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Most popular medical Questions
What is the "vulnerable child syndrome"?The vulnerable child syndrome is characterized by excessive parental concern about the health and development of their child. It usually occurs after a medical illness in which the parents are understandably upset or worried about the child's health (e.g., prematurity, congenital heart disease). However, this concern persists despite the child's recovery. Problems of the syndrome can include pathologic separation difficulties for parent and child, sleep problems, overprotectiveness, and overindulgence. Children are at risk for behavior, school, and peer-relationship problems.
Does participation in day care during infancy and the toddler years have negative effects on cognitive development?
This question has been examined in a large multisite study funded by the National Institute of Child Health and Human Development. At 24 and 36 months of age, there has been no demonstrable relationship between the number of hours in day care and any of the measures of cognitive or language development. However, child care of higher quality was associated with better language and cognitive outcomes. The frequency of language stimulation in the child care setting seemed to be the most important variable.
Who are "latchkey" children?
The term refers to the millions of children 18 years old who are in unsupervised care after school because they are members of families in which one or two parents work. Because of the enormous variability of circumstances, the consequences may be positive (e.g., increased maturity, self-reliance) or negative (e.g., isolation, feelings of neglect). Increased after-school programs may minimize negative consequences.
What are the effects of heavy television watching in children?
At one point or another, television viewing has been blamed for many of the problems facing children today. Studies have documented the effects of heavy television viewing in the following areas: increased aggressive behavior, increase in general level of arousal, desensitization to violence, increased obesity, and decreased school performance. There does not seem to be a large effect of television viewing on cognition or attention.
Is waiting to start school until a child is older a problem?
Although parents and schools often want to delay the start of school for children who have difficulty learning academic skills or who have problems with behavioral regulation, studies suggest that this is not usually an effective intervention. If delayed school entry results in a child being older than most classmates, this has been associated with later behavioral and school problems.
Why is the supine sleeping position recommended for infants?
In countries that have advocated the supine sleeping position as a preventive measure for sudden infant death syndrome (SIDS), there have been dramatic decreases in the incidence of the syndrome. Hypotheses on why the prone position is more dangerous for infants have included the potential for airway obstruction and the possibility of rebreathing carbon dioxide, particularly when soft bedding is used.
When do infants begin to sleep through the night?
By the time they are about 3 months old, approximately 70% of infants (slightly more for bottle-fed babies and slightly less for breast-fed babies) will not cry or awaken their parents between midnight and 6 am. By 6 months, 90% of infants fit into this category, but between 6 and 9 months, the percentage of infants with night awakenings increases.
At what age do sleepwalking and sleeptalking occur?
Sleepwalking occurs most commonly between the ages of 5 and 10 years. As many as 15% of children between the ages of 5 and 12 years may have somnambulated once, and as many as 10% of 3- to 10-year-old children may sleepwalk regularly. The sleepwalking child is clumsy, restless, and walking without purpose, and the episode is not remembered. Injury is common during this outing. Sleeptalking is monosyllabic and often incomprehensible. Both conditions usually end before the age of 15 years. Severe cases may benefit from diazepam or imipramine therapy.
What is the difference between nightmares and night terrors?
Nightmares are frightening dreams that occur during rapid eye movement (REM) sleep (usually during the last half of the night) and that may be readily recalled on awakening. The child is aroused without difficulty and is usually easily consolable, but returning to sleep after a nightmare may be problematic.
Night terrors are brief episodes that occur during non-REM stage IV sleep. They usually last 30 seconds to 5 minutes, during which a child sits up, screams, and appears aroused, often staring and sweating profusely. The child cannot be consoled, rapidly goes back to sleep, and does not recall the episode in the morning. The onset of night terrors in an older child or persistent multiple attacks may indicate more serious psychopathology.
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