Abstract:-Taken as proved that brain tumors are the second most frequent childhood neoplasm -only outnumbered by leukemias -we have undertaken a clinical perspective study with seventy brain tumor patients ranging from one to fifteen years of age, throughout a four-year period (1993)(1994)(1995)(1996)(1997), based on ambulatoryoriented follow-up. Forty-one male and twenty-nine female patients were analyzed, in that a slightly higher number of infratentorial tumors was observed (thirty-eight cases), compared to those su… Show more
“…Unfortunately, these therapeutic modalities by themselves have deleterious effects on the brain tissue. Consequently, longer survivals are often associated with neurological, cognitive and endocrine disorders as well as decreased quality of life (Serafim et al
2001). Besides, some survivors have an increased risk of developing a second neoplasm later in life (Broniscer et al
2004).…”
The relatively high frequency of primary brain tumors (PBT) observed in childhood and adolescence in Kuwait has necessitated this epidemiological study. It is based on the records of the Department of Pathology, Al-Sabah Hospital, which examined all brain tumor biopsies done in this age group in Kuwait between 1995 and 2011. During this period, 75 boys (49%) boys and 77 (51%) girls had histologically confirmed PBT. They comprised 122 children (0–14 years) and 30 adolescents (15–19 years). The boys/girls ratio was 1.03 in childhood and 0.76 in adolescence. The age-adjusted incidence rate was 11.2/ million person-years. Early childhood (0–4 years) had the peak frequency of tumors (33%), highest adjusted age-specific incidence rate (3.8/million person-years) of all tumors and the least boys/girls rates ratio (0.38) for astrocytic tumors. Low grade and high grade tumors peaked in 5–9 and 0–4 years respectively. Risk factors (hereditary syndromes or previous radio-therapy) were identified in three patients. Three (2%) tumors were congenital. High grade tumors comprised 47% of childhood and 23% of adolescence PBT. The most common tumors in childhood were astrocytoma (37%), embryonal tumors (31%), ependymoma (8%), and in adolescence astrocytoma (27%), pituitary adenoma (23%) and glioblastoma (13%). Embryonal tumors formed 44% of PBT in early childhood. Gliomas constituted 54% and 43% of all PBT, but 25% and 57% of high grade tumors in childhood and adolescence respectively. Most common tumor locations were cerebellum (47%), ventricles (19%) and cerebral lobes (17%) in childhood and pituitary (30%), cerebellum (27%) and 13% each for cerebral lobes and ventricles in adolescence. Approximately 57% of childhood and 23% of adolescence PBT were infratentorial.In conclusion, despite the high relative frequency of PBT before the age of 20 years in Kuwait, its incidence rate is apparently low. Compared with Western countries, Kuwait has a lower incidence of malignant gliomas, but a higher frequency of cerebellar and intraventricular tumors. Embryonal tumors are remarkably common in early childhood.
“…Unfortunately, these therapeutic modalities by themselves have deleterious effects on the brain tissue. Consequently, longer survivals are often associated with neurological, cognitive and endocrine disorders as well as decreased quality of life (Serafim et al
2001). Besides, some survivors have an increased risk of developing a second neoplasm later in life (Broniscer et al
2004).…”
The relatively high frequency of primary brain tumors (PBT) observed in childhood and adolescence in Kuwait has necessitated this epidemiological study. It is based on the records of the Department of Pathology, Al-Sabah Hospital, which examined all brain tumor biopsies done in this age group in Kuwait between 1995 and 2011. During this period, 75 boys (49%) boys and 77 (51%) girls had histologically confirmed PBT. They comprised 122 children (0–14 years) and 30 adolescents (15–19 years). The boys/girls ratio was 1.03 in childhood and 0.76 in adolescence. The age-adjusted incidence rate was 11.2/ million person-years. Early childhood (0–4 years) had the peak frequency of tumors (33%), highest adjusted age-specific incidence rate (3.8/million person-years) of all tumors and the least boys/girls rates ratio (0.38) for astrocytic tumors. Low grade and high grade tumors peaked in 5–9 and 0–4 years respectively. Risk factors (hereditary syndromes or previous radio-therapy) were identified in three patients. Three (2%) tumors were congenital. High grade tumors comprised 47% of childhood and 23% of adolescence PBT. The most common tumors in childhood were astrocytoma (37%), embryonal tumors (31%), ependymoma (8%), and in adolescence astrocytoma (27%), pituitary adenoma (23%) and glioblastoma (13%). Embryonal tumors formed 44% of PBT in early childhood. Gliomas constituted 54% and 43% of all PBT, but 25% and 57% of high grade tumors in childhood and adolescence respectively. Most common tumor locations were cerebellum (47%), ventricles (19%) and cerebral lobes (17%) in childhood and pituitary (30%), cerebellum (27%) and 13% each for cerebral lobes and ventricles in adolescence. Approximately 57% of childhood and 23% of adolescence PBT were infratentorial.In conclusion, despite the high relative frequency of PBT before the age of 20 years in Kuwait, its incidence rate is apparently low. Compared with Western countries, Kuwait has a lower incidence of malignant gliomas, but a higher frequency of cerebellar and intraventricular tumors. Embryonal tumors are remarkably common in early childhood.
“…a terapia ocupacional (to) atua no processo terapêutico da criança por meio de atividades que a envolvam e a incentivem no retorno ao controle de sua vida, seus hábitos e atividades rotineiras, apesar das limitações da doença e do tratamento agressivo [8][9][10][11] . a criança com câncer comumente apresenta alterações nas habilidades em executar atividades cotidianas devido ao intensivo tratamento [12][13][14][15] .…”
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“…a criança com câncer comumente apresenta alterações nas habilidades em executar atividades cotidianas devido ao intensivo tratamento [12][13][14][15] . devido ao estado de adoecimento "sempre serão constatados efeitos secundários comprometedores do curso natural do desenvolvimento neuropsicomotor (dnPM), determinados por fatores próprios da doença oncológica e/ou por tratamentos necessários" 11 .…”
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“…diante desses fatores, pode-se considerar que o terapeuta ocupacional é um importante profissional integrante de uma equipe multidisciplinar responsável pela atenção ao paciente oncológico [9][10][11] e, embora a política de saúde ainda não garanta sua presença nos centros de atendimento oncológico, continua desempenhado o seu papel em instituições como o instituto de oncologia Pediátrica (ioP) da universidade Federal de são Paulo (uniFesP) e do Grupo de apoio ao adolescente e à criança com câncer (Graacc).…”
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“…em vista disso, o paciente oncológico pode apresentar alteração ou incapacitação do desempenho ocupacional independente, sendo, portanto, este o enfoque do trabalho da to no processo de habilitação e/ou reabilitação, motivação e reinserção social do paciente 10,11,18 . o objetivo deste estudo foi caracterizar o perfil das crianças e dos adolescentes com câncer atendidos pela to.…”
Introdução: Com a crescente abrangência das ações de assistência ao paciente oncológico no sentido da reabilitação, habilitação e melhora na qualidade de vida, além do enfoque no diagnóstico e tratamento, houve a inserção de outros profissionais nesta área. Objetivo: Esta pesquisa teve com o objetivo caracterizar o perfil das crianças e adolescentes com câncer atendidos pela terapia ocupacional. Método: Foram analisados os 34 prontuários de indivíduos atendidos no ano de 2007. Os dados coletados foram anotados em uma ficha, na qual constavam: dados referentes à identificação do indivíduo, dados clínicos relativos à doença oncológica e dados relativos à avaliação e tratamento de terapia ocupacional. O método estatístico utilizado foi a análise descritiva. Resultados: Identificou-se que 34 crianças e adolescentes foram atendidos; houve equivalência com relação ao gênero; sendo a maioria na faixa etária entre 6 e 10 anos de idade (13 indivíduos); com diagnóstico de tumor no sistema nervoso central (23 indivíduos); não estavam estudando (20 indivíduos); possuíam renda entre 1 e 3 salários mínimos (25 famílias); e utilização do Sistema Único de Saúde (32 indivíduos). Os encaminhamentos para a terapia ocupacional ocorreram principalmente através da fisioterapia (13 indivíduos) e da fisiatria (7 indivíduos). Conclusão: Na avaliação e tratamento constatou-se a atenção às atividades básicas e instrumentais de vida diária e ao desenvolvimento físico, sensorial e cognitivo. Conclui-se que a terapia ocupacional com enfoque na oncologia pediátrica necessita de mais encaminhamentos e espera-se contribuir para a divulgação do seu trabalho e a importância da consolidação na área.
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