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Resumen En Argentina, el síndrome urémico hemolítico causado por Escherichia coli enterohemorrágica (EHEC) tiene la más alta incidencia del mundo. Las infecciones por EHEC tienen un comportamiento endemoepidémico y causan del 20 al 30% de los síndromes de diarrea sanguinolenta en niños menores de 5 años. En el período 2016-2020, se notificaron 272 nuevos casos por año al Sistema de Vigilancia de Salud Nacional. Múltiples factores son responsables de la alta incidencia de SUH en Argentina, incluyendo la transmisión persona-persona. Con el objetivo de detectar posibles portadores asintomáticos de EHEC, realizamos un estudio preliminar de la frecuencia de anticuerpos antilipopolisacáridos contra los serotipos de EHEC más prevalentes en Argentina. El estudio se realizó con muestras de plasma obtenidas de 61 maestras y maestros de jardines de infantes de 26 instituciones del distrito de José C. Paz, localizado en el área suburbana de la provincia de Buenos Aires, Argentina. El 51% de las muestras presentaron anticuerpos contra los serotipos de lipopolisacáridos O157, O145, O121 y O103; el 6,4% de las muestras positivas tuvieron el isotipo IgM (n=2), el 61,3% el isotipo IgG (n=19) y el 32,3% los isotipos IgM e IgG (n=10). Dado que los anticuerpos antilipopolisacáridos presentan usualmente una duración corta, la detección de IgM específica podría indicar una infección reciente. Además, el alto porcentaje de muestras positivas hallado podría indicar una exposición frecuente a las cepas de EHEC en la cohorte estudiada. Asimismo, la gran población de adultos portadores asintomáticos de estas cepas patógenas podría contribuir al comportamiento endémico, a través de la transmisión persona-persona. El perfeccionamiento de programas educacionales continuos en jardines de infantes podría constituir una medida importante para reducir los casos de síndrome urémico hemolítico, no solo en Argentina, sino también en el mundo.
Abstract In Argentina, hemolytic uremic syndrome (HUS) caused by EHEC has the highest incidence in the world. EHEC infection has an endemo-epidemic behavior, causing 20-30% of acute bloody diarrhea syndrome in children under 5 years old. In the period 2016-2020, 272 new cases per year were notified to the National Health Surveillance System. Multiple factors are responsible for HUS incidence in Argentina including person-to-person transmission. In order to detect possible EHEC carriers, we carried out a preliminary study of the frequency of kindergarten teachers with anti-LPS antibodies against the most prevalent EHEC serotypes in Argentina. We analyzed 61 kindergarten teachers from 26 institutions from José C. Paz district, located in the suburban area of Buenos Aires province, Argentina. Fifty-one percent of the plasma samples had antibodies against O157, O145, O121 and O103 LPS: 6.4% of the positive samples had IgM isotype (n=2), 61.3% IgG isotype (n=19) and 32.3% IgM and IgG (n=10). Given that antibodies against LPS antigens are usually short-lived specific IgM detection may indicate a recent infection. In addition, the high percentage of positive samples may indicate a frequent exposure to EHEC strains in the cohort studied, as well as the existence of a large non-symptomatic population of adults carrying pathogenic strains that could contribute to the endemic behavior through person-to-person transmission. The improvement of continuous educational programs in kindergarten institutions could be a mandatory measure to reduce HUS cases not only in Argentina but also globally.
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Objective:To explore the relationship between workplace procrastination and illegitimate tasks in-kindergarten teachersand the role of work disengagement and coworker support in their relationship.Methods:A to-tal of 245 kindergarten teachers were selected from 3 cities in Zhejiang Province.They were assessed with the Workplace Procrastination Scale(WPS),Bern Illegitimate Tasks Scale(BITS),Work Disengagement Scale(WDS),Colleague Support Scale(CSS).The models were tested by using Process macro for SPSS,and non-para-metric percentile bootstrap method was used to analyze the mediating effect and moderating effect.Results:There were significant differences in the total scores of workplace procrastination among kindergarten teachers in different marital status,age,teaching age,education level,teaching gradeand kindergarten level(Ps＜0.05).Work disengage-ment played a significant mediating role between workplace procrastination and illegitimate tasks(indirect effect=0.26,95％CI:0.16-0.37).Coworker support played a significant moderating role in the impact of illegitimate tasks on work disengagement(simple slope=0.72,0.39;P＜0.001).Conclusion:It suggests that workplace pro-crastination is related to illegitimate tasksin kindergarten teachers.Work disengagement plays a mediating role in their relationship,and coworker support plays a moderating role in the first half of this mediating role.
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Objective@#To investigate the epidemiological characteristics of clusters of hand, foot and mouth disease (HFMD) in kindergartens and schools in Jinshan District, Shanghai Municipality from 2016 to 2021, so as to provide insights into improving the prevention and control measurements of HFMD in Jinshan District.@*Methods@#Data of HFMD cases in Jinshan District from 2016 to 2021 were collected through Chinese Disease Prevention and Control Information System, and data pertaining to HFMD clusters in kindergartens and schools were also collected. The scale, temporal distribution, regional distribution and distribution of cluster places were descriptively analyzed. @*Results@#Totally 338 HFMD clusters involving 974 cases were identified in kindergartens and schools in Jinshan District from 2016 to 2021, with an average attack rate of 9.89%. The number of cases in each cluster ranged from 2 to 12 cases, with a median number of 2 (interquartile range, 1) cases, and there were 223 clusters involving 2 cases, accounting for 65.98%. The duration of clusters ranged from 1 to 16 days, with a median duration of 4 (interquartile range, 3) days. HFMD peaked from April to June (136 clusters, 40.24%) and from September to December (176 clusters, 52.07%). All the 11 streets and towns (high-tech zones) were reported HFMD clusters, and the three largest number of clusters were reported in Zhujing Town (72 clusters, 21.30%), Shanyang Town (63 clusters, 18.64%) and Tinglin Town (40 clusters, 11.83%). There were 268 HFMD clusters in kindergartens (79.29%) and 70 in schools (20.71%), and the prevalence of HFMD clusters was higher in kindergartens than in schools (35.51% vs. 17.03%; χ2=31.507, P<0.001). @*Conclusions@#HFMD clusters in kindergartens and schools showed seasonal characteristics from 2016 to 2021 in Jinshan District, which predominantly occurred in Zhujing Town, Shanyang Town and Tinglin Town, and kindergartens were the main places.
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Objective@#To investigate the epidemiological characteristics of 45 norovirus clusters in Baoshan District, Shanghai Municipality from 2019 to 2021, so as to provide the evidence for improving the management of norovirus clusters. @*Methods@#The epidemiological characteristics and laboratory testing of 45 norovirus clusters were collected in Baoshan District from 2019 to 2021, and the temporal distribution, population distribution, distribution of places of norovirus clusters, clinical manifestations, laboratory testing results, origin of norovirus infection and transmission routes of norovirus clusters were analyzed using a descriptive epidemiological method. @*Results@#A total of 45 norovirus clusters involving 29 379 individuals were reported in Baoshan District from 2019 to 2021, and 435 cases with norovirus infections were identified, with an average attack rate of 1.48%. Norovirus infection most often occurred from November to April of the following year, and the infection predominantly occurred among students (408 cases, 93.79%). There were 25 norovirus clusters in kindergartens (55.56%), 18 clusters in primary and middle schools (40.00%), one cluster in a social care facility and one cluster in a geriatric ward. Vomiting was the predominant clinical symptom (416 cases, 95.63%). The positive rate of norovirus was 37.35% in 597 samples. There were 40 norovirus clusters caused by the norovirus GⅡ genotype (88.89%), and the median duration of the norovirus cluster was 6 days (interquartile range, 1 day). In addition, 82.22% of the norovirus clusters reported to centers for disease control and prevention within 1 day,and 88.89% of the clusters were transmitted through human to human transmission or vomitus of cases.@*Conclusion@#The norovirus clusters predominantly occur in winter/spring and among students in Baoshan District from 2019 to 2021. Kindergartens and primary and middle schools are main places of norovirus infections, and the norovirus GⅡ genotype is the main type of pathogens. Human-to-human transmission and exposure to patients' vomitus are the main routes of transmission.
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@#Hand, foot, and mouth disease (HFMD) is a contagious childhood disease caused by enteroviruses including enterovirus A71 (EV-A71), coxsackievirus A6 (CV-A6) and CV-A16 transmitted via direct and indirect contact. Different types of toy surfaces can affect the stability of viruses. Understanding the stability of enteroviruses on toys provides insightful data for effective disinfection in kindergartens or homes. Porous (ethylene-vinyl acetate mat foam, paper, pinewood, polyester fabric, and squishy polyurethane foam) and non-porous (acrylonitrile butadiene styrene plastic and stainless-steel coin) surfaces were inoculated with EV-A71 at 4, 24, and 35°C, and coxsackieviruses at 24°C. Infectious enteroviruses were recovered and titred in median tissue culture infectious dose assay (TCID50). Atomic force microscopy (AFM) images were taken from surfaces to examine association of surface roughness with virus stability. Overall, infectious enteroviruses were persistent on all non-porous and porous surfaces. Virus persistence was longest at 4°C followed by 24°C and 35°C. EV-A71 half-lives ranged between 6.4-12.8 hours at 4°C, 2.4-6.7 hours at 24°C, and 0.13-2.7 hours at 35°C. At lower virus titres exposed to 24°C, half-lives of enteroviruses ranged from 0.1-1.4 hours. Surface roughness values from AFM suggested smooth surfaces of non-porous surfaces were associated with better virus stability. Temperature, enterovirus concentration, and type of surface affected persistence and stability of enteroviruses. Our findings suggest both porous and non-porous surfaces in kindergartens allow enterovirus persistence and should be frequently disinfected to curb HFMD outbreaks in kindergartens.
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ObjectiveTo know the epidemic incidence features of the nurseries and kindergartens in Jinshan District， and to supply the scientific supporting data for the work of preventing and controlling the epidemic diseases in nurseries and kindergartens. MethodsThe epidemic incidence rate， diseases sequence， and time distribution in Jinshan District from Jan 1， 2011 to Dec 30， 2020 were subjected to descriptive epidemic analysis， and the incidence rate in different years was analyzed by the Model of Joinpoint. ResultsBetween 2011 and 2020 in Jinshan nurseries and kindergartens， the epidemic incidence rate were 5 257 cases， with an annual average of 3.28%. It presented the peak every 2 or 3 years， and the yearly peak was distinctively from March to June and from September to December. The top three epidemic diseases were hand-foot-mouth diseases， herpangina and chicken pox. The trend analysis by Joinpoint showed that there is no obvious downtrend in the overall incidence of infectious diseases， but the incidence rate trend of herpangina， influenza， and infectious diarrhea apparently appeared rising. ConclusionThe nurseries and kindergartens should prevent and control the epidemic incidence peak more targeted and effective. It should add the herpangina to the list of “The Nursery and Kindergarten Monthly Epidemic Report”.
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OBJECTIVES@#To study the clinical application effect of "kindergarten effect" in radiotherapy for children with tumor based on the psychology of preschool children aged 3-5 years.@*METHODS@#A total of 30 children, aged 3-5 years, who were admitted to the Department of Radiotherapy, Tianjin Medical University Cancer Institute and Hospital, from January 2020 to August 2021 were enrolled in this prospective study. The children were randomly divided into a control group and a test group, with 15 children in each group. The children in the test group were treated in "kindergarten mode", i.e., all children were treated together at a specified time and left together after all children completed treatment. Those in the control group were treated alternately with adult patients according to the treatment time based on the type of radiotherapy fixation device. The treatment compliance was evaluated for both groups, and the two groups were compared in terms of the setup errors in the superior-inferior (SI), left-right (LR), and anterior-posterior (AP) directions.@*RESULTS@#Compared with the control group, the test group showed a significantly shorter time for finishing the treatment (P<0.05) and a significantly lower proportion of children with treatment interruption (P<0.05). Compared with the control group, the test group showed smaller mean errors in the SI, LR and AP directions after image-guided radiotherapy, with significant differences in the mean errors in the SI and LR directions (P<0.05).@*CONCLUSIONS@#With the application of the "kindergarten effect", most children can actively cooperate in radiotherapy, and it can also improve the accuracy and repeatability of positioning and help to achieve the desired treatment outcome.
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Adult , Humans , Neoplasms/radiotherapy , Prospective Studies , Radiotherapy Planning, Computer-AssistedABSTRACT
ObjectiveTo determine the epidemiological characteristics and risk factors of a norovirus GII.17 outbreak in Minhang District of Shanghai in 2018， and provide evidence for prevention and control measures of norovirus infection. MethodsDescriptive epidemiological analysis was performed. In addition， a retrospective cohort study was conducted to determine the risk factors. ResultsFrom May 30th to June 1st of 2018， a total of 132 cases （126 clinical cases and 6 confirmed cases） were documented，with an attack rate of 29.20%（132/452）.All cases were children in a kindergarten， with the average age of 5 years and 43.9% being male. The cases were reported in all the classes， with no clustering by class or floor．The epidemic curve was characterized by a point source exposure， which was estimated to be probably between 7 AM on May 30thand 0：30 AM on May 31st. The retrospective cohort study showed that the attack rate significantly differed between the children who had taken and did not take the school lunch （RR=∞） on May 30th，and those who had taken and did not take seafood noodles （RR=4.11， 95%CI：1.09-15.55） （P<0.05）. Among a total of 73 specimens， six specimens collected in child cases and one specimen in an asymptomatic chef tested positive for GII.17 type of norovirus. In addition， one retained food specimen of seafood noodles was positive for Aeromonas hydrophila. Viral shedding in the asymptomatic chef remained over 30 days. ConclusionThe outbreak was caused by seafood noodles contaminated by norovirus. It warrants enhancement in the regulation of food safety in canteens and regular examination of norovirus infection in catering industry employees.
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ABSTRACT BACKGROUND: Overweight and obesity have reached epidemic prevalences. Obesity control involves many factors and needs to begin early in childhood. OBJECTIVES: To ascertain the association between tracked extracurricular sports practice and weight status; and to analyze tracking of overweight and obesity among school-aged children. DESIGN AND SETTING: Prospective cohort study conducted in 13 public schools in Cianorte, Paraná, in 2012-2016. METHODS: The sample comprised 2459 schoolchildren in Cianorte, of mean age 6.3 years at baseline and 9.4 years at follow-up. Body mass index was calculated from body mass and height measurements. The children were grouped as normal weight, overweight or obese. Information on extracurricular sports practice was collected through the dichotomous question "Do you participate in any extracurricular sports?" ("yes" or "no"). RESULTS: Tracking of weight status showed that 75.5% maintained this, with kappa of 0.530. Tracking of extracurricular sports practice showed that 80.9% maintained this, with low concordance (kappa of 0.054). Weight status correlation between baseline and follow-up showed that overweight or obese individuals were 4.65 times (CI: 4.05-5.34) more likely to maintain the same classification or move from overweight to obese at follow-up. Correlation of extracurricular sports practice with overweight or obesity at follow-up was not significant. CONCLUSIONS: These results demonstrated that overweight or obese children were at higher risk of gaining weight than were normal-weight children. In addition, the proportion of these children who maintained extracurricular sports practices over the years was low. Maintenance of this variable was not associated with weight status.
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Humans , Child , Sports , Body Weight , Body Mass Index , Prospective Studies , Overweight/epidemiologyABSTRACT
Objective To analyze the visual acuity and refractive status of kindergarten children and primary and middle school students in Xinhong Community of Shanghai from 2015 to 2018, and to provide basis and reference for the prevention and control of students' myopia. Methods The data of 3 904 person-times of complete visual acuity and refraction records from 2015 to 2018 was derived from the "Shanghai Residents' Eye Health Information Service System". Results From 2015-2018, the total detection rate of poor vision of kindergarten children and primary and middle school students was 60.86%, and the detection rate of poor vision in kindergarten, primary school and middle school was 29.90%，62.63% and 87.26% respectively，showing an increasing trend with the education stage (χ2=727.206，P2=19.949, P2=1099.978, P<0.05). In terms of growth rate, the increase in myopia in the first grade of primary school was the largest. Conclusion The myopia rate of primary and secondary school students was higher than that of kindergarten children, and showed an increasing trend with the education stage. The critical period of myopia prevention and control should be advanced to the kindergarten stage.
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Objective To evaluate the intervention effect of dietary interventions in newly-admitted children in kindergartens and nurseries. Methods Newly-admitted children from 6 kindergartens and nurseries were randomly divided into intervention group and control group, and prospective controlled trials were conducted. The intervention group took a one-year comprehensive intervention measures, and the control group took conventional interventions, evaluation of the intervention effect. Results Before intervention, the parents of children had the highest content of protein in plant foods, which are the main nutrients in cereals, and the awareness rate was 62.08％ and 63.34％ respectively. About 74.05％ of the children need help when eating and 67.54％ of the children always skip breakfast. Generalized estimation equation analysis showed that after intervention, the awareness rate of various parents 'nutritional knowledge increased (P<0.05), and the increase rate of parents' awareness in the intervention group was greater than that of the control group (P<0.05) . After the intervention, the positive rate of various unhealthy eating habits among children decreased (P<0.05), and the positive rate of multiple unhealthy eating habits in the intervention group was greater than that of the control group (P<0.05) . Conclusion The family-school-children comprehensive intervention can effectively improve patient's awareness of nutritional knowledge and reduce the occurrence of unhealthy dietary behaviors of children in private nurseries.
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Introduction@#According to the 5th National Nutrition Survey, 6.1 percent of all children were stunted and 1.4 percent had severe stunts. Stunts are a manifestation of chronic nutrition disorders caused by repeated and chronic diseases, not having adequate nutrition for a long time. </br> The National Nutrition Survey, published in the National I-V study, assesses the nutritional status of under-five children. However, studies on nutritional, nutrient, and safety in children are not yet available. Therefore, it is necessary to study the nutritional and nutritional qualities of children in kindergartens.@*Goal@#To evaluate the nutrition of children in the kindergarten, calories and nutrients, and evaluate whether they meet the established norms.@*Material and Method@#The survey covered 96 kindergartens. Survey data based on food expenditure report of kindergarten, were processed by Microsoft Excel. Calories and nutrients are calculated by calculation method.@*Results@#The use of milk and dairy products for children in kindergartens was 1.1-1.8 times, flour product consumption was 1.5 times, vegetable consumption was 1.7 times, fruit consumption was 4.1 times lower than the approved recommendations. </br> The consumption of meat and meat products for children was 1.2 times, rice consumption was 1.6 times, sugar and sweet products was 1.4 times higher than the approved recommendations. </br> The number of protein for children in kindergartens is 1.2, fat is 1.1, carbohydrate is 1.3 times less, and feeds averaging 1038.6 kcal per day, which is 310.6 kcal less than the approved recommendation. @*Conclusion@#Kindergarten children cannot get sufficient quantities of milk, dairy products, fruits The amount of meat, flour, rice, and sweet foods for children of the kindergarten is greater than the recommended size. </br> The calorie of diet for children in kindergarten is less than 310 calories from the recommended level
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BACKGROUND: Scarlet fever is caused by a group A streptococcal (GAS) infection. On April 3, 2017, an outbreak among children in a kindergarten was reported to the local health department. An epidemiologic investigation was conducted to identify the possible transmission route of this outbreak and to recommend appropriate control measures. MATERIALS AND METHODS: A retrospective cohort study was conducted using questionnaires including age, sex, the classroom attended at a kindergarten, and date and type of symptoms developed. A case-patient is defined as a child having sore throat, fever, skin rash, or strawberry tongue with or without laboratory confirmation of GAS infection between March 28 and April 28, 2017. RESULTS: The index case-patients developed symptoms on March 28, 2017, and this outbreak persisted over a period of 16 days. The outbreak affected 21 out of 158 children (13.3%) in the kindergarten, with the mean age of 4.2 (range 3–5) years; 12 (57.1%) of them were boys. The common symptoms reported were fever (71.4%), sore throat (71.4%), reddened tonsil (57.1%), and skin rash (52.4%). The epidemiologic analysis showed that children attending one of the classrooms in the kindergarten were 14.12 times affected than the other classrooms (relative risk, 14.12; 95% confidence interval, 4.99–33.93; P 24 hours after starting appropriate antibiotic treatment, and all the children in the kindergarten were instructed to keep strict personal hygiene practices. CONCLUSION: Our results suggest that the outbreak likely affected from the index case-patients who attended to one of the classrooms in the kindergarten. This highlights the importance of immediate notification of outbreak to prevent large number of patients.
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Child , Humans , Cohort Studies , Exanthema , Fever , Fragaria , Hygiene , Korea , Palatine Tonsil , Pharyngitis , Retrospective Studies , Scarlet Fever , TongueABSTRACT
BACKGROUND: Scarlet fever is caused by a group A streptococcal (GAS) infection. On April 3, 2017, an outbreak among children in a kindergarten was reported to the local health department. An epidemiologic investigation was conducted to identify the possible transmission route of this outbreak and to recommend appropriate control measures. MATERIALS AND METHODS: A retrospective cohort study was conducted using questionnaires including age, sex, the classroom attended at a kindergarten, and date and type of symptoms developed. A case-patient is defined as a child having sore throat, fever, skin rash, or strawberry tongue with or without laboratory confirmation of GAS infection between March 28 and April 28, 2017. RESULTS: The index case-patients developed symptoms on March 28, 2017, and this outbreak persisted over a period of 16 days. The outbreak affected 21 out of 158 children (13.3%) in the kindergarten, with the mean age of 4.2 (range 3–5) years; 12 (57.1%) of them were boys. The common symptoms reported were fever (71.4%), sore throat (71.4%), reddened tonsil (57.1%), and skin rash (52.4%). The epidemiologic analysis showed that children attending one of the classrooms in the kindergarten were 14.12 times affected than the other classrooms (relative risk, 14.12; 95% confidence interval, 4.99–33.93; P 24 hours after starting appropriate antibiotic treatment, and all the children in the kindergarten were instructed to keep strict personal hygiene practices. CONCLUSION: Our results suggest that the outbreak likely affected from the index case-patients who attended to one of the classrooms in the kindergarten. This highlights the importance of immediate notification of outbreak to prevent large number of patients.
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Child , Humans , Cohort Studies , Exanthema , Fever , Fragaria , Hygiene , Korea , Palatine Tonsil , Pharyngitis , Retrospective Studies , Scarlet Fever , TongueABSTRACT
En este artículo se abordan las relaciones entre creencia y pensamiento humano. Los procesos de pensamiento no sólo abarcan lo cognitivo, sino también aspectos de naturaleza afectiva y/o socioculturales (creencias). Se presenta el sistema de creencias de la comunidad escolar de una guardería. Los datos analizados constituyen un recorte de una investigación doctoral cualitativa titulada - Estudio de las representaciones sobre estudiantes del sexo masculino de la carrera de Pedagogía que desarrollan su práctica profesional en guarderías. Se evidencia la influencia de las creencias en el raciocinio humano, así como la existencia de otros factores que operan en los procesos de pensamiento y revelan la complejidad de las relaciones entre cultura y sujeto que legitiman posiciones hegemónicas de prejuicio y discriminación. (AU)
This article addresses the relationship between belief and the thinking process which not only imply the cognitive, but also aspects of affective and/or sociocultural nature (beliefs). The school community's belief system in day-care centers is presented. The analyzed data constitutes a cutout of a qualitative doctoral research titled "Study of the representations on male students of the teaching career who develop their professional practice in kindergarten centers". The article shows the influence of beliefs in human reasoning, as well as the existence of other factors that operate in the thinking processes and reveals the complexity of the relations between culture and individual that legitimize hegemonic positions of prejudice and discrimination (AU)
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Humans , Male , Adult , Qualitative Research , Mental Processes , PsychologyABSTRACT
RESUMO Brincar é uma ação criativa que pode contribuir para o desenvolvimento infantil. Porém, mudanças diminuíram as possibilidades de brincar. O objetivo deste estudo foi construir brinquedos com material alternativo para as crianças atendidas em escolas infantis, ampliando as possibilidades do brincar na escola. Etapa a) oficina com 26 professoras; etapa b) estação de brinquedos alternativos com participação das crianças. Na oficina, houve diálogos entre as professoras e foram a confeccionados 38 brinquedos. Na estação, os pre-escolares se beneficiaram mais do brinquedo que os bebês, dado que os pais dos bebês ficaram com eles no colo a maior parte do tempo. As opções de brincar foram ampliadas, além de possibilitar vivências motoras. Os brinquedos alternativos podem ser utilizados na pré-escola como uma opção que propicia diversão e favorece o desenvolvimento de habilidades.
ABSTRACT Play is a creative action that can contribute to child development. However, changes decreased the opportunities to play. The objective of this study was to build alternative toys with alternative materials to children in nursery and preschool to amplify possibilities to play in the school. Step a) workshop with 26 teachers; step b) station of alternative toys with children's participation. In the workshop, there were dialogues among the teachers and the production of 38 toys. At the station, preschoolers got more benefits than babies as the fathers of the babies hold them most of the time. Play options were amplified and it also brought motor experiences. Alternative toys can be used in pre-school as an option that provides fun and favors the development of skills.
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Humans , Play and Playthings , Child , Schools, NurseryABSTRACT
O objetivo do estudo foi caracterizar as variáveis socioeconômicas e psicossociais de crianças que frequentam creches públicas e avaliar a influência destes fatores no desenvolvimento neuropsicomotor. Realizou-se um estudo analítico-observacional transversal com 61 crianças, de ambos os sexos, com idade de quatro a seis anos, frequentadoras das creches públicas na cidade de Goiânia (GO). O desenvolvimento infantil foi avaliado pelo teste de triagem de Denver II e foi aplicado questionário socioeconômico, classificação ABEP e questionários sobre os dados biológicos e clínicos da criança com os pais. Verificou-se que 77% das crianças avaliadas apresentaram risco na classificação global do teste de Denver II, sendo típicas nas áreas psicossocial, motor fino, motor amplo e linguagem. A análise da influência dos fatores revelou que a renda familiar (até R$2.000,00) esteve associada com maior porcentagem de risco no desenvolvimento da linguagem (64%). Os demais fatores não tiveram diferença estatisticamente significativa. Conclui-se que crianças aparentemente normais possam apresentar risco em seu desenvolvimento e a necessidade de novos estudos que apontem a influência significativa dos fatores socioeconômicos e psicossociais sobre o desenvolvimento neuropsicomotor.
Socio-economic and psycho-social variables of children in government-run kindergartens are characterized and the influence of such factors on neuro-psychomotor development evaluated. A transversal analytic-observational study was undertaken with 61 children, males and females, aged 4 6 years, in kindergartens in Goiânia GO Brazil. Child development was assessed by Denver Selection Test II and a socio-economic questionnaire, ADEP classification and questionnaires on the children´s biological and clinical data were undertaken. Seventy-seven percent of children rank risk mark in global classification of Denver Test II, typically within the psychosocial area, fine motor, wide motor and language. Analysis for factor influence revealed that family income (up to R$ 2000) was associated with greater risk percentage in language development (64%). There was no statistical difference for the other factors. Although results revealed that apparently normal children showed development risk, further studies are required to weigh the significant influence of socio-economic and psycho-social factors on neuro-psychomotor development.
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Humans , Male , Female , Child, Preschool , Socioeconomic Factors , Child Day Care Centers , Child Development , Child, PreschoolABSTRACT
BACKGROUND: In view of the increasing prevalence of food allergies, there has been an associated increase in frequency of situations requiring an emergency response for anaphylaxis at the home, childcare facilities and educational institutions. OBJECTIVE: To clarify the situation of adrenaline auto-injector administration in nursery/kindergarten/school, we carried out a questionnaire survey on pediatric physicians in Western Japan. METHODS: In 2015, self-reported questionnaires were mailed to 421 physicians who are members of the West Japan Research Society Pediatric Clinical Allergy and Shikoku Research Society Pediatric Clinical Allergy. RESULTS: The response rate was 44% (185 physicians) where 160 physicians had a prescription registration for the adrenaline auto-injector. In the past year, 1,330 patients were prescribed the adrenaline auto-injector where 83 patients (6% of the prescribed patients) actually administered the adrenaline auto-injector, of which 14 patients (17% of the administered patients) self-administered the adrenaline auto-injector. “Guardians” at the nursery/kindergarten and elementary school were found to have administered the adrenaline auto-injector the most. Among 117 adrenaline auto-injector prescription-registered physicians, 79% had experienced nonadministration of adrenaline auto-injector at nursery/kindergarten/school when anaphylaxis has occurred. The most frequent reason cited for not administering the adrenaline auto-injector was “hesitation about the timing of administration.” CONCLUSION: If the adrenaline auto-injector was administered after the guardian arrived at the nursery/kindergarten/school, it may lead to delayed treatment of anaphylaxis in which symptoms develop in minutes. Education and cooperation among physicians and nursery/kindergarten/school staff will reduce the number of children suffering unfortunate outcomes due to anaphylaxis.
Subject(s)
Child , Humans , Anaphylaxis , Education , Emergencies , Epinephrine , Food Hypersensitivity , Hypersensitivity , Japan , Nurseries, Infant , Postal Service , Prescriptions , PrevalenceABSTRACT
Introducción: la esfera socio-afectiva, desde las edades tempranas de la vida, incluye experiencias emocionales, socializadoras y motivacionales que permiten al niño relacionarse con los otros, respondiendo a determinadas costumbres, creencias, normas de convivencia y modelos de interacción. Objetivo: caracterizar la esfera socio-afectiva de preescolares sin amparo filial, pertenecientes al círculo interno Lu-Xun, de Arroyo Naranjo. Métodos: se realizó un estudio observacional, descriptivo, de corte transversal, durante el año 2014. La muestra la integraron 20 niños, con edades entre 3 y 5 años, a los que se les aplicó pruebas proyectivas, que permitieron valorar el estado actual de sus habilidades socio-afectivas. Resultados: el 100 por ciento reflejó, en sus dibujos, estados de ánimos desfavorables, pobreza en sus contenidos y escasa creatividad e imaginación. El 60 por ciento mostró dificultades en el control muscular. El 70 por ciento exhibió dificultades en las relaciones de intercambio, con pobre capacidad de socialización. El 95 por ciento mostró preferencias adecuadas a su edad, con gran inclinación hacia el juego y las flores, gustando de paseos y golosinas. El 50 por ciento mostró niveles de afectividad adecuados hacia determinada figura parental. El 45 por ciento mostró dificultades en las habilidades narrativas, con pobre vocabulario. El 95 por ciento transmitió, en las historias relatadas, conflictos en el área doméstica. Conclusiones: la esfera socio-afectiva se caracterizó, en el orden intrapersonal, por baja autoestima, necesidades insatisfechas, en especial la de abrigo y cuidados maternos, con proyección de miedos e inseguridad. En el orden interpersonal, existieron dificultades en el intercambio social y en la efectividad del aprendizaje(AU)
Introduction: The sphere partner affective, from the youths of life, he includes emotional experiences, socializadoras and motivational that they permit the little boy getting acquainted with others, answering to determined way of life, beliefs, standards of cohabitation and models of interaction. Objective: Characterizing the sphere partner affective of kindergartens, without son-and-daughter protection, pertenecientes to the internal Circle Lu Xun, of Arroyo Naranjo. Methods: The observational accomplished a study itself, descriptive, de transversal cut, during the year 2014. Sample was integrated by 20 children, with ages among 3 and 5 years, to the ones that were applied tests projective, the fact that they permitted appreciating the present-day status of his abilities partner affective. Results: The 100 percent reflected, in his drawings, states of unfavorable tempers, poverty in his contents and scarce creativity and imagination. The 60 % showed difficulties in muscular control. The 70 percent exhibited difficulties in exchange relationships with scant capability, of socialization. The 95 percent showed adapted preferences to his age, with great inclination toward the game and flowers, liking walks and sweets. The 50 percent showed levels of adapted affectivity toward determined to figure parental. The 45 percent showed difficulties in narrative abilities with scant vocabulary. The 95 percent transmitted conflicts in the area domestic, in related stories. Conclusions: The sphere partner affective characterized, in the order intrapersonal, for low self-esteem, unsatisfied needs itself, specially the one belonging to coat and maternal cares, with projection of fears and insecurity. In the interpersonal order, difficulties existed in the social interchange and in the effectiveness of learning(AU)
Subject(s)
Humans , Male , Female , Child, Preschool , Child Behavior/psychology , Child, Preschool , Child, Orphaned/psychology , Epidemiology, Descriptive , Cross-Sectional Studies , Observational StudyABSTRACT
Objective To study the epidemiological characteristics and influencing factors of hand-foot-mouth dis-ease(HFMD)outbreaks in kindergartens,so as to provide reference for control and prevention of HFMD. Methods Papers published between 2009 and 2015 about HFMD outbreaks in kindergartens were retrieved from Wanfang database and China National Knowledge Infrastructure (CNKI),then collected papers were analyzed. Results Data about 39 cases of HFMD outbreaks were obtained,35 cases occurred in 2008-2012,1 case occurred respectively in 2007,2013,2014,and 2015. 33.34% and 23.08% of outbreaks occurred in May and April. Out-breaks lasted 5-52 days,with a median of 11 days,30.77% of outbreaks lasted more than 2 weeks. The attack rates of the whole kindergartens were 1.90% -39.74% ,attack rates of whole kindergartens were 5% -15% a-mong 65.79% of outbreaks,attack rate of whole kindergartens was >20% among 13.16% of outbreaks. 85.71%of outbreaks involved more than 20% of classes,25.71% of which involved all classes. Both EV71 and CoxA16 caused HFMD outbreaks in kindergartens,two kinds of viruses were both detected in some outbreaks;there were no significant difference in attack rate of whole kindergartens,attack rate of classes with highest incidence,class in-volving rate,and duration of epidemic between EV71 and CoxA16 epidemic groups(all P>0.05).Conclusion Once an HFMD outbreak occurred in a kindergarten,epidemic intensity would be high,both EV71 and CoxA16 can cause HFMD outbreak. There is no obvious correlation between class size and attack rate.