A representative sample of 2020 schoolchildren, aged 6 to 15 years, was randomly selected from 85 state and private schools in Rennes and distributed in 10 groups, according to their age. Type and prevalence of dental injuries were determined in each group, using Ellis & Davey's classification, giving rise to a subset of 345 subjects. Simple enamel fracture was the predominant injury (59.4%), occurring most often on maxillary central incisors. Most time (77.1%), the trauma affected only one tooth. Mean prevalence of dental injuries was 13.6% from 2020 subjects. Boys showed a higher prevalence than girls (respectively 17% and 10.2%), but this difference was only significant for age-groups 12 and 13 (p < 0.001) and for the whole group of 6-15 (p < 0.001).
Children were found to have many questions about a forthcoming hospitalization. Parents were found to have a major role as information providers. Further research is needed to assess parental confidence and competence to meet their child's information needs.
Objective: The rapidly growing number of people in prison in Australia, combined with the high prevalence of mental disorder in this population, results in high demand for mental health services in prison settings. Despite their critical role as part of a national mental health response, prison mental health services (PMHS) in Australia have been poorly characterised. In this paper, we describe findings of the first national survey of PMHS in Australia. Methods: We distributed a survey to key representatives of PMHS in all Australian states and territories in 2016. Results: Our method constitutes a replicable process for quantifying and comparing PMHS in Australia. We describe the structure, governance and staffing models in seven jurisdictions. When compared against international recommendations, only one Australian jurisdiction (the ACT) is funded to provide services at a level equivalent to mental health services provided in the community. Conclusion: Prison mental health services in Australia are delivered by a complex mix of government, private sector and non-government services. Services appear to be severely under-resourced when compared with the available benchmarks.
A great deal of work has been done worldwide addressing the rights of the child and their families to ensure they are involved in the decision-making processes of the management of the child’s health. Of equal importance is the need for all parties to be fully informed about the treatment strategies and plan of care. For an organization to be certain, effective communication does occur between the staff, the children and their families; systems, policies, and practices need to be in place and adhered to. International organizations with interests in child health, including CAI, WHO and UNICEF, have collaborated to set up the Child Friendly Healthcare Initiative (CFHI) (Southall et al, 2000; Nicholson and Clarke, 2007). The CFHI has developed 12 standards that have universal applicability across child health-care services. These standards focus on different aspects of child and family-friendly approaches to the delivery of health services. At our children’s hospital we aimed to gain an understanding of the level of communication that existed to enable us to develop recommendations for improvement. An overall assessment of communication within the hospital using CFHI–Standard 5 (parents and children will be kept fully informed and involved in all decisions affecting their care) was utilized. The assessment highlighted there is a satisfactory level of communication practices in place, however, the process has enabled the gathering of information to develop intervention strategies to further improve communication for parents and children.
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