Samo ozdravljenje ni dovolj Olga Blatnik; Jurij Miloš Borovšak; Berta Jereb
Onkologija,
06/2012, Volume:
16, Issue:
1
Journal Article
Peer reviewed
Open access
Z izboljšanjem zdravljenja malignomov pri otrocih se je izboljšalo njihovo preživetje, vendar se po ozdravitvi sčasoma lahko razvijejo škodljive pozne posledice zdravljenja. Te spremembe, ki so ...pogosto asimptomatske, lahko pravočasno odkrijemo le, če bolnike redno spremljamo tudi po končanem zdravljenju. V prispevku predstavljamo primer bolnika, ki je bil v otroštvu obsevan in zdravljen s kemoterapijo, umrl pa je mlad z znaki srčne okvare, h kateri je verjetno prispevalo onkološko zdravljenje. Spremembe na srcu je pokazala šele obdukcija.
Akutne in kronične okvare pljuč po zdravljenju raka v otroštvu so po sodobnem zdravljenju redke in običajno brez kliničnih znakov ter simptomov. Pri bolnici, ki je bila v otroštvu zdravljena zaradi ...Hodgkinovega limfoma z obsevanjem vratu, supraklavikularnih bezgavk in mediastinuma ter s kemoterapijo, so kvarne posledice verjetna kombinacija neugodnih učinkov tega zdravljenja na srce in pljuča. Pri naši bolnici je glede na potek in napredovanje pljučne prizadetosti v ospredju vaskularna prizadetost - pljučna vaskulopatija, ki je bila s histološkim pregledom bioptata pljučnega tkiva tudi potrjena. Pri opisu želimo opozoriti na kroničen ter progredienten potek bolezni, ki terja zahtevno obravnavo specialistov in 22 let po zdravljenju povzroča težko invalidnost.
Avtorica v članku najprej predstavi rezultate mednarodnih primerjalnih raziskav (OECD 2015), ki kažejo, da so učni dosežki otrok priseljencev pomembno nižji od učnih dosežkov njihovih vrstnikov brez ...izkušnje preseljevanja. Na podlagi rezultatov ugotavlja, da je z namenom vzpostavljanja socialno kohezivne in inkluzivne družbe zagotavljanje kakovostnega pedagoškega procesa za otroke priseljencev velik pedagoški izziv. Z raziskavo v slovenskih osnovnih šolah, v katero je vključila 40 osnovnošolskih učencev s priseljensko izkušnjo, je z namenom, da bi se njihova stališča upoštevala pri oblikovanju predloga programa dela v slovenskih šolah in vrtcih, želela spoznati, kaj oni razumejo pod pojmom dobra šola.
The behaviour of parents in ensuring car passenger safety for their children is associated with socio-economic (SE) status of the family; however, the influence of parental education has rarely been ...researched and the findings are contradictory. The aim of the study was to clarify whether parental education influences the use of a child car seat during short rides.
A cross-sectional survey was carried out in outpatient clinics for children's healthcare across Slovenia. 904 parents of 3-year-old children participated in the study; the response rate was 95.9%. A self-administered questionnaire was used. A binary multiple logistic regression was applied to assess the association between parental unsafe behaviour as dependent variable, and education and other SE factors as independent variables.
14.6% of parents did not use a child car seat during short rides. Families where mother had low or college education had higher odds of the non-use of a child car seat than families where mother had a university education. Single-parent families and those who lived in areas with low or medium SE status also had higher odds of the non-use of a child car seat.
Low educational attainment influences parents' behaviour regarding the non-use of a child car seat. Low parental education is not the only risk factor since some highly educated parents also have high odds of unsafe behaviour. All parents should therefore be included in individually tailored safety counselling programmes. SE inequalities could be further reduced with provision of free child car seats for eligible families.
In a cross-sectional cohort study, health-related quality of life of Slovenian children and adolescents with cerebral palsy was examined, and factors associated with it have been identified.
...Caregivers of 122 children and adolescents with cerebral palsy were addressed to fill out proxy versions of HRQoL questionnaires (DISABKIDS generic and cerebral palsy module). Children and adolescents without cognitive deficit were asked to fill out the self-report versions.
Ninety-one families of 43 children (the mean age is 10 years, 6 months, SD 1.2; 26 males and 17 females) and 48 adolescents (the mean age is 14 years, SD 0.9; 23 males and 25 females) completed proxyreports. Forty-eight individuals were able to self-report (26 children and 22 adolescents). Health-related quality of life was perceived as good. Self-reporting participants scored higher than their caregivers (mean score 75.6, SD 15.9 versus mean 72.3, SD 17.9; p=0.048). Adolescents scored lower than children in all domains (mean score 69.4, SD 19.4 versus mean 80.8, SD 10.0; p=0.01). Higher age (p<0.001), pain (p<0.001) and disturbed sleep (p=0.002) were strong predictors of worse health-related quality of life. Social Inclusion and Independence domains received the lowest scores.
Slovenian children and adolescents with cerebral palsy have a good health-related quality of life, with Social Inclusion and Independence being the weakest domains. Children reported higher scores than adolescents or their caretakers. Pain was the strongest predictor of poor health-related quality of life.
The journey of Brazilian Portuguese begins at the end of the 15th century with the Bula Caetera Treaty signed in 1493 and with the Treaty of Tordesillas in 1494. According to these treaties, the ...Brazilian territory was divided between the Kingdoms of Portugal and Castile. By the second of these treaties, most of the territory, now called Brazil, was handed over to the Portuguese Crown, which meant that there was now more interest in this territory than in the previous period. Preparations began for the first naval expedition to that unknown land. In 1500, under the leadership of Pedro Álvares Cabral, Portuguese colonizers came to a territory where they encountered more than a thousand indigenous languages, which greatly complicated the colonization process. In this article I will highlight the sociolinguistic history of Brazilian Portuguese, which is the outcome of five centuries of (internal) development and (external) historical events which have also increased the number of Brazilian Portuguese speakers.
The aim of this literature review was to explore the views of parents and children with type 1 diabetes mellitus regarding having a school nurse.
Six databases were selected for the analysis. The ...research strategy was based on the PICO model. The research participants were children with type 1 diabetes mellitus and/or their parents.
The present review of research papers includes 12 publications. The majority of works deal with the perspectives of children with type 1 diabetes and their parents on various aspects related to the role of a school nurse in the care of a child with type 1 diabetes:the presence of a school nurse;the role of a school nurse in the prevention and treatment of hypoglycaemia, in performing the measurements of blood glucose, and in insulin therapy;the role of a nurse in improving metabolic control of children with type 1 diabetes;a nurse as an educator for children with type 1 diabetes, classmates, teachers, teacher's assistants, principals, administrators, cafeteria workers, coaches, gym teachers, bus drivers, and school office staff;a nurse as an organiser of the care for children with type 1 diabetes.
According to parents and children with type 1 diabetes mellitus, various forms of school nurse support (i.e., checking blood glucose, giving insulin, giving glucagon, treating low and high blood glucose levels, carbohydrate counting) are consistently effective and should have an impact on the condition, improvement of metabolic control, school activity and safety at school.
The rising number of foreign residents in Japan has caused the number of children with foreign backgrounds in Japanese schools to increase. The present Japanese education system does not adequately ...support children whose mother language is not Japanese, and their educational problems have turned into social issues. We have conducted an action research project in collaboration with several schools and one university to determine how to develop a support system through online media that would soften the impact of the COVID-19 pandemic. We argue that language assessment is the key to driving the project and sharing the results of the assessment analysis with all project participants works effectively to promote collaboration between schools, families, and the university.
Electronic survey mode has become a more common tool of research than it used to be previously. This is strongly associated with the overall digitization of modern society. However, the evidence on ...the possible mode effect on study results has been scarce. Therefore, the aim of this study is to investigate the comparability of findings on health and behaviours using a paper-versus-electronic mode of survey with randomization design among schoolchildren.
A randomized study was conducted using a mandatory questionnaire on international Health Behaviour in School-aged Children (HBSC) study in Lithuania, enrolling 531 schoolchildren aged 11-15 years. The questionnaire included health and social topics about physical activity, risk behaviours, self-reported health and symptoms, life satisfaction, bullying, fighting, family and school environment, peer relationships, electronic media communication, sociodemographic indicators, etc. The schoolchildren within classes were randomly selected for electronic or paper mode.
It was found that by study mode differences are inconsistent and in the majority of cases do not exceed 5%-point difference between the modes. The only significant difference was that in the paper survey the participants reported more exercise than in the electronic survey (OR=8.08, P<.001). Other trends were nonsignificant and did not show a consistent pattern - in certain behaviours the paper mode was related to healthier choices, while in others - the electronic.
The use of electronic questionnaires in surveys of schoolchildren may provide findings that are comparable with concurrent or previously conducted paper surveys.
Članek se osredotoča na problematiko vključevanja begunskih in migrantskih otrok brez znanja nemškega jezika v nemški šolski sistem. Obravnava in skuša odgovoriti na vprašanje, kako otroke najhitreje ...vključiti v šolski vsakdanjik in pri tem najti najučinkovitejši model vključevanja. Osredotoča se na vključevanje otrok v berlinske šole in poskuša predstaviti v praksi preizkušene možnosti vključevanja. Podrobno je razloženo in predstavljeno delovanje v Willkommensklasse, predstavljene so tudi posebnosti takšnega razreda. Razložena in ovrednotena sta dva koncepta Willkommensklasse, ki sta se razvila v praksi.