The present study constitutes an attempt to observe and measure the emotional responses of young children to hospitalization and surgery. There has been much inquiry and comment from psychiatric and medical sources which suggests that this experience may be seriously traumatic for some children, and social workers are rightly concerned about the possibilities of modifying the frightening aspects of hospital routines on the basis of their knowledge of children's emotional needs. A sample group of children (20) referred for tonsillectomy and adenoidectomy by the Ear, Nose, and Throat Clinic of the Vancouver General Hospital was studied. The mother of each child was interviewed, three months after the hospitalization of her child, on the basis of a comprehensive questionnaire designed to determine the child's behaviour before and after surgery, including his usual reactions to punishment and the nature of the punishment. Relevant references by medical and social workers were studied, including the Albany Research Project which was a notable example of team research by a paediatrician, an anaesthetist, a psychiatrist, and a social worker, to establish patterns of child's reactions to the same operation in the Albany Hospital. Similar methods of assessing adjustment by measuring neuropathic traits before and after the experience were used. In the present study, special emphasis was laid upon ascertaining the nature of the mother-child relationship and the degree of anxiety around separation. Some follow-up was also incorporated. The same wards were observed five years later and differences in setting, policy, and procedures were noted and evaluated in terms of the earlier findings. It was found that ten of the twenty children suffered a severe emotional setback as a result of their illness and hospitalization. It was also observed that many of the children confused surgery with punishment and many had unrealistic ideas about the purpose of hospitalization. It is suggested that poor preparation contributed to this confusion, and that unimaginative methods of applying standard hospital procedures to small patients often confirmed fears and anxiety. Because the child's reaction to hospitalization is essentially based on the quality of his relationship with his mother, it is concluded that surgery should be postponed, if possible, until after five years of age; or, where postponement is impossible, mothers should be able to accompany young children to hospital. Some modifications in hospital routines applicable to children in hospital are suggested. The later observation of Vancouver General Hospital showed great changes in setting and policy, especially in regard to visiting, but found the two major procedures of admitting to hospital and preparation for anaesthesia and surgery virtually unchanged. / Arts, Faculty of / Social Work, School of / Graduate

M.Tech. (Homoeopathy) / Acute tonsillitis is inflammation of the tonsils, caused by a bacterial or viral infection. In most cases it is caused by a viral infection (Clarence & Sasaki, 2008), which is a common cause of upper respiratory tract infections in children (Baker et al., 2012). Tonsillitis is one of the most common causes of absenteeism in school children, which affects school performance (De Martino & Ballotti, 2007). Conventional treatment for viral tonsillitis include anti-inflammatory drugs, which does not actively treat the condition and may cause side effects (Clarence & Sasaki, 2008; Cocazza et al., 2001; Roxane & Nahata, 2006) such as bruising, skin rash, tinnitus, oedema, dyspepsia, depression, nervousness, insomnia, pruritis, visual disturbance, renal failure and gastrointestinal irritation which can result in bleeding (Rainsford, 2003; Scherer, 2012; Snyman, 2007). Tonzolyt® is a commercially available homoeopathic complex remedy indicated for both acute and chronic tonsillitis and sore throat. However, there is a lack of research to support its effectiveness (Herbaforce, 2010). The aim of this study was to determine the efficacy of the homoeopathic complex Tonzolyt® on the symptoms of acute tonsillitis in black children attending a primary school in Gauteng. A Wong-Baker Face Pain Rating Scale measured pain intensity and a modified Semi-quantitative Basis Scale assessed changes in signs and symptoms of tonsillitis. This was a double-blind, placebo-controlled study conducted over six days with daily follow-up assessments. Thirty participants, aged 6-12 years, suffering from acute viral tonsillitis, were recruited from a primary school in Gauteng. Parents / guardians were informed about the study by means of a letter (Appendix H). Attached to the letter there was an information form (Appendix A), as well as a Participant Profile form (Appendix D) to fill in, and a consent form (Appendix B) to sign. Parents / guardians and teachers were requested to refer children who showed signs of tonsillitis to the researcher. The researcher was available on the school premises on...

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado. / Introduction: Approximately, one in three Peruvian children aged 6 to 59 months old have anaemia. Maternal depression, which may be disabling and affect the proper care of children, is associated with chronic malnutrition in their offspring. Therefore, the aim of this study is to evaluate if there is an association between depressive symptoms of mothers with the presence of anaemia in their children. Methods: Analytical cross-sectional study of the Peruvian Demographic Health Survey 2015, which is nationally representative. Depressive symptoms were measured with the Patient Health Questionnaire-9 (PHQ-9) using a score of 10 as cut-off. The presence of anaemia was measured using HemoCue® and was considered positive when the haemoglobin was less than 11 g/dl. Results: Crude and adjusted prevalence ratios (PR and aPR) were calculated with 95% confidence interval (CI), using generalized linear models of the Poisson family. We analysed 6683 mother–child binomials. The prevalence of anaemia in the children and depressive symptoms in women were 28.7% (95% CI: 27.3–30.2) and 6.9% (95% CI: 6.1–7.9), respectively. We found no statistically significant association between these variables in the bivariable analysis or in the different multivariable models (aPR: 1.05, 95% CI: 0.85–1.30). The sample did not have moderate or severe malnutrition. Conclusions: There is no statistically significant difference between the prevalence of anaemia in children of mothers with or without depressive symptoms. We recommend continuing research in this field to determine more associate factors to childhood anaemia in order to improve primary prevention interventions. Ideally, conducting longitudinal studies such as prospectives cohorts to determine risk factors should be done. / Revisión por pares

A 21-day metabolic balance study was designed to test the hypothesis that dietary zinc level affects protein utilization in growing children. Subjects' mean age was 8 years 5 months, mean weight was 29.5 kg, and mean height was 132.1 cm. The subjects were divided on the basis of weight into four treatment groups following a 2x2 factorial experimental design. After an eight day adjustment period in which all subjects consumed a mixed diet known to contain 28.8 g protein, 5.5 mg zinc, and 2,000 Kcal, the four treatments were administered for 12 days. One group was supplemented with the essential amino acids found by analysis to be most limiting with respect to whole egg protein. Threonine, valine, methionine, isoleucine, and lysine were added in amounts to reach a chemical score of 80 based on whole egg protein. The sources and amounts of nitrogen were: food, 4.18 and supplements, 0.14 g/day. One group received these same amino acids plus a zinc supplement of 5.0 mg/day. One group received an isonitrogenous amount of ammonium citrate matching the nitrogen contained in the amino acids supplement. The last group received the isonitrogenous amount of ammonium citrate plus 5.0 mg zinc. All supplements were given daily and were incorporated into meals. All urinary and fecal excretions were collected and analyzed for nitrogen and zinc. Nitrogen analysis was accomplished using a modified Kjeldahl-Gunning-Arnold method and zinc was determined spectrophotometrically on wet-ashed samples. Nitrogen retentions for the four groups were: amino acids plus zinc, 1.00; amino acids, 1.01; ammonium citrate, 0.90; and ammonium citrate plus zinc, 0.81 g/day. Analysis of variance on the balance data from the four groups showed no effect of zinc, added essential amino acids or the interaction of the two on the nitrogen balance of the subjects, although the trends of retention favored amino acids. There was a significant effect (p<.01) of added zinc on zinc balance, however. It was concluded that zinc did not affect nitrogen utilization in the growing child, but that zinc balance is affected by zinc quantity in the diet. The present Recommended Dietary Allowance of 10 mg zinc/day for this age group is the minimum necessary to maintain positive zinc balance. / Ph. D.

This thesis is a record of the results of a study made to obtain information about the relation of food, rest, and recreation to the height and the weight of the children in the fifth grade of Winnetka School, Dallas, Texas. The purpose of the work was three-fold: (1) to gain a better understanding of the nutritive value of foods and thereby put this understanding into practice; (2) to recognize the three essentials of good health: namely, diet, rest, knowledge of health rules; (3) and to create a desire to practice them.

The Monterey School Diabetes Prevention Project's (MSDPP) ENERGY Club is a pilot project for school-based health prevention curriculum targeting students with risk factors for diabetes. ENERGY is an acronym for Exercise 'n Eating Right is Good for You.

This research study was designed to investigate the relationships of stress, anxiety, self concept, social support and illness in children and to examine the potential of specific cognitive mediating variables, self concept and anxiety, and an external mediating variable, social support and an interaction between self concept and social support, to significantly increase the efficiency of stress as a predictor of children's illness. The purposes of this study were (1) to determine if stressful life events, anxiety, self concept, social support, sex and illness are related in children, (2) to determine if stressful life events are an adequate predictor of illness in children, (3) to determine if a combination of anxiety, self concept and social support will increase the predictive efficiency concerning illness in children, (4) to provide information that may help develop a theoretical base concerning stressful life events and illness in children, and (5) to provide information that may be beneficial with regard to future research involving stress, anxiety, self concept, social support, sex and illness in children.

Schoolbag carriage represents a considerable daily occupational load for children (Negrini et al., 1999). Whittfield et al., (2001) and Puckree et al., (2004) have reported that the carriage of heavy schoolbags is a suspected aetiological factor of the daily physical stress of school pupils. Methods: One hundred and eighty-seven pupils voluntarily participated in a controlled, descriptive, epidemiological retrospective study. Subjects’ biographical, epidemiological, exercise history and lifestyle information was gathered by a self-report questionnaire (adapted from Puckree et al., 2004). Subjects’ body mass, stature and mass of their schoolbags were measured using a Detecto stadiometer scale. Digital images, electromyographical muscular activity and a posture profile assessments were captured in the frontal and sagittal planes whilst the pupils were in the loaded (carrying a schoolbag) and the unloaded phases (not carrying schoolbags). These images were analyzed using biomechanical software, Dartfish. The study being retrospective in nature recorded the prevalence of schoolbag carriage musculoskeletal pain over the last 12 months. Descriptive statistical tests such as mean, mode, frequency, percentages and inferential chi-square statistical test (set at a probability of 0.05) were employed to analyze the data. Results: The result indicated that 78.99% of the cohort experience musculoskeletal pain due to schoolbag carriage (p<0.0001). The most prevalent anatomical sites of pain were the shoulders (37.04%), neck (20.37%), lumbar (11.73%) and thorax (10.49%) (p<0.0001). The mean mass of the schoolbag carried by the cohort was 5.45kg which was approximately 11.5% of their body mass. The predisposing factors of the musculoskeletal pain were the methods employed to carry the schoolbag (single strap (20.21%) versus double straps (76.6%), altered posture due to excessive schoolbag mass together with a reduced craniovertebral angle (p<0.05). Discussion & Conclusion: The excessive schoolbag mass carried by the pupils placed strain on the immature vertebral column of these pupils thus causing postural deviations which induced musculoskeletal pain and discomfort. / Thesis (M.Sport Sc.)-University of KwaZulu-Natal, Westville, 2011.

Thesis (MCur)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: Member states of the United Nations accepted eight Millennium Development Goals in 2000. Millennium Development Goal number four addresses the improvement of child health. The purpose of goal number four is to decrease the child mortality rate by 60% for the period 1990 to 2015. South Africa is one of twelve countries where the incidence of child mortality increased during this period. Guided by the research question “What are the experiences and perceptions of mothers utilizing child health services”, a study was done. A qualitative, descriptive phenomenological methodology was applied to explore the experiences and perceptions of mothers utilizing child health services for children younger than two years. The goal of this study was to determine the experiences and perceptions of mothers utilizing child health services. The objectives were to explore their experiences and perceptions, with specific reference to the service they receive regarding: - immunization - nutrition assessment - the growth of the child - the growth chart - other underlying illnesses Ethical approval was obtained from Stellenbosch University and various health authorities. Validity was assured by adhering to the principles of trustworthiness, namely credibility, transferability, dependability, and conformability. The population for this study was mothers who utilized ten clinics in a demarcated area of Cape Town for child health services. Purposive sampling was utilized to consciously select three clinics (N =10), and at each of the clinics four mothers were purposively selected to participate. A total of seventeen mothers participated in the study. An interview guide was used to conduct interviews with participants. The researcher conducted and recorded the interviews after obtaining written informed consent from each participant. A field diary was kept for notation of observations. Data analysis involved the transcribing of digitally recorded interviews, the coding of the data, the generating of themes and sub-themes, interpretation and organization of data and the drawing of conclusions. The Modeling Role-Modeling Nursing theory of Erickson, Tomlin and Swain were utilized as conceptual theoretical framework to facilitate application to the broad population. Findings of the study indicated varied experiences. All mothers did not receive information about the RtHB or RTHC. Not all mothers developed a relationship of trust with caregivers or were afforded the respect of becoming part of the child’s health care team. According to the mothers integrated child health care services were not practised. The consequences were missed opportunities in immunization, provision of Vitamin A, absence of growth monitoring, feeding assessment and provision of nutritional advice. Hospitals and private practitioners equally did not provide immunization services or offered holistic care. Simple interventions such as oral rehydration, early recognition and treatment of diseases, immunization, growth monitoring and appropriate nutrition are not diligently offered; that could reduce the incidence of child morbidity and mortality. The following recommendations are made: determine why hospitals do not immunize children. The root causes must be addressed to change practice. Rendering of child services must happen in an integrated approach. Staff must be empowered with skills regarding procurement, in particular regarding vaccines. / AFRIKAANSE OPSOMMING: In 2000 het die lidlande van die Verenigde Volke Organisasie die Millenium Ontwikkelingsdoelwitte aanvaar. Die Millenium Ontwikkelingsdoelwit nommer vier roer die kwessie van kindergesondheid aan. Die strategie om die voorkoms van kindersterftes met 60% te verminder vanaf 1990 tot 2015 is die vierde millenium doelwit. Suid Afrika is een van twaalf lande in die wêreld waar die kindersterftes vir hierdie tydperk toegeneem het. ‘n Studie is gedoen om te bepaal “Wat die ervaring en persepsies van moeders is wat van kindergesondheidsdienste gebruik maak. ‘n Kwalitatiewe, beskrywende, fenomenologiese studie is gedoen,om die ervaring en persepsies van moeders wat kinders jonger as twee jaar na klinieke geneem het, te bepaal. Die doel van die studie was om die ervaring en persepsies van moeders ten opsigte van kindergesondheidsdienste vas te stel. Spesifieke doelwitte was die bepaling van die ervaring en persepsies rondom: - immunisasiedienste - groeimonitering - voedingsvoorligting - die groeikaart - behandeling van siektes Etiese goedkeuring was verkry vanaf die Universiteit van Stellenbosch en die verskeie gesondheidsowerhede. Geldigheid van die studie is verseker deur die beginsels van geloofwaardigheid na te kom naamlik, aaneemlikheid, betroubaarheid, oordraagbaarheid en inskiklikheid. Die bevolking betreffende die studie was moeders wat kliniekdienste gebruik het vir hulle kinders in ‘n spesieke area van Kaapstad, bestaande uit tien klinieke. Drie klinieke (N=10) is doelgerig geselekter vir deelname. Vier moeders is doelgerig by elk van die drie klinieke geselekteer vir deelname. Onderhoude is met sewentien deelnemers gevoer. ‘n Onderhoudsgids is gebruik en die navorser het rekord gehou van waarnemings. Die navorser het onderhoude gevoer en opgeneem na skriftelike toestemming daarvoor van elke deelnemer verkry is. ’n Veldwerkdagboek is gehou van alle waarnemings. Data-analise het behels: digitale opnames wat woordeliks beskryf , tematies ontleed en geïnterpreteer is en volgens temas georganiseer is. Toepassing na die breër populasie is bevorder deur die gebruik van die verpleegteorie van Erickson, Tomlin en Swain. Bevindinge van die studie het getoon dat moeders verskillende ervaringe gehad het. Nie alle moeders het inligting ontvang omtrent die RtHB of RTHC nie. Nie alle moeders het vertroue in die kliniek nie en moeders word nie erken as bepalende faktore in die sorgspan nie. . Volgens die moeders is geïntegreerde gesondheidssorg nie beoefen nie. Die gevolge is dat geleenthede nie benut word om te immuniseer nie, vitamien A te verskaf, groei te kontroleer, voeding te bepaal en voedingsadvies te verskaf. Die voorraadvlakke van entstof word nie oral doeltreffend beheer nie. Hospitale en dokters beoefen nie altyd immunisering en holistiese kindergesondheidsdienste nie. Eenvoudige intervensies, wat die voorkoms van kindermorbiditeit en kindermortaliteit kan bestry, word nie verskaf nie. Voorbeelde van sulke intervensies is mondelinge rehidrasie, vroeë diagnose en behandeling van siektes, immunisering, groeimonitering en geskikte voedingsinligting. Daar word aanbeveel dat daar indringend bepaal word hoekom hospitale nie kinders immuniseer nie en dat die oorsake aangespreek word. Integrasie van dienste by klinieke moet as prioriteit gesien en geïmplimenteer word. Personeel se vaardighede betreffende beheer van voorraad moet verbeter word, veral t.o.v. entstof voorraad.

Thesis (MScPhysio (Physiotherapy))--University of Stellenbosch, 2007. / Objective The objective of this study was to establish the reliability and validity of a Portable Posture Analysis Method (PPAM). Design The design for the reliability section was a repeated measures observational study and the design for the validity section was a correlation study. Background The prevalence of spinal pain among high school learners is high (Murphy et al, 2002). It is also notable that the prevalence of back pain increases across the teenage years (Grimmer & Williams 2000, Burton et al 1996). In South Africa, the preliminary findings of a study conducted by a Physiotherapy masters candidate (Ms L Smith: ethics nr. N05/09/164) indicates that about 74% of high school learners in Cape Town complained of musculoskeletal pain. Posture has been identified by some researchers to be a primary predictor of the development of spinal, particularly upper quadrant pain among computer users (NIOSH 1997, Vieira et al 2004). Measurement of posture poses a real challenge to researchers wanting to accurately evaluate posture in research projects. Considering the practical implications in measuring posture, the validity and reliability of posture measurement are often reported to be poor. Many of these methods of indirect assessment of working posture have been reported on in the literature. These measures include; the goniometer, inclinometer, flexible electrogoniometer, flexicurve and photography (Harrison et al 2005, Christensen 1999, Nitschke et al 1999, Chen & Lee 1997). ...