OBJECTIVES To determine the relationships between maternal depressive symptoms and the use of infant health services, parenting practices, and injury-prevention measures. METHODS A prospective, community-based survey of women attending Philadelphia public health centers between February 2000 and November 2001 was conducted. Women were surveyed at 3 time points before and after parturition. De...

OBJECTIVE This study examined factors related to psychiatric hospital readmission among children and adolescents who were wards of the Illinois Department of Children and Family Services. METHODS The authors analyzed service reports and clinical ratings on the Childhood Severity of Psychiatric Illness (CSPI) for 500 randomly selected children and adolescents who underwent psychiatric hospital...

A 6-year-old girl with Sickle-cell disease was hospitalized because of fever and arthralgia. During hospitalization she developed a splenic sequestration with the need of three successive red packed-cell transfusions. Microbiological investigations revealed positive HPVB19 IgM and IgG and HPVB19 DNA in blood. Given the diagnosis of HPVB19 infection and persistent fever, she received intravenous...

BACKGROUND There is paucity of data on the cost and rate of hospitalization in children with sickle cell anaemia (SCA) in most developing nations. OBJECTIVE To estimate the rate and cost of hospitalization in children with SCA in Nigeria and evaluate the economic burdens on their families. METHODS The number and duration of hospitalizations; estimated aggregate family's monthly income, cost...

This narrative-descriptive review is about the safety/protection of hospitalized children who, due to their fragility, vulnerability and peculiar growth and development conditions need special attention from health professionals. This study aimed to identify knowledge production on safety, protection and violence to hospitalized children between 1997 and 2007. In total, 15 national and internat...

OBJECTIVE To understand the relationship between several measures of child health status and the employment of parents. DESIGN A cross-sectional study using 1994 National Health Interview Survey on Disability data. PARTICIPANTS A nationally representative sample of children and their parents. OUTCOME MEASURES Maternal and paternal employment (measured separately). INTERVENTION We use a ...

In determining the optimum time for surgery one must consider the child’s general reaction to hospitalization as well as the specific reaction to operation on the genitalia. Several factors may have a direct or indirect effect on the nature and severity of emotional reactions to surgery. Age is one important factor but other variables include interactions within the family, the coping ability o...

OBJECTIVE The Integrated Management of Childhood Illness (IMCI) strategy is designed to address the five leading causes of childhood mortality, which together account for 70% of the 10 million deaths occurring among children worldwide annually. Although IMCI is associated with improved quality of care, which is a key determinant of better health outcomes, it has not yet been widely adopted, par...

BACKGROUND HIV-infected and HIV-exposed, uninfected infants experience a high burden of infectious morbidity and mortality. Hospitalization is an important metric for morbidity and is associated with high mortality, yet, little is known about rates and causes of hospitalization among these infants in the first 12 months of life. METHODS Using data from a prevention of mother-to-child transmis...

Until recently, the right to hospitalize a minor child psychiatrical1y resided total1y within parental prerogatives. The Bartley v. Kremens case resulted in a drastic change of law in those jurisdictions which judicial1y or legislatively have fol1owed its principles namely, that minors 14 or above have an independent right to assent or not assent to voluntary hospitalization and that minors und...