Diagnosis and management of colonic polyps in children

Abstract

mon in toddlers and preschoolers, but nearly half of the homes had no syrup of ipecac. Stairways are a common site for falls, and yet over half of homes had ungated accessible stairways. The DCHs operated by younger, less well educated women had a higher level of hazards. These operators would be an appropriate target group for education. The DCHs in apartments or in mobile homes, and those in homes that were rented rather than owned, also had a higher level of hazards. These variables probably reflect family income and, taken with the findings about operator education, suggest that lower socioeconomic status of the DCH operator may place the children cared for at greater environmental risk of injury. The DCHs with younger children and increased numbers of children under care were no safer than other homes, despite the increased risk presented by these factors, How generalizable are these results? Because all these operators had chosen to register with the state and had allowed outsiders to visit their homes, we suspect that our population of DCH operators was a relatively motivated group. This study may therefore underestimate the true level of injury hazards in family DCHs that are not regularly visited by outsiders. Conversely, the study may overestimate the level of family DCH injury hazards in states where regular inspections are mandatory. Do family DCHs have more injury hazards than children's own homes or than other child care settings? Are children in family DCHs actually injured at higher rates? These important questions need to be addressed in future studies. In light of the present findings, however, we suggest that family DCH operators will require more eduation or increased regulation to decrease injury hazards in home day care. In addition, we suggest that pediatricians advise parents whose children are in DCHs to discuss injury prevention with their DCH operators.