The Pediatrician's Role in Setting Standards of Day Care for Children

PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 237-238
Author(s):  
Esther H. Wender

The goal of pediatric practice is to promote optimal health, growth, and development of infants, children, and adolescents, and pediatric training is aimed at this goal. Thus, pediatrics has long been involved in establishing optimal health practices affecting nutrition, supervision of the environment, preventive health services, and the promotion of practices that optimally enhance social and emotional development. These generic areas of expertise apply in unique ways to children cared for in groups, especially very young children. A large body of research has been produced by pediatricians and other health professionals that addresses the specific health needs of infants and children in group care. Studies have especially addressed the spread and control of infectious disease and the prevention of injury in groupcare settings. Pediatric research, often in collaboration with psychologists, educators, and other professionals, has also addressed issues pertinent to optimal cognitive stimulation and behavioral management of the developing child, as well as the prevention of abusive practices. Thus, much of what constitutes the body of pediatric knowledge is crucial to the optimal care of young children in group settings. In the traditional practice of pediatrics, pediatricians apply their expertise to the care of individual children in the context of the family. The unwritten contract for pediatric care is between the parents and the pediatrician on behalf of the child. However, the school, day-care, or other community-based programs become an extension of the family, and the pediatrician relates to those community programs on behalf of children and their families. What the pediatrician recommends on behalf of the individual child becomes a recommendation to the program as well as to the child's family.

1994 ◽  
Vol 17 (4) ◽  
pp. 697-715 ◽  
Author(s):  
Brenda J. Boyd ◽  
Charlotte Wallinga ◽  
Patsy Skeen ◽  
Ligaya P. Paguio

A review of research examining the response of children and adolescents to the potential of nuclear war is presented. The dearth of research studying young children is discussed and the large body of research focusing on adolescents is reviewed, utilising the following major categories: (a) the early studies of the response to nuclear war; (b) knowledge of nuclear developments; (c) effect of knowledge on fear about nuclear war; (d) fears/worries about the threat of nuclear war; and (e) the effect of fear about nuclear war. Finally, the few studies which have examined the response to the threat of nuclear war within the family context are reviewed. In the final section of the paper, a critique of the existing research is presented, and recommendations for future research are offered, including methodological concerns and a theoretical approach to understanding the response to the threat of nuclear war.


2014 ◽  
Vol 4 (1) ◽  
pp. 43-54
Author(s):  
Jowita Gromysz

Summary Disease in the family is a literary motif used by many authors. The article contains a description of various ways of representing the disease in contemporary texts for young children. Pedagogical context of reading literary narratives refers to the way the rider repons to the text ( relevance to the age of the reader, therapeutic and educational function). The analyzed texts concern hospitalization, disability of siblings, parent’s cancer. There always relate to the family environment and show the changeability of roles and functions in family.


2011 ◽  
Vol 20 (1) ◽  
pp. 161-173
Author(s):  
A.P. Kassatkina

Resuming published and own data, a revision of classification of Chaetognatha is presented. The family Sagittidae Claus & Grobben, 1905 is given a rank of subclass, Sagittiones, characterised, in particular, by the presence of two pairs of sac-like gelatinous structures or two pairs of fins. Besides the order Aphragmophora Tokioka, 1965, it contains the new order Biphragmosagittiformes ord. nov., which is a unique group of Chaetognatha with an unusual combination of morphological characters: the transverse muscles present in both the trunk and the tail sections of the body; the seminal vesicles simple, without internal complex compartments; the presence of two pairs of lateral fins. The only family assigned to the new order, Biphragmosagittidae fam. nov., contains two genera. Diagnoses of the two new genera, Biphragmosagitta gen. nov. (type species B. tarasovi sp. nov. and B. angusticephala sp. nov.) and Biphragmofastigata gen. nov. (type species B. fastigata sp. nov.), detailed descriptions and pictures of the three new species are presented.


Author(s):  
Johan Roenby ◽  
Hassan Aref

The model of body–vortex interactions, where the fluid flow is planar, ideal and unbounded, and the vortex is a point vortex, is studied. The body may have a constant circulation around it. The governing equations for the general case of a freely moving body of arbitrary shape and mass density and an arbitrary number of point vortices are presented. The case of a body and a single vortex is then investigated numerically in detail. In this paper, the body is a homogeneous, elliptical cylinder. For large body–vortex separations, the system behaves much like a vortex pair regardless of body shape. The case of a circle is integrable. As the body is made slightly elliptic, a chaotic region grows from an unstable relative equilibrium of the circle-vortex case. The case of a cylindrical body of any shape moving in fluid otherwise at rest is also integrable. A second transition to chaos arises from the limit between rocking and tumbling motion of the body known in this case. In both instances, the chaos may be detected both in the body motion and in the vortex motion. The effect of increasing body mass at a fixed body shape is to damp the chaos.


Cancers ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 2670
Author(s):  
Moira O’Connor ◽  
Greta Smith ◽  
Ashleigh Pantaleo ◽  
Darren Haywood ◽  
Rhys Weaver ◽  
...  

Sarcomas are a group of rare and aggressive cancers, which develop in bones and connective tissue throughout the body. Sarcomas account for only 1–2% of all cancers worldwide; however, mortality rates for sarcoma are high with approximately two in four sarcoma patients dying following a diagnosis. Delays in diagnosis, poor management of symptoms, patients’ high symptom loads and high carer burden are all associated with carer distress, which may lead to complications after bereavement. The experience of having a family member referred for palliative care is also distressing for carers, with the realisation that their family member is dying. This study aimed to explore the experiences of bereaved family carers of people diagnosed with sarcoma. A qualitative descriptive design using a social constructionist framework was adopted. Interviews were conducted with sixteen participants, and thematic analysis was used to identify patterns in the data. Four overarching themes emerged: beginning the journey; moving through treatment; transitioning to palliative care; and experiencing bereavement. The narratives were coherent and potent, and people reflected on their journeys. Interventions and supports for bereaved carers could include opportunities for counselling to support reflections, supports for developing a narrative such as writing therapy, and preparation for the death of the family member.


2021 ◽  
Vol 13 (1) ◽  
pp. 91-94
Author(s):  
Ana Carolina Pereira de Godoy ◽  
Jose Maria Pereira de Godoy ◽  
Maria de Fatima Guerreiro Godoy

Introduction: Lymphedema is a specific type of edema that affects regions of the body in a chronic, progressive manner. Aim: The aim of the present study was to describe the therapeutic evolution of more than ten years of treatment for primary congenital lymphedema using the Godoy and Godoy method. Method: Ten children with primary congenital lymphedema with more than ten years of treatment at the Godoy Clinic were evaluated. Children with a clinical diagnosis of primary congenital lymphedema in treatment for more than 10 years with the Godoy Method. Cervical stimulation is the first treatment option of the method and is performed as monotherapy. The patients were reevaluated with weekly, bi-weekly and monthly frequencies and then every three months or when the family was able to return to the clinic. Results: For cases in which cervical stimulation was not possible, grosgrain stockings as monotherapy was the second therapeutic option. Conclusion: The Godoy and Godoy Method is effective at reducing edema in cases of primary congenital lymphedema, with the maintenance of the results throughout the treatment period.


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