Subject(s)
Intensive Care, Neonatal , Parents , Professional-Family Relations , Humans , Infant, Newborn , Socioeconomic FactorsABSTRACT
New federal legislation involving infants at risk for handicaps and their families, in the form of Public Law 99-457, will rely on interaction between pediatricians and other professionals to maximize health and social benefits. Involvement in early identification and remediation of infants at risk is a role well suited to the primary care pediatrician. Early Intervention Programs offer remediation and enhancement of development for children at biologic or environmental risk. Pediatricians should be alert to screen, identify, and assess children who may be helped by Early Intervention Programs. The primary care pediatrician should work with children who have these problems, help coordinate care, and serve as an advocate for the child and family.
Subject(s)
Developmental Disabilities/prevention & control , Disabled Persons/legislation & jurisprudence , Pediatrics , Child Advocacy , Child Health Services/legislation & jurisprudence , Child, Preschool , Developmental Disabilities/diagnosis , Female , Health Promotion , Humans , Infant , Male , Physician's Role , United StatesABSTRACT
A nonprofit voluntary community hospital, the Hunterdon Medical Center, has made a commitment to encourage breast-feeding among employees. In support of this commitment, arrangements were made for time off during the work day for nursing mothers to pump their breasts. An electric breast pump in a suitably accessible location and supportive professional advice were offered. Among those who chose to nurse their babies, it was found that mothers nursed for longer times and were more likely to continue nursing after return to employment when this program was available.
Subject(s)
Breast Feeding , Occupational Health Services , Women, Working , Women , Female , Hospital Bed Capacity, 100 to 299 , Hospitals, Community , Humans , New Jersey , Personnel, Hospital , Time FactorsSubject(s)
Abnormalities, Multiple , Professional Staff Committees , Prognosis , Humans , Infant, Newborn , Quality of LifeSubject(s)
Learning Disabilities/therapy , Patient Care Team , Physician's Role , Remedial Teaching , Role , Child , Humans , New JerseySubject(s)
Jaundice, Neonatal/therapy , Phototherapy , Bilirubin/blood , Cyanosis/etiology , Erythema/etiology , Female , Fluorescence , Humans , Infant, Low Birth Weight , Infant, Newborn , Infant, Premature, Diseases/prevention & control , Infant, Premature, Diseases/therapy , Jaundice, Neonatal/prevention & control , Phototherapy/adverse effects , Sleep Apnea SyndromesSubject(s)
Adolescent , Nutritional Physiological Phenomena , Female , Humans , Male , Nutritional RequirementsABSTRACT
Two families have been presented. In one, asplenia occurred with and without gastrointestinal malformations. In the other, cardiovascular malformations occurred in one member and Ivemark syndrome in the other. All three children with asplenia died in infancy, two with evidence of sepsis. Sudden death in infancy may be due to sepsis in a child with isolated asplenia syndrome and impaired resistance to infection. Both isolated asplenia and some cases of congenital heart disease without asplenia may be related to Ivemark syndrome. New infants born in families with a history of congenital cardiovascular malformations, visceral heterotaxy, or other malformations associated with Ivemark syndrome should be tested for asplenia, primarily by searching for Howell-Jolly bodies. Infans with asplenia should be protected with prophylactic antibiotics. Pneumococcal polysaccharide vaccine is indicated at the age of 2 years. It would appear worthwhile for pediatric surgical or pediatric cardiologic services to perform a screening program for Howell-Jolly bodies.
