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Biomedical subjects

R W Block

Publications and source records attributed to R W Block.

13 recordsLinked to original sources
PubMed1999

American Academy of Pediatrics. Committee on Child Abuse and Neglect and Committee on Community Health Services. Investigation and review of unexpected infant and child deaths.

Although there is a continuing need for timely review of child deaths, no uniform system exists for investigation in the United States. Investigation of a death that is traumatic, unexpected, obscure, suspicious, or otherwise unexplained in a child younger than 18 years requires a scene investigation and an autopsy. Review of these deaths requires the participation of pediatricians and other professionals, usually as a child death review team. An appropriately constituted team should evaluate the death investigation process, review difficult cases, and compile child death statistics.

Adolescent↗
PubMed1990

Child abuse: a time for new awareness.

There were 7602 cases of confirmed child abuse and neglect in Oklahoma in 1989. Twenty-five children died from abuse during the fiscal year. Physician training in diagnosis and management of child abuse must be expanded. Physicians are required by state statute to report all cases of suspected abuse to the Department of Human Services. Sexual abuse of children appears to be increasing. A coordinated multidisciplinary effort which involves physicians can help manage this threat to childrens' health.

Child↗
PubMed1986

The maladroit adolescent: learning disorders and attentional deficits.

Being maladroit in a society with increasing emphasis on performance is a formidable challenge to adolescent development. Helping maladroit adolescents achieve optimal potential is a challenge for physicians, educators, and others involved in their care. The first steps for professionals are recognizing SLD and ADD and understanding the configurations of these problems as they apply to adolescents and adults. Educators can prioritize academic concerns and evaluate and provide intervention strategies. Physicians can review new pharmacologic data and follow-up studies to help formulate clinical judgments, particularly around the area of medication. Along with counselors, physicians will provide better longitudinal care when aware of the social and behavioral outcomes reported for patients similar to theirs. Finally, awareness of resources facilitates multidisciplinary communication and provides access for patients and clients to needed medical, educational, and support resources. There has always been a sense of advocacy among those working with the adolescent whose exaggerated maladroitness stems from a problem with learning or attention. Perhaps this review will provide a data base from which advocacy can expand to specific action. That has been our goal.

Adolescent↗
PubMed1985

A device for positioning the breast during angiography.

A patient positioning device to be used during angiography of the breast that can easily be mounted and removed from an existing table top is described. The device facilitates patient positioning, provides good compression of the breast, and permits the placement of a water bolus during the studies.

Angiography↗
PubMed1981

Teenage pregnancy.

The pediatrician's role in teenage pregnancy is multifaceted. The problem is a sociologic phenomenon with medical consequences. The pregnant teenager actually represents three patients: the mother, the baby, and the adolescent herself. Prepregnancy nutrition can be improved through pediatric education and advice. Sex education can be improved through the advocacy of pediatricians, who can discuss postponing parenthood until the end of adolescence with many of their patients. Services to prevent pregnancy can be offered by pediatricians. Unfortunately, in Oklahoma it is illegal to dispense contraceptives to minors without parental consent. Pediatricians should work to gain acceptance of laws modeled after the American Academy of Pediatrics' health care for minors policy. Lastly, support services to promote proper parenthood and establishment of families can be developed with pediatric input. The entire problem must be viewed in the context of current social patterns, an understanding of adolescent development, the significance of peer pressures, and the biological changes that make it possible for children to bear children.

Adolescent↗
PubMedDate not supplied

The circumferential supracrestal fiberotomy.

This article addresses the advantages and shortcomings of circumferential supracrestal fiberotomy procedures from the pragmatic perspective of practicing clinicians. The first part of this article reviews the anatomy, surgical techniques, and timing of the procedure. The significance of individual techniques and studies are discussed.

Animals↗