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Biomedical subjects

L Kingston

Publications and source records attributed to L Kingston.

7 recordsLinked to original sources
PubMed2001

Complications in pediatric tracheostomies.

OBJECTIVE: To examine complications of pediatric tracheostomy. STUDY DESIGN: Retrospective. METHODS: Chart review of children undergoing tracheotomy or laryngeal diversion between 1990 and 1999. RESULTS: Charts of 142 children were examined. Average age was 2.64 years (standard deviation [SD], 4.73 y) at surgery. Duration of tracheostomy was 2.08 years (SD, 1.72 y) for those decannulated, 3.12 years (SD, 2.5 y) for those still with a stoma, and length of follow-up for the whole group was 4.14 years (SD, 8.69 y). At last follow-up, 56% had a tracheostomy, 29% had none, and 15% had died; one death was tracheostomy-related. Three percent had intraoperative complications, 11% had complications before the first tracheostomy tube change, and 63% had complications after the first tube change. Thirty-four percent had a trial of decannulation; 85% of these were successful. Fifty-four percent of those decannulated had complications. Number of complications was not related to duration of follow-up. In-hospital mortality was congruent to mortality predicted by PRISM (Pediatric Rate of Mortality) scores. CONCLUSIONS: Forty-three percent had serious complications involving loss of the tracheostomy airway (tube occlusion or accidental decannulation) or requiring a separate surgical procedure. Deaths directly attributable to tracheostomy complications occurred in 0.7%.

Child, Preschool↗
PubMed1995

Development and assessment of a home care tracheotomy manual.

As home care tracheotomy has become a viable option for children with long-term canulation, medical personnel are challenged to provide as safe an environment as possible out of the hospital for these children. The tools used in the training of the families and other caregivers have received little attention in the literature. This study describes the development of a home-care tracheotomy manual for parents. The use of appropriate content presented in an organized, informative and pleasing fashion at the appropriate reading level is stressed. The evaluation of the manual by parents with children who have a child with a tracheotomy is also described.

Caregivers↗
PubMed1995

The development of patterns of stable, transient, and school-age onset aggressive behavior in young children.

OBJECTIVE: To examine the development of patterns of aggressive behavior in children from the age of 2 to 8 years. METHOD: Children with early histories of aggressive behavior were selected from a community sample of 2,400 infants participating in a longitudinal study. The sample was divided into four groups: children with stable aggressive behavior, those with transient aggression, those with aggression only after age 5 years (late onset), and a comparison group of nonaggressive children. RESULTS: Children with stable aggressive behavior were characterized by a difficult temperament, hostile sibling interactions, maternal perception of the child as difficult, and harsher child-rearing practices. Children whose early aggression decreased over time and those who became aggressive only after entering school could not be reliably classified with the selected family variables. Teacher ratings of temperament factors of task orientation and reactivity and ability ratings correctly classified 74% of children whose aggression began at school-age. CONCLUSIONS: Children with persistent aggressive behavior differed from those who improved, predominantly in terms of symptom severity. Problems with aggression can be identified early in development, and a significant proportion of aggressive children are at risk for continuing social and scholastic difficulties. Knowledge of associated factors may play an important role in prevention.

Age of Onset↗
PubMed1991

[Malaria infection during childbirth and in newborns in Bécédi (Ivory Coast)].

Authors studied the parasitological and serological status of 108 new-born children from 102 deliveries during the 2nd term of 1987 at the Bécédi Maternity Hospital in Ivory Coast. The parasitism frequency of different studied bloods (mother, cord, delivery) is varying from 8 to 14%, antibodies have been found in 81 to 83% cases. The parity has an effect on the placental lesions frequency but not on the parasitism frequency. Children born with a pathogenic placenta have a lower birth weight. The retrospective study of 11,070 deliveries from last years shows that birth weight are lower while the two first pregnancies.

Animals↗
PubMedDate not supplied

Primary care for women. Comprehensive assessment of the head and neck.

This article reviews the pertinent anatomy of each body system involved in the assessment of the head and neck (including the eyes, ears, nose, and throat) and describes the basic elements of the comprehensive health assessment. Frequently encountered chief complaints are discussed. Aspects of the health assessment that will assist the primary care provider in making a differential diagnosis and determining the need for referral are presented. This article is the first of two articles on this topic; the subsequent article will address primary care management of common conditions of the head and neck.

Eye Diseases↗