The Health of Children Who Are Immigrants and Refugees: A Review for the General Pediatrician

2019 ◽  
Vol 48 (11) ◽  
pp. e455-e460
Author(s):  
Justin D. Triemstra ◽  
Ana C. Monterrey
Keyword(s):  
Immigrants And Refugees ◽  
General Pediatrician

scholarly journals Perspectives on a psychiatric outpatient service for immigrants and refugees in São Paulo, Brazil over a 15-year period

2021 ◽  
pp. 002076402110272
Author(s):  
Luciana de Andrade Carvalho ◽  
Laura Helena Andrade ◽  
Patrícia Lin Ang ◽  
Carmen Lucia Albuquerque de Santana ◽  
Francisco Lotufo Neto ◽  
...  
Keyword(s):  
Mental Health ◽  
Cluster Analysis ◽  
Psychiatric Service ◽  
Sao Paulo ◽  
Service Planning ◽  
São Paulo ◽  
Immigrants And Refugees ◽  
Common Diagnosis ◽  
Logistic Regressions ◽  
Refugee Men

Background: Immigrants and refugees have specific mental health needs. Studies of immigrant/refugee psychiatric patients in Latin America are scarce. Aims: Present the profile of patients from an outpatient psychiatric service in Sao Paulo (Brazil) to better inform mental health service planning for immigrants and refugees in the Global South. Methods: Exploratory study to characterize the sociodemographic and mental health profile of refugees and immigrants attending outpatient psychiatric service from 2003 to 2018. Chi-square tests and logistic regressions were used to examine the association of demographic variables, exposure to violence, and immigrant status with psychiatric diagnosis. Cluster analysis was used to identify subgroups within the sample. Results: A total of 162 immigrants and refugees referred to the service obtained treatment. Of these patients, 57.4% were men, 59.8% were refugees/asylum seekers, 51.9% were Black, 48.8% were single, 64.2% had 10 years of education, and 57.4% were unemployed; the mean age of the sample was 35.9. Half of the sample (52.5%) was exposed to violence. The most common diagnosis was depression (54.2%), followed by PTSD (16.6%). Approximately 34% of the participants sought psychiatric care within 6 months of arrival. Logistic regressions showed that men had lower odds of presenting with depression (OR = 0.34). Patients with PTSD were more likely to be refugees (OR = 3.9) and not have a university degree (OR = 3.1). In the cluster analysis, a cluster of patients with PTSD included almost all Black refugee men exposed to violence. Most patients diagnosed with psychotic disorders were also Black refugee men. Conclusion: Immigrants and refugees represent a vulnerable group. The majority of the sample was Black, refugee men, who were also more likely to present with PTSD. Future studies are needed to better understand issues in treatment adherence in relation to socioeconomic characteristics.

Reframing resilience: Strengthening continuity of patient care to improve the mental health of immigrants and refugees

2019 ◽  
Vol 29 (1) ◽  
pp. 69-79 ◽  
Author(s):  
Lloy Wylie ◽  
Ann Marie Corrado ◽  
Nandni Edwards ◽  
Meriem Benlamri ◽  
Daniel E. Murcia Monroy
Keyword(s):  
Mental Health ◽  
Patient Care ◽  
Continuity Of Patient Care ◽  
Immigrants And Refugees

Role of the General Pediatrician in Neonatology: Relevance of Recent Advances

1981 ◽  
Vol 3 (3) ◽  
pp. 71-76
Author(s):  
Ann R. Stark
Keyword(s):  
Newborn Infant ◽  
Transport Mechanism ◽  
Major Influence ◽  
Recent Advances ◽  
General Pediatrician ◽  
Life Saving

The general pediatrician plays important roles even as neonatology becomes more specialized: first in the evaluation of the newborn infant and in the organization of resources for care; and second as a major influence in the education of the parents. Awareness of significant advances will allow appropriate counseling of parents and obstetricians. Inasmuch as perinatal centers can provide care for mothers and babies that other hospitals cannot, pediatricians must ensure that the regionalization network and transport mechanism are established so that life-saving advances are available for their patients. Then, the pediatrician and the obstetrician, as members of a team, can provide the best possible care to mother and infant.

The Pediatrician and the Care of Children With Malignancy

1990 ◽  
Vol 12 (1) ◽  
pp. 5-5
Author(s):  
R. J. H.
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Diagnosis And Treatment ◽  
Tertiary Care Center ◽  
Technical Aspects ◽  
General Pediatrician ◽  
The Family

Most of us, as general pediatricians, know little about the technical aspects of modern care for the child with neoplasia. As Dr Pizzo points out in the commentary which follows, this is one of the disease groups for which this technical care is best given at a tertiary care center. However, the general pediatrician must make the diagnosis promptly, refer the patient to the appropriate site, maintain contact with the child and family, deal with intercurrent illnesses, and keep up-to-date with modern advances regarding the diagnosis and treatment of these disorders to be able to interpret them to the family.

The Pediatric Intensivists' Viewpoint

PEDIATRICS ◽  
1986 ◽  
Vol 78 (1) ◽  
pp. 181-182
Author(s):  
◽  
Keyword(s):  
Special Care ◽  
Care Hospital ◽  
General Pediatrician

To the Editor.— Dr Joseph W. St Geme, Jr, has expressed an understandable concern about the direction of the field of pediatrics, with particular emphasis on the "subspecialty" movement.1 He voices discomfort about the growing number of subspecialists and sees a potential surfeit of "special care hospital subspecialist" competing with and draining clinical opportunities from the sphere of the general pediatric specialist. We do not seek to minimize the challenge to the general pediatrician to retain a meaningful place in the care of the hospitalized child.

INDEX OF SUSPICION

1994 ◽  
Vol 15 (10) ◽  
pp. 391-393
Author(s):  
David M. Tejeda ◽  
Jessica Kaplan ◽  
John S. Andrews ◽  
Catherine DeAngelis ◽  
Neeru Sehgal
Keyword(s):  
Blood Pressure ◽  
Eye Movements ◽  
Early Diagnosis ◽  
Otitis Media ◽  
The Past ◽  
General Pediatrician ◽  
Case Presentations

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation The parents of a 22-month-old boy complain that he has been increasingly clumsy and cranky for the past 7 days. He initially developed a stumbling gait and now prefers to crawl; he no longer can sit on his own. The child has been afebrile but has had a cough for several weeks. He has been on antibiotics for otitis media (with a presumed labyrinthitis) for 5 days. There have been no other recent illnesses, and he has not been ill in the past. On examination, the child appears irritable and has occasional jerking movements of his extremities. His temperature is 36.3°C, pulse is 128 beats/min, and blood pressure is 84/40 mm Hg. Chaotic, irregular eye movements are present.

Empowerment: A Social Work Approach for Asian Immigrants

1988 ◽  
Vol 69 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Hisashi Hirayama ◽  
Muammer Cetingok
Keyword(s):  
Social Work ◽  
Population Group ◽  
Asian Immigrants ◽  
Major Goal ◽  
Immigrants And Refugees ◽  
Values And Beliefs ◽  
Ethnic Heritage ◽  
American Society ◽  
Group Workers

Asian immigrants and refugees are often powerless in American society. Thus client empowerment should be a major goal in working with this population group. Workers should help these clients adapt to their environment without abandoning their ethnic heritage, values, and beliefs.

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