The incidence of severe physical child abuse in Wales

OBJECTIVES: The purposes of this study were: (1) to ascertain the incidence and nature of severe physical child abuse in Wales; (2) to ascertain the incidence of all physical abuse in babies under 1 year of age; and (3) to determine whether child protection registers (CPR) accurately reflect the numbers of children who are physically abused. METHODS: This is a population-based incidence study based in Wales, UK, for 2 years from April 1996 through March 1998. Children studied were under the age of 14 with severe physical abuse consistent with the criminal law level of Grievous Bodily Harm. This included seven categories of injury (death; head injury including subdural hemorrhage; internal abdominal injury; physical injury in Munchausen Syndrome by Proxy including suffocation; fracture; burn or scald; adult bite). Cases were ascertained by a pediatrician surveillance reporting system (WPSU). A criterion for inclusion was multidisciplinary agreement that physical abuse had occurred (at case conference, strategy meeting, or Part 8 Review). The incidence of all babies under 1 year of age with physical abuse was also studied. Ascertainment of babies under the age of 1 year was undertaken from CPR as well as the WPSU. RESULTS: Severe abuse is six times more common in babies [54/100,000/year (95% CI +/- 17.2)] than in children from 1 year to 4 years of age [9.2/100,000 (95% CI +/- 3.6)]. It is 120 times more common than in 5- to 13-year-olds [0.47/100,000 (95% CI +/- 0.47)]. This is mainly because two types of serious abuse (brain injury including subdural hemorrhage and fractures) are more common in babies under the age of 1 year than older children. Using data from two sources (the WPSU and CPRs), the incidence of physical abuse in babies is 114/100,000 (CI 114 +/- 11.8) per year. This equates to 1 baby in 880 being abused in the first year of life. The largely rural Health Authority area in Wales had incidence figures for abuse in babies that were 50% of the three other predominantly urban Health Authority areas. Boys throughout the series were more at risk of being severely abused than girls (p < .025). Only 29% of the babies under 1 year of age on the CPR had actually been injured. Thirty percent of abused babies under the age of 1 year and 73% of severely abused children over the age of 1 year had caused previous concern to health professionals regarding abuse or neglect. Conclusions: Physical abuse is a significant problem in babies under the age of 1 year. Very young babies (under 6 months old) have the highest risk of suffering damage or death as a result of physical abuse. Severe abuse, in particular subdural hematoma and fracture, is much more common in babies than in older children. There is evidence of failure of secondary prevention of child abuse by health professionals, with a greater need to act on concerns regarding abuse and neglect. Interagency child protection work in partnership with parents should focus more on protecting babies under age 1 year from further abuse than on maintenance of the infant within an abusive home. The CPR is not intended as an accurate measure of children suffering abuse. It is a record of children requiring a child protection plan and must not be used as a measure of numbers of abused children.     

鞍山市3所幼儿园4~6岁幼儿饮食行为调查

为了解鞍山市不同幼儿园4-6岁幼儿饮食行为状况,本研究运用整群抽样的方法选取鞍山市3所不同层次幼儿园的256名幼儿,采用问卷调查和观察法对饮食行为进行调查。调查发现幼儿早餐状况参差不齐,存在过度零食、挑食、偏食现象。幼儿园需要有效开展营养教育,加强家园合作关系,共同培养幼儿健康饮食行为习惯。     

Mastery motivation and expressive language in young children with hearing loss

We studied the relation between mastery motivation and expressive language in 200 young children with hearing loss. Hearing mothers assessed their children's expressive language (Minnesota Child Development Inventory; Ireton & Thwing, 1974) and several aspects of mastery motivation including mastery pleasure and three components of mastery persistence (gross motor, object oriented, and social/symbolic) using the Dimensions of Mastery Motivation Questionnaire (Morgan et al., 1992). Simple correlations revealed significant relations between expressive language and all mastery motivation scales. When demographic and hearing loss variables were entered into a regression equation, only increased social/symbolic persistence was significantly related to, and increased object-oriented persistence was marginally related to, increases in expressive language quotients. Expressive language quotients also increased significantly as child age and degree of hearing loss decreased and as mothers' ratings of their child's general competence increased. In addition, decreases in the age at which the child was enrolled in intervention were marginally related to increases in expressive language quotients (f =.06).     

Combined treatment of landfill leachate with fecal supernatant in sequencing batch reactor

A laboratory-scale sequencing batch reactor （SBR） is used to treat landfill leachate containing high concentration of ammonium nitrogen with municipal fecal supernatant. The SBR system is operated in the following sequential phases： fill period, anoxic period, aeration period, settling period, decant and idle period. The results indicated that the average removal efficiencies of COD, BOD5, TN, NH4^＋-N were 93.76%, 98.28%, 84.74% and 99.21%, respectively. The average sludge removal loading rates of COD, BOD5, TN and NH4^＋-N were 0.24 kg/（kg SS.d）, 0.08 kg/（kg SS.d）, 0.04 kg/（kg SS.d） and 0.036 kg/（kg SS.d）, respectively. Highly effective simultaneous nitrification and denitrification was achieved in the SBR system. The ratio of nitrification and denitrification was 99% and 84%, respectively. There was partial NO2^- denitrification in the system.     

3-5岁幼儿口语叙事能力对创造力发展的影响

为探讨3-5岁幼儿口语叙事能力对创造力发展的影响,采用修订后的叙事评估工具(NAP)与创造力测评工具(EPoC)对108名3-5岁幼儿进行个体施测。研究结果表明:(1)3-5岁幼儿口语叙事能力随年龄不断增长,4岁为快速发展期;(2)创造力的整体发展趋势随年龄增长呈倒U型,即在3-4岁幼儿创造力随年龄不断提高,在5岁时随年龄增长而下降;(3)3-5岁幼儿创造力与口语叙事能力发展均无显著性别差异;(4)3-5岁幼儿口语叙事能力中故事语法维度对幼儿发散性思维与语言创造力有显著正向预测作用,贡献率分别为7.6%和11.4%。     

Maternal language to prelinguistic infants: syntactic aspects

Maternal speech to children has been shown to vary by age and language ability of the children. Previous studies have usually involved children over 1 year of age. In this study maternal speech to male and female 4-, 6-, and 8-month-old infants was recorded in the laboratory. Mothers used shorter utterances to 8-month-olds than to 4- or 6-month-olds, presumably in response to the infant's changing level of comprehension. Mothers used more sentences with subjects, verbs, or objects deleted to 8-month-olds and more complex sentences to 4-month-olds.     

应对数字社会挑战：数字智商及其在线教育体系

每一次新技术引发的工业革命,不但会带来社会和经济体系的结构性变化,也会激发出适应各社会发展阶段的新的智力形式。随着全球化发展和数字技术的渗透,个体间联系变得越来越紧密,数字智商(Digital Intelligence Quotient,DQ)成为个人成功和社会福祉的关键。数字智商是一系列综合技术、认知、元认知和社会情感的复杂能力,是建立在道德价值观基础上、使个人能够面对数字生活的挑战并适应其需求的一种能力素养的表征,涵盖数字公民、数字创造者和数字竞争者三个层次,涉及数字身份、数字使用、数字安全、数字保护、数字情商、数字交流、数字素养和数字权利八大领域24项能力。目前国际上有关数字智商尤其是青少年数字智商的研究刚刚起步,系统的数字智商教育与测评体系并不多见。DQ World是一个已获得联合国教科文组织两个奖项认可的在线教育平台。它通过学习模块、反馈模块、防范模块和保护模块四个环节形成链条来帮助儿童发展数字智商、规避网络风险,其系统架构设计值得我们借鉴。为推动数字智商教育的本土化实施、促进学生数字化成长,我国应注重发展基于数字智商的核心素养、开发适应我国国情的数字智商测评指标、促进数字智商与学科教学融合。     

The effects of developmental delay on sustained attention in young children

The development of developmentally delayed young children is similar to that of normal children in sequence and organization. The hypothesis of this research was that delayed children do differ from the norm when tasks involve discerning nuances, balancing competing stimuli, or acquiring and retaining selected information. Using a videotaped free-play situation, we examined attention deployment behaviors of 3 groups: normally developing (ND), Down syndrome (DS), and developmentally delayed with uncertain etiology (UE). Gesell DQ scores ranged from 50 to 75 in the latter 2 samples. In Study 1, infants had developmental ages of 12-24 months. The UE subjects spent less time engaged with toys than ND or DS subjects, and both delayed groups had less simultaneous appraisal of the environment, more time unoccupied in any way, and more throwing behavior than the ND group. In Study 2, at the 22-30-month developmental age range, DS and UE subjects had patterns of play that included many primitive activities such as banging and mouthing. Taken together, the results show reductions in ongoing acquisition and elaboration of information during play; these in turn may have significant developmental ramifications.     

Children exposed to child maltreatment and intimate partner violence: a study of co-occurrence among Hong Kong Chinese families

Objective

This study assessed the co-occurrence of child maltreatment and intimate partner violence (IPV) and examined the association between them.

Method

The cross-sectional study recruited a population-based sample of 1,094 children aged 12-17 years in Hong Kong. Structured questionnaires were used to collect data from the children. The prevalence of occurrence of child abuse and neglect by parents and exposure to IPV in both the past year and lifetime was examined, and their correlates were assessed using univariate and multivariate logistic regression.

Results

The results show that 26% and 14.6% of child participants had been exposed to IPV physical assault, and 44.4% and 22.6% had been subjected to a parent's corporal punishment or to physical maltreatment from a parent in their lifetime and the year preceding the study, respectively. Among those families characterized by IPV, 54.4% and 46.5% were involved in child physical maltreatment over the child's lifetime and in the preceding year, respectively.

Conclusions

Multivariate logistic regression analyses revealed that children exposed to IPV were at higher risk of being victims of neglect, corporal punishment, and physical maltreatment or severe physical maltreatment by their parents than children who were not exposed to IPV, even when child and parent demographic factors were controlled for.

Practical implications

The higher risk of child physical maltreatment associated with IPV highlights the need for an integrated assessment to screen for the presence of multiple forms of family violence within the family, and for intervention to assess effective responses to both IPV and child maltreatment by child protective service workers and domestic violence agencies.     

Intrafamilial conflict and emotional well-being: a population based study among Icelandic adolescents

Objectives

During intrafamilial conflicts children are often innocent bystanders, caught in the crossfire. In such situations, they are at increased risk to become directly involved in abusive verbal behavior of the perpetrator, and exposed to being shouted or yelled at, threatened, rejected and even physically abused. The present study has two main objectives: (1) ascertain a national base rate of intrafamilial conflicts and physical violence at home among Icelandic adolescents; and (2) to investigate the association of witnessing and/or having been a part of intrafamilial conflict or physical violence at home with variables that relate to mental health and well-being.

Methods

The participants were 3,515 students, 14- and 15-year-old, in the national compulsory school system in Iceland. As a part of the 2003 ESPAD survey, each pupil was asked about experiences of severe verbal arguments and physical violence at home as well as their background, behaviors, and mental health assessed with the use of tested measurement scales such as the Symptom Distress Checklist 90 (SCL-90) and the Rosenberg Self-Esteem Scale.

Results

About 22% of the participants stated that they had witnessed a severe verbal argument between parents and 34% stated that they had been involved in a severe verbal argument with parents. This rate was slightly higher for girls compared to boys. All together 7% of adolescents had witnessed physical violence at home where an adult was involved and 6% of the participants stated that they had experiences of being involved in physical violence at home where an adult was involved. Witnessing or being involved in severe verbal arguments at home and/or witnessing or being involved in physical violence with an adult was significantly associated with greater levels of depression, anger, and anxiety, and negatively related with self-esteem (p < 0.01).

Conclusions

Many adolescents in Iceland witness severe parental verbal arguments or physical violence between adults in their homes and some are directly involved in such acts. It affects their long-term emotional and behavioral development and well-being.

Practice implications

Preventive measures have to be implemented at an early age and should include, but not be limited to, information on disciplining and upbringing of children and the negative impact of intrafamilial conflicts on the long-term health of their children. Due attention should be given to the health and well-being of children where such violence is known to occur.     

Comparison of ratings by mothers and teachers on preschool children using the vineland social maturity scale

Comparison of informants' ratings of 20 preschool children on the VSMS showed no significant correlations between either the social quotients or the rankings by mothers and daycare center teachers. Of significance, however, was the difference between the means of the two groups, the mothers consistently reporting the social quotients of the children to be higher than did the teachers.     

学前儿童学习目标、学习内容和学习评估:国外课程指南文献比较

学前儿童学习发展是各国政府、学前教育机构、办学团体和家长共同关注和探讨的课题。研究选取了新加坡、英国、澳大利亚、芬兰和美国的学前课程指南文献进行比较,从中探讨这五个国家培育学前儿童的方向、学前儿童的学习内容和学习评估等方面的共同特征和差异。分析结果表明:五国一致聚焦于儿童体能、健康、认知、情绪、群性、科学探索、艺术创意和个性的全面发展。儿童全面发展依赖于综合学习活动。但是,在跨学科综合学习还是超学科综合学习方面存在差异;儿童是否需要评估,评估所涉及的儿童年龄和学习表现指标的构成等,也表现出各国的特色。     

Abusive head trauma in young children: characteristics and medical charges in a hospitalized population

OBJECTIVE: To describe the presenting characteristics, hospital course, and hospital charges associated with hospital admissions for head trauma in young children at a regional pediatric trauma center, and to examine whether these factors differ among abused and non-abused subjects. METHOD: Comparative case series study involving a retrospective medical record review of children less than 3 years of age admitted to Children's Hospital of Pittsburgh from January 1, 1995 to December 31, 1999. Subjects (n=377) were identified on the basis of ICD-9-CM codes for head injury. Subjects were classified as abused or non-abused based on standard criteria using information about the type of injuries, the history provided by the caretaker, and physical and radiographic findings. RESULTS: Eighty nine (23.6%) subjects were classified as abused and 288 (76.4%) were classified as non-abused. Abused subjects were more likely then non-abused subjects to be <1 year of age (vs. >1 year of age) (OR: 9.8; 95% CI: 5.0, 19.2), covered by Medicaid (vs. commercial insurance) (OR: 2.8; 95% CI: 1.7, 4.8), and admitted to the ICU (OR: 3.5; 95% CI: 2.1, 5.8; p<.001). The caretakers of abused subjects were more likely to give a history of no trauma or minor trauma compared to the caretakers of non-abused subjects (97% vs. 54%, p<.001). Length of stay was significantly greater for abused subjects versus non-abused subjects (mean: 9.25 days vs. 3.03 days, p<.001). Hospital charges (1999 dollars) were significantly higher for abused (mean+/-SD: 40,082 dollars +/- 58,004 dollars) versus non-abused (mean +/- SD: 15,671 dollars +/- 41,777 dollars) subjects. CONCLUSIONS: These results highlight the differences in the demographics, presenting characteristics and economic impact of abusive head injuries compared to non-abusive head injuries.     

Educational Gymnastics: The Effectiveness of Montessori Practical Life Activities in Developing Fine Motor Skills in Kindergartners

Research Findings: A quasi-experiment was undertaken to test the effect of Montessori practical life activities on kindergarten children's fine motor development and hand dominance over an 8-month period. Participants were 50 children age 5 in 4 Montessori schools and 50 students age 5 in a kindergarten program in a high-performing suburban elementary school. Children were pre- and posttested on the Flag Posting Test, an individually administered test of fine motor skill requiring children to place tiny flags mounted on pins into preset pinholes. Students in the Montessori treatment group demonstrated significantly higher accuracy, speed, and consistent use of the dominant hand on the posttest, adjusted for pretest differences and gender. Effect sizes were moderate for accuracy and speed (ds = .53 and .37, respectively) and large for established hand dominance (?R² = .35). Longitudinal research on the effects of early childhood programs emphasizing the reciprocal interplay of cognitive and physical aspects of activity is recommended. Practice or Policy: The findings argue for a balanced approach to early childhood education that maintains the importance of physical activity and fine motor development in conjunction with cognitive skills. Montessori practical life activities involving eye–hand coordination and fine motor skills can be integrated into programs.     

Child care in the preschool years: Attachment,behaviour problems and cognitive development

The possible implications of the experience of non parental care on cognitive development and on behaviour problems are considered in interaction with individual and contextual variables. A sample of 47 Swiss children who experienced varying kinds of care arrangements were studied longitudinally between 1 and 5 years of age. The effects of the experience of care were related to mothers’ reports of behavioral problems (CBCL, with subscales of internalizing and of externalizing problems) at age 5, and to cognitive developmental quotients (at 1, 2 and 5 years). Several variables were considered for their potential interaction with the experience of care, such as the pattern of attachment to the mother (observed at 21 months of age in the “Strange Situation”), characteristics of the experience of care (duration and type of care), its quality (relationship with non parental caregivers), the socio-economic status of the family, etc. The effect of non parental care on behaviour problems (5 years) happened to be mediated by the the pattern of attachment to the mother: insecurely attached children had some risk to be reported as having externalizing problems, but this didn’t occur when they had an extended experience of non parental care, and when non parental care was mainly family-based. The effect of non parental care on cognitive development was mediated by the quality of care: children with a positive contact with the caregivers had greater cognitive gains between 2 and 5 years; the relationship with the care-givers itself was influenced by the quality of the relationship with the mother. The limited size and origin of the sample restricts generalization, however these data might contribute to the notion that non parental care can have varying effects depending of the type of care, the quality of the relation with the caregivers, the age and personal traits of the child.     

Social withdrawal,observed peer acceptance,and the development of self-perceptions in children ages 4 to 7 years

Children who think poorly about themselves are considered at-risk for a myriad of negative outcomes. Thus, it is important to explore possible origins of such cognitions, particularly in young children. The purpose of this study was to examine the relations between various nonsocial behaviors (i.e., reticence and social withdrawal), observed peer acceptance at ages 4 and 7 years, and self-perceptions at age 7 years in both boys and girls, respectively.Participants included 163 children (89 females, 74 males) who were seen at age 4 and then again at age 7 years. For girls, results revealed that nonsocial behavior (both reticence and solitary-passive withdrawal) was negatively related to observed peer acceptance at both ages 4 and 7, and peer acceptance, as early as 4 years of age, was found to influence self-perceptions of competence at age 7 years. For boys, results revealed that (a) reticence at age 7 predicted negatively to perceived peer acceptance, perceived physical and perceived cognitive competence at age 7 years, (b) solitary-passive withdrawal at age 4 predicted positive cognitive self-perceptions at age 7, and (c) solitary-passive withdrawal at age 7 predicted negatively to perceived peer acceptance and perceived physical competence at age 7 years.     

Patterns of child abuse and neglect associated with chronological age of children living in a midwestern county.

OBJECTIVE: The main objective of the study was to investigate the relationship between age of the very young victim and the type of abuse perpetrated against that victim. A secondary objective was to examine gender and racial differences in child abuse and neglect in children between the ages of birth and 7 years. METHOD: Archived data for all cases of substantiated abuse of children for the years of 1990-1996 inclusive were retrieved from a data bank at a county children services department (N = 876). Chi-square analyses were used to determine age, gender, and racial differences in child abuse and neglect in children 0 to 7 years of age. RESULTS: Neglect was the most common form of primary substantiated abuse recorded for this population of children under the age of 7 years, although the incidence of neglect decreased as chronological age of the child increased. Sexual abuse increased in occurrence as the children got older. Girls were more likely to be victims of sexual abuse than boys. No significant age differences were observed for physical abuse or for emotional abuse, and no racial differences were detected for any of the four types of abuse examined. CONCLUSIONS: Although the findings of this study are in agreement with those of previously published reports, there is some question as to whether archived data are an accurate reflection of actual patterns of maltreatment occurring in very young children or whether they represent the types of abuse that are subjectively identified and reported by authorities.     

Experimental Impacts of the “Quality Preschool for Ghana” Interventions on Teacher Professional Well-being,Classroom Quality,and Children’s School Readiness

We assessed the impacts of a teacher professional development program for public and private kindergartens in the Greater Accra Region of Ghana. We examined impacts on teacher professional well-being, classroom quality, and children’s readiness during one school year. This cluster-randomized trial included 240 schools (teachers N?=?444; children N?=?3,345, M_age?=?5.2) randomly assigned to one of three conditions: teacher training (TT), teacher training plus parental-awareness meetings (TTPA), and controls. The programs incorporated workshops and in-classroom coaching for teachers and video-based discussion groups for parents. Moderate impacts were found on some dimensions of professional well-being (reduced burnout in the TT and TTPA conditions, reduced turnover in the TT condition), classroom quality (increased emotional support/behavior management in the TT and TTPA conditions, support for student expression in the TT condition), and small impacts on multiple domains of children’s school readiness (in the TT condition). The parental-awareness meetings had counteracting effects on child school readiness outcomes. Implications for policy and practice are discussed for Ghana and for early childhood education in low- and middle-income countries.     

Do the effects of early severe deprivation on cognition persist into early adolescence? Findings from the English and Romanian adoptees study

Cognitive outcomes at age 11 of 131 Romanian adoptees from institutions were compared with 50 U.K. adopted children. Key findings were of both continuity and change: (1) marked adverse effects persisted at age 11 for many of the children who were over 6 months on arrival; (2) there was some catch-up between ages 6 and 11 for the bottom 15%; (3) there was a decrease of 15 points for those over 6 months on arrival, but no differentiation within the 6-42-month range; (4) there was marked heterogeneity of outcome but this was not associated with the educational background of the adoptive families. The findings draw attention to the psychological as well as physical risks of institutional deprivation.     

Ritual, Habit, and Perfectionism: The Prevalence and Development of Compulsive-like Behavior in Normal Young Children

Young children engage in a significant amount of rutualitic, repetitive, and compulsive-like activity that appears to be part of their Normal behavioral repertoire. Empirically, little is known about the onset, prevalence, and developmental trajectory of these phenomena. A parent-report questionnaire, the Childhood Routines Inventory (CRI), was developed to assess compulsive-like behavior in young children, and was administered to 1,492 parents with children between the ages of 8 and 72 months. The CRI has strong overall internal consistency and a distinct two-factor structure. The frequency of compulsive-like behaviors changes with age: Two-, 3- and 4-year-olds engaged in more compulsive behavior than children younger than 1 year of age and older than 4 years of age. Results are discussed from a development psychopathology framework and for their implications for future research in this area.