Concern For Children Research Articles

Polysomnogram Findings and Psychosocial and Academic Concerns in Children With Cleft Palate With or Without Cleft Lip.

Children born with a cleft palate with or without a cleft lip (CP±L) are at risk for sleep-disordered breathing, particularly obstructive sleep apnea (OSA). While OSA and CP±L have both been associated with higher risk for psychosocial and academic concerns, their combined risk has been understudied. This paper aimed to describe polysomnography findings and psychosocial and academic concerns among children with isolated (iCP±L) and syndrome-associated (sCP±L) clefts who had undergone primary palatoplasty. Medical records were reviewed from 2004 to 2022 for demographics, medical history, polysomnography results, and family-reported psychosocial and academic variables. Of the 694 patients with CP±L who had a palatoplasty, 147 had a polysomnogram and 82 had at least one follow-up polysomnogram. Across time points, only 19% to 27% of participants had normal polysomnograms and the most frequent finding was mild OSA for 30% to 35% of patients. For children with iCP±L, more frequent oxygen desaturations were significantly associated with receiving special education services and family-reported academic concerns and OSA was associated with a history of receiving mental health services. Children with sCP±L had a significantly higher Obstructive Apnea-Hypopnea Index and a greater proportion of all-day special education classroom placements relative to youth with iCP±L. Study results suggest that cleft providers should monitor for OSA and sleep-disordered breathing symptoms, collaborate with pulmonologists for evaluation and treatment of sleep concerns, and address possible sleep-associated psychosocial and academic issues.

Implementation of Ecological Literacy in the Context of Implementing Character Education in the Independent Curriculum

This research aims to analyze the implementation of ecological literacy for the implementation character education in the independent curriculum. In writing this research, the author used a qualitative approach to obtain relevant data and data sources. A qualitative design was implemented and carried out on class teachers and class 4 students. The subject of this research writing was the character values possessed by class 4 students at SD Negeri 09 East Pontianak. Data collection techniques use interviews and document analysis. The data analysis technique used is an interactive model whose elements include data reduction, data presentation, and drawing data conclusions. Thus the results of this research show that the importance of Ecological literacy for the Implementation of Character Education in the Independent Curriculum is very relevant in the process of instilling character values in students. Through the formation of love for the environment in forming character, students are able to appreciate and practice and interpret ecological literacy in students' daily lives both in the school, family and community environments. The implications of this research are that it is hoped that teachers will be able to use ecological literacy projections as an illustration of the process of instilling character values in learning both in preparing, implementing the learning process and developing curriculum in schools paying attention to students' needs and potential so that the results obtained have an impact on children's concern for the environment with character.

Participatory Communication Strategies for Strengthening Child Care Systems: Care Structure, Procedures, and Concerns in Children's Homes

Participatory Communication Strategies for Strengthening Child Care Systems: Care Structure, Procedures, and Concerns in Children's Homes

A Closer Look at Parental Anxiety in Asthma Outpacing Children's Concerns: Fear of Physical Activity over the Fear of Drug Side Effects.

The recognition of comorbidities is relevant for asthma management, especially if these conditions/diseases are treatable traits such as anxiety. This study aimed to explore the associations between asthma severity and child and parent asthma-related anxiety and to recognize the most common specific fears. This cross-sectional study consisted of 150 parents and their children diagnosed with asthma, and was conducted at the Pediatric Clinic of the University Hospital Center Split in Croatia. All children, from ages 3 to 17 years, underwent a thorough clinical examination. A total of 150 parents and 108 children filled out an asthma-related anxiety questionnaire in paper form. Parents of children with moderate and severe asthma had higher asthma-related anxiety due to restrictions related to asthma symptoms (p = 0.032), and children diagnosed with moderate and severe asthma had greater anxiety due to restrictions related to asthma symptoms than children diagnosed with mild asthma (p = 0.004). Children's anxiety was the highest when they experienced an asthmatic attack during physical activity (PA), and they fear that they will not be successful in sports or dancing due to asthma. Parents commonly reported the fear of an asthma attack without warning signs (p < 0.001), fear of drug side effects (p < 0.001), fear of absence from school (p = 0.006), and fear of an asthma attack during PA (p < 0.001). The current study reports findings of increased parental levels of anxiety when compared to their children, related to fear of an asthma attack occurring without warning signs, fear of side effects and fear of absence from school, as well as the fear of an asthma attack occurring during sports activities. When assessing individual items on anxiety associated with asthma, children most commonly reported concern related to physical activity.

Parent and Provider Differences in Ratings of Mental Health and Neurodevelopmental Concerns in Children with Neurologic Disorders

Children with neurologic disorders face increased risks for mental health and neurodevelopmental conditions, with information often limited to parent report. To better understand mental health and neurodevelopmental needs in this population, a retrospective chart review of a convenience sample of children with neurologic disorders referred for a neuropsychological evaluation was conducted in the present study to explore interrater agreement between care team members (referring providers, parents, pediatric neuropsychologist). Qualitative and quantitative data were collected from the evaluation reports of 129 youth (9:0–17:11 years old; 51.2% of female sex) with neurologic disorders (i.e., 38.0% traumatic brain injury, 27.1% epilepsy, 14.7% premature birth, 7.8% pediatric cancer, 3.9% prenatal substance exposure, and 14.7% other) who completed an evaluation in 2019. Over half the youth were flagged for unmet neurodevelopmental and mental health concerns and analyses revealed low interrater agreement for mental health concerns (κ = .324), better agreement for neurodevelopmental concerns (κ = .511), and low sensitivity of referring providers (Se = .326) and parents (Se = .366). One-way analyses of variance uncovered important factors (e.g., symptom severity, adaptive skills) that may account for missed concerns. Findings guide recommendations to strengthen methods for understanding mental health and/or neurodevelopmental concerns in children with neurologic disorders.

Mother‐child bidirectional influences in the development of concern for others: Disentangling positive parenting in two predominantly white, North American Samples

AbstractMother's positive parenting predicts children's development of concern for others; however, it is unclear which distinct positive parenting behaviors contribute to children's concern for others. We examined the bidirectional associations between mothers’ warmth and reasoning and children's concern toward an adult in distress at 4 and 6 years. We tested these associations in two independent samples with parallel methods, a U.S. community sample (Study 1, N = 83, 44% female, 73.6% White, median income range = $75,000–$90,000 USD) and a Canadian sample at risk for externalizing problems (Study 2, N = 98, 50% female, 82.7% White, median income range = $70,000–$80,000 CND). Child gender and externalizing problems were examined as moderators of these bidirectional socialization processes. In Study 1, a cross‐lagged model (CLM) found that maternal warmth positively predicted children's concern for others over 2 years, whereas children's concern for others inversely predicted future maternal reasoning. Multigroup comparisons found these lagged effects were unique to boys only. Study 2 partially replicated Study 1, revealing fully bidirectional socialization effects unique to boys. Maternal reasoning positively predicted the development of boys’ concern for others over 2 years, and boys’ greater concern for others at age 4 elicited greater maternal reasoning over 2 years. Maternal warmth positively predicted concern for others only for children with elevated externalizing problems. These findings support a differentiated approach to positive parenting research, revealing that distinct parenting behaviors may meet individual child needs uniquely.

Penguatan Pendidikan Karakter Nasionalis Siswa Sekolah Dasar Melalui Pembiasaan Sabtu Bersih dan Sehat

Instilling character education is expected to be very helpful in forming role models to become individuals with noble character. Character education from an early age is the first step in building children's character, so education from an early age is needed. With a strong moral foundation and positive character, a person repeatedly thinks about doing those negative things. Because it is at this age that children have a golden period for personality development, namely the age of kindergarten and elementary school. Children's concern for the environment is not only the responsibility of the teacher but also parents at home to always remind and provide support to children to continue to apply environmental care as taught at school, in this way it will make children more aware of the cleanliness of the environment around them. Therefore, developing the character of caring for the environment in children from an early age is very important, if children are not taught about keeping the environment clean from a young age, then later into adulthood, children will not understand how to live in their own environment. Because as social beings we should live together with other people, therefore character needs to be nurtured from childhood so that children can live well in their environment later.&#x0D; Keywords: Character Education; Hygiene; Elementary School Children.

The non‐protesting children in the 2018 Parkland school shooting protests and their freedom not to express views in child participation spaces

AbstractUsing mixed methods, we looked into USA children's reasons behind their non‐participation in the 2018 Parkland school shooting protests from newsletters of randomly sampled 57 middle (MS) and high schools (HS) across USA. We found five themes of reasons that point to non‐protesting children's concern about protest method and issues. The MS and HS non‐protesters' concerns overlapped and differed. The reasons reveal the protests to pose adherence issues to most CRC articles on and almost all of the basic requirements of child participation. We attribute the adherence issues to problems on assigning duties in non‐adult‐provided child participation spaces like protests. To identify protest as child participation necessitate propping children's freedom of expression as the animating force behind child participation's first key element and children's right to information a prerequisite for both. In this reframing, organizing/leading children become duty‐bearers while adults primarily remain so.

Emergence of the Metaverse and Psychiatric Concerns in Children and Adolescents.

Advancements in digital technology have led to increased usage of digital devices among teenagers. The coronavirus disease 2019 pandemic and the subsequent implementation of social distancing policies have further accelerated this change. Consequently, a new concept called the metaverse has emerged. The metaverse is a combination of a virtual reality universe that allows individuals to meet, socialize, work, play, entertain, and create. This review provides an overview of the concept and main features of the metaverse and examples of its utilization in the real world. It also explains the unique developmental characteristics of childhood and adolescence, as well as the possible negative influences of the metaverse on them, including addiction, antisocial behavior, cyberbullying, and identity confusion. This review summarizes several suggestions for future research because the metaverse is a relatively new concept.

Screening for Caregiver-Reported Feeding Concerns in Children with Autism Spectrum Disorder in a Tertiary-Care Clinic.

Feeding concerns, primarily food selectivity, are commonly observed in children with autism spectrum disorder (ASD). Prevalence rates suggest that at least half of autistic youth have feeding difficulties. A retrospective chart review examining records of a large cohort of autistic children (N = 746) referred for ASD evaluation was conducted. Families completed a survey regarding feeding concerns in their children before a diagnostic evaluation. Post hoc analyses based on retrospective chart review revealed approximately 30% of caregivers reported significant difficulty feeding their child. Young age, food selectivity, and concerns about weight were associated with increased likelihood of reported feeding difficulties. There was clear overlap between overall feeding difficulties and specific food selectivity; however, 1 in 5 children whose caregivers did not report feeding difficulties endorsed food selectivity. Findings highlight the need for multipronged approaches to screening to facilitate service prioritization by pediatric providers.

A Qualitative Study of Professionals’ Experiences and Challenges in the Early Identification of Psychosocial Concerns in Children

Aim. Early intervention and detecting early signs are often cited as a goal by professionals working with children, but detecting and describing early signs is not well explored. Thus, the study’s aim was to explore professionals’ experiences and challenges in the early identification of psychosocial concerns in children aged 0–16. Materials and Methods. Data were collected from semistructured interviews with 26 professionals (e.g., nurses, psychologists, social workers, teachers, principals, and managers) working with children. The participants engaged in a pilot cooperation model between preschools, schools, social services, and healthcare to reach out early to children in need of support. The interviews were analyzed using thematic network analysis. Results. Four organizing themes were created as follows: “The idea of promoting and preventing is the key to success,” “Identifying the children who need support and intervention,” “Identifying observable early signs,” and “Occupied with children needing immediate support.” The organizing themes were interpreted into one global theme as follows: “All want an early intervention but putting it into practice is challenging.” Conclusion. The study shows that it is difficult to identify children in need of psychosocial support at an early stage because the early signs are difficult to detect. Thus, our results suggest that both preventive interventions targeting all children and specific interventions for those in need of support are needed to promote health and wellbeing.

High Parental Concern in Children With Medical Complexity: An Early Indicator of Illness.

High concern about child's health is a common reason parents of children with medical complexity (CMC) seek care in emergency departments and hospitals. Factors driving parental concern are unknown. This study explores associations of parent's sociodemographic and child's clinical factors with high parental concern. Secondary analysis of a pilot study of CMC and parents who used daily for 3 months MyChildCMC, a home monitoring app. Parents recorded their child's vital signs (temperature, heart rate, respiratory rate, oximetry), symptoms (pain, seizures, fluid intake/feeding, mental status), and oxygen use, and received immediate feedback. Parents rated their child's health concern on a 4-point Likert scale. Concern scores were dichotomized (3-4 = high, 1-2 = low) and modeled in a mixed-effects logistic regression to explore important associations. We analyzed 1223 measurements from 24 CMC/parents, with 113 (9.24%) instances of high concern. Child factors associated with high parental concern were increased pain (odds ratio [OR], 5.10; 95% confidence interval [CI], 2.53-10.29; P < .01), increased oxygen requirement (OR, 28.91; 95% CI, 10.07-82.96; P < .01), reduced nutrition/fluid intake (OR, 71.58; 95% CI, 13.01-393.80; P < .01), and worsened mental status (OR, 2.15; 95% CI, 1.10-4.17, P = .02). No other associations existed. Changes in CMC's clinical parameters were associated with high concern, which may be an early indicator of acute illness in CMC when it is the primary complaint. Monitoring and responding to high parental concerns may support CMC care at home.

Parent-Reported Visual Concerns in Children with Cerebral Visual Impairment Presenting to a Pediatric Neurology Clinic.

Children with cerebral visual impairment (CVI) present with delayed developmental milestones. Pediatricians and pediatric neurologists are usually the first point of contact, and eye exam largely remains referral based. This study documented the visual concerns reported by parents of children with CVI visiting a pediatric neurology clinic. Additionally, we investigated the association between visual concerns, functional vision measures and visual functions. A cross-sectional study was undertaken in children with CVI (chronological age range: 7 months-7 years). Visual concerns reported by the parents/caregivers were documented as open-ended statements. Additionally, a functional vision assessment was conducted using the CVI Range instrument with phase 1, 2 and 3 indicating low, moderate and high visual functioning, respectively. Grating acuity and contrast sensitivity were measured using Teller acuity cards-II and Ohio contrast cards respectively. A total of 73 children (mean age of 2.84 ± 1.87 years) were recruited. Sixty-eight parents reported visual concerns that were broadly grouped into 14 unique concerns. Nineteen parents (27.9%) reported more than one visual concern. Difficulty maintaining eye contact and recognizing faces were the top two visual concerns in phases 1 and 2. Missing objects in the lower visual field was the top concern in phase 3. A larger number of visual concerns were reported in phase 1 (43%) than phase 2 (40.6%) and phase 3 (16.2%). Multiple regression analysis revealed that grating acuity, contrast sensitivity and chronological age were able to predict the functional vision, F (3, 55) = 63.0, p < 0.001, r2 = 0.77. Targeted questions enquiring about eye contact and face recognition can be included in history elicitation in children with CVI in pediatric neurology clinics. In the presence of visual concerns, it will be important to assess grating acuity and contrast sensitivity. A poor functional vision score requires referral for eye examination and vision rehabilitation services.

Intergenerational Transmission of Preferences and the Operativeness of Bequest Motive

AbstractWe analyze the implications of dynastic altruism in an overlapping generations (OLG) model with consumption externalities and where parents influence their children's concern for relative standing in consumption through their saving behavior. The degree of altruism for which individuals leave bequests can be both larger or smaller than in an economy without intergenerational transmission of preferences. The optimal allocation exhibits a stationary capital stock larger than the one corresponding to the economy without transmission of preferences. Even when the bequest motive is operative, the intertemporal allocation is suboptimal. We characterize the optimal policy under the two regimes of the bequest motive.

Retracted Article: Parental Concerns in Children with Febrile Convulsions

Retracted Article: Parental Concerns in Children with Febrile Convulsions

Jesus’ Concern for Children: A Stance for the Kingdom of God in the Church in Africa

Abstract Jesus’ concern for children was evident in his ministry in an episode when he rebuked the disciples who scolded them (Luke 18:15–17). This article considers why Jesus cared for and safeguarded little children in his mission. The Church in Africa as a steward of the kingdom of God has to review its methods of caring for and protecting children. The contribution of the article will be to urge the Church in Africa to take more seriously its concern for children. The methodological approach engages qualitative thought with quantitative research into critical findings from particular churches.

Severity of Illness Caused by Severe Acute Respiratory Syndrome Coronavirus 2 Variants of Concern in Children: A Single-Center Retrospective Cohort Study.

BackgroundRecent COVID-19 surges are attributed to emergence of more transmissible SARS-CoV-2 variants of concern (VOCs). The relative severity of VOCs in children is unknown.MethodsWe performed a single-center retrospective cohort study of children ≤18 years old diagnosed with COVID-19 from October 2020–February 2022 and whose SARS-CoV-2 isolate underwent Illumina sequencing. We measured the frequency of five markers of COVID-19 severity. Logistic regression models were fitted to estimate the odds of each severity marker with each VOC.ResultsAmong 714 children, 471 (66.0%) were infected with a VOC: 96 (13.4%) alpha, 38 (5.3%) gamma, 119 (16.7%) delta, and 215 (30.1%) omicron. High-risk medical conditions and increasing age were independently associated with COVID-19 severity. After adjusting for age, race, ethnicity, high-risk medical conditions, and COVID-19 community incidence, neither alpha, delta, nor omicron was associated with severe COVID-19. Gamma was independently associated with hospitalization (OR 6.7, 95% CI 2.0–22.1); pharmacologic treatment (OR 5.7, 95% CI 1.2–26.8); respiratory support (OR 11.9, 95% CI 2.7–62.4); and severe disease per the WHO Clinical Progression Scale (OR 11.7, 95% CI 2.1–90.5). Upon subgroup analyses, omicron was independently associated with ICU admission and severe disease per the WHO Clinical Progression Scale in children without SARS-CoV-2 immunization or prior COVID-19 infection.ConclusionsCompared to non-VOC COVID-19, the gamma VOC was independently associated with increased COVID-19 severity, as was omicron in children without SARS-CoV-2 immunization or prior COVID-19 infection. SARS-CoV-2 vaccination and prior COVID-19 prevented severe outcomes during the omicron surge.

Mycotoxins of Concern in Children and Infant Cereal Food at European Level: Incidence and Bioaccessibility

Cereals are of utmost importance for the nutrition of infants and children, as they provide important nutrients for their growth and development and, in addition, they are easily digestible, being the best choice for the transition from breast milk/infant formula to solid foods. It is well known that children are more susceptible than adults to toxic food contaminants, such as mycotoxins, common contaminants in cereals. Many mycotoxins are already regulated and controlled according to strict quality control standards in Europe and around the world. There are, however, some mycotoxins about which the level of knowledge is lower: the so-called emerging mycotoxins, which are not yet regulated. The current review summarizes the recent information (since 2014) published in the scientific literature on the amounts of mycotoxins in infants’ and children’s cereal-based food in Europe, as well as their behaviour during digestion (bioaccessibility). Additionally, analytical methods used for mycotoxin determination and in vitro methods used to evaluate bioaccessibility are also reported. Some studies demonstrated the co-occurrence of regulated and emerging mycotoxins in cereal products used in children’s food, which highlights the need to adopt guidelines on the simultaneous presence of more than one mycotoxin. Although very little research has been done on the bioaccessibility of mycotoxins in these food products, very interesting results correlating the fiber and lipid contents of such products with a higher or lower bioaccessibility of mycotoxins were reported. LC-MS/MS is the method of choice for the detection and quantification of mycotoxins due to its high sensibility and accuracy. In vitro static digestion models are the preferred ones for bioaccessibility evaluation due to their simplicity and accuracy.

The Usage of Modern Platforms and Online-Services for Organizing of the Distance Educational Process in the Context of Modern Neuroscience

The paper is focused on the question of remote learning a foreign language in the context of neuroscience. The notions of “distance training”, “neuropsychology”, and “pedagogic technologies of remote teaching ” have been cleared up. It has been emphasized that an educational institution is free to choose its own model of the organizing of remote training. It has been pointed out that neuropsychology is based on experimental and clinical neuropsychology and that the first neuropsychological research had been carried out by L. S. Vygotskyi (1956) and A. Luriya (1965). The articles of domestic and overseas scholars, which contain critical analysis of remote teaching a foreign language, have been reviewed. The survey of different countries scientists' publications, concerning foreign language distance teaching's directions of the study, has been clarified. The advantages of the distance teaching have been defined. It has been pointed out that autonomic activities of a student cannot be passively organized. The advantages and disadvantages of home-schooling have been clarified. The accent has been made on the usage of modern platforms and online-services, particularly Moodle and Google Classroom. The influence of neuropsychology on higher mental processes has been explored. It has been noted that the lack of “live” social relationship is finally dangerous, especially for children, and emphasized that while organizing remote training process cognitive exercises should be used to boost children’s brain functioning. The accent has been made on the necessity of cognitive activities for enhancing children's concern for studying. The unique example of the usage of A. Luriya’s (1964) and M. Rosenzweig's (2009) methodologies has been given. The well-known master on school psychology B. Arrowsmith-Young’s study (2012) on remedial work with children, who have problems in learning, has been analyzed.

Agreement Between Caregivers' Concerns of Children's Developmental Problems and Professional Identification in Taiwan.

ObjectiveEarly detection of developmental delays relies on the accuracy of the caregivers' concerns of children's developmental problems. The aim of this study was to investigate the agreement between the caregivers' awareness of children's developmental problems and professional identification.MethodsCaregivers of 1,963 children (age range: 5–71 months; mean: 38.4 months) younger than 6 years old who were at risk of developmental delays and referred to the center for a comprehensive evaluation were enrolled in this study. Children were identified by a transdisciplinary team including a pediatric neurologist, a pediatric psychiatrist, two psychologists, two occupational therapists, two physical therapists, two speech therapists, a social worker, and a special instructor. A series of standardized developmental assessments were used to identify children with developmental delay. Retrospective chart reviews were conducted on all children to confirm specific developmental disorders.ResultsThe caregivers' initial concerns of cognitive, speech/language, emotional/behavioral, and motor and global development showed low agreement with the results of professional identification. The major disagreement was observed in the cognitive domain. Speech/language developmental concern was an important red-flag indicator of cognitive and emotional/behavioral developmental delays. The presence of intellectual disability, autism spectrum disorder, and attention deficit hyperactivity disorder was high in this study. When having caregivers' concerns about speech/language and emotional/behavioral development, the odds of children with autism spectrum disorder was 2.37 and 2.17 times greater than those without autism spectrum disorder, respectively. The presence of attention deficit hyperactivity disorder was significantly associated with concerns about cognitive and emotional/behavioral developmental delays. Child's age and mothers' level of education were significant indicators for detecting the child's developmental problems.ConclusionIt is recommended that assessing the cognitive developmental status is essential for all children in the identification process. Practitioners should not overlook caregivers' concern about speech/language and emotional/behavioral development. Transdisciplinary practitioners provide educational guidance to caregivers, especially in the domains of cognitive, speech/language, and emotional/behavioral development.