(1) Background: Burn injuries in children present a significant public health concern due to their potential for severe physical and psychological impact. (2) Methods: This study investigates the determinants of pediatric burn severity by analyzing the interplay of demographic and environmental factors. Through a retrospective analysis of pediatric burn cases over five years, encompassing patient demographics, burn causative agents, and clinical outcomes, this research aims to identify significant predictors of burn severity. (3) Results: This study presents a comprehensive analysis of pediatric burn injuries, focusing on the severity, clinical outcomes, and multifactorial aspects influencing recovery. We reviewed 1498 pediatric burn cases from January 2015 to December 2020. The mean age of patients was 5.8 years, with a slight male predominance (54%). Scalds (45%), flame burns (30%), and contact burns (15%) were the most common burn types. Our findings indicate significant differences in burn severity based on TBSA, with 32.5% of cases having TBSA greater than 20%. Multivariate logistic regression identified rural residence, male gender, flame burns, and lower socioeconomic status as significant predictors of severe burn outcomes. The overall mortality rate was 2.5%, with higher rates among patients with TBSA greater than 40%. These results highlight the need for targeted prevention strategies and improved access to specialized burn care. (4) Conclusions: Understanding these factors can inform targeted prevention strategies and improve treatment protocols.

Background: Although unrecognized, early postoperative delirium and cognitive dysfunction in the Intensive Care Unit (ICU) are relatively common. Aim: The present study has proposed to identify the risk factors for delirium and their early incidence after surgery, with a view to implementing a screening list for delirium in ICU (ICDSL). Method: 722 patients undergoing abdominal surgery, with general anesthesia, were prospectively monitored for the development of postoperative delirium during Intensive Care Unit (ICU) stay. Results: The incidence of postoperative delirium was 8.03% (58 cases). No statistically relevant prolongation predictors for delirium were found. The duration of surgery was double, thus significantly higher in the delirium group (2.5 ± 1 vs 1 ± 0.87 hours). Patients in the delusion group were transfused with blood products, had episodes of intraoperative cardiocirculatory decline, underwent protracted mechanical ventilation (averaging 1.15 hours longer), and the duration of the ICU stage was double. Conclusions: The incidence of delirium, after surgery under general anesthesia, was 8.03%. The independent predictors of delirium were: the duration of surgery and post-operative mechanical ventilation and the length of hospitalization in ICU.

Dentophobia is a significant problem in oral health management. In the conditions of the COVID-19 pandemic, with the associated sanitary measures (quarantine, social distancing) at national level, the fear and dental anxiety are supposedly increased, especially in children. Pediatric patients are emotionally affected when they faced with the need for emergency dental intervention. The current study seeks to assess the emotional state of children aged 8-12, who needed dental care during quarantine, at the regional level, as well as the degree of anxiety of their parents. Dental anxiety was assessed independently by the dentist, parents and children themselves. If in children, the level of dental anxiety increased insignificantly, compared to the pre-pandemic period, the levels of parental anxiety were higher. The boys in the pandemic group had a higher level of anxiety, especially in the parental assessment. The results suggest that the reorganization of oral care in the pandemic scenario did not have a major effect on children's dental anxiety. However, the results of the assessment in boys show that they may be more vulnerable and need special care to alleviate their anxiety and reduce their risk of dentophobia in the future. These conclusions should be treated with caution, given the small sample size, which requires further confirmation. It is also important to convince parents of the safety of a visit to the dentist during a pandemic, to minimize their anxiety about their children's dental fears.