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Biomedical subjects

H Levison

Publications and source records attributed to H Levison.

261 records · Page 15Linked to original sources
PubMedDate not supplied

Emotional adjustment of early adolescents with cystic fibrosis.

Eighty-five 12- to 15-year-old adolescents regularly attending the cystic fibrosis (CF) clinic of The Hospital for Sick Children were asked to complete the Children's Health Locus of Control and the Tennessee Self Concept Scale. Their parents were requested to complete the Child Behavior Checklist. Thirty-four males (72%) and 28 females (74%) participated in the study. This study found that adolescents with CF are able to maintain a good self concept, be socially competent, and perceive that they are in control of their health while showing an increase in behavior problems. Females rely heavily on denial and are more behaviorally compliant, whereas boys use less denial but show more behavior problems. Males appear to integrate having a physical disorder into their self concept, whereas females do not. The findings demonstrate a difference in mechanisms of coping with cystic fibrosis between male and female adolescents with CF, which may contribute to the decline in physical status in females and better survival of males.

Adolescent↗
PubMedDate not supplied

Behavioral adjustment of latency age children with cystic fibrosis.

One hundred and twenty-six 6 to 11-year-old latency age children with Cystic Fibrosis regularly attending the CF clinic of the Hospital for Sick Children were asked to complete the Piers-Harris Self-Concept Scale and the Children's Health Locus of Control. Their parents were requested to complete the Child Behavior Checklist and the Family Assessment Measure. One hundred and eight (86%) participated in the study. Twenty-three percent of the children were found to have sufficient behavior problems to indicate a significant degree of maladjustment. Latency-age CF children show an increase in problems compared to a pre-school group, suggesting that leaving the protection of the family is problematic for a child with a chronic physical disorder. Males show more behavior problems than females. Males' behavior is characterized by somatic complaint profile. In spite of difficulties, CF latency children are able to maintain good social competence and self-concept suggesting compensatory mechanisms. These mechanisms are different for males and females. Females' self-concept and social competence are supportive of each other, whereas for males, this is not the case. Similarly, female behavior is relevant to family functioning. Males and females adjust to difficulty as indicated by differences in behavior profiles.

Adaptation, Psychological↗
PubMedDate not supplied

Exercise response and rehabilitation in cystic fibrosis.

Exercise testing can be performed safely in cystic fibrosis patients, and provides a simple and reproducible index of overall health in the disease. A wide variability in exercise capacity of cystic fibrosis patients is found, but, in general, exercise is limited by the degree of lung disease and, to a lesser extent, by compromised nutritional status. Based on the results of exercise tests, patients can then be supplied with individualised exercise prescriptions. Exercise training can be expected to improve the exercise capacity of the majority of cystic fibrosis patients, but pulmonary function generally remains unchanged. Whether exercise rehabilitation will improve the long term prognosis for patients with cystic fibrosis is currently not known.

Adolescent↗
PubMedDate not supplied

Pulmonary function and scoliosis in Duchenne dystrophy.

Pulmonary function data were evaluated in 68 Duchenne muscular dystrophy patients to determine the rate of decline of the percentage of normal forced vital capacity (FVC). The percentage of normal FVC declined most rapidly during the adolescent growth spurt, which demonstrated a need for an accurate and reliable means for determining height in these patients. The age at 35% of normal FVC was 14.9 +/- 3.6 years (2 SD), and survival for the 28 patients who died was 3.2 (range 0.2-5.7) years. Pulmonary function tests were performed 10-74 months after spinal stabilization on 21 Duchenne dystrophy patients and compared with 46 nonfused scoliotic Duchenne patients. No difference was found in the rate of deterioration of the percentage of normal FVC.

Adolescent↗