This is shown later on when Giselle marries that girls father, who had her from a previous marriage, thus becoming a stepmother herself. As Giselle is a sweet and caring woman, she makes a good wife and stepmother. However, it is notable that during much of that film, Giselle was more of an older sister figure than a maternal figure to that little girl. In the movie Nanny McPhee a group of children worry that their father will remarry, believing from their fairy tales that all stepmothers are an "evil breed." Although they help their father marry again to help keep the family together, their soon-to-be stepmother is very cruel, as they suspected. When the wedding to her is called off, the father decides to marry the much kinder scullery maid, causing one child to comment that the evil stepmother personification does not apply to her. Stepmother relationships are often examined in soap operas. An example of this is the long-running rivalry between Victoria Lord Banks and stepmother Dorian Lord on the American soap opera One Life to Live. In contrast to many other Disney-related media, the animated series Phineas and Ferb features a stepfamily in which both parents get along well with their three children (avoiding the normal tropes of evil stepparents). In television, Drake & Josh features a stepfamily in which both parents usually get along well with their three children.
Compared to secondary cryofibrinogemia, primary crygofibrinogenemia has a higher incidence of cutaneous lesions, arthralgia, and cold sensitivity while having a far lower incidence of renal involvement. Patients with secondary cryofibrinogenemia also exhibit signs and symptoms specific to the infectious, malignant, premalignant vasculitis, and autoimmune disorders associated with their disease. While rare, individuals with cryofibrinogenemic disease may experience pathological bleeding due to the consumption of blood clotting factors consequential to the formation of cryofibrinogen precipitates. Diagnosis
Suggested diagnostic criteria for cryoglobulinemic disease fall into the following obligatory and additional categories:
Obligatory criteria: 1) cold sensitivity; 2) cutaneous symptoms (i.e. urticaria, purpura, Raynaud phenomenon, ulceration/necrosis/gangrene, and/or livedo reticularis); 3) arterial and/or venous thrombotic events; fever; 4) arthralgia/myalgia; 5) neuritis in >1 site; and 6) renal disorder. Additional criteria: 1) typical biopsy findings at site(s) of involvement and 2) angiogram evidence of occlusion in one or more small to medium-sized arteries.The diagnosis of secondary cryofibrinogenemia also requires evidence for the cited infectious, malignant, premalignant vasculitis, and autoimmune disorders while the diagnosis of primary cryofibriongenemia requires a lack of evidence for 1) the cited associated disorders, 2) other vascular occlusive diseases, and 3) cryoglobulinemia. Treatment
Studies on the treatment of cryofibrinoginemic disease have involved relatively few patients, are limited primarily to case reports, and differ based on whether the disease is primary or secondary. In all cases of cryofibrinogenemic disease, however, patients should avoid the exposure of affected body parts to cold weather or other environmental triggers of symptoms and avoid using cigarettes or other tobacco products.