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1.
Death Stud ; 44(12): 778-786, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31094661

RESUMEN

Childhood maltreatment dysregulates an individual's physiological response to stress, increasing reactivity to stressors across the lifespan. Given the prevalence and impact of bereavement, we examined whether the association between childhood maltreatment and depression was exacerbated by spousal bereavement. We identified an interaction between childhood maltreatment and bereavement using linear regression analysis (B = 0.79, p < .001). A simple slopes test indicated a positive association between childhood maltreatment and depressive symptoms among those who were bereaved (B = 0.86, p < .001), but such association did not emerge among those who were not bereaved (B = 0.06, p = .60).


Asunto(s)
Experiencias Adversas de la Infancia/psicología , Experiencias Adversas de la Infancia/estadística & datos numéricos , Actitud Frente a la Muerte , Trastorno Depresivo/epidemiología , Trastorno Depresivo/psicología , Pesar , Esposos/psicología , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad
2.
Pediatr Radiol ; 48(10): 1410-1416, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-29951836

RESUMEN

BACKGROUND: Chest tube drainage with fibrinolytics is a cost-effective treatment option for parapneumonic effusion and empyema in children. Although the additional use of ultrasound (US) guidance is recommended, this is rarely performed in real time to direct drain insertion. OBJECTIVE: To evaluate the effectiveness and safety of real-time US-guided, radiologically placed chest drains at a tertiary university hospital. MATERIALS AND METHODS: This was a retrospective review over a 16-year period of all children with parapneumonic effusion or empyema undergoing percutaneous US-guided drainage at our centre. RESULTS: Three hundred and three drains were placed in 285 patients. Treatment was successful in 93% of patients after a single drain (98.2% success with 2 or 3 drains). Five children had peri-insertion complications, but none was significant. The success rate improved with experience. Although five patients required surgical intervention, all children treated since 2012 were successfully treated with single-tube drainage only and none has required surgery. CONCLUSION: Our technique for inserting small-bore (≤8.5 F) catheter drains under US guidance is effective and appears to be a safe procedure for first-line management of complicated parapneumonic effusion and empyema.


Asunto(s)
Tubos Torácicos , Drenaje/métodos , Empiema/terapia , Derrame Pleural/terapia , Neumonía/terapia , Ultrasonografía Intervencional , Adolescente , Niño , Preescolar , Empiema/diagnóstico por imagen , Femenino , Fibrinolíticos/administración & dosificación , Humanos , Lactante , Masculino , Derrame Pleural/diagnóstico por imagen , Neumonía/diagnóstico por imagen , Complicaciones Posoperatorias , Estudios Retrospectivos , Resultado del Tratamiento , Reino Unido
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