MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Child Health Care' source. Thu, 09 Feb 2012 01:09:32 +0100 http://www.medworm.com/index.php?rid=5539774&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F401%3Frss%3D1 This study investigated the associations between food insecurity, potential determinants and health and developmental outcomes among children. Data on household food security, socio-demographic characteristics and children’s weight, health and behaviour were collected from households with children aged 3–17 years in socioeconomically disadvantaged suburbs by mail survey using proxy-parental reports (185 households). Data were analysed using logistic regression. Approximately one-in-three households (34%) were food insecure. Low household income was associated with an increased risk of food insecurity [odds ratio (OR), 16.20; 95% confidence interval (CI), 3.52–74.47]. Children with a parent born outside of Australia were less likely to experience food insecurity (OR, 0.42;... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539774 Thu, 22 Dec 2011 05:00:00 +0100 5539774 http://www.medworm.com/index.php?rid=5539773&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F389%3Frss%3D1 This study explores the association between parental feeding practices and children’s weight status. The study also examines whether maternal and paternal feeding practices lead to significantly different children’s weight outcomes. By analyzing samples of 312 children (aged 9–11 and 13–15) and their parents, randomly selected from the Houston Metropolitan Statistical Area, the results show that parental feeding practices are linked to children’s weight status. The finding that maternal and paternal feeding practices do not have significantly different effects on children’s weight highlights an equivalent role of maternal and paternal feeding practices in shaping children’s weight status. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539773 Thu, 22 Dec 2011 05:00:00 +0100 5539773 http://www.medworm.com/index.php?rid=5539772&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F380%3Frss%3D1 This study considered the experiences of parents giving consent for their children to undergo surgery at a regional centre for paediatric surgery. Eighteen purposively selected parents whose children had undergone surgery were interviewed for this qualitative study. All parents wanted to receive understandable but comprehensive information, they expected opportunities to ask questions and wanted to be given sufficient time to make their decision. Their reactions to being given the information varied, with some parents’ anxiety levels increasing, while others felt re-assured. Most parents were willing to give their consent only once they had been convinced of the need for surgery. On the other hand, two parents wanted the surgeon to decide for them. Many parents also wanted to share t... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539772 Thu, 22 Dec 2011 05:00:00 +0100 5539772 http://www.medworm.com/index.php?rid=5539771&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F370%3Frss%3D1 This study focuses upon the inter-professional issues in the running of one small-scale intervention involving parents and their babies based in schools in an urban setting in the UK. The programme, run over the school year 2007/08, provided a professional framework in which parents from the local community surrounding a school brought their babies into classroom settings to talk about aspects of baby care and development. This professional framework included classroom teachers, one senior cross-school education manager, family health visitors and one senior children’s health nurse. Despite agreement about the benefits of the programme there were also clear differences of priority. This paper describes the different perceptions that each of these two sets of professionals – fro... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539771 Thu, 22 Dec 2011 05:00:00 +0100 5539771 http://www.medworm.com/index.php?rid=5539770&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F358%3Frss%3D1 This study described factors associated with childhood asthma in a sample of Latino and non-Latino children. Data were from baseline measures of 791 parent and child dyads involved in a childhood obesity prevention study. Parents completed a self-administered survey assessing childhood factors, demographics, acculturation and child asthma diagnosis. Multivariate mixed effects logistic regression analyses tested for correlates of child asthma and ethnicity interactions. Children were 4–10 years old, half were female, 86.0 percent were US-born and 45.7 percent were overweight or obese. The prevalence of childhood asthma was 11.5 percent. In multivariate analyses, the odds of childhood asthma were greater among children of non-Latino descent (OR = 4.1, CI: 1.8, 9.2), who had health insu... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539770 Thu, 22 Dec 2011 05:00:00 +0100 5539770 http://www.medworm.com/index.php?rid=5539769&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F350%3Frss%3D1 This study provides additional context for understanding the experiences of Latino families dealing with pediatric asthma. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539769 Thu, 22 Dec 2011 05:00:00 +0100 5539769 http://www.medworm.com/index.php?rid=5539768&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F334%3Frss%3D1 This study’s aim was to describe: (a) How life-sustaining treatment (LST) decisions are made for critically ill children in Italy; and (b) How these decisional processes are experienced by physicians, nurses and parents. Focus groups with 16 physicians and 26 nurses, and individual interviews with 9 parents were conducted. Findings uncovered the ‘private worlds’ of paediatric intensive care unit (PICU) physicians, nurses and parents; they all suffer tremendously and privately. Physicians struggle with the weight of responsibility and solitude in making LST decisions. Nurses struggle with feelings of exclusion from decisions regarding patients and families that they care for. Physicians and nurses are distressed by legal barriers to LST withdrawal. Parents struggle with th... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539768 Thu, 22 Dec 2011 05:00:00 +0100 5539768 http://www.medworm.com/index.php?rid=5539767&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F329%3Frss%3D1 In this study we sought to ascertain a contemporary view of educational awareness of testicular pain in boys presenting to our service. A prospective 11 month study of boys attending our unit with acute scrotal pain was undertaken. Additionally, 30 consecutive patients completed a standardised questionnaire to ascertain their educational awareness of testicular pain. A total of 84 boys were referred to our service for evaluation of acute scrotal pain; 36 required operative interventions. Nine patients (25%) had testicular torsion; 19 patients (52.8%) had torted appendages; 6 patients (16.7%) had epididymitis and 2 patients (5.5%) had alternative diagnoses. There was one case of testicular loss in the older age group. Most boys were unaware of testicular problems but felt an education regar... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539767 Thu, 22 Dec 2011 05:00:00 +0100 5539767 http://www.medworm.com/index.php?rid=5539766&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F320%3Frss%3D1 A case-controlled analytic study involving 406 singleton unbooked and 396 singleton booked births was conducted. Unbooked births constituted 16.6% of all births during the study. Booked births were half as likely to preterm than unbooked births (43, 10.9% vs 81, 20.0%; p<0.001). Unbooked births were seven times more likely to be stillbirth than booked births (80, 17.7% vs 13, 3.3%; p< 0.001). Booked births were a third as likely to have a low birth weight as unbooked births (36, 9.1% vs 104, 25.6%; p< 0.001). Unbooked births had a significantly lower mean birth weight of 2.95 ± 0.53 kg than 3.08 ± 0.45 kg of booked births (p< 0.001). Unbooked births had a significantly lower mean Apgar score at 1 minute and 5 minutes than booked births (6.64 ± 1.42 vs 7.08 ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539766 Thu, 22 Dec 2011 05:00:00 +0100 5539766 http://www.medworm.com/index.php?rid=5539765&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F312%3Frss%3D1 This article argues for a situational perspective of children’s participation to act in the child’s best interest and to balance protection with shared decision-making, according to children’s rights and desires. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539765 Thu, 22 Dec 2011 05:00:00 +0100 5539765 http://www.medworm.com/index.php?rid=5539764&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F299%3Frss%3D1 This study is the first to compare erythrocyte PUFAs (a measure of PUFA status) in children who have ADHD with and without learning difficulties, and supports emerging indications that the former may be more likely responders to n-3 PUFAs. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539764 Thu, 22 Dec 2011 05:00:00 +0100 5539764 http://www.medworm.com/index.php?rid=5539763&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F287%3Frss%3D1 Obesity is common among adolescents resulting in substantial comorbidities and reduced life expectancy. Conservative treatments normally fail to ensure significant and sustained weight loss and suitable adolescents should be offered weight loss surgery. Laparoscopic Adjustable Gastric Banding and Roux-en-Y Gastric Bypass are commonly used in adolescents. Complications in RYGB tend to be more severe, but the procedure leads to more immediate results. LAGB complications are often device-related and less severe. Dietary adherence, eating behaviour and unrealistic patient expectations often cause problems. Significant and sustained weight loss of 50–70 per cent of excess weight is achievable, comorbidities and psychological problems improve. Meticulous patient selection and preparation a... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539763 Thu, 22 Dec 2011 05:00:00 +0100 5539763 http://www.medworm.com/index.php?rid=5539762&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F272%3Frss%3D1 The purpose of this study was to describe parents’ attitudes to smoking and their experience of the tobacco preventive work in antenatal care and in Child Health Care (CHC) in Sweden. A population based survey in which 62 percent of 3000 randomly selected parents with 1- and 3-year-old children answered a questionnaire. Fifty-six percent stated that smoking was registered in the health record of the child yet no further discussion regarding passive smoking took place. The parents’ educational level and smoking status was related to the attitudes and experiences of the tobacco preventive work. The results indicated that the dialogue with parents regarding children and environmental tobacco smoke (ETS) exposure has to be redesigned and intensified in order to meet the needs of pa... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539762 Thu, 22 Dec 2011 05:00:00 +0100 5539762 http://www.medworm.com/index.php?rid=5539761&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F261%3Frss%3D1 This study examined children’s subjective perceptions of ‘good’ and ‘bad’ foods. Four interactive focus groups were conducted with 27 children aged 5–9 in South Australia. Each focus group was engaged in a food picture sorting activity. Whilst most children were able to discriminate good and bad whole foods or ingredients, they were less able to agree at a group level on the categorization of combined and transformed food products with which they are most likely to be presented in their ‘everyday’ lives. We discuss this confusion using Mary Douglas’s (1966) theory of ‘matter out of place’. Accordingly, health promotion messages should cultivate the skills required to reconcile the co-presence of ‘good’ and &lsquo... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539761 Thu, 22 Dec 2011 05:00:00 +0100 5539761 http://www.medworm.com/index.php?rid=5539760&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F250%3Frss%3D1 It is a mark of respect for children that their views around their healthcare are listened to and considered. To date, too little attention has been paid to children’s views and experiences of admission to hospital for surgery. This paper presents findings from a constructivist grounded theory study of children’s experiences of admission to hospital for surgery (from their perspectives). Age appropriate data collection techniques were used and included interviews with children and their drawings and stories. Ten children, aged 6–12 years, who were admitted to hospital for surgery participated in the research. The children were able to clearly articulate aspects of their experience, including their fears and anxieties, the things they enjoyed and the things that assisted t... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539760 Thu, 22 Dec 2011 05:00:00 +0100 5539760 http://www.medworm.com/index.php?rid=5539759&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F247%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5539759 Thu, 22 Dec 2011 05:00:00 +0100 5539759 http://www.medworm.com/index.php?rid=5228728&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F230%3Frss%3D1 This study provides a qualitative, in-depth, analysis of stakeholders’ (children, parents and health professionals) perspectives toward the efficacy of childhood obesity treatment interventions. Twenty-six stakeholders were recruited using purposive sampling; semi-structured interviews were adopted to explore stakeholders’ perceptions with data analysed using a framework approach. Stakeholders concurred that treatment should be family-based incorporating physical activity, nutrition and psychological components, and be delivered in familiar environments to recipients. However, incongruence existed between stakeholders towards the sustainability of obesity treatment interventions. Parents and children reported needing ongoing support to sustain behavioural changes made during tr... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5228728 Wed, 14 Sep 2011 04:00:00 +0100 5228728 http://www.medworm.com/index.php?rid=5228727&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F221%3Frss%3D1 The impact of a nurse-led constipation clinic was assessed by evaluating the first 50 patients, aged 1.5 to 10 years, using a questionnaire before initial clinic visit and at the third clinic visit, three to four months later. Patients had been constipated for at least six months. The nurses explained the physiology of constipation, the rationale for laxative treatment and the need to comply with treatment. Good toileting behaviour was encouraged. This resulted in an increase in defaecation frequency and stool softness, whereas soiling and pain on defaecation decreased. There was no significant change in the amount of laxatives taken, although it was suspected that compliance improved. Parental understanding of constipation and its management increased. Overall, the control of constipation... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5228727 Wed, 14 Sep 2011 04:00:00 +0100 5228727 http://www.medworm.com/index.php?rid=5228726&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F210%3Frss%3D1 This article describes a pilot project to evaluate the Paediatric Pain Profile (PPP) for children with PNI undergoing surgery. Five families of children 5 to16 years of age with a primary diagnosis of cerebral palsy and admitted for surgical procedures were interviewed. Nineteen nurses completed questionnaires and children’s pain management documentation was audited. The project identified issues in three areas of pain management: implementation process, individualised pain management and partnership. The PPP required pre-admission assessment and parental involvement, and was considered time-consuming by nurses. Individualised pain assessment and intervention was difficult to achieve, as was shared assessment and documentation among parents and nurses. Despite initial resistance to c... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5228726 Wed, 14 Sep 2011 04:00:00 +0100 5228726 http://www.medworm.com/index.php?rid=5228725&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F199%3Frss%3D1 The purpose of this study was to develop a measure of diabetes-specific parenting goals for parents of children with type 1 diabetes and to examine whether parenting goals predict a change in parenting involvement in disease management. An independent sample of primary caretakers of 87 children aged 10 to 16 years with type 1 diabetes completed the measure of parenting goals (diabetes-specific and general goals); both parent and child completed measures of parent responsibility for diabetes management at baseline and 6 months. Parents ranked diabetes-specific parenting goals as more important than general parenting goals, and rankings were moderately stable over time. Parenting goals were related to parent responsibility for diabetes management. The relative ranking of diabetes-specific pa... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5228725 Wed, 14 Sep 2011 04:00:00 +0100 5228725 http://www.medworm.com/index.php?rid=5228724&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F187%3Frss%3D1 Critically ill paediatric patients are frequently exposed to pain that is required to be assessed and treated effectively. The most reliable resource for assessing pain is the child itself, but children in the paediatric intensive care unit (PICU) are commonly unable to communicate their needs, requiring professional caregivers to uncover and interpret pain. However, nurses and paediatricians do not have sufficient knowledge of how critical illness affects childrens’ signs of pain. The aim of this study was to illuminate clinical experiences of pain in the PICU; describing nurses’ perceptions of expressions of pain in non-verbal, critically ill 2—6 year old children. The participants were 17 experienced PICU nurses. Data were analysed according to the phenomenographic met... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5228724 Wed, 14 Sep 2011 04:00:00 +0100 5228724 http://www.medworm.com/index.php?rid=5228723&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F175%3Frss%3D1 This study examines frequent attenders of a pediatric primary care clinic at a large urban children’s hospital — who they are and their reasons for frequent attendance to the clinic. The literature suggests that some visits by frequent attenders may not be medically necessary, and these additional appointments may impair others’ access to medical care within the same system. The key to eliminating excessive primary care visits is to determine if it is a problem in the primary care practice (quantify the problem), explore the reasons for the visits (from the patients’ perspective), and then provide educational interventions that address the various causes for the extra visits and encourage the use of available resources, either ancillary services in the practice itse... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5228723 Wed, 14 Sep 2011 04:00:00 +0100 5228723 http://www.medworm.com/index.php?rid=5228722&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F163%3Frss%3D1 The aims of this pilot study were to assess anxiety and stress in parents of children admitted to hospital and identify influencing factors, and assess the feasibility and acceptability of the methodology to parents and hospital staff. Parents of 28 children hospitalised for at least 3 days completed questionnaires assessing psychological functioning after admission, 16 and 13 of whom completed questionnaires at discharge and 3 months after discharge, respectively. Almost two-thirds of parents scored in the borderline/clinical range for anxiety at baseline and discharge. Higher anxiety scores were associated with the use of self-blame, lower optimism scores, higher levels of illness-related uncertainty and a greater number of previous hospital stays. Three months after discharge, 38% had b... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5228722 Wed, 14 Sep 2011 04:00:00 +0100 5228722 http://www.medworm.com/index.php?rid=5228721&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F153%3Frss%3D1 Traditionally child health care (CHC) has been an arena where mothers and nurses meet, but in recent years fathers are entering CHC with increasing frequency. The aim of this study was to describe nurses’ experiences of fathers’ participation in CHC. Nine Swedish nurses working in CHC were interviewed and asked to give a description of their experiences from meetings with fathers in CHC. Phenomenology according to Giorgi was used for the analysis and the essence of the findings was that father participation was seen from the perspective of mother participation and was constantly compared to mother participation in CHC. The essence is explicated in the following themes: participation through activities; equal participation although diverse; influence of structures in society; an... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=5228721 Wed, 14 Sep 2011 04:00:00 +0100 5228721 http://www.medworm.com/index.php?rid=4988075&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F140%3Frss%3D1 Given the high overweight prevalence among children with a migration background in Germany, this paper describes barriers to the treatment of paediatric obesity in a specialized clinic providing services to an ethnically diverse population. In a cross-sectional mixed-method design, a two-week participant observation was followed by a cultural competence survey among the healthcare professionals employed at the clinic. The present study revealed barriers related to all categories of social actors involved in the therapy process. A major difficulty encountered by providers when working with ethnically diverse patients was the lack of mutual understanding, often associated with language barriers. Language barriers were most preva... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4988075 Thu, 16 Jun 2011 23:00:00 +0100 4988075 http://www.medworm.com/index.php?rid=4988074&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F126%3Frss%3D1 Recurrent Abdominal Pain (RAP), one of the most common complaints of childhood, is associated with many adverse outcomes. However, few treatment studies have been conducted, especially for children with co-morbid RAP and anxiety disorders. The primary aim of the present study was to explore the utility of a cognitive-behavioral treatment (CBT) and a treatment that combined both CBT and family-based approaches in a community sample of children with co-morbid anxiety and RAP. A multiple-baseline across participants design utilizing repeated measures of anxiety and pain was implemented (n = 8 families). An examination of the clinical significance of both treatment approaches is suggestive of their utility in the treatment... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4988074 Thu, 16 Jun 2011 23:00:00 +0100 4988074 http://www.medworm.com/index.php?rid=4988073&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F107%3Frss%3D1 Behavioural sleep treatments teach children to self soothe and sleep alone but often require a parent to ignore their child’s cries for extended periods, a technique parents may find difficult. This paper presents a modified version of sleep training which aims to improve sleep but reduce crying in children and increase compliance in parents. Thirty-three children (Mean [SD] age = 27.01 [13.4] mths) from a clinical non-controlled population presenting with Behavioural Insomnia of Childhood, utilised a five-week sleep training method that teaches parents to gradually withdraw their assistance, allowing them to attend and calm their child whenever they choose and not to ignore their cries, components that differ from commo... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4988073 Thu, 16 Jun 2011 23:00:00 +0100 4988073 http://www.medworm.com/index.php?rid=4988072&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F99%3Frss%3D1 The UN Convention on the Rights of the Child (1989) asserts the right of every child to self-determination, dignity, respect, non-interference, and the right to make informed decisions. The provision of quality care in health services tailored to children’s preferences means that health professionals have a responsibility to ensure children’s rights, and that the child is encouraged and enabled to make his or her view known on issues that affect them. This paper will help illuminate and differentiate between a child perspective and the child’s perspective in health care settings. The issues are supported with research which illustrates the different perspectives. Both perspectives are required to perceive and... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4988072 Thu, 16 Jun 2011 23:00:00 +0100 4988072 http://www.medworm.com/index.php?rid=4988071&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F85%3Frss%3D1 Despite the effectiveness of parenting interventions in both prevention and intervention with child emotional and behavioural problems, parental participation in evidence-based programmes remains low, limiting the benefit to the population. This research examines a new population parental engagement strategy for parenting programmes using video testimonials via two studies. The first study compared the use of parent versus expert testimonials, against a no testimonial condition on parenting programme evaluations with 70 parents. The second study compared expert testimonials which were framed in a fear or non-fear context, with 73 parents. Results indicated no significant effect of source of testimonial or content of te... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4988071 Thu, 16 Jun 2011 23:00:00 +0100 4988071 http://www.medworm.com/index.php?rid=4940498&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F140%3Frss%3D1 Given the high overweight prevalence among children with a migration background in Germany, this paper describes barriers to the treatment of paediatric obesity in a specialized clinic providing services to an ethnically diverse population. In a cross-sectional mixed-method design, a two-week participant observation was followed by a cultural competence survey among the healthcare professionals employed at the clinic. The present study revealed barriers related to all categories of social actors involved in the therapy process. A major difficulty encountered by providers when working with ethnically diverse patients was the lack of mutual understanding, often associated with language barriers. Language barriers were most prevalent between providers and ethnically diverse mothers. Targeted ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4940498 Thu, 16 Jun 2011 23:00:00 +0100 4940498 http://www.medworm.com/index.php?rid=4940497&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F126%3Frss%3D1 Recurrent Abdominal Pain (RAP), one of the most common complaints of childhood, is associated with many adverse outcomes. However, few treatment studies have been conducted, especially for children with co-morbid RAP and anxiety disorders. The primary aim of the present study was to explore the utility of a cognitive-behavioral treatment (CBT) and a treatment that combined both CBT and family-based approaches in a community sample of children with co-morbid anxiety and RAP. A multiple-baseline across participants design utilizing repeated measures of anxiety and pain was implemented (n = 8 families). An examination of the clinical significance of both treatment approaches is suggestive of their utility in the treatment of anxiety and pain symptoms in children with RAP. More research is war... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4940497 Thu, 16 Jun 2011 23:00:00 +0100 4940497 http://www.medworm.com/index.php?rid=4940496&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F118%3Frss%3D1 The ‘Tend-and Befriend’ hypothesis claims that whereas the response of males to stress is Fight-or-Flight, females respond with Tend-and-Befriend. We tested this hypothesis with a sample of 110 couples whose children had undergone neurosurgery. Both mothers and fathers answered questionnaires measuring levels of tending, befriending, stress, anxiety, and depression. As hypothesized, mothers scored higher than fathers did on all measures. However, according to the Tend-and Befriend hypothesis, the sex difference in tending and befriending should be more pronounced in couples suffering from high-stress in comparison to couples suffering from low-stress. This hypothesis was not supported by the data. We suggest that the heightened tending and befriending of women is not a reaction... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4940496 Thu, 16 Jun 2011 23:00:00 +0100 4940496 http://www.medworm.com/index.php?rid=4940495&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F107%3Frss%3D1 Behavioural sleep treatments teach children to self soothe and sleep alone but often require a parent to ignore their child’s cries for extended periods, a technique parents may find difficult. This paper presents a modified version of sleep training which aims to improve sleep but reduce crying in children and increase compliance in parents. Thirty-three children (Mean [SD] age = 27.01 [13.4] mths) from a clinical non-controlled population presenting with Behavioural Insomnia of Childhood, utilised a five-week sleep training method that teaches parents to gradually withdraw their assistance, allowing them to attend and calm their child whenever they choose and not to ignore their cries, components that differ from commonly utilised methods. Post treatment, all negative sleep associa... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4940495 Thu, 16 Jun 2011 23:00:00 +0100 4940495 http://www.medworm.com/index.php?rid=4940494&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F99%3Frss%3D1 The UN Convention on the Rights of the Child (1989) asserts the right of every child to self-determination, dignity, respect, non-interference, and the right to make informed decisions. The provision of quality care in health services tailored to children’s preferences means that health professionals have a responsibility to ensure children’s rights, and that the child is encouraged and enabled to make his or her view known on issues that affect them. This paper will help illuminate and differentiate between a child perspective and the child’s perspective in health care settings. The issues are supported with research which illustrates the different perspectives. Both perspectives are required to perceive and encounter children as equal human beings in child-centred healt... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4940494 Thu, 16 Jun 2011 23:00:00 +0100 4940494 http://www.medworm.com/index.php?rid=4940493&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F85%3Frss%3D1 Despite the effectiveness of parenting interventions in both prevention and intervention with child emotional and behavioural problems, parental participation in evidence-based programmes remains low, limiting the benefit to the population. This research examines a new population parental engagement strategy for parenting programmes using video testimonials via two studies. The first study compared the use of parent versus expert testimonials, against a no testimonial condition on parenting programme evaluations with 70 parents. The second study compared expert testimonials which were framed in a fear or non-fear context, with 73 parents. Results indicated no significant effect of source of testimonial or content of testimonial on parental evaluations of the programme or behavioural outcom... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4940493 Thu, 16 Jun 2011 23:00:00 +0100 4940493 http://www.medworm.com/index.php?rid=4940492&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F15%2F2%2F83%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4940492 Thu, 16 Jun 2011 23:00:00 +0100 4940492 http://www.medworm.com/index.php?rid=4655289&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F71%3Frss%3D1 In conclusion, parenting a child with weight issues could be a process of loving the child the way he/she is while still wanting changes for improved health, resulting in ambivalence. In addition to traditional advice about lifestyle, many parents seem to need counselling assistance with respect to their parental role. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4655289 Tue, 29 Mar 2011 23:00:00 +0100 4655289 http://www.medworm.com/index.php?rid=4655288&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F59%3Frss%3D1 We describe the process and outcomes of a programme to enable improvement in care coordination in a children’s hospital. Staff identified care coordination issues they wanted to improve and were facilitated to achieve change using a participatory action research (PAR) approach. The seven participating wards were each offered the same opportunity and yet the degree to which they were able to engage in the process, and the level to which they achieved outcomes, varied considerably. The most successful wards were those with proactive leadership and stable management and where a trusting relationship was established between the staff and the programme facilitator. The least successful were those experiencing ward closure, mergers or changes in management structure. We consider how the di... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4655288 Tue, 29 Mar 2011 23:00:00 +0100 4655288 http://www.medworm.com/index.php?rid=4655287&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F50%3Frss%3D1 Nine practitioners who specialize in the treatment of adolescents with chronic pain were interviewed on their perceptions of the adolescents’ peer functioning. A qualitative analysis based on Consensual Qualitative Research (CQR) was used. Practitioners generally reported a decline in the adolescents’ peer functioning. However, if adolescents had good peer relationships prior to pain onset, they tended to maintain adequate functioning in the social arena while experiencing chronic pain. Practitioners noted that avoidance of peers was a strategy used by adolescents, due more to the pain than social competence issues. They also suggested that adolescents who felt comfortable disclosing pain status, likely to be consistent with good social skills, benefited from peer support. Impl... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4655287 Tue, 29 Mar 2011 23:00:00 +0100 4655287 http://www.medworm.com/index.php?rid=4655286&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F39%3Frss%3D1 The aim was to investigate the correspondence between 352 mother’s self-reports about postpartum distress in a questionnaire including an item about distress 18 months after birth and their earlier scores within, on average, 2.5 months of childbirth from a screening with the Edinburgh Postnatal Depression Scale (EPDS). Mothers who did not reach the EPDS score of 12 points, but reported that they had been sad/depressed after childbirth, were similar in socio-demographic variables to mothers with no outcomes in sadness/depression issues. In items related to negative parenting and perceptions of the child, they presented the same picture as those with high EPDS scores who also reported having been depressed. These results suggest that EPDS does not identify all vulnerable mothers. Compl... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4655286 Tue, 29 Mar 2011 23:00:00 +0100 4655286 http://www.medworm.com/index.php?rid=4655285&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F25%3Frss%3D1 This study examines disparities in health status, health care utilization, insurance coverage and satisfaction in US low-income parents of infants and toddlers with disabilities compared to low-income parents of children without disabilities. The Early Head Start Research and Evaluation Project is a longitudinal study involving 2087 families in 17 communities across the United States. Families completed interviews at enrollment and at 7, 16, and 28 months after enrollment. Descriptive analyses were conducted to characterize children’s status in terms of health, health care use, and insurance coverage. Children with disabilities were more likely to experience poor health and to use more health care services. Parents of children with disabilities were more likely to report that medical... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4655285 Tue, 29 Mar 2011 23:00:00 +0100 4655285 http://www.medworm.com/index.php?rid=4655284&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F14%3Frss%3D1 Sleep disturbances are common and consequential in children with attention deficit hyperactivity disorder (ADHD). Diet also influences ADHD symptoms. Interrelationships between diet, sleep and behaviour in children diagnosed with ADHD are little studied. We investigated, via parental report, the relationships between sleep and diet in 88 Australian children aged 6—13 years old (M = 8.94, SD = 1.78). This pilot data shows that 30 per cent of the children had sleep disturbance (≥ 2 standard deviations above the mean) with significant relationships between ADHD symptoms, sleep disturbance and diet. Parents who reported more sleep disturbance also reported a higher intake of carbohydrate, fats, and, most particularly, sugar which was also a significant predictor of night time sweating... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4655284 Tue, 29 Mar 2011 23:00:00 +0100 4655284 http://www.medworm.com/index.php?rid=4655283&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F5%3Frss%3D1 Anger could be an early warning signal of violent behavior. Early peer education health promotion in relation to anger management could help children before uncontrolled anger becomes a problem in adolescence and adulthood. Peer education has been identified as a viable intervention strategy worldwide with various prevention programs for youth. The purpose of this article is to describe an anger management program (Teaching Kids to Cope with Anger, TKC-A 4th—8th graders) co-led by high school peer educators in an urban school district’s summer school enhancement program. A program of five modules will be described. This paper discusses the peer educator implementation and recommendations for future implementation. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4655283 Tue, 29 Mar 2011 23:00:00 +0100 4655283 http://www.medworm.com/index.php?rid=4315462&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F396%3Frss%3D1 A study was conducted to describe the characteristics of the Respiratory Syncytial Virus (RSV) infection cases occurring in the season 2006—7 in Palermo, Italy, and to evaluate the parents’ knowledge and behaviours concerning prevention and control of acute respiratory infections (ARIs). All children aged between 0 and 2 years, admitted for a lower respiratory tract infection (LRTI) between October 2006 and May 2007, were enrolled in the study. Data were collected about demographic and household characteristics. Furthermore, their parents were asked to compile a structured questionnaire on transmission, prevention and management of ARIs in children. A total of 198 children with a diagnosis of LRTI were enrolled. Ninety-eight (62.0%) of 157 were positive for RSV. Parents were ge... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4315462 Thu, 06 Jan 2011 00:00:00 +0100 4315462 http://www.medworm.com/index.php?rid=4315461&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F386%3Frss%3D1 This cross-sectional study explored the predictive utility of head circumference (HC) and crown—heel length (CHL) as surrogates for identifying birth weight < 2500g (LBW) and < 2000g (VLBW) in an inner-city community with predominant non-hospital births in Lagos, Nigeria. The accuracy of HC and CHL in detecting LBW infants was examined with discriminant analyses and receiver operating characteristic (ROC) curves. Of the 3869 singletons enrolled, 418 (10.8%) weighed < 2500g, 131 (3.4%) weighed < 2000g and 22 (0.6%) weighed < 1500g. Both predictors accurately classified 85.6 percent LBW and 91.9 percent VLBW. The optimum cut-off values for HC and CHL were 32.95cm and 45.95cm for LBW and 31.25cm and 44.85cm for VLBW respectively. HC was consistently more discriminatory th... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4315461 Thu, 06 Jan 2011 00:00:00 +0100 4315461 http://www.medworm.com/index.php?rid=4315460&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F375%3Frss%3D1 The aim of this study is to determine whether excessive internet use, television viewing and the ensuing poor lifestyle habits affect low vision in school children in a rapidly developing country. This is a cross-sectional study and 3000 school students aged between six and 18 years were approached and 2467 (82.2%) students participated. Of the studied school children 12.6 percent had low vision. Most of the low vision school children were in the 6—10 years age group and came from middle income backgrounds (41.8%; p = 0.008). A large proportion of the children with low vision spent ≥ 3 hours per day on the internet (48.2%; p< 0.001) and ≥ 3 hours reclining (62.4%; p < 0.001). A significantly smaller frequency of studied children with low vision participated in each of the... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4315460 Thu, 06 Jan 2011 00:00:00 +0100 4315460 http://www.medworm.com/index.php?rid=4315459&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F367%3Frss%3D1 This article discusses the findings of a qualitative study undertaken within a university in the UK to investigate whether the curriculum prepares student nurses in an undergraduate children’s nursing programme to deal with a child’s death. The literature examined made it clear that end-of-life education remains inconsistent within nursing schools, particularly highlighting a deficit within children’s nursing, and leaving many students at a disadvantage when faced with a child’s death within the practice setting. The article concludes that acquiring the knowledge and skills to enable students to deal confidently with a child’s death may not be achievable within a classroom setting, however more could be done to address students’ concerns in dealing with ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4315459 Thu, 06 Jan 2011 00:00:00 +0100 4315459 http://www.medworm.com/index.php?rid=4315458&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F355%3Frss%3D1 The changes in dietary habits and way of life of adolescents can lead to some nutrition problems. The purpose of this study was to compare dietary habits of children living in metropolitan and non-metropolitan areas regarding their physical characteristics, socio-economic milieu and educational level. A total of 737 students studying in the 6th, 7th and 8th grades of two different primary schools took part in the study. Data were collected by a questionnaire including dietary habits of participants. Furthermore, the weight and height of students were measured and their body mass index was calculated. During the study, while 4.3 percent of students living in the non-metropolitan area were found obese, this figure was 8.4 percent in the metropolitan area. A big majority of non-metropolitan s... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4315458 Thu, 06 Jan 2011 00:00:00 +0100 4315458 http://www.medworm.com/index.php?rid=4315457&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F345%3Frss%3D1 Research on physicians’, nurses’ and enrolled nurses’ experiences of ethical dilemmas have been conducted in many healthcare fields. The aim of this study was to elucidate ethical dilemmas before and during the induction of anaesthesia of children aged three to six years as described by nurse anaesthetists (NAs). Two group interviews with NAs were conducted where they were asked to describe ethically problematic situations. Three situations were chosen from a total of 15: administration of anaesthesia to an already sleeping child, lack of information given to a child, and a child is anaesthetized against his/her will. Conceivable and reasonable alternative options were identified and consequences of the different actions were presented. Finally the conflicts of value were... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4315457 Thu, 06 Jan 2011 00:00:00 +0100 4315457 http://www.medworm.com/index.php?rid=4315456&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F327%3Frss%3D1 Acute childhood illness is a universal experience for children and families. This paper presents the central process of a Glaserian grounded theory study which explored family management of acute childhood illness at home. Twenty-nine interviews were conducted with 15 families of children 0—9 years of age. Constant comparative analysis generated the substantive grounded theory ‘Containing acute childhood illness within family life’. This informal social rule was identified from families’ persistent desire to do the right thing, for their child and in the eyes of others in social life. Families perceived that they were expected to contain illnesses which are defined as minor and to seek medical help for ‘real’ illnesses. Considerable uncertainty was evide... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4315456 Thu, 06 Jan 2011 00:00:00 +0100 4315456 http://www.medworm.com/index.php?rid=4315455&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F310%3Frss%3D1 This study analysed 31 research studies, which were published between 2000 and early 2009, into children and young people's views of health professionals in England. The findings from the studies were inductively analysed and grouped into seven themes. Children and young people want health professionals to be familiar, accessible and available; to be informed and competent; to provide accessible information; to be a good communicator; to participate in care; to ensure privacy and confidentiality, and to demonstrate acceptance and empathy. It is noteworthy that over the nine years many studies repeated the same broad messages to health professionals. The findings suggest that although there are examples of good practice, health professionals are sometimes falling short of the standards set ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4315455 Thu, 06 Jan 2011 00:00:00 +0100 4315455 http://www.medworm.com/index.php?rid=4315454&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F14%2F4%2F307%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=4315454 Thu, 06 Jan 2011 00:00:00 +0100 4315454 http://www.medworm.com/index.php?rid=3926791&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F296%3Frss%3D1 Fathers are expected to play an increasing part in the care of children, but fathers are not automatically included in studies of early childhood. In this paper we present Swedish fathers’ experiences of child health care. In the study, a total of 237 out of 279 (85%) fathers of small children were telephone interviewed using a structured questionnaire. As many as 165 (70%) had visited the child health centre at some time — 91 (38%) regularly or quite often — and we found an association between visits to the child health centre and physician contacts on account of the child’s illness. A common feature throughout was the fathers’ positive view of the child health centre and its activities, with as many as 77 percent grading it as very good or good. Sixty-seven ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3926791 Thu, 02 Sep 2010 11:33:54 +0100 3926791 http://www.medworm.com/index.php?rid=3926790&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F280%3Frss%3D1 This article explores the integrated effect of nine nutrients on an individual’s physical fitness level. Two-day dietary records and physical fitness assessments were collected in three primary schools. Cluster analysis allowed compliance with nutrient recommendations to be compared among groups of primary school students with different characteristics. Two clusters were identified statistically. Cluster B, which comprised more schoolchildren at the ‘Good’ and ‘Pass’ levels and fewer at the ‘Excellent’ level, had significantly more participants who met the guidelines for total fat, saturated fat, sodium and cholesterol, compared with Cluster A. This finding reveals the benefits of a balanced diet, with physical fitness level as the outcome measure.... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3926790 Thu, 02 Sep 2010 11:33:54 +0100 3926790 http://www.medworm.com/index.php?rid=3926789&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F271%3Frss%3D1 The objective of this study was to examine the correlates of access to care among asthmatic children age 0—17 in the United States. This is a retrospective study and secondary data analysis of the 2000 National Health Interview Survey. Parametric testing using univariate, bivariate, and multivariate analyses were performed to examine health care utilization among children with asthma in the United States. It was found that Black children were highly associated with not visiting a general doctor in the past 12 months (OR 0.47; 95% CI 0.30, 0.75). Uninsured asthmatic children were associated with the risk of not seeing a general doctor in the past 12 months (OR 0.40; 95% CI 0.23, 0.69). Our study findings indicate disparities among Black children with asthma and their ability to access... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3926789 Thu, 02 Sep 2010 11:33:54 +0100 3926789 http://www.medworm.com/index.php?rid=3926788&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F261%3Frss%3D1 This paper outlines what is currently understood, and what can be hypothesized about paediatric feeding dysfunctions. The paper highlights the current lack of awareness of psychological factors implicated in infant and child feeding, and promotes a behavioural approach to the identification, referral and treatment of non-organic derived feeding problems and disorders. Potential risk factors to poor feeding development are outlined, and characteristic child and caregiver behaviours which may signify problems with feeding are suggested. The aim of this paper is to promote early identification of these symptoms in frontline healthcare in the hope of increasing early intervention before physical complaints, medical complications and/or disorders arise. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3926788 Thu, 02 Sep 2010 11:33:54 +0100 3926788 http://www.medworm.com/index.php?rid=3926787&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F250%3Frss%3D1 This study compared caregivers’ ratings of their child’s socio-emotional development with children’s weight status (underweight, overweight, typically weighted). Data from the Early Head Start Research and Evaluation Project (EHSRE) pre-kindergarten follow-up study were used. Few differences were found for the weight groups; but one notable difference was with underweight children who showed negative socio-emotional outcomes for the following variables: answering people, having trouble sleeping, getting hurt often, and restlessness. In addition, caregivers of underweight children reported greater rates of depressive symptoms than caregivers of typically weighted children. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3926787 Thu, 02 Sep 2010 11:33:54 +0100 3926787 http://www.medworm.com/index.php?rid=3926786&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F239%3Frss%3D1 To assess parental experiences regarding the continuity and coordination of care in children suffering from long-lasting health problems during and after treatment at a Neonatal Intensive Care Unit (NICU), a cross-sectional survey was performed, using a validated tool to obtain continuity and coordination scores. Scores were collected among parents of four age groups: newborns at the NICU (n = 51), ex-NICU preschool children (n = 50), ex-NICU children in primary school (n = 53), and ex-NICU children in secondary school (n = 57). Overall, parents are least satisfied with the consistency of care concerning the specific needs of their children. Parents of children in primary school experience most problems, followed by parents of children in secondary school. Furthermore, parents had a positi... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3926786 Thu, 02 Sep 2010 11:33:54 +0100 3926786 http://www.medworm.com/index.php?rid=3926785&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F225%3Frss%3D1 The study obtained information using quantitative and qualitative techniques, on key home management practices of common childhood illnesses in Community-Integrated Management of Childhood Illnesses (C-IMCI) and non-C-IMCI implemented local government areas (LGAs) in Osun state, to determine if any differences existed between them. Data analysis was done using Epi-info version 6.0 for the quantitative survey and content analysis method for the qualitative survey. Findings revealed better key home management practices in the C-IMCI compliant LGA than in the non-CIMCI compliant LGA. The proportion of caregivers who gave appropriate home treatment for malaria during their children’s illnesses differed significantly (p = 0.000) between the two LGAs. Similarly, caregivers from the complia... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3926785 Thu, 02 Sep 2010 11:33:54 +0100 3926785 http://www.medworm.com/index.php?rid=3926784&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F211%3Frss%3D1 This article presents the PRIFAM, an interdisciplinary family intervention program co-constructed with parents of children with a disability. The PRIFAM’s theoretical foundations, clinical model of the adaptation/transformation process and tools have enabled professionals to conceptualize many years’ worth of research, clinical observations, and professional and personal experience. Through its relational foundations, the partnership forged between families and professionals contributes extensively to the adaptation of families and the well-being of professionals, by acknowledging their reciprocal resources and mutual competencies. The birth of a child with a disability triggers severe stress and plunges parents and families into a grieving process, but this process also leads ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3926784 Thu, 02 Sep 2010 11:33:54 +0100 3926784 http://www.medworm.com/index.php?rid=3601652&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F200%3Frss%3D1 Family-centred care has been defined as a philosophy of care where families are supported in their decision-making roles in an equal partnership with professionals. The research question was ‘How ‘‘family centred’’ do staff and parents perceive their work with disabled children and young people?’ A questionnaire, the Measure of Processes of Care for Service Providers (MPOC-SP), was used as a basis for designing focus groups and interview questions. Staff and parents took part in these and data were analysed using an editing approach. Staff described how they adapted their service to meet parental needs and empowered and enabled parents despite receiving no specific training in FCC. Parents spoke highly of the staff input and gave varied descriptions of t... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3601652 Thu, 27 May 2010 08:50:35 +0100 3601652 http://www.medworm.com/index.php?rid=3601651&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F189%3Frss%3D1 This study explored children’s and parents’ perceptions of AVGs and the likely facilitators and barriers to sustained use of AVGs. Data were gathered using focus group interviews: seven with children, four with adults. Both children and parents reported that AVGs offered a way to increase activity and improve fitness. Barriers to sustained engagement, according to parents, were the cost of AVGs and lack of space in the home to play the games. According to children, the likelihood of long-term engagement with AVGs depended on game content and child age, with AVGs being seen as more appropriate for younger children than teenagers. It would appear that there is potential for AVGs to reduce inactivity in young people. However, barriers to widespread, sustainable adoption would need... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3601651 Thu, 27 May 2010 08:50:35 +0100 3601651 http://www.medworm.com/index.php?rid=3601650&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F179%3Frss%3D1 Fear and anxiety are recurring problems for parents of food-allergic children. However, no study has described parents’ experiences of introducing food to their children after double-blind provocation. Therefore the aim of this study was to investigate mothers’ experiences during their child’s negative Double-Blind, Placebo-Controlled Food Challenge (DBPCFC) and the following reintroduction of food. Eight mothers were interviewed and a qualitative content analysis displayed two themes and six subthemes. The first theme, ‘living with fear of the unknown’, included the subthemes of ‘fear of losing control’, ‘having faith even though fear prevails’, ‘reintroducing despite fear’ and ‘fear of causing harm’. In the sec... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3601650 Thu, 27 May 2010 08:50:35 +0100 3601650 http://www.medworm.com/index.php?rid=3601649&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F170%3Frss%3D1 Children can experience anaesthetic induction as fearful and frightening and this can lead to postoperative behaviour changes and symptoms of high anxiety. A fearful experience can also lead to avoidant reactions due to raised negative emotions in situations similar to that, which evoked the fear. To analyse children’s reactions after anaesthesia to anaesthetic play equipment, 49 children (three—six years old) were video-filmed during play with anaesthetic equipment 14 days after anaesthesia and surgery. The risk that the child avoided playing with anaesthetic equipment was increased if the child took the premedication unwillingly and if the child was younger. The risk for not telling about the experience was increased if the child took the premedication unwillingly and if the ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3601649 Thu, 27 May 2010 08:50:35 +0100 3601649 http://www.medworm.com/index.php?rid=3601648&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F161%3Frss%3D1 This study was designed to evaluate the association between BMI and classroom effort in third to fifth grade, ages seven through 12. Teachers, completely blinded and unaware of the study at the time of their classroom evaluations, provided reports of academic performance and effort. Boys and girls (n = 45), which are members of an ethnically diverse community, participated. In addition to classroom measures, height, weight, and percentage body fat were evaluated. A multiple regression model controlling for ethnicity, gender, and age revealed that increasing BMI scores had little association with academic performance but effort scores decreased significantly as BMI increased. This is the first study to show that elevations in BMI in children are associated with decreasing effort in an acade... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3601648 Thu, 27 May 2010 08:50:35 +0100 3601648 http://www.medworm.com/index.php?rid=3601647&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F151%3Frss%3D1 This study aims to capture parental descriptions of how siblings take leave of and mourn a stillborn brother or sister and how their parents support them. Data were collected by questionnaires from 16 parents of siblings to a stillborn child one year after the stillbirth. Data were analysed numerically for the multiple-choice questions and content analysis was used for parental comments and descriptions. The results describe siblings’ farewell to a stillborn brother or sister and how their parents in the midst of their own grief were involved in supporting siblings’ wellbeing, and observed their mourning reactions. Although the findings need to be interpreted with caution, they may provide insight that enables staff to become more sensitive to the whole family experience in the... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3601647 Thu, 27 May 2010 08:50:35 +0100 3601647 http://www.medworm.com/index.php?rid=3601646&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F142%3Frss%3D1 The aims of the study were to find out the routine immunization coverage in under-five children; and to impart correct health education regarding the importance of complete immunization. This hospital- and outreach-session-based cross-sectional study was carried out by the interview method in two underserved areas of Aligarh city. Two thousand five hundred and thirty-one under-five children and their mothers or family members were included in the population sample. Statistical analysis was done by proportions and chi-square test. In Shahjamal area, a maximum 86.5 percent of children were immunized with DPT, OPV (86.5%) first doses followed by BCG (84.9%). DPT and OPV second and third doses were given in 64.5 percent and 54.8 percent respectively. Measles and DPT booster coverage was low at... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3601646 Thu, 27 May 2010 08:50:35 +0100 3601646 http://www.medworm.com/index.php?rid=3601645&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F131%3Frss%3D1 Adolescents’ sleep and next day effort was studied in 18 female competitive adolescent athletes. A subjective assessment of the previous night’s sleep, their perception of the difficulty of the choices offered and the difficulty of tasks selected was completed before routine lessons. Sleep amount was related to the perception of the difficulty of the task, while awakenings were related to an avoidance of the least preferred maneuvers. Individuals who experienced the greatest number of awakenings and most time awake at night were more likely to select the least difficult of these tasks. Sleep disturbance in adolescence may magnify the challenges they experience and cause them to underestimate their ability to meet those challenges. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3601645 Thu, 27 May 2010 08:50:35 +0100 3601645 http://www.medworm.com/index.php?rid=3333508&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F126%3Frss%3D1 In Lacey J. Benson, Robert Cohn and David C. Kaelber’s article ‘The association of continuity of care on the diagnosis of hypertension in children and adoles- cents’, 13(4): 361–369, 2009, DOI: 10.1177/1367493509344680, the following errors have been identified: Dr. Robert Cohn’s affiliations should have read: Case Western Reserve University School of Medicine, and Department of Pediatrics, MetroHealth Medical Center, Cleveland, OH, USA. Dr. David Kaelber’s affiliation should have read: Case Western Reserve University School of Medicine, and Department of Pediatrics, Internal Medicine and Information Services, The MetroHealth Medical Center, Cleveland, OH, USA. The editors and publishers apologise to the authors and regret any inconvenience caused. (Sour... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3333508 Fri, 05 Mar 2010 11:45:40 +0100 3333508 http://www.medworm.com/index.php?rid=3333507&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F111%3Frss%3D1 The purpose of this pilot study was: (1) to determine how students surviving brain tumors (BTs) perceive their teachers’ responses to them, their own academic performance, and their interactions with peers at school using a new measure; and (2) to describe students’ retrospective perceptions of schooling while undergoing treatment. Using a sample of 22 students treated for a BT (ages 9—18) and 22 comparison (ages 8—19), no significant BT-control group differences regarding perceptions of teacher response, academic performance, and interactions with peers at school were found. Generally, students with BTs reported positive school experiences during treatment including favorable perceptions of their teachers’ effectiveness, enjoyment of schoolwork, and the quali... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3333507 Fri, 05 Mar 2010 11:45:40 +0100 3333507 http://www.medworm.com/index.php?rid=3333506&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F95%3Frss%3D1 This study aimed to identify parent/child experience of recurrent sore throat. The study was qualitative, using grounded theory approach to data collection/analysis. Semi-structured, in-depth, interviews were conducted with 12 dyads of children (aged 4—16) and their parents, attending two Ear, Nose and Throat outpatient clinics held at a hospital in North East England, referred by their General Practitioner for recurrent sore throats. Analysis revealed recurrent sore throats significantly affected the families’ quality of life. Families felt the need for antibiotics and tonsillectomies although parent and child were not always in agreement over their choice of treatment. Families felt empowered when the health care system showed some flexibility, such as allowing self re-referr... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3333506 Fri, 05 Mar 2010 11:45:40 +0100 3333506 http://www.medworm.com/index.php?rid=3333505&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F82%3Frss%3D1 This article presents a review of the literature on the efficacy of family-centred interventions for child abuse and neglect. Revealed in this review is that such efficacy remains controversial, with literature affirming that the most successful practice is a combination of interventions applied simultaneously. The literature reviewed suggests that more contemporary research around family-centred interventions for child abuse and neglect is required. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3333505 Fri, 05 Mar 2010 11:45:40 +0100 3333505 http://www.medworm.com/index.php?rid=3333504&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F67%3Frss%3D1 The burden of disability and death on child pedestrians has not been widely researched in the developing world. Using the eThekwini Transport Authority database for 2007, data about collisions involving pedestrians under the age of 15 in the eThekwini metropolitan area were analysed. Incidence risk and proportions were calculated for risk factors involving pedestrians, drivers and the environment. Male pedestrians aged 5 to 9 were at highest risk of injury compared to other male pedestrians (IRR: 1.63; 95% CI: 1.38 to 1.91). This group also had the highest fatality risk (IRR: 2.12; 95% CI: 1.05 to 4.29). Male drivers had nearly five times the risk of involvement in pedestrian collisions compared to females. The highest proportion of fatal pedestrian collisions involved buses and trucks, on... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3333504 Fri, 05 Mar 2010 11:45:40 +0100 3333504 http://www.medworm.com/index.php?rid=3333503&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F52%3Frss%3D1 Much of the work in children’s hospitals is rightly focused on treatments aimed towards cure but this means that death is often seen as a failure and, as such, it may not be discussed or acknowledged as a possibility until very late in a child’s stay in hospital. However, this reluctance can deny the child and their family the opportunity to be informed, prepare and make choices. A survey of the care received by parents whose child had died in a children’s tertiary treatment centre led to a greater understanding of the parents’ experiences and the ways in which care could be enhanced. Parents talked of the way in which the geography of the hospital could be disruptive and dislocating and yet they often had no place to be alone or in private. Communication was identi... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3333503 Fri, 05 Mar 2010 11:45:40 +0100 3333503 http://www.medworm.com/index.php?rid=3333502&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F35%3Frss%3D1 Currently an ecological model for conceptualizing and capturing the refugee parenting experience is lacking. After an extensive review of the literature related to the usages of Bronfenbrenner’s ecological model of child development, a gap was found in knowledge and research centred on describing the environment of pre-resettlement (i.e. pre-flight, flight, migration, camp) contexts and their impact on refugee parents and carer experiences. The culture of the refugee parenting experience may be characterized by disruptions in and alterations to family structure and organization; values and norms; and gender roles. This paper begins by examining the definition and usages of existing ecological frameworks in the 20th and 21st century. Particular attention is drawn to the gaps in the ex... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3333502 Fri, 05 Mar 2010 11:45:40 +0100 3333502 http://www.medworm.com/index.php?rid=3333501&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F24%3Frss%3D1 This study examined pre-school children’s understanding of the concept of cancer and their parent’s perceptions of their child’s understanding of cancer. Parents completed a questionnaire and pre-school children were administered an interview. The results showed that when children indicated that they knew something about cancer, their responses associated cancer with something medical, bad or harmful, or sickness or an illness. Parents correctly estimated their child’s understanding of cancer if they had talked previously with their child about cancer. Children whose parents reported discussing cancer were more likely to give responses indicating some knowledge about cancer. Some children reported knowing about cancer in the absence of parent teaching. (Source: Jour... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3333501 Fri, 05 Mar 2010 11:45:40 +0100 3333501 http://www.medworm.com/index.php?rid=3333500&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F6%3Frss%3D1 This paper commemorates the 50th anniversary of the Platt Report in the United Kingdom and traces the history of parental hospital visiting in relation to its recommendation that, ‘Parents should be allowed to visit whenever they can, and to help as much as possible with the care of the child’ (Ministry of Health, 1959: 38). It tracks how this goal was achieved and identifies how parents moved from being excluded towards being tolerated and finally accepted as participants in their child’s care. This is set against a backdrop of changes in society, systems of healthcare and nurse education as well as trends in the care of the hospitalized children from national and international perspectives. It concludes that if we are to meet the needs of hospitalized children in the 21... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3333500 Fri, 05 Mar 2010 11:45:40 +0100 3333500 http://www.medworm.com/index.php?rid=3333499&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F14%2F1%2F3%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3333499 Fri, 05 Mar 2010 11:45:40 +0100 3333499 http://www.medworm.com/index.php?rid=3014262&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F383%3Frss%3D1 In the Swedish Primary Child Health Care (PCHC) children participate in regular health visits. In these visits children as actors demonstrate their subjective maturity through bodily and verbal expressions. The aim of this study was to explore three-year-old children’s expressions when they take part as actors in a PCHC situation. An explorative design with a hermeneutic approach and video observations was used. Twenty-nine children participated. The findings exhibit a variation of expressions in the situation conceptualized as actions in a progression of states: from a state of getting ready to a state of being ready and further to a state where the child strengthens their own self. This progression is dynamic and coloured with the states of not being ready or of being adverse. The ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3014262 Fri, 20 Nov 2009 14:44:35 +0100 3014262 http://www.medworm.com/index.php?rid=3014261&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F370%3Frss%3D1 This trial investigated anxiety levels and effect of an educational coloring book (CB) among pediatric patients about to undergo radiology imaging tests. Control group (N = 101) and intervention group (N = 175) children ages 3—10 years and their parents were surveyed to determine anxiety levels before the imaging test, with the intervention group being surveyed after patient and parental review of the CB. Anxiety was low for all subjects overall compared with findings from previously published literature, perhaps related to systemic measures to make children’s hospitals more child friendly in recent years. Review of the CB was not associated with decreased anxiety among patients or parents. However, among a subgroup with higher baseline parental anxiety, there was a trend towar... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3014261 Fri, 20 Nov 2009 14:44:35 +0100 3014261 http://www.medworm.com/index.php?rid=3014260&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F361%3Frss%3D1 Hypertension among pediatric patients is an underdiagnosed condition. As continuity of care has been found to increase quality of pediatric care, we undertook this study to assess effect of continuity on diagnosis of pediatric hypertension. This is a retrospective analysis of 774 hypertensive patients, ages 3—18 years between June 1999 and October 2007 within the MetroHealth System in northeastern Ohio. The proportion of hypertensive patients diagnosed was assessed using coding within the electronic medical record. Continuity was assessed using the usual provider of care, defined as the number of visits to the most frequent provider divided by the total number of visits in the study period. Overall continuity did not have a statistically significant association with diagnosis (OR 0.7... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3014260 Fri, 20 Nov 2009 14:44:35 +0100 3014260 http://www.medworm.com/index.php?rid=3014259&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F347%3Frss%3D1 This article provides a rationale for and delineates the use of FBA as a strategy for assessment and treatment for a complex care patient. Two uncontrolled case studies (pediatric rehabilitation and cancer) are used to illustrate the use of FBA in the tertiary hospital setting. Both cases demonstrated improvements in behavior with limited resources (time and training) needed to implement behavioral plans. Additional case-controlled research is needed to demonstrate the feasibility and utility of FBA as a strategy for multidisciplinary treatment planning and intervention. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3014259 Fri, 20 Nov 2009 14:44:35 +0100 3014259 http://www.medworm.com/index.php?rid=3014258&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F333%3Frss%3D1 This study explored a community-based after-school program’s effect on obesity in minority children. Study participants included 178 third through fifth graders (47% Latino, 25% Asian, and 18% African-American) enrolled in America SCORES Bay Area. Outcomes were attendance, change in fitness (20-meter shuttle test), and body mass index (BMI) z-score over eight months. At baseline, 52 percent of children were overweight or obese. Children attended SCORES > 4 days/week and fitness significantly improved (p < 0.01). BMI z-score decreased by 0.04 (p = 0.10) overall, and by 0.05 (p = 0.08) among obese children, but increased among African-American children. These results suggest that SCORES increases fitness and may improve BMI in some minority children. Effect modification by race m... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3014258 Fri, 20 Nov 2009 14:44:35 +0100 3014258 http://www.medworm.com/index.php?rid=3014257&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F322%3Frss%3D1 This article reports on a participatory, qualitative study that set out to explore with children and young people whether they could be involved in monitoring the quality of hospital care. Nine young people played an active role in the research process, collecting data from an additional 129 participants aged between 9 and 14. Five characteristics of quality care were identified: ‘technical expertise’, ‘friendly staff ’, ‘respect’, ‘choice’ and ‘explanations’. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3014257 Fri, 20 Nov 2009 14:44:35 +0100 3014257 http://www.medworm.com/index.php?rid=3014256&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F308%3Frss%3D1 The aim of this study was to explore factors influencing children’s (7—13 years) tonsillectomy experiences and outcomes. A prospective, repeated measures, design was used to investigate the effect of age, gender, ethnicity, time, and previous pain, hospitalization and surgery on children’s (N = 60) perceptions of anxiety, pain intensity, quality of pain and sleep, and oral intake. The relationship between postoperative pain and anxiety was also examined. Using a diary, three days of data were collected. Descriptive statistics, Pearson correlation coefficient, and a mixed linear regression model were used for analysis. Children’s tonsillectomy experiences and outcomes were affected by time, previous experience, age, and anxiety. Moderate correlations were found betwe... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3014256 Fri, 20 Nov 2009 14:44:34 +0100 3014256 http://www.medworm.com/index.php?rid=3014255&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F13%2F4%2F306%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=3014255 Fri, 20 Nov 2009 14:44:34 +0100 3014255 http://www.medworm.com/index.php?rid=2739830&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F295%3Frss%3D1 This article gives a review of the literature outlining risk-taking behaviour in the adolescent population, linking this to developmental tasks. The review includes reference to health, peers, parenting, self-esteem and quality of life issues. A theoretical overview of the research area in general is presented and links to social and society issues. The possible causes of risk-taking, including alcohol, drugs and violence, are considered and factors reviewed. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2739830 Wed, 26 Aug 2009 23:00:00 +0100 2739830 http://www.medworm.com/index.php?rid=2739829&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F275%3Frss%3D1 Children with asthma living in urban environments are at risk for experiencing internalizing problems and difficulties at school due to social context and health-related stressors. Parent confidence and participation in the school and children’s attitudes about school were explored in association with children’s depressed mood and school anxiety. Forty-five parent—child dyads were recruited from urban community health centers. Most participants were members of ethnic minority groups. Hierarchical multiple regression analyses revealed that higher levels of parent confidence in the school were associated with fewer symptoms of school anxiety in children. Children’s attitudes toward school moderated the relation between parent participation in the school and children&r... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2739829 Wed, 26 Aug 2009 23:00:00 +0100 2739829 http://www.medworm.com/index.php?rid=2739828&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F260%3Frss%3D1 Self-harm is acknowledged to be increasing and is especially prevalent in young people. School nurses are central to adolescent mental health, delivering initial and sustained intervention. However, few studies have considered their experiences and training needs in fulfilling this role. This training needs assessment explored the self-harm training needs of school nurses within one UK primary care trust by utilizing questionnaires and interviews developed specifically for the study. School nurses felt frustrated and inadequate when working with young people who self-harm. The majority had attended self-harm training, yet felt that it only helped a little. Nurses desired training, particularly in practical approaches when working with young people who self-harm, however, analysis suggested... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2739828 Wed, 26 Aug 2009 23:00:00 +0100 2739828 http://www.medworm.com/index.php?rid=2739827&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F239%3Frss%3D1 This qualitative study explored the adaptation/transformation process in mothers and fathers at the individual, parental, marital and extrafamilial levels, and the similarities and differences in their experience of living with a child with cerebral palsy. Interviews were conducted with 13 mothers and 13 fathers of children with cerebral palsy. The results show that mothers and fathers are more likely to view the situation differently than similarly. For both parents, the situation offers the potential for transformation. Complementarity between mothers and fathers is an important factor in each of the adaptation or transformation subsystems. Both parents embark on a journey that changes their beliefs about difference, apply their new knowledge to every aspect of their life, and endeavour ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2739827 Wed, 26 Aug 2009 23:00:00 +0100 2739827 http://www.medworm.com/index.php?rid=2739826&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F227%3Frss%3D1 The study compared patterns of reported symptoms between a mild head injury group and a group of children with abdominal complaints visiting an emergency department. Children (0—15 years) admitted to an emergency department during a three-month period with a history of head injury and a comparison group of children were included. Medical records at the time of injury were reviewed and follow-up questionnaires focused on presumed symptoms related to concussion at three months post-visit. The comparison group reported significantly more change in behaviour than the head injury group. However, for the older children, higher intensity of symptoms was reported by the comparison group compared to the head injury group. Initial differences in the amount and presence of symptoms between the ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2739826 Wed, 26 Aug 2009 23:00:00 +0100 2739826 http://www.medworm.com/index.php?rid=2739825&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F212%3Frss%3D1 This study evaluated the acute impact of both interventions on state during and immediately after touch. Forty preterm infants with a gestational age of ≤34 weeks received either Yakson or GHT for 15 days. A significantly greater sleeping state was identified in both groups after touch. This effect was significantly stronger with Yakson than GHT. During touch, about half the Yakson infants showed an arousal effect while the GHT infants showed little change. Both interventions left the babies calmer after touch. This calming effect is consistent with the previously observed effect on stress hormones and should be beneficial in terms of growth and development. Yakson had an arousing effect on a subset of the infants during touch, which possibly could be beneficial in terms of social devel... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2739825 Wed, 26 Aug 2009 23:00:00 +0100 2739825 http://www.medworm.com/index.php?rid=2739824&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F198%3Frss%3D1 This article describes the development of simple, low-cost and context-relevant interventions to improve the care environment for young hospitalized children within the context of the HIV/AIDS epidemic and poverty. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2739824 Wed, 26 Aug 2009 23:00:00 +0100 2739824 http://www.medworm.com/index.php?rid=2739823&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F179%3Frss%3D1 This article reports a grounded theory study which was the qualitative phase of a randomized-controlled trial in children with tracheostomies comparing two techniques for providing humidified inspired gases. Semi-structured interviews were conducted with eight mothers of children with tracheostomies recruited from the trial, one mother who was not involved in the trial and four experienced nurses. Data were analysed using open, selective and theoretical coding. A core category was identified of parents managing the child’s care in response to a set of problematic and constraining states. Parents were seen to utilize strategies of constant checking, becoming the expert, the family pulling together and electing to use preferred technology. The findings of this study mirror those of pre... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2739823 Wed, 26 Aug 2009 23:00:00 +0100 2739823 http://www.medworm.com/index.php?rid=2739822&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F13%2F3%2F178%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2739822 Wed, 26 Aug 2009 23:00:00 +0100 2739822 http://www.medworm.com/index.php?rid=2425696&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F161%3Frss%3D1 This article describes two health care interventions developed to support parents whose infant cries excessively. Intervention 1 consists of advice to caregivers to bring about regularity and uniformity in daily infant care and to reduce external stimuli. Intervention 2 is the same advice accompanied by instructions to swaddle during sleep. Nurses can teach parents these interventions easily. The goal is to help infants to establish a stable sleep—wake rhythm, for overtiredness to disappear and excessive crying to stop. The approach is based on offering predictability, which helps to develop infant self-regulating ability. If the intervention succeeds, which is often the case, the baby cries less, drinks adequately, is able to fall asleep on their own and to sleep sufficiently, and t... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2425696 Wed, 20 May 2009 04:00:00 +0100 2425696 http://www.medworm.com/index.php?rid=2425695&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F150%3Frss%3D1 This focus of this article is a qualitative, evaluative study of three Crossroads young carers projects. Focus group discussions took place with 24 young people aged 11—16 years. Data were analysed using a thematic content analysis approach. The themes of the research were: experiences of being a young carer, peer support, opportunities for time out and purposeful activities. The personal characteristics of the participants give rise to a number of worrying conclusions, that relatively young people were found to be undertaking primary caring roles over long periods of time. However, the groups were found to provide opportunities for young carers to experience a positive environment, participate in purposeful activities and have the chance to develop new friendships. Nevertheless, the... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2425695 Wed, 20 May 2009 04:00:00 +0100 2425695 http://www.medworm.com/index.php?rid=2425694&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F128%3Frss%3D1 A systematic review of published research on children's psychological outcomes following Pediatric Intensive Care Unit (PICU) hospitalization was conducted. Of the 275 papers published between 1970 and April 2008 which were identified using keywords, reference lists and one author's collections, a total of 28 papers met the inclusion criteria for this review. The papers fell into four categories based on the focus of the research: (1) children's PICU perceptions and recall; (2) children's psychological outcomes, broadly defined; (3) post-traumatic stress responses; and (4) general health status and quality of life. The findings suggest that PICU hospitalization can result in negative psychological sequelae in children, which can manifest themselves up to one year post-discharge. While a sm... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2425694 Wed, 20 May 2009 04:00:00 +0100 2425694 http://www.medworm.com/index.php?rid=2425693&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F116%3Frss%3D1 This study has highlighted that constipation symptoms are a prevalent problem in children not seeking medical treatment. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2425693 Wed, 20 May 2009 04:00:00 +0100 2425693 http://www.medworm.com/index.php?rid=2425692&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F101%3Frss%3D1 There is a lack of clarity as to why some nurses are not delivering optimal pain management to children post-operatively. This retrospective chart review study examined nurses' pain scoring on 175 children during the first 24 hours post-operatively. Data were analysed on the amount of assessments made, assessment scores recorded, as well as the age, gender and type of surgery performed. One-quarter of children had no assessment record of their pain in the first 24 hours post-operatively. When the pain tool was part of an observation chart, nurses recorded more pain scores. Nurses' scoring of children's pain is influenced positively by children under five years of age and those who undergo abdominal surgery. Nurses who had access to one document for recording vital signs as well as pain sco... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2425692 Wed, 20 May 2009 04:00:00 +0100 2425692 http://www.medworm.com/index.php?rid=2425691&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F93%3Frss%3D1 Over the past decades there has been a marked change in the physical environment of children's hospitals and the configuration of individual bed spaces. No longer the stark, clinical spaces typical of years gone by, the modern hospital bed space hosts a variety of visual displays reflecting different aspects of the child's life. Building upon ideas introduced by Lewis and informed by a recent qualitative study into hospital bedside displays, this article discusses the role that displays can play in developing, deepening and enriching relationships between nurses, patients and their families in the paediatric hospital environment. It discusses the links between hospital and home, the specific function of the display of photographs and the nurse's role in `knowing' the patient and facilitati... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2425691 Wed, 20 May 2009 04:00:00 +0100 2425691 http://www.medworm.com/index.php?rid=2425690&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F13%2F2%2F90%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2425690 Wed, 20 May 2009 04:00:00 +0100 2425690 http://www.medworm.com/index.php?rid=2214029&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F75%3Frss%3D1 The Health Curve, used by nurses in community-based health care, is an educational tool for conducting goal-directed dialogues concerning lifestyle and health. The aim of this study was to investigate how child health nurses experienced the Health Curve as a tool for conducting dialogues with parents. Fourteen nurses were interviewed. The data were analysed according to qualitative analysis. The results showed that nurses working in child health care experienced the Health Curve as a useful tool for conducting health dialogues with parents. Through their work with the Health Curve, the nurses gained a greater insight into, and understanding of, the families' health and life situation. The results indicated that working with the Health Curve could increase the opportunity for nurses to prov... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2214029 Tue, 24 Feb 2009 05:00:00 +0100 2214029 http://www.medworm.com/index.php?rid=2214028&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F63%3Frss%3D1 The purpose of the research presented in this article is to analyze how parents assess their child's health, ranging from excellent to poor. Specifically, it asks how the sociodemographic and health characteristics of infants and parents influence parents' perceptions of their child's health status. The data for this research come from the Early Childhood Longitudinal Study — Birth Cohort (ECLS-B), which are able to address the relationship between sociodemographic covariates and parents' perceptions of their child's health. Binary logistic regression techniques are used in a nested manner to model the way in which parents arrive at a subjective measure of their child's health status. The results indicate that prior diagnoses of health conditions, interaction with the health care sys... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2214028 Tue, 24 Feb 2009 05:00:00 +0100 2214028 http://www.medworm.com/index.php?rid=2214027&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F46%3Frss%3D1 This study examines the predictors of Bacille Calmette-Guérin (BCG) immunization status among infants in northern Nigeria using a behavioral-ecological model. The findings show only 37.3 percent of the children had received BCG vaccine, and reveal that BCG immunization status in northern Nigeria is influenced by multiple layers of factors, including child's characteristics, parental or household factors, community characteristics, vaccine supply and the policy environment. At the child's level, place of birth and ownership of an immunization card are the two most significant predictors. The parental and household predictors of BCG immunization status include maternal use of antenatal care, maternal knowledge about immunization, maternal exposure to child health information, social i... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2214027 Tue, 24 Feb 2009 05:00:00 +0100 2214027 http://www.medworm.com/index.php?rid=2214026&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F30%3Frss%3D1 This study was conducted using five focus groups with 24 public health nurses from regional child health clinics in order to explore health professionals' perceptions concerning physical activity. Participants were professionally experienced (mean 13.9 years), female (mean 46.2 years) nurses with some training in health-enhancing physical activity. Frame analysis of verbatim transcripts resulted in four frames: the environmental frame, the family frame, the natural frame and the wellbeing and health frame. The importance of physical and social environment, especially the role of parents, was highlighted as determinants of physical activity. Furthermore, the natural characteristics of physical activity in early childhood and the benefits of physical activity for wellbeing and health were fo... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2214026 Tue, 24 Feb 2009 05:00:00 +0100 2214026 http://www.medworm.com/index.php?rid=2214025&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F19%3Frss%3D1 The study aims to describe important features of body image in adolescents with motor disabilities and compare them against similar features in able-bodied peers. Relational aspects of body image were given preference in a questionnaire distributed to 35 adolescents with cerebral palsy and 98 adolescents with no known disabilities. Similarities were shown, but also significant differences, indicating a less favourable body image in adolescents with cerebral palsy. It is paramount for young people who are constantly reminded of physical restrictions to experience body vitality. Professionals need to consider the importance of how they interact with young people when seeking to promote a positive body image (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2214025 Tue, 24 Feb 2009 05:00:00 +0100 2214025 http://www.medworm.com/index.php?rid=2214024&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F7%3Frss%3D1 This article explores the literature surrounding female adolescent sleep disturbance. The findings reveal that sleep problems in young women can be linked to girls being at an increased risk for puberty-related fatigue, sexual abuse, a higher prevalence of mental illness and sensitivity to familial disruption, and increased domestic and grooming expectations. Implications for nursing practice include initiating conversations about sleep, sleep disturbance and sleeping arrangements when working with adolescent girls. Nurses should gather accurate sleep histories, provide adolescent girls and their caregivers with information and recommend interventions to improve sleep if necessary. Nurses should remain sensitive to the confounding effects of pubertal status, menarche and the cyclic release... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2214024 Tue, 24 Feb 2009 05:00:00 +0100 2214024 http://www.medworm.com/index.php?rid=2214023&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F13%2F1%2F4%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2214023 Tue, 24 Feb 2009 05:00:00 +0100 2214023 http://www.medworm.com/index.php?rid=2009411&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F344%3Frss%3D1 In conclusion, a family-centered electronic media intervention may reduce electronic media use and contribute to desirable changes in body composition. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2009411 Wed, 03 Dec 2008 05:00:00 +0100 2009411 http://www.medworm.com/index.php?rid=2009410&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F329%3Frss%3D1 This article provides a review of the professional literature related to the benefits and barriers of medically supervised pediatric weight-management programs. It summarizes the programs that work and the perceived barriers that parents and families struggle with in adhering to treatment plans. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2009410 Wed, 03 Dec 2008 05:00:00 +0100 2009410 http://www.medworm.com/index.php?rid=2009408&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F314%3Frss%3D1 The aim of this study was to investigate factors that influence morbidity patterns and health-seeking decisions in an urban slum community. Data were collected between May and August 2003 as part of the ongoing Nairobi urban demographic surveillance system and were analysed to identify factors that influence morbidity patterns and health-seeking decisions. The results show that the factors that influenced morbidity were the child's age, ethnicity and type of toilet facility. Predictors for seeking health care were the child's age, type and severity of illness, survival of father and mother, mother's education, mother's work status and wealth class. The conclusions drawn show that economic resources fall short in preventing child illnesses where children live in poor environmental condition... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2009408 Wed, 03 Dec 2008 05:00:00 +0100 2009408 http://www.medworm.com/index.php?rid=2009407&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F301%3Frss%3D1 Stem cell transplantation is one of the treatment methods for cancer in children and adolescents which has resulted in a positive outcome. Unfortunately this method of treatment brings with it a number of late effects such as short stature, cognitive effects and infertility. However, a majority of children and adolescents experience a good quality of life. By examining their medical records this study has gained a deeper understanding of the situation for the minority of young people who describe themselves as suffering severe mental distress which they relate to their illness and treatment. The population comprised seven adolescents who sought psychotherapeutic support several years after treatment. They describe how they are affected by the feeling of being different, the loss of contact... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2009407 Wed, 03 Dec 2008 05:00:00 +0100 2009407 http://www.medworm.com/index.php?rid=2009406&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F284%3Frss%3D1 This study aimed to examine how hospitalized children express pain through drawings, and was carried out by examining children's thematic drawings of pain. A comparison was made between hospitalized children and healthy control groups with respect to the thematic contents and cognitive and emotional characteristics of pain drawings. The drawings were sorted in categories on the basis of content, and cognitive competence and emotional disturbances by the Draw-a-Person procedure. The hospitalized children showed a lower level of cognitive capacity than their healthy controls. The control group children revealed a higher level of emotional disturbance than the hospitalized children. The groups differed in the contents of their drawings. The drawings of the hospitalized children frequently dep... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2009406 Wed, 03 Dec 2008 05:00:00 +0100 2009406 http://www.medworm.com/index.php?rid=2009404&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F268%3Frss%3D1 The level and nature of emotional upheaval and relationship to developmental stage was studied in children with pervasive developmental disorder (PDD) hospitalized for head injury. The sample consisted of 25 hospitalized children aged 5—12 years. Children were asked to make the drawing of a `person in hospital'. The drawings were evaluated by Koppitz's emotional indicators. Punishment and persecution were the main cognitive constructs of children in order to explain hospitalization. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2009404 Wed, 03 Dec 2008 05:00:00 +0100 2009404 http://www.medworm.com/index.php?rid=2009403&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F253%3Frss%3D1 This article explores collaboration between health and education staff as a key aspect of educational provision for children with chronic medical conditions, drawing upon material from interviews with eight health professionals (paediatric nephrologists and specialist renal nurses) and 11 mainstream schoolteachers involved in the care and schooling of children with renal transplants. Notwithstanding the apparent existence of good practice, a complex interplay of attitudinal, institutional and wider political and economic factors is identified that is likely to undermine the effectiveness of collaboration between health and education professionals. The importance of hospital—school liaison — that is, of a proactive, preventative and hence systematic and strategic nature — ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2009403 Wed, 03 Dec 2008 05:00:00 +0100 2009403 http://www.medworm.com/index.php?rid=2009402&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F12%2F4%2F250%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=2009402 Wed, 03 Dec 2008 05:00:00 +0100 2009402 http://www.medworm.com/index.php?rid=1678404&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F241%3Frss%3D1 A major problem in the management of infants exposed to HIV is the issue of feeding, which stems from the need to avoid transmission of the virus via breast milk. Other important issues in the nutrition of infants exposed to the virus include severe maternal illness, which makes suckling extremely difficult, and feeding orphans. Wet nursing is one of the recommended steps in addressing the feeding problems of such infants but for reasons of sociocultural disapproval, it appears not to be popular in traditional African settings. Non-puerperal induced lactation or re-lactation of a close relation, usually a grandmother, which hitherto has been used to rehabilitate severely malnourished motherless infants, may be equally useful. ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1678404 Mon, 04 Aug 2008 04:00:00 +0100 1678404 http://www.medworm.com/index.php?rid=1678403&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F232%3Frss%3D1 This study examined elementary school pupils with different body mass index (BMI) as to attitudes towards exercise, self-perception, lesson satisfaction in physical education and participation in physical activity. Seven hundred and seventy-five pupils participated in this study, aged 11—12 years. The study was conducted through questionnaires. Students were divided according to their BMI: normal, overweight and obese. Two-way analysis of variance was used, with gender and BMI type as independent variables. The results revealed that when compared to students with a normal BMI, the obese and overweight students had lower scores in lesson satisfaction, negative views of their body and reduced levels of physical activity. Also, the results showed that the obese and overweight students a... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1678403 Mon, 04 Aug 2008 04:00:00 +0100 1678403 http://www.medworm.com/index.php?rid=1678402&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F221%3Frss%3D1 This study assessed the prevalence of traditional cardiovascular disease risk factors in 119 adolescent smokers, compared to an age-matched sample of non-smokers. Participants were assessed for body mass index (BMI), relative body fat, systolic/diastolic/mean arterial blood pressure, total serum cholesterol, aerobic fitness, family (parents or siblings) smoking habits and history of cardiovascular disease. The results showed that BMI and relative body fat were significantly increased, while aerobic fitness was significantly decreased in smokers. Male smokers further demonstrated increased diastolic blood pressure and mean arterial pressure. Smokers also showed increased prevalence for family smoking habits and cardiova... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1678402 Mon, 04 Aug 2008 04:00:00 +0100 1678402 http://www.medworm.com/index.php?rid=1678401&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F209%3Frss%3D1 This study examined rates of teacher victimization and relationships between teacher victimization, adherence and metabolic control in 167 young people with type-1 diabetes. Questions that assessed diabetes-related victimization from teachers were administered to young people with type-1 diabetes. Metabolic control was measured with HbA1c values and diabetes self-management was assessed using the parent version of the Diabetes Self-Management Profile (DSMP). The results indicated that teacher victimization was associated significantly and negatively with the DSMP Diet Subscale (p = .03), DSMP Insulin Adherence Subscale (p = .00) and overall adherence (p = .01) for younger children (aged 8—11 years), but not for o... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1678401 Mon, 04 Aug 2008 04:00:00 +0100 1678401 http://www.medworm.com/index.php?rid=1678400&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F191%3Frss%3D1 The aim of the study was to describe interactions within the family and between them and professionals on a routine visit at a paediatric oncology outpatient clinic where the visiting child was likely to be fearful. Observations were performed. Data were analysed by qualitative content analysis. The behaviours most frequently observed as expressing fear were being quiet, withdrawn or providing detailed descriptions of experiences. Within the theme `Recognition of the fear', an attentive attitude to the fear was traced; fear was confirmed and cooperation was seen. Although many efforts were made to meet the fear, this was not always successful. Within the theme `Lack of attention to the fear', the fear was not in focus due to parental worries and concerns about the child's health, and organ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1678400 Mon, 04 Aug 2008 04:00:00 +0100 1678400 http://www.medworm.com/index.php?rid=1678399&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F173%3Frss%3D1 This study used a three-phase, multi-method approach with children aged 5—17 years: a focus group study (129 participants), a randomized study (48 participants), and a quasi-experimental study design (48 participants). Findings were evaluated from three phases. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1678399 Mon, 04 Aug 2008 04:00:00 +0100 1678399 http://www.medworm.com/index.php?rid=1678398&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F12%2F3%2F170%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1678398 Mon, 04 Aug 2008 04:00:00 +0100 1678398 http://www.medworm.com/index.php?rid=1430405&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F156%3Frss%3D1 This article quantifies the contribution in England and Wales. It identifies 51 charities established specifically to assist this patient group, estimates that 340 charities made some financial contribution and 28 organizations administered charitable funds for hospices. The financial contribution to services by charities was estimated to be between £25 million and £38 million in 2003, representing between one-third and a half of the total resources directed to the treatment and support of children and young people with cancer in specialist centres across England and Wales. Reliance on the substantial charitable funding of health care in England and Wales raises concerns over government responsibility, and the potential misalignment between NHS priorities and those of the chari... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1430405 Fri, 09 May 2008 04:00:00 +0100 1430405 http://www.medworm.com/index.php?rid=1430404&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F144%3Frss%3D1 Child prostitution is an old, global and complex phenomenon, which deprives children of their childhood, human rights and dignity. Child prostitution can be seen as the commercial sexual exploitation of children involving an element of forced labour, and thus can be considered as a contemporary form of slavery. Globally, child prostitution is reported to be a common problem in Central and South America and Asia. Of all the south-east Asian nations, the problem is most prolific in Thailand. In Thailand, there appears to be a long history of child prostitution, and this article explores the factors that underpin the Thai child sex industry and the lessons and implications that can be drawn for health care and nursing around the world. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1430404 Fri, 09 May 2008 04:00:00 +0100 1430404 http://www.medworm.com/index.php?rid=1430403&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F129%3Frss%3D1 Previously, fear in adolescents with cancer has been sparsely described from an emic perspective. The aim of this study was to illuminate fear in adolescents with personal experience of cancer. The participants were six adolescent girls between the age of 14 and 16 years who were no longer under active treatment for cancer but still went for regular check-ups. Open interviews were conducted. Data were analysed according to the phenomenological hermeneutic method. In the result one main theme was identified: `an embodied fear — a threat to the personal self'. This theme was built up by three separate but intertwined themes: `experiencing fear related to the physical body', `experiencing existential fear' and `experiencing... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1430403 Fri, 09 May 2008 04:00:00 +0100 1430403 http://www.medworm.com/index.php?rid=1430402&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F116%3Frss%3D1 Recent UK policy has highlighted the importance of a young person's family in their care and the need for health professionals to work in partnership with young people and their parents. This research provides health professionals with an insight into how the responsibilities for different aspects of medicine management are shared between young people and their parents in the home. It highlights the dynamic nature of partnerships between parents and young people and the considerable role of young people in medicine management in the home, which contrasts with their more limited involvement in consultations with health care professionals. The findings are based on semi-structured interviews conducted in the participants' own ho... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1430402 Fri, 09 May 2008 04:00:00 +0100 1430402 http://www.medworm.com/index.php?rid=1430401&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F106%3Frss%3D1 This article discusses facets of the now well-known phenomenon of `health emigration', that is, when a family searches abroad in the hope of finding the most advanced medical treatment possible for their sick child. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1430401 Fri, 09 May 2008 04:00:00 +0100 1430401 http://www.medworm.com/index.php?rid=1430400&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F92%3Frss%3D1 Brain death is a medical, legal and cultural category constructed to fill an important need created by evolving medical technologies and practices. However, managing life and death via organ transplants and brain death criteria is not without controversy; there remains much confusion and ambivalence in both lay and medical populations regarding both organ donation and the diagnostic category of brain death. By way of a case study of cranial trauma taken from a larger study of bereaved parents, this article discusses how, from a parent's perspective, brain death and organ donation are neither morally nor medically straightforward concepts. The case study presented in this article demonstrates the necessity for more research and clinical training in communication issues regarding brain death... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1430400 Fri, 09 May 2008 04:00:00 +0100 1430400 http://www.medworm.com/index.php?rid=1430399&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F12%2F2%2F90%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1430399 Fri, 09 May 2008 04:00:00 +0100 1430399 http://www.medworm.com/index.php?rid=1244102&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F1%2F76%3Frss%3D1 This article evaluates the relations between peer victimization and child and parent reports of social-psychological variables 1.5 years later. Thirty-six children diagnosed with endocrine disorders and their parents completed questionnaires regarding social-psychological functioning. Peer victimization at time 2 was significantly related to concurrent depression, loneliness, externalizing and internalizing symptoms. Hierarchical linear regression equations indicated that peer victimization at baseline was not a significant predictor of time 2 social-psychological functioning when baseline levels of each variable were controlled. Significant correlations were found between baseline and time 2 levels of social anxiety, loneliness, externalizing and internalizing symptoms, with medium to lar... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1244102 Wed, 20 Feb 2008 05:00:00 +0100 1244102 http://www.medworm.com/index.php?rid=1244101&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F1%2F60%3Frss%3D1 The aim of this study was to compare the perceptions of needs held by parents of hospitalized children with those held by the staff caring for them. Family-centred care is a central tenet of paediatrics and should encompass all aspects of the child and family's experience of hospitalization. Important to this are the needs of parents when their children are hospitalized. A widely used and validated tool was used with a convenience sample in paediatric facilities in a children's hospital in Australia. Some differences were found between parents and staff for scores for perceived importance of the 51 needs included in the questionnaire, and whether or not they were being met satisfactorily during children's hospital admission, although there were no consistent patterns. Parents declared them... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1244101 Wed, 20 Feb 2008 05:00:00 +0100 1244101 http://www.medworm.com/index.php?rid=1244100&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F1%2F49%3Frss%3D1 This case report highlights the dilemma faced by staff with regard to the timing of surgery on a child with a disorder of sex development living in a large, lower socio-economic class, South African, urban township. In this community, children with disorders of sex development can sometimes become an object of interest and ridicule or are thought to be bewitched. Many parents of children with such disorders find it difficult to protect their offspring from the marginalization and rejection that is the consequence of such curiosity and transparency. Current research and theory pertaining to the biological and social bases of gender identity and behaviour are reviewed and their capacity to guide decisions is explored. The absence of a support group to assist these children and their parents,... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1244100 Wed, 20 Feb 2008 05:00:00 +0100 1244100 http://www.medworm.com/index.php?rid=1244099&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F1%2F33%3Frss%3D1 In this innovative project, the views of children and young people were explored regarding their preference of thematic design and colour for their hospital environment in a new children's unit. The novelty of the approach was that it was driven by the preferred choices of children and young people through the use of `child-friendly' interviews and questionnaires. Informing the study was the development of a group of children and young people who underwent research training, and with support, developed all data collection tools and helped to verify data analysis. A two-phased sequential study was undertaken. During phase 1, 40 interviews were performed with children and young people, including 10 with additional learning needs and physical disabilities while 140 questionnaires were analyse... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1244099 Wed, 20 Feb 2008 05:00:00 +0100 1244099 http://www.medworm.com/index.php?rid=1244098&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F1%2F18%3Frss%3D1 This article outlines recommendations for the ethical conduct of participant observation in pediatric health care settings. This involves a brief overview of the significant contributions that participant observation can bring to our understanding of children and families in health care settings; an examination of the elements of participant observation that are necessary conditions for its effective conduct; an outline of contemporary ethical norms in Canada, the United Kingdom and the United States for research in pediatric health care settings; and a discussion of how participant observation research should be operationalized in order to comply with these norms. (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1244098 Wed, 20 Feb 2008 05:00:00 +0100 1244098 http://www.medworm.com/index.php?rid=1244097&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F1%2F7%3Frss%3D1 This article reports a qualitative study designed to explore parents' views on how their child with additional needs had been cared for by hospital nursing staff, focusing on how well their own and their child's needs had been identified and met. Twelve interviews with parents of children with additional needs and a thematic analysis of the interview data was conducted. Four themes were developed to provide an insight into parents' views about their experiences: their prior experiences of hospital care, including the process of being told the original diagnosis; communication with staff; nurse—parent relationships; and perceptions of nurses and nursing care. It concludes that parents experience some difficulties in developing a trusting relationship with the nurses caring for their c... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1244097 Wed, 20 Feb 2008 05:00:00 +0100 1244097 http://www.medworm.com/index.php?rid=1244096&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F12%2F1%2F4%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1244096 Wed, 20 Feb 2008 05:00:00 +0100 1244096 http://www.medworm.com/index.php?rid=1050473&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F11%2F4%2F342%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1050473 Mon, 26 Nov 2007 05:00:00 +0100 1050473 http://www.medworm.com/index.php?rid=1050472&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F11%2F4%2F341%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1050472 Mon, 26 Nov 2007 05:00:00 +0100 1050472 http://www.medworm.com/index.php?rid=1050471&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F11%2F4%2F323%3Frss%3D1 This study analyzed 147 commercials appearing during children's programming on U.S. broadcast networks for a wide range of potential emotional and rational advertising appeals. The most prominent emotional appeals were fun/happiness and play followed by fantasy/ imagination, social enhancement/peer acceptance, and coolness/hipness. Many of the products used the term `super-charged' or a similar adjective to describe the powerful taste or other physical properties of the product. More than one-third of all the commercials used a fruit appeal or association. Statements or depictions that a product was healthy or nutritious were quite rare among the commercials. This seems to imply that health and nutrition claims are understood by food marketers to not be salient concerns among children and ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1050471 Mon, 26 Nov 2007 05:00:00 +0100 1050471 http://www.medworm.com/index.php?rid=1050470&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F11%2F4%2F311%3Frss%3D1 Childhood obesity has reached alarming levels and the problem has assumed great significance for health care staff who work with overweight children and their families. Anecdotal accounts of the difficulties that may emerge when health care providers communicate that a child's weight is outside of the normal range, were a key stimulus for this review. A local government health department commissioned a review of literature on communicating with parents about childhood overweight and obesity. Literature concerned with communicating a child's overweight to parents was limited and, as a result, this review draws upon a disparate body of literature to examine what is known and what might be helpful for health care providers when discussing a child's weight with the child and parents. This pape... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1050470 Mon, 26 Nov 2007 05:00:00 +0100 1050470 http://www.medworm.com/index.php?rid=1050469&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F11%2F4%2F298%3Frss%3D1 This paper reports the findings of a qualitative study that used a hermeneutic phenomenological methodology to develop insights into the experience of parents of young people who engage in self-harming behaviour. Six mothers (and one father who accompanied his wife) participated in the study. Findings reveal that mothers experienced guilt and shame, and that these feelings shaped their reactions and responses. These mothers described experiencing emotional dilemmas, such as the degree to which they could be responsible, uncertainty about how to understand self harm, and the best course of action to take with their child. They also encountered difficulties in combating the negative emotional effects for themselves and other family members. Findings provide insights that can help nurses and ... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1050469 Mon, 26 Nov 2007 05:00:00 +0100 1050469 http://www.medworm.com/index.php?rid=1050468&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F11%2F4%2F287%3Frss%3D1 This study investigated the navigation, design and content preferences of young people using the Children First for Health (CFfH) website. Young people from five secondary schools completed an internet site navigation exercise, website evaluation questionnaire and participated in informal discussions. Of the participants, 45 percent visited the website section aimed at older adolescents within their first two clicks, regardless of their age. There were conflicting preferences for design and strong preference for gender-specific information on topics such as appearance, relationships, fitness and sexual health. The findings indicate the importance of gaining young people's views to ensure that health information websites meet the needs of their intended audience. Cooperation from schools ca... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1050468 Mon, 26 Nov 2007 05:00:00 +0100 1050468 http://www.medworm.com/index.php?rid=1050467&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F11%2F4%2F269%3Frss%3D1 Children with chronic pain meet numerous healthcare professionals during their search to understand their pain. Through semi-structured interviews, this qualitative study sought to understand the experiences of five children with chronic pain as they encountered healthcare professionals. In the majority of these interactions, children reported feeling misunderstood, disbelieved and abandoned. The findings of this study demonstrate that children's experiences with professionals influence their approach towards current and future healthcare encounters. All children discussed their guarded relationships with healthcare providers. Children also developed negative perceptions about their pain, in particular believing that their experience with chronic pain was life-threatening, and demanded maj... Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1050467 Mon, 26 Nov 2007 05:00:00 +0100 1050467 http://www.medworm.com/index.php?rid=1050466&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F11%2F4%2F266%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=1050466 Mon, 26 Nov 2007 05:00:00 +0100 1050466 http://www.medworm.com/index.php?rid=810321&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F11%2F3%2F264%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=810321 Mon, 20 Aug 2007 04:00:00 +0100 810321 http://www.medworm.com/index.php?rid=810320&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F11%2F3%2F263%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=810320 Mon, 20 Aug 2007 04:00:00 +0100 810320 http://www.medworm.com/index.php?rid=810319&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F11%2F3%2F262%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=810319 Mon, 20 Aug 2007 04:00:00 +0100 810319 http://www.medworm.com/index.php?rid=810318&cid=s_32758_33_f&fid=32758&url=http%3A%2F%2Fchc.sagepub.com%2Fcgi%2Freprint%2F11%2F3%2F261%3Frss%3D1 (Source: Journal of Child Health Care) Journal of Child Health Care journals http://www.medworm.com/rss/comments.php?id=810318 Mon, 20 Aug 2007 04:00:00 +0100 810318