Each year in the United States, 250,000 infants are born too soon, weighing too little. For these low birth weight, premature infants, the future is uncertain, since they are at risk for a variety of serious medical and developmental problems—including behavioral and learning disorders that may have damaging effects for the rest of their lives. The extent to which a comprehensive early intervention program could improve or prevent these adverse outcomes was examined in the Infant Health and Development Program, a randomized controlled trial involving almost 1,000 infants in eight cities in the United States. This book describes in detail the program, its research methodology, the progress of the program, and the results of the clinical trial. The program was administered by an interdisciplinary team composed of physicians, biostatisticians, child development specialists, and researchers from several disciplines. It was instituted upon the discharge of the infants from the neonatal nursery and was maintained for three years. One-third of the infants were randomly assigned to an intervention group, the remainder to a follow-up group. Infants in both groups received pediatric care and community referral services, but only those in the intervention group participated in a program that included extensive home visits, attendance at a child development center, and group meetings for parents. The results of the program proved to be clinically important; at age three, the children in the intervention group had significantly higher IQ scores, greater cognitive development, and fewer behavioral problems. The implications of the findings for public policy are equally important, for there is increasing interest in the prevention, early detection, and management of developmental disabilities in children, as evidenced by such legislation as the Education for All Children Act. Strategies to minimize the problems of low birth weight children, with their potential for long-term savings through the prevention of disabilities and their attendant costs, could have significant repercussions in such governmental areas as medical care, education, and social welfare.
Two young women , away for the summer, meet while at a lake, and share wilderness adventures teeming with laughter and danger, and end up having experiences beyond their wildest dreams. ...from Hidden Feelings The flooded river had subsided a great deal, but the water raced violently along. Julie took about twenty-five small steps out onto the hanging bridge. Katie looked back up stream and yelled, Watch out! A tree! A tree is floating down the river at you! Get off the bridge! Lori shouted, Julie! Come back! However, Julie stood, there, frozen. Julie! ..Ju-lie! screamed Lori. Julie turned and took two steps back when the tree roots hit the bridge closest to the other side. The rampaging current caused the tree roots to push against the bridge with tremendous force. When the bridge lurched terribly, Julies feet slid off the slats. She was now hanging onto the rope handrails. Only Lori knew about Julies previous fear of the water and wanted to go out on the bridge to help her. Suddenly the bridge ripped in half, dumping Julie into the turbulent water. Lori raced down river as Julie was hanging onto the rope for dear life. Meanwhile, the tree careened around, slowly at first, and then faster, as it turned broadside to the current. Its branches came at Julie with ever-increasing speed. Watch out! screamed Lori. Julie didnt see the danger and a branch banged her on the side of her head. She went completely under the water and was swept away by the tree.
Effective Patient Education helps health professionals and students develop the skills and knowledge to conduct effective patient education in a highly efficient way. It emphasizes a team approach to patient education, recognizing that, because of the complexity of health care, many health professionals are involved in patient care. This book is therefore written for nurses, physicians, physical therapists, dietitians, pharmacists, and other health care professionals who share responsibility to guide their patients in enhancing and maintaining health and well-being.Effective patient education is a way of communicating that fosters a partnership between the patient and health professional. It involves more than giving information and instruction. In order to conduct effective patient education, health professionals must recognize that individual patient variables influence the degree to which a patient will follow health advice. The health professional can assess the patient's preexisting beliefs and attitudes, fears and anxieties, and individual life and family circumstances in order to communicate health recommendations in accordance with individual patient needs.
Written by a nursing expert and former Chair of patient education for the Society of Teachers of Family Medicine, Effective Patient Education: A Guide to Increased Adherence, Fourth Edition gives clinicians the tools they need to become effective patient educators. Using a patient-centered approach, this essential text provides specific strategies for communicating in a way that motivates patients to take action. Crucial to this approach is an understanding of the patient as a partner in the patient education process. The text uncovers patient concerns and challenges that may interfere with patient adherence to recommendations, enabling clinicians to gain insight into their patients and devise communication strategies that can empower patients to overcome obstacles. In addition, this completely revised and updated edition explores the challenges that clinicians may face in conducting patient education. Using case examples to illustrate key points, this text moves beyond theory to offer practical application principles for the real world. Featuring a clinical approach in examining established patient-education theories, Effective Patient Education: A Guide to Increased Adherence, Fourth Edition is an invaluable guide for nursing students and professionals!
This Second Edition is a good source for those training to be home visitors, in-service home visitors, supervisors and directors of home visiting programs serving a wide range of families. Recent evaluations of home visiting are summarized and practical suggestions for evaluating local programs are also included. This is an easy to read and essential resource for both beginning and experienced home visitors, trainers, supervisors of home visitors, and directors of home visiting programs.
This new edition of The Cambridge Medical Ethics Workbook builds on the success of the first edition by working from the 'bottom up', with a widely praised case-based approach. A variety of guided exercises are supplemented by short papers and commentaries on legal and ethical issues, challenging readers to develop their own analyses and recommendations. Chapters cover death, genetics, new reproductive technologies, research, long-term care, mental health, children and young people, allocation of scarce resources, and general issues about autonomy and patient choice. An appendix discusses the use of this book in teaching, along with a full bibliography, list of Kennedy Institute keywords, and suggestions for further reading. An interactive CD-ROM packaged with the book provides extra cases, a glossary, legal references and the chance to record a personal learning diary. Its simple, clear style makes this book ideal for individual reference and as a set text for group teaching.
Covering the entire spectrum of this fast-changing field, Diagnostic Imaging: Musculoskeletal Trauma, third edition, is an invaluable resource for general radiologists, musculoskeletal imaging specialists, and trainees—anyone who requires an easily accessible, highly visual reference on today's imaging of musculoskeletal injury and trauma. World-renowned authorities provide updated information on more than 200 adult and pediatric trauma-related diagnoses, all lavishly illustrated, delineated, and referenced, making this edition a useful learning tool as well as a handy reference for daily practice. - Serves as a one-stop resource for key concepts and information, highlighted by thousands of extensively annotated digital images and 350 full-color illustrations - Features updates from cover to cover including new literature, new images, and refined diagnoses, plus new content on hardware and surgical approaches, femoroacetabular impingement (AIF), athletic pubalgia, and more - Contains new chapters in the foot and ankle section on Chopart joint injury, nerve injury, and anterolateral impingement - Presents the advantages and disadvantages of particular imaging techniques for diagnosis and characterization of specific musculoskeletal injury and trauma - Includes material specific to pediatric patients, including detailed, dedicated chapters on child abuse and growth plate injuries - Contains a traumatic injury overview and section on special topics including fracture healing and pathologic fracture coverage - Provides numerous ultrasound examples and explanations to increase your knowledge and skill with this often-challenging modality in the evaluation of musculoskeletal injury - Uses bulleted, succinct text and highly templated chapters for quick comprehension of essential information at the point of care
Having won scholarships to different colleges, with miles and hours between them, Lori Hunter and Julie Conners continue trying to enjoy their relationship. However, with passions unleashed by others surrounding them, they struggle to keep their love for each other. from Passions Unleashed... With her long-awaited prize so imminent, Jodi Nelson's knees felt weak. Her heart beat faster as she cautiously climbed on the bed with Lori. "Oh my God, I'm so close to you ." Slowly she put her hand up and, with trembling fingers, lightly touched Lori's left arm. Her heart skipped a few beats as she dared to let her fingers slide up and down along silky, bare skin. The sensation of Lori's skin made her feel shaky all over.
This Gold Standard in clinical child neurology presents the entire specialty in the most comprehensive, authoritative, and clearly written fashion. Its clinical focus, along with relevant science, throughout is directed at both the experienced clinician and the physician in training. New editor, Dr. Ferriero brings expertise in neonatal neurology to the Fourth Edition. New chapters: Pathophysiology of Hypoxic Ischemic Encephalopathy, Congenital Disorders of Glycosylation, Pediatric Neurotransmitter Diseases, Neurophysiology of Epilepsy, Genetics of Epilepsy, Pediatric Neurorehabilitation Medicine, Neuropsychopharmacology, Pain and Palliative Care Management, Ethical Issues in Child Neurology
Taken from the best of Donna Magazine that can be found at: http: //kakonged.wordpress.com on the Internet comes a book that you can take with you anywhere
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