Parvaneh Vasli has completed her PhD at the age of 40 years from Tehran University of Medical Sciences (TUMS). Her PhD thesis conducted in a PICU by ethnographic method. She is also MSc in pediatric nursing and worked some years in the pediatric nursing field. She is a faculty member of the school of nursing and midwifery, Shaid Beheshti University of Medical Sciences (SBMU) now and she has also experienced teaching in pediatric nursing. She has published some papers in Iranian and international journal. She is an editor of an Iranian nursing journal.
Despite vast advances in health policies and use of high technology and concomitant decrease in childhood morbidity and mortality worldwide, the pediatric intensive care unit (PICU) is yet considered an essential component of pediatric care. The admission of an infant or child in the PICU is a difficult experience for both the child and parents. Parental involvement in the taking care of children hospitalized in the PICU is one of the best way to resolve this issue. This article examines the Parental involvment in PICU using qualitative method. Data collection strategy was participant observation, and interviews by supervisors, PICU nurses, and parents. This study took place in one PICU in a hospital in Tehran, Iran. The results were presented as five themes: (I) nonpossessed environment (with four sub-themes as environment not fit for children, deletion of belongings, inefficient construct, and preventive beliefs); (II)separation of the children from their parents (with two sub-themes as limitation in parents’ visits, and consideration of the children as adults); (III) non-interactive communication (with three sub-themes as superiority, disrespect, and lack of trust); (IV) limited participation (with two sub-themes as inadequate information, and transient participation permission), (V) affection and sympathy combined with superiority (with two sub-themes as sympathy, and promising the family). rnIn conclusion, the findings showed the Parental involvment was not an important concept for PICU nurse. Based on the results, there was a diffrent views between conceptually or theoretically accepted application of parental involvement in PICU and what is practically administrated. Bridging such a gap between theory and practice can be helpful in improving social, environment, and organizational culture for the children, their parents, and health care providers as well as their performance in the context of PICU.rnKeywords: Pediatric Intensive Care Unit (PICU), parental involvement, qualitative studyrn
Biography:rnDr Jasmina Kucinar was born on 24th June 1966 in Pula, Croatia. She was graduated from the School of Medicine, University of Zagreb, in 1991 and became a specialist in Medical Microbiology and Parasitology in 2000. Dr Kucinar work at the Mycrobiology Service of Istria County Institute of Public Health as Head of the Serology and Immunology Laboratory. She has published as author or co-author many papers and posters in peer-reviewed congress proceedings with international participation. rn
Aim: the aim of this study was to determine the seroprevalence of cytomegalovirus (CMV) infection among children and adolescents in Istria County. rnPatients and methods: During a one year period (January-December 2015), a total of 499 serum samples from patients up to 18 years were tested for the presence of CMV IgM and IgG antibodies using an automated enzyme-linked fluorescent assay (Vidas; bioMérieux, Marcy l´Etoile, France).rnrnResults: There were 217 (43.5%) female and 282 (56.5%) male participants. The overall prevalence was 4.2% for IgM and 47.1% for IgG. There were no statistically significant differences between age groups (p=0.47 for IgM; p=0.26 for IgG). According to age group, the prevalence rates of CMV IgM varied from 1.8% to 5.4% . Most of the IgM-positive subjects grouped under 10 years of age (15/21; 71,4%). The IgG seropositivity was similar in all age groups (from 43.5% to 54.5%). rnThe seroprevalence rates did not differ significantly according to diagnosis .The CMV IgM rates varied from 0.9% to 8.1%; the IgG prevalence differed from 41.8% to 53.1% (p=0.08 for IgM, p=0.70 for IgG). rnrnThe results of logistic regression showed no differences in seropositivity among gender and age groups. Accordin to gender, the IgM OR was 0.46 (95% CI=0.19-1.13) and IgG OR was 0.83 (95% CI=0.58-1.18). Regarding age groups the IgM OR was 0.96 (95% CI=0.89-1.04) and IgG OR was 0.99 (95% CI=0.97-1.03).rnrnConclusion: Our results indicate that CMV infection is widespread amog children and adolescents in Istria from early age. Majority of children are infected at early age.rn