Pediatric hematology and oncology
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Pediatr Hematol Oncol · Jan 2003
Policies designed to enhance the quality of life of children with cancer at the end-of-life.
This study evaluated preventive intervention designed to enhance the quality of life of children with cancer at the end-of-life, based on a theoretical model of crises denoted as the Perceived Personal Control Crisis Model. Preventive intervention on the Social Action level consists of introducing policies and services in the pediatric hemato-oncology department designed to enhance the quality of life of children with cancer at the end-of-life.
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Pediatr Hematol Oncol · Jan 2003
Comparative Study Clinical Trial Controlled Clinical TrialA comparison of two transfusion regimens in the perioperative management of children with sickle cell disease undergoing adenotonsillectomy.
Adenotonsillar hypertrophy and chronic tonsillitis are common findings in patients with sickle cell disease (SCD). Various preoperative transfusion regimens have been suggested to reduce the population of sickle erythrocytes and correct the anemia, ranging from conservative (correcting the anemia) to aggressive (lowering the level of HbS to less than 30%). A total of 39 patients with SCD were included in the study. ⋯ Thirty percent of patients in both groups had postoperative complications. They ranged from mild local infection to acute chest syndrome. Simple transfusion was not associated with higher incidence of complications and resulted in only one-third as many transfusion requirements.