Pediatric Inflammatory Bowel Diseases Looking To The Future PDF Download
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Author | : Eytan Wine |
Publisher | : Frontiers Media SA |
Total Pages | : 85 |
Release | : 2020-04-01 |
Genre | : |
ISBN | : 2889636291 |
Download Pediatric Inflammatory Bowel Diseases: Looking to the Future Book in PDF, ePub and Kindle
Author | : Petar Mamula |
Publisher | : Springer Science & Business Media |
Total Pages | : 573 |
Release | : 2012-12-14 |
Genre | : Medical |
ISBN | : 1461450616 |
Download Pediatric Inflammatory Bowel Disease Book in PDF, ePub and Kindle
Pediatric Inflammatory Bowel Disease, Second Edition provides an essential reference with an emphasis on the unique pediatric issues of IBD. Chapters focus on complications of IBD specific to children and adolescents. Treatment recommendations are based on the latest clinical research available. The textbook also presents sections dedicated to the aspects of participation in clinical research unique to children and adolescents and the complicated yet vital process of successfully transitioning a patient from a pediatric to adult specialist. Controversies in pediatric IBD care such as the off-label use of medications are also covered. The format incorporates multiple tables, graphs, and figures to improve readability and make for an efficient reference for clinicians to use. Thoroughly revised and updated from the first edition, the volumes includes new therapies that are currently being used or tested for treatment of IBD, important areas regarding incidence and prevalence, immunization and response to vaccine administration as well as advancements in our understanding of growth and development with particular to the use of growth hormone therapy. Other new areas covered include important topics of complementary and alternative medicine use in IBD, immunization, and liver disease in IBD. Pediatric Inflammatory Bowel Disease, Second Edition is a valuable resource for pediatric gastroenterologists as well as adult gastroenterologists.
Author | : North American Society for Pediatric Gastroenterology, Hepatology and Nutrition |
Publisher | : JHU Press |
Total Pages | : 304 |
Release | : 2010-06-10 |
Genre | : Family & Relationships |
ISBN | : 0801895553 |
Download Your Child with Inflammatory Bowel Disease Book in PDF, ePub and Kindle
When a child has inflammatory bowel disease, the family has many concerns: Why is my child sick? What can we do to help him get better? What does the future hold for her? In this book, an expert team of pediatric gastroenterologists explains the symptoms, diagnoses, and treatments associated with Crohn disease, ulcerative colitis, and indeterminate colitis to help parents and children cope with the challenges of IBD. The authors' empathy and experience are evident throughout as they answer such questions as: • What are inflammatory bowel disease, Crohn disease, and ulcerative colitis?• Is there a cure for IBD?• How is IBD going to affect my child's daily life?• Will my child's diet change?• Can my child still play sports?• Will my child need surgery?• What are the side effects of commonly prescribed medications? The book also provides parents with practical advice on how to tell their children about their IBD and discusses the challenges children may face at school and in their social lives, especially as they grow older. Additional information on IBD medications, complementary treatments, and further reading round out this comprehensive and reliable resource.
Author | : North American Society for Pediatric Gastroenterology, Hepatology and Nutrition |
Publisher | : JHU Press |
Total Pages | : 297 |
Release | : 2017-12-15 |
Genre | : Health & Fitness |
ISBN | : 1421423510 |
Download Your Child with Inflammatory Bowel Disease Book in PDF, ePub and Kindle
"When a child has inflammatory bowel disease, the family has many concerns: Why is my child sick? What can we do to help him get better? What does the future hold for her? In this book, an expert team of pediatric gastroenterologists explains the symptoms, diagnoses, and treatments associated with Crohn disease, ulcerative colitis, and indeterminate colitis to help parents and children cope with the challenges of IBD. The authors' empathy and experience are evident throughout as they answer such questions as: - What are inflammatory bowel disease, Crohn disease, and ulcerative colitis?- Is there a cure for IBD?- How is IBD going to affect my child's daily life?- Will my child's diet change?- Can my child still play sports?- Will my child need surgery?- What are the side effects of commonly prescribed medications?The book also provides parents with practical advice on how to tell their children about their IBD and discusses the challenges children may face at school and in their social lives, especially as they grow older. Additional information on IBD medications, complementary treatments, and further reading round out this comprehensive and reliable resource." --Publisher description.
Author | : Naomi Rose Maas Schwartz |
Publisher | : |
Total Pages | : 0 |
Release | : 2021 |
Genre | : |
ISBN | : |
Download Dietary Therapy for Pediatric Inflammatory Bowel Disease Book in PDF, ePub and Kindle
The objective of this study was to assess the potential health outcomes and economic impact of the Specific Carbohydrate Diet (SCD) as a therapeutic option for pediatric patients with inflammatory bowel disease (IBD). In Aim 1, we evaluated the comparative effectiveness of the SCD as an adjunct to pharmacotherapy by using registry data to create an external control arm for an N-of-1 trial. In the full population, there was no statistically significant difference in the change in disease activity from baseline to eight weeks comparing the SCD plus pharmacotherapy to pharmacotherapy alone. In subgroup analyses limited to patients with active disease at baseline, the difference in differences in disease activity was statistically significant, but did not reach clinical significance. In Aim 2, we developed a hybrid decision tree Markov model to assess the value-based price (VBP) of the SCD for induction of remission in pediatric patients with active Crohn’s disease (CD). At an effectiveness of only 50%, we found that the VBP of the SCD at a willingness-to-pay threshold of $50,000 per quality-adjusted life year was close to $20,000, which far exceeds the likely cost of the diet. In Aim 3, we conducted a qualitative study of parents of patients with IBD treated at Seattle Children’s Hospital to assess perceived barriers to initiating and/or maintaining the SCD. We found that parents of children diagnosed with IBD primarily chose to try the SCD due to concerns about medication safety. Additionally, we identified that cost, time commitment, and psychosocial impact are three major barriers to utilizing the SCD. This work provides a foundation for further research into the population health and economic impacts of dietary therapy for IBD. Future studies are needed to assess both the direct and indirect costs of the SCD, as well as the effectiveness of the SCD as a stand-alone therapy and as an adjunct to pharmacotherapy. These data would enable more robust evaluation of the SCD as a therapeutic option, therefore providing essential information for clinicians, patients, payers, and policy-makers.
Author | : Ellen M. Manegold |
Publisher | : |
Total Pages | : 49 |
Release | : 2017 |
Genre | : |
ISBN | : |
Download Factors Associated with Health-related Quality of Life in Pediatric Inflammatory Bowel Disease Book in PDF, ePub and Kindle
Youth with inflammatory bowel disease (IBD) experience poor health-related quality of life (HRQOL; e.g., Cunningham et al., 2007; De Boer et al., 2005; Greenley et al., 2010). Previous research has demonstrated that factors such as problematic family functioning and increased general anxiety are associated with decreased HRQOL in pediatric IBD (e.g., Guilfoyle et al., 2014; Gumidyala & Greenley, 2014; Herzer et al., 2011a; Kilroy, Nolan, & Sarma, 2011). However, little was known about how specific aspects of the parent-child relationship are related to HRQOL. Furthermore, there was a gap in the literature about the relation of gastrointestinal (GI)-specific anxiety to HRQOL. Therefore, the purpose of the study was to identify more specific factors of the parent-child relationship and GI-specific anxiety that are associated with HRQOL in pediatric IBD. Thirty youth with IBD (Mage = 13.90 years, Range = 10 -- 18; 60% Male) and their primary caregivers or parents were recruited from a pediatric gastroenterology clinic in West Virginia. Parents and youth each completed a series of study questionnaires. Results indicated a significant association between GI-specific anxiety and both youth- and parent-reported total HRQOL scores. There were some significant associations among parent-child relationship dimensions and youth- and parent-report of HRQOL. However, most all of these were counterintuitive and may have been a function of study limitations. Exploratory analyses with specific parent-child relationship dimensions as mediators or moderators of GI-specific anxiety and youth-reported HRQOL were non-significant. The small sample and number of analyses performed each contributed to a likely increase in Type I error. Further, the sample was underpowered to detect medium-to-large effect sizes. However, data suggests that GI-specific anxiety is an important consideration in HRQOL in this population. Future directions include expanding data collection for this study to increase statistical power through a larger sample and potentially greater generalizability of data, as well as investigate targeted interventions to improve GI-specific anxiety in this population.
Author | : P. Rutgeerts |
Publisher | : Springer Science & Business Media |
Total Pages | : 340 |
Release | : 1998-12-31 |
Genre | : Medical |
ISBN | : 9780792387503 |
Download Advances in Inflammatory Bowel Diseases Book in PDF, ePub and Kindle
Ulcerative colitis and Crohn's disease remain a great therapeutic challenge to the medical community. In recent years knowledge about the pathogenesis of these diseases has progressed rapidly but the cause of the diseases remains completely unknown. It has become clear that dysregulation of the mucosal immune system is the basis for the chronic evolution of the diseases in a genetically susceptible population. Exciting new therapeutic approaches have been attempted in the last couple of years and cytokine and anti-cytokine treatments in particular seem very promising, especially in intractable disease. The format of the Falk Symposium 106 on `Advances in Inflammatory Bowel Diseases', held in Brussels, Belgium, June 18-20, 1998, was somewhat innovative as each session attempted to link the new insights into pathogenetic mechanisms with new therapeutic approaches, resulting in optimal information transfer. The classic therapeutic schemes were updated with a special focus on step-wise build-up of therapy.
Author | : Payal Dharia |
Publisher | : |
Total Pages | : 188 |
Release | : 2021 |
Genre | : Health education |
ISBN | : |
Download Health Maintenance Education for Caregivers of Pediatric Inflammatory Bowel Disease Patients: Impact on Knowledge and Adherence Book in PDF, ePub and Kindle
Pediatric Inflammatory Bowel Disease (IBD) has the potential to affect growth, pubertal and psychosocial development. Limited knowledge and adherence can be problematic for both children with IBD and their caregivers. Inflammatory bowel disease experts recommend annual physical exams, gastroenterologist appointments, vaccinations, eye screenings, and laboratory work. At the time of implementation, the project site did not have a standardized process for health maintenance education for IBD patients/caregivers. The primary purpose of this study was to examine the impact of a live online educational intervention on caregivers of pediatric IBD patients’ level of knowledge and health maintenance adherence. Secondary aims included: (1) to compare various demographic characteristic with IBD knowledge scores and (2) to evaluate the educational session. IBD knowledge was measured using the IBD-KNOW tool before the intervention and one-week and six-weeks after the intervention. Caregivers were asked about adherence to and plans for scheduling health maintenance appointments pre-intervention and six-weeks later, respectively. Evaluation of the education was measured one-week after the session. Caregivers (N = 24), most college-educated, participated in one 30-minute education session. Results indicated a significant 13.7% (p =.002) increase in mean knowledge scores from pre-intervention to the six-week follow up. All caregivers (n = 14) reported they planned to schedule the recommended appointments (i.e., eye exam, blook work, vaccinations, and provider appointments) during the upcoming year. However, during the prior year, five of 24 caregivers reported the child did not have an eye exam. Results revealed a significantly higher knowledge level at baseline for those with a family history of IBD (t = 2.25, p = .035). Findings indicated no significant difference between knowledge scores in caregivers of children with Crohn’s disease versus Ulcerative colitis. Caregivers (n = 21) were overwhelmingly satisfied with the education; found it helpful and understandable. Online education may help to improve IBD-related knowledge, health maintenance plans, and prevent disease related complications. Future research could provide education directly to IBD patients in their teen-years and examine the impact on knowledge and adherence.
Author | : William A. Oleckno |
Publisher | : Waveland Press |
Total Pages | : 664 |
Release | : 2008-01-18 |
Genre | : Medical |
ISBN | : 1478609842 |
Download Epidemiology Book in PDF, ePub and Kindle
Comprehensive in its coverage and suitable for graduate or upper-division undergraduate students in a wide range of health-related disciplines, this latest offering by William A. Oleckno is a full-scale, pedagogically rich introduction to fundamental ideas and procedures in epidemiology. The text covers the major concepts, principles, methods, and applications of both conventional and modern epidemiology using clear language and frequent examples to illustrate important points and facilitate understanding. While Oleckno provides thorough treatment of the more customary aspects of conventional and modern epidemiology, he also introduces several important design and analytical issues that are only rarely approached in fundamental epidemiology textbooks. Concepts as diverse as competing risks, maturation, futility, and the prevalence and bias effects in the context of screening are just a few examples of the broad range of concepts covered in this text. A comprehensive glossary contains detailed definitions of over 700 terms used throughout the 14 chapters comprising the textbook. Aspiring public health professionals will appreciate the solid basis they gain from Epidemiology: Concepts and Methods and will want to keep a copy close by as a valuable reference throughout their careers.
Author | : George Gershman |
Publisher | : John Wiley & Sons |
Total Pages | : 448 |
Release | : 2021-03-02 |
Genre | : Medical |
ISBN | : 1119423414 |
Download Practical Pediatric Gastrointestinal Endoscopy Book in PDF, ePub and Kindle
The reference text for all those practicing diagnostic and therapeutic pediatric endoscopy – trainees, trainers, specialist endoscopists, gastroenterologists and hepatologists alike. Practical Pediatric Gastrointestinal Endoscopy, 3rd Edition provides a comprehensive and up-to-date exploration for the performance of endoscopy in infants, children and young adults. Written in the form of a complete "how to" manual and filled with step-by-step instructions, this book seeks to bring newcomers to the field of pediatric gastrointestinal endoscopy quickly up to speed. The book is also highly useful for experienced specialist endoscopists and gastroenterologists to brush up on best practice in standard techniques and explore advanced topics in the field. Practical Pediatric Gastrointestinal Endoscopy highlights the substantial and important differences between performing an endoscopy on a mature adult and performing one in a pediatric patient. The differences discussed include: GI pathology Subtleties of diagnostic technique specific to children Application of therapeutic endoscopy to specifically pediatric scenarios Anesthesia and sedation Training and skill maintenance Sophisticated endoscopic techniques adapted from adult endoscopy to children and those techniques specifically orientated to problems and diseases mainly encountered in childhood. This guide is becoming an essential companion for those of us providing diagnostic and therapeutic endoscopy for children in the world today and opens the door to future possibilities in this ever-evolving field.