Investimento & Desenvolvimentode CrianasDra. Evelyn Eisenstein, Rio de JaneiroSo Paulo, 23 de Junho de 2010Fotos: Suzanne Goldstein, New York

Primeira premissa: CONEXOFortalecimento do vnculo=apego: me filhoFortalecimento da interao famlia bebDesenvolvimento do elo afetivo entre o par humano ou a dade significativaFundamento para a maturao cerebral do circuito neuro-hormonal e que ser o incio dos estmulos para as re-aes de comportamento da criana ao longo da vida!

Segunda premissa: TEMPOFases de maturao cerebral e corporalPerodos de aprendizadoTempos de com-vivncia e descobertasRitmos e mecanismos de regulao e diferenciao em cada clula e de cada pessoaO conceito de vulnerabilidade e os perodos crticos dos processos comportamentaisA variabilidade humana e os tempos culturais

Marco das Necessidades Bsicas

Fsicas ou CorporaisEmocionais ou IntelectuaisEconmicas, Sociais e CulturaisProteoAmparo-ApegoMoradia adequada, gua, saneamentoVestimentasRespeito privacidadeSem exposio pblica ou abandonoNutrioAfeto e CompreensoAlimentao saudvel EducaoOportunidades e OrientaoRedes amigas e de reconhecimentoCuidados de SadeEstmulos Saudveis e Bem-estarAcesso ao sistema de sade-hospitalarProteo contra violnciaDireitos SadeRedes de apoio e segurana

Terceira premissa: CRESCIMENTOImportantes perodos de crescimento fetal, peri e neonatal, infantil, escolar e puberal com caractersticas temporais em forma e funoTempo de investimento: 20 anos !!Dinmicas de interao com o mundo adulto em constante mudanas Velocidades de desenvolvimento dependentes de estmulos internos e externosAssincronias de maturao e repercusses ps-traumticas com atrasos e riscos de doenas

O que queremos: Sade ou Doena?desinformaoconflitoscolapsocaosdesesperodesintegraodordoenamorteenergiaequilbrioao/atenobem-estarsadevidaACE STUDY: Adverse Childhood Experienceshttp://www.cdc.gov/nccdphp/ace (CDC, 2006).

Quarta premissa: DIREITOSDireitos vida, sade, educao e ao bem- estar so assegurados como PRIORIDADE ABSOLUTA j h 20 anos pela Conveno dos Direitos da Criana das Naes Unidas e pelo Estatuto da Criana e do Adolescente no Brasil hora de implementar os direitos de TODAS crianas e adolescentes como SUJEITOS.A responsabilidade de todos !

Quem so os responsveis? TODOS NS!

ProteoPromooPrevenoRastreamentode riscosIntervenoRecuperaoReintegraoQuinta premissa: PREVENO

Melhor investimento econmico: SADEConvvio saudvel = preveno da violnciaAbandono = Desperdcio de vidas humanas Diminuio dos custos do sistema mdicoEducao em sade prioridade no Brasil20-23% dos recm-natos e crianas so filho/as de mes e pais adolescentes em qualquer cidade, por que so to esquecidos?Valorizar a vida com sade o melhor investimento a curto, mdio e longo prazo!

PrevenoprimordialMaximizaros esforosEloscomunitriosSade de todosDireitos de SadeReduzir doenasDiminuir custosPonte entre as necessidades e recursos populacionaisInvestir no futuro: melhor rendimento dos recursos.Conexo Afetiva

Global Telemedicine and Teaching Network(GTTN)Medical Missions for ChildrenGlobal Telemedicine and Teaching NetworkMedical Missions for ChildrenOur Mission:To Improve Medical Outcomes for critically-ill children throughout the worldandElevate the level of Medical Knowledge that exists within the global healthcare communityOur Platform:

First Telemedicine Consult March 20, 2000Location: Panama Case Presented: 5-year boy with a Cranial deformity Medical Missions for ChildrenGlobal Telemedicine and Teaching NetworkMMC Program ActivitiesMost Recent Consult Location: Armenia Case Presented: 7-year old girl with Medulloblastoma (Brain Injury)First Day of Satellite Broadcasting November 15, 2005Location: Six Latin American Countries Broadcast Frequency: 3 hours/day, 3 days/weekTodays Broadcasting CapabilitiesLocation: More than 90 Countries Broadcast Frequency: 24 hours/day, 7 days/weekMMC Telemedicine Outreach Program (TOP)MMC Medical Broadcasting Channel (MBC)

VideoBank Digital Asset Management System 2006Video Content Acquisition: Harvesting Video Content from the Intl Medical CommunityVideo Assets are Stored in Multiple Formats: MPEG2, Flash 8.0, WMV Medical Missions for ChildrenGlobal Telemedicine and Teaching NetworkMMC Activities (continued)First Curtain Call February 10, 2005Two Locations: St. Josephs Childrens Hospital and The Childrens at NIH Live Performances: Tuesdays and Thursdays Total Performances to Date: 553 (446 and 87)Launch of MMC Video-on-Demand Service July 1, 2010MMC Global Video Library of Medicine (GVLM)MMC Giggles Childrens Theater (Giggles)

Plain Talk About Health Hosted by Former U.S. Secretary of Health and Human Services, Tommy ThompsonTomorrows Medicine Today Hosted by Former NIH Director, Dr. Elias ZerhouniTake Care Hosted by CBS Medical Correspondent, Dr. Max GomezIn Session Hosted by Former WNBC-TV news reporter, Aimee Nuzzo (College Mental Health Series)Medical Missions for ChildrenGlobal Telemedicine and Teaching NetworkMMC-Panasonic HDTV StudiosOpened on July 1, 2009MMC Video Production SeriesReceptionHD StudioControl RoomV.O. Booth

Medical Missions for ChildrenGlobal Telemedicine and Teaching NetworkMMC Telemedicine Outreach Program Key Developments Current Projects Videoconferencing End-Point Technology in more than 100 Childrens Hospitals throughout the world and in 27 Pediatric Medical Centers here in the U.S. has served as the platform for the treatment of more than 30,000 sick children.

Development of a formal agreement between the World Bank, Polycom and MMC in 2006 resulted in the merger of the Global Distance Learning Network (GDLN) with the GTTN enhancing the reach and capabilities of both networks and aligning the interests of the academic and medical communities within the Latin American and Caribbean Region more closely.

Introduction of the first true High-Definition Video Conferencing platform between Medical Centers (St. Jude Childrens Cancer Research Hospital and St. Josephs Childrens Hospital) using Polycom HDX technology and the Internet 2 broadband platform. The launch of two new telemedicine outreach program TOP sites in Morocco Hpital dEnfants in Casablanca and Mohammed VI Childrens Hospital in Marrakesh.

Collaboration with the Biamba Marie Mutombo Hospital and Research Center in Kinshasa, Democratic Republic of Congo to provide both telemedicine consultative support and ongoing physician training

AGRADECEMOS TODA ATENO!