Psychiatric Annals,
Год журнала:
2021,
Номер
51(10), С. 473 - 481
Опубликована: Окт. 1, 2021
Pediatric
consultation-liaison
(CL)
psychiatry
focuses
on
the
treatment
of
mental
health
difficulties
in
physically
ill
children.
This
article
three
diagnoses
that
a
pediatric
CL
psychiatrist
commonly
encounters:
delirium,
somatic
symptom
and
related
disorders
(SSRD),
medical
traumatic
stress
(PMTS).
Delirium
is
an
acute
cerebral
dysfunction
secondary
to
organic
cause
can
present
with
agitation,
sleep
disruption,
disorientation,
inattention,
perceptual
disturbances
or
apathy,
withdrawal.
The
management
delirium
involves
underlying
causes
by
environmental
modifications
pharmacological
strategies.
SSRDs
medically
unexplained
symptoms
which
physical
examination
laboratory
testing
do
not
justify
diagnosis
known
illness.
Cognitive-behavioral
therapy
has
most
evidence
for
SSRDs,
whereas
interventions
have
insufficient
improving
core
SSRDs.
PMTS
defined
as
set
posttraumatic
(PTSS)
response
pain,
injury,
serious
illness,
procedures,
invasive
frightening
experiences.
Brief,
focused
cognitive-behavioral
strategies
delivered
family-centered
approach
prevent
reduce
symptoms.
[
Psychiatr
Ann
.
2021;51(10):473–481.]
Kidney360,
Год журнала:
2022,
Номер
3(9), С. 1590 - 1598
Опубликована: Авг. 1, 2022
Kidney
transplantation
(KT)
is
a
life-saving
therapy
for
kidney
failure.
However,
KT
recipients
can
suffer
from
debilitating
depression,
post-traumatic
stress
disorder
(PTSD),
and
suicide.
In
contrast
to
PTSD,
growth
(PTG)
positive
psychologic
change
in
response
challenging
situation.
PTG
has
been
studied
other
chronic
diseases,
but
less
known
about
its
role
the
setting
of
KT.
We
sought
elucidate
prevalence,
predictors,
effect
PTSD
on
post-KT
outcomes.
also
considered
roles
benefit
finding
resilience.
Cell and Organ Transplantology,
Год журнала:
2024,
Номер
12(1)
Опубликована: Май 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.
Pediatric Transplantation,
Год журнала:
2024,
Номер
28(5)
Опубликована: Июль 19, 2024
ABSTRACT
Background
Caregivers
of
children
and
young
people
with
chronic
kidney
disease
(CKD)
face
challenging
circumstances
on
a
daily
basis;
however,
the
difficulties
they
experienced
during
COVID‐19
pandemic,
as
well
potentially
positive
experiences,
are
not
yet
fully
understood.
The
aim
this
study
was
to
explore
pandemic‐related
experiences
these
caregivers.
Methods
Twelve
caregivers
were
recruited
from
hospital‐based
pediatric
renal
program;
eight
families
posttransplant.
participated
in
virtual
semistructured
interviews
conducted
between
March
2021
November
2022.
They
provided
responses
open‐ended
questions
concerning
how
pandemic
affected
their
child
CKD,
family,
themselves.
Interviews
transcribed
coded
using
thematic
analysis.
Results
Four
main
themes
identified:
(1)
Family
Life,
which
included
disruptions
routine,
reduced
social
supports,
changes
quality
family
relationships;
(2)
Mental
Health
Coping,
increased
anxiety
coping
strategies;
(3)
Work
School
work
school;
(4)
Care
Systems,
health
care
public
restrictions.
Conclusions
Despite
facing
profound
challenges,
identified
both
negative
aspects
experiences.
Their
strategies
highlighted
individual
resilience
characteristics.
Implications
for
providers,
including
future
planning,
support
transition
in‐person
care,
better
address
barriers
resources
discussed.
Hepatology Communications,
Год журнала:
2024,
Номер
8(8)
Опубликована: Июль 18, 2024
Health
care
transition
(HCT)
is
the
process
of
changing
from
a
pediatric
to
an
adult
model
care.
Young
recipients
liver
transplant
transferring
health
services
are
highly
vulnerable
and
subject
poor
long-term
outcomes.
Barriers
successful
multifaceted.
A
comprehensive
HCT
program
should
be
initiated
early
in
pediatrics
continued
throughout
young
adulthood,
even
after
transfer
has
been
completed.
It
critical
that
providers
establish
partnership
optimize
for
these
patients.
Adult
must
recognize
importance
need
continue
following
transfer.
While
this
focus
on
essential,
current
literature
primarily
offered
guidance
providers.
This
position
paper
outlines
framework
with
sample
set
tools
implementation
standardized,
multidisciplinary
approach
utilizing
“The
Six
Core
Elements
HCT.”
To
implement
more
effective
strategies
work
improve
outcomes
patients
undergoing
transplant,
mandated
as
routine
part
posttransplant
Increased
advocacy
efforts
additional
backing
support
governing
organizations
required
help
facilitate
practices.
Journal of Pediatric Psychology,
Год журнала:
2021,
Номер
47(9), С. 965 - 977
Опубликована: Дек. 18, 2021
To
explore
posttraumatic
growth
(PTG)
in
pediatric
patients
who
have
undergone
solid
organ
transplant
(SOT)
and
their
caregivers,
to
examine
potential
correlates
of
PTG.Youth
young
adults
with
a
history
SOT
(heart,
kidney,
liver)
at
least
1
month
prior
participation
caregivers
completed
measures
PTG,
demographic,
medical
factors.
In
total,
59
youth
(M
=
12.68
years,
SD
1.91),
21
19.37,
0.82),
95
37.95
9.37)
participated.Overall,
67%
youth,
76%
adults,
89%
reported
PTG
within
the
medium
very
high
range.
Appreciation
Life
was
highest
subscale
across
all
groups.
Youth
caregiver
scores
were
significantly
positively
correlated.
Religious
affiliation
religious
coping
associated
for
relationship
yielded
large
effect
sizes
adults.
Caregivers
children
kidney
transplants
endorsed
lower
than
other
types
had
an
acute
condition
greater
chronic
illness.Findings
suggest
experience
can
yield
positive
changes
such
as
appreciation
life.
Although
small
sample
may
led
reduced
power
detecting
significant
findings
some
analyses,
results
religious,
medical,
parent-child
factors
are
likely
related
warrant
future
investigation.
