OBJECTIVES To prospectively determine the incidence rate of injuries that required medical attention among children in day care and to identify possible hazards related to these injuries. SETTING King County, Washington. METHODS Prospective cohort study of children in a sample of licensed day care facilities. RESULTS From 1 July 1992 to 30 June 1993, 53 medically attended injuries were re...

Diabetes is one of the most common chronic diseases of childhood (1). There are approximately 200,000 individuals ,20 years of age with diabetes in the U.S. (2). The SEARCH for Diabetes in Youth (SEARCH) study recently reported that 1.93 per 1,000 (aged ,20 years) were diagnosed with type 1 diabetes, an increase of 21% from 2001 to 2009. Increases in the prevalence of type 1 diabetes were seen ...

INTRODUCTION Day care center attendance is a risk factor for acquiring respiratory tract infections. There are preventive measures which should be applied. OBJECTIVES To describe the availability of adequate supplies or building facilities, staff habits, behaviors and training, and the existence and enforcement of official guidelines or institutional standards regarding the prevention of resp...

The objective of the study was to test for helminthes in sandboxes in day care centers in the city of Uberlândia, Southeastern Brazil in 2005. Fourteen private and 14 public day care centers with playgrounds were selected. One collection was carried out during the dry season (June and August), and the second one was in the rainy season (September and November). Samples were tested using Willis ...

OBJECTIVE To describe morbidity associated to varicella in children attending day care centers. METHODS Descriptive study carried out through inquiries with parents of 664 children who acquired varicella after admission to day care centers in Taubaté (population: 244,165, census of 2004), a prosperous city in the State of São Paulo. RESULTS The median age was 36 months (range 6 to 80 months...

BACKGROUND Previous studies underscore the need to improve caregiver-child interactions in early child care centers. OBJECTIVE In this study we used a randomized controlled trial to examine whether a 5-week video feedback training can improve six key interactive skills of caregivers in early child care centers: Sensitive responsiveness, respect for autonomy, structuring and limit setting, ver...

The Early Childhood Initiative (ECI) of Allegheny County (including the city of Pittsburgh), Pennsylvania, was an ambitious, large-scale effort to provide high-quality early care and education (ECE) services to disadvantaged infants, toddlers, and preschool-age children. As understood by ECI’s planners, such services go well beyond the simple supervision of children while parents work or attend...

Typically the aim in the construction process is to calculate the energy, space and cost efficiency in the design phase. These factors’ influence on decision making extends to the whole building process. How these decisions affect the use of the building and user satisfaction as well as maintenance is still not that well understood. This study analyses different schools and day care centers and...

Carriage rates of Streptococcus pneumoniae and their antibiotic resistance, capsular types, and genetic patterns were studied among 264 children aged 12-35 months attending 8 day care centers located within a 2.5-mile radius in the same city. Nasopharyngeal cultures were obtained within a 2-month interval from all 264 children. Significant differences in each of the studied characteristics were...