tailieunhanh - New Community Tools for Improving Child Health: A Pediatrician’s Guide to Local Associations

Various systemic diseases (systemic vasculitis-systemic lupus erythematosis, Henoch-Sch¨ onlein purpura, hemolytic ure- mic syndrome, sickle cell disease, and malignancy) and syn- dromes (chromosomal aberrations, Rubinstein-Taybi, Cor- nelia de Lange, and many others) may affect the kidney in childhood [1]. Renal involvement should be excluded in any individual with multisystem disease (collagen disease, diabetes mellitus, and storage diseases). Systemic diseases associated with glomerular abnormalities may present with arthritis, rash, hypertension, hematuria, or proteinuria. The diagnosis of renal involvement in systemic disease is based on clinical findings (hematuria, proteinuria, hypertension, and decreased serum complement levels, decreased renal function)aswellasrenalhistology | New Community Tools for Improving Child Health A Pediatrician s Guide to Local Associations John L. McKnight The Asset-Based Community Development Institute Institute for Policy Research Northwestern University Carol A. Pandak Community Access To Child Health CATCH Program American Academy of Pediatrics Community Access To Child Health Anìí-ĩrâin Academy of Ped l íi Ệ THE ASSET-BASED COMMUNim DEVELOPMENT INSTITUTE The Asset-Based Community Development Institute is a research and training center focused on the identification and mobilization of local community resources for development and problem solving purposes. The institute s programs and publications are described on its web site see page 4 . The institute address is AssetBased Community Development Institute Northwestern University 2040 Sheridan Rd. Evanston IL 60208. A CATCH program is a broad-based community partnership that increases children s access to medical homes or specific health services not otherwise available. Every CATCH program must be led by facilitated by or have the significant involvement of a pediatrician. New Community Tools for Improving Child Health A Pediatrician s Guide to Local Associations This document was prepared jointly by the Asset-Based Community Development Institute Institute for Policy Research Northwestern University and the American Academy of Pediatrics Community Access to Child Health CATCH Program for presentation at CATCH 2000 National CATCH Meeting April 15-16 1999 Oak Brook IL. Statements and opinions expressed in this handout are those of the authors and not necessarily those of the American Academy of Pediatrics. This document may be photocopied in whole or in part for educational purposes if referenced appropriately. New Community Tools for Improving Child Health A Pediatrician s Guide to Local Associations As pediatricians focus on projects to enhance the health of young people in their community modern epidemiology is very helpful in guiding their efforts.