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Query: UMLS:C0023418 (leukemia)
 93,477 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The study compared the efficacy of hypnotic "imaginative involvement," behavioral distraction and standard medical practice for the reduction of pain, distress and anxiety in children with leukemia, during bone marrow aspirations. Two age groups of children, 3 to 6, and 7 to 10 years, were randomized to the three treatment groups. Two intervention sessions were given. At first intervention, observational ratings of distress indicated significant reductions for the younger group in the hypnotic treatment, whereas the older group achieved significant reductions in both treatment conditions for observer-rated pain and anxiety. At second intervention, all groups showed reductions and the control group appeared to be contaminated. The hypnotic method with its internal focus had an all-or-none effect, whereas distraction appeared to require that coping skills be learned over one session or more.
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PMID:Psychological treatment of distress, pain, and anxiety for young children with cancer. 322 Sep 58

A hospital-based behavioural intervention programme was developed for families of children with newly diagnosed or relapsed Acute Lymphoblastic Leukaemia (ALL). The programme's aim was to enhance the families' ability to cope with the emotionally distressing aspects of the illness and the medical treatment. Eight children and 10 parents participated in the programme for 12 weeks. The children received individual therapeutic play sessions and computer-assisted distraction activities, while the parents participated in a structured support group. The subjects were evaluated before, immediately after, and 6 months post-intervention, using both self-administered questionnaires and clinical observation by the psychosocial intervention team and the hospital staff. Findings indicated positive changes on the coping and the hopelessness measures, and an overall benefit for both parents and children. The hospital team reported better compliance and co-operation with treatment procedures by the children and their parents. The study concludes with an assessment of the benefits and feasibility of integrating a psychosocial programme into paediatric oncology services in Singapore.
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PMID:Childhood leukaemia: towards an integrated psychosocial intervention programme in Singapore. 979 51

Prosthodontic rehabilitation of patients with bimaxillary resection involving the maxillae, hard and soft palates, and paranasal sinuses presents a significant challenge in restoring speech, deglutition, mastication, and respiration. This clinical report describes the prosthodontic management of a young girl treated for leukemia who required a bilateral maxillectomy secondary to mucormycosis. Distraction osteogenesis, bone grafts, osseointegrated implants, and magnet attachments were used to provide retention, support, and stability of a large definitive obturator.
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PMID:Dental implant-assisted prosthetic rehabilitation of a patient with a bilateral maxillectomy defect secondary to mucormycosis. 1691 84

Clinicians often have positive attitudes about the clinical effects of music. To better understand barriers to providing music in the clinic, we describe parents' attitudes about music for pediatric oncology outpatients. A cross-sectional survey was conducted between January 2005 and October 2007 in a pediatric oncology clinic in a tertiary hospital. Eligible subjects were one parent of pediatric leukemia patients. Surveys were distributed at a routine clinic visit as part of a study on the effects of music on subjective and objective well-being. Of the 67 eligible families, 45 (67%) parents responded; 82% reported playing music for the patient at home within the previous week. The most common reasons to use music for the patient were to entertain (88%), keep the patient company (71%), help the patient feel better (76%), or provide comfort (69%); fewer used music to distract the patient from pain (16%) or nausea (11%). Parents expected that music during clinic visits would have positive effects: relaxation (64%), comfort (42%), and/or distraction (33%); none expected negative effects. Parents often play music for their children, and they hold favorable attitudes about playing it in the clinic. Parents' attitudes are not barriers to providing music in the clinic.
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PMID:Parents' attitudes and expectations about music's impact on pediatric oncology patients. 1913 46

Virtual reality is an immersive technology that can provide distraction and anxiolysis during painful procedures. While it has been shown to be effective in less invasive procedures, it is underutilized in more invasive procedures. We describe using virtual reality for a morbidly obese patient with leukemia undergoing lumbar puncture. The use of virtual reality reduced the amount of analgesics and anxiolytics and the procedure and recovery times compared with no virtual reality.
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PMID:Virtual reality for lumbar puncture in a morbidly obese patient with leukemia. 3028 48