Biography
Dr. Patricia Stoddard Dare earned her PhD from Washington University in St. Louis and also completed a four-year NIMH fellowship in Mental Health Services Research. She currently is the MSW Program Director at a large urban University in Ohio. She is the author of 18 published papers focused on the vulnerabilities experienced by youth, and has won multiple awards for her research.
Abstract
Cross-sectional data (N = 1940) from the third wave of a ten-year data collection initiative in seven high poverty US communities sponsored by the Annie E. Casey Foundation were used to assess the odds of experiencing specific material hardships (phone disconnection, inability to pay bills, food insecurity, and inability to fill prescription medication due to cost) between families who have a child member with a limiting health condition, and families with children who do not have a child member with a limiting health condition while controlling for relevant demographic variables. A series of multivariable logistic regressions found having a child in the household with a limiting health condition increases the odds the household will be unable to pay bills (1.41 95% CI, 1.13, 1.77) and have their phone service disconnected (1.33 95% CI 1.04, 1.70). The odds of food insecurity (OR=1.41, 95% C.I., 1.11, 1.79) also increase. Additionally, logistic models indicate families with a child with a limiting health condition are 1.57 times (95% CI 1.21, 2.04) more likely to delay or fail to fill a needed prescription compared to families with children who do not have a child with a limiting health condition. When there are two or more children with limiting conditions in the household, the odds of all these hardships increase. Specific interventions available to assist at risk families who have a child with a limiting health condition are described in detail.
Biography
Abstract
Complete atrioventricular (AV) block is a rare affection. It is the consequence of abnormal conduction tissue within a cardiac malformation or it is due to cardiac injury by maternal antibodies that cross the placental barrier and induce myocardial inflammation. Yet the etiology of late complete atrioventricular block in children child remains mostly unknown. The treatment of children's Complete atrioventricular block is the implantation of a pacemaker with immediate results satisfactory in the absence of associated cardiomyopathy. In this observation we will treat three cases: the first, a 11 year old child with CAVB discovered iafter a syncope, the echocardiography showed absence of cardiac malformation. The mom’s immunological statue was negatif. Treatment was based on the implantation of a dual chamber pacemaker. The second was a 9 year old girl who had a persistent CAVB after heart surgery. The third was boy, 7 years old with a CAVB due to cardiac malformation.