Neglect contributing to tertiary hospitalization in childhood asthma

Iron Deficiency Associated with Higher Blood Lead in Children Living in Contaminated Environments

“…Dysfunctional patterns are common in homes of children with asthma and may be precipitated by anxiety experienced around asthmatic attacks (56). Family dysfunction has been related to increased asthma morbidity and mortality (57,58). The level of stress in the home of an asthmatic child is likely to increase as parents attempt to balance the child's need for activity and independence with their concerns about avoiding allergen-or exercise-induced symptoms and maintaining adherence to a pharmacologic regimen.…”

“…The Asian participants in our study were primarily of Southeast Asian origin. It is possible that genetic polymorphisms for δ-aminolevulinic acid dehydratase (ALAD) alleles (55)(56)(57)(58), or other differences in lead binding proteins could affect blood lead independently of iron status. It is also possible that this finding was caused by chance alone.…”

Review of psychosocial stress and asthma: an integrated biopsychosocial approach

“…It has been speculated that accuracy of perceived symptoms in paediatric asthma may be influenced by physiological factors such as disease severity as well as psychological factors such as defensive style, although empirical evidence is scarce 112113Boxer and colleagues114 found a relationship between paediatric admissions to hospital for asthma and family dysfunction through the lack of symptom recognition and poor management of exacerbations.…”

Recognizing and Responding to Medical Neglect

“…However, when a procedure carries inherent danger or a drug has significant adverse effects, labeling a caregiver's reluctance to cooperate as neglect may be problematic. 2 In some situations, health care professionals may evaluate risks and benefits of drugs or procedures differently than families. All clinical reports from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time.…”

“…Either of these situations can be fatal in some cases or can lead to chronic disability. 2 Several factors are considered necessary for the diagnosis of medical neglect 3 :…”