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1.
rev.cuid. (Bucaramanga.2010) ; 13(1): 1-16, 20221213.
Artigo em Espanhol | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1369105

RESUMO

Introducción: En el ambiente del hogar se propician estilos de crianza, aprendizajes, actividades, experiencias y estímulos que modulan la estimulación del niño(a). Objetivo: Identificar el grado de estimulación temprana y su relación con variables de tipología familiar y participación en el cuidado de niños(as) entre 1 y 4 años de un centro de desarrollo infantil en Pereira, Colombia, en 2019. Métodos: Estudio transversal. Se realizó un muestreo tipo censo que incluyó a todos los niños y cuidadores, que cumplían con los criterios de selección (niños sin antecedente de patologías neurológicas, consentimiento informado de cuidadores). Se midieron variables sociodemográficas y de tipología familiar. Se empleó el Inventario de estimulación temprana en el hogar HOME45 (Home Observation for Measurement of the Environment). Se realizó análisis univariado y bivariado. Para la asociación entre predictores y el puntaje global de estimulación temprana (desenlace: alta/media/baja) se efectuó una regresión logística ordinal. Resultados: Participaron 76 diadas madre-hijo. La mediana de edad de los niños fue 36 meses (RIQ=11, 12-48). El cuidado diario fue brindado en un 67% por la madre. Se evidenció una alta estimulación en el 50% de las diadas. Los predictores que redujeron la probabilidad de estimulación alta fueron (p<0,05): hábito de lectura (No, RP=0,29 (0,09-0,87)), participación en fiestas infantiles (No, RP=0,24 (0,07­0,79)), edad del cuidador (mayor a 36 años, RP=0,95 (0,92-1,00)), estrategia de corrección (castigo verbal o físico, RP=0,16 (0,03-0,98)). Conclusión: Corregir al niño mediante diálogo, incentivar la lectura y participar de fiestas infantiles, además de tener un cuidador menor de 35 años, fueron variables que incrementaron la probabilidad de presentar una alta estimulación.


Introduction: Home environment fosters parenting styles, learning, activities, experiences, and stimuli modulating children's stimulation. Objective: To identify the degree of home-based early stimulation and its relationship with family variables and participation in the care of children aged 1 to 4 years attending a daycare center in Pereira, Colombia in 2019. Materials and Methods: A cross-sectional study was conducted by means of a census sampling including all children and caregivers who met the selection criteria (children with no history of neurological disorders and caregiver informed consent.) Sociodemographic and family variables were also measured. The Early Childhood HOME45 (Home Observation for Measurement of the Environment) inventory was administered. Univariate and bivariate analyses were carried out. Ordinal logistic regression was performed for associating predictors and total early stimulation score (high/medium/low). Results: The average age of children was 36 months (RIQ=11, 12-48). 67% of mothers gave children daily care. High stimulation was observed for 50% of the dyads. Predictors that reduced the probability of high stimulation (p<0.05) were reading habit (No, PR=0.29 (0.09-0.87)), participation in children's parties (No, PR=0.24 (0.07-0.79)), caregiver age (older than 36 years old, PR=0.95 (0.92-1.00)), child discipline strategy applied (verbal or physical abuse) (PR=0.16 (0.03-0.98)). Conclusions: Educating children through dialogue, encouraging reading and participating in children's parties, as well as having a caregiver under 35 years of age, were variables that increased the probability of high stimulation in children.


Introdução: O ambiente familiar fomenta estilos de criação, aprendizagem, atividades, experiências e estímulos que modulam a estimulação das crianças. Objetivo: Identificar o grau de estimulação precoce e sua relação com variáveis de tipologia familiar e participação no cuidado de crianças entre 1 e 4 anos de idade em um centro de desenvolvimento infantil em Pereira, Colômbia, em 2019. Métodos: Estudo de corte transversal. Foi realizada uma amostragem tipo censo que incluiu todas as crianças e cuidadores que preenchiam os critérios de seleção (crianças sem histórico de patologias neurológicas, consentimento informado dos cuidadores). As variáveis sociodemográficas e de tipologia familiar foram medidas. O inventário de estimulação precoce HOME45 (Home Observation for Measurement of the Environment) foi utilizado. Foram realizadas análises univariadas e bivariadas. Para a associação entre os preditores e a pontuação global de estimulação precoce (resultado: alto/médio/baixo), foi realizada uma regressão logística ordinal. Resultados: Setenta e seis díades mãe-filho participaram. A idade média das crianças era de 36 meses (RIQ=11, 12-48). O cuidado diário era de 67% fornecido pela mãe. A alta estimulação era evidente em 50% das díades. Os preditores que reduziram a probabilidade de alta estimulação foram (p<0,05): hábito de leitura (Não, PR=0,29 (0,09-0,87)), participação em festas infantis (Não, PR=0,24 (0,07-0,79)), idade do cuidador (mais de 36 anos, PR=0,95 (0,92-1,00)), estratégia de correção (castigo verbal ou físico, PR=0,16 (0,03-0,98)). Conclusão. Corrigir a criança através do diálogo, incentivar a leitura e a participação em festas infantis, assim como ter um cuidador com menos de 35 anos de idade, foram variáveis que aumentaram a probabilidade de apresentar um alto nível de estimulação.


Assuntos
Humanos , Pré-Escolar , Criança , Comportamento Infantil , Desenvolvimento Infantil , Educação Infantil , Relações Familiares
2.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-49100

RESUMO

Amamentação traz benefícios para a saúde da mulher e da criança. O aleitamento materno é recomendado até os dois anos ou mais, sendo de forma exclusiva nos primeiros seis meses de vida da criança. É um alimento completo, pois contém todos os nutrientes e proteínas necessários para o crescimento e desenvolvimento nesta fase. Além disso, possui substâncias de defesa que não são encontradas em nenhum outro leite e protegem o organismo da criança.


Assuntos
Aleitamento Materno , Desenvolvimento Infantil , Promoção da Saúde , Saúde Materno-Infantil
3.
PLoS One ; 17(8): e0267666, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35921322

RESUMO

INTRODUCTION: Early childhood experiences have a lifelong impact on a child's future. Social and environmental experiences and interactions have a profound relational effect on children's physical and mental health which transfers agency to parents, caregivers and duty-bearers to care for the child's welfare. In the Australian context early child development indices have been in decline in some communities. Hence, there is a sense of urgency to reverse these trends from an integrated perspective. A multisector, multi component program of interventions named A Good Start in Life is proposed and is being tested in the Australian Capital Territory across suburbs with high levels of early childhood development disadvantage. The aim of this study is to evaluate the outcomes and processes related to targeted interventions, designed to integrate child and family services within the local district and embed allied health programs into early childhood education, care services and playgroups. METHODS AND ANALYSIS: The Good Start in Life study will use a quasi-experimental design (with a matched control geographical area) consisting of a combination of interventions that will build multisectoral collaboration across education, health and social services that connect and support families with children from birth to 5 years. The control area will be matched on demographic characteristics and early child development outcomes and trends over the pre-intervention period. Evaluation data will be collected at baseline, and then on an annual basis for a further three years. A mixed methods approach will be used to evaluate delivery processes: quantitative (checklists, questionnaires) and qualitative methods (observations, focus groups and key stakeholder interviews). Effectiveness of the programme will be evaluated by comparing early child development outcomes between the comparator areas from the Australian Early Development Census in 2024. The primary focus will be on reducing the number of children who are developmentally vulnerable on at least one early development index (EDI). Separate tests will be conducted for significant differences in the percentage of children at risk in each of the five individual EDI domains. These domains are physical health and wellbeing, social competence, emotional maturity, language and cognitive skills, and communication and general knowledge. TRIAL REGISTRATION: ACTRN12621001140842.


Assuntos
Desenvolvimento Infantil , Pais , Austrália , Criança , Pré-Escolar , Família , Promoção da Saúde , Humanos
4.
Am J Occup Ther ; 76(5)2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-35943846

RESUMO

IMPORTANCE: Research on the characteristics of father-child play is limited, and how fathers perceive this experience and its contribution to children's development and the parent-child relationship is insufficiently described. OBJECTIVE: To explore associations between fathers' own playfulness, their supportiveness of child playfulness, and child playfulness and fathers' perceptions of their joint play experiences. DESIGN: Convergent mixed-methods design. SETTING: Family homes. PARTICIPANTS: The participants were 57 father-child dyads who resided in a metropolitan area. Children were ages 2 to 5 yr. Interviews with 11 fathers (ages 25-56 yr) were included in the qualitative analysis. OUTCOMES AND MEASURES: Fathers completed a background questionnaire and the Short Measure of Adult Playfulness (SMAP) and participated in a semistructured interview. Fifteen minutes of video-recorded joint play were scored using the Parent/Caregiver Support of Children's Playfulness (PCSCP) and the Test of Playfulness (ToP). RESULTS: Fathers' own playfulness as measured with the SMAP was not related to their child's playfulness as measured with the ToP; however, their supportive behavior as measured with the PCSCP was associated with their child's playfulness. Fathers recognized the benefits of joint play for their child's development. CONCLUSIONS AND RELEVANCE: The current findings help fill the gap in research linking fathers' own playfulness and supportiveness during joint play and their child's playfulness with fathers' perceptions of this experience. What This Article Adds: Understanding fathers' perceptions and behaviors can further enhance service delivery to children and families through interprofessional work to benefit parent-child relationships as well as child development.


Assuntos
Relações Pai-Filho , Pai , Adulto , Desenvolvimento Infantil , Pré-Escolar , Humanos , Masculino , Pessoa de Meia-Idade , Relações Pais-Filho , Poder Familiar , Inquéritos e Questionários
5.
Early Hum Dev ; 172: 105634, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35921693

RESUMO

BACKGROUND: Although numerous studies have examined the development of preterm children born very low birth weight (VLBW, birth body weight < 1500 g), variations of developmental progress within individuals have rarely been explored. The aim of this research was to examine the cognitive and motor trajectories in preterm children born VLBW at early ages and to assess the risk factors and predictability of these trajectories. METHOD: Five hundred and eighty preterm infants born VLBW from three cohort studies (2003 to 2014) were prospectively assessed their mental and motor development using the Bayley Scales at 6, 12, 24, and 36 months, and cognitive, motor and behavioral outcomes using the Movement Assessment Battery for Children and the Child Behavior Checklist for Ages 1.5-5 at 4 years of age. RESULTS: Preterm children born VLBW manifested three cognitive patterns (stably normal [64.0 %], deteriorating [31.4 %], and persistently delayed [4.6 %]) and four motor patterns (above average [6.3 %], stably normal [60.0 %], deteriorating [28.5 %], and persistently delayed [5.2 %]) during 6-36 months. Low birth body weight, stage III-IV retinopathy of prematurity and low parental socio-economic status were associated with the deteriorating patterns; prolonged hospitalization and major brain damage were additionally associated with the persistently delayed patterns. Furthermore, the cognitive and motor deteriorating pattern was each predictive of cognitive and motor impairment at 4 years of age; whereas, the persistently delayed patterns were predictive of multiple impairments. CONCLUSION AND IMPLICATIONS: Preterm children born VLBW display heterogeneous trajectories in early cognitive and motor development that predict subsequent developmental and behavioral outcomes.


Assuntos
Recém-Nascido Prematuro , Recém-Nascido de muito Baixo Peso , Peso ao Nascer , Criança , Desenvolvimento Infantil , Pré-Escolar , Cognição , Humanos , Lactente , Recém-Nascido , Fatores de Risco
6.
Artigo em Inglês | MEDLINE | ID: mdl-35954617

RESUMO

According to the concept of "embodied cognition", motor development should not be considered distant from cognitive and language processes. Motor development is essential in the first 1000 days of life, as the child explores and learns new information from the environment. Among motor activities, baby swimming allows infants to make movements that they are not able to perform on solid ground. Since movements become slower in water, the sensory perception of these movements is amplified. However, the relationship between early swimming experience and motor development has not yet been investigated. Therefore, we carried out a pilot study with the aim of exploring this relationship for the first time. To that end, 32 infants aged from 6 to 10 months were recruited. The Peabody Developmental Motor Scale-2 was used to assess motor abilities in healthy children who regularly carried out aquatic courses compared to children who never attended swimming practice. Independent-sample t-tests showed significant differences in favor of the group that performed infant swimming activities on measures of reflexes (t = -2.2, p < 0.05), grasping (t = -3.8, p < 0.001), fine-motor quotient (t = -3.4, p < 0.01) and total-motor quotient (t = -2.4, p < 0.05). Overall, in line with the embodied cognition perspective, these preliminary results are encouraging and allow us to investigate how motor development influences later language development.


Assuntos
Desenvolvimento da Linguagem , Natação , Criança , Desenvolvimento Infantil , Cognição , Humanos , Lactente , Aprendizagem , Destreza Motora , Projetos Piloto
7.
Multimedia | Recursos Multimídia | ID: multimedia-9849

RESUMO

Como podemos contribuir para que as crianças tenham uma infância plena nos dias de hoje?Na preparação para o XXXVI Congresso Brasileiro de Homeopatia – que se realizará entre os dias 11 a 15 de novembro, sob o tema Homeopatia – Novos tempos, a AMHB em parceria com as suas federadas está organizando atividades de aquecimento para a discussão de temas que possam auxiliar na atuação do médico homeopata e informar a sociedade sobre as contribuições e avanços da homeopatia nestes novos tempos. A sociedade vem vivendo grandes transformações culturais, comportamentais, científicas e econômicas que nos desafiam, exigem, impõem reflexão e adequações, para uma ação renovadora de nossas concepções e atitudes como médicos homeopatas. Essa atividade será uma exploração reflexiva de temas relacionados à prática médica homeopática nesses novos tempos que estamos vivenciando. A primeira live acontece dia 13 de maio às 20 horas com o tema Homeopatia para Infância Plena com a participação da Dra. Nazira Scaffi, do Dr. Iso Fischer e da Dra. Rosana Nechar. A apresentação será da Dra. Vera Lúcia Vasconcelos.


Assuntos
Homeopatia , Desenvolvimento Infantil , Emoções , Saúde da Criança , Relações Familiares
8.
Int J Public Health ; 67: 1604804, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35795098

RESUMO

Objectives: The study aimed to assess and compare the global development in six-month-old infants before and during the pandemic restrictive social distancing measures. Methods: This cross-sectional nested study involved infants assessed through the Griffiths Scales of Child Development (GSCD) between September 2019 and April 2021. Infants were classified in a pre-COVID or a COVID group, considering the evaluation date and the restrictive measures in place. GSCD subscales and General Development Scores (GDS) were calculated and compared. Results: One hundred and four healthy term-born infants were evaluated. GDS in the COVID group (n:70; median: 94; IQR: 90-100) appeared significantly lower than in the pre-COVID group (n:34; median: 98; IQR: 97-103; p < 0.001). Language and personal-social-emotional subareas scores appeared the most affected. A decreasing trend of GDS along with the severity of restriction was observed. Conclusion: A reduction in infant development scores was observed during pandemic social distancing. Further studies are needed to systematize these findings and to address effective public health policies for infants and families during long-term forced isolation periods.


Assuntos
COVID-19 , Pandemias , COVID-19/epidemiologia , Criança , Desenvolvimento Infantil , Estudos Transversais , Humanos , Lactente
9.
Salud Colect ; 18: e3921, 2022 May 05.
Artigo em Espanhol | MEDLINE | ID: mdl-35896325

RESUMO

The objective of this article is to analyze the meanings and scope of the concept of normality as used in the study of child development, highlighting its implications in clinic and research settings. Concepts and theoretical approaches from various disciplinary fields are intertwined in order to propose themes for discussion and reflection. The first is related to the definitions of normality applied to human development and their translation into instruments, models, and forms of intervention. The second refers to the importance of transcending dualist visions, making way for approaches that consider the diversity of development trajectories as historically and ecologically situated processes. The third seeks to reflect on the ethical implications of routine ways of approaching and accompanying children whose developmental trajectories differ greatly from normative models. This article aims to contribute to the creation and preservation of spaces for interdisciplinary dialogue and work, as well as the training of professionals in the field of child development.


El objetivo de este artículo es analizar los sentidos y alcances del concepto de normalidad en el abordaje del desarrollo infantil, considerando sus implicancias en la labor clínica y de investigación. Se articulan conceptos y enfoques teóricos de diversos campos disciplinares con el fin de proponer ejes de discusión y reflexión. El primer eje se vincula con las definiciones de normalidad aplicadas al desarrollo humano y su traducción en instrumentos, modelos y formas de intervención. El segundo, refiere a la importancia de trascender visiones dualistas, dando lugar a enfoques que consideren la diversidad de las trayectorias de desarrollo, en tanto procesos histórica y ecológicamente situados. El tercer eje busca plantear las implicancias a nivel ético de formas de abordar y acompañar a niños y niñas que despliegan trayectorias que se alejan de modelos normativos. Este artículo pretende contribuir a la creación y sostenimiento de espacios de diálogo y trabajo interdisciplinarios, y a la formación de profesionales en el campo del desarrollo infantil.


Assuntos
Desenvolvimento Infantil , Saúde , Criança , Humanos
10.
Nutr J ; 21(1): 46, 2022 07 18.
Artigo em Inglês | MEDLINE | ID: mdl-35843945

RESUMO

BACKGROUND: The rapid neurodevelopment that occurs during the first years of life hinges on adequate nutrition throughout fetal life and early childhood. Therefore, adhering to a dietary pattern based on healthy foods during pregnancy and the first years of life may be beneficial for future development. The aim of this paper was to investigate the relationship between adherence to a healthy and potentially sustainable Nordic diet during pregnancy and in early childhood and child development. METHODS: This study is based on the Norwegian Mother, Father and Child Cohort Study (MoBa) and uses data from the Medical Birth Registry of Norway (MBRN). In 83,800 mother-child pairs, maternal pregnancy diet and child diet at 6 months, 18 months and 3 years were scored according to adherence to the New Nordic Diet (NND). NND scores were calculated both as a total score and categorized into low, medium, or high adherence. Child communication and motor development skills were reported by parents at 6 months, 18 months, 3 and 5 years, using short forms of the Ages and Stages Questionnaire and the Child Development Inventory. Associations of NND adherence with child development were estimated with linear and logistic regression in crude and adjusted models. RESULTS: When examining the NND and child developmental scores as percentages of the total scores, we found positive associations between the NND scores (both maternal pregnancy diet and child diet) and higher scoring on child development (adjusted [Formula: see text] s [95% confidence intervals] ranging from 0.007 [0.004, 0.009] to 0.045 [0.040, 0.050]). We further found that low and medium adherence to NND were associated with higher odds of later emerging developmental skills compared to high NND adherence at nearly all measured timepoints (odds ratios [95% CI] ranging from significant values 1.15 [1.03-1.29] to 1.79 [1.55, 2.06] in adjusted analyses). CONCLUSIONS: Our findings support that adherence to a healthy and potentially sustainable diet early in life is important for child development every step of the way from pregnancy until age 5 years.


Assuntos
Desenvolvimento Infantil , Mães , Pré-Escolar , Estudos de Coortes , Dieta , Pai , Feminino , Humanos , Masculino , Noruega , Gravidez
11.
J Exp Child Psychol ; 223: 105491, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35792510

RESUMO

Developmentalists have investigated relief as a counterfactually mediated emotion, but not relief experienced when negative events end-so-called temporal relief. This study represents the first body of work to investigate the development of children's understanding of temporal relief and compare it with their understanding of counterfactual relief. Across four experiments (407 children aged 4-11 years and 60 adults; 52% female), we examined children's ability to attribute counterfactual and temporal relief to others. In Experiment 1, 7- to 10-year-olds typically judged that two characters would feel equally happy despite avoiding or enduring an event that was unpleasant for one character. Using forced-choice procedures, Experiments 2 to 4 showed that a fledgling ability to attribute relief to others emerges at 5 to 6 years of age and that the tendency to make these attributions increases with age. The experiments in this study provide the first positive evidence in the literature as to when children can begin to attribute both counterfactual and temporal instances of relief to others. Overall, there was little evidence for separate developmental trajectories for understanding counterfactual and temporal relief, although in Experiment 4 there was an indication that, under scaffolded contexts, some children find it easier to attribute counterfactual relief rather than temporal relief to others.


Assuntos
Emoções , Percepção Social , Adulto , Criança , Desenvolvimento Infantil , Pré-Escolar , Feminino , Felicidade , Humanos , Masculino
12.
Adv Child Dev Behav ; 63: 309-343, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35871826

RESUMO

How do infants and young children reason about other people? What inferences do they make when they learn from teachers and whom do they choose to learn from? Past research in developmental psychology has demonstrated infants' and young children's competence in making these inferences. However, the mechanisms underlying these inferences and how these mechanisms change across development are less clear. In this chapter, we review a growing body of Bayesian probabilistic models on intuitive psychology and social learning. We integrate these models with past and new empirical studies within the framework of rational constructivism. These models showed that infants and children have intuitive theories about others (agents, teachers, and informants). When given new evidence, they rationally update their beliefs about others and their beliefs about the world based on these intuitive theories. Developmental changes can be explained by advances in children's intuitive theories. Finally, we propose future directions for both empirical and modeling work in these domains.


Assuntos
Aprendizado Social , Teorema de Bayes , Criança , Desenvolvimento Infantil , Pré-Escolar , Humanos , Lactente , Modelos Estatísticos , Psicologia da Criança
13.
Artigo em Inglês | MEDLINE | ID: mdl-35886518

RESUMO

The assessment of motor proficiency is essential across childhood to identify children's strengths and difficulties and to provide adequate instruction and opportunities; assessment is a powerful tool to promote children's development. This study aimed to investigate the hierarchal order of the Test of Gross Motor Development-Third Edition (TGMD-3) items regarding difficulty levels and the differential item functioning across gender and age group (3 to 5, 6 to 8, and 9 to 10 years old). Participants are 989 children (3 to 10.9 years; girls n = 491) who were assessed using TGMD-3. For locomotor skills, appropriate results reliability (alpha = 1.0), infit (M = 0.99; SD = 0.17), outfit (M = 1.18; SD = 0.64), and point-biserial correlations (rpb values from 0.14 to 0.58) were found; the trend was similar for ball skills: reliability (alpha = 1.0), infit (M = 0.99; SD = 0.13), outfit (M = 1.08; SD = 0.52); point-biserial correlations (rpb values from 0.06 to 0.59) were obtained. Two motor criteria: gallop, item-1, and one-hand forehand strike, item-4, were the most difficult items; in contrast, run, item-2, and two-hand catch, item-2, were the easiest items. Differential item functioning for age was observed in nine locomotor and ten ball skills items. These items were easier for older children compared to younger ones. The TGMD-3 has items with different difficulty levels capable of differential functioning across age groups.


Assuntos
Desenvolvimento Infantil , Destreza Motora , Adolescente , Criança , Pré-Escolar , Feminino , Mãos , Humanos , Masculino , Reprodutibilidade dos Testes
14.
Am J Trop Med Hyg ; 107(1): 72-81, 2022 07 13.
Artigo em Inglês | MEDLINE | ID: mdl-35895372

RESUMO

There is a lack of information highlighting associations between different pathogenic variants of diarrheagenic Escherichia coli and childhood growth. Pathogenic variants of E. coli from stool samples, collected from 22,567 children enrolled in the Global Enteric Multicenter Study from December 2007 to March 2011, were detected by real-time polymerase chain reaction. We estimated the associations of different pathogenic variants of diarrheagenic E. coli with child growth. The association between an explanatory variable and the outcome variable was assessed using multiple linear regression, where the dependent variables were height-for-age, weight-for-age, and weight-for-height z-scores, and the independent variable was the presence of different pathogenic variants of diarrheagenic E. coli. After adjusting for potential covariates, such as age, gender, diarrhea, breastfeeding status, mother's education, number of under-5 children, handwashing practice, handwashing material, source of drinking water, wealth index, available toilet facility, copathogens, comorbidity, time, and study site, the multivariable model identified a negative association between different pathogenic variants of diarrheagenic E. coli and child growth. Our analyses may provide the cornerstone for prospective epidemiologic investigation for the development of preventive measures for diarrheagenic E. coli and combat childhood undernutrition.


Assuntos
Desenvolvimento Infantil , Diarreia/microbiologia , Infecções por Escherichia coli/microbiologia , Escherichia coli/patogenicidade , Pré-Escolar , Diarreia/epidemiologia , Diarreia/prevenção & controle , Escherichia coli/genética , Infecções por Escherichia coli/complicações , Infecções por Escherichia coli/epidemiologia , Infecções por Escherichia coli/prevenção & controle , Feminino , Humanos , Lactente , Masculino , Estudos Prospectivos , Reação em Cadeia da Polimerase em Tempo Real
16.
Artigo em Inglês | MEDLINE | ID: mdl-35805256

RESUMO

The early years of a child's life are the foundation for their future capability development. Poor health, hunger, poverty, low parental education, lack of parental interaction, high screen time, and poor housing environment hamper their development. There is little evidence of a link between early child development (ECD) and sociodemographic factors in Thailand. In response to monitoring the achievement of SDG target 4.2.1 (the proportion of young children who are developmentally on track in health, learning and psychosocial well-being) as required by all UN Member States, this study analyses the prevalence of appropriate levels of ECD and its correlates of Thai children aged 3 to 4 years. A cross-sectional study of the 6th Multiple Indicator Cluster Survey (MICS) data in 2019 conducted by the National Statistical Office was employed. Face-to-face interviews with mothers and/or legal guardians were conducted. A total of 5787 children aged 3 to 4 were enrolled in this study. The majority of participants, approximately 92.3%, had achieved an appropriate level of ECD index, defined as children who were developmentally on track in at least three out of these four domains: cognitive, physical, social, and learning. Multivariate logistic regression showed that girls had a higher appropriate development index than boys (Adjusted Odds Ratio [AOR] = 1.56, 95% Confidence Interval [95% CI] 1.28-1.90; children living in the 5th wealth quintile had a higher appropriate index than those in a less well-off family the first wealth quintile (AOR = 2.92, 95% CI: 1.86-4.58. Univariate logistic regression showed children living with parents achieving post-secondary education had a significantly greater appropriate index than children living with parents completing secondary education or below (Crude OR = 1.95, 95% CI 1.47-2.58); children who had appropriate parental interactions of more than four out of six interactions, had a significantly higher chance of having an appropriate index than less than four interactions (Crude OR = 1.52, 95% CI 1.14-2.04). Multi-sectoral policies to support child development in low socio-economic households should be strengthened. In addition, family and community should promote parental interactions through reading and playing with young children. Future studies which directly measure ECD in conjunction with regular monitoring through MICS are recommended.


Assuntos
Desenvolvimento Infantil , Desenvolvimento Sustentável , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Mães , Inquéritos e Questionários , Tailândia
17.
Respir Physiol Neurobiol ; 305: 103942, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35777720

RESUMO

BACKGROUND: Hypoxia can adversely affect cognition, while socioeconomic deprivation has also been associated with impaired neurodevelopment in the newborn. We aimed to assess the impact of hypoxia and socioeconomic deprivation on the neurodevelopmental outcomes of preterm infants. METHODS: Retrospective cohort study at a tertiary neonatal unit between 2015 and 2018. The motor, cognitive and language domain scores of the Bayley-III assessment were recorded at 24 months of corrected gestational age. The percentage of time with pulse oximetry (SpO2) < 75% was measured from the nursing records, from admission to 36 weeks postmenstrual age in infants born < 30 weeks gestational age. The multiple deprivation index (MDI) and the main care giver's education domain of the MDI were also recorded. RESULTS: A total of 93,767 data points from 80 infants (34 male) with a median (IQR) gestational age of 27.9(25.9-29.0) weeks and a birth weight of 0.94(0.74-1.23) kg were analysed. The median (IQR) motor score [103(91-110)] was significantly related to the median (IQR) time with SpO2 < 75% [1.5(0.9-3.4)%, adjusted p = 0.020]. The median (IQR) cognitive score [100(90-105)] was negatively significantly related to the time with SpO2 < 75% (adjusted p = 0.012) and the median (IQR) education decile of the MDI [7(6-9), adjusted p = 0.011]. The median (IQR) language score [91(77-100)] was significantly positively related to the education domain of the MDI (adjusted p = 0.025). CONCLUSIONS: Hypoxia in preterm infants exerted a negative impact on motor function and cognition and conversely, higher educational attainment had a positive impact on cognition and language.


Assuntos
Desenvolvimento Infantil , Recém-Nascido Prematuro , Idade Gestacional , Humanos , Hipóxia , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos , Fatores Socioeconômicos
18.
J Exp Child Psychol ; 223: 105492, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35779285

RESUMO

Motor skills are an important aspect of development during infancy and have been found to predict development in other domains. Therefore, fast and reliable assessments of infant motor skills are needed. The current study revisited a time and cost-effective parent-report measure of infants' motor skills-the Early Motor Questionnaire (EMQ)-and aimed to improve the utility of the EMQ as a tool to examine variability, stability, and individual differences in early motor development. A sample of 446 parents of infants provided a total of 775 EMQ responses for analyses. Using this large sample, regression was used to create age-independent scores for global, gross motor, fine motor, and perception-action scores on the EMQ. Age-adjusted scores were then converted to t-scores to facilitate score interpretation for past and future studies using the EMQ. Finally, starting flags for different age groups were created to decrease the time it takes parents to complete the EMQ. Together, these changes to the EMQ will improve the utility and interpretability of the measure. The EMQ is free to use and available in the supplemental materials or via www.onlinebabylab.com/emq.


Assuntos
Destreza Motora , Pais , Desenvolvimento Infantil/fisiologia , Humanos , Individualidade , Lactente , Destreza Motora/fisiologia , Inquéritos e Questionários
19.
JAMA Netw Open ; 5(7): e2222249, 2022 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-35849396

RESUMO

Importance: The ability to identify poor outcomes and treatable risk factors among very preterm infants remains challenging; improving early risk detection and intervention targets to potentially address developmental and behavioral delays is needed. Objective: To determine associations between neonatal neurobehavior using the Neonatal Intensive Care Unit (NICU) Network Neurobehavioral Scale (NNNS), neonatal medical risk, and 2-year outcomes. Design, Setting, and Participants: This multicenter cohort enrolled infants born at less than 30 weeks' gestation at 9 US university-affiliated NICUs. Enrollment was conducted from April 2014 to June 2016 with 2-year adjusted age follow-up assessment. Data were analyzed from December 2019 to January 2022. Exposures: Adverse medical and psychosocial conditions; neurobehavior. Main Outcomes and Measures: Bayley Scales of Infant and Toddler Development, third edition (Bayley-III), cognitive, language, and motor scores of less than 85 and Child Behavior Checklist (CBCL) T scores greater than 63. NNNS examinations were completed the week of NICU discharge, and 6 profiles of neurobehavior were identified by latent profile analysis. Generalized estimating equations tested associations among NNNS profiles, neonatal medical risk, and 2-year outcomes while adjusting for site, maternal socioeconomic and demographic factors, maternal psychopathology, and infant sex. Results: A total of 679 enrolled infants had medical and NNNS data; 2-year follow-up data were available for 479 mothers and 556 infants (mean [SD] postmenstrual age at birth, 27.0 [1.9] weeks; 255 [45.9%] female). Overall, 268 mothers (55.9%) were of minority race and ethnicity, and 127 (26.6%) lived in single-parent households. The most common neonatal medical morbidity was BPD (287 [51.7%]). Two NNNS behavior profiles, including 157 infants, were considered high behavioral risk. Infants with at least 2 medical morbidities (n = 123) were considered high medical risk. Infants with high behavioral and high medical risk were 4 times more likely to have Bayley-III motor scores less than 85 compared with those with low behavioral and low medical risk (adjusted relative risk [aRR], 4.1; 95% CI, 2.9-5.1). Infants with high behavioral and high medical risk also had increased risk for cognitive scores less than 85 (aRR, 2.7; 95% CI, 1.8-3.4). Only infants with high behavioral and low medical risk were in the clinical range for CBCL internalizing and total problem scores (internalizing: aRR, 2.3; 95% CI, 1.1-4.5; total: aRR, 2.5; 95% CI, 1.2-4.4). Conclusions and Relevance: In this study, high-risk neonatal neurobehavioral patterns at NICU discharge were associated with adverse cognitive, motor, and behavioral outcomes at 2 years. Used in conjunction with medical risk, neonatal neurobehavioral assessments could enhance identification of infants at highest risk for delay and offer opportunities to provide early, targeted therapies.


Assuntos
Doenças do Prematuro , Recém-Nascido Prematuro , Desenvolvimento Infantil , Feminino , Humanos , Lactente , Recém-Nascido , Recém-Nascido de muito Baixo Peso , Unidades de Terapia Intensiva Neonatal , Masculino
20.
Nursing (Säo Paulo) ; 25(290): 8045-8058, julho.2022.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1379837

RESUMO

Objetivo: Compreender a percepção dos enfermeiros sobre o acompanhamento do lactente filho de mãe encarcerada no seu primeiro ano de vida no sistema prisional. Método: Estudo descritivo com abordagem qualitativa, com abordagem da estratégia bola de neve. A amostra totalizou nove participantes enfermeiros, que participaram independente da instituição a qual estão vinculadas. Resultados: A análise, à luz do referencial de Bardin, evidenciou três categorias temáticas: acompanhamento do lactente no primeiro ano de vida, promoção do aleitamento materno no sistema prisional e separação mãe e filho no sistema carcerário. Conclusão: O acompanhamento de saúde do lactente dentro do sistema carcerário está de acordo com o preconizado pelo Ministério da Saúde, entretanto, a falta estrutura pode acarretar perdas no desenvolvimento neuropsicomotor pela falta de estímulos adequados.(AU)


Objective: To understand the perception of nurses about the monitoring of the infant child of an incarcerated mother in his first year of life in the prison system. Method: Descriptive study with a qualitative approach, with a snowball strategy approach. The sample totaled nine participating participants, who participated regardless of the institution to which they are linked. Results: The analysis, in the light of Bardin's framework, showed three thematic categories: follow- up of the infant in the first year of life, promotion of breastfeeding in the prison system and mother and child separation in the prison system. Conclusion: The health monitoring of the infant of the carcer system is in accordance with the preconized by the Ministry of Health, within a structure can lead to losses in neuropsychomotor development due to the lack of relevant stimuli.(AU)


Objetivo: Comprender la percepción de los enfermeros sobre el acompañamiento de un bebé nacido de madre encarcelada en su primer año de vida en el sistema penitenciario. Método: Estudio descriptivo con enfoque cualitativo, con enfoque de estrategia bola de nieve. La muestra totalizó nueve enfermeros participantes, quienes participaron independientemente de la institución a la que estén vinculados. Resultados: El análisis, a la luz del marco de Bardin, mostró tres categorías temáticas: seguimiento del infante en el primer año de vida, promoción de la lactancia materna en el sistema penitenciario y separación maternoinfantil en el sistema penitenciario. Conclusión: El seguimiento de la salud del infante dentro del sistema penitenciario es acorde a lo recomendado por el Ministerio de Salud, sin embargo, la falta de estructura puede generar pérdidas en el desarrollo neuropsicomotor por falta de estímulos adecuados.(AU)


Assuntos
Prisões , Aleitamento Materno , Cuidado da Criança , Desenvolvimento Infantil
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