Children Of Different Age Groups Research Articles

Clinical applications of contactless photoplethysmography for vital signs monitoring in pediatrics: A systematic review and meta-analysis.

Contactless photoplethysmography (PPG) potentially affords the ability to obtain vital signs in pediatric populations without disturbing the child. Most validity studies have been conducted in laboratory settings or with healthy adult volunteers. This review aims to evaluate the current literature on contactless vital signs monitoring in pediatric populations and within a clinical setting. OVID, Webofscience, Cochrane library, and clinicaltrials.org were systematically searched by two authors for research studies which used contactless PPG to assess vital signs in children and within a clinical setting. Fifteen studies were included with a total of 170 individuals. Ten studies were included in a meta-analysis for neonatal heart rate (HR), which demonstrated a pooled mean bias of -0.25 (95% limits of agreement (LOA), -1.83 to 1.32). Four studies assessed respiratory rate (RR) in neonates, and meta-analysis demonstrated a pooled mean bias of 0.65 (95% LOA, -3.08 to 4.37). All studies were small, and there were variations in the methods used and risk of bias. Contactless PPG is a promising tool for vital signs monitoring in children and accurately measures neonatal HR and RR. Further research is needed to assess children of different age groups, the effects of skin type variation, and the addition of other vital signs.

CLINICAL AND EPIDEMIOLOGICAL FEATURES OF COVID-19 IN CHILDREN FOR THE PERIOD 2020-2022.

The aim: To investigate the epidemiological and clinical characteristics of COVID-19 in children for the period 2020-2022. Materials and methods: A retrospective analysis of 1144 case histories of children who were hospitalized at the St. Zinaida Children's Clinical Hospital (Sumy, Ukraine) for coronavirus disease for 2020-2022 was carried out. The observed patients were divided into 3 groups corresponding to the 3 waves of the pandemic: group 1 - 120 children, group 2 - 311 children, and group 3 - 713. The diagnosis of COVID-19 was established based on clinical, medical histories, laboratory and instrumental data. The etiology of coronavirus disease was determined based on the detection of antigens of the SARS-CoV-2 virus using PCR reverse transcription of a nasopharyngeal swab. Results: An analysis of the clinical and epidemiological indicators of children who were treated for COVID-19 during 2020-2022 was conducted, depending on the outbreak of the pandemic. The frequency of lesions in children of different age groups was determined, and the main clinical symptoms and the frequency of complications in the form of pneumonia during different waves of COVID-19 were determined. Conclusions: The incidence of coronavirus infection was mainly observed in children of the younger group (0-5 years). A more severe course of the disease and a higher frequency of complications in the form of pneumonia in children were determined during the 3rd wave of the COVID-19 pandemic.

Некоторые аспекты формирования рационов питания детей разных возрастных групп

Aim: to analyze the frequency of eating and the range of products used as snacks and to assess the impact of snacking on the digestive tract of children of different ages. Patients and Methods: a questionnaire survey of 2250 parents of preschoolers (3-6 years old) and 2250 parents of schoolchildren in Saratov city and Saratov region was conducted. Outpatient medical records of 4500 children were analyzed to assess the findings of physical exam performed by gastroenterologist, child's life and medical history, and the results of laboratory and instrumental tests used for evaluating the gastrointestinal system. Results: an adequate dietary pattern (breakfast, second breakfast, lunch, midday meal, dinner) was followed by 64% of preschoolers and 36% of schoolchildren (р<0.05). The majority of preschool- and school-aged children missed the second breakfast. Most of them — 90% of preschoolers and 78% of schoolchildren had snacks 1–3 times a day. Most commonly both preschool- and school-aged children were eating sausage snacks: 35% and 40% of the interviewed individuals, respectively. Fruits (32%) and confectionery products (22%) were the second most popular snacks among the preschool- and school-aged children. Every 5th preschooler and every 3rd schoolchild consumed sausage products weekly. Children who were snacking with sweets and eating sausages daily had more gastrointestinal complaints and more frequently required regular medical check-ups (registered with Group “D”) by gastroenterologist with the diagnoses of gastritis, gastroduodenitis, biliary dyskinesia, and chronic constipation, and this difference was statistically significant. Conclusion: preschool- and school-aged children most commonly get sausage and confectionary products as additional meals which may cause multiple health problems in the future. For the rational development of additional diets for children of different ages it is necessary to regulate such meals and to introduce consensus documents on the rate of consumption and the optimal formulations of food products used as snacks. KEYWORDS: schoolchildren, preschoolers, snacking, nutrition, gastrointestinal disorders. FOR CITATION: Chernenkov Yu.V., Gumenyuk O.I., Glushakov I.A., Glushakova V.D. Some aspects of developing diets for children of different age groups. Russian Journal of Woman and Child Health. 2023;6(2):169–174 (in Russ.). DOI: 10.32364/2618-8430-2023-6-2-169-174.

Rethinking of Hryhoriy Skovoroda’s Legacy in the 21st Century Publishing

The article is dedicated to a review of the works by Hryhoriy Skovoroda published in Ukraine over the past two decades. Interdisciplinary studies that employ literary criticism and book publishing methodology have been applied to systematize the editions that were released between 2000 and 2022. A significant contribution to the publishing of Skovoroda’s legacy is The Complete Academic Edition of Hryhoriy Skovoroda’s Works edited by Professor Leonid Ushkalov (2010). In the focus of the study are also important editions of the previous years, such as the first complete translation of the author’s works into Ukrainian literary language and its subsequent new editions. In terms of the range of the assortment, the following editions should be noted: Hryhoriy Skovoroda. Selected Works (Terra Incognita, 2017), Literary Works and Our Life – A Journey (Apriori), SkorovoroDAR. Life, Creativity, Legacy (Shkola Publishing House). A significant share of the editions published are texts by Skovoroda that are studied in schools, i.e. pupils are reading them in translations into modern Ukrainian language or as adapted texts for children of different age groups. Such editions can be found in the repertoire of such publishing houses as Shkola, Apriori, Family Leisure Club, Ranok, Vivat, Chas Maistriv and others. Contemporary editions tend to have quality visual presentation, graphic story and modern illustrations. Skovoroda’s texts have also received unique illustrative accompaniment done by Agrafka Art Studio, Anna Sezon, renowned artist Oleksandr Roitburd, Marysia Rudska and others for the format of collector’s or gift editions. The research also covers the Russian-language editions of Skovoroda’s works published in Ukraine as well as musical and facsimile editions. A review of the editions allows for tracing specific trends in the publications of Skovoroda’s texts and the issues of preparing them for publication. The article is accompanied by a bibliography of editions of Skovoroda’s works that have been selected for analysis.

Characteristics of medicine use for children with asthma in China: a nationwide population-based study

ObjectiveTo analyze the asthma medication use in Chinese children of different age groups, regions, and levels of cities in China, based on the 2015 Healthcare Insurance Data in China.MethodsThe China Healthcare Insurance Research Association (CHIRA) database was searched for children from 0 to 14 years old diagnosed as asthma based on the “J45” and “J46” coded in ICD-10. A cross-sectional study design was employed.ResultsA total of 308,550 children were identified, all of whom were treated under the coverage of healthcare insurance. Among them, 2,468 children were eligible for inclusion in the present study. Compared with the current status of asthma care in European and American countries, under the guidelines for the diagnosis and treatment of asthma in China, the use percentages of ICS and short-acting β2 receptor agonist in children with asthma in China were lower, but the use percentages of oral corticosteroids, long-acting β2 receptor agonist, and theophylline (especially intravenous theophylline) were higher, especially in the Central and West China.ConclusionThe asthma medication use was attributed to many factors, thus efforts are still needed to further popularize the GINA programs and China's guidelines for asthma diagnosis and treatment, especially in the Central and West China.

Polymorphism of clinical manifestations, experience of diagnosis and treatment of multisystem inflammatory syndrome associated with COVID-19 in children

Purpose - to analyze the literature data on possible variants of the course of pediatric multisystem inflammatory syndrome (PIMS-TS) in children; to describe our own experience in the diagnosis and treatment of some cases of PIMS-TS in children of different age groups; to present possible variants of clinical manifestations of the above disease; to draw attention to the need for early diagnosis and team care and treatment of such children. This novel clinical syndrome later identified as PIMS-TS temporally associated with SARS-CoV-2. In contrast with KD, PIMS-TS appears to occur in children at an older age with a predominance of gastrointestinal symptoms, hemodynamic instability, and myocardial dysfunction. However, the exact pathomechanism remains to be understood. Nevertheless, the post-viral immunological reaction is postulated to be the underlying mechanistic underpinnings. The paper describes the clinical course of the disease in a 5-year-old boy who complained of abdominal pain and hyperthermia, and the disease was masked by surgical pathology. The phenomena of intoxication syndrome, polyserositis, skin manifestations in the form of a polymorphic rash, hyperemia of the conjunctiva, swelling of the feet and hands increased in dynamics. The course of the disease in a 10-year-old girl who had symptoms of a viral infection is also described. However, upon going to the hospital, both children were diagnosed with a serious condition, they were hospitalized and given appropriate treatment. Therefore, the multifaceted nature of the PIMS-TS’ course underlines the need for early recognition and multispecialty care and management. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.

Parents of children with intellectual disabilities for home-school partnership – the ELIPDA and PAT project

The European Pillar of Social Rights states that “Everyone has the right to quality and inclusive education, training and life-long learning in order to maintain and acquire skills that enable them to participate fully in society and manage successfully transitions in the labour market”. The main emphasis of all education policy efforts in the European Union have been along the axis of inclusion. The UN Convention on the Rights of People with Disabilities (CRPD) and the UN Convention on the Rights of the Child (UNCRC) together define the rights and duties of the parents of disabled children as well, while clearly define the duties of public actors. The research outcomes of the ELPIDA and Parenting Together (PAT) projects – to be presented at the conference – have contributed to understanding the capacity building needs of parents of children with intellectual disabilities and that of professionals collaborating with them, also contributing to the definition of state actors’ responsibilities. The two projects focused on children of different age groups and thus different needs. The evidence based ELPIDA project, had been chosen for the Zero Award 2020.

Формула оценки размера камня (ФОРК) почки у детей разных возрастных групп.

Introduction. The choice of surgical treatment with kidney stone disease directly depends on the size of the kidney stones. According to clinical guidelines for the treatment of urolithiasis in children, the size of a kidney stone in adult patients is used to determine tactics. Normally, the longitudinal size of the kidney of a child, for example, 1-3 years old, is 2 times smaller than that of an adult, and the width of the child's ureter is 37% less than the width of the adult's ureter. But anatomical and age differences in children (infant, preschool, school and adolescence) are not taken into account. Existing prognostic nomograms for urolithiasis (Dogan, Onal, CMUN, SKS, Guy's Stone Score, S.T.O.N.E, and CROES) that are validated for use in children also do not take this into account. Thus, the size of a kidney stone, as a criterion for choosing an effective and safe method of surgical treatment, needs to be clarified. The purpose of the study: to define the concept of a large kidney stone in children of different age groups. Materials and methods. We analyzed clinical guidelines, domestic and foreign publications on the use of «kidney stone size» in children of different ages and the principles of substantiation of the term large kidney stone. 320 histories of percutaneous nephrolitholopaxy (PNL) from 2008-2019 were retrospectively and perspectively analyzed. aged from 1 to 17 years, the average age of patients is 6.6 years. The average calculus size was 26 (15-58) mm. Number of patients in different age groups: toddlers 1-3 y/o – 73, pre-school child 3-5 y/o. – 71, school child 6-12 y/o – 79, adoloscents 12-18 y/o – 97. By type of calculus: single –125 (39.1%), multiple – 68 (21.3%), K1, K2 – 46 (14.3%), K3, K4 – 81 (25.3%). The weight of the patients ranged from 8–94 kg, the average weight was 21 kg, the height was from 73–180 cm, and the average height was 120 cm. The length of the child's kidney depends on his age, the formula for calculating the length of the kidney (cm) = 6.79 + 0.22 x age (g)) Result. KSS-CDA: Kidney stone size in children different ages was proposed: KSS-CDA = (stone size (mm)/the kidney length (mm))*100%. KSS-CDA makes the interpretation of the size of kidney stones in children from different age groups objective. The definition of "Large" kidney stone is used if the size of the stone is 20% or more of the longitudinal size of the kidney in children. For example, a child is 1 year 7 months old, the stone is 15 mm, the length of the kidney is 69 mm. The SSEF is 21.74%, this kidney stone can be described as «large». The «medium» stone size is 10-20% (6-14 mm), small <10% (6 mm). Conclusion. The presented study is the first in domestic and foreign literature, during which the age characteristics of children were taken into account. The reason for the reduction in the lower limit of kidney stone size used to select surgical treatment in children compared with current recommendations was explained. For the first time, KSS-CDA allows to standardize an objective criterion for determining large, medium and small kidney stones in children different ages. The prospective use of FORK in the future will allow adapting clinical guidelines and nomograms for KSD in children.

Contribution of Ultrasound in Current Practice for Managing Juvenile Idiopathic Arthritis.

The interest and application of musculoskeletal ultrasound (MSUS) in juvenile idiopathic arthritis (JIA) are increasing. Numerous studies have shown that MSUS is more sensitive than clinical examination for detecting subclinical synovitis. MSUS is a well-accepted tool, easily accessible and non-irradiating. Therefore, it is a useful technique throughout JIA management. In the diagnostic work-up, MSUS allows for better characterizing the inflammatory involvement. It helps to define the disease extension, improving the classification of patients into JIA subtypes. Moreover, it is an essential tool for guiding intra-articular and peritendinous procedures. Finally, during the follow-up, in detecting subclinical disease activity, MSUS can be helpful in therapeutic decision-making. Because of several peculiarities related to the growing skeleton, the MSUS standards defined for adults do not apply to children. During the last decade, many teams have made large efforts to define normal and pathological US features in children in different age groups, which should be considered during the US examination. This review describes the specificities of MSUS in children, its applications in clinical practice, and its integration into the new JIA treat-to-target therapeutic approach.

Pediatric Drowning: In Deep Water

Drowning is one of the most common causes of death globally. The current literature identifies risk factors associated with pediatric drowning and strategies to prevent its occurrence. This article seeks to equip pediatricians with the appropriate education and guidance to provide targeted counsel to parents with children of different age groups, as well as medical management, when faced with a drowning victim. [Pediatr Ann. 2022;51(12):e450-e455.].

Turkish Adaptation of the Executive Functions and Occupational Routines Scale: Validity and Reliability Among Children with Dyslexia.

The purpose of the present study was to provide a Turkish cultural adaptation (EFORTS-T) of the Executive Functions and Occupational Routines Scale (EFORTS) and to investigate its psychometric quality in children with dyslexia. We culturally adapted the original English version of this instrument with internationally suggested methods. Participants included the mothers of either randomly selected children with dyslexia (study group, n = 158) or age and sex-matched typically developing children (control group, n = 167). These participants completed a demographic form, the EFORTS-T, and the Behavior Rating Inventory of Executive Function-Parent form (BRIEF-P). For internal consistency, the alpha coefficient of the new instrument was excellent (.93), and it showed satisfactory test-retest reliability over a 14-day interval (.91). The criterion-related validity between the EFORTS-T and the BRIEF-P was moderate (.73). Fit indices of the model supported its factor structure. In conclusion, our findings support the validity and reliability of the new Turkish version of EFORTS for evaluating EF and contributing to the daily occupational routines of children with dyslexia for Turkish respondents. Further studies are needed to apply this instrument to children of different age groups and psychiatric conditions.

Features of the Blended Learning Technique in a General Educational Organization to Reduce Pedagogical Risks

Blended learning involves working in an electronic educational environment, which carries additional pedagogical risks for students. In this paper, we assessed the main pedagogical risks and proposed options for their elimination by improving the methodology of blended learning. The purpose of the article is to find solutions to improve the methods of blended learning to eliminate pedagogical risks that affect the health of the subjects of the educational process. Methodology. The methodological basis of this study was the assessment of the pedagogical results of the use of E-learning in the educational process, as well as the likely pedagogical risks. Methods of theoretical research, analysis of regulatory documents in force on the territory of Russia, in the field of education, as well as electromagnetic, informational, personal security were used. Conclusion: thus, when planning classes in the blended learning format, it is necessary to take into account pedagogical risks for participants in educational relations, which for the most part are not taken into account. There is a need to conduct research aimed at determining the maximum permissible level of EMF for children of different age groups and choosing the safest electronic learning tools. It is important to pay special attention to the expertise of digital educational content. Ideally, training should be carried out only on electronic educational platforms that have passed the examination of digital educational content for compliance with the requirements of the legislation of the Russian Federation.

Cytokine profile in community-acquired pneumonia in children

Community-acquired pneumonia (CAP) is one of the most common acute infectious diseases. To date, the incidence of CAP among children was decreased significantly worldwide, mainly due to increasing use of effective preventive measures. Nevertheless, CAP remains a common cause of childhood morbidity and mortality. Pneumonia may develop at any age, but most often it occurs in young children, who are more likely to have a more severe course of pneumonia. Currently, early diagnosis and prognosis of the disease severity in children is an urgent issue. It was found that, in most cases, a panel of conventional biomarkers, including the number of leukocytes, procalcitonin, CRP is not sufficient for the diagnosis of pediatric CAP. There is a demand for new biological markers which, along with clinical evaluation, may significantly improve diagnostics and management of CAP in children, thus reducing the risk of adverse outcomes associated with this disease. Such markers could be found among the cytokines, which are active participants in the CAP pathogenesis. The aim of this study was to determine the level of several cytokines in blood serum of children with CAP and to assess changes in the cytokine profile depending on the patient’s age and severity of the disease. The study included 117 children aged 1 to 18 years with a diagnosis of CAP confirmed by X-ray examination. The comparison group included 28 healthy children who did not have CAP or other signs of acute respiratory viral infection at the time of examination, being free of any chronic pathology requiring outpatient observation. A number of cytokines were determined quantitatively in blood serum, i.e., IL-1β, IFNγ, IL-2, IL-4, IL-6, IL-10, TNFα, IFNλ2 (IL-28A), IFNλ3 (IL-28B), IL-8, MCP-1, IL-17AF, GM-CSF using test systems based on the “sandwich” method of solid-phase ELISA using peroxidase labeling. As a result, it was found that the content of IL-6, IL-17AF, IL-1β, IFNγ, MCP-1, IFNλ2 (IL-28A), IFNλ3 (IL-28B), GM-CSF was significantly higher in the group of children with severe community-acquired pneumonia. The levels of certain cytokines, e.g., IL-6, IFNλ2 (IL-28A), IFNλ3 (IL-28B), GM-CSF varied depending on the age of patients, thus, probably, reflecting the degree of immune system activation in the children of different age groups.

Frequency of Various Etiological Causes of Intestinal Obstruction in Children

Aim: To determine the frequency of causes of intestinal obstruction among children. Study design: This is a cross sectional study. Place and duration of study: This study was conducted in Allama Iqbal Memorial Teaching Hospital Sialkot. Study was completed in six months duration from January 2022 to June 2022. Methodology: Children with age <12 years admitted in the department of pediatrics and undergoing exploratory laparotomy for intestinal obstruction and fulfilling inclusion criteria were included in this study. On exploratory laparotomy causes of intestinal obstruction were noted like adhesions, intussusceptions, round worms and obstructed hernia. Collected data was analyzed using SPSS version 20 software. Percentages, means and standard deviations were determined. Results: Total 170 cases were studied including 107(62.9%) males and 63(37.1%) females. Range of the ages was one month to 12 years with mean age of 4.37±2.6 years. Most common cause of intestinal; obstruction was adhesions followed by intussusception found in 71(41.7%) and 55(32.3%) cases respectively. Conclusion: Frequency of etiological causes of intestinal obstruction varies in different age groups in children, however adhesions are most common cause of intestinal obstruction in children, while intussusception is second most common cause. Key words: Intestinal obstruction, Adhesion, Intussusception, Etiological causes, Children

Fractional anisotropy values of brain matter among healthy children: cohort study

INTRODUCTION: Diffusion-tensor magnetic resonance imaging (DT-MRI) is currently a well studied and applied in clinical practice technique. An important advantage of this technique is the measurement of fractional anisotropy (FA) values, which make it possible to quantify changes in brain matter. The authors are aware of publications on the study of FА values among children in small groups including only a part of ages. This work presents study of FA among large amount of examined children and notes values of FA for most of the significant structures of the brain in subjects from 4 months to 18 years of age.OBJECTIVE: Analysis of the FА values of the anatomical structures of the brain in children of different age groups who did not reveal changes in the brain matter during multiparametric MRI, in order to further study the processes of development and myelination of brain structures, as well as the use of these values in clinical practice as reference values in the analysis of pathology.MATERIALS AND METHODS: 153 patients aged from 4 months to 18 years were examined. MRI of brain was performed on the recommendation of the attending physician in accordance with clinical indications in case of suspected infection in the paranasal sinuses and neurological complaints, without focal symptoms. Distribution of examined children by age groups was: up to 1 year (infant age) — 6 children (3.9%); from 1 year to 3 years (early childhood) — 14 children (9.15%); from 3 to 7 years old (preschool age) — 39 children (25.5%); older than 7 years (school age and older) — 94 children (61.45%). Distribution of the examined by gender: male children — 82 (53.6%); female — 71 (46.4%). DT-MRI was applied to all patients with measurement of diffusion in 15 directions, and then FА values were measured in 21 areas of the white and gray matter of the brain. The regions of interest (ROI) were arranged in accordance with the zones of the ASPECTS and PC-ASPECTS scales adapted for the purposes of this study. Statistics: processing of the received data was carried out using application programs: Microsoft Excel, Statistica 10 with an assessment of the normality of the distribution of values and the use of parametric and nonparametric criteria.RESULTS: The highest mean numerical values of FA for all groups of children were found in the white matter along neural pathways: 0.66±0.04 for the internal capsule; 0.68±0.05 — in the white matter of the midbrain; 0.64±0.08 — at the level of the pons; 0.69±0.04 — in the cerebellar peduncles. The FA indices in the white matter of other anatomical regions are slightly lower: 0.50±0.08 — for white matter at the M4 level according to ASPECTS; 0.52±0.08 — in the occipital lobe at the level of the basal ganglia; 0.54±0.05 — in the temporal lobe. The lowest FA values appeared in the gray matter: 0.16±0.04 — in the caudate nucleus; 0.12±0.04 — in the gray matter at the M4 level according to ASPECTS. The most pronounced differences in FA in children of early childhood and school age appeared in the ROI located in the white matter of the cerebral cortex: in the area of M5 0.46±0.05 versus 0.54±0.05, respectively; in the area of M1 0.43±0.06 versus 0.51±0.06, respectively. At the same time, differences in FA in children of early childhood and school age in ROI located in the white matter at the level of stem structures are less pronounced: at the level of the pons 0.6±0.07 versus 0.64±0.07, respectively; at the level of the cerebellar peduncles 0.68±0.04 versus 0.69±0.04, respectively. These numerical indicators illustrate and additionally confirm the known ideas about the development and formation of neural pathways and about the processes of their myelination. They also reflect the known data on the structural and functional differences between the gray and white matter of the brain. A significant increase of the FА values in children older than 7 years was determined in comparison with groups of younger children in the white matter of the cortical structures of the brain. At the same time, there are no significant age-related differences of FА in the region of brainstem. It was also found that in preschoolers, compared with children from 1 to 3 years old, white matter FА increases in the region of the caudate nucleus and midbrain.CONCLUSION: The obtained normative values of FА can later be widely used in clinical practice as reference ones when performing DT-MRI and assessing neuroinfectious and other pathological changes in the brain matter in children. The revealed differences in age groups indicate an earlier development of brainstem structures, while the subcortical-cortical areas of the cerebral hemispheres develop and myelinate over a longer time.

A study of practical drawing skills and knowledge transferable skills of children based on STEAM education.

The STEAM education involves children’s ability to integrate and apply their knowledge of science, technology, engineering, arts, and mathematics. The application and transfer of interdisciplinary knowledge in practical activities is the structure of STEAM education. This study assesses children’s practical drawing skills and transferable skills based on the global features of their realistic figure drawing. The drawings incorporate the visual information and the multidisciplinary knowledge that children acquire. The assessment variables of the global features are observation perspectives, baseline, and comparison. The results showed that most children present their works through the front view. The children of different age groups show differences in express baseline and comparison features. Boys and girls show some variances in baseline features. Moreover, children are relatively unskilled at applying interdisciplinary knowledge in their drawings.

Features of the Development of Soft and Hard Skills in People of Generation Z

The content of the article is devoted to the description of interests, psychological and outlook characteristics of representatives of the generation of people born between 1997 and 2016, the so-called digital generation Z. They are “environmentally friendlyˮ, strive for freedom and the absence of financial burdens that tie a person to life in one place, gravitate towards individualism and lonely pastime. The article presents the results of scientific research by Microsoft, the Center for Generation Kinetics, psychotherapist W. Kruger, sociologist K. M. Franklin, psychologist D. McClelland and other scientists devoted to the study of the attention span of modern people, attitudes towards money and financial literacy of buzzers, the role friendship and family in public relations, the formation of empathy through communication in social networks. The essence of the concept of lifelong learning is highlighted, the purpose of which is to educate a person throughout life, where the role of a teacher can be transformed from a retransmitter of knowledge for the younger generation into tutoring or mentoring, mentoring or coaching. The characteristic of soft and hard skills of in children from 3 to 18 years old is presented in order to successfully socialize the individual and professional effectiveness in a digital society. The classification of soft skills is indicated, which includes 3 main groups: cognitive, social and emotional. Examples of the development of educational activities of key competencies soft and hard skills in children of different age groups are given. In conclusion, it is noted that soft and hard skills are characterized by universality.

ПСИХОЛОГІЧНІ ДЕТЕРМІНАНТИ ПОВЕДІНКОВИХ ЗМІН У ДІТЕЙ УНАСЛІДОК ТРАВМАТИЧНОГО СТРЕСУ ВІЙНИ В УКРАЇНІ

The article is devoted to the peculiarities of psychological traumatization of children of different age groups as a result of military aggression in Ukraine. A special category that suffers psychotrauma is children, whose stress can be aggravated by the behavior of adults who feel fear, anxiety and helplessness in the realities of war. The author draws attention to the fact that parents can become a source of transmission of psychotrauma to their unborn children due to imperceptible but hereditary shifts in the genome and under the influence of constant anxiety caused by the experience of war. In this way, suffering can be passed down through the generations. Emotional response to military events in the east of the country can be traumatic stress for children and adults. The author identified and described five main types of traumatic events, which are especially often responsible for mental and physical suffering in the future: emotional neglect, emotional and physical violence, sexual aggression and sexual violence. The patterns of early psychological traumatization, negative changes in behavior due to a break in the relationship with a close adult are analyzed. The article highlights the peculiarities of the behavioral manifestations of children who have experienced a traumatic experience, taking into account their age, namely preschool children, children of primary school age and teenagers. The main types of immediate or delayed reactions demonstrated by children as a result of experiencing a traumatic situation are considered: expressive reactions, controlling reactions, shock reactions. Particular attention is paid to psychological defense mechanisms, with the help of which the child tries to cope with the traumatic situation. The results obtained by the author prove the need for further study of resources for overcoming the stress of war in children and adolescents, formation of their stress resistance at different levels: individual, social, cultural. Key words: children and adolescents, war, stress, psychological trauma, traumatic events, early psychological traumatization, psychological defense mechanisms.

Clinical Profile of Patients Visiting a Private Child and Adolescent Psychiatric Clinic in Delhi

Background: Mental disorders continue to be a concern for everyone as the prevalence rate of disorders varies from study to study and sample to sample. As most of the statistics come from Government setups in India, data from private psychiatric clinics/setups are missing. Aim: The current study puts forth the data from a private psychiatric child and adolescent center located in New Delhi, India. Method: The data from approximately 15 years (2004-2019) were extracted from the record files and analyzed for the most prevalent disorders among different age groups of children and adolescents. Results: ASD and ADHD were found to be most prevalent among others along with multiple diagnoses. Most of the patients who visited the setup were from Delhi NCR only.

POPULAR CHILDREN'S TV PROGRAMS IN PAKISTAN

TV is one of the most powerful mediums of communication. It broadcast information, entertainment and education via audio video. People around the globe use TV for different purposes. However, as an entertainment medium TV is considered the most powerful tool. Children of different age groups watch children TV programs to get themselves entertained. Present research study based on survey technique to investigate different popular children TV programs and their popularity among the children. Population for present research study was students studying in the different educational institutions of Pakistan. The purposive sampling technique was used. The sample size for this research study was 500 children studying in the different educational institutions having different age groups like 3-6, 6 -12 and 13-19. The data was collected from the selected sample through close ended questionnaire for convenient. The collected data was analyzed statistical software to make inferences. Media effect theory Uses and Gratification approach is most relevant media effects theory which was very much relevant with this research work. The exclusive analysis of the data reveals that overall majority of the respondents i.e., children prefer to watch children TV programs 2 to 6 hours a day. The empirical analysis of the data also reveals that Pakistani children prefer to watch Doramon, Jann, Oggy and Cockroaches, Tom & Jerry, Bugs Bunny, Ben 10, Barbie, Chotta Bheem, Moto Patlo and Mr Bean. The empirical analysis also reveals that children watch these programs for the purpose of entertainment and information. Keywords: Children, TV Channels, Children TV Programs, Popularity, Duration, Entertainment