THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1948 ◽  
Vol 1 (5) ◽  
pp. 708-713
Author(s):  
WENDELL R. AMES ◽  
DEAN W. ROBERTS

The essential elements of a plan for providing medical care to the indigent of the City of Baltimore are presented. Medical care for this group has been available to a limited extent and largely through the efforts of a number of agencies working quite independently. A plan has been developed which will utilize the medical resources of the city in what is believed to be an efficient and economical fashion. The program will be administered by the City Health Department, there will be a number of medical centers developed in association with hospital out-patient departments, these centers will function in an administrative, consultant and direct service manner, and the position of the centers and their relationship to the family physicians will be clearly defined. The methods of financing the program and of payment to physicians and medical centers are described.

PEDIATRICS ◽  
1994 ◽  
Vol 94 (4) ◽  
pp. 557-557
Author(s):  
J. F. L.

A 5-year old boy who was poisoned by lead during his landlord's attempts to clear his apartment of lead-based paint will receive up to $1.5 million over his lifetime from the landlord's insurance company. The boy has attention deficit disorder with hyperactivity. In reports filed with the Milwaukee County Circuit Court, doctors said the disorder had either been caused by the lead poisoning or had been made worse by it. ...In the summer of 1991, the city health department discovered that the boy's blood contained lead levels that were three times the Federal health standard. In June 1992, the city ordered the owners of the apartment building, a converted 65-year-old frame house, to begin removing the lead-based paint. But instead of alleviating the victim's problem, their scraping of the paint spread lead dust throughout the home. As a result, lead levels increased to eight times the Federal standard. The family sued, contending negligence.


2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Eric Bakota ◽  
Kirsten Short ◽  
Amanda Eckert

ObjectiveThis session will explore the role of the Houston Health Department(HHD) in the City of Houston’s response to the threat of Zika. Thepanelists will provide perspective from the roles of Bureau Chief,informatician, and epidemiologist and provide insight into lessonslearned and strategic successes.IntroductionZika virus spread quickly through South and Central America in2015. The City of Houston saw its first travel-related Zika cases inDecember of 2015. On January 29th, the City held the first planningmeeting with regional partners from healthcare, blood banks,petrochemical companies, mosquito control, and others. Additionallythe City activated Incident Command Structure (ICS) and designatedthe Public Health Authority as the Incident Commander.Initial steps taken by HHD included expanding the capabilityand capacity of the public health laboratory to test for Zika virus;expand surveillance efforts; created an educational campaign aroundthe “3Ds” of Zika defense (Drain, Dress, DEET) which were thendisseminated through several means, including a mass mailing withwater bills; and provided DEET to mothers through the WIC program.The Houston Health Department took the lead in authoringthe City’s Zika Action Plan. In this 3 goals and 6 strategies wereidentified. Goals included 1) Keep Houstonians and visitors aware ofthe threat of Zika; 2) minimize the spread of the virus; and 3) protectpregnant women from the virus. The 6 strategies employed were toA) develop preparedness plans; B) implement ICS within the City;C) ensure situational awareness through surveillance; D) Increasecommunity awareness; E) reduce opportunities for Zika mosquitobreeding grounds; and F) provide direct intervention to reduce thethreat of Zika.HHD was responsible for many of the action items within theplan. We conducted several community outreach events, where wedisseminated educational materials, t-shirts, DEET, and other give-aways. These events allowed frequent engagement with the public forbidrectional communication on how to approach the threat.


2020 ◽  
Vol 6 ◽  
pp. 00004
Author(s):  
Setiawati Setiawati ◽  
Jamaris Jamaris ◽  
Rusdinal Rusdinal

This research is motivated by the low participation of parents in the development of children's prosocial activities in the arena of public facilities, which results in poor prosocial abilities of children. This can be seen from the behavior of early childhood who like to monopolize the game, not patiently waiting for their turn, likes to hit friends, and does not like friends, do not want to share and so forth. The purpose of this study was to describe the factual conditions of child prosocial development due to public play by the family so far. P.The approach used is qualitative with the type of case. The setting of this study was carried out in Singgalang Padang complex, while the research subjects were parents who brought their young children to play in public play facilities. Researchers were key instruments, and data collection techniques used participatory observation, in-depth interviews. Data analysis techniques using qualitative analysis. The results showed that parents had not participated in the social development of children in the public play arena. There are several reasons for parents why they do not carry out the prosocial development of their children, among them they argue that: (1) it is not yet time, the social development of children is done, because they are still too small. (2). Even if directed they don't understand, (3) there are parents who think that they don't know that social development needs to be done since the child is still small (4) There are parents who don't want to know about the situation and they are more focused on children themselves. Suggestions in this study need to provide information to parents or caregivers about children's social development early on in the public play arena.


PEDIATRICS ◽  
1975 ◽  
Vol 55 (5) ◽  
pp. 746-746
Author(s):  
J. B.J. McKendry

The College of Family Physicians of Canada has evolved a firm philosophy of its new image. The medical school graduate of the future will enter a two-year program partly hospital-based and partly community clinic-or private office-based to develop the adequate skills necessary to render primary care in internal medicine, pediatrics, obstetrics and gynecology, psychiatry, and trauma, with a continual infusion of knowledge related to the psychosocial dynamics of family life. This new physician will require the services of the social worker, the public health nurse, the school nurse, the psychologist, the family counsellor and the psychiatrist.


2021 ◽  
Author(s):  
◽  
Annabel Fraser

<p>New Zealanders continue to resist higher density housing as a way of living. The detached house in the suburbs remains the preferred housing choice for most.  This proposal addresses the key attributes required for higher density living adoption as identified by the Centre for Housing Research, Aotearoa New Zealand (2011). Furthermore, this central Wellington proposal includes additional design features that increase the desirability of this type of housing to the suburban market.  Combined, these and other drivers create a new typology of higher density housing in which vertical and other garden types bring a verdant living option to inner city Wellington.  Key considerations include creating high levels of amenity: gardens, solar access and privacy to produce a vertical neighbourhood that balances collective and private amenity.  The proposal provides three housing typologies (maisonettes, terraces, park houses) to accommodate household diversity to target various stages of the family cycle.   This inner city proposal also demonstrates how public amenity access can be used to offset the (perceived) loss of amenity when moving from the suburbs. By drawing from the public amenity-rich city, the need for private amenities is minimised. Furthermore, just as the surrounding city contributes amenity to these dwellings, this proposal illustrates that this kind of development can in turn contribute back to the city.</p>


Author(s):  
K.N. Movchan ◽  
Val.Vas. Hizha ◽  
K.E. Chernov ◽  
A.V. Zharkov ◽  
B.S. Artyushin ◽  
...  

Introduction. Prostate cancer ranks first among all malignant neoplasms in men. The use of information and analytical tools in comprehending the results of examining and treating verified prostate cancer cases in St. Petersburg is important for implementing measures to increase life expectancy and to improve the quality of men’s health. Materials and methods. We analyzed indicator medical statistics on prostate cancer cases in St. Petersburg in 2013–2017 based on the municipal population cancer registry data. Results. The results showed that the increase in prostate cancer incidence rates in the city was not related to poor quality of medical examination or treatment. The latter remained appropriate and was ensured by the proper level of modernization of technological and organizational methods for providing medical care to such patients. Successful mastering of innovative information techniques of cancer data analysis by local specialists is one of the prerequisites for efficient cancer prevention with a full-fledged implementation of actions envisaged by the Russian Healthcare Development Program. Conclusions. Some quality indicators of St. Petersburg oncology service in terms of providing medical care to prostate cancer patients are comparable to those in other Russian regions or turn out to the best in some respects. Targeted measures taken by the City Administration and its Health Department to promote a healthy lifestyle and to inform the citizens about dangers of prostate cancer yield positive results.


2020 ◽  
pp. 13-15
Author(s):  
S.A. Gumenyuk ◽  
◽  
A.M. Shchikota ◽  
V.I. Vechorko ◽  
◽  
...  

The activity is analyzed of specialists of the Scientific and practical centre for emergency medical care (CEMP) of Department of health of the city of Moscow (DZM) in the context of the COVID-19 pandemic. The structure of trips of CEMP teams in the fight against COVID-19 from March 1 to July 1, 2020 is presented. It is noted that although all the structures under the jurisdiction of the DZM, starting from March 2020, are working on high alert in connection with the threat of the spread of coronavirus, CEMP specialists continue to work on providing emergency medical care (EMP) and medical evacuation of victims of road accidents and other emergencies, as well as emergency somatic patients with various nosologies.


Author(s):  
S. A. Gumenyuk ◽  
S. A. Fedotov ◽  
V. I. Potapov ◽  
A. Yu. Sysoev

Relevance. Due to busy roads of large cities and the resulting slow movement of ambulances with severely affected patients in need of specialized emergency care, new organizational technologies for medical evacuation support as well as modern means of transporting patients to qualified hospitals are required.Intention is to analyze activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care in Moscow in 2015-2019.Methodology. Using the automated information-analytical system “Disaster Medicine of the Moscow City”, activities of aviation medical teams over the last 5 years (2015-2019) were analyzed retrospectively in the Scientific and Practical Center of Emergency Medical Care. Ambulance helicopters are fully equipped to provide comprehensive intensive care for severely affected patients without noticeable deterioration of their condition, and utilization of this equipment was also assessed.Results and Discussion. Main stages of air ambulance formation in Moscow are described. Experience of aviation medical teams over the past 5 years in providing emergency medical care at the pre-hospital stage to those affected in emergency situations and severely ill patients is presented. The description of medical equipment of ambulance helicopters intended for providing emergency medical care to adults and children, including newborns, is given. The number of calls for aviation medical teams over the past five years is provided along with basic reasons and amount of night flights.Most often helicopters were used for transporting patients with severe concomitant and multiple injuries as a result of road accidents. Medical team composition of ambulance helicopters and the number of helipads on the territory of medical organizations of the city and the territories attached to Moscow are given.Conclusion. Based on the analysis of aviation medical teams activities, further ways to improve and develop the aviation medical service of the city of Moscow can be outlined to expand its use.


2017 ◽  
Vol 30 (2) ◽  
pp. 227-235
Author(s):  
Heloísa Silva Guerra ◽  
Nilza Alves Marques Almeida ◽  
Marta Rovery de Souza

Abstract Introduction: The increase of life expectancy and the decrease in mortality rate have resulted in changes in the epidemiological profile with predominance of non-communicable chronic diseases and global changes in the care system. This scenario has generated increased demands for caregivers, which in Brazilian reality, tends to arise in the family environment. Objective: This study aimed to know and reflect on the caregivers’ profiles of public home care in the city of Goiânia, Goiás. Methods: The data were collected through the application of a caregiver characterization tool and presented descriptively. Results: The caregiver’s profile of this study corroborates the ones described in the specific literature. Most of them are females, married, patient’s spouse or daughter, having health problems, dedicating twelve or more hours to caring and informal exercise of this activity. Conclusion: The results show the significance of family caregivers within the family care and lead to the reflection about this role in the care sphere and the need for public policies that offer a support social network and that are tuned with this reality.


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