Wednesday, July 11, 2012

LOW ACADEMIC PERFORMERS -CONTINUED

THIRD GROUP
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THIS IS THE MOST IPORTANT GROUP.ADOESCENT STAGE.ANY LACK OF GUIDE LINES FROM PARENTS ,TEACHERS,WELLWISHERS,RELATIVES. WILL RUIN THE FUTURE OF CHILD'S PERFORMANCE.THIS IS THE AGE WHEN ALL THE BAD THINGS HAVE HIGH AFFINITY TO SMOKING ,DRINKING ,DRUG ADDICTION,SNAKE VENOM ADDICTION(SUPPOSED TO BE LATEST FORM OF ADICTION,MANDRAX &ALLIED DRUGS.IF CHILD IS AWAY FROM THESE DREADFUL THINGS, THIS ITSELF WILLTAKE THE CHILD IN THE RIGHT PATH. PARENTS HAVE A BIG ROLE TO WATCH THEIR WARDS STEALTHILY &DO CORRECTION IF NECESSARY.GIRL CHILDREN THOUGH NOT CONNECTED WITH SUCH ACTIVITIES THEY ARE MORE OFTEN DRIVEN TOWARDS COMMITTING SEX RELATED OFFENCES,DUE TO THEIR SHEER IGNORENCE,&TIMIDITY.SOME ARE DRIVEN TO COMMIT SUICIDE FOR A SCILLY THING.THIS OFTEN HAPPENS WHEN THEY DONT TRUST THEIR PARENTS OR DUE TO TERROR STRICKEN STATE,KEPT BY PARENTS.CAREFUL OBSERVATION WITH MASTERLY EXPECTANCY REQUIRED FOR BOY OR GIRL.
SUMMARY
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IT IS THE SOCEITY &ENVIRINMENT THAT IS WHOLLY RESPONSIBLE FOR A CHILD'S UPBRINGING.PARENTS HAVE A LION'S ROLE,CHILDREN SHOULD HAVE A MIXED FEELING OF LOVE &FEAR TOWARDS PARENTS.IT IS THE PARENT'S DOTY TO SEE THAT CHILDREN PUT 100%CONFIDENCE,TRUST&LOVE TOWARDS PARENTS.IF PARENTS DONT KNOW THEY SOULD SEEK THE HELP OF SOME RELIABLE PERSON
DONT GIVE THEM TOO MUCH POCKET MONEY.CHECK THEM &DONT ENCOURAGE STEALING MONEY FROM HOME .IDENTIFYTROUBLE SHOOTERS WELL IN ADVANCE FIND OUT THEIR NEEDS, &IMPRESS UPON THEM THE NEED FOR BEING A USEFUL CITIZEN ,IN THE SOCEITY FOR A LIFE OF DIGNITY

Tuesday, July 10, 2012

LOW ACADEMIC PERFORMERS-FOR ATTENTION OF PARENTS

WE CAN DEVIDE THESE CHILDREN INTO 3 GROUPS

1)BIRTH-5YEARS  2)6-10 YEARS  3)11-15 YEARS.

THE FIRST GROUP IS ,IMPORTANT EVEN THOUGH ALL 3 GROUPS ARE FORMATIVE YEARS THIS BEING THE BASIC &MOST FLEXIBLE&EASY TOSHAPE THE CHARECTER.

1)COW'S MILK FED BABIES ARE LOW ACADEMIC PERFORMERS(GIVE FORMULA FEEDS)
2)T3 T4 TSH ASSESMENT SHOULD BE NORMAL(THYROID PROFILE) SLIGHTEST REDUCTION IN THYROXIN HORMONE LEVEL CAUSE BRAIN CELL DESTRUCTION &IS PERMANENT&IRREVERSIBLE
3)ALL THE 5 SPECIAL SENSES SHOULD BE INTACT.,SPECIALLY THE HEARING ASPECT
,BECUSE LEARNING INTELLIGENCE ARE DIRECTLY RELATED TO HEARING.
4)DISCIPLINE ENFORCEMENT SHOULD START FROM HERE.& IS MANDATORY IN THE
2nd,3rd GROUP ALSO
5)SHOULD BE ENCOURAGED TO PLAY ACTIVITIES,MOTE THAN ANY OTHER AGE GROUP
6)CHILD SHOULD BE NCOURAGED TOPARTICIPATE IN ALL HOUSEOLD ACTIVITIES,
THOUGH THIS IS MORE IMPORTANT IN THE 2nd 3rd GROUP.
7) I.Q ASSESSMENT ESSENTIAL INALL 3 AGE GROUPS.

SECOND GROUP
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)ALL THE GROUP ONE ACTIVITIES ARE APPLICABLE.
2)MORE DESCIPLINE TRAING REQUIRED.,BECAUSE DESCIPINE ENFORCEMENT IS DIFFICULTAFTER THIS AGE,CHILD SLOWLY BECOMES MORE DEFFIENT HERE.
3)AT ALL AGES PARENTS LOVE &AFFECTION SHOULD BE AVAILABLE IN ABUNDENCE
FATHER MUST ESENTIALLY PLAY AFTER RETURING HOME FROM WORK,
4)PARENTS SENSE OF SECURITY SHOULD BE AVAILBLE &THE CHILD SOULD KNOW
THAT100%.
5)PARENTS SHOULD DO LITTLE BIT OF SPY WORK &MONITER CHILD'S ACTIVITIES.
A)IS THE CHILD FRIENDLY WITH ANOTHER CHILD WITH GOOD BEHAVIOUR.
B)IS HE FRIENDLY WITH ANOTHER STUDIOUS CHILD
C)HOW IS HE TREATED BY TEACHER.
D)HOW IS HE TREATED BY OTHER CHILDREN/WORKERS IN SCHOOL.
E)ARE YOU SURE HE HAS ENOUGH SECURITY FEELING IN SCHOOL
F)DOES HE TRUST THE PARENTS FOR ANYTHING &EVERYTHING
G)DOES HE SHOW INTEREST IN GOING TO SCHOOL ITSELF, IN READING BOOKS/HOME
 WORKS
H)DOES HE SHOW ABILITY TO COMMUNICATE WITH TEACHER/FELLOW SCHOOLMATES.
I)FIND OUT REASON IF HE HAS NO COMPLAINT ABOUT TEACHER OR OTHERS--THERE WILL BE SOME COMLAINT USUALLY ONCE IN A WAY.





Thursday, July 5, 2012

SUCTON TECHNIC IN NEONATAL ASPIRATIONS

THIS IS A DANGEROUS CLINICAL CONDITION WARRANTING THE SERVICES OF A EXPERIENCED PEDIATRICIAN .A NEONATE CAN ASPIRATE FROM INSIDE UTERUS,DURING ITS PASSAGE PER VIA NATURALIS DURING LABOUR,AFTER DELIVERY(FIRST FEW FEEDINGS),EVEN AFTER A SUCCESSFUL RESUSCITATION.WHEN EVER THE LABOUR IS DELAYED FOR ANY REASON AMNIOTIC FLUID SWALLOWING OCCURS INVARIABLY.,DUE TO MULTIPLE REASONS(PLACENTA PREVIA, PREMATURE SEPERATION OF PLACENTA, INADEQUATE CONTRACTIONS OF UTERUS ,INADEQUATE DILATATIONS OF CERVIX OF UTERUS.SWALLOWED AMNIOTIC FLUID,IMPROPER FEEDING TECHNIQUE(NO BURPING), MAY LEAD TO ASPIRATION ASPIRATION PNEUMONIA, INSTANT DEATH.

IN THESE CASES THE RESUSCITATOR'S MAIN JOB IS MACHINE SUCTION OF RESPIRATORY TRACT,IN TOTO.AN XRAY CHEST WILL CONFIRM THE PRESENCE OF FLUID IN ONE OR BOTH LUNGS THESE CASES SHOULD BE IDEALLY SUBJECTED TO BRONCHOSCOPIC SUCTION.BUT PEDIATRIC BRONCHOSCOPE MAY NOT BE AVAILABLE IN 99%HOSPITALS.UNDER SUCH CIRCUMSTANCES THE AUTHOR'S SUGGESTION IS AS FOLLOWS:-

 1)DON'T USE ENDOTRACHEAL TUBE INTUBATION(MAY CAUSE REFLEX BRONCHO CONSTRICTION 2)SUCK OUT KEEPING THE SUCTION CATHETER(AFTER CUTTING THE TIP OBLIQUELY AT OPENING  OF TRACHEA WITH THE HALP LARYNGOSSCOPE.iNTHE ABSENCE OF LARYNGOSCOPE,KEEP THE TIP OF CATHETER ABOUT 3CM FROM THE LIPS OF NEONATE,MAKE TO &FRO MOVEMENT,AND WHEN YOU GET A PECULIER WHISTLING SOUND,MAITAIN THE TIP OF CATHTER AT THAT POSITION(OPENING OF TRACHEA)&KEEP SUCKING.IF YOU TAKE ANOTHER XRAY NOW THE CHEST WILL BE CLEAR.IF NOT REPEAT PROCEDURE