scholarly journals Clinical-psychological elaboration of discourse with regard to behavioural reactions typical of children and adolescents in the situation of COVID-19 pandemic

2021 ◽  
Vol 41 (1) ◽  
pp. 103-114
Author(s):  
Natalia S. Burlakova

Background. The present state of COVID-19 pandemic has made the society face new challenges; it has created a number of crisis situations that regard both adults and children and that need prompt clinical-psychological solutions. Psychological data concerning children and adolescents in the pandemic context are notably few. Objectives. The analysis of how different age strata react to the situation, with special attention to how children and adolescents react to the measures introduced to prevent further spread of COVID-19. Subsequent specification of directions in which clinical-psychological approach could help to develop the corresponding medical-sanitary discourses. Results. It was found that whenever the population reacts and fulfils the corresponding recommendations in an inefficient way it can be explained by the fact that medical-sanitary discourse is not sufficiently elaborated in clinical-psychological terms. It is shown that there is a need for further analysis and development of constructive clinical-psychological approach to informing different age groups and for completing the existing medical-sanitary discourses on the basis of constructive clinical-psychological approach. The study singles out new system characteristics of a more productive medical-psychological approach to informing the public and influencing people’s behaviour in the present situation. Thus, it is shown that the informational-psychological characteristics of the discourse in question must be: exactness, credibility, systematic nature, teleological and behaviourial meaningfulness, as well as acceptability in terms of mental hygiene. It is extremely important to take into account that different age groups, such as children and adolescents, correspondingly, should be approached in different ways when informing them about the correct behaviour in the pandemic conditions. Apart from the mental hygiene issues, one should bear in mind the developmental aspects of construing information for children and adolescents. The clinical-psychological task here is to use the development of pandemic awareness in children and adolescents as an opportunity to create a new situation of psychic development, to form an impulse that not only could prevent them from developing a number of psychic disorders but could also favour their personality growth in the circumstances they find themselves in. Conclusion. The study singled out the directions for developing a new constructive trend in clinical-psychological studies, namely, in child and adolescent clinical psychology.

2021 ◽  
Vol 9 ◽  
Author(s):  
Antonius H. Pudjiadi ◽  
Nina Dwi Putri ◽  
Hikari Ambara Sjakti ◽  
Piprim Basarah Yanuarso ◽  
Hartono Gunardi ◽  
...  

Background: Indonesia has a high number of COVID-19 cases and mortalities relative to not only among the Asia Pacific region but the world. Children were thought to be less affected by the virus compared to adults. Most of the public data reported combined data between adults and children. The Indonesian Pediatric Society (IPS) was involved in the COVID-19 response, especially in the area of child health. One of IPS's activities is collecting data registries from each of their chapters to provide a better understanding of COVID-19 in children.Objective: The objective of this study was to share the data of suspected and confirmed COVID-19 cases in children from IPS's COVID-19 data registry.Method: This is a retrospective study from the IPS's COVID-19 registry data. We collected the data of COVID-19 in children during March to December 2020 from each of the IPS chapters. We analyzed the prevalence, case fatality rate (CFR), age groups, diagnosis, and comorbidities of the children diagnosed with COVID-19.Result: As of December 21, 2020, there were 35,506 suspected cases of children with COVID-19. In total, there were 522 deaths, with a case fatality ratio (CFR) of 1.4. There were 37,706 confirmed cases with 175 fatalities (CFR 0.46). The highest mortality in confirmed COVID-19 cases was from children ages 10–18 years (42 out of 159 cases: 26%). The most common comorbidity and diagnosis found were malignancy (17.3%) and respiratory failure (54.5%).Conclusion: The CFR of confirmed COVID-19 cases in children in Indonesia is high and should be a major public concern.


2012 ◽  
Vol 22 (1) ◽  
Author(s):  
Marit S. Skeie ◽  
Kristin S. Klock ◽  
Ola Haugejorden

<p>KOSTRA (Kommune-Stat-Rapportering) utgjør et nasjonalt informasjonssystem som gir opplysninger om kommunal og fylkeskommunal virksomhet, også når det gjelder tannhelsetjenestens virksomhet. Hovedmålet med denne artikkelen er å evaluere nytteverdien av KOSTRA-data som de per i dag innrapporteres, det vil si om de harmonerer med moderne behandlingsfilosofi av sykdommen karies og lavere kariesprevalens, samt bidrar som redskap i det tannhelsefremmende arbeid. Som delmål vil vi kritisk vurdere hvordan kariesdata blir innrapportert til KOSTRA og der blir presentert, samt diskutere videreutvikling av denne innrapporteringen. Vi fant at nåværende KOSTRA-rutiner bør endres og arbeidsmetoder oppdateres i samsvar med moderne syn på kariesforebyggelse og terapi. Det å inkludere emaljelesjoner i KOSTRArapportene og overvåke kariesutviklingen fra tidlig alder, er essensielt hvis planlegging av tannhelsetjenesten for barn og ungdom skal kunne gjennomføres på en optimal måte. Videre bør man gå over fra aggregerte data til rapportering på individnivå, eventuelt fra statistisk tilfeldige utvalg og endring av klasseinndelingen i frekvensfordelinger. Dette for å kunne estimere SIC og tilpasse fordelingene til endret karieserfaring i nøkkelårskullene. Bruk av kalibrerte undersøkere vil være en stor gevinst med tanke på å heve kvaliteten på de data som blir innrapportert, både når det gjelder reliabilitet og validitet.</p><p>Skeie MS, Klock KS, Haugejorden O. Current Norwegian routines for collection of data on caries epidemiology among children and adolescents – are the routines still adequate? Nor J Epidemiol 2012; 22 (1): 59-68.</p><p>ENGLISH SUMMARY</p><p>KOSTRA (Community-State-Report) is a national information system providing data about activity at community and country level, as well as in the Public Dental Service (PDS). The main aim of this study is to assess the usefulness of the present KOSTRA data reporting system, i.e. if it is in accordance with modern treatment philosophy of dental caries, reduced caries prevalence and if it contributes as a dental health promotion tool. As a secondary aim to critically evaluate the way caries data are reported in KOSTRA and how the data are presented as well as discuss reporting improvements. Findings show that the existing KOSTRA routines should be changed and the procedures updated in accordance with the modern philosophy of caries prevention and therapy. It is considered important to include carious lesions in enamel in the KOSTRA reports, and from an early age, to monitor caries development, for the optimal planning of the Public Dental Service for children and adolescents. Furthermore, KOSTRA should, if possible, change from an aggregated to an individual reporting level, using statistical random samples. The standard class intervals of frequency distributions should be revised to facilitate estimation of SIC in order to allow for changed caries experience in key age groups. Calibrated examiners should be used to carry out the registration in order to improve data quality in terms of reliability and validity.</p>


2019 ◽  
Vol 1 (2) ◽  
pp. 64-73 ◽  
Author(s):  
Tayebeh Nakhaei Moghaddam ◽  
Faramarz Mobaraki ◽  
Mohammad Reza Darvish Moghaddam ◽  
Maryam Jafardokht Bonjar

There are many reasons why people use addictive substances including the euphoric and stimulating effects they have. This article introduces the addictive substances Paan, Naswar, nicotine, and other related products. It also deals with their use by people who are not aware of their addictive properties and use them for their side effects as mouth freshener and tasty and fragrant snacks. Furthermore, they are marketed in beautiful and attractive packages for various age groups, even children and adolescents (who inadvertently use them, without being aware of their effects and over time become addicted to them). Therefore, providing information to, and constant education of, target groups can be effective in improving the public health.


Religions ◽  
2021 ◽  
Vol 12 (5) ◽  
pp. 357
Author(s):  
Rafael López Cordero ◽  
Francisca Ruiz Garzón ◽  
Lourdes Medina Martínez ◽  
María del Carmen Olmos-Gómez

The current trend of secularization seems to be leading to a gradual withdrawal of religion from public spaces. However, in an increasingly internationalized world, it is becoming more and more important to study the roles of religion and religiosity and their potential in relation to dialogue and social conflicts and tensions. Education is a vital field within which to address this religious issue and create an educational dialogue in order to promote coexistence. By following a quantitative, descriptive, cross-sectional study, based on a quasi-experimental methodology with a social–analytical character, our aim is to assess the existing connections between religion, interrelation and opinion in Spanish children and adolescents. Special attention is paid to the interaction between age and beliefs. We carried out our study with the use of a questionnaire distributed to eleven secondary schools, with students aged between 11 and 16 years old, in three regions of southern Spain (Andalusia, Ceuta, and Melilla) characterized by high religious diversity and multiculturalism. The multivariate analysis carried out in this study identifies the effects of variance on the influence of age and religion, highlighting the interaction between the two. It is observed that the youngest students are those who express their opinions about religion the least, while those belonging to younger age groups and majority religions are those who express a greater religious coexistence, with Muslims externalizing their religious condition the most.


2021 ◽  
pp. 147490412110056
Author(s):  
Lovisa Bergdahl ◽  
Elisabet Langmann

The paper offers a pedagogical response to the complexity of sustainability challenges that takes the existential and emotional dimensions of climate change seriously. To this end, the paper unfolds in two parts. The first part makes a distinction between ‘public pedagogy’ as an area of educational scholarship and ‘pedagogical publics’ as a theoretical lens for identifying certain qualities within educational environments, exploring what potential this distinction has for rethinking public pedagogy for sustainable development. Turning to Bonnie Honig (2015) and her call for creating ‘holding environments’ in the public sphere as a response to the democratic need of our time, the second part translates her political notion into an educational notion asking what fostering pedagogical publics as holding environments might involve. In relation to sustainability challenges, it is suggested that an environment that ‘holds’ people together as a pedagogical public has three main qualities: a) it makes room for new rituals for sustainable living to be developed in order to offer a sense of permanence; b) it invites narratives that can frame sustainability challenges in more positive registers; and c) it reinstates an intergenerational difference that serves to give back hopes and dreams to adults and children in troubling times.


Author(s):  
Valentina Drozd ◽  
Vladimir Saenko ◽  
Daniel I. Branovan ◽  
Kate Brown ◽  
Shunichi Yamashita ◽  
...  

The incidence of differentiated thyroid cancer (DTC) is steadily increasing globally. Epidemiologists usually explain this global upsurge as the result of new diagnostic modalities, screening and overdiagnosis as well as results of lifestyle changes including obesity and comorbidity. However, there is evidence that there is a real increase of DTC incidence worldwide in all age groups. Here, we review studies on pediatric DTC after nuclear accidents in Belarus after Chernobyl and Japan after Fukushima as compared to cohorts without radiation exposure of those two countries. According to the Chernobyl data, radiation-induced DTC may be characterized by a lag time of 4–5 years until detection, a higher incidence in boys, in children of youngest age, extrathyroidal extension and distant metastases. Radiation doses to the thyroid were considerably lower by appr. two orders of magnitude in children and adolescents exposed to Fukushima as compared to Chernobyl. In DTC patients detected after Fukushima by population-based screening, most of those characteristics were not reported, which can be taken as proof against the hypothesis, that radiation is the (main) cause of those tumors. However, roughly 80% of the Fukushima cases presented with tumor stages higher than microcarcinomas pT1a and 80% with lymph node metastases pN1. Mortality rates in pediatric DTC patients are generally very low, even at higher tumor stages. However, those cases considered to be clinically relevant should be followed-up carefully after treatment because of the risk of recurrencies which is expected to be not negligible. Considering that thyroid doses from the Fukushima accident were quite small, it makes sense to assess the role of other environmental and lifestyle-related factors in thyroid carcinogenesis. Well-designed studies with assessment of radiation doses from medical procedures and exposure to confounders/modifiers from the environment as e.g., nitrate are required to quantify their combined effect on thyroid cancer risk.


2021 ◽  
Vol 8 (3) ◽  
pp. 205316802110328
Author(s):  
Naomi Egel ◽  
R. Lincoln Hines

What are Chinese public attitudes regarding nuclear weapons? Although scholars have studied Chinese elites’ views on nuclear weapons, surprisingly little is known about the views of China’s public. To understand Chinese public views on nuclear weapons, we conduct an online survey ( N = 1066) of Chinese respondents. This is, to our knowledge, the first survey of Chinese public attitudes towards nuclear weapons. We find that although Chinese citizens view the possession of nuclear weapons as important for their country’s security, they strongly oppose the use of nuclear weapons under any circumstances. We also provide respondents an opportunity to describe their views on nuclear weapons in their own words. Using computer-assisted text analysis, we assess patterns in these open-ended responses and compare across age groups. We find that younger respondents emphasize non-material factors such as having a greater voice internationally, whereas older respondents emphasize self-defense. Overall, this analysis sheds light on the public attitudes that may shape China’s evolving approach to nuclear weapons.


Author(s):  
Katarzyna Dereń ◽  
Justyna Wyszyńska ◽  
Serhiy Nyankovskyy ◽  
Olena Nyankovska ◽  
Marta Yatsula ◽  
...  

Overweight and obesity, as well as underweight in children and adolescents, pose a significant public health issue. This study aimed to investigate the secular trend of the incidence of underweight, overweight, and obesity in children from Ukraine in 2013/2014 and 2018/2019. The studies were conducted in randomly selected primary and secondary schools in Ukraine. In total, 13,447 children (6468 boys and 6979 girls) participated in the study in 2013/2014 and 18,144 children (8717 boys and 9427 girls) participated in 2018/2019. Measurements of body weight and height were performed in triplicate. Underweight, overweight, and obesity were diagnosed according to the standards of the World Health Organization (WHO). In the group of girls, a significant difference between 2013/2014 and 2018/2019 measurements was found only among 7-year-olds. The percentage of girls at this age exceeding the body mass index (BMI) norm was lower in the 2018/2019 study. In boys, a significant difference was also found in 7-year-olds, and, as in girls, a lower share of overweight and obesity was found in 2018/2019. But for the ages of 12, 13, and 15, the significant differences had a different character—more overweight or obese boys were found in the 2018/2019 study. The proportion of underweight children was similar for the majority of age groups in both genders and did not differ in a statistically significant way.


Author(s):  
Giselle Sarganas ◽  
Anja Schienkiewitz ◽  
Jonas D. Finger ◽  
Hannelore K. Neuhauser

AbstractTo track blood pressure (BP) and resting heart rate (RHR) in children and adolescents is important due to its associations with cardiovascular outcomes in the adulthood. Therefore, the aim of this study was to examine BP and RHR over a decade among children and adolescents living in Germany using national examination data. Cross-sectional data from 3- to 17-year-old national survey participants (KiGGS 2003–06, n = 14,701; KiGGS 2014–17, n = 3509) including standardized oscillometric BP and RHR were used for age- and sex-standardized analysis. Measurement protocols were identical with the exception of the cuff selection rule, which was accounted for in the analyses. Different BP and RHR trends were observed according to age-groups. In 3- to 6-year-olds adjusted mean SBP and DBP were significantly higher in 2014–2017 compared to 2003–2006 (+2.4 and +1.9 mm Hg, respectively), while RHR was statistically significantly lower by −3.8 bpm. No significant changes in BP or in RHR were observed in 7- to 10-year-olds over time. In 11- to 13-year-olds as well as in 14- to 17-year-olds lower BP has been observed (SBP −2.4 and −3.2 mm Hg, respectively, and DBP −1.8 and −1.7 mm Hg), while RHR was significantly higher (+2.7 and +3.7 bpm). BP trends did not parallel RHR trends. The downward BP trend in adolescents seemed to follow decreasing adult BP trends in middle and high-income countries. The increase in BP in younger children needs confirmation from other studies as well as further investigation. In school-aged children and adolescents, the increased RHR trend may indicate decreased physical fitness.


Autism ◽  
2021 ◽  
pp. 136236132098795
Author(s):  
Eleanor R Palser ◽  
Alejandro Galvez-Pol ◽  
Clare E Palmer ◽  
Ricci Hannah ◽  
Aikaterini Fotopoulou ◽  
...  

Differences in understanding emotion in autism are well-documented, although far more research has considered how being autistic impacts an understanding of other people’s emotions, compared to their own. In neurotypical adults and children, many emotions are associated with distinct bodily maps of experienced sensation, and the ability to report these maps is significantly related to the awareness of interoceptive signals. Here, in 100 children who either carry a clinical diagnosis of autism ( n = 45) or who have no history of autism ( n = 55), we investigated potential differences in differentiation across autistic children’s bodily maps of emotion, as well as how such differentiation relates to the processing of interoceptive signals. As such, we measured objective interoceptive performance using the heartbeat-counting task, and participants’ subjective experience of interoceptive signals using the child version of the Body Perception Questionnaire. We found less differentiation in the bodily maps of emotion in autistic children, but no association with either objective or subjective interoceptive processing. These findings suggest that, in addition to previously reported differences in detecting others’ emotional states, autistic children have a less differentiated bodily experience of emotion. This does not, however, relate to differences in interoceptive perception as measured here. Lay abstract More research has been conducted on how autistic people understand and interpret other people’s emotions, than on how autistic people experience their own emotions. The experience of emotion is important however, because it can relate to difficulties like anxiety and depression, which are common in autism. In neurotypical adults and children, different emotions have been associated with unique maps of activity patterns in the body. Whether these maps of emotion are comparable in autism is currently unknown. Here, we asked 100 children and adolescents, 45 of whom were autistic, to color in outlines of the body to indicate how they experienced seven emotions. Autistic adults and children sometimes report differences in how they experience their internal bodily states, termed interoception, and so we also investigated how this related to the bodily maps of emotion. In this study, the autistic children and adolescents had comparable interoception to the non-autistic children and adolescents, but there was less variability in their maps of emotion. In other words, they showed more similar patterns of activity across the different emotions. This was not related to interoception, however. This work suggests that there are differences in how autistic people experience emotion that are not explained by differences in interoception. In neurotypical people, less variability in emotional experiences is linked to anxiety and depression, and future work should seek to understand if this is a contributing factor to the increased prevalence of these difficulties in autism.


Sign in / Sign up

Export Citation Format

Share Document