Evaluation of the economic impact of the care of childrem affected by IRR on the average expenses fo families

Complementary medicine is more and more used in children and though its clinical outcome has not been clearly assessed. The aim of our group is to evaluate, besides clinical result, the role of biotherapies in a bio-psycho-social environment. In another study we compare the quality of life in families with children affected by atopic dermatitis, who received biotherapic treatment, before and after, by DFIQ. Preliminary results of this study show a clear improvement of indexes for these families. So, in this psycho-social perspective we led this other study, aiming at evaluating the treatment costs in children of age 3 to 6 attending kindergarten and affected by Recurrent Respiratory Infection (IRR), the so called “ever sick children”. The expenses evaluation difference was considered between families who use allopathic therapy, and families who use complementary therapies, from January to April. So far , as the first results are being gathered , the emerging impression referring to some of the sheets points out that some of the pure complementary medicine utilizes shows significant costs as the season starts , but on the long run meet lowering expenses both about illness ( sick child ) and social charges ( school and working days loss ). The Complementary Medicine treated children show a significantly smaller number of diseases all over the examined season. The average cost of conventional care treatment stands between 100 and 150 euro during the 4 months , while the charge of CAM was 100 -150 euro of actual cost . The expenses for CAM treatments are associated to a smaller number of diseases and therefore, as for social costs, CAM user´s expenses prove less charging.

Management of the sick child

Emergency triage assessment, Management of shock in children with severe malnutrition, Coma and convulsions, The sick young infant, Neonatal notes, Low birth weight and prematurity, Perinatal asphyxia/hypoxic ischaemic encephalopathy, Neonatal infection

THE POLEMIC CONTEXT OF THE “SICK CHILD” IMAGE BY A. A. BLOK

This study examines the early phase of the self-defining process in Russian literary modernism, which demonstrated a desire to establish clear demarcation between “decadence” and “symbolism” on one hand and to be free from the psychopathological discourse in the evaluation of new artistic phenomena, thereby shifting the conventionally recognized border between “norm” and “pathology.” This paper analyses Aleksander Blok’s own views on “decadence” and “decadents” on the basis of his ego-documents (his diary and notebooks), discusses “decadents” and “symbolists” in the press, and, finally, the poet’s response to them and its literary embodiment — the poem “A. M. Dobrolyubov” (1903). In this poem Blok represents the image of one of the first Russian decadents A. Dobrolyubov, whose life became a legend, giving rise to a certain narrative. The basic concepts of the image created by Aleksander Blok in this poem are investigated, in particular, the image of a “sick child”: its sources, which date back to the polemics of the early 1900s and to a corpus of articles written by Z. Gippius, are identified along with a number of intertextual parallels (D. Merezhkovsky, F. Dostoevsky, A. Dobrolyubov). The article traces the poem’s textological history (from a note in the autograph book and the first publication to the inclusion in the “lyrical trilogy”) and reveals the functions of the epigraph as a marker of the “Petersburg text.”

Influence of a Child’s Cancer on the Functioning of Their Family

Background—A child’s cancer affects their entire family and is a source of chronic stress for a sick child, as well as for their parents and siblings. It deprives them of the feeling of security; introduces uncertainty, fear and anxiety; and destabilises their life. It mobilises the family since they have to reconcile the treatment and frequent appointments at the hospital with the hardships of everyday life. The emotional burden they have to deal with is enormous. Recognition of the needs of such a family allows for the implementation of support, psychosocial care and psychoeducation, as well as the provision of reliable information. Patients and Methods—A population survey was conducted between 2015 and 2020. Caregivers of children diagnosed with cancer were invited to participate in the study to assess their problems and needs. Results—All respondents in their legal status were parents of children with cancer. The study included 800 people, where women accounted for 85% and men accounted for 15%. The mean age of the mother was 38.09, SD = 7.25, and the mean age of the father was 41.11, SD = 7.03. The occurrence of problems negatively correlated with both the age of the parents (p < 0.0001) and the level of education (p < 0.0001). Parents who admitted having financial problems more often reported problems of a different kind; moreover, financial problems were more often reported by parents of children who were ill for a longer time (p = 0.01). Conclusions—Parents of children suffering from cancer reported numerous psychological, social and somatic problems. The identification of problems through screening should translate into specific interventions, thus creating support for the families of children with cancer. Promoting coping with difficult emotions and the ability to solve problems when a child is ill has a positive effect on the functioning of the family.

Education of Parents of Epilepsy Children

Epilepsy is a many-sided disease that manifests itself as seizures of various kinds and origin, which can start at any age, often in childhood. The nursing, training and treatment of a sick child have serious implications for the whole family. The most significant factor becomes the ability of a nurse to impart existing professional knowledge to a patient and his or her family and to teach about disease control measures. More informed patients and their families feel more in control of their illness than less informed patients and their relatives. People with epilepsy and the general public lack general information about the condition, knowledge about care and how to deliver it, and access to services. Educating loved ones is a key tool in disease control and prevention.The research was conducted in October and November of 2019 in one of the city hospitals in Vilnius. The analysis of questionnaire data before the training revealed that parents whose children suffer from epilepsy have lack of information about the disease. The questionnaire data after the training showed that parents acquired more knowledge and the results improved. The majority of parents whose children suffer from epilepsy is well informed about the disease. However, they have a lack of knowledge in relation to the factors provoking epileptic seizures. Besides, they are not aware when it is necessary to call the ambulance and when to use first aid medicines. The parents are interested in innovations related to epilepsy, treatment and care of a sick child. All the parents have a need to gain knowledge about the disease. The comparison of parents’ awareness of the disease before and after the training showed that parents had learnt to provide aid correctly during seizures. The training was effective.

Assessment of the nutritional status and factor associated with children under 5 in remote areas at Don Duong district, Lam Dong province.

A cross-sectional study established the nutritional status (wasted status) and factors associated with children under 5 years old living in remote areas, Don Duong district, Lam Dong province, 2019. The results showed: the percentage of underweight was 19.3%. There are several factors associated with the nutritional status included: Iron-folic tablet consumption, social-economic status of family, birth weight, breastfeeding, vitamin A consumption, sick child nursing.

Preschoolers' Helping Motivations: Altruistic, Egoistic or Diverse?

Based on Eisenberg et al.'s model of prosocial motivations, the present study examined what motivates preschoolers to display instrumental helping and how various motivations develop during the preschool years. The participants were 477 preschoolers aged 3–5 years assigned to one of five groups. In each experimental group, the experimenter emphasized an altruistic or egoistic helping motivation, namely, empathic concern, moral rules, praise or rewards. In the control group, no helping motivations were emphasized. Their instrumental helping was then measured by sorting cards for a sick child to play a game. The results show that each helping motivation had a positive effect on instrumental helping. Most of the motivational effects were similar across age, but the motivational effect of empathic concern increased obviously at the age of 5 years. Therefore, the present study reveals that both altruistic and egoistic motivations motivate preschoolers to help others. Most of the motivations develop steadily during the preschool years, but empathic concern as an altruistic motivation increases greatly at the end of the preschool years. The present study thus confirms the diversity of preschoolers' helping motivations with Eisenberg et al.'s model of prosocial motivations.