Kamperhvass1382

significantly worse outcomes. Additional research to identify unique risk-factors and targets for interventions to improve outcomes of this group of patients is warranted.

ACS patients without traditional cardiovascular risk-factors comprise a unique group with reduced prevalence of comorbidities yet significantly worse outcomes. Additional research to identify unique risk-factors and targets for interventions to improve outcomes of this group of patients is warranted.

To explore the perspectives of family members of Aboriginal children about a) their involvement in recognising clinical deterioration in a hospital setting and b) the effectiveness of a poster designed to promote family involvement.

To assist in the early recognition and response to clinical deterioration for hospitalised children, many escalation of care processes now include family involvement. Little is currently known about the perspectives of Australian Aboriginal families in recognising deterioration in their child and raising the alarm, or if current escalation of care systems meet the needs of Aboriginal families.

Qualitative pragmatist approach using semi-structured interviews.

Seven interviews were conducted with five mothers and two grandmothers of Aboriginal children who were inpatients at a children's hospital. Thematic analysis was undertaken.

Two themes were identified Theme one was Family role in recognising and responding to clinical deterioration, with two subthemes of knowing whenAboriginal family involvement in recognising clinical deterioration and escalation of care.

This study was conducted to determine the relationship between the levels of loneliness adolescents feel during the pandemic, and their respective levels of internet addiction.

The sample of the study consists of 482 adolescents who volunteered to participate in the study. All participants had the cognitive competence to express themselves, and had access to the Internet. Participants filled out a Google Docs form including the "Descriptive Information Form", "ULS-SF" and "IASA", which were used to collect data.

As a result of the multiple regression analysis, it was found that family income, mothers' education status, fathers' education status, the duration of Internet use before and during the pandemic, and the total score of ULS-SF had statistically significant effects on the total score of IASA (p<0.05).

It was concluded that adolescents' internet addiction increases with the increasing level of loneliness. Adolescents who reported feeling moderately lonely had a low level of Internet addiction. There were certain variables that were also found to be influential on adolescents' average levels of loneliness and Internet addiction during the Covid-19 pandemic.

Protecting adolescents' mental health during the pandemic is dependent on taking measures to reduce the risks, while strengthening the protective factors. These protective factors include providing adolescents the access to the appropriate information resources and encouraging the rational use of the Internet, which will support the individual and the individual's social development.

Protecting adolescents' mental health during the pandemic is dependent on taking measures to reduce the risks, while strengthening the protective factors. These protective factors include providing adolescents the access to the appropriate information resources and encouraging the rational use of the Internet, which will support the individual and the individual's social development.

Sleep disturbances in childhood are an important pediatrics problem because of their influence on children's health and their strong correlation with behavior problems. The aim of the present study was to explore sleep disturbances during the COVID-19 pandemic in school-age children.

A cross-sectional survey design was used for data collection. From 1 to 15 February 2021, the study utilized snowball sampling techniques to gather data through an online survey. Parents of 1040 6-12-year-old schoolchildren completed the Socio-demographic Information Questionnaire and the Children's Sleep Habits Questionnaire. A multivariable logistic regression analysis was employed to pinpoint factors connected to sleep disturbances.

The prevalence of sleep disturbances among 6-12-year-old children during the COVID-19 pandemic in Turkey was 55.5%. The most common sleep disturbances were bedtime resistance, sleep onset delay, and sleep duration. The children's ages, family relationships, and eating habits were linked to thn during the COVID-19 pandemic.

We evaluated disease knowledge/self-management skills among low-income Mexican young adults maintained on dialysis and to test the effectiveness of the A.L.L. Y.O.U. N.E.E.D. I.S. L.O.V.E (AYNIL) Manual - Spanish Version on patient-reported outcomes. This is a low literacy teaching tool designed with patients and educators' input.

A quasi-experimental study was conducted in 17 chronic dialysis patients at Mexico City's Hospital General de México, Dr. Eduardo Liceaga. Ages 18-30-year-old completed disease knowledge/self-management and quality of life measures before the intervention and 6weeks later.

Significant increases were observed on disease knowledge/self-management scores in the STARx questionnaire from 47 (IQ 40,51) to 50 (IQ 48,54) p=0.04. The UNC-TRxANSITION Index increased significantly from 4.8 (IQ 3.9,5.7) to 7.7 (IQ 7.5,8.2) p≤0.001. Significant increases in scores were detected in the "Burden of kidney disease" (p=0.008), "Effects of kidney disease" " (p=0.03) and " Dialysis staff encouragnce to treatments and poor self-management skills.

Since the end of 2019, the world has been dealing with a new crisis caused by the widespread and global outbreak of the coronavirus that has affected various aspects of life. The stay-at-home orders issued to prevent the virus from spreading have caused many problems for families, such as obesity and overweight, particularly among children. As parents play a key role in the prevention of childhood obesity, the present qualitative study aimed to examine the experiences of parents regarding the obesity or overweight of their children during the outbreak of coronavirus.

This study was performed using a qualitative descriptive approach. The sampling method was purposeful, and the required data were collected through in-depth, unstructured, and face-to-face interviews with 16 parents of children with obesity or overweight. The interviews were digitally recorded, transcribed verbatim, and analyzed using Graneheim and Lundman conventional content analysis approach.

The findings were divided into five main themes, including overeating while stuck at home, leading to the sedentary life, disturbed sleep-wake rhythm of the children, indifference of the children towards their appearance, and the inability of parents to control the obesity of their children.

The COVID-19 pandemic has affected families of children with obesity in various ways. The experiences of such parents provide new insight into parental struggles around managing their child's obesity particularly during such stressful times.

An in-depth study of the experiences of the parents and perception of their challenges and concerns about childhood obesity during the COVID-19 pandemic can lead to the development of useful and effective strategies for the control of childhood obesity.

An in-depth study of the experiences of the parents and perception of their challenges and concerns about childhood obesity during the COVID-19 pandemic can lead to the development of useful and effective strategies for the control of childhood obesity.

The purpose of this study was to translate and culturally adapt the Family Centered Care Assessment Scale (FCCAS) to evaluate family-centered care in the context of Finnish pediatric nursing.

The translation and cultural adaptation were done according guidelines of International Society for Pharmacoeconomics and Outcomes (ISPOR), which constitute a systematic process including ten phases. The presented research included cognitive interviews conducted with the end user of the scale parents of hospitalized children.

The FCCAS was successfully translated and culturally adapted to the Finnish context. Translational, clinical and parental expertise were used to develop the scale. Conceptual equivalence was achieved in the translation. In the cultural adaptation, some of the items were modified based on experts' assessments to make them comprehensible and appropriate to the Finnish culture. The scale showed good evidence of content. Reporting of the study adheres to the COSMIN checklist.

Combining ISPOR gui-centered care is implemented in Finnish pediatric nursing.

The aim of the present study was to propose and validate a standardized CT protocol for evaluating all the types of portosystemic collaterals (P-SC), including gastroesophageal varices and spontaneous portosystemic shunts (SPSS), and to evaluate the prognostic role of portal hypertension CT features for the prediction of the hepatic decompensation risk in cirrhotic patients.

A retrospective cohort study of 184 advanced chronic liver disease who underwent CT scan between January 2014 and December 2017. Patients with an interval>6months between the imaging, elastometric, endoscopic and biochemical evaluation were excluded, as well as patients with previous transjugular intrahepatic portosystemic shunt (TIPS), liver transplantation (LT) or terminal medical conditions. Data on liver disease history, co-morbidities, endoscopic and radiologic findings were collected. The incidence of hepatic decompensation and other events, such as portal vein thrombosis, HCC, TIPS placement, LT, death, and its cause, were acol commonly performed during the HCC surveillance program for cirrhotic patients is valid for detecting all types of P-SC. selleck The radiological score identified to predict the decompensation-free survival for cirrhotic patients could be an easy-to-use clinical tool.

The CT protocol commonly performed during the HCC surveillance program for cirrhotic patients is valid for detecting all types of P-SC. The radiological score identified to predict the decompensation-free survival for cirrhotic patients could be an easy-to-use clinical tool.

Widespread differences in patient demographics and disease burden between hospitals for resection of colorectal liver metastases (CRLM) have been described. In the Netherlands, networks consisting of at least one tertiary referral centre and several regional hospitals have been established to optimize treatment and outcomes. The aim of this study was to assess variation in case-mix, and outcomes between these networks.

This was a population-based study including all patients who underwent CRLM resection in the Netherlands between 2014 and 2019. Variation in case-mix and outcomes between seven networks covering the whole country was evaluated. Differences in case-mix, expected 30-day major morbidity (Clavien-Dindo ≥3a) and 30-day mortality between networks were assessed.

In total 5383 patients were included. Thirty-day major morbidity was 5.7% and 30-day mortality was 1.5%. Significant differences between networks were observed for Charlson Comorbidity Index, ASA 3+, previous liver resection, liver disease, preoperative MRI, preoperative chemotherapy, ≥3 CRLM, diameter of largest CRLM ≥55mm, major resection, combined resection and ablation, rectal primary tumour, bilobar and extrahepatic disease.