Literatura científica selecionada sobre o tema "Children's sings"
Crie uma referência precisa em APA, MLA, Chicago, Harvard, e outros estilos
Índice
Consulte a lista de atuais artigos, livros, teses, anais de congressos e outras fontes científicas relevantes para o tema "Children's sings".
Ao lado de cada fonte na lista de referências, há um botão "Adicionar à bibliografia". Clique e geraremos automaticamente a citação bibliográfica do trabalho escolhido no estilo de citação de que você precisa: APA, MLA, Harvard, Chicago, Vancouver, etc.
Você também pode baixar o texto completo da publicação científica em formato .pdf e ler o resumo do trabalho online se estiver presente nos metadados.
Artigos de revistas sobre o assunto "Children's sings"
1
Sledge, Sharlande. "“All Nature Sings”: Creation and Congregations Worshiping God". Review & Expositor 102, n.º 1 (fevereiro de 2005): 65–84. http://dx.doi.org/10.1177/003463730510200107.
Texto completo da fonteResumo:
This essay on worship and creation provides images, hymns, scriptural references, poems, prayers and practical suggestions drawn from the congregational context of the author's life. Many of these resources will help stimulating worship leaders to think of creative ways to divide hymns into litanies or how to use hymn tunes about creation as the setting for liturgical dance. The author encourages adapting children's books about creation into choral readings and finding images of the natural world from Scripture texts for the preparation of a communion table. Most of all, these reflections will inspire worship leaders to think about how everyone has something to bring to the worship experience.
2
Antonova, О. V., T. D. Zemlyakova e O. V. Bezub. "Biochemical Signs of Children's Microsaturnism". Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 5, n.º 6 (12 de dezembro de 2020): 208–13. http://dx.doi.org/10.26693/jmbs05.06.208.
Texto completo da fonteResumo:
For industrialized areas, the problem of the anthropogenic pollution of the environment is not only relevant, but it also exacerbates at a qualitatively new level due to a significant deterioration of almost all the indicators of the population health, especially children's health. Among the wide variety of the factors that affect the people, the leading place belongs to the chemical one, in the spectrum of which the special place is occupied by the heavy metals and such a global and potentially dangerous toxicant as lead is on the first place. The purpose of research was to assess the low-dose effect of lead on the microelement state and prenosological indicators of the health of preschool children living under conditions of constant exposure to it. Material and methods. The obtained data testify to the constant presence of lead in environmental objects city Dnepr in concentrations for the most part do not exceed permissible ones, however, in 1.5-1.6 times higher than in unpolluted areas. Hygienic monitoring of the content of lead, copper and zinc in the air, water and food products of two industrial regions of the city of Dnipro and a "conditionally clean" region of a non-industrial city were carried out. The degree of influence of lead load was estimated with using a dose-dependent approach using biomonitoring and specific biochemical parameters. To assess the prenosological state of health of the child population, 46 and 57 children from preschool institutions in the observation areas aged 5 to 6 years old and 20 children from the control area were simultaneously examined according to a similar scheme. Results and discussion. The average content of lead in the blood of 70-100% of children from the industrial areas is 1.6-5 times higher than the standard and 9.5-30 times higher than the control one. In the urine of 33-66% of the surveyed children from the industrial areas and 12% of children from the control one the lead concentration is 6.4-12.8 times higher than the standard. Hair of preschoolers contains lead in concentrations that correspond to the permissible level, but 2-3.5 times higher than that of children in the control area, found in 73-78% of those surveyed. The concentration of lead in the teeth of children from industrial regions is 4.6 times higher than the normative level recommended by the World Health Organization, and in nails it is 3.2 times higher than the background values. The content of copper in all biosubstrates of children is determined at the physiological level, and zinc is lower by 49-80%. The increased content of lead in biosubstrates is accompanied by an increase of the activity of δ-ALA in the urine of children from the industrial areas by 1.2 and 1.9 times compared with the recommended norm, it was observed in 51-89% of the examined. Conclusion. The revealed biochemical disorders in the organism of children indicate the beginning of the development of microsaturnism, which, on the background of violations of the microelement status, is the ground for the search for effective measures of reducing the "lead pressure" on the health of the child population
3
Azarova, Valentina Vladimirovna. "On the organization of sound space in "The Tidings brought by Mary" by Paul Claudel, 1912 edition". Культура и искусство, n.º 4 (abril de 2022): 141–63. http://dx.doi.org/10.7256/2454-0625.2022.4.37912.
Texto completo da fonteResumo:
The article examines the words and the meaning, as well as the dramaturgy of sound in the first edition of the mystery "The Tidings brought by Mary" by Paul Claudel. Understanding the synthesis of verbal and vocal intonation leads the author of the article to discover new ways of solving the problem of stage music in mystery drama by Claudel. The discrete nature of the design of the sound space of the mystery in the first edition represents the concept of separately performed fragments, in which the episodes integrated into the action in liturgical Latin are united by a common spiritual meaning. At the same time, the design of the sound space in the 2nd scene of Act III (the dramatic climax, the sacred space of the mystery) is characterized by novelty. Based on the interaction of theatrical-dramatic and musical structural elements, the composition of the scene is subordinated to the principle of end-to-end, continuous vocal-dramatic development of the action. Conclusions are drawn: during the 1910s, Claudel's idea of music in mystery drama was transformed - instead of musical fragments of an "applied" nature, a new compositional idea of stage music arose. The lyrical intonation of the author's voice is found in the sound space of the work. The mirror of Claudel's mystery reflects the principles of sound design of dramatic productions of traditional Japanese theater (Bunraku, Kabuki, Noh), as well as images of poetry of China and Japan. In the sound of the "The Tidings brought to Mary", the semantic and dramatic functions are performed by the verses of the songs "Oriole sings" and "Margarita, clear May!" performed by children's voices. Claudel's mystery drama formed a new understanding of the universal meaning of the mystery in the twentieth century.
4
Arena, Adriana Pastorello Buim. "Sinais embrionários de autoria em escritas infantis". Ensino em Re-Vista 24, n.º 1 (5 de março de 2017): 61–79. http://dx.doi.org/10.14393/er-v24n1a2017-14.
Texto completo da fonte
5
Sutikno, Putri Yanuarita, Muhammad Jazuli, Udi Utomo e Sunarto. "The Effects of Singing Activities on Children’s Memory, Learning Motivation, and Creativity in an Indonesian Kindergarten for Preschoolers". Journal of Law and Sustainable Development 12, n.º 1 (31 de janeiro de 2024): e3123. http://dx.doi.org/10.55908/sdgs.v12i1.3123.
Texto completo da fonteResumo:
Objective: This study aims to ensure that singing activities in preschool children can affect children's memory, motivate them to learn, and enhance creativity. The idea is, when a child sings, the child is in a happy state, so the brain releases the hormones dopamine, serotonin, oxytocin, and endorphins. These hormones are interrelated, for example, when endorfins bind receptors in the central nervous system, dopamine (the hormone of pleasure) is released. These hormones are produced in the hypothalamus and produce the glands that control the hormones in the brain so that one feels satisfied and happy. As a result of the pleasure experienced by the child, the child will be easy to understand the lessons or material given by the teacher, so the child's memory or intelligence will improve. Creativity will also increase as a result of singing activities. Building creativity means sharpening the mind, and it also means increasing the sensitivity of infiltration in the child. The child is sensitive to the tone, melody, rhythm, lyrics, growing a curiosity because of the singing stimulation given.
Method: Method: This study uses a quantitative experimental approach with pre-experimental characteristics of the type One Group PreTest Post-Test Design. Pre-experienced research is a method to find the influence of a treatment on a group with not too many respondents, using one group without a comparative group, with a pre-test, treatment, and post-test sequence, so that the results of the treatment are clear and accurate as compared to before the treatment. The study was conducted at Northern Jakarta Methodist School with a total of 21 children from 5-6 years of age. The research procedure comprises three stages, namely the planning stage, the implementation stage, and the assessment and analysis stage.
Result: As for the calculations (using the Paired Sample T-Test) pre-test and posttest variables memory power, learning motivation, and creativity, the three showed significance values of 0,000 or < 0.05. This indicates that there are differences in pre-test and post-test data on the three variables. It can be said that, singing activity affects the memory, learning motivation, and creativity of the child. N-gain of the three variables equally showed a value of 0.5. Singing activity is said to have an impact on improving the memory, learning motivation, and creativity of children. A child's singing activity can stimulate the brain to absorb information. There is a repetition of the words to the theme song helps the child to remember the given material. Not only that, the kids also looked happy and enthusiastic during the singing activity. Children also participated more actively during the post-test in answering questions and commenting. The joy of a child when performing a singing activity also affects his or her creativity. Singing gives a child positive emotions so it keeps the child undepressed and unrestricted, making the child confident especially in presenting ideas according to his imagination.
Conclusion: Based on the results of this study, it can be concluded that singing activity affects the memory, learning motivation, and creativity of children in Methodist kindergarten. This is due to differences in pre-test and post-test results that show an average increase of n-gain 0.5 (moderate increase) on each variable. Singing activity can be said to be an influential learning strategy in improving children's memory, learning motivation, and creativity.
6
Jacobs, Victoria R., Heather A. Martin, Rebecca C. Ambrose e Randolph A. Philipp. "Warning Signs!" Teaching Children Mathematics 21, n.º 2 (setembro de 2014): 107–13. http://dx.doi.org/10.5951/teacchilmath.21.2.0107.
Texto completo da fonte
7
AKDENİZ, Sevda. "An evaluation of spinal anesthesia results in pediatric patients undergoing pilonidal sinus surgery: a retrospective study". Journal of Health Sciences and Medicine 6, n.º 6 (29 de outubro de 2023): 1210–14. http://dx.doi.org/10.32322/jhsm.1355839.
Texto completo da fonteResumo:
Aims: The aim of this retrospective study was to evaluate the efficacy, side-effects, and complications of spinal anesthesia (SpA) in children undergoing pilonidal sinus surgery with SpA.
Methods: The records of pediatric patients who underwent pilonidal sinus surgery with SpA from January 2019 to March 2023 were retrospectively evaluated from the database in the Samsun University Samsun Maternity & Children's Training and Research Hospital, Department of Anesthesiology and Reanimation, Türkiye. Children's sociodemographic characteristics, clinical and vital signs, motor block duration, operative time, and complications were recorded.
Results: Eighty-one patients underwent pilonidal sinus surgery with SpA, 54 (66.7%) boys and 27 (33.3%) girls, with a mean age of 14.38±1.29 years. The patients’ mean body mass index was 26.83±1.1 kg.m-2, and the success rate was 96.3% (n=78). Eleven (13.6%) patients received supplemental anesthesia among the 78 procedures completed using SpA. The incidence of complications was 5.1% (n=4). Intraoperative hypotension developed in two cases and postoperative vomiting in two, all of which resolved with no sequelae.
Conclusion: Our retrospective analysis suggests that pediatric SpA is a safe and effective technique for children undergoing pilonidal sinus surgery. However, further prospective studies are warranted to confirm these findings.
8
Galiguzova, L. N. "Signs of Creativity in Young Children's Play". Journal of Russian & East European Psychology 33, n.º 1 (janeiro de 1995): 50–64. http://dx.doi.org/10.2753/rpo1061-0405330150.
Texto completo da fonte
9
Hayes, Derren. "Signs of Progress in Doncaster". Children and Young People Now 2015, n.º 24 (24 de novembro de 2015): 13. http://dx.doi.org/10.12968/cypn.2015.24.13.
Texto completo da fonte
10
Engalycheva, E. V. "Children's book in Siberia: a historiographic review". Bibliosphere, n.º 4 (30 de dezembro de 2017): 35–40. http://dx.doi.org/10.20913/1815-3186-2017-4-35-40.
Texto completo da fonteResumo:
The article is devoted to the history of Siberian regional children's book publishing. The author has collected theoretic-practical opinions of historians, bibliologists, publishers and booksellers, librarians and bibliographers, psychologists and sociologists, which purpose is to generalize and reveal regularities of books' flow for children. V. G. Belinsky, L. N. Tolstoy, F. G. Tol’, N. V. Chekhov developed the first concepts of children's book. N. K. Krupskaya, V. A. Sukhomlinsky studied the «core» of the children book repertoire. V. G. Sopikov, B. S. Bondarsky reviewed children's literature of the 19th century in their bibliographic works. The author allocated some organizational components using formal-logical, comparative-historical and structural-typological methods. The first block is related to studying such definitions as «children's book», «children's literature», «editions for children», «a circle of childhood reading», «the repertoire of children's books», their typological signs. The presented concepts are investigated according to tasks, which children's editions solve. S. G. Antonova and S. A. Karaichentseva touched issues of children's literature typology in their publications. The second block of literature reveals the children's book development in Russia in various periods of its formation. I. E. Barenbaum, A. A. Grechikhin, A. A. Belovitskaya studied general fundamentals of the book's history, while A. Ivich, L. Kohn, I. Lupanova considered the history of children’s books. The third block is devoted to printing and art features of the children's book design, activity of universal and specialized publishing houses to distribute literature for children. The fourth block explains such category as «reader - library», considers techniques of work with children's book, offers methodical recommendations for teachers and tutors. Readers’ activity is examined as well. The author analyzes interests, factors, incentives and aims influencing childhood reading. Dissertation researches disclose the regional specifics of children's book publishing in 1980-2013, confirm the considered subject relevance. The historical, comparative, formal and logical analysis carried out by the author will be useful both the specialists in publishing and editorial affairs, researchers studying the history and development of the children's book, historians, and teachers in the educational process of such courses as «Publishing and Editing», «Children's Literature», «Book Science». The author concludes that the children's book has been studied in different periods of its development in the context of numerous aspects, directions and components, which makes it possible to reveal the special patterns of its existence.
Teses / dissertações sobre o assunto "Children's sings"
1
Mirapuri, Dawn. "Discordant tunes : Christina Rossetti's sing-song /". [St. Lucia, Qld.], 2000. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16358.pdf.
Texto completo da fonte
2
Joseph, Lavanithum. "The impact of using graphic representations of signs in teaching signs to hearing mothers of deaf children". Thesis, Pretoria : [s.n.], 2009. http://upetd.up.ac.za/thesis/available/etd-06042009-152153.
Texto completo da fonte
3
Veenstra, Jan. "Attention in preschool children with and without signs of ADHD". Groningen : [Groningen] : Stichting Kinderstudies ; [University Library Groningen] [Host], 1995. http://irs.ub.rug.nl/ppn/142533661.
Texto completo da fonte
4
Korotun, O. P. "Clinical signs as indices of community-acquired pneumonia severity in children". Thesis, БДМУ, 2021. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/19145.
Texto completo da fonte
5
Marusyk, U. I. "The use of hypoallergenic mixtures in children with signs of atopy". Thesis, Sumy State University, 2016. http://essuir.sumdu.edu.ua/handle/123456789/48133.
Texto completo da fonteResumo:
Question feeding children with clinical manifestations of atopy at impossibility of
breastfeeding from a scientific point of view remains controversial. Evaluate the clinical effectiveness of a hypoallergenic diet therapy (HD) products based on the full or partial hydrolysis of serum protein in cow's milk (CMP) in infants with symptoms of atopic dermatitis (AD).
6
Hopkins, Heather Nicole. "SOCIAL WORK STUDENTS ABILITY TO IDENTIFY SIGNS OF AUTISM IN CHILDREN". CSUSB ScholarWorks, 2017. https://scholarworks.lib.csusb.edu/etd/467.
Texto completo da fonteResumo:
The purpose of this study was to examine the ability of students in the Master of Social Work (MSW) program to correctly identify signs of autism in children by completing a survey. This research project was conducted in collaboration with California State University, San Bernardino (CSUSB) and the MSW program by using MSW students as participants. The study used a survey designed with items that measured the knowledge of participants. The results of this study may be beneficial to the Director of Social Work, future MSW students, and professors to examine how well the current MSW program is preparing students to work with children that have autism. Ultimately, this study may improve the MSW program and curriculum that could benefit future social workers and their competence in the field.
The results of this study found significance between amount of previous work experience with children who have autism and their scores on the survey, as well as their experience with children who have autism from learning about it in a course, personal interaction, or work experience. However, there were not significant findings regarding MSW standing or field of interest and autism scores. This can be determined to mean MSW students have knowledge of autism from previous work experience, but there are no findings that indicate the MSW program at CSUSB is additionally preparing students with an understanding of the nature, primary symptoms of, and treatment of autism. This may also mean students are able to retain more knowledge regarding autism based on their experiences directly working with children who have autism, rather than learning about it in a course. The findings of this study are beneficial to improve upon the CSUSB curriculum for the MSW program to incorporate autism into more courses to increase knowledge of autism symptoms, diagnostic criteria, and treatment options, as well as including more fieldwork opportunities with this population.
7
Jacobson, Lena. "Visual dysfunction and ocular signs associated with periventricular leukomalacia in children born preterm /". Stockholm, 1998. http://diss.kib.ki.se/1998/91-628-3325-1/.
Texto completo da fonte
8
Espinoza-Eklund, Nina, e Vanja Palmgren. "Signs of Safety och barns delaktighet i utredningar". Thesis, Högskolan i Gävle, Avdelningen för socialt arbete och psykologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-24753.
Texto completo da fonteResumo:
Syftet med denna kvalitativa studie är att undersöka om metoden Signs-of-Safety kan öka barns delaktighet i barnutredningar gjorda av socialsekreterare. Frågeställningar är: - Hur reflekterar socialsekreterare som använder respektive inte använder Signs-of- Safety kring barns delaktighet i utredningar? Samt: - Varierar graden av delaktighet hos barn mellan utredningar där Signs-of-Safety används jämfört med utredningar där metoden inte används? Vi genomförde två stycken fokusgruppintervjuer med totalt tio socialsekreterare som arbetar med utredningar inom socialtjänsten, samt analyserade sju utredningar varav fyra var skrivna i en kommun som använde sig av Sign-of-Safety. De resterande tre utredningarna var skrivna i en kommun där de inte använde Signs-of-Safety. Teoretisk utgångspunkt var socialkonstruktivism. Det fanns en stor enighet bland socialsekreterarna om att det är viktigt att barn görs delaktiga. Analysen av både intervjuer och utredningar gjordes utifrån Harts delaktighetsstege samt socialkontruktivism och visade att metoden Signs-of-Safety inte verkade öka barns delaktighet, men att metoden tydliggjorde delaktigheten.The purpose of this qualitative study was to get an insight in if the method Signs-of- Safety might improve childrens’ participation in investigations concerning themselves. Our research questions were; How do social workers who use or do not use Signs-of- Safety reflect on children's involvement in investigations? and; Is there accordingly to the social workers a variation in the degree of participation among children in investigations where Signs-of-Safety is used compared to investigations where the method is not used? Two focus group interviews in two different municipalities, one where Signs-of-Safety had been used and one where the method not had been used, were performed. The interviews and four written investigations i each work group were analysed by using Hart´s participation ladder and social constructivism. The result showed that all our informants regarded childrens’ participation as important. No differences in the degree of participation of the children could be identified.
9
SCOTT, L. BRETT. "WHEN WORDS SING: THE CHORAL MUSIC OF R. MURRAY SCHAFER". University of Cincinnati / OhioLINK, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1021408652.
Texto completo da fonte
10
Rathbone, Ingha. "Perceptual-motor development for children who show signs of attention deficit hyperactivity disorder (ADHD)". Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/2071.
Texto completo da fonteResumo:
Thesis (M Sport Sc (Sport Science))--University of Stellenbosch, 2009.ENGLISH ABSTRACT: The influence of a six-week perceptual-motor and attentional skills programme, combined with teaching strategies, on the motor proficiency and attentional abilities of children diagnosed with ADHD was investigated. The five case study individuals (ranging for Grade 1- 7) took part in a six-week Purposeful Play Programme. Baseline, pre-test and post-test scores were obtained from the Bruininks- Oseretsky Test of Motor Proficiency (BOTMP) and Attention-Deficit Hyperactivity Disorder Test (ADHDT). All five case study individuals showed a significant improvement on their motor proficiency during retention tests as well as improvements on some of the behavioural soft signs of hyperactivity, impulsivity and inattention.
AFRIKAANDE OPSOMMING: Die invloed van ʼn sesweek perseptueel-motoriese en aandagvaardigheidsprogram, gekombineer met onderrigstrategieë, is op die motoriese vaardighede en aandagvermoëns van kinders gediagnoseer met ATHS, bestudeer. Die vyf gevallestudie individue (tussen Graad 1- 7) het aan „n sesweek Purposeful Play Programme deelgeneem. Die basislyn-, voor- en natoetstellings is verkry vanaf die Bruininks- Oseretsky Test of Motor Proficiency (BOTMP) en Attention-Deficit Hyperactivity Disorder Test (ADHDT). Al vyf gevallestudie individue het ʼn beduidende verbetering in motoriese vaardigheid getoon tydens retensietoetse asook verbetering in sommige van die gedragstekens van hiperaktiwiteit, impulsiwiteit en afleibaarheid.
Livros sobre o assunto "Children's sings"
1
Norman, Young, ed. Rosa's grandfather sings again. London: Puffin, 1992.
Encontre o texto completo da fonte
2
Simpson Snail sings. New York: Dutton Children's Books, 1992.
Encontre o texto completo da fonte
3
ill, White Robert, ed. All nature sings!--with Baaaxley. Canton, GA: Yawns Pub., 2013.
Encontre o texto completo da fonte
4
Cleaver, Vera. Sweetly sings the donkey. New York: Lippincott, 1985.
Encontre o texto completo da fonte
5
Coombs, Kate. Water sings blue: Ocean poems. San Francisco: Chronicle Books, 2011.
Encontre o texto completo da fonte
6
ill, Potter Mélisande, ed. The babysitter sings. New York: H. Holt, 2004.
Encontre o texto completo da fonte
7
When the mountain sings. Boston: Houghton Mifflin, 1992.
Encontre o texto completo da fonte
8
ill, Speidel Sandra, ed. My mama sings. New York, NY: HarperCollins, 1994.
Encontre o texto completo da fonte
9
ill, Wales Johnny, ed. Coyote sings to the moon. Portland, Or: WestWinds Press, 2001.
Encontre o texto completo da fonte
10
Thomas, Joyce Carol. When the nightingale sings. New York: HarperCollins, 1992.
Encontre o texto completo da fonteCapítulos de livros sobre o assunto "Children's sings"
1
Young, Vanessa. "You sing, I sing, we both sing, we all sing". In Young Children’s Play and Creativity, 257–65. Abingdon, Oxon ; New York, NY : Routledge, 2018.: Routledge, 2017. http://dx.doi.org/10.4324/9781315446844-23.
Texto completo da fonte
2
Meaney, Tamsin, Elena Severina, Monica Gustavsen, Camilla S. Hoven e Sofie B. Larsen. "Mathematical and Computational Thinking in Children’s Problem Solving with Robots". In Teaching Mathematics as to be Meaningful – Foregrounding Play and Children’s Perspectives, 97–118. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-37663-4_8.
Texto completo da fonteResumo:
AbstractProgrammable robots are now found in many early childhood centres. However, little research has considered how young children’s problem solving may link computational thinking to mathematical understandings. While most research about robots in kindergarten is from intervention studies to improve children’s computational thinking, in this study we observed two children solving tasks with a robot in a naturalistic setting. We identified when the children had a problem that they could not immediately solve, by looking for signs of uncertainty, for example by putting their hand to their mouth, stopping and/or looking up at the teacher. By analysing the children’s problem solving of those problems, alongside a teacher, we were able to identify how aspects of computational thinking were connected to mathematical understanding. In particular, number understandings, such as the difference between ordinal and cardinal counting and early addition, seemed important for solving problems related to sequencing, decomposition and debugging. The children’s developing understanding about counting may have contributed to the children’s uncertainty about programming the robot.
3
McCann, Joseph T. "The early signs." In Stalking in children and adolescents: The primitive bond., 119–44. Washington: American Psychological Association, 2001. http://dx.doi.org/10.1037/10429-005.
Texto completo da fonte
4
Yuksel, Sancak, e Samer Fakhri. "Endoscopic Sinus Surgery in Children". In Encyclopedia of Otolaryngology, Head and Neck Surgery, 771–76. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-23499-6_459.
Texto completo da fonte
5
Waelkens, Veerle, e Sabine Van Eerdenbrugh. "Children Showing Signs of Stuttering". In Clinical Cases in Dysfluency, 32–43. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003179016-4.
Texto completo da fonte
6
Terrell, Andrew, e Hassan H. Ramadan. "Balloon Catheter Sinuplasty for Children with Chronic Rhinosinusitis". In The Frontal Sinus, 243–55. Berlin, Heidelberg: Springer Berlin Heidelberg, 2016. http://dx.doi.org/10.1007/978-3-662-48523-1_18.
Texto completo da fonte
7
Pignatari, Shirley Shizue Nagata, e Aldo Cassol Stamm. "Micro-endoscopic Sinus Surgery in Children". In Micro-endoscopic Surgery of the Paranasal Sinuses and the Skull Base, 357–69. Berlin, Heidelberg: Springer Berlin Heidelberg, 2000. http://dx.doi.org/10.1007/978-3-642-57153-4_28.
Texto completo da fonte
8
Dardanou, Maria, Ioanna Palaiologou e Sarika Kewalramani. "Not Just Data: Analysing Visual Narratives of Children in Research and the Quest for “Micro-ethical” Moments". In Cultural-historical Digital Methodology in Early Childhood Settings, 113–27. Cham: Springer Nature Switzerland, 2024. http://dx.doi.org/10.1007/978-3-031-59785-5_10.
Texto completo da fonteResumo:
AbstractThe chapter is based on a transnational small-scale research project in England, Norway, and Australia. The project aimed to examine how children are using IoToys at home with make-believe play and to investigate types of interactions/behaviours within their make-believe play in digital playscapes. Using digital methods for data collection based on visual methodologies principles, underpinning the synergy of cultural-historical theory and schema play concepts, we analyse digital episodes of children’s play with IoToys to demonstrate our analytical protocol. We discuss the complexities of visually capturing children’s lived experiences. Finally, we examine some of the challenges of analysing audio and visual recordings and conclude by suggesting that visual methodologies offer potentialities for rich data that capture the lived experiences of children but require to be approached as a cultural tool where the researchers should seek for signs, schemes, symbols and ethical “micro-moments”.
9
Sobo, Simon. "ADHD and Other Sins of Our Children". In Rethinking ADHD, 360–81. London: Macmillan Education UK, 2009. http://dx.doi.org/10.1007/978-1-137-02058-1_15.
Texto completo da fonte
10
Kaiser, Georges L. "Symptoms and Signs of Respiratory Organs in Infants and Older Children". In Symptoms and Signs in Pediatric Surgery, 189–217. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-31161-1_10.
Texto completo da fonteTrabalhos de conferências sobre o assunto "Children's sings"
1
Fernaeus, Ylva, Mikael Kindborg e Robert Scholz. "Rethinking children's programming with contextual signs". In Proceeding of the 2006 conference. New York, New York, USA: ACM Press, 2006. http://dx.doi.org/10.1145/1139073.1139105.
Texto completo da fonte
2
Jenko, Matija, e Barbara Kopačin. "Povezivanje životnog okruženja dece i njihovog uključivanja u horove". In Nauka, nastava, učenje u izmenjenom društvenom kontekstu. University of Kragujevac, Faculty of Education in Uzice, 2021. http://dx.doi.org/10.46793/nnu21.577j.
Texto completo da fonteResumo:
Many studies have been conducted in the field of research on the stimulating domestic music environment, which show that the decision to engage children in music, in addition to internal factors in the family, can be influenced by external factors, such as the environment in which families live, too. Active inclusion of Slovenes in choirs is one of the most widespread free activities in the Republic of Slovenia, because according to the Public Fund of the Republic of Slovenia for Culture, more than 64.000 people sing in choirs. However, given that Slovenia is a very diverse country, especially in geographical terms, the mentality of people in different environments is very different, although in Slovenia creative people live in both rural and urban areas. Since in the article we discover, whether singing activity is higher in rural than in urban areas, we will define what both is and what are the characteristics of choirs in Slovenia, and then explore the differences between the above activities of parents and children in both areas. In this paper, we find that there are more active singing groups in urban areas, which include families, where both – children and parents – sing in a choir, than in rural areas, which we attribute to “rurbanization”, which blurs the boundaries between rural and urban settlements and their functions. The paper also confirms the assumption that the stimulating domestic music environment (singing at home, attending concerts with parents and parents' opinion that the stimulating musical environment offered to children at home strongly influences their participation in choirs) is related children's singing in choirs.
3
Sladoje Bošnjak, Biljana M. "Metakognitivne sposobnosti djece predškolskog uzrasta". In Savremeno predškolsko vaspitanje i obrazovanje – tendencije, izazovi i mogućnosti. University of Kragujevac, Faculty of Edaucatin in Uzice, 2023. http://dx.doi.org/10.46793/spvo23.439sb.
Texto completo da fonteResumo:
Research reports that there are certain signs of metacognitive processes at preschool age. Wellman (Wellman, 1985; after: Ковач-Церовић, 1998), for example, finds that children during the third year of life talk about some mental states in a way that indicates a real understanding of the basic nature of the psyche. They (Schneider & Lockl, 2002) link the development of metacognition to the development of declarative metamemory: childrenʼs understanding of terms such as know, think, remember, and forget. From the age of four, memory verbs can be used to describe exact mental states. The aim of my research is to examine the metacognitive abilities of preschool children. In order to throw more light on the general aim, it was expanded to include several specific aims: 1) identifying memory verbs which children use to describe their mental states when solving a puzzle; 2) identifying two groups of children (those who managed to solve the puzzle and those who did not) and 3) determining the differences between them. The research has the characteristics of both qualitative and quantitative research. A case study and the technique of systematic observation with associated instruments were used. The obtained results have important implications for educational practice.
4
Yuri, Rusetsky, Malyavina Ulyana, Alekseenko Svetlana e Latysheva Elena. "P333 Silent sinus syndrome in children (case report)". In 8th Europaediatrics Congress jointly held with, The 13th National Congress of Romanian Pediatrics Society, 7–10 June 2017, Palace of Parliament, Romania, Paediatrics building bridges across Europe. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-313273.421.
Texto completo da fonte
5
Shchipitsyna, Alena Sergeevna. "Children's Giftedness and Characteristics of a Gifted Child". In All-Russian research-to-practice conference with international participation. Publishing house Sreda, 2020. http://dx.doi.org/10.31483/r-75230.
Texto completo da fonteResumo:
The article is devoted to the issue of building a work system with gifted children. Theoretical prerequisites for developing the problem of giftedness are considered, as well as theoretical aspects of the concepts of "ability" and "giftedness" are presented. The main characteristics of children with signs of giftedness according to A.I. Savenkov are given, and the relationship between the level of cognitive abilities development and success of studying at school is analyzed.
6
Petrenko, S. V., Yu V. Zhiltsova, A. Seitmedova, A. B. Dzhunelov, T. S. Opanasenko e S. V. Laptenok. "FEATURES OF MICROELEMENT SUPPLEMENTATION OF THE BODY IN PREGNANT WOMEN AND YOUNG CHILDREN OF BELARUS WITH AUTOIMMUNE THYROIDITIS". In SAKHAROV READINGS 2022: ENVIRONMENTAL PROBLEMS OF THE XXI CENTURY. International Sakharov Environmental Institute of Belarusian State University, 2022. http://dx.doi.org/10.46646/sakh-2022-2-110-114.
Texto completo da fonteResumo:
In children with sonographic signs of AIT from the settlements of Vitebsk and Minsk regions, a reduced content of both iodine and selenium and zinc in the body was revealed, which is a distinctive feature of microelement provision from healthy children. The content of selenium and iodine in the hair of this group of children is 1.52 times lower than in the group of healthy children and 2-3 times lower than the lower indicators of normative values. The low content of iodine in the body is due to the insufficient intake of iodized salt in 50-60 % of the surveyed school children and pregnant women in almost all the regions surveyed. In children with sonographic signs of AIT, a pronounced iodine-selenium-zinc deficiency has been established, which may be one of the reasons for the decrease in the level of antioxidant protection of the body and one of the main factors responsible for the formation of AIT in various regions of Belarus.
7
Biffi, Elisabetta, e Daniela Bianchi. "TEACHER TRAINING FOR THE PREVENTION, REPORTING AND ADDRESSING OF VIOLENCE AGAINST CHILDREN". In International Conference on Education and New Developments. inScience Press, 2021. http://dx.doi.org/10.36315/2021end015.
Texto completo da fonteResumo:
Each year an estimated one billion children (one out of two children worldwide) suffer some form of physical, sexual or psychological violence or neglect (Hillis, Mercy, Amobi, & Kress, 2016). Being a victim of violence in childhood has lifelong impacts on education, health, and well-being. Exposure to violence can lead to poor academic performance due to cognitive, emotional, and social problems (WHO, 2019). The right of the child to freedom from all forms of violence is affirmed by the United Nations Committee on the Rights of the Child, in its General Comment No. 13 (UNCRC, 2011). Moreover, the Sustainable Development Goals contain a clear call to eliminate violence against children, most explicitly in Target 16.2 (UN, 2015). Many efforts have been made globally to achieve these goals. Schools have been identified as one of the crucial contexts for conducting violence prevention efforts. They offer an important space where children, teachers and educators can learn and adopt pro-social behaviors that can contribute to preventing violence (WHO, et al., 2016). Teachers can play a key role, helping to build a “violence-free world” (UNESCO, WHO, UNICEF, End Violence Against Children, 2020), both by promoting positive relationships and by identifying signs of violence early. In fact, while international strategies provide a necessary framework for the promotion and protection of children's rights, it is the people who can make a difference in the prevention and detection of violence against children (Biffi, 2018). Based on these premises, the paper will focus on how teacher training can help prevent, report and address violence against children. Teachers are often not trained on this: some of them know the contents, but have doubts about how to deal with certain situations. Teachers should learn what to do with students who have gone through a traumatic experience because children choose someone who can see and recognize them (Miller, 1979, En. transl. 1995; Miller, 1980, En. transl. 1983). To be able to really recognize the child, a training course with teachers is necessary, to raise awareness and help them see the signals that children send (The Alliance for Child Protection in Humanitarian Action, End Violence Against Children, UNICEF, WHO, 2020). This paper, through literature and presentation of a training course with teachers in Italy, will offer a pedagogical reflection on teacher training in the prevention, reporting and addressing of violence against children, in order to start building a common shared strategy.
8
Marques, Lícia Apoline Santos, Iago Antunes Macedo de Souza, Luís Gustavo Miranda Cavalcante Farias, Ellem Silva Pestana, Paula Sabrina Martins Gomes da Rocha, Jailson de Sousa Oliveira Júnior, Rafaela Machado Dias de Oliveira e Frederico Maia Prado. "Cavernous sinus thrombosis as a serious complication of sphenoid sinusitis in children". In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.232.
Texto completo da fonteResumo:
Introduction:The cavernous sinus is a venous plexus delimited by the dura mater and sited at the base of skull, laterally to the sella turcica and to the sphenoid sinus. The cavernous sinus thrombosis (CST) is a serious illness that may result from infection of any tissue drained by the cavernous sinus (septic thrombosis). Septic thrombosis (ST) may occur through the suppurative process by the level of the orbit, of the upper half of the face or paranasal sinuses , constituting a critical complication of sinusitis. Objectives: To verify the association between cavernous sinus thrombosis and sphenoid sinusitis in children, in the bibliographic productions of the last 10 years. Methods:This is an integrative literature review, with a search carried out in the database of the Medical Literature and Retrieval System onLine (MEDLINE), using a combination of the following Health Sciences Descriptors (DECS): “Sphenoid Sinusitis” and “Thrombosis” And “ Cavernous sinus” in “ Children ”. Incomplete studies were excluded from the research, carried out before 2012, totaling 7 bibliographic studies for detailed analysis. Results:CST can result from infection of any tissue drained from the cavernous sinus. This includes the face, tonsils, soft palate, teeth and ears.Only 15% of cases of CST in patients up to 12 years of age, originated from the paranasal sinuses. However, more recent studies advance that sinusitis is currently the most common etiology. When the sinuses are the cause of CST, the sphenoid sinus emerged as the most common primary source of infection predisposing to CST, since it has important anatomical relationships with the cavernous sinus. Streptococcus has been reported as the most common organism associated with sphenoid sinusitis. Conclusion:Although CTS is a rare clinical condition, acute and persistent sphenoid sinusitis can progress to such a condition, despite medical treatment. The main support of treatment includes early diagnosis, aggressive intravenous antibiotics and appropriate surgical treatment.
9
Tumsoeva, Makka Alvievna. "Early Manifestations of Giftedness in Children and Adolescents in the System of Modern Education". In All-Russian research-to-practice conference with international participation, Chair Petimat Masudovna Zekieva. Publishing house Sreda, 2020. http://dx.doi.org/10.31483/r-75183.
Texto completo da fonteResumo:
The article is devoted to consideration of the most effective methods of diagnosing genius from the author's perspective. The types of giftedness according to William Stern and the main signs for identifying such children are studied, as well as the most effective methods of teaching, upbringing and socialization of gifted children are defined.
10
Papadaki, Eirini. "SIGNS OF SPACE IN ARTISTIC, SCIENTIFIC AND CHILDREN’S DRAWINGS: DIFFERENCES AND SIMILARITIES". In New Semiotics. Between Tradition and Innovation. IASS Publications, 2015. http://dx.doi.org/10.24308/iass-2014-041.
Texto completo da fonteRelatórios de organizações sobre o assunto "Children's sings"
1
Hunter, Janine, Lorraine van Blerk e Wayne Shand. Living on the Streets, Making Plans for the Future. StreetInvest, maio de 2022. http://dx.doi.org/10.20933/100001242.
Texto completo da fonteResumo:
Like other young people, street children and youth have hopes, dreams and aspirations, but perceive their future as more immediate due to the daily search for shelter and food. • Street children and youth hope to attain material and symbolic signs of adult status, including starting their own family, and the respect and esteem of the wider community. • Their route to the future they aspire to is often unclear, hindered by a lack of shelter, identity documents, discrimination, and gender norms. • While acknowledging limited power, street children and youth were simultaneously optimistic and realistic about what their future may hold.
2
E, Flemyng, e Mitchell D. Increased versus stable doses of inhaled steroids for exacerbations of chronic asthma in adults and children: Protocol. Epistemonikos Interactive Evidence Synthesis, janeiro de 2022. http://dx.doi.org/10.30846/ies.b984bf9656.v3.
Texto completo da fonteResumo:
Abstract Rationale Early treatment of asthma exacerbations with inhaled corticosteroids is the best strategy for management, although use of an increased or stable dose is questioned. Objectives To compare the clinical effectiveness and safety of increased versus stable doses of inhaled corticosteroids as part of a patient-initiated action plan for the home management of exacerbations in children and adults with persistent asthma. Search methods We searched the Cochrane Airways Group Specialised Register (part of CENTRAL), MEDLINE, Embase, CINAHL, major trials registries and handsearched abstracts up to 20 December 2021. Eligibility criteria Parallel and cross-over blinded randomised controlled trials (RCTs) Outcomes Treatment failure (the need for rescue oral steroids) in the randomised population and in the subset who initiated the study inhaler, unscheduled physician visits, unscheduled acute care, emergency department or hospital visits, serious and non-serious adverse events, and duration of exacerbation. Risk of bias We used Risk of Bias 2 (RoB 2)and the tool's extension for cross-over trials. Synthesis methods We conducted meta-analyses using fixed-effect models to calculate odds ratios (OR) and 95% confidence intervals (CI) for all but one outcome, which used random-effects models due to heterogeneity (treatment failure in the subset who initiated the study inhaler). We summarised certainty of evidence according to GRADE methods. Included studies We included nine RCTs (seven parallel and two cross‐over) with a total of 1923 participants. The studies were conducted in Europe, North America, and Australasia and were published between 1998 and 2018. Five studies evaluated adult populations (1247 participants; ≥ 15 years), and four studies evaluated child or adolescent populations (676 participants; < 15 years). Approximately 50% of randomised participants initiated the study inhaler (range 23% to 100%). The studies reported treatment failure in various ways, so we made assumptions to allow us to combine data. Synthesis of results People randomised to increase their inhaled corticosteroids dose at the first signs of an exacerbation probably had similar odds of needing rescue oral corticosteroids to those randomised to a placebo inhaler (OR 0.97, 95% CI 0.76 to 1.25; 8 studies, 1774 participants; moderate-certainty evidence). Results for the same outcome in the subset of participants who initiated the study inhaler (approximately 50%) gives a different point estimate with very low certainty due to heterogeneity, imprecision and risk of bias (OR 0.84, 95% CI 0.54 to 1.30; 7 studies, 766 participants; random-effects model used). For adverse effects, imprecision and risk of bias from missing data, outcome measurement and reporting meant we were very uncertain about the effect estimate (serious adverse events OR 1.69, 95% CI 0.77 to 3.71; 2 studies, 394 participants; non-serious adverse events OR 2.15, 95% CI 0.68 to 6.73; 2 studies, 142 participants). We had very low confidence in the effect estimates for unscheduled physician visits, unscheduled acute care, emergency department or hospital visits and duration of exacerbation due to risk of bias. Authors' conclusions Evidence suggests that adults and children with mild to moderate asthma are unlikely to have an important reduction in the need for oral steroids from increasing a patient's inhaled corticosteroid dose at the first sign of an exacerbation. Other clinically important benefits and potential harms cannot be ruled out due to wide confidence intervals, risk of bias in the studies, and assumptions made for synthesis when combining data. Included studies reflect evolving clinical practice and study methods, and the data do not support thorough investigation of effect modifiers such as baseline dose, fold increase, asthma severity and timing. The review does not include recent evidence from pragmatic, unblinded studies showing benefits of larger dose increases in those with poorly controlled asthma. Differences between the blinded and unblinded studies should be investigated. Funding This Cochrane Review had no dedicated funding. Registration Protocol (2009): doi.org/10.1002/14651858.CD007524 Original review (2010): doi.org/10.1002/14651858.CD007524.pub3 Review update (2014): doi.org/10.1002/14651858.CD007524.pub4
3
E, Flemyng, e Mitchell D. Increased versus stable doses of inhaled steroids for exacerbations of chronic asthma in adults and children: Protocol. Epistemonikos Interactive Evidence Synthesis, janeiro de 2022. http://dx.doi.org/10.30846/ies.b984bf9699.v2.
Texto completo da fonteResumo:
Abstract Rationale Early treatment of asthma exacerbations with inhaled corticosteroids is the best strategy for management, although use of an increased or stable dose is questioned. Objectives To compare the clinical effectiveness and safety of increased versus stable doses of inhaled corticosteroids as part of a patient-initiated action plan for the home management of exacerbations in children and adults with persistent asthma. Search methods We searched the Cochrane Airways Group Specialised Register (part of CENTRAL), MEDLINE, Embase, CINAHL, major trials registries and handsearched abstracts up to 20 December 2021. Eligibility criteria Parallel and cross-over blinded randomised controlled trials (RCTs) Outcomes Treatment failure (the need for rescue oral steroids) in the randomised population and in the subset who initiated the study inhaler, unscheduled physician visits, unscheduled acute care, emergency department or hospital visits, serious and non-serious adverse events, and duration of exacerbation. Risk of bias We used Risk of Bias 2 (RoB 2)and the tool's extension for cross-over trials. Synthesis methods We conducted meta-analyses using fixed-effect models to calculate odds ratios (OR) and 95% confidence intervals (CI) for all but one outcome, which used random-effects models due to heterogeneity (treatment failure in the subset who initiated the study inhaler). We summarised certainty of evidence according to GRADE methods. Included studies We included nine RCTs (seven parallel and two cross‐over) with a total of 1923 participants. The studies were conducted in Europe, North America, and Australasia and were published between 1998 and 2018. Five studies evaluated adult populations (1247 participants; ≥ 15 years), and four studies evaluated child or adolescent populations (676 participants; < 15 years). Approximately 50% of randomised participants initiated the study inhaler (range 23% to 100%). The studies reported treatment failure in various ways, so we made assumptions to allow us to combine data. Synthesis of results People randomised to increase their inhaled corticosteroids dose at the first signs of an exacerbation probably had similar odds of needing rescue oral corticosteroids to those randomised to a placebo inhaler (OR 0.97, 95% CI 0.76 to 1.25; 8 studies, 1774 participants; moderate-certainty evidence). Results for the same outcome in the subset of participants who initiated the study inhaler (approximately 50%) gives a different point estimate with very low certainty due to heterogeneity, imprecision and risk of bias (OR 0.84, 95% CI 0.54 to 1.30; 7 studies, 766 participants; random-effects model used). For adverse effects, imprecision and risk of bias from missing data, outcome measurement and reporting meant we were very uncertain about the effect estimate (serious adverse events OR 1.69, 95% CI 0.77 to 3.71; 2 studies, 394 participants; non-serious adverse events OR 2.15, 95% CI 0.68 to 6.73; 2 studies, 142 participants). We had very low confidence in the effect estimates for unscheduled physician visits, unscheduled acute care, emergency department or hospital visits and duration of exacerbation due to risk of bias. Authors' conclusions Evidence suggests that adults and children with mild to moderate asthma are unlikely to have an important reduction in the need for oral steroids from increasing a patient's inhaled corticosteroid dose at the first sign of an exacerbation. Other clinically important benefits and potential harms cannot be ruled out due to wide confidence intervals, risk of bias in the studies, and assumptions made for synthesis when combining data. Included studies reflect evolving clinical practice and study methods, and the data do not support thorough investigation of effect modifiers such as baseline dose, fold increase, asthma severity and timing. The review does not include recent evidence from pragmatic, unblinded studies showing benefits of larger dose increases in those with poorly controlled asthma. Differences between the blinded and unblinded studies should be investigated. Funding This Cochrane Review had no dedicated funding. Registration Protocol (2009): doi.org/10.1002/14651858.CD007524 Original review (2010): doi.org/10.1002/14651858.CD007524.pub3 Review update (2014): doi.org/10.1002/14651858.CD007524.pub4
4
E, Flemyng, e Mitchell D. Increased versus stable doses of inhaled steroids for exacerbations of chronic asthma in adults and children: Update. Epistemonikos Interactive Evidence Synthesis, janeiro de 2022. http://dx.doi.org/10.30846/ies.b984bf9639.v2.
Texto completo da fonteResumo:
Abstract Rationale Early treatment of asthma exacerbations with inhaled corticosteroids is the best strategy for management, although use of an increased or stable dose is questioned. Objectives To compare the clinical effectiveness and safety of increased versus stable doses of inhaled corticosteroids as part of a patient-initiated action plan for the home management of exacerbations in children and adults with persistent asthma. Search methods We searched the Cochrane Airways Group Specialised Register (part of CENTRAL), MEDLINE, Embase, CINAHL, major trials registries and handsearched abstracts up to 20 December 2021. Eligibility criteria Parallel and cross-over blinded randomised controlled trials (RCTs) Outcomes Treatment failure (the need for rescue oral steroids) in the randomised population and in the subset who initiated the study inhaler, unscheduled physician visits, unscheduled acute care, emergency department or hospital visits, serious and non-serious adverse events, and duration of exacerbation. Risk of bias We used Risk of Bias 2 (RoB 2)and the tool's extension for cross-over trials. Synthesis methods We conducted meta-analyses using fixed-effect models to calculate odds ratios (OR) and 95% confidence intervals (CI) for all but one outcome, which used random-effects models due to heterogeneity (treatment failure in the subset who initiated the study inhaler). We summarised certainty of evidence according to GRADE methods. Included studies We included nine RCTs (seven parallel and two cross‐over) with a total of 1923 participants. The studies were conducted in Europe, North America, and Australasia and were published between 1998 and 2018. Five studies evaluated adult populations (1247 participants; ≥ 15 years), and four studies evaluated child or adolescent populations (676 participants; < 15 years). Approximately 50% of randomised participants initiated the study inhaler (range 23% to 100%). The studies reported treatment failure in various ways, so we made assumptions to allow us to combine data. Synthesis of results People randomised to increase their inhaled corticosteroids dose at the first signs of an exacerbation probably had similar odds of needing rescue oral corticosteroids to those randomised to a placebo inhaler (OR 0.97, 95% CI 0.76 to 1.25; 8 studies, 1774 participants; moderate-certainty evidence). Results for the same outcome in the subset of participants who initiated the study inhaler (approximately 50%) gives a different point estimate with very low certainty due to heterogeneity, imprecision and risk of bias (OR 0.84, 95% CI 0.54 to 1.30; 7 studies, 766 participants; random-effects model used). For adverse effects, imprecision and risk of bias from missing data, outcome measurement and reporting meant we were very uncertain about the effect estimate (serious adverse events OR 1.69, 95% CI 0.77 to 3.71; 2 studies, 394 participants; non-serious adverse events OR 2.15, 95% CI 0.68 to 6.73; 2 studies, 142 participants). We had very low confidence in the effect estimates for unscheduled physician visits, unscheduled acute care, emergency department or hospital visits and duration of exacerbation due to risk of bias. Authors' conclusions Evidence suggests that adults and children with mild to moderate asthma are unlikely to have an important reduction in the need for oral steroids from increasing a patient's inhaled corticosteroid dose at the first sign of an exacerbation. Other clinically important benefits and potential harms cannot be ruled out due to wide confidence intervals, risk of bias in the studies, and assumptions made for synthesis when combining data. Included studies reflect evolving clinical practice and study methods, and the data do not support thorough investigation of effect modifiers such as baseline dose, fold increase, asthma severity and timing. The review does not include recent evidence from pragmatic, unblinded studies showing benefits of larger dose increases in those with poorly controlled asthma. Differences between the blinded and unblinded studies should be investigated. Funding This Cochrane Review had no dedicated funding. Registration Protocol (2009): doi.org/10.1002/14651858.CD007524 Original review (2010): doi.org/10.1002/14651858.CD007524.pub3 Review update (2014): doi.org/10.1002/14651858.CD007524.pub4
5
E, Flemyng, e Mitchell D. Increased versus stable doses of inhaled steroids for exacerbations of chronic asthma in adults and children: Protocol. Epistemonikos Interactive Evidence Synthesis, janeiro de 2022. http://dx.doi.org/10.30846/ies.b984bf9656.v2.
Texto completo da fonteResumo:
Abstract Rationale Early treatment of asthma exacerbations with inhaled corticosteroids is the best strategy for management, although use of an increased or stable dose is questioned. Objectives To compare the clinical effectiveness and safety of increased versus stable doses of inhaled corticosteroids as part of a patient-initiated action plan for the home management of exacerbations in children and adults with persistent asthma. Search methods We searched the Cochrane Airways Group Specialised Register (part of CENTRAL), MEDLINE, Embase, CINAHL, major trials registries and handsearched abstracts up to 20 December 2021. Eligibility criteria Parallel and cross-over blinded randomised controlled trials (RCTs) Outcomes Treatment failure (the need for rescue oral steroids) in the randomised population and in the subset who initiated the study inhaler, unscheduled physician visits, unscheduled acute care, emergency department or hospital visits, serious and non-serious adverse events, and duration of exacerbation. Risk of bias We used Risk of Bias 2 (RoB 2)and the tool's extension for cross-over trials. Synthesis methods We conducted meta-analyses using fixed-effect models to calculate odds ratios (OR) and 95% confidence intervals (CI) for all but one outcome, which used random-effects models due to heterogeneity (treatment failure in the subset who initiated the study inhaler). We summarised certainty of evidence according to GRADE methods. Included studies We included nine RCTs (seven parallel and two cross‐over) with a total of 1923 participants. The studies were conducted in Europe, North America, and Australasia and were published between 1998 and 2018. Five studies evaluated adult populations (1247 participants; ≥ 15 years), and four studies evaluated child or adolescent populations (676 participants; < 15 years). Approximately 50% of randomised participants initiated the study inhaler (range 23% to 100%). The studies reported treatment failure in various ways, so we made assumptions to allow us to combine data. Synthesis of results People randomised to increase their inhaled corticosteroids dose at the first signs of an exacerbation probably had similar odds of needing rescue oral corticosteroids to those randomised to a placebo inhaler (OR 0.97, 95% CI 0.76 to 1.25; 8 studies, 1774 participants; moderate-certainty evidence). Results for the same outcome in the subset of participants who initiated the study inhaler (approximately 50%) gives a different point estimate with very low certainty due to heterogeneity, imprecision and risk of bias (OR 0.84, 95% CI 0.54 to 1.30; 7 studies, 766 participants; random-effects model used). For adverse effects, imprecision and risk of bias from missing data, outcome measurement and reporting meant we were very uncertain about the effect estimate (serious adverse events OR 1.69, 95% CI 0.77 to 3.71; 2 studies, 394 participants; non-serious adverse events OR 2.15, 95% CI 0.68 to 6.73; 2 studies, 142 participants). We had very low confidence in the effect estimates for unscheduled physician visits, unscheduled acute care, emergency department or hospital visits and duration of exacerbation due to risk of bias. Authors' conclusions Evidence suggests that adults and children with mild to moderate asthma are unlikely to have an important reduction in the need for oral steroids from increasing a patient's inhaled corticosteroid dose at the first sign of an exacerbation. Other clinically important benefits and potential harms cannot be ruled out due to wide confidence intervals, risk of bias in the studies, and assumptions made for synthesis when combining data. Included studies reflect evolving clinical practice and study methods, and the data do not support thorough investigation of effect modifiers such as baseline dose, fold increase, asthma severity and timing. The review does not include recent evidence from pragmatic, unblinded studies showing benefits of larger dose increases in those with poorly controlled asthma. Differences between the blinded and unblinded studies should be investigated. Funding This Cochrane Review had no dedicated funding. Registration Protocol (2009): doi.org/10.1002/14651858.CD007524 Original review (2010): doi.org/10.1002/14651858.CD007524.pub3 Review update (2014): doi.org/10.1002/14651858.CD007524.pub4
6
Are children of any age susceptible to suicidal behaviour? ACAMH, novembro de 2020. http://dx.doi.org/10.13056/acamh.13835.
Texto completo da fonte
7
Identifying mental health difficulties in children & young people: the role of schools. ACAMH, agosto de 2020. http://dx.doi.org/10.13056/acamh.13021.
Texto completo da fonte