Bulletin of the World Health Organization
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Bull. World Health Organ. · May 2009
Severe childhood burns in the Czech Republic: risk factors and prevention.
To assess risk factors for paediatric burn injuries in the Czech Republic and to suggest preventive measures. ⋯ Most burns involved scalds from hot liquids at home: beverages in kitchens and water in bathrooms. There is a need for passive preventive measures, such as redesigned domestic cooking and eating areas, safer electrical kettles and temperature control devices for bathrooms. Educational programmes should be developed for parents and caregivers. A national plan for child burn prevention with specific targets would be helpful.
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Bull. World Health Organ. · Apr 2009
Emergency triage assessment for hypoxaemia in neonates and young children in a Kenyan hospital: an observational study.
To describe the prevalence of hypoxaemia in children admitted to a hospital in Kenya for the purpose of identifying clinical signs of hypoxaemia for emergency triage assessment, and to test the hypothesis that such signs lead to correct identification of hypoxaemia in children, irrespective of their diagnosis. ⋯ The syndromes of pneumonia make it possible to identify most hypoxaemic children, including those without LRTI. Shock, bradycardia and irregular breathing are important predictive signs, and severe malaria with respiratory distress is a common cause of hypoxaemia. Overall, however, clinical signs are poor predictors of hypoxaemia, and using pulse oximetry in resource-poor health facilities to target oxygen therapy is likely to save costs.