Cited by Adherence in transplantation

Common mental health conditions and considerations in pediatric chronic kidney disease DOI

Katherine Mai, Anne E. Dawson, Lidan Gu

et al.

Pediatric Nephrology, Journal Year: 2024, Volume and Issue: 39(10), P. 2887 - 2897

Published: March 8, 2024

Language: Английский

Citations

Pediatric Medical Traumatic Stress and Trauma-Informed Care in Pediatric Chronic Illness: A Healthcare Provider Survey DOI

Addison A. Cuneo,

Christopher Sifflet,

Naomi S. Bardach

et al.

The Journal of Pediatrics, Journal Year: 2023, Volume and Issue: 261, P. 113580 - 113580

Published: June 21, 2023

To inform approaches to pediatric medical traumatic stress (PMTS) by exploring providers' (1) perception of the impact PMTS on care patients with pediatric-onset chronic illnesses, (2) self-reported competencies and practices prevention, treatment, counseling, (3) barriers influencing adoption these practices.A convenience sample multidisciplinary healthcare providers was recruited through a multimodal recruitment strategy participate in an electronic survey adapted from Trauma-Informed Care Provider Survey.Among participants (n = 304), 99% agreed that impacts patient health. Participants report altering plans due PMTS, including deferring or stopping treatments 98 [32%]) changing medication regimens 88 [29%]). Sixty-eight percent 208) negative implementation plans, nonadherence 153 [50%]) missed appointments 119 [39%]). Although it is their job decrease 292 [96%]) perform assessments 268 [88%]), few practiced PMTS-focused trauma informed care. Systems-level practice included insufficient training, absent clinical workflows, lack access mental health experts.Our findings have helped conceptual framework for understanding relationship between outcomes. opportunities optimize trauma-informed include dissemination provider integrated workflows mitigation, enhanced accessibility providers. Further work required determine if interventions can improve outcomes illnesses.

Language: Английский

Citations

Stem cell therapy for cardiac regeneration: key points DOI

V. Кyryk

Cell and Organ Transplantology, Journal Year: 2024, Volume and Issue: 12(1)

Published: May 30, 2024

Cardiovascular diseases are a leading cause of disability and mortality among the working population, necessitating development implementation new, more effective treatment rehabilitation methods for such patients, including use modern cellular tissue technologies. In this review, an analysis summary research results over past decades regarding effectiveness various types stem cells in heart pathology were conducted. Priority directions include search accessible safe sources cells, new their cultivation, scaffolds transplantation. Given pathogenetic mechanisms cardiovascular myocardial regeneration, particular interest clinical application is drawn to tissue-specific progenitors from myocardium replacing injured cardiomyocytes, endothelial correcting accompanying dysfunction, multipotent mesenchymal origins with low immunogenicity that exhibit trophic, anti-inflammatory, immunomodulatory, anti-apoptotic effects. Questions optimal method, dose, frequency cell administration, as well standardization criteria quality effectiveness, remain open. Additionally, combined different may serve priority strategy assessing safety therapy, especially considering paradigm repeated The successful translation obtained preclinical into further large, well-planned, placebo-controlled trials will enhance therapy diseases, which one current challenges regenerative medicine.

Language: Английский

Citations

Pediatric Medical Traumatic Stress in Inflammatory Bowel Disease, Pancreatitis, and Cystic Fibrosis DOI

Addison A. Cuneo, Maisam Abu‐El‐Haija, Meghan L. Marsac

et al.

Journal of Pediatric Gastroenterology and Nutrition, Journal Year: 2022, Volume and Issue: 75(4), P. 455 - 461

Published: July 25, 2022

Objectives: Known as pediatric medical traumatic stress (PMTS), posttraumatic symptoms from experiences have not been explored in children with chronic gastrointestinal diseases. This cross-sectional study of and adolescents inflammatory bowel disease, pancreatitis cystic fibrosis, aimed to (1) estimate the prevalence potentially events (PTEs) PMTS, (2) explore potential risk factors for (3) consequences PMTS. Methods: used validated, self-report measures evaluate PTEs Descriptive statistics regression analyses were achieve objectives. Results: Over two-thirds reported a event (91 132, 69%). Forty-eight had PMTS (36%). was associated medication burden, emergency intensive care visits, parent disorder multivariate analysis. Potential included school absenteeism, home opioid use, poor quality life, missed work. Conclusions: A substantial portion our cohort The exploratory analysis identified associations between illness factors, disorder, functional impairments. Further studies detection, prevention treatment are integral optimizing these children’s health life.

Language: Английский

Citations

Social support and transplantation DOI

Heather Bruschwein, Gloria Chen,

Joanna Yost

et al.

Current Opinion in Organ Transplantation, Journal Year: 2022, Volume and Issue: unknown

Published: Sept. 14, 2022

Purpose of review Social support has many benefits for patients undergoing organ transplantation, though inclusion it as criteria transplant listing been debated. This highlights recent developments in the research regarding social and including impact on transplantation caregivers, interventions, COVID-19, ethical perspectives. Recent findings perceived have patients, increased quality life adherence. The providers may also be impacted vary based patient caregiver characteristics, group ethnicity. Debates COVID-19 vaccine requirements caregivers concerns about are explored. Summary Transplant benefit from support, additional is needed outcomes utility use listing. There a need more robust diverse populations, identification supportive interventions caregivers.

Language: Английский

Citations

A Cross Sectional Study to Identify Traumatic Stress, Medical Phobia and Non-Adherence to Medical Care among Very Young Pediatric Patients DOI

Amichai Ben-Ari, Yaron Sela, Shiri Ben‐Naim

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(2), P. 1122 - 1122

Published: Jan. 8, 2023

After a traumatic medical event, such as surgery or hospitalization, child may develop phobia of care, sometimes preventing future adherence and impairing recovery. This study examined the correlation Pediatric Medical Traumatic Stress (PMTS) on development Phobia (MP) subsequent treatment adherence. We enrolled 152 parents children aged 1-6 hospitalized in surgical ward. During completed questionnaires that identified post-traumatic stress symptoms. Four months post stress, phobia, psychosocial variables found positive between PMTS MP low to treatment. In addition, mediated relationship severity adherence, indicating is associated with stronger lower pediatric Our findings suggest serves an essential component PMTS. It important add syndrome definition. are involved rehabilitation recovery process success, it aspect

Language: Английский

Citations

Psychological Health of the Adolescent Transplant Recipient DOI

Beth A. Logan,

Imari‐Ashley Isaksen,

Chase Samsel

et al.

Pediatric Transplantation, Journal Year: 2024, Volume and Issue: 28(6)

Published: Aug. 12, 2024

Solid organ transplant recipients experience a period of unique vulnerability during adolescence, when normative developmental changes intersect with health-related variables to influence psychological health.

Language: Английский

Citations

Balancing the Risks and Benefits of Pet Ownership in Pediatric Transplant Recipients DOI

Paula García Sánchez, Irene Iglesias, Iker Falces‐Romero

et al.

Transplantation, Journal Year: 2022, Volume and Issue: 107(4), P. 855 - 866

Published: Dec. 21, 2022

In recent decades, the number of pediatric transplantations and their survival rates have increased. Psychological problems poorer quality life are notable among children undergoing transplantation can long-lasting consequences affect immunosuppressive therapy adherence. Pet ownership animal contact been associated with physical, mental, social health benefits. Despite these potential benefits, however, companion animals known to be a source infection, which is one main concerns for clinicians. Because immunosuppression, particularly vulnerable infections. Zoonoses comprise long list infectious diseases represent major public problem. Nevertheless, many families most healthcare providers unaware risks, there worrisome lack recommendations manage risk-benefit balance, could pose risk acquiring zoonosis. Furthermore, no data available on transplanted patients pets, this balance difficult adequately evaluate. document, we review currently evidence regarding epidemiology zoonotic infections in transplantation, focusing from perspective, help inform decision-making Families professionals should aware clinicians actively screen pets offer comprehensive information as part routine clinical practice. A multidisciplinary approach will ensure proper care establish preventive measures safe living pets.

Language: Английский

Citations

Adverse Childhood Experiences and Pediatric Solid Organ Transplant Outcomes: Single Center Study DOI

Iliana B McGurn,

Kim H. Piburn, Eliot J. Lopez

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: June 7, 2024

Abstract Adverse childhood experiences (ACE) are linked to several health issues in adulthood. It is not known how ACE may impact solid organ transplant outcomes. We hypothesized that associated with adverse administered a 10-item inventory questionnaire 48 patients transplanted as children and transitioned adult services. Mean age was 23 years, 54% were female, 19% White. Primary outcome current functioning graft. 60.4% reported an score of > 0, 22.9% 3. There no association between 0 (P = 0.3715) or 3 0.5757) graft loss. In this single center study, we did find outcomes young patients. Further studies needed elucidate the relationship trauma long-term

Language: Английский

Citations

The use of once‐daily LCP‐Tacrolimus with adolescent and young adult solid organ transplant recipients DOI

Sarah Householder, Adarsh Ramakrishnan, Justin K. Chen

et al.

Pediatric Transplantation, Journal Year: 2024, Volume and Issue: 28(4)

Published: May 3, 2024

Abstract Background Adolescent and young adult (AYA) solid organ transplant (SOT) recipients experience increased rates of rejection graft loss surrounding the time health care transition, in part due to poor medication adherence. This study aims examine impact a once‐daily formulation tacrolimus, LCP‐tacrolimus (LCPT), on adherence for AYA SOT patients. Methods A retrospective descriptive analysis was performed all patients who underwent were prescribed LCPT after age 12 at our single‐center pediatric hospital. Medication assessed via provider documentation level variability index (MLVI). Results Twenty‐nine as their immunosuppression regimen. Twenty converted from immediate‐acting (IR) tacrolimus; six initiated immediately following transplant, three unable receive insurance denial. There numeric improvement when measured by assessment (45.0% vs. 68.4%, p = .140) MLVI (40.0% 71.4%, .276), though these did not reach statistical significance. no differences episodes or adverse effects. prescription associated with decreased burden, two transitioned back IR tacrolimus cost. Conclusions use significantly improve patient adherence; however, it resulted numerically higher perceived rates. appears be safe effective management recipients; may affect pill burden result financial burden. Use considered select group recipients.

Language: Английский

Citations