التفاصيل البيبلوغرافية
| العنوان: |
Role of the Family Physician in the Care of Children with Down Syndrome. |
| المؤلفون: |
BUNT, CHRISTOPHER W., BUNT, STEPHANIE K. |
| المصدر: |
American Family Physician; 12/15/2014, Vol. 90 Issue 12, p851-858, 8p |
| مصطلحات موضوعية: |
DOWN syndrome, GENERAL practitioners, CHILD care, PEDIATRICS, FAMILY medicine |
| مستخلص: |
Down syndrome is the most common chromosomal abnormality, occurring in one in 691 live births in the United States each year. Prenatally, the sequential contingent test for aneuploidy screening is highly sensitive for Down syndrome and has a low false-positive rate. The diagnosis should be confirmed with fluorescent in situ hybridization followed by chromosomal karyotyping at birth. Children with Down syndrome have varied degrees of intellectual disability and more health complications than other children. However, advancements in recent decades have led to improved life expectancy, satisfaction, and quality of life. Newborns with Down syndrome require echocardiography and cardiology evaluation. Children should have annual screenings for vision and hearing, and laboratory studies for subclinical thyroid disease and blood disorders. Clinicians should provide unbiased and comprehensive culturally sensitive information regarding available services for children with Down syndrome. There is good evidence that comprehensive early intervention programs (e.g., speech, visual, physical, and occupational therapy; child psychology) enhance development. It is important to enroll children with Down syndrome in state-specific resources as early as possible. Given the advances in medical care and early intervention programs, regular health supervision by family physicians can allow children with Down syndrome to lead healthy and productive lives. [ABSTRACT FROM AUTHOR] |
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Copyright © 2014 by the American Academy of Family Physicians. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
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