ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1992.tb02688.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1992.tb02689.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1992.tb02690.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1992.tb02691.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1992.tb02692.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1992.tb02693.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractSchool screening has been taking place in New South Wales since 1907. The need for better monitoring of the school health service to determine the outcome of the screening process has been advocated frequently. This paper reports on the development of a computerized surveillance system which allows school screening to be evaluated on an ongoing basis. The results of the first year's use of the programme on a study population of children first screened in 1989 in a northern metropolitan area of Sydney demonstrate that the system is practical and effective when used by people with little or no prior computer knowledge. It plays a role in both improving follow‐up of the screening process and the assessment of the service. The prevalence rate of new defects found was four per 100 children screened. Issues raised about the screening process from the data collected are also discusse

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1992.tb02694.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractThis study investigated the factors influencing parental action on behalf of their child following a school entry health screening failure. It was predicted that compliance with recommendations to seek further assessment would be related to the screening process variables and the number of barriers to compliance parents faced and that these barriers, and hence compliance, would be influenced by the socio‐economic status of the family. It was also expected that when schools were differentiated on adversity factors, the type of school attended would be related to compliance. Results from a sample of parents (n= 1231) showed that the parental non‐compliance rate to a referral of their child for further assessment following health screening was 26.1%. Non‐compliance was related to both screening process knowledge and satisfaction and the type of barriers to compliance parents experienced. Although the type and number of barriers experienced by parents was related to socio‐economic status, the results of correlational and discriminant function analyses indicated that the barriers most strongly related to compliance (e.g. partner's views, time pressure, more serious problems to worry about) were not related to socio‐economic status nor type of school attended. These findings provide valuable information for child health service providers as well as those involved in policy making and planning in the general area of community health

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1992.tb02695.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractInformation regarding the likelihood of finding suitable marrow donors is limited. In order to determine this potential, all patients who received their primary care at a single paediatric institution over a 9 year period and in whom tissue typing studies were initiated are reviewed. Forty‐five (31.3%) of 144 patients had a sibling who was human leucocyte antigen (HLA) identical. A further 16 (11.2%) patients had immediate or more distant relatives who were either HLA identical (2.7%) or matched for five of six HLA antigens (8.3%). The possibility that a parent was closely matched with the patient was suggestive from the typing of siblings alone in only half the cases. Unrelated HLA matched donors were identified in four (27%) of 17 bone marrow bank searches. Overall, a potential related donor was identified within the family for 42% of patients and this figure rose to 45% when successful marrow bank searches were included. It can be concluded that initial typing should include both the parents and siblings. If a suitable donor is not found then an extended family and/or bone marrow bank search will identify additional suitable donors in a significant number of familie

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1992.tb02696.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractA survey by parent questionnaire and interview was carried out to determine the frequency of health problems in 204 children with Down syndrome. Seventy‐two children (35.3%) had a congenital heart defect. Refraction had been performed on 196 and 68 (34.6%) of these had a refractive error. A diagnosis of ‘glue ear’ had been made in 112 (54.9%) and in 12 (11%) of these permanent hearing loss was present. Significant ill‐health over the previous 12 months consisted of cardiac failure (two children), more than three upper respiratory tract infections (24 children), bronchitis (eight children), pneumonia (two children) and asthma (seven children). A neck X‐ray had been performed in 172 (84.3%) and had demonstrated the presence of atlanto‐axial instability in 12 (7%) of these. One hundred and thirty‐two (64.7%) of the children had been tested for hypothyroidism in the previous 18 months and this had been found in four (3%) of these children. The implications of these and other findings are discussed in relation to parental counselling and planning of routine

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1992.tb02697.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY