[Only half-day nursery schools can be regular nursery schools on the discussion about the legal claim for a place in a nursery school].
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OBJECTIVE: This study aimed to evaluate the hearing screening of pre-school children at nursery schools in Tyrol, Austria. METHODS AND SAMPLE: 47 nursery schools with a total of 2199 enrolled children participated in the study. At the screening, the children were presented a series of tones at frequencies 0.5 kHz (25dB), 1 kHz, 2 kHz, 3 kHz, and 4 kHz (20 dB each) from portable audiometers. The tones were presented over headphones for each ear separately and at irregular intervals. Failure to respond to any of the frequencies was considered failure of the screening. Parents were then advised in written form to have the child examined by an ENT-specialist. RESULTS: 1832 individuals were screened (coverage: 83% of nursery school children; corresponding to at least 63% of all Tyrolean children aged 3 to 5 years). Of these, 390 failed the test (referral rate: 21% of all screened). Examination through an ENT-specialist occurred with 217 children, and this confirmed the positive test in 139 children (hit rate: 64%). In most cases, a temporary conductive hearing loss due to external or middle ear problems (glue ear, tube dysfunction, cerumen, otitis media) was diagnosed. A sensorineural hearing loss was found in 4 children (in 3 of them bilateral). The need for therapy was recognized in 81 children (4% of all screened). CONCLUSION: Pre-school hearing screening identifies children with ear and hearing problems that need therapeutical intervention. Although the hearing problems are mostly of a temporary nature, some may require monitoring over some period. Also some children with permanent sensorineural hearing loss may be detected through this measure. Hearing screening is an efficient means of assessing ear and hearing problems in pre-school children. However, the follow-up rate needs to be improved for optimizing the efficacy.
An educational project in nursery schools was carried out with the aim to improve children's sleep. Its effectiveness was tested in terms of awareness of families and length of sleep of children. The method was a prevention trial based on the random division of classes of 3-year old into two groups (intervention group and control group) comprising children enrolled in nursery schools in the Rhône region (France) in 1992. The project, lasting 2 years, relied on physicians from the community (Maternal, Child Health Service and School Health Service), their role being to mobilise the teaching teams, distribute specific teaching tools and raise awareness of families to respect the sleep patterns of children, during routine medical examinations. The study was carried out in 140 nursery schools with 1,500 children in each group. The evaluation was based on the application of a logistical regression model taking potentially confounding factors into account, and an analysis in sub-groups in order to demonstrate the effectiveness of intervention on particularly exposed groups. The results show: 1) the feasibility of such an intervention among nursery school children on a large scale, 2) the effectiveness of the action, with a reduction of the risk of "poor knowledge" among parents (OR = 0.76), particularly in urban areas, and a reduction in the risk "short nights" in the sub-group of children who had " little sleep at 3 years" in low social class families (OR = 0.50).
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36 nursery school children were given a revised form of Fiedler's (1967) least preferred co-worker scale designated as the least preferred playmate scale. The purpose was to investigate the relationship between least preferred playmate scores and the birth order of young children. A 2 X 2 contingency table was constructed between birth order (first and later born) and leadership style (high and low). The resulting chi squares were insignificant for the total population and for males. However, for females the results were significant with a higher percentage of firstborns being task-oriented (low score) and a higher percentage of later borns being relation-oriented (high score).
The energy value and content of nutritive components in nursery school meals have been evaluated by analytical method and calculated by Nutritionist IV computer program with Polish data base. A significant correlation between analysed and calculated values has been observed. An average nursery school meal covered recommended intake of iron, calcium, zinc, vit. B1 and % of energy from proteins, fats and carbohydrates. An average nursery school meal covered above recommended intake of total energy and % of energy from saturated fatty acids, proteins, fats, cholesterol, carbohydrates, fiber, magnesium, potassium, phosphorus, copper and vitamins A, E, C, B2 i B6. Only the average content of vit. PP and % of energy from mono- and polyunsaturated fatty acids in analysed nursery school meals has been below the recommended intake. The results indicate that there is a tendency to supply energy and some of nutritive components in nursery school meals above the recommended intake.
To identify and evaluate recent working conditions and job content of nursery school teachers in Japan, as well as the prevalence of the burnout phenomenon and the occupational influences responsible for it, a questionnaire survey was carried out. The subjects consisted of 719 nursery school teachers and 204 municipal clerical workers as the control group. Working conditions and workload burdens were more severe among nursery school teachers than those of the clerical workers. The burnout phenomenon among the nursery school teachers was characterized by emotional exhaustion. Moreover, the rate ratio and multivariate analyses indicated that a great variety of occupational factors, not only interpersonal relationships, but also the general working conditions and specific physical or mental workloads, influenced the burnout phenomenon as well. Therefore, in examining measures dealing with the burnout phenomenon among nursery school teachers, it is important to evaluate the occupational factors systematically and comprehensively.
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The occurrence of helminthiases in Estonia was under extensive observation from 1956 until 1989. Enterobiasis had remained the most prevalent helminthiasis in Estonia in the 1990s. After 1990, the number of helminthological studies decreased. This study was conducted to investigate the occurrence and possible risk factors of enterobiasis among nursery school children in Southeast Estonia. A total of 954 nursery school children were examined from 22 nursery schools in Tartu and Põlva counties in Estonia. Enterobius vermicularis infection was detected using the anal swab technique. The parents of tested children were asked to complete questionnaires so as to ascertain the potential risk factors in children's homes and in their families. The overall rate of being positive for E. vermicularis egg was 24.4%. The occurrence of enterobiasis among the examined nursery schools ranged from 11.8 to 46.2% and from 0 to 61.1% in nursery school groups. All nursery schools were infected. Children 5-8 years of age showed a significantly higher rate of being positive for E. vermicularis egg than the younger children. The overall infection rate was higher among boys and among children from larger families. The infection rate was related to washing of hands after closet use. The socioeconomic status of the family was not associated with the frequency of enterobiasis.
A cross-sectional questionnaire study was conducted on cooks working for nursery schools in N city in order to verify epidemiological evidence of the work-relatedness of low back pain among them. After female workers aged 30 or more were selected from a study base of 2,799 workers in social welfare facilities, low back pain prevalence of cooks (n = 240) was compared with nursery school teachers (n = 955). Age-standardized prevalence ratios (PRs) of low back pain were 1.9 (95% CI: 1.5-2.5) in cooks compared with nursery school teachers. Among cooks, relative risks of low back pain increased with the increase in the number of lunches to be prepared and decreased with the increase in the number of cooks making lunches in a logistic regression model controlling age and body length. Low back pain was also found to be associated with self-estimated job stressors/ work load by logistic regression models. Multifactorial effects from ergonomic and psychosocial factors, and individual factors on the low back were suggested. From the viewpoint of epidemiological criteria for work-relatedness, it was concluded that the work-relatedness of low back pain among cooks in nursery schools was partially supported.
To determine whether transmission of hepatitis B virus occurs among children in nursery schools, from 1979 to 1982, 269 children (mean age 2.9 +/- 1.4 years) attending five nursery schools in which there were hepatitis B surface antigen (HBsAg) carrier children were tested for hepatitis B markers. Fifteen children (5.6%) were positive for HBsAg. Ten were possibly infected with hepatitis B in nursery school by HBsAg carrier children with hepatitis B e antigen (HBeAg). Four became HBsAg carriers and six developed transient antigenemia. Three other children were positive for the immunoglobulin M class of antibody to hepatitis B core antigen but negative for HBsAg. It is possible that they too were infected with hepatitis B in schools. These observations indicate that hepatitis B transmission most probably occurs among children in nursery schools in which there are HBsAg carriers with HBeAg, and therefore vaccination of susceptible children is necessary.