ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138226.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138227.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectiveTo identify the nature and prevalence of therapies used by children with cancer as alternatives to orthodox medical treatment.DesignA descriptive study in which the parents of children with cancer completed a questionnaire describing the use of alternative therapies by their children.SubjectsChildren diagnosed with cancer, excluding brain tumours, at the Women's and Children's Hospital, South Australia, from July 1988 to July 1992.ResultsApproximately 46% of the children with cancer had used at least one alternative therapy. In general, parents reported that the therapies were used as an addition to orthodox medical treatment rather than as an alternative. Less than 50% of the parents had discussed the use of the alternative therapies with the children's doctors.ConclusionsA substantial proportion of children with cancer use alternative therapies and the use of these therapies is often not discussed with the children's medical practitioners. There is a continuing need to consider how to better provide, within the context of orthodox medical treatment, those elements of their children's care which parents currently seek from alternative therapies.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138228.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138229.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138230.x

出版商:Wiley    

年代:1994

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138231.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectiveTo determine the results of cardiac surgery in the very elderly.Design and subjectsA retrospective study of 56 very elderly patients (mean age 82 years, range 79‐89 years) undergoing open heart surgery between 1988 and 1991. Thirty‐three patients had coronary artery bypass grafting, 12 had valve replacement alone and 11 had valve replacement with an associated procedure.SettingSt Francis Xavier Cabrini Hospital, Melbourne — a large private hospital.ResultsThere were four in‐hospital deaths (7%). The one‐year actuarial survival rate was 88%. Of the 49 survivors, 92% were in New York Heart Association (NYHA) Class III or IV before operation, whereas 96% were in NYHA Class I or II a mean of 15 months after operation.ConclusionIn very elderly patients with medically refractory cardiac symptoms, cardiac surgery has a tolerable mortality and provides excellent relief of symptoms.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138232.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectiveTo assess the incidence and type of stroller injuries in South Australia and factors contributing to their occurrence.DesignRetrospective review of South Australian Health Commission Injury Surveillance data for Adelaide Children's Hospital, Modbury Hospital and Queen Elizabeth Hospital (1986‐1992); a prospective survey of 150 stroller users in three metropolitan shopping malls; and testing of backward tipping using loads determined by the AS/NZS2088 standard.ResultsOne hundred and forty‐nine attendances for unintentional injury resulted from infants either falling out of strollers and prams, or from entrapment of digits in strollers. Eleven infants (7.4%) required admission. One hundred and five injuries (70%) occurred between nine and 15 months of age. Eighty‐nine (60%) involved either head/facial/dental injuries or concussion. The survey showed that only 14 strollers (9%) were used correctly (children appropriately harnessed and no shopping on the handles). Five strollers tipped over while carrying an 8 kg load when a 5 kg weighted shopping bag was placed on their handles. One stroller tipped over when a weight of 2 kg was applied at the handle on a 12° ramp with an 8 kg load. Only 11 of the 23 strollers commercially available In Adelaide in October 1992 carried the non‐mandatory stroller standard.ConclusionStroller accidents are a common source of injury and usually result from incorrect use. The stroller standard should be made mandatory and revised to include a shoulder harness, lower the centre of gravity and provide shopping storage.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138233.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectiveTo measure pedestrian traffic volumes and noise levels in paediatric open bay areas and discuss their impact on the care of sick children.MethodsBetween August and October 1992, we recorded the number and duration of entrances to two open bay areas comprising eight and ten beds respectively in a ward for infants and a ward for older children. Eight 24‐hour periods (1200 to 1200) Friday to Saturday were assessed. Noise levels in decibels dB(A) were measured at 15‐minute intervals.ResultsIn an average 24‐hour period, 5.5 (SD \pm1.3) patients in the infants' ward and 9.5 (SD \pm0.6) patients in the children's ward received 617 (SD \pm85) and 683 (SD \pm64) visits by 104 (SD \pm20) and 110 (SD \pm2) individuals respectively. The maximum numbers of visits per hour were 57 (SD \pm 14) and 54 (SD \pm 8) visits between 1500 and 1600 hours on Friday for each ward. Visits tended to be brief; 225 (SD \pm23) and 217 (SD \pm34) visits were of less than one minute's duration. The maximum noise levels of 57.3 dB(A) (SD \pm6.3) and 64.6 dB(A) (SD \pm3.5) occurred at 1000 Saturday and 1900 Friday and coincided with peak traffic volumes.ConclusionsOpen bay areas generate high traffic volumes and coincident noise. Consideration should be given to either modifying or abolishing open bay areas and to general noise control measures.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138234.x

出版商:Wiley    

年代:1994

数据来源: WILEY

摘要:

ObjectivesTo investigate the frequency and causes of bicycle related abdominal injuries in children and to examine the pattern of presentation.DesignThe study was a prospective study of bicycle related injury in children less than 15 years of age presenting to two paediatric hospitals (15 April‐30 June 1992) and three general hospitals (1 August 1991‐30 June 1992).ResultsIn a series of 813 children, 41 sustained non‐penetrating abdominal trauma due to a bicycle incident. In 21 cases, handlebar trauma was responsible. Ten of these children suffered life‐threatening intra‐abdominal injury. Handlebars with no plastic or foam covering of the metal ends were involved in all ten cases. In several of these cases, presentation to hospital was delayed and in others confirmation of the extent of injury took up to 48 hours. The length of hospital stay for those with significant intra‐abdominal organ damage ranged from two to 156 days.ConclusionsIntra‐abdominal trauma must be considered when dealing with children who are victims of bicycle trauma. Impact with handlebars may have occurred and some form of padded protection of handlebar ends is recommended unless their design can be suitably modified.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1994.tb138235.x

出版商:Wiley    

年代:1994

数据来源: WILEY