The Private Daycare Center Directors Living in the Reality of the Task of Achieving 40% Public Childcare

2021 ◽  
Vol 25 (4) ◽  
pp. 109-131
Author(s):  
Hyun-mi Cho ◽  
Changkee Lee
Keyword(s):  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Liliana Cruz Spano ◽  
Caroline Gastaldi Guerrieri ◽  
Lays Paula Bondi Volpini ◽  
Ricardo Pinto Schuenck ◽  
Jaqueline Pegoretti Goulart ◽  
...  

Abstract Background This study describes the investigation of an outbreak of diarrhea, hemorrhagic colitis (HC), and hemolytic uremic syndrome (HUS) at a daycare center in southeastern Brazil, involving fourteen children, six staff members, six family members, and one nurse. All bacterial and viral pathogens detected were genetically characterized. Results Two isolates of a strain of enterohemorrhagic Escherichia coli (EHEC) serotype O111:H8 were recovered, one implicated in a case of HUS and the other in a case of uncomplicated diarrhea. These isolates had a clonal relationship of 94% and carried the stx2a and eae virulence genes and the OI-122 pathogenicity island. The EHEC strain was determined to be a single-locus variant of sequence type (ST) 327. EHEC isolates were resistant to ofloxacin, doxycycline, tetracycline, ampicillin, and trimethoprim-sulfamethoxazole and intermediately resistant to levofloxacin and ciprofloxacin. Rotavirus was not detected in any samples, and norovirus was detected in 46.7% (14/30) of the stool samples, three of which were from asymptomatic staff members. The noroviruses were classified as the recombinant GII.4 Sydney [P16] by gene sequencing. Conclusion In this outbreak, it was possible to identify an uncommon stx2a + EHEC O111:H8 strain, and the most recent pandemic norovirus strain GII.4 Sydney [P16]. Our findings reinforce the need for surveillance and diagnosis of multiple enteric pathogens by public health authorities, especially during outbreaks.


Viruses ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1100
Author(s):  
Ignacio Parrón ◽  
Elsa Plasencia ◽  
Thais Cornejo-Sánchez ◽  
Mireia Jané ◽  
Cristina Pérez ◽  
...  

We investigated an outbreak of acute gastroenteritis due to human astrovirus in a daycare center, describing the transmission mechanism, the most affected age groups, conditioning factors and the extent of the outbreak among household contacts of the daycare center attenders. Data were collected from persons exposed at the daycare center and their home contacts. Fecal samples from affected and non-affected daycare center attenders were analyzed for viruses causing acute gastroenteritis by RT-PCR. The percentage of households affected and the attack rates (AR) were calculated. The attack rates were compared using the rate ratio (RR) with 95% confidence intervals. Information was obtained from 245 people (76 attenders and 169 contacts) of whom 49 were clinical cases. Five HAstV-4, two HAstV-8 and three non-typable HAstV cases were identified (six from clinical cases and four from asymptomatic infected people). The global AR was 20% (41.2% in children aged < 2 years). Data were obtained from 67 households: 20 households of affected attenders and 47 of non-affected attendees. Household contacts of affected attenders had a higher AR (74.3%) than that of non-affected attendees (2.4%). We found asymptomatic infections amongst daycare attendees. The transmission of HAstV during the outbreak was not limited to the daycare center but extended to household contacts of both affected and non-affected attenders.


1992 ◽  
Vol 62 (2) ◽  
pp. 199-209 ◽  
Author(s):  
Cynthia Ballenger

Teachers often learn techniques to manage the behaviors of the children in their classrooms with the assumption that those techniques are universal, rather than culturally based. In this article,Cynthia Ballenger shares her process of coming to understand the cultural assumptions that lie at the heart of effectively managing her class of four-year-old Haitian children. Through multiple"conversations" with a teacher-researcher group, with Haitian teachers and parents in a daycare center, and through her work with Haitian teachers in a child development class, Ballenger learns about Haitian cultural ways and queries the assumptions that shape her own experience as a North American teacher. Her story demonstrates a model of teacher reflection on both theory and practice that can illuminate the practices of other teachers who encounter children of differing cultural, racial, or class backgrounds.


Satya Widya ◽  
2019 ◽  
Vol 34 (2) ◽  
pp. 138-150
Author(s):  
Catharina Leksananingtyas ◽  
Lanny Wijayaningsih

ABSTRACT   The objective of thisresearch is to find out about the operational requirements of a Daycare Center (TPA) in order to help the TPA Bright Minds Salatiga getting its operational permit. The nature of this research is descriptive qualitative. Subjects of the study are the TPA Bright Minds Management and the Caregivers. Data is collected using observations, documentations, and deep interview methods. The collected data isanalyzed using techniques of data reduction, data presentation and verification. The results showed that there are two main categories of operational requirements, i.e. adminstrative and technical requirements. The administrative requirements include submision of  TPA founder identity, certificate of domicile from the local headman, structure and detailed role of each of the Board members. The technical requirements are legal and valid documents of ownership/leasing rights of the land and buildings, estimated operational costs of the TPA, plan of TPA implementation standards, and some other additional documents. Thus, based on study's results, it is to suggest that the TPA Bright Minds Salatiga, should immediately strategize an application of its operational permit to the authorities.


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