The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
Abstract: This hearing examines the current conditions of children infected with the HIV virus and the role of the federal government in responding to these conditions. Testimony is received from parents of children with AIDS or HIV infected, pediatric care givers to children with AIDS, AIDS researchers, and others involved in providing service to HIV infected children.
In December 1982, the Centers for Disease Control received the first reports of cases of children with HIV/AIDS. Since that time, the child welfare system, as well as other human service organizations, have been coping with and responding to the crises of children and families living with HIV/AIDS, including the considerable number of children affected by AIDS through the illness of their parents, siblings, or other family members. This volume is intended as a resource for personnel within the child welfare field serving children and families whose lives are touched by HIV and AIDS. The contributors add insight to and fuel the discussion of the fight against AIDS. They provide tools to help better serve the children and adolescents that the current epidemic so tragically affects. Chapters and contributors include: "Factors Associated with Parents' Decision to Disclose Their HIV Diagnosis to Their Children" by Lori S. Wiener, Haven B. Battles, and Nancy E. Heilman; "Custody Planning with HIV-Affected Families" by Sally Mason; "Correlates and Distribution of HIV Risk Behaviors Among Homeless Youths in New York City" by Michael C. Clatts, W. Rees Davis, J. L. Sotheran, and Aylin Attillasoy; and "HIV Prevention for Youths in Independent Living Programs" by Wendy F. Auslander, Vered Slonim-Nevo, Diane Elze, and Michael Sherraden. Originally published as a special issue of 'Child Welfare', this volume examines lessons learned from a variety of perspectives and settings, and identifies a number of continuing challenges facing the field. 'Children and HIV/AIDS' is an invaluable compendium that should be read by social workers and health specialists and all those affected by the epidemic.
This manual provides expert practical guidelines for the management of severely malnourished children. Addressed to doctors and other senior health workers, the manual explains exactly what must be done to save lives, achieve successful management and rehabilitation, prevent relapse, and thus give these children the greatest chance of full recovery. Throughout, the importance of treating severe malnutrition as both a medical and a social disorder is repeatedly emphasized. As successful management does not require sophisticated facilities and equipment or highly qualified personnel, the manual also performs a persuasive function, encouraging health professionals to do all they can to save these children and meet their great need for care and affection. Recommended procedures draw on extensive practical experience as well as several recent therapeutic advances. These include improved solutions of oral rehydration salts for the treatment of dehydration, better understanding of the role of micronutrients in dietary management, and growing evidence that physical and psychological stimulation can help prevent long-term consequences of impaired growth and psychological development. Noting that the physiology of malnourished children is seriously abnormal, the manual gives particular attention to aspects of management - whether involving the interpretation of symptoms or the use of specific interventions - that differ considerably from standard procedures for well-nourished children. Details range from the reasons why IV infusion easily causes overhydration and heart failure, through a list of treatments that have no value and should never be used, to the simple reminder that underarm temperature is not a reliable guide to body temperature in a malnourished child during rewarming. Further practical guidance is provided in eight appendices, which use numerous tables, charts, sample recording forms, instructions for preparing feeds, and examples of easily constructed toys to help ensure that management is thorough, safe, and in line with the latest knowledge.
