in the provision of pediatric psychological services edward s shapiro and patricia h manz
Tài liệu Growth and nutritional status of children with homozygous sickle cell disease ppt
... measurements of 64 SS children showed a significant deficit in mean weight, height and MUAC by 4–6 years.37 Limbs were shorter than those of controls, although the sitting–standing height ratio was normal ... in the group with normal GH secretion The authors presumed there was partial resistance to GH and that these were major causes of slow growth, especially in individuals with severe SCD.80 Although ... correlated with indices of disease severity and haemoglobin concentration in steadystate SCD This suggests that there are clinical benefits through protection against haemolysis and reduction in vaso-occlusive...
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báo cáo hóa học: " Quality of life among adolescents with sickle cell disease: mediation of pain by internalizing symptoms and parenting stress" pdf
... functioning, to better outline the relationship between pain, its associated factors, and HRQOL in this sample of adolescents with SCD The results of this study further establish the association of sickle ... Findings were less consistent and the magnitude of the correlations was smaller for the association of pain frequency with psychosocial aspects of HRQOL as measured by the self-esteem scale of the ... with and amplify disease-related stressors Given the robustness of the findings, this study, therefore, further documents the importance of family functioning for physical as well as psychological...
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Báo cáo y học: " The use of partial exchange blood transfusion and anaesthesia in the management of sickle cell disease in a perioperative setting: two case reports" pot
... activation of endothelial factors, immunological responses and other factors modulate the onset and course of the disease and influence its pathophysiology Nevertheless, there is a consensus that imbalances ... exacerbation of SCD, such as hypoxia, hypovolemia, hypothermia and hyperviscosity, were prevented by monitoring his vital signs and maintaining them within tight ranges Anaesthesia from the beginning ... haemoglobinopathy characterized by a mutation in the b-globulin gene on chromosome 11 This mutation leads to the synthesis of HbS, in which the hydrophobic valine at position of the 146-amino acid haemoglobin...
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Báo cáo y học: " Depression and loneliness in Jamaicans with sickle cell disease" potx
... co-existence of depression and loneliness in SCD and it is hypothesized that depression and loneliness will have a high prevalence and coexist in this population In this study therefore, we have sought ... genotypes The main limitations of this study relate to the instrument used to assess depression and the characteristics of the sample studied Even though the BDI is a valid instrument [46] for measuring ... Conclusions This study confirms the fact that SCD is a chronic disease where the prevalence of depression and loneliness increases to higher levels than in the general population The depressive symptoms...
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Báo cáo y học: "Asthma is a risk factor for acute chest syndrome and cerebral vascular accidents in children with sickle cell disease" ppt
... asthma establishing whether there was an increased rate of acute chest syndrome or other complications compared to patients with sickle cell disease without asthma in those presenting with vaso-occlusive ... with sickle cell disease without asthma The implications of this retrospective study are wide ranging and should lead to further prospective investigations Whether aggressive asthma therapy in ... of hemoglobinopathy (Table I) The cases (21 males and 27 females) consisted of 42 children with HgbSS and with HgbSC The control group (17 males and 31 females) included 41 children with HgbSS...
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Tài liệu Parental Attitude to Children with Sickle Cell Disease in Selected Health Facilities in Irepodun Local Government, Kwara State, Nigeria doc
... females because they interacted with the health facilities since mostly mothers stay with their children in the hospitals or accompany them to the hospitals, most mothers are more caring than fathers ... parents’ genes who are biological members of the fathers and mothers Interestingly, his/her present state he/she picked it from them and whatever he/she becomes is the handiwork of the parents as family ... Consideration The researchers visited all the selected health facilities for the study, discussed with the Officersin-charge on the aims and objectives of the study, the procedure and feedback was assured...
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Tài liệu Understanding Growth Failure in Children With Homozygous Sickle-Cell Disease doc
... intervals Table lists the ideal frequency of growth assessments for children in an inpatient setting These are the recommendations in place at The Children s Hospital of Philadelphia Other institutions ... than females to have growth failure in all measures of weight, height, and BMI The purpose of this article is to explore the patterns of growth in children and adolescents with SCD, as well as ... requires that the measurements be manually obtained and entered Therefore, the responsibility continues to lie within the hands of the child s entire health care team to make certain that patients...
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Tài liệu THE MANAGEMENT OF SICKLE CELL DISEASE ppt
... results that show Hb FS have SCD-SS, but other possible conditions include sickle βo-thalassemia, sickle δβ-thalassemia, and sickle HPFH Some infants with sickle β+-thalassemia also show FS screening ... rather represents the efforts of those who have dedicated their professional careers to the care of individuals with sickle cell disease The names of the authors, their affiliations, and their ... correlates with psychological distress (4) Nine months after the initial assessment, these studies showed that the coping strategies of younger children and adults are relatively stable, but those of...
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Hydroxyurea for the Treatment of Sickle Cell Disease docx
... cell disease, to assess the potential short and long-term harms of its use in patients with sickle cell disease and other diseases, and to discuss barriers to the use of hydroxyurea and other medications ... the quality assessment independently In the case of the RCTs, a third reviewer reconciled the results of the first two reviewers; for the other study designs, the results of the two reviewers ... Heart, Lung, and Blood Institute recommendations for the use of the drug in this disease 23 However, the response by physicians has been consistent with published studies that have shown high...
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Management of Sickle Cell Disease in Children doc
... deaths in children with sickle cell disease, and is the second most common cause of hospitalization in these children The etiology is variable and may include both infections and non infectious ... erythromycin-sulfamethoxazole In making the recommendations above the Child Health Network have weighed the risk of antibiotic resistance due to prior penicillin prophylaxis, the possibility of Haemophilus influenzae ... B infection, and the incremental benefits of these agents in our setting in patients who have broken through penicillin prophylaxis Monitoring: The attending paediatrician will ensure that the...
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Psychological complications in sickle cell disease pptx
... include a psychologist, haematologists should seek the help of other health professionals such as specialist nurses, to assess patients initially and then refer them to a psychology service as appropriate ... pain, hospitalizations and loss of schooling (in children) and employment (in adults) These accounts could indicate depressive symptoms and should not be ignored by haematologists Neuropsychological ... assessments (Armstrong et al, 1996) The SCD children with overt strokes usually have neuropsychological complications that have been shown to relate to the location and size of the lesion in the...
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báo cáo hóa học: " A psychometric evaluation of the PedsQL™ Family Impact Module in parents of children with sickle cell disease" pptx
... The psychosocial summary score is comprised of the average of the items in the emotional, social, and school functioning scales The physical health summary score is comprised of the average of ... We assessed the internal consistency reliability of the PedsQL™ Family Impact Module to determine whether the items within each scale were consistent with each other This was assessed using Cronbach 's ... known whether there is an association of a parent 's HRQL on the proxy-reporting of their child 's HRQL in children with sickle cell disease In a study of healthy children, parents' HRQL was shown...
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báo cáo hóa học: " Utility of WHOQOL-BREF in measuring quality of life in Sickle Cell Disease" docx
... generic instruments will allow further study of their possible weaknesses and strengths Therefore, the specific aims of this study are to: i) assess the properties of WHOQOL-BREF in SCD; and ii) ... with these existing measures, it assesses a unique aspect of quality of life not assessed by the either the SF-36 or the QOL All domains of the WHOQOL-Bref had greatest correlations with SF-mental ... correlations with the total WHOQOL score Discussion The main purpose of this paper was to assess the utility of this instrument in patients with SCD living in Jamaica In all of its performance measures,...
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báo cáo hóa học:" Spectrum of musculo-skeletal disorders in sickle cell disease in Lagos, Nigeria" doc
... part of standard management of these patients to arrive at a diagnosis by the authors The diagnosis of AVN was made using plain x-rays as the institution at the time of study had no facilities for ... Isotope scan This was stated as the main reason for the absence of stage disease in our study All patients with a diagnosis of septic arthritis had emergency arthrotomy and drainage Aspirates ... LUTH is one of the foremost tertiary hospitals in Nigeria The study protocol was approved by the Health Research and Ethics Committee of the hospital Informed consent was obtained from all study...
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báo cáo hóa học:" Double disadvantage: a case control study on health-related quality of life in children with sickle cell disease" potx
... problems and the subjective HRQoL of children with SCD While interpreting the results of this study, strengths and limitations should be taken into account Findings of this study are strengthened ... Relation, and Financial Resources Discussion This is the first study to assess multidimensional HRQoL in children with SCD using a self-report measure and a control group of healthy siblings In general, ... general, the HRQoL of children with SCD appeared similar to the HRQoL of healthy siblings, with the exception of lower scores on the physical domain for children with SCD, and, specifically in adolescents,...
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báo cáo hóa học:" Utility of WHOQOL-BREF in measuring quality of life in Sickle Cell Disease" doc
... generic instruments will allow further study of their possible weaknesses and strengths Therefore, the specific aims of this study are to: i) assess the properties of WHOQOL-BREF in SCD; and ii) ... with these existing measures, it assesses a unique aspect of quality of life not assessed by the either the SF-36 or the QOL All domains of the WHOQOL-Bref had greatest correlations with SF-mental ... correlations with the total WHOQOL score Discussion The main purpose of this paper was to assess the utility of this instrument in patients with SCD living in Jamaica In all of its performance measures,...
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Báo cáo y học: "Treatment of stasis dermatitis using aminaphtone: Collapsing glomerulopathy in sickle cell disease: a case report" pps
... that the mechanism by which the podocytes are injured is different in FSGS and CG In FSGS, segmental solidification (sclerosis) of the tuft with adhesion to Bowman s capsule occurs However, in ... syndrome FSGS causes about 10% to 15% of all cases of nephrotic syndrome in patients with SCD-SS of SCN FSGS is a disease with diverse histological patterns and etiologic associations, occurring in ... regimens CG in SCD, although uncommon, is increasingly recognized, predominantly in African-Americans with SCD In the literature, only a few cases of CG in SCN have been reported Bhathena and Sondheimer...
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Báo cáo y học: " Role of free radicals in the pathogenesis of acute chest syndrome in sickle cell disease" pot
... in the plasma of ACS patients as compared with that of normal volunteers (Klings ES et al, unpublished data) These findings suggest, both in humans and in mouse models of SCD, that there is increased ... mechanism responsible for vasoocclusion is the adhesion of sickle RBCs to the vascular endothelium It is hypothesized that, in part, this occurs secondary to endothelial damage and increased adhesion ... superoxide dismutase and catalase levels and activity are diminished in sickle RBCs at baseline; other investigators have found that GPx activity is reduced [25] Together, these findings suggest that...
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Báo cáo y học: "Case Report: Psychosis in an adolescent with sickle cell disease" pps
... missed the mother because she was most time his source of comfort during episodes of SCD crises O.J and his two elder siblings lived with their father, a female house-help and their step-mother, whom ... consultation and liaison services among psychiatrists and other health care professionals in managing children and adolescents with SCD Treating psychotic symptoms in this group of patients should ... because his insurance work required frequent traveling O.J and his siblings spent most part of their time with the house-help and their stepmother None of the patient 's siblings suffered from SCD,...
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schaum's easy outline molecular and cell biology - william stansfield, raul j cano, jaime s. colome
... chains consist of series of proteins that first serve as electron acceptors, then donors to the next complex in the chain This series of coupled oxidations and reductions results in the terminal ... Statistics Schaum s Easy Outline: Statistics Schaum s Easy Outline: Trigonometry Schaum s Easy Outline: Business Statistics Schaum s Easy Outline: Principles of Accounting Schaum s Easy Outline: Principles ... Figure 1-4) The S phase is when DNA synthesis occurs to replicate the chromosomes by creating identical sister chromatids The period between S phase and the beginning of mitosis (M phase) is a gap,...
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