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Compared to the non-track process, the ASD track achieved 1) reduced default rates of 17.7%, 2) 45% reduction in psychological assessment duration, 3) 64.4% reduction in wait time for psychological assessment, 4) 63.3% reduction in ASD psychological assessment cycle time, 5) 32.8% reduction in ASD diagnostic process cycle time, 6) 28.1% reduction in clinic time usage, 7) enhanced case management and delivery of interim intervention services in family-centred manner.(Illustration -Improvements of ASD Track from Old Process) Conclusions The ASD track improved the diagnostic process and delivery of interim intervention service for Autism Spectrum Disorder in our department. There has been a sharp increase in short-term paediatric admissions over the past decade. Not only is this costly, but could also be detrimental to the children's health; increasing the risk of hospital acquired infections and impacting on their psychological welfare. G457(P)WOULDThe Royal College of Nursing states that 'every child and young person has the right to expect care to be provided at home unless they need to be admitted to a hospital environment' (2009). The aim of this paper was to determine whether any patients either admitted from Children's A&E or invited to attend a Consultant/SpR led follow-up clinic would have been suitable for discharge and subsequent care at home by children's community nurses. Data was taken from emergency admissions from Children's A&E into the general paediatric ward for the period 1 st May to 30 th June 2014 (n = 114) and attendees to a Consultant/SpR led follow up clinic in paediatric A&E from 1 st June 2014 to 30 th June 2014 (n = 55). It was found that 13% of admissions audited would have been suitable for care in the community, equating to 15 patients (Figure 1). An additional 25 patients invited to the follow up clinic would have also been suitable for community care (Figure 2). The skills required from the CCN's were identified; medication administration, recording observations, reassuring and advising patients, performing investigations, changing dressings and relaying test results.This audit identified an unmet need and showed that the introduction of a CCN service could reduce the number of acute hospital admissions as well as decrease the number of children returning to an A&E review clinic. Introduction Unintentional childhood injury is a major public health problem associated with significant mortality. In Gloucestershire there have been several fatal accidents among children related to heavy furniture, blind-cords and nappy bags as well as potentially harmful practices such as co-sleeping. In recent years, UK injury prevention programmes have halved the number of childhood accidental deaths. There is evidence that communitybased campaigns encourage positive behavioural change and can potentially reduce the number of injuries requiring medical attention. Our aim was to explore carer awareness of four specific hazards (nappy sacks, cord blinds, co-sleeping and heavy furniture) linked to paedi...

Score [PYMS]) to children admitted to a tertiary children's hospital in Iran. The goal of this study was to evaluate the nutritional status of hospitalized children in a tertiary pediatric hospital in Mashhad, Iran, and to compare the validity, ease of use, and the varying prevalence of malnutrition according to these 3 nutritional risk screening tools.METHODS: Three nutritional risk score tools were applied to all patients, and patients were then classified into low-, medium-, and high-risk groups. The anthropometry of hospitalized children was determined and classified by using standard criteria. The validity and the ease of use of the tools were assessed.RESULTS: Of the children classified, 30.6% were found to be undernourished based on their weight-for-height z score, and the prevalence of moderate and severe malnutrition was 22.8% according to height for age. PYMS identified 23.5% in the medium-risk group and 52.2% in the high-risk group. STAMP identified 20.9% in the medium-risk group and 69.6% in the high-risk group. STRONGkids classified 71.3% of children as medium risk and 7.8% as high risk. STAMP detected more malnourished children (21 of 21) compared with PYMS (20 of 21) and STRONGkids (17 of 21).CONCLUSIONS: Nutritional risk screening tools were able to detect children at a higher risk of nutrition deterioration; however, variable utility was observed. Further assessment of NRS tools in developing countries is required. In these countries, PYMS was the most reliable tool. Constipation is one of the most common gastrointestinal problems among children. The behavioral and psychological problems associated with chronic constipation include a wide range of disorders that reduce quality of life. The objectives were to evaluate psychiatric disorders and quality of life in children and adolescents with constipation.METHODS: In a case-control clinical trial, 55 children and adolescents with functional constipation and 55 without constipation were assigned to case and control groups, respectively. After taking the medical history and physical examination, we provided 3 questionnaires to parents, children, and adolescents: a demographic questionnaire, a pediatric quality of life questionnaire, and a strengths and difficulties questionnaire (SDQ). Collected data were coded and analyzed with SPSS (IBM SPSS Statistics, IBM Corporation). RESULTS:The mean child self-reported and parent proxyreported scores on the quality of life questionnaire were 54.67 6 3.9 and 49.86 6 3.2 for the case group and 63.26 6 4 and 66.09 6 3.4 for the control group. Only the parentreported quality of life score was statistically different between case and control patients (P 5 .014). The emotional performance quality of life score was statistically different on both self-reported (P 5 .016) and parent-reported (P 5 .024) questionnaires. The total SDQ score was abnormal for 93% and 83% of case and control participants, respectively, which was an insignificant difference (P 5 .631). There was no statistically significant difference in S...