Dangerous Activities by Children in Grocery Carts: Is Adult Supervision Important?

2003 ◽  
Vol 92 (3) ◽  
pp. 957-962 ◽  
Author(s):  
W. Andrew Harrell

Systematic observations of 231 children (infancy to 5 years) and the 231 adults accompanying them were made in 29 supermarkets in Edmonton, Alberta, Canada. The objective of the study was to describe the influence of two indices of adult supervision in supermarkets on children's activities in shopping carts. Adult supervision was measured by whether the adult ever lost sight of the child and whether the adult was 10 feet or more from the child at any time during a shopping trip. 23% of the children stood on the ends or sides of carts; 49% climbed or tried to climb out of carts. Adults lost sight of a child, whether in or outside the cart, a mean of 3.3 times and were 10 feet away 2.7 times during an average shopping trip. Logistic regression showed that a child rather than an adult pushing a shopping cart through the store was the strongest factor related to standing on ends or sides of carts. Pushing by a child was more likely to occur when adult monitoring was low and when children were older. Climbing out was predicted by the number of times an adult was > 10 feet away, older children, and a child being in the cart basket as opposed to outside the cart or in the child safety seat.

Author(s):  
Joan L. James ◽  
Karl E. Kim

The use of child safety seats for crash-involved children in Hawaii from 1986 through 1991 is described. Child safety seat use increased over this period, whereas unrestrained children and belt use for children decreased. Male drivers are more likely to have unrestrained infants; female drivers are more likely to have unrestrained toddlers. Toddlers are more likely to be unrestrained in automobiles and trucks, and infants are more likely to be unrestrained in vans, on the freeway, during nighttime hours, and in urban areas. Child-restraint use for infants is twice the rate for toddlers, and infants are less likely to suffer nonincapacitating, incapacitating, and fatal injuries. A logistic regression model shows that children riding in automobiles are less likely to be restrained; belted drivers are far more likely to restrain children; and one- and two-year-olds are less likely to be restrained. Separate logistic regressions for crash types reveals that restrained children are less likely to suffer a non-incapacitating, incapacitating, or fatal injury in head-on and rear-end crashes and more likely to sustain injuries in broadside crashes.


1974 ◽  
Author(s):  
Robert P. Meyer ◽  
Jack I. Laveson
Keyword(s):  

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110248
Author(s):  
Mario Sestan ◽  
Nastasia Kifer ◽  
Marijan Frkovic ◽  
Matej Sapina ◽  
Sasa Srsen ◽  
...  

Background: We analysed clinical and biochemical parameters in predicting severe gastrointestinal (GI) manifestations in childhood IgA vasculitis (IgAV) and the risk of developing renal complications. Methods: A national multicentric retrospective study included children with IgAV reviewed in five Croatian University Centres for paediatric rheumatology in the period 2009–2019. Results: Out of 611 children, 281 (45.99%) had at least one GI manifestation, while 42 of 281 (14.95%) had the most severe GI manifestations. Using logistic regression several clinical risk factors for the severe GI manifestations were identified: generalized rash [odds ratio (OR) 2.09 (95% confidence interval (CI) 1.09–4.01)], rash extended on upper extremities (OR 2.77 (95% CI 1.43–5.34)] or face [OR 3.69 (95% CI 1.42–9.43)] and nephritis (IgAVN) [OR 4.35 (95% CI 2.23–8.50)], as well as lower values of prothrombin time (OR 0.05 (95% CI 0.01–0.62)], fibrinogen [OR 0.45 (95% CI 0.29–0.70)] and IgM [OR 0.10 (95% I 0.03–0.35)]] among the laboratory parameters. Patients with severe GI involvement more frequently had relapse of the disease [OR 2.14 (CI 1.04–4.39)] and recurrent rash [OR 2.61 (CI 1.27–5.38)]. Multivariate logistic regression found that the combination of age, GI symptoms at the beginning of IgAV and severity of GI symptoms were statistically significant predictors of IgAVN. Patients in whom IgAV has started with GI symptoms [OR 6.60 (95% CI 1.67–26.06)], older children [OR 1.22 (95% CI 1.02–1.46)] with severe GI form of IgAV (OR 5.90 (95% CI 1.12–31.15)] were particularly high-risk for developing IgAVN. Conclusion: We detected a group of older children with the onset of GI symptoms before other IgAV symptoms and severe GI form of the IgAV, with significantly higher risk for acute and chronic complications of IgAV.


Author(s):  
Dan Zhao ◽  
Jianping Ma ◽  
Shengyuan Liu ◽  
Sihan Chen ◽  
Ji Peng ◽  
...  
Keyword(s):  

2010 ◽  
Vol 17 (2) ◽  
pp. 97-101
Author(s):  
T. Yi Wen ◽  
A. W. Snowdon ◽  
A. Hussein ◽  
S. E. Ahmed

PEDIATRICS ◽  
1992 ◽  
Vol 90 (3) ◽  
pp. V-V
Author(s):  
ROBERT J. HAGGERTY

The William T. Grant Foundation supports eight consortia, each devoted to a specific issue, and each consisting of ten to twenty members from a Variety of scientific disciplines. Our purpose is to provide a forum for discussion of ideas, research, and conceptual and theoretical bases of that research to individuals who work in related areas, but who might not under other circumstances have easy communication with each other, especially in the preliminary stages of the development of their research projects. By the time national meetings occur, projects are of necessity completed, and there is no chance for modification using an interdisciplinary approach. We have been very pleased with this device to bring research workers of different disciplines together. The newest of these consortia is devoted to the Developmental Psychobiology of Stress and includes pediatricians, psychologists, and anthropologists who work on both human and animal models. This group moved promptly in their first meeting to bring together a talented group of researchers from different disciplines; the results of their research are presented in this supplement. They well exemplify the advances that have been made in recent years in methodology to study mind-body interactions in infants and older children. Methodologic barriers in the past have limited research on stress in humans. It is stimulating and exciting to see that these barriers are beginning to be overcome, and that research such as is presented here is illuminating this exciting new field. It has enormous application to pediatric practice and child health in the future.


2011 ◽  
Vol 42 (1) ◽  
pp. 1-9
Author(s):  
Jared Townsley ◽  
Justin R Chimka

We describe the discovery of how a traditional control chart for the Palmer Drought Severity Index (PDSI) to detect drought compares favourably to a theoretically appropriate statistical (logistic regression) model of drought as a function of PDSI. Our empirical results are based on monthly observations of PDSI, precipitation and temperature made in Kansas since 1895. Results from the study suggest that a relatively simple statistical approach based on Shewhart control charts may provide a more accessible method for relevant government agencies to predict droughts, improving resource management and preparation. Moreover, utilizing such an approach over more sophisticated methods may come at little expense regarding prediction errors.


PEDIATRICS ◽  
2000 ◽  
Vol 106 (Supplement_3) ◽  
pp. 924-929
Author(s):  
Wendy G. Lane ◽  
Gilbert C. Liu ◽  
Elizabeth Newlin

Objective. To determine if hands-on instruction in child safety seat (CSS) installation decreases the number of errors in installation. Design. Cross-sectional study. Setting. Primary care offices, emergency department, CSS checkpoint. Participants. Parents of children <2 years old receiving medical care or attending a CSS check. Main Outcome Measure. Errors in CSS use. Results. Only 6.4% of parents had a correctly installed CSS. Hands-on instruction was associated with fewer errors in seat installation. Increased parent age, completion of college, and having private insurance were also associated with fewer errors in CSS placement. The majority of parents learned to install seats from reading the manual, from friends and relatives, and from figuring it out on their own. Conclusions. Errors in CSS installation are a significant problem. Hands-on instruction decreases the numbers of errors in CSS installation. However, few parents receive hands-on instruction from experts in CSS installation. Increases in correct CSS use could result from hands-on education by trained professionals.


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