
Yuko Sawada ◽  
...  
Keyword(s):  
Child Care ◽  
Social Skills ◽  
Longitudinal Study ◽  
Cultural Diversity ◽  
Self Care ◽  
Child Care Centers ◽  
Age Appropriate ◽  
Do It Yourself ◽  
Entrance Age

Self-care ability and social skills are potential areas of difficulty for preschool children. However, values about young children's self-care ability are different worldwide. This longitudinal study examined the influence of early self-care ability on social skills at the end of the preschool years. Participants were 509 children recruited from kindergartens and child care centers across Japan, whose self-care ability and social skills were assessed at baseline year and three years later (Age of children in 2015 at baseline: M  =  35 months, SD  =  6.1 months). The study found that gender was significantly associated with social skills, while preschool facility entrance age was only associated with assertion skills. After controlling gender and entrance age, early self-care ability was still positively related to later assertion and cooperation (Assertion: OR  =  2.55, 95% CI  =  1.00–6.51; Cooperation: OR  =  3.15, 95% CI  =  1.23–8.07). Implications of the findings are discussed in the context of cultural diversity, highlighting the importance of cultivating children's age-appropriate self-care ability based on daily observations and evaluations.

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