The open pediatric medicine journal最新文献_第2页

The open pediatric medicine journal Pub Date : 2013-02-22 DOI: 10.2174/1874309901307010010

M. Hobson, R. Chima

引用次数: 7

Prenatal and Postnatal Cell Phone Exposures and Headaches in Children. 产前和产后手机暴露与儿童头痛。

The open pediatric medicine journal Pub Date : 2012-12-05 DOI: 10.2174/1874309901206010046

Madhuri Sudan, Leeka Kheifets, Onyebuchi Arah, Jorn Olsen, Lonnie Zeltzer

{"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":"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.","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}

引用次数: 35

Perceptions of the Sexual Assault Exam in the Emergency DepartmentSetting 在急诊科设置的性侵犯考试的看法

The open pediatric medicine journal Pub Date : 2012-10-19 DOI: 10.2174/1874309901206010041

Ann Thomas, Michelle A. Lyn, A. Caviness, Deborah C. Hsu, X. Tran, A. Giardino

{"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}

引用次数: 0

Targeting Asymptomatic Term and Late Preterm Newborns at Risk forEarly Sepsis: C Reactive Protein 20mg/L Threshold 针对有早期脓毒症风险的无症状足月和晚期早产儿:C反应蛋白20mg/L阈值

The open pediatric medicine journal Pub Date : 2012-10-04 DOI: 10.2174/1874309901206010038

Margarida Ejarque-Albuquerque, Graça Oliveira, T. Santos, D. Rebelo, C. Moniz, T. Rodrigues

{"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}

引用次数: 0

Foreign Bodies in Non-Life Threatening Locations: A Risk Analysis ofNose and Ears Foreign Bodies in European Children 非危及生命部位的异物:欧洲儿童鼻子和耳朵异物的风险分析

The open pediatric medicine journal Pub Date : 2012-05-04 DOI: 10.2174/1874309901206010023

D. Gregori, F. Foltran, G. Cuestas, H. Rodríguez, D. Passali, P. Berchialla

引用次数: 5

Quality Control Techniques and Standards Implemented in the WEBBased“Susy Safe” Registry 在基于web的“Susy安全”注册表中实施的质量控制技术和标准

The open pediatric medicine journal Pub Date : 2012-05-04 DOI: 10.2174/1874309901206010029

P. Berchialla, Arber Haxhiaj, D. Passali, H. Rodríguez, D. Gregori

{"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}

引用次数: 0

Foreign Bodies Injuries in Children in Argentina: A CountrywideProgram Connecting Evidence with Prevention 阿根廷儿童的异物伤害:一项将证据与预防联系起来的全国性计划

The open pediatric medicine journal Pub Date : 2012-05-04 DOI: 10.2174/1874309901206010016

H. Rodríguez, G. Cuestas, S. Ballali, G. Sica, Walter Widmann, Silvina Carca, Susana Tortosa, D. Gregori

{"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}

引用次数: 3

Editorial - Preventing Foreign Bodies Injuries in Children: the Italy-Argentina JointResearch Programme 2011-2013 社论-预防儿童异物伤害:意大利-阿根廷联合研究计划2011-2013

The open pediatric medicine journal Pub Date : 2012-05-04 DOI: 10.2174/1874309901206010015

Ambassador Guido La Tella

引用次数: 0

A pilot study of the effects of an Australian centre-based early intervention program for children with autism 澳大利亚中心对自闭症儿童早期干预项目效果的初步研究

The open pediatric medicine journal Pub Date : 2012-04-24 DOI: 10.2174/1874309901206010007

Jessica Paynter, James G. Scott, W. Beamish, Michael Duhig, H. Heussler

引用次数: 19

Five-Year Audit of Children Admitted to Hospital Under the Care ofPaediatricians in the North East of England 英格兰东北部儿科医生护理下入院儿童的五年审计

The open pediatric medicine journal Pub Date : 2012-04-05 DOI: 10.2174/1874309901206010001

E. Strehle, C. Harker

{"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}

引用次数: 0