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Member Information
Terri Lipman, MSN, PhD
Assistant Professor, School of Nursing
Office Phone: 215-898-2259
Office Fax: 215-573-7507
Email: lipman@nursing.upenn.edu
Website(s):
Education: MSN 1983, University of Pennsylvania ; PhD 1991, University of Pennsylvania
Keywords: HIV-infected children, growth
Research and/or Clinical Interests:
Assessment of growth and immunological status in children infected with HIV
Summary:
HIV-infected children grow poorly, but the cause is unclear. Poor growth may stem from poor nutrition, endocrinopathies, carbohydrate malabsorption, or social issues. Several studies have shown that short stature, but not low weight-for-height, characterizes the growth problems of symptomatic HIV-infected children. This is in contrast to failure to thrive which has a social or nutritional etiology, which is typically marked by a decrease in weight for age prior to a decline in height for age. Systematic growth assessment and evaluation of endocrine function must be done before it is possible to intervene in an attempt to improve the growth of HIV-infected children. Perhaps the most crucial reason to assess growth in this population is that growth abnormalities in HIV-infected children may be the first sign of progression toward symptomatic disease and may serve as a prognostic sign.
This study is a retrospective chart review comparing growth in two groups of children: 1) children who are HIV-infected secondary to maternal transmission (n=76), and 2) children who had been HIV-antibody positive at birth but became sero negative for the virus and continue to be followed (n=84).
Representative Publications:
Lipman, TH, Hayman, LL, and Fabian, CV. Risk factors for cardiovascular disease in children with Type 1 diabetes. Journal of Pediatric Nursing. 12:265-271, 1997.
Lipman, TH, Hayman, LL, and Fabian, CV. Risk factors for cardiovascular disease in children with Type 1 diabetes (Part II). Journal of Pediatric nursing. 12: 318-321, 1997.
Deatrick, JA, Lipman, TH, Thurber, F, Ash, L, Carlino, H, McKnight, H, and Rutstein, RM. Nutritional assessment for children who are HIV-infected. Pediatric Nursing. 24: 131-141, 1998.
Lipman, TH, Rezvani, I, Mitra, A, Mastropieri, C. Assessment of stature in children with orofacial clefting. American Journal of Maternal Child Nursing. 24: 252-256, 1999.
Lipman, TH, Hench, K, Logan, JD, DiFazio, DA, Hale, PM, Snger-Granick, C. Assessment of growth by primary health care providers. Journal of Pediatric Health Care. (in press).
