Current Issue : October - December Volume : 2018 Issue Number : 4 Articles : 6 Articles
The continuous assessment of child health services generates knowledge about\nthe real needs of health services and actions in order to achieve better results\nand indicators. Thus, this study proposes to analyze child health indicators,\nbased on the information systems of health services. This is a descriptive,\necological epidemiological study carried out using secondary data from the\nfollowing information systems: Information System on Live Births and Mortality\nInformation System, in a historical series of ten years (2005-2014) of the\nstate of Rio Grande do Norte and its health micro regions. It was observed a\ndecrease in infant, neonatal, preterm, late neonatal and postnatal mortality\ncoefficients when compared to the first and last year of the observed period, as\nwell as the concentration of these in micro-regions of health. There was also a\npositive association between the early neonatal component and infant death.\nIn this perspective, it is important to evaluate the quality of prenatal care,\nchildbirth, puerperium, the first week of integral health and follow-up of the\nchild�s growth and development, as well as to relate the socio-demographic\nconditions that may be associated with infant morbimortality. Therefore, the\nimportance of situational health assessment studies for the effectiveness of\ncare provided is highlighted, identifying weaknesses and monitoring the effectiveness\nof strategies....
Children and young people with life-limiting illnesses who need palliative care often have\ncomplex diverse medical conditions that may involve multiple hospital presentations, medical\nadmissions, care, or transfer to other medical care facilities. In order to provide patients with\nholistic care in any location, palliative care clinicians need to carefully consider the ways to maintain\ncontinuity of care which enhances the childââ?¬â?¢s quality of life. An emerging model of care known as\nââ?¬Å?Pop Upââ?¬Â describes the approaches to supporting children and young people in any facility. A Pop Up\nis a specific intervention over and above the care that is provided to a child, young person and their\nfamily aimed at improving the confidence of local care providers to deliver ongoing care. This paper\nlooks at some of the factors related to care transfer for pediatric palliative patients from one care\nfacility to another, home and the impact of this on the family and medical care....
The aim of this study was to determine the level of knowledge that nurses in\nthe neonatal intensive care units (NICU) of a public birth center had about\nthe use of the Neonatal Infant Pain Scale (NIPS) and to test how their scoring\nfor NIPS changed before and after training. Thirty nurses applied the NIPS\nscale to newborns that were procedures considered painful. During the first\nand second evaluations, nurses diagnosed 30% infants as having pain and 70%\ninfants as having an absence of pain. In the third and fourth evaluations, after\nthe NIPS parameters had been explained, we observed an increase in the\nnumber of infants diagnosed with the presence of pain (65%). The results indicate\nthe importance of formal training for the systemic evaluation of pain in\nnewborns....
Background: Hypertension (HPT) is a major public health problem. Many\nstudies have attempted to investigate HPT in school children. Few, however,\nhave targeted hospital HPT. We conducted this study to describe the epidemiologic\ncharacteristics, etiologies, management, and outcome of hospital\nHPT in our setting. Methods: This was a prospective and descriptive study\ncarried out from March 01 through June 30, 2017 in the pediatric departments\nof two university hospitals: Centre National Hospitalier Universitaire Hubert\nK. Maga and Centre Hospitalier Universitaire de la MÃ?¨re et de Lââ?¬â?¢Enfant Lagune\nof Cotonou, Benin. Every consecutive patient aged 3 to 18 years who was\nadmitted to the two hospitals for any reason had his (her) BP measured. Every\npatient with HPT was reviewed for demographics, history and clinical examination,\nand laboratory investigations as appropriate. Management was done\naccordingly. Outcome was also recorded. Results: The hospital frequency of\nHPT was 1.98% (31 cases/1565 admissions). The male/female ratio was 1.06\n(16 males, 15 females). Mean age was 8.5 years Ã?± 4.39 (range, 3 to 16 years).\n74.19% patients had Body mass index within âË?â??2SD and +2SD. Only one patient\nhad BMI above +3SD. The main etiologies found were renal: acute tubular\nnecrosis (45.16%), acute glomerulonephritis (16.13%), and acute pyelonephritis\n(12.90%). Diuretics (64.5%), were the main antihypertensive drugs\nused. A single drug therapy was used in 35.4%, a two-drug therapy in 32.2%\nand a three-drug therapy in 9.6% of cases. Length of hospital stay was more\nthan one week in 70.97% of cases. Hospital death rate for HPT was 19.35%. The\noutcome was not known in one patient due to exit from hospital against medical\nadvice. All the other patients fully recovered at one month post-discharge follow-up. Conclusion: HPT presents as a symptomatic disease in our hospitals;\nit has a renal etiology in most cases and has significant death rate despite\ntreatment. Advocacy with health authorities must be the way out of issues of\nHPT management in our setting....
Background: Children who undergo a day case surgery experience high levels\nof preoperative anxiety. Preoperative anxiety interferes with anesthesia induction\ncompliance and is associated with many short and long term postoperative\ncomplications. Recently, video distraction intervention has been evaluated\nfor its anxiolytic effects in preoperative children. Aim: The aim of this integrative\nreview was to demonstrate the varying methodological approaches utilized\nto evaluate the effectiveness of a video distraction intervention in reducing\npreoperative anxiety in children undergoing day case surgery. Methods: A\ntotal of 8 articles, meeting the inclusion criteria, were evaluated and included.\nFindings: The eight studies investigating the effect of video distraction on\nchildren preoperative anxiety concluded that video distraction was significant\nin controlling children preoperative anxiety. Four of the eight studies (50%),\ninvestigated video distraction effectiveness against pharmacological comparisons\nand demonstrated superior or equal anxiolytic effect of video distraction\non different points along the surgical continuum. Three of the eight studies\ncompared video distraction against parental presences and video distraction\nshowed superior anxiolytic effect. Three of the eight studies evaluated the effect\nof video distraction on anesthesia induction compliance and emergence\ndelirium. A significant effect on anesthesia induction was demonstrated while\nnon-significant effect on emergence delirium was documented. Conclusion:\nVideo distraction is a safe, time and cost effective non pharmacological anxiolytic\nintervention. It can be provided by nurses to control children high level\nof anxiety before surgery and during anesthesia induction....
The purpose of this study was to explore and describe the experience of\nmothers during the hospitalisation of their low birth weight (LBW) babies in\nneonatal unit Windhoek Central Hospital, Khomas region, Namibia. A qualitative,\nexplorative, descriptive and contextual design was employed. The data\nwas collected through in-depth interviews conducted at neonatal unit of\nWindhoek Central Hospital, with the permission from the Ministry of Health\nand Social Services (MOHSS). A sample of ten (10) mothers was selected with\nthe means of purposive sampling. Informed consent was obtained from the\nparticipants and interviews were tape recorded, with the permission from the\nparticipants. Different communication skills were used to encourage participants\nto verbalize their experiences. Data was transcribed verbatim and was\nanalyzed according to Tesch�s eight steps of analyzing qualitative data that led\nto the formation of themes and sub-themes. The study results gave insight into\nemotional reactions, various supports, challenges experienced by the\nmothers and also the wishes they expressed. Based on the study finding, the\nresearcher recommended an establishment of a rooming-in space for the\nmothers, establishment of high care neonatal units in hospitals outside\nWindhoek, implementation of improved breastfeeding programme, psychosocial\ncare and lastly further research....
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