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The case study discusses how the endemic nature of race and racism affects Black individuals’ level of trust in the medical system. The case begins with highlighting several past legacies of exploitation as well as contemporary experiences of discrimination in health care, which set the stage for medical distrust. It also presents disparities in several health outcomes. The case study then presents the experience of a Black family, who because of their lack of trust in the medical system was accused of, and reported to Child Welfare for medically neglecting their daughter. Inspired by CRT, the social worker in the case understood that Black and other marginalized families are often disproportionately targeted and face harsher judgments in child welfare cases. This informed her engagement with the family. Through this case, the author made the argument that without acknowledging systemic racism, biases are more likely to influence the classification of neglect, leading to interventions that do not address a family’s needs or mistakenly involves them with the child welfare system.
Early-onset psychosis (EOP) is a severe mental disorder with a significant impact on affected children, young people and their families. Its assessment and diagnosis may be challenging, treatment approaches may not always lead to full remission of symptoms, and it is frequently associated with recurrent episodes and long-term disability. A comprehensive evaluation of psychotic symptoms, co-morbidities, physical health and environmental risk factors is likely to contribute to the holistic understanding of the child or adolescent with psychosis and provide the best possible management framework. A systematic approach to treatment with antipsychotic medication and psychosocial interventions should incorporate regular reviews of its effectiveness and adverse effects. Early intervention seems to lead to optimal outcomes through reducing the duration of untreated psychosis and providing input during the critical period after its onset when treatment can be most effective. Further research aiming to advance our understanding of the complex aetiology of psychotic disorders, effectiveness of management strategies, and necessary service provision is urgently needed.
Clinicians navigating the legislation when working with young people and their families in the United Kingdom (UK) may need to use several relevant frameworks of legislation at the same time. This may appear complex in practice. Clinicians need to consider how a young person’s development across multiple domains, for example, cognitive, emotional, moral, social and so on, can have an impact upon their decision-making. Clinicians who work with children and young people often also work with parents or their local authority statutory equivalents, as well as other statutory and non-statutory agencies, to help find the best outcomes for children and young people (CYP). This requires good knowledge of legal frameworks, competence in working within complex multi-agency systems and being able to understand and work with different perspectives around an issue.This chapter specifically discusses aspects of the law in relation to children and adolescents (all those under 18 years) including the Human Rights Framework, Mental Capacity Act 2005, Children Act 1989 (amended 2004), Mental Health Act (amended 2007), and Criminal Justice Act (2003) within England and Wales. We have not addressed the differences in legislation in Northern Ireland or Scotland but have commented on distinct issues where relevant.
To adapt current iron intake reference values for Brazilian children aged 7–11 and 12–23 months, using the opportunity to apply the principles and rationale of the harmonization approach.
Design:
Nutrient Reference Values (NRVs), including the Average Requirement (AR) and Population Reference Intake (PRI), were estimated for children aged 7–11 and 12–23 months. We applied and adapted methods from the Institute of Medicine (IOM) and the European Food Safety Authority (EFSA) to estimate the NRVs. Body iron losses, iron needs for growth, and dietary iron bioavailability were estimated using both local and external data.
Setting:
Rio de Janeiro, Brazil.
Participants:
Data on dietary intake from a probabilistic sample of children aged 7–23 months in the city of Rio de Janeiro, Brazil, were used to estimate iron consumption and bioavailability.
Results:
The mean physiological iron requirements were 0.78 mg/day (7–11 months, male), 0.53 mg/day (7–11 months, female), 0.79 mg/day (12–23 months, male), and 0.54 mg/day (12–23 months, female). Mean dietary iron bioavailability was 7.5% across all age and sex groups. AR and PRI were 10 mg/day and 19 mg/day for children aged 7–11 months, and 7 mg/day and 13 mg/day for those aged 12–23 months. NRVs did not differ by sex.
Conclusion:
The ARs for children aged 7–11 and 12–23 months were 11mg/day and 8mg/day, respectively. The corresponding PRIs were 20 mg/day and 14 mg/day. The estimated Brazilian NRVs were higher than those of the IOM and EFSA. Iron bioavailability was the most influential factor explaining the differences from other NRVs.
Attention Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder in children. Abnormalities in sleep metrics among ADHD children gradually garnered attention. However, whether significant differences existed in sleep metrics between ADHD children and their typically developing (TD) counterparts remained controversial, with inconsistent conclusions across studies. Furthermore, the potential moderating effects of age and gender on these differential patterns remained insufficiently characterized.
Methods
The current study systematically analyzed multimodal sleep monitoring data (polysomnography, actigraphy, electroencephalography, and questionnaires) from 34 articles spanning three decades (44 independent studies: 2,239 ADHD children vs. 57,181 TD children), focusing on core sleep metrics (total sleep time, sleep efficiency, sleep latency, wake after sleep onset, awakening index, and stage shifts) and their complex moderating mechanisms.
Results
The results demonstrated that ADHD children exhibited impaired sleep continuity (reduced total sleep time, increased stage shifts), severe sleep interruption (prolonged wake after sleep onset, elevated awakening index), and abnormal sleep process effectiveness (decreased sleep efficiency, extended sleep latency). Demographic analyses revealed that maturation exacerbated ADHD-related sleep deficits, and male ADHD children had more severe sleep problems than female ADHD children. Furthermore, the moderating effect of gender composition on the awakening index showed interaction effects with other sleep metrics. In addition, slow-wave sleep acted as both a moderator and mediator in group differences of the awakening index.
Conclusions
These findings provided novel neurodevelopmental explanations for sleep dysregulation in ADHD and proposed clinically translatable strategies involving gender-specific interventions and neuromodulation targeting slow-wave sleep.
In 1915, a Denver murder case became a national story, not because of the identities of the perpetrator or victim but because of a reluctant trial witness: Judge Ben B. Lindsey. A pioneer of Progressive Era juvenile justice, Lindsey was charged with contempt of court for refusing to disclose the details that a twelve-year-old boy shared with him. His refusal led to a six-year-long battle over ideas of confidence and secrecy between a juvenile court judge and a minor. This article analyzes the murder trial and consequent contempt of court case as reflective of a clash over questions of law, justice, and public interest and highlights the role of ordinary people, including children, in debating these ideas. It argues that, as legal actors engaged in a conflict between legal formalism and socialized law, members of the public debated their own perceptions and vernacular understandings of law, justice, and the role of the juvenile court.
This retrospective study aimed to investigate the prevalence of arrhythmia in patients presenting with palpitation to the paediatric emergency department of our hospital, which serves as an arrhythmia centre and to share the principles of their management.
Method:
Patients presenting with palpitations were retrospectively reviewed. Those diagnosed with arrhythmias received appropriate emergency interventions. Cardiac electrophysiological studies and ablation were performed when indicated.
Results:
Among 534 paediatric patients evaluated for palpitations, 140 (26.2%) were diagnosed with arrhythmias requiring antiarrhythmic treatment (Group 1). Within this group, 61 patients described palpitations lasting longer than one hour and/or heart rates too rapid to count, compared to only 35 patients in the not requiring antiarrhythmic treatment group (Group 2) (p < 0.001). Group 1 also demonstrated significantly higher rates of isolated palpitations (a single episode without accompanying symptoms or recurrent occurrences), recurrent palpitations, and palpitations ongoing at the time of paediatric emergency department admission (all p < 0.001).
Conclusions:
Our study supports that, as in adults, the probability of arrhythmia increases in children when palpitations persist for more than an hour, occur at an uncountable rapid rate, present as isolated or recurrent episodes, or continue at the time of admission. This data highlights the importance of taking a detailed medical history once again. To our knowledge, this is one of the few studies to comprehensively examine both the acute management and long-term outcomes of arrhythmia in children, including the role of ablation therapy, making it a potentially valuable contribution to the existing literature.
To evaluate research exploring food policy, practice, and provision in Early Childhood Education and Care settings (ECEC), using the socioecological model (SEM).
Design:
A scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) Methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Scoping Reviews (PRISMA-ScR). Five databases were systematically searched. Eligible studies were retrieved after full-text screening. Data were extracted and synthesised based on food policy, practice, and provision concepts and grouped according to SEM level. Results were presented using a narrative summary.
Results:
Twenty-four studies were included, the majority had qualitative (n=13, 54%) or cross-sectional study designs (n=11, 46%) and presented findings at the organisational SEM level. Nursery settings were most represented (n=16, 67%), followed by childminders (n=5, 21%), then preschools (n=3, 13%). Studies were conducted in England (n=20, 83%) and Scotland (n=2, 8%), however no studies were undertaken in Wales or Northern Ireland. Studies reported poor adherence to food policies in ECEC. Recommended practices were frequently adhered to, however, food provided did not consistently meet nutritional recommendations. Common barriers to implementing healthy food practices and provision were cost, staff shortages, lack of training, and awareness of available guidance.
Conclusions:
This review identified a need for research that targets a range of SEM levels, and is conducted in Scotland, Wales, and Northern Ireland. Our findings support the need for increased governmental support for ECEC, through food standards, free meal provision for ECEC, and more accessible nutrition training.
Balloon-expandable MyVal OCTACOR valves were evaluated in 3D-printed conduits under simulated flow. The 20 mm valve functioned from 16–24 mm, rupturing at 27 mm. The 29 mm expanded to 33 mm with mild insufficiency. Findings suggest OCTACOR valves may support repeated valve-in-valve procedures, with the 20 mm showing greater versatility for small-infant mitral replacements and as a potential alternative to Melody valves.
Chapter 5 traces the history of a number of existing UN mechanisms which represent the interests of particular vulnerable groups in the international system (persons with disabilities, women, and children). The aim of this analysis is to see what types of normative discourses have found traction and led to the development of institutions to represent these vulnerable groups, in order to ascertain the type of normative arguments that would gain support in arguing for international institutions to represent future generations. An important lesson from the case studies is that a normative discourse in which development concerns feature prominently, has been a common thread running through the history of these UN mechanisms. The chapter analyses the differences and similarities between arguments which justify the institutions which have been put in place to represent these vulnerable groups, with arguments used to justify institutions to represent future generations.
This chapter discusses the extent to which these merchants defined themselves via their membership in their lineage, but then turns to the extensive evidence they provided about their marriages and their children, in effect their role as patriarchs of the nuclear households they founded. The men appear to have taken their familial responsibilities seriously and, even as they demonstrated their power over wives and children, they did not present themselves as harsh or unfeeling husbands and fathers.
Inspired by interesting research in the field of neuroscience, Dorothea Haspelmath-Finatti argues that singing in a liturgical context is not only an essential part of the act of praising and praying, but it is also healthy.
Despite a heavy philosophical focus on issues pertaining to immigration, little discussion is taken up that examines the duties we owe to migrant children. This article works to bridge the gap between global justice literature and work on children’s autonomy and well-being. To capture what migrant children experience in the context of immigration and detention, the article examines the conditions on the island country of Nauru, where at least 222 migrant children experienced detention between the years of 2013 and 2019. Using this lived experience as an example, the article argues that we owe children specific positive duties, which are further supported by the Convention on the Rights of the Child. Throughout this article, the aim is to indicate how migrant children occupy a particularly vulnerable and nonautonomous status in the context of detention. Because of this, children are owed especially weighty positive duties that are not discussed in the current global justice literature.
In this paper we introduce a framework for developing children’s legal capability. This is the outcome of an extended period of interdisciplinary research, reflection, and discussion to explore the question of ‘what does a legally capable child look like?’. Initially this question was explored within the context of adult-focused legal capability literature, and we explain how the framework we propose in this paper has been informed by this scholarship. However, we go on to demonstrate how our work breaks new ground not only because of its focus on children, but because we radically reconceptualise legal capability, drawing on a range of interdisciplinary theories. Within the framework we introduce the concept of ‘baseline’ legal capability, and we argue that this addresses the conundrum we identify in the literature, where legal capability is conceptualised as something which those most in need of effective public legal education can never achieve. More generally, we demonstrate how the framework turns traditional ideas about legal education upside down as we ‘decentre’ the law and legal institutions, and instead place the learner at its core.
Lipids are essential for child development. Nutritional recommendations are numerous, evolving over time and are often based on expert opinions more than evidence-based medicine. The objective of this review is to critically analyse the evolution of current nutritional recommendations, identify existing knowledge gaps and propose avenues for improvement to optimise infant nutrition and development. A narrative literature review on Pubmed, EMBASE and Cochrane databases (2001–22) was conducted with the keywords: ‘alpha-linolenic acid, arachidonic acid, children, cholesterol, docosahexaenoic acid, eicosapentaenoic acid, guidelines, infant, long-chain (LC) PUFA, linoleic acid, lipids and dietary intakes, newborn, palmitic acid and toddler’. Among 861 articles identified, 133 were selected. The main current recommendations are issued by the French Agency for Food Safety (AFSSA), French Agency for Food, Environmental and Occupational Health and Safety (ANSES) and the Food and Agriculture Organization and World Health Organization (FAO-WHO). In infants from 0 to 3 years of age the main challenge is to increase lipid intake while maintaining an optimal omega 6/omega 3 ratio. Current recommendations are focused on polyunsaturated fatty acids, emphasising the intake of linoleic, eicosapentaenoic and docosahexaenoic acids without any specific recommendation for arachidonic acid before the age of 6 months. Points of interest, but without any recommendation, are the incorporation of milk fat, cholesterol, monounsaturated fatty acids, and saturated fatty acids for infants under 6 months. In conclusion, this article identifies knowledge gaps regarding the structural aspect of lipids and the integration of new categories of lipids in future recommendations to promote the quality of infant formulas.
An integrative approach addressing diet and other lifestyle factors is warranted in studying obesity and its related diseases. The objective of this study is to examine the associations of lifestyle patterns with overweight/obesity among children in the United Arab Emirates. Data were derived from a cross-sectional survey of children aged 4–9 years living in Dubai, Sharjah and Abu Dhabi (n 426). Dietary intake was collected using a 24-h dietary recall and evaluated with the Healthy Eating Index. The Youth Physical Activity Questionnaire assessed physical activity, while other lifestyle factors included the presence of a live-in household helper, number of electronic devices in the child’s bedroom, eating while watching TV, family dinner frequency, fast-food and breakfast consumption and hours of sleep. Factor analysis was used to identify the lifestyle patterns. Two lifestyle patterns emerged: an unhealthy pattern marked by higher fast-food intake, eating while watching TV, having a live-in household helper and lower family dinners and a healthy pattern with higher physical activity, better Healthy Eating Index, more sleep, micronutrient supplements and breakfast consumption. The healthy lifestyle pattern was linked to a 30 % reduction in overweight/obesity odds (OR = 0·7, 95 % CI: 0·53, 0·93). A healthy lifestyle pattern, characterised by higher physical activity, better dietary quality, adequate sleep and breakfast consumption, is associated with lower odds of overweight/obesity among children in the United Arab Emirates. These findings highlight the importance of promoting comprehensive lifestyle interventions to effectively address childhood obesity in this population.
Opening with observations about public anxieties around the effects of rapid social change on children, this chapter offers a model of child socialization developed within psychological anthropology that provides more nuanced ways of thinking about how children are shaped by particular social and cultural contexts and children’s active participation in them. Drawing from experientially close, child-centered ethnographies, this chapter challenges dichotomous understandings of social change that flatten the rich variability and connectedness of societies and obscure the complex historical trajectories and emergent dynamics that shape such variability and connectedness. Alternatively, Chapin and Xu argue that all human communities must contend with the often-conflicted processes of fostering both individuality and sociality in children’s development in locally appropriate ways. The final section of the chapter challenges the view of children as passive recipients of socialization processes, arguing instead that children are agents who actively contribute to processes of social change.
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.