scholarly journals The Family VOICE (Value of Information, Community Support, and Experience) Study: A Randomized Trial of Family Navigator Services Versus Usual Care for Young Children Treated With Antipsychotic Medication

2019 ◽  
Author(s):  
Gloria Reeves ◽  
Heidi Wehring ◽  
Kristin Bussell ◽  
Deborah Medoff ◽  
Thomas Tsuji ◽  
...  
Keyword(s):  
Young Children ◽  
Usual Care ◽  
Randomized Trial ◽  
Antipsychotic Medication ◽  
Value Of Information ◽  
Community Support ◽  
The Family

The Family Value of Information, Community Support, and Experience Study

2015 ◽  
Vol 203 (12) ◽  
pp. 896-900 ◽  
Author(s):  
Gloria M. Reeves ◽  
Heidi J. Wehring ◽  
Kathleen M. Connors ◽  
Kristin Bussell ◽  
Jason Schiffman ◽  
...  
Keyword(s):  
Value Of Information ◽  
Community Support ◽  
The Family

Disease in the family in terms of contemporary literature for children

2014 ◽  
Vol 4 (1) ◽  
pp. 43-54
Author(s):  
Jowita Gromysz
Keyword(s):  
Young Children ◽  
Family Environment ◽  
Contemporary Literature ◽  
The Family ◽  
The Way

Summary Disease in the family is a literary motif used by many authors. The article contains a description of various ways of representing the disease in contemporary texts for young children. Pedagogical context of reading literary narratives refers to the way the rider repons to the text ( relevance to the age of the reader, therapeutic and educational function). The analyzed texts concern hospitalization, disability of siblings, parent’s cancer. There always relate to the family environment and show the changeability of roles and functions in family.

But who Will Take Care of the Children? Childcare, Women, and Devalued Labor

1986 ◽  
Vol 168 (3) ◽  
pp. 46-69 ◽  
Author(s):  
Kathy Modigliani
Keyword(s):  
Young Children ◽  
Social Economic ◽  
Teacher Shortage ◽  
Well Being ◽  
Comparable Worth ◽  
High Demand ◽  
The Family ◽  
Career Options ◽  
Childcare Center ◽  
Alternative Solutions

This paper considers the salaries, status, and working conditions of childcare employees. A survey of all childcare center workers in one community, and interviews with others from around the country, suggest that wages in this field are low and fringe benefits are rare. Workers' frustrations with compensation and lack of opportunity for advancement are balanced by their strong satisfaction gained from working with young children and their parents. But today's high demand for additional providers, together with new career options for women, has produced a teacher shortage that threatens the well-being of young children. Women's pay inequity, the devaluation of young children, and the privatization of the family are explored as social, economic and cultural factors which contribute to the problem. Alternative solutions are considered, including government subsidies for childcare wages and fees; fee increases for high-income parents-, unionization; comparable worth efforts-, and worker-parent-employer-community advocacy.

scholarly journals Effect of diabetes self-management education on glycaemic control among type 2 diabetic patients at a family medicine clinic in Kenya: A randomised controlled trial

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Catherine W. Gathu ◽  
Jacob Shabani ◽  
Nancy Kunyiha ◽  
Riaz Ratansi
Keyword(s):  
Family Medicine ◽  
Usual Care ◽  
Primary Outcome ◽  
Self Management ◽  
Diabetic Patients ◽  
Educational Approach ◽  
Medicine Clinic ◽  
The Family

Background: Diabetes self-management education (DSME) is a key component of diabetes care aimed at delaying complications. Unlike usual care, DSME is a more structured educational approach provided by trained, certified diabetes educators (CDE). In Kenya, many diabetic patients are yet to receive this integral component of care. At the family medicine clinic of the Aga Khan University Hospital (AKUH), Nairobi, the case is no different; most patients lack education by CDE.Aim: This study sought to assess effects of DSME in comparison to usual diabetes care by family physicians.Setting: Family Medicine Clinic, AKUH, Nairobi.Methods: Non-blinded randomised clinical trial among sub-optimally controlled (glycated haemoglobin (HbA1c) ≥ 8%) type 2 diabetes patients. The intervention was DSME by CDE plus usual care versus usual care from family physicians. Primary outcome was mean difference in HbA1c after six months of follow-up. Secondary outcomes included blood pressure and body mass index.Results: A total of 220 diabetes patients were screened out of which 140 met the eligibility criteria and were randomised. Around 96 patients (69%) completed the study; 55 (79%) in the DSME group and 41 (59%) in the usual care group. The baseline mean age and HbA1c of all patients were 48.8 (standard deviation [SD]: 9.8) years and 9.9% (SD: 1.76%), respectively. After a 6-month follow-up, no significant difference was noted in the primary outcome (HbA1c) between the two groups, with a mean difference of 0.37 (95% confidence interval: -0.45 to 1.19; p = 0.37). DSME also made no remarkable change in any of the secondary outcome measures.Conclusion: From this study, short-term biomedical benefits of a structured educational approach seemed to be limited. This suggested that offering a short, intensified education programme might have limited additional benefit above and beyond the family physicians’ comprehensive approach in managing chronic conditions like diabetes.

scholarly journals Pertussis in a child of the first month of life from family contact

2021 ◽  
Vol 13 (2) ◽  
pp. 149-153
Author(s):  
O. V. Iozefovich ◽  
S. M. Kharit ◽  
E. I. Bobova ◽  
E. A. Budnikova
Keyword(s):  
Young Children ◽  
Pregnant Women ◽  
Clinical Observation ◽  
Whooping Cough ◽  
Pertussis Infection ◽  
Early Stages ◽  
Parents And Children ◽  
The Family ◽  
The Face ◽  
Family Contact

A case of whooping cough in a moderate form in a child of the first month of life is described in the presented clinical observation. The moderate form was manifested by the duration of the preconvulsive period up to 5 days, the appearance of cyanosis of the face when coughing in the early stages of the disease (1 week), an increase in the number of coughing attacks. The difficulties of treating pertussis in young children are demonstrated by our observation of the course of the disease. There is no vaccination against pertussis in children in the family due to the refusal of parents and children with prolonged coughing were not examined at the outpatient stage. As a result, chemoprophylaxis was not performed on time and the newborn was discharged from the hospital to the center of pertussis infection. The solution to the problem of reducing the incidence in children in the first months of life should be vaccination of pregnant women in the last stages, and vaccination of the environment, including agerelated revaccinations. 

scholarly journals Analysis of Factors Causing Appearance of Food Hypersensitivity in Toddlers

2021 ◽  
Vol 6 (2) ◽  
pp. 101-107
Author(s):  
O. I. Matsyura ◽  
◽  
Keyword(s):  
Family History ◽  
Young Children ◽  
Bronchial Asthma ◽  
Skin Diseases ◽  
Positive Family History ◽  
Correlation Coefficients ◽  
Food Hypersensitivity ◽  
Pathogenetic Mechanisms ◽  
The Family ◽  
The City

Food hypersensitivity is a reaction to the food consumed, regardless of the pathogenetic mechanisms that cause the symptoms. It is an actual and controversial problem in pediatric practice. Nowadays there is an active search for the causes of disease progression, a large role is given to the study of genetic and external factors (food, environmental, social). This disease arises many questions due to the similarity of the clinical representation in different kinds of food hypersensitivity and in different pathogenetic mechanisms, which are involved. The purpose of the study is to perform the analysis of factors, which cause appearance of food hypersensitivity in toddlers. Materials and methods. A study of the number of children with food intolerance was conducted using a specially compiled questionnaire. Thus, 4,500 questionnaires were distributed in pre-school and medical establishments to question parents. Results and discussion. Analysis of 3,214 questionnaires was conducted, which enabled to obtain information from parents on anamnesis and living conditions of toddlers. Values of 56 factors were analyzed, calculating correlation coefficients with a formation of food hypersensitivity for each of them. Statistical analysis allowed distinguishing 15 signs among these factors, which significantly correlated with the formation of food hypersensitivity in young children. The investigation enabled not only to detect factors that affect formation of food hypersensitivity in young children, but also to suggest a mathematical model of individual calculation of risk factors for this pathology. Data of conducted mathematical analysis can be used for elaboration of a complex of prophylaxis measures on development of food hypersensitivity in toddlers. Conclusion. The formation of hypersensitivity to cow's milk in children is provoked by the presence of contact reactions in the child, adverse reactions after medication, positive family history (bronchial asthma in relatives, skin diseases in parents (father and / or mother)), smoking in the family, living in the city; at the same time, preventive factors are living in an apartment, in a new building, in a dry apartment. The formation of food hypersensitivity in young children is generally provoked by a positive family history (bronchial asthma, hay fever, urticaria, diseases of the stomach and duodenum in relatives, skin diseases in parents), smoking in the family; frequent consumption of food in a mass catering points; living in the city plays a preventive role

scholarly journals The sibling as a factor of parental control over the use of gadgets by children

2021 ◽  
Vol 119 ◽  
pp. 05001
Author(s):  
Nadezhda Sivrikova ◽  
Elena Nemudraya ◽  
Natalya Gilyazeva ◽  
Ekaterina Gnatyshina ◽  
Elena Moiseeva
Keyword(s):  
Young Children ◽  
Parental Control ◽  
Digital Technologies ◽  
Second Child ◽  
Digital Devices ◽  
Frequency Of Use ◽  
The Family ◽  
Mathematical Processing ◽  
The Impact ◽  
Parental Strategies

The study aimed to examine the impact on parental strategies of regulating children’s digital gadgets from having a second child in the family. Ninety-three mothers took part in the survey. Twenty women had two children, one woman – three children, the others women – on one child. Parents evaluated the frequency of use of digital devices by each child and then filled out several checklists. The mathematical processing of data is represented by the analysis of сrosstabs (Cramer’s V Test and Somer’s D Test). The results of the study show that the use of digital devices is widespread among young children. At the same time, with the presence of senior siblings, the age of admission of the child to digital devices decreases. Thus, young children are exposed to digital technologies. Most parents seek to regulate the time and content children use. However, their rules were less stringent for the second child in the family. Parents should pay more attention to this.

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