Round Table Discussion

PEDIATRICS ◽  
1952 ◽  
Vol 10 (4) ◽  
pp. 490-504
Author(s):  
STANLEY GIBSON ◽  
LEON DEVEL ◽  
WILLIAM C. VANCE

Chairman Gibson: For a good many years, it seems to me, we have been hashing over the same old problems of rheumatic fever without making much progress in our knowledge of the disease. Recently, however, I think there are hopeful signs that we are learning a little bit more about rheumatic fever and will be a little better able to deal with it. As you all know, rheumatic fever is a disease with many varied manifestations. Some cases are so outright that even a junior medical student could make a diagnosis; other cases are so obscure that at a given time and in a given case one is quite unable to make a definite diagnosis. Yet within a wide scope of variations it seems to me that rheumatic fever does show a definite group of phenomena which, by careful study, one can usually evaluate in the course of time and thereby determine whether rheumatic fever is present. I felt we might best handle the subject by dividing our discussion on rheumatic fever into 4 parts: etiology, recognition, prevention and treatment. At this time I want to introduce to you Dr. Edward C. Lambert, who is my associate in this Round Table discussion. He is at the University of Buffalo Medical School in Pediatrics and in charge of the Cardiac Children's Clinic. Dr. Edward C. Lambert, Buffalo: About 50 years ago Dr. Osler defined rheumatic fever as an acute noncontagious febrile infection depending on an unknown infectious agent, characterized by multiple arthritis and a special tendency to involve the heart.

PEDIATRICS ◽  
1952 ◽  
Vol 10 (6) ◽  
pp. 710-720
Author(s):  
EARL D. OSBORNE ◽  
JOHN R. ROSS ◽  
NORMAN M. WRONG ◽  
WALTER C. MCKEE ◽  
GEORGE S. FRAUENBERGER

Chairman Osborne: The material which we will cover will be material which must be spoken about in terms of groups of people, types of individuals and different classifications of diagnosis. We will lose a great deal of the effect of what we have to discuss if we get off on a small subject connected with an individual case, so I hope we can refrain from citing specific cases. You all recognize that we can't make progress if any of us are going to present specific individual problems on a specific case. Fortunately we have some disagreement among members of the panel for where everyone agrees there is a lack of interest, especially in the field of cutaneous diseases, and particularly in the eczematous diseases. If we seem to disagree it is because the material calls for disagreement and the literature backs us up on that disagreement. We are going to start with the general phase of the subject: the care of the skin of the newborn. I am going to ask Dr. Norman Ross to discuss the care of the skin of the newborn from the standpoint of the pediatrician. Dr. Ross: In these newborn infants overzealous cleaning of the baby and too much anxiety on the part of the nurse following birth is apt to do far more harm than good. The baby when born has a membranous covering that should not be too thoroughly and vigorously removed. Soap is not advisable. Plain water will remove sufficient of it and, in fact, delay of thorough bathing of the infant for a few days would probably be advisable.


1970 ◽  
pp. 90-96
Author(s):  
Lebanese American University

“Women in the Performing Arts” was the subject of a round table discussion held at the Institute for Women’s Studies in the Arab World in January 2007. The participants were Nidal Ashqar, a pioneer actress and director, and the first Lebanese woman to manage her own theater Masrah al-Madina; Julia Kassar, renowned Lebanese actress and acting instructor; Joelle Khoury, pianist, composer, and founder of the Jazz quintet In-Version; Yasmina Fayed, singer in the troupe Shahadeen ya Baladna and assistant producer at Future Television; Pamela Koueik, singer and university student at LAU; Dima Dabbous-Sensenig, director of the Institute for Women’s Studies in the Arab World, and Mona Knio, guest editor of al-Raida. Due to space constraints, the following are excerpts from the two-hour discussion.


1959 ◽  
Vol 53 (3) ◽  
pp. 85-88
Author(s):  
Samuel Finestone

A round-table discussion called “What the Agencies for the Blind Have to Offer Today” was held at the convention of the Eastern Conference of Home Teachers in October 1958 at Richmond, Virginia. The following three papers, which made up the discussion, cover the subject in terms of state programs, community relations, and direct services.


1970 ◽  
pp. 74-79
Author(s):  
Myriam Sfeir

Personal Status Laws were the subject of a round table discussion held at the Institute for Women's Studies in the Arab World in January 2005. The participants were Dr. Bechir Bilani, Attorney at law, Mohammad Matar, Attorney at law, Ahmad El-Zein, Attorney at law, Judge Arlette Juraysati, and Dr. Ibrahim Najjar. The moderator was Dr. Najla Hamadeh. Also present were Dr. Dima Dabbous-Sensenig, Acting Director of the Institute for Women's Studies in the Arab World, and Myriam Sfeir, Assistant Editor of Al-Raida.


PEDIATRICS ◽  
1948 ◽  
Vol 2 (1) ◽  
pp. 119-131
Author(s):  
FRANCIS SCOTT SMYTH

Chairman Smyth: It is our purpose at this Round Table Discussion to discuss asthma in children with special emphasis on the practical aspects of such care. A literal interpretation of the word asthma is "to breathe hard." This is the symptom in labored respiration after violent exercise, with oxygen lack in high altitudes, so also the lack of oxygen caused by circulatory and cardiac disturbances. Such usage of the term, "labored breathing" also implies a primary obstructive phenomena in the lungs, or a pneumonia. Thus, we find our differential definition requires further limitation. Asthma is really a symptom with many possible causes. So, for our own purposes of definition, we are going to limit the subject of asthma to those patients whose labored breathing is due to edema, secretions, and smooth muscle spasm induced by allergic sensitivity. No element in the diagnosis is more important than the history of the patient. A good history cannot be obtained in one interview but is the result of persistence by the physician and of cooperation and understanding by the parents. A diary-like history kept by the mother will be invaluable. Many times we have interviewed anxious parents when the child was having an acute asthmatic attack, and got nowhere on the family history. You suspect there may be a bilateral allergy inheritance but you can elicit no information as to a constitutional inherited factor. This is equally true of the initiation of symptoms. The parents may deny any other allergic symptomatology, but as they begin to understand the problem, you will obtain further information extremely valuable for your study. The physician wants to know the season of the year in connection with the onset of symptoms, the locus of the first attack, has the child had repeated colds, any dermatitis of an allergic nature, etc. Once the intelligent mother has understood the problem, her observations can be as accurate as those of the physician, and in several instances, I have seen her come up with a solution of certain phases of the problem which has been very apt. It seems unnecessary to mention the importance of the physical examination. In a sense, it is the clinician's scientific approach, i.e., accurate observation which not only clarifies the differential diagnosis to a great extent, but also brings to light the nutritional status, contributing infections, and the general make-up of the child. These are often of the utmost significance in any program designed to bring relief from the asthma, as well as to assure robust health.


1970 ◽  
pp. 76-83
Author(s):  
Myriam Sfeir

The role of higher education in the empowerment of Arab women was the subject of a round table discussion held at the Institute for Women's Studies in the Arab World in January 2006. The participants Lara A, Evette G., Yasmine D., Rania G., Dahlia K.S., Maysa H., Zeina M., Josiane M., Myriam S., Marie Jose T. and Rana W. represented several of the major universities in Lebanon. The moderators were Dr. Dima Dabbous- Sensenig and Dr. Jennifer Skulte-Ouaiss. Due to space constraints, the following are excerpts from the twohour discussion.


1970 ◽  
pp. 72-77
Author(s):  
Myriam Sfeir

Women’s Activism and Participation in Lebanon was the subject of a round table discussion held at the Institute for Women’s Studies in the Arab World last October. The participants were Lina Abou Habib, Iqbal Doughan, Linda Matar, Mona Khalaf, Zoya Rouhana, and Dima Dabbous-Sensenig. The moderator was Marguerite Helou.


PEDIATRICS ◽  
1948 ◽  
Vol 1 (3) ◽  
pp. 400-415
Author(s):  
ARILD E. HANSEN ◽  
GLADYS J. FASHENA

Chairman Hansen: That we are here today bespeaks our interest in the problem of rheumatic fever. Undoubtedly some have come in hopes of finding new clues to a better understanding of a difficult problem, in spite of quite intimate knowledge of the field. Others may feel they have been pressed with variable agitations from many sources, hence desire to become more familiar with general features as well as details. From the viewpoint of the persons asked to conduct this Round Table Discussion, the same features apply; namely, the desire to gain exact information, yet help if possible in the clarification of points which are becoming generally accepted. The subject is broad, varied, indefinite and controversial at times even to the point of provoking emotional responses. Its importance is undisputed, the frequently cited comparatives and invectives in vogue may be mentioned as evidence: "One of the chief causes of death in the school age child—responsible for more deaths in this age group in almost any year than the combined deaths from ordinary childhood diseases, e.g. diphtheria, poliomyelitis, scarlet fever, measles, mumps, with meningococcic meningitis thrown in— responsible for seven times the number of deaths as poliomyelitis in this age group—significantly more deaths than from all forms of tuberculosis—chief cause of death from heart disease in the young adult—and one of the chief causes of disability in children and youth—producing 'cripples who do not limp' also 'cripples who cannot even walk.' " Textbook knowledge, perusal of current literature and personal consultation coupled with practical experiences allow one to comprehend the problem of rheumatic fever in childhood almost as well as the "expert".


PEDIATRICS ◽  
1952 ◽  
Vol 9 (6) ◽  
pp. 791-800
Author(s):  
EDITH M. LINCOLN ◽  
J. B. SCRIVER ◽  
A. D. BIGGS

Chairman Lincoln:We will try to stay as close to the subject matter as possible and then if we have time and you want to go off into other subjects connected with tuberculosis, we can. I think there is plenty of material for discussion in early diagnosis and the treatment of the early phases of tuberculosis, that is, primary and postprimary tuberculosis. This will take up our time without going into the discussion of chronic pulmonary tuberculosis, since that is not a form of tuberculosis which is common in children. Specific therapy has changed the attitude of pediatricians to tuberculosis. Formerly a pediatricians took the attitude that the great majority of children who had primary infection, evidenced by positive tuberculin tests without or with positive x-rays, would get better without ever having any symptoms; that a few of them might develop complications such as tuberculosis of the cervical nodes, or of the bones or joints, which could be turned over to a specialist and not be seen again by the pediatrician. A few cases would develop fatal complications such as meningitis or miliary and promptly die. Therefore, there was little of interest to the clinician in the story of tuberculosis in the child. As recently as 5 years ago, just before chemotherapy, I talked to pediatricians in many teaching centers and I was repeatedly told that the diagnosis and the care of tuberculous children was a minor problem and that tuberculosis was practically never seen in their services. Since chemotherapy there has been a new interest in tuberculosis and I think this is shown partly by this round table discussion.


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