Assuntos
Encefalite/complicações , Leucemia-Linfoma Linfoblástico de Células Precursoras B/terapia , Transplante de Células-Tronco , Toxoplasmose/complicações , Biópsia , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Encefalite/imunologia , Feminino , Humanos , Sistema Imunitário , Inflamação , Interleucina-2/uso terapêutico , Imageamento por Ressonância Magnética , Leucemia-Linfoma Linfoblástico de Células Precursoras B/complicações , Toxoplasmose/imunologia , Transplante Homólogo , Resultado do Tratamento , Adulto JovemRESUMO
In recent years, fibromyalgia has become an increasingly recognized chronic syndrome. Although it occurs more frequently in adults, it is also seen among school-age children and adolescents. In such cases, it is known as juvenile fibromyalgia syndrome (JFS). The widespread pain and other possible symptoms associated with JFS can have a negative impact on the occupational performance and developmental tasks of children and adolescents. As experts in the areas of occupational performance, daily functional skills, and child development, occupational therapists have a potential role to play in the assessment and management of children and adolescents with JFS. To date, however, no occupational therapy management approach for clients with JFS has been documented in the professional literature. In this paper, we outline the clinical features of JFS, pertinent assessment areas, and potential management strategies using a cognitive-behavioral approach.
Assuntos
Terapia Cognitivo-Comportamental/métodos , Fibromialgia/reabilitação , Manejo da Dor , Adolescente , Doença Crônica , Feminino , Fibromialgia/complicações , Humanos , Dor/etiologia , Planejamento de Assistência ao Paciente , Apoio SocialRESUMO
The embryonic period of development is characterized by marked variability in the rate of embryonic growth and development. Differences in uterine blood flow may explain this variability. We investigated the relationship between uterine artery blood flow volume (VOL), uterine artery pulsatility index (UA-PI), uterine artery resistance index (UA-RI), spiral artery pulsatility index (SA-PI), spiral artery resistance index (SA-RI), chorionic sac diameter (CSD), and crown-rump length (CRL) during 321 first trimester vaginal colour Doppler ultrasound examinations of 94 delivered or continuing pregnancies. After correcting for the confounding effect of gestational age, subject, and serum hormone levels by Analysis of Covariance, CRL was related to UA-PI (P = 0.025) and UA-RI (P < 0.001), but not to VOL, SA-PI, or SA-RI. No relationship was found between CSD and any uterine blood flow variables. Serum oestradiol levels were related to CSD and CRL (P < 0.001). No relationship was found to progesterone, maternal age, parity, or previous abortion. We conclude that differences in uterine blood flow and serum oestradiol explain some of the variability in the rate of embryo growth during the first 12 gestational weeks.