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Rev. esp. quimioter ; 35(3): 265-272, jun.-jul. 2022. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-205368


Objetivos. Se describe clínica y epidemiológicamente unbrote de infección gastrointestinal por Salmonella entéricaser. (serotipo) Enteritidis, en una escuela infantil urbana, queconllevó elevada morbilidad e importante alarma social. La comunicación inmediata, así como el estudio adecuado del brote,en ambas vertientes, permitieron identificar el patógeno y establecer medidas de control en un plazo razonable de tiempo.Se discuten aspectos controvertidos como la indicación de antibioterapia o el momento de cierre del centro.Material y métodos. Se recogió retrospectivamente información clínica, analítica y epidemiológica, y se revisó la metodología y resultados del estudio del brote.Resultados. 57 niños (3-45 meses) de 92 asistentes al centro, fueron afectados y tuvieron confirmación microbiológica.Diarrea y fiebre fueron los principales síntomas. 74% acudieronal hospital, y 37% ingresaron, (estancia media 3,3 días). Fueronfactores asociados al ingreso: deshidratación, elevación significativa de reactantes de fase aguda y coagulopatía. 12 recibieroncefotaxima parenteral. Se registraron 2 complicaciones: 1 bacteriemia y 1 reingreso. La sospecha inicial del origen del brotefueron los alimentos, pero el análisis de las muestras testigofue negativo. 5 trabajadores fueron positivos (2 sintomáticos).Vigilancia Epidemiológica concluyó que el origen probable delbrote fue un portador asintomático y la manipulación incorrectade pañales. El centro permaneció cerrado 8 días. Se realizaronmedidas de limpieza y desinfección, instrucción sobre cambio depañales y seguimiento de portadores.Conclusiones. La agrupación en tiempo y espacio de casos debe ser notificada inmediatamente para el control precozdel brote. Los niños pueden presentar formas graves de gastroenteritis por Salmonella. (AU)

Objectives. We describe clinically and epidemiologically anoutbreak of gastrointestinal infection by Salmonella entericaser. (serotype) Enteritidis in an urban infant school, which ledto high morbidity and significant social alarm. The immediatecommunication, as well as the adequate study of the outbreak, inboth aspects, allowed identifying the pathogen and establishingcontrol measures in a reasonable period of time. Controversialaspects such as the indication of antibiotherapy or the momentof closing the center are discussed.Methods. We retrospectively collected clinical, analyticaland epidemiological information and we reviewed themethodology of the outbreak study and its results.Results. A total of 57 children (3-45 months), wereaffected and had microbiological confirmation. Diarrhea andfever were the main symptoms. 74% went to the hospital and37% were admitted (mean stay 3.3 days). Factors associatedwith admission were: dehydration, significant elevation ofacute phase reactants and coagulopathy. Twelve patientsreceived parenteral cefotaxime. There were 2 complications:1 bacteremia and 1 readmission. The initial suspicion ofthe origin of the outbreak was food, but the analysis of thecontrol samples was negative. Five workers were positive (2symptomatic). Epidemiologic Surveillance concluded that theprobable origin of the outbreak was an asymptomatic carrierand improper diapers handling. The center was closed for 8days. Cleaning and disinfection measures were carried out, aswell as instruction on diaper changing, and the carriers werefollowedConclusions. Clustering in time and space of cases shouldbe reported immediately for early control of the outbreak.Children may present severe forms of Salmonella gastroenteritis (AU)

Humanos , Lactente , Pré-Escolar , Criança , Infecções por Salmonella/epidemiologia , Liberação de Vírus , Escolas Maternais , 35172 , Morbidade , Gastroenterite , Hospitalização , Espanha
Arch Pediatr ; 29(5): 388-394, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35523635


BACKGROUND: The aim of the present study was to assess the prevalence of overweight, obesity, and early adiposity rebound in nursery school children aged 3.5-4.5 years and to evaluate associations with deprivation. METHODS: A cross-sectional study was conducted in the Bouches-du-Rhône department in southeastern France. Data for all nursery school children aged 3.5-4.5 years were collected during systematic medical examinations. The prevalence of overweight and obesity was determined using French, International Obesity Task Force (IOTF), and World Health Organization reference values. A French ecological deprivation index was used to assess associations with deprivation. RESULTS: Among 19,295 children included in the study, the prevalence of overweight (IOTF-25 < BMI < IOTF-30) was 9.1% and the prevalence of obesity (BMI > IOTF-30) was 2.6%. Children attending nursery schools in the most disadvantaged areas were 4.3 times more likely to be affected by obesity than those from schools in the most advantaged areas (OR: 4.32; 95% CI: 2.98-6.25, p < 0.001), after adjusting for gender, age group, and school status. Early adiposity rebound was observed in 2131 of 9872 children (21.6%). CONCLUSION: Programs to prevent childhood overweight and obesity in France should be intensified and take account of major persistent social inequalities. Medical practitioners should learn to systematically assess BMI curve dynamics and early adiposity rebound.

Sobrepeso , Obesidade Pediátrica , Adiposidade , Índice de Massa Corporal , Criança , Estudos Transversais , Humanos , Sobrepeso/epidemiologia , Obesidade Pediátrica/epidemiologia , Prevalência , Escolas Maternais
Rev Esp Quimioter ; 35(3): 265-272, 2022 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-35429965


OBJECTIVE: We describe clinically and epidemiologically an outbreak of gastrointestinal infection by Salmonella enterica ser. (serotype) Enteritidis in an urban infant school, which led to high morbidity and significant social alarm. The immediate communication, as well as the adequate study of the outbreak, in both aspects, allowed identifying the pathogen and establishing control measures in a reasonable period of time. Controversial aspects such as the indication of antibiotherapy or the moment of closing the center are discussed. METHODS: We retrospectively collected clinical, analytical and epidemiological information and we reviewed the methodology of the outbreak study and its results. RESULTS: A total of 57 children (3-45 months), were affected and had microbiological confirmation. Diarrhea and fever were the main symptoms. 74% went to the hospital and 37% were admitted (mean stay 3.3 days). Factors associated with admission were: dehydration, significant elevation of acute phase reactants and coagulopathy. Twelve patients received parenteral cefotaxime. There were 2 complications: 1 bacteremia and 1 readmission. The initial suspicion of the origin of the outbreak was food, but the analysis of the control samples was negative. Five workers were positive (2 symptomatic). Epidemiologic Surveillance concluded that the probable origin of the outbreak was an asymptomatic carrier and improper diapers handling. The center was closed for 8 days. Cleaning and disinfection measures were carried out, as well as instruction on diaper changing, and the carriers were followed. CONCLUSIONS: Clustering in time and space of cases should be reported immediately for early control of the outbreak. Children may present severe forms of Salmonella gastroenteritis.

Intoxicação Alimentar por Salmonella , Infecções por Salmonella , Criança , Surtos de Doenças , Humanos , Lactente , Estudos Retrospectivos , Intoxicação Alimentar por Salmonella/epidemiologia , Intoxicação Alimentar por Salmonella/microbiologia , Infecções por Salmonella/epidemiologia , Salmonella enteritidis , Instituições Acadêmicas , Escolas Maternais
Euro Surveill ; 27(9)2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35241214


Although most invasive meningococcal disease (IMD) cases are sporadic without identified transmission links, outbreaks can occur. We report three cases caused by meningococcus B (MenB) at a Belgian nursery school over 9 months. The first two cases of IMD occurred in spring and summer 2018 in healthy children (aged 3-5 years) attending the same classroom. Chemoprophylaxis was given to close contacts of both cases following regional guidelines. The third case, a healthy child of similar age in the same class as a sibling of one case, developed disease in late 2018. Microbiological analyses revealed MenB with identical finetype clonal complex 269 for Case 1 and 3 (unavailable for Case 2). Antimicrobial susceptibility testing revealed no antibiotic resistance. Following Case 3, after multidisciplinary discussion, chemoprophylaxis and 4CMenB (Bexsero) vaccination were offered to close contacts. In the 12-month follow-up of Case 3, no additional cases were reported by the school. IMD outbreaks are difficult to manage and generate public anxiety, particularly in the case of an ongoing cluster, despite contact tracing and management. This outbreak resulted in the addition of MenB vaccination to close contacts in Wallonian regional guidelines, highlighting the potential need and added value of vaccination in outbreak management.

Infecções Meningocócicas , Vacinas Meningocócicas , Neisseria meningitidis Sorogrupo B , Bélgica/epidemiologia , Criança , Pré-Escolar , Surtos de Doenças , Humanos , Infecções Meningocócicas/diagnóstico , Infecções Meningocócicas/tratamento farmacológico , Infecções Meningocócicas/epidemiologia , Instituições Acadêmicas , Escolas Maternais , Sorogrupo
Artigo em Inglês | MEDLINE | ID: mdl-35270558


Due to psychological and physical differences, children are more vulnerable to the influence of the surrounding environment than adults. A nursery school in Japan was selected as the research object. The actual thermal environment of children aged 1 to 5 in the classroom was evaluated based on measured data in winter and summer. Through a questionnaire survey of nursery teachers, this paper analyzed and compared the relationship between teachers' thermal adaptation behavior and children's thermal sensation. Compared with the traditional fixed-points measurement method, a method of wearable sensors for children was proposed to measure the indoor temperature distribution. The traditional measurement results showed that 73% of classroom indoor temperatures and humidity do not meet the thermal comfort standard stipulated by the government. The method proposed in this paper indicates that: (1) nursery teachers' thermal adaptation behavior may not be based on children's thermal sensations; (2) solar radiation and weather context could lead to uneven indoor horizontal temperature distribution, hence, specific attention should be paid to the thermal environment when children move to the window side; and (3) the density of occupants causes the temperature around the human body to be relatively high. We suggest that teachers improve the thermal comfort of gathered children through thermal adaptive behaviors. The results of the study provide valuable information for nursery managers to formulate effective indoor thermal environment strategies from the perspective of children.

Escolas Maternais , Dispositivos Eletrônicos Vestíveis , Adulto , Criança , Humanos , Umidade , Inquéritos e Questionários , Tempo (Meteorologia)
Asia Pac J Ophthalmol (Phila) ; 11(1): 66-71, 2022 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-35030135


PURPOSE: Increased levels of outdoor light have been found to be associated causally with decreased rates of myopia. The goal of this study was to measure the effect of indoor nursery school light intensity on refraction of preschool children in Israel. METHODS: A total of 1596 children aged 4 to 5 years from 27 nursery schools were examined. Light intensity was tested with a luxmeter device (Lux) inside and outside the nursery school. Noncycloplegic refractions were measured with the PlusOptix vision A09 screening device. Data analysis was performed using Pearson coefficients, chi-square tests for proportions and ANOVA tests by tertiles of illuminance. RESULTS: This study included 1131 kindergarten children with a mean age of 4.87 ±â€Š0.33 years, of which 571 were female (50.5%). The mean light intensity of the low, medium, and high intensity groups differed significantly (ANOVA P < 0.001) at 359 ±â€Š2.64 lux (range 264-431), 490 ±â€Š2.21 lux (range 432-574), and 670.76 ±â€Š3.73 lux (range 578-804), respectively. Mean spherical equivalent (SE) was +0.56 ±â€Š0.03D for the low-intensity group, +0.73 ±â€Š0.03D for the medium-intensity group, and +0.89 ±â€Š0.03D for the high-intensity group (ANOVA P < 0.001). The low-intensity group had 42.1% of children with zero refraction or less, while the high-intensity group had 19.3%. CONCLUSIONS: In the nursery schools, lower amounts of illumination were associated with less hyperopic refractive error. As the low hyperopic reserve is a risk factor for developing myopia, this finding needs to be followed up to establish whether this association reflects a causal relationship, which could be modulated for the prevention of myopia.

Hiperopia , Miopia , Erros de Refração , Pré-Escolar , Feminino , Humanos , Refração Ocular , Instituições Acadêmicas , Escolas Maternais
Clin Pediatr (Phila) ; 61(3): 259-265, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34889151


The objective of this retrospective cohort study was to decrease the frequency of laboratory draws and the number of neonates receiving empiric antibiotics who are born to mothers with chorioamnionitis from 100% to 50% 6 months following implementation of the sepsis risk calculator (SRC) at a level 1 community nursery. Data were compared pre- and post-implementation of the SRC using the Fischer's exact test. The rate of intravenous (IV) antibiotic use decreased from 93% to 7% (P < .0001). The rate of blood culture collection decreased from 100% to 46% (P < .0001). With implementation of the SRC, administration of IV antibiotics, laboratory draws, and IV placement significantly decreased without increasing rates of early-onset sepsis in our patient population. Our study demonstrated that the SRC can be effectively and safely implemented at a level 1 community-based newborn nursery, resulting in a decrease in unnecessary medical treatment without negative patient outcomes.

Sepse/classificação , Fatores de Tempo , Estudos de Coortes , Humanos , Estudos Retrospectivos , Medição de Risco/métodos , Medição de Risco/normas , Medição de Risco/estatística & dados numéricos , Fatores de Risco , Escolas Maternais/organização & administração , Escolas Maternais/estatística & dados numéricos , Sepse/diagnóstico , Índice de Gravidade de Doença
Psychiatr Prax ; 49(2): 89-98, 2022 Mar.
Artigo em Alemão | MEDLINE | ID: mdl-33773500


OBJECTIVE: Nursery school teachers are exposed to psycho-emotional stress in their profession, which can lead to health problems. The aim of the study was to examine whether and to what extent increased work commitment (overcommitment, OC) affects the health of educators. METHODS: 163 nursery school teachers (age 44.5 ±â€Š12.4 years) were recruited for the study. OC, mental health and the risk of burnout were assessed using standardized questionnaires. ECG recordings over 24 h served as a basis for the calculation of heart rate variability (HRV). RESULTS: 121 teachers showed normal OC and 42 teachers increased OC. In nursery school teachers with elevated OC, self-reported mental health is impaired and vagal mediated HRV (RMSSD and HF) is reduced. CONCLUSION: Since the subjectively assessed mental health of nursery school teachers with elevated OC deteriorates and HRV is reduced, preventive measures must be taken to maintain the health of nursery school teachers.

Esgotamento Profissional , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Alemanha , Humanos , Pessoa de Meia-Idade , Escolas Maternais , Estresse Psicológico/complicações , Inquéritos e Questionários
Rev. Ocup. Hum. (En línea) ; 22(1): 54-65, 2022.
Artigo em Espanhol | LILACS | ID: biblio-1357754


Este artículo propone una reflexión a partir de las experiencias de un grupo de estudiantes de Terapia Ocupacional durante su práctica en el área de educación, en diálogo con las apuestas de la perspectiva ética de Lévinas y la construcción de horizontes de sentido en el campo educativo, que interpelan comprensiones de la educación como instrumento para el mero aprendizaje de habilidades y conceptos que se instalan en los sujetos. La práctica se realizó con dos grupos de niños y niñas del Jardín Infantil de la Universidad Nacional de Colombia durante el primer semestre del 2021, en la modalidad de teleterapia ocupacional. Se enfatiza en el proceso de constitución de espacios de aprendizaje y reflexión sobre el actuar profesional en la escuela, en tiempos de distanciamiento social por la pandemia de COVID-19, y de otras formas para construir relaciones basadas en la proximidad y la acogida en teleterapia.

This article proposes a reflection based on the experiences of a group of Occupational Therapy students in their education area practice, in dialogue with the ethical perspective of Lévinas and the construction of horizons of meaning in the educational field, who ques- tion the understanding of education as a tool for the sole learning of skills and concepts installed in individuals. The practice was carried out with two groups of children in the Universidad Nacional de Colombia's kindergarten during the first semester of 2021 in the occupational teletherapy modality. Emphasis is placed on the process of creating spaces for learning and reflection on professional conducting at school, in times of social distan- cing due to the COVID-19 pandemic, and in other ways to build relationships based on proximity and embrace in teletherapy.

Este artigo propõe uma reflexão a partir das experiências de um grupo de estudantes de Terapia Ocupacional, durante sua prática na área da educação, em diálogo com a perspectiva ética de Lévinas e a construção de horizontes de sentido no campo educativo, que questionam as compreensões da educação como instrumento para a mera aprendizagem de habilidades e conceitos que se instalam nos sujeitos. A prática foi realizada com dois grupos de crianças do Jardim de Infância da Universidade Nacional da Colômbia, durante o primeiro semestre de 2021, na modalidade de teleterapia ocupacional. A ênfase é colocada no processo de constituição de espaços de aprendizagem e de reflexão sobre a atuação profissional na escola, em tempos de distanciamento social devido à pandemia de COVID-19, e de outras formas para construir relações baseadas na proximidade e no acolhimento em teleterapia.

Escolas Maternais , Terapia Ocupacional , Educação , Acolhimento , Teleterapia , Universidades , Educação à Distância , Jardins , Aprendizagem
Rev. latinoam. cienc. soc. niñez juv ; 19(2): 213-229, mayo-ago. 2021. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1347584


Resumen (analítico) Las alteraciones y trastornos psicomotrices en la infancia pueden repercutir en el desarrollo de habilidades motoras complejas e influir en los aprendizajes escolares. El objetivo del presente estudio fue analizar el perfil psicomotor en población infantil de planteles educativos de Colombia. Se utilizó un diseño transversal, descriptivo; se aplicó la batería psicomotora de Da Fonseca a 131 escolares (56.5 % varones; 43.5 % niñas) de 4-9 años, en educación preescolar y primaria. Los resultados indican que el 76.3 % tiene perfil normal, pero en la praxia fina predominó la dispraxia. Las niñas mostraron mejores valores que los niños en la mayoría de los factores. En conclusión, la mayoría de los infantes presenta un perfil eupráxico, hallándose mejores resultados en las niñas. Esto sugiere la implementación de programas escolares individualizados, previniendo posibles alteraciones.

Abstract (analytical) Psychomotor disturbances and disorders during childhood can have an impact on the development of complex motor skills and influence a child's learning in school. The goal of the present study was to analyze the psychomotor profile of a child population in schools in Colombia. A descriptive and cross-sectional design was used and the Da Fonseca psychomotor battery was applied to 131 students (56.5% boys; 43.5% girls) aged 4-9 years studying in kindergarten and primary education. The results show that 76.3% have a normal pyschoomotor profile, but Dyspraxia was dominant in Fine Praxia. Girls scored higher than boys in most of the factors. In conclusion, the majority of children present a Eupraxic profile, with improved results among girls. These results can contribute to the implementation of individualized school programs that could prevent possible disturbances.

Resumo (analítico) A alterações e distúrbios psicomotores na infância podem ter um impacto no desenvolvimento de habilidades motoras complexas e influenciar a aprendizagem escolar. O objetivo do presente estudo foi analisar o perfil psicomotor em uma população infantil em escolas da Colômbia. Utilizou-se delineamento descritivo e transversal. A bateria psicomotora Da Fonseca foi aplicada a 131 estudantes (56.5% meninos; 43.5% meninas) com idades entre 4 e 9 anos, no jardim de infância e no ensino fundamental. Os resultados indicam que 76.3% têm um perfil normal, mas na praxia fina predominou a dispraxia. As meninas apresentaram melhores valores que os meninos na maioria dos fatores. Em conclusão, a maioria das crianças apresenta um perfil eupráxico, encontrando melhores resultados nas meninas. Isso sugere a implementação de programas escolares individualizados, evitando possíveis distúrbios.

Escolas Maternais , Destreza Motora , População
Nutrients ; 13(7)2021 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-34209773


Nursery schools can play an important role in children developing healthy eating behaviours, including vegetable consumption. However, the effect of school-level vegetable promotion on vegetable consumption and body mass index (BMI) remains unclear. This study examined the associations of nursery school-level promotion of eating vegetables first at meals with Japanese children's vegetable consumption behaviours and BMI. We used cross-sectional data collected in 2015, 2016, and 2017 on 7402 children in classes of 3-5-year-olds in all 133 licensed nursery schools in Adachi, Tokyo, Japan. Caregivers were surveyed on their children's eating behaviours (frequency of eating vegetables, willingness to eat vegetables and number of kinds of vegetables eaten), height and weight. Nursery school-level promotion of eating vegetables first at meals was assessed using individual responses, with the percentage of caregivers reporting that their children ate vegetables first at meals as a proxy for the school-level penetration of the promotion of vegetable eating. Multilevel analyses were conducted to investigate the associations of school-level vegetable-eating promotion with vegetable consumption behaviours and BMI. Children in schools that were 1 interquartile range higher on vegetable promotion ate vegetable dishes more often (ß = 0.04; 95% CI: 0.004-0.07), and were more often willing to eat vegetables (adjusted odds ratio = 1.17; 95% CI: 1.07-1.28), as well as to eat more kinds of vegetables (adjusted odds ratio = 1.19 times; 95% CI: 1.06-1.34). School-level vegetable-eating promotion was not associated with BMI. The school-level health strategy of eating vegetables first may be effective in increasing children's vegetable intake but not in preventing being overweight.

Dieta Saudável/psicologia , Comportamento Alimentar/psicologia , Promoção da Saúde/métodos , Serviços de Saúde Escolar , Verduras , Índice de Massa Corporal , Cuidadores , Pré-Escolar , Estudos Transversais , Dieta Saudável/métodos , Feminino , Humanos , Japão , Masculino , Refeições , Análise Multinível , Razão de Chances , Escolas Maternais , Inquéritos e Questionários
Yakugaku Zasshi ; 141(9): 1095-1107, 2021 Sep 01.
Artigo em Japonês | MEDLINE | ID: mdl-34108343


The difficulty and anxiety of nursery staff in administering medication to children at nursery schools has been reported, and its reduction is desired. However, the attitudes of mothers in requesting medication and the factors related to a high frequency of requests are not clear. We conducted an online survey of 600 mothers from April to May 2019 regarding the administration of medication at nursery school, and 301 mothers who had previously made such requests were analyzed. The results showed that 100.0% and 76.4% of the mothers felt gratitude and were apologetic for requesting medicine administration, respectively. In total, 47.5% of mothers expected pharmacists to support nursery staff in administering medication. Mothers' attitude of "I think the nursery staff should administer medication to my child more often" was significantly positively associated with a high frequency of the request in adjusted Model [adjusted odds ratio (AOR) 2.75, 95% confidence interval (CI) 1.36-5.55, p=0.005], while "I think the parents should manage so that the children do not have to take medicine in the nursery school so often" showed a negative association (AOR 0.33, 95% CI 0.17-0.66, p=0.002). Factors related to the involvement of community pharmacists were not significant. It is suggested that a change in mothers' attitudes could decrease the frequency of requests and consequently reduce the burden on nursery staff. Community pharmacists may support nursery staff to contribute to changing mothers' attitudes through medication consultations at the pharmacy.

Atitude Frente a Saúde , Fardo do Cuidador/psicologia , Adesão à Medicação/psicologia , Mães/psicologia , Escolas Maternais , Ansiedade , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Farmacêuticos , Encaminhamento e Consulta , Inquéritos e Questionários
Medicentro (Villa Clara) ; 25(2): 248-264, graf
Artigo em Espanhol | LILACS | ID: biblio-1279419


RESUMEN Introducción: la revolución científico-técnica trajo consigo la incorporación masiva de las mujeres al trabajo, por esta y muchas otras causas aparecieron espacios como las guarderías para el cuidado de las niñas y niños. Objetivo: describir los elementos que caracterizan los cuidados en las guarderías infantiles. Métodos: se realizó una revisión narrativa de la literatura como herramienta metodológica que posibilitó caracterizar las publicaciones sobre determinados asuntos. Se seleccionaron 13 artículos, desde 2014 hasta 2019, que fueron publicados en: Brasil, Estados Unidos, Reino Unido, Canadá, Portugal y Colombia, y que aparecen en las bases de datos: MEDLINE, Academic Search Complete, MedicLatina, Cochrane Database of Systematic Reviews, SciELO y BioMed Central. Los aspectos que sobresalieron sobre esta temática fueron: el sueño del niño que asiste a las guarderías, los ambientes saludables, la presencia de entero parasitosis, el desarrollo cognitivo - psicosocial y el estado nutricional. Conclusiones: se percibió la necesidad de realizar más investigaciones sobre el tema, dado que no hay suficientes evidencias sobre la relación entre la postura al dormir y la muerte súbita. No obstante, hay otros aspectos que ofrecen pautas a seguir como: el uso de normas y guías sobre el sueño del niño, las cuatro premisas del ambiente saludable en las guarderías, el cuidado institucional sobre el desarrollo cognitivo y psicosocial, la relación entre la presencia de niños en guarderías con el parasitismo infantil, y la responsabilidad de los cuidadores sobre la nutrición.

ABSTRACT Introduction: scientific and technical revolution brought with it, the massive incorporation of women to work; for this and many other causes, spaces such as nurseries for girls and boys appeared. Objective: to describe elements that characterize child care in nurserys. Methods: a narrative review of the literature was carried out as a methodological tool that made it possible to characterize the publications on certain issues. Thirteen articles that were published in Brazil, the United States, the United Kingdom, Canada, Portugal and Colombia, as well as appeared in MEDLINE, Academic Search Complete, MedicLatina, Cochrane Database of Systematic Reviews, SciELO and BioMed Central databases from 2014 to 2019 were selected. Sleep in children attending nurseries, healthy environments, presence of enteroparasitosis, cognitive and psychosocial development and nutritional status were the aspects that stood out on this topic. Conclusions: the need for more research on the subject was perceived, given that there is not enough evidence on the relationship between sleeping posture and sudden death. However, there are other aspects that offer guidelines to follow, such as the use of norms and guides on the child's sleep, the four premises of a healthy environment in nurseries, institutional care on cognitive and psychosocial development, the relationship between presence of children in nurseries with child parasitism, and the responsibility of caregivers on nutrition.

Escolas Maternais , Cuidado da Criança
Yakugaku Zasshi ; 141(8): 1015-1022, 2021 Aug 01.
Artigo em Japonês | MEDLINE | ID: mdl-34024877


Previous studies have reported the inappropriate administration of medication at nursery schools by the staff and a lack of drug-related information from caregivers at the time of request. However, the situation concerning medication administration at nursery schools from the mothers' perspective is unknown and it is not clear what information the mothers provided to nursery staff at the request. We conducted an online survey between April and May 2019 regarding the administration of medication at the nursery school with input from 600 mothers. Overall, 510 (85%) individuals replied that the requests to administer medication were acceptable for all or some of the medications. Application forms for medications were used by 91% of the 301 mothers who had previously made such requests. Although information including the child's name, medication times, illness of the child, parent's name, and dosage form was specified by over 70% of mothers, drug-related information such as effectiveness, side effects, and drug interactions was insufficient. In total, 41 instances of inappropriate medication administration by staff were reported by 35 mothers. It is suggested that the drug information sheets provided by community pharmacies should make up for inadequate drug-related information on application forms for medications to avoid the risk of adverse events and reduce staff burden. Toward this end, it is necessary to provide easily understandable information sheets for nursery staff, as the medication is usually administered by nursery staff, not a nurse. Community pharmacists should support these measures as pharmaceutical professionals.

Serviços de Informação sobre Medicamentos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/prevenção & controle , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/psicologia , Adesão à Medicação/psicologia , Conduta do Tratamento Medicamentoso , Mães/psicologia , Escolas Maternais , Inquéritos e Questionários , Adulto , Criança , Pré-Escolar , Vias de Administração de Medicamentos , Esquema de Medicação , Feminino , Humanos , Lactente , Japão , Masculino , Adesão à Medicação/estatística & dados numéricos , Farmácias , Adulto Jovem
Allergol Immunopathol (Madr) ; 49(3): 146-152, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33938200


INTRODUCTION AND OBJECTIVES: In order to investigate food allergy's prevalence, risk factors and eating behavior of children with relevant anamnesis, a study was performed in Cypriot primary schools. PATIENTS: A specially composed questionnaire for self-reported adverse reactions to food, created in the context of the EuroPrevall study, was distributed in 13 representative primary schools across the country. Participants were sub-grouped into three groups; healthy (H), those with unconfirmed food hypersensitivity reactions (FA-) and children with a confirmed diagnosis by a physician IgE-mediated food allergy (FA+). Food habits, family health history and lifestyle factors were assessed and groups' outcomes were compared with each other. RESULTS: For the study, 202 questionnaires were completed and returned; 31 children (19 FA- and 12 FA+) reported an adverse food reaction. Significant risk factors for developing FA+ were being the first born or having siblings with asthma, attended a day nursery, but also maternal alcohol drinking during pregnancy, parental smoking and parental occupation in food processing or use of latex gloves. The presence of children in the kitchen during cooking showed a protective role. Dietary habits of FA+ children were significantly diminished in terms of variety and frequency of consumption in comparison to the rest, in which had a greater overlap. CONCLUSION: Further research is required for the interesting risk or protective factors revealing from the current investigation. The negative effect of food allergy in the dietary habits of food allergic children documented in the literature, is strongly supported herein.

Comportamento Alimentar , Hipersensibilidade Alimentar/etiologia , Alimentos/efeitos adversos , Consumo de Bebidas Alcoólicas , Ordem de Nascimento , Criança , Pré-Escolar , Culinária , Chipre/epidemiologia , Saúde da Família , Feminino , Manipulação de Alimentos , Hipersensibilidade Alimentar/epidemiologia , Humanos , Imunoglobulina E/imunologia , Hipersensibilidade ao Látex , Estilo de Vida , Masculino , Mães , Gravidez , Prevalência , Fatores de Risco , Escolas Maternais , Autorrelato/estatística & dados numéricos , Irmãos , Fumar
Rev. latinoam. cienc. soc. niñez juv ; 19(1): 20-40, ene.-abr. 2021. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1251875


Resumen (analítico) La educación emocional es un objetivo que debemos incorporar en el proceso formativo de la primera infancia, trabajando desde la familia y la escuela. La presente investigación relaciona la promoción de la educación emocional con la emoción del miedo en los niños y niñas, promoviendo un mayor autoconocimiento personal y aceptación de la frustración ante situaciones adversas que puedan darse en su vida. Se llevó a través de un estudio de caso en tercer grado de educación infantil en un centro público de Toledo (España). En este participaron 24 niños y niñas, el profesorado que los atiende y sus familiares, consiguiendo, a través del desarrollo de actividades evidenciados a través de procesos de ludoevaluación, resultados positivos en lo concerniente a la participación, reconocimiento emocional y comunicación asertiva.

Abstract (analytical) Emotional education is an objective that needs to be incorporated in the formative process of early childhood, working in both families and schools. This research focuses on the promotion of emotio-nal education with the emotion of fear in boys and girls; promoting greater personal self-knowledge and acceptance of frustration in the face of adverse situations that may occur in their lives. The re-search was conducted as a case study in the third year of Preschool Education in a public school in Toledo (Spain). A total of 24 boys and girls participated along with the teachers who work with them and their families. Through the development of activities evidenced by ludo-evaluation processes, the study achieved positive results regarding participation, emotional recognition and assertive communication.

Resumo (analítico) A educação emocional é uma disciplina que devemos incorporar no processo educativo da primeira infância, trabalhando juntamente com a família e a escola. A presente investigação debruça-se sobre a promoção da educação da emoção do medo em crianças; com o intuito de promover um maior autoconhecimento e tolerância à frustração perante situações adversas que podem ocorrer na vida. A metodologia usada passou por um estudo de caso em Educação Infantil num centro público de Toledo (Espanha). Participaram no estudo 24 meninos e meninas, os seus professores e as suas famílias, e, por meio do desenvolvimento de atividades suportadas por processos de ludo-avaliação, foram alcançados resultados positivos em relação à participação, reconhecimento emocional e comunicação assertiva.

Escolas Maternais , Medo
Biocontrol Sci ; 26(1): 37-41, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33716247


Control of infectious diseases requires switching from usual hygiene such as water wiping and cleaning, to control measures including appropriate and aggressive disinfection using 70% alcohol and/or hypochlorous acid depending on the pathogen. Nevertheless, some nursery schools might not understand or select proper disinfectant methods. A survey was administered by the local government of Ibaraki prefecture, Japan in January 2018 to all 456 nursery schools in Ibaraki prefecture. The surveyed items were the number of nursery teachers, usual manual hygiene among children, usual disinfection for lavatories, diaper changing spaces, tables used by children for meals, and classroom floors when there was no vomiting in the facilities and no outbreak in surrounding area. Moreover, it asked about disinfection procedures if children vomited during a community outbreak of gastroenteritis infection. We defined proper use for usual disinfection of a lavatory or diaper changing space as chlorine-based disinfectant including hypochlorous acid or 70% alcohol according to guidelines. Overall, 403 nursery schools responded to the survey. All nursery schools implemented usual hand hygiene. Association between proper disinfection and the size of nursery schools was not significant. Moreover, association between proper disinfection and nursery schools with nurse presence was not found to be significant.

Desinfetantes , Escolas Maternais , Criança , Desinfetantes/farmacologia , Desinfecção , Humanos , Ácido Hipocloroso , Japão
Vaccine ; 39(13): 1800-1804, 2021 03 26.
Artigo em Inglês | MEDLINE | ID: mdl-33685777


We calculated the Poisson-regression-adjusted relative risk (RR) of new influenza infection by vaccination, prior infection, and vaccination after prior infection in a large Japanese birth cohort, using data from ≤89,253 children aged 6 months to 3 years. The effectiveness of risk reduction (1 - RR) by vaccination at ages 1.5-3 years was 21%-31%. The RR of new infection after prior infection vs. no prior infection was 2.58-19.3 at age 1-3 years. An analysis of the 1 - RR data stratified by having at least one senior sibling and/or attending nursery school revealed that vaccination reduced the RR by 22%-40%. The 1 - RR of new infection was 21% in 3-year-old children who were vaccinated after prior infection. All these findings are statistically significant. The results consistently indicate that, regardless of having at least one senior sibling, attending nursery school, and/or being previously infected with influenza, infants and toddlers will benefit from influenza vaccination.

Vacinas contra Influenza , Influenza Humana , Pré-Escolar , Humanos , Lactente , Influenza Humana/prevenção & controle , Japão/epidemiologia , Instituições Acadêmicas , Escolas Maternais , Vacinação