scholarly journals Neuropathic bladder and intermittent catheterization: social and psychological impact on children and adolescents

2007 ◽  
Vol 46 (3) ◽  
pp. 168-177 ◽  
Author(s):  
Melinda Edwards ◽  
†Malgorzata Borzyskowski ◽  
Antony Cox ◽  
Janet Badcock
2007 ◽  
Vol 46 (3) ◽  
pp. 160-167 ◽  
Author(s):  
†Malgorzata Borzyskowski ◽  
Antony Cox ◽  
Melinda Edwards ◽  
Amanda Owen

2004 ◽  
Vol 19 (1) ◽  
pp. 10-20 ◽  
Author(s):  
Sally Wooding ◽  
Beverley Raphael

AbstractRecent acts of terrorism have emphasised the need for research to further establish not only the nature of the impact of disaster and terrorism on the population, but also further define methods of effective intervention. Those affected, and often overlooked, include children and adolescents, yet, our knowledge of the impact upon the younger members of our community limited. The literature is evolving, and there are a small number of valuable studies that can inform a response to the mental health needs of this younger population.This article reviews some of the psychological impacts of disaster and terrorism upon children and adolescents, and considers both risk and protective factors. The importance of a developmental approach to children's understanding of disaster, particularly death and the nature of grief and loss are discussed as is the distinction between the phenomenology of bereavement and trauma. Family and community support are highlighted as protective factors, and a number of recent, valuable recommendations for intervention including psychological first aid and cognitive-behavioral therapy are described. Finally, the complex role of the media and the degree that children should exposed to images of violence and disaster is considered. Disasters, whether they are natural or human-made always will be with us. It is necessary that a public-health approach that not only prepares for such scenarios, but responds by maximising the use of existing systems and agency linkages, taken.


2021 ◽  
Author(s):  
Jie Luo ◽  
Alfred Shaw

As the coronavirus disease 2019 (COVID-19) pandemic has spread, so has the psychological impact of the disease been felt worldwide. Among the various types of psychological problems that are caused by COVID-19, anxiety poses a great threat to the physical and mental health of children and adolescents. With an aim of advancing the current work of diagnosing and treating child and adolescent anxiety as a result of the COVID-19 pandemic, this chapter discusses this noticeable global health issue focusing on the following key parts: possible etiology, clinical characteristics, diagnosis and available therapeutic options.


2013 ◽  
Vol 4 (6) ◽  
pp. 403 ◽  
Author(s):  
Khalid Fouda Neel

Objective: Clean intermittent catheterization (CIC) is an importantasset in managing children with noncompliant bladders. We reviewthe feasibility and late outcomes of patients with normal urethralsensation who began CIC.Materials and methods: We reviewed all patients with posteriorurethral valve (PUV) or non-neuropathic bladder sphincter dysfunction(NNBSD) who began on CIC, and had at least 2 years offollow-up. We considered their age, indication, acceptance andcompliance with CIC. Additionally, we examined the late outcomeof bladder function and the need for any surgical intervention atfollow-up.Results: Between 1999 and 2006, 52 patients with PUV (38patients) or NNBSD (14 patients) were started on CIC. Of these 52patients, 48% were under the age of 4. A total of 44 patients (85%)accepted the recommendation for CIC, and 34 patients (65%) werecompliant with the protocol after at least 2 years of follow-up. Theage of the patients was the only significant factor related to thesuccess of the protocol (4 years old or younger, p = 0.03). Afterat least 2 years of follow-up, 28 patients (54%) remained on CICand have not required urinary diversion or bladder reconstruction.Conclusion: The current study showed that CIC is a feasible optionfor patients with sensate urethra, which necessitates the introductionof treatment as early as possible. Further, those patients whoare compliant with the CIC demonstrated a better chance of avoidingsubsequent surgical intervention for the management of a noncompliantbladder.Objectif : Le cathétérisme intermittent propre (CIP) est un élémentimportant de la prise en charge de l’insuffisance vésicale chez lesenfants. Nous passons ici en revue la faisabilité et les résultats tardifschez des patients affichant des sensations urétrales normalesqui ont entrepris un traitement par CIP.Matériel et méthodologie : Nous avons examiné tous les patientsatteints d’une dysfonction de la valve urétrale postérieure (DVUP)ou d’une dysfonction non névrotique du sphincter vésical (DNNSV)ayant entrepris un traitement par CIP, et suivis pendant au moins2 ans. Nous avons tenu compte de leur âge, de l’indication dutraitement, de leur acceptation et leur observance du traitementpar CIP. En outre, nous avons examiné les résultats tardifs de lafonction vésicale et le besoin de recourir à tout type d’interventionchirurgicale lors du suivi.Résultats : Entre 1999 et 2006, 52 patients atteints de DVUP(38 patients) ou de DNNSV (14 patients) ont entrepris un traitementpar CIP. De ce nombre, 48 % avaient moins de 4 ans. Au total,44 patients (85 %) ont accepté la recommandation de procéderau CIP, et 34 patients (65 %) observaient toujours le traitementaprès au moins 2 ans de suivi. L’âge des patients représentaitle seul facteur significatif lié à la réussite du traitement (4 ansou moins, p = 0,03). Après au moins 2 ans de suivi, 28 patients(54 %) poursuivaient leur traitement par CIP et n’avaient pas besoind’un détournement urinaire ou d’une reconstruction de la vessie.Conclusion : Notre étude a montré que le CIP est une optionraisonnable pour les patients avec urètre sensible, qui nécessitel’instauration d’un traitement le plus rapidement possible. Par ailleurs,les patients qui observent bien le traitement par CIP présentaientde meilleures chances d’éviter une intervention chirurgicalesubséquente pour le traitement d’une insuffisance vésicale.


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