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[{"key": "dc.contributor.author", "value": "Rajantie, Irmeli", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Laurila, Maarit", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Pollari, Kirsi", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-01-22T10:17:00Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-01-22T10:17:00Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2009", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1307009", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/42851", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tausta: Suomessa syntyy vuosittain noin 20 lasta, joilla on vaikea-asteisimpiin syd\u00e4nvikoihin kuuluva yksikammioinen syd\u00e4n, hypoplastinen vasemman kammion oireyhtym\u00e4 (HLHS) tai muu yksikammioinen syd\u00e4nvika (UVH). Aikaisemmin n\u00e4m\u00e4 lapset menehtyiv\u00e4t pian syntym\u00e4n j\u00e4lkeen. Suomessa on alettu hoitaa n\u00e4it\u00e4 lapsia vuodesta 1995 Norwoodin ym. 1980 kehitt\u00e4m\u00e4n kolmivaiheisen leikkausmenetelm\u00e4n avulla, jonka ansiosta suurin osa n\u00e4ist\u00e4 lapsista j\u00e4\u00e4 henkiin. N\u00e4iden lasten kokonaiskehitys ja etenkin motorinen kehitys on osoittautunut olevan j\u00e4ljess\u00e4 verrattuna terveisiin lapsiin. Tutkimuksia, joissa yksikammioisten syd\u00e4nlasten varhaista motorista kehityst\u00e4 on tarkemmin kuvattu ja analysoitu ei ole l\u00f6ytynyt.\r\nTarkoitus: T\u00e4m\u00e4n tutkimuksen tarkoituksena on selvitt\u00e4\u00e4, millainen on yksikammioisten syd\u00e4nlasten motorinen kehitys 16 ja 52 viikon i\u00e4ss\u00e4 verrattuna samanik\u00e4isten terveiden lasten motoriseen kehitykseen.\r\nAineisto ja menetelm\u00e4t: Aineisto k\u00e4sitt\u00e4\u00e4 36 vuosina 2002\u20132005 Suomessa syntynytt\u00e4 lasta: 23 HLHS-lasta ja 13 UVH- lasta. Verrokkiryhm\u00e4n\u00e4 on 47 tervett\u00e4 samanik\u00e4ist\u00e4 lasta. Lasten motorista kehityst\u00e4 tutkittiin 16 ja 52 viikon i\u00e4ss\u00e4 Alberta Infant Motor Scale \u2013testill\u00e4 (AIMS).\r\nTulokset ja johtop\u00e4\u00e4t\u00f6kset: AIMS-testin kokonaispistem\u00e4\u00e4r\u00e4n osalta HLHS- ja UVH-lasten motorinen kehitys oli j\u00e4ljess\u00e4 verrokkiryhm\u00e4n lasten motoriseen kehitykseen verrattuna 16 ja 52 viikon i\u00e4ss\u00e4 (p<0.001). HLHS- ja UVH-lasten ryhm\u00e4t eiv\u00e4t eronneet toisistaan kokonaispisteiden osalta. Sek\u00e4 HLHS- ett\u00e4 UVH-lapset suoriutuivat 16 viikon i\u00e4ss\u00e4 verrokkeja heikommin vatsamakuun ja selinmakuun osa-alueilla (p<0.001). Lis\u00e4ksi UVH-lapset suoriutuivat verrokkeja heikommin my\u00f6s istumisen osa-alueella (p<0.001). HLHS-lasten motorinen kehitys oli 52 viikon i\u00e4ss\u00e4 j\u00e4ljess\u00e4 kaikilla AIMS-testin osa-alueilla (p<0.001) verrokkilapsiin verrattuna, kun taas UVH-lasten motorinen kehitys oli j\u00e4ljess\u00e4 vatsamakuu- ja seisoma-asennon hallinnassa (p<0.001). Tutkimus osoitti, ett\u00e4 HLHS- ja UVH-lasten motorinen kehitys oli viiveist\u00e4 ensimm\u00e4isen ik\u00e4vuoden aikana etenkin vatsamakuun ja seisoma-asennon hallinnassa. AIMS-testill\u00e4 on mahdollista saada esiin motorisen kehityksen ongelma-alueet ja n\u00e4in mahdollistaa varhainen motorisen kehityksen tukeminen. Seurantatutkimuksella voidaan selvitt\u00e4\u00e4, saavuttavatko yksikammioiset syd\u00e4nlapset ik\u00e4tasoisia motorisia taitoja vai s\u00e4ilyyk\u00f6 n\u00e4iden lasten motorisen kehityksen viive. Tutkimusta tarvitaan my\u00f6s", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Miia Hakanen (mihakane) on 2014-01-22 10:16:59.745846. Form: Admin-lomake Pro gradu -t\u00f6ille (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/admin-lomake-pro-gradu-toille). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2014-01-22T10:17:00Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201401221117.pdf: 183101 bytes, checksum: b78e5b6caa66f6ad3bd82c1679f4c164 (MD5)\r\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-01-22T10:17:00Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201401221117.pdf: 183101 bytes, checksum: b78e5b6caa66f6ad3bd82c1679f4c164 (MD5)\r\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)\r\n Previous issue date: 2009", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (27 sivua)", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "Yksikammioinen syd\u00e4nvika", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": 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