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Biomedical subjects

A Kazak

Publications and source records attributed to A Kazak.

5 recordsLinked to original sources
PubMed1995

Case reports in pediatric psychology: uses and guidelines for authors and reviewers.

Described uses of case reports in pediatric psychology and guidelines for authors and reviewers. Case reports have several important functions: to document the efficacy of new treatment applications, describe interesting new clinical phenomena, to develop hypotheses, to illustrate methodological issues, difficult diagnostic issues, or novel treatment approaches, and to identify unmet clinical and research needs. Authors should carefully document the scientific purpose and clarify the new information contributed by their reports, provide evidence for their conclusions, and articulate clinical, theoretical, and/or research implications.

Child↗
PubMed1995

A prospective, controlled evaluation of home chemotherapy for children with cancer.

OBJECTIVES: Infusion of chemotherapy at home provides an alternative to hospitalization for children with cancer. Few programs of pediatric home chemotherapy have been described or evaluated. The purpose of this work was to compare prospectively chemotherapy in the hospital to chemotherapy at home with respect to billed medical charges, out-of-pocket expenses, and quality of life. METHODS: Eligibility criteria for home therapy were defined. Parents and nurses were trained. Billed charges, loss of wages, out-of-pocket expenses, medical outcome, and quality of life of 14 patients for one course of chemotherapy in the hospital were compared with those for an identical course at home. RESULTS: Daily charges for chemotherapy were $2329 +/- 627 in the hospital and $1865 +/- 833 at home; out-of-pocket costs, $68 +/- 31 and $11 +/- 6, respectively; and loss of income, $265 +/- 233 and $67 +/- 107, respectively. Patients' independence, well-being, appetite, mood, and school work were significantly better at home, and parental time at work and with the family was greater. CONCLUSION: Administration of selected chemotherapy at home results in lower billed charges, reduced expenses, reduced loss of income for parents, and a more satisfying lifestyle for patients and parents.

Adolescent↗
PubMedDate not supplied

Coming to terms: parents' response to a first cancer recurrence in their child.

The purpose of this study was to explore, using grounded theory, the process experienced by parents who are dealing with the first recurrence of cancer in their child. The sample of 33 guardians (27 mothers, 1 grandmother, and 5 fathers) was drawn from three pediatric oncology settings. Data were collected through interviews, observations, and medical record review. Thirteen parents were interviewed to validate first the evolving and, later, the complete study findings. Four interactive components emerged: regulating shock, situation monitoring, alternating realizations, and eyeing care-limiting decisions. The overall organizing construct induced from these components was labeled "coming to terms." This construct represents the parents' efforts to overcome shock and despair to make wise decisions about treatment while accepting that the outcome if beyond their control, and to help their child have the optimal chance for cure while preparing for the child's possible death.

Adaptation, Psychological↗