Child care according to day care center workers

This investigation aimed at understanding and analyzing the representations of the workers from daycare centers regarding the care they provide to children. Data were collected through individual interviews and an educational workshop. These interviews were carried out in daycare centers, that are associated to a public university in the municipality of S?o Paulo, Brazil. The topic presented here, Childcare in daycare centers, is the first result of this study. The care was defined as actions taken to attend to the child's physical and emotional necessities, a preliminary step to pedagogical activities and as a learning moment for children. The workers understand the care as a phenomenon that do not need specific training or preparation as it is secondary if compared to education. This common sense understanding can be a result of the lack of reflection about a theoretical and conceptual reference that must base the performance of these workers.     

The treatment of psoriasis in a day care center

We describe the treatment of 196 patients with psoriasis, in the psoriasis day care centre at Ede. Treatments involve salt water baths followed by radiation of UVB, additional radiation of the scalp and therapy-resistant parts of the skin and anthralin 'short contact therapy'. During the anthralin therapy the hairy scalp is treated with liq. carb. dexerg. 5% in soya oleum. The results were evaluated by means of the psoriasis area and severity index (PASI) and of a questionnaire which was completed by 144 patients. In an average course of 28.4 treatment sessions (range 9-51), the PASI decreased by 84.3%. Evaluation of the PASI included the hairy scalp, the axillae and the inguinal region. The answers to the questionnaire indicated a risk of rather rapid relapse however, according to many patients, only a small part of the skin surface was affected. The additional value of the treatment is attributed to the setting of the psoriasis day care centre and the relatively safe therapeutic possibilities offered there.     

Recurrent outbreaks of giardiasis in a child day care center, Wisconsin.

In the 19-month period September 1983-March 1985, three outbreaks of giardiasis occurred in one large child day care center. Control measures instituted during each outbreak included case finding; pharmacologic treatment and follow-up testing of stool specimens for cases of giardia infection in day care children and staff, and their household contacts; facilitating and stressing personal and environmental hygiene, including altering diapering practices and teaching appropriate hand washing techniques. In the first, second, and third outbreaks, overall attack rates (stool analysis positive for Giardia lamblia) were determined for those persons with greater than or equal to 2 stool specimens submitted; attack rates in children were 47, 17, and 37 per cent, respectively; for tested staff, the rates were 35, 13, and 9 per cent; and for tested household contacts were 18, 9, and 5 per cent. Attack rates were highest for ambulatory diapered children, children attending the day care center greater than or equal to 40 hours per week, and children who were infected with G. lamblia in the most recent previous outbreak. Despite extensive efforts to identify cases, a cure rate of greater than 90 per cent in treated cases, and improvements in personal and environmental hygiene practices, G. lamblia infections recurred in outbreak proportions.     

Transmission of Giardia lamblia from a day care center to the community.

An outbreak of giardiasis was investigated in one urban day care center; another day care center was selected as a control. In the study day care center, 35 per cent of the children were infected. Infection was spread to at least one household contact of 47 per cent of the infected children. The data suggest person-to-person transmission of giardiasis and the need for measures to prevent its dissemination. Early recognition and treatment of Giardia lamblia infections in children may be indicated.     

上海市某老年人日托所运行模式探析

报告一家开设在社区内具有公益性的老年人日托所运行一年间所取得的成功经验与不足,并为“日托养老”的发展提出建议.     

Combatting staff burn-out in a day care center: A case study

In a follow-up study on a research investigating the burnout syndrome in day care settings, the successful attempts of one day care center to combat burnout are presented. The status of the day care center prior to changes, the specific changes that were implemented, and the impact of those changes after six months are described in detail within the conceptual framework of the burnout research.This research was funded by Biomedical Sciences Support Grant 3-S05-RR-07006-08S1 to Christina Maslach.     

A continuum of rehabilitative care. A day hospital extends patients' lifeline to the medical center

Alexian Brothers Medical Center in Elk Grove Village, IL, carries out its commitment to a continuum of care through the Alexian Brothers Rehabilitation Center and its Physical Rehabilitation Day Hospital. The day hospital treats patients who need rehabilitation but do not need around-the-clock hospitalization. The day hospital individualizes its intensive comprehensive, pulmonary, and arthritis programs. An important component of these outpatient programs is education and preventive techniques to reduce the need for repeat treatment. Only medically stable patients are transferred to the rehabilitation center, where an interdisciplinary team helps them achieve the maximum function possible within the limits imposed by their disabilities. The rehabilitation center sponsors a community support group for young adults who have sustained head injuries and a group for alumni of the center. Through its home healthcare program and its adult day care program, the medical center offers a variety of treatment delivery methods that enhance the center's continuum of care.