Voice training to palatoschisis children

Palatoschisis is a kind of congenital malformation.It can bring glossolalia to patients.If not treated in time,it would do harmful effects to patients‘ future.Besides general law of functional voice disorder,palatoschisis has its special characters.After examination and assessment,palatoschisis patients could improve their vocalization by voice training.OBJECTIVE:To observe the effects of voice training to vocalization of palatoschisis children.     

Who speaks for the children?

• ? It would probably be a truism to say that most professional nurses consider patient/client advocacy to be an essential component of their role—indeed, there is a UKCC Advisory paper (Exercising Accountability, 1989), which categorically states that this is so. ‘The introductory paragraphs of the Code of Professional Conduct, together with several of its clauses, include clearly the expectation that the practitioner will accept a role as an advocate on behalf of his or her patients/clients.’
• ? Some professional nurses, however, consider advocacy to be too altruistic an activity and prefer to leave it to others.

     

Who gives pain relief to children?

OBJECTIVE: To compare pre-hospital parental administration of pain relief for children with that of the accident and emergency (A&E) department staff and to ascertain the reason why pre-hospital analgesia is not being given. DESIGN/METHODS: An anonymous prospective questionnaire was given to parents/guardians of children < 17 years. The children were all self referred with head injuries or limb problems including burns. The first part asked for details of pain relief before attendance in the A&E department. The second part of the questionnaire contained a section for the examining doctor and triage nurse to fill in. The duration of the survey was 28 days. RESULTS: Altogether 203 of 276 (74%) of children did not receive pain relief before attendance at the A&E department. Reasons for parents not giving pain relief included 57/203 (28%) who thought that giving painkillers would be harmful; 43/203 (21%) who did not give painkillers because the accident did not happen at home; and 15/203 (7%) who thought analgesia was the responsibility of the hospital. Eighty eight of the 276 (32%) did not have any painkillers, suitable for children, at home. A&E staff administered pain relief in 189/276 (68%). CONCLUSIONS: Parents often do not give their children pain relief before attending the A&E department. Parents think that giving painkillers may be harmful and often do not have simple analgesics at home. Some parents do not perceive that their child is in pain. Parents require education about appropriate pre-hospital pain relief for their children.     

The individual training for children with autism

Objective:Researching the individually train for children with autism;Method There were 30 cases with autism who have Been trained individually.There were 26 boys and 4 girls.Ages:26-111 months.the mains were(59.90&;#177;22.26) months.All of them onsel the abonrmal within 36 months.The diagnosis criterion was deponed on the ICD-10.The score of ABC were 68-133,the means:(90.87&;#177;35.12).The Scores of ABRSC were 37-93.The mains:(59.5&;#177;16.20),All cases were inpatients.One senior trainer decided the training scheme for every cases.One teacher trained one cases deponeded on the training scheme.The context included:social skill,speech and language,modify behavior .co-operative moscular movement,skill movement and cognitive train.The training time was 6 hours/per day,The training period were 2-6 months,the mains was 3.5 months,Results: THe social skill have had different progress in 27 cases.There were 13/15 cases could say some words and /or simple sentences after training.There were 12/15 cases have had some converse language etc.There were 13/15 cases could say some works and /or simple sentences after training.THere were 12/15 cases have had some converse language etc.The behavior have modified in 27/30 cases.The score of ABC were 23-97,the means:(57.12&;#177;20.39) before discharge,The following up time were 2-32 months after discharge.There were 27 cases get progress continuously.There were 5 cases who can go to the primary school.Conclusion:the individual training for autism are useful.     

Who gives pain relief to children?

OBJECTIVE: To compare pre-hospital parental administration of pain relief for children with that of the accident and emergency (A&E) department staff and to ascertain the reason why pre-hospital analgesia is not being given. DESIGN/METHODS: An anonymous prospective questionnaire was given to parents/guardians of children < 17 years. The children were all self referred with head injuries or limb problems including burns. The first part asked for details of pain relief before attendance in the A&E department. The second part of the questionnaire contained a section for the examining doctor and triage nurse to fill in. The duration of the survey was 28 days. RESULTS: Altogether 203 of 276 (74%) of children did not receive pain relief before attendance at the A&E department. Reasons for parents not giving pain relief included 57/203 (28%) who thought that giving painkillers would be harmful; 43/203 (21%) who did not give painkillers because the accident did not happen at home; and 15/203 (7%) who thought analgesia was the responsibility of the hospital. Eighty eight of the 276 (32%) did not have any painkillers, suitable for children, at home. A&E staff administered pain relief in 189/276 (68%). CONCLUSIONS: Parents often do not give their children pain relief before attending the A&E department. Parents think that giving painkillers may be harmful and often do not have simple analgesics at home. Some parents do not perceive that their child is in pain. Parents require education about appropriate pre-hospital pain relief for their children.     

Rehabilitation training of children with mental retardation

INTRODUCTION５３mentallyretardedchildren（MRC）receivedrehabilitationsince１９８２，significanteffectwasobservedsuggestingthesechildrenre－habilitationpotential．MATERIALSANDMETHODSMaterial５３MRCfromourhospitalparticipatedinourstudy，including１４boysand３９girls，amongwhich，３９haddisabilitiesofotherkinds．５３childrenweredividedaccordingtoIQgroupingproposedbyWUTianming，PekingUniversity．１２childrenhadmildmentalretardation（IQ：５１－７０），１７hadmoderatementalretardati…