Child care modesto ca: Child Care Resource and Referral

Опубликовано: February 1, 2022 в 10:12 am

Автор:

Категории: Child

Childcare Centers in Modesto, CA

There are 72 daycares in Modesto, California. If you need more child care centers you can also use find daycare centers near me.

Childtime of Modesto 3912 Honey Creek, Modesto, CA 95356 Preschool
Childtime of Modesto 2320 Floyd Avenue, Modesto, CA 95354 Preschool
A Step Ahead Academic Academy 920 Ila Way, Modesto, CA 95354 Center
A+ Academics Preschool 1934 G Street, Modesto, CA 95354 Preschool
Abundant Life Child Care 3120 Snyder Avenue, Modesto, CA 95356 Center
Alberta Martone Preformal Center 1413 Poust Road, Modesto, CA 95351 Center
Anchors Away Too Learning Center 4825 Stratos Way Suite A, Modesto, CA 95356 Center
Bethel Day Care Center 2361 Scenic Drive, Modesto, CA 95355 Preschool
Big Valley Christian School 4040 D Tully, Modesto, CA 95350 Preschool
Bret Harte Child Development Center 909 Bret Harte Place, Modesto, CA 95358 Center
Burbank Family Learning Center 1135 Paradise Rd. , Modesto, CA 95351 Center
C. F. Brown Head Start 1401 Celeste Ave., Modesto, CA 95355 Preschool
CCCDS – Stonum Child Development Center 1336 Stonum Road, Modesto, CA 95351 Center
Calvary Temple Christian Preschool 1601 Coffee Rd, Modesto, CA 95355 Preschool
Capistrano Head Start 400 Capistrano Drive, Modesto, CA 95354 Preschool
Centenary Christian Preschool 1911 Toyon Avenue, Modesto, CA 95350 Preschool
Centenary Christian Preschool 1911 Toyon Ave., Modesto, CA 95350 Center
Chrysler Child Development Center 2818 Conant Avenue, Modesto, CA 95350 Center
Chrysler Head Start 2818 Conant Ave. , Modesto, CA 95350 Preschool
Community Christian Preschool 1442 Tully Rd, Modesto, CA 95350 Preschool
Early Intervention State Preschool Program 1336 Stonum Ave, Modesto, CA 95351 Preschool
El Vista Child Development Center 450 El Vista Avenue, Modesto, CA 95354 Center
Emanuel Lutheran Day Care 324 College Avenue, Modesto, CA 95350 Center
Everett Child Development Centers 1530 Mt Vernon Dr, Modesto, CA 95350 Center
Fairview Elementary 1937 West Whitmore Avenue, Modesto, CA 95358 Center
Franklin Family Learning Center 905 Byron Lane, Modesto, CA 95351 Center
Geneva Presbyterian Small Fry Nursery 1229 E Fairmont Ave, Modesto, CA 95350 Center
Grace Lutheran School 617 W. orangeburg Ave, Modesto, CA 95350 Preschool
Hughes Head Start 512 North Mcclure Rd, Modesto, CA 95357 Preschool
James Marshall Elementary 515 Sutter Avenue, Modesto, CA 95351 Center
John Muir Preformal Center 1215 Lucerne Ave., Modesto, CA 95350 Center
Kairos Child Development Center 304 E. Coolidge Avenue, Modesto, CA 95354 Center
Kirschen Child Development Center 1900 Kirschen Drive, Modesto, CA 95351 Center
Lighthouse Preschool 913 Floyd Ave., Modesto, CA 95350 Preschool
Margaret L. Annear Head Start 1336 Stonum Road, Modesto, CA 95351 Preschool
Marilyn Frakes Child Development 3920 Blue Bird Drive, Modesto, CA 95397 Preschool
Mayris Baddell Child Development Center 641 Norseman Drive, Modesto, CA 95357 Center
Merryhill Country School 3301 Coffee Road, Modesto, CA 95355 Preschool
Merryhill School 133 East Roseburg Ave, Modesto, CA 95350 Preschool
Methodist Tiny Tots 850 16th Street, Modesto, CA 95354 Center
Modesto Christian Preschool 921 Woodrow Avenue, Modesto, CA 95350 Preschool
Modesto KinderCare – CLOSED 1237 Oakdale Rd. , Modesto, CA 95355 Preschool
Modesto Parent Cooperative Preschool 1341 College Ave, Modesto, CA 95350 Preschool
Montessori School of Modesto 3501 San Clemente Ave., Modesto, CA 95356 Preschool
Muncy Child Development Center 2410 Janna Avenue, Modesto, CA 95350 Center
Muncy Head Start 2410 Silviare Ave., Modesto, CA 95350 Preschool
Noah’s Ark Preschool & Childcare 1857 Maria Court, Modesto, CA 95354 Preschool
Orangeburg Christian School 313 East Orangeburg Ave, Modesto, CA 95350 Preschool
Orville Wright Head Start 1602 Monterey Street, Modesto, CA 95354 Preschool
Parkwood Christian Preschool 301 Claratina Avenue, Modesto, CA 95356 Preschool
Pearson Elementary 500 Locust, Modesto, CA 95351 Center
Perkins Child Development Center – Head Start 3900 Bluebird Dr, Modesto, CA 95356 Preschool
Robertson Road Children’s Center 1111 Hammond Avenue, Modesto, CA 95351 Center
Rumble Road KinderCare – CLOSED 2825 West Rumble Rd. , Modesto, CA 95350 Preschool
Shackelford Elementary 100 School Avenue, Modesto, CA 95351 Center
Shackelford Family Learning Center 116 El Paso Avenue, Modesto, CA 95351 Center
Small World Preschool 1024-6th St, Modesto, CA 95354 Preschool
Sonshine Children’s Center 3936 Dale Road, Modesto, CA 95356 Center
St Pauls Nursery School 1528 Oakdale Road, Modesto, CA 95355 Center
St. Peter Lutheran Church & School 3461 Merle Ave., Modesto, CA 95355 Center
St. Stanislaus Preschool 1416 Maze Blvd, Modesto, CA 95351 Preschool
Sylvan Head Start 2908 Coffee Road, Modesto, CA 95350 Preschool
The Salvation Army Child Development Center 601 I Street, Modesto, CA 95354 Center
Treehouse Christian Preschool 921 Woodrow Avenue, Modesto, CA 95355 Preschool
Trinity Presbyterian Nursery School 1600 Carver Rd, Modesto, CA 95350 Center
Tuolumne Christian Day Care 133 Tuolumne Blvd, Modesto, CA 95354 Center
Tuolumne Head Start 707 Herndon Rd, Modesto, CA 95351 Preschool
Westport State Preschool 5218 So Carpenter Rd, Modesto, CA 95351 Preschool
William Garrison Elementary 1811 Teresa Street, Modesto, CA 95350 Center
Wilson Elementary 201 Wilson Ave, Modesto, CA 95351 Center
Wright Start Child Development Center 801 Empire Avenue, Modesto, CA 95354 Center
Y. C.C.D. M.J.C. Campus Child Care Center 2201 Blue Gum, Modesto, CA 95358 Center

modesto childcare – craigslist

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    ADA’S Tiny Town Daycare

    (Ceres/Modesto)

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    Family Daycare

    (Tracy CA)

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    24/7 ChildCare (Modesto-Since 2001)>New Openings Available

    (Modesto)

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    Nina’s Preschool & Daycare

    (Modesto)

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    Nina’s Preschool and Daycare

    (Modesto)

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    Nana Nina’s Preschool & Daycare

    (Modesto)

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    Maryam’s home family daycare

    (Modesto)

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    24-hr childcare

    (Turlock)

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    german shepherd female and male

    (Modesto)

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    Preschool Openings

    (Modesto)

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    Preschool Openings

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    ADA’S Tiny Town Daycare

    (Ceres/Modesto)

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    ADA’S Tiny Town Daycare

    (Ceres/Modesto)

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    Sally’s Precious Ones Daycare

    (Ceres Area)

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    24-hr childcare

    (Turlock)

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    Daycare & Preschool Openings!

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    License family child care

    (Turlock)

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    Preschool Openings

    (Modesto)

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    Preschool Openings

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    Preschool Openings

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    Pacheco licensed Daycare

    (Modesto)

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    Affordable childcare offer

    (Modesto)

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    Anna’s Home Daycare

    (Ceres, Ca)

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    24-hr childcare

    (Turlock)

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    24-hr childcare

    (Turlock)

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    Daycare openings Modesto

    (Modesto)

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    3 openings @ Nina’s PreSchool & DayCare

    (Modesto)

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    24-hr childcare

    (Turlock)

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    Daycare & Preschool Openings!

    (Modesto)

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    💥🧡 Little Pumkins Daycare WildHawk / Vineyard

    (sac > Sacramento)

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    💥🧡 Little Pumkins Daycare WildHawk / Vineyard

    (sac > Sacramento)

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    💥🧡 Little Pumkins Daycare WildHawk / Vineyard

    (sac > Sacramento)

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    💥🧡 Little Pumkins Daycare WildHawk / Vineyard

    (sac > Sacramento)

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    Child care

    (sfo > Redwood City)

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    Maria’s Child Daycare

    (sfo > hayward / castro valley)

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    Drop in care

    (sfo > Castro Valley)

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    $160.

    A WEEK FOR FULL TIME CARE HERE AT KIDS AT PLAY DAYCARE****

    (sac > Sacramento)

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    One opening for two year old.

    (sfo > santa clara)

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    *******Loving Professional Childcare – 1 to1 Attention!********

    (sac > Naomas, Sacramento)

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    *******Loving Professional Childcare – 1 to1 Attention!********

    (sac > Naomas, Sacramento)

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    *******Loving Professional Childcare – 1 to1 Attention!********

    (sac > Naomas, Sacramento)

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    2006026*******Loving Professional Childcare – 1 to1 Attention!********

    (sac > Naomas, Sacramento)

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    *******Loving Professional Childcare – 1 to1 Attention!********

    (sac > Naomas, Sacramento)

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    Infants Enrolling Now!!!

    (sfo > santa clara)

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    Childcare in Vallejo has Opening

    (sfo > vallejo / benicia)

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    *******Loving Professional Childcare – 1 to1 Attention!********

    (sac > Naomas, Sacramento)

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    *******Loving Professional Childcare – 1 to1 Attention!********

    (sac > Naomas, Sacramento)

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    Open enrollment! Infants & Toddlers

    (sac > Del Paso Heights, Sacramento)

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    Happy kids family daycare.

    Excellent references.

    (sfo > foster city)

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    Maria’s Child Daycare

    (sfo > hayward / castro valley)

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    Santa Clara Little Learners has openings!!!

    (sfo > santa clara)

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    Non-violent parenting author doing childcare

    (sfo > inner richmond)

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    Maria’s Child Daycare

    (sfo > hayward / castro valley)

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    Home Based Day Care

    (sfo > santa clara)

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    Home Day Care

    (sfo > santa clara)

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    daydreamchildcare.

    com

    (sfo > santa clara)

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    daydreamchildcare.com

    (sfo > santa clara)

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    Daycare/Preschool-Curriculum (Early Learning) – Montessori Method

    (sfo > campbell)

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    Affordable Childcare Center (CCAP Accepted)

    (sfo > santa clara)

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    daydreamchildcare.

    com

    (sfo > santa clara)

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    Daycare/Preschool-Curriculum (Early Learning) – Montessori Method

    (sfo > campbell)

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    9Fruits Bilingual Family Daycare

    (sfo > sunnyvale)

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    9Fruits Bilingual Family Daycare

    (sfo > sunnyvale)

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    NORTH SAC CHILDCARE Immediate Preschool Opening

    (sac > Natomas / North Sacramento – exit Norwood to Bell above I-80)

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    NORTH SAC CHILDCARE Immediate Preschool Opening

    (sac > Natomas / North Sacramento – exit Norwood to Bell above I-80)

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    Maria’s Child Daycare

    (sfo > hayward / castro valley)

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    Family Daycare fremont

    (sfo > fremont / union city / newark)

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    Casita Family Daycare, Now Enrolling!

    (sfo > santa clara)

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    **I have a child development major&am now offering babysitting!

    (sac > Sacramento)

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    Sunny Bunny Daycare

    (sac > Antelope)

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    Sunny Bunny Daycare

    (sac > Antelope)

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    NEW ENROLLMENTS, AGES 3MONTHS TO 5YRS

    (sac > Citrus heights)

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    NEW ENROLLMENTS, AGES 3MONTHS TO 5YRS

    (sac > Citrus heights)

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    OPENINGS AVAILABLE FOR CHILD CARE

    (sac > Citrus heights)

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    OPENINGS AVAILABLE FOR CHILD CARE

    (sac > Citrus heights)

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    NEW OPENINGS AVAILABLE 😊

    (sac > Citrus heights)

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    Daycare Antelope Excellent rate!

    (sac > Antelope Roseville North Highlands Elverta)

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    Maria’s Child Daycare

    (sfo > hayward / castro valley)

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    Looking for Care? We offer free meals

    (sfo > Santa Rosa)

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    Santa Clara Little Learners has openings!!!

    (sfo > santa clara)

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    Maria’s Child Daycare

    (sfo > hayward / castro valley)

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    Montessori educated helper wanted

    (sfo > menlo park)

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    One opening for two year old.


    (sfo > santa clara)

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    Find your childcare match!

    (sfo > marina / cow hollow)

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    Find your childcare match!

    (sfo > noe valley)

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    Get paid to provide childcare in your own neighborhood!

    (sfo > marina / cow hollow)

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    HOME PRESCHOOL AND DAYCARE

    (sac > ROSEVILLE, ANTELOPE)

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    Get paid to provide childcare in your own neighborhood!

    (sfo > noe valley)

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    Childcare Available-off 105th ave close to Oakland Airport

    (sfo > oakland east)

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    Educational Childcare Available-off 105th ave close to Oakland Airport

    (sfo > oakland east)

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    Attention Graveyard workers Childcare close to Oakland Airport

    (sfo > oakland east)

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    Find your childcare match!

    (sfo > ingleside / SFSU / CCSF)

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    Get paid to provide childcare in your own neighborhood!

    (sfo > ingleside / SFSU / CCSF)

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    Find your childcare match!

    (sfo > inner sunset / UCSF)

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    Get paid to provide childcare in your own neighborhood!

    (sfo > inner sunset / UCSF)

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    Infants Enrolling Now!!!

    (sfo > santa clara)

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    Delightful Day Child Care

    (stk > Weston Ranch)

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    🌺**Family Child Care **

    (sfo > south san francisco)

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    Santa Clara Little Learners has openings!!!

    (sfo > santa clara)

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    ** Daycare for Infant/Toddler **

    (sfo > south san francisco)

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    🌺Licensed child daycare

    (sfo > south san francisco)

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    Childhood Montessori-Individual Attention Child care

    (sfo > san leandro)

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    Licensed family childcare has openings in Santa Clara!!

    (sfo > santa clara)

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    live-in nanny/caregiver

    (sfo > San Francisco)

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    Brentwood Childcare 👶

    (sfo > brentwood / oakley)

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    * ONE INFANT OPENING * UNBEATABLE RATES*

    (sac > Citrus Heights)

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    Find your childcare match!

    (sfo > cole valley / ashbury hts)

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    Childhood Montessori Program: TK & PreSchool.

    Now Enrolling!

    (sfo > oakland lake merritt / grand)

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    Get paid to provide childcare in your own neighborhood!

    (sfo > cole valley / ashbury hts)

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    One opening for two year old.


    (sfo > santa clara)

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    Happy Kidz Montessori Family Daycare (WWW.HAPPYKIDZDAYCARE.COM)

    (sfo > fremont / union city / newark)

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    Happy Kidz Montessori Family Daycare (WWW.

    HAPPYKIDZDAYCARE.COM)

    (sfo > fremont / union city / newark)

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    Happy Kidz Montessori Family Daycare (WWW.HAPPYKIDZDAYCARE.COM)

    (sfo > fremont / union city / newark)

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    Happy Kidz Montessori Family Daycare (WWW.

    HAPPYKIDZDAYCARE.COM)

    (sfo > fremont / union city / newark)

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    Licensed family childcare has openings in Santa Clara!!

    (sfo > santa clara)

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    ABCD Learn and Play , Day care , Preschool

    (sfo > concord / pleasant hill / martinez)

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    Home-based daycare in Santa Clara – Openings for enrollment

    (sfo > santa clara)

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    Childhood Montessori-Individual Attention Chilcare

    (sfo > oakland north / temescal)

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    Nanny childcare or elderly care

    (sfo > Menlo park)

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    Tracy Licensed family daycare with openings

    (stk)

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    Tracy Licensed family daycare with openings

    (stk)

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    Tracy Licensed family daycare with openings

    (stk)

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    Professional licensed daycare accepting days/overnights

    (stk)

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    Licensed family daycare with openings

    (stk)

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    Professional licensed daycare accepting days/overnights

    (stk)

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    Licensed family daycare with openings

    (stk)

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    Special Needs Homeschooling/Child Care

    (mtb > Marina)

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    $100/wk! After School/Evening Child Care.


    (mtb > Monterey Peninsula)

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    $300 Off First Month Preschool Daycare in Greenhaven Area

    (sac > Pocket/Greenhaven)

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    *** AFFORDABLE, SAFE, AND LOVING CHILDCARE ***

    (sac > South Natomas)

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    *** AFFORDABLE, SAFE, AND LOVING CHILDCARE ***

    (sac > South Natomas)

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    **LIC.

    CHILDCARE **

    (sac > SOUTH NATOMAS)

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    **LIC. CHILDCARE **

    (sac > SOUTH NATOMAS)

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    💥🧡 Little Pumkins Daycare WildHawk / Vineyard

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    Maria’s Child Daycare

    (sfo > hayward / castro valley)

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  • On-site care for teachers’ kids difficult, Stanislaus ed chief says

    A couple of developments late Monday could mean big changes in Stanislaus County school districts’ plans for distance vs. in-person learning and for providing on-campus care for employees’ children.

    “Many” of Stanislaus County’s 25 public school districts have intended to offer on-site care for the school-age children of employees as the parents work from classrooms and other school facilities, said county Superintendent of Schools Scott Kuykendall. He joined Rep. Josh Harder for a telephone town hall meeting Monday afternoon and followed up with The Bee on Tuesday morning.

    Currently, there is no way for a school district to get state approval for on-campus child care, Kuykendall said Tuesday. He said he’s learned from the Community Care Licensing Division of the state Department of Social Services that no process is in place to approve a waiver sought by a district to provide such care.

    “So we’re stuck, and time is running out,” Kuykendall said. “We’ve got districts like Oakdale starting Thursday. It’s a real issue and there doesn’t seem to be a remedy. And I don’t know that the governor or anyone at the state level is going to make this a priority.

    Among the districts planning to offer on-site child care has been Modesto’s Sylvan Union. On Monday, as he was hopefully awaiting word from the state on the issue, Superintendent Eric Fredrickson told The Bee in an email, “If those waivers are not provided, we may then need to pivot to giving employees the option to work remotely.”

    Also Monday, the state Department of Public Health unveiled the waiver application process that could let some elementary schools in hard-hit counties begin in-person instruction earlier, provided they meet “stringent health requirements,” the state said in a news release.

    “A district superintendent, private school principal or head of school, or executive director of a charter school may apply for a waiver from the local health officer to open an elementary school for in-person instruction in a county on the monitoring list,” the news release said.

    But the CDPH says it is recommending schools in counties where the most recent 14-day case rates are more than double the threshold for the state watch list — which would be more than 200 cases per 100,000 residents — not be considered for waivers. State data show Stanislaus and 13 other counties were above that mark as of Monday, and three others were close, with more than 190 cases per 100,000.

    Keeping distance is best for now

    In Monday’s hourlong telephone town hall with Harder, Kuykendall said he agrees that keeping schoolchildren at home for distance learning is the right thing to do “at this time.”

    But he will continue to be a proponent of reopening schools for in-person learning as quickly as it can be done safely, he said, “because there’s a multitude of reasons that kids need to come back to school. Obviously, academics, but also just for social well-being, meals, all the different protections the schools provide for our students.”

    Addressing why distance learning is necessary, the superintendent cited the operation of Head Start, Migrant Head Start and other child care programs for essential workers. Through June, the programs operated successfully, with a maximum of 10 children in a classroom and safety protocols being followed. But more recently, sites have had to close for disinfecting or undergo quarantine because of positive cases, he said.

    Tony Jordan, executive director of SCOE’s Child/Family Services Department, said Tuesday there have been 15 “incidences of COVID-19 contact in early-education programs” in the county, at sites provided by public schools or private nonprofits that are in partnership with SCOE.

    In eight of those cases, test results are pending for staff members or children who were at those sites. Of the other cases, two staff members have tested positive, but no children. But those incidents had the potential to expose 78 staff members and 150 children, Jordan said.

    In all the cases, the child development centers have been “exposure locations but not the root cause” of infection, he said. Activities occurring outside the day care operations, such as gatherings for Mother’s Day, Memorial Day, Father’s Day and the Fourth of July have led to the spread.

    With the rate of positive cases rising in Stanislaus County, it’s not feasible to ask that schools open in a large way in person, Kuykendall said. It is too difficult right now to stop the spread of the virus, he said, and a positive case on a school campus requires “a quarantine situation. And when that happens, you’ve got to close the classroom, or then you have to close the school. And it’s just not sustainable.”

    Modesto City Schools closed its full-day Head Start programs, offered at Martone, Everett and Tuolumne Elementary schools, district spokeswoman Krista Noonan said Tuesday. There never were any confirmed positive COVID-19 cases among children or staff, she said, but at each site, there were instances where staff and/or students had been exposed to someone who tested positive, such as a direct family member.

    “After consulting with the county Public Health office, the decision was made to close our centers out of an abundance of caution in order to protect our students and staff members,” Noonan said. “At this point, we will now provide distance learning to all Early Childhood Education children enrolled in the part- and full-day preschool and Head Start programs.

    The Community Care Licensing Division’s guidance on child care applies only to it being offered at a school, Kuykendall said, the logic being that if schools are closed for instruction, they’re also closed for care. Turlock Unified School District has been considering partnering with the city parks and recreation department’s After School Education and Safety program to provide care, and that would be fine, he said. “There’s the rub — we can provide exactly what we’re wanting to provide our employees, which are teachers, anywhere except the school campus.”

    Why not commit to full semester distance learning?

    An Oakdale resident told the superintendent during the town hall meeting that she fears children will be rushed back into the classroom. She asked why Stanislaus County school districts seem to be looking at distance learning on a week-to-week basis rather than committing to it for at least a semester.

    Kuykendall replied that the decision to stick with distance learning throughout a semester hasn’t been made “only because that really hasn’t come up in conversation. ” He said county public health officer Dr. Julie Vaishampayan seems more hopeful that would not need to be the case.

    Consideration of returning students to schools needs to differentiate between elementary schools and junior high and high schools, Kuykendall said. Getting grade-schoolers back would be easier, using small groups and possibly alternating days on campuses. The upper grades are more problematic for various reasons, the biggest being that students move to different classrooms throughout the day, so there’s a lot more mixing.

    In any case, districts could not rush kids back to school, the superintendent said, because getting off the state’s COVID-19 watch list won’t be simple. There has to be a large reduction in positive cases, and it has to happen over 14 consecutive days, he said. “So what happens when we get to day 13 and then we go back up? OK, then we start all over again. So unfortunately, this isn’t going to be something that goes away anytime soon.”

    But when there is the opportunity to safely bring students back, especially at the earliest level, transitional kindergarten through second grade, he’s for it, Kuykendall said. It is essential those young children have direct instruction and face time with teachers during their formative years, he said.

    “I don’t want to just lump all schools together and say that none of them can open for a semester,” he said. “If we can, in a creative way, in a safe way, start bringing back our elementary schools sooner, I would be open to doing that.”

    Give all teachers work-from-home option?

    A Riverbank resident and junior high teacher said teachers are being forced to return to schools, where they have shared bathrooms and unavoidable contact with others. She asked why there’s not been a mandate from the county Office of Education that school districts give teachers the option to work from home.

    Kuykendall replied that the county office doesn’t have that authority. Its role is to support districts in a number of ways, including professional development and budgeting, but the districts are autonomous. “So it’s really the districts working with their bargaining units, with their administrations, with their boards in coming to agreements. …”

    The agreement SCOE has with its own teachers is that they work from their classrooms, he said. So even if the county did have the authority to say all districts should let teachers work from home, he wouldn’t support that, Kuykendall said.

    Making such a decision “is incumbent upon those local communities,” he said. “Those school boards can make the best decisions based on their local school community. And I think that’s absolutely the right approach. One size does not fit all.”

    The Sacramento Bee contributed to this story.

    This story was originally published August 4, 2020 2:52 PM.

    Deke Farrow

    Deke has been an editor and reporter with The Modesto Bee since 1995. He currently does breaking-news, education and human-interest reporting. A Beyer High grad, he studied geology and journalism at UC Davis and CSU Sacramento.

    Average Hourly and Annual Pay

    Updated August 22, 2022

    $37,299yearly

    To create our salary estimates, Zippia starts with data published in publicly available sources such as the U. S. Bureau of Labor Statistics (BLS), Foreign Labor Certification Data Center (FLC) Show More

    $17.93 hourly


    Entry level Salary

    $22,000

    yearly

    $22,000

    10 %

    $37,299

    Median

    $61,000

    90 %

    How much does a Child Care Worker make in Modesto, CA?

    The average child care worker in Modesto, CA makes $37,299 annually. The average hourly rate for a child care worker is $17.93/hr.
    This compares to the national average child care worker salary of $31,284. Below, we break down the average child care worker salary in Modesto, CA by the highest paying companies and industries.
    You can also compare different types of child care worker salaries in and around Modesto and a salary history chart that shows how the average salary for child care workers has changed over time in Modesto.

    Highest Paying Companies In City

    Columbia University in the City of New York

    Highest Paying Cities In The Area

    Newman, CA

    What Am I Worth?

    Highest Paying Companies In City

    Columbia University in the City of New York

    Highest Paying Cities In The Area

    Newman, CA

    What Am I Worth?

    Highest Paying Companies For Child Care Workers In Modesto, CA

    This chart shows how child care worker salaries compare at nearby companies. To view companies in a different region, use the location filter below to select a city or state.

    Highest Paying Companies For Child Care Workers In Modesto, CA

    Highest Paying Cities Around Modesto, CA For Child Care Workers

    Location can have a major impact on how much child care workers get paid. This chart shows how child care worker salaries can vary depending on where they’re located in the United States.

    Average Child Care Worker Pay By Industry In Modesto, CA

    The salary for a child care worker can vary depending on what industry the job is in. Here is a breakdown of the average pay across different industries that child care workers work in.

    Highest Paying Industries in Modesto, CA

    Rank   Industry   Average Salary   Hourly Rate  
    1 Finance $45,837 $22
    2 Professional $33,163 $16
    3 Education $32,240 $16
    4 Non Profits $27,993 $13
    5 Health Care $26,535 $13

    Average Child Care Worker Salary Over Time In Modesto, CA

    Compare the average child care worker salary history for individual cities or states with the national average.

    Average Child Care Worker Salary In Modesto, CA By Year

    Real Child Care Worker Salaries Around Modesto, CA

    Company   Job   Location   Date Added   Salary  
    Amazon Workforce Staffing Amazon Warehouse Worker-4 Day Work Week Riverbank, CA 03/29/2021 $32,870
    Salida Union School District Temporary Playground Aide Salida, CA 12/09/2020 $27,882
    Salida Union School District Playground Aide Salida, CA 10/30/2019 $26,964
    Salida Union School District Playground Aide Salida, CA 09/20/2019 $26,964
    Salida Union School District Playground Aide Salida, CA 08/29/2019 $26,964

    Child Care Worker Salaries In Modesto FAQs

    What Is The Salary Range For a Child Care Worker In Modesto, CA?

    The salary range for a child care worker in Modesto, CA is from $22,000 to $61,000 per year, or $11 to $29 per hour.

    What Is A Liveable Salary In Modesto, CA?

    A liveable salary in Modesto, CA is $37,300, or $18 per hour. That is the average salary for people living in Modesto.

    What Is A Good Salary In Modesto, CA?

    A good salary in Modesto, CA is anything over $37,300. That’s because the median income in Modesto is $37,300, which means if you earn more than that you’re earning more than 50% of the people living in Modesto.

    What Is a Child Care Worker’s Salary In Modesto, CA?

    Percentile   Annual Salary   Monthly Salary   Hourly Rate  
    90th Percentile $61,000 $5,083 $29
    80th Percentile $56,125 $4,677 $27
    70th Percentile $51,250 $4,270 $25
    60th Percentile $46,375 $3,864 $22
    Average $41,500 $3,458 $20
    40th Percentile $36,625 $3,052 $18
    30th Percentile $31,750 $2,645 $15
    20th Percentile $26,875 $2,239 $13
    10th Percentile $22,000 $1,833 $11

    Have more questions? See all answers to common questions.

    Search For Child Care Worker Jobs

    Children’s System of Care and Transitional Age Youth – Behavioral Health and Recovery Services


    Children and Transitional Age Youth System of Care offers children, youth, and their families a variety of
    mental health services. The following programs focus on services provided to strengthen families and children.

    Medi-Cal Access Line

    To schedule a Mental Health Assessment for services with the mental health provider programs, call:

    1-888-376-6246

    BHRS PROGRAMS:

    Children’s Mobile Assessment Team (CMAT)



    Address: 707 14th Street, Modesto, Ca 95354

    Phone: 209-525-5401

    Hours: 8 AM – 5 PM, Monday – Friday

    Spanish Language Capabilities

    Children’s Mobile Assessment Team (CMAT) provides assessments to Medi-Cal beneficiaries who have called the
    Access Line to request mental health services, and/or have been referred by Child Welfare, Probation,
    Education, Health Services Agency, Community Based Organizations, Others requesting mental health services.
    The assessment is completed by Mental Health Clinicians to determine the level of mental health services
    needed to address their current symptoms and impairments. Clients who meet medical necessity criteria for
    Specialty Mental Health Services (SMHS) as defined in Medi-Cal regulations and have Serious Emotional
    Disturbance (SED)/Severe Mental Illness (SMI) will be referred for treatment services. For Presumptive
    Transfer cases, the program will adhere the AB 1299 Presumptive Transfer.

    Pathways to Well-Being



    Address: 251 E. Hackett Road, Modesto, CA 95358

    Phone: 209-558-2352

    Hours: 8 AM – 7 PM, Monday – Friday

    On-Call: 24/7

    Spanish Language Capabilities

    Pathways to Well-Being (PWB) provides assessment, treatment and supportive services to children and youth
    involved with the Child Welfare system, whether in voluntary Family Maintenance or involved with the court
    system. This includes services for Non-Minor Dependents (NMDs), who are young adults, ages 18 to 21 who have
    opted to remain within the foster care system voluntarily to receive support in transitioning to independence.
    PWB partners with the child/youth, family, natural supports, community partners, and other agencies as part of
    a Child and Family Team to provide services based on the child/youth’s needs and with the support and
    collaboration of the team. Services vary based on individual need and may include individual and family
    counseling, case management/intensive care coordination, rehabilitation/intensive home based services,
    medication
    support, and crisis intervention.


    Early Intervention


    Address: 920 16th Street, Modesto, Ca 95354

    Phone: 209-558-4595

    Hours: 8 AM – 5 PM, Monday, Wednesday & Friday; 8 AM – 7 PM Tuesday & Thursday

    Spanish Language Capabilities

    The Early Intervention program provides assessment, treatment and supportive services to children and youth
    age 0 through 17 years of age, with a focus on children or youth new to the behavioral health system with a
    first-time diagnosis. Referrals may come from a variety of sources, including other programs, schools,
    parents/caregivers, and other community partners. The services are intended to be short-term, up to 18 months,
    and include mental health treatment and other interventions that address and promote recovery.



    Intensive Community Support


    Address: 421 E Morris Avenue, Modesto, Ca 95354

    Phone: 209-525-5080

    Hours: 8 AM – 5 PM, Monday, Wednesday & Friday; 8 AM – 7 PM, Tuesday &Thursday

    Spanish Language Capabilities

    The Intensive Community Support program provides assessment, treatment and supportive services to children
    and youth age 0 to 21 in an outpatient setting. Referrals may come from a variety of sources, including other
    programs, schools, parents/caregivers, and other community partners. Services vary based on individual need
    and may include individual and family counseling, case management/intensive care coordination,
    rehabilitation/intensive home based services, medication support, and crisis intervention. The focus of
    services is to provide youth and their families with support to help reduce stress in the home, school, and/or
    community setting, and strengthen family connection and resiliency.




    Mental Health Specialty Services

    Mental Health Specialty Services (MHSS) consists of multiple teams that provide treatment and supportive
    services for smaller, targeted populations and includes the following:

    Address: 707 14th Street, Modesto, Ca 95354

    Phone: 209-525-5401

    Hours: 8 AM – 5 PM, Monday – Friday


    Child Abuse Interview, Referrals and Evaluation (CAIRE)

    Address: 1418 J Street, Modesto, Ca 95354

    Phone: 209-525-5151

    Hours: 8 AM – 5 PM, Monday – Friday

    Spanish Language Capabilities

    The CAIRE Center is co-located with the Stanislaus County Family Justice Center. CAIRE interviews are
    scheduled by law enforcement or Child Protective Services when an allegation of child abuse must be
    investigated. The CAIRE Center includes a multi-disciplinary team that is on-site to support the child/youth
    and family through this investigative process. Behavioral health services are available to the child and
    family and can include emotional support, trauma-informed assessment, referrals and linkage, or ongoing
    trauma-informed treatment.


    First Episode Psychosis (FEP)

    Address: 820 Scenic Drive, Building K, Modesto, Ca 95354

    Phone: 209-525-4982

    Hours: 8 AM – 5 PM, Monday – Friday

    Spanish Language Capabilities

    The First Episode Psychosis (FEP) program works to provide support, education, and navigation services for
    families of children, youth and young adults who are experiencing early stages of psychosis. The program
    provides education to families around the signs and symptoms of the onset of psychosis and assists them in
    accessing and utilizing available behavioral health services. The program provides support to family members
    who are coping with the illness of a loved one. The program is independent from all service providers to
    improve and facilitate the relationship and interactions between the family and the provider, and often serves
    as the liaison between the hospital and outpatient programs. Staff have a pivotal role in the client’s
    recovery success by advocating and representing the interests of clients and family members. The program also
    works closely with collaborative community partners to educate the community and increase awareness and
    includes strategies for unserved populations.





    BHRS CONTRACTED PROGRAMS:


    ASPIRANET PROGRAMS

    Intensive Community Support (ICS)


    Locations

    Address: 1620 Cummins Drive

    Modesto, CA, 95358

    Phone: 209-576-1750

    Address: 420 E. Canal Drive, Turlock, CA, 95380

    Phone: 209-669-2583

    Hours: 8 AM – 6 PM, Monday, Wednesday & Thursday; 8 AM – 8 PM, Tuesday; 8 AM – 5 PM, Friday

    Spanish Language Capabilities

    The Intensive Community Support program provides assessment, treatment and supportive services to
    children and youth age 0 to 21 in an outpatient setting. Referrals may come from a variety of sources,
    including other programs, schools, parents/caregivers, and other community partners. A primary referral source
    is stepdown from the Crisis Stabilization Program. Services vary based on individual need and may include
    individual and family counseling, case management/intensive care coordination, rehabilitation/intensive home
    based services, medication support, and crisis intervention. The focus of services is to provide youth and
    their families with support to help reduce stress in the home, school, and/or community setting, and
    strengthen family connection and resiliency.


    Crisis Stabilization Program


    1620 Cummins Drive, Modesto, Ca 95358

    Phone: 209-576-1750

    Hours: 8 AM – 5 PM, Monday – Friday

    On-Call: 24/7

    Spanish Language Capabilities

    The Crisis Stabilization Program provides immediate intensive mental health services for children and youth
    ages 0 through 17 who experience a crisis assessment. Children and youth may be referred directly from the
    Community Emergency Response Team at the time of the crisis, 24 hours a day, with the goal of preventing need
    for the child or youth to be placed in a psychiatric hospital for acute treatment. Children and youth who need
    acute hospitalization for treatment may also be referred to the program as part of the aftercare plan from the
    hospital. Services are short term, intensive, and focused on safety and stabilization. The program staff
    complete a comprehensive assessment and provide a warm hand-off to an appropriate treatment program for
    ongoing services beyond the stabilization period.

    Family Urgent Response System (FURS)


    Address: 1620 Cummins Drive, Modesto, Ca 95358

    Modesto, CA 95358

    Phone: 833-939-3877

    Hours: 8 AM – 6 PM, Monday, Wednesday & Thursday; 8 AM – 8 PM, Tuesday; 8 AM – 5 PM, Friday

    On-Call: 24/7

    Spanish Language Capabilities

    The FURS program provides local county in-person mobile response services when contacted by a State hotline
    that has been designated to serve current and former foster youth and their caregivers experiencing a
    situation of instability. The program purpose is to preserve the relationship of the caregiver and the child
    or youth. Services include developmentally appropriate conflict management and building resolution skills,
    stabilizing the living situation, mitigating the distress of the caregiver, child or youth, connecting the
    caregiver and child or youth to existing local services, and promoting a healthy and healing environment for
    families. This program will also increase access and linkage to mental health and community services for this
    population as it is designed to support and connect current and former foster youth to the appropriate care
    and assistance.


    Therapeutic Behavioral Services (TBS)


    Address: 420 E. Canal Drive, Turlock, CA, 95380

    Phone: 209-669-2583

    Hours: 8 AM – 8 PM, Monday & Thursday; 8 AM – 6 PM, Tuesday & Wednesday; 8 AM – 5 PM, Friday

    Spanish Language Capabilities

    Therapeutic Behavioral Services (TBS) is a short term, intensive, individualized behavioral service available
    to children, youth and young adults, ages 0 to 21 years, with a focus on prevention of, or step-down from out
    of home placement, or psychiatric hospitalization. Trained staff provide focused intervention to target
    specific challenging behaviors while emphasizing the individual and family’s strengths. The services are
    provided at the time and location the behavior occurs and are available 24 hours a day, 7 days a week. The
    goal is to reduce the behaviors and support the child, youth, or young adult in successfully remaining in the
    least restrictive, most home-like setting.


    WrapAround (WRAP) Services


    Address: 1620 Cummins Drive, Modesto, Ca 95358

    Phone: 209-622-1420

    Hours: 8 AM to 5 PM, Monday – Friday

    On-Call: 24/7

    Spanish Language Capabilities

    WRAP uses a strengths-based, needs-driven, team approach to bring flexible services and supports to a child
    or youth experiencing significant mental health needs. WRAP gathers the family, community-based supports and
    natural supports to create an individualized plan that is comprehensive, and addresses needs in various life
    domains, including: family, living situation, social/friends, psychological/emotional, educational/vocational,
    legal, social/recreational, cultural/spiritual, medical/dental, and crisis and safety planning. Services are
    youth and family driven, as the family works with a trained facilitator to engage a supportive team who will
    work with the family toward their goals and the program is available to children and youth who are involved
    with Child Welfare, Juvenile Probation or are adoptees. The services and supports are available 24 hours a
    day, and the service plan reflects the family culture and preferences.


    Aspiranet Residential Services (ARS)


    Address: Administrative Office: 2513 Youngstown Road, Turlock, Ca 95380

    Phone: 209-667-0327

    Hours: 24/7

    Spanish Language Capabilities

    ARS is a Short-Term Residential Therapeutic Program that is trauma-informed and provides an array of services
    to children and young adults with significant behavioral, emotional, and educational challenges that preclude
    them from being successful at home, with a resource family or other less restrictive settings. Typically,
    youth placed at the ARS have a mental health diagnosis, present challenging behaviors such as chronic running
    away, defiance, truancy, assaultive behavior, delinquency and/or learning disabilities. The program is
    designed to be short-term, individualized and intensive, to stabilize youth who have complex needs to support
    a successful transition to a permanent and supportive family placement.


    SIERRA VISTA CHILD & FAMILY SERVICES PROGRAMS

    Intensive Community Support


    Address: 1700 McHenry Village Way, Suite 11B, Modesto, Ca 95350

    Phone: 209-550-5850

    Hours: 8 AM – 6 PM, Monday – Thursday; 8 AM – 5 PM Friday

    Spanish Language Capabilities

    The Sierra Vista Intensive Community Support program provides assessment, treatment and supportive services
    to children and youth age 0 to 21 in an outpatient setting. Referrals may come from a variety of sources,
    including other programs, schools, parents/caregivers, and other community partners. Services vary based on
    individual need and may include individual and family counseling, case management/intensive care coordination,
    rehabilitation/intensive home based services, medication support, and crisis intervention. The focus of
    services is to provide youth and their families with support to help reduce stress in the home, school, and/or
    community setting, and strengthen family connection and resiliency.


    Lasting Independence & Family Empowerment (LIFE Path) Early Psychosis Intervention (EPI)


    Address: 1700 McHenry Village Way, Suite 14, Modesto, Ca 95350

    Phone: 209-312-9580

    Hours: 8 AM – 5 PM, Monday – Friday

    Spanish Language Capabilities


    The LIFE Path EPI program) serves youth ages 14 to25 experiencing early symptoms of psychosis. The program
    focuses on empowering and creating hope for culturally diverse youth and young adults to continue on their
    path through effective treatment, support and connection.

    Short Term Residential Therapeutic Program


    Address: Administrative Office: 101 Park Avenue, Modesto, Ca 95354

    Phone: 209-491-0872

    Hours: 24/7

    Spanish Language Capabilities

    Sierra Vista Child & Family Services provides two Short-Term Residential Therapeutic Program homes for
    children ages six to fourteen that struggle in regular foster care or in-home placements. These children need
    specialized care to ensure their safety and well-being. The homes are located in clean, safe and
    family-oriented neighborhoods and are staffed with caring, nurturing and highly trained staff that ensure
    these children receive the most current, therapeutic and behavioral interventions. The goal of these homes is
    to assist the child or youth in developing skills that promote socially appropriate functioning in the family,
    community, and academic settings, and to transition them to a lower level of care as soon as possible. These
    24-hour facilities partner with therapeutic, educational, and appropriate social supports to ensure that the
    children are receiving the best treatment for their specific emotional, physical, behavioral and educational
    needs.


    CENTRAL STAR

    Behavioral Health Services Team (BHST)


    Address: 1539 McHenry Avenue, Modesto, Ca 95350

    Phone: 209-702-0139

    Hours: 8:30 PM – 5 PM

    On-Call: 24/7

    Spanish Language Capabilities

    The BHST is a Full Service Partnership program that provides the most intensive outpatient
    services to children and youth ages 0 through 17 years of age. The focus is to provide intensive treatment to
    children and youth who have experienced crisis, psychiatric hospitalization, incarceration, homelessness or
    symptoms and behaviors that may increase the risk for out of home placement for the child or youth. Services
    vary based on individual need and may include individual and family counseling, case management/intensive care
    coordination, rehabilitation/intensive home based services, medication support, and crisis intervention.


    CENTER FOR HUMAN SERVICES

    School Behavioral Health Integration (CHS SBHI)


    Address: 2000 W. Briggsmore Ave Suite I. Modesto, CA, 95350

    Phone: 209-526-1440

    Hours: 8 AM – 7 PM, Monday, Tuesday & Thursday; 8 AM – 5 PM, Wednesday & Friday

    Spanish Language Capabilities

    The School Behavioral Health Integration (SBHI) program is a Prevention and Early Intervention program that
    focuses on the individual needs of schools within unserved/underserved population communities by using access
    and linkage strategies and a behavioral health consultation model. By consulting with district administrators,
    teachers, and school staff, the program’s team will provide a spectrum of prevention and early intervention
    services from wellbeing activities, training, and consultation, to de-escalation, brief counseling, and
    short-term treatment services. Children, families, and school staff will benefit from this spectrum and
    customized approach.


    TELECARE PROGRAMS

    Transitional Age Youth (TAY) Behavioral Health Services Team (BHST)


    Address: 121 Downey Avenue Modesto, Ca 95350

    Phone: 209-222-3150

    Hours: 8:00 AM – 5: 00 PM, Monday – Friday

    On- Call: 24/7

    Spanish Language Capabilities

    The Telecare TAY BHST is a Full Service Partnership program that provides the most intensive outpatient
    services to young adult ages 18 through 25 years of age. The focus is to provide intensive treatment for those
    who have experienced crisis, psychiatric hospitalization, incarceration, homelessness or symptoms and
    behaviors that are causing increase in impairments impacting their life’s. Services vary based on individual
    need and may include individual and family counseling, case management/intensive care coordination,
    rehabilitation/intensive home based services, medication support, and crisis intervention.

    Transitional Age Youth (TAY) Drop In-Center


    Address: 2008 W. Briggsmore Avenue, Modesto, Ca 95350

    Phone: 209-222-3150

    Hours: 8:00 AM – 5: 00 PM, Monday – Friday

    The TAY Drop-In Center is co-located in Youth Navigation Center serving young adult ages 18-25. It provides a
    safe and welcoming community location for TAY clients to access peer support and to support other clients in
    their recovery. The clients are able to participate in wellness and rehabilitative activities and groups and
    strengthen their peer and community network. The TAY Drop-In Center is also a place where clients will be able
    to gather to relax with other peers, creating a supportive environment for any individual that walks through
    the door looking for support, someone to talk to, or just to hang out with a few friends. The TAY BHST is
    co-located with the TAY Drop-In Center to ensure services and support of the TAY Drop-In Center compliment and
    align with treatment services provided by the TAY BHST. In addition, First Episode Psychosis (FEP) program is
    also available at the TAY Drop In-Center. The program can provide support, education, and navigation services
    for young adults who are experiencing early stages of psychosis. The program provides education of the signs
    and symptoms of the onset of psychosis and assists them in accessing and utilizing available behavioral health
    services. The program also works closely with collaborative community partners to educate the community and
    increase awareness and includes strategies for unserved populations..


    CREATIVE ALTERNATIVES

    Short Term Residential Therapeutic Program

    Address: Administrative Office: 2855 Geer Road, Turlock, Ca 95382

    Phone: 209-668-9361

    Hours: 24/7

    Spanish Language Capabilities

    The Creative Alternatives STRTP serves males and those that identify as male, ages 6 to nonminor dependent.
    The STRTP environment is designed to successfully stabilize and effectively transition youth from intensive
    residential treatment to reunification with their natural family, foster care, or in some cases, emancipation.
    The STRTP homes are designed to provide a safe, secure therapeutic environment for youth with specialty mental
    health needs. These youth are provided with close supervision to protect them from endangering themselves and
    others. The high staff-to-client ratio enables the youth to thrive and learn appropriate behavior in dealing
    with their frustrations. In an accepting, therapeutic manner, we try to rebuild their broken spirits so that
    one day they will lead responsible, productive and happy lives.



    Cook Child Care job at Childtime Learning Centers in Modesto, CA 95355

    Apply This Job

    Job description

    We care, for the children and families we serve, and our dedicated team members. You are our best asset. Feel valued and get access to the benefits and resources you need to connect, balance, grow, and thrive in your career.

    • We support your work/life balance with a minimum 50% child care discount, immediate (or next-day) access to earnings, paid time off, and more.
    • We invest in your future with ongoing training, tuition reimbursement, credential assistance, and our unique Master Teacher Program.
    • We strive to provide a positive, fun environment with plenty of recognition.

    COOK FOR CHILD CARE

    CHILDTIME LEARNING CENTER

    2320 Floyd Avenue in Modesto CA

    We offer:

    • Paid holidays and paid time off for full time employees
    • No nights or weekends!!
    • Tuition reimbursement plan
    • Opportunity for upward advancement
    • Competitive pay rates based on your experience and education
    • Daily Pay app: Track your income and transfer earnings instantly (or next day)
    • Health, dental and vision insurance for full time employees
    • Pet Insurance!!
    • Full time and part time available
    • Outstanding child care discount available for all age groups!!

    The Cook is responsible for overall food preparation for the School’s enrolled children. Able to adapt to menu changes and meet meal and snack schedules. Ensures safe food preparations and proper sanitation methods are used and maintains a safe kitchen/pantry area.

    Job Responsibilities:

    • Create home-style, nutritional meal plans in the boundaries of their school’s menu and budget
    • Prepare meals/snacks for children and staff and distribute food to the classrooms
    • Follow the daily menu provided by the Director which incorporates, USDA, licensing and/or health department regulations.
    • Maintain inventory of food and supplies and order more when needed.
    • May be asked to assist in classrooms as needed as an Assistant Teacher/Floater.

    Job Requirements:

    • Work experience in cooking and/or food preparation for multiple individuals, preferably in a childcare facility but not required!
    • Flexibility as to the hours and schedule of work
    • A High School diploma or equivalent
    • Must be at least 18 years of age

    We know our best asset is our people! So we’ve made a commitment to ensure you feel valued, with a robust, comprehensive offering that is competitive and exceeds your expectations. That means market-relevant compensation, a targeted range of health and wellness benefits (including life insurance, dental, vision, as well as medical for full-time positions), and retirement planning, with a 401k match. We recognize your potential, encourage your talent, and support your growth with ongoing training and development. We also offer tuition reimbursement, assistance with ECE Credits (worth college credit toward an Early Childhood degree), and our exclusive Master Teacher program to enhance your skills—and increase your pay. Don’t wait. Start strong today.

    Learning Care Group is an equal opportunity employer and will not discriminate against an employee or applicant based on race, color, religion, national origin or ancestry, sex, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, gender identity, gender expression, marital status or any other protected status under federal, state, or local law.


    Save This Job
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    TV table NORE CLP K120, brown/oak color

    Material: Chipboard

    TV table type: Floor standing

    Length: 120 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 88 / month
    104 63

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    4/5

    Iska women’s dress

    Material: Fibreboard (Fibreboard), Glass

    TV table type: Hanging

    Length: 180 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 23 / month
    96 00

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    TV table Livo, white

    Material: Particleboard (Particleboard)

    TV table type: Hanging

    Length: 160 cm

    pigu. lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    6 80 / month
    110 00

    Add to cart

    3/5

    RTV table Helix, brown/black

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 160 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    6 80 / month
    110 00

    Add to cart

    5/5

    RTV table Best, white/black

    Material: Particleboard (Particleboard)

    TV table type: Floor standing

    Length: 151 cm

    pigu. lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    8 62 / month
    176 77

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    TV table Kalune Design 835, 160 cm, white

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 160 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    6 84 / month
    90 77

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    RTV table Solar, oak

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 200 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 62 / month
    123 39

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    Table for TV Blanco 10

    Material: Particleboard (chipboard)

    TV table type: Floor standing

    Length: 128cm

    pigu. lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 84 / month
    104 00

    Add to cart

    4.5/5

    RTV table York, white/oak

    Material: Chipboard (Particleboard)

    TV table type: Floor standing

    Length: 151.6 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 61 / month
    101 00

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    5/5

    Hanging TV cabinet Halmar Livo 180 cm, brown/s…

    Material: Fibreboard (Fibreboard), Glass

    TV table type: Hanging

    Length: 180 cm

    pigu. lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 01 / month
    93 00

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    4/5

    RTV table Global I, white/oak color

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 100 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 01 / month
    93 00

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    5/5

    RTV table Bono II

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 180 cm

    pigu. lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    8 96 / month
    87 00

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    TV staliukas NORE RTV K120, rudas

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 120 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 63 / month
    101 25

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    TV table Kalune Design 389, 138 cm, white/brown

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 138 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 16 / month
    95 00

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    Hanging TV cabinet Halmar Livo, brown/grey

    Material: Fibreboard (Fibreboard)

    TV table type: Hanging

    Length: 160 cm

    pigu. lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 54 / month
    100 00

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    TV table Kalune Design 389, 139 cm, brown

    Material: Particleboard (chipboard)

    TV table type: Floor standing

    Length: 138 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    8 51 / month
    64 99

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    TV table Malwa 140, dark brown

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 140 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    5 37 / month
    41 00

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    TV table Canaz, gray

    Material: Chipboard, Metalas

    TV table type: Floor standing

    Length: 120 cm

    pigu. lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    5 37 / month
    41 00

    Add to cart

    TV table Canaz, white/black

    Material: Chipboard, Metalas

    TV table type: Floor

    Length: 120 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    6 70 / month
    51 12

    Add to cart

    4.8/5

    TV table Halmar RTV-21, black

    Material: Glass

    TV table type: Floor standing

    Length: 80 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    8 78 / month
    66 99

    Add to cart

    4. 6/5

    COLLECT TODAY

    RTV table Magic, white/black

    Material: Chipboard

    TV table type: Floor standing

    Length: 144 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    6 35 / month
    48 49

    Add to cart

    TV cabinet Sandy 100, white

    Material: Particleboard (Particleboard), Fibreboard (Fibreboard)

    TV table type: Floor standing

    Length: 100cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    8 51 / month
    64 99

    Add to cart

    5/5

    TV table Malwa 140, white

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 140 cm

    pigu. lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    9 17 / month
    69 99

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    4.8/5

    TV staliukas BRW Nepo Plus RTV2D, ąžuolo spalvos

    Material: Particleboard (Particleboard)

    TV table type: Floor standing

    Length: 138.5 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    7 99 / month
    60 99

    Add to cart

    4.5/5

    COLLECT TODAY

    TV table Malwa 140, black

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 140 cm

    pigu. lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    8 78 / month
    66 99

    Add to cart

    5/5

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    TV stand 140, brown

    Material: Chipboard (chipboard)

    TV table type: Floor standing

    Length: 140 cm

    pigu.lt/ru/t/nashli-deshevle.’>
    PRICE GUARANTEE

    6 68 / month
    50 99

    Add to cart

    5/5

    TV staliukas Matos, baltos/ąžuolo spalvos

    Material: Chipboard (Particleboard)

    TV table type: Floor standing

    Length: 118.5 cm

    Interior trends in 2022

    New Year brings new changes not only to our daily life, but also to the interior of the house. When planning them, we often take into account the prevailing trends, which every year surprise with new discoveries and unexpected solutions. We offer you to get acquainted with design ideas for creating a house in ska

    Gray living room interior

    Gray has dominated trend lists for years, and its wide range of hues allows it to be applied to almost any space. The living room is no exception – both the furniture for the living room and the walls, floor or other details can be made in gray shades. If you decide that this color

    Read more

    Interior designer tips: how to furnish a small living room?

    The living room is often given the epithet of a room that represents the whole house, so we always try to equip this room in some special way. However, if it is not very spacious, questions often arise about how to furnish a small living room so that it remains both stylish and functional. Del

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    How to arrange a kitchen with a living room? Interior designer advises

    A kitchen with a living room is a very popular architectural solution lately, which allows you to enjoy a very spacious, large space, which often turns out to be even brighter. Also, it is even easier to look after children and receive guests. However, the purpose of each zone is

    Read more

    TV tables are the kind of versatile furniture that, with the right choice, can create the atmosphere of an entire living room. Previously, TV tables, as the name itself suggests, were designed for TVs. Over the years, technology has improved, TVs have become thinner and lighter, and now they are increasingly hung on the wall. However, TV tables have remained universal furniture, which is almost impossible to refuse, even if you do not put a TV on them. Things, interior decorations are stored on such a table, and the TV itself weighs above it. Recently, TV tables with additional shelves that hang under or next to the TV have become popular. Modern TV tables are not made to any standard. They come in a variety of shapes, styles, colors and materials (from glass to metal and plastic). You can find many TV tables in the Pigu.lt online store catalog. There really is a lot to choose from here! And to make the search easier, and you are not confused, first decide what style of table you need. Match the style and color to the furniture already in the room. If you want the table to stand out, become the accent of the room, consider brighter options, but do not forget that they should be combined with the rest of the interior. If you need a table for storing things and you do not want it to attract a lot of attention, a wooden, painted or glass table will be the best solution. The glass TV tables blend in harmoniously with the surroundings and are less visible.

    Page not found | Moscow Economic Journal

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    Posted by redaktor

    The ComNews information group invites you to take part in a large-scale industry event – the IV Federal IT Forum of the agro-industrial complex of Russia – “Smart Agro: Digital Transformation in Agriculture”. Date: October 27, 2022 Venue: Hilton Garden Inn Moscow Krasnoselskaya, st. Verkhnyaya Krasnoselskaya, 11a, building 4, Moscow Forum site: https://www.comnews-conferences.ru/ru/conference/smartagro2022 The event provides for the possibility of online participation. Broadcast for […]

    Hair Care | KAYO

    Secondly, before you start caring for oily hair, you should find out the cause of sebaceous activity. If it’s all about the endocrine system, then first you should take care of restoring your health. If the reason lies in genetics, then it is important to simply choose the right care for oily hair and then health, elasticity and shine will return to them again. Just like dry, oily hair has its own characteristics in care.

    And even more so, you should not take shampoos that suit all types of hair. Therefore, when answering the question of which shampoo to wash oily hair with, keep in mind that the one that suits your hair. No matter how strange it may sound, the mixed type of hair suffers the most in winter.

    Without much effort and time, makes damaged hair beautiful and manageable, protects it from the harmful effects of the environment, nourishes and soothes the scalp, regulates sebum secretion. Apply vitamin E conditioner only to the ends, avoiding the scalp, so that your beautiful strands do not look greasy. Natural plant extracts of aloe, string and calendula nourish the scalp, add shine to hair and make it easier to style.

    Winter Treatment for Dry Hair

    Let’s look at what can cause oiliness. Care and treatment of oily hair is less burdensome than care for weakened and thin dry hair. It is important to adhere to some rules and choose the right products and hair of this type will not burden you with happy everyday life. The soft, sulfate-free washing composition of DeLaMark children’s shampoo consists of soft “green” surfactants, including those derived from glucose, coconut and olive oils, oat and wheat amino acids. Does not contain components that can cause skin or eye irritation in a child. Thanks to this natural composition, with regular use, DeLaMark conditioner balm for all types of hair improves their condition and appearance.

    Another useful hair mask is potato, although it will require more effort. Cold pressed grape seed oil nourishes and strengthens hair follicles. Thanks to this natural composition, with regular use of DeLaMark conditioner for colored hair, with regular use, it quickly improves their condition and appearance. Basic care for oily hair from IRENE BUKUR for 90% consists of herbal ingredients, does not contain SIS / SLES and parabens.

    Washing oily hair should not be done too often, but on a regular basis. Only shampoos specifically designed for this type of hair should be used to cleanse oily hair, so as not to irritate the secretion of the sebaceous glands. Frequent washing can remove the protective film from the scalp and hair, which contributes to more intense sebum secretion and skin irritation. Masks and conditioners with strong moisturizing ingredients, such as coconut and argan oil, should be avoided at home. It is best to use products that contain lighter, all-natural ingredients. To determine how oily your scalp is, a trichologist is not needed, we recommend examining the curls and scalp on the second day after washing.

    Without much effort and time, makes hair beautiful and manageable, protects it from the harmful effects of the environment, nourishes and soothes the scalp, regulates sebum secretion. Without much effort and time, it makes colored hair beautiful and silky, protects it from the harmful effects of the environment, nourishes and soothes the scalp, and regulates sebum secretion. Caring for oily hair at home is a difficult ritual. Rinsing with water or regular daily shampoo, or using conditioner alone can cause oil to build up. Only certain ingredients found in most cosmetic products can prevent the diagnosis of seborrhea. Natural plant extracts of calendula, string and chamomile have a mild antibacterial effect on the scalp, add shine to children’s hair and make them soft and manageable.

    If possible, exclude the use of a hair dryer, ironing. Once every 2 months, you need to visit the master and cut off the dry tips. Refuse hot water – it expands the pores and encourages more sebum production. The skin is affected by low frequency microcurrents. They stimulate blood circulation and lymph flow, saturate the skin with oxygen, activate metabolic processes in the hair follicles. Refuse completely or minimize the use of a hair dryer, curling irons, irons, thermal curlers.

    The hair begins to tangle, the roots become greasy and the ends dry. At the same time, the styling does not hold well and the hair looks unattractive. In this case, you can combine cosmetics for different types of hair – take shampoo for oily hair, and conditioner for dry hair, making sure that it does not get on the skin and hair roots.

    Winter Care Mixed Hair

    After washing, rinse the hair with a weak solution of citric acid or vinegar (1 tsp in 5 liters of water). To get the right hair care in winter, you should visit the Reforma beauty salon, where experienced craftsmen from the city of Kharkov work. They will help restore faded curls and advise comprehensive care that will nourish and treat hair. Vegetable oils of grape seed and wheat germ nourish the hair roots, saturate the skin with microelements and vitamins, and normalize the functioning of the sebaceous glands. Natural herbal extracts of chamomile, string and calendula add shine to hair and make it easier to style. Thanks to this natural composition, with constant use, DeLaMark Moisturizing Hair Balm helps to improve the condition of hair and scalp prone to dryness, without salon procedures.

    Do not forget about the presence of nutrients that are necessary for dry hair. If you pick up products from the same series, then your curls will not have to “get used” to new shampoos and so on. When using balms, keep them on your hair for at least two minutes, then rinse thoroughly. Due to the natural components of the extracts of nettle, wild rose and yarrow, it has a slight anti-inflammatory effect, prevents skin itching. Thanks to this natural composition, with regular use, DeLaMark Conditioner for damaged hair quickly improves their condition and appearance. Glycerin in the shampoo moisturizes the hair and scalp, and allantoin heals minor damage to the epidermis.

    The procedure uses a special preparation based on human placenta hydrolyzate. It regulates the production of the hormones progesterone, estrogen and testosterone, which affect the functioning of the sebaceous glands. To achieve amazing results and high-quality care for oily hair is possible thanks to Farouk Royal Treatment by CHI Super Volume Shampoo.

    Why Does Hair Get Oily Quickly? Causes

    An active filler formula based on natural botanicals and eye innovation. Eucalyptus oil and citrus peel are part of what makes the shampoo fight dandruff and treat oily skin. Nourishing masks will help restore the lost shine.

    How to properly care for oily hair?

    In such cases, take a shampoo for combination hair. One of the most common misconceptions is that oily skin does not need moisture. When choosing a shampoo, pay attention that it is moisturizing.

    Mild sulfate-free shampoo composition for colored hair DeLaMark gently rinses the hair without overdrying them and the scalp. Thanks to natural additives, the shampoo cares for the scalp and restores damaged hair structure. Cold-pressed vegetable oil (wheat germ) nourishes the scalp and protects children’s hair from environmental influences. The sulfate-free detergent composition of DeLaMark professional shampoo is designed to thoroughly wash hair from grease, silicone and city dust, but not overdry it.

    Due to the natural components of the extracts of string, calendula and aloe, it has a slight anti-inflammatory effect, prevents skin itching. Also, aloe extract – a biogenic stimulant – prevents brittleness, additionally moisturizes, restores elasticity and shine to the hair. Taking care of oily hair at home too often can actually be the cause of oily roots. As a result of frequent washing, you deprive strands of natural sebum.

    They are necessary not only for silkiness, but also to balance the acid-base balance of the hair after shampooing. Low-frequency laser beams penetrate the hair root, increase blood circulation and metabolism in cells, regulate sebum secretion and activate hair growth. The product from Aveda will appeal to all fans of leave-in products. It delicately moisturizes curls, restores damaged structure and protects against the negative effects of hair dryers and curling irons. In addition to the pleasant aroma of coconut, neroli and orange blossom, Shine So Bright moisturizes the ends of the hair to the maximum.

    Do not use styling products containing silicone. Once a week, curls must receive enhanced nutrition, for this it is worth using a nourishing mask with the addition of vegetable oils. It has a pH value close to the acidity of the skin, due to the content of citric acid. Contains allantoin, vitamins and provitamins (d-panthenol, A, E) and only food preservatives.

    Easy to take to work or travel. By the way, not a single tool has collected so many positive reviews from bloggers and ordinary users. ● stimulates metabolism, regulates the production of sebum. The water should be warm to hydrate and not dry out the scalp. Saturated fats and fast carbohydrates often affect metabolism and lead not only to overweight, but also to oily hair and skin.

    There are also plenty of products for mixed hair types that will moisturize, protect and maintain your hairstyle, as well as regulate the sebaceous glands. The mild sulfate-free washing composition of DeLaMark shampoo for normal hair does not dry out the hair and does not contribute to frequent shampooing. The composition includes only “green” surfactants, including those obtained from oat proteins.

    Choosing Shampoo For Oily Hair

    If your roots seem dull and greasy, most likely your bulb is prone to oiliness. In this case, we suggest adding special oil control products to your oily hair care at home to balance the production of sebum and prevent its accumulation. The type of curls affects not only how often you wash the strands, but also their fat content.

    Contains vitamin E, white tea and jojoba oil. This is really the tool, on the creation of which they worked hard for glory. The use of moisturizing masks will help control the sebaceous glands. Botanical surfactants coat the hair with a protective film, smoothing it, making it easier to comb and protecting the hair from UV rays. Allantoin promotes the healing of microdamages in the skin. Intensive phyto-formula based on 90% natural plant ingredients stop and warn..

    Leave-in conditioners with vegetable oils, shampoos containing keratin and lipids, as well as a balm with fruit acids, trace elements and vitamins are suitable. Here are some effective winter care products. Phytoconcentrate for the scalp based on 14 medicinal herbs. This is a unique product on the Ukrainian market, which has no analogues. For more than 10 years, the IRENE BUKUR brand has been successfully working with the problems of dandruff, oiliness and hair loss with the help of a comprehensive program. Among their range are gentle scalp products that penetrate the hair follicle and regulate sebum production.

    Here are some tips for winter hair care. As part of the product, the presence of nutritional components is important – they moisturize and protect damaged curls. The “Delicate” mask with plant extracts and oils deeply moisturizes, restores damaged hair structure, protects against external negative factors and gives hair elasticity, radiance and silkiness.

    Cold-pressed hemp oil and essential oils of lemon, orange, rosemary have a beneficial effect on skin circulation, have an antimicrobial effect and regulate the secretion of the sebaceous glands. Due to the rich composition of powerful herbal ingredients, with regular use, the DeLaMark Vitamin Complex hair mask strengthens and increases the elasticity of the hair along the entire length and stimulates their growth. To solve the problem of oily hair, we need to know not only what means to use, but also how to do it. Here are some tips on how to properly wash your hair to avoid excessive oiliness.

    This oil mixes with sweat and dirt to coat the scalp and sometimes the top of the head. To follow the rules of hygiene of curls by thoroughly washing your hair with shampoo means to cleanse the fat and give your hair freshness. Certain types of curls are prone to oil buildup. Oil can appear on the hair even in less than 24 hours, then hormonal failure should not be ruled out. Sometimes intense exercise, how to care for oily hair in the summer, excessive use of styling products or even going outside where the temperature is high, can provoke oily curls and make them damaged. Natural plant extracts of nettle, sage, green tea, aloe vera have a slight antibacterial effect, preventing the growth of microflora, add shine to hair and facilitate styling.

    Failure of the sebaceous glands can cause poor-quality care, namely, improper hair washing technique and aggressive shampoos and masks that injure the skin. Finely grate an unpeeled potato (several tubers), add whipped egg white and a tablespoon of honey to it, after which you need to mix the resulting mass well. Add a teaspoon of oatmeal and a little salt to it, mix again. Then the mask is applied in the same way as a mask for dry hair, but you need to keep it for 20 minutes, then wash your hair with shampoo for oily hair and rinse with a weak solution of vinegar. Essential oils of lemon, orange and grapefruit disinfect the scalp, improve blood circulation, and give the hair a fresh scent.

    White truffle and pearls, with which the shampoo is enriched, make it possible to cleanse and moisturize the hair, making it stronger. The very first step is to determine the type of hair, since the correct care depends largely on this. So, if your hair is prone to dryness, then a nourishing mask with palm oil, which should be applied 15 minutes before washing, will help them well.

    Information on Pediatric Rheumatic Diseases – Siesta Food Delivery

    Contents

    Juvenile arthritis: features of the clinical and instrumental picture and differential diagnosis | #04/16

    Part 1

    Juvenile arthropathy is a large isolated group of heterogeneous pathology of the musculoskeletal system of childhood, with similar pathogenetic mechanisms, but different in the nature of the clinical course and outcome of the disease. By their nature, arthropathies can be acute and chronic, septic and aseptic, primary or secondary to the development of the inflammatory process. The term “juvenile arthritis (JA)” refers to a group of primary chronic inflammatory diseases of the joints in children of unknown etiology, which are characterized by the same type of structural, morphological and functional changes. Arthritis lasting more than three months, the onset of the disease before the age of 16, the exclusion of non-rheumatic articular pathology are the main criteria for establishing the diagnosis of juvenile arthritis. At the same time, chronic arthritis (synovitis) can be one of the manifestations of osteochondropathy, hereditary skeletal pathology, tumor or tumor-like formation of the joint, autoinflammatory syndrome, coagulopathy, infectious process, trauma and a number of other diseases.


    The variety of nosological forms, the similarity of the clinical and instrumental picture and the chronic nature of the course determine the group of childhood arthropathies as one of the numerous and time-consuming in the diagnosis and choice of therapy tactics.

    It is now generally accepted that juvenile idiopathic arthritis (JIA) is a common chronic inflammatory disease of the joints in children of a multifactorial nature, which is characterized by a long progressive course leading to the development of contractures and loss of joint function. The disease is based on a chronic progressive inflammatory process of the inner layer of the joint capsule (synovial membrane), which leads to the destruction of cartilage and bone tissue. The prevalence of the disease in various countries ranges from 16 to 150 cases per 100,000 population. JIA is significantly more common than such well-known diseases as leukemia, diabetes mellitus, inflammatory bowel disease [1, 11, 19].

    On different continents, a wide range of terms are used in the designation of chronic arthritis in children – Still’s disease, juvenile arthritis, juvenile rheumatoid arthritis (JRA), infectious non-specific arthritis, juvenile chronic arthritis (JCA), deforming arthritis, juvenile idiopathic arthritis (JIA). In the Russian Federation, the term “juvenile arthritis” is only general and includes, according to ICD X (international classification of diseases of the 10th revision), only a few forms of arthritis: juvenile rheumatoid arthritis (JRA), juvenile chronic arthritis (JCA), juvenile ankylosing spondylitis ( JAS), psoriatic arthritis (PsA) and some others. Three main JA classification systems are successfully used by pediatric rheumatologists in most Western European countries (Table 1) [3, 5].


    According to the latest criteria of the International League of Associations for Rheumatology (ILAR, 2001, 2004), JIA includes several clinical forms of arthritis, grouped together into subgroups based on the nature of the course and outcome of the disease (ILAR, 2001, 2004). Clinical heterogeneity of JIA is determined by the multifactorial nature of the disease and develops on the basis of genetic predisposition under the influence of external environmental factors. Currently, the molecular basis of the development and maintenance of chronic inflammation in the joint is being actively studied. Recently, several dozens of single nucleotide polymorphisms of “candidate genes” associated with various variants of the course of JIA (PTPN22, ERAP1, IL23R, P53, MDR1, etc.) have been identified [6–8, 22, 27].

    Clinical picture of JIA

    The pain syndrome has its own peculiarity and occurs exclusively with passive or active movements in the joints, while children at rest, as well as at night, do not complain of pain in the joints. In young children with damage to the small joints of the hands and feet, the pain syndrome may be completely absent. Morning stiffness, defined as short-term lameness with sensations of severe pain in one or more joints, is a classic manifestation of a chronic inflammatory process involving the tendon-ligamentous apparatus. The degree of defiguration of the joint depends on the type and nature of the inflammatory process, namely exudative or exudative-proliferative synovitis, which is usually characterized by an increase in the volume of the joint.


    At the same time, the proliferative-sclerotic lesion of the synovial membrane is more typical for the type of “dry synovitis”. Edema can occur with any variant of synovitis and, as a rule, is not strictly local, except in cases of enthesopathy. Pathological sounds in the joints may be due to the actual fluid part of the synovium, excessive proliferation of the synovial membrane, as well as the characteristic unevenness of the articular surfaces of the cartilaginous part of the epiphyses and the patella. Blocks in the joints, pathological painful crunch or clicks, sensations of numbness are uncharacteristic symptoms for rheumatic pathology. The point of maximum pain, as a rule, is absent, while pain occurs both during palpation in the area of ​​the projection of the joint space, and in the area of ​​the hypertrophied, inflamed synovial membrane. Often, young children are not able to localize pain in the joint, swelling of the joint area can be poorly visualized due to the physiologically excessive subcutaneous fat layer, and the first signs of the articular syndrome can only be movement restriction or lameness.

    Any joint can be a target for juvenile arthritis, but large and medium joints are most commonly affected, namely knee, ankle, wrist, elbow, hip; less often – small joints of the hands and feet. In severe cases of the course of the disease, the “synovial joints” of the cervical spine and the temporomandibular joint are involved with the formation of arthrosis. The formation of contracture is progressive in nature, and in the early onset of the disease, a significant limitation of the range of motion, as a rule, is not typical [14, 17, 18, 20].

    The term “oligo- or pauciarthritis” in the structure of JIA reflects a variant of joint damage in children, in which the inflammatory process affects no more than 4 joints during the first 6 months of the disease. This variant of the articular lesion occurs in 50-60% of cases and is typical only for childhood. Often with oligoarthritis is the defeat of the knee or ankle joint and interphalangeal joint of the hand, and the latter is often visible.

    A quarter of children suffering from oligoarthritis have a picture of recurrent monoarthritis, described as “silent” arthritis, usually affecting the knee, less often the ankle, without signs of laboratory inflammatory activity. Involvement of two or more joints at an early stage in the inflammatory process greatly facilitates the diagnosis of arthritis. Often there is an abortive course of oligoarthritis with access to long-term remission. Oligoarthritis itself can be persistent or spreading when new joints (≥ 5 in total) are involved 6 months after the onset of the disease. Persistent oligoarthritis is most typical for young girls with a debut before the age of 6–8 years and manifests itself as an asymmetric (unilateral) lesion of the joints of the lower extremities. The course of the disease is associated with an increased titer of antinuclear factor (more than 1/160), with a high risk of eye damage (rheumatoid uveitis or iridocyclitis), while, according to some reports, up to 20% of children in this group may have asymptomatic uveitis.

    In other children, oligoarthritis may have a widespread course with access to polyarthritis, while new joints may be involved even at 2–3 years of the disease [15, 16, 21, 23, 25].

    Articular lesions in polyarthritis (more than 5 joints) are fundamentally different from oligoarthritis and are usually symmetrical in nature, involving the joints of the upper and lower extremities, including the cervical spine and temporomandibular joints. The disease is more typical for girls, but there are severe forms among boys. There are two peaks of the disease: the first – from one to five years, the second – from ten to fourteen years. For children of early age, the debut is most characteristic with the defeat of one or two joints, with the rapid involvement of a larger number of joints during the first six months of the disease. The first manifestations of arthritis may not be so bright, so the onset of JIA is often somewhat blurred. One of the manifestations of the disease at this age may be dactylitis with the subsequent development of a picture of polyarthritis.


    The presence of rheumatoid factor (RF) is uncommon in this subgroup of children, but the degree of articular involvement remains no less aggressive than in adults with RF+. At the same time, the risk of eye damage remains, which is closely related to an increased titer of antinuclear factor (ANF). For older children, the onset of the disease is more typical, with damage to several groups of joints at the same time. Most often, the debut of polyarthritis is clinically manifested by arthritis of the small joints of the hands or feet, although in the future the disease can have a widespread form involving almost all groups of joints, including the cervical spine and hip joints. It is this subgroup that can be divided into two subtypes according to the presence of RF. Some children in this subgroup may be carriers of the HLADR4 gene and/or have antibodies to cyclic citrullinated peptide (anti-CCP), which, as some studies have shown, may directly reflect the degree of aggressiveness of the course of the disease, but the proportion of such children is extremely small (less than 5%) .

    When the cervical spine is affected, anterior atlantoaxial subluxation, erosion of the odontoid process, arthritis of C1-C2 and apophyseal joints of the cervical spine most often develop, which is a hallmark of this pathology [8, 9, 12].


    Systemic arthritis may not have persistent articular syndrome or oligo-polyarthritis, but manifests as hectic fever, skin syndrome, lymphadenopathy, polyserositis, and hepatosplenomegaly. The systemic inflammatory process proceeds with an extremely high degree of laboratory activity in the form of leukocytosis, thrombocytosis, increased levels of transaminases, progressive anemia, a significant acceleration of ESR, a high level of CRP, and dysproteinemia. Articular syndrome in the debut may be limited to arthralgia or intermittent exudative arthritis of the joints of the upper or lower extremities. Persistent arthritis may develop several months after the onset of the disease or even after one to two years of illness. Often there is asymptomatic involvement of the hip, temporomandibular joints and joints of the cervical spine with the development of multiple arthrosis. With a long duration of the disease, most children usually have polyarthritis and bilateral aseptic necrosis of the femoral heads. One of the main life-threatening complications of systemic arthritis is the development of macrophage activation syndrome (MAS). This complication occurs with a frequency of 6.7-13%, and mortality is up to 22% according to various sources. This complication is based on uncontrolled activation of macrophages and T-lymphocytes with systemic hyperproduction of cytokines, which is clinically manifested by pancytopenia, liver failure, coagulopathy, and neurological symptoms [10, 24, 26].

    One of the variants of the course of JIA is a combined articular lesion of the “synovitis + enthesitis” type, or isolated enthesitis. According to the proposed ILAR criteria, this group of patients should be allocated to the JA group with enthesopathy, which can also include children with seronegative enthesoarthropathy (SEA syndrome). The prevalence of the enthesitic nature of the lesion determines a relatively “favorable” variant of the course of the disease, provided that there is no erosive process and sacroiliitis. Involvement of the sacroiliac joints in the process, the presence of the HLA-B27 gene indicate a possible variant of the articular lesion by the type of spondyloarthropathy. The joints that are most often involved in the inflammatory process in “rheumatic enthesopathy” are the hip, ankle, knee; less often – shoulder and elbow [13].

    Juvenile spondyloarthritis is a distinct group of rheumatic diseases of childhood, which includes juvenile ankylosing and undifferentiated spondylitis, psoriatic arthritis, arthropathies in chronic inflammatory bowel diseases (Crohn’s disease, ulcerative colitis), Reiter’s syndrome and other reactive arthritis of urogenital and postenterocolitis nature. A distinctive feature of spondyloarthropathies is the prevalence of males, frequent carriage and familial aggregation of the HLA-B27 gene, combined articular lesion of the “synovitis + enthesitis” type with involvement of the spine. Articular lesions in psoriatic arthropathy may precede psoriasis and proceed in severe form as oligo- or polyarthritis with multiple erosions. PsA is characterized by arthritis of the distal interphalangeal joints, dactylitis, mutilating arthritis with the development of osteolytic syndrome, and psoriatic onycholysis. Dactylitis is a type of articular lesion that clinically manifests itself as a “sausage-like” deformity of the toes due to simultaneous inflammation of the tendon-ligamentous apparatus and the interphalangeal, metacarpophalangeal, or metatarsophalangeal joints [4].

    In addition to classifying juvenile arthritis according to the number of affected joints, other proposed criteria are also used to determine the course and predict the outcome of the disease: determining the stage of anatomical changes, functional disorders, and the degree of laboratory (inflammatory) activity.

    Diagnosis of juvenile arthritis

    To date, screening for instrumental diagnosis of articular pathology includes X-ray examination and ultrasound scanning. The primary assessment of the data obtained from the instrumental examination and their comparison with the clinical picture is one of the main tasks of the attending physician. However, due to the multiplicity of nosological forms of articular pathology, specialists in the field of orthopedics and rheumatology increasingly have to resort to additional examination methods. The most popular and diagnostic significance among specialists are magnetic resonance and computed tomography, arthrography, three-phase bone scintigraphy and diagnostic arthroscopy with biopsy of the synovial membrane. However, the availability and commercial component of these types of studies limit their use in the outpatient setting, moreover, diagnostic arthroscopy is a full-fledged surgical intervention. Therefore, the primary assessment of the nature of the articular lesion should be based on simple and cheap instrumental methods, such as radiography and ultrasound scanning, in the evaluation of which the doctor should clearly define the goals and methods of additional diagnostics.

    As you know, JIA is a chronic inflammatory disease of the synovial membrane that spreads to all structures of the joint, including bone and cartilage tissue. Instrumental diagnostics is based on methods of visualization of the characteristic signs of a chronic inflammatory process, the assessment of which should take into account the existing number of anatomical and physiological features of bone and cartilage tissues in children. The X-ray image of the bones and joints of children differs from their image in adults by a number of features that are characterized by continuous stages of endochondral bone formation, which determines the modification of the shape and contour of a certain part of the bones, the structure of the bone tissue itself. The reaction of bone tissue in children to the course of a chronic inflammatory process is characterized by the rapid development of osteoporosis, asymmetry and uneven ossification of cartilage patterns, as well as accelerated growth of the epiphyses that form the joint. The formation of foci of bone tissue dystrophy, areas of aseptic necrosis is not uncommon. Specific changes in the bone tissue of joints susceptible to RA allowed Steinbroker at 1988 to systematize the data of the X-ray picture and present them as stages of anatomical changes, which are also widely used in pediatric practice:

    • I stage. Epiphyseal osteoporosis, compaction of periarticular soft tissues, accelerated growth of the epiphyses of the affected joints.
    • Stage II. The same changes plus narrowing of the joint space, single bone usura (erosion).
    • Stage III. Widespread osteoporosis, severe bone and cartilage destruction, dislocations, subluxations, systemic bone dysplasia.
    • Stage IV. Changes inherent in stages I-III and fibrous, bone ankylosis.
    Differential diagnosis of mono-, oligoarthritis in children

    As a rule, the greatest difficulty in diagnosing arthritis and arthropathy in childhood is caused by a monoarticular lesion. The monotonous or recurrent course of arthritis, the absence of involvement of new joints over a long period of observation, minimal or, conversely, high laboratory inflammatory activity that does not correspond to the degree of articular damage, as well as the early development of foci of bone destruction are the main signs of an atypical course of rheumatic pathology. Under the guise of monoarthritis with a “bright” debut, acute hematogenous osteomyelitis and septic arthritis, an osteochondral tumor can occur. In addition, acute onset may have post-infectious arthritis, post-traumatic arthropathy and hemarthrosis, less often osteochondropathy and oligoarthritis in the structure of JA. The erased onset and chronic course of monoarthritis is characteristic of a wider range of articular pathology. Chronic synovitis, and sometimes “simulation” of this type of inflammation can be one of the manifestations of such diseases as tuberculous arthritis, pigmented villous-nodular synovitis, synovial chondromatosis, chondroblastoma, osteoid osteoma, vasculitis, PAPA syndrome, Blau’s syndrome, Gaucher’s disease, Fabry, superficial vein dysplasia, cavernous hemangioma, some forms of osteochondropathy and a number of other rare monogenic syndromes. To date, the role of cytokine-dependent mechanisms (TNF-α, IL-1, IL-6) in the development of chronic inflammation of the synovial membrane has been proven not only for rheumatic pathology, but also in cases of aseptic necrosis, bone and cartilage tumors, and lysosomal storage diseases. and a number of monogenic syndromes. In other variants of arthropathies, an irritating mechanical effect on the synovial membrane or its chronic traumatization can lead to the development of an inflammatory reaction [2, 11, 13, 16, 18, 19].

    The spectrum of differential diagnosis of mono-, oligoarthritis in children is presented in Table. 2 and 4.

    Diagnosis and treatment of purulent-inflammatory diseases of the skeleton in children remain very topical problems, in particular, for pediatrics and pediatric surgery. Often, osteomyelitis, as well as septic arthritis, in early childhood can be a difficult pathology to diagnose, despite a wide range of imaging methods. Over the past decade, there has been an increase in the number of diseases with atypical and severe forms, which often leads to the development of complications and an increase in disability. In addition, the nature of the clinical course and instrumental signs of osteomyelitis have their own characteristics in children, depending on age. It is believed that osteomyelitis is an inflammation of the bone marrow and adjacent bone tissue of a local or widespread nature with the formation of a necrotic focus – a sequester. In some countries, osteomyelitis occurs with a frequency of 2 to 13 per 100,000 children, the frequency of septic arthritis is 2-3 times less common. Osteomyelitis can be acute or chronic, by the nature of the infectious agent – specific or nonspecific, along the path of penetration – exogenous or endogenous. Acute osteomyelitis is characterized by the development of a focus of bone necrosis in areas rich in blood supply, with a dense network of anastomoses – these are the areas of metaphyses and epiphyses. For children under two years of age, excluding newborns, the epiphyseal form of osteomyelitis with a picture of septicemia is more typical, while for older children it is a metaphyseal form, the course of which may have a local form. An early radiographic picture of the formation of a necrosis focus is observed in children from the 3rd to the 10th day from the onset of the disease. Chronic osteomyelitis in children, as a rule, is a consequence of untreated acute osteomyelitis or occurs secondarily in areas of altered bone tissue. However, changes in immune homeostasis and environmental factors play an important role in the occurrence of chronic osteomyelitis. The most common target of chronic osteomyelitis are long tubular bones.

    Diagnosis of osteolytic pathology often presents difficulties in cases of a sluggish nature of the course of the inflammatory process due to the polymorphism of the clinical and instrumental picture. The use of helical computed tomography, magnetic resonance imaging, three-phase bone scintigraphy does not always allow a correct diagnosis, therefore, in some cases, focus biopsy is crucial (Fig. 1).

    Read the end of the article in the next issue.


    A. N. Kozhevnikov*, 1, Candidate of Medical Sciences
    N. A. Pozdeeva*, Cand. A. V. Moskalenko*
    K. A. Afonichev*,
    Doctor of Medical Sciences
    G. A. Novik**, Doctor of Medical Sciences, Professor

    * FGBU NIDOI them. G. I. Turnera Ministry of Health of the Russian Federation, St. Petersburg
    ** SPbGMPU of the Ministry of Health of the Russian Federation, St. Petersburg

    1 Contact information: [email protected]

    Juvenile arthritis – clinical variants, course and outcomes during long-term follow-up

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    REFERENCE FOR THE USE OF METHOTREXATE IN CHILDREN AND ADOLESCENTS FOR THE TREATMENT OF JUVENILE IDIOPATHIC ARTHRITIS

    REFERENCE FOR THE USE OF METHOTREXATE IN CHILDREN AND ADOLESCENTS FOR THE TREATMENT OF JUVENILE IDIOPATHIC ARTHRITIS

    The umbrella term juvenile idiopathic arthritis (JIA) includes a heterogeneous group of diseases in which arthritis of unknown etiology occurs before the age of sixteen years.

    Treatment of JIA is based on the use of basic anti-inflammatory drugs. The most effective is methotrexate and is considered the “gold standard” in the treatment of this disease in children. The main goal of drug therapy is to slow down and possibly stop the progression of the disease, preserve joint function, reduce pain and improve the patient’s quality of life. The main preparations of methotrexate in children (methoject, methotrexate Ebewe, methorthritis).

    What are the benefits of methotrexate?

    — one of the most effective basic anti-inflammatory drugs

    — can be used in any stage of rheumatoid arthritis

    — the longest experience with use

    — ease of dosing

    — simple control 90 adverse effects 90 and low cost

    Methotrexate does not take effect immediately, usually taking effect 4 to 8 weeks after starting therapy. Progressive improvement in JIA is seen within the first six months. After that, therapy can continue for a long time, even years. A break in treatment usually causes an exacerbation of the disease.

    Even with low doses of methotrexate, there is a chance of side effects, so your child should have regular check-ups and laboratory tests, the timing and extent of which is determined by the attending physician, taking into account the individual characteristics of the patient.

    The most common adverse events are decreased appetite, nausea, vomiting or indigestion, stomatitis, eczema or itching, hematological disorders. In the form of injections, methotrexate is more effective and causes fewer adverse effects from the gastrointestinal tract. To reduce the incidence of adverse events during treatment with methotrexate, the simultaneous administration of folic acid is necessary, which should not be used within 24 hours before and after the administration of methotrexate. If side effects occur, please contact your treating doctor. Regular monitoring of efficacy and adverse events should be carried out throughout the entire period of treatment with methotrexate.

    Do not use methotrexate if:

    – Your child is allergic to methotrexate or any of the ingredients of this drug

    – Your child has severe liver, kidney, or blood disorders tuberculosis or HIV infection

    – your child has chickenpox or shingles – if your child needs a vaccine, check with their doctor first

    Do not give your child methotrexate if:

    – Your child feels unwell and you do not know the cause

    – If your child has abnormal blood tests chicken pox

    — an infection has joined and an antibacterial drug has been prescribed

    — if your child has a body temperature of more than 38 degrees

    Basic rules for using methotrexate in ready-to-use syringes:

    – the injection needle included in the package is for subcutaneous injection only

    – inject the drug only once a week on the same day of the week remove air from the syringe by holding it in a vertical position, with the needle up and slowly pressing the plunger (for Ebewe methotrexate).

    – change the injection site

    – inject the drug at an angle of 70 – 90 degrees

    – store the drug at room temperature (below 25°C)

    – be sure to examine the child

    – transport Methotrexate in hand luggage during the flight

    – if the contents of the syringe come into contact with the skin or eyes, rinse the affected area thoroughly water for several minutes. Talk to your doctor if you have any concerns

    – if your child needs other medications or vaccinations, check with their doctor

    – if your child has a dry cough or stops breathing while on methotrexate, contact your doctor

    – the drug should be temporarily discontinued while on antibiotics from 2 – 25 degrees. When flying Methotrexate, you should always carry Methotrexate with your hand luggage and be prepared to explain what it is and why you are taking it with you. If your child needs to be vaccinated before traveling, please let your doctor know. If your child develops diarrhea and/or vomiting while resting, stop the methotrexate and seek medical attention.

    It is recommended that methotrexate treatment be interrupted 1 week before surgery and restarted 1 to 2 weeks after surgery. In the event of an upcoming surgical operation, consult your doctor if you should temporarily stop the administration of the drug.

    Features of the use of methotrexate in adolescents:

    – simultaneous use of alcohol can cause liver damage

    – due to the pronounced teratogenic effect of the drug, you should not become pregnant and breastfeed during methotrexate therapy

    – Sexually active adolescents must use effective contraception during treatment and for six months after treatment, and always practice protected intercourse.

    – it is not recommended to drive a car and work with other mechanisms (if you experience fatigue or dizziness during the treatment period)

    If you have any questions, please contact your doctor.

    Contact phone: 8(4742) 31-45-49cardio-rheumatology department of ODB, Lipetsk

    Juvenile arthritis | Arthritis Foundation

    Juvenile arthritis (JA)

    Juvenile arthritis affects nearly 300,000 children and adolescents in the United States.

    Juvenile arthritis (JA), also known as childhood rheumatism, is not a specific disease. This is a general term to describe inflammatory and rheumatic diseases that develop in children under 16 years of age. These conditions affect nearly 300,000 children and adolescents in the United States.

    Most types of JA are autoimmune or autoinflammatory diseases. This means that the immune system, which is supposed to fight off foreign invaders such as viruses and microbes, becomes confused and releases inflammatory chemicals that attack healthy cells and tissues. In most cases of JA, this causes joint inflammation, swelling, pain, and tenderness, but some types of JA have little or no joint symptoms or only affect the skin and internal organs.

    Causes

    The exact causes of JA are not known, but researchers believe that certain genes can cause JA when activated by a virus, bacteria, or other environmental factors. There is no evidence that foods, toxins, allergies, or vitamin deficiencies cause disease.

    The most common types of JA include:
    Juvenile idiopathic arthritis

    Juvenile idiopathic arthritis is the most common form of juvenile arthritis and includes six types: oligoarthritis, polyarthritis, systemic, enthesitis-related, juvenile psoriatic arthritis, and undifferentiated.

    Juvenile myositis

    Inflammatory disease causing muscle weakness. There are two types: juvenile polymyositis and juvenile dermatomyositis, which also causes a rash on the eyelids and knuckles.

    Juvenile lupus

    An autoimmune disease that can affect the joints, skin, internal organs (eg heart, kidneys, lungs) and other parts of the body. The most common form is systemic lupus erythematosus or SLE.

    Juvenile scleroderma

    Scleroderma, which literally means hard skin, describes a group of conditions in which the skin tightens and hardens.

    Vasculitis

    This type of disease causes inflammation of the blood vessels, which can lead to heart complications. Kawasaki disease and Henoch-Schonlein purpura (HPP) are the most common forms in children and adolescents.

    Fibromyalgia

    Fibromyalgia is a chronic pain syndrome that can cause widespread muscle pain and stiffness, as well as fatigue, sleep disturbance, and other symptoms. It is more common in girls but is rarely diagnosed before puberty.

    Some of the symptoms and health effects of JA are:
    Joints

    May cause joint redness or swelling, stiffness, soreness, tenderness and warmth. This can cause difficulty moving or performing daily tasks. Joint symptoms may worsen after waking up or staying in one position for too long.

    Skin

    Skin symptoms may include a scaly, red rash (psoriatic), a light, patchy pink rash (systemic), a butterfly-shaped rash on the bridge of the nose and cheeks (lupus), or thick, hard patches of skin (scleroderma).

    Eyes

    Dryness, pain, redness, sensitivity to light and vision problems caused by uveitis (chronic eye inflammation).

    Internal Organs

    May affect internal organs such as the digestive tract (diarrhea and bloating), lungs (shortness of breath) and heart.

    Other symptoms include feeling tired or exhausted (fatigue), loss of appetite, and high fever.

    Diagnosis

    A pediatrician may begin to determine what is causing the symptoms, but parents may be referred to a rheumatologist (a physician with special training in treating arthritis). Some rheumatologists treat only children, others only adults. Some refer to both. The doctor will ask questions about the child’s medical history, when the symptoms started, how long they last, and the child’s family history. He or she will also do a physical exam to look for signs of JA such as limited range of motion, rash, eye symptoms and joint swelling, tenderness and pain. Lab tests that look for markers of inflammation and imaging tests (X-rays, CT scans, MRIs) to look for signs of joint damage can also help rule out other causes, such as injury or infection.

    Treatment

    There is no cure for JA, but with early diagnosis and aggressive treatment, remission (little activity or no or no symptoms of the disease) is possible.

    The goals of treating JA are:
    • Slow or stop inflammation and prevent progression of the disease.
    • Relieve symptoms, control pain and improve quality of life.
    • Prevent or avoid damage to joints and organs.
    • Preservation of joint function and mobility in adulthood.
    • Reduced long-term health effects.

    A well thought out plan includes medications, physical activity, complementary therapies (acupuncture, massage, psychophysiotherapy) and healthy eating habits.

    Medicines

    There are several types of medicines used to treat JA. Some control disease activity while others relieve symptoms. Medications that control disease activity include corticosteroids and disease-modifying antirheumatic drugs (DMARDs).

    Treatment
    Corticosteroids

    These fast-acting anti-inflammatory drugs are given by injection in the doctor’s office. They are usually used to treat an illness until other medications start to work due to side effects.

    DMARDs

    This class of drugs, which includes traditional DMARDs (methotrexate, sulfasalazine) and biologics, relieves symptoms by suppressing the immune system so it doesn’t attack the joints. Methotrexate is the most commonly used DMARD for the treatment of JA. Traditional DMARDs may be available in tablet form, but biologics are usually given by injection or infusion in a doctor’s office.

    Medicines to relieve symptoms

    Non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics (painkillers). These drugs relieve pain but cannot reduce joint damage or change the course of the disease. These medicines are available over-the-counter or by prescription.

    Every child with JA is different and treatment depends on the severity and type of the disease. The doctor may start with a modest approach, starting with NSAIDs, analgesics, and/or one type of DMARD (usually methotrexate), or opt for a more aggressive approach that includes starting with biologics or a combination of DMARDs/biologics to combat inflammation as quickly as possible. . These days, most physicians prefer early aggressive treatment to slow disease progression rather than watchful waiting. As doctors monitor the disease, drugs may be added or removed.

    For more information on JA products, visit the Arthritis Foundation Drug Guide.

    Surgery

    Most children with JA will never need surgery, but joint replacement can help children with severe pain or joint damage. Many procedures can be performed on an outpatient basis.

    Non-drug therapy

    Exercise
    Regular exercise is the key to reducing joint stiffness and pain. Light, joint-safe activities such as walking, swimming, cycling, and yoga are best, but children with a well-controlled disease can participate in almost any activity they wish if their doctor or physical therapist approves. On difficult days, it is important to balance light activity with rest. Breaks during the day protect joints and conserve energy.

    Physical therapy and assistive devices

    Physical therapy and occupational therapy can improve a child’s quality of life by teaching them to stay active and perform daily tasks with ease. Here are some other ways physical and occupational therapists can help a child with JA:

    • Educate and guide them through strengthening and flexibility exercises.
    • Help improve balance and coordination.
    • Perform body manipulation.
    • Instruct and show children how to use assistive devices (eg braces, splints, handles).

    Self Care

    It is important that children and teens make healthy lifestyle choices and use complementary therapies to manage the pain and stress of arthritis. These include:

    Eating healthy

    Eating certain foods, such as those found in the Mediterranean diet (such as oily fish, fruits, vegetables, whole grains, and extra virgin olive oil), and avoiding others ( high in fat, sugar, and processed foods) can help curb inflammation.

    Hot and cold treatments

    Thermal treatments, such as heating pads or warm baths, are best for soothing joint stiffness and muscle fatigue. Cold is best for acute pain. It can numb painful areas and reduce inflammation.

    Topical creams

    These creams, gels, or patches can relieve joint or muscle pain. Some contain the same medicine as the pills, while others use ingredients that irritate the nerves to divert attention from the pain.

    Mind-Body Therapy

    Meditation, deep breathing, distraction techniques (listening to music or reading), and visualization practice can help you relax and take your mind off pain, especially during a shot.

    Massage and acupuncture

    Massage can help reduce pain and relieve stress or anxiety. Acupuncture involves the insertion of fine needles into specific points on the body to relieve pain. If there is a fear of needles, acupressure, which uses strong pressure, can be used instead.

    Dietary supplements

    Dietary supplements have rarely been studied in children, but some supplements that help adults may also benefit children. Ask your doctor which supplements and vitamins may be helpful and which may cause side effects and drug interactions.

    Stress and emotions

    Children and adolescents with chronic illnesses are more prone to depression. Therapists and psychologists can help children deal with difficult emotions and teach them positive coping strategies. A strong support system of friends and family can also provide emotional support during difficult times.

    Socializing

    Children can meet friends at various Arthritis Foundation JA events throughout the year, and teens can participate in the Foundation’s iPeer2Peer program, which matches them with a young adult mentor who also has arthritis.

    Learn firsthand how juvenile arthritis affects your life. Attention: inspiration ahead!

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    Can children have arthritis? What you need to know about arthritis in children

    Arthritis in children usually does not occur due to wear and tear or overuse of the joints, as it does in adults. In children, inflammatory arthritis is more common, in which the body’s immune system causes inflammation in one or more joints. Inflamed joints may be painful, stiff, or swollen.

    “The exact cause of inflammatory arthritis in children is unknown,” says HSS pediatric rheumatologist Alexa Adams, MD. “This may be due to the interaction of genetic and environmental factors.”

    Inflammatory arthritis in children, known as juvenile idiopathic arthritis (JIA), is more common than you might think and affects about 300,000 children in the US, according to the Arthritis Foundation. JIA can occur from early childhood to adolescence. Pediatric rheumatologists, such as those at HSS, specialize in diagnosing JIA and can help sick children and their families cope with the disease. “It is important to recognize and treat JIA as early as possible, as well as assign the care of the appropriate treatment team, to ensure the best possible outcome for each child,” says Dr. Adams.

    Here, Dr. Adams answers common questions about childhood arthritis.

    What is arthritis and how does it affect children?

    Arthritis is pain, swelling and stiffness in a joint or joints. Children may have visible swelling of the joints, as well as joint stiffness, especially in the morning. If the joints of the legs or feet are affected, they may limp.

    JIA may limit the child’s mobility. Without proper treatment, this can lead to joint damage and growth abnormalities. That is why it is important to diagnose and treat JIA in a timely manner.

    How is arthritis diagnosed in children?

    Typically, children are first seen by a pediatrician or pediatric podiatrist for things like trauma or Lyme disease. If a doctor is concerned that a child may have juvenile arthritis, they often refer the patient to a pediatric rheumatologist for evaluation.
    JIA is a clinical diagnosis, which means that there is no single test to confirm it. Although some children may have positive antibody tests, this does not necessarily mean they have JIA. It is important to note that juvenile arthritis may also be present in children with normal blood. An evaluation by a pediatric rheumatologist can help confirm a diagnosis of juvenile arthritis.

    What types of arthritis are common in children?

    There are several different types of juvenile arthritis. They may include several joints or many joints, depending on the subtype.

    The most common type of JIA affects the large joints of the lower extremities and is known as oligoarticular JIA. This means that several joints are affected. Polyarticular JIA can also occur, in which multiple joints are affected in children, including small joints.

    A less common type, called systemic-onset JIA, presents with fever, rash, and elevated blood markers of inflammation.

    There are other types of juvenile arthritis that can be associated with psoriasis, a type of skin disease that can also affect the nails, and inflammatory bowel disease.

    How is arthritis treated in children?

    The child care team may include a pediatric rheumatologist and rehabilitation specialists such as physiotherapists and occupational therapists. Children with JIA are also referred to a pediatric ophthalmologist. These children need to have their eyes checked regularly for a specific type of inflammation that can occur in the eyes, called uveitis.

    We have many effective treatments for children with JIA, depending on the type of arthritis and symptoms the child is experiencing. Treatment may include nonsteroidal anti-inflammatory drugs (similar to ibuprofen), intra-articular steroid injections, antirheumatic drugs, or biologics, depending on the individual needs of the child.

    After evaluating the child’s response to treatment, the rheumatologist, care team, and family will discuss the best treatment plan.

    Can children outgrow juvenile arthritis?

    Some children outgrow their childhood arthritis, but other children have active arthritis into adulthood. These children will continue to be cared for by their pediatric rheumatologist as well as the rest of their care team.

    How is arthritis in children different from arthritis in adults?

    Children’s arthritis is typically inflammatory arthritis, which means that the body’s own immune system causes inflammation in the joints. Adults can also develop inflammatory arthritis. Children usually do not develop the type of osteoarthritis that many adults develop over time.

    What should parents do if they suspect their child may have arthritis?

    If you are concerned that your child is developing joint pain, swelling, stiffness, or lameness, they should be examined by a pediatrician who will determine your next course of action and advise whether you should see a pediatric rheumatologist. .

    If diagnosed and treated early, children with JIA can do very well. Our main goal is to control the disease as much as possible so that children can participate in their studies and any activities, sports or hobbies that they enjoy.

  • Working closely with your doctor will help your child achieve the best results.
  • Most people think that only the elderly suffer from arthritis. In fact, one in 800 Australian children has a form of juvenile idiopathic arthritis (JIA).

    What is juvenile idiopathic arthritis?

    Juvenile idiopathic arthritis is a group of conditions that cause joint pain and swelling in children and adolescents under 16 years of age for unknown reasons (idiopathic means “of unknown cause”).

    Other names for juvenile idiopathic arthritis include juvenile arthritis, juvenile rheumatoid arthritis, juvenile chronic arthritis, and Still’s disease.

    Causes of juvenile idiopathic arthritis

    We don’t really know what causes JIA, but we do know that it is caused by a malfunctioning immune system.

    Your immune system is designed to detect and attack foreign bodies (such as bacteria and viruses) to keep you healthy. However, in JIA, the immune system mistakenly attacks healthy tissues in and around the joints, causing ongoing inflammation and pain.

  • pain, swelling and stiffness in one or more joints
  • skin over affected joints may be warm or red
  • mental and physical tiredness or fatigue.
  • Less common symptoms include:

    • fever
    • rash
    • general malaise
    • eye inflammation (uveitis).
    Oligoarticular JIA

    This is the most common form of JIA. Several joints are affected. It is also sometimes referred to as small-joint JIA (“oligo” and “pauci” meaning “little” or “little”).

    Characteristics of oligoarticular JIA include:

    • onset between two and four years of age
    • more common in girls
    • most commonly affects large joints such as knees, ankles, wrists or elbows
    • there is a risk of an eye condition called uveitis , which includes inflammation of the inner eye.

    Two types of oligoarticular arthritis (depending on the number of joints affected):

    • persistent oligoarticular arthritis – inflammation of up to four joints six months after diagnosis
    • widespread oligoarticular arthritis – five or more joints become inflamed six months after diagnosis
    polyarticular JIA

    polyarticular JIA affects five or more joints. “Poly” means “a lot”.

    Characteristics of polyarticular JIA include:

    • onset between the ages of one and twelve years
    • more common in girls.
    • affects small and large joints
    • may cause fatigue and general malaise.

    There are two types of polyarticular JIA, depending on the presence of rheumatoid factor (RF) in the blood. They are:

    • polyarticular JIA – rheumatoid factor negative
    • polyarticular JIA – rheumatoid factor positive.
    Systemic JIA

    Systemic JIA can affect many parts of the body, not just the joints. This is the least common type of juvenile idiopathic arthritis.

    Characteristics of systemic JIA include:

    • affects both boys and girls equally
    • affects joints and other parts (systems) of the body such as the skin or internal organs
    • often causes fever, fatigue and skin rash.

    Enthesitis means inflammation of the places where tendons attach to bone (enthesis). Other names for this type of arthritis include juvenile spondylitis and juvenile spondyloarthropathies.

    Characteristics of JIA associated with enthesitis include:

    • tends to affect the large joints of the legs, spine, and enthesis
    • more common in boys than girls
    • usually onset in late childhood or adolescence
    • associated with soreness of the red eye (acute uveitis)
    Psoriatic JIA

    Children with psoriatic JIA have inflammatory joint arthritis and a skin condition called psoriasis.

    Characteristics of psoriatic JIA include:

    • psoriasis and arthritis may not develop simultaneously
    • more common in girls
    • occurs in preschool children or around 10 years of age
    • may have a family history of psoriasis may affect others joints.
    JIA undifferentiated

    This is a condition in which the condition does not correspond to any of the other types of juvenile idiopathic arthritis.

    Diagnosis of juvenile idiopathic arthritis

    Juvenile idiopathic arthritis is diagnosed with a number of tests, including: blood is not eliminate juvenile idiopathic arthritis

  • x-ray and scan
  • eye examination.
  • Treatment of juvenile idiopathic arthritis

    JIA is incurable. Working closely with your doctor will help you achieve the best results for your child. Doctors, nurses, physical therapists, occupational therapists, nutritionists, orthopedists, psychologists, and social workers may be part of your child’s healthcare team.

    Because there are different types of juvenile idiopathic arthritis and the effects of each are different, treatment must be tailored to each child.

    Medications

    Most children with JIA, regardless of type, need to take some form of medication from time to time. It depends on the symptoms they are experiencing. There are many different types of drugs that work in different ways.

    Your doctor will always start with the simplest drugs at the lowest doses and move up to more complex drugs at higher doses depending on how your child’s condition responds to treatment.

    The most common types of drugs used for JIA are:

    • pain relievers (analgesics) – for temporary relief of pain
    • creams and ointments – can be rubbed into the skin over the affected joint for temporary relief of pain
    • eye drops – for treating eye inflammation
    • non-steroidal anti-inflammatory drugs (NSAIDs) – for controlling inflammation and pain relief
    • corticosteroids – used to quickly control or reduce inflammation. They can be taken as tablets or injected directly into a joint, muscle, or other soft tissue
    • Disease-modifying antirheumatic drugs (DMARDs) – work on the immune system. These medications help relieve pain and inflammation, and may reduce or prevent joint damage. They also work to control the immune system. However, unlike other disease-modifying drugs, biologics target specific cells and proteins that cause inflammation and damage, rather than suppressing the entire immune system.

    JIA Self-Care

    There are many things you and your child can do to manage your condition, such as:

    • Follow the plan your healthcare provider has developed. This means that you must take the medications as prescribed, do the exercises that the physical therapist or occupational therapist has provided, and tell your doctor about any changes in your child’s symptoms and how they feel. All of this gives your child a better chance of coping well with JIA and reduces the risk of long-term problems.
    • Be active. Physical activity is key to maintaining muscle strength, joint flexibility and pain management. A physical therapist or exercise therapy specialist can help develop a personalized program for your child.
    • Learn how to deal with pain. There are many strategies you can use to help your child deal with pain. From heat and cold treatments, distractions, massages and medications, there are many ways your child can manage pain.
    • Eat well. Although there is no diet that can cure JIA, a healthy and well-balanced diet is the best remedy for good health. Maintaining a healthy weight is also important, as extra weight puts extra stress on your child’s joints, especially weight-bearing joints like the hips, knees, and ankles.
    • Joint protection. Learn about assistive devices, equipment, and gadgets that can make tasks easier. An occupational therapist can give you advice.
    • Stay at school. This is good for your child’s health and well being. Talk to your doctor, allied health professionals, and teachers about how to help your child stay in school and keep up with school.

    Where to get help

    • Your GP (doctor)
    • Pediatric rheumatologist
    • Musculoskeletal Australia – formerly MOVE Helpline. Tel. 1800 263 265

    • Australian Institute of Health and Welfare 2018, Health Australia 2018. 16. Cat. no. AUS 221, Canberra.
    • Juvenile Arthritis 2017 American College of Rheumatology.
    • What is juvenile idiopathic arthritis? , Arthritis Research, UK.
    • Dunkin MA, Understanding how doctors treat JIA , Arthritis Foundation, Children get arthritis too.
    • American College of Rheumatology, 2013, Recent medical advances lead to better health in children with juvenile arthritis , Science Daily.

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    Content disclaimer

    The content of this website is provided for informational purposes only. The therapy, service, product, or treatment information in no way endorses or endorses such therapy, service, product, or treatment and is not intended to replace the advice of your physician or other registered healthcare professional. The information and materials contained on this website are not intended to be an exhaustive guide to all aspects of the therapy, product or treatment described on the website. All users are strongly encouraged to always seek the advice of a registered healthcare professional to diagnose and answer their medical questions, and to determine if a particular therapy, service, product or treatment described on the website is appropriate for their circumstances. The State of Victoria and the Department of Health assume no responsibility for any user’s use of the materials contained on this website.

    Revised: 09-07-2018

    Outcomes of juvenile idiopathic arthritis in children treated with modern drugs: results from the ReACCh-Out cohort

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    Clinical and epidemiological studies

    Extended report

    Outcomes of juvenile idiopathic arthritis in children treated with modern therapies: results from the ReACCh-Out cohort

    1. Jaime Guzman1,
    2. Kiem Oen2,
    3. Lori B Tucker1,
    4. Adam M Huber3,
    5. Natalie Shiff4,
    6. Gilles Boire5, 9037

      328

    7. Roberta Berard7,
    8. Shirley M L Tse8,
    9. Kimberly Morishita1,
    10. Elizabeth Stringer3,
    11. Nicole Johnson9,
    12. Deborah M Levy8,
    13. Karen Watanabe Duffy10,
    14. David A Cabral1,
    15. Alan M Rosenberg4,
    16. Maggie Larché11,
    17. Paul Dancy12,
    18. Ross E. Petty1,
    19. Ronald M. Laxer8,
    20. Earl Silverman8,
    21. Paivi Miettunen
    22. Ciaran M Duffy10
    23. for ReACCh-Out Investigators
      1. 1 British Columbia Children’s Hospital and University of British Columbia, Vancouver, Canada
      2. 2 Winnipeg Children’s Hospital and University of Manitoba, Winnipeg, Canada
      3. 3 IWK Medical Center and Dalhousie University, Halifax, Canada
      4. 4 Queen’s University Hospital and University of Saskatchewan, Saskatoon, Canada
      5. 5 Center Hospitalier Universitaire de Sherbrooke and Université de Sherbrooke, Sherbrooke, Canada
      6. 6 McGill University Medical Center and McGill University, Montreal, Canada
      7. 7 London Medical Sciences Center and Western University, London, Canada
      8. 8 Hospital for Sick Children and University of Toronto, Toronto, Canada
      9. 9 Children’s Hospital of Alberta and University of Calgary, Calgary, Canada
      10. 10 Eastern Ontario Children’s Hospital and University of Ottawa, Ottawa, Canada
      11. 11 McMaster University, Hamilton, Canada
      12. 12 Janeway Children’s Health and Rehabilitation Center and Memorial University, St. John’s, Canada
      13. 13 Center Hospitalier Universitaire de Laval and Université Laval, Quebec, Canada
      14. 14 CHU st. Justine and University of Montreal, Montreal, Canada
      15. 15 Stollery Children’s Hospital and University of Alberta, Edmonton, Canada
      1. Dr. Jaime Guzman, Department of Pediatric Rheumatology, British Columbia Children’s Hospital, 4500 Oak St, Suite K4-122, Vancouver, British Columbia, Canada V6H 3N1; jguzman{at}cw.bc.ca

      Summary

      Objective To describe the clinical outcomes of juvenile idiopathic arthritis (JIA) in a prospective initial cohort of children treated with modern therapies.

      Methods The study included children with newly diagnosed JIA at 16 Canadian pediatric rheumatology centers from 2005 to 2010. Kaplan-Meier survival curves for each category of JIA were used to estimate the likelihood of ever reaching an active joint count of 0, inactive disease (no active joints, no extra-articular manifestations, and a physician’s overall assessment of disease activity 12  months after stopping treatment), and receiving specific treatment. .

      Results In a cohort of 1104 children, the probability of achieving an active joint count of 0 was greater than 78% within 2  years in all categories of JIA. The probability of achieving inactive disease was greater than 70% at 2  years in all categories except for RF-positive polyarthritis (48%). The probability of stopping treatment at least once was 67% within 5  years. The probability of achieving remission within 5  years was 46–57% for all categories of JIA, with the exception of polyarthritis (0% RF-positive, 14% RF-negative). Initial treatment included intra-articular injections and nonsteroidal anti-inflammatory drugs for oligoarthritis, disease-modifying antirheumatic drugs (DMARDs) for polyarthritis, and systemic corticosteroids for systemic JIA.

      Conclusions Most children with JIA who are helped by current treatments become inactive within 2  years of diagnosis, and many may stop treatment. The probability of achieving remission within 5  years after diagnosis is about 50%, except for children with polyarthritis.

      • Epidemiology
      • Juvenile idiopathic arthritis
      • Outcome study
      • Treatment

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      • Epidemiology
      • Juvenile idiopathic arthritis
      • Study results
      • Treatment

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      Juvenile idiopathic arthritis

      The most common disease in our rheumatology clinic is juvenile idiopathic arthritis.

      Juvenile idiopathic arthritis (JIA) is an autoimmune disease characterized by chronic swelling or stiffness of the joints in children under 16 years of age that lasts at least six weeks without any other cause. Early diagnosis and aggressive treatment of JIA at our rheumatology clinic is the key to preventing or slowing joint damage and maintaining joint function and mobility.

      The best treatment for JIA is an individual approach to each child. At Shriners Children’s, we have access to pediatric rheumatologists, podiatrists, nurses, radiologists, laboratory technicians, nutritionists, physical and occupational therapists, care managers, social workers, and podiatrists and prosthetists on site, making it easy to provide a wide range of services. required.

      Children can be diagnosed with JIA at an early age based on history, physical, laboratory and imaging examinations. Our shared goal is to restore function and allow every child to reach their full potential.

      Treatment may include:

      • Medications
      • Occupational Therapy
      • Orthopedic insoles (individual braces)
      • Physiotherapy
      • Splinting
      • Surgery (in severe cases)

      Because Shriners Children’s provides all care and services regardless of a family’s ability to pay or insurance status, clinicians and families can consider all available treatment options. Learn more about how we treat JIA and our commitment to your child’s overall well-being.

      Specific procedures and services may vary by location. Please contact the specific location for more information.

      Types of juvenile idiopathic arthritis

      There are many categories of JIA. However, the three most common types are:

      • Oligoarthritis is the most common type of arthritis in children, accounting for about 40-60% of all cases of JIA. Oligoarticular arthritis affects four or fewer joints and usually affects large joints such as the knees, ankles, wrists, or elbows. The hips and shoulders are rarely affected. It affects more girls than boys and more Caucasians than any other race. This usually starts before the child is 4 years old. Oligoarticular arthritis can be associated with an eye condition called uveitis, so children with this form of JIA should have regular eye exams.
      • Polyarthritis is the second most common type of arthritis in children, accounting for about 20-30% of all cases of JIA. Polyarthritis affects many joints, usually five or more. It affects small and large joints equally, often affecting support joints such as the knees, neck, jaw, ankles, and feet. It tends to affect more girls than boys.
      • Systemic arthritis (also known as Still’s disease) is the least common of the three major subtypes of JIA. It accounts for about 10% of all cases. It may affect only a few or many different joints, as well as other parts of the body. It is often a more severe form of JIA because it affects many parts of the body, not just the joints. Common symptoms of systemic arthritis are intermittent fever that rises and falls rapidly throughout the day, and a subtle, nonitchy rash of pale pink or red patches on the trunk or extremities. Swollen lymph nodes are common. Your child’s liver and spleen may become larger than usual. Systemic arthritis rarely causes eye inflammation. Boys and girls are equally affected by systemic arthritis.

      Juvenile idiopathic arthritis signs

      JIA symptoms vary by type and severity, but warning signs in your child may include:

      • Joint inflammation (most common)
      • Pain complaints
      • Chronic fever, rash or glandular swelling
      • Fatigue and marked decrease in energy levels
      • limp
      • Refusal to use arm or leg
      • Stiffness after sleep

      JIA symptoms may get worse (during exacerbations) or disappear (during remission). Every child experiences JIA differently. Some children may only have one or two flare-ups in their lifetime. Others may have many flare-ups or even persistent symptoms.

      Pediatric specialists to contact for juvenile idiopathic arthritis

      Shriners Children’s staff are aware of the overall health and well-being of our patients and develop appropriate individualized care plans for each child.

      If your child has JIA, we can help coordinate the services and specialties you need. As part of our comprehensive care, your family members can work with pediatric experts at:

      • Pediatric Rheumatology
      • Children’s life
      • Laboratory
      • Nursing
      • Nutrition
      • Occupational Therapy
      • Orthopedics
      • Orthopedic insoles
      • Physiotherapy
      • Radiology and Imaging
      • Social work

      Not all specialists are available in every location. Contact any member of your child care team to learn more.

      Next Steps

      Request an Appointment

      Families and caregivers should begin treatment by making an appointment with us.

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      Juvenile arthritis

      juvenile arthritis

      Our commitment to your safety

      We have never taken for granted the sacred trust you place in us to care for your child, and today we are more grateful than ever for that privilege. To learn about all the ways we are working to keep you, your family, and our team members safe, please visit our COVID-19 Updates page..

      Learn more about our commitment to your safety

      Learn more about our commitment to your safety

      Juvenile arthritis causes joint inflammation when the immune system attacks its own cells and tissues.

      What is juvenile arthritis?

      Normally, a child’s immune system protects against infection by attacking invaders such as viruses or other pathogens. In children with juvenile arthritis (also known as juvenile idiopathic arthritis or JIA), the immune system mistakenly attacks body tissues, causing inflammation, pain, stiffness, and loss of motion in the joints. It can affect one joint or the entire body. In some cases, serious complications can occur, including inflammation of the eyes and problems with bone growth. Symptoms must begin before your child is 16 years old to be classified as juvenile arthritis.

      At Children’s Health℠, we work closely with both you and your healthcare provider to ensure that everyone involved has the information they need to achieve the best outcomes for your child. Each year, Children’s Health sees more than 1,000 children with juvenile arthritis and other rheumatic diseases. We have the skills and resources to provide comprehensive care and care for your child.

      What are the types of juvenile arthritis?

      It is not known exactly what causes juvenile rheumatoid arthritis, but some people inherit (pass from parents to children) a genetic predisposition to it. Environmental factors can trigger disease in these people.

      Systemic arthritis.

      Systemic arthritis. Subcategories include:

      • Persistent oligoarthritis : Four or fewer joints are affected during the course of the disease
      • Generalized oligoarthritis : Occurs when more than four joints are affected within the first six months
      Polyarthritis Rheumatoid Factor Negative

      Polyarthritis Rheumatoid Factor Negative : Child has arthritis in five or more joints during the first six months of illness. Tests for rheumatoid factor (proteins of the immune system that can attack healthy tissue) negative

      Positive polyarthritis-rheumatoid factor

      Positive polyarthritis-rheumatoid factor : Same symptoms as above except positive result of at least two tests (three months apart) for rheumatoid factor

      Psoriatic arthritis

      Psoriatic arthritis 4 in a child psoriasis (skin disease) associated with arthritis

      Enthesitis related arthritis

      Enthesitis related arthritis : Enthesitis is where tendons or ligaments attach to bones. Children with this type have both arthritis and inflammation at point 9enthesita.0003

      Arthritis undifferentiated

      Arthritis undifferentiated : Arthritis that does not meet the criteria for any of the six categories above

      What are the signs and symptoms of juvenile arthritis?

      Children with juvenile rheumatoid arthritis may have symptoms that get worse and then go away.

      Symptoms include:

      • Persistent joint pain or swelling
      • Limited joint range of motion
      • Redness around joints
      • Fever associated with enlarged lymph nodes
      • Swelling of the joints
      • Unexplained skin rash (usually pink)
      • Lameness (especially in the morning)
      • Fatigue
      • Stiffness, especially after sleeping or prolonged sitting

      How is juvenile arthritis diagnosed?

      Several tests are available to diagnose juvenile arthritis in children. The doctor will review your child’s medical history and perform a physical examination. Your health care provider will also do one or more of the following tests:

      • Joint fluid test, a test in which a long, thin needle is inserted into a joint to extract fluid. The liquid is examined later under the microscope
      • X-rays that show inflammation and joint damage and may rule out other causes of pain
      • Blood tests

      Although juvenile arthritis cannot be diagnosed with any one test, not every child will need all of the above tests. Your doctor will tell you exactly what the next steps are.

      What are the causes of juvenile arthritis?

      It is not known exactly what causes juvenile rheumatoid arthritis, but some people inherit (pass from parents to children) a genetic predisposition to it. Environmental factors can trigger disease in these people.

      How is juvenile arthritis treated?

      The type and severity of your child’s arthritis will determine treatment. Your health care provider may recommend one or more of the following treatments:

      • Medicines to reduce inflammation, relieve pain and slow the progression of the disease
      • Splints to prevent contractures (permanent stiffness and shortening of the joint due to disuse)
      • Physiotherapy to maintain muscle tone and range of motion
      • Deformed joint repair surgery

      Children’s Health is part of the largest and oldest multidisciplinary clinic for children with rheumatic diseases in the region. At our rheumatology clinic, dedicated healthcare professionals help patients and their families cope with diseases such as juvenile arthritis.

      Children’s Health takes a multidisciplinary approach to caring for your child. This allows us to offer our patients the care of several specialists and experts at one appointment in one place. If your child has symptoms of juvenile arthritis, please contact us. We provide the comprehensive and personalized care you need to get your child back on the path to a healthy life.

      Juvenile arthritis physicians and providers

      • Tracey Wright, MD
        Pediatric rheumatologist

      • Julie Fuller, MD
        Pediatric rheumatologist

      • Lauren Nussey, MD
        Pediatric rheumatologist

      • Cathy Stewart, MD
        Pediatric rheumatologist

      FAQ

      • What is juvenile arthritis?

        Juvenile arthritis is a group of diseases that cause pain, swelling, stiffness and loss of mobility in the joints in children. Most forms of juvenile arthritis are autoimmune diseases (diseases in which a child’s own immune system attacks healthy organs or tissues).