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7. Assessing the mental health and psychosocial well-being of Ukrainian pediatric trauma and burn patients and their caregivers amidst the war: insights from a surgical medical mission in Poland.

Author

Bean, Christopher, Yevchenko, Natalia, Yakovleva, Olga, Dabek, Robert J, and Fuzaylov, Gennadiy

Subjects
MENTAL illness, MENTAL health, CHILDREN'S injuries, DISABILITIES, UKRAINIANS, CHILDREN with disabilities
Abstract

On a recent surgical medical mission caring for Ukrainian pediatric burn and trauma patients in Poland, an assessment of the mental health and well-being of children and their caregivers was completed. Children living in war zones frequently experience significant distress and mental health problems, but little is known about the impact of coexisting related or unrelated burn injuries or physical disabilities. Nineteen Ukrainian children and their caregivers were interviewed utilizing validated questionnaires Child Behavioral Checklist (CBCL) and Youth Self-Report (YSR) to assess their risk for developing or for the presence of clinically significant mental health problems. We found a high percentage of children at risk for developing mental health disorders and an unexpectedly high number of children meeting the criteria for mental health disorders. As a result of interviewing the caregivers, agreement was seen between the self-assessment in children and the perception of parents about their children's well-being. Further study is needed to better understand the complex interactions between pre-existing burn and traumatic injuries and their impact on the psychosocial well-being of children living in war-torn environments. [ABSTRACT FROM AUTHOR]

Published
2024
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19. Contributors

Author

Anderson, Brian, primary, Andropoulos, Dean B., additional, Anixter, Miriam, additional, Bender, M.A., additional, Berde, Charles, additional, Berry, Frederic A., additional, Bissonnette, Bruno, additional, Blum, Richard H., additional, Bosenberg, Adrian T., additional, Brown, Karen A., additional, Brusseau, Roland, additional, Cain, James, additional, Chang, Anthony, additional, Chi, Carolyn I., additional, Cladis, Franklyn, additional, Cot é, Charles J., additional, Cravero, Joseph P., additional, Crawford, Mark W., additional, Crean, Peter, additional, Davidson, Andrew J., additional, Davis, Peter J., additional, DeSoto, Hernando, additional, Diaz, Laura K., additional, Eisses, Michael J., additional, Engelhardt, Thomas, additional, Everett, Lucinda L., additional, Firth, Paul G., additional, Foreman, John, additional, Fuzaylov, Gennadiy, additional, Gertler, Ralph, additional, Ghazal, Elizabeth A., additional, Goldschneider, Kenneth, additional, Goudsouzian, Nishan, additional, Grabowski, Eric F., additional, Haberkern, Charles M., additional, Hammer, Gregory B., additional, Hannallah, Raafat S., additional, Haver, Kenan E., additional, Hicks, Elaine, additional, Insoft, Robert M., additional, Jaichenco, Andre, additional, Kain, Zeev N., additional, Kaplan, Richard F., additional, Karmakar, Manoj K., additional, Koka, Babu V., additional, Krane, Elliot J., additional, Kurth, C. Dean, additional, Kwok, Wing H., additional, Lane, Geoffrey K., additional, Lerman, Jerrold, additional, Lichtenstein, Steven, additional, Lönnqvist, Per-Arne, additional, Luginbuehl, Igor, additional, Lugo, Ralph A., additional, MacLaren, Jill, additional, Malviya, Shobha, additional, Martyn, J.A. Jeevendra, additional, Mason, Keira P., additional, Mason, Linda J., additional, Mayes, Linda C., additional, McClain, Craig D., additional, McEwan, Angus, additional, McGowan, Francis X., additional, McManus, Michael L., additional, Miller-Hance, Wanda C., additional, Morris, Marilyn C., additional, Morton, Neil S., additional, Murat, Isabelle, additional, Myers, Laura B., additional, Neely, E. Kirk, additional, Parness, Jerome, additional, Polaner, David M., additional, Rhodes, Erinn T., additional, Rivera, Marcus R., additional, Roberts, Jesse D., additional, Rockoff, Mark A., additional, Romanelli, Thomas M., additional, Ross, Allison Kinder, additional, Schleien, Charles L., additional, Shank, Erik S., additional, Sheridan, Robert L., additional, Shukla, Avinash C., additional, Skinner, Adam, additional, Slesnick, Timothy C., additional, Soriano, Sulpicio G., additional, Spaeth, James P., additional, Squires, Robert H., additional, Steven, James M., additional, Stough, Robert C., additional, Stowell, Christopher P., additional, Suresh, Santhanam, additional, Szabova, Alexandra, additional, Taenzer, Andreas, additional, Tepas, Joseph J., additional, Tobin, Joseph R., additional, Todres, I. David, additional, Truog, Robert D., additional, Verghese, Susan T., additional, Waisel, David B., additional, Wald, Samuel H., additional, Ward, Robert M., additional, Weaver, R. Grey, additional, Webel, Nicole E., additional, West, Rebecca W., additional, Wheeler, Melissa, additional, Wigfall, Delbert R., additional, Wilton, Niall, additional, Wolf, Andrew, additional, Wolfsdorf, Joseph I., additional, and Yaster, Myron, additional

Published
2009
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34. Global Health

Author

Fuzaylov, Gennadiy, primary, Anderson, Richard, additional, Knittel, Justin, additional, and Driscoll, Daniel N., additional

Published
2015
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35. Continuous noninvasive cardiac output in children: is this the next generation of operating room monitors? Initial experience in 402 pediatric patients

Author

Coté, Charles J., primary, Sui, Jinghu, additional, Anderson, Thomas Anthony, additional, Bhattacharya, Somaletha T., additional, Shank, Erik S., additional, Tuason, Pacifico M., additional, August, David A., additional, Zibaitis, Audrius, additional, Firth, Paul G., additional, Fuzaylov, Gennadiy, additional, Leeman, Michael R., additional, Mai, Christine L., additional, and Roberts, Jesse D., additional

Published
2014
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41. Case 5-2008

Author

Sheridan, Robert L., primary, Ryan, Daniel P., additional, Fuzaylov, Gennadiy, additional, Nimkin, Katherine, additional, and Martyn, J.A. Jeevendra, additional

Published
2008
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48. Contributors

Author

Anderson, Brian, Andropoulos, Dean B., Anixter, Miriam, Bender, M.A., Berde, Charles, Berry, Frederic A., Bissonnette, Bruno, Blum, Richard H., Bosenberg, Adrian T., Brown, Karen A., Brusseau, Roland, Cain, James, Chang, Anthony, Chi, Carolyn I., Cladis, Franklyn, Cot é, Charles J., Cravero, Joseph P., Crawford, Mark W., Crean, Peter, Davidson, Andrew J., Davis, Peter J., DeSoto, Hernando, Diaz, Laura K., Eisses, Michael J., Engelhardt, Thomas, Everett, Lucinda L., Firth, Paul G., Foreman, John, Fuzaylov, Gennadiy, Gertler, Ralph, Ghazal, Elizabeth A., Goldschneider, Kenneth, Goudsouzian, Nishan, Grabowski, Eric F., Haberkern, Charles M., Hammer, Gregory B., Hannallah, Raafat S., Haver, Kenan E., Hicks, Elaine, Insoft, Robert M., Jaichenco, Andre, Kain, Zeev N., Kaplan, Richard F., Karmakar, Manoj K., Koka, Babu V., Krane, Elliot J., Kurth, C. Dean, Kwok, Wing H., Lane, Geoffrey K., Lerman, Jerrold, Lichtenstein, Steven, Lönnqvist, Per-Arne, Luginbuehl, Igor, Lugo, Ralph A., MacLaren, Jill, Malviya, Shobha, Martyn, J.A. Jeevendra, Mason, Keira P., Mason, Linda J., Mayes, Linda C., McClain, Craig D., McEwan, Angus, McGowan, Francis X., McManus, Michael L., Miller-Hance, Wanda C., Morris, Marilyn C., Morton, Neil S., Murat, Isabelle, Myers, Laura B., Neely, E. Kirk, Parness, Jerome, Polaner, David M., Rhodes, Erinn T., Rivera, Marcus R., Roberts, Jesse D., Rockoff, Mark A., Romanelli, Thomas M., Ross, Allison Kinder, Schleien, Charles L., Shank, Erik S., Sheridan, Robert L., Shukla, Avinash C., Skinner, Adam, Slesnick, Timothy C., Soriano, Sulpicio G., Spaeth, James P., Squires, Robert H., Steven, James M., Stough, Robert C., Stowell, Christopher P., Suresh, Santhanam, Szabova, Alexandra, Taenzer, Andreas, Tepas, Joseph J., III, Tobin, Joseph R., Todres, I. David, Truog, Robert D., Verghese, Susan T., Waisel, David B., Wald, Samuel H., Ward, Robert M., Weaver, R. Grey, Webel, Nicole E., West, Rebecca W., Wheeler, Melissa, Wigfall, Delbert R., Wilton, Niall, Wolf, Andrew, Wolfsdorf, Joseph I., and Yaster, Myron

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50. [Analgesic and sedative effects of multimodal analgesia in stage of emergence after general anesthesia for cleft lip and/or palate prosthesis].

Author

Tang YF, Chen F, Wang BF, Li HF, Fuzaylov G, Li J, and Lian QQ

Subjects
Anesthesia Recovery Period, Child, Child, Preschool, Female, Humans, Male, Plastic Surgery Procedures, Analgesia methods, Anesthesia, General methods, Cleft Lip surgery, Cleft Palate surgery
Abstract

Objective: To investigate the effects of multimodal analgesia on analgesia and sedation during emergence of general anesthesia for cleft lip and/or palate surgery pediatric patients., Methods: Fifty-four pediatric patients with ASA I and II cleft lip and/or palate, aged 2-7, undergoing prosthesis were randomly allocated into 2 groups: control group (Group C, n=28) inhaling nitrous oxide/oxygen (50%:50%) and sevoflurane(5%) for general anesthesia, and multimodal group (Group M, n=26), injected intravenously with fentanyl and atracurium in addition to inhalation of nitrous oxide/oxygen (50%:50%) and sevoflurane (5%). Ventilation was controlled with PCV modal to maintain end-tidal CO2 to 35-45 mmHg. Local anesthesia at the surgical site was facilitated by the surgeon before the beginning of surgery. After intubation, rectal paracetamol was used for Group M (120 mg for 2-4 year-olds and 325 mg for 5-7 year-olds) and fentanyl 0.5 microg/kg was injected for postoperative analgesia 10 min before the end of surgery. An observer who was blinded to the protocol recorded the time from the discontinuation of sevoflurane and nitrous oxide to tracheal extubation, accessed the sedation and pain scale, recorded the time ready for discharge from post-anesthesia care unit (PACU) and the incidence of adverse effects., Results: The time ready for discharge from PACU of Group M was (25+/-4) min, significantly shorter than that of Group C [(32+/-3) min, t=7.426, P<0.01]. The analgesia satisfaction rate of Group M was 69.2% (18/26), significantly higher than that of Group C [25.0%, 7/28, P<0.05]. The severe pain rate of Group M was 7.7%, significantly lower than that of Group C (35.7%, F=5.333, P=0.021). The agitation rate of Group M was 11.5%, significantly lower than that of Group C (39.3%, F=4.571, P=0.033)., Conclusion: Multimodal analgesic regimen of infiltration of local anesthetic at surgical site and rectal paracetamol and intravenous fentanyl provides sufficient analgesia, minimizes the incidence of agitation after general anesthesia in cleft lip and/or palate surgery for children, increases the speed of referring patients in PACU, and ensures the safety of the postanaesthetic patients.

Published
2009

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