儿童支气管异物32例误诊分析

支气管异物系儿科常见病,误诊原因很多,如病史陈述不详细、辅助检查的干扰等,更重要的一个原因就是异物的不典型位置。传统观念中,右下肺异物高发,实际上,受气流及异物体积的影响,轻而小的塑料可被回吸进入左上肺,而较大的异物受自身重力影响多进入右下肺。异物进入体内,引起的·临床表现多种多样,咳嗽、咯血、喘息甚至呼吸困难等,诸类症状在呼吸系统疾病中较为常见,因此这些症状的鉴别就显得尤为重要。在治疗方面,突破传统的支气管镜技术,提倡可以首先采取保守治疗,给予拍背、体位引流等手段,部分患儿可自行咳出异物,这样就避免了手术的风险,在保守治疗无效的情况下可转入外科通过纤维支气管镜取出。     

Sharing my journey and opening spaces: spirituality in the classroom

Drawing on past experiences and understandings of children’s spirituality, as well as research regarding in-service teacher’s views on facilitating spirituality in the classroom, this article explores teacher candidates’ thoughts on spirituality, their position as it having a place or not in the classroom and how, if so, would they incorporate it to facilitate spirituality for the children they teach. Methods for gathering data include exposing teacher candidates to definitions of spirituality, theory, research and different views on children’s spirituality, as well as using prompt questions to facilitate an online discussion on perceptions of spirituality in the classroom. The findings gathered show teacher candidates deem spirituality as important, and as having a place in early childhood education. Appreciation of nature, reflection and pondering, meditation practices and yoga were the suggested strategies made by teacher candidates, in order to incorporate and nourish children’s spirituality in the classroom.     

Power,empowerment and surrender in the context of paediatric spiritual care

The dynamics of ‘surrender’ is here put in dialectic with the dynamics of ‘power’ observed in situation involving children and their caregivers in a paediatric hospital setting. Following a qualitative research method used in practical theology, three case studies are presented and then interpreted in the light of both social sciences and Christian theology/spirituality. In the power/surrender paradox, there will always be a need for discernment for each situation and each encounter if the caregiver wants to better care for the children and continue to acknowledge their contribution to the life experience and wisdom of adults. Power and surrender both need to be embraced in order to grow in a fruitful spiritual life.     

Measuring Epistemic Curiosity in Young Children

Epistemic curiosity (EC) is the desire to obtain new knowledge capable of either producing positive experiences of intellectual interest (I‐type) or of reducing undesirable conditions of informational deprivation (D‐type). Although researchers acknowledge that there are individual differences in young children's epistemic curiosity, there are no existing measures to assess the I‐ and D‐type constructs of EC in early childhood. The aim of this study was to develop and validate parent‐report scales that reliably assessed early expressions of I‐ and D‐ type EC in young children. To develop the I/D‐Young Children (I/D‐YC) scales, 16 potential items were administered to 316 parents of children aged 3 to 8. These items were adaptations of an existing adult self‐report measure of EC as well as newly developed items. Confirmatory factor analyses demonstrated that a 10‐item 2‐factor (5 I‐type, 5 D‐type) model had the best fit. Construct validity analyses and psychometric data indicated that our newly developed I/D‐YC scales are valid and reliable measures of individual differences in early expressions of I‐ and D‐type EC. Copyright © 2014 John Wiley & Sons, Ltd.     

Children's Attitudes towards Peers with Disabilities: Associations with Personal and Parental Factors

The purpose of this study was to investigate the following: (i) associations among children's prior contact with people with disabilities and the three dimensions of children's attitudes towards people with disabilities: children's understanding of and their feelings about people with disabilities and their behavioural intentions to make inclusion decisions; (ii) the relation between children's behavioural intentions to make inclusion decisions and the demands of activity contexts and the types of disabilities; and (iii) the association between parents' attitudes and children's attitudes. Participants included 94 typically developing four‐ and five‐year‐old preschoolers. Children's understanding of disabilities and their prior contact with people with disabilities were found to be positively related to their feelings about people with disabilities; children's understanding of disabilities was a significant moderator of the relation between their behavioural intentions and activity contexts or types of disabilities. The hypothesized association between parents' attitudes and children's attitudes was not significant. Preschoolers may benefit from having more regular contact with people with disabilities to develop positive feelings towards their peers with disabilities, which is also related to their understanding of disabilities. Children's behavioural intentions to make inclusion decisions need to be understood in relation to their understanding of disabilities, the demand of activity contexts, and types of disabilities. Copyright © 2013 John Wiley & Sons, Ltd.     

公益组织课外辅导对流动儿童领悟社会支持的影响

通过对选自北京市打工子弟小学的159名流动儿童进行问卷调查,探讨公益组织的社会干预对流动儿童领悟社会支持能力及情绪情感的影响。结果表明:(1)在公益组织实施课外团体辅导后,干预组流动儿童领悟社会支持得分与积极情感得分均显著高于对照组流动儿童。(2)在消极情感得分上,干预组与对照组不存在显著差异。(3)领悟社会支持与积极情感存在显著正相关,与消极情感存在负相关。这表明,通过公益组织实施课外辅导方式进行的社会干预能够有效提高流动儿童的领悟社会支持水平。     

Relating individual differences in internalizing symptoms to emotional attention set-shifting in children

A growing body of evidence points to links between internalizing symptoms and various executive functioning deficits, and especially to inhibition and set-shifting difficulties. However, there is limited developmental research regarding the impact of internalizing symptoms on the shifting function, particularly during middle childhood. The current study investigated attention shifting in a sample of 108 early school age children (7–11 years) using a task-switching paradigm which required participants to alternate between emotional and nonemotional judgments. Results indicated that higher levels of internalizing symptoms (anxiety and depression) had a detrimental effect on performance efficiency (measured by response times) but not on response accuracy. This effect was only observed on emotional (and not on nonemotional) repetition trials and did not affect switching trials; moreover, it was only present when feedback was presented to participants. The findings partially support the predictions of the Attentional Control Theory in a developmental sample and suggest that individual differences in internalizing symptoms play a role in children's ability to flexibly alternate between emotional judgments.     

Young adolescents’ emotional and regulatory responses to positive life events: Investigating temperament,attachment, and event characteristics

Very little is known about what factors predict variations in responses to positive events among youth. Consequently, we examined young adolescents’ positive emotional reactions and their savoring and dampening responses to their most intense positive event across a four-day period. The investigated predictors were parent-reported adolescent temperament, adolescent-reported attachment security with mothers and fathers, and researcher-coded event characteristics. The sample was 56 youth (31 boys, 10–14 years of age). More support was found for temperament than attachment. Specifically, effortful control predicted more savoring and sustained positive affect (PA) about the events, whereas negative emotionality predicted more dampening. Adolescents’ reports of more secure attachment to fathers were marginally linked to more savoring of their positive event. Girls reported higher levels of initial PA yet endorsed more dampening responses than boys. Event type (interpersonal vs. not) was unrelated to responses to the events. Overall, this study offers new information on the development of PA regulation and responses to positive events in youth.     

Feminist justice and the case of undocumented migrant women and children: a critical dialog with Benhabib,Nussbaum, Young,and O'Neill

In recent years, scholars and researchers have discovered a new trend in the migration of unauthorized people into the United States: while the total numbers of unaccompanied migrant children crossing the border have grown exponentially in the past few years, human rights violations against migrant women have also increased significantly. This unfortunate trend is not unrelated to the intensifying border militarization and the criminalization of all unauthorized migrants. This paper attempts to provide an ethical solution to the political conundrum of undocumented migration by engaging a critical discourse with major feminist theorists of justice, including Seyla Benhabib, Martha Nussbaum, Iris Marion Young, and Onora O'Neill. I develop an argument in the paper that the US government's political appropriation of forgiveness is the most justifiable and practical solution for resolving the precarious situation of undocumented migrant women and children.     

Parents’ Perceived Impact of the Societal Lockdown of COVID-19 on Family Well-Being and on the Emotional and Behavioral State of Walloon Belgian Children Aged 4 to 13 Years: An Exploratory Study

This exploratory study assessed parents’ perceptions of the emotional and behavioral impacts of the COVID-19 lockdown on their children. The total sample included 749 children, aged 4 to 13 years old (353 girls, 396 boys); 524 parents took part. The emotional and behavioral changes observed during the societal lockdown, family coexistence, the impact of COVID-19 on family well-being, and the frequency of social contacts before and during this lockdown were investigated. Results show that the most frequently reported difficulties were worry, agitation, anxiety, sadness, loneliness, nervousness, arguing, anger, frustration, boredom, irritability, behavioral problems, and laziness. Family coexistence declined significantly during this lockdown, and parents mentioned that COVID-19 had an impact on family well-being. Various ordinal logistic regressions showed that family coexistence, children’s nervousness due to COVID-19, the impact of COVID-19 on family well-being, age, and social contacts before and during this lockdown seemed to explain the various emotional and behavioral changes observed in children during the societal lockdown. These results are discussed and recommendations are made.