scholarly journals ORGANIZATIONAL ASPECTS OF PROVIDING MEDICAL CARE TO CHILDREN WITH INJURIES AT THE REGIONAL LEVEL

2021 ◽  
Vol 48 (1) ◽  
Author(s):  
Z. V. Lashkul ◽  
V. V. Chemirisov ◽  
V. L. Kurochka ◽  
N. Y. Motovytsya ◽  
L. D. Yarova
Keyword(s):  
Medical Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Research Work ◽  
Postgraduate Education ◽  
Regional Level ◽  
Growth Trend ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Medical Histories

Abstract Purpose of the study. To study and analyze the trend of injuries among children aged 0-14 years and organizational aspects of providing them with medical care at the regional level. Material and methods. The research was conducted on the basis of the municipal nonprofit enterprise «Zaporizhzhya Regional Clinical Children's Hospital» of Zaporizhzhya Regional Council, and was performed as part of a comprehensive research work «Medical and social substantiation of the model of prevention of morbidity and mortality of children and adolescents behavior»(№ state registration: 0118U003679), performed in the State Institution «ZaporozhyeMedical Academy of Postgraduate Education of the Ministry of Health of Ukraine» since 2017. According to the objectives of the study, an analysis of medical histories of patients who were treated in the institution for injuries from 2014–2018. Research results and their discussion. During the period from 2014 to 2018, 4457 children aged 0 to 14 were treated for injuries and other injuries at the Zaporizhia Regional Clinical Children's Hospital. The number of injured children during this period tends to increase. It was found that the number of injured among boys is almost twice as high as among girls. The growth trend during the study period, injuries among boys is + 27,1%, among girls it tends to decrease and is -26,1%. The study found significantly more cases of injuries among children in urban areas. Thus, in 2018 they amounted to 82,5%, compared to 17,5% of cases among rural children. It was found that the number of hospitalized children with traffic injuries during the study period increased 5 times. The trend for the study period is +333,3%. The number of children hospitalized due to street injuries has doubled. The study found that the number of appeals during the first hour after the injury in rural areas is 2 times less than in urban areas. Conclusions. The results of the obtained research became a roadmap for the organization of preventive work at the inter-sectoral level, aimed at preventing the causes of injuries, the organization of timely medical care at the pre-hospital stage. Keywords: injuries of children, types of injuries, interval of appeals, medical care.

Civic Participation and Social Embeddedness: Differences Between Urban and Rural Communities

2021 ◽  
Vol 3 (1) ◽  
pp. 45-67
Author(s):  
Tuuli-Marja Kleiner
Keyword(s):  
Social Network ◽  
Rural Communities ◽  
Survey Data ◽  
Rural Areas ◽  
Urban Areas ◽  
Civic Participation ◽  
Regional Level ◽  
Social Embeddedness ◽  
The Social ◽  
Multi Level

Does civic participation lead to a large social network? This study claims that high levels of civic participation may obstruct individual social embeddedness. Using survey data from the German Survey on Volunteering (Deutscher Freiwilligensurvey; 1999–2009), this study conducts macro- as well as multi-level regressions to examine the link between civic participation and social embeddedness. Findings reveal that civic participation on the sub-national regional level is not generally associated with social embeddedness, but it affects the participants’ and non-participants’ possibilities for friendships differently. This holds especially true in urban areas, but the effect cannot be found in rural areas. The analysis has implications for further research to enhance the social embeddedness of the excluded.

scholarly journals Modern approaches to improving the quality of medical care for premature children in Moscow health care

2020 ◽  
Vol 65 (1) ◽  
pp. 5-10 ◽  
Author(s):  
I. M. Osmanov ◽  
A. K. Mironova ◽  
A. L. Zaplatnikov
Keyword(s):  
Health Care ◽  
Body Weight ◽  
Medical Care ◽  
Rehabilitation Center ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Quality Of Medical Care ◽  
Premature Children

This article is devoted to the issue of nursing and further monitoring of children born with very low and extremely low body weight. The article presents the data of international statistics and seven-year experience of the Rehabilitation Center for children born with very low and extremely low body weight, based on a large multidisciplinary children’s hospital. The authors pay particular attention to improvement of medical care of children born with very low and extremely low body weight.

DEFECTIVE STEROIDAL BIOGENESIS IN CONGENITAL ADRENAL HYPERPLASIA

PEDIATRICS ◽  
1958 ◽  
Vol 21 (4) ◽  
pp. 661-672
Author(s):  
Alfred M. Bongiovanni ◽  
Walter R. Eberlein
Keyword(s):  
Research Work ◽  
Assistant Professor ◽  
The United States ◽  
University Of Pennsylvania ◽  
Rockefeller Institute ◽  
Children's Hospital ◽  
Research Division ◽  
Children’S Hospital ◽  
The University

Dr. Alfred M. Bongiovanni is a young man who started research work as an investigator at the Marine Biological Laboratory, Woods Hole, Massachusetts, even before he received his B.S. degree from Villanova College in 1940. While at Villanova, Dr. Bongiovanni received the Kolmer Medal for Excellence in Science. In 1943 he received his M.D. from the University of Pennsylvania, following which he immediately served a 2-year tour of duty in the United States Navy. After discharge from the Navy, he filled residencies at the Children's Hospital of Philadelphia from 1947 to 1949. During the years 1949 and 1950, Dr. Bongiovanni served as Assistant Physician at the Rockefeller Institute in New York and in 1950-51 returned to the Children's Hospital of Philadelphia as Assistant Director of Clinics. In 1951 he was appointed the National Foundation of Infantile Paralysis Fellow to the Research Division of the Children's Hospital of Philadelphia. New opportunities and promotions quickly followed with an appointment as Assistant Professor of Pediatrics at Johns Hopkins in 1952; Senior Research Associate in the Pediatric Endocrine Division and Assistant Professor of Pediatrics at the University of Pennsylvania in 1954; and in 1955 Associate Professor of Pediatrics at the same university. Dr. Bongiovanni is a Diplomate of the American Board of Pediatrics and a member of the Editorial Board of the American Journal of Medical Sciences and of numerous professional societies. In 1956 Dr. Bongiovanni received the Ciba Award. Dr. Bongiovanni has been author of about 50 articles, the great majority of which are on endocrinology and at least 23 of them with Dr. Eberlein, who is the co-recipient with Dr. Bongiovanni of this Award, as a co-author.

SKEWED PEDIATRIC PRIORITIES

PEDIATRICS ◽  
1979 ◽  
Vol 63 (3) ◽  
pp. 388-388
Author(s):  
D. Morley
Keyword(s):  
Developing Countries ◽  
Medical Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Low Cost

Although three quarters of the population in most developing countries live in rural areas, three quarters of the spending on medical care is in urban areas, where three quarters of the doctors live. Three quarters of the deaths are caused by conditions that can be prevented at low cost, but three quarters of the medical budget is spent on curative services, many of them provided for the elite at high cost.

scholarly journals Prevalence, Types and Risk Factors of Congenital Anomalies (A Hospital Based Study)

2020 ◽  
Author(s):  
Amira M. Shalaby ◽  
Amira F. EL-Gazzar
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Congenital Anomalies ◽  
Urban Areas ◽  
Positive Family History ◽  
Consanguineous Marriage ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Significant Difference ◽  
Children’S Hospital

Abstract Background: Congenital anomalies (CA) are common causes of infant’s and childhood deaths and disability. Objectives: The aim of the study is to determine the prevalence, describe the types and risk factors of congenital anomalies among newborns admitted to Neonatal Intensive Care Unit (NICU) of a Children's Hospital. Study design: It is a prospective observational study(analytic cross sectional study) was performed and screening of the newborn admitted at NICU of a Children's Hospital during the period of 6 months from 1 to 12-2017 to the end of 5-2018. The sample was 346 newborns, 173 cases and 173 control. We collected data using a record checklist and an interviewing questionnaire.Results: There were a significant difference between cases and control concerning gestational age (P=0.001), single or multiple babies (P=0.002), residence (P=0.001), consanguineous marriage (P=0.01) and family history of unfavorable outcome (P=0.001). We also found that the most common type of congenital anomalies was gastrointestinal anomalies 63 cases (36.4%) with tracheoesophageal fistula 17 cases (27%) being the most common GIT anomalies. Then the musculoskeletal anomalies being the second common anomalies 14.5% with diaphragmatic hernia 10 cases being the most common in musculoskeletal anomalies followed by other anomalies (22 multiple +1Conjoined Twins 23 cases (13.3%) followed by circulatory anomalies 22 cases (12.7%), followed by CNS anomalies 18 cases (10%). Conclusion: The prevalence of congenital anomalies was 22.97%. The most common anomalies were gastrointestinal anomalies (GIT), musculoskeletal anomalies, multiple anomalies and circulatory system anomalies. The risk factors were consanguineous marriage, positive family history, urban areas, full-term and singleton pregnancies.

Inclusive Technology for Rural Development

2014 ◽  
Vol 6 (2) ◽  
pp. 1-17
Author(s):  
Sanjay Mohapatra ◽  
Neha Agarwal
Keyword(s):  
Social Services ◽  
Rural Areas ◽  
Urban Areas ◽  
Research Work ◽  
Baseline Survey ◽  
Call Centre ◽  
Communication Tool ◽  
Common People ◽  
Related Information ◽  
Information And Communication

This is a research work on usage of information and communication technology to address the loopholes in the existing system in rural India and suggest an improved way of catering to basic utility services to common people for betterment of their life. The work links all utility related discrete businesses on a common platform and creates a win-win situation for all stakeholders. The model proposed is trying to use mobile phones as a universal communication tool while providing social services in a rural call centre. The work also addresses the relative ranking of services in rural areas based on baseline survey as rural people spend 80% of their expense on obtaining health, transport, and education related information by frequent visits to urban areas. If this model is implemented then it will save time, cost and transport expenses on frequent visit and customer will enjoy the information, tips, and emergency guide line.

Training pediatricians for primary medical care

PEDIATRICS ◽  
1974 ◽  
Vol 54 (2) ◽  
pp. 131-133
Author(s):  
Jack G. Shiller
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Medical Care ◽  
Research Training ◽  
Medical Center ◽  
Memorial Lecture ◽  
Recent Issue ◽  
Primary Medical Care ◽  
Children's Hospital ◽  
Children’S Hospital

A recent issue of this Journal carried the Kenneth G. Blackfan Memorial Lecture delivered to the Children's Hospital Alumni Association in Boston on May 30, 1973.1 It was given by Dr. Cicely Williams and entitled "Health Services in the Home." In her message directed at pediatric academia, Dr. Williams essentially said, "Be off with your ultrascience, your superspecialists ... Give thought instead to the thousands who are sick ... Teachers, stop seducing the very best into your snare of enzymes, isotopes and transducers, leaving only a small group to replace our dwindling cohort of primary care deliverers." That very same issue carried a commentary entitled "Primary Medical Care and Medical Research Training" by Dr. David G. Nathan of the Children's Hospital Medical Center.2

Medical Care of the Adolescent, J. R. Gallagher, M.D. New York, Appleton- Century-Crofts, Inc., 1960, 369 pp., $10.00

PEDIATRICS ◽  
1960 ◽  
Vol 26 (5) ◽  
pp. 807-807
Keyword(s):  
New York ◽  
Medical Care ◽  
Special Needs ◽  
Children's Hospital ◽  
Special Unit ◽  
Present Volume ◽  
Children’S Hospital ◽  
The Many

The establishment of a special unit for adolescents at the Children's Hospital in Boston encouraged the acquisition of a better understanding of the medical care of the adolescent. The present volume summarizes the experience of a considerable group of physicians who participated in this experience. The volume deals with the many facets of physiologic and psychologic features of adolescence and brings the pertinent material from many fields into focus in terms of the adolescent's special needs.

Through My Window—Remarks at the 125th Year Celebration of Children's Hospital of Boston

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 785-791
Author(s):  
D. Holmes Morton
Keyword(s):  
Medical Care ◽  
Men And Women ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Special Children ◽  
Work Done ◽  
Life Work

Today we celebrate the 125th year of The Children's Hospital. We celebrate the medical care, the research, and the teaching of the men and women whose efforts made this hospital great. At this time let us also remember the children for whom they cared. This hospital, the knowledge gained here, the work done here, and the inspiration for the life-work of these great people, all of these, were gifts from children. children who were sick and suffered much to give such gifts. The Plain people call them God's Special Children and value them, love them, care for them, and remember them when they are gone. So should we.

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