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In the ‘betweens’ of art, research and teaching, this chapter adopts an a/r/tographic approach to explore children’s learning through media art within the Anthropocene, a proposed epoch that acknowledges human impact on Earth’s geology and ecosystems. This learning is thought of as ‘connected learning’, a type of learning that emphasises the integration of educational experiences across various settings, leveraging new media to foster innovative approaches to knowledge creation. The idea of connected learning aligns with the linked concept of children’s lifeworlds – which Arnott and Yelland take to encompass the everyday interactions that children negotiate in daily life as well as the less visible social, technical and material forces that shape those experiences – and the significance of Land as a participant in children’s learning. Children co-labour (or collaborate) with words, materials, technologies and Land to make meaning with their lifeworlds (e.g. semiosis as a process of wording and worlding). They do this in situated practice and through speculation (e.g. by asking “What if...?) to examine possible futures and alternative realities.
The objective of this chapter is to define socio-dramatic play from a cultural-historical perspective and to describe how teachers can become co-players with children in their play. To do this we present case studies from research and a pedagogical toolbox to support children’s participation, learning and development. The chapter begins by outlining children’s socio-dramatic play using a cultural-historical perspective to focus on interactions in shared play. In socio-dramatic play, imagination and creativity are central as children create narratives together. Play creates conditions for children to express and construct meaning with others and to become co-players in a shared imagined world. Adults in early childhood settings traditionally support children’s play by planning, resourcing and observing, although their role as co-player is less understood.
Howard CH Khoe, National Psychiatry Residency Programme, Singapore,Cheryl WL Chang, National University Hospital, Singapore,Cyrus SH Ho, National University Hospital, Singapore
Chapter 50 covers the topic of child and adolescent mental health services. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the management of young patients with psychiatric disorders from first presentation to subsequent complications of the conditions and its treatment. Things covered include the general principles of prescribing in children and adolescent patients with psychiatric disorders, the use of antidepressants, the use of mood stabilisers, the use of antipsychotics, treatment of anxiety disorders.
This chapter offers a survey of published and unpublished autobiographies by writers born in the period 1790–1901 that tell the story of the ‘sailor in the family’. It identifies a set of common narrative motifs within these ‘maritime memoirs’ that cluster around the figure of the family sailor – including tales of travel, separation, dispersal, orphanhood, vanishings, reinventions, and improbable returns. Interweaving readings of autobiographies and family myths, alongside the broader literary forms of the Bildungsroman, adventure fiction, fairy tale and waif stories, the chapter shows how global maritime experience shaped the composition of ordinary families and the stories they told about themselves. The maritime relations of this chapter also reveal alternative family structures, beyond the nuclear family order, that were flexibly adapted and shaped to the various realities of mobility, risk and opportunity.
Arabic emphatic consonants are claimed to be late-acquired, likely due to their motoric complexity, involving both coronal and pharyngeal/uvular constrictions. Children’s production has largely been studied using impressionistic data, with limited acoustic analysis. This study acoustically examines the acquisition of emphatic consonants in Saudi-Hijazi Arabic-speaking children aged 3–6 years. Thirty-eight children performed a real-word repetition task, after which consonantal and vocalic cues to the plain–emphatic contrast were measured. Results show that children produce both types of acoustic cues, with an age-related increase in the acoustic contrast and an overall alignment with adult patterns. Larger acoustic contrasts were found in vowels preceding rather than following consonants in word-medial positions, with no evidence for a difference between word-initial and word-final positions. The plain–emphatic contrast was greater for stops than fricatives and larger for female than male children. These findings are discussed in relation to the development of coarticulated consonants.
The dietary inflammatory index (DII) has emerged as a promising tool associated with the development of cardiovascular risk factors. This systematic review and meta-analysis, developed in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines (the protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) under number CRD42022323267), aimed to synthesise observational studies that evaluated the association between the DII and indicators of body adiposity and blood pressure in children and adolescents. PubMed/MEDLINE, Embase, LILACS, CINAHL, Web of Science, Scopus and Google Scholar were searched, without time and language restrictions. The methodological quality of the studies and the certainty of the evidence were assessed using the Newcastle–Ottawa scale and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach, respectively. The meta-analysis revealed that a higher DII (pro-inflammatory diet) was significantly associated with increased odds of body adiposity, as indicated by body mass index (BMI) (odds ratio [OR] = 1·62; 95% confidence interval [CI] 1·38–1·86), waist circumference (OR = 1·45; 95% CI 1·10–1·81) and the waist-to-height ratio (OR = 1·76; 95% CI 1·38–2·14) in adolescents, compared with those with a lower DII (anti-inflammatory diet). In addition, for every unit increase in the DII, there was a small but significant rise in mean BMI (β = 0·06 kg/m2). The children’s dietary inflammatory index (CDII) showed no association with cardiometabolic risk factors. There were no consistent associations between the DII or CDII and blood pressure. In conclusion, while a pro-inflammatory diet (based on the DII) is linked to body adiposity, additional longitudinal studies are needed to explore these associations, particularly regarding the CDII and blood pressure.
The aim of this study was to evaluate the relative validity of food and nutrient intakes estimated by a brief-type diet history questionnaire for Japanese children and adolescents (BDHQ15y) designed to assess habitual dietary intake during the previous month. A total of 432 boys and 412 girls aged 6–17 years from thirty-two prefectures in Japan completed the BDHQ15y and subsequently provided 8-day weighed dietary records (DR) on two non-consecutive days over four seasons for comparison. Among the intakes of forty-four nutrients and thirty-one food groups adjusted for energy intake using the density model, the BDHQ15y showed percentage differences in median intake of less than 10 % compared with the DR for nineteen nutrients in both sexes, as well as for eleven and seven food groups in boys and girls, respectively, indicating good agreement for key nutrients and food groups, including protein, fat, carbohydrate, dietary fibre, grains, vegetables, dairy products and sugar-sweetened beverages (SSB). The median values (25th–75th percentiles) of Spearman’s correlation coefficients in boys and girls were 0·33 (0·28–0·38) and 0·28 (0·23–0·35) for nutrients, respectively, and 0·36 (0·29–0·42) and 0·29 (0·24–0·36) for food groups, respectively. Bland–Altman plots showed wide limits of agreement, with overestimation at higher intakes for most nutrients and food groups, except SSB. In conclusion, the BDHQ15y shows promise for large-scale dietary monitoring, particularly for estimating group-level intakes of key nutrients and food groups. However, its limited ability to rank individual intakes and the variability in individual-level assessments necessitate cautious interpretation and application.
This chapter explores safeguarding as a duty on tennis sport governing bodies (SGBs) and tennis academies in respect of their athletes, whether junior or senior. The chapter considers safeguarding as a duty of care, the violation of which gives rise to tort-based liability. It looks at the various instruments and codes adopted by tennis SGBs, as well as by national tennis federations, including also their monitoring processes. The chapter explores how these processes are enforced with a view to limiting exposure to risks present or future. The chapter also considers health and safety as part of the duty of safeguarding and goes on to point out legal consequences for failure to meet safeguarding obligations.
The authors examine the 1910, 1920, 1930, and 1940 US censuses to identify demographic characteristics of children who resided in public and private institutions for minors, with special attention to patterns of racial segregation and exclusion. The article focuses on public and private institutions founded exclusively to serve children and youth and also on correctional institutions for children and adults. The authors found racial segregation in private institutions, underrepresentation of children of color in both private and public institutions, and overrepresentation of boys of color in correctional institutions for minors and adults. They also identified a historical pattern, with few exceptions, of excluding girls of color from all types of public and private institutions.
A retrospective analysis of paediatric infective endocarditis characterised causative pathogens, antimicrobial susceptibility patterns, and treatment outcomes to guide clinical decision-making.
Methods:
The data of patients who received infective endocarditis between 2016 and 2023 were retrospectively collected from the medical records database. The clinical characteristics, treatment plans, and pharmaceutical monitoring characteristics were analysed and summarised.
Results:
A total of 12 paediatric infective endocarditis cases were identified. Bacterial isolates included 27 Gram-positive and 1 Gram-negative strains. The most common pathogen was Staphylococcus aureus (n = 13), all methicillin-resistant Staphylococcus aureus (MRSA), followed by Abiotrophia defectiva (n = 6), Streptococcus mitis (n = 5), Streptococcus sanguinis (n = 2), Bacillus cereus (n = 1), and Klebsiella oxytoca (n = 1). Antimicrobial therapy primarily involved linezolid, vancomycin, and cephalosporin/enzyme inhibitor combinations. Cardiac glycosides were used in 10 cases, and all patients received phosphocreatine to support myocardial energy metabolism. Therapeutic drug monitoring for vancomycin was performed in 25% of cases, while no therapeutic drug monitoring was conducted for meropenem or linezolid.
Conclusion:
All the causative organisms were predominantly Gram-positive cocci, with MRSA accounting for the largest proportion; different streptococci varied considerably in terms of drug resistance. The antimicrobial drugs used were predominantly linezolid and glycopeptides. The rate of blood concentration monitoring was low.
Right ventricular dysfunction is a common complication after surgical correction of tetralogy of Fallot. The assessment of right ventricular systolic function using cardiac magnetic resonance is the gold method. Our study aimed to compare the diagnostic accuracy of echocardiographic parameters in identifying right ventricular systolic dysfunction in comparison to cardiac magnetic resonance in children with repaired tetralogy of Fallot.
Patients and methods:
Fifty-six patients with corrected tetralogy of Fallot were included in the study. Right ventricular fractional area change, Tricuspid annular plane systolic excursion, right ventricular peak systolic tricuspid annular velocity, two-dimensional right ventricular global longitudinal strain, and two-dimensional right ventricular free wall strain were measured using echocardiography. Right ventricular ejection fraction and pulmonary regurgitant fraction were assessed using cardiac magnetic resonance.
Results:
Twenty (35.7%) patients showed right ventricular systolic dysfunction using cardiac magnetic resonance-derived right ventricular ejection fraction%, while 36 patients had normal right ventricular systolic function. Patients with right ventricular systolic dysfunction had significantly lower right ventricular fractional area change, tricuspid annular plane systolic excursion, right ventricular S’, 2D-right ventricular global longitudinal strain, 2D-right ventricular free wall strain compared to those with normal right ventricular systolic function. Right ventricular ejection fraction% was directly correlated to tricuspid annular plane systolic excursion, right ventricular fractional area change, right ventricular S’, 2D-right ventricular global longitudinal strain, and 2D-right ventricular free wall strain. Receiver operating characteristic curve revealed that 2D-right ventricular free wall strain and 2D-right ventricular global longitudinal strain had 70% sensitivity, 94.4% specificity, and 85% predictive accuracy, while right ventricular S’ and RV fractional area change had 100 % sensitivity in detection of right ventricular dysfunction, but they showed lower specificity, 30.6% and 52.8% respectively.
Conclusion:
2D-right ventricular global longitudinal strain and 2D-right ventricular FWL have good diagnostic value for right ventricular systolic dysfunction comparable to cardiac magnetic resonance in children with repaired tetralogy of Fallot.
Children vary in environmental sensitivity, reflecting heightened responsiveness to positive and negative environments. It is commonly measured through the temperament trait of Sensory Processing Sensitivity (SPS). Currently, no instruments exist in the German language to assess SPS in children. The present study translated the 21-item Highly Sensitive Child Scale (HSC-21) into German and evaluated its psychometric properties using caregiver reports (n = 367) and child self-reports (n = 112). Confirmatory factor analyses supported a bifactor model with a general sensitivity factor and three specific subdimensions (i.e., Ease of Excitation, Low Sensory Threshold, Aesthetic Sensitivity). The German HSC-21 demonstrated full configural, metric and scalar measurement invariance across sex and age groups and good to excellent reliability (internal consistency, test-retest reliability, interrater agreement). HSC-21 scores moderately predicted internalizing problems but not externalizing problems. Consistent with environmental sensitivity theory, Ease of Excitation and Low Sensory Threshold were linked to internalizing problems, whereas Aesthetic Sensitivity predicted better school performance, fewer peer problems, and greater prosocial behavior. The HSC-21 demonstrated meaningful correlations with temperament and personality traits, including positive associations with neuroticism, behavioral inhibition, and sensory sensitivity, and negative associations with extraversion and activity level. Thus, the German HSC-21 represents a reliable and valid measure of SPS and environmental sensitivity.
Young children are developing and learning within an increasingly complex world where competing ideas are being contested and enacted in ways that impact on their daily experiences. The ethical nature of many of the decisions and beliefs that children encounter in their lives often requires complex reasoning and decision-making in which many children may not be supported. The development of ethically reasonable citizens within a society concerned for the emotional wellbeing of its members needs to begin early in life. Parents and families are primary socialisers for young children’s moral and ethical development; however, early learning centres and schools have a responsibility for providing children with opportunities for social emotional learning intended to foster ethical reasoning and empathic concern for others. This chapter introduces educators to some of the key aspects of dialogic pedagogies (namely, an empathic pedagogy that incorporates community of inquiry approaches) and sets out an argument for their use within the HASS learning area to support children’s ethical understanding. The ways in which ethical understanding are described in early years and primary curricula are explored, and suggestions provided for activities that can foster learners’ ethical understanding.
Play is an innate need. It’s a biological behaviour all humans engage in and is essential for children’s wellbeing and development across all domains: social, cognitive, emotional and physical. While play has long been seen as the key vehicle through which young children explore the world, researchers have now recognised the benefits of play to learning 21st century skills such as innovative thinking, problem-solving and collaboration. Intrinsic motivation is an inherent quality of play and a vital aspect of learning; without it, children can lack enthusiasm and willingness to engage, lack effort and persistence in tasks, give up easily and fail to develop independence in their learning. So how can we motivate and inspire learners so they become passionate advocates of their own development through self-driven exploration, questioning, problem-solving and discovery? Play is the key. This chapter discusses the benefits of play and explores how a ‘playful’ pedagogical approach enhances creativity, problem-solving and critical thinking, and can be used to effectively engage, motivate and stimulate learners from early childhood to adolescence in the HASS learning area.
Increasing numbers of children and young people (CYP) are presenting with common mental health difficulties. In 2017, the UK government outlined a service transformation plan which led to the development and implementation of Mental Health Support Teams (MHSTs), to deliver evidence-based interventions in schools for mild to moderate mental health difficulties. This service evaluation aimed to evaluate the effectiveness of individual interventions delivered by MHST practitioners trained to deliver low-intensity cognitive behavioural interventions to CYP with mild to moderate mental health difficulties, within one service based in the South East of England. Four hundred and fifty-nine CYP engaged in an individual intervention delivered by MHST practitioners between January 2021 and December 2022. Interventions were delivered either online via video call or face-to-face. All children and their parents/carers were invited to complete two routine outcome measures (Revised Children’s Anxiety and Depression Scale (RCADS), and Strengths and Difficulties Questionnaire (SDQ)) at baseline and post-intervention. Outcome data demonstrated significant improvements across all child- and parent-rated RCADS anxiety and depression scales. Significant improvements were also shown for both child- and parent-rated SDQ total difficulties and impact scores. These all showed effect sizes ranging from medium to large. Girls presented higher scores pre- and post-intervention compared with boys apart from the OCD subscale; gender was not a predictor of improvement in the majority of analyses. Individual, low-intensity cognitive behavioural interventions delivered in this MHST service were effective in reducing symptoms of emotional and behavioural difficulties in CYP with mild to moderate mental health difficulties.
Key learning aims
(1) Understand the context of Mental Health Support Teams (MHSTs) as an early intervention service within school settings.
(2) Learn about the impact of MHST-delivered interventions on symptoms of emotional and behavioural difficulties in children and young people.
(3) To gain an understanding of how boys and girls may respond differently to MHST-delivered interventions.
To examine innovative methods of seeking assistance during disasters and crises in vulnerable groups through a systematic review approach.
Methods
This study is a systematic review. The necessary data were obtained using relevant keywords from PubMed, Scopus, Web of Knowledge, Embase, ProQuest databases, and the Google Scholar search engine. The study was conducted without any time limitations and using the PRISMA protocol. The CASP tool was used for assessing the quality of the articles.
Results
Of 6002 initial articles, 11 final articles were selected and included in the study. Most of the studies were from Australia, and the most frequently examined vulnerable groups were disabled people and people who are deaf or hard of hearing. The basis for the methods and tools used in seeking assistance and managing disasters was the disaster risk reduction programs in communities, which utilized information systems, educational frameworks, communication platforms, and media tools to achieve the goals, considering specific environmental and cultural conditions.
Conclusions
Given the emergency nature of disasters, government commitment and support should be based on the allocation of special resources and the active participation of vulnerable individuals.
Surgical pulmonary valve replacement is commonly required to palliate patients with CHD affecting the right ventricular outflow tract; however, concerns remain about mid- and long-term durability. Post-operative short-term anticoagulation has been hypothesised to improve valve durability.
Methods:
This is a single-centre, retrospective study of paediatric patients who underwent surgical pulmonary valve replacement and received a direct oral anticoagulant in addition to aspirin post heart valve insertion. The primary objective was a composite safety score consisting of clinically relevant non-major bleeding, major bleeding, bleeding-related readmission, and medication discontinuation.
Results:
The study analysed 34 patients with a median age 14 years (Interquartile range (IQR): 11, 15) and weight 45 kg (IQR: 35, 55). Ten patients met the composite endpoint (10/34, 29%), with 4 patients experiencing major bleeding (4/34, 12%), 6 experiencing clinically relevant non-major bleeding (6/34, 18%), and 3 patients being readmitted within 90 days of surgical pulmonary valve replacement for bleeding (3/29, 8.8%) resulting in 10 patients discontinuing medication early (10/34, 29%). Lower weight was identified as a significant risk factor for adverse event development (p = 0.04).
Conclusion:
We observed a higher overall bleeding rate, driven predominately by clinically relevant non-major bleeding events, than other studies using short-term anticoagulation after surgical pulmonary valve replacement. Additional studies should be aimed at evaluating the dosing and safety of direct oral anticoagulants in children in the post-operative period.
Educational experience of children with CHD is often adversely impacted by factors such as medical burden, social and school functioning challenges. It is, therefore, vitally important that adequate support is provided at an early stage in order to facilitate better educational outcomes for this cohort. The role of the teacher is pivotal in supporting the overall healthy development of a child with CHD. Thus, it is important to understand how we can also support teachers to provide optimal support to this cohort. This systematic scoping review aimed to offer a comprehensive understanding of existing research in this area and identify any knowledge gaps.
Methods:
The methodological framework for scoping reviews developed by Arksey and O’Malley (2005) was employed.
Findings:
Children with CHD face educational challenges in cognitive, psychomotor, behavioural, and affective domains and also with school attendance. The main challenges for teachers include a lack of information around CHD and how it affects the individual child. Building a strong relationship and having frequent communication between the teacher/ parent/ child were considered key in alleviating anxiety and promoting a supportive environment.
Conclusions:
Children with CHD often require additional support from educational professionals in the classroom. Teachers of children with CHD would benefit from condition-specific training, updated on a regular basis.
The 1970s saw intense discussions among feminists about the patriarchal family. While radical feminists called for complete withdrawal from marriage and motherhood, others attempted to reconfigure the roles of parents and children in the light of feminism. A particularly vibrant discussion unfolded in the feminist magazine Effe, published in Rome between 1973 and 1982, evolving from a largely negative to a more nuanced view of motherhood by the late 1970s. The notion of love was central. Effe writers asked how love could be separated from care and if it was really so natural. They stressed how maternal love needed to be balanced with children’s need for freedom and autonomy and reflected on their experiences as daughters as well as mothers. While excessive love could be harmful, there was radical potential in the notion of the loved and wanted child. Many proposed collective solutions to child-rearing, while others stressed the sensual pleasures of motherhood. Using a history of the emotions lens, this article teases out the complexities and contradictions of Italian feminist thinking about motherhood. Although the space for more positive evaluations expanded over time, Effe was ultimately more successful in reclaiming pregnancy as a feminist experience than motherhood itself.