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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The care of infants and children
Insights
Pediatrics has significantly reduced infant mortality, but future challenges include global child health disparities and ethical technology use. Preventable issues like accidents and malnutrition persist, demanding renewed focus on children
Area of Science:
- Pediatrics and Global Child Health
- Bioethics and Health Technology
- Public Health and Preventative Medicine
Background:
- The 20th century witnessed substantial growth in pediatrics, leading to a dramatic decrease in infant mortality rates.
- Significant declines in birth rates also occurred concurrently with advancements in pediatric care.
Observation:
- Future pediatric challenges necessitate a global perspective, addressing issues like population growth and food distribution impacting children worldwide.
- Technological advancements in life support raise ethical questions regarding application at the extremes of life (infancy and elderly).
- Human behavior and societal issues, including congenital AIDS and parental substance abuse, pose severe risks to infants.
Findings:
- Accidents are the leading cause of death for children in the United States.
- Diarrheal diseases and malnutrition are primary causes of mortality in children in developing nations.
- A significant majority of these child health issues are preventable with existing knowledge and interventions.
Implications:
- There is an urgent need to re-prioritize children's health on national and global healthcare agendas.
- Ethical considerations regarding advanced medical technology must be addressed to ensure equitable and appropriate care.
- Implementing known preventative strategies can drastically reduce child mortality and morbidity globally.
Abstract:
The growth and development of pediatrics took place principally in the twentieth century. One result has been the reduction in deaths in the first year of life 165/1000 live births to 10/1000 live births in 1987. The birth rate was reduced by one-half during the same period. The challenges of the future are to consider the needs of American children in the context of the world's children, since isolation from global problems associated with logarithmic population growth in the developing countries and maldistribution of food is no longer possible. The time has come to consider the limits to application of our ever more sophisticated technology to support life at both ends of the spectrum of human life, the most immature and the most debilitated elderly. Human behavior continues to be unnecessarily destructive for children. Congenital AIDS and drug-abusing parents are catastrophic for the infant. Accidents remain the leading cause of death of children in America. Deaths from diarrheal diseases and malnutrition are the main causes of death of children in developing countries. Nearly all of these problems are preventable with the application of current knowledge. How could we have let the best interests of children slip so far down on our national list of priorities in health care?
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