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The key to this article is that all of the home learning games are made by the children for their own use with their parents. Anything the child has made becomes a source of pride for both parent and child. This pride is the simplest motivator for parent-child interaction. The child wants the parent to play his or her game and the parent will naturally devote some attention to the hand-made product.Gail L. Summer is the author of the book,Child-Made Home Learning Games for V.I.P's, from which this article is excerpted. It is available from Summertime Productions, 3005-E. Overton Drive, Greensboro, NC 27408 for $7.00 plus $1.00 shipping.  相似文献   
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Munchausen syndrome by proxy is a form of child abuse in which a disorder of the child is fabricated by a parent. Although often considered rare, it may have been overlooked frequently in the past. The reported cases of children with Munchausen syndrome by proxy range in age from infancy to 8 years. Their "illnesses" consist of fabricated histories, inflicted physical findings, altered laboratory specimens, and induced disorders. The perpetrator usually is the child's mother, who may have Munchausen syndrome. Consequences of the syndrome may include painful tests, frequent hospitalizations, potentially harmful treatment, and death. The diagnosis can be made when medical and social histories are characteristic of the syndrome and clinical findings are absent, suggestive of induced illness, or resolve upon separation of the child and parent. Suspicion of the syndrome should be discussed with the family once the safety of the child is insured, and the case should be reported under the child abuse reporting law of the state. Social, family, and medical histories must be obtained and verified, and court intervention should be considered. Four patients who illustrate typical features of the syndrome are described.  相似文献   
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A sketch of the development of institutional review boards (IRBs) and the system of human subjects research regulation in the United States is presented, from the Nuremberg Code of 1949 to the Belmont Report of 1979, and continues with several contemporary developments. Conflicts within the system are discussed, particularly those related to the regulatory application of the medical model to social science. Examination of two central documents produced by participants in the IRB regulatory system is presented to illustrate difficulties with current regulation.  相似文献   
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