Involvement Of Children Research Articles

Severe Acute Neurologic Involvement in Children With Hemolytic-Uremic Syndrome.

Acute severe neurologic involvement is the most threatening complication in children with hemolytic-uremic syndrome (HUS). Our primary study objectives were to describe the association between acute neurologic manifestations (ANMs) and in-hospital mortality among children with HUS. Using the Pediatric Health Information System database, in this retrospective multicenter cohort study, we identified the first HUS-related inpatient visit among children ≤18 years (years 2004-2018). Frequency of selected ANMs and combinations of ANMs, as well as the rate of mortality, was calculated. Multivariate logistic regression was used to identify the association of ANMs and the risk of in-hospital mortality. Among 3915 patients included in the analysis, an ANM was noted in 10.4% (n = 409) patients. Encephalopathy was the most common ANM (n = 245). Mortality was significantly higher among patients with an ANM compared with patients without an ANM (13.9% vs 1.8%; P < .001). Individuals with any ANM had increased odds of mortality (odds ratio [OR]: 2.25; 95% confidence interval [CI]: 1.29-3.93; P = .004), with greater risk (OR: 2.60; 95% CI: 1.34-5.06; P = .005) among patients with ≥2 manifestations. Brain hemorrhage (OR: 3.09; 95% CI: 1.40-6.82; P = .005), brain infarction (OR: 2.64; 95% CI: 1.10-6.34; P = .03), anoxic brain injury (OR: 3.92; 95% CI: 1.49-10.31; P = .006), and brain edema (OR: 4.81; 95% CI: 1.82-12.71; P = .002) were independently associated with mortality. In this study, the largest systematic assessment of ANMs among children with HUS to date, we identify differences in in-hospital mortality based on the type of ANM, with increased risk observed for patients with multiple ANMs.

Parental Behaviors and Involvement in Children’s Digital Activities among Israeli Jewish and Arab Families during the COVID-19 Lockdown

ABSTRACT Research Findings: The study explored everyday parenting behaviors and their relations to parents’ involvement in their children’s digital activities during the COVID-19 lockdown, among Israeli Jewish and Arab parents of young children. We studied parents’ behaviors through the prism of the Parenting Pentagon Model (PPM), which integrates five constructs of daily parenting behaviors that are beneficial for children’s development: Partnership between the caretakers, Parental Leadership, Love Behaviors, Encouraging Independence, and Adherence to Rules. Participants, 487 parents (290 Jewish and 197 Arab) of children (2-to-8-years-old) answered questionnaires. Findings showed that both Jewish and Arab parents reported that Love behaviors were most frequent during the lockdown, followed by Leadership. Encouragement of Independence, adherence to Rules and Partnership were less frequent. Additionally, the more parents behaved beneficially in their daily life (according to PPM), the more they were involved in their child’s digital activities, beyond family background (child’s age, parent’s education, and family’s size). Practice or Policy: The results can assist in planning support programs for parents during times of crisis. Parental guidance regarding beneficial parenting and advantageous involvement in children’s digital activities may be more helpful than restrictions and warnings regarding the risk of young children’s exposure to digital activities and screens.

Risky Play and Children\u2019s Well-Being, Involvement and Physical Activity

Children's activities and experiences in Early Childhood Education and Care (ECEC) institutions are essential for children's present and future lives. Playing is a vital activity in childhood, and playing is found to be positively related to a variety of outcomes among children. In this study, we investigated how risky play – a fundamentally voluntary form of play – related to children's well-being, involvement and physical activity. Results from structured video observations (N = 928) during periods of free play in eight Norwegian ECEC institutions indicated that engagement in risky play was positively associated with children's well-being, involvement and physical activity. The findings in this study suggest that one way to support children's everyday experiences and positive outcomes for children in ECEC is to provide children with opportunities for risky play. Restrictions on children's play behaviours following safety concerns must be balanced against the joy and possible future benefits of thrilling play experiences for children.

Pulmonary Involvement in Children With Systemic Lupus Erythematosus.

Background: Symptomatic pulmonary involvement in systemic lupus erythematosus (SLE) seems not uncommon in children. However, there are few data on the characteristics and laboratory parameters of SLE patients with pulmonary involvement.Methods: This was a hospital-based study involving 111 SLE patients from 1 January 2012 to 31 December 2016. The demographic, clinical, and laboratory data of the patients were prospectively collected. They were followed as outpatients until December 2019. Clinical characteristics and laboratory parameters of patients with and without pulmonary involvement were compared.Results: Of the 111 patients with SLE, we identified 18 patients (16.2%) with pulmonary involvement. The most common HRCT findings were ground glass opacity, interlobular septal thickening, bilateral diffuse infiltrates, and pleurisy/pleural effusion (55.6, 50, 50, and 44.4%, respectively). SLE patients with pulmonary involvement tended to have a longer disease duration (14 [12–24.5] vs. 5 [2–9] months, P < 0.01). We also observed a significant association between the presence of anti-Sm antibody, ANCA, Anti-RNP and the presence of pulmonary involvement of SLE (all P < 0.001).Conclusions: Lung involvement was frequent in SLE patients from Southeast China. Patients with a longer duration of symptoms before SLE diagnosis tended to have pulmonary involvement. When children with SLE are found to have anti-RNP antibody and positive ANCA, it should be alert to the occurrence of pulmonary involvement.

Surfacing complexity in shared book reading: The role of affordance, repetition and modal appropriation in children's participation

Adult-child shared-book-reading (SBR) is an everyday practice that is fundamental to young children's early engagement with literature. Its potential for supporting young children's participation in literacy is of continuing interest to parents, practitioners, researchers and policymakers alike. However, there is limited research involving critical examination of the processes involved in SBR, particularly of interaction beyond verbal language and of the ways in which differing social contexts influence children's participation. Through close examination of two children's involvement in eight SBR episodes using a multimodal lens, this paper surfaces complexity in the ways in which different contexts and children's previous experience of the text afford differential participation and influence narrative interpretations. The findings contribute to understandings of how SBR practices, and the role of affordance, repetition and modal appropriation, shape children's early engagement with literature.

Parents’ Involvement in Children’s Dental Services Utilization

(1) Background: Parents play an important role in children’s oral health by contributing to the development of proper oral hygiene and eating behaviors as well as offering the child access to dental services. The aim of this study was the evaluation of parents’ involvement in their child’s visits to the dental office. (2) Methods: The cross-sectional study was conducted in 2020 in Romania on a sample of 105 parents using an online self-administered questionnaire. (3) Results: Only 9.52% of parents brought their children to the dental office for their first visit in their 1st year of life; 51.53% of children visit the dentist at least once a year but for only 42.86% of children, the reason of their last visit was a regular dental check-up. (4) Conclusions: parents underestimate the role of dental service utilization for their children; the first visit to the dental office for most children is at an older age than optimal, the frequency of dental visits is less than recommended, and they are treatment-oriented.

Severity of Liver Involvement in Children with Dengue Infection

Background: Liver involvement in dengue infection is one of the clinical presentations.&#x0D; Objective: This study was undertaken to see severity of liver dysfunction in children with dengue infection.&#x0D; Methods: It is a cross sectional observational study conducted in 100 consecutive children with serologically positive dengue infection aged between 2 months to 14 years of age. Liver function tests were done in all patients and were studied the severity of deranged LFT with severity of dengue infection.&#x0D; Results: Out of 100 admitted children with dengue infection, deranged liver function tests found in 57(57.0%). ALT was above normal in 10 (29.4% of DF, 19 (57.6%) cases of DHF and 19(57.6%) cases of DSS respectively. AST was above normal level in 12(35.3%) cases of DF, 23(69.7%) cases of DHF and 22(66.7%) cases of DSS respectively. Low albumin was found in 41.0% of cases, 15(45.5%) cases of DHF and 19(57.6%) cases of DSS. INR was high only 4 cases of DSS. The bilirubin was normal in all cases except one died due to ALF due to DSS. The mean ALT and mean AST statistically higher in DHF and DSS in compare to DF (P-value 0.011 and 0.037) respectively. However, there was no significant difference in meal ALT and AST between DHF and DSS respectively. Overall mortality in 2 cases with DHF and DSS.&#x0D; Conclusion: Dengue infection is associated with variable level of liver dysfunction. The severity of liver dysfunction can predict the severity of dengue infection.&#x0D; Bangladesh Journal of Infectious Diseases 2020;7(2):90-94

Delineating the developmental sequelae of children's risky involvement in interparental conflict.

The present study examined the developmental value of parsing different forms of children's risky involvement in interparental conflict as predictors of children's subsequent psychological adjustment. Participants included a diverse sample of 243 preschool children (Mage = 4.6 years) and their mothers across two measurement occasions spaced 2 years apart. Three forms of risky involvement (i.e., cautious, caregiving, and coercive) were identified using maternal narratives describing children's emotional and behavioral reactivity during and immediately following interparental conflict. Utilizing a multimethod, multi-informant design, findings revealed that each form of involvement prospectively predicted unique configurations of children's developmental outcomes. Greater coercive involvement was associated with higher levels of externalizing problems, callous and unemotional traits, and extraversion. Higher levels of caregiving involvement were linked with greater separation anxiety. Finally, cautious involvement predicted more separation anxiety and social withdrawal.

Parents' involvement in Children's Education: A Study on Kachua Upazila of Bagerhat, Bangladesh

Parents' involvement in Children's Education: A Study on Kachua Upazila of Bagerhat, Bangladesh

School-Based Strategies and Support Mechanisms That Will Facilitate Fathers’ Involvement In Children’s Early Learning, A Quantitative Research Approach

School-Based Strategies and Support Mechanisms That Will Facilitate Fathers’ Involvement In Children’s Early Learning, A Quantitative Research Approach

Renal Involvement in Children with Tuberous Sclerosis

Objectives: Tuberous sclerosis (TS) is a multisystemic disease with a genetic component. The central nervous system is most commonly involved. Renal involvement is also common. In this study, renal involvement was investigated descriptively and analytically in children with TS. Methods: A retrospective cohort study was performed on TS patients followed in a neurology clinic. The result variable is renal involvement. Other demographic, health-related, and family characteristics were examined as independent variables. Other system involvements in children with TS were presented analytically. Descriptive and analytical statistics were performed with SPSS 24.0 software. Results: The total number of children diagnosed with TS was 52. Renal involvement was found in 9 (17.3%) of these children. Frequency of renal involvement was not statistically increased according to independent characteristics which were obtained from patient files (demographic characteristics, presence of neurological problems in the family, weight and height percentiles, and other system involvements in children with TS). Conclusion: In our study, renal involvement was found to be less frequent than the reported in the literature. It may be more relevant to conduct studies with higher number of children with TS for risk assessment of renal involvement.

Sacroiliac joint involvement in children with inflammatory bowel diseases.

Objective:Sacroiliitis (SI), an inflammatory arthropathy, may accompany pediatric inflammatory bowel diseases (IBDs), present with non- specific back pain, hence might be unnoticed. The aims of this study were to assess the frequency of the SI in children with IBD and determine the characteristics of the association of SI with the clinical hallmarks of the IBD.Methods:In this prospective, cross sectional study, twenty-seven children with IBD, 7–18 years of age were evaluated. Patients with low back pain or stiffness, alternating buttock pain, or hip pain were examined for the presence of SI. The radiologic manifestations on X-ray suggesting sacroilitis were confirmed with Magnetic resonance imaging (MRI).Results:Twenty-seven children (16 girls, female/male=1.45), with mean age of 12.55±3.6 years, of which 52% had ulcerative colitis (UC), 41% had Crohn’s disease (CD), and two had indeterminate colitis (IC). The median time from IBD diagnosis was 6.0 (18.0) months for patients with SI and 12.0 (13.5) months for patients without SI. Low back pain or stiffness was observed in 13 patients (48%). SI was present in eight (30%) of the children with IBD. The patients with CD were more prone to SI (45% of CD vs. 21% of UC patients). All patients with SI were negative for HLA-B27 genotyping. The disease activity and gender were not associated with increased risk for SI. MRI was remarkable for bone marrow edema in all of the patient, followed by erosions in six of them (75%), synovial enhancement observed in five (63%), and erosion associated enthesitis of the pelvic region was observed in two (25%) of the patients.Conclusion:SI may remain obscured in children with IBD. Children with CD are more prone to SI than those with UC. Pediatric rheumatology-pediatric gastroenterology collaboration might augment screening in at-risk patients.

Parental Involvement in Children’s Academic Achievements: A Case of Ethiopian Schooling

Parental Involvement in Children’s Academic Achievements: A Case of Ethiopian Schooling

Involvement of Children and Adolescents in Dietary Counseling Carried Out by Dental Health Practitioners

Abstract The objective was to assess the extent of involvement of children and adolescents in dietary counseling (DC) performed by dental health practitioners. Two online databases PubMed and ERIC were searched using terms “dietary counselling” AND “children” AND “adolescents” AND “oral health” from 2001 to November 2020. Only two studies reported the involvement of children and adolescents in DC performed by dental health practitioners. Dental practitioners are still not prepared well to do dietary consultations with children and adolescents. Further research should be attempted to find the best ways that guarantee full involvement of children in dietary consultations carried out by dental practitioners.

Characteristics of Central Nervous System (CNS) Involvement in Children With Non-Hodgkin's Lymphoma (NHL) and the Diagnostic Value of CSF Flow Cytometry in CNS Positive Disease.

Objective:To investigate the characteristics of central nervous system (CNS) involvement in children with non-Hodgkin’s lymphoma (NHL) and the value of flow cytometry (FC) in the diagnosis of CNS disease in pediatric NHL.Methods:The data of 56 newly diagnosed pediatric NHL patients with CNS involvement (CNS+/mass, CNS+/palsy, CNS+/CSF) were analyzed. The proportions and formats of CNS disease in different pathological types were compared. In addition, FC and conventional cytology (CC) of cerebrospinal fluid (CSF) were carried out in 383 newly diagnosed NHL cases.Results:A total of 383 children with NHL were enrolled. Among these patients, 56 (14.6%) were diagnosed with positive CNS involvement (CNS+), 33 had bulky disease (tumor diameter >10 cm), 32 had bone marrow invasion, 32 had lactate dehydrogenase levels >1000 U/L, and 25 had invasion of more than 4 organs at the time of diagnosis. There were 14 patients with T lymphoblastic lymphoma (T-LBL), 9 with B lymphoblastic lymphoma (B-LBL), 26 with Burkitt’s lymphoma (BL), and 2 with Epstein-Barr virus-positive diffuse large B cell lymphoma (EBV + DLBCL). Among the 56 CNS+ patients, 35 were CSF-positive (CSF+); there were 2 patients who were CSF+ via CC detection and 35 who were CSF+ via FC detection. The difference between CC and FC was statistically significant (P < 0.01). In the T-LBL group, 14 patients were CNS+/CSF, and in the B-LBL group, 8 were CNS+/mass. In the BL group, 22 patients were CNS+/mass and 15 were CNS+/CSF. In the anaplastic large-cell lymphoma group, 5 patients were CNS+/mass. Nine of the 56 CNS+ patients had events. The 2-year overall survival rate was 87% ± 0.046%, and the 2-year event-free survival rate was 76.2% ± 0.07%.Conclusion:CNS+ diagnoses were more common in pediatric NHL patients with bulky disease and/or bone marrow involvement and/or involvement of more than 4 organs at the time of diagnosis, and they were also common in the EBV + DLBCL and BL groups. FC of CSF showed important clinical significance in the diagnosis of CNS disease in pediatric NHL patients, and it can be used to significantly improve the CNS+ detection rate.

The Involvement of Children in Caring for Diseases of Primary Relatives; Modali- ties of Support and Relational Implications

The Involvement of Children in Caring for Diseases of Primary Relatives; Modali- ties of Support and Relational Implications

Constructing the Child Soldier Crisis: Violence, Victimhood, and the Development of Transnational Advocacy against the Recruitment and Use of Children in Conflict, circa 1970–2000

This article explores why the figure of the child soldier as an abused and exploited victim of war erupted to the forefront of humanitarian and human rights advocacy in the 1990s, arguing that a humanitarian calculus of concern constructed this "child soldier crisis." It analyzes the structural and contingent factors that drove the development of transnational advocacy from initial concerns in 1969–71 to the 2000 Optional Protocol on the Involvement of Children in Armed Conflict. The article highlights the successful campaigning tactics of these networks, showing how the object figure of the child soldier as victim was framed by racialized and paternalistic tropes of global south societies and shifting constructions of childhood itself. It is based on extensive research across UN agency and INGO archives, private papers, media sources, and human rights reports.

Constructing the Child Soldier Crisis: Violence, Victimhood, and the Development of Transnational Advocacy against the Recruitment and Use of Children in Conflict, circa 1970–2000

This article explores why the figure of the child soldier as an abused and exploited victim of war erupted to the forefront of humanitarian and human rights advocacy in the 1990s, arguing that a humanitarian calculus of concern constructed this “child soldier crisis.” It analyzes the structural and contingent factors that drove the development of transnational advocacy from initial concerns in 1969–71 to the 2000 Optional Protocol on the Involvement of Children in Armed Conflict. The article highlights the successful campaigning tactics of these networks, showing how the object figure of the child soldier as victim was framed by racialized and paternalistic tropes of global south societies and shifting constructions of childhood itself. It is based on extensive research across UN agency and INGO archives, private papers, media sources, and human rights reports.

Children Involvement in Terrorism Activities: Perpetrator or a Victim? (A Study in the Circle of Violence)

Terrorism is an extraordinary crime since it violates human rights. However, it will be different if children commit it. The legal approach is not necessarily taken against children who become terrorists. The problem of children's involvement in terrorist activities does not end there. Another important issue that must also be considered is children of terrorist parents. They must be rescued from a violent social environment. In this study, we will discuss the position of children as victims in the cycle of violence of terrorism and criminal policies in overcoming the involvement of children in terrorism activities. This research is normative legal research that examines the availability of provisions regulating the involvement of children in terrorism activities. Legal materials come from primary and secondary legal materials that are collected through literature study. Children who become terrorists are actually victims indoctrinated to commit terrorism which is believed as a struggle. Therefore, a human rights approach is needed to provide child protection. The criminal policy in tackling the involvement of children in terrorism activities is carried out by regulating the rehabilitation of radicalized children who are perpetrators and the placement of children whose parents are members of terrorism networks in a safe place.

The Perspective of Estonian Children and Adults on Children's Right to Participate in Society

The aim of this paper is to explore the perception of participation right of children in Estonian society from the perspective of adults and children by taking into consideration their sociodemographic background. The study draws on data from Estonia's Second Children's Rights and Parenting Survey (2018; a sample of 1,063 children at age 10–17, and 1,083 adults in the age range of 18–74). The study focused on children's and adults' attitudes, knowledge and experiences concerning children's involvement in decision-making in matters related to children's lives, as expressions of the right of participation. The findings demonstrate the generational and gender differences between children and adults in their perceptions. The study confirms the association between the awareness of children's rights and support to children's possibilities to participate in decision-making in different aspects of life. Furthermore, the analysis shows the importance of the children's own experiences of involvement: children who have more experiences with having a say in issues related to their everyday matters tend to be supportive of the involvement of children.