Place For Children Research Articles

Investigation of the Prevalence of Child Abuse and Its Influencing Factors by Parents

Background: The prevalence of child abuse is increasing globally, and this form of abuse can lead to severe and long-term problems in adulthood. In Iran, child abuse ranks as the most common form of domestic violence. Objectives: This study aimed to investigate the prevalence of abuse and its influencing factors among elementary school children. Methods: This descriptive-analytical study was conducted in 2023 in the city of Abadan. A total of 378 students from grades two to six in seven schools were selected using cluster and random sampling methods. The research instruments included a demographic questionnaire and a standard child abuse questionnaire. Data were analyzed using SPSS21 software, with both descriptive and analytical statistics applied. Results: The average age of the children was 10.43 years. The most common form of child abuse reported was parental neglect, with a prevalence of 75.53%. A significant relationship was found between physical abuse and factors such as the father's education (P = 0.001), parental illness (P = 0.001), parental addiction (P = 0.006), and parents' divorce (P = 0.03). Additionally, psychological abuse was significantly associated with the mother's education (P = 0.001), parental addiction (P = 0.02), loneliness at home (P = 0.002), and the child's grade (P = 0.001). Parental neglect showed a significant relationship with the child's grade (P = 0.014), birth order (P = 0.004), and place of living (P = 0.053). Conclusions: The most common form of abuse among students was parental neglect. A lack of parental awareness regarding appropriate child-rearing behaviors can contribute to child abuse. Therefore, it is recommended that schools and other relevant institutions increase efforts to educate parents on preventing various forms of abuse.

Adherence to IMCI guidelines for key symptoms in Ethiopian children: A 2021-2022 national service provision survey.

The Health Services Provision Assessment in Ethiopia (SPA-ET) is a survey that generates data on the availability and quality of health services in Ethiopia. Despite the presence of integrated management of childhood illness guidelines in healthcare settings, there has been inadequate exploration or assessment of how effectively and consistently health professionals follow the guidelines. This study aims to identify factors influencing healthcare worker adherence to the integrated management of childhood illness guidelines to identify spatial clusters. The data for this study were gathered from the Service Provision Assessment (SPA) survey in Ethiopia, which was conducted nationwide from August 11, 2021, to February 4, 2022. It included a total of 788 health professionals who assessed sick children experiencing at least one of the three main childhood illness symptoms: fever, cough, or diarrhea. We employed STATA version 16 for data analysis, utilizing cross-tabulations to explore relationships between variables and logistic regression modeling to identify factors influencing adherence. To account for the hierarchical structure of the health survey data, we employed multilevel logistic regression. Model selection was based on comparison parameters including the Bayesian Information Criterion (BIC) and Akaike Information Criterion (AIC). We computed adjusted odds ratios with 95% confidence intervals, and statistical significance was determined at a significance level of p < 0.05. The rate of adherence to the integrated management of childhood illness guideline was 33% (95% CI: 29.70%, 36.26%). The analysis revealed several factors influencing adherence to IMCI protocols. child's age (being ≥24 months) [aOR = 0.66, 95% CI: (0.45, 0.87)], facility type (health center) [aOR = 2.61, 95% CI: (1.84, 3.37)], place of residency (being rural) [aOR = 0.54, 95% CI: (0.38, 0.77)], and care provider's qualification (health officer) [aOR = 1.71, 95% CI: (1.18, 2.48)] were all statistically significant. Moreover, the primary cluster is situated in the west Oromia region, with a central focus at coordinates (7.982108 N, 36.203355 E) and extends to a radius of 78.28 km. This study confirms a low adherence rate (33%) among health professionals in Ethiopia to the IMCI guideline for assessing the three main symptoms of sick children. The study identified child's age, facility type, academic qualification, and place of residence as crucial factors correlated with adherence rate. Furthermore, 5 secondary clusters (hotspot areas) were identified using SaTScan software. To address the higher protocol refusal, interventional plan needs to be based on academic qualification of care provider, facility type, age of child and place of residency. Moreover, interventions to reduce non-adherence to IMCI guidelines should be location-tailored based on identified hotspot areas to restore guidelines adherence equality.

Anemia incidence and influencing factors among children aged 0-6 years in Shannan city, Xizang Autonomous Region

Objective: To investigate the prevalence and influencing factors of anemia children aged 0-6 years in Shannan city, Xizang Autonomous Region. Methods: A cross-sectional study was performed to measure hemoglobin of 12 405 children aged 0-6 years in 12 counties (districts) of Shannan city, Xizang Autonomous Region and basic information including gender, age, ethnicity, address, local altitude, urban area, agricultural and pastoral areas, etc were collected. According to the altitude of the surveyed children's place of residence, anemia in children under the plain standard and the prevalence of anemia after adjusting for altitude were reported, and the influencing factors of anemia in these children were analyzed by Logistic regression methods. Results: Among the 12 405 children, 6 383 (51.46%) were males, 6 022 (48.54%) were females, 462 (3.72%) were newborns, 68 (0.55%) were 1 month old children, 153 (1.23%) were 4-<6 months old children, and 11 722 (94.49%) were 6 months to 6 years old children. The prevalence of anemia in children aged 0-6 years in Shannan city before altitude correction was 15.50%(1 923/12 405), and it was 57.84% (7 175/12 405) after altitude correction. The hemoglobin level in the children was (131±20) g/L. Univariate analysis showed that the anemia rate of males was higher than that of females (59.17% (3 777/6 383) vs.56.43% (3 398/6 022), P<0.05), the anemia rate of Tibetan children was higher than that of children of other ethnic groups (58.21% (6 992/12 011) vs.46.45% (183/394), P<0.05), the anemia rate of children in agricultural and pastoral areas was higher than that of urban children (58.75% (6 212/10 574) vs.(52.59% 963/1 831), P<0.05), and the anemia rate of children in higher-altitude areas was higher than that of children in high-altitude areas (67.98% (2 773/4 079) vs.52.87% (4 402/8 326), P<0.05). Logistic regression analysis revealed that girls (OR=0.89, 95%CI 0.83-0.96), children of other ethnic groups (OR=0.72, 95%CI 0.58-0.89), children aged 4-<6 months (OR=0.40, 95%CI 0.24-0.67) and children aged 6 months to 6 years (OR=0.59, 95%CI 0.43-0.82) were protective factors, and children who lived in agricultural and pastoral areas (OR=1.15, 95%CI 1.04-1.28) and children living at altitudes higher than 4 000 m areas (OR=1.88, 95%CI 1.73-2.04) were independent risk factors for the occurrence of anemia. Conclusions: The prevalence of anemia in children aged 0-6 years in Shannan city was still relatively high. It might be affected by factors such as sex, ethnicity, age of the children, place of residence and altitude where the children lived.

Standardizing play in the century of the car: the building information cards as shapers of the ideal urban childhood in Finland in the 1960s and 1970s

ABSTRACT Children’s playgrounds became part of the urban planning and evolution of Western cities at the turn of 19th and early 20th centuries. The overall objective was to improve urban children’s well-being and enhance safety by channelling play activities away from city streets towards designated play spaces. This article zooms in on the process of creating recommendations, norms and standards related to playgrounds. The subject under scrutiny is the standardization of childhood in Finland during the 1960s and 1970s, a period characterized by the most intense phases of urbanization, the establishment of welfare state institutions and the evolution of legislation pertaining to children's play spaces as well as vigorous discussions concerning children's environments. These planning discussions, norms and standards have had far-reaching consequences. They are not only prominently evident in today's Finnish cities but have also significantly influenced our contemporary perception of children's place within urban contexts. This study brings a social history approach to the academic discussion of the role of standardization in urban planning. Simultaneously, it examines the development of the increasingly standardized urban childhood in Finland in the 1960s and 1970s and asks what kind of childhood this standardization aimed to promote.

The Makings and Meanings of Childhood: Parents and the Juvenile Justice System in Interwar Palestine

Abstract: Over the thirty years of the British Mandatory government in Palestine, thousands of young people were arrested and tried as juvenile delinquents. This article explores how the parents and families of those "young offenders" confronted the logics of the colonial criminal justice system and argued for their own understandings of the law and their children's places in Palestine's social and political landscape. Studying parental petitions to the government reveals that different groups made fragmented and multidirectional claims on the category of childhood. This article argues that in interwar Palestine, childhood was the political capital through which colonial power was both constructed and contested. In doing so, this article also illuminates the roles that ordinary families and communities played in daily governance in a twentieth-century developmentalist colonial state.

Epidemiology of unintentional childhood injuries in urban and rural areas of Nepal- A comparative study.

Unintentional injuries are one of the leading causes of ill health, disability & death among the children and young adults worldwide. As these injuries are strongly related to social determinants, the burden falls mainly upon the Low- and Middle-Income Countries (LMICs) like Nepal. Thus, the main objective was to explore the epidemiology of unintentional childhood injuries in urban and rural areas of Kavrepalanchok district. A cross sectional analytical study was done in Bethanchok rural municipality and Dhulikhel municipality of Kavrepalanchok district. The respondents were interviewed using a pretested semi-structured questionnaire. The details of injuries sustained within the past 12 months were included. A total of 667 children aged 1-16 years were surveyed, among which 26% from rural and 17.2% from urban areas had unintentional injuries in the past 12 months. Falls were the most common mode of injury in both the areas. Similarly, the proportion of burn was more in rural area (16.1%) whereas, Road Traffic Injuries were more in urban area (12.5%). Majority of the injuries occurred at home (54.5%) while the child was playing (64.1%). Factors like child's gender and place of residence affected the occurrence of unintentional injuries (p<0.05). Out of total injured children, 18 of them had not recovered and 11 were left with some form of permanent disability. As the rate and pattern of unintentional childhood injuries in the rural and urban area differ, the prevention strategies should focus on risk factors that apply to both the areas and awareness should be created among the parents and primary caregivers about the fact that childhood injuries are predictable and preventable.

Residential Care

A new government policy paper puts forward plans to change the way residential care placements are commissioned but the measures fall short of solving a shortage of children's homes places, say experts

Adopting a child perspective for exposome research on mental health and cognitive development - Conceptualisation and opportunities.

Mental disorders among children and adolescents pose a significant global challenge. The exposome framework covering the totality of internal, social and physical exposures over a lifetime provides opportunities to better understand the causes of and processes related to mental health, and cognitive functioning. The paper presents a conceptual framework on exposome, mental health, and cognitive development in children and adolescents, with potential mediating pathways, providing a possibility for interventions along the life course. The paper underscores the significance of adopting a child perspective to the exposome, acknowledging children's specific vulnerability, including differential exposures, susceptibility of effects and capacity to respond; their susceptibility during development and growth, highlighting neurodevelopmental processes from conception to young adulthood that are highly sensitive to external exposures. Further, critical periods when exposures may have significant effects on a child's development and future health are addressed. The paper stresses that children's behaviour, physiology, activity pattern and place for activities make them differently vulnerable to environmental pollutants, and calls for child-specific assessment methods, currently lacking within today's health frameworks. The importance of understanding the interplay between structure and agency is emphasized, where agency is guided by social structures and practices and vice-versa. An intersectional approach that acknowledges the interplay of social and physical exposures as well as a global and rural perspective on exposome is further pointed out. To advance the exposome field, interdisciplinary efforts that involve multiple scientific disciplines are crucial. By adopting a child perspective and incorporating an exposome approach, we can gain a comprehensive understanding of how exposures impact children's mental health and cognitive development leading to better outcomes.

Analyse des représentations parentales dans le discours de parents d’enfant de 4 mois

AimThe child's place in our society has largely evolved over the past few decades. This has led to numerous public policies to tackle social inequalities in health care from an early age. Parenting support is one of the enhanced strategy actions and aims put in place, in particular, to strengthen the bonds of attachment and promote a child's development. The quality of attachment and parent–child interactions is correlated with parents’ representations of their children. The objective of the study is to report current parental representations of newborn children in the French population in general. MethodAs part of the PERL study, an ancillary study was conducted on parental representations. The interviews were conducted with the control families. The analysis was based on the method of conceptual categories in order to bring out the salient elements relating to parental representations and feelings associated with parenthood. ResultsAmong the analyzed discourses, parents have constructed the representations of their child, from the child's age of 4 months. These representations identify the 4-month-old child as being capable of making choices, having preferences, acting in the environment, and communicating with others. In addition, parents’ representations of themselves highlighted various feelings experienced concerning parenthood, the exercise of this new role, and the new parental behaviors towards the child, as a result of the disruption of being a parent. Parents also experienced a variety of feelings associated with parenting, parenthood, and their new role.

The child's place in the foster family: Use of conventional names and adoption intentions throughout childhood

AbstractThis longitudinal study examines the child's place in the foster family through the use of conventional names for familial figures (e.g., ‘mum/dad’) and through the foster parents' intention to adopt the child. Data were collected at two time points during childhood and adolescence, among children placed in kinship and non‐kinship foster care in Norway. Children placed at a younger age and children in non‐kinship foster care were more likely to call their foster parents for ‘mum/dad’. Children placed at an older age and children in non‐kinship care were more often presented as ‘foster child’ by their foster parents. Only 25%–34% of foster parents reported having considered adoption. The most common reason for not considering adoption was that they already deemed to be a family. The use of conventional names for familial figures in foster families might not necessarily reflect the child's integration into a foster family as it seems to be related to the age of the child at placement rather than to the duration of placement. Intention to adopt was relatively low, mostly because foster parents considered adoption as not necessary.

The main tendencies in the development of judicial practice for resolving disputes regarding the determination of the child’s place of residence

The article is devoted to the main complicated aspects that take place in national judicial practice devoted to resolving disputes between separated parents regarding the determination of the place of residence of their minor child(ren). The author reiterates the necessity to use more flexible approaches in order to resolve disputes about determining the place of residence of a minor child, to improve the practice of resolving such kind of disputes by national courts, the borders of which are currently limited to the use only one variant - determining the place of residence of a minor child with one parent (with the potential contact of the other parent with the child). The author tried to analyze the norms of international acts and legislation of some democratic states, which should be taken into account by national courts upon resolving disputes about determining the place of residence of a minor child. The main trends in resolving disputes on determination of the place of residence of a minor child, which are refl ected in international conventions, general comments and foreign legal framework as in judicial practice are presented. It is recommended to use in judicial practice such additional methods (variants) of resolving disputes between parents about determining the place of residence of their minor child(ren), as joint physical custody with alternate residence of the child in the accommodation of each parent according to the appropriate schedule, or determination child`s habitual residence in accommodation in which the child lived earlier (bird’s nest custody), with alternative presence of parents in this accommodation according to the agreed schedule. It is proposed to improve the approaches to resolve judicial disputes about determination of the place of residence of a minor child, to implement and use, according the circumstances of the case, different methods (models) of resolving this category of disputes. Key words: child’s physical custody, legal disputes between parents, judicial disputes concerning determination of the minor child's place of residence.

Investigation of heat stress on urban roadways for commuting children and mitigation strategies from the perspective of urban design

Rapid urbanization and global warming have triggered frequent heat waves that pose a threat to human survival, with a marked increase in childhood morbidity. While previous studies have explored the thermal environment of children's public activity places, only limited studies have focused on the commute of school children, which is a regular activity causing potential risk of heat stress. From an urban design perspective, this study systematically investigated the influence of building shade, road orientation and tree species on the thermal environment of commuting roads. The simulation results indicated that, regarding the reduction of road heat stress, the building shade has a greater impact that can reduce the mean radiant temperature by 3.22 °C to 21.25 °C, compared to the effect of tree shade (0.02–6.04 °C). Furthermore, planting street trees in a flexible manner to add building shade areas can enhance thermal safety. For road orientations, increasing shade areas of north-south road generates more benefits in heat stress mitigation (in the northern hemisphere). Finally, from the perspective of urban design/management and school children, a set of heat stress mitigation strategies are proposed to promote the thermal safety of school children and stimulate the development of a sustainable and healthy urban environment.

The main tendencies in the development of procedures for resolving disputes regarding the determination of the child's place of residence

The article is devoted to the evolution of procedures for resolving disputes between separated parents regarding the determination of the place of residence of their child(ren). The article reflects the peculiarities of resolving disputes between parents concerning children, which took place at the main historical stages in the territory of modern Ukraine.&#x0D; The author emphasizes the necessity of using historical and legal experience in the regulation of family relations and resoling family conflicts.&#x0D; The author reiterates that historical and legal analysis of family relations` regulation and the development of the procedure for resolving family disputes is carried out with the aim of understanding and applying historical and legal experience, identifying the main basis of views in Ukrainian society on the fundamental provisions on which relationship between parents and children are based, as well as a legal procedure of determination of the child's place of residence.&#x0D; The article shows main features of the judiciary and the resolving disputes regarding the determination of the child's place of residence, which correspond to different historical periods from Scythia to the reсоvery of Ukraine's independence at the present stage. In particular, attention was paid to the periods of existence of the patriarchal and matriarchal order in the family life, the development of the rights of the child, the discovery of his interests, the development of the court system and civil judiciary.&#x0D; It is proposed to single out the stages of evolution of the rules of civil procedure and standards of family law, which regulated and still regulate the procedure of the determination of the place of residence of a minor child on the territory of Ukraine.

Prevalence of hearing loss and health vulnerability in children aged 25 to 36 months: an analysis of spatial distribution.

To analyze the association between hearing loss and health vulnerability in children aged 25 to 36 months. Analytical observational cross-sectional study conducted through child hearing screening in nine day-care centers. The screening consisted of anamnesis, otoscopy, tympanometry, transient otoacoustic emissions, and pure tone audiometry. For each exam performed, the 'pass' and 'fail' criteria were established. The children's residential addresses were georeferenced and a choropleth map of the spatial distribution was built, considering the Health Vulnerability Index (HVI). The analysis of the association between the HVI and the variables sex, auditory assessment, and region area of the household was performed using Pearson's Chi-square and Fisher's Exact tests. Ninety-five children of both sexes were evaluated, of which 44.7% presented alterations in at least one of the exams performed, being referred for otorhinolaryngological evaluation and subsequent auditory assessment. Of the observed changes, 36.9% occurred in the tympanometry and 7.8% in the transient otoacoustic emissions. Among children referred for reassessment, 9.7% were diagnosed with conductive hearing loss, 13.6% results within normal limits and 21.4% did not attend for assessment. Of the children who presented the final diagnosis of conductive hearing loss (9.7%), 1.9% were classified as low-risk HVI and 6.8% as medium-risk HVI. There was statistical significance between HVI and the child's place of residence. The association between hearing loss and HIV was not statistically significant; however, it was possible to observe that 77.7% of the children with hearing loss resided in sectors with medium- risk HIV.

Prevalência de perda auditiva e vulnerabilidade a saúde em crianças de 25 a 36 meses: uma análise da distribuição espacial

ABSTRACT Purpose To analyze the association between hearing loss and health vulnerability in children aged 25 to 36 months. Methods Analytical observational cross-sectional study conducted through child hearing screening in nine day-care centers. The screening consisted of anamnesis, otoscopy, tympanometry, transient otoacoustic emissions, and pure tone audiometry. For each exam performed, the 'pass' and 'fail' criteria were established. The children's residential addresses were georeferenced and a choropleth map of the spatial distribution was built, considering the Health Vulnerability Index (HVI). The analysis of the association between the HVI and the variables sex, auditory assessment, and region area of the household was performed using Pearson's Chi-square and Fisher's Exact tests. Results Ninety-five children of both sexes were evaluated, of which 44.7% presented alterations in at least one of the exams performed, being referred for otorhinolaryngological evaluation and subsequent auditory assessment. Of the observed changes, 36.9% occurred in the tympanometry and 7.8% in the transient otoacoustic emissions. Among children referred for reassessment, 9.7% were diagnosed with conductive hearing loss, 13.6% results within normal limits and 21.4% did not attend for assessment. Of the children who presented the final diagnosis of conductive hearing loss (9.7%), 1.9% were classified as low-risk HVI and 6.8% as medium-risk HVI. There was statistical significance between HVI and the child's place of residence. Conclusion The association between hearing loss and HIV was not statistically significant; however, it was possible to observe that 77.7% of the children with hearing loss resided in sectors with medium- risk HIV

The importance of sensorial and spatial aspects in family reading at home: Insights from a national survey in Norway

PurposeThe study investigated the relationships between spatial, multisensorial, and structural factors in family reading routines. Materials1001 survey responses and 926 open-ended answers of parents of 3- to 6-year-olds living in Norway, were analysed. ResultsParents who reported having a reading routine with their child valued more highly the spatial aspect of reading than parents who didn't have established reading routines at home and fathers valued the spatial aspect more than mothers. Highly educated parents valued more the visual sensorial aspect of the reading experience and described the book's visual appearance as salient for prompting reading conversations. The auditory aspects of reading were perceived negatively, while child's haptic engagement was rated as motivating for children's book interest. ConclusionParents have a hierarchical perception of the role of senses in children's reading and place a high value on the place where they read with their child. These aspects need to be integrated into future SBR studies and home interventions.

Modification of Demonstrative Methods: Increased Understanding of the Value of Place in Children with Special Needs

Improving Students' Understanding of the Value of Places Through Demonstration Methods in Students of Class IV-C Sekolah Luar Biasa Negeri Doloksanggul School Year 2022/2023. The purpose of this study is to describe the improvement of students' understanding of the material of place values through the Demonstration method so as to improve student learning outcomes in Sekolah Luar Biasa Negeri Doloksanggul, Humbang Hasundutan Regency. This class Action Research was conducted in Sekolah Luar Biasa Negeri Doloksanggul Humbang Hasundutan Regency. The type of action in this study is in the form of concrete actions, namely guiding students in the implementation of learning activities through the Demonstration method. The research was conducted in semester I, precisely in September-November 2022. This classaction research sub j ek is students in Sekolah Luar Biasa Negeri Doloksanggul Humbang Hasundutan Regency with a total of 4 students. The results showed that students' understanding of the venue value material increased after applying the Demonstration method thereby improving student learning outcomes. The average student learning outcomes increased after applying the Demonstration method to the Place Value material, where the average student learning outcomes in the first cycle of 45.00 increased to 80.00 in cycle II.

Histories, Memories and Representations of Being Young in the First World War ed. by Maggie Andrews, N. C. Fleming, and Marcus Morris

Reviewed by: Histories, Memories and Representations of Being Young in the First World War ed. by Maggie Andrews, N. C. Fleming, and Marcus Morris Ashley Henrickson Histories, Memories and Representations of Being Young in the First World War. Edited by Maggie Andrews, N. C. Fleming, and Marcus Morris. Cham: Palgrave Macmillan, 2020. xiii + 257 pp. Hardcover $119.99, paper $84.99. Histories, Memories and Representations of Being Young in the First World War explores the experiences of young people during the war and how the conflict has been presented to young people in the century that followed. The edited collection was developed from a 2015 conference at Manchester Metropolitan University titled "Being Young in World War One." Editors Maggie Andrews, N. C. Fleming, and Marcus Morris have broadly defined both children and youth (including people up to the age of twenty) and welcomed essays that explore the diverse perspectives and experiences of young people. The editors aptly note that the collection does not and cannot cover the entirety of young people's experiences; however, the contributors should be commended for putting a notable dent in the historiography. The chapters cover many different topics, including children's and young people's experiences in education, the workplace, and organizations like the Navy League. Examining such a breadth of topics inevitably means that the authors describe numerous and sometimes contradictory wartime experiences. For example, in her chapter, Ruth Percy suggests that young, working-class women viewed the war as a time of opportunity rather than a time of loss and sorrow. Conversely, Melanie Tebbutt describes how young people often found refuge from the sadness of war in darkened movie theatres. Marcus Morris illustrates yet another unique experience by drawing attention to the desires of some young women to subvert gender norms and fight on the front lines. These varied descriptions of young people's experiences may appear inconsistent, but as Maggie Andrews, Hayley Carter, Lisa Cox-Davies, and Anna Muggeridge explain in their chapter, "there were numerous home fronts just as there were numerous battlefronts," and furthermore, "a national narrative of the conflict, even in relation to children, is not the national narrative" (55). By highlighting a variety of perspectives, this edited collection embraces the inevitable complexity of wartime and childhood. [End Page 441] The collection works to center the experiences of children and young people in a field where their experiences are often studied only in relation to other histories. In doing so, the authors demonstrate how the history of childhood helps paint a more complete picture of the past. For example, by focusing on the experiences of urban children, Rebecca Ball's chapter challenges the belief that the home front was a predominantly female space and questions the assumption that relationships between civilians and soldiers were largely defined by separation. The latter half of the collection examines contemporary understandings of the war and children's place within it, along with ways that the war was presented to later generations. Jane Rosen considers how children's novels produced over the past four decades preserve myths about the war in an attempt to tell morally instructive tales. Sam Edwards discusses how the war has been portrayed and commemorated through television. The collection concludes with a fascinating chapter by Maggie Andrews that will interest both academic and public historians. Andrews reviews the numerous accommodations that were undertaken to make the centennial commemorations of the First World War palatable for consumption by young people in the United Kingdom. She outlines the various political, historiographic, and economic factors that shaped and ultimately limited the histories of the war that were shared with young people. Overall, this collection provides a wealth of insight into the experiences of young people in World War I. Melanie Tebbutt's analysis of how children experienced the darkened space of the cinemas is especially innovative. As a whole, the book demonstrates that growing up during a time of conflict had enormous effects on young people's lives; however, these effects were diverse and sometimes contradictory. Ashley Henrickson Know History Inc. Copyright © 2022 Johns Hopkins University Press

A clinical case of surgical treatment of a 10-year-old girl with megaureter of the single kidney

Editrial comment. The described long-term multi-stage surgical treatment – performed at the child's place of residence was not adequate and was the threat of losing the only kidney. Management of patients with a non-reflexing form of megaureter, especially in the neonatal period, requires the assessment of not only the state of the kidney and ureter, but also the state of the bladder, in order to exclude the bladder-dependent form of megaureter. Proximal ureterocuteniostomy, especially of a single kidney, should not be used without a preliminary, full-fledged urological examination. Children with complex malformations of the urinary system should be promptly consulted in specialized medical institutions. Introduction. Among congenital malformations of the urinary system, one of the most common is megaureter. The recently developed surgical techniques and, namely, minimally invasive ones for megaureter treatment, in some cases prevent or delay surgical intervention. However, if deterioration of the renal function is seen, especially in patients with the only functioning kidney, radical surgery has to be performed in a timely manner, before the formation of irreversible changes in the renal parenchyma leading to nephrosclerosis. Purpose. To illustrate a successful surgical outcome in a patient with megaureter in the only functioning kidney when surgeons had to consider all anatomical features after ineffective previous surgical corrections. Material and methods. The authors present a clinical observation and management of a 10-year-old patient with megaureter in the only kidney after previous ineffective surgical corrections when both open traditional methods and long-term endovesical stentings were performed but without taking into account the anatomical localization of the ureteral junction. The patient also developed a latent course of urinary tract infection and chronic kidney disease stage 3 by classification of the National Kidney Foundation (NKF), and the working group on improving outcomes of kidney diseases, Kidney Disease Outcomes Quality Initiative (KDOQI). Results. Despite the existing problems – deficit in the ureter length caused by previous surgeries, impossible endovideosurgical laparoscopy because of metabolic disorders – the performed treatment was successful. The surgeons formed ureterocystoanastomosis by Cohen technique with extra-bladder mobilization of the ureter. Dynamic follow-up after surgical treatment lasted for 2 years. During the observation period, urodynamics of the upper urinary tract was restored and, one could see the elimination of leukocyturia, improvement of blood flow in the parenchyma of the only functioning kidney as well as stabilization of nitrogen metabolic parameters and glomerular filtration rate. Conclusion. While choosing surgical management, surgeons should consider anatomical features of the ureterovesical junction. Such an approach has promoted good results in the discussed case.

A LOGISTIC REGRESSION ANALYSIS OF DETERMINANTS OF CHILD MALNUTRITION IN UTTAR PRADESH, INDIA

This paper examines the effects of socio-economic determinants on child malnutrition in Uttar Pradesh- the most populous and malnourished state of India. Using data from NFHS-4, this study highlights district-wide variations in nutritional status of children less than five years in the state. The percentage of stunted, wasted, and underweight have been taken as dependent variables, while main explanatory variables of child malnutrition were female education, maternal malnutrition (BMI), breastfeeding practices, children's place of residence, father’s education, wealth index of household, family planning, sex of the child, sex of the household and age cohort of mother. Logistic regression models have been applied in order to observe the association between explanatory variables and malnutrition. The findings revealed a high incidence of less stunted, wasted, and underweight infants in case of an educated parents, particularly educational level of mother. Wealth index representing the possession of assets by the household found to be an important indicator in the sense that children born to households with richer and richest quintiles showing better-nourished children aged under-5. The modern method of using contraceptive, breastfeeding practices, maternal malnutrition were also important indicators influencing the rate of malnutrition in children. The study suggested that imparting education to females, breastfeeding practices, economic status, and contraceptive use can play an important role in reducing nutritional status of children. &nbsp;