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Symptoms, impairment and treatment needs among youth with orthostatic intolerance in a secondary care setting 二级保健机构中有直立不耐受的青少年的症状、损害和治疗需求
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-07-03 DOI: 10.1080/02739615.2022.2047049
K. Benito, Amrita Ramanathan, D. Lobato, Barbara Jandasek, Erin Mamaril, Haley McBride, L. Feit
ABSTRACT Studies characterizing Orthostatic Intolerance (OI) have primarily focused on a specific subtype (e.g., Postural Orthostatic Tachycardia Syndrome, POTS) treated in tertiary care, yet many with impairing symptoms do not meet subtype criteria. Study 1 used structured coding of electronic medical records to explore symptoms and impairment among 226 youth with OI in a common care setting (outpatient cardiology) over a 1-year period. Impairment was evident for 54.7% of youth. Greater impairment was associated with female gender, higher number and frequency of symptoms, and specific symptoms of headache, weakness, or exercise intolerance. Study 2 examined symptoms, functional disability, and treatment interest in a subset of youth from Study 1 (n = 75); data were collected 1–2 years after initial visit via phone interview. Fifty-six percent of participants remained symptomatic, with mean disability exceeding “substantial impairment” and most (78.6%) expressing desire for treatment. Greater disability was associated with more symptoms and the symptom of weakness. Critically, disability was more than twice as high among racial and ethnic minority youth. Results suggest that OI impairment is common among youth in secondary care, and many experience symptoms warranting treatment 1–2 years later. Future studies should identify sources of health disparities and develop efficacious treatments.
摘要:表征直立性不耐受(OI)的研究主要集中在三级护理中治疗的特定亚型(如体位性直立性心动过速综合征,POTS)上,但许多有损害症状的患者不符合亚型标准。研究1使用电子医疗记录的结构化编码,在一年的时间里,在普通护理环境(门诊心脏病学)中,探索226名OI青年的症状和损伤。54.7%的青年有明显的损伤。更大的损伤与女性、更高的症状数量和频率以及头痛、虚弱或运动不耐受的特定症状有关。研究2检查了研究1中一部分年轻人的症状、功能残疾和治疗兴趣(n=75);数据是在初次访问后1-2年通过电话访谈收集的。56%的参与者仍然有症状,平均残疾超过“严重残疾”,大多数(78.6%)表示希望接受治疗。更大的残疾与更多的症状和虚弱症状相关。至关重要的是,种族和少数民族青年的残疾率高出一倍多。结果表明,OI损伤在接受二级护理的年轻人中很常见,许多人在1-2年后出现需要治疗的症状。未来的研究应该确定健康差距的来源,并开发有效的治疗方法。
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引用次数: 0
A scoping review of school-based asthma education programs for reducing children’s need for acute care services 减少儿童对急性护理服务需求的学校哮喘教育计划的范围审查
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-06-24 DOI: 10.1080/02739615.2022.2091568
O. Uchima, Samantha Keaulana, May Okihiro, T. Sentell
ABSTRACT Schools are an ideal setting for asthma education programs as they can reach many children. However, it is unknown if school-based asthma education programs in the United States (US) reduce acute care services. This scoping review sought to identify whether school-based asthma education programs lead to improved acute care services. Overall, the evidence provides provisional support that school-based asthma education programs can reduce acute care utilization and may be a potential treatment intervention. Future research is needed to determine more definitive conclusions about the effectiveness of school-based asthma education programs and which components yield significant changes.
摘要学校是哮喘教育项目的理想场所,因为它们可以惠及许多儿童。然而,尚不清楚美国学校哮喘教育项目是否减少了急性护理服务。这项范围界定审查旨在确定以学校为基础的哮喘教育计划是否能改善急性护理服务。总的来说,这些证据提供了暂时的支持,即以学校为基础的哮喘教育项目可以减少急性护理的使用,并可能成为一种潜在的治疗干预措施。未来的研究需要确定关于学校哮喘教育计划的有效性以及哪些组成部分会产生重大变化的更明确的结论。
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引用次数: 0
Longitudinal effect of prenatal polydrug use and birthweight status on pediatric growth 产前多药使用和出生体重状况对儿童生长的纵向影响
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-06-02 DOI: 10.1080/02739615.2022.2078826
S. Weerakoon, Baojiang Chen, M. Harrell, D. Vidot, S. Messiah
ABSTRACT Maternal drug use causes low birthweight but less is known about longer-term pediatric growth. The purpose of this analysis was to longitudinally measure anthropometric growth among children exposed to drugs in utero. We used data from the National Institute on Drug Abuse (NIDA)-funded Maternal Lifestyle Study (MLS). Mixed effects piecewise regression longitudinally assessed BMI percentile from 2–16 years. Those born low birthweight prenatally exposed to poly tobacco/opioid use had lower pediatric BMI percentiles than those unexposed from 2–16 years. Specific combinations of drug use appear to delay or accelerate growth across childhood at different points for those born low birthweight.
摘要:母亲用药会导致低出生体重,但对长期儿童生长的了解较少。该分析的目的是纵向测量子宫内接触药物的儿童的人体测量生长情况。我们使用了国家药物滥用研究所(NIDA)资助的母亲生活方式研究(MLS)的数据。混合效应分段回归纵向评估了2-16年的BMI百分位数。出生前接触过多烟草/阿片类药物的低出生体重儿的儿童BMI百分位数低于2-16岁未接触过的儿童。对于那些出生体重较低的人来说,特定的药物组合似乎会在不同的时间点延迟或加速整个儿童期的生长。
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引用次数: 0
Parent coping, emotion socialization beliefs, and sibling relationship quality in pediatric cancer 癌症患儿父母应对、情绪社会化信念与兄弟姐妹关系质量
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-06-01 DOI: 10.1080/02739615.2022.2076682
M. A. Faith, D. Boone, A. Healy, Esther Davila
ABSTRACT This study examined relations between parent coping and parent-, patient-, and sibling- reported sibling relationship quality (SRQ) during pediatric cancer. A sample of 156 parents, 103 patients, and 104 siblings completed questionnaires. Results demonstrated parents’ adaptive coping was positively associated with parent-reported sibling warmth and negatively associated with sibling dominance. Parents’ dismissive ES beliefs were inversely related to sibling warmth and positively related to conflict. Analyses indicated when parents’ emotion coaching beliefs were high, parents’ adaptive coping was positively related to parent-reported sibling warmth. Findings begin to elucidate family processes that may affect SRQ in families of pediatric oncology patients.
摘要本研究探讨了癌症患儿父母应对与父母、患者和兄弟姐妹报告的兄弟姐妹关系质量(SRQ)之间的关系。156名父母、103名患者和104名兄弟姐妹完成了问卷调查。结果表明,父母的适应性应对与父母报告的兄弟姐妹温暖呈正相关,与兄弟姐妹优势负相关。父母不屑一顾的ES信念与兄弟姐妹的温暖程度呈负相关,与冲突呈正相关。分析表明,当父母的情绪辅导信念较高时,父母的适应性应对与父母报告的兄弟姐妹温暖呈正相关。研究结果开始阐明可能影响儿科肿瘤患者家庭SRQ的家庭过程。
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引用次数: 0
Exploring child life specialists’ perspective on the role and benefits of child life in pediatric sexual assault forensic examinations 探索儿童生活专家对儿童生活在儿童性侵犯法医检查中的作用和益处的看法
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-05-31 DOI: 10.1080/02739615.2022.2079511
M. Lukas, Gracie Avery, Sherwood Burns-Nader, Emily Goldstein, Anna Schmitz
ABSTRACT The purpose of this study was to describe Certified Child Life Specialists’ (CCLSs) perspectives on their role and the benefits of their role during pediatric sexual assault forensic examinations (PSAFEs). Using a structured interview, discussed roles included preparing the patient for and supporting the patient during the examination and supporting the multidisciplinary team. Perceived benefits of child life services included increasing patient coping and completion of the examination, decreasing re-traumatization, and minimizing parent stress. The findings highlight how CCLSs feel they support the emotional safety of PSAFE patients and families. Thus, healthcare programs providing PSAFEs should consider staffing a CCLS.
摘要本研究的目的是描述认证儿童生活专家(ccls)对他们在儿童性侵犯法医检查(PSAFEs)中的角色和他们的角色的好处的观点。通过结构化访谈,讨论了角色包括在检查期间为患者准备和支持患者以及支持多学科团队。儿童生活服务的好处包括提高患者的应对能力和完成检查,减少再创伤,减少父母的压力。研究结果强调了ccls如何认为他们支持PSAFE患者和家属的情感安全。因此,提供psafe的医疗保健项目应该考虑配备CCLS。
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引用次数: 0
Quality of life in children and adolescents with eosinophilic esophagitis 嗜酸性粒细胞性食管炎儿童和青少年的生活质量
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-05-29 DOI: 10.1080/02739615.2022.2079510
L. B. Bennett Murphy, M. O’Gorman, S. Fitzgerald, K. Peterson, J. Robson
ABSTRACT EoE symptoms and treatments place affected children at risk for reduced quality of life. Yet relatively little is known about the factors that affect health related quality of life (HRQoL) in youth with EoE. This study examined symptom burden and HRQoL in 267 children and adolescents with EoE. Pain catastrophizing was significantly related to both EoE symptom reports and HRQoL (p < .001). Further, children with significantly elevated psychological symptom reports experienced more symptom burden and worse HRQoL (p < .001). Effective health care for children with EoE includes addressing quality of life, psychological symptoms, and maladaptive pain cognitions when present, in addition to managing inflammation.
EoE的症状和治疗使患儿面临生活质量下降的风险。然而,相对而言,我们对影响青少年EoE患者健康相关生活质量(HRQoL)的因素知之甚少。本研究调查了267例儿童和青少年EoE的症状负担和HRQoL。疼痛灾变与EoE症状报告和HRQoL均有显著相关性(p < 0.001)。此外,心理症状报告显著升高的儿童症状负担更重,HRQoL更差(p < 0.001)。对EoE患儿的有效医疗保健除了控制炎症外,还包括处理生活质量、心理症状和出现时的不适应疼痛认知。
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引用次数: 0
Evidence of the relationship between attention deficit/hyperactivity disorder (ADHD) and emotional abuse in a sample of preschool children 学龄前儿童注意力缺陷/多动障碍(ADHD)与情绪虐待之间关系的证据
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-05-05 DOI: 10.1080/02739615.2022.2072311
Sanem Nemmezi Karaca, Ayla Uzun Çiçek, Cansu Mercan Isik, Mehmet Kanak, G. Demirel
ABSTRACT This study has aimed to evaluate the relationship between preschool attention deficit/hyperactivity disorder (ADHD) and emotional abuse. Fifty-six children with ADHD aged 5 and 6 years and their mothers, and sixty-five children without a diagnosis of ADHD and their mothers have been included in this study. ADHD symptomatology and emotional abuse potential of mothers have been assessed by the Conners’ Parent Rating Scale-Revised-Short Form (CPRS-RS) and the Scale for Emotional Abuse Potential of Parents with Children Aged 3 to 6 (SEAPP-C3-6) respectively. Mothers of children with ADHD had significantly higher causal sub-dimension scores of SEAPP-C3-6 than that of the mothers of the controls. The higher emotional abuse potential scores of mothers have been significantly associated with higher Conners scores, male gender, disruptive behavior disorders comorbidity, low income and parental education level and parental psychopathology. This study has revealed that preschool ADHD is an important risk factor for emotional abuse. Clinicians shall be aware of the emotional abuse potential among children with ADHD.
摘要本研究旨在评估学前注意缺陷/多动障碍(ADHD)与情绪虐待之间的关系。本研究包括56名5岁和6岁的多动症儿童及其母亲,以及65名未被诊断为多动症的儿童及其母亲。康纳斯父母评定量表修订简表(CPRS-RS)和3至6岁儿童父母情感虐待潜力量表(SEAPP-C3-6)分别评估了母亲的多动症症状和情感虐待潜力。患有多动症儿童的母亲的SEAPP-C3-6因果亚维度得分显著高于对照组的母亲。母亲情绪虐待潜在得分越高,与Conners得分越高、男性、破坏性行为障碍共病、低收入和父母教育水平以及父母精神病理学显著相关。这项研究表明,学龄前多动症是情绪虐待的一个重要风险因素。临床医生应意识到多动症儿童可能遭受情感虐待。
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引用次数: 2
The role of interpersonal alienation in the relationship between social media addiction and learning burnout among Chinese secondary school students 人际疏离感在中学生社交媒体成瘾与学习倦怠关系中的作用
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-04-27 DOI: 10.1080/02739615.2022.2068552
Sun Wenkai, W. Xiaohong, Xu Huiwen, Lu Huishi, Sun Liao, Huang Fei
ABSTRACT The present study aimed to investigate the relationship between social media addiction and learning burnout and the mediating role of interpersonal alienation in the relationship between social media addiction and learning burnout among Chinese middle school students. The study investigates 2095 junior high school students in Zhuhai, China through a web-based questionnaire survey. The study results showed that (1) adolescent social media addiction significantly and positively influenced learning burnout and interpersonal alienation, and (2) adolescent interpersonal alienation mediated the relationship between social media addiction and learning burnout.
摘要本研究旨在探讨中国中学生社交媒体成瘾与学习倦怠之间的关系,以及人际异化在社交媒体成瘾与学习倦怠之间的中介作用。本研究采用基于网络的问卷调查方式,对珠海2095名初中生进行了调查。研究结果表明:(1)青少年社交媒体成瘾显著正向影响学习倦怠和人际疏离感;(2)青少年人际疏离感在社交媒体成瘾和学习倦怠之间起中介作用。
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引用次数: 4
Association of the weight status with physical activity: moderation of sociodemographic factors 体重状况与身体活动的关系:社会人口因素的调节
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-04-21 DOI: 10.1080/02739615.2022.2061492
E. Bacil, T. S. Piola, A. Pacífico, Edina María De Camargo, M. P. Silva, W. Campos
ABSTRACT This study aimed to verify the moderation of sociodemographic factors in the association of weight status with physical activity of 2347 students, both male and female, aged between 11 and 15 years. This study is a cross-sectional correlational descriptive epidemiological survey. We collected body mass measurements, height, gender, age, work, housing, type of residence, parent’s education, economic class, and physical activity level. Poisson regression with 95% confidence intervals was used for the association analyses. 33.2% of the students were overweight, and 52.3% were considered active, the highest proportion being boys (64.1%). Overweight girls who do not work (PR = 1,29; CI95% = 1,09–1,53), normal-weight girls who work (PR = 1,83; CI95% = 1,31–2,57), and overweight girls who have a father with ≥ 8 years of education (PR = 1,47; CI95% = 1,14–1,91) were more likely to be active. However, normal-weight girls aged 13 to 15 years were less likely to be active (PR = 0,59; CI95% = 0,48–0,73). We conclude that age, work, and father’s education variables influenced the relationship between weight status and adolescents’ level of physical activity. Future research needs to understand the relationship between weight status and physical activity and the moderating role of sociodemographic factors to identify the characteristics of Brazilian adolescents and what leads them to be inactive.
摘要本研究旨在验证社会人口学因素在2347名11 ~ 15岁的男女学生体重状况与体育活动相关性中的调节作用。本研究为横断面相关描述性流行病学调查。我们收集了体重测量、身高、性别、年龄、工作、住房、居住类型、父母的教育程度、经济阶层和体育活动水平。相关性分析采用95%置信区间的泊松回归。33.2%的学生超重,52.3%的学生被认为是活跃的,其中男生比例最高(64.1%)。不工作的超重女孩(PR = 1,29;CI95% = 1,09 - 1,53),正常体重的工作女孩(PR = 1,83;CI95% = 1,31 - 2,57),父亲受教育年限≥8年的超重女孩(PR = 1,47;(95% = 1,14 - 1,91)更有可能活跃。然而,13至15岁体重正常的女孩不太可能运动(PR = 0,59;Ci95% = 0,48 - 0,73)。我们的结论是,年龄、工作和父亲的教育变量影响体重状况和青少年体育活动水平之间的关系。未来的研究需要了解体重状况与身体活动之间的关系以及社会人口因素的调节作用,以确定巴西青少年的特征以及导致他们不活跃的原因。
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引用次数: 0
The role of nursing student training status and anxiety in pediatric pain assessment 护生训练状况和焦虑在儿科疼痛评估中的作用
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-04-21 DOI: 10.1080/02739615.2022.2051512
Abigail S. Robbertz, Caitlin E Shneider, L. Cohen
ABSTRACT This study examined how nursing students’ training status and their anxiety impacts their assessment of children’s pain. The sample included 100 psychology undergraduate students, 87 beginning nursing students, and 35 advanced nursing students. Participants watched a video of a child receive a finger stick and then rated their own state anxiety and the child’s pain via visual analog scales. Advanced nursing training was related to lower anxiety, which in turn, was related to lower pain ratings. These findings augment our understanding of how nursing training influences personal anxiety during pediatric needle procedures, which may impact pediatric pain ratings.
摘要本研究考察了护理专业学生的训练状况和焦虑对其儿童疼痛评估的影响。样本包括100名心理学本科生、87名初级护理学生和35名高级护理学生。参与者观看了一段孩子接受手指棒的视频,然后通过视觉模拟量表对自己的焦虑状态和孩子的疼痛进行评分。高级护理培训与降低焦虑有关,而焦虑又与降低疼痛评分有关。这些发现增强了我们对护理培训如何影响儿科针头手术过程中的个人焦虑的理解,这可能会影响儿科疼痛评级。
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引用次数: 0
期刊
Childrens Health Care
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