Mongolian Spots, Day Care Centers, and Child Abuse

PEDIATRICS ◽  
1982 ◽  
Vol 69 (5) ◽  
pp. 672-672 ◽  
Author(s):  
Claibourne I. Dungy
Keyword(s):  
Child Abuse ◽  
Day Care ◽  
Medical Center ◽  
Infants And Children ◽  
University Of California ◽  
Care Providers ◽  
Day Care Centers ◽  
Benign Nature ◽  
The University

Physicians caring for infants and children are familiar with mongolian spots. Most physicians inform the child's family of the benign nature of this condition. However, more and more infants are being cared for by care providers other than their parents. Many infants are cared for in day care centers. It is important that these caretakers also be informed and aware of mongolian spots. Two recent cases seen at the University of California, Irvine Medical Center underscore this need.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1969 ◽  
Vol 44 (6) ◽  
pp. 1041-1043
Keyword(s):  
Los Angeles ◽  
Medical Center ◽  
University Of California ◽  
Fort Lauderdale ◽  
Pediatric Service ◽  
The University

The Variety Children Hospital Annual Pediatric Postgraduate Course, "Current Pediatric Therapy," will be held at Miami Beach, January 25-29, 1970. A faculty of more than 20 speakers will be under the Chairmanship of Donald H. Altman, M.D. For application write Dr. Altman at Variety Children Hospital, Miami, Florida 33155. Symposium on Immunologic Incompetence: The Departments of Pediatrics of Cedars-Sinai Medical Center and the University of California at Los Angeles, and the Johnson and Johnson Institute for Pediatric Service are sponsoring a symposium on Immunologic Incompetence in Fort Lauderdale, Florida, March 1-4, 1970.

The Accidental Bioethicist

2002 ◽  
Vol 11 (4) ◽  
pp. 359-368
Author(s):  
LAURENCE B. McCULLOUGH
Keyword(s):  
San Francisco ◽  
Medical Center ◽  
Academic Discipline ◽  
University Of California ◽  
Phone Call ◽  
Intellectual Life ◽  
Moral Dimensions ◽  
The University

Albert Jonsen in The Birth of Bioethics notes that his career in bioethics began with a phone call to him from soon-to-be colleagues at the University of California at San Francisco Medical Center. Bioethics didn't begin with a bang but as an accident in the root sense—something that happened, not by necessity, but rather by chance. Indeed, the opening chapters of Jonsen's book chronicle a series of accidents that helped to create the field of bioethics. Principal among these was the fact that physicians and biomedical scientists who became puzzled about the moral dimensions of their work and began to think about these puzzles sought help in doing so from moral theologians and philosophers. These physicians and scientists, for the most part, were university people. They thought broadly, not just deeply, about their work, but they just as well could have defined themselves by their academic discipline and departments and not reached beyond these familiar and comfortable intellectual confines to the “culture” of the humanities disciplines and departments. The theologians and philosophers whom these physicians and scientists sought out were also university people who also happened to have generous views of the intellectual life in their disciplines—atypical of the time, especially in philosophy. If C. P. Snow had been altogether right and if ungenerous self-understanding of their work by physicians, scientists, philosophers, and theologians had prevailed, bioethics might not have happened at all.

scholarly journals Extending the Population Health Workforce Through Service Learning Internships During COVID: A Community Case Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Jeffrey Belkora ◽  
Tia Weinberg ◽  
Jasper Murphy ◽  
Sneha Karthikeyan ◽  
Henrietta Tran ◽  
...  
Keyword(s):  
Service Learning ◽  
Population Health ◽  
San Francisco ◽  
Medical Center ◽  
Academic Medical Center ◽  
University Of California ◽  
Full Time ◽  
Learning Program ◽  
Full Time Equivalent ◽  
The University

This report arises from the intersection of service learning and population health at an academic medical center. At the University of California, San Francisco (UCSF), the Office of Population Health and Accountable Care (OPHAC) employs health care navigators to help patients access and benefit from high-value care. In early 2020, facing COVID-19, UCSF leaders asked OPHAC to help patients and employees navigate testing, treatment, tracing, and returning to work protocols. OPHAC established a COVID hotline to route callers to the appropriate resources, but needed to increase the capacity of the navigator workforce. To address this need, OPHAC turned to UCSF's service learning program for undergraduates, the Patient Support Corps (PSC). In this program, UC Berkeley undergraduates earn academic credit in exchange for serving as unpaid patient navigators. In July 2020, OPHAC provided administrative funding for the PSC to recruit and deploy students as COVID hotline navigators. In September 2020, the PSC deployed 20 students collectively representing 2.0 full-time equivalent navigators. After training and observation, and with supervision and escalation pathways, students were able to fill half-day shifts and perform near the level of staff navigators. Key facilitators relevant to success reflected both PSC and OPHAC strengths. The PSC onboards student interns as institutional affiliates, giving them access to key information technology systems, and trains them in privacy and other regulatory requirements so they can work directly with patients. OPHAC strengths included a learning health systems culture that fosters peer mentoring and collaboration. A key challenge was that, even after training, students required around 10 h of supervised practice before being able to take calls independently. As a result, students rolled on to the hotline in waves rather than all at once. Post-COVID, OPHAC is planning to use student navigators for outreach. Meanwhile, the PSC is collaborating with pipeline programs in hopes of offering this internship experience to more students from backgrounds that are under-represented in healthcare. Other campuses in the University of California system are interested in replicating this program. Adopters see the opportunity to increase capacity and diversity while developing the next generation of health and allied health professionals.

Screening and genetic counseling practices for hereditary non-polyposis colorectal cancer (HNPCC)

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 6564-6564
Author(s):  
S. Karri ◽  
S. R. Govindarajan ◽  
W. B. Bendure ◽  
S. A. Jackson ◽  
K. D. McKelvey ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Genetic Counseling ◽  
Health Care Providers ◽  
Medical Center ◽  
University Of Arkansas ◽  
Care Providers ◽  
Medical Sciences ◽  
Bethesda Criteria ◽  
Autosomal Dominant Fashion ◽  
The University

6564 Background: HNPCC, the most common cause of hereditary colorectal cancer (CRC), is inherited in an autosomal dominant fashion and caused by micro satellite instability and mutations in mismatch repair genes. Affected patients (pts) and first degree relatives tend to develop colonic and extra colonic tumors that need to be tested for the mutations. Genetic consultation (GC) should be routinely offered to the affected pts and relatives. To assess the utilization of GC, we assessed the frequency of referral for GC for the presence of HNPCC syndrome at our medical center. Methods: Patients with CRC were identified from the tumor registry at the University of Arkansas for Medical Sciences (UAMS) and the Central Arkansas Veterans Healthcare System (CAVHS) from January 1st 2000 to September, 2006. Pts’ charts were reviewed for synchronous or metachronous HNPCC tumors and family history (FH). FH was categorized as positive according to the Bethesda criteria (BC, 2000–2002), revised Bethesda criteria (RBC, 2003–2006), negative (documented FH but no h/o cancer) or inadequate documentation. Percentage of pts with positive FH for HNPCC syndrome and those with CRC less than 50 years of age (for pts diagnosed 2003–2006) who were referred for GC was calculated. The list of these pts was cross referenced to the list in genetics clinic at UAMS and CAVHS. Results: 858 patient charts were reviewed. Table 1 shows the number of pts meeting criteria for genetic counseling. 138 (16%) pts had inadequate /no documented FH. Of the 720 pts with documented FH, 67 (9.3%) had positive FH and 126(17%) met BC / RBC. Only 13 (10.3%) of 126 pts were referred for genetic counseling. The number of pts eligible for GC increased with inclusion of RBC. However, the percentage of eligible pts referred for GC was extremely low. Conclusions: FH is not adequately documented in many pts presenting with CRC. Only a small percentage of pts who qualify for GC are referred. Education of health care providers for referral to genetics counseling is warranted. No significant financial relationships to disclose. [Table: see text]

Knowledge and Attitudes of Day Care Center Parents and Care Providers regarding Children Infected with Human lmmunodeficiency Virus

PEDIATRICS ◽  
1991 ◽  
Vol 87 (6) ◽  
pp. 876-883
Author(s):  
Ardythe L. Morrow ◽  
Melanie Benton ◽  
Randall R. Reves ◽  
Larry K. Pickering
Keyword(s):  
Day Care ◽  
Hiv Transmission ◽  
Care Center ◽  
Child Care Providers ◽  
Care Providers ◽  
Day Care Centers ◽  
Day Care Center ◽  
Knowledge And Attitudes ◽  
Human Bites ◽  
Immunodeficiency Virus

It was hypothesized that parents and child care providers are not prepared to accept children infected with human immunodeficiency virus (HIV), who are increasing in number, into the day care center setting. To determine their knowledge and attitudes toward HIV transmission, 219 parents in 4 day care centers and 176 care providers in 12 day care centers were given confidential questionnaires. More than 98% of respondents knew that sex and needle sharing can transmit HIV; 84% of parents and 77% of care providers knew that contact with blood can transmit HIV. There was, however, uncertainty about transmission via many common contacts in day care centers: human bites, urine, stool, tears, and vomit; kissing; sharing of food and eating utensils; and diaper changing areas. Only 43% of parents said they would allow their child to stay in the same room with a child who was infected with HIV. In a multiple logistic regression model, the unwillingness of parents to have their child stay in the same room with a child who was infected with HIV was significantly (P < .0001) associated with black ethnicity, beliefs that such a child is likely to infect others (40%) and is dangerous to others (58%), and fear of their child being exposed to HIV (86%). Care providers' unwillingness to care for a child infected with HIV in the classroom (48%) was significantly (P < .0001) associated with beliefs that such a child is likely to infect others (44%) and that common day care center contacts can transmit HIV (62%). Most parents and care providers wanted to be informed if a child infected with HIV was in the classroom. A serious effort will be needed to educate parents and care providers if children who have been infected with HIV are to be accepted into the day care center setting routinely.

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