Child health in Africa: 2005 a year of hope?
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Acquired Immunodeficiency Syndrome↗
Biomedical subjects
J Venables
Publications and source records attributed to J Venables.
Home-based care for orphaned children infected with HIV/AIDS in Uganda.
The primary aim of this paper is to describe an outreach programme from a main state hospital in sub-Saharan Africa, which has been running for three years. This programme is based in Mulago Hospital, Kampala, Uganda and cares for up to 200 children infected with HIV/AIDS in their home. We describe the clinic and how we meet the families and enrol them, the infrastructure of the programme and the personnel involved. Children and their families receive physical, psychological and social care and we describe each aspect of this. The knowledge base about older children with AIDS in Africa is scarce and the secondary aim of this paper is to publish observations that were made while providing care. This includes demographics and the health problems encountered among children living with HIV/AIDS in a resource-poor setting who do not receive antiretroviral medication. Finally, we discuss the strengths and weaknesses of this model of care and the prerequisites to setting up a similar model.
Child↗
Bone density at the os calcis: reference values, reproducibility, and effects of fracture history and physical activity.
AIMS: To establish reference values for bone mineral density (BMD) measured at the os calcis (OC) in healthy UK Caucasian children. Secondary objectives were to assess the reproducibility of the measurement and the effects of fracture history and habitual physical activity. METHODS: A total of 403 children aged 5-18 were studied. Main outcome measures were: BMDoc measured by peripheral DXA, total BMD measured by whole body axial scanner, age, anthropometry, pubertal status, self-reported fracture history, and physical activity (PA) expressed as a three point score. RESULTS: Complete data were available on 171 girls and 123 boys free of a history of fracture. BMDoc was related positively to age, body size, and total BMD, and could be predicted using a proportional model based on height alone (R2: 65% girls, 77% boys). Mean BMDoc appears to plateau in girls at 15 years and attain a value that concurs with the mean peak value in adult women. The 95% limits of agreement in repeated measures were -0.029 to 0.029 g/cm2 (n = 53). Compared with sedentary children, those doing regular sports or PA for more than five hours a week had an increased BMDoc (by about 0.03 g/cm2 or about 7% of the overall mean). A history of fracture (n = 81) was associated with a reduced BMDoc in boys but not in girls, though our study may have been underpowered for a subgroup analysis. CONCLUSIONS: BMDoc can be measured easily and quickly in children older than 5 years and provides an objective measure of areal bone density for clinical and research studies using a reference range derived from its relation to height.
Absorptiometry, Photon↗
Skin care in patients with uncomplicated lymphoedema.
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Administration, Topical↗
[Care and therapy of eczemas. So the itch remains bearable].
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Eczema↗
The management and treatment of eczema.
This article outlines the principles of the treatment and management of eczema including the practical aspects of nursing patients with eczema. Awareness of basic dermatological nursing skills is important for all nurses as is an understanding of how to provide support and advice to patients and their families.
Adrenal Cortex Hormones↗
Knowledge needed to educate patients about psoriasis.
Psoriasis is a common skin disorder: two out of every 100 people in Europe have the condition. Nurses will encounter people with psoriasis in their work and everyday lives. This paper gives an overview of the knowledge nurses need in order to educate patients about psoriasis. Many of the lifestyle changes vary depending on the individual patient, the extent of the condition, the patient's ability to cope, and the support he or she receives from family and friends.
Humans↗