CHILD ABUSE AND THE PHYSICIAN'S RESPONSIBILITY.
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Biomedical subjects
Publications and source records attributed to J L DENNIS.
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Too many physicians-and parents-hide behind the overworked excuse that "Johnny is just going through a stage." If the remark is inaccurate a great disservice can be done to both mother and child, and ultimately to society. The well oriented physician would no more permit a young mother to unwittingly feel "guilty" because her two-year-old "little stinker" behaves like a two-year-old little stinker than he would casually reassure when a ten-year-old behaves as though he were two. Actually much of the unpleasant behavior of children is quite normal. If physicians would help all young mothers to recognize this without dismissing abnormal behavior, it would do much to avert the overwhelming sense of inadequacy that so many modern young mothers feel-especially with their first baby. If they can be made comfortable with their first the others usually come easily. Many physicians who care for children are not trained in the rudiments of developmental behavior. By means of a simple outline and drawing of "the thorny child" even the least of the experts can better understand some of the chronologic variations in developmental behavior.
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Plasmanate(R), a human-serum protein solution, appears to have all the attributes of an ideal plasma expander. Freedom from infection, immediate availability in a clear, stable solution and the apparent absence of antigenic properties are particularly valuable qualities. The efficacy and safety of Plasmanate was clinically demonstrated in the treatment of 125 infants and children. This solution seems especially effective in the treatment of acute shock states and for the physiologic correction of hypoproteinemia. Comparison with other plasma expanders makes Plasmanate the agent of choice in the initial treatment of shock states in pediatrics.
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As the incidence of erythroblastosis fetalis is as high in rural as in urban areas, it behooves physicians in rural areas to anticipate the disease, to make special antepartum studies to determine the Rh status of obstetrical patients, and to be prepared to treat the affected baby if the aid of a specialist and special facilities are not obtainable.Exchange transfusions have been carried out, by means described, in a small rural hospital.