Funcionamento e organiza����o da Educa����o Infantil : elementos subjetivos de uma equipe municipal

Disserta����o (mestrado)���Universidade de Bras��lia, Faculdade de Educa����o, Programa de P��s-Gradua����o em Educa����o, 2016.

Children with Special Health Care Needs: Comparison of the Effects of Home Care Setting, Prescribed Pediatric Extended Care Setting, and Long-Term Care Setting on Child and Family Health Outcomes and Health Care Service Use

Technological advances during the past 30 years have dramatically improved survival rates for children with life-threatening conditions (preterm births, congenital anomalies, disease, or injury) resulting in children with special health care needs (CSHCN), children who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who require health and related services beyond that required by children generally. There are approximately 10.2 million of these children in the United States or one in five households with a child with special health care needs. Care for these children is limited to home care, medical day care (Prescribed Pediatric Extended Care; P-PEC) or a long term care (LTC) facility. There is very limited research examining health outcomes of CSHCN and their families. The purpose of this research was to compare the effects of home care settings, P-PEC settings, and LTC settings on child health and functioning, family health and function, and health care service use of families with CSHCN. Eighty four CSHCN ages 2 to 21 years having a medically fragile or complex medical condition that required continual monitoring were enrolled with their parents/guardians. Interviews were conducted monthly for five months using the PedsQL TM Generic Core Module for child health and functioning, PedsQL TM Family Impact Module for family health and functioning, and Access to Care from the NS-CSHCN survey for health care services. Descriptive statistics, chi square, and ANCOVA were conducted to determine differences across care settings. Children in the P-PEC settings had a highest health care quality of life (HRQL) overall including physical and psychosocial functioning. Parents/guardians with CSHCN in LTC had the highest HRQL including having time and energy for a social life and employment. Parents/guardians with CSHCN in home care settings had the poorest HRQL including physical and psychosocial functioning with cognitive difficulties, difficulties with worry, communication, and daily activities. They had the fewest hours of employment and the most hours providing direct care for their children. Overall health care service use was the same across the care settings.

Temperamento ��� Haver�� diferen��as no temperamento da crian��a em contexto de creche e em contexto familiar?

Relat��rio de est��gio apresentado para obten����o do grau de Mestre em Educa����o Pr��-Escolar

Identifica����o dos principais fatores determinantes do envelhecimento ativo na popula����o idosa do distrito de Castelo Branco - Portugal

Tese de Doutoramento em Gerontologia apresentada �� Universidade de Extremadura, Espanha

Temperamento ��� Haver�� diferen��as no temperamento da crian��a em contexto de creche e em contexto familiar?

Relat��rio de est��gio apresentado para obten����o do grau de Mestre em Educa����o Pr��-Escolar

Viol��ncia conjugal percebida por um menor em contexto familiar e suas consequ��ncias psicossociais

A viol��ncia como fen��meno social e familiar, n��o �� um problema atual, desde sempre esteve presente, sendo que a sua exposi����o apresenta diferentes intensidades em diferentes momentos da sua evolu����o. Como fen��meno mundial, percorreu todas as culturas, etnias, tipos de economia e regimes pol��ticos (Sagim, 2003). O objectivo da presente investiga����o �� a viol��ncia conjugal percebida por um menor em contexto familiar e suas consequ��ncias psicossociais: estudo de caso. M��todo: A metodologia escolhida �� qualitativa e �� designada por naturalista. O m��todo utilizado foi o estudo de caso e a recolha de dados foi a entrevista (semi-estruturada) e fez-se a descodifica����o desta atrav��s da an��lise de conte��do, que foi organizada em v��rias categorias . Instrumentos: Question��rio s��cio demogr��ficos (filha); Gui��o de Entrevista para adultos(m��e), semi-estruturada; Entrevista Cl��nica Semi���Estruturada (SCICA);A Escala de Sinaliza����o do Ambiente Natural Infantil (S.A.N.I.); O teste projectivo Pata Negra de Corman (filha). Participantes: R de 12 anos de idade, sexo feminino, caucasiana, possui o 9�� ano de escolaridade Resultados: Verificou-se que R tem uma boa capacidade de coping e resolu����o de problemas, indo do encontro referido por alguns autores nos meus estudos, sendo que noutros n��o se enquadra no perfil defendido pela literatura. Referindo segundo o DSM-5, R apresenta alguma sintomatologia cl��nica como a ansiedade de separa����o, revelando inseguran��a e medo da perda dos afetos por parte dos progenitores. Conclus��o: : Concluiu-se ainda que alguns estudos referem que nem todas as crian��as expostas �� viol��ncia intrafamiliar responder��o negativamente, uma vez que a presen��a de fatores de prote����o t��m um papel fundamental. Entre estes, o ambiente escolar, o relacionamento com a vizinhan��a e o suporte advindo de demais membros familiares, entre outros (Sani, 2008).

Developing a classification system of social communication functioning of preschool children with autism spectrum disorder

Background: Impairments in social communication are the hallmark feature of autism spectrum disorder (ASD). Operationalizing ���severity��� in ASD has been challenging; thus stratifying by functioning has not been possible. Purpose: To describe the development of the Autism Classification System of Functioning: Social Communication (ACSF:SC) and evaluate its consistency within and between parent and professional ratings. Methodology: (1)ACSF:SC development based on focus groups and surveys involving parents, educators and clinicians familiar with preschoolers with ASD; and (2)Evaluation of the intra- and inter-rater agreement of the ACSF:SC using weighted kappa(��w). Results: Seventy-six participants were involved in the development process. Core characteristics of social communication were ascertained: communicative intent; communicative skills and reciprocity; and impact of environment. Five ACSF:SC levels were created and content-validated across participants. Best capacity and typical performance agreement ratings varied as follows: intra-rater on 41 children was ��w=0.61-0.69 for parents and ��w=0.71-0.95 for professionals; inter-rater between professionals were ��w=0.47-0.61 and between parents and professionals ��w=0.33-0.53. Conclusions: Perspectives from parents, and professionals informed ACSF:SC development, providing common descriptions of the levels of everyday communicative abilities of children with ASD to complement DSM-5. Rater agreement demonstrates the ACSF:SC can be utilized with acceptable consistency in comparison to other functional classification systems.

Physical activity in the nature benefits for family cohesion - action protocol

No s��culo XXI, fatores socioecon��micos d��o origem a uma diminui����o da atividade f��sica (AF) (TV, internet, etc.). Estima-se que 50% da popula����o da Uni��o Europeia (EU) tem excesso de peso ou obesidade devido a uma dieta inadequada e sedentarismo, que fazem disparar a ocorr��ncia de doen��as cr��nicas (cardiovasculares, m��sculo esquel��ticas, psicol��gicas, diabetes tipo 2, cancro, etc.) e uma consequente amea��a para a sustentabilidade dos sistemas de sa��de e seguran��a social. A degrada����o da sa��de nos pa��ses desenvolvidos, derivada dos estilos de vida atuais, apresenta tamb��m altera����es no modelo de viv��ncia familiar (fam��lias menos numerosas e monoparentais com crescimentos na ordem dos 36%). As fam��lias t��m ainda que lidar com a escassez de tempo, a competitividade feroz no trabalho, o stress di��rio e os perigos em que os elementos mais jovens do agregado familiar incorrem (consumo subst��ncias il��citas, dist��rbios alimentares, depress��o, suic��dio e isolamento social) decorrentes do uso das novas tecnologias. ���Atualmente, conforme as economias crescem as pessoas param de se movimentar. �� urgente, apresentar uma estrutura para a a����o, para que os stakeholders, revertam a situa����o de modo a combater os impactos desta epidemia de inatividade f��sica, construindo a����es preventivas e inovadoras, com impacto positivo no desenvolvimento humano���. Objetivo: Pretende-se atrav��s da oferta de actividade f��sica e desportiva (AFD) planeada para fam��lias, promover al��m da sa��de e estilos de vida saud��veis e resilientes, a coes��o familiar. Dar resposta cient��fica ��s preocupa����es da UE, intervindo como medida de implementa����o de pol��ticas publicas consideradas priorit��rias, de promo����o da AF e estilos de vida saud��veis e resilientes, para assegurar um alto n��vel de prote����o da sa��de, com repercuss��o na diminui����o dos custos com as doen��as e suas consequ��ncias.

El apoyo familiar en el proceso de integraci��n educativa de estudiantes con necesidades educativas en condici��n de discapacidad

In the process of socialization, the family has a fundamental role in the care and raising of the children, but principally, in the transmission of knowledge, values and customs that allow them to adapt to the society as active and productive individuals. In the last years, the Costa Rican educational system has experienced significant changes, due to the processes of students��� school integration, who present educational needs, because they need specialized supports and different resources for their formation and integral development. Thus, a concern was generated so that the familiar support is investigating in the process of students��� school integration, who are the ones who receive significant curricular adaptations in the public schools, and for instance, it was necessary to determine the kind of supports that are provided to the members of the family, as well as, the ways in which these supports can benefit the process of school integration.

Family as the Promoter of Independence Skills in Children with Motor Disabilities

This study developed an individualized proposal to promote, from the family context, the independence of two four-year-old children with motor disabilities. The proposal aimed at helping mothers and fathers to promote different skills within the family context. The results of this study revealed that when the families of children with disabilities are oriented, it is easier for them to start processes that otherwise would be postponed. As a result, it is recommended to create proposals to support the parents and help them to build their own family-growth processes and develop independence living skills in their children with motor disabilities.

The Expanded Human Kallikrein (KLK) gene family : genomic organisation, tissue specific expression and potential functions

The tissue kallikreins are serine proteases encoded by highly conserved multigene families. The rodent kallikrein (KLK) families are particularly large, consisting of 13 26 genes clustered in one chromosomal locus. It has been recently recognised that the human KLK gene family is of a similar size (15 genes) with the identification of another 12 related genes (KLK4-KLK15) within and adjacent to the original human KLK locus (KLK1-3) on chromosome 19q13.4. The structural organisation and size of these new genes is similar to that of other KLK genes except for additional exons encoding 5 or 3 untranslated regions. Moreover, many of these genes have multiple mRNA transcripts, a trait not observed with rodent genes. Unlike all other kallikreins, the KLK4-KLK15 encoded proteases are less related (25���44%) and do not contain a conventional kallikrein loop. Clusters of genes exhibit high prostatic (KLK2-4, KLK15) or pancreatic (KLK6-13) expression, suggesting evolutionary conservation of elements conferring tissue specificity. These genes are also expressed, to varying degrees, in a wider range of tissues suggesting a functional involvement of these newer human kallikrein proteases in a diverse range of physiological processes.