PODOLOGICAL ASPECTS OF FOOT CARE IN SOCIAL CARE CENTERS

2018 ◽  
Vol 4 ◽  
pp. 54-64
Author(s):  
Sintija Harju ◽  
Ruta Akermane ◽  
Mārīte Saulīte
Keyword(s):  
Quantitative Research ◽  
Social Care ◽  
Care Center ◽  
Health Care Team ◽  
Pediatric Care ◽  
Foot Care ◽  
Motion Vision ◽  
Part Time ◽  
Interdisciplinary Health Care ◽  
Age Range

Investigate the necessity for therapeutic foot care and the involvement of a podologist in an interdisciplinary health care team in social care institutions in Latvia.So far, no study has been conducted on the need for therapeutic pediatric care for Social Care Center (SCC) clients in Latvia; it is known that in individual SCC’s where some podologists work part-time, another podologist is invited in specific cases, or clients are taken to a podologist at a medical institution.The study was conducted in 15 Latvian Social Care Centers (SCC), surveying 750 customer feet. People who, for various reasons, are no longer capable of foot care, is a highly necessary specialist who will do it professionally and according the needs of each client, so the involvement of a podologist in the SCC team's work is essential. The foot healing provided by the podologist would help prevent diabetes, cardiovascular, musculoskeletal etc. complications caused by the disease; those clients whose age (range of motion, vision problems, etc.) no longer allows them to care for their feet.Methods: Qualitative and Quantitative Research Method. Research tool – foot examination protocol.

Bacterial Diversity, Antibiotic Resistance, and the Risk of Lower Limb Amputation in Younger and Older Individuals With Diabetic Foot Infection

2021 ◽  
pp. 153473462199229
Author(s):  
Stefan Dörr ◽  
Ann-Kathrin Holland-Letz ◽  
Gregor Weisser ◽  
Apostolos Chatzitomaris ◽  
Ralf Lobmann
Keyword(s):  
Bacterial Diversity ◽  
Diabetic Foot ◽  
Care Center ◽  
Bacterial Load ◽  
Limb Amputation ◽  
Older Individuals ◽  
Foot Care ◽  
Gram Positive ◽  
Gram Negative ◽  
Diabetic Foot Infection

Introduction A diabetic foot infection (DFI) contributes to high mortality and morbidity in diabetics due to its often rapid progressive and intricately treatable infection. DFIs are usually a polymicrobial infection and characterizing the entire bacterial load is still challenging. Prompt and effective treatment of DFI is nevertheless mandatory to safe limbs and lives. It is therefore crucial to know the local pathogen spectrum and its antibiotic susceptibility. Methods and Material For a 12-month period, we investigated 353 individuals with infected diabetic foot ulcer, their bacterial diversity, and antimicrobial susceptibility at fist-time visit in a Diabetic Foot Care Center in southern Germany. Results Cultures yielded 888 species, most of them gram-positive cocci (primary Staphylococcus aureus). The gram-negative sector was mainly formed by Pseudomonas aeruginosa and Enterobacteriacae. Because the prevalence of multiresistant species was surprisingly low (0.9% of isolated strains), we suggest penicillins with β-lactamase inhibitor in case of gram-positive–dominated infection or piperacillin/tazobactam or rather carbapenems with equal efficacy when gram-negative species are involved.

Vocal Fold Injection Augmentation for Post-Airway Reconstruction Dysphonia: A Case Series

2021 ◽  
pp. 000348942110125
Author(s):  
Mathieu Bergeron ◽  
John Paul Giliberto ◽  
Meredith E. Tabangin ◽  
Alessandro de Alarcon
Keyword(s):  
Vocal Fold ◽  
Care Center ◽  
Case Series ◽  
Retrospective Chart Review ◽  
Pediatric Care ◽  
Voice Perception ◽  
Perceptual Evaluation ◽  
Airway Reconstruction ◽  
Vocal Fold Injection ◽  
History Of

Objectives: Post airway reconstruction dysphonia (PARD) is common and has a significant effect on the quality of life of patients. Vocal fold injection augmentation (VFIA) is one treatment that can be used to improve glottic insufficiency in some patients. The goal of this study was to characterize the use and outcomes of VFIA for PARD. Methods: Retrospective chart review from January 2007 to July 2018 at a tertiary pediatric care center. Consecutive patients with PARD who underwent VFIA, who had a preoperative voice evaluation and a follow-up evaluation within 3 months after VFIA (fat, carboxymethylcellulose gel, hyaluronic acid). Results: Thirty-four patients (20 female) underwent VFIA. The mean age at the time of the injection was 13.6 years (SD 6.1). Twenty patients (58.8%) had a history of prematurity and a mean of 1.8 open airway surgeries. After injection, 29/34 patients (85.3%) noted a subjective voice improvement. The baseline Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) overall severity score decreased by a mean of 5.7 (SD = 19.6) points, P = .12. Total pediatric Voice Handicap Index (pVHI) improved by 6.0 (SD = 19.5) points, from 57.4 (SD = 20.0) to 51.4 (SD = 17.2), P = .09. Functional pVHI subscore demonstrated a significant improvement, with a decrease of 3.4 (SD = 7.3) points, P = .02. All procedures were performed as an overnight observation and no complication occurred. Conclusion: Patients with PARD represent a complex subset of patients. VFIA is a straightforward intervention that may improve voice perception. Many patients reported subjective improvement despite minimal objective measurement. Further work is warranted to elucidate the role of injection in management of PARD

The Interdisciplinary Health-Care Team.

Nursing Forum ◽  
1977 ◽  
Vol 16 (2) ◽  
pp. 165-184 ◽  
Author(s):  
Barbara Given ◽  
Sandra Simmons
Keyword(s):  
Health Care ◽  
Health Care Team ◽  
Care Team ◽  
Interdisciplinary Health Care

scholarly journals A ABORDAGEM PIKLER E A ORGANIZAÇÃO DO ESPAÇO PARA BEBÊS NA EDUCAÇÃO INFANTIL

2018 ◽  
Vol 15 (Especial 2) ◽  
pp. 01-07
Author(s):  
Renata Pavesi Cocito
Keyword(s):  
Teacher Training ◽  
Day Care ◽  
Basic Education ◽  
Care Center ◽  
Day Care Center ◽  
The World ◽  
Space Organization ◽  
Education And Care ◽  
Age Range ◽  
Institutional Space

The article comes from the studies carried out on the Pikler approach to promote teacher training and improvement of the work developed in a university day care center, focusing on the organization of spaces for babies. The objective is to present piklerian contributions for the organization of the institutional space for infants (children up to 1 year and 6 months of age). As methodology, we adopted bibliographic research. The Pikler approach originated in Budapest with the Hungarian physician Emmi Pikler who conducted the education and care of orphaned children from 1946. In studying the Pikler approach we understand space as a support to support babies in their motor acquisitions and their insertion in the world. The ample space, with little but adequate furniture and materials thought and selected for the specifics of the age range, allows the baby to experience the space with his body and, in this way, can gradually perceive and insert himself in the world that surrounds him . The actions of space organization, in the light of the Pikler approach, place the baby at the center of the pedagogical process and suppress the evidence and protagonism of the adult, still so present in this stage of Basic Education. The baby, powerful, capable and active, needs a context that supports him and allows him to experience his childhood with freedom and care.

scholarly journals Prevalence and course of thyroid dysfunction in neonates at high risk of Graves’ disease or with non-autoimmune hyperthyroidism

2021 ◽  
Vol 184 (3) ◽  
pp. 431-440
Author(s):  
Hassina Benlarbi ◽  
Dominique Simon ◽  
Jonathan Rosenblatt ◽  
Cecile Dumaine ◽  
Nicolas de Roux ◽  
...  
Keyword(s):  
High Risk ◽  
Thyroid Function ◽  
Thyroid Dysfunction ◽  
Genetic Disorder ◽  
Care Center ◽  
Receptor Gene ◽  
High Serum ◽  
Pediatric Care ◽  
Graves Disease ◽  
Neonatal Hyperthyroidism

Objective Neonatal hyperthyroidism may be caused by a permanent non-autoimmune genetic disorder or, more frequently, by maternally transmitted high serum TRAb levels. Variable thyroid dysfunction may be observed in this second context. We aimed to evaluate the prevalence of neonatal non-autoimmune hyperthyroidism and of the different types of thyroid function in neonates with a high risk of hyperthyroidism due to maternal Graves’ disease (GD). Design and methods This observational cohort study included all neonates identified in the database of a single academic pediatric care center, over a period of 13 years, as having non-autoimmune hyperthyroidism or an autoimmune disorder with high TRAb levels (above 6 IU/L) transmitted by their mothers. Patients were classified as having neonatal hyperthyroidism, hypothyroidism, or euthyroidism with a permanent or transient disorder. Results Two of the 34 consecutive neonates selected (6%) had permanent non-autoimmune hyperthyroidism due to germline (n = 1) or somatic (n = 1) mutations of the TSH receptor gene. The patients with high serum TRAb levels at birth had transient hyperthyroidism (n = 23), hypothyroidism (primary n = 2, central n = 3) or persistent euthyroidism (n = 4). Conclusion These original findings highlight the need for careful and appropriate monitoring of thyroid function in the long term, not only for the rare patients with non-autoimmune neonatal hyperthyroidism, but also for repeat monitoring during the first month of life in neonates with maternally transmitted high TRAb levels, to ensure the early identification of thyrotoxicosis in more than two thirds of cases and to detect primary or central hypothyroidism, thereby potentially decreasing associated morbidity.

scholarly journals Self-regulation and Locus of Control Predicting EFL Learners’ Willingness to Communicate

2018 ◽  
Vol 8 (8) ◽  
pp. 1094
Author(s):  
Shirin Arkavazi ◽  
Mania Nosratinia
Keyword(s):  
Locus Of Control ◽  
Internal Control ◽  
Quantitative Research ◽  
Self Regulation ◽  
Sampling Strategy ◽  
Willingness To Communicate ◽  
Efl Learners ◽  
Research Questions ◽  
Positive Correlations ◽  
Age Range

The purpose of this descriptive quantitative research was to systematically investigate the association among EFL learners' Self-Regulation (SR), Locus of Control (LC), and their Willingness to Communicate (WTC). To fulfill this purpose, 222 male and female EFL learners, within the age range of 20 to 32 (Mage = 26) were selected based on the convenience sampling strategy. These participants were asked to fill in three questionnaires, namely the English versions of the Motivated Strategies for Learning Questionnaire (Pintrich, Smith, Garcia, & McKeachie, 1991), the Internal Control Index (Duttweiler, 1984), and the WTC Scale (McCroskey, 1992). Since the assumptions of normality of distribution were partially violated, the research questions were answered using parametric and non-parametric tests. The obtained results led the researchers to conclude that significant and positive correlations exist between SR and WTC, SR and LC, and LC and WTC. Furthermore, considering WTC the predicted variable, a regression analysis revealed that LC is a better predictor of WTC than SR. The study finally presents a discussion on the results and provides some implications for those engaged in EFL learning and instruction.

scholarly journals High prevalence of syndromic disorders in patients with non-isolated central precocious puberty

2018 ◽  
Vol 179 (6) ◽  
pp. 373-380 ◽  
Author(s):  
Selmen Wannes ◽  
Monique Elmaleh-Bergès ◽  
Dominique Simon ◽  
Delphine Zénaty ◽  
Laetitia Martinerie ◽  
...  
Keyword(s):  
Chromosomal Abnormalities ◽  
Care Center ◽  
Central Precocious Puberty ◽  
Neurofibromatosis Type ◽  
Autism Spectrum ◽  
Pediatric Care ◽  
Mri Findings ◽  
Complex Disorders ◽  
Hypothalamic Lesions ◽  
Cns Midline

Objective Non-idiopathic CPP is caused by acquired or congenital hypothalamic lesions visible on MRI or is associated with various complex genetic and/or syndromic disorders. This study investigated the different types and prevalence of non-isolated CPP phenotypes. Design and Methods This observational cohort study included all patients identified as having non-idiopathic CPP in the database of a single academic pediatric care center over a period of 11.5 years. Patients were classified on the basis of MRI findings for the CNS as having either hypothalamic lesions or complex syndromic phenotypes without structural lesions of the hypothalamus. Results In total, 63 consecutive children (42 girls and 21 boys) with non-isolated CPP were identified. Diverse diseases were detected, and the hypothalamic lesions visible on MRI (n = 28, 45% of cases) included hamartomas (n = 17; either isolated or with an associated syndromic phenotype), optic gliomas (n = 8; with or without neurofibromatosis type 1), malformations (n = 3) with interhypothalamic adhesions (n = 2; isolated or associated with syndromic CNS midline abnormalities, such as optic nerve hypoplasia, ectopic posterior pituitary) or arachnoid cysts (n = 1). The patients with non-structural hypothalamic lesions (n = 35, 55% of cases) had narcolepsy (n = 9), RASopathies (n = 4), encephalopathy or autism spectrum disorders with or without chromosomal abnormalities (n = 15) and other complex syndromic disorders (n = 7). Conclusion Our findings suggest that a large proportion (55%) of patients with non-isolated probable non-idiopathic CPP may have complex disorders without structural hypothalamic lesions on MRI. Future studies should explore the pathophysiological relevance of the mechanisms underlying CPP in these disorders.

Home-Based Pediatric Cancer Care: Perspectives and Improvement Suggestions From Children, Family Caregivers, and Clinicians

2021 ◽  
pp. OP.20.00958
Author(s):  
Lindsay A. Jibb ◽  
Julie Chartrand ◽  
Tatenda Masama ◽  
Donna L. Johnston
Keyword(s):  
Family Caregivers ◽  
Pediatric Cancer ◽  
Cancer Care ◽  
Care Center ◽  
System Level ◽  
Pediatric Care ◽  
Children With Cancer ◽  
Key Informants ◽  
Home Based ◽  
Home Based Care

PURPOSE: Although the hospital remains the dominant site for delivering most pediatric cancer care, home-based care is increasingly provided. To effectively deliver comprehensive, relevant, and acceptable care in children's homes, the voices of these key informants must be considered. We examined the views of children with cancer, their family caregivers, and clinicians on home-based cancer care to identify necessary strategies to improve the delivery of care. METHODS: Children with cancer, their family caregivers, and multiprofessional clinicians who provide care at a tertiary pediatric care center or in the community participated in audio-recorded, semistructured interviews in French and English. Interviews were conducted until data saturation in each participant group was achieved. Interviews were transcribed, coded, and analyzed using thematic analysis. RESULTS: Thirteen children, 20 family caregivers, and 22 clinicians participated. Home-based care was endorsed as a means to improve child health-, family social- and financial-, and system-level outcomes. The success of a home-based model is built on care that addresses child and family informational, treatment and care, material, and psychosocial needs. Mechanisms to improve care include enhanced homecare agency-hospital-family communication, training for homecare nurses in pediatric cancer care, virtual solutions, and an expanded breadth of services provided in-home. Child-, family-, and system-related factors affect the delivery of optimal home-based care. CONCLUSION: Children, families, and clinicians value a model of pediatric cancer care that incorporates home-based services. The insights of these key informants should be reflected in the principles that become the basis of home-based cancer care best practices.

HUBUNGAN ANTARA RESILIENSI DENGAN PERAN IBU PADA ANAK PENYINTAS BENCANA DI HUNTARA LERE

2020 ◽  
Vol 1 (1) ◽  
pp. 31-50
Author(s):  
Gustina Gustina ◽  
Nurdin Nurdin ◽  
Yulian Sri Lestari
Keyword(s):  
Data Collection ◽  
Quantitative Research ◽  
Quantitative Research Methods ◽  
Child Survivors ◽  
Disaster Victims ◽  
Need Support ◽  
Disaster Survivors ◽  
Using Data ◽  
Data Collection Technique ◽  
Age Range

Natural disasters challenge regions, environments, and communities to regain control of their lives and rise to face their future. To turn up from pressure or be resilient, disaster victims need support from their families and their environment. Disaster victims need help from their families and their environment to rise again from pressure or be resilient. Based on this, there is an assumption that mothers can increase survivors' resilience to keep growing from stress. The method used in this research is quantitative research methods, using data collection techniques through questionnaires or questionnaires as a data collection technique. The research was conducted at Huntara Lere. The population in this study were child survivors of the disaster in Lere Huntara with the criteria for children in the age range 7-12 years and lived in Lere Village, West Palu District, Palu City. The collected data were then analyzed using validity, reliability, and assumption tests using the SPSS 16 assisted technique. This study shows no significant correlation between resilience and the role of mothers in child disaster survivors in Huntara Lere. Another finding from this study is that, in general, child survivors in Huntara Lere were not cared for by their parents.

scholarly journals Characteristics of primary care and rates of pediatric hospitalizations in Brazil

2020 ◽  
Vol 54 ◽  
pp. 32
Author(s):  
Lívia Anniele Sousa Lisboa ◽  
Rejane Christine de Sousa Queiroz ◽  
Erika Bárbara Abreu Fonseca Thomaz ◽  
Núbia Cristina da Silva ◽  
Thiago Augusto Hernandes Rocha ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Center ◽  
Medical Professional ◽  
Pediatric Care ◽  
Population Census ◽  
Cross Sectional ◽  
Health Care Center ◽  
The North ◽  
Unified Health System ◽  
Annual Population

OBJECTIVE: To evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil. METHOD: In this study, a cross-sectional ecological study was performed. This study analyzed the 27 capitals of Brazil’s federative units. Data were aggregated from the following open access databases: National Program for Access and Quality Improvement in Primary Care, the Hospital Information System of Brazilian Unified Health System and Annual Population Census conducted by the Brazilian Institute of Geography and Statistics. Associations were estimated among characteristics of primary care with the number of three PCSC as the leading causes of hospitalization in children under-5 population in Brazil: asthma, diarrhea, and pneumonia. RESULTS: In general, PHCC showed limited structural adequacy (37.3%) for pediatric care in Brazil. The capitals in South and Southeast regions had the best structure whereas the North and Northeast had the worst. Fewer PCSC hospitalizations were significantly associated with PHCC which presented appropriate equipment (RR: 0.98; 95%CI: 0.97–0.99), structural conditions (RR: 0.98; 95%CI: 0.97–0.99), and signage/identification of professionals and facilities (RR: 0.98; 95%CI: 0.97–0.99). Higher PCSC hospitalizations were significantly associated with PHCC with more physicians (RR: 1.23, 95%CI: 1.02–1.48), it forms (RR: 1.01, 95%CI: 1.01–1.02), and more medications (RR: 1.02, 95%CI: 1.01–1.03). CONCLUSION: Infrastructural adequacy of PHCC was associated with less PCSC hospitalizations, while availability medical professional and medications were associated with higher PCSC hospitalizations.

Sign in / Sign up

Export Citation Format

Share Document