Purpose: To identify and compare pre-treatment and post-treatment parental expectations and satisfaction concerning their child’s dental care under general anaesthesia. Participant characteristics were also investigated. Methods: Questionnaires were administered to all parents who attended the pre-operative anaesthesia consultation (pre-treatment group) and to all parents who returned for post-operative reassessment (post-treatment group). Participants were asked to rate the importance and frequency of 27 events on a four point Likert Scale. Parents were also asked to complete a participant characteristics information form. A score was calculated for each item in the questionnaires by multiplying the item’s mean “importance rating” and the item’s mean “expectation rating” and the items were ranked by scores. Results: Complete responses were obtained from 100 parents of the pre-treatment group and from 100 parents of the post-treatment group. In each group, the highest ranked elements were those representing information and communication while the physical conditions of care tended to be least valued by the parents. The rank-order of the importance scores showed a moderate to strong positive correlation with the rank-order of the frequency scores. Conclusion: Parents placed value on good communication and provision of information with regard to dental treatment of their children under general anaesthesia.

Purpose: To identify and compare pre-treatment and post-treatment parental expectations and satisfaction concerning their child’s dental care under general anaesthesia. Participant characteristics were also investigated. Methods: Questionnaires were administered to all parents who attended the pre-operative anaesthesia consultation (pre-treatment group) and to all parents who returned for post-operative reassessment (post-treatment group). Participants were asked to rate the importance and frequency of 27 events on a four point Likert Scale. Parents were also asked to complete a participant characteristics information form. A score was calculated for each item in the questionnaires by multiplying the item’s mean “importance rating” and the item’s mean “expectation rating” and the items were ranked by scores. Results: Complete responses were obtained from 100 parents of the pre-treatment group and from 100 parents of the post-treatment group. In each group, the highest ranked elements were those representing information and communication while the physical conditions of care tended to be least valued by the parents. The rank-order of the importance scores showed a moderate to strong positive correlation with the rank-order of the frequency scores. Conclusion: Parents placed value on good communication and provision of information with regard to dental treatment of their children under general anaesthesia.

Despite the establishment of heart transplantation as a life-saving therapy for children and adolescents, little research has focused on the biopsychosocial impact of the transplant process. Few studies have captured the subjective experiences of young heart transplant recipients. This program of research examined how pediatric heart transplant recipients construct their worlds and the meanings they ascribe to their transplant experience. A grounded theory approach was implemented which guided data collection and analysis. A total of twenty-seven adolescents participated in semi-structured qualitative interviews. Findings illuminate pediatric heart transplantation to be a pervasive experience, with consequent impact on physical, psychological and social well-being. Participants described various biopsychosocial processes and experiences that occurred over the course of their transplant journey. Data analysis yielded themes of quality of life reflecting notions of temporality including: 1) the pre-transplant experience – a struggle to survive, 2) the transplant surgery and hospitalization – a difficult transition and 3) the post-transplant experience – an awakening and transformation. This research identifies that heart transplantation, which may contain elements of suffering and loss, may ultimately enhance young recipients’ overall quality of life. Results reveal the possibility that adolescent heart transplant recipients not only adapt to transplantation, but also potentially experience associated growth-enhancing experiences. An emergent theoretical model is presented, with implications for practice and research.

There is a robust body of research regarding outcomes following pediatric acquired brain injury (ABI). However, these studies generally explore medium-term outcomes (i.e., 3 to 12-months postinjury), whereas functioning during acute stages following ABI is poorly understood. In particular, there is limited knowledge regarding caregiver functioning during a child’s hospitalization immediately after ABI. This study sought to identify and model caregiver and child predictors of ‘caregiver confidence’ in caring for their hospitalized child. Caregivers of 45 children with diverse types of new-onset acquired brain injuries completed self-report measures of their own psychological functioning, stress, and confidence levels, as well as their perceptions of their child’s stress and coping. Results showed that caregiver psychological functioning was negatively associated with caregiver confidence, and caregiver perceptions of child coping were positively associated with caregiver confidence. Child functional status did not serve as a significant mediator in this relationship as per the hypothesized model.

The medical quality becomes a very important issue of a scholar and the public opinion. The high quality medical service of patients center and customer direction already has been necessarily prepare conditions to get the best competition advantage of all levels hospital in Taiwan, now.¡CTherefore, all hospital manager believe that promote medical quality is the very important issue¡CThe medical service quality of Emergency Department plays the very important role in the whole hospital. The medical service quality indicator is acknowledged well trusty medical quality measurement tool. Donabedian point out that medical quality measurement is compose of structure¡Bprocess and outcome, and that the outcome quality indicator measurement is the trend¡CAsthma is one of the most common diseases among children. Because of rising morbidity, mortality and medical costs all over the world, asthma becomes a very important issue. So, The purpose of this study is to identify the key factors associated with the of outcomes quality. The example of Pediatric Asthma in a Teaching Hospital. Data take from the Teaching Hospital¡¦s TQIP database through 2003. There are 534 Pediatric asthma patients who are research samples and care take by 25 physicians. The research analyze patient¡¦s and physician¡¦s characteristic to described data, Correlation and Regression with SPSS software. Look for the characteristic what influence the outcome quality of Emergency Department. The outcome quality include that patient¡¦s state after the treatment, patient¡¦s stay time and unscheduled revisit to Emergency Department.¡CRegression analysis showed that. 1.patient¡¦s state after the treatment trend to be inpatient who care by experienced physician, younger, illness serious and reach on day shift. 2.patient¡¦s stay time longer who care by experienced physician, so that the consultations effectiveness should promote to reduce .patient¡¦s stay time¡C3.patient¡¦s stay time longer who younger, so that the staff take care more careful and pay attention to patient¡¦s condition change frequently¡Ato reduce uneasy of long-term stay in Emergency Department. 4.unscheduled revisit ratio in the study is 4.7%¡Abut not discover the correlation factor¡C Integrate above-mentioned¡Athe study find that ¡Aphysician¡¦s and patient¡¦s characteristic will influence medical outcome quality. The project hospital should with different influence factor to draw quality manage policy and stratagem, and improve Emergency Department quality will raise the satisfied degree.

Thesis (Ph. D.)--University of Nevada, Reno, 1979. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (p. 97-110).

Thesis--University of Florida. / Description based on print version record. Typescript. Vita. Bibliography: leaves 117-120.

This report will provide an overview of the literature on predictive factors of the development of Post-Traumatic Stress Disorder in pediatric medical trauma patients as well as discuss the influence of cognitive development on the validity of such predictive factors. The report will propose that the validity of current predictive factors, including trauma memory, parental influence, and appraisals of the trauma and its sequelae, may alter across child development due to differences in cognitive abilities. In particular, the report proposes examining the following questions for pediatric patients (5 to 17 years of age) who have endured a medical trauma: 1) Are appraisal predictive values of PTSD moderated by age; 2) Is data-driven processing‟s predictive value of PTSD moderated by parental attitude of avoidance. The report additionally outlines hypotheses as well as proposes the methodology and statistics to examine the proposed hypotheses. Limitations as well as the importance of this study are discussed. / text

The purpose of this dissertation was to examine the connection between emotional trauma and executive function ability in children and adolescents. Trauma is defined as an overwhelming event that is beyond the realm of what might be an expectable occurrence for the average person. A serious outcome, occurring in around 14% of those children who experience trauma, is the development of Post Traumatic Stress Disorder, which is classified as an anxiety disorder occurring after exposure to a traumatic event, in which symptoms of re-experiencing, avoidance, and arousal are present. In addition to the numerous physical, emotional, and social effects of trauma, neuropsychological and imaging research has confirmed that children’s neuroanatomy and cognitive functioning are often affected. It has been proposed that intrusive thoughts occurring immediately after the trauma event may modify the neural network function, setting the stage for neurobiological dysregulation. One of the most common neural anatomic areas of concern following trauma is the prefrontal cortex, a structure that continues to develop until the third decade of life, and that has been implicated as the home of executive function, an idea conceptualized in a number of ways, but that is most often considered an umbrella term describing essential functions of the mind, such as planning, inhibition, attention, and working memory. The scope of literature addressing the effect of trauma on executive function is minimal. It is the hypothesis of this study that early trauma may disrupt the normal development of the PFC and subsequently result in decreased executive functioning abilities. In order to explore this hypothesis, a set of neuropsychological measures were selected as representative of executive functioning, based on previous research. An initial factor analysis was conducted in order to determine if, as suspected, all subtests chosen load on a common factor of executive function. Multiple linear regression was used to determine whether children who experienced trauma have impaired executive functioning abilities, if there was a significant gender difference, and what, if any, differences there were between children who developed PTSD and children who did not. / text

This study examined processing speed and executive function late effects in survivors of pediatric ALL (hereafter referred to as Survivors). Late effects are long-term, treatment-related health problems associated with the neurotoxic side-effect of cancer treatment on brain development. Processing speed —mental and motor speed with which a person can solve nonverbal problems — was estimated via an composite of processing speed attained from several measures of processing speed. Executive function — a collection of processes orchestrated in the performance of purposeful, goal-directed behavior — was measured using the Parent and Teacher forms of the Behavior Rating Inventory of Executive Function (BRIEF). This study also explored the effect of previously identified risk factors for processing speed and executive function late effects. Finally, executive function late effects were further explored via the use of performance-based measures, including the Tower and Trail Making (Condition 4) tests of the Delis-Kaplan Executive Function System (D-KEFS). Hypotheses included (1) Survivors would demonstrate significantly poorer processing speed; (2) late effects risk factor variables (i.e., greater elapsed time since completion of treatment, lower age at diagnosis, and higher intensity of treatment) would predict poorer processing speed; (3) female gender would predict poorer processing speed; (4) parents and teachers would demonstrate both low interrater agreement (Hypothesis 4a) and differ significantly in the severity (Hypothesis 4b) of their ratings of Survivor executive function; (5) parent and teacher ratings of executive function would indicate significantly poorer Survivor metacognition (Hypothesis 5a), whereas Survivor behavioral regulation would not differ significantly (Hypothesis 5b); (6) risk factor variables would predict poorer Parent and Teacher ratings of Survivor metacognition; (7) female gender would predict poorer Parent and Teacher ratings of Survivor metacognition; (8) survivor processing speed and Parent and Teacher ratings of executive function would exhibit a positive relationship; and (9) poorer Survivor processing speed would predict poorer parent and teacher ratings of executive function. Results provided support for hypothesis 1 and 5a. Partial support was obtained for hypotheses 4a, 4b, and 7. Hypotheses 2, 3, 5b, 6, 8, and 9 were not supported. / text