Dissertations / Theses on the topic 'Tumors in children – Care'
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Kleinhans, Alicia. "The effects of home health care on psychosocial adaptation of families to pediatric cancer." Honors in the Major Thesis, University of Central Florida, 2000. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/196.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Nursing
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MacKay, Lyndsay Jerusha, and University of Lethbridge Faculty of Health Sciences. "Exploring family-centered care among pediatric oncology nurses." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2009, 2009. http://hdl.handle.net/10133/2483.
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Family-centered care (FCC) is important within the practice of pediatric oncology nurses. Such nurses face challenges and barriers when attempting to provide FCC. The purpose of this study was to understand the experiences of pediatric oncology nurses in relation to FCC; identify how pediatric oncology nurses implemented FCC into their practice; identify what facilitated and enabled pediatric oncology nurses to implement FCC; and discern the barriers and challenges that were present in their setting when implementing FCC. A qualitative approach utilizing person-centered interviewing was used to collect data. Nurses (N=20) from the Alberta Children‟s Hospital were recruited through purposeful convenience sampling and were then interviewed. Five major themes were identified from the data set: ACH support f FCC, How participants defined FCC, Establishing FCC, Enhancing FCC, and Barriers and Challenges to providing FCC. Recommendations for future research and implications for practice and education are offered.xii, 191 leaves ; 29 cm
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Chu, Thomas Pak-Chong. "Pattern of presentation in hospital and primary care in children and young adults with an intracranial tumour." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.558373.
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Britt, Deanna C. "Thoughts, feelings, and actions : a restrospective study of the coping efforts of pediatric cancer patients in the context of the home, institution, and community /." This resource online, 1992. http://scholar.lib.vt.edu/theses/available/etd-07282008-134837/.
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Cornman, Barbara Jane. "Impact of childhood cancer on the family /." Thesis, Connect to this title online; UW restricted, 1988. http://hdl.handle.net/1773/7827.
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Castro, Cynthia M. "Relationships between nonprocedural pain and psychological distress in children and adolescents with cancer /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 1997. http://wwwlib.umi.com/cr/ucsd/fullcit?p9726021.
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McCormack, Sarah (Sarah Smith). "Memory Functions among Children Irradiated for Brain Tumor." Thesis, University of North Texas, 1995. https://digital.library.unt.edu/ark:/67531/metadc278041/.
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Children who have received radiation therapy for the treatment of brain tumors have been shown to experience neurocognitive deficits which appear to increase over time. The purpose of this study was to examine the memory functioning of 22 children irradiated for brain tumor and 22 healthy children of the same age who had not received irradiation. Subjects were administered a brief form of the WISC-III, to obtain an IQ, and the Wide Range Assessment of Memory and Learning (WRAML), to evaluate visual and verbal memory. Results indicated that, although there were no significant differences between the IQ scores of healthy children and children who had been irradiated, children who have received radiation therapy for brain tumor evidence memory deficits which effect visual and verbal memory abilities. Among the children who had been irradiated, as time since treatment increased, visual memory and overall memory functioning appeared to decline. Findings also suggested that children who received total tumor resection may evidence greater memory deficits than those who received only a partial resection. Visual memory was more closely related to IQ in the children irradiated for brain tumor than in the healthy children. The overall importance of research with this population lies in refining the understanding of memory deficits and strengths in order to formulate more effective remediation compensation, strategies.
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Schulenberg, Velma Ruth. "Pastoral care of bereaved children." Theological Research Exchange Network (TREN), 1995. http://www.tren.com.
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Niesen-Vertommen, Sherri. "The recovery patterns and effects of exercise rehabilitation on the physiological and psychological health of children who have survived treatment for a malignancy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0008/NQ34599.pdf.
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Owen, Morag Christine. "Social justice and children in care." Thesis, University of Bristol, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.311448.
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Munoz, Carolina. "Reframing Chilean social care for children." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/4798/.
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This thesis explores the implementation of a rights-based policy for children in Chile by examining progress within two programs: rights protection and juvenile imprisonment. By applying a combination of organisational and institutional theories, and relying on multiple sites, case-based, qualitative method, this study explores how organizational and cultural dimensions interact to support or hinder this fundamental shift in the framework for children’s policy. Findings showed the role of power as the major device affecting the implementation process. Structural power in organisational arrangements unveiled a prevalent model of top-down implementation, marked by patronage and symbolic implementation. Institutional power exerted in the cultural and normative Chilean context showed a persistent hierarchical society infused with conservative beliefs based in dichotomous conceptions of people. This resulted in policy implementers distinguishing strongly between those they considered worthy or not worthy, good or bad, service provider or user, either or, with no room for overlap and little appreciation of difference as a positive societal feature. Interplay between organisational and cultural variables evidenced the strong legacy of deep-rooted understandings of the place of child care services in family life. Until this legacy can be effectively challenged, the implementation of a rights-based approach will remain partial and ineffective.
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Updike, Meghan. "Health Care for Hawaiian Foster Children." Diss., The University of Arizona, 2012. http://hdl.handle.net/10150/265365.
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Foster children represent a vulnerable pediatric population with complex health needs including both acute and chronic conditions that require comprehensive health care management. However, years of research has continually demonstrated a poor provision of health care services to this at risk population including gaps in preventative care and poor follow-up with specialty services. Current literature reveals that the health care management for foster children continues to be fragmented and subpar. Several health care delivery models, standards of care, and interventions have been recommended in an effort to improve the outcomes among foster children. However the perspective of foster parents, key caregivers, has been missing in current evidence. This investigation serves as a descriptive study utilizing grounded theory methodology to explore health care management from the Hawaii foster parent's perspective. The purpose of the investigation was two-fold: 1) to describe foster parents' experience obtaining health care for their foster children and 2) to elicit foster parents' opinions about whether or not a health education program designed for foster parents would be helpful. After completing seven individual interviews, which were analyzed using constant comparative analysis, 19 categories were developed describing the foster parent experience related to policy and services, social environment, physical environment, biology, and behavior. The concept of a medical home model was identified as unfeasible for Hawaii foster families, and large variations in health education preparation among foster parents was observed while a significant interest in further education on health-related topics was identified as a necessity. Implications for practice and recommendations for further research were also generated.
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Kritzberger, Karen, and Dawn Peria. "Attachment of children in foster care." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/973.
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Monterrubio, Martínez Carles. "Delivery of SN-38 in pediatric solid tumors." Doctoral thesis, Universitat de Barcelona, 2016. http://hdl.handle.net/10803/399596.
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A new combined microdialysis – tumor homogenate method for the determination of compartmental (vascular, extra- and intracellular) SN-38 distribution in patient-derived xenografts (PDX) generated from pediatric solid tumors from fresh tumor samples from patients of Sant Joan de Deu Barcelona Hospital was developed. SN-38 in late-stage (chemoresistant) tumors presented limited distribution into the intracellular compartment while drug distribution into this compartment was significantly higher in early-stage (sensitive) models when SN-38 was administered as its prodrug irinotecan. Furthermore, two polymeric drug delivery systems were developed for the local and systemic administration of SN-38. Poly(lactic) acid electrospun nanofiber matrices with microcrystals of SN-38 were developed for the local administration of SN-38. Matrices showed maintained release of SN-38 over 48 h with local distribution and efficacy delaying tumor growth over PDX models. Dialysates showed limited SN-38 diffusion from the matrices through the tumor tissue, suggesting this therapy could only be useful for the local tumor control after successful surgery of the tumor or where only microscopic tumor seeds are left. Systemic administration of SN-38 was possible by encapsulating the drug into poly(lactic-co-glycolic) acid with polyethylene glycol nanoparticles, which were decorated with 3F8 monoclonal antibody, an anti-GD2 antibody that recognizes the ganglioside GD2 overexpressed on the surface of neuroblastoma cells surface for active targeting. Nanoparticles released SN-38 over 2 days and tumor exposition to SN-38 was increased when compared with the administration of an equimolar dose of irinotecan, and that was correlated with improved efficacy over the conventional irinotecan where 10 administrations of the drug had reduced efficacy compared to the direct administration of SN-38 in the targeted nanoparticles. Both nanofiber matrices and nanoparticles showed to be good platforms for SN-38 administration reducing systemic exposition by localizing SN-38 at the tumor microenvironment and significantly delaying tumor growth as shown in the efficacy studies. Thus, polymeric local drug delivery systems strategy should be of high interest for the potential future treatment of chemoresistant tumors.
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Lillie, Alison Kate. "'The missing discourse' : how does the family history of cancer affect the care needs of palliative care patients?" Thesis, University of Birmingham, 2009. http://etheses.bham.ac.uk//id/eprint/293/.
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There is increasing scientific understanding and growing public awareness of the influence of genetics on the development of cancer. It is known that up to ten percent of cancers are associated with a genetic predisposition. This study asks ‘How does the family history of cancer affect the care needs of palliative care patients?’ in this context. This question is addressed using the principles of phenomenology to explore the meaning of a family history of cancer for palliative care patients and nurses. Data was collected through recorded, semi-structured interviews with purposively sampled participants. The information obtained was analyzed using Miles and Huberman’s (1994) framework, where data is displayed, reduced, and conclusions drawn. Emergent themes were organized around Van Manen’s (1990) schema for existential reflection, which considers the relationship between phenomena and four universal themes: lived-body, lived-relationship, lived-time and lived-space. Findings describe how the physical, social, emotional and cultural dimensions of care are modified when viewed through the genetic lens. Patients’ poor understanding of cancer and novice nursing practice (Benner 1984) were barriers to appropriately meeting the needs of this patient group. A new approach to the care of palliative patients with a family history of cancer is proposed.
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Lewis, Carol. "Being in care : the reflections and perceptions of women with children, who were in care as children." Thesis, University of Southampton, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.395994.
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Britt, Deanna C. "Thoughts, feelings, and actions: a retrospective study of the coping efforts of pediatric cancer patients in the context of the home, institution, and community." Diss., Virginia Tech, 1992. http://hdl.handle.net/10919/38914.
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This study was a retrospective examination of the experiences of pediatric cancer patients and their families from a contextual perspective. The home, institution, and community contexts were investigated to reveal their influences on the coping efforts of the study participants. Ten families of children with cancer were interviewed, and data were analyzed qualitatively. Walker's (1985) family stress model and Lazarus' (1984) coping paradigm guided the study.
The findings indicated that children were ambivalent in their attitudes toward the disease process. While they did not enjoy painful procedures, sickness, frequent hospitalizations, and baldness, they did welcome the special attention brought about by these stressors. Many of the children in the study understood the impact of their illness on the family. They felt guilty about family financial pressures, parental marital problems, and sibling conflicts that resulted from their cancer. Most feared relapse and death but hid their feelings to protect their parents.
Mothers handled the stress of their child's illness by learning all they could about the disease, focusing completely on the sick child, and protecting the child from further harm. Fathers tended to take on the role of "strong one" while worrying about finances and attempting to keep the families together. Differing ways of coping between mothers and fathers often caused feelings of resentment and marital difficulties. Parental attitudes toward the staff at the medical center varied from trust, to wariness, to dependency. Parents enjoyed the support of family, friends, and community during the diagnosis phase, but felt bitter about the lack of support they received during the treatment and completion stages. Some parents believed that their exposure to the
stressors of the illness process led to personal growth that they would not have experienced otherwise. Many parents emerged from the cancer ordeal with a desire to help others who were battling childhood cancer. They became involved in a variety of community agencies that served the families of children with cancer.Ph. D.
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Chan, David Wai 1968. "The role of EWS/FLI-1 fusion gene in Ewing's sarcoma." Monash University, Institute of Reproduction and Development, 2001. http://arrow.monash.edu.au/hdl/1959.1/8307.
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Bergström, Maria, Anna Nordin, and Eleonor Ahlquist. "The nurse´s care of obese children." Thesis, Kristianstad University College, Department of Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-3844.
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Background: Children in our present society spend more time sedentary, and food has become more accessible. It is important to pay attention to obese children, because of the risk for serious diseases in the future. Obesity can also cause mental suffering for the child.
Aim: The aim of this study was to describe the nurse’s care of obese children.
Method: The study was carried out as a literature review. The articles were examined by qualitative content analysis.
Result: It was shown to be necessary with a change in the child’s lifestyle and behaviour to make treatment of obesity possible. It was shown that the family was an important resource for the child’s behavioural change. The nurse’s role was to support and counsel the family. It was important that the child achieved a healthy attitude towards food. It was also of great significance that the nurse worked to reduce factors in the child’s environment that lead to a sedentary behaviour, and motivated the child to perform a physical activity that was fun. Surgery of the stomach is a last resort for morbidly obese adolescents. It was important for the nurse to remember that participation in weight-loss programs could negatively affect the self-confidence of the child.
Conclusion: The most important role for the nurse was to engage and motivate the whole family to a change of lifestyle.
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Richards, Karen. "Children who care : a violation of childhood?" Thesis, University of East London, 1998. http://roar.uel.ac.uk/684/.
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The vast majority of the research literature on the issue of children caring for their parents (Young Carers) has reflected a social policy standpoint and has consistently focused on the negative consequences of caring responsibilities during childhood. To date the psychological literature has failed to address the needs and experiences of children who act as care providers. Through the use of qualitative methodology, this paper explores the ways in which children conceptualise their role as carers and how this may be more or less informed by the in social constructions of childhood. It also examines how traditional psychological theories on child and adolescent development have both informed and limited our understanding of the issue. While the results of this study demonstrate that the demands of the caring role has many emotional, educational and social costs for young carers it also discusses the ways in which young carers perceive the caring role to be a positive and enriching experience which facilitated a closer parent-child relationship, instilled discipline and prepared them for independent adult living. The clinical implications of these findings are addressed and recommendations made for supportive professional imput.
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Espinoza, Rosalba, and Sarah Lopez Ramirez. "The attachment of children in foster care." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2115.
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The purpose of the study was to examine the association between foster care children and the behaviors they exhibit particularly in attachment outcomes. The study was also an informative tool that addressed the impact of children with attachment issues currently in the foster care system. Examining the relationship between the two variables may be able to help parents and their children, by providing future resources necessary to both parties in case separation and loss occurs.
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Topping, Annie. "Being there for women : the work of breast care nurses." Thesis, University of Huddersfield, 2001. http://eprints.hud.ac.uk/id/eprint/4754/.
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Breast cancer is a major health challenge. It is also is a high profile disease with extraordinary media attention that places an immense burden on women, families, children and health resources. Over the last two decades the way in which women experience breast cancer has undergone significant changes. The implementation of the National Health Service Breast Screening Programme, development of specialist multidisciplinary teams, and greater involvement of women in decision making surrounding treatment choice are just some of these changes. A discrete clinical nurse specialism has developed to provide support and information to women undergoing treatment and care for breast cancer. This multi-method two staged study explored the work of breast care nurses supporting women with breast cancer. The particular focus was on the body image and sexuality dimensions of the breast cancer experience. Firstly, a postal survey using modified versions of the Sex Knowledge and Attitude Test (Lief and Reed 1972) and the Williams-Wilson Sexuality Survey instrument (Wilson and Williams 1989) was undertaken and completed by breast care nurses (n=100) across England. Secondly, adopting an interpretative perspective, breast care nurses (n=29), recruited via the earlier survey participated in focused conversational interviews. In addition a secondary analysis of two focus group interviews with women breast cancer patients (n=14), and a further two individual interviews with lesbian women were undertaken. The audio taped data was analysed using a thematic approach assisted by ATLAS.ti 4.1 qualitative software (Muhr 1996). Three major themes: the delivery of breast cancer care, knowing women, and the territory of breast care nursing were developed. The theme of knowing women was connected with three sub themes titled: authenticity and domesticity, moral journeys, and the (in)visibility of lesbian women. The thematic analysis presents a critical account of contemporary breast care nursing in the endeavour of "being there for women".
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Polaha, Jodi, William T. III Dalton, and Suzanne Allen. "The Prevalence of Psychosocial Concerns in Pediatric Primary Care Serving Rural Children in Pediatric Primary Care Serving Rural Children." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/6745.
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Objectives: To examine the prevalence of parent-reported emotional and behavior problems in pediatric primary care clinics serving rural Appalachia using methods commensurate with studies of broader samples. Methods: Parents presenting to pediatric primary care clinics completed a rating scale (Pediatric Symptom Checklist) of psychosocial problems for their child. Results: Approximately 21% of all rating scales were in the clinically significant range. Across all parents, 63% identified the child’s physician as their most common source of help. In contrast, mental health professionals had been sought out by only 24% of the sample. Conclusions: These data replicate previous findings showing high rates of parent-rated psychosocial problems in pediatric primary care. Given the prevalence of these problems in primary care and parents’ frequent help seeking in this setting, more research is needed on innovative approaches to integrated care in rural settings.
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Sharifi, Nahal Alsadat. "Children's Hospice Care." Thesis, Virginia Tech, 2016. http://hdl.handle.net/10919/71772.
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With advancements in medical technology, the mechanics of dying and death has changed significantly. Centuries ago, people mostly died of infectious diseases. From the time they were diagnosed, to the time of their death did not take long. Today, public health has improved remarkably. We have a better control over infectious diseases, but we have to deal with cancer and other chronic illnesses. The long period of treatment for such illnesses makes us spend a lot of our time in healthcare facilities such as hospitals, hospices, and care homes.
Unfortunately, in many cases, these facilities do not pay much attention to emotional and spiritual needs of their patients and are mostly designed around their own institutional and technological needs. In that regard, these buildings become pretty awful places with no natural light and long corridors.
Today, due to the nature of chronic diseases that we mostly deal with, hospice care facilities are becoming more popular. The idea of a hospice is to focus on quality of the place for families and patients who have already spent a lot of their time in a hospital setting. The goal is provide humane care for patients who do not have much time left, to make sure that they live the remainder of their lives as comfortably and as fully as possible.
It is important to remember that when such facilities are designed for children, we need to pay extra attention to their unique needs. It is important to provide opportunities for children with terminal illnesses to continue to learn and grow.
This thesis is exploration of an architectural setting in which children with a terminal prognosis would spend the last few weeks of their lives. Located in Old Town Alexandria, Virginia, this project takes advantage of the existing nature of the site to create an oasis for families who have gone through an exhausting battle with an untreatable disease. The goal is to shift the focus from curing to healing and to create a nurturing place that helps to bring normalcy back to the lives of patients and their families.Master of Architecture
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Alturki, Abdulrahman. "Patterns of care at end of life for people with primary intracranial tumors: lessons learned." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=121431.
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Background: One challenge facing practitioners managing the care and outcomes of persons with primary intracranial tumors is balancing reducing tumor burden while maintaining an acceptable quality of life, even until the end of life. Administrative health databases have the unique potential of providing population-based, unbiased, efficient measures of quality of care especially in countries where population-based data are available. The purpose of this study is to estimate, for people with primary intracranial tumors, the variability in processes of care (burden of care) experienced by patients in the last six months of life and potential predictors of place of death. Methods: A death-backwards cohort was assembled using historical data. Three health administrative databases maintained by the province of Quebec, Canada were used to identify the cohort and the services provided during the last 6 months of life. The hospital discharge database (MedEcho), the physician fee-for service billings databases (RAMQ), and the death registry were accessed for the years 2003-2006 inclusive, to identify persons who died from primary intracranial tumors (or its complications). An estimate of level of care burden was created using characteristics of care during the last 6 months of life based on: number intensive care unit (ICU) admissions, Emergency room (ER) visits, duration of hospital stay and interventions received. Predictors of level of care burden and place of death in this population were identified using ordinal logistic regression. Results: A total of 1623 decedents were identified. 90% had at least one admission to an acute care hospital in the past 6 months and 23% spent 3 months or more of their last 6 months of life in hospital. 44% had one or more ER visits and 30% were admitted one or more times to ICU. In the last 6 months of life, only 18% had a home visit by a physician. We found that 10% died at home, less than the reported average in the literature (>20%); 49% died in hospital (acute care unit/ ER/ chronic care), while 40 % died in a palliative care facility (palliative care or hospice). Older age group (70-79 years), high number of comorbidities, and being diagnosed with grade 4 Astrocytoma were associated with greater burden of care. Level of care burden and older age group (≥70 years) were associated with higher odds of dying in a more treatment intensive place of death (e.g. ER or acute care), being diagnosed with grade 4 Astrocytoma had the opposite effect. Conclusion: The utilization of collected clinical information available in well-structured administrative databases is accessible at a reasonable cost and allows the study of the whole population.This study showed that despite valuable research efforts to improve the treatment of primary intracranial tumors that focus on tumor biology and refinements to surgery, radiation, and chemotherapy, there is also room to improve aspects of care in the end of life situation. An integrative approach for this patient's population, from diagnosis to death, could potentially reduce the care burden in the final period on the health care system, patient's family and improve access to a better place of death.Contexte: Un des défis auxquels sont confrontés les praticiens en gestion de soins et les résultats des personnes atteintes de tumeurs intracrâniennes primaires est d'équilibrer la réduction de la charge tumorale tout en conservant une qualité de vie acceptable jusqu'au la fin de la vie. Les bases de données administratives sur la santé offrent des mesures efficaces d'une population qui sont impartiales sur la qualité des soins en particulier dans les pays où les données basées sur la population sont disponibles. Le but de cette étude est d'estimer la variabilité dans les processus de soins (fardeau des soins) vécue par les patients atteints de tumeurs intracrâniennes primaires dans les derniers six mois de leur vie et les facteurs prédictifs potentiels de la place de la mort. Méthodes: Une cohorte mort-arrière a été assemblé à l'aide de données historiques. Trois bases de données administratives sur la santé tenues par la province de Québec (Canada) ont été utilisées pour créer la cohorte ainsi qu'identifier les services fournis au cours des 6 derniers mois de la vie. La base de données de congé de l'hôpital (MedEcho), les honoraires médicaux pour les bases de données des facturations de services (RAMQ), et le registre des décès ont été consultés pour les années 2003 à 2006 inclusivement, afin d'identifier les personnes qui sont mortes de tumeurs intracrâniennes primaires ou de leurs complications. Une estimation du niveau de charge des soins a été créé en utilisant les caractéristiques de soins au cours des 6 derniers mois de vie fondés sur l'unité de nombre de soins intensifs des admissions, le nombre de visite en salle d'urgence (ER), la durée de l'hospitalisation, ainsi que les interventions reçues. Les prédicteurs de niveau de charge des soins et les lieux de décès dans cette population ont été identifiés par régression logistique ordinale. Résultats: Un total de 1623 personnes décédées ont été identifiées. 90% des personnes avaient au moins une admission à un hôpital de soins de courte durée dans les 6 derniers mois et 23% ont passé 3 mois ou plus de leurs 6 derniers mois de vie en soins de courte durée. En outre, 44% ont eu une ou plusieurs visites à l'urgence et 30% ont été admis une ou plusieurs fois aux soins intensifs. Au cours des 6 derniers mois de la vie, seulement 18% ont eu une visite à domicile par un médecin. Nous avons constaté que 10% sont décédés à la maison, soit moins que la moyenne rapportée dans la littérature (>20%); 49% sont décédés à l'hôpital (soins Unite / ER / chronique soins de courte durée), tandis que 40% sont décédés dans un établissement de soins palliatifs (soins palliatifs ou de soins palliatifs). Dans le groupe le plus âgé (70-79 ans), le nombre élevé de comorbidités et le diagnostique d'astrocytome de grade 4 sont associés à une plus grande charge de soins. Le niveau de charge des soins et le groupe d'âge (≥ 70 ans) ont été associés à une plus grande probabilité de mourir dans un lieu de traitement intensif (par exemple ER ou soins aigus). Avoir été diagnostiqué avec astrocytome de grade 4 a eu l'effet inverse. Conclusion: L'utilisation des données cliniques disponible dans des bases de données administratives bien structurées est accessible à un coût raisonnable et permet l'étude de l'ensemble de la population. Cette étude demontre que, malgré les efforts de recherche pour améliorer le traitement des tumeurs intracrâniennes primaires axées sur la biologie des tumeurs la chirurgie, la radiothérapie et la chimiothérapie, il est également possible d'améliorer les aspects des soins en fin de vie. Une approche intégrée pour un patient, du diagnostic à la mort, pourrait réduire le fardeau des soins sur le système de soins de santé et la famille du patient tout en améliorant l'accès à une meilleure place de la mort.
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Ailion, Alyssa S. "Longitudinal Analysis of Risk Factors Affecting Reading Trajectories in Children Diagnosed with Pediatric Brain Tumors." Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/honors_theses/7.
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Prior research suggests aggressive cancer treatments contribute to cognitive impairments in children diagnosed with pediatric brain tumors. The literature also suggests that younger age at diagnosis (AAD) and treatment may result in disrupted cognitive trajectories due to limited brain plasticity. In line with this research, we hypothesized an interaction between radiation therapy (RT) and young AAD of brain tumors, where young AAD and RT results in lower standard scores on the WRAT-R Reading Comprehension Subtest. Analyses included archival data; the sample consists of 134 children diagnosed with pediatric brain tumors with multiple assessments resulting in 487 cases for analysis. Participants were diagnosed with mixed tumor types and locations. A two level multilevel model was used to analyze reading trajectories while taking into account AAD, time since diagnosis, socioeconomic status (SES), and RT. Results detected a positive interaction between AAD and RT (γ =2.08, p=.02). For participants with RT, younger AAD was associated with lower reading scores, whereas AAD had no effect for participants without RT. Results also detected a negative interaction between radiation and time (γ =-2.29, p=.00) indicating that children treated with RT have reading scores that decrease over time. These data suggested that children diagnosed with pediatric brain tumors treated with RT are at higher risk of reading impairment as reflected in their reading scores.
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Witt, Kendra Elizabeth Marie. "Evaluation of a nutrition program targeting child care centers." To access this resource online via ProQuest Dissertations and Theses @ UTEP, 2008. http://0-proquest.umi.com.lib.utep.edu/login?COPT=REJTPTU0YmImSU5UPTAmVkVSPTI=&clientId=2515.
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Larham, Bethany. "Do childhood experiences and insecure attachment style in women with gynaecological cancer affect trust in care?" Thesis, University of Liverpool, 2013. http://livrepository.liverpool.ac.uk/14053/.
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This volume presents the research carried out in partial fulfilment of the Doctorate in Clinical Psychology at the University of Liverpool. It contains three papers, addressing the area of cancer patients‘ trust in care. In times of distress, patients engaged in a course of psychological therapy wish to feel safe, contained and to trust that the clinician is working in their best interests. The same holds true in a medical setting, where being diagnosed with a life-threatening illness such as cancer evokes feelings of vulnerability, helplessness and intense fear. Clinicians can be viewed as attachment figures in this time of stress, being the cancer patient‘s main hope for creating safety in the face of threat. Whilst a relationship with the clinician characterised by trust is beneficial at this time, unfortunately not all patients experience the relationship in this way. Before we can suggest means to improve cancer patients‘ sense of trust in the clinician, we need to understand the factors which prevent patients from developing trust in their clinician. Unlike the field of psychotherapy, where patient factors influencing the relationship with the therapist have been extensively researched, the medical field has focused its efforts on attempting to highlight the contribution of the clinician. This thesis aims to address this current dearth of literature, and focus on patient factors which could impede them from having trust in cancer care. Paper 1: Literature review The review paper provides the backdrop for the research. A specific sub-section of the background literature that informed the development of the research is considered here. A general review of current knowledge relating to all aspects of cancer patients‘ experiences highlighted an area of relative dearth in research. From this, a specific research question was developed: what is the role of patients‘ experiences in trust in cancer care? A focussed literature review was conducted in response to this pre-determined question, investigating whether patient factors of trauma, abuse and attachment style shape patients‘ trust in cancer care. The review adopted a structured approach to interrogating the evidence base, and the search terms and eligibility criteria for inclusion of papers are outlined. This section presents the identified papers, comparing and contrasting aims, design, methodology and findings, and explores the key themes that arose. The collective limitations, inconsistencies and gaps in this literature base are explored, and future directions to address these points are suggested. The review paper presents a picture of the current knowledge in this area, enabling the reader to locate the research study in its broader context. Paper 2: Empirical paper Building upon paper one, the second paper describes the main features of the research study, presented according to author guidelines set out for the journal Psycho-Oncology (Appendix A). Whilst a trusting patient/clinician relationship is repeatedly highlighted as important in healthcare, there is a tendency in the research to neglect the patient‘s contribution to this interaction. Attempts to identify individual patient factors that contribute to the sense of clinical relationship are dwarfed by extensive research focussing upon the clinician‘s competence, skill, communication and interpersonal style. The little research that has been carried out in this area has predominantly sampled women with breast cancer, leaving unexplored questions about the generalisability to other populations. In an attempt to redress balance, this research investigated patient factors which affect trust in the clinician, in a sample of gynaecological cancer survivors. The process of developing and conducting the study took two and a half years, whilst recruitment commenced after ethical approval was sought, and spanned 52 weeks. The key features of the study are outlined in this section. Paper 3: Concluding discussion The third section draws out the main findings of the research, and discusses the wider relevance. Further attention is given to the relative strengths and weaknesses of the study, and the study‘s applicability to clinical practice is considered. A short lay summary is presented, which was written for dissemination of the research to the participants who had requested feedback. This discusses the key contributions of the research to the literature base, and states what will be done with the findings. Finally, a research proposal describing a possible follow up study is outlined, taking into account the limitations of this research and considering how it can be extended. This concludes the thesis.
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Terry, Jennifer Margaret. "Resilience in children in out-of-home care." University of Western Australia. School of Social and Cultural Studies, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0189.
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This study explores the notion of resilience and, in particular, its efficacy as a framework to assist and guide professionals in their work with children placed in the care of the State, many of whom have experienced situations of severe disadvantage, including abuse and neglect, prior to their admission to the out-of-home care system. The further distress and/or trauma for children, which is engendered by separation from their families and placement with strangers, is exacerbated by circumstances of transience and instability that many children experience during their care journeys. The study examines the care system as a circumstance of adversity and seeks to find out how specialist practitioners working in the care environment understand the notion of resilience and whether they operationalise the concept in their practice to assist children in care. The study is set within a critically reflective perspective, informed by a hermeneutic process that assists in building a deeper understanding of both the notion of resilience and the care system through the lived experiences of practitioners and interpretation of the literature on both topics. An unanticipated finding that emerged from research discussions conducted with practitioners revealed that their experiences of working within the care system created a sense of adversity for them and challenged their resilience, with many parallels between their responses and their observations of the distress and trauma of children in care. The necessity to understand these practitioners? experiences more deeply led to a further exploration of literature that described the impact of working in such adverse settings. This exploration uncovered the notion of vicarious traumatisation, a phenomenon that affects workers who are in continual contact with the trauma of others. An indepth discussion of this concept is provided outlining its relevance to this study. The implications of the impact of the adversity of the care environment on professionals are summarised in the final chapter of the study together with recommendations in the areas of both practice and research.
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Lau, Hang-chi Frederick, and 劉恆志. "Working with parents having children in foster care." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31249462.
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Endacott, Ruth. "Children in intensive care : nurses perceptions of need." Thesis, University of Exeter, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.244403.
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This study investigates the manner in which intensive care nurses perceive, and take action to meet, the needs of the critically ill child, with the aim of answering three research questions: 1. What care is provided for the critically ill child in the intensive care unit? 2. How do nurses identify and act on the needs of the critically ill child? 3. What dimensionso f knowing underpint he way in which nursesp erceivea nd act on the needs of the critically ill child? A modified Delphi technique was used to provide an expert opinion on the needs of the critically ill child. A case study approach, informed by ethnographic principles, was used to structure observationsa nd interviewsi n one paediatrici ntensivec are unit (ICU) and two general ICUs. Carper's (1978) four dimensions of knowing (aesthetic, ethical, empiricala nd personakl nowing) underpinnedc ases tudy data collectiona nd analysis. The study findings expanded Carper's original work by identifying an additional dimension of knowing, referred to as contextual knowing, which nurses used to relate empirical and aesthetic knowledge to the individual child. This influenced their perception of whether a changed situation constituted a need. The five dimensions of knowing were used in an inter-related way by the nurses; no hierarchy was evident as priority was given to the dimension most relevant in a given situation. The findings highlight the key role of the nurse at the bedside (the allocated nurse) in identifying, legitimising and acting on the needs of the child. The importance of experience and confidence in enabling the nurses to undertake activities such as gate-keeping andprioritising in order to meett he needso f the child was also emphasisedT. he shift leader supported the nurses and co-ordinated the overall activity on the Unit. There was no overall difference in the role adopted by families in the General and Paediatric ICUs. Nursing records were an historical record of care, rather than a plan of care, and did not detail decision-making and prioritising activity frequently observed in the intensive care units. Recommendations are made for strategies to retain experienced nursing staff at the bedside, the active promotion of learning through experience, incorporating prioritising of care in records and a more inclusive framework for measuring and costing nursing workload in ICU
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Moyer, Agnes Alwyn. "The specialist nursing care of children with diabetes." Thesis, King's College London (University of London), 1993. https://kclpure.kcl.ac.uk/portal/en/theses/the-specialist-nursing-care-of-children-with-diabetes(22929284-947a-4706-9cc2-a9128e7623d1).html.
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Shim, Young Hee Kim. "Pastoral care and counselling to and with children." Thesis, Stellenbosch : Stellenbosch University, 1995. http://hdl.handle.net/10019.1/58701.
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Thesis (MTh) -- Stellenbosch University, 1995.ENGLISH ABSTRACT: This thesis is an attempt to present a prop~r modd and methodology of pastoral care &mu counselling of children. Chapter I starts with the concept of childhood and traces the history of child care and examines the present situation of pastoral care and counselling. The importance and necessity of pastoral care and counselling of children is emphasized. Chapter 2 locates pastoral care and counselling of children under the umbrella of Practical Theolob'Y· It proposes an interdisciplinary model and argues th<:t pastoral care is a theological issue. In chapter 3 the ancient Israelite society is examined 11s an example of a therapeutic environment for growing children. Her.~ the family provided a social structure through which children experienced a strong sense of belonging, security, love and self-identity. In the family circle God's covenantal love was conveyed by means of storyte.lling. Children have their own world and language which differ in many ways from the adult world. Chapter 4 explores the personal world and language of children and gives an exposition of the different developmental stages between the ages of six and twelve. Chapter 5 deals with the world of children, the family and the immediate environment of growing children. Healing in pastoral care is exercised through faith care. The research proposes the storytelling method as a most effective vehicle to convey God's love to the child. Chapier six explains the necessity for a storytelling technique through which the horizon of the child's environment merges with the horizon of God's unfailing love and grace.
AFRIKAANSE OPSOMMING: Die navorsing is daarop gerig om die pastoraat llewus te maak van die eiesoortige behoeftes van die kind onder twaalf jaar binne die beraadproses. Die voorveronderstelling waarmee gewerk word, is dat die kind deur die kerk wel via die kategese bereik word, maar dan op 'n meer kognitiewe leervlak. Gevolglik word daar nie erns gemaak met die meer indjviduele en emosionele behoeftes van kinders in 'n krisis binne hut gesinsverband nie. Die eerste hoofstuk is 'n bespreking van die geskiedenis van sorg aan die kleiner kind en ·n ontleding van die huidige benwdsituasie in pastorale sorg. Die tweede hoofstuk bied 'n metodologiese raamwerk teen die agtergroml van die karakter van praktiese teologie en 'n interdissiplinere benadering. Die derde hoofstuk is 'n poging om vas te stel wat die posisie van die kind in die vroee lsraelitiese gemeenskap was. Die navorsing stel vas dat die sorg van God gerealiseer was via die verbondsliefde sons wat dit in die familie tot uitdrukking gekom het. Dit is hier waar die verhaal of storie van God se bemoeienis met sy volk oorvertel is. Die vierde hoofstuk konsentreer op die eiesoortige wereld van taal, simbole en kommunikasie gedurende die verskillende ontwikkelingsfases van die kind. Hoofstuk vyf bied 'n bespreking van die sosiale omgewing en gesinsverband van die kind. Die laaste hoofstuk is 'n toespitsing van pastoraat a an die kleiner kind rnet behulp van die metode van storievertelling. Dit is die taak van die pastoraat om 'n horisonversmelting tussen die storie van die kind en die storie van God se verbondsliefde te laat plaasvind. Op hierdie wyse word die geloof van die kind ontwikkel en verkry die metode van storievertelling 'n pastorale dimensie.
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Smith, Allison Jayne. "Child care workers and HIV infected/affected children." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11167.
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Includes bibliographical references (leaves 73-77).The objectives of this study are to explore stressors and challenges faced by child care workers working with HIV infected/affected children, their causes, what support is available to them and, finally, current and recommended coping strategies. The study explored the perceptions of 8 child care workers through 2 focus groups using a semi-structured interview schedule as the data collection tool. The findings reveal that the primary challenge experienced is working with traumatised children and working for long hours away from their children, who are often at home alone. It was also found that they not fear infection when working with HIV infected children. The primary recommendation was that child care workers receive regular counselling and that day care centres are established in low income areas to care for their own children.
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DiMarco, Marguerite Ann. "Access/Utilization of Dental Care by Homeless Children." Case Western Reserve University School of Graduate Studies / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=case1184352136.
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Lau, Hang-chi Frederick. "Working with parents having children in foster care /." [Hong Kong : University of Hong Kong], 1993. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13744586.
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Earley, Louise. "Children as familial care givers : the psychological implications." Thesis, University of Warwick, 2001. http://wrap.warwick.ac.uk/89666/.
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This thesis is concerned with children as familial caregivers. To date 'young carers' have received limited attention from researchers, and the current body of literature has mainly developed from the social welfare field. This is in contrast to a vast body of research, which has established the psychological impact of care giving on adults. The first paper critically reviews the concept and research on 'parentification'. This is a systemic/dynamic perspective on the psychological and developmental implications of children's involvement in caring roles. It has been submitted to the Journal of Clinical Child Psychology and Psychiatry (see Appendix A for instructions to authors for all papers). The brief paper is a qualitative study employing focus groups and individual interviews to consider the views of twenty young carers. The aim was to gain an insight into their perceptions of the caring experience and to provide data which might be helpful in developing a measure of 'young carer stress' to be used in the main study. This paper has been prepared for the journal 'Qualitative Health Research'. The main research focused upon the application of a stress- coping model to a study of 108 adolescent young carers. It was found that those children who felt devalued in their caring role, overloaded, and used avoidant coping styles to manage their stress were most at risk of suffering from psychological distress. The results are considered in the context of the adolescent stress-coping literature and implications for prevention and intervention are discussed. Papers are prepared in accordance with the instructions to authors, although small changes to the formatting have been made to ensure consistency across all the papers. The whole thesis is less than 20,000 words (excluding references, and tables).
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Rice, Denise Cathleen. "Attachment behaviors displayed by children in foster care." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1982.
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The purpose of this study was to evaluate the level of attachment, secure or insecure, displayed by foster children after a minimal one-hour separation from their foster parent. The sample consisted of fifty foster parents (22 males and 28 females) who had foster children ranging in ages from 3-12. The foster children have lived in the current foster care placement for at least one month. To measure the foster child's level of attachment to the foster parent, the foster parent completed a demographic survey as well as the Parent/Child Reunion Inventory (Marcus 1988). Analysis was conducted using a variety of univariate (descriptive statistics, frequencies), bivariate (t-test, correlation), and mulivariate (multiple regression) analyses to describe the sample population and significant correlations among the various independent and dependent variables. As expected, foster parents reported secure attachment behaviors for foster children the longer the child has lived in their home. Two factors that appear to influence attachment are the length of time in the foster parents in the home. This information is valuable to the foster care arena for calculating secure attachment between foster children and their caregivers.
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Whiteford, Chrystal Michelle. "Early child care in Australia : quality of care, experiences of care and developmental outcomes for Australian children." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/81298/1/Chrystal_Whiteford_Thesis.pdf.
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In early childhood research, one of the most debated topics is that of early child care. This thesis draws upon data from Growing Up In Australia: The Longitudinal Study of Australian Children to explore the role of early child care in Australia. It examines the quality of early child care accessed by infants, the patterns of child care use across the early years and the impact of early child care experiences on academic, social-emotional and health outcomes at 6 to 7 years of age. Results indicate child care experiences vary considerably and suggest early child care experiences may have both positive and negative impacts upon later developmental outcomes.
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Robbins, Kathryn H. "Parent-child communication about the cancer experience in families of pediatric cancer patients /." Thesis, Connect to this title online; UW restricted, 1997. http://hdl.handle.net/1773/9109.
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Chan, Kam Tong. "The provision of residential child-care service under six : a policy analysis /." Click to view the E-thesis via HKUTO, 1987. http://sunzi.lib.hku.hk/hkuto/record/B42128286.
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Shen, Ying. "Individual Growth Models of Change in Peabody Picture Vocabulary Scores of Children Treated for Brain Tumors." Digital Archive @ GSU, 2007. http://digitalarchive.gsu.edu/math_theses/41.
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The individual growth model is a relatively new statistical technique. It is now widely used to examine the trajectories of individuals and groups in repeated measures data. This study examines the association of the receptive vocabulary over time and characteristics of children who were treated for brain tumors. The children undertook different types of treatment from one to any combinations of surgery, radiation and chemotherapy. The individual growth model is used to analyze the longitudinal data and to address the issues behind the data. Results of this study present several factors' influences to the rate of change of PPVT scores. The conclusions of this thesis indicate that the decline in the PPVT scores is associated with gender, age at diagnosis, socioeconomic status, type of treatment and Neurological Predictor Scale.
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Papazoglou, Aimilia. "Cognitive Predictors of Adaptive Functioning in Children with Tumors of the Cerebellar and Third Ventricle Regions." Digital Archive @ GSU, 2007. http://digitalarchive.gsu.edu/psych_theses/33.
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As pediatric brain tumor survival rates increase, research has begun to further explore the influence of brain tumors and their treatment on functioning. The current study explored the ability of attention, learning, and memory abilities as measured by the Rey Auditory Verbal Learning Test and receptive language abilities as measured by the Peabody Picture Vocabulary Test to predict adaptive functioning on the Vineland Adaptive Behavior Scales. Children with tumors of the cerebellar region were hypothesized to display relative impairments in attention, whereas children with tumors of the third ventricle region were hypothesized to display relative impairments in learning and memory. The cognitive measures also were hypothesized to be differentially predictive of adaptive functioning performance. No significant differences were found between the groups on cognitive performance, but attention was the best predictor of adaptive functioning in the cerebellar group, whereas receptive verbal knowledge was the best predictor for the third ventricle group.
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Smith, Jennifer Ann. "An explorative study of child and youth care workers experiences of "lifespace therapeutic care"." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=init_4931_1178701317.
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The goal of this research was to explore and describe child and youth care workers lived experiences of life space therapeutic care in a residential setting. Life space refers to the daily living environment, context and situation of children.
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Tverin, Tea Marika. "Giving children a chance to be children : care, memory and identity in the countryside." Thesis, University of Exeter, 2014. http://hdl.handle.net/10871/18165.
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Care has seldom been linked with memory and the natural environment. Moreover young people have been largely absent from geographical explorations of memory and memories. This research seeks, in part, to fill these gaps by examining young people's memories and memory formation within frameworks of care and the natural environment. More specifically this research provides insights into socially and economically marginalised young people's memory processes as well as the multiple emotional geographies that are created in an affective web of care, other people and the natural environment. This thesis provides an original, critical examination of a third sector charitable organisation Country Holidays for Inner City Kids (CHICKS) and their respite breaks for disadvantaged young people between 8-15 years of age. 26 young people who attended CHICKS were interviewed in addition to multiple staff members, volunteers and referral agents. Additionally exhaustive observations were carried out on 17 different respite breaks. This thesis has three research aims. Firstly it sets out to examine how care experiences shape memory formation at CHICKS. Secondly, it explores how care produces space, particularly in the natural environment. And thirdly it examines what kind of emotional geographies does care produce. First and foremost this thesis contributes into geographies of care. Furthermore, it ties care into other scholarly niches. It offers a somewhat novel conceptualisation of nature as a space of care: a therapeutic landscape that extends beyond literal connections between the physical environment and feelings of well-being. This research also contributes to the geographical research on care and memory by integrating young people in such research, as well as by suggesting that memories can become a vessel for well-being. Overall, the unique research arena makes this an original piece of work thus adding knowledge to geographies of care on affective, methodological and theoretical levels. This research demonstrates flat ontology of care, fun, geographies of love and the natural environment can open up transformative spaces where identity processes and the self can be processed and re-processed. Ultimately, this all makes it possible for memory and memories to become an intervention; a tool against adversity that allows the young person to go to a better mental and emotional place.
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Teng, Yu-wai Alice. "Children health center." Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25948568.
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Jayasooriya, Shamanth. "Immune control of Epstein-Barr virus infection in African children." Thesis, University of Birmingham, 2013. http://etheses.bham.ac.uk//id/eprint/4173/.
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Epstein-Barr virus (EBV) establishes a chronic infection, usually effectively controlled by the cellular immune response. However, EBV has the potential to escape immune control, such as during malaria exposure, or modulate the immune response. In this study, immune control of EBV was examined in Gambian children in two situations: during malaria exposure and early after EBV infection. Additionally, EBV infection may also inhibit vaccine induced antibody responses, hence its impact on a childhood pentavalent vaccine was studied, but infection had no effect. In contrast to historical studies, acute malaria infection was not associated with impaired immunity to EBV, a finding potentially explained by the declining malaria exposure in The Gambia. Children recently infected with EBV had evidence of activated EBV-specific T-cell responses, with latent and lytic epitope-specific responses of equal magnitude. Several donors identified as undergoing primary asymptomatic EBV infection had virus genome loads equivalent to those of acute infectious mononucleosis (AIM) patients. In contrast to AIM patients they did not show a peripheral lymphocytosis but did have significant expansions of activated EBV-specific CD8+ T-cells, which were lower or perhaps more focused than in AIM patients, suggesting that the highly expanded T-cell populations and not virus load drives AIM pathogenesis.
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Huber, James Richard. "Mothers' adaptation to childhood cancer: an analysis of family process stressors, family system resources, parental coping patterns, and parental adaptation among mothers of children with cancer." Diss., Virginia Polytechnic Institute and State University, 1989. http://hdl.handle.net/10919/53842.
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Family process stressors, family system resources, parental coping patterns, and parental adaptation were assessed for 58 mothers who had a child with cancer who was being seen at selected pediatric hematology-oncology centers in two Southeastern states. The respondents completed a self-report questionnaire containing the Coping and Health Inventory for Parents, five subscales from the Family Environment Scale, and items asking demographic questions. The dependent measure was the Parental Adaptation Assessment, a modified version of the Spinetta Family Adjustment Scale, developed for this study to measure parents’ perception of their adaptation to the experience of caring for a child with cancer. The criteria for subject inclusion in the study were: (a) two parents living in the home; and, (b) the child’s cancer diagnosis was to have occurred not less than 3 months and not more than 4 years prior to data collection. The Double ABCX Model of Family Adaptation was used as the basis for variable selection.
Frequency distributions, correlations between the 11 independent variables and mother’s adaptation, and a stepwise regression analysis were used to analyze the data. Two family process stressors (conflict and control) and two family system resources (cohesion and expressiveness) were significantly (p < .05) correlated with mother’s adaptation. The regression analyses showed that two variables (cohesion and mother’s age) explained 34% of the variance in mother’s adaptation.
Results show family cohesion and mother’s age to be the only significant predictors of her perceived adaptation. Family process stressors and parental coping patterns failed to account for any significant variance in mother’s adaptation. Implications for family stress theory, psychosocial oncology research, and family therapy practice are discussed. Recommendations for further research are suggested.Ph. D.
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Bellefontaine, Debra D. "Assessment of children coming into care, towards positive outcomes." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ37826.pdf.
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Wallace, Andrea Schneider. "Accessing asthma care : a case study of urban children /." Connect to full text via ProQuest. IP filtered, 2006.
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Thesis (Ph.D. in Nursing) -- University of Colorado at Denver and Health Sciences Center, 2006.Typescript. Includes bibliographical references (leaves 188-199). Free to UCDHSC affiliates. Online version available via ProQuest Digital Dissertations;