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140
Thus it can be seen that a probable optimal plasma
concentration will occur between the hours of 2 a.m.
and 5 a.m., from a dose given at 7 p.m. and this may
in some cases answer the problem of having to lift
an enuretic child at frequent intervals during the
night.
The bed-buzzer is again proving an extremely
useful addition to the clinic resources. Some cases
who have previously been very resistant to treatment
have become dry in from 4 to 6 weeks, and have remained
so after the buzzer has been removed, as
long as the machine is not removed prematurely.
I stillhope that more new cases may be referred
from within the public health services, and that
general practitioners will feel free to refer cases to
the Enuresis Clinic should they wish to do so. "
HANDICAPPED CHILDREN.
Section 33 of the Education Act, 1944, and the regulations
made thereunder have placed on the Local Education
Authorities responsibilities for the provision of
suitable education of children suffering from disability of
mind or body.
A record of all such children is revised annually from
returns submitted by all Head Teachers, and any new cases
attending local maintained schools are reported to me with a
view to medical examination and ascertainment of their
suitability or otherwise of attendance at an ordinary school.
The several categories of pupils requiring special
educational treatment as defined in the Handicapped Pupils
(Certificate) Regulations, 1953, came into operation on l6th
December, 1953 (amended by 1959 Regulations).
The number of children coming within these categories
and their disposition as on the 31st December, 1959,
are tabulated in the following table in accordance with the
Handicapped Pupils Regulations, 1953, and amended by the
Handicapped Pupils and Special Schools Regulations, 1959,
operative with effect from 1st April, 1959.