Retinoblastoma: Identifying the Diagnostic Signs for Early Treatment

Retinoblastoma is a rare but significant cause of childhood eye cancer world-wide. The prognosis depends upon early diagnosis and treatment but also upon accurate classification of the tumours. Unilateral incidence is normally non-hereditary compared with bilateral incidence where secondary tumours are more common. Survivorship is much better for unilateral compared with bilateral and trilateral retinoblastoma. Early signs are important to detect and photography can assist in identifying no return of “red-eye” during flash photography and yellow appearance of the tumour. Treatment options are discussed together with new psycho-oncology approaches that address potential trauma in the survivor as well as in the family of the survivor

Implications for science and governance | In conclusion 28 In conclusion

lessons relearnt The first volume of Late lessons from early warnings was published in 2001. Since then, the world has changed significantly. It is larger in population but smaller in interconnectivity; faster in terms of technology adoption but slower in terms of policy action in the face of complex interlinked problems; more volatile in terms of economic and environmental changes, yet more static in terms of political reflexivity and adaptations in governance. Beyond the current financial and economic crises, there are several long-term, systemic and interconnected challenges, such as depletion of natural resources, climate change, a 2-billion person increase in the world population by 2050

Trauma-informed services and trauma-specific care for Indigenous Australian children

This paper examines how childhood trauma experienced by Indigenous children can be overcome by appropriate interventions.IntroductionWhile many Indigenous and non-Indigenous Australian children grow up in safe homes and live in safe communities, there are some who do not. In the case of Indigenous children, some families and communities are unable to, or are still working to, heal the trauma of past events, including displacement from Country, institutionalisation and abuse. The Stolen Generations also represent a significant cause of trauma. In 2008, an estimated 8% of Indigenous people aged 15 and over reported being removed from their natural family and 38% had relatives who had been removed from their natural family. This trauma can pass to children (inter-generational trauma).Indigenous children may also experience a range of distressing life events including illness and accidents, hospitalisation or death of close family members, exposure to violence, family disintegration (with kin networks fragmented due to forced removals, relationship breakdown and possibly incarceration) and financial stress.Experiencing trauma in childhood can have severe and long-lasting effects; effects that can be overcome by appropriate interventions. This resource sheet examines these effects and explores how they can be tackled. It focuses on the design and delivery of trauma-informed and trauma-specific children’s services and care