PUBLIC HEALTH, NURSING AND MEDICAL SOCIAL WORK

PEDIATRICS ◽  
1953 ◽  
Vol 12 (2) ◽  
pp. 206-208
Author(s):  
HELEN M. WALLACE ◽  
MARGARET A. LOSTY ◽  
MILDRED E. HEARSEY

Long standing problems of over-hospitalization and inappropriate hospital discharge of newborn infants have been brought to attention by the concentration of premature infants in centers, through the interest of pediatricians, nurses and social service staffs at these centers. A plan for improved after-care was made and put into effect through joint community effort of health, welfare, and social agencies concerned. This plan consisted of: (1) strengthening of the existing home follow-up program; (2) promoting fuller use of other services available from the Health and Welfare Departments; (3) developing a special program for placement in foster homes.

PEDIATRICS ◽  
1956 ◽  
Vol 18 (1) ◽  
pp. 102-108
Author(s):  
Helen M. Wallace ◽  
Sidney Blumenthal ◽  
Margaret A. Losty ◽  
Helen Gossett

A study of convalescent care in 6 general institutions in and around New York City has revealed serious gaps in the services designed to meet the needs of children. Major gaps were found in such areas as medical service, social service, therapy, nursing service, recreation, and physical facilities. Questions are raised concerning the future role, if any, convalescent institutions might play. The need for intensive studies of convalescent institutions is apparent, if the available community funds are to be used to moot the present and future needs of the most children.


PEDIATRICS ◽  
1951 ◽  
Vol 8 (4) ◽  
pp. 570-572

IN THE summary of the report of the Expert Committee on Prematurity of the World Health Organization, published in this column in February 1951, Dr. Ethel Dunham indicated the concern of the Expert Committee in regard to uniformity of information on the incidence and mortality of prematurity. The need for uniformity is particularly urgent in a field where there are so many intrinsic variable factors. It has been shown time and again that the ability of a premature infant to survive, under the best of care, is closely correlated with the birth weight, which in itself reflects the stage of maturity. In turn, the stage of maturity at a given weight is affected by sex, race, and whether the child is a single or one of a multiple birth. Uniformly, at a particular stage of maturity, male infants are larger than female, single births are larger than multiple births and, in the United States, white babies are larger than Negro babies. These considerations underline the danger of misinterpretation of so-called over-all rates for the incidence of prematurity and for the mortality of premature infants. For example, at any given weight, Negro premature infants are probably more mature and consequently have a better chance of surviving.


PEDIATRICS ◽  
1957 ◽  
Vol 20 (6) ◽  
pp. 1095-1096

AS PART of its Monthly Vital Statistics Report, the National Office of Vital Statistics of the U. S. Public Health Service publishes each year an estimate of the most important statistical indices of the previous year. In the March 12, 1957 issue of the Report, Vol. 5, No. 13, Part 1, the annual summary of provisional vital statistics for the year is presented. Monthly variations for the four major indices, Births, Deaths, Marriages, and Infant Mortality, are shown in Figure 1, [See FIG. 1. in Source Pdf.] which compares the data for 1956 with 1955. It is to be noted that the data are provisional and subject to connection. Previous experience, however, indicates little likelihood of more than very minor changes. Births in 1956 climbed to another recordbreaking high with registered births reaching 4,168,000, on a rate of 24.9 pen 1,000 population. Addition of an estimate for unregistered births raises the total to 4,220,000, or a rate of 25.2. The birth rate has maintained a consistently high level for more than a decade, having achieved a high point of 26.6 in 1947. As in previous years, highest rates centered in the south, lowest in the northeastern areas of the country. Deaths in 1956 totaled 1,565,000, a rate of 9.4 per 1,000 population, slightly higher than the rate of 9.3 in 1955 and the low of 9.2 reached in 1954.


PEDIATRICS ◽  
1949 ◽  
Vol 3 (6) ◽  
pp. 865-865

A "Measles Year" ACCORDING to the reports of the U.S. Public Health Service, this is a measles year. For example, a total of 15,266 cases were reported for the week of January 29, 1949, compared to a five year median of 6,712. Increases were reported in all geographic divisions except New England and the West North Central area. The largest increases were in the East South Central and South Atlantic areas. Of the total that week, an aggregate of 10,522 cases occurred in the following 12 states: Massachusetts, New York, Pennsylvania, Michigan, Wisconsin, Maryland, Virginia, Kentucky, Alabama, Texas, Oregon, and California. In contrast to measles, the influenza incidence picture shows an unusually low number of cases. For example, in the week of January 29, 1949, a total of 4,534 cases was reported, compared to a five year median of 14,253. List of Publications Under date of March 1948 the Children's Bureau has published a list of its publications. The list includes all publications of the Children's Bureau issued since 1945 that are available for general distribution; earlier publications of the Bureau that are still available and of current value; some reprints of material published elsewhere but reproduced by or for the Bureau. Pediatricians will find some of these reprints of particular interest. Single copies of the list and of most of the publications can be obtained free from the Children's Bureau, Washington 25, D.C.


PEDIATRICS ◽  
1953 ◽  
Vol 12 (5) ◽  
pp. 589-592
Author(s):  
WILL C. TURNBLADH

INCREASINGLY, in recent years, pediatricians have been called on to work with the problem of juvenile delinquency. Published statistics on crimes and antisocial activities by children have sometimes been frightening, and loose remarks are often made about drastic remedies being needed to "curb" modern youth. In such a situation, parents naturally turn to their physicians for advice and counsel. Within the community pattern of the attack on juvenile delinquency, the "juvenile court" has a central role. If the ignorance of this editor is any index, pediatricians, in general, know little of the structure, responsibilities, jurisdiction, community relationships, and standards of juvenile courts. It is, for example, both revealing and reassuring to learn that ". . . the court stands in the position of a `protecting parent' rather than a prosecutor. . . ." The National Probation and Parole Association, a nonprofit citizen and professional organization with professional and technical staff, seeks to extend and improve probation and parole services for both children and adults throughout the country, to promote juvenile and domestic relations courts and to develop specialized facilities and programs for the detention of children. At the request of the editor, Mr. Will C. Turnbladh, Executive Director of the Association, has prepared the following interesting and informative article on the background and some of the problems of juvenile courts.


PEDIATRICS ◽  
1958 ◽  
Vol 21 (2) ◽  
pp. 319-324
Author(s):  
Floyd M. Feldmann

As a pediatric problem, tuberculosis has undergone striking change in the past decades, yet few diseases have the complicated interrelationship of personal and community significance that is peculiar to tuberculosis. Management of the tuberculous patient has become largely a matter for hospital and specialized outpatient services, and the individual practitioner has been chiefly concerned with case finding in his own practice. Since the tuberculin test is such an important tool in this respect, the editors thought such a review as presented by Dr. Feldmann of particular importance. A number of controversial points are touched on. In any public health procedure a routine screening test has value in relation to the proportion of positives likely to result. A test which results in more than 50% positive is not very helpful. On the other hand, a test with one positive in 1,000 is probably too expensive. Dr. Feldmann points out the cogent reasons for routine tuberculin testing and the pediatrician will need to consider these reasons in the light of the conditions in his community and the relevant local and state health program. Some may be disturbed by the criticism made of the patch test, yet it is important to recognize its limitations. Failure of the patch test to detect all positives has been well known and most pediatricians have thought it useful chiefly as a preliminary test to find the more sensitive reactors.


PEDIATRICS ◽  
1957 ◽  
Vol 20 (2) ◽  
pp. 358-361
Author(s):  
Helen M. Wallace ◽  
Amelia Igel ◽  
Margaret A. Losty

Need for a foster home placement program for handicapped children in an urban area was demonstrated by sending a questionnaire to hospitals and convalescent homes, and by careful review of certain children whose inpatient care was being paid for by the official Crippled Children Program. The outstanding fact was that a significant number of handicapped children were being retained in institutions for social, and not medical, reasons. Agreement was reached among social agencies that a co-ordinated community program for foster home placement of handicapped children was necessary but a definitive method was not evolved nor were adequate funds secured to finance costs.


PEDIATRICS ◽  
1952 ◽  
Vol 10 (1) ◽  
pp. 77-81

Realignment of the national nursing organizations will make it possible for nursing to achieve close coordination of effort and at the same time preserve the diversity which stimulates the growth of various phases of nursing.


1993 ◽  
Vol 42 (4) ◽  
pp. 245???249 ◽  
Author(s):  
ALBA MITCHELL ◽  
COLLEEN VAN BERKEL ◽  
VALERIE ADAM ◽  
DONNA CILISKA ◽  
KIM SHEPPARD ◽  
...  

1987 ◽  
Vol 4 (2) ◽  
pp. 99-104
Author(s):  
Bonnie Kellogg ◽  
Charlene Dye ◽  
Karen Cox ◽  
Greta Rosenow

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