Appendicitis combined with Meckel’s diverticulum obstruction, perforation, and inflammation in children: Three case reports

BACKGROUND Meckel’s diverticulum is a common congenital malformation of the small intestine,with the three most common complications being obstruction,per-foration,and inflammation.To date,only a few cases have been reported world-wide.In children,the clinical symptoms are similar to appendicitis.As most of the imaging features are nonspecific,the preoperative diagnosis is not precise.In addition,the clinical characteristics are highly similar to pediatric acute appendicitis,thus special attention is necessary to distinguish Meckel’s diver-ticulum from pediatric appendicitis.Patients with poor disease control should undergo laparoscopic exploration to avoid serious complications,including intestinal necrosis,intestinal perforation and gastrointestinal bleeding.CASE SUMMARY This report presents three cases of appendicitis in children combined with intestinal obstruction,which was caused by fibrous bands(ligaments)arising from the top part of Meckel's diverticulum,diverticular perforation,and diver-ticular inflammation.All three patients,aged 11-12 years,had acute appendicitis as their initial clinical presentation.All were treated by laparoscopic surgery with a favorable outcome.A complete dataset including clinical presentation,dia-gnostic imaging,surgical information,and histopathologic findings was also provided.CONCLUSION Preoperative diagnosis of Meckel’s diverticulum and its complications is challenging because its clinical signs and complications are similar to those of appendicitis in children.Laparoscopy combined with laparotomy is useful for diagnosis and treatment.

Relationship between Authoritative Parenting Style and Preschool Children’s Emotion Regulation:A Moderated Mediation Model

An authoritative parenting style has been shown to promote children’s emotion regulation in European-American family studies.However,little is known about how sleep problems and the child’s sibling status in Chinese families affect this relationship.Based on family system theory,this study attempts to better understand the relationship between authoritative parenting style and emotion regulation.Mothers of preschool children in Chinese kindergartens completed questionnaires about their children’s sleep habits,their authoritative parenting styles,and children’s emotion regulation.A total of 531 children participated in this study.Results showed that authoritative parenting was positively associated with emotional regulation.Sleep problems mediated the effects of authoritative parenting style on emotion regulation.The child’s sibling status moderated the mediating effects of sleep problems in authoritative parenting and emotion regulation relationships.Specifically,the relationship between the authoritative parenting style and sleep problems was significant for only children,while birth order had no significant influence on the authoritative parenting style and sleep problems in two-child families.These findings suggest that a lowauthoritative parenting style predicts low emotion regulation through sleep problems,and this depends on the child’s sibling status,indicating that children without siblings may impair emotion regulation due to increased sleep problems.

On Translation of Children’s Literature Based on Reception Aesthetics:A Case Study of The Secret Garden

Grounded in reader-centered theories,Reception Aesthetics prioritizes the active engagement and acceptance of target readers.This study examines the translation of children’s literature through the lens of Reception Aesthetics,using Li Wenjun’s rendition of The Secret Garden as a case study.The objective is to scrutinize various aspects of the translation-including vocabulary,syntax,rhetorical devices,and cultural nuances-and to discern how the adaptation and application of diverse translation strategies cater to the aesthetic expectations.

Reflections on Conducting Kindergarten Language Education Activities Based on Children’s Literature

In early childhood education,language education is a crucial component,yet in kindergarten teaching,there often exists issues such as“emphasis on knowledge and neglect of practice.”To address this problem,teachers need to incorporate children’s literature in a reasonable manner to create a conducive environment for language education for young children.This article analyzes and discusses the significance of integrating children’s literature into kindergarten language education activities,and proposes strategies for addressing the current issues in kindergarten language education activities and conducting them based on children’s literature.

Research on Children’s Game Activity Design Strategies Based on Embodied Cognition Theory

Edutainment,in the kindergarten education stage,emphasizes the game as the basic activity and combines the content of education with the form of the game,thus it also forms the educational method of gamification teaching.Through investigation and analysis,it is found that the current kindergarten game activity design has the problem of improper combination of educational content and game form.The current kindergarten game activity design has problems such as stereotypes,children’s lack of active learning opportunities in activities,teachers’insufficient theoretical understanding,inappropriate teacher guidance methods,and so on.Embodied cognition theory attaches importance to the important role of the body in the development of cognition,provides new guidance for classroom teaching,and opens up a new path for classroom teaching reform.Based on the perspective of embodied cognition theory,the concept of body and mind integration should be adhered to in kindergarten teaching with games as the basic activity,experiential teaching situation should be created,children’s subjective experience should be respected,and games and interactions should be designed to promote children’s physical and mental participation,thus laying a foundation for the realization of children’s individual freedom,autonomy,and all-round development.Therefore,this paper aims at the existing problems in the current kindergarten gamification teaching and discusses the design strategy of children’s game activities based on embodied cognition theory.

From the Voices in the Narratives of After-School Support Advisors: Support for Children’s After-School Support Advisors in Japan

This paper examines how advisors perceive the voices made by Mr.A(pseudonym),the founder of after-school support for children(Initiative Z:pseudonym)in Japan,to advisors who support children.Furthermore,the purpose of this study is to find out how advisors think about the voices and that the voices have led or not advisors to support children,if to do so,what points are key to continuing support for children.Therefore,in Initiative Z,I conducted a survey of two advisors who were approached by Mr.A,who is involved in supporting children as an advisor.As a result of analyzing the narratives obtained from interviews with the two advisors,it was found that the advisor had a sense of being recognized by Mr.A because Mr.A acknowledged the advisor’s way of life.This feeling on the part of the advisor led to trust in Mr.A,and the advisor was in tune with Mr.A’s thoughts on after-school support,suggesting that the advisor was providing support to the child.

Narration and Healing of Psychological Trauma in Chinese Left-behind Children

The problem of left-behind children appears under the background of China’s industrialization,urbanization and modernization with the deepening of its reform and opening up. From 1980s,literature began to give attention to this special phenomenon.Many writers wrote about children’s psychological trauma in alienated families and social environment,and also gave suggestions on the healing of left-behind children’ psychological trauma in their works. This paper argues that the weakening of family education,the deficiency of schooling and the low social coordination are essential factors that lead to the psychological trauma of left-behind children in rural China. Joint effort from family,school and society contribute to the healing of the trauma,among which,love,writings and speeches are effective ways.

Group Psychological Intervention for Children with Hyperactivity Disorder

ADHD is a broad psychiatric disorder that affects children of normal or near-normal intelligence.It is character-ized by inattention,hyperactivity,and age-inappropriate impulsivity,and it is often accompanied by learning dif-ficulties,behavioral,emotional,and interpersonal problems.On the other hand,hyperactive tendencies in children with ADHD exhibit ADHD-like behaviors such as lack of self-control,inattention,hyperactivity,and emotional impulsivity.However,because their symptoms are less severe,they do not meet the diagnostic criteria for ADHD but are ADHD or at risk of developing ADHD.The purpose of this study is to alleviate and reduce children’s hyperactivity symptoms by investigating the current situation of the children studied,and systemati-cally intervening and educating children with ADHD through psychological group intervention.Research data shows that ADHD is most commonly diagnosed in school-age children,and in 70%–80%of children with ADHD,symptoms persist into adolescence and 30%into adulthood.Through the use of group psychological intervention in the experiment,the prevalence rate of children with hyperactivity disorder tendency has been effectively reduced.This shows that group psychological intervention training has a significant effect on improving hyper-activity symptoms in children with ADHD tendency.

An Intervention Study of Language Cognition and Emotional Speech Community Method for Children’s Speech Disorders

Speech disorders are a common type of childhood disease.Through experimental intervention,this study aims to improve the vocabulary comprehension levels and language ability of children with speech disorders through the language cognition and emotional speech community method.We also conduct a statistical analysis of the inter-ventional effect.Among children with speech disorders in Dongguan City,224 were selected and grouped accord-ing to their receptive language ability and IQ.The 112 children in the experimental group(EG)received speech therapy with language cognitive and emotional speech community,while the 112 children in the control group(CG)only received conventional treatment.After six months of experimental intervention,the Peabody Picture Vocabulary Test-Revised(PPVT-R)was used to test the language ability of the two groups.Overall,we employed a quantitative approach to obtain numerical values,examine the variables identified,and test hypotheses.Further-more,we used descriptive statistics to explore the research questions related to the study and statistically describe the overall distribution of the demographic variables.The statistical t-test was used to analyze the data.The data shows that after intervention through language cognition and emotional speech community therapy,the PPVT-R score of the EG was significantly higher than that of the CG.Therefore,we conclude that there is a significant difference in language ability between the EG and CG after the therapy.Although both groups improved,the post-therapy language level of EG is significantly higher than that of CG.The total effective rate in EG is higher than CG,and the difference is statistically significant(p<0.05).Therefore,we conclude that the language cogni-tion and emotional speech community method is effective as an interventional treatment of children’s speech dis-orders and that it is more effective than traditional treatment methods.

Children’s Health, Parent-Child Activities, Using Digital Devices, and Social Competence: Serial Mediation

Background: Studies have pointed out the influence of different children’s activities and prolonged use of digital products on their social development. However, whether the parent-child activities and using digital devices were serial mediators of the relationship between children’s health and social development needs further verification. Purpose: This study explored how parent-child activities and children’s use of digital devices influence the relationship between children’s health and their social competence. Method: This study used data from Kids in Taiwan: National Longitudinal Study of Child Development and Care. A total sample of 2164 participants was used in this study. Serial mediation analyses were performed using model six of Hayes’ PROCESS (2012). Results: This study found that parent-child activities and the use of digital devices can serially mediate the relationship between children’s health and social competence. Children’s health could directly improve their social competence, but it could also serially mediate social competence by increasing parent-child activities and reducing the use of digital devices. Conclusion: Childcare policy planners and parenting educators should not only call on parents to reduce the use of electronic products for their children, but also encourage parents to spend more time interacting with their children, so that children can learn social skills by interacting with others in their daily lives.

How do Metafictive Fictional Science Picturebooks Introduce Natural Science Knowledge to Children?——Wolves and The Magic School Bus:Inside a Hurricane

This paper explores metafiction’s role in fictional science picturebooks and its resolution of the contradictions between fictional stories and scientific knowledge in existing research by analysing two children’s picturebooks,Wolves(Gravett,2015)and The Magic School Bus(Cole,1995).The paper first identifies both books as metafictive science picturebooks by analysing their content.Secondly,the author analyses the structure of the two picturebooks and exposes that they both have two narrative lines as the composite structure:science knowledge and fictional stories.Thirdly,the article discusses the metafictive elements in Wolves and The Magic School Bus from the content perspectives,which are relevant to“reality”,in order to evaluate how metafiction enhances fictional science picturebooks in supporting children’s learning of science,conveying knowledge to children,and avoiding children’s misunderstanding of fiction and scientific information.

Analysis of the Writing Characteristics of the Title Music,Using“Scenes of Childhood”and“Children’s Garden”as Examples

In European thought and culture,there exists a group of passionate artists who are fascinated by the intention,passion,and richness of artistic expression.They strive to establish connections between different art forms.Musicians not only attempt to represent masterpieces through the language of music but also aim to convey subjective experiences of emotions and personal imagination to listeners by adding titles to their musical works.This study examines two pieces,“Scenes of Childhood”and“Children’s Garden”,and analyzes the different approaches employed by the composers in portraying similar content.

Mapping the Child’s Grey Interior:Authenticity of Plague Narrative in The Great Plague

The Great Plague:The Diary of Alice Paynton,London 1665-1666 adopts the realistic painting style and direct writing to the painful experience,describes the situation of the Great Plague in London truly from the perspective of children,and breaks people’s cognitive expectation of children’s literature,the construction of children’s Gray inner world is completed behind the true description of the Great Plague in London with the true brushwork,which presents a different world of childlike innocence.Despite the importance of epidemics writing in literature,the child’s diary perspective of them is one of the least developed of Plague Narrative.Only when authenticity and the child’s grey interior are integrated will we reveal a true picture of society as it was.

Research on the Teaching Optimization Path in Children’s Creative Art Curriculum Under the Perspective of“Sanquan Education”

Children’s creative art curriculum is a professional course supported by art materials and techniques and facilitated through creative activities,aiming at cultivating students’ability to organize creative art activities using various art materials and techniques.In light of the evolving focus in China’s colleges and universities from“what to know”to“how to apply,”the pivotal question for educators is how to maximize the value of children’s creative art curriculum.Based on this,this article takes“Sanquan education”as the starting point,combines factual and theoretical arguments,and analyzes the teaching optimization path of children’s creative art curriculum under the perspective of Sanquan education,to improve the quality and efficiency of teaching.

Beyond Individualism Perspective of Trauma: Evidence for Adopting Collective Narratives for Empowering Long-Term Rehabilitation for Children of the Ethnic Qiang People Who Have Been Affected by Disaster

Objective: Exploring how an ethnic culture-focused collective narrative strategy can be effectively used to promote resilience among the affected Qiang children for post-disaster psychological trauma at scale. Design: The study was conducted with a cohort of ethnic Qiang children through a pretest(n=1100) and post-three years test(n=957) to evaluate the effect of the intervention program from myth story-based collective narrative cultural practices. Results: Data from the study clearly indicate that children's resilience behaviour had been greatly improved by the myth story-based collective narrative activities with average scores on 11 items showing a significant increase from 2.08 at baseline to 4.12 at 3 years follow-up posttest(mean=2.04, 95% CI=0.97, 3.11, p <0.0001). No similar change occurred in the control groups(mean=0.74, 95% CI=-0.75, 2.23, n.s). Conclusion: The adoption of an ethnic culture-focused collectivism narrative approach for reduction of vulnerability was able to greatly promote the cultural variable to enhance coping for Qiang children affected by trauma at scale, which informed the urgency for developing an indigenous psych-cultural agenda for collectively responding to disaster trauma in ethnic minority contexts.

Narration as Therapy in Natsume Sōseki's I Am a Cat

Natsume Sōseki(1867-1916) suffered from cyclic mental depressions through his life, and it was when he was in the state of the most terrible one that he started his career as a writer by writing I Am a Cat(1905-1906). There are some evidence by his wife and friends that Sōseki's condition of disease dramatically improved during its serialization on a magazine, and the writer himself admited humorously in the preface of other work that it was his depression and mania that enabled him to produce I Am a Cat and other early works. This paper aims at describing the process how his act of narrating had therapeutic effects on his state of mind focusing on the construction of complicitous relationship between an implied author and readers in the work by the unique functions of the first-‘person' narrator: A Cat. Among others, I will consider the influence of Laurence Sterne's Tristram Shandy(1759-1767), which Sōseki introduced to Japan for the first time, by discussing the frequent use of metalepsis that the two works have in common.

A Warm Death Trip——An Interpretation of The Great Blue Yonder from the Dead Children Narrative Perspective

When it comes to the death,it can be gruesome or be dolente.However,the death also can be warm and be a new start of life.It is because we regard the death from different perspective that we show different attitude to the death.The novel The Great Blue Yonder which described the experience of the little protagonist died as a ghost wandering in the mortal world interpreted the death by fairy tale.In his wandering trip,he experience not only tears but also laughter.The more important experience he realized was that he took a new look at love and comprehended the significance of life.Because of the dislocation between narrative perspective and narrative contents,the abnormal narrative perspective owns the unique artistic charm.This thesis aims to interpret the Great Blue Yonder by taking the abnormal narrative perspective as the point of view from the dual narrative perspective of the ghosts and the children.The abnormal narrative perspective is endowed with the unique aesthetic effect because of its own aesthetic properties.It will make a great fresh aesthetic feast to readers.

The Translation of Children's Literature under the Guidance of Reception Aesthetics

In recent years,a great majority of excellent foreign children' s literary works have sprung up in the domestic market,so the translation of children' literature are drawn much attention.However,the relevant studies which guide the translation of children literature are quite few.Reception Aesthetics which take readers reception as a goal provides a new prospective for the translation of children s literature and promote its development.

Analysis of the Features of Children's Picture Book and Discussing the Possible Strategies of Translating Children's Picture Story Book from English to Chinese

Translation of children's literature has developed so quickly in recent years that many scholars have turned to research it. However, as special readers, children's reading ability are limited. This thesis analyzes and discusses the features of children's book and the possible strategies on translation of children's book.