1
40
106
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
May 2016 List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Methadone Conversion In Infants
And Children: Retrospective Cohort Study Of 199 Pediatric Inpatients.
Publisher
An entity responsible for making the resource available
Journal Of Opioid Management
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
Subject
The topic of the resource
Administration Oral; Adolescent; Age Factors; Analgesics Opioid/administration & Dosage; Analgesics Opioid/adverse Effects; Child; Child Preschool; Consciousness/drug Effects; Drug Administration Schedule; Drug Dosage Calculations; Drug Monitoring; Drug Overdose/etiology; Drug Substitution; Hospitals Pediatric; Humans; Infant; Infant Newborn; Inpatients; Intubation Intratracheal; Methadone/administration & Dosage; Methadone/adverse Effects; Minnesota; Pain/diagnosis; Pain/drug Therapy; Pharmacy Service Hospital; Respiration Artificial; Retrospective Studies; Risk Factors; Substance Withdrawal Syndrome/etiology; Tertiary Care Centers; Time Factors; Treatment Outcome; Substances; Analgesics Opioid; Methadone
Creator
An entity primarily responsible for making the resource
Fife A; Postier A; Flood A; Friedrichsdorf SJ
Description
An account of the resource
OBJECTIVE:
Methadone administration has increased in pediatric clinical settings. This review is an attempt to ascertain an equianalgesic dose ratio for methadone in the pediatric population using standard adult dose conversion guidelines.
SETTING:
US tertiary children's hospital.
PATIENTS:
Hospitalized pediatric patients, 0-18 years of age.
MAIN OUTCOME MEASURES:
A retrospective chart review was conducted for patients who were converted from their initial opioid therapy regimen (morphine, hydromorphone, and/or fentanyl) to methadone. The primary endpoint was whether or not a dose correction was needed for methadone in the 6 days following conversion using standard dose conversion charts for adults. Documented clinical signs of withdrawal, unrelieved pain, or oversedation were examined.
RESULTS:
The majority (53.7 percent) of the 199 children were converted to methadone on intensive care units prior extubation or postextubation. The mean conversion ratio was 23.7 mg of oral morphine to 1 mg of oral methadone (median, 18.8 mg:1 mg, SD=25.7). Most patients experienced an adequate conversion (n=115, 57.8 percent), while 83 (41.7 percent) appeared undermedicated, and one child was oversedated. There were no associations found with conversion ratios for initial morphine dose, days to conversion, or effect of withdrawal of concomitant agents with potential for withdrawal.
CONCLUSIONS:
Opioid conversion to methadone is commonly practiced at our institution; however, dosing was significantly lower compared to adult conversion ratios, and more than 40 percent of children were undermedicated. The majority of children in this study received opioids for sedation while intubated and ventilated; therefore, safe and efficacious pediatric methadone conversion rates remain unclear. Prospective studies are needed.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Administration Oral
Adolescent
Age Factors
Analgesics Opioid
Analgesics Opioid/administration & Dosage
Analgesics Opioid/adverse Effects
Child
Child Preschool
Consciousness/drug Effects
Drug Administration Schedule
Drug Dosage Calculations
Drug Monitoring
Drug Overdose/etiology
Drug Substitution
Fife A
Flood A
Friedrichsdorf SJ
Hospitals Pediatric
Humans
Infant
Infant Newborn
Inpatients
Intubation Intratracheal
Journal of opioid management
May 2016 List
Methadone
Methadone/administration & Dosage
Methadone/adverse Effects
Minnesota
Pain/diagnosis
Pain/drug Therapy
Pharmacy Service Hospital
Postier A
Respiration Artificial
Retrospective Studies
Risk Factors
Substance Withdrawal Syndrome/etiology
Substances
Tertiary Care Centers
Time Factors
Treatment Outcome
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
May 2017 List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Understanding Death With Limited Experience In Life: Dying Children's And Adolescents' Understanding Of Their Own Terminal Illness And Death
Publisher
An entity responsible for making the resource available
Current Opinion In Supportive And Palliative Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
Subject
The topic of the resource
Adolescent; Attitude To Death; Child; Communication; Fear; Humans; Palliative Care/organization & Administration; Palliative Care/psychology; Professional-family Relations; Prognosis; Terminal Care/organization & Administration; Terminal Care/psychology; Terminally Ill/legislation & Jurisprudence; Terminally Ill/psychology; Time Factors
Creator
An entity primarily responsible for making the resource
Bates Alan T; Kearney Julia A
Description
An account of the resource
PURPOSE OF REVIEW: An up-to-date summary of the literature on children's and adolescents' understanding of their own terminal illness and death. RECENT FINDINGS: Clinicians still find it difficult to speak with pediatric patients about death even though guidelines for facilitating communication on the topic exist. As a result, pediatric patients are less likely to develop a clear understanding of their illness and there is a disconnect between clinicians and parents about prognosis, even when clinicians have concluded there is no longer possibility for cure. Insufficient communication and poor understanding may increase the risk of patients feeling isolated, mistrustful and anxious, and deprive them of a role model who can communicate about painful issues or share difficult feelings. Despite these complexities, young people often show remarkable resiliency in the face of death and want to get the most out of the remaining time they have. SUMMARY: In addition to these most recent findings, this review examines the challenges in researching this topic, obstacles to patients receiving information about prognosis, and how physical symptoms affect patients' ability to develop an understanding. It also reviews sources of insight into pediatric patients' understanding including the development of concepts of death, fears about their own death, legal interpretations of what patients understand, and how terminally ill young people continue to treasure life. It concludes by addressing ways clinicians can use the knowledge we have to communicate well with dying children and adolescents and their families.
Identifier
An unambiguous reference to the resource within a given context
10.1097/SPC.0000000000000118
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2015
Adolescent
Attitude To Death
Bates Alan T
Child
Communication
Current Opinion in Supportive and Palliative Care
Fear
Humans
Kearney Julia A
May 2017 List
Palliative Care/organization & Administration
Palliative Care/psychology
Professional-family Relations
Prognosis
Terminal Care/organization & Administration
Terminal Care/psychology
Terminally Ill/legislation & jurisprudence
Terminally Ill/psychology
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
July 2017 List
URL Address
<a href="https://doi.org/10.1186/s12904-015-0024-0" target="_blank" rel="noreferrer">https://doi.org/10.1186/s12904-015-0024-0</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
What Information Do Parents Need When Facing End-of-life Decisions For Their Child? A Meta-synthesis Of Parental Feedback
Publisher
An entity responsible for making the resource available
Bmc Palliative Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
Subject
The topic of the resource
Communication;Decision Making;Health Knowledge Attitudes Practice;Hope;Humans;Intensive Care Units Pediatric/organization & Administration;Needs Assessment;Parents/education;Parents/psychology;Terminal Care/methods;Terminal Care/psychology;Time Factors
Creator
An entity primarily responsible for making the resource
Xafis V; Wilkinson D; Sullivan J
Description
An account of the resource
BACKGROUND: The information needs of parents facing end-of-life decisions for their child are complex due to the wide-ranging dimensions within which such significant events unfold. While parents acknowledge that healthcare professionals are their main source of information, they also turn to a variety of additional sources of written information in an attempt to source facts, discover solutions, and find hope. Much has been written about the needs of parents faced with end-of-life decisions for their child but little is known about the written information needs such parents have. Research in the adult intensive care context has shown that written resources impact positively on the understanding of medical facts, including diagnoses and prognoses, communication between families and healthcare professionals, and the emotional wellbeing of families after their relative's death. METHODS: A meta-synthesis of predominantly empirical research pertaining to features which assist or impede parental end-of-life decisions was undertaken to provide insight and guidance in our development of written resources (short print and online comprehensive version) for parents. RESULTS: The most prominently cited needs in the literature related to numerous aspects of information provision; the quantity, quality, delivery, and timing of information and its provision impacted not only on parents' ability to make end-of-life decisions but also on their emotional wellbeing. The meta-synthesis supports the value of written materials, as these provide guidance for both parents and healthcare professionals in pertinent content areas. CONCLUSIONS: Further research is required to determine the impact that written resources have on parental end-of-life decision-making and on parents' wellbeing during and after their experience and time in the hospital environment.
Identifier
An unambiguous reference to the resource within a given context
<a href="https://doi.org/10.1186/s12904-015-0024-0" target="_blank" rel="noreferrer">10.1186/s12904-015-0024-0</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2015
BMC Palliative Care
Communication
Decision Making
Health Knowledge Attitudes Practice
Hope
Humans
Intensive Care Units Pediatric/organization & Administration
July 2017 List
Needs Assessment
Parents/education
Parents/psychology
Sullivan J
Terminal Care/methods
Terminal Care/psychology
Time Factors
Wilkinson D
Xafis V
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
August 2017 List
URL Address
<a href="http://www.tandfonline.com/doi/abs/10.1080/07481187.2014.985406?journalCode=udst20" target="_blank" rel="noreferrer">http://www.tandfonline.com/doi/abs/10.1080/07481187.2014.985406?journalCode=udst20</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Psychosocial Health Outcomes for Family Caregivers Following the First Year of Bereavement
Publisher
An entity responsible for making the resource available
Death Studies
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
Subject
The topic of the resource
Bereavement; Adolescent; Adult; Aged; Caregivers/ Psychology; Depression/epidemiology/etiology; Health Status; Humans; Middle Aged; Psychiatric Status Rating Scales; Psychological Tests; Psychology; Social Adjustment; Spouses/psychology; Stress Psychological/epidemiology; Stress Psychological/etiology; Time Factors; Young Adult
Creator
An entity primarily responsible for making the resource
Masterson MP; Hurley KE; Zaider T; Corner G; Schuler T; Kissane DW
Description
An account of the resource
The authors examined psychosocial outcomes following the first year of bereavement, for 51 family caregivers, including both spouses and offspring. Researchers assessed caregivers during palliative care and again during the second year of bereavement, for social functioning, depression, and distress. For all family caregivers, only depression scores declined significantly between T1 and T2 (p < 0.05). Caregiver relationship and gender did not make a difference in recovery. Results demonstrate that poor psychosocial health outcomes exist beyond the first year of bereavement. Early identification of these caregivers is necessary to provide mental health professionals the opportunity to intervene proactively.
Identifier
An unambiguous reference to the resource within a given context
<a href="https://doi.org/10.1080/07481187.2014.985406">10.1080/07481187.2014.985406</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2015
Adolescent
Adult
Aged
August 2017 List
Bereavement
Caregivers/ Psychology
Corner G
Death studies
Depression/epidemiology/etiology
Health Status
Humans
Hurley KE
Kissane DW
Masterson MP
Middle Aged
Psychiatric Status Rating Scales
Psychological Tests
Psychology
Schuler T
Social Adjustment
Spouses/psychology
Stress Psychological/epidemiology
Stress Psychological/etiology
Time Factors
Young Adult
Zaider T
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
PedPalASCNet Member Publications
Subject
The topic of the resource
A collection of relevant articles published by one or more of PedPalASCNet's members
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
n/a
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Characteristics of a pediatric hospice palliative care program over 15 years.
Publisher
An entity responsible for making the resource available
Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
Subject
The topic of the resource
British Columbia/epidemiology; Child; Child Preschool; Cohort Studies; Demographics; Female; Hospice Care; Hospices/methods/trends; Humans; Life Threatening; Male; Palliative Care; Palliative Care/methods/trends; Patient Care Team/trends; Pediatrics/methods/trends; Retrospective Studies; Survival Rate/trends; Time Factors
Creator
An entity primarily responsible for making the resource
Siden H; Chavoshi N; Harvey B; Parker A; Miller T
Description
An account of the resource
OBJECTIVES: Pediatric palliative care has seen the adoption of several service provision models, yet there is minimal literature describing them. Canuck Place Children's Hospice (CPCH) is North America's first freestanding pediatric hospice. This study describes the characteristics of and services delivered to all children on the CPCH program from 1996 to 2010. METHODS: A retrospective review of all patient medical records CPCH was conducted. Analyses examined trends and correlations between 40 selected data points: linear regression modeling was used to assess trends over time; t tests were used to examine significant associations between independent means; and the Kaplan-Meier method was used to measure survival probabilities. RESULTS: The study cohort included 649 children. The majority of diagnoses belonged to cancers (30%), and diseases of the neuromuscular (20%), and central nervous systems (18%). The majority of deaths occurred among the cancer (45%), central nervous system (15%), and metabolic disease groups (14%). By study end date, 24% of children were still alive, 61% died, and 15% transitioned to adult services (more than half of whom were cognitively competent). On average, 1024 days were spent on the CPCH program (median = 301). The majority of inpatient hospice discharges were for respite (82%); only 7% were for end-of-life care. Location of death was shared between CPCH (61%), hospital (22%), and home (16%). CONCLUSIONS: Diagnostic groups largely determine the nature and magnitude of services used, and our involvement with pediatric life-threatening conditions is increasing. Reviews of pediatric palliative programs can help evaluate the services needed by the population served.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1542/peds.2014-0381" target="_blank" rel="noreferrer">10.1542/peds.2014-0381</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2014
British Columbia/epidemiology
Chavoshi N
Child
Child Preschool
Cohort Studies
Demographics
Female
Harvey B
Hospice Care
Hospices/methods/trends
Humans
Life Threatening
Male
Miller T
Palliative Care
Palliative Care/methods/trends
Parker A
Patient Care Team/trends
Pediatrics
Pediatrics/methods/trends
Retrospective Studies
Siden H
Survival Rate/trends
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
December 2017 List
URL Address
<a href="https://doi.org/10.1001/jamapediatrics.2017.0197" target="_blank" rel="noreferrer">https://doi.org/10.1001/jamapediatrics.2017.0197</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Association of Mortality With the Death of a Sibling in Childhood.
Publisher
An entity responsible for making the resource available
Jama Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
Subject
The topic of the resource
Bereavement; Mortality; Siblings; Adolescent; Age Factors; Cause Of Death; Child; Child, Preschool; Denmark/epidemiology; Family Health/ Statistics & Numerical Data; Female; Follow-up Studies; Humans; Life Change Events; Male; Registries; Risk Factors; Sex Factors; Sweden/epidemiology; Time Factors
Creator
An entity primarily responsible for making the resource
Yu Y; Liew Z; Cnattingius S; Olsen J; Vestergaard M; Fu B; Parner ET; Qin G; Zhao N; Li J
Description
An account of the resource
Importance: The death of a close relative is associated with an increased mortality risk among the bereaved, but much less is known about the potential association of the death of a sibling in childhood with mortality in this population. Objective: To examine the association between sibling death in childhood and subsequent mortality risk. Design, Setting, and Participants: This population-based cohort study of 5005029 participants evaluated linked national registers in Denmark (January 1, 1973, through December 31, 2009) and Sweden (January 1, 1973, through December 31, 2008). A total of 2060354 Danish and 2944675 Swedish children who survived the first 6 months of their life were included. We excluded 14 children who died of the same external cause as their siblings within 30 days. Data were analyzed from November 2, 2015, through October 14, 2016. Exposures: Participants were classified as exposed if a sibling died in childhood (age <18 years). Main Outcomes and Measures: Poisson regression was used to estimate mortality rate ratio (MRR) with the exposure as a time-varying variable. Results: Among the 55 818 participants who experienced sibling death in childhood (51.5% male and 48.5% female; median age at loss, 7.0 [interquartile range, 3.3-12.1] years), all-cause mortality risk was increased by 71% (MRR, 1.71; 95% CI, 1.57-1.87) during the follow-up of 37 years. The excess mortality risk was observed for groups with specific causes of death, and the higher MRRs were found when the sibling pairs died of the same cause (death due to disease [MRR, 2.16; 95% CI, 1.87-2.49]; death due to external cause [MRR, 1.91; 95% CI, 1.54-2.37]). The increased mortality risk after sibling death was seen across the follow-up period, regardless of the age at bereavement and the type of death among bereaved siblings, but the magnitude of association was stronger during the first year after sibling death (MRR, 2.51; 95% CI, 1.79-3.54). Higher MRRs were found among sibling pairs with the same sex (MRR, 1.92; 95% CI, 1.70-2.18) and close age (MRR, 1.94; 95% CI, 1.58-2.37). Conclusions and Relevance: Bereavement in childhood because of the death of a sibling was associated with an increased risk for mortality in the short and long term. Health care professionals should be aware of individuals' vulnerability due to sibling death, especially for sibling pairs of close age or the same sex. Social and health care support may help to minimize the potential adverse effects on the bereaved sibling.
Identifier
An unambiguous reference to the resource within a given context
<a href="https://doi.org/10.1001/jamapediatrics.2017.0197" target="_blank" rel="noreferrer">10.1001/jamapediatrics.2017.0197</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
Adolescent
Age Factors
Bereavement
Cause Of Death
Child
Child, Preschool
Cnattingius S
December 2017 List
Denmark/epidemiology
Family Health/ Statistics & Numerical Data
Female
Follow-up Studies
Fu B
Humans
JAMA Pediatrics
Li J
Liew Z
Life Change Events
Male
Mortality
Olsen J
Parner ET
Qin G
Registries
Risk Factors
Sex Factors
Siblings
Sweden/epidemiology
Time Factors
Vestergaard M
Yu Y
Zhao N
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
PedPalASCNet Member Publications
Subject
The topic of the resource
A collection of relevant articles published by one or more of PedPalASCNet's members
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1097/NCC.0b013e3182365646" target="_blank" rel="noreferrer">http://doi.org/10.1097/NCC.0b013e3182365646</a>
<a href="http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22067687" target="_blank" rel="noreferrer">http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22067687</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Changes in siblings after the death of a child from cancer.
Publisher
An entity responsible for making the resource available
Cancer Nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
2012
Subject
The topic of the resource
adolescent; Child; Cross-Sectional Studies; Female; Humans; Male; bereavement; Death; Neoplasms; Adult; Parents; Middle Aged; Siblings; Qualitative Research; Time Factors; Nursing Methodology Research; Adaptation; Psychological; IM; sibling bereavement; N
Creator
An entity primarily responsible for making the resource
Foster TL; Gilmer MJ; Vannatta K; Barrera M; Davies B; Dietrich MS; Fairclough DL; Gerhardt CA
Description
An account of the resource
IMPLICATIONS FOR PRACTICE: Our findings offer guidance to improve aftercare for bereaved siblings and their families. Additional research is needed to further delineate the needs of bereaved siblings and to develop strategies to promote adaptation to loss.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/NCC.0b013e3182365646" target="_blank" rel="noreferrer">10.1097/NCC.0b013e3182365646</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2012
Adaptation
Adolescent
Adult
Backlog
Barrera M
Bereavement
Cancer Nursing
Child
Cross-sectional Studies
Davies B
Death
Dietrich MS
Fairclough DL
Female
Foster TL
Gerhardt CA
Gilmer MJ
Humans
IM
Journal Article
Male
Middle Aged
N
Neoplasms
Nursing Methodology Research
Parents
Psychological
Qualitative Research
sibling bereavement
Siblings
Time Factors
Vannatta K
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.2310/8000.2011.100298" target="_blank" rel="noreferrer">http://doi.org/10.2310/8000.2011.100298</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Esophageal coin removal by emergency physicians: a continuous quality improvement project incorporating rapid sequence intubation
Publisher
An entity responsible for making the resource available
Canadian Journal Of Emergency Medical Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2011
Subject
The topic of the resource
Child; Female; Humans; Male; Time Factors; Preschool; infant; retrospective studies; Emergency Medicine/methods; Quality improvement; Esophagus/injuries; Foreign Bodies/surgery; Intubation/methods; Numismatics
Creator
An entity primarily responsible for making the resource
Bhargava R; Brown L
Description
An account of the resource
OBJECTIVE: The objective of this study was to describe our experience removing esophageal coins from children in a tertiary care pediatric emergency department over a 4-year period. METHODS: We retrospectively reviewed a continuous quality improvement data set spanning October 1, 2004, through September 30, 2008. RESULTS: In 96 of 101 cases (95%), emergency physicians successfully retrieved the coin. The median age of the children was 19 months (interquartile range [IQR] 13-43 months; range 4 months-12.8 years). The median time to removal of coin from initiation of intubation was 8 minutes (IQR 4-14 minutes; range 1-60 minutes). Coins were extracted using forceps only in 56 cases, whereas forceps and a Foley catheter were used in the remainder. Succinylcholine and etomidate were used in almost all cases for rapid sequence intubation prior to coin removal. Complications were identified in 46 cases: minor bleeding (13), lip laceration (7), multiple attempts (5), hypoxia (3), accidental extubation (3), dental injuries (3), bradycardia (2), coin advanced (1), right main-stem bronchus intubation (1), and other (8). CONCLUSIONS: Emergency physicians successfully removed esophageal coins following rapid sequence intubation in most cases. Our approach may be considered for the management of pediatric esophageal coins, particularly in an academic pediatric emergency department.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2310/8000.2011.100298" target="_blank" rel="noreferrer">10.2310/8000.2011.100298</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2011
Backlog
Bhargava R
Brown L
Canadian Journal Of Emergency Medical Care
Child
Emergency Medicine/methods
Esophagus/injuries
Female
Foreign Bodies/surgery
Humans
Infant
Intubation/methods
Journal Article
Male
Numismatics
Preschool
Quality Improvement
Retrospective Studies
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9928685" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9928685</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Pediatric sedation with analgesia
Publisher
An entity responsible for making the resource available
American Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
Subject
The topic of the resource
Child; Intensive Care Units; Analgesics; Drug Therapy; Time Factors; Clinical Protocols; Anesthetics; Pediatric; Preschool; infant; Comparative Study; retrospective studies; Human; Opioid/therapeutic use; Adolescence; Fentanyl/therapeutic use; Combination; Propofol/therapeutic use; Analgesia/adverse effects/methods; Conscious Sedation/adverse effects/methods; Intravenous/therapeutic use
Creator
An entity primarily responsible for making the resource
Bauman L; Kish I; Baumann RC; Politis GD
Description
An account of the resource
Sedation with analgesia is frequently required to perform painful or invasive procedures in children. The best medication combination for pediatric sedation with analgesia is yet to be identified. Sixty-four of 243 total sedation with analgesia procedures from January 1994 through August 1995 were randomly chosen for descriptive retrospective review and analysis. Four minor complications from the procedures were identified, and recovery was complete in all cases. One medication combination (fentanyl 1 microg/kg with propofol 1.5 to 2 mg/kg, followed by an infusion of 150 microg/kg/min) provided the shortest mean time to dismissal (17.8 minutes v 38 minutes) when compared with other combinations used. No episodes of respiratory depression, hypotension, or nausea and vomiting occurred in the fentanyl/propofol group. These results show that fentanyl/propofol was superior to other medications used during this study period for pediatric sedation with analgesia. Prospective comparison of this medication combination with other short-acting agents in patients undergoing both elective and emergency procedures is necessary.
1999
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1999
Adolescence
American Journal of Emergency Medicine
Analgesia/adverse effects/methods
Analgesics
Anesthetics
Backlog
Bauman L
Baumann RC
Child
Clinical Protocols
Combination
Comparative Study
Conscious Sedation/adverse effects/methods
Drug Therapy
Fentanyl/therapeutic use
Human
Infant
Intensive Care Units
Intravenous/therapeutic use
Journal Article
Kish I
Opioid/therapeutic use
Pediatric
Politis GD
Preschool
Propofol/therapeutic use
Retrospective Studies
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=9934916" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=9934916</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Occurrence of withdrawal in critically ill sedated children
Publisher
An entity responsible for making the resource available
Critical Care Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
Subject
The topic of the resource
Child; Female; Male; Analgesics; Respiration; Time Factors; Medical Records; adolescent; Preschool; infant; retrospective studies; Dose-Response Relationship; Drug; Human; Artificial; Barbiturate/adverse effects; Critical Care/methods; Midazolam/adverse effects; Morphine/adverse effects; Nonbarbiturate/adverse effects; Opioid/adverse effects; Pentobarbital/adverse effects; Sedatives; Substance Withdrawal Syndrome/etiology/therapy
Creator
An entity primarily responsible for making the resource
Fonsmark L; Rasmussen YH; Carl P
Description
An account of the resource
OBJECTIVES: To record the number of children with withdrawal symptoms after the administration of sedatives for mechanical ventilation, and to discuss the possible connection with the administration of midazolam. DESIGN: Retrospective data collection from case records and charts. SETTING: Medical and surgical intensive care unit (ICU) in a university hospital. PATIENTS: Children 6 months to 14 yrs of age who required sedation for mechanical ventilation (n = 40). INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Kind and amount of sedatives and analgesics, duration of administration, and occurrence of withdrawal symptoms. The frequency of withdrawal symptoms was 35% (14/40) of the sedated children. A total dose of midazolam of >60 mg/kg was strongly significantly associated with occurrence of withdrawal. Statistical analysis to determine the occurrence of withdrawal associated with the administration of morphine was not possible. CONCLUSIONS: Signs and symptoms of a withdrawal reaction were observed in several children. The occurrence of withdrawal was statistically related to high doses of midazolam, but it was not possible to determine the influence of morphine. If large doses of midazolam and opioids have been administered, there may be justification for reducing the dose gradually instead of abruptly, or using longer-acting benzodiazepines or opioids on discontinuation of sedation.
1999
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1999
Adolescent
Analgesics
Artificial
Backlog
Barbiturate/adverse effects
Carl P
Child
Critical Care Medicine
Critical Care/methods
Dose-Response Relationship
Drug
Female
Fonsmark L
Human
Infant
Journal Article
Male
Medical Records
Midazolam/adverse effects
Morphine/adverse effects
Nonbarbiturate/adverse effects
Opioid/adverse Effects
Pentobarbital/adverse effects
Preschool
Rasmussen YH
Respiration
Retrospective Studies
Sedatives
Substance Withdrawal Syndrome/etiology/therapy
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=10890677" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=10890677</a>
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Title
A name given to the resource
Tolerance, withdrawal, and physical dependency after long-term sedation and analgesia of children in the pediatric intensive care unit
Publisher
An entity responsible for making the resource available
Critical Care Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
Subject
The topic of the resource
Child; Intensive Care Units; Risk Factors; Time Factors; Pediatric; Drug Tolerance; Human; Substance Withdrawal Syndrome/diagnosis/drug therapy/etiology; Analgesics/adverse effects; Hypnotics and Sedatives/adverse effects
Creator
An entity primarily responsible for making the resource
Tobias JD
Description
An account of the resource
OBJECTIVE: To describe the consequences of the prolonged administration of sedative and analgesic agents to the pediatric intensive care unit (PICU) patient. The problems to be investigated include tolerance, physical dependency, and withdrawal. DATA SOURCES: A MEDLINE search was performed of literature published in the English language. Cross-reference searches were performed using the following terms: sedation, analgesia with PICU, children, physical dependency, withdrawal; tolerance with sedative, analgesics, benzodiazepines, opioids, inhalational anesthetic agents, nitrous oxide, ketamine, barbiturates, propofol, pentobarbital, phenobarbital. STUDY SELECTION: Studies dealing with the problems of tolerance, physical dependency, and withdrawal in children in the PICU population were selected. DATA EXTRACTION: All of the above-mentioned studies were reviewed in the current manuscript. DATA SYNTHESIS: A case by case review is presented, outlining the reported problems of tolerance, physical dependency, and withdrawal after the use of sedative/analgesic agents in the PICU population. This is followed up by a review of the literature discussing current treatment options for these problems. CONCLUSIONS: Tolerance, physical dependency, and withdrawal can occur after the prolonged administration of any agent used for sedation and analgesia in the PICU population. Important components in the care of such patients include careful observation to identify the occurrence of withdrawal signs and symptoms. Treatment options after prolonged administration of sedative/analgesic agents include slowly tapering the intravenous administration of these agents or, depending on the drug, switching to subcutaneous or oral administration.
2000
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2000
Analgesics/adverse effects
Backlog
Child
Critical Care Medicine
Drug Tolerance
Human
Hypnotics and Sedatives/adverse effects
Intensive Care Units
Journal Article
Pediatric
Risk Factors
Substance Withdrawal Syndrome/diagnosis/drug therapy/etiology
Time Factors
Tobias JD
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1200/jco.1998.16.10.3216" target="_blank" rel="noreferrer">http://doi.org/10.1200/jco.1998.16.10.3216</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Switching from morphine to oral methadone in treating cancer pain: what is the equianalgesic dose ratio?
Publisher
An entity responsible for making the resource available
Journal Of Clinical Oncology
Date
A point or period of time associated with an event in the lifecycle of the resource
1998
Subject
The topic of the resource
Cross-Sectional Studies; Female; Humans; Male; Analgesics; Prospective Studies; Aged; Middle Aged; Therapeutic Equivalency; Time Factors; Analgesia; Non-U.S. Gov't; Research Support; Administration; Oral; Pain/drug therapy; Dose-Response Relationship; Drug; Neoplasms/complications; Opioid/administration & dosage; Morphine/administration & dosage; Methadone/administration & dosage
Creator
An entity primarily responsible for making the resource
Ripamonti C; Groff L; Brunelli C; Polastri D; Stavrakis A; De Conno F
Description
An account of the resource
PURPOSE: To define the dose ratio between morphine and methadone in relation to the previous morphine dose and the number of days needed to achieve the same level of analgesia in a group of patients with advanced cancer with pain who switched from morphine to oral methadone. PATIENTS AND METHODS: A cross-sectional prospective study of 38 consecutive cancer patients who switched from morphine to oral methadone was performed. The intensity of pain before, during, and after the switching period was assessed through a four-point verbal Likert scale. The relationship between previous morphine dose and the final equianalgesic methadone dose, dose ratio between morphine and methadone, and the number of days required to achieve equianalgesia have been examined by means of Pearson's correlation coefficient, scatter plots, and Cuzick's test for trend respectively. RESULTS: Before the switch, the median oral equivalent daily dose of morphine was 145 mg/d; after the switch, the median equianalgesic oral methadone dose was 21 mg/d. A median time of 3 days (range, 1 to 7 days) was necessary to achieve the equianalgesia with oral methadone; the lower the preswitching morphine dose, the fewer days necessary to achieve equianalgesia with oral methadone (P < .001). Dose ratios ranged from 2.5:1 to 14.3:1 (median, 7.75:1), which indicated that, in most cases, the dose ratio was much higher than that suggested by the published equianalgesic tables. A strong linear positive relationship between morphine and methadone equianalgesic doses was obtained (Pearson's correlation coefficient, 0.91). The dose ratio increased with the increase of the previous morphine dose with a much higher increase at low morphine doses. CONCLUSION: The results of our study confirm that methadone is a potent opioid, more potent than believed. Caution is recommended when switching from any opioid to methadone, especially in patients who are tolerant to high doses of opioids.
1998
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1200/jco.1998.16.10.3216" target="_blank" rel="noreferrer">10.1200/jco.1998.16.10.3216</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1998
Administration
Aged
Analgesia
Analgesics
Backlog
Brunelli C
Cross-sectional Studies
De Conno F
Dose-Response Relationship
Drug
Female
Groff L
Humans
Journal Article
Journal Of Clinical Oncology
Male
Methadone/administration & Dosage
Middle Aged
Morphine/administration & dosage
Neoplasms/complications
Non-U.S. Gov't
Opioid/administration & dosage
Oral
Pain/drug Therapy
Polastri D
Prospective Studies
Research Support
Ripamonti C
Stavrakis A
Therapeutic Equivalency
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1200/jco.1997.15.10.3192" target="_blank" rel="noreferrer">http://doi.org/10.1200/jco.1997.15.10.3192</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Breast cancer patients' attitudes about rationing postlumpectomy radiation therapy: applicability of trade-off methods to policy-making
Publisher
An entity responsible for making the resource available
Journal Of Clinical Oncology
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
Subject
The topic of the resource
Female; Humans; Adult; Canada; Aged; Middle Aged; Attitude; Patient Acceptance of Health Care; Risk Factors; Patient Satisfaction; Time Factors; Combined Modality Therapy; 80 and over; Non-U.S. Gov't; Research Support; Policy Making; Waiting Lists; Breast Neoplasms/psychology/radiotherapy/surgery; Health Care Rationing; Mastectomy; Segmental
Creator
An entity primarily responsible for making the resource
Palda VA; Llewellyn-Thomas HA; Mackenzie RG; Pritchard KI; Naylor CD
Description
An account of the resource
PURPOSE: Along with evidence, clinical policies must take patients' values into account. Particularly where evidence is limited and where assumptions of utility-maximizing behavior may not be valid, new methods such as trade-off techniques (TOTs), which allow elicitation of patients' treatment alternatives, might be useful in policy formulation. We used TOTs to assess breast cancer patients' attitudes toward two clinical policies designed to ration adjuvant postlumpectomy breast radiation therapy. METHODS: Cross-sectional interviews were performed in a tertiary cancer center. A total of 102 patients were presented with information about the side effects and benefits associated with two hypothetical decisions: (1) willingness to receive treatment elsewhere to shorten the wait for radiation therapy, and (2) foregoing radiation therapy in the face of small marginal benefits. For each scenario, a TOT was used to identify the maximal acceptable wait time (MAWT) for therapy and the benefit threshold at which the patient would forego therapy. Associations of clinical and demographic factors with these decisions were determined by regression analysis. RESULTS: Patients would be willing to wait, on average, 7 weeks before wanting to leave their city for radiation therapy, less than the 13-week delay our patients actually faced. Older patients were less willing to wait (P = .013); 46% of patients would not give up radiation therapy, even in the face of no stated benefit. Willingness to give up radiation therapy was predicted by willingness to accept delay (odds ratio [OR], 1.84; 95% confidence interval [CI], 1.05 to 3.37) and being employed (OR, 2.61; 95% CI, 1.08 to 6.54). Patients with larger tumors were less willing to give up radiation therapy (OR, 0.57; 95% CI, 0.31 to 0.97). CONCLUSION: Even in difficult decisions such as rationing postlumpectomy breast cancer radiation therapy, TOTs can inform policy formulation by indicating the distributions of patients' preferences.
1997
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1200/jco.1997.15.10.3192" target="_blank" rel="noreferrer">10.1200/jco.1997.15.10.3192</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1997
80 And Over
Adult
Aged
Attitude
Backlog
Breast Neoplasms/psychology/radiotherapy/surgery
Canada
Combined Modality Therapy
Female
Health Care Rationing
Humans
Journal Article
Journal Of Clinical Oncology
Llewellyn-Thomas HA
Mackenzie RG
Mastectomy
Middle Aged
Naylor CD
Non-U.S. Gov't
Palda VA
Patient Acceptance of Health Care
Patient Satisfaction
Policy Making
Pritchard KI
Research Support
Risk Factors
Segmental
Time Factors
Waiting Lists
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1172/jci119506" target="_blank" rel="noreferrer">http://doi.org/10.1172/jci119506</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Immune cell-derived beta-endorphin. Production, release, and control of inflammatory pain in rats
Publisher
An entity responsible for making the resource available
The Journal Of Clinical Investigation
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
Subject
The topic of the resource
Humans; Male; Time Factors; Analysis of Variance; Animals; Regression Analysis; Rats; Biomarkers of Pain; RNA; Genetic; Biomarkers Reference List; Inflammation/physiopathology; Freund's Adjuvant; Hindlimb; Pain/immunology/physiopathology; Corticotropin-Releasing Hormone/pharmacology; Wistar; Messenger/biosynthesis; beta-Endorphin/biosynthesis; Interleukin-1/pharmacology; Lymph Nodes/metabolism; Pro-Opiomelanocortin/biosynthesis; T-Lymphocytes/drug effects/immunology/metabolism; Transcription
Creator
An entity primarily responsible for making the resource
Cabot PJ; Carter L; Gaiddon C; Zhang Q; Schafer M; Loeffler JP; Stein C
Description
An account of the resource
Localized inflammation of a rat's hindpaw elicits an accumulation of beta-endorphin-(END) containing immune cells. We investigated the production, release, and antinociceptive effects of lymphocyte-derived END in relation to cell trafficking. In normal animals, END and proopiomelanocortin mRNA were less abundant in circulating lymphocytes than in those residing in lymph nodes (LN), suggesting that a finite cell population produces END and homes to LN. Inflammation increased proopiomelanocortin mRNA in cells from noninflamed and inflamed LN. However, END content was increased only in inflamed paw tissue and noninflamed LN-immune cells. Accordingly, corticotropin-releasing factor and IL-1beta released significantly more END from noninflamed than from inflamed LN-immune cells. This secretion was receptor specific, calcium dependent, and mimicked by potassium, consistent with vesicular release. Finally, both agents, injected into the inflamed paw, induced analgesia which was blocked by the co-administration of antiserum against END. Together, these findings suggest that END-producing lymphocytes home to inflamed tissue where they secrete END to reduce pain. Afterwards they migrate to the regional LN, depleted of the peptide. Consistent with this notion, immunofluorescence studies of cell suspensions revealed that END is contained predominantly within memory-type T cells. Thus, the immune system is important for the control of inflammatory pain. This has implications for the understanding of pain in immunosuppressed conditions like cancer or AIDS.
1997
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1172/jci119506" target="_blank" rel="noreferrer">10.1172/jci119506</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1997
Analysis of Variance
Animals
Backlog
beta-Endorphin/biosynthesis
Biomarkers of Pain
Biomarkers Reference List
Cabot PJ
Carter L
Corticotropin-Releasing Hormone/pharmacology
Freund's Adjuvant
Gaiddon C
Genetic
Hindlimb
Humans
Inflammation/physiopathology
Interleukin-1/pharmacology
Journal Article
Loeffler JP
Lymph Nodes/metabolism
Male
Messenger/biosynthesis
Pain/immunology/physiopathology
Pro-Opiomelanocortin/biosynthesis
Rats
Regression Analysis
RNA
Schafer M
Stein C
T-Lymphocytes/drug effects/immunology/metabolism
The Journal Of Clinical Investigation
Time Factors
transcription
Wistar
Zhang Q
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1152/ajpgi.1994.266.4.g665" target="_blank" rel="noreferrer">http://doi.org/10.1152/ajpgi.1994.266.4.g665</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Contractile mechanisms of action of gastroprokinetic agents: cisapride, metoclopramide, and domperidone
Publisher
An entity responsible for making the resource available
The American Journal Of Physiology
Date
A point or period of time associated with an event in the lifecycle of the resource
1994
Subject
The topic of the resource
Time Factors; Animals; P.H.S.; Research Support; U.S. Gov't; Eating; Non-P.H.S.; Gastrointestinal Motility/drug effects; Cisapride; Dogs; Domperidone/pharmacology; Duodenum/drug effects/physiology; Gastric Emptying/drug effects; Metoclopramide/pharmacology; Piperidines/pharmacology; Pylorus/drug effects/physiology
Creator
An entity primarily responsible for making the resource
Orihata M; Sarna SK
Description
An account of the resource
We investigated the contractile mechanisms of action of three putative gastroprokinetic agents (cisapride, metoclopramide, and domperidone) on the linear phase of gastroduodenal emptying of solid meals in six healthy conscious dogs. The spatial and temporal parameters of gastric, pyloric, and duodenal contractions during the entire period of gastroduodenal emptying, during the 60-min period of drug infusion (ti), and during the postdrug infusion period (tpi) were analyzed by a computer method. Cisapride accelerated the total gastroduodenal emptying time (tfull), metoclopramide had no significant effect, and domperidone delayed the tfull. None of the drugs had a significant effect on gastroduodenal emptying during ti. Both cisapride and metoclopramide enhanced the rate of gastroduodenal emptying during tpi. Cisapride enhanced pyloric and duodenal motor activity but had no significant effect on antropyloroduodenal coordination during tfull and ti. During tpi, cisapride significantly enhanced both the pyloric and duodenal motor activity and antropyloroduodenal coordination. Metoclopramide exhibited only a few significant effects on the frequency, amplitude, duration, and area under contractions in the antrum, pylorus, and duodenum, but it enhanced antropyloroduodenal coordination during tfull and tpi. Domperidone decreased the frequency of corporeal, pyloric, and duodenal contractions and deteriorated antropyloroduodenal coordination by decreasing the frequency of contractions propagating from the antrum or the pylorus to the duodenum. Cisapride and metoclopramide, but not domperidone, increased the mean distance of propagation of duodenal contractions during tfull, ti, and tpi. We conclude that cisapride is more effective in accelerating gastroduodenal emptying because it stimulates the largest number of parameters of gastropyloroduodenal contractions that enhance gastric emptying. Most enhancement of gastric emptying rate with both cisapride and metoclopramide occurs during tpi.
1994
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1152/ajpgi.1994.266.4.g665" target="_blank" rel="noreferrer">10.1152/ajpgi.1994.266.4.g665</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1994
Animals
Backlog
Cisapride
Dogs
Domperidone/pharmacology
Duodenum/drug effects/physiology
Eating
Gastric Emptying/drug effects
Gastrointestinal Motility/drug effects
Journal Article
Metoclopramide/pharmacology
Non-P.H.S.
Orihata M
P.H.S.
Piperidines/pharmacology
Pylorus/drug effects/physiology
Research Support
Sarna SK
The American Journal Of Physiology
Time Factors
U.S. Gov't
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1136/bmj.303.6811.1181" target="_blank" rel="noreferrer">http://doi.org/10.1136/bmj.303.6811.1181</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Continuity of care: influence of general practitioners' knowledge about their patients on use of resources in consultations.
Publisher
An entity responsible for making the resource available
British Medical Journal
Date
A point or period of time associated with an event in the lifecycle of the resource
1991
Subject
The topic of the resource
Child; Cross-Sectional Studies; Female; Humans; Male; Adult; Aged; Middle Aged; Physicians; Time Factors; adolescent; Preschool; infant; referral and consultation; Norway; Continuity of Patient Care; Drug Prescriptions; Family/psychology; Health Resources/utilization; Physician-Patient Relations
Creator
An entity primarily responsible for making the resource
Hjortdahl P; Borchgrevink CF
Description
An account of the resource
OBJECTIVE--To examine the relation between general practitioners' knowledge about their patients and the use of resources in consultations. DESIGN--A cross sectional evaluation of consultations. SETTING AND SUBJECTS--A representative sample of 133 Norwegian general practitioners were each asked to record 30 consecutive consultations. 131 did so, and of 3990 possible registrations, 3918 (98%) were evaluated. MAIN OUTCOME MEASURES--The influence, as assessed by the doctor, of accumulated knowledge on the use of laboratory tests, expectant management, prescriptions, sickness certification, referrals, and time spent in the consultation. RESULTS--Accumulated knowledge was a substantial factor in saving time, especially in consultations with children, the elderly, patients with psychosocial problems, and those with chronic diseases. It also influenced the overall use of laboratory tests, expectant management, sickness certification, and referrals, and to a lesser degree the use of medication. CONCLUSION--The findings imply strong but complex associations between accumulated knowledge and the use of resources in the consultation.
1991
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1136/bmj.303.6811.1181" target="_blank" rel="noreferrer">10.1136/bmj.303.6811.1181</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1991
Adolescent
Adult
Aged
Backlog
Borchgrevink CF
British Medical Journal
Child
Continuity Of Patient Care
Cross-sectional Studies
Drug Prescriptions
Family/psychology
Female
Health Resources/utilization
Hjortdahl P
Humans
Infant
Journal Article
Male
Middle Aged
Norway
Physician-patient Relations
Physicians
Preschool
Referral And Consultation
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1111/j.1469-8749.1997.tb07376.x" target="_blank" rel="noreferrer">http://doi.org/10.1111/j.1469-8749.1997.tb07376.x</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Caregivers' perceptions following gastrostomy in severely disabled children with feeding problems
Publisher
An entity responsible for making the resource available
Developmental Medicine And Child Neurology
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
Subject
The topic of the resource
Child; Female; Humans; Male; Adult; Attitude to Health; Questionnaires; Treatment Outcome; Fundoplication; Time Factors; Cost of Illness; Gastrostomy; Stress; quality of life; adolescent; Preschool; Caregivers/psychology; infant; Q3 Literature Search; Parents/psychology; Nutritional Failure; Psychological/psychology; Developmental Disabilities/complications; Eating Disorders/etiology/therapy
Creator
An entity primarily responsible for making the resource
Tawfik R; Dickson A; Clarke M; Thomas AG
Description
An account of the resource
Feeding difficulties are common in neurologically impaired children, often leading to great distress and frustration in the child and family. A gastrostomy may be advocated if oral intake is inadequate causing poor weight gain or when there is significant aspiration during feeding, or if feeding is very distressing. To find out if caregivers were happy with the outcome of gastrostomy (with fundoplication, when indicated), a 35-item questionnaire was developed and sent to 38 of them. Twenty-nine replies were received and appeared to be representative of the whole group. Coughing, choking, and vomiting improved in most cases. Weight gain improved in all in whom it had been a problem. In the majority, it became easier to give the children their medications although control of epilepsy was unchanged overall. Time spent feeding the child was reduced and many caregivers had more time to devote to other children and themselves. Only one parent regretted the operation. In children with severe disability and feeding problems, a gastrostomy (with fundoplication if there is significant reflux) can reduce symptoms of vomiting, coughing, and choking, help growth and improve quality of life in the child, when patients are properly selected.
1997
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1469-8749.1997.tb07376.x" target="_blank" rel="noreferrer">10.1111/j.1469-8749.1997.tb07376.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1997
Adolescent
Adult
Attitude To Health
Backlog
Caregivers/psychology
Child
Clarke M
Cost Of Illness
Developmental Disabilities/complications
Developmental Medicine and Child Neurology
Dickson A
Eating Disorders/etiology/therapy
Female
Fundoplication
Gastrostomy
Humans
Infant
Journal Article
Male
Nutritional Failure
Parents/psychology
Preschool
Psychological/psychology
Q3 Scoping Review Results
Quality Of Life
Questionnaires
Stress
Tawfik R
Thomas AG
Time Factors
Treatment Outcome
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1111/j.1469-8749.1997.tb07358.x" target="_blank" rel="noreferrer">http://doi.org/10.1111/j.1469-8749.1997.tb07358.x</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Status epilepticus in children: aetiology, treatment, and outcome
Publisher
An entity responsible for making the resource available
Developmental Medicine & Child Neurology
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
Subject
The topic of the resource
Child; Female; Male; Prevalence; Follow-Up Studies; Treatment Outcome; Risk Factors; Time Factors; Chi-Square Distribution; Anticonvulsants; Drug Administration Schedule; Anesthetics; Preschool; Non-U.S. Gov't; infant; retrospective studies; Human; Age Distribution; Electroencephalography; Sex Distribution; Neuropsychological Tests; Support; Adolescence; Shock; Status Epilepticus/dt [Drug Therapy]; Status Epilepticus/et [Etiology]; Barbiturates/ad [Administration & Dosage]; Diazepam/ad [Administration & Dosage]; Encephalitis/co [Complications]; Intravenous/ad [Administration & Dosage]; Meningitis; Nervous System Diseases/ep [Epidemiology]; Septic/co [Complications]; Status Epilepticus/di [Diagnosis]; Status Epilepticus/ep [Epidemiology]; Streptococcal Infections/co [Complications]; Viral/co [Complications]
Creator
An entity primarily responsible for making the resource
Eriksson KJ; Koivikko MJ
Description
An account of the resource
This retrospective study includes 65 children treated for status epilepticus at Tampere University Hospital in Finland. Aetiology of the condition, effectiveness of the treatment protocol, including short barbiturate anaesthesia to prevent prolonged status epilepticus episodes, and neurological outcome were evaluated. Symptomatic aetiology was present in 40% of status epilepticus episodes, and 37% of episodes were induced by fever. Neurological sequelae secondary to status epilepticus were identified in 15% of the cases and subsequent epilepsy in 23% during the mean follow-up time of 3.6 years. There were no status epilepticus-related deaths. The cut-off point of status epilepticus duration for significant risk for permanent neurological sequelae was 2 hours. Our treatment protocol, including short barbiturate anaesthesia in refractory cases, was able to abort status epilepticus in less than 2 hours in 75% of cases. We conclude that early and prompt use of barbiturate anaesthesia should be encouraged, and may explain our low morbidity figures.
1997
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1469-8749.1997.tb07358.x" target="_blank" rel="noreferrer">10.1111/j.1469-8749.1997.tb07358.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1997
Adolescence
Age Distribution
Anesthetics
Anticonvulsants
Backlog
Barbiturates/ad [Administration & Dosage]
Chi-Square Distribution
Child
Developmental Medicine & Child Neurology
Diazepam/ad [Administration & Dosage]
Drug Administration Schedule
Electroencephalography
Encephalitis/co [Complications]
Eriksson KJ
Female
Follow-up Studies
Human
Infant
Intravenous/ad [Administration & Dosage]
Journal Article
Koivikko MJ
Male
Meningitis
Nervous System Diseases/ep [Epidemiology]
Neuropsychological Tests
Non-U.S. Gov't
Preschool
Prevalence
Retrospective Studies
Risk Factors
Septic/co [Complications]
Sex Distribution
Shock
Status Epilepticus/di [Diagnosis]
Status Epilepticus/dt [Drug Therapy]
Status Epilepticus/ep [Epidemiology]
Status Epilepticus/et [Etiology]
Streptococcal Infections/co [Complications]
Support
Time Factors
Treatment Outcome
Viral/co [Complications]
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1111/j.1469-8749.1996.tb12114.x" target="_blank" rel="noreferrer">http://doi.org/10.1111/j.1469-8749.1996.tb12114.x</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Sleep problems in children with Sanfilippo syndrome.
Publisher
An entity responsible for making the resource available
Developmental Medicine And Child Neurology
Date
A point or period of time associated with an event in the lifecycle of the resource
1996
Subject
The topic of the resource
Child; Female; Humans; Male; Questionnaires; Longitudinal Studies; Time Factors; Preschool; Sleep Disorders/etiology; Sleep Disorders/therapy; Mucopolysaccharidosis III/classification; Mucopolysaccharidosis III/complications
Creator
An entity primarily responsible for making the resource
Colville GA; Watters JP; Yule W; Bax M
Description
An account of the resource
Sanfilippo syndrome is a rare degenerative disorder which has severe intellectual and behavioural sequelae, commonly including sleep problems. A parental questionnaire was used to gather information on the sleep patterns of 80 children with Sanfilippo syndrome (mean age 10 years 2 months). The majority were found to have sleep problems (78%). Many also exhibited other distressing and unusual night time behaviours (staying up all night, chewing the bedclothes or crying out suddenly), and a few laughed or sang. Such problems may have been more severe in those with Sanfilippo syndrome type B. In four of the families offered individually tailored behaviour-management advice there was immediate improvement, which was maintained at followup in two cases. These results demonstrate the usefulness of even such a minimal intervention, even in a very difficult population such as this.
1996
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1469-8749.1996.tb12114.x" target="_blank" rel="noreferrer">10.1111/j.1469-8749.1996.tb12114.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1996
Backlog
Bax M
Child
Colville GA
Developmental Medicine and Child Neurology
Female
Humans
Journal Article
Longitudinal Studies
Male
Mucopolysaccharidosis III/classification
Mucopolysaccharidosis III/complications
Preschool
Questionnaires
Sleep Disorders/etiology
Sleep Disorders/therapy
Time Factors
Watters JP
Yule W
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1097/00006254-199404000-00008" target="_blank" rel="noreferrer">http://doi.org/10.1097/00006254-199404000-00008</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Does episiotomy prevent perineal trauma and pelvic floor relaxation?
Publisher
An entity responsible for making the resource available
The Online Journal Of Current Clinical Trials
Date
A point or period of time associated with an event in the lifecycle of the resource
1992
Subject
The topic of the resource
Female; Humans; Pregnancy; Pain; Adult; Time Factors; RDF Project; Coitus; Episiotomy/adverse effects/methods; Labor Stage; Muscle Hypotonia/prevention & control; Parity; Pelvic Floor; Perineum/injuries; Postoperative; Rectum/injuries; Second; Urinary Incontinence/prevention & control; Wounds and Injuries/etiology/prevention & control
Creator
An entity primarily responsible for making the resource
Klein MC; Gauthier RJ; Jorgensen SH; Robbins JM; Kaczorowski J; Johnson B; Corriveau M; Westreich R; Waghorn K; Gelfand MM
Description
An account of the resource
OBJECTIVE: To compare the outcomes of the current practice of liberally or routinely employing episiotomy to prevent perineal tears and pelvic floor relaxation (control group) to a policy of restricting episiotomy use to specific fetal and maternal indications (experimental group). DESIGN: A randomized controlled trial (RCT). SETTING: Three university hospitals in Montreal. SUBJECTS: Seven hundred three low-risk women enrolled at 30 to 34 weeks of gestation were randomized late in labor to the designated trial arm, by parity, and followed up to 3 months postpartum. MAIN OUTCOME MEASURES: Antepartum and postpartum information on perineal trauma and pain, pelvic floor symptoms (urinary incontinence), and sexual activity was collected through the use of standard questionnaires; pelvic floor function was measured by electromyographic (EMG) perineometry. RESULTS: Restricting episiotomy use in primiparous women was associated with similar sutured perineal trauma to the liberal or routine approach. Multiparous women in the restricted episiotomy group more often gave birth with an intact perineum (31% compared with 19%, odds ratio (OR) = 1.85, 95% confidence interval (CI) = 1.09 to 3.16). All but one 3rd/4th-degree perineal tear was associated with median episiotomy (46 of 47 in primiparous women and 6 of 6 among multiparous women). No difference between trial groups was found in postpartum perineal pain, antepartum and 3-month postpartum EMG perineometry, and urinary and pelvic floor symptoms. CONCLUSIONS: We found no evidence that liberal or routine use of episiotomy prevents perineal trauma or pelvic floor relaxation. Virtually all severe perineal trauma was associated with median episiotomy. Restriction of episiotomy use among multiparous women resulted in significantly more intact perineums and less perineal suturing.
1992
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00006254-199404000-00008" target="_blank" rel="noreferrer">10.1097/00006254-199404000-00008</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1992
Adult
Backlog
Coitus
Corriveau M
Episiotomy/adverse effects/methods
Female
Gauthier RJ
Gelfand MM
Humans
Johnson B
Jorgensen SH
Journal Article
Kaczorowski J
Klein MC
Labor Stage
Muscle Hypotonia/prevention & control
Pain
Parity
Pelvic Floor
Perineum/injuries
Postoperative
Pregnancy
RDF Project
Rectum/injuries
Robbins JM
Second
The Online Journal Of Current Clinical Trials
Time Factors
Urinary Incontinence/prevention & control
Waghorn K
Westreich R
Wounds and Injuries/etiology/prevention & control
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1097/00005721-199705000-00019" target="_blank" rel="noreferrer">http://doi.org/10.1097/00005721-199705000-00019</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health status of bereaved parents
Publisher
An entity responsible for making the resource available
Nursing Research
Date
A point or period of time associated with an event in the lifecycle of the resource
1996
Subject
The topic of the resource
Child; Female; Humans; Male; Adult; Questionnaires; Death; Health Status; Longitudinal Studies; Time Factors; Case-Control Studies; adolescent; Preschool; bereavement; infant; Parents/psychology; Parent caregivers; Neoplasms/psychology
Creator
An entity primarily responsible for making the resource
Birenbaum LK; Stewart BJ; Phillips DS
Description
An account of the resource
Forty-seven mothers and 33 fathers, representing 48 families, participated in a propective longitudinal study of the effects on family members of a child's dying. The purpose of this article is to describe parents' health during the terminal illness of their child and during the first year following their child's death from cancer. The Duke-UNC Health Profile was used to examine parents' health prior to and at three points in thime after the child's death. The bereavedparents' general health was compared to the health of normative sample of adults. The findings indicate that parents' health is not adversely affected by a child's death from cancer.
1996
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00005721-199705000-00019" target="_blank" rel="noreferrer">10.1097/00005721-199705000-00019</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1996
Adolescent
Adult
Backlog
Bereavement
Birenbaum LK
Case-Control Studies
Child
Death
Female
Health Status
Humans
Infant
Journal Article
Longitudinal Studies
Male
Neoplasms/psychology
Nursing Research
Parent caregivers
Parents/psychology
Phillips DS
Preschool
Questionnaires
Stewart BJ
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1093/geront/37.6.785" target="_blank" rel="noreferrer">http://doi.org/10.1093/geront/37.6.785</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Meaning in caregiving and its contribution to caregiver well-being.
Publisher
An entity responsible for making the resource available
Gerontologist
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
Subject
The topic of the resource
Child; Female; Humans; Male; Home Nursing; Adult; Education; Emotions; Aged; Middle Aged; Disabled Persons; Longitudinal Studies; Time Factors; Frail Elderly; Research; Income; Regression Analysis; 80 and over; P.H.S.; Research Support; U.S. Gov't; Caregivers/psychology; Interviews; Comparative Study; Spouses
Creator
An entity primarily responsible for making the resource
Noonan AE; Tennstedt SL
Description
An account of the resource
This multivariate study examined the relationship between meaning in caregiving--positive beliefs about the caregiving situation and the self as caregiver--and the psychological well-being of 131 informal caregivers to community-residing frail elders. Measures of well-being included depression, self-esteem, mastery, role captivity, and loss of self. Meaning in caregiving explained a significant portion of the differences in depression and self-esteem scores even after demographic and stressor variables had been controlled. Meaning was not related to mastery, role captivity, or loss of self. The conceptual parameters of meaning in caregiving are discussed, as are directions for future research.
1997
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1093/geront/37.6.785" target="_blank" rel="noreferrer">10.1093/geront/37.6.785</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1997
80 And Over
Adult
Aged
Backlog
Caregivers/psychology
Child
Comparative Study
Disabled Persons
Education
Emotions
Female
Frail Elderly
Gerontologist
Home Nursing
Humans
Income
Interviews
Journal Article
Longitudinal Studies
Male
Middle Aged
Noonan AE
P.H.S.
Regression Analysis
Research
Research Support
Spouses
Tennstedt SL
Time Factors
U.S. Gov't
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1093/geront/35.5.637" target="_blank" rel="noreferrer">http://doi.org/10.1093/geront/35.5.637</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The long-term effects of later life spousal and parental bereavement on personal functioning
Publisher
An entity responsible for making the resource available
The Gerontologist
Date
A point or period of time associated with an event in the lifecycle of the resource
1995
Subject
The topic of the resource
Female; Humans; Male; Adult; Aged; Age Factors; Sex Factors; Life Change Events; Time Factors; Sampling Studies; Regression Analysis; quality of life; Adaptation; Psychological; bereavement; Family/psychology; Bereavement Leave Policy Paper; Widowhood/psychology
Creator
An entity primarily responsible for making the resource
Arbuckle NW; de Vries B
Description
An account of the resource
Using data from Americans' Changing Lives: Wave 1, 1986, this study examined the long-term effects on the personal functioning of older women and men following the death of an adult child or a spouse. Guided by Weiss's (1993) theoretical framework, 41 bereaved parents and 143 bereaved spouses were compared to 407 nonbereaved adults on measures of perceived health, self-efficacy, depression, life satisfaction, and future orientation. Analyses revealed bereavement and gender effects and a consistent influence of the sociodemographic characteristics of education, income, and duration of bereavement on functioning.
1995
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1093/geront/35.5.637" target="_blank" rel="noreferrer">10.1093/geront/35.5.637</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1995
Adaptation
Adult
Age Factors
Aged
Arbuckle NW
Backlog
Bereavement
Bereavement Leave Policy Paper
de Vries B
Family/psychology
Female
Humans
Journal Article
Life Change Events
Male
Psychological
Quality Of Life
Regression Analysis
Sampling Studies
Sex Factors
The Gerontologist
Time Factors
Widowhood/psychology
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1093/brain/121.4.589" target="_blank" rel="noreferrer">http://doi.org/10.1093/brain/121.4.589</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The natural history of degenerative ataxia: a retrospective study in 466 patients
Publisher
An entity responsible for making the resource available
Brain
Date
A point or period of time associated with an event in the lifecycle of the resource
1998
Subject
The topic of the resource
Child; Female; Humans; Male; Adult; Prognosis; Aged; Middle Aged; Disease Progression; Survival Analysis; Risk Factors; Time Factors; Wheelchairs; Gait; adolescent; Preschool; Q3 Literature Search; retrospective studies; Age of Onset; Sex Characteristics; Cerebellar Ataxia/genetics/mortality/physiopathology; Friedreich Ataxia/genetics/mortality/physiopathology; Multiple System Atrophy/genetics/mortality/physiopathology; Spinocerebellar Degenerations/genetics/mortality/physiopathology; Trinucleotide Repeats
Creator
An entity primarily responsible for making the resource
Klockgether T; Ludtke R; Kramer B; Abele M; Burk K; Schols L; Riess O; Laccone F; Boesch S; Lopes-Cendes I; Brice A; Inzelberg R; Zilber N; Dichgans J
Description
An account of the resource
The aim of the present study was (i) to compare disease progression and survival in different types of degenerative ataxia, and (ii) to identify variables that may modify the rate of disease progression. We included patients suffering from Friedreich's ataxia (FRDA, n = 83), early onset cerebellar ataxia (EOCA, n = 30), autosomal dominant cerebellar ataxia (ADCA) type I (ADCA-I, n = 273), ADCA-III (n = 13) and multiple system atrophy (MSA, n = 67). Molecular genetic testing allowed us to assign 202 ADCA-I patients to one of the following subgroups: spinocerebellar ataxia type I (SCAI, n = 36), SCA2 (n = 56) and SCA3 (n = 110). To assess disease progression we defined the following disease stages: stage 0 = no gait difficulties; stage 1 = disease onset, as defined by onset of gait difficulties; stage 2 = loss of independent gait; stage 3 = confinement to wheelchair; stage 4 = death. Disease progression was most rapid in MSA, intermediate in FRDA, ADCA-I and ADCA-III and slowest in EOCA. The rate of progression was similar in SCA1, SCA2 and SCA3. The CAG repeat length was a significant risk factor for faster progression in SCA2 and SCA3, but not in SCA1. In FRDA, the time until confinement to wheelchair was shorter in patients with earlier disease onset, suggesting that patients with long GAA repeats and early disease onset have a poor prognosis. Female gender increased the risk of becoming dependent on walking aids or a wheelchair, but it did not influence survival in FRDA, SCA3 and MSA. In SCA2, female gender was associated with shortened survival. In MSA, later age of onset increased the risk of rapid progression and death.
1998
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1093/brain/121.4.589" target="_blank" rel="noreferrer">10.1093/brain/121.4.589</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1998
Abele M
Adolescent
Adult
Age of Onset
Aged
Backlog
Boesch S
Brain
Brice A
Burk K
Cerebellar Ataxia/genetics/mortality/physiopathology
Child
Dichgans J
Disease Progression
Female
Friedreich Ataxia/genetics/mortality/physiopathology
Gait
Humans
Inzelberg R
Journal Article
Klockgether T
Kramer B
Laccone F
Lopes-Cendes I
Ludtke R
Male
Middle Aged
Multiple System Atrophy/genetics/mortality/physiopathology
Preschool
Prognosis
Q3 Scoping Review Results
Retrospective Studies
Riess O
Risk Factors
Schols L
Sex Characteristics
Spinocerebellar Degenerations/genetics/mortality/physiopathology
Survival Analysis
Time Factors
Trinucleotide Repeats
Wheelchairs
Zilber N
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1093/bja/72.2.160" target="_blank" rel="noreferrer">http://doi.org/10.1093/bja/72.2.160</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Comparison of different bolus doses of morphine for patient-controlled analgesia in children
Publisher
An entity responsible for making the resource available
British Journal Of Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
1994
Subject
The topic of the resource
Child; Female; Male; Pain; Pain Measurement; Time Factors; Non-U.S. Gov't; Comparative Study; Nausea/chemically induced; Human; Support; Adolescence; Patient-Controlled; Sleep/drug effects; Vomiting/chemically induced; Appendectomy; Analgesia; Morphine/administration & dosage/adverse effects; Postoperative/prevention & control
Creator
An entity primarily responsible for making the resource
Doyle E; Mottart KJ; Marshall C; Morton NS
Description
An account of the resource
Forty children undergoing appendicectomy were allocated randomly to receive one of two PCA regimens with morphine. Group B10 received bolus doses of 10 micrograms kg-1 and group B20 received bolus doses of 20 micrograms kg-1. In both groups there was a lockout interval of 5 min and a background infusion of 4 micrograms kg-1 h-1. Group B20 self-administered considerably more morphine (P < 0.01) than group B10. There was no difference between the pain scores of the groups at rest. Group B20 had significantly (P < 0.05) smaller pain scores during movement than group B10 and the latter group suffered significantly (P < 0.01) more hypoxaemic episodes than group B20. There were no differences between the groups in the incidence of vomiting, excess sedation or the amount of time spent asleep at night.
1994
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1093/bja/72.2.160" target="_blank" rel="noreferrer">10.1093/bja/72.2.160</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1994
Adolescence
Analgesia
Appendectomy
Backlog
British Journal Of Anaesthesia
Child
Comparative Study
Doyle E
Female
Human
Journal Article
Male
Marshall C
Morphine/administration & dosage/adverse effects
Morton NS
Mottart KJ
Nausea/chemically induced
Non-U.S. Gov't
Pain
Pain Measurement
Patient-Controlled
Postoperative/prevention & control
Sleep/drug effects
Support
Time Factors
Vomiting/chemically induced
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1093/bja/70.4.414" target="_blank" rel="noreferrer">http://doi.org/10.1093/bja/70.4.414</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Ventilatory effects of morphine, pethidine and methadone in children
Publisher
An entity responsible for making the resource available
British Journal Of Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Subject
The topic of the resource
Child; Female; Humans; Male; Pain; Time Factors; Depression; Preschool; Non-U.S. Gov't; Research Support; Oxygen/blood; Postoperative/prevention & control; Respiration/drug effects; Chemical; Meperidine/pharmacology; Methadone/pharmacology; Morphine/pharmacology; Tidal Volume/drug effects
Creator
An entity primarily responsible for making the resource
Hamunen K
Description
An account of the resource
The ventilatory effects of single i.v. doses of morphine 0.1 mg kg-1, pethidine 0.67 mg kg-1 and methadone 0.1 mg kg-1 were compared after ophthalmic surgery in an open, randomized study in 30 children aged 3-8 yr. Ventilatory changes after each drug had distinctive profiles, with appreciable individual variation. Acutely, the decrease in ventilatory frequency was greater with pethidine and methadone than with morphine. The acute decrease in oxygen saturation was greater with methadone and pethidine than with morphine. Methadone produced a greater and longer lasting increase in end-tidal carbon dioxide and greater decrease in end-tidal oxygen than morphine or pethidine. Changes in end-tidal carbon dioxide and oxygen concentrations and saturation were most transient after pethidine and of longest duration after methadone. No child developed apnoea or hypoventilation requiring assistance.
1993
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1093/bja/70.4.414" target="_blank" rel="noreferrer">10.1093/bja/70.4.414</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1993
Backlog
British Journal Of Anaesthesia
Chemical
Child
Depression
Female
Hamunen K
Humans
Journal Article
Male
Meperidine/pharmacology
Methadone/pharmacology
Morphine/pharmacology
Non-U.S. Gov't
Oxygen/blood
Pain
Postoperative/prevention & control
Preschool
Research Support
Respiration/drug effects
Tidal Volume/drug effects
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1055/s-2001-12195" target="_blank" rel="noreferrer">http://doi.org/10.1055/s-2001-12195</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hormonal response to surgical stress in schoolchildren
Publisher
An entity responsible for making the resource available
European Journal Of Pediatric Surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
Subject
The topic of the resource
Child; Humans; Prospective Studies; Time Factors; adolescent; beta-Endorphin/blood; Biomarkers of Pain; Biomarkers Reference List; Adrenocorticotropic Hormone/blood; Hydrocortisone/blood; Stress/blood
Creator
An entity primarily responsible for making the resource
Castejon-Casado J; Moreno-Prieto M; Valladares-Mendias JC; Alaminos-Mingorance M; Lopez-Candel E; Ramirez-Navarro A
Description
An account of the resource
PURPOSE: To determine hormone concentrations (ACTH, cortisol, beta-endorphin) in children before and after surgery, to assess the correlation between any hormonal changes and to study the influence exercised on them by the severity of surgical stress and the elective/emergency nature of the surgery. PATIENTS AND METHODS: Prospective cohort of 78 children (age= 10+/-2.6 years, range 6-13 years) undergoing elective or emergency surgery. Preoperative and postoperative (1 and 24 hours postoperation) plasma concentrations of ACTH, cortisol and beta-endorphin were determined in all children. The severity of surgical stress was evaluated as low ( 6) according to the Oxford scale. Student's t-test was used to analyse hormonal changes and the influence of degree of surgical stress and elective/emergency character of the surgery, and Pearson's coefficient for correlations between hormonal values. p < 0.05 was regarded as significant. RESULTS: We observed a significant increase in hormonal concentrations one hour after surgery. ACTH and cortisol values normalised 24 hours after surgery, but beta-endorphin concentrations remained increased. There was a correlation between ACTH and beta-endorphin values both before surgery and one hour after. Operations with high surgical stress significantly increased cortisol concentrations one hour after surgery and beta-endorphin concentrations 24 hours after surgery. Patients selected for emergency surgery showed significantly higher concentrations of cortisol and ACTH both before and after surgery. CONCLUSIONS: Postoperative hormonal response among children of school age is characterised by increases in ACTH, cortisol and beta-endorphin one hour after surgery, and by high concentrations of beta-endorphin 24 hours after surgery. Cortisol is an index of surgical stress. Emergency surgery is associated with significant increases in ACTH and cortisol.
2001
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1055/s-2001-12195" target="_blank" rel="noreferrer">10.1055/s-2001-12195</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2001
Adolescent
Adrenocorticotropic Hormone/blood
Alaminos-Mingorance M
Backlog
beta-Endorphin/blood
Biomarkers of Pain
Biomarkers Reference List
Castejon-Casado J
Child
European Journal Of Pediatric Surgery
Humans
Hydrocortisone/blood
Journal Article
Lopez-Candel E
Moreno-Prieto M
Prospective Studies
Ramirez-Navarro A
Stress/blood
Time Factors
Valladares-Mendias JC
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1054/clnu.2000.0157" target="_blank" rel="noreferrer">http://doi.org/10.1054/clnu.2000.0157</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hunger disease
Publisher
An entity responsible for making the resource available
Clinical Nutrition (edinburgh, Scotland)
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
Subject
The topic of the resource
Humans; Nutritional Support; Health Status; Time Factors; Adaptation; Energy Metabolism; Body Composition; Physiological; Starvation/metabolism; Adipose Tissue/metabolism; Appetite/physiology; Eating/physiology; Hunger/physiology; Nutrition Disorders/metabolism; Obesity/metabolism/physiopathology; Weight Loss/physiology
Creator
An entity primarily responsible for making the resource
Elia M
Description
An account of the resource
This paper examines three aspects of hunger disease: the effect of initial fat stores on macronutrient fuel selection during total starvation (no energy) and how it influences survival; the effects of different rates of weight loss on tissue and body function; and the importance of appetite sensations, including hunger, during malnutrition and during enteral and parenteral nutritional support. Long-term starvation studies in humans reveal major differences in fat carbohydrate and protein metabolism between lean and obese subjects, including a 2-4-fold lower contribution of protein oxidation to energy expenditure in obese subjects, which ensures that more of the excess body fat is oxidized. The rate of weight loss, determined by recent dietary intake, can have major effects on tissue and body function, including wound healing, the acute phase protein response, muscle fatigue and psychological/behavioural function in both clinical and non-clinical settings. In depleted states uncomplicated by disease, changes in appetite sensations can result in energy intakes as high as 6000 to 10,000 kcal/day ( 25-42 MJ/day). Long-term enteral tube feeding and parenteral nutrition are associated with frequent disturbances in appetite sensations, and in those able to eat normally they tend to add rather than replace oral intake to an extent that appears to depend on the regimen. It is concluded that 1) differences between lean and obese subjects in macronutrient fuel selection during starvation are adaptive because they optimize survival in both groups of subjects; 2) the rate of weight loss in health and disease has a major effect on certain tissue and body functions, independently of the magnitude of weight loss; and 3) clinically relevant disturbances in appetite sensations are common subjects receiving long-term enteral and parenteral nutrition. The clinical modulation of all these variables would be aided by greater knowledge of the mechanisms involved.
2000
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1054/clnu.2000.0157" target="_blank" rel="noreferrer">10.1054/clnu.2000.0157</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2000
Adaptation
Adipose Tissue/metabolism
Appetite/physiology
Backlog
Body Composition
Clinical Nutrition (edinburgh, Scotland)
Eating/physiology
Elia M
Energy Metabolism
Health Status
Humans
Hunger/physiology
Journal Article
Nutrition Disorders/metabolism
Nutritional Support
Obesity/metabolism/physiopathology
Physiological
Starvation/metabolism
Time Factors
Weight Loss/physiology
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1038/jcbfm.1994.17" target="_blank" rel="noreferrer">http://doi.org/10.1038/jcbfm.1994.17</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Brain metabolism during short-term starvation in humans
Publisher
An entity responsible for making the resource available
Journal Of Cerebral Blood Flow And Metabolism
Date
A point or period of time associated with an event in the lifecycle of the resource
1994
Subject
The topic of the resource
Female; Humans; Male; Adult; Time Factors; Tissue Distribution; Non-U.S. Gov't; Research Support; Emission-Computed; Tomography; Brain/metabolism; Starvation/metabolism; Blood Glucose/analysis; Ketone Bodies/metabolism; Arteries; Deoxyglucose/analogs & derivatives/metabolism; Fluorine Radioisotopes; Fluorodeoxyglucose F18; Glucose/metabolism; Osmolar Concentration
Creator
An entity primarily responsible for making the resource
Hasselbalch SG; Knudsen GM; Jakobsen J; Hageman LP; Holm S; Paulson OB
Description
An account of the resource
During prolonged starvation, brain energy requirements are covered in part by the metabolism of ketone bodies. It is unknown whether short-term starvation of a few days' duration may lead to reduced brain glucose metabolism due to the change toward ketone body consumption. In the present study we measured the cerebral metabolism of glucose and ketone bodies in nine healthy volunteers before and after 3.5 days of starvation. Regional glucose metabolism was measured by dynamic positron emission tomography using [18F]2-fluoro-2-deoxy-D-glucose. The mean value of K1* in gray and white matter increased by 12% (p < 0.05), whereas k2* and k3* were unchanged compared with control values. Regional glucose metabolism in cortical gray matter was reduced by 26% from 0.294 +/- 0.054 to 0.217 +/- 0.040 mumol g-1 min-1 (p < 0.001). White matter glucose metabolism decreased by 27% (p < 0.02). The decrease was uniform in gray and white matter with regional decreases ranging from 24 to 30%. A determination using Fick's principle confirmed the reduction in glucose metabolism yielding a decrease of 24% from 0.307 +/- 0.050 to 0.233 +/- 0.073 mumol g-1 min-1 (p < 0.05), whereas CBF did not change (0.57 +/- 0.07 vs. 0.57 +/- 0.06 ml g-1 min-1). The global net uptake of beta-hydroxybutyrate increased 13-fold from 0.012 +/- 0.024 to 0.155 +/- 0.140 mumol g-1 min-1 (p < 0.05). Net uptake of acetoacetate and net efflux of lactate and pyruvate did not change significantly during starvation. The present study shows that the human brain adapts to the changes in energy supply as early as 3 days following initiation of starvation, at which time ketone bodies account for approximately one-fourth of the cerebral energy requirements.
1994
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1038/jcbfm.1994.17" target="_blank" rel="noreferrer">10.1038/jcbfm.1994.17</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1994
Adult
Arteries
Backlog
Blood Glucose/analysis
Brain/metabolism
Deoxyglucose/analogs & derivatives/metabolism
Emission-Computed
Female
Fluorine Radioisotopes
Fluorodeoxyglucose F18
Glucose/metabolism
Hageman LP
Hasselbalch SG
Holm S
Humans
Jakobsen J
Journal Article
Journal Of Cerebral Blood Flow And Metabolism
Ketone Bodies/metabolism
Knudsen GM
Male
Non-U.S. Gov't
Osmolar Concentration
Paulson OB
Research Support
Starvation/metabolism
Time Factors
Tissue Distribution
Tomography
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
PedPalASCNet Member Publications
Subject
The topic of the resource
A collection of relevant articles published by one or more of PedPalASCNet's members
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1037/h0080386" target="_blank" rel="noreferrer">http://doi.org/10.1037/h0080386</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Perceptions of control and long-term recovery from rape
Publisher
An entity responsible for making the resource available
The American Journal Of Orthopsychiatry
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
Subject
The topic of the resource
Female; Humans; Adult; Middle Aged; Self Efficacy; Ontario; Multivariate Analysis; Time Factors; Internal-External Control; Regression Analysis; adolescent; Non-U.S. Gov't; Research Support; Adaptation; Psychological; retrospective studies; Stress Disorders; Survivors/psychology; Rape/psychology; Disease Susceptibility; Depression/etiology/physiopathology; Post-Traumatic/etiology/physiopathology; Recovery of Function
Creator
An entity primarily responsible for making the resource
Regehr C; Cadell S; Jansen K
Description
An account of the resource
The relationship between perceptions of control and symptoms of both long-term depression and post-traumatic stress was examined. Enduring beliefs of personal competence and control were found to be associated with lower rates of depression and stress and to be stronger predictors of long-term recovery than were rape-specific attributions. Implications for clinical practice are discussed.
1999
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1037/h0080386" target="_blank" rel="noreferrer">10.1037/h0080386</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1999
Adaptation
Adolescent
Adult
Backlog
Cadell S
Depression/etiology/physiopathology
Disease Susceptibility
Female
Humans
Internal-External Control
Jansen K
Journal Article
Middle Aged
Multivariate Analysis
Non-U.S. Gov't
Ontario
Post-Traumatic/etiology/physiopathology
Psychological
Rape/psychology
Recovery of Function
Regehr C
Regression Analysis
Research Support
Retrospective Studies
Self Efficacy
Stress Disorders
Survivors/psychology
The American Journal Of Orthopsychiatry
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/s0882-5963(97)80029-2" target="_blank" rel="noreferrer">http://doi.org/10.1016/s0882-5963(97)80029-2</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The multiple meanings of long-term gastrostomy in children with severe disability
Publisher
An entity responsible for making the resource available
Journal Of Pediatric Nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
Subject
The topic of the resource
Child; Humans; United States; Canada; Attitude to Health; Attitude of Health Personnel; Time Factors; Caregivers/psychology; Interviews; Mothers/psychology; Nutritional Failure; Gastrostomy/nursing/psychology; Nurses/psychology
Creator
An entity primarily responsible for making the resource
Thorne SE; Radford MJ; McCormick J
Description
An account of the resource
Although the physiological implications of long-term gastrostomy for children with severe disability are well documented in the nursing literature, little is known about the psychosocial effect of this technological intervention. This study documents and interprets the perspective of expert nurses and parents to reveal conflictual social processes associated with gastrostomy decision-making and the intense moral dilemma that these processes create. The findings suggest that gastrostomy denotes multiple meanings for parents and health care providers, and that an appreciation for these meanings can have a significant positive impact on nursing care for these children and their families.
1997
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0882-5963(97)80029-2" target="_blank" rel="noreferrer">10.1016/s0882-5963(97)80029-2</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1997
Attitude Of Health Personnel
Attitude To Health
Backlog
Canada
Caregivers/psychology
Child
Gastrostomy/nursing/psychology
Humans
Interviews
Journal Article
Journal of Pediatric Nursing
McCormick J
Mothers/psychology
Nurses/psychology
Nutritional Failure
Radford MJ
Thorne SE
Time Factors
United States
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/s0749-0690(05)70016-1" target="_blank" rel="noreferrer">http://doi.org/10.1016/s0749-0690(05)70016-1</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Physician-older patient communication at the end of life.
Publisher
An entity responsible for making the resource available
Clinics In Geriatric Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
Subject
The topic of the resource
Female; Humans; Male; Aged; Communication; Patient Participation; Truth Disclosure; Time Factors; Advance Directive Adherence; advance care planning; DNAR; Attitude to Death; Advance Directives; Physician-Patient Relations; Terminal Care/mt [Methods]; Empirical Research; Palliative Care/mt [Methods]
Creator
An entity primarily responsible for making the resource
Siegler EL; Levin BW
Description
An account of the resource
Communication with dying patients and their families requires special skills to assist them in this extremely stressful period. This article begins with a case that illustrates many of the challenges of communicating with the dying. It then reviews the literature about communication with older patients at the end of life, focusing on physician-patient discussions, decision-making, advance directives, and cultural factors. The article concludes with a practical discussion of problems that physicians may encounter when working with older patients at the end of life and their families and recommendations to improve communication.
2000
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0749-0690(05)70016-1" target="_blank" rel="noreferrer">10.1016/s0749-0690(05)70016-1</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2000
Advance Care Planning
Advance Directive Adherence
Advance Directives
Aged
Attitude To Death
Backlog
Clinics In Geriatric Medicine
Communication
DNAR
Empirical Research
Female
Humans
Journal Article
Levin BW
Male
Palliative Care/mt [methods]
Patient Participation
Physician-patient Relations
Siegler EL
Terminal Care/mt [methods]
Time Factors
Truth Disclosure
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/s0031-3955(05)70226-1" target="_blank" rel="noreferrer">http://doi.org/10.1016/s0031-3955(05)70226-1</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Pediatric acute pain management
Publisher
An entity responsible for making the resource available
Pediatric Clinics Of North America
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
Subject
The topic of the resource
Child; infant; Analgesics; Time Factors; Acute Disease; Nebulizers and Vaporizers; Anesthetics; Preschool; infant; Chronic disease; Newborn; Infusions; Intravenous; Human; Local/therapeutic use; Nerve Block/methods; Non-Narcotic/administration & dosage/therapeutic use; Opioid/administration & dosage/blood/therapeutic use; Pain/drug therapy/physiopathology
Creator
An entity primarily responsible for making the resource
Golianu B; Krane EJ; Galloway KS; Yaster M
Description
An account of the resource
The past decade has brought about an explosion of knowledge about the physiology of nociception and many new techniques for pain relief, new analgesic drugs, and new applications of old analgesic drugs. These techniques include methods of opioid administration by transdermal and transmucosal absorption and the use of neuraxial analgesia for the management of pain in children. Interest in the use of regional anesthesia in children has been rekindled, and analgesic properties and pre-emptive analgesic properties of many agents not typically considered analgesics, such as clonidine and ketamine, have been recognized. Perhaps the greatest advance has been the paradigm shift in the recognition that pain not only exists in infants and children but also is a significant cause of morbidity and even mortality. Given the unprecedented interest in pain management in adults and children, physicians can now look forward to the development of new methods of drug delivery and of receptor-specific drugs that divorce analgesia from the untoward side effects of existing analgesics. Improvement in the quality of life of hospitalized children also will occur.
2000
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0031-3955(05)70226-1" target="_blank" rel="noreferrer">10.1016/s0031-3955(05)70226-1</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2000
Acute Disease
Analgesics
Anesthetics
Backlog
Child
Chronic Disease
Galloway KS
Golianu B
Human
Infant
Infusions
Intravenous
Journal Article
Krane EJ
Local/therapeutic use
Nebulizers and Vaporizers
Nerve Block/methods
Newborn
Non-Narcotic/administration & dosage/therapeutic use
Opioid/administration & dosage/blood/therapeutic use
Pain/drug therapy/physiopathology
Pediatric Clinics of North America
Preschool
Time Factors
Yaster M
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/0361-9230(93)90033-8" target="_blank" rel="noreferrer">http://doi.org/10.1016/0361-9230(93)90033-8</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Pituitary-adrenal function and hypothalamic beta-endorphin release in vitro following food deprivation
Publisher
An entity responsible for making the resource available
Brain Research Bulletin
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Subject
The topic of the resource
Male; Time Factors; Animals; Rats; Non-U.S. Gov't; Research Support; Body Weight; Blood Glucose/metabolism; Corticosterone/blood; In Vitro; Pituitary-Adrenal System/physiology; Adrenal Glands/physiology; beta-Endorphin/secretion; Corticotropin-Releasing Hormone/pharmacology; Dexamethasone/pharmacology; Food Deprivation; Hypothalamus/drug effects/secretion; Organ Size; Thymus Gland/physiology; Wistar
Creator
An entity primarily responsible for making the resource
Mitev Y; Almeida OF; Patchev V
Description
An account of the resource
Basal and dexamethasone-suppressed adrenal glucocorticoid secretion and hypothalamic beta-endorphin (BE) release in vitro were investigated in rats deprived of food for 24, 48, 72, and 96 h. Fasting for up to 48 h neither caused significant changes in serum corticosterone levels nor in the suppressive effect of dexamethasone. Food deprivation for 72-96 h resulted in increased basal serum corticosterone, diminished suppression by dexamethasone, and a significant involution of the thymus. Basal in vitro BE release from hypothalamic explants was significantly increased after the first day of food deprivation, and in vitro perifusion with corticotropin-releasing hormone (CRH) failed to enhance BE release further. With continuing food deprivation, basal BE release remained significantly greater than that from hypothalami originating from normally fed control rats. The stimulatory effect of CRH on BE release was only partially restored after 2 days of fasting. The results suggest that food deprivation for more than 2 days increases basal glucocorticoid secretion, and signs of impairment in hypothalamic-pituitary-adrenal regulation become apparent. These findings might be implicated in the pathogenetic mechanisms of endocrine dysregulation in diseases related to caloric reduction.
1993
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/0361-9230(93)90033-8" target="_blank" rel="noreferrer">10.1016/0361-9230(93)90033-8</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1993
Adrenal Glands/physiology
Almeida OF
Animals
Backlog
beta-Endorphin/secretion
Blood Glucose/metabolism
Body Weight
Brain Research Bulletin
Corticosterone/blood
Corticotropin-Releasing Hormone/pharmacology
Dexamethasone/pharmacology
Food Deprivation
Hypothalamus/drug effects/secretion
In Vitro
Journal Article
Male
Mitev Y
Non-U.S. Gov't
Organ Size
Patchev V
Pituitary-Adrenal System/physiology
Rats
Research Support
Thymus Gland/physiology
Time Factors
Wistar
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/0140-6736(91)93401-t" target="_blank" rel="noreferrer">http://doi.org/10.1016/0140-6736(91)93401-t</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Comparison of continuous subcutaneous and intravenous hydromorphone infusions for management of cancer pain
Publisher
An entity responsible for making the resource available
Lancet
Date
A point or period of time associated with an event in the lifecycle of the resource
1991
Subject
The topic of the resource
Female; Humans; Male; Aged; Middle Aged; Severity of Illness Index; Time Factors; Double-Blind Method; Non-U.S. Gov't; Research Support; Comparative Study; Evaluation Studies; Palliative Care/methods; Infusion Pumps; Infusions; Intravenous; Hydromorphone/administration & dosage/adverse effects/blood/therapeutic use; Implantable; Neoplasms/blood/physiopathology; Pain/blood/drug therapy/etiology; Parenteral/methods
Creator
An entity primarily responsible for making the resource
Moulin DE; Kreeft JH; Murray-Parsons N; Bouquillon AI
Description
An account of the resource
To compare the safety and efficacy of subcutaneous and intravenous infusion of opioid analgesics, a randomised, double-blind, crossover trial was carried out in inpatients. 15 patients with severe cancer pain received two 48 h infusions of hydromorphone--one subcutaneously and one intravenously in randomly allocated order. The study was made double-blind by the use of two infusion pumps throughout; during the active subcutaneous infusion the intravenous pump delivered saline and vice versa. Serial measurements of pain intensity, pain relief, mood, and sedation by means of visual analogue scales showed no clinically or statistically significant difference between the two infusion routes. Side-effects were slight, and the mean number of morphine injections for breakthrough pain did not differ significantly between the routes (4.8 [SD 4.5] for intravenous vs 5.3 [5.6] for subcutaneous). Plasma hydromorphone concentrations measured at 24 h and 48 h of infusion showed stable steady-state pharmacokinetics; the mean bioavailability from subcutaneous infusion was 78% of that with intravenous infusion. Because of the simplicity, technical advantages, and cost-effectiveness of continuous subcutaneous opioid infusion into the chest wall or trunk, intravenous opioid infusion for the management of severe cancer pain should be abandoned.
1991
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/0140-6736(91)93401-t" target="_blank" rel="noreferrer">10.1016/0140-6736(91)93401-t</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1991
Aged
Backlog
Bouquillon AI
Comparative Study
Double-Blind Method
Evaluation Studies
Female
Humans
Hydromorphone/administration & dosage/adverse effects/blood/therapeutic use
Implantable
Infusion Pumps
Infusions
Intravenous
Journal Article
Kreeft JH
Lancet
Male
Middle Aged
Moulin DE
Murray-Parsons N
Neoplasms/blood/physiopathology
Non-U.S. Gov't
Pain/blood/drug therapy/etiology
Palliative Care/methods
Parenteral/methods
Research Support
Severity Of Illness Index
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1006/brbi.1994.1023" target="_blank" rel="noreferrer">http://doi.org/10.1006/brbi.1994.1023</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Intermittent but not continuous inescapable footshock stress affects immune responses and immunocyte beta-endorphin concentrations in the rat
Publisher
An entity responsible for making the resource available
Brain, Behavior, And Immunity
Date
A point or period of time associated with an event in the lifecycle of the resource
1994
Subject
The topic of the resource
Male; Time Factors; Animals; Acute Disease; Rats; Comparative Study; Receptors; beta-Endorphin/analysis; Corticosterone/blood; Corticotropin-Releasing Hormone/antagonists & inhibitors; Corticotropin-Releasing Hormone/blood/pharmacology/physiology; Electroshock/adverse effects; Foot; Helplessness; Killer Cells; Learned; Lymphocyte Activation; Lymphoid Tissue/chemistry; Natural/immunology; Neuroimmunomodulation/physiology; Peptide Fragments/pharmacology; Spleen/immunology; Sprague-Dawley; Stress/etiology/immunology
Creator
An entity primarily responsible for making the resource
Sacerdote P; Manfredi B; Bianchi M; Panerai AE
Description
An account of the resource
It is well known that a variety of stressors influence immune responses. The opioid peptide-beta-endorphin (BE) is deeply involved in stress responses, is synthesized in cells of the immune system, and participates in the modulation of immune function. We analyzed the ability of two different stress paradigms to modulate the beta-endorphin concentrations in the immune cells and the immune response in the rat. Two and 24 h after the exposure to inescapable intermittent footshock (1.6 mA, 60 Hz, 1 s, every 5 s for 20 min) the concentrations of beta-endorphin in splenocytes, peripheral blood mononuclear cells and lymph node cells were significantly increased. In contrast, the exposure to a continuous footshock for 3 min did not affect the concentrations of the opioid peptide. Similarly, phytohemoagglutinin-induced proliferation of splenocytes and natural killer activity were significantly impaired only after the exposure to intermittent footshock stress. On the contrary, plasma corticosterone levels were similarly elevated after both paradigms of stress. The pretreatment with the corticotropin-releasing hormone (CRH) receptor antagonist prevented both the stress-induced increase of immunocyte BE and immunosuppression. In conclusion, our data suggest that intermittent and continuous footshock stressors activate different neuroendocrine responses and that CRH plays a central role in mediating the immune effects of the intermittent footshock stress. The possible relationship between the beta-endorphin changes and immunosuppression is discussed.
1994
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1006/brbi.1994.1023" target="_blank" rel="noreferrer">10.1006/brbi.1994.1023</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1994
Acute Disease
Animals
Backlog
beta-Endorphin/analysis
Bianchi M
Brain, Behavior, And Immunity
Comparative Study
Corticosterone/blood
Corticotropin-Releasing Hormone/antagonists & inhibitors
Corticotropin-Releasing Hormone/blood/pharmacology/physiology
Electroshock/adverse effects
Foot
Helplessness
Journal Article
Killer Cells
Learned
Lymphocyte Activation
Lymphoid Tissue/chemistry
Male
Manfredi B
Natural/immunology
Neuroimmunomodulation/physiology
Panerai AE
Peptide Fragments/pharmacology
Rats
Receptors
Sacerdote P
Spleen/immunology
Sprague-Dawley
Stress/etiology/immunology
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1002/tera.1097" target="_blank" rel="noreferrer">http://doi.org/10.1002/tera.1097</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Improving estimates of caregiver time cost and family impact associated with birth defects
Publisher
An entity responsible for making the resource available
Teratology
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
Subject
The topic of the resource
Humans; Parents; Quality-Adjusted Life Years; Time Factors; Cost of Illness; Family Health; Caregivers/psychology; Models; Statistical; ICU Decision Making; social support; Abnormalities/epidemiology/psychology
Creator
An entity primarily responsible for making the resource
Tilford JM; Robbins JM; Hobbs CA
Description
An account of the resource
BACKGROUND: Birth defects impose substantial costs on both families and society because of medical, developmental, and special education needs. Caring for children with birth defects also may influence caregiver time and impact the family. However, the economic cost of caregiver time and other impacts on the family has received far less attention than traditional healthcare costs. METHODS: This study reviews the literature on measuring caregiver time costs and family impact in an economic framework. The economic framework involves translating caregiver time or difficulties into appropriate units such as cost or quality adjusted life years (QALYs). RESULTS: Despite the potential important contribution of caregiver time costs to the total cost estimate of birth defects, few studies estimate caregiver time costs related specifically to birth defects. Only two studies provide estimates of these costs. Recent work has investigated the impact of chronic illness on caregivers in QALY terms, but birth defects have not been studied. Several issues need to be addressed in both the estimation of caregiver time costs and family impact to improve cost estimates. CONCLUSIONS: Improved estimates of caregiver time costs and impact on the family will assist policy makers in allocating resources for the prevention and treatment of birth defects. Future research should investigate the economic costs of caregiver time and family impact associated with caring for children with birth defects.
2001
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1002/tera.1097" target="_blank" rel="noreferrer">10.1002/tera.1097</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2001
Abnormalities/epidemiology/psychology
Backlog
Caregivers/psychology
Cost Of Illness
Family Health
Hobbs CA
Humans
ICU Decision Making
Journal Article
Models
Parents
Quality-Adjusted Life Years
Robbins JM
Social Support
statistical
Teratology
Tilford JM
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1002/ajmg.1320570205" target="_blank" rel="noreferrer">http://doi.org/10.1002/ajmg.1320570205</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Neuronal ceroid-lipofuscinosis: A clinical and morphological study of 19 patients.
Publisher
An entity responsible for making the resource available
American Journal Of Medical Genetics
Date
A point or period of time associated with an event in the lifecycle of the resource
1995
Subject
The topic of the resource
Child; Female; Humans; Male; Adult; Follow-Up Studies; Longitudinal Studies; Magnetic Resonance Imaging; Time Factors; adolescent; Preschool; infant; Tomography; Age of Onset; Atrophy; Brain/pathology/radiography; Cerebellum/pathology; Neuronal Ceroid-Lipofuscinoses/diagnosis/physiopathology; X-Ray Computed
Creator
An entity primarily responsible for making the resource
Nardocci N; Verga ML; Binelli S; Zorzi G; Angelini L; Bugiani O
Description
An account of the resource
We report on clinical, electrophysiological, neuroradiological, and morphological data from 19 patients with different types (late infantile, juvenile, and adult) of neuronal ceroid-lipofuscinosis (NCL), observed in the last 10 years at the Neurological Institute of Milan. Late Infantile NCL (LINCL) (8 patients, 4m/4f). Age at onset: 2-4 1/2 years. Seizures (6 patients) or decline of mental capacities (2 patients) were the presenting symptoms, followed by myoclonus and ataxia; visual loss and optic atrophy occurred in 6 patients within 3 years. All but 2 children became bedridden within 3 1/2 years. CT and MRI demonstrated different degrees of cerebral and cerebellar atrophy within 3 years from onset of the disease. Ultrastructural studies showed fingerprint profiles (FP) and osmiophilic bodies (OB) in circulating lymphocytes; curvilinear bodies (CB) and FP were detected in eccrine secretory cells. Juvenile NCL (JNCL) (7 patients, 4m/3f). Age at onset: 6-9 years. Visual loss with retinal degeneration was the presenting symptoms, accompanied in all but 2 patients by slight mental impairment. Seizures occurred within 2-4 years. CT and MRI detected cerebral or cerebellar atrophy in those patients (5 patients) with a clinical follow-up longer than 4 years. Electron microscopy showed FP on circulating lymphocytes, and both FP and CB on skin biopsy specimens. Adult NCL (ANCL) (4 patients, 3 m/1f). Age at onset: 12-50 years. Progressive myoclonus epilepsy (1 patient) or dementia with motor disturbances (3 patients) were the clinical phenotypes of the disease. MRI demonstrated cerebral and cerebellar atrophy within 6 years from onset. Electron microscopy disclosed FP in cytoplasmic vacuoles inside eccrine secretory cells.
1995
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1002/ajmg.1320570205" target="_blank" rel="noreferrer">10.1002/ajmg.1320570205</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1995
Adolescent
Adult
Age of Onset
American Journal Of Medical Genetics
Angelini L
Atrophy
Backlog
Binelli S
Brain/pathology/radiography
Bugiani O
Cerebellum/pathology
Child
Female
Follow-up Studies
Humans
Infant
Journal Article
Longitudinal Studies
Magnetic Resonance Imaging
Male
Nardocci N
Neuronal Ceroid-Lipofuscinoses/diagnosis/physiopathology
Preschool
Time Factors
Tomography
Verga ML
X-Ray Computed
Zorzi G
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1001/archpedi.153.1.63" target="_blank" rel="noreferrer">http://doi.org/10.1001/archpedi.153.1.63</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Computer-assisted health counselor visits: a low-cost model for comprehensive adolescent preventive services
Publisher
An entity responsible for making the resource available
Archives Of Pediatrics & Adolescent Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
Subject
The topic of the resource
Female; Humans; Male; Pilot Projects; Feasibility Studies; Patient Satisfaction; Medical History Taking; Time Factors; Counseling; adolescent; Adolescent Health Services/economics; Adolescent Transitions; Costs and Cost Analysis; Medical Informatics Applications; Preventive Health Services/economics/methods; Risk-Taking
Creator
An entity primarily responsible for making the resource
Paperny DM; Hedberg VA
Description
An account of the resource
OBJECTIVE: To evaluate a low-cost strategy for providing preventive health services to adolescents using computerized health assessments with individualized educational videos, trained health counselors, and nurses. DESIGN: Feasibility study, cost analysis, and comparative evaluation of health problems identified, guidance delivered, and patient satisfaction. SETTING: Eleven sessions at nontraditional sites including schools, universities, shopping malls, and after-hours clinics on Oahu, Hawaii. PARTICIPANTS AND INTERVENTION: Adolescents (N=258, mean age 17 years) completed confidential computerized health assessments, received individualized feedback, and viewed automatically selected educational videos on a laptop computer. The computer additionally printed a prioritized problems list for the graduate student-level health counselor to review with the adolescent. The counselor subsequently reviewed each encounter with a nurse-educator who performed further counseling and physical examinations when indicated. RESULTS: Visit length averaged 44 minutes. Subjects spent an average of 21 minutes completing the automated health assessment and viewing interactive multimedia and 15 minutes with the health counselor. One third of subjects required further evaluation and counseling by the nurse (average, 8 minutes). A team of 2 counselors and 1 nurse provided comprehensive screening, health counseling, and physical examinations to 1 patient every 10 minutes at a salary cost of $7.46 per visit. This model identified risk behaviors at levels consistent with local behavioral data, and addressed and documented them significantly more often than do physicians in traditional settings. Subjects (71%) preferred the computer-assisted visits to standard office visits, and 92% felt the amount of time spent was acceptable. CONCLUSIONS: Computer-assisted delivery of adolescent preventive services using nonphysician health counselors is a feasible, economical, and acceptable alternative to traditional clinical practice for screening young people for health-compromising behaviors and providing individualized health education and routine physical examinations. This model would likely increase adolescents' access to needed preventive services at a very modest cost.
1999
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/archpedi.153.1.63" target="_blank" rel="noreferrer">10.1001/archpedi.153.1.63</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1999
Adolescent
Adolescent Health Services/economics
Adolescent Transitions
Archives Of Pediatrics & Adolescent Medicine
Backlog
Costs And Cost Analysis
Counseling
Feasibility Studies
Female
Hedberg VA
Humans
Journal Article
Male
Medical History Taking
Medical Informatics Applications
Paperny DM
Patient Satisfaction
Pilot Projects
Preventive Health Services/economics/methods
Risk-Taking
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1126/science.6254156" target="_blank" rel="noreferrer">http://doi.org/10.1126/science.6254156</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Fasting associated with decrease in hypothalamic beta-endorphin
Publisher
An entity responsible for making the resource available
Science
Date
A point or period of time associated with an event in the lifecycle of the resource
1980
Subject
The topic of the resource
Male; Time Factors; Animals; Rats; Non-U.S. Gov't; Research Support; Fasting; Corticotropin/metabolism; Endorphins/metabolism; Hypothalamus/metabolism; Pituitary Gland/metabolism
Creator
An entity primarily responsible for making the resource
Gambert SR; Garthwaite TL; Pontzer CH; Hagen TC
Description
An account of the resource
In rats that were fasted for 2 to 3 days there was a decline in hypothalamic, but not pituitary, beta-endorphin. There was no change in pituitary or hypothalamic adrenocorticotropin content as a result of fasting. Endogenous opiates may be involved in physiological adaptation to fasting.
1980
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1126/science.6254156" target="_blank" rel="noreferrer">10.1126/science.6254156</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1980
Animals
Backlog
Corticotropin/metabolism
Endorphins/metabolism
Fasting
Gambert SR
Garthwaite TL
Hagen TC
Hypothalamus/metabolism
Journal Article
Male
Non-U.S. Gov't
Pituitary Gland/metabolism
Pontzer CH
Rats
Research Support
Science
Time Factors