Ambulatory pediatrics. Introduction.
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Biomedical subjects
Publications and source records attributed to B M Korsch.
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In terms of physical health, degree of rehabilitation and the personal assessment of the affected patients, kidney transplantation represents the optimal therapy for children with chronic renal insufficiency. The best results are achieved by transferring organs from relatives. However, this can only be accomplished if medical treatment is accompanied and supported by continuous psychosocial care of the patient, the family and the treatment team. The problem of noncompliance requires special attention, since it may be the reason for rejection of transplants; it can, however, be recognized by preliminary preventive investigations and prevented by appropriate therapy. Our positive overall experience concerning parenthood following kidney transplants does not appear to justify dissuading such patients from having children if they so wish. However, we consider that especially young women who already have impaired function with a transplanted kidney should be advised of the risk of further deterioration during pregnancy, and that the possibility of reduced life expectancy should be discussed with these patients as a matter of urgency.
The psychological and social adjustment of 30 obese children and their families was examined. Mothers completed the Child Behaviour Checklist and the Family Environment Scale; children completed the Self-Perception Profile for Children. The results consistently indicate that the obese children were less socially competent, had more behaviour problems, and had poorer self-perceptions than the non-obese normative samples. Families of obese children differed significantly from families in the non-distressed normative sample in that they interacted in a more negative way. The findings are discussed in terms of an 'at risk profile' and the implications for the behavioural treatment of obese children.