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1
Kmak, Malgorzata. "DEVELOPMENT OF CHILDREN'S RIGHTS IN POLAND – SELECTED ASPECTS." MEST Journal 9, no. 1 (January 15, 2021): 46–53. http://dx.doi.org/10.12709/mest.09.09.01.06.
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Children’s rights are human rights, they result from the personal dignity and uniqueness of the child as a person. They apply to every child, they cannot be stripped away or renounced. It also means that if a child has a right, the state must ensure that it can be exercised. Further, if the child has a certain right, it means that there must also be procedures to enforce it. The beginning of the international movement for the protection of children's rights dates back to 1874, when the first organization for the protection of children's rights, the New York Society for the Prevention of Cruelty to Children, was founded in The United States. In Europe, at a similar time, since 1880, international societies of criminologists, youth court judges, care for abandoned and homeless children were being established to work on relaxing the criminal law for minors or establishing educational and care facilities for children. It was in the 19th century when the rights of the child were discussed in Poland for the first time. Moral, religious, or customary norms regulated children’s place in the community. However, the development of these rights was a long process that had started in Poland much earlier. The article aims to present selected historical situations affecting the development process and the current state of children's rights in Poland.
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Hristozova, Mariya. "CHILDREN'S RIGHT TO HEALTH IN THE ACTS OF THE UNITED NATIONS ORGANIZATION." Knowledge International Journal 28, no. 6 (December 10, 2018): 2051–55. http://dx.doi.org/10.35120/kij28062051m.
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One of the most vulnerable people in every society is children who, due to their physical, emotional, psychological and social immaturity, can not protect their fundamental rights and freedoms themselves and need increased support from the international community and national authorities. In view of these objective circumstances, in the system of the United Nations has adopted a number of legal acts which lay down minimum international standards for the protection of children's righThe most important and comprehensive international treaty for the protection of children 's rights is the 1989 United Nations Convention on the Rights of the Child. This Act proclaims a number of civil, economic, social and cultural rights for children who should be protected in all legal systems, such as: the right to education, the right to social security, the right to a standard of living appropriate to the physical, mental, social development of the child and other rights.Article 24 of the UN Convention also sets out the right of every child to enjoy "the highest attainable standard of health and health services to treat illness and restore his health." The right of children to health includes in its content, separate, autonomous rights and freedoms, such as the right to access quality medical care and remedies for illness and health rehabilitation, the right to control one's own health and body and others.In fulfillment of their obligations under the UN Convention on the Rights of the Child, States have an obligation to take comprehensive measures to ensure the fundamental human rights enshrined in the international treaty, including children's health, such as legislative, administrative, economic and other measures.However, the adoption of an appropriate legal framework is not sufficient to ensure effective protection of children's health. That right falls under the category of social rights, the full exercise of which requires active cooperation from the States. Today in a number of reports by international organizations is stated that many countries do not have sufficient financial resources to ensure the practical implementation of their obligations under international treaties, which creates a real risk to the children's right to health and for all their fundamental rights. In view of these disturbing data, further steps need to be taken to strengthen and guarantee all children's fundamental rights, especially their right to health, both at international and national level.
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Davies, Betty, Paul Brenner, Stacy Orloff, Liz Sumner, and William Worden. "Addressing Spirituality in Pediatric Hospice and Palliative Care." Journal of Palliative Care 18, no. 1 (March 2002): 59–67. http://dx.doi.org/10.1177/082585970201800109.
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Hospice and palliative care principles mandate clinicians to provide “total” care to patients and their families. Such care incorporates not only physical, emotional, and psychosocial care, but spiritual care as well. Even though considerable attention has been directed to spiritual issues for adult patients in hospice and palliative care, spirituality in pediatric palliative care has been virtually neglected. The need for guidelines to assess spirituality in this population was identified as a priority issue by members of a subcommittee of the Children's International Project on Children's Palliative/Hospice Services, created under the auspices of the National Hospice Organization. Committee members, based on their clinical, research, and personal experiences, identified several aspects relevant to spirituality in general, and to spirituality in pediatric palliative care in particular, and developed guidelines for clinicians in pediatric palliative care. The purpose of this paper is to share the results of this committee's work and, in particular, to present their guidelines for addressing spiritual issues in children and families in pediatric hospice and palliative care.
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Kisselev, Andrei K. "The League of Red Cross and Red Crescent Societies (LRCS)." Prehospital and Disaster Medicine 1, no. 3 (1985): 209. http://dx.doi.org/10.1017/s1049023x00065651.
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The “International Red Cross” is composed of: (1) The International Committee of the Red Cross (ICRC) which focuses on war victims; (2) the LRCS; and (3) the 130 National Red Cross and Red Crescent Societies worldwide which are federated by the LRCS. The LRCS was founded to facilitate, encourage and promote the humanitarian activities of its member societies and thus contribute to the promotion of peace in the world. The LRCS considers health as one of the keys to a better world for everyone. Red Cross programs include the training of nursing personnel, the provision of health care in rural areas, the organization of assistance to the sick, aged, and handicapped, and teaching first aid skills to lay people.The Red Cross bases its actions on seven principles: (1) Humanity; (2) Impartiality; (3) Neutrality; (4) Independence; (5) Voluntary Service; (6) Unity; and (7) Universality.The LRCS assists national societies in improving their disaster relief preparedness through the following functions: (1) to encourage, facilitate and assist in the establishment of a national disaster relief plan; (2) to give technical assistance to national Red Cross societies by sending delegates and equipment and/or by giving cash grants; (3) to convene seminars and conferences to help exchange opinions and share experiences; (4) to train qualified personnel; and (5) to maintain contact with other international governmental and non-governmental organizations. These include the United Nations Disaster Relief Organization (UNDRO); the World Health Organization (WHO); the International Children's Fund (UNICEF); the World Meteorological Organization (WMO); the Food and Agricultural Organization/World Food Program (FAO/WFP); the UN High Commissioner for Refugees (UNHR); and the United Nations Education Scientific and Cultural Organization (UNESCO).
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Petryaykina, E. E., I. O. Shchederkina, I. P. Vitkovskaya, P. V. Svirin, A. V. Gorbunov, A. E. Kessel, Yu A. Khachaturov, G. E. Chmutin, and N. N. Kuleshov. "Primary pediatric stroke center in the multidisciplinary pediatric hospital. New reality in pediatrics." City Healthcare 1, no. 1 (October 16, 2020): 15–30. http://dx.doi.org/10.47619/2713-2617.zm.2020.v1i1;15-30.
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Background. The increase in the number of diagnosed strokes in children, significant distinctive features and complexity of diagnosis, treatment and prevention of cerebrovascular diseases in children compared with adults, the impossibility of direct extrapolation of therapeutic recommendations from adult practice to pediatrics required the creation of specialized primary centers of pediatric stroke in Russia. Purpose. The purpose of this article is to describe the experience of organizing a Center for the treatment of children and adolescents with cerebrovascular diseases (hereinafter referred to as the Center) on the basis of the multidisciplinary pediatric hospital of the Morozovskaya Children's City Clinical Hospital of Moscow Healthcare Department, the introduction of modern methods of diagnosis and treatment of strokes in pediatrics, the organization of preventive measures, maintaining the city register of children's stroke, coordinating the provision of medical care to children with cerebrovascular diseases at various levels in the city of Moscow. Materials and methods. The presented experience of organizing and operating the Center covers the period from 2014 to 2019. Researchers used descriptive, statistical, and comparative analysis to demonstrate the Center's performance and justify proposed improvements in diagnostics, management of pediatric patients with cerebrovascular disease, and relapse prevention. Results. In the course of the organization and operation of the Center, there was assessed the frequency of children's strokes in the city: in 2015 - 6.59 cases per 100 thousand of the child population of Moscow; in 2016 - 6.51 per 100 thousand; in 2017 - 6.43 per 100 thousand and in 2018 - 5.86 per 100 thousand. There were improved: the diagnostics of cerebrovascular pathology and its algorithm, modern reperfusion methods of treatment (thrombolysis, thromboextraction) were introduced into practice, outpatient observation. The equipment and trained specialists concentration on the basis of the Center allowed the creation of the Center "full cycle". Maintaining the city register of pediatric stroke made it possible to compare Russian data with those available in the literature and to establish international cooperation with the International Pediatric Stroke Organization. Conclusion. The establishment of the Center is an important example of interdisciplinary interaction in pediatrics. The City Register of Pediatric Stroke will make it possible to assess the problem of childhood stroke in Moscow. The accumulated organizational, medical and diagnostic, scientific, international and educational experience of the Center can be introduced in other regions of the Russian Federation to improve the provision of medical care to children and to solve the most important problem - preserving the health of the country's child population.
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Jijon, Isabel. "The priceless child talks back: How working children respond to global norms against child labor." Childhood 27, no. 1 (August 30, 2019): 63–77. http://dx.doi.org/10.1177/0907568219870582.
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This article examines how working children understand the morality of child labor. Drawing on interviews with children in Bolivia and Ecuador, I find that children call child labor moral when it helps them manage their social ties. Working children do not think of themselves as individuals needing care (per international organizations like the International Labor Organization) or as a cultural group needing recognition (per the “working children’s movements”). Rather, children describe themselves as morally upright members of intimate networks. I conclude by introducing the concept of relational dignity.
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Louis, Matthew, Ryan M. Dickey, and Larry H. Hollier. "Smile Train: Making the Grade in Global Cleft Care." Craniomaxillofacial Trauma & Reconstruction 11, no. 1 (March 2018): 001–5. http://dx.doi.org/10.1055/s-0037-1608700.
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The global medical and psychological burden of cleft lip and palate is large, especially in low- and middle-income countries. For decades, medical missions have sought to alleviate this burden; however, there are significant barriers to providing sustainable, high-quality cleft care using the mission model. Smile Train, an international children's charity founded in 1999, has developed a scalable model which provides support to local partner hospitals and surgeons around the world. Smile Train partners with hospitals to support cleft care treatment across the developing world. Partner hospitals are held to strict safety and quality standards. Local or regional providers are primarily used to train medical personnel. A quality assurance process developed by the Smile Train's Medical Advisory Board is used to assess cleft surgery cases and suggest additional review and training as needed. Surgical candidates are systematically evaluated and must meet specific medical criteria to ensure safety. Experienced anesthetists adhere to Smile Train's safety and quality protocols including anesthesia guidelines. Smile Train and its partners have provided more than 1.2 million safe, high-quality cleft surgical treatments since 1999. Smile Train has sponsored more than 3,000 hands-on training opportunities, 30,000 opportunities to participate in cleft conferences, and 40,000 virtual cleft training opportunities. Through rigorous self-governance and its sustainable, scalable model, this organization has elevated the standard of cleft care in the developing world.
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Krynychko, Lilia. "Problems of the health care system and directions for their solution: a view of science and practice." Public administration aspects 8, no. 6 (December 30, 2020): 115–31. http://dx.doi.org/10.15421/1520111.
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The study allowed us to establish the development of scientific knowledge in public administration, which is to expand its subject-matter scope and methods of studying the processes occurring in the field of health care. In addition, it is proved that the proposals of scientists to expand the forms and content of mechanisms for implementing public administration and public policy in the field of health care are important in the development of methodology and organization of public administration science. The positions of domestic and foreign scientists on the peculiarities of public health management are analyzed. Thus, Bugaytsov S. G. studied the problems of state regulation of the cancer care system, Yarosh N. P. devoted research to regulating the development of social standards in the field of health, Ringach N. O. studied the health care system as a component of national security. Scientific researches of Zhilka K. I. related to the development of cooperation with international organizations in the field of public administration of children's health. Firsova OD improved the mechanisms of geoinformation support of the state health care management in Ukraine. Mokretsov SE studied the problems of public administration of reproductive health in Ukraine in a demographic crisis. Kovalenko T. Yu. developed mechanisms of public administration in the field of sanatorium and resort provision of children in Ukraine. Jafarova D. M. suggested ways to improve the management system of primary health care reform at the local level on the example of the city of Lviv. In general, the scientific achievements of domestic science, allows us to talk about the diversity of the health care system as an object of public administration. As a result, a map of the development of public administration science in the context of a separate object-subject field of the health care system has been formed.
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Jensen, Helle S., and Katalin Lustyik. "Negotiating ‘non-profit’: the survival strategies of the Sesame Workshop." Media International Australia 163, no. 1 (March 13, 2017): 97–106. http://dx.doi.org/10.1177/1329878x17693930.
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Our study focuses on Sesame Street and sets out to examine how Sesame Workshop, as a ‘non-profit’ organization targeting children, has been able to continuously transform and make itself relevant in a predominantly commercial children’s television landscape dominated by transnational ownership structures. The analysis includes an investigation of Sesame Workshop’s mission statements, organizational structure, annual fiscal reports, promotional material and other written sources from the 1970s to the 2010s. We focus on the Workshop’s own arguments and reasons for why their ‘non-profit’ status was, and still is, better at taking care of children’s interests than the for-profit companies. These understandings are held up against the, at times, very commercial logic guiding the workshop’s business model, and analysed within the economic and political context of children’s television in the United States and the Workshop’s key international target markets. Our theoretical framework draws upon insights from work on political economy and children’s media and comparative media systems.
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Vlasova, A. V., T. A. Tenovskaya, L. V. Dymnova, Yu V. Romanova, A. B. Malahov, M. A. Muhina, I. P. Vitkovskaya, E. E. Petryaykina, and O. I. Simonova. "Primary pediatric stroke center in the multidisciplinary pediatric hospital. New reality in pediatrics." City Healthcare 1, no. 1 (October 16, 2020): 51–59. http://dx.doi.org/10.47619/2713-2617.zm.2020.v1i1;51-59.
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Background. The increase in the number of diagnosed strokes in children, significant distinctive features and complexity of diagnosis, treatment and prevention of cerebrovascular diseases in children compared with adults, the impossibility of direct extrapolation of therapeutic recommendations from adult practice to pediatrics required the creation of specialized primary centers of pediatric stroke in Russia. Purpose. The purpose of this article is to describe the experience of organizing a Center for the treatment of children and adolescents with cerebrovascular diseases (hereinafter referred to as the Center) on the basis of the multidisciplinary pediatric hospital of the Morozovskaya Children’s City Clinical Hospital of Moscow Healthcare Department, the introduction of modern methods of diagnosis and treatment of strokes in pediatrics, the organization of preventive measures, maintaining the city register of children’s stroke, coordinating the provision of medical care to children with cerebrovascular diseases at various levels in the city of Moscow. Materials and methods. The presented experience of organizing and operating the Center covers the period from 2014 to 2019. Researchers used descriptive, statistical, and comparative analysis to demonstrate the Center’s performance and justify proposed improvements in diagnostics, management of pediatric patients with cerebrovascular disease, and relapse prevention. Results. In the course of the organization and operation of the Center, there was assessed the frequency of children’s strokes in the city: in 2015 - 6.59 cases per 100 thousand of the child population of Moscow; in 2016 - 6.51 per 100 thousand; in 2017 - 6.43 per 100 thousand and in 2018 - 5.86 per 100 thousand. There were improved: the diagnostics of cerebrovascular pathology and its algorithm, modern reperfusion methods of treatment (thrombolysis, thromboextraction) were introduced into practice, outpatient observation. The equipment and trained specialists concentration on the basis of the Center allowed the creation of the Center «full cycle». Maintaining the city register of pediatric stroke made it possible to compare Russian data with those available in the literature and to establish international cooperation with the International Pediatric Stroke Organization. Conclusion. The establishment of the Center is an important example of interdisciplinary interaction in pediatrics. The City Register of Pediatric Stroke will make it possible to assess the problem of childhood stroke in Moscow. The accumulated organizational, medical and diagnostic, scientific, international and educational experience of the Center can be introduced in other regions of the Russian Federation to improve the provision of medical care to children and to solve the most important problem - preserving the health of the country’s child population.
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Muftakhova, G., K. Kirgizov, G. Serik, S. Kogan, and S. Varfolomeeva. "International Projects of The National Society of Pediatric Hematologist and Oncologists." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 165s. http://dx.doi.org/10.1200/jgo.18.52800.
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Background and context: International cooperation is a key factor in the success of multicenter studies and educational projects, especially in LMICs. Aim: To describe projects of The National Society of Pediatric Hematologists and Oncologists (NSPHO) in the international collaboration. Strategy/Tactics: NSPHO international projects: optimization of care for children with cancer in Commonwealth of Independent States (CIS) and developing relationship with international organizations such as UICC, SIOP (Asian region). Unique feature is that these projects based on collaboration between healthcare professionals and governments with support of leading institutions. Program/Policy process: Program based on online and off-line meetings and courses. CIS project (in collaboration with WHO and St. Jude Children's Research Hospital) based on series of scientific and organizational meetings (online/off-line). Aim of this work is to organize a community of pediatric hematologists/oncologists of the region and prepare unique projects to improve the outcomes of treatment of pediatric cancer cases. Next meeting under the auspices if WHO will be held in Moscow in April 2018 (participants from 10 countries). The objectives of this meeting are to describe current situation of pediatric oncology care in the region, identify regional gaps in pediatric oncology care, and create collaborative project proposals to address identified gaps in care to improve pediatric cancer outcomes in the region. NSPHO working close with SIOP Asia: SIOP Asia Congress was organized in Moscow in 2016. Second project is developing of Directory of Asian Societies and Foundations in the field of pediatric hematology and oncology. Russian-Vietnamese collaborative group in pediatric hematology and oncology was formed in November 2017 in Vietnam. Second meeting of this group is planned for April 2018. Outcomes: More than 5 collaborative projects will be discussed such as CIS cancer registries, collaborative multicentre protocols, educational outreach projects, etc. As the deliverables the plan to publish a special report as well as a resolution to the Ministries of Health of CIS region. SIOP Asia Congress in Moscow was one of the most successful, attracted 1000 participants from 40 different countries attended. New relations were started. Directory of Asian Societies and Foundations in the field of pediatric hematology and oncology includes information on more than 40 organizations. Printed version will be presented at SIOP 2018 Congress in Kyoto. Several collaborative projects discussed in Russian-Vietnamese group. A “memorandum of understanding” was signed as a part of this meeting. It was decided to continue a series of scientific meetings as a part of collaboration. What was learned: Only active international collaboration supported by healthcare professionals and governments could lead to strong improvement of outcomes of pediatric cancer care in all countries worldwide.
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Hagan, Pat. "Waste not, want not: Leading the lean health-care journey at Seattle Children's Hospital." Global Business and Organizational Excellence 30, no. 3 (February 2, 2011): 25–31. http://dx.doi.org/10.1002/joe.20375.
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Murthi, Shubha, and Chathuri Jayasooriya. "Deinstitutionalisation and the Best Interest of the Child: The Case of Rwanda and Lessons for South Asia." Institutionalised Children Explorations and Beyond 7, no. 2 (July 16, 2020): 148–58. http://dx.doi.org/10.1177/2349300320932331.
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The ‘deinstitutionalisation’ (DI) movement, also known as ‘care reforms’, is spreading rapidly across the globe, gaining momentum with the growing understanding among both practitioners and policy makers of the harmful effects of institutionalisation on the development and well-being of children as well as the strengthening of the child rights discourse. This has led to a growing international trend towards the development of, and a strong belief in, family-based care options for children deprived of parental care, away from large-scale institutions. This trend is reflected in and supported by international frameworks guiding the care of children, including the United Nations Convention on the Rights of the Child and in particular the United National Guidelines for the Alternative Care of Children, which was hailed in 2009. These instruments recognise that a caring and protective family is central to a child’s development, that governments should fulfil children’s right to quality care in families of origin and in alternative care and that institutionalisation of a child should be discouraged. DI processes are, however, not simple and straightforward as there are many challenges and complexities in their cross-cultural implementation. Even though unequivocally agreed by all stakeholders that the ‘best interest of the child’ should be at the heart of such care reform processes, its actual practice can often contradict such understandings as it gets submerged in numerous other considerations, constraints and challenges. This article analyses some of the dominant DI trends prevailing at present, in particular the primacy of family-based care and the misconceptions associated with the suitability of residential care, illustrated by the experience of SOS Children’s Villages in the DI process and its outcomes in Rwanda. The analysis is premised on the framework of the UN guidelines for the alternative care of children and strives to understand whether DI as it is practiced in Rwanda is aligned with the principles of ‘necessity’, ‘suitability’ and the ‘best interest of the child’ as stipulated in the Guidelines. The attempt is to draw lessons for South Asia from the success as well as the challenges faced in Rwanda, as many governments in South Asia progressively join the DI movement. It is critical for all child-focused international non-governmental organization/ non-governmental organizations (INGOs/NGOs) in Asia to understand the UNGL, learn from different experiences about the challenges of DI and prepare to engage with policy makers. One of the most important lessons from the Rwanda experience is that the ‘quality’ of care should take precedence over the ‘form’ of care, and that quality is not always guaranteed in family-based care. The shift in the positionality of the government of Rwanda and their willingness to rethink their approach to DI particularly in terms of recognising quality residential care is commendable. This needs to be taken as a precedence by other governments across the world including in South Asia—especially by those who are truly interested in ensuring the best interest of children who have lost the care of their parents.
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Gathron, Erika L. "Strategically Positioned: Breastfeeding, Advocacy, and the Hands-On Nurse." Creative Nursing 23, no. 3 (2017): 192–200. http://dx.doi.org/10.1891/1078-4535.23.3.192.
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Breastfeeding, a health behavior that provides well-known benefits for mothers, infants, and children, is an essential strategy to improve public health. Breastfeeding can reduce the incidence of infant illness and death and provides both short- and long-term physiological benefits to mothers. National and international government agencies and grassroots organizations supporting breastfeeding include the World Health Organization, the United Nations International Children’s Emergency Fund, the World Alliance for Breastfeeding Action, the Centers for Disease Control and Prevention, and the La Leche League. In the United States, breastfeeding of infants was the norm until the late 1890s when the Progressive Era’s emphasis on science and modernity led to the transition of childbirth from residential in-home births to community-based hospital births and the aggressive rise of the baby formula industry. By 1966, only 18% of mothers were exclusively breastfeeding their infants at hospital discharge. This drastic decrease in breastfeeding reduced the percentage of mothers and grandmothers who could share their breastfeeding knowledge and experience. Nurses who provide care for women and infants are essential stakeholders in bridging the breastfeeding knowledge gap by offering education on the short- and long-term health benefits of breastfeeding to both mother and baby and timely encouragement to mothers during the most significant time for establishing lactation.
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Lamounier, Joel Alves, Roberto Gomes Chaves, Maria Albertina Santiago Rego, and Maria Cândida Ferrarez Bouzada. "BABY FRIENDLY HOSPITAL INITIATIVE: 25 YEARS OF EXPERIENCE IN BRAZIL." Revista Paulista de Pediatria 37, no. 4 (December 2019): 486–93. http://dx.doi.org/10.1590/1984-0462/;2019;37;4;00004.
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ABSTRACT Objective: To describe the experience of the 25-year-old trajectory of the Baby Friendly Hospital Initiative (BFHI) in Brazil. The first unit was implemented in 1992. Methods: Information and data were collected from publications on the World Health Organization (WHO), the United Nations International Children’s Emergency Fund (UNICEF) and the Ministry of Health websites and in national and international journals, about the period 1990-2017. The descriptors used were: “iniciativa hospital amigo da criança”, “hospital amigo da criança”, “baby friendly initiative hospital”, “aleitamento materno” and “breastfeeding”. The number of hospitals in the 25 years, the course of the BFHI and its repercussions on breastfeeding in Brazil were evaluated. Results: The BFHI is an intervention strategy in hospital care at birth focused on the implementation of practices that promote exclusive breastfeeding from the first hours of life and with the support, among other measures of positive impact on breastfeeding, of the International Code of Marketing of Breastmilk Substitutes. Currently, the initiative has been revised, updated and expanded to integrate care for newborns in neonatal units and care for women since prenatal care. It can be concluded that, during these 25 years, the quantity of hospitals varied greatly, with numbers still below the capacity of hospital beds. BFHI shows higher rates of breastfeeding than non-accredited hospitals. However, the number of hospitals are still few when compared to other countries. Conclusions: The BFHI has contributed to breastfeeding in Brazil in recent decades. Greater support for public policies is needed to expand the number of accredited institutions in the country.
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Gomez, Sergio M., Claudia M. Ruiz, Daniela Iglesias, and Marcela Varela. "#45: Reopening a Successful Stem-cell Transplantation Unit in a Public Children’s Hospital in La Plata, Argentina." Journal of the Pediatric Infectious Diseases Society 10, Supplement_1 (March 1, 2021): S19—S20. http://dx.doi.org/10.1093/jpids/piaa170.062.
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Abstract Background Hematopoietic stem cell transplantation (HSCT) is challenging because of economic, educational, and organizational reasons. Argentina is a middle-income country. HSML is a public pediatric hospital with an HSCT unit halted its services in July 2014. Among the reasons for suspending the services were healthcare providers(HCP) burn out, miscommunication, and tasks breakdown. The HSCT service resumed in December 2014. Objectives The primary objective was to describe and share the experiences in resuming the HSCT service by using a multicomponent strategic plan and interventions. The secondary objective was to review the outcomes. Methods Our strategic plan consisted of four main components: (1) Use of quality improvement tools for quality assessment and management (Six Sigma quality improvement processes, root-cause analysis, process maps, and brain storming); (2) participate in international collaborative networks (St. Jude Global Alliance and PRINCIPAL networks, the BFM-Forum-SCT, Sick-Kids Hospital, Canada); (3) participate in national and international training programs; and (4) improve healthcare delivery and organization processes, including infection care and prevention (develop and standardize all HSCT care delivery procedures). Results and Outcomes Healthcare facilities and services auditing and accreditation: An infection prevention and control program was started. This program managed: air and ventilation system improvement (air-conditioning, HEPA filters, positive pressure) and the creation of 47 standardized operating procedures. The HSCT wards were audited 3 times, and received accreditation (2018) by a national accreditation agency in Argentina. Human resources: 7 new doctors and 4 nurses were hired, the nurse:patient ratio was 1:2. 4 doctors attended a course for SPSS software®management; 6 doctors attended different American Society of Hematology H-Clinical Research Institute meetings. Personnel felt a reduction in the level of burn-out after the implementation of a plan designed by all stakeholders. Family information: 28 families received training for management of immunosuppressed patients. Scientific production: 4 clinical trials were accepted in indexed journals, 23 abstracts were presented in scientific meetings, and 27 educational national and international meetings were attended by personnel. Data management: Creation of a patient database (n = 310 patients), and registration of infection episodes for monthly assessment and monitoring patterns of infections (n = 776 events). Outcomes: During 2015–2019, 73 children were transplanted: autologous 11 (15%), match sibling donor (MSD) 35 (48%) and match unrelated donors (MUD) 27 (37%) Median age was 6 years of age (IQR 2–9), 53% were male, and 60% were acute leukemias. At a mean median time of 12 months (IQR 5–18), the overall survival by Kaplan–Meier for MSD and MUD was similar (62.3 ± 10.7% and 54.2 ± 15.0%, log-rank P = 0.54). The cumulative incidence of treatment-related mortality (log-rank P = 0.31), cumulative incidence of relapse (LR P = 0.99) were comparable as well. Infection rates were 40.5% and 69.6% in MSD vs. MUD (OR 3.36; 95% CI 1.14–9.98; P = 0.038). Conclusion The strategic plan implemented allowed us to offer optimal care to children in a public hospital without further financial cost and more satisfied HCPs. Results are comparable to published literature. Implementation of quality improvement interventions leads to the success of our program. Education and collaboration with national and international networks assisted improvement of the standard of care.
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Avetisyan, Mery. "WHO ICF as an Assessment Tool For Evaluation of Selfcare Activities of the Child With Cerebral Palsy." Armenian Journal of Special Education 3, no. 1 (February 26, 2021): 49–65. http://dx.doi.org/10.24234/se.2021.3.1.259.
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The study was conducted in two stages. At the first stage, quantitative methods were chosen as methodologies, since the object that is studied by this method is a quantitative unit, which in the future allows to draw conclusions, based on the results, using certain numerical models to develop or confirm new hypotheses, or/and refute existing ones. At the second stage, a qualitative study was conducted on the basis of the results of the first stage, accordingly developing recommendations on ergotherapy for each code issue.
According to the study results, in today's Armenia, it is possible to issue all the problems that children with Cerebral Palsy face in self-care and life by using certain assessing tools of occupational therapy. In this case, the study shows that the evaluation of the World Health Organization International Classification of Functioning and Disability, Children and Youth (2008) allows to observe and issue the existing problems of this sphere in a more accurate and comprehensive way․ It also provides an objective basis for identifying the problems in the field of children's self-service and life, which, in its turn, allows the occupational therapist to conduct a detailed assessment to find out which self-service actions are available to the child, to what extent the child’s actions and personal roles are compatible with the current state of the disease, and to what extent the actions correspond to their age.
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Morelli, Gilda, Naomi Quinn, Nandita Chaudhary, Marga Vicedo, Mariano Rosabal-Coto, Heidi Keller, Marjorie Murray, Alma Gottlieb, Gabriel Scheidecker, and Akira Takada. "Ethical Challenges of Parenting Interventions in Low- to Middle-Income Countries." Journal of Cross-Cultural Psychology 49, no. 1 (December 19, 2017): 5–24. http://dx.doi.org/10.1177/0022022117746241.
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This article explores ethical issues raised by parenting interventions implemented in communities in low- to middle-income countries (LMICs) with rural, subsistence lifestyles. Many of these interventions foster “positive parenting practices” to improve children’s chances of fulfilling their developmental potential. The practices are derived from attachment theory and presented as the universal standard of good care. But attachment-based parenting is typical primarily of people living Western lifestyles and runs counter to the different ways many people with other lifestyles care for their children given what they want for them. Thus, such parenting interventions involve encouraging caregivers to change their practices and views, usually with little understanding of how such changes affect child, family, and community. This undermines researchers’ and practitioners’ ability to honor promises to uphold ethic codes of respect and beneficence. Support for this claim is provided by comparing positive parenting practices advocated by the United Nations International Children’s Emergency Fund (UNICEF; with the world health organization [WHO]) Care for Child Development (CCD) intervention with parenting practices typical of communities with rural, subsistence lifestyles—the most common of lifestyles worldwide and largely observed in LMICs. As UNICEF has a considerable presence in these countries, the CCD intervention was selected as a case study. In addition, parenting interventions typically target people who are poor, and the issues this raises regarding ethics of fairness and justice are considered. Recommendations are made for ways change agents can be sensitive to the living conditions and worldviews of communities, and, thus, be appropriately effective and ethically sensitive to the diverse needs of different communities.
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Woltanowski, Piotr, Andrzej Wincewicz, and Stanisław Sulkowski. "Protection of Children’s Human Rights and Health: A Legacy of Julian Kramsztyk, Janusz Korczak, and Ludwik Rajchman." Global Pediatric Health 5 (January 1, 2018): 2333794X1775415. http://dx.doi.org/10.1177/2333794x17754157.
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Tutor of generations of Warsaw medical doctors, Julian Kramsztyk (1851-1926) was son of Rabbi Izaak Kramsztyk, Polish patriot and fighter for independent Poland. Julian Kramsztyk graduated in medicine from Warsaw University in 1873 to soon work as a supervisor of the Internal Diseases Department of Bersohns and Baumans Children’s Hospital from 1878 to 1910, and despite of refusing professorship from Imperial Warsaw University, he worked as a lecturer of pediatric disorders from 1880 with strong association of his medical practice with scientific and editorial tasks as well as engaging in charity. This article focuses on selective retrieval of biographical data of social and scientific achievements of followers of Julian Kramsztyk: his student, pioneer of children human rights, and pioneer of healthy patterns of nutrition of children, pediatrician Janusz Korczak (Henryk Goldszmit; 1878 or 1879-1942); and a skilled bacteriologist and a brilliant epidemiologist who was a prominent activist of the League of Nations (later United Nations Organization), cofounder of the UNICEF (United Nations Children’s Emergency Fund), and the first chairman of the Organization from 1946 to 1950, which was primarily dedicated to “provide emergency food and health care to children in postwar time,” Ludwik Rajchman (1881-1965). Janusz Korczak works laid foundation for international recognition of children rights to health, respect, education, privacy, and all the other human rights to be included in the United Nations Convention on the Rights of the Child (UNCRC). In 1989, nutrition and vaccination issues were the main medical interests of these medical doctors and still remain major fields of UNICEF actions.
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Skiff, Katherine, Maria deValpine, and Andrea Knopp. "Improving Breastfeeding in Rural Tanzania Using Eight-Step Policy Analysis Methodology." Policy, Politics, & Nursing Practice 21, no. 4 (August 16, 2020): 213–21. http://dx.doi.org/10.1177/1527154420945306.
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Appropriate breastfeeding has the potential to have the broadest impact on childhood survival in children under 5 years compared with all other preventive interventions. The World Health Organization and United Nations International Children’s Emergency Fund recommend that all facilities providing maternal services and newborn care have a written policy addressing breastfeeding that is routinely disseminated to staff. A Mara region hospital in rural Tanzania does not have a breastfeeding policy. Collins adapted Bardach’s eightfold path for policy analysis specifically for health policies. This eight-step process was used to evaluate three promising policies to improve breastfeeding in populations in and around this hospital. These policies include exclusive breastfeeding education, complementary food education, and community health worker home visits. Analysis identified exclusive breastfeeding with adjunct complementary food education as the most feasible policies to increase breastfeeding in and around the target hospital. With improved feeding practices, chronic malnutrition rates are expected to decline in the villages that the hospital serves. This methodology can be used by nurses to develop health polices addressing a wide range of health issues in a wide variety of settings.
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Panova, I. E., G. N. Kireeva, Irina Aleksandrovna Chervonyak, and E. P. Tagieva. "ORGANIZATION OF PROVISION OF THE OPHTHALMOLOGICAL CARE FOR THE CHILDREN PRESENTING WITH RETINOPATHY OF PREMATURITY IN THE CHELYABINSK REGION UNDER CONDITIONS OF TRANSITION TO THE INTERNATIONAL CRITERIA FOR LIVE BIRTH." Russian Pediatric Ophthalmology 12, no. 3 (September 15, 2017): 139–44. http://dx.doi.org/10.18821/1993-1859-2017-12-3-139-144.
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Aim. The objective of the present study was to contribute to the improvement of the work of the services providing the ophthalmological care for the children presenting with retinopathy of prematurity in the Chelyabinsk region based on the analysis of the main characteristics of their activities under conditions of transition to the international criteria for live birth. Materials and methods. We have elaborated the model for the organization of the ophthalmological aid to the children comprising the group of enhanced risk of development of retinopathy of prematurity based at a multi-disciplinary pediatric healthcare facility of the Chelyabinsk region. The analysis of its work covered the period of 7 years and included such characteristics as the prevalence of retinopathy of prematurity in the high-risk group with special reference to the severity of this condition, its threshold and terminal stages as well as the frequency of aggressive posterior retinopathy of prematurity. The overall prevalence of retinopathy of prematurity among the children’s population of the Chelyabinsk region during the period from 2009 till 2015 was estimated to amount to 36.4%. The threshold stage of this condition (including its aggressive posterior variant) was shown to have occurred in 26.7% of the examined children. Results. Despite the ever increasing survival rate among the extremely prematurely born infants, the number of the blind patients among those examined in the present study decreased by a factor of 4.5. The advantages of the proposed model for the provision of specialized ophthalmological care for the preterm children include the possibility of parallel monitoring the indicators of ophthalmological and somatic conditions of the children with the participation of the highly skilled physicians, anesthesiologists, and neonatologists. Conclusion. The results of this study can be used to further improve the quality of the screening for retinopathy of prematurity among the preterm infants and the adequate treatment of this condition for preserving vision in a greater number of such patients.
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Ahmad, Assist profr Dr Abeer Najim Abdullah. "The most important social problems faced by families in caring for children with autism and ways of treatment and rehabilitation." ALUSTATH JOURNAL FOR HUMAN AND SOCIAL SCIENCES 217, no. 2 (November 10, 2018): 1–28. http://dx.doi.org/10.36473/ujhss.v217i2.565.
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"The most important social problems of the family in the care of Autistic children and ways of treatment and rehabilitation (Rami in a field study center for the care of autistic children and slow learners)"(Social problems, Autistic children, rehabilitation)The current research aims to identify the most important social and psychological problems experienced by families in the care of children Autistic and what are the most prominent solutions and treatments to the families of the children, especially the parents in the care of these children, and what are the most important roads in the rehabilitation and treatment provided by Rahman Institute which (Rami previously) in care autistic child and that contribute to overcome the difficulties faced by them.The most important findings of the research:1-74% of families with autistic children suffer from difficulties in social relations.2-92% of the sample in which the brothers suffer frompsychological and social burden the existence of an autistic brother.3-80% of the children's families in which the parents of Autistic problems and disorders family suffers.4-70% of households Autistic children suffer injury as a result of social epilepsy or mental disability problems.5-80% of households have resorted to international organizations to take care of the child within and outside the country.6-78% of the families of autistic children confirms the ability of the Institute on the rehabilitation of the child in its ability to rely on himself.
7-74% of the sample confirms the auspices of medically Institute of autistic children.
The most important recommendations on the family:1. Child can be treated early bands to help him develop social and language skills.2. The child was given an opportunity in the completion of his duties, which help him to give confidence in himself and the evolution of his senses and make it stable.The most important recommendations for the state:
Provide special food and medical basket autistic child.
Providing material support.
Training professional cadres in the perpetuation of how to communicate with the families of autistic children.
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Shein, Jean-Emmanuel. "Organization Spotlight: International Children's Literacy Corps." Childhood Education 91, no. 3 (May 4, 2015): 208–11. http://dx.doi.org/10.1080/00094056.2015.1047313.
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Shesser, Lynn. "Children’s Hospital Home Care Goes the Extra Mile for International Patients." Home Health Care Management & Practice 29, no. 4 (June 14, 2017): 216–23. http://dx.doi.org/10.1177/1084822317712892.
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This article describes how one pediatric home care department, part of a large children’s hospital, provides culturally competent, linguistically appropriate, family-centered care to its international patients. Understanding that family and ethnic factors shape responses to illness and potential acceptance of American health care, health care organizations may need to adapt their care models to respect and integrate a family’s culture. Children’s Hospital of Philadelphia’s Home Care department executes a culturally congruent program that establishes trust, coordinates care, and goes the extra mile to promote best practices and optimal outcomes for its international patients. Success is supported by a health care system that provides a culturally sensitive environment, a full-spectrum language services program, and an interdisciplinary care team that collaboratively and safely transitions patients from hospital to home care or home country.
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Artyushkin, S. A., I. V. Koroleva, M. V. Kreisman, and G. S. Tufatulin. "Hearing impairment in children: regional epidemiologic studies." Russian Otorhinolaryngology 19, no. 2 (2021): 21–31. http://dx.doi.org/10.18692/1810-4800-2021-2-21-31.
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The aim of the study is a comparative analysis of medical and social indicators of audiological care for children with hearing impairments in two regions of the Russian Federation and the development of recommendations for its improvement. Methodology. The study was carried out on the basis of children’s audiology centers in St. Petersburg and Novosibirsk. At the first stage, the organization of audiological care for children in the region and the results of audiological screening were analyzed: coverage, frequency of detection of hearing loss. At the second stage, we analyzed the data from outpatient records of children with hearing impairments registered in audiology centers. The age at which the diagnosis was made, the age of primary hearing aid, the type of hearing aid, and the type of educational organization attended by the child were assessed. At the third stage, a screening examination of hearing was carried out in primary school students of a comprehensive school using otoscopy, tympanometry, registration of otoacoustic emission, and tone threshold audiometry. Results. The analysis showed that all components of medical care in the regions comply with international recommendations. Despite this, less than 10% of children with hearing impairment receive it in accordance with the time standard for early care «1-3-6», which involves the detection of hearing impairment at the age of 1 month, diagnosis of hearing impairment at 3 months, at 6 months - hearing aids and psychological and pedagogical assistance to a child and his family. The main reasons for the late diagnosis of hearing impairments in children and, as a consequence, the late start of their rehabilitation have been established: not all children go through the 1st stage of universal audiological screening of newborns, some children with a positive result of the 1st stage of screening do not enter the 2nd stage for diagnostic examination of hearing; children with auditory neuropathy and hearing loss of various etiologies that occur after birth «drop out» from the current audiological screening procedure. Conclusion. A system of measures is proposed to solve the problem of early detection of hearing impairments in children: 1) control of the 1st stage of audiological screening of newborns and the transfer of information about children to be examined at the 2nd stage to the audiology center; 2) the introduction of additional audiological screenings for children at the age of 1 year and upon admission to school; 3) increasing the awareness of pediatricians, neurologists and the population about the causes, diagnosis and rehabilitation of hearing impairment in children; 4) actions aimed at preventing the occurrence of hearing impairment in children (vaccination, treatment of otitis media, hearing hygiene, etc.).
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Peltier, Sharla. "An Anishinaabe Perspective on Children’s Language Learning to Inform “Seeing the Aboriginal Child”." Language and Literacy 19, no. 2 (July 6, 2017): 4. http://dx.doi.org/10.20360/g2n95c.
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This paper critically examines attitudes and professional practices based on Western-European epistemologies that perpetuate the socio-cultural mismatch between many Aboriginal children’s home and school. In the spirit of the Calls to Action by Canada’s Truth and Reconciliation Commission, an Anishinaabe[1] collaborator on the NOW Play interdisciplinary collaborative research project advocates for social responsibility and cultural competency in research and educational praxis within the context of the early learning and child care environments of Aboriginal[2] children. Culturally sensitive approaches for “seeing the Aboriginal child” are illustrated for moving forward in supportive relationships to promote research and learning in early learning and child care settings. This paper underscores and illustrates the first priority for researchers and educators: to take the time in research and pedagogical encounters to really “see” the Aboriginal child through appreciation of the sociocultural, philosophical, and linguistic distinctiveness of Aboriginal families.Discovery of new knowledge in novel contexts and refinement of understandings with new insights, once consolidated are foundational to knowledge mobilization strategies that include professional development training. A generative process uncovers more effective strategies that honour Indigeneity[3] and meet Aboriginal children’s learning needs.[1] The term Anishinaabe refers Anishinaabemowin-speaking people and the group includes the Algonquin, Chippewa,Delaware,Mississauga, Odawa, and Ojibway and Potawatomi people of the Great Lakes Region.[2] The term Aboriginal is commonly used inCanada and is used in this paper to refer specifically to the Indigenous people inCanada (Helin, 2006). “Aboriginal” is the term used in the Canadian Constitution to refer to Indian, Inuit and Metis”.[3] According to the International Labour Organization of the United Nations, the concept of indigeneity refers to: tribal peoples whose social, cultural and economic conditions distinguish them from other sections of the national community and whose status is regulated wholly or partially by their own customs or traditions or by special laws or regulations, and to peoples who are regarded as Indigenous on account of their descent from the populations which inhabit the country at the time of conquest or colonisation. (Indigenous and Tribal Peoples Convention, 1989 (No. 169). Article. 1.
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Downing, Julia, Sue Boucher, Busi Nkosi, Barbara Steel, and Joan Marston. "Transforming children's palliative care through the International Children's Palliative Care Network." International Journal of Palliative Nursing 20, no. 3 (March 2014): 109–14. http://dx.doi.org/10.12968/ijpn.2014.20.3.109.
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Serohina, T. V. "The system of protection of the rights of children as a object of government policy." Public administration aspects 6, no. 11-12 (February 20, 2019): 64–71. http://dx.doi.org/10.15421/151875.
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There is no doubt that the evaluation system should be an integral part of the management of any sphere. However, in the context of this study, the actuality is exacerbated by the fact that children are one of the most vulnerable strata of Ukrainian society. Insufficient attention to problematic issues in this area entails consequences for each child as well as for society as a whole. evidence of the priority of this direction of state policy is the participation of the state in a number of international documents in this area, which include the UN Convention on the Rights of the Child, the agreements within the framework of the Council of Europe and the Hague Conference on Private International Law, the Convention on Civil Aspects of International Child Abduction, European Convention on the Exercise of Children’s Rights, Convention on contact with children, etc. Despite the declared principles and high level of financing, there are no noticeable changes. Consequently, it is considered necessary to introduce into the management the evaluation system, which will answer a number of questions: Have the planned results been achieved? How positive were the assumptions about the results of the policy / program / project? How effective, productive and sustainable are the changes? Evaluating the results of the policy / program / project gives feedback on the achievement of the policy / program / project objectives and objectives. In the context of the research it is impossible not to take into account the features of the service sphere, which include the following: the object of evaluation is the activities of the organization providing the service; the complexity of the numerical expression of the quality of services; the consumer of the service itself acts as a participant in the process of rendering the service; therefore, the quality must meet its expectations; services are not stored, they are realized in the process of contact with the consumer.On the other hand, the peculiarities of the sphere of children’s rights protection should also be taken into account, as it is impossible to assess the degree of satisfaction of needs, which is one of the important indicators in assessing the effectiveness of public services. This is due to the fact that children do not represent real consumers, that is, those who decide for themselves, need help or not, should be arranged in the residential institution or not, what requirements for the services provided to them and t. The National Strategy for the Reform of the Institutional Care and the Rearing of Children for 2017-2026 is intended to promote the development of a system for protecting children’s rights under the new principles. Among other things, the document provides the basis for applying evaluation as one of the key points in achieving the goals set in the Strategy. First, the Strategy contains elements of the preliminary assessment, which is carried out before the implementation of the program documents, and creates the preconditions for conducting qualitative evaluation at subsequent stages. In particular, the document discloses existing problems, describes the institutional structure, identifies the indicators, including the number of children in institutions of institutional care and upbringing of children, the percentage of children who have orphan status or a child deprived of parental care, the number of children, who have a disability, etc.Secondly, the Strategy contains a basis for evaluating the effectiveness. In particular, the Action Plan for the implementation of Stage I of the Strategy defines the measures responsible for implementation, terms of implementation and indicators. Indicators include: the number of children covered by inclusive education; the number of orphans provided with housing, children deprived of parental care; the number of children who are raised in institutions of institutional care and upbringing of children, etc.Thirdly, the Strategy contains data on the expected results, which include: the suspension of placement by the year 2020 of children up to three years of age prior to institutional care and upbringing; the termination by 2026 of activity of all types of institutional care institutions and the upbringing of children in which more than 15 pupils live; providing children and families with children with access to services according to their needs in each territorial community, etc.To date, the establishment of a regional Register of children of institutional care and education institutions (electronic database) has been started, which will provide an opportunity to receive updated data on the number of pupils in institutions and their needs in terms of settlements and to plan content and volume support services for children returning from institutional institutions to the community and their families.
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Manirakiza, A. "The Role of Childhood Cancer Civil Society on Cancer Control on Low-Income Countries." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 136s. http://dx.doi.org/10.1200/jgo.18.71600.
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Background and context: Over 250,000 new pediatric cancer cases are diagnosed yearly worldwide. In the developing countries, the childhood cancer burden is estimated to increase even more. Rwanda Children's Cancer Relief (RCCR) is a nonprofit organization with a mission to ensure that children with cancers access high standards of treatment and support. After realizing that majority in our community lack information on childhood cancers, our efforts since 2014 has been concentrated on raising awareness of childhood cancers. Aim: Raise awareness on childhood cancer among community members. Strategy/Tactics: During a massive walk, trained volunteers with informative brochures, posters in both local and international languages comprising information on early symptoms of childhood cancers, ways to navigate referral system among others are used during community outreaches. These activities are aired on national radios and TVs, newspapers and social media are also used to spread information. Program/Policy process: Many activities are carried out in September during the RCCR Annual Childhood Cancers Awareness Month. We involve community health workers, private sectors and academic institutions. We focus on talks, community outreaches and childhood cancers awareness activities. Outcomes: 2017 campaign included the aforementioned activities and was concluded by a walk dubbed (#KidsCancerWalk2016) which attracted more than 600 participants. Two local TVs, 6 radios and 7 online diaries covered the campaign in its different phases. More than 1000 posters, 1100 brochures and 500 flyers were distributed followed by intensive online campaign with more than 100 Facebook posts, 350 Tweets, and 700 Retweets. Strong partnerships with private, public sectors were created and Ministry of Health approved September as the national childhood cancer awareness month following RCCR campaigns. What was learned: Childhood cancers are fatal when left untreated but treatable when they are detected at an early stage. Activities that RCCR carry out on annual basis increase the general population knowledge about childhood cancers. Civil societies like RCCR play a crucial role in addressing the growing burden of childhood cancers and the disparities in access to and quality of care. They can also influence policy changes and address the specific patients' and community needs.
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Narayan, Mary Curry, Denise M. McEnroe-Petitte, and Barbara Piskor. "International Home Care Nurses Organization." Home Healthcare Now 37, no. 6 (2019): 359. http://dx.doi.org/10.1097/nhh.0000000000000824.
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Croti, Ulisses Alexandre, Alexandre Noboru Murakami, Carlos H. De Marchi, Bruna Cury Borim, Joseph A. Dearani, David Overman, Patricia Hickey, and Kathy Jenkins. "Impact of Partnership Between Children’s HeartLink and IQIC Database With a Pediatric Cardiology and Cardiovascular Surgery Center in Brazil." World Journal for Pediatric and Congenital Heart Surgery 10, no. 3 (May 2019): 270–75. http://dx.doi.org/10.1177/2150135118825151.
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Background: Aiming at fostering local development of cardiology and cardiovascular surgery centers in developing countries, the nonprofit organization Children’s HeartLink (CHL) encourages centers to participate in the International Quality Improvement Collaborative Database for Congenital Heart Disease (IQIC). The definition of parameters and data to evaluate patient treatment provides an opportunity to improve quality of care, reducing morbidity and mortality. The objective of the study was to analyze the outcomes of the partnership between CHL and IQIC database with a single pediatric cardiology and cardiovascular surgery center for seven years providing continuous follow-up to guide actions aiming at morbidity and mortality reduction in patients with pediatric and congenital heart diseases. Methods: Data were collected from January 2011 to December 2017 independently and with external audits and included preoperative information (demographic data, nutritional status, chromosomal abnormalities), Risk Adjustment for Congenital Heart Surgery (RACHS-1) score, and postoperative information such as infections or complications within the first 30 days or until hospital discharge and/or death. Results: In the preoperative period, there was a trend toward an increase in the number of newborn patients. The postoperative period showed significant surgical procedure variations between groups for RACHS-1 risk category ( P = .003), prevalence of risk categories 2 and 3, and an increase in risk categories 4, 5, and 6, mainly in the last two years. Decreases in surgical site infection ( P = .03), bacterial sepsis, and other infections (both P < .001) were observed. At the 30-day postoperative follow-up, there was a decrease of in-hospital ( P = .16) and 30-day ( P = .14) mortality. Conclusion: The partnership between CHL and this seven-year analysis of IQIC database demonstrated structural and human flaws, whose resolution led to significant decrease in infection and reduction in mortality despite an increase in the complexity of our pediatric and congenital heart disease population.
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Mose, Ayenew, Merga Dheresa, Bezatu Mengistie, Biresaw Wassihun, and Haimanot Abebe. "Colostrum avoidance practice and associated factors among mothers of children aged less than six months in Bure District, Amhara Region, North West, Ethiopia: A community-based cross-sectional study." PLOS ONE 16, no. 1 (January 29, 2021): e0245233. http://dx.doi.org/10.1371/journal.pone.0245233.
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Introduction The World Health Organization and the United Nations International Children’s Emergency Fund jointly recommend colostrum feeding immediately following delivery of the newborn. Colostrum avoidance is the practice of discarding colostrum at least once within the first three days after delivery of the newborn. Colostrum contains antibodies that protect the newborn against disease. Despite this fact, many Ethiopian mothers see colostrum feeding as a cause of neonatal morbidity and mortality, and they believe colostrum should be discarded to alleviate its effects. However, the cause of this misconception about colostrum is not well researched in Ethiopia, particularly in the study area. Objective To assess the prevalence of colostrum avoidance and associated factors among mothers of children aged less than six months in Bure district, Amhara Region, North West, Ethiopia. Methods A community-based cross-sectional study was conducted from March 1st to 30th, 2019 in Bure district. Structured questionnaires and face to face interviews were used to collect data from 621 study participants. Multistage sampling technique was used to select study participants. Data were entered into Epi Data version 4.2.0 and then exported to Statistical Package for the Social Sciences version 23. Bivariate and multivariate logistic regression analyses were performed to identify predictors of colostrum avoidance practice. Results Six hundred twenty-one (621) mothers of children aged less than six months participated. The prevalence of colostrum avoidance was 14.5% (95%CI; 11.5–17.4). The multivariate analysis indicated that home delivery [AOR = 3.350, (95%CI; 2.517–14.847)], giving birth through cesarean section [AOR = 3.368, (95%CI; 1.339–8.471)], no participation in an antenatal care group [AOR = 1.889, (95%CI; 1.144–3.533)], poor knowledge of mothers about colostrum [AOR = 3.44, (95%CI; 2.45–4.977)], and poor attitude of mothers towards colostrum [AOR = 3.053, (95%CI; 1.157–8.054)] were important predictors of colostrum avoidance practice. Conclusion and recommendations Home delivery, giving birth through cesarean section, no participation in an antenatal care group, poor knowledge of mothers about colostrum, and poor attitude of mothers towards colostrum were significantly associated with colostrum avoidance practice. Therefore, health care workers in the district should promote institutional delivery, reduce the magnitude of cesarean section, encourage pregnant mothers to participate in an antenatal care group, and enhance maternal awareness about the merits of colostrum feeding. Moreover, health educations for mothers to have a positive attitude towards colostrum are important recommendations to be taken to prevent the further practice of colostrum avoidance.
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Ling, Julie. "First International Children's Palliative Care Network Conference." International Journal of Palliative Nursing 20, no. 3 (March 2014): 149. http://dx.doi.org/10.12968/ijpn.2014.20.3.149.
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Porter, Karen. "Commentary Children's Work, Children's Rights." Practicing Anthropology 24, no. 1 (January 1, 2002): 37–38. http://dx.doi.org/10.17730/praa.24.1.e404856244179226.
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Most people would agree that enslaving children or forcing them to work in sweatshops or brothels are morally reprehensible practices. Yet the number of children laboring in hazardous and exploitative conditions around the world continues to grow. In June 1998, the International Labour Organization reported that, in the developing countries, some 250 million children aged 5 to 14 work— 120 million of them full time. Outlawing child labor may seem to be the obvious solution, but it is not the best way to protect children.
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Hassan, Gazi Shamim, Tanzila Rafique, Ranjit Ghosh, Ashis Kumar Biswas, and Hasan Abeedur Rahman. "Oral hygiene practice and dental status of autistic children." Bangladesh Medical Research Council Bulletin 46, no. 2 (August 1, 2020): 90–98. http://dx.doi.org/10.3329/bmrcb.v46i2.49017.
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Background: The worldwide incidence of oral health among the autistic children has been found to be poor for various reasons. Risk of dental caries and gingivitis is expected to be higher in these patients due to improper brushing and flossing because of the difficulties of the trainers and parents encounter when they brush the children’s’ teeth. They tend to pouch food inside the mouth instead of swallowing it due to poor tongue coordination, thereby increasing the susceptibility to caries. Communication and behavioural problems pose the most significant challenges in providing oral care.
Objective: The purpose of this study was to examine the oral health status and dental needs of autistic children in Bangladesh.
Methods: This case control study was carried out among 2-13 years old children with special health-care needs. The study was conducted in the Department of Orthodontics of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from the period of August to December 2017. A total of 130 children having ASD and aged between 2 -13 years were taken as cases and 182 gender-matched healthy children were taken as control. Cases were taken from BSMMU and other two autism centres. Controls were taken from a neighborhood school. Oral lesions were evaluated using standard international diagnostic criteria. Association of food habits and oral hygiene status were assessed among the study subjects. Dental status was evaluated using DMFT/dmft index according to the World Health Organization oral health surveys. Gingival health status were assessed using the Oral hygiene index of Loe and Silness, while the papillary bleeding index were assessed by employing the papillary bleeding index of Miihleman to ascertain the oral hygiene status.
Results: The mean age was found 8.72±3.40 years in the case group and 10.26±1.36 years in control group. Chi square test showed significant associations with the participants’ consumption of having more soft foods, presence of papillary bleeding and presence of decayed teeth with their oral hygiene status.
Conclusion: As data regarding oral health among autistic children are not available presently in Bangladesh. So, it is difficult for comparison of children having disabilities with those of healthy group. For planning and providing effective dental health care services for the children with autistic disorders.
Bangladesh Med Res Counc Bull 2020; 46(2): 90-98
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Harris, Marilyn. "International Home Care Nurses Organization (IHCNO) Webinar." Home Healthcare Now 36, no. 2 (2018): 131. http://dx.doi.org/10.1097/nhh.0000000000000664.
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Silva, Rosane Meire Munhak da, Reinaldo Antônio da Silva Sobrinho, Eliane Tatsch Neves, Beatriz Rosana Gonçalves de Oliveira Toso, and Cláudia Silveira Viera. "Challenges in the coordination of children's healthcare." Ciência & Saúde Coletiva 20, no. 4 (April 2015): 1217–24. http://dx.doi.org/10.1590/1413-81232015204.00742014.
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This is a qualitative survey with a hermeneutic-dialectic frame of reference, designed to identify how parents and caregivers see the attribute 'coordination' in children's healthcare, in terms of resolving problems in children's health. The interview was held with 16 people responsible for care of children under one year of age, served in Emergency Care Units of a municipality in the south of Brazil, in 2010. With the thematic analysis, the central category was identified as: Effects and results of fragile coordination in Children's Primary Health Care, with the following themes: Divergences between different health units in the organization of care; functional barriers and delays obstructing access to technologies; absence of effective communication; absence of medical transport; need for healthcare on an individual basis; and coordination involving management of healthcare. It was concluded that the absence of coordination results in the absence of a solution-based approach in healthcare for children under one year old, showing gaps in the organization of the services and in health management, since communication, access to technologies, referral and counter-referral systems, and secure transport become essential for organizing primary care services and offering fully rounded care to the child.
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Narayan, Mary. "The 2nd International Home Care Nurses Organization Conference." Home Healthcare Now 33, no. 3 (March 2015): 147–49. http://dx.doi.org/10.1097/nhh.0000000000000202.
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Marrelli, Tina M. "The History of the International Home Care Organization." Home Healthcare Now 34, no. 2 (February 2016): 114. http://dx.doi.org/10.1097/nhh.0000000000000352.
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Harris, Marilyn D., and Susan M. Hinck. "International Home Care Nurses Organization—Focus on Research." Home Healthcare Now 38, no. 5 (September 2020): 280. http://dx.doi.org/10.1097/nhh.0000000000000908.
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Brugaletta, Concetta, Karine Le Roch, Jennifer Saxton, Cécile Bizouerne, Marie McGrath, and Marko Kerac. "Breastfeeding assessment tools for at-risk and malnourished infants aged under 6 months old: a systematic review." F1000Research 9 (November 10, 2020): 1310. http://dx.doi.org/10.12688/f1000research.24516.1.
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Background: Many small and malnourished infants under 6 months of age have problems with breastfeeding and restoring effective exclusive breastfeeding is a common treatment goal. Assessment is a critical first step of case management, but most malnutrition guidelines do not specify how best to do this. We aimed to identify breastfeeding assessment tools for use in assessing at-risk and malnourished infants in resource-poor settings. Methods: We systematically searched: Medline and Embase; Web of Knowledge; Cochrane Reviews; Eldis and Google Scholar databases. Also the World Health Organization (WHO), United Nations International Children’s Emergency Fund (UNICEF), CAse REport guidelines, Emergency Nutrition Network, and Field Exchange websites. Assessment tool content was analysed using a framework describing breastfeeding ‘domains’ (baby’s behaviour; mother’s behaviour; position; latching; effective feeding; breast health; baby’s health; mother’s view of feed; number, timing and length of feeds). Results: We identified 29 breastfeeding assessment tools and 45 validation studies. Eight tools had not been validated. Evidence underpinning most tools was low quality and mainly from high-income countries and hospital settings. The most comprehensive tools were the Breastfeeding, Evaluation and Education Tool, UNICEF Baby-Friendly Hospital Initiative tools and CARE training package. The tool with the strongest evidence was the WHO/UNICEF B-R-E-A-S-T-Feed Observation Form. Conclusions: Despite many possible tools, there is currently no one gold standard. For assessing malnourished infants in resource-poor settings, UNICEF Baby-Friendly Hospital Initiative tools, Module IFE and the WHO/UNICEF B-R-E-A-S-T-Feed Observation Form are the best available tools but could be improved by adding questions from other tools. Allowing for context, one tool for rapid community-based assessment plus a more detailed one for clinic/hospital assessment might help optimally identify breastfeeding problems and the support required. Further research is important to refine existing tools and develop new ones. Rigorous testing, especially against outcomes such as breastfeeding status and growth, is key.
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Hlasny, Vladimir. "Evolution of opportunities for early childhood development in Arab countries." International Journal of Human Rights in Healthcare 10, no. 4 (September 11, 2017): 256–76. http://dx.doi.org/10.1108/ijhrh-11-2016-0022.
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Purpose The purpose of this paper is to evaluate opportunities for early childhood development (ECD) regarding children’s prenatal care, access to nutrition, health, parental care and cognitive-developmental activities, in 33 surveys from 13 countries. A total of 15 indicators for children’s opportunities are assessed including their typical level, inequality across demographic groups, and factors responsible. Design/methodology/approach Probability regressions estimate the effects of various household circumstances on children’s engagement in development opportunities. Dissimilarity indexes and human opportunity indexes are computed for each ECD dimension. To understand the impact of each household characteristic, Shorrocks-Shapley decomposition is performed. Findings ECD opportunities are poor but improving and becoming more equal across many countries. Progress is uneven. As may be expected, household wealth affects inequality for ECD opportunities facilitated by markets or governments, but not non-market opportunities. For preventive healthcare and preschool enrollment, access is deteriorating, reflecting low priority given to them in public policy. Children’s height falls behind in the first two years of children’s life, suggesting the need for targeted institutional interventions. Surprisingly, countries experiencing uprisings see conditions improving, while other Arab countries see them stagnating or deteriorating. Originality/value Local and national policy should tackle the identified opportunity gaps. Policymakers should allocate proper investment in medical and educational infrastructure and better coordinate support for disadvantaged families to ensure proper prenatal and ECD. International organizations should provide assistance with these programs.
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Price, Jayne, Jacqueline S. Janicki, Heather McKee, Sharon Nurse, and Eileen Gray. "Perspectives of an international education initiative in children's palliative care." International Journal of Palliative Nursing 20, no. 11 (November 2, 2014): 542–48. http://dx.doi.org/10.12968/ijpn.2014.20.11.542.
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HNATIUK, Tetyana. "Modern International Protection of Children's Rights." European Journal of Law and Public Administration 7, no. 2 (March 12, 2021): 15–23. http://dx.doi.org/10.18662/eljpa/7.2/123.
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Human rights are an inalienable right of everyone from birth. Respect for human rights and freedoms is seen as an indicator of the development of society. The Convention on the Rights of the Child, adopted in 1989 by the UN General Assembly and entered into force a year later, profoundly changed the world treatment of children. Like the Universal Declaration of Human Rights, the Convention formulated something fundamental to human well-being and acted as a watershed and a guide for future generations. According to the provisions of the Convention, the child is an active member of the family, community and society. The announcement of the Global Movement for Children in 1999 marked the beginning of major changes. All over the world, the movement aims to unite all those who believe that children's rights should be a priority. One of the main goals of the movement is to provide a clear understanding that the world's citizens care for children and expect governments to keep their promises.
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NARAYAN, MARY. "The International Home Care Nurses Organization (IHCNO) Goes Global." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 29, no. 8 (September 2011): 519–20. http://dx.doi.org/10.1097/nhh.0b013e318229d31c.
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Marrelli, Tina, and Mary Curry Narayan. "Self-Care, Health Models, and an International Home Care Nurses Organization Update." Home Healthcare Nurse 31, no. 9 (October 2013): 457–59. http://dx.doi.org/10.1097/nhh.0b013e3182a897ce.
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Fairman, Julie. "“Go to Ruth’s House”: The Social Activism of Ruth Lubic and the Family Health and Birth Center." Nursing History Review 18, no. 1 (January 2010): 118–29. http://dx.doi.org/10.1891/1062-8061.18.118.
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This case of the work of Ruth Watson Lubic, an internationally known nurse midwife and women’s and children’s health care activist, provides a modern-day example of the intersection of forceful individual personalities, nursing as a type of activism in itself, and grassroots and local actions that produce larger movement-based activist organizations. Her work as a nurse midwife, in partnership with other nurse midwives, physicians, and community members, illustrates how the efforts of individual actors at a grassroots community level can be as significant as larger traditionally situated activist movements on the lives of everyday citizens.
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Reinhardt, Anita C., and Teresa Keller. "Implementing interdisciplinary practice change in an international health-care organization." International Journal of Nursing Practice 15, no. 4 (August 2009): 318–25. http://dx.doi.org/10.1111/j.1440-172x.2009.01761.x.
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Morra Pellegrino, Maria Luisa, and Alda Scopesi. "Structure and function of baby talk in a day-care centre." Journal of Child Language 17, no. 1 (February 1990): 101–14. http://dx.doi.org/10.1017/s030500090001312x.
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ABSTRACTThe aim of this study is to examine how caretakers speak to young children in a day-care centre and particularly to investigate how they adjust their language, according to children's age and to size of groups. Five Italian teachers were observed, each one during six different sessions. Children's ages were 0;10–1;2 and 2;6–3;0. The number of children varied from a rather large group (seven children) to a small group (three children) to a single child. Language was taperecorded during free-play sessions of ten minutes. Context was noted by two observers. Transcripts were analysed according to structural features (syntactical complexity, redundancy, type-token ratio, speed) and functional features (proportion of utterances with different purpose: control and organization of child behaviour, empathy, conversation and teaching). Results show some significant differences in structure and function according to children's age and group size.
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Norris-Tirrell, Dorothy. "Organization termination in the nonprofit setting: the dissolution of children's rehabilitation services." International Journal of Public Administration 20, no. 12 (January 1997): 2177–21794. http://dx.doi.org/10.1080/01900699708525291.
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