van Delft, I.; Finkenauer, C.; Verbruggen, Janna
This study aimed to examine the effects of child maltreatment subtypes (physical abuse, sexual abuse, neglect, and exposure to domestic violence) and cumulative child maltreatment on depressive symptoms in adulthood, and examine the protective effects of social connectedness in a sample of formerly institutionalized females. The sample consisted of 124 females who were institutionalized in a Dutch juvenile justice institution during adolescence and were followed-up when they were on average 3...
van Delft, Ivanka; Finkenauer, Catrin; Verbruggen, Janna
This study aimed to examine the effects of child maltreatment subtypes (physical abuse, sexual abuse, neglect, and exposure to domestic violence) and cumulative child maltreatment on depressive symptoms in adulthood, and examine the protective effects of social connectedness in a sample of formerly institutionalized females. The sample consisted of 124 females who were institutionalized in a Dutch juvenile justice institution during adolescence and were followed-up when they were on average 32 years old. Information about child maltreatment was extracted from treatment files. Retrospective data on social connectedness in young adulthood were established during interviews using a Life History Calendar. Relationship quality at follow-up was assessed with items derived from the Rochester Youth Development Study. The Center for Epidemiological Studies Scale for Depression (CES-D) was used to measure depressive symptoms in adulthood. Results showed that 85.5% of the females experienced child maltreatment, and co-occurrence of subtypes was high. Cumulative child maltreatment increased the risk of depression in adulthood. Furthermore, social connectedness, that is, more employment over time and the quality of the romantic relationship at follow-up, protected against the development of depression. However, social connectedness did not buffer the effect of maltreatment on depression. Our findings indicate that treatment of these girls should focus on improving the social-emotional development to promote positive interpersonal relationships and include educational and vocational components to guide these girls toward increased opportunities on the labor market.
Feldthusen, Rasmus Kristian; Poulsen, Martin
institutioner er fonde. Der er hverken i dansk lovgivning eller i den juridiske litteratur foretaget en sondring mellem begreberne selvejende institution og fond, ligesom der ikke findes en generel og entydig juridisk definition af begrebet selvejende institution. I artiklen bliver der foretaget en analyse af...
Feldthusen, Rasmus Kristian; Poulsen, Martin
institutioner er fonde. Der er hverken i dansk lovgivning eller i den juridiske litteratur foretaget en sondring mellem begreberne selvejende institution og fond, ligesom der ikke findes en generel og entydig juridisk definition af begrebet selvejende institution. I artiklen bliver der foretaget en analyse af...... at skabe klarhed over begrebet selvejende institution og klarhed over forskellene mellem en selvejende institution og en fond. I artiklen påpeger forfatterne, at der lovgivningsmæssigt bør udarbejdes en ny lovgivningsstruktur for selvejende institutioner og fonde.......Begreberne fond og selvejende institution bruges ofte i flæng, hvilket til dels er korrekt. Begrebet fond er således en delmængde af begrebet selvejende institution, hvilket betyder, at en fond altid er en selvejende institution. Det er dog vigtigt at holde for øje, at ikke alle selvejende...
Jacobsen, Brian Arly
Introduktion til Tidsskrift for Islamforskning temanummer Islam & institutioner Udgivelsesdato: 18-02......Introduktion til Tidsskrift for Islamforskning temanummer Islam & institutioner Udgivelsesdato: 18-02...
Examining past experiences of student activism at Berkeley this article suggests that the present storm of political correctness sweeping American universities represents more than just another of the periodic crusades that have disrupted academic life over the years. The current wave of activism is different largely because the ever-present minorities of militant faculty and student activists have gained significant reinforcements in their struggle to transform the culture and mission of higher education. Over the last several decades federal regulations and funds have created an alternative bureaucracy within universities that is devoted, not to the core academic mission of teaching and research, but to improving the social climate of university life. The legitimacy and power of the social climate bureaucracy depend on heightening the perception that academic life involves a dangerous environment, from which students need protection - a service provided through creating safe spaces, helping students to recognize micro-aggressions, training them in sexual assault prevention, conducting sensitivity training for faculty and the like. Devoted to heightening this perception of the university campus as a hostile environment, the climate bureaucracy has become a source of institutionalized discontent.
on the process of professional recognition of Italian public relations and on its institutionalization by referring to the results of a qualitative and quantitative investigation about Italian PR practitioners' opinions on the perceived need and possible means for regulating PR profession and on the role......The aim of this paper is to revise recent discussions on the need for institutionalization of public relations in Italy by presenting different conceptual claims against the need for this postulation. Through critical argumentative discourse I will show how the question of institutionalization...
Ledelse af sociale institutioner giver et overblik over den enorme forandring, der er sket indenfor det sociale område i de sidste 25-30 år. Moderniseringen af den offentlige sektor har været gennemgribende, og udviklingen på det sociale område er gået mod større instirutioner og mod, at stadig...... flere beslutninger træffes lokalt. det betyder også,a t der kommeret øget fokus på ledelse af de enkelte sociale institutioner. Forandringer i omverdenedn som globalisering, individualisering, mangel på arbejdskraft og ændringer i omgangsformer påvirker også ledelsesvilkårene i de sociale institutioner...
Sheridan, Margaret; Drury, Stacy; McLaughlin, Kate; Almas, Alisa
Children raised in the profound deprivation associated with institutionalization are at elevated risk for negative outcomes across a host of social and cognitive domains. This risk appears to be mitigated by early foster care or adoption into a family setting. Although pervasive developmental problems have been noted in a substantial proportion of previously institutionalized children, marked variation exists in the nature and severity of these deficits. Increasing evidence suggests that institutional deprivation impacts the developing brain, potentially underlying the wide range of outcomes with which it is associated. In the current review we examine the neural consequences of institutionalization and genetic factors associated with differences in outcome in an effort to characterize the consequences of early deprivation at a neurobiological level. Although the effects of institutional deprivation have been studied for more than 50 years much remains unanswered regarding the pathways through which institutionalization impacts child development. Through a more complete and nuanced assessment of the neural correlates of exposure and recovery as well as a better understanding of the individual factors involved we will be better able to delineate the impact of early adversity in the setting of severe social deprivation.
Fayolle, Alain; Landström, Hans; Gartner, Bill;
In this article, we briefly identify three main challenges/issues that should be taken into consideration in the institutionalization of entrepreneurship research: (1) recognizing the complexity of the phenomenon under study; (2) producing interesting, relevant and useful research results for all...
to the question of Europeanization. The main argument is that the EC’s ongoing push for the Pan-European idea, through pressures and enabling structures, have contributed to the promotion of a process of institutionalization with re-nationalization and affirmation of national film-cultural diversity as its main...
Aggerbeck, Jette Mai; Kofod-Jensen, Lars; Andersen, Bente Thorup
De nye i DEFF En ny programgruppe har set dagens lys i DEFF. Nye Institutioner (NI) blev etableret for at sikre en varetagelse af UVM-institutionernes deltagelse i og ønsker til udviklingen i DEFF. Det er programgruppens primære opgave. På det overordnede plan arbejder programgruppen med synlighed......, forankring og driftsmæssige løsninger ud fra tanken om den nye fagre verden for biblioteksfunktionen på de ovennævnte institutioner, som skal imødekomme et væld af såvel eksterne som interne udfordringer og omstillinger. Disse betoner behovet for nye samarbejdsrelationer mellem bibliotek og uddannelse...
Kjeldsen, Anna Karina
of institutionalization when strategic communication is not yet visible as organizational practice, and how can such detections provide explanation for the later outcome of the process? (2) How can studies of strategic communication benefit from an institutional perspective? How can the virus metaphor generate a deeper...... understanding of the mechanisms that interact from the time an organization is exposed to a new organizational idea such as strategic communication until it surfaces in the form of symptoms such as mission and vision statements, communication manuals and communication positions? The first part of the article...... communication in three Danish art museums....
Koch, Christian; Hansen, Hans Henrik; Stissing Jensen, Jens
Technology and knowledge monitoring is a continual challenge especially for small and medium size enterprises. Technological foresight seemingly offers important parts of this crucial monitoring. The SMEs rarely possess sufficient resources to do systematic foresights, or forecasts however......, and they become dependent of national and other institutional foresights. Since 2000 the Danish ministry of Science, Technology and Innovation has tendered nine technology foresights. These could be used by SMEs as supplementary to internal decision making. One also expects to see these foresights placed firmly...... in the national strategy of coordinating and strengthening policy on research, technology and innovation in one superministry. The paper evaluates the methods, impact and role in policy making of these technological foresights. The particular role of institutionalized public foresight in relation to enterprise...
-institutional theory points out, however, the considerable regulatory impact of ‘soft’ forms of institutionalization such as incentives structures, sedimented normative codes, logics of appropriateness and routinized practices. The article explores the role that soft forms of institutionalization might play......Interactive governance arenas such as networks and partnerships are increasingly seen as legitimate and valuable contributions to the production of effective public governance. This effectiveness is not least seen as a result of the self-constituting and self-regulating character of such arenas...... in ensuring democratic inclusion, deliberation and accountability in relation to interactive governance arenas and considers how they can be used to enhance the democratic quality of such arenas through metagovernance....
Meyer, Renate; Jancsary, Dennis; Höllerer, Markus A.;
How do visualization and visual forms of communication influence the process of transforming a novel idea into established organizational practice? In this paper, we build theory with regard to the role of visuals in manifesting and giving form to an innovative idea as it proceeds through various...... stages of institutionalization. Ideas become institutionalized not merely through widespread diffusion in a cognitive-discursive form but eventually through their translation into concrete activities and transformation into specific patterns of organizational practice. We argue that visualization plays...... a pivotal and unique role in this process. Visualization bridges the ideational with the practical realm by providing representations of ideas, connecting them to existing knowledge, and illustrating the specific actions that instantiate them. Similar to verbal discourse, and often in tandem, visual...
María Claudia Carcelén Velarde
Full Text Available The study describes the future goals and concerns of institutionalized adolescents, and also identifies their attitudes towards the past, the present and the future, comparing them with a group of non-institutionalized adolescents with similar characteristics. It is a descriptive study with a transversal design, of 34 institutionalized and 41 non-institutionalized adolescents between 15 to 17 years old. The instruments were the Motivational Induction Method (MIM and the Time Attitude Scale (TAS (Nuttin, 1985. Goals are related to interpersonal contacts, the self-realization and the self. Institutionalized adolescents show more goals related to the development of aptitudes and a major necessity of interpersonal contacts associated with the fear of the damage caused by settling these relationships.
Agger Nielsen, Jeppe; Mathiassen, Lars; Newell, Sue
Although institutional theory has become a more dominant perspective in information systems research, studies have only paid scant attention to how field dynamics and organizational processes coevolve during information technology institutionalization. Against this backdrop, we present a new conc...
Full Text Available To investigate time-dependent predictors of institutionalization in old age using a longitudinal approach.In a representative survey of the German general population aged 75 years and older predictors of institutionalization were observed every 1.5 years over six waves. Conditional fixed-effects logistic regressions (with 201 individuals and 960 observations were performed to estimate the effects of marital status, depression, dementia, and physical impairments (mobility, hearing and visual impairments on the risk of admission to old-age home or nursing home. By exploiting the longitudinal data structure using panel econometric models, we were able to control for unobserved heterogeneity such as genetic predisposition and personality traits.The probability of institutionalization increased significantly with occurrence of widowhood, depression, dementia, as well as walking and hearing impairments. In particular, the occurrence of widowhood (OR = 78.3, dementia (OR = 154.1 and substantial mobility impairment (OR = 36.7 were strongly associated with institutionalization.Findings underline the strong influence of loss of spouse as well as dementia on institutionalization. This is relevant as the number of old people (a living alone and (b suffering from dementia is expected to increase rapidly in the next decades. Consequently, it is supposed that the demand for institutionalization among the elderly will increase considerably. Practitioners as well as policy makers should be aware of these upcoming challenges.
Davis, E. J.; Campbell, A.
Bowie State University and NASA Goddard Space Flight Center have, for the past 10 years, worked diligently together to enhance the science, mathematics, engineering and technology (SMET) domain. Efforts made, because of a Model Institutions for Excellence (MIE) Award, have changed the landscape of the SMET domain by increasing the retention and graduation rates, the number of students entering graduate and professional schools, and the number of students entering SMET related careers for minorities and women. Several initiatives a Scholarship Program, PRISEM Tutoring Center, Safety-net Program, Research emphasis, Focused Mentoring, a Summer Academy for accepted incoming students, a Bridge Program for students needing assistance being admitted to the University, the RISE Program and the Bowie State Satellite Operations and Control Center (BSOCC) provide the nurturing, mentoring, and opportunities for our students. As a result of efforts made, the retention rate has increase to approximately 80%, the graduation rate has increased 40%, and 85% of the SMET students are now interested or entering graduate and professional schools. Successes that have been documented by various assessment activities have led to the institutionalization of the Retention Model of the MIE Initiative. It is anticipated that University-wide application of the retention model will prove the incentives necessary to obtain similar results as the MIE Initiative.
Full Text Available The article aims to provide some ethical orientation on how sustainability might be actualized by institutions. Since institutionalization is about rules and organization, it presupposes ideas and concepts by which institutions can be substantiated. After outlining terminology, the article deals with underlying ethical and conceptual problems which are highly relevant for any suggestions concerning institutionalization. These problems are: (a the ethical scope of the sustainability perspective (natural capital, poverty, sentient animals, (b the theory of justice on which ideas about sustainability are built (capability approach, Rawlsianism, and (c the favored concept of sustainability (weak, intermediate, and strong sustainability. These problems are analyzed in turn. As a result, a Rawlsian concept of rule-based strong sustainability is proposed. The specific problems of institutionalization are addressed by applying Rawls’s concept of branches. The article concludes with arguments in favor of three transnational duties which hold for states that have adopted Rawlsian strong sustainability.
Navarro, Jose I.; Menacho, Inmaculada; Alcalde, Concepcion; Marchena, Esperanza; Ruiz, Gonzalo; Aguilar, Manuel
The efficiency of different cognitive training procedures in elderly people was studied. Two types of methods to train cognitive and memory functions were compared. One method was based on new technologies and the other one on pencil-and-paper activities. Thirty-six elderly institutionalized people aged 68-94 were trained. Quantitative and memory…
Yamada, Yukari; Siersma, Volkert; Avlund, Kirsten;
The effect of home help services has been inconsistent. Raising the hypothesis that receiving small amounts of home help may postpone or prevent institutionalization, the aim of the present study is to analyze how light and heavy use of home help services was related to the risk for institutional...
Townsend, Aloen L.
Family caregivers may face ethical dilemmas when deciding whether a parent or spouse should enter a nursing home. There is considerable evidence that decisions about institutionalization are usually stressful and difficult for family members. This study obtained qualitative and quantitative data from two studies conducted at the Margaret Blenkner…
Popoola, Ifeoluwa; Garner, Bart; Ammeter, Anthony; Krey, Nina; Beu Ammeter, Danielle; Schafer, Stuart
Extant research on academic cheating primarily focuses on the impact of honor codes on academic cheating. However, the influence of ethics institutionalization is curiously missing in past research. The authors developed and validated a structural equations model in the R programming language to examine the impact of formal (explicit) and informal…
Haack, Patrick; Schoeneborn, Dennis
by drawing on the prominent management practice of corporate responsibility. Our paper contributes to the development of a general theory of decoupling and institutionalization by examining the boundary conditions under which organizations adopt ceremonially or implement substantively a policy. We discuss...
Brantley, James R., Comp.
This bibliography catalogs all the literature in the National Criminals Justice Reference Service database on the topic of alternatives to institutionalization. The materials represented pertain to such diverse alternatives as juvenile training schools, pre-release centers, halfway houses, work-release programs, weekend sentencing, restitution,…
Lívia Maria Santiago
Full Text Available OBJECTIVE To estimate the prevalence of depressive symptoms among institutionalized elderly individuals and to analyze factors associated with this condition. METHODS This was a cross-sectional study involving 462 individuals aged 60 or older, residents in long stay institutions in four Brazilian municipalities. The dependent variable was assessed using the 15-item Geriatric Depression Scale. Poisson’s regression was used to evaluate associations with co-variables. We investigated which variables were most relevant in terms of presence of depressive symptoms within the studied context through factor analysis. RESULTS Prevalence of depressive symptoms was 48.7%. The variables associated with depressive symptoms were: regular/bad/very bad self-rated health; comorbidities; hospitalizations; and lack of friends in the institution. Five components accounted for 49.2% of total variance of the sample: functioning, social support, sensory deficiency, institutionalization and health conditions. In the factor analysis, functionality and social support were the components which explained a large part of observed variance. CONCLUSIONS A high prevalence of depressive symptoms, with significant variation in distribution, was observed. Such results emphasize the importance of health conditions and functioning for institutionalized older individuals developing depression. They also point to the importance of providing opportunities for interaction among institutionalized individuals.
Kao, Hsueh-Fen Sabrina
The role of caregiver gender in the likelihood of institutionalization of Taiwanese older adults was explored in this study. A sample of 78 male and 69 female primary caregivers of elderly patients who had experienced a stroke at least 6 months prior to the study were interviewed. Logistic regression analyses were applied to examine direct and interaction effects of the elderly adult's functioning the caregiver's available resources, the degree of caregiver burden, perceived public opinion toward institutionalization, and precipitating events on the likelihood of institutionalization among Taiwanese male and female caregivers. Women were more likely to institutionalize the older adult for whom they cared. The proposed model correctly predicted the likelihood of institutionalization of an elderly adult based on male versus female caregivers at the 92% level. Perceived public opinion toward institutionalization was the most significant predictor of institutionalization for both genders. Perceived public opinion toward institutionalization has a strong influence on whether or not caregivers institutionalize an elderly relative. This is consistent with Chinese culture in which public opinion has a much stronger effect on individual behavior than in the United States. American concepts of "minding one's own business" do not exist in Taiwan. It is logical that the older adults' level of functioning would predict the likelihood of institutionalization regardless of caregiver gender. In terms of caregiver characteristics, working hours in male caregivers is more predictive, and the quality of the relationship with the older adult was more predictive of institutionalization for female caregivers.
big to fail”-institutter er forenelige med en markedsøkonomi. I Schweiz er der allerede fremsat forslag til særligt høje kapitalkrav til de to systemisk vigtige schweiziske banker Credit Suisse og UBS, hvis balancer forud for den finansielle krise tilsammen udgjorde mere end 4,5 gange Schweiz’ BNP......Internationalt arbejdes der i øjeblikket på forslag til særlige kapitalkrav til systemisk vigtige finansielle institutioner. Baggrunden herfor er, at systemisk vigtige institutter er ”too big to fail” og dermed i realiteten undviger markedets spilleregler. I sidste ende kan det overvejes, om ”too...
In his masterpiece Women in Love, D. H. Lawrence devoted a large amount of space to the depiction of sex, sexuality and male-female relationship, which have always been the concerns of academic circle. Yet, in her study of this novel, the pres-ent author has noticed that the male-female relationships in the novel is largely subject to the institutions and seem doomed to failure. This essay will, with the help of theories of gender criticism, concentrate on the analysis of the institutionalized social and family roles undertaken by the main characters in the novel.
Rasmussen, Grane Mikael Gregaard; Gottlieb, Stefan Christoffer
emerged as actors expressed diverse political interests in the institutionalization of benchmarking. The political struggles accounted for in chapter five constituted a powerful political pressure and called for transformations of the institutionalization in order for benchmarking to attain institutional...... on how to institutionalize new structures in the Danish construction industry? In the methodology chapter, I outline how institutional theory facilitates new and important inquiries into understanding institutionalization of benchmarking. I account for how the choice of theory is influencing my......, the chapter accounts for the data collection methods used to conduct the empirical data collection and the appertaining choices that are made, based on the account for analyzing institutionalization processes. The analysis unfolds over seven chapters, starting with an exposition of the political foundation...
Abel Merino Orozco
Full Text Available Under 6s football competition is a school sport that has inherent educational implications. Moreover, it is a booming non-formal socio-educational framework where families and children lay training expectations and dreams. The aim is to comprehend the emerging learning processes promoted in this environment for 6 years-old children, when the child starts the institutionalization process in the ruled sport. The research uses a case study design, the ethnographic mode, through participant observation. It uses the narrative and image data to understand the scenario from the perspective of its builder. The results show that the institutionalization process starts from the ingenuity and lack of understanding of the child, who develops training processes in a prescriptive environment, where the competitive performance of the team is pursued. Promoting certain types of learning which the participant himself consciously considers inappropriate undertakes the presence of different kinds of behaviour, which go against the positive values usually attributed to football. The study claims for the necessity of taking advantage of the training opportunities which football offers to children such as the enhancing of creativity, self-efficacy and self-esteem.
Clara Fróes de Oliveira Sanfelice
Full Text Available The study aimed to describe the experiences of a group of nurse-midwives from the city of Campinas, SP, Brasil, regarding the transition process from attending institutionalized births to attending home births, in the period 2011 – 2013. The study is of the experience report type; the reflections, perceptions and challenges experienced in this process were collected using the technique of brainstorming. Content analysis, as proposed by Bardin, was used, which yielded four thematic categories: a the hospital experience; b living with obstetric violence; c returning home and d the challenges of home care. It is concluded that attending home births offers greater satisfaction to the nurses, even in the face of various obstacles, as it is possible to offer a care to the woman and new-born which covers both the concept of comprehensiveness and the current scientific recommendations.
Fawcett, Gayle; And Others
Contrary to an earlier report, this study showed that life satisfaction of 56 institutionalized elderly women was associated with internality. Satisfaction was inversely related to their perception of institutional constraints, its most powerful determinant. (Author)
Jacy Aurelia Vieira de Sousa; Anna Isadora Ferreira Stremel; Clóris Regina Blanski Grden; Pollyanna Kássia de Oliveira Borges; Péricles Martim Reche; Juliana Heloise de Oliveira da Silva
Objective: to identify the factors associated with the risk of falls in institutionalized elderly. Methods: analytical study carried out in two long-stay institutions for the elderly, with 61 residents of both sexes. Data collection was performed by means of a socio-demographic and clinical form and Downton’s Fall Risk Index. Results: 31 (50.8%) old people at high risk of falling were identified. There was an association of risk for falls in institutionalized elderly wit...
Jerez-Roig, Javier; Souza, Dyego Leandro Bezerra; Andrade, Fabienne Louise Juvêncio Paes de; Lima, Bartolomeu Fagundes de; Medeiros, Rafaela Jordânia de; Oliveira, Nayara Priscila Dantas de; Cabral, Sadote Macêdo; Lima, Kenio Costa
This study aimed to verify health self-perception, its prevalence and associated factors in institutionalized elderly. A cross-sectional study is presented herein, conducted in 10 Long-Term care Institutions for the Elderly (LTIE) in the city of Natal (Northeast Brazil), between October and December 2013. Sociodemographic variables were analyzed, along with institution-related and health state variables. Descriptive and bivariate analyses were carried out (Chi-squared test, Fisher's exact test or linear trend Chi-squared test), as well as multivariate analysis (logistic regression). The final sample consisted of 127 elderly. The prevalence of negative self-perceived health was 63.19% (CI 95%: 55.07-70.63), and was associated with weight loss (PR: 1.54; CI 95%: 1.19-1.99), rheumatic disease (PR: 1.46; CI 95%: 1.05-2.01) and not-for-profit LTIE (PR: 1.37; CI 95%: 1.03-1.83), adjusted by sex. More than half of the elderly reported negative self-perceived health, which was associated with weight loss, rheumatic disease and type of institution. Actions must be developed to promote better health conditions in LTIE, such as nutrition consulting and physical therapy, to improve quality of life.
Ulrich, Frank; Mengiste, Shegaw Anagaw; Müller, Sune Dueholm
This article explores the complex process of how ideas evolve in organizations that are engaged in developing and using information technology (IT) based systems. We put forward a framework emphasizing the interconnection between creativity and institutionalization. We argue that ideas are embedded...... in existing institutionalized technologies within the organization and that emerging technologies introduce neoteric ideas to the organization. Furthermore, we argue that when attempting to introduce technology-based ideas, human actors will focus their attention on ideas embedded in existing...... institutionalized technologies during their informal evaluation and sensemaking of these ideas. Moreover, we suggest that conflicts between competing frames of reference during this evaluation may result in the rejection, adoption, or multiplication of new technology ideas. Drawing on Information Systems (IS) based...
Jamali, Dima; Lund-Thomsen, Peter; Khara, Navjote
and standards. Through empirical fieldwork in the football manufacturing industry of Jalandhar in North India, the article documents how local cluster-based SMEs stay coupled with the global CSR agenda through joint CSR initiatives focusing on child labor. Probing further, however, also reveals patterns...... of selective decoupling in relation to core humanitarian and labor rights issues. Through in-depth interviews with a wide range of stakeholders involved in the export-oriented football manufacturing industry of Jalandhar in North India, the article highlights the dynamics of coupling and decoupling taking...
Loss, Christopher P.
Background/Context: The institutionalization of in loco parentis in the wake of Gott v. Berea College (1913) marked a major turning point in the evolution of student management theory and practice. Focusing on the crucial decade of the 1920s, when American higher education first became a mass enterprise, this study explores the interaction of…
Nasution, Muhamad Faisal Fariduddin Attar
This study focuses on the institutionalization of information security in the banking sector. This study is important to pursue since it explicates the internalization of information security governance and practices and how such internalization develops an organizational resistance towards security breach. The study argues that information…
Groot, de C.P.G.M.; Staveren, van W.A.
Screening tools and more extensive assessment methods have signaled that malnutrition is common in institutionalized elderly. There are multiple factors - physiologic and non-physiologic - which hereby increase the risk of negative energy balance leading to weight loss and subsequent undesirable out
From the perspective of neoinstitutionalism, higher vocational education has become an emerging institution in Chinese society. Its development over three decades entails a trend of institutionalization of higher vocational education. In such a process, higher vocational education is gaining legitimacy and experiencing isomorphic changes. Various…
Supplementary stimulation was supplied for 30 minutes per day for approximately six weeks to 156 normal, full-term institutionalized infants prior to adoption. The Gesell Developmental Schedules were administered regularly (until age 27 months), to determine whether development had been enhanced by the treatment. (JMB)
Tietgenskolen i Odense dannede den 24. oktober 2008 rammen om den workshop Nye Institutioner afholdt som led i udviklingen af en kommunikationsstrategi. Dagens tema var: Tidens udfordringer–nye roller og relationer for bibliotek og uddannelse, og formålet var at kaste lys over følgende spørgsmål:...
Haahr, Lars; Svejvig, Per
level longitudinal study of the largest 100 Danish firms’ use of Facebook. To analyze our data, we draw on a multi stage model that emphasizes the differentiated and sequenced process of institutionalization: Habitualization, objectification and sedimentation. We find that data both indicates initiation...
de Guzman, Allan B.; Satuito, James Cyril B.; Satumba, Miko Anne E.; Segui, Diego Rey A.; Serquina, Faith Evelyn C.; Serrano, Lawrence Jan P.; Sevilla, Madelyn D.
The use of traditional art in recreational therapies is unexplored. This paper, thus, attempts to surface the unique power of traditional Filipino arts (TFA) as synergizing lens in capturing the individual and the collective experiences of a select group of Filipino elderly in an institutionalized care setting relative to their feelings of…
Cai, Yuzhuo; Zhang, Han; Pinheiro, Rómulo
There is a lack of in-depth studies on how technology transfer organizations (TTOs) are organized and developed. This paper examines the evolution/institutionalization of TTOs in Tsinghua University (TU), as a microcosm of the development of TTOs in Chinese universities. It explores two issues in particular: what kinds of TTOs have been developed…
Farag, T I; al-Awadi, S A; el-Badramary, M H; Aref, M A; Kasrawi, B; Krishna Murthy, D S; el-Khalifa, M Y; Yadav, G; Marafie, M J; Bastaki, L
In this preliminary report we summarize the results of a 4-year multidisciplinary systematic, etiological clinicogenetic survey of 400 institutionalized mentally retarded patients in Kuwait. All had an intelligence quotient below 50. A constitutional disorder, as the direct cause of the mental retardation, was found in 203 patients (50.75%)): a chromosomal abnormality in 37 (9.25%), Mendelian disorders in 137 (34.25%), MCA/MR in 22 (5.55%) and CNS malformations in 7 cases (1.75%). In 157 patients (39.35%) a pre-, peri or postnatal cause was ascertained. No etiological diagnosis was detected in 40 patients (10%). A detailed analysis of the "disease profile" is given and compared with the results of previous diagnostic genetic surveys among different institutionalized mentally retarded populations in Western and developing countries.
Raquel Conceição Ferreira
Full Text Available This study determined the prevalence of oral mucosal alterations and associated factors among the institutionalized elderly in Brazil. Data were collected through a structured questionnaire, a review of their medical records and an intra-oral examination. A sample of 335 individuals over 60 years of age was randomly selected. In total, 646 alterations were diagnosed; 59.1% were variations of the normal oral mucosa. The most frequent variation consisted of sublingual varicosities (51.6%. Denture stomatitis (15.2% and denture hyperplasia (12.8% were the most frequent lesions. Elderly patients who wore dentures had a significantly higher prevalence of oral mucosal lesions (p = 0.00 than those that didn't wear dentures. There was a high prevalence of variations of the normal oral mucosa and of mucosal lesions, especially denture-induced lesions, among the institutionalized elderly.
Meyer, Renate; Jancsary, Dennis; Boxenbaum, Eva;
How does visual communication contribute to the emergence and consolidation of new institutions? Previous research on institutionalization has primarily focused on verbal text and neglected its interaction with visual forms of communication. We propose that a more thorough and systematic engagement...... of unique affordances (i.e., particular opportunities for meaning construction) of visual communication. First, we argue that the visual mode has certain ‘constitutive features’ that enable affordances different from those of verbal text. Second, we systematically discuss a set of affordances of visual...... communication and how it may extend, speed up, or strengthen the effect of verbal communication. Essentially, we argue that visual communication plays a crucial role in shaping the trajectory of institutionalization....
Ulrich, Frank; Mengiste, Shegaw Anagaw; Müller, Sune Dueholm
institutionalized technologies during their informal evaluation and sensemaking of these ideas. Moreover, we suggest that conflicts between competing frames of reference during this evaluation may result in the rejection, adoption, or multiplication of new technology ideas. Drawing on Information Systems (IS) based...... theories of creativity, Scandinavian institutionalism, and empirical data from two Danish organizations, this article investigates the interplay between creativity, technology, and human sensemaking in the process of translating and transforming technology ideas into full-fledged technological innovations....
This paper deals with the specifics of marketing management in hospitals and the role of marketing in hospitals in the Czech Republic. Its goal is to present marketing as a tool enabling hospitals to compete in an open market. Nowadays, hospitals increasingly realise that there is a need for marketing management in health care services. The importance of marketing management is then represented by the institutionalization of marketing by means of establishing marketing departments or appointi...
The aging population and the increasing emergence of long-stay institutions make effective both in public and health policies are directed to this population. The adapt to a different routine and a location that is familiar to them, cause numerous difficulties, symptoms such as depression, hopelessness and consequently loss of quality of life, make the institutionalization of the elderly become synonymous with disease and helplessness, where the aging is not only a biological consequence, but...
Juan F. Cardona
Full Text Available Objective: Several longitudinal studies had shown that early deprivation and institutionalization during the first six months of life affects the emotional, cognitive, social and neurophysiologic development. Nevertheless, our understanding of possible similar effects of delayed institutionalization, in preschool-age remains unclear to this day. The goal of this study is to evaluate the cognitive performance of institutionalized children with history of preschool-age physical abandonment.
Gustafsson, Jeppe; Seemann, Janne
Små institutioner i store systemer handler om forandring og samarbejde mellem institutioner, skoler, skolepsykologiske kontorer, børnerådgivninger, børnepsykiatriske rådgivninger samt socialforvaltninger i kommuner og amter. Der belyses en række samordningsproblemer på tværs af sektorer, enheder ...
Burke, Edmund, III
Through an examination of the development of the discipline of sociology in France in the period 1880-1925, this article sheds light on some of the more general processes at work in the institutionalization of the social sciences and on the social and political consequences of that institutionalization. (RM)
Full Text Available In the aim of the study is to determine the institutionalization degree of organized industrial estates and to identify the faced problems and to develop solutions for these problems. By using survey method, information about problems and institutionalization status of organized industrial estates were obtained from managers of the active organized industrial estates. The problems of organized industrial estates are related to the management structure, qualified staff, energy, transportation, regulation and public improvements. Formalization, professionalism, accountability, transparency and social responsibility have been identified as the factors about the institutionalization of organized industrial estates in Turkey according to factor analysis. It could be argued that organized industrial estates in Turkey have an institutional structure and they have institutionalized. However, it could be said that organized industrial estates which operate in 80 cities of Turkey and more than one are in some cities are not at the same level of institutionalization.
Full Text Available Institutionalization is a dynamic process which is developed as a result of enterprise sensitivity to the environmental transformation and consists of its efforts to conformity to this transformation. Institutional entrepreneurship, however, is the process of building a different constitution inside the enterprise to induce entrepreneurial spirit and to lead the association into transformation and modernism. These two notions can be seen as the activities that will achieve the permanency and the efficiency of family businesses which have a big interest in world economics. In this study, the components of the institutionalization are; social responsibility and professionalization, institutional entrepreneurship components are aimed to be measured on the basis of the risk and proactivity and the modernism in the family businesses which are sampling units. In this study, the deduced survey hypothesis are tested using the statistical analysis data, and the contribution of the study to the association is discussed in the light of derived findings and evaluations, also a set of suggestions which can enlighten the way for next studies are developed and how the business world will profit from this study is emphasized.
Ozono, Hiroki; Kamijo, Yoshio; Shimizu, Kazumi
Cooperation is fundamental to human societies, and one of the important paths for its emergence and maintenance is reciprocity. In prisoner's dilemma (PD) experiments, reciprocal strategies are often effective at attaining and maintaining high cooperation. In many public goods (PG) games or n-person PD experiments, however, reciprocal strategies are not successful at engendering cooperation. In the present paper, we attribute this difficulty to a coordination problem against free riding among reciprocators: Because it is difficult for the reciprocators to coordinate their behaviors against free riders, this may lead to inequality among players, which will demotivate them from cooperating in future rounds. We propose a new mechanism, institutionalized reciprocity (IR), which refers to embedding the reciprocal strategy as an institution (i.e., institutionalizing the reciprocal strategy). We experimentally demonstrate that IR can prevent groups of reciprocators from falling into coordination failure and achieve high cooperation in PG games. In conclusion, we argue that a natural extension of the present study will be to investigate the possibility of IR to serve as a collective punishment system.
Full Text Available Cooperation is fundamental to human societies, and one of the important paths for its emergence and maintenance is reciprocity. In prisoner's dilemma (PD experiments, reciprocal strategies are often effective at attaining and maintaining high cooperation. In many public goods (PG games or n-person PD experiments, however, reciprocal strategies are not successful at engendering cooperation. In the present paper, we attribute this difficulty to a coordination problem against free riding among reciprocators: Because it is difficult for the reciprocators to coordinate their behaviors against free riders, this may lead to inequality among players, which will demotivate them from cooperating in future rounds. We propose a new mechanism, institutionalized reciprocity (IR, which refers to embedding the reciprocal strategy as an institution (i.e., institutionalizing the reciprocal strategy. We experimentally demonstrate that IR can prevent groups of reciprocators from falling into coordination failure and achieve high cooperation in PG games. In conclusion, we argue that a natural extension of the present study will be to investigate the possibility of IR to serve as a collective punishment system.
Homicides occur the world over, but they are not homogeneously distributed by geographical areas (continents, countries, regions), either over long or short periods of time, or in social groups, namely age, gender, social class or ethnicity. Why are there more homicides in some countries than in others? Why do killings increase in some countries, while they decrease in others? There are two fundamental schools of thought for social explanations of crime and violence: those attributing its origins to poverty and inequality and those blaming institutionalization or social norms. To discuss these theories, this paper analyzes and compares the changes in Colombia, Venezuela and Brazil in the first decade of the twenty-first century, where the homicide rate has decreased, increased and remained the same, respectively. Using the measurement of six variables (poverty, inequality, unemployment, national wealth, human development and the rule of law) and the technique of trajectory analysis, the results revealed that institutionalization is more to blame for the change than poverty and inequality. The text concludes that poverty and inequality affect crime and homicides, although not directly, but mediated by the institutions instead.
Zanaboni, Paolo; Lettieri, Emanuele
During the last decades a variety of telemedicine applications have been trialed worldwide. However, telemedicine is still an example of major potential benefits that have not been fully attained. Health care regulators are still debating why institutionalizing telemedicine applications on a large scale has been so difficult and why health care professionals are often averse or indifferent to telemedicine applications, thus preventing them from becoming part of everyday clinical routines. We believe that the lack of consolidated procedures for supporting decision making by health care regulators is a major weakness. We aim to further the current debate on how to legitimize decision making about the institutionalization of telemedicine applications on a large scale. We discuss (1) three main requirements--rationality, fairness, and efficiency--that should underpin decision making so that the relevant stakeholders perceive them as being legitimate, and (2) the domains and criteria for comparing and assessing telemedicine applications--benefits and sustainability. According to these requirements and criteria, we illustrate a possible reference process for legitimate decision making about which telemedicine applications to implement on a large scale. This process adopts the health care regulators' perspective and is made up of 2 subsequent stages, in which a preliminary proposal and then a full proposal are reviewed.
Full Text Available Aim: To describe the most frequent NANDA-I nursing diagnoses and the associated NIC in-terventions and NOC outcomes used in nursing care plans for a sample of institutionalized patients with dementia. Methods: Descriptive analyses were performed based on a subsample from a multicentric and cross-sectional study. Data were obtained retrospectively from the electronic patient records and included socio-demografic details, NANDA-I, NIC and NOC labels and the HoNOS scale. Results: In total, 108 patients diagnosed with dementia were included. The nine most prevalent NANDA-I nursing diagnoses and the NOC outcomes and NIC interventions linked to them were presented. According to HoNOS scale, the most common problems among elders with dementia were cognitive problems and problems with activities of daily living, with relationships and related to physical illness or disability. Conclusions: Thisstudy identified patterns of nursing care for institutionalized patients with dementia where the most prevalent nursing diagnoses, interventions and outcomes addressed a wide range of functional, psychosocial and physiological care needs.
Bronberg, Ruben A; Alfaro, Emma L; Bejarano, Ignacio F; Dipierri, Jose E
As patients with intellectual and developmental disability (ID) may be more exposed to unfavorable factors, they are at higher risk of suffering nutritional alterations. Our objective was to determine prevalence of malnutrition in institutionalized patients with ID. An evaluation of the nutritional status through determination of transversal anthropometric parameters of weight (kg) and height (cm) was made on 614 individuals (352 men and 262 women) institutionalized at Colonia Nacional Montes de Oca, Buenos Aires Province, Argentina. Body mass index and prevalence of underweight, overweight and obesity cases by sex and ID type: mild, moderate and severe intellectual disability were determined. Regardless of sex, prevalence of underweight, overweight and obesity were of 2.9%, 30% and 27.7%, respectively. Regardless of degree of ID, greater prevalence of obesity (41.2%) was found amongst women, while overweight (34.7%) was more frequent amongst men. Taking the degree of ID and regardless of sex, greater prevalence of underweight was observed in severe ID, and overweight and obesity amongst mild ID. No any of the patients with mild ID presented underweight. Taking into account sex and ID, higher prevalence of underweight and overweight were observed amongst men with mild ID, (7% and 38.4%, respectively) and of obesity in women with moderate ID (44%). Results obtained would indicate the importance of caloric intake and energy consumption control in adults with ID, paying particular attention to life conditions and alimentary disorders in terms of the degree of ID and their multiple associated disabilities.
da Silva, Emanuelle Cruz; Roriz, Anna Karla Carneiro; Eickemberg, Michaela; Mello, Adriana Lima; Côrtes, Elvira Barbosa Quadros; Feitosa, Caroline Alves; Medeiros, Jairza Maria Barreto; Ramos, Lílian Barbosa
As a common problem in long-term care facilities (LTCFs), anemia affects 25–63% of the elderly. The aim of the present study was to describe the prevalence and characteristics of anemia and its associated factors in the institutionalized elderly. The cross-sectional study was carried out with three hundred thirteen individuals aged ≥ 60 years, of both genders, living in long-term care facilities for the elderly in Salvador, Bahia, Brazil. Poisson regression (PR) with robust variance estimates was used to assess the factors related to anemia. The prevalence of anemia was 38%. Mild anemia was predominant in both genders (male: 26.8%; female: 21.1%), as normocytic and normochromic anemia, with no anisocytosis (69.75%). Anemia was associated with thinness (PR: 1.68; 95% CI: 1.04–2.72) and with moderate (PR: 1.98; 95% CI: 1.07–3.63) and total (PR: 2.61; 95% CI: 1.34–5.07) dependence in the final model. Severe dependence exhibited borderline significance (PR: 1.94; 95% CI: 1.00–3.77). The prevalence of anemia was high in the institutionalized elderly in both genders, with characteristics suggesting chronic diseases as the causal factor, and the frequency of occurrence was higher in thinness elderly with moderate to total dependence. PMID:27607057
Full Text Available In the present study it is intended to characterize the history of falls and to evaluate the fear to fall in aged institutionalized. The sample is composed for 113 institutionalized aged people, 32 men and 81 women with a average 82,96 ± 7,03 age of years. The data had been collected by means of a questionnaire and statistical analyzed (descriptive statistics, parametric tests - Test T and Anova - Test U-Mann Whitney, and Test of Kruskal-Wallis – and the Test of Tukey. The results point in the direction of that the women present a bigger number of falls (24.8% and greater fear to fall (Med=55. The falls had occurred in its majority in the context of the room of the institutions. It was verified that people who had at least a fall experience present greater fear to fall comparatively (Med=55 with that they had not the same had no incident of fall in period of time (Med=77. Our results come to strengthen the hypothesis of the changeable sex to be able to be considered a factor of fall risk. Aged that they present a history of falls seems to be more vulnerable to develop the fear to fall.
Full Text Available The objective is to determine the risk factorspredictors of falls in institutionalized elderlypeople. Methodology: Analysis of data from alongitudinal cohort study. Subjects: Institutionalizedelderly volunteers residents of a nursinghome in Arbelaez, Colombia enrolled andfollowed for six months (N= 116; mean age: 78years. Main outcome measures: Falls detected via nurses reports and medical records. Independentvariables: Baseline measures of demographics,medical history, drug intake, depression, mentalstate, visual acuity, orthostatic hypotension,body mass index, cardiovascular state, limbdeformities, limb strength, tone, trophism, rageof motion, Romberg, one leg balance test, GetUp and Go test and timed Get Up and Go test.Evaluation of home facilities by the TESS-NHand SCUEQS scales. Results: Over the six monthfollow-up 36% experienced a fall. All noneinjurious falls. The independent significantpredictors of all falls using logistic regression were female gender, history of dizziness and anabnormal one leg balance test. With coefficientB values of 1.029, 2.024 and 1.712, respectively.Conclusion: The female gender, the history ofdizziness and abnormal one-leg balance testappear to be the main and significant predictorsof falls in institutionalized elderly persons.However, no single factor seems to be accurateenough to be relied on as a sole predictor of fallrisk because so many diverse factors are involvedin falling
Moulson, Margaret C.; Westerlund, Alissa; Fox, Nathan A.; Zeanah, Charles H.; Nelson, Charles A.
Data are reported from 3 groups of children residing in Bucharest, Romania. Face recognition in currently institutionalized, previously institutionalized, and never-institutionalized children was assessed at 3 time points: preintervention (n = 121), 30 months of age (n = 99), and 42 months of age (n = 77). Children watched photographs of caregiver…
Silvia Helena Zem-Mascarenhas
Full Text Available Este estudo teve por objetivo conhecer a experiência da criança institucionalizada e foi norteado pelo referencial teórico do "Interacionismo Simbólico" e pelo referencial metodológico da "Teoria Fundamentada nos Dados". Os dados foram coletados por meio de duas etapas: a primeira compreendeu atividades em grupo e a segunda consistiu em entrevistas individuais. Os resultados mostraram que a institucionalização ocorreu por abandono e rejeição dos pais ou por decisão jurídica como medida de proteção à criança, tendo como contexto a pobreza de sua família. A experiência da criança é conflituosa com relação à institucionalização, pois percebe ter recursos materiais, mas sente falta da família, da casa, dos amigos, enfim, da vida fora dali.La puntería de este estudio era saber la experiencia del nino institucionalizado y fue dirigida por la referencia teorica del "Interacionismo Simbólico" y por la referencia metodologica del "Teoria Fundamentada en los Resultados". Los datos habían sido recogidos en dos etapas: primer entendia que las actividades del grupo y segunda etapa consistió en entrevistas personales. Los resultados habían mostrado que el institutionalization ocurrió para el abandono y el rechazo de los padres o para la decisión legal como mesure de la protección del nino, teniendo como contexto la pobreza de su familia. La experiencia del nino está estando en conflicto en lo referente a la institutionalización, porque mientras que he/she percibe la necesidad del beneficio material, él falta su familia, su hogar, sus amigos, y simplemente vida afuera.The aim of this study was to know the experience of the institutionalized child and was guided by the theoretical referential of the " Symbolic Interactionism " and by the methodological referential of the " Grounded Theory". The data had been collected in two stages: the first one understood group activities and second stage consisted of personal interviews
Loukidou, E; Ioannidi, V; Kalokerinou-Anagnostopoulou, A
For centuries psychiatric services were provided by mental health hospitals, which were operating upon bureaucratic principles: strict hierarchies, slow processes and segmentation of duties. Research has shown that psychiatric nursing, as exercised in these traditional settings, has dealt with several problems in relation to: the amount and quality of time spent with patients, the type of duties performed, the lack of autonomy etc. The closure of many psychiatric institutions and their substitution with community-based settings, signified that health professionals should perform a variety of new duties, exhibit new skills and develop new perceptions about their work and the patients. In order for such alterations to occur, education can play a vital role in the re-conceptualization of psychiatric nursing and in the practical preparation of students for their future work. The present paper focuses on the contradiction between nursing as practised in Greek mental health hospitals and the current trends and demands placed upon nurses, to exhibit a new 'face'. The purposes of this paper are: first, to review the research on psychiatric nurses' behaviours in mental health hospitals. Second, to present the outcomes of bureaucracy on employees and finally, to propose an educational scheme that could reinforce the shift from institutionalized work to de-institutionalized.
Kezban Esra SARAL KOBAL
Full Text Available All family enterprises nowadays are trying to have competitive advantage in their market and increase the productivity and efficiency of their operations. These are mandatory factors for those companies to survive and stay competitive in their markets. Institutionalization is one of the most important elements provides enterprises better competitive advantage, productivity and efficiency. This study aims to specify the level of institutionalization at family business and the problems that second generation of the related family faces during the institutionalization process. Because of this, study emphasizes, family business, institutionalization and second generation of the family’s problems. In parallel with the goal of this study, first institutionalization and levels of institutionalization will be shortly described. After this, the details of the problems that second generations are facing shall be determined. As the last concept of this study, the fundamentals of institutionalization at family business and corporate management will be analyzed. This study consisted of 3 sections. The first section is about the analysis of literature, second section defines the corporate fundamentals of the research and definition of the basic concepts, last section is about evaluation of the research and findings.
Miriam McNown Johnson
Full Text Available Institutionalism is the syndrome first recognized and described in inpatient psychiatric facilities,which is now used to describe a set of maladaptive behaviors that are evoked by the pressures of living in any institutional setting. This article traces the development of the theory of institutionalization, which predicts and explains an individual’s response to that particular type of environment. The article makes note of key contributors and contributions, and of empirical studies that have advanced the theory. Underlying perspectives and assumptions are identified and earlier theoretical models are reviewed and critiqued. An updated model of the theory, which includes individual vulnerabilities, objective conditions of the institutional placement, and the resident’s perceptions of the environment, is presented. New directions in the field of institutional care and implications for social workers, particularly for those working in nursing home and prison settings, are discussed, along with recommendations for next steps for theory progression.
Roberta Grangeiro de Oliveira
Full Text Available Objective: To describe the experience of participation in workshops on health education for institutionalized elderly women. Data Synthesis: Actions of health education were performed through the development of educational workshops on lifestyle for 20 elderly women in a philanthropic institution of a municipality, during the month of October 2011. The workshops were divided into three meetings over 2 days. Empathic communication and interaction among the participants were sought through dynamics, aiming to motivate them to talk about the feelings aroused by figures. The healthy lifestyle was then approached, with explanation on diet and physical activity. Conclusion: The implementation of educational measures is effective for the health promotion, the development of critical thinking and the reduction of risk behaviors doi:http://dx.doi.org/10.5020/18061230.2013.p595
Hirnsperger, Hans; Mundschütz, Reinhard; Sonneck, Gernot
Beginning with Freudian psychoanalysis and the Zürich school of psychiatry, which in the early 20th century were the first to call for studies in medical psychology at universities, the article traces the path to the institutionalization of medical psychology in Austria especially in Vienna. Particular attention is devoted to the Academic Society for Medical Psychology (Akademischer Verein für Medizinische Psychologie) which held lectures and courses at the University of Vienna from 1926 to 1938. The Society can thus be viewed as a predecessor of the foundation of the institutes for medical psychology and psychotherapeutic clinics, starting in the late 1960s and continuing into the early 1980s.
Full Text Available Abstract Background Senior veterans living in government sponsored, long-term care (LTC facilities, known as veterans' homes (VHs, are a special minority group in Taiwan. These seniors came from different provinces of mainland China during their teenage years at the end of civil wars in 1945. The situation of institutionalized senior veterans shares many characteristics with the concept of "total institution". Very little quality of life (QOL research has involved senior veterans. This study aimed to explore the QOL and related factors of VH-dwelling senior veterans in Taiwan. Methods Chronic conditions and socio-demographic characteristics of 260 male VH residents were recorded. The Brief Form of the World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF, Taiwanese version; Short-Form 36; Inventory of Socially Supportive Behavior questionnaire; Geriatric Depression Scale-short form; Barthel Index; and instrumental activities of daily living were used. Data analyses including descriptive and inferred statistics were performed using SPSS, version 17. Results WHOQOL-BREF showed acceptable reliability in this study. Compared to Taiwanese male norms, WHOQOL-BREF physical, psychological, and social relationship domain scores were around the 25th percentile, and the environment domain was about the 75th percentile. Our participants scored low in all concepts of SF-36. Although these residents rated the social support of their children, relatives, friends, social and medical staff as low, they gave high satisfaction ratings to their social supports. On multiple stepwise linear regression analysis, depressive symptoms, number of chronic conditions, retired military rank, and relatives' support correlated with QOL in both the physical and psychological domains. Friends' support and depressive symptoms correlated with the social relationships domain. Friends' support and instrumental activities of daily living correlated with the
Reviews the evidence on the prevalence of child poverty in Britain including: (1) how child poverty has changed over the last 20 years; (2) how child poverty in Britain compares with that in other countries; (3) characteristics of poor children; (4) impact of poverty on child well-being; and (5) government attempts to abolish child poverty. (SD)
Wiik, Kristen L.; Loman, Michelle M.; Van Ryzin, Mark J.; Armstrong, Jeffrey M.; Essex, Marilyn J.; Pollak, Seth D.; Gunnar, Megan R.
Background Experience in institutional/orphanage care has been linked to increased mental health problems. Research suggests children adopted from institutions experience specific difficulties related to inattention/overactivity. Evidence of internalizing and conduct problems relative to non-adopted peers has been found in early childhood and early adolescence, but problems may not differ from other adopted children. This study clarifies the understanding of behavioral and emotional symptoms of post-institutionalized (PI) children during middle childhood. Methods Eight to eleven-year-old PI children (n=68) and two comparison groups, children internationally adopted from foster care (n=74) and non-adopted children (n=76), and their parents completed the MacArthur Health and Behavior Questionnaire related to ADHD, externalizing, and internalizing symptoms. Group means for symptom level and number of children with symptoms above clinical cutoffs were compared. Results PI children displayed an increased level of ADHD symptoms per parent report. PI child and parent report indicated a higher number of PI children above clinical ADHD cutoff. Both groups of internationally adopted (IA) children had higher levels of externalizing symptoms relative to non-adopted children, with parent report indicating higher numbers of IA children above the externalizing clinical threshold. Informants differed in their report of internalizing symptoms. Parents indicated both IA groups displayed increased internalizing symptom levels and greater numbers above clinical threshold; however, children reported this to be true only for the PI group. Conclusions PI children differ from non-adopted peers across symptom domains in middle childhood. Whether these concerns were more broadly associated with international adoption rather than institutional care depended on symptom domain and informant. An understanding of this variability may be beneficial for treatment and intervention. PMID:20649913
Gildersleeve, Ryan Evely; Vigil, Darsella
This chapter investigates the institutionalization of support for undocumented students across states that either extend or deny in-state resident tuition (ISRT) benefits. In their review, the authors highlight promising practices.
Edmonson, Barbara; Han, Sung Soon
Rates of friendly behavior were significantly greater after six moderately/severely retarded aggressive institutionalized adults participated in socialization games. The games also significantly decreased interpersonal distance. Unfriendly behavior and inactivity were higher after placebo sessions (simple craft projects). (CL)
Raval, Harini; McKenney, Susan; Pieters, Jules
Raval, H., McKenney, S., & Pieters, J. (2011). Institutionalizing planning, enactment and reflection of daily lessons through appropriate organizational restructuring. The Asia-Pacific Educational Researcher, 20(3), 438-435.
Díaz-Redondo, A.; Rodríguez-Blázquez, C.; Ayala, A; Martinez-Martin, P; Forjaz, M.J.; On behalf of Spanish Research Group on Quality of Life and Ageing
Aim: Measurement of health-related quality of life in people with dementia is a challenge, because of their special characteristics and the difficulties that this term entails itself. The present study aimed at assessing the psychometric properties of the EQ-5D rated by a familiar or a professional caregiver of institutionalized older adults with dementia. Methods: We analyzed the EQ-5D psychometric properties from 525 questionnaires rated by proxy, in a sample of institutionalize...
Grigorova-Petrova, Kristin; Dimitrova, Antoaneta; Lubenova, Daniela; Zaharieva, Darina; Vasileva, Dance
Purpose: The purpose is related to the assumption that the application of interactive video games will positively affect the functional balance reactions in institutionalized older individuals. Material and Methods: Ten institutionalized elderly people with an average age of 80.6 years ± 7.25, two men and eight women were included. All of them had to meet the inclusion and exclusion criteria. The intervention program included interactive video games, for 5 days per week, for one month. Be...
Kim, M. G.; Hong, S. Y.; Seo, M. R. [Korea Electric Power Research Institute, Taejon (Korea, Republic of)
In this study, for the institutionalization of risk informed and performance based regulation in Korea, the latest technical movements of overseas countries are examined and reviewed. And the issues that was found when license change petition using risk information was submitted in Korean regulatory body are reviewed. Based on these review, the applicable areas to domestic situation will be found and proposed. This study can contribute to setting up the proper direction for the institutionalization of risk informed and performance based regulation.
Davis, E. J.; Campbell, A.; Strand, D.
Bowie State University and NASA Goddard Space Flight Center have, for the past 10 years, worked diligently together to enhance the science, mathematics, engineering and technology (SMET) domain. Efforts made because of a Model Institutions for Excellence (MIE) Award have changed the landscape of the SMET domain by increasing the retention and graduation rates, the number of students entering graduate and professional schools, and the number of students entering SMET related careers. Several initiatives - a Scholarship program, PRISEM Tutoring Center, Safenet Program, Research Emphasis, Focused Mentoring, a Summer Academy for accepted and enrolled incoming students, a Bridge Program for students needing assistance being admitted to the University, the RISE Program and the Bowie State Satellite Operations and Control Center - provides the nurturing and mentoring focus, and opportunities that have resulted in a retention rate of approximately 80%, a 40% increase in the graduation rate, and an 85% increase in the number of students interested/entering graduate school. Successes that have documented by various assessment activities have led to the institutionalization of the retention model of the MIE Initiative. It is anticipated that University-wide application of the retention model will provide the incentives necessary to obtain similar results as has the MIE Initiative.
Lindloff, S D
For two years, the State of New Hampshire has worked to institutionalize the option of dam removal. The high gradient streams that flow through the granite hills and mountains of this small northeastern state provided ideal conditions for dam construction, particularly during America's Industrial Revolution of the 1800s when mills were constructed throughout the area. With more than 4,800 dams in the state's database, there are many opportunities for the removal of dams that no longer serve a useful purpose, have become a public safety hazard and impact the river environment. Efforts to facilitate removal of dams in New Hampshire include the formation of a River Restoration Task Force and the creation of a dam removal program within the state agency responsible for regulating dams. This has led to the removal of two dams in the past year, with approximately ten additional projects in various stages of planning. A history of this agency-led initiative, as well as a discussion of the program's strengths, challenges and goals for the future are presented.
Full Text Available Dansk Medieforsknings internationale orientering har siden 1970´erne været præget af skævheder. I den ideologikritiske periode hentede man "kritisk teori" og "offentlighedsteori" i vesttyske socialforskningsmiljøer. 1980´ernes interesse for modtagerperspektivet bevirkede at man i høj grad søgte inspiration i amerikanske traditioner som "uses and gratifi- cations" og medie-etnografi. Hvad angår andre landes medieforsknings- traditioner, så lider danske medieforskere af en kollektiv blind plet. MedieKulturs redaktion er derfor glad for at kunne bringe Finn Frandsen og Søren Kolstrups oversigtsartikel om fransk medieforskning, der kig- ger på de institutioner i Frankrig, hvor der drives medieforskning; de indfaldsvinkler der er de mest fremherskende i denne forskning; de mest omdiskuterede forfatterskaber; og endelig de franske tidsskrifter inden for området. Forhåbentlig kan den medvirke til at åbne øjnene for kvaliteterne i den medieforskning, der findes uden for den "mainstream", der finder nåde for de anglo-amerikanske forlags øjne.
Full Text Available The impact of the EU on the implementation of the policy of equal opportunities for women can be seen from harmonization of legislation and construction of institutions for protection of women’s rights, and through participation of women in decision-making processes. The first part of the article discusses the theoretical framework for research the effects of institutionalization of gender equality in the EU. In the second section the institutional and legal framework are represented as a part of the global strategy aimed at achieving gender equality. The problems dealt with in the third part of the article concerning the presence of women at different levels of decision-making in the European Union. The newest data base from gender research for European Commission and European Parliament is used for this research. Index of Gender Equality (EIGE shows that there are huge differences between Member States and that the EU is only halfway to achieving gender equality. Therefore, the integration of gender perspective in all fields and searching for measures to achieve higher level of gender equality are the focal points in EU gender politics. [Projekat Ministarstva nauke Republike Srbije, br. 179039
Malone, M L; Rozario, N; Gavinski, M; Goodwin, J
While skin tears are a common occurrence in the institutionalized elderly population, nothing has been written about this problem. We retrospectively studied all incident reports during a 1-year period at a large, urban, long-term-care facility to identify residents with skin tears. The overall incidence of skin tears was 0.92 per patient per year. The incidence rate for females, but not for males, increased significantly with age (P = 0.012). The mean length of the skin tear was 1.9 cm +/- 1.4 (mean +/- SD). Eighty percent occurred in the upper extremities, with the most frequent location being the forearm. Almost half of the skin tears reported had an unknown cause. Wheelchairs and accidentally bumping into an object each accounted for a quarter of the skin tears where the cause was known. Transfers and falls contributed to a lesser extent. Impaired mental status was no more likely to be present in residents experiencing a skin tear than in all nursing home residents. Twenty-four of the 147 residents with skin tears had four or more tears, accounting for 40% of all skin tears reported. Ninety-seven percent of the episodes resulted in no attending physicians' orders other than the standing orders. Future studies should be designed to determine if there are adverse consequences of skin tears and to suggest programs to reduce their occurrence.
Merz, Emily C.; McCall, Robert B.; Wright, Amanda J.; Luna, Beatriz
Inhibitory control and working memory were examined in post-institutionalized (PI) children adopted into United States families from Russian institutions. The PI sample originated from institutions that were less severely depriving than those represented in previous studies and approximated the level of psychosocial deprivation, which is characterized by adequate physical resources but a lack of consistent and responsive caregiving. PI children (N=75; 29 male) ranged in age from 8–17 years (M=12.97; SD=3.03) and were grouped according to whether they were adopted after 14 months or before 9 months. A non-adopted comparison group (N=133; 65 male) ranged in age from 8–17 years (M=12.26; SD=2.75). PI children adopted after 14 months of age displayed poorer performance on the stop-signal and spatial span tasks relative to PI children adopted before 9 months of age after controlling for age at assessment. The two PI groups did not differ in their performance on a spatial self-ordered search task. Older-adopted PI children also showed poorer spatial span task performance compared to non-adopted children, but younger-adopted PI children did not. Task performance was significantly associated with parent-rated hyperactive-impulsive behavior in everyday contexts. These findings suggest that exposure to prolonged early institutional deprivation may be linked with inhibitory control and working memory difficulties years after adoption. PMID:23519375
Robson Rezende Dutra
Full Text Available Background and objectives: Aging is a natural process that has achieved greater importance and concern from the considerable increase in life expectancy of the population. It is noted that currently there is an increase of studies related to elderly care, especially one who is in a long-stay institution (ILP. The aim of this paper is to discuss the elderly institutionalization process and the characteristics of the family group and profile of the hospitalized population in these institutions. Content: The increase in the elderly population over time is accompanied by changes in family structure and routine, so that, for many families, become unviable meet the needs of the elderly. Thus, the long-stay institutions for the Elderly (ILPIs constitute an alternative to meet these needs, providing comprehensive care for multidisciplinary teamwork. However, one should pay special attention, so that there is a break in the family ties of the elderly, since the family is an essential tool in the care qualification. Conclusion: It is essential to abandon the concept that by joining the ILPIs the elderly are abandoned and helpless, because with the change in family routine, the implementation of the National Policy for the Elderly and the improvement of institutions, it has become an important alternative to the well-being of the elderly, allowing access to assistance that often do not receive in their home environment, it is important to maintain the family bond, as it constitutes an important tool for the quality of life of the elderly.
Archelli, Susana; Santillan, Graciela I; Fonrouge, Reinaldo; Céspedes, Graciela; Burgos, Lola; Radman, Nilda
Toxocariasis is an infection that has worldwide distribution. Toxocara canis is the most relevant agent due to its frequent occurrence in humans. Soil contamination with embryonated eggs is the primary source of T. canis. This study aimed to determine the seroprevalence of toxocariasis in 10-month to 3 year-old abandoned infants, considered to be at high risk because of their orphanhood status and early age. Blood samples were collected from 120 children institutionalized in an orphanage in the city of La Plata. In this study, we observed 38.33% of seropositive cases for T. canis by ELISA and 45% by Western blot techniques; significant differences among groups A (2 years) were also found. In research group A, children presented a seropositivity rate of 23.91%, in group B of 42.85% and in group C of 56%, which indicates an increase in frequency as age advances, probably because of greater chances of contact with infective forms of the parasite since canines and soil are frequently infected with T. canis eggs. Abandoned children come from poor households, under highly unsanitary conditions resulting from inadequate or lack of water supply and sewer networks, and frequent promiscuity with canines, which promotes the occurrence of parasitic diseases. These children are highly vulnerable due to their orphanhood status and age.
Full Text Available The task of the paper is to point out the importance of applying regulations of legislative documents in order to achieve an appropriate level of ethical behaviour of participants in tourism. The paper also points up to the existence of the Global Code of Ethics for Tourism UNWTO. It is a basic mechanism which directs an appropriate ethical conduct of all stakeholders in tourism and requires concretization in Serbia as well. The special importance of the work is related to basic principles of ethical codes of conduction of the association of travel agencies in Great Britain (ABTA, Slovenia (ZTAS and Bosnia and Herzegovina (UTA BiH. That kind of document still does not exist in Serbia, nor does indicate its establishment and use. Furthermore, the lack of research works focused to the issue in Serbia requires a discussion about the importance of institutionalizing business ethics in tourism. In order to address a research problem, researchers have applied different methods in each particular phase of the research process. Method used for data collection is desk research. This phase provided data from available references, while data processing was accomplished by description, examination as well as comparison.
Power possessed by institutional entrepreneur is believed to have an influential role in navigating the institutionalization process of an idea. However, only few studies that have examined how the institutional entrepreneur exercise his power throughout the institutionalization process. This study aims at examining this phenomenon in the context of developing countries with special reference to the implementation of an eProcurement system in Indonesia. It finds that the power has been exercised by the institutional entrepreneur differently along the process. Smart power was exercised by combining soft power at the early stage of institutionalization process. At this stage level of reluctance among organizational members was high, no authorization from higher-level agencies, and the benefits of adopting the system were opaque. Hard power was then exercised at the later stage, when the legal support was well formulated, and the system’s benefits were confirmed. The study also reveals that value-based power that is used wisely make organization change runs smoothly until it becomes institutionalized. Keywords: Institutionalization, smart power, soft power, hard power, value-guided power, eGovernment, eProcurement, Indonesia, developing countries.
Schwarzkopf, Larissa; Hao, Yi; Holle, Rolf; Graessel, Elmar
Background Community-based and institutional dementia care has been compared in cross-sectional studies, but longitudinal information on the effect of institutionalization on health care service utilization is sparse. Methods We analyzed claims data from 651 dementia patients via Generalized Estimation Equations to assess health care service utilization profiles and corresponding expenditures from four quarters before to four quarters after institutionalization. Results In all domains, utilization increased in the quarter of institutionalization. Afterwards, the use of drugs, medical aids, and non-physician services (e.g., occupational therapy and physiotherapy) remained elevated, but use of in- and outpatient treatment decreased. Cost of care showed corresponding profiles. Conclusion Institutional dementia care seems to be associated with an increased demand for supportive services but not necessarily for specialized medical care. PMID:25337076
Full Text Available Background: Community-based and institutional dementia care has been compared in cross-sectional studies, but longitudinal information on the effect of institutionalization on health care service utilization is sparse. Methods: We analyzed claims data from 651 dementia patients via Generalized Estimation Equations to assess health care service utilization profiles and corresponding expenditures from four quarters before to four quarters after institutionalization. Results: In all domains, utilization increased in the quarter of institutionalization. Afterwards, the use of drugs, medical aids, and non-physician services (e.g., occupational therapy and physiotherapy remained elevated, but use of in- and outpatient treatment decreased. Cost of care showed corresponding profiles. Conclusion: Institutional dementia care seems to be associated with an increased demand for supportive services but not necessarily for specialized medical care.
Redondo, M R; Ortega, R M; López-Sobaler, A M; Quintas, M E; Zamora, M J; Andrés, P; Encinas-Sotillos, A
An investigation was made into the breakfast habits of 150 elderly people between 65 and 95 years of age. The food intake of 58 institutionalized subjects was followed by means of "precise individual weighing of food". The food intake of 92 subjects living independently was followed using a prospective method involving the keeping of a "weighed food record". For all subjects the study lasted 5 consecutive days including a Sunday. Institutionalized subjects spent more time at breakfast (p energy expenditure). The breakfasts of institutionalized subjects contained a greater percentage of their total daily intake of carbohydrates (P magnesium (p < 0.05 in women). Given the importance of breakfast in the maintenance of a satisfactory nutritive condition, these results suggest that both qualitative and quantitative improvements of elderly people's breakfasts are required. Residing at an old people's home seems to improve the quality of breakfast consumed, especially for elderly women.
Paul J. Anderson
Full Text Available Background . Many nations routinely include health impact assessments (HIA in public policy decisions. Institutionalization of HIA formally integrates health considerations into a governmental decision-making process. We describe an example of institutionalization in the United States through Alaska's early experience with institutionalization of HIA. Literature review . HIA arose from a series of health conferences in the 1970s that affirmed the importance of “health for all.” A number of key milestones eventually defined HIA as a unique field of impact assessment. There are several approaches to institutionalization, and one common approach in the United States is through the National Environmental Policy Act (NEPA. NEPA formed the basis for the earliest HIAs in Alaska. Program description . Early HIAs in Alaska led to conferences, working groups, a state guidance document and the institutionalization of a HIA program within the Department of Health and Social Services in 2010. A medical epidemiologist staffs the program, which utilizes contractors to meet rising demand for HIA. The HIA program has sustainable funding from the state budget and from the state's natural resource permitting process. The HIA document is the main deliverable, but the program performs other tasks, including fieldwork and technical reviews. The HIA program works closely with a host of collaborative partners. Conclusion . Alaska's institutionalized HIA program benefits from sustainable funding that promotes continuous quality improvement and involves the program in the entire life cycle of a development project. The program structure adapts well to variations in workflow and supports a host of quality control activities. Currently, the program focuses on HIAs for natural resource development projects.
Stanton-Nichols, Kathleen; Hatcher, Julie; Cecil, Amanda
Strategies to institutionalize service-learning are well documented (Furco 1996; Holland, 2000). Using Kecskes (2009) Community-Engaged Department Rubric we evaluated service-learning institutionalization within a school at a metropolitan campus. As a result, we propose adding an additional dimension, social return on investment. This added…
Chen, Yigean; Cheng, Jaonan
Chinese society is accustomed to using feelings, reasons, and institutionalizations to determine how to deal with events, which raises a number of questions. How can the directors of early education institutions incorporate feelings, reasons, and institutionalizations into their management? How can they enhance the job performance of teachers?…
Spinal curvature surgery - child; Kyphoscoliosis surgery - child; Video-assisted thoracoscopic surgery - child; VATS - child ... Before surgery, your child will receive general anesthesia. This will make your child unconscious and unable to feel pain ...
As children grow older, they develop in several different ways. Child development includes physical, intellectual, social, and emotional changes. Children grow and mature at very different rates. It's ...
We use household survey data and a unique census of institutionalized children to analyze the impact of abortion legalization in Romania. More exactly, we exploit the lift of the abortion ban in December 1989, when communist dictator Ceausescu and his regime were removed from power, to understand its impact on children's health at birth and during early childhood. Also, we try to understand whether the lift of the ban had an immediate impact on child abandonment. Our study suggests a positive...
Reardon, Barbara; Griffing, Penelope
Examined factors related to the self-concept of institutionalized male drug abusers (N=140). The Tennessee Self Concept Scale, a family questionnaire, and an interview were administered. Results yielded several predictors of self-concept, including parent-adolescent relationship, number of prior status offenses, and preference for nondepressant…
Rolden, Herbert Jan Albert; Rohling, Jos Hermanus Theodoor; van Bodegom, David
BACKGROUND: The mortality rates of older people changes with the seasons. However, it has not been properly investigated whether the seasons affect medical care expenditure (MCE) and institutionalization. Seasonal variation in MCE is plausible, as MCE rises exponentially before death. It is there......BACKGROUND: The mortality rates of older people changes with the seasons. However, it has not been properly investigated whether the seasons affect medical care expenditure (MCE) and institutionalization. Seasonal variation in MCE is plausible, as MCE rises exponentially before death....... It is therefore important to investigate the impact of the seasons on MCE both mediated and unmediated by mortality. METHODS: Data on mortality, MCE and institutionalization from people aged 65 and older in a region in the Netherlands from July 2007 through 2010 were retrieved from a regional health care insurer...... and were linked with data from the Netherlands Institute for Social Research, and Statistics Netherlands (n = 61,495). The Seasonal and Trend decomposition using Loess (STL) method was used to divide mortality rates, MCE, and institutionalization rates into a long-term trend, seasonal variation...
Holland, Dana G.
The domain of national education systems has been identified as one of the richest areas for exploring questions about globalization, particularly the degree of worldwide convergence in educational institutions. This article addresses questions about the transnational production and institutionalization of educational models through a historical…
de Araújo, Aurigena Antunes; Rebouças Barbosa, Rosa Angélica Silveira; de Menezes, Marília Stefani Souza; de Medeiros, Ingrid Iana Fernandes; de Araújo, Raimundo Fernandes; de Medeiros, Caroline Addison Carvalho Xavier
The institutionalization of elders can decrease the health status and quality of life in this population. The aim of this study was to analyze the socio-demographic, quality of life, family support, and comorbidities variables in institutionalized elders with and without symptoms of depression. This was a cross-sectional study in institutions for long permanence for the elderly in the State of Rio Grande do Norte, Brazil. Two institutionalized elderly groups were compared (138 elders: 69 with and 69 without depressive symptoms). The instruments used were: mini-mental state examination, geriatric depression scale in the reduced version, socio-demographic questionnaire, quality of life (World Health Organization Quality of Life abbreviated-WHOQOL-bref), and inventory of perception of family support. Elders with depressive symptoms had inferior quality of life than those without depressive symptoms. Other factors that negatively influenced the quality of life in this population include: low economic conditions, occurrence of comorbidities, and deficient family assistance. These results have important implications in the decision making process with regard to strategies for improving the health status of institutionalized elders.
Nekhoda, E.; Kolbysheva, Yu; Makoveeva, V.
The article examines a range of problems related to the process of institutionalization in the corporate social policy, characterizing the social responsibility of business and representing a part of the general strategy of corporate social responsibility. The experience of the social policy implementation in oil and gas companies is analyzed.
Driva, A.; And Others
Describes a pilot study, involving 48 institutionalized infants and toddlers, which aimed to treat iron deficiency anemia and to discover other factors contributing to the problem. Results indicate improvement in cognitive development after the administration of iron among three groups, while no significant differences were observed in psychomotor…
Farndale, E.; Brewster, C.; Poutsma, F.
The impact of institutionalized contexts on the HRM activities of multinational firms has become a focus of increasing attention in recent literature. However, theories of how different types of business systems or market economies may influence HRM, and the impact of context on multinational corpor
Analyzes relationships between the social and cognitive institutionalization of library and information science research in Scandinavian countries from 1965-89. The goal of the study was to compare the development of the subject area, the research approach, the research methods, and the degree of internationalization. (Author/LRW)
Burd, Larry; And Others
The study of 297 institutionalized adults with mental retardation found no symptom of Rett syndrome occurred more frequently in males than in females and no single cluster of symptoms appeared to differentiate males from females. Only females were found to meet the necessary criteria for diagnosis of Rett syndrome. (Author/DB)
Introduces a scientometric model (ISI-S model) for describing the institutionalization process of scientific information. ISI-S describes the information and knowledge systems of scientific publications as a global network of interdependent information and knowledge clusters that are dynamically changing by their content and size. (Author/LRW)
Manders, M.; Groot, de C.P.G.M.; Hoefnagels, W.H.L.; Dhonukshe-Rutten, R.A.M.; Wouters-Wesseling, W.; Mulders, A.J.M.J.; Staveren, van W.A.
Objectives To determine whether in the current study the supply of a nutrient dense drink has a positive effect on mental and physical function of institutionalized elderly people. Design A 24-week, randomized, double-blind, placebo-controlled, parallel-group, intervention trial. Setting Homes for t
Gu, Danan; Dupre, Matthew E; Liu, Guangya
Existing research on the institutionalized population of older adults is primarily limited to Western countries. This study is the first to use nationally representative data to examine differences in the institutionalized and community-residing population of the oldest-old (ages 80+) in China. Using three waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) (1998, 2000, and 2002), we examine differences in sociodemographic characteristics, family caregiving resources, health practices, religious activity, chronic conditions, and mortality risk. The results indicate that the institutionalized oldest-old are younger, male, reside in urban areas, have lower family-care resources, and exhibit poorer health compared to those living in the community. We also find that the 2-year mortality risk for institutionalized elders is 1.35 times greater than for those residing in the community. However, the mortality differential is eliminated once the sociodemographic, family caregiving, and health characteristics of the oldest-old are taken into account. The implications of these findings are discussed.
H.D. Pruijt (Hans); C.M. Roggeband (Conny)
textabstractCase studies of urban squatting in the United States and the Netherlands, and the fight against sexual violence in Spain and in the Netherlands form the empirical basis of an analysis of the features and development of autonomous and institutionalized social movements, and the in-teracti
Gottschalk, Georg; Buch Hansen, C.; Nicolajsen, E.
I de senere år der sket en udvikling af institutioner og bofællesskaber for udviklingshæmmede, sindslidende og fysisk handicappede. Tilsammen dækker tilbuddene hele skalaen fra den meget specialiserede institution til bostøtteformer, hvor de pågældende personer bor spredt i egne lejligheder med e...
Jeon, Hana; Moulson, Margaret C.; Fox, Nathan; Zeanah, Charles; Nelson, Charles A., III
The current study examined the effects of institutionalization on the discrimination of facial expressions of emotion in three groups of 42-month-old children. One group consisted of children abandoned at birth who were randomly assigned to Care-as-Usual (institutional care) following a baseline assessment. Another group consisted of children…
Batista, Luciana Rodrigues Vieira; Moreira, Emilia Addison Machado; Rauen, Michelle Soares; Corso, Arlete Catarina Tittoni; Fiates, Giovanna Medeiros Rataichesck
Association between oral health status and nutritional status was investigated in 200 semi-institutionalized persons with mental retardation aged 5-53 years, 45.5% female, in the cities of Florianopolis and Sao Jose, province of Santa Catarina, Brazil. In this cross-sectional study, clinical-odontological examination revealed a high percentage of…
Mota, Catarina Pinheiro; Matos, Paula Mena
This study analyzes the contribution of peer attachment in predicting active coping and self-esteem in a sample of 109 institutionalized adolescents. It also explores the mediating role of social skills in the association between peer attachment, coping, and self-esteem. Structural equation modeling identified a model able to predict a positive…
Hsieh, Hsiu-Fang; Wang, Jing-Jy; Yen, Maiofen; Liu, Tzu-Ti
Institutionalized elderly who are frail and dependent are vulnerable to be abused by overwhelmed caregivers especially caregiver psychological abusive behavior is a growing but hidden problem with few evidence-based interventions. The purpose of this study was to examine the effectiveness of an educational support group in alleviating caregiver's…
Trond Bjornard PhD; Joseph Alexander; Robert Bean; Brian Castle; Scott DeMuth, Ph.D.; Phillip Durst; Michael Ehinger; Prof. Michael Golay, Ph.D.; Kevin Hase, Ph.D.; David J. Hebditch, DPhil; John Hockert, Ph.D.; Bruce Meppen; James Morgan; Jerry Phillips, Ph.D., PE
participation in facility design options analysis in the conceptual design phase to enhance intrinsic features, among others. The SBD process is unlikely to be broadly applied in the absence of formal requirements to do so, or compelling evidence of its value. Neither exists today. A formal instrument to require the application of SBD is needed and would vary according to both the national and regulatory environment. Several possible approaches to implementation of the requirements within the DOE framework are explored in this report. Finally, there are numerous barriers to the implementation of SBD, including the lack of a strong safeguards culture, intellectual property concerns, the sensitive nature of safeguards information, and the potentially divergent or conflicting interests of participants in the process. In terms of SBD implementation in the United States, there are no commercial nuclear facilities that are under IAEA safeguards. Efforts to institutionalize SBD must address these issues. Specific work in FY09 could focus on the following: finalizing the proposed SBD process for use by DOE and performing a pilot application on a DOE project in the planning phase; developing regulatory options for mandating SBD; further development of safeguards-related design guidance, principles and requirements; development of a specific SBD process tailored to the NRC environment; and development of an engagement strategy for the IAEA and other international partners.
The weak economy is challenging the child care program budget. Fluctuations in enrollment come up against rising costs making every penny count. So for many reasons a federal program that helps defray the costs of snacks and meals in child care programs is particularly important and timely. In this article, the author pushes for the…
Full Text Available With declines in development assistance for health and growing interest in country ownership, donors are increasingly faced with the task of transitioning health programs to local actors towards a path to sustainability. Yet there is little available guidance on how to measure and evaluate the success of a transition and its subsequent effects. This study assesses the transition of the Avahan HIV/AIDS prevention program in India to investigate how preparations for transition affected continuation of program activities post-transition.Two rounds of two surveys were conducted and supplemented by data from government and Avahan Computerized Management Information Systems (CMIS. Exploratory factor analysis was used to develop two measures: 1 transition readiness pre-transition, and 2 institutionalization (i.e. integration of initial program systems into organizational procedures and behaviors post-transition. A fixed effects model was built to examine changes in key program delivery outcomes over time. An ordinary least square regression was used to assess the relationship between transition readiness and sustainability of service outcomes both directly, and indirectly through institutionalization.Transition readiness data revealed 3 factors (capacity, alignment and communication, on a 15-item scale with adequate internal consistency (alpha 0.73. Institutionalization was modeled as a unidimensional construct, and a 12-item scale demonstrated moderate internal consistency (alpha 0.60. Coverage of key populations and condom distribution were sustained compared to pre-transition levels (p<0.01. Transition readiness, but not institutionalization, predicted sustained outcomes post-transition. Transition readiness did not necessarily lead to institutionalization of key program elements one year after transition.Greater preparedness prior to transition is important to achieve better service delivery outcomes post-transition. This paper illustrates a
Burcharth, Ana Luiza de Araújo; Fosfuri, Andrea
Management literature highlights several potential benefits of institutionalized socialization practices that attempt to increase cohesiveness among employees. This article posits that such practices might also contribute to a biased perception of internally generated knowledge and therefore...... to a greater reluctance to adopt external knowledge — enhancing the so-called not-invented-here (NIH) syndrome. Drawing on multi-informant survey data, the authors find that institutionalized socialization practices are associated with the NIH syndrome. This association is however muted in highly...
The Great East Japan Earthquake hit Fukushima Prefecture on March 11, 2011, just over 3 years ago and it continues to affect our lives. In Fukushima, many people are confirmed dead or still missing due to the earthquake and/or tsunami. Additional "disaster-related deaths" have been attributed to the Fukushima Daiichi Nuclear Power Plant (NPP) accident. Mortality among the institutionalized elderly rates after the NPP accident were exceptionally high during the first 3 months, and persisted at a lower level for 9 months, in comparison with similar periods before the accident. This study demonstrates the great impact of evacuation on mortality of institutionalized elderly, excluding inpatients. We need to pay special attention to evacuation of the elderly, regardless of whether voluntary or forced.
Chupin Roman, I.
Full Text Available The paper is devoted to the development of the institutional design of consumer goods in the methodology of economic and sociological theories. The author detected the dependence of the consumer goods quality between the levels of the organization and the determining of a social order, including modes of coordination of economic agents (consumers and businesses. The resolution of methodological disputes has been discovered mainly on the basis of the methodological institutionalism principles. The research of consumer goods quality conventions has significantly contributed of the development of the institutional design of consumer goods, introducing the conception of institutionalization. Therefore, the institutional design of consumer goods was seen as process in the context of supporting and developing institutions in the discourses of institutional structure. The result of the study is considered: the development of economic and sociological approach to the determination of the quality of consumer goods and the model of social standards institutionalization.
Full Text Available This paper explores the relationship between trust and institutionalized participation. Trust is defined as a subjective expectation about the world that can be disappointed. It is assumed to be related to time, authority, and knowledge. Further, it allows for a retrospective evaluation. In light of this definition, we first analyze the links between participation and trust in established relations between public authorities and citizens in liberal democracies. Next, we examine how institutionalized participation is currently conceived as an efficient tool for overcoming citizens' mistrust of political authorities and institutions. Finally, we argue that participation does not assuage that mistrust, but transforms the nature of the relationship between authorities and citizens, giving rise to what might be characterized as a "government of mistrust".
k A. ISSUES RELATED TO INSTITUTIONALIZING CHANGE According to the "force field" theory of Kurt Lewin , any behavior on the part of an individual or...forces push the other. The result is often a reconciliation of the two sets of forces. While Kurt Lewin did not specify the military environment in...Source: Kurt Lewin , Field Theory in social Science. Harpers and Brothers 1951. Figure 3. Kurt Lewin Model Thus, as in the contracting example, the
Daenekindt, Stijn; Roose, Henk
It is claimed that from the sixties onwards the educational system has contributed to the erosion of the institutionalized character of fine arts. In line with a worldwide trend towards more student-centred curricula—some authors argue that the exclusive focus on high culture in school curricula has dwindled. However, empirical research to substantiate these claims is scarce. We focus on secondary education in Flanders to study the centrality of high culture in the educational system: can we ...
Mauro Cunha Xavier Pinto
Full Text Available In recent decades, the elderly population in Brazil has grown rapidly, as has concern for the health of this population. Institutionalization in nursing homes has appeared as an alternative form of health care for frail elderly that live alone. The present study evaluated the pharmacotherapy and inappropriate drug prescriptions for institutionalized elderly patients living in long-term institutions in southeastern Brazil. This research was conducted at five institutions with a total sample of 151 individuals aged at least 60 years. Databases were used to identify drug interactions, defined daily dose and inappropriate prescriptions. The prevalence of drug intake among the elderly was 95.36%, and there were an average of 3.31 ± 1.80 drug prescriptions per individual. Based on Beers criteria, the prevalence of inappropriate prescriptions was 25.83%. In addition, 70.2% of prescriptions were prescribed at a higher dosage than the defined daily dose (ATC/WHO. Potential drug interactions were identified for 54.11% of prescriptions; 81.42% of these were of moderate severity. The main inappropriate drugs were prescribed for cardiovascular and nervous system problems. Institutionalized elderly individuals presented a high consumption and misuse of medications, requiring professional intervention to monitor prescriptions and improve the quality of service for this population.
Full Text Available This article explores the situation of family farms in the world, highlighted their key role in ensuring food security and preserving natural resources. We consider the activities of the Food and Agriculture Organization (FAO of the United Nations aimed at supporting and developing family farms at the regional, national, international levels. In the process of reforming the agricultural sector of Ukraine is the search for effective forms and methods of management. By introducing international experience progressive institutional approach to a market economy in agricultural production, the country embarked on the creation of family farms. Family farms is the most effective form of economic activity in rural areas, provided their institutionalization, state support, fight against corruption and monopolies in agribusiness. In the article the formation of family farms in Ukraine from institutional positions. Reflects the process of formation of the Institute for Family Business in Ukraine as family farms. Defined intrinsic characteristics and stages of institutionalization of family farms. The analysis measures the state and society on the institutionalization of family farms in Ukraine. Outlined prospects of Ukrainian family farms and proposed institutional arrangements to ensure the balanced functioning of a viable model of family farm management in the context of the family business in Ukraine.
Tábada Samantha Marques Rosa
Full Text Available ABSTRACT INTRODUCTION: Dizziness is among the most common complaints in the elderly population. OBJECTIVE: To determine the sociodemographic and clinical-functional profiles of institutionalized elderly people related to dizziness. METHODS: Cross-sectional prospective study with institutionalized elderly people aged 60 or more years. A questionnaire on sociodemographic and clinical-functional characteristics was applied, and an anamnesis of occurrence of dizziness was held, as well as the Dizziness Handicap Inventory questionnaire. RESULTS: 48.9% of the elderly subjects had dizziness. The mean numbers of diseases and medications associated with dizziness were, respectively, 4.5 diseases and 7.8 medications. We found a significant association between the occurrence of dizziness and diseases of the musculoskeletal system, sub-connective tissue and genitourinary system, as well as the use of medications for the musculoskeletal system. The scores for handicap degree in functional DHI were significantly higher among elderly subjects who needed walking aids, who had suffered falls, and those manifesting anxiety. CONCLUSION: Our sample included subjects of advanced age, primarily women, who were institutionalized less than five years, with multiple diseases and polypharmacy users. They presented long-standing short-duration mixed dizziness, that occurred more than once a month and affected mainly the functional aspect.
José G. Vargas-Hernández
Full Text Available Aims / objectives: This paper aims to analyze organizational management integrity capacity system as an improvement concept for enhancing leadership integrity effectiveness in a university setting. It departs from the analysis of the current organizational culture, values, virtues, managerial capabilities and attitudes to assume any organizational task. This paper aims also to propose a strategic modelfor the institutionalization of an organizational management integrity system. Study design: Cross-sectional study. Place and Duration of Study: University Center for Economic and ManagerialSciences, University of Guadalajara. The study is conducted for one academic year during the term 2011-2012. Methodology: The research methods used are the analytical based in the literature review and interpretative of the main findings to provide a synthetic model.Results and conclusion: The outcomes of the research on the application of organizational management integrity capacity systems may demonstrate that the drama of leadership effectiveness is centered on dysfunctional organizational integrity culture and leadership. This chapter provides a sound strategies and institutionalization for organizational integrity capacity philosophy focused on leadership integrity effectiveness that empowers management professionals to act with integrity and supported by an organizational integrity culture. Implications: The results provide the basis to develop strategies for an organizational integrity leadership framed by an organizational integrity culture, sustained by a code of conduct, regulation policies and overall the development and institutionalization of an organizational integrity capacity system which can positively influence the behavior of key stakeholders and actors.
Full Text Available Background: Balance emerges from the interaction of multiple systems that are organized to meet functional task goals and that are constrained by environmental context, but is often compromised with advancing age. At least 30% of older people experience decline in physical activity after entry into residential care. Participation in activity is more difficult for older people because of fear, lack of motivation, depression and poor understanding of the long term benefits of physical activity. Thus our purpose was to investigate effect of specific balance strategy training programme as compared to general balance training in improving balance in institutionalized elderly population. Methods: 26 institutionalized elderly subjects participated in the study. Participants in group A were given specific balance strategy training programme and those in group B were given general balance training. Intervention was for 40 min per day, thrice a week for 4 weeks. Balance was assessed using Berg balance scale and Timed up and go test. Result: Both the interventions showed marked improvement in balance when assessed on Berg balance and Timed up and go test. The group having specific balance strategy training programme proved to be significantly better than general balance training programme. Conclusion: Specific balance strategy training programme being more effective than general regimens should be incorporated in addressing balance related problems of institutionalized elderly population.
Herrick, Jeffrey E.; Bliwise, Donald L.; Puri, Shipra; Rogers, Sandy; Richards, Kathy C.
Objectives To determine the effect of 7-weeks of resistance training and walking on the apneahypopnea index (AHI) in institutionalized older adults compared to a usual care control group. Design Secondary analysis of data from a randomized controlled-trial. Setting Ten nursing and three assisted living facilities in Arkansas. Participants Institutionalized older adults. Interventions Exercise group (EG) performed supervised resistance training to arm and hip extensors on 3 days a week with additional 2 days a week of light walking. Usual care group (UC) participated in the usual activities provided within their living facility. Measurements 2 nights of polysomnography before and following 7-week intervention. Results Adjusted means in the EG group showed a decrease in AHI from 20.2 (SD±1.3) at baseline to 16.7 (SD±0.9) at 7 weeks. Absolute strength gains were not associated with improved AHI. Conclusion Supervised resistance training and light walking reduced the severity of OSA in institutionalized older adults. PMID:25294621
Handayani, P W; Hidayanto, A N; Ayuningtyas, Dumilah; Budi, Indra
The Hospital Information System (HIS) could help hospitals as a public entity to provide optimal health services. One of the main challenges of HIS implementation is an institutional change. Using institutional theory as the analytical lens, this study aims to explain the institutionalization of HIS as an instance of e-health initiatives in Indonesia. Furthermore, this paper aims for hospital management and researchers to improve the understanding of the social forces that influence hospital personnel's HIS acceptance within an organizational context. We use case studies from four public, government-owned hospitals and four privately owned (public and specialty) hospitals to explain the HIS institutionalization process by exploring the three concepts of institutional theory: institutional isomorphism, institutional logic, and institutional entrepreneurship. This study reveals that differences exist between public, government-owned and private hospitals with regard to the institutionalization process: public, government-owned hospitals' management is more motivated to implement HIS to comply with the regulations, while private hospitals' management views HIS as an urgent requirement that must be achieved. The study findings also reveal that various institutional isomorphism mechanisms and forms of institutional logic emerge during the process. Finally, three factors-self-efficacy, social influence, and management support-have a significant influence on the individual acceptance of HIS.
Barone, Lavinia; Lionetti, Francesca; Green, Jonathan
The current study investigates the contribution of children's age at adoption (M = 46.52 months, SD = 11.52 months) and parents' attachment on post-institutionalized children's attachment and social-emotional adjustment. A total of 132 subjects, 48 post-institutionalized children aged 3-5 years, and their adoptive parents, took part in the study. One year from adoption, children's attachment distribution was as follows: 31% secure, 42% disorganized, and 27% insecure. Parents' secure attachment increased children's probability of presenting a secure attachment pattern; specifically, mothers' attachment patterns were most strongly associated with those of their adopted children, with fathers' making an additional contribution. Two years from adoption, secure children showed more adequate social competences than their insecure and disorganized peers and presented better emotional comprehension. The effect of age at adoption was delimited to a marginal association with behavioral problems. This pattern of associations suggests that attachment - both of adoptive parents and of children - substantially fosters social-emotional adjustment of post-institutionalized children who have experienced a period in emotionally neglecting environments beyond their first year of life, regardless of their age at adoption. Implications for policies and practices are discussed.
Reinbott, Anika; Jordan, Irmgard
nutrition education programme carried out by government and community health volunteers as well as local NGOs addressing caregivers with a child between 5 and 18 months of age has great potential to improve IYCF practices. Since no impact on average height-for-age Z-scores could be demonstrated in this RCT, we suggest for Cambodia that (1) more emphasis be put on animal-source food and other protein sources in nutrition education, (2) nutrition education be implemented in the community through trained government and community members including peers as trainers, (3) sessions on family nutrition be included in the curriculum and the continuation of breastfeeding be emphasized, and (4) nutrition education be institutionalized, including continuous in-service training for sustainability.
Full Text Available Ana Maseda, Aránzazu Balo, Laura Lorenzo–López, Leire Lodeiro–Fernández, José Luis Rodríguez–Villamil, José Carlos Millán–CalentiGerontology Research Group, Faculty of Health Sciences, University of A Coruña, A Coruña, SpainPurpose: Cognitive decline and depression are two common mental health problems that may create a need for long-term care among the elderly. In the last decade, the percentage of older adults who receive health care in nursing homes, day care centers, or home support services has increased in Europe. The objectives of this descriptive and nonrandomized longitudinal study were to evaluate and to compare the cognitive and affective evolution of day care versus institutionalized older patients through a 1-year period, and to assess the presence of cognitive and affective impairment as a function of the care setting.Patients and methods: Ninety-four patients were assessed at baseline, and 63 (67.0% were reassessed 1 year later. Neuropsychological assessment included measures of cognitive performance (general cognitive status, visuospatial, and language abilities and affective status (depressive symptoms.Results: Our findings indicated that the majority of the participants (day care and institutionalized patients had mild–moderate cognitive impairment at baseline, which significantly increased in both groups after 1-year follow-up. However, the rate of change in global cognitive function did not significantly differ between groups over time. Regarding language abilities, naming function maintained among day care patients in comparison with institutionalized patients, who showed worse performance at follow-up. As regards to affective status, results revealed that institutionalized patients had a significant reduction in depressive symptoms at follow-up, when compared to day care patients. Results also highlight the high frequency of cognitive impairment and depressive symptoms regardless of the care setting
Human Resources Division
HR Division wishes to clarify to members of the personnel that the allowance for a dependent child continues to be paid during all training courses ('stages'), apprenticeships, 'contrats de qualification', sandwich courses or other courses of similar nature. Any payment received for these training courses, including apprenticeships, is however deducted from the amount reimbursable as school fees. HR Division would also like to draw the attention of members of the personnel to the fact that any contract of employment will lead to the suppression of the child allowance and of the right to reimbursement of school fees.
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"When I was 12, I started working in a cotton mill as a child laborer." Fan Xiaofeng, the former vice-director of the Labor Protection Department of the All-China Federation of Trade Unions, wrote this sentence in one of her books. In 1932, she came to
Wagner Oliveira Batista
Full Text Available OBJECTIVE: to ascertain the influence of the length of institutionalization on older adults' balance and risk of falls.METHOD: to evaluate the risk of falls, the Berg Balance Scale and the Timed Get Up and Go test were used; and for measuring postural balance, static stabilometry was used, with acquisition of the elliptical area of 95% and mean velocities on the x and y axes of center of pressure displacement. Parametric and nonparametric measures of association and comparison (α<0.05 were used.RESULTS: there was no significant correlation between the length of institutionalization and the tests for evaluation of risk of falling, neither was there difference between groups and within subgroups, stratified by length of institutionalization and age. In the stabilometric measurements, there was a negative correlation between the parameters analyzed and the length of institutionalization, and difference between groups and within subgroups.CONCLUSION: this study's results point to the difficulty of undertaking postural control tasks, showing a leveling below the clinical tests' reference scores. In the stabilometric behavior, one should note the reduction of the parameters as the length of institutionalization increases, contradicting the assumptions. This study's results offer support for the development of a multi-professional model for intervention with the postural control and balance of older adults living in homes for the aged.
Salguero, Alfonso; Martínez-García, Raquel; Molinero, Olga; Márquez, Sara
This study was aimed to investigate in a sample of Spanish elderly whether measures of physical activity are related to health-related quality of life (HRQoL) and symptoms of depression in community dwelling and institutionalized elderly. The sample was a cohort of 436 elderly (234 women and 202 men, aged 60-98 years) from the North of Spain. 58% were community-dwellers and 42% were institutionalized in senior residences. Participants completed measures of physical activity (Yale Physical Activity Survey, YPAS), HRQoL (Medical Outcomes Study 36-item Short Form Health Survey, SF-36) and symptoms of depression (Geriatric Depression Scale, GDS). All SF-36 domains, except role-emotional, were significantly correlated with the YPAS activity dimension summary index. Physical function, role-physical, general health and vitality correlated with total time activity, and correlations were observed between weekly energy expenditure and physical function, role physical, vitality and mental health. Depressive symptom scores correlated significantly with the YPAS activity dimension summary index and the weekly energy expenditure. Scores for various domains of the SF-36 and for depressive symptoms significantly differed among less and more active individuals of the same sex and institutionalization category. Differences generally reached a higher extent in institutionalized subjects in comparison to community dwellers. In conclusion, physical activity was related to different domains of both the physical and mental components of HRQoL and to decreased depressive symptoms. Results emphasize the positive effects of physical activity in both community-dwelling and institutionalized older adults.
de Macedo, Liliane Dias E Dias; De Oliveira, Thaís Cristina Galdino; Soares, Fernanda Cabral; Bento-Torres, João; Bento-Torres, Natáli Valim Oliver; Anthony, Daniel Clive; Picanço-Diniz, Cristovam Wanderley
We previously demonstrated the beneficial effects of a multisensory and cognitive stimulation program, consisting of 48 sessions, twice a week, to improve the cognition of elderly subjects living either in long-term care institutions (institutionalized - I) or in communities with their families (noninstitutionalized - NI). In the present study, we evaluated these subjects after the end of the intervention and compared the rate of age-related cognitive decline of those living in an enriched community environment (NI group, n=15, 74.1±3.9 years old) with those living in the impoverished environment of long-term care institutions (I group, n=20, 75.1±6.8 years old). Both groups participated fully in our stimulation program. Over 1 year, we conducted revaluations at five time points (2 months, 4 months, 6 months, 8 months, and 12 months) after the completion of the intervention. Both elderly groups were evaluated with the mini-mental state examination and selected language tests. Progressive cognitive decline was observed in both groups over the period. Indeed, it took only 4-6 months after the end of the stimulation program for significant reductions in language test scores to become apparent. However, earlier reductions in test scores were mainly associated with I group, and linguistic prosody test scores were significantly affected by institutionalization and time, two variables that interacted and reduced these scores. Moreover, I group reduced the Montréal cognitive assessment battery language tests scores 4 months before NI group. It remains to be investigated what mechanisms may explain the earlier and more intense language losses in institutionalized elderly.
Sadeq Ali Al-Maweri
Full Text Available Objectives: The aim of this study was to assess the prevalence of oral mucosal lesions (OMLs and dental caries and to evaluate oral health practices among institutionalized orphan-children in Sana′a city, Yemen. Subjects and Methods: A sample of 202 institutionalized male-orphan-children in the main orphanage in Sana′a city, were matched to 202 non-orphan schoolchildren. Clinical examination included assessment of OMLs based on standard international diagnostic criteria and evaluation of dental status using the Decayed/decayed, Missed/missed and Filled/filled (DMFT/dmft index according to World Health Organization recommendations. Demographic data and oral hygiene practices were obtained by interviewing each subject using special questionnaire form. Results: Majority of children were in the 12-15 year age group. Nine types of lesions were reported among orphans; the most common lesions were fissured tongue (24.3%, herpes labialis (7.9% and traumatic ulcers (2.5%. The occurrence of herpes labialis was found to be significantly higher in orphans than in controls (P < 0.01. The prevalence of dental caries was insignificantly lower among the orphans (84.7% compared with the non-orphans (89.61%; P = 0.136. The mean dmft score was significantly lower in orphans than in controls (2.28 vs. 3.82; P = 0.001. Conclusions: The institutionalized children in this orphanage had a high prevalence of OMLs but low prevalence of dental caries, though they revealed poor oral hygiene practices. Effective oral health promotion strategies need to be implemented to improve the oral health and oral health practices of children living in orphanages.
María del Mar Ruperto López
Full Text Available Introduction: Overweight and obesity are recognized mortality risk factors in the general population. The aim of the study was to analyse the phenotypic distribution of body mass index (BMI, and to identify the prevalence of malnutrition and clinical and nutritional factors related to BMI in autonomous institutionalized elders. Material and Methods: Cross-sectional and descriptive study in 104 institutionalized aged people (73% female, mean of age 86.4 [±6.2] years and time on institutionalization 25.7 [±21.7] months. Mini-Nutritional Assessment (MNA, anthropometric measures and laboratory parameters were used for nutritional assessment. Bioimpedance analysis (BIA-101; RJL-System was used for body composition analysis. The sample was classified into BMI tertiles (Tn: T1=<26.2kg/m2; T2=26.3-29.7kg/m2; and T3=≥29.8kg/m2. Results: The phenotypic distribution of BMI was: overweight 51% and, prevalence of obesity 29.8%. Mean of BMI: 28.3 (±4.6 kg/m2. Nutritional risk or malnutrition were 60.6% and 11.5%, respectively in the sample. The tertiles of BMI showed significant differences with: mid-arm muscle circumference, triceps-skinfold thickness, total body water (TBW (all, p<0.001. Subjects into T1 had significantly higher nutritional risk or malnutrition compared with T2 and T3 counterparts (p=0.015. Waist-circumference, calf-circumference (at least, p<0.01, and TBW (p<0.001 were independent predictors of BMI in the linear regression analysis (R2=0.52. Conclusions: Overweight and obesity measured by BMI is not an exclusion criterion of malnutrition in the geriatric population. Nutritional screening by MNA and the conjoint use of clinical-nutritional parameters are useful for identifying at nutritional risk or malnutrition. Further studies are needed to define the potential nutritional risk factors associated with BMI in autonomous institutionalized aged.
Carlos Gustavo Poggio Teixeira
Full Text Available This article argues that Brazil went from a posture of estrangement in relation to the hemispheric project represented by the Free Trade Area of the Americas (FTAA to a strategy of cooperative hegemony aimed at institutionalizing the South American space and increasing the costs of the FTAA for the United States. Although Brazil was initially isolated, US lack of leadership combined with events at the subregional level ended up turning the tide in the direction of Brazilian interests. These factors help to understand the current institutional configuration of South America.
Mateo Donet, María Amparo
En este artículo se trata de descubrir la visión que tenía Lactancio sobre algunos aspectos de la religión romana a partir de los comentarios que de ella encontramos en su obra Divinae Institutiones, centrada en defender el cristianismo y hacer una fuerte crítica de las creencias y los cultos clásicos. El análisis contribuye, además, a discernir los cambios y pervivencias de la mentalidad romana en el autor cristiano.
Daniele Jacobi Berleze
Full Text Available This work had the main objective of investigate how the leisure for the institutionalized elderly and that the long-term care institutions offer to them, in the municipality of Santa Maria. There was a semi-structured interview with the elderly and the managers of LTIES, seeking to understand the design of both. As results were observed that the elderly do not have clear what is leisure, as well as the institutions do not offer and when they do it is the leisure static or sightseeing. We can conclude that for the elderly leisure is everything that escapes from your daily routine.
Lobato, Lenaura de Vasconcelos Costa
The objective is to discuss and analyze some elements of the process of institutionalization of social policies in Brazil after the Constitution of 1988, especially those of social welfare (social security, health and social assistance). It is assumed that this process present hybrids that compromise the results prescribed by the Constitution. From one hand, there are important advances in political and organizational apparatus and in the concept of the social question (treated here through three elements: constitutionalization, scope and expansion). Moreover, obstacles remain, particularly in universalization, financing and quality of services, which are contradictory to the advances achieved. The permanence of these hybrids prevents the fairness and citizenship aimed by the 1988 Constitution.
Full Text Available This study determined the national prevalence and profile of Asian Americans with Activities of Daily Living (ADL limitations and identified factors associated with institutionalization. Data were obtained from 2006 American Community Survey, which replaced the long-form of the US Census. The data are nationally representative of both institutionalized and community-dwelling older adults. Respondents were Vietnamese (n = 203, Korean (n = 131, Japanese (n = 193, Filipino (n = 309, Asian Indian (n = 169, Chinese (n = 404, Hawaiian/Pacific Islander (n = 54, and non-Hispanic whites (n = 55,040 aged 55 and over who all had ADL limitations. The prevalence of institutionalized among those with ADL limitations varies substantially from 4.7% of Asian Indians to 18.8% of Korean Americans with ADL limitations. Every AAPI group had a lower prevalence of institutionalization than disabled Non-Hispanic whites older adults (23.8% (p < 0.001. After adjustment for socio-demographic characteristics, Asian Indians, Vietnamese, Japanese, Filipino, and Chinese had significantly lower odds of institutionalization than non-Hispanic whites (OR = 0.29, 0.31, 0.58, 0.51, 0.70, respectively. When the sample was restricted to AAPIs, the odds of institutionalization were higher among those who were older, unmarried, cognitively impaired and those who spoke English at home. This variation suggests that aggregating data across the AAPI groups obscures meaningful differences among these subpopulations and substantial inter-group differences may have important implications in the long-term care setting.
This phenomenological study integrated crisis theory, social identity theory, and uncertainty management theory to conceptualize the decision-making process around institutionalization among nursing home residents and their children in Shanghai. I conducted face-to-face, semistructured interviews with 12 dyads of matched elders and their children (N = 24). The findings suggest that caregiving crises triggered intergenerational communication about caregiving alternatives and new arrangements, although each generation had different stances and motivations. Children finalized the decision by helping their parents to manage the uncertainties pertaining to institutionalization. This study sheds light on caregiving decision-making dynamics for the increasing aging population across cultures.
Miller, Emanuel, Ed.; And Others
Twenty-eight papers examine basic theories and clinical methods in child psychiatry. Theories and methods discussed concern child psychiatry and the World Health Organization, pediatrics, child disturbances, observation, the psychodiagnostic approach, longitudinal research in child development, the comparative approach to early child development,…
Full Text Available Aim: The aim of the present study is to assess the prevalence of Kennedy′s classification, status of existing prosthodontic appliances if any, awareness of the subjects regarding various treatment options, and treatment needs in a group of elderly institutionalized residents. Materials and Methods: The subjects were selected from various old age homes present in Mangalore city, with ages ranging from 60 to 80 years. The subjects were interviewed and examined by a single trained examiner and findings were recorded on a clinical case history report sheet. Results: Kennedy′s class I was most prevalent and class IV the least. Among the subjects examined, only 12.4% were wearing prosthesis. Based on the Nevalainen′s index and Karslon′s index, most of the prosthodontic appliances were found to be in poor condition. 86% of the subjects were in need of prosthodontic treatment. 75% of the subjects interviewed were unaware of the treatment options available. Conclusion: The elderly patients living in institutions do not achieve a deserving and satisfactory oral health care. The oral care assistance in institutionalized elderly patients has been an unfulfilled service.
Luciene Ribeiro Gaião
Full Text Available In this study we describe the dental status and oral hygiene practices in institutionalized older people and identify factors associated with poor dental status. A cross-sectional study was performed in a nursing home in Fortaleza, the capital of Ceará State (northeast Brazil. The number of decayed, missing, and filled teeth (DMFT was assessed in the residents of the nursing home (=167; mean age = 76.6 years. The mean DMFT value was 29.7; the mean number of missing teeth was 28.4. Ninety-three (58.1% were edentulous. Almost 90% practiced oral hygiene, but only about half used a toothbrush. Only 8% had visited a dentist in the preceding three months. Most of the variables regarding oral hygiene habits (such as the use of toothbrush, frequency of oral hygiene per day, regular tooth brushing after meals did not show any significant association with the DMFT. In multivariate regression analysis, age, general literacy level, and practice of oral hygiene were independently associated with the DMFT (2=0.13. Institutionalized older people in northeast Brazil have poor dental status, and oral hygiene practices are insufficient. Dental health education is needed focusing on the special needs of this neglected and socioeconomically deprived population to improve their quality of life.
Lindomar Wessler Boneti
Full Text Available This article consists of an epistemological reflection on educational policies in order to contribute to the Red Latinoamerica de Estudios Epistemológicos en Política Educativa (ReLePe debate. It is about to rescue the historical journey of the positivist position as classical epistemological framework of the educational policy institutionalization with regard to the implementation of educational action, with special focus to the set of rules, norms and values that conduct school activity. It is argued that these frameworks are constituted from two interconnected movements: historical construction of the epistemological frameworks of science and the Modern State that with the new mode of production, capitalism, gives rise to the second one: bourgeois movement of class distinction based on lifestyle. Thus, from the “Modern Reason”, it was outlined what may be regarded as a “model of civility”, becoming the epistemological framework and goal of achieving the educational policy institutionalization and school activity in contemporaneity.
Full Text Available Background: In Pakistan, the issue of institutionalized elderly is a neg¬lected area and little is known about their subjective conditions. The present study was con-ducted in 2012 which examined the relationship between religiosity and subjective well being amongst institutionalized el¬derly people. Methods: Data was collected from 100 adults above the age of 60 years in Lahore, Pakistan, through purposive sampling strategy. Religiosity was measured through Religiosity Index, while Trait Well Being Inventory was used to assess subjective well being. Results: Pearson product moment correlation coefficient and regression analysis were used for the analysis of the data, which revealed that reli¬giosity has a significant positive relationship with life satisfaction. How¬ever, no association was found between religiosity and mood level. More¬over, regression analysis indicated that religiosity positively predicted life satisfaction among elderly. Conclusion: The current research would create awareness and urge the policy makers to look into this social issue and provide better long term care to the residents of old homes.
Gaffikin, L; Prada, E; Santamaria, A; McGrath, J; de Castro Buffington, S
While there is no universally applied definition of the terms, 'institutionalization', 'capacity', 'capability' and 'commitment' have been suggested as subindicators of a self-sustained program. This paper describes efforts to measure these terms in the context of a fertility management/human sexuality (FM/HS) education program for student nurses in Colombia. Interviews with 19 school deans formed the basis of measuring progress towards institutionalization. All the deans supported the idea of having FM/HS instruction, although resource commitment to effectively carry out the instruction varied. Focus groups with professors from participating schools provided insights into the effect of the project on both the students and course teachers. Professors found that students who had taken the course were more effective FM/HS counselors in later practical courses. Responses from interviews with a random sample of students who had or had not attended the course were compared to assess the effect of the course on the nursing students. Although attitudes between the two groups did not differ significantly, knowledge levels about FM/HS were significantly higher among nursing students who had attended the course. In general, the results indicate that the participatory educational approach used in teaching the FM/HS topics was effective in sensitizing both students and teachers to this subject area.
Zamazii Oksana V.
Full Text Available The article developes and proves a scientific hypothesis that strengthening the integration processes in the market space causes its institutionalization, and thus leads to the issues of proliferation of the free market players as a result of a division of spheres of influence between the major financial-industrial groups and corporations. It has been proved that a clear hierarchical structure, along with rigid subordination of free economic agents to the chief processor of resources within the growing corporations are those preconditions, which gradually form characteristics of an organization or an institution in terms of markets. An author's own definition of the notion of «institutional market» has been proposed, which is different from the classic formulation. It is emphasized that institutionalization of market space turns the latter into an another economic system, the main characteristics of which are: limited number of buyers and sellers; presence of conglomerates with rigid hierarchical relationships between buyers and sellers; etc. Enlargement and diversification of business as well as growth of its influence not only within its own industry sector, but also in the related sectors, leads to the fact that corporations are trying to control markets (supply and demand which meantime are turning into rigid management structures, acquiring characteristics of institutions (organizations. This hinders the market entry of new market players, increases risks of business and requires on the part of enterprises new marketing techniques for positioning the own ability to create customer value.
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..., vocabulary, and arithmetic; (ii) Special education, as defined by State law; (iii) Bilingual education or... 34 Education 3 2010-07-01 2010-07-01 false What are programs for corrections education and education for other institutionalized adults? 461.32 Section 461.32 Education Regulations of the Offices...
Zuidema, Sytse U; de Jonghe, Jos F M; Verhey, Frans R J; Koopmans, Raymond T C M
BACKGROUND/AIMS: To establish the construct validity of the Dutch version of the Cohen-Mansfield Agitation Inventory (CMAI-D) in institutionalized patients with dementia. METHODS: The CMAI-D was administered to a large sample of 1,437 patients with moderate to severe dementia, receiving nursing home
Zuidema, S.U.; Jonghe, J.F. de; Verhey, F.R.J.; Koopmans, R.T.C.M.
BACKGROUND/AIMS: To establish the construct validity of the Dutch version of the Cohen-Mansfield Agitation Inventory (CMAI-D) in institutionalized patients with dementia. METHODS: The CMAI-D was administered to a large sample of 1,437 patients with moderate to severe dementia, receiving nursing home
Full Text Available Pui Hing Chau,1 Maria WS Tang,2 Fannie Yeung,2 Tsz Wai Chan,1 Joanna OY Cheng,1 Jean Woo2 1School of Nursing, University of Hong Kong, Hong Kong, Special Administrative Region of the People's Republic of China; 2Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong, Special Administrative Region of the People's Republic of China Background: Stroke survivors may not be receiving optimal rehabilitation as a result of a shortage of hospital resources, and many of them are institutionalized. A rehabilitation program provided in a short-term residential care setting may help to fill the service gap. Objectives: The primary objectives of this study were, first, to examine whether there were significant differences in terms of rehabilitation outcomes at 1 year after admission to the rehabilitation program (defined as baseline between those using short-term residential care (intervention group and those using usual geriatric day hospital care (control group, and, second, to investigate whether lower 1-year institutionalization rates were observed in the intervention group than in the control group. Participants: 155 stroke survivors who completed at least the first follow-up at 4 months after baseline. Intervention: The intervention group was stroke survivors using self-financed short-term residential care for stroke rehabilitation. The control group was stroke survivors using the usual care at a public geriatric day hospital. Measurements: Assessments were conducted by trained research assistants using structured questionnaires at baseline, 4 months, and 1 year after baseline. The primary outcome measures included Modified Barthel Index score, Mini-Mental Status Examination score, and the institutionalization rate. Results: Cognitive status (as measured by Mini-Mental Status Examination score of patients in both groups could be maintained from 4 months to 1 year, whereas functional status (as measured by Modified Barthel
Dias de Macedo LD
Full Text Available Liliane Dias E Dias de Macedo,1 Thaís Cristina Galdino De Oliveira,1 Fernanda Cabral Soares,1 João Bento-Torres,1,2 Natáli Valim Oliver Bento-Torres,1,2 Daniel Clive Anthony,3 Cristovam Wanderley Picanço-Diniz1 1Laboratory of Investigations in Neurodegeneration and Infection, Institute of Biological Sciences, University Hospital João de Barros Barreto, Federal University of Pará, 2College of Physical Therapy and Occupational Therapy, Federal University of Para, Belem, Para, Brazil; 3Laboratory of Experimental Neuropathology, Department of Pharmacology, University of Oxford, Oxford, England, UKAbstract: We previously demonstrated the beneficial effects of a multisensory and cognitive stimulation program, consisting of 48 sessions, twice a week, to improve the cognition of elderly subjects living either in long-term care institutions (institutionalized – I or in communities with their families (noninstitutionalized – NI. In the present study, we evaluated these subjects after the end of the intervention and compared the rate of age-related cognitive decline of those living in an enriched community environment (NI group, n=15, 74.1±3.9 years old with those living in the impoverished environment of long-term care institutions (I group, n=20, 75.1±6.8 years old. Both groups participated fully in our stimulation program. Over 1 year, we conducted revaluations at five time points (2 months, 4 months, 6 months, 8 months, and 12 months after the completion of the intervention. Both elderly groups were evaluated with the mini-mental state examination and selected language tests. Progressive cognitive decline was observed in both groups over the period. Indeed, it took only 4–6 months after the end of the stimulation program for significant reductions in language test scores to become apparent. However, earlier reductions in test scores were mainly associated with I group, and linguistic prosody test scores were significantly
Frias Nuñez, M
The fight against smallpox epidemics in the Granada at the end of the 18th and beginning of the 19th centuries involved a whole series of actions which demonstrated the new ways of treating the disease. First the application of the innoculation and then the vaccination coincided with a greater general concern for the health of the population. At this time and especially with the arrival of José Celestino Mutis on Latin-American soil science in Colombia embarked upon an institutionalization process which also involved Medicine. José Salvany's proposals of stablishing Central Vaccination Committees were made in this context. The analysis of these proposals and their contribution towards "establishing institutional spaces" are the axes upon which this study is based.
Kressley-Mba, Regina A
Despite an illustrious history marked by the work of Wolfgang Köhler and Mathilde Hertz, among others-the significance of which still resonates in different fields of animal behavior research-and the fact that interesting work in the field continues, comparative psychology has no official status within German psychology. A partial explanation for this lack of official representation might derive from unsuccessful attempts historically to secure institutional status. "Gifted" animals served as much of the impetus for the beginning of a scientific animal psychology in Germany and contributed to its institutionalization by providing the incentive for the establishment of organizations dealing with animal psychology. Although initially serving as a catalyst for an interdisciplinary exchange on animal psychology, the case of Clever Hans was also exploited to help psychology gain institutional status in the field, albeit without lasting success.
Although empirical and theoretical studies affirm that punishment can elevate collaborative efforts, its emergence and stability remain elusive. By peer-punishment the sanctioning is something an individual elects to do depending on the strategies in its neighborhood. The consequences of unsustainable efforts are therefore local. By pool-punishment, on the other hand, where resources for sanctioning are committed in advance and at large, the notion of sustainability has greater significance. In a population with free-riders, punishers must be strong in numbers to keep the "punishment pool" from emptying. Failure to do so renders the concept of institutionalized sanctioning futile. We show that pool-punishment in structured populations is sustainable, but only if second-order free-riders are sanctioned as well, and to a such degree that they cannot prevail. A discontinuous phase transition leads to an outbreak of sustainability when punishers subvert second-order free-riders in the competition against defector...
Although empirical and theoretical studies affirm that punishment can elevate collaborative efforts, its emergence and stability remain elusive. By peer-punishment the sanctioning is something an individual elects to do depending on the strategies in its neighborhood. The consequences of unsustainable efforts are therefore local. By pool-punishment, on the other hand, where resources for sanctioning are committed in advance and at large, the notion of sustainability has greater significance. In a population with free-riders, punishers must be strong in numbers to keep the ``punishment pool'' from emptying. Failure to do so renders the concept of institutionalized sanctioning futile. We show that pool-punishment in structured populations is sustainable, but only if second-order free-riders are sanctioned as well, and to a such degree that they cannot prevail. A discontinuous phase transition leads to an outbreak of sustainability when punishers subvert second-order free-riders in the competition against defectors.
There are serious problems with the way in which pharmaceutical research is currently practiced, many of which can be traced to the influence of commercial interests on research. One of the most significant is inadequate dissent, or organized skepticism. In order to ameliorate this problem, I develop a proposal that I call the "Adversarial Proceedings for the Evaluation of Pharmaceuticals," to be instituted within a regulatory agency such as the Food and Drug Administration for the evaluation of controversial new drugs and controversial drugs already in the market. This proposal is an organizational one based upon the "science court" proposal by Arthur Kantrowitz in the 1960s and 1970s. The primary benefit of this system is its ability to institutionalize dissent, thereby ensuring that one set of interests does not dominate all others.
Improvement of working environment as a tool to promote sustainable development - from a grass-root strategy to institutionalized professionalism. It is now more than 25 years since substitution of organic solvents started to be considered as a meaningful way in Denmark to reduce harmful effects...... on workers. During that period different groups of actors have been involved, new institutions to improve working environment have emerged, and legislation has been changed. The paper will describe the development from a grass-root strategy to improve working environment to a much more complex situation...... where working environment professionals play an important role, and where the concept of ‘cleaner technology’ is generally accepted as a tool to promote sustainable development in the Danish society. The paper will also discuss the necessity of incorporation of working environment considerations...
Alarcão, Violeta; Machado, Fernando Luís; Giami, Alain
Based on Bourdieu's field theory, this article analyzes the emergence and institutionalization of sexology as a science and profession in Portugal, identifying relevant institutions, actors, and professional practices and discussing its relations and specificities. The analysis begins by contextualizing the emergence of modern Western sexology in order to comprehend the Portuguese case in the international sexology context. The second section describes the social, cultural, and institutional factors that have driven the professionalization of sexology. The third section describes the emergence of Portuguese sexology and its principal historical milestones, institutions, and actors. Finally, the article discusses some implications of this process for the role of sexology as a science and profession. The study reveals the dynamics of national and international processes in the field, in the transition from a holistic perspective of sexology to the hegemony of sexual medicine, and sheds light on its mechanisms of legitimation as a transdisciplinary science of sexuality, suggesting future perspectives.
Although empirical and theoretical studies affirm that punishment can elevate collaborative efforts, its emergence and stability remain elusive. By peer-punishment the sanctioning is something an individual elects to do depending on the strategies in its neighborhood. The consequences of unsustainable efforts are therefore local. By pool-punishment, on the other hand, where resources for sanctioning are committed in advance and at large, the notion of sustainability has greater significance. In a population with free-riders, punishers must be strong in numbers to keep the "punishment pool" from emptying. Failure to do so renders the concept of institutionalized sanctioning futile. We show that pool-punishment in structured populations is sustainable, but only if second-order free-riders are sanctioned as well, and to a such degree that they cannot prevail. A discontinuous phase transition leads to an outbreak of sustainability when punishers subvert second-order free-riders in the competition against defectors.
This study investigated the effects of a partial task training strategy on productivity and on-task behavior in three profoundly retarded institutionalized clients in a pre-skills workshop classroom. Partial task training consisted of the presentation of "mini-tasks," with reinforcement for completion of those tasks. Additionally, behavior monitors were used to provide the clients with further positive comments and prompts. The results indicated that this strategy was effective in decreasing high rates of off-task behavior and in substantially increasing the number of pieces completed during the session. However, the effect on other inappropriate behaviors was minimal. This strategy demonstrated that profoundly retarded clients could be taught to increase on-task behavior and productivity in pre-skills workshop classes.
Full Text Available The objective of this article is to approach the interpretation of the Christian Bible from the perspective of the sociological process of the development from authority to power. Firstly, a hypothesis with regard to a postmodern, demystifying reading of the Christian Bible will be posed. Secondly, the use of terms and concepts will be clarified. Thirdly, the focus will be on the development from authority to power. Exposing the ideological interests underlying social processes is called demystification. In the article the social theory of Max Weber with regard to institutionalization, power and authority will be discussed and applied in a heuristic model for the interpretation of the New Testament within the framework of social processes. The model focuses on the Jesus movement as a process of revitalization within Judaism.
Kuwabara, Akiko; Fujii, Minori; Kawai, Nobuko; Tozawa, Kunihiko; Kido, Shoko; Tanaka, Kiyoshi
In Japan, γ-carboxylation of blood coagulation factors is the basis for determining adequate intake (AI) for vitamin K in Dietary Reference Intakes (DRIs) issued in 2010. Recently, vitamin K is also known to be essential for preventing fracture. In this study, relative susceptibility of liver and bone to vitamin K deficiency was studied. Thirty-seven elderly institutionalized subjects were evaluated for vitamin K status by measuring serum PIVKA (protein induced by vitamin K absence) -II and ucOC (undercarboxylated osteocalcin) levels, as sensitive markers for hepatic and skeletal vitamin K deficiency, respectively. Serum PIVKA-II and ucOC levels, with their cut-off values in the parentheses, were 20.2±8.9 mAUmL (28 mAU/mL) and 4.7±3.0 ng/mL (4.5 ng/mL), respectively. Median vitamin K intake was approximately 200 μg/day, which is more than 3 times higher than the current Japanese AI. Vitamin K intake was significantly correlated with serum PIVKA-II and ucOC/OC levels, but not with serum ucOC level. Although serum ucOC level is generally a good indicator for vitamin K status, multiple regression analysis revealed that elevated bone turnover marker significantly contributed to serum ucOC level. All subjects had vitamin K intake exceeding AI for vitamin K. Nevertheless, serum PIVKA-II and ucOC concentrations exceeded the cut-off value in 14% and 43% of subjects, respectively. The present findings suggest that vitamin K intake greater than the current AI is required for the skeletal health in the institutionalized elderly.
Houdret, Annabelle; Dombrowsky, Ines; Horlemann, Lena
River Basin Management (RBM) as an approach to sustainable water use has become the dominant model of water governance. Its introduction, however, entails a fundamental realignment and rescaling of water-sector institutions along hydrological boundaries. Creating such a new governance scale is inherently political, and is being described as politics of scale. This paper analyzes how the politics of scale play out in the institutionalization of RBM in Mongolia. It furthermore scrutinizes the role of the broader political decentralization process in the introduction of RBM, an issue that has so far received little attention. Finally, it assesses whether the river basin is an adequate water management scale in Mongolia. This article finds that institutionalizing RBM in Mongolia is indeed a highly political negotiation process that does not only concern the choice of the governance scale, but also its detailed institutional design. It furthermore reveals that Mongolia's incomplete political decentralization process has for a long time negatively impacted the decentralization of water-related tasks and the implementation of RBM. However, the 2011 Budget Law and the 2012 Water Law provide for a fiscal strengthening of local governments and clearer sharing of responsibilities among the various different institutions involved in water management. Nevertheless, only if the 2012 Water Law is complemented by adequate by-laws - and if the newly created river basin institutions are adequately equipped - can RBM be effectively put into practice. This article confirms the usefulness of a politics-of-scale approach to understand scalar practices and changes in water management. However, the article also argues for a broadening of the analytical perspective to take the interdependencies between changes in water governance and other political processes, such as decentralization, into account.
Lee, Myoung Hoon; Park, Chan H.; Yoon, Seok Na.; Hwang, Kyung Hoon [College of Medicine, Ajou Univ., Suwon (Korea, Republic of)
Dementia is one of the clinically recognized indications of regional cerebral blood flow (rCBF) measurement by Tc-99m ECD brain SPET (Single Photon Emission Tomography). There is only limited number of institutions for elderly demented patients who are institutionalized in Korea and SPET is nor available at these institutions. The aim of the study is to evaluate rCBF SPET findings of the patients from such an institution. Thirty-one patients were reffered for rCBF SPET from Yongin Hyoja Hospital, Yongin. They were screened using NINCDS-ADRDA criteria for probable Alzheimers disease (AD) and dementia severity was assumed by the Mini-Mental State examination. In a quite, dim light room, patients were injected with 740 mBq (20mCi) Tc-99m ethyl cysteinate dimmer (ECD), Neurolite R, Dupont Pharmaceuticals, Billerica, MA, USA). SPET was acquired using fanbeam collimators and triple-head gamma camera (MultiSPECT III, Siemens medical systems. Inc. Hoffman Estates, III.USA). SPET was done one hour after the tracer injection and most of the patients needed sedation 30 minutes before the scan. SPET was evaluated visually by 2 nuclear medicine physicians blinded to clinical information. The SPET scans of 31 patients revealed 3 typical AD, 9 atypical AD patterns. Other dementia patterns were 4 cases of frontotemporal lobe dementia, 5 cases of frontal lobe dementia and 2 multifocal infarctions. Only cerebral atrophy is depicted in 8 patients and normal SPECT findings was noted in one patient. Patients who are institutionalized for dementia have varying SPET patterns as expected and SPET findings are useful in the management of these patients with more clearer clinical insight.
Pereira, Catarina; Fernandes, Jorge; Raimundo, Armando; Biehl-Printes, Clarissa; Marmeleira, José; Tomas-Carus, Pablo
The objective of this study was to analyze the impact of physical fitness and physical activity on the threat of older adults without cognitive impairment becoming institutionalized. This cross-sectional study involved 195 non-institutionalized (80.1 ± 4.4 years) and 186 institutionalized (83.8 ± 5.2years) participants. Cognitive impairment was assessed using Mini-Mental State Examination, measures of physical fitness were determined by the Senior Fitness Test, and physical activity was assessed using the International Physical Activity Questionnaire. Multivariate binary logistic analysis selected four main determinants of institutionalization in both genders: The likelihood of becoming institutionalized increased by +18.6% for each additional year of age, whereas it decreased by -24.8% by each fewer kg/m(2) in body mass index (BMI), by -0.9% for each additional meter performed in the aerobic endurance test, and by -2.0% for each additional 100 metabolic equivalent of task (MET)-min/week of physical activity expenditure (p physical activity ≤693 MET-min/week) were computed using receiver operating characteristics analysis as cutoffs discriminating institutionalized from non-institutionalized older adults. The performance of physical activity, allied to an improvement in physical fitness (mainly BMI and aerobic endurance), may avoid the threat of institutionalization of older adults without cognitive impairment only if they are above the 50(th) percentile. The following parameters are highly recommended: Expending ≥693 MET-min/week on physical activity, having a BMI ≤26.7 kg/m(2), and being able to walk ≥367.6 meters in the aerobic endurance test, especially above the age of 80 years. The discovery of this trigger justifies the development of physical activity programs targeting the pointed cutoffs in old and very old adults.
U.S. Department of Health & Human Services — The National Child Abuse and Neglect Data System (NCANDS) Child File data set consists of child-specific data of all reports of maltreatment to State child...
The institutionalized discrimination arises when certain social groups are suffering a constantly common and normalized unreasonable treatments caused by recognition of laws and regulations or exercised by public authorities .The institutionalized discrimination consists of three elements: discrimination implemented by public authorities; discrimination in form of institutions; unreasonable and unfair treatments .Compared with ordinary discriminative behaviors , the institutionalized discrimination is legitimate and mandatory with the features of collectivity and stability .The institutionalized discrimination is public law discrimination by nature and can be distinguished from behavioral discriminations by existing forms including discrimination against the minority by majority and vice versa .%制度性歧视是由于国家正式规则的认可或者公权力主体的推行，使一定社会群体持续遭受普遍的、规范化的不合理对待。制度性歧视包含三个构成要素：公权力主体实施的歧视、以制度形态存在的歧视以及不合理的区别对待。与普通的歧视行为相比，制度性歧视具有合法性与正当性、强制性、群体性和稳定性等特点。制度性歧视在性质上属于公法歧视，并且依据存在形态与行为性歧视相区别。它不仅包括多数群体对少数群体的歧视，还包括少数群体对多数群体的歧视。
Purpose: To evaluate the effect of pharmacist interventions in the adaptation of pharmaceutical forms in elders institutionalized in nursing homes whose medicines are crushed, which may have a clinical relevance. Methods: Quasi-experimental, multicenter, transversal and prospective study carried out in 10 nursing homes. Subjects for whom drugs were being crushed were identified. Their treatments were reviewed in order to identify drugs that should not be crushed. In these cases,...
Luque-Reca, Octavio; Augusto-Landa, José María; Pulido-Martos, Manuel
Background. This work examines the relationship between emotional intelligence (EI) and depressive symptomatology in institutionalized older adults, delving into the mechanisms underlying this relationship. Considering that previous evidence of the variation of the EI-depression relationship depending on whether the emotional ability or the perception of that ability is evaluated, a model of multiple mediation was tested in which the dimensions of emotional self-efficacy (ESE) act as mediators in the relationship between ability EI and depressive symptomatology. Methods. The sample consisted of 115 institutionalized older adults (47.82% women; 80.3 ± 7.9 years of age) from the province of Jaén (Spain) who completed a test of ESE, a measure of ability EI, and a self-administered questionnaire of depressive symptoms. Results. The results showed a positive association between older adults' emotional performance and depressive symptomatology, finding stronger associations with ESE than with EI abilities. In addition, multiple mediation analyses showed that two of the four dimensions of ESE fully mediated the relationship between ability EI and depressive symptoms. Discussion. These findings suggest that older adults' high levels of emotional competence generate a feeling of ESE which can protect them against depressive symptoms. This work supports the predictive validity of emotional abilities and ESE for the mental health of a group that is particularly vulnerable to depression, institutionalized older adults. The limitations of the work are discussed, and future lines of research were considered.
Full Text Available Background. This work examines the relationship between emotional intelligence (EI and depressive symptomatology in institutionalized older adults, delving into the mechanisms underlying this relationship. Considering that previous evidence of the variation of the EI-depression relationship depending on whether the emotional ability or the perception of that ability is evaluated, a model of multiple mediation was tested in which the dimensions of emotional self-efficacy (ESE act as mediators in the relationship between ability EI and depressive symptomatology. Methods. The sample consisted of 115 institutionalized older adults (47.82% women; 80.3 ± 7.9 years of age from the province of Jaén (Spain who completed a test of ESE, a measure of ability EI, and a self-administered questionnaire of depressive symptoms. Results. The results showed a positive association between older adults’ emotional performance and depressive symptomatology, finding stronger associations with ESE than with EI abilities. In addition, multiple mediation analyses showed that two of the four dimensions of ESE fully mediated the relationship between ability EI and depressive symptoms. Discussion. These findings suggest that older adults’ high levels of emotional competence generate a feeling of ESE which can protect them against depressive symptoms. This work supports the predictive validity of emotional abilities and ESE for the mental health of a group that is particularly vulnerable to depression, institutionalized older adults. The limitations of the work are discussed, and future lines of research were considered.
... Early Childhood Development, Teaching, and Learning The Frank Porter Graham Child Development Institute will partner with Zero ... Children with Disabilities October 12, 2016 More Frank Porter Graham Child Development Institute The University of North ...
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Healthy teeth are important to your child's overall health. From the time your child is born, there are things you can do to promote healthy teeth and prevent cavities. For babies, you should clean ...
Kasim, M S; Abraham, S
Even though Malaysia is a relatively prosperous country amongst the developing nations, it is still be set by problems of a rapidly increasing population. The economic cake is also unevenly distributed and there are pockets of poverty in the slums surrounding the towns as well as in the rural areas. Added to that is the problem of ignorance and superstition especially amongst its adult population. It is due to these problems that the Child-to-Child programme has found special application in Malaysia. The Child-to-Child has been introduced through either the government agencies or the voluntary organizations. Through the Ministry of Education, the concept has found its ways through the schools and the state department of education. The Ministry of Information and Broadcasting has also introduced the concept of Child-to-Child in the media. The voluntary organizations have also introduced the concept of Child-to-Child in their projects. The Sang Kancil project has to some extent used the idea in the running of its activities. The Health and Nutrition Education House have found that by applying the concept and using older children to help in running its activities, its over all objective which is the improvement of the health of the children in the slums could be reached more easily.
Herbst, Chris M.; Tekin, Erdal
Child care subsidies are an important part of federal and state efforts to move welfare recipients into employment. One of the criticisms of the current subsidy system, however, is that it overemphasizes work and does little to encourage parents to purchase high-quality child care. Consequently, there are reasons to be concerned about the…
Chen, Wen-Hao; Corak, Miles
This article offers a cross-country overview of child poverty, changes in child poverty, and the impact of public policy in North America and Europe. Levels and changes in child poverty rates in 12 Organisation for Economic Co-operation and Development (OECD) countries during the 1990s are documented using data from the Luxembourg Income Study project, and a decomposition analysis is used to uncover the relative role of demographic factors, labor markets, and income transfers from the state in determining the magnitude and direction of the changes. Child poverty rates fell noticeably in only three countries and rose in three others. In no country were demographic factors a force for higher child poverty rates, but these factors were also limited in their ability to cushion children from adverse shocks originating in the labor market or the government sector. Increases in the labor market engagement of mothers consistently lowered child poverty rates, while decreases in the employment rates and earnings of fathers were a force for higher rates. Finally, there is no single road to lower child poverty rates. Reforms to income transfers intended to increase labor supply may or may not end up lowering the child poverty rate.
Alberto Carlos CRUZ GONZALEZ
Full Text Available Abstract The aim of this study was to compare the clinical performance of root caries restorations after a six-month period using two methods, a conventional technique with rotary instruments and an atraumatic restorative technique (ART, in an institutionalized elderly population in the city of Bogotá, Colombia. Root caries represents a multifactorial, progressive, chronic lesion with softened, irregular and darkened tissue involving the radicular surface; it is highly prevalent in the elderly, especially in those who are physically or cognitively impaired. A quasi-experimental, double-blind, longitudinal study was carried out after cluster randomization of the sample. Two different experienced dentists, previously trained, performed the restorations using each technique. After six months, two new investigators performed a blind evaluation of the condition of the restorations. The results showed a significantly higher rate of success (92.9% using the conventional technique (p < 0.03. However, we concluded that ART may have been the preferred technique in the study population because 81% of those restorations survived or were successful during the observation period.
Full Text Available Background: Sufficient level of physical activity may promote overall and mental health of old people. This study was carried out to investigate the practicability of a physical activity promotion initiative amongst institutionalized older people in Tabriz, Iran. Methods: Purposive sampling method was used in this semi-experimental study to recruit 31 older people living in a selected residential care in Tabriz. Moderate-intensity aerobic and muscle-strengthening activity was planned for those who had not severe baseline cognitive impairment or were not too frail to undertake the survey. The General Health Questionnaire (GHQ-28 was used to measure mental health status before and after intervention through a face-to-face interview. Descriptive statistics, Wilkcoxon rank-sum, Mann–Whitney U and Chi-Square tests were employed to analyses the data. Results: The applied intervention was significantly improved status of physical health, anxiety and insomnia, social dysfunction and severe depression. Conclusion: Incorporation of physical activity promotion programs into routines of older people residential care homes in Iran is feasible but may need training of physical activity specialists to work with older people based on their physical endurance and limitations.
S Sabiha Shaheen
Settings and Design: A cross-sectional study was performed to determine the oral health status and treatment needs among elderly people. Materials and Methods: In order to assess the oral health status and treatment needs, the clinical assessment of oral mucosa, community periodontal index, loss of attachment, dentition status and treatment need, prosthetic status and prosthetic need was recorded based on a modified World Health Organization 1997 proforma. Statistical Analysis Used: Multi-group analysis was done using analysis of variance. P < 0.05 was considered statistically significant. Results: Of the 812 inmates, 431 (64.0% of the study participants had oral mucosal lesions. In terms of periodontal status, all sextants were excluded (Code "X" in 324 (39.9% subjects. Out of dentate population, a majority of the inmates (219; 27.0% presented with deep pockets (Code "4" followed by shallow pockets (Code "3" - 183; 22.5%. The majority of the subjects had no prosthesis in the upper arch (85.0% and lower arch (86.6%. Conclusion: The study demonstrated poor oral health among institutionalized elderly inmates. Oral mucosal lesions were found to be higher and periodontal status was also poor amongst the study population.
Full Text Available The analysis of the institutionalization of palliative care trends in contemporary Russian is given by the authors in the methodological plane of the system of social and structural functions (AGIL, proposed by Talcott Parsons. The medicalization of palliative care in Russia is considered by the authors from the perspective of the dysfunctional practices. It is noted that the legislative documents adopted in Russia define palliative care as palliative medical care. The organization of palliative care in Russia takes place simultaneously with the improvement of legal acts, which significantly slows down the process of becoming of palliative care to population and predetermines the limit of its availability. The principle of an integrative approach to the organization of palliative care was not reflected in the process of formation of the normative base. The interdisciplinary view on the organization of palliative care and increase of its availability will allow to verify and to overcome the dysfunctions in the organization of palliative care to the population.
Szabó, Rita; Böröcz, Karolina
As a result of the age-related changes, more elders live in long-term care facilities (LTCFs). Due to their susceptibility, infections and excess use of antimicrobials are common. The aim was to estimate the burden of infections and antimicrobial use in Hungarian LTCFs in order to increase the attention given to the prevention. European-wide point prevalence survey was conducted between April and May 2013. For each resident who had a signs and symptoms of an infection and/or treated with an antibacterial for systemic use a resident questionnaire was completed. Descriptive statistics were used to present the data. In total, 91 LTCFs with 11,823 residents were selected in this survey. The 252 residents had a sign/symptom of an infection (2.1%) and 156 received antimicrobial (1.3%). Skin and soft tissues (36.5%) was the most frequent infection. However, antimicrobials were mostly prescribed for respiratory tract infections (40.4%). The most common therapeutic antimicrobial agent (97.5%) belonged to the quinolone antibacterials (34.2%). Our results emphasise the need for targeted improvement of antimicrobial use including: reducing the use of quinolone antibacterials in order to prevent the spread of Clostridium difficile and other antimicrobial resistant microorganisms among institutionalized residents.
Full Text Available The family businesses constitute the base of global economies. They provide contributions to economy and sectors with their assets and activities. Their reaching to plan, program and objectives occur through the sharing of experience, knowledge and accumulation. Their adaptation to domestic and global markets is the characteristic separating the definition, family businesses from other businesses. In this study, the advantages and disadvantages of this situation, management forms, institutionalism concept and its stages and elements of institutionalism, institutionalism stages in family businesses, problems preventing institutionalism, institutionalism of family relations that family constitution, board of directors, family council, inheritance plan, emergency situation plan and conflict management are explained and effects of family individuals over institutionalism, the general characteristics of institutionalized family businesses are defined and a practice regarding the issue of “Institutionalism of Family Relations”, which was performed in a family business through observation, conversation and interview, which was founded in Istanbul in year 1989 and carrying activities in textile sector over shirt, short and pant manufacturing were given place. Literature review regarding family business were performed in this study and the concepts and theoretical information related with the subject were explained and combining the theory and practice, knowledge accumulation and experience sharing through a practice performed through observation, conservation and interview made with the management of a family business were provided and they were explained in our study with an academic language.
Full Text Available The family businesses constitute the base of global economies. They provide contributions to economy and sectors with their assets and activities. Their reaching to plan, program and objectives occur through the sharing of experience, knowledge and accumulation. Their adaptation to domestic and global markets is the characteristic separating the definition, family businesses from other businesses. In this study, the advantages and disadvantages of this situation, management forms, institutionalism concept and its stages and elements of institutionalism, institutionalism stages in family businesses, problems preventing institutionalism, institutionalism of family relations that family constitution, board of directors, family council, inheritance plan, emergency situation plan and conflict management are explained and effects of family individuals over institutionalism, the general characteristics of institutionalized family businesses are defined and a practice regarding the issue of “Institutionalism of Family Relations”, which was performed in a family business through observation, conversation and interview, which was founded in Istanbul in year 1989 and carrying activities in textile sector over shirt, short and pant manufacturing were given place. Literature review regarding family business were performed in this study and the concepts and theoretical information related with the subject were explained and combining the theory and practice, knowledge accumulation and experience sharing through a practice performed through observation, conservation and interview made with the management of a family business were provided and they were explained in our study with an academic language.
Mickus, M A; Luz, C C
The role of social support in the health of older persons is well documented. This support is particularly important for isolated nursing home residents. The purpose of this study was to test the feasibility of using low-cost videophones to enhance communication between nursing home residents and their families. Ten pairs of residents and family members received videophones and engaged in regular televisits for six months. All participants completed brief survey instruments prior to and after the study period to determine the effects of the televisits on the frequency and quality of contacts. A post-study survey assessed ease and satisfaction with using videophones. Findings include identification of technical and design problems, possible solutions, factors affecting actual use of equipment, and conditions under which benefits of use may be optimal. Categories for estimating potential actual users are suggested. Importantly, the study demonstrates that videophones can be used successfully by a wide range of frail nursing home residents and can enhance social interactions, regardless of distance. Affordable videophone technology offers the potential for reduced isolation among institutionalized elders and others with distance and mobility barriers.
Chaffin, Brian C; Gunderson, Lance H
Adaptive governance provides the capacity for environmental managers and decision makers to confront variable degrees of uncertainty inherent to complex social-ecological systems. Current theoretical conceptualizations of adaptive governance represent a series of structures and processes best suited for either adapting or transforming existing environmental governance regimes towards forms flexible enough to confront rapid ecological change. As the number of empirical examples of adaptive governance described in the literature grows, the conceptual basis of adaptive governance remains largely under theorized. We argue that reconnecting adaptive governance with foundational concepts of ecological resilience-specifically Panarchy and the adaptive cycle of complex systems-highlights the importance of episodic disturbances and cross-scale interactions in triggering reorganizations in governance. By envisioning the processes of adaptive governance through the lens of Panarchy, scholars and practitioners alike will be better able to identify the emergence of adaptive governance, as well as take advantage of opportunities to institutionalize this type of governance in pursuit of sustainability outcomes. The synergistic analysis of adaptive governance and Panarchy can provide critical insight for analyzing the role of social dynamics during oscillating periods of stability and instability in social-ecological systems. A deeper understanding of the potential for cross-scale interactions to shape adaptive governance regimes may be useful as society faces the challenge of mitigating the impacts of global environmental change.
institutionalized schizophrenic elderly patients and compare groups according to years of education, disease duration and institutionalization. Methods: The Mini-Mental State Examination (MMSE and questionnaires for the evaluation of the disease duration and level of education were carried out in the 38 female institutionalized elderly patients with a diagnosis of schizophrenia according to DSM-IV criteria. Their medication use was assessed according to specific drug class and posology. Data was obtained from the patients' records and interview. The MMSE interviewers weren't aware of the patients' diagnoses, since all 38 patients were initially evaluated and only then the diagnostic procedures were performed. The mean and standard deviation were obtained for the whole group and their level of significance was determined by the t-test (0,05. Results: Mean age of subjects (n=38 was 69.42 ± 6.8 years old (min=60, max=82 and the mean disease duration was 40.36 ± 5.89 years (min=29, max-56. 18 patients were illiterate, 14 had 4 years of schooling and 6 had 4-8 years of education. The mean MMSE score was 12.15 ± 5.97 (min=0, max=28. Patients with more than 8 years of education (n=20 achieved a mean MMSE of 14.05 ± 5.97 (age = 70.15 ± 5.79 years old and disease duration = 40.36 ± 6.44 years, and illiterate patients (n=18, age = 68.61 ± 7.56, disease duration = 40.35 ± 5.20 years achieved a MMSE score of 10.05 ± 5.22. Comparing MMSE scores of groups according to years of formal education, age, and disease duration the only statistically significant difference was observed in the number of years of education (p<0.05. Conclusion: Elderly institutionalized schizophrenic patients had higher MMSE scores and cognitive performance than those living in institutions in the U.S. and United Kingdom as reported by the literature. Years of formal education have a positive influence on cognitive performance, ie., illiterate people have a poorer performance than patients who had low
Winningham, R G; Pike, N L
Nearly all older adults experience social losses, which can disrupt their social support networks and impair their quality of life. Events such as retirement, an inability to drive, death of a spouse and/or close life-long friends, or moving to an elder care facility may negatively affect the quality of older adults' social support networks. Low levels of perceived social support are associated with increased depression, impaired immune functioning and reduced life expectancy. Moreover, social interactions can be cognitively stimulating and may help older adults preserve their cognitive abilities. In the present study, institutionalized older adults were exposed to either a cognitive enhancement programme designed to enhance social networks or a control group. Measures of perceived social support and loneliness were administered before and after a 3-month, group-based intervention. There was a significant interaction between group and time. Those who did not participate in the intervention experienced a decrease in perceived social support and an increase in perceived loneliness. Participants in the intervention group stayed the same on the above measures. Helping older adults increase or maintain the quality of their social networks may lead to enhanced cognitive functioning, decreased depression and improved quality of life. Recommendations to help assisted living facilities, nursing homes, retirement communities and senior centres develop social and cognitive interventions are provided.
Burgener, S C; Jirovec, M; Murrell, L; Barton, D
This study describes the relationship between caregiver and elder behavior in institutionalized, cognitively impaired, elderly persons. A repeated-measures design was used to observe interactive behaviors between caregivers and demented elders within three caregiving situations (dressing, toileting, and bathing) and an interpersonal contact in two long-term care facilities. During observations, the caregiver's behaviors were rated using the Interaction Behavior Measure and Health Professional's-Geriatric Patient Behavior Rating scale, whereas the elder's behaviors were rated using a modified version of the Interaction Behavior Measure. The study included 116 subjects (58 elders and 58 caregivers), with each unique caregiver/elder pair being observed in the four situations. All elder behaviors varied according to situation type, with the most difficult elder behaviors occurring during bathing. Ten of the 12 caregiver behaviors included in the analysis varied by situation type. Significant relationships were systematically found between the caregiver's relaxed and smiling behavior and the elder's calm/functional behaviors, r = .42 (dressing) to r = .46 (toileting) for caregiver relaxed behavior and r = .34 (bathing) to r = .58 (dressing) for smiling. The elder's behavior did not vary by type of nursing unit (special dementia unit or general nursing unit), or interruptions to the interaction.
Daniela Tavares Gontijo
Full Text Available Objective: To describe the socio-demographic profile and factors related to the institutionalization of children and adolescents received in the District of Uberaba in 2009. Methods: Descriptive, documental, retrospective study, which included all children and adolescents who have been housed, by judicial decision, in the District of Uberaba-MG, Brazil, in 2009. Data collected from the judicial proceedings was analyzed using descriptive statistics. Results: Of 169 children and adolescents received in 2009, 82 (51.47% were female. Ages between 4 and 6 (33 - 19.53% and between 13 to 15 (30 - 17.75% were the most prevalent age groups. Among school-age children, only 41(24.26% had education level appropriate to age. In 109 (65.08% of cases, the father figure was not identified as present within the family composition. The main reasons for institutional sheltering were negligence, socio-economic conditions of the family, use of alcohol and drugs by those responsible, abuse, abandonment, physical violence and sexual violence. Conclusions: Data point to the process of social vulnerability experienced by families, which raises the articulation and strengthening of policies and intersectoral actions, with active partipation of the society, seeking the promotion of better living and health conditions for children and adolescents.
Full Text Available BACKGROUND AND OBJECTIVES : Psychiatric patients are one of the special groups requiring attention as they are often neglected. Oral health is an major determinant of general health for psychiatric patients and may have a low priority in the context of mental illness. The present study was conducted to assess the oral health status and treatment needs of institutionalized psychiatric patients of Davangere. METHODS : 220 psychiatric patients admitted in two general hospitals of Davangere during the period of one year were included in the study. The oral health status was evaluated with respect to caries, oral hygiene, and periodontal status. RESULTS : Of the 180 examined with the response rate of 81.8%. 58.3% were males, mean age was 36.7 years, 57.8% had < 1 year of mental illness with a mean of 2.2 years, and 90% were self-sufficient. The multiple logistic regression analysis showed that the mean DMFT (0.92 increased with age, duration of mental illness, and irregularity of oral hygiene habits (P<0.001. Mean OHI-S score was 3.3 and multiple logistic regression analysis showed that the mean OHI-S score increased with age (P<0.001. The multiple logistic regression analysis showed that the CPI score increased with age, duration of mental illness, and degree of helplessness (P<0.001. INTERPRETATION AND CONCLUSION : The findings of this study demonstrates low caries prevalence, poor oral hygiene, and extensive unmet needs for dental treatment.
Waisman, Carlos H.
Full Text Available The purpose of this article is to analyze the varieties of Capitalism that emerged in Latin America and Central-Eastern Europe since 1980 as instances of institutional transfer. The article considers the possibility that Capitalism, as occurs with democracy, is a complex institutional package rather than and elemental institution. Some of its’ components travel faster than others through hybrid forms. These, rather than being instances of imperfect transplantation, or intermediate stages in a process of successful transfer, represent new frameworks, with potential for institutionalization.
El propósito de este artículo es analizar las variedades de Capitalismo que emergieron en Latinoamérica y la Europa Central del Este desde 1980 como ejemplos de transferencia institucional. En el artículo considero la posibilidad de que el capitalismo, al igual que la democracia, es un complejo paquete institucional antes que una institución elemental. Algunos de sus componentes viajan más rápido que otros a través de formas híbridas, constituyendo, por tanto, nuevas perspectivas con potencial suficiente para ser institucionalizadas.
Lílian Varanda Pereira
Full Text Available AbstractOBJECTIVECorrelating two unidimensional scales for measurement of self-reported pain intensity for elderly and identifying a preference for one of the scales.METHODA study conducted with 101 elderly people living in Nursing Home who reported any pain and reached ( 13 the scores on the Mini-Mental State Examination. A Numeric Rating Scale - (NRS of 11 points and a Verbal Descriptor Scale (VDS of five points were compared in three evaluations: overall, at rest and during movement.RESULTSWomen were more representative (61.4% and the average age was 77.0±9.1 years. NRS was completed by 94.8% of the elderly while VDS by 100%. The association between the mean scores of NRS with the categories of VDS was significant, indicating convergent validity and a similar metric between the scales.CONCLUSIONPain measurements among institutionalized elderly can be made by NRS and VDS; however, the preferred scale for the elderly was the VDS, regardless of gender.
Gomes, Erika Carla Cavalcanti; Marques, Ana Paula de Oliveira; Leal, Márcia Carréra Campos; Barros, Benvinda Pereira de
The scope of this research is to identify the major risk factors associated with accidental falls among the elderly. It involves an integrative review of the literature between 2002 and 2012 in English and Portuguese. The selection of articles was based on the following key words in the Lilacs, Medline and BDENF databases: accidental falls, homes for the elderly and health services. In the final sample 19 articles were selected, of which 11 were national and 8 were international. They indicate that the major factors related to the risk of accidental falls in Homes for the Elderly are: being female, being diagnosed with chronic disease, treatment with benzodiazepine, earlier cases of accident falls, and mobility restriction. The research reveals that architectonic and furniture inadequacies in Homes for the Elderly may be predisposing factors for accidental falls. Analysis of the articles reveals the need for further longitudinal studies and, consequently, enhanced monitoring of the conditions of the functional capacity of the elderly, especially the risks related to falls, considered one of the leading causes of death among institutionalized elderly individuals.
... the number of shots a child receives. The Vaccines Your Child Needs The following vaccinations and schedules are recommended ... are developed. Your doctor will determine the best vaccinations and schedule for your child. Recommended vaccinations: Chickenpox (varicella) vaccine Diphtheria, tetanus, and ...
Baumgartner, Jennifer J.; Buchanan, Teresa
In using developmentally appropriate practices, teachers should intentionally address all aspects of a child's being, the spiritual along with the physical and the cognitive. Because spirituality is a vital part of human nature, a whole-child teaching approach must include the part of the child some call spirituality. Many have attempted to…
Duval County School Board, Jacksonville, FL.
A companion document to the curriculum guide for a secondary level child care services curriculum, this handbook contains a variety of administrative and program resources for the teacher: The vocational curriculum outline for child care services; a calendar of suggested public relations activities; procedures for building child care services…
The fostering of an autistic child deemed to be a child at risk leads one to question one's professional practices. In a children's home, an approach guided by psychoanalysis can recognise the benefits of behavioural or cognitive approaches. The aim of the professional's particular educational position is therefore to construct a relationship with each child.
In many instances, child labor is a way to exploit the cheap labor a child has to offer. Although in many situations, the exploitation of child labor is not normally the case, such as families living in a developing country. What individuals raised in Western cultures fail to realize is that in some nations and for some families, child labor is a necessary resource to survive, children act as an exceptional resource in these situations. Without the extra income a child could make working in t...
Phinney, R; Evans, J
Older children commonly care for their younger siblings while parents work to provide for the household. Through play, dance, and talk, children tend to interact with each other more intensely than do adults. In so doing, messages and awareness are exchanged more effectively. Child-to-Child is an active, child-centered learning approach which aims to capitalize on this phenomenon by training older siblings to be effective communicators. This approach has been formally practiced in over 70 countries since 1979. Child-to-Child encourages children to learn the meaning and importance of health messages on their own. Children will then be most likely to retain and communicate information throughout the family, to neighbors, and to the general community. No blueprint exists, however, on which program planners may base the design of new programs. Programs should instead be adapted by those living within the community and culture to fit local needs and circumstances. Nonetheless, the Aga Khan Foundation supported the study of 7 highly different Child-to-Child projects over 3 years in India to obtain some sense of which program elements are successful and potentially useful in other settings. The study revealed that all of the programs helped increase the health knowledge of children and teachers. Little information was obtained on the extent to which information was diffused by children within the community. Overall, the study produced the following results: planners should consider using Child-to-Child projects in schools; teacher training should be made a priority; administrative support should be provided; entire staffs should be made to feel involved in the decision making process; obstacles to changing teaching methods should not be underestimated; teaching materials should be locally made; projects should be integrated into official curricula; program topics should be relevant to local realities; respected authorities should be called upon to reinforce the validity
As part of the Government of Nigeria's goal of providing universal child immunization, a strategy was developed to strengthen the production capacity of the Nigerian Television Authority (NTA) and to award higher priority to health issues in NTA programming. At the national level, a child survival-oriented training, coordination, and production unit was established to produce "spot messages" on primary health care. In 1985-86, radio and television staff from all Nigerian states attended workshops at which Ministry of Health officials outlined Nigeria's maternal-child health problems and emphasized the potential of the broadcast media in health education. Each station was linked with an officer in the local Ministry of Health to ensure ongoing collaboration on technical problems and health programs in need of promotion. Another set of state-level workshops brought together media producers and radio and television writers to encourage them to integrate primary health care themes into their programs. In addition, a Nigerian nongovernmental organization has organized workshops for electronic media writers and producers aimed at incorporating family planning themes into several popular television programs. In 1986, both NTA and the Federal Radio Corporation of Nigeria signed agreements further committing their networks to the child survival campaign. The Nigerian experience exemplifies the potential for creating and institutionalizing long-term efforts to use the mass media to bring new information to the general population on health-related issues. Needed at this point is more knowledge about specific communication strategies that are most effective in promoting sustainable behavioral change on the family and community levels in a country with much social and cultural diversity.
Yamagata, Momoko; Ikezoe, Tome; Kamiya, Midori; Masaki, Mitsuhiro; Ichihashi, Noriaki
Purpose Sample entropy (SampEn) is an analysis to evaluate movement complexity of the center of pressure (COP). A lower value of SampEn indicates lower complexity of COP variability, that is, rigidity, and lower degrees of freedom. Previous studies reported the association of increased SampEn with improved standing balance ability in young subjects. However, no studies have examined these relationships among older adults. Thus, we aimed to investigate the relationship between SampEn and standing balance ability in older adults. Subjects and methods The subjects were 33 institutionalized older adults (aged 82.2±6.5 years). COP during static standing was measured. The standard deviation (SD) values of COP and SampEn in the sagittal and frontal planes were calculated using time series data. One-leg standing test (OLST), functional reach (FR) test, and lateral reach (LR) test were also measured to evaluate standing balance ability. Results OLST, FR, and LR were 6.5±8.3 s, 19.8±5.9 cm, and 18.2±6.4 cm, respectively. Pearson correlation analysis revealed that SampEn in the sagittal plane significantly correlated with OLST (r=−0.35) and FR (r=−0.36). However, SampEn in the frontal plane and SD of COP in both sagittal and frontal planes had no relationship with any of the clinical balance tests. Conclusion Lower SampEn implies rigidity for postural control. In the present study, it was found that lower SampEn in the sagittal plane was related to a higher balance function, which suggests that older adults utilized body rigidity to maintain postural stability as a compensative strategy.
Savescu Roxana Florenta
Full Text Available As they mature, microcredit organizations in Romania are becoming aware of the importance of marketing in their current activities. Although marketing interventions should be considered important on all types of markets, the reality is that micro-credit companies in Romania have a limited institutional capacity to develop and implement marketing programs. This implies that marketing efforts should be focused and marketing needs should be prioritized, according to the appropriate level of market development (developing markets, growth markets and mature markets. The paper presents the results of an exploratory marketing research study regarding the marketing activity performed by microfinance institutions in Romania. The purpose of the research was to identify courses of action to institutionalize marketing research in the current activity of the subjects analyzed. It has been our intention to give a very practical dimension to the recommendations regarding the marketing information useful for microcredit organizations and categories of marketing research needing to be conducted regularly, making them applicable within the specific Romanian environment. Given the fact that on a national level scientific concerns about microfinance in Romania, in general or about marketing in the field of microfinance in particular are almost nonexistent, this thesis can be regarded as an innovation. This conclusion comes both from the investigation of existing literature and from the author's interviews with managers of microfinance institutions who have argued that this was the first time when Romanian academic institutions got interested in this sector. Potential beneficiaries of the results of this study are: managers of microcredit organizations interested in the development and sustainability of the institutions they manage; various national and international organizations interested in designing technical assistance programs in the areas identified as being
Full Text Available This article addresses the importance of institutionalized practices when social media are introduced as collective platforms for the workplace and why the great engagement envisioned for these tools has yet to be realized in organizational settings. Innovation, in this article, points to practices that individuals perceive as new. Innovation thus also concerns social changes: the introduction of new practices to be employed by individuals within social structures. The dynamics in the workplace and in distributed networks (e.g. Wikipedia are compared and found to operate with different social structures, with different practices at play, yet collective and engaging actions are expected from employees with the introduction of social platforms. The nature of our notion of work in the workplace is colored by organization and measurement in time and money derived from a capitalistic paradigm, yet drivers at play in distributed networks are not measured in quantitative terms (time and money, but on quality (good work, strong reputation, high social status, and so forth. The article points to findings from a comprehensive qualitative case study of knowledge workers employed in a knowledge-intensive organization in twenty-three countries in Europe, North Africa, and the Middle East. Twenty-seven in-depth interviews and field studies of professional knowledge-workers in Norway, Denmark, UK and Morocco was conducted during 2011, with follow-up interviews of eight of the participants from Morocco and Norway after one year. Many of the employees in our study explain that the company’s social platform becomes just another thing to track amidst in an already hectic workday where individual drivers triumph over collective priorities.
Béhague, Dominique Pareja
Since the fall of the Brazilian military dictatorship in 1984, a number of structural and ideological changes associated with demilitarization and democracy have changed the face of psychiatric theory and practice. Around the country, pockets of innovative, politically sensitive and Marxist-inspired community-based forms of "psi" practice are developing. This emergent psi movement is making a range of positive contributions to the lives of average citizens, including those of poor disenfranchized youth. This paper, however, explores one particular dimension of the work of psi practitioners that has proven antithetical to the psi community's current politicized community-based aims. Based on qualitative and quantitative longitudinal ethnographic fieldwork with therapists and young men in Pelotas, this paper analyzes how certain kinds of psi interventions being carried out in schools for a subset of lower-class young men during their early teen years are encouraging some youth to seek military training as a life option. Although these young men initially had quite captivating, engaged and politicized-if also conflicting-interactions with therapists, their eventual disillusionment with their therapeutic and scholastic experiences resulted in high levels of social alienation and de-politicization. In these young men's search for what can best be described as formulaic solutions to troubling psychological experiences associated with a tumultuous institutionalized transition to adulthood, military training came to represent a form of self-cultivation and self-therapy. Several youth also hoped military training would enable them to actively disengage with local political processes and find shelter from troubling social inequities and injustice. The paper ends by reviewing the implications of these results for the future of psi knowledge and practice in Brazil.
Loman, Michelle M.; Johnson, Anna E.; Quevedo, Karina; Lafavor, Theresa L.; Gunnar, Megan R.
Background Youth with histories of institutional/orphanage care are at increased risk for externalizing and internalizing problems during childhood and adolescence. Although these problems have been well described, the related adolescent behaviors of risk-taking and sensation seeking have not yet been explored in this population. This study examined risk-taking and sensation seeking propensity, and associations with conduct problems and depressive symptoms, in early adolescents who were adopted as young children from institutional care. Methods Risk-taking and sensation seeking propensities of 12- and 13-year-old post-institutionalized (PI; n=54) adolescents were compared to two groups: youth internationally adopted early from foster care (PFC; n=44) and non-adopted youth (NA; n=58). Participants were recruited to equally represent pre/early- and mid/late-pubertal stages within each group. Participants completed the youth version of the Balloon Analogue Risk Task (Lejuez et al., 2007) and the Sensation Seeking Scale for Children (Russo et al., 1991). Parents completed clinical ratings of participants’ conduct problems and depressive symptoms. Results PI adolescents demonstrated lower risk-taking than PFC and NA peers. Pre/early-pubertal PI youth showed lower sensation seeking, while mid/late pubertal PI youth did not differ in from other groups. PI adolescents had higher levels of conduct problems but did not differ from the other youth in depressive symptoms. In PI youth only, conduct problems were negatively correlated with risk-taking and positively correlated with sensation seeking, while depressive symptoms were negatively correlated with both risk-taking and sensation seeking. Conclusions Early institutional care is associated with less risk-taking and sensation seeking during adolescence. The deprived environment of an institution likely contributes to PI youth having a preference for safe choices, which may only be partially reversed with puberty. Whether
Choi, Ji Young; Dobbs-Oates, Jennifer
This study investigates potential predictors of teacher-child relationships (i.e., closeness and conflict) focusing on child gender, teacher-child ethnicity match, and teacher education. Additionally, the study explores the possible moderation effect of teacher education on the associations between teacher-child relationships and child gender or…
Rendtorff, Jacob Dahl
This paper reconstructs the argument of Axel Honneth's recent book Das Recht der Freiheit as a theory of the institutionalization of freedom in modern society. In particular, it looks at Honneth's argument for the realization of freedom in law and morality that is proposed as a contemporary re......-interpretation of Hegel's Philosophy of Right. Then I discuss Honneth's argument for the reality of freedom in the ethical spheres of civil society, in particular in the family, the market and in democracy. Finally, the paper proposes some critical remarks to Honneth's theory....
Kruse, Alexandra Y; Høgh, Birthe
International child health has improved. Better healthcare strategies, like IMCI, have contributed implementing basic interventions: vaccinations, nutrition supplement, oral rehydration and antibiotics. But 11 million children still die every year before they turn five, most from infectious...... diseases and neonatal complications, over half associated with malnutrition. Conditions we could prevent and treat. One of UN's Millennium Development Goals is to reduce child mortality. However child health is more than mortality and morbidity indicators, it includes growth and development. Udgivelsesdato...
Le Berre, Melanie; Apap, David; Babcock, Jade; Bray, Sarah; Gareau, Esther; Chassé, Kathleen; Lévesque, Nicole; Robbins, Shawn M
Current sit-to-stand protocols do not permit use of upper extremities, limiting the protocols' utility for institutionalized older adults with diminished physical function. The objective of this study was to modify a 30-s sit-to-stand protocol to allow for arm use and to examine test-retest reliability and convergent validity; 54 institutionalized older adult men (age = 91 ± 3 year) performed the 30-s sit-to-stand twice within a span of 3 to 7 days. Results suggest good test-retest reliability (intraclass correlation coefficient = .84) and convergent validity with the Timed Up and Go Test (r = -.62). This modified 30-s sit-to-stand can be used to assess physical function performance in institutionalized older adults and will ensure that individuals with lower physical function capacity can complete the test, thus eliminating the floor effect demonstrated with other sit-to-stand protocols.
Clara Inés Carreño
Full Text Available This research is a contribution to the understanding of childhood andthe child maltreatment within the framework of the state of the art of the knowledge produced in the experiences of research / intervention carried out under the Specialization Program on Child Maltreatment Prevention of Javeriana University, between 2002 to 2006. The article recreates the outstanding of this concern in Colombia, offers reinterpretations to the speech built and poses some bases to analyze the child maltreatment from the perspective of the adult-child relationships.
Full Text Available Protein-energy malnutrition (PEM is a common finding in hospitalized or institutionalized elderly people. In the literature, PEM is not mentioned as being related to individual ability of the patient to feed him or herself correctly. This study analyzed the 56 patients of a nursing home divided into two groups: self-sufficient and non self-sufficient regarding feeding. Levels of serum albumin, transferrin, prealbumin and hemoglobin (Hb were examined and compared to body mass index (BMI calculated with bioelectrical impedance analysis. Fifty-three percent of patients were self-sufficient, while 47% were not self-sufficient for feeding of which 83.3% were women and 16.7% men. Levels below the average range were 49.1% for lymphocyte count, 52.9% for serum albumin, 13.7% for serum transferrin and 52.9% for serum prealbumin. No significant differences were found in terms of patient age, while the mean values of the parameters examined in the two groups, self-sufficient and not, were lower in the patients who were not self-sufficient, even if statistical significance was not reached. Serum albumin was in inverse proportion to age (P<0.05 and 46.1% of individuals with low levels of transferrin also showed low levels of Hb. Anemia was in direct proportion (P<0.05 to age. Measurement of BMI showed values below 22.5 (cut off for risk for malnutrition in 33.4% of the subjects examined. Of the three hematochemical parameters, analysis of a possible relationship with BMI showed only a significant and directly proportional correlation with prealbumin (P<0.05%. These data should be considered in the context of an epidemiological research study carried out in a conditioned and limited environment, where PEM, detected using hematochemical parameters, amounted to 50% of the patients, whereas BMI identified only approximately one-third of patients at risk of malnutrition. There were no statistically significant differences between men and women. Mean values of the
Full Text Available This article explores the phenomenon of foreign policy think tanks in Europe in a comparative perspective and offers a framework of analysis for this topic. Assuming that think tanks were largely imported from the US after World Wars I and II, the article argues that European think tanks have been influenced by the different national political contexts in which they have undergone a process of institutionalization. First, the article hypothesizes that such contexts have contributed to determining different incentives for cooperation between think tanks and national policymakers. Such cooperation is based on the willingness of policymakers to turn to think tanks for expertise, advice or validation of policy decisions. Secondly, different political contexts are expected to influence the strategies of action that think tanks have developed towards policymakers and their audience. In this respect, the article identifies three strategies: the generalist, the advocate and the lobbyist. Empirically, the article is based on a survey of eleven organizations conducted in two countries, Italy and the United Kingdom, in 2013-14. Given that very few data are available on this type of organization, their activities, funding, policy audience and goals are investigated. These indicators are used to investigate the main commonalities and differences between the two cases and to compare them with the hypotheses. The results first show that there is comparatively more funding available for think tanks in the UK system than in the Italian one. Secondly, there is apparently more willingness from policymakers to turn to think tanks for expertise in the former case, considering that the UK think tanks hold a higher number of closed-door events and parliamentary hearings. On the contrary, where policymakers tend, instead, to more scarcely rely on external expertise - as it seems more evident in the Italian case - the core audience of think tanks tends to shift to other
Child Abuse or Osteogenesis Imperfecta? 804 W. Diamond Ave., Ste. 210 Gaithersburg, MD 20878 (800) 981-2663 (301) ... welfare services to report a suspected case of child abuse. The child is taken away from the parents ...
... to 2-Year-Old Talking to Your Child's Doctor KidsHealth > For Parents > Talking to Your Child's Doctor ... an important role in your child's health? The Doctor-Patient Relationship Today, doctors are pressured to see ...
... or neglect, call 911. Call the Childhelp National Child Abuse Hotline (1-800-4-A-CHILD). Know that ... can/identifying/. Accessed November 21, 2014. Read More Child abuse - physical Review Date 11/20/2014 Updated by: ...
Rettew, David C.
Wellness and happiness should be considered in the clinical treatment of child and adolescent psychiatry, in addition with thinking about illness. Meanwhile, various studies on child and adolescent psychiatry,which includes an article from the "Journal of Happiness Studies," are discussed.
The probity of the Children's Bureau's National Child Welfare Workforce Institute (NCWWI) is examined with respect to the status of child welfare as well as the performance of social work education. By requiring that funding go only to accredited schools of social work, which is not authorized by relevant provisions of the Social Security Act,…
Walla Walla Coll., WA.
Recognizing the need for trained teachers to enter the classroom with confidence and professional capacity, Walla Walla College introduced a Child Psychology Experience program. Personnel from several departments contribute to this program. In connection with the child psychology courses, the project features a laboratory/demonstration center…
Chafel, Judith A., Ed.
This collection documents how far we still are in the United States from putting our knowledge about child well being and policy into practice. It provides an overview of the changing nature of child poverty in the United States through the contributions of authors who use a number of qualitative and quantitative approaches to look at children in…
Houlgate, Laurence D.
Examines ethical issues in making policy decisions regarding divorce child custody disputes. Suggests dilemma occurs when legislator must decide between discretionary standard promoting best interest of child and nondiscretionary arbitrary assignment of custody. Advocates normative analysis of various types of dispute-settling processes and…
António Palma Seman
Full Text Available OBJETIVO: Analisar a prevalência, causas e evolução da hipotermia acidental em idosos institucionalizados. MÉTODOS: Estudo prospectivo realizado entre janeiro e dezembro de 2004, no Hospital Geriátrico e de Convalescentes D. Pedro II, com 483 internos. Hipotermia foi confirmada por termômetro esofágico, utilizado em todos os pacientes com temperatura axilar menor ou igual a 35ºC (95ºF. Tanto o diagnóstico etiológico quanto as complicações da hipotermia foram observados em exames clínico e subsidiários de urgência como eletrocardiograma, radiografia de tórax, hemograma, gasometria arterial, glicemia, metabólitos, amilase, função hepática e renal, sorologias para HIV, sífilis e hepatite B e urina tipo I. Foram adotadas medidas de reaquecimento entre outras do protocolo de tratamento. RESULTADOS: A prevalência de hipotermia foi de 7,2% especialmente em mulheres (65,7%, e a média de idade do grupo foi 76,4 anos. A maioria dos pacientes (77,1% apresentava elevado grau de dependência (Katz "F" e "G". Hipotermia leve foi identificada na maioria dos idosos (71,4%. A taxa de mortalidade foi de 62,8%, sendo 31,4% em vigência de hipotermia e 31,4% após sua reversão. Em 100,0% dos casos, a etiologia foi infecciosa: pneumonia em 80%, infecção urinária em 60,0%, e úlceras por pressão em 17,1%. Em 60% dos casos havia mais de um foco infeccioso. CONCLUSÃO: A hipotermia em idosos institucionalizados é uma grave condição clínica, com altos índices de mortalidade. A prevenção, o diagnóstico precoce e medidas de reaquecimento central corroboram para um melhor prognóstico.OBJECTIVE: To analyze the prevalence, causes and outcome of hypothermia in institutionalized elderly. METHODS: prospective study held from January to December, 2004 at the Hospital Geriátrico e de Convalescentes Dom Pedro II (Geriatric and Convalescent Hospital Dom Pedro II, with 483 long-term care beds. Hypothermia was diagnosed by esophageal thermometer
Child prostitution is an old, global and complex phenomenon, which deprives children of their childhood, human rights and dignity. Child prostitution can be seen as the commercial sexual exploitation of children involving an element of forced labour, and thus can be considered as a contemporary form of slavery. Globally, child prostitution is reported to be a common problem in Central and South America and Asia. Of all the south-east Asian nations, the problem is most prolific in Thailand. In Thailand, there appears to be a long history of child prostitution, and this article explores the factors that underpin the Thai child sex industry and the lessons and implications that can be drawn for health care and nursing around the world.
Oscar Rose Junior Coll., Midwest City, OK.
The purpose of this Child Development Associate (CDA) training module, one of a series of 18, is to help the CDA intern understand the factors and principles which affect the total growth and development of children. Early sections of the module stipulate the module's competency-based objectives, define terms, and suggest procedures by which…
Singhi, Pratibha; Saini, Arushi Gahlot; Malhi, Prabhjot
Child maltreatment is a global problem but is more difficult to assess and manage in developing countries such as India where one-fifth of the world's total child population resides. Certain forms of maltreatment such as feticide, infanticide, abandonment, child labour, street-begging, corporal punishment and battered babies are particularly prevalent in India. Most physicians still need to be sensitized in order to suspect child abuse on the basis of unexplained trauma, multiple fractures, parental conflict and other corroborative evidence. This article summarizes the various aspects of this major problem in resource-poor settings in the hope that it will assist in the planning of services addressing child physical and sexual abuse and neglect in India and in other developing countries. A culture of non-violence towards children needs to be built into communities in order to provide an environment conducive to the overall development of the child. Rehabilitation of abused children and their families requires a multi-disciplinary service including paediatricians, child psychologists and social workers, and the training of police forces in how to tackle the problem.
Bossers, Willem J R; Scherder, Erik J A; Boersma, Froukje; Hortobágyi, Tibor; van der Woude, Lucas H V; van Heuvelen, Marieke J G
Objectives: We examined the feasibility of a combined aerobic and strength training program in institutionalized dementia patients and studied the effects on cognitive and physical function. Methods: Thirty-three patients with dementia, recruited from one nursing home, participated in this non-rando
Eschenfelder, Kristin R.; Tsai, Tien-I; Zhu, Xiaohua; Stewart, Brenton
This paper explored the degree to which use terms proposed by model licenses have become institutionalized across different publishers' licenses. It examined model license use terms in four areas: downloading, scholarly sharing, interlibrary loan, and electronic reserves. Data collection and analysis involved content analysis of 224 electronic…
Weening-Dijksterhuis, Elizabeth; de Greef, Mathieu H. G.; Scherder, Erik J. A.; Slaets, Joris P. J.; van der Schans, Cees P.
Weening-Dijksterhuis E, de Greef MHG, Scherder EJA, Slaets JPJ, van der Schans CP: Frail institutionalized older persons: A comprehensive review on physical exercise, physical fitness, activities of daily living, and quality-of-life. Am J Phys Med Rehabil 2011;90:156Y168. The objective of this study
Klerkx, L.W.A.; Leeuwis, C.
The purpose of this paper is to critically examine the institutionalization of demand-driven modes of working in the R&D planning process and reveal possible weaknesses, through an analysis of a system of collective R&D funding by farmers. The findings indicate that, although end-users have
Sereny, Melanie D; Gu, Danan
Although many studies look at the relationship between living arrangement and health among older adults, very little research takes seniors' preferred living arrangements into account. This paper uses data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) to examine what factors are associated with concordance between actual and preferred living arrangements for both institutionalized and community-residing Chinese seniors, and to investigate associations between living arrangement concordance and self-rated health. Our analyses show that economic independence is negatively associated with living arrangement concordance among institutionalized older adults (net of other factors), while being older, female, minority ethnicity, having higher SES, and being unmarried are positively associated with living arrangement concordance among community-residing seniors. For both institutionalized and community-residing older adults, living arrangement concordance increases the likelihood of rating self-rated health as good, with concordance having a greater impact on health for institutionalized elders (odds-ratios of 1.67-1.93) than for community-residing elders (odds-ratios of 1.12).
Dechamps, A.A.; Diolez, P.; Thiaudiere, E.; Tulon, A.; Onifade, C.; Vuong, T.; Helmer, C.; Bourdel-Marchasson, I.
BACKGROUND: Our objective was to assess the effects of targeted exercise programs on health-related quality of life compared with usual care based on the ability to perform activities of daily living (ADL) and the Neuropsychiatric Inventory scores in geriatric institutionalized persons. METHODS: A r
Letícia Neiva de Menezes
Full Text Available OBJETIVOS: avaliar de forma perceptivo-auditiva as características vocais de idosos institucionalizados, identificar se essas características interferem no processo de comunicação e correlacioná-las com a avaliação das estruturas do sistema estomatognático e do padrão de fala. MÉTODOS: estudo clínico do tipo transversal, no qual foram realizadas anamneses e avaliações fonoaudiológicas em uma amostra aleatória de 48 indivíduos idosos, residentes na Casa do Ancião Francisco Azevedo - Belo Horizonte/MG, que não apresentavam nenhum tipo de alteração neurológica, uma vez que, buscou-se traçar as manifestações fonoaudiológicas de idosos em processo de envelhecimento sadio. Utilizou-se protocolos específicos, desenvolvidos pelas autoras, de acordo com os aspectos pertinentes aos objetivos do presente estudo. RESULTADOS: na avaliação perceptivo-auditiva da qualidade vocal, constatou-se predominantemente qualidade vocal rouca (70,8%, em grau moderado (33,3%, loudness reduzida (56,2%, pitch grave (62,5% e tempos máximos de fonação reduzidos (81,2%. Dos 48 participantes, 85,4% relataram que a voz não interfere no processo de comunicação. Em relação aos padrões de fala, predominaram inteligibilidade preservada (83,3%, articulação preservada (72,9% e precisão articulatória preservada (83,3%. CONCLUSÕES: existem alterações nos parâmetros referentes à voz decorrentes da idade, sendo que elas não interferem na comunicação e mantêm relação diversa com outras mudanças nas estruturas do sistema estomatognático. Este estudo veio complementar as pesquisas na área de voz envolvendo indivíduos da terceira idade, sob processo de envelhecimento sadio e residentes em instituições de longa permanência.PURPOSES: to investigate vocal aspects related to healthy aging in the institutionalized elderly people, and to identify if these aspects interfer with communication and correlate vocal changes with motor oral system
Janaina Francisca de Souza Campos Vinha
Full Text Available This paper presents reflections on the still poorly treated and discussed theme. The formation of research groups is a "new" form of organization of academic and scientific work that has recently been institutionalized by the major institutions of higher education, research and development agencies in Brazil. The research groups in Geography were treated mainly on two aspects: as important spaces for socialization of knowledge that has been growing steadily and that subsidize the training of future teachers, foster critical and reflective stance, highlighting the collective work in the study of common themes; and as important socialization spaces of knowledge that has been growing steadily, and as part of the restructuring process initiated in the 1990s, a period that the Groups Directory Research of Brazil (DGPB formalizes the groups with CNPq. By analyzing the role of postgraduate research and its relation to the formation of research groups have demonstrated that besides the expressiveness achieved with the increase of the groups in all regions of the country, this form of organization also brought repercussions to the fields of education and research segments that incorporated resets the world of work and readjusted neoliberal policies. Este artigo apresenta reflexões sobre uma temática ainda pouco tratada e discutida. A formação de grupos de pesquisa é uma “nova” forma de organização do trabalho acadêmico e científico que recentemente foi institucionalizado pelos principais centros de Ensino Superior, pesquisas e agências de fomento no Brasil. Os grupos de pesquisa em Geografia foram tratados, sobretudo, diante de dois aspectos: como espaços importantes de socialização do conhecimento que vem crescendo progressivamente e que subsidiam a formação do futuro docente e fomentam a postura crítica e reflexiva, com destaque ao trabalho coletivo no estudo de temas em comum; e como parte do processo de reestruturação produtiva
Full Text Available BACKGROUND: Home visits for older adults aim to prevent cognitive and functional impairment, thus reducing institutionalization and mortality. Visitors may provide information, investigate untreated problems, encourage medication compliance, and provide referrals to services. METHODS AND FINDINGS: DATA SOURCES: Ten databases including CENTRAL and Medline searched through December 2012. STUDY SELECTION: Randomized controlled trials enrolling community-dwelling persons without dementia aged over 65 years. Interventions included visits at home by a health or social care professional that were not related to hospital discharge. DATA EXTRACTION AND SYNTHESIS: Two authors independently extracted data. Outcomes were pooled using random effects. MAIN OUTCOMES AND MEASURES: Mortality, institutionalization, hospitalization, falls, injuries, physical functioning, cognitive functioning, quality of life, and psychiatric illness. RESULTS: Sixty-four studies with 28642 participants were included. Home visits were not associated with absolute reductions in mortality at longest follow-up, but some programs may have small relative effects (relative risk = 0.93 [0.87 to 0.99]; absolute risk = 0.00 [-0.01 to 0.00]. There was moderate quality evidence of no overall effect on the number of people institutionalized (RR = 1.02 [0.88 to 1.18] or hospitalized (RR = 0.96 [0.91 to 1.01]. There was high quality evidence for number of people who fell, which is consistent with no effect or a small effect (odds ratio = 0.86 [0.73 to 1.01], but there was no evidence that these interventions increased independent living. There was low and very low quality evidence of effects for quality of life (standardised mean difference = -0.06 [-0.11 to -0.01] and physical functioning (SMD = -0.10 [-0.17 to -0.03] respectively, but these may not be clinically important. CONCLUSIONS: Home visiting is not consistently associated with differences in mortality or
Full Text Available 1. Type of experience: The experience that this article is referring to is the socioprofessional integration of the youth who leave the child protection system.2. Characteristics of the organization/of the activity presented: COTE Foundation – established in 1996, develops social and professional integration programmes and services for children and youth coming from the child protection system. COTE Foundation has a 15 years’ experience in working with children and youth coming from the protection system, and has supported over 700 youth who havebeen offered services for social and professional integration.3. New/positive aspects from this experience: The positive aspects highlighted by the experience described are: a holistic approach of the professional integration process, mentoring at the work place, dependence-independence dynamics, solving ethical dilemmas and the importance of learning through experience.4. Potential questions: to what extent can the principles validated by this experience be successfully applied in the context of the integration on the labour market of other vulnerable groups?
Mitrut, Andreea; Wolff, François-Charles
We use household survey data and a unique census of institutionalized children to analyze the impact of abortion legalization in Romania. We exploit the lift of the abortion ban in December 1989, when communist dictator Ceausescu and his regime were removed from power, to understand its impact on children's health at birth and during early childhood and whether the lift of the ban had an immediate impact on child abandonment. We find insignificant estimates for health at birth outcomes and anthropometric z-scores at age 4 and 5, except for the probability of low birth weight which is slightly higher for children born after abortion became legal. Additionally, our findings suggest that the lift of the ban had decreased the number of abandoned children.
... The behavior is also not appropriate for the child's age. Warning signs can include Harming or threatening themselves, other people or pets Damaging or destroying property Lying or stealing Not ...
... multi.html . CDC review information for Multi Pediatric Vaccines: Your Child's First Vaccines: What you need to know (VIS): ... baby. 2. Some children should not get certain vaccines Most children can safely get all of these vaccines. But ...
... there's often little sympathy for repeat offenders. Further punishment , particularly physical punishment, is not necessary and could make a child ... They should also know that stealing is a crime and can lead to consequences far worse than ...
Pediatric asthma - discharge; Wheezing - discharge; Reactive airway disease - discharge ... Your child has asthma , which causes the airways of the lungs to swell and narrow. In the hospital, the doctors and nurses helped ...
... sense of self-esteem, cope with feelings of guilt about the abuse, and begin the process of overcoming the trauma. Such treatment can help reduce the ... Child and Adolescent Psychiatrists Teen Suicide ...
... around. And there's often little sympathy for repeat offenders. Further punishment , particularly physical punishment, is not necessary and could make a child or teen angry and more likely to engage in even ...
... as feelings of betrayal, powerlessness, worthlessness and low self-esteem. It is impossible to calculate how many times a child's pornographic image may be possessed and distributed online. Each and ...
U.S. Department of Health & Human Services — CDC child growth charts consist of a series of percentile curves that illustrate the distribution of selected body measurements in U.S. children. Pediatric growth...
... Looking for Health Lessons? Visit KidsHealth in the Classroom What Other Parents Are Reading Your Child's Development ( ... when traveling, around the birth of a sibling , changing from the crib to the bed, moving to ...
... Looking for Health Lessons? Visit KidsHealth in the Classroom What Other Parents Are Reading Your Child's Development ( ... cup, or maybe even just a cuddle. Try changing your daily routine so that you're otherwise ...
García, Patricia J.; Egoavil, Miguel S.; Blas, Magaly M.; Alvarado-Vásquez, Eduardo; Curioso, Walter H.; Zimic, Mirko; Castagnetto, Jesus M.; Lescano, Andrés G.; Lopez, Diego M.; Cárcamo, Cesar P.
Training in Biomedical Informatics is essential to meet the challenges of a globalized world. However, the development of postgraduate training and research programs in this area are scarce in Latin America. Through QUIPU: Andean Center for Training and research in Iformatics for Global Health, has developed the first Certificate and Master’s Program on Biomedical Informatics in the Andean Region. The aim of this article is to describe the experience of the program. To date, 51 students from Peru, Chile, Ecuador, Colombia and Venezuela have participated; they come from health ministries, hospitals, universities, research centers, professional associations and private companies. Seventeen courses were offered with the participation of faculty from Argentina, Chile, Colombia, USA, Mexico and Peru. This program is already institutionalized at the School of Public Health and Administration from the Universidad Peruana Cayetano Heredia. PMID:26338399
Shenoy, Rekha P; Hegde, Vijaya
Introduction. To promote oral health among the elderly, we need to know their prosthetic status and prosthetic need. Hence, a survey of prosthetic status and need of elderly inmates of old age homes in Mangalore was done. Materials and Methods. A cross-sectional study was undertaken, and 133 subjects aged 60 years and above were examined (54.9% males and 45.1% females). Results. Eighty-eight percent of those examined were fully edentulous, and only 12% had complete dentures; none of the study subjects had partial dentures. Prosthetic status was significantly associated with gender (P = .024), while prosthetic need and gender were not significantly associated (P = .395). Conclusions. A high unmet need for prosthetic care existed among the institutionalized elderly surveyed.
Milne, Catherine T; Corbett, Lisa Q
Skin tears are a common phenomenon in elderly institutionalized adults (EIAs). Incidence ranges from 0.92 to 2.5 per person/year. Little supportive literature exists regarding optimal treatment with many regimens reported. A convenience sample of 20 patients with Payne-Martin Category II and III skin tears of less than 8 hours' duration were prospectively evaluated with the use of a formulated 2-octylcyanoacrylate topical bandage. Patients were followed weekly until the tear healed. Complete healing occurred with 1 application of 2-OTB in 90% (18/20) of study subjects; 5% (n = 1) reported transient mild pain (less than 15 seconds), and 90% (n = 19) reported no pain. There were no incidents of cellulitis or infection. Shower and bathing routines were not interrupted. Cost averaged less than $1 per application. Clinician time averaged 1.5 minutes per application. Clinicians reported high satisfaction because repeated dressing changes were eliminated.
García, Patricia J; Egoavil, Miguel S; Blas, Magaly M; Alvarado-Vásquez, Eduardo; Curioso, Walter H; Zimic, Mirko; Castagnetto, Jesus M; Lescano, Andrés G; Lopez, Diego M; Cárcamo, Cesar P
Training in Biomedical Informatics is essential to meet the challenges of a globalized world. However, the development of postgraduate training and research programs in this area are scarce in Latin America. Through QUIPU: Andean Center for Training and research in Iformatics for Global Health, has developed the first Certificate and Masters Program on Biomedical Informatics in the Andean Region. The aim of this article is to describe the experience of the program. To date, 51 students from Peru, Chile, Ecuador, Colombia and Venezuela have participated; they come from health ministries, hospitals, universities, research centers, professional associations and private companies. Seventeen courses were offered with the participation of faculty from Argentina, Chile, Colombia, USA, Mexico and Peru. This program is already institutionalized at the School of Public Health and Administration from the Universidad Peruana Cayetano Heredia.
Maria Polikandrioti; Ioannis Koutelekos
Music has been used therapeutically for many centuries, and numerous studies have researched the curative and preventative powers of music in several diseases. Music, as a therapy was shown to have positive effects in child care, such as in premature infants, children in emergency care, children receiving surgery, children in oncology departments and handicapped children. The aim of this review was to study the therapeutic effects of music in child care at hospital. The method οf this study i...
Full Text Available Music has been used therapeutically for many centuries, and numerous studies have researched the curative and preventative powers of music in several diseases. Music, as a therapy was shown to have positive effects in child care, such as in premature infants, children in emergency care, children receiving surgery, children in oncology departments and handicapped children. The aim of this review was to study the therapeutic effects of music in child care at hospital. The method οf this study included bibliography research from both the review and the research internatio nal literature, which was referred to the therapeutic effects of music in Children's Hospital. Results: Most studies focus on the beneficial effects of music to child. The results of the study showed that music is widely used to enhance well‐being and appears to exert direct effects to child, which are mainly related to physiology and psychology, including changes in the vital signs, reductions in anxiety and pain, distraction of attention from unpleasant sensations and better communication with the environment at hospital. Furthermore, music exerts indirect effects to child since is able to cause positive modifications in nurses' behaviour and conduces to better performance in their duties. Conclusions: Music consists a low-cost "therapeutic instrument" for nurses to apply to child-patient and is found to be effective in producing positive outcomes. The nurses' knowledge of music therapy need to be improved and the therapeutic impact of music must be a result from systematic professional application.
Carla Maria Ariano Destro
/ or written language disturbances in a group of institutionalized juvenile offenders, checking how possible language and communication difficulties impact on these subjects' social life. METHOD: exploratory and descriptive study, with 40 interns of Fundação Casa / IU 25 unit - Rio Negro/ Franco da Rocha city complex - SP, between 15 and 18 year old. For collecting the data we applied the Mini-Mental State Examination - MMSE test, to detect individuals who may have cognitive impairment; the Montreal test, to examine simple oral and written language abilities and a semi-structured an interview, whose script was related to General Health, School Path, Vocational Path and perceptions of criminal behavior. RESULTS: the results showed that the majority of the population was literate and there was no occurrence of cognitive impairment. There was a high rate of school dropouts due from difficulties in following school curriculum and adapting to school rules and dynamics, indicating the impacts referring to language difficulties, especially written language, on condition that, in combination with other factors favored the conduct infractions. CONCLUSION: the young offenders had problems to develop and to engage in socio-cultural patterns and values, including school rules, which impose limits on their discursive access and movement, by restricting the uses of language, as a path to the development of personal social practice and citizenship. The findings provide evidence, among other factors, on the social impact that poor schooling and socialization of young people may come to cause. The study demonstrates that language should be designed as a social practice, mostly in the expression and communication forms of these subjects.
Full Text Available While a large number of children are losing their lives due to poverty, malnutrition, contagious diseases and war, we are witnessing hundreds of children death by reason of misbehaving. Today, "child abuse" as a social-cultural phenomenon which shows crisis in a society, has a growing process in our country. The goal of this research was to investigate the base factors of child abuse that according to the results are consist as follows, poverty, unemployment, addiction, large families, single-parent, Considering the increase of factors such as poverty, addiction, unemployment, divorce, temporary marriage, street children and other effective factors, the hypothesis based on growth of child abuse was proved in Iran.
Gram, Malene; Grønhøj, Alice
to be appropriate child and parental behavior. The study takes a practice theoretical perspective, building on previous research on family consumption, and draws empirically on 35 interviews with 5–6 year-olds and 13 family interviews. Findings show that the children recognize the position of ‘the good child......’ and most often prefer to take on this position, which is confirmed by their parents. The children can describe how ‘the good child’—in their eyes—should behave. They prefer consensus and not being embarrassing or embarrassed. The study concludes that the children are strongly immersed in social norms...... and family practices, and that the Danish national/cultural context probably reinforces these children as independent consumers, who are well aware of the requirements of the consumer role. Childing practices are a standard with know-how and rules that these children argue they live by—at least most...
Otis, Jack; Pasztor, Eileen Mayers; McFadden, Emily Jean
Discusses the worldwide problem of child labor and efforts to advocate for the welfare of these impoverished children. Considers factors that contribute to the continued use of child labor and the resistance of these labor practices to reform. Discusses child labor in the United States, and urges public advocacy for labor reform within child…
Hawkinson, Laura E.
Research using an experimental design is needed to provide firm causal evidence on the impacts of child care subsidy use on child development, and on underlying causal mechanisms since subsidies can affect child development only indirectly via changes they cause in children's early experiences. However, before costly experimental research is…
Thongudomporn, Udom; Chongsuvivatwong, Virasakdi; Geater, Alan F.
Objective: To assess mother-child agreement on the child's past food exposure, and factors affecting response discrepancy. Methods: Twelve- to 14-year-old children and their mothers (n = 78) in an urban community, a rural community, and 2 orthodontic clinics completed a 69-item food questionnaire to determine mother-child level of agreement on the…
Rescue breathing and chest compressions - child; Resuscitation - cardiopulmonary - child; Cardiopulmonary resuscitation - child ... All parents and those who take care of children should learn infant and child CPR if they ...
Zulmira M. A. Hartz
Full Text Available The purpose of this article is to describe several chronological milestones in institutionalizing the evaluation of public programs and policies in France from a governmental perspective and in the health sector, situating such references in the international context. The institutional nature of evaluation implies integrating it into an action-oriented model, linking analytical activities to management, thus constituting the formulation of an evaluation policy for policy evaluation. The study focuses on issues related to the structure, practice, and utilization of evaluation results as well as other characteristics providing the French model with a certain resistance to traditional "fast-food" or "ready-made" methodological approaches. The institutionalization of sectorial evaluation appears more promising than that of the government's centralized channel, despite the work developed by a Scientific Evaluation Council, and suggests avenues for reflection and debate pertaining to the Brazilian Unified Health System.
Hartz Zulmira M. A.
Full Text Available The purpose of this article is to describe several chronological milestones in institutionalizing the evaluation of public programs and policies in France from a governmental perspective and in the health sector, situating such references in the international context. The institutional nature of evaluation implies integrating it into an action-oriented model, linking analytical activities to management, thus constituting the formulation of an evaluation policy for policy evaluation. The study focuses on issues related to the structure, practice, and utilization of evaluation results as well as other characteristics providing the French model with a certain resistance to traditional "fast-food" or "ready-made" methodological approaches. The institutionalization of sectorial evaluation appears more promising than that of the government's centralized channel, despite the work developed by a Scientific Evaluation Council, and suggests avenues for reflection and debate pertaining to the Brazilian Unified Health System.
Jesús Manuel Vallejo Sánchez
become institutionalized with absence of neurological pathology or severe cognitive impairment of the home care nursing Jose Matía Calvo of Cádiz. It was sifted to the subjects by the mini cognitive test in the version of Wolf during January, 2008, there being obtained a sample of which were studied social, demography and of control variables. Results: it is clear that DCL's prevalencia in the elders become institutionalized in our center is 27 %, number higher than the contributed one like average for some authors for the general population (15-20 %, but minor that the established one in other home care nursing, that range between 38,7 and 44 %. Conclusions: the increase stated of the prevalencia of the cognitive impairment in the older population and his repercussion in the level of independence and quality of life of major become institutionalized, justifies the need to identify prematurely such alteration to initiate, as soon as possible, you programme of intervention directed to delaying the dependence, promoting the residual capacities and improving the quality of life of these elders.
A brief history of child labor and the fight for legislation to control it at both the state and federal level. The current legal status and the continued existence of child labor in modern times are also discussed. (MS)
... ENT Doctor Near You When Your Child Has Tinnitus When Your Child Has Tinnitus Patient Health Information News media interested in covering ... and public relations staff at email@example.com . Tinnitus is a condition where the patient hears a ...
... vulvae; Itching - vaginal area; Vulvar itching; Yeast infection - child ... To prevent and treat vaginal irritation, your child should: Avoid colored or perfumed toilet tissue and bubble bath. Use plain, unscented soap. Limit bath time to 15 minutes or less. Ask ...
Pushaw, David R.
Parent and child living centers offer a program to improve parenting skills with areas of learning including child growth and development, family management, home care and repair, and personal growth and development. (MM)
... 5; Updated November 2014 The statistics on physical child abuse are alarming. It is estimated hundreds of thousands ... Physical abuse is not the only kind of child abuse. Many children are also victims of neglect, or ...
Cidia Vasconcellos; Carolina de Queiroz Moreira Pereira; Marta Cristina Souza; Andrea Pelegrini; Roseli Santos Freitas; Juliana Possato Takahashi
BACKGROUND: Superficial fungal infections are caused by dermatophytes, yeasts or filamentous fungi. They are correlated to the etiologic agent, the level of integrity of the host immune response, the site of the lesion and also the injured tissue. OBJECTIVE: The purpose of this study is to isolate and to identify onychomycosis agents in institutionalized elderly (60 years old +). METHODS: The identification of the fungi relied upon the combined results of mycological examination, cultu...
De intergenerationele reproductie van cultureel kapitaal in belichaamde, geïnstitutionaliseerde en geobjectiveerde vorm [The intergenerational reproduction of cultural capital in its embodied, institutionalized, and objectified states
According to Bourdieu, cultural capital manifests itself in three states: the institutionalized state, the embodied state, and the objectified state. Empirical research using the notion of cultural capital has never operationalized the concept fully, i.e., using indicators of all three states. We provide such a threefold measurement of cultural capital for both respondents and their parents, which allows us to take a very detailed look at the process of the intergenerational transmission of c...
Air Force Security Assistance Center Foreign Military Sales Center Institutionalizes How It ’Develops and Executes International Agreements" by Linking Strategic Initiatives to the Balanced Scorecard Process
Linking Strategic Initiatives to the Balanced Scorecard Process By Len Walton Tiyette McDaniel Schneata Shyne-Turner Air Force Security Assistance Center...with short term actions. The Balanced Scorecard (BSC) methodology is being institutionalized to ensure continuous process change driven by...Linking Strategic Initiatives to the Balanced Scorecard Process 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d
Francisco Apolo Carvajal
Full Text Available Purpose: To evaluate the effect of pharmacist interventions in the adaptation of pharmaceutical forms in elders institutionalized in nursing homes whose medicines are crushed, which may have a clinical relevance. Methods: Quasi-experimental, multicenter, transversal and prospective study carried out in 10 nursing homes. Subjects for whom drugs were being crushed were identified. Their treatments were reviewed in order to identify drugs that should not be crushed. In these cases, we proposed an alternative to the physician and we evaluated the degree of acceptance, its association to other variables and the pre-post adaptation index (tablets that can be crushed and capsules that can be opened/ total number of tablets and capsules before and after the intervention. Moreover, health professionals received a training course. Results: Medication was being crushed for 33% (618/1875 of residents (mean: 5 drugs susceptible of crushing. 220 pharmaceutical interventions were performed, mostly in extended release or gastro-resistant drugs (48% were accepted. Switch was the type of intervention more frequent (79%, mainly to Purpose: To evaluate the effect of pharmacist interventions in the adaptation of pharmaceutical forms in elders institutionalized in nursing homes whose medicines are crushed, which may have a clinical relevance. Methods: Quasi-experimental, multicenter, transversal and prospective study carried out in 10 nursing homes. Subjects for whom drugs were being crushed were identified. Their treatments were reviewed in order to identify drugs that should not be crushed. In these cases, we proposed an alternative to the physician and we evaluated the degree of acceptance, its association to other variables and the pre-post adaptation index (tablets that can be crushed and capsules that can be opened/ total number of tablets and capsules before and after the intervention. Moreover, health professionals received a training course. Results
Laura Negredo; Óscar Herrero
Downloading, exchanging and producing child pornography is a criminal behaviour of growing relevance. The cruel exploitation of minors and its link with child sexual abuse raise great social and academic concern. The current paper approaches the nature of the phenomenon, the characteristics of the materials labelled as “child pornography”, the psychological traits of the users and the existing treatment programs
California State Office of the Attorney General, Sacramento. School Safety Center.
Addressing educators and citing the California Penal Code, this booklet discusses the legal responsibilities of persons in child care situations regarding incidents of suspected child abuse. Included are: (1) a definition of child abuse and neglect; (2) reporting procedures including liability of failure to report and immunity of the reporting…
California State Dept. of Education, Sacramento.
CALIFORNIA CHILD CARE CENTERS WERE ESTABLISHED IN 1943 TO SUPPLY SERVICES TO CHILDREN OF WORKING MOTHERS. THE CHILD CARE PROGRAM PROVIDES, WITHIN NURSERY AND SCHOOLAGE CENTERS, CARE AND EDUCATIONAL SUPERVISION FOR PRESCHOOL AND ELEMENTARY SCHOOL AGE CHILDREN. THE PHILOSOPHY OF THE CHILD CENTER PROGRAM IS BASED UPON THE BELIEF THAT EACH CHILD…
Ferriss, Abbott L.
Child poverty, as a critical indicator of the QOL, is intricately related to the social structure of the community. This hypothesis is explored for the 159 counties of Georgia for the year 2000. The influence of demographic, economic, family and health factors upon child poverty are explored through models of total, black and white child poverty.…
Tracy, James J.; Clark, Elizabeth H.
Staff of a child abuse program in a Philadelphia hospital worked with parents in their own homes to help them develop greater competence as adults and as parents. This article describes the use of social learning theory, with some techniques of behavior therapy, as the basis for treatment. (Author)
The Child Nutrition Program invites all students to participate in the school breakfast and lunch program at school. Our goal is to improve the health and education of students by providing nutritious meals that promote food choices for a healthy diet. Failure to eat balanced meals increases the risk of illness including obesity ,
Niclasen, Birgit V L; Bjerregaard, Peter
child mortality but the same morbidity pattern as in other Western societies was found. Negative health behaviour is frequent in schoolchildren. The influence of rapid cultural changes, and familial and societal factors related to social ill health, together with socioeconomic inequity, are of major...
Payne, Elinor; Post, Brechtje; Astruc, Lluisa; Prieto, Pilar; Vanrell, Maria del Mar
Interval-based rhythm metrics were applied to the speech of English, Catalan and Spanish 2, 4 and 6 year-olds, and compared with the (adult-directed) speech of their mothers. Results reveal that child speech does not fall into a well-defined rhythmic class: for all three languages, it is more "vocalic" (higher %V) than adult speech and has a…
Read, Janet; Hourcade, Juan Pablo; Markopoulos, Panos
The discipline of Child Computer Interaction (CCI) has been steadily growing and it is now firmly established as a community in its own right, having the annual IDC (Interaction and Design for Children) conference and its own journal and also enjoying its role as a highly recognisable and vibrant...
Feldman, David H.
Perhaps the most important implication of the metaphor is to suggest that it may well be the main purpose of education to provide conditions under which each child will identify and find satisfaction through a chosen field or fields of work. (Author)
Barr, Robert D.
An Idaho education dean recounts a moving encounter with a fatherless first-grader while visiting his grandson in Eugene, Oregon. Envisioning a deadbeat dad and a burned-out mother, he pondered the statistical odds of this child graduating from college. However, the girl's warm welcome from her teacher helped revise his hopes about the little…
... a stream of our activity across multiple social networks by visiting the Child Care Aware® of America Social Dashboard. Visit Our Social Dashboard Follow and Engage ... Care Aware of America Home Newsroom Contact Us Log In Register Back About ...
Eide, Brock; Eide, Fernette
A major reason why dyslexia is likely to be missed or mislabeled in an intellectually gifted child is the lack of a specific, clearly recognized definition to enable diagnosis of dyslexia. It's crucial that adults working with gifted students understand that average or even above reading comprehension does not by itself guarantee that a gifted…
Peters, Dane L.
Unquestionably, Maria Montessori's insights into child development were both innate and learned, derived from her many years of working with children. Her work, practices, philosophy, and passion have staying power that, so far, spans a century and are a testament to her dedication and abilities. In this article, the author explains why he sees…
Lewit, Eugene M.; Kerrebrock, Nancy
Reviews measures of dental health in children and the evidence on child dental health. Although children's dental health has improved over the past two decades, many poor children do not receive necessary dental health services, and reasons for this failure are summarized. (SLD)
Australian Dept. of Labour and National Service, Melbourne. Women's Bureau.
Based on a survey of legislation relating to full-day care for preschool children of working mothers and a study of records, this report: (1) covers the number of registered child care centers in Australia and the number of children being served, (2) sets the conditions applying to registration of centers, (3) indicates the extent and levels of…
Full Text Available Nowadays, internet use and access is becoming increasingly common as a great entertainment, communication and educational resource for children as well as for adults. Internet is a perfect environment for children, for exploring the world, learning and having fun. However, access to illegal sites that contain violence and sexuality, and contact dangerous people are among the particular risks for children using the internet. It is a known fact that, internet and developing technology make the production and distribution of child pornography cheaper and easier. There has been consensus on the need of creating a plan and increasing the awareness in the community for the fight against child pornography. Because of the increasing internet use and the risk for children mentioned, nurses got new responsibilities. Nurses have to inform society, especially families and children, about safe internet use. In this review, legal regulations about the fight against child pornography on the internet, the reasons that lay the ground for child pornography and their negative effects on children has been addressed.
Desenvolvimento, psicopatologia e apego: estudo exploratório com crianças institucionalizadas e suas cuidadoras Development, psychopathology and attachment: an exploratory study with institutionalized children and their caregivers
Full Text Available O presente estudo exploratório examinou o desenvolvimento mental e a qualidade do funcionamento sócio-emocional de 16 crianças entre os 3 e os 6 anos, institucionalizadas em Centros de Acolhimento Temporário, relacionando-os com a qualidade das narrativas sobre o apego das suas cuidadoras. Foram utilizadas a Escala de Desenvolvimento Mental de Griffiths, o Questionário de Comportamentos, as Narrativas sobre o Apego e o Attachment Q-Sort. Os resultados revelaram que o nível de desenvolvimento das crianças foi inferior aos valores normativos. Além disso, os valores apresentados ao nível da psicopatologia, em termos de sintomas de internalização e de externalização, aproximaram-se dos valores clínicos. Não obstante e, em contraste com o esperado, a maioria das crianças apresentou valores próximos da segurança (base segura, os quais não estão associados com a qualidade das narrativas sobre o apego das suas cuidadoras. Os resultados são discutidos com base no impacto da privação em meio institucional para o desenvolvimento na infância.This exploratory study examined mental development and the quality of socio-emotional functioning of 16 institutionalized children, aged from 3 to 6 years old, relating them with the quality of their caregivers' attachment narratives. Griffiths Developmental Scales, Child Behavior Checklist, Attachment Script Representation and Attachment Q-Sort were used in the psychological assessment. Results showed that chidren's developmental level was placed below normative data. Furthermore, data regarding externalizing and internalizing psychopathology symptoms were close to the clinical population. Nevertheless, and in contrast to our hypothesis, most children presented almost mormative attachments scores (secure base, but this was not related to the quality of attachement narratives presented by their caregivers. The implications of these findings are discussed in light of the impact of institutional
Compier-de Block, Laura H C G; Alink, Lenneke R A; Linting, Mariëlle; van den Berg, Lisa J M; Elzinga, Bernet M; Voorthuis, Alexandra; Tollenaar, Marieke S; Bakermans-Kranenburg, Marian J
Parent-child agreement on child maltreatment was examined in a multigenerational study. Questionnaires on perpetrated and experienced child maltreatment were completed by 138 parent-child pairs. Multi-level analyses were conducted to explore whether parents and children agreed about levels of parent-to-child maltreatment (convergence), and to examine whether parents and children reported equal levels of child maltreatment (absolute differences). Direct and moderating effects of age and gender were examined as potential factors explaining differences between parent and child report. The associations between parent- and child-reported maltreatment were significant for all subtypes, but the strength of the associations was low to moderate. Moreover, children reported more parent-to-child neglect than parents did. Older participants reported more experienced maltreatment than younger participants, without evidence for differences in actual exposure. These findings support the value of multi-informant assessment of child maltreatment to improve accuracy, but also reveal the divergent perspectives of parents and children on child maltreatment.
Mace, Sharon E
Children have rights, as enumerated in the Declaration of the Rights of the Child, and need protection from violence, exploitation, and abuse. Global threats to child safety exist. These threats include lack of basic needs (food, clean water, sanitation), maltreatment, abandonment, child labor, child marriage, female genital mutilation, child trafficking, disasters, and armed conflicts/wars. Recent disasters and armed conflicts have led to a record number of displaced people especially children and their families. Strategies and specific programs can be developed and implemented for eliminating threats to the safety of children.
Kim, Seong-Gil; Kim, Myoung-Kwon
[Purpose] The purpose of this study was to examine the intra- and inter-rater reliabilities of the Short Form Berg Balance Scale in institutionalized elderly people. [Subjects and Methods] A total of 30 elderly people in a nursing facility in Y city, South Korea, participated in this study. Two examiners administered the Short Form Berg Balance Scale to one subject to investigate inter-rater reliability. After a week, the same examiners administered the Short Form Berg Balance Scale once more to investigate intra-rater reliability. [Results] The intra-rater reliability was 0.83. The inter-rater reliability was 0.79. Both reliabilities were high (more than 0.7). [Conclusion] The Short Form Berg Balance Scale is a version of the Berg Balance Scale shortened by reducing the number of items, but its reliabilities were not lower than those of the Berg Balance Scale. The Short Form Berg Balance Scale can be useful clinically due to its short measurement time.
Spence, S H
Eighteen institutionalized young male offenders and 18 boys without criminal records, comparable in terms of age, academic performance and social background, were videotaped during a five-minute standardized interview with a previously unknown adult. The videotapes were then subjected to a behavioural analysis of 13 responses which had previously been suggested to be important social skill components. The tapes were also shown to six independent judges who rated each tape in terms of social skills performance, social anxiety, friendliness, and employability. The offender group was found to differ significantly from the non-offender group in terms of the level of eye-contact, head movements, amount spoken, fiddling movements, and gross body movements. The offender group was also rated in significantly less favourably terms on the scales of social skills performance, social anxiety, and employability, compared to the non-offender groups. No significant difference was found in terms of friendliness ratings. Correlation analyses between the specific behavioural measures and the subjective rating scales revealed statistically significant associations between six of the 13 behavioural measures and one or more of the subjective rating scales. The provides some indication of the type of responses important in determining the impression made by adolescent male in an interview situation.
Giacomello, Karina Jorgino; Melo, Luciana de Lione
This qualitative research is based on the reference framework of Phenomenology--analysis of the structure of the situated phenomenon, and aims to understand institutionalized children victims of violence through therapeutic play sessions. Participants were three sheltered children of preschool age, one boy and two goals. The therapeutic play sessions of the drama type were held in a reserved place and ranged from 30 to 50 minutes, using the following guiding proposal: "Let us play that we are children who live at the shelter?" Two broad theme categories could be captured: playing and pretending and playing and reality. When they are pretending while playing, sometimes calmly, sometimes violently, the children brought contents that evidenced situations in their daily family reality. When they expose their reality, the children addressed questions about the shelter institution and the bond with these professionals and with the relatives. It can be affirmed that therapeutic play allowed for the children's effective communication by expressing their feelings, desires, experiences, criticism against the environment they live in and family relations, besides permitting a moment of pleasure and relaxation.
Nilima S. Kadam
Full Text Available The aim of the study was to determine influence of intellectually disability (ID on oral hygiene status (OHS, periodontal status (PS, and periodontal treatment needs (PTNs and investigate the association of these clinical parameters with various sociodemographic and clinical variables among multicentric institutionalized ID subjects aged 5–55 years in Kolhapur district, Maharashtra, India. This descriptive cross-sectional study was conducted by both questionnaire and clinical examination. OHS, PS, and PTNs of these subjects were assessed by recording Simplified Oral Hygiene Index (OHI-S and Community Periodontal Index of Treatment Needs, respectively. Analysis of variance and multiple logistic and stepwise linear regression analysis were used for statistical analysis. Of the 576 subjects examined, the mean age of the subjects was 17.50 ± 7.4 years. Subjects with profound level of ID had the highest mean OHI-S, PS, and PTNs scores of 4.47 ± 1.04, 2.84 ± 0.78, and 2.25 ± 0.44, respectively, as compared with other ID groups (P<0.0001. The present study signified that ID subjects had poor OHS and PS with the highest PTNs and were influenced by age (P<0.0001, degree of ID (P<0.0001, SES, location, institution type, and parent’s level education. The present study underlines a considerable need for prevention and treatment of periodontal disease among ID subjects in India.
Amorim, Ana Karenina de Melo Arraes; Dimenstein, Magda
In Brazil, the home-based care services (HCS) are considered strategic and essential in the de-institutionalization process of patients who passed years in psychiatric hospitals and lost their family and social links. However, this service faces a series of problems and challenges in the wider context of health care. This article seeks to analyze some of these problems and challenges based on the experience of the home-based care service in Natal RN and on the literature in this field. Proposed on the basis of the idea that the encounters between insanity and city are potent destructors of the ' asylum logic' , these home-based care services put in question the current healthcare model, claiming to destruct the rigid and hegemonic forms of residence and care. The aim of this article is to discuss this ' asylum logic' that surpasses the limits of the concrete insane asylum penetrating some daily practices of the substitute services, taking advantage of the weak articulation between the mental health services. The lack of a strong connection between the home-based care service and the psychosocial care center allows this logic to operate through day-by-day bio-political devices. Thus, we discuss the risks of this logic taking over and indicate some possibilities of avoiding this, defending a care model allowing for potent meetings with the city and for the construction of ' affectionate networks' producing life and liberty.
Full Text Available The paper presents an overview of research findings on influence of family environment, especially parental behaviour, on child's development. Contemporary authors question early socialization researchers' claims that family characteristics and parental behaviour have important influence on behaviour of their children. Later researchers examined the size and durability of possible effects of family environment on child development. In addition, they focused on establishing whether it is actually the parental behaviour that influences child's development or, on the contrary, parental behaviour represents mainly a reaction to child's characteristics. Behaviour genetic studies have provided evidence that many traditional measures of family environment, including measures of parental behaviour, show genetic influence, thus reflecting genetically influenced child characteristics. Behaviour geneticists also suggest that environmental influences on child (personality development include predominantly non-shared environment, i.e. individual child's specific experiences, his/her own perceptions and interpretations of objectively same events. Based on empirically determined significant genetic effects on most behavioural traits and inconclusive results of studies on effects of family environment on child development some authors believe that it is not the parents, but rather genetic factor and/or peers who have the key role in child development. With respect to findings of behaviour genetics numerous recent studies of relations between family environment and child development involve child specific measures of (extrafamilial environment and examine the interactions between characteristics of an individual and those of his/her environment.
Galloway, Taryn Ann; Gustafsson, Björn; Pedersen, Peder J.
Immigrant and native child poverty in Denmark, Norway, and Sweden 1993–2001 is studied using large sets of panel data. While native children face yearly poverty risks of less than 10 percent in all three countries and for all years studied the increasing proportion of immigrant children...... with an origin in middle- and low-income countries have poverty risks that vary from 38 up to as much as 58 percent. At the end of the observation period, one third of the poor children in Norway and as high as about a half in Denmark and in Sweden are of immigrant origin. The strong overrepresentation...... of immigrant children from low- and middle-income countries when measured in yearly data is also found when applying a longer accounting period for poverty measurement. We find that child poverty rates are generally high shortly after arrival to the new country and typically decrease with years since...
Kyhl, Henriette Boye; Jensen, Tina Kold; Barington, Torben
. Three hundred seventy-four have since left the study, leaving 2500 active families. The non-participants act as controls contributing data through local registries. Biological material, questionnaires, and registry data were compiled. Anthropometric data and other physical data were collected. RESULTS...... provides material for in-depth analysis of environmental and genetic factors that are important for child health and disease. Registry data from non-participating women and infants are available which ensures a high degree of comparable data......., the Odense Childhood Cohort (OCC) study aims to provide new information about the environmental impact on child health by sequential follow-up to 18 years of age among children born between 2010 and 2012. METHODS: A total of 2874 of 6707 pregnancies (43%) were recruited between January 2010 and December 2012...
Bandeira, Teresa; Ferreira, Ricardo; Azevedo, Inês
Portugal has experienced rapid decline of neonatal and infant mortality in the last century, similar to that of other western European states. The joint venture of pediatricians and obstetricians with adequate top-down government commissions for maternal and child health for the decision making by health administrators and a well-defined schedule of preventive and managerial measures in the community and in hospitals are the most likely explanations for this success. Another achievement of child health care services is the registry for special diseases. Education of health care workers plays a fundamental role in improving health statistics. Portugal has a reasonable number of doctors, nurses, and health technicians per capita. Quality assurance monitoring systems and implementation of evidence-based clinical guidelines with digital records, including international coding, are essential steps to improve health care systems.
The Shanxi Province child labor scandal has shocked China to its core. Over 1,000 children were forced into illegal labor by morally bankrupt brick kiln businesses, throwing a depressing shroud over China’s rapid development. Uncovering these tales of abduction, death and the physical and mental abuse endured by these children has been a proud moment for China’s press. Several hundred of the kiln slave children have now been reunited with their families. Kiln owners, contractors and accomplices are being brought to justice or hunted down, some even charged with murder.However, in all this gloom some good has surfaced.Public and government attention is now focused on erasing child labor once and for all and for better protecting workers’ rights, hopefully ridding China of such disgraces in the future.
months to 2 1/2 years) full-time. ............. 23.8 Preschool (2 1/2 to 5 years) such as Montessori or other nursery school developmental program...had beyond High School. *Naval Air Station, Miramar One Associate degree, five BA/ES, three Montessori Certified, three enrolled in Montessori training...comes in many forms. The child-care center at Naval Station, Adak, burned in November 1979 (Nida, 1980). Fortunately, there was no loss of life or
Mortensen, Anette; Lenz, Katja; Abildstrøm, Hanne
The prevalence of childhood obesity is increasing. The focus of this review is the special anesthetic considerations regarding the perioperative management of obese children. With obesity the risk of comorbidity such as asthma, obstructive sleep apnea, hypertension, and diabetes increases....... The obese child has an increased risk of perioperative complications especially related to airway management and ventilation. There is a significantly increased risk of difficult mask ventilation and perioperative desaturation. Furthermore, obesity has an impact on the pharmacokinetics of most anesthetic...
Manning, Wendy D
In recent decades, writes Wendy Manning, cohabitation has become a central part of the family landscape in the United States-so much so that by age 12, 40 percent of American children will have spent at least part of their lives in a cohabiting household. Although many children are born to cohabiting parents, and cohabiting families come in other forms as well, the most common cohabiting arrangement is a biological mother and a male partner. Cohabitation, Manning notes, is associated with several factors that have the potential to reduce children's wellbeing. Cohabiting families are more likely than married families to be poor, and poverty harms children in many ways. Cohabiting parents also tend to have less formal education-a key indicator of both economic and social resources-than married parents do. And cohabiting parent families don't have the same legal protections that married parent families have. Most importantly, cohabitation is often a marker of family instability, and family instability is strongly associated with poorer outcomes for children. Children born to cohabiting parents see their parents break up more often than do children born to married parents. In this way, being born into a cohabiting family sets the stage for later instability, and children who are born to cohabiting parents appear to experience enduring deficits of psychosocial wellbeing. On the other hand, stable cohabiting families with two biological parents seem to offer many of the same health, cognitive, and behavioral benefits that stable married biological parent families provide. Turning to stepfamilies, cohabitation's effects are tied to a child's age. Among young children, living in a cohabiting stepfamily rather than a married stepfamily is associated with more negative indicators of child wellbeing, but this is not so among adolescents. Thus the link between parental cohabitation and child wellbeing depends on both the type of cohabiting parent family and the age of the
Hymel, K P; Jenny, C
Multiple obstacles can hinder the medical evaluation of suspected child sexual abuse in pediatric primary care. The need for diagnostic accuracy is high. Knowledge of sexual abuse risk factors, an understanding of the victimization process, and awareness of the varied clinical presentations of sexual abuse can be of assistance. Open-ended questioning of the suspected victim is the most critical component of the evaluation. Skillful medical interviewing requires time, training, patience, and practice. Pediatricians lacking any of these four requirements should defer interviewing in sexual abuse cases to other professionals. Abnormal physical findings from sexual abuse are uncommon. Colposcopy has assisted pediatricians greatly in reaching consensus regarding diagnostic physical findings. Cases of acute sexual assault require familiarity with the forensic rape examination, STD screening and prophylaxis, and pregnancy prevention. Victimization from sexual abuse continues long after the abusive acts end, often requiring long-term therapeutic intervention. An emerging standard of care for medical evaluations of suspected child sexual abuse recognizes the requirement for patience and compassion while retaining objectivity. The pediatrician's primary concern must be for the child's physical and emotional well-being.
This article discusses the state of social change and the disparity between India's Constitutional aims and actual practice in addressing gender inequality and the special risks of female children in India. The second part of this article summarizes Constitutional articles and laws relating to protection of women and a girl child. Before birth, a female child is at risk of fetal death. A woman is at risk of poorly performed abortions and maternal mortality. After birth, a girl child is at risk of child care of younger siblings, housework, lack of education, wage work for the household, sexual abuse, vulnerability at work or school or on the street, murder by her parents, abuse, malnutrition, and desertion. The SAARC summit declared 1990 the Year of the Girl Child. UN conventions and a world summit focused on the Rights of the Child. A child has a right to freedom from exploitation, neglect and abuse, and access to food, health care, and education. Articles 14, 15, and 16 of India's Constitution guarantee protection from discrimination on grounds of religion, race, caste, sex, or place of birth and equality of opportunity in public employment. Article 23 prohibits trafficking in humans and forced labor. Article 24 prohibits child labor under the age of 14 years. Article 39 assures an adequate means of livelihood, equal pay, and protection from child abuse and economic pressure to work in jobs unsuitable to a child's age and strength. Article 45 provides for free and compulsory education up to 14 years of age. Article 51 prohibits derogatory practices against women. Article 325 and 326 prohibits sex discrimination. Other laws pertain to dowry, marriage age, prostitution, abortion, juvenile justice, kidnapping, obscenity, procurement of a minor, sexual offenses, divorce and child support, child care, maternity benefits, and cruelty by a husband or relatives. The girl child in India continues to live in perpetual threat, both physiological and psychological.
Rubén A. Bronberg
Full Text Available Los pacientes con discapacidad intelectual (DI pueden presentar un riesgo elevado de padecer alteraciones nutricionales. Nuestro objetivo fue determinar la prevalencia de malnutrición en pacientes institucionalizados con DI, en la Colonia Nacional Montes de Oca, provincia de Buenos Aires, Argentina. Se realizó valoración antropométrica transversal mediante peso (kg y talla (cm en 614 individuos (352 varones y 262 mujeres. Se determinó IMC y la prevalencia de bajo peso, sobrepeso y obesidad por sexo y tipo de DI: leve, moderada y grave. Independientemente del sexo, las prevalencias de bajo peso, sobrepeso y obesidad fueron del 2.9%, 30% y 27.7% respectivamente. Sin considerar el grupo de DI, en mujeres se observó mayor prevalencia de obesidad (41.2% y en varones de sobrepeso (34.7%. Teniendo en cuenta el grado de DI e independientemente del sexo se observó mayor prevalencia de bajo peso en DI grave y de sobrepeso y obesidad en DI leve. Ninguno de los pacientes con DI leve presentó bajo peso. Teniendo en cuenta el sexo y el grupo de DI las mayores prevalencias de bajo peso y sobrepeso se hallaron en varones con DI leve, (7% y 38.4% respectivamente y de obesidad en mujeres con DI moderada (44%. Los resultados obtenidos indicarían la importancia del control del ingreso calórico y gasto energético de adultos con DI, prestando especial atención a las condiciones de vida y a los desordenes alimentarios en relación al grado de DI y a sus múltiples discapacidades asociadas.As patients with intellectual and developmental disability (ID may be more exposed to unfavorable factors, they are at higher risk of suffering nutritional alterations. Our objective was to determine prevalence of malnutrition in institutionalized patients with ID. An evaluation of the nutritional status through determination of transversal anthropometric parameters of weight (kg and height (cm was made on 614 individuals (352 men and 262 women institutionalized at
Full Text Available O artigo aborda os desafios em torno da necessidade de conceber e implantar uma cultura de avaliação. São discutidas as relações e diferenças entre pesquisa avaliativa, avaliação normativa e tomada de decisão. A análise mostra que a capacidade de institucionalização da avaliação como instrumento para melhorar o sistema de saúde é paradoxal, pois supõe que a informação produzida contribua para uma racionalização dos processos de decisão. Postula-se que o grau em que os resultados de uma avaliação são levados em conta pelas instâncias decisórias varia de acordo com a credibilidade, fundamentação teórica e pertinência das avaliações. Observa-se que atores que ocupam diferentes posições não conseguem chegar a um consenso quanto à pertinência dos resultados produzidos pela avaliação. Para fazer com que a avaliação esteja no cerne das estratégias de transformação do sistema de saúde, sugere-se criar condições para um julgamento avaliativo verdadeiramente crítico, com a implementação de estratégias que favoreçam a formação e o aprendizado, o debate, a reflexão e a abertura de novas frentes de intervenção. Institucionalizar a avaliação implica antes de tudo se questionar a capacidade da avaliação de produzir as informações e julgamentos necessários para ajudar as instâncias decisórias a melhorar o desempenho do SUS.This article approaches the challenges posed by the need to conceive and implement a culture of evaluation. For this purpose it discusses the relations and differences between evaluative research, normative evaluation and decision-making. The analysis shows the capacity to institutionalize the evaluation as a tool for improving the health system to be self-contradictory, for presupposing that the information produced by an evaluation helps to rationalize the decision processes. It is affirmed that the degree to which the results of an evaluation are taken into consideration by
Cameron, Ian D; Chen, Jian Sheng; March, Lyn M; Simpson, Judy M; Cumming, Robert G; Seibel, Markus J; Sambrook, Philip N
An increasing risk of death after hip fracture has been well documented, but the duration and causes remain unclear, especially in very frail older people. This is a nested case-control study of 229 hip fracture cases and 229 controls matched by age, gender, institution type, and follow-up period from a cohort of 2005 institutionalized older people. The residents were assessed at baseline and followed up for hip fracture and death for at least 5 years. Time to death was measured from the same time for each case (time of the hip fracture) and the matched control. The study sample consisted of 90 males and 368 females with a mean age of 86 years (range 67 to 102 years). The hazard ratio (HR) of death for the cases compared with the controls was 3.09 [95% confidence interval (CI) 1.83-5.22, p < .001] for the first 3 months, 1.99 (95% CI 1.13-3.51, p = .02) for the period of 3 to 9 months, and 0.88 (95% CI 0.64-1.22, p = .46) for the period beyond 9 months following a fracture, after adjusting for age, gender, institution type, weight, immobility, cognitive function, comorbidities, and number of medications. The main causes of the excess mortality in the first 9 months were infections (HR = 6.66, 95% CI 1.95-22.77, p = .002) for females and cardiac disease (HR = 2.68, 95% CI 1.39-5.15, p = .003) for both males and females. Bisphosphonate use was associated with a reduction in mortality after hip fracture (p = .002). Intensive medical supervision to reduce cardiovascular and infective complications should be provided for frail older people with recent hip fracture to reduce mortality.
Barbosa, Nair Palhano
The purpose of this research is to study the trajectory of the environmental question in the planning of government policies. For this, the historic process of the emergence and institutionalization of the debate over the environment in the electric sector was redeemed, mainly observing the changes that occurred in the organizational and planning structure of projects. The electric sector is understood to be comprised of the network of interests and social relationships that sustain the set of policies whose principle axis is the generation, transmission and distribution of energy; this network may or may not be extrapolated beyond the design of its institutional structure. During the course of the studies carried out to prepare this thesis, the environmental question was understood, at least in a preliminary fashion, to consist of a general set of problems, diagnoses, situations, plans, programs and actions, as are institutional forms that explicitly refer to the environment as their subject, cause or objective for being or their justification. The research that the work presented here was based upon was oriented by methodological procedures that are characteristic of institutional analyses and representation studies, and used documentation available about and produced by the Electric Sector as a source of information as well as interviews and questionnaires with people directly or indirectly involved with the topic. This procedure allowed for the observation that the treatment of the environmental question in the electric sector underwent moments that varied according to the level of internalization during the different stages of the sector's projects, as well as during the formulation of its institutional policy. (author)
What to ask your doctor about diarrhea - child; Loose stools - what to ask your doctor - child ... FOODS What foods can make my child's diarrhea worse? How should I prepare the foods for my child? If my child is still breastfeeding or bottle feeding, do I ...
Neglect is often a neglected form of child maltreatment even though it is the most common and deadliest form of child maltreatment. Pediatric nurse practitioners (PNPs) will most likely encounter neglected children in their practice. It is crucial that PNPs recognize child neglect in a timely manner and intervene appropriately. This continuing education article will help PNPs understand and respond to child neglect. Neglect will be defined and risk factors will be discussed. Children who are neglected can experience serious and lifelong consequences. The medical assessment and plan of care for children with concerns of suspected neglect will be discussed.
Nieto, G Arias; Mutis, F Suescun; Mercer, R; Bonati, M; Choonara, I
Colombia is a country with major problems, mainly a high degree of inequality and an unacceptably high level of violence (both armed military conflict and crime related). There are unacceptably high variations in health and health provision. Despite these difficulties, there are important steps being taken by both the government and independent organisations to try and improve child health and to achieve the Millennium Development Goals in relation to poverty, hunger and health issues. The participation of different sectors and stakeholders (including government, non-governmental organisations and other organisations of civil society) is essential to overcome Colombian history and to promote a better place for children.
Krugman, Scott D
Pediatricians have a unique opportunity to intervene in the lives of children to identify and to prevent neglect. While it remains important to care for individual patients affected by neglect, the ecological model of child neglect requires intervention at the parent, family, community, and societal levels. Pediatricians can improve the outcomes for children by advocating for policies and interventions at each level. Effective advocacy principally requires the willingness to tackle broader issues beyond individual clinical care. Working with local, state, and national organizations, pediatricians can contribute a unified voice to promote evidence-based policies and programs that improve the well-being of children.
Loeber, Rolf; Farrington, David P.; Petechuk, David
Sparked by high-profile cases involving children who commit violent crimes, public concerns regarding child delinquents have escalated. Compared with juveniles who first become involved in delinquency in their teens, child delinquents (offenders younger than age 13) face a much greater risk of becoming serious, violent, and chronic juvenile…
Full Text Available This paper assesses the practices developed in France, Italy, Greece, and Germany in order to accommodate rock’n’roll music and bring it closer to their own music styles and societal norms, as these are heard in the initial attempts of their music industries to create their own versions of it. The paper deals with these practices as instances of the French, German, Greek and Italian contexts to institutionalize rock’n’roll according to their positions regarding the USA, their historical and political situations, and their cultural and musical past and present.
... families who are coping with this type of cancer? My child's life after treatment: Will my child grow normally? ... able to have children as an adult? Will cancer treatment put my child at risk for health problems later in life? ...
Griest, K J; Zumwalt, R E
Drowning as a form of subtle fatal child abuse is difficult to distinguish from accidental immersion or from sudden unexpected natural death when the circumstances of immersion are concealed. Homicidal drownings are unwitnessed, usually occurring in the home, and the victims are young, either infants or toddlers. Accidental drownings are more likely to involve toddlers or older children in public areas such as swimming pools, drainage ditches, lakes, and rivers. This is especially true in rural areas. In cities, bathtubs remain a major site of accidental childhood drownings. Perpetrators of deliberate drownings often fit the sociopathologic profile of a child abuser. Because there is often a survival interval between immersion and death, pathologic findings consistent with postimmersion syndrome suggest the cause of death. Foreign material in the lungs, if immersion was other than in clear tap water, and injuries of the face are other positive correlating factors. A thorough investigation of the circumstances and cooperation between the investigating agency and the pathologist are essential to determine the correct manner of death in these cases.
Communication with children plays a crucial role not only for cognitive and social-emotional development but also in a more general sense for an understanding of self and self in relation to others. Research from linguistic anthropology and cultural developmental psychology have shown that there ......Communication with children plays a crucial role not only for cognitive and social-emotional development but also in a more general sense for an understanding of self and self in relation to others. Research from linguistic anthropology and cultural developmental psychology have shown...... that there exists a great variety of cultural genres of communicating with children that are in line with the relevant broader cultural ideologies of good child care. Culture, communication, and self- development are inextricably intertwined. Culturally distinct communicative practices in which children participate...... will therefore ultimately lead to different cultural developmental pathways. While traditional research in developmental psychology has focused on mother–child dyads and experimental designs there is an increasing recognition of the need for naturalistic studies of everyday communication with children including...
Catherine R Sibanda
Full Text Available This article falls under the broad area of child language acquisition and it aims to present an analysis of the acquisition of Shona noun class prefixes. The data collection procedures involved fortnightly observation and audio-recording of the spontaneous speech of three children who were acquiring Shona as a mother tongue. The results of this investigation confirm findings from earlier studies and show that noun class prefixes are acquired in three partially overlapping stages. In the first stage, nouns are produced without class prefixes and as time progresses, in the second stage, they are produced with them but in the form of an onsetless vowel. In the third stage, nouns are produced with full and phonologically appropriate class prefixes. The empirical and theoretical findings of this investigation are expected to broaden and deepen our knowledge of morphology and the phonology-morphology interface in the context of child language acquisition. As there are few descriptive and theoretical studies on the acquisition of Shona, this research recommends more studies on this subject.
Edmonds, Eric V.; Nina Pavcnik
Few issues in developing countries draw as much popular attention as child labor. This paper begins by quantifying the extent and main characteristics of child labor. It then considers the evidence on a range of issues about child labor. Fundamentally, child labor is a symptom of poverty. Low income and poor institutions are driving forces behind the prevalence of child labor worldwide. This study concludes by assessing the policy options to reduce worldwide child labor.
Luscher, Kurt K.; And Others
This monograph provides a comprehensive description of the multiple, diverse, and complex systems of child care in Switzerland today. The following topics are discussed: prevailing conceptions of the child-rearing process, the relationship between family and society, socialization, training of personnel, information dissemination, mass media and…
In response to "The Child Welfare Cartel," defenders of the National Child Welfare Workforce Institute (NCWWI) make three errors: First, restricting federal funds to schools of social work is "not" authorized by the statute cited in the creation of NCWWI. Second, social work is "not" the only discipline engaged in…
B. van der Klaauw (Bas); L. Wang (Lihong)
textabstractThis paper focuses on infant and child mortality in rural areas of India. We construct a flexible duration model, which allows for frailty at multiple levels and interactions between the child's age and individual, socioeconomic, and environmental characteristics. The model is estimated
Fern, Tami L.
This study attempted to identify gifted child humorists among 1,204 children in grades 3-6. Final identification of 13 gifted child humorists was determined through application of such criteria as funniness, originality, and exemplary performance or product. The influence of intelligence, development, social factors, sex differences, family…
with AEI, appendix G. d. Air deodorizing machines should be installed in child activity rooms/modules serving nontoilet–trained children and all child...Plant Listing Non–Toxic Listing Abella, Abyssinian Sword Lily, African Daisy, African Palm, African Violet, Air Fern, Airplane Plant, Aluminum Plant
Yousefzadeh Faal Daghati, Sepideh; Mideros-Mora, Andrés; De Neubourg, Chris; Minujin, Alberto; Nandy, Shailen
The chapter analyses children's multidimensional deprivation in Iran in 2009 and explores inequalities in different regions. The study focused on outcome indicators, with the level of analysis focusing on the individual child as well as the household. A child rights approach is applied to define dim
Dickerson, LaVerne Thornton, Comp.
This annotated bibliography focuses on recent publications dealing with factors that influence child growth and development, rather than the developmental processes themselves. Topics include: general sources on child development; physical and perceptual-motor development; cognitive development; social and personality development; and play.…
Trickett, Penelope K.; Negriff, Sonya; Ji, Juye; Peckins, Melissa
Child abuse and neglect, often collectively called child maltreatment, are huge social problems affecting millions of children and adolescents in America. Adolescents are affected both by maltreatment which occurred during childhood with lingering effects and by maltreatment that continues into or begins in adolescence. Several decades of research…
Woika, Shirley; Bowersox, Carissa
Teachers and teachers-in-training are mandated reporters; they are legally required to report any suspected child abuse or neglect. This article describes: (1) How to file a report; (2) How prevalent child abuse is; (3) What abuse is; (4) What it means to be a mandated reporter; (5) When the report should be made; and (6) What to do if abuse is…
... child’s appetite changes. Children do not grow as fast in their preschool years. That is why your child may have a smaller appetite now. That is normal. If he or she is not hungry or does not finish a meal, relax. Take the food away. Your child probably is eating enough if ...
Propuesta didáctica de intervención oportuna para infantes de dos a tres años en contextos institucionalizados / Didactic proposal of opportune intervention for infants of two to three years in institutionalized contexts
Gaudy Acuña Rivera
Full Text Available ResumenLa dinámica de la sociedad actual en que mujeres y hombres, se han integrado al ámbito laboral, genera que la población infantil sea institucionalizada a edades cada vez más tempranas, esto plantea un reto para los centros educativos que les atiende, cuya función no sólo sea asistencial, sino educativa e integral. La propuesta que se desarrolla en el este artículo surge de una investigación cualitativa etnográfica que pretende reconocer la realidad de trabajo en instituciones educativas: públicas, privadas e institucionales, en contraste con la teoría y los aportes de especialistas en el desarrollo integral. Así, se logra reconocer las fortalezas y deficiencias de la labor pedagógica en el marco de la educación costarricense con este grupo, se concreta el aporte de un perfil de desarrollo actual y contextualizado y se incentiva la creación de propuestas similares en relación con otras edades propias del nivel Preescolar.AbstractThe dynamics of a current society, in which women and men have been integrated into the work force, propitiate an institutionalization of the child population at increasingly early ages, this poses a challenge for schools that receive them, whose function is not only to see their needs, but are also educational and comprehensive. The proposal developed in this article stems from an ethnographic qualitative research that seeks to recognize the reality of working in educational institutions: public, private and institutional, as opposed to the theory and contributions from specialists in comprehensive development. Thus, with this group, the strengths and weaknesses of the educational work in the context of the education in Costa Rica are recognized, specifically, through the contribution of a current development profile, which contextualizes and encourages the creation of similar proposals, in relation to other age groups part of the Preschool level.
A child's self-construction and access to his identity depend on the conditions of affective security in which he is raised and his genealogical references, the founders of his own place in society. The quality of the professional care at the different stages of the birth process is confirmed as a major variable in the parents' sense of security, followed by the child's. The drift toward the illusion of a right to a child is tempered by the attention that can be contributed by all healthcare providers who come into contact with couples when they request artificial procreation: recognition of their request, but also of their suffering, so as to separate the child's place from parental projections that may be poorly adjusted to the child's needs.
Full Text Available Each year, millions of children around the world are the victims and witnesses of physical, sexual and emotional violence. Child maltreatment is a major global problem with a serious impact on the victims’ physical and mental health, well-being and development throughout their lives and, by extension, on society in general. Family physicians who are involved in the care of children are likely to encounter child abuse and should be able to recognize its common presentations. There is sufficient evidence that child maltreatment can be prevented. The ultimate goal is to stop child maltreatment before it starts.In this paper, the characteristics of the perpetrators and victims of child maltreatment, maltreatment types, risk factors, differential diagnosis and discuss about strategies for preventing were summarized.
qualitatively and quantitatively comparable to the other five billion inhabitants on the planet . He argued most of 26Ibid. 27Hillary R...requirements, leadership skills, physical fitness , and interpersonal skills needed to conduct a wide variety of engagements. Their training...www.reuters.com/article/2012/05/17/mali-gold-idUSL5E8GHH1X20120517 (accessed April 4, 2013); Human Rights Watch, A Poisonous Mix: Child Labor, Mercury
Abdullah K. Shehabat
Full Text Available This paper explains how the two protagonists, Firdaus and Sara, successfully paved their own ways in search of self-liberation despite the authoritarian patriarchy and institutionalized religions that plagued them. El Saadawi's Woman at Point Zero and Yezierska’s Bread Givers represent the fruitful struggle these protagonists experienced as they come to forge an identity and be themselves. The paper argues that the protagonists manage to free themselves, establish their own spiritual homes at their own homes and assert the potentials of their femininity despite their endings. Empowered by the powers of reading, strong will and meticulous work, the protagonists were able to realize their own material independence and achieve their lifelong ambitions. However, through Firdaus' and Sara's journeys of breaking their silence, they were subject to different patterns of self-annihilation. While Firdaus was sentenced to death for killing a pimp, Sara embraced living under the hegemony of an authoritarian husband. Keywords: Women empowerment, authoritarian patriarchy, institutionalized and/or gendered religion, spiritual feminist homes
Nunes, Everardo Duarte
This paper takes as its starting point the concepts that make up the process of institutionalization of a field of knowledge in the following phases: 1. Differentiation of subjects, methods and techniques of knowledge or existing disciplines, 2. The subject previously considered as peripheral is now seem as part of a particular field of knowledge, 3. The new field becomes significant in the set of an area and starts the standardization of recruitment of human resources, selection of experts and financial resources, and 4. Consolidation of the new field, building its culture within the scientific community, with its social networks of communication, scientific associations and its own publications. Our central objective is to analyze the role of the Ciência e Saúde Coletiva Journal in the process of institutionalization of the Collective Health; we situate the Collective Health and its stages, make a brief report on the history of scientific publications by emphasizing the Brazilian studies on the public health field, and work the early stages of the Journal.
Celso Sidinei Balzan
Full Text Available This paper is situated within the history of education and its purpose is to investigate the challenges of institutionalization of historical-critical pedagogy (PHC at the early elementary school years in municipal network Itaipulândia-PR. In it, we try to analyze briefly articulated with the proposals and actions carried out over several years, especially in 2010 itaipulandiense educational trajectory. These achievements currently make up the municipal public education policy that includes training programs that articulate with better working conditions, teaching and learning. Based on documents and literature review, discuss and seek to understand how the teachers of this county propositions developed from the study of the major challenges that the historical-critical pedagogy faces in Brazilian education, using experiences, educational programs and projects of State Governments and federal. In addressing the specific conditions that focus on education, the school and the organization of the teaching work through the analysis of its historical and educational history, we intend to analyze the process of institutionalization and implementation of this pedagogical trend in the early years of basic education in the municipality of Itaipulândia.
Full Text Available Introduction: Narcolepsy is a chronic disease characterized by sleep attacks, excessive daytime sleepiness and nocturnal sleep fragmentation. It can be associated cataplexy and other disturbance of REM sleep (sleep paralysis and hypnagogic hallucinations and hypnopompic. Case report: A 10-year old boy was referred to Pedopsychiatry because of behavioural disturbance, irritability, sleepiness and distraction, being interpreted as an “ill-mannered child.” After clinical evaluation and comprehensive laboratory studies we concluded that he presented narcolepsy with cataplexy. Discussion/conclusion: Patients with narcolepsy face several problems due to the disease which, if left untreated or ineffectively treated, cause embarrassing or distressing symptoms, affecting their quality of life. The purpose of this paper is to draw attention to this problem since it is a rare condition and therefore seldom not recognized by the general public or even by health professionals.
Michelle Soares Rauen
Full Text Available OBJETIVO: Identificar o estado nutricional, segundo o índice de massa corporal, e fornecer informações sobre medidas antropométricas de idosos institucionalizados no município de Florianópolis (SC. MÉTODOS: Estudo transversal, no qual a população em estudo foi composta por 232 idosos, com idade a partir de 60 anos, residentes em instituições geriátricas do município de Florianópolis (SC. A avaliação antropométrica foi realizada obtendo-se o valor do índice de massa corporal, da prega cutânea triciptal e da circunferência da panturrilha. O diagnóstico do estado nutricional foi realizado utilizando-se os pontos de corte preconizados pela Organização Pan-Americana de Saúde para índice de massa corporal. Os dados são apresentados sob a forma de média e desvio-padrão. Foi realizado o teste t de Student para verificar a diferença entre os valores médios das variáveis entre os sexos. RESULTADOS: A amostra constituiu-se de 167 idosos de ambos os sexos. Encontrou-se uma prevalência de 45,5% de baixo peso, 33,5% de peso normal, 7,8% de pré-obesidade e 13,2% de obesidade. Para todas as variáveis antropométricas, o valor médio das mulheres foi superior ao dos homens. CONCLUSÃO: Os resultados encontrados indicaram a prevalência de 66,5% da amostra com estado nutricional inadequado, evidenciando a necessidade de medidas de promoção ou reabilitação da saúde dos idosos. Os dados mostram que há diferenças entre os sexos com relação ao estado nutricional e às variáveis índice de massa corporal e prega cutânea triciptal, além de contribuírem para a ampliação do referencial antropométrico de idosos institucionalizados.OBJECTIVE: The objective of this study was to identify the nutritional status, according to body mass index, and provide information regarding anthropometric measurements of institutionalized seniors in the city of Florianópolis (SC, Brazil. METHODS: This is a cross-sectional study. The research
Weiner, Sharon A.
There is increasing recognition that information literacy is essential for individual and community empowerment, workforce readiness, and global competitiveness. However, there is a history of difficulty in integrating information literacy with the postsecondary educational process. This paper posits that a greater understanding of the…
Information security has become a much discussed subject all over the world in the last few years. This is because information security is no longer a luxury, but a necessity in all organisations. The securing of information is not an easy task because information security is flexible and always seems to be in a state of development. This means that information security has undergone different development changes due to new technologies in the past few years. Information security became promi...
Ibsen, Christian Lyhne; Navrbjerg, Steen Erik
Recent studies show that employer associations continue to exist in new ways despite internationalisation of the economy, liberalisation of markets and the decline of trade unions. This paradox raises two questions regarding EOs in today’s labour markets: Which employers join employer associations...
Normann, Leo; Agger Nielsen, Jeppe
This article explores a new management form – cluster management – in Danish public sector day care. Although cluster management has been widely adopted in Danish day care at the municipality level, it has attracted only sparse research attention. We use theoretical insights from Scandinavian ins...
På mange måder er det danske arbejdsmarked blevet mere fleksibelt de seneste ti til 20 år. Årsagerne hertil er flere, men nedbrydelsen af toldbarrierer som følge af åbningen af EU’s indre marked og arbejdskraftens fri bevægelighed har spillet en rolle, ligesom kommunismens sammenbrud i øst og åbn...
På mange måder er det danske arbejdsmarked blevet mere fleksibelt de seneste ti til 20 år. Årsagerne hertil er flere, men nedbrydelsen af toldbarrierer som følge af åbningen af EU’s indre marked og arbejdskraftens fri bevægelighed har spillet en rolle, ligesom kommunismens sammenbrud i øst og åbn...
Det danske arbejdsmarked er blevet mere fleksibelt de seneste ti til 20 år. Årsagerne hertil er flere, men nedbrydelsen af toldbarrierer som følge af åbningen af EU’s indre marked og arbejdskraftens fri bevægelighed har spillet en rolle, ligesom kommunismens sammenbrud i øst og åbningen af disse ...
Rasche, Andreas; Gilbert, Dirk Ulrich
The United Nations Global Compact – which is a Global Public Policy Network advocating 10 universal principles in the areas of human rights, labor standards, environmental protection, and anticorruption – has turned into the world's largest corporate responsibility initiative. Although the Global...... Compact is often characterized as a promising way to address global governance gaps, it remains largely unclear why this is the case. To address this problem, we discuss to what extent the initiative represents an institutional solution to exercise global governance. We suggest that new governance modes...
Normann, Leo; Agger Nielsen, Jeppe
This article explores a new management form – cluster management – in Danish public sector day care. Although cluster management has been widely adopted in Danish day care at the municipality level, it has attracted only sparse research attention. We use theoretical insights from Scandinavian...... institutionalism together with a longitudinal case-based inquiry into how cluster management has entered and penetrated the management practices of day care in Denmark. We demonstrate how cluster management became widely adopted in the day care field not only because of its intrinsic properties but also because...... of how it was legitimized as a “ready-to-use” management model. Further, our account reveals how cluster management translated into considerably different local variants as it travelled into specific organizations. However, these processes have not occurred sequentially with cluster management first...
McDavid, Lolita M
Children in foster care need more from health providers than routine well-child care. The changes in legislation that were designed to prevent children from languishing in foster care also necessitate a plan that works with the child, the biological family, and the foster family in ensuring the best outcome for the child. This approach acknowledges that most foster children will return to the biological family. Recent research on the effect of adverse childhood experiences across all socioeconomic categories points to the need for specifically designed, focused, and coordinated health and mental health services for children in foster care.
Anthony J. Urquiza
Full Text Available Disruptive child behavior problems are common problems for parents and can be associated with serious delinquent behaviors and aggressive/violent behaviors in adolescence and adulthood. Parenting interventions to address disruptive child behavior problems has gained widespread acceptance. One of these parenting interventions is Parent-Child Interaction Therapy (PCIT. PCIT is a 14- to 20-week, founded on social learning and attachment theories, designed for children between 2 and 7 years of age with disruptive, or externalizing, behavior problems. This article will provide a brief review of the history of PCIT, a description of the basic components of PCIT, and an overview of recent developments that highlight the promise of PCIT with maltreating parent-child relationships, traumatized children, and in developing resilience in young children. In addressing the three basic treatment objectives for PCIT (i.e., reduction in child behavior problems, improving parenting skills, enhancing the quality of parent-child relationships, there is an abundance of research demonstrating very strong treatment effects and therefore, its value to the field. Recent research has also demonstrated the value of PCIT in reducing trauma symptoms in young children.
Afifi, Tracie O; Taillieu, Tamara; Cheung, Kristene; Katz, Laurence Y; Tonmyr, Lil; Sareen, Jitender
Objective: Identifying child and household characteristics that are associated with specific child maltreatment types and child functional impairment are important for informing prevention and intervention efforts. Our objectives were to examine the distribution of several child and household characteristics among substantiated child maltreatment types in Canada; to determine if a specific child maltreatment type relative to all other types was associated with increased odds of child functional impairment; and to determine which child and household characteristics were associated with child functional impairment. Method: Data were from the Canadian Incidence Study of Reported Child Abuse and Neglect (collection 2008) from 112 child welfare sites across Canada (n = 6163 children). Results: Physical abuse, sexual abuse, and emotional maltreatment were highly prevalent among children aged 10 to 15 years. For single types of child maltreatment, the highest prevalence of single-parent homes (50.6%), social assistance (43.0%), running out of money regularly (30.7%), and unsafe housing (30.9%) were reported for substantiated cases of neglect. Being male, older age, living in a single-parent home, household running out of money, moving 2 or more times in the past year, and household overcrowding were associated with increased odds of child functional impairment. Conclusions: More work is warranted to determine if providing particular resources for single-parent families, financial counselling, and facilitating adequate and stable housing for families with child maltreatment histories or at risk for child maltreatment could be effective for improving child functional outcomes. PMID:26175390
Licata, Maria; Paulus, Markus; Kühn-Popp, Nina; Meinhardt, Jorg; Sodian, Beate
While factors influencing maternal emotional availability (EA) have been well investigated, little is known about the development of child EA. The present longitudinal study investigated the role of frontal brain asymmetry in young children with regard to child EA (child responsiveness and involvement) in mother-child interaction in a sample of 28…
... to tell you. Grandma died today." Pause to give your child a moment to take in your words. Listen and comfort. Every child ... being together helps people start to feel better." Give your child a role. ... if they want to take part, and how. Help your child remember the ...
Evans, Robert C.; And Others
Investigated the influence of a child with sickle-cell anemia on parental affiliation, parent-child relationships, and parents' perception of their child's behavior. In the sickle-cell group, parents' interpersonal relationship suffered; parent-child relationship and child behavior correlated significantly; and single-parent families estimated…
Describes the CHILDES/BIB electronic bibliographic database, its contents, and its relationship to the CHILDES database. CHILDES is a depository of child language corpora and is the publisher of CHAT (a transcription manual) and CLAN (an electronic package for child language research). (GLR)
... 45 Public Welfare 1 2010-10-01 2010-10-01 false A child's eligibility for child care services. 98.20 Section 98.20 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Eligibility for Services § 98.20 A child's eligibility for child...
Behl, A S
To assess Indias recent trends in child mortality rates and disparities and identify ways to reduce child mortality and wealth-related health disparities, we analyzed three years of data from Indias National Family Health Survey related to child mortality. Nationally, declines in average child mortality were statistically significant, but declines in inequality were not. Urban areas had lower child mortality rates than rural areas but higher inequalities. Interstate differences in child mortality rates were significant, with rates in the highest-mortality states four to six times higher than in the lowest-mortality states. However, child mortality in most states declined.
Lília Iêda Chaves Cavalcante
nature (18.83% that can be related to the environmental characteristic of the institution - inadequate proportion adult/children (1:8 and overcrowding (75/month. The results allow concluding that the children's health conditions reflect the situation of material and emotional privation to which they were exposed when living with the family and during their permanence in the shelter. In this sense, the health and disease processes are discussed from an ecological perspective that recognizes the biological, social and cultural factors that constitute the family and the shelter as developmental contexts of the institutionalized child.
Full Text Available Objective: We studied child survival in Rakai, Uganda where many children are fostered out or orphaned. Methods: Biological relatedness is measured as the average of the Wright's coefficients between each household member and the child. Instrumental variables for fostering include proportion of adult males in household, age and gender of household head. Control variables include SES, religion, polygyny, household size, child age, child birth size, and child HIV status. Results: Presence of both parents in the household increased the odds of survival by 28%. After controlling for the endogeneity of child placement decisions in a multivariate model we found that lower biological relatedness of a child was associated with statistically significant reductions in child survival. The effects of biological relatedness on child survival tend to be stronger for both HIV- and HIV+ children of HIV+ mothers. Conclusions: Reductions in the numbers of close relatives caring for children of HIV+ mothers reduce child survival.
... children 6 months or older should receive the vaccine. Children under 9 years will need a second flu ... severe or life-threatening flu infection. WILL THE VACCINE HARM MY CHILD? A small amount of mercury (called thimerosal) is ...
U.S. Department of Health & Human Services — The most current Child Welfare Outcomes data is featured on this site. Through the site, you can view the data before the full report is published. The most recently...
J Gordon Millichap
Full Text Available A Chinese boy with a DYT1 gene mutation presented with muscle stiffness, painful muscle spasms, myoclonus, and dystonia, compatible with stiff child syndrome, and is reported from Queen Mary Hospital, the University of Hong Kong.
... Products For Consumers Home For Consumers Consumer Updates Allergy Relief for Your Child Share Tweet Linkedin Pin ... and run the air conditioner. back to top Allergy Medicines For most children, symptoms may be controlled ...
Loft, Lisbeth Trille Gylling
Using longitudinal national-level representative data from Denmark, this study considers the link between child disability or chronic illness and parental relationship termination as measured by the point in time at which one parent, following the breakup of the relationship, no longer resides...... in the household. By means of event-history techniques, I examine whether a Danish family's experience of having a child diagnosed with a disability or chronic illness affects the chances of parental relationship termination. My findings suggest that families with a child with disabilities or chronic illness do...... have a higher risk of parental relationship termination, when compared to families where no diagnosis of child disability or chronic illness is reported....
... Whooping Cough or Pertussis Family Life Marriage and Divorce Health Care and Insurance Access to Health Care ... Inflicted Injury Life Stages and Populations Age Groups Adolescent Health Child Health Infant Health Older Persons' Health ...
Wunderlich, Ray C.
Described individually are the following forms of medical treatment for the hyperactive child: stimulants, tranquilizers, megavitamins, corticosteroids, antihistamines, anticonvulsants, food elimination, air filtration, allergic desensitization, perceptual motor training, and behavioral counseling. (DB)
Rushton, H G
Nocturnal enuresis is a symptom of environmental, physical, and psychosocial factors. In addition to a physical examination, the initial workup of the enuretic child should include a careful voiding, psychosocial, and family history. Studies have shown that the parents of enuretic children often have a history of enuresis. An increased incidence of enuresis has also been demonstrated in children from large families and lower socioeconomic groups. Daytime voiding symptoms (e.g., frequency, urgency, or enuresis) suggest the possibility of underlying voiding dysfunction. A complete urinalysis and urine culture also should be performed to exclude urinary infection and certain metabolic or nephrologic disorders. Finally, it is important that the treating physician understand the attitudes of both the child and the family concerning enuresis. Parents who feel that the child is at fault need to be educated and reassured. A careful, complete evaluation will allow the physician to tailor treatment to the individual child and family.
... page: //medlineplus.gov/ency/patientinstructions/000164.htm Enteral nutrition - child - managing problems To use the sharing features ... trouble breathing, call 911. References Mcclave SA. Enteral nutrition. In: Goldman L, Schafer AI, eds. Goldman-Cecil ...
... Old Feeding Your 1- to 2-Year-Old Carbohydrates, Sugar, and Your Child KidsHealth > For Parents > Carbohydrates, Sugar, ... a 1-ounce equivalent. previous continue Sizing Up Sugar Foods that are high in added sugar (soda, ...
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... Donate In This Section Does Your Child Have Glaucoma? email Send this article to a friend by ... a pediatric ophthalmologist. Signs and Symptoms of Childhood Glaucoma What to watch for in children under the ...
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Plotnick, R D
Child poverty can be reduced by policies that help families earn more and supplement earned income with other sources of cash. A comprehensive antipoverty strategy could use a combination of these approaches. This article reviews recent U.S. experience with these broad approaches to reducing child poverty and discusses lessons from abroad for U.S. policymakers. The evidence reviewed suggests that, although policies to increase earned incomes among low-wage workers can help, these earnings gains will not be sufficient to reduce child poverty substantially. Government income support programs, tax policy, and child support payments from absent parents can be used to supplement earned incomes of poor families with children. Until recently, Aid to Families with Dependent Children (AFDC) was the main government assistance program for low-income families with children. Temporary Assistance for Needy Families (TANF) has recently replaced AFDC. This article explains why TANF benefits are likely to be less than AFDC benefits. The article also examines the effects of Social Security and Supplemental Security Income on child poverty. The most encouraging recent development in antipoverty policy has been the decline in the federal tax burden on poor families, primarily as a result of the expansion of the Earned Income Tax Credit (EITC), now the largest cash assistance program for families with children. In 1995, government transfer programs (including the value of cash, food, housing, medical care, and taxes) decreased child poverty by 38% (from 24.2% to 14.2% of children under 18). Child poverty may also be reduced by policies that increase contributions from absent single parents to support their children. Overall, evidence from the United States and other developed countries suggests that a variety of approaches to reducing child poverty are feasible. Implementation of effective programs will depend, however, on the nation's political willingness to devote more resources to
Child rights are a set of international conventions which define the conditions for the normal development of a child. In Romania, child rights are now the subject of a specific law, law nr. 272/2004 on the Protection and Promotion of the Rights of the Child, which is in accordance with the international conventions. All children have their own rights - whether at home with their natural parents, in foster families, child care institutions or at school. Parents and families, the professional ...
Full Text Available This study investigated secondary school pupils’ views on strategies that can be used to prevent child sexual abuse (CSA. A survey design was adopted as the operational framework for data gathering. Data were collected from three secondary schools, all in the Gweru district of Zimbabwe. The sample comprised 268 secondary pupils (50% female; M age = 15.42, SD = 1.376. Each participant was asked to write down three main strategies that can be used to fight CSA on a given questionnaire. The responses were then analyzed using the thematic content analysis technique. The study revealed that most pupils believed that CSA can be prevented through teaching them about it and also reporting to the police. Another significant finding was that pupils’ responses tended to vary with gender and level of education. Whereas female respondents suggested that CSA can be fought by avoiding strangers, saying no to sexual advances, and having reliable friends, their male counterparts suggested teaching the community about CSA, forming new clubs, and enacting life imprisonment for perpetrators, among other suggestions. In terms of level of education, Form 2 participants suggested avoiding strangers, staying home at night, whereas their Form 4 counterparts suggested lessons for Guidance and Counseling, saying no to sexual advances, and having reliable friends. These findings unequivocally demonstrate the need to vigorously engage secondary school pupils in activities aimed at fighting CSA to safeguard their inalienable human rights.
Giorgi, C; Sala, R; Riva, D; Cossu, A; Eisenberg, H
We felt there was a need for a new device with "minimal invasive" tracking hardware, to be used in image-guided neurosurgery, and the system we designed to fill this need is now presented. It combines precision of movement, stability and self-positioning capabilities together with optically tracked registration and procedural control within the structure of a surgical microscope. The results are reduced setup time and minimal "distraction" from the procedure itself, factors of special relevance in child neurosurgery. The system is composed of a six-axis industrial robot suitable for use in the operating room, carrying a surgical microscope. Three progressive scan-synchronized infrared cameras mounted around the lenses of the scope are used to register the patient's position and track surgical instruments with reference to the registered space. Orientation of the microscope during surgery is obtained with a six-axis joystick used as a microscope handle. The system has been clinically used in 14 cases, and it has proven itself to be reliable, providing the expected performance advantages. The implementation of a tracked ultrasound or endoscope intraoperative imaging source is also described.
Because divorce is so common, it is important for our society to find ways to minimize the psychological trauma that is experienced by children of divorced parents. Ideally, divorcing parents would not fight so much over the children, in front of the children, and through the children. When disputes do arise regarding custody, visitation, and parenting plans, mental health professionals can assist the judges who make the final decisions by performing competent custody evaluations. These evaluations should be conducted in a systematic manner, should consider several critical factors in an unbiased manner, and should result in recommendations that promote the best interests of the children. In most cases, the goal is for each child to have strong, healthy relationships with both parents. After conducting an evaluation, it is usually possible to make recommendations regarding custody, parenting arrangements, and forms of counseling and therapy that should be helpful to the family members. It is important to communicate these recommendations in an articulate manner, whether verbally or in the written report.
López-Soto, Pablo Jesús; Manfredini, Roberto; Smolensky, Michael H; Rodríguez-Borrego, María Aurora
Falls are common among the elderly > 65 years of age and can result in both serious trauma and costly medical care. The epidemiology of falls in the elderly typically focuses on identifying contributory exogenous environmental and endogenous age-related physical, cognitive and other health status factors; however, one potentially important variable seldom considered is time of fall. We sought to determine if falls in hospitalized/institutionalized elderly persons exhibit 24 h and other temporal patterns, since knowledge of such could be useful in their prevention. We conducted a systematic review of the published literature to critically appraise and synthesize the methods and findings of previous reports addressing clock-time, day-of-week and month-of-year fall patterns of institutionalized elderly cohorts. Medline, SCOPUS, Ovid SP and Web of Knowledge were systematic assessed, entering search terms of "accidental fall", "circadian rhythm", "biological clocks", "circadian clocks", "activity cycles", "periodicity", and with databases accepting an age limiter, "age of 65(+) years". Methodological quality was assessed by STROBE and CONSORT checklists, respectively, in observational and clinical studies. Publications were reviewed if meeting inclusion criteria of: (i) being an empirical study, (ii) adopting circadian and/or other period rhythmicity as a fall risk, and (iii) focusing on hospitalized/institutionalized falls in those ≥ 65 years of age; plus exclusion criteria of: (i) cohort fall incidents; the few that did varied in quality, institutional setting, and patient type, i.e. medical diagnoses. Overall, findings suggest a single or double-peak 24 h pattern of fall incidence, with time of greatest incidence seemingly associated with circadian rhythm-dependent differences in the symptom intensity of dominating medical diagnoses (e.g. heart failure versus Alzheimer syndrome) among sample cohorts plus location (e.g. bathroom versus hallway) of occurrence
De Almeida, Helena Nunes; André, Isabel Margarida; De Almeida, Ana Nunes
The objective of this study is to carry out a current survey of the situation of child abuse in the family. It is based on a national survey conducted in 1996, which was addressed to childcare professionals (in the areas of health, education and social services). This survey was based, on the one hand, on a wide-ranging definition of child abuse, including within it not just active forms of physical and psychic violence against the child, but also forms of (both material and affective) privation, omission or negligence which affect the child's growth and development. On the other hand, this study also favoured a contextual approach to child abuse. 1,126 institutions in Portugal were contacted and 755 valid survey responses were received. This report outlines some of the results obtained, namely by providing a description of the sample of the 755 child abuse victims, the respective social and family contexts to which they and the aggressors belong, as well as the types of abuse which have been committed against them; and a typology of forms of abuse and negligence, describing not just the internal aspects that make up child abuse directly, but also its relationship to the child's social and family contexts of belonging. The typology was derived from the statistical handling of the data gathered (factorial analysis of multiple matches, followed by a hierarchical analysis into clusters). A number of key concepts are summarised in the conclusion. Children of all age groups and of both sexes, and from all types of families and social backgrounds, regardless of their place in the phratry, are subject to abuse in Portugal. But different types of abuse and negligence are associated with the contexts to which the children and their families belong. Healthcare professionals are irreplaceable when it comes to detecting the wide variety of types of child abuse, and are an essential look-out post for two types of abuse which often slip through the net of other professionals
Langley, Audra K; Falk, Avital; Peris, Tara; Wiley, Joshua F; Kendall, Philip C; Ginsburg, Golda; Birmaher, Boris; March, John; Albano, Ann Marie; Piacentini, John
The purpose of the current investigation was to examine the factor structure, reliability, and construct validity of both the Child and Parent version of the Child Anxiety Impact Scale (CAIS) using data obtained from the Child/Adolescent Anxiety Multimodal Study (Walkup et al., 2008 ). The CAIS child and parent versions measure anxiety-related functional impairment in school, social, and family domains. Participants were 488 children ages 7 to 17 (M age = 10.7, SD = 2.8 years) enrolled as part of the CAMS study across 6 sites and their primary parent or caregiver. Families participated in a structured diagnostic interview and then completed the CAIS along with other measures. Confirmatory factor analysis revealed that the a priori three-factor structure (school, social, and home/family) for the CAIS parent- and CAIS child-report was a reasonable fit, with a comparative fit index of .88 and root mean square error of approximation of .05. Internal consistency was very good for total score and subscales of both versions of the scale (Cronbach's α = .70-.90). The CAIS total scores demonstrated good construct validity, showing predicted significant correlations with the Child Behavior Checklist (CBCL) Internalizing Scale, the Multidimensional Anxiety Scale for Children (MASC) and Screen for Child Anxiety Related Emotional Disorders (SCARED) Total Scores, the Pediatric Anxiety Rating Scale, and the Children's Global Assessment Scale. In addition, CAIS Social and School subscales were significantly related to similar subscales on the CBCL, SCARED, and MASC. The results provide support that the CAIS is a reliable and valid measure for the assessment of the impact of anxiety on child and adolescent functioning.
Mood, Carina; Jonsson, Jan O
We use several family-based indicators of household poverty as well as child-reported economic resources and problems to unravel child poverty trends in Sweden. Our results show that absolute (bread-line) household income poverty, as well as economic deprivation, increased with the recession 1991-96, then reduced and has remained largely unchanged since 2006. Relative income poverty has however increased since the mid-1990s. When we measure child poverty by young people's own reports, we find few trends between 2000 and 2011. The material conditions appear to have improved and relative poverty has changed very little if at all, contrasting the development of household relative poverty. This contradictory pattern may be a consequence of poor parents distributing relatively more of the household income to their children in times of economic duress, but future studies should scrutinze potentially delayed negative consequences as poor children are lagging behind their non-poor peers. Our methodological conclusion is that although parental and child reports are partly substitutable, they are also complementary, and the simultaneous reporting of different measures is crucial to get a full understanding of trends in child poverty.
Child healthy development is largely influenced by parent–child interaction and a secure parent–child attachment is predictively associated with positive outcomes in numerous domains of child development. However, the parent–child relationship can be affected by several psychosocial and socio-demographic risk factors that undermine its quality and in turn play a negative role in short and long term child psychological health. Prevention and intervention programs that support parenting skills ...
Willem J R Bossers
Full Text Available OBJECTIVES: We examined the feasibility of a combined aerobic and strength training program in institutionalized dementia patients and studied the effects on cognitive and physical function. METHODS: Thirty-three patients with dementia, recruited from one nursing home, participated in this non-randomized pilot study (25 women; age = 85.2±4.9 years; Mini Mental State Examination = 16.8±4.0. In phase 1 of the study, seventeen patients in the Exercise group (EG received a combined aerobic and strength training program for six weeks, five times per week, 30 minutes per session, in an individually supervised format and successfully concluded the pre and posttests. In phase 2 of the study, sixteen patients in the Social group (SG received social visits at the same frequency, duration, and format and successfully concluded the pre and posttests. RESULTS: Indices of feasibility showed that the recruitment and adherence rate, respectively were 46.2% and 86.3%. All EG patients completed the exercise program according to protocol without adverse events. After the six-week program, no significant differences on cognitive function tests were found between the EG and SG. There was a moderate effect size in favor for the EG for the Visual Memory Span Forward; a visual attention test. There were significant differences between groups in favor for the EG with moderate to large effects for the physical tests Walking Speed (p = .003, Six-Minute Walk Test (p = .031, and isometric quadriceps strength (p = .012. CONCLUSIONS: The present pilot study showed that it is feasible to conduct a combined aerobic and strength training program in institutionalized patients with dementia. The selective cognitive visual attention improvements and more robust changes in motor function in favor of EG vs. SG could serve as a basis for large randomized clinical trials. TRIAL REGISTRATION: trialregister.nl 1230.
Catarina Pinheiro Mota
Full Text Available O presente artigo procura problematizar as implicações da institucionalização de jovens em Portugal, dando relevância à qualidade das relações e laços afectivos na reorganização interna da esfera emocional. A vinculação é entendida enquanto processo contínuo, em que as relações com figuras afectivamente significativas permitem reestruturar bases seguras nos jovens. A institucionalização em casas de abrigo ou orfanatos é geradora de sentimentos de perda e abandono, podendo a integração ser ainda mais dificultada pela desconfiança e pelo medo do desconhecido. Sublinha-se o carácter transformador das relações afectivamente estáveis dentro e fora das instituições que poderão promover a adaptação psicossocial e a construção de representações mais favoráveis acerca de si e do mundo ao longo do ciclo vital.The present paper aims to discuss the implications of the adolescent's institutionalization in Portugal, giving relevance to the quality of affective relations and bonds for the internal reorganization of the emotional sphere. Attachment is understood as a continuous process, where the relationships with significant emotional figures allow reorganization of secure bases in adolescents and young adults. The institutionalization in shelter houses or orphanages generates feelings of loss and abandonment in the adolescents, and the process of integration is accompanied by mistrust and the fear of the unknown. An emphasis is put on the reconstructive character of stable affective relations developed with members of the institutions and outer contexts, promoting psychosocial adaptation and the construction of more favourable representations of self and the world along the life cycle.
Walker, J R
This article proposes two financing plans to address what the author identifies as the two primary concerns in the child care field: (1) a child allowance for poor and near-poor households to address the child care problems of low-income families, and (2) a program of voluntary parental leave, available to all parents at child birth or adoption, to ensure the adequacy of infant care. The child allowance plan would cover the first three children in families up to 175% of the poverty level (more than 22 million children) at an annual cost of $45 billion. The author suggests that the allowance could be financed by redirecting funds from existing income support (for example, Aid to Families with Dependent Children), tax credit, and tax deduction programs. Financing the parental leave program would require new revenues, generated by an employee-paid increase in payroll tax totaling 3.5%. Each employee's contributions would create a parental leave account (PLA). Families could use the funds in these accounts to cover the cost of a one-year leave from work after the birth or adoption of a child. If families did not have enough dollars in their accounts to cover the cost of the leave, the federal government would extend a low-interest loan to them, which they would have to pay back. The amount individuals receive through Social Security would be adjusted upward or downward according to the balances in their parental leave accounts at retirement. The author suggests that both proposals would help parents balance work and family obligations and protect parental freedom of choice over the care and upbringing of their children.
Depressive symptoms and cognitive performance of the elderly: relationship between institutionalization and activity programs Sintomas depressivos e desempenho cognitivo nos idosos: relações entre institucionalização e realização de atividades
Mara Cristina F Plati
Full Text Available OBJECTIVE: The aim of this study was to assess the frequency of depressive symptoms and to evaluate cognitive performance of institutionalized versus non-institutionalized elderly subjects and to compare the effect of institutionalization and participation in the institution's activity programs on their cognitive performance. METHOD: A group of 120 elderly subjects with a mean age of 71 years and average schooling of 4.2 years was evaluated. The participants were divided into 3 groups: non-institutionalized (n = 37; institutionalized with activities (n = 37; institutionalized without activities (n = 46. The groups were matched for age, gender and educational level. The following assessment instruments were used: the Geriatric Depression Scale, the Mini-Mental State Examination, the Verbal Fluency Test and the computerized versions of the Hooper Visual Organization Test and the Boston Naming Test. The data were analyzed using one-way ANOVA and the Pearson's correlation test. RESULTS: The two groups of institutionalized elderly showed higher frequency of depressive symptoms when compared to non-institutionalized subjects and worse performance on the Verbal Fluency Test. The institutionalized group without activities had lower scores on Mental State Examination, Boston Naming Test and Hooper Visual Organization Test when compared to the other two groups (p OBJETIVO: Avaliar a freqüência de sintomas depressivos e o desempenho cognitivo de idosos institucionalizados e não institucionalizados. Comparar os escores nos testes em função da institucionalização e da realização de atividades oferecidas pela instituição. MÉTODO: Foram avaliados 120 idosos com idade média de 71 anos e escolaridade média de 4,2 anos, divididos em três grupos: Não institucionalizados (n = 37; Institucionalizados com atividade (n = 37; Institucionalizados sem atividade (n = 46. Os grupos foram pareados em função da idade, sexo e escolaridade. Foram aplicados os
Khan, N Z; Lynch, M A
Concern is increasing in Bangladesh over child abuse, neglect, and exploitation. Children from all walks of life are being treated at the Child Development Center (CDC) Dhaka Shishu Hospital for neurodevelopmental problems resulting from abuse and neglect. Efforts to protect children from sexual harassment result in girls being isolated at home or married at an early age. Some young brides are eventually abandoned and forced into prostitution. Early marriage reflects the lack of acknowledgement of a period of adolescence and the belief that puberty is a marker of adulthood. Many girls aged 8-16 are employed as live-in domestic servants, and many suffer sexual as well as emotional abuse. Garment factories, on the other hand, offer girls an escape from extreme poverty, domestic service, and early marriage but are threatened by forces that condemn child labor. Rather than ending such opportunities, employers should be encouraged to provide employees with educational and welfare facilities. The CDC seeks to explore the extent and depth of the problem of child abuse while recognizing the special circumstances at work in Bangladesh. It is also necessary to raise awareness of these issues and of the discrepancies between the law and cultural practices. For example, the legal marriage age of 18 years for a woman and 21 years for a man is often ignored. Additional forms of abuse receiving the attention of women's organizations and human rights groups include the trafficking of children. A network of concerned organizations should be created to work against the child abuse, neglect, and exploitation that Bangladesh has pledged to overcome by signing the UN Convention on the Rights of the Child.
Rupp, Wolf-Rüdiger; Faller-Marquardt, Maria; Henke, Peter
While playing, a 33/4-year-old girl was hiding in a tumble dryer, which had been running before and started the drying process with rotation of the drum again after the girl had climbed into the machine and shut the door. The child suffered multiple haematomas, especially on the back and the lower arms, as well as second-degree burns on body regions not covered by the clothing. The injury pattern was consistent with the properties of the appliance, and the initial suspicion that the child had been physically abused could not be maintained.
For children with moderate to severe emotional or behavioral problems, the current approach in child psychiatry is to make an assessment for the use of both psychotherapy and medication. This paper describes integration of antidepressants and stimulants with psychoanalytically oriented techniques.
Dubowitz, H.; Pitts, S.C.; Litrownik, A.J.; Cox, C.E.; Runyan, D.; Black, M.M.
Objectives:: To compare neglect defined by Child Protective Services official codes with neglect defined by a review of CPS narrative data, and to examine the validity of the different neglect measures using children's functioning at age 8 years. Methods:: Data are from 740 children participating in a consortium of longitudinal studies on child…
Iscoe, Louise; And Others
This manual for child care personnel in day care homes and centers provides a step by step review of what to do in common emergency situations. It is emphasized that the manual is not a substitute for the complete first aid course which every careperson should have. Initial sections of the manual focus on preparing for emergency conditions,…
Neutze, Janina; Grundmann, Dorit; Scherner, Gerold; Beier, Klaus Michael
Current knowledge about risk factors for child sexual abuse and child pornography offenses is based on samples of convicted offenders, i.e., detected offenders. Only few studies focus on offenders not detected by the criminal justice system. In this study, a sample of 345 self-referred pedophiles and hebephiles was recruited from the community. All participants met DSM-IV-TR criteria for pedophilia or hebephilia (paraphilia not otherwise specified), were assured of confidentiality, and self-reported lifetime sexual offending against prepubescent and/or pubescent children. Two sets of group comparisons were conducted on self-report data of risk factors for sexual reoffending. Measures of risk factors address the following dimensions identified in samples of convicted offenders: sexual preferences (i.e. co-occurring paraphilias), sexual self-regulation problems, offense-supportive cognitions, diverse socio-affective deficits, and indicators of social functioning (e.g., education, employment). Men who admitted current or previous investigation or conviction by legal authorities (detected offenders) were compared with those who denied any detection for their sexual offenses against children (undetected offenders). Group comparisons (detected vs. undetected) were further conducted for each offense type separately (child pornography only offenders, child sexual abuse only offenders, mixed offenders). Although there were more similarities between undetected and detected offenders, selected measures of sexual-self regulation problems, socio-affective deficits, and social functioning data demonstrated group differences.
Elsner, K.; Merk, J.; Sokiranski, R. [Ulm Univ. (Germany). Abt. Diagnostische Radiologie
Synonyms for the `battered child` syndrome (BCS) are terms describing the physical and body aspects of the process, such as `child abuse`, or `non-accidental injury`. These are to be distinguished from the psychic aspects and abuse, emotional and bodily neglect, and sexual abuse. Most cases are one or another combination of these aspects. Radiology is the essential method for giving proof of such abuses, identifying the signs of maltreatment in a medical record, or for disproving suspected abuse. (orig./AJ) [Deutsch] Als Synonym fuer das `Battered-Child`-Syndrom (BCS) stehen die Begriffe der koerperlichen-/physikalischen-Kindesmisshandlung, im angelsaechsischen Sprachraum die Begriffe `Child Abuse` und `Nonaccidental Injury`. Vom Syndrom abzugrenzen sind die seelische Misshandlung, die seelische und koerperliche Vernachlaessigung, und der sexuelle Missbrauch. Kombinationsformen sind nicht selten. Bei der Diagnostik des Syndroms spielt die Radiologie eine entscheidende Rolle. So hilft der Einsatz adaequater Untersuchungsmethoden, den Tatbestand der Misshandlung zu identifizieren und zu dokumentieren, aber auch einen Verdacht zu widerlegen. (orig./AJ)
I Am Your Child Foundation, Beverly Hills, CA.
Finding the right child care is often challenging for parents, but it is one of the most important decisions a parent will ever make. This videotape is intended to help parents with the process of evaluating child care options. The 30-minute video is presented in seven parts. Part 1, "Choosing Child Care," discusses why quality child…
... respond Sometimes people will stare, mistake your child's gender, or ask personal questions. Talk with your child ... what other parents said helped: Keep lines of communication open Talk about how you each deal best ...
... Blue Jeans for Better Bones Calendar Online Store Planning for Your Child's Surgery: What Parents Need to ... but the entire family as well. Before Surgery: Planning Become well informed. Taking care of your child ...
This is the first paper in a series of two that focus on causational factors that contribute to child physical punishment and the continuum between physical punishment, injury and child physical abuse. The papers will explore macro and microtheoretical perspectives, examine their influence on child discipline and child physical abuse and propose a framework to guide and inform professional practice in the field of child physical maltreatment Paper one introduces the reader to the political context of child physical discipline and analyses current definitions. The extent of punishment and injuries sustained is explored and the relationship between macrotheoretical perspectives examined. The paper concludes by highlighting the continuum between child physical punishment and child physical abuse.
... Are Here: Home → Multiple Languages → All Health Topics → Child Nutrition URL of this page: https://medlineplus.gov/languages/ ... V W XYZ List of All Topics All Child Nutrition - Multiple Languages To use the sharing features on ...
... to your child, you may refer to your religious, spiritual, and cultural beliefs about death. You might ... The foremost — and perhaps trickiest — task for worried parents is to treat a sick child as normally ...
... members of AACAP. Be CAPtivated - Child and Adolescent Psychiatry as a Career AACAP's Current Award Opportunities More... ... More... Copyright ©2016 - American Academy of Child Adolescent Psychiatry. All Rights Reserved. Contact Us | Disclaimer | Privacy Statement ...
Abdominal thrusts - adult or child over 1 year; Heimlich maneuver - adult or child over 1 year: Choking - back ... back blows, or both. To perform abdominal thrusts (Heimlich maneuver): Stand behind the person and wrap your arms ...
... page: https://medlineplus.gov/news/fullstory_160478.html Child Abuse May Shorten Some Women's Lives Extreme stress may ... 300 middle-aged U.S. adults, female survivors of child abuse were more likely to die over the next ...
... spent months or even years caring for a child with cancer. Differences in grieving can cause relationship difficulties at ... confidant, and a life-long friend. When your child developed cancer, you were likely completely focused on the needs ...
... OK when your child dies and will take care of the people and animals your child loves. Alternative Names End of life care - children; Palliative care - children; Advance care planning - children ...
... child know how you feel about stealing, cheating, bullying, and more. When a child knows something is ... However, excessive shedding can result in balding. This type of…April 2017September 2000familydoctor.org editorial staff AboutAdvertise ...
... can be valuable as well. With help, your child can end inhalant abuse and learn how to make healthy choices for a lifetime. References Baydala L. Inhalant abuse. Paediatrics and Child Health. 2010;15:443. Results from the 2013 ...
... Are Here: Home → Multiple Languages → All Health Topics → Child Abuse URL of this page: https://medlineplus.gov/languages/ ... V W XYZ List of All Topics All Child Abuse - Multiple Languages To use the sharing features on ...
Sorantin, E.; Lindbichler, F. [Universitaetsklinik fuer Radiologie, Graz (Austria). Abt. fuer Kinderradiologie
The recognition of a battered child represents a challenge for all groups of adults dealing with children. Radiology plays a special role in this setting. By detection typical injuries, imaging is able to confirm the suspicion of a battered child. Recognition of those injuries on films, taken for other reasons, gives the caretaker an important hint, thus maybe preventing a fatal outcome for the child. One of the most important injury types is represented by the so called ''shakin baby syndrome''. The infant is held by the thorax and shaken. Thus causing a repetitive acceleration-deceleration trauma, which leads to the typical paravertebral rib fractures, intracranial bleeding and eye injuries. After shaking the child is thrown away, with subsequent injuries. The aim of this article is the presentation of an overview regarding the radiology of the battered child. Typical examples will be shown. (orig.) [German] Die Aufdeckung einer Kindesmisshandlung stellt eine grosse Herausforderung fuer alle in der Kinderbetreuung taetigen Berufsgruppen dar. Der Radiologie kommt eine besondere Rolle zu, da sie einerseits durch die Erkennung typischer Verletzungsmuster einen Verdacht bestaetigen, als auch bei ''Zufallsbefunden'' die moeglicherweise fatalen Folgen fuer die betroffenen Kinder verhindern kann. Der typische Verletzungsmechanismus im Rahmen einer Kindesmisshandlung stellt das sog. ''shakin baby syndrome'' dar. Dabei wird der Thorax mit beiden Haenden umfasst und das Kind geschuettelt. Durch dieses repetitive Akzelerations-Dezelerationstrauma entstehen typische Verletzungen mit paravertebralen Rippenfrakturen, ZNS- sowie Retinablutungen. Anschliessend wird das Kind weggeworfen mit entsprechend weiteren Verletzungen. Ziel dieses Artikels ist es, einen Ueberblick ueber die Radiologie der wichtigsten Verletzungen und deren Abklaerung im Rahmen einer Kindesmisshandlung zu geben sowie die Demonstration der Befunde
Simon, Ellin; Bogels, Susan Maria; Voncken, Jannie Marisol
This study examined anxiety development in median- (n = 74) and high-anxious children (n = 183) aged 8-13, the effect of parent- and child-focused preventive interventions on child/parental anxiety, and the effect of parental anxiety on child anxiety. High-anxious children were randomized into a parent-focused (n = 69), child-focused (n = 58) or…
John, Aesha; Halliburton, Amy; Humphrey, Jeremy
The study focused on qualitative and quantitative differences between maternal and paternal play interaction behaviours with their preschool children. Home observations of 18 child-mother and child-father play interactions were qualitatively analysed to derive interaction themes. In addition, the quality of child-mother and child-father…
Huang, Chien-Chung; Blake, Allison; Edwards, Richard L.; Liu, Chieh-Wen; Nolan, Robert B.; Rusen, Barbara; Thompson, Dina
Child support enforcement (CSE) has experienced dramatic changes in the last decade; however, it is not clear whether child support staff is fully aware of the development. Using data from the New Jersey child support training program (n = 530), this article aims to evaluate the professional knowledge of child support staff. The results show that…
Owen, Margaret Tresch; Klausli, Julia F.; Mata-Otero, Ana-Maria; Caughy, Margaret O'Brien
Research Findings: Child care delivery practices promoting continuous, primary caregiver-child relationships (relationship-focused child care) were evaluated for 223 preschool-age children (45% African American, 55% Latino) attending child care centers serving low-income children. Both relationship-focused and non-relationship-focused centers were…
... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Claim of child other than legitimate child. 10.42 Section 10.42 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS ADJUSTED COMPENSATION Adjusted Compensation; General § 10.42 Claim of child other than legitimate child....
Claessens, Amy; Chen, Jen-Hao
Nearly one quarter of Australian children under the age of 5 experience multiple non-parental child care arrangements. Research focused on the relationship between multiple child care arrangements and child socioemotional development is limited, particularly in Australia. Evidence from the United States and Europe has linked multiple child care…
Lee, Terry G.; Cox, Julia R.; Walker, Sarah C.
Objective: This study surveys child psychiatry residency program directors in order to 1) characterize child welfare training experiences for child psychiatry residents; 2) evaluate factors associated with the likelihood of program directors' endorsing the adequacy of their child welfare training; and 3) assess program directors'…
Kathleen Beegle; Rajeev Dehejia; Roberta Gatti
This paper examines the relationship between household income shocks and child labor. In particular, we investigate the extent to which transitory income shocks lead to increases in child labor and whether household access to credit mitigates the effects of these shocks. Using panel data from a survey in Tanzania, we find that both relationships are significant. Our results suggest that credit constraints play a role in explaining child labor and consequently that child labor is inefficient, ...
Research about child abuse in Indonesia done by United Nations Children's Funds (UNICEF) results a concerned condition. The same opinion is also declared by Indonesian Commission on Children Protection. The increasing number of child abuse in Indonesia is highlighted in international society. Child abuse causes many negative effects for physical, mental, and or sexual of children, that effect for the growth and development of child thus leads to rise the lost generation. Medical officers hope...
Deakin, Elisabeth; Gastaud, Marina; Nunes, Maria Lucia Tiellet
This study aims to discuss the most recent data about child psychotherapy dropout, especially child psychoanalytical psychotherapy. The authors also try to offer some possible alternatives to prevent such a phenomenon. The definition of "child psychotherapy dropout" is extensively discussed. The goal has been to attempt to create a standardised…
National Cancer Inst. (NIH), Bethesda, MD.
This booklet was written to help parents decide what to tell their child who has cancer. It recommends that parents tell their child the truth about his disease to prevent him from feeling guilty and to increase his cooperation with treatment. A gentle, open, and honest approach is suggested. Sections discuss who should tell the child and when the…
Izabel Cristina Paez; Maria Lucia Tiellet Nunes; Vânia Naomi Hirakata
Introduction: This empirical study was based on the analysis of the results of a study about dropout predictors among in child psychoanalytic psychotherapy. The objectives were to characterize the sample of children discharged from psychoanalytic psychotherapy, examine the association between sociodemographic/ clinical variables and child psychoanalytic psychotherapy discharge, and determine predictors of discharge in child psychoanalytic psychotherapy.Method: This quantitative, descriptive a...
Schor, Nina F
As it is currently configured, completion of child neurology residency requires performance of 12 months of training in adult neurology. Exploration of whether or not this duration of training in adult neurology is appropriate for what child neurology is today must take into account the initial reasons for this requirement and the goals of adult neurology training during child neurology residency.
Discusses family factors associated with child abuse from an ecological perspective. Identifies economic and cultural generative factors of child abuse. Explores special circumstances affecting occurrence of child maltreatment. Examines dimensions of responsiveness, demandingness, and parental authority patterns in their application to abusive…
Patrinos, Harry Anthony; Shafiq, M. Najeeb
We introduce a simple empirical model that assumes a positive stigma (or norm) towards child labor that is common in some developing countries. We then illustrate our positive stigma model using data from Guatemala. Controlling for several child- and household-level characteristics, we use two instruments for measuring stigma: a child's indigenous…
Sub-Saharan Africa has the highest incidence of child labor in the world and estimates show that it continues to grow. This paper examines the causes and magnitude of child labor in Kenya. Unlike previous studies that examined child labor as only an economic activity, this paper includes household chores. Including household chores is important…
Hawkeye Area Community Action Program, Cedar Rapids, IA.
This report describes ways in which older persons may become involved in the field of home child care. It is intended to provide (1) detailed information on an intergenerational child care (IGCC) program; (2) general information relating to intergenerational contacts and home child care; and (3) "how-to" information for agencies planning…
The aim of this study is review the theorical approches of child abuse and its prevalency, ethiology, prevention, assessment and treatment. Also, we try to difine the relationship between child abuse and parents addiction and their side effects in different areas of childs life .
... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Child. 3.57 Section 3.57..., and Dependency and Indemnity Compensation Relationship § 3.57 Child. (a) General. (1) Except as provided in paragraphs (a)(2) and (3) of this section, the term child of the veteran means an...
Dillon, Andrew; Bardasi, Elena; Beegle, Kathleen; Serneels, Pieter
Child labor statistics are critical for assessing the extent and nature of child labor activities in developing countries. In practice, widespread variation exists in how child labor is measured. Questionnaire modules vary across countries and within countries over time along several dimensions, including respondent type and the structure of the questionnaire. Little is known about the eff...
US Department of Health and Human Services, 2006
Each State provides its own definitions of child abuse and neglect based on minimum standards set by Federal law. This fact sheet provides the answers to the following questions: (1) How is child abuse and neglect defined in Federal law?; and (2) What are the major types of child abuse and neglect? Additional resources are listed. (Contains 2…
Guasti, Maria Teresa; Gavarro, Anna; de Lange, Joke; Caprin, Claudia
Article omission is known to be a feature of early grammar, although it does not affect all child languages to the same extent. In this article we analyze the production of articles by 12 children, 4 speakers of Catalan, 4 speakers of Italian, and 4 speakers of Dutch. We consider the results in the light of (i) the adult input the children are…
Armstrong, Judith; Rudd, David
Sonya Hartnett's "Thursday's Child" was published in Australia by Penguin Books in 2000. Editions are available in the UK (Walker Books, 2002), the USA (Candlewick, 2002), as well as in Canada, Germany, Italy, Norway, and Denmark. In 2002, the book was awarded the "Guardian's" Children's Fiction Prize in the UK. Like Harper,…
Armstrong, Judith; Rudd, David
Sonya Hartnett's "Thursday's Child" was published in Australia by Penguin Books in 2000. Editions are available in the UK (Walker Books, 2002), the USA (Candlewick, 2002), as well as in Canada, Germany, Italy, Norway, and Denmark. In 2002, the book was awarded the "Guardian's" Children's Fiction Prize in the UK. Like Harper, the narrator of the…
Durall, John K.
Defines child abuse, including the three categories: physical, sexual, and psychological. Presents characteristics and behaviors of each type of abuse, and long-term effects. Discusses how to handle abuse that occurs at camp, and the effects on the camp. Sidebars present abuse statistics, 15 activities that promote psychological wellness, and 8…
... Health Topics Programs & Initiatives Funding Opportunities Data, Research & Epidemiology About MCHB Maternal and Child Health Bureau News & Announcements HHS Awards more than $742,000 to Health Centers in American Samoa and the Virgin Islands to Fight Zika (6/23/16) Approved on June 6, 2016 -- ...
Council for Exceptional Children, Reston, VA. Information Center on Exceptional Children.
Containing 27 references on hyperactivity selected from "Exceptional Child Education Abstracts", the bibliography cites research reports, conference papers, journal articles, texts, and program guides. Each entry provides bibliographical data, availability information, indexing and retrieval descriptors, and abstracts of the documents. The…
Council for Exceptional Children, Reston, VA. Information Center on Exceptional Children.
One in a series of over 50 similar selected listings, the bibliography contains 47 items of research reports, conference papers, journal articles, texts, and program guides selected from "Exceptional Child Education Abstracts". Each entry on autism provides bibliographical data, availability information, indexing and retrieval descriptors, and…
Olsen, Glenn W., Comp.; Williams, Owen E., Comp.
This bibliography on nanny child care contains approximately 180 references to material about nannies, mother's helpers, au pairs, and governesses. The bibliography is organized by the categories of newspaper articles, journal articles, newsletter articles, books, and audiovisual materials. The items are drawn primarily from U.S. sources, but some…
Foust, Betty Jean
This booklet provides suggestions for parents in helping their children to learn how to read. The first section provides 34 suggestions and activities for parents to use with preschool children, such as reciting nursery rhymes, reading aloud, respecting the child's mood, and playing listening games. The second section offers 25 suggestions and…
Human Resources Department
The Department of Human Resources wishes to remind members of the personnel that, under the provisions of § 6 of Administrative Circular No. 5 “Dependent child”, in the case of a child over 18 years of age the status of dependent child comes to an end once a course of studies is completed. Consequently, the payment of the dependent child allowance and the child's membership of the CERN Health Insurance Scheme terminate with effect from the last day of the month in which the course of study concerned ends. In this connection, members of the personnel are reminded that children who are no longer dependent according to the Staff Rules and Regulations and who are less than 26 years of age can nevertheless opt for membership of the normal health insurance under the terms and conditions laid down in the CERN Health Insurance Rules. The Department of Human Resources also wishes to remind members of the personnel that, pursuant to Article R IV 1.17 of the Staff Regulations, a member of the personnel is requ...
J. Reef (Joni)
textabstractChild and adolescent psychopathology is a great burden to individuals, their families, and to society at large. Children and adolescents with behavioral and emotional problems suffer from impairments in several domains of functioning, including difficulties with friendship, self-esteem a
Full Text Available Subcutaneous phycomycosis is a rare entity. We hereby report a case of subcutaneous phycomycosis on the chestwall in a one and a half year old child. Excision of the lesion was followed by a recurrence. Oral potassium iodide completely cured the disease.
... a Better Relationship en español Cómo conversar con el médico de su hijo Your child's doctor can ... don't be afraid to give the doctor feedback about your office visit experience, such as whether ...
... For Parents MORE ON THIS TOPIC Your Baby's Growth: 9 Months Your Baby's Hearing, Vision, and Other Senses: 9 Months Your Child's Checkup: 9 Months Medical Care and Your 8- to 12-Month-Old Feeding Your 8- to 12-Month-Old Sleep and Your 8- to 12-Month-Old Contact ...
Full Text Available Abstract Background The human right to adequate food needs to be interpreted for the special case of young children because they are vulnerable, others make the choices for them, and their diets are not diverse. There are many public policy issues relating to child feeding. Discussion The core of the debate lies in differences in views on the merits of infant formula. In contexts in which there is strong evidence and a clear consensus that the use of formula would be seriously dangerous, it might be sensible to adopt rules limiting its use. However, until there is broad consensus on this point, the best universal rule would be to rely on informed choice by mothers, with their having a clearly recognized right to objective and consistent information on the risks of using different feeding methods in their particular local circumstances. Summary The obligation of the state to assure that mothers are well informed should be viewed as part of its broader obligation to establish social conditions that facilitate sound child feeding practices. This means that mothers should not be compelled to feed in particular ways by the state, but rather the state should assure that mothers are supported and enabled to make good feeding choices. Thus, children should be viewed as having the right to be breastfed, not in the sense that the mother is obligated to breastfeed the child, but in the sense that no one may interfere with the mother's right to breastfeed the child. Breastfeeding should be viewed as the right of the mother and child together.
In 1949, China's population numbered 540 million, which has doubled by 1994. Since the 1960s, the growth rate has been halved to 1.2% a year as a result of family planning and administrative measures. In 1981, the marriage law was released that abolished arranged marriage by the parents, and stressed the equality of the sexes, the legitimate rights of women and children, and monogamy. Family planning and the concept of the one-child family was also endorsed with strong controls on second births and the prohibition of third births. The means were late marriage (the combined age of the couple should reach 50 years), contractual birth allotments from the danwei, state quotas, and one-child certificates facilitating the acquisition of an apartment. Other measures were legal abortion and contraception (sterilization, oral contraceptives, and gossypol for men). In 1982, among the Chinese aged over 15, the majority were married with 0.59% divorced. An average of 20 million children are born in China annually. Children are cared for in day care centers or kindergartens as well as by grandparents. The former are located in factories, companies, and schools and are cost-free for employees. Other day care centers and kindergartens are run by committees in cities and villages supported by the state. The Confucian concept of raising children commands respect for the old and love of the children, who also fall under the attention of the danwei, a traditional community force. This principle subjects individualism to the group. The mother-child contact is reinforced by carrying the child on the back especially in rural areas. The one-child family promoted by the state has the drawbacks of overblown egotism and deficient socialization. In the cities 95% of first grade pupils are single children.
Full Text Available Background: Various policies in health, such as Integrated Management of Childhood Illnesses, were introduced to enhance integrated service delivery in child healthcare. During clinical practice the researcher observed that integrated services may not be rendered.Objectives: This article describes the experiences of mothers that utilised comprehensive child health services in the Cape Metropolitan area of South Africa. Services included treatment for diseases; preventative interventions such as immunisation; and promotive interventions, such as improvement in nutrition and promotion of breastfeeding.Method: A qualitative, descriptive phenomenological approach was applied to explore the experiences and perceptions of mothers and/or carers utilising child healthcare services. Thirty percent of the clinics were selected purposively from the total population. A convenience purposive non-probability sampling method was applied to select 17 mothers who met the criteria and gave written consent. Interviews were conducted and recorded digitally using an interview guide. The data analysis was done using Tesch’s eight step model.Results: Findings of the study indicated varied experiences. Not all mothers received information about the Road to Health book or card. According to the mothers, integrated child healthcare services were not practised. The consequences were missed opportunities in immunisation, provision of vitamin A, absence of growth monitoring, feeding assessment and provision of nutritional advice.Conclusion: There is a need for simple interventions such as oral rehydration, early recognition and treatment of diseases, immunisation, growth monitoring and appropriate nutrition advice. These services were not offered diligently. Such interventions could contribute to reducing the incidence of child morbidity and mortality.
Full Text Available BACKGROUND: Superficial fungal infections are caused by dermatophytes, yeasts or filamentous fungi. They are correlated to the etiologic agent, the level of integrity of the host immune response, the site of the lesion and also the injured tissue. OBJECTIVE: The purpose of this study is to isolate and to identify onychomycosis agents in institutionalized elderly (60 years old +. METHODS: The identification of the fungi relied upon the combined results of mycological examination, culture isolation and micro cultures observation under light microscopy from nail and interdigital scales, which were collected from 35 elderly with a clinical suspicion of onychomycosis and a control group (9 elderly with healthy interdigital space and nails. Both groups were institutionalized in two nursing homes in Sao Bernardo do Campo, SP, Brazil. RESULTS: The nail scrapings showed 51.40% positivity. Of these, dermatophytes were found in 44.40% isolates, 27.78% identified as Trichophyton rubrum and 5.56% each as Trichophyton tonsurans, Trichophyton mentagrophytes and Microsporum gypseum. The second more conspicuous group showed 38.89% yeasts: 16.67% Candida guilliermondii, 11.11% Candida parapsilosis, 5.56% Candida glabrata, and 5.56% Trichosporon asahii. A third group displayed 16.70% filamentous fungi, like Fusarium sp, Aspergillus sp and Neoscytalidium sp (5.56% each. The interdigital scrapings presented a positivity rate of 14.29%. The agents were coincident with the fungi that caused the onychomycosis. In the control group, Candida guilliermondii was found at interdigital space in one person. CONCLUSION: Employing a combination of those identification methods, we found no difference between the etiology of the institutionalized elderly onychomycosis from that reported in the literature for the general population. FUNDAMENTOS: As infecções fúngicas superficiais se correlacionam com o agente etiológico, a resposta imune do hospedeiro, o local da lesão e o
研究了新生代农民工政治参与的不断深入及非制度化政治参与扩大的趋势,认为这主要是受物质基础薄弱、制度保障不利、自身素质偏低、利益诉求渠道缺失等因素影响。为解决非制度化政治参与带来的弊端,提出了制度化政治参与模式的选择路径。从参与动机、参与效果、参与过程、参与结果等方面分析和探寻新生代农民工制度化政治参与的新模式。这对推进社会主义民主政治建设,构建社会主义和谐社会具有重大现实意义。%The trend of the deepening of political participation and the expansion of non- institutionalized political participation of new generation of migrant workers is analyzed, which is mainly affected by the weak material foundation, the adverse system protection, and low quality of themselves, lack of interest demands channels, and other factors. To solve the defects of non-institutionalized political participation, the path of institutionalized political participation patterns is put forward. A new model of the institutionalization of political participation of the new generation of migrant workers is explored by the analysis on the motivation, effect, process, and the outcome of the participation. This is of great practical significance for promoting the construction of socialist democratic politics and building socialist in harmonious society.
Andrey Yu. Mikhailov
Full Text Available This article is based on the methodology of intellectual history examines the process of secularization of Orthodoxy in the late Russian Empire 1860 – 1910-ies. The focus of the formulation of a scientific problem: consideration of secularization as indoctrination Orthodoxy and de-institutionalization of the Synod Church. Under the first attempt to synthesize the doctrine Orthodoxy with modernist ideologies (socialism, nationalism, secularism (laicism, under the second – the erosion of the church as an institution by dividing into various inner-group. As a consequence of early modern rationalization to 1830–1840 there are three ways of indoctrination orthodoxy as synthesis with modern ideology. Firstly, synthesis with a modernist nationalism in its evolution from the "civilian" to the "political". The concept of late imperial political nationalism (N.P. Ignatiev, A.A. Kireev, tied to version of neoslavyanofily (new slavyanofily (N.P. Aksakov, D.A. Khomyakov and civilizational theory (L. Leontiev, N.I. Danilevsky tried synthesize Orthodoxy and nationalism in the spirit of religious interpretation of the nation and society. Secondly, with social theories of modern European socialism and positivism. (archimandrite Fedor (Bukharev, S.N. Bulgakov, archimandrite Michael (Semenov, and others.. Thirdly, with a modernist secularism (laicism and liberalism: P.V. Valuev, D.A. Tolstoy, K.P. Pobedonostsev. De-institutionalization of the Synodal Church took place in the following ways. In the period of early modernity (1700–1840, konfessionaliztion (die Konfessionalisierung, happened embedding religious institution in the state organism (nationalization on the practical and theoretical level. The evolution from the early modernity to late modernity (1830–1860 itself has raise the question of the "internal" secularization as activation of layman or parishioner. Theory A.S. Khomyakov (new criteria and the nature of the Church as a divine
Lúcia Hisako Takase Gonçalves
Full Text Available O objetivo deste estudo foi explorar a relação entre a aptidão física e a capacidade funcional de residentes em instituições de longa permanência para idosos de baixa renda. Foi realizada avaliação em seis instituições localizadas em três regiões do país. Amostra foi composta de 78 idosos, com média de idade de 77,4 anos (DP = 7,9. A avaliação da aptidão física aplicando-se testes da AAHPERD adaptada para idosos institucionalizados, e da capacidade funcional pela escala de Katz, constatou que a aptidão física, em seus cinco componentes, em média era regular na flexibilidade, coordenação, agilidade e resistência aeróbia, era boa no componente força. Já o Índice de Aptidão Física Geral (IAFG, em média era regular. Os resultados demonstram que quanto maior o grau de dependência dos idosos institucionalizados menor é a força e o resultado do IAFG e, quanto melhor é a coordenação e a agilidade melhor é o nível de independência para a realização das atividades da vida diária. As implicações estão em contribuir com os programas de exercícios físicos adequados na manutenção e/ou recuperação da funcionalidade.This study analyzed the relationship between physical fitness and functional capacity in 78 residents of long-stay institutions for low-income elderly located in five regions of Brazil. The majority of the sample consisted of women, and mean age was 77.4 years (SD = 7.9. Physical fitness was assessed with the AAHPERD test, adjusted for institutionalized elderly. The Katz scale was used for functional capacity. The five components of physical fitness rated fair for flexibility, coordination, agility, and aerobic endurance and good for strength. The mean general physical fitness (GPF index was fair. According to the findings, the greater the degree of dependency in institutionalized elderly, the lesser their strength and GPF level; meanwhile, better coordination and agility are associated with
Furtado, Hélio L; Sousa, Nelson; Simão, Roberto; Pereira, Fabio Dutra; Vilaça-Alves, José
Purpose To compare functional fitness (FF) levels among independent-living (IL) and day care (DC) elderly women of different age groups and to analyze changes in FF after 8 months of participation in an exercise program intervention for the IL elderly women. Materials and methods A total of 674 elderly women were divided into four IL groups with age in the range of 60–64 years (IL60–64, n=149), 65–69 years (IL65–69, n=138), 70–74 years (IL70–74, n=135), and 75–79 years (IL75–79, n=83), and four DC groups with age in the range of 60–64 years (DC60–64, n=35), 65–69 years (DC65–69, n=34), 70–74 years (DC70–74, n=47), and 75–79 years (DC75–79, n=53). The intervention consisted of a multimodal exercise training, 3 days per week for 8 months. Senior Fitness Test battery performances were obtained at baseline and after 8-month intervention. Results Significant differences were identified between all IL groups and DC groups in all FF tests (P<0.001), except between IL70–74 and DC70–74 in the chair sit-and-reach. Analysis of covariance (ANCOVA) identified significant improvements in all FF tests between pre- and posttests in the IL groups (P<0.001), except in the chair sit-and-reach for the IL70–74. ANCOVA also showed a significant declining performance in all FF tests for DC groups (P<0.001), except in the chair sit-and-reach for the DC70–74 and DC75–79. Conclusion IL women are more fit than institutionalized DC elderly women. The multimodal training was effective in improving all FF components related to daily living activities, in all age groups. In contrast, institutionalized elderly showed a clear tendency to worsen their FF over the time. PMID:25941443
Full Text Available Los homicidios ocurren en todo el mundo, pero no están homogéneamente distribuidos, cambian por zonas geográficas: continentes, países, regiones; en periodos de tiempo largos o cortos o por lo grupos sociales: edad, sexo, clase social o etnia. ¿Por qué en unos países hay más homicidios que en otros? ¿Por qué en unos países disminuyen los asesinatos y en otros se incrementan? Las explicaciones sociales de la violencia han tenido dos vertientes fundamentales: las teorías que la atribuyen a la pobreza y la desigualdad y las teorías de la institucionalidad o las normas sociales. Para discutir esas teorías el artículo analiza y compara los cambios ocurridos en Colombia, Venezuela y Brasil en la primera década del siglo XXI donde respectivamente disminuye, aumenta y se mantiene igual la tasa de homicidios. Utilizando la medición de seis variables (pobreza, desigualdad, desempleo, riqueza nacional, desarrollo humano y gobierno de la ley y la técnica del análisis de trayectorias se encontró que la institucionalidad tiene una mayor fuerza explicativa en los cambios observados que la pobreza y la desigualdad. El texto concluye que la pobreza o la desigualdad influyen en la criminalidad y en los homicidios, aunque no de manera directa, sino mediadas por las instituciones.Homicides occur the world over, but they are not homogeneously distributed by geographical areas (continents, countries, regions, either over long or short periods of time, or in social groups, namely age, gender, social class or ethnicity. Why are there more homicides in some countries than in others? Why do killings increase in some countries, while they decrease in others? There are two fundamental schools of thought for social explanations of crime and violence: those attributing its origins to poverty and inequality and those blaming institutionalization or social norms. To discuss these theories, this paper analyzes and compares the changes in Colombia, Venezuela
Fong, Rowena; Berger Cardoso, Jodi
Since the passing of the Victims of Trafficking and Violence Protection Act in 2000 and its reauthorization by President George Bush in 2008, federal, state and community efforts in identifying and providing services for victims of human trafficking have significantly improved. However, most of the research and resources for trafficking victims have been directed towards adults rather than children. Researchers agree that there is a growing number of sexually exploited and trafficked children in the United States yet few programs emphasize the unique experiences and special needs of this population. This article examines commercial sexual exploitation of children; differentiates the needs and problems between child prostitution and victims of human trafficking; reviews and critiques current treatment practices; and summarizes challenges and successes in working with child victims of human trafficking, offering practice and policy recommendations.
2008年金融危机以来，G20成为最重要的国际经济协商机制。本文对（320机制化的动因和制约因素加以分析，认为G20机制化的主要动因是金融危机后世界力量格局和经济结构的变迁。而由于G20受到内部和外部的双重制约，其机制化前景并不明朗，很难突破原有的G8模式。本文在此基础上提出中国在全球经济治理中的策略。%G20 has become the most important international economic consultation mechanism after the financial crisis in 2008. This article analyzes the motivations and constraints of the G20 institutionalization, and points out that the pivotal reason of its institutionalization is the change of the power pattern and the economic structure of the world after the financial crisis. Moreover, as the G20 is restricted by both the internal and external factors, its institutionalizing prospect is still uncertain. It may not be able to dismantle the basis of G8. With this consideration, the article offers some useful strategies for China in global economic governance.
Child abuse, child maltreatment, non-accidental injury and child homicide: all terms that are hard to believe exist in the 21st civilised century, but non-accidental injury of children is a major problem, crossing all socioeconomic, ethnic and educational groups, and is happening all over the world. Available statistics on child abuse and deaths related to abuse are frightening, and as many cases are not reported, actual numbers are likely to be much higher. This paper aims to increase understanding of child abuse issues and encourage the dental team to be alert to the possibility of abuse, recognise the physical injuries and make referrals to the appropriate agency if necessary. In child abuse cases physical injuries to the head and facial area are common while other types of abuse are less visible but are damaging to a vulnerable child in other ways. Keeping children safe is a shared responsibility and a top priority for all of us.
De Falco, Simona; Emer, Alessandra; Martini, Laura; Rigo, Paola; Pruner, Sonia; Venuti, Paola
Child healthy development is largely influenced by parent-child interaction and a secure parent-child attachment is predictively associated with positive outcomes in numerous domains of child development. However, the parent-child relationship can be affected by several psychosocial and socio-demographic risk factors that undermine its quality and in turn play a negative role in short and long term child psychological health. Prevention and intervention programs that support parenting skills in at-risk families can efficiently reduce the impact of risk factors on mother and child psychological health. This study examines predictors of mother-child interaction quality and child attachment security in a sample of first-time mothers with psychosocial and/or socio-demographic risk factors. Forty primiparous women satisfying specific risk criteria participated in a longitudinal study with their children from pregnancy until 18 month of child age. A multiple psychological and socioeconomic assessment was performed. The Emotional Availability Scales were used to measure the quality of emotional exchanges between mother and child at 12 months and the Attachment Q-Sort served as a measure of child attachment security at 18 months. Results highlight both the effect of specific single factors, considered at a continuous level, and the cumulative risk effect of different co-occurring factors, considered at binary level, on mother-child interaction quality and child attachment security. Implication for the selection of inclusion criteria of intervention programs that support parenting skills in at-risk families are discussed.
Nsabagasani, Xavier; Okeng, Jasper Ogwal; Mbonye, Anthony
causes of morbidity and mortality among children in Uganda- diseases that were also emphasized in the MMCS campaign. Asthma and epilepsy were included as conditions that require long term care. Schistomiasis was included as a neglected tropical disease. Content analysis was used to assess evidence...... solid dosage formulations like dispersible tablets, pellets and granules- indicating limited adherence to MMCS recommendations. Some of the medicines recommended in the clinical guidelines as first line treatment for malaria and pneumonia among children were not evidence-based. Conclusion The Ugandan...... health policy documents reflected limited adherence to the MMCS recommendations. This and failure to use evidence based medicines may result into treatment failure and or death. A revision of the current policies and guidelines to better reflect ‘child size’, child appropriate and evidence based...
Between 2000 and 2008, the American Association of Poison Control Centers recorded 1439 cases in which drugs or alcohol were used to mistreat children under 7 years of age, representing an average of 160 reports per year. Median age was 2 years, and 57% of victims were boys. The substances included psychotropic drugs, analgesics, cold remedies, alcohol, and illicit drugs. 18 children died, while 32 children experienced life-threatening effects or residual disability. It is not clear whether these results can be extrapolated to the French population. In France, a yearly survey of the Centres for Evaluation and Information on Pharmacodependence (CEIP) identified 162 cases of "chemical submission", 3 of which involved children. In practice, it is often difficult to recognise when a child is being maltreated, especially when medications, illicit drugs or alcohol are used. Taking into consideration the known adverse effect profile of a drug may provide a clue, help to limit harms to the child and allow appropriate management.
Full Text Available In todays society, electronic media are thoroughly integrated into the fabric of life, with television, movies, videos, music, video games, and computers, central to both work and play. While these media outlets can provide education and entertainment to children, many researches are concerned with the negative impact electronic media is having on children. Media is used as a third parent or servant. Lot of aspects are important related to media exposure and child behavior. Media exposure affects the neurodevelopment, nutrition and health and academic achievements of the child. Parent education plays an important role in the behavior modification of the children. [National J of Med Res 2011; 1(2.000: 87-89
Canning, Kathleen E; Hilts, Mark A; Muirhead, Yvonne E
Cases in which a child has been falsely reported as missing or abducted can be extremely challenging to the law enforcement agencies responsible for their investigation. In the absence of a witnessed abduction or an obvious crime scene, it is difficult to determine whether a child has actually been abducted or has become a victim of a homicide and a false allegation. The purpose of this study was to examine falsely alleged kidnapping cases and identify successful investigative strategies. Sixty-one adjudicated false allegation cases involving 66 victims were analyzed. The mean age of the victim was 5 years. Victims came from generally unstable, high-risk family situations and were killed primarily by biological parents. Victims were killed because they were unwanted or viewed as an obstacle to a desired goal, or they were victims of abuse or maltreatment that ended in fatality.
Pediatricians and other medical providers caring for children need to be aware of the dynamics in the significant relationship between substance abuse and child maltreatment. A caregiver's use and abuse of alcohol, marijuana, heroin, cocaine, methamphetamine, and other drugs place the child at risk in multiple ways. Members of the medical community need to understand these risks because the medical community plays a unique and important role in identifying and caring for these children. Substance abuse includes the abuse of legal drugs as well as the use of illegal drugs. The abuse of legal substances may be just as detrimental to parental functioning as abuse of illicit substances. Many substance abusers are also polysubstance users and the compounded effect of the abuse of multiple substances may be difficult to measure. Often other interrelated social features, such as untreated mental illness, trauma history, and domestic violence, affect these families.
This article discusses the flaws in India's legislation dealing with female children and equality, marriage age, rape, adoption, child care, and inheritance. India's national policies treat children as commodities and not human beings with their own rights. The best interests of a child are not generally served in a manner that advances their welfare. Exploitation of children for labor and sexual abuse of children is widespread. Only some children have such basic needs met as education, nutrition, food, health, clothing, shelter. Children are defined by the UN as human beings below the age of 18 years. However, in India the Constitution protects only children younger than 14 in employment. The prostitution act protects children younger than 16. The juvenile justice protects girls under the age of 18 years and boys under the age of 16 years. Hindus recognize inheritance of family property only for sons. This custom contributes to the abortion of female fetuses. The practice of equal protection under the law has enough loopholes to safeguard the interests of masculine patriarchal values, norms, and structure. The Act of Marriage does not deal directly with the issue of validity and only recommends a suitable age of marriage. Women can seek divorce on the grounds she was too young to marry only if the marriage occurred before the age of 15 years. Sexual intercourse with a woman under 16 years old is rape, with or without her consent. However, in practice men receive a lesser punishment for rape if the woman is his own wife and not under 12 years of age. The rape must be reported within a year of its occurrence. India's laws penalize the adults involved in child marriages, but the Hindu Marriage Act punishes only the parties married, including the child. Marriage registration is not compulsory. India's protective laws distinguish between prostitutes and men who use prostitutes, husbands versus wives in fidelity disputes, married versus unmarried or "unchaste" women
In the decades after the death of Freud in 1939, the psychoanalytic tradition in Britain was substantially shaped by child analysis. Melanie Klein’s discoveries emerged from psychoanalytic practice with children, which was based on ‘play technique’. Some of Donald Winnicott’s most important ideas were developed through work with children, and through study of the relationships between mothers and babies. In this book chapter Professor Rustin argues that the theoretical advances of the 1940s a...
Wellington Amancio do Silva
Full Text Available This paper aims to contribute to issues related to social representations of children through the lens of the adult world; we recommend that fosters the child's opportunity to be author and co-author (protagonist in the production of children's literature and is known to be beyond their textual production considering that all production of children in school (painting, scribbling, drawings, sketches of letters and various signs is recognized as children's literature.
Dimova, Ralitza; Epstein, Gil S; Gang, Ira N.
We examine agricultural child labor in the context of emigration, transfers, and the ability to hire outside labor. We start by developing a theoretical background based on Basu and Van, (1998), Basu, (1999, 2000) and Epstein and Kahana (2008) and show how hiring labor from outside the household and transfers to the household might induce a reduction in children's working hours. Analysis using Living Standards Measurement Survey (LSMS) data on the Kagera region in Tanzania lend support to the...
Full Text Available Background: Dental Caries and Periodontal Diseases are widespread and virtually everybody suffers from them, and in global scenario dental caries are the most prevalent oral diseases among children. Observation home serve as temporary holding facilities of juvenile and orphans who are arrested by police or found to be living in neglected. Aim: The aim of the study was to evaluate oral health status (caries prevalence, dmft, DMF, OHI index of the institutionalized children that is, juvenile home, orphanage home run by Gujarat Government in Vadodara city with that of normal school children. Design: Cross-sectional study was conducted among the 166 children residing in juvenile and orphanage home with 384 school children. Results: The prevalence of dental caries was higher among the school going children (62.12% with juvenile group having (52.4% but the oral hygiene was poor among the juvenile group children with respect to those of school going group. Conclusion: It is concluded from the present study that juvenile group children had lower caries prevalence but poor oral hygiene status in contrast to school going children.
Full Text Available The purpose of this study is to assess the effects of different strategies of health on the levels of physical activity (PA, physical fitness (PF, cardiovascular disease (CVD risk factors and quality of life (QoL of the institutionalized elderly. Concurrently studies were made of the effect of detraining on these same variables. In this investigation we carried out a prospective longitudinal study with an experimental design, with 1 year plus 3 months of a detraining period. Methodology. (a A questionnaire with socio-demographic characteristics and a QoL scale (MOS SF-36; (b Functional Fitness Test to assess PF; (c An MTI Actigraph to evaluate the PA; (d Biochemical analysis of blood, blood pressure and bio-impedance. The Main Results Indicated That: (i ST significantly improved strength and body flexibility and AT the aerobic endurance, agility/dynamic balance and lower strength and flexibility; (ii Implications of detraining were more evident on the PA groups in the lower body flexibility, which is associated with agility/dynamic balance and lower strength in the AT group; (iii Cardiovascular variables improved significantly especially blood pressure, cholesterol and glucose in the ST and HDL in the AT group; not having undergone significant changes with the detraining. The results of this thesis contribute positively to highlight the importance of PA in the promotion of health, prevention and reduction of CVD risk factors and the improvement of the PF and QoL.
Perry, J Christopher; Sigal, John J; Boucher, Sophie; Paré, Nikolas; Ouimet, Marie Claude
We examined childhood and early adult strengths and adverse experiences of a group of orphans given up at or near birth and raised in Quebec institutions into early adulthood. A follow-up interview of 81 adults (41 women, 40 men) at a mean age of 59.2 years included retrospective assessments of childhood experiences. Most participants reported multiple early adverse experiences, including, in descending order, unfair rules and excessive punishment, physical abuse, emotional neglect, witnessing violence, verbal abuse, physical neglect, sexual abuse, and serious illness. Adverse experiences were mainly due to lay caretakers, not peers or nuns. Twelve childhood strengths, such as self-protectiveness and athletic talent, were scored at each of four age periods, yielding a median score equivalent to one strength at each period. Over half had significant childhood attachments, but of limited intimacy. Childhood variables correlated with their respective variables in later adulthood. Overall, these older adults reported a high prevalence of adverse or traumatic childhood experiences, counterbalanced by modest levels of individual strengths and attachment relationships. Institutionalization of children--if unavoidable--must build in effective safeguards against adverse experiences.
Full Text Available L'institutionnalisation de la coopération transfrontalière en Europe est le produit de l'action combinée des principaux acteurs publics de la gouvernance communautaire à de multiples niveaux : les deux principales organisations européennes – Conseil de l'Europe et Union européenne ; les autorités territoriales et les États. Or, si cette action a eu pour résultat commun l'émergence et la multiplication d'espaces et d'organisations transfrontalières, communément désignées comme « eurorégions », cela ne va pas sans soulever de contradictions, à commencer par celle d'une « institutionnalisation sans institution », alors même que le droit européen ouvre de nouvelles perspectives de structuration juridique pour de telles organisations.(European trans-border cooperation involves institutional cooperation among public authorities at various levels of European governance: the two principal European organizations—the European Counsel and the European Union; the territorial authorities and the member states. However, even as this cooperation has led to the creation of multiple trans-boundary areas and organizations, commonly referred to as “euroregions”, it has resulted in anomalies such as that of “institutionalization without an institution”. And this even as European law provides the legal basis for such organizations.
Full Text Available This investigation had two objectives: a to compare the number of punitive and not punitive socialresponses reported toward three hypothetical situations of interpersonal tension, by a group of 39institutionalized for physical abuse children and girls, with that informed by a group of 34 not abusedchildren and girls inscribed to an educational institution, and b to compare the number of punitive andnot punitive responses that the physically abused children and girls referred in this situations. All thechildren had between eight and twelve age-years, among second and quarter educational degree and lowsocioeconomic levels. The three hypothetical situations of interpersonal tension were presented verballywith the support of six sheets (three for each sex and their responses were gathered in a quantitative waythrough the content analysis. The application of the test U of Mann Whitney didn’t throw significantdifferences among the two groups. Nevertheless, it was found a significant difference at intra-grouplevel, in accordance with the test of Wicolxon.
Short, Kathleen S
This article provides a discussion of what we mean when we refer to 'child poverty.' Many images come to mind when we discuss child poverty, but when we try to measure and quantify the extent of child poverty, we often use a very narrow concept. In this article a variety of poverty measures that are used in the United States are described and some of the differences between those measures are illustrated. In this article 3 measures are explored in detail: a relative measure of poverty that is used more often in an international context, the official US poverty measure, and a new supplemental poverty measure (SPM). The new measure differs from the other 2 because it takes into account noncash benefits that are provided to poor families. These include nutrition assistance such as food stamps, subsidized housing, and home energy assistance. The SPM also takes account of necessary expenses that families face, such as taxes and expenses related to work and health care. Comparing estimates for 2012, the SPM showed lower poverty rates for children than the other 2 measures. Because noncash benefits help those in extreme poverty, there were also lower percentages of children in extreme poverty with resources below half the SPM threshold. These results suggest that 2 important measures of poverty, the relative measure used in international comparisons, and the official poverty measure, are not able to gauge the effect of government programs on the alleviation of poverty, and the SPM illustrates that noncash benefits do help families meet their basic needs.
Andri M.T. Lubis
Full Text Available Child abuse is a pervasive social and medical problem that remains a major cause of disability and death among children. The annual incidence of abuse is estimated to be 15 to 42 cases per 1,000 children and appears to be increasing. Fractures are the second most common presentation of physical abuse after skin lesions, and approximately one third of abused children will eventually be seen by an orthopedic surgeon. We report a 7-month-old boy who was suspected to be abused. Our diagnosis was based on findings of multiple fractures, delay in seeking medical treatment and discrepancy between the history of illness and the clinical findings. He sustained multiple fractures in variety of healing, namely fractures on left supracondylar humeri, left radius and ulna, right radius and ulna, both femora, right tibia, and left tibia and fibula. Radiological examination was an important modality in revealing the possibility of abuse on this child. He had received medical treatment, protection, consultation team for the parents and an underway police investigation. (Med J Indones 2004; 13: 59-65 Keywords: child, abuse
Hereditary, environmental, and stochastic factors determine a child's growth in his unique environment, but their relative contribution to the phenotypic outcome and the extent of stochastic programming that is required to alter human phenotypes is not known because few data are available. This is an attempt to use evolutionary life-history theory in understanding child growth in a broad evolutionary perspective, using the data and theory of evolutionary predictive adaptive growth-related strategies. Transitions from one life-history phase to the next have inherent adaptive plasticity in their timing. Humans evolved to withstand energy crises by decreasing their body size, and evolutionary short-term adaptations to energy crises utilize a plasticity that modifies the timing of transition from infancy into childhood, culminating in short stature in times of energy crisis. Transition to juvenility is part of a strategy of conversion from a period of total dependence on the family and tribe for provision and security to self-supply, and a degree of adaptive plasticity is provided and determines body composition. Transition to adolescence entails plasticity in adapting to energy resources, other environmental cues, and the social needs of the maturing adolescent to determine life-span and the period of fecundity and fertility. Fundamental questions are raised by a life-history approach to the unique growth pattern of each child in his given genetic background and current environment.
Kim, Bomi; Maguire-Jack, Kathryn
The way in which parents interact with their environment may have implications for their likelihood of abuse and neglect. This study examines the parent-environment relationship through community involvement and perception, using social disorganization theory. We hypothesize mothers who participate in their communities and have positive perceptions of them may be less likely to maltreat their children because of the potential protective capacity of neighborhood supports. Using information from the 5 year Fragile Families and Child Wellbeing Study (n=2991), the mother's self-reported acts of psychological and physical maltreatment and neglect are measured. A mother's community involvement index is the number of community activities a mother was involved in, and community perception is measured by two five-item Likert scales assessing perception of community collective efficacy. We analyze the relationship between community variables and each of mother's maltreatment behaviors as well as the interaction between community factors using a series of nested logistic regressions. Higher levels of community involvement are associated with lower levels of psychological aggression. More positive perception of community social control is associated with lower levels of physical assault. A moderation effect of community perception suggests that a mother's perception of her community changes the relationship between community involvement and psychological child abuse. The results provide important policy and empirical implications to build positive and supportive communities as a protective factor in child maltreatment. Getting parents involved in their communities can improve the environment in which children and families develop, and decrease the likelihood that maltreatment will occur.
Chang, Shu-Min; Sung, Huei-Chuan
Music therapy was shown many years ago to have positive effects in various age groups of patients in the Western world. Music can produce physiological and psychological effects, including changes in the vital signs, reductions in anxiety, improvements in the immune system, decreases in cortisol levels, the reduction of stress and the promotion of well-being. Music therapy is an inexpensive and effective intervention for nurses to apply to patients. The application of such therapy to children, however, is different from that to adults due to their limited cognitive and language development. In Taiwan, nurses' knowledge of music therapy is limited, and it is rarely used in child care. This article introduces music therapy and its effects in child care, such as in premature infants, children in emergency care, handicapped children, and children receiving surgery. Music therapy is often used as an assisted intervention for patient care in clinical settings. Health care professionals can perform some of the music therapy activities for patients appropriately even if they have not been trained in music. This article aims to improve nurses' knowledge of music therapy and to provide a useful reference for those involved in child care.
Kimenju, Simon C.; Qaim, Matin
We analyze how the nutrition transition affects child malnutrition in developing countries. It is often assumed that the nutrition transition affects child weight but not child growth, which could be one reason why child underweight decreases faster than child stunting. But these effects have hardly been analyzed empirically. Our cross-country panel regressions show that the nutrition transition reduces child underweight, while no consistent effect on child overweight is found. Against common...
Arlette Suzy Puspa Pertiwi
Full Text Available Child abuse is defined as those acts or omissions of care that deprive a child from the opportunity to fully develop his or her unique potentials as a person either physically, socially or emotionally. The overall incidence of child abuse is not really clear. Statistical data do not show the actual rate because of the unreported cases. Dentists are in a strategic position to recognize and report the children being abused because they often see the child and parents interacting during multiple visits and over a long period of time. The orofacial region is commonly traumatized during episodes of child abuse. The characteristics and diagnostic finding of child abuse, and the protocol of reporting such cases, should be familiar to the dentist so that appropriate notification, treatment and prevention of further injury can be instituted. Dentists with experience or expertise in child abuse and neglect will strengthen their ability to prevent and detect child abuse and neglect and enhance the ability to care for and protect children. This paper discusses the oral and dental aspects of child abuse and the dentist role in evaluating this situation including prevention of child abuse.
Silva Garcia, Karina; Power, Thomas G; Fisher, Jennifer Orlet; O'Connor, Teresia M; Hughes, Sheryl O
Parents influence child weight through interactions that shape the development of child eating behaviors. In this study we examined the association between maternal autonomy promoting serving practices and child appetite regulation. We predicted that maternal autonomy promoting serving practices would be positively associated with child appetite regulation. Participants were low-income Latino children-a group at high risk for the development of childhood obesity. A total of 186 low-income Latina mothers and their 4-5 year old children came to a laboratory on two separate days. On the first day, mothers and children chose foods for a meal from a buffet and were audio/videotaped so that maternal autonomy promoting serving practices could be later coded. On the second day, children completed the Eating in the Absence of Hunger (EAH) task to measure child appetite regulation. Mothers also completed the Child Eating Behavior Questionnaire (CEBQ) to measure other aspects of child appetite regulation (food responsiveness, satiety responsiveness, and emotional overeating). Maternal autonomy promotion during serving was assessed using seven separate measures of child and maternal behavior. Principal components analyses of these serving measures yielded three components: allows child choice, child serves food, and mother does not restrict. Consistent with hypotheses, maternal autonomy promoting serving practices (i.e., allows child choice and does not restrict) were negatively associated with maternal reports of child food responsiveness and emotional overeating (CEBQ). The results for the EAH task were more complex-mothers who were autonomy promoting in their serving practices had children who ate the most in the absence of hunger, but this linear effect was moderated somewhat by a quadratic effect, with moderate levels of autonomy promotion during serving associated with the greatest child EAH.
Baker, Elizabeth H; Altman, Claire E
We examined whether indicators of child health, focusing on obesity, are associated with maternal ratings of child health (MRCH) and its variation by mother's ethnicity/nativity, focusing on Hispanics. The early childhood longitudinal study, kindergarten cohort kindergarten-eighth grade waves (n = 48,814) and nested general linear mixed modeling are used to examine excellent MRCH. The only indicator of child health that varies by mother's ethnicity/nativity for MRCH is child obesity. Child obesity did not influence MRCH for foreign-born Hispanic mothers, especially among less acculturated mothers, though significant differences among immigrants by acculturation were not found. However, among native-born white, black, and Hispanic mothers child obesity was associated with a lower likelihood of excellent MRCH even after controls for socioeconomic characteristics, family characteristics, and other indicators of child health are included. MRCH reflect not only child's actual health, but also the mother's perception of what contributes to poor child health. Our findings suggest that less acculturated foreign-born Hispanic mothers are less likely to associate child obesity with poor child health. Cultural orientations that prefer heavier children or are unlikely to associate child obesity with poor child health may contribute to the higher levels of obesity found among their children.
Dielman, T E; Leech, S; Becker, M H; Rosenstock, I M; Horvath, W J; Radius, S M
Personal interviews concerning health beliefs and behaviors were conducted with a parent and child in each of 250 households. Index scores were constructed for parental and child health beliefs, and these scores were entered, along with demographic variables, in a series of multiple regression analyses predicting child health beliefs and behaviors. The age of the child was the variable most highly associated with three of four child health behaviors and four of six child health beliefs. The children's snacking between meals and cigarette smoking were related to several parental behaviors and, to a lesser extent, parental health beliefs. The children's health beliefs were less predictable than were their health behaviors, and the observed significant relationships were with parental health beliefs and demographics. The implications for the design of health education programs are discussed.