Professional activity, gender and disease-related emotions: The impact on parents' experiences in caring for children with phenylketonuria - Publikacja - MOST Wiedzy

Wyszukiwarka

Professional activity, gender and disease-related emotions: The impact on parents' experiences in caring for children with phenylketonuria

Abstrakt

Introduction: Clinical management of rare diseases often fails to acknowledge the challenges faced by caregivers.
Whilst management of phenylketonuria (PKU) may not be considered as dire as other conditions, most studies
primarily concentrate on clinical issues, dietary adherence, or the quality of life of the PKU patients, leaving
caregivers in the background. The aim of the study was to evaluate the psychosocial effects of PKU on family
caregivers.
Methods: Between October 30th, 2022 and February 28th, 2023, we collected data from caregivers of children
with PKU using an anonymous, self-administered, computer-assisted online questionnaire. The survey was
distributed among to patients during their regular visits to five Polish PKU treatment centers.
Results: A total of 159 Polish caregivers of children with PKU completed the survey. This research shows that
while women caregivers were more likely to be unemployed due to their responsibilities for childcare (50.3%
compared to 0% for men), and men caregivers were more likely to be employed full-time (93.8% compared to
40.6% for women), the former reported higher emotional engagement in caregiving (88.1% vs 56.3% respectively).
Significantly, unemployed mothers reported higher levels of loneliness, helplessness, and emotional
control problems, and lacked psychological/emotional support more often than employed mothers. This research
also shows a statistically significant positive correlation between mothers' education level and financial situation
(p < 0.05) and education level and professional activity (p < 0.01). Additionally, a significant positive correlation
was found between perceived financial situation and feeling of happiness (p < 0.001), and between financial
situation and professional activity (p < 0.001). Finally, a significant positive correlation was observed between
feeling of happiness and professional activity (p < 0.05).
Conclusions: According to our findings, there is a link between subjective happiness, financial situation, and
professional activity among female caregivers. The relationship between these factors goes beyond just the income
earned from work. The results of our study imply that there could even be a therapeutic advantage for
working mothers. It is crucial to recognize the emotional difficulties that employed mothers may experience
while taking care of a child with PKU, and to provide them with the necessary assistance and resources to meet
their needs. Additionally, our results may provide a foundation for redefining the support system for caregivers in
Poland.

Cytowania

Autorzy (8)

Cytuj jako

Pełna treść

pobierz publikację
pobrano 13 razy
Wersja publikacji
Submitted Version
Licencja
Creative Commons: CC-BY-NC-ND otwiera się w nowej karcie

Słowa kluczowe

Informacje szczegółowe

Kategoria:
Publikacja w czasopiśmie
Typ:
Publikacja w czasopiśmie
Opublikowano w:
Molecular Genetics and Metabolism Reports nr 36,
ISSN: 2214-4269
Rok wydania:
2023
DOI:
Cyfrowy identyfikator dokumentu elektronicznego (otwiera się w nowej karcie) https://doi.org/10.1016/j.ymgmr.2023.100992
Bibliografia: test
  1. C.R. Scriver, The PAH gene, phenylketonuria, and a paradigm shift, Hum. Mutat. 28 (2007) 831-845, https://doi.org/10.1002/humu.20526. otwiera się w nowej karcie
  2. M.I. Flydal, A. Martinez, Phenylalanine hydroxylase: function, structure, and regulation, IUBMB Life 65 (2013) 341-349, https://doi.org/10.1002/iub.1150. otwiera się w nowej karcie
  3. BIOPKU :: International Database of Patients and Mutations causing BH4- responsive HPA/PKU, (n.d.). http://www.biopku.org/home/pah.asp (accessed July 9, 2023). otwiera się w nowej karcie
  4. A. Hillert, Y. Anikster, A. Belanger-Quintana, A. Burlina, B.K. Burton, C. Carducci, A.E. Chiesa, J. Christodoulou, M. Đorđević, L.R. Desviat, A. Eliyahu, R.A.F. Evers, otwiera się w nowej karcie
  5. L. Fajkusova, F. Feillet, P.E. Bonfim-Freitas, M. Giżewska, P. Gundorova, D. Karall, K. Kneller, S.I. Kutsev, V. Leuzzi, H.L. Levy, U. Lichter-Konecki, A.C. Muntau, F. Namour, M. Oltarzewski, A. Paras, B. Perez, E. Polak, A.V. Polyakov, F. Porta, M. Rohrbach, S. Scholl-Bürgi, N. Spécola, M. Stojiljković, N. Shen, L.C. Santana-da Silva, A. Skouma, F. van Spronsen, V. Stoppioni, B. Thöny, F.K. Trefz, J. Vockley, Y. Yu, J. Zschocke, G.F. Hoffmann, S.F. Garbade, N. Blau, The genetic landscape and epidemiology of phenylketonuria, Am. J. Hum. Genet. (2020), https://doi.org/ 10.1016/j.ajhg.2020.06.006. otwiera się w nowej karcie
  6. N. Blau, F.J. van Spronsen, H.L. Levy, Phenylketonuria, Lancet. 376 (2010) 1417-1427, https://doi.org/10.1016/S0140-6736(10)60961-0. otwiera się w nowej karcie
  7. A.M.J. van Wegberg, A. MacDonald, K. Ahring, A. Bélanger-Quintana, N. Blau, A. M. Bosch, A. Burlina, J. Campistol, F. Feillet, M. Giżewska, S.C. Huijbregts, S. Kearney, V. Leuzzi, F. Maillot, A.C. Muntau, M. van Rijn, F. Trefz, J.H. Walter, F. J. van Spronsen, The complete European guidelines on phenylketonuria: diagnosis and treatment, Orphanet. J. Rare Dis. 12 (2017) 162, https://doi.org/10.1186/ s13023-017-0685-2. otwiera się w nowej karcie
  8. R. Jahja, F.J. van Spronsen, L.M.J. de Sonneville, J.J. van der Meere, A.M. Bosch, C.E.M. Hollak, M.E. Rubio-Gozalbo, M.C.G.J. Brouwers, F.C. Hofstede, M.C. de Vries, M.C.H. Janssen, A.T. van der Ploeg, J.G. Langendonk, S.C.J. Huijbregts, Social-cognitive functioning and social skills in patients with early treated phenylketonuria: a PKU-COBESO study, J. Inherit. Metab. Dis. 39 (2016) 355-362, https://doi.org/10.1007/s10545-016-9918-0. otwiera się w nowej karcie
  9. I. Eijgelshoven, S. Demirdas, T.A. Smith, J.M.T. van Loon, S. Latour, A.M. Bosch, The time consuming nature of phenylketonuria: a cross-sectional study investigating time burden and costs of phenylketonuria in the Netherlands, Mol. Genet. Metab. 109 (2013) 237-242, https://doi.org/10.1016/j. ymgme.2013.05.003. otwiera się w nowej karcie
  10. C. Bilginsoy, N. Waitzman, C.O. Leonard, S.L. Ernst, Living with phenylketonuria: perspectives of patients and their families, J. Inherit. Metab. Dis. 28 (2005) 639-649, https://doi.org/10.1007/s10545-005-4478-8. otwiera się w nowej karcie
  11. D. Walkowiak, B. Mikołuć, R. Mozrzymas, Ł. Kałużny, B. Didycz, D. Korycińska- Chaaban, M. Patalan, J. Jagłowska, A. Chrobot, E. Starostecka, J. Zarębska, J. Walkowiak, The impact of the COVID-19 pandemic on the perception of health and treatment-related issues among patients with phenylketonuria in Poland-the results of a national online survey, Int. J. Environ. Res. Public Health 18 (2021) 6399, https://doi.org/10.3390/ijerph18126399. otwiera się w nowej karcie
  12. A. MacDonald, T.A. Smith, S. de Silva, V. Alam, J.M.T. van Loon, The personal burden for caregivers of children with phenylketonuria: a cross-sectional study investigating time burden and costs in the UK, Mol. Genet. Metab. Rep. 9 (2016) 1-5, https://doi.org/10.1016/j.ymgmr.2016.08.008. otwiera się w nowej karcie
  13. G. Wood, A. Pinto, S. Evans, A. Daly, S. Adams, S. Costelloe, J. Gribben, C. Ellerton, A. Emm, S. Firman, S. Ford, M. French, L. Gaff, E. Giuliano, M. Hill, I. Hunjan, C. Newby, A. Mackenzie, R. Pereira, C. Prescott, L. Robertson, H. Seabert, R. Skeath, S. Tapley, A. Terry, A. Tooke, K. van Wyk, F.J. White, L. White, A. Woodall, J.C. Rocha, A. MacDonald, Special low protein foods prescribed in England for PKU patients: an analysis of prescribing patterns and cost, Nutrients. 13 (2021) 3977, https://doi.org/10.3390/nu13113977. otwiera się w nowej karcie
  14. A. Belanger-Quintana, K. Dokoupil, H. Gokmen-Ozel, A.M. Lammardo, A. MacDonald, K. Motzfeldt, M. Nowacka, M. Robert, M. van Rijn, K. Ahring, Diet in phenylketonuria: a snapshot of special dietary costs and reimbursement systems in 10 international centers, Mol. Genet. Metab. 105 (2012) 390-394, https://doi. org/10.1016/j.ymgme.2011.12.004. otwiera się w nowej karcie
  15. A.M. Martins, A.L.S. Pessoa, A.A. Quesada, E.M. Ribeiro, Unmet needs in PKU and the disease impact on the day-to-day lives in Brazil: results from a survey with 228 patients and their caregivers, Mol. Genet. Metab. Rep. 24 (2020), 100624, https:// doi.org/10.1016/j.ymgmr.2020.100624. otwiera się w nowej karcie
  16. T. Mlčoch, R. Puda, P. Ješina, M. Lhotáková, Š . Š těrbová, T. Doležal, Dietary patterns, cost and compliance with low-protein diet of phenylketonuria and other inherited metabolic diseases, Eur. J. Clin. Nutr. 72 (2018) 87-92, https://doi.org/ 10.1038/ejcn.2017.102. otwiera się w nowej karcie
  17. M. Gunduz, N. Arslan, O. Unal, S. Cakar, P. Kuyum, S.F. Bulbul, Depression and anxiety among parents of phenylketonuria children, Neurosciences (Riyadh) 20 (2015) 350-356, https://doi.org/10.17712/nsj.2015.4.20150319. otwiera się w nowej karcie
  18. E. Medford, D.J. Hare, K. Carpenter, S. Rust, S. Jones, A. Wittkowski, Treatment adherence and psychological wellbeing in maternal carers of children with phenylketonuria (PKU), JIMD Rep. 37 (2017) 107-114, https://doi.org/10.1007/ 8904_2017_23. otwiera się w nowej karcie
  19. N.-J. Simon, J. Richardson, A. Ahmad, A. Rose, E. Wittenberg, B. D'Cruz, L. A. Prosser, Health utilities and parental quality of life effects for three rare conditions tested in newborns, J. Patient Rep. Outcomes. 3 (2019) 4, https://doi. org/10.1186/s41687-019-0093-6. otwiera się w nowej karcie
  20. F. Irannejad, M. Dehghan, R. Mehdipour Rabori, Stress and quality of life in parents of children with phenylketonuria, J. Child Adolesc. Psychiatr. Nurs. 31 (2018) 48-52, https://doi.org/10.1111/jcap.12207. otwiera się w nowej karcie
  21. J. Mahmoudi-Gharaei, S. Mostafavi, N. Alirezaei, Quality of life and the associated psychological factors in caregivers of children with PKU, Iran. J. Psychiatry 6 (2011) 66-69.
  22. O. Ambler, E. Medford, D.J. Hare, Parenting a child with phenylketonuria: an investigation into the factors that contribute to parental distress, JIMD Rep. 41 (2018) 91-100, https://doi.org/10.1007/8904_2018_105. otwiera się w nowej karcie
  23. A.E. ten Hoedt, H. Maurice-Stam, C.C.A. Boelen, M.E. Rubio-Gozalbo, F.J. van Spronsen, F.A. Wijburg, A.M. Bosch, M.A. Grootenhuis, Parenting a child with phenylketonuria or galactosemia: implications for health-related quality of life, J. Inherit. Metab. Dis. 34 (2011) 391-398, https://doi.org/10.1007/s10545-010- 9267-3. otwiera się w nowej karcie
  24. A.M. Bosch, A. Burlina, A. Cunningham, E. Bettiol, F. Moreau-Stucker, E. Koledova, K. Benmedjahed, A. Regnault, Assessment of the impact of phenylketonuria and its treatment on quality of life of patients and parents from seven European countries, Orphanet. J. Rare Dis. 10 (2015) 80, https://doi.org/10.1186/s13023-015-0294-x. otwiera się w nowej karcie
  25. D. Walkowiak, A. Bukowska-Posadzy, Ł. Kałużny, M. Ołtarzewski, R. Staszewski, M. Musielak, J. Walkowiak, Therapy compliance in children with phenylketonuria younger than 5 years: a cohort study, Adv. Clin. Exp. Med. 28 (2019) 1385-1391, https://doi.org/10.17219/acem/104536. otwiera się w nowej karcie
  26. K. Ahring, A. Bélanger-Quintana, K. Dokoupil, H. Gokmen-Ozel, A.M. Lammardo, A. MacDonald, K. Motzfeldt, M. Nowacka, M. Robert, M. van Rijn, Blood phenylalanine control in phenylketonuria: a survey of 10 European centres, Eur. J. Clin. Nutr. 65 (2011) 275-278, https://doi.org/10.1038/ejcn.2010.258. otwiera się w nowej karcie
  27. D. Walkowiak, B. Mikołuć, R. Mozrzymas, Ł. Kałużny, B. Didycz, J. Jaglowska, D. Kurylak, J. Walkowiak, The impact of the first 2020 COVID-19 lockdown on the metabolic control of patients with phenylketonuria, Nutrients. 13 (2021) 2024, https://doi.org/10.3390/nu13062024. otwiera się w nowej karcie
  28. J. Darbà, M. Ascanio, Admissions and cost of hospitalisation of phenylketonuria: Spanish claims database analysis, Clin. Drug. Investig. 39 (2019) 379-384, https:// doi.org/10.1007/s40261-019-00760-1. otwiera się w nowej karcie
  29. F. Trefz, A.C. Muntau, K.M. Schneider, J. Altevers, C. Jacob, S. Braun, W. Greiner, A. Jha, M. Jain, I. Alvarez, P. Lane, C. Zeiss, F. Rutsch, Health economic burden of patients with phenylketonuria (PKU) -a retrospective study of German health insurance claims data, Mol. Genet. Metab. Rep. 27 (2021), 100764, https://doi. org/10.1016/j.ymgmr.2021.100764. otwiera się w nowej karcie
  30. Á. Roddy, Income and conversion handicaps: estimating the impact of child chronic illness/disability on family income and the extra cost of child chronic illness/child disability in Ireland using a standard of living approach, Eur. J. Health Econ. 23 (2022) 467-483, https://doi.org/10.1007/s10198-021-01371-4. otwiera się w nowej karcie
  31. L. Wang, H. Zou, F. Ye, K. Wang, X. Li, Z. Chen, J. Chen, B. Han, W. Yu, C. He, M. Shen, Household financial burden of phenylketonuria and its impact on treatment in China: a cross-sectional study, J. Inherit. Metab. Dis. 40 (2017) 369-376, https://doi.org/10.1007/s10545-016-9995-0. otwiera się w nowej karcie
  32. A.M. Rose, S.D. Grosse, S.P. Garcia, J. Bach, M. Kleyn, N.-J.E. Simon, L.A. Prosser, The financial and time burden associated with phenylketonuria treatment in the United States, Mol. Genet. Metab. Rep. 21 (2019), 100523, https://doi.org/ 10.1016/j.ymgmr.2019.100523. otwiera się w nowej karcie
  33. B. Lord, C. Wastell, J. Ungerer, Parent reactions to childhood phenylketonuria, Fam. Syst. Health 23 (2005) 204-219, https://doi.org/10.1037/1091- 7527.23.2.204. otwiera się w nowej karcie
  34. B. Lord, J. Ungerer, C. Wastell, Implications of resolving the diagnosis of PKU for parents and children, J. Pediatr. Psychol. 33 (2008) 855-866, https://doi.org/ 10.1093/jpepsy/jsn020. otwiera się w nowej karcie
  35. S.E. Waisbren, M. Rones, C.Y. Read, D. Marsden, H.L. Levy, Brief report: predictors of parenting stress among parents of children with biochemical genetic disorders, J. Pediatr. Psychol. 29 (2004) 565-570, https://doi.org/10.1093/jpepsy/jsh058. otwiera się w nowej karcie
  36. A.P. Williford, S.D. Calkins, S.P. Keane, Predicting change in parenting stress across early childhood: child and maternal factors, J. Abnorm. Child Psychol. 35 (2007) 251-263, https://doi.org/10.1007/s10802-006-9082-3. otwiera się w nowej karcie
  37. F. Feillet, A. MacDonald, D. Hartung Perron, B. Burton, Outcomes beyond phenylalanine: an international perspective, Mol. Genet. Metab. 99 (Suppl. 1) (2010) S79-S85, https://doi.org/10.1016/j.ymgme.2009.09.015. otwiera się w nowej karcie
  38. S.K. Nelson-Coffey, M. Killingsworth, K. Layous, S.W. Cole, S. Lyubomirsky, Parenthood is associated with greater well-being for fathers than mothers, Personal. Soc. Psychol. Bull. 45 (2019) 1378-1390, https://doi.org/10.1177/ 0146167219829174. otwiera się w nowej karcie
  39. F. Feillet, F.J. van Spronsen, A. MacDonald, F.K. Trefz, M. Demirkol, M. Giovannini, A. Bélanger-Quintana, N. Blau, Challenges and pitfalls in the management of phenylketonuria, Pediatrics. 126 (2010) 333-341, https://doi.org/ 10.1542/peds.2009-3584. otwiera się w nowej karcie
  40. L.C. Burrage, J. McConnell, R. Haesler, M.A. O'Riordan, V.R. Sutton, D.S. Kerr, S. E. McCandless, High prevalence of overweight and obesity in females with phenylketonuria, Mol. Genet. Metab. 107 (2012) 43-48, https://doi.org/10.1016/ j.ymgme.2012.07.006. otwiera się w nowej karcie
  41. D. Walkowiak, L. Kaluzny, A. Bukowska-Posadzy, M. Oltarzewski, R. Staszewski, J. A. Moczko, M. Musielak, J. Walkowiak, Overweight in classical phenylketonuria children: a retrospective cohort study, Adv. Med. Sci. 64 (2019) 409-414, https:// doi.org/10.1016/j.advms.2019.08.001. otwiera się w nowej karcie
  42. N. Sawicka-Gutaj, D. Gruszczyński, P. Guzik, A. Mostowska, J. Walkowiak, Publication ethics of human studies in the light of the declaration of Helsinki -a mini-review, J. Med. Sci. 91 (2022) e700, https://doi.org/10.20883/medical.e700. otwiera się w nowej karcie
  43. Knowledgebase on Economic Statistics -Methods and Country Practices, (n.d.). https://unstats.un.org/unsd/econstatkb/404.aspx?aspxerrorpath=/unsd/EconSta tKB/KnowledgebaseArticle10364.aspx. (accessed March 16, 2023). otwiera się w nowej karcie
  44. J. Bosak, Social roles, in: T.K. Shackelford, V.A. Weekes-Shackelford (Eds.), Encyclopedia of Evolutionary Psychological Science, Springer International Publishing, Cham, 2018, pp. 1-4, https://doi.org/10.1007/978-3-319-16999-6_ 2469-1. otwiera się w nowej karcie
  45. T. Mitchell, 7. Gender equality, Pew Research Center's Global Attitudes Project, 2019 https://www.pewresearch.org/global/2019/10/14/gender-equality-2/ (accessed April 23, 2023). otwiera się w nowej karcie
  46. M. Zarzycki, V. Morrison, E. Bei, D. Seddon, Cultural and societal motivations for being informal caregivers: a qualitative systematic review and meta-synthesis, Health Psychol. Rev. (2022) 1-30, https://doi.org/10.1080/ 17437199.2022.2032259. otwiera się w nowej karcie
  47. S. Evans, A. Daly, J. Wildgoose, B. Cochrane, C. Ashmore, S. Kearney, A. MacDonald, Mealtime anxiety and coping behaviour in parents and children during weaning in PKU: a case-control study, Nutrients. 11 (2019) 2857, https:// doi.org/10.3390/nu11122857. otwiera się w nowej karcie
  48. F. Bösch, M.A. Landolt, M.R. Baumgartner, S. Fernandez, P. Forny, M. Gautschi, S. C. Grünert, J. Häberle, C. Horvath, D. Karall, D. Lampis, M. Rohrbach, S. Scholl- Bürgi, G. Szinnai, M. Huemer, Caregiver burden, and parents' perception of disease severity determine health-related quality of life in paediatric patients with intoxication-type inborn errors of metabolism, Mol. Genet. Metab. Rep. 31 (2022), 100876, https://doi.org/10.1016/j.ymgmr.2022.100876. otwiera się w nowej karcie
  49. R. Feldmann, E. Wolfgart, J. Weglage, F. Rutsch, Sapropterin treatment does not enhance the health-related quality of life of patients with phenylketonuria and their parents, Acta Paediatr. 106 (2017) 953-959, https://doi.org/10.1111/ apa.13799. otwiera się w nowej karcie
  50. S. Ford, M. O'Driscoll, A. MacDonald, Living with phenylketonuria: lessons from the PKU community, Mol. Genet. Metab. Rep. 17 (2018) 57-63, https://doi.org/ 10.1016/j.ymgmr.2018.10.002. otwiera się w nowej karcie
  51. K.M. Antshel, S. Brewster, S.E. Waisbren, Child and parent attributions in chronic pediatric conditions: phenylketonuria (PKU) as an exemplar, J. Child Psychol. Psychiatry 45 (2004) 622-630, https://doi.org/10.1111/j.1469-7610.2004.00251. x. otwiera się w nowej karcie
  52. S. Ford, M. O'Driscoll, A. MacDonald, Prescribing issues experienced by people living with phenylketonuria in the UK, Mol. Genet. Metab. Rep. 21 (2019), 100527, https://doi.org/10.1016/j.ymgmr.2019.100527. otwiera się w nowej karcie
  53. L. Borghi, E. Salvatici, G. Banderali, E. Riva, M. Giovannini, E. Vegni, Psychological wellbeing in parents of children with phenylketonuria and association with treatment adherence, Minerva. Pediatr. (Torino). 73 (2021) 330-339, https://doi. org/10.23736/S2724-5276.18.05126-5. otwiera się w nowej karcie
  54. E. Thimm, L.E. Schmidt, K. Heldt, U. Spiekerkoetter, Health-related quality of life in children and adolescents with phenylketonuria: unimpaired HRQoL in patients but feared school failure in parents, J. Inherit. Metab. Dis. 36 (2013) 767-772, https://doi.org/10.1007/s10545-012-9566-y. otwiera się w nowej karcie
  55. A. Morawska, A.E. Mitchell, E. Etel, G. Kirby, J. McGill, D. Coman, A. Inwood, Psychosocial functioning in children with phenylketonuria: relationships between quality of life and parenting indicators, Child Care Health Dev. 46 (2020) 56-65, https://doi.org/10.1111/cch.12727. otwiera się w nowej karcie
  56. K. Carpenter, A. Wittkowski, D.J. Hare, E. Medford, S. Rust, S.A. Jones, D.M. Smith, Parenting a child with phenylketonuria (PKU): an interpretative phenomenological analysis (IPA) of the experience of parents, J. Genet. Couns. 27 (2018) 1074-1086, https://doi.org/10.1007/s10897-018-0227-7. otwiera się w nowej karcie
  57. K.K. Iakovou, K. Schulpis, The beneficial effect of psychological support on mothers with PKU children who suffer from social discrimination and damage of quality of life, J. Pediatr. Endocrinol. Metab. 33 (2020) 95-98, https://doi.org/ 10.1515/jpem-2019-0384. otwiera się w nowej karcie
  58. K. Iakovou, A. Madoglou, I. Monopolis, K. Schulpis, The effect of PKU diet on the maternal quality of life and social discrimination in relation to their educational status and place of living, J. Pediatr. Endocrinol. Metab. 32 (2019) 281-285, https://doi.org/10.1515/jpem-2018-0525. otwiera się w nowej karcie
  59. A. Fidika, C. Salewski, L. Goldbeck, Quality of life among parents of children with phenylketonuria (PKU), Health Qual. Life Outcomes 11 (2013) 54, https://doi.org/ 10.1186/1477-7525-11-54. otwiera się w nowej karcie
  60. P. Zengin Akkus, B. Bilginer Gurbuz, K. Ciki, E. Ilter Bahadur, S. Karahan, E. N. Ozmert, T. Coskun, S. Sivri, Caring for a child with phenylketonuria: parental experiences from a Eurasian country, J. Dev. Behav. Pediatr. 41 (2020) 195-202, https://doi.org/10.1097/DBP.0000000000000748. otwiera się w nowej karcie
  61. R. Ben Abdelaziz, A. Ben Chehida, H. Kachouri, S. Ben Messaoud, M. Ferchichi, Z. Ben Ameur, Y. Sassi, M.S. Abdelmoula, H. Azzouz, N. Tebib, Quality of life and associated factors in parents of children with late diagnosed phenylketonuria. A cross sectional study in a developing country (Tunisia), J. Pediatr. Endocrinol. Metab. 33 (2020) 901-913, https://doi.org/10.1515/jpem-2020-0035. otwiera się w nowej karcie
Weryfikacja:
Brak weryfikacji

wyświetlono 48 razy

Publikacje, które mogą cię zainteresować

Meta Tagi