ABSTRACT
ABSTRACT Objective: To identify evidence available in the literature about sleep patterns of infants attending nurseries. Method: An integrative review of studies published in Portuguese, English or Spanish available in full text on LILACS, CINAHL, and PubMed databases. The following descriptors sono, lactente and creches or berçários (in Portuguese) and sleep, infant and childcare or nurseries were used for LILACS, CINAHL and Pubmed, respectively. Nine studies were selected and analyzed. Results: The main component explored in the studies about sleep pattern is the sleep position of the infants, due to its association with sudden infant death syndrome. The results pointed to the need to promote and develop written guidelines regarding behavioral practices to reduce the risk of this phenomenon. Conclusion: Evidence has identified sleep issues, mainly regarding the sleep position of the infant and the environment where the infant sleeps, showing that it is critical to set routines and interventions to improve the quality of sleep care of infants attending nurseries.
RESUMEN Objetivo: Identificar evidencias disponibles en la literatura sobre el sueño del lactante que frecuenta guarderías. Método: Revisión integradora de artículos publicados en portugués, inglés o español, disponibles en su totalidad en las bases LILACS, CINAHL y PubMed. Fueron utilizados los descriptores "sueño", "lactante" y "guarderías" o "cuarto de niños" y "sleep", "infant" y "childcare" o "nurseries" para LILACS y para CINAHL y Pubmed, respectivamente, siendo seleccionados y analizados nueve estudios. Resultados: El principal componente explorado en los artículos acerca del comportamiento del sueño es la posición en que el niño duerme, en vista a su asociación con el síndrome de la muerte súbita infantil. Los resultados resaltaron la necesidad de promoción y desarrollo de normas escritas cuanto a las prácticas comportamentales para reducción de riesgo de ese fenómeno. Conclusión: Las evidencias identificaron problemas relacionados al sueño, principalmente con relación al posicionamiento del niño y al ambiente en que duerme, siendo fundamental el establecimiento de rutinas e intervenciones, visando mejorar la calidad del cuidado con el sueño de los lactantes que frecuentan guarderías.
RESUMO Objetivo: Identificar evidências disponíveis na literatura sobre o sono do lactente que frequenta creche. Método: Revisão integrativa de artigos publicados em português, inglês ou espanhol, disponíveis na íntegra nas bases LILACS, CINAHL e PubMed. Foram utilizados os descritores "sono", "lactente" e "creches" ou "berçários e "sleep", "infant" e "childcare" ou "nurseries" para LILACS e para CINAHL e Pubmed, respectivamente, sendo selecionados e analisados nove estudos. Resultados: O principal componente explorado nos artigos acerca do comportamento do sono é a posição em que a criança dorme, haja vista sua associação com a síndrome da morte súbita infantil. Os resultados ressaltaram a necessidade de promoção e desenvolvimento de normas escritas quanto às práticas comportamentais para redução de risco desse fenômeno. Conclusão: As evidências identificaram problemas relacionados ao sono, principalmente em relação ao posicionamento da criança e ao ambiente em que dorme, sendo fundamental o estabelecimento de rotinas e intervenções, visando melhorar a qualidade do cuidado com o sono dos lactentes que frequentam creches.
Subject(s)
Humans , Infant, Newborn , Infant , Sleep/physiology , Nurseries, Infant/standards , Sleep Disorders, Circadian Rhythm , Nurseries, Infant/trendsABSTRACT
OBJECTIVE: To identify evidence available in the literature about sleep patterns of infants attending nurseries. METHOD: An integrative review of studies published in Portuguese, English or Spanish available in full text on LILACS, CINAHL, and PubMed databases. The following descriptors sono, lactente and creches or berçários (in Portuguese) and sleep, infant and childcare or nurseries were used for LILACS, CINAHL and Pubmed, respectively. Nine studies were selected and analyzed. RESULTS: The main component explored in the studies about sleep pattern is the sleep position of the infants, due to its association with sudden infant death syndrome. The results pointed to the need to promote and develop written guidelines regarding behavioral practices to reduce the risk of this phenomenon. CONCLUSION: Evidence has identified sleep issues, mainly regarding the sleep position of the infant and the environment where the infant sleeps, showing that it is critical to set routines and interventions to improve the quality of sleep care of infants attending nurseries.
Subject(s)
Nurseries, Infant/standards , Sleep/physiology , Humans , Infant , Infant, Newborn , Nurseries, Infant/trends , Sleep Disorders, Circadian RhythmABSTRACT
Reading to children and storytelling has documented developmental benefits. Traditional Nursery Rhymes (Mother Goose tales in North America) encapsulate 'snapshots' of the people described and chronicle their customs, superstitions, and amusements. Art has long been employed to document the impact of human imperfections and diseases. We investigated whether illustrations accompanying nursery rhymes, suggest that any characters illustrated may have had or been based on recognized morphological abnormalities, and if this literature documents a role for grandmothers as storytellers. Archival materials were reviewed at the Victoria and Albert museum and Mary Evans picture library, and via the web. As early as 1695, Perrault included a frontispiece of a mature woman as storyteller in his book of fairytales. Similar scenes by various artists (Boilly, Cruikshank, Guy, Highmore, Maclise, Richter, and Smith) are found consistently from 1744 to 1908. Many illustrators (Aldin, Caldecott, Cruikshank, Doré, Dulac, Gale, Greenaway, Rackham, Tarrant, and Wood) portray infants, children, and adults who are dwarfed, giant, or whimsically grotesque. Many images certainly suggest genetic syndromes, and in some characters consistency of specific features is evident between artists. Our research confirms the wealth of children's nursery rhyme illustrations suggesting pathology; that an authoritative compilation of the morphologies depicted is lacking; and that historically, grandmothers have a central role as storytellers.
Subject(s)
Genetic Diseases, Inborn/psychology , Nurseries, Infant/history , Cartoons as Topic/history , Cartoons as Topic/psychology , Cartoons as Topic/trends , Child, Preschool , History, 17th Century , History, 18th Century , History, 19th Century , History, 20th Century , Humans , Infant , Medicine in the Arts , Nurseries, Infant/trends , Reading , SyndromeABSTRACT
Objetivo: Ofertar a hijos de mujeres maltratadas residentes en una Casa de Acogida atención integral específica y priorizada a nivel preventivo, asistencial y rehabilitador.Diseño: Descriptivo retrospectivo.Ambito de estudio: Centro de salud urbano. Sujetos: Niños residentes en casa de acogida de mujeres maltratadas dependiente de la administración autonómica desde mayo 1997 a julio 1999 atendidos en el centro de salud en ese periodo de tiempo.Intervenciones: Protocolo de intervención específica: 1)captación a programas: vacunación, salud infantil 2) mejora de la accesibilidad eliminando trabas burocráticas 3) valoración- intervención individualizada por trabajadora social 4) atención médica a problemas físicos y psicológicos. Las variables evaluadas son la inclusión en programas, la realización de valoración sociofamiliar por la trabajadora social y los principales problemas de salud atendidos. Se realiza una valoración de resultados y propuestas de mejora por parte del equipo.Resultados: Se han atendido 38 mujeres y 70 niños con criterios de inclusión. La edad media de la madre es 32 años, teniendo en 9 casos menos de 25 años. El n° medio de hijos es 2. La edad media de los niños es 8,5 años, siendo en su mayoría de edad preescolar y escolar, existiendo 9 niños > 14 años. Se ha hecho un importante uso de servicios: 76 consultas de trabajadora social, 92 del médico de familia, . 54 del pediatra. La inclusión en programas es baja: 5 en salud infantil, 3 en vacunas. Se ha realizado valoración social en todos salvo en 4 casos (89 por ciento). La problemática detectada se resume en: patología infecciosa (28 consultas), traumatismos (3 casos), alteraciones de conducta alimentaria (3 casos) y abuso sexual infantil (1 caso). Se detecta una baja inclusión en programas, falta de registro de actuaciones, escaso tiempo de permanencia en la zona y necesidad de educación sanitaria de las madres. Se propone: asignar a un solo pediatra, facilitar accesibilidad, intervención educativa en alimentación y vacunas.Conclusiones: El uso de servicios sanitarios por parte de niños residentes en casas de acogida de mujeres maltratadas es alto, si bien es baja la inclusión en programas de salud y la participación en actividades preventivas (AU)
Subject(s)
Adolescent , Male , Child , Humans , Domestic Violence/prevention & control , Domestic Violence/psychology , Nursing Homes/trends , Nursing Homes , Nurseries, Infant/trends , Nurseries, Infant , Primary Health Care , Social Welfare/psychology , Social Welfare/trends , Psychology, Social/methods , Social Work/trends , Health Promotion/methods , Palliative Care , Feeding Behavior , Child Abuse, Sexual/prevention & control , Child Abuse, Sexual/psychology , Child Abuse, Sexual/therapy , Child Abuse, Sexual/diagnosis , Socioeconomic Factors , Cultural Deprivation , Retrospective Studies , Clinical Protocols , Vaccination/methods , Growth Disorders/diagnosis , Growth Disorders/complications , Growth Disorders/etiology , Growth Disorders/psychology , Growth Disorders/therapy , Wounds and Injuries/diagnosis , Wounds and Injuries/therapy , Wounds and Injuries/prevention & control , Wounds and Injuries/psychologySubject(s)
Humans , Female , Breast Feeding , Women, Working , Child Rearing/trends , Nurseries, Infant/trendsABSTRACT
The French public day-care system is intended for children under the age of 3. All structures are under the supervision of the "protection maternelle et infantile" (mother and child health service) and, before opening, must have the agreement of the Conseil général (department council). In the Rhône department (main town: Lyon) in 1990, 5020 children under the age of 3, from a total of 67,500, were in public daycare. The public daycare system complies with about 21% of all requests for child care. Recently, family day nurseries have developed more rapidly than collective daycare, being more flexible and less expensive. The costs for running a day nursery are shared between parents (28%), municipality (50%), national social support (20%) and other fundings (2%).
Subject(s)
Child Day Care Centers/trends , Child, Preschool , France/epidemiology , Humans , Infant , Infant, Newborn , Nurseries, Infant/economics , Nurseries, Infant/trends , Socioeconomic FactorsABSTRACT
The authors describe the results of longitudinal complex investigations carried out in the years 1976-80 for estimating the psychomotor development, somatic development and health status of 370 children aged 12-36 month in Warsaw's cr eches . The level of psychomotor development exept language was good in children under study and depended on the psycho-educational level of personnel. The analysis of anthropological traits showed the higher value of children under study as compared with standard values (secular trend). High morbidity were also found in children from cr eches .
