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Current Filters: New in last year [remove]; Classification:Health, Mental Health & Safety [remove];
19 results found.|
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The ABC Daycare disaster of Hermosillo, Mexico On June 5, 2009, the ABC Daycare facility in Hermosillo, Mexico, caught on fire with an estimated 142 children and 6 adult caregivers inside. The purpose of this article is to describe the factors contributing to the disaster including care of the survivors, tertiary burn center triage, patient transport, and treatment for this international mass casualty event. Finally, the results of an investigation performed by the Mexican Government are reviewed. A summary of the Mexican Government's investigation of the circumstances of fire and an examination of prevention lapses in other Mexican daycare centers was obtained from their public Web site. The demographic and clinical characteristics of the children transported to the burn center were obtained from the patients' medical records and transport data sheets. The ABC Daycare had many fire safety breaches that contributed to the severity of the tragedy. Twenty-nine children died at the scene and more than 35 children were hospitalized throughout Mexico. A total of 12 children were transported to two Shriners Hospitals, 9 to Sacramento, and 3 to Cincinnati. The mean age of patients sent to the Shriners Hospitals was 2.9 +/- 0.16 years (2-4 years), with 5 being male and 7 female. The mean duration between injury and arrival was 9.2 +/- 2.1 days, the burn size was 43.0 +/- 6.8% TBSA (6.5-80%), and there were 3.75 operations per patient. Four had fourth-degree burns requiring finger amputations (2), flaps to cover bone (1), or a through-knee amputation (1). Ten patients were admitted to the intensive care unit, and nine patients (seven with inhalation injury) required mechanical ventilation for a mean of 23.6 +/- 10.3 days. All the surviving children were discharged after a mean length of stay of 45.9 +/- 8.7 days. In the first year postinjury, seven children were readmitted a total of 11 times for reconstructive surgery, wound care, or rehabilitation. Ultimately, a total of 49 children died. A review of other daycare centers in Mexico revealed similar safety lapses that could lead to future major disasters. This burn disaster in Hermosillo was potentially preventable with adherence to standard prevention principals. The young age of the victims and the need for an international medical response posed special problems. Prevention efforts need to be improved to prevent future disasters in Mexico. (author abstract) |
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Addressing childhood obesity: Findings from a program to enhance nutrition and physical activity in NJ child care centers A summary of an evaluation of the New Jersey Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC), a program to improve nutrition and increase physical activity in child care centers, that examines changes in center policies and practices as well as program implementation, based on pre- and post-program assessments for 99 centers, surveys from 29 center directors, and surveys from 10 NAP SACC trainers |
Fact Sheets & Briefs |
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Addressing food allergy issues within child care centers A discussion of issues in food allergy prevention and education in child care settings |
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Assessment of food, nutrition, and physical activity practices in Oklahoma child-care centers A survey of food, nutrition, and physical activity practices in all-day child care centers, based on data from 314 child care centers across Oklahoma serving 2- through 5-year-old children |
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Building a system of safe medication administration in child care settings A discussion of medication administration practices in child care programs in Connecticut, and a summary of recent efforts in Connecticut to train child care staff on appropriate medication administration |
Fact Sheets & Briefs |
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Environmental exposures in the context of child care A discussion of recent research on the presence of potentially harmful chemicals in child care settings, the role of staff education in the improvement of indoor child care environments, and the regulation of chemical use in child care settings |
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From policy to practice: Implementation of water policies in child care centers in Connecticut A documentation of the availability and accessibility of water in early care and education centers and correspondence with state and federal policy and accreditation standards in child care centers, based on data from one-day observations conducted in a random sample of 40 Child and Adult Care Food Program-participating preschool classrooms in Connecticut |
Reports & Papers |
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Increasing culturally diverse meals in Head Start using a collaborative approach: Lessons learned for school food service modifications A description of a collaborative process that includes both Head Start teachers and food service staff, by which food service modifications are made in Head Start sites to increase culturally diverse foods served, while adhering to Head Start's nutrition performance standards, and a study of the extent to which children and teaching staff ate the culturally diverse foods compared with foods prepared from standardized recipes already being used at the sites, based on data from 9 Head Start sites as part of Healthy Kids, Healthy Futures, a larger early childhood obesity prevention initiative in Boston |
Reports & Papers
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Is there a difference between center and home care providers' training, perceptions, and practices related to obesity prevention? A comparison of center and home care providers' training, practices, and written policies regarding obesity prevention, and their perceptions of both influences on children's health and factors determining food menu selection, based on data from 88 home care providers and 94 center providers who attended local child care training workshops in east central Illinois from March 2009 to August 2010 |
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Low-income parents' perceptions of pediatrician advice on early childhood education An examination of parents' attitudes toward involving the pediatrician in early care and education decisions and the barriers they may face in following the pediatrician's advice, based on data from 27 parents of 3- and 4-year-olds at an urban primary care center in Cincinnati |
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New Jersey Nutrition and Physical Activity Self-Assessment for Child Care center project evaluation An evaluation of the New Jersey Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC), a program to improve nutrition and increase physical activity in child care centers, that examines changes in center policies and practices as well as program implementation, based on pre- and post-program assessments for 99 centers, surveys from 29 center directors, and surveys from 10 NAP SACC trainers |
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New Jersey Nutrition and Physical Activity Self-Assessment for Child Care center project evaluation [Executive summary] A summary of an evaluation of the New Jersey Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC), a program to improve nutrition and increase physical activity in child care centers, that examines changes in center policies and practices as well as program implementation, based on pre- and post-program assessments for 99 centers, surveys from 29 center directors, and surveys from 10 NAP SACC trainers |
Executive Summary |
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Physical activity and beverages in home- and center-based child care programs A comparison of physical activity, space, and beverage provision related to obesity prevention among a group of home- and center-based child care programs and in comparison to select elements of the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) best-practice guidelines, based on data from 168 licensed home- and center-based child care programs in Florida, Massachusetts, Michigan, and Washington surveyed between October and December 2008 |
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Promoting young children's mental health through early childhood consultation: Ecological advances and research needs A discussion of early childhood consultation as a means to address challenges to positive socioemotional and mental health development, suggestions to advance in conceptualizing and delivering early childhood consultation from an ecological perspective, and a presentation of a model of early childhood consultation incorporating several empirically supported features for use in early childhood education settings |
Other
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Research brief: National status of child care health consultation 2012 A study of the characteristics of state-based child care health consultation systems, based on a questionnaire sent to a contact in each state, the District of Columbia, and Puerto Rico |
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South Dakota Head Start & Early Head Start: Health An overview of recent trends in health insurance enrollment of and medical, mental health, and disability services received by children in South Dakota Head Start and Early Head Start programs, with a focus on the 2010-2011 program year |
Fact Sheets & Briefs |
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South Dakota Head Start & Early Head Start: Oral health An overview of dental care received by and dental health service accessibility for children in South Dakota Head Start and Early Head Start programs, with a focus on the 2012 program year |
Fact Sheets & Briefs |
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Use of paid child care health care consultants in early care and education settings: Results of a national study comparing provision of health screening services among Head Start and non-Head Start centers An examination of the association between the use of paid child care health consultants and center maintenance of health records, center emergency procedures, and center facilitation of health screenings, based on data from a telephone survey of 1,822 licensed child care center directors from each of the 50 states and Washington, DC |
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"You have to listen to me because I'm in charge": Explicit instruction improves the supervision practices of older siblings Objectives: Sibling supervision increases young children's risk of unintentional injury. Both noncompliance by the supervisee and insufficient supervision contribute to this risk. The current study examined whether explicitly instructing older siblings to supervise their younger siblings and prevent specific risky behaviors improves their supervision practices. Methods: Supervisees and older siblings were placed together in a playroom. One group of older siblings were given explicit instructions not to allow the supervisee to engage in specific risk behaviors, whereas a second group was not. Results: Informing older siblings that they were "in charge" resulted in a higher frequency of proactive supervision strategies, more forceful reactions to stop supervisee risk taking, and a trend toward improved watchfulness. Supervisees in the no instruction condition also engaged in more hazard interactions compared with those in the instruction condition. Conclusions: Explicitly informing older children to supervise younger siblings may reduce younger children's risk of injury when siblings are supervising. (author abstract) |
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