scholarly journals The works of mercy of the russian royal house. Training in children’s diseases in the yelenin clinical institute

2018 ◽  
pp. 13-17
Author(s):  
F. P. Romanyuk ◽  
N. L. Vlasova

The history of the creation of the first in the country institute of advanced training of paediatricians is intriguing by the intertwining of state tasks and personal destinies of various people: royal persons, architects, doctors. The article describes the prerequisites and tasks that were set during the arrangement, construction and the first years of operating of the Yelenin Institute. The article provides the stories of the first doctors - paediatricians of the Yelenin Institute, the main doctors of the first children’s hospitals in St. Petersburg. 

2014 ◽  
Vol 2 (7) ◽  
pp. 242-246
Author(s):  
Linda Shields

Children are unique human beings who need attention from an adult including their parents in order to assist him/her to deal with problems in their childhood period. An unhealthy child needs more attention from adult person including a nurse in order to assist him/her to deal with experiences during his/her period. Children’s hospital was not always as a convenient place for unhealthy children. They were thought as places which could detach children from their parents. However, considering the history of development of children’s hospitals is important for those who are involved in nursing care for children. This article discuss about a history of children’s hospitals and focuses on how important to prepare unhealthy child to face a separation process. The article also discusses about stages through which children who are separated from their parents go.Keywords: Children, hospital, separation, health care delivery system. Abstrak Anak-anak adalah makhluk unik yang membutuhkan perhatian dari orang dewasa termasuk orang tua dalam rangka membimbing menghadapi masalah-masalah selama masa anak-anak. Seorang anak yang sakit membutuhkan lebih banyak perhatian dari orang-orang dewasa termasuk perawat dalam rangka membantunya menghadapi pengalaman selama sakit. Di masa lalu, rumah sakit anak tidak dilihat sebagai tempat yang nyaman untuk anak-anak yang sedang sakit. Rumah sakit ini telah dianggap sebaga tempat pemisah antara anak-anak dan orang tuanya. Beberapa tahun terakhir, rumah sakit di negara-negara yang sedang berkembang telah berubah citranya dari “sebuah tempat untuk: naughty boy” menjadi sebuah tempat dimana seorang anak dapat melanjutkan kegiatan hariannya dengan atau tanpa orang tua. Mempertimbangkan sejarah perkembangan rumah sakit-rumah sakit anak amat penting bagi mereka yang terlibat dalam pelayanan/asuhan keperawatan pada anak-anak. Artikel ini mendiskusikan tentang rumah sakit anak, dan berfokus pada betapa pentingnya mempersiapkan anak-anak yang sakit untuk menghadapi proses perpisahan. Artikel ini juga membahas tentang fase-fase yang harus dilalui oleh anak-anak yang dipisahkan dari orang tua selama sakit.Kata kunci: Anak-anak, rumah sakit, perpisahan, sistem pemberian asuhan keperawatan. 


2010 ◽  
Vol 4 ◽  
pp. CMPed.S4624 ◽  
Author(s):  
Takeo Fujiwara ◽  
Hiroaki Nagase ◽  
Makiko Okuyama ◽  
Takahiro Hoshino ◽  
Kazunori Aoki ◽  
...  

Objective The clinical presentations of head trauma due to falls among young children aged less than 2 years are controversial, particularly in Japan, as the history of trauma recounted by a caretaker is not always reliable. The purpose of this study was to assess the validity of caregiver's reports on head trauma due to falls in young children aged less than 2 years in Japan. Methods All patients <2 years of age presenting with head trauma resulting from a fall who were admitted to 3 children's hospitals in Japan from January 2001 to December 2005 were retrospectively reviewed (N = 58). The clinical presentations were compared among groups categorized by the heights from which the patient fell (short (≤ 120 cm) or long (>120 cm)) and the surface on which the patient landed (carpet, tatami (Japanese mattress), hardwood floor, or concrete). Results Patients who suffered short falls were more likely to present with subdural hemorrhage (SDH) than those who suffered long falls (74% and 40%, respectively, P = 0.027). More specifically, 62% of short falls showed SDH indicative of shaken baby syndrome (e.g. multilayer SDH). Neurological symptoms, cyanosis, and SDH were more commonly observed inpatients who landed on carpeted or tatami surfaces than in those who landed on hardwood or concrete floors. Conclusions Short falls and landing on soft surfaces resulted in the presentation of severer clinical symptoms than did long falls and landing on hard surfaces, suggesting that the validity of caretakers’ reports on infant or young children's head trauma due to falls is low. Further research is warranted to investigate the cause of infant head trauma due to falls.


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