Caregiver emotional availability during routine infant immunizations over the first year of life

2012 ◽  
Vol 13 (4) ◽  
pp. S105
Author(s):  
L. Din Osmun ◽  
R. Pillai Riddell ◽  
D. Flora ◽  
S. Greenberg ◽  
H. Garfield
PEDIATRICS ◽  
1970 ◽  
Vol 45 (6) ◽  
pp. 950-960
Author(s):  
Frederic P. Anderson

Because of the critical shortage of professional manpower to deliver child health care in the United States, new programs are being developed involving paramedical personnel for the provision of much of the routine health appraisal services traditionally accomplished by the physician. It is difficult to anticipate the effect of such programs Upon the health care of children without knowing what contribution is presently made by the existing system. In an effort to assess the role of the routine physical examination in the health care of the infant under the age of 12 months, the results of 6,668 such examinations by 83 private pediatricians were evaluated in a prospective study. One hundred and thirty significant physical abnormalities (1.9%) were discovered, many of which probably could have been detected by a specially trained nurse or physician's assistant because of their inherent visibility or susceptibility to identification by simple screening procedures. It is concluded that more effective use of the physician's time could be accomplished by the relegation of a major portion of the routine infant physical examination to a paramedical person.


2009 ◽  
Vol 18 (1) ◽  
pp. 19-24
Author(s):  
Maggie-Lee Huckabee

Abstract Research exists that evaluates the mechanics of swallowing respiratory coordination in healthy children and adults as well and individuals with swallowing impairment. The research program summarized in this article represents a systematic examination of swallowing respiratory coordination across the lifespan as a means of behaviorally investigating mechanisms of cortical modulation. Using time-locked recordings of submental surface electromyography, nasal airflow, and thyroid acoustics, three conditions of swallowing were evaluated in 20 adults in a single session and 10 infants in 10 sessions across the first year of life. The three swallowing conditions were selected to represent a continuum of volitional through nonvolitional swallowing control on the basis of a decreasing level of cortical activation. Our primary finding is that, across the lifespan, brainstem control strongly dictates the duration of swallowing apnea and is heavily involved in organizing the integration of swallowing and respiration, even in very early infancy. However, there is evidence that cortical modulation increases across the first 12 months of life to approximate more adult-like patterns of behavior. This modulation influences primarily conditions of volitional swallowing; sleep and naïve swallows appear to not be easily adapted by cortical regulation. Thus, it is attention, not arousal that engages cortical mechanisms.


2001 ◽  
Vol 120 (5) ◽  
pp. A209-A209
Author(s):  
G RIEZZO ◽  
R CASTELLANA ◽  
T DEBELLIS ◽  
F LAFORGIA ◽  
F INDRIO ◽  
...  

2013 ◽  
Author(s):  
Julie Lawrence ◽  
Andrew Gray ◽  
Rachael Taylor ◽  
Barry Taylor

2004 ◽  
Vol 52 (S 1) ◽  
Author(s):  
H G�rler ◽  
A B�ning ◽  
J Scheewe ◽  
J Paulsen ◽  
HH Kramer ◽  
...  

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