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  • Open Access

    ARTICLE

    Development of quality metrics for ambulatory pediatric cardiology: Transposition of the great arteries after arterial switch operation

    Carissa M. Baker-Smith1, Karina Carlson2, Jose Ettedgui3, Takeshi Tsuda4, K. Anitha Jayakumar5, Matthew Park6, Nikola Tede7, Karen Uzark8, Craig Fleishman9, David Connuck10, Maggie Likes11, Daniel J. Penny12

    Congenital Heart Disease, Vol.13, No.1, pp. 52-58, 2018, DOI:10.1111/chd.12540

    Abstract Objective: To develop quality metrics (QMs) for the ambulatory care of patients with transposition of the great arteries following arterial switch operation (TGA/ASO).
    Design: Under the auspices of the American College of Cardiology Adult Congenital and Pediatric Cardiology (ACPC) Steering committee, the TGA/ASO team generated candidate QMs related to TGA/ASO ambulatory care. Candidate QMs were submitted to the ACPC Steering Committee and were reviewed for validity and feasibility using individual expert panel member scoring according to the RAND-UCLA methodology. QMs were then made available for review by the entire ACC ACPC during an “open comment period.” Final… More >

  • Open Access

    ARTICLE

    Resource reduction in pediatric chest pain: Standardized clinical assessment and management plan

    Susan F. Saleeb1, Sarah R. McLaughlin2, Dionne A. Graham2, Kevin G. Friedman1, David R. Fulton1

    Congenital Heart Disease, Vol.13, No.1, pp. 46-51, 2018, DOI:10.1111/chd.12539

    Abstract Objective: Using a Standardized Clinical Assessment and Management Plan (SCAMP) for pediatric patients presenting to clinic with chest pain, we evaluated the cost impact associated with implementation of the care algorithm. Prior to introduction of the SCAMP, we analyzed charges for 406 patients with chest pain, seen in 2009, and predicted 21% reduction of overall charges had the SCAMP methodology been used. The SCAMP recommended an echocardiogram for history, examination, or ECG findings suggestive of a cardiac etiology for chest pain.
    Design: Resource utilization was reviewed for 1517 patients (7-21 years) enrolled in the SCAMP from July… More >

  • Open Access

    ARTICLE

    Determinants of platelet count in pediatric patients with congenital cyanotic heart disease: Role of immature platelet fraction

    Randa M. Matter1, Iman A. Ragab1, Alaa M. Roushdy2, Ahmed G. Ahmed1, Hanan H. Aly1, Eman A. Ismail3

    Congenital Heart Disease, Vol.13, No.1, pp. 118-123, 2018, DOI:10.1111/chd.12530

    Abstract Objectives: Congenital heart defects are common noninfectious causes of mortality in children. Bleeding and thrombosis are both limiting factors in the management of such patients. We assessed the frequency of thrombocytopenia in pediatric patients with congenital cyanotic heart disease (CCHD) and evaluated determinants of platelet count including immature platelet fraction (IPF) and their role in the pathogenesis of thrombocytopenia.
    Methods: Forty-six children and adolescents with CCHD during pre-catheter visits were studied; median age was 20.5 months. Complete blood count including IPF as a marker of platelet production and reticulated hemoglobin content (RET-He) as a marker of red… More >

  • Open Access

    ARTICLE

    Clinical, echocardiographic, and therapeutic aspects of congenital heart diseases of children at Douala General Hospital: A cross-sectional study in sub-Saharan Africa

    Felicit e Kamdem1,2, Danielle Kedy Koum2,3, Ba Hamadou1,4, Melanie Yemdji1, Henry Luma1,4, Marie Solange Doualla1,4, Diomède Noukeu5, Esther Barla5, Christophe Akazong5, Anastase Dzudie1,4, Henry Ngote1, Yves Monkam1, Sidiki Mouliom1, Samuel Kingue4,6

    Congenital Heart Disease, Vol.13, No.1, pp. 113-117, 2018, DOI:10.1111/chd.12529

    Abstract Introduction: Cardiovascular diseases in pediatric pathologies have emerged in the recent years in sub-Saharan Africa (SSA), with congenital heart diseases (CHDs) being the most frequent. Unfortunately, their diagnosis is usually delayed, thereby increasing childhood morbidity and mortality.
    Objectives: Describe the clinical, echocardiographic, and therapeutic aspects of CHDs of children at Douala General Hospital.
    Methods: We carried out a cross-sectional descriptive study over a 10-year period, from January 2006 to December 2015. Files and reports of cardiac ultrasounds of patients aged ≤ 15 years were reviewed.
    Results: We reviewed the medical records of 1616 children, of which 370 (22.9%) had… More >

  • Open Access

    ARTICLE

    Incidence and natural history of neonatal isolated ventricular septal defects: Do we know everything? A 6-year single-center Italian experience follow-up

    Alberto Cresti1, Raffaele Giordano2, Martin Koestenberger3, Isabella Spadoni4, Marco Scalese5, Ugo Limbruno1, Susanna Falorini6, Stefania Stefanelli1, Andrea Picchi1, Francesco De Sensi1, Angela Malandrino7, Massimiliano Cantinotti4,5

    Congenital Heart Disease, Vol.13, No.1, pp. 105-112, 2018, DOI:10.1111/chd.12528

    Abstract Background: Despite ventricular septal defects (VSDs) are the most common congenital heart diseases (CHDs) in the neonatal period, their incidence and natural history are still debated and their follow-up and management strategies remain controversial. Our aim was to evaluate the incidence and natural history of isolated VSDs.
    Methods: From January 1996 to December 2015 all neonates with a CHD suspicion were referred to the Cardiological Department of Grosseto Misericordia Hospital. Only newborns with confirmed isolated VSD were enrolled in this study and followed for 6 years.
    Results: Our 343 newborns with an isolated VSD (incidence of 10.45/1000/births) account… More >

  • Open Access

    ARTICLE

    Predicting unplanned readmissions to a pediatric cardiac intensive care unit using predischarge Pediatric Early Warning Scores

    Ashley R. Kroeger1, Jacqueline Morrison2, Andrew H. Smith1

    Congenital Heart Disease, Vol.13, No.1, pp. 98-104, 2018, DOI:10.1111/chd.12525

    Abstract Objective: Unplanned readmission to the pediatric cardiac intensive care unit (CICU) is associated with significant morbidity and mortality. The Pediatric Early Warning Score (PEWS) predicts ward patients at risk for decompensation but has not been previously reported to identify at-risk patients with cardiac disease prior to ward transfer. This study aimed to determine whether PEWS prior to transfer may serve as a predictor of unplanned readmission to the CICU.
    Design: All patients discharged from a tertiary children’s hospital CICU from September 2012 through August 2015 were included for analysis. PEWS assessment was performed following transfer to the… More >

  • Open Access

    ARTICLE

    Community Violence Exposure, Experiential Avoidance and Depression in Chinese Adolescents

    Tao Li1, Che Tong Nah2, Fei Feng3,*

    International Journal of Mental Health Promotion, Vol.20, No.2, pp. 67-74, 2018, DOI:10.32604/IJMHP.2018.010839

    Abstract This study aimed to investigate the link between community violence exposure, experiential avoidance and depression among Chinese adolescents. A total of 468 middle school students from China completed the Survey of Children’s Exposure to Community Violence, Acceptance and Action Questionnaire-Second Edition (AAQ-II) and Children’s Depression Inventory (CDI). The results suggested that the depression was positively correlated with the level of community violence exposure and experiential avoidance, and community violence exposure was positively correlated with experiential avoidance. Mediation analysis revealed that experiential avoidance partially mediated the association between exposure to community violence and depression. These results More >

  • Open Access

    ARTICLE

    The Interactive Effect of Proactive Personality and Career Exploration on Graduating Students’ Well-Being in School-to-Work Transition

    Wenxia Zhou1, Mengyi Li1, Lu Xin2,*, Jinqiang Zhu3

    International Journal of Mental Health Promotion, Vol.20, No.2, pp. 41-54, 2018, DOI:10.32604/IJMHP.2018.010737

    Abstract Based on basic psychological needs theory of self-determination theory, this study investigates the interaction effect of proactive personality and career exploration on well-being for graduating students during school-to-work transition. Using a survey sample of 216 graduating students in China, we found that: 1) Proactive personality had a positive relationship with well-being. 2) Career decision-making self-efficacy mediated the relationship between proactive personality and well-being. 3) Career exploration negatively moderated the relationship between proactive personality and career decision-making selfefficacy. The relationship between proactive personality and career decisionmaking self-efficacy was stronger when career exploration was lower. 4) Career More >

  • Open Access

    ARTICLE

    The Mediating Role of Boundary Creation around Work-Related ICT Use between Segmentation Preference and Psychological Detachment

    Hanying Tang1,2, Meng Ye1,2, Zhiqing E. Zhou3, Zhiyi Gan1,2,*, Hongyu Ma1,2,*

    International Journal of Mental Health Promotion, Vol.20, No.1, pp. 27-40, 2018, DOI:10.32604/IJMHP.2018.010734

    Abstract Work-related use of ICT (W_ICT) at home has been found to relate to important employee outcomes in their work and family lives. However, little is known about how individuals can actively apply strategies or tactics to utilize the advantages or reduce the disadvantages of W_ICT. In the current study, based on boundary theory, we examined the interaction effect of segmentation preference and boundary control in creating the boundary around W_ICT and its subsequent positive effect on individuals’ psychological detachment. Results based on a sample of 560 Chinese full-time employees showed that only for individuals with More >

  • Open Access

    ARTICLE

    Hidden Dangers of Identity Switching: The Influence of Work-Family Status Consistency on Emotional Exhaustion and Workplace Deviance

    Zijing Wang1, Min (Maggie) Wan2, Huaying Wang3,*, Yuchen Wei4

    International Journal of Mental Health Promotion, Vol.20, No.1, pp. 1-13, 2018, DOI:10.32604/IJMHP.2018.010732

    Abstract Workplace deviance is an important problem in organization management. Previous studies focused too much on the influence of various factors in the workplace and ignored the interference of family factors. We integrate emotional social function theory and emotional labor theory, and examine the effect of (in) congruence between work and family status on workplace deviance. Using longitudinal data and polynomial regression, we find that: (1) Emotional exhaustion is higher when work and family status are congruent; (2) In the case of work-family congruence, emotional exhaustion is higher when work and family status are aligned at More >

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