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A Controlled Mouse Model for Neonatal Polymicrobial Sepsis
Published on: January 27, 2019
从罗马尼亚收养的儿童的健康
D E Johnson1, L C Miller, S Iverson
1International Adoption Clinic, Department of Pediatrics, Minneapolis, MN.
JAMA
|December 23, 1992
概括
罗马尼亚收养的孩子表现出严重的健康问题,包括乙型肝炎和生长不良,由于机构的忽视. 大多数儿童表现出发育迟缓和身体健康不佳,突显了孤儿院系统对儿童的严重影响.
科学领域:
- 儿科 儿科 儿科
- 全球健康 全球健康
- 公共卫生 公共卫生
背景情况:
- 罗马尼亚的孤儿院系统导致严重的忽视和虐待儿童.
- 国际收养提供了一个机会来评估这些孩子的健康状况.
研究的目的:
- 评估罗马尼亚被收养者被关押在医疗机构的医疗状况和长期健康影响.
- 为了确定这个人群中特定的健康问题和发育迟缓的流行程度.
主要方法:
- 一个涉及65名罗马尼亚领养者的案例系列研究,在美国的国际领养诊所见过.
- 评估包括查乙型肝炎,肠道寄生虫,结核病,梅毒,HIV-1,生长失败和发育迟缓.
主要成果:
- 只有15%的收养者是健康的; 53%的收养者显示出B型肝炎感染的证据.
- 33%的儿童患有肠道寄生虫,大多数儿童出现了显著的生长失败和发育迟缓.
- 制度化对婴儿生长参数产生了不利影响,并减少了老年儿童的身高.
结论:
- 罗马尼亚领养者代表高风险的儿科群体,原因是严重的,长期的儿童忽视和虐待.
- 这些发现强调了机构环境对儿童发展的深刻而持久的健康影响.
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