Background

Most of the researches on cognitive processing of integration on audiovisual information were mainly for responding with or without stimulation, and required the subjects to make a quick and correct response.

Objectives

The focus is to understand the functional performances of children's audiovisual integration, whether there is a development trend and age effect.

Methods

The participants were 4 to 6 years old in kindergarten, and the non-random sampling method was used to select 6 schools. A tool of “the computerized assessment for audiovisual integration on motor concept " was used as a research tool for this study. There were 4 subtests including the concept of fine motor , gross motor, activity of daily living , and symbolic motor. A total of valid 508 samples were collected, aged between 4 and 6 years (M = 60.82 months, SD = 7.98). The descriptive, t test, one way and two way ANOVE were used to analyze the research data.

Results

Results from the two-factor ANOVA analysis showed that age had no interaction with sex on all four subtests (p> .05). There was no difference of children's sex on the all subtests of auditor-visual integration. There was significant difference of children's age on the fine motor concept (F = 13.91, p <.05), gross motor (F = 20.71, p <.05), activity of daily living (F = 10.08, p <.05), and symbolic motor (F = 10.35, p <.05) on the audiovisual integration concept.

Conclusion

The conclusion is that children's auditor-visual integration on motor concept has a developmental effect.

Background

Up to 40% of pediatric cancer patients require admission to PICU during the course of their disease. However, scarce are available on the standard of care in critical care delivery for this patient group, nor are systematic multi-center outcome data.

Objectives

To obtain consensus on the top five research priorities in the field of pediatric cancer patient critical care.

Methods

We conducted a three-round modified Delphi consensus process among pediatric intensivists and pediatric oncologists in Europe. An anonymous questionnaire was distributed online via SurveyMonkey. POKER consortium members drafted ten candidate research topics. Participants rated these topics using a 4-point scale. Research questions that met a priori consensus thresholds for >80% high priority were included in round 2, complemented with additional research topics suggested by participants. Round 2 yielded consensus on high prioritiy topics, which were ranked by POKER member in round 3 to create a final top five .

Results

One-hundred seventy-four and 154 colleagues participated in rounds 1 and 2, respectively (Fig. 1). Five research topics were identified as top priorities: (1) Optimal timing of the use of life-sustaining therapies; (2) Development of specific early warning scores; (3) Role of non-invasive ventilation in acute respiratory insufficiency; (4) End-of-life care and ethical issues; (5) Sepsis.

Profession and country of residence of the participants.

Conclusion

Admissions of pediatric cancer patients contribute to a substantial proportion of critical care patient- and work-load. In particular, optimum use of critical care resources in this group is an area requiring urgent research.

Background

In all critical situations involving children, emotional impact is huge, even for professionals: pediatric emergencies represent a very strong challenge for physicians and nurses.

Objectives

To analyze team working with a special regard to the attitude of different professional figures involved (pediatricians, residents, nurses) with in situ simulation in a PER in a tertiary pediatric hospital.

Methods

We performed, from March 2018 to March 2019, 10 high fidelity in situ simulations involved all the PER team in Udine University Hospital. A team composed of four rescuers (a pediatric consultant, a resident and two nurses) attended monthly a simulated scenario. Five facilitators observed the team in every training situation. Before and after simulation all the participants filled out a questionnaire to explore and measure: 1) self-awareness, 2) resiliency, 3) social skills, 4) sense of responsibility, 5) ability to motivate the group. We also decided to include the psychologist as an actor into each scenario, performing one of the parents.

Results

We performed 10 simulations which included 10 pediatricians, 10 residents and 20 nurses. Simulation improved the technical and not-technical skills especially in residents group. Resiliency pattern resulted increased after the simulation in all groups categories. Simulation implemented mostly the categories “sense of responsibility” and “social skills” across nurses, were higher scores has also been recorded.

Conclusion

Simulation improved the management of both technical and not-technical skills. The questionnaire was a good predictor of self-sense, is quick, reproducible, not operator sensitive and can be applied in further studies.

Background

Traditionally in PICUs, heparinised saline (HS) is used to maintain arterial line patency. At University Hospital Southampton (UHS), PICU uses 1 unit/ml of HS, continuously infused at 1.5ml/hour. Some PICUs have converted to using 0.9% saline. HS is more expensive and it is unclear whether it is superior to normal saline (NS) for this purpose.

Objectives

Establish the longevity of heparinised arterial lines at UHS PICU, the reasons for line removal, and survey the current practice in all UK PICUs regarding the use of HS.

Methods

This 8-week study at UHS involved 61 PICU patients with an arterial line in situ, collecting data from individual patient notes. UK PICUs were surveyed using an internet and telephone questionnaire.

Results

83 arterial lines were inserted, with patency duration ranging from 1.50 hours to 527.42 hours. 34 lines became non-patent (41.0%), with average patency duration of 73.81 hours. 14 of the non-patent lines were lost in the first day of use (41.2%). UK PICU practices vary widely, with 22 units using only HS, 3 using either HS or NS (age or weight dependent) and 2 using only NS. Concentrations used range from 0.5Uml/ to 10U/ml.

Conclusion

Observed arterial line longevity was much longer than historical data, so current literature may be a poor guide to longevity. Non-patency was frequently an early phenomenon and thus, such line loss may be related to insertion rather than infusion. There is variation in Heparin infusion use and a randomised study is warranted.

Background

Low birth weight (LBW) children is a major public health problem due to the increased risk of morbidity and mortality.

Objectives

To identify the knowledge and the attitude of the HPs regarding the immunization of children with LBW.

Methods

This is a prospective observational and descriptive study; through a questionnaire evaluating the knowledge of the health professionals (HPs) with regard to the vaccination of the LBW, gathered in the health centers of the region of EL HAOUZ; Morocco ; over a period of 5 months, from March 2018 to July 2018.

Results

-30 HPs were questioned, 23.3% of them benefited from continuous training on vaccination of FPN.

-30% estimate that LBW is a vaccination contraindication.

-46% do vaccination LBW only if its weight exceeds 2500g.

-60% of HPs have never vaccinated a LBW, the main reasons for this delay in vaccination is the LBW, the refusal of parents, the risk of complications.

Conclusion

: Through this study, we find that:

-The PS dealing with vaccination of LBW, requires an update of knowledge concerning this preventive measure.

-The child, in good health, must have an adequate and on time immunization protection .