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Biomedical subjects

M L Lobo

Publications and source records attributed to M L Lobo.

At least 19 recordsLinked to original sources
PubMed1999

Current knowledge in the management of children and adolescents with sickle cell disease: Part 1, Physiological issues.

This article reviews the current state of the knowledge in the management of children and adolescents with sickle cell disease (SCD). A thorough review of the literature concerning physiological issues including the clinical manifestations of SCD as well as current treatment modalities is included. Therapeutic management of health and illness for a child with SCD is discussed in relation to primary, secondary, and tertiary prevention. Recommendations for nursing practice and research are made.

Adolescent↗
PubMed1995

Case study of the home health management of a child with congenital anomalies associated with prenatal cocaine abuse.

The presence of a history of poor parental upbringing, poverty, and substance abuse within a family stresses its capacity to cope with the needs of a child with congenital anomalies. Nursing has a key role to play in providing specific information, practical assistance, and support in these circumstances. A case study of a child in such a family is presented in this article, and the multiple nursing interventions provided to facilitate the family's coping skills are discussed.

Abnormalities, Drug-Induced↗
PubMed1995

Parent and student preferences for services in a school-based clinic.

As a component of program planning for a school-based clinic in a suburban high school, a sample of 199 students and 196 parents were surveyed about preferences for health services. Parents and students were asked about health services desired and level of interest. Student overall interest in health services was less than parent interest, although both groups indicated at least a moderate level of interest. Both students and parents reported interest in availability of comprehensive services, including general health services, reproductive health services, and counseling services. The process of polling parents and students serves dual purposes of informing the population about school-based clinics, as well as gathering information to attempt to match the health services offered with needs identified.

Adolescent↗
PubMed1995

Behavioral and physiological response during feeding in infants with congenital heart disease: a naturalistic study.

Twenty mother-infant dyads, ten with congenital heart disease (CHD) and ten controls, were studied during a naturally occurring feeding episode. Heart and respiratory rate data from a Hewlett Packard Infant Monitor were recorded on a computer while the feeding was videotaped for later scoring. No significant relationship was found between potent disengagement cues and changes in either heart or respiratory rate during feeding. However, the presentation of subtle disengagement cues were observed to be significantly more frequent among infants with CHD. A wide range of individual differences were noted in presentation of disengagement cues and heart and respiratory rates in both groups. No discernable pattern of heart rate or respiratory rate increase or decrease related to subtle or potent disengagement cures was found in either the infants with CHD or the healthy controls.

Adult↗
PubMed1994

Case study of a high-risk neonate failing to thrive post-extracorporeal membrane oxygenation and post-necrotizing enterocolitis.

Infants discharged from neonatal intensive care units (NICUs) often face a long journey of chronic illness, family stresses, and financial burdens. Health care professionals involved in acute care need to be aware of the far-reaching repercussions of neonatal illness. This report presents a case study of a low-income, single mother from a rural community and her son, a neonatal intensive care unit (NICU) graduate post-extracorporeal membrane oxygenation (ECMO) and post-necrotizing enterocolitis (NEC) discharged with a gastronomy tube (g-tube) and failure to thrive (FTT), from his birth to 10 months of age. Family-focused interventions aimed at improving growth and developmental delays and providing family support will be discussed.

Adult↗
PubMed1993

Code books--a critical link in the research process.

There is no one right way to construct a code book; however, it is critical that all the elements needed to understand and work with the data be present. By constructing a comprehensive code book before the data are collected, the investigator is assured of preparing for all aspects of data analysis. It is important to remember that one cannot be too compulsive in planning for data analysis. The findings of the study are discovered through the analysis of the data. The purpose of the study is to be able to describe the findings in a cogent manner. If the data are not systematically organized, they will be useless to the investigator.

Abstracting and Indexing↗
PubMed1993

"High-tech" home care for children with chronic health conditions: a pilot study.

The purposes of this study were to pilot test the instrument and methods for a major study of caregivers of children who are technology dependent and to test constructs proposed for the major study in a discrete sample. The major study will be implemented in 13 cities in the United States. The pilot was conducted in three small- to moderate-size metropolitan areas in the Southeast and Midwest. Seventy-three primary caregivers provided data during a structured telephone interviews. The children represented four groups of children dependent on technology as defined by the Office of Technology Assessment (OTA) (1987). The findings supported the methodology and the viability of the instrument. Analysis suggests that caring for a child who is technology dependent affects family functioning and increases family stress levels in some families. The financial burden is also significant. It is suggested that nurses can be a critical source of support and information to these families.

Adaptation, Psychological↗
PubMed1992

Observation: a valuable data collection strategy for research with children.

This study introduces the basic concepts of observational research by defining the terms and discussing some of the critical issues specific to observational research. Observational methods signify a systematic approach to quantifying behavior. A discussion of the major concerns in observational research is presented. These concerns include defining the coding categories; identifying the unit of measurement, the method of recording the observation, and deciding on a sampling strategy; training of observers; and interrater and intrarater reliability.

Clinical Nursing Research↗
PubMed1992

Failure to thrive: a parent-infant interaction perspective.

The purpose of this study was to prospectively study inpatients admitted for failure to thrive during their first year of life. Twelve infants with failure to thrive were studied and compared with 17 healthy controls. Mothers and infants with nonorganic failure to thrive scored lower on the Nursing Child Assessment Feeding Scale, reported more change in their lives, and less social support. The need for further research is discussed and suggestions for beginning level interventions are made.

Failure to Thrive↗
PubMed1992

Parent-infant interaction during feeding when the infant has congenital heart disease.

This article examines parent-infant interaction (PII) during feeding when the infant has congenital heart disease (CHD) using the Nursing Child Assessment Feeding Scale (NCAFS) and compares the NCAFS scores of the infants with CHD with those of healthy controls. Twenty mother-infant dyads, 10 with CHD and 10 controls, were studied. Infants with CHD scored significantly lower than controls on both infant subscales, Responsiveness to Caregiver and Clarity of Cues, of the NCAFS. Mothers of CHD infants scored significantly lower on the Social Emotional Growth Fostering subscale. These findings suggest specific behavioral differences in infants with CHD during feeding and support the need for more information about feeding interactions in infants with CHD.

Adult↗
PubMedDate not supplied

Mother-child interaction in the presence of maternal HIV infection.

This comparative study evaluated mother-child interaction in southeastern U.S. mother-child dyads where the mother was HIV positive and determined if the presence of maternal HIV infection was associated with differences in the quality of the mother-child interaction. A comparison was made between two groups of mother-child dyads, one where the mother was HIV positive (N = 25) and one where the mother was not HIV positive (N = 25). The Barnard model of mother-infant interaction guided this study. The quality of interaction within the dyads was assessed using the Nursing Child Assessment Teaching Scales (NCATS). Associated maternal, child, and environmental factors were described using an interview form, Centers for Epidemiologic Studies Depression Scale, and the Bayley Infant Neurodevelopmental Screener. The quality of mother-child interaction in the two groups was compared using chi square and paired t tests. Findings from this research showed no statistically significant difference in mother-child interaction (measured by NCATS) between the HIV-positive and HIV-negative groups. Although maternal symptoms of depression were noted in more of the HIV-positive mothers, covariant analysis failed to show this factor had any significant influence on mother-child interaction scores between the groups. It was noted that total sample (N = 50) group mean scores on NCATS maternal subscale and total interaction were significantly lower than published population norms. As the mother-child interaction has critical implications for the child, strategies to improve reciprocity need to be developed in this population, and attention must be paid to mental health needs of HIV-positive women.

Adult↗