Programa de intervención temprana en aceptación y adaptación familiar para familias con hijos con Síndrome de Down que hayan tenido un diagnóstico postnatal.
Tesis Materias > Psicología Universidad Europea del Atlántico > Docencia > Trabajos finales de Grado Cerrado Español El Síndrome de Down(SD), también llamado trisomía 21, es uno de los síndromes genéticos con mayor incidencia a nivel mundial. Existen pruebas que permiten realizar un diagnóstico prenatal de dicho síndrome, pese a esto, continúa habiendo un gran número de casos en los que el diagnóstico se recibe de manera postnatal. Se ha visto que aquellas familias que reciben un diagnóstico prenatal de la condición de su hijo, tienen mayor aceptación hacia este, en comparación con aquellas que reciben un diagnóstico postnatal. Esto se debe a que estas últimas familias no cuentan con tiempo para adaptarse cognitivamente a esta inesperada situación. La necesidad que hay de atender y ofrecer ayuda profesional a estas familias es inmensa, ya que el recién nacido, necesita el cuidado, cariño y aceptación de sus padres desde el nacimiento, para el establecimiento de un apego seguro y vínculos de seguridad, claves en su desarrollo. De modo, que cuanto antes se consiga una adaptación familiar tras la llegada del nuevo hijo, menos consecuencias negativas tendrá este proceso de shock o negación en la salud mental de los padres, así como en el propio niño. Por esto, se propone un programa de intervención, basado en un enfoque, cognitivo-conductual, dirigido a personas que tengan hijos con SD y que hayan sido enterados de este diagnóstico de manera postnatal, con el objetivo de que el nivel de aceptación y adaptación familiar mejore lo antes posible. Palabras clave Síndrome de metadata Herrera Colmenar, Noelia mail SIN ESPECIFICAR (2019) Programa de intervención temprana en aceptación y adaptación familiar para familias con hijos con Síndrome de Down que hayan tenido un diagnóstico postnatal. Diploma thesis, Universidad Europea del Atlántico.
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El Síndrome de Down(SD), también llamado trisomía 21, es uno de los síndromes genéticos con mayor incidencia a nivel mundial. Existen pruebas que permiten realizar un diagnóstico prenatal de dicho síndrome, pese a esto, continúa habiendo un gran número de casos en los que el diagnóstico se recibe de manera postnatal. Se ha visto que aquellas familias que reciben un diagnóstico prenatal de la condición de su hijo, tienen mayor aceptación hacia este, en comparación con aquellas que reciben un diagnóstico postnatal. Esto se debe a que estas últimas familias no cuentan con tiempo para adaptarse cognitivamente a esta inesperada situación. La necesidad que hay de atender y ofrecer ayuda profesional a estas familias es inmensa, ya que el recién nacido, necesita el cuidado, cariño y aceptación de sus padres desde el nacimiento, para el establecimiento de un apego seguro y vínculos de seguridad, claves en su desarrollo. De modo, que cuanto antes se consiga una adaptación familiar tras la llegada del nuevo hijo, menos consecuencias negativas tendrá este proceso de shock o negación en la salud mental de los padres, así como en el propio niño. Por esto, se propone un programa de intervención, basado en un enfoque, cognitivo-conductual, dirigido a personas que tengan hijos con SD y que hayan sido enterados de este diagnóstico de manera postnatal, con el objetivo de que el nivel de aceptación y adaptación familiar mejore lo antes posible. Palabras clave Síndrome de
| Tipo de Documento: | Tesis (Diploma) |
|---|---|
| Palabras Clave: | Síndrome de Down, adaptación familiar, aceptación, apego |
| Clasificación temática: | Materias > Psicología |
| Divisiones: | Universidad Europea del Atlántico > Docencia > Trabajos finales de Grado |
| Depositado: | 11 Nov 2022 23:30 |
| Ultima Modificación: | 11 Nov 2022 23:30 |
| URI: | https://repositorio.uneatlantico.es/id/eprint/4479 |
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Background Post-kala-azar dermal leishmaniasis (PKDL) is a skin condition that can become a complication in about 15 % of patients who have had kala-azar. Despite its significance, treatment options for PKDL are still limited. This systematic review and meta-analysis aim to evaluate the efficacy of amphotericin B for this condition. Methods PubMed, Embase, Cochrane, and Web of Science databases were searched for randomized controlled trials (RCTs) that reported the efficacy of Liposomal Amphotericin B in the treatment of PKDL. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Events per 100 observations with 95 % confidence intervals were performed for outcomes. Results Nine studies with 639 patients were included, the treatment durations ranging from 7 to 60 days. The mean age ranged from 9.2 to 31.0 years, and 359 patients were male. The PKDL treatment with liposomal amphotericin B resulted in a cure rate of 91.36 % (95 % CI: 76.60-97.15). However, a relapse was observed in 11.42 % (95 % CI: 6.20-20.8) of patients. Adverse events were common, with hepatic enzyme elevation (ALT/AST) being the most frequent (61.75 %; 95 % CI: 21.81–90.33), followed by fever in 29.93 % of cases (95 % CI: 5.09–77.30). Among the more serious side effects, decreased serum potassium was observed in 19.27 % (95 % CI: 3.84–58.82), and increased serum creatinine, indicative of nephrotoxicity, occurred in 15.08 % (95 % CI: 3.97–43.27). Nausea or vomiting, although less severe, affected 12.36 % of patients (95 % CI: 4.81–28.25). Conclusions These findings highlight that while liposomal amphotericin B is a potent therapeutic option for PKDL, its administration requires careful management and clinical vigilance to optimize outcomes and minimize risks.
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