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Devleta Hadzic,Nada Mladina,Mirsada Praso,Selmira Brkic
Acta Medica Saliniana , 2008, DOI: 10.5457/ams.14.08
Abstract: Introduction: Syndrome of difficulties in breathing has an important position in pathology of childhood. It is manifested as in diseases of respiratory tract so in series of diseases and pathological conditions linked to other organs and systems. Patients and Methods: Patient with difficulties in breathing develops clinical presentation of respiratory distress, which is characterized with many different clinical symptoms and signs. Acute respiratory failure with discrepancy between utility of oxygen and produces of carbon dioxide is the last point of respiratory distress, so the primary care of clinician is quickly recognition of abnormal blood gasses values. Early identification and appropriate treatment of incoming respiratory failure is essential for good prognosis and decreasing long term complications. The aim of this paper was to analyze retrospectively histories of diseases of children treated at the Department of Intensive care Pediatrics clinic in Tuzla and to establish type and frequency of diseases characterized with syndrome of difficult breathing, frequency of non-respiratory diseases in etiology of this syndrome, and to estimate correlation of clinical findings in admission with pulse oximetry and blood gases findings. Analysis was based on population of patients treated at the Department of Intensive care unit Pediatrics clinic in Tuzla with recorded, clinically manifested syndrome of difficult breathing. Patient selection was performed consecutively from January 1st till 31st December 2006. All selected patients were from Tuzla Canton. Source of data for this investigation was Admission protocol for Pediatric Clinics and Intensive care unit protocol and personal histories of children treated at the Intensive care unit of Pediatric Clinics January 1st till 31st December 2006. Method of work was retrospective study which analyzed anamnestic data, clinical and laboratory findings, therapeutical procedures and length of hospitalization at the Intensive care unit and outcome of the treatment. Results: The results of investigation demonstrated that in anlized period (from January 1st till 31st December 2006) in Pediatric Clinic, Tuzla a total number of 3932 children were treated, out of them 767 (19.5%) children were treated at the Department of Intensive care unit. Syndrome of difficulties in breathing was recorded in 608 patients (79.3%). The biggest number of children in this group were treated for syndrome of broncho-obstruction, total of 332 children (54.6%). Other large group was neurological disorders: convulsions and epilepsy, total nu
Zeitschrift für die Welt der Türken , 2011,
Abstract: In this study, it is aimed to rethinking about childhood as a social category. Old childhood paradigm embedded children in bottom step of social status as little adults of daily living. Lower status of children obliged them to live in unfavourable conditions. Today's social inequalities and risks due to these inequalities is a basis for childhood to be redefined and restructured. The need for defining the childhood in a social category level and changing their existent status will be preliminary in terms of modern childhood paradigm.
Changing Curriculum for Early Childhood Education in England  [cached]
Young-Ihm Kwon
Early Childhood Research & Practice , 2002,
Abstract: This article examines early childhood curriculum in England. Traditional early childhood education in England has been child centered, in contrast to approaches that are subject centered and teacher directed, emphasizing individual children s interests, free play, firsthand experience, and integrated learning. However, recently, the government introduced a framework for an early years curriculum, redefined the child-centered educational model, and initiated reforms for raising standards. In order to identify the nature of early childhood curriculum in England, this article examines the historical development and philosophical underpinnings of early childhood education, including recent developments. The article then investigates and describes the early childhood curriculum in England today.
The Efficacy and Reliability of Topiramat Use in Chronic Daily Headache in Childhood  [cached]
Adem Parlak,Aytu? Dikililer,ümit Aydo?an,Sebahattin Vurucu
Güncel Pediatri , 2010,
Abstract: Introduction: In this study, the effectiveness and safety of topiramate treatment in children with chronic daily headache were investigated.Materials and Method: This study was perfomed prospectively among 100 children who were diagnosed with chronic daily headache. Before the treatment, Pediatric Migraine Disability Assesment (PEDM DAS) scores and grades of the patients were determined. Topiramate was given as 1 mg/kg/day then the dose was increased to 2 mg/kg/day at the tenth day of the treatment. At the third month, PEDM DAS scores and grades were redetermined and compared with the first one.Results: The PEDM DAS scores of the patients before and after the treatment were found as 34.60±22.28, 12.77±12.2, respectively. There was a statistical difference between these two values (p<0.001). When we group the patients according to the PEDM DAS scores before the treatment 68% of the patients were grouped as grade 4, 23% as grade 3, 6% as grade 2 and 3% as grade 1; then after the treatment these percentages changed as 38.4% for grade 4, 29.4% for grade 3, 21.5% for grade 2 and 10.7% for grade1, respectively. Also forgetfulness in 8.8% (n=6) of patients, weight loss (average 250 grams) in 5.8% (n=4) and paresthesia in 4.4% (n=3) were determined.Conclusions: This study has shown that topiramate is safe, well tolerable and can be used with low doses in the treatment of chronic daily headache in childhood and is an alternative treatment choice that can be used in case no answers with other drugs. (Journal of Current Pediatrics 2010; 8: 20-3)
Difficulties with Diagnosis and Differential Diagnosis in Childhood Cerebral Phenotype of Adrenoleukodystrophy: A Case Report  [PDF]
N?ropsikiyatri Ar?ivi , 2011,
Abstract: Adrenoleukodystrophy (ALD) is an X-linked recessive and neurodegenerative disease, which affects the central nervous system and the adrenal cortex. The childhood cerebral phenotype of ALD presents within the first ten years of lifespan and the initial symptoms generally rise as disorders in behavioral and cognitive areas. Progressive cognitive impairment causes decrease in school success, and generally, neurologic symptoms such as paresis and loss of visual function follow the initial symptoms. In this report, we aimed to discuss the difficulties with diagnosis and differential diagnosis in an 11-yearold boy whose psychological symptoms arose in childhood with no neurologic symptom except for cranial MR findings and whose ADL was diagnosed during psychiatric treatment 3 years after the onset of symptoms. (Arc-hi-ves of Neu-ropsy-chi-atry 2011; 48: 261-4)
The relationship between difficulties in psychological adjustment in young adulthood and exposure to bullying behaviour in childhood and adolescence
Kristina Sesar,Marijana Bari?i?,Maja Pand?a,Arta Dodaj
Acta Medica Academica , 2012,
Abstract: Objective. This study investigates the relationship between involvement in bullying in childhood and adolescence and psychological difficulties in young adulthood. Materials and method. A total of 249college students completed the Retrospective Bullying Questionnaireand Trauma Symptom Checklist. Results. The results showed significantdifferences in psychological adjustment among respondents whowere exposed to bullying compared to respondents who were not exposedto bullying. Those exposed to bullying had significantly higherlevels of anxiety, depression, sleeping problems, and dissociative andtraumatic symptoms compared to those who were not exposed to bullying.Respondents who were exposed to bullying in all three examinedperiods (the period from the first to fourth grade, the period from the fifth to eighth grade and the high school period) had higher scores on the subscale of dissociative symptoms and sexual trauma symptoms compared to respondents who were exposed through one or twoperiods. Victims abused in all three periods have more symptoms ofanxiety and sleeping problems compared to the subjects exposed tobullying during one examination period. There were no differences inthe level of depressive symptoms and sexual problems regarding theduration of bullying. Also, there were no differences in psychologicaladjustment between respondents who were bullied during one specificperiod. Conclusion. Bullying experiences in childhood and adolescenceare connected with difficulties in psychological adjustment inyoung adulthood.
Perception of difficulties with vision-related activities of daily living among patients undergoing unilateral posterior capsulotomy
Senne, Firmani M. B. de;Temporini, Edméa R.;Arieta, Carlos E. L.;Pacheco, Karla D.;
Clinics , 2010, DOI: 10.1590/S1807-59322010000500002
Abstract: objectives: to assess the influence of nd:yag (neodymium: yttrium-aluminum- garnet) laser unilateral posterior capsulotomy on visual acuity and patients' perception of difficulties with vision-related activities of daily life. methods: we conducted an interventional survey that included 48 patients between 40 and 80 years of age with uni- or bilateral pseudophakia, posterior capsule opacification, and visual acuity <0.30 (logmar) in one eye who were seen at a brazilian university hospital. all patients underwent posterior capsulotomy using an nd:yag laser. before and after the intervention, patients were asked to complete a questionnaire that was developed in an exploratory study. results: before posterior capsulotomy, the median visual acuity (logmar) of the included patients was 0.52 (range 0.30-1.60). after posterior capsulotomy, the median visual acuity of the included patients improved to 0.10 (range 0.0-0.52). according to the subjects' perceptions, their ability to perform most of their daily life activities improved after the intervention (p<0.05). conclusions: after patients underwent posterior capsulotomy with an nd:yag laser, a significant improvement in the visual acuity of the treated eye was observed. additionally, subjects felt that they experienced less difficulty performing most of their vision-dependent activities of daily living.
Erleiden oder aktiv Gestalten? Frauenalltag im Nationalsozialismus Suffering or Creating? Women’s Daily Life in National Socialism  [cached]
Sabine Gieschler
querelles-net , 2000,
Abstract: Mit der Form des ffentlichen, (teil-)geschützten Erz hlens und Zuh rens, seiner anschlie enden Auswertung und Ver ffentlichung wird der retrospektive Blick auf das subjektive Erleben, Fühlen und Handeln einzelner Frauen w hrend der Zeit des Nationalsozialismus einer vorsichtigen singul ren und kollektiven Bearbeitung zug nglich gemacht. Frauen werden als Akteure und nicht als Erleidende in ihrer Lebenszeit sichtbar. Sheltered by the spaces created for the special purpose of enabling individual and collective memory, women reflect upon their childhood and youth during National Socialism in Germany. By sharing their memories with other women they support current efforts towards an understanding of the involvement of women in the politics of that time. This book contributes to an estimate and evaluation of this kind of gender-related research.
Daily Physical Activities and Sports in Adult Survivors of Childhood Cancer and Healthy Controls: A Population-Based Questionnaire Survey  [PDF]
Corina S. Rueegg, Nicolas X. von der Weid, Cornelia E. Rebholz, Gisela Michel, Marcel Zwahlen, Michael Grotzer, Claudia E. Kuehni, for the Swiss Paediatric Oncology Group (SPOG)
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0034930
Abstract: Background Healthy lifestyle including sufficient physical activity may mitigate or prevent adverse long-term effects of childhood cancer. We described daily physical activities and sports in childhood cancer survivors and controls, and assessed determinants of both activity patterns. Methodology/Principal Findings The Swiss Childhood Cancer Survivor Study is a questionnaire survey including all children diagnosed with cancer 1976–2003 at age 0–15 years, registered in the Swiss Childhood Cancer Registry, who survived ≥5years and reached adulthood (≥20years). Controls came from the population-based Swiss Health Survey. We compared the two populations and determined risk factors for both outcomes in separate multivariable logistic regression models. The sample included 1058 survivors and 5593 controls (response rates 78% and 66%). Sufficient daily physical activities were reported by 52% (n = 521) of survivors and 37% (n = 2069) of controls (p<0.001). In contrast, 62% (n = 640) of survivors and 65% (n = 3635) of controls reported engaging in sports (p = 0.067). Risk factors for insufficient daily activities in both populations were: older age (OR for ≥35years: 1.5, 95CI 1.2–2.0), female gender (OR 1.6, 95CI 1.3–1.9), French/Italian Speaking (OR 1.4, 95CI 1.1–1.7), and higher education (OR for university education: 2.0, 95CI 1.5–2.6). Risk factors for no sports were: being a survivor (OR 1.3, 95CI 1.1–1.6), older age (OR for ≥35years: 1.4, 95CI 1.1–1.8), migration background (OR 1.5, 95CI 1.3–1.8), French/Italian speaking (OR 1.4, 95CI 1.2–1.7), lower education (OR for compulsory schooling only: 1.6, 95CI 1.2–2.2), being married (OR 1.7, 95CI 1.5–2.0), having children (OR 1.3, 95CI 1.4–1.9), obesity (OR 2.4, 95CI 1.7–3.3), and smoking (OR 1.7, 95CI 1.5–2.1). Type of diagnosis was only associated with sports. Conclusions/Significance Physical activity levels in survivors were lower than recommended, but comparable to controls and mainly determined by socio-demographic and cultural factors. Strategies to improve physical activity levels could be similar as for the general population.
Prenatal exposure to tobacco and alcohol are associated with chronic daily headaches at childhood: A population-based study
Arruda, Marco Ant?nio;Guidetti, Vincenzo;Galli, Federica;Albuquerque, Regina Célia Ajeje Pires de;Bigal, Marcelo Eduardo;
Arquivos de Neuro-Psiquiatria , 2011, DOI: 10.1590/S0004-282X2011000100007
Abstract: the influence of prenatal events on the development of headaches at childhood has not been investigated and is the scope of our study. of 2,173 children identified as the target sample, consents and analyzable data were provided by 1,440 (77%). parents responded to a standardized questionnaire with a validated headache module and specific questions about prenatal exposures. odds of chronic daily headache (cdh) were significantly higher when maternal tabagism was reported. when active and passive smoking were reported, odds ratio (or) of cdh were 2.29 [95% confidence intervals (ci)=1.6 vs. 3.6)]; for active tabagism, or=4.2 (95% ci=2.1-8.5). alcohol use more than doubled the chance of cdh (24% vs. 11%, or=2.3, 95% ci=1.2-4.7). in multivariate analyses, adjustments did not substantially change the smoking/cdh association. prenatal exposure to tobacco and alcohol are associated with increased rates of cdh onset in preadolescent children.
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