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Clinical assessment and pharmacologic treatment of pain in children: cancer as a model for the management of chronic or persistent pain. 儿童疼痛的临床评估和药物治疗:癌症作为慢性或持续性疼痛管理的模型。
Pediatrician Pub Date : 1989-01-01
L K Zeltzer, P M Zeltzer
{"title":"Clinical assessment and pharmacologic treatment of pain in children: cancer as a model for the management of chronic or persistent pain.","authors":"L K Zeltzer,&nbsp;P M Zeltzer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes methods of assessment and pharmacologic management for chronic or persistent pain in children. This report will be a clinical one, derived from the experiences of a pediatric oncologist (P.M.Z.) and a pediatric pain consultant (L.K.Z.). Case reports will illustrate clinical assessment and management strategies.</p>","PeriodicalId":77588,"journal":{"name":"Pediatrician","volume":"16 1-2","pages":"64-70"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13710039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The mouth as an indicator of internal nutritional problems. 口腔作为内部营养问题的指示器。
Pediatrician Pub Date : 1989-01-01
S Dreizen
{"title":"The mouth as an indicator of internal nutritional problems.","authors":"S Dreizen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The mouth is a uniquely sensitive repository of nutritional information reflecting past and present nutritional insults with a speed and to a degree unmatched by almost any other body site. Changes in the structural integrity of the teeth provide a history of exposure to deficiencies of vitamin A, vitamin C, vitamin D and iodine and to an excess of fluorides during the years of tooth formation. Changes in the structural integrity of the oral mucosa may signal ongoing deficiencies of riboflavin, niacin, folic acid, vitamin B6, vitamin B12, biotin, vitamin C, vitamin K, iron and protein calories. The evidence is readily accessible and painlessly procured. The clinician alert to and familiar with the stomatological reactions to prolonged deprivation of many of the essential nutrients is in a privileged position for the early diagnosis and effective management of the nutritional deficiency states.</p>","PeriodicalId":77588,"journal":{"name":"Pediatrician","volume":"16 3-4","pages":"139-46"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13833559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oral manifestations of pediatric AIDS. 小儿艾滋病的口腔表现。
Pediatrician Pub Date : 1989-01-01
S Silverman, D Wara
{"title":"Oral manifestations of pediatric AIDS.","authors":"S Silverman,&nbsp;D Wara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pediatric victims of AIDS virus infection continue to increase. The major source of transmission is by birth from an HIV-positive mother. Recognition is often difficult because of the varied and misleading signs and symptoms. Only a few studies describe oral manifestations in children and adolescents. The most common oral findings include candidiasis, parotid salivary gland enlargement and herpetic infections. Oral involvement may reflect early signs and symptoms of HIV-related immunosuppression.</p>","PeriodicalId":77588,"journal":{"name":"Pediatrician","volume":"16 3-4","pages":"185-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13834921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pain assessment and management in infants. 婴儿疼痛评估和处理。
Pediatrician Pub Date : 1989-01-01
C C Johnston
{"title":"Pain assessment and management in infants.","authors":"C C Johnston","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of infant pain assessment and management is presented. Included are physiological (cardiovascular and hormonal) and behavioral (facial expression and cry analysis) approaches to measurement. Management of pain in infants includes pharmacological (namely opiate) approaches and nonpharmacological techniques.</p>","PeriodicalId":77588,"journal":{"name":"Pediatrician","volume":"16 1-2","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13800331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bite marks, oral and facial injuries--harbingers of severe child abuse? 咬痕，口腔和面部损伤——严重虐待儿童的先兆?
Pediatrician Pub Date : 1989-01-01
N D Sperber
{"title":"Bite marks, oral and facial injuries--harbingers of severe child abuse?","authors":"N D Sperber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bite mark evidence has been admitted in a vast number of cases in courts throughout the United States, as well as other countries. Because there is variation in the dentition of humans, if bite marks are noted in a victim, it is possible in many cases to determine the identity of the perpetrator depending on the quality of the bite mark, its age, lack of distortion and documentation. In other cases, facial injuries, including damage to the frenum and teeth in addition to the face, may point to nonaccidental injury if the history corroborates this condition.</p>","PeriodicalId":77588,"journal":{"name":"Pediatrician","volume":"16 3-4","pages":"207-11"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13834922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric pain: diagnosis, assessment and management. 儿科疼痛:诊断、评估和管理。
Pediatrician Pub Date : 1989-01-01
{"title":"Pediatric pain: diagnosis, assessment and management.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77588,"journal":{"name":"Pediatrician","volume":"16 1-2","pages":"1-124"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13868071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment and management of chronic and recurrent pain in children with chronic diseases. 慢性疾病儿童慢性和复发性疼痛的评估和管理。
Pediatrician Pub Date : 1989-01-01
J W Varni, G A Walco, E R Katz
{"title":"Assessment and management of chronic and recurrent pain in children with chronic diseases.","authors":"J W Varni,&nbsp;G A Walco,&nbsp;E R Katz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper provides an overview to the assessment and management of chronic and recurrent pain in children with chronic diseases. Relevant clinical research studies are cited, and practical guidelines are provided for the differential assessment and management issues inherent in the comprehensive care of chronic and recurrent pain in children and adolescents with hemophilia, juvenile rheumatoid arthritis, sickle cell disease, and cancer.</p>","PeriodicalId":77588,"journal":{"name":"Pediatrician","volume":"16 1-2","pages":"56-63"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13800335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The enigma of pain in children: an overview. 儿童疼痛之谜:综述。
Pediatrician Pub Date : 1989-01-01
P A McGrath, L M Hillier
{"title":"The enigma of pain in children: an overview.","authors":"P A McGrath,&nbsp;L M Hillier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the last 2 decades, a vast amount of information has been obtained about the sensory system responsible for pain perception, with the result that there have been dramatic changes in the understanding of how pain is experienced and how pain can be modified. However, recent advances in the management of pain have been confined almost exclusively to adults. Consequently, our understanding about pain perception in infants, children and adolescents, our knowledge about the prevalence of different pain problems for children and data about the effectiveness of various pharmacological and nonpharmacological pain control methods are limited. This article explores the issue of the undertreatment of acute, recurrent, chronic and cancer pain in infants and children.</p>","PeriodicalId":77588,"journal":{"name":"Pediatrician","volume":"16 1-2","pages":"6-15"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13800336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recurrent headaches in children and adolescents: diagnosis and treatment. 儿童和青少年复发性头痛:诊断和治疗。
Pediatrician Pub Date : 1989-01-01
P J McGrath, P Humphreys
{"title":"Recurrent headaches in children and adolescents: diagnosis and treatment.","authors":"P J McGrath,&nbsp;P Humphreys","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recurrent headache is a frequent problem in children and adolescents. With a careful history and physical examination few errors in diagnosis will be made. Fortunately, few headaches are of pathological origin. The most common headaches are migraine and muscle contraction headaches. For many sufferers, a few simple suggestions and proper use of analgesics will provide effective management. The best documented treatments for more difficult headaches are stress management therapies. Recently stress management treatments that can be administered by professionals not trained in psychology have made these approaches more accessible.</p>","PeriodicalId":77588,"journal":{"name":"Pediatrician","volume":"16 1-2","pages":"71-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13800337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Suffering children hurt us. 受苦的孩子伤害了我们。
Pediatrician Pub Date : 1989-01-01
J Barber
{"title":"Suffering children hurt us.","authors":"J Barber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper examines the consequences of our attitudes toward children's pain and suffering, both on that pain and suffering and on children's response to treatment. Examples are offered for alternative ways we can cope with suffering children. Attention is paid to the importance of self-awareness on the part of clinicians, and of its relevance to good clinical care.</p>","PeriodicalId":77588,"journal":{"name":"Pediatrician","volume":"16 1-2","pages":"119-23"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13868072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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