Suchergebnisse

Containing concise but detailed summaries on a comprehensive range of clinical scenarios and conditions likely to be encountered by trainees, paediatricians, therapists, nurses, and allied professionals in their day-to-day practice, Community Paediatrics is the ideal companion for anyone working with children in the community.The handbook is organized according to the different sub-specialities of community paediatrics, such as child development, neurodevelopmental disorders, and child protection, and incorporates the latest recommendations from current practice, consensus statements, and good

Introduction: Poisoning in children is a common and preventable cause of morbidity and mortality. Our environment is still not child-safe and the medications are not dispensed in a child-safe manner. The incidence of childhood poisoning in India varies from 0.3 to 7.6 percent. Poisoning accounts for 0.03% of mortality in infants, 0.16% in preschool age group and 0.37% of in five to fourteen year's age group as per the statistics projected by Government of India. The poisoning in paediatric age group includes obsolescent traditional poisons, the in fashion intoxications with recreational drugs as well as chronic exposure to industrial chemicals. The peak incidence of accidental overdoses is in the second year of life and 85% of accidental poisoning affect children under five years of age. Methodology: This is a prospective case controlled study done over a period of two years. The study was conducted in S C B Medical College, Cuttack, Odisha. Results: The poisoning constitutes 1.15% of total paediatric admissions. The commonest type of poisoning was due to Non-Medicaments (56 cases – 78.87%), out of which the commonest poisoning was due to hydrocarbons. Conclusion: Non medicament ingestions particularly kerosene still one of the very common toxic ingestion in children used in accidental poisoning cases.

Within the literature of the Enlightenment there are voices that called for the emancipation of women,1 and so began a—still unfinished—struggle for equality at home and in society. The campaign for women to enter the professions started in the 19th century.2 Women who wished to qualify and work as doctors faced what must have seemed to those of lesser courage and ability, to be insurmountable resistance. The early women doctors of the 19th century who were forced to obtain their training on the continent—in Zurich, Bern, and Paris—were part of a political movement and transatlantic network concerned with issues of women's rights, universal suffrage, women's health and public health measures.23456 These women who "stormed the citadel" wanted to, and did, change society as well as medicine. Opposition to women's entry into medicine was led by doctors who defended the male monopoly against the threat to their prestige and purse. They argued that a woman's place was in the home as a wife and mother. Women's bodies, intellect, and temperament were not up to the demands of studying medicine, let alone practising as doctors.345 These arguments did not stop, but echoed down the 20th century long after women had gained the right to qualify in medicine.

The NSPCC has collated and analysed evidence from serious case reviews over a number of years to identify lessons. This issue, we summarise the risk factors and learning from improved practice for the health sector