Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl
Preferences help
Polish version English version Language
enabled [disable] Abstract
Number of results

Results found: 3

Number of results on page
first rewind previous Page / 1 next fast forward last

Search results

Search:
in the keywords:  paediatric
help Sort By:

help Limit search:
first rewind previous Page / 1 next fast forward last
1
Publication available in full text mode
Content available

Roadmap for daily practice of CBCT in cleft lip palate paediatric patients: a pictorial review.

100%
Olszewski R., De Muylder A., Siciliano S.
Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery
|
2023
|
vol. 30
|
issue 1
1-50
EN
Objective: to present and to illustrate a new methodology for daily practice in cone beam computed tomography (CBCT) interpretation and reporting in cleft lip palate (CLP) non syndromic paediatric patients. The proposed protocol is based on clinical experience and on systematic search of the literature. Material and methods: We performed two types of systematic search of articles: 1) articles related to the use of CBCT in CLP patients, and 2) articles related to the reporting and interpretation of the CBCT images by radiologists. We used two databases PubMed and Google scholar. Results: For indications of CBCT in CLP patients we found in PubMed 378 articles and 48 articles were selected for the review; in Google scholar we found 463 articles, and 9 articles were selected for the review. 2) For reporting in CBCT we found 956 articles in PubMed, and 9 articles were selected for the review. Conclusions: We presented the 6-steps system for interpretation and reporting information from CBCT of CLP paediatric patients: 1) Step 1 (axial view): presence or absence of bone bridge remnants of alveolar bone graft; Step 2 (3D dental tissue reconstruction): description of dental arch tooth by tooth, search for agenesis and supernumerary teeth, description of variation in the position of the tooth explaining the type of existing translation and rotation; Step 3 (coronal view): cleft palate pathway and its extension; anomaly in maxillary, ethmoid and sphenoid sinuses if existing; Step 4 (sagittal and coronal view): checking of the opening (calcification sites) of the sphenooccipital synchondrosis, and checking of anomalies of the occipital bone; Step 5 (3D bone tissue reconstruction): C1-C2 vertebra anomalies; Step 6 (3D soft tissue reconstruction): external ear anomalies. We illustrated our methodology with 46 figures from 5 CBCT of CLP patients.
2
Publication available in full text mode
Content available

Characteristics of a trauma paediatric patient transported by emergency medical services: a retrospective analysis

86%
Domański M., Michalczewska A., Wierzejska N., Kopczyńska B., Kopczyński M., Konieczny T., Kubiak K., Żyła J., Stachurski J.
Critical Care Innovations
|
2024
|
vol. 7
|
issue 3
11-24
EN
INTRODUCTION: Injuries represent a widespread health problem worldwide and are the leading cause of both mortality and morbidity among children worldwide. This study examines the temporal trends of injured children transported by ambulance with the retrospective analysis of prehospital medical treatment and care. MATERIALS AND METHODS: We analysed all trauma patients transported by ambulance to the Emergency Department in the Paediatric Teaching Hospital of the University Clinical Centre of the Medical University of Warsaw in 2021. Analysis was restricted to a cohort of patients with arrival in ambulances before hospitalisation. A total of 981 patients met these criteria and were included in the analysis. Patient data was analyzed with respect of age, gender, location of the event, trauma mechanism, presence of alcohol or recreational drugs, suspicion of suicide, localisation and character of trauma, vital signs, signs and symptoms, pain assessment, treatment and procedures, and Glasgow Coma Scale (GCS) score. The relationships between the variables were examined using the dependence χ2 test, while the strength was investigated using the Cramer’s V coefficient. RESULTS: Males comprised 58% of the patient population, with a predominance in all age groups. Head trauma was the most frequently diagnosed injury. Accidents were the primary cause of injury, occurring frequently both in domestic and public settings. The specific cause of the injury varied according to the age and gender. A slightly higher volume of patients was observed on weekends and during the day compared to weekdays and regular business hours. Most of the injured children were transported by paramedic emergency medical services. Pain (66.36%) was the most prevalent symptom, followed by bleeding (18.04%). Approximately 6.12% of the patients required hospitalisation for at least 24 hours. The relationship between the child's age and the mechanism of the injuries is statistically significant [χ2 = 290,144; degrees of freedom (df) = 27; p < 0,05] and the association is medium [Cramer’s V coefficient = 0,314]. The relationship between the child's gender and the mechanism of injuries is statistically significant [χ2 = 37,844; degrees of freedom (df) = 9; p < 0,05]. CONCLUSIONS: Severe injuries in children are rare. Boys experience more injuries than girls. A significant portion of injuries occur at home. The mechanism of injury is correlated with age group and gender, but falls from height are the most common. Peak times are during the day and in the summer months, which should be taken into account for personnel planning. The improvement of the safety of children must continue.
3
Publication available in full text mode
Content available

Characteristics of a trauma paediatric patient transported by emergency medical services: a retrospective analysis

86%
Domański M., Michalczewska A., Wierzejska N., Kopczyńska B., Kopczyński M., Konieczny T., Kubiak K., Żyła J., Stachurski J.
Critical Care Innovations
|
2024
|
vol. 7
|
issue 3
11-24
EN
INTRODUCTION: Injuries represent a widespread health problem worldwide and are the leading cause of both mortality and morbidity among children worldwide. This study examines the temporal trends of injured children transported by ambulance with the retrospective analysis of prehospital medical treatment and care. MATERIALS AND METHODS: We analysed all trauma patients transported by ambulance to the Emergency Department in the Paediatric Teaching Hospital of the University Clinical Centre of the Medical University of Warsaw in 2021. Analysis was restricted to a cohort of patients with arrival in ambulances before hospitalisation. A total of 981 patients met these criteria and were included in the analysis. Patient data was analyzed with respect of age, gender, location of the event, trauma mechanism, presence of alcohol or recreational drugs, suspicion of suicide, localisation and character of trauma, vital signs, signs and symptoms, pain assessment, treatment and procedures, and Glasgow Coma Scale (GCS) score. The relationships between the variables were examined using the dependence χ2 test, while the strength was investigated using the Cramer’s V coefficient. RESULTS: Males comprised 58% of the patient population, with a predominance in all age groups. Head trauma was the most frequently diagnosed injury. Accidents were the primary cause of injury, occurring frequently both in domestic and public settings. The specific cause of the injury varied according to the age and gender. A slightly higher volume of patients was observed on weekends and during the day compared to weekdays and regular business hours. Most of the injured children were transported by paramedic emergency medical services. Pain (66.36%) was the most prevalent symptom, followed by bleeding (18.04%). Approximately 6.12% of the patients required hospitalisation for at least 24 hours. The relationship between the child's age and the mechanism of the injuries is statistically significant [χ2 = 290,144; degrees of freedom (df) = 27; p < 0,05] and the association is medium [Cramer’s V coefficient = 0,314]. The relationship between the child's gender and the mechanism of injuries is statistically significant [χ2 = 37,844; degrees of freedom (df) = 9; p < 0,05]. CONCLUSIONS: Severe injuries in children are rare. Boys experience more injuries than girls. A significant portion of injuries occur at home. The mechanism of injury is correlated with age group and gender, but falls from height are the most common. Peak times are during the day and in the summer months, which should be taken into account for personnel planning. The improvement of the safety of children must continue.
PL
WSTĘP: Urazy stanowią powszechny problem zdrowotny na całym świecie i są główną przyczyną zarówno śmiertelności, jak i zachorowalności wśród dzieci na całym świecie. W niniejszym badaniu zbadano trendy czasowe dotyczące dzieci z urazami transportowanych karetką pogotowia z retrospektywną analizą przedszpitalnego leczenia i opieki medycznej. MATERIAŁY I METODY: Przeanalizowano wszystkich pacjentów z urazami transportowanych karetką pogotowia do Oddziału Ratunkowego w Pediatrycznym Szpitalu Klinicznym Uniwersyteckiego Uniwersytetu Medycznego w Warszawie w 2021 r. Analiza została ograniczona do kohorty pacjentów przywiezionych karetkami przed hospitalizacją. Łącznie 981 pacjentów spełniło te kryteria i zostało włączonych do analizy. Dane pacjentów analizowano pod kątem wieku, płci, miejsca zdarzenia, mechanizmu urazu, obecności alkoholu lub narkotyków, podejrzenia samobójstwa, lokalizacji i charakteru urazu, parametrów życiowych, objawów i symptomów, oceny bólu, leczenia i procedur oraz wyniku w skali Glasgow Coma Scale (GCS). Zależności między zmiennymi badano za pomocą testu zależności χ2, natomiast siłę badano za pomocą współczynnika V Cramera. WYNIKI: Mężczyźni stanowili 58% populacji pacjentów, z przewagą we wszystkich grupach wiekowych. Urazy głowy były najczęściej diagnozowanym urazem. Główną przyczyną urazów były wypadki, występujące często zarówno w warunkach domowych, jak i publicznych. Konkretna przyczyna urazu różniła się w zależności od wieku i płci. Nieco większą liczbę pacjentów obserwowano w weekendy i w ciągu dnia w porównaniu z dniami roboczymi i normalnymi godzinami pracy. Większość rannych dzieci została przewieziona przez pogotowie ratunkowe. Ból (66,36%) był najczęstszym objawem, a następnie krwawienie (18,04%). Około 6,12% pacjentów wymagało hospitalizacji przez co najmniej 24 godziny. Zależność między wiekiem dziecka a mechanizmem urazów jest statystycznie istotna [χ2 = 290 144; stopnie swobody (df) = 27; p < 0,05], a związek jest średni [współczynnik V Cramera = 0,314]. Związek płci dziecka z mechanizmem urazów jest statystycznie istotny [χ2 = 37,844; stopnie swobody (df) = 9; p < 0,05]. WNIOSKI: Ciężkie urazy u dzieci zdarzają się rzadko. Chłopcy doznają więcej urazów niż dziewczynki. Znaczna część urazów ma miejsce w domu. Mechanizm urazu jest skorelowany z grupą wiekową i płcią, ale najczęściej zdarzają się upadki z wysokości. Szczytowe okresy to dni i miesiące letnie, co należy uwzględnić przy planowaniu personelu. Poprawa bezpieczeństwa dzieci musi być kontynuowana.
first rewind previous Page / 1 next fast forward last
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.