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D Alcock

Publications and source records attributed to D Alcock.

11 recordsLinked to original sources

Effect of therapeutic plasma concentrations of theophylline on behavior, cognitive processing, and affect in children with asthma.

A double-blind, randomized, crossover study assessed the effects of theophylline on behavior, mood, and efficiency of cognitive processing. Thirty-one children aged 8 to 12 years with moderate asthma were randomly assigned to 10-day theophylline followed by placebo or to placebo followed by theophylline experimental conditions separated by 2-day washout periods. Theophylline plasma concentrations and pulmonary function tests were performed throughout the study. Cognitive functioning tests and self-report measures were administered at baseline and after each medication phase. Behavior ratings were obtained from parents and teachers. Parents' and teachers' ratings did not reflect a theophylline effect on attention or activity level; children's self-reports showed no changes in mood, and no statistically significant differences were found on measures of cognitive processing. Large individual differences in sensitivity to theophylline effects were present. Although most of the children tolerated theophylline well, those already having attentional or achievement problems appeared vulnerable to adverse effects. Individual response differences should be a focus of future studies.

Affect

Progressive hearing loss in children with congenital cytomegalovirus.

Case studies of five children with congenital cytomegalovirus (CMV) who were referred for audiological evaluation are presented. Significant deterioration of hearing was noted in all cases within the first 4 years of life. It is essential that neonates with congenital CMV be referred for hearing assessment and that the child's hearing be monitored on a long-term basis. Early intervention is vital for the speech and language development of the hearing-impaired child.

Child, Preschool

An adaptation of the Miller patient classification system for the postanesthesia care unit at Children's Hospital of Eastern Ontario.

Using the Miller Patient Classification framework, a descriptive three-phase study was carried out in order to develop a classification system specifically for the PACU of the Children's Hospital of Eastern Ontario. This study contributes further understanding of the complexities of developing a reliable classification system for the pediatric PACU.

Hospitals, Pediatric

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Adolescent

The provision and evaluation of a neonatal resuscitation program.

The need to train perinatal staff in neonatal resuscitation is widely accepted; however, standardized educational programs have not been available. This study used a randomized control trial to evaluate a one-day neonatal resuscitation education program with 190 nurses. Experimental subjects receiving the program had significantly improved knowledge and skill performance. Knowledge, but not skill performance, was maintained at six months for the experimental group. There was a significant relationship between subjects' self-rating of knowledge and performance, suggesting that this method could be used to prioritize staff for basic or refresher training. An effective format and evaluation instruments for neonatal resuscitation training have been developed. Strategies to maintain skills should be addressed in future research.

Adult