RESUMEN
Objective: The extent to which childrens's welfare is compromised when they do not attend compulsory prevention medical check-ups is yet to be determined. Together with the Hessen Prevention Center for Children (Hessisches Kindervorsorgezentrum), the Child Protection Services in the Main-Taunus district have conducted a study to investigate failure to attend child preventive examinations as a possible indication of risk to the welfare of such children. Method: 605 notifications of child preventive examinations that were not carried out, sent in 2012 to the Child Protection Services by the Hessen Prevention Center for Children, were analyzed retrospectively. Each case was recorded using a standardized questionnaire and, cases that were passed on to General Social Services within Child Protection Services were investigated with an additional interview with the employee responsible. Results: In 60 (10%) cases there was no certificate to show that the check-up had been conducted, while in 165 (27%) cases the check-up was conducted late, i. e. only after being contacted by the Child Protection Services. In 9 of the 605 cases (1.5%), the families involved were already known to Child Protection Services due to previous proceedings against them under endangering children's welfare act (known as § 8a cases). No new case of a risk to children's welfare was detected. In 58 cases, families gave reasons for the missed or late check-up. Reasons included being abroad and moving house (20 cases), forgetting (14 cases) and illness (11 cases), as well as lack of knowledge of the law (6 cases), lack of health insurance (4 cases), lack of language skills (2 cases) and objection to the law in principle (1 case). It was notable that, in 57% of the cases notified, documentary evidence could be provided by the end of the case work that the check-up had taken place within the recommended period (including additional discretionary period). The majority of these notifications of failure to attend can be prevented by an upstream clearing procedure.
Asunto(s)
Maltrato a los Niños/diagnóstico , Maltrato a los Niños/estadística & datos numéricos , Servicios de Protección Infantil/estadística & datos numéricos , Protección a la Infancia/estadística & datos numéricos , Pacientes no Presentados/estadística & datos numéricos , Examen Físico/estadística & datos numéricos , Adolescente , Niño , Maltrato a los Niños/prevención & control , Preescolar , Femenino , Alemania/epidemiología , Humanos , Incidencia , Lactante , Recién Nacido , Masculino , Reproducibilidad de los Resultados , Estudios Retrospectivos , Medición de Riesgo/métodos , Sensibilidad y EspecificidadRESUMEN
The effects of first noises on broilers and white leghorns were tested by plasma levels on 11-hydroxycorticosteroid (11-OHKS). The noises were 100 dB, 60 to 8,00 Hz, and applied 30 minutss to one group of broilers, aged 14, 28, and 56 days, and to another group of broilers and white leghorns in adult age. The reactions were compared. Acoustic stimulation was followed by temporary activation of the hypothalamic pituitary-suprarenal system. The rise of the plasma glucocorticosteroid level in leghorns was three times as high as that in adult broilers, which was interpreted as a reflection of stronger organic stress. Reactions differed in intensity, depending on age as well. Plasma-11-OHKS levels went up by 32 per cent maximum in broilers aged 56 days or by 73 per cent in animals aged 14 days or 120 per cent in those aged 28 days. The above results seemed to support the conclusion that noises of the above quantity and quality represented stress on fowl.
Asunto(s)
11-Hidroxicorticoesteroides/sangre , Pollos/sangre , Ruido/efectos adversos , Estimulación Acústica , Glándulas Suprarrenales/fisiología , Factores de Edad , Animales , Femenino , Hipotálamo/fisiología , Masculino , Hipófisis/fisiología , Especificidad de la EspecieRESUMEN
Two experimental groups and series were compared (leghorns and broilers as well as two age groups of broilers) for their adaptive responses to repeated noise application. The noise was 100 dB and applied daily 30 minutes. The reference for comparison was the plasma-11-hydroxycorticosteroid concentration (11-OHKS). The results differed somewhat from those obtained earlier from one first short-time noise application, in that the rise in plasma glucocorticosteroid concentrations dropped from 431 to 210 per cent of the initial values in adult leghorns exposed to repeated noise stress over seven days. Adult broilers, however, did not exhibit any difference in the magnitude of rise of 11-OHKS concentrations by comparison between first and seven days of repeated stress. The initial values, however, were reached earlier by repeated noise application.
Asunto(s)
11-Hidroxicorticoesteroides/sangre , Adaptación Fisiológica , Pollos/sangre , Ruido/efectos adversos , Estimulación Acústica , Factores de Edad , Animales , Femenino , MasculinoRESUMEN
The effects of first and repetitive noise applications to broilers, aged 14, 28, and 56 days, were tested by the responses of the energetic substrates plasma glucose concentration and free fatty acids. The plasma concentrations of glucose and free fatty acids in broilers at slaughter age with no exposure to noise were higher than those in younger animals. Regular daily noise application of 100 dB, 60 to 8,000 Hz, for 30 minutes, which began on the first day of age, led to rises in the plasma glucose levels of animals aged 56 and 28 days even prior to renewed acoustic stimulation, which obviously was a conditioned reflex. Such rises were accompanied by decline in plasma concentrations of free fatty acids, which phenomenon was attributed to higher initial values of plasma glucose. First as well as repetitive noise application led to changes in the plasma content of energetic substrates. Both the direction and magnitude of the reaction appeared to depend on the given initial value. The plasma level responses of glucose and free fatty acids were opposite to one another in all animals, 56 days of age, which were exposed to repeated noise.