Child: care, health and development
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Child Care Health Dev · Nov 2008
Multicenter StudyWhat can we learn from the experiences of consultants around the time of a child's death?
To describe how paediatric consultants report dealing with child and neonatal deaths as part of their daily work. ⋯ We can learn much from the experiences of consultants around the time of a child's death. Their approach during resuscitation and withdrawal or withholding life sustaining treatment describes many strategies that have been developed to ease the often complex decision-making process. Although consultants have built up personal support networks and individual coping strategies many recognize that these are not all encompassing and some harbour unresolved feelings of grief. Enabling health professionals to genuinely care, 'giving oneself totally yet preserving oneself totally' remains a challenge.
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In the Netherlands, bicycle helmet wearing rates are very low and perceived social barriers to helmet use are important. We aimed to determine why Dutch paediatricians do or do not wear helmets while bicycling and whether their personal behaviour is influencing their position about the promotion of helmet use. ⋯ Our results indicate that among Dutch paediatricians, cycling rate is high and helmet wearing rate is very low and that they experience numerous personal barriers to bicycle helmet use. This might explain why bicycle helmet promotion campaigns are scarcely supported by Dutch paediatricians.
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Child Care Health Dev · Nov 2008
Qualitative analysis of Coroners' data into the unnatural deaths of children and adolescents.
Unintentional injury and suicide are leading causes of death for adolescents, and reducing these is an important health priority. Coroners' records provide a valuable source of information on the events leading up to the death of an individual, and analysis of these records may help our understanding of the causal pathway, and elucidate potential areas for intervention. ⋯ This study based on comprehensive data from one region highlights some of the difficulties faced by young people as they negotiate how to deal with complex emotions and relationships. It also demonstrates how some parents and carers are uncertain about how to address their concerns. Finally, it shows how mortality among young people could potentially be markedly reduced if availability of alcohol and illicit and prescribed substances were reduced.