This work is licensed under Creative Commons Attribution 4.0 License ABEB.MS.ID.000638.
Schooling at all levels from kindergarten to high school has suffered during the pandemic, as the school system has had to readjust to stimulate pupil's attention, rethinking teaching methods, maintaining a healthy climate of interaction between teacher and pupil, teacher and parents, but also between colleagues in the same group study. The management of these parameters becomes all the more delicate in the case of students with special educational needs during the during the COVID-19 pandemic. That is why the preliminary investigations must be thoroughly completed (thorough medical, psychiatric, psychological, pedagogical anamnesis, schooling in the family having a great role here, then rigorous clinical and paraclinical investigations followed only in the last stage of placing the child in a diagnostic class and then stating its requirements). There is a white-gray territory of students who do not have an accurate diagnosis but who still require more attention and special teaching methods. False mental retardation unfortunately still creeps among the diagnoses received by children in some situations, all the more difficult to make a differential diagnosis during the pandemic where communication of all kinds is affected. Modern combined pedagogical methods can be managed in combination for the message to reach the beneficiaries as clearly and comprehensively as possible and the impact on the pupil should be the expected one. The establishment of an interdisciplinary team allows the facilitation of this approach to make the path towards school (be it virtual) easier for all students to create a climate in which the pupil can complete himself to his maximum capacity.
Introduction: Parasomnias are disorders that may appear during sleep with and/or without dreams. To describe them we must take in account a subjective description by the patient and his relatives. Objective measurement of this phenomenology is made with Polysomnography, Electromyography and Holter EKG. Material and Methods: We searched the recent data about parasomnia in the Medline, Pubmed, Google academic databases as also in classic books and reviews. Results: The clinical picture is various from motor and neurological signs to autonomic signs as also sleep related hallucinations. There are more rare presentations with associated disorders due to excretion and involuntary urinary emission during sleep disorders. Parasomnias are often preceded by a traumatic event for the patient and his family members which can be a head trauma or an infection or an intoxication which can be accompanied by psycho vulnerable events. On the other part parasomnias can be themselves a preamble announcing neurodegenerative diseases like Parkinson disease, Lewy Body Dementia or some synucleopathies. Conclusions: The fluctuations of neurotransmitters (Dopamine, Serotonine or Acetylcholine) due to specific neurologic pathology can lead to particular parasomnias, their evolution corresponding to each impairment. The knowledge of accompanying parasomnias of neurologic disorders like those from Parkinson disease helps manage diseases of neurological patients already known with Parkinson's disease or other neurological diseases, leading to increased quality of life for these patients as a result of specialized intervention.
Pediatric comas are particular situations of terrestrial or aerial medical intervention, requiring knowledge of specific protocols and prioritization and hierarchy of emergency interventions. The reactivity of the comatose child is modified according to multiple biological, physiological parameters and generating pathologies. The study aims to analyze the specific elements of aerial medical interventions with helicopter, HEMS (Helicopter Emergency Medical Service) at comatose child that influences the emergency path, but especially the medium and long term prognosis of these cases. The transfer of comatose children at Galati aeromedical base, both primary and secondary interventions, were studied. The study was a prospective randomized study involving pediatric comas transferred over a 4-year course (2014-2017) according to the criteria in force. A total of 24 children between the ages of 0-18 years were transferred, with primary and secondary interventions. In the study lot, the correlations between Glasgow scores and associated pathology, epidemiological characteristics, therapeutic elements, complications and case evolution were analyzed. A profile of the patient requiring emergency intervention for the comatose state was created, making it possible to predict the services they will need and to design the specialized interventions that will follow the transfer of these patients. Although still intensely disputed due to cost considerations, the air transfer of the comatose child facilitates a more prompt response of medical systems to manage this type of emergency and presents management particularities in pre-hospital. Based on this type of results, a strategy takes shape by which the Romanian emergency system aligns with the continuous improvement of life-saving interventions for children.
The addiction on internet is spread on the hole globe and include all the age and social gourps. Postpartum depression is caused as also accelerated and magnified in many cases in situations of isolation (social, medical, living, professional). The own perception about isolation varies from person to person and the consequences are depending on the degree of frustration which some deprivation are inducing it. The mother has the sensation of unjustice of the destiny, that she deserves on a certain plan something more and this dissatisfaction will lead her to be to upset, worried, undecided, anxious and ashamed, helplessness and finally depressed. The spectrum of the postpartum depression is extended up to demisive behavior (abandonment of the job, career, extended family, friends and even the husband) in many cases because of the fear not to be accepted or not to upset the others.The difficulties encountered bu the investigators and the therapists it consists precisely in the fact that it is needed to define correct and concrete this subjective experiences and also to measure them and to correlate them with the actions and the evaluated consequences of the patients actions. The bet with destiny which the woman made it many times, she tries in the moment of depression that she has lost, and just her baby can become the existential motivation to go further and this happens often to mothers with a psychovulnerabilizant family hystory and there are situations in which this assumption seems to look very bad for the women and so the women tries to argue and to justify some of her behaviors.This hard journey form denial to awareness and afterhtat assumption and reconciliation can be traversed with specialised help focused focused on the mother who wants to manage her past in a new setting.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.