Search PubMed⌕ Search

Biomedical subjects

P H Dworkin

Publications and source records attributed to P H Dworkin.

5 recordsLinked to original sources
PubMed1992

Infancy problem behaviors.

The goal of pediatric health supervision is to promote the optimal growth and development of children. Parent-infant interaction and parental attitudes toward their infant are important determinants of child development. Anticipatory guidance during child health supervision enables the pediatric provider to discuss developmental stages and demystify common stage-related behaviors, such as fussing, night-waking, repetitive movements, and clinging. Anticipating the emergence of such behaviors and issues may lessen parental anxiety and concern. When behavioral problems such as colic or sleep difficulties do arise, a consideration of developmental stage is helpful in suggesting specific management strategies. The successful implementation of developmentally-oriented approaches has benefits for the family and pediatric provider, including increased parental self-confidence, enhanced family functioning, and increased parental confidence in the pediatrician. Furthermore, by encouraging developmentally-oriented approaches, parents will be less inclined to adopt inappropriate or ineffectual behavioral management strategies.

Child Behavior Disorders↗
PubMed1979

Training in developmental pediatrics. How practitioners perceive the gap.

Ninety-seven randomly selected, board-certified pediatricians in five New England states were interviewed by two physicians to explore attitudes toward previous training and current sources of knowledge in developmental pediatrics. Formal training in development was rated as inadequate by 79%, of residency experience was viewed as highly valuable by only 30%, and 47% rated medical school as having no value. Although clinical experience was reported as a valuable source of knowledge by 99% of the sample, almost two thirds did not regard it as an adequate substitute for formal training. Frequent interdisciplinary communication was reported, and professional contacts were described as a highly valuable ongoing source of knowledge. Social class and size of practice did not correlate with differences in consultation patterns. A part-time longitudinal clinical experience for further education was preferred by 97%. Improved training with greater interdisciplinary content is needed.

Child↗
PubMed1979

Developmental-behavioral dysfunction in preschool children. Descriptive analysis of a pediatric consultative model.

A study of 79 preschool children referred to an interdisciplinary clinic because of behavioral problems and developmental concerns was done. Historical data and information regarding present functioning were collected using standard questionnaires. In addition to medical, neurological, and psychiatric examinations, every child received a neurodevelopmental assessment. When compared with a matched cohort of children from the community, the clinic population had a higher incidence of developmental concerns. Of 37 children referred because of "hyperactivity" or other behavioral concerns, 13 had previously undetected developmental concerns requiring specific interventions. Dysfunction in preschool children may be the result of an ongoing reciprocal interaction between constitutional predispositions and social and environmental factors. A comprehensive, developmentally oriented approach seems to be indicated in the assessment of these children. This may have implications for pediatric practice.

Affective Symptoms↗
PubMed1979

Primary care approaches to developmental disabilities.

Ninety-seven board certified pediatricians who spend at least 75% of their professional working hours involved in the delivery of primary care in New England were interviewed to explore their attitudes and current clinical approaches to developmental disabilities. The majority of the pediatricians relied exclusively on clinical judgment and general observations for assessing developmental problems in their offices. Responsibility for preschool screening for potential learning problems and the assessment of school failure were considered appropriate pediatric concerns. Reported customary approaches to a variety of developmental problems were not affected by the size of the practice nor by the socio-economic status of the patient population. Patterns of referral for consultation appeared to be more dependent on the nature of the suspected disorder than on the characteristics of the physicians or their practices. The need for more rigorous training in the developmental aspects of child health has been emphasized. In order to meet this challenge, more precise techniques for pediatric developmental assessment and more conclusive evaluations of specific interventions will have to be produced.

Attitude of Health Personnel↗