Many barriers to health and emotional well‐being for children are prevalent within inner‐city communities, and often result in negative consequences for education. Health promotion strategies have previously cited mentoring schemes as interventions through which targeted pastoral support can be effectively provided to children. This paper draws on detailed focus group interviews in order to evaluate SHINE ‐ Make Every Child Count, a student‐led charity operating five mentoring programmes across the London boroughs of Southwark and Lambeth. Following content analysis, this paper identifies six themes associated with mentor support: rapport; emotional well‐being and development; social behaviour; enabling; emerging ambition; and attitudinal development. Results show participant children have gained considerable enjoyment from mentor support. Successful friendships are built and emotional well‐being supported, with children actively including mentors as part of their support network. Children recognise the impact of a mentor on relationships with peers, behaviour within the classroom and social responsibility, in addition to direct educational support. Children also show an increased interest in learning, and evidence of considering ‐ often for the first time ‐ their own future aspirations. Findings demonstrate the impact of the mentoring programmes, as perceived by participant children. Evaluation can be used to inform future development of the programmes, as well as expansion to further schools, with the organisation working towards achieving long‐term sustainability.
Newborn resuscitation skills among health care professionals are varied. Midwives lead the majority of deliveries with anesthesiologists and pediatricians only being present at operative or high-risk births. It is therefore common that midwifery practitioners will initiate resuscitation. Despite this, midwives perform poorly when compared to anesthesia and pediatric residents. To address this discrepancy, a multidisciplinary, simulation-based newborn resuscitation program should be considered with continual clinical reenforcement of best practice.
Case report: Despite also be described in regional anaesthesia, the following case report occurred during a balanced general anaesthesia. It was a 75 years old female patient, ASA II, with an history of depression and arterial hypertension, who underwent a balanced general anaesthesia for a laparoscopic right hemicolectomy to remove a colon tumour, that was converted to a laparotomy by technical difficulties.. At the end of the surgery, surgeons began by mistake a peritoneal lavage with cold saline which led to stimulation of parasympathetic fibbers present in the abdomen. Instantly, the patient suffered a decrease in heart rate that culminated in seconds in assystoly. It was administered immediately atropine, but blood circulation returns only when the irrigation fluid on the abdomen was suctioned. After this episode, the surgery was finished and the patient recovered from anaesthesia without any registered complications. The patient was hospitalized for 29 days, and ended up dying as a result of Septic Shock with starting point on the infection in the surgical wound.
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