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Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors from Paediatric Nursing Associations of Europe 28. April 2014 Terje Rootwelt, MD, Prof. Chairman Women and Children’s Division

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Page 1: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Oslo University Hospital Women and Children’s Division

Visitors from Paediatric Nursing Associations of Europe

28. April 2014 Terje Rootwelt, MD, Prof.

Chairman Women and Children’s Division

Page 3: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

About Oslo University Hospital

• Organized January 2010

• Three main sites, Three previously separate hospitals

• 20 000 employees at around 70 different places in Oslo

• Hospital- functions for most of Oslo (0,5 mill), the region (2,6 mill) and the whole of Norway (5 mill)

• Research and education. 100 doctoral theses and 1450 scientific articles in 2010

• Budget: 2,5 billion Euros

Page 4: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Page 5: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Women and Children’s

Division

Department of

Neonatal Intensive

Care

Department of

Paediatric Emergency

Medicine

Department of

Paediatric Medicine

Department of

Clinical neurosciences

for Children

Department of

Paediatric Research

Department of

Rare Disorders

Department of

Obstetrics

Department of

Gynaecology

Department of

Gynecological

Oncology

Administrative staff

Children

Women

Oslo University Hospital

Page 6: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Women and Children's Division

• 1650 employees, around 1000 in the Paediatric part of the clinic.

• Covers the entire spectrum of children's diseases and women's diseases including cancer and 9500 births

• Brings together all regional hospital functions

– treatment of extremely premature births less than 26 weeks

– cancer in children

– heart diseases in children

• In the Norwegian context, large enough admission areas of ordinary patients to obtain enough training for highly specialised assignments

• Nine National Competence Centres and two National Quality Registers

• 23 professors

• 175 scientific articles last year

Page 7: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Infectious diseases in children

• About 7000 children received in our hospital annually. More than half of them with infectious diseases

• Norway’s biggest department for infectious diseases in children- 12 full isolates

• Special competence in tbc, HIV, hepatitis, meningitis and tropical diseases (malaria, typhoid fever).

Page 8: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Room air or 100% oxygen in resuscitation of newborns?

• International routine: 100% oxygen

• Does 100 % oxygen harm the newborn child? Better results with 21% oxygen?

Saugstad OD, Aasen AO 1980

Page 9: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Page 10: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Page 11: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Page 12: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Congenital heart diseases

• About 1% of all newborns

• National function at Rikshospitalet

• 250 – 300 heart catheterizations and and similar nuber ov open heart operations in children per year.

Page 13: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Oncology in children • About 150 cases in Norway per year(< 15 years), >

50% in our hospital

• 1/3 leukaemia, 1/3 brain cancer,1/3 several rare

• About 75% successfully treated!

Page 14: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Nordic cooperation in

children’s cancer treatment

• All children with acute leukemia registered

since 1984

• Common nordic treatment protocols for

– leukemia

– lymphoma

Page 15: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Page 16: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

"Αυτό είναι το μεγάλο λάθος της ημέρας μας, ότι οι

παθολόγοι χωρίζουν το μυαλό από το σώμα”

Plato, 320 BC.

(The biggest mistake made by doctors today is to separate

body from soul)

From case to individual

Page 17: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Integrated Child and adolescent psychiatry

Complete safeguarding of seriously ill children

Page 18: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Section of Child and Adolescent Psychiatry

FUNCTION:

”Integrated part of the hospital’s services for all children and adolescents

(0-18), admitted for somatic diseases or somatic symptoms, and their

families”

National and regional functions:

- Chronic, serious diseases: congenital malformations, cancer,

neurological conditions, transplantations, rheumatic conditions

- Second opinions: dissociative (conversion) disorders; paralysis, seizures

Page 19: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken

Brother Sister

Social class Geography

FAMILY PERSPECTIVE:

FAMILY Father Mother

SOCIAL NETWORK

School Friends

Equipment Economy

Page 20: Oslo University Hospital Women and Children’s Division University Hospital Women and... · Kvinne- og barneklinikken Oslo University Hospital Women and Children’s Division Visitors

Kvinne- og barneklinikken