Base de dados : MEDLINE
Pesquisa : I01.880.787.293.360 [Categoria DeCS]
Referências encontradas : 4660 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 466 ir para página                         

  1 / 4660 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28747169
[Au] Autor:Peetoom KKB; Crutzen R; Bohnen JMHA; Verhoeven R; Nelissen-Vrancken HJMG; Winkens B; Dinant GJ; Cals JWL
[Ad] Endereço:Care and Public Health Research Institute Department of Family Medicine, Maastricht University, Maastricht, The Netherlands. kirsten.peetoom@maastrichtuniversity.nl.
[Ti] Título:Optimising decision making on illness absenteeism due to fever and common infections within childcare centres: development of a multicomponent intervention and study protocol of a cluster randomised controlled trial.
[So] Source:BMC Public Health;18(1):61, 2017 07 26.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Evidence has shown that children 0-4 year-old attending childcare are prone to acquire infections compared to children cared for at home, with fever being the most common symptom. Illness absenteeism due to fever and common infections is substantial and mostly driven by unrealistic concerns and negative attitude towards fever of both childcare staff and parents, resulting in illness absenteeism from childcare, work absenteeism among parents and healthcare service use. The objective of this study is to optimise decision making among childcare staff on illness absenteeism due to fever and common infections in childcare. Underlying determinants of behavioural change were targeted by means of a multicomponent intervention. METHODS: A multicomponent intervention was developed to improve decision making, using the stepwise approach of Intervention Mapping, and in close collaboration with stakeholders and experts. The intervention consisted of 1) a two-hour educational session on fever among childcare staff; 2) an online video for childcare staff and parents emphasising key information of the educational session; 3) a decision tool for childcare staff and parents in the format of a traffic light system to estimate the severity of illness and corresponding advices for childcare staff and parents; 4) an information booklet regarding childhood fever, common infections, and self-management strategies for childcare staff and parents. The multicomponent intervention will be evaluated in a cluster randomised trial with a 12-week follow-up period and absenteeism due to illness (defined as the percentage of childcare days absent due to illness on the total of childcare days during a 12-week period) as primary outcome measure. Secondary outcome measures are: incidence rate and duration of illness episodes, knowledge, attitude, self-efficacy, and risk perception on fever and common infections of childcare staff and parents, healthcare service use in general and paracetamol use, and work absenteeism of parents. DISCUSSION: This study aims to develop a multicomponent intervention and to evaluate to what extent illness absenteeism due to fever and common infections can be affected by implementing a multicomponent intervention addressing decision making and underlying determinants among childcare staff and parents of children attending daycare. TRIAL REGISTRATION: NTR6402 (registered on 21-apr-2017).
[Mh] Termos MeSH primário: Absenteísmo
Cuidado da Criança/organização & administração
Doenças Transmissíveis/epidemiologia
Tomada de Decisões
Febre/epidemiologia
[Mh] Termos MeSH secundário: Pré-Escolar
Seres Humanos
Lactente
Capacitação em Serviço
Folhetos
Pais/educação
Projetos de Pesquisa
Autoeficácia
Índice de Gravidade de Doença
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180304
[Lr] Data última revisão:
180304
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-017-4602-3


  2 / 4660 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29360836
[Au] Autor:Mao P; Feng H; Xu S; Liu J; Li H; Zhang Y; Ye Y
[Ad] Endereço:Henan Provincial People's Hospital, Zhengzhou, Henan, China.
[Ti] Título:Well-child care delivery in the community in China: Related factors and quality analysis of services.
[So] Source:PLoS One;13(1):e0190396, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Well-child health care services are essential for maintaining optimum child health and development. This study's aim was to evaluate the quality of such services and identify factors affecting service quality from the perspective of well-child health care providers located in China's Hunan Province. To achieve this, a qualitative descriptive method was employed, with 22 well-child health care providers being recruited, using purposive sampling, from among the provinces' government community health centers. The participants completed individual semi-structured interviews lasting approximately 25-30 minutes that were designed to obtain their views on well-child health care administration in the province. Then, the interview transcripts were analyzed thematically. The main finding was that participants felt that the delivery of well-child health care services in Hunan Province is insufficient. Factors they mentioned as negatively affecting the delivery of such services included the region's fragmented primary health care system, inadequate attention to this issue from parents and community health care center managers, and a lack of specialized well-child care knowledge. Thus, currently, well-child health care is not being successfully implemented in Hunan Province; consequently, in order to successfully implement well-child health care in this region, community health care centers should invest more resources and funding, particularly into education programs for well-child health care providers.
[Mh] Termos MeSH primário: Cuidado da Criança/normas
[Mh] Termos MeSH secundário: Adulto
Criança
China
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190396


  3 / 4660 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29211385
[Au] Autor:Smith J; Javanparast S; Craig L
[Ti] Título:Bringing babies and breasts into workplaces: Support for breastfeeding mothers in workplaces and childcare services at the Australian National University.
[So] Source:Breastfeed Rev;25(1):45-56, 2017 Mar.
[Is] ISSN:0729-2759
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:In 1999, two leading Australian academics challenged Australian universities to lead moves to better manage employees' maternity and breastfeeding needs, and 'bring babies and breasts into workplaces'. This paper addresses the question of how universities cope with the need for women to breastfeed, by exploring barriers facing women who combine breastfeeding and paid work at the Australian National University (ANU). Data were collected through online surveys in 2013 using mixed method, case study design, nested within a larger national study. Participants were 64 working mothers of children aged 0-2 years from the ANU community of employees and users of on-campus child care. Responses highlighted the ad hoc nature of support for breastfeeding at ANU. Lack of organisational support for breastfeeding resulted in adverse consequences for some ANU staff. These included high work-related stresses and premature cessation of breastfeeding among women who had intended to breastfeed their infants in line with health recommendations.
[Mh] Termos MeSH primário: Aleitamento Materno/estatística & dados numéricos
Cuidado da Criança/organização & administração
Cultura Organizacional
Política Organizacional
Mulheres Trabalhadoras/estatística & dados numéricos
Local de Trabalho/organização & administração
[Mh] Termos MeSH secundário: Atitude Frente à Saúde
Austrália
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:K
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


  4 / 4660 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28742987
[Au] Autor:Liebman AK; Simmons J; Salzwedel M; Tovar-Aguilar A; Lee BC
[Ad] Endereço:a Migrant Clinicians Network , Salisbury , Maryland , USA.
[Ti] Título:Caring for Children While Working in Agriculture-The Perspectiveof Farmworker Parents.
[So] Source:J Agromedicine;22(4):406-415, 2017.
[Is] ISSN:1545-0813
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Access to safe, off-farm childcare is often a challenge for farmworkers with young children and is likely to become an increasingly salient barrier as more agricultural workers migrate together with families and as the number of women entering the agricultural workforce increases. Agriculture is one of the most hazardous industries, and the presence of young children in the workplace puts them at risk. To better understand the current nature of childcare for farmworker families and the challenges to accessing services, this project facilitated in-person surveys with 132 parents in three communities in Florida. A convenience sample that intentionally targeted parents living and working in areas with limited access to Migrant and Seasonal Head Start facilities was used to recruit participants. Most participants reported childcare access as a challenge. They expressed a desire to work in an area based on childcare availability. These findings offer agribusiness leaders important data to consider. They also suggest that industry support of childcare may be an important workforce investment. Findings indicate that high quality, affordable off-farm childcare services could serve as a means for attracting farmworkers to regions currently experiencing labor shortages. Additional research is warranted to explore this subject in diverse geographic areas.
[Mh] Termos MeSH primário: Agricultura/recursos humanos
Cuidado da Criança/utilização
[Mh] Termos MeSH secundário: Adulto
Criança
Cuidado da Criança/psicologia
Pré-Escolar
Fazendeiros/psicologia
Fazendeiros/estatística & dados numéricos
Feminino
Florida
Seres Humanos
Lactente
Masculino
Meia-Idade
Pais/psicologia
Inquéritos e Questionários
Migrantes/psicologia
Migrantes/estatística & dados numéricos
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.1080/1059924X.2017.1358229


  5 / 4660 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27773710
[Au] Autor:Cradock AL; Barrett JL; Kenney EL; Giles CM; Ward ZJ; Long MW; Resch SC; Pipito AA; Wei ER; Gortmaker SL
[Ad] Endereço:Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Electronic address: acradock@hsph.harvard.edu.
[Ti] Título:Using cost-effectiveness analysis to prioritize policy and programmatic approaches to physical activity promotion and obesity prevention in childhood.
[So] Source:Prev Med;95 Suppl:S17-S27, 2017 Feb.
[Is] ISSN:1096-0260
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Participation in recommended levels of physical activity promotes a healthy body weight and reduced chronic disease risk. To inform investment in prevention initiatives, we simulate the national implementation, impact on physical activity and childhood obesity and associated cost-effectiveness (versus the status quo) of six recommended strategies that can be applied throughout childhood to increase physical activity in US school, afterschool and childcare settings. In 2016, the Childhood Obesity Intervention Cost Effectiveness Study (CHOICES) systematic review process identified six interventions for study. A microsimulation model estimated intervention outcomes 2015-2025 including changes in mean MET-hours/day, intervention reach and cost per person, cost per MET-hour change, ten-year net costs to society and cases of childhood obesity prevented. First year reach of the interventions ranged from 90,000 youth attending a Healthy Afterschool Program to 31.3 million youth reached by Active School Day policies. Mean MET-hour/day/person increases ranged from 0.05 MET-hour/day/person for Active PE and Healthy Afterschool to 1.29 MET-hour/day/person for the implementation of New Afterschool Programs. Cost per MET-hour change ranged from cost saving to $3.14. Approximately 2500 to 110,000 cases of children with obesity could be prevented depending on the intervention implemented. All of the six interventions are estimated to increase physical activity levels among children and adolescents in the US population and prevent cases of childhood obesity. Results do not include other impacts of increased physical activity, including cognitive and behavioral effects. Decision-makers can use these methods to inform prioritization of physical activity promotion and obesity prevention on policy agendas.
[Mh] Termos MeSH primário: Análise Custo-Benefício
Exercício
Promoção da Saúde/métodos
Obesidade Pediátrica/prevenção & controle
[Mh] Termos MeSH secundário: Criança
Cuidado da Criança
Política de Saúde
Seres Humanos
Instituições Acadêmicas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


  6 / 4660 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28854281
[Au] Autor:Falenchuk O; Perlman M; McMullen E; Fletcher B; Shah PS
[Ad] Endereço:Applied Psychology and Human Development, University of Toronto/OISE, Toronto, Ontario, Canada.
[Ti] Título:Education of staff in preschool aged classrooms in child care centers and child outcomes: A meta-analysis and systematic review.
[So] Source:PLoS One;12(8):e0183673, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Staff education is considered key to quality of early childhood education and care (ECEC) programs. However, findings about associations between staff education and children's outcomes have been inconsistent. We conducted a systematic review and meta-analysis of associations between ECEC staff education and child outcomes. Searches of Medline, PsycINFO, and ERIC, websites of large datasets and reference sections of all retrieved articles were conducted. Eligible studies provided a statistical link between staff education and child outcomes for preschool-aged children in ECEC programs. Titles, abstracts and paper reviews as well as all data extraction were conducted by two independent raters. Of the 823 studies reviewed for eligibility, 39 met our inclusion criteria. Research in this area is observational in nature and subject to the inherent biases of that research design. Results from our systematic review were hampered by heterogeneity in how staff education was defined, variability in whose education was measured and the child outcomes that were assessed. However, overall the qualitative summary indicates that associations between staff education and childhood outcomes are non-existent to very borderline positive. In our meta-analysis of more homogeneous studies we identified certain positive, albeit very weak, associations between staff education and children's language outcomes (specifically, vocabulary and letter word identification) and no significant association with a mathematics outcome (WJ Applied Problems). Thus, our findings suggest that within the range of education levels found in the existing literature, education is not a key driver of child outcomes. However, since we only explored levels of education that were reported in the literature, our findings cannot be used to argue for lowering education standards in ECEC settings.
[Mh] Termos MeSH primário: Cuidado da Criança/recursos humanos
Cuidado da Criança/normas
Creches/normas
Desenvolvimento Infantil
Escolaridade
[Mh] Termos MeSH secundário: Creches/estatística & dados numéricos
Pré-Escolar
Seres Humanos
Aprendizagem
Instituições Acadêmicas
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170831
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183673


  7 / 4660 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28774504
[Au] Autor:Larson N; Ayers Looby A; Frost N; Nanney MS; Story M
[Ti] Título:What Can Be Learned from Existing Investigations of Weight-Related Practices and Policies with the Potential to Impact Disparities in US Child-Care Settings? A Narrative Review and Call for Surveillance and Evaluation Efforts.
[So] Source:J Acad Nutr Diet;117(10):1554-1577, 2017 Oct.
[Is] ISSN:2212-2672
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Child-care settings and the combination of policies and regulations under which they operate may reduce or perpetuate disparities in weight-related health, depending on the environmental supports they provide for healthy eating and activity. The objectives of this review are to summarize research on state and local policies germane to weight-related health equity among young children in the United States and on how federal policies and regulations may provide supports for child-care providers serving families with the most limited resources. In addition, a third objective is to comprehensively review studies of whether there are differences in practices and policies within US child-care facilities according to the location or demographics of providers and children. The review found there is growing evidence addressing disparities in the social and physical child-care environments provided for young children, but scientific gaps are present in the current understanding of how resources should best be allocated and policies designed to promote health equity. Additional research is needed to address limitations of prior studies relating to the measurement of supports for weight-related health; complexities of categorizing socioeconomic position, ethnicity/race, and urban and rural areas; exclusion of legally nonlicensed care settings from most research; and the cross-sectional nature of most study designs. There is a particularly great need for the development of strong surveillance systems to allow for better monitoring and evaluation of state policies that may impact weight-related aspects of child-care environments, implementation at the program level, and needed implementation supports.
[Mh] Termos MeSH primário: Cuidado da Criança/estatística & dados numéricos
Creches/estatística & dados numéricos
Política de Saúde
Promoção da Saúde/métodos
Disparidades nos Níveis de Saúde
[Mh] Termos MeSH secundário: Peso Corporal
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Obesidade Pediátrica/prevenção & controle
Fatores Socioeconômicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170805
[St] Status:MEDLINE


  8 / 4660 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28771418
[Au] Autor:Donoghue EA; COUNCIL ON EARLY CHILDHOOD
[Ti] Título:Quality Early Education and Child Care From Birth to Kindergarten.
[So] Source:Pediatrics;140(2), 2017 Aug.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:High-quality early education and child care for young children improves physical and cognitive outcomes for the children and can result in enhanced school readiness. Preschool education can be viewed as an investment (especially for at-risk children), and studies show a positive return on that investment. Barriers to high-quality early childhood education include inadequate funding and staff education as well as variable regulation and enforcement. Steps that have been taken to improve the quality of early education and child care include creating multidisciplinary, evidence-based child care practice standards; establishing state quality rating and improvement systems; improving federal and state regulations; providing child care health consultation; as well as initiating other innovative partnerships. Pediatricians have a role in promoting quality early education and child care for all children not only in the medical home but also at the community, state, and national levels.
[Mh] Termos MeSH primário: Cuidado da Criança
Intervenção Precoce (Educação)
[Mh] Termos MeSH secundário: Pré-Escolar
Seres Humanos
Lactente
Recém-Nascido
Comunicação Interdisciplinar
Colaboração Intersetorial
Garantia da Qualidade dos Cuidados de Saúde
Fatores de Risco
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE


  9 / 4660 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28674113
[Au] Autor:Laursen RP; Larnkjær A; Ritz C; Hauger H; Michaelsen KF; Mølgaard C
[Ad] Endereço:Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark rikkelaursen@nexs.ku.dk.
[Ti] Título:Probiotics and Child Care Absence Due to Infections: A Randomized Controlled Trial.
[So] Source:Pediatrics;140(2), 2017 Aug.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The risk of infections is higher in children attending child care compared with children cared for at home. This study examined the effect of a combination of probiotics on absence from child care because of respiratory and gastrointestinal infections in healthy infants aged 8 to 14 months at the time of enrollment in child care. METHODS: The ProbiComp study was a randomized, double-blind, placebo-controlled study. A total of 290 infants were randomly allocated to receive a placebo or a combination of subsp and in a dose of 10 colony-forming units of each daily for a 6-month intervention period. Absence from child care, occurrence of infant symptoms of illness, and doctor visits were registered by the parents using daily and weekly Web-based questionnaires. RESULTS: Median absence from child care was 11 days (interquartile range: 6-16). Intention-to-treat analysis showed no difference between the probiotics and placebo groups ( = .19). Additionally, there was no difference in any of the secondary outcomes between groups; the number of children with doctor-diagnosed upper or lower respiratory tract infections, the number of doctor visits, antibiotic treatments, occurrence and duration of diarrhea, and days with common cold symptoms, fever, vomiting, or caregivers' absence from work. CONCLUSIONS: A daily administration of a combination of subsp and for 6 months did not reduce the number of days absent from child care in healthy infants at the time of enrollment in child care.
[Mh] Termos MeSH primário: Absenteísmo
Cuidado da Criança
Gastroenterite/prevenção & controle
Probióticos/administração & dosagem
Infecções Respiratórias/prevenção & controle
[Mh] Termos MeSH secundário: Bifidobacterium animalis
Pré-Escolar
Método Duplo-Cego
Feminino
Seres Humanos
Lactente
Análise de Intenção de Tratamento
Lactobacillus rhamnosus
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171110
[Lr] Data última revisão:
171110
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170705
[St] Status:MEDLINE


  10 / 4660 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28674111
[Au] Autor:Cabana MD; Merenstein DJ
[Ad] Endereço:Department of Pediatrics, michael.cabana@ucsf.edu.
[Ti] Título:Probiotics in the Child Care Center: Context Matters.
[So] Source:Pediatrics;140(2), 2017 08.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cuidado da Criança
Probióticos
[Mh] Termos MeSH secundário: Criança
Creches
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170705
[St] Status:MEDLINE



página 1 de 466 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde