Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-04-13T18:07:22Z No. of bitstreams: 1 shislleneleitepedroso.pdf: 1372597 bytes, checksum: 8989dbf079f0f37984468f44c1bf5c49 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-04-24T03:21:23Z (GMT) No. of bitstreams: 1 shislleneleitepedroso.pdf: 1372597 bytes, checksum: 8989dbf079f0f37984468f44c1bf5c49 (MD5) / Made available in DSpace on 2016-04-24T03:21:23Z (GMT). No. of bitstreams: 1 shislleneleitepedroso.pdf: 1372597 bytes, checksum: 8989dbf079f0f37984468f44c1bf5c49 (MD5) Previous issue date: 2015-10-26 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / O presente trabalho discute as perspectivas e os desafios postos no atendimento a crianças e adolescentes que sofreram violência sexual no município de Juiz de Fora (MG). Partindo do ponto de análise das políticas sociais (Estado e sociedade civil), que constituem um conjunto de ações voltadas à proteção e defesa de direitos destes sujeitos, aborda a fluidez e as tensões presentes no fluxo de atendimento da rede socioassistencial designada a esta demanda. Por isso, a compreensão teórica da violência sexual e desta como alvo das políticas sociais é parte fundamental do trabalho, abordando o amadurecimento do Estado brasileiro quanto ao reconhecimento das necessidades da infância e juventude enquanto sujeitos de absoluta prioridade e alvos da proteção social. A isto, soma-se uma reflexão teórica sobre o fenômeno, sustentada em autores que problematizam a sua reprodução nas relações sociais (assimétricas), a se considerar as estruturas de poder e de hierarquia, bem como as desigualdades nas relações de geração, de gênero, classe e etnia. Nosso objetivo consiste em identificar e analisar as instituições que compõem a rede socioassistencial, no que concerne às atividades e procedimentos realizados, características materiais, objetivos, tipos de serviços ofertados e os fluxos percorridos pelos usuários e suas famílias. Através de uma pesquisa qualitativa, aplicada por meio da realização de entrevistas semiestruturadas com coordenadores de instituições ou projetos relacionados ao objeto de estudo, se orienta a traçar um panorama da política de atendimento percorrendo desde o momento de notificação e denúncia, até os serviços prestados no âmbito do atendimento. Este último, na perspectiva que adotamos, compreendendo a atenção física, jurídica, psicológica, econômica e social prestada a todas as pessoas envolvidas em situação de violência sexual. Assim, esta dissertação prioriza a realização de um mapeamento dos caminhos percorridos pelos usuários e suas famílias no processo de atendimento ofertado através de políticas sociais, tendo por referência a proteção que preconizam os arranjos políticos e legislações protetivas da infância e juventude. / This work discusses the prospects and challenges posted in the care for children and teenagers who have suffered sexual violence in the city of Juiz de Fora (MG). From the analysis of social policies (government and civil society), which form a set of actions aimed at protecting and defending the rights of these individuals, it addresses the fluidity and tensions present in the flow of the social assistance network assigned to this demand. Therefore, the theoretical understanding of sexual violence and this targeting of social policies is a fundamental part of the work, addressing the maturing of the Brazilian State regarding the recognition of children's needs and youth as subject of absolute priority and targets of social protection. We have to add to it a theoretical reflection about the phenomenon, sustained in authors that question its reproduction in social relations (asymmetric), to consider the structures of power and hierarchy, and inequalities in the relations generation of gender, class and ethnicity. Our goal is to identify and analyze the institutions that make up the social assistance network, with respect to undertaken activities and performed procedures, material characteristics, objectives, types of offered services and flows that were covered by users and their families. Through a qualitative research, applied by conducting semi-structured interviews with coordinators of institutions or projects related to the subject matter, this study is oriented to give an overview of the assistance policy covering from the moment of notification and complaint until the services provided in the scope of attendance. This last one, with the view that we have adopted, including physical care, legal, psychological, economic and social provided to all persons involved in situations of sexual violence. Thus, this thesis gives priority to carrying out a mapping of the paths taken by users and their families in the care process offered through social policies, with reference to the protection that defend political arrangements and protective legislation for childhood.

Magister Artium (Psychology) - MA(Psych) / The absence of a suitable measure to assess the health related quality of life (HRQoL) of children and adolescents in South Africa, led to the use of the KIDSCREEN-52 questionnaire in this study. This questionnaire was developed and standardised in Europe and it assesses quality of life from the subjective perception of children and adolescents in terms of their physical, mental and social well-being. The use of assessment measures with different populations or in different milieu from the original standardisation context necessitates establishing the validity of such measures for the new utilization context. Thus, the aim of this quantitative study is specifically directed at examining the construct validity of the KIDSCREEN-52 within a South African context. Accordingly, this study is located within the theoretical framework of construct validation theory. Data for this Secondary Data Analysis study was drawn from the “Impact of Hope and Exposure to Community Violence on children’s perception of Well-being” study. The primary study employed stratified interval criterion sampling to select 565 grade 9 learners, aged 14-18 from six public schools. The dataset for the current study comprised all participants (N=565) of the broader study. As the initial step in validation of the KIDSCREEN-52 within South Africa, the current study examined the factor structure of the KIDSCREEN-52 within this context by means of exploratory factor analysis using principal component analysis with oblimin rotations. It also assessed the internal consistency reliability of each of the scales using Cronbach’s alpha. Exploratory factor analysis revealed the same 10 factors as identified by previous European studies with some deviation in the last two factors, which warrants further examination. Internal consistency of the measure was shown to be acceptable, with Cronbach’s alpha values ranging from 0.76 to 0.81 for the 10 scales. / South Africa

Submitted by Nadir Basilio (nadirsb@uninove.br) on 2018-07-19T18:00:13Z No. of bitstreams: 1 Maryjôse Carvalho Mello.pdf: 1188091 bytes, checksum: 04ca69726dabd228dc801e0754bbb389 (MD5) / Made available in DSpace on 2018-07-19T18:00:13Z (GMT). No. of bitstreams: 1 Maryjôse Carvalho Mello.pdf: 1188091 bytes, checksum: 04ca69726dabd228dc801e0754bbb389 (MD5) Previous issue date: 2017-12-18 / Asthma is a chronic inflammatory disease of the airways, such as children and adolescents. In this sense, active video games (VGA) and resistance exercise have been gaining prominence as a form of training in this age group, promoting adhesion, motivation, reduction of pulmonary inflammation, muscular strength gain and energy expenditure. Thus, the objective of this study was to evaluate whether the increase of aerobic (combined) exercise reduces a pulmonary inflammation and improves clinical control in children and adolescents as trainers more effectively than only aerobic training with VGA. This is a randomized, blinded clinical trial with no registry Clinical Trials.gov: NCT03014154, 30 children and adolescents were randomly assigned to a VGA group using XBOX 360 Kinect Adventure "Reflex Ridge" (VGA group) and unladen exercises and VGA group associated with resistance exercise (VGAR group) with intensity 3 sets of 15 repetitions, with 50% of 1 RM. The training period lasted 8 weeks and involved 2 weekly sessions of 1 hour and 10 minutes, 10 minutes. heating, 30 min. of VGA, 20 min. of exercises and 10 min. the elongation. Pulmonary inflammation, pulmonary function, peak flow, respiratory muscle strength, as anthropometric variables, clinical control questionnaires and quality of life, physical fitness and peripheral muscular strength of the participants before and after the training were evaluated. The results, involving 27 study participants (13 VGA and 14 VGAR) showed reduction in lung inflammation in both groups (clinically important) but the effect size (TE) for reduction of FeNO in the VGA group was 0 , 47 (small) and in the VGAR group was 0.68 (mean). In TCP it occurred in the test week, velocity, slope and distance traveled only in the VGA group. And in the VGAR group, improvement in physical fitness and rapid cardiovascular return to basal condition by HR recovery after the test (TE = 0.90) was higher in relation to the VGA group (TE = 0.41). Maximum load increase after 1RM test (MMSS from 2 kg to 4 kg (TE = 1,28) and MMII from 30 kg to 51 kg (TE = 1,09)) was also higher in the VGAR group. In both groups, there was improvement in quality of life and better clinical control of the disease, and no participants in both groups were not in exercise-induced bronchospasm during the sessions. These results allowed us to conclude that combined training is more effective in reducing pulmonary inflammation and allows an improvement in quality of life, clinical control of the disease, aerobic fitness, physical fitness and muscular strength in children and adolescents. / A asma é uma doença inflamatória crônica das vias aéreas, as crianças e os adolescentes asmáticos têm menor tolerância ao exercício físico. Neste sentido, os videogames ativos (VGA) e o exercício resistido vem ganhando destaque como forma de treinamento nesta faixa etária, promovendo adesão, motivação, redução da inflamação pulmonar, ganho de força muscular e gasto energético. Sendo assim, o objetivo deste estudo foi avaliar se o acréscimo do exercício resistido ao aeróbio (combinado) reduz a inflamação pulmonar e melhora o controle clínico em crianças e adolescentes asmáticos de forma mais eficaz do que apenas o treinamento aeróbio com VGA. Trata-se de um Ensaio clinico controlado, randomizado, cego, com registro no Clinical Trials.gov: NCT03014154, para tal, 30 crianças e adolescentes foram avaliados e alocados de forma randomizada, para um grupo de VGA utilizando o XBOX 360 Kinect Adventure “Reflex Ridge” (grupo VGA) e exercícios sem carga e um grupo de VGA associado a exercício resistido (grupo VGAR) com intensidade 3 séries de 15 repetições, com 50% de 1 RM. O período de treinamento durou 8 semanas e envolveu 2 sessões semanais de 1 hora e 10 minutos, sendo 10 min. de aquecimento, 30 min. de VGA, 20 min. de exercícios e 10 min. de alongamento. Foi avaliado a inflamação pulmonar, função pulmonar, peak flow, força muscular respiratória, as variáveis antropométricas, questionários de controle clinico e qualidade de vida, aptidão física e força muscular periférica dos participantes antes e após os treinamentos. Os resultados, provenientes de 27 participantes que completaram o estudo (13 VGA e 14 VGAR) mostraram redução na inflamação pulmonar em ambos os grupos (clinicamente importante) porém o tamanho do efeito (TE) para redução da FeNO no grupo VGA foi de 0,47 (pequeno) e no grupo VGAR foi de 0,68 (médio). No TCP houve aumento na duração do teste, velocidade, inclinação e distância percorrida apenas no grupo VGA. E no grupo VGAR, melhora do condicionamento físico e rápido retorno cardiovascular a condição basal pela recuperação da FC após o teste (TE=0,90) foi maior em relação ao grupo VGA (TE=0,41). O aumento da carga máxima após teste de 1RM (MMSS partindo de 2 kg para 4 kg (TE=1,28) e MMII de 30 kg para 51 kg (TE= 1,09)) também foi maior no grupo VGAR. Em ambos os grupos houve melhora da qualidade de vida e melhor controle clinico da doença, além de nenhum participante de ambos os grupos não apresentarem broncoespasmo induzido pelo exercício durante as sessões. Estes resultados permitiram concluir que o treinamento combinado é mais eficaz na redução da inflamação pulmonar e possibilita a melhora da qualidade de vida, controle clinico da doença, da aptidão aeróbia, condicionamento físico e aumenta da força muscular em crianças e adolescentes asmáticos.

Barn till föräldrar med substansmissbruk är en utsatt grupp då denna målgrupp lätt glöms bort eller inte ses av samhället. Att växa upp i en miljö med missbruk ökar risken för eget substansmissbruk eller psykisk ohälsa. Syftet med studien är att analysera webbaserade organisationers stöd och hjälp till barn och unga som lever i en missbruksmiljö. Metoden som används är en databassökning och textanalys. I resultatet framkommer det att frivilligorganisationernas hemsidor är mer användarvänliga för barn och unga då deras huvudsyfte är att vända sig direkt till den målgruppen jämfört med Statliga, Kommunala, Regionala, Länsstyrelsens hemsidor som är riktade att nå ut med sin information till allmänheten. / Children of parents with substance abuse are a vulnerable group and is easily forgotten by the society. Growing up in an environment with addiction increases the risk of own abuse or mental illness. The aim of the study is to analyze webbased support from different organizations, aimed to address children and young people living in an abusive environment. The method used, is a database-search and text-analysis approach. The result shows that NGO’s websites are more userfriendly for children and young people, probably because their main purpose is to address directly to this target group, compared to local-governmental, municipal, regional and county-governmental websites

This diploma thesis deals with the “Comprehensive Identification of Risks in the Performance of a Paediatrician’s Work“. Performance practice paediatrician is a risky profession in which the doctor and his staff run the risk of endangering his own health. Investigated practitioner for children and adolescents is located in South Moravia, in Židlochovice. The main goal of this work is to identify risks to create groups of risks and assess risks. The most significant risks to propose measures in order to achieve improvement of the care provided. The solution is also to determine the priorities of addressing the risks. The secondary goal is to create a system essential variable forming an entity practitioner for children and adolescents and suitable risk register. Methodically work was solved to brainstorm. The risk register was defined seven categories of risk. On the basis of the risk R were evaluated three risk categories SOR. In SOR 3 (the most serious) is 24 risks, SOR 2 (the risk of not constituting a critical threat) 62 risks and SOR 1 contains (negligible risk) 44 risks. For SOR 2, SOR 3, together risks with s R suggested adjustment to reduce the risk.

Despite potentially severe medical consequences of pica and rumination disorder (RD), little is known about their prevalence and association with other psychopathology in childhood. As a part of a larger population-based study, 804 youths aged 7–14 years and their parents were asked about their experience of pica and RD behaviors, and associated eating, feeding and general psychopathology. A total of 12.31% and 11.49% of youth reported having engaged in pica or RD behaviors at least once. Recurring pica or RD behaviors had been experienced by 4.98% and 1.49% of the participants. The behaviors showed a significant, but small correlation with one another (r = .28, p < .01). Correlations with symptoms of avoidant/restrictive food intake disorder (ARFID) were significant, but small (pica: r = .18, RD: r = .27, both p < .01). Prevalence rates of recurring pica behavior were significantly increased if recurring RD was present (58.33%), and also greater vice versa (17.50%). The prevalence rates for recurrent pica and RD behaviors were also increased in the presence of an ARFID diagnosis (both behaviors 12.0%). However, correlations with restraint, eating, weight, and shape concern were nonsignificant (all p > .05). In addition, RD behavior was positively correlated with emotional and conduct problems (r = .15 and .22, both p < .01) and both behaviors were negatively correlated with prosocial behavior (r = −.10 and −.09, both p < .05). Our findings underscore the clinical significance of pica and RD behaviors. More research is warranted on both disorders, their association and their relation with ARFID, in order to reach a further understanding of their presentation and to ascertain diagnostic validity.

No description available.

The Child and Adolescent Level of Care System/Child and Adolescent Service Intensity Instrument (CALOCUS/ CASH) is designed to help determine the intensity of services needed for a child served in a mental health system of care. The instrument contains eight dimensions that are rated following a comprehensive clinical evaluation. The dimensions are risk of harm, functionality, co-morbidity (psychiatric, substance abuse, development disability and medical), environmental stressors, environmental supports, the child's resiliency, and the child and family's willingness to engage in treatment. An algorithm connects the ratings to a level of care recommendation. The instrument specifies six levels of care defined flexibly enough to consider whatever services are available. The results of psychometric testing using raters with a broad range of clinical experience and training from four different systems of care around the country are presented. The testing demon-strates excellent reliability when rating vignettes. Using children and adolescents in live system of care clinical settings, the CALOCUS/CASH demonstrates reasonable validity when compared with the Child Global Assessment Scale, and the Child and Adolescent Functional Assessment Scale.

Activities of daily living (ADL) are fundamental to participation in daily life. Even if participation is necessary for person’s well-being and development, individuals with disabilities often are not participating in basic life domains. Children with autism spectrum disorder (ASD) can have an impact on many basic functional areas such as daily living skills. The daily living skills (DLS) contain the ability of children to participate in activities such as personal hygiene, dressing, household chores and money management that are important prerequisites for self-sufficiency and autonomy. The aim of this systematic literature review was to investigate the existence and the outcomes of intervention programs which can enhance daily living skills for children with autism spectrum disorder. A search for peer-reviewed articles evaluating such intervention programs and published between 2010 and 2020 was performed. The search in several databases resulted in eight articles. The findings were grouped based on the kind and the target activity of each intervention program. Most of the identified studies have reported effective outcomes using various intervention programs for the improvement of DLS such as picture prompting, video prompting, video-game training, self-monitoring, behavioural training and therapeutic horseback riding aiming in activities such as hygiene, clothing, cooking and money management.  The International Classification of Functioning, Disability and Health, version for Children and Youth (ICF-CY) and the Occupational Therapy practice framework were used as a base for the discussion after the analysis. Despite the number of studies found, not enough research has been done to describe and evaluate interventions enhancing the performance in ADL. The findings of this review may serve as a resource for future researchers, who are working with children in need of special support.

Les enfants et adolescents à haut potentiel intellectuel peuvent présenter des troubles psychologiques très variés, justifiant une prise en charge spécialisée dans un lieu de soin pédopsychiatrique. Parmi ces éventuels troubles, l’anxiété et la dépression sont des motifs fréquemment invoqués par les parents. Afin de mieux comprendre les caractéristiques et les spécificités des troubles anxieux et dépressifs dans la population des enfants et adolescents à haut potentiel, nous avons réalisé une revue de la littérature des études épidémiologiques menées sur l’anxiété et la dépression chez des enfants et adolescents à haut potentiel intellectuel. Les résultats sont variables et parfois même contradictoires. Des biais méthodologiques (absence de consensus dans la définition du haut potentiel intellectuel, biais d’évaluation des troubles anxieux ou dépressifs, faible taille des effectifs) peuvent expliquer, en partie, les résultats contradictoires observés. Nous avons ensuite mené une étude exploratoire avec pour objectif principal de comparer les troubles anxieux et dépressifs dans des groupes d’enfants avec ou sans haut potentiel intellectuel, en tentant de tenir compte de ces biais. Notre étude a donc été réalisée dans de larges cohortes d’enfants à haut potentiel intellectuel et non à haut potentiel intellectuel, à partir de différentes sources d’observation (évaluation parentale, auto-évaluation par l’enfant et évaluation pédopsychiatrique). Concernant les troubles anxieux, les résultats de l’étude 1 suggèrent que les enfants à haut potentiel global (QIT130) seraient plus anxieux que les enfants non à haut potentiel global (QIT<130) selon le diagnostic psychiatrique à la CIM-10 ou au DSM-5. Par ailleurs, selon l’auto-évaluation par l’enfant en utilisant le questionnaire R-CMAS, les enfants présentant un haut potentiel verbal (ICV130) se percevraient plus anxieux que les enfants ne présentant pas de haut potentiel verbal (ICV<130), alors que les enfants présentant un haut potentiel perceptif (IRP130) se percevraient moins anxieux que les enfants ne présentant pas de haut potentiel réceptif (IRP<130). Un ICV élevé aurait donc un effet négatif sur l’anxiété ressentie par l’enfant, alors qu’un IRP élevé aurait un effet protecteur de l’anxiété. Concernant les troubles dépressifs, les résultats de l’étude 2 montrent que, selon l’évaluation des parents, les enfants ayant un haut potentiel verbal (ICV130) présenteraient plus de trouble dépressif que les enfants ne présentant pas de haut potentiel verbal (ICV<130). Selon l’auto-évaluation par l’enfant en utilisant le questionnaire MDI-C, les enfants à haut potentiel global (QIT130), mais aussi les enfants à haut potentiel en mémoire de travail (IMT130) ou en vitesse de traitement (IVT130) se décriraient moins dépressifs au score total du MDI-C que les enfants non à haut potentiel. Enfin, les résultats de l’étude 3 sur les corrélations entre les scores au R-CMAS et au MDI-C viennent confirmer les effets protecteurs de l’IRP pour l’anxiété, ainsi que de l’IMT et IVT pour la dépression mis en évidence dans les études 1 et 2. Ces résultats devront être confirmés dans des études ultérieures qui rechercheront à mieux comprendre les mécanismes des effets protecteurs et négatifs de certaines dimensions et domaines intellectuels. / Gifted children and adolescents may present a wide range of psychological disorders, justifying specialized care in a child psychiatric care facility. Among these disorders, anxiety and depression are frequently cited by parents. To better understand the characteristics and specificities of anxiety and depressive disorders in the population of gifted children and adolescents, we have conducted a review of literature on epidemiological studies of anxiety and depression in gifted children and adolescents. There are some discrepant results. Methodological biases (lack of consensus in the definition of giftedness, bias of anxiety or depression assessment, small sample sizes) may explain, in part, the observed contradictory results. Then, we conducted an exploratory study with the main objective of comparing anxiety and depressive disorders in gifted and non gifted children and adolescents, trying to account for these biases. Our study has therefore been carried out in large samples of gifted children and non gifted children using different sources of observation (parental assessment, child self-assessment and child psychiatric assessment). Concerning anxiety disorders, the results of study 1 suggest that gifted children (Total IQ130) would be more anxious than non-gifted children (Total IQ <130) according to the ICD-10 and DSM-5 criteria. In addition, according to the child's self-assessment with R-CMAS, children with high verbal potential (VCI130) would perceive themselves to be more anxious than children with no high verbal potential (VCI<130), whereas children with high perceptual reasoning (PRI130) would perceive themselves to be less anxious than children with no high perceptual reasoning (PRI <130). High VCI would thus have a negative effect on anxiety perceived by the child, whereas high PRI would have a protective effect on anxiety. Concerning depressive disorders, the results of study 2 show that, according to the parents' assessment, children with high verbal potential (VCI130) would have more depressive disorder than children with no high verbal potential (VCI< 130). According to child self-assessment using MDI-C, gifted children (Total IQ130), but also children with high potential in working memory (WMI130) or in speed processing (PSI130), would describe themselves less depressive on the total score of MDI-C than non-gifted children. Finally, the results of study 3 analyzing the correlations between the R-CMAS and MDI-C scores confirm the protective effects of PRI on anxiety, and WMI or PSI on depression as highlighted in studies 1 and 2. Future studies are requested to confirm these results and to better understand the mechanisms of the protective and negative effects of certain intellectual dimensions and domains.