
kuttikalude ashupatri

sisukkal, kuttikal, kaumaarakkaar, cheruppakkaar ennivarkku jananam muthal 18 vayass vare, 21 vious athil kooduthalumullavarkku maathramaayi sevanangal nalkunna oru aashupathriyaanu kuttikalude ashupatri. chila prathyeka kesukalil, avar muthirnavareyum chikilsichekkaam. 20-aamm noottaandil kuttikalude aashupathrikalude ennam vardhichu, pediatric medical, sarjikkal specialitykal intenal medisin, muthirnnavarude sarjikkal specialitykal ennivayil ninnu verthirichu.
samyojanam.
kuttikalude aashupathrikalude savisheshatha kuttikaludeyum avarude kudumbangaludeyum maanasika saamoohika pinthunayilekku kooduthal shradha nalkunnu. chila kuttikalkkum cheruppakkaarkkum thaarathamyena deerghakaalam ashupathriyil chelavazhikkendivarunnathi kalikkaanum adthyaapaka jeevanakkarullathum avarude paricharanatthinte oru pradhana bhagamaakum. praadeshika pankaalitthatthode, praadeshika botanical garden, mrgashaalakal, pothu librarikal ennivayilekkulla yathrakal ithil ulppedaam. 2022ll amgeekaricha puthiya kembridge kuttikalude aashupathriyude roopakalppanakal, kuttikalkkum yuvakkalkkumulla maanasikavum shaareerikavumaaya aarogya vyavasthakale poornnamaayum samyojippikkaanum moonnu pankaalikalude sevanangal orumichu konduvaraan padhathiyidunnu kembridge yooniversitti hospitalukal enhs foundeshan trastt, cambridgeshire, peterbo enhs foundeshan trastt, gaveshana pravarthanangalkkoppam shaareerikavum maanasikavumaya aarogya sevanangalulla kembridge sarvakalashaala. 
staaf.
maanasika saamoohika pinthunaykku purame, kuttikale chikilsikkunnathil pariseelanam labhicha professionalukal jeevanakkaare niyamikkunnathinte adhika nettavum kuttikalude aashupathrikalund. pediatricsil thozhiladhishtitha pariseelanam nadathunna oru medical doctore pediatrics parisheelikkunnathin munbu oru professional collegil amgathvathinu sweekarikkanam. royal australian koleju oof physicians (raakk), royal koleju oof pediatrics aandu child health (aarr. sii. pii. echu), american board oof pediatrics enniva ithil ulppedunnu. nyoosilandil, rapp pediatricsil thozhiladhishtitha pariseelanam nalkunnu. raakk pariseelanam poorthiyaayikkazhinjaal doctorq pediatricsil raakkinte (eph. aarr. sii. pii) fellowship nalkunnu. pala saadhaarana ashupathrikalkkum kuttikale vendathra chikilsikkaan kazhiyumenkilum, chila sandarbhangalil jananathinu munbu cheria kuttikalkk maarakamo gurutharamo aaya doshakaramo aaya apoorva rogangal chikilsikkumbol pediatric specialistukal mikacha thiranjeduppaayirikkaam. koodaathe, pala kuttikalude aashupathrikalum apoorva rogangalulla kuttikale praayapoorthiyaakunnathuvar kaanunnath thudarum, ithu paricharanatthinte thudarchaykku anuvadikkunnu.
charithram.
aadyakaala swamedhayaa paricharanam.
pathonpathaam noottaandile ashupatri parishkaarangalkk munbu, kuttiyude kshemam ammayude kaikalilaanennu karuthappettirunnu; athinaal, kuttikalude vaidyashaasthrathekkurichu valare kurachu charchakal maathrame undaayirunnulloo, athinte falamaayi kuttikale sukhappeduthunnathil shradha kendreekarikkunna vyapakamaaya aupachaarika sthaapanangalonnum undaayirunnilla. ennirunnaalum upekshikkappetta kuttikale sahayikkunnathilum eee kuttikalkk praayapoorthiyaakunnathuvar athijeevikkaan kazhiyumenna pratheekshayil paricharanam nalkunnathilum shradha kendreekaricha kendrangalundaayirunnu. anaathaalayangal, dispensorikal, foundling aashupathrikal enniva chila udaaharanangalil ulppedunnu. florence hospital oof dhii immonas (oospedal degli immonatti) yadhaarthathil 1445-ll thuranna oru chaarity adhishtitha anaathaalayamaayirunnu; rogikalum upekshikkappettavaruma shishukkale aarogyathilekku thirike konduvarika ennathaayirunnu athinte lakshyam. shishukkale punaradhivasippikkan sahayikkuka enna lakshyathode 1741ll thomas koram sthaapicha foundling aashupathriyaayirunnu pilkkala udaaharanavum mikacha sthaapanavum. upekshikkappetta shishukkale sweekarikkunnathinum avare aarogyathilekku thirike nalkunnathinum avare oru vyaapaaramo naipunyamo padippikkunnathinum avare samoohavumaayi veendum samyojippikkunathinum foundling aashupathrikal sthaapichu. yunaittad kingdatthile aadyathe kuttikalude chaarittikalilonnayathinaal koraaminte foundling ashupatri viplavakaramaayirunnu. mathramalla, aashupathriyilekku panam sambhavana cheytha shaktharaaya aalukalaanu ithu pradhaanamaayum vijayichathu. paricharanam aavasyamulla shishukkalude ennam avarude aashupathrikalude seshiyekkaal kooduthalaanenna vastutha koraaminte ashupatri oduvil abhimukeekarikkum. aavasyamulla kuttikalude ennam ulkkollunnathinayi, yukeyiludaneelam samanamaaya aashupathrikal sthaapikkaanulla sramangal nadannu; aathyanthikamayi fundinte abhavam kaaranam avaa parajayappettu. athesamayam, swakaarya paricharanam thangaan kazhiyaathavarkk marunum vaidyasahaayavum nalkunnathinaayi sambhaavanakaliloode dhanasahayam nalkia dispensorikalum thurakkukayaayirunnu. dispensorikalum foundling aashupathrikalum pinneedu kuttikalude aashupathrikalaayi marria aadyakaala roopangalaayirunnu. englandile landanile uyarnna sisumarana nirakkinulla nerittulla prathikaranamaayirunnu thomas koram foundling ashupatri sthaapichathu. uyarnna sisumarananirakku foundling aashupathrikal amgeekarichuvenkilum, pathonpathaam noottaandinte arambham vare vienna, mosco, pragg, berlin, europiludaneelamulla mattu pradhana nagarangalil kuttikalude aashupathrikal thurakkaan thudangunnathuvare sisumarananirakku vyaapakamaayi pariharikkappedumaayirunna.
pathonpathaam noottaandile modalukal.
amerikkayil, pathonpathaam noottaandinte madhyathode madhyavarga sthreekalum doctormaarum mosham jeevita saahacharyangalil kuttikalude kshemathekkurichu kooduthal aashankaakularaayi. sisumarananirakku kurayaan thudangiyirunnuvenkilum athu ippozhum oru pradhana prashnamaayi thudarnnu. thangalude kuttikale shariyaayi paripaalikkaathathinu vyaavasaayika samoohathinteyum pavapetta maathapithaakkaludeyum aavirbhaavathe saamoohika parishkarthaakkal kuttappedutthi. ithinu marupadiyaayi, parishkaranavaadikalum doctormaarum raajyathudaneelam kuttikalude aashupathrikal sthaapichu. aadyakaala kuttikalude aashupathrikal veedu vittupokunnathil ninnu ashupathriyil kazhiyaan kuttikale sahaayikkunnathin mathramalla, palappozhum labhyamaya oreyoru sthalamaayathinaal parivartthanam cheytha veedukalil sthaapichu. aadyakaala kuttikalude aashupathrikal deerghakaala theevraparicharanathekkaal hraswakaala paricharanatthilum neriya rogangal chikilsikkunnathilum kooduthal shradha kendreekarichu. aadyakaala kuttikalude aashupathrikalil gurutharamaaya rogangalum rogangalum chikilsikkunnathu rogathe aashupathriyiludaneelam vyaapippikkaan idayaakkum, ithu avarude ithinakam parimithamaaya vibhavangal illaathaakkum. kuttikalude ashupathriyil gurutharamaaya oru rogam pottippurappedunnathu jeevan rakshichathinekkaal kooduthal maranangalkk kaaranamakum, athinaal aalukal palappozhum ashupathriyil marikkunnu enna mundharanaye shakthippeduthum.
amerikkayil kaanappedunnathupole, pathonpathaam noottaandile yunaittad kingdatthile kuttikalude aashupathrikal palappozhum madhyavarga veedukalumaayi saamyamullathaayirunnu. britiish kuttikalude aashupathrikal rogikalum avarude kudumbangalum paalikkanamenn prathekshikkunna niyamangal avatharippichu; eee niyamangal madhyavarga moolyangalum pratheekshakalum shradhaapoorvvam krameekarichirikkunnu. britiish kuttikalude aashupathrikal, avarude american, canadian athiraalikaleppole, sambannaril ninnulla sambhaavanakale valareyadhikam aashrayichirunnu. panam, bhakshanam, kalippaattangal, kuttikalkkulla vasthrangal ennivayude roopathilaanu sambhavanakal vannath. thangalude cheruthum durbalavumaaya rogi taamasiyaathe avarude vibhavangalekkaal kooduthalaayirikkum enna yaadhaarthyam yunaittad kingdatthile kuttikalude aashupathrikal taamasiyaathe nerittu. yunaittad kingdatthiludaneelam eee puthiya aashupathrikal pravarthippikkunnathinu chelavu nilanirthunnathinu, uyarnna vibhaagakkaarkk avarude aashupathrikale parishkarana kendrangalaayi vipananam cheyyendathundu. parishkaranavaadikalaayi svayam mudrakuthanamenkil avarkk maathaapithaakkalodu svayam vyathyasam kaanikkendivannu; athinartham avar pavapetta maathaapithaakkale kazhivillathavaraayi chithreekarikkendivannu ennaanu. kuttikale rakshikkuka enna dauthyam undaayirunnittum, brittanileyum glassgoyileyum aashupathrikal rund vayassinu thaazheyulla kuttikale apoorvamaayi maathrame praveshippichirunnulla; atharam kuttikale chelaveriyavaraayi kanakkaakkukayum nirantharamaaya paricharanam aavasyappedukayum cheythu. american aashupathrikaleppole, europil sthithicheyyunnavarum deerghakaala paricharanam aavasyamulla kuttikale aaa jeevan nashtappedumenno deerghakaala paricharanam adiyanthira aavasyamullavarkku kidakkakal thadayumenno bhayann praveshippikkaan madichuninnu. europil nirmmicha aashupathrikalude uddeshyam paricharanam thangaan kazhiyaathavare paricharikkuka ennathaayirunnu. prayaparidhi palikkukayum ashupatri niyamangal palikkaan thayyarakukayum cheythavarkkaanu praadhamika paricharanam nalkiyirunnathu. aadyakaala kuttikalude aashupathrikal sambhaavanakale aashrayichirunnathinaal avaa palappozhum kuranja dhanasahayavum tirakkum vaidyavibhavangalude abhaavavumaayirunnu.
1802ll fraansile paareesile hoppittal dess enfants maladukalaayirunnu aadyathe audyogikamaayi amgeekarikkappetta pediatrics ashupatri. thudarnnu yunaittad kingdom 1852ll englandile landanil grettu oormandu street ashupatri sthaapichu, ithu aadyathe britiish kuttikalude aashupathriyude udghaadanathe adayaalappeduthi. yunaittad stetts taamasiyaathe pinthudarukayum 1855-ll pensylvaniayil filadelfiyayile kuttikalude ashupatri sthaapikkukayum cheythu. canada 1875-ll avarude aadyathe kuttikalude ashupatri sthaapichu; ontaariyoyile torrentoyile rogabadhitharaaya kuttikalkkulla ashupatri, randaamathethu innu thurannirikkunnu. pathonpathaam noottaandinte avasaanathodeyum irupathaam noottaandinte aadya rund pathittaandukaliloodeyum canadayilum amerikkayilum kuttikalude aashupathrikalude ennam moonnirattiyaayi. skotlandile aadyathe kuttikalude ashupatri 1860 ll edinbergil thurannu.
kuttikalude aashupathrikalude professionalisation.
pathonpathaam noottaandil kuttikale engane veekshikkunnu ennathil saamoohika maattam undaayi. eee maattam maathaapithaakkalude chila niyanthranam eduthukalayukayum athu medical professionalukalude kaikalil ealppikkukayum cheythu. irupathaam noottaandinte thudakkathil, oru kuttiyude aarogyam kooduthalaayi doctormaarumaayum aashupathrikalumaayum bandhappettirikkunnu. nazhsinginte professionalisationil ninnu vyathyasthamayi, medical mekhala kooduthal vegathayil professionalise cheythu. licensing niyamangal, medical asosiyeshanukalude roopeekaranam, raajyangaliludaneelam puthiya vaidyashaasthra mekhalakal enniva avatharippikkappettathinte phalamaayirunnu ithu. swakaarya rogikalude medical aavasyangalkku melnottam vahikkukayum rogikalaaya pavappettavare paripalikkukayum puthiya chikilsakal pareekshikkukayum cheythum medical vidyaarthikale padippichum avarude currier kettippadukkanulla avasaram vaidyanmaarkku eee puthiya vaidyashaasthra mekhalakal nalki."avarude padavi kooduthal uyarthunnathinaayi, doctormar kuttikalude aashupathrikal samghadippikkaan thudangi; angane cheiyunnathiloode, aadhunika aarogya parirakshaa samvidaanathile avarude prathyekathayilekku shradhayum praadhaanyavum konduvannu. eee ashayam philadelphia, boosttan, washington dii. ennividangalil kuttikalude aashupathrikal srishtikkaan kaaranamaayi.sii., saan francisco-ithellaam kuttikalkk avarude shradhaakendramaayi oonnal nalki. 20-aamm noottaandil prathyeka doctormarkoppam, swamedhayaa allengil mathavumaayi bandhapetta vanita paricharanam neekkam cheyyukayum athinu pakaram professionalaayi pariseelanam labhicha nazhsumaare niyamikkukayum cheythu. kuttikalkkum professional staafukalkkumulla prathyeka sthaapanangalkku purame, medical, saankethika purogathi kuttikalude aashupathrikale shaareerika rogashaanthiyude kendrangalaayi urappikkaan sahayichu. waxinukal, anastheshya, sasthrakriya mechappeduthalukal ennivayude kandethal kuttikalude aashupathrikale kuttikkaalatthe rogangaludeyum rogangaludeyum chikilsayil kooduthal vishwasaneeyavum phalapradavumaakki.
yunaittad stetsile upayogam.
2003 muthal 2011 vareyulla ashupatri discharge daatta upayogichu, aarogya samrakshana gaveshanathinum gunanilavaarathinumulla ejansi (ehrke) motham ashupatri chelavukal, sharashari ashupatri chelavukal, ashupatri upayogam ennivayile pravanathakal padichu. aii. dii. 1. vayass thikanja kuttikalude mothatthilulla chelavu shasthrakriyayiloode ashupathriyil praveshippikkunnathinu chelavu athivegam vardhikkukayum parikkukal moolam ashupathriyil praveshippikkunnathinu chelavu kurayukayum cheythathayi ejansi kandethi. koodaathe, ellah aashupathrikalilum sharashari ashupatri chelavukal allengil discharge cheiyunnathinulla chelavu kuranjathu 2 shathamaanamenkilum vardhikkukayum 2013-ll kuranjathu 4 shathamaanamenkilum vardhikkumennu pratheekshikkukayum cheythu. ithozhichaal maanasikaarogya ashupathriyil praveshippikkal, ithu 1.2 sathamaanam kuranja vardhanavu kandu, 2013-ll 0.9 sathamaanam maathrame vardhikkumennu pratheekshichirunnulla. vardhichuvarunna motham chelavukalum discharge cheiyunnathinulla chelavukalum undaayirunnittum, aii. dii. 1-nuu thaazheyulla kuttikalude ashupathriyil praveshippikkal (maanasikaarogya ashupathriyil praveshippikkal ozhike) athe samayam kurayukayum thudarnnum kurayukayum cheiyumennu pratheekshikkukayum cheythu.
2006-2011 ll, yunaittad stetsile emarjansi department (edii) upayogathinte nirakk oru varshathil thaazheyulla rogikalkku ettavum uyarnnathaan, ennaal 1-17 vayass praayamulla rogikalkku ettavum kuravaanu. oru varshathil thaazheyulla rogikalude eddu upayogathinte nirakk athe kaalayalavil kuranju; ithu kuravu kanda oreyoru praaya vibhagamaayirunnu.
2008num 2012num idayil, amerikkayil oro thaamasathinum sharashari ashupatri chelavil undaaya valarcha 17 vious athil thaazheyumulla rogikalil ettavum kooduthalaayirunnu. 2012ll amerikkayil ekadesham 59 laksham kuttikal ashupathriyil thaamasichirunnu, athil 39 laksham navajaathashishukkalum 104,700 garbhinikalaya kaumaarakkaarkkaayi maathrusadanangalumaayirunnu.
ranking.
ellah varshavum "yuu.ezz. varthayum loka report "yunaittad stetsile mikacha kuttikalude aashupathrikalum pediatric specialitykalum rank cheiyunnu. eee varsham, 10 pediatric specialitykalilum ettu aashupathrikal rank cheythittundu. yuu" upayogikkunna ranking samvidaanam.ezz. varthayum loka report vividha gadakangale aasrayichirikkunnu. kazhinja varshangalil (2007 pediatric rankinginte 18-aamm varshamaayirunnu), raajyathudaneelamulla pediatricianmaarudeyum pediatric specialistukaludeyum kramarahithamaya sampling survey vazhi alakkunna prashasthiyude adisthaanathil maathramaan aashupathrikalude ranking nadathiyathu. upayogicha ranking samvidaanam nilavil avalokanathilaanu.