Assessment of Feeding Practice among Mothers Attending the Immunisation Clinic of UCMS Hospital, Nepal: A Cross-Sectional Study

INTRODUCTION: Practice of exclusive breast feeding has dramatically reduced infant mortality in developing countries due to reduction in diarrhea and infectious diseases. We conducted a study to assess the feeding practices among mothers with children less than 12 months of age attending the immunization clinic of UCMS hospital, Nepal. MATERIAL AND METHODS: A hospital based cross sectional study was carried out in the immunization clinic of Pediatric ward of UCMS, Nepal for a period of four months. Mothers of child of 0-12 months were included in the study. Sample size was 372 which was based on the number of mothers visited Pediatric ward for immunization of their child of age group 0-12 months during the duration of the study. Mothers were interviewed by using a pre-validated structured questionnaire. Data was analyzed by using SPSS version-20 software and presented by descriptive statistics as frequency and percentages. RESULTS: Most of the children were above six months, 56.5% were of 7-12 months of age group. Exclusive breastfeeding was done in 48.4% children for first six months. Maximum population preferred hospital as their mode of delivery. 93.5% mothers opted for hospital as their place of delivery. 23.4% mothers were illiterate. Night feeding was practiced by 96.2% mothers. CONCLUSION: Breast feeding awareness must be spread among mothers by workshops and health education programs.

Clinical-Homeopathic Profile in the Pediatric Ward at the University Hospital - Brazil

Background: In 2004, the deployment of Homeopathy in the pediatric ward at the University Hospital of Gaffrée Guinle – UNIRIO (HUGG at the Federal University of the State of Rio de Janeiro) was initiated in conjunction with both the Pediatric and Homeopathy Service. A research project approved by the HUGG Ethics and Research Committee was prepared to survey the most prevalent diseases. A team composed of medical students and doctors participating in the homeopathy course was formed and underwent training, enabling them to use the established protocols of action. A partnership was established with the Fluminense Federal University(Universidade Federal Fluminense – UFF), for the supply of drugs. In early 2009, the research project started, followed by homeopathic treatment in the pediatric ward. Aim: To demonstrate the diseases and treatment using homeopathic therapy on patients in the pediatric ward at the HUGG-UNIRIO-Brazil. Methodology: A sectional clinical study was carried out on patients participating in a research approved and registered by the Brazilian Research Ethics Committee, named,"The study of the effect of Homeopathic Treatment as an Adjunct Therapy on patients Hospitalized in the Pediatric Ward of HUGG". Criteria of Inclusion: Newborns up to the age of 16 of both sexes were admitted to the pediatric ward of HUGG, from May to October 2009. The diagnosis for admission being: respiratory, gastrointestinal and/or dermatologic diseases. A consent form had to be accepted and signed by the person responsible. Inclusion depended on the availability of having the appropriate homeopathic medicine in stock. Criteria of Exclusion: Cases of discontinuation of the homeopathic treatment or medical records not completed correctly. The medical records were analyzed individually. Microsoft Office Excel 2007 was used for data collection and analysis. Results: 32 patients admitted: 80% treated with Homeopathy; Diagnosis for admission: 73% respiratory, 11.5% dermatological, 4% gastrointestinal and 11.5% other diseases (malnutrition, adenomegaly, eyelid edema); 37% had secondary diseases. An average of 4.7 medicaments (min 01-max09) was used per patient, 31% repeated the medication in two different dinamizations. “Diagnosis for admission and medication used”: a) respiratory: 79% Pulmao histaminum, 32% Antimonium tartaricum, 21% Natrum sulfuricum, 21% Sambucus nigra, 16% Ipecacuanha, 16% Nux vomica, 16% Medorrhinum; b) dermatological: 100% Apis mellifica, 33% Dulcamara, 33% Mezereum, 33% Psorinum, 33% Rhus toxicodendron, 33% Alumina; c) gastrointestinal: 100% Ipecacuanha, 50% Gambogia, 50% Alumina. Dinamizations used: 5, 6, 12, 30 and 200CH, and 200FC. 55.5% of the medication used were only local effect medicines, 45.5% of the medication used were in association with the general effect medicines. Conclusion: The need to use several homeopathic medicines was obseved. The practice of inpatients was shown to be similar to the emergency outpatient when using medicine for local effect and medicine for general effect. Due to the positive results obtained with homeopathy, patients not initially foreseen in the research were included in this study on demand from parents or persons responsible for the children. This study demonstrates the need for a greater number of patients to allow the creation of prescription protocols and case-control studies to identify the most effective homeopathic prescription techniques.

The pilot study of group robot intervention on pediatric inpatients and their caregivers, using ‘new aibo’

The study on robot-assisted therapy in a pediatric field has not been applied sufficiently in clinical settings. The purpose of this pilot study is to explore the potential therapeutic effects of a group robot intervention (GRI), using dog-like social robot (SR) ‘aibo’ in pediatric ward. GRI by aibo was conducted for those children with chronic illness (127 in total) who are hospitalized in National Centre for Child Health and Development (NCCHD), and their caregivers (116 in total), from March to April 2018. The observer made structured behavioural observation records, based on which qualitative research on the features of their words and conducts, were carried out. As a result, first, during the GRI, about 2/3 of total expression by children were positive, while about 1/4 were negative or inappropriate. On the other hand, as seen in the ‘change’ group, those children who had originally responded with negative expression eventually came to express positive expression, while getting involved in a ternary relationship or participating in a session more than once. Secondly, as for the expression from the caregivers during the GRI, active expressions such as ‘participation’ and ‘exploration’ accounted for the 2/3, while 1/3 turned out to be rather placid expressions such as ‘watch over’ or ‘encourage.’Conclusion: There has not been any precedent study on the features of words and conducts expressed by patients and their caregivers during the GRI by aibo. The outcome suggests that aibo could possibly be used as a tool for group robot-assisted therapy in the pediatric treatment setting. What is Known:• The study on robot-assisted therapy in a pediatric field has only just begun.• Though many kinds of social robot have been reportedly used so far, none has yet to be applied in clinical settings What is New:• Our study revealed the features of words and behaviour expressed by the patients and their caregivers, when dog-like social robot ‘aibo’ was used for a group robot intervention in the pediatric ward.• The outcome suggests that aibo could possibly be used as a tool for group robot-assisted therapy in the pediatric treatment setting.

Impact of Educational Intervention on Rational Antibiotic Use In Pediatric Ward

Introduction: Antibiotics are a class of natural and synthetic compounds that inhibit the growth of or kill other microorganisms. Overuse of antibiotic is one of the most important factors for the development and spread of resistance in the hospital, as well as in the community. Present study was designed to describe antibiotic use in children and to assess the impact of an educational intervention on antibiotic prescription. Methods: The present study was conducted in pediatric ward of a tertiary care institute. The study population included two groups of children – each having 250 children. The first group consisted of 250 consecutive children admitted in one unit of the pediatric ward and they were analyzed for antibiotic use without any prior priming of the members of the unit regarding rationality of antibiotic use. This was followed by an intervention in the form of a 3hour workshop for all members of the unit. The second group included another 250 children consecutively admitted in the wards after this intervention. Results: In Pre intervention group 55 (44%) children received antibiotics in rational way, while in Post intervention group 90(60.40%) children received antibiotic in rational way. One hundred and thirty-six children (49.4%) received antibiotics for respiratory tract infections, this being the commonest disease for which antibiotics were received. As seen in the table, unindicated use of antibiotic was significantly reduced in Post intervention group (p = 0.03). Conclusion: The present study included 500 children. There were 285 (57%) males and 215 (43%) females. Amongst these 500 patients, 178 (35.6%) were below 1 year of age. This group had the highest number of patients. In the Pre intervention group, 55 (44%) children received antibiotics rationally, while in Post intervention group 90(60.40%) children received antibiotic rationally.

Nurse Caring Attitude Relationships with Parents Patient Satisfaction Level in Public Hospitals Pambalah Batung Amuntai

Caring is a form of nurse's concern for clients. Nurses are required to have the sensitivity and ability to support the trust and well-being of patients. Patient/Parent satisfaction is highly dependent on the caring attitude of the nurse. The better the caring attitude of the nurse to the patient, the more the patient will trust the nurse. Nurse caring behavior is one of the determinants of patient satisfaction. The purpose of this study was to determine the relationship between the caring attitude of nurses and the level of satisfaction of the patient's parents in the pediatric ward of Pambalah Batung Amuntai Hospital. Analytic research with a cross sectional approach. Collecting data using a questionnaire. Respondents in the study amounted to 28 people, using probability sampling technique. Data analysis using Chi-Square. The results show that in the pediatric ward of Pambalah Batung Amuntai Hospital, it is known that the caring attitude of nurses in the classification is not good, namely 68% and the level of satisfaction of parents of patients in the less classification is also as much as 64 % The results of the Chi-Square analysis obtained a significant value of 0.019 (p < 0.05). There is a relationship between the caring attitude of nurses and the level of satisfaction of parents whose children are cared for in the pediatric care room at Pambalah Batung Amuntai Hospital.

The Relationship between Shift Work and Occupational Fatigue on Nurses Working on the Pediatrics and Internal Wards of Muhammadiyah Palembang Hospital

Shift work is a method of allocating work time to different workgroups. Fatigue is defined as an abnormal sensation of tiredness, sluggishness, or a lack of desire to engage in activities, which results in stress, depression, or other negative emotions. In order to satisfy patients within 24 hours, hospitals must organize nurses by shift. The goal of this study at Muhammadiyah Palembang Hospital was to see if there was a link between shift work and fatigue in pediatric and internal ward nurses. This cross-sectional and analytic study entailed 26 respondents from the total sampling method used. In this study, those who worked shifts included those who worked in the morning (12 respondents (46.2 %), evening (8 respondents (30.8%), and night (6 respondents (23.1 %). Fatigue has been linked to 38% of RSMP's overworked pediatric ward nurses and interna, with a p-value of 0.029. The hospital should provide rest periods for nurses, especially those who work the last shift because they must adapt during the night.

Antibiotic use on paediatric inpatients in a public hospital in Bangil, Indonesia

Introduction: The importance of antibiotic use in a clinical setting was evaluated in order to support the global action plan to decelerate the spreading speed of antimicrobial resistance. Objective: This study aimed to evaluate antibiotic use among pediatric inpatients in Bangil public hospital, East Java, Indonesia. Methods: This study used a cross-sectional design. The data were obtained from medical records of pediatric patients admitted to a pediatric ward in 2017. Data were analysed using the anatomical therapeutic chemical classification system (ATC)/defined daily dose (DDD) method in conjunction with data sources from a locally developed bacterial map. Results: The results showed the paediatric patients were dominantly male (n=218; 54.2%) and mostly diagnosed with diarrhoea (n=87; 15.3%). Ampicillin-sulbactam was the most commonly used antibiotic (16.3%). The total DDD value was 66.1 DDD/100 bed-days, and ceftriaxone demonstrated the highest DDD value (10.3 DDD/100 bed-days). Conclusion: In conclusion, the use of antibiotics in the pediatric ward in Bangil public hospital was comparable to other studies conducted in Indonesia.

Antibiotic use on paediatric inpatients in a public hospital in Bangil, Indonesia

Introduction: The importance of antibiotic use in a clinical setting was evaluated in order to support the global action plan to decelerate the spreading speed of antimicrobial resistance. Aim: This study aimed to evaluate antibiotic use among pediatric inpatients in Bangil public hospital, East Java, Indonesia. Methods: This study used a cross-sectional design. The data were obtained from medical records of pediatric patients admitted to a pediatric ward in 2017. Data were analysed using the anatomical therapeutic chemical classification system (ATC)/defined daily dose (DDD) method in conjunction with data sources from a locally developed bacterial map. Results: The results showed the paediatric patients were dominantly male (n=218; 54.2%) and mostly diagnosed with diarrhoea (n=87; 15.3%). Ampicillin-sulbactam was the most commonly used antibiotic (16.3%). The total DDD value was 66.1 DDD/100 bed-days, and ceftriaxone demonstrated the highest DDD value (10.3 DDD/100 bed-days). Conclusion: In conclusion, the use of antibiotics in the pediatric ward in Bangil public hospital was comparable to other studies conducted in Indonesia.