Psychosocial intervention.
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Biomedical subjects
Publications and source records attributed to G J Cohen.
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Different microorganisms can cause similar clinical patterns of lower respiratory tract disease, and a variety of clinical presentations can be caused by the same organism. Nevertheless by considering such factors as epidemiology, patient age, manifestations of nonrespiratory diseases, state of nutrition and course of illness, the physician can make reasonable assumptions as to the etiology of a child's respiratory infection. On this basis he or she can make a rational choice of initial therapy. The patient's response to treatment, as well as information gained from laboratory and radiographic studies, if available, can be used to change the management plan as necessary.
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Approximately three fourths of the parents whose children were pronounced dead in one emergency department maintained contact with a professional for at least a month following the death. Families whose children died of trauma did not maintain contact as well as those whose children died of anticipated death, sudden infant death syndrome, or infection. Strong family support system, employed parents, and appropriate response at the time of death all correlated with continued contact with a professional and adequate coping after death (P values all less than 0.04). Prior professional support was a less significant factor in follow-up, and disorganized, isolated parents with histories of poor social adjustment were far less likely to maintain contact.
This report compares the clinical picture, diagnosis, treatment and outcome of children with lead poisoning in the 1950s and the 1970s. During this 20-year period, increasing attention has been given to lead poisoning both at the local and national level. This attention has produced legislation to fund screening programs and to reduce the allowable amount of lead in paint. Greater public awareness, more effective methods for screening both populations and environments, and a reduction in severe sequelae of lead poisoning have also been achieved.
Five patients were admitted to Children's Hospital National Medical Center with manifestations of Yersinia enterocolitica infections. Four of five had primarily enteric illness, while the fifth had associated ocular and joint involvements. In three of five cases, the disease was self-limiting. Two of the patients (No. 1 and 2) may have had their disease improved by antibiotic therapy. Increased alertness to the potential of Y enterocolitica to cause a variety of syndromes is necessary to make an accurate bacteriologic diagnosis and to expedite medical treatment.
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