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1.
Multimedia | Multimedia Resources | ID: multimedia-9743

ABSTRACT

Palestra com Dr. Sergio Eiji Furuta, que falará sobre os seguintes temas: Porque escolhi a Homeopatia, Experiências em Homeopatia Pediátrica/docência, Pesquisas clínicas homeopáticas na Disciplina de Otorrinolaringologia Pediátrica da EPM/UNIFESP.


Subject(s)
Homeopathy/education , Child Health , Otorhinolaryngologic Diseases/drug therapy , Nosodes (Homeopathy)/therapeutic use , Health Promotion
2.
Multimedia | Multimedia Resources | ID: multimedia-9688

ABSTRACT

Observa-se no contexto atual, um aumento nas prevalências de insegurança alimentar e nutricional (IAN), o que indica um maior número de famílias brasileiras sem acesso regular e permanente a uma alimentação de qualidade e em quantidade suficiente, sendo essa situação diretamente relacionada com a ocorrência da má nutrição. Considerando a complexidade dos determinantes da saúde e da segurança alimentar e nutricional (SAN), as consequências da desnutrição, e, considerando ainda a importância do diagnóstico e da vigilância alimentar e nutricional, é imprescindível que se consiga avançar na qualificação e organização do cuidado no âmbito da APS, bem como fortalecer o apoio a gestores e profissionais de saúde para o desenvolvimento de estratégias intersetoriais capazes de atuar na garantia da SAN e da saúde. A desnutrição é um problema de saúde pública que acomete a população brasileira, especialmente pessoas de maior vulnerabilidade social e biológica. De acordo com os dados do Sistema de Vigilância Alimentar e Nutricional (Sisvan), em 2020, 14,2% das gestantes apresentaram baixo peso para a idade gestacional, 6,1% das crianças menores de 5 anos estavam com magreza acentuada ou magreza e 13,0% delas com baixa estatura para a idade. O cenário é preocupante, tendo em vista as consequências da desnutrição a curto e longo prazo. A desnutrição associa-se a maior mortalidade e morbidade, é um fator de risco para infecções, como doenças diarreicas e respiratórias, e contribui para um inadequado crescimento e desenvolvimento na primeira infância. Entre os múltiplos fatores para a prevenção da desnutrição, a alimentação adequada e saudável é essencial para garantir o pleno crescimento e desenvolvimento, com destaque para os primeiros mil dias de vida, que englobam o período gestacional e os primeiros dois anos de vida da criança. Uma alimentação em quantidade ou qualidade insuficiente nessas fases da vida associa-se à múltipla carga de má nutrição, caracterizada pela coexistência de desnutrição, excesso de peso e carências nutricionais, como a anemia e a deficiência de vitamina A.


Subject(s)
Nutrition Policy , Food Security/statistics & numerical data , Feeding Behavior , COVID-19/epidemiology , Diet, Healthy , Malnutrition/prevention & control , Malnutrition/epidemiology , Food Insecurity , Nutrition Programs and Policies , Child Health , Industrialized Foods , Food Guide , Primary Health Care , Health Promotion , Local Health Systems , Brazil/epidemiology , Mexico/epidemiology
3.
Qualidade de Vida para Crianças com Câncer: Módulos em Cuidados Paliativos PediátricosOPAS/NMH/NV/cvn8/21-0040.
Monography in Portuguese | PAHO-IRIS | ID: phr-56100

ABSTRACT

O objetivo dos cuidados paliativos em pacientes pediátricos com câncer é melhorar o bem-estar do paciente e de sua família ao longo da doença, bem como reduzir o sofrimento físico, emocional e espiritual. No âmbito da Iniciativa Global contra o Câncer Infantil, OPAS oferece uma série de módulos sobre cuidados paliativos pediátricos para mães , pais e cuidadores. Cada um contém informações essenciais para poder prestar o melhor atendimento e atender às necessidades decorrentes da doença que afetam tanto o paciente quanto seus entes queridos. Este módulo aborda os cuidados de fim de vida. São oferecidas ferramentas para mitigar o sofrimento dos pacientes quando a morte é inevitável e é oferecido apoio às mães e pais. Alguns sinais podem indicar o fim da vida e, assim que aparecem, é fundamental garantir um ambiente familiar, tranquilo e privado para o menor. Os cuidados do final de vida oferecem um sistema de ajuda para a família enfrentar da melhor maneira esta etapa de terminalidade. Com eles é possível suavizar o sofrimento dos pacientes pediátricos quando a morte é inevitável, oferecendo apoio aos pais e mães que sofrem a pior dor da vida: que é a morte de um filho.


Subject(s)
Child Health , Pediatrics , Palliative Care , Cancer Pain , Neoplasms , Hospice Care
4.
Qualidade de Vida para Crianças com Câncer: Módulos em Cuidados Paliativos PediátricosOPS/NMH/NV/cvn7/21-0040.
Monography in Portuguese | PAHO-IRIS | ID: phr-56099

ABSTRACT

O objetivo dos cuidados paliativos em pacientes pediátricos com câncer é melhorar o bem-estar do paciente e de sua família ao longo da doença, bem como reduzir o sofrimento físico, emocional e espiritual. No âmbito da Iniciativa Global contra o Câncer Infantil, OPAS oferece uma série de módulos sobre cuidados paliativos pediátricos para mães, pais e cuidadores. Cada um contém informações essenciais para poder prestar o melhor atendimento e atender às necessidades decorrentes da doença que afetam tanto o paciente quanto seus entes queridos. A espiritualidade é a forma como nos relacionamos com nós mesmos, com as outras pessoas e com o que é sagrado, seja deus, o cosmos, a natureza ou qualquer ser superior. Adultos e crianças buscam o significado da finitude. a espiritualidade se expressa através das crenças, valores, tradições e práticas. Os cuidados espirituais fazem parte da atenção global e dos cuidados paliativos pediátricos. Este módulo 7 aborda o tema da espiritualidade : o que é? Em que consiste o seu desenvolvimento? Como desenvolvê - la com o menor? Por que é importante realizar práticas espirituais? Ou como as práticas espirituais podem ser realizadas com menores?


Subject(s)
Child Health , Pediatrics , Palliative Care , Cancer Pain , Neoplasms , Spirituality
5.
Qualidade de Vida para Crianças com Câncer: Módulos em Cuidados Paliativos PediátricosOPAS/NMH/NV/cvn6/21-0040.
Monography in Portuguese | PAHO-IRIS | ID: phr-56098

ABSTRACT

O objetivo dos cuidados paliativos em pacientes pediátricos com câncer é melhorar o bem-estar do paciente e de sua família ao longo da doença, bem como reduzir o sofrimento físico, emocional e espiritual. No âmbito da Iniciativa Global contra o Câncer Infantil, OPAS oferece uma série de módulos sobre cuidados paliativos pediátricos para mães, pais e cuidadores. Cada um contém informações essenciais para poder prestar o melhor atendimento e atender às necessidades decorrentes da doença que afetam tanto o paciente quanto seus entes queridos. Este módulo aborda a importância da gestão da comunicação, tanto para receber o diagnóstico quanto para entender a evolução e o tratamento. São questões sobre se o menor tem o direito de receber informações, sobre como deve ser falado sobre sua doença ou qual é o momento mais conveniente para tratá-la. A criança está passando por problemas, sintomas que nunca havia tido, está exposto a internações hospitalares e procedimentos médicos que fazem com que ela reconheça que esta não é uma doença comum. Ter informação sempre ajuda as pessoas de qualquer idade entender o que está acontecendo e ter calma para compreender o que poderá acontecer e como os problemas serão solucionados.


Subject(s)
Child Health , Neoplasms , Cancer Pain , Palliative Care , Pediatrics , Communication
6.
Qualidade de Vida para Crianças com Câncer: Módulos em Cuidados Paliativos PediátricosOPAS/NMH/NV/cvn4/21-0040.
Monography in Portuguese | PAHO-IRIS | ID: phr-56096

ABSTRACT

O objetivo dos cuidados paliativos em pacientes pediátricos com câncer é melhorar o bem-estar do paciente e de sua família ao longo da doença, bem como reduzir o sofrimento físico, emocional e espiritual. No âmbito da Iniciativa Global contra o Câncer Infantil, OPAS oferece uma série de módulos sobre cuidados paliativos pediátricos para mães, pais e cuidadores. Cada um contém informações essenciais para poder prestar o melhor atendimento e atender às necessidades decorrentes da doença que afetam tanto o paciente quanto seus entes queridos. Este módulo aborda o gerenciamento de sintomas em cuidados paliativos pediátricos. Para garantir a qualidade de vida dos menores com câncer, é necessário controlar adequadamente os sintomas que causam sofrimento, como dor, febre, desconforto respiratório, constipação, retenção urinária ou falta de apetite. Dependendo da evolução da doença e tempo do tratamento, é possível que as indicações e o manejo dos sintomas mudem dependendo dos objetivos de cuidado que o paciente e a família tenham acordado com a equipe médica. Nesse sentido, são oferecidas informações sobre o que saber e conselhos úteis para agir adequadamente.


Subject(s)
Pediatrics , Child Health , Child Health Services , Palliative Care , Neoplasms , Cancer Symptoms , Signs and Symptoms
7.
Qualidade de Vida para Crianças com Câncer: Módulos em Cuidados Paliativos PediátricosOPAS/NMH/NV/cvn3/21-0040.
Monography in Portuguese | PAHO-IRIS | ID: phr-56095

ABSTRACT

O objetivo dos cuidados paliativos em pacientes pediátricos com câncer é melhorar o bem-estar do paciente e de sua família ao longo da doença, bem como reduzir o sofrimento físico, emocional e espiritual. No âmbito da Iniciativa Global contra o Câncer Infantil, OPAS oferece uma série de módulos sobre cuidados paliativos pediátricos para mães, pais e cuidadores. Cada um contém informações essenciais para poder prestar o melhor atendimento e atender às necessidades decorrentes da doença que afetam tanto o paciente quanto seus entes queridos. O menor pode passar dias ou semanas no hospital, situação que gera necessidades físicas, psicológicas, sociais ou espirituais. Este módulo aborda a qualidade de vida em menores com câncer e as estratégias para melhorar a qualidade de vida no hospital. As necessidades da criança doente variam de acordo com a idade e o momento da doença. Podem ser fisicas: alivio de sintomas, estimular e potencializar seu crescimento e desenvolvimento e planejar antecipadamente seus cuidados; espirituais: acesso a atenção e apoio espiritual, adequado, respeitando os preceitos familiares; sociais: atividades de recreação de acordo com as necessidades individuais, escolarização, interação com os pares; psicológicas: ter comunicação sincera e adequada à fase do desenvolvimento da criança, apoio emocional contínuo para ajudar no manejo das emoções, continuação das tarefas diárias, incentivos, metas e futuros projetos.


Subject(s)
Palliative Care , Pediatrics , Quality of Life , Child Health , Child Health Services , Hospitals, Pediatric , Child, Hospitalized , Neoplasms , Cancer Pain
8.
Qualidade de Vida para Crianças com Câncer: Módulos em Cuidados Paliativos PediátricosOPAS/NMH/NV/cvn2/21-0040.
Monography in Portuguese | PAHO-IRIS | ID: phr-56094

ABSTRACT

O objetivo dos cuidados paliativos em pacientes pediátricos com câncer é melhorar o bem-estar do paciente e de sua família ao longo da doença, bem como reduzir o sofrimento físico, emocional e espiritual. No âmbito da Iniciativa Global contra o Câncer Infantil, OPAS oferece uma série de módulos sobre cuidados paliativos pediátricos para mães, pais e cuidadores. Cada um contém informações essenciais para poder prestar o melhor atendimento e atender às necessidades decorrentes da doença que afetam tanto o paciente quanto seus entes queridos. Este módulo aborda os cuidados em casa para promover o bem-estar do menor. São recomendações sobre a preparação dos cuidados, o manuseio dos equipamentos médicos especiais mais comuns (para ajudar na respiração e alimentação) e os cuidados que a criança com dificuldade de locomoção necessita. Continuar com os cuidados em casa favorece o bem estar da criança que se encontra em ambiente familiar e tranquilo. Antes da alta, é importante que os pais e cuidadores aprendam o necessário sobre o tratamento de seu filho para que possam dar a ele a melhor e mais segura atenção.


Subject(s)
Palliative Care , Pediatrics , Child Health , Neoplasms , Child Health Services , Cancer Pain
9.
Washington, D.C.; OPS; 2022-06-10. (OPS/CDE/VT/22-0010).
Non-conventional in Spanish | PAHO-IRIS | ID: phr-56082

ABSTRACT

Tanto la Organización Panamericana de la Salud como la Organización Mundial de la Salud incluyen a la enfermedad de Chagas o tripanosomiasis americana en la lista de las principales enfermedades desatendidas. Si bien la carga de la enfermedad ha disminuido gracias a las importantes medidas programáticas de control vectorial adoptadas en varios países, se estima que esta patología afecta a 6 millones de personas en la Región de las Américas y que 65 millones están en riesgo de contraerla. Además, es una afección con un importante componente pediátrico: la mayoría de los pacientes ingresados con cuadros agudos son niñas, niños y adolescentes. El presente decálogo expone de manera concisa los aspectos esenciales de la enfermedad y recoge 10 puntos básicos, esquemáticos y orientados a la práctica para la atención pediátrica de la enfermedad de Chagas.


Subject(s)
Chagas Disease , Pediatrics , Neglected Diseases , Endemic Diseases , Child Health , Vector Borne Diseases , Americas , Trypanosoma cruzi
10.
Washington, D.C.; PAHO; 2022-06-27.
Non-conventional in English | PAHO-IRIS | ID: phr-56123

ABSTRACT

The 2030 Agenda for Sustainable Development (2030 Agenda) established in 2015 sets guiding principles to “achieve a better and more sustainable future for all.” The Sustainable Development Goals (SDGs) included in the 2030 Agenda make explicit what this means by specifying relevant statistical indicators and setting clearly defined targets in them to be achieved by 2030. Given the emphasis on the collection and availability of SDG-related data, it is possible to track universal progress towards the SDG targets. One of the SDGs, SDG 3, includes targets to improve health and well-being. In general, SDG health-related indicators measure health outcomes and coverage at the country level by employing averages. However, given the nature of the data, inequalities in health outcomes and the access to health services tend to be masked. Since it is important to strive for gains in health and well-being to be equitably distributed among individuals regardless of their wealth, educational attainment, and other factors relating to their social background, it is essential to first identify and quantify existing social inequalities in health. To this end, this publication provides an overview of social inequalities in several indicators related to the health of women, children, and adolescents in a region deemed as one with high levels of inequality: the Latin America and the Caribbean (LAC) region. In order for it to serve as a baseline for the 2030 Agenda, emphasis is placed on examining these inequalities around year 2014. The analysis suggests that reducing within-country disparities is a priority, as widespread social inequalities in health are identified among LAC countries.


Subject(s)
Child Health , Maternal Health , Women's Health , Adolescent Health , Sustainable Development , Socioeconomic Factors , Americas , Caribbean Region
11.
Soc Sci Med ; 305: 115043, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35660699

ABSTRACT

Research in low-and-middle income countries links maternal depression to child undernutrition; conversely, maternal depression is a risk factor for child overweight in higher income settings. Less is known about impacts of maternal mental health in dual burden contexts or the environmental and behavioral pathways linking maternal mental health to child health outcomes. Consequently, we examine the association between maternal mental health and the dual burden of undernutrition/infectious disease and overweight/obesity in children and test whether pathogenic, dietary and caregiving exposures mediate this association. Data come from 113 mothers and their 204 children, aged 2 weeks to 15 years, participating in the Healthy Families Study in Galapagos, Ecuador from July 2018 to May 2019, with mental health, anthropometry, diet and household environmental measures. Path analyses were used to test for direct and indirect effects of maternal distress on the likelihood of children experiencing the dual burden. We found that maternal distress is directly associated with a greater risk of having a child in the household with the dual burden with significant indirect paths through the emotional climate of the household and child diet quality. Maternal distress also moderated the impact of exposure to pathogens and diet quality. Our results highlight the need to understand how maternal distress may shape care practices in environments that present challenges for mothers in acquiring adequate resources and support needed to promote healthy child growth.


Subject(s)
Malnutrition , Pediatric Obesity , Child , Child Health , Ecuador/epidemiology , Female , Humans , Maternal Health , Mental Health , Mothers , Overweight , Pediatric Obesity/complications , Pediatric Obesity/epidemiology
12.
Article in English | MEDLINE | ID: mdl-35682355

ABSTRACT

Collaboration between birth care and Preventive Child Health Care (PCHC) in the Netherlands is so far insufficient. The aim of the Connecting Obstetric; Maternity; Pediatric and PCHC (COMPLETE) study is to: (1) better understand the collaboration between birth care and PCHC and its underlying mechanisms (including barriers and facilitators); (2) investigate whether a new multidisciplinary strategy that is developed as part of the project will result in improved collaboration. To realize the first aim, a mixed-method study composed of a (focus group) interview study, a multiple case study and a survey study will be conducted. To realize the second aim, the new strategy will be piloted in two regions in an iterative process to evaluate and refine it, following the Participatory Action Research (PAR) approach. A prospective study will be conducted to compare outcomes related to child health, patient reported outcomes and experiences and quality of care between three different cohorts (i.e., those that were recruited before, during and after the implementation of the strategy). With our study we wish to contribute to a better understanding of collaboration in care and develop knowledge on how the integration of birth care and PCHC is envisioned by stakeholders, as well as how it can be translated into practice.


Subject(s)
Child Health , Preventive Health Services , Child , Female , Focus Groups , Humans , Pregnancy , Prospective Studies , Qualitative Research
13.
BMJ Open ; 12(6): e058155, 2022 Jun 21.
Article in English | MEDLINE | ID: mdl-35728908

ABSTRACT

OBJECTIVE: This review aimed to investigate the effects of the maternal and child health (MCH) handbook and other home-based records on mothers' non-health outcomes. DESIGN: Systematic review. DATA SOURCES: PubMed, Web of Science, CINAHL, Academic Search Complete, PsycArticles, PsycINFO, SocINDEX, CENTRAL, NHS EED, HTA, DARE, Ichuushi and J-STAGE through 26 March 2022. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Original research articles examining home-based records and mothers' non-health outcomes published in English or Japanese across various study designs. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted relevant data and assessed the risk of bias. We assessed the certainty of evidence for each study using the Grading of Recommendations Assessment, Development, and Evaluation approach. Due to the heterogeneity of the included studies, we conducted a narrative synthesis of their findings. RESULTS: Of the 4199 articles identified, we included 47 articles (20 in Japanese) in the review. Among the different types of home-based records, only the MCH handbook provided essential information about the mother-child relationship, and its use facilitated the mother-child bonding process. Mothers reported generally feeling satisfied with the use of home-based records; although their satisfaction with health services was influenced by healthcare providers' level of commitment to using these records. While home-based records positively affected communication within the household, we observed mixed effects on communication between mothers/caregivers and healthcare providers. Barriers to effective communication included a lack of satisfactory explanations regarding the use of home-based records and personalised guidance from healthcare providers. These records were also inconsistently used across different health facilities and professionals. CONCLUSIONS: The MCH handbook fostered the mother-child bond. Mothers were generally satisfied with the use of home-based records, but their engagement depended on how these records were communicated and used by healthcare providers. Additional measures are necessary to ensure the implementation and effective use of home-based records. PROSPERO REGISTRATION NUMBER: CRD42020166545.


Subject(s)
Child Health , Mothers , Caregivers , Child , Female , Health Personnel , Health Services , Humans
14.
Med Sci Monit ; 28: e936801, 2022 Jun 09.
Article in English | MEDLINE | ID: mdl-35676835

ABSTRACT

BACKGROUND We used the parent-reported 50-item Child Health Questionnaire (CHQ-PF50) to evaluate parental by-proxy responses regarding 102 healthy Polish children and adolescents, aged 5 to 18 years, in 13 physical and psychosocial concept domains linked to health-related quality of life (HRQL) to determine which domains pose the greatest limitations to health. MATERIAL AND METHODS Participants were 50 healthy female and 52 healthy male school children (nursery, primary, junior-high, and high), selected randomly and found eligible from 585 participants originally recruited; participants with diseases/ailments and incomplete questionnaires were excluded. The CHQ-PF50 has 50 questions divided into 13 domains that represent physical and mental well-being; parents gave their retrospective responses from memory. Scores were expressed numerically using a standard algorithm and ranged from 0 to 100; higher scores represented more favorable HRQL outcomes. Summary statistics were performed, and age and sex effects were assessed. RESULTS Mean HRQL domain scores never attained 100 (maximum value). They were lowest (P<0.004) for domains of Family Cohesion (66.57), Parental Emotional (77.21), and General Health Perceptions (75.41), while highest (but still significantly <100, P<0.047) in Physical Functioning (97.11), Role/Social Emotional-Behavioral (96.51), and Role/Social-Physical (96.24). Neither age nor sex significantly affected domain scores. Outcomes were comparable to European and US studies but differed from a previous small-scale Polish study. CONCLUSIONS None of the CHQ-PF50 domain mean values reached the maximum in apparently healthy Polish children. HRQL was lowest in Family Cohesion, Parental Emotional, and General Health Perceptions. Outcomes are considered a useful control baseline in Polish studies on disease.


Subject(s)
Child Health , Quality of Life , Adolescent , Child , Child, Preschool , Female , Humans , Male , Parents/psychology , Poland , Retrospective Studies , Surveys and Questionnaires
15.
BMJ Open ; 12(6): e060091, 2022 Jun 28.
Article in English | MEDLINE | ID: mdl-35768099

ABSTRACT

PURPOSE: The Anhui Maternal-Child Health Study (AMCHS) aims to examine determinants of reproduction, pregnancy and postpartum maternal and child health outcomes in Chinese women who received assisted reproductive technology (ART). STUDY DESIGN AND PARTICIPANTS: AMCHS is an ongoing cohort study starting from May 2017. AMCHS recruits participants from all couples who sought ART treatment in the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. The participants are interviewed to document baseline sociodemography, lifestyles, dietary intake and environmental exposure. Their clinical characteristics are obtained from hospital records. Samples of blood, follicular fluid and semen are collected at the clinic. Participants receive a standard long pituitary downregulation or a short protocol with an antagonist for the treatment. They are followed up from preconception to delivery, or discontinuation of ART treatment. Details of their children's health are documented through a questionnaire focusing on developmental status and anthropometry measurement. FINDINGS TO DATE: Until April 2021, AMCHS had recruited 2042 couples in the study. 111 women withdrew from the study and 19 failed to retrieve oocytes. Among the 1475 confirmed pregnancies, 146 had miscarriages or terminated their pregnancies, 9 had stillbirths and 263 were ongoing pregnancies. The implantation failure increased with maternal age; adjusted OR was 1.43 (95% CI 1.16 to 1.77) in the age of 31-35 years, 1.97 (95% CI 1.46 to 2.66) in 35-39 years and 6.52 (95% CI 3.35 to 12.68) in ≥40 years compared with those aged 20-30 years. Among the 1057 couples with successful ART who were followed up for delivering babies, 576 had their children examined at age 30-42 days, 459 at 6 months and 375 at 12 months. FUTURE PLANS: The AMCHS will identify comprehensive risk factors for poor ART outcomes and explore potential interaction effects of multiple factors including sociopsychological aspects of environmental exposure, dietary intake and genetics on maternal and child health.


Subject(s)
Abortion, Spontaneous , Child Health , Child , Cohort Studies , Female , Humans , Maternal Age , Pregnancy , Reproductive Techniques, Assisted/adverse effects
16.
Indian Pediatr ; 59(6): 447-450, 2022 Jun 15.
Article in English | MEDLINE | ID: mdl-35695140

ABSTRACT

Recent research in epidemiological modelling reveals that air pollution affects child health in various ways resulting in low birthweight, stillbirth, preterm birth, developmental delay, growth failure, poor respiratory and cardiovascular health, and a higher risk of anemia. India has embarked on the national clean air program, but a much stronger coordinated multi-sectoral approach is required to minimize the child health burden caused by air pollution. Air pollution should be treated as a public health crisis that can only be managed with policy backed by science, gradual transition to clean energy use, emission reduction supported by clean air technologies, long-term commitment from the Government, and cooperation of the citizens.


Subject(s)
Air Pollution , Premature Birth , Air Pollution/adverse effects , Air Pollution/analysis , Child , Child Health , Female , Humans , India/epidemiology , Infant, Newborn , Pregnancy , Public Health , Stillbirth
17.
Article in English | MEDLINE | ID: mdl-35742709

ABSTRACT

Systematic reviews have demonstrated the scarcity of well-designed evaluations investigating outdoor nature-based play and learning provision for children in the early learning and childcare (ELC) sector among global Western countries. This study will examine the feasibility and acceptability of the programme and the evaluation design of outdoor nature-based play and learning provision across urban ELC settings in a Scottish metropolitan city. Six ELC settings with different outdoor nature-based play delivery models will be recruited. One trial design will be tested: a quasi-experimental comparison of children attending three different models of outdoor play and learning provision. Measures will be assessed at baseline and five weeks later. Key feasibility questions include: recruitment and retention of ELC settings and children; suitability of statistical matching based on propensity score; completeness of outcome measures. Process evaluation will assess the acceptability of trial design methods and provision of outdoor nature-based play among ELC educators. These questions will be assessed against pre-defined progression criteria. This feasibility study will inform a powered effectiveness evaluation and support policy making and service delivery in the Scottish ELC sector.


Subject(s)
Child Care , Research Design , Child , Child Health , Feasibility Studies , Health Promotion/methods , Humans
18.
Stud Health Technol Inform ; 290: 762-766, 2022 Jun 06.
Article in English | MEDLINE | ID: mdl-35673120

ABSTRACT

Infant mortality (IM), an index that corresponds to the number of deaths among children up to one year, is an important social indicator of a region. It generally reflects the conditions of socioeconomic development - in addition, the access and quality of resources available for maternal and child health care. Monitoring its magnitude, thus, can help in the definition of public policies for its confrontation. The main causes of IM can be also associated with biological, behavioral, and public health issues. In this work, implication and association rules based on Formal Concept Analysis are used to recognize patterns in births occurring in the state of Amapá (located in the Brazilian Amazon), where the index of infant mortality is more severe.


Subject(s)
Family , Infant Mortality , Brazil , Child , Child Health , Humans , Infant , Socioeconomic Factors
19.
BMJ Open ; 12(6): e060824, 2022 Jun 01.
Article in English | MEDLINE | ID: mdl-35649585

ABSTRACT

PURPOSE: Maternal and child health and parenting practices during the COVID-19 pandemic in Ceará (Iracema-COVID) is a longitudinal, prospective population-based birth cohort designed to understand the effects of the pandemic and social withdrawal in maternal mental health, child development and parenting practices of mothers and families. PARTICIPANTS: A sample of mothers who gave birth in July and August 2020 (n=351) was enrolled in the study in January 2021. Interviews were conducted by telephone. Data were collected through standardised questionnaires that, in addition to sociodemographic and economic data, collected information on breast feeding, mental health status and COVID-19. FINDINGS TO DATE: Results from the first wave show that the majority of participants have 9-11 years of schooling (54.4%; 95% CI 61.0 to 70.9) and are of mixed race (71.5%; 95% CI 66.5 to 76.0). At the time of the survey, 27.9% of the participants were out of the labor force (95% CI 23.5 to 32.9) and 78.6% reported a decrease in family income after restrictions imposed due to the pandemic (95% CI 74.0 to 82.6). The prevalence of maternal common mental disorder symptoms was 32.5% (95% CI 27.8 to 37.6). FUTURE PLANS: Follow-up visits are planned to occur every 6 months for the next five years (2021-2025). Additional topics will be included in future waves (eg, food insecurity and parenting practices). Communication strategies for bonding, such as picture cards, pictures of mothers with their children and phone calls to the participants, will be used to minimise attrition. Results of this prospective cohort will generate novel knowledge on the impact of the COVID-19 pandemic on maternal and child health and parenting practices in a population of women and children living in fifth largest city of Brazil.


Subject(s)
COVID-19 , Brazil/epidemiology , COVID-19/epidemiology , Child , Child Health , Cohort Studies , Female , Humans , Pandemics , Parenting/psychology , Prospective Studies
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