Continuidade e transição do cuidado de crianças com condições crônicas: uma revisão de escopo

O crescimento da disponibilidade de recursos tecnológicos e a mudança no perfil nutricional da população fez com que aumentasse também a sobrevida de crianças com condições crônicas. A atenção à criança com condições crônicas requer uma abordagem diferenciada e especializada, considerando suas especificidades de cuidado e vulnerabilidades. Este artigo apresenta como objetivo conhecer as evidências encontradas na literatura científica nacional e internacional sobre continuidade e/ou transição do cuidado de crianças com doenças crônicas. Para isso, foi realizada uma revisão de escopo nas bases de dados BVS, Pubmed e Scopus em janeiro de 2019, com busca de dados entre 2009 a 2018, utilizando os descritores “Continuity of Patient Care” ou “Transitional Care”, “Child” e “Chronic Disease”. Os critérios de inclusão foram artigos publicados entre 2009 a 2018, nos idiomas português, inglês e espanhol. Enquanto que os critérios de exclusão foram artigos não disponíveis online em formato completo, teses e dissertações, publicações duplicadas e estudos que não contemplassem a temática. Foram selecionados 19 artigos na amostra final, construindo as categorias: Comunicação entre os Serviços na Rede de Atenção à Saúde; Transição do cuidado do hospital para o domicílio; Reospitalizações e sua relação com a continuidade e transição do cuidado; e, Vínculo longitudinal e continuidade relacional. Dentre os achados, as evidências trazem contribuições práticas para a área da saúde, principalmente aos profissionais enfermeiros, visto que apresenta estratégias para o cuidado à crianças com condições crônicas em saúde, além de pontuar dificuldades vivenciadas nesse contexto, evidenciando aspectos que necessitam de melhorias.

Child Sexual Abuse Hysteria

This chapter reviews the phenomenon of “child sexual abuse hysteria” and the series of day care child sexual abuse prosecutions that occurred in the United States from the mid-1980s to the mid-1990s. The charges often involved highly implausible accusations. Suggestive questioning of children, prosecutorial overcharging, and a prevailing social hysteria contributed to a substantial number of innocent defendants being convicted. Psychological research findings informed legal appeals that contributed to the exoneration of more than 50 defendants. The cases presented highlight common features among many child sexual abuse hysteria prosecutions. Considered together, the manufactured and sociogenic nature of the prosecution’s evidence is apparent.

Indoor and Outdoor Air Fungus Bioaerosols in Khorramabad Day Care Child Centers Western of Iran, 2018

Introduction: the aim of this study was to determine the quantity and quality of indoor and outdoor air fungus bioaerosols in Khorramabad day care child centers. Materials and Methods: A total of 180 air samples were collected from 10 centers in 2018. The samples included 7 indoor and 2 outdoor sampling points. The total number of children was 580. Sampling of fungal bioaerosols was performed by the ZEFON pump (ZEFON factory, USA) with a flow rate of 28.3 L/min. The Sabouraud Dextrose Agar containing chloramphenicol was used as the culture medium. Relative humidity and temperature were measured by a Hygro-Thermometer (TES-1360A- Taiwan-made Humidity and temperature meter). Results: The results showed that 96.1 % of the samples were positive and had grown colonies. The highest amount of fungal agents in the indoor air and outdoor air were 175.58 CFU/m3 and 274.56 CFU/m3 in May, while the lowest rates were 3.4 CFU/m3 and 7.8 CFU/m3 in July, respectively. Aspergillus niger and Mucor were the most highly abundant fungus genera, while Fusarium was the lowest one. In all samples, the I/O (indoor/outdoor) ratio was more than 1; so, fungal bioaerosols in indoor environments were dominant than the outdoor fungal bioaerosols. The relationship of fungal bioaerosols with RH and T)°C( was significant (P-value = 0.001). Conclusion: Generally, the amount of contamination is considerable in the studied day care child centers. Therefore, ventilation modification is recommended by a purifier filter. Moreover, the ventilation conditions and favorable air standards should be monitored continuously by supervisory authorities.

A Research on Brand Switching Factors of Millennial Customers on Toiletries

Nowadays toiletries products became essential needs for individuals and there are almost 55 products come under toiletries with variety of categories like skin care, hair care, child care and body care. This study is to investigate the socioeconomic factors of the respondents, buying behavior of customer about toiletries and to investigate the factors that influence the customers when buying toiletries products and also to study the factors that make the millennial customers to switch from one brand to another brand in toiletries products. This study is conducted by survey method, over 100 millennial respondents were surveyed and various tests like percentage analysis, kruskal-wallis test and Friedman test were done. It is also found that the respondents will be loyal to the brand when the brand meets the satisfaction level of the respondents. And when it happens the respondents were ready to suggest the brand to others and influence them to try the brand.