CME : Your SA Journal of CPD - Volume 25, Issue 4, 2007
Volume 25, Issue 4, 2007
Author P.E. SpringerSource: CME : Your SA Journal of CPD 25, pp 160 –163 (2007)More Less
Questions about scholastic progress form an integral part of a consultation.
Behavioural and attention problems may be the presenting symptoms of a learning disability.
Learning disabilities can present at any stage of a school career.
The aim of physical examination is to detect undiagnosed conditions.
The purpose of further assessment is to provide practical remediation.
Encourage preservation of self-esteem by focusing on strengths.
Grade retention should be a last resort.
Author Ruth Margaret BlandSource: CME : Your SA Journal of CPD 25, pp 164 –167 (2007)More Less
For HIV-negative mothers and those who do not know their HIV status, the optimal feeding method from birth to 6 months is exclusive breastfeeding.
HIV-positive women have to make the difficult choice of formula feeding or exclusive breastfeeding (i.e. avoidance of mixed feeding).
HIV is present in breastmilk.
Exclusive breastfeeding carries a postnatal HIV transmission risk of less than 5% at 6 months.
Exclusive breastfeeding carries a much lower postnatal HIV transmission risk than mixed breastfeeding.
Avoidance of breastfeeding carries increased risks of dying from infectious diseases e.g. diarrhoea and pneumonia.
It is possible for women to exclusively breastfeed for 6 completed months if they are given support.
Protecting South Africa's children : what difference will the new Children's Bill make? : main articleAuthor Lizette BerrySource: CME : Your SA Journal of CPD 25, pp 168 –171 (2007)More Less
The rights of children have become paramount as a result of many international initiatives to highlight the plight of children across the world.
South Africa has ratified the United Nations Convention on the Rights of the Child and has constitutional obligations towards children in South Africa.
The Children's Bill is a new piece of legislation aimed at giving effect to constitutional rights for children. The first part of the Bill has already been passed as law.
The context for children in South Africa points to some improvements, yet the context of abuse, exploitation and maltreatment remain the same.
Child welfare services are fragmented and uncoordinated, and the financial resources needed to render appropriate services are lacking.
The Children's Bill provides a legislative framework addressing most aspects related to the care and protection of children.
One of the key focus areas of the Bill is the realisation of child rights in the areas of family care, protection from abuse and neglect, social services, and legal representation in civil matters.
The Bill prioritises children in budgetary decisions, and ensures integrated and co-ordinated service delivery to children.
It regulates adoption more stringently, and promotes equal opportunity and protection for children with disability.
The Bill has a few limitations, the most notable one being that appropriate mechanisms and measures for its proper implementation have not been taken into account.
Integrated management of childhood illness (IMCI) - traditional versus new approaches to clinical care : main articleAuthor Haroon SaloojeeSource: CME : Your SA Journal of CPD 25, pp 172 –175 (2007)More Less
Author D.F. WittenbergSource: CME : Your SA Journal of CPD 25, pp 176 –180 (2007)More Less
Failure to gain weight in a normal way relates to problems of food intake, uptake and utilisation.
Practically speaking, the problem is one of two main categories: insufficient food intake or an organic condition leading to failure to thrive.
The health professional must distinguish between these in order to respond appropriately.
The Road to Health card is an essential monitoring tool.