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Dissertations / Theses on the topic 'Critically ill children'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 July 2025

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1

Branco, Ricardo Garcia. "Stress response in critically ill children." Thesis, University of Cambridge, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.609718.

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2

Robertson, Gillian. "Hypernatraemic gastroenteritis in critically ill children." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/9261.

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3

Ullman, Amanda. "The oral health of critically ill children." Thesis, Queensland University of Technology, 2009. https://eprints.qut.edu.au/31765/1/Amanda_Ullman_Thesis.pdf.

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Introduction. In adults, oral health has been shown to worsen during critical illness as well as influence systemic health. There is a paucity of paediatric critical care research in the area of oral health; hence the purpose of the Critically ill Children’s Oral Health (CCOH) study is to describe the status of oral health of critically ill children over time spent in the paediatric intensive care unit (PICU). The study will also examine the relationship between poor oral health and a variety of patient characteristics and PICU therapies and explore the relationship between dysfunctional oral

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4

Jones, P. R. "Haemodynamic instability during the intubation of critically-ill children." Thesis, University College London (University of London), 2012. http://discovery.ucl.ac.uk/1370569/.

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Haemodynamic instability is common during critical illness when homeostatic mechanisms are attenuated or already at the limit of their efficacy. Intubation is a crucial life-saving intervention which seeks to stabilize respiratory and cardiovascular function, but itself represents an additional, short-term haemodynamic challenge. This thesis aimed to investigate changes in heart rate during intubation of critically ill children. Heart rate was chosen as a crude measure of haemodynamic stability because it is most readily available even in time-critical pre-hospital settings. Focusing on heart

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5

Waardenburg, Dirk Adriaan van. "Protein metabolism and nutritional requirements in critically ill children." Maastricht : Maastricht : Maastricht University ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=15092.

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6

Agbeko, R. S. "Characterization of the acute phase response in critically ill children." Thesis, University College London (University of London), 2013. http://discovery.ucl.ac.uk/1421089/.

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Humans come into contact and interact with potential infective agents. The innate immune system is the first line of response to ward off infection. Innate immunity is, in part, under genetic control. This genetic control may help us understand the differences between individuals in preventing infection or limiting infectious and inflammatory illness. Systemic inflammation is a complex disorder that is difficult to define. Current definitions are derived from consensus meetings. A need has been expressed for a more useful definition of systemic inflammation. The work presented here identifies

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7

Hatherill, Mark. "Transport of critically ill children in a resource-limited setting." Master's thesis, University of Cape Town, 2001. http://hdl.handle.net/11427/10987.

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Includes bibliographical references.<br>Transportation of critically ill children by inexperienced personnel may be associated with increased risk of transfer-related adverse events and mortality. To audit paediatric intensive care unit (PICU) transfer activity and transfer-related adverse events in a resource-limited setting. Twenty-two bed regional PICU of a university children's hospital in Cape Town, South Africa. Prospective one-year audit of all children transferred directly to PICU from other hospitals. Data were collected for patient demographics and diagnostic category, referring hosp

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8

Ista, Willem Gerrit. "Comfortably calm soothing sedation of critically ill children without withdrawal symptoms /." [S.l. : Rotterdam : The Author] ; Erasmus University [Host], 2008. http://hdl.handle.net/1765/13430.

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9

Ramelet, Anne-Sylvie. "The development of a multidimensional pain assessment scale for critically ill preverbal children." Thesis, Curtin University, 2006. http://hdl.handle.net/20.500.11937/1524.

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Adequate pain assessment is a pre-requisite for appropriate pain management. If pain remains untreated in critically ill young children, it can have dramatic short- and long-term consequences on their health and development. Apart from humanitarian reasons, the assessment of pain has been recognised in some parts of the world as the fifth vital sign and thus should be part of standard practice of pain management. The evaluation of pain in preverbal children is, nevertheless, challenging for health professionals, as they cannot rely on self-report when making their assessment. Observational pai

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10

Ramelet, Anne-Sylvie. "The development of a multidimensional pain assessment scale for critically ill preverbal children." Curtin University of Technology, School of Nursing and Midwifery, 2006. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=17177.

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Adequate pain assessment is a pre-requisite for appropriate pain management. If pain remains untreated in critically ill young children, it can have dramatic short- and long-term consequences on their health and development. Apart from humanitarian reasons, the assessment of pain has been recognised in some parts of the world as the fifth vital sign and thus should be part of standard practice of pain management. The evaluation of pain in preverbal children is, nevertheless, challenging for health professionals, as they cannot rely on self-report when making their assessment. Observational pai

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11

Sherman, Sandra Anne. "Healing effects of the built environment." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2008. http://wwwlib.umi.com/cr/ucsd/fullcit?p3321036.

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Thesis (Ph. D.)--University of California, San Diego and San Diego State University, 2008.<br>Title from first page of PDF file (viewed Aug. 1, 2008). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references (p. 120-127).

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12

Saxena, Rohit. "An assessment of two novel tools for advanced haemodynamic monitoring in critically ill children." Thesis, King's College London (University of London), 2016. http://kclpure.kcl.ac.uk/portal/en/theses/an-assessment-of-two-novel-tools-for-advanced-haemodynamic-monitoring-in-critically-ill-children(f246dfbb-72ed-4b2e-a394-b9d28444ccec).html.

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Background: Critically ill children require accurate haemodynamic assessment to evaluate the severity of illness or response to therapy. Clinical estimation of cardiac output is inaccurate. Hence, advanced haemodynamic monitoring devices may help guide physicians towards the most appropriate treatment strategy. However, none of the currently available monitors for children fulfil all the criteria of an ideal device. Methods: We evaluated two novel minimally invasive haemodynamic monitoring devices in 100 critically ill children. The transpulmonary ultrasound dilution (TPUD) method is a validat

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13

Morrow, Brenda May. "An investigation into nonbronchoscopic bronchoalveolar lavage and endotracheal suctioning in critically ill infants and children." Doctoral thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/3023.

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Includes bibliographical references.<br>This thesis investigated the effects on critically ill, mechanically ventilated paediatric patients of two related, frequently performed physiotherapy procedures: nonbronchoscopic bronchoalveolar lavage (NB-BAL) and endotracheal (ET) suctioning. General aims: To investigate un- or poody-documented complications of paediatric NBBAL and ET suctioning, and to test a method for each procedure of reducing the incidence and/or severity of these complications.

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14

Menzies, Julie Christine. "Designing and conducting feasible and acceptable pharmacokinetic research in critically ill children : a mixed methods study." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8153/.

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Introduction: Despite the importance of pharmacokinetic (PK) information for patient management there are low numbers of paediatric PK studies and little guidance available on optimum study design and conduct. Method: Drawing on Implementation Science, a mixed-methods study was conducted, including a scoping review (SR) (PK literature: 1990-2015) and quantitative and qualitative inquiry (stakeholders: lay population, service users and health-care professionals). Aim: to explore the feasibility and acceptability of paediatric PK research. Results: The SR (203 papers) highlighted significant pro

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15

Harari, Sarah Hobson 1959. "Relationship of social support and spirituality to the coping effort of mothers of critically ill children." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/558126.

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16

Maxton, Fiona, University of Western Sydney, College of Social and Health Sciences, and of Nursing Family and Community Health School. "Sharing and surviving the resuscitation : parental presence during resuscitation of a child in PICU : the experiences of parents and nurses." THESIS_CSHS_NFC_Maxto_F.xml, 2005. http://handle.uws.edu.au:8081/1959.7/593.

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Parents’ presence and participation in their child’s care in the paediatric intensive care unit (PICU) is now commonplace. Despite parents expressing a deep need to be with their child particularly during periods of crisis, it is precisely at these times that they are often prevented from staying. The growing debate regarding family presence during a cardiopulmonary (CPR) resuscitation attempt continues to be controversial and conflicting. Current knowledge is mostly derived from quantitative studies conducted in the adult intensive care or emergency environments. The experiences of parents of

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17

SPOLIDORO, GIULIA CARLA IMMACOLATA. "NUTRITIONAL STATUS, ENERGY REQUIREMENTS AND METABOLIC MONITORING IN CRITICALLY ILL CHILDREN: THE NEW PERSPECTIVE OF ARTIFICIAL NEURAL NETWORKS." Doctoral thesis, Università degli Studi di Milano, 2021. http://hdl.handle.net/2434/829333.

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Nutrition plays a pivotal role in all humans. As early as during foetal life, a correct nutrition has the power to influence the development of organs and tissues, ultimately setting the basis for a healthy life. In critically ill children the risk of malnutrition is of particular importance. Accordingly, an appropriate monitoring of nutritional status and metabolic response, along with the correct assessment of energy requirements and energy balance, is gaining growing clinical relevance as a fundamental prognostic factor and should be considered a specific target in the management of critica

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18

Durrette, Monica. "Uncertainty and Primary Appraisal as Predictors of Acute Stress Disorder in Parents of Critically Ill Children: A Mediational Model." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/3023.

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This study examined illness-related uncertainty and primary appraisals of threat, centrality, and challenge as predictors of acute stress disorder (ASD) symptoms in parents of children hospitalized in a pediatric intensive care unit (PICU). Ultimately, a mediational pathway was tested to determine if primary appraisal was a mechanism that accounted for the impact of uncertainty on ASD symptoms. Ancillary study aims were to assess the degree to which parents perceived uncertainty in the PICU environment, and to determine the prevalence of ASD among parents in this setting. Self-report data w

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19

Vosloo, Ruan. "An Assessment of Critically Ill Children admitted to a General High Care Unit in a Regional Hospital in the Western Cape, South Africa." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33077.

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Background Many critically ill children in South Africa are cared for in regional hospitals by general Paediatricians. Critically ill adults and children are usually cared for in the same units. There is limited data on the numbers of children admitted and the outcomes of these children. Objective To describe the patient profile and outcomes of children admitted to a general high care unit (HCU) in a regional hospital in the Western Cape, South Africa. Methods This was a retrospective descriptive study of all children admitted to the HCU of George Regional Hospital during a one year period (20

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20

Gruvberger, Åsa, and Charlotte Trossle. "Barns reaktioner när en närstående är allvarligt sjuk." Thesis, Högskolan i Halmstad, Hälsa och omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-34131.

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Children need help to understand and manage when a close relative is critically ill or dying. The purpose of the literature study was to highlight children’s reactions when a close relative is gravely ill. The method used was a general literature study where ten scientific articles where analyzed and reviewed. The results were compiled in two themes: Experiences when life is threatened and To cope when life is threatened. Children with a critically ill relative are in great need of being met and supported by nurses in a professional manner. This is based on knowledge and understanding of how

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21

Jacobson, Judy Rick. "Psychological and social effects of infant heart transplant on families." CSUSB ScholarWorks, 1989. https://scholarworks.lib.csusb.edu/etd-project/501.

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22

Gidlöf, Madeleine, and Lisbeth Hansson. "Jag är också närstående : Barns upplevelser av att vara närstående till en svårt sjuk person." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-16866.

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Då någon drabbas av allvarlig sjukdom eller skada som hotar livet påverkas inte bara den sjuke utan också alla i den sjukes närhet. Att som närstående vara barn i denna situation kan vara oerhört traumatiskt. För att vi som vårdpersonal ska kunna hjälpa och stötta barnen och familjen behövs kunskap om hur barn upplever denna situation och vilka behov som finns hos dem. Syftet med studien är att beskriva barns upplevelse av att vara närstående till en svårt sjuk person. Med svår sjukdom/skada valdes i denna uppsats någon som vårdas på en intensivvårdsavdelning eller drabbats av cancersjukdom. M

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23

Elisabeth, Wimo. "Kritiskt sjuka barns delaktighet : En studie om sjuksköterskans omvårdnad på BIVA." Thesis, Röda Korsets Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2253.

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24

Passantino, Andrea. "Master narratives, counterstories and identity mothering in a clinical setting /." Diss., Online access via UMI:, 2009.

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25

Oualha, Mehdi. "Modélisation pharmacocinétique et pharmacodynamique de l'adrénaline et de la noradrénaline chez l'enfant." Phd thesis, Université René Descartes - Paris V, 2013. http://tel.archives-ouvertes.fr/tel-00955862.

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Les effets des catécholamines en réanimation sont peu prédictibles. La variabilité interindividuelle des observations est d'origine multifactorielle dont des facteurs pharmacocinétiques et pharmacodynamiques, dépendant de caractéristiques constitutionnelles et acquises de chaque individu. Les posologies de l'adrénaline et de la noradrénaline chez l'enfant sont extrapolées des données adultes. Pourtant l'âge est une source de grande variabilité liée au développement. Un modèle pharmaco- statistique de l'adrénaline et de la noradrénaline a été établi chez l'enfant en insuffisance circulatoire ai

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26

Bonaconsa, Candice Hilda. "Optimising stabilisation of the critical ill child in the medical emergency unit at the Red Cross War Memorial Children's Hospital : an enthnographic study." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/2940.

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27

Ostojic, Jovana. "United Nations’ Naming and Shaming of Children’s Rights Abusers in Conflict: A Critical Assessment." Thesis, Malmö universitet, Fakulteten för kultur och samhälle (KS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-22235.

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Naming and shaming is a widely used strategy by the transnational advocacy network (TAN) to prevent human rights abuses and increase compliance to international humanitarian law (IHL). However, existing research demonstrates controversial results about the efficacy of naming and shaming as a method to increase compliance to IHL. To add new insights to the ongoing IR debate, this paper investigates United Nations’ (UN’s) naming and shaming of children’s rights abusers in conflict. A quantitative analysis of UN’s Annual Reports on Children and Armed Conflict between 2013-2018 provides an assess

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28

Amaral, Mariana Nunes Gonçalves Afonso. "Immunoparalysis in critically ill children." Master's thesis, 2021. http://hdl.handle.net/10316/98414.

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Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina<br>Introdução: A imunoparalisia está associada a um pior prognóstico no contexto de cuidados intensivos pediátricos. A diminuição da expressão de HLA-DR e a diminuição da produção de citocinas têm sido usados na sua caracterização. Este estudo teve como objetivo determinar o grupo de doentes com maior probabilidade de imunoparalisia, correlacionando este estado com um risco aumentado de infeção nosocomial e pior prognóstico.Métodos: Foi realizado um estudo exploratório incluindo doentes com o diagnóstico de fa

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29

Roumeliotis, Nadezhda. "Trauma in critically ill children : transfusion and osmotherapy practices." Thèse, 2016. http://hdl.handle.net/1866/16271.

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Les accidents sont la cause la plus fréquente de décès chez l’enfant, la plupart du temps à cause d’un traumatisme cranio-cérébrale (TCC) sévère ou d’un choc hémorragique. Malgré cela, la prise en charge de ces patients est souvent basée sur la littérature adulte. Le mannitol et le salin hypertonique (3%) sont des traitements standards dans la gestion de l’hypertension intracrânienne, mais il existe très peu d’évidence sur leur utilité en pédiatrie. Nous avons entrepris une revue rétrospective des traumatismes crâniens sévères admis dans les sept dernières années, pour décrire l’utilisation

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30

Rocha, Ana Cláudia Sousa. "The prognostic value of lactate kinetics in critically ill children." Master's thesis, 2020. http://hdl.handle.net/10316/97734.

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Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina<br>INTRODUÇÃO: Os níveis séricos de lactato e a sua tendência nas primeiras horas após admissão têm sido reportados como bons preditores de outcome em doentes críticos. O objetivo do presente estudo prendeu-se com testar a aplicabilidade da cinética do lactato como um método de estratificação de risco em crianças gravemente doentes. MÉTODOS: Estudo exploratório com colheita retrospetiva de dados de doentes admitidos na CIPE (unidade de cuidados intensivos pediátricos) entre 2016 e 2019. Os critérios de exclusã

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31

Eddington, Kay Allen. "Relationship between monitored elements and prescribed ventilator setting modifications in critically ill children." Thèse, 2012. http://hdl.handle.net/1866/8363.

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Les pédiatres intensivistes ont plusieurs éléments disponibles pour guider leurs décisions par rapport à la ventilation mécanique. Par contre, aucune étude prospective ne décrit les éléments auxquels les intensivistes se réfèrent pour modifier les paramètres du respirateur. Objectifs : Décrire la pratique actuelle de la modification des paramètres du respirateur aux soins intensifs du CHU Sainte-Justine, un hôpital pédiatrique tertiaire. Hypothèse : 80% des modifications des paramètres du respirateur influant sur l’épuration du CO2 sont liées à l’analyse de la PCO2 ou du pH et 80% des modifi

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32

Kowalske, Kaye. "The process and product of writing for preschoolers my sister is special : report submitted in partial fulfillment ... for the degree of Master of Science (Parent-Child Nursing) ... /." 1994. http://catalog.hathitrust.org/api/volumes/oclc/68797664.html.

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33

Brown, Devon. "The lived experience of family-centred care by primary caregivers of critically ill children in the pediatric intensive care unit." 2012. http://hdl.handle.net/1993/5111.

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The unexpected admission of a child to the pediatric intensive care unit (PICU) creates feelings of uncertainty, distress, and fear and is a devastating experience for primary caregivers. Health care providers must address primary caregivers` concerns to enhance primary caregivers’ coping abilities. While a family-centred approach to care can assist in diminishing uneasy feelings experienced by primary caregivers, this philosophy of care is not consistently used in everyday practice. The PICU is a unique area of care that focuses on restoring the health of critically ill children with the use

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34

Maxton, Fiona. "Sharing and surviving the resuscitation : parental presence during resuscitation of a child in PICU : the experiences of parents and nurses." Thesis, 2005. http://handle.uws.edu.au:8081/1959.7/593.

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Parents’ presence and participation in their child’s care in the paediatric intensive care unit (PICU) is now commonplace. Despite parents expressing a deep need to be with their child particularly during periods of crisis, it is precisely at these times that they are often prevented from staying. The growing debate regarding family presence during a cardiopulmonary (CPR) resuscitation attempt continues to be controversial and conflicting. Current knowledge is mostly derived from quantitative studies conducted in the adult intensive care or emergency environments. The experiences of parents of

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35

Chen, Yu-Chun, and 陳玉純. "The relationship between physician case volume and in-hospital mortality of critically ill children with a diagnosis of pneumonia: A cross-sectional observational analytical study." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/5956w2.

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碩士<br>國立陽明大學<br>急重症醫學研究所<br>103<br>Purpose: The aim of this study is to examine the relationship between physician case volume and the outcomes of critically ill children with pneumonia. Materials and Methods: This is a population-based cohort study analyzed data provided from the National Health Insurance Research Database of Taiwan, 2006-2009. Children (aged 3 months to 17 years) having records of intensive care unit (ICU) admission and a diagnosis of pneumonia were included. A total of 9754 critically ill children and 1042 attending physicians were enrolled. The children were assigned to 1

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36

Wright, Jennifer J. "The critically ill child's perceived health status a comparison of parents' and children's perceptions : a research report submitted in partial fulfillment ... for the degree of Master of Science (Parent-Child Nursing) ... /." 1991. http://catalog.hathitrust.org/api/volumes/oclc/68796351.html.

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37

Neven, Ruth Schmidt. "Constructing mental health problems a critical inquiry into the views of professionals working with children, parents and families /." 2007. http://wallaby.vu.edu.au/adt-VVUT/public/adt-VVUT20070514.155102/index.html.

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