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Sample records for attending day-care centers

  1. Comparison of motor and cognitive performance of children attending public and private day care centers

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    Mariana M. Santos

    2013-12-01

    Full Text Available BACKGROUND: Given that environmental factors, such as the school environment, can influence child development, more attention should be paid to the development of children attending day care centers. OBJECTIVE: Todetermine whether there are differences in the gross motor, fine motor, or cognitive performances of children between 1 and3 years-old of similar socioeconomic status attending public and private day care centers full time. METHOD: Participants were divided into 2 groups, 1 of children attending public day care centers (69 children and another of children attending private day care centers (47 children. All children were healthy and regularly attended day care full time for over 4 months. To assess cognitive, gross and fine motor performance, the Bayley Scales of Infant and Toddler Development III was used. The Mann-Whitney test was used for comparative analyses between groups of children between 13 and 24 months, 25 and 41 months, and 13 and 41 months. RESULTS: Children in public day care centers exhibited lower scores on the cognitive development scale beginning at 13 months old. The fine and gross motor performance scores were lower in children over the age of 25 months attending public centers. Maternal education was not related to the performance of children in either group. CONCLUSION: The scores of cognitive performance as well as fine and gross motor performance of children of similar socioeconomic status who attend public day care centers are lower than children attending private daycare centers.

  2. Day Care Centers

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of day care centers for 50 states and Washington D.C. and Puerto Rico. The dataset only includes center based day care locations...

  3. Consumption of industrialized food by infants attending child day care centers

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    Maysa Helena de A. Toloni

    2014-03-01

    Full Text Available Objective: To identify the age of introduction of petit suisse cheese and instant noodles in the diet of infants attending nurseries of public day care centers and to compare the nutritional composition of these foods with the healthy recommended diet (breast milk and salt meal for this age, in order to estimate nutritional errors. Methods: Cross-sectional study of 366 children (from nine to 36 months old who attended day care centers, whose mothers were interviewed about the age of introduction of those foods. The means of the nutrients indicated on the labels of the most consumed brands were considered. For the calculation of the percent composition of breast milk and salt meal, Tables of Food Composition were used. To assess the nutritional adequacy, we used the Dietary Reference Intakes by age group. The percentage of adequacy evaluation of the petit suisse cheese and the instant noodles nutritional compositions was made by comparing them with those of the human milk and the salt meal, respectively. Results: The petit suisse cheese and the instant noodles were consumed by 89.6 and 65.3% of the children in the first year of life. The percentages of adequacy for carbohydrates were more than twice and the percentages for sodium were 20 times higher than those found in the recommended foods. Conclusions: Both industrialized products are inappropriate for infants, emphasizing the need for adoption of norms that can inform health professionals, educators and parents about the risks of consumption.

  4. A hand hygiene intervention to decrease infections among children attending day care centers: Design of a cluster randomized controlled trial

    NARCIS (Netherlands)

    T.P. Zomer (Tizza); V. Erasmus (Vicky); N. Vlaar (Nico); E.F. van Beeck (Ed); A. Tjon-A-Tsien (Aimée); J.H. Richardus (Jan Hendrik); H.A.C.M. Voeten (Hélène)

    2013-01-01

    textabstractBackground: Day care center attendance has been recognized as a risk factor for acquiring gastrointestinal and respiratory infections, which can be prevented with adequate hand hygiene (HH). Based on previous studies on environmental and sociocognitive determinants of caregivers' complia

  5. Effects of Experimentally Imposed Noise on Task Performance of Black Children Attending Day Care Centers Near Elevated Subway Trains.

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    Hambrick-Dixon, Priscilla Janet

    1986-01-01

    Investigates whether an experimentally imposed 80dB (A) noise affected psychomotor, serial memory words and pictures, incidental memory, visual recall, paired associates, perceptual learning, and coding performance of five-year-old Black children attending day care centers near and far from elevated subways. (HOD)

  6. Day-care attendance and child development:

    DEFF Research Database (Denmark)

    Bauchmüller, Robert; Gørtz, Mette; Rasmussen, Astrid Würtz

    Earlier research suggests that children’s development is shaped in their early years of life. This paper examines whether differences in day-care experiences during pre-school age are important for children’s cognitive and language development at the age of 15. The analysis is based on class...... performance at the end of elementary schooling. We assess the effects of attended types and qualities of day-care institutions on various child outcomes as measured by school grades in mathematics, science, English and Danish for the whole Danish population as well as outcomes from the 2006 PISA Denmark......, of total work experiences, ages and hourly wages of staff members. Those indicators show the expected correlations with children’s development outcomes, better day-care quality being linked to better child outcomes ten years later. We use rich administrative information about the children’s background...

  7. Introduction of soft drinks and processed juice in the diet of infants attending public day care centers

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    Giovana Longo-Silva

    2015-03-01

    Full Text Available OBJECTIVE: Identifying at what age infants enrolled in public day care centers are introduced to soft drinks and industrialized juice, as well as comparing the nutritional composition of these goods with natural fruit juice. METHODS: A cross-sectional study with the mothers of 636 children (aged 0 to 36 months from nurseries of day care centers, who were asked questions about the age of feeding introduction. This study evaluated the proximate composition of soft drinks and artificial juice, comparing them with those of natural fruit juice regarding energy, sugar, fiber, vitamin C, and sodium values. The chemical composition of fruit juice was obtained by consulting the Table of Food Composition and, for industrialized drinks, the average nutritional information on the labels of the five most consumed product brands. RESULTS: The artificial drinks were consumed before the first year of life by more than half of the children studied, however, approximately 10% consumed them before the age of 6 months. With regard to the comparison among the drinks, artificial fruit juice beverages and soft drinks proved to contain from nine to 13 times higher amounts of sodium, and 15 times less vitamin C than natural juices. CONCLUSIONS: The introduction of soft drinks and industrialized juice in the diet of infants was inopportune and premature.. When compared to natural fruit juice, these have inferior nutritional composition, which suggests the urgent need for measures based on strategies for food and nutrition education in order to promote awareness and the maintenance of healthy eating habits.

  8. Introduction of soft drinks and processed juice in the diet of infants attending public day care centers

    Science.gov (United States)

    Longo-Silva, Giovana; Toloni, Maysa Helena de Aguiar; de Menezes, Risia Cristina Egito; Asakura, Leiko; Oliveira, Maria Alice Araújo; Taddei, José Augusto de Aguiar Carrazedo

    2015-01-01

    OBJECTIVE: Identifying at what age infants enrolled in public day care centers are introduced to soft drinks and industrialized juice, as well as comparing the nutritional composition of these goods with natural fruit juice. METHODS: A cross-sectional study with the mothers of 636 children (aged 0 to 36 months) from nurseries of day care centers, who were asked questions about the age of feeding introduction. This study evaluated the proximate composition of soft drinks and artificial juice, comparing them with those of natural fruit juice regarding energy, sugar, fiber, vitamin C, and sodium values. The chemical composition of fruit juice was obtained by consulting the Table of Food Composition and, for industrialized drinks, the average nutritional information on the labels of the five most consumed product brands. RESULTS: The artificial drinks were consumed before the first year of life by more than half of the children studied, however, approximately 10% consumed them before the age of 6 months. With regard to the comparison among the drinks, artificial fruit juice beverages and soft drinks proved to contain from nine to 13 times higher amounts of sodium, and 15 times less vitamin C than natural juices. CONCLUSIONS: The introduction of soft drinks and industrialized juice in the diet of infants was inopportune and premature.. When compared to natural fruit juice, these have inferior nutritional composition, which suggests the urgent need for measures based on strategies for food and nutrition education in order to promote awareness and the maintenance of healthy eating habits. PMID:25662561

  9. Freqüência à creche e outros condicionantes do estado nutricional infantil Attendance at day-care centers and other conditioning factors in child nutritional status

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    Marina Vieira da Silva

    1998-06-01

    Full Text Available O estudo descreve o estado nutricional de 2 096 pré-escolares atendidos nos 27 Centros Educacionais e Creches do município de Piracicaba, estado de São Paulo. Observa-se que 5,1% das crianças apresentam déficit de altura/idade (escore ZAI The study describes the nutritional status of 2 096 preschool children attending 27 Educational Centers and Day-Care Centers in Piracicaba, state of São Paulo. Five point one percent of the children are observed to present a height/age deficit (score HAZ<-2.0 and a proportion of 1.2 with weight/height deficit (score WHZ<-2.0. The results reveal that per capita income, mother schooling, type of sewage, type of housing and attendance time at are the variables that cause impact on the HAZ score of the children.The positive association detected between attendance time at and -Z score of height for age stresses the importance of these investments as means to protect children, mainly against chronic malnutrition, as basic care with health, feeding and hygiene is associated with education. The day-care center also provides the participation of mothers in the work market, which is very important in poor families in order to increase family income.

  10. Knowledge, attitude and practice of oral health promoting factors among caretakers of children attending day-care centers in Kubang Kerian, Malaysia: A preliminary study

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    Mani S

    2010-06-01

    Full Text Available Background and Aim: The role of caretakers at day-care centers has become more imperative in promoting oral health care in children since many new mothers opt to work outside their homes, leaving their children at day-care centers. The aim of this study is to assess the knowledge, attitude and practice of oral health promoting factors among secondary caretakers of children attending day-care centers. Settings and Design: This was a cross-sectional exploratory study conducted among secondary caretakers in Kubang Kerian, Malaysia. Materials and Methods: Thirty-four caretakers fulfilling the inclusion and exclusion criteria participated in the study. The data were collected using a self-administered questionnaire addressing various aspects of knowledge, attitude and practice of oral health in children. Analysis was done using SPSS version 12.0. Results: The knowledge of factors causing dental caries was found to be good among majority of the caretakers, but the concepts of transmissibility of caries and effect of hidden sugars were not evident. Seventy one percent did not know that frequent bottle feeding could cause tooth decay. Attitudes seemed to be governed by the cultural practices of the region rather than the knowledge obtained. The knowledge was not translated to practice adequately. Giving sweetened liquid in bottles was practiced by 53% of the caretakers. Conclusion: Implementation of nursery-based oral health promotion programs for secondary caretakers is needed to counteract early childhood caries.

  11. Counseling Services in Adult Day Care Centers.

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    Zaki, Gamal; Zaki, Sylvia

    Federal support for adult day care centers began in the United States approximately 10 years ago. To examine the counseling practices in the adult day care centers across the country and to explore how the services are affected by the staffing patterns at these centers, 135 centers completed a questionnaire. The questionnaire addressed…

  12. Desempenho motor de lactentes frequentadores de berçários em creches públicas Motor performance of infants attending the nurseries of public day care centers

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    Letícia Baltieri

    2010-09-01

    Full Text Available OBJETIVO: Analisar o desempenho motor axial, apendicular e global e sua correlação com as características neonatais, familiares e de tempo de exposição à creche em crianças com idade entre 12-24 meses, frequentadoras de creches públicas. MÉTODOS: Estudo transversal com 40 lactentes (idade média 14,3±2,4 meses frequentadores de creches públicas. Os participantes foram avaliados quanto ao desempenho motor com a Bayley Scales of Infant and Toddler Development-III, a qual possibilita análise do desempenho motor e comparação dos domínios motores axial e apendicular. Foram coletados dados neonatais, familiares e de exposição à creche e pesquisou-se a correlação destes fatores ao desempenho motor. Foi utilizado o teste t pareado para comparar médias e a correlação de Pearson. RESULTADOS: O desempenho motor do grupo esteve, em média, abaixo da referência, com 22,5% das crianças classificadas como suspeitas de atraso nos desempenhos axial e global, contrastando com nenhuma no domínio apendicular. A comparação axial e apendicular apontou diferença significativa, com desempenho axial aquém do apendicular, além de 35% do grupo ter apresentado discrepância significativa entre esses domínios. Não foi encontrada correlação linear entre os domínios motores avaliados e as variáveis neonatais, familiares e de exposição à creche. CONCLUSÕES: O desempenho motor global do grupo esteve abaixo da média de referência, com desempenho motor axial inferior ao apendicular e importante discrepância entre esses. Recomenda-se atenção às habilidades motoras axiais e às oportunidades de exploração que o ambiente em creches pode propiciar, especialmente no decorrer dos dois primeiros anos de vida.OBJECTIVE: To analyze gross, fine and global motor performance and its correlation with neonatal and familial variables and day care exposure among children between 12-24 months of age attending public day care centers. METHODS: This

  13. Gastrointestinal and respiratory illness in children that do and do not attend child day care centers: a cost-of-illness study.

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    Remko Enserink

    Full Text Available BACKGROUND: Gastrointestinal and respiratory diseases are major causes of morbidity for young children, particularly for those children attending child day care centers (DCCs. Although both diseases are presumed to cause considerable societal costs for care and treatment of illness, the extent of these costs, and the difference of these costs between children that do and do not attend such centers, is largely unknown. OBJECTIVE: Estimate the societal costs for care and treatment of episodes of gastroenteritis (GE and influenza-like illness (ILI experienced by Dutch children that attend a DCC, compared to children that do not attend a DCC. METHODS: A web-based monthly survey was conducted among households with children aged 0-48 months from October 2012 to October 2013. Households filled-in a questionnaire on the incidence of GE and ILI episodes experienced by their child during the past 4 weeks, on the costs related to care and treatment of these episodes, and on DCC arrangements. Costs and incidence were adjusted for socioeconomic characteristics including education level, nationality and monthly income of parents, number of children in the household, gender and age of the child and month of survey conduct. RESULTS: Children attending a DCC experienced higher rates of GE (aIRR 1.4 [95%CI: 1.2-1.9] and ILI (aIRR: 1.4 [95%CI: 1.2-1.6] compared to children not attending a DCC. The societal costs for care and treatment of an episode of GE and ILI experienced by a DCC-attending child were estimated at €215.45 [€115.69-€315.02] and €196.32 [€161.58-€232.74] respectively, twice as high as for a non-DCC-attending child. The DCC-attributable economic burden of GE and ILI for the Netherlands was estimated at €25 million and €72 million per year. CONCLUSIONS: Although children attending a DCC experience only slightly higher rates of GE and ILI compared to children not attending a DCC, the costs involved per episode are substantially higher.

  14. Varicella zoster in children attending day care centers Varicela-zóster em crianças que frequentam creches

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    Ricardo Marcitelli

    2006-04-01

    Full Text Available OBJECTIVE: To describe morbidity associated to varicella in children attending day care centers. METHODS: Descriptive study carried out through inquiries with parents of 664 children who acquired varicella after admission to day care centers in Taubaté (population: 244,165, census of 2004, a prosperous city in the State of São Paulo. RESULTS: The median age was 36 months (range 6 to 80 months; 8.4% of the children had varicella before 1 year of age. The main symptoms were: exanthema (100.0%, fever (85.4% anorexia (39.6%, and headache (15.3%. 517 children (77.9% had at least 1 medical visit, and 80.6% received at least 1 medication; 73 (11.0% received nonsteroidal antiinflammatory drugs, and 52 (7.8% received antibiotics. Complications occurred in 38 children (5.7%; 95% confidence interval: 3% - 8%; 8 (1.2% were hospitalized, and 5 (0.7% had sequelae. Complications and hospitalizations rates were 3 times more frequent in children with less than 1 year of age than in older children. More than half of the children and of the working parents were absent from their regular activities for more than a week. CONCLUSIONS: Varicella was associated with significant morbidity, affected younger children, was complicated in more than 5%, and left sequelae in 0.7% of children. More than 10% of the children received nonsteroidal antiinflammatory drugs, highlighting the need to warn the population about the risks of these drugs. Although varicella vaccination is not recommended for children younger than 12 months, vaccination of the children older than a year could avoid by herd immunity the transmission to babies. Brazilian public health authorities should be alerted to this issue and offer varicella vaccine to children attending day care centers.OBJETIVO: Descrever a morbidade associada à varicela nas crianças usuárias de creches. MÉTODOS: Estudo descritivo, realizado através de inquérito com pais ou responsáveis por 664 crianças que contra

  15. Impact of extrinsic factors on fine motor performance of children attending day care

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    Corsi, Carolina; dos Santos, Mariana Martins; de Andrade Perez Marques, Luísa; Rocha, Nelci Adriana Cicuto Ferreira

    2016-01-01

    Abstract Objective: To assess the impact of extrinsic factors on fine motor performance of children aged 2-years old. Methods: 73 children attending public and 21 private day care centers were assessed. Day care environment was evaluated using the Infant/Toddler Environment Rating Scale-Revised Edition (ITERS-R), fine motor performance was assessed through the Bayley Scales of Infant and Toddler Development-III (BSITD-III), socioeconomic data, maternal education and time of start at the day care were collected through interviews. Spearman's correlation coefficient was calculated to assess the association between the studied variables. Results: The time at the day care was positively correlated with the children's performance in some fine motor tasks of the BSITD-III, showing that the activities developed in day care centers were important for the refinement of specific motor skills, while the overall fine motor performance by the scale was associated with maternal education and the ITERS-R scale sub-item “language and understanding”. Conclusions: Extrinsic factors such as higher maternal education and quality of day care centers are associated with fine motor performance in children attending day care. PMID:27094472

  16. Evaluation Study of Day-Care Centers in Israel.

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    Korazim, Malka; Trachtenberg, Silvia

    In recent years, day-care centers for the elderly have been playing an increasingly important role in the community service system for the elderly in Israel. ESHEL, one of the leading agencies in developing day-care services in Israel initiated a comprehensive evaluation study of day-care centers to identify variations among different types of…

  17. High detection rates of enteropathogens in asymptomatic children attending day care.

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    Remko Enserink

    Full Text Available BACKGROUND: Gastroenteritis morbidity is high among children under the age of four, especially amongst those who attend day care. OBJECTIVE: To determine the prevalence of a range of enteropathogens in the intestinal flora of children attending day care and to relate their occurrence with characteristics of the sampled child and the sampling season. METHODS: We performed three years of enteropathogen surveillance in a network of 29 child day care centers in the Netherlands. The centers were instructed to take one fecal sample from ten randomly chosen children each month, regardless of gastrointestinal symptoms at time of sampling. All samples were analyzed for the molecular detection of 16 enteropathogenic bacteria, parasites and viruses by real-time multiplex PCR. RESULTS: Enteropathogens were detected in 78.0% of the 5197 fecal samples. Of the total, 95.4% of samples were obtained from children who had no gastroenteritis symptoms at time of sampling. Bacterial enteropathogens were detected most often (most prevalent EPEC, 19.9%, followed by parasitic enteropathogens (most prevalent: D. fragilis, 22.1% and viral enteropathogens (most prevalent: norovirus, 9.5%. 4.6% of samples related to children that experienced symptoms of gastroenteritis at time of sampling. Only rotavirus and norovirus were significantly associated with gastroenteritis among day care attendees. CONCLUSIONS: Our study indicates that asymptomatic infections with enteropathogens in day care attendees are not a rare event and that gastroenteritis caused by infections with these enteropathogens is only one expression of their presence.

  18. Respiratory Virus Detection and Clinical Diagnosis in Children Attending Day Care.

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    Nina Moe

    Full Text Available Respiratory viruses often have been studied in children with respiratory tract infection (RTI, but less knowledge exists about viruses in asymptomatic children. We have studied the occurrence of a broad panel of respiratory viruses in apparently healthy children attending day care, taking into account the influence of possible confounding factors, such as age, clinical signs of respiratory tract infection (RTI, location (day-care section and season.We have studied 161 children in two day-care centers, each with separate sections for younger and older children, during four autumn and winter visits over a two-year period. A total of 355 clinical examinations were performed, and 343 nasopharyngeal samples (NPS were analyzed by semi-quantitative, real-time, polymerase chain reaction (PCR tests for 19 respiratory pathogens.Forty-three percent of all NPS were PCR-positive for ≥ 1 of 13 virus species, with high species variation during visits. Rhinovirus 26% (88/343 NPS, enterovirus 12% (40/343 and parechovirus 9% (30/343 were detected in every visit, and the rates varied in relation to age, day-care section and season. Ten other viruses were detected in ≤ 3% of the NPS. Generally, viruses occurred together in the NPS. In 24% (79/331 of the clinical examinations with available NPS, the children had clear signs of RTI, while in 41% (135/331 they had mild signs, and in 35% (117/331 the children had no signs of RTI. Moreover, viruses were found in 70% (55/79 of children with clear signs of RTI, in 41% (55/135 with mild signs and in 30% (35/117 without any signs of RTI (p < 0.001.Positive PCR tests for respiratory viruses, particularly picornaviruses, were frequently detected in apparently healthy children attending day care. Virus detection rates were related to age, presence of clinical signs of RTI, location in day care and season.

  19. Frequência à creche e estado nutricional de pré-escolares: uma revisão sistemática Day care centers attendance and preschool children's nutritional status: a systematic review

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    Alessandra da Silva Pereira

    2010-12-01

    goal of this study. Among the papers gathered in the literature, very few of them allowed any inference about the influence of daycare centers on preschoolers' nutritional status. Nevertheless, some longitudinal studies showed a causal association between children's attendance to daycare centers and improvement of their nutritional status. CONCLUSIONS: There is a positive relation between children's attendance to day care centers and improvement of their nutritional status.

  20. High Detection Rates of Enteropathogens in Asymptomatic Children Attending Day Care

    NARCIS (Netherlands)

    Enserink, Remko; Scholts, Rianne; Bruijning-Verhagen, Patricia; Duizer, Erwin; Vennema, Harry; de Boer, Richard; Kortbeek, Titia; Roelfsema, Jeroen; Smit, Henriette; Kooistra-Smid, Mirjam; van Pelt, Wilfrid

    2014-01-01

    Background: Gastroenteritis morbidity is high among children under the age of four, especially amongst those who attend day care. Objective: To determine the prevalence of a range of enteropathogens in the intestinal flora of children attending day care and to relate their occurrence with characteri

  1. Streptococcus pneumoniae isolates in healthy children attending day-care centers in 12 states in Mexico Aislamientos de S. pneumoniae en niños sanos de estancias infantiles en 12 estados de México

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    Luz Elena Espinosa-de los Monteros

    2007-08-01

    Full Text Available OBJECTIVE: The aim of this study was to determine the prevalence of asymptomatic nasopharyngeal carriage of Streptococcus pneumoniae, which is a major factor in the transmission of this bacterium. MATERIAL AND METHODS: Nasopharyngeal cultures were performed on children attending 32 day-care centers in 12 states in Mexico. RESULTS: Streptococcus pneumoniae was isolated from the nasopharynx of 829 out of 2 777(29.9% subjects aged two months to six years. All children lived in urban areas and 80% spent more than six hours daily in a day-care center. Streptococcus pneumoniae serotypes most frequently identified were: 19F (23%, 6B (15.6%, 23F (11.2% and 6A (14.9%. Thirty-six percent of the isolates were susceptible to penicillin. CONCLUSIONS: Serotype distribution suggests the possible benefits that could be obtained from the heptavalent pneumococcal conjugate vaccine.OBJETIVO: La intención de este estudio fue determinar la prevalencia de portadores nasofaríngeos asintomáticos de Streptococcus pneumoniae, el cual es el principal factor en la transmisión de esta bacteria. MATERIAL Y MÉTODOS: Los cultivos nasofaríngeos fueron realizados en niños que asisten a 32 estancias infantiles en 12 estados de México. RESULTADOS: Streptococcus pneumoniae fue aislado de la nasofaringe de 829 (29.9% niños de los 2 777 incluidos en el estudio con un rango de edad de 2 meses a 6 años. Todos los niños vivían en áreas urbanas y 80% permanecían más de seis horas diarias en la estancia infantil. Los serotipos de Streptococcus pneumoniae más frecuentemente identificados fueron: 19F (23%, 6B (15.6%, 23F (11.2% y 6 A (14.9%. Treinta y seis por ciento de los aislamientos fueron susceptibles a penicilina. CONCLUSIONES: La distribución de serotipos nos da una idea de los posibles beneficios que podrían obtenerse de la vacuna neumocóccica conjugada heptavalente.

  2. Avaliação do desempenho motor global e em habilidades motoras axiais e apendiculares de lactentes frequentadores de creche Assessment of global motor performance and gross and fine motor skills of infants attending day care centers

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    Carolina T Souza

    2010-08-01

    assessed at 12 and 17 months of age with the Motor Scale of the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III. This scale allows the analysis of global motor performance, fine and gross motor performance, and the discrepancy between them. The Wilcoxon test and Spearman's correlation coefficient were used. RESULTS: Most of the participants showed global motor performance within the normal range, but below the reference mean at 12 and 17 months, with 30% classified as having "suspected delays" in at least one of the assessments. Gross motor development was poorer than fine motor development at 12 and at 17 months of age, with great discrepancy between these two subtests in the second assessment. A clear individual variability was observed in fine motor skills, with weak linear correlation between the first and the second assessment of this subtest. A lower individual variability was found in the gross motor skills and global motor performance with positive moderate correlation between assessments. Considering both performance measurements obtained at 12 and 17 months of age, four infants were identified as having a "possible delay in motor development". CONCLUSIONS: The study showed the need for closer attention to the motor development of children who attend day care centers during the first 17 months of life, with special attention to gross motor skills (which are considered an integral part of the child's overall development and to children with suspected delays in two consecutive assessments.

  3. [Relationship between child day-care attendance and acute infectious disease. A systematic review].

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    Ochoa Sangrador, Carlos; Barajas Sánchez, M Verisima; Muñoz Martín, Beatriz

    2007-01-01

    Child day-care attendance is considered to be an acute early childhood disease risk factor, the studies available however not affording the possibility of fully quantifying this risk. A systematic review of clinical trials and cohort studies was conducted, in which the effects child day-care attendance had on the health of young children based on the Cochrane Collaboration, PubMed and Spanish Medical Index databases, without any time or language-related limits, were analyzed and rounded out with analyses of referenced works and an additional EMBASE search. The methodological quality was evaluated by means of personalized criteria. Pooling measures (relative risks, incidence density ratios and weighted mean differences) were calculated with their confidence intervals, assuming random effects models. A significant increase was found to exist of a risk consistent over time and among different social and geographical environments. Considering the most methodologically-stringent studies with adjusted effect estimates, child day-care attendance was related to an increased risk of upper respiratory tract infection (RR=1,88), acute otitis media (RR=1,58), otitis media with fluid draining (RR=2,43), lower respiratory tract infections (overall RR=210; acute pneumonia RR=1.70; broncholitis RR=1,80; bronchitis RR=2,10) and gastroenteritis (RR=1,40). Child day-care attendance could be responsible for 33%-50% of the episodes of respiratory infection and gastroenteritis among the exposed population. In conclusion, it can be said that the risk for childhood health attributable to the child day-care attendance is discreet but of high-impact. This information has some major implications for research, clinical practice, healthcare authorities and society as a whole.

  4. A longitudinal study of enterobiasis in three day care centers of Havana City.

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    Núñez, F A; Hernández, M; Finlay, C M

    1996-01-01

    Pinworm infection was prospectively studied during one year in 469 children attending three day care centers. Each child was examined at six months intervals using up to three perianal swabs with adhesive tape. Those found infected were treated with mebendazole. At the beginning of the study we found a prevalence of 28% that dropped to 13% and 12% in the following study periods. The reinfection rate was twice the incidence rate in both study periods. We also found a small percentage (10%) of the children reinfected in most or all study periods. There was a high correlation between reinfection and perianal itching. Our results add further knowledge to the epidemiology of intestinal parasites in day care centers.

  5. The KIzSS network, a sentinel surveillance system for infectious diseases in day care centers: study protocol

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    Enserink Remko

    2012-10-01

    Full Text Available Abstract Background Day care-associated infectious diseases are widely recognized as a public health problem but rarely studied. Insights into their dynamics and their association with the day care setting are important for effective decision making in management of infectious disease control. This paper describes the purpose, design and potential of our national multi-center, day care-based sentinel surveillance network for infectious diseases (the KIzSS network. The aim of the KIzSS network is to acquire a long-term insight into the syndromic and microbiological aspects of day care-related infectious diseases and associated disease burden and to model these aspects with day care setting characteristics. Methods/design The KIzSS network applies a prospective cohort design, following day care centers rather than individual children or staff members over time. Data on infectious disease symptoms and related morbidity (children and staff, medical consumption, absenteeism and circulating enteric pathogens (children are collected on a daily, weekly or monthly basis. Every two years, a survey is performed to assess the characteristics of participating day care centers. Discussion The KIzSS network offers a unique potential to study infectious disease dynamics in the day care setting over a sustained period of time. The created (biodatabases will help us to assess day care-related disease burden of infectious diseases among attending children and staff and their relation with the day care setting. This will support the much needed development of evidence-based and pragmatic guidelines for infectious disease control in day care centers.

  6. CTEPP-OH DATA COLLECTED ON FORM 05: CHILD DAY CARE CENTER PRE-MONITORING QUESTIONNAIRE

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    This data set contains data for CTEPP-OH concerning the potential sources of pollutants at the day care center including the chemicals that have been applied in the past at the day care center by staff members or by commercial contractors. The day care teacher was asked questions...

  7. Child Day Care Centers, Statewide Day Cares in the LDSS database., Published in 2006, 1:24000 (1in=2000ft) scale, Louisiana State University.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Child Day Care Centers dataset, published at 1:24000 (1in=2000ft) scale as of 2006. It is described as 'Statewide Day Cares in the LDSS database.'. The extent...

  8. Screening of Developmental Problem, Day care Centers, Sari, 2006

    Directory of Open Access Journals (Sweden)

    M. Kosaryan, M.D.

    2007-09-01

    Full Text Available Background and purpose: There has not been enough attention towards the domains of development in pediatrics,so there are many deficiencies in monitoring the achievement of developmental milestones in our country.One of the important ways for the improvement of this problem is to use screening method. PEDS questionnaire is one of the screening tools for development. The aim of this study was to investigate about parents' evaluation of developmental status for their children.Materials and Methods: This was a cross-sectional descriptive study. The population included infants and children under the age of 6 in day care centers of Sari. Sampling method was clustering. The tool for data collection was PEDS questionnaire (Parents' Evaluation of Developmental Status which consisted of 38 questions about demographic data and medical history of children as well as parents' concern about different developmental domains along with ''Yes'' , ''No'' and ''little'' answers. The data were analysed using SPSS11 software. Chi square and Wilcoxon were used. P<0.05 was considered significant.Results: Out of 829 questionnaires, 736 were returned (88.7%. The Sample age was 4.23 ± 1.32 gl . Fifty percent of participants were male. By average, in each developmental domains, 3.2% of parents had major concern and 9.5% had partial concern. The most common domains of concern were communication with others (6.4%, behavior (6.1%, speaking (4.3%, preschool and school education (3.1%, children's understanding (2.5%, the self care (2.1%, the use of fingers (1.4%, the use of legs and arms (1.1%. Parents' concern had a significant relationship with parent's education, residence and history of illness in children (P<0.05. Out of 23.4% of the infants and children who had later returned to the diagnosis center, 80% had behavioral disorder, 87.6% had speech disorder and 16.6% had hearing impairment..Conclusion: A considerable percentage of parents was concerned about developmental

  9. CTEPP DATA COLLECTION FORM 05: CHILD DAY CARE CENTER PRE-MONITORING QUESTIONNAIRE

    Science.gov (United States)

    This data collection form is used to identify the potential sources of pollutants at the day care center. The day care teacher is asked questions related to the age of their day care building; age and frequency of cleaning carpets or rugs; types of heating and air conditioning de...

  10. Child Day Care Centers, Day Care Centers in Thomas County, GA, Published in 2010, 1:4800 (1in=400ft) scale, Thomas County BOC.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Child Day Care Centers dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Other information as of 2010. It is described as 'Day...

  11. Child Day Care Centers, Day Care Centers, Published in 2007, 1:2400 (1in=200ft) scale, Iredell County GIS.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Child Day Care Centers dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Orthoimagery information as of 2007. It is described as...

  12. Child Day Care Centers, Day Care Center point layer, combined with pre-school points., Published in 2005, 1:4800 (1in=400ft) scale, Reno County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Child Day Care Centers dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Published Reports/Deeds information as of 2005. It is...

  13. Gastroenteritis Attributable to 16 Enteropathogens in Children Attending Day Care Significant Effects of Rotavirus, Norovirus, Astrovirus, Cryptosporidium and Giardia

    NARCIS (Netherlands)

    Enserink, Remko; van den Wijngaard, Cees; Bruijning-Verhagen, Patricia; van Asten, Liselotte; Mughini-Gras, Lapo; Duizer, Erwin; Kortbeek, Titia; Scholts, Rianne; Nagelkerke, Nico; Smit, Henriette A.; Kooistra-Smid, Mirjam; van Pelt, Wilfrid

    2015-01-01

    Background: Children attending day care experience substantial gastrointestinal morbidity due to circulating seasonal enteropathogens in the day-care environment. The lack of a distinct clinical presentation of gastroenteritis (GE) in these children, in combination with the high diversity of enterop

  14. Day care attendance in early life, maternal history of asthma, and asthma at the age of 6 years

    NARCIS (Netherlands)

    Celedon, JC; Wright, RJ; Litonjua, AA; Sredl, D; Ryan, L; Weiss, ST; Gold, DR

    2003-01-01

    Among children not selected on the basis of a parental history of atopy, day care attendance in early life is inversely associated with asthma at school age. We examined the relation between day care in the first year of life and asthma, recurrent wheezing, and eczema at the age of 6 years and wheez

  15. Differences Between Highly Satisfied and Not Highly Satisfied Clients of Day Care Centers.

    Science.gov (United States)

    Handler, Ellen; Fredlund, Janet

    This study analyzes the differences between those customers in two types of day care centers who are highly satisfied and who are not. Half were supported by client fees, and half used other sources of funding, e.g. tax support, and private philanthropic support. Parents and teachers of 100 children in day care centers in four different…

  16. Detection of anti-Giardia lamblia serum antibody among children of day care centers

    Directory of Open Access Journals (Sweden)

    Guimarães Semíramis

    2002-01-01

    Full Text Available OBJETIVES: To detect anti-Giardia lamblia serum antibodies in healthy children attending public day care centers and to assess serological tests as tools for estimating the prevalence of G. lamblia in endemic areas. METHODS: Three separate stool specimens and filter paper blood samples were collected from 147 children ranging from 0 to 6 years old. Each stool sample was processed using spontaneous sedimentation and zinc sulfate flotation methods. Blood samples were tested by indirect immunofluorescence (IIF and enzyme-linked immunosorbent assay (ELISA for Giardia IgG. RESULTS AND CONCLUSIONS: Of 147 individuals tested, 93 (63.3% showed Giardia cysts in their feces. Using IIF and ELISA, serum antibodies were detected in 93 (63.3% and 100 (68% samples , respectively. Sensitivity of IIF and ELISA was 82% and 72%, respectively. However, ELISA revealed to be less specific (39% than IIF (70%. IIF also showed a higher concordance with microscopic examination than ELISA.

  17. Detection of anti-Giardia lamblia serum antibody among children of day care centers

    Directory of Open Access Journals (Sweden)

    Semíramis Guimarães

    2002-02-01

    Full Text Available OBJETIVES: To detect anti-Giardia lamblia serum antibodies in healthy children attending public day care centers and to assess serological tests as tools for estimating the prevalence of G. lamblia in endemic areas. METHODS: Three separate stool specimens and filter paper blood samples were collected from 147 children ranging from 0 to 6 years old. Each stool sample was processed using spontaneous sedimentation and zinc sulfate flotation methods. Blood samples were tested by indirect immunofluorescence (IIF and enzyme-linked immunosorbent assay (ELISA for Giardia IgG. RESULTS AND CONCLUSIONS: Of 147 individuals tested, 93 (63.3% showed Giardia cysts in their feces. Using IIF and ELISA, serum antibodies were detected in 93 (63.3% and 100 (68% samples , respectively. Sensitivity of IIF and ELISA was 82% and 72%, respectively. However, ELISA revealed to be less specific (39% than IIF (70%. IIF also showed a higher concordance with microscopic examination than ELISA.

  18. Factors Related to Depression among Higher Income Mothers with Young Children in Day Care Centers.

    Science.gov (United States)

    Fagan, Jay

    1994-01-01

    Examined the association between maternal depression, maternal separation anxiety, social support, and maternal involvement in the day-care center among 54 upper-income mothers and their infants. Found that higher levels of maternal involvement in day care were associated with lower levels of maternal depression. (MDM)

  19. 7 CFR 226.19a - Adult day care center provisions.

    Science.gov (United States)

    2010-01-01

    ... beneficiaries. Menus and any other nutritional records required by the State agency shall be maintained to... day care centers shall have Federal, State or local licensing or approval to provide day care services... participate in the Program during the renewal process, unless the State agency has information which...

  20. Establishing a national research center on day care

    DEFF Research Database (Denmark)

    Ellegaard, Tomas

    The paper presents and discusses the current formation of a national research center on ECEC. The center is currently being established. It is partly funded by the Danish union of early childhood and youth educators. It is based on cooperation between a number of Danish universities and this nati...... current new public management policies. However there is also more conflicting issues that emerge in this enterprise – especially on interests, practice relevance and knowledge paradigms....

  1. Child Day Care Centers, Day_care_preschool_providers, Published in 2008, 1:600 (1in=50ft) scale, Buffalo County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Child Day Care Centers dataset, published at 1:600 (1in=50ft) scale, was produced all or in part from Orthoimagery information as of 2008. It is described as...

  2. [Policies and standards applied to municipal day care centers in Rio de Janeiro].

    Science.gov (United States)

    de Vasconcelos, Rafaela Moledo; Tancredi, Rinaldini Coralini Philippo; Marin, Victor Augustus

    2013-11-01

    Day care centers were first established in Brazil with the aim of reducing infant mortality rates, however the incidence of foodborne disease transmission has been on the increase. The World Health Organization (WHO) estimates that each year 1.8 million deaths worldwide occur in children under 5 years of age, which is attributed to the consumption of contaminated food. However, Brazilian legislation does not provide specific rules of operation for day care center kitchens. Thus, the scope of this study is to research the standards relating to the operation of day care centers, discussing the health regulations related to food production. By means of a review of electronic pages of various government organs, the regulations inherent to the operation and production of food in day care centers were examined. After scrutiny of the twenty-seven pieces of legislation found, there is a concern with water quality, supply of food, the control of pests and vectors, structural conditions and food policies. In spite of this, it was seen that not all the surveillance policies for the quality of food offered in day care centers are effective. Also observed was the lack of a specific regulation that establishes the quality criteria for safe handling of food in day care centers.

  3. Reported Drug Allergy among Children Attending Day Care Centers

    OpenAIRE

    Carreiro-Martins, P.; Belo, J; Marques, J.; Papoila, AL; Caires, I; Araújo-Martins, J; Pedro, C; Rosado-Pinto, J.; Virella, D; Leiria-Pinto, P; Neuparth, N.

    2014-01-01

    Introdução: A prevalência de alergia a fármacos na população geral não se encontra devidamente caraterizada, existindo poucos estudos publicados que tenham abordado esta situação em crianças com idades inferior a seis anos de idade. Este estudo tem como objetivo principal estimar a prevalência de alergia a medicamentos reportada pelos pais de crianças de infantários de Lisboa e do Porto. Material e Métodos: No âmbito da Fase II do projeto “ENVIRH – Ambiente e Saúde em Creches e Infantários...

  4. [Reported drug allergy among children attending day care centers].

    Science.gov (United States)

    Martins, Pedro; Belo, Joana; Marques, João; Papoila, Ana Luísa; Caires, Iolanda; Araújo-Martins, José; Pedro, Catarina; Rosado-Pinto, José; Virella, Daniel; Leiria-Pinto, Paula; Neuparth, Nuno

    2014-01-01

    Introdução: A prevalência de alergia a fármacos na população geral não se encontra devidamente caraterizada, existindo poucos estudos publicados que tenham abordado esta situação em crianças com idades inferior a seis anos de idade. Este estudo tem como objetivo principal estimar a prevalência de alergia a medicamentos reportada pelos pais de crianças de infantários de Lisboa e do Porto. Material e Métodos: No âmbito da Fase II do projeto “ENVIRH – Ambiente e Saúde em Creches e Infantários” foi aplicado um questionário sobre alergia a medicamentos aos pais das crianças, recrutadas por amostragem aleatória estratificada dos infantários. Resultados: Foram analisados 1 169 questionários, 52,5% de rapazes. A idade média foi de 3,5 ± 1,5 anos. A prevalência de alergia a medicamentos reportada foi de 4,1% (IC 95%: 3,0 - 5,2%). Os fármacos mais referidos foram os antibióticos (em 27 reações) e os AINEs (em seis reações). Na análise multivariável, a alergia a medicamentos reportada associou-se diretamente com a idade da criança (OR 1,19; IC 95% 1,01 - 1,41) e com a referência a alergia alimentar (OR 3,19; IC95% 1,41 - 7,19) e inversamente com o nível de escolaridade dos pais (OR 0,25; IC95% 0,10 - 0,59). Discussão: Apesar das limitações do estudo, os resultados encontram-se de acordo com o reportado por outros autores e sugerem que a prevalência reportada de alergia a medicamentos seja elevada no grupo etário estudado. Conclusão: Torna-se necessário que situações de alergia a medicamentos reportadas pelos pais sejam devidamente estudadas, no sentido de evitar evicções desnecessárias que possam condicionar opções terapêuticas em futuras situações de doença.

  5. Ventilation in day care centers and sick leave among nursery children.

    Science.gov (United States)

    Kolarik, B; Andersen, Z Jovanovic; Ibfelt, T; Engelund, E Hoj; Møller, E; Bräuner, E Vaclavik

    2016-04-01

    Several studies have reported poor indoor air quality (IAQ) in day care centers (DCCs), and other studies have shown that children attending them have an increased risk of respiratory and gastrointestinal infections. The aim of this study was to investigate whether there is an association between ventilation in DCCs and sick leave among nursery children. Data on child sick leave within an 11-week period were obtained for 635 children attending 20 DCCs. Ventilation measurements included three proxies of ventilation: air exchange rate (ACR) measured with the decay method, ACR measured by the perfluorocarbon tracer gas (PFT) method, and CO2 concentration measured over a 1-week period. All but two DCCs had balanced mechanical ventilation system, which could explain the low CO2 levels measured. The mean concentration of CO2 was 643 ppm, exceeding 1000 ppm in only one DCC. A statistically significant inverse relationship between the number of sick days and ACR measured with the decay method was found for crude and adjusted analysis, with a 12% decrease in number of sick days per hour increase in ACR measured with the decay method. This study suggests a relationship between sick leave among nursery children and ventilation in DCCs, as measured with the decay method.

  6. Estado nutricional e consumo de energia e nutrientes de pré-escolares que frequentam creches no município de Manaus, Amazonas: existem diferenças entre creches públicas e privadas? Estado nutricional y consumo de energía y nutrientes de pre-escolares que frecuentan guarderías en el municipio de Manaus, Amazonas (Brasil: ¿existen diferencias entre guarderías públicas y privadas? Nutritional status and energy and nutrients intake of children attending day-care centers in the city of Manaus, Amazonas, Brazil: are there differences between public and private day-care centers?

    Directory of Open Access Journals (Sweden)

    Bruno Mendes Tavares

    2012-01-01

    consumo alimentar en la guardería fue evaluado por el método de pesaje directo individual de los alimentos y, en el domicilio, por el registro alimentar de un día aplicado a los responsables. Se estimó la frecuencia de niños con ingestión de nutrientes por encima o por debajo de los puntos de corte de Estimated Average Intake (EAR o Adequate Intake (AI. RESULTADOS: Se verificó mayor frecuencia de niños con exceso de peso en las guarderías privadas, por los índices de peso para estatura e IMC para edad. Los niños de las instituciones públicas, cuando comparados a aquellos de las privadas, consumieron más grasas poliinsaturadas, trans, ácido graso omega-6, vitamina C y sodio, y menos zinc. En ambos tipos de guarderías, se observaron consumo elevado de energía y proporción elevada de niños con consumo de vitaminas A y C, zinc y sodio por encima del límite superior tolerable de ingestión. La proporción de niños con inadecuación de consumo de calcio fue mayor en las guarderías públicas que en las privadas (27,6 versus 7,9%; pOBJECTIVES: To assess the nutritional status and dietary intakes of children attending public and private day care centers in Manaus, Brazil. METHODS: The study assessed children aged 24 to 72 months, enrolled at two public (n=217 and two private (n=91 day care centers in Manaus. Nutritional status was classified according to Z scores for weight-for-age, weight-for-height, height-for-age and BMI-for-age. Dietary intakes were measured using the direct food-weighing method for 1 day. A 1-day dietary recall was administered to parents to assess dietary intakes outside the day care centers. The frequencies of children with nutrient intakes above and below the Estimated Average Requirements (EAR or Adequate Intake (AI cutoffs were calculated. RESULTS: There proportion of overweight children was higher at the private day care centers, according to both weight-for-height and BMI-for-age indexes. Children from the public day care centers

  7. Cortisol Response to Physical Activity in African American Toddlers Attending Full-Time Day Care

    Science.gov (United States)

    Wall, Sarah J.; Rudisill, Mary E.; Gladden, L. Bruce

    2009-01-01

    The purpose of this study was to examine African American toddlers' cortisol response to acute physical play activity within a full-time subsidized day care environment. Saliva samples were taken from participants (N = 22, ages 26-45.5 months) before and after physical play and control play conditions at the same time of day. Actiheart[TM]monitors…

  8. Ventilation, indoor air quality, and human health and comfort in dwellings and day-care centers

    Energy Technology Data Exchange (ETDEWEB)

    Ruotsalainen, R.

    1995-12-31

    The objective of the study was to assess the actual ventilation and indoor air quality in the Finnish building stock (dwellings and day-care centers) with special reference to the existing guideline values. Furthermore, the objective was to evaluate the occurrence of symptoms and perceptions among occupants (adult residents, children, workers) in relation to ventilation system, ventilation rate and dampness. The measurements of ventilation and indoor air quality in the dwellings and day-care centers included ventilation rate, CO{sub 2} concentration, and temperature and humidity. Self- and parent-administered questionnaires were distributed to the occupants inquiring their personal characteristics, occurrence of symptoms of interest, perceived indoor air quality and details of their home and work environments. Airflows and air change rates varied remarkably both in the dwellings and day-care centers. In the majority of the dwellings and day-care centers, the Finnish guideline values of ventilation rates were not achieved. No consistent associations were observed between the magnitude of mechanical ventilation rates and the occurrence of eye, respiratory, skin and general symptoms, that is, symptoms of sick building syndrome (SBS) among the day-care workers. The results indicate that there is much room for improvement in the ventilation and indoor air quality of Finnish dwellings and day-care centers. The control of ventilation, temperature and humidity and the prevention of water damage are important issues on which to concentrate in the future. There is need to improve the quality in all phases of construction: design, installation, adjustment, operation, and maintenance

  9. Viewpoints of the members of the workers' retirement centers in Tehran about elderly day care centers (2012

    Directory of Open Access Journals (Sweden)

    Hosein Rohani

    2014-02-01

    Full Text Available Background: There is no documented evidence regarding elderly day care centers in Iran. This needs analysis study was conducted to investigate the demand for elderly day care centers in Tehran. Methods: This cross-sectional study was conducted recruiting 210 participants aged over 60 who were members of the elderly retirement centers in Tehran in 2012. Data were gathered by Kansas state university questionnaire and analyzed using Mann-Whitney and Kruskal-Wallis tests. Results: About 80% of participants were men with the mean age of 67.5±5.23 years. Results showed that male (P<0.001, married (P=0.01 and literate elderly (P<0.001, and those living in rental homes (P<0.001 expressed a greater need for elderly day care centers. There was no statistically significant relationship between the lifestyle (P=0.051 and income (P=0.08 of the participants and demand for elderly day care centers. Conclusion: Given the rising population of the elderly and their high demand for day care centers, it is necessary to establish well-equipped day care centers for this group of people. Also, these centers may reduce the burden of care for the aged people on public services and family care givers.

  10. EURISWEB – Web-based epidemiological surveillance of antibiotic-resistant pneumococci in Day Care Centers

    Directory of Open Access Journals (Sweden)

    Sanches Ilda Santos

    2003-07-01

    Full Text Available Abstract Background EURIS (European Resistance Intervention Study was launched as a multinational study in September of 2000 to identify the multitude of complex risk factors that contribute to the high carriage rate of drug resistant Streptococcus pneumoniae strains in children attending Day Care Centers in several European countries. Access to the very large number of data required the development of a web-based infrastructure – EURISWEB – that includes a relational online database, coupled with a query system for data retrieval, and allows integrative storage of demographic, clinical and molecular biology data generated in EURIS. Methods All components of the system were developed using open source programming tools: data storage management was supported by PostgreSQL, and the hypertext preprocessor to generate the web pages was implemented using PHP. The query system is based on a software agent running in the background specifically developed for EURIS. Results The website currently contains data related to 13,500 nasopharyngeal samples and over one million measures taken from 5,250 individual children, as well as over one thousand pre-made and user-made queries aggregated into several reports, approximately. It is presently in use by participating researchers from three countries (Iceland, Portugal and Sweden. Conclusion An operational model centered on a PHP engine builds the interface between the user and the database automatically, allowing an easy maintenance of the system. The query system is also sufficiently adaptable to allow the integration of several advanced data analysis procedures far more demanding than simple queries, eventually including artificial intelligence predictive models.

  11. Intestinal Parasites Prevalence in Children from Day Care Centers in Sinop City-MT

    Directory of Open Access Journals (Sweden)

    B. Muchiutti

    2013-03-01

    Full Text Available Abstract: The aim of this study was to investigate the intestinal parasitosis prevalence of children from municipal day care centers in Sinop MT. Respecting ethical principles established by Resolution 196/96 of Health National Council/Ministry of Health of quantitative research, the anonymity of participants, as well accept and signature of parents of the Term of Free and Enlightened Consent were performed. Between Junes to October 2012 were applied coproparasitological methods for investigation. Fecal samples were analyzed by Hoffmans methods. From 103 students examined observed the prevalence rate of 19.42% of intestinal parasites. The intestinal parasites with highest prevalence rate were: Giardia lamblia (9.70% and Endolimax nana (5.82%. The results of this study demonstrate the need for sensitization of the population front of diagnosis importance, treatment and monitoring of positive cases and the necessity of more health professionals attention, especially with children.Key-words: Intestinal parasites, day care centers, children.

  12. Different risk factors for infection with Giardia lamblia assemblages A and B in children attending day-care centres.

    Science.gov (United States)

    Pijnacker, R; Mughini-Gras, L; Heusinkveld, M; Roelfsema, J; van Pelt, W; Kortbeek, T

    2016-12-01

    Giardia lamblia is a major cause of diarrhoea in children, especially those attending day-care centres (DCCs). Only Giardia assemblages A and B infect humans. Given the lack of assemblage-specific epidemiological data, we aimed to identify risk factors for infection by assemblages A and B in DCC attendees. During 2010-2013, 5,015 faecal samples from ≤4-year-old children attending 40 DCCs participating in laboratory surveillance in the Netherlands were tested for Giardia using RT-PCR. Giardia-positive samples were typed for identification of assemblages A and B. We compared child- and DCC-level characteristics of Giardia-positive children with those of Giardia-negative children using mixed-effects logistic regression. Overall, 226 samples (4.5 %) tested positive for Giardia, and assemblages were determined for 138 of them: 62 (45 %) were assemblage A and 76 (55 %) were B. The only risk factor for assemblage A infection was attending DCCs with indoor sandpits and cats during spring/summer (odds ratio [OR] 13.5; 95% CI 1.8-101.3). For assemblage B, risk factors were attending DCCs with dedicated diaper-changing (OR 3.6; 95% CI 1.7-7.6) and laundry (OR 2.3; 95% CI 1.1-4.9) areas. Preventing sick children from attending day-care and having cloth-towels at the DCC decreased the risk of assemblage B infection (OR 0.0; 95% CI 0.0-0.5 and OR 0.3; 95% CI 0.1-0.6 respectively). Risk factors for assemblages A and B infection in DCC-attending children were different, with assemblage B being mainly related to anthroponotic transmission, and assemblage A being related to zoonotic transmission. Given these differences, interventions to reduce the burden of childhood giardiasis cannot ignore those assemblage-specific preferred reservoirs and transmission routes.

  13. Management of a Trichophyton tonsurans outbreak in a day-care center.

    Science.gov (United States)

    Gray, Robert M; Champagne, Caroline; Waghorn, David; Ong, Eugene; Grabczynska, Sophie A; Morris, Jill

    2015-01-01

    Trichophyton tonsurans is the leading cause of tinea capitis in the United Kingdom (UK) as well as causing tinea corporis. This organism has been linked to several outbreaks in the UK and abroad, and such outbreaks may be prolonged since T. tonsurans can be difficult to control. There remains an incomplete consensus in the literature on the optimal management of such outbreaks of this infection. Following notification that a child with T. tonsurans was identified at a day-care center in the UK, initial investigations identified nine cases of fungal infection involving children and staff over the previous 7 months. We report on the management of an outbreak of T. tonsurans tinea capitis and tinea corporis among children and staff in a day-care center. An outbreak control team with representatives from dermatology, microbiology, day-care center management, and the Health Protection Agency initiated case ascertainment by scalp inspection and brushing of all children and staff at the nursery. Two complete rounds of screening were required before the outbreak was declared over. Infection control measures included antifungal shampoo use, exclusion of identified cases for a short period, removal of shared items from the center, and enhanced decontamination of fomites. The outbreak, which lasted longer than 12 months, involved 12 children and 7 staff members. Of these, 12 cases were confirmed by positive fungal culture. T. tonsurans is difficult to manage, especially in childcare settings, but case ascertainment, appropriate treatment with oral agents, and sustained infection control measures can be effective in controlling such outbreaks.

  14. An outbreak of gastroenteritis associated with astrovirus serotype 1 in a day care center, in Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    AMV Silva

    2001-11-01

    Full Text Available Between June 4th and June 20th1996 rotavirus, adenovirus, and astrovirus (HAstrV were investigated in fecal samples from 27 children under three years old with acute diarrhea, attending the Bertha Lutz day care center, in Rio de Janeiro. All fecal samples were analyzed by polyacrylamide gel electrophoresis (PAGE, reverse transcriptase polymerase chain reaction (RT-PCR, enzyme immunoassays (EIA, and electron microscopy (EM. Nine of them (33% showed positive results for HAstrV by at least one of the employed methodologies. Eight were positive by RT-PCR and EIA, and six by EM. All positive samples were inoculated onto HT-29 (human colon adenocarcinoma cultured cells for HAstrV isolation and seven were positive after three passages. The sequencing analysis of eight RT-PCR products (449 bp from gene that codifies VP2 protein, showed a total nucleotide identity among them and 98% with HAstrV-1 (strain Oxford type 1. This is the first report of a gastroenteritis outbreak associated with HAstrv-1 in a day care center in Rio de Janeiro and it reinforces the importance of this virus in association with infantile acute gastroenteritis.

  15. Dientamoeba fragilis - a Commensal in Children in Danish Day Care Centers

    DEFF Research Database (Denmark)

    Jokelainen, Pikka; Hebbelstrup Jensen, Betina; Andreassen, Bente Utoft

    2017-01-01

    Dientamoeba fragilis is an intestinal protozoan of debated clinical significance. Here, we present cross-sectional and longitudinal observations on D. fragilis in children aged 0-6 years from a 1-year multi-day-care-center cohort study set in Copenhagen, Denmark. The inclusion period for the cohort...... factors (age, gender, having siblings, having domestic animals at home, having had infant colic, recent history of intake of antibiotics, and recent history of travel abroad) as well as six reported symptoms (lack of appetite, nausea, vomiting, abdominal pain, weight loss, and diarrhea) and testing...

  16. Home-Type Activities at the Day Care Center. (Tipos De Actividades Del Hogar En El Centro De Cuidado Diario.)

    Science.gov (United States)

    Aaronson, May; Moberg, Patricia E.

    This paper argues that home activities comprise a valuable unplanned curriculum and that many of these activities can be transferred to the day care center. It is suggested that these activities foster a closer relationship between child and caregiver and bridge the gap between familiar home environment and novel day care setting. Home activities…

  17. Estado nutricional de crianças assistidas em creches e situação de (insegurança alimentar de suas famílias Nutritional status of children attended in day-care-centers and food (insecurity of their families

    Directory of Open Access Journals (Sweden)

    Maercio Mota de Souza

    2012-12-01

    Full Text Available Examinar fatores associados a excesso de peso, déficit de estatura e déficit de peso em crianças assistidas em creches estaduais de João Pessoa e descrever a situação de (insegurança alimentar das suas famílias. Trata-se de um estudo transversal com amostra de 250 crianças. Foram estudadas variáveis socioeconômicas, maternas e das crianças. O estado nutricional das crianças foi avaliado considerando os índices estatura-para-idade e peso-para-estatura. A segurança alimentar familiar foi avaliada com a utilização da Escala Brasileira de Insegurança Alimentar. As proporções de déficit de estatura, déficit de peso e excesso de peso foram 7,6%, 1,6% e 6,4%, respectivamente. Os fatores associados à baixa estatura foram baixa estatura materna e esquema vacinal incompleto. Com relação ao baixo peso, o fator associado foi idade materna inferior a 20 anos. O excesso de peso infantil apresentou associação com o excesso de peso materno e baixa estatura materna. Em 59,6% das famílias, observou-se situação de insegurança alimentar e nutricional, sendo mais frequente a forma leve (32,4%. Excesso de peso e déficit de estatura foram os distúrbios nutricionais mais frequentes neste estudo, constituindo prioridades que devem ser consideradas nas políticas públicas atuais.The scope of this study was to examine associated factors with overweight, stunting and underweight in children attending state day care centers of João Pessoa, as well as to describe the situation of food (insecurity of their families. A cross-sectional study was conducted with a sample of 250 children. Socioeconomic, maternal and child variables were studied. The nutritional status of children was evaluated considering the height-for-age and weight-for-height indices. Household food security was assessed using the Brazilian Scale of Food Insecurity. The proportions of stunting, underweight and overweight were 7.6%, 1.6% and 6.4% respectively. The associated

  18. Child Day Care Centers, Published in 2008, 1:1200 (1in=100ft) scale, Brown County, WI.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Child Day Care Centers dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Published Reports/Deeds information as of 2008. Data by...

  19. Relationships of oral habits, oral status and lisping among children in day-care centers of Tehran, Iran

    OpenAIRE

    Soudabeh Noori; Jalil Kooh Paiehzadeh; Ramin Mozafari Kermani; Mohammadreza Nateghi

    2012-01-01

    Background and Aim: Oral habits have hazardous effects on children's speech which are sometimes irreversible and permanent. This study was planned to assess these oral habits among children in day-care centers of Tehran, Iran.Methods: In this descriptive, cross-sectional study, 400 children were selected through multistage sampling from 16 day-care centers in Tehran, Iran, They were 24 to 72-month old. Bottle feeding, pacifier usage and digit sucking were determined. After interviewing parent...

  20. Food Consumption and Nutrient Intake by Children Aged 10 to 48 Months Attending Day Care in The Netherlands

    NARCIS (Netherlands)

    Goldbohm, R.A.; Rubingh, C.M.; Lanting, C.L.; Joosten, K.F.M.

    2016-01-01

    The diet of young children is an important determinant of long-term health effects, such as overweight and obesity. We analyzed two-day food consumption records from 1526 young children (10–48 months old) attending 199 daycare centers across The Netherlands. Data were observed and recorded in diarie

  1. Food consumption and nutrient intake by children aged 10 to 48 months attending day care in the Netherlands

    NARCIS (Netherlands)

    R.A. Goldbohm; Rubingh, C.M. (Carina M.); C.I. Lanting (Caren); K.F.M. Joosten (Koen)

    2016-01-01

    textabstractThe diet of young children is an important determinant of long-term health effects, such as overweight and obesity. We analyzed two-day food consumption records from 1526 young children (10–48 months old) attending 199 daycare centers across The Netherlands. Data were observed and record

  2. The use of the probiotic Lactobacillus rhamnosus GG and viral findings in the nasopharynx of children attending day care.

    Science.gov (United States)

    Kumpu, Minna; Lehtoranta, Liisa; Roivainen, Merja; Rönkkö, Esa; Ziegler, Thedi; Söderlund-Venermo, Maria; Kautiainen, Hannu; Järvenpää, Salme; Kekkonen, Riina; Hatakka, Katja; Korpela, Riitta; Pitkäranta, Anne

    2013-09-01

    Limited data are available on the effects of probiotics on the nasopharyngeal presence of respiratory viruses in children attending day care. In this substudy of a randomized, double-blinded, placebo-controlled 28-week intervention study, nasopharyngeal swab samples were collected, on visits to a physician due to symptoms of infection, from children receiving control milk (N = 97) and children receiving the same milk supplemented with probiotic Lactobacillus rhamnosus GG (N = 97). The presence of 14 respiratory viruses was assessed by PCR methods, and viral findings were compared with symptom prevalences in the intervention groups. Rhinovirus was identified in 28.6% of 315 swab samples, followed by respiratory syncytial virus (12.4%), parainfluenza virus 1 (12.1%), enterovirus (8.9%), influenza A(H1N1)pdm09 (7.9%), human bocavirus 1 (3.8%), parainfluenza virus 2 (3.2%), adenovirus (2.9%), and influenza A(H3N2) (0.6%). The children in the probiotic group had less days with respiratory symptoms per month than the children in the control group (6.48 [95% CI 6.28-6.68] vs. 7.19 [95% CI 6.98-7.41], P Lactobacillus rhamnosus GG had fewer days with respiratory symptoms than children in the control group, although probiotic intervention was not effective in reducing the amount of viral findings or the respiratory symptoms associated with viral findings.

  3. Pediculose nos centros de educação infantil: conhecimentos e práticas dos trabalhadores Infestión de piojos en los centros de educación infantil: conocimientos y prácticas de los trabajadores Pediculosis in children attending day care centers: knowledge and practice of workers

    Directory of Open Access Journals (Sweden)

    Flávia Lopes Gabani

    2010-06-01

    ún son limitadas. Persisten muchos mitos y tabúes (que los piojos saltan, el uso de la sal, del vinagre y de la parafina, etc. Las principales dudas se relacionan con el tratamiento y la mayor dificultad que se presenta es la falta de cooperación de los padres. Por último, cabe señalar la necesidad y la importancia de que se implementen acciones intersectoriales, preventivas y sistemáticas en el ambiente escolar.This study aimed to identify and analyze knowledge and practices, about pediculosis, from employees at Child Day Care Centers at two areas of coverage of the Family Health Units, Londrina, Paraná. It's descriptive transversal study. Form was applied with questions about myths, taboos, practices, doubts and difficulties in stopping the infestation of pediculosis in eight Child Day Care Centers. Subsequently, workshop was held with educational materials. 60.4% of employees participated, those who were present on the day determined by the institution. Almost all indicated the ectoparasitic infestation, as well as their families. The problem is faced daily in Child Day Care Centers (72.1%. Practice appropriate care is still limited. Many myths and taboos persist (lice jump, use salt, vinegar and kerosene, etc. The main questions are related to treatment and the greatest difficulty is the lack of cooperation from parents. It emphasizes, finally, the need and the importance of internal actions, preventive and systematic in the school environment.

  4. "Prevalence of Intestinal Parasites among Children in Day-care Centers in Damghan - Iran"

    Directory of Open Access Journals (Sweden)

    A Heidari

    2003-07-01

    Full Text Available In order to identify the prevalence of parasitic intestinal infections and to determine the impact of some factors, such as age, health houses, education, environmental health etc, on infection, this survey was carried out on 461 stool specimens and scotch tapes obtained from children resident in day-care centers in Damghan city, Semnan province, Iran. The samples were tested using formalin-ether concentration and Graham methods. The analysis of the results showed that at least 68.1 percent of the individuals tested, were infected with one species of pathogen or non-pathogen parasites. The rate of infection for Enterobius vermicularis, Giardia lamblia, Entamoeba histolytica, Ascaris lumbricoides, Hymenolepis nana, Entamoeba coli, Blastocystis hominis, Iodamoeba butschlii and Chilomastix mesnili was 33.8%, 26.2%, 2.4%, 3%, 4.8%, 5.8%, 4.8%, 2.7% and 4% respectively. A significant difference was seen between the rate of infection and parents’ education (P<0.005 but was negative regarding age, sex, and health houses. It is concluded that sanitary measurements should be conducted in such centers to decrease the rate of parasitic infection.

  5. Practice versus politics in Danish day-care centers: how to bridge the gap?

    DEFF Research Database (Denmark)

    Clasen, Line; Jensen de López, Kristine M.

    2016-01-01

    It is essential that early educators in day-care services possess adequate pedagogical tools for supporting children’s communicative development. Early literacy programmes (ELPs) are potential tools. However, studies investigating the effects of ELPs seldom address implementation processes...

  6. Nutritional assessment of children at the day care center “Marineritos del Sur” in Cienfuegos province, Cuba.

    Directory of Open Access Journals (Sweden)

    Zeida Bárbara Alejo Cruz

    2003-07-01

    Full Text Available Background: In many countries in the last few years, there has been an increasing interest for the assessment of the Nutritional System which can be defined as a systemic and permanent process of collection, transmission analysis and interpretation of the information that allows to keep updated knowledge of the nutritional state. The follow up of the children´s growth and development has the importance not only to assist the children´s needs at a determined age but also to assist them with a preventive criteria taking into account their dynamic and changing characteristics. Objectives: To assess nutritionally the children gathered at the ages from 2 to 6 years that attend the day care center ¨Marineritos del Sur¨ for more than one year during the period September 1 st - March 2000. Methods: The variables under study were age, sex, weight, folds brachial circumference and past illnesses. Results: According to the indicators weight/size, size/age, weight / age, tricipital fold/ age, brachial circumference / age, patients between 10 and 90 percentile had a predominance. The calculus of the Z point showed that 67,66 % of the children were eutrophic, 27,=6 tended to obesity and 5,28 malnourished. Giardia Lambia was the most frequent isolated parasite.

  7. Child Day Care Centers, Child Day Cares as provided by the Department of Children and Family in Miami-Dade - points, Published in 2012, 1:600 (1in=50ft) scale, Miami-Dade County, Information Technology Department.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Child Day Care Centers dataset, published at 1:600 (1in=50ft) scale, was produced all or in part from Other information as of 2012. It is described as 'Child...

  8. Food Consumption and Nutrient Intake by Children Aged 10 to 48 Months Attending Day Care in The Netherlands

    Directory of Open Access Journals (Sweden)

    R. Alexandra Goldbohm

    2016-07-01

    Full Text Available The diet of young children is an important determinant of long-term health effects, such as overweight and obesity. We analyzed two-day food consumption records from 1526 young children (10–48 months old attending 199 daycare centers across The Netherlands. Data were observed and recorded in diaries by caregivers at the day nursery and by parents at home on days that the children attended the daycare center. According to national and European reference values, the children had an adequate nutrient intake with exception of low intakes of total fat, n-3 fatty acids from fish and possibly iron. Intakes of energy and protein were substantially higher than recommended and part of the population exceeded the tolerable upper intake levels for sodium, zinc and retinol. Consumption of fruit, fats, fish, and fluids was substantially less than recommended. The children used mostly (semi-skimmed milk products and non-refined bread and cereals, as recommended. Two thirds of the consumed beverages, however, contained sugar and contributed substantially to energy intake. In young children, low intakes of n-3 fatty acids and iron are a potential matter of concern, as are the high intakes of energy, protein, sugared beverages, and milk, since these may increase the risk of becoming overweight.

  9. [Effect of educational nutrition program on the energy and macronutrients intake of preschoolers attending Junji day care centres in the eastern sector of Santiago, Chile].

    Science.gov (United States)

    Vásquez, Fabián; Andrade, Margarita; Rodríguez, M del Pilar; Salazar, Gabriela

    2008-09-01

    The objective of this study was to evaluate the change on the energy and macronutrients intake in obese and eutrophic preschoolers, attending National Board of Day Care Centres (JUNJI), in the eastern area of Santiago, as product of an educational intervention in intake, nutrition and physical activity, sustained in the theory of the social cognitive learning and the model of community organization. The sample comprised of thirty five obese children, plus eighty five eutrophic children (4-5 years olds). Energy intake was evaluated, measuring full two days a week plus one weekend day. At the day care centre, all ingested food was weighed, and when back at home, child food-intake was recalled. During the stay at the day care centres, the intervention produced a reduction in: energy, proteins, lipids and carbohydrates in obese girls (pobese boys (pobese girls and eutrophic boys (pobese boys, reduced the intake of calories (pobese girls the reduction was in calories (pobesity and chronic diseases.

  10. Prevalence of overweight preschool children in public day care centers: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Viviane Gabriela Nascimento

    Full Text Available CONTEXT AND OBJECTIVE: Brazil is undergoing a period of epidemiological transition associated with demographic and nutritional changes. The prevalence of obesity is also increasing in children and is causing numerous health problems that are becoming public health issues. The aim here was to evaluate the prevalence of overweight among children of two and three years of age. DESIGN AND SETTING: Cross-sectional study in municipal day care centers in Taubaté, state of São Paulo, Brazil. METHODS: Weight and height measurements were made on 447 preschool children forming a probabilistic randomized sample. Their body mass index (BMI was calculated. Their nutritional status was classified using the World Health Organization reference cutoff points (2006. Their mean weight, height and BMI were compared according to their age and sex. RESULTS: The mean values for the final sample (n = 447 were as follows: mean age: 38.6 months (± 3.5 and Z scores for: weight/height (W/H: 0.50 (± 1.22; height/age: -0.03 (± 1.07; weight/age (W/A: 0.51 (± 1.23; and BMI: 0.51(± 1.23. The prevalence of overweight children (BMI > 1 z was 28.86%, while the prevalence of underweight children (BMI < -2 z was 0.89%. There were no differences in mean BMI among the two and three-year age groups (P = 0.66. CONCLUSION: A high prevalence of overweight was observed in the sample of two and three-year-old children, with practically no malnutrition, thus showing that a significant nutritional transition may already be occurring, even in medium-sized cities of developing countries.

  11. Sociocognitive determinants of observed and self-reported compliance to hand hygiene guidelines in child day care centers

    NARCIS (Netherlands)

    Zomer, T.P.; Erasmus, V.; Empelen, P. van; Looman, C.; Beeck, E.F. van; Tjon-A-Tsien, A.; Richardus, J.H.; Voeten, H.A.C.M.

    2013-01-01

    Background: Although hand hygiene (HH) has proven to be an effective measure to prevent infections, HH compliance is generally low. We assessed sociocognitive determinants of caregivers' HH behavior in child day care centers (DCCs) to develop an effective HH intervention. Methods: Caregivers' compli

  12. Media-Educational Habitus of Future Educators in the Context of Education in Day-Care Centers

    Science.gov (United States)

    Friedrichs-Liesenkötter, Henrike

    2015-01-01

    This research explores these questions: (1) How are the forms of media-educational habitus of future educators shaped? (2) What conditions influence whether or not media education is done in day-care centers? The qualitative study consists of six semi-structured interviews with media education teachers in educator training, four focus group…

  13. Goodness-of-Fit in Center Day Care: Relations of Temperament, Stability, and Quality of Care with the Child's Adjustment

    Science.gov (United States)

    De Schipper, J. Clasien; Tavecchio, Louis W. C.; Van IJzendoorn, Marinus H.; Van Zeijl, Jantien

    2004-01-01

    In this study, the concept of "goodness-of-fit" between the child's temperament and the environment, introduced by Thomas and Chess [Temperament and Development, Brunner/Mazel, New York, 1977], is applied within the setting of center day care. Mothers and primary professional caregivers of 186 children, aged 6-30 months, participated in this…

  14. Malaysia's First Day Care Center for Children with Disabilities: Future Needs in Research in Early Intervention.

    Science.gov (United States)

    Bhagwanji, Yash

    This paper describes the development and implementation of the first private nonprofit day care program serving children with disabilities in Malaysia. Preliminary information describes Malaysia's economic, ethnic, and cultural situation. The naturalistic inquiry approach used to prepare this report, involving interviews and observations, is then…

  15. A cluster randomised trial to evaluate a physical activity intervention among 3-5 year old children attending long day care services: study protocol

    Directory of Open Access Journals (Sweden)

    Finch Meghan

    2010-09-01

    Full Text Available Abstract Background Young children are not participating in recommended levels of physical activity and exhibit high levels of sedentary behaviour. Childcare services provide access to large numbers of young children for prolonged periods, yet there is limited experimental evidence regarding the effectiveness of physical activity interventions implemented in this setting. The aim of this study is to assess the effectiveness and acceptability of a multi-component physical activity intervention, delivered by childcare service staff, in increasing the physical activity levels of children attending long day care services. Methods/Design The study will employ a cluster randomised controlled trial design. Three hundred children aged between 3-5 years from twenty randomly selected long day care services in the Hunter Region of New South Wales, Australia will be invited to participate in the trial. Ten of the 20 long day care services will be randomly allocated to deliver the intervention with the remaining ten services allocated to a wait list control group. The physical activity intervention will consist of a number of strategies including: delivering structured fundamental movement skill activities, increasing physical activity opportunities, increasing staff role modelling, providing children with a physical activity promoting indoor and outdoor environment and limiting children's small screen recreation and sedentary behaviours. Intervention effectiveness will be measured via child physical activity levels during attendance at long day care. The study also seeks to determine the acceptability and extent of implementation of the intervention by services and their staff participating in the study. Discussion The trial will address current gaps in the research evidence base and contribute to the design and delivery of future interventions promoting physical activity for young children in long day care settings. Trial registration Australian New

  16. Utilização de assentos de segurança por crianças matriculadas em creches Utilización de asientos de seguridad por niños matriculados en guarderías Child safety restraint use among children attending day care centers

    Directory of Open Access Journals (Sweden)

    Sergio Ricardo Lopes de Oliveira

    2009-10-01

    -sectional study using a stratified sampling conducted in the city of Maringá, Southern Brazil, between March and May 2007. Each day care center was visited at one day only. The outcome was use of child safety restraints by children under four. Vehicles (N=301 driving children under four were approached and information was collected using semi-structured questionnaires. Variables regarding child and adult seat distribution, use of safety restraints by occupants and driver's gender were analyzed. Data analyses included Fisher's exact test, Mantel-Haenszel chi-square test, and logistic regression. RESULTS: Of the drivers approached, 51.8% were using seat belts (60.4% among women, 44.9% among men. Among children, 36.1% were using child safety seats, 45.4% were unrestrained during traveling, 16.0% were seated on an adult lap, and 2.7% were using seat belts. The logistic regression showed the following factors affecting child safety restraint use: child age under 15 months (OR = 3.76; seat belt use by the driver (OR = 2.45; and children from socio-occupational condition with higher income and education (OR = 1.37. CONCLUSIONS: Child safety restraint use was associated to child age, seat belt use by the driver, and socio-occupational condition of day care centers. The finding of low rates of child safety restraint use poses a challenge to preventive medicine in Brazil, requiring attention and action to promote its widespread use.

  17. An evaluation of lead contamination in plastic toys collected from day care centers in the Las Vegas Valley, Nevada, USA.

    Science.gov (United States)

    Greenway, Joseph A; Gerstenberger, Shawn

    2010-10-01

    Childhood exposure to environmental lead continues to be a major health concern. This study examined lead content within the plastic of children's toys collected from licensed day care centers in the Las Vegas valley, Nevada. It was hypothesized that the use of lead as a plastics stabilizer would result in elevated lead (≥600 ppm) in polyvinyl chloride plastics (PVC) compared to non-PVC plastics. It was also hypothesized that, due to the use of lead chromate as a coloring agent, yellow toys would contain higher concentrations of lead (≥600 ppm) than toys of other colors. Toy samples were limited to those found in day care centers in Las Vegas, Nevada. 10 day care centers were visited and approximately 50 toy samples were taken from each center. Of the 535 toys tested, 29 contained lead in excess of 600 parts per million (ppm). Of those 29 toys, 20 were PVC and 17 were yellow. Both of the two hypotheses were strongly supported by the data.

  18. Diversity and Adaptation of Human Respiratory Syncytial Virus Genotypes Circulating in Two Distinct Communities: Public Hospital and Day Care Center

    Directory of Open Access Journals (Sweden)

    Gustavo Rocha Garcia

    2012-10-01

    Full Text Available HRSV is one of the most important pathogens causing acute respiratory tract diseases as bronchiolitis and pneumonia among infants. HRSV was isolated from two distinct communities, a public day care center and a public hospital in São José do Rio Preto – SP, Brazil. We obtained partial sequences from G gene that were used on phylogenetic and selection pressure analysis. HRSV accounted for 29% of respiratory infections in hospitalized children and 7.7% in day care center children. On phylogenetic analysis of 60 HRSV strains, 48 (80% clustered within or adjacent to the GA1 genotype; GA5, NA1, NA2, BA-IV and SAB1 were also observed. SJRP GA1 strains presented variations among deduced amino acids composition and lost the potential O-glycosilation site at amino acid position 295, nevertheless this resulted in an insertion of two potential O-glycosilation sites at positions 296 and 297. Furthermore, a potential O-glycosilation site insertion, at position 293, was only observed for hospital strains. Using SLAC and MEME methods, only amino acid 274 was identified to be under positive selection. This is the first report on HRSV circulation and genotypes classification derived from a day care center community in Brazil.

  19. Fatores de risco para perda ponderal de crianças frequentadoras de berçários em creches do município de São Paulo Risk factors for ponderal loss of children attending the nurseries of day care centers in São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Maysa Helena A. Toloni

    2009-03-01

    Full Text Available OBJETIVO: Identificar e quantificar os fatores de risco relacionados ao agravamento da condição nutricional entre o nascimento e a realização deste estudo. MÉTODOS: Estudo transversal com 270 crianças frequentadoras dos berçários de oito creches públicas e filantrópicas do município de São Paulo. Considerou-se com perda ponderal as crianças que apresentaram diferença negativa do escore Z para a relação peso para idade entre o nascimento e a ocasião da realização desse inquérito. No estudo das associações, utilizou-se o teste do qui-quadrado e consideraram-se as variáveis com nível de significância pOBJECTIVE: To identify and quantify risk factors related to the aggravation of nutritional condition from birth until the date of the study. METHODS: Cross-sectional study with 270 children attending nurseries of eight public and non-for-profit daycare centers in the city of São Paulo, Brazil. Ponderal loss was considered when children presented negative difference of Z score for weight-for-age (W/A from birth until the date of the present inquiry. Chi-square was used to test associations and considered significant if p<0.05. Multivariate logistic regression model adjusted Odds Ratio estimates for confounding variables and/or covariables. RESULTS: Anthropometric analysis showed 7.1% prevalence of malnutrition (W/A<-2 Z score at birth and 4.4% by the time of measurement. Ponderal evolution with unfavorable Z score was present in 50.7% of studied children (n=137. In the bivariate analyses, the variables: birth weight (OR=5.35; p<0.001, anemia (OR=1.81; p=0.019 and age less than 19 months (OR=1.67; p=0.036 were statistically significant. CONCLUSIONS: Ponderal loss in Z score during the first months of life has not been often used in epidemiological studies. However, future researches might identify weight loss as an indicator of risk for sociobiological vulnerability. Development of health programs in order to reduce the

  20. An epidemiological perspective on gastroenteritis in child day care centers : Assessment of impact and risk

    NARCIS (Netherlands)

    Enserink, R.

    2014-01-01

    The impact of gastroenteritis related to Dutch DCCs is substantial, particularly among the very young attendees. Attending a DCC roughly doubles a child’s probability of experiencing an episode of gastroenteritis that requires a visit to a general practitioner or hospital. A child might experience a

  1. Ventilation in day care centers and sick leave among nursery children

    DEFF Research Database (Denmark)

    Kolarik, Barbara; Andersen, Z. Jovanovic; Ibfelt, T.;

    2015-01-01

    ventilation in DCCs and sick leave among nursery children. Data on child sick leave within an 11 week period was obtained for 635 children attending 20 DCCs. Ventilation measurements included three proxies of ventilation: air exchange rate (ACR) measured with the decay method, ACR measured...... by the perfluorocarbon tracer gas (PFT) method, and CO2 concentration measured over a 1-week period. All but two DCCs had balanced mechanical ventilation system, which could explain the low CO2 levels measured. The mean concentration of CO2 was 643 ppm, exceeding 1000 ppm in only one DCC. A statistically significant...... inverse relationship between the number of sick days and ACR measured with the decay method was found for crude and adjusted analysis, with a 12% decrease in number of sick days per 1 h(-1) increase in ACR measured with the decay method. This study suggests a relationship between sick leave among nursery...

  2. Relationships of oral habits, oral status and lisping among children in day-care centers of Tehran, Iran

    Directory of Open Access Journals (Sweden)

    Soudabeh Noori

    2012-12-01

    Full Text Available Background and Aim: Oral habits have hazardous effects on children's speech which are sometimes irreversible and permanent. This study was planned to assess these oral habits among children in day-care centers of Tehran, Iran.Methods: In this descriptive, cross-sectional study, 400 children were selected through multistage sampling from 16 day-care centers in Tehran, Iran, They were 24 to 72-month old. Bottle feeding, pacifier usage and digit sucking were determined. After interviewing parents, oral examination [using Paediatric oral skills package (POSO] and doing standard Phonetic test, a questionnaire was completed for each child.Results: Sixty eight had one oral habit. The most prevalent habit was digit sucking (52.9%. The prevalence of bottle feeding, both digit sucking with bottle feeding, and pacifier habit were 38.2%, 7.3% and 1.4%, respectively. There were significant relationship between digit sucking and malocclusion (p<0.001, r=0.4 and hard palate malformationand (p<0.001, r=0.39. Besides, a significant relationship between bottle feeding and  malocclusion (p<0.001, r=0.25 was conduted. Digit sucking had significant relationship with lisping, too (p<0.001, r=0.37. There was no gender priority in oral habits.Conclusion: Oral habits cause permanent structural conversion in speech producing and oral status.

  3. Prevalence of Pharyngeal Pneumococcal Carriers and Succeptibility Patterns among Children of Day Care Centers in Yazd District,Iran

    Directory of Open Access Journals (Sweden)

    M Mohammad - Zadeh

    2004-04-01

    Full Text Available Introduction: Streptococcus pneumoniae is one of the most important causes of pneumonia, meningitis and septicemia. Decades after successful treatment of this infection with penicillin, frequency of penicillin resistance is reportedly on the rise throughout the world. This cross sectional study was designed in Yazd to determine the prevalence of pneumococcal pharyngeal carriers and its succeptibility pattern in children of day care centers. Method & materials : Two hundred children were selected randomly from 10 day care centers and pharyngeal swabs were collected and cultured in February, 2002. Results :51% of our study sample were boys and 49% were girls. Their age range was between 7 and 65 months. Prevalence of pharyngeal carriers was 37.5%. The rate of resistance detected was as follows: 50% to penicillin, 62.5% to erythromycin and TMP,SMX, 30.6% to tetracycline, 15.3 % to cephalothin, 5.6% to ceftizoxime and 4.2% to ciprofloxacin. Conclusion: We conclude that penicillin is not the drug of choice in invasive pneumococcal infections in Yazd and a third gereration cephalosporin should be used instead as the first line of treatment while awaiting the culture and sensitivity results.

  4. A Study to Determine the Needs for Standards in Army Day Care Centers.

    Science.gov (United States)

    1960-01-01

    child care centers was formalized. At this time Friedrich Froebel , in his book the Education of Man brought out the importance of the early training of...children. According to Froebel , It is highly pernicious to consider the stages of human development - infant, child, boy or girl, youth or maiden, man...being) is seen but vaguely in the idea and word, and scarcely at all considered in life and for life. (46:99) Ia Froebel is known as the "father of the

  5. Everyday practice and unnoticed professional competence in day care work

    DEFF Research Database (Denmark)

    Ahrenkiel, Annegrethe; Warring, Niels; Nielsen, Birger Steen

    for the social educators to get recognition for their professional competencies and the societal importance of their work. Neoliberal governance has imposed a lot of demands for documentation, evaluation etc., and a growing focus on children’s learning in day care centers has resulted in national goals......In Denmark more than 9 out 10 children attend day care centers that are publicly funded and regulated. The main part of employees, the social educators, at day care centers have attended a 3½ years educational programme with both theoretical and practical elements. Nevertheless it has been hard...... based workshops) the paper will discuss work practice in an everyday life perspective. This perspective opens for understanding professional competence as part of creating coherence in children’s and families’ lives as well as during the day in the day care centers. It also opens for a discussion of how...

  6. Child Day Care Centers, Published in 2007, 1:63360 (1in=1mile) scale, S-RCAA, Inc. Head Start/Early Head Start.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Child Day Care Centers dataset, published at 1:63360 (1in=1mile) scale, was produced all or in part from Hardcopy Maps information as of 2007. Data by this...

  7. Using the Infant/Toddler Environment Rating Scale for examining the quality of care for infants and toddlers in Norwegian day care centers

    Directory of Open Access Journals (Sweden)

    Anne-Grethe Baustad

    2012-01-01

    Full Text Available Abstract: The purpose of the presented study is to explore whether ITERS-R is an appropriate tool to use for examining the quality of care for infants and toddlers in Norwegian day care centers. The study is based on a pedagogical perspective of quality, a perspective which takes into account that it is possible both to define and assess the quality in day care centers. This study indicates that ITERS-R can be an appropriate tool to use in examining pedagogical quality in Norwegian day care centers, and especially the concept of process quality. The fit between the values and goals given in the Norwegian Framework Plan and the areas and quality indicators in the ITERS-R is also good; even if there are differences which need to be dealt with. The results are interpreted and discussed within the Norwegian day care center context and the values and goals of Norwegian day care centers. The following four interacting and interdependent dimensions of pedagogical quality made the basis for the discussion: those of the society, the child, the staff (teacher/ teachers and the learning context (Sheridan, 2007, 2009.

  8. Reduction of particulates in a child-day-care center; Reductie van de fijn- en ultrafijnstof in een kinderdagverblijf

    Energy Technology Data Exchange (ETDEWEB)

    Broek, R.; Vons, V. [Virus Free Air VFA, Delft (Netherlands); Jacobs, P. [Afdeling Energy and Comfort Systems, TNO, Delft (Netherlands)

    2012-10-15

    During a practical test an innovative low pressure induct filtration system has been tested on the air inlet of a child day care center. Bottom line is that a significant amount of fine and ultrafine particles were captured from the inlet air while generating little pressure loss. 85% reduction in nano-particles with only 25 Pa pressure drop, is one of the results. This promising filtration system makes it possible to effectively clean the air supply before it is spread throughout the building. Due to low pressure drop larger airflows can be let in a very energy efficient way. This provides a good solution for improving existing as well as new ventilation systems. Conventional F- or H-filters can be replaced or complemented [Dutch] Voldoende frisse lucht in gebouwen is belangrijk. Professionals in de gezondheidszorg adviseren ventilatie om bijvoorbeeld luchtwegklachten te verminderen. Tevens is aangetoond dat productiviteit en welbevinden bevorderd worden naarmate er voldoende frisse lucht aanwezig is. Echter, zomaar buitenlucht direct naar binnen blazen om te ventileren kan in veel gevallen ook negatieve gevolgen hebben, aangezien met de ventilatielucht ook fijnstof naa rbinnenkomt. In de VS is aangetoond dat in gebouwen waarin minder geventileerd werd, mensen minder blootgesteld werden aan fijnstof. Bij deze mensen traden ook minder COPD, hartklachten en longontsteking op. Met name het ultrafijnstof (<0,1 micrometer) is schadelijk. In stedelijke omgeving is dit vooral afkomstig van (diesel) verkeer.

  9. Impact of the application of neurolinguistic programming to mothers of children enrolled in a day care center of a shantytown

    Directory of Open Access Journals (Sweden)

    Cláudio Torres de Miranda

    1999-03-01

    Full Text Available CONTEXT: Of the members of a family, the mother is without doubt the most important one, which provides justification for including an evaluation of her mental health as one of the variables to be considered as determining factors in each child’s level of development. OBJECTIVE: To assess the impact of the application of Neurolinguistic Programming (NLP on child development, home environment and maternal mental health. DESIGN: Randomised controlled trial. SETTING: The study included children enrolled in the municipal day care center of a shantytown in the City of São Paulo. PARTICIPANTS: 45 pairs of mothers and respective children between 18 and 36 months of age. MAIN MEASUREMENTS: Children’s development (Bayley scales; home environment variation (HOME; and maternal mental health (SRQ. Comparison between before and after the intervention was made in terms of children’s psychomotor development, home environment and maternal mental health. INTERVENTION: Application of the NLP technique to the experimental group and comparison with a control group. 1 - Experimental (EG, consisting of 23 children submitted to intervention by NLP; and 2 - Control (CG, with 22 children with no intervention. Length of intervention: 15 sessions of NLP. RESULTS: 37 children remained in the study (EG = 10, CG = 27. Variations in mental development (OR 1.21, IC 95% 0.0 to 23.08 in their home environment (Wilcoxon: p = 0.96 (before and p = 0.09 (after; in maternal mental health: p = 0.26, 2 df. CONCLUSIONS: There was a trend that indicated positive effects on the home environment from the intervention.

  10. How a Young Child Learns How to Take Part in Mealtimes in a Japanese Day-Care Center: A Longitudinal Case Study

    Science.gov (United States)

    Ishiguro, Hiroaki

    2016-01-01

    This research is a longitudinal, ethnographic study that focuses on mealtimes with one boy from 9 to 78 months of age in a day-care center in Japan. It looks at routine interactions between a child, his nursery teachers, and the environment, which is a shared and mutually available communicative space between participants in collaboration. The aim…

  11. Quality of life assessment in advanced cancer patients treated at home, an inpatient unit, and a day care center

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    Leppert W

    2014-05-01

    Full Text Available Wojciech Leppert,1 Mikolaj Majkowicz,2 Maria Forycka,1 Eleonora Mess,3 Agata Zdun-Ryzewska2 1Department of Palliative Medicine, Poznan University of Medical Sciences, Poznan, Poland; 2Department of Quality of Life Research, Gdansk Medical University, Gdansk, Poland; 3Palliative Care Nursing Department, Wroclaw Medical University, Wroclaw, Poland Aim of the study: To assess quality of life (QoL in cancer patients treated at home, at an in-patient palliative care unit (PCU, and at a day care center (DCC. Patients and methods: QoL was assessed in advanced cancer patients at baseline and after 7 days of symptomatic treatment using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative Care (EORTC QLQ-C15-PAL, the Edmonton Symptom Assessment System (ESAS, and the Karnofsky Performance Status (KPS scale. Results: A total of 129 patients completed the study, with 51 patients treated at home, 51 patients treated at the PCU, and 27 patients at DCC. In the EORTC QLQ-C15-PAL, improvement in functional and symptom scales was observed except in physical functioning and fatigue levels; patients at DCC had a better physical functioning, global QoL, appetite, and fatigue levels. In the ESAS, improvement in all items was found except for drowsiness levels, which was stable in patients treated at DCC and deteriorated in home and PCU patients. Higher activity, better appetite and well-being, and less drowsiness were observed in patients treated at DCC. KPS was better in DCC patients compared to those treated at home and at the PCU; the latter group deteriorated. Conclusions: QoL improved in all patient groups, with better results in DCC patients and similar scores in those staying at home and at the PCU. Along with clinical assessment, baseline age, KPS, physical and emotional functioning may be considered when assigning patients to care at a DCC, PCU, or at home. Keywords: oncology, patient care

  12. Diet as a risk factor for pneumococcal carriage and otitis media: a cross-sectional study among children in day care centers.

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    Terhi Tapiainen

    Full Text Available BACKGROUND: Pharyngeal bacteria are exposed to different sugar conditions depending on the diet of the child. We hypothesized that dietary factors such as daily intake of carbohydrates could be associated with pneumococcal carriage and the occurrence of otitis media in children. METHODS: Our study design was a cross-sectional study among 1006 children attending child day care centers. Parents filled in a food frequency questionnaire. Oropharyngeal swabs were collected from each child. The primary outcome was the occurrence of pneumococcal carriage and the secondary outcome the number of acute otitis media episodes during life. Principal component analysis was used to group dietary intake into nine factors. The models were adjusted for age, gender of the child and educational level of the mother. RESULTS: The dietary factor which included high consumption of sweet pastries and jam was associated with an increased risk of pneumococcal carriage (OR 1.17, 95% CI 1.01 to 1.36, P-value 0.04. The factor including frequent consumption of fruit and berries was associated with a decreased risk of acute otitis (regression coefficient -0.51, 95% CI -0.98 to -0.03, P=0.04. A high intake of consumption of sweets and snacks (OR 1.36, 95% CI 1.03 to 1.80, P=0.03 was associated with an increased risk of caries. CONCLUSIONS: Diet was associated with a risk of pneumococcal carriage and the occurrence of otitis media. Diet may thus be a modifiable risk factor for the occurrence of acute otitis media.

  13. Child Day Care Centers, Located during MicroData field address collection 2004-2006. Kept in Spillman database for retrieval., Published in 2004, Vilas County Land Information/Mapping.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Child Day Care Centers dataset, was produced all or in part from Field Observation information as of 2004. It is described as 'Located during MicroData field...

  14. Day Care Services: Industry's Involvement. Bulletin 296.

    Science.gov (United States)

    Besner, Arthur

    This bulletin provides an overview of the need for services for the children of working mothers. Topics discussed include historical developments in industry day care programs, alternative roles for industry involvement, costs of operating day care centers, and income tax allowances. Also given are examples of unique programs which suggest various…

  15. Evaluating the effects of diffused lavender in an adult day care center for patients with dementia in an effort to decrease behavioral issues: a pilot study

    Science.gov (United States)

    Moorman Li, Robin; Gilbert, Brian; Orman, Anna; Aldridge, Petra; Leger-Krall, Sue; Anderson, Clare; Hincapie Castillo, Juan

    2017-01-01

    Abstract Objectives: To evaluate the effects of diffused lavender on the frequency of behavioral issues [BIs], defined as a composite of restlessness/wandering [RW], agitation [AGT], anger [ANG], and anxiety [ANX] in an adult day care center. Secondary objectives evaluate systematic differences on the frequency of BIs between age cohorts, gender, and individual behaviors. Design: Pre-post quasi-experimental study. Setting: Private nonprofit adult day care center for patients with dementia. Participants: Elderly patients older than 65 years of age with a clinical diagnosis of dementia, who require daytime monitoring. Intervention: Lavender aromatherapy twice a day for 20 min during a two-month period during active clinic days. Measurements: Behavioral issues were recorded using the behavior/intervention monthly flow record during the pre- and post-intervention periods. Results: There was no significant difference on frequency of BIs between pre-intervention and post-intervention periods (p = .06). There was a significant difference between pre-intervention and post-intervention total number of AGT occurrences (129 vs. 25; p value < .01). There was no significant difference between age cohorts for computed difference of RW, ANG, and ANX issues. There was a significant difference between age cohorts for computed difference of AGT (p value = .04) as the 70–85 age cohort showed less agitation compared to the 85–100 age cohort. Conclusion: The use of diffused lavender twice daily has shown to reduce the frequency of agitation in elderly patients with dementia, especially in the 70–85 age cohort. Though diffused lavender did not show statistical differences in the frequency of other behaviors (restlessness/wander, anger, anxiety), the study population may have been too small to find a difference.

  16. A longitudinal study of enterobiasis in three day care centers of Havana City Estudo longitudinal de enterobíase em três creches da cidade de Havana, Cuba

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    Fidel Angel Núñez

    1996-04-01

    Full Text Available Pinworm infection was prospectively studied during one year in 469 children attending three day care centers. Each child was examined at six months intervals using up to three perianal swabs with adhesive tape. Those found infected were treated with mebendazole. At the beginning of the study we found a prevalence of 28% that dropped to 13% and 12% in the following study periods. The reinfection rate was twice the incidence rate in both study periods. We also found a small percentage (10% of the children reinfected in most or all study periods. There was a high correlation between reinfection and perianal itching. Our results add further knowledge to the epidemiology of intestinal parasites in day care centers.Infecção por oxiuros foi estudada prospectivamente durante um ano em 469 crianças de três creches. Cada criança foi examinada com intervalos de 6 meses usando até 3 esfregaços perianais com fita adesiva. As que estavam infectadas foram tratadas com mebendazole. No início do estudo foi encontrada prevalência de 28% que caiu para 13% e 12% nos períodos de estudo posteriores. A freqüência de reinfecção foi 2 vezes a incidência em ambos os períodos de estudo. Foi encontrada, também, pequena porcentagem (10% de crianças reinfectadas na maioria ou em todos os períodos de estudo. Existiu elevada correlação entre reinfecção e coceira perianal. Nossos resultados adicionam outros conhecimentos à epidemiología dos parásitos intestinais em creches.

  17. Mortalidade de crianças usuárias de creches no Município de São Paulo Mortality among children enrolled in public day care centers in Brazil

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    Eneida S Ramos Vico

    2004-02-01

    Full Text Available OBJETIVO: Descrever o comportamento da mortalidade em crianças usuárias de creches. MÉTODOS: Trata-se de estudo descritivo da mortalidade de crianças da faixa etária de zero a seis anos e 11 meses, matriculadas em toda a Rede Pública Municipal de Creches de São Paulo (Br, no período de 1995 a 1999. As variáveis de interesse foram sexo, idade, causa básica de morte, tempo de permanência na creche e sazonalidade. RESULTADOS: O coeficiente médio de mortalidade observado para o período foi de 36,4 por cem mil crianças. Do total das mortes, 32,7% ocorreram em menores de um ano e 78,4% em crianças com até três anos. Quanto ao tempo de permanência, 54,2% não chegaram a completar seis meses, destacando os três meses iniciais que concentraram 36,3% das mortes. A maioria dos óbitos ocorreu nos meses de inverno e outono, respectivamente, 31,8% e 29,6%. As causas de morte mais freqüentes foram de origem infecciosa: pneumonias (29,6%, infecção meningocócica (13,0%, meningites não meningocócicas (8,5%, gastroenterites (7,6%, varicela (5,4%. As causas externas representaram 13,5% devido a quedas, atropelamentos, afogamentos, queimaduras e agressões. CONCLUSÕES: A maior parte das mortes ocorreu em menores de três anos e decorreu de causas evitáveis, algumas delas preveníveis por vacinas.OBJECTIVE: To describe the mortality pattern among children enrolled in public day care centers. METHODS: This was a descriptive study of the mortality pattern among children aged from 0 to 6 years and 11 months who were enrolled in all the public day care centers in the city of São Paulo, Brazil, from 1995 to 1999. The variables of interest were sex, age, underlying cause of death, duration of day care attendance and seasonality. RESULTS: The average mortality rate for the period was 36.4 per 100,000 children. Of the total number of deaths, 32.7% were among children under 1 year old and 78.4% under 3 years old. The deaths of 54.2% of these

  18. Dagliga Separationer och Tidig Daghemsstart (Daily Separations and Early Entry into Day Care).

    Science.gov (United States)

    Harsman, Ingrid

    The purpose of this thesis [Swedish language with English abstract and summary] was to study the reactions of infants when they started attending day care centers and to elucidate the process of adjustment. The theoretical perspective employed is the J. Bowlby/M. Ainsworth attachment theory. U. Bronfenbrenner's ecological theory of human…

  19. Maryland Day Care Voucher System.

    Science.gov (United States)

    Hildebrand, Joan M.

    This manual was written to assist States and other governmental units wishing to replicate the Maryland Day Care Voucher Program, a system of providing child care subsidies to eligible families. Chapter I provides brief histories of day care in Maryland and that State's grant to demonstrate the viability of a day care voucher system. Chapter II…

  20. Prevalence of the Precocious Caries in Infancy in Children of 6 the 36 Months in Public Day-Care Centers of Caruaru/PE, Brazil

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    Shirley Suely Veras Vieira MACIEL

    2007-03-01

    Full Text Available Objective: Describe the prevalence of the precocious caries in infancy in children of 6 the 36 months in public day-care centers of Caruaru-PE, and its association with characteristics of the child, as well as analyzing the knowledge of the responsible parents or related the buccal health. Method: The study drawing is of the type transversal cut (to cross-over. Had been collected through information on knowledge related to the buccal health, as well as had been examined to the dental conditions of the children and through the Sinasc the characteristics of the gestation, the childbirth and the child had been collected. For the tests of association for chi-squared (x2 to evaluate the relationship between the dependent variable (ceo-d and the independent variable, the Program was used Epi-info version 6.04. Results: Of the total of 168 studied children, on average examined 14.65 teeth for child. Of these 62.3% were healthy and carious only 3.3%. 92.9% of the parents had knowledge of that the teeth of its children were of milk and knew of its importance; 78.6% already brushed teeth of the children; 74.4% knew as they were the teeth of the children, although only 16.2% to identify carie would indent and 6.0% to tell that the son had tooth ache. But 12.5% had been to the dentist, being 27.3% for revision and control. Of 22.6% of the children who had caries, 79.4% of them consumed nocturnal baby’s bottle, being that 40.7% of them sweetened; 30.4% consumed candies between the meals increasing this consumption to the 25 months of age. Conclusion: The dental caries increases in function of the age in consequence of the increase of the eruption tooth number and the consumption of sugar in the diet.

  1. Child Day Care Centers, This dataset contains the licensed daycare center locations in MD. Addresses were provided by the Department of Labor Licensing and Regulation (DLLR), and geocoded using Maryland Statewide Addressing Initiative Centerline., Published in 2012, 1:2400 (1in=200ft) scale, Towson University Center for GIS.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Child Day Care Centers dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Other information as of 2012. It is described as 'This...

  2. Zoning for Day Care (from Models for Day Care Licensing).

    Science.gov (United States)

    Day Care and Child Development Council of America, Inc., Washington, DC.

    Recommendations and regulations regarding the zoning of child development day care programs are discussed. Zoning in general is discussed, as is the treatment of child development day care in zoning ordinance, the background of program planning, modular housing, the impelmentation of zoning, and model provisions regarding characteristics of…

  3. Risk factors and prevalence of antibodies against hepatitis A virus (HAV in children from day-care centers, in Goiania, Brazil Fatores de risco e prevalência de anticorpos contra o vírus da hepatite A (VHA em crianças de creche em Goiânia, Brasil

    Directory of Open Access Journals (Sweden)

    D.A.O. Queiróz

    1995-10-01

    Full Text Available A seroepidemiologic survey about hepatitis A virus (HAV infection was carried out in a group comprising 310 children, ranging in age from 3 months to 9 years, from day-care centers, in Goiania, a middle sized city in the central region of Brazil. The biomarkers employed in the investigation of previous infection include total IgG and IgM anti-HAV antibodies, and for the detection of more recent infection, IgM anti-HAV antibodies were analyzed. The study was performed in 1991 and 1992. According to the results, 69.7% of the children presented total IgG/IgM anti-HAV antibodies, with 60% of the group in the age range of 1 to 3 years. Among 10 day-care centers analyzed, the prevalence of the biomarker IgM anti-HAV was 3.2%, with an uniform distribution of the cases in the group of children ranging in age from 1 to 4 years. Multi-variate analysis was performed to investigate the sociodemographic factors that could influence the results. It was verified that the risk for the infection increased with the length of the attendance in the day-care centers, i.e., the risk for children with attendance of one year or more was 4.7 times higher, when compared with children with one month attendance (CI 95% 2.3-9.9. According to the results, hepatitis A is an endemic infection in day-care centers in the study area. The length of attendance in the day-care settings was demonstrated to be a risk factor for the HAV infection. Such findings suggest that if hepatits A vaccination becomes available as a routine policy in our region, the target group should be children under one year. Moreover, those children should receive the vaccine before they start to attend the day-care centers.Um estudo soroepidemiológico para o vírus da hepatite A (VHA, investigando os marcadores de infecção passada (anti-VHA total - IgG e IgM e infecção recente (anti-VHA IgM, foi realizado entre 1991 e 1992, em crianças de creche de Goiânia-Brasil central. Das 310 crianças com idade

  4. Differences in epidemiological and molecular characteristics of nasal colonization with Staphylococcus aureus (MSSA-MRSA in children from a university hospital and day care centers.

    Directory of Open Access Journals (Sweden)

    Erika A Rodríguez

    Full Text Available BACKGROUND: Clinical significance of Staphylococcus aureus colonization has been demonstrated in hospital settings; however, studies in the community have shown contrasting results regarding the relevance of colonization in infection by community-associated MRSA (CA-MRSA. In Colombia there are few studies on S. aureus colonization. The aim of this study was to determine the molecular and epidemiological characteristics of nasal colonization by S. aureus (MSSA-MRSA in children from a university hospital and day care centers (DCCs of Medellin, Colombia. METHODS: An observational cross-sectional study was conducted in 400 children (200 in each setting, aged 0 months to 5 years, during 2011. Samples were collected from each nostril and epidemiological information was obtained from the parents. Genotypic analysis included spa typing, PFGE, MLST, SCCmec typing, detection of genes for virulence factors and agr groups. RESULTS: Frequency of S. aureus colonization was 39.8% (n = 159 (hospital 44.5% and DCCs 35.0% and by MRSA, 5.3% (n = 21 (hospital 7.0% and DCCs 3.5%. Most S. aureus colonized children were older than two years (p = 0.005, the majority of them boys (59.1%, shared a bedroom with a large number of people (p = 0.028, with history of β-Lactamase inhibitors usage (p = 0.020. MSSA strains presented the greatest genotypic diversity with 15 clonal complexes (CC. MRSA isolates presented 6 CC, most of them (47.6% belonged to CC8-SCCmec IVc and were genetically related to previously reported infectious MRSA strains. CONCLUSION: Differences in epidemiological and molecular characteristics between populations may be useful for the understanding of S. aureus nasal colonization dynamics and for the design of strategies to prevent S. aureus infection and dissemination. The finding of colonizing MRSA with similar molecular characteristics of those causing infection demonstrates the dissemination capacity of S. aureus and the risk of

  5. Agrupamentos preferenciais e não-preferenciais e arranjos espaciais em creches Preferential and no preferential groups and spatial arrangements in day care centers

    Directory of Open Access Journals (Sweden)

    Mara I. Campos-de-Carvalho

    2000-12-01

    Full Text Available Para verificar o impacto do arranjo espacial para ocorrência de agrupamentos preferenciais e não-preferenciais, analisou-se a ocupação do espaço por crianças de 2-3 anos de duas creches da região de Ribeirão Preto (SP, que atendem famílias de baixa renda. Os dados foram obtidos por duas câmeras fotográficas automáticas, ativadas a cada 30 segundos, em três fases: I - arranjo aberto: habitual (4 sessões; II - arranjo aberto: introdução de estantes nas laterais (6 sessões; III - arranjo semi-aberto: montagem de duas zonas circunscritas (6 sessões. Proximidade física foi utilizada para registrar os agrupamentos, verificando-se: maior estruturação espacial acarretou aumento significativo nos agrupamentos, especialmente com três ou mais crianças; maior ocorrência de agrupamentos nas áreas das estantes (FII e nas zonas circunscritas (FIII, sendo significativa para os não-preferenciais; maior ocupação da zona do adulto na fase inicial, significativa para os não-preferenciais. Concluindo, há evidências da relevância do arranjo espacial para ocorrência de agrupamentos, principalmente para os não-preferenciais.The role of spatial arrangement in the occurrence of preferential and no preferential groups is examined. The spatial distribution of 2- to 3-year-old children from two day care centers serving low income families in the Ribeirão Preto (SP area was analyzed. Data were collected by two automatic photographic cameras shooting at every 30 seconds, in three phases: I - open arrangement: the usual space (4 sessions; II - open arrangement: inclusion of shelves along the periphery of the space (6 sessions; III - semi-open arrangement: formation of two circumscribed zones (6 sessions. Physical proximity was used to record the peer groups. The analysis showed: a significant increase in the occurrence of peer groups with increased spatial structure, especially with three or more children; a preferential occurrence of peer

  6. Early birds in day care: The social gradient in starting day care and children's non-cognitive skills

    OpenAIRE

    Peter, Frauke H.; Pia S. Schober; Spiess, C. Katharina

    2014-01-01

    In recent years, almost all children below school age in Western industrialized countries have some experience of attending day care institutions. However, the age at which children enter day care and therefore the overall time spent in day carevaries substantially. We investigate the potential impact of later day care entry on the social and emotional behaviour of children, one important aspect of non-cognitive skills. Based on the English sample of the Millennium Cohort Study, we analyse th...

  7. Emotional Exhaustion in Day-Care Workers

    Science.gov (United States)

    Løvgren, Mette

    2016-01-01

    Although childcare workers have the second-worst occupation for work-related health problems and the number of professional day-care centers is growing throughout Europe, few studies have examined these workers' emotional well-being. This study investigates the effect of position, competence, work role, role clarity, and work tasks on emotional…

  8. Day-Care in Denmark

    DEFF Research Database (Denmark)

    Bundgaard, Helle

    2011-01-01

      The chapter explores central notions of appropriate social behavior in what is arguably the most important institution in Denmark when it comes to social integration, namely day-care, also known as pre-school. Moral values guiding everyday practices are generally taken for granted. When...... interacting with ethnic minority children and their parents, however, staff are occasionally forced to make explicit the reasoning behind their actions. A focus on the interaction of ethnic minority children and their parents in day-care centres therefore provides insights into the cultural beliefs and values...... which structure daily socialization practices in a Danish day-care, and by implication in Danish society....

  9. Qualitative evaluation of the menu and plate waste in public day care centers in São Paulo city, Brazil Avaliação qualitativa do cardápio e desperdício de alimentos em creches públicas do município de São Paulo

    OpenAIRE

    Giovana Longo-Silva; Maysa Toloni; Sara Rodrigues; Ada Rocha; José Augusto de Aguiar Carrazedo Taddei

    2013-01-01

    OBJECTIVE: This study assessed menu quality and plate waste in public day care centers of São Paulo (SP), Brazil. METHODS: This cross-sectional study collected data from the nurseries of seven day care centers, totaling 366 children aged 12 to 36 months. Each day care center was assessed for three days, totaling 42 days and 210 meals. Menu quality was assessed by the Qualitative Analysis of Menu Preparations method (Análise Qualitativa das Preparações do Cardápio), adapted for day care center...

  10. Morbidade em creche de Brasília: estudo longitudinal de incidência de enfermidades no ano de 1977 Morbidity in a Brasilia day care center: a longitudinal study of disease incidence in 1977

    Directory of Open Access Journals (Sweden)

    Ana Maria Low

    1980-12-01

    Full Text Available Foi feito estudo longitudinal de morbidade em creche de Brasília (Brasil freqüentada por crianças com bom estado nutricional. Foram admitidas na creche durante o ano de 1977 o total de 67 crianças (34 do sexo masculino e 33 do sexo feminino, com idade entre 3 e 21 meses. Infecções de vias aéreas superiores (25,4%, diarréia (23,6% e febre não esclarecida (18,4% representaram dois terços dos diagnósticos. A seguir, em ordem de freqüência, apareceram conjuntivite (15,5%, viroses da infância (7,9%, doenças de pele (3,8%, pequenos acidentes (2,6%, hepatite (2,6% e meningococcemia (0,3%. Houve um total de 343 episódios agudos, dando uma taxa de incidência de 14 enfermidades por criança por ano, independente de sexo e idade.A longitudinal morbidity study was carried out in a day care center in Brasilia (Brazil on a sample of 67 (34 male and 33 female, 3 to 21 months of age well-fed children from middle-class families. A pediatrician was on duty daily in the center. The incidence of disease was: upper respiratory, 25.4%; diarrhea, 23.6%; and undetermined fever, 18.4%. These represented 2/3 of the diagnoses. The other diseases found (and here listed in order of frequency were: conjunctivitis, 15.5%; childhood infections, 7.9%; skin diseases, 3.8%; accidents, 2.6%; hepatitis, 2.6%; and meningitis, 0.3%. There were a total of 343 acute illnesses, giving a mean incidence rate of 14 illnesses per child per year, independent of sex and age. Perhaps the incidence of illnesses would have been lower if the children had not been attending the center, a natural factor in the dissemination of communicable diseases.

  11. Detection of anti-Giardia lamblia serum antibody among children of day care centers Detecção de anticorpos séricos anti-Giardia lamblia em crianças de creches

    Directory of Open Access Journals (Sweden)

    Semíramis Guimarães

    2002-02-01

    Full Text Available OBJETIVES: To detect anti-Giardia lamblia serum antibodies in healthy children attending public day care centers and to assess serological tests as tools for estimating the prevalence of G. lamblia in endemic areas. METHODS: Three separate stool specimens and filter paper blood samples were collected from 147 children ranging from 0 to 6 years old. Each stool sample was processed using spontaneous sedimentation and zinc sulfate flotation methods. Blood samples were tested by indirect immunofluorescence (IIF and enzyme-linked immunosorbent assay (ELISA for Giardia IgG. RESULTS AND CONCLUSIONS: Of 147 individuals tested, 93 (63.3% showed Giardia cysts in their feces. Using IIF and ELISA, serum antibodies were detected in 93 (63.3% and 100 (68% samples , respectively. Sensitivity of IIF and ELISA was 82% and 72%, respectively. However, ELISA revealed to be less specific (39% than IIF (70%. IIF also showed a higher concordance with microscopic examination than ELISA.OBJETIVOS: Detectar anticorpos séricos anti-Giardia lamblia entre crianças atendidas em creches e estimar a freqüência de infecção por Giardia lamblia em área endêmica. MÉTODOS: Foram coletadas três amostras de fezes de cada uma das 147 crianças de três creches da rede municipal de Botucatu, SP, com idade variando de 0 a 6 anos, e as amostras foram processadas pelos métodos de sedimentação espontânea e flutuação pelo sulfato de zinco. Amostras de sangue foram obtidas da polpa digital, coletadas em papel de filtro e testadas pelos métodos de imunofluorescência indireta (IFI e de reação imunoenzimática (Elisa para pesquisa de IgG anti-Giardia. RESULTADOS E CONCLUSÕES: De um total de 147 crianças, 93 (63,3% apresentaram cistos de Giardia nas fezes. Dos 147 eluatos testados, 93 (63,3% e 100 (68% foram positivos para Giardia em IFI e em Elisa, respectivamente. A sensibilidade de IFI foi de 82% e de Elisa, 72%. Contudo, Elisa foi menos específica (39% do que IFI (70

  12. Positioning study on community day-care centers service system for the aged%社区日间托管中心养老服务体系的定位研究

    Institute of Scientific and Technical Information of China (English)

    陈俊羽; 徐桂华

    2014-01-01

    随着人口老龄化、家庭小型化、机构养老服务缺陷等形势日益突出,加之老年人对社会养老的需求日渐强烈,社区日间托管中心这一模式顺应国际潮流,成为养老事业发展的新趋势。但与发达国家相比,我国在开展日托养老服务方面起步较晚,缺乏经验,还存有空白。本文通过围绕当前社会养老现状,对日托中心养老服务体系进行定位研究,分析我国建立该体系的必要性和可行性,总结其定位和作用,为进一步构建规范、系统的社区日间托管中心养老服务体系打下坚实的基础。%With an aging population , smaller families, institutional care service defects situation increasingly prominent , coupled with the demand for social pension for the elderly increasingly strong , community day-care centers in this mode follow the international trend and become a new trend in the development of pension .However, compared with developed countries , Chinese pension services is of the characteristics of late start in carrying out day-care and lack of experience in some field .In this paper , we focus on the current status of the community pension , and perform locate research on pension service system for day-care centers so as to analyze the necessity and feasibility of the establishment of the system , summarize its position and role , in order to further build standardized , systematic retirement community day-care centers service system and lay a solid foundation .

  13. Interpersonal relationships and group A streptococcus spread in a Mexican day-care center Relaciones interpersonales y diseminación del estreptococo del grupo A (EGA en una guardería de México

    Directory of Open Access Journals (Sweden)

    Alberto Villaseñor-Sierra

    2007-10-01

    Full Text Available OBJECTIVE: To study the effect of different degrees of centrality on the carrying of identical group A streptococcus (GAS clones in the nasopharynx of children from a Mexican public day-care center. MATERIAL AND METHODS: Nasopharyngeal cultures were performed in children from rooms B (RB (n = 35 and C (RC (n = 37. The Restriction Fragment Length Polymorphism (RFLP patterns were compared among GAS isolates. A social networks questionnaire was filled out for each child and 10 classmates. Structure coefficients were compared among children with and without GAS. RESULTS: Four GAS clones were identified; clone I in five children from RC; clone II in two from RC and one from RB; clone III in one from RB and one from RC; and clone IV in one from RC. Social network structure: Density of RB and RC = 0.40 (± 0.87 and 0.35 (± 0.80, respectively. In RB, the homophily pattern of interaction was different in carriers (0.00, non-carriers (0.47 and both (0.47 p = 0.35. In RC, the homophily pattern was also different in carriers (0.46, non-carriers (0.68 and mixed (0.19, p = .001. In 4/5 with clone I, the values of degree, closeness and betweenness were above the group mean. In 3/3 with clone II, the values of degree and betweenness were also above the mean. In contrast, in those with clone III and IV, the values of degree, closeness and betweenness were below the group mean. CONCLUSION: The spread of specific GAS clones was associated with groups of children having a high proportion of ties and a high centrality level. This is evidence that spread of GAS strains among children attending day-care centers is not random but dependent on the degree of communication and physical contact between pairs.OBJETIVO: Evaluar el efecto de grados diferentes de centralidad con la presencia de clonas idénticas de estreptococo del grupo A (EGA en la nasofaringe de niños de una guardería pública de México. MATERIAL Y MÉTODOS: Se realizaron cultivos nasofaríngeos en ni

  14. Conhecimentos de educadores de creches sobre alimentação infantil Knowledge of educators from day care centers about infant feeding

    Directory of Open Access Journals (Sweden)

    Elaine Emy Shimabukuro

    2008-09-01

    Full Text Available OBJETIVO: Avaliar o conhecimento das educadoras de creches sobre a alimentação nos primeiros anos de vida. MÉTODOS: Estudo transversal com 137 educadoras de oito creches do município de São Paulo, selecionadas no universo de 36 creches pertencentes à Coordenadoria de Santo Amaro, segundo critérios descritos a partir da metodologia proposta por Beghin. Para avaliar o conhecimento sobre alimentação das educadoras, foi construído e aplicado um questionário estruturado e pré-codificado com questões de múltipla escolha e "verdadeiro e falso" durante as reuniões mensais realizadas nas creches. No estudo das associações, utilizou-se o teste do qui-quadrado, selecionando variáveis com nível de significância pOBJECTIVE: To assess daycare centers educators' knowledge on feeding during the first year of life. METHODS: Cross-sectional study comprising 137 educators from eight daycare centers of São Paulo city (Brazil selected from the universe of 36 daycare centers linked to Santo Amaro Coordination. Selection was based on Beghin's methodology. In order to assess educators' knowledge on feeding a structured, previously codified and tested questionnaire was built with true/false and multiple choices questions and applied. Chi-square test was used to test association between selected variables, being significant p<0.05. RESULTS: Educators' ages ranged from 19 to 66, with a median of 38 years; 41.3% had completed university education. Regarding errors for questions on breastfeeding, artificial lactation, complementary feeding and the sum of all questions about infant feeding, the median and standard deviation (sd were respectively: 3 (sd=1.75; 2 (sd=0.87; 2 (sd= 0.96 and 7 (sd=2.65. CONCLUSIONS: Continuous action programs and improvement of intersectorial actions involving multidisciplinary teams and local daycare centers are required, since solely the knowledge incorporated into practice is not sufficient to promote good feeding and

  15. Nutritional assessment of children at the day care center “Marineritos del Sur” in Cienfuegos province, Cuba. Evaluación nutricional de los niños del circulo infantil “Marineritos del Sur”. Cienfuegos.

    Directory of Open Access Journals (Sweden)

    Ernesto Martínez Ferrer

    2003-10-01

    Full Text Available Background: In many countries in the last few years, there has been an increasing interest for the assessment of the Nutritional System which can be defined as a systemic and permanent process of collection, transmission analysis and interpretation of the information that allows to keep updated knowledge of the nutritional state. The follow up of the children´s growth and development has the importance not only to assist the children´s needs at a determined age but also to assist them with a preventive criteria taking into account their dynamic and changing characteristics. Objectives: To assess nutritionally the children gathered at the ages from 2 to 6 years that attend the day care center ¨Marineritos del Sur¨ for more than one year during the period September 1 st - March 2000. Methods: The variables under study were age, sex, weight, folds brachial circumference and past illnesses. Results: According to the indicators weight/size, size/age, weight / age, tricipital fold/ age, brachial circumference / age, patients between 10 and 90 percentile had a predominance. The calculus of the Z point showed that 67,66 % of the children were eutrophic, 27,=6 tended to obesity and 5,28 malnourished. Giardia Lambia was the most frequent isolated parasite.
    Fundamento: En el transcurso de los últimos años está tomando creciente interés en diversos países el Sistema de Vigilancia Alimentaria y Nutricional que puede definirse como un proceso sistemático y permanente de recolección, transmisión, análisis e interpretación de información que permite mantener un conocimiento actualizado de la situación alimentaria y nutricional El seguimiento del crecimiento y desarrollo del niño no solo tiene la importancia de atender sus necesidades del niño a una edad determinada sino el asistirlo con un criterio preventivo y evolutivo teniendo en

  16. Estado nutricional e prevalência de enteroparasitoses em crianças matriculadas em creche Nutritional status and enteroparasitosis prevalence among children enrolled in a day care center

    Directory of Open Access Journals (Sweden)

    Terezinha Soares Biscegli

    2009-09-01

    Full Text Available OBJETIVO: Avaliar o estado nutricional e descrever a prevalência de enteroparasitoses em crianças de uma creche. MÉTODOS: Estudo transversal com 133 crianças (sete a 78 meses de idade matriculadas na Creche "Sinharinha Neto", Catanduva (SP. Avaliou-se o estado nutricional pelas curvas da OMS/2006 e NCHS/2000 (menores e maiores de cinco anos, respectivamente e investigou-se enteroparasitoses por meio de exames parasitológicos de fezes. O escore Z dos índices peso/altura foi aplicado para classificar desnutrição aguda (Z2 e o da altura/idade para desnutrição pregressa e crônica (ZOBJECTIVE: To evaluate the nutritional status and the prevalence of intestinal parasitic diseases among children enrolled in a day care center. METHODS: This cross-sectional study comprised 133 children, aged seven to 78 months, assisted in a nonprofit day care center in Catanduva, SP, Brazil. The nutritional status was classified according to WHO/2006 and NCHS/2000 curves (younger and older than five years, respectively. Faecal samples were collected for parasite examination. Z scores of weight/height were used to classify acute malnutrition (Z2, and height/age to classify past and chronic malnutrition (Z<-2. Statistical analyses were performed by Z test for proportions, beeing significant p<0.05. RESULTS: Among the evaluated children, 0.8% presented acute malnutrition, 1.5% past malnutrition and 6% obesity. Nutritional disorders were more prevalent among boys. The prevalence of intestinal parasites was 29.2%. The parasites identified were Giardia lamblia (73.6%, Entamoeba coli and yeasts (10.5% each and Endolimax nana (7.9%. Children aged 25 to 60 months presented more parasites (60.5%. Entamoeba coli and yeasts were more prevalent among malnourished children in comparison to eutrophic children. CONCLUSIONS: Nutritional transition was observed in this study. Improvement in life conditions contributed to the disappearance of some parasites, but not of

  17. Fatores de risco de anemia em lactentes matriculados em creches públicas ou filantrópicas de São Paulo Risk factors for anemia in infants enrolled in public or philanthropic day-care centers in São Paulo city, Brazil

    Directory of Open Access Journals (Sweden)

    Tulio Konstantyner

    2007-08-01

    and without anemia was adjusted. RESULTS: The prevalence of anemia was 51.9%. The final logistic model comprised 4 variables: presence of one or more siblings under 5 years of age (Odds Ratio=2.57; p=0.005, attending day care centers that are managed exclusively by the government (Odds Ratio=2.12; p=0.020, less than 2 months of exclusive breastfeeding (Odds Ratio=1.88; p=0.044, age under 15 months (Odds Ratio=2.32; p=0.006. CONCLUSION: The high prevalence of anemia evidences the inefficiency of the studied day care centers in controlling and preventing this nutritional deficiency; therefore, it is up to the health planner to consider the identified and quantified risks for anemia when elaborating control and prevention programs.

  18. Creche: ambiente expositor ou protetor nas infestações por parasitas intestinais em Aracaju, SE Children day care center: exposition or protection environment to intestinal parasites infestation in Aracaju, SE

    Directory of Open Access Journals (Sweden)

    Ricardo Queiroz Gurgel

    2005-05-01

    Full Text Available Para avaliar se creches são ambientes protetores ou propiciadores de infestação intestinal, foi feito exame coproparasitológico de crianças de creche e grupo controle. Creche relacionou-se à maior prevalência de parasitoses (63% x 41,4 % ; pThe work aimed to evaluate whether child daycare centers are an environment that protects against or exposes children to intestinal parasite infestation. Stool samples were analyzed from children attending such centers and a control group. It was concluded that attending daycare centers is related to intestinal parasitosis (630% vs. 41.4 %; p <0.01 and the risk of infestation is 1.5 times higher.

  19. [Intestinal parasites in children aged 4-12 months attending day-care centers of Federal University-Uberlândia-MG].

    Science.gov (United States)

    Berbert-Ferreira, M; Costa-Cruz, J M

    1995-01-01

    The objective of this study was to search for the presence of intestinal parasites in 56 suckling babies, ranging from 4 to 12 months in age hosted during the year of 1989 at the nursery kept by the "Universidade Federal de Uberlândia", at Uberlândia, Minas Gerais State, Brazil. From each child a foecal sample was collected and preserved in 10% formalin until processed, what was done by the Hoffman, Pons and Janer's method, in which the sediment is stained by lugol solution. For each sample 6 slides were prepared and examined, what added up to a total of 336 slides. The percentual of positivity was 23.21%, including 17.85% Ancylostomidae eggs, 5.36% Giardia lamblia and 1.78% Endolimax nana. Only one child presented the associated infections of Ancylostomidae and Giardia lamblia. In what host age is concerned, one child was shown to be infected by Ancylostomidae after it reached 6 months; generally speaking there was evidence of an increase of parasitic infections of hosts beyond the age of 9 months. The above results point out to the necessity of searching for the presence of parasitic intestinal infections covering suckling babies in public nurseries, by means of foecal semestral examinations,even when such babies do not manifest clinical signs of parasitism, in order that adequate treatment and preventive sanitary measures may be adopted to avoid or suppress ambiental contamination with the causative organisms.

  20. Effect of the Consumption of a Fermented Milk on Common Infections in Children Aged 3-6 Years, Attending Day Care Centers

    Science.gov (United States)

    2010-10-05

    Common Infectious Diseases, Occuring in Healthy Children,; Including Upper Respiratory Tract Infections (Defined as; Rhinopharyngitis, Sore Throat, Sinusitis and Otitis), Lower; Respiratory Tract Infections (Defined as Bronchitis,; Pneumopathy and Flu and Flu-like Syndromes), and; Gastrointestinal Tract Infection Defined as Gastroenteritis.

  1. Os valores organizacionais e a Síndrome de Burnout: dois momentos em uma maternidade pública Organizational values and Burnout Syndrome: two moments in a public day-care center

    Directory of Open Access Journals (Sweden)

    Livia de Oliveira Borges

    2006-01-01

    Full Text Available Estudos anteriores têm assinalado a associação da incidência da síndrome de burnout e os valores organizacionais (valores atribuídos às organizações pelos empregados em um nível ideal e real. Em tal contexto, foi desenvolvida pesquisa em uma maternidade pública em 2003, replicando uma pesquisa anterior realizada em 2000, objetivando comparar os resultados. Aplicaram-se o Inventário de Valores Organizacionais e o Inventário de Maslach sobre burnout, numa amostra de 48 profissionais de saúde, e entrevistas, numa sub-amostra. Os resultados indicaram ocorrer uma redução nas diferenças entre níveis de análise ideais e reais dos valores organizacionais, principalmente no pólo de igualitarismo. Esses resultados associam-se às mudanças na gestão organizacional. Os níveis de burnout entre os profissionais de saúde apresentaram-se estáveis. A associação entre os valores organizacionais da maternidade e a síndrome de burnout muda, porém é contraposta pela tensão oriunda no aumento da carga de trabalho e nos salários.Previous studies have shown that the association between the incidence of Burnout Syndrome and organizational values (values attributed by employees to organizations on ideal and real levels. In this context, in 2003, a research at a public day-care center was developed, replicating a previous one accomplished in 2000, with the objective to compare the results. The Inventory of Organizational Values and the Maslasch Burnout Inventory were applied with the samples of 48 health professionals. Interviews were applied too. The results indicate that a reduction of differences between ideal and real levels of organizational values occur, notably in the equalitarian pole. These results associate to changes on organizational management. Levels of burnout were stable among health professionals. The association between organizational values of the day-care center and Burnout Syndrome change, but it is refuted by the

  2. Views on Pre-School Education and Day Care.

    Science.gov (United States)

    Rambusch, Nancy McCormick

    There is a clear need in our country today for early education programs aimed at accelerating the cognitive development of disadvantaged children. Another need is for centers to care for the children of working mothers. Our traditional nursery schools have deemphasized early cognitive development while day care programs have been focused on…

  3. The Burn-Out Syndrome in the Day Care Setting

    Science.gov (United States)

    Maslach, Christina; Pines, Ayala

    1977-01-01

    Results of a study of personal job-stress factors among day care center personnel focus on impact of staff-child ratio, working hours, time out, staff meetings and program structure. Recommended institutional changes for prevention of staff "burn-out" involve reduction in amount of direct staff-child contact, development of social-professional…

  4. Day Care Work as the Creation of Coherence in Everyday Life

    DEFF Research Database (Denmark)

    Ahrenkiel, Annegrethe

    2010-01-01

    Day care institutions serve a central function in modern society; not least because taking care of children is a prerequisite for parent’s participation in the labour market. This is certainly the case in Denmark, where 90 % of children attend day care institutions. In this sense, day care...... institutions are a prerequisite for a sus-tainable everyday life in modern society. Without day care for children it is not possible for families to create a coherent everyday life. At the same time, life in day care institutions shares a lot of similarities with everyday life. It is extremely important...... of kindergarten teachers: confronting neoliberal regulation”, is that a great deal of the work of kindergarten teachers is oriented towards creating coherence in the every life of children and their families. But this central function is threatened by neoliberal forms to the regulation of work in day care...

  5. Day Care: Gold Coin or Brass Check?

    Science.gov (United States)

    Levenstein, Sidney

    1972-01-01

    Because a national day care program will probably be instituted soon, the major issues should be debated before policies are set. Thus some program models are analyzed and then related to the needs of various consumer groups. (Author)

  6. Program Planning for 6-12 Year-Olds in Day Care Centers: The Record of a Pilot Institute on Planning and Developing Creative Programs for School-Agers' Growth Through Play.

    Science.gov (United States)

    Eckstein, Esther

    This pamphlet offers guidelines for directors and teachers interested in providing good after-school day care programs for children 6-12 years of age. The typical school-age child served by after-school programs in New York City is described in the introduction, and the importance of creative play is emphasized. Topics include: (1) the role of the…

  7. Pesquisas contextuais e seus desafios: uma contribuição a partir de investigações sobre arranjos espaciais em creches Contextual research and its challenges: the contribution of investigations on day care center spatial arrangements

    Directory of Open Access Journals (Sweden)

    Mara I. Campos-de-Carvalho

    2003-08-01

    Full Text Available Objetivando caracterizar pesquisas ecológicas, diferenciando-as de pesquisas não ecológicas, são apresentados pressupostos compartilhados por vários autores, apesar de suas divergências na análise da relação pessoa-ambiente (nas dimensões focalizadas, metodologia ou teoria. Uma breve visão introdutória da abordagem ecológica em psicologia é descrita. São discutidos dois critérios, interligados entre si e conectados aos pressupostos básicos, que diferenciam pesquisas ecológicas ou contextuais das não ecológicas ou não contextuais. Nossa experiência de condução de pesquisas contextuais, sobre a relação entre arranjo espacial e ocupação do espaço por crianças em creches, ilustra vários aspectos abordados; são descritos, resumidamente, três conjuntos de variáveis contextuais adicionais, estudadas para verificar se afetariam a ocupação espacial. São apresentados certos desafios metodológicos em pesquisas contextuais.The assumptions of the ecological research are presented, with the objective of characterizing the ecological research and its differentiation from nonecological research. These assumptions are shared by several authors, in spite of their divergences in the analysis of man-environment relationship (such as the ones on focused dimensions, methodology and theory. A brief view of the introduction of ecological ideas into psychology is given. Two criteria connected to the shared assumptions are useful to distinguish ecological and nonecological research. Our experience in carrying out contextual research on the relationship between spatial arrangement and the use of space by children in day care centers is used to illustrate many of the focused aspects; three groups of additional contextual variables are briefly presented, which are studied to examine their influence on spatial distribution. Some methodological challenges in contextual research are presented.

  8. 以“垂直农场”景观为依托的都市托老所营建%Urban Senior Day Care Center Construction Supported by "Vertical Farm

    Institute of Scientific and Technical Information of China (English)

    王丽蓉; 杨锐

    2012-01-01

    Due to rapid urbanization, lots of farmlands have been losing. Consequently the vertical farm emerges as a form of urban agriculture in the future. Currently China has entered an aging society. Owing to the shortage of services in cultural recreation and spiritual consolation, the traditional nursing mode brings negative effect to the old on physical and mental health. Contrast to people's gray impression on nursing home, Urban Senior Day Care Center brings the idea of vertical farms into nursing homes and meanwhile brings psychological joy to the old. Combined with the practice of South Lake Community in Nanjing, the paper explores a new type of community endowment pattern and specific construction of vertical farms landscape under the aging background.%快速城市化造成大量耕地的流失,未来都市农业的发展方向之一是"垂直农场"。当前我国已进入"老龄化"社会,传统的养老院模式由于在文化娱乐、精神慰藉等方面提供的服务相对欠缺,容易使老人的身心健康受到负面影响。而"都市托老所"将"垂直农场"的理念引入到养老院的建设中,观赏结合劳作,为老年人带来身心上的愉悦,改变了人们对传统养老院单调、灰色的印象。笔者结合南京南湖社区的实践,本着"都市托老"的理念,引入全民参与的养老服务体系,运用绿色生态的景观手法,积极探索老龄化背景下以"垂直农场"景观为依托的新型的社区养老模式的营建途径。

  9. Unnoticed Professional Competence in Day Care Work

    DEFF Research Database (Denmark)

    Ahrenkiel, Annegrethe; Schmidt, Camilla; Nielsen, Birger Steen

    2013-01-01

    This article presents a double perspective on social educators’ professional competence: It discusses how everyday life in day care centres (preschools) is dependent on professional competences that can be conceived as “unnoticed.” These aspects of professional competence are embedded in routines......, experiences and embodied forms of knowledge. However, it may be discussed whether these competences are under pressure from increased demands for documentation, standardization and evaluation of children’s learning outcomes. The article will briefly outline this development in the day care sector, followed...... by a discussion of unnoticed professional competence and the related notion of gestural knowledge. The double perspective on social educators’ professional competences will be illuminated by empirical examples from a research project involving social educators from two day care centres in Denmark....

  10. The Day Care Challenge: The Unmet Needs of Mothers and Children.

    Science.gov (United States)

    Keyserling, Mary Dublin

    An overview of the present shortage of day care facilities in the United States is presented in this speech. Statistics cited on the number of working mothers with children under the age of 6 and the number of day care licensed homes and centers show that the shortage of licensed day care facilities is much more acute than it was five years ago.…

  11. Osteomyelitis/septic arthritis caused by Kingella kingae among day care attendees--Minnesota, 2003.

    Science.gov (United States)

    2004-03-26

    Kingella kingae is a fastidious gram-negative coccobacillus that colonizes the respiratory and oropharyngeal tract in children. K. kingae occasionally causes invasive disease, primarily osteomyelitis/septic arthritis in young children, bacteremia in infants, and endocarditis in school-aged children and adults. Although diagnosis of this organism frequently is missed, invasive disease is uncommon. Only sporadic, non-epidemiologically linked cases have been reported previously. In October 2003, the Minnesota Department of Health (MDH) investigated a cluster of two confirmed cases and one probable case of osteomyelitis/septic arthritis caused by K. kingae among children aged 17-21 months attending the same toddler classroom in a day care center. All reported within the same week with onset of fever, preceding or concurrent upper respiratory illness (URI), and refusal to bear weight on the affected limb. This report summarizes these cases and describes the epidemiologic investigation of the day care center. The findings underscore the need for clinicians and laboratorians to consider K. kingae infection in young children with Gram stain--negative or culture-negative skeletal infections.

  12. Weather daily variation in winter and its effect on behavior and affective states in day-care children

    Science.gov (United States)

    Ciucci, Enrica; Calussi, Pamela; Menesini, Ersilia; Mattei, Alessandra; Petralli, Martina; Orlandini, Simone

    2011-05-01

    This study aimed to analyze the impact of winter weather conditions on young children's behavior and affective states by examining a group of 61 children attending day-care centers in Florence (Italy). Participants were 33 males, 28 females and their 11 teachers. The mean age of the children at the beginning of the observation period was 24.1 months. The day-care teachers observed the children's behavioral and emotional states during the morning before their sleeping time and filled in a questionnaire for each baby five times over a winter period of 3 weeks. Air temperature, relative humidity, air pressure and solar radiation data were collected every 15 min from a weather station located in the city center of Florence. At the same time, air temperature and relative humidity data were collected in the classroom and in the garden of each day-care center. We used multilevel linear models to evaluate the extent to which children's emotional and behavioral states could be predicted by weather conditions, controlling for child characteristics (gender and age). The data showed that relative humidity and solar radiation were the main predictors of the children's emotional and behavioral states. The outdoor humidity had a significant positive effect on frustration, sadness and aggression; solar radiation had a significant negative effect only on sadness, suggesting that a sunny winter day makes children more cheerful. The results are discussed in term of implications for parents and teachers to improve children's ecological environment.

  13. Health: A Key Factor in the Evaluation of Day Care.

    Science.gov (United States)

    Bollin, Gail G.

    Research has inadequately examined why health has become a problem in the day care setting. Health regulations for day care have not been researched in the day care setting per se but have been imposed on day care by the medical community working from a hospital model. Day care research has presumed that having antecedent health regulations in…

  14. Family Day Care Zoning. Local Officials Guide.

    Science.gov (United States)

    Cohen, Abby; And Others

    This guide discusses city planning issues related to family day care zoning. The guide is divided into five sections. The first section discusses child care as a planning issue and focuses on changes in working patterns of families and in residential neighborhoods. The second section describes components of the child care delivery system, which…

  15. Family Day Care Zoning Advocacy Guide.

    Science.gov (United States)

    Stevenson, Carol; And Others

    Designed to help family day care providers and the agencies that support them reform local zoning laws that make it difficult or impossible to legally care for children in their homes, this guide outlines the process of obtaining a use permit, changing local laws, and strategizing for the passage of state legislation that preempts local laws. A…

  16. Day Care: Gold Coin or Brass Check.

    Science.gov (United States)

    Levenstein, Sidney

    On the assumption that there will be a national program of day care for preschool children, the author presents the major issues involved. An attempt is made to bring together some figures on current need and available facilities, to examine policy considerations in the implementation of programs, to present some difficulties in providing adequate…

  17. BREASTFEEDING PRACTICE AMONG WOMEN ATTENDING PRIMARY HEALTH CENTERS IN RIYADH

    OpenAIRE

    Al-Amoud, Maysoon M.

    2003-01-01

    Objectives: (1) To study the patterns of breastfeeding of last children, duration, factors and reasons for it. (2) To study the factors affecting breastfeeding among mothers who are breastfeeding and the reasons for continuing or failure to continue, at the primary health care centers (PHC) in Riyadh. Method: A cross-sectional study was conducted by distributing 1000 questionnaires in 10 PHC centers. The breastfeeding practices were categorized on WHO terms. Results: Most of the studied last ...

  18. Analysis of the electric heating conventional system replacement by the solar heating in day-care centers at Poco de Caldas - MG; Analise da substituicao de sistema convencional de aquecimento eletrico por aquecimento solar em creches em Pocos de Caldas -MG

    Energy Technology Data Exchange (ETDEWEB)

    Dantas, Carlos Tadeu [Escola Tecnica Limassis, Delfim Moreira, MG (Brazil); Mariotoni, Carlos Alberto [Universidade Estadual de Campinas, SP (Brazil)

    2006-07-01

    Located in the South of Minas Gerais, average altitude of 1186 m and population about 170.000 inhabitants Pocos de Caldas is one of the most developed tourist cities of Minas Gerais. Beyond this quality, that makes it one of the best cities in quality of life in Brazil, measured for the HDI, the city presents an enviable educational polar region comparing to cities of the south region. With 91 institutions of education, from children's education to superior education, Pocos de Caldas has more than 49,000 students today. From this scholar population, 1870 pupils represent the children's education in particular or municipal day-care centers, called CEI. Pocos de Caldas has its own generation of energy through the Municipal Department of Electricity, DME. The energy production today arrives the house of 58 MW reaching 100% of the population in 2005. The analysis of the substitution of conventional system of electric heating for solar heating in day-care centers has left of an unknown project, with the objective to minimize the consumption of energy unfastened during the children's baths who stay at CEI. In this context, this work presents a study carried through this project, after the implantation of the related system in four of the eleven day-care centers that the initial project composes. The data had been collected in the DME and the City department of Education. The pathological manifestations in the points of water consumption of the related day-care centers as well as the state of conservation of the systems of implanted solar heating had been investigated also. (author)

  19. Fatores associados ao desenvolvimento mental e motor de crianças de quatro creches públicas de Recife, Brasil Factors associated with mental and psychomotor development of infants in four public day care centers in the municipality of Recife, Brazil

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    Sophie Helena Eickmann

    2009-09-01

    Full Text Available OBJETIVO: Identificar os fatores associados aos índices de desenvolvimento mental e motor em lactentes que frequentam creches da rede municipal em Recife. MÉTODOS: Estudo de corte transversal realizado entre fevereiro e abril de 2005 em uma amostra de 108 crianças com idade entre quatro e 24 meses, pertencentes a quatro creches municipais do Recife. O desenvolvimento mental e motor foi avaliado pela Escala de Desenvolvimento Infantil de Bayley II. Por meio de entrevistas às mães, foram obtidas informações sobre as condições socioeconômicas e demográficas das famílias e as características biológicas das crianças ao nascer (peso, sexo e idade gestacional. O estado nutricional foi avaliado através dos índices peso/idade, comprimento/idade, peso/comprimento e da concentração de hemoglobina. RESULTADOS: As médias dos índices de desenvolvimento mental e motor foram 88±11 e 95±12 pontos, respectivamente. A idade gestacional apresentou associação significativa com o desenvolvimento mental e motor e o peso ao nascer e o estado nutricional atual, avaliado pelo índice peso/comprimento, se associaram ao desenvolvimento motor. CONCLUSÕES: As crianças analisadas apresentaram desenvolvimento neuropsicomotor ainda na faixa de normalidade, mas aquém do esperado para a idade, comparado a populações de referência em países desenvolvidos. Os fatores associados ao baixo desempenho do desenvolvimento nessa população estão relacionados aos fatores biológicos, destacando-se os déficits nutricionais, cuja redução deve ser uma prioridade para gestores em saúde e educação.OBJECTIVE: To identify factors associated with mental and psychomotor development of infants enrolled at public day care centers of Recife, Pernambuco, Brazil. METHODS: This is a cross-sectional study conducted with 108 infants aged four to 24 months attending four public day care centers of the Municipality of Recife from February to April 2005. Mental and

  20. Alta prevalência de crianças portadoras de Streptococcus pneumoniae resistentes à penicilina em creches públicas High prevalence of children colonized with penicillin-resistant Streptococcus pneumoniae in public day-care centers

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    Patrícia A. G. Velasquez

    2009-12-01

    in public day-care centers of the municipality of Umuarama, state of Paraná, Brazil. The susceptibility of the pneumococcal strains to antimicrobial agents was also studied. METHODS: Nasopharyngeal specimens from 212 children were collected from April to October 2008. After the specimens were seeded in blood agar and incubated at 37 °C for 24-48 hours, the colonies suspected of belonging to S. pneumoniae were identified using α-hemolysis, optochin sensitivity, and bile solubility test. Penicillin susceptibility was investigated using the disk diffusion and dilution tests. Susceptibility to the other antimicrobial agents indicated for the treatment of pneumococcal infections was investigated using the disk diffusion test. RESULTS: The prevalence of nasopharyngeal pneumococci was 43.4% (92/212, with higher rates in children between 2 and 5 years old (p = 0.0005. There was no significant difference between sexes. Intermediate and full resistance to penicillin were found in 34.8 (32/92 and 22.8% (21/92 isolates, respectively. Sixty-seven strains (72.8% were resistant to sulfamethoxazole-trimethoprim, eight (8.7% were resistant to erythromycin, and six (6.5% to tetracycline. One strain was resistant to clindamycin (1.1% and another was resistant to chloramphenicol (1.1%. All strains were sensitive to levofloxacin, ofloxacin, rifampicin, telithromycin, linezolid, and vancomycin. Nine strains were considered multiresistant because they were resistant to three or more classes of antimicrobial agents. CONCLUSIONS: The present study detected a high prevalence of healthy children colonized with penicillin-resistant S. pneumoniae strains who may be important reservoirs of this pathogen in the community.

  1. Clustering of serotypes in a longitudinal study of Streptococcus pneumoniae carriage in three day care centres

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    Tanskanen Antti

    2008-12-01

    Full Text Available Abstract Background Streptococcus pneumoniae (pneumococcus causes a wide range of clinical manifestations that together constitute a major burden of disease worldwide. The main route of pneumococcal transmission is through asymptomatic colonisation of the nasopharynx. Studies of transmission are currently of general interest because of the impact of the new conjugate-polysaccharide vaccines on nasopharyngeal colonisation (carriage. Here we report the first longitudinal study of pneumococcal carriage that records serotype specific exposure to pneumococci simultaneously within the two most important mixing groups, families and day care facilities. Methods We followed attendees (N = 59 with their family members (N = 117 and the employees (N = 37 in three Finnish day care centres for 9 months with monthly sampling of nasopharyngeal carriage. Pneumococci were cultured, identified and serotyped by standard methods. Results Children in day care constitute a core group of pneumococcal carriage: of the 36 acquisitions of carriage with documented exposure to homologous pneumococci, the attendee had been exposed in her/his day care centre in 35 cases and in the family in 9 cases. Day care children introduce pneumococci to the family: 66% of acquisitions of a new serotype in a family were associated with simultaneous or previous carriage of the same type in the child attending day care. Consequently, pneumococcal transmission was found to take place as micro-epidemics driven by the day care centres. Each of the three day care centres was dominated by a serotype of its own, accounting for 100% of the isolates of that serotype among all samples from the day care attendees. Conclusion The transmission of pneumococci is more intense within than across clusters defined by day care facilities. The ensuing micro-epidemic behaviour enhances pneumococcal transmission.

  2. Child voice and noise: a pilot study of noise in day cares and the effects on 10 children's voice quality according to perceptual evaluation.

    Science.gov (United States)

    McAllister, Anita M; Granqvist, Svante; Sjölander, Peta; Sundberg, Johan

    2009-09-01

    The purpose of this investigation was to study children's exposure to background noise at the ears during a normal day at the day care center and also to relate this to a perceptual evaluation of voice quality. Ten children, from three day care centers, with no history of hearing and speech problems or frequent infections were selected as subjects. A binaural recording technique was used with two microphones placed on both sides of the subject's head, at equal distance from the mouth. A portable digital audio tape (DAT) recorder (Sony TCD-D 100, Stockholm, Sweden) was attached to the subject's waist. Three recordings were made for each child during the day. Each recording was calibrated and started with three repetitions of three sentences containing only sonorants. The recording technique allowed separate analyses of the background noise level and of the sound pressure level (SPL) of each subjects' own voice. Results showed a mean background noise level for the three day care centers at 82.6dBA Leq, ranging from 81.5 to 83.6dBA Leq. Day care center no. 2 had the highest mean value and also the highest value at any separate recording session with a mean background noise level of 85.4dBA Leq during the noontime recordings. Perceptual evaluation showed that the children attending this day care center also received higher values on the following voice characteristics: hoarseness, breathiness, and hyperfunction. Girls increased their loudness level during the day, whereas for boys no such change could be observed.

  3. Detection of Cryptosporidium sp. in non diarrheal faeces from children, in a day care center in the city of São Paulo, Brazil Detecção de Cryptosporidium sp. em fezes não diarréicas de crianças, em uma escola de educação infantil de São Paulo, Brasil

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    Therezinha T. Carvalho-Almeida

    2006-02-01

    Full Text Available The protozoan Cryptosporidium sp. has been frequently detected in faeces from children with persistent diarrhoea. This work achieved to investigate an outbreak of cryptosporidiosis, in a day care center, attending children of high socio-economic level, between 0 and six years old. The outbreak was detected through the network of public health, when stool samples, not diarrhoeic, were examined at the Parasitology Service of the Adolfo Lutz Institute. Among the 64 examined children, 13 (20.3% showed oocysts of Cryptosporidium sp. in the faeces examined by Kinyoun technique: seven children one year old, three, two years old and three, three years old. Among the 23 examined adults, only a 22 years old woman, possibly having an immunocomprometiment, was positive. Clinical and epidemiological aspects were investigated by questionnaires, highlighting the occurrence of the outbreak in a very dry period.O protozoário Cryptosporidium sp. tem sido detectado com freqüência em fezes de crianças com diarréia persistente. Este trabalho teve como objetivo investigar um surto de criptosporidiose, em uma escola de educação infantil, que atende crianças de classe média alta, de 0 a seis anos de idade. O surto foi detectado a partir de amostras fecais não diarréicas encaminhadas ao Instituto Adolfo Lutz através da rede de saúde pública. Das 64 crianças 13 (20,3% apresentaram oocistos de Cryptosporidium nas fezes, examinadas pelo método de Kinyoun, sendo sete crianças com um ano de idade, três com dois anos de idade e três, com três anos de idade. Dos 23 adultos examinados, apenas uma mulher de 22 anos, com possível imunocomprometimento, foi positiva. Aspectos epidemiológicos e clínicos foram investigados por meio de questionários, ressaltando-se que o surto ocorreu em período muito seco.

  4. Hipovitaminose A em pré-escolares de creches públicas do Recife: indicadores bioquímico e dietético Vitamin A deficiency among preschool children attending public day care centres of Recife: biochemical and dietetic indicators

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    Taciana Fernanda dos Santos Fernandes

    2005-08-01

    Full Text Available OBJETIVO: Estimar a prevalência de hipovitaminose A em pré-escolares de creches públicas da cidade do Recife, Estado de Pernambuco, Brasil. MÉTODOS: Estudo de corte transversal, envolvendo 311 crianças menores de cinco anos, de ambos os sexos, aleatoriamente selecionadas, e avaliadas pelos indicadores bioquímico (retinol sérico, dietético (inquérito de consumo alimentar e antropométrico (peso/idade, altura/idade e peso/altura. RESULTADOS: A prevalência de níveis de retinol sérico baixos (0,05. O consumo dietético de vitamina A mostrou sensibilidade reduzida (43,0% e baixíssimo valor preditivo positivo (6,8% no diagnóstico da hiporretinolemia. CONCLUSÃO: A identificação de grupos populacionais vulneráveis, bem como a seleção de indicadores fidedignos do estado nutricional de vitamina A, são elementos essenciais para o diagnóstico e o planejamento de ações visando à prevenção e ao controle dessa carência nutricional específica.OBJECTIVE: To evaluate the extent of vitamin A deficiency among preschool children attending public day care centres in Recife, State of Pernambuco, Brazil. METHODS: A cross-sectional survey involving 311 under 5-year-old children of both sexes, randomly selected, and assessed by biochemical (serum retinol, dietetic (vitamin A rich-food consumption and anthropometric indicators (weight-for-height, weight-for-age and height-for-age. RESULTS: The prevalence of hyporetinolemia (serum retinol 0.05. Vitamin A rich-food intake showed low sensitivity (43.0% and a very low positive predictive value (6.8% as a screening diagnostic test for vitamin A deficiency. CONCLUSION: The identification of vulnerable population groups, and the selection of reliable indicators for the assessment of vitamin A status, are both essential for the diagnosis and planning aimed at preventing and controlling vitamin A deficiency.

  5. Factors associated with acute respiratory illness in day care children.

    Science.gov (United States)

    Hatakka, Katja; Piirainen, Laura; Pohjavuori, Sara; Poussa, Tuija; Savilahti, Erkki; Korpela, Riitta

    2010-09-01

    The aim of this study was to investigate the relationship between child characteristics, parental and environmental factors and the occurrence of acute respiratory illness (ARI) and acute otitis media (AOM) among Finnish children attending day care centres (DCCs). The study was a cross-sectional questionnaire of 594 children aged 1-6 y from 18 DCCs in Helsinki, Finland. Recurrent (> or =4 diseases/y) ARI was present in 44% of the 1-3-y-olds and 23% of the 4-6-y-olds, and recurrent AOM in 15% and 2.5%, respectively. Parent atopic disease (odds ratio (OR) 1.53, p = 0.033), mother's academic education (OR 1.77, p = 0.008) and a medium length of DCC attendance compared to a short period (OR 1.67, p = 0.049) increased, while furry pets (OR 0.44, p = 0.003) and older child age (OR 0.38, p or =6 months (OR 0.20, p = 0.002) and older child age (OR 0.05, p < 0.001) reduced the risk of recurrent AOM. Parental and environmental factors had a significant impact on recurrent ARI and AOM episodes in children attending DCCs. These risk factors should be considered in future studies intending to reduce DCC infections.

  6. Santa Monica Children's Centers, Santa Monica, California: Low-Cost Day Care Facilities for Children of Working Mothers Made Available Through the Cooperation of the California State Government and Local School District. Model Programs--Childhood Education.

    Science.gov (United States)

    American Institutes for Research in the Behavioral Sciences, Palo Alto, CA.

    Two of the four Santa Monica Children's Centers are nursery schools for children aged 3 to 5; the other two centers serve as extended care facilities for children of school age. All centers are concerned with meeting the physical, intellectual, and emotional needs of children on a long-term basis and stress a program offering a variety of play…

  7. Delivery of Services of Day Care Workers In Sta. Maria, Laguna

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    ROLANDO R. CRUZADA, JR.

    2014-02-01

    Full Text Available This study focused on the determination of the delivery of services of day care workers in the municipality of Sta. Maria, Province of Laguna during the first semester of school year 2012-2013. Descriptive research was used in this study. Among the key findings were that Day Care Workers with respect to interactional relationship accomplished the functions with outstanding adequacy such as constantly giving feedback and praises on the performance of children, along with workers and parents coordination and cooperation, with verbal interpretation of Always Observe. In terms of instructional quality both group of respondents perceived that day care workers in-charge had adequate abilities and competencies concerning their education and trainings in connection with teaching small children with verbal interpretation of Always Observe. The parents had confidence to the day care workers in-charge of their children aside from regularly consulting the day care workers about their children’s progress with verbal interpretation of Always Observe. There were only 871 households who availed of the services of day care centers in which 27 workers were employed and each of them assigned to handle an average of 33 children. Notable along with other findings was the day care workers and parents had the same perception as to the extent of services provided by the Day Care Center with respect to interactional relationship, instructional quality and parental participation. Subsequently the study ensued with these five factual remarks: Children’s interactions with parents in the centers were the direct mechanisms through which children learn. The educational qualification and the capability of the day care workers to handle small children were the primary essentials in children’s learning. Parents’ participation in the day care centers premises brought harmonious relationship between the Day Care Workers and children as well. The capacity of day care worker

  8. The Role of Attending Center-Based Care for Kindergarten-Aged Children with Disabilities

    Science.gov (United States)

    Gottfried, Michael A.

    2017-01-01

    Background/Context: Families have been increasingly utilizing center-based care both during prekindergarten as well as before/after school during kindergarten (CBC-K), and the literature has addressed the relative effectiveness of attending the former on early schooling outcomes. However, missing in the field is an analysis of the efficacy of…

  9. A Study in Child Care (Case Study from Volume II-A): "A Rolls-Royce of Day Care." Day Care Programs Reprint Series.

    Science.gov (United States)

    O'Farrell, Brigid

    The Amalgamated Day Care Center is an independent trust established through a collective bargaining agreement between the Amalgamated Clothing Workers of America, AFL-CIO, and the employers of the garment industry. The free center, open from 6:00 a.m. to 6:00 p.m., is located near the Chicago garment industries to minimize transportation problems…

  10. Vouchers for Day Care of Children: Evaluating a Program Model.

    Science.gov (United States)

    Parker, Michael D.

    1989-01-01

    Examined effects of a pilot voucher program on the price, supply, and quality of day care. Findings offered no conclusive evidence concerning expected benefits. Discusses vouchers' potential for easing the day care crisis. (RJC)

  11. Conhecimentos e práticas de trabalhadoras de creches universitárias relativos às infecções respiratórias agudas na infância Conocimientos y prácticas de trabajadoras de guarderías universitarias relativos a las infecciones respiratorias agudas en la infancia Knowledge and practices of university day care center workers relative to acute respiratory infections in childhood

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    Roberta Cristiane P. Alves

    2006-03-01

    knowledge and practices of day care center workers relative to the prevention, precocious detection and management of these illnesses. Through fourteen structured interviews in two university day care centers of the city of São Paulo, it was verified that the workers: demonstrate familiarity with several respiratory illnesses; indicate fever and noisy breath as danger signals; consider pollution and transmission as main causes; refer to environment care as the best form of control; keep continuous observation of the child and interventions of hygiene and comfort, and greater emotional care; consider education and care complementary in child attendance, revealing the need for better preparation for caring; have in daily activities the source of their knowledge.

  12. Personality traits affect teaching performance of attending physicians: results of a multi-center observational study.

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    Renée A Scheepers

    Full Text Available BACKGROUND: Worldwide, attending physicians train residents to become competent providers of patient care. To assess adequate training, attending physicians are increasingly evaluated on their teaching performance. Research suggests that personality traits affect teaching performance, consistent with studied effects of personality traits on job performance and academic performance in medicine. However, up till date, research in clinical teaching practice did not use quantitative methods and did not account for specialty differences. We empirically studied the relationship of attending physicians' personality traits with their teaching performance across surgical and non-surgical specialties. METHOD: We conducted a survey across surgical and non-surgical specialties in eighteen medical centers in the Netherlands. Residents evaluated attending physicians' overall teaching performance, as well as the specific domains learning climate, professional attitude, communication, evaluation, and feedback, using the validated 21-item System for Evaluation of Teaching Qualities (SETQ. Attending physicians self-evaluated their personality traits on a 5-point scale using the validated 10-item Big Five Inventory (BFI, yielding the Five Factor model: extraversion, conscientiousness, neuroticism, agreeableness and openness. RESULTS: Overall, 622 (77% attending physicians and 549 (68% residents participated. Extraversion positively related to overall teaching performance (regression coefficient, B: 0.05, 95% CI: 0.01 to 0.10, P = 0.02. Openness was negatively associated with scores on feedback for surgical specialties only (B: -0.10, 95% CI: -0.15 to -0.05, P<0.001 and conscientiousness was positively related to evaluation of residents for non-surgical specialties only (B: 0.13, 95% CI: 0.03 to 0.22, p = 0.01. CONCLUSIONS: Extraverted attending physicians were consistently evaluated as better supervisors. Surgical attending physicians who display high levels of

  13. Fatores interferentes na alimentação de crianças de 17 a 25 meses de uma creche municipal Aspects interfering in the feeding of children from 17 to 25 months of a municipal day-care center

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    Ana Paola Nicolielo

    2009-01-01

    Full Text Available OBJETIVO: verificar fatores interferentes no padrão de alimentação de crianças de 17 a 25 meses. MÉTODOS: dados de avaliações fonoaudiológicas de todas as crianças do berçário (n=14 de uma creche no município de Bauru/SP. Aplicação de questionário aos pais a respeito das condições de saúde geral e desenvolvimento neuromotor, aleitamento natural ou artificial, hábitos orais e problemas respiratórios. Analisou-se a morfofuncionalidade dos constituintes do sistema estomatognático e características clínico-fisiológicas da mastiga��ão e deglutição. A análise estatística foi descritiva. RESULTADOS: constatou-se alteração em diversos aspectos da saúde nas crianças (92,8%; presença de má oclusão (28,6%; alterações morfológicas para lábio (21,4% e língua (21,4%; alterações de tonicidade de bochechas (57,1%, mento (21,4% e lábios (42,8%; respiração oral ou oronasal (42,8%; alterações na mastigação (35,7% e na deglutição de sólido (50% e líquido (42,8%. CONCLUSÃO: para esse grupo, a presença de hábitos orais, assim como as alterações morfológicas e de tonicidade influenciam o padrão de alimentação das crianças analisadas, evidenciando a necessidade de prevenir e detectar precocemente tais fatores para que a alimentação nas crianças ocorra de forma adequada, promovendo assim condições de saúde para um desenvolvimento hígido.PURPOSE: to check interfering aspects in the feeding standard of children from 17 to 25 months. METHODS: data of speech language pathology evaluation related to 14 children that attended a day-care center in the city of Bauru/SP. A questionnaire was applied in order to get information about general health conditions and neuromotor development, natural or artificial feeding, oral habits and breathing problems. The analysis was made under the following aspects: morpho-functionality of the physician-physiological characteristic constituting the stomatognathic system

  14. Influence of the day care, home and neighbourhood environment on young children's physical activity and health

    DEFF Research Database (Denmark)

    Christian, Hayley; Maitland, Clover; Enkel, Stephanie

    2016-01-01

    will be collected by geographic information systems measures, parent and day care educator surveys. ETHICS AND DISSEMINATION: Ethical approval has been granted by The University of Western Australia Human Ethics Research Committee, approval number RA/4/1/7417. Findings will be published in international peer......-sectional observational study (April 2015 to April 2018) of 2400 children aged 2-5 years attending long day care in metropolitan Perth, Western Australia. Accelerometers will measure physical activity with indoor physical activity measured using radio frequency identification. Global positioning systems will be used...... to determine outdoor location of physical activity around the home and neighbourhood for a subsample (n=310). The day care environment will be objectively measured using a validated audit tool. Other potential individual, social and physical environmental influences on preschoolers' physical activity...

  15. SATISFACTION FROM HEALTH INSURANCE INSTITUTIONS AMONG PEOPLE ATTENDING THE PRIMARY HEALTH CARE CENTERS IN ANKARA

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    Fatma ILHAN

    2006-08-01

    Full Text Available The aim of this study was to determine the status of satisfaction from health insurance institutions among people at age 18 and over , attending the primary health care centers in Ankara city center. This study was conducted by applying a questionnaire to the persons attending to four primary health care center and two Mather-Child Health Care and Family Planning Centers in Ankara City Center between May 20-July 20, 2003. 3184 persons applied to six primary health care centers in Ankara city center were interviewed. The median age of the subjects was 38; 66.4 % were women; 30.9 % were primary school graduate and 48.8% were housewife. 100% of the subjects who own private health insurance were satisfied with their insurance status. This rate was 92.0% for the subjects who were under coverage of Emekli Sandigi, and 79% for those who were under coverage of Bag-Kur. The most common health insurance institution the subjects were not satisfied with, was SSK with 48.4 % unsatisfaction rate. “The capability of being physically emamined and treated in any health facility he/she want” was in the first rank among the satisfaction reasons (54.2%. “The absence of this capability” was the most common reason for unsatisfaction (44.0%. 51.6 of the subjects were satisfied with their own health insurance institution, Emekli Sandigi was the most preffered institution with a percentage of 22.3. [TAF Prev Med Bull 2006; 5(4.000: 244-253

  16. Caracterização de genótipos de rotavírus em creches: era pré- e pós-vacinação contra o rotavírus Characterization of rotavirus strains from day care centers: pre- and post-rotavirus vaccine era

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    Simone G. Morillo

    2010-04-01

    Full Text Available OBJETIVOS: Em 2006, a vacina contra rotavírus foi incluída no Programa Nacional de Imunização. Este estudo teve como objetivo analisar os resultados da vigilância de genótipos de rotavírus em crianças OBJECTIVES: In 2006 the rotavirus vaccine was included in the Brazilian Immunization Program. The aim of this study was to report the results of a 5-year surveillance study of rotavirus strains in children < 5 years with acute gastroenteritis from day care centers in the state of São Paulo, Brazil. METHODS: This retrospective study was conducted with 30 day care centers from 2004 to 2008 with convenient surveillance fecal specimens, investigated by ELISA, SDS-PAGE, RT-PCR and gene sequencing to genotype characterization. RESULTS: Rotavirus infection was detected in 28.3% of samples (38/134. The most frequent genotypes detected were G9P[8] and G1P[8] in 2004; G1P[8] in 2005; GNTP[NT] in 2006; G2P[4] in 2007; and there were no cases in 2008. Mixed infections were not observed. Detection rate declined from 65.7% (23/35 in 2004 to 50% (9/18 in 2007. CONCLUSIONS: Genotype distribution varied according to collection year, accompanied by a reduction in detection rate. Use of rotavirus vaccine requires implementation of post-marketing surveillance to monitor rotavirus strain diversity and its efficacy against possible new emerging genotypes.

  17. Microepidemia de tinha do couro cabeludo por Microsporum canis em creche de Vitória - Espírito Santo (Brasil Tinea capitis micro-epidemic by Microsporum canis in a day care center of Vitória - Espírito Santo (Brazil

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    Thaiz Gava Rigoni Gürtler

    2005-06-01

    Full Text Available Tinha do couro cabeludo é infecção da pele e cabelos dessa área, causada pelos dermatófitos do gênero Microsporum e Trichophyton. Acomete preferencialmente crianças pré-escolares e escolares, devido ao maior contato com fontes de infecção. Os autores relatam uma microepidemia de tinha do couro cabeludo em 11 crianças de uma creche pública de Vitória (ES, entre dois e seis anos de idade, 61% do sexo masculino. Apresentavam lesões arredondadas, escamosas, tonsurantes, grandes e únicas, nas regiões frontal, occipital, parietal, e, em dois casos, o couro cabeludo estava difusamente acometido. Os micológicos diretos mostravam parasitismo tipo ectotrix, e 45,5% das culturas foram positivas para Microsporum canis, justificadas pela história de contato entre algumas crianças da creche e cães errantes pelo bairro.Tinea capitis of the scalp is an infection of the skin and hair of this area caused by the dermatophytes of the Microsporum and Trichophyton genus. It preferentially attacks pre-school and school children due to their greater contact with infection sources. The authors report a micro-epidemic of Tinea capitis of the scalp in 11 children of a day care center of Vitória (ES, between two and six years of age, 61% of masculine sex. They presented rounded, scaly lesions with tonsured hair, large and unique in the frontal, occipital and parietal regions. In two cases the scalp was diffusely attacked. The direct mycology showed parasitism of the ectothrix type, and 45.5% of the cultures were positive for Microsporum canis, justified by the history of contact between some children of the day care center and stray dogs of the district.

  18. Seasonal variation, weather and behavior in day-care children: a multilevel approach

    Science.gov (United States)

    Ciucci, Enrica; Calussi, Pamela; Menesini, Ersilia; Mattei, Alessandra; Petralli, Martina; Orlandini, Simone

    2013-11-01

    This study analyzes the effect of weather variables, such as solar radiation, indoor and outdoor air temperature, relative humidity and time spent outdoor, on the behavior of 2-year-old children and their affects across different seasons: winter, spring and summer. Participants were a group of 61 children (33 males and 28 females) attending four day-care centers in Florence (Central Italy). Mean age of children at the beginning of the study was 24.1 months ( SD = 3.6). We used multilevel linear analyses to account for the hierarchical structure of our data. The study analyzed the following behavioral variables: Activity Level, Attentional Focusing, Frustration, and Aggression. Results showed a different impact of some weather variables on children’s behavior across seasons, indicating that the weather variable that affects children’s behavior is usually the one that shows extreme values during the studied seasons, such as air temperature and relative humidity in winter and summer. Studying children and their reactions to weather conditions could have potentially wide-reaching implications for parenting and teaching practices, as well as for researchers studying social relationships development.

  19. The supply of day care : Het aanbod van kinderopvang

    NARCIS (Netherlands)

    Turksema, Rudolf Willem

    2000-01-01

    Previous to the 1990s day-care supply in the Netherlands was lagging behind compared to most other European countries. Therefore, the Dutch government introduced the Stimulative Measures on Child Care at the end of the 1980s. These supply-side subsidies were used to increase day-care supply, especia

  20. Retrospective study of oral lesions in the population attended at the Dental Specialty Center

    Directory of Open Access Journals (Sweden)

    Maurício Roth Volkweis

    2010-04-01

    Full Text Available Objectives: To identify the most prevalent stomatologic lesions in the population attended at the Dental Specialty Center of the Hospital “Nossa Senhora da Conceição”, quantify the distribution by sex and age group, verify the relationship of smoking as a predisposing factor to oral cancer, determine the number of consultations at the service for each patient until discharge and quantify the number of procedures performed. Methods: The sample consisted of 435 medical records of patients who sought the Stomatology Service of the Dental Specialty Center of the Hospital Nossa Senhora da Conceição. Of these, 249 were women and 186 were men. Therefore, a retrospective study was conducted from the analysis of the clinical records of all patients attended from October 2006 to March 2008. The variables were categorized and analyzed by Pearson’s Chi-square test. Results: Of the 435 patients, who sought the Stomatology service, 249 were women and 186 were men, and no statistically significant association of sex with any group of diseases was observed. The most prevalent diseases were stomatitis with 122 cases. Eighteen patients had malignant diseases (4%, 15 of them being diagnosed with squamous cell carcinoma. Of the total number of patients attended, 20.7% were referred to other professionals, 79.3% had their problems solved exclusively at the service, and in 173 cases (39.7% biopsies were performed. Conclusion: The most prevalent lesion group was stomatitis, being 28% of the total, and the predominant groups were women and the age group over 60 years. There was a statistically significant relationship between smoking and mouth cancer.

  1. Daycare Center Attendance Buffers the Effects of Maternal Authoritarian Parenting Style on Physical Aggression in Children

    Science.gov (United States)

    Muñoz, José M.; Braza, Paloma; Carreras, Rosario; Braza, Francisco; Azurmendi, Aitziber; Pascual-Sagastizábal, Eider; Cardas, Jaione; Sánchez-Martín, José R.

    2017-01-01

    A maternal authoritarian style has been related to the development of physical aggression during childhood and later future social problems; however, not too many studies have detected other than individual or family factors that may buffer this maternal effect. This work examines whether daycare center attendance may moderate the relationships between a mother authoritarian style and physical aggression. The study sample was 72 (40 girls) kindergarten children from Spain. Parents were asked to complete two questionnaires focused on individual family characteristics and parenting styles. At age 5, children physical aggression was assessed by direct observation at playtime; aggression scores at 6 was obtained by a peer-rated questionnaire. A least squared multiple regression was performed after controlling for children’s level of physical aggression at 5, child sex and siblings. A positive contribution of maternal authoritarian style on physical aggression was detected. Daycare center attendance appears to attenuate the effect of the mother’s authoritarian style on physical aggression, only in boys. PMID:28377733

  2. Comparison of Optimal Cardiovascular Risk Factor Management in Patients with Type 2 Diabetes Who Attended Urban Medical Health Center with those Attended a Tertiary Care Center: Experiences from Tehran, Iran

    Science.gov (United States)

    Moradi, Sedighe; Haji Ghanbari, Mohammad Javad; Ebrahimi, Hedyeh

    2016-01-01

    Background: Diabetes is a leading cause of cardiovascular disease (CVD). Moreover, CVD accounts for primary cause of death among diabetic patients. Physicians, especially in the primary care setting, have effective role in the management of cardiovascular risk factors. Therefore, we aimed to compare the prevalence of modifiable cardiovascular risk factors in Type 2 diabetic patients attending to an urban health center as a primary care center with Institute of Endocrinology and Metabolism Diabetes Clinic (IEMDC) as a tertiary center. Methods: This cross-sectional study was performed on 200 adult diabetic patients attending urban health center (Abouzar Health Center) and 201 diabetic patients in a tertiary center. The patients’ cardiovascular risk factors including lipid profile, systolic and diastolic blood pressure (BP), and smoking history were recorded. The number of patients who did not achieve the target according to the American Diabetes Association guidelines was determined and compared. Results: The patients in urban health center were older than those who attending IEMDC (P = 0.004). The duration of diabetes was longer among urban center patients (P glycosylated hemoglobin level, high-density lipoprotein level, and systolic BP. Conclusions: Both centers have failure in target achievement in some risk factors; however, the inability of the primary care center in controlling hyperlipidemia in comparison with the tertiary center is a serious warning to provide training about managing dyslipidemia in these centers. PMID:27761215

  3. Occurence of Giardia lamblia in children of municipal day-care centers from Botucatu, São Paulo State, Brazil Ocorrência de Giardia lamblia em crianças atendidas em creches municipais de Botucatu, Estado de São Paulo, Brasil

    Directory of Open Access Journals (Sweden)

    Semíramis Guimarães

    1995-12-01

    Full Text Available Considering that the number of day-care centers for pre-school-age children has expanded rapidly in developing countries, and that these institutions presenting conditions that facilitate the transmission of many enteric agents, a parasitological survey was carried out in three municipal day-cares from Botucatu: two in the urban area (one in downtown area and the other one in the city periphery area and the third in the rural area. Three separate stool specimens were collected from 147 children ranging from 0 to 72 months old and 20 staff members. Each stool specimen was processed by Lutz and zinc sulfate flotation methods. The frequency of giardiasis observed among children of downtown, periphery and rural day-cares was 69.6%, 52.7% and 69.6%, respectively. Only one employee was positive for G. lamblia. The examination of three stool specimens increased the positivity for G. lamblia: from the ninety three final positive examinations, 24 (25.5% and 8 (8.5% were positives only after examination of the second and third samples, respectively. Others intestinal organisms like Ascaris lumbricoides (20.4%, Trichuris trichiura (19.0%. Hymenolepis nana (8.8%, Entamoeba coli (22.4% and Blastocystis hominis (32.0% were frequently found in the children. There was no significant association among localization of the day-cares, sex of the children and the levels of G. lamblia infection. According to the age, G. lamblia was found mainly in children between 12 to 47 months old.Foi realizado um levantamento parasitológico em três creches da rede municipal: duas na área urbana, uma no centro da cidade e a outra na periferia, e a terceira na zona rural. Três amostras de fezes, coletadas com intervalo de 7 dias, foram obtidas de 147 crianças com idade variando de 0 a 6 anos e de 20 funcionários. Cada amostra foi processada pelos métodos de sedimentação espontânea e centrífugo - flutuação com sulfato de zinco. Os resultados demonstraram que das 147

  4. A Community Day Care Programme for Psychiatric Patients: The Role of Occupational Therapy.

    Science.gov (United States)

    Pradad, Akanksha; And Others

    1991-01-01

    This paper examines the need for and role of occupational therapy in the organization and functioning of a community day care center for psychiatric patients in India. The occupational therapy program involves client evaluation, determination of therapeutic activities, physical exercise, recreational activities, group sessions, family involvement,…

  5. Control of a Non-foodborne Outbreak of Salmonellosis: Day Care in Isolation.

    Science.gov (United States)

    Chorba, Terence, L.; And Others

    1987-01-01

    In this study of a salmonellosis outbreak at a day care center an analysis of five variables revealed that the disease was transferred person to person or by a continuing common source. Successful preventive measures included instruction in proper handwashing and diaper changing procedures and isolation of the infected children. (VM)

  6. Children's attachment relationships with day care caregivers: Associations with positive caregiving and the child's temperament

    NARCIS (Netherlands)

    J.C. de Schipper; L.W.C. Tavecchio; M.H. van IJzendoorn

    2008-01-01

    In this study, children's attachment relationships with their professional caregivers in center day care were observed for 48 children. We explored whether more positive caregiving was associated with a more secure attachment relationship and whether this association was stronger for more temperamen

  7. Menu Planning, Food Consumption, and Sanitation Practices in Day Care Facilities.

    Science.gov (United States)

    Kuratko, Connye N.; Martin, Ruth E.; Lan, William Y.; Chappell, James A.; Ahmad, Mahassen

    2000-01-01

    In 102 day care centers, data were collected on nutritional content of menus, compliance with guidelines, children's food consumption, and safety/sanitation. Although menus exceeded recommended daily allowances, quantities of food were below recommendations. No menu components were consumed by more than 65% of children. Sanitation problems were…

  8. Infectious disease burden related to child day care in the Netherlands.

    NARCIS (Netherlands)

    Enserink, R.; Ypma, R.; Donker, G.A.; Smit, H.A.; Pelt, W. van

    2013-01-01

    Background: Studying day-care–associated infectious disease dynamics aids in formulating evidence-based guidelines for disease control, thereby supporting day-care centers in their continuous efforts to provide their child population with a safe and hygienic environment. The objective of this study

  9. Unnoticed professional competence in day care work and the challenge of neoliberalism

    DEFF Research Database (Denmark)

    Ahrenkiel, Annegrethe; Warring, Niels; Schmidt, Camilla;

    ’s work in day care centers can be explored, developed and potentially democratized acknowledging the unnoticed aspects of daily work practices and professional competence. The paper draws on empirical examples from two research projects (Ahrenkiel et al. 2009, 2011) and discuss how noticing...

  10. Estado nutricional e carência de ferro em crianças freqüentadoras de creche antes e 15 meses após intervenção nutricional Nutritional status and iron deficiency among children enrolled in a day care center before and after 15 months of nutritional management

    Directory of Open Access Journals (Sweden)

    Terezinha Soares Biscegli

    2008-06-01

    Full Text Available OBJETIVO: Comparar o estado nutricional e a prevalência de carência de ferro em crianças freqüentadoras de creche antes e 15 meses após orientação nutricional e intervenção terapêutica. MÉTODOS: Estudo coorte com 52 crianças de 32 a 78 meses de idade, freqüentadoras de uma creche em Catanduva, São Paulo, avaliadas em dois períodos: antes e 15 meses após receberem tratamento para anemia e correção das alterações no estado nutricional. O estado nutricional das crianças foi avaliado por meio da curva da Organização Mundial de Saúde (2006. O diagnóstico de carência de ferro foi realizado por dosagem de hemoglobina e nível de ferritina sérica. Dados adicionais das crianças não eutróficas foram obtidos por meio de entrevistas com suas mães. RESULTADOS: Observou-se 2% de desnutrição aguda e 8% de obesidade, não havendo diferença significante entre os dois períodos. 12% das crianças apresentaram anemia, havendo diminuição do número de crianças com anemia após o tratamento. Dois novos casos de obesidade e cinco de carência de ferro surgiram durante o período de intervenção nutricional. Das oito crianças com alterações nutricionais no período inicial, 63% das mães procuraram atendimento médico para tratamento. CONCLUSÕES: O tratamento dos distúrbios nutricionais e da carência de ferro diminuiu o número de crianças afetadas. O aparecimento de novos casos de obesidade e anemia serve de alerta para a necessidade de outras medidas preventivas tanto na creche como no âmbito familiar.OBJECTIVE: To compare the nutritional status and the prevalence of iron deficiency among children enrolled in a day care center before and after 15 months of nutritional management. METHODS: Cohort study of 52 children, aged 32 to 78 months, evaluated before and after treatment of anemia and nutritional disturbs in a no-profit day care center in Catanduva, São Paulo, Brazil. The nutritional status was classified according

  11. Day care surgery in a metropolitan government hospital setting--Indian scenario.

    Science.gov (United States)

    Dorairajan, Natarajan; Andappan, Anandi; Arun, B; Siddharth, Dorairajan; Meena, M

    2010-01-01

    Day care surgery has generated a lot of interest, among both surgeons and the common people. This study aims to explore the management and advantages, including the cost benefits and cost effectiveness, of day care surgery in a government hospital setting. A prospective, single-center, single-unit study was carried out over 1 year from August 2006 to January 2008. The total number of patients studied was 327. Surgeries for hernia, hydrocele, fibroadenoma, fissure in ano, and phimosis were included. Patients were admitted on the day of surgery and were discharged the same day or evening. Patients were analyzed with respect to failure to discharge, wound infection, duration of stay in the ward, cost benefits, cost effectiveness, and postoperative pain. A total of 157 patients were treated for hernia, 61 for hydrocele, 52 for fibroadenoma, 34 for fissure in ano, and 23 for phimosis. Day care surgery is a fast growing and well accepted way of providing care to patients. Most of the patients studied had a favorable impression of the day care surgical procedure compared with inpatient care. In a country like India, in spite of problems of financial constraints and insufficient grants for health care, we are able to enjoy all the advantages of day care surgery, even in a government hospital setting.

  12. Freqüência e atividade enzimática de Candida albicans isoladas da mucosa bucal de crianças de uma creche da prefeitura de Fortaleza Frequency and enzymatic activity of Candida albicans isolated from the buccal mucosa of children of a day-care center of the city hall of Fortaleza, Ceará, Brazil

    Directory of Open Access Journals (Sweden)

    Everardo Albuquerque Menezes

    2005-02-01

    Full Text Available As candidíases bucais (também chamadas sapinhos que ocorrem em crianças são causadas por uma deficiência imunológica, bem como por outros fatores tais como má higiene bucal e esterilização inadequada dos utensílios utilizados pelas mesmas, que potencializam a ocorrência dessa infecção fúngica. Considerando esse fato, foram avaliadas a freqüência e a atividade enzimática de Candida sp. isoladas em crianças de uma creche pública (Aprisco na cidade de Fortaleza, Ceará. Foram coletadas amostras da mucosa bucal de 364 alunos de 1 a 5 anos de idade. Elas foram semeadas em ágar Sabouraud dextrose com cloranfenicol, incubadas por 72 horas a 37ºC e identificadas por testes micológicos. Verificou-se que 67 (18% apresentaram leveduras do gênero Candida. A Candida albicans foi a mais freqüente, com 30 isolados (45%, seguida pelas C. tropicalis (31%, C. guilliermondii (17%, C. glabrata (4,5% e C. stellatoidea (1,5%. Com relação às atividades enzimáticas das cepas de Candida albicans, 20% produziram a enzima proteinase e 33%, a fosfolipase. As Candida albicans isoladas da mucosa bucal de crianças dessa creche da prefeitura apresentaram uma fraca atividade enzimática. Assim, conclui-se que essas cepas parecem ter uma baixa virulência.Immunedefficiency is one of the main causes of buccal candidiasis, also called thrush, in children. Other factors like inadequate mouth hygiene and inappropriate sterilization utensils potentialize this fungal infection. Considering these facts, Candida sp. frequency and enzymatic activity were evaluated in 364 stocks from mouth mucous of one to five year-old children from a public day care center in Fortaleza, Ceará (Brazil. The samples were cultured in dextrose Sabouraud with chloranfenicol agar and incubated for 72 hours at 37°C. They were identified by mycological tests. It was verified that 67 samples (18% presented Candida sp. and the most frequent genus was Candida albicans (30

  13. Characterization of the clientele attended in a Psychosocial Care Center - alcohol and drugs

    Directory of Open Access Journals (Sweden)

    Eliany Nazaré Oliveira

    2013-09-01

    Full Text Available This documentary and retrospective study aimed to analyze the profile of the clientele attended in the Psychosocial Care Center Alcohol and Other Drugs from Sobral, Ceará, Brazil in 2010, based on 300 records. Males predominated with 75% (n=225, with age ranging from 11 to 29 years old with 44.3% (n=133, single with 49% (n=147, and with elementary school 45.7% (n=137. The most commonly used drug among men was crack, 31.3% (n=94, and among women, tobacco, 12% (n=36. The losses associated with dependence, are mostly related to the family, with 31.3% (n=94. The highlight to crack requires changes in the care process implemented in institutions. One should remain alert to these new profiles related to chemical dependency, so that quality and integral care can be offered to this clientele.

  14. The Day-Care Debate: A Wider View.

    Science.gov (United States)

    Kamerman, Sheila B.; Kahn, Alfred J.

    1979-01-01

    This article examines five major arguments against day care. Several approaches already in use in other countries are suggested as answers to the problems raised in the debate over care of children of working mothers. (MC)

  15. Eating behavior and body image perception of pregnant women attending a high-risk outpatient center

    Directory of Open Access Journals (Sweden)

    Raquel Guimarães Nobre

    2014-06-01

    Full Text Available Objective: To investigate the eating behavior and body image perception in pregnant women attending a high-risk outpatient center. Methods: A quantitative, cross-sectional, observational study conducted with 28 overweight pregnant women attending the first consultation in the nutrition outpatient center of a maternity hospital in Fortaleza-CE, from December 2010 to February 2011. It has been used a pre-established form containing data on the characterization of the sample (socioeconomic, obstetric, and nutritional, the BES (Binge Eating Scale to assess binge eating and BSQ (Body Shape Questionnaire to assess the severity or absence of body image disorder. The variables were presented as mean ± standard deviation and simple frequency and percentage. The Pearson’s correlation was used to verify the relation between body image and binge eating, considering p <0.05. Results: The pregnant women studied had a mean age of 29.4 ± 6.3 years and mean gestational age of 24.6 ± 8.2 weeks. It was found a prevalence of 71.5% (n=20 of body image disorder and 17.8% (n=5 of binge eating. It was also observed a direct and significant correlation between the body image perception and the degree of binge eating (r=0.4358, p=0.020. Conclusion: The high rate of body image disorder positively related to a significant binge eating indicates an unfavorable adjustment of this group of pregnant women to alterations in weight and body shape and size, which are inherent to pregnancy, standing out as group that needs special attention by the professional team. doi:10.5020/18061230.2014.p256

  16. Nutritional practices in full-day-care pre-schools.

    LENUS (Irish Health Repository)

    Jennings, A

    2011-06-01

    Full-day-care pre-schools contribute significantly to the nutritional intake and acquisition of dietary habits of the pre-school child. The present study investigated nutritional practices in full-day-care pre-schools in Dublin, Ireland, aiming to determine the nutritional support that pre-school managers deem necessary, thereby facilitating the amelioration of existing pre-school nutritional training and practices.

  17. The functional status of patients with AIDS attending antiretroviral treatment center

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    T J Thejus

    2009-01-01

    Full Text Available Aims: To assess the functional status of patients with Acquired immunodeficiency syndrome (AIDS registered in the Anti-Retroviral Treatment (ART center. Materials and Methods: Design: Descriptive study. Study setting: ART center in Calicut Medical College, Kerala, India. Subjects: Cohorts of AIDS patients attending the ART center during the year 2007. Data collection: Done prospectively from the secondary data available from the center. Outcome measures: The demographic, morbidity, functional status and laboratory parameters were collected. Data processing was done using Excel datasheet and analysis were done using Epi info 2003. Results: One hundred and ninety-five patients received care during this period; 69% were males. The mean age was 38±9 years; 80% of them were married and in 50% of their spouses also tested positive for HIV. The mean CD4 count was 127 cells/microliter. The majority (90% were categorized as WHO Stage 3 or 4 of HIV. Only 52% of them were able to perform their usual work in or outside their house; the rest were not able to lead an economically productive life. Thirty-six per cent were only able to perform activities of daily living; 12% were bedridden.The functional status of the patients positively correlated with WHO disease stage ( P = < 0-0001, and CD4 count and hemoglobin levels negatively correlated with staging ( P = < 0.001. 62% are having any of the opportunistic infections. Conclusion: Fifty per cent of the AIDS patients are disabled and need support and care. As AIDS is a growing problem, community-based palliative care for AIDS patients should be strengthened in India.

  18. Personality traits affect teaching performance of attending physicians : Results of a multi-center observational study

    NARCIS (Netherlands)

    Scheepers, Renée A.; Lombarts, Kiki M J M H; Van Aken, Marcel A G; Heineman, Maas Jan; Arah, Onyebuchi A.

    2014-01-01

    Background: Worldwide, attending physicians train residents to become competent providers of patient care. To assess adequate training, attending physicians are increasingly evaluated on their teaching performance. Research suggests that personality traits affect teaching performance, consistent wit

  19. Day care monopolar transurethral resection of prostate: Is it feasible?

    Directory of Open Access Journals (Sweden)

    Altaf Khan

    2014-01-01

    Full Text Available Introduction: Benign prostatic hyperplasia is a common disease accounting for 30% of our OPD cases and about 25% of our surgery cases. Various treatment options are now available for more efficient care and early return to work. We wanted to determine the safety and feasibility of day care monopolar transurethral resection of prostate (m-TURP, by admitting the patients on the day of surgery and discharging the patient without catheter on the same day. We also compared the morbidity associated with conventional TURP where in the catheter is removed after 24-48 h of surgery and day care TURP where in the catheter is removed on the day of surgery. Materials and Methods: A total of 120 patients who fulfilled the criteria were included in the study which was conducted between November 2008 and December 2010. A total of 60 patients were assigned for day care and 60 for conventional monopolar TURP. There was no significant difference in age, prostatic volume or IPSS score. Day care patients were admitted on day of surgery and discharged the same day after the removal of catheter. Results: Both the groups were comparable in outcome. Stricture rate was less with day care TURP. Mean catheterization time was similar to laser TURP. Conclusion: Monopolar TURP is still the gold standard of care for BPH. If cases are selected properly and surgery performed diligently it remains the option of choice for small and medium sized glands and patients can be back to routine work early.

  20. Organizational Structure and Behaviour in Day Care: Differences between Non-Profit and For-Profit Centres.

    Science.gov (United States)

    Canning, Patricia M.; Lyon, Mary E.; Kienapple, Kim; Young, Jeffrey

    2002-01-01

    Examined how Canadian day care centers are operated and managed, to identify differences in organizational structure and behavior between non-profit and for-profit centers and characteristics of structure and management linked with high quality care. Found that non-profit centers were more complex, more formalized, and less centralized than…

  1. Early Retirement in the Day-Care Sector

    DEFF Research Database (Denmark)

    Gørtz, Mette

    2012-01-01

    This paper studies the role of working conditions and health for elderly female day-care teachers’ decision to enter early retirement. Entry into retirement is analysed in a duration framework that allows for unobserved heterogeneity in the baseline hazard. Data are from a Danish longitudinal data...... the child-to-teacher ratio or the size of the institution and early retirement (ERP). However, working conditions measured by the social background of the children and the share of trained day-care teachers have a significant effect on the probability of early retirement. Finally, a poor health condition...... is associated with a higher propensity to enter early retirement....

  2. Lifestyle and Dietary Behaviors among Saudi Preschool Children Attending Primary Health Care Centers, Eastern Saudi Arabia

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    Magdy A. Darwish

    2014-01-01

    Full Text Available Objective. To study life styles and dietary behaviors among Saudi preschool children (1–5 years attending primary health care centers (PHCCs in Dammam and Qatif areas, eastern province, Saudi Arabia. Material and Methods. Cross-sectional study. Data were collected using structured, interviewer-filled questionnaire. Children and their mothers were encountered during their well-baby clinic visits. A total number of 300 preschool children and their mothers were interviewed during study period. Results. Unsatisfactory areas include smoking fathers (32%, smoking in front of children (11.3%, overweight and obesity among mothers (60.3%, noncompliance using seat belts for both parents (56.3% and children (68%, children watching television (T.V more than 2 hours (50%, adherence to exclusive breast feeding (only 20.7%, and late solid food introduction (65.3%. Frequent intake of unhealthy food items was 26%, 25%, and 24% for pizza, burger, and soft drinks. Unfortunately frequent intake of the following unhealthy food items was high: biscuits, deserts/chocolates, and chips which was 78%, 67%, and 72%, respectively. Conclusion. This study provides benchmark about the current situation. It provides health care workers and decision makers with important information that may help to improve health services.

  3. Transurethral Cystolithotripsy of Large Bladder Stones by Holmium Laser as a Day Care Procedure

    Science.gov (United States)

    Naorem, Salinita; Faridi, M.S.; Akoijam, Kaku Singh; Sinam, Rajendra Singh

    2016-01-01

    Introduction Bladder stones constitute around 5% of bladder stones in the developed countries. Holmium laser lithotripsy has revolutionised the treatment of urinary lithiasis. Aim The aim of this study was to report the outcome of transurethral cystolithotripsy with Holmium Laser under Local Anaesthesia (LA) as a day care procedure in patients with bladder stones. Materials and Methods Patients with bladder stone greater than 1.5cm attending urology Outpatient Department underwent transurethral cystolithotripsy with Holmium Laser under LA as day care procedure. The results were analysed on aspects of peri-operative pain, completion of procedure, stone clearance, hospital stay, complications and patient compliance. Results A total of 85 patients with bladder stone ≥1.5cm underwent transurethral cystolithotripsy LA. The mean age of the patient was 52±7 years. There were 80 males. The mean size of stone was 3±1.2cm. Mean operation time was 40±10 minutes. Complete stone clearance was achieved in all the patients. None of the patients required hospital stay following the procedure. Conclusion Transurethral holmium laser lithotripsy is an effective and safe procedure for large bladder stones. This procedure can be easily performed as a day care procedure. PMID:28208921

  4. Norway's Day-Care Initiative: A Municipal Approach

    Science.gov (United States)

    Nemeth, Beate; Lokken, Gisle

    2012-01-01

    Norway is gearing up to provide places in day care centres for all children aged between one and six and the need for more facilities has therefore increased substantially in recent years. In Tromso, the municipality has become closely involved in child-care pedagogics and architecture; a design competition it launched has brought rewarding…

  5. Adult Day Care Program(高二适用)

    Institute of Scientific and Technical Information of China (English)

    孙启禄

    2004-01-01

    David Brown and Anne are two patients in the Adult Day Care Pro-gram at Mercy Hospitals. David Brown is seventy-two years old. He'sfriendly and likes to talk. He lives with his wife in the city. But David is

  6. Adult Day Care and Medical and Hospital Claims.

    Science.gov (United States)

    Chappell, Neena L.; Blandford, Audrey A.

    1987-01-01

    Examined effect of adult day care (ADC) on utilization of health care practitioner and inpatient hospital services. Data from three separate ADC studies revealed that, when operative for some time, ADC may result in dramatic decreases in hospital inpatient stays. Findings warrant further research. (Author/NB)

  7. Cortisol Levels and Children's Orientation in Day Care

    Science.gov (United States)

    Reunamo, Jyrki; Sajaniemi, Nina; Suhonen, Eira; Kontu, Elina

    2012-01-01

    Children's stress in day care is related to the stressful qualities of the environment and to children's orientations in that environment. The study involved 55 children in five day centres in Finland. Baseline saliva samples for measuring cortisol (stress) levels were collected five times during the day. Children were interviewed to measure their…

  8. Childhood diarrhoea in Danish day care centres could be associated with infant colic, low birthweight and antibiotics

    DEFF Research Database (Denmark)

    Jensen, Betina Hebbelstrup; Röser, Dennis; Andreassen, Bente Utoft

    2016-01-01

    AIM: Diarrhoea is very common in children attending day care centres. The aim of this study was to examine certain predisposing risk factors for an association with diarrhoea, including foreign travel, treatment with antibiotics, having household pets, infant colic, bottle feeding, using a pacifier...... and low birth weight. METHODS: A dynamic one-year follow-up cohort study comprising 179 children from 36 day care centres was conducted from September 2009 to July 2013 in Copenhagen, Denmark. Questionnaires were sent to the children's parents or legal guardians every two months for a year, requesting...... the risk of diarrhoea in Danish children in day care centres This article is protected by copyright. All rights reserved....

  9. Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study

    Directory of Open Access Journals (Sweden)

    Maseda A

    2014-06-01

    Full Text Available Ana Maseda, Aránzazu Balo, Laura Lorenzo–López, Leire Lodeiro–Fernández, José Luis Rodríguez–Villamil, José Carlos Millán–CalentiGerontology Research Group, Faculty of Health Sciences, University of A Coruña, A Coruña, SpainPurpose: Cognitive decline and depression are two common mental health problems that may create a need for long-term care among the elderly. In the last decade, the percentage of older adults who receive health care in nursing homes, day care centers, or home support services has increased in Europe. The objectives of this descriptive and nonrandomized longitudinal study were to evaluate and to compare the cognitive and affective evolution of day care versus institutionalized older patients through a 1-year period, and to assess the presence of cognitive and affective impairment as a function of the care setting.Patients and methods: Ninety-four patients were assessed at baseline, and 63 (67.0% were reassessed 1 year later. Neuropsychological assessment included measures of cognitive performance (general cognitive status, visuospatial, and language abilities and affective status (depressive symptoms.Results: Our findings indicated that the majority of the participants (day care and institutionalized patients had mild–moderate cognitive impairment at baseline, which significantly increased in both groups after 1-year follow-up. However, the rate of change in global cognitive function did not significantly differ between groups over time. Regarding language abilities, naming function maintained among day care patients in comparison with institutionalized patients, who showed worse performance at follow-up. As regards to affective status, results revealed that institutionalized patients had a significant reduction in depressive symptoms at follow-up, when compared to day care patients. Results also highlight the high frequency of cognitive impairment and depressive symptoms regardless of the care setting

  10. Syllabus Outline on Child Care for Day Care Teachers at Family Life Teacher Training Centre in Somalia. African Studies in Curriculum Development and Evaluation No. 103.

    Science.gov (United States)

    Ahmed, Mumina M.

    Five day care centers in Mogadiscio, the capital city of Somalia, were studied to (1) identify problems encountered in teaching a course in child care; (2) observe teaching methods and assess their effectiveness; (3) ascertain reasons for the lack of preservice training for day care teachers; and (4) develop a new syllabus for a course in child…

  11. Perception of orthodox health care centers among pregnant women attending traditional birth attendants clinics in two local government areas of Lagos State

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    A Okewole

    2013-01-01

    Full Text Available Background and Objective: Adequate antenatal care and skilled obstetric assistance during delivery are important strategies that significantly reduce maternal mortality and morbidity. This study aimed to assess the awareness, attitudes and perception of orthodox health care centres among pregnant women patronizing traditional birth attendants in Mushin and Lagos Island local government areas of Lagos state. Methods: The survey was a community-based descriptive cross-sectional survey that employed interviews to collect data from 300 antenatal care attendees of seven traditional birth attendants′ clinics in Lagos Island and Mushin local government areas between December 2010 and January 2011 using a structured questionnaire. Results: The women ranged in age from 17-43 years with a mean age of 27.6 ± 4.6 SD and most of them were primigravidas (41.5%, married (88% and traders (44.1%. Most of the women (61% and their husbands (56.7% had completed their secondary education. The majority (81.7% of respondents were aware of a modern health facility around where they lived, the most commonly known being private hospitals (43.7%. Most of them (67.3% were aware of antenatal care services provided at these facilities but only 31.3% had ever made use of the antenatal services. Most of the women were not willing to deliver in hospitals because they didn′t like the attitude of the health workers (37.3% and because it was far from their houses (12.7%; the majority (75% preferring to deliver with traditional birth attendants because they give good service. However, almost all (98.5% of the women that had children took them to the orthodox health facilities for immunization, primarily the primary health care centers (55.7%. Conclusion: Traditional birth attendants are patronized by a wide array of women who are aware of orthodox health facilities but have a negative attitude towards their services. Improvements in communication and interpersonal skills of

  12. A violência familiar no mundo da criança de creche e pré-escola La violencia familiar bajo la visión del niño que va a los jardines infantiles y pre-escuela Family violence in the perspective of the child who goes to day care center and pre-school

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    Lana Ermelina da Silva dos Santos

    2007-10-01

    Full Text Available A presente pesquisa utiliza o estudo descritivo e transversal e também a análise de conteúdo para conhecer a violência familiar em crianças de creches e pré-escolas. A população e os sujeitos são constituídos de educadores infantis, professores e monitores. Verificam-se nos resultados a presença da violência doméstica, praticada principalmente pela mãe, a criança agressiva está presente no ambiente das escolas como uma forma de reprodução de comportamento e também da negligência com relação aos cuidados e a atenção à criança no cotidiano. Esses comportamentos podem gerar outras formas de violência, mantendo a criança sempre em ambientes de risco durante várias fases da vida.La presente investigación utiliza el estudio descriptivo y también la análisis del contenido para conocer la violencia familiar en niños de jardines infantiles y Pre-escuela. La población y los sujetos son constituidos de educadores infantiles, profesores y monitores. Verificase en los resultados la presencia de la violencia doméstica, practicada principalmente por la madre, el niño agresivo está presente en el ambiente de las escuelas como una forma de reproducción de comportamiento y también, la negligencia con relación a los cuidados y la atención al niño en el cotidiano. Estos comportamientos pueden generar otras formas de violencia, manteniendo el niño siempre en ambientes de riesgo durante varias fases de la vida.The present research uses the descriptive and traversal study and also the content analysis to know the family violence in children of day care center and pre-schools. The population and the subjects are constituted of infantile educators, teachers and monitors. It is verified in the results the presence of the domestic violence, practiced mainly by the mother, the aggressive child is present in the atmosphere of the schools as a form of reproduction of behavior and also, the negligence regarding the cares and the

  13. Do environmental influences alter motor abilities acquisition? A comparison among children from day-care centers and private schools Influências do ambiente podem alterar a aquisição de habilidades motoras? Uma comparação entre pré-escolares de creches públicas e escolas privadas

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    Karla Mônica F. T. de Barros

    2003-06-01

    Full Text Available Development occurs in a proper rhythm as result of genetic inheritance and environment factors. This study had the aim to identify some environmental risk factors for the motor development in two groups of healthy children. 100 pre-school aged (five years children from two day-care centers and a private school were evaluated, in Recife-PE. All the children underwent to a motor skills assessment and their parents answered a questionnaire. The children from the public nursery remained behind in fine motor skills. The results showed that the biologically healthy children development can suffer negative influence of the environmental risk factors. In this research these factors were: the father absence, improper toys use to the correct age, the place were the child was kept in the early childhood, the lack of pedagogical guidance and extra-parental socialization and low familiar socioeconomic status.O desenvolvimento ocorre num ritmo resultante da interação entre herança genética e fatores ambientais. Este estudo teve por objetivo identificar alguns fatores de risco ambientais para o desenvolvimento motor, em dois grupos de crianças saudáveis. Foram avaliadas 100 crianças (idade:5 anos provenientes de duas creches públicas e uma escola particular, em Recife-PE. Todas as crianças foram submetidas a uma avaliação das habilidades motoras e seus pais responderam a um questionário. As crianças da creche pública mostraram atraso no campo das habilidades motoras finas. Os resultados indicaram que o desenvolvimento das crianças biologicamente saudáveis pode sofrer influência negativa dos fatores de risco ambientais. Os fatores encontrados foram: a ausência do pai; a utilização de brinquedos inadequados para faixa etária; o local onde a criança era mantida em idades precoces da infância; a falta de orientação pedagógica e de socialização extra-familiar precoce, e a baixa condição socioeconômica familiar.

  14. Day care schemes and cash for-care at home

    DEFF Research Database (Denmark)

    Rostgaard, Tine

    2012-01-01

    The purpose of this chapter is to analyse and compare Nordic day-care policies, i.e. ECEC services as well as cash-for-care for children under school age. The chapter examines the legislative purpose behind the provision of the services and the cash benefits as well as the take-up rates. The review...... of day-care will also look at how the programmes are organised and funded, and at the quality indicators of the care provided. In this context, the Nordic countries will be compared with the EU average. The review of cash-for-care will assess the key elements of the programmes: the length of time...

  15. Rapid emergence of day-care anaesthesia: A review

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    S B Gangadhar

    2012-01-01

    Full Text Available The number of day-care surgeries is increasing every day. The boundaries of day-care surgeries are being redefined on a continual basis. Multi-dimensional benefits to the patient, hospital and national economy are the driving forces behind the changing scenario on the horizon of day surgery. The literature search included Google, medlinx, pubmed and medline. We have attempted to look at the controversies in patient selection with comorbidities, pre-operative assessment and an acceptable ASA grade of patients. An attempt is also made to look at suitable surgical procedures, a pathway of introducing procedures, which are still complex and specialist procedures in challenging environment. The techniques of general anaesthesia, central neuraxial blocks, regional nerve blocks with indwelling catheters and monitoring techniques are deliberated upon. Finally the most important post-operative issues of discharge criteria, including recovery after spinal anaesthetic, oral fluid intake, voiding and travel after day surgery, are considered.

  16. Recovering activity and illusion: the nephrology day care unit.

    Science.gov (United States)

    Remón Rodríguez, C; Quirós Ganga, P L; González-Outón, J; del Castillo Gámez, R; García Herrera, A L; Sánchez Márquez, M G

    2011-01-01

    Day Care Units are an alternative to hospital care that improves more efficiency. The Nephrology, by its technical characteristics, would be benefit greatly from further development of this care modality. The objectives of this study are to present the process we have developed the Nephrology Day Care Unit in the Puerto Real University Hospital (Cádiz, Spain). For this project we followed the Deming Management Method of Quality improvement, selecting opportunities, analyzing causes, select interventions, implement and monitor results. The intervention plan includes the following points: 1) Define the place of the Day Care Unit in the organization of our Clinical Department of Nephrology, 2) Define the Manual of organization, 3) Define the structural and equipment resources, 4) Define the Catalogue of services and procedures, 5) Standards of Care Processes. Protocols and Clinical Pathways; and 6) Information and Registration System. In the first 8 months we have been performed nearly 2000 procedures, which corresponds to an average of about 10 procedures per day, and essentially related to Hemodialysis in critical or acute patients, the Interventional Nephrology, the Clinical Nephrology and Peritoneal Dialysis. The development of the Nephrology Day Care Units can help to increase our autonomy, our presence in Hospitals, recover the progressive loss of clinical activity (diagnostic and therapeutic skills) in the past to the benefit of other Specialties. It also contributes to: Promote and develop the Diagnostic and Interventional Nephrology; improve the clinical management of patients with Primary Health Level, promote the Health Education and Investigation, collaborate in the Resources Management, and finally, to make more attractive and exciting our Specialty, both for nephrologists to training specialists.

  17. The role of probiotics and prebiotics in the prevention of infections in child day-care centres.

    Science.gov (United States)

    Weizman, Z

    2015-01-01

    Infants and children attending day-care centres demonstrate a notably higher risk of gastrointestinal as well as of respiratory tract infections. The present short review evaluates various well-controlled clinical trials analysing the effect of probiotics and prebiotics in the prevention of such infections. In most of the 12 studies identified, probiotic supplementation was found to be a safe and effective therapeutic tool in preventing gastrointestinal and respiratory infection in this population.

  18. Anthropometric Profile of Children Attending Anganwadi Centers under Integrated Child Development Sevices (ICDS Scheme in Doiwala Block

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    Gagan Deep Kaur

    2014-12-01

    Full Text Available Introduction In any community, Mothers and Children constitutes not only priority group, but they are also a “Vulnerable” or “Special-risk Group”. Similarly in India our biggest problem is malnutrition among under five year old children. To break the vicious cycle of malnutrition, morbidity reduced learning capacity and mortality India launched the Integrated Child Development Services (ICDS Scheme in 1975. It is the foremost symbol of India’s commitment to her children Rationale: Forty percent of the world's severely under-nourished under-five children live in India so the present study was conducted to assess the nutritional status of children availing the services under Integrated Child Development Service Scheme in Uttarakhand. Objective: To estimate the level of nutrition in children attending Anganwadi centers of Doiwala block. Methods: Out of these Seven ICDS project areas, Doiwala Block was chosen for the study purpose since it is also the field practice area of Department of Community Medicine, HIMS. 19 AWC was selected by using Simple Random Sampling technique in Doiwala block. All the children aged between 3- 6years attending Anganwadi centers were included in community based, cross sectional study. Predesigned pretested anthropometric survey tool with local adaptability and minor modification for local suitability was adopted to collect information pertaining to growth monitoring of the children [Adopted from WHO child growth standard 2006]. Children were weighed, and their height and MUAC were recorded. Weight for age, height for age and MUAC for age was calculated using WHO growth references .Nutritional status according to the WHO Child Growth Standards was analysed using WHO Anthro statistical software. Results: 200 children were surveyed. From the total population 110 are males and 90 are females. After the analysis of weight for age with anthro software it was found that 20.9% of children lie within -2 SD with a mean

  19. VERIFICATION OF THE PRESENCE OF CAPSULE GENE SEQUENCES IN NASOPHARYNGEAL ISOLATES OF NONTYPEABLE HAEMOPHILUS INFLUENZAE FROM HEALTHY CHILDREN AT A BRAZILIAN DAY CARE CENTER Verificação da presença de seqüências do gene da cápsula em cepas não tipáveis de Haemophilus influenzae isoladas da nasofaringe de crianças saudáveis em uma creche brasileira

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    Maria Emilia Bonifácio da Silva

    2001-10-01

    Full Text Available Fifty-eight nasopharyngeal isolates of Haemophilus influenzae were collected from healthy children at a day care center, and nontypeable isolates were examined by Southern blot for the presence of capsule gene sequences. Seven isolates (12% demonstrated homology with capsule-specific sequences. One isolate was characterized as an H. influenzae type b capsule-deficient strain.Cinqüenta e oito cepas de Haemophilus influenzae foram isoladas da nasofaringe de crianças saudáveis que freqüentam uma creche, e através da técnica de Southern blot foi pesquisada nas cepas acapsuladas a presença de seqüências do gene capsular. Sete cepas (12% caracterizadas sorologicamente como acapsuladas mostraram homologia com seqüências específicas da cápsula. Uma cepa foi caracterizada com uma linhagem H. influenzae tipo b cápsula deficiente.

  20. Being an Active Subject as an Element of Quality in Day Care Centres. Reprints and Miniprints No. 844.

    Science.gov (United States)

    Brostrom, Stig; And Others

    This project dealt with the quality of the child's life in day care centers and aimed at a better understanding of the concept of quality. The project was based on a synthesis of knowledge from various research traditions, as well as theories of education and developmental psychology (such as Bruner, Davydov, Leontiev, Piaget, and Vygotsky). The…

  1. Parent Run Day Care Centres: The Growth of a French Community Initiative. Studies and Evaluation Papers No. 8.

    Science.gov (United States)

    Combes, Josette

    This report examines how parent involvement in running day care centers in France has increased in recent years, and investigates the role that the Association des Collectifs Enfants Parents Professionnels (ACEPP) has played in making this form of child care more acceptable. After a discussion of the historical development and current choices of…

  2. KNOWLEDGE, ATTITUDE AND PRACTICE OF CONTRACEPTIVES IN MOTHERS ATTENDING THE URBAN HEALTH CENTER: A CROSS SECTIONAL STUDY

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    Digole

    2014-08-01

    Full Text Available BACKGROUND: Rapid increase of population due to unregulated fertility is related to increased maternal, perinatal and infant deaths. By using contraceptives, fertility can be regulated. This study was conducted to investigate the knowledge, attitude and practices of contraceptive in women attending urban health center (UHC. OBJECTIVES: To study the knowledge, attitude and practice of contraceptive in mothers attending the UHC. MATERIALS AND METHODS: A cross sectional study was conducted at UHC. All mothers in reproductive age group attending UHC for health check-up were included in the study, which was 109 mothers. Data was collected on preformed questionnaire and analysis was done. RESULTS: Among 109 women, 61 (56% women were in age group 26-30 years. 84 (77% women were Hindu by religion.68 (62% women belonged to socioeconomic class III. 73 (66.97% women were having knowledge of tubectomy. 64 (58.72% women felt that contraceptives should be used after having 2 children. 59 (54.13% women had undergone tubectomy. CONCLUSIONS: Knowledge of barrier and hormonal methods of contraceptives was poor among mothers. Positive attitude was seen towards use of contraceptive.

  3. Frequency and risk factors associated with dry eye in patients attending a tertiary care ophthalmology center in Mexico City

    Science.gov (United States)

    Martinez, Jaime D; Galor, Anat; Ramos-Betancourt, Nallely; Lisker-Cervantes, Andrés; Beltrán, Francisco; Ozorno-Zárate, Jorge; Sánchez-Huerta, Valeria; Torres-Vera, Marco-Antonio; Hernández-Quintela, Everardo

    2016-01-01

    Purpose The purpose of this study was to ascertain the frequency and risk factors of dry eye (DE) among patients attending a tertiary care ophthalmology center in Mexico. Methods Approximately 338 consecutive new patients attending a tertiary care ophthalmology center in Mexico City underwent an ocular surface examination, which included tear film break-up time, fluorescein corneal staining, Schirmer’s test, and evaluation of meibum quality. Symptoms of DE were evaluated by the Ocular Surface Disease Index and Dry Eye Questionnaire-5. Information on demographics, exposures, past medical and ocular history, and medications was also collected. Results The frequency of severe DE symptoms was found to be 43% based on the Ocular Surface Disease Index and 30% based on Dry Eye Questionnaire-5. Risk factors significantly associated with increased DE symptoms included dry mouth and gastrointestinal ulcer medications. With regard to signs, aqueous tear deficiency was a less-frequent finding (22%) in our population than evaporative deficiency (94%). Risk factors associated with aqueous tear deficiency were dry mouth and diuretic use. No risk factors were associated with evaporative deficiency. Risk factors associated with meibomian gland dysfunction included old age, male sex, arthritis, and use of an antihypertensive. The only risk factor associated with corneal staining was dry mouth. Conclusion This is the first study to demonstrate the frequency of symptomatic and clinical DE in a tertiary care ophthalmology center in Mexico. The frequency of DE ranged from 30% using a symptomatic definition to 94% using objective measures. Different risk factors were found for different aspects of DE, suggesting differing underlying pathophysiologies behind different DE subtypes. PMID:27499613

  4. A Topic Diathesis In Hereditary Ichthyosis Patients Attending A Tertiary Health Care Center In Saudi Arabia

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    Al-Akloby Omar M Al-Amro

    2004-01-01

    Full Text Available The occurrence of atopic diathesis in hereditary ichthyosis (HI has not been documented in Saudi patients. The atopic manifestations in histopathologically confirmed HI patients attending the dermatology clinic of king Fahad Hospital of the University at Al-Khobar city, Saudi Arabia is discussed in this study. From the dermatology OPD logbook, all Saudi patients with confirmed HI seen between January 1990 to December 1995 were included in the study. The findings regarding atopic manifestations were extracted into data collection forms and analyzed. During the 5 year study period, 10,455 new cases were seen in our dermatology OPD. Of these, 61 had hereditary icthyosis, with 37 males and 24 females with a male to female ratio of 1.5:1. Thus, the frequency of HI among Saudi hospital attendees was 6 per 1000 new cases. The type of HI was ichthyosis vulgaris in 25 (41% patients, X-linked recessive ichthyosis in 11 (18%, lamellar ichthyosis in 4(7%, bullous ichthyosiform erythroderma in 2 (3% and nonbullous ichthyosiform erythroderma was seen in 19 (31%. Generalized pruritus was present in 49 (80% cases, atopic dermatitis in , elevated serum IgE level was noted in 27 and bronchial asthma in 3 cases. Dandruff was reported in 24 cases, keratosis pilaris in15, recurrent skin infection in 7. Combination of hereditary ichthyosis, generalized pruritus and high serum IGE level was reported in 27 (44.3% patient.

  5. Validation of Using Fitness Center Attendance Electronic Records to Assess the Frequency of Moderate/Vigorous Leisure-Time Physical Activity among Adults

    Science.gov (United States)

    Amireault, Steve; Godin, Gaston

    2014-01-01

    The purpose of this study was to provide three construct validity evidence for using fitness center attendance electronic records to objectively assess the frequency of leisure-time physical activity among adults. One hundred members of a fitness center (45 women and 55 men; aged 18 to 64 years) completed a self-report leisure-time physical…

  6. Intestinal parasites in children from a day care centre in Matanzas City, Cuba.

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    Roberto Cañete

    Full Text Available BACKGROUND: Intestinal parasitic infections are widely distributed throughout the world and children are the most affected population. Day care centres are environments where children have proven to be more susceptible to acquiring IP. METHODS AND PRINCIPAL FINDINGS: A cross-sectional study was carried to determine the prevalence of intestinal parasites in stool samples among children who attend to a day care centre in an urban area of Matanzas city, Cuba, from March to June 2012. 104 children under five years old were included on the study after informed consent form was signed by parents or legal guardians. Three fresh faecal samples were collected from each child in different days and were examined by direct wet mount, formalin-ether, and Kato- Katz techniques. Data relating to demography, socioeconomic status, source of drinking water, and personal hygiene habits were also collected using a standardized questionnaire. In total, 71.1% of children harbored at least one type of intestinal parasite and 47 (45.2% were infected by more than one species. Giardia duodenalis and Blastocystis sp. were the most common parasites found, with prevalence rates of 54.8% and 38.5% respectively. CONCLUSIONS: Despite public health campaigns, improvement in the level of education, and the availability of and access to medical services in Cuba infections by intestinal protozoan is high in this centre. Almost nothing is published regarding intestinal parasites in Matanzas province during the last 40 years so this work could also be the initial point to carry out other studies to clarify the IP status in this region.

  7. Occurrence of enteroparasites in day care centers in Botucatu (São Paulo State, Brazil with emphasis on Cryptosporidium sp., Giardia duodenalis and Enterobius vermicularis Ocorrência de enteroparasitas em creches de Botucatu (Estado de São Paulo, Brasil com ênfase em Cryptosporidium sp., Giardia duodenalis e Enterobius vermicularis

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    Thaís Batista de Carvalho

    2006-10-01

    Full Text Available The occurrence of the enteroparasites was verified in 279 children (0 to 6 years of four municipal day cares of Botucatu/SP. Three samples of each child's feces were collected and processed by the methods of Hoffman-Pons-Janner, Faust and Ritchie and subsequent coloration of the fecal smear by the methods of Auramina-O and Ziehl-Neelsen modified for diagnosis of Cryptosporidium sp. and Graham method for diagnosis of Enterobius vermicularis. Of the analyzed children we verified a prevalence of intestinal parasitism in 53.40%, and the most frequent parasite was Giardia duodenalis (26.88%. Significant association was verified among enteroparasitosis, family income, maternal education and age; the lowest enteroparasite frequency occurred in children of families with larger income and higher education. It was observed that G. duodenalis is more prevalent in children from 0 to 4 years and E. vermicularis is more frequent in children between three and four years old. The high enteroparasite prevalence in day cares suggests complex structure in its epidemiology, where factors beyond sanitation should be considered.Verificou-se a prevalência dos enteroparasitas em 279 crianças (0 a 6 anos de quatro creches municipais de Botucatu/SP. Foram coletadas três amostras de fezes de cada criança e processadas pelos métodos Hoffman, Faust e Ritchie e posterior coloração do esfregaço fecal pelos métodos de Auramina-O e Ziehl-Neelsen modificado para diagnóstico de Cryptosporidium sp. e método da fita gomada para diagnóstico de Enterobius vermicularis. Das crianças analisadas apresentaram-se parasitadas 53.40%, sendo que o parasita mais freqüente foi Giardia duodenalis (26.88%. Verificou-se associação significativa entre enteroparasitose, renda familiar, escolaridade materna e idade; quanto maior a renda e o grau escolar, menor a freqüência de enteroparasitas. Observou-se que G. duodenalis é mais prevalente em crianças de 0 a 4 anos e E

  8. INCLUSION OF CHILDREN WITH DEVELOPMENTAL DISORDERS IN DAY CARE INSTITUTION ESTREA MARA IN BITOLA

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    M. SOTIROVSKA-SIRVINI

    1997-09-01

    Full Text Available The Day Care Institutions for children are forms of organized protection for improvement of the psycho-physical, emotional and social development of children. In this period, the growth and development are in their most intensive phase when the outside influence plays an extraordinary role both in a positive and in negative a direction. Directed and well-organized protection is of a great importance. By inclusion of children with developmental disorders in the group and with special, individual treatment of each child by adequate specialized staff, their socialization and stimulus for developmental acceleration is achieved.Many years ago, by recommendation of the Advisory Institution for Development, the doctors from the Advisory Institution for small children, the public-health nurses or by the parents initiative, the kindergartens accept children with Down syndrome, children with limited and lower level backwardness, with disharmonious development, with lower level forms of cerebral paralysis and with speech disorders.Children at the earliest age of one month are resided at the Advisory Institu­­tion for Development and receive treatment until they are categorized and are ready to start school, but certain children are sent to the kindergartens at the age of 3.In the previous years, out of five children with Down syndrome treated in the Advisory Institution for Development, four were sent to the kindergarten. Now, one of these children attends the fifth grade and two attend the first grade in a regular elementary school and one attends the special school. Three children with Spastic dyplegia, four children with lower level of retardation, two with surdomutitas and four with disharmonious development are still in the kindergarten.

  9. Comparison of an SMS text messaging and phone reminder to improve attendance at a health promotion center: A randomized controlled trial

    Institute of Scientific and Technical Information of China (English)

    Zhou-wen CHEN; Li-zheng FANG; Li-ying CHEN; Hong-lei DAI

    2008-01-01

    Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to improve attendance rates at a health promotion center. Methods: A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group, SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected. Results: A total of 1848 participants were eligible for analysis. Attendance rates of control,SMS and telephone groups were 80.5%, 87.5% and 88.3%, respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group, with odds ratio 1.698, 95% confidence interval 1.224 to 2.316, P=0.001 in the SMS group, and odds ratio 1.829, 95% confidence interval 1.333 to 2.509, P<0.001 in the telephone group. However, there was no difference between the SMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan). Conclusion:SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder.

  10. Avaliação do consumo alimentar em creches públicas em São Paulo, Brasil Evaluación del consumo alimentar en guarderías públicas en São Paulo, Brasil Evaluation of food consumption at public day care centers in São Paulo, Brazil

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    Giovana Longo-Silva

    2012-01-01

    edades entre 12 y 29 meses. La recolección de los datos se realizó por el método de pesaje directo durante tres días no consecutivos. Para el cálculo nutricional, se utilizó el software DietWin Profissional 2.0®, siendo posteriormente calculada la adecuación del consumo de energía, proteína, hierro, vitamina A y vitamina C. Para el cálculo de proteína, hierro, vitaminas A y C, se utilizó como referencia la necesidad mediana estimada (Estimated Average Requirement del National Research Council (2002. El calcio se evaluó por la ingestión adecuada (Adequate Intake, 1999. La evaluación de la ingestión de energía se realizó con base en la necesidad energética estimada (Estimated Energy Requirement, 2002. Los datos fueron analizados en el programa Epi-Info 2000, versión 3.4.3. RESULTADOS: Se identificaron déficits medianos para energía (49,78%, hierro (81,67%, calcio (57,44%, excesos de proteína (183,27% y vitaminas A (126,86% y C (57,44%. La distribución de los porcentuales de adecuación de los macronutrientes se mostró inadecuada para lípidos. CONCLUSIONES: Aunque los menús servidos en guarderías sean planeados por nutricionistas, los resultados apuntan a posibles fallas en el proceso de la alimentación infantil relacionadas a la preparación, proporcionamiento y/o prácticas de oferta de los alimentos. Tales hallazgos refuerzan la necesidad de acciones de educación y supervisión en salud para garantizar el suministro de alimentación adecuada a este grupo poblacional.OBJECTIVE: To evaluate the energy intake and dietary adequacy of children attending nurseries of public and not-for-profit daycare centers in the city of São Paulo, Brazil. METHODS: Cross-sectional study conducted at 16 nurseries, attended by 236 children between the ages of 12 and 29 months. Data collection was carried out by the direct weighing method over three nonconsecutive days. The DietWin® 2.0 Professional software was used for nutritional calculations. The adequacy of

  11. Frequency and risk factors associated with dry eye in patients attending a tertiary care ophthalmology center in Mexico City

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    Martinez JD

    2016-07-01

    Full Text Available Jaime D Martinez,1 Anat Galor,2,3 Nallely Ramos-Betancourt,1 Andrés Lisker-Cervantes,1 Francisco Beltrán,1 Jorge Ozorno-Zárate,1 Valeria Sánchez-Huerta,1 Marco-Antonio Torres-Vera,1 Everardo Hernández-Quintela1 1Cornea and External Diseases Service, Asociación Para Evitar la Ceguera en Mexico (Association to prevent blindness in Mexico, Universidad Nacional Autónoma de México, Mexico City, Mexico; 2Department of Ophthalmology, Miami Veterans Affairs Medical Center, 3Cornea and External Diseases Division, Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA Purpose: The purpose of this study was to ascertain the frequency and risk factors of dry eye (DE among patients attending a tertiary care ophthalmology center in Mexico.Methods: Approximately 338 consecutive new patients attending a tertiary care ophthalmology center in Mexico City underwent an ocular surface examination, which included tear film break-up time, fluorescein corneal staining, Schirmer’s test, and evaluation of meibum quality. Symptoms of DE were evaluated by the Ocular Surface Disease Index and Dry Eye Questionnaire-5. Information on demographics, exposures, past medical and ocular history, and medications was also collected.Results: The frequency of severe DE symptoms was found to be 43% based on the Ocular Surface Disease Index and 30% based on Dry Eye Questionnaire-5. Risk factors significantly associated with increased DE symptoms included dry mouth and gastrointestinal ulcer medications. With regard to signs, aqueous tear deficiency was a less-frequent finding (22% in our population than evaporative deficiency (94%. Risk factors associated with aqueous tear deficiency were dry mouth and diuretic use. No risk factors were associated with evaporative deficiency. Risk factors associated with meibomian gland dysfunction included old age, male sex, arthritis, and use of an antihypertensive. The only risk factor associated with corneal staining was dry

  12. Social life of people with diagnosis of schizophrenia, attended at a psychosocial care center.

    Science.gov (United States)

    Moll, Marciana Fernandes; Saeki, Toyoko

    2009-01-01

    This qualitative research aimed to investigate the social life of patients with a diagnosis of schizophrenia at a Psychosocial Care Center (CAPS), and identify how the therapeutic process offered by the CAPS has contributed to their social lives. The subjects of the study were patients with schizophrenia, between eighteen and forty years of age and registered at the CAPS in Uberaba, Brazil. The data were collected through a semi-structured interview. Three categories were identified: the patients' life before and after the illness, their everyday life outside CAPS and CAPS care contributing to their social life and stabilization of symptoms. The results showed that the CAPS regimen enhances treatment compliance and decreases hospitalization. However, social functioning for schizophrenic patients occurs within the family and treatment contexts. This reality evidences the need for a partnership with the Family Health Strategy and the community to improve socialization.

  13. Profiles of medicinal cannabis patients attending compassion centers in rhode island.

    Science.gov (United States)

    Zaller, Nickolas; Topletz, Ariel; Frater, Susan; Yates, Gail; Lally, Michelle

    2015-01-01

    Little is understood regarding medicinal marijuana dispensary users. We sought to characterize socio-demographics and reasons for medicinal marijuana use among medical cannabis dispensary patients in Rhode Island. Participants (n=200) were recruited from one of two Compassion Centers in Rhode Island and asked to participate in a short survey, which included assessment of pain interference using the Brief Pain Inventory (BPI). The majority of participants were male (73%), Caucasian (80%), college educated (68%), and had health insurance (89%). The most common reason for medicinal marijuana use was determined to be chronic pain management. Participants were more likely to have BPI pain interference scores of > 5 if they were older (OR: 1.36, 95% CI: 1.04-1.78) or reported using cannabis as a substitute for prescription medications (OR: 2.47, 95% CI: 1.23-4.95), and were less likely to have interference scores of >5 if they had higher income levels (OR: 0.53, 95% CI: 0.40-0.70) or reported having ever received treatment for an alcohol use disorder. One-fifth of participants had a history of a drug or alcohol use disorder. Most participants report that medicinal cannabis improves their pain symptomology, and are interested in alternative treatment options to opioid-based treatment regimens.

  14. Quality of life and disease understanding: impact of attending a patient-centered cancer symposium.

    Science.gov (United States)

    Padrnos, Leslie; Dueck, Amylou C; Scherber, Robyn; Glassley, Pamela; Stigge, Rachel; Northfelt, Donald; Mikhael, Joseph; Aguirre, Annette; Bennett, Robert M; Mesa, Ruben A

    2015-06-01

    To evaluate the impact of a patient-centered symposium as an educational intervention on a broad population of cancer patients. We developed a comprehensive patient symposium. Through voluntary questionnaires, we studied the impact of this cancer symposium on quality of life, cancer-specific knowledge, and symptom management among cancer patients. Symposium attendees were provided surveys prior to and 3 months following the educational intervention. Surveys included (1) EORTC-QLQ-C30; (2) disease understanding tool developed for this conference; (3) validated disease-specific questionnaires. Changes over time were assessed using McNemar's tests and paired t-tests for categorical and continuous variables, respectively. A total of 158 attendees completed the pre-convention survey. Most respondents reported at least "quite a bit" of understanding regarding treatment options, screening modalities, symptomatology, and cancer-related side effects. Attendees endorsed the least understanding of disease-related stress, risk factors, fatigue management, and legal issues related to disease/treatment. At 3 months, there was improvement in understanding (12 of 14 areas of self-reported knowledge especially regarding nutrition, and stress/fatigue management). However, no significant change was seen in QLQ-C30 functioning, fatigue, pain, or insomnia. A patient symposium, as an educational intervention improves a solid knowledge base amongst attendees regarding their disease, increases knowledge in symptom management, but may be insufficient to impact QoL as a single intervention.

  15. Influence of the day care, home and neighbourhood environment on young children's physical activity and health: protocol for the PLAYCE observational study

    Science.gov (United States)

    Christian, Hayley; Maitland, Clover; Enkel, Stephanie; Trapp, Georgina; Trost, Stewart G; Schipperijn, Jasper; Boruff, Bryan; Lester, Leanne; Rosenberg, Michael; Zubrick, Stephen R

    2016-01-01

    Introduction The early years are a critical period in a child's health and development, yet most preschool children fail to meet physical activity guidelines. Outside of the home and neighbourhood, children spend a large proportion of time within early childhood education and care (ECEC) services such as long day care. Research is required to determine how the design of day care outdoor (and indoor) spaces provides opportunities or constraints for physical activity. A significant evidence gap surrounds what objectively measured attributes of the home and neighbourhood environment influence preschoolers’ physical activity. The PLAY Spaces & Environments for Children's Physical Activity (PLAYCE) study will empirically investigate the relative and cumulative influence of the day care, home and neighbourhood environment on preschoolers’ physical activity. Methods and analysis The PLAYCE study is a cross-sectional observational study (April 2015 to April 2018) of 2400 children aged 2–5 years attending long day care in metropolitan Perth, Western Australia. Accelerometers will measure physical activity with indoor physical activity measured using radio frequency identification. Global positioning systems will be used to determine outdoor location of physical activity around the home and neighbourhood for a subsample (n=310). The day care environment will be objectively measured using a validated audit tool. Other potential individual, social and physical environmental influences on preschoolers’ physical activity will be collected by geographic information systems measures, parent and day care educator surveys. Ethics and dissemination Ethical approval has been granted by The University of Western Australia Human Ethics Research Committee, approval number RA/4/1/7417. Findings will be published in international peer-reviewed journals and presented at international conferences. Key findings will be disseminated to stakeholders, collaborators, policymakers and

  16. Implementing Outcome Measures Within an Enhanced Palliative Care Day Care Model.

    LENUS (Irish Health Repository)

    Kilonzo, Isae

    2015-04-23

    Specialist palliative care day care (SPDC) units provide an array of services to patients and their families and can increase continuity of care between inpatient and homecare settings. A multidisciplinary teamwork approach is emphasized, and different models of day care exist. Depending on the emphasis of care, the models can be social, medical, therapeutic, or mixed. We describe our experience of introducing an enhanced therapeutic specialist day care model and using both patient- and carer-rated tools to monitor patient outcomes.

  17. A Qualitative Study to Understand the Social and Emotional Needs of the Gifted Adolescents, Who Attend the Science and Arts Centers in Turkey

    Science.gov (United States)

    Yilmaz, Defne

    2015-01-01

    Considering all areas of development in education is a key to fulfill the needs of gifted students. This study which was based on qualitative methods aimed to find out the emotional and social needs of the adolescents who attended the Antalya Science and Arts Center (Bilim ve Sanat Egitim Merkezi-BILSEM) to develop new ways to help these students.…

  18. Stillbirth history and Toxoplasma gondii infection in women attending public health centers in a northern Mexican City

    Science.gov (United States)

    Alvarado-Esquivel, C.; Pacheco-Vega, S. J.; Salcedo-Jaquez, M.; Sánchez-Anguiano, L. F.; Hernández-Tinoco, J.; Rábago-Sánchez, E.; Centeno-Tinoco, M. M.; Flores-Garcia, I. D.; Ramos-Nevarez, A.; Cerrillo-Soto, S. M.; Guido-Arreola, C. A.; Beristain-García, I.; Liesenfeld, O.; Berumen-Segovia, L. O.; Saenz-Soto, L.; Sifuentes-Álvarez, A.

    2015-01-01

    Through a cross-sectional study design, 150 women attending public health centers with a history of stillbirths were examined for anti-Toxoplasma gondii IgG and IgM antibodies in Durango City, Mexico. Bivariate and multivariate analyses were used to assess the association of T. gondii seropositivity with the characteristics of the women with stillbirth history. Of the 150 women (mean age: 32.09 ± 9.16 years) studied, 14 (9.3%) had anti-T. gondii IgG antibodies and six (42.9%) of them were also positive for anti-T. gondii IgM antibodies. Multivariate analysis showed that T. gondii seropositivity was associated with high frequency (4–7 days a week) of eating meat (OR = 5.52; 95% CI: 1.48–20.59; P = 0.01), history of lymphadenopathy (OR = 4.52; 95% CI: 1.14–17.82; P = 0.03), and history of surgery (OR = 8.68; 95% CI: 1.04–72.15; P = 0.04). This is the first study on the seroepidemiology of T. gondii infection in women with a history of stillbirths in Mexico. The association of T. gondii exposure with a history of surgery warrants for further research. Risk factors for T. gondii infection found in the present survey may help to design optimal educational programs to avoid T. gondii infection. PMID:26185685

  19. Entre o fortalecimento e o declínio do vínculo voluntário-idoso dependente em um centro-dia Entre el fortalecimiento y la decadencia del vínculo voluntario-anciano dependiente en un centro-día Between the strengthening and the decline of the bond volunteer-disabled elderly person in a day-care center

    Directory of Open Access Journals (Sweden)

    Silvia Cristina Mangini Bocchi

    2010-12-01

    Interactionism as a theoretical framework and the Grounded Theory as a methodological background. It aimed at understanding the volunteer-disabled elderly person interaction at a Day-Care Center and at designing a representative theoretical model for such experience. Data were collected by non-directive interviews. Two phenomena emerged from data analysis: becoming responsible for the continuity of volunteer work with disabled elderly persons supported by the healing expectation of former family caregivers in a society with a declining solidary conscience and assuming the volunteer role. Understanding the experience enbaled us to expand the knowledge concerning the movement undertaken in the experience denominated: between strengthening and the decline of the bond volunteerdisabled elderly person in a day-care hospital, mediated by (de motivation.

  20. Improving physician's adherence to completing vaccination schedules for patients with type 2 diabetes attending non-communicable diseases clinics in West Bay Health Center, Qatar.

    Science.gov (United States)

    Tawfik, Hassan; Bashwar, Zelaikha; Al-Ali, Amal; Salem, Mohamed; Abdelbagi, Isameldin

    2015-01-01

    Incomplete vaccination for patients with type 2 diabetes attending non-communicable diseases (NCD) clinics is an issue that could affect patient's health and wellness negatively and puts patients at high risk of serious diseases. We aimed to improve physicians adherence to complete vaccination schedule for patients with type 2 diabetes attending NCD clinics in west bay health center according to American Diabetes Association (ADA) recommendation by 25% by January 2015. In the pre-intervention phase: the quality improvement team designed a checklist to collect the percentage of physician's adherence of prescription of the recommended vaccination for patients with type 2 diabetes. The percentage of complete vaccination in patients with diabetes attending NCD clinic in West Bay Health Center was 20% . In the intervention phase the intervention was in the form of: the creation a vaccination form and attached to the (NCD) progress note; to distribute and remind the physicians about the ADA guidelines vaccination recommendations; a summary of the vaccination schedule developed and attached to (NCD) form; development of vaccination reminder posters and posters in the waiting area, nurse station, and physician clinics and education and orientation sessions for NCD clinic staff. In the post-intervention phase the average percentage of complete vaccination in patients with diabetes attending NCD clinic in West Bay Health Center increased to 69%.

  1. Recursos/Resources: A Bibliography of Spanish-Language Family Day Care Training Materials.

    Science.gov (United States)

    California Child Care Resource and Referral Network, San Francisco.

    This bibliography provides descriptions and contact information regarding resources produced by American and Canadian family day care training projects and other educational organizations for agencies working with Spanish-speaking family day care providers. Included are resources in the following areas: (1) "Recruitment Resources"; (2) "Family Day…

  2. Professionalism--A Breeding Ground for Struggle. The Example of the Finnish Day-Care Centre

    Science.gov (United States)

    Kinos, Jarmo

    2008-01-01

    This article examines the Finnish day-care centre out of a neo-Weberian-Bourdieuan frame of reference. The leading idea is that the day-care centre field is continuously shaping as a result of both inner struggles and struggles with other fields. The state, the education system, and trade unions act as the dealers of professional playing cards.…

  3. When Risk Becomes Invisible in the Everyday Life of Day Care

    Science.gov (United States)

    Villumsen, Anne Marie; Kristensen, Ole Steen

    2016-01-01

    Both the identification of children at risk in day care and multidisciplinary collaboration with other professions have a political focus. This study was designed as an organizational field study and attempts to establish a coherent practice of multidisciplinary collaboration between day care and social services. This article focuses on the…

  4. The Politics of Family Day Care: Legislatively What Can Be Done.

    Science.gov (United States)

    Anderson, Elaine A.

    A questionnaire designed to measure a number of topical issues regarding child care providers and child care provision was sent to all licensed family day care home providers in the state of Connecticut. The questionnaire focused on six major areas of investigation: the service provider's history in the area of day care, issues surrounding…

  5. Recursos/Resources: A Bibliography of Spanish-Language Family Day Care Training Materials.

    Science.gov (United States)

    California Child Care Resource and Referral Network, San Francisco.

    This bibliography provides descriptions and contact information regarding resources produced by American and Canadian family day care training projects and other educational organizations for agencies working with Spanish-speaking family day care providers. Included are resources in the following areas: (1) "Recruitment Resources"; (2)…

  6. When risk becomes invisible in the everyday life of day care

    DEFF Research Database (Denmark)

    Villumsen, Anne Marie; Kristensen, Ole Steen

    2016-01-01

    Both the identification of children at risk in day care and multidisciplinary collaboration with other professions have a political focus. This study was designed as an organizational field study and attempts to establish a coherent practice of multidisciplinary collaboration between day care...... and their life circumstances become invisible in the everyday life of day care. Due to defensive routines as well as an organizational culture that frames and creates a non-explicitly structured practice using intuitive processes, the problems of children at risk become invisible in the everyday life of day care...... and social services. This article focuses on the mono-professional pedagogical identification of children at risk as well as on the underlying process of professional reasoning. Interviews with day care staff are analysed and the findings give reason to assume that central aspects of the children at risk...

  7. Khoa Trinh Huan Luyen Giu Tre Ban Ngay Tai Gia (Family Day Care Training Curriculum--Vietnamese).

    Science.gov (United States)

    Nakatsu, Gail

    California's Family Day Care Training Program was designed to recruit and train, in 7 weeks, Lao, Vietnamese, and Chinese refugees to establish their own state-licensed, family day care homes. Topics in the program's curriculum include an introduction to family day care, state licenses and licensing requirements for family day care, licensing…

  8. Socioeconomic, cultural and demographic determinants of childbearing desires among married women attending health centers in Hamedan (2012

    Directory of Open Access Journals (Sweden)

    Hatam Hosseini

    2014-04-01

    Full Text Available Background: Changes in values and attitudes of the Iranian society during the past few decades have greatly influenced the reproductive decisions and actions of individuals and families, especially women. The aim of this study was to analyze the determinants of childbearing desires of married women attending Health Centers in Hamedan. Methods: Data were collected through a survey which was conducted during November and December, 2012. This cross-sectional study was conducted on a sample of 273 eligible women who were selected randomly. A structured questionnaire was used for data collection. Results: Results showed that 70.7 percent of women did not want to have another child in addition to the children they had at the time of survey. Among these women, 55 percent and 84.3 percent had one and two children, respectively. Further, 78.4 percent of respondents stated that two children were the ideal number of children for the households. The most important reasons for the two-children pattern were economic problems and families’ problems in rearing and training the children, respectively. Results of multivariate analysis showed that the likelihood of stopping childbearing was higher among working women,women with more children, women at the end of reproduction age, women evaluating children’s benefits lower than their expenditures, and women with little tendency to prefer sons to daughters. Conclusion: Population policies to prevent further decline in fertility should be focused on employment, family, and quality of life, especially among women without children, women with one child and newly married couples.

  9. Potential prescription patterns and errors in elderly adult patients attending public primary health care centers in Mexico City

    Science.gov (United States)

    Corona-Rojo, José Antonio; Altagracia-Martínez, Marina; Kravzov-Jinich, Jaime; Vázquez-Cervantes, Laura; Pérez-Montoya, Edilberto; Rubio-Poo, Consuelo

    2009-01-01

    Introduction Six out of every 10 elderly persons live in developing countries. Objective To analyze and assess the drug prescription patterns and errors in elderly outpatients attending public health care centers in Mexico City, Mexico. Materials and methods A descriptive and retrospective study was conducted in 2007. Fourteen hundred prescriptions were analyzed. Prescriptions of ambulatory adults aged >70 years who were residents of Mexico City for at least two years were included. Prescription errors were divided into two groups: (1) administrative and legal, and (2) pharmacotherapeutic. In group 2, we analyzed drug dose strength, administration route, frequency of drug administration, treatment length, potential drug–drug interactions, and contraindications. Variables were classified as correct or incorrect based on clinical literature. Variables for each drug were dichotomized as correct (0) or incorrect (1). A Prescription Index (PI) was calculated by considering each drug on the prescription. SPSS statistical software was used to process the collected data (95% confidence interval; p <0.05). Results The drug prescription pattern in elderly outpatients shows that 12 drugs account for 70.72% (2880) of prescribed drugs. The most prescribed drugs presented potential pharmacotherapeutic errors (as defined in the present study). Acetylsalicylic acid–captopril was the most common potential interaction (not clinically assessed). Potential prescription error was high (53% of total prescriptions). Most of the prescription errors were due to omissions of dosage, administration route, and length of treatment and may potentially cause harm to the elderly outpatients. Conclusions A high number of potential prescription errors were found, mainly due to omissions. The drug prescription pattern of the study population is mainly constituted by 12 drugs. The results indicate that prescription quality depends on the number of prescribed drugs per prescription (p < 0

  10. Children with Special Needs in Family Day Care Homes: A Handbook of Approaches and Activities for Family Day Care Home Providers.

    Science.gov (United States)

    de la Brosse, Beatrice

    Practical information and sample teaching activities for child caregivers who work with young developmentally disabled children in family day care settings are provided in this manual. Each chapter shares a typical experience a caregiver may have with a particular child. Chapter 1 focuses on getting to know a new child, initial expectations, and…

  11. The effectiveness and safety of short-contact dithranol therapy in paediatric psoriasis: a prospective comparison of regular day care and day care with telemedicine

    NARCIS (Netherlands)

    Oostveen, A.M.; Beulens, C.A.; Kerkhof, P.C.M. van de; Jong, E.M.G.J. de; Seyger, M.M.B.

    2014-01-01

    BACKGROUND: Evidence on the effectiveness and safety of short-contact dithranol therapy in paediatric psoriasis is sparse and based only on retrospective data. The best results are achieved in a time-consuming day-care setting. OBJECTIVES: To study prospectively the effectiveness and safety of short

  12. Knowledge, Attitudes and Practices of Animal Bite Victims Attending an Anti-rabies Health Center in Jimma Town, Ethiopia.

    Directory of Open Access Journals (Sweden)

    Tadele Kabeta

    Full Text Available Rabies is an important but preventable cause of death in Ethiopia. We assessed the knowledge, attitudes and practices of animal bite victims attending an anti-rabies health center in Jimma Town, Ethiopia.Between July 2012 and March 2013 a cross-sectional questionnaire was administered to 384 bite victims or their guardians in the case of minors (aged <15 years. Factors associated with knowledge, attitudes and practices were evaluated using generalized linear models. Almost all participants (99% were aware that rabies was transmitted by the bite or lick of a rabid dog, however only 20.1% identified "germs" as the cause of disease. A majority of participants stated rabies could be prevented by avoiding dog bites (64.6% and confining dogs (53.9%; fewer (41.7% recognized vaccination of dogs/cats as an important preventive strategy. Regarding attitudes, most (91.1% agreed that medical evaluation should be sought as soon as possible. However, most (75.0% also believed that traditional healers could cure rabies. Rural residence (adjusted odds ratio [OR] = 2.1, p = 0.015 and Protestant religion (OR = 2.4, p = 0.041 were independently associated with this belief. Among 186 participants who owned dogs, only 9 (4.8% had ever vaccinated their dog and more than 90% of respondents indicated that their dog was free-roaming or cohabitated with the family. Only 7.0% of participants applied correct first aid following exposure, and the majority (47.7% reported that the animal was killed by the community following the incident. Female sex and Muslim religion were independently associated with higher and lower practices scores, respectively, due largely to differences in animal management practices following the incident.Although respondents demonstrated reasonably sound knowledge of rabies and its transmission, attitudes and practices were inconsistent with rabies prevention. Culturally- and gender-sensitive activities that promote proper first aid and healthcare

  13. Potential prescription patterns and errors in elderly adult patients attending public primary health care centers in Mexico City

    Directory of Open Access Journals (Sweden)

    José Antonio Corona-Rojo

    2009-08-01

    Full Text Available José Antonio Corona-Rojo1, Marina Altagracia-Martínez1, Jaime Kravzov-Jinich1, Laura Vázquez-Cervantes1, Edilberto Pérez-Montoya2, Consuelo Rubio-Poo31Division of Biological Sciences and Health, Metropolitan Autonomous University, Campus Xochimilco (UAM-X, Xochimilco, México; 2National Polytechnical Institute (IPN, México DF; 3Faculty of Higher Studies – Zaragoza (FES-Zaragoza, National Autonomous University of México (UNAM, México City, MéxicoIntroduction: Six out of every 10 elderly persons live in developing countries.Objective: To analyze and assess the drug prescription patterns and errors in elderly outpatients attending public health care centers in Mexico City, Mexico.Materials and methods: A descriptive and retrospective study was conducted in 2007. Fourteen hundred prescriptions were analyzed. Prescriptions of ambulatory adults aged >70 years who were residents of Mexico City for at least two years were included. Prescription errors were divided into two groups: (1 administrative and legal, and (2 pharmacotherapeutic. In group 2, we analyzed drug dose strength, administration route, frequency of drug administration, treatment length, potential drug–drug interactions, and contraindications. Variables were classified as correct or incorrect based on clinical literature. Variables for each drug were dichotomized as correct (0 or incorrect (1. A Prescription Index (PI was calculated by considering each drug on the prescription. SPSS statistical software was used to process the collected data (95% confidence interval; p < 0.05.Results: The drug prescription pattern in elderly outpatients shows that 12 drugs account for 70.72% (2880 of prescribed drugs. The most prescribed drugs presented potential pharmacotherapeutic errors (as defined in the present study. Acetylsalicylic acid–captopril was the most common potential interaction (not clinically assessed. Potential prescription error was high (53% of total prescriptions. Most

  14. Comparison of optimal cardiovascular risk factor management in patients with Type 2 diabetes who attended urban medical health center with those attended a tertiary care center: Experiences from Tehran, Iran

    Directory of Open Access Journals (Sweden)

    Sedighe Moradi

    2016-01-01

    Conclusions: Both centers have failure in target achievement in some risk factors; however, the inability of the primary care center in controlling hyperlipidemia in comparison with the tertiary center is a serious warning to provide training about managing dyslipidemia in these centers.

  15. Percepções de educadores de creches acerca de práticas cotidianas na alimentação de lactentes: impacto de um treinamento Perceptions of day care center teachers about daily practices of infant feeding: the impact of training

    Directory of Open Access Journals (Sweden)

    Giovana Longo-Silva

    2013-02-01

    Full Text Available O artigo apresenta a importância da capacitação dos profissionais envolvidos com alimentação das crianças em creches, para que estes ofereçam alimentos adequados e promovam ações para que os lactentes incorporem práticas alimentares saudáveis desde o nascimento. Desta forma, o objetivo do presente trabalho foi avaliar o impacto de um treinamento de educadores de creches nas percepções e práticas acerca da alimentação infantil. Para avaliação do impacto do treinamento foi utilizada abordagem qualitativa, com aplicação da técnica do grupo focal. Foram realizados 16 grupos, sendo oito com as creches expostas ao treinamento e oito com as não-expostas, tendo em média de seis a 11 participantes por instituição, os quais apresentavam idades entre 19 e 66 anos. O discurso das educadoras que participaram do treinamento está pontuado de indícios de pequenas mudanças, ou pelo menos, de reconhecimento de que é preciso e possível mudar. Destaca-se a relevância de elaborar e executar programas de treinamento e educação nutricional para educadores de creches com supervisão contínua dos efeitos da capacitação como estratégia de saúde infantil.This article stresses the importance of the qualification of professionals involved in thefeeding of children in daycare centers, such that they offeradequate food and programs are developed in order to fosterhealthy food habits in infantsfrom birth. Thus, the scope of this paper was to evaluate the impact of a training program for these daycare teachers in their perceptions and practicesin infant feeding. A qualitative approach was used to evaluate the impact of training, with the application of the focus grouptechnique. Sixteen groups were created, eight of whichwere daycare centerswith training and eight without training, the average number of participants being 6 to 11 per institution agedbetween 19 and 66. The discourse of the teachers who took part in the training program is

  16. Avaliação do consumo alimentar de crianças pertencentes a uma creche filantrópica na Ilha de Paquetá, Rio de Janeiro, Brasil Food intake assessment of children attending a philanthropic daycare center in the Ilha de Paquetá, Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Roseane M. S. Barbosa

    2006-03-01

    Full Text Available OBJETIVOS: comparar o consumo alimentar de pré-escolares, pertencentes a uma creche filantrópica, em dois períodos (no ato da matrícula e após seis meses, com base na proposta da Pirâmide Alimentar Infantil Norte-Americana e através do Índice de Alimentação Saudável (IAS. MÉTODOS: relativamente à avaliação dietética, foi utilizada a história alimentar da criança com o responsável, no ato da matrícula; após seis meses de frequência da criança, utilizou-se o método de pesagem de alimentos (na creche e registro alimentar (na residência. Posteriormente, compararam-se as médias das porções consumidas nos dois períodos, de cada grupo alimentar, utilizando o teste "t" Student, a fim de se verificar a diferença estatística entre os grupos. Considerou-se o nível de significância de 5%. Igualmente, avaliou-se o IAS, nos dois períodos. RESULTADOS: observou-se uma diferença significativa (pOBJECTIVES: to compare the food intake of children in a philanthropic daycare center in two periods (at enrollment and following six months attendance based on the North American Food Guide Pyramid through the Healthy Eating Index (HEI. METHODS: the children eating habits were informed by the parents or custodians at enrollment and following six months of children's attendance, the food weighing technique was performed (at the daycare center and food checking (at home as well. Following, averages of the portions eaten in the two periods were compared in each of the food intake groups through the "t" Student test to determine the statistical significance between the groups, with the significance rate established at 5%. HEI for the two periods was equally assessed. RESULTS: a significant difference (p<0,05 was determined in the average of fruit and vegetable portions consumed, based on the North American Food Pyramid, and a satisfactory scoring of the Healthy Eating Index following six months of the children's attendance of the day care

  17. Attention to Language in Day Care Attending Children: A Mediating Factor in the Developmental Effects of Otitis Media.

    Science.gov (United States)

    Feagans, Lynne V.; And Others

    Three ways in which otitis media may affect development of hearing are explored. First, developmental effects may be due to illness in general; second, otitis media may cause fluctuating hearing loss which may lead to deficits in language in many areas; and, third, fluctuating hearing loss may have only a temporary effect on the acquisition of…

  18. ENERGY EXPENDITURE AND INTAKE COMPARISONS IN CHILEAN CHILDREN 4-5 YEARS ATTENDING DAY-CARE CENTRES.

    Science.gov (United States)

    Salazar, Gabriela; Vásquez, Fabián; Rodríguez, Maria P; Andrade, Ana M; Anziani, Maria A; Vio, Fernando; Coward, Williams

    2015-09-01

    Introducción: el método del agua doblemente marcada (ADM) tiene una precisión del 1% y en un mismo sujeto es de 5-8%, dependiendo de la edad y el entorno del sujeto. La evaluación de la ingesta energética es propensa a errores (> 15-20%), dependiendo del método utilizado. Objetivo: cuantificar los errores metodológicos del ADM en niños de 4-5 años que podrían afectar la comparación con la ingesta de energía. Métodos: el gasto de energía (GTE, por ADM), se evaluó durante 14 días en 18 preescolares, asistentes a guarderías infantiles. La ingesta energética se determinó mediante un método combinado: pesaje de alimentos durante los días de la semana y registro después de salir del centro (17 horas en adelante), además de un recordatorio de 24 horas, durante un día del fin de semana. Resultados: el promedio individual del gasto energético total fue 1373 ± 177 kcal y la ingesta de energía (1409 ± 161 kcal). La diferencia global entre la ingesta y el gasto fue 42,9 kcal/día. El error de medición del GET explicó una variación del 2,4%, entre ambas mediciones, y el espacio de dilución de isótopos fue 1030 ± 0.010, confirmando el valor utilizado en los estudios de adultos. Conclusiones: los datos de GET fueron similares a otros estudios realizados en niños en edad preescolar. La pequeña diferencia encontrada entre la ingesta y el gasto energético se puede atribuir a la metodología de la ingesta de energía aplicada, la dieta homogénea en los centros de atención, durante los días de la semana, y el bajo error metodológico del ADM.

  19. Status of Day Care in Canada: A Review of the Major Findings of the National Day Care Study, 1974. (Situation De La Garde De Jour Au Canada: Une Revue des Principales Constatations Sur La Garde De Jour, 1974).

    Science.gov (United States)

    Department of National Health and Welfare, Ottawa (Ontario).

    This booklet presents (in both French and English) the results of a 1974 survey which assessed the growth of day care services in Canada. Similar national surveys had been conducted in 1971 and 1973. Results indicated that the number of day care spaces and the number of children of working mothers in day care increased substantially from 1973 to…

  20. Reducing Food Waste at a Migrant Day Care Center through the Rearrangement of Existing Activities.

    Science.gov (United States)

    Montesinos, Luis; And Others

    1985-01-01

    An intervention in which second food helpings were made contingent upon consumption of at least half of all food groups and, children who ate half of each food category were the first to be allowed to brush their teeth resulted in a reduction of waste for all three categories (vegetables, meat, milk) in which waste was high. (Author/CL)

  1. Prisoners of the Method: Breaking Open the Child-Centered Pedagogy in Day Care Centres.

    Science.gov (United States)

    Singer, Elly

    1996-01-01

    Examines basic concepts forming the foundation for professional care and education of young children and how these concepts may impede interaction between teachers or caregivers and children. Critiques the concepts of natural development, developmentally appropriate curriculum, and child centeredness. Advocates increased scaffolding, increased…

  2. Primary care-public health linkages: Older primary care patients with prediabetes & type 2 diabetes encouraged to attend community-based senior centers

    Directory of Open Access Journals (Sweden)

    Polly H. Noël

    2016-12-01

    Full Text Available The Institute of Medicine (IOM suggests that primary care-public health integration can improve health outcomes for vulnerable patients, but the extent to which formal linkages may enhance patients' use of community resources, or the factors that may influence providers to encourage their patients to use these resources, remain unclear. We conducted baseline assessments in 2014–2015 with 149 older adults with prediabetes or diabetes who had recently joined three senior centers linked to a network of primary care clinics in San Antonio, Texas. In addition to collecting sociodemographic and clinical characteristics, we asked members to identify their source of primary care and whether a health care provider had encouraged them to go to the senior center. We also asked members why they had joined the senior centers and which programs interested them the most. Members' source of primary care was not associated with being encouraged to attend the senior centers by a health care professional. Multivariable analysis indicated that participants with total annual household incomes of $20,000 or less [OR = 2.78; 95% CI = (1.05, 7.14] and those reporting 12 years of education or less [OR = 3.57; 95% CI = (1.11, 11.11] were significantly more likely to report being encouraged to attend the senior center by a health care provider. Providers who are aware of community-based resources to support patient self-management may be just as likely to encourage their socioeconomically vulnerable patients with prediabetes or diabetes to use them as providers who have a more formal partnership with the senior centers.

  3. Primary care-public health linkages: Older primary care patients with prediabetes & type 2 diabetes encouraged to attend community-based senior centers.

    Science.gov (United States)

    Noël, Polly H; Parchman, Michael L; Finley, Erin P; Wang, Chen-Pin; Bollinger, Mary; Espinoza, Sara E; Hazuda, Helen P

    2016-12-01

    The Institute of Medicine (IOM) suggests that primary care-public health integration can improve health outcomes for vulnerable patients, but the extent to which formal linkages may enhance patients' use of community resources, or the factors that may influence providers to encourage their patients to use these resources, remain unclear. We conducted baseline assessments in 2014-2015 with 149 older adults with prediabetes or diabetes who had recently joined three senior centers linked to a network of primary care clinics in San Antonio, Texas. In addition to collecting sociodemographic and clinical characteristics, we asked members to identify their source of primary care and whether a health care provider had encouraged them to go to the senior center. We also asked members why they had joined the senior centers and which programs interested them the most. Members' source of primary care was not associated with being encouraged to attend the senior centers by a health care professional. Multivariable analysis indicated that participants with total annual household incomes of $20,000 or less [OR = 2.78; 95% CI = (1.05, 7.14)] and those reporting 12 years of education or less [OR = 3.57; 95% CI = (1.11, 11.11)] were significantly more likely to report being encouraged to attend the senior center by a health care provider. Providers who are aware of community-based resources to support patient self-management may be just as likely to encourage their socioeconomically vulnerable patients with prediabetes or diabetes to use them as providers who have a more formal partnership with the senior centers.

  4. The Rise in Cortisol in Family Day Care: Associations with Aspects of Care Quality, Child Behavior, and Child Sex

    Science.gov (United States)

    Gunnar, Megan R.; Kryzer, Erin; Van Ryzin, Mark J.; Phillips, Deborah A.

    2010-01-01

    This study examined the increase in salivary cortisol from midmorning to midafternoon in 151 children (3.0-4.5 years) in full-time home-based day care. Compared to cortisol levels at home, increases were noted in the majority of children (63%) at day care, with 40% classified as a stress response. Observations at day care revealed that intrusive,…

  5. Day Care for Working Families Act of 1987. Hearing on S. 1271 To Provide Comprehensive Federal Assistance for Day Care, before the Subcommittee on Labor of the Committee on Labor and Human Resources. United States Senate, One Hundredth Congress, First Session.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    Recognizing the importance of the need for quality day care for children of working mothers, handicapped children, and children of low income families, the U.S. Senate Subcommittee on Labor and Human Resources met to address this issue in the Child Care Center of Owens Technical College, in Toledo, Ohio. The Subcommittee interviewed or heard…

  6. Pattern of skin cancer among Saudi patients attending a tertiary care center in Dhahran, Eastern Province of Saudi Arabia. A 20-year retrospective study.

    Science.gov (United States)

    Al-Dawsari, Najla A; Amra, Nasir

    2016-12-01

    Skin cancer is the ninth most common malignancy in Saudi Arabia. It represented 3.2% of all newly diagnosed cancer cases in the year 2010. The aim of this study was to determine the epidemiology of skin cancer in relation to age, sex, and anatomic location among Saudi patients attending the Johns Hopkins Aramco Healthcare center in Dhahran, Eastern province of Saudi Arabia. We retrospectively reviewed the surgical pathology records of Saudi nationals from 1995 to 2014 at the Johns Hopkins Aramco Healthcare center, which directly provides for the healthcare needs of Saudi Aramco company employees and dependents in the Eastern Province of Saudi Arabia. Tumor metastases to skin, skin involvement by primary breast carcinoma, and B-cell leukemia/lymphoma with secondary involvement by skin were excluded. The total number of primary skin tumors was 204. The commonest cutaneous malignancies were basal cell carcinoma (36%) followed by squamous cell carcinoma (23%), with the head and neck being the commonest location for both tumors. Mycosis fungoides (MF) was the third most common malignancy (11%). Malignant melanoma was the fourth commonest skin malignancy (7%) with the lower extremities being the commonest location. The four most common skin cancers in our tertiary center in the Eastern Province of Saudi Arabia were squamous cell carcinoma, basal cell carcinoma, MF, and malignant melanoma. Other regions of Saudi Arabia report a similar pattern of skin cancers as our center, with MF having a higher frequency at our center.

  7. One- to Three-Year-Old Children's Experience of Subjective Wellbeing in Day Care

    Science.gov (United States)

    Seland, Monica; Sandseter, Ellen Beate Hansen; Bratterud, Åse

    2015-01-01

    The aim of the study on which this paper is based was to explore in which situations and contexts Norwegian 1-3-year-olds experience subjective wellbeing in day care. The data in this study was collected through qualitative phenomenological observations of 18 children, and an inductive process of analysis was conducted. The results show that…

  8. Measuring Therapeutic Alliance with Children in Residential Treatment and Therapeutic Day Care

    Science.gov (United States)

    Roest, Jesse; van der Helm, Peer; Strijbosch, Eefje; van Brandenburg, Mariëtte; Stams, Geert Jan

    2016-01-01

    Purpose: This study examined the construct validity and reliability of a therapeutic alliance measure (Children's Alliance Questionnaire [CAQ]) for children with psychosocial and/or behavioral problems, receiving therapeutic residential care or day care in the Netherlands. Methods: Confirmatory factor analysis of a one-factor model ''therapeutic…

  9. Disadvantaged Single Teenage Mothers and Their Children: Consequences of Free Educational Day Care.

    Science.gov (United States)

    Campbell, Frances A.; And Others

    1986-01-01

    Examined the benefits of providing free educational day care to children of single teen-age mothers. Results indicated that the children benefitted intellectually from the program, scoring significantly higher than controls on a general cognitive index. Mothers had an increased likelihood of completing high school, obtaining postsecondary…

  10. Summaries of the State-of-the-Art Position Papers on Day Care.

    Science.gov (United States)

    Texas State Dept. of Public Welfare, Austin.

    This review consists of summaries of 20 position papers presenting varying viewpoints on aspects of the Federal Interagency Day Care Requirements (FIDCR). Among the authors represented are Gwen Morgan, Edward Zigler, Greta Fein, Henry Ricciuti, Urie Bronfenbrenner, Jerome Kagan and Elizabeth Prescott. Seven of the position papers deal with legal…

  11. Does Santa Exist? Children's Everyday Narratives as Dynamic Meeting Places in a Day Care Centre Context

    Science.gov (United States)

    Puroila, Anna-Maija; Estola, Eila; Syrjala, Leena

    2012-01-01

    The article attempts to answer the question: What is the nature of children's everyday narratives in a day care centre context? The theoretical framework of this study is based on a narrative approach. The research material was gathered through applying the methodology of narrative ethnography. The article is based on observational material…

  12. Child-to-Teacher Ratio and Day Care Teacher Sickeness Absenteeism

    DEFF Research Database (Denmark)

    Gørtz, Mette; Andersson, Elvira

    2014-01-01

    The literature on occupational health points to work pressure as a trigger of sickness absence. However, reliable, objective measures of work pressure are in short supply. This paper uses Danish day care teachers as an ideal case for analysing whether work pressure measured by the child-to-teache...... for nursery care teachers, but not for preschool teacher...

  13. Public School Aggression among Children with Varying Day-Care Experience.

    Science.gov (United States)

    Haskins, Ron

    1985-01-01

    Fifty-nine children with varying amounts and types of day-care experience were followed over their first 2 or 3 years of public schooling. Schoolteachers rated aggressiveness of several types and in several situations and supplied information about managing the children, their use of conflict-avoiding strategies, and other associated skills and…

  14. Thriving Children, Striving Families: A Blueprint for Streamlined Delivery of Child Day Care Collaboration Plan.

    Science.gov (United States)

    Bassler, Elissa J.; And Others

    Upcoming federal and state changes in welfare and social services will have a profound effect on the delivery of early childhood care and education in Illinois. In October, 1995, the Day Care Action Council of Illinois convened a meeting of early childhood experts and advocates. From this retreat, a vision for a new system of the delivery of child…

  15. Pre-School Attendance and Child Development

    DEFF Research Database (Denmark)

    Bauchmüller, Robert; Gørtz, Mette; Rasmussen, Astrid Würtz

    performance at the end of elementary schooling. We assess the effects of attended types and qualities of day-care institutions on various child outcomes as measured by school grades in mathematics, science, English and Danish for the whole Danish population as well as outcomes from the 2006 PISA Denmark......, of total work experiences, ages and hourly wages of staff members. Those indicators show the expected correlations with children's development outcomes, better day-care quality being linked to better child outcomes ten years later. We use rich administrative information about the children's background...... as well as an instrumental variable approach based on wider geographic area aggregates to test whether those correlations reveal unbiased causal effects. The identification of truly effective quality characteristics of day-care centres enhances policymakers' resource allocation to make all children...

  16. Substance-dependent women attending a de-addiction center in North India: Sociodemographic and clinical profile

    Directory of Open Access Journals (Sweden)

    Grover S

    2005-07-01

    Full Text Available Background: Treatment-seeking is limited in women substance abusers. Studying the sociodemographic and clinical profile of treatment-seeking substance-dependent women can help us to understand the problem better and respond appropriately in terms of primary and secondary prevention strategies. Aim: To study the sociodemographic and clinical profile of women attending a de-addiction centre in North India. Design and Methodology: Retrospective structured chart review of 35 women substance abusers. Results: The results indicated that a typical subject was urban (86%, married (63%, nuclear family (60%, based housewife (57%, educated up to school completion (54%, and having poor social support (57%. The common substances were opioids (60%, followed by alcohol (17%, and tobacco and benzodiazepines (11.5% each. The mean age at onset of substance use was 30.5 years, the mean duration of use was 9 years and mean duration to develop dependence was 5.5 years. The common reasons for initiating use were medical (63% and curiosity (34%. Comorbidity profile was: physical illness (34%, psychiatric illness (23% and dependence on another substance (14%. Only 20% had a family history of substance dependence. The social impairment ranged from 77% for social to 40% for financial and none for legal aspects. A typical subject had followed up 4.2 times in 8.4 months, while 54% were abstaining, 40% were continuing their substance dependence at the last follow up. Conclusions: The results suggest that the development of substance dependence in women is a combination of genetic, personal, and social vulnerability factors, including the drug culture of the social milieu and the poor social support. Comorbidity and impairment are common features.

  17. FLOATING ELBOW IN CHILDREN: A DESCRIPTIVE STUDY OF 31 CASES ATTENDED IN A REFERENCE CENTER FOR PEDIATRIC TRAUMA

    Science.gov (United States)

    Malheiros, Dorotea Starling; Bárbara, Gustavo Henrique Silva; Mafalda, Leandro Gonçalves; Madureira, João Lopo; Braga, Gilberto Ferreira; Terra, Dalton Lopes

    2015-01-01

    Objective: To conduct a descriptive analysis on 31 cases of children with floating elbow who were attended at our clinic between 1994 and 2009, and to review the literature relating to this topic. Methods: Data were obtained through examining the medical records. The following variables were used: age, gender, side, mechanism, type of fracture, classification, treatment and complications. Results: Twenty-four patients (77.4%) were male and seven (22.6%) were female. The mean age was 8.5 (± 3.2) years, ranging from one to 14 years. The left side was predominantly affected (67.7%). The commonest injury mechanism was a fall from a height (74.2%). All the supracondylar fractures were Gartland type III. Distal radius fractures alone, of Salter-Harris type II, were diagnosed in 22 patients (71%). Open fractures occurred in 22 cases (71%). Closed reduction and application of a plaster cast for a closed fracture of the distal radius was performed in two patients (6.45%). Simultaneous conservative treatment for two fractures was not used. Sixteen supracondylar fractures (54.8%) were fixed using crossed wires, at 90° to each other, and in 14 cases (45.16%), an intramedullary wire was used together with another wire introduced through the lateral epicondyle at 45°. The following complications were observed: deformed consolidation (10%), nerve injuries (6%), compartment syndrome (3%) and pin path infection (16%). Conclusions: This is an uncommon injury that in most cases results from high-energy trauma. Surgical treatment for both fractures is recommended by most authors. Ulnar nerve injuries were correlated with the fixation method, but no neurological injuries were triggered by the initial trauma. PMID:27027045

  18. Healthcare-seeking preferences of patients with sexually transmitted infection attending a tertiary care center in South Kerala

    Directory of Open Access Journals (Sweden)

    Sabeena Jayapalan

    2016-01-01

    Full Text Available Background: Sexually transmitted infections (STIs are a major public health problem in developing countries. These diseases are associated with increased risk of transmission of human immunodeficiency virus as well as adverse outcomes on pregnancy and reproductive health. Sexual behavior and healthcare-seeking behavior are identified as the true risk factors of STIs. Methods: Hospital-based cross-sectional study design was adopted. Eighty-five STI patients were studied regarding the inappropriate treatment-seeking behavior, the nature of the first point of contact with the health care, the appropriateness of treatment and the concerns of the patient regarding the services rendered by government health-care facilities. Results: Among the 85 patients studied, 55.3% were males and 44.7% were females. Inappropriate treatment-seeking behavior was seen in 29.8% of males and 36.8% of females. About 59.6% of males and 81.6% of females sought appropriate treatment from modern medicine practitioners before attending our institution. Only 7.1% of males and 3.2% of females received appropriate treatment. The government sector was the choice of treatment for 46.4% males and 93.5% females and this difference was statistically significant (P = 0.00081. Lack of free medicines, issues of confidentiality, and privacy were the major service-related issues in the public sector. Conclusion: Appropriate treatment at the first point of contact with the health system is an important measure to prevent further transmission and development of complications. Health providers from both private and public sector should be given frequent periodic training regarding syndromic management of STIs and the training should stress on the need for risk reduction and condom promotion messages along with medical management. Program planners should take necessary steps to ensure adequate and continuous supply of free drugs and tackle issues of confidentiality and privacy.

  19. A study on socio-demographic characteristics of alcoholics attending the de-addiction center at Burdwan medical college and hospital in West Bengal

    Directory of Open Access Journals (Sweden)

    Aditya Prasad Sarkar

    2013-01-01

    Full Text Available Prevalence of alcohol use in India is reported to be 21.4% and there is increasing alcohol intake among the young people. The present study was undertaken to study the socio-demographic characteristics of patients having alcohol-related disorders attending the de-addiction center at Burdwan Medical College in West Bengal and to find out some factors responsible for that. A clinic-based descriptive cross-sectional study was conducted among 187 patients with the help of pre-tested pre-designed schedule after obtaining informed consent. Data analysis was carried out with the help of Epi info software version 6. Majority of the patients were male, in productive age group and married. Age of initiation and amount of alcohol intake were significantly associated with positive family history of alcoholism. Children having family history of alcoholism should be counseled to prevent development of alcoholism.

  20. Researching family through the everyday lives of children across home and day care in Denmark

    DEFF Research Database (Denmark)

    Kousholt, Dorte

    2011-01-01

    The article investigates family as a conflictual community with a specific starting point in exploring children's lives across day-care institution and home. Children's development is theorised in relation to taking part in different communities across different contexts. The article draws...... on an ethnographically inspired research project with 6 families living in a small town in Denmark. The analysis points to how the children's possibilities of participation are created across their different life contexts and that the social interplay and conflicts between the children in the day-care institution have...... impacts on the relation and interaction between parents and children. Parenting in that way reaches far beyond the family and includes taking into account various issues in the other places where the children spend their time. The children's developmental possibilities are shaped by the relations...

  1. Important themes in research on and education of young children in day care centres: Finnish viewpoints

    Directory of Open Access Journals (Sweden)

    Maritta Hännikäinen

    2013-10-01

    Full Text Available The aim of this article is to outline important themes, according to Finnish early childhood education researchers, that need to be addressed in researching and educating children under three years of age in Finland. To achieve this aim, the article divides into two parts. First, we present and discuss the results of a small-scale survey, conducted in Finland, on the views of key informants in the early childhood education units of Finnish universities. Second, the views presented in the survey are used as a starting point to introduce two ongoing qualitative case studies on the everyday life of toddlers in Finnish day care centres. In line with the survey findings, these case studies emphasize in particular the importance of the relational, social nature of children, the educational community, and the sensitivity of the adult for children’s wellbeing in day care groups.

  2. Availability and Price of High Quality Day Care and Female Employment

    DEFF Research Database (Denmark)

    Simonsen, Marianne

    In this paper I analyse to what degree availability and price of high quality publicly subsidised childcare affects female employment for women living in couples following maternity leave. The results show that unrestricted access to day care has a significantly positive effct on female employmen.......The price effect is significantly negative: An increase in the price of child care of C=1 will decrease the female employment with 0.08% corresponding to a price elasticity of −0.17. This effect prevails during the first 12 months after childbirth.......In this paper I analyse to what degree availability and price of high quality publicly subsidised childcare affects female employment for women living in couples following maternity leave. The results show that unrestricted access to day care has a significantly positive effct on female employment...

  3. Determinants of domestic violence among women attending an Human Immunodeficiency Virus voluntary counseling and testing center in Bangalore, India

    Directory of Open Access Journals (Sweden)

    Chandrasekaran Varalakshmi

    2007-05-01

    Full Text Available Context: Violence against women is a global phenomenon that cuts across all social and economic classes. Aims:This study was designed to measure the prevalence and correlates of domestic violence (DV among women seeking services at a voluntary counseling and testing (VCT center in Bangalore, India. Settings and Designs: A cross-sectional survey was conducted among women visiting an human immunodeficiency virus (HIV VCT center in Bangalore, between September and November 2005. Materials and Methods:An interviewer-administered questionnaire was used to collect information about violence and other variables. Statistical Analysis Used:Univariable associations with DV were made using Pearson Chi-squared test for categorical variables and Student t-test or the Mann-Whitney test for continuous variables. Results:0 Forty-two percent of respondents reported DV, including physical abuse (29%, psychological abuse (69% and sexual abuse (1%. Among the women who reported violence of any kind, 67% also reported that they were HIV seropositive. The most common reasons reported for DV included financial problems (38%, husband′s alcohol use (29% and woman′s HIV status (18%. Older women (P < 0.001 and those with low income levels were the most likely to have experienced DV (P = 0.02. Other factors included husband′s education, HIV seropositivity and alcohol or tobacco use (P < 0.001. Conclusion: This study found DV levels comparable to other studies from around the world. The findings highlight the need for additional training among health care providers in VCT centers in screening for DV, detection of signs of physical abuse and provisions and referrals for women suffering from domestic partner violence.

  4. Malaria helminth co-infections and their contribution for aneamia in febrile patients attending Azzezo health center, Gondar, Northwest Ethiopia:a cross sectional study

    Institute of Scientific and Technical Information of China (English)

    Abebe Alemu; Yitayal Shiferaw; Aklilu Ambachew; Halima Hamid

    2012-01-01

    Objective:To assess the prevalence of malaria helminth co-infections and their contribution for aneamia in febrile patients attending Azzezo health center, Gondar, Northwest Ethiopia. Methods: A cross section study was conducted among febrile patients attending Azezo health center from February-March 30, 2011. Convenient sampling technique was used to select 384 individuals. Both capillary blood and stool were collected. Giemsa stained thick and thin blood film were prepared for identification of Plasmodium species and stool sample was examined by direct wet mount and formalin-ether concentration technique for detection of intestinal helminthes parasites. Haemoglobin concentration was determined using a portable haemoglobin spectrophotometer, Hemocue Hb 201 analyzer. Results:Out of 384 febrile patients examined for malaria parasites, 44 (11.5%) individuals were positive for malaria parasites, of which Plasmodium vivax accounted for 75.0%(33), Plasmodium falciparum for 20.5%(9) infectious, whereas two person (4.5%) had mixed species infection. Prevalence of malaria was higher in males (28) when compared with prevalence in females (16). More than half (207, 53.9%) of study participants had one or more infection. Prevalence was slightly higher in females (109, 52.7%) than in males (98, 47.3%). About helminths, Ascaris lumbricoides was the predominant isolate (62.1%) followed by hookworms (18.4%). Only 22 participants were co-infected with malaria parasite and helminths and co-infection with Ascaris lumbricoides was predominant (45.0%). The prevalence of anemia was 10.9%and co-infection with Plasmodium and helminth parasites was significantly associated with (P< 0.000 1) higher aneamia prevalence compared to individuals without any infection. Conclusions:Prevalence of malaria and soil transmitted helminths is high and the disease is still major health problem in the study area. Hence, simultaneous combat against the two parasitic infections is very crucial to improve

  5. Gestalt therapy approaches with aggressive children in a day care setting

    OpenAIRE

    Maxey, Win

    1987-01-01

    This research study was designed to evaluate whether or not Gestalt therapy approaches could be used effectively when intervening with aggressive acts in a day care setting. Five focus children were observed at timed intervals as to whether or not they were aggressive, how the caretaker intervened, and how the children responded to the caretaker intervention. After a baseline of aggressive acts was established, caretakers were trained to use Gestalt therapy interventio...

  6. Investigation of an Escherichia coli O145 outbreak in a child day-care centre - extensive sampling and characterization of eae- and stx1-positive E. coli yields epidemiological and socioeconomic insight

    Directory of Open Access Journals (Sweden)

    Bruheim Torkjel

    2011-09-01

    Full Text Available Abstract Background On October 29th 2009 the health authorities in the city of Trondheim, Norway were alerted about a case of Shiga toxin-positive E. coli (STEC O145 in a child with bloody diarrhoea attending a day-care centre. Symptomatic children in this day-care centre were sampled, thereby identifying three more cases. This initiated an outbreak investigation. Methods A case was defined as a child attending the day-care centre, in whom eae- and stx1- but not stx2-positive E. coli O145:H28 was diagnosed from a faecal sample, with multilocus variable number of tandem repeat analysis (MLVA profile identical to the index isolate. All 61 children, a staff of 14 in the day-care centre, and 74 close contacts submitted faecal samples. Staff and parents were interviewed about cases' exposure to foods and animals. Faecal samples from 31 ewes from a sheep herd to which the children were exposed were analyzed for E. coli O145. Results Sixteen cases were identified, from which nine presented diarrhoea but not haemolytic uremic syndrome (HUS. The attack rate was 0.26, and varied between age groups (0.13-0.40 and between the three day-care centre departments (0.20-0.50, and was significantly higher amongst the youngest children. Median duration of shedding was 20 days (0-71 days. Children were excluded from the day-care centre during shedding, requiring parents to take compassionate leave, estimated to be a minimum total of 406 days for all cases. Atypical enteropathogenic E. coli (aEPEC were detected among 14 children other than cases. These isolates were genotypically different from the outbreak strain. Children in the day-care centre were exposed to faecal pollution from a sheep herd, but E. coli O145 was not detected in the sheep. Conclusions We report an outbreak of stx1- and eae-positive STEC O145:H28 infection with mild symptoms among children in a day-care centre. Extensive sampling showed occurrence of the outbreak strain as well as other STEC and

  7. Correlates of sexual satisfaction among Iranians women attending South Tehran health centers: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Zeinab Tavakol

    2014-08-01

    Full Text Available Introduction: Sexual activity not only is a crucial physiologic need, but also it has been associated with religious, mystical, and historical concepts. The aim of this study was to assess Iranian women’s sexual satisfaction and its correlating factors. Methods: This was a cross-sectional study at South Tehran health centers (STHCs, which were affiliated to Tehran University of Medical Sciences (Tehran, Iran. A convenience sample consist of 405 women who were married, had at least sixth-grade literacy level, were not addicted to opioids or alcohol, had no history of infertility, psychiatric, and physical disorders, and referred to STHCs to receive Primary Health Care services. Main outcome measures were women’s demographics, sexual function, and sexual satisfaction were assessed by a questionnaire. Results: Most women (58.2% had moderate sexual satisfaction. A significant direct association was shown between sexual satisfaction and couple’s educational level (P < 0.001, partner’s higher income (P = 0.037, regular menstruation (P = 0.005, and degree of woman’s love toward her partner (P < 0.001. There was a significant indirect association between sexual satisfaction and gravidity number (P = 0.029, and number of offspring (P = 0.006. Having sexual intercourse at least once a week (P = 0.003, equal sex request (P = 0.028, accepting partner’s request pleasingly (P < 0.001, experiencing sexual arousal (P < 0.001, and lubrication (P < 0.001 was directly associated with sexual satisfaction. Dyspareunia (P < 0.001 and difficulty to reach orgasm (P < 0.001 showed significant indirect association. Conclusion: Women sexual satisfaction associates with interpersonal and sexual factors. Creating opportunity for midwives in health centers to consult with couples, assess their quality of sexual function, educate them, and refer them to specialists if needed, is strongly recommended for healthcare systems of Iran.

  8. Vitamin and mineral supplements have a nutritionally significant impact on micronutrient intakes of older adults attending senior centers.

    Science.gov (United States)

    Weeden, Allisha; Remig, Valentina; Holcomb, Carol Ann; Herald, Thomas J; Baybutt, Richard C

    2010-04-01

    Older adults frequently report use of vitamin and mineral (VM) supplements, although the impact of supplements on dietary adequacy remains largely unknown. The purpose of the current study was to evaluate micronutrient intakes of older adults with emphasis on identifying nutrients most improved by VM supplements, nutrients most likely to remain inadequate, and nutrients most likely consumed in excess. Community-based volunteers were recruited from senior centers and completed a questionnaire querying demographic data, current health status, and VM supplement use. Participants (n = 263) were then contacted by telephone to complete two 24-hour diet recalls and confirm VM supplement use. Dietary adequacy was determined by comparing the ratio of mean dietary intake to the Dietary Reference Intakes (DRI). Dietary consumption was lowest for vitamins D and E, calcium, and magnesium. VM supplementation most improved intakes of vitamins E, D, B(6), folic acid, and calcium. Participants were most likely to exceed the Tolerable Upper Limit with supplementation of niacin, folic acid, and vitamin A.

  9. Prevalence of Anemia and Associated Risk Factors among Pregnant Women Attending Antenatal Care in Azezo Health Center Gondar Town, Northwest Ethiopia

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    Meseret Alem

    2013-06-01

    Full Text Available ABSTRACT Background: Anemia is a global public health problem affecting both developing and developed countries; approximately 1.3 billion individuals suffer from it. Pregnant women are the most vulnerable groups to anemia. The aim of this study was to assess the prevalence and risk factors for anemia in pregnant women attending antenatal care in Azezo Health Center, Gondar town, Northwest Ethiopia. Method: A cross-sectional study was conducted at Azezo Health Center from February to May 2011. Red blood cell morphology, Hgb level determination and intestinal parasites were assessed following the standard procedures. Socio-demographic data was collected by using a structured questionnaire. The data entered and analyzed by using the SPSS version 16.0 statistical software. P34, rural residence, history of malaria attack, hookworm infection and absence of iron supplements are significantly associated with increased risk of anemia. The most prevalent intestinal parasite among pregnant women was hookworm 18 (4.7%. Conclusion: In the present study, the prevalence of anemia was low when compared with the previous studies carried out in different countries including Ethiopia. More should be done in respect to the importance of regular visit to maternal care centres and health education promotion programs to succeed more. [J Interdiscipl Histopathol 2013; 1(3.000: 137-144

  10. Chagas disease among the Latin American adult population attending in a primary care center in Barcelona, Spain.

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    Carme Roca

    Full Text Available BACKGROUND/AIMS: The epidemiology of Chagas disease, until recently confined to areas of continental Latin America, has undergone considerable changes in recent decades due to migration to other parts of the world, including Spain. We studied the prevalence of Chagas disease in Latin American patients treated at a health center in Barcelona and evaluated its clinical phase. We make some recommendations for screening for the disease. METHODOLOGY/PRINCIPAL FINDINGS: We performed an observational, cross-sectional prevalence study by means of an immunochromatographic test screening of all continental Latin American patients over the age of 14 years visiting the health centre from October 2007 to October 2009. The diagnosis was confirmed by serological methods: conventional in-house ELISA (cELISA, a commercial kit (rELISA and ELISA using T cruzi lysate (Ortho-Clinical Diagnostics (oELISA. Of 766 patients studied, 22 were diagnosed with T. cruzi infection, showing a prevalence of 2.87% (95% CI, 1.6-4.12%. Of the infected patients, 45.45% men and 54.55% women, 21 were from Bolivia, showing a prevalence in the Bolivian subgroup (n=127 of 16.53% (95% CI, 9.6-23.39%. ALL THE INFECTED PATIENTS WERE IN A CHRONIC PHASE OF CHAGAS DISEASE: 81% with the indeterminate form, 9.5% with the cardiac form and 9.5% with the cardiodigestive form. All patients infected with T. cruzi had heard of Chagas disease in their country of origin, 82% knew someone affected, and 77% had a significant history of living in adobe houses in rural areas. CONCLUSIONS: We found a high prevalence of T. cruzi infection in immigrants from Bolivia. Detection of T. cruzi-infected persons by screening programs in non-endemic countries would control non-vectorial transmission and would benefit the persons affected, public health and national health systems.

  11. The adult day care workforce in England at a time of policy change: implications for learning disability support services.

    Science.gov (United States)

    Hussein, Shereen; Manthorpe, Jill

    2010-06-01

    More people will receive personal budgets to pay for social care services in England. Such people may or may not continue using services such as adult day care centres. Many day centres are under threat of closure. These trends will affect those working in adult day care. This article examines the profile of this workforce, using recent NMDS-SC data and applying multinomial statistical modelling. We identified nearly 6000 adult day care workers, over half supporting adults with learning disability. The results of the analysis show significant variations between the adult day care, residential care and domiciliary workforces. At the personal level, day care workers are significantly older and less ethnically diverse than other workers. They tend to have been working in the sector for longer, and their work patterns are more stable. The findings are discussed within the context of policy changes affecting learning disabilities and social care workforce strategies.

  12. Factors contributing to non-compliance among diabetics attending primary health centers in the Al Hasa district of Saudi Arabia

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    Ataur R Khan

    2012-01-01

    Full Text Available Purpose: The purpose of the study was to measure the rate of non-compliance and the factors contributing to non-compliance among the diabetic patients in the Al Hasa region of Saudi Arabia. Materials and Methods: A cross-sectional survey was conducted in the Al Hasa region during the period of June 2010 to June 2011. Random sampling was carried out for the selection of 535 diabetic patients from three chronic disease centers in different parts of Al Hasa. The data were collected by means of interviewing questionnaires and file records. Any patient who had been prescribed optimum treatment and was properly advised on diet and exercise for his / her diabetes, but did not follow the medical advice, with Hb1AC of more than 7% at the time of interview, was considered as non-compliant. Results: The overall prevalence of therapeutic non-compliance of the participants was 67.9% (n = 318, 95% CI 63.59 - 72.02%. The non-compliance of males (69.34% was higher than females (65.45%, P = .003. The non-compliance among the urban participants was significantly higher than (71.04 vs. 60.15%, P = .023 in the rural participants. There was a statistically significant difference in the prevalence rate of non-compliance among the participants with different levels of education. Factors found to be significantly associated with non-compliance on bi-variate analysis were: female gender (OR = 1.90, CI =1.32-4.57,level of education (Illiteracy (OR = 5.27, CI = 4.63 - 7.19, urban population (OR =5.22, CI= 3.65 - 8.22, irregularity of the follow-up (OR = 8.41, CI = 4.90 - 11.92, non-adherence to drug prescription (OR = 4.55 , CI = 3.54 - 5.56, non-adherence to exercise regimen (OR = 5.55, CI = 4.2 6 - 6., insulin (OR = 1.29, CI = .71 - 1.87, and insulin with oral Metformin (OR = 1.20, CI = .65 - 1.75. Conclusion: The findings indicate that there is a high rate of non-compliance among the diabetes patients in the Al Hasa region of Saudi Arabia and there is a definite need

  13. Pathway of care among patients with Dhat syndrome attending a psychosexual clinic in tertiary care center in North India

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    Sandeep Grover

    2016-01-01

    Full Text Available Aim: The aim of this study was to understand the pathway to care among patients with Dhat syndrome and to study the factors leading to delay in seeking professional psychiatric help. Materials and Methods: Forty-seven patients diagnosed with Dhat syndrome as per the International Classification of Diseases-10 criteria were assessed for sociodemographic and clinical details and information regarding previous treatment taken to determine the pathways to care at their first contact with the outpatient psychosexual clinic. Results: Majority of the patients were single (70.2%, received formal education for at least more than 10 years (66.0%, were employed (59.6%, followers of Hinduism (68.1 and from middle socio-economic class (59.6%, nuclear family setup (53.2%, and rural locality (63.8%. Comorbidity in the form of any psychiatric illness or sexual dysfunction was present on 61.7% of the patients. The mean age at onset of symptoms of Dhat syndrome was 20.38 years (standard deviation [SD] - 6.91. The mean duration of symptoms of Dhat before the patients presented to our psychosexual clinic was 6.78 years (SD - 6.94 while the mean number of agencies/help contacted before was 2.85 (SD - 1.40; range: 1–5. The favorite choice for the first contact was indigenous practitioners, followed by asking for help from friends or relatives, allopathic doctors, and traditional faith healers or pharmacists. The preference to visit indigenous practitioners gradually declined at each stage. Ayurvedic doctors remained the most preferred among all indigenous practitioners. The absence of any comorbid sexual dysfunction in patients with Dhat syndrome predicted an earlier visit to our center as compared to the patients with any comorbid sexual dysfunction. Conclusions: Majority of the patients with Dhat syndrome present very late to specialized psychosexual clinics. There is a need for improving the sexual knowledge and attitude at the community level which will

  14. POST ANAESTHETIC RECOVERY FOLLOWING DAY-CARE SURGERY: COMPARISON OF TWO ANAESTHETIC TECHNIQUES

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    Dhrubajyoti

    2016-04-01

    Full Text Available BACKGROUND The growing demand for early discharge from hospital, consequent early return to work has resulted in the evolution of concept of “day care surgery.” This has led to development of precise safe anaesthetic techniques and agents as well as a battery of tests of recovery. Day care surgery presents unique challenges for the anaesthetists to produce a ‘street fit’ patient as soon as possible after the surgery with least complications, which can be achieved by both intravenous and inhalational techniques. Thus, an endeavour was made to carry out the present study with the aims and objectives to assess the progress of recovery in patients undergoing day care surgery with two groups of intravenous anaesthetic agents and also to determine the optimum time taken to achieve “home readiness.” METHODS The study included patients of average intelligence of both sexes aged between 15 and 45 yrs. belonging to physical status ASA I and II, undergoing operative procedures less than 30 minutes in our institute over a period of two years. A randomized double blind study was done amongst 80 patients scheduled for day care surgery, where two techniques were compared. Amongst 2 groups [Group I: Propofol (1% and Group II: Thiopentone (2.5% as the intravenous anaesthetic agent]. Recovery was assessed using standard scoring systems. The different variables were evaluated by mean and standard deviation. For comparing two groups, paired ‘t’ test was applied and a p value of ˂0.05 was considered significant. RESULTS The mean total dose requirement in Group-II patients were more than that in Group-I patients (p0.05, but the quality of anaesthesia was excellent in 57.5% in Group-I as compared to 45% in Group-II. After 5 minutes of cessation of anaesthesia, patients in Group-I attained much higher score as compared to Group-II (p<0.001 as assessed by the “Steward scoring system.” More number of patients were “Home ready” in Group-I than in

  15. Educators' working conditions in a day care centre on ownership of a non-profit organization

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    Kusma Bianca

    2011-12-01

    Full Text Available Abstract Background Working conditions of nursery school teachers have not been scrutinized thoroughly in scientific research. Only a few studies have so far examined work-load and strain in this profession. Preferably, subjective perceptions should be corroborated by data that can be quantified more objectively and accurately. The aim of the present observational field study was to evaluate pedagogical staffs' workflow. Methods In 2009 eleven educators in a day care centre were observed throughout three complete workdays. A total of 250 working hours were recorded. Results An educators' workday lasted on average 07:46:59 h (SD = 01:01:10 h. Within this time span, an average of 02:20:46 h (30.14%, SD = 00:28:07 h were spent on caring, 01:44:18 h on playing (22.33%, SD = 00:54:12 h, 00:49:37 h on educational work (10.62%, SD = 00:40:09, and only 00:05:38 h on individual child contact (1.21%, SD = 00:04:58 h. Conclusion For the first time, educators' workflow in day care centres was studied in real time. Some of the educators' self-reported problems were corroborated. The results of this study form a basis upon which further investigations can be built and measures can be developed for an overall improvement of child care.

  16. Healthy incentive scheme in the Irish full-day-care pre-school setting.

    LENUS (Irish Health Repository)

    Molloy, C Johnston

    2013-12-16

    A pre-school offering a full-day-care service provides for children aged 0-5 years for more than 4 h\\/d. Researchers have called for studies that will provide an understanding of nutrition and physical activity practices in this setting. Obesity prevention in pre-schools, through the development of healthy associations with food and health-related practices, has been advocated. While guidelines for the promotion of best nutrition and health-related practice in the early years\\' setting exist in a number of jurisdictions, associated regulations have been noted to be poor, with the environment of the child-care facility mainly evaluated for safety. Much cross-sectional research outlines poor nutrition and physical activity practice in this setting. However, there are few published environmental and policy-level interventions targeting the child-care provider with, to our knowledge, no evidence of such interventions in Ireland. The aim of the present paper is to review international guidelines and recommendations relating to health promotion best practice in the pre-school setting: service and resource provision; food service and food availability; and the role and involvement of parents in pre-schools. Intervention programmes and assessment tools available to measure such practice are outlined; and insight is provided into an intervention scheme, formulated from available best practice, that was introduced into the Irish full-day-care pre-school setting.

  17. Prediction of attendance at fitness center: a comparison between the theory of planned behavior, the social cognitive theory, and the physical activity maintenance theory.

    Science.gov (United States)

    Jekauc, Darko; Völkle, Manuel; Wagner, Matthias O; Mess, Filip; Reiner, Miriam; Renner, Britta

    2015-01-01

    In the processes of physical activity (PA) maintenance specific predictors are effective, which differ from other stages of PA development. Recently, Physical Activity Maintenance Theory (PAMT) was specifically developed for prediction of PA maintenance. The aim of the present study was to evaluate the predictability of the future behavior by the PAMT and compare it with the Theory of Planned Behavior (TPB) and Social Cognitive Theory (SCT). Participation rate in a fitness center was observed for 101 college students (53 female) aged between 19 and 32 years (M = 23.6; SD = 2.9) over 20 weeks using a magnetic card. In order to predict the pattern of participation TPB, SCT and PAMT were used. A latent class zero-inflated Poisson growth curve analysis identified two participation patterns: regular attenders and intermittent exercisers. SCT showed the highest predictive power followed by PAMT and TPB. Impeding aspects as life stress and barriers were the strongest predictors suggesting that overcoming barriers might be an important aspect for working out on a regular basis. Self-efficacy, perceived behavioral control, and social support could also significantly differentiate between the participation patterns.

  18. Predictors of unsafe sexual behavior among people living with human immunodeficiency virus/AIDS attending antiretroviral therapy center in Western India

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    Kedar G Mehta

    2016-01-01

    Full Text Available Background: As more and more people with human immunodeficiency virus (HIV live longer and healthier lives because of antiretroviral therapy (ART, an increasing number of sexual transmissions of HIV may arise from these people living with HIV/AIDS (PLWHA. Hence, this study is conducted to assess the predictors of unsafe sexual behavior among PLWHA on ART in Western India. Materials and Methods: The current cross-sectional study was carried out among 175 PLWHAs attending ART center of a Tertiary Care Hospital in Western India. Unsafe sex was defined as inconsistent and/or incorrect condom use. A total of 39 variables from four domains viz., sociodemographic, relationship-related, medical and psycho-social factors were studied for their relationship to unsafe sexual behavior. The variables found to be significantly associated with unsafe sex practices in bivariate analysis were explored by multivariate analysis using multiple logistic regression in SPSS 17.0 version. Results: Fifty-eight percentage of PLWHAs were practicing unsafe sex. 15 out of total 39 variables showed significant association in bivariate analysis. Finally, 11 of them showed significant association in multivariate analysis. Young age group, illiteracy, lack of counseling, misbeliefs about condom use, nondisclosure to spouse and lack of partner communication were the major factors found to be independently associated with unsafe sex in multivariate analysis. Conclusion: Appropriate interventions like need-based counseling are required to address risk factors associated with unsafe sex.

  19. Evaluation of the level of knowledge of arterial hypertension and cardiovascular risk factors in people who attend to Corrales health center. Tumbes. Peru. 2007

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    Lilia Jannet Saldarriaga Sandoval

    2010-03-01

    Full Text Available The present is a simple descriptive study to determine the level of knowledge of arterial hypertension and factors of cardiovascular risk in adult people who attend to the health center Corrales from February to October in 2007.The sample thus was composed by 48 adult people between 35 to 65 years classified by being the cases brought (reported by the office of statistics grouped according to occupation like that we have: farmers, workers, and housewives who were asked were answering the questionnaire that was containing the independent variables: factors of cardiovascular risk and knowledge on arterial hypertension, and that were expiring with the criteria of incorporation and exclusion.Deciding that the knowledge is low in 45.8 %en the majority of the studied population, these do not know the factors of cardiovascular risk, 35 % of the persons has knowledge that the obesity is a factor of cardiovascular risk, 62.8 % of the masculine sex; the patients prevailed from 60 to 65 years, between(among the harmful habits the consumption of cigarette with 25 % and alcohol with 29 % the risk is at least the double, in comparison with not smokers there being obtained that are reasons more common in the cardiac diseases and with it the presence of hypertensive disease.

  20. Dental caries prevalence in children up to 36 months of age attending daycare centers in municipalities with different water fluoride content

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    Ana Valéria Pagliari Tiano

    2009-02-01

    Full Text Available This study determined the prevalence of cavitated caries lesions (CCL and early childhood caries (ECC, and the contribution of some variables in children up to 36 months of age attending daycare centers in municipalities with different fluoride levels in the water supply: AFC (adequate fluoride content and LFC (low fluoride content. After approval of the Ethics Committee, the parents were interviewed. The children were clinically examined using the same codes and criteria established by the WHO (World Health Organization and the ADA (American Dental Association. Fisher's exact test (p<0.05 was applied for statistical analysis of data. The dmft indices calculated in the LFC and AFC municipalities were 0.57 and 0.68, respectively. Considering all children examined, 17.6% presented CCL and 33.8% ECC. The economic classification, mother's education level and duration of breastfeeding were considered statistically significant with regards to CCL prevalence. The age group, duration of the habit of drinking milk before bedtime and age at which oral hygiene started were considered statistically significant with regards to ECC prevalence.

  1. Staphylococcus aureus nasal carriage among outpatients attending primary health care centers: a comparative study of two cities in Saudi Arabia and Egypt

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    Hala M. Abou Shady

    2015-02-01

    Full Text Available Epidemiological and molecular data on community acquired methicillin resistant Staphylococcus aureus(CA-MRSA are still scarce in both Egypt and Saudi Arabia. There is almost no data regarding methicillin resistant Staphylococcus aureus (MRSA prevalence in both countries. This study was conducted to investigate the prevalence and molecular epidemiology of S. aureusand MRSA nasal carriage among outpatients attending primary health care centers in two big cities in both countries. A total of 206 nasal swabs were obtained, 103 swabs from each country. S. aureusisolates were characterized by antibiotic susceptibility, presence of mecAand PVL genes, SCCmec-typing and spa typing, the corresponding Multi locus sequence typing clonal complex was assigned for each spa type based on Ridom StaphType database. MRSA was detected in 32% of the Egyptian outpatients while it was found in 25% of the Saudi Arabian outpatients. All MRSA isolates belonged to SCCmec type V and IVa, where some isolates in Saudi Arabia remained nontypeable. Surprisingly PVL+ isolates were low in frequency: 15% of MRSA Egyptian isolates and 12% of MRSA isolates in Saudi Arabia. Two novel spa types were detected t11839 in Egypt, and t11841 in Saudi Arabia. We found 8 spa types among 20 isolates from Egypt, and 12 spa types out of 15 isolates from Saudi Arabia. Only two spa types t008 and t223 coexisted in both countries. Four clonal complexes (CC5, CC8, CC22, and CC80 were identified in both Egypt and Saudi Arabia. However, the data collected lacked a representation of isolates from different parts of each country as only one health center from each country was included, it still partially illustrates the CA-MRSA situation in both countries. In conclusion a set of control measures is required to prevent further increase in MRSA prevalence.

  2. Staphylococcus aureus nasal carriage among outpatients attending primary health care centers: a comparative study of two cities in Saudi Arabia and Egypt.

    Science.gov (United States)

    Abou Shady, Hala M; Bakr, Alaa Eldin A; Hashad, Mahmoud E; Alzohairy, Mohammad A

    2015-01-01

    Epidemiological and molecular data on community acquired methicillin resistant Staphylococcus aureus (CA-MRSA) are still scarce in both Egypt and Saudi Arabia. There is almost no data regarding methicillin resistant Staphylococcus aureus (MRSA) prevalence in both countries. This study was conducted to investigate the prevalence and molecular epidemiology of S. aureus and MRSA nasal carriage among outpatients attending primary health care centers in two big cities in both countries. A total of 206 nasal swabs were obtained, 103 swabs from each country. S. aureus isolates were characterized by antibiotic susceptibility, presence of mecA and PVL genes, SCCmec-typing and spa typing, the corresponding Multi locus sequence typing clonal complex was assigned for each spa type based on Ridom StaphType database. MRSA was detected in 32% of the Egyptian outpatients while it was found in 25% of the Saudi Arabian outpatients. All MRSA isolates belonged to SCCmec type V and IVa, where some isolates in Saudi Arabia remained nontypeable. Surprisingly PVL(+) isolates were low in frequency: 15% of MRSA Egyptian isolates and 12% of MRSA isolates in Saudi Arabia. Two novel spa types were detected t11839 in Egypt, and t11841 in Saudi Arabia. We found 8 spa types among 20 isolates from Egypt, and 12 spa types out of 15 isolates from Saudi Arabia. Only two spa types t008 and t223 coexisted in both countries. Four clonal complexes (CC5, CC8, CC22, and CC80) were identified in both Egypt and Saudi Arabia. However, the data collected lacked a representation of isolates from different parts of each country as only one health center from each country was included, it still partially illustrates the CA-MRSA situation in both countries. In conclusion a set of control measures is required to prevent further increase in MRSA prevalence.

  3. [Evaluation of animal-assisted therapy for the elderly with senile dementia in a day care program].

    Science.gov (United States)

    Kanamori, M; Suzuki, M; Yamamoto, K; Kanda, M; Matsui, Y; Kozima, E; Takeuchi, S; Oshiro, H

    2001-09-01

    We conducted animal-assisted therapy (AAT) for the elderly with senile dementia in a day care center. AAT was performed between July 27 and October 12, 1999 for a total of six biweekly sessions. The AAT group consisted of 7 subjects; 5 with senile dementia of Alzheimer's type (SDAT) and 2 with vascular dementia (VD). The control group was 20 elderly subjects (7 SDAT, 13 VD). The results were as follows: Comparing between MMS scores at the baseline and those three months later, the average score on MMS before AAT (baseline) was 11.43 (+/- 9.00), and that three months later was 12.29 (+/- 9.69). In the AAT group, the average baseline N-ADL score was 28.43 (+/- 14.00) and that after ATT was 29.57 (+/- 14.47). In the AAT group, the average baseline score on Behave-AD was 11.14 (+/- 4.85), and that three months after AAT was 7.29 (+/- 7.11) (p AAT group. Our findings suggested we should use several evaluation methods for evaluation of the changes of patients receiving AAT.

  4. Outbreaks of Streptococcus pneumoniae carriage in day care cohorts in Finland – implications for elimination of transmission

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    Auranen Kari

    2009-06-01

    Full Text Available Abstract Background Day care centre (DCC attendees play a central role in maintaining the circulation of Streptococcus pneumoniae (pneumococcus in the population. Exposure within families and within DCCs are the main risk factors for colonisation with pneumococcal serotypes in DCC attendees. Methods Transmission of serotype specific carriage was analysed with a continuous time event history model, based on longitudinal data from day care attendees and their family members. Rates of acquisition, conditional on exposure, were estimated in a Bayesian framework utilising latent processes of carriage. To ensure a correct level of exposure, non-participating day care attendees and their family members were included in the analysis. Posterior predictive simulations were used to quantify transmission patterns within day care cohorts, to estimate the basic reproduction number for pneumococcal carriage in a population of day care cohorts, and to assess the critical vaccine efficacy against carriage to eliminate pneumococcal transmission. Results The model, validated by posterior predictive sampling, was successful in capturing the strong temporal clustering of pneumococcal serotypes in the day care cohorts. In average 2.7 new outbreaks of pneumococcal carriage initiate in a day care cohort each month. While 39% of outbreaks were of size one, the mean outbreak size was 7.6 individuals and the mean length of an outbreak was 2.8 months. The role of families in creating and maintaining transmission was minimal, as only 10% of acquisitions in day care attendees were from family members. Considering a population of day care cohorts, a child-to-child basic reproduction number was estimated as 1.4 and the critical vaccine efficacy against acquisition of carriage as 0.3. Conclusion Pneumococcal transmission occurs in serotype specific outbreaks of carriage, driven by within-day-care transmission and between-serotype competition. An amplifying effect of the day

  5. Visiting nursery, kindergarten and after-school day care as astronomy for development

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    Tomita, Akihiko

    2015-08-01

    One of the frontiers of astronomy for development is astronomy education for young children. Note that it is not too-much-going-ahead education nor education for so-called gifted children. It is for all children in various situations. As an example, I present "Uchu no O-hanashi," a visiting activity which includeds slide show, story telling, and enjoying pictures on large sheets for children. Not only just for young children, but this activity also aims at intercultural understanding. Sometimes guest educator from abroad join the activity. Video letter exchange was successful even though there is a language barrier. For assessment of the activity, I have recorded the voice of children. I will present various examples of written records and their analysis of activites, at nursery, kindergarten, preschool, after-school day care for primary school children, and other sites. I hope exchanging the record will make a worldwide connection among educators for very young children.

  6. Early Full-Time Day Care, Mother-Child Attachment, and Quality of the Home Environment in Chile: Preliminary Findings

    Science.gov (United States)

    Cárcamo, Rodrigo A.; Vermeer, Harriet J.; van der Veer, René; van IJzendoorn, Marinus H.

    2016-01-01

    Research Findings: Two longitudinal studies are reported examining the effects of full-time day care in Mapuche and non-Mapuche families in Chile. First, the Magellan-Leiden Childcare Study (MLCS) used a sample of 95 mothers with children younger than 1 year old (n = 36 in day care). Second, we partially cross-validated our results in a large and…

  7. Antimicrobial susceptibility of Neisseria gonorrhoeae isolates from patients attending a public referral center for sexually transmitted diseases in Belo Horizonte, State of Minas Gerais, Brazil

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    Ligia Maria Bedeschi Costa

    2013-06-01

    Full Text Available Introduction The aim of this study was to determine the antimicrobial susceptibility of Neisseria gonorrhoeae isolates obtained from patients attending a public referral center for sexually transmitted diseases and specialized care services (STD/SCS in Belo Horizonte, Brazil. Methods Between March 2011 and February 2012, 201 specimens of Neisseria gonorrhoeae were consecutively obtained from men with symptoms of urethritis and women with symptons of cervicitis or were obtained during their initial consultation. The strains were tested using the disk diffusion method, and the minimum inhibitory concentrations of azithromycin, cefixime, ceftriaxone, ciprofloxacin, chloramphenicol, penicillin, tetracycline and spectinomycin were determined using the E-test. Results The specimens were 100% sensitive to cefixime, ceftriaxone and spectinomycin and exhibited resistances of 4.5% (9/201, 21.4% (43/201, 11.9% (24/201, 22.4% (45/201 and 32.3% (65/201 to azithromycin, ciprofloxacin, chloramphenicol, penicillin and tetracycline, respectively. Intermediate sensitivities of 17.9% (36/201, 4% (8/201, 16.9% (34/201, 71.1% (143/201 and 22.9% (46/201 were observed for azithromycin, ciprofloxacin, chloramphenicol, penicillin and tetracycline, respectively. The specimens had plasmid-mediated resistance to penicillin PPNG 14.5% (29/201 and tetracycline TRNG 11.5% (23/201. Conclusions The high percentage of detected resistance to penicillin, tetracycline, chloramphenicol and ciprofloxacin indicates that these antibiotics are not appropriate for gonorrhea treatment at the Health Clinic and possibly in Belo Horizonte. The resistance and intermediate sensitivity of these isolates indicates that caution is recommended in the use of azithromycin and emphasizes the need to establish mechanisms for the surveillance of antimicrobial resistance for the effective control of gonorrhea.

  8. Prevalence of childhood and early adolescence mental disorders among children attending primary health care centers in Mosul, Iraq: a cross-sectional study

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    Al-Jawadi Asma A

    2007-10-01

    Full Text Available Abstract Background Children and adolescents are more vulnerable to the affects of war and violence than adults. At the time of initiation of this study, nothing was known about the prevalence of childhood and early adolescence mental disorders. The aim of the present study is to measure the point prevalence of mental disorders among children of 1–15 years age in the city of Mosul, Iraq. Methods A cross-sectional study design was adopted. Four primary health care centers were chosen consecutively as a study setting. The subjects of the present study were mothers who came to the primary health care center for vaccination of their children. The chosen mothers were included by systematic sampling randomization. All children (aged 1–15 that each mother had were considered in the interview and examination. Results Out of 3079 children assessed, 1152 have childhood mental disorders, giving a point prevalence of 37.4%, with a male to female ratio of to 1.22:1. The top 10 disorders among the examined children are post-traumatic stress disorder (10.5%, enuresis (6%, separation anxiety disorder (4.3%, specific phobia (3.3% stuttering and refusal to attend school (3.2% each, learning and conduct disorders (2.5% each, stereotypic movement (2.3% and feeding disorder in infancy or early childhood (2.0%. Overall, the highest prevalence of mental disorders was among children 10–15 years old (49.2% while the lowest was among 1–5 year olds (29.1%. Boys are more affected than girls (40.2% and 33.2%, respectively. Conclusion Childhood mental disorders are a common condition highly prevalent amongst the children and early adolescents in Mosul. Data from the present study mirrors the size of the problem in local community. Several points deserve attention, the most important of which include giving care at the community level, educating the public on mental health, involving communities and families, monitoring community mental health indicators, and

  9. Music benefits on postoperative distress and pain in pediatric day care surgery.

    Science.gov (United States)

    Calcaterra, Valeria; Ostuni, Selene; Bonomelli, Irene; Mencherini, Simonetta; Brunero, Marco; Zambaiti, Elisa; Mannarino, Savina; Larizza, Daniela; Albertini, Riccardo; Tinelli, Carmine; Pelizzo, Gloria

    2014-08-12

    Postoperative effect of music listening has not been established in pediatric age. Response on postoperative distress and pain in pediatric day care surgery has been evaluated. Forty-two children were enrolled. Patients were randomly assigned to the music-group (music intervention during awakening period) or the non-music group (standard postoperative care). Slow and fast classical music and pauses were recorded and played via ambient speakers. Heart rate, blood pressure, oxygen saturation, glucose and cortisol levels, faces pain scale and Face, Legs, Activity, Cry, Consolability (FLACC) Pain Scale were considered as indicators of response to stress and pain experience. Music during awakening induced lower increase of systolic and diastolic blood pressure levels. The non-music group showed progressive increasing values of glycemia; in music-group the curve of glycemia presented a plateau pattern (PMusic improves cardiovascular parameters, stress-induced hyperglycemia. Amelioration on pain perception is more evident in older children. Positive effects seems to be achieved by the alternation of fast, slow rhythms and pauses even in pediatric age.

  10. Music benefits on postoperative distress and pain in pediatric day care surgery

    Directory of Open Access Journals (Sweden)

    Valeria Calcaterra

    2014-09-01

    Full Text Available Postoperative effect of music listening has not been established in pediatric age. Response on postoperative distress and pain in pediatric day care surgery has been evaluated. Forty-two children were enrolled. Patients were randomly assigned to the music-group (music intervention during awakening period or the non-music group (standard postoperative care. Slow and fast classical music and pauses were recorded and played via ambient speakers. Heart rate, blood pressure, oxygen saturation, glucose and cortisol levels, faces pain scale and Face, Legs, Activity, Cry, Consolability (FLACC Pain Scale were considered as indicators of response to stress and pain experience. Music during awakening induced lower increase of systolic and diastolic blood pressure levels. The non-music group showed progressive increasing values of glycemia; in music-group the curve of glycemia presented a plateau pattern (P<0.001. Positive impact on reactions to pain was noted using the FLACC scale. Music improves cardiovascular parameters, stress-induced hyperglycemia. Amelioration on pain perception is more evident in older children. Positive effects seems to be achieved by the alternation of fast, slow rhythms and pauses even in pediatric age.

  11. PREVALENCE OF VARIOUS MUSCULOSKELETAL DISORDERS IN CHILD CARE WORKERS IN DAY CARE SETTINGS

    Directory of Open Access Journals (Sweden)

    Mariet Caroline, MPT,

    2014-08-01

    Full Text Available Child care workers are those who take care of children in the absence of their parents. Child care workers are exposed to various kinds of occupational injuries which include infections, sprains and strains, trauma like bites from children, trip falls and noise exposure. The risks of injury among these workers are due to their nature of the job. One of the common occupational risks found in these workers is musculoskeletal injury, it occurs as a result of working in awkward postures such as bending, twisting, lifting and carrying in incorrect positions, which may result in various injuries like strain, sprain and soft tissue ruptures. Workers with poor physical conditioning may tend to undergo these changes very rapidly. The purpose of this study was to find out the prevalence of various musculoskeletal disorders in child care workers who are taking care of the babies. The study was conducted around various day care centres, among 160 women from who were chosen for the study and were given musculoskeletal analysis questionnaires (Nordic musculoskeletal questionnaire , The Questionnaires were evaluated using descriptive statistics, analysed using SPSS and the results were computed in percentage. Following the analysis, it was concluded that low back injury was predominant among 44% of workers followed by 18% with neck pain, 11% of shoulder pain, 9% of knee pain, 7% of elbow, 6% of wrist, 4% of others and surprisingly 1 % had no musculoskeletal complaints.

  12. COMPARATIVE EVALUATION OF PROPOFOL KETAMINE AND PROPOFOL FENTANYL IN DAY CARE SURGERIES

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    Brajesh

    2014-09-01

    Full Text Available To find the ideal drug combinations which can be used during day care surgeries and procedures. AIMS: This study was conducted. To evaluate and compare the efficacy, and haemodynamic stability of ketamine and fentanyl combination with propofol. To compare the incidence of side effects. To compare the time of awakening and recovery time. To compare the discharge criteria in both groups. METHODS: The study was conducted in 50 patients of age group 18-50 years of either gender belonging to ASA grade I and II, were divided into two groups of 25 each. They underwent elective surgery of approximately 1 hour duration. Group I received Propofol-ketamine while group II received Propofol-fentanyl for induction and maintenance of anaesthesia. Postoperatively, time for awakening, recovery time ‘(by modified Aldrete scoring system and discharge status (by modified post anaesthetic discharge scoring system were recorded and compared in two groups. RESULTS: Profol-fentanyl combination produced a significantly greater fall in pulse rate and in both systolic and diastolic blood pressure as compared to Propofol-ketamine during induction and maintenance of anaesthesia. Fall in respiratory rate was greater in Propofol-fentanyl group as compared to Propofol-ketamine group. The recovery time in group I was longer than group II. Discharge criteria is significantly earlier in group II. CONCLUSION: Both Profol-ketamine and Propofol-fentanyl combination reduce rapid, pleasant and safe anesthesia with only a few untoward side effects and propofol-ketamine produces better haemodynamic statistic, during anaesthesia.

  13. Assessment of Knowledge of Day-Care Center Workers in Basic Aspects of Child Care: A Pilot Study.

    Science.gov (United States)

    1980-06-01

    nineteenth century were patterned upon widespread and successful at- tempts to provide care for children of working mothers in France and England from...due in part to the need to care for and protect children of working mothers and in part to a welfare response which created jobs for unemployed

  14. How does Danish high quality day care centers sustain children’s learning outcome and how can this be measured?

    DEFF Research Database (Denmark)

    Næsby, Torben; Miller, Tanja

    2016-01-01

    further into this and how it is applied across contexts. We include a database (www.legetek.dk) consisting of scores of children´s learning measured in subscales developed upon the theory of proximal processes (Bronfenbrenner 1979; Vygotsky 1978) and practice in Danish early childhood provisions...

  15. [Observation in day care centers for children and infants: reflection on the team role of the psychologist].

    Science.gov (United States)

    Mauvais, P

    1995-01-01

    This work tempts to emphasize the relation between the quality of the reception of the young child and the shared observation work done by the team. It also tries to define the psychologist's contribution.

  16. How To Start a Family Day Care = Como Iniciar una Guarderia en El Hogar. [Videotape and Viewer's Guide].

    Science.gov (United States)

    Raphael, Doris; Weisman, Douglas

    Being a family day care provider is work that requires professional responsibilities and attention to the physical, emotional, and educational well-being of children; listening and responding to parents; and running a business. This videotape, in English- and Spanish-language versions, explores the elements involved in starting up a family day…

  17. Model Child Care Standards Act--Guidance to States to Prevent Child Abuse in Day Care Facilities.

    Science.gov (United States)

    Department of Health and Human Services, Washington, DC.

    The document offers guidelines to states regarding review and revision of child care statutes, standards, and policies to address the prevention of child sexual abuse in day care facilities. General information is also provided on changes in state standards in recent years. Each of six sections examines findings of the 1981 Comparative Licensing…

  18. Prognostic Patterns in Self-Report, Relative Report, and Professional Evaluation Measures for Hospitalized and Day-Care Patients

    Science.gov (United States)

    Sappington, A. A.; Michaux, Mary H.

    1975-01-01

    This study attempted to determine differences between patients who relapse and those who do not in both hospital and day-care settings. Subjects were 142 adult psychiatric patients. Three groups of measures were used: one based on professional evaluation, one based on self-report, and one based on relative report. (Author)

  19. 76 FR 44573 - Child and Adult Care Food Program: National Average Payment Rates, Day Care Home Food Service...

    Science.gov (United States)

    2011-07-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Food and Nutrition Service Child and Adult Care Food Program: National Average Payment Rates, Day Care Home Food Service Payment Rates, and Administrative Reimbursement Rates for Sponsoring Organizations...

  20. Violencia sexual y problemas asociados en una muestra de usuarias de un centro de salud Sexual violence and related problems in women attending a healthcare center

    Directory of Open Access Journals (Sweden)

    Luciana Ramos-Lira

    2001-06-01

    Full Text Available Objetivo. Estimar la frecuencia de diferentes formas de violencia sexual y su asociación con sintomatología depresiva, ideación e intento suicida, y uso de alcohol y otras drogas alguna vez en la vida. Material y métodos. Estudio transversal, hecho en un centro de salud oficial de México, D.F., México, entre febrero y marzo de 1998. La muestra estuvo constituida por 345 mujeres usuarias del establecimiento asistencial las cuales, en el momento del estudio, vivían con pareja. Se calcularon proporciones para observar la frecuencia de tres diferentes formas de violencia sexual, y ji cuadrada para compararlas en cuanto a los problemas mencionados. Resultados. De las mujeres, 19% señaló haber sido objeto de tocamientos sexuales contra su voluntad al menos alguna vez en su vida, en tanto 11% habían sido violadas y 5% fueron forzadas a tocar los órganos sexuales de otra persona contra su voluntad. Una de cada cinco mujeres reportó haber experimentado alguna violencia sexual dentro de la relación de pareja. Se encontró una asociación significativa entre algunas formas de violencia sexual y la depresión, la ideación e intento suicida y el uso de psicofármacos. Conclusiones. La violencia sexual es un problema grave de salud pública que requiere implementar programas de capacitación para obtener una respuesta especializada de los proveedores de salud. El texto completo en inglés de este artículo está disponible en: http://www.insp.mx/salud/index.htmlObjective. To estimate the frequency of different forms of sexual violence and its association with mental health problems, such as depressive symptoms, suicidal ideation and attempt, and alcohol and drug use. Material and methods. From February to March 1998, a cross-sectional study was conducted among 345 women attending a healthcare center in Mexico City. All women were living with a partner/spouse at the time of the study. The proportions of three different types of sex life were

  1. Who Are the Clients?: Goal Displacement in an Adult Care Center for Elders with Dementia

    Science.gov (United States)

    Abramson, Corey M.

    2009-01-01

    This ethnographic study of "goal displacement" in an adult day care center explains how and why certain goals come to surpass others in the organizational practices of elder day care settings. Adult day care is often oriented towards providing family caregivers with respite rather than attempting to directly improve the lives of the elders…

  2. A Pilot Study of a 6-Week Parenting Program for Mothers of Pre-school Children Attending Family Health Centers in Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    Yasmin Khowaja

    2016-02-01

    Full Text Available Background Recently, parenting programs to address behavioural and emotional problems associated with child maltreatment in developing countries have received much attention. There is a paucity of literature on effective parent education interventions in the local context of Pakistan. This study aimed to assess the feasibility of offering a 6-week parenting program for mothers of pre-school children attending family health centres (FHCs in Karachi, the largest metropolitan city of Pakistan. Methods A pilot quasi-experimental trial was conducted. Two FHCs were selected, one as the intervention and the second as the control. A total of 57 mothers of pre-school children (n = 30 intervention; n = 27 control participated in this study. Mothers in the intervention group received SOS Help for parents module, while mothers in the control group received information about routine childcare. A parenting scale (PS was administered before the program was implemented and repeated 2 weeks after the program was completed in both groups. Statistical analysis was performed to compare participants’ attributes. Descriptive analysis was conducted to compare pre- and post-test mean scores along with standard deviation for parenting subscales in the intervention and control groups. Results A total of 50 mothers (n = 25 intervention; n = 25 control completed the 6-week program. Attrition was observed as 5/30 (17% in the intervention arm and 2/27 (2% in the control arm. Mothers commonly reported the burden of daily domestic and social responsibilities as the main reason for dropping out. Furthermore, the majority of participants in the control group recommended increasing the duration of weekly sessions from 1 to 1.5 hours, thereby decreasing the program period from 6 to 4 weeks. Mothers in intervention group reported substantial improvement in parenting skills as indicated by mean difference in their pre- and post-test scores for laxness and over

  3. Desempenho motor grosso e sua associação com fatores neonatais, familiares e de exposição à creche em crianças até três anos de idade Gross motor performance and its association with neonatal and familial factors and day care exposure among children up to three years old

    Directory of Open Access Journals (Sweden)

    DCC Santos

    2009-04-01

    Full Text Available OBJETIVO: Analisar o desempenho motor grosso e sua associação com fatores neonatais, familiares e de exposição à creche em crianças com até três anos de idade, frequentadoras de creches públicas. MÉTODOS: Estudo transversal no qual foram avaliadas 145 crianças (58 com idade entre 6-11 meses, 54 entre 12-23 meses e 33 entre 24-38 meses frequentadoras de seis creches públicas de Piracicaba (SP. O teste Peabody Developmental Motor Scale-2 foi utilizado para avaliação do desempenho motor grosso global e subtestes motores que compõem a escala (Reflexos, Habilidades Estacionárias, Habilidades de Locomoção e Manipulação de Objetos. Foram coletados dados neonatais, familiares e de exposição à creche e pesquisada a associação desses ao desempenho motor suspeito de atraso. RESULTADOS:A prevalência de suspeita de atraso no desempenho motor grosso foi de 17%, com desvantagens em crianças menores de 24 meses e em Habilidades de Locomoção; encontrada associação de risco de desempenho motor grosso suspeito de atraso e renda familiar, e suspeita de atraso em Habilidades de Locomoção e escolaridade paterna. Crianças cujas famílias tinham renda mensal até R$700,00 estavam 2,81 vezes mais expostas a apresentar desempenho motor grosso suspeito de atraso. Crianças cujos pais tinham até oito anos de escolaridade apresentaram risco 4,63 vezes maior de atraso em Habilidades de Locomoção. Não foi encontrada associação de risco com as demais variáveis. CONCLUSÃO:Os resultados apontam maior atenção ao desenvolvimento motor durante os primeiros 24 meses de crianças que frequentam creches, especialmente as inseridas em famílias com menor renda mensal e cujos pais têm menos escolaridade.OBJECTIVE: To analyze gross motor performance and its association with neonatal and familial factors and day care exposure among children up to three years of age attending public day care centers. METHODS:This was a cross-sectional study that

  4. Doors are opening at children’s day-care centre at Champs-Fréchets

    CERN Multimedia

    HR Department

    2008-01-01

    Opened in August 2008, this new centre offers day-care for children between the ages of 4 months and 4 years. Following an agreement with CERN, up to 20 places are reserved for members of the CERN personnel. The commune of Meyrin invites interested parents to come and visit the centre on Saturday 11 October 2008 from 10 a.m. to 4 p.m. Address : 69, rue des Lattes -1217 Meyrin Further information on the agreement with CERN: https://cern.ch/hr-services/Ben/Social/EVE.asp

  5. Seroprevalence of hepatitis B and C viral co-infections among children infected with human immunodeficiency virus attending the paediatric HIV care and treatment center at Muhimbili National Hospital in Dar-es-Salaam, Tanzania

    Directory of Open Access Journals (Sweden)

    Munubhi Emmanuel K

    2007-11-01

    Full Text Available Abstract Background With increased availability of antibiotics and antifungal agents hepatitis B virus (HBV and hepatitis C virus (HCV infections are becoming a cause for significant concern in HIV infected children. We determined the seroprevalence and risk factors for HBV and HCV among HIV infected children aged 18 months to 17 years, attending the Paediatric HIV Care and Treatment Center (CTC at Muhimbili National Hospital (MNH in Dar-es-Salaam, Tanzania. Methods Investigations included; interviews, physical examination and serology for HBsAg, IgG antibodies to HCV and alanine aminotransferase (ALT levels. HIV serostatus and CD4 counts were obtained from patient records. Results 167 HIV infected children, 88(52.7% males and 79(47.3% females were enrolled. The overall prevalence of hepatitis co-infection was 15%, with the seroprevalence of HBV and HCV being 1.2% and 13.8%, respectively. Hepatitis virus co-infection was not associated with any of the investigated risk factors and there was no association between HBV and HCV. Elevated ALT was associated with hepatitis viral co-infection but not with ART usage or immune status. Conclusion The high seroprevalence (15% of hepatitis co-infection in HIV infected children attending the Paediatrics HIV CTC at the MNH calls for routine screening of hepatitis viral co-infection and modification in the management of HIV infected children.

  6. Learning dementia care in three contexts: practical training in day-care, group dwelling and nursing home.

    Science.gov (United States)

    Skog, M; Negussie, B; Grafström, M

    2000-07-01

    During the period 1996-1999, 18 licensed practical nurses (LPNs) received specialized training to become caregivers and mentors in the field of dementia care at the Silvia Home Foundation in Stockholm, Sweden. The aim of the study was to illuminate how the trainees utilized their practical training to learn about dementia care. The trainees gained practical training within three care models for elderly persons with dementia. The three forms of care and the context for practical training included the school's integrated day-care, a group dwelling and a nursing home. The findings show that the trainees made use of each training context in a similar fashion but there were differences between the contexts. A perspective of human dignity characterized the day-care. This was an opportunity for the nursing philosophy taught by the programme to be put to practical use, and for reflection and experiences pertaining to the individual patient to be developed. In the group dwelling, the trainees encountered patients with different forms of dementia and studied how the care-giving could be adapted to the individual patient's symptoms - the disease perspective. In the nursing home, the trainees chose a staff perspective in which they focused on organization, management and working conditions as well as staff attitudes and the effects of these factors on patient care.

  7. The Profile of Accidents by Hot Liquids in Children Attended at a Reference Center in Fortaleza - doi:10.5020/18061230.2007.p86

    Directory of Open Access Journals (Sweden)

    Hermano José Sales Rocha

    2012-01-01

    Full Text Available Burns are frequent accidents and represent the second cause of death in childhood. The aim of this study was to identify the profile of accidents with children burned by hot liquids. This was a descriptive study conducted with 62 parents of interned children from a Burn Treatment Center in Fortaleza, Ceara, during the period of January to June, 2002. The studied variables were: age at the time of the accident, the sex, the substance that caused the burn and specific characteristics of the burn. As a result, there was a prevalence of the age group 1 to 2 years old with 30 (48.4% admissions; 34 (54.8% were male. Hot water was responsible for 23 (37.1% cases and the second degree burns prevailed in 62 (62% cases. Regarding to affected body parts, it was found that the torso was burned in 49 (28.8% children. At the time of the thermal accident, 51 (82.3% children were in their mothers’ company; after the incident, 36 (59.6% children were immediately taken to the hospital. Concerning educational guidelines on prevention of burns, 48 (77.4% parents reported not having received them from the health team. It was concluded that the profile of accidents with children burned by hot liquids at this Reference Center consists of children in first childhood, male, mainly with second degree lesions in the torso, which occurred while in their mother’s company

  8. Epidemiology of frequent attenders: a 3-year historic cohort study comparing attendance, morbidity and prescriptions of one-year and persistent frequent attenders

    Directory of Open Access Journals (Sweden)

    ter Riet Gerben

    2009-01-01

    Full Text Available Abstract Background General Practitioners spend a disproportionate amount of time on frequent attenders. So far, trials on the effect of interventions on frequent attenders have shown negative results. However, these trials were conducted in short-term frequent attenders. It would be more reasonable to target intervention at persistent frequent attenders. Typical characteristics of persistent frequent attenders, as opposed to 1-year frequent attenders and non-frequent attenders, may generate hypotheses regarding modifiable factors on which new randomized trials may be designed. Methods We used the data of all 28,860 adult patients from 5 primary healthcare centers. Frequent attenders were patients whose attendance rate ranked in the (age and sex adjusted top 10 percent during 1 year (1-year frequent attenders or 3 years (persistent frequent attenders. All other patients on the register over the 3-year period were referred to as non-frequent attenders. The lists of medical problems coded by the GP using the International Classification of Primary Care (ICPC were used to assess morbidity. First, we determined which proportion of 1-year frequent attenders was still a frequent attender during the next two consecutive years and calculated the GPs' workload for these patients. Second, we compared morbidity and number of prescriptions for non-frequent attenders, 1-year frequent attenders and persistent frequent attenders. Results Of all 1-year frequent attenders, 15.4% became a persistent frequent attender equal to 1.6% of all patients. The 1-year frequent attenders (3,045; 10.6% were responsible for 39% of the face-to-face consultations; the 470 patients who would become persistent frequent attenders (1.6% were responsible for 8% of all consultations in 2003. Persistent frequent attenders presented more social problems, more psychiatric problems and medically unexplained physical symptoms, but also more chronic somatic diseases (especially diabetes

  9. Factor structure of the General Health Questionnaire-28 (GHQ-28 from infertile women attending the Yazd Research and Clinical Center for Infertility

    Directory of Open Access Journals (Sweden)

    Zahra Shayan

    2015-12-01

    Full Text Available Background: Nowadays, infertility problems have become a social concern, and are associated with multiple psychological and social problems. Also, it affects the interpersonal communication between the individual, familial, and social characteristics. Since women are exposed to stressors of physical, mental, social factors, and treatment of infertility, providing a psychometric screening tool is necessary for disorders of this group. Objective: The aim of this study was to determine the factor structure of the general health questionnaire-28 to discover mental disorders in infertile women. Materials and Methods: In this study, 220 infertile women undergoing treatment of infertility were selected from the Yazd Research and Clinical Center for Infertility with convenience sampling in 2011. After completing the general health questionnaire by the project manager, validity and, reliability of the questionnaire were calculated by confirmatory factor structure and Cronbach's alpha, respectively. Results: Four factors, including anxiety and insomnia, social dysfunction, depression, and physical symptoms were extracted from the factor structure. 50.12% of the total variance was explained by four factors. The reliability coefficient of the questionnaire was obtained 0.90. Conclusion: Analysis of the factor structure and reliability of General Health Questionnaire-28 showed that it is suitable as a screening instrument for assessing general health of infertile women.

  10. What Do the Children Really Think about a Day-Care Centre--The 5-7-Year-Old Finnish Children Speak out

    Science.gov (United States)

    Kyronlampi-Kylmanen, Taina; Maatta, Kaarina

    2012-01-01

    A day-care centre is a place where a child spends most of his/her week nowadays. A day-care centre as an institution of early childhood education has often been studied from the early childhood educators' point of view or within a wider societal context. The children's voices have not been heard much. The purpose of this article is to describe, on…

  11. Day care PNL using ‘Santosh-PGI hemostatic seal’ versus standard PNL: A randomized controlled study

    Science.gov (United States)

    Singh, Shivanshu; Singh, Prashant; Singh, Shrawan Kumar

    2016-01-01

    Introduction To compare the outcomes of tubeless day care PNL using hemostatic seal in the access tract versus standard PNL. Material and methods It was a prospective randomized controlled study. Cases were randomized to either the day care group with hemostatic seal (DCS) or the control group where patients were admitted and a nephrostomy tube was placed at the conclusion of surgery. Results A total of 180 cases were screened and out of these, 113 were included in the final analysis. The stone clearance rates were comparable in both the groups. The mean drop in hemoglobin was significantly lower in DCS group than the control group (1.05 ±0.68 vs. 1.30 ±0.58 gm/dl, p = 0.038).Mean postoperative pain score, analgesic requirement (paracetamol) and duration of hospital stay were also significantly lower in the DCS group (3.79 ±1.23 vs. 6.12 ±0.96, 1.48 ±0.50 vs. 4.09 ±1.11 grams and 0.48 ±0.26 vs. 4.74 ±1.53 days respectively; p PNL with composite hemostatic tract seal is considered safe. It resulted in a significant reduction of blood loss and analgesic requirement with significantly reduced hospital stay, nephrostomy tube site morbidity and time required to resume normal activity when compared to the standard PNL. However, patients must be compliant with the given instructions and should have access to a health care facility, as few of them may need re-admission. PMID:27551557

  12. Day Care and Attachment

    Science.gov (United States)

    Portnoy, Fern C.; Simmons, Carolyn H.

    1978-01-01

    The attachment behavior of 35 white, middle-class 3 1/2- to 4-year-olds who had experienced different rearing histories was observed through a series of standardized episodes involving separations and reunions with the mother and a stranger. (Author/JMB)

  13. Factors Associated with Anemia among Children Aged 6–23 Months Attending Growth Monitoring at Tsitsika Health Center, Wag-Himra Zone, Northeast Ethiopia

    Directory of Open Access Journals (Sweden)

    Haile Woldie

    2015-01-01

    Full Text Available Background. Globally, about 47.4% of children under five are suffering from anemia. In Ethiopia, 60.9% of children under two years are suffering from anemia. Anemia during infancy and young childhood period is associated with poor health and impaired cognitive development, leading to reduced academic achievement and earnings potential in their adulthood life. However, there is scarcity of information showing the magnitude of iron deficiency anemia among young children in Ethiopia. Therefore, this study aimed at assessing prevalence and associated factors of iron deficiency anemia among children under two (6–23 months. Methods. Institution based cross-sectional study was carried out from March to May, 2014, at Tsitsika Health Center in Wag-Himra Zone, Northeast Ethiopia. Systematic random sampling technique was employed. Automated hemoglobin machine was used to determine the hemoglobin level. Socioeconomic and demographic data were collected by using a pretested and structured questionnaire. Binary logistic regression analysis was used to identify associated factors and odds ratio with 95% CI was computed to assess the strength of association. Results. Total of 347 children participated in this study. The overall prevalence of anemia was 66.6%. In multivariate logistic regression analysis, male sex (AOR = 3.1 (95% CI: 1.60–5.81, 9–11 months of age (AOR = 9.6 (95% CI: 3.61–25.47, poor dietary diversity (AOR = 3.2 (95% CI: 1.35–7.38, stunting (AOR = 2.7 (95% CI: 1.20–6.05, diarrhea (AOR = 4.9 (1.63–14.59, no formal education (AOR = 2.6 (95% CI: 1.26–5.27, early initiation of complementary food (AOR = 11.1 (95% CI: 4.08–30.31, and lowest wealth quintile (AOR = 3.0 (95% CI: 1.01–8.88 were significantly associated with anemia. Conclusion. The overall prevalence of anemia among children who aged 6–23 months has sever public health importance in the study area. Integrated efforts need to be prioritized to improve health as well as

  14. Factors Associated with Anemia among Children Aged 6–23 Months Attending Growth Monitoring at Tsitsika Health Center, Wag-Himra Zone, Northeast Ethiopia

    Science.gov (United States)

    Woldie, Haile; Kebede, Yigzaw; Tariku, Amare

    2015-01-01

    Background. Globally, about 47.4% of children under five are suffering from anemia. In Ethiopia, 60.9% of children under two years are suffering from anemia. Anemia during infancy and young childhood period is associated with poor health and impaired cognitive development, leading to reduced academic achievement and earnings potential in their adulthood life. However, there is scarcity of information showing the magnitude of iron deficiency anemia among young children in Ethiopia. Therefore, this study aimed at assessing prevalence and associated factors of iron deficiency anemia among children under two (6–23 months). Methods. Institution based cross-sectional study was carried out from March to May, 2014, at Tsitsika Health Center in Wag-Himra Zone, Northeast Ethiopia. Systematic random sampling technique was employed. Automated hemoglobin machine was used to determine the hemoglobin level. Socioeconomic and demographic data were collected by using a pretested and structured questionnaire. Binary logistic regression analysis was used to identify associated factors and odds ratio with 95% CI was computed to assess the strength of association. Results. Total of 347 children participated in this study. The overall prevalence of anemia was 66.6%. In multivariate logistic regression analysis, male sex (AOR = 3.1 (95% CI: 1.60–5.81)), 9–11 months of age (AOR = 9.6 (95% CI: 3.61–25.47)), poor dietary diversity (AOR = 3.2 (95% CI: 1.35–7.38)), stunting (AOR = 2.7 (95% CI: 1.20–6.05)), diarrhea (AOR = 4.9 (1.63–14.59)), no formal education (AOR = 2.6 (95% CI: 1.26–5.27)), early initiation of complementary food (AOR = 11.1 (95% CI: 4.08–30.31)), and lowest wealth quintile (AOR = 3.0 (95% CI: 1.01–8.88)) were significantly associated with anemia. Conclusion. The overall prevalence of anemia among children who aged 6–23 months has sever public health importance in the study area. Integrated efforts need to be prioritized to improve health as well as

  15. Factors Associated with Anemia among Children Aged 6-23 Months Attending Growth Monitoring at Tsitsika Health Center, Wag-Himra Zone, Northeast Ethiopia.

    Science.gov (United States)

    Woldie, Haile; Kebede, Yigzaw; Tariku, Amare

    2015-01-01

    Background. Globally, about 47.4% of children under five are suffering from anemia. In Ethiopia, 60.9% of children under two years are suffering from anemia. Anemia during infancy and young childhood period is associated with poor health and impaired cognitive development, leading to reduced academic achievement and earnings potential in their adulthood life. However, there is scarcity of information showing the magnitude of iron deficiency anemia among young children in Ethiopia. Therefore, this study aimed at assessing prevalence and associated factors of iron deficiency anemia among children under two (6-23 months). Methods. Institution based cross-sectional study was carried out from March to May, 2014, at Tsitsika Health Center in Wag-Himra Zone, Northeast Ethiopia. Systematic random sampling technique was employed. Automated hemoglobin machine was used to determine the hemoglobin level. Socioeconomic and demographic data were collected by using a pretested and structured questionnaire. Binary logistic regression analysis was used to identify associated factors and odds ratio with 95% CI was computed to assess the strength of association. Results. Total of 347 children participated in this study. The overall prevalence of anemia was 66.6%. In multivariate logistic regression analysis, male sex (AOR = 3.1 (95% CI: 1.60-5.81)), 9-11 months of age (AOR = 9.6 (95% CI: 3.61-25.47)), poor dietary diversity (AOR = 3.2 (95% CI: 1.35-7.38)), stunting (AOR = 2.7 (95% CI: 1.20-6.05)), diarrhea (AOR = 4.9 (1.63-14.59)), no formal education (AOR = 2.6 (95% CI: 1.26-5.27)), early initiation of complementary food (AOR = 11.1 (95% CI: 4.08-30.31)), and lowest wealth quintile (AOR = 3.0 (95% CI: 1.01-8.88)) were significantly associated with anemia. Conclusion. The overall prevalence of anemia among children who aged 6-23 months has sever public health importance in the study area. Integrated efforts need to be prioritized to improve health as well as appropriate infant and

  16. Increased seroprevalence of IgG-class antibodies against cytomegalovirus, parvovirus B19, and varicella-zoster virus in women working in child day care

    Directory of Open Access Journals (Sweden)

    van Rijckevorsel Gini

    2012-06-01

    Full Text Available Abstract Background Primary maternal infection with cytomegalovirus (CMV, parvovirus B19 (B19V, and varicella-zoster virus (VZV may result in adverse pregnancy outcomes like congenital infection or foetal loss. Women working in child day care have an increased exposure to CMV, B19V, and VZV. By comparing the seroprevalence of IgG-class antibodies against CMV, VZV and B19V in female day care workers (DCW with the seroprevalence in women not working in day care this study aimed to assess the association between occupation and infection. Methods A cross-sectional design was used. Out of a random sample of 266 day care centres, demographic data, data on work history, and blood samples were collected from 285 women from 38 centres. In addition, blood samples and basic demographics from women who participated in a cross-sectional survey of the Amsterdam population (2004 were used. All blood samples were tested for IgG-class antibodies against CMV, B19V, and VZV. Results Twenty-seven percent of the DCW were still susceptible to B19V or CMV. Working in day care was independently associated with B19V infection in all DCW (prevalence ratio [PR] 1.2; 95 % CI 1.1–1.3, and with CMV infection in DCW of European origin only (PR 1.7; 95 % CI 1.3–2.3. Almost all women born outside Europe tested seropositive for CMV (96 %. All DCW tested seropositive for VZV, compared to only 94 % of the women not working in day care. Conclusion This study confirms the clear association between employment in child day care centres and infection with CMV and B19V. Intervention policies, like screening of new employees and awareness campaigns emphasizing hygienic measures among DCW, should be implemented urgently to improve the maternal health of these women and the health of their offspring.

  17. Outbreak of Burkholderia cepacia complex bacteremia in a chemotherapy day care unit due to intrinsic contamination of an antiemetic drug

    Directory of Open Access Journals (Sweden)

    T Singhal

    2015-01-01

    Full Text Available Background: In the end of 2009, a large number of patients with cancer undergoing chemotherapy at the day care unit of a private hospital in Mumbai, India developed Burkholderia cepacia complex (BCC blood stream infection (BSI. Objective: The objectives were to identify the source of the outbreak and terminate the outbreak as rapidly as possible. Materials and Methods: All infection control protocols and processes were reviewed. Intensive training was started for all nursing staff involved in patient care. Cultures were sent from the environment (surfaces, water, air, intravenous fluids, disinfectants and antiseptics and opened/unopened medication. Results: A total of 13 patients with cancer with tunneled catheters were affected with BCC BSI. The isolates were of similar antimicrobial sensitivity. No significant breach of infection control protocols could be identified. Cultures from the prepared intravenous medication bags grew BCC. Subsequently, culture from unused vials of the antiemetic granisetron grew BCC, whereas those from the unopened IV fluid bag and chemotherapy medication were negative. On review, it was discovered that the outbreak started when a new brand of granisetron was introduced. The result was communicated to the manufacturer and the brand was withdrawn. There were no further cases. Conclusions: This outbreak was thus linked to intrinsic contamination of medication vials. We acknowledge a delay in identifying the source as we were concentrating more on human errors in medication preparation and less on intrinsic contamination. We recommend that in an event of an outbreak, unopened vials be cultured at the outset.

  18. Children’s Day-Care Centre (EVE) and School kicked off the school year 2016-2017

    CERN Multimedia

    Staff Association

    2016-01-01

    It has been 54 years already, ever since the Nursery school was founded in March 1961, that the Staff Association together with the teachers, the managerial and the administrative staff, welcomes your children at the start of the school year. On Tuesday, 30 August 2016, the Children’s Day-Care Centre (EVE) and School opened its doors again for children between four months and six years old. The start of the school year was carried out gradually and in small groups to allow quality interaction between children, professionals and parents. This year, our structure will accommodate about 130 children divided between the nursery, the kindergarten and the school. Throughout the school year, the children will work on the theme of colours, which will be the common thread linking all our activities. Our team is comprised of 38 people: the headmistress, the deputy headmistress, 2 secretaries, 13 educators, 4 teachers, 11 teaching assistants, 2 nursery assistants and 4 canteen workers. The team is delighted...

  19. An outbreak of diarrhoea associated with rotavirus serotype 1 in a day care nursery in Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Liane de Castro

    1994-03-01

    Full Text Available Faeces from 17 children less than 1.6 years old 15 adultsmore than 22 years old were collected during an outbreak of gastroenteritis in aday care nursery and screened for the presence of adenovirus and rotavirus by enzyme immunoassay (EIARA and other viruses by electron microscopy (EM and polycrylamide gel electrophoresis (PAGE. Ten samples (58.8 per cent from childrenand one (6.7 per cent from adults were positive for rotavirus and all samples were negative for bacteria and parasites. No other viruses were observed in EM. An enzyme immunoassay test using monoclonal antibodies (MAb-EIA to determine the subgroup(s and the serotype(s of rotavirus was performed and the results showedthat all positive samples belong to serotype 1, subgroup II of group A rotaviruses. In PAGE test all samples had the same profile and the 10 and 11 dsRNA segments corresponed to the "long" profile of group A of rotaviruses. These results corroborated the MAbEIA results and indicate a sole source of infection. The majorsymptoms observed were: vomiting (60 per cent, fever (70 per cent and diarrhoea (100 per cent. In previous years (1989 to 1991 we observed only rotavirus serotype 2 in this same day care nursery, but no outbreak was reported.

  20. Effect of horticultural therapy on wellbeing among dementia day care programme participants: A mixed-methods study (Innovative Practice).

    Science.gov (United States)

    Hall, Jodi; Mitchell, Gary; Webber, Catherine; Johnson, Karen

    2016-04-11

    Fourteen people attending an adult day programme were recruited to a structured horticultural therapy programme which took place over 10 weeks. The effects were assessed using Dementia Care Mapping and questionnaires completed by family carers. High levels of wellbeing were observed while the participants were engaged in horticultural therapy, and these were sustained once the programme was completed. This study adds to the growing evidence on the benefits of horticultural therapy for people with dementia who have enjoyed gardening in the past.

  1. THERAPEUTIC PROCEDURES OF CHILDREN WITH DISHARMONIOUS DEVELOPMENT AT THE EARLY SCHOOL PERIOD IN CONDITIONS OF DAY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Dragoslav KOPACEV

    1997-12-01

    Full Text Available The term disharmonious is determined against the harmonious development of children. It is stressed that these children, because of the whole bio-psycho-social growth which is at a lower level, very often react with psychical disorders, compared with the children which normally develop and this seems to be not only a serious problem in the diagnostics but also in the performing of the adequate and in due time treatment.Trained by the existing experiences in the work with these children it is indicated that the best differential-diagnostics is performed in conditions of Day hospital where a whole treatment is provided by a professional team. In the treatment in this category of children it is insisted on the respect of the developmental dynamic approach, and for this, the acknowledgments that are given by the neuropsychology are used. The need of early treatment of a child, parents and the closest environment is stressed because if these children are neglected, they show the tendency to organize themselves at their lowest values, they intellectually decline and lead to severe psycho social results .Working with these children in our Day care hospital although we use a great number of therapeutic activities, we put the stress on the application of psycho-motor re education. The use of remedial therapy is the only technical, without including the parents in the working plan, has shown as unadequate. Although there is an intellectual insufficiency, we tend these children to be mentally healthy, if we succeed to achieve bigger harmony in the function of the cognitive, emotional, motor and social aspects of the individual. Providing continuity in the treatment of this category of children, it is insisted to provide the preschool institutions with planned and professional team work. The stress is put on the defectological activity, in a way to prepare the children to enroll in school.

  2. Decentralisation of long-term care in the Netherlands: the case of day care at green care farms for people with dementia

    NARCIS (Netherlands)

    Nowak, S.J.M.; Molema, C.M.; Baan, C.A.; Oosting, S.J.; Vaandrager, L.; Hop, P.; Bruin, de R.

    2015-01-01

    Responsibility for health and social care services is being delegated from central to local authorities in an increasing number of countries. In the Netherlands, the planned transfer of responsibility for day care for people with dementia from the central government to municipalities is a case in po

  3. Pedagogical Work, Stress Regulation and Work-Related Well-Being among Early Childhood Professionals in Integrated Special Day-Care Groups

    Science.gov (United States)

    Nislin, Mari A.; Sajaniemi, Nina K.; Sims, Margaret; Suhonen, Eira; Maldonado Montero, Enrique F.; Hirvonen, Ari; Hyttinen, Sirpa

    2016-01-01

    The aim of this study was to investigate the relationship between early childhood professionals' (ECPs) stress regulation (using salivary cortisol and alpha-amylase [AA] measurements), work engagement and the quality of their pedagogical work in integrated special day-care groups. Participants were 89 ECPs from 21 integrated special day-care…

  4. Pedagogical Staff in Children's Day Care Centres in Germany--Links between Working Conditions, Job Satisfaction, Commitment and Work-Related Stress

    Science.gov (United States)

    Schreyer, Inge; Krause, Martin

    2016-01-01

    This article investigates links between staff working conditions in children's day care centres ("Kindertageseinrichtungen"--known as "Kitas" in Germany), job satisfaction, commitment and perceived stress at work. Data are based on the nationwide, representative questionnaire survey AQUA ("Arbeitsplatz und Qualität in…

  5. Measuring therapeutic alliance with children in residential treatment and therapeutic day care: a validation study of the Children’s Alliance Questionnaire

    NARCIS (Netherlands)

    J. Roest; P. van der Helm; E. Strijbosch; M. van Brandenburg; G.J. Stams

    2014-01-01

    Purpose: This study examined the construct validity and reliability of a therapeutic alliance measure (Children’s Alliance Questionnaire [CAQ]) for children with psychosocial and/or behavioral problems, receiving therapeutic residential care or day care in the Netherlands. Methods: Confirmatory fact

  6. Family Life and the Impact of Previous and Present Residential and Day Care Support for Children with Major Cognitive and Behavioural Challenges: A Dilemma for Services and Policy

    Science.gov (United States)

    Brown, R. I.; Geider, S.; Primrose, A.; Jokinen, N. S.

    2011-01-01

    Introduction: Since the development of inclusion and integration, parents have increasingly become the major, and sometimes the only, carers of their children with disabilities. Many families speak of stress and frustration with service and community support, and some have turned to residential and specialised day care services to overcome…

  7. Estado nutricional relativo ao zinco de crianças que frequentam creches do estado da Paraíba Zinc nutritional status in children attending public daycare centers in the state of Paraíba, Brazil

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    Dixis Figueroa Pedraza

    2011-08-01

    Full Text Available OBJETIVO: Avaliar o estado nutricional relativo ao zinco de crianças assistidas em creches do Estado da Paraíba. MÉTODOS: O estado nutricional relativo ao zinco de 235 crianças pré-escolares foi avaliado através de sua concentração no soro, da ingestão dietética de zinco e da estatura para idade, como recomendado pelo International Zinc Consultative Group. As concentrações séricas de zinco foram determinadas por espectrofotometria de absorção atômica de chama, considerando deficiência de zinco valores OBJECTIVE: This study assessed the zinc levels of children attending public daycare centers in the state of Paraíba. Brazil. METHODS: The zinc levels of 235 preschool children were evaluated through serum zinc concentration, dietary zinc intake and height-for-age, as recommended by the International Zinc Nutrition Consultative Group. Baseline zinc levels in the serum were measured by flame atomic absorption spectrophotometry, considering values <65µmol/L indicative of zinc deficiency. The 24-hour recall method was used to record food consumption, considering the food consumption of the child the day before and in the daycare center. Zinc inadequacy was analyzed according to the estimated average zinc requirement by life stage and diet type recommended by the International Zinc Nutrition Consultative Group. The World Health Organization Growth Reference was used as the reference for the height-for-age indices. Children with indices two z-scores below the median value of the reference population were considered stunted. Statistical analysis was performed by the t-test or analysis of variance by the software Statistical Package for the Social Sciences -16.0. RESULTS: The prevalence of inadequate serum zinc concentration, inadequate zinc intakes and stunting were 16.2%, 16.6% and 7.7%, respectively. Mean serum zinc was lower in children of underweight mothers than in children of normal weight mothers. CONCLUSION: The studied children

  8. Center for Women Veterans

    Science.gov (United States)

    ... Aid & Attendance & Housebound Caregivers Community Living Centers (CLC) Community Nursing Homes Domiciliaries (Please contact your local VA Medical Center) Homemaker & Home Health Aid Care Hospice and Palliative Care State Veterans ...

  9. Riscos isolados e agregados de anemia em crianças frequentadoras de berçários de creches Isolated and combined risks for anemia in children attending the nurseries of daycare centers

    Directory of Open Access Journals (Sweden)

    Tulio Konstantyner

    2009-06-01

    Full Text Available OBJETIVO: Identificar e quantificar os fatores de risco isolados e agregados de anemia, proporcionando visão ampliada quanto à probabilidade da sua ocorrência. MÉTODOS: Estudo transversal com 482 crianças, entre 4 e 29 meses de idade, frequentadoras de berçários de creches públicas e filantrópicas do município de São Paulo (SP, que participaram de dois inquéritos (2004 e 2007. Foram realizadas entrevistas com as mães, coleta de sangue por punção digital e antropometria. Considerou-se anemia, hemoglobina inferior a 11 g/dL. Foi ajustado modelo de regressão logística não-condicional para fatores de risco de anemia, considerando-se estatisticamente significantes associações com p OBJECTIVE: To identify and quantify isolated and combined risk factors for anemia, providing a comprehensive view of the likelihood of its occurrence. METHODS: Cross-sectional study with 482 children aged 4 to 29 months attending the nurseries of philanthropic and public daycare centers in the city of São Paulo, Brazil, who participated in two surveys (2004 and 2007. Mothers were interviewed, blood was collected using digital puncture, and anthropometry was performed. Anemia was characterized by hemoglobin levels below 11 g/dL. Unconditional logistic regression was adjusted for anemia risk factors. A value of p < 0.05 indicated statistically significant associations. Post-test odds and likelihood ratios were calculated to define post-test probabilities. Epi-InfoTM 2000 and Stata 10.0 software packages were used for statistical analysis. RESULTS: Prevalence of anemia was 43.6% (95%CI 39.1-48.1. The final logistic model included five categorical variables: mother's age less than 28 years (OR = 1.50; p = 0.041, per capita income below half a minimum wage (OR = 1.56; p = 0.029, exclusive breastfeeding less than 2 months (OR = 1.71; p = 0.009, decrease in weight/age z score from birth to survey (OR = 1.47; p = 0.050, and age less than 17 months (OR = 2

  10. 75 FR 41793 - Child and Adult Care Food Program: National Average Payment Rates, Day Care Home Food Service...

    Science.gov (United States)

    2010-07-19

    ..., 2009, at 74 FR 34295. Child and Adult Care Food Program (CACFP) Lunch and Centers Breakfast supper \\1... related notice published at 48 FR 29114, June 24, 1983.) This notice has been determined to be not... Food and Nutrition Service Child and Adult Care Food Program: National Average Payment Rates, Day...

  11. Infección respiratoria aguda en niños que acuden a un centro de desarrollo infantil Incidence of acute respiratory infections in a cohort of infants and children attending a daycare center in Mexico City

    Directory of Open Access Journals (Sweden)

    Eugenia Nandí-Lozano

    2002-06-01

    Full Text Available Objetivo. Establecer la incidencia de infección respiratoria y los patrones de colonización faríngea en niños que asisten a guarderías. Material y métodos. Se realizó un estudio de cohorte en niños menores de cuatro años de edad, de uno u otro sexo, asistentes a la guardería del Hospital Infantil de México Federico Gómez, de la Ciudad de México, durante abril a octubre de 1999. Se registró la presencia de infección de vías aéreas superiores cada semana, y de colonización cada tres meses, mediante un exudado nasofaríngeo. Se hizo estadística descriptiva de las variables analizadas. Se determinaron tasas de infección respiratoria aguda. Resultados. Se estudiaron 85 niños, 40 del sexo femenino (47% y 45 del sexo masculino (53% durante un total de 9 090 niños/día de seguimiento. Tres niños tenían antecedentes de atopia (3.52%, seis niños antecedentes de asma (7.05%, y 39 eran expuestos a tabaquismo pasivo (45.88%. Se diagnosticaron 246 rinofaringitis (95.3%, nueve otitis media aguda (3.48%, tres bronquiolitis (1.16%, para un total de 258 eventos de infección respiratoria aguda. La tasa de incidencia global fue de 10.35 infecciones por niño/año de observación (IC 95% 8.7-12.0. La incidencia de otitis y bronquiolitis fue de 0.36 y 0.12 eventos por niño/año de observación. Se tomaron cultivos nasofaríngeos con una prevalencia de colonización para S. pneumoniae de 20.4%, H. influenzae no tipificable 13.1% y Moraxella catarrhalis 8.1%. Conclusiones. Los resultados no sólo demuestran una alta prevalencia de colonización debido a cepas invasivas, sino que también revelan una tasa de incidencia de infección respiratoria aguda del doble de lo reportado en estudios de comunidad. Estos resultados ayudan a caracterizar un problema pobremente documentado en nuestro país.Objective. To assess the incidence of acute respiratory infections and bacterial colonization in children attending a daycare center. Material and Methods

  12. A pet-type robot AIBO-assisted therapy as a day care program for chronic schizophrenia patients: A pilot study

    OpenAIRE

    Shin Narita; Nobuyo Ohtani; Chikako Waga; Mitsuaki Ohta; Jun Ishigooka; Kazuhiko Iwahashi

    2016-01-01

    Background AAT (Animal-assisted therapy) was developed to promote human social and emotional functioning as a day care program for psychiatric patients. Aims In this study, we performed AAT using a pet-type robot, AIBO for schizophrenic patients. Methods After obtaining informed consent, we performed the AIBO-assisted therapy for three schizophrenic (ICD-10, F20.x2) patients (male: 1, female: 2) whose medication did not change over the 8 weeks study period in a ward. Results...

  13. Preschool Facilities, Pre-school point layer, combined with day care center points., Published in 2005, 1:4800 (1in=400ft) scale, Reno County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Preschool Facilities dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Published Reports/Deeds information as of 2005. It is...

  14. Ayudando a los Ninos a Amarse a Si Mismos y a Otros: Una guia profesional para el cuidado infantil en el hogar (Helping Children Love Themselves and Others: A Professional Handbook for Family Day Care).

    Science.gov (United States)

    Gellert, Sandra; And Others

    This Spanish-language guide presents an anti-bias, multicultural approach to family day care. Part A provides a rationale for such an approach. Subsections of this part concern: (1) family day care as a site for the transmission of bias; (2) characteristics of an anti-bias, multicultural approach; (3) language and stereotypes; (4) developmental…

  15. Cuidado de Ninos con Necesidades Especiales en el Hogar: Manual de Estrategias y Actividades para Proveedores que Cuidan Ninos en Sus Hogares (Children with Special Needs in Family Day Care Homes: A Handbook of Approaches and Activities for Family Day Care Home Providers).

    Science.gov (United States)

    de la Brosse, Beatrice

    Practical information and sample teaching activities for child caregivers who work with young developmentally disabled children in family day care settings are provided in this manual. Each chapter shares a typical experience a caregiver may have with a particular child. Chapter 1 focuses on getting to know a new child, initial expectations, and…

  16. Engagement in elderly persons with dementia attending animal-assisted group activity.

    Science.gov (United States)

    Olsen, Christine; Pedersen, Ingeborg; Bergland, Astrid; Enders-Slegers, Marie-José; Ihlebæk, Camilla

    2016-09-02

    The need for meaningful activities that enhance engagement is very important among persons with dementia (PWDs), both for PWDs still living at home, as well as for PWDs admitted to a nursing home (NH). In this study, we systematically registered behaviours related to engagement in a group animal-assisted activity (AAA) intervention for 21 PWDs in NHs and among 28 home-dwelling PWDs attending a day care centre. The participants interacted with a dog and its handler for 30 minutes, twice a week for 12 weeks. Video-recordings were carried out early (week 2) and late (week 10) during the intervention period and behaviours were categorized by the use of an ethogram. AAA seems to create engagement in PWDs, and might be a suitable and health promoting intervention for both NH residents and participants of a day care centre. Degree of dementia should be considered when planning individual or group based AAA.

  17. Pain relief in day care arthroscopic knee surgery: A comparison between intra-articular ropivacaine and levobupivacaine: A prospective, double-blinded, randomized controlled study

    Directory of Open Access Journals (Sweden)

    Anjan Das

    2014-01-01

    Full Text Available Background: Post-operative pain frequently hampers implementation of day care arthroscopic knee surgery in spite of so many analgesic, local anesthetic drugs and routes of administration. Aims: The aim of the present study was carried out to compare the efficacy of ropivacaine and levobupivacaine when administered through intra-articular route in controlling pain after day care arthroscopic knee surgery. Setting and Design: It was a prospective, double-blinded and randomized controlled study. Materials and Methods: April 2008-December 2008, 60 patients of both sex, of American Society of Anesthesiologists physical status I and II, undergoing day care arthroscopic knee surgery were randomly assigned into two groups (R, L. Group R received 10 ml of 0.75% ropivacaine, whereas group L received 10 ml of 0.50% levobupivacaine through intra-articular route at the end of the procedure. Pain assessed using visual analog scale (VAS and diclofenac sodium given as rescue analgesia when VAS >3. Time of first analgesic request and total rescue analgesic were calculated. Statistical Analysis and Results: based on comparable demographic profiles; time for the requirement of first post-operative rescue analgesia (242.16 ± 23.86 vs. 366.62 ± 24.42 min and total mean rescue analgesic requirement was (104.35 ± 18.96 vs. 76.82 ± 14.28 mg in group R and L respectively. Group R had higher mean VAS score throughout the study period. No side effects found among the groups. These two results were clinically and statistically significant (P < 0.05. Conclusion: Hence, it was evident that intra-articular levobupivacaine give better post-operative pain relief, with an increase in time of first analgesic request and decreased need of total post-operative analgesia compared with ropivacaine.

  18. 7 CFR 226.11 - Program payments for centers.

    Science.gov (United States)

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Payment Provisions § 226.11 Program... approved child care centers, at-risk afterschool care centers, adult day care centers, emergency...

  19. A modalidade de assistência Centro-Dia Geriátrico: efeitos funcionais em seis meses de acompanhamento multiprofissional The Geriatric Day-Care assistance mode: functional effects in a six month multidisciplinary health care program

    Directory of Open Access Journals (Sweden)

    Sandra Elizabeth Franciulli

    2007-04-01

    Full Text Available O objetivo deste artigo é descrever os efeitos da assistência multiprofissional na capacidade funcional de idosos atendidos em Centro-Dia Geriátrico após seis meses de acompanhamento. O método usado foi o estudo clínico observacional de seguimento. Catorze pacientes com idade superior a 80 anos foram avaliados na admissão ao serviço e após seis meses de acompanhamento, segundo os seguintes instrumentos: atividades diárias pelo Brazilian OARS Multidimensional Functional Assessment Questionnaire; estado cognitivo por meio do Mini-Mental State Exam, equilíbrio funcional pela Berg Balance Scale e mobilidade pelo Timed Up and Go Test. Foi realizada análise descritiva simples e, para comparação entre os dois momentos de avaliação, os testes Wilcoxon e T-pareado, a=0,05. Observou-se diferença significativa entre a avaliação e a reavaliação com melhora no decorrer do tempo para a capacidade funcional global (p=0,019 e equilíbrio funcional pelas tarefas de transferências posturais (p=0,041. As demais variáveis mostraram manutenção de seus valores no seguimento. Conclusão: a assistência multiprofissional em Centro-Dia potencializou melhora ou manutenção da capacidade funcional dos participantes, revelando ser uma alternativa promissora de modalidade de serviço para a saúde do idoso.The objective is to describe the functional capacity of elderly patients who took part in a six-month follow-up program at a geriatric day care center. The methods used were a six-month observation clinical study. The following tools were used to assess fourteen elderly patients over 80 years old at admission at the day care and for six months thereafter: Brazilian OARS Multidimensional Functional Assessment Questionnaire (daily life activities, Mini-Mental State Exam (cognition, Berg Balance Scale (functional balance evaluation and Timed Up and Go Test (mobility. Data were analyzed using descriptive statistics and Wilcoxon and paired-samples T

  20. INGUINAL HERNIA SURGERY UNDER LOCAL ANAESTHESIA, AS DAY CARE SURGERY AND COMPARISON AMONG THREE GROUP OF PATIENTS CLASSIFIED ACCORDING TO TYPE OF MESH USED

    Directory of Open Access Journals (Sweden)

    Arvind

    2015-06-01

    Full Text Available BACKGROUND: Inguinal hernia repair is one of the most commonly performed operations worldwide . This study was done to evaluate , local anesthesia as choice of procedure for inguinal hernia as day care surgery including both regular & comorbidity associated patients , to know which mesh is suitable smallpore ( H eavy weight or largepore ( L igh t weight and to know if use of absorbable suture is better than non - absorbable suture for fixation of mesh. METHODS: We prospectively studied 69 patients with a primary unilateral inguinal hernia. The study group was randomized to Lichtenstein repair afte r taking full informed consent. Pain was assessed by visual analogue scale , Quality of life was assessed by responses to a health questionnaire administered to post - operative patients . RESULTS: The highest contraction rate was found in polypropylene small pore mesh (28.76% , followed by polypropylene large pore mesh (23.9% and the least contraction seen in knitted composite mesh (17.2%. Quality of life was assessed at 1 month and 3 month have shown significant difference among three groups. CONCLUSION: Mos t of the inguinal hernia surgery can be carried out smoothly in local anesthesia , as day care procedure. It is choice of procedure also in patients with comorbidity. Use of absorbable suture for Lichtenstein hernia repair did not affect recurrence rate. Qu ality of life is better with knitted composite group , than pp large pore group , than Polypropylene small pore mesh.

  1. Attendance Policies, Student Attendance, and Instructor Verbal Aggressiveness

    Science.gov (United States)

    Snyder, Jason; Forbus, Robert; Cistulli, Mark

    2012-01-01

    The authors utilized an experimental design across six sections of a managerial communications course (N = 173) to test the impact of instructor verbal aggressiveness and class attendance policies on student class attendance. The experimental group received a policy based on the principle of social proof (R. B. Cialdini, 2001), which indicated…

  2. High Adherence to Iron/Folic Acid Supplementation during Pregnancy Time among Antenatal and Postnatal Care Attendant Mothers in Governmental Health Centers in Akaki Kality Sub City, Addis Ababa, Ethiopia: Hierarchical Negative Binomial Poisson Regression

    Science.gov (United States)

    Gebreamlak, Bisratemariam; Dadi, Abel Fekadu; Atnafu, Azeb

    2017-01-01

    Background Iron deficiency during pregnancy is a risk factor for anemia, preterm delivery, and low birth weight. Iron/Folic Acid supplementation with optimal adherence can effectively prevent anemia in pregnancy. However, studies that address this area of adherence are very limited. Therefore, the current study was conducted to assess the adherence and to identify factors associated with a number of Iron/Folic Acid uptake during pregnancy time among mothers attending antenatal and postnatal care follow up in Akaki kality sub city. Methods Institutional based cross-sectional study was conducted on a sample of 557 pregnant women attending antenatal and postnatal care service. Systematic random sampling was used to select study subjects. The mothers were interviewed and the collected data was cleaned and entered into Epi Info 3.5.1 and analyzed by R version 3.2.0. Hierarchical Negative Binomial Poisson Regression Model was fitted to identify the factors associated with a number of Iron/Folic Acid uptake. Adjusted Incidence rate ratio (IRR) with 95% confidence interval (CI) was computed to assess the strength and significance of the association. Result More than 90% of the mothers were supplemented with at least one Iron/Folic Acid supplement from pill per week during their pregnancy time. Sixty percent of the mothers adhered (took four or more tablets per week) (95%CI, 56%—64.1%). Higher IRR of Iron/Folic Acid supplementation was observed among women: who received health education; which were privately employed; who achieved secondary education; and who believed that Iron/Folic Acid supplements increase blood, whereas mothers who reported a side effect, who were from families with relatively better monthly income, and who took the supplement when sick were more likely to adhere. Conclusion Adherence to Iron/Folic Acid supplement during their pregnancy time among mothers attending antenatal and postnatal care was found to be high. Activities that would address the

  3. A pet-type robot AIBO-assisted therapy as a day care program for chronic schizophrenia patients: A pilot study

    Directory of Open Access Journals (Sweden)

    Shin Narita

    2016-07-01

    Full Text Available Background AAT (Animal-assisted therapy was developed to promote human social and emotional functioning as a day care program for psychiatric patients. Aims In this study, we performed AAT using a pet-type robot, AIBO for schizophrenic patients. Methods After obtaining informed consent, we performed the AIBO-assisted therapy for three schizophrenic (ICD-10, F20.x2 patients (male: 1, female: 2 whose medication did not change over the 8 weeks study period in a ward. Results It was found that the AAT using AIBO may be useful for the patients with negative and general psychopathological symptoms such as “Anxiety” and “Uncooperativeness”. Conclusion We make use of this result, and we want to develop the AAT program using a pet-type robot, AIBO which may be suitable for Japanese psychiatric patients.

  4. Children's Creativity in Day Care

    Science.gov (United States)

    Reunamo, Jyrki; Lee, Hui-Chun; Wang, Li-Chen; Ruokonen, Inkeri; Nikkola, Teemu; Malmstrom, Sanna

    2014-01-01

    In this research, children's creativity in pretend play and the conditions for creativity during high involvement are studied from four points of view: as a zone for proximal development, as a skill, as a personal orientation and as a culturally shared environment creation. The theoretical model is influenced by Vygotsky's ideas of creativity as…

  5. Aftercare and Rehabilitation in a Community Mental Health Center

    Science.gov (United States)

    Scoles, Pascal; Fine, Eric W.

    1971-01-01

    The community, state mental hospitals, and a community mental health center work together to provide an environment conducive to the continued well being of chronic mental patients in an area of West Philadelphia, Pennsylvania. The authors describe a program that involves day care centers and the patients' everyday living. (Author)

  6. Using Attendance Worksheets to Improve Student Attendance, Participation, and Learning

    Science.gov (United States)

    Rhoads, Edward

    2013-06-01

    As science instructors we are faced with two main barriers with respect to student learning. The first is motivating our students to attend class and the second is to make them active participants in the learning process once we have gotten them to class. As we head further into the internet age this problem only gets exacerbated as students have replaced newspapers with cell phones which can surf the web, check their emails, and play games. Quizzes can motivated the students to attend class but do not necessarily motivate them to pay attention. Active learning techniques work but we as instructors have been bombarded by the active learning message to the point that we either do it already or refuse to. I present another option which in my classroom has doubled the rate at which students learn my material. By using attendance worksheets instead of end of class quizzes I hold students accountable for not just their attendance but for when they show up and when they leave the class. In addition it makes the students an active participant in the class even without using active learning techniques as they are writing notes and answering the questions you have posed while the class is in progress. Therefore using attendance worksheets is an effective tool to use in order to guide student learning.

  7. Early infection and asymptomatic spread of hepatitis A virus in a public child care center in Rio de Janeiro, Brazil: should attending children under two years of age be vaccinated?

    Directory of Open Access Journals (Sweden)

    Liliane M Morais

    2006-06-01

    Full Text Available A cross-sectional study was conducted in order to identify hepatitis A virus (HAV serological markers in 418 individuals (mean age, 16.4 years; range, 1 month-80 years at a public child care center in Rio de Janeiro, Brazil, as well as to analyze risk factors and determine circulating genotypes. Serum samples were tested using an enzyme immunoassay. Reverse transcription polymerase chain reaction (RT-PCR was used to detect and characterize HAV RNA, and sequencing was performed. Anti-HAV antibodies and IgM anti-HAV antibodies were detected, respectively, in 89.5% (374/418 and 10.5% (44/418 of the individuals tested. Acute HAV infection in children was independently correlated with crawling (p < 0.05. In 56.8% (25/44 of the IgM anti-HAV-positive individuals and in 33.3% (5/15 of the IgM anti-HAV-negative individuals presenting clinical symptoms, HAV RNA was detected. Phylogenetic analysis revealed co-circulation of subgenotypes IA and IB in 93.3% (28/30 of the amplified samples. In present study, we verify that 79% (30/38 of children IgM anti-HAV-positive were asymptomatic. In child care centers, this asymptomatic spread is a more serious problem, promoting the infection of young children, who rarely show signs of infection. Therefore, vaccinating children below the age of two might prevent the asymptomatic spread of hepatitis A.

  8. The effect of exercise intervention on frail elderly in need of care: half-day program in a senior day-care service facility specializing in functional training

    Science.gov (United States)

    Sakamoto, Ryota; Miura, Yasushi

    2016-01-01

    [Purpose] This study investigated the long-term effect of a half-day exercise intervention program on health-related quality of life, life function, and physical function in frail elderly in need of care. The program was conducted at a senior day-care facility specializing in functional training. [Subjects and Methods] Subjects included 41 elderly in need of care who had visited the service facility for at least 1 year. Physical function and life function were evaluated at baseline, 6 months, and 12 months. Quality of life was evaluated with the Short Form-36 at baseline and 12 months. [Results] Improvements in balance, walking speed and endurance, complex performance abilities, self-efficacy during the activities, and the level and sphere of activity were observed at 6 months and maintained up to 12 months. Moreover, improvements in agility, activities of daily living, life function, and quality of life were also observed at 12 months. Improvements in muscle strength, walking ability, self-efficacy over an action, and activities of daily living were related to the improvement in quality of life. [Conclusion] The use of individualized exercise programs developed by physiotherapists led to improvements in activities of daily living and quality of life among elderly in need of care. PMID:27512243

  9. A anemia nutricional entre gestantes atendidas em centros de saúde do Estado de São Paulo (Brasil Nutritional anaemia in pregnant women attending health centers in S. Paulo State (Brazil

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    Sophia Cornbluth Szarfarc

    1985-10-01

    Full Text Available Com o objetivo de estimar a prevalência de anemia entre a clientela do Programa de Atendimento à Gestante (PAG, da Secretaria de Saúde do Estado de São Paulo (Brasil, e de analisar o item referente à suplementação de ferro, do mesmo programa, estudaram-se os prontuários de 4.539 gestantes, matriculadas nos PAGs de 15 Centros de Saúde (CS, escolhidos através de amostragem, probabilística. Observou-se anemia (hemoglobina - Hb - In order to estimate the prevalence of anaemia among pregnant women receiving attention at the "Program of Attention to Pregnant Women" (PAG of the Secretariat of Health of the State of S. Paulo, and also with a view to analysing the item of PAG referring to iron supplementation, a probabilist sample of 4539, drawn from 15 Health Centers (HC, was studied. Anaemia was observed in 35.1% of the women (Hb < 11.0 g/dl, suggesting that iron deficiency is a considerable public health problem for the sample population. Based on these results the introduction of Hb determination as part of the "PAG" routine is suggested. Results should be related to gestational age. It is also suggested that, in some HC, efficiency of iron supplementation be evaluated.

  10. Esporotricosis en pacientes que acuden a un centro médico de referencia, en Abancay, Perú Sporotrichosis in patients attending a reference center in Abancay, Perú

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    Max Carlos Ramírez-Soto

    2011-09-01

    Full Text Available Se realizó un estudio descriptivo entre mayo y agosto de 2008 en el Centro Médico Santa Teresa de la ciudad de Abancay, departamento de Apurimac, Perú. Se incluyó a 33 pacientes con sospecha clínica de esporotricosis; se identificó por cultivo la presencia del Sporothrix schenckii en 20 pacientes. Once casos (55 % fueron de sexo masculino, mientras que el grupo más afectado fue el de niños de 0 a 14 años. El 60 % de las lesiones fueron cutánea fijas ubicadas con mayor frecuencia en la cabeza y cuello (40 %. El 55 % tuvo un tiempo de evolución menor o igual a un mes. La presentación de esporotricosis en población pediátrica, con compromiso de cabeza y cuello, debe considerarse en el diagnóstico diferencial de lesiones cutáneas de pacientes provenientes de zonas endémicas.A descriptive study was conducted between the months of May and August 2008 in Santa Teresa Medical Center, Abancay. Of 33 patients clinically suspected with Sporotrichosis: 20 patients were identified with Sporothrix schenckii. 11 (55% of patients were males. Children between 0 and 14 years were most affected. 60% of the lesions were fixed cutaneous being more frequent in the head and neck (40%. 55% had lessions for less than one month. In pediatric population with involvement of head and neck, Sporotrichosis should be considered in the differential diagnosis of skin lesions of patients from endemic areas.

  11. Pre-school manager training: a cost-effective tool to promote nutrition- and health-related practice improvements in the Irish full-day-care pre-school setting.

    LENUS (Irish Health Repository)

    Johnston Molloy, Charlotte

    2013-10-18

    To evaluate the impact on nutrition- and health-related practice of two methods of delivery of a nutrition and health intervention in Irish full-day-care pre-schools: training of pre-school managers only or training of managers and their staff.

  12. A Bibliography of Canadian Day Care Research. Report of the Task Force on Child Care: Series 6 = Bibliographie des etudes sur la garde des enfants au Canada. Rapport du groupe d'etude sur la garde des enfants.

    Science.gov (United States)

    Pence, Alan R.

    Part of an effort to provide detailed analyses of issues of special relevance to child care and parental leave policies and the effects of these issues on the changing Canadian family, this volume, the last in a series of six, provides a bibliography of Canadian day care research. (RH)

  13. Cárie dentária e práticas alimentares entre crianças de creches do município de São Paulo Dental caries and food practices among children attending daycare centers in the city of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Adriana Manrubia Biral

    2013-02-01

    Full Text Available OBJETIVO: Este estudo tem como objetivo avaliar associações entre a cárie dentária e a introdução de alimentos complementares em crianças de 11 a 34 meses matriculadas em creches. MÉTODOS: Trata-se de estudo transversal com 288 crianças de oito creches do município de São Paulo, realizado em 2007. Para o diagnóstico da cárie dentária foi utilizado o Índice de Cárie Modificado, que foi investigado por uma equipe de três cirurgiãs-dentistas treinadas quanto à precisão e acurácia. A introdução de alimentos foi avaliada por meio de questionário pré-codificado e pré-testado. Para quantificar as associações foi utilizado o teste Quiquadrado. Para análise multivariada foram ajustados modelos de regressão logística (pOBJECTIVE: The present study investigated associations between the prevalence of dental caries and introduction of complementary foods in children aged 11 to 34 months attending daycare centers. METHODS: This cross-sectional study included 288 children from eight daycare centers in São Paulo, 2007. The modified decay-missing-filled index, used for diagnosis, was investigated by a team of three trained dentists aiming at precision and accuracy. Food introduction was assessed using a pre-codified and pre-tested questionnaire. The Chisquare test was used to quantify associations and logistic regression models (p<0.05 were adjusted for multivariate analysis. RESULTS: The sample consisted of 228 children aged 11 to 34 months (M=24 months, SD=6.02. Of these, 53.9% were male and 57.45% attended philanthropic daycare centers. Seventy-seven percent of the sample had modified decay-missing-filled index ≥1 and the average modified decay-missing-filled index of the population is 3.8. Significant risk factors according to modified decay-missing-filled index were being male (OR=1.815, p=0.03 and paternal formal education of less than eight years (OR=1.94, p=0.02. The logistic regression model identified the exposure to

  14. Focal epilepsies in adult patients attending two epilepsy centers

    DEFF Research Database (Denmark)

    Gilioli, Isabella; Vignoli, Aglaia; Visani, Elisa

    2012-01-01

    PURPOSE: To classify the grade of antiepileptic drug (AED) resistance in a cohort of patients with focal epilepsies, to recognize the risk factors for AED resistance, and to estimate the helpfulness of "new-generation" AEDs. METHODS: We included 1,155 adults with focal epilepsies who were observe...

  15. Application of hospital management model to the management of nurse attendants%医院化管理在护工管理中的应用效果分析

    Institute of Scientific and Technical Information of China (English)

    吴兰青; 浦美华; 陈月琴

    2015-01-01

    -agement model in the management of nurse attendants has standardized the behavior of day care attendance in the hospital and improved the quality of nursing service of nurse attendants and patient satisfaction.

  16. On the Practice of Day Care Institution for the Aged Based on the Mode of Community Care---The Case Study of Some Institutions in Shenzhen%社区照顾模式下老年人日间照顾机构建设--以深圳为例

    Institute of Scientific and Technical Information of China (English)

    闻瑶; 马奎

    2014-01-01

    人口老龄化为社会中每个家庭都带来了巨大的赡养压力,老年人日间照顾机构则为减轻这一压力提供了新的视角。深圳作为我国社会工作服务的先驱地域,其机构的实践经验可以为日间服务机构的建设提供有益参考。对老年人日间照顾机构服务而言,首先需要拓展服务对象,提高社区照顾模式下老年人日间照顾机构的认可度;其次,在政府支持的同时,也要进行市场化,连结社区支持网络,整合社会资源,提高非正式照顾者的参与度;依据服务需求设计服务项目;通过多种渠道筹集资金以支持养老服务可持续发展;建立服务评估体系,要有一套行之有效可操作可测量的方案,来规范老年人日间照顾服务。%The service for the aged has attracted more and more attention .Community is the best place for pro-viding their life care service , health care , and spiritual consolation .Day care for the aged which is based on the mode of community care is conducted to let the elderly obtain the most comprehensive services and care in a fa-miliar environment of community , by taking the elderly to community care center during the daytime .Since Shenzhen has the front -runner status on people's livelihood services and social work , to summarize the experi-ence of the elderly day care institutions in Shenzhen is undoubtedly of great significance .The research proves that , the elderly day care institutions need to expand service objects , and improve recognition of the institution;they need to integrate social resources , increase the participation of the informal caregivers , and design services projects according to the service demands; they need to raise funds from various sources , support sustainable development of the pension services;they also need to establish evaluation system for the service , and standard-ize it.

  17. Swaziland's Traditional Birth Attendants Survey.

    Science.gov (United States)

    Lech, M M; Mngadi, T P

    2005-12-01

    The Traditional Birth Attendants (TBAs) Survey in Swaziland was undertaken between March 27th 1996 and April 8th 1996. The objective of the survey was to generate reliable information regarding activities of TBAs in Swaziland. The survey was conducted in 25 Chiefdoms sampled out of a total of 206 Chiefdoms registered in Swaziland. The total number of sampled respondents in the 25 Chiefdoms was 721. From the survey, it is estimated that there were probably 3000 TBAs in the country, and in the majority of cases such TBAs would be a 51-year old woman who herself had delivered six children and had worked as a TBA for at least 10 years. Between 9,000 and 12,000 deliveries are estimated to take place out of health facilities. Of these many, nearly 43.5% are assisted by "TBAs"; 16.3% of woman interviewed deliver relative/family member and 15.1% are assisted by friends/neighbours, etc. Some of TBAs carry out procedures which are considered to be potentially harmful. Nearly 30% of TBAs have administered herbs; 45% attend to abnormal deliveries (breech and multiple pregnancies); 26.7% re-use their cord cutting tools and in the case of haemorrhage 23.4% do manual procedures within reproductive tract of delivering women.

  18. Introdução de alimentos industrializados e de alimentos de uso tradicional na dieta de crianças de creches públicas no município de São Paulo Introduction of processed and traditional foods to the diets of children attending public daycare centers in São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Maysa Helena de Aguiar Toloni

    2011-02-01

    Full Text Available OBJETIVO: Descrever e discutir a introdução de alimentos industrializados na dieta de crianças frequentadoras de berçários em creches, considerando a recomendação do Ministério da Saúde para uma alimentação saudável. MÉTODOS: Estudo transversal com 270 crianças frequentadoras de berçários de 8 creches públicas e filantrópicas do município de São Paulo. Por meio de questionário estruturado e pré-codificado, foi avaliada a introdução de alimentos a partir de 11 perguntas. Para cada alimento analisado foi registrada a idade em meses de introdução e avaliada a concordância com o oitavo passo do Guia Alimentar. No estudo das associações, utilizou-se o teste Qui-quadrado, a partir das variáveis idade e escolaridade maternas, renda familiar e trabalho da mãe fora do lar. RESULTADOS: Os resultados mostram que para aproximadamente 2/3 das crianças foram oferecidos, antes dos 12 meses, alimentos com potencial obesogênico, como macarrão instantâneo, salgadinhos, bolacha recheada, suco artificial, refrigerante e bala/pirulito/chocolate. São os filhos de mães com baixa escolaridade, mais jovens e com menor renda, os mais susceptíveis ao erro alimentar de introdução precoce de alimentos industrializados. CONCLUSÃO: Diante desses resultados, medidas educativas e preventivas devem ser propostas para a formação de hábitos alimentares saudáveis desde a infância, além da criação de campanhas abrangentes e efetivas que estimulem o consumo de frutas e hortaliças, considerando-se os fatores culturais, comportamentais e afetivos envolvidos com a alimentação.OBJECTIVE: This study described and discussed the introduction of processed foods to the diets of children attending the nurseries of daycare centers, considering the recommendation of the Ministry of Health for a healthy diet. METHODS: This cross-sectional study included 270 children attending nurseries of eight public and not-for-profit daycare centers in S

  19. Deficiência de ferro, prevalência de anemia e fatores associados em crianças de creches públicas do oeste do Paraná, Brasil Iron deficiency and prevalence of anemia and associated factors in children attending public daycare centers in western Paraná, Brazil

    Directory of Open Access Journals (Sweden)

    Valdete Carreira Rodrigues

    2011-06-01

    Full Text Available OBJETIVO: Avaliar o estado nutricional de ferro, a prevalência de anemia e fatores associados, em crianças de 6 a 24 meses frequentadoras de creche pública em Cascavel, Região Oeste do Paraná, Brasil. MÉTODOS: O estudo transversal foi realizado com amostra aleatória de 256 crianças. A coleta de dados (questionário, medidas antropométricas e amostras de sangue ocorreu de julho a setembro de 2007. A deficiência de ferro foi avaliada em termos de transferrina, hemoglobina, volume corpuscular médio, ferro sérico e eosinófilos. Na análise estatística dos dados foram obtidas as odds ratio bruta e ajustada (regressão logística, bem como os respectivos níveis de significância (p-valor. Para identificar diferenças significativas entre as medidas quantitativas, adotou-se a Análise de Variância e o teste de comparação múltipla de Tukey. RESULTADOS: A prevalência da anemia foi de 29,7%, sendo que 77,3% das amostras apresentaram baixa concentração de ferro. A antropometria não apontou deficiência de macronutrientes, porém mostrou obesidade acima dos índices médios. Os fatores associados à anemia e à deficiência de ferro foram: doenças frequentes na família (OR=10,02, condições de moradia (OR=5,05, tempo de creche (OR=3,05, número de moradores na residência (OR=2,83 e falta de saneamento (OR=2,20. CONCLUSÃO: A prevalência de anemia e a elevada deficiência de ferro detectada evidenciam um grave problema de saúde pública entre os pré-escolares do município de Cascavel, Paraná. Apesar da amplitude do problema, a anemia não está sendo reconhecida, prevenida e tratada adequadamente. Neste estudo são sugeridas algumas possíveis intervenções.OBJECTIVE: This study assessed the iron levels and prevalence of anemia and associated factors in children aged 6 to 24 months attending public daycare centers in Cascavel, Western Paraná, Brazil. METHODS: This cross-sectional study included 256 randomly sampled children

  20. Frequency of nutritional disorders and their risk factors among children attending 13 nurseries in São Paulo, Brazil. A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Tulio Konstantyner

    Full Text Available ABSTRACTCONTEXT AND OBJECTIVE: Nutritional disorders are associated with health problems earlier in life. The objective here was to estimate the frequency of nutritional disorders and their risk factors among children. DESIGN AND SETTING: Cross-sectional study in nurseries at 13 day-care centers in São Paulo, Brazil.METHODS: The mothers of 482 children were interviewed, with anthropometry on these children. Children whose anthropometric indices for weight and height were greater than two standard deviations were considered to have nutritional disorders.RESULTS: Children in families with lower per capita income (odds ratio [OR]: 2.25; 95% confidence interval, CI: 1.08-4.67 and who presented neonatal risk (OR 8.08; 95% CI: 2.29-28.74, had incomplete vaccinations (OR 3.44; 95% CI: 1.15-10.31 or were male (OR 3.73; 95% CI: 1.63-8.56 were more likely to be malnourished. Children in families with lower per capita income were also less likely to be overnourished (OR 0.40; 95% CI: 0.19-0.88. Children who were exclusively breastfed for less than two months (OR 2.95; 95% CI: 1.35-6.44 or who were male (OR 2.18; 95% CI: 1.02-4.65 were also at greater risk of being overnourished. Children who presented neonatal risk (OR 3.41; 95% CI: 1.04-11.23, had incomplete vaccinations (OR 3.18; 95% CI: 1.307.76, or were male (OR 2.76; 95% CI: 1.56-4.90 were more likely to have a nutritional disorder.CONCLUSIONS: Nutritional disorders remain present in children attending nurseries in São Paulo. Actions should focus on boys, children who were exclusively breastfed for less than two months and those without up-to-date vaccinations.

  1. Traditional birth attendants in Malawi

    Directory of Open Access Journals (Sweden)

    J. J. M. Smit

    1994-05-01

    Full Text Available Traditional Birth Attendants (TBAs and traditional healers form an important link in the chain of health personnel providing primary health care in Malawi. In spite of the establishment of hospitals and health centres, it is to these traditional healers and TBAs that the majority of people turn in times of sickness and child-birth. Approximately 60 percent of all deliveries in Malawi occur in the villages. It is therefore important that due regard be paid to the activities of these traditional practitioners in order to ensure the achievement of the goal - "Health for all by the year 2000". The training of TBAs is seen as part of the Maternal and Child Health Services in the country.

  2. Impact of Learners on Emergency Medicine Attending Physician Productivity

    Directory of Open Access Journals (Sweden)

    Rahul Bhat

    2014-02-01

    Full Text Available Introduction: Several prior studies have examined the impact of learners (medical students or residents on overall emergency department (ED flow as well as the impact of resident training level on the number of patients seen by residents per hour. No study to date has specifically examined the impact of learners on emergency medicine (EM attending physician productivity, with regards to patients per hour (PPH. We sought to evaluate whether learners increase, decrease, or have no effect on the productivity of EM attending physicians in a teaching program with one student or resident per attending.Methods: This was a retrospective database review of an urban, academic tertiary care center with 3 separate teams on the acute care side of the ED. Each team was staffed with one attending physician paired with either one resident, one medical student or with no learners. All shifts from July 1, 2008 to June 30, 2010 were reviewed using an electronic database. We predefined a shift as “Resident” if > 5 patients were seen by a resident, “Medical Student” if any patients were seen by a medical student, and “No Learners” if no patients were seen by a medical student or resident. Shifts were removed from analysis if more than one learner saw patients during the shift. We further stratified resident shifts by EM training level or off-service rotator. For each type of shift, the total number of patients seen by the attending physician was then divided by 8 hours (shift duration to arrive at number of patients per hour. Results: We analyzed a total of 7,360 shifts with 2,778 removed due to multiple learners on a team. For the 2,199 shifts with attending physicians with no learners, the average number of PPH was 1.87(95% confidence interval [CI] 1.86,1.89. For the 514 medical student shifts, the average PPH was 1.87(95% CI 1.84,1.90, p = 0.99 compared with attending with no learner. For the 1,935 resident shifts, the average PPH was 1.99(95% CI 1

  3. Perceptual organization at attended and unattended locations

    Institute of Scientific and Technical Information of China (English)

    HAN; Shihui; Glyn; W.; Humphreys

    2005-01-01

    This study examined the effects of attention on forming perceptual units by proximity grouping and by uniform connectedness (UC). In Experiment 1 a row of three global letters defined by either proximity or UC was presented at the center of the visual field. Participants were asked to identify the letter in the middle of stimulus arrays while ignoring the flankers. The stimulus onset asynchrony (SOA) between stimulus arrays and masks varied between 180 and 500 ms. We found that responses to targets defined by proximity grouping were slower than to those defined by UC at median SOAs but there were no differences at short or long SOAs. Incongruent flankers slowed responses to targets and this flanker compatibility effect was larger for UC than for proximity-defined flankers. Experiment 2 examined the effects of spatial precueing on discrimination responses to proximity- and UC-defined targets. The advantage for targets defined by UC over targets defined by proximity grouping was greater at uncued relative to cued locations. The results suggest that the advantage for UC over proximity grouping in forming perceptual units is contingent on the stimuli not being fully attended, and that paying attention to the stimuli differentially benefits proximity grouping.

  4. Pneumococcal carriage in children in The Netherlands: a molecular epidemiological study

    NARCIS (Netherlands)

    D. Bogaert (Debby); M.N. Engelen (Marlene); A.J. Timmers-Reker; K.P. Elzenaar; P.G. Peerbooms; R.A. Coutinho (Roel); R. de Groot (Ronald); P.W.M. Hermans (Peter)

    2001-01-01

    textabstractIn 1999, Engelen and coworkers investigated colonization in Amsterdam among 259 children attending 16 day-care centers (DCCs) and among 276 children who did not attend day-care centers (NDCCs). A 1.6- to 3.4-fold increased risk for nasopharyngeal colonization was observ

  5. A violência institucional em creches e pré-escolas sob a ótica das mães La violencia institucional en guarderías y pre-escuelas según la óptica de las madres The institutional violence in day-care and pre-schools according to mothers' view

    Directory of Open Access Journals (Sweden)

    Lana Ermelina da Silva dos Santos

    2009-02-01

    padres la proteccíondel niño y precisan conocer las maneras de protegerlo de la violencia infantil.The objective of this research is to know the institutional violence in the day-care centers and preschools by the mothers' view. It was elaborated with two approaches:quantitative and qualitative. The researcher through interview and observation made the collection of primary data, and the qualitative data werw collected by recorded interview, being made the content analysis. The results show that 23,9%of the mothers affirm that violence exists against the child; the proportion of children that didn't suffer violence in the day-care center can be considered statistically significant, when cmpared with those already suffered, independently of the time of frequency in the day-care center (p= 0,95;the mothers say they don't know the cause of the institutional violence; the physical violence appears with larger incidence; it is more frequent the mother to try to know the cause of theviolence, and the minus, to denounce to Guardian Council. It's compatible to the parents the child's protection and they need to know the ways of protecting them of the infantile violence.

  6. Construction and Management of Day-care Ward for Tumor in Prefecture-level Hospitals%地市级医院肿瘤日间病房的建设与管理

    Institute of Scientific and Technical Information of China (English)

    蒋春梅

    2015-01-01

    Objective:To discuss the construction and management of day-care ward for tumor in prefecture-level hospitals,and summarize the experience. Method:The author analyzes the results of construction,management and opera-tion of the day-care ward for tumor from Sept,2014 to June,2015. Result:The average stays in hospital decreases 44. 12%compared with that of ordinary hospitalization,the average hospitalization expenses lowers 46. 98% with 5 087 527. 2 yuan savings in medical insurance. Conclusion:The construction of day-care ward for tumor can shorten the days of hospitaliza-tion,decrease expenses, reduce the payment from medical insurance and benefit the rational distribution of hospital re-sources.%目的 探讨地市级医院肿瘤日间病房的建设与管理,总结经验. 方法 分析2014年9月至2015年6月肿瘤日间病房建立、管理及运营的效果. 结果 平均住院日较普通住院降低44. 12%,平均住院费用降低46. 98%,医保节约5 087 527. 2元. 结论 肿瘤日间病房的建设在缩短病人住院天数、降低费用的同时减轻医保支付压力,有利于医院资源的合理配置.

  7. A Study on Attendance and Academic Achievement

    DEFF Research Database (Denmark)

    Sund, Kristian J.; Bignoux, Stephane

    In this study we attempt to answer Romer’s (1993) question: “Should attendance be mandatory?” Contrary to many existing studies, we conclude that in the case of business and management programs the answer is ‘no’. In a study of over 900 undergraduate strategy students, spanning four academic years......, we examine the link between attendance and exam results. Unlike prior research on this topic, our findings show that attendance is not the best determinant of student performance. We find instead that the best determinant of student performance for third year bachelor students is their over......-all degree classification, which we see as a proxy for academic ability. We suggest that attendance may simply be a reflection of student conscientiousness, engagement and motivation. We also challenge the assumptions about gender differences found in prior research on student attendance and student...

  8. The Amsterdam Sexual Abuse Case (ASAC)-study in day care centers: longitudinal effects of sexual abuse on infants and very young children and their parents, and the consequences of the persistence of abusive images on the internet

    NARCIS (Netherlands)

    R.J.L. Lindauer; S.N. Brilleslijper-Kater; J. Diehle; E. Verlinden; A.H. Teeuw; C.M. Middeldorp; W. Tuinebreijer; T.F. Bosschaart; E. van Duin; A. Verhoeff

    2014-01-01

    Background: Little research has been done on the signs of child sexual abuse (CSA) in infants and very young children, or on the consequences that such abuse ¿ including the persistence of the abusive pornographic images on the internet ¿ might have for the children and their parents. The effects of

  9. Prevalência e fatores correlatos de infecção pelo hiv e sífilis em prostitutas atendidas em centro de referência DST/AIDS Prevalence and correlates of hiv infection and syphilis in prostitutes attending a STD/AIDS reference center

    Directory of Open Access Journals (Sweden)

    Isabel Cristina Pinheiro Pires

    1998-04-01

    Full Text Available Um estudo retrospectivo foi conduzido com análise dos prontuários médicos de prostitutas atendidas no Centro de Referência para DST/AIDS em Vitória (ES no período de janeiro de 1993 a dezembro de 1996. Durante este período, 180 mulheres receberam atendimento médico e psicológico nesta clínica. A média de idade foi de 25,9 anos (DP = 6,8. De um total de 180 mulheres, 140 concordaram em serem testadas para HIV, das quais 12 (8,6% apresentaram resultado positivo. De 157 mulheres que concordaram em serem testadas para sífilis, 13 (8,3% apresentaram o VDRL positivo. Quanto ao nível de educação, 6 mulheres (3,3% eram analfabetas, 114 (63,3% completaram o primeiro grau, 37 (20,6% estudaram até o segundo grau, 7 (3,9% estavam na universidade e 16 (8,9% não quiseram informar. Quanto ao estado civil, 141 (78,3% eram solteiras, 17 (9,4% casadas, 10 (5,5% divorciadas e 4 (2,2% viúvas. Quanto à freqüência do uso de condom, 56 (31,3% relataram que sempre usavam, 93 (52,0% às vezes e 30 (16,8% nunca usavam. Doenças sexualmente transmissíveis (DST prévias foram relatadas por 89 mulheres (49,4% e 46 (25,6% apresentavam alguma DST na ocasião da consulta. Nove mulheres (5,0% relataram uso de drogas injetáveis. Houve diferença estatisticamente significante entre o grupo com sorologia para HIV negativo e o positivo quando se comparou o uso de drogas injetáveis (p=0,031 e a infecção por sífilis (p=0,014. O presente estudo mostrou que as taxas de prevalência da infecção pelo HIV em trabalhadoras do sexo são mais altas que as encontradas na população em geral. Isto aponta para a necessidade de reforçar a assistência médica e campanhas educativas, especialmente direcionadas para esta população de mulheres, abordando a importância do uso regular do preservativo e dos riscos associados ao uso de drogas injetáveis.A retrospective study examining medical records of female prostitutes attending the STD/AIDS Reference Center in Vit

  10. Frequent attenders in out-of-hours general practice care: attendance prognosis

    DEFF Research Database (Denmark)

    Vedsted, Peter; Olesen, Frede

    1999-01-01

    OBJECTIVE: We aimed to describe the use of out-of-hours service and analyse attendance prognosis for frequent attenders and other groups of attenders, and to present a concept describing frequent attendance over time. METHODS: All adult attenders in 1990 were included in a 4-year follow-up study...... or three contacts per year. The setting was out-of-hours general practice in Aarhus County, Denmark. Data were collected from the database of the Public Health Insurance, Aarhus County. The county had approximately 600,000 inhabitants, of whom 465,000 were aged 18 years and over. The subjects were 101...

  11. Pilot nutrition and physical activity intervention for preschool children attending daycare centres (JUNJI: primary and secondary outcomes

    Directory of Open Access Journals (Sweden)

    Gabriela Salazar

    2014-05-01

    Full Text Available Introduction: A pilot intervention was conducted to promote physical activity and nutrition in public preschool education (near half a million children in Chile, in order to prevent obesity. Objective: To assess the primary (body fat and secondary outcomes (physical activity and energy intake of a nutrition and physical activity pilot intervention for preschool children, attending day care centres. Methods: A pilot intervention in six day care centres selected at random (n = 530, in 4-5 years old preschool children, Santiago, Chile intending to: provide nutritional and physical activity education to educators and health promotion activities for the family, which in turn, will affect the primary (body fat, and secondary outcomes (physical activity pattern and energy food intake were measured in a representative subsample of 120 intervened and 145 controls children. Results: In relation to secondary outcomes monitoring, moderate-vigorous activity was duplicated in the intervention group (+5.4% and +4.7%, respectively, in both obese and eutrophic children. Energy intake decreased in 11.7% in obese and 7.5% in eutrophic children. Dietary fat intake was reduced (-11 g in obese and -8.4 g in eutrophic children. Intervened obese children reduced body fat in 1.5%, meanwhile in control obese children, body fat increased 1.3% (p < 0.01. Conclusions: The pilot intervention demonstrated the feasibility to influence dietary risk factors and physical activity at the day care centres and families. Therefore, the implementation of the validated intervention program will be tested in different weather conditions, to prevent unhealthy habits in preschool children and their families.

  12. Training traditional birth attendants in southern Sudan.

    Science.gov (United States)

    Haarsager, Mary

    2008-01-01

    Traditional birth attendants are currently the principal service providers to pregnant women in southern Sudan. A training program provides education to promote maternal and newborn health as well as birth preparedness and establishes mechanisms for supportive supervision.

  13. 精神分裂症致残者的社区日间康复模式研究%Community-based Day-care Rehabilitation Model for Mental Disability Due to Schizophrenia

    Institute of Scientific and Technical Information of China (English)

    李恒; 金忠; 张鸿

    2015-01-01

    Objective To create the effective community-based day-care model of mental disability with multiple approaches. Methods 30 subjects with schizophrenia in Taoranting community in Beijing were selected in control group (n=15) and intervention group (n=15). A day-care multiple rehabilitation model had been implemented in the intervention group. They were evaluated with Positive and Negative Syndrome Scale (PANSS) and WHO Disability Assessment Schedule 2.0 (WHO-DAS 2.0). Results The scores of PANSS negative symp-tom, general psychopathological symptom and WHO-DAS 2.0 significantly reduced continually in the intervention group 8 and 12 weeks af-ter intervention (P<0.01). Conclusion Community-based day-care model can improve the rehabilitation of mental disabled people and inte-grate the community resources for the schizophrenics.%目的 为精神残疾人设计有效的社区日间多元化康复治疗.方法 选取陶然亭街道辖区内由精神分裂症导致精神残疾者30例,分为对照组和干预组各15例,进行日间多元化康复模式的对照实验研究,并使用阳性和阴性症状量表(PANSS)及世界卫生组织残疾评定方案(WHO-DAS 2.0)国际中文版评估疗效.结果 康复治疗后,干预组的PANSS阴性量表及一般精神病理量表、WHO-DAS 2.0评分持续下降,在第8周、第12周时有非常显著性差异(P<0.01).结论 社区日间多元化康复治疗模式可有效地整合社区资源,提高精神残疾康复效果.

  14. Digital technologies in Day-care institutions

    DEFF Research Database (Denmark)

    Schrøder, Vibeke; Søndergaard, Steen

    2016-01-01

    on mastering the expected cultural forms and codes with more or less enthusiasm or they take sideways, creating their own communities of playing with the cultural forms involving a playful use of body, language and technology. Taking this observation as a starting point, we will describe the different uses...... are to a large degree lacking a professional language of technologies in a pedagogical context. Going through the data-material we are getting aware of substantial different ways of using technologies by children and grown-ups. The pedagogues are using technologies to create learning environments with more...... and researchers. Theoretically the study takes its outset from a socio-material grasp of technologies, understanding technologies as a cultural force that takes part in the – pedagogical - interactions. Furthermore, we are occupied with childrens´ perspectives in the exploration of pedagogical quality of learning...

  15. Lasteaed = Day-care / Mart Kalm

    Index Scriptorium Estoniae

    Kalm, Mart, 1961-

    2013-01-01

    Lasteaedade ehitus Eestis algas 1920-ndatel aastatel. 1950-ndatest aastatest alates hakati lasteaedu ehitama tüüpprojektide järgi. Leidub ka üksikuid lasteaedu, mis pidid selle ehitanud ettevõtte jõukust ja hoolt demonstreerima

  16. Surgical audit in day care myringoplasty.

    Science.gov (United States)

    Subramaniam, S; Abdul, R

    2006-10-01

    Day-case surgery is preferred for adults, allowing post-operative fast recovery in family environment and support. Myringoplasty using the traditional method of underlay temporalis fascia or tragal perichondrium is usually performed as an in-patient. From 2003 to 2004, 22 myringoplasty procedures were performed in a dedicated day surgery unit at the Hospital Melaka. We report the retrospectively review of the outcome results of these procedures. None of the patients need admission overnight. There were no surgical or anesthetic complications noted and this series suggests that day-case surgery is a safe and desirable practice for patients undergoing myringoplasty. However, there should be the facility for admission if required.

  17. Estado nutricional e sua relação com fatores biológicos, sociais e demográficos de crianças assistidas em creches da Prefeitura do Município de São Paulo Nutritional status and relationship with biological, social and demographical issues of children attending daycare centers of the local government of the city of São Paulo

    Directory of Open Access Journals (Sweden)

    Cristina Carpentieri Zöllner

    2006-09-01

    Full Text Available OBJETIVOS: descrever os fatores associados ao estado nutricional de crianças assistidas em creches da Prefeitura do Município de São Paulo. MÉTODOS: foi selecionada amostra probabilística de crianças de 4 a 84 meses (n=556, utilizando procedimento de amostragem por conglomerados. Adotou-se o padrão de referência do National Centre for Health Statistics, para os índices peso/idade, peso/estatura e estatura/idade, considerando-se em déficit nutricional as crianças que apresentaram esses índices dois escores z abaixo do valor mediano da população de referência e sobrepeso com índice peso/estatura dois escores z acima. Foram construídos dois modelos de regressão logística multivariada para identificar quais as variáveis associa-das com o déficit de estatura e o sobrepeso. RESULTADOS: encontrou-se 5,2% de prevalência de déficit de estatura e 5,0% de sobrepeso. As variáveis número de irmãos e faixa etária da criança se associaram inversamente com os dois agravos em estudo, onde ter dois ou mais irmãos e idade inferior a dois anos é fator de risco para déficit de estatura e ter dois ou mais irmãos e idade inferior a cinco anos é fator de proteção para sobrepeso. CONCLUSÕES: verificou-se prevalência de déficit de estatura e sobrepeso acima do esperado para a população de referência, justificando intervenções nutricionais que contemplem esses dois agravos.OBJECTIVES: to describe the factors associated to the children's nutritional state assisted in day-care centers of the City hall of São Paulo Municipal district. METHODS: a probabilistic sample of 556 children between 4 and 84 months old was selected. The National Center of Health Statistics growth curve was used as the reference for the weight/age, weight/height and height/age indices. Children with indices two z scores below the median value of the reference population were considered undernourished and the ones presenting weight/height indices two z scores

  18. Perfil audiométrico de indivíduos expostos ao ruído atendidos no núcleo de saúde ocupacional de um hospital do município de Montes Claros, Minas Gerais Audiometric profile of individuals exposed to noise attended at the center for occupational health for a hospital in the municipality of Montes Claros, Minas Gerais

    Directory of Open Access Journals (Sweden)

    Rejane Noronha Leão

    2010-04-01

    Full Text Available OBJETIVO: traçar o perfil audiométrico de pacientes expostos a ruído, atendidos no Núcleo de Saúde Ocupacional da Fundação Hospitalar de Montes Claros (Hospital Aroldo Tourinho em Minas Gerais. MÉTODOS: análise de prontuários audiológicos do Núcleo de Saúde Ocupacional da Fundação Hospitalar de Montes Claros/MG de trabalhadores expostos a ruído ocupacional no período de junho a dezembro de 2006. RESULTADOS: a amostra de prontuários caracterizou-se por predominância do sexo masculino (98,3%, com média de 34,7 anos idade. Dos dados obtidos: 37,9% dos trabalhadores não usavam nenhum tipo de protetor auditivo; 19,8% dos trabalhadores foram expostos a um ou mais agente químico; 17% descreveram alguma queixa auditiva; 6,3% usavam algum medicamento; 7,4% citaram doenças prévias; 6,7% relataram deficientes auditivos na família. Identificou-se que 13,2% dos trabalhadores apresentaram perda auditiva na orelha direita (31,8% destas perdas auditivas foram sugestivas de perda auditiva induzida por níveis elevados de pressão sonora e 15,5% na orelha esquerda (36,77% destas perdas auditivas foram sugestivas de perda auditiva induzida por níveis elevados de pressão sonora. CONCLUSÃO: nesta pesquisa houve uma alta prevalência de alterações audiométricas sugestivas de perda auditiva induzida por níveis elevados de pressão sonora, com predomínio maior de perdas auditivas na orelha esquerda. Também houve diferenças significantes em relação à exposição diária dos trabalhadores ao ruído, ao ruído extra-ocupacional e às funções desempenhadas pelos trabalhadores. Além disso, é preocupante o uso insuficiente e inadequado do equipamento de proteção individual auricular por parte dos trabalhadores expostos ao ruído.PURPOSE: to draw the audiometric profile of patients exposed to noise, attended the Center for Occupational Health Foundation's Hospital of Montes Claros (Aroldo Tourinho Hospital in Minas Gerais. METHODS

  19. Religious Affiliation, Religious Service Attendance, and Mortality.

    Science.gov (United States)

    Kim, Jibum; Smith, Tom W; Kang, Jeong-han

    2015-12-01

    Very few studies have examined the effects of both religious affiliation and religiosity on mortality at the same time, and studies employing multiple dimensions of religiosity other than religious attendance are rare. Using the newly created General Social Survey-National Death Index data, our report contributes to the religion and mortality literature by examining religious affiliation and religiosity at the same time. Compared to Mainline Protestants, Catholics, Jews, and other religious groups have lower risk of death, but Black Protestants, Evangelical Protestants, and even those with no religious affiliation are not different from Mainline Protestants. While our study is consistent with previous findings that religious attendance leads to a reduction in mortality, we did not find other religious measures, such as strength of religious affiliation, frequency of praying, belief in an afterlife, and belief in God to be associated with mortality. We also find interaction effects between religious affiliation and attendance. The lowest mortality of Jews and other religious groups is more apparent for those with lower religious attendance. Thus, our result may emphasize the need for other research to focus on the effects of religious group and religious attendance on mortality at the same time.

  20. Socioeconomic deprivation and accident and emergency attendances

    DEFF Research Database (Denmark)

    Scantlebury, Rachel; Rowlands, Gillian; Durbaba, Stevo;

    2015-01-01

    BACKGROUND: Demand for England's accident and emergency (A&E) services is increasing and is particularly concentrated in areas of high deprivation. The extent to which primary care services, relative to population characteristics, can impact on A&E is not fully understood. AIM: To conduct...... a detailed analysis to identify population and primary care characteristics associated with A&E attendance rates, particularly those that may be amenable to change by primary care services. DESIGN AND SETTING: This study used a cross-sectional population-based design. The setting was general practices.......1, B = 547.3 [95% CI = 418.6 to 676.0]). The final model explained 34.4% of the variation in A&E attendance rates, mostly due to factors that could not be modified by primary care services. CONCLUSION: Demographic characteristics were the strongest predictors of A&E attendance rates. Primary care...

  1. Attendance and Chronic Absenteeism in Indiana: The Impact on Student Achievement. Education Policy Brief, Volume 10, Number 3, Summer 2012

    Science.gov (United States)

    Spradlin, Terry; Cierniak, Katherine; Shi, Dingjing; Chen, Minge

    2012-01-01

    This Education Policy Brief summarizes the research and data analysis completed by the Center for Evaluation and Education Policy (CEEP) on Indiana's student attendance and absenteeism data. The study was initiated by The Indiana Partnerships Center and conducted by CEEP with funding from USA Funds and State Farm. Additional partners in the study…

  2. Correlation of self-assessment with attendance in an evidence-based medicine course.

    Science.gov (United States)

    Ramirez, Beatriz U

    2015-12-01

    In previous studies, correlations between attendance and grades in lectures have given variable results and, when statistically significant, the correlation has been weak. In some studies, a sex effect has been reported. Lectures are a teacher-centered learning activity. Therefore, it appeared interesting to evaluate if a stronger correlation between attendance and grades would occur in a face-to-face "evidence-based medicine" course with few lectures and more time dedicated to active learning methods. Small-group work and peer learning were used to foster deep learning and to engage students in their own learning process. Most of the time, students worked in small groups solving contextualized problems and critically analyzing the quality of published medical literature. Peer learning was also developed in collaborative evaluations, and constant feedback was provided. Therefore, it was hypothesized that high attenders would develop a higher self-perception of learning and obtain higher marks than low attenders. Student self-perceptions of their capacity to apply evidence-based medicine were measured by the application of an online self-assessment survey, and objective learning was measured as the grades obtained in a final accumulative individual test. It was found that male students obtained higher grades and were more confident in their achievements than their female peers, despite male and female student attendance being similar. In addition, attendance was correlated with the perceived capacity to apply evidence-based medicine only in male students and was not correlated with academic outcome.

  3. 脑卒中偏瘫患者日间照料式康复疗效观察%Clinical Observation of Day Care Rehabilitation for Patients with Stroke Hemiplegia

    Institute of Scientific and Technical Information of China (English)

    黄群; 周燕芬; 林丽英

    2016-01-01

    目的 探讨对脑卒中偏瘫患者实施日间照料式康复服务的效果. 方法 对2013年5月至2014年5月出院的脑卒中偏瘫患者进行分层抽样, 研究组设为50例, 对照组设为50例. 对照组仅进行社区常规康复, 不作特殊干预; 研究组在常规治疗的基础上于社区日间照料中心接受个性化康复服务. 两组患者均在研究开始时和3个月结束时, 通过Fugl-Meyer运动及平衡功能评分、 Holden步行功能分级对患者的下肢康复情况进行评价. 结果 干预3个月后, 两组的Fugl-Meyer运动功能评分、 Fugl-Meyer平衡功能评分、 Holden步行功能分级均有明显提高 (P<0.05), 且研究组各指标均显著优于对照组 (P<0.05). 结论 实施日间照料式康复可提高脑卒中偏瘫患者的康复效果, 为更好地开展社区康复服务提供新的途径.%Objective To explore the effect of day care rehabilitation services on patients with stroke hemiplegia. Methods Patients with stroke hemiplegia discharged from May 2013 to May 2014 were classified by the stratified sampling, and 50 cases were set as study group, another 50 cases were set as control group. The special intervention was not given in the control group besides routine community rehabilitation, while the study group received individual interventions in the day care centre combined with routine rehabilitation. The two groups were assessed with Fugl-Meyer motor assessment scale, Fugl-Meyer balance assessment scale and Holden's walking function classification at the start of the study and at the end of 3 months. Results The scores of Fugl-Meyer motor assessment scale, Fugl-Meyer balance assessment scale, and Holden's functional ambulance classification in both groups showed statistically significant difference after 3 months (P<0.05), and the indicators were higher in the study group than in the control group (P<0.05). Conclusions The application of day care rehabilitation can improve the

  4. NSFC Vice President Attended IIASA Council Meeting

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    From November 6th to 10th,2011,at the invitation of the International Institute for Applied Systems Analysis(IIASA),Prof.Wang Jie,NSFC Vice President led a delegation to attend the IIASA Autumn Council Meeting.After the meeting,the delegation participated in the Mid-term Workshop of

  5. Adolescent Marijuana Use and School Attendance

    Science.gov (United States)

    Roebuck, M. Christopher; French, Michael T.; Dennis, Michael L.

    2004-01-01

    This paper explores the relationship between adolescent marijuana use and school attendance. Data were pooled from the 1997 and 1998 National Household Surveys on Drug Abuse to form a sample of 15 168 adolescents, aged 12-18 years, who had not yet complete high school. The analysis determined the role of marijuana use in adolescent school dropout…

  6. CPAFFC Delegation Attends Global Zero Summit

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    <正>CPAFFC President Chen Haosu led a delegation to attend the Global Zero Summit in Paris,France from February 2 to 4.The event aimed to promote a new phase in the"Global Zero"movement:working to reach a binding and verifiable agreement on elimination of all nuclear weapons worldwide.More than 200

  7. O campo da atenção psicossocial: formar e cuidar no Curso de Qualificação na Atenção Diária em Saúde Mental (CBAD The field of psychosocial care: training and caring in the Training Course on Day-Care in Mental Health

    Directory of Open Access Journals (Sweden)

    Pilar Belmonte

    2006-03-01

    Full Text Available Este texto se propõe a contribuir para a discussão acerca da formação de profissionais de saúde segundo os objetivos da Reforma Psiquiátrica. Para tanto, apresenta o caminho percorrido no Brasil desde o surgimento dos primeiros movimentos da Reforma no País, a construção do novo modelo assistencial vigente, alternativo ao modelo hospitalocêntrico, assim como a experiência do Curso de Qualificação na Atenção Diária em Saúde Mental (CBAD, que objetiva a formação de cuidadores em saúde mental. Discute também possíveis estratégias e propostas que garantam uma formação articulada com a prática, refletindo-se no cuidado multidisciplinar diferenciado e no alcance da maior autonomia possível da clientela atendida.This article furthers the discussion on the training of health professionals according to the guidelines of the Psychiatric Reform by reviewing the steps taken by the country from the appearance of the first reform movements until the development of the current care model, an alternative to hospital-centered models. The article also presents the experience acquired in the Training Course on Day-Care in Mental Health, whose objective is to train health care professionals in mental health. Moreover, it also discusses possible strategies and proposals for assuring that the received training also involves practice, which would be reflected in differentiated multidisciplinary care and in a possibly larger autonomy of clients.

  8. An outbreak of scalp white piedra in a Brazilian children day care Surto de piedra branca afetando os cabelos do couro cabeludo de crianças em creche brasileira

    Directory of Open Access Journals (Sweden)

    Ana Maria Roselino

    2008-10-01

    Full Text Available White piedra is a superficial mycosis caused by Trichosporon spp. that affects the hair shaft of any part of the body. It is presented an outbreak of scalp white piedra seen in 5.8% of the children frequenting a day care in Northeastern of São Paulo State, Brazil. Mycological exam and culture identified T. cutaneum in all five cases, and scanning electron microscopy of nodules around hair shaft infected by Trichosporon spp. is demonstrated comparing them with those of black piedra and with nits of Pediculous capitis.Piedra branca caracteriza-se por ser micose superficial, causada por Trichosporon spp., que compromete a haste dos pelos de qualquer região do corpo. Um surto de piedra branca, afetando os cabelos do couro cabeludo, foi registrado em 5,8% das crianças que freqüentavam uma creche na região nordeste do estado de São Paulo. Exame micológico direto e cultura identificaram T. cutaneum nas cinco crianças afetadas. Enfatiza-se a utilização da microscopia eletrônica de varredura, que mostrou nódulos circundando a haste dos cabelos infectada por Trichosporon spp., comparando-os com nódulos de Piedra nigra e com lêndeas de Pediculus capitis.

  9. Attending to Objects as Outcomes of Design Research

    DEFF Research Database (Denmark)

    Jenkins, Tom; Andersen, Kristina; Gaver, William;

    2016-01-01

    The goal for this workshop is to provide a venue at CHI for research through design practitioners to materially share their work with each other. Conversation will largely be centered upon a discussion of objects produced through a research through design process. Bringing together researchers...... as well as their physical work is a means of gaining insight into the practices and outcomes of research through design. If research through design is to continue to develop as a research practice for generating knowledge within HCI, this requires developing ways of attending to its made, material...... outcomes. The premise of this workshop is simple: We need additional spaces for interacting with and reflecting upon material design outcomes at CHI. The goal of this workshop is to experiment with such a space, and to initially do so without a strong theoretical or conceptual framing....

  10. A Students Attendance System Using QR Code

    Directory of Open Access Journals (Sweden)

    Fadi Masalha

    2014-01-01

    Full Text Available Smartphones are becoming more preferred companions to users than desktops or notebooks. Knowing that smartphones are most popular with users at the age around 26, using smartphones to speed up the process of taking attendance by university instructors would save lecturing time and hence enhance the educational process. This paper proposes a system that is based on a QR code, which is being displayed for students during or at the beginning of each lecture. The students will need to scan the code in order to confirm their attendance. The paper explains the high level implementation details of the proposed system. It also discusses how the system verifies student identity to eliminate false registrations.

  11. Non-attendance at a difficult-asthma clinic.

    Science.gov (United States)

    McDonough, Beverley; Mault, Susan

    Increasing demand for our weekly difficult-asthma clinic means routine appointments are at a premium. This led us to explore the reasons why patients failed to attend for appointments and whether contacting them by telephone within a week of their missed scheduled appointment increased attendance. Memory lapses were the most common reason for non-attendance. Telephoning non-attenders led to a two-fold increase in attendance at subsequent clinics. Non-attendance may be a reflection of poor concordance, which, in itself, may contribute to a patient's difficult asthma.

  12. CPAFFC Delegation Attends Third OLAGI Meeting

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    <正>ACPAFFC delegation led by Wang Hongqiang,deputy director general of the Department of American and Oceanian Affairs of the CPAFFC and secretary general of the China-Latin America Friendship Association,attended the Third Meeting of OLAGI(Organiacion Latinoamericana de Gobiernos Intermedios) held in La Romana,the Dominican Republic from October 18 to 20,2006 upon OLAGI’s invitation.

  13. Students Attendance Management System Based On RFID And Fingerprint Reader

    OpenAIRE

    Moth Moth Myint Thein; Chaw Myat Nweand Hla Myo Tun

    2015-01-01

    Abstract Today students class attendance is become more important part for any organizationsinstitutions. The conventional method of taking attendance by calling names or signing on paper is very time consuming and insecure hence inefficient. This paper presents the manual students attendance management into computerized system for convenience or data reliability. So the system is developed by the integration of ubiquitous computing systems into classroom for managing the students attendance ...

  14. HT-ATTENDING: Critiquing the Pharmacologic Management of Essential Hypertension

    OpenAIRE

    Miller, Perry L.; Black, Henry R.

    1983-01-01

    HT-ATTENDING is a computer system being developed to critique a physician's approach to the pharmacologic management of essential hypertension. The concept of having a computer critique a physician's plan of management (Medical Plan-Analysis) has already been implemented in ATTENDING, a system whose domain is anesthesia management. HT-ATTENDING extends this approach to a new medical domain. HT-ATTENDING's goal is 1) to assist a physician in formulating his approach to the hypertensive patient...

  15. Child-care attendance and common morbidity: evidence of association in the literature and questions of design

    Directory of Open Access Journals (Sweden)

    Barros Aluísio J. D.

    1999-01-01

    Full Text Available Papers on child-care attendance as a risk factor for acute respiratory infections and diarrhea were reviewed. There was great variety among the studies with regard to the design, definition of exposure and definition of outcomes. All the traditional epidemiological study designs have been used. The studies varied in terms of how child-care attendance in general was defined, and for different settings. These definitions differed especially in relation to the minimum time of attendance required. The outcomes were also defined and measured in several different ways. The analyses performed were not always appropriate, leading to sets of results of uneven quality, and composed of different measures of association relating different exposures and outcomes, that made summarizing difficult. Despite that, the results reported were remarkably consistent. Only two of the papers reviewed failed to show some association between child-care attendance and increased acute respiratory infections, or diarrhea. On the other hand, the magnitude of the associations reported varied widely, especially for lower respiratory infections. Taken together, the studies so far published provide evidence that children attending child-care centers, especially those under three years of age, are at a higher risk of upper respiratory infections, lower respiratory infections, and diarrhea. The studies were not consistent, however, in relation to attendance at child-care homes. Children in such settings were sometimes similar to those in child-care centers, sometimes similar to those cared for at home, and sometimes presented an intermediate risk.

  16. Class Attendance and Exam Performance: A Randomized Experiment

    Science.gov (United States)

    Chen, Jennjou; Lin, Tsui-Fang

    2008-01-01

    The determination of college students' academic performance is an important issue in higher education. Whether students' attendance at lectures affects students' exam performance has received considerable attention. The authors conduct a randomized experiment to study the average attendance effect for students who choose to attend lectures, which…

  17. 14 CFR 135.107 - Flight attendant crewmember requirement.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Flight attendant crewmember requirement... Flight Operations § 135.107 Flight attendant crewmember requirement. No certificate holder may operate an... is a flight attendant crewmember on board the aircraft....

  18. Interpreting the Influence of Community College Attendance upon Baccalaureate Attainment

    Science.gov (United States)

    Townsend, Barbara K.

    2007-01-01

    National quantitative studies examining the impact of community college attendance upon educational attainment conclude that initial attendance at a community college (as opposed to a 4-year institution) reduces the likelihood of attaining a bachelor's degree. Yet these studies, which suggest that initial attendance at a community college is not a…

  19. Feeding and oral hygiene habits of children attending daycare centres in Bangalore and their caretakers oral health knowledge, attitude and practices

    Directory of Open Access Journals (Sweden)

    S Vinay

    2011-01-01

    Full Text Available Aim: Caretakers in day-care centers play a significant role in imparting good oral hygiene practices and also extend a working relationship with parents with regard to their children′s oral health. As a result of this, caregiver′s dental knowledge, attitudes, beliefs and practices affect the child′s oral condition. Settings and Design: A descriptive cross-sectional study involved caretakers working in day-care centers of Bangalore. Fifty-two day-care centers were randomly selected from the different zones of Bangalore city, from which 246 caretakers provided consent for participation. Materials and Methods: A comprehensive, closed-ended, self-administered questionnaire was employed which was designed to collect the sociodemographic details and to evaluate the oral health knowledge, attitudes, practice of caretakers. The institutional review committee approved the study. Data were entered using SPSS 13.01. Results: Seventy-nine percent of the subjects had good knowledge of child′s tooth eruption time, clinical presentation of dental caries and the role of fluoride in caries prevention. Yet, half of the subjects found routine dental examination after all the milk teeth have erupted in the oral cavity insignificant and 41% strongly agreed that dentist should be consulted only when the child has a toothache. In spite of the good knowledge, 77% preferred to use pacifier dipped in honey/sugar if the children acted troublesome. Analogous to this, 45% gave milk/juice with sugar before the child′s nap time. Conclusions: The results of this study indicate that caretaker′s attitude toward oral health care needs is far from acceptable standards to mirror any positive impact on the children.

  20. Positively essential: traditional birth attendants in Malawi.

    Science.gov (United States)

    Stronge, Shirley

    2011-06-01

    One of the biggest challenges for healthcare professionals working in developing countries is the lack of trained personnel to carry out much needed health care provision. Shirley Stronge worked as a nurse/midwife tutor in a rural area in the north of Malawi. Millennium Development Goals four and five have focused our attention on the care required by mothers and newborns. Shirley has chosen to reflect on the role of Traditional Birth Attendants in the north of Malawi and their positive impact on maternity services in this area.

  1. Multitudes attend the Night of Science

    CERN Document Server

    2006-01-01

    The Night of Science, which took place in the Parc de la Perle du Lac in Geneva last weekend, was a great success, with 30 000 visitors attending according to the organisers. Many curious people flocked to the stands and animations until late on Saturday night and all afternoon on Sunday. The CERN stand (photo) received a great amount of interest from participants. Both kids and adults discovered the activities of the Laboratory and the data-processing revolution initiated by CERN, from the Web to the Computing Grid. Hats off to the CERN collaborators in the Communication Group and IT Department who made this event a success.

  2. Romania's Iliescu to attend World Summit on Information Society organized by UN

    CERN Multimedia

    2003-01-01

    "Romanian President Ion Iliescu will be in Geneva, December 9-11, to attend a world summit on information society, organized by the United Nations Department of Public Information. On this occasion, Iliescu will visit on Tuesday the Geneva-based European Center for Nuclear Research (CERN), where he will meet CERN General Director Luciano Maiani, as well as young Romanian researchers working there and will participate in a scientific session called The Role of Science in the Information Society" (1 page).

  3. Minor injury attendance times to the ED.

    LENUS (Irish Health Repository)

    Conlon, Ciaran

    2009-07-01

    The Health Service Executive (HSE) highlights the need for effective patient throughput and management, whilst providing appropriate staffing and therapeutic interventions. It acknowledges that patient need is integral to the development of a nurse led service and advocates planning staffing levels to reflect arrival times of patients. An observational study of all patients who presented to the emergency department in July 2005 and February 2006 was undertaken (n=7768). The study identified 1577 patients suitable for treatment by the Advanced Nurse Practitioner (ANP) in these two months, which represents 20% of all patient attendances to the ED in this time period. A data collection tool was devised collectively by the ANPs to identify appropriate patients. The findings of the study revealed that 73% of patients suitable for the ANP service presented between the hours of 0800 and 2000, of which 54% attended between 0800 and 1600 h. Sunday emerged as the busiest day in July 2005 whereas Monday was found to be the busiest day in February 2006. Friday was found to be consistently busy for both months.

  4. Students Attendance Management System Based On RFID And Fingerprint Reader

    Directory of Open Access Journals (Sweden)

    Moth Moth Myint Thein

    2015-07-01

    Full Text Available Abstract Today students class attendance is become more important part for any organizationsinstitutions. The conventional method of taking attendance by calling names or signing on paper is very time consuming and insecure hence inefficient. This paper presents the manual students attendance management into computerized system for convenience or data reliability. So the system is developed by the integration of ubiquitous computing systems into classroom for managing the students attendance using RFID and fingerprint reader. The system is designed to implement an attendance management system based on RFID and fingerprint reader which students need to use their student identification card ID and their finger ID to success the attendance where only authentic student can be recorded the attendance during the class. In this system passive RFID tag and reader pairs are used to register the student ID cards individually and fingerprint reader is used for attendance. This system takes attendance electronically with the help of the RFID and finger print device and the records of the attendance are stored in a database. Students roll call percentages and their details are easily seenvia Graphical User Interface GUI. This system will have the required databases for students attendance teachers subjects and students details. This application is implemented by Microsoft Visual Studio and Microsoft SQL Server as IDE. C language is used to implement this system.

  5. Self-Sampling for Human Papillomavirus Testing among Non-Attenders Increases Attendance to the Norwegian Cervical Cancer Screening Programme

    DEFF Research Database (Denmark)

    Enerly, Espen; Bonde, Jesper; Schee, Kristina;

    2016-01-01

    Increasing attendance to screening offers the best potential for improving the effectiveness of well-established cervical cancer screening programs. Self-sampling at home for human papillomavirus (HPV) testing as an alternative to a clinical sampling can be a useful policy to increase attendance....... To determine whether self-sampling improves screening attendance for women who do not regularly attend the Norwegian Cervical Cancer Screening Programme (NCCSP), 800 women aged 25-69 years in the Oslo area who were due to receive a 2nd reminder to attend regular screening were randomly selected and invited...... alternative for increasing cervical cancer screening coverage in Norway....

  6. 75 FR 42747 - Smart Grid Update; Notice of Commissioner and Staff Attendance at FERC/NARUC Collaborative on...

    Science.gov (United States)

    2010-07-22

    ... Energy Regulatory Commission Smart Grid Update; Notice of Commissioner and Staff Attendance at FERC/NARUC Collaborative on Smart Response Meeting July 15, 2010. The Federal Energy Regulatory Commission hereby gives.../NARUC Collaborative on Smart Response: Sacramento Convention Center, 1400 J Street, Sacramento, CA...

  7. Attending to music decreases inattentional blindness.

    Science.gov (United States)

    Beanland, Vanessa; Allen, Rosemary A; Pammer, Kristen

    2011-12-01

    This article investigates how auditory attention affects inattentional blindness (IB), a failure of conscious awareness in which an observer does not notice an unexpected event because their attention is engaged elsewhere. Previous research using the attentional blink paradigm has indicated that listening to music can reduce failures of conscious awareness. It was proposed that listening to music would decrease IB by reducing observers' frequency of task-unrelated thoughts (TUTs). Observers completed an IB task that varied both visual and auditory demands. Listening to music was associated with significantly lower IB, but only when observers actively attended to the music. Follow-up experiments suggest this was due to the distracting qualities of the audio task. The results also suggest a complex relationship between IB and TUTs: during demanding tasks, as predicted, noticers of the unexpected stimulus reported fewer TUTs than non-noticers. During less demanding tasks, however, noticers reported more TUTs than non-noticers.

  8. Estado nutricional de pacientes com esquizofrenia frequentadores do Centro de Atenção Psicossocial (CAPS do Hospital de Clínicas de Porto Alegre Nutritional status of patients with schizophrenia who attend the Psychosocial Care Center (CAPS, Hospital de Clínicas de Porto Alegre

    Directory of Open Access Journals (Sweden)

    Karine Zortéa

    2010-01-01

    acompanhamento nutricional desses pacientes, a detecção precoce de alterações associadas à exposição aos antipsicóticos, em especial a obesidade, e o registro de mudanças ao longo do curso da doença e perante exposição a diferentes apresentações, tipos e doses de antipsicóticos sejam essenciais para o entendimento mais preciso do ganho de peso.OBJECTIVE: To evaluate the nutritional status of patients with schizophrenia attended in a social rehabilitation program (CAPS. METHODS:Cross-sectional study with 40 patients diagnosed with schizophrenia, in antipsychotic use, attended in CAPS of the Hospital de Clínicas de Porto Alegre. Anthropometric measures were verified (weight, height, waist circumference, body fat percentage, blood pressure and cigarette smoking. RESULTS: The sample consisted of 65% of men. Mean of weight was 75,39 ± 15,73 kg and mean body mass index was within the parameters of overweight (26,76 ± 4,78 kg/m², 55% of the patients with overweight or obesity according to the OMS/1998 criteria. Waist circumference and body fat percentage were high in most patients (62.5% and 92.5%, respectively. In addition, there was no significant association between BMI and antipsychotics drugs (typic and atypic, clozapine. We found a correlation between duration of disease with body fat percentage (r = 0.39, p = 0.033 and education correlated with weight (r = 0.362, p = 0.046 and BMI (r = 0.372, p = 0.039. In linear regression 13% of the variability in fat percentage was explained by disease duration (r² = 0.131, B = 0.233, p = 0.049, 13% of weight variation was explained by education (r² = 0.131, B = 1.415, p = 0.046 and 13.8% of the variation in BMI was explained by education level (r² = 0.138, B = 0.411, p = 0.039. CONCLUSION: Patients showed increased levels of waist circumference, body fat percentage and overweight. Apparently, the weight gain occurs in all patients exposed to antipsychotics, independent from type of drug and clinical response, and at any

  9. Fixations to the eyes aids in facial encoding; covertly attending to the eyes does not.

    Science.gov (United States)

    Laidlaw, Kaitlin E W; Kingstone, Alan

    2017-02-01

    When looking at images of faces, people will often focus their fixations on the eyes. It has previously been demonstrated that the eyes convey important information that may improve later facial recognition. Whether this advantage requires that the eyes be fixated, or merely attended to covertly (i.e. while looking elsewhere), is unclear from previous work. While attending to the eyes covertly without fixating them may be sufficient, the act of using overt attention to fixate the eyes may improve the processing of important details used for later recognition. In the present study, participants were shown a series of faces and, in Experiment 1, asked to attend to them normally while avoiding looking at either the eyes or, as a control, the mouth (overt attentional avoidance condition); or in Experiment 2 fixate the center of the face while covertly attending to either the eyes or the mouth (covert attention condition). After the first phase, participants were asked to perform an old/new face recognition task. We demonstrate that a) when fixations to the eyes are avoided during initial viewing then subsequent face discrimination suffers, and b) covert attention to the eyes alone is insufficient to improve face discrimination performance. Together, these findings demonstrate that fixating the eyes provides an encoding advantage that is not availed by covert attention alone.

  10. Excel Center

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Citigroup,one of the World top 500 companies,has now settled in Excel Center,Financial Street. The opening ceremony of Excel Center and the entry ceremony of Citigroup in the center were held on March 31.Government leaders of Xicheng District,the Excel CEO and the heads of Asia-Pacific Region leaders of Citibank all participated in the ceremony.

  11. Erros alimentares na dieta de crianças frequentadoras de berçários em creches públicas no município de São Paulo, Brasil Errores alimentares en dietas de niños frecuentadores de nidos en guarderías públicas en el municipio de São Paulo, Brasil Dietary errors in the diet of children attending nurseries of public daycare centers in São Paulo city, Brazil

    Directory of Open Access Journals (Sweden)

    Christine Kochi Golin

    2011-03-01

    stos fueron transcriptos y analizados en el programa estadístico Epi-Info 2000. Las variables evaluadas fueron la introducción de leche no materna, introducción de alimentos y la consistencia inicial de la alimentación complementaria. RESULTADOS: La introducción de la leche no materna ocurrió en 40% de los niños hasta 3 meses y en 78% de los niños hasta 6 meses. A los 3 meses de edad, un 50% recibía líquidos no lácteos y un 15% papillas de frutas, legumbres, verduras y carnes. En la introducción de la leche no materna, 68% de los bebés recibieron leche de vaca y 31%, fórmulas infantiles. Hígado y pescado fueron los alimentos más tardíamente ofrecidos. Respecto a la consistencia de las comidas ofrecidas, el 49% fue inadecuada. CONCLUSIONES: El hecho de que los niños son frecuentadores de guarderías públicas señala la importancia de la capacitación de los profesionales que ahí actúan, y que eventualmente son los responsables de la introducción de la alimentación complementar.OBJECTIVE: To describe the dietary errors occurring when supplementary feeding is introduced and non-maternal milk is offered to children attending public daycare centers in the city of São Paulo, Brazil. METHODS: Cross-sectional and descriptive study of 255 children aged between five to 29 months. Pre-coded and structured questionnaires with open and closed questions were developed for data collection that occurred between April and November 2007. Such data were transcribed and analyzed by Epi-Info 2000 statistical software. The analyzed variables were the introduction of non-maternal milk, the introduction of foods and the initial solidity of supplementary feeding. RESULTS: The introduction of non-maternal milk occurred in 40% of children aged up to three months and in 78% up to six months. By the age of three months, approximately 50% received non-dairy liquids and 15%, strained fruits, vegetables, greens and meat. Regarding the introduction of non-maternal milk, 68% of babies

  12. Algorithm for Efficient Attendance management: Face Recognition based approach

    Directory of Open Access Journals (Sweden)

    Naveed Khan Baloch

    2012-07-01

    Full Text Available Students attendance in the classroom is very important task and if taken manually wastes a lot of time. There are many automatic methods available for this purpose i.e. biometric attendance. All these methods also waste time because students have to make a queue to touch their thumb on the scanning device. This work describes the efficient algorithm that automatically marks the attendance without human intervention. This attendance is recorded by using a camera attached in front of classroom that is continuously capturing images of students, detect the faces in images and compare the detected faces with the database and mark the attendance. The paper review the related work in the field of attendance system then describes the system architecture, software algorithm and results.

  13. Factors affecting poor attendance for outpatient physiotherapy by patients discharged from Mthatha General Hospital with a stroke

    Directory of Open Access Journals (Sweden)

    N.P. Ntamo

    2013-12-01

    Full Text Available Background: Stroke is a major cause of disability inthe world and its long term effects require adherence to physiotherapyprotocols for optimal rehabilitation. Clinical impression of data fromMthatha General Hospital (MGH Physiotherapy Department revealedthat there was poor attendance of outpatient physiotherapy by strokepatients discharged from MGH and this had negative effects on outcomesand health care costs.Objective: To determine the extent and the socio-demographic reasonsfor poor attendance for outpatient physiotherapy by stroke patients.Methods: An observational descriptive study was conducted using arandomly selected sample of 103 stroke patients from a population of 139who attended physiotherapy in MGH in 2007. Structured interviews wereconducted and SPSS was used for data analysis.Results: The majority (86% of patients did not attend physiotherapy until discharge from the Physiotherapy Department. Themajor reasons for poor attendance were lack of finances (95%, migration to other areas (36%, and living a long distance fromMGH (38%.Conclusion: Almost 9 out of 10 stroke patients fail to attend for outpatient physiotherapy because of lack of finances.Recommendation: Development of a Provincial Rehabilitation Policy with specific reference to decentralization of rehabilitationservices to address unavailability of physiotherapy services at clinics and health care centers which are proximal to the patients’residential areas is recommended.

  14. Psychosocial predictors of first attendance for organised mammography screening

    DEFF Research Database (Denmark)

    Aro, A R; de Koning, H J; Absetz, P

    1999-01-01

    not had a mass mammogram recently, but who regularly visited gynaecologists, attended for Pap smear screening, practised breast self examination, and who did not smoke. Low confidence in their own capabilities in breast cancer prevention, overoptimism about the sensitivity of mammography, and perception...... of breast cancer risk as moderate were also predictive of attendance. Expectation of pain at mammography was predictive of non-attendance. CONCLUSION: Mammography screening organised as a public health service was well accepted. A recent mammogram, high reliance on self control of breast cancer......, and an expectation of pain at mammography deterred attendance at screening. Further information about these factors and health information on screening are needed....

  15. Comparison of Quality Oncology Practice Initiative (QOPI) Measure Adherence Between Oncology Fellows, Advanced Practice Providers, and Attending Physicians.

    Science.gov (United States)

    Zhu, Jason; Zhang, Tian; Shah, Radhika; Kamal, Arif H; Kelley, Michael J

    2015-12-01

    Quality improvement measures are uniformly applied to all oncology providers, regardless of their roles. Little is known about differences in adherence to these measures between oncology fellows, advance practice providers (APP), and attending physicians. We investigated conformance across Quality Oncology Practice Initiative (QOPI) measures for oncology fellows, advance practice providers, and attending physicians at the Durham Veterans Affairs Medical Center (DVAMC). Using data collected from the Spring 2012 and 2013 QOPI cycles, we abstracted charts of patients and separated them based on their primary provider. Descriptive statistics and the chi-square test were calculated for each QOPI measure between fellows, advanced practice providers (APPs), and attending physicians. A total of 169 patients were reviewed. Of these, 31 patients had a fellow, 39 had an APP, and 99 had an attending as their primary oncology provider. Fellows and attending physicians performed similarly on 90 of 94 QOPI metrics. High-performing metrics included several core QOPI measures including documenting consent for chemotherapy, recommending adjuvant chemotherapy when appropriate, and prescribing serotonin antagonists when prescribing emetogenic chemotherapies. Low-performing metrics included documentation of treatment summary and taking action to address problems with emotional well-being by the second office visit. Attendings documented the plan for oral chemotherapy more often (92 vs. 63%, P=0.049). However, after the chart audit, we found that fellows actually documented the plan for oral chemotherapy 88% of the time (p=0.73). APPs and attendings performed similarly on 88 of 90 QOPI measures. The quality of oncology care tends to be similar between attendings and fellows overall; some of the significant differences do not remain significant after a second manual chart review, highlighting that the use of manual data collection for QOPI analysis is an imperfect system, and there may

  16. Factors influencing growth and intestinal parasitic infections in preschoolers attending philanthropic daycare centers in Salvador, Northeast Region of Brazil Crescimento linear e infecções parasitárias intestinais em pré-escolares matriculados em creches filantrópicas de Salvador, Nordeste do Brasil

    Directory of Open Access Journals (Sweden)

    Rebecca L. Lander

    2012-11-01

    Full Text Available Poor growth and intestinal parasitic infections are widespread in disadvantaged urban children. This cross-sectional study assessed factors influencing poor growth and intestinal parasites in 376 children aged three to six years in daycare centers in Salvador, in the Northeast Region of Brazil. Data was obtained from seven daycare centers on child weight, height, socio-economic status, health and intestinal parasites in stool samples. Prevalence of moderate underweight ( -2SD, wasting and stunting was 12%, 16% and 6% respectively. Socioeconomic status, birth order, and maternal weight were predictors of poor anthropometric status. Almost 30% of children were infected with more than one intestinal parasite. Helminths (17.8%, notably Trichuris trichiura (12% and Ascaris lumbricoides (10.5%, and protozoan Giardia duodenalis (13% were the most common types of parasites detected. One percent of children had hookworm and Cryptosporidium sp. and 25% had non-pathogenic protozoan cysts. Boys from families with very low socio-economic status had lower linear growth and presented a greater risk of helminth infection. Deworming is considered an alternative for reducing the prevalence of intestinal parasitic infections in this age group.Déficit de crescimento e parasitoses são comuns entre crianças residentes em periferias. Em estudo transversal com 376 pré-escolares (3-6 anos de creches em Salvador, Nordeste do Brasil, avaliamos fatores predisponentes para déficit de crescimento e parasitose. Obtiveram-se dados em sete creches sobre peso da criança, altura, nível socioeconômico, estado de saúde e parasitos em amostras de fezes. Prevalência de baixo peso (-1 -2, desnutrição e baixa estatura foram 12%, 16%, e 6%, respectivamente; nível socioeconômico, ordem de nascimento e peso materno foram preditores da antropometria. Aproximadamente 30% estavam infectados com ≥ 1 parasita. Helmintos (17.8%, notavelmente Trichuris trichiura (12% e Ascaris

  17. Cotovelo flutuante em crianças: estudo descritivo de 31 casos atendidos em centro de referência em traumatologia pediátrica Floating elbow in children: a descriptive study of 31 cases attended in a reference center for pediatric trauma

    Directory of Open Access Journals (Sweden)

    Dorotea Starling Malheiros

    2011-10-01

    Full Text Available OBJETIVO: Realizar análise descritiva de 31 casos de crianças portadoras de cotovelo flutuante atendidas em nosso serviço no período de 1994 a 2009, bem como uma revisão da literatura pertinente ao tema. MÉTODOS: Os dados foram obtidos através da análise de prontuários. Foram consideradas as variáveis: idade, gênero, lado, mecanismo, tipo de fratura, classificação, tratamento e complicações. RESULTADOS: Vinte quatro pacientes (77,4% eram do gênero masculino e sete (22,6%, do feminino. A média de idade foi de 8,5 (± 3,2 que variaram entre um e 14 anos. Houve predomínio do lado esquerdo (67,7%. O mecanismo de lesão mais comum foi queda de altura (74,2%. Todas as fraturas supracondilianas foram do tipo III de Gartland. A fratura isolada do rádio distal do tipo II de Salter-Harris foi diagnosticada em 22 (71% pacientes. As fraturas expostas ocorreram em 22 pacientes (71%. A redução incruenta e gesso para fratura fechada do rádio distal foi realizada em dois pacientes (6,45%. O tratamento conservador simultâneo para ambas as fraturas não foi empregado. Dezessete (54,8% fraturas supracondilianas foram fixadas com fios cruzados a 90° e em 14 (45,16% utilizou-se um fio intramedular associado a outro introduzido pelo epicôndilo lateral a 45°. Quanto às complicações, houve: consolidação viciosa (10%, lesão nervosa (6%, síndrome compartimental (3%, infecção de trajeto de pinos (16%. Conclusões: Trata-se de uma lesão incomum, na maioria dos casos, decorrente de trauma de alta energia. O tratamento cirúrgico de ambas as fraturas é preconizado pela maioria dos autores. A lesão do nervo ulnar foi relacionada ao método de fixação, não havendo lesão neurológica desencadeada pelo trauma inicial.OBJECTIVE: To conduct a descriptive analysis on 31 cases of children with floating elbow who were attended at our clinic between 1994 and 2009, and to review the literature relating to this topic. METHODS: Data were obtained

  18. Frecuencia de virus respiratorios y características clínicas de niños que acuden a un hospital en México Frequency of respiratory viruses and clinical characteristics in children attending a care center in Mexico City

    Directory of Open Access Journals (Sweden)

    Rosa María Wong-Chew

    2010-12-01

    Full Text Available OBJETIVO. Describir la frecuencia de virus respiratorios y características clínicas en niños con cuadros respiratorios de un hospital de tercer nivel en México. MATERIAL Y MÉTODOS. Se incluyeron niños con diagnóstico de infección respiratoria y un resultado positivo por inmunofluorescencia de enero 2004 a octubre 2006. RESULTADOS. De 986 muestras nasofaríngeas, 138 (14% fueron positivas. La frecuencia fue: 80% virus sincicial respiratorio (VSR, 8% parainfluenza 1, 5% parainfluenza3, 2% adenovirus, 2% influenza A, 1% parainfluenza 2 y 1% influenza B. CONCLUSIONES. La frecuencia de virus respiratorios fue de 14%. El VSR se identificó asociado con más frecuencia, a neumonía y bronquiolitis en menores de 3 años.OBJECTIVE. To describe the frequency of respiratory viruses and clinical characteristics in children with respiratory signs and symptoms in a tertiary care center in Mexico. MATERIAL AND METHODS. Patients with a clinical diagnosis of respiratory infection and a positive immunofluorescence result (Light Diagnostics from January 2004 to October 2006 were included. RESULTS. From the 986 nashopharyngeal samples, 138 (14% were positive by immunofluorescence. The frequency was: 80% RSV, 8% parainfluenza 1, 5% parainfluenza 3, 2% adenovirus, 2% influenza A, 1% parainfluenza 2 and 1% influenza B. CONCLUSIONS. Respiratory viruses were detected in 14% of samples tested. RSV was the most frequently identified virus and was associated with pneumonia and bronchiolitis in children younger than 3 years old.

  19. Children's School Placement in Germany: Does Kindergarten Attendance Matter?

    Science.gov (United States)

    Spiess, C. Katharina; Buchel, Felix; Wagner, Gert G.

    2003-01-01

    Examined the relationship between kindergarten attendance and seventh-grade school placement of children in West Germany, differentiating associations for children of citizens from those of immigrants' children. Found a significant relationship between kindergarten attendance and later school placement for children in immigrant households but not…

  20. Attendance Feedback in An Academic Setting: Preliminary Results

    Science.gov (United States)

    Broucek, Willard G.; Bass, William

    2008-01-01

    In the fall of 2005, the attendance behavior of 118 business students at Northern State University (NSU) was monitored in 4 classes. After 10 weeks of classes Absenteeism Feedback was given to these students. Examination of the data indicated a strong correlation between attendance and subsequent course grade. (Contains 1 table.)

  1. Researching Pupil Attending Behavior within Naturalistic Classroom Settings.

    Science.gov (United States)

    Brooks, Douglas M.; Rogers, Constance J.

    1981-01-01

    Examines the relationship between teacher attitudes toward students and visual attending behavior in the classroom. Thirty-two students were identified in four categories, subsequently labeled accepted, indifferent, concerned and rejected. Results indicated significant differences in visual attending behavior and a two-way interaction with pupil…

  2. 39 CFR 6.4 - Attendance by conference telephone call.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Attendance by conference telephone call. 6.4 Section 6.4 Postal Service UNITED STATES POSTAL SERVICE THE BOARD OF GOVERNORS OF THE U.S. POSTAL SERVICE MEETINGS (ARTICLE VI) § 6.4 Attendance by conference telephone call. For regularly scheduled meetings...

  3. Características epidemiológicas e clínicas das reações hansênicas em indivíduos paucibacilares e multibacilares, atendidos em dois centros de referência para hanseníase, na Cidade de Recife, Estado de Pernambuco Characteristics of leprosy reactions in paucibacillary and multibacillary individuals attended at two reference centers in Recife, Pernambuco

    Directory of Open Access Journals (Sweden)

    Márcia Almeida Galvão Teixeira

    2010-06-01

    -epidemiological characterization of reaction patterns is essential for managing such patients. Objective to describe the epidemiological and clinical characteristics of leprosy reactions among paucibacillary and multibacillary individuals. METHODS: In this cross-sectional study, 201 patients with histories of reactions who were attended at two reference centers for leprosy treatment were evaluated. Variables such as initial bacilloscopy, sex, age, skin phototype, origin, clinical presentation, type of treatment, type of reaction, final bacilloscopy index and time of reaction onset in relation to the treatment were evaluated. Statistical analysis was performed using simple frequencies. To calculate risk factors for multibacillary forms, univariate and multivariate analyses were performed. RESULTS: Male sex, age between 30 and 44 years, phototype V, borderline clinical form, regular treatment, type I reaction, neuritis, presence of 10 to 20 nodules and onset of the leprosy reaction during the treatment were the most frequent findings. CONCLUSIONS: Male patients predominated and were associated with greater risk of developing the multibacillary forms. Leprosy reactions occurred most frequently during the treatment. Multibacillary patients were more likely to need leprosy retreatment, and those with type I and type II reactions presented greater frequency of neuritis, lymphadenopathy, arthritis and iritis than did those with isolated reactions.

  4. Computer program for the automated attendance accounting system

    Science.gov (United States)

    Poulson, P.; Rasmusson, C.

    1971-01-01

    The automated attendance accounting system (AAAS) was developed under the auspices of the Space Technology Applications Program. The task is basically the adaptation of a small digital computer, coupled with specially developed pushbutton terminals located in school classrooms and offices for the purpose of taking daily attendance, maintaining complete attendance records, and producing partial and summary reports. Especially developed for high schools, the system is intended to relieve both teachers and office personnel from the time-consuming and dreary task of recording and analyzing the myriad classroom attendance data collected throughout the semester. In addition, since many school district budgets are related to student attendance, the increase in accounting accuracy is expected to augment district income. A major component of this system is the real-time AAAS software system, which is described.

  5. The use of positive reinforcement in conditioning attending behavior.

    Science.gov (United States)

    Walker, H M; Buckley, N K

    1968-01-01

    Individual conditioning techniques were applied in a controlled setting to increase attending behavior of an underachieving 9-yr-old male subject. The procedure involved: (1) determining a stable response pattern, (2) introducing a treatment variable to establish a high rate of task-attending behavior, (3) measuring the effect of withdrawal of the treatment variable after attaining criterion performance, and (4) transferring control to the classroom. The interval of attending behavior required for reinforcement was systematically increased from 30 sec to 600 sec as the behavior came under experimental control. Manipulating the reinforcing contingencies measurably changed the proportion of attending behavior and the frequency and duration of non-attending events. Once the behaviors were under experimental control, procedures were established to program generalization and to maintain the behavior outside the experimental setting.

  6. Managing a Bone Healthy Lifestyle After Attending Multifaceted Group Education

    DEFF Research Database (Denmark)

    Jensen, Annesofie Lunde; Lomborg, Kirsten; Langdahl, Bente Lomholt

    2016-01-01

    We examined patients with osteoporosis implementation of recommendations regarding a bone healthy lifestyle after the patients attended multifaceted osteoporosis group education (GE). Our findings suggest that GE can support and influence patients’ transfer of preventive actions. Still patients...... diagnosed with osteoporosis who attended multifaceted GE at a Danish hospital participated. Data consisted of field work and individual interviews in the participants’ everyday environment after completion of GE. After attending multifaceted GE, participants experienced increased attention to and reflected....... On the contrary, attending GE was in some cases not sufficient to overcome social and physical concerns, or to eliminate uncertainty about recommendations or to make participants identify with the osteoporosis diagnosis, which thus impeded implementation of a bone healthy lifestyle. Attending multifaceted GE can...

  7. Attendance in cancer screening programmes in Italy

    Directory of Open Access Journals (Sweden)

    Grazia Grazzini

    2008-06-01

    Full Text Available

    Background: The European Community recommends mammography, cervical and colorectal cancer screening programmes. In Italy, cancer screening programmes have been included in the Basic Healthcare Parameters (Livelli Essenziali di Assistenza since 2001. Full national coverage of a population-based organized screening programme has been planned for in Italy and is being implemented. Since 2005, the Ministry of Health - Department of Prevention has formally charged The National Centre for Screening Monitoring (Osservatorio Nazionale Screening –ONS- with monitoring and promoting screening programmes nationwide. Participation of target populations is a key indicator of the impact and efficacy of a screening programme in reducing cancer mortality.

    Methods: Attendance of invitees is one of the indicators calculated every year in the quality control of Italian screening programmes. Data collection is organized by means of a structured questionnaire, sent by ONS to the referent for data collection in each Region, who then returns the completed questionnaires to the Regional Centre. Questionnaires are then sent to the National Centre. Logical and epidemiologic checks are performed at both levels. Every year ONS publishes reports on the results of the surveys. A feasibility study for a National data warehouse based on individual records is in progress. The national survey “Multiscopo sulle famiglie” and the Passi Study (Progetti delle Aziende Sanitarie per la Salute in Italia provided additional information regarding spontaneous preventive health care activities in the Italian population.

    Results: Mammography screening: In 2006, 78.2% of Italian women aged 50-69 lived in areas where organised screening was in place (theoretical extension, however, the distribution of the screening activity is not uniform (higher in Northern/Central Italy compared with Southern

  8. Distribution center

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    Distribution center is a logistics link fulfill physical distribution as its main functionGenerally speaking, it's a large and hiahly automated center destined to receive goods from various plants and suppliers,take orders,fill them efficiently,and deliver goods to customers as quickly as possible.

  9. Attending to the reasons for attribute non-attendance in Choice Experiments

    DEFF Research Database (Denmark)

    Alemu, Mohammed Hussen; Mørkbak, Morten Raun; Olsen, Søren Bøye

    2013-01-01

    This paper focuses on behavioural reasons underlying stated attribute non-attendance in choice experiments. In order to identify and incorporate procedures for dealing with heterogeneous attribute processing strategies, we ask respondents follow-up questions regarding their reasons for ignoring...... not affect their utility. Excluding these genuine zero preferences, as the standard approach essentially does, might bias results. Other respondents claim to have ignored attributes to simplify choices. However, we find that these respondents have actually not completely ignored attributes. We argue along...

  10. Social life of people with diagnosis of schizophrenia, attended at a psychosocial care center La vida social de personas con diagnóstico de esquizofrenia: usuarios de un centro de atención psicosocial A vida social de pessoas com diagnóstico de esquizofrenia, usuárias de um centro de atenção psicossocial

    Directory of Open Access Journals (Sweden)

    Marciana Fernandes Moll

    2009-12-01

    Full Text Available This qualitative research aimed to investigate the social life of patients with a diagnosis of schizophrenia at a Psychosocial Care Center (CAPS, and identify how the therapeutic process offered by the CAPS has contributed to their social lives. The subjects of the study were patients with schizophrenia, between eighteen and forty years of age and registered at the CAPS in Uberaba, Brazil. The data were collected through a semi-structured interview. Three categories were identified: the patients' life before and after the illness, their everyday life outside CAPS and CAPS care contributing to their social life and stabilization of symptoms. The results showed that the CAPS regimen enhances treatment compliance and decreases hospitalization. However, social functioning for schizophrenic patients occurs within the family and treatment contexts. This reality evidences the need for a partnership with the Family Health Strategy and the community to improve socialization.Esta es una investigación cualitativa, cuyos objetivos fueron investigar la vida social de personas con diagnóstico de esquizofrenia, usuarias de un Centro de Atención Psicosocial (CAPS e identificar como el proceso terapéutico, ofrecido por el CAPS, colabora con la vida social de esas personas. Participaron del estudio individuos con esquizofrenia, con edades entre los 18 y 40 años, matriculados en el CAPS de Uberaba, Brasil. Se utilizó la entrevista semiestructurada que originó tres categorías: vida de los pacientes antes y después de enfermarse, cotidiano de los usuarios en el ambiente fuera del CAPS y asistencia del CAPS, colaborando en la vida social y en la estabilización de síntomas. Se detectó que la terapéutica empleada colabora para la adhesión al tratamiento y reduce las internaciones psiquiátricas, sin embargo la vida social de esas personas ocurre en el contexto familiar y en el ambiente de tratamiento. Esa realidad muestra la necesidad de trabajar en

  11. Perfil clínico-epidemiológico das doenças sexualmente transmissíveis em crianças atendidas em um centro de referência na cidade de Manaus, Amazonas, Brasil Clinical and epidemiological profile of sexually transmitted diseases in children attending a referral center in the city of Manaus, Amazonas, Brazil

    Directory of Open Access Journals (Sweden)

    Carla Barros da Rocha Ribas

    2011-02-01

    Full Text Available FUNDAMENTOS: Doenças Sexualmente Transmissíveis em crianças permanecem um problema de saúde pública pouco estudado, sendo ainda necessários esclarecimentos sobre seu manejo e a relação destas com o abuso sexual infantil. OBJETIVOS: Descrever o perfil clínico-epidemiológico das Doenças Sexualmente Transmissíveis em crianças atendidas em centro de referência na cidade de Manaus. MÉTODOS: Realizou-se estudo descritivo exploratório para verificar características clínicas, epidemiológicas e laboratoriais das Doenças Sexualmente Transmissíveis em crianças atendidas durante o período de janeiro/2003 a dezembro/2007. RESULTADOS: Foram incluídas no estudo 182 crianças que apresentavam DST. A maioria era do sexo feminino (65,4% e de cor parda; a média de idade foi de 8,5 anos; 89% eram procedentes da cidade de Manaus; os pais foram os principais acompanhantes na consulta; verruga genital foi o principal diagnóstico em ambos os sexos; e, 90,1% apresentavam apenas uma DST. CONCLUSÃO: As frequências e características clínicas das DST nas crianças do estudo não diferiram do encontrado na literatura. Embora, com base em sinais e sintomas referentes tão somente às DST nas crianças, não se tenham parâmetros fidedignos de confirmação de abuso, deve-se sempre estar alerta para esta possibilidade, visto que estas doenças podem ser sinalizadoras de ofensas sexuais, por vezes, dissimuladas e repetidas.BACKGROUND: Sexually transmitted diseases in children remain a public health concern that is relatively ignored. Further data are required on the management of these diseases and their association with child sexual abuse. OBJECTIVES: To describe the clinical and epidemiological profile of sexually transmitted diseases in children receiving care at a referral center in the city of Manaus, Amazonas, Brazil. METHODS: A descriptive, exploratory study was conducted to evaluate the clinical, epidemiological and laboratory

  12. Prevalência e fatores associados a sintomas de ansiedade em uma coorte de gestantes atendidas em um centro de saúde do município do Rio de Janeiro Prevalence of anxiety symptoms and associated factors in a cohort of pregnant women attending a health care center in the municipality of Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Daniele Marano Rocha Araújo

    2008-09-01

    socio-demographic, obstetric and nutritional data obtained using a questionnaire were treated as independent variables. The statistical analysis was performed using a multivariate Poisson regression with robust variance. RESULTS: the mean age was 25 years and mean level of schooling nine years. The prevalence of anxiety was 64.9% (95%CI: 56.7-72.5. The anxiety trait was associated with age between 18 and 24.9 years (PR=1.35; 95%CI: 1.06-1.71 and 1-8 years of schooling (PR=1.39; 95%CI: 1.11-1.73. CONCLUSIONS: it was observed that the anxiety trait was highly prevalent in this sample of pregnant women whose progress was followed at a health care center. Knowledge of the factors associated with the anxiety is of fundamental importance in allowing the health team to intervene in a timely and appropriate fashion in a pregnant woman's treatment.

  13. Profile of patients attending psychogeriatric clinic in a tertiary care setting

    Directory of Open Access Journals (Sweden)

    Suresh Neethu

    2016-01-01

    Full Text Available Background: Proportion of elderly is increasing among the total population of Kerala, and mental health problems of this group are unique. Objectives: To assess the clinical and sociodemographic profile of patients attending Psychogeriatric Clinic in a tertiary care center and to study the correlation of sociodemographic and clinical variables with psychiatric diagnoses in this population. Materials and Methods: A retrospective chart review of patients, who attended the Psychogeriatric Clinic of a tertiary care center over a period of 1 year, was done. The Institutional Ethics Committee discussed and waived clearance for the review. Results: There were 85 cases with a mean age of 69.5 years (standard deviation-7.36. Majority of them were females (56.5% and belonged to low socioeconomic status (52.9%. Comorbid physical illnesses were seen in 76.5% cases. Diagnoses were made by Junior Residents in Psychiatry and confirmed by a qualified psychiatrist, as per International Classification of Diseases-10 criteria. The most common psychiatric diagnosis was organic mental disorders (24.7%, which included dementias, delirium, and organic mood disorders. This was followed by bipolar affective disorders (22.4%, schizophrenia and related disorders (20.0%, depressive and anxiety disorders (17.6% and mental and behavioral disorders due to substance use (2.4%. Occurrence of organic psychiatric disorders showed positive correlation with age (Spearman's ρ =0.253, P = 0.02 and occurrence of hypertension (ρ =0.222, P = 0.04. Conclusions: Organic psychiatric disorders are more common in elderly patients attending a tertiary care center. Comorbid physical illnesses are seen in more than three-fourths of this population. Organic psychiatric disorders are seen more commonly with increasing age and occurrence of hypertension.

  14. Transition to skilled birth attendance: is there a future role for trained traditional birth attendants?

    Science.gov (United States)

    Sibley, Lynn M; Sipe, Theresa Ann

    2006-12-01

    A brief history of training of traditional birth attendants (TBAs), summary of evidence for effectiveness of TBA training, and consideration of the future role of trained TBAs in an environment that emphasizes transition to skilled birth attendance are provided. Evidence of the effectiveness of TBA training, based on 60 studies and standard meta-analytic procedures, includes moderate-to-large improvements in behaviours of TBAs relating to selected intrapartum and postnatal care practices, small significant increases in women's use of antenatal care and emergency obstetric care, and small significant decreases in perinatal mortality and neonatal mortality due to birth asphyxia and pneumonia. Such findings are consistent with the historical focus of TBA training on extending the reach of primary healthcare and a few programmes that have included home-based management of complications of births and the newborns, such as birth asphyxia and pneumonia. Evidence suggests that, in settings characterized by high mortality and weak health systems, trained TBAs can contribute to the Millennium Development Goal 4--a two-thirds reduction in the rate of mortality of children aged less than 14 years by 2015--through participation in key evidence-based interventions.

  15. Professional development through attending conferences: reflections of a health librarian.

    Science.gov (United States)

    Jenkins, Ruth

    2015-06-01

    In this article, guest writer Ruth Jenkins from Berkshire Heathcare Foundation Trust reflects on two conferences she attended in 2014, LILAC and SLA. Through the process of reflection, she considers the benefits that attending conferences can have to library and information professionals in the health sector. In particular, she discusses the opportunities and areas for learning and professional development that conferences can offer including evidence-based practice and current awareness, gaining new knowledge and objectivity, and networking and the unexpected benefits of conferences. Ruth also offers some practical hints and tips on ways to facilitate your attendance at conferences, including through awards and funding. H.S.

  16. Metals and Ceramics Information Center.

    Science.gov (United States)

    1982-07-01

    Information Center Box 8618 "Cameron Station (2) Ann Arbor, MI 48107 Alexandria, VA 22314 Mr. Ronald D. Brown DCASNA Chemical Propulsion Information Agency...MMh Tmnooq Pv.3wls addw S aidnm ENEfftbY AND CHEMICAL PROCESSES 10*1- R&D t-d P h nmmago * So-s Cnms. a"d W.ft l... *solid MW HmmI..s401 *we *Chmeal P o...staff have attended both the Regional and Annual DROLS Users meetings to be available to assist users of the MM4C and other IAC databses . ’I 40 Z ad C4

  17. Sustainable Biofuels Development Center

    Energy Technology Data Exchange (ETDEWEB)

    Reardon, Kenneth F. [Colorado State Univ., Fort Collins, CO (United States)

    2015-03-01

    The mission of the Sustainable Bioenergy Development Center (SBDC) is to enhance the capability of America’s bioenergy industry to produce transportation fuels and chemical feedstocks on a large scale, with significant energy yields, at competitive cost, through sustainable production techniques. Research within the SBDC is organized in five areas: (1) Development of Sustainable Crops and Agricultural Strategies, (2) Improvement of Biomass Processing Technologies, (3) Biofuel Characterization and Engine Adaptation, (4) Production of Byproducts for Sustainable Biorefining, and (5) Sustainability Assessment, including evaluation of the ecosystem/climate change implication of center research and evaluation of the policy implications of widespread production and utilization of bioenergy. The overall goal of this project is to develop new sustainable bioenergy-related technologies. To achieve that goal, three specific activities were supported with DOE funds: bioenergy-related research initiation projects, bioenergy research and education via support of undergraduate and graduate students, and Research Support Activities (equipment purchases, travel to attend bioenergy conferences, and seminars). Numerous research findings in diverse fields related to bioenergy were produced from these activities and are summarized in this report.

  18. Profile of patients attended as psychiatric emergencies at a university general hospital

    Directory of Open Access Journals (Sweden)

    Vitoria Mantoan Padilha

    Full Text Available CONTEXT AND OBJECTIVE: The prevalence of psychiatric conditions in clinical settings is high, particularly in emergency services. This is a challenge for healthcare professionals and an essential element in the functioning of the mental health network. The objective here was to describe the sociodemographic and clinical profile and the practices among patients treated psychiatrically in the Emergency Unit. DESIGN AND SETTING: Descriptive and quantitative study, conducted at Hospital das Clínicas (HC, Universidade Estadual de Campinas (Unicamp. METHODS: Sociodemographic data, reasons for attendance, diagnostic hypotheses and practices were analyzed. RESULTS: Psychiatric staff attended 1,835 cases over the study period, corresponding to 1465 patients. The patients were predominantly women (53.7% and white (79.6%; their mean age was 37 years and 41.3% lived with their parents. The commonest reasons for attendance were depressive symptoms (28.1%, agitation (23.6% and problems with psychoactive substances (19.5%. The commonest diagnoses were psychoactive substance-related disorders (23% and depressive disorders (18.5%. 31.6% of the patients were referred to healthcare centers and 29.2% to specialized outpatient clinics, while 8.2% were hospitalized. CONCLUSIONS: This study emphasizes that it is important for professionals working in emergency service to have information about the patients' profile and the main reasons that lead them to seek psychiatric care, and to establish a diagnosis that will allow proper management at the emergency service and case referral.

  19. Eating habit and other factors related to anemia in civil female flight attendant in Indonesia

    Directory of Open Access Journals (Sweden)

    Resna Nurhantika Sary

    2015-01-01

    attendant. This study aimed to identify several dominant risk factors related to anemia in female flight attendants. Method: A cross-sectional study with purposive sampling was conducted to female flight attendant who performing periodic medical check-up at the Civil Aviation Medical Center, Jakarta on May 1-152013. Data collected using structured questionnaire. The data collected were demographic data, job characteristics, the characteristics of eating habits, menstrual history, body mass index, and hemoglobin levels. Hemoglobin levels were taken from flight attendant’s medical records at the Civil Aviation Medical Center, Jakarta. Anemia defined if hemoglobin levels less than12 g/dl. Results: Out of 225 female flight attendants who did medical checkup, 185 of them age 18-46 years old who willing to participate in this study, and 28.1% of them had anemia. Frequency of eating red meat/week, total working period, type of flight, and menstruation were dominant risk factors related to anemia. The most dominant risk factor was of eating red meat/week. Flight attendant who had eat meat for 3 times or more a week compared to less than 3 times a week had 43% less riskof having anemia [adjusted relative risk (RRa = 0.57; 95% confidence interval (CI = 0.32 – 1.03; P = 0.064. Flight attendant who had heavy flow menstruation than normal flow menstruation have 3.45 times higher risk of having anemia [RRa = 3.45; P = 0.000].Conclusion: Flight attendant who had eating meat habit less than three times a week and having menstrual heavy flow has a high risk of having anemia. (Health Science Indones 2014;2:67-72Key words: anemia, flight attendant, meat, menstruation, Indonesia

  20. Professor Atta invited to attend WSIS as `eminent scientist'

    CERN Multimedia

    2003-01-01

    Ministry of Science and Technology Prof. Atta-ur-Rahman has been nominated as an "eminent scientist" to attend the roundtables during "World Summit on the Information Society (WSIS)" on December 12 (1 paragraph).

  1. 29 CFR 452.38 - Meeting attendance requirements.

    Science.gov (United States)

    2010-07-01

    ..., where over 97 percent of the members were ineligible (Wirtz v. Local 153, Glass Bottle Blowers Ass'n... Blowers Ass'n., 290 F. Supp. 965 (N.D. Cal., 1968)); attendance at each of eight meetings in the...

  2. CPAFFC Delegation Attends Annual Conference Of Australia Sister Cities Association

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    <正>At the invitation of the Australia Sister Cities Association(ASCA),the CPAFFC delegation visited Australia and attended the Annual Conference of ASCA in Devonport of Tasmania State from November 11 to 22,2006.

  3. School Attendance and Child Labor - A Model of Collective Behavior

    OpenAIRE

    Strulik, Holger

    2010-01-01

    This paper theoretically investigates how community approval or disapproval affects school attendance and child labor and how aggregate behavior of the community feeds back towards the formation and persistence of an anti- (or pro-) schooling norm. The proposed community-model continues to take aggregate and idiosyncratic poverty into account as an important driver of low school attendance and child labor. But it provides also an explanation for why equally poor villages or regions can displa...

  4. The Tracking of Referents in Discourse: Automated versus Attended Processes.

    Science.gov (United States)

    2014-09-26

    DA17583 THE TRACKING OF REFERENTS IN DISCOURSE: AUTOHATED 1/1 VERSUS ATTENDED PROCESSES (U) OREGON UNIV EUGENE DEPT OF PSYCHOLOGY T GIVON ET AL. 0 MAY...of language processing , used in early childhood or early second-language acquisition (Pidginization). This ess routinized processing mode can be...8217; . ’-, .. " . ’,,: ’, """": -. ,. Ln NCognitive Science Program II THE TRACKING OF REFERENTS IN DISCOURSE: AUTOMATED VS. ATTENDED PROCESSES by T. Givon, W. Kellogg, MI

  5. An Efficient Automatic Attendance System using Fingerprint Verification Technique

    OpenAIRE

    Chitresh Saraswat,; Amit Kumar

    2010-01-01

    The main aim of this paper is to develop an accurate, fast and very efficient automatic attendance system using fingerprint verification technique. We propose a system in which fingerprint verification is done by using extraction of minutiae technique and the system that automates the whole process of taking attendance, Manually which is a laborious and troublesome work and waste a lot of time, with its managing and maintaining the records for a period of time is also a burdensome task. For t...

  6. CAS Will Attend the 11th IFAN International Conference

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    @@ IFAN (The International Federation of Standards Users), together with NKN (Normalisatie Kringen Nederland) and NEN (Nederlands Normalisatie-institute), will organize the 11th IFAN International Conference on the subject of "Standardization-Awareness-Compliance"in Amsterdam, the Netherlands on 11th-12th November 2004. Leaders from industry, government, standards user organizations and standards developing organizations will attend the conference. CAS (China Association for Standardization) is going to attend the conference and have an address as an invited speaker.

  7. Identification of dietary patterns of adolescents attending public schools

    OpenAIRE

    Lucinéia de Pinho; Marise Fagundes Silveira; Ana Cristina de Carvalho Botelho; Antônio Prates Caldeira

    2014-01-01

    OBJECTIVE: to identify the dietary patterns of adolescents attending public municipal schools in Northern Minas Gerais, Brazil, and to test the association between these patterns and socioeconomic variables and nutritional status of the adolescents. METHODS: this was an analytical, cross-sectional study with randomized sample of 474 adolescents of both genders, between 11 and 17 years of age, attending municipal public schools in the urban area of Montes Claros, MG, Brazil. The parents p...

  8. [Characteristics of patients with refractory epilepsy attended in a tertiary referral center in Costa Rica].

    Science.gov (United States)

    Sanabria-Castro, A; Henriquez-Varela, F; Lara-Maier, S; Monge-Bonilla, C; Sittenfeld-Appel, M

    2016-07-16

    Introduccion. El 30% de los pacientes con epilepsia presenta convulsiones recurrentes, porcentaje que representa aproximadamente a 15 millones de personas en el mundo y constituye una poblacion escasamente descrita. Objetivo. Caracterizar sociodemografica y clinicamente la poblacion de pacientes diagnosticados con epilepsia refractaria en un hospital terciario de Costa Rica. Pacientes y metodos. Se analizan los registros medicos de los pacientes con epilepsia refractaria valorados en la unidad de epilepsia del Hospital San Juan de Dios de la Caja Costarricense del Seguro Social desde agosto de 2012 a octubre de 2014. Resultados. Se incluyen los expedientes clinicos de 91 pacientes. La edad media de inicio fue de 13,1 ± 11,1 años. Las crisis secundariamente generalizadas constituyen el tipo predominante (81,3%), la etiologia mas frecuente es la esclerosis mesial temporal (48,3%) y la mayoria de los pacientes presentaba examenes neurologicos normales y valoraciones neuro­psicologicas normales o bajas. Alrededor de la mitad (48,8%) de los pacientes habia sido medicada con un rango de 4-6 farmacos antiepilepticos, y los mas prescritos fueron lamotrigina, carbamacepina, acido valproico y fenitoina. Las principales recomendaciones en estos pacientes fueron: optimizacion de tratamiento, neurocirugia y reingreso. Se observan diferencias entre la edad de inicio y el sexo, la frecuencia de las crisis y el sexo, el tiempo de evolucion de la patologia y la cantidad de tratamientos fallidos, y el tiempo de evolucion de la enfermedad y la ocupacion. Conclusiones. Las caracteristicas sociodemograficas, el manejo de los pacientes, los farmacos antiepilepticos utilizados y las diferencias encontradas son similares a las descritas en otras latitudes.

  9. Dermatophytoses in outpatients attending the Dermatology Center of Avicenna Hospital in Qazvin, Iran.

    Science.gov (United States)

    Aghamirian, Mohammad Reza; Ghiasian, Seyed Amir

    2008-03-01

    Dermatophytosis is still being considered as one of the major public health problems in many parts of the world. To identify the prevalence and etiological agents of dermatophytoses, a study was carried out between 2004 and 2006. Out of 1023 subjects suspected to have cutaneous mycoses, 348 (34%) patients were affected with dermatophytoses. The causative agents were identified macroscopically and microscopically after the clinical samples were subjected to potassium hydroxide examination and culture isolation. Epidermophyton floccosum was the most frequently isolated species representing 32.8% of isolates, followed by T. rubrum (18.1%), T. verrucosum (17.2%), T. mentagrophytes var. interdigitale (15.8%), T. mentagrophytes var. mentagrophytes (6.6%) and T. violaceum, T. schoenleinii and Microsporum canis (0.9%). The most common type of infection was tinea cruris (31.9%) affecting in particular male patients. Some other most prevalent tinea types were tinea corporis (20.7%), tinea pedis (19%), and tinea unguium (11.2%). To the best of our knowledge, this is the first report on dermatophytoses in Qazvin and the first study that shows tinea cruris as a major type of superficial fungal infection in Iran. The frequency of tinea was higher in males and tinea cruris showed a remarkably increasing tendency and was an important public health issue in Qazvin.

  10. Disaster Preparedness Information Needs of Individuals Attending an Adult Literacy Center: An Exploratory Study

    Science.gov (United States)

    Friedman, Daniela; Tanwar, Manju; Yoho, Deborah W.; Richter, Jane V. E.

    2009-01-01

    Being prepared with accurate, credible, and timely information during a disaster can help individuals make informed decisions about taking appropriate actions. Unfortunately, many people have difficulty understanding health and risk-related resources. This exploratory, mixed methods study assessed disaster information seeking behaviors and…

  11. Pattern and Pain Assessment of Musculoskeletal Disorders Attending to Physiotherapy Services in Selected Physiotherapy Centres of Dhaka City

    OpenAIRE

    Md. Ruhul Amin; Sanjida Akhter; Kazi Afzalur Rahman

    2015-01-01

    Background: Musculoskeletal disorders are the most common causes of severe long-term pain and physical disability, affecting hundreds of millions of people around the world. Among different modalities of treatment and management for musculoskeletal pain, physiotherapy might be cost-effective. Objective: The aim of the study was to determine the pattern and pain assessment of musculoskeletal disorders attending to physiotherapy services in selected physiotherapy centers of Dhaka city. ...

  12. Utilization of traditional birth attendants in MCH care in rural Malaysia.

    Science.gov (United States)

    Yadav, H

    1987-12-01

    Training of the traditional birth attendants (TBAs) in Malaysia was preceded by a KAP study, and the results have been a tremendous improvement in maternal-child health care. Although Malaysia has an extensive health care system composed of government sponsored midwife clinics, health centers and sub-centers, regional hospitals, private general practitioners and estate clinics, which are utilized by 94% for prenatal care, 40% of women still called in TBAs for delivery. TBAs are popular because they provide a full range of traditional customs, are available locally, and well known to local women. 100 active TBAs in the Krian District, an area of 157,649 people in northwestern Malaysia, were surveyed. 89% had primary education; 76% were over 55 years of age; 82% had over 10 years of experience; 60% had received family planning training. They had favorable attitudes toward modern medicine, advised women to attend prenatal care, advised them on traditional diet, and performed such procedures as abdominal massage and heat fomentation. They tended to take all cases regardless of risk. The training consisted of practical demonstrations and flip charts for 6 consecutive saturdays conducted by public health nurses. TBAs were taken to meet staff and see hospital facilities and received a UN midwifery kit as an incentive. After training, hospital deliveries rose from 29.5% in 1976 to 35.9% in 1983; government midwives attended 40.2% compared to 23.3% of deliveries; deliveries conducted by TBAs fell from 47.2% to 19.4%; and more high risk cases were referred to hospitals. During the period maternal mortality declined from 1.46-1.98 in the 1970s to 0.84-1.09 in the 1980s.

  13. Mobile Attendance Checking System on Android Platform for Kazakhstani University

    Science.gov (United States)

    Saparkhojayev, N.; Shakhov, E.; Mailybayev, Y.

    2016-04-01

    In the 21st century-the century of Information Technology, it is difficult to imagine life without any gadgets: phones, tablets, computers, laptops, and so on. Today, smartphones and tablets are becoming popular, and thus their operating systems become popular too. Android is designed for low-power devices that run on battery power at full capacity, using all of its services, such as cameras, lights, GPS navigation, Wi-Fi, etc. In Kazakhstani universities, the process of checking students’ attendance is one of the important issues, because final grade evaluation of students is based on their total number of appearances and their grades during the whole semester. This raises the question of having some tool to control students’ attendance. There are many possible ways of controlling attendance: there are many examples when universities prefer to control attendance by the use of paper sheet, and some universities prefer to use two-stage way of controlling attendance: firstly, teachers and professors use paper sheet for checking students’ attendance and after this, they fill out these information into a system manually. However, this is not an efficient way since there will be spent much of time for calling students names and putting marks like “presence” or “absence” if the class is a lecture class, and in this class at least 5 groups are presented. Furthermore, some students may call his/her friend as “presence” nevertheless to the fact that this student is currently absent. After taking into consideration all these issues and the fact that many gadgets use Android platform, authors of the following research paper decided to create a mobile system that makes easier to check students’ attendance automatically, and this system is implemented in Almaty Management University, Kazakhstan. The system is based on Android platform, and in this paper, details of this system are presented.

  14. Evidence for a fixed capacity limit in attending multiple locations.

    Science.gov (United States)

    Ester, Edward F; Fukuda, Keisuke; May, Lisa M; Vogel, Edward K; Awh, Edward

    2014-03-01

    A classic question concerns whether humans can attend multiple locations or objects at once. Although it is generally agreed that the answer to this question is "yes," the limits on this ability are subject to extensive debate. According to one view, attentional resources can be flexibly allocated to a variable number of locations, with an inverse relationship between the number of selected locations and the quality of information processing at each location. Alternatively, these resources might be quantized in a "discrete" fashion that enables concurrent access to a small number of locations. Here, we report a series of experiments comparing these alternatives. In each experiment, we cued participants to attend a variable number of spatial locations and asked them to report the orientation of a single, briefly presented target. In all experiments, participants' orientation report errors were well-described by a model that assumes a fixed upper limit in the number of locations that can be attended. Conversely, report errors were poorly described by a flexible-resource model that assumes no fixed limit on the number of locations that can be attended. Critically, we showed that these discrete limits were predicted by cue-evoked neural activity elicited before the onset of the target array, suggesting that performance was limited by selection processes that began prior to subsequent encoding and memory storage. Together, these findings constitute novel evidence supporting the hypothesis that human observers can attend only a small number of discrete locations at an instant.

  15. Para Candidatos en Programas de Centros de Cuidado y Educacion Infantil con Bebes y "Toddlers": Asociado en Desarrollo Infantil Sistema de Evaluacion y Normas de Competencia CDA (Infant/Toddler Caregivers in Center-Based Programs: The Child Development Associate Assessment System and Competency Standards).

    Science.gov (United States)

    Council for Early Childhood Professional Recognition, Washington, DC.

    This Spanish-language booklet outlines the requirements of the Child Development Associate (CDA) credential for caregivers working in center-based infant and toddler day care programs. Part 1 provides an overview of the CDA credentialing system and the various options, settings, standards, and stages of the CDA assessment system. Part 2 explains…

  16. Para Candidatos en Programas de Centros de Cuidado y Educacion Infantil con Ninos de Edad Pre-escolar: Asociado en Desarrollo Infantil Sistema de Evaluacion y Normas de Competencia CDA (Preschool Caregivers in Center-Based Programs: The Child Development Associate Assessment System and Competency Standards).

    Science.gov (United States)

    Council for Early Childhood Professional Recognition, Washington, DC.

    This Spanish-language booklet outlines the requirements of the Child Development Associate (CDA) credential for preschool teachers or caregivers who work in center-based preschool day care programs. Part 1 provides an overview of the CDA credentialing system and the various options, settings, standards, and stages of the CDA assessment system.…

  17. Impact of drug awareness and treatment camps on attendance at a community outreach de-addiction clinic

    Directory of Open Access Journals (Sweden)

    Om Prakash Giri

    2015-01-01

    Full Text Available Background: Substance misuse is an increasing problem in urban and rural India. The utility of community-based interventions and preventive strategies are increasingly emphasized in this context. The drug de-addiction and treatment center, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, has been running a drug de-addiction and treatment clinic at Kharar Civil Hospital, Kharar, District Mohali, Punjab, since 1998. As part of an effort to enhance this community outreach program, community-based drug awareness and treatment camps have been organized since March 2004 in villages in and around Tehsil Kharar of Mohali. Aim: To study the impact of the drug awareness and treatment camps on the attendance of patients at the community outreach drug de-addiction and treatment clinic at Kharar Civil Hospital. Methods: Sociodemographic and clinical variables, including treatment outcome-related variables, of patients attending the clinic at Kharar Civil Hospital, before and after the camps were compared. Discussion and Conclusion: The study showed a positive impact on drug awareness and treatment camps held in the community on outpatient attendance at a community outreach clinic, with attendance increasing more than 1.8 times.

  18. Attendroid : An Android Application in Attendance Management System

    Directory of Open Access Journals (Sweden)

    Lorissa Joana E. Buenas

    2015-11-01

    Full Text Available This research involves an android application in attendance management system. The study sought to provide an alternative solution to the increasing demand for time management in the College of Engineering and Computing Sciences in Batangas State University ARASOF. Through the said Android application the attendance checking will be much easier, for it will reduce the roll call that takes a lot of time. It was developed to help the lecturers have sufficient time for teaching and the students for learning. The researchers used research design, development process, and programming procedures in their study. The “Attendroid”, was designed and develop using Eclipse, Java Script, Php and HTML. This application is for android phones and tablet which has portable hotspot. The android application for the students will run on 2.2versions of android and higher. The android application has gone through an evaluation to test whether the system is acceptable in terms of security, accuracy, reliability, maintainability and user-friendliness against the manual checking of attendance. The result shows that the respondents are more favorable in the Attendroid because it can be gleaned that they gave an excellent feedback to the application compared to the manual process of attendance checking. After thorough study of the old ways of attendance checking against the newly developed application, a necessity to improve the manual checking was observed, and therefore, strengthen the advantages of implementing Attendroid. Based on the result of the proposed users’ acceptability, Attendroid could become the formal attendance checking system of the College of Engineering and Computing Sciences.

  19. Weather and Tourism: Thermal Comfort and Zoological Park Visitor Attendance

    Directory of Open Access Journals (Sweden)

    David R. Perkins

    2016-03-01

    Full Text Available Weather events have the potential to greatly impact business operations and profitability, especially in outdoor-oriented economic sectors such as Tourism, Recreation, and Leisure (TRL. Although a substantive body of work focuses on the macroscale impacts of climate change, less is known about how daily weather events influence attendance decisions, particularly relating to the physiological thermal comfort levels of each visitor. To address this imbalance, this paper focuses on ambient thermal environments and visitor behavior at the Phoenix and Atlanta zoos. Daily visitor attendances at each zoo from September 2001 to June 2011, were paired with the Physiologically Equivalent Temperature (PET to help measure the thermal conditions most likely experienced by zoo visitors. PET was calculated using hourly atmospheric variables of temperature, humidity, wind speed, and cloud cover from 7 a.m. to 7 p.m. at each zoological park location and then classified based on thermal comfort categories established by the American Society of Heating and Air Conditioning Engineers (ASHRAE. The major findings suggested that in both Phoenix and Atlanta, optimal thermal regimes for peak attendance occurred within “slightly warm” and “warm” PET-based thermal categories. Additionally, visitors seemed to be averse to the most commonly occurring thermal extreme since visitors appeared to avoid the zoo on excessively hot days in Phoenix and excessively cold days in Atlanta. Finally, changes in the daily weather impacted visitor attendance as both zoos experienced peak attendance on days with dynamic changes in the thermal regimes and depressed attendances on days with stagnant thermal regimes. Building a better understanding of how weather events impact visitor demand can help improve our assessments of the potential impacts future climate change may have on tourism.

  20. Social environment and frequent attendance in Danish general practice

    DEFF Research Database (Denmark)

    Vedsted, Peter; Olesen, Frede

    2005-01-01

    inequalities in health or whether social factors in themselves determine the use of general practice. AIM: To examine if social factors are associated with frequent attendance in general practice after adjusting for physical and psychological health variables. DESIGN OF STUDY: Population-based cross...... during the period November 1997-October 1998. A questionnaire about physical, psychological and social factors was sent to the patients. The associations between social factors and frequent attendance were adjusted for physical and psychological health and tendency towards somatisation. RESULTS: A total...

  1. Child Labour or School Attendance? Evidence from Zambia

    DEFF Research Database (Denmark)

    Jensen, Peter; Nielsen, Helena Skyt

    1996-01-01

    effects in a logit model. The empirical analysis suggests that both economic and sociological variables are important determinants for the choice between school attendance and child labour. In particular, we find some support for the hypothesis that poverty forces households to keep their children away......In this paper, we investigate what affects school attendance and child labour in an LDC, using data for Zambia. Since the data come from a household survey with information on all household members, it allows us to take account of unobserved household effects by introducing household specific...

  2. Studying Absenteeism in Principles of Macroeconomics: Do Attendance Policies Make a Difference?

    Science.gov (United States)

    Self, Sharmistha

    2012-01-01

    The primary objective of this article is to see if and how attendance policy influences class attendance in undergraduate-level principles of macroeconomics classes. The second objective, which is related to the first, is to examine whether the nature of the attendance policy matters in terms of its impact on class attendance behavior. The results…

  3. Centering research

    DEFF Research Database (Denmark)

    Katan, Lina Hauge; Baarts, Charlotte

    and collected 24 portfolios in which students reflect auto-ethnographically on their educational practices. Analyzing this qualitative material, we explore how researchers and students respectively read and write to develop and advance their thinking in those learning processes that the two groups fundamentally...... share as the common aim of both research and education. Despite some similarities, we find that how the two groups engage in and benefit from reading and writing diverges significantly. Thus we have even more reason to believe that centering practice-based teaching on these aspects of research is a good...

  4. Student and Teacher Attendance: The Role of Shared Goods in Reducing Absenteeism

    DEFF Research Database (Denmark)

    Banerjee, Ritwik; King, Elizabeth; Orazem, Peter;

    2012-01-01

    A theoretical model is advanced that demonstrates that, if teacher and student attendance generate a shared good, then teacher and student attendance will be mutually reinforcing. Using data from the Northwest Frontier Province of Pakistan, empirical evidence supporting that proposition is advanced....... Controlling for the endogeneity of teacher and student attendance, the most powerful factor raising teacher attendance is the attendance of the children in the school, and the most important factor influencing child attendance is the presence of the teacher. The results suggest that one important avenue...... to be explored in developing policies to reduce teacher absenteeism is to focus on raising the attendance of children....

  5. Introverts' and Extraverts' Responses to Nonverbal Attending Behavior

    Science.gov (United States)

    Genthner, Robert W.; Moughan, James

    1977-01-01

    The different responses of introverts and extraverts to two types of helper nonverbal attending were examined. Subjects were 26 introverts and 26 extraverts, as defined by Eysenck and Eysenck's questionnaire. Introverts rated the listener higher than did extraverts, independent of his posture. (Author)

  6. Traditional Birth Attendant Training and Local Birthing Practices in India

    Science.gov (United States)

    Saravanan, Sheela; Turrell, Gavin; Johnson, Helen; Fraser, Jenny; Patterson, Carla

    2011-01-01

    Training birth attendants (TBAs) to provide essential maternal and infant health care services during delivery and ongoing community care in developing countries. Despite inadequate evidence of relevance and effectiveness of TBA training programmes, there has been a policy shift since the 1990s in that many donor agencies funding TBA training…

  7. Classroom Carbon Dioxide Concentration, School Attendance, and Educational Attainment

    Science.gov (United States)

    Gaihre, Santosh; Semple, Sean; Miller, Janice; Fielding, Shona; Turner, Steve

    2014-01-01

    Background: We tested the hypothesis that classroom carbon dioxide (CO[subscript 2]) concentration is inversely related to child school attendance and educational attainment. Methods: Concentrations of CO[subscript 2] were measured over a 3-5?day period in 60 naturally ventilated classrooms of primary school children in Scotland. Concentrations of…

  8. Canadian Indian Children Who Had Never Attended School

    Science.gov (United States)

    Wilson, Lolita

    1973-01-01

    This study was designed to compare the performance on selected intelligence tests of a group of Canadian Indian children who had never been to school with the performance of a similar group of children who were attending school regularly. (Author/RK)

  9. Student Attendance and Mobility in Minneapolis Public Schools.

    Science.gov (United States)

    Hinz, Elizabeth; Kapp, Lucy; Snapp, Sarah

    2003-01-01

    Describes how the Minneapolis Public Schools, Minnesota, identified system-wide standards and practices to help all students achieve the goal of 95 percent attendance, an especially difficult goal for highly mobile students. The Kids Mobility Study in Minneapolis documents the connection between residential mobility and student achievement and…

  10. Mobile phones improve antenatal care attendance in Zanzibar

    DEFF Research Database (Denmark)

    Lund, Stine; Nielsen, Birgitte B; Hemed, Maryam;

    2014-01-01

    BACKGROUND: Applying mobile phones in healthcare is increasingly prioritized to strengthen healthcare systems. Antenatal care has the potential to reduce maternal morbidity and improve newborns' survival but this benefit may not be realized in sub-Saharan Africa where the attendance and quality o...

  11. Attendance at Health Promotion Programs: Baseline Predictors and Program Outcomes.

    Science.gov (United States)

    Atkins, Catherine J.; And Others

    1990-01-01

    As part of a family cardiovascular health promotion project, 111 Mexican-American and 95 Anglo-American families with fifth or sixth grade children were assigned to either a primary prevention program involving 18 sessions or to a control condition. Correlates of attendance were low baseline scores on physical activity and cardiovascular fitness…

  12. 14 CFR 91.533 - Flight attendant requirements.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Flight attendant requirements. 91.533... (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Large and Turbine-Powered Multiengine Airplanes and Fractional Ownership Program Aircraft § 91.533 Flight...

  13. Keeping It Local: Geographic Patterns of University Attendance

    Science.gov (United States)

    Edwards, Daniel

    2009-01-01

    The university attendance habits of Australians, in a geographic sense, are different from those in the United States, the United Kingdom and many other western countries. Australian university students are less likely to move between major cities to study. This paper finds that in addition to this, within a large metropolitan area, university…

  14. 22 CFR 40.62 - Failure to attend removal proceedings.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Failure to attend removal proceedings. 40.62 Section 40.62 Foreign Relations DEPARTMENT OF STATE VISAS REGULATIONS PERTAINING TO BOTH NONIMMIGRANTS AND IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Illegal Entrants and Immigration...

  15. Family Income, School Attendance, and Academic Achievement in Elementary School

    Science.gov (United States)

    Morrissey, Taryn W.; Hutchison, Lindsey; Winsler, Adam

    2014-01-01

    Low family income is associated with poor academic achievement among children. Higher rates of school absence and tardiness may be one mechanism through which low family income impacts children's academic success. This study examines relations between family income, as measured by receipt of free or reduced-price lunch, school attendance, and…

  16. Attendance, Employability, Student Performance and Electronic Course Materials

    DEFF Research Database (Denmark)

    Sund, Kristian J.

    2016-01-01

    This chapter discusses the possible detrimental effects of low attendance on the achievement of important learning outcomes in terms of "soft" employability-enhancing skills among undergraduate students in business schools, and explores how the use of learning technologies may contribute to high ...

  17. The Dynamics and Correlates of Religious Service Attendance in Adolescence

    Science.gov (United States)

    Hardie, Jessica Halliday; Pearce, Lisa D.; Denton, Melinda Lundquist

    2016-01-01

    This study examines changes in religious service attendance over time for a contemporary cohort of adolescents moving from middle to late adolescence. We use two waves of a nationally representative panel survey of youth from the National Study of Youth and Religion (NSYR) to examine the dynamics of religious involvement during adolescence. We…

  18. Attending National Library Legislative Day: Why Is It Important?

    Science.gov (United States)

    Young, Robyn

    2009-01-01

    Prior to this year, the National Library Legislative Day never really held much importance for the author as a school library media specialist. However, this feeling changed after she attended her first National Library Legislative Day in May of 2008. The goal of this day is to allow everyday practicing professionals to speak with their national…

  19. Rebuilding Attendance Practices with Youth: The Role of Social Mediation

    Science.gov (United States)

    Vellos, Renira E.; Vadeboncoeur, Jennifer A.

    2015-01-01

    This article highlights the experiences of students and educators from a larger sociocultural study of participation and engagement at a senior alternative high school programme in British Columbia, Canada. Drawing on participant observation, active interviews and document analysis, school attendance was remediated as a meaningful social practice…

  20. China Affirm Attendance at 2012 Expo in Yeosu

    Institute of Scientific and Technical Information of China (English)

    Guo Liqin

    2009-01-01

    @@ China has confirmed its participation in the 2012 World Expo in Yeosu,South Korea.On October 29,Wan Jifei,director of China's Council for the Promotion of International Trade,firmly handed over the affirmation document to the visiting 2012 World Expo organizing committee.This represents the beginning of China's preparations to attend the World Expo in 2012.

  1. Motivation for and Benefits from Attending the AP Statistics Reading

    Science.gov (United States)

    Jacobbe, Tim; Hartlaub, Bradley A.; Whitaker, Douglas

    2013-01-01

    This study explores the Advanced Placement® Statistics reading as a source of professional development for teachers. The study was conducted to capture the motivation for and benefits from attending the collective grading. Research has shown that examining student work during professional development has implications for teaching. The premise of…

  2. ATTEND: Toward a Mindfulness-Based Bereavement Care Model

    Science.gov (United States)

    Cacciatore, Joanne; Flint, Melissa

    2012-01-01

    Few, if any, mindfulness-based bereavement care models exist. The ATTEND (attunement, trust, touch, egalitarianism, nuance, and death education) model is an interdisciplinary paradigm for providers, including physicians, social workers, therapists, nursing staff, and others. Using a case example to enhance the breadth and depth of understanding,…

  3. 9 CFR 3.108 - Employees or attendants.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Employees or attendants. 3.108 Section 3.108 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ANIMAL WELFARE STANDARDS Specifications for the Humane Handling, Care, Treatment,...

  4. Reducing Attendance Time in LR-EPONs With Differentiated Services

    KAUST Repository

    Elrasad, Amr

    2015-04-09

    This work presents a novel on-the-fly void filling scheme for Long-Reach EPON called Size Controlled Batch Void Filling (SCBVF). SCBVF aims at reducing the time between consecutive bandwidth grants (attendance time) and hence reducing the average delay for delay-sensitive traffic.

  5. Unnoticed professional competence and knowledge in day care work

    DEFF Research Database (Denmark)

    Warring, Niels; Ahrenkiel, Annegrethe; Nielsen, Birger Steen

    be argued that there is a pressure on these aspects of professional competence and knowledge ultimately resulting in poorer quality of work for both employees and citizens – the exact opposite of what presumably has been the goal with the steering systems. In this paper we will discuss the case of social......), communities of practice (Wenger) have been influencing the discussion on professional development. Across the different notions there is a shared view that important parts of professional competence is part of daily practices and embedded in routines, experiences, shared repertoire, etc. NPM and neoliberalism...... has had an important impact on care and health work imposing demands for documentation, standardization and evaluation. These increasing demands seem to be in contrast with the tacit and embodied parts of professional competence that not easily can be documented, standardized and evaluated. It can...

  6. Preschool Education and Day Care for Swedish Children.

    Science.gov (United States)

    Mueller, Jeanne

    A comprehensive study of the types of care provided for Swedish children is presented. The point is made that the three major frameworks which support the Swedish philosophy of early childhood education are those of Arnold Gesell, Jean Piaget, and Erik H. Erikson. From all three sources, preschool teachers learn the concept of epigenesis, the…

  7. Tracking surgical day care patients using RFID technology

    NARCIS (Netherlands)

    L.S.G.L. Wauben; A.C.P. Guédon; D.F. de Korne (Dirk); J.J. van den Dobbelsteen (John)

    2015-01-01

    markdownabstract__Abstract__ __Objective__: Measure wait times, characterise current information flow and define requirements for a technological information system that supports the patient’s journey. __Design__: First, patients were observed during eight random weekdays and the durations of act

  8. Intercultural educative strategy to Kankuamo day care workers

    Directory of Open Access Journals (Sweden)

    Marina Sánchez Sanabria

    2011-11-01

    Full Text Available This article is about an ethnographic and qualitative research aimed at identifying cultural values around babysitting in order to justify an educative program on this issue based on Kankuamo culture experience. To do so, some research tools are case study, interviewing and the community phenomena comprehension. The research process is arranged in three different stages. First, background knowledge about healthcare and nutrition according to human life cycle. Secondly, reflections on nutrition and healthcare matters and changes. Finally, interaction activities in order to spawn dynamic attitudes.

  9. College and University Summer Camps: Creative Alternatives to Day Care.

    Science.gov (United States)

    Wever, Matthew F.

    1995-01-01

    The successful summer day camp program of Saint Louis University (Missouri) is described. Program rationale, philosophy, objectives, structure, staffing, activities, and benefits to the university community are discussed. A majority of the children served by the camp are the children, ages 6 to 12, of university employees. (MSE)

  10. Neighborhood Family Day Care as a Child-Rearing Environment.

    Science.gov (United States)

    Emlen, Arthur C.

    The field study reported examined the attitudes and behavior of working mothers and their neighborhood caregivers (nonrelatives). Data were obtained from interviews with 104 mother-sitter pairs, 39 of whom were friends when the arrangement began, and 65 of whom were strangers. The dynamics of mother-sitter relations prove to be dramatically…

  11. Day Care Doesn't Encourage Weight Gain in Kids

    Science.gov (United States)

    ... Services, or federal policy. More Health News on: Obesity in Children Recent Health News Related MedlinePlus Health Topics Child Care Obesity in Children About MedlinePlus Site Map FAQs Contact Us Get ...

  12. Investigation of Ventilation Strategies for the Day-Care Institutions

    DEFF Research Database (Denmark)

    Larsen, Olena Kalyanova; Afshari, Alireza; Heiselberg, Per

    2011-01-01

    Two existing nursery buildings, a mechanically and a naturally ventilated one, were chosen for investigations of energy saving potential and IAQ, using the different from present ventilation strategies and their control principles. These investigations are carried out applying a dynamic building...... simulation tool BSim. Each building is modelled separately and each of these models is “calibrated” using the detailed experimental data. Calibrated models are then used to evaluate different ventilation strategies for these particular buildings. This paper is aimed to illustrate the differences...... in assumptions for building operation on the design stage and actual building operation. Finally, it is not argued in favour to one or another ventilation principle, but in favour of demand controlled ventilation....

  13. Day-care hypospadias surgery: Single surgeon experience

    Directory of Open Access Journals (Sweden)

    Chandrasekharam V.V.S.S

    2007-01-01

    Full Text Available Aim: To report the results of the early discharge of children after hypospadias repair with an indwelling catheter. Materials and Methods: To facilitate early the discharge of children after hypospadias repair, the author adopted the technique of draining the indwelling urinary catheter into diapers in children undergoing this operation. Home catheter care was taught to the mother; the dressings and catheters were subsequently managed in the outpatient clinic. Results: Over a 2-year period, 43 children were managed by this technique and were sent home within 24-48 h after the operation with an indwelling catheter. Minor problems requiring outpatient visits to the surgeon occurred in nine (20% children after discharge from the hospital. All the nine children were successfully managed as outpatients and no child required rehospitalisation. The catheter remained in position for 5 days in all the children. The overall results were satisfactory with an acceptable (7% fistula rate. Conclusions: It is possible to reduce the duration of the hospital stay of children after hypospadias repair without compromising on the final results.

  14. Supporting Young Learners: Ideas for Preschool and Day Care Providers.

    Science.gov (United States)

    Brickman, Nancy Altman, Ed.; Taylor, Lynn Spencer, Ed.

    The High/Scope Curriculum is a developmentally based approach to early childhood education. The curriculum's "Extensions" newsletter, in which the articles in this collection first appeared, informs curriculum users about new developments relating to the High/Scope "open framework" curriculum. The articles are presented in seven chapters. Chapter…

  15. Play and expansive learning in day care / Pentti Hakkarainen

    Index Scriptorium Estoniae

    Hakkarainen, Pentti

    1998-01-01

    Vaadeldakse, kuidas leiab aset õppimine tegevuses, mis teravalt vastandab tegeliku ja väljamõeldu ja kuidas lasteaia õpetajad lapsi õpetada püüdes seda moodust arvestavad. Analüüsitakse kahte näidet Soome lasteaia praktikas

  16. Family Day Care: A Theoretical Basis for Improving Quality.

    Science.gov (United States)

    Fischer, Jan Lockwood; Krause Eheart, Brenda

    1991-01-01

    Providers' demographic characteristics, training, support networks, business practices, and stability of services were examined relative to their caregiving practices. Results from a schematic model approach suggest correlations between some of these factors and variances in ratings of caregiver practices. (LB)

  17. Scale-up, retention and HIV/STI prevalence trends among female sex workers attending VICITS clinics in Guatemala.

    Directory of Open Access Journals (Sweden)

    Sonia Morales-Miranda

    Full Text Available BACKGROUND: Since 2007, Guatemala integrated STI clinical service with an HIV prevention model into four existing public health clinics to prevent HIV infection, known as the VICITS strategy. We present the first assessment of VICITS scale-up, retention, HIV and STI prevalence trends, and risk factors associated with HIV infection among Female Sex Workers (FSW attending VICITS clinics in Guatemala. METHODS: Demographic, behavioral and clinical data were collected using a standardized form. Data was analyzed by year and health center. HIV and STI prevalence were estimated from routine visits. Retention was estimated as the percent of new users attending VICITS clinics who returned for at least one follow-up visit to any VICITS clinic within 12 months. Separate multivariate logistic regression models were conducted to investigate factors associated with HIV infection and program retention. RESULTS: During 2007-2011 5,682 FSW visited a VICITS clinic for the first-time. HIV prevalence varied from 0.4% to 5.8%, and chlamydia prevalence from 0% to 14.3%, across sites. Attending the Puerto Barrios clinic, having a current syphilis infection, working primarily on the street, and using the telephone or internet to contact clients were associated with HIV infection. The number of FSW accessing VICITS annually increased from 556 to 2,557 (361% during the period. In 2011 retention varied across locations from 7.7% to 42.7%. Factors negatively impacting retention included current HIV diagnosis, having practiced sex work in another country, being born in Honduras, and attending Marco Antonio Foundation or Quetzaltenango clinic sites. Systematic time trends did not emerge, however 2008 and 2010 were characterized by reduced retention. CONCLUSIONS: Our data show local differences in HIV prevalence and clinic attendance that can be used to prioritize prevention activities targeting FSW in Guatemala. VICITS achieved rapid scale-up; however, a better understanding

  18. Portfolio of Outpatients Attending Centre for Urban Health, Madhya Pradesh, Central India

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    Arti Gupta

    2015-08-01

    Full Text Available Background: Knowledge on distribution and burden of diseases in a community is essential for planning of public health services. In the absence of information on morbidity profile through community-based surveys, facility-based data provide a good alternative. The aim of this study was to describe the morbidity profile of patients attending the Centre for Urban Health All India Institute of Medical Sciences (AIIMS Bhopal (CUHA. Methodology: A record-based descriptive study was carried out in the CUHA Bhopal, Madhya Pradesh, Central India. Information on age, gender, residence, new case, and principal diagnosis were extracted from the outpatient registers for the period between January 2014 and December 2014. Only newly registered patients for the study year (2014 were included. Descriptive analysis was done. Results: A total of 6685 new episodes of illnesses were treated. Adults (>15 years constituted about 85.0%. Overall, the respiratory disorders were the most common (27.2% followed by the digestive disorders (10.9%, circulatory disorders (9.9%, musculoskeletal disorders (8.8%, and infectious and parasitic disorders (7.4%. Conclusion: This study gives a brief description of the morbidity profile of patients attending a primary health care center over a period of 1 year. This knowledge would help in planning health services to meet the patients’ needs and help in training health staff.

  19. The Limited Future of the Ethos-Centered Evangelistic Crusade.

    Science.gov (United States)

    Smitter, Roger

    This paper examines the ethos-centered crusade in which the evangelist, not a doctrine or a political/social issue, becomes the reason the audience attends to the message. The paper analyses how the Billy Graham crusades fit this definition--the fame of the evangelist extends beyond any individual crusade, the message preached by the evangelist…

  20. Turkish ELT Professionals' Conference Attendance Motives: Why Do They Attend and What Do They Take Back Home?

    Science.gov (United States)

    Büyükyavuz, Oya

    2016-01-01

    Around the world many professionals attend conferences. The professionals working in the field of English language teaching (ELT) are not exceptions. Along with two major international conferences organized for ELT professionals, TESOL and IATEFL, there are a great number of other conferences organized by affiliated professional associations in…