Pub Date : 2013-02-22DOI: 10.2174/1874309901307010010
M. Hobson, R. Chima
Hypovolemic shock is a common yet underappreciated insult which often accompanies illnesses afflicting children. Indeed, it is by far the most common type of shock in the pediatric age group worldwide. Early recognition and treatment of hypovolemic shock is paramount to reversing cellular hypoxia and ischemia before irreparable end-organ
{"title":"Pediatric Hypovolemic Shock","authors":"M. Hobson, R. Chima","doi":"10.2174/1874309901307010010","DOIUrl":"https://doi.org/10.2174/1874309901307010010","url":null,"abstract":"Hypovolemic shock is a common yet underappreciated insult which often accompanies illnesses afflicting children. Indeed, it is by far the most common type of shock in the pediatric age group worldwide. Early recognition and treatment of hypovolemic shock is paramount to reversing cellular hypoxia and ischemia before irreparable end-organ","PeriodicalId":89037,"journal":{"name":"The open pediatric medicine journal","volume":"23 1","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2013-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88563932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-05DOI: 10.2174/1874309901206010046
Madhuri Sudan, Leeka Kheifets, Onyebuchi Arah, Jorn Olsen, Lonnie Zeltzer
Objective: Children today are exposed to cell phones early in life, and may be at the greatest risk if exposure is harmful to health. We investigated associations between cell phone exposures and headaches in children.
Study design: The Danish National Birth Cohort enrolled pregnant women between 1996 and 2002. When their children reached age seven years, mothers completed a questionnaire regarding the child's health, behaviors, and exposures. We used multivariable adjusted models to relate prenatal only, postnatal only, or both prenatal and postnatal cell phone exposure to whether the child had migraines and headache-related symptoms.
Results: Our analyses included data from 52,680 children. Children with cell phone exposure had higher odds of migraines and headache-related symptoms than children with no exposure. The odds ratio for migraines was 1.30 (95% confidence interval: 1.01-1.68) and for headache-related symptoms was 1.32 (95% confidence interval: 1.23-1.40) for children with both prenatal and postnatal exposure.
Conclusions: In this study, cell phone exposures were associated with headaches in children, but the associations may not be causal given the potential for uncontrolled confounding and misclassification in observational studies such as this. However, given the widespread use of cell phones, if a causal effect exists it would have great public health impact.
{"title":"Prenatal and Postnatal Cell Phone Exposures and Headaches in Children.","authors":"Madhuri Sudan, Leeka Kheifets, Onyebuchi Arah, Jorn Olsen, Lonnie Zeltzer","doi":"10.2174/1874309901206010046","DOIUrl":"https://doi.org/10.2174/1874309901206010046","url":null,"abstract":"<p><strong>Objective: </strong>Children today are exposed to cell phones early in life, and may be at the greatest risk if exposure is harmful to health. We investigated associations between cell phone exposures and headaches in children.</p><p><strong>Study design: </strong>The Danish National Birth Cohort enrolled pregnant women between 1996 and 2002. When their children reached age seven years, mothers completed a questionnaire regarding the child's health, behaviors, and exposures. We used multivariable adjusted models to relate prenatal only, postnatal only, or both prenatal and postnatal cell phone exposure to whether the child had migraines and headache-related symptoms.</p><p><strong>Results: </strong>Our analyses included data from 52,680 children. Children with cell phone exposure had higher odds of migraines and headache-related symptoms than children with no exposure. The odds ratio for migraines was 1.30 (95% confidence interval: 1.01-1.68) and for headache-related symptoms was 1.32 (95% confidence interval: 1.23-1.40) for children with both prenatal and postnatal exposure.</p><p><strong>Conclusions: </strong>In this study, cell phone exposures were associated with headaches in children, but the associations may not be causal given the potential for uncontrolled confounding and misclassification in observational studies such as this. However, given the widespread use of cell phones, if a causal effect exists it would have great public health impact.</p>","PeriodicalId":89037,"journal":{"name":"The open pediatric medicine journal","volume":"6 2012","pages":"46-52"},"PeriodicalIF":0.0,"publicationDate":"2012-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3674098/pdf/nihms470908.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31492809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-10-19DOI: 10.2174/1874309901206010041
Ann Thomas, Michelle A. Lyn, A. Caviness, Deborah C. Hsu, X. Tran, A. Giardino
Objective: The purpose of this study is to determine how pediatric patients and/or their parents being interviewed and examined for suspected sexual assault perceive their experiences in the emergency department. Methods: A prospective study was conducted at an emergency department. A convenience sample was enrolled from September 2007 to February 2009. At the completion of the medical examination, patients and/or parents were asked to take part in a survey. Results: A total of 87 completed questionnaires were collected; 50 completed by parents/guardians and 37 completed by the patients; 14 patients had both parent and patient questionnaires completed. Of all 87 respondents, 74% of parents and 65% of the patients rated the overall quality of care as excellent, 90% of parents and 70.3% of patients rated the physician kindness as excellent, and 90% and 86.5% respectively rated the nurse kindness as excellent. Of the 50 patients, 35.1% patients found the exam sometimes or very painful and 40.5% found the exam scary sometimes to extremely scary. Patients who perceived the exam painful or scary did not rate their quality of medical care as lower than those who did not find the exam painful or scary, p=0.513 and p=0.800 respectively. Conclusions: Encouragingly, the emergency department environment did not cause higher levels of distress, anxiety or discomfort than other groups of patients evaluated in child abuse evaluation centers.
{"title":"Perceptions of the Sexual Assault Exam in the Emergency DepartmentSetting","authors":"Ann Thomas, Michelle A. Lyn, A. Caviness, Deborah C. Hsu, X. Tran, A. Giardino","doi":"10.2174/1874309901206010041","DOIUrl":"https://doi.org/10.2174/1874309901206010041","url":null,"abstract":"Objective: The purpose of this study is to determine how pediatric patients and/or their parents being interviewed and examined for suspected sexual assault perceive their experiences in the emergency department. Methods: A prospective study was conducted at an emergency department. A convenience sample was enrolled from September 2007 to February 2009. At the completion of the medical examination, patients and/or parents were asked to take part in a survey. Results: A total of 87 completed questionnaires were collected; 50 completed by parents/guardians and 37 completed by the patients; 14 patients had both parent and patient questionnaires completed. Of all 87 respondents, 74% of parents and 65% of the patients rated the overall quality of care as excellent, 90% of parents and 70.3% of patients rated the physician kindness as excellent, and 90% and 86.5% respectively rated the nurse kindness as excellent. Of the 50 patients, 35.1% patients found the exam sometimes or very painful and 40.5% found the exam scary sometimes to extremely scary. Patients who perceived the exam painful or scary did not rate their quality of medical care as lower than those who did not find the exam painful or scary, p=0.513 and p=0.800 respectively. Conclusions: Encouragingly, the emergency department environment did not cause higher levels of distress, anxiety or discomfort than other groups of patients evaluated in child abuse evaluation centers.","PeriodicalId":89037,"journal":{"name":"The open pediatric medicine journal","volume":"57 1","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2012-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84575193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-10-04DOI: 10.2174/1874309901206010038
Margarida Ejarque-Albuquerque, Graça Oliveira, T. Santos, D. Rebelo, C. Moniz, T. Rodrigues
Identification of sepsis is a major issue due to limitations in diagnosis and severity of outcome. Different combinations of tests are used to screen babies at risk for infection, none specific enough to avoid treatment of non- infected newborns. 193 newborns with � 35 weeks of gestational age admitted in the maternity were screened for infection using a protocol scoring system involving haematological values and CRP � 10mg/l. Blood-cultures were taken after treatment decision, before antibiotics were started. No microbiological exam was included in the screening. Treatment decisions were taken by the staff irrespectively of the ongoing observational study. Newborns were classified by the authors in 4 groups: infected (culture verified), strongly suspected infection (SSI), no sepsis but treated (NST), no sepsis-no treatment (NSNT). Treatment decision was revaluated by the authors according to different cut-off levels of CRP. 40 newborns (20.7%) received antibiotics. 2 had positive blood-cultures. 13 were classified as SSI (all treated) and 178 as not infected (25 treated). All infected babies were identified but the error of the positive predictive value reached 62.5%. Revaluation of treatment decisions with CRP cut-off levels of 15, 20 and 25 mg/l showed respectively 60.5%, 51.6 and 48% of error of the positive predictive value, the first two cut-offs missing no infected newborns but the last one missing two. A new scoring system including CRP at 20mg/l has been in use since then without readmissions for infection and an estimated reduction of 24% antibiotic treatment.
{"title":"Targeting Asymptomatic Term and Late Preterm Newborns at Risk forEarly Sepsis: C Reactive Protein 20mg/L Threshold","authors":"Margarida Ejarque-Albuquerque, Graça Oliveira, T. Santos, D. Rebelo, C. Moniz, T. Rodrigues","doi":"10.2174/1874309901206010038","DOIUrl":"https://doi.org/10.2174/1874309901206010038","url":null,"abstract":"Identification of sepsis is a major issue due to limitations in diagnosis and severity of outcome. Different combinations of tests are used to screen babies at risk for infection, none specific enough to avoid treatment of non- infected newborns. 193 newborns with � 35 weeks of gestational age admitted in the maternity were screened for infection using a protocol scoring system involving haematological values and CRP � 10mg/l. Blood-cultures were taken after treatment decision, before antibiotics were started. No microbiological exam was included in the screening. Treatment decisions were taken by the staff irrespectively of the ongoing observational study. Newborns were classified by the authors in 4 groups: infected (culture verified), strongly suspected infection (SSI), no sepsis but treated (NST), no sepsis-no treatment (NSNT). Treatment decision was revaluated by the authors according to different cut-off levels of CRP. 40 newborns (20.7%) received antibiotics. 2 had positive blood-cultures. 13 were classified as SSI (all treated) and 178 as not infected (25 treated). All infected babies were identified but the error of the positive predictive value reached 62.5%. Revaluation of treatment decisions with CRP cut-off levels of 15, 20 and 25 mg/l showed respectively 60.5%, 51.6 and 48% of error of the positive predictive value, the first two cut-offs missing no infected newborns but the last one missing two. A new scoring system including CRP at 20mg/l has been in use since then without readmissions for infection and an estimated reduction of 24% antibiotic treatment.","PeriodicalId":89037,"journal":{"name":"The open pediatric medicine journal","volume":"57 4 1","pages":"38-43"},"PeriodicalIF":0.0,"publicationDate":"2012-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86070381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-05-04DOI: 10.2174/1874309901206010023
D. Gregori, F. Foltran, G. Cuestas, H. Rodríguez, D. Passali, P. Berchialla
Children with a foreign body (FB) in either the ear or nose commonly present to the hospital. We present a retrospective series of 1186 European cases of FB in ears or nose in children younger 14 years old, classified following the International Classification of Disease (ICD931 and ICD932). Data were collected through a case report form (CRF) during three years (2000-2002) according to four main characteristics (socio-demographic, ergonomic, related to the hospital's management and to the circumstance of the injury). Overall, 610 (53%) sampled children were males. In 704 (71%) of cases, FBs were inorganic and among themabout 36% were balls, marbles or beads. The study investigates FBs featuresand injuries circumstances that are associated to prolonged hospitalization and complications. The most dangerous FBs resulted in objects with rigid or semi-rigid consistency.
{"title":"Foreign Bodies in Non-Life Threatening Locations: A Risk Analysis ofNose and Ears Foreign Bodies in European Children","authors":"D. Gregori, F. Foltran, G. Cuestas, H. Rodríguez, D. Passali, P. Berchialla","doi":"10.2174/1874309901206010023","DOIUrl":"https://doi.org/10.2174/1874309901206010023","url":null,"abstract":"Children with a foreign body (FB) in either the ear or nose commonly present to the hospital. We present a retrospective series of 1186 European cases of FB in ears or nose in children younger 14 years old, classified following the International Classification of Disease (ICD931 and ICD932). Data were collected through a case report form (CRF) during three years (2000-2002) according to four main characteristics (socio-demographic, ergonomic, related to the hospital's management and to the circumstance of the injury). Overall, 610 (53%) sampled children were males. In 704 (71%) of cases, FBs were inorganic and among themabout 36% were balls, marbles or beads. The study investigates FBs featuresand injuries circumstances that are associated to prolonged hospitalization and complications. The most dangerous FBs resulted in objects with rigid or semi-rigid consistency.","PeriodicalId":89037,"journal":{"name":"The open pediatric medicine journal","volume":"5 1","pages":"23-28"},"PeriodicalIF":0.0,"publicationDate":"2012-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73163807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-05-04DOI: 10.2174/1874309901206010029
P. Berchialla, Arber Haxhiaj, D. Passali, H. Rodríguez, D. Gregori
The "Susy Safe" project is a European, WEB-based Registry (www.susysafe.org) aimed at collecting data regarding injuries caused by foreign bodies in the upper aero-digestive tract, occurred to children between 0 and 14 years of age. In most of the situations, injury registries are lacking an appropriate mechanism to control the data quality, mostly due to the low incidence of such events and to the corresponding high variability in the doctors reporting about the injury. In the Susy Safe registry, quality is a priority. Therefore, in order to monitor quality both automated and manual data inspections are used. There are automated checks which are based on classical data-entry controls and innovative statistical techniques mimicked from the industrial quality control. The manual inspections are conducted by dedicated medical doctors who check all cases that have an insufficient quality score obtained in the automated control. Having a centralized database and a Web access system, the quality control (QC) process becomes more flexible, improving its accuracy and reducing both the number of persons involved and the necessary time for its accomplishment.
{"title":"Quality Control Techniques and Standards Implemented in the WEBBased“Susy Safe” Registry","authors":"P. Berchialla, Arber Haxhiaj, D. Passali, H. Rodríguez, D. Gregori","doi":"10.2174/1874309901206010029","DOIUrl":"https://doi.org/10.2174/1874309901206010029","url":null,"abstract":"The \"Susy Safe\" project is a European, WEB-based Registry (www.susysafe.org) aimed at collecting data regarding injuries caused by foreign bodies in the upper aero-digestive tract, occurred to children between 0 and 14 years of age. In most of the situations, injury registries are lacking an appropriate mechanism to control the data quality, mostly due to the low incidence of such events and to the corresponding high variability in the doctors reporting about the injury. In the Susy Safe registry, quality is a priority. Therefore, in order to monitor quality both automated and manual data inspections are used. There are automated checks which are based on classical data-entry controls and innovative statistical techniques mimicked from the industrial quality control. The manual inspections are conducted by dedicated medical doctors who check all cases that have an insufficient quality score obtained in the automated control. Having a centralized database and a Web access system, the quality control (QC) process becomes more flexible, improving its accuracy and reducing both the number of persons involved and the necessary time for its accomplishment.","PeriodicalId":89037,"journal":{"name":"The open pediatric medicine journal","volume":"7 1","pages":"29-37"},"PeriodicalIF":0.0,"publicationDate":"2012-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79992935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-05-04DOI: 10.2174/1874309901206010016
H. Rodríguez, G. Cuestas, S. Ballali, G. Sica, Walter Widmann, Silvina Carca, Susana Tortosa, D. Gregori
The present study presents 441 cases of foreign bodies (FB) injuries collected in Argentina, in the framework of the Susy safe program, a web-based surveillance registry for foreign body injuries in children aged 0-14. The analysis was carried out on hospital cases recorded for foreign bodies' injuries, registered in the Susy Safe database and validated as proper for quality and consistency of data. The current analysis is carried out on FBs located in ears, nose, pharynx and larynx, trachea, bronchi and lungs, mouth, oesophagus and stomach. Injuries occurred most frequently in children older than 3 years Four-hundred-forty-four cases were treated: female patient's incidence was lower than males' one, with a 1:1.24 proportion (44.7% of female, and 55.3% males). Analyzing the outcomes, hospitalization was required in 218 cases (49.5%), most frequently when the injury occurred in trachea, bronchi and lungs (36.4%). Complications were recorded in 49 patients (11.1%), the majority of which (5.7%) presented to the ENT departments with a FB in the respiratory system. An adult was present in 77.8 % of the cases testifying that primary prevention has a key role in avoiding those kinds of injuries. Particularly, active strategies that promote behavior change seem to be necessary. A communication initiative is under development in Argentina, aimed at informing parents and supervisors of the risks posed by common objects to their children's health.
{"title":"Foreign Bodies Injuries in Children in Argentina: A CountrywideProgram Connecting Evidence with Prevention","authors":"H. Rodríguez, G. Cuestas, S. Ballali, G. Sica, Walter Widmann, Silvina Carca, Susana Tortosa, D. Gregori","doi":"10.2174/1874309901206010016","DOIUrl":"https://doi.org/10.2174/1874309901206010016","url":null,"abstract":"The present study presents 441 cases of foreign bodies (FB) injuries collected in Argentina, in the framework of the Susy safe program, a web-based surveillance registry for foreign body injuries in children aged 0-14. The analysis was carried out on hospital cases recorded for foreign bodies' injuries, registered in the Susy Safe database and validated as proper for quality and consistency of data. The current analysis is carried out on FBs located in ears, nose, pharynx and larynx, trachea, bronchi and lungs, mouth, oesophagus and stomach. Injuries occurred most frequently in children older than 3 years Four-hundred-forty-four cases were treated: female patient's incidence was lower than males' one, with a 1:1.24 proportion (44.7% of female, and 55.3% males). Analyzing the outcomes, hospitalization was required in 218 cases (49.5%), most frequently when the injury occurred in trachea, bronchi and lungs (36.4%). Complications were recorded in 49 patients (11.1%), the majority of which (5.7%) presented to the ENT departments with a FB in the respiratory system. An adult was present in 77.8 % of the cases testifying that primary prevention has a key role in avoiding those kinds of injuries. Particularly, active strategies that promote behavior change seem to be necessary. A communication initiative is under development in Argentina, aimed at informing parents and supervisors of the risks posed by common objects to their children's health.","PeriodicalId":89037,"journal":{"name":"The open pediatric medicine journal","volume":"18 1","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"2012-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90500355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-05-04DOI: 10.2174/1874309901206010015
Ambassador Guido La Tella
The research on Preventing Foreign Bodies Injuries in children has been approved within the framework of the Executive Programme for 2011-2013 of the Agreement of Cultural, Scientific and Technological Cooperation between Italy and Argentina, signed in 1997 by the General Directorate for Cultural Cooperation of the Italian Ministry of Foreign Affairs (MAE) and the Ministry of Science, Teenology and Industrial Innovation of Argentina (Ministerio de Ciencia, Tecnología e Innovación Productiva MINCYT).
意大利外交部文化合作总局与阿根廷科学、技术和工业创新部(Ministerio de Ciencia)于1997年签署了《意大利与阿根廷文化、科学和技术合作协定》，在该协定2011-2013年执行方案的框架内批准了预防儿童异物伤害的研究。Tecnología e Innovación Productiva MINCYT)。
{"title":"Editorial - Preventing Foreign Bodies Injuries in Children: the Italy-Argentina JointResearch Programme 2011-2013","authors":"Ambassador Guido La Tella","doi":"10.2174/1874309901206010015","DOIUrl":"https://doi.org/10.2174/1874309901206010015","url":null,"abstract":"The research on Preventing Foreign Bodies Injuries in children has been approved within the framework of the Executive Programme for 2011-2013 of the Agreement of Cultural, Scientific and Technological Cooperation between Italy and Argentina, signed in 1997 by the General Directorate for Cultural Cooperation of the Italian Ministry of Foreign Affairs (MAE) and the Ministry of Science, Teenology and Industrial Innovation of Argentina (Ministerio de Ciencia, Tecnología e Innovación Productiva MINCYT).","PeriodicalId":89037,"journal":{"name":"The open pediatric medicine journal","volume":"76 1","pages":"15-15"},"PeriodicalIF":0.0,"publicationDate":"2012-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86259196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-04-24DOI: 10.2174/1874309901206010007
Jessica Paynter, James G. Scott, W. Beamish, Michael Duhig, H. Heussler
The current study sought to evaluate the effectiveness of an Australian centre-based early intervention program for children with autism. Outcomes for 10 children with autistic disorder aged between 32 and 65 months of age participating in the AEIOU early intervention program were investigated. Measures of educational, cognitive, and adaptive skills as well as autism symptoms were administered. Significant gains in educational skills in the areas of cognitive verbal/preverbal, fine motor and visual-motor imitation, motor domain score, and social reciprocity, were obtained as were decreases in autism symptoms. Limited evidence of gains was obtained for measures of cognitive or adaptive behaviour skills. This study provides promising preliminary evidence in support of the AEIOU program in terms of symptom reduction and increases in educational skills. Limitations and future research directions are discussed.
{"title":"A pilot study of the effects of an Australian centre-based early intervention program for children with autism","authors":"Jessica Paynter, James G. Scott, W. Beamish, Michael Duhig, H. Heussler","doi":"10.2174/1874309901206010007","DOIUrl":"https://doi.org/10.2174/1874309901206010007","url":null,"abstract":"The current study sought to evaluate the effectiveness of an Australian centre-based early intervention program for children with autism. Outcomes for 10 children with autistic disorder aged between 32 and 65 months of age participating in the AEIOU early intervention program were investigated. Measures of educational, cognitive, and adaptive skills as well as autism symptoms were administered. Significant gains in educational skills in the areas of cognitive verbal/preverbal, fine motor and visual-motor imitation, motor domain score, and social reciprocity, were obtained as were decreases in autism symptoms. Limited evidence of gains was obtained for measures of cognitive or adaptive behaviour skills. This study provides promising preliminary evidence in support of the AEIOU program in terms of symptom reduction and increases in educational skills. Limitations and future research directions are discussed.","PeriodicalId":89037,"journal":{"name":"The open pediatric medicine journal","volume":"30 1","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"2012-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86239180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-04-05DOI: 10.2174/1874309901206010001
E. Strehle, C. Harker
Background: The aim of this survey was the evaluation of the case load of one hospital based paediatric team including inpatients, day care attenders and outpatients over a period of five and a half years. A further objective was the calculation of the generated income following the introduction of payment by results. Methods: Data were obtained from the hospital information technology and coding departments. They included age, gender, ethnicity, home postcode, month of attendance, length of inpatient stay and diagnosis. Analysis was performed using standard computer software. Results: Altogether, 9711 patients were assessed which generated an income of approximately 6 million pound sterling. Ninety percent of this amount resulted from inpatient work. The majority of patients were of white British origin, and their mean age was 4.1 years. The length of admission decreased from 1.5 days in 2005 to 0.7 days in 2010. Forty five percent of diagnoses were infections, mainly respiratory and gastrointestinal; and 55% had a non-infectious cause. The overall 'did not attend' rate was 25%. No deaths were recorded. Conclusion: The reduction of inpatient stay is a national phenomenon which supports the development of children's ambulatory care units. The reasons for the relatively high non-attendance rate are multi-factorial with family vulnerability being a contributory factor.
{"title":"Five-Year Audit of Children Admitted to Hospital Under the Care ofPaediatricians in the North East of England","authors":"E. Strehle, C. Harker","doi":"10.2174/1874309901206010001","DOIUrl":"https://doi.org/10.2174/1874309901206010001","url":null,"abstract":"Background: The aim of this survey was the evaluation of the case load of one hospital based paediatric team including inpatients, day care attenders and outpatients over a period of five and a half years. A further objective was the calculation of the generated income following the introduction of payment by results. Methods: Data were obtained from the hospital information technology and coding departments. They included age, gender, ethnicity, home postcode, month of attendance, length of inpatient stay and diagnosis. Analysis was performed using standard computer software. Results: Altogether, 9711 patients were assessed which generated an income of approximately 6 million pound sterling. Ninety percent of this amount resulted from inpatient work. The majority of patients were of white British origin, and their mean age was 4.1 years. The length of admission decreased from 1.5 days in 2005 to 0.7 days in 2010. Forty five percent of diagnoses were infections, mainly respiratory and gastrointestinal; and 55% had a non-infectious cause. The overall 'did not attend' rate was 25%. No deaths were recorded. Conclusion: The reduction of inpatient stay is a national phenomenon which supports the development of children's ambulatory care units. The reasons for the relatively high non-attendance rate are multi-factorial with family vulnerability being a contributory factor.","PeriodicalId":89037,"journal":{"name":"The open pediatric medicine journal","volume":"49 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2012-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89567819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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