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Rehabilitation For Children (rehabilitation + for_children)
Selected AbstractsEffects of a short-term rehabilitation program on airway inflammation in children with cystic fibrosis,,PEDIATRIC PULMONOLOGY, Issue 6 2010Alexander Moeller MD Abstract Background Respiratory therapy in cystic fibrosis (CF) consists of airway clearance, infection control, and reduction of airway inflammation. It is well recognized that physical activity as well as daily chest physiotherapy, enhance airway clearance. We investigated the effects of pulmonary rehabilitation, including physical activity and chest physiotherapy, on airway inflammation in children with CF. Methods Eighteen children with stable CF (six females), aged 8.2,16.2 years, participating in a 3-week multidisciplinary inpatient rehabilitation program were recruited. Assessment at the beginning and the end of the program included clinical score, pulmonary function test, exhaled breath condensate (EBC) and sputum analysis. Sputum supernatant and EBC were analyzed for interleukin (IL)-1b, 6, 8, 10, 12, tumor necrosis factor-alpha (TNF-,) and LTB4. Results Median (IQR) symptom scores decreased from 19 [23] to 16 [21], P,=,0.005. Vital capacity and FVC increased significantly (P,<,0.05). However no difference was found for the total sputum cells and sputum as well as EBC cytokines between the two visits. Significant correlations were found for sputum IL-1 (+), IL-6 (,), and IL-8 (+) to total sputum cell count and neutrophils and for IL-8 to TNF-,. Conclusions We have shown that a short-term inpatient rehabilitation for children with stable CF with intensive physical activity mainly improve subjective clinical symptoms and measures of lung function such as VC and FVC but does not influence airflow obstruction and airway inflammation as assessed by sputum and EBC analysis. Pediatr Pulmonol. 2010; 45:541,551. © 2010 Wiley-Liss, Inc. [source] Children Who Commit Sexual Offences: Some Legal Anomalies and Practical Approaches to the LawTHE HOWARD JOURNAL OF CRIMINAL JUSTICE, Issue 5 2007LAURA JANES It provides a brief survey of the prevalence of sexual offences committed by children. It reviews some of the key legislation that deals with children who commit sexual offences with a particular focus on some of the anomalies contained within it. Drawing on the experience of the work of the Howard League's legal department, it identifies a systematic failure to deal with these children in a constructive way and suggests some ways in which the law can be used to improve the chances of effective rehabilitation for children who are convicted of sexual offences. [source] Practitioner Review: Cognitive rehabilitation for children with acquired brain injuryTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 4 2005Jenny Limond Background:, The need to address acquired cognitive impairments is increasing in child populations seen across a range of settings. However, current clinical practice following brain injury in children does not necessarily incorporate the use of cognitive rehabilitation models or techniques. The aim of this paper is to review the literature in this area. Methods:, All published interventions targeting the cognitive domains of attention, memory and/or executive function that could be identified were reviewed. Different cognitive rehabilitation techniques are briefly described and the clinical and research implications of the findings are discussed. Results:, Eleven papers, involving 54 children and adolescents receiving intervention, were identified. This literature describes generalised cognitive rehabilitation programmes as well as more specific strategies targeting focal deficits. Conclusions:, There is an absence of randomised controlled trials and a very limited number of studies using other methodological approaches, providing at this time no conclusive evidence for the efficacy of cognitive rehabilitation for children with acquired brain injury, but a clear need to address a range of methodological difficulties in this field of enquiry. [source] The Impact of Trafficking on Children: Psychological and Social Policy PerspectivesCHILD DEVELOPMENT PERSPECTIVES, Issue 1 2008Yvonne Rafferty ABSTRACT,Child trafficking and commercial sexual exploitation (CSE) are egregious crimes, extreme forms of child maltreatment, and major violations of children's human rights. Although empirical research is sorely lacking on the impact of such crimes on children's developmental well-being, numerous reports describe the physical and emotional trauma, humiliation, violence, degradation associated with treatment as a commodity, and unrelenting fear and abuse. This paper provides an overview of the impact of trafficking and CSE on children and the practical implications of related research in the areas of child maltreatment and victimization. Findings suggest that trafficking and CSE present grave risks to the physical, psychological, spiritual, and social,emotional development of young victims. Implications for psychology and social policy, in terms of prevention and psychosocial rehabilitation for children who have been victimized, are also presented. [source] |