Present a typical patient with this disease process and how they would present to the office and how you would work up, diagnose and treat. Pictures are encouraged. You will be graded on professionalism and content.
children became economically independent from families at an early age, thus leaving younger siblings to work to increase the household income. Horrell and Humphries (1995; p. 510) conclude that, indeed, during the early Industrial Revolution, little children were exploited, in that there was an “enormous growth in the employment of children in factories” during this period. Horrell and Humphries (1995; p. 511) show, supplementing the work of Verdon (2002), that there was an “intensification of child employment in the factory districts” during the early Industrial Revolution and that this was in stark contrast to the under- and unemployment of children in the rural South East during the later Industrial Revolution. In contrast to Nardinelli (1980), Horrell and Humphries (1995; p. 511) conclude that the Factory Acts did have the effect of reducing children’s employment in factories, but that this doesn’t seem to have had any effect on the numbers of children within families who were expected to work, and that “legislation….may have displaced more girls than boys”, who then, it is hypothesised, moved into domestic service, for example, thus remaining in employment. Horn (1974; pp.779-796) looks at child workers in the pillow lace and straw plait trades in Buckinghamshire and Bedfordshire, stating that the cottage industries in the regions outside of the urban centres of the Industrial Revolution (i.e., the towns across Lancashire) provided employment for many female workers, who, otherwise, would have been employed in domestic service. Thus, again, a regional view of child labour during the Industrial Revolution proves important, as this work of Horn (1974) essentially goes against the conclusions of Horrell and Humphries (1995). Horn (1974; p.795) concludes that cottage industries, such as these two industries, gave much-needed supplement to the household incomes of working-class families in these counties, and that similar cottage industries in other rural areas must have had the same effect too. Horn (1974; p. 795) notes that “the general education of the children (who worked in the cottage industries) was neglected” and the next section will look in further detail at how the education of children changed during the period of the Industrial Revolution. Johnson (1970; pp.96-119) looks at educational policy and social control in early Victorian England, showing that educating the poor seemed to be one of the strongest of early Victorian obsessions, with concern for education figuring largely, for example, as we have seen, in the Factory Act of 1833, and with private institutions, such as the National Society, launching many educational projects during the period 1838 and 1843 (Johnson; p.97). Johnson (1979; p.119) concludes, essentially, however, that the concern for educating the poor as expressed by early Victorian governments was more about controlling the working class population than it was about providing opportunity for the working classes, although issues surrounding what he terms the ‘educational problem’ of this time were hotly debated. Reay (1991; pp.89-129) looks at the context and meaning of popular literacy in nineteenth century rural England, and shows that functional analyses of literacy tell little about the actual educational state of people living and working during the Industrial Revolution (Reay, 1991; p.128) as recorded declines in illiteracy amongst rural child workers, for example, often reflect the acquis>