Play Specialist

Pain Relief 7 Explanation 7 Play Specialist 7 Environment 7 Supervision 7... 

Forming a relationship of trust with the child is important. It is seldom a good idea to lie to a child, particularly about whether something will be painful. The ideal person to form this bond of trust with the child is the play specialist, or their equivalent. They can greet the child and be with them and the parents through most of the initial trauma care. They can explain what is going on and spend the necessary time to do so, which is difficult for other staff to achieve. 

Bone scintigraphy involves venepuncture, a time delay following injection of the isotope and a significant subsequent period immobilised on the scanner. Topical local anaesthetic should be used prior to venepuncture. Play therapy should be utilised as the use of play specialists has been shown to reduce the need for general anaesthesia (Department of Health 2003). 

The foundations of any turbogenerator installation play a significant part in the safe operation of the machine. Industrial turbines will normally operate at above synchronous speed and will drive an alternator via a reduction gearbox. Any vibration or out of balance occurring under both normal or abnormal operation must be accommodated by the foundations, and their design should therefore best be undertaken by a specialist organization. The layout... 

Electrochemistry plays an increasingly important role in biology and medicine and the electrochemical treatment of tumors (ECT) is receiving considerable attention as a viable alternative to the more classical tumor treating approaches of surgery and chemotherapy. Dr. A. Vijh, a specialist in this area, describes both the phenomenology and the proposed physicochemical mechanisms of ECT in a comprehensive chapter. 

This method for determination of ammonia losses is inaccurate and gives no information on the factors playing a role in this proces. Specialists in odour measurement techniques have the tools for a much more accurate measurement. In determining the losses over short periods they can look for correlations with the circumstances. This is the first step in contioling this ammonia losses. 

For the inhabitants of the exclusion zone, situated in a forested region without well-developed economic and social infrastructures, it is of interest to estimate the relative contributions to internal exposure of forest food (berries and mushrooms) and conventional agricultural food (potatoes and milk). Some specialist studies have assumed that forest food represents only a small part of the diet of inhabitants of the exclusion zone, but we would suggest that in fact, it plays a major role. Typically, the consumption of forest food contributes 50% of the internal exposure dose, while for some critical population groups, it can exceed 80%. The definition of the spatial variation in pollution, the prevailing ecological conditions, and the diet should allow a scientifically-based prediction to be made of the internal exposure dose to the local population, and will help to identify the major risk factors within a certain time period following the Chernobyl catastrophe. 

Rehabilitation specialists also play a critical role in helping patients adapt to sudden changes in muscle excitability caused by antispasticity drugs. Reducing spasticity may, in fact, adversely affect the individual relying on increased muscle tone to assist in functional activities... 

Rheumatoid arthritis and osteoarthritis represent the two primary pathologic conditions that affect the joints and periarticular structures. Although the causes underlying these conditions are quite different from one another, both conditions can cause severe pain and deformity in various joints in the body. Likewise, pharmacologic management plays an important role in the treatment of each disorder. Because physical therapists and other rehabilitation specialists often work with patients who have rheumatoid arthritis or osteoarthritis, an understanding of the types of drugs used to treat these diseases is important. 

---