Peptic ulcer and childhood adversities experienced by working-aged people

AIM: To study the association between self-reported peptic ulcer and childhood adversities.METHODS: The Health and Social Support Study (HeS-Sup) population consisted of a stratif ied random sample drawn from the Finnish Population Register in four age groups: 20-24, 30-34, 40-44 and 50-54. The survey was carried out by postal questionnaire during 1998, with a response rate of 40.0%. A follow-up questionnaire was sent during 2003 to all those who responded to the f irst. Altogether 19 626 individuals returned the follow-up questionnaire; a response rate of 75.8%. The subjects were asked whether a doctor had told them that they have or have had peptic ulcer. The analyses covered those who responded aff irmatively to both the baseline and the follow-up enquiries (n = 718). Those not re-porting a peptic ulcer in either of the two questionnaires (n = 17 677) were taken as controls. The subjects were further requested (through six questions) to think about their childhood adversities.RESULTS: The most common adversities mentioned were long-lasting financial difficulties in the family, serious conflicts in the family, and a family member seriously or chronically ill. All the adversities reported, except parental divorce, were more common among peptic ulcer patients than among controls (P values varied between < 0.001 and 0.003). Age- and sex-adjusted odds ratios (OR) of childhood adversities in the multivariate logistic analysis for self-reported pep-tic ulcer varied between 1.45 and 2.01. Adjusting for smoking, heavy drinking, stress and nonsteroidal anti-inflammatory drug use had no further influence (ORs between 1.22 and 1.73).CONCLUSION: Our findings suggest that childhood adversities maintain a connection with and have a predictive role in the development of peptic ulcer.

Social learning contributions to the etiology and treatment of functional abdominal pain and inflammatory bowel disease in children and adults

This paper reviews empirical work on cognitive and social learning contributions to the etiology and treatment of illness behavior associated with functional abdominal pain and inflammatory bowel disease. A particular emphasis is placed on randomized controlled trials, the majority of which are multi-modal in orientation, incorporating elements of cognitive behavioral therapy, social learning, and relaxation. Based on this review, we offer methodological and clinical suggestions: (1) Research investigations should include adequate sample sizes, long-term follow-up assessments, and a credible, active control group. (2) Standard gastrointestinal practice should include, when appropriate, learning opportunities for patients and family members, for example, instruction regarding the encouragement of wellness behavior.

Parental perceptions of the effects of exercise on behavior in children and adolescents with ADHD

Background： Anecdotally, parents often report that children with attention deficit hyperactivity disorder （ADHD） who engage in regular physical activity （PA） experience positive behavioral changes. The purpose of this study was to examine this anecdotal relationship to provide preliminary evidence relevant to the potential benefits of PA on ADHD symptoms. Methods： Parents （n = 68） of children diagnosed with ADHD completed an lnternet survey assessing perceptions of how PA influences their child＇s symptoms. Results： A significantly greater percentage of parents reported that regular PA positively impacted symptoms. However, there were no uniform effects for all types of ADHD symptoms. The results indicate that there may be more positive benefits for symptoms of inattention and hyperactivity than for those of impulsivity. Conclusion： This is the first study to empirically document parents＇ perceptions of how PA influences ADHD and suggests that PA can be a viable strategy for reducing symptoms. PA may have greater benefits for specific symptoms of ADHD, providing critical information for developing PA interventions for children and adolescents.

Megacolon in adulthood after surgical treatment of Hirschsprung's disease in early childhood

Hirschsprung＇s disease （HD） is a disorder associated with congenital malformation of the enteric nervous system with segmental aganglionosis. Prevailing therapy includes a resection of the affected part of the bowel, However, patients often do not obtain complete functional improvement after surgical treatment. We present the case of a 25-year-old woman who had surgical treatment of lid in early childhood. After that procedure she had clinical features of constipation for years in the end, passing of stool once a week, requiring laxatives and enemas. We diagnosed an incomplete resection of the aganglionic bowel via rectal biopsy and resected the remaining aganglionic segment. Two months after surgery the patient＇s bowel function improved to a frequency of 1-4 stools per day. We conclude that regular follow-up is required to identify lid patients with persistent alterations of bowel function after surgery. In patients presenting with constipation, recognition of a remaining aganglionic segment or other alterations of the enteric nervous system should be aimed at in an early stage. 2005 The WJG Press and Elsevier Inc. All rights reserved

Crohn’s and colitis in children and adolescents

Crohn＇s disease and ulcerative colitis can be grouped as the inflammatory bowel diseases （IBD）. These conditions have become increasingly common in recent years, including in children and young people. Although much is known about aspects of the pathogenesis of these diseases, the precise aetiology is not yet understood, and there remains no cure. Recent data has illustrated the importance of a number of genes-several of these are important in the onset of IBD in early life, including in infancy. Pain, diarrhoea and weight loss are typical symptoms of paediatric Crohn＇s disease whereas bloody diarrhoea is more typical of colitis in children. However, atypical symptoms may occur in both conditions： these include isolated impairment of linear growth or presentation with extra-intestinal manifestations such as erythma nodosum. Growth and nutrition are commonly compromised at diagnosis in both Crohn＇s disease and colitis. Consideration of possible IBD and completion of appropriate investigations are essential to ensure prompt diagnosis, the- reby avoiding the consequences of diagnostic delay. Patterns of disease including location and progression of IBD in childhood differ substantially from adult- onset disease. Various treatment options are available for children and adolescents with IBD. Exclusive enteral nutrition plays a central role in the induction of remission of active Crohn＇s disease. Medical and surgical therapies need to considered within the context of a growing and developing child. The overall management of these chronic conditions in children should include multi-disciplinary expertise, with focus upon maintaining control of gut inflammation, optimising nutrition, growth and quality of life, whilst preventing disease or treatment-related complications.

Partnerships for Success： An Evaluation of Head to Toe, a Family Centered Childhood Obesity Intervention that Partners with an Obesity Clinic

The prevalence of childhood obesity is a growing epidemic in the United States and as of 2014 its prevalence among children ages two to 19 was 17.0%. Without intervention, obese children are at risk for negative health consequences and for the increased likelihood of staying obese through adulthood. St. Louis Children＇s Hospital provides HTT （Head to Toe）, an interactive 12-session fimess, nutrition, and social well-being class focuses on adopting healthier lifestyles through daily exercise, and proper nutrition. One program referral method is through a partnership with the hospital＇s HSC （Healthy Start Clinic）, a multi-disciplinary obesity clinic. Pretest and posttest assessments are used to measure changes in body metrics, health behaviors, knowledge, readiness to change, and self-concept. Between August 2011 and May 2016, 485 children and at least one parent or guardian with them were enrolled in the program, and up to 235 children completed at least one pretest- or post-assessment. Analysis determined multiple statistically significant improvements in body metrics, health behaviors, knowledge, including questions related to nutrition and food guidelines, readiness to change assessment, and self-concept. Total knowledge increased by 22%; questions related to nutrition increased by 28.2%, social emotional by 18.9% and physical activity by 17.8%. Findings suggest that the Head to Toe program is effective in improving nutrition, physical activity, social emotional knowledge and behaviors among participants. Childhood obesity is a growing epidemic and creating a relationship with a pediatric obesity clinic can increase the total number of children and teens that are introduced to weight management programs.

Conceptions of Childhood and the Educational Rights of the Child

Formulations of children＇s rights rest on assumptions about the nature of childhood yet conceptions of childhood are not stable across time and space. Such conceptions can be understood as placing different emphases among three different factors： the child as subservient to parents and ancestors （Child 1）, as a young person requiring special protection and having characteristics distinct from adults （Child 2） and as a novice （Child 3）. Different social arrangements place relatively different emphases on these three factors in their overall conceptions of childhood. Adopting the distinction between Will and Interest rights （Archard 2002）, the paper considers how an emphasis on Child 1, 2 or 3 presupposes and demands a distinctive consideration of children＇s rights. The argument concludes with a reflection on how children＇s rights might be construed if the nature of adulthood is problematised alongside that of childhood. In this case, capabilities （as means to enable functionings） may prove a more fruitful concept than rights （as actual or possible existential conditions）.

Specific serum immunoglobulin G to H pylori and CagA in healthy children and adults(south-east of Iran)

AIM. To evaluate the serologic IgG response to Hpylori and CagA across age groups and in healthy children and adults.METHODS： Totally, 386 children aged 1-15 years and 200 adults aged 20-60 years, were enrolled to study. The serum samples of participant were tested for presence of antJ-Hpylori and anti-CagA IgG by using ELISA method.RESULTS： The seroprevalence of Hpylori in adults was significantly higher than that observed in children （67.5% vs 46.6%; P 〈 0.000003）. In children, the seropositivity rate in males （51.9%） was significantly （P 〈 0.05） higher than that observed in females （41.7%）. The prevalence of serum anti-CagA antibody was 72.8% and 67.4% in infected children and adults, respectively. The mean titer of serum anti-CagA antibodies was significantly higher among children in comparison to adults （64.1 Uarb/mL 30.7; P 〈 0.03）. In infected children and adults the prevalence of serum anti-CagA antibody was higher in males compared to females （78.4% vs 66.3%; P = 0.07 and 75.6% vs 54.71%; P 〈 0.04, respectively）. The age-specific prevalence of anti-H py/or/and anti-CagA antibody （in infected subjects） was 37.6% and 59.57% at age 1-5 years, 46.9% and 75% at age 6-10 years, 54.9% and 79.45% at age 11-15, 59.01% and 83.33% at age 20-30 years, 66.6% and 60.52% at age 31-40 years, 73.46% and 63.88% at age 41-50 years and 75.75% and 60% at age 51-60 years with mean titer of anti-CagA antibody of 75.94, 63.32, 57.11, 52.06, 23.62, 21.52 and 21.80 Uarb/mL, respectively. There was significant difference between mean serum anti-CagA antibody in age subgroups （P 〈 0.001）.CONCLUSION： These results showed that anti-Hpylori and anti-CagA antibodies were common in the children and adults. The Hpylori-specific antibodies influenced by age and sex of subjects. Moreover, it seems that males are more susceptible to infection with CagA^＋ strains compared to females. The seroprevalence of anti-CagA antibody was increased with age, up to 30 years and then decreased. It was also found that the magnitude of the IgG response to CagA decreased with advanced age.

Design Guide for Playgrounds

Children, who are the most weak people about sensibility and telling their desires clearly, act differently at every age phases. Because of this, child oriented designs must appeal to children about whole ages and features. Playgrounds are places where children of all ages and features spend their times commonly. But when these playgrounds were observed, that can be seen, playgrounds can not meet children＇s need and, because of this, they become quitted places. Within this article, child, play and playground concepts have been examined and the parameters of playground design have been classified. The aim of article is revealing the parameters for playgrounds design and offering a guide so that it can give an idea for the new- designs.

Issues of Access, Equity, and Quality in Early Childhood Development Programmes in Zimbabwe

The paper sought to explore issues of access, equity, and quality in the early childhood development （ECD） sub-sector in Zimbabwe. The massive expansion of ECD services prompted the author to undertake the study. Data were collected using focus group discussions, individual interviews, document analysis, and observations. Information from literature, research reports, policies, and practices was also analyzed in order to establish the state of affairs in the provision of ECD. The data were analyzed using theme identification methods to solicit emerging issues. Generally, it was found that on issues of access, equity, and quality in ECD in Zimbabwe, there is a quality-quantity dilemma with qualitative progress less conspicuous than quantitative progress. The resultant specific challenges include： large teacher-child ratio; lack of parental involvement, lack of trained ECD specialists with expertise in using a play-based curriculum; and shortage of equipment, material resources, and age appropriate infrastructure. In most ECD settings, there were inadequate health and nutrition provisions. Water, sanitation and health （WASH） facilities were found to be insufficient in most centres. The study recommended that there is need for： equal access to quality early childhood education; provision of infrastructure, provision of ability and age appropriate resources; and health, sanitation, and nutrition services especially in rural settings. Overall, ECD programmes in Zimbabwe should strive to attain quality more than quantity services. The need to train more early childhood specialists who would drive the ECD sub-sector is emphasized.

Personal Adaptation and Spiritual Potential in Childhood Today in the Lithuania

The Lithuania 2011 Childhood is not just a product of human development but also a product of society＇s educational and spiritual culture development. This paper aims to disclose how nowadays the family helps the child to develop adaptation instruments which would help to adapt to the society in a micromacro environment, to show what helps the child to become a member of a social group, of the society, what adaptation problems arise during the childhood. Problems of school adaptation of the first-formers have not been properly assessed and analysed so far, though they foresee the future. No proper attention has been paid to the development of the harmonious personality during the pre-school period and to the correction of their adaptation during the firstschool year. The paper deals with the child＇s experiences of the pre-school period as the factor influencing school adaptation in the first form. Variety and quality of children＇s experiences are directly related and most of all depend on the family of the spiritual institution, so its impact is the strongest in terms of the development of the child＇s personality. The goal is to disclose the importance of selfdevelopment in childhood, which determines future success. The object is selfdevelopment during childhood today in the Lithuania. Methods of investigation are： the analysis of pedagogical, psychological, philosophical literature; the analysis of empiri.cal researches and statistic data; and the method of observation. The hypothesis is： The cause of the firstformers＇ school adaptation difficulties incompletely realised adaptation potential during the preschool period.

The Social-legal Construction of the Poor Childhood： Social-historical Analysis in the Discourse of Cordoba

This paper intends to perform an analysis of the academic production of the National University of Cordoba from the late 19th century to the middle of the 20th century that deals with the problem of the illegitimate, abandoned, delinquent childhood, from a critical approach of the racism theory. One of the displacements this category underwent during the passed century is that it went beyond the field of race and it included women and young people. This aspect involves the discrimination of poor children that have been confined to the place of the ＂other＂. Racist characters can be traced in the discursive political practices that have created the category of childhood, being plausible to successfully perform this task by considering as the object of analysis of the theses and dissertations that discuss this subject matter in Cdrdoba. The paper will try to reconstruct the voices that, due to the sense of social belonging of the actors, refer to a certain class ideology. This provides a study of the constitution of the Argentine ruling elite, when the problem of social control, or the ＂social matter＂, was placed in the middle of all speculations. Analyzing both the characteristics of the discursive racism of the Argentine elite and the complex process of inferiorization of childhood that the discursive racism entails will allow to establish categories for an analysis of modern racism. In this way, elements to counteract the practices of domination will be presented. In order to do this, it is necessary to historicize them, reconstructing the discourses that support them and allow their continuity, since they persist in their functionality.

Height centile curve for child and adolescents in Shaanxi province

Objective: It has been recommended that age-related centile curves of anthropometric indexes(such as height, weight) be used rountinly to evaluate the growth and development statues in children. Presented here is the age-related height centile curves for children aged 0-18 years in Shaanxi, China,1995. Methods: Data of the Shaanxi population were retrieved from The Third Nationwide Growth Survey to construct the age-related height centile curves. The LMS method was used for curve fitting; all analyses were carried out on the basis of different sexes through a special program for LMS(λ-median-coefficient) method which was devised by Cole TJ. Results: Centile curves for boys and girls, showing similar age-related features but girls'puberty coming two years earlier than boys'. The period of puberty growth increment was about 2 years longer for boys. At age 18, boys were taller than girls for about 14 cm. Compared with height standard of NCHS(national center of health statistics), Shaanxi children were taller than American children before 14 years for boys, 12 years for girls, but after 15 years for boys and 13 years for girls, Shaanxi children were shorter than American ones. At age 18, Shaanxi children was 5.6 cm for boys and 4.9 cm for girls shorter than NCHS. Shaanxi children's height increase range from 1958 to 1995 at the same age was 4.9-15.1 cm ,with the mean of 9.59 cm for boys, and 3.7-12.5 cm, with the mean of 8.38 cm for girls. Between 1958-1995, the increasing velocity every ten years were 2.57 cm for boys and 2.26 cm for girls, which indicated that the children have reached the optimum. Conclusion: By means of LMS method, we constructed age-related height centile curves for Shaanxi children aged 0-18 years, these height centile curves are the first one for the Chinese children. It can be used as a reference for assessing growth and development status of Shaanxi children aged 0-18 years.

Children and adolescents with Down syndrome,physical fitness and physical activity

Children(5-12 years) and adolescents(13-19 years) with Down syndrome(DS) possess a set of health,anatomical,physiological, cognitive,and psycho-social attributes predisposing them to limitations on their physical fitness and physical activity(PA) capacities.The paucity of studies and their conflicting findings prevent a clear understanding and/or substantiation of these limitations.The purpose of this article was to review the measurement,determinants and promotion of physical fitness and PA for youth(i.e.,children and adolescents) with DS. The existing body of research indicates that youth with DS:1) have low cardiovascular and muscular fitness/exercise capacity;2) demonstrate a greater prevalence of overweight and obesity;3) a large proportion do not meet the recommended amount of daily aerobic activity;and 4) their PA likely declines through childhood and into adolescence.Future research should focus on:1) strength testing and training protocols;2) methodologies to determine PA levels;and 3) practical interventions to increase PA.

Is It a Vain Hope That Museum Children Education Applies to All Children？ --A Research on the Classification and Age-group Division of Children

The museum education focusing on the children is different from adult acceptors for the mental development of the children presents obvious stage features. Therefore, a clear definition on the ages of the children in the service must be made. The children in different ages can find their own educational project groups in a short time according to their own categories and ages. To facilitate the branding of routine childhood education programs, improve the implementing benefit of childhood education programs and realize the maximization of resource utilization in the Museum Children Education, this study firstly generalizes and extracts one of the common problems that affect the implementing benefit of Chinese Museum Children Education project based on the case analysis - focus and age-group of service objects. Then this paper （article） explores it step by step. Finally the article combines the analyses with the empirical researches on feedback information acquired in on-site observations and semi-structured interviews, to propose improvement suggestions for the problem.

Henriksen and Flora （1999） Revisited A Literature Review on Third-Person Effects and Children/Adolescents＊

In this literature review on TPE （third-person effects） and the behavioral consequences on children, the research questions posed are how the body of knowledge has evolved since the first empirical evidence of TPE among children and what knowledge gaps that remain. The traceable developments are two： （1） Compared to the vast amount of articles on TPE in general, the 5 9 identified on the topic of children are few and two thirds actually focus on adolescents/young adults rather than children. The reason put forward for studying younger children is the urge to prevent risky behavior through media literacy programs or pro-social advertisements; and （2） The studies have not primarily addressed results to support occurrence of TPE among children. Rather they support parental TPE or among the adolescents that TPE and reverse TPE occur due to certain kind of media content. The discussion on knowledge gaps that remain follow three themes： （1） Differentiations between self and others are in psychological studies implied to occur among children between the ages of 3-4 years old, yet no study address how children develop TPE; （2） There is a tendency to follow the more general development within TPE research with the renewed interest in behavioral consequences. But the primary behavioral consequence studied in TPE in general and within studies of TPE and children is support for censorship. Few studies address ＂real＂ behavioral consequences like parental mediation; and （3） There is also a need for more theoretically coherent research on the importance of social distance.

Young people are fit and active——Fact or fiction?

This paper analyses young people's habitual physical activity(HPA) and aerobic fitness(AF) in relation to health and well-being,with reference to previous generations.Data consistently show that more boys than girls experience health-related physical activity(PA) and that both genders experience a decline in HPA during adolescence.The majority of young people(～60%-75%) do not meet the requirements of current health-related PA guidelines but youth HPA appears to have stabilised over the last two decades.Although it does not describe all aspects of AF, peak oxygen uptake(peak VO_2) is recognised as the best single measure of AF.Peak VO_2 is enhanced with age,growth and maturation with increases of～150%and～80%in boys and girls respectively from 8 to 16 years.Boys' values are higher than those of girls throughout childhood and adolescence with the gender difference reaching～35% by age 16 years.There is no compelling evidence to suggest that young people have low levels of peak VO_2 or that they are less aerobically fit than children of previous generations.Despite the relative stability of peak VO_2 there has been a decline of～13%over the last 35 years in young people's ability to perform maximal aerobic exercise which involves the transport of body mass.In their daily lives young people very rarely experience PA of the intensity and duration to enhance AF and peak VO_2 is, at best,only weakly related to current levels of HPA during youth.Low levels of HPA and a marked secular decline in maximal aerobic performance remain major issues in the promotion of youth health and well-being.

The Theory and Practice of Multicultural Education for Young Children by Means of Art Teaching Within the Artistic Education Classes

Due to the fast development of the Internet and other modern communication, people now interact easier than ever beyond the national boundaries and live in a global village. In the era of globalization, multicultural education has been important for all people around the world ever since their early childhood. Art is a necessary approach for young children to learn the world and expand their vision. It is also a good path for young children to learn different cultures, to foster respect for them, to enjoy cultures different from themselves, and to improve their skills for interacting with people from other cultural backgrounds. The main purposes of this article are to discuss the reason why art can be a potential approach to learning multi-cultural education and how an art approach can nourish young children＇s multi-cultural equipment. To reach these two purposes, literature review and case study analysis are adopted. There are five sections in this article. The first section introduces the background of this study. The second section explores the relation between art and multi-culture. The third section discusses how to use art in an antibias way and respect different cultures for young children. The fourth section analyzes two cases in order to know how to design curriculum, practice teaching and evaluate the efforts of multicultural education. The finally section is about the conclusion and some suggestions.

The Positive Effects of Preschool Education in the Socialization and Learning of Children

The purpose of this study is to highlight the positive effects that the attendance of preschool education has on the soclanzauon and on the learning level of children. They are related with the kind of preschool education that the child attends, with the area where the child lives, with the education level of the parents, with the way how the learning process is realized in the kindergarten. Five hundred （500） first graders of the city of Durres are chosen. Parents and teachers will be part of the study only after taking the consent from RIE （Regional Institute of Education）. The completed surveys from the parents will create us an idea of the situation how they experience this and what their expectations regarding their children are. Surveillance will be another important method that will be used to give the conclusion of this study. Children will be watched during spontaneous and one-hour made situations. Statistical data from the two groups of children and parents tests will help us prove how visible the positive effects of attending the preschool education on the performance children show during first grade are. At the end of the study, it will be asked to prove that the attendance of preschool education in specialized institutions has positive effects on the development children show in the first grade in the two targets which we have chosen to study.