Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 585
Filtrar
1.
Pediatr. aten. prim ; 22(87): 241-250, jul.-sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-194297

RESUMO

La Asociación Española de Pediatría de Atención Primaria (AEPap) ha elaborado un documento con propuestas para la organización de las consultas de Atención Primaria en la próxima temporada invernal, y así poder garantizar la atención a los pacientes pediátricos, con y sin sospecha de infección por SARS-CoV-2. En dicho documento se insiste en la importancia de que la primera valoración del paciente sea telefónica para orientar a las familias sobre la idoneidad de una visita telemática o de una visita presencial y, en caso de ser así, recibir indicaciones sobre la zona del centro de salud y horario de atención en función de los síntomas, para mantener las medidas de protección y seguridad, tanto del paciente como del personal sanitario. AEPap y SEPEAP proponen que en los centros de salud se organicen dos circuitos, uno para atender pacientes con sospecha de infección por SARS-CoV-2 y otro circuito para valorar el resto de las patologías y llevar a cabo el Programa de Salud Infantil (PSI). Para ello, también insta a las Administraciones públicas a mejorar las herramientas de la telemedicina para garantizar el intercambio seguro de información y así poder realizar consultas no presenciales para evitar contagios en el centro sanitario, dotar a los centros de salud de personal sanitario, administrativo y de limpieza suficiente. También es muy importante que los profesionales sanitarios dispongan de técnicas diagnósticas para descartar las infecciones pediátricas más frecuente en época invernal (rinovirus, virus respiratorio sincitial, gripe, rotavirus) y agilizar el resultado de la reacción en cadena de la polimerasa (PCR) para COVID-19 y así evitar aislamientos innecesarios


The Spanish Association of Primary Care Pediatrics (AEPap), has prepared a document with proposals for the organization of primary care consultations in the next winter season, and thus be able to guarantee care for pediatric patients, with and without suspected infection by SARS-CoV-2. This document insists on the importance that the first assessment of the patient is by telephone to guide families on the suitability of a telematic visit or a face-to-face visit and, if so, receive instructions on the area of the health center and hours of attention based on symptoms, to maintain protection and safety measures for both the patient and the health personnel. The AEPap and the SEPEAP propose to organize two circuits in health centers, one to evaluate patients with suspected SARS-CoV-2 infection and another circuit to assess the rest of the pathologies and carry out the Children's Health Program. For this, it also urges public administrations to improve telemedicine tools to guarantee the safe exchange of information and thus be able to carry out non-face-to-face consultations to avoid infections in the health center, provide health centers with health, administrative, cleaning and medical personnel sufficient. It is also very important that healthcare professionals have diagnostic techniques to rule out the most frequent pediatric infections in winter (rhinovirus, RSV, flu, rotavirus) and speed up the PCR result for Covid-19 and thus avoid unnecessary isolations


Assuntos
Humanos , Criança , Infecções por Coronavirus/epidemiologia , Síndrome Respiratória Aguda Grave/epidemiologia , Vírus da SARS/patogenicidade , Cuidado da Criança/métodos , Consenso , Pandemias/estatística & dados numéricos , Atenção Primária à Saúde/organização & administração , Pediatria/organização & administração , Precauções Universais/métodos , Infecções por Coronavirus/prevenção & controle
2.
Pediatr. aten. prim ; 22(87): 263-271, jul.-sept. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-194298

RESUMO

INTRODUCCIÓN: durante la pandemia de COVID-19, el uso de equipos y dispositivos de protección por parte de los profesionales es fundamental para evitar la transmisión de la infección en el colectivo de sanitarios. MATERIAL Y MÉTODOS: el Grupo Laboral-Profesional de la Asociación Española de Pediatría de Atención Primaria (AEPap) ha realizado una encuesta a los vocales autonómicos de la AEPap para conocer la disponibilidad que han tenido los pediatras de Atención Primaria (PAP) de sistemas de protección frente a la enfermedad, y las pruebas diagnósticas realizadas para el diagnóstico de los contagios de los PAP. RESULTADOS: en marzo de 2020, solo en el 32% de las comunidades autónomas (CC. AA.), los pediatras tenían sistemas de protección adecuados. En abril ascendió al 70%. En todas las CC. AA. se han registrado casos de PAP enfermos, aunque es difícil cuantificar el número de afectados. De las que tenemos datos, sumando el número de pediatras enfermos conocido, más test de reacción en cadena de la polimerasa (PCR) positivo, los que han estado en aislamiento y los ingresados, la cifra asciende al 7,65% de la cifra total de PAP. Los test rápidos serológicos o PCR o ambos se han realizado en seis comunidades los últimos días de abril y en otras seis los primeros días de mayo. Entre las CC. AA. de las que hay información, Aragón es la única comunidad en la que no se ha realizado test. Se ha correlacionado la disponibilidad de los sistemas de protección y el gasto sanitario. CONCLUSIONES: los sistemas de protección han sido insuficientes. Las CC. AA. con mayor gasto sanitario han contado más precozmente con sistemas de protección adecuados. Han resultado infectados PAP en todas las comunidades autónomas, especialmente en Madrid, Castilla y León y Comunidad Valenciana. La detección de profesionales afectos por la infección ha sido tardía


INTRODUCTION: during the COVID-19 pandemic, the use of protective equipment and devices by professionals is essential to prevent transmission of the infection in the healthcare community. METHODS: the Professional Labor Working group of the Spanish Association of Primary Care Pediatrics (AEPap) has carried out a survey of the autonomous members of the AEPap to find out the availability for primary care pediatricians (PCP) of protection elements against the disease, the diagnostic measures carried out on the professionals for the diagnosis of infections in the PCP. RESULTS: during the month of March, in 32% of the autonomous communities (CC. AA.), pediatricians had adequate means of protection, which in April amounted to 70%. Sick cases of PCP have been registered in all the CC. AA., although it is difficult to quantify the number of patients affected. According to our data, adding the positive test patients, those who have been in isolation and those admitted, the figure rises up to 7.65%. Rapid serological tests or PCR or both have been carried out in 6 communities in the last days of April and in 6 others in the first days of May. The only community in which it has not been carried out is that of Aragon. The availability of protection systems and health expenditure have been correlated. CONCLUSIONS: protection systems have been insufficient. The CC. AA. with the highest health expenditure have had adequate protection systems earlier. PCP have been infected in all the autonomous communities, especially in Madrid, Castilla y León and Valencia. The detection of affected professionals by the infection has been late


Assuntos
Humanos , Criança , Infecções por Coronavirus/prevenção & controle , Síndrome Respiratória Aguda Grave/prevenção & controle , Vírus da SARS/isolamento & purificação , Hospitais Pediátricos/organização & administração , Gestão da Segurança/métodos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Infecções por Coronavirus/epidemiologia , Síndrome Respiratória Aguda Grave/epidemiologia , Vírus da SARS/patogenicidade , Cuidado da Criança/métodos , Pandemias/estatística & dados numéricos , Atenção Primária à Saúde/organização & administração , Precauções Universais/métodos , Pessoal de Saúde/estatística & dados numéricos , Espanha/epidemiologia
3.
Pediatr. aten. prim ; 22(87): 295-303, jul.-sept. 2020. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-194301

RESUMO

Un nuevo coronavirus llamado coronavirus 2 del síndrome respiratorio agudo severo (SARS-CoV-2), causante de una pandemia global, afecta a la población pediátrica con unas características clínicas diferentes a las de los adultos. Las lesiones dermatológicas acroisquémicas que se pueden asociar, se manifiestan más en pacientes jóvenes sin cuadro respiratorio. Se presentan tres casos clínicos con estudios analíticos, que incluyen determinación de anticuerpos neutralizantes por inmunocromatografía. En ninguno de los casos se ha podido demostrar la participación del SARS-CoV-2 como agente implicado. El término de "acroisquemia aguda en el niño en tiempos de COVID-19" parece ser el término más adecuado hasta tener un mayor conocimiento del cuadro


A new coronavirus called coronavirus 2 of severe acute respiratory syndrome (SARSCoV-2), causing a global pandemic, affects the pediatric population with some characteristics different from those of adults. The acro-ischemic dermatological lesions that can be associated, are manifested more in young patients without respiratory symptoms. Three clinical cases with analytical studies that include neutralizing antibody determinations by immunochromatography are presented. In none of these cases the SARS-CoV-2 appears to be an involved agent. The term "acute acro-ischemia in the child in the times of the Covid-19" seems to be the best term until there is a better understanding of the disease


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Infecções por Coronavirus/diagnóstico , Acrodermatite/virologia , Isquemia/virologia , Dermatopatias Vasculares/virologia , Dermatopatias Virais/diagnóstico , Infecções por Coronavirus/epidemiologia , Síndrome Respiratória Aguda Grave/epidemiologia , Vírus da SARS/patogenicidade , Cuidado da Criança/métodos , Pandemias/estatística & dados numéricos , Atenção Primária à Saúde/organização & administração , Exantema/virologia
4.
Artigo em Inglês | MEDLINE | ID: mdl-32796623

RESUMO

BACKGROUND: Sleep regulation and consolidation represent critical developmental processes that occur in the first years of life. Recent studies have highlighted the contribution of caregivers to sleep development. However, the majority of them have primarily focused on maternal behaviors, overlooking fathers. The main goal of the present study was to investigate the associations between paternal and maternal involvement in children's sleep care and the number of night awakenings reported by both parents in infants and toddlers. METHODS: One-hundred-and-one families of infants aged 8 to 12 months and 54 families of toddlers aged 18 to 36 months filled out the following self-report questionnaires: The Brief Infant Sleep Questionnaire and an ad hoc questionnaire to assess parental involvement in sleep care for children. A moderate actor-partner interdependence (APIM) with path analysis was performed to test the predictive role of parental involvement on the children's sleep (no. of nocturnal awakenings) and the moderation role of age on these relationships. RESULTS: Paternal involvement in children's sleep care was associated with the number of night awakenings reported by both parents. Moreover, a significant interaction effect emerged between the children's age and paternal involvement in children's sleep care for predicting nocturnal awakenings. CONCLUSIONS: The main outcomes of this study point to the protective role of paternal involvement in children's sleep during the first years of life.


Assuntos
Cuidado da Criança/métodos , Pai/psicologia , Mães/psicologia , Sono/fisiologia , Cuidadores , Saúde da Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Relações Pais-Filho , Inquéritos e Questionários
5.
PLoS One ; 15(5): e0231620, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32374786

RESUMO

BACKGROUND: There is little evidence on the child and family factors that affect the intensity of care use by children with complex problems. We therefore wished to identify changes in these factors associated with changes in care service use and its intensity, for care use in general and psychosocial care in particular. METHODS: Parents of 272 children with problems in several life domains completed questionnaires at baseline (response 69.1%) and after 12 months. Negative binominal Hurdle analyses enabled us to distinguish between using care services (yes/ no) and its intensity, i.e. number of contacts when using care. RESULTS: Change in care use was more likely if the burden of adverse life events (ALE) decreased (odds ratio, OR = 0.94, 95% confidence interval, CI = 0.90-0.99) and if parenting concerns increased (OR = 1.29, CI = 1.11-1.51). Psychosocial care use became more likely for school-age children (vs. pre-school) (OR = 1.99, CI = 1.09-3.63) if ALE decreased (OR = 0.93, CI = 0.89-0.97) and if parenting concerns increased (OR = 1.26, CI = 1.10-1.45). Intensity of use (>0 contacts) of any care decreased when ALE decreased (relative risk, RR = 0.95, CI = 0.92-0.98) and when psychosocial problems became less severe (RR = 0.38, CI = 0.20-0.73). Intensity of psychosocial care also decreased when severe psychosocial problems became less severe (RR = 0.39, CI = 0.18-0.84). CONCLUSIONS: Changes in care-service use (vs. no use) and its intensity (>0 contacts) are explained by background characteristics and changes in a child's problems. Care use is related to factors other than changes in its intensity, indicating that care use and its intensity have different drivers. ALE in particular contribute to intensity of any care use.


Assuntos
Transtornos do Comportamento Infantil/terapia , Cuidado da Criança , Serviços de Saúde da Criança/provisão & distribução , Serviços de Saúde da Criança/estatística & dados numéricos , Recursos em Saúde , Adolescente , Adulto , Criança , Transtornos do Comportamento Infantil/epidemiologia , Cuidado da Criança/métodos , Cuidado da Criança/estatística & dados numéricos , Serviços de Saúde da Criança/organização & administração , Bem-Estar da Criança/estatística & dados numéricos , Pré-Escolar , Estudos de Coortes , Família , Feminino , Seguimentos , Recursos em Saúde/organização & administração , Recursos em Saúde/estatística & dados numéricos , Recursos em Saúde/provisão & distribução , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Masculino , Países Baixos/epidemiologia , Relações Pais-Filho , Poder Familiar , Fatores Socioeconômicos , Inquéritos e Questionários
6.
BMC Public Health ; 20(1): 237, 2020 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-32066404

RESUMO

BACKGROUND: Despite extensive efforts, issues like obesity and poor physical capacity remain challenges for a healthy work life in several occupations. The Goldilocks work principle offers a new approach, encouraging design of productive work to promote physical capacity and health. This paper presents the protocol for the Goldilocks-childcare study, a randomised controlled intervention trial aiming to evaluate the effectiveness of implementing the Goldilocks work principle in childcare. The primary aim of the intervention is to increase time in moderate to vigorous physical activity (MVPA) by having the childcare workers act as active role models for children in daily playful physical activities, and thereby improve cardiorespiratory fitness and health of the workers. METHODS: The study is a cluster-randomised trial with a usual-practice wait-list control group. The 10-week intervention consists of two phases. In the first, the childcare workers will participate in two participatory workshops aiming to a) develop playful physical activities ('Goldilocks-games') for children in which childcare workers participate as active role models at MVPA intensity, and b) develop action plans for implementation of the Goldilocks-games in daily work routines. In the second phase, childcare institutions will implement the Goldilocks-games. The primary outcome is working time spent in MVPA, and secondary outcomes are cardiorespiratory fitness, sleeping heart rate, perceived need for recovery, and productivity. Primary outcome and process evaluation will be based on direct measurements of physical activity and heart rate, determination of cardiorespiratory fitness, and questionnaires. DISCUSSION: If proven effective, the Goldilocks work principle has a large potential for promoting sustainable health and working lives of childcare workers. TRIAL REGISTRATION: ISRCTN, ISRCTN15644757, Registered 25th December 2019.


Assuntos
Aptidão Cardiorrespiratória , Cuidado da Criança , Exercício Físico , Saúde do Trabalhador , Professores Escolares , Criança , Cuidado da Criança/métodos , Saúde da Criança , Dinamarca , Promoção da Saúde/métodos , Humanos , Jogos e Brinquedos , Projetos de Pesquisa , Inquéritos e Questionários
7.
Rev. Rol enferm ; 43(2): 117-123, feb. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-ET5-1211

RESUMO

OBJETIVO: Describir la eficacia del juguete terapéutico instructivo de acuerdo con el criterio de cuidadores de niños hospitalizados. MÉTODO: Estudio descriptivo, cualitativo y fenomenológico, llevado a cabo entre enero y febrero de 2017, en hospital público. Muestra compuesta por siete sujetos. Datos recolectados mediante entrevista grabada y transcrita, iniciada con la pregunta orientadora: «¿Qué opinas de la utilización del juguete terapéutico instruccional con tu hijo?». RESULTADOS: Por medio del análisis de las conversaciones, fue posible identificar cinco categorías: Juguete como instrumento de aprendizaje, Juguete en el afrontamiento del procedimiento, Juguete como instrumento esclarecedor, Juguete como ayuda a la mejora del humor y Utilización del juguete como intervención de enfermería. CONCLUSIÓN: Los cuidadores de los niños consideraron positiva la utilización de la técnica del juguete terapéutico instruccional, como forma de humanizar la hospitalización del niño, oportunidad de expresar emociones y participar de forma activa en la implementación del juguete en la atención infantil


OBJECTIVE: To describe the effectiveness of using an instructional therapeutic toy, according to caregivers of hospitalized children. METHOD: A descriptive, qualitative and phenomenological study, conducted from January to February 2017, in a public hospital. The sample was made of seven subjects. Data was collected through recorded and transcribed interviews, initiated by the guiding question: «What do you think of using the instructional therapeutic toy with your son?». RESULTS: While analyzing the content of the interviews, it was possible to identify five categories: the toy as a learning tool, the toy as a tool to demonstrate the medical procedure, the toy as an enlightening instrument, the toy as an aid to improve humor, and the toy as a nursing intervention. CONCLUSION: Children caregivers have considered positive the use of the instructional therapeutic toy as a way of humanizing children hospitalization, giving them an opportunity to express emotions, and to participate actively in the implementation of the toy child care


Assuntos
Humanos , Masculino , Feminino , Adulto , Criança Hospitalizada , Humanização da Assistência , Jogos e Brinquedos/psicologia , Cuidadores , Cuidado da Criança/métodos , Epidemiologia Descritiva , Pesquisa Qualitativa , Hospitais Públicos , Afeto
8.
Infant Ment Health J ; 41(3): 411-425, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32057134

RESUMO

This study explored the prevalence of expulsion in home-based child care (HBCC) settings using a nationally representative sample of HBCC providers from the National Survey of Early Care and Education. In addition to prevalence, enrollment and provider characteristics that predicted expulsion were examined. Although there is increasing awareness of the prevalence of early childhood suspension and expulsion in early care and education settings and the negative effects it has on children's development, few studies have included or focused on HBCC, where many children receive care. This study highlights that many home-based providers, especially listed providers, report that they expelled at least one child within the last year. Significant predictors of expulsion emerged, including enrollment characteristics such as caring for children with disabilities, enrolling more children, and caring for children unrelated to the provider. Provider characteristics, including years of experience, provider education, and provider age, also predicted provider report of expulsion. These results provide insight as to possible strategies that may be effective in reducing expulsion rates in this caregiving context.


Assuntos
Cuidado da Criança , Intervenção Educacional Precoce , Serviços de Assistência Domiciliar , Criança , Cuidado da Criança/ética , Cuidado da Criança/métodos , Cuidado da Criança/psicologia , Cuidado da Criança/estatística & dados numéricos , Desenvolvimento Infantil , Pré-Escolar , Intervenção Educacional Precoce/ética , Intervenção Educacional Precoce/métodos , Intervenção Educacional Precoce/estatística & dados numéricos , Saúde da Família , Feminino , Previsões , Serviços de Assistência Domiciliar/organização & administração , Serviços de Assistência Domiciliar/estatística & dados numéricos , Humanos , Masculino , Saúde Mental , Determinação de Necessidades de Cuidados de Saúde , Prevalência
9.
Artigo em Inglês | MEDLINE | ID: mdl-31952208

RESUMO

Public health authorities recommend young children should not be sedentary for more than one hour at a time. This study assessed the frequency and duration of sedentary bouts in children attending family child care homes (FCCHs); and examined associations with FCCH provider practices related to sedentary behaviors. Overall, 127 children (aged 3.5 ± 1.1 years) from 41 FCCHs participated in the study. Sedentary bouts were measured using an accelerometer worn for the duration of FCCHs attendance over a randomly selected week. Provider practices were assessed using the Nutrition and Physical Activity Self-Assessment for Child Care self-assessment instrument. Children attending FCCHs mostly accumulated short sedentary bouts (<5 min) with very few lasting more than 10 min. Boys exhibited significantly fewer sedentary bouts, and significantly less sedentary time in bouts than girls. Children attending FCCHs that met or exceeded childcare standards for outdoor active play, had portable play equipment, offered a variety of fixed play equipment, and/or adequate indoor play space exhibited significantly fewer sedentary bouts and significantly less sedentary time accumulated in short and medium length bouts. Programs encouraging FCCHs to adopt physical activity promoting practices could potentially reduce child sedentary time while in care.


Assuntos
Cuidado da Criança/métodos , Exercício Físico , Comportamento Sedentário , Acelerometria , Saúde da Criança , Pré-Escolar , Feminino , Humanos , Masculino , Oregon
10.
Rev. Rol enferm ; 43(1,supl): 364-373, ene. 2020. tab
Artigo em Português | IBECS | ID: ibc-193330

RESUMO

Type 1 Diabetes Mellitus (DM1) is one of the most prevalent chronic diseases in school age. Health policies point to a greater intervention and accountability of the community towards the health of its members and their full integration in society, promoting the development of health literacy based on an empowerment philosophy. Since the school is a favorable context for intervention, this study, through a review of the literature and based on the Empowerment Nursing-User Model and Laverack Community Empowerment Model, aims to elaborate a Nursing Care Plan Model aimed at training the school community with adolescents with DM1, using ICNP 2017. Agglutinating the first phase of the Laverack Community Empowerment Model (personal action) with the examples of Empowerment Nursing-User Model empowering behaviors (access to information, support, resources, opportunities to learn and grow, informal power and formal power), we identified diagnoses as: potential to raise awareness of the relationship between the therapeutic regimen and DM1 control and potentiality to improve the problematic meaning attributed to the therapeutic regime or illness by the adolescent. According to the phases of approach of small community groups and development of community organizations, we identified diagnoses aimed at the school community and the family like the potential to improve awareness of their role towards the adolescent with DM1. Community empowerment is an instrument to be used in the development of the process of school inclusion and training adolescents with DM1 as well as the whole school community


No disponible


Assuntos
Humanos , Diabetes Mellitus Tipo 1/enfermagem , Complicações do Diabetes/enfermagem , Empoderamento para a Saúde , Educação em Saúde/métodos , Cuidado da Criança/métodos , Serviços de Saúde Escolar/organização & administração , Serviços de Enfermagem Escolar/organização & administração , Diabetes Mellitus Tipo 1/epidemiologia , Participação do Paciente/métodos , Participação da Comunidade/métodos , Cooperação e Adesão ao Tratamento/estatística & dados numéricos , Saúde do Adolescente
11.
Artigo em Inglês | MEDLINE | ID: mdl-31810156

RESUMO

Early childhood education and care (ECEC) settings have a pivotal role in the promotion of physical activity for young children, and thus, the number of ECEC-based physical activity interventions has exponentially increased in the last two decades. The aim of this study was three-fold: (1) to discuss some of the similarities and differences in ECEC-based physical activity interventions, (2) to highlight current trends and issues in the ECEC sector relating to such interventions, and (3) to provide recommendations for future interventions. Twenty-four individual studies are discussed. Most studies have targeted children aged between 3 and 5 years and involved children participating in additional physical activity opportunities while at childcare. In all studies, educators participated in some professional development either prior or during the intervention. Less the half of the studies discussed reported significant positive changes in physical activity outcomes. Those involved in developing future interventions will need to consider current national and international trends in the ECEC sector (e.g., over-crowded curriculum, administrative requirements, and more highly-qualified educators devoting time for business development), as well as creative and unique ways of delivering ECEC-based physical activity interventions.


Assuntos
Cuidado da Criança/métodos , Cuidado da Criança/psicologia , Cuidado da Criança/tendências , Saúde da Criança/tendências , Exercício Físico/psicologia , Promoção da Saúde/métodos , Promoção da Saúde/tendências , Pré-Escolar , Feminino , Previsões , Humanos , Masculino
12.
Int J Public Health ; 64(9): 1325-1333, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31473782

RESUMO

OBJECTIVE: To investigate the association between shade coverage in early childhood education and care (ECEC) centres and pre-school children's physical activity, outdoor time and ultraviolet radiation (UVR) exposure. METHODS: A total of 48 ECEC centres (678 children) in the Western Australian Play Spaces and Environments for Children's Physical Activity (PLAYCE) study took part. Physical activity at ECEC was measured using 7-day accelerometry. UVR exposure was measured using polysulphone film attached to children's shoulders. Educators reported time spent outdoors. The Shade Factor and remote sensing imagery captured shade coverage. RESULTS: Centre vegetation but not Shade Factor was significantly negatively associated with children's UVR exposure (p < 0.001). Higher levels of vegetation were associated with increased time outdoors, but higher levels of the Shade Factor were associated with decreased time outdoors (all p < 0.001). Neither shade measure was significantly associated with physical activity. Outdoor time moderated the relationships between shade measures, physical activity and UVR exposure. CONCLUSIONS: The provision of shade, particularly through natural forms such as tree canopy, is an important sun protection strategy and enabler of outdoor time in children attending ECEC.


Assuntos
Cuidado da Criança/métodos , Exposição Ambiental/prevenção & controle , Exercício Físico , Queimadura Solar/prevenção & controle , Raios Ultravioleta , Acelerometria , Austrália , Criança , Pré-Escolar , Feminino , Humanos , Masculino
13.
Cult. cuid ; 23(54): 320-332, mayo-ago. 2019. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-190434

RESUMO

OBJETIVO: Describir el "chumpi", una práctica de cuidados a niños de hasta un año de edad propia del ámbito cultural quechua. MÉTODO: Diseño cualitativo basado en el método etnográfico y teoría fundamentada. Muestra: 27 inmigrantes bolivianos. Las estrategias para recoger datos fueron las entrevistas en profundidad y la observación participante. Los datos se categorizaron y ordenaron en esquemas lógicos manualmente y a través del programa ATLAS-ti v.5. RESULTADOS: El chumpi facilita el transporte de los recién nacidos y los protege del frío de la cordillera andina mientras la madre los transporta y trabaja, pero descubrimos que esta práctica se sigue desarrollando por inmigrantes bolivianos en el Sureste de España. Discusión y CONCLUSIONES: Motivaciones relacionadas con la cosmovisión quechua llevan a las mujeres bolivianas a seguir practicando el chumpi en los países a los que emigran. El chumpi moldea el cuerpo y el carácter del lactante de forma que un niño envuelto fuerte será fuerte. El chumpi, una práctica de cuidados, se convierte en una práctica cultural identitaria que puede generar situaciones conflictivas en el ámbito sanitario


OBJECTIVE: To analyze el chumpi, a Quechua baby body care cultural practice during the first year of life. METHOD: Qualitative study based on ethnography and grounded theory procedures. Muestra: 27 inmigrantes bolivianos. Las estrategias para recoger datos fueron las entrevistas en profundidad y la observación participante. Los datos se categorizaron y ordenaron en esquemas lógicos manualmente y a través del programa ATLAS-ti v.5. RESULTS: El chumpi makes newborns transport easier and protects them from the cold of the Andean region while being carried by their working mothers. However, we found that this practice remains among Bolivian immigrants in southeast Spain. CONCLUSIONS: Quechua worldview motivations lead Bolivian women to continue practising el chumpi in destination countries. El chumpi molds the body and the character of the infant so that a strongly wrapped child will be strong. El chumpi, a practice of care, becomes a cultural identity sign. El chumpi generates controversial situations within the health sphere


OBJETIVO: Analisar o chumpi, uma prática cultural de cuidado corporal do bebê Quechua durante o primeiro ano de vida. MÉTODO: Estudo qualitativo baseado em procedimentos de etnografia e teoria fundamentada. Amostra: 27 imigrantes bolivianos. As estratégias para coletar os dados foram entrevistas em profundidade e observação participante. Os dados foram categorizados e ordenados em esquemas lógicos manualmente e através do programa ATLAS-ti v.5. RESULTADOS: O chumpi facilita o transporte de recém-nascidos e protege-os do frio da região andina enquanto são transportados por suas mães trabalhadoras. No entanto, descobrimos que essa prática é mantida entre os imigrantes bolivianos no sudeste da Espanha. CONCLUSÕES: As motivações da visão de mundo quechua levam as mulheres bolivianas a continuar praticando o chumpi nos países de destino. O chumpi molda o corpo e o caráter do bebê, de modo que uma criança bem embrulhada é forte. O chumpi, uma prática de cuidado, torna-se um sinal de identidade cultural. O chumpi gera situações controversas dentro da esfera da saúde


Assuntos
Humanos , Masculino , Feminino , Criança , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Emigração e Imigração , Cuidado da Criança/métodos , Características Culturais , Enfermagem Pediátrica , Entrevistas como Assunto , 25783 , Valores Sociais , Bolívia/etnologia
15.
Arch Dis Child ; 104(12): 1193-1197, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31300411

RESUMO

OBJECTIVE: To independently assess compliance with safe sleeping guidelines for infants <12 months in licensed childcare services. DESIGN: Full-day, in-situ observations of childcare practices (including sleep and non-sleep periods) conducted in 2016-2017. SETTING: Australian home-based and centre-based licensed childcare services. All subject to national regulation and legislation to comply with safe sleeping guidelines. PARTICIPANTS: The sample was 18 licensed childcare settings (15 centre-based, 3 home-based) that had infants <12 months (n=49) attending at the time of observation. 31 educators completed self-report surveys. MAIN OUTCOMES AND MEASURES: Standard observations of childcare practices, including a 20-item infant Safe Sleeping Guideline checklist. Educator characteristics, including each individual's knowledge, beliefs and attitudes regarding safe sleeping practices. RESULTS: 83% of childcare services were observed to be non-compliant on at least 1 of 20 target guidelines (median 2.5, max=7); 44% were observed placing infants prone/side and 67% used loose bedding, quilts, doonas/duvets, pillows, sheepskins or soft toys in cots. 71% of the childcare settings had a copy of current safe sleeping guidelines displayed either in or at entry to the infant sleep room. CONCLUSION: Despite 25 years of public health messaging, non-compliance with safe sleeping guidelines was observed to be high in childcare services. Understanding of the reasons underlying non-compliance, particularly in contexts were legislative mandate and access to information regarding safe sleeping is high, is critical to informing ongoing public health messaging and should be the focus of future studies. TRIAL REGISTRATION NUMBER: ANZCTR 12618001056280-pre-results.


Assuntos
Cuidado da Criança/legislação & jurisprudência , Serviços de Saúde da Criança , Fidelidade a Diretrizes , Conhecimentos, Atitudes e Prática em Saúde , Sono , Austrália , Criança , Cuidado da Criança/métodos , Serviços de Saúde da Criança/legislação & jurisprudência , Pré-Escolar , Fidelidade a Diretrizes/estatística & dados numéricos , Inquéritos Epidemiológicos , Humanos , Lactente , Decúbito Dorsal
16.
Disaster Med Public Health Prep ; 13(4): 704-708, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30940263

RESUMO

OBJECTIVES: Children are at increased risk for experiencing negative physical and mental health outcomes as a result of disasters. Millions of children spend their days in childcare centers or in residential family childcare settings. The purpose of this study was to describe childcare providers' perceived levels of preparedness capabilities and to assess differences in levels of perceived preparedness between different types of childcare providers. METHODS: A national convenience sample of childcare center administrators and residential family childcare administrators completed a brief online survey about their preparedness efforts. RESULTS: Overall, there were few differences in preparedness between childcare centers and residential family childcare providers. However, childcare centers were more likely to report that they had written plans (94.47%) than residential family childcare providers (83.73%) were (χ12=15.62; P<.001). Both types of providers were more likely to report being very prepared/prepared for fires (91.31%) than they were for any other type of emergency (flooding, active shooter, etc.; 45.08% to 79.34%). CONCLUSIONS: Future work should assess how childcare providers respond to and recover from emergencies, as well as explore the types of resources childcare providers need in order to feel comfortable caring for children during such emergency situations. (Disaster Med Public Health Preparedness. 2019;13:704-708).


Assuntos
Cuidado da Criança/normas , Defesa Civil/normas , Pessoal de Saúde/psicologia , Percepção , Distribuição de Qui-Quadrado , Criança , Cuidado da Criança/métodos , Cuidado da Criança/estatística & dados numéricos , Pré-Escolar , Defesa Civil/estatística & dados numéricos , Feminino , Pessoal de Saúde/estatística & dados numéricos , Humanos , Lactente , Masculino , Inquéritos e Questionários , Estados Unidos
17.
BMC Public Health ; 19(1): 419, 2019 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-30999881

RESUMO

BACKGROUND: Early childhood is a crucial time to foster healthy eating and physical activity (PA) habits, which are critical for optimal child health, growth and development. Child care facilities are important settings to promote healthy eating and PA and prevent childhood obesity; however, almost all prior intervention studies have focused on child care centers and not family child care homes (FCCH), which care for over 1.6 million U.S. children. METHODS: This paper describes Healthy Start/Comienzos Sanos, a cluster-randomized trial evaluating the efficacy of a multicomponent intervention to improve nutrition and PA environments in English and Spanish-speaking FCCH. Eligible child care providers complete baseline surveys and receive a two-day FCCH observation of the home environment and provider practices. Parent-consented 2-5 year-old children are measured (height, weight, waist circumference), wear accelerometers and have their dietary intake observed during child care using validated protocols. FCCH providers are then randomly assigned to receive an 8-month intervention including written materials tailored to the FCCH providers' need and interest, videos, peer support coaching using brief motivational interviewing, and periodic group meetings focused on either nutrition and PA (Intervention) or reading readiness (Comparison). Intervention materials focus on evidence-based nutrition and physical activity best practices. The initial measures (surveys, two-day observation of the FCCH and provider practices, child diet observation, physical measures, and accelerometer) are assessed again 8 and 12 months after the intervention starts. Primary outcomes are children's diet quality (Healthy Eating Index), time in moderate and vigorous PA and sedentary PA during child care. Secondary outcomes include FCCH provider practices and foods served, and PA environments and practices. Possible mediators (provider attitudes, self-efficacy, barriers and facilitators) are also being explored. Process evaluation measures to assess reach, fidelity and dose, and their relationship with dietary and PA outcomes are included. DISCUSSION: Healthy Start/Comienzos Sanos fills an important gap in the field of childhood obesity prevention by rigorously evaluating an innovative multicomponent intervention to improve the nutrition and physical activity environments of FCCH. TRIAL REGISTRATION: (# NCT02452645 ) ClinicalTrials.gov Trial registered on May 22, 2015.


Assuntos
Cuidado da Criança/organização & administração , Dieta Saudável/estatística & dados numéricos , Promoção da Saúde/organização & administração , Hispano-Americanos/educação , Estado Nutricional , Obesidade Pediátrica/prevenção & controle , Criança , Cuidado da Criança/métodos , Creches , Pré-Escolar , Exercício Físico , Feminino , Humanos , Pais/educação , Projetos de Pesquisa , Autoeficácia
18.
Infant Behav Dev ; 55: 10-21, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30825714

RESUMO

Toddler emotion regulation develops within the context of relationships but is also influenced by toddlers' individual characteristics. Drawing on transactional and differential susceptibility frameworks, this study examined direct and interactive associations of intrusive parenting, teacher sensitivity, and negative emotionality on toddler emotion regulation development in a sample of Early Head Start families utilizing center-based child care. Latent growth models indicated that, after controlling for a series of family and child care covariates, intrusive parenting at 14 months had diminishing effects on trajectories of emotion regulation across toddlerhood (14 to 36 months), whereas teacher sensitivity in child care was promotive for emotion regulation growth. Toddlers with high negative emotionality were not more susceptible to the effects of intrusive parenting or teacher sensitivity on emotion regulation development, however, results suggested emerging evidence for individual differences in the protective nature of teacher sensitivity in the context of high intrusion at home. Results are discussed in terms of their implications for informing parents and early care and education providers in nurturing relationships with the children who may be the most challenging to care for but may stand to make the greatest gains in emotion regulation development in quality caregiving settings.


Assuntos
Cuidado da Criança/métodos , Cuidado da Criança/psicologia , Desenvolvimento Infantil/fisiologia , Intervenção Educacional Precoce/métodos , Emoções/fisiologia , Poder Familiar/psicologia , Professores Escolares/psicologia , Criança , Pré-Escolar , Intervenção Educacional Precoce/normas , Feminino , Humanos , Lactente , Masculino , Mães/psicologia , Pais/psicologia , Professores Escolares/normas , Autoimagem , Comportamento Social
19.
Pediatr. aten. prim ; 21(81): e25-e30, ene.-mar. 2019.
Artigo em Espanhol | IBECS | ID: ibc-184541

RESUMO

La teoría del apego formulada originariamente por John Bowlby en la década de los cincuenta ha permitido profundizar en el conocimiento del vínculo de los padres con el bebé, así como mostrar que este vínculo es esencial para que los niños se desarrollen sanamente. La calidad de este vínculo de apego con las personas que cuidan al niño influirá en el desarrollo de sus capacidades mentales. Los pediatras tienen un papel privilegiado para mostrar a padres y madres la manera adecuada de atender tanto las necesidades psicológicas como físicas del bebé y de los niños


The Psychological attachment theory originally formulated by John Bowlby in the fifties has allowed to deepen the knowledge of the link parents-baby and has showed that the bond of attachment is essential for children to develop healthily. The quality of this bond of attachment with the people who care for the child will influence the development of their mental capacities. Pediatricians have a privileged role to show fathers and mothers the proper way to meet both the psychological and physical needs of baby and children


Assuntos
Humanos , Criança , Cuidado da Criança/métodos , Educação Infantil/tendências , Poder Familiar , Desenvolvimento Infantil/classificação , Educação/tendências , Pediatria/tendências , Apego ao Objeto , Desempenho Psicomotor/classificação
20.
PLoS One ; 14(2): e0209987, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30763342

RESUMO

This paper assesses the psychometric properties of four child care quality instruments administered in 404 child care centers in Ecuador: the Classroom Assessment Scoring System for Toddlers, the Infant/Toddler Environment Rating Scale-Revised Edition, the Child Care Infant/Toddler Home Observation for Measurement of the Environment, and the Missouri Infant/Toddler Responsive Caregiving Checklist. We examined their internal consistency, tested the underlying subscale structure by means of confirmatory factor analysis (CFA), verified construct validity by testing associations with quality-related factors (e.g., child-caregiver ratio), and checked concurrent validity of the instruments' total scores. We found high internal consistency of the instruments at the full scale level and moderate to high at the subscale/domain level. CFA showed high factor loadings, but goodness of fit statistics were low. Construct validity results varied from low to very low depending on the quality-related factor, and concurrent validity from low to very high depending on the instruments compared. This validity exercise provides useful information for policy-makers and researchers interested in using these instruments in the Ecuadorian context or elsewhere in the region. The findings will also inform future research and development of affordable and culturally-appropriate tools for monitoring process quality in child care centers in Latin American countries.


Assuntos
Cuidado da Criança , Psicometria/métodos , Cuidadores , Cuidado da Criança/métodos , Saúde da Criança , Pré-Escolar , Equador , Análise Fatorial , Humanos , Lactente
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA