M.Tech. (Homoeopathy) / Upper Respiratory tract viral infections (URTIs), such as influenza and the common cold, are a group of common infections in the human population. They have a seemingly mild nature, but studies have found them to be a major cause of morbidity and mortality worldwide (Wat, 2004). In the western world, the majority of pre-school childrenconsult a doctor for a respiratory infection at least once a year. Conventional medical treatment options are said to be limited, and antibiotics are often unnecessarily prescribed.The frequency of antibiotic prescriptions has caused a resistance of pathogenic bacteria against these antibiotics, and this in turn, has become a major threat to treatment (Schönbeck et al., 2005). A traditional South African herb, Pelargonium sidoides (P. sidoides), has been shown to have antibacterial, antiviral, and immunomodulatory properties in many investigations (Brendler, 2009). No studies have been done to date assessing the efficacy of P. sidoides as a prophylactic for influenza and the common cold in children. This study aimed at establishing the efficacy of Linctagon® Syrup in the prevention of colds and influenza in pre-school children. The study was a double- blind, placebo–controlled study whereby thirty healthy children aged four to six years old were placed into two groups using matched pairs according to gender. Fifteen participants were allocated to the experimental group whereby the Linctagon® Syrup was taken for the duration of the study. The other fifteen participants were allocated in the placebo group for the duration of the study and given a placebo syrup. Parents / guardians were requested to read the Participant Information Leaflet (Appendix B), and sign the Participant Details and Consent Form (Appendix C,) and the participants were requested to sign the Participation of Minor Assent Form (Appendix D). On day 0, the parents / guardians signed the forms and the initial visit took place. The researcher conducted an ear, nose, throat and respiratory examination on each participant and vital signs were measured. The medication was randomised by an independent person at Nativa Laboratories. Each participant received two 150ml bottles of either the Linctagon® syrup or placebo syrup, and parents / guardians were advised on how to administer the medication (Appendix E), by the researcher. The participants were required to take 2.5ml twice daily for a period of sixty days. A Weekly Progress Questionnaire (Appendix F) was handed to the parents / guardians of each child, and they were requested to fill them in over an eight week period. This questionnaire assessed the wellness of the child for the duration of the study and involved a 4-point rating system to assess the severity of symptoms for both influenza and the common cold. Weekly telephone calls were made to the participants’ parents / guardians to follow up on progress. A final visitation occurred on day 60, and included the collection of the questionnaires. The parents / guardians were requested to fill in a score card at the end of the study, rating the effectiveness of Linctagon® Syrup in the prevention of colds and influenza in their child (Appendix G). The data was statistically analysed by Statkon at the University of Johannesburg by means of non-parametric tests, namely: descriptive data, Cochran’s test, Chi-square test, cross tabulation, Mann-Whitney U test and the Friedman test. The research study determined that Linctagon® Syrup did not have a statistically significant effect in the prevention of influenza and the common cold in children, in support of the null hypothesis. Linctagon® Syrup also had no effect on reducing the incidence, frequency or duration of symptoms in those children who became ill, however this may be due to the relativity low dosage prescribed. Further large scale studies are recommended to validate these results.The score card (subjective rating on the efficacy of the syrup) showed a statistically significant result between the two groups, in favour of the treatment group.

Submitted in fulfillment of the requirements for the M Tech: Nursing, Durban University of Technology, Durban, South Africa, 2017. / Child health has always been a global priority for decades; however, despite efforts to reduce the child mortality statistics, 5.9 million children under the age of five years have deceased in 2015. IMCI guidelines are used to assess, classify and treat sick children under the age of five years, however, despite the prevalent use of traditional medicine for this age group of children, the guidelines excludes the use of traditional medicine, hence the tendency exists to ignore such questions being asked. It is this gap in the history taking pertaining to sick children seeking health care at clinics that the researcher has identified, therefore, this study is intended to highlight the use of traditional medicine in children under the age of five years. The researcher’s methodology is a quantitative descriptive study by means of a self- developed structured questionnaire which was handed out to 183 caregivers attending a Gateway Clinic and 324 caregivers at Paediatric Out – Patient Department. The total sample size was 507 caregivers of children under the age of five years. Data was analysed using SPSS version 17. The data derived from this study indicated that although most caregivers would take their sick children to the clinic for first line treatment, there are a significant number who would rather use home remedies or seek care from traditional healers. The study reveals that 28.5% of caregivers were found to be administering traditional medicine with conventional medicine and 17.4% would do so concurrently. Evidence also revealed that 75.7% of the caregivers would disclose the use of traditional medicine for their children only if nurses enquired about it. Recommendations arising from the study findings are that the IMCI guidelines should incorporate a classification chart for use by health care professionals in order to identify children who were treated by traditional medicine preferably as “RED” - requiring urgent attention and possible admission to hospital, in view of the potential threat to life. Since the IMCI guidelines are also a teaching tool in nursing curricula, the assessment of sick children using traditional medicine will be incorporated into the formal teaching of nurses. Key words used were Integrated Management of Childhood Illnesses, effects and use of traditional medicine on children. / M

Fitness performance of southern British Columbia Indian children as measured by the Canadian Association for Health Physical Education and Recreation Fitness-Performance Test was studied to determine the following. 1. Were there any significant differences between the fitness performance of the Indian children tested and the fitness performance of other Canadian children? 2. Were there any significant differences between the fitness performance of the Indian children who attended provincial schools and those who attended Indian schools? 3. Were there any significant differences between the fitness performance of the Indian children who lived in residence and those who lived at home? The CAHPER Fitness-Performance Test was administered to 651 Indian children between the ages of eight to seventeen years. The subjects were students of selected Indian schools or were living in Indian residential schools selected for this study. The significant differences found which showed the Indian children to have better performances were concentrated in three test items: the flexed arm hang, the shuttle run, and the fifty yard run. The CAHPER mean scores which were found to be significantly better were concentrated in two test items: the standing broad jump and the one minute speed sit-up tests. In the comparison of the fitness performance of Indian children attending provincial schools with the Indian school students, all of the significant differences found indicated a superior performance by provincial school students. Only one significant difference was found which favoured the Indian children who lived at home. Significantly better scores for Indian children who live in residence were found on all test items. / Education, Faculty of / Curriculum and Pedagogy (EDCP), Department of / Graduate

The purpose of this study was to compare the motor performance and physical fitness of children living in a high density area to that of children living in a low density area. It was hypothesized that children from the Vancouver West End score lower than children from Vancouver and children from Canada on the Canadian Association of Health, Physical Education, and Recreation (CAHPER) Fitness Performance Test; that children from apartment floors four to twenty score lower than children living below the fourth floor on the CAHPER Fitness Performance test and the Crawford and Virgin tests; and that there is no difference between the motor performance scores of the children from the West End and the motor performance scores of the children from North York. The elementary school population of the Vancouver West End district was selected to be tested on motor performance and physical fitness test items. The CAHPER Fitness Performance Test and a battery of tests previously used by Crawford and Virgin in North York Ontario were used in the testing. The scores recorded were then compared to the Vancouver CAHPER norms, the Canadian CAHPER norms and the test scores recorded by Crawford and Virgin in their North York study. The findings indicated that West End elementary school age children score lower than Vancouver elementary school age children on the CAHPER Fitness Performance test; that the children living in the West End fall behind their peers in Vancouver in leg power and speed between the ages of seven and twelve; that the girls from the West End do not develop in their agility and cardiovascular endurance at a normal rate; that there was no difference between the scores of the children living on floors one to three and the scores achieved by children living on floors four to twenty; that no difference was found in the motor performance scores of children living in the West End and the scores of the children from North York; that the Fitness Performance scores improve as a child grows older at least to the age of twelve; and that males score higher than females on the CAHPER Fitness Performance test at the same age level. / Education, Faculty of / Curriculum and Pedagogy (EDCP), Department of / Graduate

At present not enough is known about the health of preschool children in the poorer communities of Cape Town. This study, was undertaken to assess the health and health care of preschool children in one such community: that of the Hout Bay harbour township. A clinic and community-based surveillance programme was devised to make this assessment. Data were obtained by monitoring the records at the Community Health Centre in the township. A study sample of 214 children from the community was also selected by random stratified cluster sampling. This sample was assessed by means of a questionnaire and a full physical examination. Analysis of data was performed on the IBM main-frame computer. A large number of medical problems were identified on screening the community sample. Most of these problems were minor ones and could be managed appropriately at the Health Centre. On the basis of the referral patterns and the small number of newly diagnosed functionally important health problems, the provision of health care in-the area was considered to be adequate. The high immunisation rate in the preschool children and the excellent attendance figures at the child health clinics indicates that the services provided are well utilised by the population. Dental caries was found to be a major health problem in the area. A strong case for the introduction of a dental health educational programme and for the fluoridisation of drinking water can made on the basis of these findings. An ongoing health screening programme would be beneficial. It could be accomplished by utilising appropriately trained nursing personnel.

The study conducted in the rural area of the province of Imbabura included a total of 518 families that when compared with the estimated sample of 96%, 42.7 % corresponding to the indigenous ethnic group, 28.15% to Black and 25% to mixed-race ethnic groups, these differences of involvement between ethnic groups is due to the fact that the indigenous population is greater than the two remaining populations. Of the 518 families studied they were able to obtain a total of 794 children younger than 5, in which 48.5% pertaining to the male sex and 51.4% to the female sex. In linking the number of participating families and the number of children studied we were able to find that mothers have 1 to 2 children younger than the age of 5 in every family. In evaluating the nutritional state of the 794 studied children, 47.09% were found to have global malnutrition (P/E), 67.26% presented a chronic malnutrition that is to say a lower height for their age, whereas 13.97% presented an acute malnutrition, a percentage that doesn’t attract attention due to what I have already noted previously with children presenting low height and weight for their age when using the indicated weight/height, the nutritional state of the children is appropriate. The nutritional state of children under the age of 5, by considering the indicators of weight/age and height/age, identified the indigenous ethnicity having major problems of malnutrition (54% and 80.97%) respectively, while the two remaining ethnic groups have presented similar percentages. The opposite occurs with the indicator of weight/height, which detected that the Black ethnic group presented a major nutritional deterioration (24%) unlike the other two ethnic groups, we believe that this difference is due to indigenous children presenting a diminished height, consequently when we use the indicator of weight/height, an adequate weight for height is presented. According to the magnitude of diarrheal processes we find that 28.34% of children presented EDA, the indigenous ethnicity being that with the highest percentage (12.84%) in relation to the other two ethnic groups. According to the severity of the diarrheal processes, light EDA presents the highest percentage with 62.67%, with the indigenous ethnicity being affected the most, moderate EDA presents a 34.22% similarly affecting the indigenous ethnicity and severe EDA presents a 3.11% with the mixed-race ethnicity being the most affected. Relating the nutritional state with acute diarrheal illnesses, considering the indicators of weight/age and height/age, we find that the indigenous population is mostly affected in nutritional state as well as in the presence of EDA. Malnourished children present a higher number of diarrheal processes. Considering the indicator of weight/height, diarrhea is more frequent in children with a normal nutritional state, with the Black ethnicity that which presents the greater percentage of EDA in normal and malnourished children. For this reason, it is urgent that national programs of health and alimentation are defined and implemented in order to combat the nutritional problem and ensure an adequate supply of food for the whole population, improving the conditions of health and environmental sanitation in order to reduce the high rates of malnutrition, diarrhea and acute respiratory infections.

The present study examined the separate effects of an educational program, feedback, and a token economy on the rate of brushing and flossing in the home environment.

The general objective of this work was to offer nutritional food and health education using instructive lessons that were prepared based on the diagnostic of knowledge among teachers and children in the School of La Rinconada. The study is descriptive-cross performed from October 2000 to June 2001. The universe of study is 100% of teachers and children attending schools in the communities of La Rinconada and Cuambo, totaling 104. The considered variables are diet, nutrition, and health-related topics. These variables contemplate the elementary education plan of study, besides providing training to students and teachers. Because the project was developed primarily for educational purposes, the lessons were customized for each community. Ten lectures were taught. These lectures are composed of the following parts: topic, addressee, message, objective, technique, materials, preliminary preparation, initial evaluation, class development, revision, reinforcement, final evaluation, and analysis. The pamphlets of the Healthy Schools (Escuelas Saludables), which became the main source of instruction, were used as the supporting educational material.

The rural communities of the province of Imbabura present multiple problems of environmental, educational, and economic kind. Previous studies show that the rural communities of the Ecuadorian population present serious problems of health and nutrition, among those that excel are: poliparasitosis, respiratory infections and diarrheal, malnutrition, deficiency of micro nutrients, sanitary deficiency, scarce economic resources and low level of instruction. All these factors have caused a decrease in the productive capacity of the country and affected their level of development. In addition, delay exists in size in the students, which leads to a decrease in the capacity for physical work, alterations of mental development and frequent repetitions of the school grade. The malnutrition is a product of biological, social and environmental factors directly influence good health, intellectual development and academic performance. In the province of Imbabura, there is no up to date information relating to diet, nutrition and some aspects of the health of the students. Therefore it has been considered important to perform a food, nutritional and health diagnosis that contributes to the planning and development of actions that will improve the situation.

The problem in general is to investigate whether or not there is a relationship between certain specific health factors in the individual preschool child and his personal relationships with other children.