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Sample records for epiplasmin family strategies

  1. Cross-study analysis of genomic data defines the ciliate multigenic epiplasmin family: strategies for functional analysis in Paramecium tetraurelia

    Directory of Open Access Journals (Sweden)

    Ravet Viviane

    2009-06-01

    Full Text Available Abstract Background The sub-membranous skeleton of the ciliate Paramecium, the epiplasm, is composed of hundreds of epiplasmic scales centered on basal bodies, and presents a complex set of proteins, epiplasmins, which belong to a multigenic family. The repeated duplications observed in the P. tetraurelia genome present an interesting model of the organization and evolution of a multigenic family within a single cell. Results To study this multigenic family, we used phylogenetic, structural, and analytical transcriptional approaches. The phylogenetic method defines 5 groups of epiplasmins in the multigenic family. A refined analysis by Hydrophobic Cluster Analysis (HCA identifies structural characteristics of 51 epiplasmins, defining five separate groups, and three classes. Depending on the sequential arrangement of their structural domains, the epiplasmins are defined as symmetric, asymmetric or atypical. The EST data aid in this classification, in the identification of putative regulating sequences such as TATA or CAAT boxes. When specific RNAi experiments were conducted using sequences from either symmetric or asymmetric classes, phenotypes were drastic. Local effects show either disrupted or ill-shaped epiplasmic scales. In either case, this results in aborted cell division. Using structural features, we show that 4 epiplasmins are also present in another ciliate, Tetrahymena thermophila. Their affiliation with the distinctive structural groups of Paramecium epiplasmins demonstrates an interspecific multigenic family. Conclusion The epiplasmin multigenic family illustrates the history of genomic duplication in Paramecium. This study provides a framework which can guide functional analysis of epiplasmins, the major components of the membrane skeleton in ciliates. We show that this set of proteins handles an important developmental information in Paramecium since maintenance of epiplasm organization is crucial for cell morphogenesis.

  2. Cross-study analysis of genomic data defines the ciliate multigenic epiplasmin family: strategies for functional analysis in Paramecium tetraurelia.

    Science.gov (United States)

    Damaj, Raghida; Pomel, Sébastien; Bricheux, Geneviève; Coffe, Gérard; Viguès, Bernard; Ravet, Viviane; Bouchard, Philippe

    2009-06-03

    The sub-membranous skeleton of the ciliate Paramecium, the epiplasm, is composed of hundreds of epiplasmic scales centered on basal bodies, and presents a complex set of proteins, epiplasmins, which belong to a multigenic family. The repeated duplications observed in the P. tetraurelia genome present an interesting model of the organization and evolution of a multigenic family within a single cell. To study this multigenic family, we used phylogenetic, structural, and analytical transcriptional approaches. The phylogenetic method defines 5 groups of epiplasmins in the multigenic family. A refined analysis by Hydrophobic Cluster Analysis (HCA) identifies structural characteristics of 51 epiplasmins, defining five separate groups, and three classes. Depending on the sequential arrangement of their structural domains, the epiplasmins are defined as symmetric, asymmetric or atypical. The EST data aid in this classification, in the identification of putative regulating sequences such as TATA or CAAT boxes. When specific RNAi experiments were conducted using sequences from either symmetric or asymmetric classes, phenotypes were drastic. Local effects show either disrupted or ill-shaped epiplasmic scales. In either case, this results in aborted cell division. Using structural features, we show that 4 epiplasmins are also present in another ciliate, Tetrahymena thermophila. Their affiliation with the distinctive structural groups of Paramecium epiplasmins demonstrates an interspecific multigenic family. The epiplasmin multigenic family illustrates the history of genomic duplication in Paramecium. This study provides a framework which can guide functional analysis of epiplasmins, the major components of the membrane skeleton in ciliates. We show that this set of proteins handles an important developmental information in Paramecium since maintenance of epiplasm organization is crucial for cell morphogenesis.

  3. The membrane skeleton in Paramecium: Molecular characterization of a novel epiplasmin family and preliminary GFP expression results.

    Science.gov (United States)

    Pomel, Sébastien; Diogon, Marie; Bouchard, Philippe; Pradel, Lydie; Ravet, Viviane; Coffe, Gérard; Viguès, Bernard

    2006-02-01

    Previous attempts to identify the membrane skeleton of Paramecium cells have revealed a protein pattern that is both complex and specific. The most prominent structural elements, epiplasmic scales, are centered around ciliary units and are closely apposed to the cytoplasmic side of the inner alveolar membrane. We sought to characterize epiplasmic scale proteins (epiplasmins) at the molecular level. PCR approaches enabled the cloning and sequencing of two closely related genes by amplifications of sequences from a macronuclear genomic library. Using these two genes (EPI-1 and EPI-2), we have contributed to the annotation of the Paramecium tetraurelia macronuclear genome and identified 39 additional (paralogous) sequences. Two orthologous sequences were found in the Tetrahymena thermophila genome. Structural analysis of the 43 sequences indicates that the hallmark of this new multigenic family is a 79 aa domain flanked by two Q-, P- and V-rich stretches of sequence that are much more variable in amino-acid composition. Such features clearly distinguish members of the multigenic family from epiplasmic proteins previously sequenced in other ciliates. The expression of Green Fluorescent Protein (GFP)-tagged epiplasmin showed significant labeling of epiplasmic scales as well as oral structures. We expect that the GFP construct described herein will prove to be a useful tool for comparative subcellular localization of different putative epiplasmins in Paramecium.

  4. Epiplasmins and epiplasm in paramecium: the building of a submembraneous cytoskeleton.

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    Aubusson-Fleury, Anne; Bricheux, Geneviève; Damaj, Raghida; Lemullois, Michel; Coffe, Gérard; Donnadieu, Florence; Koll, France; Viguès, Bernard; Bouchard, Philippe

    2013-07-01

    In ciliates, basal bodies and associated appendages are bound to a submembrane cytoskeleton. In Paramecium, this cytoskeleton takes the form of a thin dense layer, the epiplasm, segmented into regular territories, the units where basal bodies are inserted. Epiplasmins, the main component of the epiplasm, constitute a large family of 51 proteins distributed in 5 phylogenetic groups, each characterized by a specific molecular design. By GFP-tagging, we analyzed their differential localisation and role in epiplasm building and demonstrated that: 1) The epiplasmins display a low turnover, in agreement with the maintenance of an epiplasm layer throughout the cell cycle; 2) Regionalisation of proteins from different groups allows us to define rim, core, ring and basal body epiplasmins in the interphase cell; 3) Their dynamics allows definition of early and late epiplasmins, detected early versus late in the duplication process of the units. Epiplasmins from each group exhibit a specific combination of properties. Core and rim epiplasmins are required to build a unit; ring and basal body epiplasmins seem more dispensable, suggesting that they are not required for basal body docking. We propose a model of epiplasm unit assembly highlighting its implication in structural heredity in agreement with the evolutionary history of epiplasmins. Copyright © 2013 Elsevier GmbH. All rights reserved.

  5. Purification, in vitro reassembly, and preliminary sequence analysis of epiplasmins, the major constituent of the membrane skeleton of Paramecium.

    Science.gov (United States)

    Coffe, G; Le Caer, J P; Lima, O; Adoutte, A

    1996-01-01

    The epiplasmic layer, a continuous rigid granulo-fibrillar sheet directly subtending the surface membranes of Paramecium, is one of the outermost of the various cytoskeletal networks that compose it cortex. We have previously shown that the epiplasm consists of a set of 30 to 50 protein bands on SDS-PAGE in the range 50 to 33 kDa, the epiplasmins. We report a purification procedure for the set of epiplasmic proteins, a description of their physicochemical and reassembly properties, and a preliminary characterization of their sequence. The conditions for solubilization of the epiplasm and for in vitro reassembly of its purified constituents ar described. Reassembly of the entire set of proteins and of some (but not all) subsets are shown to yield filamentous aggregates. Microsequences of two purified bands of epiplasmins reveal a striking amino acid sequence consisting of heptad repeats of only three main amino acids, P, V, and Q. These repeats were confirmed by DNA sequencing of polymerase chain reaction products. The motif is QPVQ-h, in which h is a hydrophobic residue. This may constitute the core of the epiplasmin sequence and, in view of the tendency of such a sequence to form a coiled-coil, may account for the remarkable self-aggregation properties of epiplasmins.

  6. The 15-minute family interview: a family health strategy tool

    Directory of Open Access Journals (Sweden)

    Mariana Cristina Lobato dos Santos Ribeiro Silva

    2013-06-01

    Full Text Available The 15-minute family interview is a condensed form of the Calgary Family Assessment and Intervention Models (CFAM and CFIM that aims to contribute to the establishment of a therapeutic relationship between nurses and family and to implement interventions to promote health and suffering relief, even during brief interactions. This study investigated the experience of nurses from the Family Health Strategy (FHS who used the 15-minute interview on postpartum home. The qualitative research was conducted in three stages: participants' training program, utilization of the 15-minute family interview by participants, and interviews with nurses. The data were collected through semi-structured interviews with eight nurses. The thematic analysis revealed two main themes: dealing with the challenge of a new practice and evaluating the assignment. This work shows that this tool can be used to deepen relationships between nurses and families in the Family Health Strategy.

  7. Shodagor Family Strategies : Balancing Work and Family on the Water.

    Science.gov (United States)

    Starkweather, Kathrine E

    2017-06-01

    The Shodagor of Matlab, Bangladesh, are a seminomadic community of people who live and work on small wooden boats, within the extensive system of rivers and canals that traverse the country. This unique ecology places particular constraints on family and economic life and leads to Shodagor parents employing one of four distinct strategies to balance childcare and provisioning needs. The purpose of this paper is to understand the conditions that lead a family to choose one strategy over another by testing predictions about socioecological factors that impact the sexual division of labor, including a family's stage in the domestic cycle, aspects of the local ecology, and the availability of alloparents. Results show that although each factor has an impact on the division of labor individually, a confluence of these factors best explains within-group, between-family differences in how mothers and fathers divide subsistence and childcare labor. These factors also interact in particular ways for Shodagor families, and it appears that families choose their economic strategies based on the constellation of constraints that they face. The results of these analyses have implications for theory regarding the sexual division of labor across cultures and inform how Shodagor family economic and parenting strategies should be contextualized in future studies.

  8. [Work processes in Family Health Strategy team].

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    Pavoni, Daniela Soccoloski; Medeiros, Cássia Regina Gotler

    2009-01-01

    The Family Health Strategy requires a redefinition of the health care model, characterized by interdisciplinary team work. This study is aimed at knowiong the work processes in a Family Health Team. The research was qualitative, and 10 team members were interviewed. Results demonstrated that the nurse performs a variety of functions that could be shared with other people; this overloads him/her and makes inherent job task execution difficult. Task planning and performing are usually done in teams, but some professionals get more involved in these activities. It was concluded that there is a need for the team to reflect upon work process as well as reassess task assignment, so that each individual is able to perform the work and contribute for an integrated work.

  9. [The migrant family: subsistence strategies in Dominican families in Venezuela].

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    Torrealba, R

    1991-09-01

    This study of migration to Venezuela from the Dominican Republic used sociological and anthropological techniques to study fragmentation and regrouping of families before and after migration, family subsistence strategies, entry into the labor force, and mutual aid networks among migrants. A 44-item questionnaire was administered in 1987 to 50 heads of households born in the Dominican Republic and residing in Venezuela with their families for at least 1 year. The survey took place in metropolitan Caracas. Its findings were complemented by use of traditional participant-observation. 43 respondents were male and 7 were female. 30 were married, 1 divorced, 16 in consensual unions, and 2 widowed. Respondents' ages ranged from 26 to 57 years. 38 had resided permanently in their place of birth before migrating to Venezuela. 36 had lived in Venezuela for 5-10 years and 9 for 11-15 years. 39 stated that their principal reason for coming to Venezuela was to find employment. 36 entered on tourist visas, 11 on transient visas, and 2 with no documentation. 29 entered the country alone, 12 came with spouses, and 8 with most of their family group. Only 3 planned a future move within Venezuela. The migrants were of relatively low educational status. 16 had incomplete and 19 complete primary educations and 11 had some degree of secondary education. 41 were employed at the time of the survey, 5 were unemployed and 3 were temporarily disabled. 16.3% were vendors, 12.2% were office workers, 8.2% were transport workers, 8.2% were artisans or operators, 8.2% were in domestic service, and 12.2% were in other personal services. 22 worked in enterprises with fewer than 5 workers or were self-employed and only 6 worked in enterprises with 21 or more employees. 11 had had 3 jobs since their arrival, in Venezuela, 8 had had 4, and 25 had had 5 or more. 16 migrants had found their jobs through a direct search, 16 had obtained them through recommendations of friends or relatives, and 2 were

  10. Coping Strategies of Family Members of Hospitalized Psychiatric Patients

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    Phyllis M. Eaton

    2011-01-01

    Full Text Available This exploratory research paper investigated the coping strategies of families of hospitalized psychiatric patients and identified their positive and negative coping strategies. In this paper, the coping strategies of 45 family members were examined using a descriptive, correlational, mixed method research approach. Guided by the Neuman Systems Model and using the Family Crisis Oriented Personal Evaluation Scales and semistructured interviews, this paper found that these family members used more emotion-focused coping strategies than problem-focused coping strategies. The common coping strategies used by family members were communicating with immediate family, acceptance of their situation, passive appraisal, avoidance, and spirituality. The family members also utilized resources and support systems, such as their immediate families, mental health care professionals, and their churches.

  11. Coping Strategies of Family Members of Hospitalized Psychiatric Patients

    OpenAIRE

    Eaton, Phyllis M.; Davis, Bertha L.; Hammond, Pamela V.; Condon, Esther H.; McGee, Zina T.

    2011-01-01

    This exploratory research paper investigated the coping strategies of families of hospitalized psychiatric patients and identified their positive and negative coping strategies. In this paper, the coping strategies of 45 family members were examined using a descriptive, correlational, mixed method research approach. Guided by the Neuman Systems Model and using the Family Crisis Oriented Personal Evaluation Scales and semistructured interviews, this paper found that these family members used m...

  12. Priority strategies for India's family planning programme.

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    Pachauri, Saroj

    2014-11-01

    Strategies to accelerate progress of India's family planning programme are discussed and the importance of improving the quality and reach of services to address unmet contraceptive need by providing method choice is emphasized. Although there is a growing demand for both limiting and spacing births, female sterilisation, is the dominant method in the national programme and use of spacing methods remains very limited. Fertility decline has been slower in the empowered action group (EAG) states which contribute about 40 per cent of population growth to the country and also depict gloomy statistics for other socio-development indicators. It is, therefore, important to intensify efforts to reduce both fertility and mortality in these states. arationale has been provided for implementing integrated programmes using a gender lens because the lack of women's autonomy in reproductive decision-making, compounded by poor male involvement in sexual and reproductive health matters, is a fundamental issue yet to be addressed. The need for collaboration between scientists developing contraceptive technologies and those implementing family planning services is underscored. If contraceptive technologies are developed with an understanding of the contexts in which they will be delivered and an appreciation of end-users' needs and perspectives, they are more likely to be accepted by service providers and used by clients.

  13. Family and Consumer Sciences Marketing Strategies

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    Clauss, Barbara A.

    2007-01-01

    Family and consumer sciences teachers agree-- word-of-mouth is a great way to market the programs, as peers are very influential in students' selection of electives in family and consumer sciences (FACS) education. However, teachers do not rely solely on their students to influence enrollments in their programs. In this article, the author…

  14. Using the noninformative families in family-based association tests : A powerful new testing strategy

    NARCIS (Netherlands)

    Lange, C; DeMeo, D; Silverman, EK; Weiss, ST; Laird, NM

    2003-01-01

    For genetic association studies with multiple phenotypes, we propose a new strategy for multiple testing with family-based association tests (FBATs). The strategy increases the power by both using all available family data and reducing the number of hypotheses tested while being robust against

  15. Night terrors: strategies for family coping.

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    Gates, D; Morwessel, N

    1989-02-01

    This article discusses the occurrence of night terrors (parvor nocturnus) in children. The characteristics of a typical night terror incident are described, as are the common parental reactions to such frightening events. Nurses who work with children and families need to know about the etiology and clinical course of night terrors. They need to be able to differentiate night terrors from other sleep disturbances and determine possible ways to alleviate the occurrences. This article emphasizes assessment, anticipatory guidance, education, and counseling. A practical guide for parents is included to provide families with information on ways to cope with night terrors.

  16. Deciding on Family Holidays - Role Distribution and Strategies in Use

    DEFF Research Database (Denmark)

    Therkelsen, Anette

    2010-01-01

    The article discusses holiday-related decision making in families by exploring the role distribution and strategies employed by family members, with particular attention given to the influence of children. Based on the theoretical discussion, a model is developed that highlights the influence...... of a number of contextual factors on role distribution and decision-making strategies, and which is found useful in the analysis of qualitative interviews with German and Danish families. The empirical analysis demonstrates patterns in the role distribution of family members in line with the existing...... this complexity in role distribution. Likewise in relation to decision-making strategies, contextual factors are helpful in explaining the strategies used, in particular the convention that holidays are an extraordinary “free space” which allows for more negotiation power being bestowed on children than...

  17. Strategies needed to involve men, other family members.

    Science.gov (United States)

    Barnett, B

    1998-01-01

    Women typically do not make decisions about contraceptive use and family planning on their own, and many women often have little, if any, decision-making power in the home. Strategies are therefore needed to empower women, educate family members, and involve men in reproductive health programs. Policymakers should expand the range of male services and encourage the greater use of male contraceptive methods. Furthermore, health programs should include counseling to help men and women improve their communications skills and conduct education campaigns to inform men about the roles they can play in family planning. Men should also learn about the side effects of both male and female methods, since concern over method side effects can frustrate their support of family planning. Appropriate strategies can be tailored to meet individual group needs. Programs in Madagascar, Bangladesh, Honduras, and Nepal are described as examples of how the support of family members can positively affect family planning use and reproductive health.

  18. Beginning science teachers' strategies for communicating with families

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    Bloom, Nena E.

    Science learning occurs in both formal and informal spaces. Families are critical for developing student learning and interest in science because they provide important sources of knowledge, support and motivation. Bidirectional communication between teachers and families can be used to build relationships between homes and schools, leverage family knowledge of and support for learners, and create successful environments for science learning that will support both teaching and student learning. To identify the communication strategies of beginning science teachers, who are still developing their teaching practices, a multiple case study was conducted with seven first year secondary science teachers. The methods these teachers used to communicate with families, the information that was communicated and shared, and factors that shaped these teachers' continued development of communication strategies were examined. Demographic data, interview data, observations and documentation of communication through logs and artifacts were collected for this study. Results indicated that the methods teachers had access to and used for communication impacted the frequency and efficacy of their communication. Teachers and families communicated about a number of important topics, but some topics that could improve learning experiences and science futures for their students were rarely discussed, such as advancement in science, student learning in science and family knowledge. Findings showed that these early career teachers were continuing to learn about their communities and to develop their communication strategies with families. Teachers' familiarity with their school community, opportunities to practice strategies during preservice preparation and student teaching, their teaching environment, school policies, and learning from families and students in their school culture continued to shape and influence their views and communication strategies. Findings and implications for

  19. Family strategies for achieving medication adherence in pediatric kidney transplantation.

    Science.gov (United States)

    Ingerski, Lisa; Perrazo, Lauren; Goebel, Jens; Pai, Ahna L H

    2011-01-01

    Although nonadherence is well documented and strategies for adherence have been shown to be critical to overcoming barriers and improving overall adherence rates, it is unknown how family strategy use is related to adherence in the pediatric renal transplant population. The aims of this study were to assess (a) the strategies used by adolescents with kidney transplants and their caregivers to adhere to the posttransplant oral medication regimen and (b) the relationship of these strategies to objective adherence rates. Semistructured interviews to assess self-management were administered to 17 adolescents (14-18 years) and 17 caregivers. Adherence to oral immunosuppressant medication, measured via electronic monitors, was determined also for a subset of 13 dyads. Common strategies endorsed by families included the following: making it part of the routine (88.2%), verbal reminders by caregiver (82.4%), caregiver verifying medication was taken (76.5%), placing medication in a convenient location (76.5%), and using a pillbox (70.6%). A greater number of family-endorsed strategies were correlated with higher levels of adherence. Of those strategies spontaneously endorsed, only caregiver reminders to take medication and caregiver verification that medications were taken were related significantly to higher adherence rates. The findings highlight the importance of identification and use of specific strategies to improve adherence rates of pediatric renal transplant recipients and emphasize the need for continued caregiver involvement in the promotion of adherence to the treatment regimen.

  20. Digital Media Use in Families: Theories and Strategies for Intervention.

    Science.gov (United States)

    Dalope, Kristin A; Woods, Leonard J

    2018-04-01

    Family dynamics are increasingly being influenced by digital media. Three frameworks are described to help clinicians to understand and respond to this influence. First, a social-ecological framework shows how media has both a direct and indirect impact on individuals, relationships, communities, and society. Next, family systems theory is introduced to demonstrate digital media-related interactions within families. Finally, a developmental framework explores the role of digital media in shaping parenting. These theories are then integrated into practical strategies that clinicians can use, including recommendations and resources from the American Academy of Pediatrics. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Managing Work and Family: Do Control Strategies Help?

    Science.gov (United States)

    Versey, H. Shellae

    2015-01-01

    How can we effectively manage competing obligations from work and family without becoming overwhelmed? This question inspires the current study by examining control strategies that may facilitate better work-life balance, with a specific focus on the role of lowered aspirations and positive reappraisals, attitudes that underlie adaptive coping…

  2. Canadian Families' Strategies for Employment and Care for Preschool Children

    Science.gov (United States)

    Ornstein, Michael; Stalker, Glenn J.

    2013-01-01

    Based on the 2006 Canadian Census "long form" sample of one in every five households, the authors develop a detailed typology of family strategies for employment and the care of preschool children. The analysis is restricted to opposite-sex couples with at least one child under age 6 and no older child or other adult in the household.…

  3. Strategies Used by Facilities in Uganda to Integrate Family Planning ...

    African Journals Online (AJOL)

    Erah

    Strategies Used by Facilities in Uganda to Integrate Family. Planning into HIV Care: What Works and What Doesn't ... analysis at baseline, objectives and related indicators for the FP-HIV care integration were formulated. ... mechanisms and facilitating continuous quality improvement activities. We anticipate challenges of.

  4. Evaluation of Three New Strategies to Fight Obesity in Families

    Directory of Open Access Journals (Sweden)

    C. Luley

    2010-01-01

    Full Text Available Aims. To evaluate 3 strategies to reduce weight in obese families. Research design and methods. 142 obese parents and 119 obese children kept a fat-calorie restriction diet. On top of this diet, the families were randomized in a three-factorial design to one or more of three weight-loss strategies: (1 an additional diet preferring carbohydrates having a low glycemic index (dual diet, (2 financial incentive, and (3 telemonitoring of weight and physical activity. Results. All children improved their BMI-SDS by 0.18±0.25 (P<.001 independently of the weight-loss strategy. In parents, relative losses of weight (kg were −6.4% versus −4.0% for dual diet versus calorie restriction (P=.029, −6.9% versus −3.4% for with or without financial incentive (P=.002, and −8.0% versus −4.8% for with or without telemonitoring (P=.033. The weight loss after financial incentive plus dual diet plus telemonitoring was −14.4%. Conclusions. All strategies were effective in adults, in particular when combined. Children improved their BMI-SDS regardless of the strategy.

  5. Susceptibility to breast cancer Cuban families and intervention strategy proposal

    International Nuclear Information System (INIS)

    Robaina, Martha S.; Menendez, Ibis; Valdes, Zodilina; Diaz, Milania

    2009-01-01

    In breast cancer, as in most cancers, mutations usually occur in somatic cells, but sometimes occur in germ cells. The carriers of these mutations germ have up to 80% risk of having the disease course of their lives and pass it on to their offspring, they are called hereditary cancers. In this work studied 50 tested history relatives of this neoplasm from consulting advice genetic hereditary breast cancer. The tree was made pedigree of the family of each test and been classified risk using the criteria of Hampel et al. Other malignancies were identified through the analysis of pedigrees and performed syndromic classification of families. It develops an algorithm for the care of breast cancer families hereditary and plotted strategies identified by risk taking that each category implies a different intervention. It recommended to continue studying the value of marking lesions subclinical and train staff to perform this technique for its widespread use in the country. (Author)

  6. Family Involvement and Sustainable Family Business: Analysing Their Effects on Diversification Strategies

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    Ines Herrero

    2017-11-01

    Full Text Available Recent studies have noted that traditional agency theory and risk attitudes differ when firms are small and have a family character. In this work, we provide new insights with respect to the effect that the family role and the different types of risk exert on diversification strategies. We provide a different view on the effect that the number of generations and having a family manager exert on diversification attitudes and we analyse the concept of family involvement for small family firms and the moderating role it has in the relationship between the different types of risk and diversification decisions. By using a behavioural model analysis and a set of fishing firms to test our hypotheses, our results corroborate the importance of family variables on the behaviour of small family firms and how these firms avoid risk under certain stable conditions while take riskier decisions when sustainability and survivability is menaced by unstable environments. We not only provide theoretical reasons that help to the understanding of diversification decisions of small family firms but we also draw some specific conclusions that will help fishery managers to achieve more sustainable fisheries by a better understanding of fishers behaviours.

  7. Family violence against children: intervention of nurses from the Family Health Strategy

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    Kelianny Pinheiro Bezerra

    2012-06-01

    Full Text Available This study Aimed to analyze the performance of nurses of the Family Health Strategy by facing family violence against children and identifying actions to prevent the problem. It is a descriptive and exploratory research with qualitative feature, whose data were analyzed according to content analysis. 14 nurses from the Family Health Strategy of Mossoró-RN took part in the Study. Data were collected using a semi-structured questionnaire. Health promotion actions are educational activities developed after detecting the problem. Fear of reprisals by the offending agent, work overload, lack of managerial support and the difficulty for the accomplishment of interdisciplinarity, intersectorality and comprehensive care were mentioned as barriers to the confrontation of the problem.

  8. Assessing family-based feeding strategies, strengths, and mealtime structure with the Feeding Strategies Questionnaire.

    Science.gov (United States)

    Berlin, Kristoffer S; Davies, W Hobart; Silverman, Alan H; Rudolph, Colin D

    2011-06-01

    Develop a questionnaire to assess family-based feeding strategies, strengths, and mealtime structure for use with children with feeding problems; validate this new instrument with caregivers of young children from the community and a specialty feeding-clinic; and examine preliminary evidence for reliability and validity. Community caregivers (n = 702) and caregivers seeking services at a pediatric feeding specialty clinic (n = 288) completed the Feeding Strategies Questionnaire (FSQ). A smaller portion of these families also completed an established feeding measure. Exploratory and confirmatory factor analyses were conducted to develop and validate the FSQ factor structure that resulted in six scales: Mealtime Structure, Consistent Mealtime Schedule, Child Control of Intake, Parent Control of Intake, Between Meal Grazing and Encourages Clean Plate. Evidence of reliability and validity was obtained. It appears the FSQ can aid the assessment of feeding strategies relevant to the prevention or treatment of pediatric feeding difficulties.

  9. Care management actions in the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Marcelo Costa Fernandes

    2015-11-01

    Full Text Available Objective: to identify, from nurses’ speeches, the actions that enable care management in the Family Health Strategy.Methods: descriptive study with a qualitative approach conducted with 32 nurses of primary care. It was used a semistructuredinterview as the data collection technique. The methodological process of the collective subject discourse wasused to organize the data Results: from the nurses’ speeches one identified the categories: complementary relationshipbetween care and management; meeting with community health agents, a care management strategy in nurses’ work;health education activities such as a care management action and a health information system as an essential tool forcare Conclusion: it was possible to observe that nurses understood the importance of coordination and complementaritybetween the activities of the working process of care and management.

  10. Health regulation: knowledge of Family Health Strategy professionals

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    Márcio Roney Mota Lima

    2013-05-01

    Full Text Available This is a descriptive and qualitative study that aimed to verify the knowledge of nurses, doctors and dentists of the Family Health Strategy in the municipality of Bela Cruz, Ceará, Brazil, about health regulation. Data collection happened from November to December 2008 by applying a questionnaire. Data were organized according to content analysis of Bardin. The results show that the participants have knowledge about the referral flow of patients referred from the primary care to specialized care, the mechanisms used for this purpose, as well as the reference and counter-reference system; they also reported difficulties in the return of patients with the counter-reference form properly filled, thus jeopardizing the continuity of assistance. For these professionals, the regulation is an important management tool for SUS, guaranteeing the right to health.

  11. Priority strategies for India′s family planning programme

    Directory of Open Access Journals (Sweden)

    Saroj Pachauri

    2014-01-01

    Full Text Available Strategies to accelerate progress of India′s family planning programme are discussed and the importance of improving the quality and reach of services to address unmet contraceptive need by providing method choice is emphasized. Although there is a growing demand for both limiting and spacing births, female sterilisation, is the dominant method in the national programme and use of spacing methods remains very limited. Fertility decline has been slower in the empowered action group (EAG s0 tates which contribute about 40 per cent of population growth to the country and also depict gloomy statistics for other socio-development indicators. It is, therefore, important to intensify efforts to reduce both fertility and mortality in these s0 tates. a0 rationale has been provided for implementing integrated programmes using a gender lens because the lack of women′s autonomy in reproductive decision-making, compounded by poor male involvement in sexual and reproductive health matters, is a fundamental issue yet to be addressed. The need for collaboration between scientists developing contraceptive technologies and those implementing family planning services is underscored. If contraceptive technologies are developed with an understanding of the contexts in which they will be delivered and an appreciation of end-users′ needs and perspectives, they are more likely to be accepted by service providers and used by clients.

  12. [Family Health Strategies to tackle violence involving adolescents].

    Science.gov (United States)

    Vieira Netto, Moysés Francisco; Deslandes, Suely Ferreira

    2016-05-01

    The Family Health Strategy (FHS) has an acknowledged potential for the promotion of health and the prevention of violence. This is an integrative bibliographic review with the aim of evaluating the performance of FHS professionals in tackling and preventing violence involving adolescents. It is an integrative review of dissertations and theses on healthcare published from 1994 to 2014. The collection of 17 dissertations and 2 doctoral theses reveals that these studies are recent. The FHS professionals acknowledge the vulnerability of adolescents to inflicting and being subject to violence, however the FHS proves ineffective in tackling and preventing such violence. The predominance of the medical technical care model, the deficiencies in Public Health education in professional training and the lack of institutional support are seen as the main obstacles. Many of these professionals are unaware of the files for notification of violence. The existence of family violence and criminal groups were the aspects most mentioned in the territories. The social representation of adolescents as being "problematic" and the lack of ESF actions that promote an increase youth leadership and empowerment were clearly detected.

  13. Use of Respite Care and Coping Strategies among Irish Families of Children with Intellectual Disabilities

    Science.gov (United States)

    MacDonald, Elaine; Fitzsimons, Elaine; Walsh, Patricia Noonan

    2007-01-01

    The study aimed to identify patterns of respite use and coping strategies among family caregivers in a region of Ireland. Firstly, we asked what child and family characteristics were associated with use of respite care. Secondly, we explored coping strategies reported by family carers. The study was undertaken with a view to informing respite…

  14. Examining Behavioural Coping Strategies as Mediators between Work-Family Conflict and Psychological Distress

    OpenAIRE

    Aazami, Sanaz; Shamsuddin, Khadijah; Akmal, Syaqirah

    2015-01-01

    We examined the mediating role of behavioral coping strategies in the association between work-family conflict and psychological distress. In particular, we examined the two directions of work-family conflict, namely, work interference into family and family interference into work. Furthermore, two coping styles in this study were adaptive and maladaptive coping strategies. This cross-sectional study was conducted among 429 Malaysian working women using self-reported data. The results of medi...

  15. Franchising as strategy for internationalization of Family Firms: an exploratory study

    OpenAIRE

    Rosado-Serrano, Alexander; Universidad de Puerto Rico

    2017-01-01

    Family business is the most prevalent form of business thru out Latin America. Franchising has been a strategy used by many firms to expand domestically and internationally. Internationalization theories indicate that firms tend to expand to culturally close markets/countries. Family Business theories indicate that family firms have specific advantages in comparison with non-family firms. The purpose of this paper is to conduct a literature review about franchising family firms in Latin Ameri...

  16. Strategies for sustaining self used by family caregivers for older adults with dementia.

    Science.gov (United States)

    Bull, Margaret J

    2014-06-01

    The negative health consequences of caring for an older adult family member with dementia are well documented. However, not all family caregivers experience these negative health consequences. The purposes of this study were to describe strategies family caregivers use to help them continue to provide care for an older family member with dementia despite challenges and describe these family caregivers' resilience and psychological distress. A mixed methods design was used with a narrative approach dominant and standardized scales for resilience and psychological distress used to enhance the description of the sample. Data were collected through telephone interviews with 18 family caregivers residing in an urban area. The findings indicate that family caregivers used four strategies to sustain the self: drawing on past life experiences, nourishing the self, relying on spirituality, and seeking information about dementia. Understanding strategies used by family caregivers to sustain themselves is essential for providing holistic nursing care and developing effective interventions.

  17. Examining behavioural coping strategies as mediators between work-family conflict and psychological distress.

    Science.gov (United States)

    Aazami, Sanaz; Shamsuddin, Khadijah; Akmal, Syaqirah

    2015-01-01

    We examined the mediating role of behavioral coping strategies in the association between work-family conflict and psychological distress. In particular, we examined the two directions of work-family conflict, namely, work interference into family and family interference into work. Furthermore, two coping styles in this study were adaptive and maladaptive coping strategies. This cross-sectional study was conducted among 429 Malaysian working women using self-reported data. The results of mediational analysis in the present study showed that adaptive coping strategy does not significantly mediate the effect of work-family conflict on psychological distress. However, maladaptive coping strategies significantly mediate the effect of work-family conflict on psychological distress. These results show that adaptive coping strategies, which aimed to improve the stressful situation, are not effective in managing stressor such as work-family conflict. We found that experiencing interrole conflict steers employees toward frequent use of maladaptive coping strategies which in turn lead to psychological distress. Interventions targeted at improvement of coping skills which are according to individual's needs and expectation may help working women to balance work and family demands. The important issue is to keep in mind that effective coping strategies are to control the situations not to eliminate work-family conflict.

  18. Adaptive Strategies, Gender Ideology, and Work-Family Balance among Dutch Dual Earners

    Science.gov (United States)

    Wierda-Boer, Hilde H.; Gerris, Jan R. M.; Vermulst, Ad A.

    2008-01-01

    Using questionnaire data on 149 Dutch dual-earner couples with young children participating in the European Famwork study, we examine how adaptive strategies and gender ideology relate to parents' perceived success in balancing work and family. Path analysis indicates that some adaptive strategies may harm individuals' work-family balance,…

  19. Stresses and Coping Strategies of Chinese Families with Children with Autism and Other Developmental Disabilities

    Science.gov (United States)

    Wang, Peishi; Michaels, Craig A.; Day, Matthew S.

    2011-01-01

    Data from 368 families of children with autism and other developmental disabilities in the People's Republic of China were gathered to understand the stresses that families experience and the coping strategies they employ. Chinese families of children with developmental disabilities perceived high levels of stress related to pessimism, child…

  20. BUSINESS STRATEGY AND COMPETITIVE ADVANTAGE IN FAMILY BUSINESSES IN GHANA: THE ROLE OF SOCIAL NETWORKING RELATIONSHIPS

    OpenAIRE

    MOSES ACQUAAH

    2011-01-01

    The business strategy perspective argues that achieving competitive advantage hinges on pursing a coherent competitive strategy. Family businesses are also said to manifest a strong desire to develop enduring and committed social relationships with external stakeholders. This study examines the effect of business strategy on performance of family businesses and how their managerial social networking relationships with external entities moderate the business strategy–performance link. Using da...

  1. Improving Strategies for Low-Income Family Children's Information Literacy

    Science.gov (United States)

    Zhang, Haiyan; Washington, Rodney; Yin, Jianjun

    2014-01-01

    This article discussed the significance of improving low-income family children's information literacy, which could improve educational quality, enhance children's self-esteem, adapt children to the future competitive world market, as well as the problems in improving low-income family children's information literacy, such as no home computer and…

  2. Confronting Homelessness among American Families: Federal Programs and Strategies.

    Science.gov (United States)

    DeWoody, Madelyn

    This book offers specific information on the wide range of federal prevention, emergency shelter, and family service programs available today that provide children and families who are homeless or at risk of homelessness with financial support, education, job training, nutritional services, and crisis funding. The chapters are: (1)…

  3. Conjoint Family Therapy Following Divorce: An Alternative Strategy

    Science.gov (United States)

    Baideme, Sally M.; And Others

    1978-01-01

    This article presents a model of family therapy which may be described as primarily conjoint therapy integrating techniques of conflict resolution into family systems theory. Conflict between the biological parents and other adults is actively elicited, old hostilities surfaced, and the sharing of here-and-now feelings is encouraged. (Author)

  4. Use of augmentative and alternative communication strategies by family members in the intensive care unit.

    Science.gov (United States)

    Broyles, Lauren M; Tate, Judith A; Happ, Mary Beth

    2012-03-01

    Little is known about communication between patients and their family members during critical illness and mechanical ventilation in the intensive care unit, including use of augmentative and alternative communication tools and strategies. To identify (1) which augmentative and alternative communication tools families use with nonspeaking intensive care patients and how they are used, and (2) what families and nurses say about communication of family members with nonspeaking intensive care patients. A qualitative secondary analysis was conducted of existing data from a clinical trial testing interventions to improve communication between nurses and intensive care patients. Narrative study data (field notes, intervention logs, nurses' interviews) from 127 critically ill adults were reviewed for evidence of family involvement with augmentative and alternative communication tools. Qualitative content analysis was applied for thematic description of family members' and nurses' accounts of patient-family communication. Family involvement with augmentative and alternative communication tools was evident in 44% of the 93 patients who completed the parent study protocol. Spouses or significant others communicated with patients most often. Main themes describing patient-family communication included (1) families being unprepared and unaware, (2) families' perceptions of communication effectiveness, (3) nurses deferring to or guiding patient-family communication, (4) patients' communication characteristics, and (5) families' experience with and interest in augmentative and alternative communication tools. Assessment by skilled bedside clinicians can reveal patients' communication potential and facilitate useful augmentative and alternative communication tools and strategies for patients and their families.

  5. Remaking family life: strategies for re-establishing continuity among Congolese refugees during the family reunification process.

    Science.gov (United States)

    Rousseau, C Cécile; Rufagari, Marie-Claire; Bagilishya, Déogratias; Measham, Toby

    2004-09-01

    The restrictive immigration and refugee policies of many Western countries force most refugee families to remain separated for long periods. Although there is much discussion among professionals in the community and the clinical milieu about the problems families encounter after reunification, the strategies employed by refugees to restore family life have not been paid much attention. This longitudinal study documents the pre- and post-reunification experiences of 12 refugee families from the Democratic Republic of Congo in Montreal. Our results suggest that family separation can be understood as an ambiguous loss, in that the temporary absence of other family members cannot be fully acknowledged because of the perpetual uncertainty and permanent risk to them. Memory work, in the form of shared family memories, attenuates the pain of the absence. Once reunited, family members must re-establish continuity in spite of the many denied rifts between them. The capacity to recall a personal, familial or collective history of previous separation and loss appears to be protective, as if the memory of life's discontinuities provides an opportunity to recreate a partial sense of continuity out of repeating experiences of chaos.

  6. [Family life strategies and their relation with malnutrition in children under 2 years old].

    Science.gov (United States)

    Sandoval-Priego, Araceli Amada; Reyes-Morales, Hortensia; Pérez-Cuevas, Ricardo; Abrego-Blas, Rebeca; Orrico-Torres, Efrén Samuel

    2002-01-01

    To identify the role of family life strategies on malnutrition in children aged 6-23 months of age. This case-control study was conducted in 1998 in the municipality of Teolocholco, State of Tlaxcala, Mexico, among families with children aged 6-23 months of age. The sample was conformed by 105 cases and 210 controls. Family life strategies were grouped into five types: family composition, means and distribution of family income, family and social networks, and life preservation strategies. Malnutrition was classified according to height for age. Data were analyzed using logistic regression to obtain odds ratios and 95% confidence intervals. Data were collected from 605 families, for a total of 445 controls and 160 cases. The predictive model included mother's schooling, overcrowding, time elapsed between childbirths, per capita monthly income, and time devoted to child-rearing activities. Family life strategies determine children's nutritional status; understanding the influence of the family on the children's health status is necessary to develop effective programs aimed at improving the nutritional status of children.

  7. Family Functioning and Adolescent Psychological Maladjustment: The Mediating Role of Coping Strategies.

    Science.gov (United States)

    Francisco, Rita; Loios, Sara; Pedro, Marta

    2016-10-01

    This study aims to analyze the mediating role of coping strategies in the relationship between family functioning and youth maladjustment. A community sample of 341 adolescents (M = 15.11 years old; SD = 1.71) completed self-report measures about such variables. Results showed that a perception of an inadequate family functioning was associated with the use of maladaptive coping strategies, as well as with youth psychological maladjustment. The results also revealed that rumination and support-seeking mediated the relationship between family functioning and internalizing behavior, and hostile expression of feelings played a mediating role between family functioning and externalizing behavior. No gender differences were found in the relationship between variables. This study emphasizes the importance of coping strategies used by adolescents to understand the relationship between family functioning and youth psychological maladjustment.

  8. Can Family Interventions be a Strategy for Curtailing Delinquency ...

    African Journals Online (AJOL)

    With a view to assess if family interventions could be a medium term target for preventing these adverse child outcomes in Nigeria, this study examined the ... and 204 matched school-going comparison group showed that the adolescents in institutional custody were about 5 times more likely to report parental separation.

  9. Strategies for coping with work-family conflict: the distinctive relationships of gender role ideology.

    Science.gov (United States)

    Somech, Anit; Drach-Zahavy, Anat

    2007-01-01

    Study 1, with 266 employed parents, identified 8 coping strategies: super at home, good enough at home, delegation at home, priorities at home, super at work, good enough at work, delegation at work, and priorities at work. Study 2, with 679 employed parents, demonstrated a moderating effect of sex and gender role ideology in the relationship between coping strategy and work-family conflict. Specifically, the relationships between coping strategies (i.e., good enough at home, good enough at work, and delegation at work) and work interference with family were moderated by sex and gender role ideology. Regarding family interference with work, the relationships between coping strategies (i.e., good enough at home and good enough at work, delegation at home and delegation at work, and priorities at home) and family interference with work were moderated by sex and gender role ideology. (c) 2007 APA, all rights reserved.

  10. Household Formation in Bohemia 1700-1850: Inheritance Practice and Family Strategy

    Czech Academy of Sciences Publication Activity Database

    Velková, Alice

    2011-01-01

    Roč. 109, č. 2 (2011), s. 328-343 ISSN 0862-6111 Institutional research plan: CEZ:AV0Z80150510 Keywords : household formation * inheritance practice * family strategy * Bohemia Subject RIV: AB - History

  11. Autism in Brazil: a systematic review of family challenges and coping strategies

    Directory of Open Access Journals (Sweden)

    Paulyane T.M. Gomes

    2015-04-01

    Full Text Available OBJECTIVE: To describe the challenges faced by families caring for children with autism spectrum disorder (ASD in Brazil and the coping strategies employed. SOURCES: Systematic review of articles published until September of 2013, without language restrictions, using quality appraisal (AMSTAR and CASP/Oxford instruments. SUMMARY OF THE FINDINGS: The literature shows parental emotional overload as one of the main challenges faced by families, especially mothers. The main stressors were diagnostic postponement, difficulty dealing with the diagnosis and associated symptoms, and poor access to health services and social support. The predominant coping strategies found included information exchange between affected families and integrated healthcare network for patient and family support. CONCLUSION: ASD exerts strong influence on family dynamics, resulting in caregiver overload, especially in mothers. The Brazilian Unified Health System needs to provide comprehensive, continuous, and coordinated care to strengthen the patient-family dyad and promote the full development and societal inclusion of children with ASD.

  12. Use of Augmentative and Assistive Communication Strategies by Family Members in the ICU

    Science.gov (United States)

    Broyles, Lauren M.; Tate, Judith A.; Happ, Mary Beth

    2013-01-01

    Background Very little is known about patient-family communication during critical illness and mechanical ventilation in the intensive care unit (ICU), including the use of augmentative and alternative communication (AAC) tools and strategies during patient-family communication. Objectives The study objectives were to identify (1) which AAC tools families use with nonspeaking ICU patients and how they are used, and (2) what families and nurses say about patient-family communication with nonspeaking patients in the ICU. Methods A qualitative secondary analysis was conducted of existing data from a clinical trial testing interventions to improve nurse-patient communication in the ICU. Narrative study data (field notes, intervention logs, nurse interviews) from 127 critically ill adults were reviewed for evidence of family involvement with AAC tools. Qualitative content analysis was applied for thematic description of family and nurse accounts of patient-family communication. Results Family involvement with AAC tools was evident in 44% (n= 41/93) of the patients completing the parent study protocol. Spouses/significant others communicated with patients most often. Writing was the most frequently used tool. Main themes describing patient-family communication included: (1) Families as unprepared and unaware; (2) Family perceptions of communication effectiveness; (3) Nurses deferring to or guiding patient-family communication; (4) Patient communication characteristics; and (5) Family experience and interest with AAC tools. Conclusions Families are typically unprepared for the communication challenges of critical illness, and often “on their own” in confronting them. Assessment by skilled bedside clinicians can reveal patient communication potential and facilitate useful AAC tools and strategies for patients and families. PMID:22381993

  13. Adaptive coping strategies of affected family members of a relative with substance misuse: A qualitative study.

    Science.gov (United States)

    McCann, Terence V; Lubman, Dan I

    2018-01-01

    To explore the coping strategies used by affected family members of a relative with substance misuse. Families play an important role in supporting a relative with substance misuse. However, the experience often has an adverse effect on their general well-being, the extent of which depends largely on their coping strategies. An interpretative phenomenological analysis study. Data were collected between January - December 2015. Semistructured, audio-recorded qualitative interviews were conducted with 31 affected family members. Three main themes and related subthemes were abstracted from the data illustrating how participants coped with their relative's substance misuse: (1) Seeking timely access to evidence-based information; (2) Enhancing personal coping strategies and (3) Accessing informal and formal support. Greater investment is needed in support services for affected family members, particularly in regional and rural areas. A wide range of accessible evidence-based information and informal and formal support, including telephone and online support, is needed to assist them to cope in this crucial support-giving role. Affected family members need to adopt a flexible set of coping strategies while supporting a relative with substance misuse. Family and friends, alcohol and other drug services, mental health nurses and other clinicians have a critical role providing emotional, instrumental and educational support to affected family members to enhance their adaptive coping strategies. © 2017 John Wiley & Sons Ltd.

  14. Evaluation of a Family and Community Engagement Strategy in Three Ontario Communities

    Science.gov (United States)

    Black, Glenda L.; Cantalini-Williams, Maria; Elliott-Johns, Susan E.; Wideman, Ron

    2013-01-01

    The Learning Partnership (TLP) initiated a Family and Community Engagement Strategy (FACES) initiative in three Ontario communities to foster active and responsive relationships among community partners and enhanced family engagement in transitions to school. A case study research design, grounded in participatory action research, was used to…

  15. Adaptive Strategies, Gender Ideology, and Work-Family Balance Among Dutch Dual Earners

    NARCIS (Netherlands)

    Wierda-Boer, H.H.; Gerris, J.R.M.; Vermulst, A.A.

    2008-01-01

    Using questionnaire data on 149 Dutch dual-earner couples with young children participating in the European Famwork study, we examine how adaptive strategies and gender ideology relate to parents' perceived success in balancing work and family. Path analysis indicates that some adaptive strategies

  16. PROMOTING TRADITIONAL FAMILY BY THE CHURCH – RELIGIOUS MARKETING STRATEGIES

    Directory of Open Access Journals (Sweden)

    Ciprian GAVRA

    2016-09-01

    Full Text Available We live in a postmodern period where the old values or imperatives have lost the force as they were replaced by new values. Amidst this chaos, the Church opens its road by promoting values such as family and marriage based upon responsibility, understanding, compromise, etc. If the current trends move towards the personal satisfaction with everything this aspect involves, the Church is trying to preserve the traditionalism, the union between a man and a woman, the marriage. In our work we aim to analyze the methods by which the Orthodox Church promotes the heterosexual marriage.

  17. Interaction Between Strategy and Organizational Performance: The Influence of Family Management

    Directory of Open Access Journals (Sweden)

    Ieda Margarete Oro

    2017-01-01

    Full Text Available This article aims to analyze how occurs the interaction between business strategy and organizational performance in family firms. The research is classified as descriptive, with a qualitative approach, operationalized by the case study procedure. Data were collected through semi-structured interviews, documents and notices. Interviews were conducted with key informants and core family run. Evidence collected in the company searched, show that the business strategy with entrepreneurial attitude is characterized by the differentiation strategy (brand management and product innovation (creation and development of new products driven by family values disseminated within the organization. The results indicate that entrepreneurial orientation and family influence plays an important role for the realization of structural and strategic fit and, in turn, to the achievement of organizational performance.

  18. Continuing education in the family health strategy: rethinking educational groups

    Directory of Open Access Journals (Sweden)

    Cinira Magali Fortuna

    2013-07-01

    Full Text Available OBJECTIVE: to analyze the experience of the family health team in resignifying the way to develop educational groups. METHOD: groups of discussion, with twenty-six biweekly group meetings conducted, with an average of fifteen professionals from the family health team, during the year 2009. The empirical material consisted of the transcription of the groups, on which thematic analysis was performed. RESULTS: two themes were developed and explored from the collective discussions with the team: "The experience and coordination of the groups" and "The work process and educational groups in a service-school". CONCLUSIONS: continuing Education in Health developed with the team, not only permitted learning about the educational groups that comprised the population, but also contributed to the team's analysis of its own relationships and its work process that is traversed by institutions. This study contributed to the advancement of scientific knowledge about the process of continuing health education as well as educational groups with the population. Also noteworthy is the research design used, providing reflexivity and critical analysis on the part of the team about the group process experienced in the meetings, appropriating knowledge in a meaningful and transformative manner.

  19. Continuing education in the family health strategy: rethinking educational groups.

    Science.gov (United States)

    Fortuna, Cinira Magali; Matumoto, Silvia; Pereira, Maria José Bistafa; Camargo-Borges, Celiane; Kawata, Lauren Suemi; Mishima, Silvana Martins

    2013-01-01

    to analyze the experience of the family health team in resignifying the way to develop educational groups. groups of discussion, with twenty-six biweekly group meetings conducted, with an average of fifteen professionals from the family health team, during the year 2009. The empirical material consisted of the transcription of the groups, on which thematic analysis was performed. two themes were developed and explored from the collective discussions with the team: "The experience and coordination of the groups" and "The work process and educational groups in a service-school". continuing Education in Health developed with the team, not only permitted learning about the educational groups that comprised the population, but also contributed to the team's analysis of its own relationships and its work process that is traversed by institutions. This study contributed to the advancement of scientific knowledge about the process of continuing health education as well as educational groups with the population. Also noteworthy is the research design used, providing reflexivity and critical analysis on the part of the team about the group process experienced in the meetings, appropriating knowledge in a meaningful and transformative manner.

  20. Strategies for coping with family members of patients with mental disorders

    Directory of Open Access Journals (Sweden)

    Daniele Alcalá Pompeo

    Full Text Available ABSTRACT Objective: to identify the coping strategies of family members of patients with mental disorders and relate them to family member sociodemographic variables and to the patient's clinical variables. Method: this was a descriptive study conducted at a psychiatric hospital in the interior of the state of São Paulo, with 40 family members of hospitalized patients over the age of 18, and who followed the patient before and during hospitalization. We used tools to characterize the subjects and the Folkman and Lazarus Inventory of Coping Strategies. Results: the coping strategies most often used by family members were social support and problem solving. Mothers and fathers used more functional strategies (self-control p=0.037, positive reappraisal p=0.037, and social support p=0,021. We found no significant differences between the strategies and other variables examined. Conclusion: despite the suffering resulting from the illness of a dear one, family members make more use of functional strategies, allowing them to cope with adversities in a more well-adjusted way.

  1. Family Foundation, Is It An Innovative Strategy? The Case of Cultural Heritage Tourism in Toraja, Indonesia

    Directory of Open Access Journals (Sweden)

    Ilham Junaid

    2017-03-01

    Full Text Available Toraja has been considered as the icon of tourism in South Sulawesi province, Indonesia. As the number of tourist decreases and one tourism attraction belongs to many members of family, there is an expectation from stakeholders that innovative strategies should be implemented to develop tourism. To achieve this goal, yayasan keluarga (family foundation has been established to manage tourism in Toraja. The study reveals that although family foundation has been the option to develop tourism and is an innovative strategy in managing tourism attractions, stakeholders believe that Toraja tourism should be developed together with the existence of the family foundation based on the principle of collaborative work. High demand on the role of the regional government in developing tourism exists although the family foundation is the main organizer of tourism attractions. Similarly, the regional government believes that the family foundation is a choice from the community and thus, it is the role of the family foundation to implement activities for tourism development in Toraja. This paper suggests that cultural heritage tourism in Toraja can be developed if the family foundation implements innovative strategies as well as strengthens relationship (synergy and collaborative work with other stakeholders in Toraja.

  2. Strategies for Developing Family Nursing Communities of Practice Through Social Media.

    Science.gov (United States)

    Isaacson, Kris; Looman, Wendy S

    2017-02-01

    This discussion article presents communities of practice (CoPs) and bridging social capital as conceptual frameworks to demonstrate how social media can be leveraged for family nursing knowledge, scholarship, and practice. CoPs require a shared domain of interest, exchange of resources, and dedication to expanding group knowledge. Used strategically and with a professional presence, mainstream social media channels such as Twitter, Facebook, and YouTube can support the family nurse in developing and contributing to CoPs related to family nursing. This article presents four strategies-curate, connect, collaborate, and contribute-for establishing and growing a social media presence that fits one's professional goals and time availability. Family nurses who leverage social media using these strategies can strengthen existing CoPs and at the same time bridge networks to reach new audiences, such as family advocacy groups, policy makers, educators, practitioners, and a wide array of other extended networks.

  3. Affording Housing at the Expense of Health: Exploring the Housing and Neighborhood Strategies of Poor Families.

    Science.gov (United States)

    Hernández, Diana

    2016-05-01

    Low-income families often simultaneously encounter housing and neighborhood problems pertaining to safety, affordability, and quality issues that necessitate strategies to maximize limited budgets and ensure safety. Such constrained decisions regarding inadequate housing and poor neighborhood conditions, however, may themselves create or exacerbate health risks. Building on the survival strategies literature, this article offers rich and detailed accounts of coping and management strategies on the part of vulnerable families facing housing and neighborhood hardships. The findings are based on in-depth interviews with 72 respondents and ethnographic observations in an urban community. The results illustrate how low-income women avoid neighborhood danger by relegating family life to the home environment, thereby increasing exposure to health risks such as stress, depression, and asthma. The discussion focuses on public health literature linking housing and health and proposes the use of legal strategies and community engagement as resources to complement current approaches to housing and neighborhood problems.

  4. An Innovative Strategy to Improve Family-Infant Bonding.

    Science.gov (United States)

    Hutcheson, Jamie L; Cheeseman, Susan E

    2015-01-01

    To improve family-infant bonding while newborns were separated from their parents, work began to develop a new Childbirth Center policy to guide staff in using Apple's FaceTime application with patients. Multidisciplinary meetings were held to obtain consent for the use of FaceTime and to protect patient information. We acquired two iPads and the support needed for updates. The staff was educated, and implementation began in January, 2014. This program improved bonding as evidenced by feedback received from the parents who utilized it. Several parents commented on how much they preferred seeing images of their babies in motion breathing and crying instead of just still pictures. Physicians also used FaceTime while talking with parents about plans of care. Since our implementation, we have utilized FaceTime with 46 infants to impact bonding in our Special Care nursery. This process enhances the delivery of relationship-based care with our patients.

  5. Training of Professionals from the Family Health Strategy for Psychosocial Care for the Elderly

    Directory of Open Access Journals (Sweden)

    Verônica Lourdes Lima Batista Maia

    2017-01-01

    Full Text Available Background: Mental disorders of the elderly constitute a public health problem due to their high prevalence, shortage of specialized services offered in Brazil, difficulties of access by the population and deficiency in the training of professionals of the Family Health Strategy for the identification, receptiveness and psychosocial assistance to the elderly. Objectives: To analyze the training of professionals of the Family Health Strategy on psychosocial care for the elderly in the context of the Psychosocial Care Network – RAPS (Rede de Atenção Psicossocial, and to discuss how professional training influences the care provided to the elderly. Methodology: Descriptive, qualitative study carried out with 31 professionals, 13 physicians and 18 nurses, who work at the Family Health Strategy of the city of Picos, Piauí, Brazil. The data were collected in January 2016, through a semi-structured interview guide, processed by the IRAMUTEQ software and analyzed by means of the Descending Hierarchical Classification. Results: The results were presented in three segments, namely: 1. The practice of professionals from the Family Health Strategy in psychosocial care in the family context; 2. Training of specialized professionals, in the attention to the elderly, in the Family Health Strategy; 3. The Psychosocial Attention Network in the care of elderly users of alcohol and other drugs; Conclusion: Health professionals have difficulties in dealing with the elderly with mental disorders in basic care. In order to facilitate access to specialized health services and to develop actions for social reintegration, prevention and harm reduction, it is necessary to implement a policy of ongoing training and education for health professionals to improve care for the elderly. Keywords: Aging; Mental Health; Mental disorders; Family Health Strategy.

  6. Women in orthodontics and work-family balance: challenges and strategies.

    Science.gov (United States)

    Davidson, Sarah; Major, Paul W; Flores-Mir, Carlos; Amin, Maryam; Keenan, Louanne

    2012-01-01

    The number of women entering the orthodontic profession over the past few decades has increased dramatically. A review of the literature revealed the lack of research on achieving a work-family balance among female dentists and dental specialists. Work-family balance has been researched more extensively in the field of medicine; however, despite some critical differences, parallels between these 2 professions exist. This study identified issues that Canadian female orthodontists face and strategies they use to achieve a work-family balance. A phenomenological qualitative study was used to analyze the results of semi-structured telephone interviews of a purposive sample of 13 Canadian female orthodontists. The results strongly support the role-conflict theory about the competing pressures of maternal and professional roles. Female orthodontists described their challenges and strategies to minimize role conflict in their attempt to achieve a work-family balance. The women defined balance as having success and satisfaction in both their family life and professional life. They identified specific challenges of achieving a work-family balance that are unique to orthodontic practice and strategies for adapting to their maternal and professional roles. Achieving a work-family balance is of paramount importance to female orthodontists, and the results of this study may be applied to other specialties in dentistry.

  7. Recruitment strategies in a prospective longitudinal family study on parents with obesity and their toddlers

    Directory of Open Access Journals (Sweden)

    Sarah Bergmann

    2017-02-01

    Full Text Available Abstract Background Recruitment of participants with obesity is a real challenge. To reduce time and costs in similar projects, we investigated various recruiting strategies used in a longitudinal family study with respect to their enrolment yield and cost effectiveness. Results may help other research groups to optimize their recruitment strategies. Methods We applied different recruitment strategies to acquire families with children aged 6 to 47 months and at least one parent with obesity (risk group or two parents of normal weight (control group for a longitudinal non-interventional study. Based on four main strategies-via media, kindergartens, health professionals and focusing on the community-we examined 15 different subcategories of strategies. Based on enrolment yield and relative costs (e.g., material expenses, staff time we analyzed the effectiveness of each recruitment strategy. Results Following different recruitment approaches, 685 families contacted us; 26% (n = 178 of these met the inclusion criteria. Of the four main strategies, the community-focused strategy was the most successful one (accounting for 36.5% of the sample followed by contacts with kindergartens (accounting for 28.1% of the sample. Of the subcategories, two strategies were outstanding: Posters (community-focused strategies, and recruitment via kindergartens using phone contacts rather than emailing. Only a small number of participants were recruited via announcements in newspapers (lower cost strategy, advertisements on public transport or face-to-face recruitment at various places (higher cost strategies. Conclusions Results revealed that only a combination of different active and passive methods and approaches led to a sufficient sample size. In this study, recruitment via posters and contacting kindergartens on the phone produced the highest numbers of participants (high enrolment yield at moderate costs.

  8. Work process and management competences of the nurses in the family health strategy

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    Marcilene de Paula

    2013-11-01

    Full Text Available The objective was to identify the dimension of the process of nursing work in a unit of the Family Health Strategy and correlate the necessary competences for the development of managerial activities. It is a descriptive study using the technique of non-participant observation during 160 hours of activities of four nurses from a unit of the Family Health Strategy, from March to May, 2011. The results showed that the care dimension holds 42% of the time spent by nurses in their activities, followed by management (33%, education (20% and political participation (2.5%. In managerial dimension, managerial competences were classified as follows: communication (55%, leadership (33%, permanent education (8% and decision making (4%. These competences are interrelated and developed together with administrative functions: planning, coordination, direction and control. For the development of their attributions in the Family Health Strategies the nurse professionals uses administrative tools demanding constant mobilization of different competences.

  9. Hospitalizations for cardiovascular diseases and the coverage by the family health strategy.

    Science.gov (United States)

    Lentsck, Maicon Henrique; Mathias, Thais Aidar de Freitas

    2015-01-01

    to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011. ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearson's and Spearman's correlation coefficients. there was a strong and negative correlation in the State of Paraná (r=-0.91; p cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.

  10. Strategies for Estonian rural family enterprises. Eesti maapiirkonna pereettevõtete strateegia

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    Maret Kirsipuu

    2013-01-01

    Full Text Available The paper seeks to analyse family businesses in rural areas, family business strategies and re-registration of sole proprietors with the Centre of Registers and Information Systems (hereinafter Commercial Register in 2009, and to provide an overview of entrepreneurship policies targeted at Estonian rural businesses. Layoffs have increased the number of unemployed; some of those who have lost employment opt for social assistance benefits, but some others decide to become entrepreneurs. Many enterprising people in Estonia have set up a family enterprise, mainly in the sphere of services, agriculture and tourism. The Estonian entrepreneurship policy supports enterprising people and approves of entrepreneurship as a promoter of national economic development. One of the most positive qualities of family enterprises is their short decision-making chain, which ensures rapid implementation of the strategy.

  11. Parenting stress, coping strategies and risk assessment in mothers from at-risk families assisted by Child and Family Protection Services

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    Javier Pérez Padilla

    2014-03-01

    Full Text Available In this study parenting stress and coping strategies in a sample of 109 mothers from at-risk families were analyzed. Results obtained show over half of these women experienced clinical levels of parenting stress, and problem focused coping strategies were the most commonly used. Moreover, the main characteristics of these families and their trajectories in Child and Family Protection Services were correlated with parenting stress and coping strategies. The global valuation of family risk informed by professionals was significantly related to parenting stress.

  12. Strategies for Enhancing Family Participation in Research in the ICU: Findings From a Qualitative Study.

    Science.gov (United States)

    Dotolo, Danae; Nielsen, Elizabeth L; Curtis, J Randall; Engelberg, Ruth A

    2017-08-01

    Family members of critically ill patients who participate in research focused on palliative care issues have been found to be systematically different from those who do not. These differences threaten the validity of research and raise ethical questions about worsening disparities in care by failing to represent diverse perspectives. This study's aims were to explore: 1) barriers and facilitators influencing family members' decisions to participate in palliative care research; and 2) potential methods to enhance research participation. Family members who were asked to participate in a randomized trial testing the efficacy of a facilitator to improve clinician-family communication in the intensive care unit (ICU). Family members who participated (n = 17) and those who declined participation (n = 7) in Family Communication Study were interviewed about their recruitment experiences. We also included family members of currently critically ill patients to assess current experiences (n = 4). Interviews were audio-recorded and transcribed. Investigators used thematic analysis to identify factors influencing family members' decisions. Transcripts were co-reviewed to synthesize codes and themes. Three factors influencing participants' decisions were identified: Altruism, Research Experience, and Enhanced Resources. Altruism and Research Experience described intrinsic characteristics that are less amenable to strategies for improving participation rates. Enhanced Resources reflects families' desires for increased access to information and logistical and emotional support. Family members found their recruitment experiences to be positive when staff were knowledgeable about the ICU, sensitive to the stressful circumstances, and conveyed a caring attitude. By training research staff to be supportive of families' emotional needs and need for logistical knowledge about the ICU, recruitment of a potentially more diverse sample of families may be enhanced. Copyright © 2017

  13. Coping Strategies and Posttraumatic Stress Symptoms in Post-ICU Family Decision Makers.

    Science.gov (United States)

    Petrinec, Amy B; Mazanec, Polly M; Burant, Christopher J; Hoffer, Alan; Daly, Barbara J

    2015-06-01

    To assess the coping strategies used by family decision makers of adult critical care patients during and after the critical care experience and the relationship of coping strategies to posttraumatic stress symptoms experienced 60 days after hospitalization. A single-group descriptive longitudinal correlational study. Medical, surgical, and neurological ICUs in a large tertiary care university hospital. Consecutive family decision makers of adult critical care patients from August 2012 to November 2013. Study inclusion occurred after the patient's fifth day in the ICU. None. Family decision makers of incapacitated adult ICU patients completed the Brief COPE instrument assessing coping strategy use 5 days after ICU admission and 30 days after hospital discharge or death of the patient and completed the Impact of Event Scale-Revised assessing posttraumatic stress symptoms 60 days after hospital discharge. Seventy-seven family decision makers of the eligible 176 completed all data collection time points of this study. The use of problem-focused (p=0.01) and emotion-focused (pcoping decreased over time while avoidant coping (p=0.20) use remained stable. Coping strategies 30 days after hospitalization (R2=0.50, pcoping strategies 5 days after ICU admission (R2=0.30, p=0.001) controlling for patient and decision-maker characteristics. The role of decision maker for a parent and patient death were the only noncoping predictors of posttraumatic stress symptoms. Avoidant coping use 30 days after hospitalization mediated the relationship between patient death and later posttraumatic stress symptom severity. Coping strategy use is a significant predictor of posttraumatic stress symptom severity 60 days after hospitalization in family decision makers of ICU patients.

  14. Family milk farmers´technological strategies in periurbana reas of Buenos Aires city (2010-2013

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    Gabriela Giordano

    2015-08-01

    Full Text Available In recent decades innovations have promoted large-scale productions not adapted to households’ socio-productive situations. Numerous family farms disappeared and others have had to develop specific strategies in order to overcome such situation. This work aims tho explain and understand these technological strategies developed by dairy farming families. For doing so, capitals and family trajectories were analysed based on 7 family farming. It was found that the relationship between capitals and trajectory explains the strategies of the family units. We conclude that this relationship is not linear but offers elements to propose technical recommendations.

  15. Transnational business and family strategies among Chinese/Nigerian couples in Guangzhou and Lagos

    NARCIS (Netherlands)

    Lan, S.

    2015-01-01

    Based on ethnographic fieldwork in Guangzhou and Lagos, this paper explores transnational trade activities and family strategies among Chinese/Nigerian interracial couples in the context of growing China/Africa trade relations and the recent tightening of China's immigration control. It examines how

  16. The link between family orientation, strategy, and innovation in Dutch SMEs : A longitudinal study

    NARCIS (Netherlands)

    Uhlaner, L.M.; Kemp, R.; Tan, S.

    2006-01-01

    This study aimed at identifying some of the factors determining innovation performance in the SME. Based on a sample of 388 Dutch SME's, hypotheses were tested in particular regarding the main effects of strategy, and the direct and indirect efects of family orientation on firm performance. The

  17. Emotion Regulation Strategies in Preschoolers with Autism: Associations with Parent Quality of Life and Family Functioning

    Science.gov (United States)

    Nuske, Heather Joy; Hedley, Darren; Tseng, Chen Hsiang; Begeer, Sander; Dissanayake, Cheryl

    2018-01-01

    Children with autism experience challenges with emotion regulation. It is unclear how children's management of their emotions is associated with their family's quality of life. Forty-three preschoolers with autism and 28 typically developing preschoolers were coded on emotion regulation strategies used during low-level stress tasks. Parents…

  18. Family-School Strategies for Responding to the Needs of Children Experiencing Chronic Stress

    Science.gov (United States)

    Swick, Kevin J.; Knopf, Herman; Williams, Reginald; Fields, M. Evelyn

    2013-01-01

    Children experience chronic stress in ways that can impair their brain functioning and overall development. This article articulates the unique needs of children experiencing chronic stress and discusses strategies that families and schools can use to support and strengthen children's development across the social, emotional, and cognitive domains.

  19. Parental Stress, Coping Strategies and Social Support in Families of Children with a Disability

    Science.gov (United States)

    Cuzzocrea, Francesca; Murdaca, Anna Maria; Costa, Sebastiano; Filippello, Pina; Larcan, Rosalba

    2016-01-01

    The aim of this research was to compare parental stress, coping strategies and social support perceived in families of children with low functioning autism (n = 8), high functioning autism (n = 10), Down syndrome (n = 12) and parents of typically developing children (n = 20). Specifically, the objective was to investigate which variables (coping…

  20. [Coping strategies used by the family of a patient with acute fulminant hepatitis].

    Science.gov (United States)

    Iriarte Cerdán, Laura; Ruiz de Galarreta, Leire Martínez; Olano Lizarraga, Maddi; García Vivar, Cristina

    2012-04-01

    In the holistic care to the patient, the family should be an important part because its members are also affected by the situation. Therefore, nursing work should be directed to both the individual and his environment, being of great help to identify family's needs in order to meet their specific needs accurately. Also in the process of recovery the family goes through several stages of coping, each of them have its own characteristics and nurses' interventions should be adapted to them. The aim of this paper is to evidence the importance of caring for the family, identifying the stages of coping, recognizing their needs and identifying relevant care. For this, a clinical case of a family with a relative hospitalised in an intensive care unit because of an acute fulminant hepatitis was developed. The instruments used to carry out the analysis of the case are: family's needs described by Leske et al., coping stages identified by Kubler-Ross, and ways of coping scale developed by Lazarus and Folkman. Nurses have a relevant role due to their close contact with people, this helps to become a factor which facilitates the interaction of patient and family within the hospital environment. A holistic approach of nursing care involves assessing the needs of families to develop strategies for effective interventions.

  1. [Aging, facing strategies of the aged and the consequences for family].

    Science.gov (United States)

    Horta, Ana Lúcia de Moraes; Ferreira, Denise Cristina de Oliveira; Zhao, Li Men

    2010-01-01

    This qualitative study seeks the understanding of the perception of the elderly, users of Basic Health Unit of São Paulo, on aging, coping strategies and impact on family. Interviews with three elderly people, from 71 to 90 years-old, were held from September 2007 to July'2008. Participants responded to questions under the Geriatric Depression Scale, Ecomapa, Genogram and Calgary model. From the Bardin analysis, we could determine three categories - the moment of realizing the life cycle; suffering the consequences of this time; facing the aging and old age. We believe in the continuity of studies that search for strategies with older people and their families in an attempt to improve life quality and family dynamics by the inclusion of entertainment, according to the possibilities offered to their communities.

  2. Immigrants, family strategies and long-term settlement: the lessons of the crisis in rural areas

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    Rosario Sampedro Gallego

    2017-01-01

    Full Text Available The settlement of foreign born immigrants in Spanish rural areas in the last decades has been considered like an opportunity to stop depopulation and improve social and economic life in rural towns and villages. After the burst out of economic crisis in 2008 a lot of questions arise about factors that enhance or hinder the permanence of these newcomers in rural areas. In this paper we analyze the evolution of foreign born population in Castilla y Leon from 2007 to 2014, using data from Spanish Register of Inhabitants and from the Spanish Population Census of 2011. We relate the observed evolution of five national groups of immigrants with their family migration strategies and labour patterns. Data suggest that certain family migration strategies —those linked to transnational families and to marriage with Spaniards— and certain labour patterns —with a clear gendered pattern of employment— are connected with the permanence of immigrants in rural areas.

  3. Autism in Brazil: a systematic review of family challenges and coping strategies.

    Science.gov (United States)

    Gomes, Paulyane T M; Lima, Leonardo H L; Bueno, Mayza K G; Araújo, Liubiana A; Souza, Nathan M

    2015-01-01

    To describe the challenges faced by families caring for children with autism spectrum disorder (ASD) in Brazil and the coping strategies employed. Systematic review of articles published until September of 2013, without language restrictions, using quality appraisal (AMSTAR and CASP/Oxford instruments). The literature shows parental emotional overload as one of the main challenges faced by families, especially mothers. The main stressors were diagnostic postponement, difficulty dealing with the diagnosis and associated symptoms, and poor access to health services and social support. The predominant coping strategies found included information exchange between affected families and integrated healthcare network for patient and family support. ASD exerts strong influence on family dynamics, resulting in caregiver overload, especially in mothers. The Brazilian Unified Health System needs to provide comprehensive, continuous, and coordinated care to strengthen the patient-family dyad and promote the full development and societal inclusion of children with ASD. Copyright © 2014 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  4. Rural Women Family Physicians: Strategies for Successful Work-Life Balance.

    Science.gov (United States)

    Phillips, Julie; Hustedde, Carol; Bjorkman, Sarah; Prasad, Rupa; Sola, Orlando; Wendling, Andrea; Bjorkman, Kurt; Paladine, Heather

    2016-05-01

    Women family physicians experience challenges in maintaining work-life balance while practicing in rural communities. We sought to better understand the personal and professional strategies that enable women in rural family medicine to balance work and personal demands and achieve long-term career satisfaction. Women family physicians practicing in rural communities in the United States were interviewed using a semistructured format. Interviews were recorded, professionally transcribed, and analyzed using an immersion and crystallization approach, followed by detailed coding of emergent themes. The 25 participants described a set of strategies that facilitated successful work-life balance. First, they used reduced or flexible work hours to help achieve balance with personal roles. Second, many had supportive relationships with spouses and partners, parents, or other members of the community, which facilitated their ability to be readily available to their patients. Third, participants maintained clear boundaries around their work lives, which helped them to have adequate time for parenting, recreation, and rest. Women family physicians can build successful careers in rural communities, but supportive employers, relationships, and patient approaches provide a foundation for this success. Educators, employers, communities, and policymakers can adapt their practices to help women family physicians thrive in rural communities. © 2016 Annals of Family Medicine, Inc.

  5. Strategies to support engagement and continuity of activity during mealtimes for families living with dementia; a qualitative study.

    Science.gov (United States)

    Keller, Heather H; Martin, Lori Schindel; Dupuis, Sherry; Reimer, Holly; Genoe, Rebecca

    2015-10-09

    Mealtimes are an essential part of living and quality of life for everyone, including persons living with dementia. A longitudinal qualitative study provided understanding of the meaning of mealtimes for persons with dementia and their family care partners. Strategies were specifically described by families to support meaningful mealtimes. The purpose of this manuscript is to describe the strategies devised and used by these families living with dementia. A longitudinal qualitative study was undertaken to explore the meaning and experience of mealtimes for families living with dementia over a three-year period. 27 families [older person with dementia and at least one family care partner] were originally recruited from the community of South-Western Ontario. Individual and dyad interviews were conducted each year. Digitally recorded transcripts were analyzed using grounded theory methodology. Strategies were identified and categorized. Strategies to support quality mealtimes were devised by families as they adapted to their evolving lives. General strategies such as living in the moment, as well as strategies specific to maintaining social engagement and continuity of mealtime activities were reported. In addition to nutritional benefit, family mealtimes provide important opportunities for persons with dementia and their family care partners to socially engage and continue meaningful roles. Strategies identified by participants provide a basis for further education and support to families living with dementia.

  6. Oral health in the family health strategy: a change of practices or semantics diversionism.

    Science.gov (United States)

    Nascimento, Antonio Carlos; Moysés, Simone Tetu; Bisinelli, Julio Cesar; Moysés, Samuel Jorge

    2009-06-01

    To evaluate public health dentistry practices of two different family health models. Qualitative study conducted with data obtained from focus groups consisting of 58 dentists working in the Family Health Strategy for at least three years between August-October, 2006. The Paideia Family Health Approach was used in the city of Campinas and the Oral Health Initiative as part of the Family Health Strategy was implemented in the city of Curitiba, Southeastern and Southern Brazil, respectively. Data was analyzed using the hermeneutic-dialectic method. Analysis indicators were employed to indicate backwardness, stagnation or progress in oral health practices effective from the implementation of the strategies referred. The indicators used were: work process; interdisciplinary approach; territorialization; capacity building of human resources; health promotion practices; and responsiveness to users' demands. There was progress in user access to services, humanization of health care, patient welcoming and patient-provider relationship. The results related to health promotion practices, territorialization, interdisciplinary approach and resource capacity building indicated a need for technical and operational enhancements in both cities. Both models have brought about important advances in terms of increased access to services and humanization of health care. Universal access to oral health at all levels of complexity was not achieved in both cities studied. Local health managers and oral health program coordinators must bring more weight to bear in the arena that defines public policy priorities.

  7. Movement as Spatial Practices and Economic Strategies in Cheese Production at Family Farms in Bohinj

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    Jaka Repič

    2014-07-01

    Full Text Available The article explores dairy and cheese production at family farms in Bohinj, their economical and organisational strategies (variations between family and cooperative organisation of farming and the connection of cheese production with different modes of spatial movement. In the past decade, several family farms have started producing cheese and milk products, which is an economic activity closely linked to traditional forms of cooperatives, and pasture rights of agricultural societies. These farms have revitalised traditional forms of cheese production and established new economic strategies, especially through the plurality of their activities – work outside of the farm, tourism, marketing of their products, etc. The article first presents a development of cheese production in Bohinj, changes in family and cooperative farming and explores movement and the meshwork of paths, tracks, roads and places that are fundamental to cheese economy. Further, the article connects different movements, e.g. daily pastures close to the villages, transhumance in mountain pasturelands, selling products in markets, etc. Modes of movement (walk, cattle herding, driving to markets are basic practices behind economic strategies of dairy and cheese farms, as well as organisations and use of space, in particular mountain paths and pasturelands.

  8. Family Health Strategy: assessment and reasons for searching of health service by users

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    Loeste de Arruda-Barbosa

    2011-12-01

    Full Text Available Objective: To assess the evaluation of the users regarding the family health services and identify the main reasons that led them to seek such services. Methods: A descriptive study with qualitative approach, carried out in 5 Family Health Units with 25 users of theFamily Health Strategy (FHS of the city of Crato-CE, Brazil. The study took place from March to April 2009. Semi-structured interview was applied and recorded. We used thetechnique of thematic content analysis. Results: We found that the users of the FHS have great dissatisfaction, especially on the organization and access to health services, evaluating the family health as inefficient, although bringing care closer to the population, primarily through home visits. It was clear also that there is a search to the service mainly supported by curative vision and the acquisition of medicines. Conclusions: The subjects evaluate the organization and access to healthcare services as unsatisfactory, but value the actions, when there is a bond with the health team. However, there is still demand for health services, based on the search for medicines and medical consultation. Thus, it is necessary to improve services of the Family Health Strategy in Crato, with a view to ensure quality, accessibilityand greater resolution of health services.

  9. Sustainability Strategy and Management Control Systems in Family Firms. Evidence from a Case Study

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    Fabio Caputo

    2017-06-01

    Full Text Available The aim of this paper is to investigate how the integration of new forms of sustainable control systems (SCSs and traditional management control systems (MCSs, and the use of these control systems affect the integration of sustainability within organizational strategy. A qualitative case study based on a longitudinal investigation of an Italian family firm operating in an environment-sensitive context, the intermodal transport industry, has been used to trace the company’s pathway to sustainability integration based on the Gond et al. framework. The paper enriches the Gond et al. conceptualization providing evidence of the external and internal factors relevant in affecting the organization’s pathway towards sustainability integration. To the best of the authors’ knowledge, the present study is the first analysis that investigates the integration of sustainability into organizational strategy in the context of family firms, from the point of view of performance management systems (PMSs.

  10. Experiences in the Family Health Strategy: demands and vulnerabilities in the territory

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    Antonio Germane Alves Pinto

    Full Text Available ABSTRACT Objective: To understand the daily demands of Family Health Strategy in clinical practice of the team and social vulnerabilities of community territory. Method: Research with qualitative approach, in a critical-reflexive perspective, held with two teams of the Family Health Strategy, in the city of Fortaleza, State of Ceará, Brazil. The participants were 22 users and 19 health professionals from the basic health network. Data from the interviews and observation were analyzed under the assumptions of critical hermeneutics. Results: We highlight the unveiling of sufferings and daily clashes, the influence of social determinants on health and psychosocial demands, limits and possibilities of everyday clinical practice. Conclusion: The clinic attention must recognize the perceptions and living conditions by listening and promoting health in the community.

  11. Importance of physical therapy in the family health strategy: integrative review

    OpenAIRE

    Duarte, Karen Moura; Duarte, Vanessa da Silva; Valenti, Vitor Engrácia [UNESP; Sousa, Milena Nunes Alves de; Feitosa, Ankilma do Nascimento Andrade; Assis, Elisangela Vilar de

    2013-01-01

    Objective: to analyze the importance of physical therapy in the Family Health Strategy (FHS). Methodology: integrative literature review, guided by the research question >. The survey was conducted in the Virtual Health Library and in the website Google Scholar in November and December 2012. The inclusion criteria were: fully available scientific study, published between 2007 and 2012, with free access, and having at least one of the DeCS selected in the title. Results: we found out that the ...

  12. Nutritional strategies of Latino farmworker families with preschool children: identifying leverage points for obesity prevention.

    Science.gov (United States)

    Quandt, Sara A; Grzywacz, Joseph G; Trejo, Grisel; Arcury, Thomas A

    2014-12-01

    Obesity and overweight are significant problems for children in the US, particularly for Hispanic children. This paper focuses on the children in families of immigrant Hispanic farmworkers, as farm work is the portal though which many immigrants come to the US. This paper (1) describes a model of the nutritional strategies of child feeding in farmworker families; and (2) uses this model to identify leverage points for efforts to improve the nutritional status of these children. In-depth interviews were conducted in Spanish with 33 mothers of 2-5 year old children in farmworker families recruited in North Carolina in 2010-2011. The purposive sample was balanced by farmworker status (migrant or seasonal), child age, and child gender. Interviews were transcribed and translated. Multiple coders and a team approach to analysis were used. Nutritional strategies centered on domains of procuring food, using food, and maintaining food security. The content of these domains reflected environmental factors (e.g., rural isolation, shared housing), contextual factors (e.g., beliefs about appropriate food, parenting style), and available resources (e.g., income, government programs). Environmental isolation and limited access to resources decrease the amount and diversity of household food supplies. Parental actions (parental sacrifices, reduced dietary variety) attempt to buffer children. Use of government food sources is valuable for eligible families. Leverage points are suggested that would change nutritional strategy components and lower the risk of overweight and obesity. Further prospective research is needed to verify the nutritional strategy identified and to test the ability of leverage points to prevent childhood obesity in this vulnerable population. Copyright © 2014 Elsevier Ltd. All rights reserved.

  13. [Solvability of mental health care in the Family Health Strategy: social representation of professionals and users].

    Science.gov (United States)

    Jorge, Maria Salete Bessa; Vasconcelos, Mardênia Gomes Ferreira; Junior, Euton Freitas de Castro; Barreto, Levi Alves; Rosa, Lianna Ramalho de Sena; de Lima, Leilson Lira

    2014-12-01

    To aprehend the social representations about the solvability in mental health care with users of the Family Health Strategy and professionals of family health teams and of the Center for Psychosocial Care. A qualitative study using semi-structured interviews for data collection, and the Alceste software for analysis. This software uses the Hierarchical Descending Classification based on the examination of lexical roots, considering the words as units and providing context in the corpus. The representations emerge in two opposing poles: the users require satisfaction with care and the professionals realize the need for improvement of health actions. Although the matricial support in mental health and the home visits are developed, the barriers related to investment in health, continuing education and organization of care persist. The different representations enable improvements in customer service, solvability of care and aggregate knowledge and practices in the expanded perspective of health needs in the family, social and therapeutic context.


  14. Strategies for Increasing the Role of Family Medicine in Mexican Health Care Reform.

    Science.gov (United States)

    Ramírez Aranda, José Manuel; van Weel, Chris; Goodyear-Smith, Felicity

    2017-01-01

    There is little or no role for primary care and family medicine in current health reforms in Mexico. However, robust evidence shows that primary care helps prevent morbidity and mortality and increases health equity. Mexico has participated in several international meetings sponsored by the World Organization of National Colleges, Academies and Academic Associations and the North American Primary Care Research Group that are aimed at increased understanding of national health systems and the need to strengthen primary care for improved health outcomes. From 1 of these meetings the Cancún Manifesto emerged, with a strategic plan to increase the stature and impact of the Mexican College of Family Physicians (COLMEXAC) in strengthening primary care in Mexico. We aim to describe this strategic plan and discuss its early implementation, and for this account to serve as a possible formula for other countries. The 5 specific strategies discussed are 1) the need for consensus on the leading role of the Mexican family physician in the national health system; 2) health ecology research; 3) to improve the perception of patients about the benefits of primary care and family medicine; 4) to organize meetings of health providers, users, and other stakeholders; and 5) to promote the professionalization of COLMEXAC as a legal entity. © Copyright 2017 by the American Board of Family Medicine.

  15. The work of nurses in the Family Health Strategy - aspects of promoting health practice

    Directory of Open Access Journals (Sweden)

    Ana Lúcia Abrahão

    2013-09-01

    Full Text Available The study was focused on the identification of strategies of care focused on health promotion, used in the work of nurses in family health. It is a descriptive study in a qualitative approach performed in the health units in the city of Iguaba Grande, RJ, Brazil. As a result two categories emerged. The first one, ‘Tension in the area of the caregiver’ found that the work of professionals is guided in a permanent tension between the practice focused on the use of instruments from the biomedical model and actions to create a dialogical care. ‘Production of unique areas’ demonstrated that nurses value the unique needs of the health users. It is concluded that strategies of health promotion from the investigative experience incorporate elements of production of unique areas under tensions from the clinical model of attention, leading to a creative investment and creator of strategies in this setting of primary care.

  16. Watch out for the blue circle: a breakthrough in family planning promotional strategy.

    Science.gov (United States)

    Sumarsono

    1989-07-01

    Realizing the potential of commercial marketing in changing the attitude and behavior of the target audience in the early years of the 4th 5-year development plan, the National Family Planning Program tried to develop new ventures in communicating the concept of the small family norm to the people. The condom was chosen as the 1st product to be sold through the social marketing project because male awareness about family planning was still low. Based on audience research, the pricing, packaging, and branding of the product was developed. The most accepted brand name was Dua Lima because it has a neutral meaning, is easily remembered, and can be described in sign language. The last reason is very important because most consumers have difficulty communicating about condoms in the sales outlet. Social marketing has proved effective because of strong public relations activities and the involvement of formal and informal leaders. This experiment has convinced family planning management that social marketing is workable for promoting the small family norm. In 1987, under the new program of self-sufficiency in family planning, the private sector is invited to participate by providing family planning services for target audiences, using the principles of self-sufficiency and self-support. There are 2 principal activities; 1) the IEC campaign, and 2) product (contraceptive) selling. IEC activities include a media campaign public relations work. Product selling is done through commercial channels such as pharmaceutical firms, drug stores, private doctors, and midwives. It was decided that the campaign would be aided by a name and logo. The blue circle was chosen because it is unique, communicative, and simple. The social marketing of contraceptives in Indonesia can be considered a breakthrough in communication strategy for a national development program.

  17. EDUCATION PRACTICE IN HEALTH IN THE FAMILY HEALTH STRATEGY IN THE PERCEPTION OF NURSES

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    Álissan Karine Lima Martins

    2016-06-01

    Full Text Available This study aims to analyze the perceptions of nurses on health education in the Family Health Strategy. Descriptive and exploratory research with qualitative approach, developed with eight nurses from basic health units in the city of Cajazeiras, Paraíba, Brazil. Data collection occurred through interview guided by semistructured script. Content analysis was the method used for processing then lines of discussion with the pertinent literature. The ethical aspects were respected for research with human beings, with submission and approval of the project by the Ethics Committee of the University Hospital Research Alcides Carneiro, favorable opinion No. 159,730. The conception of health education by nurses backs to a look with an emphasis on health promotion and disease prevention, in conjunction with the principles of the Family Health Strategy. For this, partnerships are triggered as the Center for Support to Family Health and educational institutions for the development of collective activities, directed mainly to groups for which they are already following actions in the ESF (hypertension, diabetes, pregnant women. Thus, it realized the need for leave by the actions of the professional health team, providing solutions to the demands of each group as well as the scope of completeness.

  18. Satisfaction of users of the Family Health Strategy in a capital city of Northeast Brazil

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    Luana Kelle Batista Moura

    2017-03-01

    Full Text Available Objective: To analyze the satisfaction of users of the Family Health Strategy in relation to the Reliability and Safety aspects. Method: This is a quantitative research carried out with 353 participants enrolled in an Integrated Health Center of the eastern region of a capital in the Northeast Brazil, through the SERVQUAL instrument. The data collection took place from January to May 2015, the research was approved by the Ethics and Research Committee of the UNINOVAFAPI University Center. Results: The results indicated that in the Reliability dimension, participants agreed that the healthcare professionals record the attendance, perform on the promised date and have an interest in solving the problems. In the Security dimension, the majority of the participants were indifferent as to the behavior of the professionals generating confidence. They demonstrated security in requesting the services because they were politely attended by the professionals. Moreover, in the two dimensions analyzed, it was noticed that there is a tendency to increase satisfaction as the participants' income decreases with significant statistical relations, with satisfaction on Reliability and Security inversely proportional to income. Conclusion: It is considered that users of the Family Health Strategy have demonstrated satisfaction with the services received, however, there is a need for more studies with different methodological approaches to better elucidate the intersubjective issues that shape the process of interaction between users, healthcare professionals and services. Keywords: Family health; patient satisfaction; security.

  19. Can family risk-factors moderate the link between psychopathy and life-history strategy?

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    Međedović Janko

    2016-01-01

    Full Text Available Life History Theory is an explanatory evolutionary framework which explains differences in fitness-relevant outcomes using the characteristics of the environment and individual organisms. Basically, individuals can be positioned somewhere on the r/K continuum of the Life History Strategy (LHS: a K or slow strategy represents later maturity and reproduction, a smaller number of offspring with higher investment in them, while the r (or fast strategy follows the opposite pattern. Previous research offered evidence that psychopathy can represent a trait associated with fast LHS. In the present research we examined the relations between the family risk-factors, a four-factor model of psychopathy and the LHS in a sample of male convicts (N=181. The results have shown that a manipulative and deceitful interpersonal style is associated with slow LHS while shallow affect and antisocial tendencies are related to fast LHS. The interactions between psychopathy and family risk-factors revealed that parental criminal behaviour enhances the relation between fast LHS and psychopathic traits, including the manipulative interpersonal style. The findings are in accordance with the Life History Theory and provide a deeper understanding of the preservation of psychopathy in contemporary populations.

  20. Implementation of physiotherapeutic shares in the prevention of diabetes complications in a Family Health Strategy

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    Ana Paula Coelho Figueira Freire

    Full Text Available Introduction In the Family Health Strategy (FHS, the treatment of Diabetes Mellitus (DM includes education and lifestyle change strategies. Physiotherapists have a key role in this health setting. Objectives To implement actions of evaluation and guidelines for patients with type 2 DM who attend a Family Health Strategy (FHS, regarding diabetic foot and the practice of regular physical exercise in the control and prevention of the complications of Diabetes Mellitus. Methods 17 individuals from an FHS were evaluated, with the following procedures: clinical and anthropometric parameters, inspection, a questionnaire on diabetic neuropathy, tests of vibratory and tactile sensitivity, muscle function, range of motion, functional analysis, questions about exercise practice and guidance regarding controlling blood glucose and foot care. Results Deformities, dry skin, calluses, dehydration, ulceration, cracking and brittle nails were found. Peripheral neuropathy was not observed; tactile sensitivity was altered in the heel region and the vibratory sense was absent in 5% of individuals. A decrease in functionality of ankle movements was verified. Of the participants, 76% were sedentary, 24% knew about the benefits of practicing regular exercise, 25% had undergone a medical evaluation prior to performing physical exercise and, of these, 25% were supervised by a qualified professional. Discussion The implementation of physiotherapy actions in diabetics from an FHS was important for highlighting the presence of risk factors for diabetic complications. Conclusions Individuals attending the FHS need more information and programs for the prevention of diabetic complications.

  1. [Education in health: perspectives of the Family Health Strategy team under Paulo Freire's view].

    Science.gov (United States)

    Fernandes, Maria Clara Porto; Backes, Vânia Marli Schubert

    2010-01-01

    Qualitative study whose research subjects were the members of a Health Family Strategy. and has as purpose to know their perspectives about health education and presents them through the dialogical conception of Paulo Freire. In the circles of culture, four themes emerged: family health team, health education, health education practice in team work and how to improve the stock of existing health education, were encode, decode and critically unveiled its concepts, challenges, opportunities and expectations of their educational practices. The field research was the development of a Primary Care Unit of Health of Cachoeira do Campo, Minas Gerais. The results showed that health education is recognized by the subjects as a liability, but its practice is facing cultural barriers, and receives little emphasis in the daily work.

  2. Chinese traders in Serbia: Gender opportunities, translocal family strategies, and transnational mobility

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    Maja Korać-Sanderson

    2013-12-01

    In this paper I focus on Chinese trading migration to Serbia. I argue that in choosing destinations for their businesses Chinese traders increasingly opt for underdeveloped regions and transition societies not because they provide good business opportunities measured by economic indicators alone. Rather, these destinations are chosen because they provide better opportunities for an entrepreneurial life embedded in self-reliance and self-management. Some of these opportunities, as my discussion will demonstrate, are importantly gendered, opening up new gender space for young families and for women in particular. My discussion will further point out that because business opportunities in Serbia do not necessarily imply desirable living conditions, Chinese traders diversify their family strategies, which are translocally and transnationally negotiated. In doing so, I argue, they become protagonists, actively involved in establishing their livelihoods and flexible ways of incorporation.

  3. Examination of the Relationship Between Hopelessness Levels and Coping Strategies Among the Family Caregivers of Patients With Cancer.

    Science.gov (United States)

    Tokem, Yasemin; Ozcelik, Hanife; Cicik, Atiye

    2015-01-01

    Family caregivers who provide care for cancer patients may have to cope with a variety of physical, social, and economic problems during the caregiving process. A sense of hopelessness seems to lead to increasingly negative evaluations of new situations and less effective coping strategies. The objective of the study was to examine the relationship between hopelessness and the coping strategies of the family caregivers of oncology patients. This cross-sectional, descriptive correlational design study was carried out in the adult oncology unit and outpatient radiation oncology units of a university hospital in Turkey. The research sample was composed of 110 family caregivers. A sociodemographic data form, the Coping Stress Strategies Scale, and the Beck Hopelessness Scale were used in face-to-face interviews. Significant correlations were found between hopelessness and coping strategies. There was a positive correlation between hopelessness and the helpless approaches, which constitute a part of the emotion-focused coping strategies (r = 0.254, P coping strategies (optimistic approach and seeking social support) (r = -0.484, P family caregivers are raised, they may adopt a more optimistic approach, and seek more social support, and display more effective coping strategies. This study could be used to help develop nursing interventions and efficient coping strategies. It suggests how oncology nurses may support family caregivers to increase their level of hope.

  4. Characterizing Intervention Strategies Used in Community-Based Mental Health Care for Infants and Their Families.

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    Rodríguez, Gabriela M; Garcia, Dainelys; Blizzard, Angela; Barroso, Nicole E; Bagner, Daniel M

    2018-02-21

    Mental health interventions for infants typically target high-risk groups and can prevent long-term negative outcomes. Despite federal initiatives promoting early intervention, minimal research has examined usual care services for infants, which is important to improve routine care. The current study characterized usual care practices in infant mental health through the adaptation and administration of a provider survey. Providers (n = 126) reported using a wide range of intervention strategies and few intervention programs with varied evidence. Findings can inform future research to identify quality improvement targets of usual mental health care for high-risk infants and their families.

  5. Between the processes of strengthening and weakening of the Family Health Strategy

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    Regina Stella Spagnuolo

    2013-06-01

    Full Text Available This was a qualitative study with the purpose of designing a meta-model for the work process of the Family Health Strategy (FHS team. It was based on the experience of six sample groups, composed of their members (physicians, professional nurses, dentists, dental assistants, licensed technical nurses and community health agents in a city in São Paulo state, Brazil, totaling 54 subjects. Six theoretical models emerged from non-directive interviews. These were analyzed according to Grounded Theory and submitted to the meta-synthesis strategy, which produced the meta-model "between the processes of strengthening and weakening of the FHS model: professional-team-community reciprocity as an intervening component". When analyzed in light of the Theory of Complexity (TC, it showed to be a work with a vertical and authoritarian tendency, which is largely hegemonic in the tradition of public health care policies.

  6. The mediating role of coping strategy in the association between family functioning and nonsuicidal self-injury among Taiwanese adolescents.

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    Ren, Yaxuan; Lin, Min-Pei; Liu, Yin-Han; Zhang, Xu; Wu, Jo Yung-Wei; Hu, Wei-Hsuan; Xu, Sian; You, Jianing

    2018-01-22

    Nock's (2009) integrated theoretical model suggests that both intrapersonal and interpersonal factors contribute to the development of nonsuicidal self-injury (NSSI). Based on this model, the present study examined the roles of family functioning and coping strategy in predicting NSSI, as well as the mediating effect of coping strategy in the relationship between family functioning and NSSI. Gender differences on the associations of these variables were also examined. A sample of 1,989 secondary school students (52.0% females) in Taiwan was assessed by self-report measures of perceived family functioning, coping strategy, and NSSI. Results showed that both family functioning and avoidance/emotion-focused coping strategy predicted NSSI. Additionally, the association between family functioning and NSSI was mediated by avoidance/emotion-focused coping strategy. Gender differences were not found on the associations among these study variables. These data provided evidences that the Nock's (2009) integrated theoretical model may help to explain how coping strategy mediates the effect of family functioning on NSSI. The implications of the findings for future research and intervention were discussed. © 2018 Wiley Periodicals, Inc.

  7. Strategies used by women workers to reconcile family responsibilities with atypical work schedules in the service sector.

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    Barthe, B; Messing, K; Abbas, L

    2011-01-01

    Workers' attempts to accommodate family needs may be considered illegitimate in the paid work sphere. Their attempts at work-family balancing (WFB) in that sphere can remain invisible, even when those attempts require considerable energy. Since identification of WFB strategies can potentially lead to suggestions to improve management practices, we report an attempt to find them in the work sphere. 14 care aides in a Québec residence for seniors and 2~schedule managers were recruited. Qualitative ergonomic analysis was employed. 24 hours observation; interviews of nursing and human resources staff; qualitative ergonomic analysis by two researchers; feedback collected from meetings with management and union. Strategies for schedule choice were compared between care aides with heavier vs. lighter family responsibilities. For workers with heavier family responsibilities, choice of work schedules was almost entirely conditioned by family considerations, leaving little leeway to manage workers' own health protection. Family constraints affected activity at work, and strategies for handling family constraints could potentially be affected by changes in work organization. Managers should encourage full discussion of work-family balancing strategies if they wish to adapt their working conditions to the workers, and ergonomists should include this balancing as a facet of work activity, despite possible negative consequences.

  8. Effects of work–family conflict on employees’ well-being: The moderating role of recovery strategies

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    Moreno-Jiménez, B.; Mayo, M; Sanz Vergel, A.I.; Geurts, S.A.E.; Rodriguez Muñoz, A.; Garrosa, E.

    2009-01-01

    Based on the effort-recovery model, this study links work-family conflict (WFC) and family-work conflict (FWC) with the concept of recovery. The authors hypothesize that 2 recovery strategies-psychological detachment from work and verbal expression of emotions-moderate the relationship of these 2

  9. Strategies for coping with family members of patients with mental disorders.

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    Pompeo, Daniele Alcalá; Carvalho, Arélica de; Olive, Aline Morgado; Souza, Maria da Graça Girade; Galera, Sueli Aparecida Frari

    2016-09-09

    to identify the coping strategies of family members of patients with mental disorders and relate them to family member sociodemographic variables and to the patient's clinical variables. this was a descriptive study conducted at a psychiatric hospital in the interior of the state of São Paulo, with 40 family members of hospitalized patients over the age of 18, and who followed the patient before and during hospitalization. We used tools to characterize the subjects and the Folkman and Lazarus Inventory of Coping Strategies. the coping strategies most often used by family members were social support and problem solving. Mothers and fathers used more functional strategies (self-control p=0.037, positive reappraisal p=0.037, and social support p=0,021). We found no significant differences between the strategies and other variables examined. despite the suffering resulting from the illness of a dear one, family members make more use of functional strategies, allowing them to cope with adversities in a more well-adjusted way. identificar as estratégias de enfrentamento de familiares de pacientes com transtornos mentais e relacioná-las com as variáveis sociodemográficas do familiar e clínicas do paciente. estudo descritivo, desenvolvido em hospital psiquiátrico do interior do estado de São Paulo, com 40 familiares de pacientes internados, maiores de 18 anos e que acompanhavam o paciente antes e durante a internação. Foram utilizados instrumentos para caracterização dos sujeitos e o Inventário de Estratégias de Enfrentamento de Folkman e Lazarus. as estratégias de enfrentamento mais utilizadas pelos familiares foram suporte social e resolução de problemas. Pais e mães utilizaram mais estratégias funcionais (autocontrole p=0,037; reavaliação positiva p=0,037; suporte social p=0,021). Não foram evidenciadas diferenças significativas entre as estratégias e as demais variáveis estudadas. apesar do sofrimento causado pelo impacto do adoecimento do seu

  10. Machine learning amplifies the effect of parental family history of Alzheimer's disease on list learning strategy.

    Science.gov (United States)

    Chang, Timothy S; Coen, Michael H; La Rue, Asenath; Jonaitis, Erin; Koscik, Rebecca L; Hermann, Bruce; Sager, Mark A

    2012-05-01

    Identification of preclinical Alzheimer's disease (AD) is an essential first step in developing interventions to prevent or delay disease onset. In this study, we examine the hypothesis that deeper analyses of traditional cognitive tests may be useful in identifying subtle but potentially important learning and memory differences in asymptomatic populations that differ in risk for developing Alzheimer's disease. Subjects included 879 asymptomatic higher-risk persons (middle-aged children of parents with AD) and 355 asymptotic lower-risk persons (middle-aged children of parents without AD). All were administered the Rey Auditory Verbal Learning Test at baseline. Using machine learning approaches, we constructed a new measure that exploited finer differences in memory strategy than previous work focused on serial position and subjective organization. The new measure, based on stochastic gradient descent, provides a greater degree of statistical separation (p = 1.44 × 10-5) than previously observed for asymptomatic family history and non-family history groups, while controlling for apolipoprotein epsilon 4, age, gender, and education level. The results of our machine learning approach support analyzing memory strategy in detail to probe potential disease onset. Such distinct differences may be exploited in asymptomatic middle-aged persons as a potential risk factor for AD.

  11. Partnerships in Health Systems: Social Organization as limits and possibilities in the Family Health Strategy Management.

    Science.gov (United States)

    Silva, Vanessa Costa E; Barbosa, Pedro Ribeiro; Hortale, Virgínia Alonso

    2016-05-01

    This is a case study in the municipality of Rio de Janeiro about management in the Family Health Strategy based on the Social Organizations model. The aims were to characterize and analyze aspects of the governance system adopted by the Rio de Janeiro Municipal Health Department and identify limits and possibilities of this model as a management option in Brazil's Unified Health System. A qualitative study was performed based on a literature review, document analysisand interviews with key informants. This management model facilitated the expansion of access to primary healthcare through the Family Health Strategy in Rio - where the population covered increased from 7.2% of the population in 2008 to 45.5% in 2015. The results showthat some practices in the contractual logic need to be improved, including negotiation and accountability with autonomywith the service suppliers. Evaluation and control has focus on processes, not results, and there has not been an increase in transparency and social control. The system of performance incentives has been reported as inducing improvements in the work process of the health teams. It is concluded that the regulatory capacity of the municipal management would need to be improved. On the other hand, there is an important and significant process of learning in progress.

  12. The bond as a guideline for the construction of integrality in the Family Health Strategy

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    Selma Maria da Fonseca Viegas

    2012-06-01

    Full Text Available The bond between family health team and the enrolled population is a guideline for the comprehensive care. This is a multiple case study of holistic and qualitative approach based on the Quotidian Comprehensive Sociology, clipping of a PhD thesis which aimed to understand the construction of integrality practices in health in the daily work of family health teams and the managers of three boroughs. The informants were 48 health workers. The results show the link as the essential guideline for the consolidation of the integrality in health encouraging the user´s autonomous participation in the production of one‟s health. However, the staff‟s turnover interferes in the dynamics of daily work and in building links with the families, which directly involves consolidation of the local strategy. It is concluded that the link may be a collective and consolidated practice of the teams with the population in the construction of integrality in the health care.

  13. Coping strategies and social support in the family impact of cleft lip and palate and parents' adjustment and psychological distress.

    Science.gov (United States)

    Baker, Sarah R; Owens, Jan; Stern, Melanie; Willmot, Derrick

    2009-05-01

    To examine the role of parents' coping strategies and social support in the family impact of cleft lip and palate (CLP) and levels of adjustment and psychological distress and to investigate whether a child's age, type of cleft, or other reported medical problems influenced such outcomes. A cross-sectional study. One hundred three parents of children or young adults with CLP recruited from families attending a multidisciplinary cleft lip and palate clinic. Family impact, psychological distress, and positive adjustment were assessed using validated psychological questionnaires. Findings indicated that while there were many impacts of a child's CLP, negative outcomes (family impact, psychological distress) were not high. In contrast, parents reported high levels of positive adjustment or stress-related growth as a result of their child's condition. Participants also reported high levels of social support and relied more on the use of approach rather than avoidance-oriented coping strategies. Having more support from friends and family was associated with less negative family impact, lower psychological distress, and better adjustment. Greater use of approach coping was associated with more positive adjustment; whereas, avoidant coping was associated with a greater family impact and more psychological distress. Having a younger child and/or a child with medical problems in addition to CLP was associated with a greater impact on the family. How parents cope with their child's condition and the levels of support received may have implications for caregivers, the family unit, and the delivery of more family-oriented CLP services.

  14. Medical student in the family health strategy on the first years of college: perception of graduates.

    Science.gov (United States)

    Ricardo, Maria Paula Ferreira; Marin, Maria José Sanches; Otani, Marcia Aparecida Padovan; Marin, Marina Sanches

    2014-12-01

    There is a lack of knowledge about the effective value of the experience gained by medical students who participate in the Family Health Strategy (Estratégia Saúde da Família (ESF)) during the early stages of their medical training. This teaching strategy is based on learning by experiencing the problems that exist in real life. This study proposed to understand the value of this teaching strategy from the viewpoint of the students who had participated, after their graduation. The method adopted was a qualitative study conducted through interviews with students who graduated in the years 2009, 2010 and 2011. The data analysis used the hermeneutic dialectic technique as its model. The graduates considered that this experience enabled them to understand the organization and functioning of the health service and the context of the daily life of the users. This experience facilitated the doctor patient relationship, the development of clinical reasoning and the bond with the user. However the students emphasized that a lack of maturity prevented them gaining a higher level of benefit from the experience. Therefore, although the structure of the course is permeated by advances and challenges, it was concluded that this experience contributed to the student's learning of certain essential elements of medical training.

  15. MEDICAL STUDENT IN THE FAMILY HEALTH STRATEGY ON THE FIRST YEARS OF COLLEGE: PERCEPTION OF GRADUATES

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    Maria Paula Ferreira Ricardo

    2014-12-01

    Full Text Available There is a lack of knowledge about the effective value of the experience gained by medical students who participate in the Family Health Strategy (Estratégia Saúde da Família (ESF during the early stages of their medical training. This teaching strategy is based on learning by experiencing the problems that exist in real life. This study proposed to understand the value of this teaching strategy from the viewpoint of the students who had participated, after their graduation. The method adopted was a qualitative study conducted through interviews with students who graduated in the years 2009, 2010 and 2011. The data analysis used the hermeneutic dialectic technique as its model. The graduates considered that this experience enabled them to understand the organization and functioning of the health service and the context of the daily life of the users. This experience facilitated the doctor patient relationship, the development of clinical reasoning and the bond with the user. However the students emphasized that a lack of maturity prevented them gaining a higher level of benefit from the experience. Therefore, although the structure of the course is permeated by advances and challenges, it was concluded that this experience contributed to the student's learning of certain essential elements of medical training.

  16. Relational technologies as instruments of care in the Family Health Strategy.

    Science.gov (United States)

    Abreu, Tatiana Fernandes Kerches de; Amendola, Fernanda; Trovo, Monica Martins

    2017-01-01

    This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients. Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis. From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies. Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy. Identificar as tecnologias relacionais utilizadas por enfermeiros de Estratégia Saúde da Família em seu cotidiano de trabalho no atendimento aos usuários. Estudo descritivo, transversal, com abordagem qualitativa; desenvolvido entre maio e julho de 2015, em três Unidades Básicas de Saúde da Região Sul do Município de São Paulo, com 19 enfermeiros da Estratégia Saúde da Família. Os dados foram coletados por meio de entrevista semiestruturada, e os discursos foram transcritos na íntegra, analisados segundo a técnica de análise de conteúdo. Das falas dos participantes, surgiram três categorias, que evidenciam o desconhecimento do conceito, mas valorização do uso; quais são as tecnologias relacionais utilizadas pelos enfermeiros participantes (comunicação, escuta, empatia e acolhimento), além do relato de barreiras

  17. Pediatric nursing consultation in the perspective of nurses from the family health strategy

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    Roberta Fernandes Gasparino

    2014-01-01

    Full Text Available Qualitative study that analyzed conceptions and experiences of nurses about the pediatric nursing consultation and its systematization in the Family Health Strategy. Semi-structured interviews were recorded with ten nurses from four cities of the countryside of São Paulo, in 2011. The interviews were analyzed according to the method of Thematic Content Analysis, based on current assumptions of the systematization of nursing care and the comprehensive child health care. Generally, nursing consultations, and specifically, pediatric ones were defined as the nurses’ activity that allows them to know the life/health story, current needs and prevent future problems, having recognized the importance of its implementation and systematization. The experiences reported the paucity and lack of systematization in the pediatric nursing consultation in the context studied. Processes of ongoing health education are necessary to ensure quality and completeness to children's health.

  18. Factors associated with glycemic control in people with diabetes at the Family Health Strategy in Pernambuco

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    Rodrigo Fonseca Lima

    Full Text Available Abstract OBJECTIVE Identifying factors associated with glycemic control in people with type 2 Diabetes Mellitus (DM registered in the Family Health Strategy (FHS in Pernambuco, Brazil. METHOD Associations between glycemic control (glycosylated hemoglobin A lower or equal to 7% presented by people with DM and variables related to sociodemographic conditions, lifestyle, characteristics of diabetes, treatment and follow-up of patients by health services were investigated by multiple regression. RESULTS More than 65% of the participants presented inadequate glycemic control, especially those with lower age, longer illness duration, more annual contacts with FHS and complex therapeutic regimen. People with DM without referrals to specialists presented greater glycemic control. Associations with education level and obesity did not remain significant in the multivariate model. CONCLUSION The evolution of diabetes hinders adequate control, however, attention to younger people with DM and referrals to specialists are factors that can improve glycemic control.

  19. [Coverage by the Family Health Strategy and diagnosis of syphilis in pregnancy and congenital syphilis].

    Science.gov (United States)

    Saraceni, Valéria; Miranda, Angélica Espinosa

    2012-03-01

    This paper aimed to correlate syphilis in pregnancy and congenital syphilis with coverage of the Family Health Strategy (FHS), based on available data in the national health information systems. The syphilis notification estimates were calculated according to the Sentinel Childbirth Study for 2004 under the Ministry of Health and the data were obtained from the websites of the Health Surveillance Secretariat and Healthcare Secretariat, for the year 2008. The ratios between observed and estimated gestational syphilis and congenital syphilis were not statistically correlated with population coverage by the FHS (r = -0.28 and r = -0.40, respectively). The FHS is a privileged area for prenatal care and logically a source of compulsory notification of syphilis in pregnancy. By combining diagnosis with adequate treatment of syphilis in pregnant women and their partners, the FHS becomes a prime instrument for eliminating congenital syphilis in Brazil. Expanding the FHS coverage and quality of care are essential for achieving this goal.

  20. Implementation and acceptability of strategies instituted for engaging men in family planning services in Kibaha district, Tanzania.

    Science.gov (United States)

    Msovela, Judith; Tengia-Kessy, Anna

    2016-11-21

    Men as the main decision makers in most of African families have an important role to play towards acceptance of family planning methods. This study sought to identify strategies used to engage men in family planning services and determine the extent to which men in Kibaha district in Tanzania accept these interventions. We conducted a cross sectional study using both quantitative and qualitative techniques. We used a questionnaire to interview a random sample of 365 of currently married or cohabiting men who had at least one child under the age of five years. We further conducted in-depth interviews with health workers involved in delivering reproductive health services as well as community dispensers of family planning commodities. Descriptive analysis was used to determine the extent to which men were engaged in family planning services. The data from the indepth interviews were analysed manually according to the predetermined themes, guided by the grounded theory to identify the existing strategies used to encourage male involvement in family planning services. According to the key informants, strategies that are used to encourage men to engage in family planning services include invitations through their spouses, either verbally or by using partner notification cards, incorporating family planning messages during monthly meetings and community outreach reproductive health programs. Of 365 men responding to the questionnaire, only 31 (8.4%) said they were invited to accompany their spouses to family planning clinics. Among them, 71% (22/31) visited family planning clinics. A third (32%) of the respondents had heard of community health meetings and only 20.7% of them attended these meetings. More than a third (12/34) of men who attended these meeting asserted that family planning messages targeting men featured in the agenda and subsequently half of them visited health facilities for family planning services. Existing strategies such as invitations to clinics

  1. Moral Distress in Family Health Strategy: experiences expressed by daily life.

    Science.gov (United States)

    Cardoso, Cecília Maria Lima; Pereira, Maria Odete; Moreira, Danielle de Araújo; Tibães, Hanna Beatriz Bacelar; Ramos, Flávia Regina Souza; Brito, Maria José Menezes

    2016-06-01

    Understanding the Moral Suffering experiences expressed in the daily life of the Family Health Strategy. This is a case study with a qualitative approach, conducted between August and October 2014 in a municipality of Minas Gerais. The sample was represented by 28 professionals of family health teams. Data were collected through interviews with semi-structured questionnaires, observation, projective technique and submitted to thematic content analysis. The results indicate that routine issues of the health care system lead professionals to experience a challenging practice in dealing with daily situations that contradict their ethical precepts and can compromise the quality of work, becoming triggers of Moral Distress. Social vulnerabilities such as domestic violence, poor socioeconomic conditions and organizational weaknesses of the health system were the main triggers of Moral Distress. Therefore, it is necessary to amplify this reflection by workers of the Family Health Strategy, aiming to encourage the minimization of suffering experiences, considering their ethical values. Compreender as vivências de Sofrimento Moral expressas no cotidiano da Estratégia de Saúde da Família. Trata-se de um estudo de caso com abordagem qualitativa, realizado entre os meses de agosto a outubro de 2014, cujo cenário foi um município de Minas Gerais. Participaram 28 profissionais das equipes de saúde da família. Os dados foram coletados por meio de entrevistas com roteiro semiestruturado, observação, técnica projetiva e, submetidos à análise de conteúdo temática. Os resultados apontaram que as questões rotineiras do serviço de saúde levam os profissionais a vivenciarem uma prática desafiadora ao lidarem diariamente com situações que contradizem seus preceitos éticos capazes de comprometer a qualidade do trabalho tornando-se disparadores de Sofrimento Moral. As vulnerabilidades sociais, como violência doméstica e condições socioeconômicas precárias, al

  2. Evaluation of Patient and Family Engagement Strategies to Improve Medication Safety.

    Science.gov (United States)

    Kim, Julia M; Suarez-Cuervo, Catalina; Berger, Zackary; Lee, Joy; Gayleard, Jessica; Rosenberg, Carol; Nagy, Natalia; Weeks, Kristina; Dy, Sydney

    2018-04-01

    Patient and family engagement (PFE) is critical for patient safety. We systematically reviewed types of PFE strategies implemented and their impact on medication safety. We searched MEDLINE, EMBASE, reference lists and websites to August 2016. Two investigators independently reviewed all abstracts and articles, and articles were additionally reviewed by two senior investigators for selection. One investigator abstracted data and two investigators reviewed the data for accuracy. Study quality was determined by consensus. Investigators developed a framework for defining the level of patient engagement: informing patients about medications (Level 1), informing about engagement with health care providers (Level 2), empowering patients with communication tools and skills (Level 3), partnering with patients in their care (Level 4), and integrating patients as full care team members (Level 5). We included 19 studies that mostly targeted older adults taking multiple medications. The median level of engagement was 2, ranging from 2-4. We identified no level 5 studies. Key themes for patient engagement strategies impacting medication safety were patient education and medication reconciliation, with a subtheme of patient portals. Most studies (84%) reported implementation outcomes. The most commonly reported medication safety outcomes were medication errors, including near misses and discrepancies (47%), and medication safety knowledge (37%). Most studies (63%) were of medium to low quality, and risk of bias was generally moderate. Among the 11 studies with control groups, 55% (n = 6) reported statistically significant improvement on at least one medication safety outcome. Further synthesis of medication safety measures was limited due to intervention and outcome heterogeneity. Key strategies for engaging patients in medication safety are education and medication reconciliation. Patient engagement levels were generally low, as defined by a novel framework for determining

  3. [Perceptions of the family members of children regarding well-child check-ups in the family healthcare strategy].

    Science.gov (United States)

    da Silva Melo Malaquias, Tatiana; Gaíva, Maria Aparecida Munhoz; Higarashi, Ieda Harumi

    2015-03-01

    A qualitative descriptive study aimed at understanding the perceptions of the family members of children regarding well-child check-ups in the context of attention to child healthcare. Data collection was done using semi-structured interviews of 19 families, in the city of Maringá, in the state of Paraná, Brazil, from December 2012 to February 2013. The data was analyzed using content analysis, a thematic modality, which resulted in the thematic category "Revealing well-child check-ups from the family's point of view" and two secondary categories. The results showed the interviewees' insipient knowledge of well-child check-ups, reflecting the lack of adequate guidance about this type of care. The family members showed a preference for care of children by a pediatrician. Although secondary, the family noted the participation of the nurse in this activity. It is considered extremely important that well-child check-ups are valued by family members in order to promote effective multi-professional participation in this modality of attention.

  4. Impact of Parents' Motivation for Ethnocultural Continuity and Acculturation Strategies on Acculturation of Children in Russian Families in Latvia

    Directory of Open Access Journals (Sweden)

    Ryabichenko T.A.

    2015-08-01

    Full Text Available The paper presents outcomes of an empirical research on the relationship between motivation for ethnocultural continuity and acculturation strategies in ethnocultural minorities (with Russians in Latvia as an example. Since acculturation is a process that affects several generations, we adopted a research plan that involved representatives of two generations of a family (parents and children. 112 Russian families participated in the research (parents: N=112, age 35—59, Me=42; children: N=112, age 16—24, Me=17. A questionnaire we used included J. Berry's acculturation strategies, scales of satisfaction with life and oneself, and the Motivation for Ethnocultural Continuity scale by C. Ward. The employed structural modeling revealed that acculturation strategies of the children correlate significantly with those of their parents as well as with their own motivation for ethnicultural continuity. The adolescents' choice of integration strategy is positively related to their satisfaction with themselves; however, in the cases of marginalization and assimilation this relation is negative.

  5. Strategies for helping families prepare for birth: experiences from eastern central Uganda.

    Science.gov (United States)

    Timša, Līga; Marrone, Gaetano; Ekirapa, Elizabeth; Waiswa, Peter

    2015-01-01

    Iganga (ORA=0.72; 95% CI 0.54-0.98 and ORA=0.37; 95% CI 0.27-0.51, respectively). Engaging CHWs and local structures during pregnancy may be an effective strategy in promoting birth preparedness. On the other hand, if not well designed, the use of vouchers could disempower families in their efforts to prepare for birth. Other effective strategies for promoting birth preparedness include early ANC attendance, attending ANC at least four times, and male involvement.

  6. Coping strategies and styles of family carers of persons with enduring mental illness: a mixed methods analysis.

    LENUS (Irish Health Repository)

    Kartalova-O'Doherty, Yulia

    2008-03-01

    A qualitative exploratory study investigated the experiences and needs of family carers of persons with enduring mental illness in Ireland. The current mixed-methods secondary study used content analysis and statistical procedures to identify and explore the coping strategies emerging from the original interviews. The majority of family carers reported use of active behavioural coping strategies, sometimes combined with active cognitive or avoidance strategies. The percentage of cares reporting use of active cognitive strategies was the lowest among those whose ill relative lived in their home, and the highest among those whose relative lived independently. Participants with identified active cognitive strategies often reported that their relative was employed or in training. Participants who reported use of avoidance strategies were significantly younger than participants who did not report use of such strategies. The lowest percentage of avoidance strategies was among participants whose ill relative lived independently, whereas the highest was among carers whose relative lived in their home. The findings of this study highlight the importance of a contextual approach to studying coping styles and processes. Further research questions and methodological implications are discussed.

  7. Matched and mismatched appraisals of the effectiveness of communication strategies by family caregivers of persons with Alzheimer's disease.

    Science.gov (United States)

    Savundranayagam, Marie Y; Orange, J B

    2014-01-01

    Communication problems stemming from Alzheimer's disease (AD) often result in misunderstandings that can be linked with problem behaviours and increased caregiver stress. Moreover, these communication breakdowns also can result either from caregivers' use of ineffective communication strategies, which paradoxically are perceived as helpful, or can occur as a result of not using effective communication strategies that are perceived as unhelpful. The two primary aims were to determine the effectiveness of strategies used to resolve communication breakdowns and to examine whether caregivers' ratings of strategy effectiveness were consistent with evidence from video-recorded conversations and with effective communication strategies documented in the literature. Twenty-eight mealtime conversations were recorded using a sample of 15 dyads consisting of individuals with early, middle and late clinical-stage AD and their family caregivers. Conversations were analysed using the trouble-source repair paradigm to identify the communication strategies used by caregivers to resolve breakdowns. Family caregivers also rated the helpfulness of communication strategies used to resolve breakdowns. Analyses were conducted to assess the overlap or match between the use and appraisals of the helpfulness of communication strategies. Matched and mismatched appraisals of communication strategies varied across stages of AD. Matched appraisals by caregivers of persons with early-stage AD were observed for 68% of 22 communication strategies, whereas caregivers of persons with middle- and late-stage AD had matched appraisals for 45% and 55% of the strategies, respectively. Moreover, caregivers of persons with early-stage AD had matched appraisals over and above making matched appraisals by chance alone, compared with caregivers of persons in middle- and late-stage AD. Mismatches illustrate the need for communication education and training, particularly to establish empirically derived

  8. DNA familial binding profiles made easy: comparison of various motif alignment and clustering strategies.

    Science.gov (United States)

    Mahony, Shaun; Auron, Philip E; Benos, Panayiotis V

    2007-03-30

    Transcription factor (TF) proteins recognize a small number of DNA sequences with high specificity and control the expression of neighbouring genes. The evolution of TF binding preference has been the subject of a number of recent studies, in which generalized binding profiles have been introduced and used to improve the prediction of new target sites. Generalized profiles are generated by aligning and merging the individual profiles of related TFs. However, the distance metrics and alignment algorithms used to compare the binding profiles have not yet been fully explored or optimized. As a result, binding profiles depend on TF structural information and sometimes may ignore important distinctions between subfamilies. Prediction of the identity or the structural class of a protein that binds to a given DNA pattern will enhance the analysis of microarray and ChIP-chip data where frequently multiple putative targets of usually unknown TFs are predicted. Various comparison metrics and alignment algorithms are evaluated (a total of 105 combinations). We find that local alignments are generally better than global alignments at detecting eukaryotic DNA motif similarities, especially when combined with the sum of squared distances or Pearson's correlation coefficient comparison metrics. In addition, multiple-alignment strategies for binding profiles and tree-building methods are tested for their efficiency in constructing generalized binding models. A new method for automatic determination of the optimal number of clusters is developed and applied in the construction of a new set of familial binding profiles which improves upon TF classification accuracy. A software tool, STAMP, is developed to host all tested methods and make them publicly available. This work provides a high quality reference set of familial binding profiles and the first comprehensive platform for analysis of DNA profiles. Detecting similarities between DNA motifs is a key step in the comparative study

  9. DNA familial binding profiles made easy: comparison of various motif alignment and clustering strategies.

    Directory of Open Access Journals (Sweden)

    Shaun Mahony

    2007-03-01

    Full Text Available Transcription factor (TF proteins recognize a small number of DNA sequences with high specificity and control the expression of neighbouring genes. The evolution of TF binding preference has been the subject of a number of recent studies, in which generalized binding profiles have been introduced and used to improve the prediction of new target sites. Generalized profiles are generated by aligning and merging the individual profiles of related TFs. However, the distance metrics and alignment algorithms used to compare the binding profiles have not yet been fully explored or optimized. As a result, binding profiles depend on TF structural information and sometimes may ignore important distinctions between subfamilies. Prediction of the identity or the structural class of a protein that binds to a given DNA pattern will enhance the analysis of microarray and ChIP-chip data where frequently multiple putative targets of usually unknown TFs are predicted. Various comparison metrics and alignment algorithms are evaluated (a total of 105 combinations. We find that local alignments are generally better than global alignments at detecting eukaryotic DNA motif similarities, especially when combined with the sum of squared distances or Pearson's correlation coefficient comparison metrics. In addition, multiple-alignment strategies for binding profiles and tree-building methods are tested for their efficiency in constructing generalized binding models. A new method for automatic determination of the optimal number of clusters is developed and applied in the construction of a new set of familial binding profiles which improves upon TF classification accuracy. A software tool, STAMP, is developed to host all tested methods and make them publicly available. This work provides a high quality reference set of familial binding profiles and the first comprehensive platform for analysis of DNA profiles. Detecting similarities between DNA motifs is a key step in the

  10. Experiences in the Family Health Strategy: demands and vulnerabilities in the territory.

    Science.gov (United States)

    Pinto, Antonio Germane Alves; Jorge, Maria Salete Bessa; Marinho, Mirna Neyara Alexandre de Sá Barreto; Vidal, Emery Ciana Figueirêdo; Aquino, Priscila de Souza; Vidal, Eglídia Carla Figueirêdo

    2017-01-01

    To understand the daily demands of Family Health Strategy in clinical practice of the team and social vulnerabilities of community territory. Research with qualitative approach, in a critical-reflexive perspective, held with two teams of the Family Health Strategy, in the city of Fortaleza, State of Ceará, Brazil. The participants were 22 users and 19 health professionals from the basic health network. Data from the interviews and observation were analyzed under the assumptions of critical hermeneutics. We highlight the unveiling of sufferings and daily clashes, the influence of social determinants on health and psychosocial demands, limits and possibilities of everyday clinical practice. The clinic attention must recognize the perceptions and living conditions by listening and promoting health in the community. Compreender as demandas cotidianas da Estratégia Saúde da Família na prática clínica da equipe e as vulnerabilidades sociais do território comunitário. Pesquisa com abordagem qualitativa, numa perspectiva crítico-reflexiva, realizada com duas equipes da Estratégia Saúde da Família, no município de Fortaleza, Estado do Ceará, Brasil. Os participantes foram 22 usuários e 19 profissionais de saúde da rede básica de saúde. Os dados das entrevistas e observação foram analisados sob os pressupostos da hermenêutica crítica. Evidenciam-se o desvelamento de sofrimentos e enfrentamentos cotidianos, a influência dos determinantes sociais na saúde e as demandas psicossociais, limites e possibilidades da prática clínica cotidiana. Considera-se que a atenção clínica deve reconhecer as percepções e condições de vida pela escuta e ações de promoção de saúde na comunidade.

  11. Family economic hardship and Chinese adolescents' sleep quality: A moderated mediation model involving perceived economic discrimination and coping strategy.

    Science.gov (United States)

    Bao, Zhenzhou; Chen, Chuansheng; Zhang, Wei; Zhu, Jianjun; Jiang, Yanping; Lai, Xuefen

    2016-07-01

    The association between family economic hardship and adolescent adjustment outcomes, including sleep quality, is well-established. Few studies, however, have examined the mediating and moderating mechanisms underlying the relation between family economic hardship and adolescents' sleep quality. The aim of this study was to investigate the effect of family economic hardship on Chinese adolescents' sleep quality, as well as the role of perceived economic discrimination as a mediator and the role of coping strategy as a moderator. Survey data from a cross-sectional sample of 997 Chinese adolescents (45% male, mean age = 15.04 years) were analyzed using path analysis in Mplus 7.0. The results of this study indicated that family economic hardship was significantly associated with adolescents' sleep quality. This association was mediated by adolescents' perceived economic discrimination. In addition, adolescents' coping strategy significantly moderated the path from perceived economic discrimination to sleep quality, with the "shift" coping strategy as a protective factor. The present study contributes to our understanding of key mechanisms underlying the association between family economic hardship and adolescent sleep quality and highlights the importance of improving sleep quality for adolescents exposed to economic hardship. Copyright © 2016 The Foundation for Professionals in Services for Adolescents. All rights reserved.

  12. Striving to be prepared for the painful: Management strategies following a family member's diagnosis of advanced cancer

    Directory of Open Access Journals (Sweden)

    Hedberg Berith

    2011-10-01

    Full Text Available Abstract Background Cancer has consequences not only for the sick person but also for those who have a close relationship with that person. Greater knowledge about how family members manage the situation in the period immediately following the diagnosis means greater opportunity to provide the best possible support for the family. The purpose of this study was to explore management strategies that family members use when the patient is in the early stage of treatment for advanced cancer. Methods Twenty family members of cancer patients were included in the study shortly after the diagnosis. The patients had been diagnosed 8-14 weeks earlier with advanced lung cancer or gastrointestinal cancer. The data were collected in interviews with family members and subjected to qualitative latent content analysis. Through the identification of similarities and dissimilarities in the units of meaning, abstraction into codes and sub-themes became possible. The sub-themes were then brought together in one overarching theme. Results The overall function of management strategies is expressed in the theme Striving to be prepared for the painful. The family members prepare themselves mentally for the anticipated tragedy. Family relationships become increasingly important, and family members want to spend all their time together. They try to banish thoughts of the impending death and want to live as normal a life as possible. It becomes important to family members to live in the present and save their energy for the time when they will need it the most. How participants handle their worries, anxiety and sadness can be categorized into seven sub-themes or management strategies: Making things easier in everyday life, Banishing thoughts about the approaching loss, Living in the present, Adjusting to the sick person's situation, Distracting oneself by being with others, Shielding the family from grief, and Attempting to maintain hope. Conclusions The findings revealed

  13. The role of the family environment and computer-mediated social support on breast cancer patients' coping strategies.

    Science.gov (United States)

    Yoo, Woohyun; Shah, Dhavan V; Shaw, Bret R; Kim, Eunkyung; Smaglik, Paul; Roberts, Linda J; Hawkins, Robert P; Pingree, Suzanne; McDowell, Helene; Gustafson, David H

    2014-09-01

    Despite the importance of family environment and computer-mediated social support (CMSS) for women with breast cancer, little is known about the interplay of these sources of care and assistance on patients' coping strategies. To understand this relation, the authors examined the effect of family environment as a predictor of the use of CMSS groups as well as a moderator of the relation between group participation and forms of coping. Data were collected from 111 patients in CMSS groups in the Comprehensive Health Enhancement Support System "Living with Breast Cancer" intervention. Results indicate that family environment plays a crucial role in (a) predicting breast cancer patient's participation in CMSS groups and (b) moderating the effects of use of CMSS groups on breast cancer patients' coping strategies such as problem-focused coping and emotion-focused coping.

  14. [Nurses and doctors turnover: an impasse in the implementation of the Family Health Strategy].

    Science.gov (United States)

    Medeiros, Cássia Regina Gotler; Junqueira, Alvaro Gustavo Wagner; Schwingel, Glademir; Carreno, Ioná; Jungles, Lúcia Adriana Pereira; Saldanha, Olinda Maria de Fátima Lechmann

    2010-06-01

    The research analyzed the causes for turnover rate of doctors and nurses in family health strategy teams with at least two years of implementation on March 2006 in Vale do Taquari, Rio Grande do Sul State. It is a quantitative and qualitative study identifying 31 teams in 25 towns, and the turnover rate was established by year from 1999 to 2005 by professional category. There was no turnover for doctors and nurses in 1999 and 2000. Doctor turnover was 5.9% in 2002; 32.1% in 2003; 25.8% in 2004; and 64.5% in 2005. Regarding nurses, it was 27.7% in 2001; 47% in 2002; 17.8% in 2003; 41.9% in 2004; and 22.6% in 2005. The analysis of semi-structured interviews with 7 doctors and 7 nurses appointed as main causes for turnover: poor work links, fragmented education, authoritarian way of managing, no links with the community, and poor work conditions. Thus, it is necessary to make changes regarding labor links, work conditions, and education for health workers and managers, seeking for the integrality in health practices.

  15. Evolution of post-deployment indicators of oral health on the Family Health Strategy

    Science.gov (United States)

    Palacio, Danielle da Costa; Vazquez, Fabiana de Lima; Ramos, Danielle Viana Ribeiro; Peres, Stela Verzinhasse; Pereira, Antonio Carlos; Guerra, Luciane Miranda; Cortellazzi, Karine Laura; Bulgareli, Jaqueline Vilela

    2014-01-01

    Objective To evaluate the evolution of indicators after the implementation of 21 Oral Healthcare Teams in the Family Health Strategy. Methods We used data from outpatient services of Oral Healthcare Teams to evaluate efficiency, access, percentage of absences and emergencies of oral healthcare professionals who worked in the partnership between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo, during the period 2009-2011. Results Percentages of emergencies, income, and access showed a significant difference during the period analyzed, but no difference for percentage of absences was found. When monthly analysis was made, it is noteworthy that at the beginning of service implementation a fluctuation occurred, which may indicate that the work was consolidated over the months, becoming capable of receiving new professionals and increasing the population served. Comparison of the indicators in that period with the goals agreed upon between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo made it possible to notice that the Oral Health Teams had a good performance. Conclusion The results showed that the goals were achieved reflecting the increasing number of professionals, the maturing of work processes in the Oral Health Teams, and optimization of the manpower available to perform the activities. Understanding these results will be important to guide the actions of Oral Health Teams for the following years and to assess the achievement of goals. PMID:25295445

  16. Feeding practices and nutritional status of children receiving care within the family health strategy

    Directory of Open Access Journals (Sweden)

    Dixis Figueroa Pedraza

    2015-12-01

    Full Text Available Objective: To describe the eating habits and nutritional status of children under one year old attended at the Family Health Strategy. Methods: This is a cross-sectional study developed in the city of Campina Grande, Paraíba. 633 mothers were interviewed and information included feeding practices (food eaten in the 24 hours preceding the survey of their children. The nutritional status was analyzed using weight/age and length/age anthropometric indices. Results: Breastfeeding in the first hour of life was reported by 70.9% (n=443 of respondents. Foods most consumed were water and breast milk, followed by other types of milk. The high frequency of consumption of foods not recommended such as snacks, candies/chocolates/ lollipops and soft drinks was also reported. As for the anthropometric profile, weight and length deficits reached respectively 5.3% (n=32 and 11.9% (n=17 of children. Conclusion: Feeding practices of children under one year old disagree with the recommendations of the World Health Organization and the Ministry of Health of Brazil. Additionally, a high prevalence of stunting was also found in the context of public health.

  17. Contextual Exploration of a New Family Caregiver Support Concept for Geriatric Settings Using a Participatory Health Research Strategy.

    Science.gov (United States)

    Dorant, Elisabeth; Krieger, Theresia

    2017-11-28

    Family caregivers are the backbone of the long-term care support system within the home environment. Comprehensive caregiver support programs require collaboration and coordination within the system. A new public health concept, Vade Mecum, aims to harmonize and professionalize family caregiver support initiatives in geriatric care settings in the Euregion Maas-Rhine. Exploration of the new concept recently started in Germany to gain in-depth insight into current support and the needs of the geriatric care team and family caregivers. Within the context of an exploratory qualitative study, a participatory health research (PHR) strategy was applied to make optimal use of experience and knowledge from the system. Care professionals, engaged as co-researchers, were responsible for decisions about the research question, data collection methods and procedures of engaging family caregivers. A research team representing all professions within the geriatric department was formed. Research objectives were formulated and an appropriate mix of qualitative data collection methods consisting of interviews, focus groups and story-telling was chosen. Needs and expectations of the new concept, and practical solutions for involving family caregivers were discussed. A PHR strategy resulted in initiating a qualitative study in a geriatric care setting carried out by care professionals from the department. Knowledge was generated in a co-creative manner, and co-researchers were empowered. A comprehensive understanding of the system serves as a starting point for advancement of the new family caregiver concept.

  18. Obtaining family consent for participation in Alzheimer's research in a Cuban-American population: strategies to overcome the barriers.

    Science.gov (United States)

    Williams, C L; Tappen, R; Buscemi, C; Rivera, R; Lezcano, J

    2001-01-01

    Cultural values and beliefs affect family attitudes toward participation in research. Significant resistance to allowing their elders with dementia to participate in clinical research was encountered in Cuban-American families. These families expressed concern about disturbing the elder's comfort (tranquilidad) and solitude (soledad). Furthermore, most believed that intervention would be futile. Feelings of guilt associated with nursing home placement may have been exacerbated by the suggestion that active intervention could be effective. Strategies to overcome these barriers included reduced emphasis on the potential superiority of the intervention to be tested, reassurance that contact with research staff was usually appreciated by participants, arrangements to talk with the family as a group about the study, and increased use of Spanish-language consent forms.

  19. Systems and Strategies for Identifying and Enumerating Children outside of Family Care

    Science.gov (United States)

    Pullum, Thomas; Cappa, Claudia; Orlando, James; Dank, Meredith; Gunn, Susan; Mendenhall, Maury; Riordan, Kate

    2012-01-01

    Methodologies to identify and enumerate children outside of family care vary as do the vulnerability categories of the children themselves. Children outside of family care is a broad term encompassing children absent of permanent family care, e.g., institutionalized children, children on/of the street, child-headed households, separated or…

  20. Work of community health agents in the Family Health Strategy: meta-synthesis

    Directory of Open Access Journals (Sweden)

    Carolina Maria do Carmo Alonso

    2018-02-01

    Full Text Available ABSTRACT OBJECTIVE To systematize and analyze the evidence from qualitative studies that address the perception of Brazilian Community Health Agents about their work. METHODS This is a systematic review of the meta-synthesis type on the work of community health agents, carried out from the Virtual Health Library using the descriptors “Agente Comunitário de Saúde” and “Trabalho”, in Portuguese. The strategy was constructed by crossing descriptors, using the Boolean operator “AND”, and filtering Brazilian articles, published from 2004 to 2014, which resulted in 129 identified articles. We removed quantitative or quanti-qualitative research articles, essays, debates, literature reviews, reports of experiences, and research that did not include Brazilian Community Health Agents as subjects. Using these criteria, we selected and analyzed 33 studies that allowed us to identify common subjects and differences between them, to group the main conclusions, to classify subjects, and to interpret the content. RESULTS The analysis resulted in three thematic units: characteristics of the work of community health agents, problems related to the work of community health agents, and positive aspects of the work of community health agents. On the characteristics, we could see that the work of the community health agents is permeated by the political and social dimensions of the health work with predominant use of light technologies. The main input is the knowledge that this professional obtains with the contact with families, which is developed with home visits. On the problems in the work of community health agents, we could identify the lack of limits in their attributions, poor conditions, obstacles in the relationship with the community and teams, weak professional training, and bureaucracy. The positive aspects we identified were the recognition of the work by families, resolution, bonding, work with peers, and work close to home. CONCLUSIONS

  1. Mental health in the Family Health Strategy as perceived by health professionals.

    Science.gov (United States)

    Souza, Jacqueline de; Almeida, Letícia Yamawaka de; Luis, Margarita Antonia Villar; Nievas, Andreia Fernanda; Veloso, Tatiana Maria Coelho; Barbosa, Sara Pinto; Giacon, Bianca Cristina Ciccone; Assad, Francine Baltazar

    2017-01-01

    to analyze the management of mental health needs in primary care as perceived by Family Health Strategy professionals. this was a qualitative descriptive exploratory study developed within the coverage area of five family health teams. The data were collected using observation, group interviews, individual semi-structured interviews, and focus groups. Content analysis was conducted using text analysis software and interpretation was based on the corresponding analytical structures. numerous and challenging mental health demands occur in this setting, for which the teams identified care resources; however, they also indicated difficulties, especially related to the operationalization and integration of such resources. there is a need for a care network sensitive to mental health demands that are better coordinated and more effectively managed. analisar o manejo das necessidades de saúde mental na atenção primária à saúde de acordo com a percepção dos profissionais da Estratégia Saúde da Família. estudo qualitativo, descritivo exploratório, desenvolvido no território de abrangência de cinco equipes de saúde da família. Os participantes foram cinco enfermeiras, cinco coordenadores e 17 agentes comunitários de saúde. Os dados foram coletados utilizando observação, entrevistas grupais, entrevistas individuais semiestruturadas e grupos focais. Fez-se a análise de conteúdo com o auxílio de um Software de análise textual, e a interpretação baseou-se nas estruturas analíticas correspondentes. inúmeras e desafiadoras demandas de saúde mental têm sido acolhidas nesse setting, para as quais as equipes identificaram recursos de atendimento; no entanto, apontaram dificuldades, sobretudo relacionadas à operacionalização e integração destes recursos. destaca-se a necessidade de uma rede de cuidados sensível a tais demandas, mais articulada e gerida de modo eficaz.

  2. Strategies for helping families prepare for birth: experiences from eastern central Uganda

    Directory of Open Access Journals (Sweden)

    Līga Timša

    2015-03-01

    likely to have taken three actions compared with women from Iganga (ORA=0.72; 95% CI 0.54–0.98 and ORA=0.37; 95% CI 0.27–0.51, respectively. Conclusions: Engaging CHWs and local structures during pregnancy may be an effective strategy in promoting birth preparedness. On the other hand, if not well designed, the use of vouchers could disempower families in their efforts to prepare for birth. Other effective strategies for promoting birth preparedness include early ANC attendance, attending ANC at least four times, and male involvement.

  3. Perceptions of early body image socialization in families: Exploring knowledge, beliefs, and strategies among mothers of preschoolers.

    Science.gov (United States)

    Liechty, Janet M; Clarke, Samantha; Birky, Julie P; Harrison, Kristen

    2016-12-01

    This study sought to explore parental perceptions of body image in preschoolers. We conducted semi-structured interviews with 30 primary caregivers of preschoolers to examine knowledge, beliefs, and strategies regarding early body image socialization in families. Thematic Analysis yielded three themes highlighting knowledge gaps, belief discrepancies, and limited awareness of strategies. Findings regarding knowledge: Most participants defined body image as objective attractiveness rather than subjective self-assessment (53%) and focused on negative body image. Beliefs: Although 97% of participants believed weight and shape impact children's self-esteem, 63% believed preschoolers too young to have a body image. Strategies: Most participants (53%) said family was a primary influence on body image, but identified few effective strategies and 63% said they did not do anything to influence children's body image. Findings suggested family body image socialization in preschoolers is occurring outside the awareness of parents and the concept of positive body image is underdeveloped. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Benign Fibroepithelial Polyp of Renal Pelvis in a Patient with Familial Adenomatous Polyposis: A Successful Percutaneous Nephroscopic Management Strategy

    Directory of Open Access Journals (Sweden)

    Nikhil Vasdev

    2009-01-01

    Full Text Available We present a rare case of a benign fibroepithelial polyp of the renal pelvis in a patient with familial adenomatous polyposis. In our paper we describe a new minimally invasive technique developed in our unit using an amplatz goose neck snare via a percutaneous nephroscope sheath in the management of the benign fibroepithelial polyp of the renal pelvis and present a current review of management strategies in literature.

  5. Strategies for Scaling Up: Promoting Parent Involvement through Family-School-Community Partnerships

    Science.gov (United States)

    Hayakawa, Momoko; Reynolds, Arthur

    2016-01-01

    Flexibility, creativity, and collaboration are required to successfully meet the needs of each school when scaling up family engagement programs across a diverse range of communities. Flexibility, creativity, and collaboration are required to successfully meet the needs of each school when scaling up family engagement programs across a diverse…

  6. Integration of Refugee Children and Their Families in the Swedish Preschool: Strategies, Objectives and Standards

    Science.gov (United States)

    Lunneblad, Johannes

    2017-01-01

    This article is from a study about the integration of refugee children (aged one to five) and their families in Sweden. Refugee children and parents who have received a residence permit are entitled to be introduced into the Swedish society. One of the first encounters refugee children and families have with Swedish society is with the preschool.…

  7. Work-Family Conflict And Coping Strategies Adopted By Women In ...

    African Journals Online (AJOL)

    Work- family conflict and integration has been examined quite often in human resource management and industrial/organizational psychology literature. As employees attempt to balance work demands and family responsibilities, organizations will have to decide to what extent they will go to minimize this conflict. This study ...

  8. Communication Challenges and Strategies of U.S. Health Professionals Caring for Seriously Ill South Asian Patients and Their Families.

    Science.gov (United States)

    Khosla, Nidhi; Washington, Karla T; Shaunfield, Sara; Aslakson, Rebecca

    2017-06-01

    While effective communication is important in the care of seriously ill patients, little is known about communication challenges faced by healthcare providers serving U.S. patients of South Asian origin, one of the fastest growing demographic groups in the United States. Researchers sought to examine communication challenges faced by healthcare providers serving seriously ill South Asian patients and their families and present strategies recommended by providers for effective communication. Researchers conducted a thematic analysis of qualitative data obtained through focus groups and individual interviews with 57 healthcare providers, including physicians, social workers, nurses, chaplains, and others drawn from different healthcare settings in one Midwestern city. While acknowledging the considerable diversity within the U.S. South Asian community, participants discussed three types of communication challenges they often encounter when serving this population: ensuring effective interpretation, identifying a spokesperson, and challenges posed by different cultural norms. Participants shared strategies to address these challenges such as proactively inquiring about patients' and families' preferences and encouraging early appointment of a spokesperson. While providers should avoid stereotyping patients, an awareness of common challenges and adoption of recommended strategies to address these challenges may enhance the provision of culturally responsive person-centered services for seriously ill South Asian patients and their families receiving care in the United States.

  9. The challenges of implementing advanced access for residents in family medicine in Quebec. Do promising strategies exist?

    Science.gov (United States)

    Abou Malham, Sabina; Touati, Nassera; Maillet, Lara; Breton, Mylaine

    2018-12-01

    The advanced access (AA) model is a highly recommended innovation to improve timely access to primary healthcare. Despite that many studies have shown positive impacts for healthcare professionals, and for patients, implementing this model in clinics with a teaching mission for family medicine residents poses specific challenges. To identify these challenges within these clinics, as well as potential strategies to address them. The authors adopted a qualitative multiple case study design, collected data in 2016 using semi-structured interviews (N = 40) with healthcare professionals and clerical staff in four family medicine units in Quebec, and performed a thematic analysis. They validated results through a discussion workshop, involving many family physicians and residents practicing in different regions Results: Five challenges emerged from the data: 1) choosing, organizing residents' patient; 2) managing and balancing residents' appointment schedules; 3) balancing timely access with relational continuity; 4) understanding the AA model; 5) establishing collaborative practices with other health professionals. Several promising strategies were suggested to address these challenges, including clearly defining residents' patient panels; adopting a team-based care approach; incorporating the model into academic curriculum and clinical training; proactive and ongoing education of health professionals, residents, and patients; involving residents in the change process and in adjustment strategies. To meet the challenges of implementing AA, decision-makers should consider exposing residents to AA during academic training and clinical internships, involving them in team work on arrival, engaging them as key actors in the implementation and in intra- and inter-professional collaborative models.

  10. Factors associated with glycemic control in people with diabetes at the Family Health Strategy in Pernambuco.

    Science.gov (United States)

    Lima, Rodrigo Fonseca; Fontbonne, Annick; Carvalho, Eduardo Maia Freese de; Montarroyos, Ulisses Ramos; Barreto, Maria Nelly Sobreira de Carvalho; Cesse, Eduarda Ângela Pessoa

    2016-01-01

    Identifying factors associated with glycemic control in people with type 2 Diabetes Mellitus (DM) registered in the Family Health Strategy (FHS) in Pernambuco, Brazil. Associations between glycemic control (glycosylated hemoglobin A lower or equal to 7%) presented by people with DM and variables related to sociodemographic conditions, lifestyle, characteristics of diabetes, treatment and follow-up of patients by health services were investigated by multiple regression. More than 65% of the participants presented inadequate glycemic control, especially those with lower age, longer illness duration, more annual contacts with FHS and complex therapeutic regimen. People with DM without referrals to specialists presented greater glycemic control. Associations with education level and obesity did not remain significant in the multivariate model. The evolution of diabetes hinders adequate control, however, attention to younger people with DM and referrals to specialists are factors that can improve glycemic control. Identificar fatores associados ao controle glicêmico em pessoas com Diabetes Mellitus (DM) tipo 2 cadastradas na Estratégia Saúde da Família (ESF) em Pernambuco, Brasil. Foram investigadas, por regressão múltipla, as associações entre o controle glicêmico (hemoglobina A glicosilada menor ou maior ou igual a 7%) apresentado pelas pessoas com DM e variáveis relacionadas com condições sociodemográficas, hábitos de vida, características do diabetes, de seu tratamento e acompanhamento dos pacientes pelos serviços de saúde. Mais de 65% dos participantes apresentaram controle glicêmico inadequado, principalmente aqueles com idade menor, duração da doença mais longa, mais contatos anuais com a ESF e regime terapêutico complexo. Pessoas com DM sem encaminhamentos para especialistas apresentaram um maior descontrole glicêmico. Associações com escolaridade e obesidade não permaneceram significativas no modelo multivariado. A evolução do

  11. Effects of a family-to-family support program on the mental health and coping strategies of caregivers of adults with mental illness: a randomized controlled study.

    Science.gov (United States)

    Bademli, Kerime; Duman, Zekiye Çetinkaya

    2014-12-01

    This randomized, controlled intervention study was carried out to investigate the effects of a Family-to-Family Support (FFS) program on the coping strategies and mental health status of caregivers of schizophrenia patients. Data were collected via a General Health Questionnaire (GHQ) and the Ways of Coping with Stress Scale (WCSS). During the first phase of the study, the FFS program was developed, followed by a second phase in which the participants of the study were identified and trained. In the third phase, trained caregivers trained other caregivers. The study sample consisted of 46 caregivers. We determined statistically significant differences in the mean GHQ scores of the FFS group over four measurements. In the WCSS subscales, the self-confident approach, optimistic approach and seeking social support approach scores of caregivers participating in the FFS program were high, while their helpless approach score was low. The FFS program had a positive impact on the coping strategies and mental health status of caregivers of schizophrenia patients. Copyright © 2014 Elsevier Inc. All rights reserved.

  12. Engaging Families, Building Relationships: Strategies for Working Across Systems from a Social Exchange Perspective

    Directory of Open Access Journals (Sweden)

    Karen Rice

    2014-07-01

    Full Text Available In child welfare, the relationship between worker and client is viewed as the mechanism through which families may be engaged. Certain settings may complicate the development of a helping relationship and require workers to counter these pressures by developing more effective means of engaging families. Utilizing a social exchange framework, this qualitative study was conducted to explore interactions among parents and professionals in dependency court hearings. Findings revealed that a lack of reciprocity hinders the development of collaborative relationships that could support and assist families. Implications for social work practice are examined.

  13. Work family-life balance and social investment strategies in Denmark

    DEFF Research Database (Denmark)

    Greve, Bent

    2014-01-01

    This article analyses and discusses the options and possibilities of combining work and family life in a universal welfare state, e. g. Denmark. Related to the ability to combine work and family life is the welfare states investment in affordable and high quality day care and a perspective...... on caring for elderly citizens. The theoretical underpinnings of universal welfare states is given and also the reason why it has been important to ensure and be able to combine work and family life. The article shows how Denmark, Sweden and Finland compare with countries from other and different types...

  14. A comparative study of clinical management strategies for vaginal discharge in family planning and genitourinary medicine settings.

    Science.gov (United States)

    Melville, Catriona; Nandwani, Rak; Bigrigg, Alison; McMahon, Alex D

    2005-01-01

    To compare strategies for management of women with vaginal discharge in genitourinary medicine (GUM) and family planning (FP) settings. The setting was a centre housing both FP and GUM departments within a primary care trust in Scotland. The study participants were 200 women presenting with vaginal discharge. A randomised, controlled, crossover design was employed. Strategies typical of FP and GUM were performed on every participant in a randomised sequence. Day 1 diagnoses were made by the FP strategy (history and examination) and the GUM strategy (nearpatient microscopy added). Day 7 results were obtained from final analysis of all specimens. Days 1 and 7 results were compared with the reference standard provided by all the test results. The main outcome measures were incorrect diagnoses on Days 1 and 7. On Day 1 the FP strategy resulted in significantly more incorrect diagnoses than the GUM strategy when compared with the reference standard (73 vs 32; p Vaginal discharge can be managed effectively in community settings such as FP and primary care. The addition of near-patient microscopy produces a more accurate immediate diagnosis. The addition of a high vaginal swab for culture produces a more accurate final diagnosis. The costs of on-site microscopy must be considered.

  15. Engaging Families, Building Relationships: Strategies for Working Across Systems from a Social Exchange Perspective

    OpenAIRE

    Karen Rice; Heather Girvin

    2014-01-01

    In child welfare, the relationship between worker and client is viewed as the mechanism through which families may be engaged. Certain settings may complicate the development of a helping relationship and require workers to counter these pressures by developing more effective means of engaging families. Utilizing a social exchange framework, this qualitative study was conducted to explore interactions among parents and professionals in dependency court hearings. Findings revealed that a lack ...

  16. Choosing Effective Youth-Focused Prevention Strategies: A Practical Guide for Applied Family Professionals

    Science.gov (United States)

    Olson, Jonathan R.

    2010-01-01

    Advances in the field of prevention science have resulted in strategies that target various youth outcomes. In recent years, numerous "best practices" lists have been developed to help professionals identify such strategies. Some scholars have questioned the quality of these lists and cautioned that there are flaws in evaluations of many…

  17. Publications on diagnostic test evaluation in family medicine journals: an optimal search strategy.

    NARCIS (Netherlands)

    Devillé, W L; Bezemer, P D; Bouter, L M

    Search strategies for articles reporting on diagnostic test evaluations have been subjected to less research than those in the domain of clinical trials. We set out to develop an optimal search strategy for publications on diagnostic test evaluations in general, that could be added to keywords

  18. Strategy for family health co-participation in the process of inclusion of children and adolescents with specialneeds education

    Directory of Open Access Journals (Sweden)

    Nayara Alves de Sousa

    2009-01-01

    Full Text Available The attention given to the family by staff of the health family serves as a model reorientador of actions health. Thus, exceeds, in their practices, the concept of health as absence of disease, turned to actions and curative medical-assistencials, centred on the disease. Every action is focused on management practices and health, democratic and participative, in the form of working in teams, addressed to the people of territories defined, for which the team takes responsibility. Faced integralizador the role of the health strategy in the family, it is critical to the co-participation in conjunction with the other sectors, especially education, embodied in the form of the school, since it deals directly with children and young people in full rise in the production of knowledge, they are endowed with functional capacities “normals” are affected by diseases that led to the period of hospitalization, or other reason for his expulsion school, requiring the partnership x school team in the process of reintegration of the same this environment. Highlight the role of the health strategy in the family not just in performance on measures directly related to health, but co-participant in the process of social and educational inclusion, through partnerships established with different social and institutional segments, speaking directly in situations beyond the specificity of the health sector and have decisive effects on the living conditions of the individual, family, society. From this co-responsibility and interdisciplinarity among health professionals and education, health steps to be understood and experienced not as a mere absence of disease but a process comprehensive, holistic and integralizador, thereby establishing networks of care in the care of the childrens and adolescents. For so much, bibliographical study was used, when the qualitative study was delimited, through consultations the magazines, heaps librarians and too many relevant

  19. The minisequencing method: a simple strategy for genetic screening of MEN 2 families

    Directory of Open Access Journals (Sweden)

    Domingues Rita

    2002-05-01

    Full Text Available Abstract Background Multiple endocrine neoplasia type 2 is an autosomal dominant disorder. MEN 2A is characterized by medullary thyroid carcinoma, pheochromocytoma and hyperparathyroidism; MEN 2B by medullary thyroid carcinoma, pheochromocytoma and characteristic stigmata. Activating germline mutations of the RET proto oncogene are responsible for this hereditary syndrome. Codon 634 mutations are the most common mutations occurring in MEN 2A families whereas a specific mutation at codon 918 is observed in the great majority of MEN 2B families. Analysis of these codons will provide a final diagnosis in the great majority of affected families making unnecessary further studies. To specifically study the codons 634 and 918 we used a minisequencing method as an alternative method to complete sequencing. Results Using this mutation detection method we were able to reproduce in all cases, representative of 7 families, the information previously obtained by direct sequencing of PCR products. Depending on the number of primers used in the minisequencing reaction, we were able to interrogate either only one nucleotide of the target codon or the three nucleotides simultaneously. Conclusions This technique appears as a simple, rapid and efficient method for genetic screening of MEN 2 families. It can be utilized to seek for unknown mutations at specific codons or to screen for previously identified mutations and is therefore of interest to study index cases or individuals at risk. Results suggest that complete sequencing is unnecessary.

  20. Parenting strategies and socio-cultural influences in childhood anxiety: Mexican, Latin American descent, and European American families.

    Science.gov (United States)

    Varela, R Enrique; Sanchez-Sosa, Juan Jose; Biggs, Bridget K; Luis, Timothy M

    2009-06-01

    This study examined the relationship between anxiety in Latin American children and Latino cultural schemas, parenting strategies, being an ethnic minority, and assimilation. Latin American (n=72; LA) and white European-American (n=46; EA) children living in the U.S., Mexican children living in Mexico (n=99; M), and at least one parent per family (n=283) were administered measures assessing anxiety, parenting strategies, collectivism, family cohesion, simpatia, parent-child communication, and assimilation. M and LA children expressed more anxiety symptoms than EA children. More mother control and less father acceptance were associated with childhood anxiety across all three groups. However, father control was associated with more anxiety for the EA group but not the MA group, and mother acceptance was associated with more anxiety for the EA and MA groups but with less anxiety for the M group. Family cohesion was negatively associated with children's anxiety independent of ethnic group. Finally, differing from parents in assimilation did not influence LA children's anxiety.

  1. The benefits and challenges of the Family Health Strategy in Brazilian Primary Health care: a literature review.

    Science.gov (United States)

    Arantes, Luciano José; Shimizu, Helena Eri; Merchán-Hamann, Edgar

    2016-05-01

    The aim of this study was to analyze what contributions the Family Health Strategy has made towards the development of primary healthcare in Brazil, and what challenges it faces. A literature review was conducted and articles were analyzed from three dimensions: political/institutional, organizational, and technical/healthcare. In the first dimension, the Family Health Strategy was found to have helped expand primary healthcare, the institutionalization of evaluations, and the promotion of equity. The main challenges identified were funding, the training, education, and management of personnel, and cross-sectoral action. In terms of organization, the benefits include a broader supply of services, access to health services through organized initiatives for specific diseases or age groups, and more comprehensive healthcare. The challenges involve access, the entry point, integration with the healthcare network, planning, and social participation. As for technical/healthcare considerations, the main benefits identified were the fostering of multidisciplinary working practices, family focus, reception, rapport, humanization, community orientation, production of care, and performance. The challenges for its improvement are associated with complex factors and require greater political/institutional effort.

  2. Evaluation of continuing education of family health strategy teams for the early identification of suspected cases of cancer in children.

    Science.gov (United States)

    Costa, Ana Maria Aranha Magalhaes; Magluta, Cynthia; Gomes Junior, Saint Clair

    2017-09-07

    This study evaluated the influence of continuing education of family health strategy teams by the Ronald McDonald Institute program on the early diagnosis of cancer in children and adolescents. The study applied Habicht's model to evaluate the adequacy and plausibility of continuing education by using as outcome the number of children with suspected cancer who were referred to the hospital of references in the 1 year before and 1 year after intervention and the number of patients referred by intervention group and control group family health strategy teams. Medical records from each hospital of reference were used to collect information of suspect cases of cancer. Descriptive analyses were performed using frequencies and mean values. Chi-square tests were used to assess statistically significant differences between the groups and periods by using p-values strategy teams that underwent the intervention referred 3.6 times more number of children to hospital of references than did the control group. Only the intervention group showed an increase in the number of confirmed cases. This evaluation of a continuing education program for early identification of pediatric cancer showed that the program was adequate in achieving the established goals and that the results could be attributed to the program.

  3. Strategies for helping families prepare for birth: experiences from eastern central Uganda

    OpenAIRE

    Tim?a, L?ga; Marrone, Gaetano; Ekirapa, Elizabeth; Waiswa, Peter

    2015-01-01

    Background: Promotion of birth preparedness and raising awareness of potential complications is one of the main strategies to enhance the timely utilisation of skilled care at birth and overcome barriers to accessing care during emergencies.Objective: This study aimed to investigate factors associated with birth preparedness in three districts of eastern central Uganda.Design: This was a cross-sectional baseline study involving 2,010 women from Iganga [community health worker (CHW) strategy],...

  4. Experiences and Coping Strategies of Host Families in International Youth Exchange

    Science.gov (United States)

    Weidemann, Arne; Bluml, Frances

    2009-01-01

    Twenty narrative interviews were conducted with German host parents between 2006 and 2007 about their experiences with a one-year stay of a guest student in their family. The study took place within the context of a student research project as part of the research-oriented MA course "Intercultural Communication-Intercultural Competence"…

  5. Strategies for Increasing the Role of Family Medicine in Mexican Health Care Reform

    NARCIS (Netherlands)

    Aranda, J.M. Ramirez; Weel, C. van; Goodyear-Smith, F.

    2017-01-01

    There is little or no role for primary care and family medicine in current health reforms in Mexico. However, robust evidence shows that primary care helps prevent morbidity and mortality and increases health equity. Mexico has participated in several international meetings sponsored by the World

  6. Applying Coaching Strategies to Support Youth- and Family-Focused Extension Programming

    Science.gov (United States)

    Olson, Jonathan R.; Hawkey, Kyle R.; Smith, Burgess; Perkins, Daniel F.; Borden, Lynne M.

    2016-01-01

    In this article, we describe how a peer-coaching model has been applied to support community-based Extension programming through the Children, Youth, and Families at Risk (CYFAR) initiative. We describe the general approaches to coaching that have been used to help with CYFAR program implementation, evaluation, and sustainability efforts; we…

  7. Mutation analysis for DJ-1 in sporadic and familial parkinsonism: screening strategy in parkinsonism.

    Science.gov (United States)

    Tomiyama, Hiroyuki; Li, Yuanzhe; Yoshino, Hiroyo; Mizuno, Yoshikuni; Kubo, Shin-Ichiro; Toda, Tatsushi; Hattori, Nobutaka

    2009-05-22

    DJ-1 mutations cause autosomal recessive parkinsonism (ARP). Although some reports of DJ-1 mutations have been published, there is lack of information on the prevalence of these mutations in large-scale studies of both familial and sporadic parkinsonism. In this genetic screening study, we analyzed the distribution and frequency of DJ-1 mutations by direct nucleotide sequencing of coding exons and exon-intron boundaries of DJ-1, in 386 parkin-negative parkinsonism patients (371 index cases: 67 probands of autosomal recessive parkinsonism families, 90 probands of autosomal dominant parkinsonism families, 201 patients with sporadic parkinsonism, and 13 with unknown family histories) from 12 countries (Japan 283, China 27, Taiwan 22, Korea 22, Israel 16, Turkey 5, Philippines 2, Bulgaria 2, Greece 2, Tunisia 1, USA 2, Ukraine 1, unknown 1). None had causative mutation in DJ-1, suggesting DJ-1 mutation is very rare among patients with familial and sporadic parkinsonism from Asian countries and those with other ethnic background. This is in contrast to the higher frequencies and worldwide distribution of parkin- and PINK1-related parkinsonism in ARP and sporadic parkinsonism. Thus, after obtaining clinical information, screening for mutations in (1) parkin, (2) PINK1, (3) DJ-1, (4) ATP13A2 should be conducted in that order, in ARP and sporadic parkinsonism, based on their reported frequencies. In addition, haplotype analysis should be employed to check for homozygosity of 1p36, which harbors a cluster of causative genes for ARP such as DJ-1, PINK1 and ATP13A2 in ARP and sporadic parkinsonism, especially in parkinsonism with consanguinity.

  8. Coping strategies and psychological distress among mothers of patients with nonsyndromic cleft lip and palate and the family impact of this disorder.

    Science.gov (United States)

    Hasanzadeh, Nadia; Khoda, Maryam Omid; Jahanbin, Arezoo; Vatankhah, Mona

    2014-03-01

    The current study aimed to investigate the coping strategies and level of psychological distress in mothers of patients with cleft lip and palate (CLP) and the family impact of this disorder. Participants were mothers of 55 children or adolescents with nonsyndromic CLP recruited from families attending a CLP clinic and 2 university hospitals in Mashhad, northeast of Iran. Family impact, psychological distress, and coping strategies were assessed using validated psychological questionnaires including Family Impact Scale, General Health Questionnaire, and Coping Response Inventory. Findings revealed that mothers relied more on the use of approach-oriented rather than avoidance-oriented coping strategies. According to General Health Questionnaire scores, 38.2% of mothers showed some evidence of psychological distress, and 23.6% were suspected of having severe psychological problems. Regarding the family impact of CLP, mothers reported the greatest impact to be on the family's financial status and parental emotions. Those mothers who used avoidant coping strategies reported a greater family impact of CLP (P = 0.002). Emotional discharge and acceptance coping were significant predictors of family impact (P = 0.037 and P = 0.035, respectively). Mothers of 13- to 18-year-old patients with CLP reported greater use of problem-solving coping strategy when compared with mothers of younger patients (P = 0.006). Child's age and coping strategies were not significant predictors of the level of mother's psychological distress. Increased knowledge about how parents cope with their child's craniofacial condition may help caregivers develop a more family-oriented care approach, which is sensitive to the psychosocial needs of parents, children, and their families.

  9. Screening and Replication using the Same Data Set: Testing Strategies for Family-Based Studies in which All Probands Are Affected

    OpenAIRE

    Murphy, Amy; Weiss, Scott T.; Lange, Christoph

    2008-01-01

    For genome-wide association studies in family-based designs, we propose a powerful two-stage testing strategy that can be applied in situations in which parent-offspring trio data are available and all offspring are affected with the trait or disease under study. In the first step of the testing strategy, we construct estimators of genetic effect size in the completely ascertained sample of affected offspring and their parents that are statistically independent of the family-based association...

  10. Siblings' mediated learning strategies in families with and without children with intellectual disabilities.

    Science.gov (United States)

    Tzuriel, David; Hanuka-Levy, Dikla

    2014-11-01

    Dyads of siblings in which the younger sibling had an intellectual disability (ID, n  =  25) were videotaped interacting. The ID group was compared with typically developing sibling dyads matched on mental age (n  =  25) and chronological age (n  =  25). We observed the mediation strategies, activation, and antimediation behaviors of older siblings and younger siblings' responsiveness to mediation. Mediation strategies were analyzed by the Observation of Mediation Interaction scale. The ID group scored highest on mediation strategies and lowest on activation and antimediation behaviors. Younger siblings' responsiveness to mediation was highest among the ID group. Mediation for Intentionality and Reciprocity and Meaning were positively associated with the verbal responsiveness of the younger siblings. Activation and antimediation behaviors were negatively associated with the verbal responsiveness.

  11. An integrated framework for assessing vulnerability to climate change and developing adaptation strategies for coffee growing families in Mesoamerica.

    Science.gov (United States)

    Baca, María; Läderach, Peter; Haggar, Jeremy; Schroth, Götz; Ovalle, Oriana

    2014-01-01

    The Mesoamerican region is considered to be one of the areas in the world most vulnerable to climate change. We developed a framework for quantifying the vulnerability of the livelihoods of coffee growers in Mesoamerica at regional and local levels and identify adaptation strategies. Following the Intergovernmental Panel on Climate Change (IPCC) concepts, vulnerability was defined as the combination of exposure, sensitivity and adaptive capacity. To quantify exposure, changes in the climatic suitability for coffee and other crops were predicted through niche modelling based on historical climate data and locations of coffee growing areas from Mexico, Guatemala, El Salvador and Nicaragua. Future climate projections were generated from 19 Global Circulation Models. Focus groups were used to identify nine indicators of sensitivity and eleven indicators of adaptive capacity, which were evaluated through semi-structured interviews with 558 coffee producers. Exposure, sensitivity and adaptive capacity were then condensed into an index of vulnerability, and adaptation strategies were identified in participatory workshops. Models predict that all target countries will experience a decrease in climatic suitability for growing Arabica coffee, with highest suitability loss for El Salvador and lowest loss for Mexico. High vulnerability resulted from loss in climatic suitability for coffee production and high sensitivity through variability of yields and out-migration of the work force. This was combined with low adaptation capacity as evidenced by poor post harvest infrastructure and in some cases poor access to credit and low levels of social organization. Nevertheless, the specific contributors to vulnerability varied strongly among countries, municipalities and families making general trends difficult to identify. Flexible strategies for adaption are therefore needed. Families need the support of government and institutions specialized in impacts of climate change and

  12. An integrated framework for assessing vulnerability to climate change and developing adaptation strategies for coffee growing families in Mesoamerica.

    Directory of Open Access Journals (Sweden)

    María Baca

    Full Text Available The Mesoamerican region is considered to be one of the areas in the world most vulnerable to climate change. We developed a framework for quantifying the vulnerability of the livelihoods of coffee growers in Mesoamerica at regional and local levels and identify adaptation strategies. Following the Intergovernmental Panel on Climate Change (IPCC concepts, vulnerability was defined as the combination of exposure, sensitivity and adaptive capacity. To quantify exposure, changes in the climatic suitability for coffee and other crops were predicted through niche modelling based on historical climate data and locations of coffee growing areas from Mexico, Guatemala, El Salvador and Nicaragua. Future climate projections were generated from 19 Global Circulation Models. Focus groups were used to identify nine indicators of sensitivity and eleven indicators of adaptive capacity, which were evaluated through semi-structured interviews with 558 coffee producers. Exposure, sensitivity and adaptive capacity were then condensed into an index of vulnerability, and adaptation strategies were identified in participatory workshops. Models predict that all target countries will experience a decrease in climatic suitability for growing Arabica coffee, with highest suitability loss for El Salvador and lowest loss for Mexico. High vulnerability resulted from loss in climatic suitability for coffee production and high sensitivity through variability of yields and out-migration of the work force. This was combined with low adaptation capacity as evidenced by poor post harvest infrastructure and in some cases poor access to credit and low levels of social organization. Nevertheless, the specific contributors to vulnerability varied strongly among countries, municipalities and families making general trends difficult to identify. Flexible strategies for adaption are therefore needed. Families need the support of government and institutions specialized in impacts of

  13. The earth-coupled heat pump: Utilizing innovative technology in single family rehabilitation strategies

    Energy Technology Data Exchange (ETDEWEB)

    1989-11-01

    The study examines the feasibility of incorporating the use of earth-coupled heat pump technology in single-family housing rehabilitation projects, based on energy conservation attributes and financial considerations. Following evaluation of a theoretical model which indicated that installations of the heat pumps were feasible, the heat pumps were tested under actual conditions in five single family housing units which were part of the Urban Homesteading Program, and were matched with comparable units which did not receive special treatment. Energy consumption information was collected for all units for twelve months. Variables were identified, and the data was analyzed for individual housing units and compared with the results predicted by the theoretical model to determine the practicality of incorporating such technology in large scale rehabilitation projects. 14 refs., 14 figs., 3 tabs.

  14. Decision support model for establishing the optimal energy retrofit strategy for existing multi-family housing complexes

    International Nuclear Information System (INIS)

    Hong, Taehoon; Koo, Choongwan; Kim, Hyunjoong; Seon Park, Hyo

    2014-01-01

    The number of multi-family housing complexes (MFHCs) over 15 yr old in South Korea is expected to exceed 5 million by 2015. Accordingly, the demand for energy retrofit in the deteriorating MFHCs is rapidly increasing. This study aimed to develop a decision support model for establishing the optimal energy retrofit strategy for existing MFHCs. It can provide clear criteria for establishing the carbon emissions reduction target (CERT) and allow efficient budget allocation for conducting the energy retrofit. The CERT for “S” MFHC, one of MFHCs located in Seoul, as a case study, was set at 23.0% (electricity) and 27.9% (gas energy). In the economic and environmental assessment, it was determined that scenario #12 was the optimal scenario (ranked second with regard to NPV 40 (net present value at year 40) and third with regard to SIR 40 (saving to investment ratio at year 40). The proposed model could be useful for owners, construction managers, or policymakers in charge of establishing energy retrofit strategy for existing MFHCs. It could allow contractors in a competitive bidding process to rationally establish the CERT and select the optimal energy retrofit strategy. It can be also applied to any other country or sector in a global environment. - Highlights: • The proposed model was developed to establish the optimal energy retrofit strategy. • Advanced case-based reasoning was applied to establish the community-based CERT. • Energy simulation was conducted to analyze the effects of energy retrofit strategy. • The optimal strategy can be finally selected based on the LCC and LCCO 2 analysis. • It could be extended to any other country or sector in the global environment

  15. [Perception of parental socialization strategies in adoptive and non-adoptive families].

    Science.gov (United States)

    Bernedo Muñoz, Isabel María; Fuentes Rebollo, María Jesús; Fernández-Molina, M; Bersabé Morán, Rosa

    2007-11-01

    Although parental socialization styles have been investigated in recent years, little research has been carried out on the issue of parental styles in adoptive families. The aim of this research is to analyse parental styles both from the point of view of the parents and of adopted and non-adopted adolescents, taking as covariables the adolescents' sex and age. The sample was made up of 55 adopted adolescents (20 boys and 35 girls with an age range of 11-17 years) and their 55 adoptive parents, and 402 non-adopted adolescents (200 boys and 202 girls with an age range of 11-17 years), and their 258 parents. Two scales evaluated parental styles: the Affect Scale and the Rules and Demands Scale. The results showed that, both from the point of view of the parents and of the adolescents, adoptive families are more affective, communicative and inductive, and less critical and indulgent than non-adoptive families. No differences were found between adopted and non-adopted adolescents on the Parents' Rigidity Scale.

  16. Children, Teachers, and Families Working Together to Prevent Childhood Obesity: Intervention Strategies

    Science.gov (United States)

    Stegelin, Dolores A.

    2008-01-01

    Obesity rates for children, adolescents, and adults continue to escalate in the United States and globally. Educators, health specialists, psychologists, and sociologists are studying the complex problems related to early obesity. Like other health problems, prevention and early detection are the most effective strategies. The causes and…

  17. Stress-buffering Effect of Coping Strategies on Interrole Conflict among Family Caregivers of People with Dementia.

    Science.gov (United States)

    Morimoto, Hiroshi; Furuta, Nobuo; Kono, Mitsue; Kabeya, Mayumi

    2017-08-23

    To examine the stress-buffering effect of coping strategies on the adverse effects of interrole conflict on the mental health of employed family caregivers, and clarify the moderating role of attentional control on this stress-buffering effect. Data were drawn from a two-wave longitudinal online survey of employed Japanese family caregivers of people with dementia (263 males, 116 females; age 51.54 ± 9.07 years). We assessed interrole conflict, coping strategies, attentional control, mental health variables (psychological strain and quality of life), and confounding factors. Hierarchical regression analyses controlled for sociodemographic factors found formal support seeking had a stress-buffering effect for strain- and behavior-based caregiving interfering with work (CIW) only on psychological strain, and was moderated by attentional control. Single slope analysis showed higher CIW was related to higher psychological strain in those with greater use of formal support seeking and lower attentional control, but not in those with higher attentional control. Greater use of formal support seeking weakens the adverse effects of strain- and behavior-based CIW on psychological strain in people with high attentional control. Attentional control is a key factor in the stress-buffering effect of formal support seeking on strain- and behavior-based CIW.

  18. The implementation of the Mais Médicos (More Doctors) Program and comprehensiveness of care in the Family Health Strategy.

    Science.gov (United States)

    Comes, Yamila; Trindade, Josélia de Souza; Pessoa, Vanira Matos; Barreto, Ivana Cristina de Holanda Cunha; Shimizu, Helena Eri; Dewes, Diego; Arruda, Carlos André Moura; Santos, Leonor Maria Pacheco

    2016-09-01

    The Mais Médicos (More Doctors) Program is a Brazilian government program that aims to expand access to medical care and thus improve the quality of primary healthcare delivery. This study aims to analyze the perceptions of nondoctor members of the Family Health Strategy teams regarding comprehensiveness of care after the inclusion of doctors from the program. The study encompassed 32 poor municipalities in Brazil's five geographical regions. A total of 78 health workers were interviewed. The interviews were transcribed and analyzed using content analysis and the software Atlas.ti Version 1.0.36. The study found that the program led to: an increase in access to and accessibility of services provided under the Family Health Strategy; humanized care and the establishment of bonds - understanding, partnership, friendship and respect; going back to clinical approaches - dedicated time, listening attentively, and detailed physical examination; the desire and willingness to resolve problems; continuity of care; guarenteeing home visits; and coordination of multidisciplinary teams in networks. It was concluded that the Mais Médicos Program contributed to the enhancement of comprehensiveness, thus leading to improvements in primary health care delivery.

  19. [Assessment of the cervical cancer screening in the Family Health Strategy in Amparo, São Paulo State, Brazil].

    Science.gov (United States)

    Vale, Diama Bhadra Andrade Peixoto do; Morais, Sirlei Siani; Pimenta, Aparecida Linhares; Zeferino, Luiz Carlos

    2010-02-01

    Uterine cervical cancer mortality has not been declining. The territorial distribution and registration of families in Brazil's Family Health Strategy help identify women that have performed a Pap smear or that have not had one for more than three years. This study analyzed whether cervical cancer screening in Amparo, São Paulo State, Brazil, made progress in complying with the prevailing guidelines during the seven years of experience with the Strategy. The annual examination rate remained high, with a slight trend towards greater intervals between follow-up tests. Distribution of tests tended to increase in the 40-59-year age bracket and decrease in the over-60 age group, while annual coverage tended to decrease. The proportions of excess tests varied from 61.2% to 65.5%. Concluding, the upgrading of cervical cancer screening was slight, and did not change the opportunistic pattern of follow-up tests. Considering that community health agents can act to increase the coverage of these measures, it is essential to train them for this work.

  20. Effectiveness of a physical activity program on indicators of health status of users of the Family Health Strategy

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    Janaina Vasconcelos Rocha

    Full Text Available Introduction The guided interventions in drug therapies contribute to the effectiveness of health promotion in the Family Health Strategy (FHS. Objective To evaluate the effectiveness of an action grounded in physical activity in heath state of users in the Unified Health System [Sistema Único de Saúde – SUS] of the Family Health Strategy of the Municipality of Iguaí (BA. Methodology Intervention study with an epidemiological approach, studies in the community, sample of 30 registered users on FHU aged ≥ 60 years old. Data collection was performed using an instrument that contained sociodemographic information, and evaluation of blood pressure and glucose levels, weight and height for later calculation of Body Mass Index (BMI. The physical activity program was conducted during the period of 10 months, with a frequency of 5 days/weeks. The activities were carried out in a city of FHU of Iguaí (BA. The data from this study were tabulated and analyzed using SPSS 15.0. Results After the intervention, there was a statistically significant reduction in levels in the blood pressure and glucose levels, and reduction in body mass index, indicating the importance of this intervention as a form of non-pharmacological treatment for hypertension and diabetes. Conclusion We observed the effectiveness of the intervention was possible to reduce risk factors, but it is necessary that the projects have sustainability, to continue with its development.

  1. Caring for the Veteran, military and family member nursing competencies: Strategies for integrating content into nursing school curricula.

    Science.gov (United States)

    McMillan, Libba Reed; Crumbley, David; Freeman, Julie; Rhodes, Marilyn; Kane, Michele; Napper, Joy

    In the United States, one in every 15 persons is a Veteran (U. S. Department of Veterans Affairs, 2016; U. S. News & World Report, 2017). An estimated 27% of these Veterans receive healthcare through the Veteran's Health Administration (VHA), leaving 73% to seek care in civilian hospitals (Bagalman, 2014). Realistically, most nurses in the United States will care for military members, Veterans or family members in a variety of healthcare systems and settings. Nurse educators are positioned to lead efforts in providing nursing students with the knowledge necessary to provide competent care and serve as advocates for our nation's heroes. Recent military deployments and news about the VHA have increased awareness of this population. This article describes competency development resulting from an academic-practice partnership experience between two baccalaureate programs and a national military medical center. Project SERVE, Students' Education Related to the Veteran Experience, utilizes a didactic-experiential model consisting of activities designed to teach students core concepts, including understanding military culture, poly-trauma, traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), and issues facing families and care-givers. This article includes competencies, delineating the Knowledge, Skills, Attitudes, and resources for the provision of care to the Veteran population. The authors offer strategies to integrate care of Veterans, and military/family members content into nursing programs and replicate similar experiences. Opportunities for future development, challenges, faculty resources for curricular inclusion, and student reflections of the experience are presented. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. STRATEGY FOR FAMILY HEALTH CO-PARTICIPATION IN THE PROCESS OF INCLUSION OF CHILDREN AND ADOLESCENTS WITH SPECIALNEEDS EDUCATION

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    Jamine Barros Oliveira

    2009-05-01

    Full Text Available The attention given to the family by staff of the health family serves as a model reorientador of actions health. Thus, exceeds, in their Estratégia de Saúde da Família: co- participação no processo de inclusão... practices, the concept of health as absence of disease, turned to actions and curative medical-assistencials, centred on the disease. Every action is focused on management practices and health, democratic and participative, in the form of working in teams, addressed to the people of territories defined, for which the team takes responsibility. Faced integralizador the role of the health strategy in the family, it is critical to the co-participation in conjunction with the other sectors, especially education, embodied in the form of the school, since it deals directly with children and young people in full rise in the production of knowledge, they are endowed with functional capacities “normals” are affected by diseases that led to the period of hospitalization, or other reason for his expulsion school, requiring the partnership x school team in the process of reintegration of the same this environment. Highlight the role of the health strategy in the family not just in performance on measures directly related to health, but co-participant in the process of social and educational inclusion, through partnerships established with different social and institutional segments, speaking directly in situations beyond the specificity of the health sector and have decisive effects on the living conditions of the individual, family, society. From this co-responsibility and interdisciplinarity among health professionals and education, health steps to be understood and experienced not as a mere absence of disease but a process comprehensive, holistic and integralizador, thereby establishing networks of care in the care of the childrens and adolescents. For so much, bibliographical study was used, when the qualitative study was delimited

  3. A Chemical Probe Strategy for Interrogating Inhibitor Selectivity Across the MEK Kinase Family.

    Science.gov (United States)

    Deibler, Kristine K; Mishra, Rama K; Clutter, Matthew R; Antanasijevic, Aleksandar; Bergan, Raymond; Caffrey, Michael; Scheidt, Karl A

    2017-05-19

    MEK4 is an upstream kinase in MAPK signaling pathways where it phosphorylates p38 MAPK and JNK in response to mitogenic and cellular stress queues. MEK4 is overexpressed and induces metastasis in advanced prostate cancer lesions. However, the value of MEK4 as an oncology target has not been pharmacologically validated because selective chemical probes targeting MEK4 have not been developed. Despite a high level of sequence homology in the ATP-binding site, most reported MEK inhibitors are selective for MEK1/2 and display reduced potency toward other MEKs. Here, we present the first functional and binding selectivity-profiling platform of the MEK family. We applied the platform to profile a set of known kinase inhibitors and used the results to develop an in silico approach for small molecule docking against MEK proteins. The docking studies identified molecular features of the ligands and corresponding amino acids in MEK proteins responsible for high affinity binding versus those driving selectivity. WaterLOGSY and saturation transfer difference (STD) NMR spectroscopy techniques were utilized to understand the binding modes of active compounds. Further minor synthetic manipulations provide a proof of concept by showing how information gained through this platform can be utilized to perturb selectivity across the MEK family. This inhibitor-based approach pinpoints key features governing MEK family selectivity and clarifies empirical selectivity profiles for a set of kinase inhibitors. Going forward, the platform provides a rationale for facilitating the development of MEK-selective inhibitors, particularly MEK4 selective inhibitors, and repurposing of kinase inhibitors for probing the structural selectivity of isoforms.

  4. RAPTURE OF WOMEN: STRATEGY IN TRAINING FAMILY NUCLEI, CAPITANIA DO PIAUÍ, CENTURY XVIII

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    TANYA MARIA PIRES BRANDÃO

    2011-12-01

    Full Text Available This text deals with the formation of Piauí society at the when the process of territorial conquest was in the stage of consolidation. It analyzes criminal processes involving the kidnapping of women during the 18 th century; a practice witch constituted a stratagem for the formation of family nuclei. The text proposes that this practice derived from both the numerical superiority of males among the free population and the expectations of both men and women who fought to improve their social positions for themselves and their descendants.

  5. Home care needs for elderly people in the context of the Family Health Strategy

    OpenAIRE

    Aires, Marinês; Aparecida Paz, Adriana

    2008-01-01

    This study had the objective of identifying the needs of care reported by a group of elderly people in a region covered by the Family Health Strateg y (ESF). The methodolog y used was based on a descriptive cross-sectional study, with a sample of 176 persons over 60 years of age. Most of the individuals were females, between 60 and 69 years old, with an average of 69.6 ± 7.4 years. The elderly reported co-morbidities, most of which were related to diseases of the circulatory and endocr...

  6. Interleukin-36 cytokines may overcome microbial immune evasion strategies that inhibit interleukin-1 family signaling.

    Science.gov (United States)

    Jensen, Liselotte E

    2017-08-15

    Pathogens deploy immune evasion strategies to successfully establish infections within their hosts. Naturally, the host responds by acquiring mechanisms to counter these strategies. There is increasing evidence that the three interleukin-36 (IL-36) cytokines, IL-36α, IL-36β and IL-36γ, play important roles in host immunity. With a focus on the skin as a target for microbial and viral invasion, the current knowledge of IL-36 functions is reviewed. Furthermore, the hypothesis that the IL-36s have evolved to counteract virulence factors is presented using viruses as an example. The IL-36s are related to IL-1α, IL-1β, IL-18, and IL-33. Numerous viruses affecting the skin have developed immune evasion strategies that neutralize IL-1α, IL-1β, or IL-18 signaling or combinations of these pathways. Through small differences in activation mechanisms and receptor utilization, it is possible that IL-36 signaling may proceed unhindered in the presence of these viral inhibitors. Thus, one physiological function of the IL-36s may be to counteract microbial immune evasion. Copyright © 2017 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

  7. The Unique Coping Strategies of African American Families with a Loved One with Schizophrenia: The Use of the Family Crisis Oriented Personal Evaluation Scale

    Science.gov (United States)

    Guada, Joseph

    2012-01-01

    This study assesses how a sample of African American families with a loved one with schizophrenia cope using a commonly used family coping scale (F-COPES). The scale's overall performance and psychometric properties were tested to highlight how such families cope. The results demonstrated that families used proactive verses passive ways of coping.…

  8. Involving Parents/Family in Treatment during the Transition from Late Adolescence to Young Adulthood: Rationale, Strategies, Ethics, and Legal Issues.

    Science.gov (United States)

    Livesey, Cecilia M W; Rostain, Anthony L

    2017-04-01

    The progression from adolescence to adulthood is a time of tremendous change, characterized by issues of identity formation, autonomy, and shifting relationship dynamics. The family is embedded in all aspects of this transition and serves as both a protective support and a limiting factor, a complicated duality that raises psychological, ethical, and legal issues. This article discusses the influence of familial factors and provides assessment strategies for evaluating the family in relation to treatment of transitional age youth. It is increasingly evident that family engagement is a significant contributor to outcomes for transitional age youth seeking mental health treatment. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Behavior of Internal Customer in Family Business: Strategies and Actions for Improving Their Satisfaction

    Science.gov (United States)

    Gutiérrez-Broncano, Santiago; Jiménez-Estévez, Pedro; del Carmen Zabala-Baños, María

    2017-01-01

    Determining the relevant aspects of family businesses (FBs) that make them increasingly competitive is the main objective of researchers in this field. Despite this, there is little empirical literature on the behavior of the internal customer (IC) in FBs or how businesses increase their satisfaction. Basing our work on psychological theories and with both quantitative and qualitative information from 31 semi-structured interviews, this work establishes certain characteristics of the ICs of the FB and proposes a series of guidelines for increasing their satisfaction, thereby facilitating the continuity of this type of business. FBs that are able to understand that the motivation of their ICs is more important than other qualities, and that this requires a more comprehensive management will be able to get sustainable competitive advantages in the future. PMID:28790958

  10. Family Health Strategy professionals' view on the effects of Hansen's disease training

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    Ana Lúcia Alves de Souza

    2015-08-01

    Full Text Available OBJECTIVEEvaluating how professionals of family health teams from three municipalities of Pernambuco perceive and interpret the effects of Hansen's disease training.METHODSA qualitative study using the perspective of Habermas. Six focus groups, totaling 33 nurses and 22 doctors were formed. The guide consisted of: reactions to training, learning, transfer of knowledge and organizational results.RESULTSThere were recurrent positive opinions on instructor performance, course materials, and an alert attitude to the occurrence of cases; the negative points were about lack of practical teaching, a lot of information in a short period of time and little emphasis on basic content. Low perceived self-efficacy and low locus of control, ambiguity, conflict of skills and the lack of support for the learning application. Nurses showed greater dissatisfaction with the organizational support.CONCLUSIONThe low effectiveness of training reveals the need to negotiate structured training from work problematization, considering performance conditions.

  11. Behavior of Internal Customer in Family Business: Strategies and Actions for Improving Their Satisfaction.

    Science.gov (United States)

    Gutiérrez-Broncano, Santiago; Jiménez-Estévez, Pedro; Del Carmen Zabala-Baños, María

    2017-01-01

    Determining the relevant aspects of family businesses (FBs) that make them increasingly competitive is the main objective of researchers in this field. Despite this, there is little empirical literature on the behavior of the internal customer (IC) in FBs or how businesses increase their satisfaction. Basing our work on psychological theories and with both quantitative and qualitative information from 31 semi-structured interviews, this work establishes certain characteristics of the ICs of the FB and proposes a series of guidelines for increasing their satisfaction, thereby facilitating the continuity of this type of business. FBs that are able to understand that the motivation of their ICs is more important than other qualities, and that this requires a more comprehensive management will be able to get sustainable competitive advantages in the future.

  12. A test of alternative supervision strategies for family planning services in Guatemala.

    Science.gov (United States)

    Vernon, R; Staunton, A; García, M; Arroyo, J J; Rosenberg, R

    1994-01-01

    This report presents results of an operations research project that tested the impact and cost-effectiveness of alternative supervision schemes of reproductive health services in Guatemala. The strategies tested were (1) indirect supervision, in which one of the two annual supervised visits to each health unit was replaced by a one-day meeting at the district level with the supervisor; and (2) self-assessment, in which one supervised visit was replaced by a two-day workshop where participants filled out self-assessment checklists identifying quality of care problems and made a plan to solve identified problems during the following months. Health units in the two experimental groups showed greater increases in productivity than units receiving traditional supervision. In both alternative strategies, supervisors were able to reach a larger proportion of health units and service providers than through the traditional supervision system. The supervised cost per unit was also lower in the two experimental groups than in the control group. Few differences were observed between the experimental and control groups in terms of the satisfaction of service providers with their jobs and of clients with services received.

  13. The Team Of The Family Health Strategy And The Doctrinal Principles Of The Unified Health System: Perceptions And Applicability

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    Woneska Rodrigues Pinheiro

    2017-05-01

    Full Text Available Introduction: The SUS, which was guaranteed by the Brazilian Constitution of 1988 and regulated by organic laws of health, offers a system governed of doctrinal principles (universality, fairness and completeness concerning the philosophy of the system and extend the concept of health and the right to it. On the promotion of these principles, the municipalization of health is referred to as a policy of decentralization which incorporates basic health attention, permeated by the principles of the SUS, where inserts in this context the basic health units (UBS that are entrance doors of the population to the system. When considering that the proposals brought by the family health strategy (FHS are great potential to restructure the welfare model and the Organization of health services, and these proposals based on the principles governing the SUS, becomes essential, inter alia, that the worker member of this team have involvement and knowledge of the project, as well as on its goals and principles governing it. Objective: Check the knowledge and promotion of doctrinal principles of the SUS by active team of FHS in the town of Juazeiro do Norte in the State of Ceará (CE, Brazil.  Method: This work deals with a transversal nature study exploratory, qualitative approach. The survey was conducted in the family health strategy of the city of Juazeiro do Norte-CE, with top level professionals (physician, nurses and dentists who work on units during the collection period. The collection was performed through a semi structured interview and the data analyzed by means of the collective subject discourse. This study was submitted to the Ethics Committee of the College Lion Sa, having the opinion of approved (nº: 1.067.638.  Results: the results showed that the professionals have demonstrated no knowledge of, nor promote some doctrinal principles of the SUS coherently. The knowledge that they have are fragmented and incipient, and Praxis (theory

  14. The psychosocial problems of families caring for relatives with mental illnesses and their coping strategies: a qualitative urban based study in Dar es Salaam, Tanzania.

    Science.gov (United States)

    Iseselo, Masunga K; Kajula, Lusajo; Yahya-Malima, Khadija I

    2016-05-14

    Mental illness may cause a variety of psychosocial problems such as decreased quality of life of the patient's family members as well as increased social distance for the patient and the family caring for the patient. Psychosocial challenges are enhanced by the stigma attached to mental illness, which is a problem affecting not only the patient but also the family as a whole. Coping mechanisms for dealing with mentally ill patients differ from one family to another for a variety of reasons. The aim of the study was to determine the psychosocial problems of mental illness on the family including the coping strategies utilized by family members caring for a person with mental illness. A qualitative study was conducted, involving four focus group discussions and 2 in-depth interviews of family members who were caring for patient with mental illness at Temeke Municipality, Dar es Salaam. Purposive sampling procedure was used to select participants for the study. Audio-recorded interviews in Swahili were conducted with all study participants. The recorded interview was transcribed and qualitative content thematic analysis was used to analyse the data. Financial constraints, lack of social support, disruption of family functioning, stigma, discrimination, and patients' disruptive behaviour emerged as the main themes in this study. Acceptance and religious practice emerged as the major coping strategies used by family members. Familial care for a person with mental illness has its advantages, yet it has multiple social and psychological challenges. Coping strategies and skills are important for the well-being of the caregiver and the patient. Addressing these psychosocial challenges requires a collaborative approach between the health care providers and government so that the needs of the family caregivers and those of the patients can be addressed accordingly.

  15. [Characterization of the family health strategy in Amazonas state, Brazil: an analysis of implementation and impact].

    Science.gov (United States)

    de Oliveira, Hadelândia Milon; Gonçalves, Maria Jacirema Ferreira; Pires, Rodrigo Otávio Moretti

    2011-01-01

    This article focuses on the implementation of the Family Health Program (FHP) in municipalities (counties) in the State of Amazonas, Brazil, analyzing potential population coverage, evidence of change in the health care model, and impact (2004 and 2008). Implementation was classified as fair versus unsatisfactory. The findings showed an increase in the number of municipalities with the FHP implemented, as well as in the program's coverage (which nevertheless was less than 50% of the population). Concerning change in the health care model, no municipalities were observed with a high rate of change. As for impact, there was a decrease in low impact and an increase in high impact. The final classification did not show a statistically significant change from one year to the next, and unsatisfactory implementation prevailed in the municipalities of the State of Amazonas. Evaluation of the FHP is not simple, since there are various factors involved in the issue. Further studies could reveal the factors that explain the program's suboptimal implementation in the State of Amazonas.

  16. Health care for women over 50: programmatic vulnerability in the Family Health Strategy

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    Kelly Karine Pasqual

    Full Text Available OBJECTIVE: To assess the health care process for women over 50 at a Family Health Unit based on the concept of programmatic vulnerability. METHOD: This study is inserted in the field of health care assessments. The framework proposed by Donabedian was used to analyze 90.5% of the 790 records of women registered at the unit. RESULTS: It was observed that none of the women that did not have a diagnosed pathology attended the recommended consultations or underwent the recommended tests. Of the total number of women with hypertension or diabetes, 20.7% were registered in the Hiperdia Programme and less than 1.0% had attended the consultations and undergone the necessary tests. Only 11.9% of the women had had a gynaecological examination, a clinical breast examination and a mammography the year before data collection. CONCLUSION: It is concluded that women over 50 are in a situation of programmatic vulnerability in terms of the indicators established in this study. Knowledge of this reality can help nurses provide care that is best suited for this group.

  17. [Psychology and basic attention: experiences of trainees in Family Health Strategy].

    Science.gov (United States)

    de Sousa, Valdemar Donizeti; Cury, Vera Engler

    2009-10-01

    This study shows a qualitative research based on a humanist theory in relation to the experiences of trainees from the psychology course of PUC-Campinas, that are participating in family health teams in the areas of Health/Clinic and basic attention in public health. The participants were six trainees in the last year of the course and located in two Health-School Centers in the Northwest region of Campinas. The methodology used was an ethnographic view. The processes of data composition were produced in two different moments: a) by weekly register on the trainee's personal diary during five months; b) semi-directed individual interviews at the end of the term. These data were analyzed according to a phenomenological reading. It was found evolutive stages in the process of the trainee formation. Initially, the experience was lived with surprise and strangeness, resulting in contradictory feelings of innapropriation to their inexperience to work in teams. On the other hand, because they were well received by the group, there was a personal transformation considered to be very enriching, symbolized as a single felling of belonging, motivating efforts to a creative and integrating clinic practice.

  18. FAMILY HEALTH STRATEGY OF PARTICIPATION IN MUNICIPAL HEALTH PLAN CONSTRUCTION: AN EXPERIENCE REPOR

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    Adilson Ribeiro dos Santos

    2015-08-01

    Full Text Available The Municipal Health Plan is an important planning tool in the management at the Unified Health System and at the same time, a mechanism for popular participation. This study aims to report the experience of the Municipal Health Plan’s workshop conducted by a Family Health Program team in a municipality in the south of Bahia Construção do Plano Municipal de Saúde. in the year 2014. This is an experience report that consolidates itself as a descriptive research tool that presents a reflection about an action that addresses a situation experienced in the professional interest of the scientific community. The workshop included the team and community members’ participation. The population's health problems follow a national trend, highlighting problems like diabetes, hypertension, worms, abuse of alcohol and other drugs inaddition to viruses. The health system problems reveal the weaknesses in local management of the Unified Health System by the insufficiency and/or lack of resources such as drugs, tests, equipment maintenance and others. Therefore, we emphasize the importance of the Municipal Health Plan as a management tool of the Unified Health System that allows closeness between users, workers and managers, as well as being a space for policy vocalization, contributing to the real effectiveness of the Unified Health System, based on participatory planning in accordance with the needs of users.

  19. The narrow entrance door of Brazil's national health system (SUS: an evaluation of accessibility in the family health strategy

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    Ana Lucia Martins de Azevedo

    2010-01-01

    Full Text Available This study has the purpose of analyzing users' perception of the accessibility to Estratégia Saúde da Família (ESF - Family Health Strategy in its geographical, organizational, socio-cultural and economic dimensions. Process evaluation with qualitative approach through open interview, direct observation and documental analysis was performed in the city of Recife, northeastern Brazil. The main problems were: the deficient referral and counter-referral system; delayed return of laboratory test results; excessive number of families per team; difficulties in scheduling medical consultations; expenditures on medicines. Facilities were observed in the professional-user relationship, as well as in the geographical proximity of the health unit. ESF proved to be a narrow entrance door to Sistema Único de Saúde (SUS - Brazil's National Health System. Therefore, it deserves to be evaluated with a more critical look that takes into account, as a starting point, the needs of individuals who request its actions, as well as the reasoning which guides the actions of the subjects involved in care.

  20. [User embracement in the Family Health Strategy in Brazil: an integrative review].

    Science.gov (United States)

    Garuzi, Miriane; Achitti, Maria Cecília de Oliveira; Sato, Cintia Ayame; Rocha, Suelen Alves; Spagnuolo, Regina Stella

    2014-02-01

    To review the literature regarding the application of the notion of user embracement and to identify the contributions of this concept for primary health care practices in Brazil. We carried out an integrative review of the literature regarding primary health care. The following databases were searched: LILACS, SciELO, and MEDLINE, covering the period from 2006 to 2010. The following search terms were used in LILACS and SciELO: "acolhimento" and "programa saúde da família" and "saúde". For MEDLINE, the terms "user embracement" and "family health program" and "health" were used. The review was performed in November 2010. We identified 21 articles meeting the inclusion criteria, all of which described studies carried out in Brazil. The articles were divided into three empirical categories: integration and embracement; primary care work process; and evaluation of services. These are complementary categories that converge to two main views of embracement: the first sees embracement as a means of reorganizing the primary health care environment, and the second sees embracement as an attitude towards users. The review also shows that embracement may be a management tool that supports the Unified Health System and is associated with the principles of comprehensiveness and universality. Embracement is able to create a bond between health care workers and users. It promotes self-care, a better understanding of disease, as well as user co-responsibility for treatment. In addition, it facilitates universal access, strengthens multiprofessional and intersectoral work, qualifies care, humanizes practices, and encourages actions to combat prejudice. Nevertheless, the perspective of health care users regarding embracement deserves more attention and should be the focus of future studies.

  1. The multigene families of actinoporins (part II): Strategies for heterologous production in Escherichia coli.

    Science.gov (United States)

    Valle, A; Hervis, Y P; Socas, L B P; Canet, L; Faheem, M; Barbosa, J A R G; Lanio, M E; Pazos, I F

    2016-08-01

    The sea anemone venom contains pore-forming proteins (PFP) named actinoporins, due to their purification from organisms belonging to Actiniaria order and its ability to form pores in sphingomyelin-containing membranes. Actinoporins are generally basic, monomeric and single-domain small proteins (∼20 kDa) that are classified as α-type PFP since the pore formation in membranes occur through α-helical elements. Different actinoporin isoforms have been isolated from most of the anemones species, as was analyzed in the first part of this review. Several actinoporin full-length genes have been identified from genomic-DNA libraries or messenger RNA. Since the actinoporins lack carbohydrates and disulfide bridges, their expression in bacterial systems is suitable. The actinoporins heterologous expression in Escherichia coli simplifies their production, replaces the natural source reducing the ecological damage in anemone populations, and allows the production of site-specific mutants for the study of the structure-function relationship. In this second part of the review, the strategies for heterologous production of actinoporins in Escherichia coli are analyzed, as well as the different approaches used for their purification. The activity of the recombinant proteins with respect to the wild-type is also reviewed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Impact of choice of coping strategies and family functioning on psychosocial function of young people with epilepsy.

    Science.gov (United States)

    Clarke, Allison L; Critchley, Christine

    2016-06-01

    Both medical and psychological factors have an important impact upon the psychosocial functioning of young people with epilepsy. The purpose of this study was to identify factors that distinguish young people with epilepsy and high psychosocial functioning from those with lower levels. The participants were 114 young people (40 males, 74 females) with active epilepsy and a mean age of 17.92years (SD=3.90) who completed either a paper (60.5%) or a web-based survey (39.5%) comprising demographic, medical, and psychosocial measures. Psychosocial measures included family functioning, adolescent coping, anxiety, depression, and quality of life. A latent class analysis produced two psychosocial functioning groups based on participants' scores for anxiety, depression, and quality of life. Young people were more likely to be members of the group with poor psychosocial functioning if they had a seizure in the last month (Wald=5.63, pfamilies with lower levels of communication and problem solving (Wald=5.28, pcoping strategies such as wishful thinking, withdrawal, and worry (Wald=12.00, pfamily functioning and encouraging less use of nonproductive coping strategies. Crown Copyright © 2016. Published by Elsevier Inc. All rights reserved.

  3. Strategies for Recruitment and Retention of Families from Low-Income, Ethnic Minority Backgrounds in a Longitudinal Study of Caregiver Feeding and Child Weight.

    Science.gov (United States)

    Brannon, Erin E; Kuhl, Elizabeth S; Boles, Richard E; Aylward, Brandon S; Ratcliff, Megan Benoit; Valenzuela, Jessica M; Johnson, Susan L; Powers, Scott W

    2013-01-01

    Children from low-SES and ethnic minority backgrounds are at heightened risk for overweight, yet are underrepresented in the pediatric obesity literature. The current paper describes strategies employed to minimize barriers to recruitment and retention of African-American families receiving WIC services in a longitudinal study examining caregiver feeding and child weight. Seventy-six families enrolled in the study over 3.5 years, and 50% of the families completed the study. Despite effortful planning, unanticipated barriers likely contributed to lengthy recruitment and a modest retention rate. Future research should incorporate lessons learned to modify and develop effective strategies for increasing engagement of low-SES and ethnic minority families in research.

  4. Unmeasured costs of a child's death: perceived financial burden, work disruptions, and economic coping strategies used by American and Australian families who lost children to cancer.

    Science.gov (United States)

    Dussel, Veronica; Bona, Kira; Heath, John A; Hilden, Joanne M; Weeks, Jane C; Wolfe, Joanne

    2011-03-10

    Financial concerns represent a major stressor for families of children with cancer but remain poorly understood among those with terminally ill children. We describe the financial hardship, work disruptions, income loss, and coping strategies of families who lost children to cancer. Retrospective cross-sectional survey of 141 American and 89 Australian bereaved parents whose children died between 1990 and 1999 and 1996 to 2004, respectively, at three tertiary-care pediatric hospitals (two American, one Australian). Response rate: 63%. Thirty-four (24%) of 141 families from US centers and 34 (39%) of 88 families from the Australian center reported a great deal of financial hardship resulting from their children's illness. Work disruptions were substantial (84% in the United States, 88% in Australia). Australian families were more likely to report quitting a job (49% in Australia v 35% in the United States; P = .037). Sixty percent of families lost more than 10% of their annual income as a result of work disruptions. Australians were more likely to lose more than 40% of their income (34% in Australia v 19% in the United States; P = .035). Poor families experienced the greatest income loss. After accounting for income loss, 16% of American and 22% of Australian families dropped below the poverty line. Financial hardship was associated with poverty and income loss in all centers. Fundraising was the most common financial coping strategy (52% in the United States v 33% in Australia), followed by reduced spending. In these US and Australian centers, significant household-level financial effects of a child's death as a result of cancer were observed, especially for poor families. Interventions aimed at reducing the effects of income loss may ease financial distress.

  5. Impact of the Family Health Strategy in dentistry in children under 6 years of a Network of Public Health Santiago de Cali

    Directory of Open Access Journals (Sweden)

    Lina María García Zapata

    2015-01-01

    Full Text Available Introduction: High rates of disease occur in childhood by dental decays; 10 years ago, the ESE Ladera of Cali implemented in Comuna 20 a Family Health Strategy (FHS. Objective: To evaluate the impact of the Family Health Strategy on the increase of oral health improvement in children under 6 years old at the municipality of Santiago de Cali 20. Material and methods: A Case Control study was conducted, taken as cases children from families of the Comuna 20 visited by FHS, and two controls. Finally, a multivariate multilevel linear regression analysis was conducted in order to estimate the proportion of the variance explained by the variables from the different levels included in the statistical model. Results: dental care from tooth decays was higher in children from visited families, β coef. = -0.042, 95%IC (-0.06 to -0.001, dental care increased with age, β coef = 0.02, 95%CI (0.0070 to 0.044, dental care was higher among vulnerable families, β coef. = 0.03, 95%CI (0.01 to 0.14, and among families living in overcrowded houses, β coef. = 0.081, 95%IC (0.01-0.14. On Linear regression multilevel analysis, the increasing on dental productivity of the FHS was explained by age of the child (9.4%, variables of the second level found associated to increased productivity of the FHS were: house overcrowding and tobacco use among adults at home, they both explained 53% of the variability. Conclusions: Children of families visited by the FHS were 3 likely to be cared for tooth decay than children from families who were not visited and the variables associated with the increased productivity of the FHS on dental care were child’s age, and house overcrowding and tobacco consumption among adult family members of the child.

  6. Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil.

    Science.gov (United States)

    Barreto, Maria Nelly Sobreira de Carvalho; Cesse, Eduarda Ângela Pessoa; Lima, Rodrigo Fonseca; Marinho, Michelly Geórgia da Silva; Specht, Yuri da Silva; de Carvalho, Eduardo Maia Freese; Fontbonne, Annick

    2015-01-01

    To evaluate the access to drugs for hypertension and diabetes and the direct cost of buying them among users of the Family Health Strategy (FHS) in the state of Pernambuco, Brazil. Population-based, cross-sectional study of a systematic random sample of 785 patients with hypertension and 823 patients with diabetes mellitus who were registered in 208 randomly selected FHS teams in 35 municipalities of the state of Pernambuco. The selected municipalities were classified into three levels with probability proportional to municipality size (LS, large-sized; MS, medium-sized; SS, small-sized). To verify differences between the cities, we used the χ2 test. Pharmacological treatment was used by 91.2% patients with hypertension whereas 85.6% patients with diabetes mellitus used oral antidiabetic drugs (OADs), and 15.4% used insulin. The FHS team itself provided antihypertensive medications to 69.0% patients with hypertension, OADs to 75.0% patients with diabetes mellitus, and insulin treatment to 65.4%. The 36.9% patients with hypertension and 29.8% with diabetes mellitus that had to buy all or part of their medications reported median monthly cost of R$ 18.30, R$ 14.00, and R$ 27.61 for antihypertensive drugs, OADs, and insulin, respectively. It is necessary to increase efforts to ensure access to these drugs in the primary health care network.

  7. O RGANIZATION OF WORK OF NURSING IN FAMILY HEALTH STRATEGIES OF THE CITY OF CÁCERES - MT

    Directory of Open Access Journals (Sweden)

    Sylvia Maria Barbosa Cunha

    2013-05-01

    Full Text Available The primary care team should be able to plan, organize, develop and evaluate actions that respondto community needs and articulate the various sectors involved in health promotion. Knowing theprofile of these professionals can take steps towards their qualification and performance, for a moreadequate assistance and quality of the population.Objective:Learn to Work OrganizationStrategies in Nursing Family Health Cáceres-MT.Methodology:This is a quantitative andqualitative research.Data collection occurred through questionnaires given to professional nursesand nursing technicians FHT the city of Cáceres, between the months of September and October2011.Result:We found that the relationship between professional community and currently is aprocess that is weakened. They state that almost always feel satisfied with their freedom andautonomy at work. Indicate the main impediments that hinder the work, such as inadequate physicalinfrastructure, lack of financial resources, materials, procedures, drug shortages, low pay.Conclusion:Work organization means not only reflect the way work is designed and ordered, butthink of all that makes up thiscontext and their social integration

  8. Obtaining family consent for participation in Alzheimer’s research in a Cuban-American population: Strategies to overcome the barriers

    Science.gov (United States)

    Williams, Christine L.; Tappen, Ruth; Buscemi, Charles; Rivera, Richard; Lezcano, Jennifer

    2007-01-01

    Cultural values and beliefs affect family attitudes toward participation in research. Significant resistance to allowing their elders with dementia to participate in clinical research was encountered in Cuban-American families. These families expressed concern about disturbing the elder’s comfort (tranquilidad) and solitude (soledad) Furthermore, most believed that intervention would be futile. Feelings of guilt associated with nursing home placement may have been exacerbated by the suggestion that active intervention could be effective. Strategies to overcome these barriers included reduced emphasis on the potential superiority of the intervention to be tested, reassurance that contact with research staff was usually appreciated by participants, arrangements to talk with the family as a group about the study, and increased use of Spanish-language consent forms. PMID:11398568

  9. [Coverage by health insurance or discount cards: a household survey in the coverage area of the Family Health Strategy].

    Science.gov (United States)

    Fontenelle, Leonardo Ferreira; Camargo, Maria Beatriz Junqueira de; Bertoldi, Andréa Dâmaso; Gonçalves, Helen; Maciel, Ethel Leonor Noia; Barros, Aluísio J D

    2017-10-26

    This study was designed to assess the reasons for health insurance coverage in a population covered by the Family Health Strategy in Brazil. We describe overall health insurance coverage and according to types, and analyze its association with health-related and socio-demographic characteristics. Among the 31.3% of persons (95%CI: 23.8-39.9) who reported "health insurance" coverage, 57.0% (95%CI: 45.2-68.0) were covered only by discount cards, which do not offer any kind of coverage for medical care, but only discounts in pharmacies, clinics, and hospitals. Both for health insurance and discount cards, the most frequently cited reasons for such coverage were "to be on the safe side" and "to receive better care". Both types of coverage were associated statistically with age (+65 vs. 15-24 years: adjusted odds ratios, aOR = 2.98, 95%CI: 1.28-6.90; and aOR = 3.67; 95%CI: 2.22-6.07, respectively) and socioeconomic status (additional standard deviation: aOR = 2.25, 95%CI: 1.62-3.14; and aOR = 1.96, 95%CI: 1.34-2.97). In addition, health insurance coverage was associated with schooling (aOR = 7.59, 95%CI: 4.44-13.00) for complete University Education and aOR = 3.74 (95%CI: 1.61-8.68) for complete Secondary Education, compared to less than complete Primary Education. Meanwhile, neither health insurance nor discount card was associated with health status or number of diagnosed diseases. In conclusion, studies that aim to assess private health insurance should be planned to distinguish between discount cards and formal health insurance.

  10. Implementation of Brazil's "family health strategy": factors associated with community health workers', nurses', and physicians' delivery of drug use services.

    Science.gov (United States)

    Spector, Anya Y; Pinto, Rogério M; Rahman, Rahbel; da Fonseca, Aline

    2015-05-01

    Brazil's "family health strategy" (ESF), provides primary care, mostly to individuals in impoverished communities through teams of physicians, nurses, and community health workers (CHWs). ESF workers are called upon to offer drug use services (e.g., referrals, counseling) as drug use represents an urgent public health crisis. New federal initiatives are being implemented to build capacity in this workforce to deliver drug use services, yet little is known about whether ESF workers are providing drug use services already. Guided by social cognitive theory, this study examines factors associated with ESF workers' provision of drug use services. Cross-sectional surveys were collected from 262 ESF workers (168 CHWs, 62 nurses, and 32 physicians) in Mesquita, Rio de Janeiro State and Santa Luzia, Minas Gerais State. provision of drug-use services. capacity to engage in evidence-based practice (EBP), resource constraints, peer support, knowledge of EBP, and job title. Logistic regression was used to determine relative influence of each predictor upon the outcome. Thirty-nine percent reported providing drug use services. Younger workers, CHWs, workers with knowledge about EBP and workers that report peer support were more likely to offer drug use services. Workers that reported resource constraints and more capacity to implement EBP were less likely to offer drug use services. ESF workers require education in locating, assessing and evaluating the latest research. Mentorship from physicians and peer support through team meetings may enhance workers' delivery of drug use services, across professional disciplines. Educational initiatives aimed at ESF teams should consider these factors as potentially enhancing implementation of drug use services. Building ESF workers' capacity to collaborate across disciplines and to gain access to tools for providing assessment and treatment of drug use issues may improve uptake of new initiatives. Copyright © 2014 Elsevier B.V. All

  11. Comparison of staff and family perceptions of causes of noise pollution in the Pediatric Intensive Care Unit and suggested intervention strategies

    Directory of Open Access Journals (Sweden)

    Harsheen Kaur

    2016-01-01

    Full Text Available Noise and excessive, unwanted sound in the Pediatric Intensive Care Unit (PICU is common and has a major impact on patients′ sleep and recovery. Previous research has focused mostly on absolute noise levels or included only staff as respondents to acknowledge the causes of noise and to plan for its reduction. Thus far, the suggested interventions have not ameliorated noise, and it continues to serve as a barrier to recovery. In addition to surveying PICU providers through internet-based software, patients′ families were evaluated through in-person interviews utilizing a pretested instrument over 3 months. Families of patients admitted for more than 24 h were considered eligible for evaluation. Participants were asked to rank causes of noise from 1 to 8, with eight being highest, and identified potential interventions as effective or ineffective. In total, 50 families from 251 admissions and 65 staff completed the survey. Medical alarms were rated highest (mean ± standard deviation [SD], 4.9 ± 2.1 [2.8-7.0], followed by noise from medical equipment (mean ± SD, 4.7 ± 2.1 [2.5-6.8]. This response was consistent among PICU providers and families. Suggested interventions to reduce noise included keeping a patient′s room door closed, considered effective by 93% of respondents (98% of staff; 88% of families, and designated quiet times, considered effective by 82% (80% of staff; 84% of families. Keeping the patient′s door closed was the most effective strategy among survey respondents. Most families and staff considered medical alarms an important contributor to noise level. Because decreasing the volume of alarms such that it cannot be heard is inappropriate, alternative strategies to alert staff of changes in vital signs should be explored.

  12. Comparison of staff and family perceptions of causes of noise pollution in the Pediatric Intensive Care Unit and suggested intervention strategies.

    Science.gov (United States)

    Kaur, Harsheen; Rohlik, Gina M; Nemergut, Michael E; Tripathi, Sandeep

    2016-01-01

    Noise and excessive, unwanted sound in the Pediatric Intensive Care Unit (PICU) is common and has a major impact on patients' sleep and recovery. Previous research has focused mostly on absolute noise levels or included only staff as respondents to acknowledge the causes of noise and to plan for its reduction. Thus far, the suggested interventions have not ameliorated noise, and it continues to serve as a barrier to recovery. In addition to surveying PICU providers through internet-based software, patients' families were evaluated through in-person interviews utilizing a pretested instrument over 3 months. Families of patients admitted for more than 24 h were considered eligible for evaluation. Participants were asked to rank causes of noise from 1 to 8, with eight being highest, and identified potential interventions as effective or ineffective. In total, 50 families from 251 admissions and 65 staff completed the survey. Medical alarms were rated highest (mean ± standard deviation [SD], 4.9 ± 2.1 [2.8-7.0]), followed by noise from medical equipment (mean ± SD, 4.7 ± 2.1 [2.5-6.8]). This response was consistent among PICU providers and families. Suggested interventions to reduce noise included keeping a patient's room door closed, considered effective by 93% of respondents (98% of staff; 88% of families), and designated quiet times, considered effective by 82% (80% of staff; 84% of families). Keeping the patient's door closed was the most effective strategy among survey respondents. Most families and staff considered medical alarms an important contributor to noise level. Because decreasing the volume of alarms such that it cannot be heard is inappropriate, alternative strategies to alert staff of changes in vital signs should be explored.

  13. Strategies that facilitate participation in family activities of children and adolescents with profound intellectual and multiple disabilities: parents' and personal assistants' experiences.

    Science.gov (United States)

    Axelsson, Anna Karin; Imms, Christine; Wilder, Jenny

    2014-01-01

    Participation throughout one's life plays a significant role for development and emotional well-being. For this reason, there is a need to identify ways to facilitate participation in family activities for children and adolescents with profound intellectual and multiple disabilities (PIMD). The study design was qualitative and explorative, based on semi structured interviews with 11 parents and 9 personal assistants of children with PIMD. The interviews revealed participation-facilitating strategies relating to the children's/adolescent's proximal environment, such as "Availability and acceptability of the activity", "Good knowledge about the child" and a "A positive attitude of people close to the child", as well as strategies related to the children/adolescents themselves: "Sense of belonging", "Possible for the child/adolescent to understand", "Opportunities to influence" and "Feeling of being needed". Children and adolescents with PIMD are dependent on support obtained through their environment. The identified strategies, individually adapted through awareness and knowledge by the parents and the personal assistants, provide important evidence to assist our understanding in gaining understanding about how to improve participation in family activities of children and adolescents with PIMD. Participation-facilitating strategies related to the child/adolescent and his or her proximal environments are identified to improve participation in children and adolescents with profound intellectual and multiple disabilities (PIMD). Examples of strategies for the child's/adolescents' proximal environment include "good knowledge about the child/adolescent", and, for the child/adolescent, include creating "sense of belonging" and "opportunities to influence". Identifying and making these strategies explicit may assist in enhancing the participation of children and adolescents with PIMD in family activities. People in the child's/adolescent's proximal environment need to set

  14. The Family Check-Up and Service Use in High-Risk Families of Young Children: A Prevention Strategy with a Bridge to Community-Based Treatment

    NARCIS (Netherlands)

    Leijten, Patty; Shaw, Daniel S.; Gardner, Frances; Wilson, Melvin N.; Matthys, Walter; Dishion, Thomas J.

    2015-01-01

    Integration of empirically supported prevention programs into existing community services is a critical step toward effecting sustainable change for the highest-risk members in a community. We examined if the Family Check-Up—known to reduce disruptive behavior problems in young children—can provide

  15. The family check-up and service use in high-risk families of young children: a prevention strategy with a bridge to community-based treatment

    NARCIS (Netherlands)

    Leijten, P.; Shaw, D.S.; Gardner, F.; Wilson, M.N.; Matthys, W.; Dishion, T.J.

    2015-01-01

    Integration of empirically supported prevention programs into existing community services is a critical step toward effecting sustainable change for the highest-risk members in a community. We examined if the Family Check-Up—known to reduce disruptive behavior problems in young children—can provide

  16. The Influence of Daily Stressors, Severity of Behavior Problems, Uncertainty, and Coping Strategies on Family Adaptation in Families of Adolescents with Autism Spectrum Disorders

    Science.gov (United States)

    O'Brien, Sandra L.

    2013-01-01

    The prevalence of autism spectrum disorder (ASD) is rising exponentially. U.S. public health authorities report a 78% increase in ASD prevalence rate during the period (2002-2008), effecting 1 child in 50. Families of adolescents with ASD face the complex task of managing their children's transition into adulthood. Complicating this task is…

  17. Family medicine training in sub-Saharan Africa: South-South cooperation in the Primafamed project as strategy for development.

    Science.gov (United States)

    Flinkenflögel, Maaike; Essuman, Akye; Chege, Patrick; Ayankogbe, Olayinka; De Maeseneer, Jan

    2014-08-01

    Health-care systems based on primary health care (PHC) are more equitable and cost effective. Family medicine trains medical doctors in comprehensive PHC with knowledge and skills that are needed to increase quality of care. Family medicine is a relatively new specialty in sub-Saharan Africa. To explore the extent to which the Primafamed South-South cooperative project contributed to the development of family medicine in sub-Saharan Africa. The Primafamed (Primary Health Care and Family Medicine Education) project worked together with 10 partner universities in sub-Saharan Africa to develop family medicine training programmes over a period of 2.5 years. A SWOT (strengths, weaknesses, opportunities and threats) analysis was done and the training development from 2008 to 2010 in the different partner universities was analysed. During the 2.5 years of the Primafamed project, all partner universities made progress in the development of their family medicine training programmes. The SWOT analysis showed that at both national and international levels, the time is ripe to train medical doctors in family medicine and to integrate the specialty into health-care systems, although many barriers, including little awareness, lack of funding, low support from other specialists and reserved support from policymakers, are still present. Family medicine can play an important role in health-care systems in sub-Saharan Africa; however, developing a new discipline is challenging. Advocacy, local ownership, action research and support from governments are necessary to develop family medicine and increase its impact. The Primafamed project showed that development of sustainable family medicine training programmes is a feasible but slow process. The South-South cooperation between the ten partners and the South African departments of family medicine strengthened confidence at both national and international levels. © The Author 2014. Published by Oxford University Press.

  18. Family medicine training in sub-Saharan Africa: South–South cooperation in the Primafamed project as strategy for development

    Science.gov (United States)

    Flinkenflögel, Maaike; Essuman, Akye; Chege, Patrick; Ayankogbe, Olayinka; De Maeseneer, Jan

    2014-01-01

    Background. Health-care systems based on primary health care (PHC) are more equitable and cost effective. Family medicine trains medical doctors in comprehensive PHC with knowledge and skills that are needed to increase quality of care. Family medicine is a relatively new specialty in sub-Saharan Africa. Objective. To explore the extent to which the Primafamed South–South cooperative project contributed to the development of family medicine in sub-Saharan Africa. Methods. The Primafamed (Primary Health Care and Family Medicine Education) project worked together with 10 partner universities in sub-Saharan Africa to develop family medicine training programmes over a period of 2.5 years. A SWOT (strengths, weaknesses, opportunities and threats) analysis was done and the training development from 2008 to 2010 in the different partner universities was analysed. Results. During the 2.5 years of the Primafamed project, all partner universities made progress in the development of their family medicine training programmes. The SWOT analysis showed that at both national and international levels, the time is ripe to train medical doctors in family medicine and to integrate the specialty into health-care systems, although many barriers, including little awareness, lack of funding, low support from other specialists and reserved support from policymakers, are still present. Conclusions. Family medicine can play an important role in health-care systems in sub-Saharan Africa; however, developing a new discipline is challenging. Advocacy, local ownership, action research and support from governments are necessary to develop family medicine and increase its impact. The Primafamed project showed that development of sustainable family medicine training programmes is a feasible but slow process. The South–South cooperation between the ten partners and the South African departments of family medicine strengthened confidence at both national and international levels. PMID:24857843

  19. Risk factor control in hypertensive and diabetic subjects attended by the Family Health Strategy in the State of Pernambuco, Brazil: the SERVIDIAH study

    OpenAIRE

    Fontbonne, Annick; Cesse, Eduarda Ângela Pessoa; Sousa, Islândia Maria Carvalho de; Souza, Wayner Vieira de; Chaves, Vera Lúcia de Vasconcelos; Bezerra, Adriana Falangola Benjamin; Carvalho, Eduardo Freese de

    2013-01-01

    The SERVIDIAH study (Evaluation of Health Services for Diabetic and Hypertensive Subjects) was conducted in 2010 in the State of Pernambuco, Brazil. A multi-stage random sample of 785 hypertensive and 823 diabetic patients was drawn from 208 Family Health Strategy (FHS) units selected throughout 35 municipalities. Patients underwent a structured interview and weight, height, blood pressure and HbA1c levels (for diabetic patients) were measured. Mean age was approximately 60 years, and women w...

  20. Utilising feedback from patients and their families as a learning strategy in a Foundation Degree in palliative and supportive care: a qualitative study.

    Science.gov (United States)

    Pal, Laura M; Dixon, Rachael E; Faull, Christina M

    2014-03-01

    In the UK, support workers provide much of the care that palliative care patients receive, and a novel Foundation Degree was developed to enhance their skills. Feedback on performance is a recognised educational tool that reinforces good practice, and gives insight into areas of weakness, but its use with this workforce has not been described. The aim of this qualitative study is to explore tutor and support workers' experiences of seeking and receiving feedback from patients and their families; focusing on its values and challenges. Support workers enrolled onto the Foundation Degree in Palliative and Supportive Care, were asked to seek feedback from patients and/or their families about the care that they provided using a 'My Experience' questionnaire. Forms were returned anonymously to the course tutor who discussed results with the student as a formative education strategy. The students' experience of this was explored in focus group interviews at three time points. Two tutors' experiences were similarly explored. Results were analysed thematically. Students enjoyed receiving feedback. Positive feedback helped to increase confidence, and negative feedback allowed students to look critically at their practice and identify areas of weakness. Some experienced challenges in approaching patients/families due to having a small number of suitable patients/families; a reluctance to burden patients; high patient turnover and brevity of care relationships. The tutors enjoyed delivering feedback, recognising its benefits as an educational strategy. Some concern was expressed about how to balance delivering negative feedback while continuing to provide tutorial support throughout the Foundation Degree. User feedback is considered a key formative educational strategy. Its use in health and social support workers is not established. The experiences of students and tutors in this Foundation Degree demonstrate some of the benefits and challenges of this as an educational

  1. Family orientation, strategy and organizational learning as predictors of knowledge management in Dutch SMEs : A test of lagged effects

    NARCIS (Netherlands)

    Uhlaner, L.M.; Tan, S.; Meijaard, J.

    2007-01-01

    Past research suggests a negative effect of family orientation on innovation performance. However, many past studies have certain limitations that this study is designed to overcome. In particular,this study estimates lagged effects of family orientation on innovation performance while controlling

  2. Predicting adolescent posttraumatic stress in the aftermath of war: differential effects of coping strategies across trauma reminder, loss reminder, and family conflict domains.

    Science.gov (United States)

    Howell, Kathryn H; Kaplow, Julie B; Layne, Christopher M; Benson, Molly A; Compas, Bruce E; Katalinski, Ranka; Pasalic, Hafiza; Bosankic, Nina; Pynoos, Robert

    2015-01-01

    The vast majority of youth who lived through the Bosnian war were exposed to multiple traumatic events, including interpersonal violence, community destruction, and the loss of a loved one. This study examined factors that predict post-war psychological adjustment, specifically posttraumatic stress, in Bosnian adolescents. Regression analyses evaluated theorized differential relations between three types of post-war stressors - exposure to trauma reminders, loss reminders, and intrafamilial conflict - specific coping strategies, and posttraumatic stress symptom dimensions. We examined 555 Bosnian adolescents, aged 15-19 years, to predict their long-term posttraumatic stress reactions in the aftermath of war. Findings indicated that post-war exposure to trauma reminders, loss reminders, and family conflict, as well as engagement and disengagement coping strategies, predicted posttraumatic stress symptoms. Secondary control engagement coping responses to all three types of post-war stressors were inversely associated with posttraumatic stress symptoms, whereas primary control engagement coping responses to family conflict were inversely associated with hyperarousal symptoms. Disengagement responses to trauma reminders and family conflict were positively associated with re-experiencing symptoms. These findings shed light on ways in which trauma reminders, loss reminders, and family conflict may intersect with coping responses to influence adolescent postwar adjustment.

  3. The Relationship Between Perceived Family Support and Depressive Symptoms in Adolescence: What is the Moderating Role of Coping Strategies and Gender?

    Science.gov (United States)

    Hickey, Emma; Fitzgerald, Amanda; Dooley, Barbara

    2017-05-01

    This study examined the moderating role of gender and coping strategies in the relationship between perceived family support, self-esteem and depressive symptoms. Data were used from the My World Survey Second Level (MWS-SL), a national survey of mental health among 6062 young people aged 12-19 years. Conditional process analyses indicated that planned coping moderated the relationship between perceived family support and depressive symptoms for those engaging in low-moderate levels but not high levels of planned coping, and this moderating role was stronger for females than males. Avoidance coping was a moderator for those engaging in moderate-high but not low levels of avoidance coping, and gender also moderated this relationship. Support-focused coping only moderated the perceived family support/depressive symptoms relationship for females. Findings suggest that the strength of the relationship between perceived family support and depressive symptoms depends on level of engagement with a particular coping strategy, and this engagement is a consistently stronger moderator for females.

  4. Family health strategy and equity in prenatal care: a population based cross-sectional study in Minas Gerais, Brazil.

    Science.gov (United States)

    Andrade, Mônica Viegas; Noronha, Kenya Valéria Micaela de Souza; Queiroz Barbosa, Allan Claudius; Souza, Michelle Nepomuceno; Calazans, Júlia Almeida; Carvalho, Lucas Resende de; Rocha, Thiago Augusto Hernandes; Silva, Núbia Cristina

    2017-01-21

    Prenatal care coverage is still not universal or adequately provided in many low and middle income countries. One of the main barriers regards the presence of socioeconomic inequalities in prenatal care utilization. In Brazil, prenatal care is supplied for the entire population at the community level as part of the Family Health Strategy (FHS), which is the main source of primary care provided by the public health system. Brazil has some of the greatest income inequalities in the world, and little research has been conducted to investigate prenatal care utilization of FHS across socioeconomic groups. This paper addresses this gap investigating the socioeconomic and regional differences in the utilization of prenatal care supplied by the FHS in the state of Minas Gerais, Brazil. Data comes from a probabilistic household survey carried out in 2012 representative of the population living in urban areas in the state of Minas Gerais. The sample size comprises 1,420 women aged between 13 and 45 years old who had completed a pregnancy with a live born in the last five years prior to the survey. The outcome variables are received prenatal care, number of antenatal visits, late prenatal care, antenatal tests, tetanus immunization and low birthweight. A descriptive analysis and logistic models were estimated for the outcome variables. The coverage of prenatal care is almost universal in catchment urban areas of FHT of Minas Gerais state including both antenatal visits and diagnostic procedures. Due to this high level of coverage, socioeconomic inequalities were not observed. FHS supplied care for around 80% of the women without private insurance and 90% for women belonging to lower socioeconomic classes. Women belonging to lower socioeconomic classes were at least five times more likely to receive antenatal visits and any of the antenatal tests by the FHS compared to those belonging to the highest classes. Moreover, FHS was effective in reducing low birthweight. Women who

  5. Increased mortality exposure within the family rather than individual mortality experiences triggers faster life-history strategies in historic human populations.

    Science.gov (United States)

    Störmer, Charlotte; Lummaa, Virpi

    2014-01-01

    Life History Theory predicts that extrinsic mortality risk is one of the most important factors shaping (human) life histories. Evidence from contemporary populations suggests that individuals confronted with high mortality environments show characteristic traits of fast life-history strategies: they marry and reproduce earlier, have shorter birth intervals and invest less in their offspring. However, little is known of the impact of mortality experiences on the speed of life histories in historical human populations with generally higher mortality risk, and on male life histories in particular. Furthermore, it remains unknown whether individual-level mortality experiences within the family have a greater effect on life-history decisions or family membership explains life-history variation. In a comparative approach using event history analyses, we study the impact of family versus individual-level effects of mortality exposure on two central life-history parameters, ages at first marriage and first birth, in three historical human populations (Germany, Finland, Canada). Mortality experience is measured as the confrontation with sibling deaths within the natal family up to an individual's age of 15. Results show that the speed of life histories is not adjusted according to individual-level mortality experiences but is due to family-level effects. The general finding of lower ages at marriage/reproduction after exposure to higher mortality in the family holds for both females and males. This study provides evidence for the importance of the family environment for reproductive timing while individual-level mortality experiences seem to play only a minor role in reproductive life history decisions in humans.

  6. Knowledge management in dementia care networks: a qualitative analysis of successful information and support strategies for people with dementia living at home and their family caregivers.

    Science.gov (United States)

    Heinrich, S; Laporte Uribe, F; Roes, M; Hoffmann, W; Thyrian, J R; Wolf-Ostermann, K; Holle, B

    2016-02-01

    Stakeholders involved in community dementia support services often work on their own and without coordination with other services. These circumstances can result in a lack of information and support for people with dementia and their family caregivers at home. To increase the coordination between existing support services, so-called 'Dementia Care Networks' (DCNs) have been established. Most of the tasks that are performed in DCNs are based on communication strategies. Therefore, knowledge management (KM) is a key process in these networks. However, few studies have focused on this topic. This study attempted to evaluate KM strategies in DCNs across Germany as part of the DemNet-D study. A qualitative interview study design was used. Qualitative data were collected during single and group interviews with key persons associated with thirteen DCNs. Interviews were audiotaped and transcribed, and a structured content analysis was conducted. The framework for the analysis was derived from a KM model. Information dissemination strategies for people with dementia and their informal caregivers based on actively established contacts appear to be more successful than passive strategies. General practitioners often play a key role as external gatekeepers in initiating contact between a network and a person affected by dementia. In this context, case managers can help integrate external stakeholders, such as general practitioners or pharmacists, into DCNs using different KM strategies. The systematic development of common objectives under an agency-neutral leadership seems to be an important aspect of successful KM within DCNs. The findings reported here can help DCNs optimize their KM strategies for generating tailored information and support services for people with dementia living at home and their family caregivers. In particular, the identified potential knowledge distribution barriers and facilitators will be of practical use to DCN stakeholders. Copyright © 2015 The

  7. What are the most effective early response strategies and interventions to assess and address the immediate needs of children outside of family care?

    Science.gov (United States)

    Boothby, Neil; Wessells, Mike; Williamson, John; Huebner, Gillian; Canter, Kelly; Rolland, Eduardo Garcia; Kutlesic, Vesna; Bader, Farah; Diaw, Lena; Levine, Maya; Malley, Anita; Michels, Kathleen; Patel, Sonali; Rasa, Tanya; Ssewamala, Fred; Walker, Vicki

    2012-10-01

    Children outside of family care face increased risk of threats to their well-being, have lower educational achievement, and experience adverse developmental outcomes. While it is generally accepted that early response and intervention is critical to reducing the risk of harm for children who have been separated from their families, it is not always clear what the most effective early response strategies are for assessing and addressing their immediate needs. The purpose of this review was to identify evidence-based early response strategies and interventions for improving the outcomes of children outside of family care, including children of and on the street, institutionalized children, trafficked children, children affected by conflict and disaster, and who are exploited for their labor. A multi-phased, systematic evidence review was conducted on peer-reviewed and gray literature, which yielded a total of 101 documents that met the inclusion criteria and were reviewed. Overall there is a weak evidence base regarding assessment and early response interventions for children living outside of family care. Few studies included careful outcome measures or comparison groups. Although few proven interventions emerged, the review identified several promising early interventions and approaches. In emergency settings, family tracing and reunification is a highly effective response in regard to separated children, whereas placing children in institutional care is problematic, with the possible exception of time-limited placements of formerly recruited children in interim care centers. Livelihood supports are promising in regard to preventing and responding to children living outside family care. Other promising interventions include psychosocial support, including the use of traditional cleansing rituals as appropriate, educational supports such as Child Friendly Spaces, the maintenance of family connectedness for children of or on the streets, the use of community

  8. Family Correlates of Children's Social and Physical Aggression with Peers: Negative Interparental Conflict Strategies and Parenting Styles

    Science.gov (United States)

    Underwood, Marion K.; Beron, Kurt J.; Gentsch, Joanna K.; Galperin, Mikal B.; Risser, Scott D.

    2008-01-01

    This investigation examines whether negative interparental conflict strategies (stonewalling, triangulation, verbal aggression, and physical aggression) and parenting styles are related to social and physical aggression with peers for children followed longitudinally from age 9 to 10 (N = 256). Parents reported on negative conflict strategies and…

  9. Challenges, coping strategies, and unmet needs of families with a child with autism spectrum disorder in Goa, India.

    Science.gov (United States)

    Divan, Gauri; Vajaratkar, Vivek; Desai, Miraj U; Strik-Lievers, Luisa; Patel, Vikram

    2012-06-01

    Autism Spectrum Disorders (ASD) are increasingly recognized in developing countries like India. However, little is known about the experiences of parents raising a child with ASD. This study aimed to describe the experiences of families in Goa, India with a view to understanding the unmet needs of families raising a child with ASD. Twenty in-depth interviews and nine focus group discussions were carried out with families of children with ASD and key community stakeholders such as special educators, teachers, and parents of typically developing children. This qualitative data was triangulated to explore the experiences, life impact, and unmet needs of raising a child with ASD. Key findings suggest that raising a child with ASD puts a tremendous strain on families due to competing commitments, often leading to initial social withdrawal with later reintegration into social networks. Second, the impact is multidimensional, involving the personal sphere but also extending into the wider community with negative experiences of discrimination. Third, parents actively respond to these challenges through a range of approaches with help from existing and new social support networks and health care providers. Fourth, professionals from the health, education, and religious sectors have a low awareness of the unique needs of families living with ASD which leads to a considerable economic and emotional burden on families. Finally, as a consequence of these experiences, several unmet needs can be identified, notably for supporting increasingly isolated families and the limited access to multidisciplinary evidence-based services for ASD. Autism Res 2012, 5: 190-200. © 2012 International Society for Autism Research, Wiley Periodicals, Inc. © 2012 International Society for Autism Research, Wiley Periodicals, Inc.

  10. [Iron status and serum retinol levels among children and adolescents attended by a Family Health Strategy team in Itajaí, Santa Catarina State].

    Science.gov (United States)

    Mariath, Aline Brandão; Giachini, Rubia Mara; Lauda, Laíz Guedes; Grillo, Luciane Peter

    2010-03-01

    The objective of this article is to determine prevalence of iron and vitamin A deficiencies among children and adolescents attended by a Family Health Strategy team in Itajaí, Santa Catarina State, and to assess relations between iron status and serum retinol. A nutritional census of the families was carried out. Socioeconomic and demographic data were collected. Hemoglobin concentration, hematocrite, serum iron and retinal were determined. Thirty-one out of the 156 enrolled families participated in the study. Only 39.1% of the children and 62.0% of the adolescents had their blood samples collected. Mean per capita income was 1.68+/-1.00 minimum wages. None of the parents was illiterate and most families (80.6%) owned their homes. All homes had public sewage and water supply, and 87.1% were made of brickwork. Iron deficiency was diagnosed in 16.7% of the children and 19.3% of the adolescents. Only one child had vitamin A deficiency. Significant correlations were found between serum iron and retinol among children, and among adolescents between serum retinol and hemoglobin concentration and hematocrite. We found mild prevalences of iron and vitamin A deficiencies, possibly due to the socioeconomic and demographic characteristics.

  11. Perceived burden of care and reported coping strategies and needs for family caregivers of people with mental disorders in Zimbabwe

    Directory of Open Access Journals (Sweden)

    Bazondlile D. Marimbe

    2016-08-01

    Conclusion: Caregivers carry a substantial and frequently unrecognized burden of caring for a family member with mental disorder. Better support is needed from health professionals and social services to help them cope better. Further research is required to quantitatively measure caregiver burden and evaluate potential interventions in Zimbabwe.

  12. Family-site interaction in Pinus radiata: implications for progeny testing strategy and regionalised breeding in New Zealand.

    Science.gov (United States)

    G.R. Johnson; R.D. Brudon

    1990-01-01

    A progeny test of 170 open-pollinated families from second-generation plus trees of Pinus radiata was established on four sites in New Zealand in 1981. Two test sites were on volcanic purnice soils in the Central North Island region and two were on phosphate-retentive clay soils in the Northland region.Assessments of volume growth, stem straightness, mal-...

  13. The Development of a Food Safety Brochure for Families: The Use of Formative Evaluation and Plain Language Strategies

    Science.gov (United States)

    Perry, Christina; Albrecht, Julie; Litchfield, Ruth; Meysenburg, Rebecca L.; Er, Ida NgYin; Lum, Adeline; Beattie, Sam; Larvick, Carol; Schwarz, Carol; Temple, Jan; Meimann, Elizabeth

    2012-01-01

    Printed materials have been used extensively as an educational tool to increase food safety awareness. Few educational materials have been designed to target families with young children for food safety education. This article reports the use of the formative evaluation process to develop a brochure designed to enhance awareness about food safety…

  14. Effectiveness of Group Cognitive-Behavioral Therapy on Strategies for Coping With Stress of Family Caregivers of Patients With Alzheimer’s Disease

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    Masoumeh Mahmoodi

    2016-04-01

    Conclusion: Based on the results, the group cognitive-behavioral therapy can increase the use of compatible strategies for coping with stress and decrease the use of incompatible strategies. This issue is related to factors such as complete understanding of Alzheimer’s disease and its effects, creating an atmosphere for presentation and an opportunity for social interaction, understanding the importance of sport and allocating time for recreational activities, learning body relaxation in stressful situations, understanding life problems, solving problem techniques, feeling of control, and time management. Thus, we recommend using group cognitivebehavioral therapy as a low-cost treatment for family caregivers of patients with Alzheimer’s and patients with chronic diseases.

  15. Telling family stories: learning strategies in family care Contando historias familiares: estrategias de aprendizaje en el cuidado a la familia Contando histórias familiares: estratégias de aprendizagem no cuidado com família

    Directory of Open Access Journals (Sweden)

    Ana Lúcia de Moraes Horta

    2012-01-01

    Full Text Available OBJECTIVE: To identify how nursing students experience telling their family stories as a learning strategy in family care. METHODS: This was a qualitative and descriptive study, conducted with 18 students (second year, Nursing undergraduate course, Federal University of São Paulo who participated in four meetings. These were used as an additional resource in formation of family care. Content analysis as proposed by Bardin was used. RESULTS: Three categories emerged: changes in perception and expansion of the concept of family, and redefinition of ties; identification of similarities, beliefs, values, and rituals in family stories; enhancement of active listening as a strategy for family care. CONCLUSION: This study contributed to create new strategies for nursing education in family care so far as students could revise concepts and extend contexts based on stories told by participants.OBJETIVO: Identificar cómo los estudiantes de enfermería vivencian el relato de sus historias familiares, como estrategia de aprendizaje en el cuidado a la familia. MÉTODOS: Estudio cualitativo, descriptivo realizado con 18 estudiantes del 2º año del Pregrado en Enfermería de la Universidad Federal de Sao Paulo que participaron de cuatro encuentros, utilizados como recurso complementario en la formación del cuidado a la familia. Se utilizó el análisis de contenido propuesto por Bardin. RESULTADOS: Emergieron tres categorías: cambios en la percepción y ampliación del concepto de familia y resignificación de vínculos; identificación de semejanzas, creencias, valores y rituales en las historias familiares; valorización de la escucha activa, como una estrategia del cuidado a la familia. CONCLUSIÓN: El estudio contribuyó para la creación de nuevas estrategias de formación en enfermería en el cuidado a la familia en la medida que las alumnas pudieran revisar conceptos y ampliar contextos con base en las historias contadas por las participantes

  16. Work-family conflict and job-related wellbeing in UK police officers - the role of recovery strategies

    OpenAIRE

    Kinman, G; McDowall, A; Cropley, M

    2012-01-01

    Police officers have been found to experience high levels of operational and organisational stressors, and are at considerable risk of emotional exhaustion, psychological distress, burnout and PTSD. The demands inherent in police work can have a negative impact on family life, with police officers at high risk of marital dissatisfaction, divorce and domestic violence. Although police officers experience the type of work demands that have been associated with work-conflict in other occupationa...

  17. It's the End of the World as we Know it: Populist Strategies of the Family Code Opponents

    Directory of Open Access Journals (Sweden)

    Roman Kuhar

    2015-06-01

    Full Text Available The starting hypothesis is connected to the new role of the Roman Catholic Church (RCC in policy discussions on issues related to sexual citizenship: RCC is secularizing its image and discourse by establishing satellite organizations working on its behalf, in order to clericalize society. One of such satellite organizations is the Civil Initiative for the Family and Rights of Children (CIFRC, which was the main opponent of the new Family Code. In this paper we use critical frame analysis in order to analyze CIFRC’s discourse, placing it in the context of political homophobia and populist action. The central framework of CIFRC’s discourse was a creation of homosexuality as a threat — first in relation to the “innocent” children, but also in relation to the “real” family. Their discourse contains simple problem-solution binaries, in which the problem can be solved by (legal, symbolic, physical removal of those who are constituted as a problem in the first place (homosexuals. In the concluding part of the article, we contextualize the results of the study by introducing a broader European dimension of conservative mass movements against so-called theory or ideology of gender. This is a new chapter in the battle against human rights of LGBT-persons, in which language and concepts, which were until recently used by the proponents of gender equality and human rights of LGBT-persons, are now (abused by conservative forces.

  18. Parental Stress, Discipline Strategies, and Child Behavior Problems in Families with Young Children with Autism Spectrum Disorders

    Science.gov (United States)

    Shawler, Paul M.; Sullivan, Maureen A.

    2017-01-01

    The current study investigated the parent-child relationship by examining associations between parent stress, parental discipline strategies, child disruptive behavior problems, and level of autism spectrum disorder (ASD) symptoms. A sample of 130 parents of children with ASD ages 3 to 11 years participated. Parents reported high levels of parent…

  19. Educational Leaders as Catalyst for Connecting School and Community: Uncovering Leadership Strategies for Forging School, Family, and Community Partnerships

    Science.gov (United States)

    Woody, Aaron Michael

    2010-01-01

    Understanding the development of community within schools, while critical, has always been problematic. The recent focus on high-stakes standardized testing has only exacerbated this phenomenon and further promoted the dehumanization of students in our schools. An urgent need in research today is to study what strategies are most effective in…

  20. Systems, strategies, and interventions for sustainable long-term care and protection of children with a history of living outside of family care.

    Science.gov (United States)

    Fluke, John D; Goldman, Philip S; Shriberg, Janet; Hillis, Susan D; Yun, Katherine; Allison, Susannah; Light, Enid

    2012-10-01

    This article reviews the available evidence regarding the efficacy, effectiveness, ethics, and sustainability of approaches to strengthen systems to care for and protect children living outside family care in low- and middle-income countries. For trafficked children, children of and on the street, children of conflict/disaster, and institutionalized children, a systems framework approach was used to organize the topic of sustainable approaches in low- and middle-income countries and addresses the following: legislation, policies, and regulations; system structures and functions (formal and informal); and continuum of care and services. The article draws on the findings of a focal group convened by the U.S. Government Evidence Summit: Protecting Children Outside of Family Care (December 12-13, 2011, Washington, DC), tasked with reviewing the literature on systems, strategies, and interventions for sustainable long-term care and protection of children with a history of living outside of family care in low- and middle-income country contexts. The specific methodology for the review is described in the commentary paper (Higgs, Zlidar, & Balster, 2012) that accompanies these papers. For the most part, the evidence base in support of sustainable long-term care for the populations of interest is relatively weak, with some stronger but unreplicated studies. Some populations have been studied more thoroughly than others, and there are many gaps. Most of the existing studies identify population characteristics, needs, and consequences of a lack of systemic services to promote family-like care. There is some evidence of the effectiveness of laws and policies, as well as some evidence of service effectiveness, in improving outcomes for children outside of family care. Despite the weaknesses and gaps of the existing research, there is a foundation of research for going forward, which should focus on developing and implementing systems for these most vulnerable children. The

  1. Community of practice as a collective way of learning and development of practices and knowledge of the family health strategy: a theoretical study

    Directory of Open Access Journals (Sweden)

    Ana Ecilda Lima Ellery

    2012-06-01

    Full Text Available Objective: Present and discuss the contribution of the concept of Community of Practice (CP, while collective space of learning and development of knowledge and practice in multidisciplinary teams of Family Health Strategy. Methods: Theoretical study through nonsystematic literature reviews the theme of “Communities of Practice” in the work of social researchers Jean Lave and Etienne Wenger, who developed this concept, completed with studies on the same topic from the research in online databases. Results: A CP is characterized by a group of people who forged and got engaged in a common project, sharing a repertoire, which allowed communication between them. Several effects are attributed to the experienceof working together in a CP, such as the socialization of knowledge, the interprofessional collaboration and the development of an environment conducive to reflective practice, which facilitates the conflict mediation. The theory of CP requires a major change in theconception of learning. Unlike theories that consider learning as resulting mainly from the internal process of the person, as the cognitive, the CP’s theory conceives learning through the angle of social participation. The inter-relationship developed by the CP influences the learning process, negotiation of meaning and identity formation, which results from the fact of belonging to the community and from the meaning attributed to the collaborative. Conclusion: The formation of Community of Practice in Family Health Strategy can be adevice to facilitate the construction of interdisciplinary projects, expressed by the integration of knowledge and interprofessional collaboration.

  2. Clinical effectiveness of a manual based coping strategy programme (START, STrAtegies for RelaTives) in promoting the mental health of carers of family members with dementia: pragmatic randomised controlled trial.

    Science.gov (United States)

    Livingston, Gill; Barber, Julie; Rapaport, Penny; Knapp, Martin; Griffin, Mark; King, Derek; Livingston, Debbie; Mummery, Cath; Walker, Zuzana; Hoe, Juanita; Sampson, Elizabeth L; Cooper, Claudia

    2013-10-25

    To assess whether a manual based coping strategy compared with treatment as usual reduces depression and anxiety symptoms in carers of family members with dementia. Randomised, parallel group, superiority trial. Three mental health community services and one neurological outpatient dementia service in London and Essex, UK. 260 carers of family members with dementia. A manual based coping intervention comprising eight sessions and delivered by supervised psychology graduates to carers of family members with dementia. The programme consisted of psychoeducation about dementia, carers' stress, and where to get emotional support; understanding behaviours of the family member being cared for, and behavioural management techniques; changing unhelpful thoughts; promoting acceptance; assertive communication; relaxation; planning for the future; increasing pleasant activities; and maintaining skills learnt. Carers practised these techniques at home, using the manual and relaxation CDs. Affective symptoms (hospital anxiety and depression total score) at four and eight months. Secondary outcomes were depression and anxiety caseness on the hospital anxiety and depression scale; quality of life of both the carer (health status questionnaire, mental health) and the recipient of care (quality of life-Alzheimer's disease); and potentially abusive behaviour by the carer towards the recipient of care (modified conflict tactics scale). 260 carers were recruited; 173 were randomised to the intervention and 87 to treatment as usual. Mean total scores on the hospital anxiety and depression scale were lower in the intervention group than in the treatment as usual group over the eight month evaluation period: adjusted difference in means -1.80 points (95% confidence interval -3.29 to -0.31; P=0.02) and absolute difference in means -2.0 points. Carers in the intervention group were less likely to have case level depression (odds ratio 0.24, 95% confidence interval 0.07 to 0.76) and there

  3. Families for children: international strategies to build in-country capacity in the Philippines, Thailand, Romania, and India.

    Science.gov (United States)

    Stiles, C F; Dhamaraksa, D; dela Rosa, R; Goldner, T; Kalyanvala, R

    2001-01-01

    Holt International Children's Services was founded in the 1950s to facilitate the adoption of Amerasian children in the aftermath of the Korean War. Today, its vision has expanded to encompass international policies, programs, and practices that will help establish nurturing, lifelong relationships for children. Working together with child welfare professionals and advocates, non-governmental organizations, and governments, Holt has helped to develop in-country, self-sustaining family resources for thousands of children. Efforts in the Philippines, Thailand, India, and Romania are highlighted.

  4. Parents' Adoption of Social Communication Intervention Strategies: Families Including Children with Autism Spectrum Disorder Who are Minimally Verbal.

    Science.gov (United States)

    Shire, Stephanie Y; Goods, Kelly; Shih, Wendy; Distefano, Charlotte; Kaiser, Ann; Wright, Courtney; Mathy, Pamela; Landa, Rebecca; Kasari, Connie

    2015-06-01

    Notably absent from the intervention literature are parent training programs targeting school-aged children with autism who have limited communication skills (Tager-Flusberg and Kasari in Autism Res 6:468-478, 2013). Sixty-one children with autism age 5-8 with minimal spontaneous communication received a 6-month social communication intervention including parent training. Parent-child play interactions were coded for parents' strategy implementation and children's time jointly engaged (Adamson et al. in J Autism Dev Disord 39:84-96, 2009). Parents mastered an average of 70% of the strategies. Further analyses indicated some gains in implementation occurred from mere observation of sessions, while the greatest gains occurred in the first month of active coaching and workshops. Children's joint engagement was associated with parents' implementation success across time demonstrating parents' implementation was relevant to children's social engagement.

  5. An Integrated Framework for Assessing Vulnerability to Climate Change and Developing Adaptation Strategies for Coffee Growing Families in Mesoamerica

    OpenAIRE

    Baca, María; Läderach, Peter; Haggar, Jeremy; Schroth, Götz; Ovalle, Oriana

    2014-01-01

    The Mesoamerican region is considered to be one of the areas in the world most vulnerable to climate change. We developed a framework for quantifying the vulnerability of the livelihoods of coffee growers in Mesoamerica at regional and local levels and identify adaptation strategies. Following the Intergovernmental Panel on Climate Change (IPCC) concepts, vulnerability was defined as the combination of exposure, sensitivity and adaptive capacity. To quantify exposure, changes in the climatic ...

  6. Threats, conservation strategies, and prognosis for suckers (Catostomidae) in North America: insights from regional case studies of a diverse family of non-game fishes

    Science.gov (United States)

    Cooke, Steven J.; Bunt, Christopher M.; Hamilton, Steven J.; Jennings, Cecil A.; Pearson, Micheal P.; Cooperman, Michael S.; Markle, Douglas F.

    2005-01-01

    Catostomid fishes are a diverse family of 76+ freshwater species that are distributed across North America in many different habitats. This group of fish is facing a variety of impacts and conservation issues that are somewhat unique relative to more economically valuable and heavily managed fish species. Here, we present a brief series of case studies to highlight the threats such as migration barriers, flow regulation, environmental contamination, habitat degradation, exploitation and impacts from introduced (non-native) species that are facing catostomids in different regions. Collectively, the case studies reveal that individual species usually are not threatened by a single, isolated factor. Instead, species in general face numerous stressors that threaten multiple stages of their life history. Several factors have retarded sucker conservation including widespread inabilities of field workers to distinguish some species, lack of basic natural history and ecological knowledge of life history, and the misconception that suckers are tolerant of degraded conditions and are of little social or ecological value. Without a specific constituent group lobbying for conservation of non-game fishes, all such species, including members of the catostomid family, will continue to face serious risks because of neglect, ignorance, and misunderstanding. We suggest that conservation strategies should incorporate research and education/outreach components. Other conservation strategies that would be effective for protecting suckers include freshwater protected areas for critical habitat, restoration of degraded habitat, and design of catostomid-friendly fish bypass facilities. We believe that the plight of the catostomids is representative of the threats facing many other non-game freshwater fishes with diverse life-history strategies globally.

  7. Strategy; Strategies

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2005-07-15

    Francois Loos, Minister of Industry, explains the French energy policy in the frame of Europe. ONERC is a French public body in charge of defining a national strategy against climate changes. It submits its first strategic elements to the Government. (authors)

  8. Intergenerational Transmission of Maladaptive Parenting Strategies in Families of Adolescent Mothers: Effects from Grandmothers to Young Children.

    Science.gov (United States)

    Seay, Danielle M; Jahromi, Laudan B; Umaña-Taylor, Adriana J; Updegraff, Kimberly A

    2016-08-01

    The current longitudinal study examined the effect of the transmission of maladaptive parenting strategies from grandmothers to adolescent mothers on children's subsequent development. Mexican-origin adolescent mothers (N = 204) participated in home interviews when the adolescent's child (89 boys, 60 girls) was 2, 3, 4, and 5 years old. Grandmothers' psychological control toward the adolescent mother was positively related to adolescents' potential for abuse 1 year later, which was subsequently positively related to adolescents' punitive discipline toward their young child. In addition, adolescent mothers' punitive discipline subsequently predicted greater externalizing problems and less committed compliance among their children. Adolescent mothers' potential for abuse and punitive discipline mediated the effects of grandmothers' psychological control on children's externalizing problems. Finally, adolescent mothers' potential for abuse mediated the effect of grandmothers' psychological control on adolescent mothers' punitive discipline. Results highlight the salience of long-term intergenerational effects of maladaptive parenting on children's behavior.

  9. Impacto de estrategias colectivas en la sustentabilidad de sistemas familiares lecheros en Uruguay Impact of collective strategies on the sustainability of family dairy systems in Uruguay

    Directory of Open Access Journals (Sweden)

    R García Ferreira

    2011-03-01

    Association of Dairy Producers San José, Uruguay, and different university teams have developed experiences of rural development and support to production, tending to improve the income levels and living standards of these families, enhancing collective processes as countertrends to this central process. The objective of this work was to analyze the sustainability status of family dairy systems of the San José Department, considering the social, economic and agroecological dimensions; an evaluation methodology was applied through sustainability indicators in 100 of these systems and the influence of the use and adoption of collective strategies to support production was analyzed. Among the main results, it stands out that the systems which incorporated more collective strategies (three or more showed high values, in general, for several of the productive and economic indicators (an increase of 66% in the predial income per capita, 39% in liters/ha and 73% in CP/ha as average than those that adopted the strategies in an isolated way (only one. It is concluded that the analysis of these 100 establishments indicates to continue the generation and study of this type of collective strategies, which mainly serve as alternatives in the generation of countertrends that can decrease, buffer or revert the disappearance and degradation of family dairy systems as social group.

  10. Conjugal violence in the perspective of "Family Health Strategy" professionals: a public health problem and the need to provide care for the women

    Directory of Open Access Journals (Sweden)

    Nadirlene Pereira Gomes

    2014-01-01

    Full Text Available OBJECTIVE: to construct a theoretical matrix based on the meanings of the interactions and actions experienced by the professionals regarding the nursing care practices and the health of women in situations of conjugal violence in the ambit of the Family Health Strategy. METHODS: research based in Grounded Theory. Following approval by the Research Ethics Committee, 52 professionals were interviewed in Santa Catarina, Brazil. The analysis was based on open, axial and selective codifications. RESULTS: the theoretical model was delimited based on the phenomenon "Recognizing conjugal violence as a public health problem, and the need for management of the care for the woman", which reflects the experience of the professionals in relation to care for the woman, as well as the meanings attributed to this care. CONCLUSIONS: the phenomenon allows one to understand the movement of action and interaction regarding the care for the woman in a situation of conjugal violence.

  11. Business, family and social reproduction strategies between the old regimen and the independence and revolution process in Tucumán, 1780 – 1820. The Posse case

    Directory of Open Access Journals (Sweden)

    Francisco Bolsi

    2010-07-01

    Full Text Available The change of the old regimen to the independence and revolution process caused the final re-orientation on the economical context -in the Case of Rio de la Plata – of the trade flows to the Atlantic. The Gallegos traders who settled down, by the end of the XVIII century, adapted to this new situation by means of the implementation of different economic and social revolution strategies. Because of this fact, the objective of this research paper is to analyze this historical period from the perspective of a peninsular Spanish social group: The Posse, who went through this revolutionary period – with some difficulties – thanks to the economic and family links, were established since their arrival to the Viceroyalty of Río de La Plata in 1780.

  12. Heavy charged scalars from c\\overline{s} fusion: a generic search strategy applied to a 3HDM with U(1) × U(1) family symmetry

    Science.gov (United States)

    Camargo-Molina, José Eliel; Mandal, Tanumoy; Pasechnik, Roman; Wessén, Jonas

    2018-03-01

    We describe a class of three Higgs doublet models (3HDMs) with a softly broken U(1) × U(1) family symmetry that enforces a Cabibbo-like quark mixing while forbidding tree-level flavour changing neutral currents. The hierarchy in the observed quark masses is partly explained by a softer hierarchy in the vacuum expectation values of the three Higgs doublets. As a consequence, the physical scalar spectrum contains a Standard Model (SM) like Higgs boson h 125 while exotic scalars couple the strongest to the second quark family, leading to rather unconventional discovery channels that could be probed at the Large Hadron Collider. In particular, we describe a search strategy for the lightest charged Higgs boson H ±, through the process c\\overline{s}\\to {H}+\\to {W}+{h}_{125} , using a multivariate analysis that leads to an excellent discriminatory power against the SM background. Although the analysis is applied to the proposed class of 3HDMs, we employ a model-independent formulation such that it can be applied to any other model with the same discovery channel.

  13. "For me it's just normal" - Strategies of children and young people from rainbow families against de-normalization. The case of Slovenia and Germany.

    Directory of Open Access Journals (Sweden)

    Uli Streib Brzič

    2013-01-01

    Full Text Available The paper presents some findings from an international study called “School is out – Experiences of children from rainbow families in school” which explored how children and young people from rainbow families anticipate, experience and deal with schools as heteronormative spaces. In the research, the term de-normalisation was developed to describe the processes by which children with LGBT-identified parents are perceived and constructed as not normal, as classified beyond the ‘hetero-normative normality’, which is expressed through ‘othering’ by others, for example in interaction. To avoid, prevent or reduce the impacts of de-normalisation processes, the interviewed children and youth have developed different strategies which we present in two frames: one involving disclosure and concealment and the other involving verbalisations and justifications. Based on these insights and findings, the article also outlines ideas on the resilience factors against de-normalisation and emphasises the importance of children and youth not standing alone against it.

  14. Health service use in a population covered by the Estratégia de Saúde da Família (Family Health Strategy).

    Science.gov (United States)

    Fernandes, Léia Cristiane L; Bertoldi, Andréa D; Barros, Aluísio J D

    2009-08-01

    To analyze health service use patterns in communities covered by the Estratégia de Saúde da Família (Family Health Strategy). Population-based cross-sectional study with a sample of 2,988 individuals, of all ages, living in areas covered by the Estratégia de Saúde da Família, in the city of Porto Alegre, Southern Brazil, between July and September 2003. Pre-coded questionnaires about demographic, socioeconomic and health information were applied to all residents of selected households. Prevalence ratios and 95% confidence intervals were calculated and chi-square tests were applied in the analyses. Poisson regression was used in the multivariable analysis to control for potential confounding factors. Females, persons aged 60 years or older, white, with better socioeconomic level, without health care plan coverage and with poor health self-perception were more likely to use the local family health unit. Regarding users of other health services, a similar pattern for sex, age and health self-perception was observed. However, greater use was found among people with better socioeconomic level and with health care plan coverage. Use of a local family health unit was greater among people from a lower socioeconomic level and without health care plan coverage, revealing the poorer individuals to be the priority of governmental actions. Model changes made to health care with the implementation of the Estratégia Saúde da Família tend to progressively improve the health conditions of the poorer population, with consequent reduction of health inequalities.

  15. Professional profile of dentists who are members of the Family Health Strategy city of Marília, São Paulo: the challenge of interprofessional work

    Directory of Open Access Journals (Sweden)

    Mirella Gonçalves Caldeira Padula

    Full Text Available INTRODUCTION: The inclusion of oral health professionals within the Family Health Strategy was legislated in December, 2000, by the Ministery of Health. These professionals are included in a new context which challenges the traditional education of fragmented knowledge and presents the challenge of interprofessional work. OBJECTIVE: To analyze the profile and the interprofessional practice of dentists working in the FHS in the city of Marília, São Paulo. MATERIAL AND METHOD: In 2012, a structured questionnaire and an adaptation of the Readiness Interprofissional Learning Scale (RIPLS, given to 34 dentists working in the FHS in the city of Marília, São Paulo, were used to collect data. Descriptive statistics and the nonparametric Kruskal-Wallis analysis of variance with SNK multiple comparisons post-test, at a significance level of p < 0.05, were used for data analysis. RESULT: The dentists are in the 31 to 40 year age range (70.6%, are mostly women (82.4% and 79.41% hold a specialization in Public and Family Health. Comparisons of the differences of the mean scores of the responses among professionals, with and without graduate study in this area, were statistically significant in the statements regarding the amount of human resources and interprofessional work. CONCLUSION: Graduate study in Public and Family Health provides dentists with background on the integration of teamwork, the understanding about the process of interprofessional work, the enhancement of common and collaborative professional skills and thus minimizes the effects of an incomplete health team. It is considered that professionals without graduate study are restricted to their traditional and reductionist preparation.

  16. Selection strategy and the design of hybrid oligonucleotide primers for RACE-PCR: cloning a family of toxin-like sequences from Agelena orientalis

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    Lipkin Alexey

    2007-05-01

    Full Text Available Abstract Background the use of specific but partially degenerate primers for nucleic acid hybridisations and PCRs amplification of known or unknown gene families was first reported well over a decade ago and the technique has been used widely since then. Results here we report a novel and successful selection strategy for the design of hybrid partially degenerate primers for use with RT-PCR and RACE-PCR for the identification of unknown gene families. The technique (named PaBaLiS has proven very effective as it allowed us to identify and clone a large group of mRNAs encoding neurotoxin-like polypeptide pools from the venom of Agelena orientalis species of spider. Our approach differs radically from the generally accepted CODEHOP principle first reported in 1998. Most importantly, our method has proven very efficient by performing better than an independently generated high throughput EST cloning programme. Our method yielded nearly 130 non-identical sequences from Agelena orientalis, whilst the EST cloning technique yielded only 48 non-identical sequences from 2100 clones obtained from the same Agelena material. In addition to the primer design approach reported here, which is almost universally applicable to any PCR cloning application, our results also indicate that venom of Agelena orientalis spider contains a much larger family of related toxin-like sequences than previously thought. Conclusion with upwards of 100,000 species of spider thought to exist, and a propensity for producing diverse peptide pools, many more peptides of pharmacological importance await discovery. We envisage that some of these peptides and their recombinant derivatives will provide a new range of tools for neuroscience research and could also facilitate the development of a new generation of analgesic drugs and insecticides.

  17. A Flow Chart of Behavior Management Strategies for Families of Children with Co-Occurring Attention-Deficit Hyperactivity Disorder and Conduct Problem Behavior.

    Science.gov (United States)

    Danforth, Jeffrey S

    2016-03-01

    Behavioral parent training is an evidence-based treatment for problem behavior described as attention-deficit hyperactivity disorder (ADHD), oppositional defiant disorder, and conduct disorder. However, adherence to treatment fidelity and parent performance of the management skills remains an obstacle to optimum outcome. One variable that may limit the effectiveness of the parent training is that demanding behavior management procedures can be deceptively complicated and difficult to perform. Based on outcome research for families of children with co-occurring ADHD and conduct problem behavior, an example of a visual behavior management flow chart is presented. The flow chart may be used to help teach specific behavior management skills to parents. The flow chart depicts a chain of behavior management strategies taught with explanation, modeling, and role-play with parents. The chained steps in the flow chart are elements common to well-known evidence-based behavior management strategies, and perhaps, this depiction well serve as a setting event for other behavior analysts to create flow charts for their own parent training, Details of the flow chart steps, as well as examples of specific applications and program modifications conclude.

  18. One-parent family as agent of socialization: interrelation of mother’s conception of child’s psychological well-being and her strategies of coping with difficulties

    Directory of Open Access Journals (Sweden)

    Belinskaya E.P.

    2016-09-01

    Full Text Available The article is devoted to the issue of psychological characteristics of one-parent families. The family, in which a child is brought by one parent, now is becoming an important independent object of socio-psychological research. According to authors’ opinion, the subject of importance is not only the specifics of individual psychologi- cal characteristics of single-parent families, but also the interaction of these impor- tant characteristics. The authors chose the following socio-psychological variables for investigation: the mother’s perception of psychological well-being of her child, the nature of her coping strategies and style of upbringing. The authors revealed a variety of social and psychological characteristics of single-parent families. Thus, the parent strategy of positive reformulation of problems is involved as a way to see the positive aspects of the situation in the family and the relationship with the child on case of the lack of consistency in style of education and lack of inhibitions; and active coping strategies — with a focus on promotion rather than punishment in the child's behavior regulation. This work was supported by the Russian Science Foundation, project № 14-18-00598 «Patterns and mechanisms of positive socialization in modern children and teenagers».

  19. [Assessment of the technology of care relations in the health services: perception of the elderly included in the family health strategy in Bambuí, Brazil].

    Science.gov (United States)

    Santos, Wagner Jorge dos; Giacomin, Karla Cristina; Firmo, Josélia Oliveira Araújo

    2014-08-01

    In the health field, technologies of care relations are in the scope of the worker-user encounter, implying intersubjectivity with the development of relationships between subjects, resulting in action. Evaluation studies synthesize knowledge produced on the consequences of using these technologies for society. This anthropological study aims to understand the perception of the elderly regarding the resolution capability and effectiveness of the acts produced in health care relationships in the context of the Family Health Strategy (ESF). The group studied consisted of 57 elderly residents in Bambui, State of Minas Gerais, Brazil. The model of signs, meanings and actions was used for collecting and analyzing data and the semi-structured interview was applied as a research technique. Elderly individuals assess resolution capability and effectiveness of the acts of care in the ESF as negative, with relation to the quality of user and professional interaction. The ESF is not effective and the desired change in the health care model has not occurred in practice. It repeats the centrality of the medical-drug-procedure model that treats the disease rather than the patient, perceiving old age as a disease and illness as being related to aging.

  20. [Dental pain in the previous 3 months in adolescents and Family Health Strategy: the comparison between two areas with different to oralhealth care approaches].

    Science.gov (United States)

    Carvalho, Jefferson Calixto; Rebelo, Maria Augusta Bessa; Vettore, Mario Vianna

    2011-10-01

    This study sought to compare the prevalence and intensity of dental pain in the last 3 months in adolescents living in two areas within the scope of Family Health Strategy with different to oralhealth care approaches. A cross-sectional study was conducted with 300 adolescents selected from public schools in the city of Manaus, Brazil. Adolescents living in an area with an Oral Health Team in which of health promotion is predominant (Group I, N = 150) were compared with those living in an area in which only dental treatment is offered (Group II, N = 150). Demographic and socio-economic characteristics, oral health-related behavior and use of dental services were gathered. Prevalence and intensity of dental pain in the last 3 months was assessed using a tested and validated Likert scale. The mean age of the participants was 12.9 ± 0.8 years, of which 46.7% were male. The prevalence of dental pain in the last 3 months was 33.7%, and did not differ between Groups I and II (P > 0.05). Medium to high intensity dental pain in the last 3 months was associated with Group II (OR: 2.11 [CI95 %=1.17-3.81]), after adjustment for covariates. Adolescents living in the area where only dental treatment is offered were more prone to severe dental pain compared to those living in the area where health programs are predominant.

  1. Rollout of community-based family health strategy (programa de saude de familia) is associated with large reductions in neonatal mortality in São Paulo, Brazil.

    Science.gov (United States)

    Brentani, Alexandra; Grisi, Sandra Josefina Ferraz Ellero; Taniguchi, Mauro T; Ferrer, Ana Paula Scoleze; de Moraes Bourroul, Maria Lúcia; Fink, Günther

    2016-12-01

    Several recent studies suggest that Brazil's Estratégia Saude de Familia (Family Health Strategy-FHS) has contributed to declines in mortality at the national and regional level. Comparatively little is known whether this approach is effective in urban populations with relatively easy access to health services. To use detailed medical data collected as part of São Paulo's Western Region project to examine whether the FHS program had an impact on child health in São Paulo, Brazil. No associations were found between FHS and birth weight (OR 1.03, 95% CI 0.93-1.29), gestational length (OR 0.98, 95% CI 0.83-1.15) or stillbirth (OR 1.51, 95% CI 0.75-3.03). FHS eligibility was associated with a 42% reduction in the odds of child mortality (OR 0.58, 95% CI 0.34, 0.91), with largest effect sizes for the early neonatal period (OR 0.18, 95% CI 0.04-0.79). Community based health delivery platforms may be a highly effective way to reduce neonatal mortality in urban areas of low and middle income countries, even when access to general health services is almost universal.

  2. Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Márcia Helena Baldani

    2011-01-01

    Full Text Available This cross-sectional study aimed to investigate the presence of inequalities in the access and use of dental services for people living in the coverage area of the Family Health Strategy (FHS in Ponta Grossa, Paraná State, Brazil, and to assess individual determinants related to them. The sample consisted of 747 individuals who answered a pre-tested questionnaire. Data analysis was performed by chi-square test and Poisson regression analysis, obtaining explanatory models for recent use and, by limiting the analysis to those who sought dental care, for effective access. Results showed that 41% of the sample had recent dental visits. The lowest visit rates were observed among preschoolers and elderly people. The subjects who most identified the FHS as a regular source of dental care were children. Besides age, better socioeconomic conditions and the presence of a regular source of dental care were positively associated to recent dental visits. We identified inequalities in use and access to dental care, reinforcing the need to promote incentives to improve access for underserved populations.

  3. Ambiência na Estratégia Saúde da Família | Ambience in the Family Healthcare Strategy

    Directory of Open Access Journals (Sweden)

    Maria Angélica Carvalho Andrade

    2015-05-01

    Full Text Available A ambiência constitui-se em uma importante ferramenta facilitadora do processo de trabalho das equipes de saúde da família, tanto no seu aspecto estrutural quanto nos relacionados às interações entre trabalhadores e usuários. O artigo tem como objetivo analisar os aspectos relacionados à ambiência na percepção dos profissionais da Estratégia de Saúde da Família. Trata-se de um estudo descritivo, exploratório com abordagem quantitativa, realizado nos municípios capixabas com população superior a 50 mil habitantes. Os resultados demonstraram que mais da metade dos profissionais consideraram que o espaço físico não permitia o atendimento de forma confortável. Observou-se divergência nas respostas em relação ao acesso à tecnologia para desenvolvimento das ações básicas entendidas equivocadamente somente como um produto ou equipamento — tecnologia dura, em detrimento das tecnologias leves. Foram apontadas limitações e dificuldades pelos trabalhadores em manter a privacidade dos usuários; informaram ainda ausência de manutenção satisfatória do espaço físico e apresentaram opiniões contraditórias em relação à construção das Unidades Básicas de Saúde. Conclui-se que os profissionais demonstraram olhares diferenciados sobre o seu local de trabalho e persistem limitações em relação à ambiência para a produção do trabalho em equipe na Estratégia de Saúde da Família. -----------------------------------------------------------------------------------------------Ambience is considered an important factor that affects the work process of family healthcare teams, their structural aspect, as well as the aspects related to the interaction among workers and clients. The article aims to analyze the aspects related to ambience in the perception of the professionals involved in the Family Healthcare Strategy. This descriptive exploratory study with a quantitative approach was performed in Espirito Santo

  4. Estrategias familiares de vida y su relación con desnutrición en niños menores de dos años Family life strategies associated with malnutrition in children aged under two years

    Directory of Open Access Journals (Sweden)

    Araceli Amada Sandoval-Priego

    2002-01-01

    Full Text Available Objetivo. Identificar las estrategias familiares de vida asociadas con desnutrición en niños menores de dos años. Material y métodos. Estudio de casos y controles efectuado en 1998 en el municipio de Teolocholco, estado de Tlaxcala, México, para estudiar familias con niños de 6 a 23 meses de edad. La muestra estuvo conformada por 105 casos y 210 controles. Las estrategias familiares de vida se agruparon en cinco tipos: formación de la familia, obtención y organización de recursos familiares, colaboración intra o extrafamiliar y preservación de la vida. La desnutrición se identificó de acuerdo con la talla para la edad. Para el análisis de los datos se hizo estimación de razones de momios, con intervalos de confianza al 95% y se construyeron modelos de regresión logística no condicionada. Resultados. Se obtuvieron datos de 605 unidades familiares, 445 controles y 160 casos. El modelo predictivo estuvo integrado por la escolaridad de la madre, hacinamiento, intervalo entre nacimientos, ingreso per capita mensual y el tiempo destinado para actividades de crianza/cuidado de los niños. Conclusiones. Las estrategias familiares de vida son determinantes para la ocurrencia desnutrición. Las características de la vida familiar deben considerarse en programas dirigidos a abatir el padecimiento en este grupo.Objective. To identify the role of family life strategies on malnutrition in children aged 6-23 months of age. Material and Methods. This case-control study was conducted in 1998 in the municipality of Teolocholco, State of Tlaxcala, Mexico, among families with children aged 6-23 months of age. The sample was conformed by 105 cases and 210 controls. Family life strategies were grouped into five types: family composition, means and distribution of family income, family and social networks, and life preservation strategies. Malnutrition was classified according to height for age. Data were analyzed using logistic regression to obtain

  5. Assesment of household burden of orphaning and coping strategies by guardians and families with orphans and vulnerable children in Hossana Town, SNNPR.

    Science.gov (United States)

    Balew, Gizachew; Worku, Netsanet; Tilaye, Tesfaye; Huruy, Kahsay; Fetene, Teshome

    2010-07-01

    Globally the number of orphans is increasing due to HIV/AIDS, internal corflicts and others. Orphanage and vulnerability causes much of its burden on poor households and children. This study was initiated to assess household challenges of orphaning and coping strategies by families and guardians living with Orphan and Vulnerable Children (OVC). It has also tried to look at the types and level of challenge facing OVC. Community based descriptive cross-sectional quantitative survey was conducted from October to November 2008 using a pre-tested Amharic questionnaire among guardians of OVC in Hossana town. Hadiya zone, SNNPR. A total of 334 samples were selected using a simple random sampling technique. Sixty nine percent (69%) of guardians were women. Almost all of the OVC had participated in one domestic activity and 26.9% of OVC were involved in domestic work in other houses. A little more than twenty two percent (22.2%) have history of involvement in productive child labor; of whom 79.7% were found working at the time of data collection Above thirty five percent (35.6%) of respondents believe that the OVC are discriminated and 23.5% of the discriminators were step parents. As household coping mechanism 24.9% reported selling domestic animals, 15.6% selling household equipments and 12.9% sell plots of land which all occurs due to lack of resources in households. The study concluded that caregivers lack sufficient resources to provide basic needs to OVC. Hence, community based training on micro finance assistance, discrimination and psychological support should be given to guardians and the community in general.

  6. Coverage of the Family Health Strategy and uterine colon citopathology in Rio Grande do Sul Cobertura da Estratégia Saúde da Família e de citopatologia de colo uterino no Rio Grande do Sul

    OpenAIRE

    Eno Dias de Castro Filho; João Henrique Godinho Kolling; Paulo Vinícius Nascimento Fontanive; Erno Harzheim

    2010-01-01

    Rio Grande do Sul showed in the last five years a significant increase in the population coverage provided by the Family Health Strategy (FHS). The changes in the organization of Primary Care proposed by the FHS already demonstrated in the great urban centers improvement in the access and other attributes of Primary Care services, as demonstrated in studies that evaluated indicators of child health when comparing the FHS with the traditional Primary Care services. This study sought a...

  7. Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project): a clinical trial by clusters.

    Science.gov (United States)

    Del Cura-González, Isabel; López-Rodríguez, Juan A; Sanz-Cuesta, Teresa; Rodríguez-Barrientos, Ricardo; Martín-Fernández, Jesús; Ariza-Cardiel, Gloria; Polentinos-Castro, Elena; Román-Crespo, Begoña; Escortell-Mayor, Esperanza; Rico-Blázquez, Milagros; Hernández-Santiago, Virginia; Azcoaga-Lorenzo, Amaya; Ojeda-Ruiz, Elena; González-González, Ana I; Ávila-Tomas, José F; Barrio-Cortés, Jaime; Molero-García, José M; Ferrer-Peña, Raul; Tello-Bernabé, María Eugenia; Trujillo-Martín, Mar

    2016-05-17

    Clinical practice guidelines (CPGs) have been developed with the aim of helping health professionals, patients, and caregivers make decisions about their health care, using the best available evidence. In many cases, incorporation of these recommendations into clinical practice also implies a need for changes in routine clinical practice. Using educational games as a strategy for implementing recommendations among health professionals has been demonstrated to be effective in some studies; however, evidence is still scarce. The primary objective of this study is to assess the effectiveness of a teaching strategy for the implementation of CPGs using educational games (e-learning EDUCAGUIA) to improve knowledge and skills related to clinical decision-making by residents in family medicine. The primary objective will be evaluated at 1 and 6 months after the intervention. The secondary objectives are to identify barriers and facilitators for the use of guidelines by residents of family medicine and to describe the educational strategies used by Spanish teaching units of family and community medicine to encourage implementation of CPGs. We propose a multicenter clinical trial with randomized allocation by clusters of family and community medicine teaching units in Spain. The sample size will be 394 residents (197 in each group), with the teaching units as the randomization unit and the residents comprising the analysis unit. For the intervention, both groups will receive an initial 1-h session on clinical practice guideline use and the usual dissemination strategy by e-mail. The intervention group (e-learning EDUCAGUIA) strategy will consist of educational games with hypothetical clinical scenarios in a virtual environment. The primary outcome will be the score obtained by the residents on evaluation questionnaires for each clinical practice guideline. Other included variables will be the sociodemographic and training variables of the residents and the teaching unit

  8. Another way to teach family: family nursing game

    Directory of Open Access Journals (Sweden)

    Carla Sílvia Neves da Nova Fernandes

    2014-10-01

    Full Text Available Current paper describes the application of an innovative strategy to teach family, within a hospital context, by sensitizing nurses on the family subject through the use of a game. Given the hospitalization of a relative, the family faces changes in its dynamics caused by the crisis it is exposed to. It is the relevance for including the family within the care process. Since nurses are expected to assume a key role for which they need specific competence to intervene in families when experiencing an eventual crisis. The in-service education becomes a strategy of generating new skills and enhances human capital to improve the quality of nursing care. Considering the importance of including family in the care context, a playful tool called Family Nursing Game has been invented for teaching the family, especially by passing a model of family intervention. The strategy is based on the belief of the existence of relationship between game and learning.

  9. Application of an improved operational strategy for a high temperature-proton exchange membrane fuel cell-based micro-combined heat and power system for Danish single-family households

    DEFF Research Database (Denmark)

    Arsalis, Alexandros; Nielsen, Mads Pagh; Kær, Søren Knudsen

    2013-01-01

    characteristics. Based on these findings, an improved operational strategy is formulated and applied in an attempt to minimize the shortcomings of conventional strategies. System parameters, such as electrical and thermal efficiencies, heat dumping, and import/export of electricity, are analyzed. The applied load......A proposed residential energy system based on the PBI (Polybenzimidazole) fuel cell technology is analyzed in terms of operational performance. Conventional operational strategies, such as heat-led and electricity-led, are applied to the simulated system to investigate their performance...... profile is based on average data for a single-family household in Denmark and includes consumption data for electricity and heat demands. The study analyzes the potential of the proposed system on market penetration in the area of residential heat-and-power generation and whether this deployment can...

  10. Reaching Out to Diverse Populations: What Can Schools Do to Foster Family-School Connections? A Strategy Brief of the National Center for Family and Community Connections with Schools

    Science.gov (United States)

    Ferguson, Chris

    2005-01-01

    Contrary to the assumption of many educators, research on family and community connections with schools has revealed that parents are interested in their children's academic success regardless of ethnicity, culture, or economic status, although they may not know how to help their children or may feel incapable of assisting them. There are many…

  11. Effectiveness of the Family Health Strategy in units with, and without, the Mais Médicos (More Doctors) Program in a municipality in the west of Paraná state, Brazil.

    Science.gov (United States)

    Carrer, Andreia; Toso, Beatriz Rosana Gonçalves de Oliveira; Guimarães, Ana Teresa Bittencourt; Conterno, Julia Reis; Minosso, Kamila Caroline

    2016-09-01

    Two years after the Mais Médicos (More Doctors) Program, (Programa Mais Médicos - PMM) was put in place in Brazil, there is a need to study its feasibility. This study aims to evaluate the effectiveness of the primary healthcare service offered, from the point of view of the health professionals, comparing units which have, and which do not have, doctors from the Mais Médicos Program. It is a quantitative survey, using for data collection the instrument Primary Care Assessment Tool - Brazil, Version for Health Professionals, applied across the totality of the family health units in a medium sized municipality in the interior of the southern Brazilian State of Paraná, from November 2015 to February 2016. It covered 72 professionals, 47 of them allocated in Family Health Strategy (FHS) units and 25 in FHS units containing the Program. In both groups the scores for core attributes (6.93) and general attributes (7.10) were considered to be appropriate to the precepts of primary healthcare. However, the attributes accessibility (4.17), in both groups, and coordination - information system (6.57), in units with the Mais Médicos Program, did not reach the satisfactory level, indicating a need to alter the organization of the Family Health Strategy, whether the PMM program is implemented or not.

  12. [Family Health Strategy: evaluating the access to SUS from the perception of the users of the health unit Resistência, in the region of São Pedro, Vitória, Espírito Santo State].

    Science.gov (United States)

    Schwartz, Talita Dourado; Ferreira, Josilda Terezinha Bertulozo; Maciel, Ethel Leonor Noia; Lima, Rita de Cássia Duarte

    2010-07-01

    Family Health is a re-orientation strategy of the assistance model. One of its guiding principles is the establishment of a link between the health teams and the SUS users. The purpose of this research is to evaluate user access to the Family Health Unit (FHU) and the local problems faced. It is an exploratory, qualitative research, developed at the FHU Resistencia of São Pedro, located in the Greater Vitória, Espírito Santo State, with data collected individually through a semi-structured survey. It was found that the main needs of the population are incorporated in the services provided by the FHU, and the users face many difficulties with access. The main criticism is related to access to the specialized services. The majority of the participants of the survey showed satisfaction with the access to the services, and were not intimidated to express the difficulties faced. The work developed by the Family Heath Strategy (FHS) at FHU Resistência has been contributing to the improvement of the quality of the services offered by FHS to the users served, although many problems have been identified, which demonstrates the great challenge in redefining the assistance model, as proposed by this public policy.

  13. Peasant reproduction and local knowledge in contexts of social and environmental fragility. Family and community strategies in the mountain range of Tentzo, México

    Directory of Open Access Journals (Sweden)

    Beatriz Martínez Corona

    2016-09-01

    Full Text Available The article presents results of research conducted in the city of San Antonio Juarez, Tzicatlacoyan township, in the state of Puebla, Mexico. The objective was to determine the reproductive strategies of domestic groups peasants, facing adverse environmental conditions that severely restrict the development of agriculture. From qualitative and quantitative techniques, it was found the presence of different reproduction strategies, at the neighborhood level, based on local knowledge, the gender division of labor and domestic level organization and community group.

  14. Japanese Families' Educational Challenges in the US: Strategies and Attitudes for Language and Cultural Maintenance While in American and Hosuko Schools

    Science.gov (United States)

    Hamada, Hideki

    2008-01-01

    Many Japanese families come to the US because the fathers are dispatched to work at Japanese companies in the US, and they return to Japan after a 3-4 year stay. Many children attend an American local school as well as a supplementary Saturday school, hoshuko, in order to keep up academically after they return to Japan. However, balancing an…

  15. Dissolved families

    DEFF Research Database (Denmark)

    Christoffersen, Mogens

    The situation in the family preceding a family separation is studied here, to identify risk factors for family dissolution. Information registers covering prospective statistics about health aspects, demographic variables, family violence, self-destructive behaviour, unemployment, and the spousal...

  16. Varying family planning strategies across age categories: differences in factors associated with current modern contraceptive use among youth and adult women in Luanda, Angola

    Directory of Open Access Journals (Sweden)

    Prata N

    2016-01-01

    Full Text Available Ndola Prata,1 Suzanne Bell,1 Karen Weidert,1 Benjamin Nieto-Andrade,2 Adelaide Carvalho,3 Isilda Neves3 1Bixby Center for Population, Health and Sustainability, School of Public Health, University of California at Berkeley, Berkeley, CA, USA; 2Population Services International Angola, 3National Directorate of Public Health, Ministry of Health, Luanda, Angola Background: The objective of this study is to identify factors associated with current modern contraceptive use among Angolan women. By differentiating according to age groups (15–24 and 25–49 years, this study aimed to help family planning program planners better tailor interventions to improve utilization of modern contraception.Methods: A household survey was used to collect data from 1,545 women of reproductive age living in Luanda Province, Angola. Data on sociodemographic characteristics, reproductive behavior and intentions, contraceptive knowledge and use, and attitudes and beliefs regarding contraception and abortion were collected. The analyses were stratified based on age: 15–24 years (youth and 25–49 years (adult. Multivariate logistic regression models were built for each age group, adding different subsets of variables in groups to see how relationships changed across the models.Results: Common factors associated with modern contraceptive use among all ages include education level, perceived contraceptive accessibility, contraceptive knowledge, communication with partner about family planning in last year, and self-efficacy. Exposure to family planning information in the media in the last few months, perceived partner approval of family planning, and marital status were all positively associated with current modern contraceptive use among women aged 15–24 years. Meanwhile, receiving information about family planning from a pharmacy in the last year was uniquely associated with current modern contraceptive use among women aged 25–49 years.Conclusion: Young women in

  17. Children Falling through the Health Insurance Cracks: Early Observations and Promising Strategies for Keeping Low-Income Children Covered by Medi-Cal and Healthy Families.

    Science.gov (United States)

    Testa, Kristen; Mohamadi, Larissa; Horner, Dawn; Lazarus, Wendy; Richards, Jayleen; Finocchio, Len

    In an effort to provide uninsured children with health care, California and states across the nation have focused on locating uninsured children and enrolling them in Medicaid and their state children's health insurance program. This report provides a comprehensive examination of California's efforts and offers strategies for keeping children…

  18. Matched and Mismatched Appraisals of the Effectiveness of Communication Strategies by Family Caregivers of Persons with Alzheimer's Disease

    Science.gov (United States)

    Savundranayagam, Marie Y.; Orange, J. B.

    2014-01-01

    Background: Communication problems stemming from Alzheimer's disease (AD) often result in misunderstandings that can be linked with problem behaviours and increased caregiver stress. Moreover, these communication breakdowns also can result either from caregivers' use of ineffective communication strategies, which paradoxically are…

  19. Cultivating Strategies for Success: How Mid-Level Women Leaders of Color in Student Affairs Navigate the Balance of Work and Family

    Science.gov (United States)

    Vasquez, Sandra

    2012-01-01

    Historically, women's struggle with work-life balance has been founded upon societal expectations. Most notably is the dearth in the representation of women and women of color in top leadership positions. As a result, the internal and external challenges they navigate lead them to seek and cultivate alternative strategies and support networks to…

  20. Coping strategies as mediators of the effect of the START (strategies for RelaTives) intervention on psychological morbidity for family carers of people with dementia in a randomised controlled trial.

    Science.gov (United States)

    Li, Ryan; Cooper, Claudia; Barber, Julie; Rapaport, Penny; Griffin, Mark; Livingston, Gill

    2014-10-01

    Family carers of people with dementia frequently become depressed or anxious. In observational studies, more emotion-focused and less dysfunctional coping predict fewer psychological symptoms, but no randomised controlled trial (RCT) has directly investigated emotion-focused coping as mediator of effectiveness of a successful psychological intervention. We hypothesised that emotion-focused coping would mediate the START psychological intervention׳s effects in an RCT. We tested whether mediated effects were moderated by severity of baseline symptoms. 260 family carers from NHS dementia services were randomised to START (manualised coping skills intervention), or treatment-as-usual (TAU). Blinded raters administered the Hospital Anxiety and Depression Scale (HADS-T) and Brief COPE inventory at baseline, 4 and 8 months. HADS-T improved in the intervention group when compared to TAU at all levels of psychological distress. We tested whether coping was a mediator and for moderated mediation, and (post-hoc) subgroup treatment effects on coping. Data were available for 187 carers (71.9%) for the mediation analysis. The reduced HADS-T score in the intervention group was mediated by increased emotion-focused coping only among carers with higher (16+) baseline HADS-T scores (mediated effect=-0.63 [-1.11, -0.15]; proportion of overall effect=33% [3%, 64%]). We did not measure plausible psychosocial treatment mechanisms other than coping. START benefited family carers both in preventing and treating psychological morbidity, through different mechanisms of action. The most psychologically distressed carers increased their emotion-focused coping and did not decrease their dysfunctional coping, while others benefited but not through this mechanism. Copyright © 2014 Elsevier B.V. All rights reserved.

  1. Attitudes and perceptions of three groups of family farmers in Brazil on problems they perceive in raising broilers and alternative feeding strategies

    DEFF Research Database (Denmark)

    de Almeida, Gustavo Fonseca; Horsted, Klaus; Figueiredo, E. A.

    2015-01-01

    With the purpose to identify alternatives to the use of oil seed crops and cereals in broiler feeding, we interviewed 21 family farmers raising broilers in alternative systems located in three relevant sites for the poultry industry in Brazil. Two groups in the south (Parana and Rio Grande do Sul......) were organized in cooperatives raising slow-growing broilers in free-range systems. The third group was linked to a broiler company in the state of Sao Paulo producing antibiotic-free (AF) broilers in intensive systems. Individual assessments were performed through surveys with semi...

  2. Family, alcohol, and culture.

    Science.gov (United States)

    Bennett, L A

    1989-01-01

    During the 1970s and 1980s a small but rich tradition of anthropological and sociological studies of family culture, cultural context, and alcohol has developed. Ideally, ethnographic analysis of a cultural group and in-depth holistic examination of family process are incorporated in such research. In conducting family, culture, and alcohol investigations, researchers are encouraged to reexamine some conceptual assumptions: (1) their working definition of culture; (2) their relative emphasis on family culture or cultural context; (3) their attention to socialization as an active process in the transmission of culture within and across generations; and (4) their adoption of a holistic and cross-generational perspective. To apply this line of research to preventive and intervention strategies, two questions are especially relevant: Why are particular alcohol traditions established and maintained within families? What incentives and constraints from the family's cultural context help create, preserve, and/or terminate particular drinking practices?

  3. Family Food Providers’ Perceptions of the Causes of Obesity and Effectiveness of Weight Control Strategies in Five Countries in the Asia Pacific Region: A Cross-Sectional Survey

    Directory of Open Access Journals (Sweden)

    Anthony Worsley

    2017-01-01

    Full Text Available The rise of the middle classes in developing countries and the associated epidemiological transition raises the importance of assessing this population group’s awareness of the causes of obesity and effective weight control strategies in order to develop effective health promotion strategies. The study aimed to examine the perceptions of the causes of obesity and weight control strategies held by middle class household food providers in Melbourne, Singapore, Shanghai, Indonesia and Vietnam. An online survey was conducted in late 2013, early 2014 among 3945 respondents. Information about body weight concerns, perceived causes of obesity, effectiveness of weight control methods, demographics, self-reported height and weight, and personal values was elicited. Confirmatory factor analyses (CFA derived nine reliable factors which were used in structural equation modelling (SEM. Two thirds of respondents were trying to change their body weight, of them, 71% were trying to lose weight. The CFA and SEM showed that demographics, region of residence, personal values and perceptions of the causes of obesity (Unhealthy food behaviours, influences Beyond personal control and Environmental influences had direct and indirect associations with three weight control methods factors, named: Healthy habits, Eat less, sit less, and Dieting. Middle class food providers in the study regions share public health views of obesity causation and personal weight control. These findings could inform public health and food policies, and the design of public health interventions and communications. Further research is required among lower socio economic status (SES populations.

  4. Family Food Providers' Perceptions of the Causes of Obesity and Effectiveness of Weight Control Strategies in Five Countries in the Asia Pacific Region: A Cross-Sectional Survey.

    Science.gov (United States)

    Worsley, Anthony; Wang, Wei; Sarmugam, Rani; Pham, Quynh; Februhartanty, Judhiastuty; Ridley, Stacey

    2017-01-18

    The rise of the middle classes in developing countries and the associated epidemiological transition raises the importance of assessing this population group's awareness of the causes of obesity and effective weight control strategies in order to develop effective health promotion strategies. The study aimed to examine the perceptions of the causes of obesity and weight control strategies held by middle class household food providers in Melbourne, Singapore, Shanghai, Indonesia and Vietnam. An online survey was conducted in late 2013, early 2014 among 3945 respondents. Information about body weight concerns, perceived causes of obesity, effectiveness of weight control methods, demographics, self-reported height and weight, and personal values was elicited. Confirmatory factor analyses (CFA) derived nine reliable factors which were used in structural equation modelling (SEM). Two thirds of respondents were trying to change their body weight, of them, 71% were trying to lose weight. The CFA and SEM showed that demographics, region of residence, personal values and perceptions of the causes of obesity ( Unhealthy food behaviours , influences Beyond personal control and Environmental influences ) had direct and indirect associations with three weight control methods factors, named: Healthy habits, Eat less, sit less , and Dieting. Middle class food providers in the study regions share public health views of obesity causation and personal weight control. These findings could inform public health and food policies, and the design of public health interventions and communications. Further research is required among lower socio economic status (SES) populations.

  5. Family Efficacy within Ethnically Diverse Families: A Qualitative Study.

    Science.gov (United States)

    Kao, Tsui-Sui A; Caldwell, Cleopatra H

    2017-03-01

    Family efficacy, which refers to a family's belief in its ability to produce a desired outcome, has been shown to protect adolescents from risky health behaviors. Few studies have examined family efficacy within diverse populations, however, and understanding of how efficacy is framed and formed within the context of cultural and familial values is limited. This descriptive qualitative study examined sources of family efficacy within ethnically and socioeconomically diverse families, evaluating how such families develop and exercise family efficacy with the intent to protect adolescents from risky health behaviors (i.e., marijuana and alcohol use and early sexual activity). We collected qualitative data via two semi-structured interviews, 4-6 months apart, with 31 adolescents (ages 12-14) and their parent/s, for total of 148 one-on-one interviews. Thematic analysis identified three distinct domains of family efficacy: relational, pragmatic, and value-laden. Prior experiences and cultural background influenced the domain/s utilized by families. Significantly, families that consistently tapped into all three domains were able to effectively manage personal and family difficulties; these families also had family strategies in place to prevent adolescents from risky behaviors. Health professionals could utilize this concept of multidimensional family efficacy to promote health within culturally diverse families. © 2015 Family Process Institute.

  6. PRODUCTION OF PASSION FRUIT SEEDLINGS WITH THE RESIDUE OF AGROINDUSTRIAL PROCESSING OF POTATOES AS A STRATEGY IN THE SUSTAINABILITY OF AGRICULTURAL FAMILY ACTIVITY

    Directory of Open Access Journals (Sweden)

    Leonardo Humberto Silva e Castro

    2012-12-01

    Full Text Available In order to contribute to family farming sustainable development and to the environmental management of the residue generated from potato processing by the company "Bem Brasil Alimentos LTDA" from Araxa, Minas Gerais, Brazil, an experiment was conducted at the Experimental Farm of Araxa (FEAX - EPAMIG between February to April of 2012, aiming to analyze passion fruit seedlings development from the use of different doses of this residue such as substrate, to reduce costs of raw materials. The experiment was conducted in randomized block design with six treatments, four repetitions and 20 plants per plot, being the treatments, blends of soil (latosol with levels of 10%, 20% and 30% of potato processing residue associated to chemical treatment and a witness. After 70 days of sowing, the height of air part (cm, root length (cm, number of leaves and total dry matter (g were evaluated. The best treatment was the M4 which used latosol + chemical treatment + 20% of residue. It was diagnosed that the use of agroindustrial potato processing residue, as part of the substrate, is a favorable alternative for passion fruit seedlings development. Thus, it gives a destination to this residue instead of discarding it into the environment, as well as decreases the costs of raw material that permit its correct ecological use, besides generating more income for family farmers.

  7. Contribuições do Movimento Construcionista Social para o Trabalho com Famílias na Estratégia Saúde da Família Contributions of the Social Constructionist Movement to the Family Practice in the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Carla Guanaes

    2011-12-01

    Full Text Available Neste artigo, discutimos o movimento de transformação epistemológica que tem se desenvolvido no campo das práticas familiares sistêmicas, destacando suas implicações para o trabalho com famílias em saúde e, especificamente, no contexto da Estratégia Saúde da Família (ESF. Partindo das contribuições do movimento construcionista social, discutimos a importância de construção de um contexto dialógico na equipe interdisciplinar para a prática de "discussão de famílias", em que os profissionais de saúde possam se reconhecer como participantes ativos no processo de significação sobre as famílias e seus problemas, desenvolvendo uma postura de maior respeito às diferenças e de valorização dos recursos e potencialidades das famílias atendidas, em detrimento do foco em seus déficits e falhas. Concluímos que o trabalho com famílias na ESF envolve muitos desafios, que só podem ser superados se a equipe profissional se articular num trabalho conjunto e corresponsável, revisando suas próprias práticas e narrativas sobre família, problema e mudança.In this article, we discuss the epistemological transformational movement that has been developed in the field of systemic family practices, highlighting implications of this transformation to the work with families in health, especially in the context of the Estratégia Saúde da Família (ESF - Family Health Strategy. Especially based on the contributions of the social constructionist movement, we discuss the importance of the construction of a dialogical context in the interdisciplinary team for the practice of "family discussion", in which health professionals can recognize themselves as active participants in the signification process about the families and their problems, developing an attitude of greater respect for differences and appreciation of the families' resources and strengths, instead of focusing on their deficits and failures. We conclude that the work with

  8. Family Issues

    Science.gov (United States)

    ... and grandparents raise grandchildren. Some children live in foster families, adoptive families, or in stepfamilies. Families are much more than groups of people who share the same genes or the ...

  9. Family History

    Science.gov (United States)

    Your family history includes health information about you and your close relatives. Families have many factors in common, including their genes, ... as heart disease, stroke, and cancer. Having a family member with a disease raises your risk, but ...

  10. Family Arguments

    Science.gov (United States)

    ... Spread the Word Shop AAP Find a Pediatrician Family Life Medical Home Family Dynamics Adoption & Foster Care ... Life Listen Español Text Size Email Print Share Family Arguments Page Content Article Body We seem to ...

  11. Family Therapy

    Science.gov (United States)

    ... relating to each other Set individual and family goals and work on ways to achieve them Results Family therapy doesn't automatically solve family conflicts or make an unpleasant situation go away. But ...

  12. Primary care strategies for promoting parent-child interactions and school readiness in at-risk families: the Bellevue Project for Early Language, Literacy, and Education Success.

    Science.gov (United States)

    Mendelsohn, Alan L; Huberman, Harris S; Berkule, Samantha B; Brockmeyer, Carolyn A; Morrow, Lesley M; Dreyer, Benard P

    2011-01-01

    To determine the effects of pediatric primary care interventions on parent-child interactions in families with low socioeconomic status. In this randomized controlled trial, participants were randomized to 1 of 2 interventions (Video Interaction Project [VIP] or Building Blocks [BB]) or the control group. Urban public hospital pediatric primary care clinic. Mother-newborn dyads enrolled post partum from November 1, 2005, through October 31, 2008. In the VIP group, mothers and newborns participated in 1-on-1 sessions with a child development specialist who facilitated interactions in play and shared reading by reviewing videos made of the parent and child on primary care visit days; learning materials and parenting pamphlets were also provided. In the BB group, parenting materials, including age-specific newsletters suggesting interactive activities, learning materials, and parent-completed developmental questionnaires, were mailed to the mothers. Parent-child interactions were assessed at 6 months with the StimQ-Infant and a 24-hour shared reading recall diary. A total of 410 families were assessed. The VIP group had a higher increased StimQ score (mean difference, 3.6 points; 95% confidence interval, 1.5 to 5.6 points; Cohen d, 0.51; 0.22 to 0.81) and more reading activities compared to the control group. The BB group also had an increased overall StimQ score compared with the control group (Cohen d, 0.31; 95% confidence interval, 0.03 to 0.60). The greatest effects for the VIP group were found for mothers with a ninth-grade or higher reading level (Cohen d, 0.68; 95% confidence interval, 0.33 to 1.03). The VIP and BB groups each led to increased parent-child interactions. Pediatric primary care represents a significant opportunity for enhancing developmental trajectories in at-risk children. clinicaltrials.gov Identifier: NCT00212576.

  13. The Family Reunification Role-Play.

    Science.gov (United States)

    Werrbach, Gail B.

    1993-01-01

    Reports a teaching strategy drawn from current family reunification training materials that enhance social work students' use of collaboration in child and family settings. Students participate in a videotaped role play of a family reunification case planning conference. Discusses the strategy's theoretical background, learning objectives,…

  14. Evaluating Family Therapy: Divergent Methods, Divergent Findings.

    Science.gov (United States)

    Kolevzon, Michael S.; And Others

    1988-01-01

    Employed triangulation strategy for assessing family interaction, involving family members, therapist, and coders independently viewing videotapes. Found weak agreement between paired assessments within family triad, and within therapist-coder dyad. Findings suggest that methodological and/or scaling strategies designed to maximize agreement may…

  15. Comparison of two strategies for the administration of injectable depot medroxyprogesterone acetate: among women who returned to a family planning clinic at three- or six-month intervals.

    Science.gov (United States)

    Ferreira, Jéssica M; Bottura, Bruna F; Gonçalves, Mayara P; Monteiro, Ilza; Bahamondes, Luis

    2016-10-01

    The aim of this study was to compare the clinical performance of depot medroxyprogesterone acetate (DMPA) in women who received injections every 3 months at the Family Planning Clinic, and those who received every other injection at a health care facility near their place of residence, only returning to the clinic every 6 months. The medical charts of DMPA users from 2 January 1980 through 31 December 2012 were evaluated for this study. Two cohorts of women were created and compared: those who regularly received DMPA injections every 3 months (3-month group) at the clinic and those who received alternating 3-month injections at a health care facility near their residence house, returning to the clinic every 6 months for an injection (6-month group). In addition, effectiveness rates, reasons for discontinuation, and continuation rates were evaluated. Overall, 2637 women received all injections at 3-month intervals at the clinic, and 1190 women received every other injection at a health care facility near their residence. The women in the 3-month group had higher pregnancy rates and higher discontinuation rates (with the exception of discontinuation due to the loss of libido). The women who received alternating injections near their homes were more likely to continue using DMPA as a contraception method and presented lower pregnancy and discontinuation rates (for the majority of reasons), when compared to those women who returned to the clinic every 3 months.

  16. [Organization of primary health care in cities belonging to project for expansion and consolidation of the family health strategy in Mato Grosso State, Brazil].

    Science.gov (United States)

    Melo, Elza Machado de; Paiva, Lúcia; Alvares, Juliana; Flecha, André Luiz Dumont

    2008-01-01

    This article presents part of the results from the Baseline Study on the PROESF. The objective was to evaluate primary health care in the cities of Cuiabá, Várzea Grande, and Rondonópolis, Mato Grosso State, Brazil, based on the inter-subjectivity in human relations (among health workers, users of health services, and the public at large and within institutionalized levels of social control). A qualitative and quantitative methodology was used, including interviews with key informants; short meetings with managers; focal groups with managers; and interviews with users and health professionals from pre-selected health units. Scores were assigned to all the questions that indicated participatory processes in primary care practices in the various municipalities. Despite the geopolitical identity among the municipalities and their similar access to the same public policies, there was a significant difference in their performance of the functions pertaining to the organization of primary care and the Family Health Program, in terms of portal of entry into the system, longitudinality, comprehensiveness, and coordination. Differences were observed in the type of relations that were established (participatory versus non-participatory), corresponding to the previous difference.

  17. Family Privilege

    Science.gov (United States)

    Seita, John R.

    2014-01-01

    Family privilege is defined as "strengths and supports gained through primary caring relationships." A generation ago, the typical family included two parents and a bevy of kids living under one roof. Now, every variation of blended caregiving qualifies as family. But over the long arc of human history, a real family was a…

  18. Análisis de la videograbación como estrategia educativa en la especialidad de medicina familiar en México Analysis of video recording as an educational strategy in the family medicine specialty in Mexico

    Directory of Open Access Journals (Sweden)

    Miguel Ángel Fernández Ortega

    2012-12-01

    was to develop a pilot instrument that allows observing the professional practice of the physicians through videos. Finally, five dimensions were chosen to be assessed: 1- personal and professional image, 2- the physician's office image, 3- verbal and non-verbal communication, 4-Clinical practice and 5-Family approach. All these assessed dimensions were described in the paper. Results: a valuable tool for the teaching/learning process was obtained. It allowed improving the abilities and dexterities of the physician in dealing with the patient and the family, as well as the possibilities of the professor for giving advice to the student in terms of development of clinical abilities and individual attitudes in the daily medical work. Conclusions: the tool described in this paper is an educational strategy aimed at increasing the capacities of the family physicians to provide better care to their patients and families.

  19. Negotiating Family Tracking

    DEFF Research Database (Denmark)

    Albrechtslund, Anders; Bøge, Ask Risom; Sonne Damkjær, Maja

    This presentation explores the question: What motivates the use of tracking technologies in families, and how does the use transform the relations between parent and child? The purpose is to investigate why tracking technologies are used in families and how these technologies potentially change...... the relation between parents and children. The use of tracking technologies in families implicate negotiations about the boundaries of trust and intimacy in parent-child relations which can lead to strategies of resistance or modification (Fotel and Thomsen, 2004; Rooney, 2010; Steeves and Jones, 2010......). In the presentation, we report from a qualitative study that focuses on intergenerational relations. The study draws on empirical data from workshops with Danish families as well as individual and group interviews. We aim to gain insights about the sharing habits and negotiations in intimate family relations...

  20. A qualitative approach using the integrative model of behaviour change to identify intervention strategies to increase optimal child restraint practices among culturally and linguistically diverse families in New South Wales.

    Science.gov (United States)

    Brown, Julie; Burton, Danielle; Nikolin, Stevan; Crooks, Philippa Jane; Hatfield, Julie; Bilston, Lynne E

    2013-02-01

    To qualitatively explore barriers to optimal child restraint use using the integrative behaviour change model in culturally and linguistically diverse (CALD) communities in New South Wales (NSW), Australia. A semi-structured discussion was used to conduct 11 language specific focus groups in Arabic, Assyrian, Cantonese, Mandarin, Vietnamese and Turkish. Translated transcriptions were analysed using the major concepts of the integrative behaviour change model. Restraint use intent among CALD community carers is related to perceived safety of their children and complying with the law. While most participants appreciated the safety benefits of correct and appropriate use, a minority did not. Child restraint legislation may positively influence social norms, and enforcement appears to increase parental self-efficacy. However, concerns over child comfort may negatively influence both norms and self-efficacy. There are clear deficits in knowledge that may act as barriers as well as confusion over best practice in safely transporting children. Large family size, vehicle size and cost appear to be real environmental constraints in CALD communities. Determinants of intent and deficits in knowledge in this diverse range of CALD communities in NSW Australia are similar to those reported in other qualitative studies regardless of the population studied. This indicates that key messages should be the same regardless of the target population. However, for CALD communities there is a specific need to ensure access to detailed information through appropriate delivery strategies and languages. Furthermore, practical constraints such as cost of restraints and family size may be particularly important in CALD communities.

  1. Full Circle Program's Family Consulting Services.

    Science.gov (United States)

    Administration for Children, Youth, and Families (DHHS), Washington, DC.

    In 1989-90, Full Circle Program's Family Consulting Services (FCS) staff provided family reunification services to 50 children and their families in San Francisco and Marin counties. Staff members developed individualized treatment strategies for each family, acting as advocates for the needs of the child. These services included medical and…

  2. Estrategia educativa para el el fortalecimiento de valores humanos desde la relación Universidad Familia Educative Strategy to strengthen human values involving the University-Family relationship

    Directory of Open Access Journals (Sweden)

    Mercedes Bartutis Romero

    2007-08-01

    Full Text Available Con el presente trabajo se ha pretendido contribuir al fortalecimiento de los valores humanos en los estudiantes de la facultad de medicina, desde la relación Universidad Familia, involucrando a lafamilia de forma planificada y sistemáticaen el proceso educativo que se desarrolla en la Universidad Médica de Camagüey, con ese propósito fue diseñada la estrategia propuesta. Se realizó la sistematizaciónde los fundamentos teóricos en que se sustenta la estrategia.Se expresan los resultados del diagnóstico realizado,permitiendo obtener información sobre el estado actual del problema objeto de investigación, y confirmando así,la necesidad de la estrategia que se propone a partir del desarrollo del nuevo modelo pedagógico que caracteriza la enseñanza superior en Cuba. Los resultados de la investigación pueden ser un instrumento metodológicovalioso para orientar y enriquecer el trabajo educativo en las instituciones de Educación médicaWith the present work it has been sought to contribute to the invigoration of the human values in the students of the medicine ability, from the relationship University Family, involving to the family in a planned way and systematic in the educational process that is developed in the Medical University of Camagüey, with that purpose the proposed strategy was designed. He/she was carried out the systematizing of the theoretical foundations in that the strategy is sustained. The results of the carried out diagnosis are expressed, allowing to obtain information on the current state of the problem investigation object, and confirming this way, the necessity of the strategy that intends starting from the new pedagogic model's development that characterizes the higher education in Cuba. The results of the investigation can be a valuable methodological instrument to guide and to enrich the educational work in the institutions of Medical Education

  3. Training early childcare providers in evidence-based nutrition strategies can help improve nutrition policies and practices of early childcare centres serving racially and ethnically diverse children from low-income families.

    Science.gov (United States)

    Hollar, T Lucas; Cook, Nicole; Natale, Ruby; Quinn, David; Phillips, Teina; DeLucca, Michael

    2018-05-01

    We evaluated the extent to which providing training and technical assistance to early childcare centre (ECC) directors, faculty and staff in the implementation of evidence-based nutrition strategies improved the nutrition contexts, policies and practices of ECC serving racially and ethnically diverse, low-income children in Broward County, Florida, USA. The nutrition strategies targeted snack and beverage policies and practices, consistent with Caring for Our Children National Standards. We used the nutrition observation and document review portions of the Environment and Policy Assessment and Observation (EPAO) instrument to observe ECC as part of a one-group pre-test/post-test evaluation design. ECC located within areas of high rates of poverty, diabetes, minority representation and unhealthy food index in Broward County, Florida, USA. Eighteen ECC enrolled, mean 112·9 (sd 53·4) children aged 2-5 years; 12·3 (sd 7·2) staff members; and 10·2 (sd 4·6) children per staff member at each centre. We found significant improvements in centres' overall nutrition contexts, as measured by total EPAO nutrition scores (P=0·01). ECC made specific significant gains within written nutrition policies (P=0·03) and nutrition training and education (P=0·01). Our findings support training ECC directors, faculty and staff in evidence-based nutrition strategies to improve the nutrition policies and practices of ECC serving racially and ethnically diverse children from low-income families. The intervention resulted in improvements in some nutrition policies and practices, but not others. There remains a need to further develop the evaluation base involving the effectiveness of policy and practice interventions within ECC serving children in high-need areas.

  4. Discovering Family Concerns, Priorities, and Resources: Sensitive Family Information Gathering.

    Science.gov (United States)

    Banks, Ronald A.; Santos, Rosa Milagros; Roof, Virginia

    2003-01-01

    This article provides an overview of the family information gathering process in early intervention and the effect of cultural and linguistic diversity on family information gathering. Practical strategies that early intervention providers can use in interviews, surveys, and observations are discussed, as well as implications for personnel…

  5. Family Issues

    Science.gov (United States)

    ... Information Publications Awards Partners Contact Us ¿Qué es Autismo? Donate Home What is Autism? What is Autism? ... Information Publications Awards Partners Contact Us ¿Qué es Autismo? Family Issues Home / Living with Autism / Family Issues ...

  6. Familial hypercholesterolemia

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/000392.htm Familial hypercholesterolemia To use the sharing features on this page, please enable JavaScript. Familial hypercholesterolemia is a disorder that is passed down through ...

  7. Family Life

    Science.gov (United States)

    ... relationship. Different families have different communication and coping styles. Consider how your family reacts in a crisis ... Learn more about how to get support for parenting while living with cancer . The importance of communication ...

  8. Familial gigantism

    Directory of Open Access Journals (Sweden)

    Wouter W. de Herder

    2012-01-01

    Full Text Available Familial GH-secreting tumors are seen in association with three separate hereditary clinical syndromes: multiple endocrine neoplasia type 1, Carney complex, and familial isolated pituitary adenomas.

  9. Familial gigantism

    NARCIS (Netherlands)

    W.W. de Herder (Wouter)

    2012-01-01

    textabstractFamilial GH-secreting tumors are seen in association with three separate hereditary clinical syndromes: multiple endocrine neoplasia type 1, Carney complex, and familial isolated pituitary adenomas.

  10. Family Influences on Early Development.

    Science.gov (United States)

    Silber, Sharon

    1989-01-01

    The article reviews the literature concerning family influences on early childhood development. Implications of this literature for intervention planning with high risk children and families are suggested. Topics covered include the early parent-child relationship, disciplinary strategies, stimulation, parental instruction and expectations, the…

  11. Community families

    DEFF Research Database (Denmark)

    Jensen, Lotte Groth; Lou, Stina; Aagaard, Jørgen

    2017-01-01

    Background: Social interventions targeted at people with severe mental illness (SMI) often include volunteers. Volunteers' perspectives are important for these interventions to work. The present paper investigates the experiences of volunteer families who befriend a person with SMI. Material......: Qualitative interviews with members of volunteer families. Discussion: The families were motivated by helping a vulnerable person and to engaging in a rewarding relationship. However, the families often doubted their personal judgment and relied on mental health workers to act as safety net. Conclusion......: The volunteer involvement is meaningful but also challenging. The families value professional support....

  12. Strategies for Effective Eating Development-SEEDS: Design of an Obesity Prevention Program to Promote Healthy Food Preferences and Eating Self-Regulation in Children From Low-Income Families.

    Science.gov (United States)

    Hughes, Sheryl O; Power, Thomas G; Beck, Ashley; Betz, Drew; Calodich, Shirley; Goodell, L Suzanne; Hill, Laura G; Hill, Rachael; Jaramillo, J Andrea; Johnson, Susan L; Lanigan, Jane; Lawrence, Adair; Martinez, AnaMaria Diaz; Nesbitt, Merrianneeta; Overath, Irene; Parker, Louise; Ullrich-French, Sarah

    2016-06-01

    To develop a scientifically based childhood obesity prevention program supporting child eating self-regulation and taste preferences. This article describes the research methods for the Strategies for Effective Eating Development program. A logic model is provided that depicts a visual presentation of the activities that will be used to guide the development of the prevention program. Randomized, controlled prevention program, pretest, posttest, 6 months, and 12 months. Two sites: Houston, TX and Pasco, WA. Each trial will last 7 weeks with 8-10 mother-child dyads in each arm (prevention and control). Recruitment at Head Start districts (Texas; n = 160) and Inspire Child Development Center including Early Childhood Education and Head Start (Washington; n = 160). Sixteen trials with 16-20 parent-child dyads per trial will provide adequate power to detect moderate effects. Multicomponent family-based prevention program incorporating a dialogue approach to adult learning and self-determination theory. Child assessments will include observed taste preferences, caloric compensation, and eating in the absence of hunger. Parent assessments will include parent-reported feeding, feeding emotions, acculturation, child eating behaviors, child food preferences, and child dietary intake. Heights and weights will be measured for parent and child. A multilevel growth modeling analysis will be employed to consider the nested nature of the data: time points (level 1) within families (level 2) within trials (level 3). Copyright © 2016 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  13. Family support in cancer survivorship.

    Science.gov (United States)

    Muhamad, Mazanah; Afshari, Mojgan; Kazilan, Fitrisehara

    2011-01-01

    This paper raises issues about the role of family members in providing support for breast cancer survivors. Data were collected from 400 breast cancer survivors in Peninsular Malaysia through a custom-designed questionnaire fielded at hospitals and support group meetings. The data were analyzed using descriptive statistics. The analyses show that all family members could be supportive, especially in decision making and help with emotional issues. The spouse was the main support provider among the family members (others were children, parents, siblings and more distant relatives). The results also indicated that a significant percentage practiced collaborative decision-making. Breast cancer survivors needed their family members' support for information on survivorship strategies such as managing emotions, health, life style and dietary practice. The family members' supportive role may be linked to the Malaysian strong family relationship culture. For family members to contribute more adequately to cancer survivorship, it is suggested that appropriate educational intervention also be provided to them.

  14. Estrategia educativa de orientación familiar para la atención a las carencias afectivas en el desarrollo del escolar ecuatoriano / Educational strategy of family orientation for the attention to the affective lacks in the Ecuadorian student's development

    Directory of Open Access Journals (Sweden)

    María Magdalena Lucas Vidal

    2017-05-01

    Full Text Available To learn how to live together, besides being one of the objectives of all educational systems, is considered as one of the fundamental challenges of the education in the 21stcentury. For this reason, studing students problems and conflicts at educational institutions and developing possible solutions or preventing them has become a focus of attention of any educational community. According to this, the UNESCO (2008 has pointed out that the enormous affective lacks of children, as well as the presence of in nefective models of communication, have motivated professionals to rely on ethic education and social abilities. This article is aimed at devising and educational strategy of family counseling to face affective lacks. The research starts by constructing a framework and collecting information leading to the identification of Ecuadorian affective lacks and the procedures for family counseling. The findings is an strategy tailored to meet the counseling need of community families

  15. Concepts and strategies on how to train and motivate teachers to implement a kindergarten-based, family-involved intervention to prevent obesity in early childhood. The ToyBox-study.

    Science.gov (United States)

    Payr, A; Birnbaum, J; Wildgruber, A; Kreichauf, S; Androutsos, O; Lateva, M; De Decker, E; De Craemer, M; Iotova, V; Manios, Y; Koletzko, B

    2014-08-01

    The key person for the implementation of kindergarten-based behavioural interventions is the kindergarten teacher. When conducting intervention studies in kindergartens, training sessions are needed to train and motivate kindergarten teachers for programme implementation. This paper presents the systematic development of the teachers' trainings executed in the ToyBox-intervention - a kindergarten-based and family-involved obesity prevention programme for children aged 4-6. Based on concepts for the education of kindergarten teachers, on general strategies for successful programme implementation and on the ToyBox programme-specific requirements, the aims of the teachers' trainings were defined and an overall concept was deduced. Regarding the concept for the ToyBox teachers' training sessions, it is concluded that the training modules should focus on presenting information on the practical implementation of the intervention. Furthermore, these modules should also include self-efficacy enhancing components and should give kindergarten teachers opportunities to share experiences. Regarding the didactic methods applied in the ToyBox teachers' training sessions, constructivist learning approaches that facilitate active participation, reflective thinking and personal involvement were implemented. Emphasis was put not only on the content but especially on the didactic methods of teachers' trainings in order to enhance devotion to, and quality and sustainability of the ToyBox-intervention. © 2014 World Obesity.

  16. The Family Saga as a Bestseller Strategy

    DEFF Research Database (Denmark)

    Gemzøe, Anker

    2013-01-01

    short-story prose, critically acclaimed, but marginalized by the reading public, and on the other hand, widely read biographies and autobiographies of publicly known figures, mostly written by journalists. Examining lists of especially significant literary prizes and by way of a qualitative inquiry...

  17. Family literacy

    DEFF Research Database (Denmark)

    Sehested, Caroline

    2012-01-01

    I Projekt familielæsning, der er et samarbejde mellem Nationalt Videncenter for Læsning og Hillerød Bibliotek, arbejder vi med at få kontakt til de familier, som biblioteket ellers aldrig ser som brugere og dermed også de børn, der vokser op i familier, for hvem bøger og oplæsningssituationer ikk...... er en selvfølgelig del af barndommen. Det, vi vil undersøge og ønsker at være med til at udvikle hos disse familier, er det, man kan kalde family literacy....

  18. Study of a family that overcomes poverty issues: family resilience?

    Directory of Open Access Journals (Sweden)

    María Ángela Mattar Yunes

    2015-09-01

    Full Text Available Generally, researches with families focus the difficulties and the negative aspects of family life by bringing up their maladjustments and failures. The interest in family resilience contributes to change this logic by demonstrating the healthy aspects of the family world. Nevertheless, the term resilience presents ideological controversies which are more severe when the discussion is about families and poverty. In order to diminish these contradictions this study adopted a systemic concept of resilience which refers to “those processes that make possible to overcome adversities”. A case study was realized with a low income family who lived in a “very poor” neighborhood in the deep south of Brazil. The methodological strategies to the formal investigation of the family were: life history of the family using the principles of reflexive interview, genograms and data analyses through the approach of the grounded theory. The results showed that the family lived a number of risk experiences such as adoption, privation of basic needs, migration and diseases. Among the indicators of their abilities of “overcoming adversities”, emerged the belief system as the core of the discourses. The family showed that they value the interpersonal relationships through intra and extra familiar interactions based in the patterns of help, learning, affection and solidarity. During the crisis the family gives meaning to the difficulties in order to maintaining the situation controlled through cohesion, open communication, mutual respect and getting support of the extended family/ social network. The pos-adversity period is perceived as benefic and transforming as the family feels stronger and with feelings of solidarity, which is a mark of this family. Their attitude in relation to the neighborhood is active in the sense of promoting the welfare of other families who live in the same social address. Would those above identified processes be adequate to

  19. Youth Homelessness Strategy

    OpenAIRE

    Department of Health (Ireland)

    2001-01-01

    This Strategy aims to build on this work and to ensure a more co-ordinated and planned approach to tackling youth homelessness. Particular emphasis is placed on prevention and on the importance of supporting schools, communities, the young people themselves and their families in this context. Where a young person becomes homeless the Strategy stresses the need for a prompt child focused service which will address the individual needs of the young person. Download the Report here

  20. This is My Family

    OpenAIRE

    Yeğen, Hale Nur; Çetin, Merve

    2017-01-01

    Me and my family, Families poem, Mother-Father, Brother-Sister, Grandparents, Uncle-Aunt, Cousin, Family, Family handgame, My family tree, Activities (Three In a Family), Digital Games, A family poem, Quiz

  1. The process of end-of-life care delivery to the families of elderly patients according to the Family Health Strategy Cuidar de familias de ancianos en final de vida en la Estrategia Salud de la Familia Cuidar de famílias de idosos em final de vida na Estratégia Saúde da Família

    Directory of Open Access Journals (Sweden)

    Lucía Silva

    2013-02-01

    Full Text Available OBJECTIVE: To understand the process of end-of-life care delivery to the families of elderly patients according to a Family Health Strategy (FHS team, to identify the meanings the team attributes to the experience and to build a theoretical model. METHOD: Symbolic Interactionism and Grounded Theory were applied. Fourteen professionals working in an FHS located in a country town in the state of São Paulo were interviewed. RESULTS: Through comparative analysis, the core category overcoming challenges to assist the family and the elderly during the dying process was identified, and it was composed of the following sub-processes: Identifying situational problems, Planning a new care strategy, Managing the care and Evaluating the care process. CONCLUSION: the team faces difficulties to achieve better performance in attending to the biological and emotional needs of families, seeking to ensure dignity to the elderly at the end of their lives and expand access to healthcare.OBJETIVO: comprender, por medio del equipo de la Estrategia Salud de la Familia (ESF, el proceso de cuidar de familias con ancianos que se encuentran en situación de final de vida, tratamos de identificar los significados que el equipo atribuye a la experiencia y con ellos construir un modelo teórico. MÉTODO: se utilizó el interaccionismo simbólico y la teoría fundamentada en los datos. Fueron entrevistados 14 profesionales de la ESF de un municipio del interior del estado de São Paulo. RESULTADOS: el análisis comparativo identificó la categoría central "superando los desafíos para acoger a la familia y al anciano durante el proceso de morir", compuesta por los subprocesos: Identificando la problemática de la situación, Planificando una nueva estrategia para el cuidar, Manejando el cuidado y Evaluando la trayectoria de cuidado. CONCLUSIÓN: el equipo enfrenta dificultades para alcanzar un mejor desempeño, acogiendo las necesidades biológicas y emocionales de las

  2. Family Reunification

    Science.gov (United States)

    Wulczyn, Fred

    2004-01-01

    Reunifying children placed in foster care with their birth parents is a primary goal of the child welfare system. Yet, relatively little is known about the reunification process. This article analyzes new data on trends in family reunification and discovers: (1) Although most children still exit foster care through family reunification, exit…

  3. Family problems

    International Nuclear Information System (INIS)

    Goldman, T.

    1984-01-01

    Even Grand Unified Theories may not explain the repetitive pattern of fermions in the Standard Model. The abysmal absence of dynamical information about these families is emphasized. The evidence that family quantum numbers exist, and are not conserved, is reviewed. It is argued that rare kaon decays may be the best means to obtain more information on this important question

  4. Family therapy for schizophrenia: cultural challenges and ...

    African Journals Online (AJOL)

    and educate families about schizophrenia.2 Results from studies done in Europe, Asia and North America indicate that family interventions employing these strategies are common and have demonstrated efficacy in randomised controlled trials.2. The treatment models are loosely based on the concept of family which varies ...

  5. Innovation in Family Firms

    DEFF Research Database (Denmark)

    Filser, Matthias; Brem, Alexander; Gast, Johanna

    2016-01-01

    , organizational culture and behaviour, resources, and innovation and strategy. Second, based on a thorough literature review the major research avenues are reflected. The comparison of the results of both analyses showed the following areas for future research on family firm innovation: members‘ individual human......Over the past decade, research on innovation in family firms has received growing attention by scholars and practitioners around the globe with a wide range of aspects explored within the current body of literature. Despite the constantly growing number of scientific publications, research lacks...... a comprehensive and critical review of past and present research achievements. First, conducting a bibliometric analysis with a focus on innovation in family firms, we identify five topical clusters that help to understand the foundations of recent findings: namely ownership and governance, structural settings...

  6. Family Medicine Didactics Revisited.

    Science.gov (United States)

    Butler, Dennis J; Brocato, Joseph; Yeazel, Mark

    2017-11-01

    All family medicine programs are required to provide specialty-specific didactic conferences for residents. Since a baseline study of family medicine didactic formats was published in 2000, training requirements have changed, core content has evolved, and new teaching strategies have been recommended. The present study examines the characteristics of current family medicine didactics, compares current and past conference format data, and identifies factors affecting content selection. The survey used in the prior conference formats study was distributed to all US family medicine programs. All questions from the original survey were repeated, and items regarding factors affecting conference content and threats to conferences were added. The survey response rate was 66%. The majority of family medicine programs endorse block formats for structuring conferences. Compared to the original study, programs are devoting significantly more hours to didactics on fewer days. Family medicine faculty and residents are responsible for 70% of didactic offerings (also a significant shift), and 87% of programs use a core curriculum. In over 70% of programs, some residents are unavailable for conferences due to work restrictions or service demands. The Accreditation Council for Graduate Medical Education subcompetencies and Milestones have only a moderate impact on topic selection. Family medicine didactics have evolved in the past 15 years with a notable increase in reliance upon core faculty and residents to lead conferences. Reduced availability of residents prevents all residents from having full exposure to the didactic curriculum. Family medicine faculty who are taking greater responsibility for didactics are also faced with increased clinical and administrative duties.

  7. Aspectos da comunicação nas práticas avaliativas na Estratégia Saúde da Família Aspects of communication in Family Health Strategy evaluation practice

    Directory of Open Access Journals (Sweden)

    Katia Virginia de Oliveira Feliciano

    2010-11-01

    Full Text Available Este artigo adota uma perspectiva hermenêutica e crítica para examinar a importância das condições de possibilidade e legitimidade de práticas comunicativas para a avaliação na Estratégia Saúde da Família. É o caráter participativo da avaliação que possibilita estabelecer redes sociais e técnicas de negociação, visando à coerência entre a autonomia do julgamento de cada um e a expectativa de obter acordos e pactos na construção de projetos comuns. O processo decisório compartilhado se apresenta como uma rede de relações sempre tensas, na qual, o êxito da negociação pode ser prejudicado pela assimetria de poder e os potenciais de ameaça injustamente distribuídos entre interlocutores, tornando indispensável o questionamento do que é dito e da própria situação de uso da linguagem. Para refletir sobre a linguagem como objeto construído, em um dado contexto, recorre-se a Gadamer, Habermas e Ricoeur. Espera-se reafirmar a importância da intersubjetividade como condição de possibilidade das decisões, contribuindo para o fortalecimento do potencial formativo da avaliação em saúde.This article adopts a hermeneutical and critical approach, in order to examine the importance of the conditions making possible and legitimizing communications practices aiming to evaluate the Family Health Strategy. It is the participatory nature of the strategy that enables it to establish social networks and negotiation techniques aiming to achieve coherence between the autonomous judgment of each individual and the expectation of obtaining contracts and agreements for joint projects. The shared decision-making process is shown to be a network of relations that are always in tension, in which the success of negotiations may be hampered by asymmetrical power relations and unfair distribution of the power to make threats. This means that is indispensable that what is said and how language is used be called into question. In order to

  8. El médico de familia y el control de la sífilis después de una estrategia de intervención The family physician and the control of syphilis after an intervention strategy

    Directory of Open Access Journals (Sweden)

    Denis Berdasquera Corcho

    2006-09-01

    Full Text Available Se realizó un estudio experimental con control histórico antes y después de la intervención durante los meses de mayo de 2001 a agosto de 2003. El universo lo constituyeron los 39 Médicos de Familia que laboran en los consultorios del municipio. En Guanajay, desde hace varios años se han presentado dificultades en el tratamiento de las infecciones de transmisión sexual por parte de los Médicos de Familia, hecho que ha propiciado que se incumplan indicadores del Programa de Control de la Sífilis. Por tales razones se decidió intervenir, y realizar primeramente un estudio para determinar el nivel de conocimientos que sobre el control de la sífilis tenían los médicos del municipio, y aplicar posteriormente una intervención para disminuir las deficiencias encontradas. Solo el 43,6 % de los médicos obtuvieron evaluaciones satisfactorias antes de la intervención, que aumentaron a un 94,6 % de respuestas correctas después de aplicada la estrategia. Las mayores deficiencias se encontraron en el dominio de las funciones y objetivos del Programa, en el diagnóstico clínico y de laboratorio, en la vigilancia y grupos de riesgo, en el diagnóstico clínico y tratamiento, así como en las acciones de educación para la salud y la gravedad de la sífilis. El nivel de conocimientos sobre el Programa no era satisfactorio en la mayoría de los encuestados antes de la intervención. La estrategia empleada resultó ser eficaz en lograr conocimientos más sólidos por parte de los médicos en cuanto al control de la sífilis en su comunidad, lo que pudiera favorecer un mejor control de los pacientes que la padecen en el municipio.An experimental study with historical control before and after the intervention was conducted from May to August, 2003.The universe was composed of 39 family physicians working in the offices of the municipality. The family physicians have had difficulties to treat sexually transmitted diseases for some years, and as a

  9. O direito à saúde na Estratégia Saúde da Família: uma reflexão necessária Health rights in the Family Health Strategy: a necessary reflection

    Directory of Open Access Journals (Sweden)

    Júlia Arêas Garbois

    2008-01-01

    Full Text Available A incorporação do conceito ampliado de saúde na Constituição Federal de 1988 se constitui, do ponto de vista jurídico-legal, na possibilidade de legitimar que a saúde é um direito de todos e dever do Estado. No entanto, ao contextualizarmos a saúde como "direito de todos" no cenário brasileiro, fica difícil pensar em todos como um conjunto igualitário de demandas individuais e coletivas, perante as gritantes desigualdades sociais, mesmo quando as pessoas compartem o mesmo espaço geográfico. Neste contexto, o presente estudo, tendo como base a Estratégia Saúde da Família, formulada pelo Ministério da Saúde em 1994, e que se coloca como prioridade no cenário da política de saúde no Brasil, objetivou identificar os limites e as possibilidades desta proposta de garantir o direito à saúde da população brasileira, em particular no Rio de Janeiro. É uma pesquisa descritiva com abordagem qualitativa que utilizou a pesquisa bibliográfica e documental, além da entrevista semi-estruturada realizada com dois atores que participam da ESF nos níveis municipal e estadual do Rio de Janeiro. Como resultado, foi possível identificar que, hoje, quase 20 anos após a Constituinte e 12 anos após a implantação da ESF, esta se apresenta somente como uma possibilidade de concretizar os princípios que norteiam o SUS e, portanto, de garantir a saúde como um direito de todos.The 1988 Federal Constitution incorporated the broader concept of health, which, from the legal viewpoint, is the possibility of legitimating health as everyone's right and the State's duty. However, when this civil health right enters the Brazilian scenario, it is hard to imagine the whole society as an equal set of individual and collective demands before the outrageous social inequality even when people share the same geographical area. In this context, and based on the Family Health Strategy (FHS, formulated by the Ministry of Health in 1994, established as

  10. Saúde auditiva dos recém-nascidos: atuação da fonoaudiologia na Estratégia Saúde da Família Newborn hearing health: speech therapy acting on Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Raquel Martins Maia

    2012-04-01

    Full Text Available OBJETIVO: analisar o acompanhamento dos recém-nascidos quanto à promoção da saúde auditiva após a inserção da fonoaudiologia na Estratégia Saúde da Família. MÉTODO: estudo retrospectivo e documental com abordagem quantitativa com 88 recém-nascidos que realizaram o teste da orelhinha, no período de fevereiro a maio de 2010, a partir dos relatórios mensais de devolutiva do Serviço de Atenção a Saúde Auditiva do município, consolidados mensais e prontuários de um Centro de Saúde da Família em Sobral-Ce. RESULTADOS: dos recém-nascidos avaliados, 35 (39,77% falharam no teste, entre estes, 7 (20% apresentam indicador de risco para deficiência auditiva e 28 (80% não apresentavam nenhum risco. Verificou-se também divergências entre os dados do Serviço de Atenção a Saúde Auditiva e os prontuários do Centro de Saúde da Família quanto a classificação dos indicadores de risco para a perda auditiva. Observou-se ainda que, o número de encaminhamentos para o teste da orelhinha aumentou 8,33%. Em relação ao reteste, 1 (7,69% criança retornou nos meses de março a agosto de 2009 e entre os meses de setembro/2009 a fevereiro/2010 após a atuação da fonoaudiologia no CSF do Sumaré 17 (65,38% crianças realizaram o reteste. CONCLUSÃO: os dados sugerem a importância da presença do fonoaudiólogo na atenção primária, sendo fundamental no acompanhamento e monitoramento do diagnóstico precoce das alterações auditivas.PURPOSE: to analyze the monitoring of the newborn and the promotion of hearing health after insertion of speech therapy at the Family Health Strategy. METHOD: this is a retrospective documentary study with quantitative approach using 88 infants who underwent OAE testing in the period from February to May 2010, we examined the monthly reports’ devolution of the Health Hearing Service of the Municipality, consolidated monthly statements and the handbooks of the Center for Family Health in Sobral

  11. Small Families

    Science.gov (United States)

    ... attention and educational advantages, which generally raise her self-esteem. Children in small families, especially first and only ... be for you both to accept the increasing definition of personality that needs to occur as she ...

  12. Family matters

    DEFF Research Database (Denmark)

    Kieffer-Kristensen, Rikke; Siersma, Volkert Dirk; Teasdale, Thomas William

    2013-01-01

    brain injury participated. Family and brain injury characteristics were reported by the ill and healthy parents. Children self-reported post-traumatic stress symptoms (PSS) using the Child Impact of Events revised (CRIES). Emotional and behavioural problems among the children were also identified...... by the parents using the Achenbach’s Child Behaviour Checklist (CBCL). RESULTS: The family stress variables relating to the healthy spouse in all six comparisons were significant (p... scores for the children. For the adjusted associations, we again found the family stress variables in the healthy spouse to be related to the risk of emotional and behavioral problems in the children. CONCLUSIONS: The present results suggest that in ABI families, the children’s emotional functioning...

  13. Gender Stereotyping in Family

    Directory of Open Access Journals (Sweden)

    Muhammad Hussain

    2015-07-01

    Full Text Available Gender stereotyping and gender role development is one of the debatable concerns to sociologists especially those who are interested in sociology of gender. This study attempts to investigate the role of family inculcating gender stereotyping in Pakhtun culture and its impact on gender role development conducted in public-sector universities of Malakand Division, Khyber Pakhtunkhwa province of Pakistan. The data were collected through in-depth interview method using interview guide as a tool of data collection. A sample size of 24 respondents consisting male and female students and teachers (8 samples from each university through purposive sampling technique was selected from three universities in the region, that is, University of Malakand, University of Swat, and Shaheed Benazir Bhutto University Sharingal (main campus. The collected information has been analyzed qualitatively where primary information has been linked with secondary data for further elaboration and attainment of grounded facts. The study reveals that gender stereotyping and gender role formation are sociocultural and relational constructs, which are developed and inculcated in the institutional network, social interaction, and social relationships especially in family. The study indicated that in family sphere, gender stereotyping and gender role formation are the outcome of gender socialization, differential familial environment, and parents’ differential role with children. The study recommends that gender-balanced familial environment, adopting the strategy of gender mainstreaming and positive role of media, can overcome gender stereotyping and reduce its impacts on gender and social role formation.

  14. Human Life History Strategies

    Directory of Open Access Journals (Sweden)

    Kristine J. Chua

    2016-12-01

    Full Text Available Human life history (LH strategies are theoretically regulated by developmental exposure to environmental cues that ancestrally predicted LH-relevant world states (e.g., risk of morbidity–mortality. Recent modeling work has raised the question of whether the association of childhood family factors with adult LH variation arises via (i direct sampling of external environmental cues during development and/or (ii calibration of LH strategies to internal somatic condition (i.e., health, which itself reflects exposure to variably favorable environments. The present research tested between these possibilities through three online surveys involving a total of over 26,000 participants. Participants completed questionnaires assessing components of self-reported environmental harshness (i.e., socioeconomic status, family neglect, and neighborhood crime, health status, and various LH-related psychological and behavioral phenotypes (e.g., mating strategies, paranoia, and anxiety, modeled as a unidimensional latent variable. Structural equation models suggested that exposure to harsh ecologies had direct effects on latent LH strategy as well as indirect effects on latent LH strategy mediated via health status. These findings suggest that human LH strategies may be calibrated to both external and internal cues and that such calibrational effects manifest in a wide range of psychological and behavioral phenotypes.

  15. Family Literacy

    Directory of Open Access Journals (Sweden)

    Livija Knaflič

    1999-12-01

    Full Text Available Research in child and adult literacy demonstrates that the achievement and the level of literacy that children attain at school is connected with the social and cultural characteristics and the level of literacy of the child's family. This intergenerational transfer of the level of literacy has motivated the search for different ways of improving the level of literacy.The concept of family literacy is based on the assumption that a higher level of parent literacy means that the children may achieve the same, and it also offers better schooling prospects. Family literacy programmes help fami­lies to develop different activities, in­cluding reading and writing skills, both in their community and in everyday life.

  16. A estratégia saúde da família como objeto de educação em saúde The family health strategy as object of health education

    Directory of Open Access Journals (Sweden)

    Candice Boppré Besen

    2007-04-01

    Full Text Available Este estudo investigou se a proposta da Estratégia Saúde da Família (ESF é objeto de discussão com a população na prática educativa dos profissionais nela inseridos e a compreensão sobre Educação em Saúde que eles possuem. Trata-se de uma pesquisa qualitativa, exploratório-descritiva, realizada a partir de entrevistas semi-estruturadas. Na análise de conteúdo, identificaram-se as categorias: Educação em Saúde; A Universidade não ensina e A ESF como objeto de educação em Saúde. Os resultados mostraram que a ESF não é objeto de educação; alguns profissionais desconhecem seus fundamentos e a maioria deles tem práticas educativas verticais e patologizantes, distanciando-se da proposta de Promoção da Saúde da ESF. Reflete-se acerca das concepções de Educação em Saúde que permeiam os discursos dos profissionais, assim como sobre sua participação na capacitação comunitária para a construção da autonomia, cidadania e controle sobre os determinantes de saúde na perspectiva da Promoção da Saúde. Aponta-se para a importância da Educação Permanente e a reestruturação da graduação, de modo a aproximar as práxis da Educação em Saúde com a realidade social.This study investigated whether the proposal of the Family Health Strategy (FHS is discussed with the population in the educational practice of the professionals inserted in this strategy, and the understanding of Health Education that these professionals have. It is a qualitative, exploratory-descriptive research, carried out through semi-structured interviews. The content analysis identified the following categories: Health Education; The University does not teach; and FHS as Object of Health Education. The results showed that FHS is not an object of education; some professionals are unaware of its principles and the majority of them has vertical educational practices based on diseases, which makes them distance themselves from the proposal of Health

  17. Global Strategy

    DEFF Research Database (Denmark)

    Li, Peter Ping

    2013-01-01

    Global strategy differs from domestic strategy in terms of content and process as well as context and structure. The content of global strategy can contain five key elements, while the process of global strategy can have six major stages. These are expounded below. Global strategy is influenced...... by rich and complementary local contexts with diverse resource pools and game rules at the national level to form a broad ecosystem at the global level. Further, global strategy dictates the interaction or balance between different entry strategies at the levels of internal and external networks....

  18. Super families

    International Nuclear Information System (INIS)

    Amato, N.; Maldonado, R.H.C.

    1989-01-01

    The study on phenomena in the super high energy region, Σ E j > 1000 TeV revealed events that present a big dark spot in central region with high concentration of energy and particles, called halo. Six super families with halo were analysed by Brazil-Japan Cooperation of Cosmic Rays. For each family the lateral distribution of energy density was constructed and R c Σ E (R c ) was estimated. For studying primary composition, the energy correlation with particles released separately in hadrons and gamma rays was analysed. (M.C.K.)

  19. Infusing Adlerian Theory into an Introductory Marriage and Family Course.

    Science.gov (United States)

    LaFountain, Rebecca M.; Mustaine, Beverly L.

    1998-01-01

    Important contributions of "Individual Psychology" to marriage and family counseling are examined. Through "open forum family counseling," a framework is provided for infusing these ideas into training family practitioners. Key concepts, assessment techniques, strategies to help individuals understand their own family of…

  20. Teacher Training in Family Involvement: An Interpersonal Approach.

    Science.gov (United States)

    Coleman, Mick; Wallinga, Charlotte

    2000-01-01

    Discusses ways to develop family-school-community involvement, based on an early childhood teacher training course in family involvement. Discusses strategies for using Maslow's Hierarchy of Needs to facilitate family involvement interactions, and using student teachers' experiences for structuring reflective thought about family involvement…

  1. Family planning in contermporary reproductive health and rights ...

    African Journals Online (AJOL)

    Key strategies to promote family planning include domestication of provisions of international conventions on family planning into state laws, and ensuring their implementation; development of community friendly family planning services; establishment of effective family planning commodities logistics management system; ...

  2. Family matters

    Science.gov (United States)

    Hudson, Kathy L.; Collins, Francis S.

    2013-01-01

    Kathy L. Hudson and Francis S. Collins discuss how and why the US National Institutes of Health worked with the family of Henrietta Lacks, the unwitting source of the HeLa cell line, to craft an agreement for access to HeLa genome data. PMID:23925224

  3. Multiracial Families.

    Science.gov (United States)

    Kenney, Kelley

    The multiracial population is one of the fastest growing segments of the U. S. population. In discussing the multiracial population it is first important to identify and define the groups that are under the heading of multiracial. The literature has included interracial couples, multiracial individuals, and families in which a cross-racial or…

  4. Family Hypnotherapy.

    Science.gov (United States)

    Araoz, Daniel L.; Negley-Parker, Esther

    1985-01-01

    A therapeutic model to help families activate experiential and right hemispheric functioning through hypnosis is presented in detail, together with a clinical illustration. Different situations in which this model is effective are mentioned and one such set of circumstances is described. (Author)

  5. Family Genericity

    DEFF Research Database (Denmark)

    Ernst, Erik

    2006-01-01

    Type abstraction in object-oriented languages embody two techniques, each with its own strenghts and weaknesses. The first technique is extension, yielding abstraction mechanisms with good support for gradual specification. The prime example is inheritance. The second technique is functional abst...... the result as family genericity. The presented language design has been implemented....

  6. An Analysis of the Military Family Housing Construction Contractor Supplier Base at MCB Camp Pendleton and a Report on How an Understanding of These Trends May Improve the Acquisition Strategy for the Department of Defense

    National Research Council Canada - National Science Library

    Cannon, Stephen

    2001-01-01

    ...? The study surveyed potential Public Private Venture (PPV) developers and current housing construction contractors' attitudes towards the Navy's recent trend in the design, construction, and maintenance of Marine Corps military family housing...

  7. Saúde da Família no Brasil: estratégia de superação da desigualdade na saúde? Family Health in Brazil: a strategy to overcome inequality in health?

    Directory of Open Access Journals (Sweden)

    Maria Fátima de Sousa

    2009-01-01

    Full Text Available Visa-se a analisar a implantação do Programa de Saúde da Família (PSF, no que se refere ao acesso aos serviços básicos de saúde, no âmbito do Sistema Único de Saúde. O estudo foi realizado nos 12 municípios pioneiros de sua implantação (1994, e a análise foi norteada pela hermenêutica dialética utilizando a técnica do Discurso do Sujeito Coletivo. Foram realizadas entrevistas junto a gestores (federais, estaduais e municipais, bem como grupos focais com usuários e membros das equipes. Abordaram-se as dimensões política (motivações dos gestores, técnico-financeira (expansão da cobertura do PSF e governança e simbólica (a percepção dos usuários sobre acesso. Quanto à motivação, enfatizou-se a possibilidade de reduzir as desigualdades de acesso aos serviços de saúde. A expansão do PSF foi concebida como uma proposta de universalização e não de focalização; foram implementados processos de organização e institucionalização. Contudo, houve flutuação e hesitação nos apoios político, técnico e científico ao PSF, bem como na estratégia de desenvolvimento de pessoal. Quanto aos incentivos financeiros para sua expansão, os discursos dos gestores federais contradizem os dos gestores municipais quanto ao volume e prioridades de recursos para os investimentos nessa estratégia. A percepção dos usuários permanece permeada por visões funcionalistas centralizadas na doença. Nas conclusões, analisam-se as dificuldades em manter a estratégia como política de Estado que contribui à redução das iniquidades em saúde; enfatiza-se a necessidade de corrigir assimetrias no financiamento e ampliar as parcerias na implantação dos polos de formação, capacitação e educação permanente.The aim is to examine the implementation of the Family Health Program (FHP, as regards access to basic health services under the Unified Health System The study was conducted in 12 pioneer municipalities that implemented

  8. Multicultural Partnerships: Involve All Families

    Science.gov (United States)

    Hutchins, Darcy J.; Greenfeld, Marsha D.; Epstein, Joyce L.; Sanders, Mavis G.; Galindo, Claudia L.

    2012-01-01

    This is a must-have, research-based guide for all schools serving culturally diverse elementary and middle grade students and their communities. It's filled with fun, practical, highly effective strategies for raising awareness and engaging all families in their children's education--a sure path toward increased student success! Get detailed…

  9. Strategic Approaches with Resistant Families.

    Science.gov (United States)

    Breit, Miranda; And Others

    1983-01-01

    Describes the operation of a 10-session brief therapy unit for families who have failed in more traditional treatment modalities. Case material is presented to exemplify five different treatment strategies: symptom prescription, reframing, illusion of alternatives, role play, and strategic alliances. Advantages and limitations are discussed.…

  10. Profissionais da Estratégia Saúde da Família diante de demandas médico-sociais: dificuldades e estratégias de enfrentamento Family Health Strategy professionals facing medical social needs: difficulties and coping strategies

    Directory of Open Access Journals (Sweden)

    Natália de Paula Kanno

    2012-12-01

    Full Text Available Os profissionais da Estratégia Saúde da Família (ESF atuam em comunidades onde a complexidade de problemáticas médico-sociais pode levá-los a sofrer psicologicamente, com prejuízos ao atendimento aos usuários e à consolidação da ESF como modelo de reorganização da atenção básica no Brasil. Esse estudo investigou as dificuldades e as formas de enfrentamento referidas por profissionais de equipes da ESF frente às demandas médico-sociais apresentadas pelos usuários em seu cotidiano de trabalho. Grupos focais e entrevistas semiestruturadas foram realizados com 68 profissionais de três Unidades de Saúde da Família da cidade de São Paulo. Tráfico e uso de drogas ilícitas, alcoolismo, depressão e violência doméstica são as demandas mais significativas para o grupo estudado. Frente a elas, os profissionais referem formação profissional e capacitação técnica insuficientes, sobrecarga e condições desfavoráveis de trabalho, com sentimentos de impotência e frustração. No enfrentamento das dificuldades, destacam-se as estratégias coletivas, especialmente as reuniões de equipe e apoio matricial, nas quais há troca de experiências, conhecimentos e apoio compartilhado. Os resultados indicam que as dificuldades referidas podem deixar os profissionais da ESF em situação de vulnerabilidade, tal como os usuários por eles atendidos. O investimento no desenvolvimento de competências, o fortalecimento de estratégias de enfrentamento coletivas, assim como maior articulação com as redes de serviços e as lideranças locais, mostram-se necessários para que os profissionais de saúde atuem com menor estresse frente às complexas demandas médico-sociais presentes em seu cotidiano de trabalho, e assim contribuam na consolidação da ESF.Professionals of Family Health Strategy (FHS work in communities where there are complex medical social problems. These contexts may lead them to psychological suffering, jeopardizing

  11. Strategie podniku

    OpenAIRE

    Gerlašinský, Marcel

    2009-01-01

    The aim of theoretic part of the thesis is to define the term of a strategy, specify the way how to create the strategy, what approach, methods and instruments are used for the strategy determination. Part of the definicions and further focus will be the area of strategic analysis,competetive advantage and the Enterprise's resources. In the application part, the present strategy of Airport Prague company, that is the the international Prague Ruzyne airport operator, will be specified. On the ...

  12. Characteristics of family firms with family management

    OpenAIRE

    Søndergaard, Kathrine Lærke; Almli, Line Floan

    2012-01-01

    In this paper we examine what characterizes family firms’ decisions when it comes to having a family member being the CEO or the chairman of the board of the company. We define this as family management, which is the dependent variable in our research. This variable has four non-ordered mutually exclusive values; family CEO, family chairman of the board, family CEO and family chairman of the board, and neither family CEO nor family chairman of the board. Using data from the Center for Corpora...

  13. Family composition and expressions of family-focused care needs at an academic memory disorders clinic.

    Science.gov (United States)

    Riedel, Brandalyn C; Ducharme, Jamie K; Geldmacher, David S

    2013-01-01

    Objective. To understand who dementia patients identify as their family and how dementia affects family life. Background. Dementia care is often delivered in family settings, so understanding the constituency and needs of the family unit involved in care is important for determining contributors to family quality of life. Design/Methods. Seventy-seven families receiving care at an academic dementia clinic completed questionnaires regarding the affected person and the family. Responses were categorized as focused on an individual's needs or the family's needs. Results. Respondents identified a mean of 3.77 family members involved in care. Spouse (80.5%), daughter (58.4%), son (46.8%), and stepchild or child-in-law (37.7%) were the most frequently listed family members. Questions regarding the effect of dementia-related changes in cognition and mood were most likely to elicit a family-focused response. Questionnaire items that inquired about specific medical questions and strategies to improve family function were least likely to elicit a family-focused response. Conclusions. Both caregivers and persons with dementia frequently provided family-focused responses, supporting the construct of dementia as an illness that affects life in the family unit. This finding reinforces the potential utility of family-centered quality of life measures in assessing treatment success for people with dementia.

  14. A structural model of family empowerment for families of children with special needs.

    Science.gov (United States)

    Han, Kuem Sun; Yang, Yunkyung; Hong, Yeong Seon

    2018-03-01

    To explain and predict family empowerment in families of children with special needs. Family empowerment of families of children with special needs can be explained using the Double ABCX model. Although constant stressors such as parenting stress and family demands can have negative effects on family empowerment, family resources and parenting efficacy can mediate the negative effect through effective coping strategies. A cross-sectional research design was employed. A survey was conducted with 240 parents of children with special needs. Upon exclusion of four responses deemed inadequate to the statistics process, 236 responses were selected for the analysis. Based on the items used in the previous research, we used the scale of family demands 38, the scale of parenting stress 24, the scale of parenting efficacy 37, the scale of pattern of organisation 30, the scale of communication process 16 and the scale of family empowerment 32. In families of children with special needs, parenting stress had a negative effect on parenting efficacy and family resources, namely, pattern of organisation and communication process. Family needs had a positive effect on parenting efficacy. Parenting stress and family demands influenced family empowerment through parenting efficacy and family resources (pattern of organisation and communication process), while parenting efficacy contributed to family empowerment. This study empirically analysed the usefulness of the Double ABCX model in predicting family empowerment. Family resource factors (organisation pattern and communication process) and perception or judgement factors (such as parenting efficacy) were found to mediate the negative impact of various stressors experienced by families of children with special needs. The study findings suggest that clinical practice and management should focus on providing efficient intervention methods to lower stress in families of children with special needs. Reinforcing factors contributing to

  15. [Family adherence in serious mental disorder].

    Science.gov (United States)

    Martín Padilla, Ernesto; Obando Posada, Diana; Sarmiento Medina, Pedro

    2017-10-09

    Identify attitudes and behaviors that evidence and characterize family adherence to treatment in patients with severe mental disorder. Qualitative descriptive, from an interpretative social approach. Chia, Colombia, with professionals in the psychiatric and geriatric settings. Twelve professionals in psychiatry, nursing and psychology, with experience in care of patients with serious mental disorder and their families. Intentional sampling. Twelve semi-structured interviews were carried out. The analysis strategy was made from the procedures of constant comparison and open coding of the grounded theory. As validation strategies, triangulation was done between researchers and methods, as interviews and results survey. Two categories of family adherence were defined: family and treatment (treatment cooperation, knowledge about the disease and attention to the disease evolution), and family attitudes towards the patient (patient's care, patient's promotion of autonomy, and affective attachment with the patient). A third category showed aspects that diminished family adherence, such as lack or distortion of information regarding mental disorder, or family and patient endurance attitudes. Participants agree about the relevance of the construct named «family adherence», which describes the behaviors and attitudes of the family regarding the treatment of patients with severe mental disorder. Family adherence can be seen as active participation behavior, but also as a process of strengthening relationships, which can reduce the burden and suffering on family members, caregivers and patients. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  16. Family roles as family functioning regulators

    OpenAIRE

    STEPANYAN ARMINE

    2015-01-01

    The author examines the problems of formation and functioning of family roles. Having social roots, family roles appear on individual level by performing the social function of the formation of family as a social institute.

  17. Coping with stigma by association and family burden among family members of people with mental illness.

    Science.gov (United States)

    van der Sanden, Remko L M; Stutterheim, Sarah E; Pryor, John B; Kok, Gerjo; Bos, Arjan E R

    2014-10-01

    In this study, we explored stigma by association, family burden, and their impact on the family members of people with mental illness. We also studied the ways in which family members coped with these phenomena. We conducted semistructured interviews with 23 immediate family members of people with mental illness. Participants reported various experiences of stigma by association and family burden. Social exclusion, being blamed, not being taken seriously, time-consuming caregiving activities, and exhaustion appeared to be the predominant forms of stigma by association and family burden experienced by the participants. The participants used problem-focused and emotion-focused coping strategies, separately or simultaneously, to cope with the negative impact of stigma by association and family burden. The results suggest that family members should have access to services to address these problems. Social, instrumental, and emotional support should be given to family members by community members and mental health professionals.

  18. Singing about family planning.

    Science.gov (United States)

    Emah, E

    1993-01-01

    The Nigerian Family Health services project teamed up with the Johns Hopkins University's Population Communication Services to produce songs called "Choices" and "Wait for Me." The songs, which were about sexual responsibility, were performed by popular music stars King Sunny Ade and Onyeka Onwenu and appeared under King Sonny Ade's long playing albums in 1989. Teaching sexual responsibility through song was suggested in focus group discussions. Findings indicated that young people were responsive to messages about sexual responsibility, postponing sex or saying "no," male sexual responsibility, and children by informed choice and not chance among married couples. An impact assessment of the songs was conducted in February, 1991. Survey findings revealed that 64% of urban and 22% of rural respondents recalled having heard the songs and seen the videos. 48% of urban youth discussed the songs with friends, and 27% discussed the songs with sexual partners. 90% of respondents reported agreement with the message that couples should have only the number of children that they can care for, and that couples should practice family planning. The target population that was affected most by the songs was aged less than 35 years. The strategy of using songs to teach youth responsible parenting appears to be a reliable strategy for mass education and mobilization. There is mass support from among members of the National Council for Women's Societies, the Planned Parenthood Federation of Nigeria, and Coca Cola Corporation, as well as the public at large.

  19. From Family Therapy to Family Intervention.

    Science.gov (United States)

    Josephson, Allan M

    2015-07-01

    For many, family therapy refers to sessions in which all family members are present. Yet in contemporary psychiatry there are many ways to work with families in addition to this classic concept. This article proposes family intervention as an encompassing term for a new family paradigm in child and adolescent psychiatry. Developmental psychopathology is a guiding principle of this paradigm. A full range of ways to work with families clinically is described with clinical examples. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Gambling related family coping and the impact of problem gambling on families in Hong Kong

    Directory of Open Access Journals (Sweden)

    Elda Mei Lo Chan

    2016-03-01

    Full Text Available Abstract Despite substantial evidence that problem gambling is associated with a wide range of family difficulties, limited effort has been devoted to studying the negative impacts on family members as a result of problem gambling and how they cope and function under the impacts of problem gambling in Chinese communities. Among the very few Chinese-specific gambling-related family impact studies, none have examined how gambling-related family coping responses are related to gambling-related family impacts. Based on a sample of treatment-seeking Chinese family members of problem gamblers, this study aimed to explore: (1 the demographic characteristics and health and psychological well-being of the family members; (2 the gambling-related family member impacts (active disturbance, worrying behavior; (3 the family coping strategies (engaged, tolerant-inactive and withdrawal coping; (4 the relationship between gambling-related family member impacts, psychological distress and family coping strategies. It was hypothesized that positive significant relationships would be found between family member impacts, psychological distress and family coping strategies. From March 2011 to February 2012, a total of 103 family members of problem gamblers who sought help from Tung Wah Group of Hospitals Even Centre in Hong Kong were interviewed. Results showed that a majority of family members were partners or ex-partners of the gambler with low or no income. A large proportion of participants reported moderate to high psychological distress (72.6 %, poor to fair general health (60.2 %, and poor to neither good nor bad quality of life (61.1 %. Family member impacts were positively significantly correlated to all family coping strategies and psychological distress. Tolerant-inactive coping had the strongest relationships with family member impacts and psychological distress. Strong relationships between family member impacts and psychological distress were also

  1. Gambling related family coping and the impact of problem gambling on families in Hong Kong.

    Science.gov (United States)

    Chan, Elda Mei Lo; Dowling, Nicki A; Jackson, Alun C; Shek, Daniel Tan-Lei

    Despite substantial evidence that problem gambling is associated with a wide range of family difficulties, limited effort has been devoted to studying the negative impacts on family members as a result of problem gambling and how they cope and function under the impacts of problem gambling in Chinese communities. Among the very few Chinese-specific gambling-related family impact studies, none have examined how gambling-related family coping responses are related to gambling-related family impacts. Based on a sample of treatment-seeking Chinese family members of problem gamblers, this study aimed to explore: (1) the demographic characteristics and health and psychological well-being of the family members; (2) the gambling-related family member impacts (active disturbance, worrying behavior); (3) the family coping strategies (engaged, tolerant-inactive and withdrawal coping); (4) the relationship between gambling-related family member impacts, psychological distress and family coping strategies. It was hypothesized that positive significant relationships would be found between family member impacts, psychological distress and family coping strategies. From March 2011 to February 2012, a total of 103 family members of problem gamblers who sought help from Tung Wah Group of Hospitals Even Centre in Hong Kong were interviewed. Results showed that a majority of family members were partners or ex-partners of the gambler with low or no income. A large proportion of participants reported moderate to high psychological distress (72.6 %), poor to fair general health (60.2 %), and poor to neither good nor bad quality of life (61.1 %). Family member impacts were positively significantly correlated to all family coping strategies and psychological distress. Tolerant-inactive coping had the strongest relationships with family member impacts and psychological distress. Strong relationships between family member impacts and psychological distress were also found. The results

  2. Market entry strategies into the BRIC countries

    DEFF Research Database (Denmark)

    Boyd, Britta; Dyhr Ulrich, Anna Marie

    2014-01-01

    Based on a sample of 177 exporting SMEs, this study investigates what market entry strategy is used by Danish family and non-family businesses. From a resource-based view, three critical internal factors (risk, flexibility and control) affecting the entry mode choice into the BRIC markets...... compared to non-family firms. Furthermore, the Danish exporters regarded China as being the most established of the four BRIC markets which could be seen in their willingness to use high control entry modes in China. Finally, non-family firms are more concerned about higher flexibility and lower control...... when entering the BRIC markets. In contrast, family firms choose high commitment entry modes which involve high risk and low flexibility when entering the BRIC markets. Further implications discuss the suitability of export strategies to BRIC markets for managers of Danish family and non-family firms....

  3. Concept development of family resilience: a study of Korean families with a chronically ill child.

    Science.gov (United States)

    Lee, Insook; Lee, Eun-Ok; Kim, Hesook Suzie; Park, Young Sook; Song, Misoon; Park, Youn Hwan

    2004-07-01

    To clarify and delineate the concept of family resilience in the context of the chronic illness of a child. This study also investigated the concept of family resilience in relation to family functioning in order to compare and contrast family resilience and family functioning. Three phases of the hybrid model of concept development were applied: theoretical, fieldwork and final analytical. In the theoretical phase, a working definition of family resilience was developed by a literature review. The fieldwork phase comprised in-depth interviews with 11 parents with a chronically ill child, in the paediatric oncology unit of a university hospital in South Korea. The qualitative data obtained from the interviews were analysed to find attributes of family resilience. The final analytical phase compared and interpreted the findings from the theoretical and fieldwork phases in order to clarify and refine the concept of resilience. The definition of family resilience was of an enduring force that leads a family to change its functioning dynamics in order to solve problems encountered. Twenty-one conceptual attributes of family resilience emerging from this study were differentiated into four dimensions: (i) intrinsic family characteristics, (ii) family member orientation related to family characteristics, (iii) responsiveness to stress and (iv) external orientation. Family resilience is an enduring force that leads a family to change its dynamics of functioning in order to solve problems associated with stresses encountered. This conceptualization led to the development of a model of family coping that incorporates both family resilience and family functioning, as the property and as the process of change, respectively. In order to build a family that functions better under stress, it is necessary for nurses to focus more attention on family resilience, especially in terms of the development of intervention strategies to strengthen family resilience.

  4. Environmental strategy

    DEFF Research Database (Denmark)

    Zabkar, Vesna; Cater, Tomaz; Bajde, Domen

    2013-01-01

    perspective, appropriate environmental strategies in compliance with environmental requirements aim at building competitive advantages through sustainable development. There is no universal “green” strategy that would be appropriate for each company, regardless of its market requirements and competitive......Environmental issues and the inclusion of environmental strategies in strategic thinking is an interesting subject of investigation. In general, managerial practices organized along ecologically sound principles contribute to a more environmentally sustainable global economy. From the managerial...

  5. Work/Family Balancing and 24/7 Work Schedules: Network Analysis of Strategies in a Transport Company Cleaning Service: Concilier travail-famille et horaires 24/7: analyse réseau des stratégies au sein du service de nettoyage d'une compagnie de transport.

    Science.gov (United States)

    Lefrançois, Mélanie; Saint-Charles, Johanne; Riel, Jessica

    2017-11-01

    Whether or not official work/family balance measures exist within an organization, scheduling accommodations often go through informal channels involving colleagues and superiors and are negotiated within interpersonal relationships. This study examines the relationship dimensions of the scheduling strategies of cleaners working atypical hours in the transport sector through the lenses of ergonomic activity, network, and gender analyses. Using semi-directed interviews, observation, and network analysis, we revealed the effect of gender on relationship dynamics and the influence of these dynamics on work/family balance strategies deployed by cleaners. One of the main contributions of this study is to demonstrate the decisive effect of relationships by revealing inequalities in access to organizational social networks. Creating spaces to discuss work/family balancing and a more equitable circulation of information could contribute to reducing inequalities associated with gender, social status, and family responsibilities and support the work/family strategies developed by workers dealing with restrictive work schedules. Résumé Les accommodements du temps de travail pour la conciliation travail-famille (CTF) passent souvent par des ententes informelles qui s'inscrivent dans les relations entre collègues ou avec des gestionnaires. Notre étude, intégrant l'ergonomie et la communication dans une perspective de genre, porte sur les dimensions relationnelles des stratégies de choix d'horaire d'agentes et agents de nettoyage devant composer avec des horaires atypiques dans le secteur des transports. À partir d'entretiens semi-dirigés, d'observations et d'analyse de réseaux, nous avons pu observer l'influence des dynamiques relationnelles, notamment de genre, sur les stratégies de CTF. Un apport central de cette étude est de montrer l'effet structurant des relations en révélant notamment des inégalités dans l'accès aux ressources facilitant le choix d

  6. Family Composition and Expressions of Family-Focused Care Needs at an Academic Memory Disorders Clinic

    Directory of Open Access Journals (Sweden)

    Brandalyn C. Riedel

    2013-01-01

    Full Text Available Objective. To understand who dementia patients identify as their family and how dementia affects family life. Background. Dementia care is often delivered in family settings, so understanding the constituency and needs of the family unit involved in care is important for determining contributors to family quality of life. Design/Methods. Seventy-seven families receiving care at an academic dementia clinic completed questionnaires regarding the affected person and the family. Responses were categorized as focused on an individual’s needs or the family’s needs. Results. Respondents identified a mean of 3.77 family members involved in care. Spouse (80.5%, daughter (58.4%, son (46.8%, and stepchild or child-in-law (37.7% were the most frequently listed family members. Questions regarding the effect of dementia-related changes in cognition and mood were most likely to elicit a family-focused response. Questionnaire items that inquired about specific medical questions and strategies to improve family function were least likely to elicit a family-focused response. Conclusions. Both caregivers and persons with dementia frequently provided family-focused responses, supporting the construct of dementia as an illness that affects life in the family unit. This finding reinforces the potential utility of family-centered quality of life measures in assessing treatment success for people with dementia.

  7. Using a family systems approach to investigate cancer risk communication within melanoma families

    Science.gov (United States)

    Harris, Julie N.; Hay, Jennifer; Kuniyuki, Alan; Asgari, Maryam M; Press, Nancy; Bowen, Deborah J.

    2009-01-01

    OBJECTIVE The family provides an important communication nexus for information and support exchange about family cancer history, and adoption of family-wide cancer risk reduction strategies. The goals of this study were to: 1) use the family systems theory to identify characteristics of this sample of families at increased risk of developing melanoma and 2) to relate familial characteristics to the frequency and style of familial risk communication. METHODS Participants were first-degree relatives (n=313) of melanoma patients, recruited into a family web-based intervention study. We used multivariable logistic regression models to analyze the association between family functioning and family communication. RESULTS Most participants were female (60%), with an average age of 51 years. Fifty percent of participants reported that they spoke to their relatives about melanoma risk and people were more likely to speak to their female family members. Familial adaptation, cohesion, coping, and health beliefs were strongly associated with an open style of risk communication within families. None were associated with a blocked style of risk communication. Only cohesion and adaptation were associated with the amount of risk communication that occurred within families. CONCLUSIONS Overall, individuals who came from families that were more highly cohesive, adaptable, and shared strong beliefs about melanoma risk were more likely to communicate openly about melanoma. The fact that this association was not consistent across blocked communication and communication frequency highlights the multifaceted nature of this process. Future research should focus on the interplay between different facets of communication. PMID:20119933

  8. Qualidade do processo da assistência pré-natal: unidades básicas de saúde e unidades de Estratégia Saúde da Família em município no Sul do Brasil Quality of prenatal care: traditional primary care and Family Health Strategy units in a city in southern Brazil

    Directory of Open Access Journals (Sweden)

    Elenir Terezinha Rizzetti Anversa

    2012-04-01

    Full Text Available O processo da atenção pré-natal em unidades básicas de saúde tradicionais (UBS e unidades de Estratégia Saúde da Família (ESF foi avaliado em Santa Maria, Rio Grande do Sul, Brasil. Foram entrevistadas 795 puérperas que realizaram pré-natal nas UBS ou ESF. Utilizou-se quatro níveis de qualidade: nível 1 (índice de Kessner modificado por Takeda; nível 2, que adiciona ao nível 1 procedimentos clinico-obstétricos; nível 3, que acrescenta ao nível 1 exames laboratoriais; e nível 4, que considera todos os parâmetros anteriores. A atenção pré-natal realizada na ESF foi superior a das UBS em todos os níveis, com diferenças estatisticamente significativas nos níveis 1 e 2. As gestantes da ESF receberam mais orientações. A atenção pré-natal foi favorável à ESF, devendo ser melhorada em relação aos procedimentos e exames, a fim de aprimorar a assistência pré-natal e fortalecer a atenção primária à saúde.Prenatal care in traditional primary care units (UBS and Family Health Strategy units (ESF was evaluated by a cross-sectional study from July 2009 to February 2010 in Santa Maria, Rio Grande do Sul State, Brazil. Seven hundred and ninety-five postpartum women who had received prenatal care in either of the two types of units were interviewed. Four quality levels were used: level 1 (Kessner index modified by Takeda; level 2, which adds clinical obstetric procedures to level 1; level 3, which adds laboratory tests to level 1; and level 4, which includes all the above parameters. Prenatal care in the Family Health Strategy was superior to that of traditional primary care at all levels, with statistically significant differences in levels 1 and 2. Pregnant women received more guidance and prenatal care was superior in the Family Health Strategy. The study favored the Family Health Strategy, but improvement is still needed in the performance of procedures and laboratory tests in order to enhance prenatal care and

  9. STRATEGI NAFKAH DAN KESEJAHTERAAN KELUARGA PADA KELUARGA PETANI TADAH HUJAN

    Directory of Open Access Journals (Sweden)

    Adam Sugiharto

    2016-09-01

    Full Text Available Creating several livelihood strategies by families is an effect of limitation faced by families. This study aimed to analyze livelihood strategies and their effects on the welfare of non-irrigated farm families in Playen District of Gunung Kidul Regency. Region that is used as a location of study was an area which was far from the capital of district and nearby area of the capital of district. The study involved 100 families interviewed using a questionnaire. Data were analyzed using descriptive analysis and binary logistic regression. Based on indicator of family welfare level from BKKBN, the study found that the prosperous family is as much as 57.0 percent and the rest is not prosperous. Overall, the study found that majority of farmer family has mix livelihood strategies. The results showed that the age of husband which is younger, the increase of spending cost per capita, and the increase of physical capital of a family directly affect the welfare of the family. On the other hand, the kind of coping strategies of farmer family and also the location of the family does not affect the family welfare. These results indicate the absence of the influence of coping strategies towards family welfare of non-irrigated farm family in this study.

  10. Roles within the Family

    Science.gov (United States)

    ... Spread the Word Shop AAP Find a Pediatrician Family Life Medical Home Family Dynamics Adoption & Foster Care ... Text Size Email Print Share Roles Within the Family Page Content Article Body Families are not democracies. ...

  11. [Familial nanophthalmos].

    Science.gov (United States)

    Martorina, M

    1988-01-01

    Microphthalmos is a rare, potentially devastating condition. Catsch found 30 cases of microphthalmos in a population of 26,735 (0.11%); Scouras et al. among 120,000 ophthalmic out-patients found 70 cases of microphthalmos (0.058%); among 3,557 blind adults Lindstedt found 63 cases (1.77%) and Kissel et al. among 210,000 ophthalmic out-patients found 97 cases (0.046%). Congenital microphthalmos may be: colobomatous, complicated, pure. Pure microphthalmos or nanophthalmos is a rare condition in which the eye is reduced in size with a notably high ratio of the lens volume to eye volume, but no other congenital anomalies are present. The sclera is abnormally thick. Nanophthalmos may be sporadic or hereditary: hereditary transmission may be either recessive or dominant. These eyes are anatomically predisposition to angle-closure glaucoma and occasionally associated with uveal effusion. Angle-closure glaucoma probably is the result of the natural increase in the size of the lens with age; in addition, spontaneous choroidal detachment probably may cause elevation and forward rotation of the ciliary body pushing the lens-iris diaphragm forward, with increasing of the relative pupillary block. The uveal effusion probably is the result of choroidal congestion secondary to obstruction of vortex veins by abnormally thickened sclera. Uveal effusion may also occurs spontaneously in patients with nanophthalmos between the ages of 40 to 60 years. Surgical intervention with sudden decompression of the globe, appears to aggravate the degree of uveal effusion. Three cases of familial nanophthalmos associated with angle-closure glaucoma without uveal effusion not microcornea are reported. The occurrence of nanophthalmos in the same family suggests an autosomal recessive inheritance.(ABSTRACT TRUNCATED AT 250 WORDS)

  12. Prevention strategies in child maltreatment.

    Science.gov (United States)

    Scribano, Philip V

    2010-10-01

    Child maltreatment remains a prevalent problem for which notable best practices such as home visitation can be effective; however, most eligible families do not receive these beneficial services. Additionally, there are other promising prevention interventions to effectively address child maltreatment. This review focuses on the recent advances and strategies for child maltreatment prevention. Although home visiting does not have a single clearly defined methodology of providing service to children and families, the general supportive framework to improve maternal, child, and family factors makes this intervention the most widely studied and accepted prevention strategy. However, there has been limited effectiveness for most models. The Nurse-Family Partnership (NFP) has provided consistently positive results by targeting families with many risk factors by using highly trained professionals when implementing a research-based intervention. A promising public health approach to parent training (Triple P) may reduce maltreatment and out-of-home placement. Parent-child interaction therapy (PCIT), while a treatment model, is becoming an increasingly important approach to child maltreatment prevention. There may be an opportunity to reduce child maltreatment by enhancing care in the pediatric medical home setting. Effective child maltreatment prevention efforts exist; however, not all programs provide the same effectiveness, or target the same maltreatment issues. Pediatricians are in a key position to offer support to families in their own practice, as well as to direct families to the appropriate resources available.

  13. Representing strategies

    NARCIS (Netherlands)

    Duijf, Hein; Broersen, Jan

    2016-01-01

    Quite some work in the ATL-tradition uses the differences between various types of strategies (positional, uniform, perfect recall) to give alternative semantics to the same logical language. This paper contributes to another perspective on strategy types, one where we characterise the differences

  14. Representing Strategies

    Directory of Open Access Journals (Sweden)

    Hein Duijf

    2016-07-01

    Full Text Available Quite some work in the ATL-tradition uses the differences between various types of strategies (positional, uniform, perfect recall to give alternative semantics to the same logical language. This paper contributes to another perspective on strategy types, one where we characterise the differences between them on the syntactic (object language level. This is important for a more traditional knowledge representation view on strategic content. Leaving differences between strategy types implicit in the semantics is a sensible idea if the goal is to use the strategic formalism for model checking. But, for traditional knowledge representation in terms of object language level formulas, we need to extent the language. This paper introduces a strategic STIT syntax with explicit operators for knowledge that allows us to charaterise strategy types. This more expressive strategic language is interpreted on standard ATL-type concurrent epistemic game structures. We introduce rule-based strategies in our language and fruitfully apply them to the representation and characterisation of positional and uniform strategies. Our representations highlight crucial conditions to be met for strategy types. We demonstrate the usefulness of our work by showing that it leads to a critical reexamination of coalitional uniform strategies.

  15. Positive Family Functioning.

    Science.gov (United States)

    Sussman, Marvin B.

    The persistence of the nuclear family as the primary social unit in the United States and most all other societies, especially complex ones, is a fact. Values shape the definition of family, especially the "good family," and the "great debate" of this period on family failure, family corruption and the family's near demise originates in…

  16. Evaluation Strategy

    DEFF Research Database (Denmark)

    Coto Chotto, Mayela; Wentzer, Helle; Dirckinck-Holmfeld, Lone

    2009-01-01

    The paper presents an evaluation strategy based on deliberate ideals and principles of dialogue design. The evaluation strategy is based on experiential phenomenology taking the point of departure for design and evaluation processes in the experienced practitioners themselves. The article present...... the evaluation strategy and methodology of a research project Making Online Path to Enter new Markets, MOPEM. It is an EU-research project with partners from different Educational Institutions of Technology and Business in five European Countries.......The paper presents an evaluation strategy based on deliberate ideals and principles of dialogue design. The evaluation strategy is based on experiential phenomenology taking the point of departure for design and evaluation processes in the experienced practitioners themselves. The article presents...

  17. Strategies for Effective Eating Development-SEEDS: Design of an obesity prevention program to promote healthy food preferences and eating self-regulation in children from low-income families

    Science.gov (United States)

    To develop a scientifically based childhood obesity prevention program supporting child eating self-regulation and taste preferences. This article describes the research methods for the Strategies for Effective Eating Development program. A logic model is provided that depicts a visual presentation ...

  18. Mental health and family relations among people who inject drugs and their family members in Vietnam.

    Science.gov (United States)

    Li, Li; Tuan, Nguyen Anh; Liang, Li-Jung; Lin, Chunqing; Farmer, Shu C; Flore, Martin

    2013-11-01

    This article explores the association of people who inject drugs and their family members in terms of mental health and family relations. The objective was to understand the family context and its impact on people who inject drugs in a family-oriented culture in Vietnam. Cross-sectional assessment data were gathered from 83 people who inject drugs and 83 of their family members recruited from four communes in Phú Thọ province, Vietnam. Depressive symptoms and family relations were measured for both people who inject drugs and family members. Internalized shame and drug-using behavior were reported by people who inject drugs, and caregiver burden was reported by family members. We found that higher level of drug using behavior of people who inject drugs was significantly associated with higher depressive symptoms and lower family relations reported by themselves as well as their family members. Family relations reported by people who inject drugs and their family members were positively correlated. The findings highlight the need for interventions that address psychological distress and the related challenges faced by family members of people who inject drugs. The article has policy implication which concludes with an argument for developing strategies that enhance the role of families in supporting behavioral change among people who inject drugs. Copyright © 2013 Elsevier B.V. All rights reserved.

  19. Family Matters

    Directory of Open Access Journals (Sweden)

    Isabel de Riquer

    2011-04-01

    Full Text Available The scene is at the court of James I of Aragon in the mid-13th c., the place is the royal palace of Barcelona or any of the crown's other possessions, and the dramatis personae include the heir to the throne, prince Peire (future king Peire the Great, and the court's most famous troubadour, Cerverí de Girona (fl. 1259-85. Author of the largest corpus of any Occitan troubadour (114 poems, Cerverì distinguishes himself by the surprises and challenges he presents to his audience: an alba (the most openly erotic genre to the Virgin Mary, the Cobla in sis lengatges (Cobla in Six Languages, the apparently nonsensical Vers estrayn. Cerverì borrows equally from the folk-inspired Galician-Portuguese poetry and from the French tradition, including the chanson de malmariée, where a young woman bemoans being sold off by her family to an old man (gilos, "Jealous" and separated from her youthful doulz amis, some even praying for the death of their husband. Both within that tradition and among Cerverì's three chansons de malmariée, the Gelosesca stands out as "especially determined" to lose her husband, using every "solution" (prayer, black magic, potion or experimenta.

  20. Community of practice as a collective way of learning and development of practices and knowledge of the family health strategy: a theoretical study - Home Revista Brasileira em Promoção da Saúde RBPS VOL. 25 Nº2 SUPLEMENTO 2012 Editorial Atributos e

    Directory of Open Access Journals (Sweden)

    Ana Ecilda Lima Ellery

    2012-11-01

    Full Text Available Objective: Present and discuss the contribution of the concept of Community of Practice (CP, while collective space of learning and development of knowledge and practice in multidisciplinary teams of Family Health Strategy. Methods: Theoretical study through nonsystematic literature reviews the theme of “Communities of Practice” in the work of social researchers Jean Lave and Etienne Wenger, who developed this concept, completed with studies on the same topic from the research in online databases. Results: A CP is characterized by a group of people who forged and got engaged in a common project, sharing a repertoire, which allowed communication between them. Several effects are attributed to the experience of working together in a CP, such as the socialization of knowledge, the interprofessional collaboration and the development of an environment conducive to reflective practice, which facilitates the conflict mediation. The theory of CP requires a major change in the conception of learning. Unlike theories that consider learning as resulting mainly from the internal process of the person, as the cognitive, the CP’s theory conceives learning through the angle of social participation. The inter-relationship developed by the CP influences the learning process, negotiation of meaning and identity formation, which results from the fact of belonging to the community and from the meaning attributed to the collaborative. Conclusion: The formation of Community of Practice in Family Health Strategy can be a device to facilitate the construction of interdisciplinary projects, expressed by the integration of knowledge and interprofessional collaboration.

  1. Safety strategy

    International Nuclear Information System (INIS)

    Schultheiss, G.F.

    1980-01-01

    The basis for safety strategy in nuclear industry and especially nuclear power plants is the prevention of radioactivity release inside or outside of the technical installation. Therefore either technical or administrative measures are combined to a general strategy concept. This introduction will explain in more detail the following topics: - basic principles of safety - lines of assurance (LOA) - defense in depth - deterministic and probabilistic methods. This presentation is seen as an introduction to the more detailed discussion following in this course, nevertheless some selected examples will be used to illustrate the aspects of safety strategy development although they might be repeated later on. (orig.)

  2. Export strategy

    DEFF Research Database (Denmark)

    Knudsen, Thorbjørn; Koed Madsen, Tage

    2002-01-01

    It is argued here that traditional export strategy research (encompassing the study of internationalization processes and export performance) is characterized by weak theoretical foundations and could benefit from a reorientation towards a dynamic capabilities perspective (DCP). We seek to draw...... on insights from DCP in order to devise a theoretical basis that could enrich export strategy research. Although our development of DCP insights builds on previous work, it also adds a crucial distinction between knowledge stocks and informational architecture. Changes in architecture are of greater...... importance. Following this elaboration of the dynamic capabilities perspective, we outline some implications and guidelines for future export strategy research....

  3. Gender and family characteristics differences in work-family, family ...

    African Journals Online (AJOL)

    The study examined the significant gender and family characteristics differences in work-family conflict, family-work conflict among workers in Lagos metropolis. Employee's perception as reflected in self reports constituted the central features of a model underlying the study, as perception is believed to be related to the ...

  4. Marketingová strategie penzionu Krispenkeller

    OpenAIRE

    Rozkydálková, Pavla

    2014-01-01

    This bachelor thesis, called "Proposal of marketing strategy for family pension Krispenkeller", focuses on analyzing of current stage of marketing plan and suggestion for marketing strategy. First part contains theoretical interpretation of marketing in general and important marketing definition. Second part of this thesis presents basics information about family pension Krispenkeller and analyses current marketing situation. SWOT and SLEPT analysis had been used to analyze the current stage ...

  5. Family-Centered Services by Choice Not Chance: Getting beyond Piecemeal Services for Families in Need.

    Science.gov (United States)

    Freado, Mark D.

    1996-01-01

    Provides suggestions for transitioning to family-centered services. Discusses how to establish commitments from schools and agencies, how to bring staff into the process of change, how to develop family-centered initiatives, how to provide appropriate training for staff, ways to overcome resistance, and strategies for matching services to need.…

  6. Family lunch session: an introduction to family therapy in anorexia nervosa.

    Science.gov (United States)

    Rosman, B L; Minuchin, S; Liebman, R

    1975-10-01

    Family lunch sessions have proved a useful diagnostic and therapeutic technique in the treatment of anorexia nervosa. This paper describes the goals of these sessions and the strategies employed in the restructuring of family relationships. Data are presented illustrating changes in eating behavior of eight identified patients.

  7. The ethnography of help - Supporting families with children with intellectual disabilities

    OpenAIRE

    Summers, N.

    2010-01-01

    This thesis explored parents’ of children with learning disabilities perceptions of family support workers’ helping strategies. A qualitative approach drawing on the principles of ethnography was used to explore the experiences of six families of the helping strategies adopted by family workers and posed three research questions:\\ud (1) What are the perceptions of parents, of children with learning disabilities, of the helping strategies of family support workers?\\ud (2) How do parents unders...

  8. Globalization strategy

    OpenAIRE

    Shimizu, Ryuei

    1992-01-01

    History of overseas strategies of Japanese firms can be divided into three periods; until 1960's, when import and export were the main focus; from 1970's to the first half of 1980's, when establishing overseas bases was a major interest for clear purposes of reducing labor cost, averting trade conflicts, or securing natural resources; and after 1985, when strategy started to be formulated from more global viewpoint in order to cope with new situation arising from stronger yen and Japan having...

  9. Stigma by association and family burden among family members of people with mental illness: the mediating role of coping.

    Science.gov (United States)

    van der Sanden, Remko L M; Pryor, John B; Stutterheim, Sarah E; Kok, Gerjo; Bos, Arjan E R

    2016-09-01

    When someone has a mental illness, family members may share the experience of stigma. Past research has established that family members' experiences of stigma by association predict psychological distress and lower quality-of-life. The present study, conducted with 503 family members of people with mental illness examined the prevalence of 14 different coping strategies. Of greater importance, we examined the role of these coping strategies as mediators of the relationships between stigma by association and family burden, on the one hand, and outcomes, such as psychological distress and quality-of-life, on the other. The results showed that both perceived stigma by association and family burden are associated with greater psychological distress and lower quality-of-life, and that most coping strategies mediate these relationships. Adaptive coping strategies were related to reduced negative outcomes, while most maladaptive coping strategies were related to enhanced negative outcomes. Implications for intervention development are discussed.

  10. Family medicine in Republic of Srpska

    Directory of Open Access Journals (Sweden)

    Račić Maja

    2015-01-01

    Full Text Available The Family Medicine Development Project in Republic of Srpska was an initiative funded by the Canadian International Development Agency (CIDA. The project introduced family medicine into undergraduate curricula, established three-years long program of residency in family medicine in 1999, created departments of family medicine in both medical schools, helped with the process of establishing a professional association of family physicians, worked with Ministries of health and social welfare to establish supportive policies for these activities, and regularly provided continuing medical education programs for family practitioners during the 13 years of the project. Today, three family medicine teaching centers exist in RS (Primary health care centers Banja Luka, Foča and Bijeljina where more than 600 physicians were educated either through residency or additional training program in family medicine. Almost 1000 primary care nurses completed additional training. Family medicine centered primary health care reform was a complex innovation, involving organizational, financial, clinical and relational changes. An important factor influencing the adoption of this complex innovation in RS was the perceived benefits of the innovation: benefits which accrue to the users, family physicians, nurses and policy makers. With political commitment, an enabling economic environment and equitable distribution of resources, comprehensive primary health has proved to be a better strategy in achieving the goal of health for all. However, although family medicine passed through long journey from imposition to partnership, there is still large place for the improvement.

  11. Parenting Styles and Adolescents' Achievement Strategies.

    Science.gov (United States)

    Aunola, Kaisa; Stattin, Hakan; Nurmi, Jari-Erik

    2000-01-01

    Investigates the extents to which adolescents' achievement strategies are associated with the parenting styles they experience in their families. Respondents (N=354) identified four types of families: those with Authoritative; Authoritarian; Permissive; and Neglectful parenting styles. Results further reveal that adolescents from authoritative…

  12. Spiritual Coping: A Gateway to Enhancing Family Communication During Cancer Treatment.

    Science.gov (United States)

    Prouty, Anne M; Fischer, Judith; Purdom, Ann; Cobos, Everardo; Helmeke, Karen B

    2016-02-01

    The researchers examined the spiritual coping, family communication, and family functioning of 95 participants in 34 families by an online survey. Multilevel linear regression was used to test whether individuals' and families' higher endorsement of more use of spiritual coping strategies to deal with a member's cancer would be associated with higher scores on family communication and family functioning, and whether better communication would also be associated with higher family functioning scores. Results revealed that spiritual coping was positively associated with family communication, and family communication was positively associated with healthier family functioning. The researchers provide suggestions for further research.

  13. Planning for Family Development.

    Science.gov (United States)

    Montgomery, Mary Jean; Quinn, Jim

    This manual is designed to help child care providers develop, implement, and evaluate a family development plan for at-risk families. The plan's five components are designed to: (1) identify family strengths; (2) identify family needs; (3) identify community resources; (4) develop and implement a family action plan; and (5) monitor family…

  14. Associations of family meal frequency with family meal habits and meal preparation characteristics among families of youth with type 1 diabetes.

    Science.gov (United States)

    Kornides, M L; Nansel, T R; Quick, V; Haynie, D L; Lipsky, L M; Laffel, L M B; Mehta, S N

    2014-05-01

    While benefits of family mealtimes, such as improved dietary quality and increased family communication, have been well-documented in the general population, less is known about family meal habits that contribute to more frequent family meals in youth with type 1 diabetes. This cross-sectional study surveyed 282 youth ages 8-18 years with type 1 diabetes and their parents on measures regarding diabetes-related and dietary behaviours. T-tests determined significant differences in youth's diet quality, adherence to diabetes management and glycaemic control between those with and without regular family meals (defined as ≥ 5 meals per week). Logistic regression analyses determined unadjusted and adjusted associations of age, socio-demographics, family meal habits, and family meal preparation characteristics with regular family meals. 57% of parents reported having regular family meals. Families with regular family meals had significantly better diet quality as measured by the Healthy Eating Index (P family meals were each associated with regular family meals (P family meals, while convenience and fast foods were negatively associated (P Families in which at least one parent worked part-time or stayed at home were significantly more likely to have regular family meals than families in which both parents worked full-time (P family mealtimes (P family meals; adjusting for parent work status and other family meal habits. Strategies for promoting families meals should not only highlight the benefits of family meals, but also facilitate parents' skills for and barriers to home-prepared meals. © 2013 John Wiley & Sons Ltd.

  15. A concepção e prática dos gestores e gerentes da estratégia de saúde da família Management practice and conception and family health strategy managers

    Directory of Open Access Journals (Sweden)

    Maria Iêda Gomes Vanderlei

    2007-04-01

    Full Text Available Este estudo analisa a gerência no âmbito municipal através da prática dos gestores e gerentes de unidades gestoras de Saúde da Família: secretarias de saúde e unidades básicas de saúde. O quadro teórico toma a gerência e as tecnologias de relações sociais enquanto instrumentos do processo de trabalho em saúde, considerando-as ferramentas potentes de mudanças, na micropolítica do trabalho vivo em saúde. A abordagem metodológica é qualitativa e as técnicas de pesquisa foram a observação participante sistematizada e as entrevistas semi-estruturadas. Os sujeitos da pesquisa foram os secretários municipais de saúde, coordenadores de Saúde da Família e diretores de quatro municípios do Estado do Maranhão. Os resultados revelam que a gerência está pautada num estilo gerencial tradicional caracterizada por um núcleo burocrático duro, porém com perspectiva de mudança porque, na prática, já existem brechas que sinalizam o estabelecimento de relações de responsabilização e mais acolhedoras com os usuários e as famílias.This paper analyzes municipal management through managerial and manager practices in family health program offices in municipal health ministries and basic health clinics. Theoretically management and social relationship technologies are considered tools for the work carried out in the health care field, and they are also valuable instruments for change the micro-policy of the real work done in the health care domain. The methodological approach is qualitative and the research techniques used were the systematized direct observation as well as semi-structured interviews. The research subjects were the municipal health ministry managers, family health program coordinators and directors from four cities in the state of Maranhão. The results have shown that management is based on a traditional managerial style, characterized by a hard bureaucratic core. However, there is a trend for change because in

  16. Desafios para gestão do trabalho a partir de experiências exitosas de expansão da Estratégia de Saúde da Família Challenges for human resources management from successful experiences of Family Health Strategy expansion

    Directory of Open Access Journals (Sweden)

    Maria Helena Magalhães de Mendonça

    2010-08-01

    Full Text Available Este artigo discute a gestão do trabalho na Estratégia de Saúde da Família em quatro grandes centros urbanos. A pesquisa contempla as perspectivas de diferentes atores que compõem e integram a rede de relações de trabalho no Sistema Único de Saúde por meio de questionários com trabalhadores das categorias profissionais da equipe de saúde da família e entrevistas com gestores e representantes das entidades profissionais. Tratase de estudo de avaliação qualiquantitativo. A política de inserção e remuneração evidencia a substituição dos quadros terceirizados e a contratação por concurso público, que possibilita vínculos trabalhistas mais estáveis. Outras estratégias são o estabelecimento de abono para atuação em áreas de maior vulnerabilidade social e a equiparação do salário dos médicos especialistas em medicina de família e comunidade com demais especialistas atuantes nos serviços secundários. A vontade política do gestor municipal para qualificar a força de trabalho da saúde da família, mantendo a oferta de recursos humanos adequados às necessidades do sistema de saúde, é fator fundamental para a consolidação da Estratégia de Saúde da Família, em face do baixo grau de especialização dos profissionais para atuar em atenção primária em saúde.This article discusses the management of the work in Family Health Strategy in four major urban centers. The research includes perspectives from different actors who compose and integrate the network of working relationships in Public Health System through questionnaires with employees of professional categories family health team and interviews with managers and representatives of professional bodies. It is a qualitative-quantitative evaluation study. The dimensions analysed were: insertion and remuneration policies, strategies and qualification of employees. The insertion and remuneration policy highlights the replacement of outsourced frames and hiring

  17. Atenção farmacêutica no contexto da estratégia de saúde da família Pharmaceutical care in the context of the family health strategy

    Directory of Open Access Journals (Sweden)

    Aline Aparecida Foppa

    2008-12-01

    Full Text Available A assistência farmacêutica, no âmbito do Sistema Único de Saúde (SUS, é muitas vezes realizada com o objetivo primordial de garantir o abastecimento dos medicamentos nas Unidades Locais de Saúde. Freqüentemente, os cuidados com os pacientes e a promoção do uso racional dos medicamentos são marginalizados. Contudo, durante o desenvolvimento do seguimento farmacoterapêutico, são identificados problemas relacionados aos medicamentos (PRM e dificuldades na adesão ao tratamento farmacológico, os quais estão relacionados a questões familiares e sociais, e têm contribuído para o não-sucesso terapêutico, portanto pontos-chave a serem considerados durante a Atenção Farmacêutica. Foi realizado o seguimento farmacoterapêutico de quatro pacientes atendidos em uma unidade de saúde do município de Florianópolis. Para a resolução dos PRMs, adotou-se abordagem que inclui os contextos familiar e social e, que utiliza ferramentas como o genograma e o ecomapa, além do trabalho interdisciplinar. Observou-se a importância da família e dos grupos de apoio para a resolução dos PRMs e a necessidade do farmacêutico de aprimorar a prática de atenção farmacêutica mediante a utilização de tais ferramentas. Percebeu-se, ainda, a importância das visitas domiciliares para conhecer melhor o ambiente familiar e a necessidade de trabalho interdisciplinar para melhorar a qualidade do atendimento.The main objective of pharmaceutical policy management within the scope of SUS (Brazilian National Health System is to guarantee the supply of drugs to local health centers, therefore displacing patient care When drug-related problems (DRP and difficulties in adhering to the prescribed treatment are identified during the development of pharmaceutical follow-up, family and social issues have been shown to be reasons for unsuccessful treatment. They are key points to be considered during Pharmaceutical Care. The methodology chosen for this study

  18. Educação escolar e estratégias de famílias dos subúrbios de Maputo Schooling and family strategies in the outskirts of Maputo

    Directory of Open Access Journals (Sweden)

    Ana Bénard da Costa

    2009-04-01

    Full Text Available Nos estudos sobre desenvolvimento e pobreza a educação escolar é considerada, na maior parte dos casos, condição essencial para uma melhoria de condições de vida. Questionando esse pressuposto, este artigo analisa as representações e práticas sociais de famílias do subúrbio de Maputo relativamente à educação escolar dos seus descendentes.Studies about development and poverty, usually consider schooling an essential condition for improving life conditions. Challenging this presupposition, the present article analyses the social representations and practices of families in the outskirts of Maputo concerning the schooling of its descendants.

  19. Using Volunteer Families in Teaching Family Sociology

    Science.gov (United States)

    Gunter, B. G.

    1974-01-01

    Describes a method for teaching family sociology to students by utilizing volunteer families. Benefits of the approach were that students became involved in subject matter of a course on a semi-empirical level, and they became aware of all dimensions of family life. (EK)

  20. Examining pedagogical practices in family systems nursing: intentionality, complexity, and doing well by families.

    Science.gov (United States)

    Moules, Nancy J; Bell, Janice M; Paton, Brenda I; Morck, Angela C

    2012-05-01

    Teaching graduate family nursing students the important and delicate practice of entering into and mitigating families' illness suffering signifies an educational practice that is rigorous, intense, and contextual, yet not articulated as expounded knowledge. This study examined the pedagogical practices of the advanced practice of Family Systems Nursing (FSN) as taught to master's and doctoral nursing students at the Family Nursing Unit, University of Calgary, using observation of expert and novice clinical practice, live supervision, videotape review, presession hypothesizing, clinical documentation, and the writing of therapeutic letters to families. A triangulation of research methods and data collection strategies, interpretive ethnography, autoethnography, and hermeneutics, were used. Students reported an intensity of learning that had both useful and limiting consequences as they developed skills in therapeutic conversations with families experiencing illness. Faculty used an intentional pedagogical process to encourage growth in perceptual, conceptual, and executive knowledge and skills of working with families.

  1. Family Activities for Fitness

    Science.gov (United States)

    Grosse, Susan J.

    2009-01-01

    This article discusses how families can increase family togetherness and improve physical fitness. The author provides easy ways to implement family friendly activities for improving and maintaining physical health. These activities include: walking, backyard games, and fitness challenges.

  2. Improving Family Communications

    Science.gov (United States)

    ... Spread the Word Shop AAP Find a Pediatrician Family Life Medical Home Family Dynamics Adoption & Foster Care ... Listen Español Text Size Email Print Share Improving Family Communications Page Content Article Body How can I ...

  3. Normal Functioning Family

    Science.gov (United States)

    ... Spread the Word Shop AAP Find a Pediatrician Family Life Medical Home Family Dynamics Adoption & Foster Care ... Español Text Size Email Print Share Normal Functioning Family Page Content Article Body Is there any way ...

  4. Choosing a Family Doctor

    Science.gov (United States)

    ... and Birth Control Sex and Sexuality Birth Control Family Health Infants and Toddlers Kids and Teens Pregnancy ... Home Prevention and Wellness Staying Healthy Choosing a Family Doctor Choosing a Family Doctor Share Print What ...

  5. The conception of the family in the realm of Lithuanian family policy

    Directory of Open Access Journals (Sweden)

    VILIJA TARMAGADZĖ

    2017-10-01

    policy in Lithuania is fragmented, lacks a unitary system, including the absence of an offi cial institution responsible for family policy (this function is currently delegated to Th e Ministry of Social Security and Labour, the implementation of family policy is legislated andimplemented without correct procedures. Following the concept of family, family functing and family policy analysis, it can be stated that the concept of family and its functions is diff erent. Th ey are both infl uenced by diff erent views from scholars’, politicians’ and other particular persons’ or groups’ regarding marriage, as well as socio-cultural, political and other factors. Th e variety of family conceptions encourages debate, which should not persist and interfere with the formation and implementation of State family policies. Th e concept of family, family functions and family policies are considered as three mutually interacting components. Based on this, the tools of appropriate and thoughtful family policy implementation can be formulated and developed. Family policy in Lithuania is not yet suffi ciently formulated in both conceptual and realizable levels. For that reason it is necessary to do a comprehensive study in order to provide a basis for implementing new family policies based on that study. Likewise, to develop the concept of family and family function, it is necessary to formulate an Educational Policy Concept and to implement its strategies, designing the tools for its implementation in the context

  6. Family structure and eating behavior disorders.

    Science.gov (United States)

    Mateos-Agut, Manuel; García-Alonso, Isabel; De la Gándara-Martín, Jesús J; Vegas-Miguel, María I; Sebastián-Vega, Carlota; Sanz-Cid, Beatriz; Martínez-Villares, Ana; Martín-Martínez, Esther

    2014-01-01

    The modern way of life, characterized by the cult of individualism, discredited authority, and a proliferation of points of view about reality, has modified family structure. This social structure imbues families and the way that its members become ill, in such a way that eating behavior disorders (EDs) have become a typically postmodern way of becoming ill. The aim is to understand the systemic structure and vulnerability of families by comparing 108 families with members who have ED to 108 families without pathology. A questionnaire administered by an interview with trained personnel was used. Families with ED have a different structure from the families in the control group. They have more psychiatric history and poor coping skills. The family hierarchy is not clearly defined and the leadership is diffuse, with strict and unpredictable rules, more intergenerational coalitions, and fewer alliances. The relationship between the parents is distant or confrontational, and their attitudes towards their children are complacent and selfish, with ambivalent and unaffectionate bonds. In the case of mothers, this is manifested by separation anxiety and dyadic dependence. Their expectations concerning their offspring are either very demanding and unrealistic, or indifferent, and there is less control of their behavior, in addition to poor organization of the family meals. The structural differences between the two groups of families seem to be important for the occurrence and maintenance of EDs, although they may not be the only cause. The results suggest strategies for clinical intervention in EDs.

  7. Singapore's economic internationalization and its effects on work and family.

    Science.gov (United States)

    Chia, A

    2000-04-01

    There are tensions between Singapore's economic strategy of internationalization and the emphasis on family life. Frequent travelers, unaccompanied expatriates, and their families experience these tensions. The frequent or extended absences of frequent travelers and expatriates make it difficult for them to fulfill their family roles and obligations, and may lead to estrangement from their families. Families who are left behind may face role conflict and role strain, but actually draw closer in their efforts to cope with the absence of their absent members. Researchers, policy-makers, and employers can contribute towards reducing the tensions between internationalization and family togetherness.

  8. Family Health History and Diabetes

    Science.gov (United States)

    ... Diabetes Diabetes Risk Test Family Health History Quiz Family Health History Quiz Family health history is an ... health problems. Four Questions You Should Ask Your Family About Diabetes & Family Health History Knowing your family ...

  9. Family issues in child anxiety: attachment, family functioning, parental rearing and beliefs.

    Science.gov (United States)

    Bögels, Susan M; Brechman-Toussaint, Margaret L

    2006-11-01

    Family studies have found a large overlap between anxiety disorders in family members. In addition to genetic heritability, a range of family factors may also be involved in the intergenerational transmission of anxiety. Evidence for a relationship between family factors and childhood as well as parental anxiety is reviewed. Four groups of family variables are considered: (I) attachment; (II), aspects of family functioning, such as marital conflict, co-parenting, functioning of the family as a whole, and sibling relationships; (III) parental rearing strategies; and (IV) beliefs that parents hold about their child. The reviewed literature provides evidence for an association between each of these family factors and child anxiety. However, there is little evidence as yet that identified family factors are specific to child anxiety, rather than to child psychopathology in general. Moreover, evidence for a relationship between child anxiety and family factors is predominantly cross-sectional. Therefore, whether the identified family factors cause childhood anxiety still needs to be investigated. Further research that investigates mechanisms mediating the relationship between family factors and child anxiety is also called for. Finally, parental beliefs are identified as important predictors of parental behaviour that have largely not been investigated in relation to child anxiety disorders.

  10. Family participation in intensive care unit rounds: Comparing family and provider perspectives.

    Science.gov (United States)

    Au, Selena S; Roze des Ordons, Amanda; Soo, Andrea; Guienguere, Simon; Stelfox, Henry T

    2017-04-01

    To describe and compare intensive care unit (ICU) patient family member and provider experiences, preferences, and perceptions of family participation in ICU rounds. Cross-sectional survey of ICU family members and providers of patients admitted to 4 medical-surgical ICUs from September 2014 to March 2015. Surveys were completed by 63 (62%) family members and 258 (43%) providers. Provider respondents included physicians (9%), nurses (56%), respiratory therapists (24%), and other ICU team members (11%). Although 38% of providers estimated only moderate family member interest in participating in rounds, 97% of family members expressed high interest. Family members and providers reported listening (95% vs 96%; P=.594) and sharing information about the patient (82% vs 82%; P=.995) as appropriate roles for family members during rounds, but differed in their perceptions on asking questions (75% vs 86%; P=.043) and participating in decision making (36% vs 59%; P=.003). Compared with family members, providers were more likely to perceive family participation in rounds to cause family stress (7% vs 22%; P=.020) and confusion (0% vs 28%; PFamily members and providers share some perspectives on family participation in ICU rounds although other perspectives are discordant, with implications for communication strategies and collaborative decision making. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. FLOSS strategies

    CSIR Research Space (South Africa)

    Mabaso, NM

    2006-11-01

    Full Text Available stream_source_info Mabaso_2006_D.pdf.txt stream_content_type text/plain stream_size 1617 Content-Encoding UTF-8 stream_name Mabaso_2006_D.pdf.txt Content-Type text/plain; charset=UTF-8 FLOSS Strategies Presented...

  12. Teaching Strategies.

    Science.gov (United States)

    1994

    This instruction guide conveys effective strategies for engaging students in small group exercises, brainstorming, discussions, case studies and controversial issues. After emphasizing the importance of the first small group session for setting the tone, the guide advises teachers to appoint groups of two to five students, assigning the most…

  13. CSR STRATEGIES

    OpenAIRE

    LAURENTIU BARANGA; ION STEGAROIU

    2011-01-01

    Corporate Social Responsibility (CSR) has got three components: economic responsibility of shareholders, corporate environmental responsibility, corporate responsibility of the society. Each component of the CSR has its own features, according to which adequate individual behaviour is established. Knowing these features is very important in CSR strategy development.

  14. Family doctors' involvement with families in Estonia

    Directory of Open Access Journals (Sweden)

    Lember Margus

    2004-10-01

    Full Text Available Abstract Background Family doctors should care for individuals in the context of their family. Family has a powerful influence on health and illness and family interventions have been shown to improve health outcomes for a variety of health problems. The aim of the study was to investigate the Estonian family doctors' (FD attitudes to the patients' family-related issues in their work: to explore the degree of FDs involvement in family matters, their preparedness for management of family-related issues and their self-assessment of the ability to manage different family-related problems. Methods A random sample (n = 236 of all FDs in Estonia was investigated using a postal questionnaire. Altogether 151 FDs responded to the questionnaire (response rate 64%, while five of them were excluded as they did not actually work as FDs. Results Of the respondents, 90% thought that in managing the health problems of patients FDs should communicate and cooperate with family members. Although most of the family doctors agreed that modifying of the health damaging risk factors (smoking, alcohol and drug abuse of their patients and families is their task, one third of them felt that dealing with these problems is ineffective, or perceived themselves as poorly prepared or having too little time for such activities. Of the respondents, 58% (n = 83 were of the opinion that they could modify also relationship problems. Conclusions Estonian family doctors are favourably disposed to involvement in family-related problems, however, they need some additional training, especially in the field of relationship management.

  15. A conceptual model of psychosomatic illness in children. Family organization and family therapy.

    Science.gov (United States)

    Minuchin, S; Baker, L; Rosman, B L; Liebman, R; Milman, L; Todd, T C

    1975-08-01

    Linear and open systems (multiple feedback) models of psychosomatic illness in children are contrasted in terms of their implications for cause and treatment. An open systems family model is presented that describes three necessary (but not independently sufficient) conditions for the development and maintenance of severe psychosomatic problems in children: (1) a certain type of family organization that encourages somatization; (2) involvement of the child in parental conflict; and (3) physiological vulnerability. Predisposition for psychosomatic illness, symptom choice, and maintenance are discussed within this conceptual framework. We report on family therapy strategies based on this model and the results of family treatment with 48 cases of "brittle" diabetes, psychosomatic asthma, and anorexia nervosa.

  16. [Individual and common coping in families with parents suffering from schizophrenia].

    Science.gov (United States)

    Lenz, Albert; Kuhn, Juliane; Walther, Susann; Jungbauer, Johannes

    2011-01-01

    Using a triangulation design the individual and family coping strategies in families with parents suffering from schizophrenia are ascertained and contrasted utilising qualitative and quantitative data. For children (n = 25) three coping strategies are identified: "Aggressive coping", "controlling coping", and "moderate coping" i. e. inconspicuous coping. Parents seem to model coping for their children. Qualitative analysis of data for 35 families revealed five patterns of shared familial coping-processes. A clear picture emerges showing that the children's contribution to family functioning consists essentially of taking on responsibility and family tasks. The results emphasize the need for family-oriented interventions.

  17. DOT strategies versus orbiter strategies

    NARCIS (Netherlands)

    Rutten, R.J.

    2001-01-01

    The Dutch Open Telescope is a high-resolution solar imager coming on-line at La Palma. The definition of the DOT science niche, strategies, and requirements resemble Solar Orbiter considerations and deliberations. I discuss the latter in the light of the former, and claim that multi-line observation

  18. Familias, retornos educativos y clases sociales. Valorización de capital cultural y estrategias escolares de clase media y clase trabajadora en Córdoba (Argentina (Families, educational rewards and social classes. Cultural capital valorization and scholar strategies of middle class and working class in Córdoba (Argentina

    Directory of Open Access Journals (Sweden)

    Gonzalo Assusa

    2017-12-01

    Full Text Available Este texto analiza las estrategias de inversión y valorización del capital cultural en familias de clases media y trabajadora. Desde la teoría de la práctica de Pierre Bourdieu, y utilizando metodología que combina técnicas multivariadas (ACM y entrevistas en profundidad, realizamos un análisis comparado de las apuestas escolares de las posiciones intermedias del espacio social de Gran Córdoba (Argentina. El objetivo es complejizar el análisis sobre las recientes dinámicas de desigualdad social, y desplazar la mirada desde la noción de retornos educativos hacia las lógicas de inversión, las disposiciones prácticas y los modos de reproducción social de las familias. | The current document analyzes the strategies of cultural capital investment and valorization of the middle and working class families. From the Pierre Bourdieu's theory of practice, and using methodology that combines multivariate techniques (ACM and in-depth interviews, we conducted a comparative analysis of school investments in the intermediate positions of the social space of Gran Córdoba (Argentina. The goal is to open the analysis of the recent dynamics of social inequality and to shift the focus from the notion of educational returns to the investment logic, practical dispositions and social reproduction modes of the families.

  19. Study Strategies

    DEFF Research Database (Denmark)

    Nielsen, Camilla Kirketerp; Noer, Vibeke Røn

    module”. The projects differ in terms of both starting point and main focus of research (an alternative educational model and profession-orientated Game-based learning). However, in the on-going process of research, an empirical ´harmony´ on common recurrent themes related to students `study strategies......ID: 1277 / 22 SES 06 B: 2 22. Research in Higher Education Format of Presentation: Paper Alternative EERA Network: 19. Ethnography Topics: NW 22: Teaching, learning and assessment in higher education Keywords: Profession-oriented learning, study strategies, professionalisation processes......-class until graduation and entrance into the nursing field as professional nurses. Case 2: In the veterinary educational environment, a pedagogical development project on development, implementation and evaluation of game-based learning as a possible way of strengthening the interplay between practice...

  20. Competitiveness of Family Businesses

    NARCIS (Netherlands)

    M.A.A.M. Leenders (Mark); E. Waarts (Eric)

    2001-01-01

    textabstractThe purpose of this study is to systematically examine the advantages and disadvantages of different types of family businesses. We distinguish four different types of family businesses based on their family and business orientation: (1) House of Business, (2) Family Money Machine, (3)

  1. Pure γ-families

    International Nuclear Information System (INIS)

    Dunaevskii, A.M.

    1977-01-01

    The subject of this work are pure gamma families consisting of the gamma quanta produced in the early stages of cosmic cascades. The criteria of selecting these families from the all measured families are presented. The characteristics of these families are given and some conclusions about the mechanism of the nuclear-electromagnetic cascades are extracted. (S.B.)

  2. Marital and family therapy.

    Science.gov (United States)

    Ahluwalia, Hargun; Anand, Tanya; Suman, L N

    2018-02-01

    Substance abuse is a family disease that adversely impacts both the user and the user's family. The family can act as a risk factor for the development of substance abuse among children and adults. The family can also be involved in therapy to either help the recovery process or prevent substance abuse. Marital and family therapy have been found to be effective in reducing the severity of substance use, lowering marital and family conflict, improving family communication and cohesion as well as effective parenting practices. Behavioural Couples Therapy has been found to have good empirical support for bringing about the desired changes in both substance abuse and marital relationship. While targeting entire families, the most common evidenced based family interventions are Brief Strategic Family Therapy, Multidimensional Family Therapy, Family Behaviour Therapy, Functional Family Therapy and Community Reinforcement Programme. Marital and family therapy have to be sensitive to gender and culture. Effective use of marital and family therapy requires adequate training to equip practitioners in adequately treating not only substance use disorders and family pathology, but also in treating co-morbid mental health conditions.

  3. Families in Transition .

    Science.gov (United States)

    Bundy, Michael L., Ed.; Gumaer, James, Ed.

    1984-01-01

    Focuses on disrupted families and the role of the school counselor in helping children adjust. Describes characteristics of healthy families, and discusses the transition to the blended family, effects of divorce groups on children's classroom behavior, counseling children in stepfamilies, single-parent families, and parenting strengths of single…

  4. How home hospice care facilitates patient and family engagement.

    Science.gov (United States)

    Dillon, Ellis C

    2016-01-01

    Little is known about how patient and family engagement manifests in home hospice care. This qualitative study included interviews and observation of home hospice care with 18 patients, 11 caregivers, and 26 hospice workers in the United States. Structural factors (e.g., home setting, ample time, personal relationships), hospice worker strategies (e.g., patient education and presenting choices), and family member support facilitated engagement. Barriers to engagement included difficult relationships and unavailable or unwilling family members. Home hospice care demonstrates potential strategies for continuous, informed, and holistic engagement. These engagement strategies may translate to other arenas of health care.

  5. The incestoid family.

    Science.gov (United States)

    Braun-Scharm, H; Frank, R

    1989-01-01

    Following a short overall view on family therapeutic models of close family systems and on incest family models, the concept "incestoid family" is conceived. In this way, families should be exemplified in which it is true that no manifest incest occurs, but by going from one generation to another, relationships between parents and children, resembling a relationship between partners and the constellation of subliminal enticement and seduction situations promote pseudosexual behaviour patterns; the most conspicuous symptom of such a family is hyper- as well as hyposexualised behaviour in children and young people. Definitive and conceptual demarcations to oedipal and incestuous structures were undertaken. Four case descriptions should illustrate the clinic of incestoid families.

  6. Causes of family refusal for organ donation.

    Science.gov (United States)

    Ghorbani, F; Khoddami-Vishteh, H R; Ghobadi, O; Shafaghi, S; Louyeh, A Rostami; Najafizadeh, K

    2011-03-01

    Family refusal represents a barrier for organ donation together with other cultural and religious factors possible ignorance and clinical obstacles. We performed this retrospective study by phone employing our organ procurement unit database, using a list of families of potential organ donors who had refused organ donation. In 2009, 146 potential organ donor families refused donation. We contacted 81 families. The main reason expressed by there families to justify the refusal to donate the deceased's organs was denial and rejection of brain-death criteria (44.4%). Other causes were believing in a miracle (13.6%); fear about organ trade and unknown organ destination (9.9%); religious beliefs (8.6%); insecutrity about the brain-death diagnosis (6.2%); unstable family mood (6.2%); unknown donor wishes about donation (4.9%); belief in body integrity after death (3.7%); and fear of objection by other family members (2.5%). Our findings showed several reasons for family refusal for organ donation; among the main cause is poor acceptance of brain death. It seems that increasing the knowledge of people about brain death and organizing strategies to confirm brain death for families are necessary to meet the organ shortage. Copyright © 2011 Elsevier Inc. All rights reserved.

  7. Families experiencing housing instability: the effects of housing programs on family routines and rituals.

    Science.gov (United States)

    Mayberry, Lindsay Satterwhite; Shinn, Marybeth; Benton, Jessica Gibbons; Wise, Jasmine

    2014-01-01

    Maintenance of family processes can protect parents, children, and families from the detrimental effects of extreme stressors, such as homelessness. When families cannot maintain routines and rituals, the stressors of poverty and homelessness can be compounded for both caregivers and children. However, characteristics of living situations common among families experiencing homelessness present barriers to the maintenance of family routines and rituals. We analyzed 80 in-depth interviews with parents who were experiencing or had recently experienced an instance of homelessness. We compared their assessments of challenges to family schedules, routines, and rituals across various living situations, including shelter, transitional housing programs, doubled-up (i.e., living temporarily with family or friends), and independent housing. Rules common across shelters and transitional housing programs impeded family processes, and parents felt surveilled and threatened with child protective service involvement in these settings. In doubled-up living situations, parents reported adapting their routines to those of the household and having parenting interrupted by opinions of friends and family members. Families used several strategies to maintain family routines and rituals in these living situations and ensure consistency and stability for their children during an otherwise unstable time. (c) 2014 APA, all rights reserved.

  8. Family emotional expressiveness and family structure

    Directory of Open Access Journals (Sweden)

    Čotar-Konrad Sonja

    2016-01-01

    Full Text Available The present paper scrutinizes the relationship between family emotional expressiveness (i.e., the tendency to express dominant and/or submissive positive and negative emotions and components of family structure as proposed in Olson’s Circumplex model (i.e., cohesion and flexibility, family communication, and satisfaction in families with adolescents. The study was conducted on a sample of 514 Slovenian adolescents, who filled out two questionnaires: the Slovenian version of Family Emotional Expressiveness - FEQ and FACES IV. The results revealed that all four basic dimensions of family functioning were significantly associated with higher/more frequent expressions of positive submissive emotions, as well as with lower/less frequent expressions of negative dominant emotions. Moreover, expressions of negative submissive emotions explained a small, but significant amount of variance in three out of four family functioning variables (satisfaction, flexibility, and communication. The importance of particular aspects of emotional expressiveness for family cohesion, flexibility, communication, and satisfaction is discussed, and the relevance of present findings for family counselling is outlined.

  9. Theorizing Justice in Chicano Families. JSRI Occasional Paper No. 43. Latino Studies Series.

    Science.gov (United States)

    Flores-Ortiz, Yvette G.

    This paper draws on psychological research and clinical practice to outline the social and familial context of injustice in Chicano families. The forces that promote social injustice create imbalances of power within the family wherein strategies of disconnection and oppression replace familial cultural ideals, resulting in domestic violence and…

  10. Dominican Family Networks and United States Immigration Policy: A Case Study.

    Science.gov (United States)

    Garrison, Vivian; Weiss, Carol I.

    1979-01-01

    This analysis of the acculturative process of one immigrant Dominican family shows that United States immigration policy forces the separation of families. Immigration regulations do not recognize the cooperating kin groups as "family," and thus necessitate extra-legal strategies to reunify these extended families. (MC)

  11. Academic family health teams

    Science.gov (United States)

    Carroll, June C.; Talbot, Yves; Permaul, Joanne; Tobin, Anastasia; Moineddin, Rahim; Blaine, Sean; Bloom, Jeff; Butt, Debra; Kay, Kelly; Telner, Deanna

    2016-01-01

    Abstract Objective To explore patients’ perceptions of primary care (PC) in the early development of academic family health teams (aFHTs)—interprofessional PC teams delivering care where family medicine and other health professional learners are trained—focusing on patients’ perceptions of access and patients’ satisfaction with services. Design Self-administered survey. Setting Six aFHTs in Ontario. Participants Adult patients attending appointments and administrators at each of the aFHTs. Main outcome measures Answers to questions about access from the Primary Care Assessment Tool Adult Expanded Version, the Primary Care Assessment Survey, and research team questions. Results The response rate was 47.3% (1026 of 2167). The mean (SD) Primary Care Assessment Tool first-contact accessibility score was 2.28 (0.36) out of 4, with 96.5% of patients rating access less than 3, which was the minimum expected level of care. Two-thirds (66.6%) indicated someone from their aFHTs would definitely or probably see them the same day if they were sick, 56.8% could definitely or probably get advice quickly by telephone, and 14.5% indicated it was definitely or probably difficult to be seen by their primary health care provider (HCP). Additionally, 46.9% indicated they would like to get medical advice by e-mail. For a routine or follow-up visit, 73.4% would be willing to see another aFHT physician if their regular provider were unavailable, while only 48.3% would see a nonphysician HCP. If sick, 88.2% would see another aFHT physician and 55.2% would see a nonphysician HCP. Most (75.3%) were satisfied with access to their regular HCP. Conclusion Although patients are generally satisfied with care, there is room for improvement in access. Strategies are needed to enhance access to care, including addressing appropriate roles and scopes of practice for nonphysician HCPs. The accessibility challenges for aFHTs will likely affect new family physicians and other HCPs training in

  12. Effective strategies for behavior change.

    Science.gov (United States)

    Coleman, Mary Thoesen; Pasternak, Ryan H

    2012-06-01

    Strategies that are most effective in both prevention and management of chronic disease consider factors such as age, ethnicity, community, and technology. Most behavioral change strategies derive their components from application of the health belief model, the theory of reasoned action/theory of planned behavior, transtheoretical model, and social cognitive theory. Many tools such as the readiness ruler and personalized action plan form are available to assist health care teams to facilitate healthy behavior change. Primary care providers can support behavior changes by providing venues for peer interventions and family meetings and by making new partnerships with community organizations. Copyright © 2012 Elsevier Inc. All rights reserved.

  13. Fatores associados à auto-aplicação da insulina nos usuários com diabetes mellitus acompanhados pela Estratégia Saúde da Família Factors associated with insulin self-administration by diabetes mellitus patients in the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Thaís Santos Guerra Stacciarini

    2008-06-01

    Full Text Available Estudo seccional que objetivou comparar dois grupos de usuários com diabetes mellitus acompanhados pela Estratégia Saúde da Família e distinguidos pela auto-aplicação ou não de insulina, em relação às variáveis sócio-demográficas, às dificuldades percebidas e ao responsável pela auto-aplicação. Participaram 269 usuários selecionados por meio de uma amostragem aleatória simples, em 37 unidades da Estratégia Saúde da Família, da área urbana de um município do Estado de Minas Gerais, Brasil. O grupo que faz auto-aplicação foi composto por 169 (62,8% usuários e o que não faz, por 100 (37,2%. Ao comparar os grupos, a variável escolaridade foi estatisticamente significativa; 45% dos que não auto-aplicam a insulina referiram ausência de dificuldades físicas ou cognitivas que impedissem a realização deste procedimento, demonstrando potencial para a adesão; 90% referiram necessitar de auxílio em todo o processo de administração de insulina no domicílio e destes, 75% informaram receber auxílio da família. A Estratégia Saúde da Família favorece o desenvolvimento de intervenções centradas nas necessidades da clientela adscrita, estimulando-a para o autocuidado, e os resultados do presente estudo poderão contribuir com o planejamento destas intervenções.This cross-sectional study aimed to compare two groups of patients with diabetes mellitus treated under the Family Health Strategy, with insulin self-administration versus non-self-administration, in relation to socio-demographic variables, perceived difficulties, and the person responsible for the self-application. A total of 269 patients participated, included through simple random sampling, from 37 Family Health Strategy units in the urban area of a municipality in the State of Minas Gerais, Brazil. The self-administration group consisted of 169 individuals (62.8%, as compared to 100 (37.2% in the non-self-administration group. Comparing the two groups

  14. Family context and incidence of dental caries in preschool children living in areas covered by the Family Health Strategy in Salvador, Bahia State, Brazil Contexto familiar e incidência de cárie dentária em pré-escolares residentes em áreas do Estratégia Saúde da Família em Salvador, Bahia, Brasil

    Directory of Open Access Journals (Sweden)

    Tatiana Frederico de Almeida

    2012-06-01

    Full Text Available Psychosocial factors influence family care and can jeopardize child development. This study aimed to analyze the association between maternal common mental disorders and incidence of early dental caries in preschool-age children living in areas covered by the Family Health Strategy in Salvador, Bahia State, Brazil, in a cohort design. A total of 472 children were examined and their mothers were interviewed from 2007 to 2008. Incidence of at least one tooth with caries was 21.19%, while 7.84% of the children showed high risk of caries. The results after adjusting for the child's age and maternal schooling showed that maternal common mental disorders were associated with high caries risk in deciduous teeth (adjusted RR = 2.41, 95%CI: 1.05-5.56, among children with 6 or fewer home appliances in the household; adjusted RR = 3.44, 95%CI: 1.06-11.17, among those that brushed twice or less per day. Maternal mental problems were associated with the development of caries in preschoolers.Fatores psicossociais influenciam o cuidado no contexto familiar, podendo prejudicar o desenvolvimento infantil. Este trabalho teve como objetivo analisar a associação entre transtornos mentais comuns maternos e a incidência de cárie precoce em crianças na faixa etária pré-escolar, residentes em áreas cobertas pelo Estratégia Saúde da Família em Salvador, Bahia, Brasil, em um estudo de coorte. Foram examinadas 472 crianças, e suas mães foram entrevistadas, no período de 2007 a 2008. A incidência de pelo menos 1 dente cariado foi de 21,19%, enquanto 7,84% das crianças apresentaram alto risco de cárie. Os resultados após ajuste por idade da criança e escolaridade materna mostraram que transtornos mentais comuns maternos associaram-se ao alto risco de cárie em dentes decíduos (RR ajustado = 2,41, IC95%: 1,05-5,56, entre as crianças com 6 ou menos eletrodomésticos no domicílio; RR ajustado = 3,44, IC95%: 1,06-11,17, entre as que realizavam escova

  15. Cartografias clínicas, dispositivos de gêneros, estratégia saúde da família Clinical cartographies, gender devices. strategies of family health

    Directory of Open Access Journals (Sweden)

    Wiliam Siqueira Peres

    2010-04-01

    . With that, we aim to enlarge the universes of references in the encounters, in which the bodies affect and are affected within the contexts marked by socio-psychological, political and cultural processes which are relevant for an expansion of the 'psi' practices. In this paper we analyze the experience that we have been having as supervisor of psychology students in Institutional Clinical Psychology practice which we run in the Family's Health Programme, at Vila Progresso, in Assis, interior of São Paulo, Brazil. In it, we put in evidence the need of dialoguing with other knowledges such as: Cultural Studies, Queer Theory and Squizoanalyzis. As preliminary results we noticed in our trainees' reports a larger concern with people's care assisted in the place that are beyond the psychological readings. That is, that dialogues with social, economical, sexual, genders, political and cultural issues, increasing the analysis and conceiving human beings as hybrid, machinics and different, putting in evidence, in that way, the perspective of subjectivities in permanent construction. The need for references towards a critical and broader clinic emerges as a vital point in this process.

  16. Family dynamics during pregnancy.

    Science.gov (United States)

    Tomlinson, B; White, M A; Wilson, M E

    1990-06-01

    Pregnancy as a transition in family life is perceived as a crisis by many families. Sociodemographic characteristics of families during pregnancy can serve as important sources of information to nurses in drawing out family strengths and providing assistance during this crisis. Family dynamics were measured in 160 women in the third trimester of pregnancy. Half were in their first pregnancy and half were in their second pregnancy. The research question addressed the relationship between family dynamics and several sociodemographic characteristics. Statistically significant relationships were found between the sociodemographic variables of marital and social status, and several dimensions of family dynamics. Families in which couples were married and who enjoyed a higher social status had more positive family dynamics in the dimensions of individuation, stability, flexibility, mutuality and communication. Race, maternal age and parity were not related to level of family dynamics. Strengths in families who have more positive dynamics may be explained by availability of resources, their expertise in using the system, societal approval of marriage and internal family support from the husband. It is essential for nursing care to include systematic family assessment, socialization in effectively using the health care system and individualized family guidance.

  17. Putting the "family" back into family therapy.

    Science.gov (United States)

    Breunlin, Douglas C; Jacobsen, Elizabeth

    2014-09-01

    In this article, we examine the field of family therapy by drawing a distinction between two forms of practice: Whole Family Therapy (WFT), defined as treating the whole family, and Relational Family Therapy (RFT), defined as working with a subsystem of the family or an individual while retaining a systemic lens. Our thesis is that the practice of WFT has been in decline for some time and steps must be taken to keep it from becoming a defunct practice. We consider the trajectory of WFT and RFT throughout the development of family therapy through reference to the people, the literature, training, and practice patterns associated with family therapy. We remind the reader of the many benefits of WFT and suggest that today WFT is likely to be practiced in conjunction with RFT and individual therapy. Since training of family therapists today is largely located in degree-granting programs, we identify constraints to including WFT in such programs. We conclude by offering suggestions that can enhance a program's ability to train students in WFT. © 2014 FPI, Inc.

  18. Loosely coupled class families

    DEFF Research Database (Denmark)

    Ernst, Erik

    2001-01-01

    are expressed using virtual classes seem to be very tightly coupled internally. While clients have achieved the freedom to dynamically use one or the other family, it seems that any given family contains a xed set of classes and we will need to create an entire family of its own just in order to replace one...... of the members with another class. This paper shows how to express class families in such a manner that the classes in these families can be used in many dierent combinations, still enabling family polymorphism and ensuring type safety....

  19. The Dickens Family, English: 5113.301.

    Science.gov (United States)

    Kenzel, Elaine; Williams, Jean

    Developed for a quinmester unit on the Dickens family for the high school, this guide provides the teacher with teaching strategies for a course of study designed to familiarize the student with aspects of Victorian England through the multiple works of Charles Dickens. Works to be read and studied include "Oliver Twist,""Tale of…

  20. Strengthening Homeless Families and Their Young Children.

    Science.gov (United States)

    Swick, Kevin J.

    1997-01-01

    Discusses how groups that include early childhood educators can create dynamic support services to combat homelessness. Covers causes of homelessness and the needs of homeless families and their young children, and presents several strategies to develop effective services for them. Emphasizes parental involvement, school and community…

  1. Involving Migrant Families in Education. ERIC Digest.

    Science.gov (United States)

    Martinez, Yolanda G.; Velazquez, Jose A.

    This digest describes parent involvement in their children's education from the perspective of migrant parents and educators and offers strategies to enhance the experience of schooling for migrant students and their families. Teachers often perceive parent involvement as preparing children for school, attending school events, and fulfilling…

  2. Saúde bucal em Diadema: da odontologia escolar à estratégia saúde da família Oral health in Diadema, Brazil: from schoolchildren dentistry to family health strategy

    Directory of Open Access Journals (Sweden)

    Bernadete Aparecida Tavares Cunha

    2011-12-01

    in Brazil, its evolution in this industrial city located in the metropolitan region of São Paulo has been marked by the singularity of the local history. This paper analyzes this evolution and relates it to the process of social struggles that led to the creation of the Sistema Único de Saúde (Brazil's National Health System and to the national, state and local oral health policies. This is a qualitative exploratory study. Data were obtained from official documents and various literature sources and also through semi-structured interviews with mayors, municipal health secretaries, oral health coordinators and dentists who have undergone the various stages of the oral health policies in the municipality. The major features in the organization of health care practices developed in the city were identified, locating them in the state and national scenario. We conclude that, despite the consolidation of the integration of oral health in the SUS and the experience acquired in the city in managing this type of care, in Diadema we also observed difficulties to overcome the model of care focused on population groups which have been traditionally prioritized, with emphasis on school children, preschoolers and babies. In this sense, Diadema shares with other Brazilian cities the challenge of restructuring primary care in oral health, overcoming the traditional model of school dentistry and creating new possibilities, such as the family approach, in order to ensure the universality and comprehensiveness of care.

  3. Corporal punishment in rural Colombian families: prevalence, family structure and socio-demographic variables.

    Science.gov (United States)

    González, Martha Rocío; Trujillo, Angela; Pereda, Noemí

    2014-05-01

    To reveal the prevalence of corporal punishment in a rural area of Colombia and its correlates to family structure and other socio-demographic variables. A survey about childrearing and childcare was developed for this study, including a specific question about corporal punishment that was developed based on the Conflict Tactics Scale (CTS). Family structure was categorized as follows, based on previous literature: 'nuclear family,' 'single parent' family, 'extended family,' 'simultaneous family' and 'composed family.' Forty-one percent of the parents surveyed admitted they had used corporal punishment of their children as a disciplinary strategy. The type of family structure, the number of children living at home, the age of the children, the gender of the parent who answered the survey, and the age and gender of the partner were significant predictors of corporal punishment. Family structure is an important variable in the understanding of corporal punishment, especially in regard to nuclear families that have a large number of children and parents who started their parental role early in life. Copyright © 2013 Elsevier Ltd. All rights reserved.

  4. Family Caregivers and Consumer Health Information Technology.

    Science.gov (United States)

    Wolff, Jennifer L; Darer, Jonathan D; Larsen, Kevin L

    2016-01-01

    Health information technology has been embraced as a strategy to facilitate patients' access to their health information and engagement in care. However, not all patients are able to access, or are capable of using, a computer or mobile device. Although family caregivers assist individuals with some of the most challenging and costly health needs, their role in health information technology is largely undefined and poorly understood. This perspective discusses challenges and opportunities of engaging family caregivers through the use of consumer-oriented health information technology. We compile existing evidence to make the case that involving family caregivers in health information technology as desired by patients is technically feasible and consistent with the principles of patient-centered and family-centered care. We discuss how more explicit and purposeful engagement of family caregivers in health information technology could advance clinical quality and patient safety by increasing the transparency, accuracy, and comprehensiveness of patient health information across settings of care. Finally, we describe how clarifying and executing patients' desires to involve family members or friends through health information technology would provide family caregivers greater legitimacy, convenience, and timeliness in health system interactions, and facilitate stronger partnerships between patients, family caregivers, and health care professionals.

  5. Next-generation leadership development in family businesses: the critical roles of shared vision and family climate

    Science.gov (United States)

    Miller, Stephen P.

    2014-01-01

    The multigenerational survival rate for family-owned businesses is not good. Lack of a shared vision for the family enterprise and weak next-generation leadership are often cited as two of the leading reasons for the failure of family firms to successfully transition from one generation of family ownership to the next. The climate of the business-owning family has also been suggested as important to the performance of the family enterprise. Despite these commonly held tenets, there is a lack of rigorous quantitative research that explores the relationships among these three factors. To address this gap, a quantitative study of 100 next-generation family firm leaders and 350 family and non-family leaders and employees with whom they work was conducted. The results demonstrate that a shared vision for the family business has a strong effect on the leadership effectiveness of next-generation family leaders and a moderate effect on the degree to which they are positively engaged with their work. The findings also show that two dimensions of family climate significantly influence the likelihood that a shared vision for the family firm has been created. Open communication in the family is positively related to the presence of a shared vision for the business. Intergenerational authority, which refers to a senior generation that exercises unquestioned authority and sets the rules, is negatively related to the presence of a shared vision. Surprisingly, a third dimension of family climate, cognitive cohesion, which includes shared values in the family, had no relationship with the degree to which there was a shared vision for the family business. The implications for family business owners is that they would be wise to spend as much time on fostering a positive family climate characterized by open communication as they do on creating and executing a successful business strategy if their goal is to pass the business from one generation of family owners to the next. PMID

  6. Economic impact of advanced pediatric cancer on families.

    Science.gov (United States)

    Bona, Kira; Dussel, Veronica; Orellana, Liliana; Kang, Tammy; Geyer, Russ; Feudtner, Chris; Wolfe, Joanne

    2014-03-01

    Despite emerging evidence of substantial financial distress in families of children with complex illness, little is known about economic hardship in families of children with advanced cancer. To describe perceived financial hardship, work disruptions, income losses, and associated economic impact in families of children with advanced cancer stratified by federal poverty level (FPL). Cross-sectional survey of 86 parents of children with progressive, recurrent, or nonresponsive cancer at three children's hospitals. Seventy-one families with complete income data (82%) are included in this analysis. Parental work disruptions were prevalent across all income levels, with 67 (94%) families reporting some disruption. At least one parent quit a job because of the child's illness in 29 (42%) families. Nineteen (27%) families described their child's illness as a great economic hardship. Income losses because of work disruptions were substantial for all families; families at or below 200% FPL, however, were disproportionately affected. Six (50%) of the poorest families lost more than 40% of their annual income as compared with two (5%) of the wealthiest families (P = 0.006). As a result of income losses, nine (15%) previously nonpoor families fell from above to below 200% FPL. The economic impact of pediatric advanced cancer on families is significant at all income levels, although poorer families suffer disproportionate losses. Development of ameliorative intervention strategies is warranted. Copyright © 2014 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  7. Familial Mediterranean fever

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/000363.htm Familial Mediterranean fever To use the sharing features on this page, please enable JavaScript. Familial Mediterranean fever (FMF) is a rare disorder passed down ...

  8. Family Caregiver Alliance

    Science.gov (United States)

    ... on your schedule. Look for our launch soon! FAMILY CARE NAVIGATOR ─ Click on Your State AL AK ... AiA18 Smart Patients Caregivers Community In partnership with Family Caregiver Alliance Learn more Caregiver Research Studies show ...

  9. SPECIFIC ASPECTS OF STRATEGIC ENTREPRENEURSHIP IN FAMILY COMPANIES AND NON-FAMILY COMPANIES

    OpenAIRE

    Siniša Arsić

    2017-01-01

    The paper presents a theoretical analysis of the strategic innovation attributes that are represented in family companies, and the paper cross examinates a significant number of references dealing with this topic. In the reviewed literature, one aspect is usually imposed as a basis for comparison and evaluation of innovation in family companies, and it is "strategic entrepreneurship" (functional link of strategy and idea generation from an individual or a team of pe...

  10. Family characteristics and adaptation in families with adolescents

    OpenAIRE

    Miller-Bruce, Andrea E.

    1988-01-01

    Family characteristics, and their typologies were examined in relationship to family adaptation in 97 nonclinical families with adolescents. Cohesion, adaptability, and satisfaction were measured by Family Adaptability and Cohesion Evaluation Scales III. Quantity of family time and routines and value of family time and routines were assessed using an adapted version of the Family Time and Routines Index. The dependent variable, family adaptation, was obtained using the Family M...

  11. O processo de trabalho na estratégia de saúde da família: o que dizem os profissionais de saúde em Santa Cruz do Sul/RS = The work process at the family health strategy: what health professionals in Santa Cruz do Sul/RS

    Directory of Open Access Journals (Sweden)

    Krug, Suzane Beatriz Frantz et al.

    2010-01-01

    Full Text Available Este artigo apresenta análises tecidas quanto às especificidades do processo de trabalho na Estratégia de Saúde da Família (ESF no município de Santa Cruz do Sul/RS. Este é um recorte da pesquisa “Saúde da Família: um olhar sobre a estratégia no município de Santa Cruz do Sul” (2007-2008, desenvolvida com o apoio da Universidade de Santa Cruz do Sul, em parceria com a Secretaria Municipal de Saúde. Pela trajetória qualitativa, foram realizadas entrevistas com os profissionais de saúde que atuam na ESF, sendo estas analisadas à luz do método de Análise de Conteúdo. Evidenciou-se dificuldade de estabelecimento de um plano de ação em comum entre os profissionais de saúde que compõem as equipes de saúde da família e entre essas equipes e suas populações adstritas; diferenças culturais marcam a inter-relação profissional – comunidade. Em relação ao processo de trabalho, confirmou-se a importância de escutar o que os profissionais de saúde estão construindo de saberes no cotidiano do serviço, pois conseguem esclarecer possibilidades e limites dessa estratégia, relacionando-os às características da população de cada território, à gestão municipal da saúde, às condições de trabalho (que ainda são muito diversas de uma unidade de saúde para outra e à identificação dos profissionais com a proposta da ESF. Além disso, evidenciam que o trabalho em saúde segue marcado por lógicas vigentes na sociedade. This article features analyses focused on the specificities of the working process at the Family Health Strategy (FHS in the county of Santa Cruz do Sul/RS. This is an excerpt from the research “Family Health: a look on the strategy in the county of Santa Cruz do Sul” (2007-2008, developed with the support of the University of Santa Cruz do Sul jointly with the Municipal Health Department. Its qualitative trajectory includes interviews with health professionals who work for ESF, and they were

  12. Family Obligations in Denmark

    DEFF Research Database (Denmark)

    Koch-Nielsen, Inger

    How is the balance in obligations between the Family and the Danish Welfare State? Can we observe a trend to shift the responsibility back to the family? This booklet intends to sketch the legal framework around the division of responsibilities between the Family and the state and to analyse...... to what extent and where the unit of rights and obliagations is the individual and where it is the family or household....

  13. Community-Based Child Health Clinical Experience in a Family Homeless Shelter.

    Science.gov (United States)

    Stevens, Marcia S.

    2002-01-01

    Students of child health nursing conducted weekly preschool health promotion activities for children in homeless shelters. They also organized a health fair and interviewed family members to learn about their coping strategies and help they develop healthy strategies. (SK)

  14. Introduction to special section of the Journal of Family Psychology, advances in mixed methods in family psychology: integrative and applied solutions for family science.

    Science.gov (United States)

    Weisner, Thomas S; Fiese, Barbara H

    2011-12-01

    Mixed methods in family psychology refer to the systematic integration of qualitative and quantitative techniques to represent family processes and settings. Over the past decade, significant advances have been made in study design, analytic strategies, and technological support (such as software) that allow for the integration of quantitative and qualitative methods and for making appropriate inferences from mixed methods. This special section of the Journal of Family Psychology illustrates how mixed methods may be used to advance knowledge in family science through identifying important cultural differences in family structure, beliefs, and practices, and revealing patterns of family relationships to generate new measurement paradigms and inform clinical practice. Guidance is offered to advance mixed methods research in family psychology through sound principles of peer review.

  15. Rape: A Family Crisis.

    Science.gov (United States)

    Feinauer, Leslie

    1982-01-01

    Suggests that, although a young woman who has been sexually assaulted may experience pain and alienation as an individual, family members also experience trauma, often left unresolved while retaining an impact on the family's ability to function. Introduces family therapy as a desirable approach to treatment of the rape victim. (Author/JAC)

  16. Families and Assisted Living

    Science.gov (United States)

    Gaugler, Joseph E.; Kane, Robert L.

    2007-01-01

    Purpose: Despite growing research on assisted living (AL) as a residential care option for older adults, the social ramifications of residents' transitions to AL are relatively unexplored. This article examines family involvement in AL, including family structures of residents, types of involvement from family members living outside the AL…

  17. The Family and Hierarchy.

    Science.gov (United States)

    Nock, Steven L.

    1988-01-01

    Cites literature supporting view that as adults, children from single-parent families have less success in school, lower earnings, and lower occupational prestige than children from intact, two-parent families. Proposes that one reason why children from one-parent families achieve less as adults is that they lack exposure to hierarchical models of…

  18. National Military Family Association

    Science.gov (United States)

    ... Take Action Volunteer Mark Your Calendar Donate Twitter Facebook Instagram Donate Appreciating Military Families: Meet the Wilsons This ... MilitaryFamily.org © 2017 - National Military Family Association Twitter Facebook Pinterest Instagram Charity Navigator Four Star Charity GuideStar Exchange Better ...

  19. Genetics of familial melanoma

    DEFF Research Database (Denmark)

    Aoude, Lauren G; Wadt, Karin A W; Pritchard, Antonia L

    2015-01-01

    Twenty years ago, the first familial melanoma susceptibility gene, CDKN2A, was identified. Two years later, another high-penetrance gene, CDK4, was found to be responsible for melanoma development in some families. Progress in identifying new familial melanoma genes was subsequently slow; however...

  20. Year of the Family.

    Science.gov (United States)

    California Agriculture, 1994

    1994-01-01

    This special issue focuses on problems and challenges confronting the California family and on research and extension efforts to provide at least partial answers. Research briefs by staff include "Challenges Confront the California Family" (state trends in poverty, divorce, single-parent families, child abuse, delinquency, teen births,…

  1. Rethinking Family Power.

    Science.gov (United States)

    Kranichfeld, Marion L.

    1987-01-01

    Men's power is emphasized in the family power literature on marital decision making. Little attention has been paid to women's power, accrued through their deeper embeddedness in intrafamilial roles. Micro-level analysis of family power demonstrates that women's positions in the family power structure rest not on the horizontal marital tie but…

  2. Religion and the Family.

    Science.gov (United States)

    Thomas, Darwin L., Ed.

    1985-01-01

    Examines religion's place in the social sciences, reciprocal influences of family and religion, cohesion/polarization in American Catholic families, religion in Middletown, USA, gender and religion in Canadian and American students, domestic/religious individualism and suicide, and the New Christian Right's view of the family. (BH)

  3. Mental Health and Family Relations: Correlated Reports from People Who Inject Drugs and their Family Members in Vietnam

    Science.gov (United States)

    Li, Li; Tuan, Nguyen Anh; Liang, Li-Jung; Lin, Chunqing; Farmer, Shu C.; Flore, Martin

    2013-01-01

    Background This article explores the association of people who inject drugs and their family members in terms of mental health and family relations. The objective was to understand the family context and its impact on people who inject drugs in a family-oriented culture in Vietnam. Methods Cross-sectional assessment data were gathered from 83 people who inject drugs and 83 of their family members recruited from four communes in Phú Thọ province, Vietnam. Depressive symptoms and family relations were measured for both people who inject drugs and family members. Internalized shame and drug-using behavior were reported by people who inject drugs, and caregiver burden was reported by family members. Results We found that higher level of drug using behavior of people who inject drugs was significantly associated with higher depressive symptoms and lower family relations reported by themselves as well as their family members. Family relations reported by people who inject drugs and their family members were positively correlated. Conclusion The findings highlight the need for interventions that address psychological distress and the related challenges faced by family members of people who inject drugs. The article has policy implication which concludes with an argument for developing strategies that enhance the role of families in supporting behavioral change of people who inject drugs. PMID:23910167

  4. Preceptoria de território, novas práticas e saberes na estratégia de educação permanente em saúde da família: o estudo do caso de Sobral, CE Preceptorship of territory, new practices and knowledge in the strategy of continuing education in family health strategy: the case study of Sobral, Ceara, Brazil

    Directory of Open Access Journals (Sweden)

    Rosani Pagani

    2012-05-01

    implementation of Family Health Strategy (ESF has led to intense discussion about the challenge of professional training to work in this model, in a process of continuing education in health. Sobral, city in Ceará (north-east of Brazil has created, in 1999, a multi-professional residency program, and in it, the preceptorship of territory. In 2001, Sobral's City Hall received financial incentive of the provincial government and created the School of Family Health Visconde de Saboia where these programs of education are based. This study aimed to analyze the deployment and operation of territory preceptorship, describing the tutors' process of work, to understand their skills and to discuss the process of permanent-learning strategy developed at the Family Health's strategy in Sobral. We use a qualitative approach, the case study, with the following instruments: interviews, questionnaires and focal groups. Data were analyzed with the method of "Collective Subject Speech". Among the study's findings, the preceptor of the territory is identified as a professional who works directly with residents in the territories and displays a broad variety of competences, such as conceptual knowledge of the field of public health, human relations, problem based knowledge and methodologies of continuing education in health and community. He should also be able to establish relations of friendship, cooperation and participation. the debate is helping the definition of the role of the territory preceptor in Sobral within a function that is still being consolidated - that of an educator implied in the creation of SUS.

  5. The transnational strategies of migrants

    DEFF Research Database (Denmark)

    Christiansen, Connie Carøe

    both these suggestions obviously have some resonance, against them goes the observation that those who take up transnational strategies are active and most capable of succeeding and managing their lives in the receiving society. In other words, the transnational engagements of migrants...... to explain. It has been suggested that transnational strategies are applied as a safety net to substitute for prospects of a secure future in the receiving society. Solidarities or obligations, sometimes in the shape of a social contract between stayers and leavers of a family, are another suggestion. While......, and on the other women’s Islamic activism, carried out by young women of Moroccan descent. What are the motivations for these migrants to engage in transnational strategies? Are transnational activities a sort of escape from defeats in the receiving society for the migrants in question or could transnational...

  6. Parenting among Wealthy Danish Families: A Concerted Civilising Process

    Science.gov (United States)

    Bach, Dil

    2014-01-01

    This article explores the parenting practices of wealthy Danish families and offers insight into the workings of dominant parenting norms within contemporary Danish society. Based on ethnographic fieldwork conducted among 15 families living north of Copenhagen, Denmark, this article identifies the parenting strategies of people with ample…

  7. Transforming Teacher Constructs of Children and Families Who Are Homeless

    Science.gov (United States)

    Powers-Costello, Beth; Swick, Kevin J.

    2011-01-01

    The focus of this article is on articulating the importance of teacher development of constructs about homeless children and families and examining factors that influence teachers' perceptions of children and families who are homeless or at high-risk of becoming homeless. The article also explores some strategies to support teachers in…

  8. Family Stress and Coping for Mexican Origin Adolescents

    Science.gov (United States)

    Liu, Freda F.; Gonzales, Nancy A.; Fernandez, Aida Cristina; Millsap, Roger E.; Dumka, Larry E.

    2011-01-01

    Family-related stressors pose special challenges for adolescents of Mexican origin, given traditional cultural norms that compel youths to get involved with family problems despite their limited ability to effect change. The current study examines the prospective effects of coping strategies (i.e., active, distraction, avoidance, support-seeking,…

  9. INTRODUCTION Family planning implies the ability of individuals ...

    African Journals Online (AJOL)

    individual health and rights, and improves the quality of life of couples and their children. Family planning is an important strategy in promoting maternal and .... pregnancy (37%) and planning of family size (27%). OCCUPATION FREQUENCY PERCENTAGE(%). Trading. 34. 34. Schooling. 22. 22. Civil service. 14. 14.

  10. Knowledge and Perception about Family Planning Among Women ...

    African Journals Online (AJOL)

    Family planning has become a major strategy of population control both at the national and global level. Yet, population growth in Nigeria remains high especially in rural areas due partly to lack of adequate knowledge and poor perception about the need to utilize family planning methods. The study seeks to examine the ...

  11. The Use of Phototherapy in Couples and Family Counseling

    Science.gov (United States)

    Star, Katharina L.; Cox, Jane A.

    2008-01-01

    Couples and family counselors have a long history of using creative techniques with their clients. Counselors can use creative arts to help clients express deep emotions, gain self-awareness, and move toward individual and family goals. There are numerous ways in which counselors can incorporate creative strategies in their work with couples and…

  12. Delivering Healthy Diets to Low-Income Families through ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Delivering Healthy Diets to Low-Income Families through Community Kitchens in Peru ... These kitchens provide more than 500,000 lunches to Peruvian families living in poverty. ... Researchers will use the information to design and implement strategies to promote healthier food choices in the Comedores Populares.

  13. STRATEGIC DECISIONS OF FAMILY FIRMS ON CASH ACCUMULATION

    OpenAIRE

    LOZANO, MARIA BELEN

    2015-01-01

    ABSTRACTGiven the particular strengths, weaknesses, and peculiarities of family firms as well as the importance of liquidity in today’s marketplace, we analyze the distinct characteristics and strategies of family businesses related to the amount of cash a firm holds. We look beyond the traditional factors that influence decisions related to cash management to examine factors that are particularly important for family firms. Specifically, we outline the relevance of strategic decisions guided...

  14. Solution-focused therapy. Counseling model for busy family physicians.

    OpenAIRE

    Greenberg, G.; Ganshorn, K.; Danilkewich, A.

    2001-01-01

    OBJECTIVE: To provide family doctors in busy office practices with a model for counseling compatible with patient-centred medicine, including the techniques, strategies, and questions necessary for implementation. QUALITY OF EVIDENCE: The MEDLINE database was searched from 1984 to 1999 using the terms psychotherapy in family practice, brief therapy in family practice, solution-focused therapy, and brief psychotherapy. A total of 170 relevant articles were identified; 75 abstracts were retriev...

  15. Parenting styles and adolescents' achievement strategies.

    Science.gov (United States)

    Aunola, K; Stattin, H; Nurmi, J E

    2000-04-01

    The aim of the study was to investigate the extent to which adolescents' achievement strategies are associated with the parenting styles they experience in their families. Three hundred and fifty-four 14-year-old adolescents completed a Strategy and Attribution Questionnaire and a family parenting style inventory. Analogous questionnaires were also completed by the adolescents' parents. Based on adolescents' report of the parenting styles, four types of families were identified: those with Authoritative, Authoritarian, Permissive, and Neglectful parenting styles. The results further showed that adolescents from authoritative families applied most adaptive achievement strategies characterized by low levels of failure expectations, task-irrelevant behaviour and passivity, and the use of self-enhancing attributions. Adolescents from neglectful families, in turn, applied maladaptive strategies characterized by high levels of task-irrelevant behaviour, passivity and a lack of self-enhancing attributions. The results provide a basis for understanding some of the processes by which parenting styles may influence adolescents' academic achievement and performance.

  16. Helping Veterans and Their Families Fight On!

    Directory of Open Access Journals (Sweden)

    Megan Hazle

    2012-04-01

    Full Text Available This new generation of veterans is coming home to families, friends, employers, and communities that likely do not understand military culture, nor the effects that military service and reintegration have on a veteran’s life, leading to the next war – the Reintegration War. Military servicemembers, veterans, and their families face challenges within the Reintegration War that are different from their civilian counterparts and are complicated by military-specific circumstances. In order to more effectively and efficiently address the challenges servicemembers, veterans, and their families face, we need to work together in a comprehensive effort. Strategies are presented to help win the Reintegration War and ease the transition for servicemembers, veterans, and their families.

  17. Caring for Clients and Families With Anxiety

    Directory of Open Access Journals (Sweden)

    Noriko Yamamoto-Mitani

    2016-08-01

    Full Text Available This study elucidated Japanese home care nurses’ experiences of supporting clients and families with anxiety. We interviewed 10 registered nurses working in home care agencies and analyzed the data using grounded theory to derive categories pertaining to the nurses’ experiences of providing care. We conceptualized nurses’ approaches to caring for anxiety into three categories: First, they attempted to reach out for anxiety even when the client/family did not make it explicit; second, they tried to alter the outlook of the situation; and third, they created comfort in the lives of the client/family. The conceptualizations of nurses’ strategies to alleviate client/family anxiety may reflect Japanese/Eastern cultural characteristics in communication and their view of the person and social care system, but these conceptualizations may also inform the practice of Western nurses by increasing awareness of skills they may also have and use.

  18. Familial hypercholesterolaemia in children and adolescents

    DEFF Research Database (Denmark)

    Wiegman, Albert; Gidding, Samuel S; Watts, Gerald F

    2015-01-01

    . If a parent has a genetic defect, the LDL-C cut-off for the child is ≥3.5 mmol/L (130 mg/dL). We recommend cascade screening of families using a combined phenotypic and genotypic strategy. In children, testing is recommended from age 5 years, or earlier if homozygous FH is suspected. A healthy lifestyle......Familial hypercholesterolaemia (FH) is a common genetic cause of premature coronary heart disease (CHD). Globally, one baby is born with FH every minute. If diagnosed and treated early in childhood, individuals with FH can have normal life expectancy. This consensus paper aims to improve awareness...... of the need for early detection and management of FH children. Familial hypercholesterolaemia is diagnosed either on phenotypic criteria, i.e. an elevated low-density lipoprotein cholesterol (LDL-C) level plus a family history of elevated LDL-C, premature coronary artery disease and/or genetic diagnosis...

  19. Using vignettes to study family consumption processes

    DEFF Research Database (Denmark)

    Grønhøj, Alice; Bech-Larsen, Tino

    2010-01-01

    . Following an overview of methodological and practical problems of studying consumption interaction processes in families, a discussion of how vignettes may be used to enhance knowledge of family decision-making processes in real-life contexts is presented. Design implications are discussed and strategies...... for applying the vignette method are outlined and illustrated by two recent studies of proenvironmental consumer behavior in a family context. The paper concludes with a discussion of the benefits and the possible pitfalls of using vignettes.......The use of vignettes for qualitative consumer research is discussed in this article. More specifically, vignettes are proposed as a useful research technique for conducting systematic and rigorous studies of consumer interaction processes, in particular as these relate to family consumption issues...

  20. Family traditions and generations.

    Science.gov (United States)

    Schneiderman, Gerald; Barrera, Maru

    2009-01-01

    Currently, traditional family values that have been passed down through generations appear to be at risk. This has significant implications for the stability and health of individuals, families, and communities. This article explores selected issues related to intergenerational transmission of family values and cultural beliefs, with particular reference to Western culture and values that are rooted in Jewish and Christian traditions. It also examines family values and parenting styles as they influence the developing perspective of children and the family's adaptation to a changing world.

  1. Management of Melanoma Families

    Directory of Open Access Journals (Sweden)

    Wilma Bergman

    2010-04-01

    Full Text Available In this review we have aimed to focus on the clinical management of familial melanoma patients and their relatives. Along this line three major topics will be discussed: (1 management/screening of familial melanoma families: what is advised and what is the evidence thereof; (2 variability of families worldwide with regard to clinical phenotype, including cancer spectrum and likelihood of finding germline mutations and (3 background information for clinicians on the molecular biology of familial melanoma and recent developments in this field.

  2. Centering the voices of international students in family studies and family therapy graduate programs.

    Science.gov (United States)

    McDowell, Teresa; Fang, Shi-Ruei; Kosutic, Iva; Griggs, Julie

    2012-06-01

    In this article, we report the results of a survey that accessed the perceptions of family studies and family therapy international master's and doctoral students across the United States. Our goals included giving collective voice to the experience of international students and gathering their suggestions for improving programs. Themes that emerged from responses to open- and closed-ended questions included feeling (mis)understood and (de)valued; forming personal connections and experiencing marginalization; the importance of including international perspectives in curricula; considering the relevance/transferability of knowledge; and attending to barriers to learning. Based on the results, we share suggestions for improving family studies and family therapy graduate programs relative to program planning, curricula revision, teaching strategies, and faculty development. © 2012 American Association for Marriage and Family Therapy.

  3. Inside the Family Firm

    DEFF Research Database (Denmark)

    Bennedsen, Morten; Nielsen, Kasper; Pérez-González, Francisco

    2005-01-01

    show that a departing CEO's family characteristics have a strong predictive power in explaining CEO succession decisions: family CEOs are more frequently selected the larger the size of the family, the higher the ratio of male children and when the departing CEOs had only had one spouse. We......This paper uses a unique dataset from Denmark to investigate (1) the role of family characteristics in corporate decision making, and (2) the consequences of these decisions on firm performance. We focus on the decision to appoint either a family or an external chief executive officer (CEO). We...... then analyze the impact of family successions on performance. We overcome endogeneity and omitted variables problems of previous papers in the literature by using the gender of a departing CEO's first-born child as an instrumental variable (IV) for family successions. This is a plausible IV as male first...

  4. Familier og ADHD-problematikker

    DEFF Research Database (Denmark)

    Andersen, Maja Lundemark

    Denne rapport henvender sig til alle – borgere, professionelle i det sociale og sundhedsfaglige arbejde, forskere og politikere – som interesserer sig for forståelsen og betydningen af ADHD-problematikker i familiers daglige liv. Rapporten har særligt fokus på brugernes egne perspektiver på ADHD......-problematikker, og der er lagt vægt på en ressourceorienteret tilgang. Rapporten viser, på baggrund af observationer og interview med familier, hvor ADHD-problematikker er en del af de daglige udfordringer, at ADHD opleves meget differentieret af de forskellige individer, hvilket tyder på, at det kan være en idé......, at de sociale indsatser udvikles med afsæt i de enkelte familiers oplevede problemer og behov for støtte. Samtidig beskrives behov for at sætte fokus på og tage afsæt i familiernes egne håndterings- og kompensations- strategier, når der udvikles sociale interventioner. Endelig rejses der på baggrund af...

  5. Multiplex families with epilepsy

    Science.gov (United States)

    Afawi, Zaid; Oliver, Karen L.; Kivity, Sara; Mazarib, Aziz; Blatt, Ilan; Neufeld, Miriam Y.; Helbig, Katherine L.; Goldberg-Stern, Hadassa; Misk, Adel J.; Straussberg, Rachel; Walid, Simri; Mahajnah, Muhammad; Lerman-Sagie, Tally; Ben-Zeev, Bruria; Kahana, Esther; Masalha, Rafik; Kramer, Uri; Ekstein, Dana; Shorer, Zamir; Wallace, Robyn H.; Mangelsdorf, Marie; MacPherson, James N.; Carvill, Gemma L.; Mefford, Heather C.; Jackson, Graeme D.; Scheffer, Ingrid E.; Bahlo, Melanie; Gecz, Jozef; Heron, Sarah E.; Corbett, Mark; Mulley, John C.; Dibbens, Leanne M.; Korczyn, Amos D.

    2016-01-01

    Objective: To analyze the clinical syndromes and inheritance patterns of multiplex families with epilepsy toward the ultimate aim of uncovering the underlying molecular genetic basis. Methods: Following the referral of families with 2 or more relatives with epilepsy, individuals were classified into epilepsy syndromes. Families were classified into syndromes where at least 2 family members had a specific diagnosis. Pedigrees were analyzed and molecular genetic studies were performed as appropriate. Results: A total of 211 families were ascertained over an 11-year period in Israel. A total of 169 were classified into broad familial epilepsy syndrome groups: 61 generalized, 22 focal, 24 febrile seizure syndromes, 33 special syndromes, and 29 mixed. A total of 42 families remained unclassified. Pathogenic variants were identified in 49/211 families (23%). The majority were found in established epilepsy genes (e.g., SCN1A, KCNQ2, CSTB), but in 11 families, this cohort contributed to the initial discovery (e.g., KCNT1, PCDH19, TBC1D24). We expand the phenotypic spectrum of established epilepsy genes by reporting a familial LAMC3 homozygous variant, where the predominant phenotype was epilepsy with myoclonic-atonic seizures, and a pathogenic SCN1A variant in a family where in 5 siblings the phenotype was broadly consistent with Dravet syndrome, a disorder that usually occurs sporadically. Conclusion: A total of 80% of families were successfully classified, with pathogenic variants identified in 23%. The successful characterization of familial electroclinical and inheritance patterns has highlighted the value of studying multiplex families and their contribution towards uncovering the genetic basis of the epilepsies. PMID:26802095

  6. Family Physicians Managing Medical Requests From Family and Friends.

    Science.gov (United States)

    Giroldi, Esther; Freeth, Robin; Hanssen, Maurice; Muris, Jean W M; Kay, Margareth; Cals, Jochen W L

    2018-01-01

    Although guidelines generally state that physicians should not treat their family members or friends (nonpatients), physicians regularly receive medical requests from nonpatients. We aimed to explore junior and senior family physicians' experiences with and attitudes toward managing medical requests from nonpatients. We conducted a qualitative study with 7 focus groups with junior and senior physicians. We performed a thematic analysis during an iterative cycle of data collection and analysis. When confronted with a medical request from a nonpatient, physicians first oriented themselves to the situation: who is this person, what is he or she asking of me, and where are we? Physicians next considered the following interrelated factors: (1) nature/strength of the relationship with the nonpatient, (2) amount of trust in his/her own knowledge and skills, (3) expected consequences of making mistakes, (4) importance of work-life balance, and (5) risk of disturbing the physician-patient process. Senior physicians applied more nuanced considerations when deciding whether to respond, whereas junior physicians experienced more difficulties dealing with these requests, were less inclined to respond, and were more concerned about disturbing the existing relationship that a person had with his/her own physician. This study provides insight into the complexity that physicians face when managing medical questions and requests from nonpatients. Facilitated group discussions during which experiences are shared can help junior physicians become more confident in dealing with these complex issues as they formulate their own personal strategy regarding provision of medical advice or treatment to family and friends. © 2018 Annals of Family Medicine, Inc.

  7. Cognitive-Behavioral Coping, Illness Perception, and Family Adaptability in Oncological Patients with a Family History of Cancer.

    Science.gov (United States)

    Postolica, Roxana; Iorga, Magdalena; Petrariu, Florin Dumitru; Azoicai, Doina

    2017-01-01

    Aim . The study investigated the differences between patients with and without a family history of cancer regarding coping strategies, illness perception, and family adaptability to the disease. Material and Methods . A total of 124 patients diagnosed with cancer were included in the research (55 of them with a family history of cancer). The Cognitive Emotion Regulation Questionnaire , the Strategic Approach to Coping Scale , the Family Adaptability and Cohesion Scale , and the Illness Perception Questionnaire were applied. The data were processed using the SPSS 21 software. Results . Patients with previous records of cancer in the family get significantly higher scores for the illness coherence factor. Family satisfaction is significantly higher for patients with a genetic risk, compared to the one reported by patients who suffer from the disease but have no genetic risk. Cognitive-behavioral coping strategies and family cohesion are factors that correlate with an adaptive perception of the illness in the case of patients with a family history of cancer. Conclusion . Results are important for the construction of strategies used for patients with a family history of cancer.

  8. CEPF strategy for climate change issues

    International Nuclear Information System (INIS)

    2004-10-01

    With its strategy for climate change issues CEPF points out the importance of sustainable forest management and the renewable material wood in the context of future climate change policies. Reflecting the view of 16 Million Family forest owners of 23 countries in Europe, on how to combat climate change, this strategy should assist the EU Commission in identifying important issues for consideration in preparing its report for the spring 2005 European Council

  9. Envelhecimento, estratégias de enfrentamento do idoso e repercussões na família Envejecimiento, estrategias de afrontamiento de los ancianos y impactos en la familia Aging, facing strategies of the aged and the consequences for family

    Directory of Open Access Journals (Sweden)

    Ana Lúcia de Moraes Horta

    2010-08-01

    Full Text Available Trata-se de estudo qualitativo para conhecer a percepção de idosos, usuários de Unidade Básica de Saúde de São Paulo, sobre envelhecimento, estratégias de enfrentamento e repercussões na família. Foram realizadas, de setembro de 2007 a julho de 2008, entrevistas com três idosos, de 71 a 90 anos. Os participantes responderam às perguntas da Escala de Depressão Geriátrica, Ecomapa, Genograma e modelo Calgary. Com análise de conteúdo de Bardin, encontramos três categorias percebendo o momento do ciclo vital; sofrendo as repercussões deste momento; enfrentando o envelhecimento e a velhice. Acreditamos na continuidade de estudos que busquem estratégias com idosos e famílias na tentativa de melhorar a qualidade de vida e dinâmica familiar com inclusão de entretenimento, segundo possibilidade da comunidade.El siguiente estudio cualitativo busca comprender la percepción de las personas de edad avanzada, usuarios de la Unidad Básica de Salud de São Paulo, en cuanto al envejecimiento, estrategias de afrontamiento y el impacto en la familia. Se hicieron entrevistas desde Septiembre del 2007 hacia Julio del 2008 con tres personas mayores, de los 71 a 90 años. Los participantes contestaron a las preguntas de la Escala de Depresión Geriátrica, Ecomapa, Genograma y modelo Calgary. A través del análisis de Bardin, hemos descubierto tres categorías - el momento de darse cuenta del ciclo de la vida; se sufren las consecuencias de ese momento; se enfrentan el proceso de envejecimiento y la vejez. Creemos en la continuidad de los estudios que buscan estrategias con las personas mayores y sus familias para mejorar la calidad de vida y la dinámica familiar a través de la inclusión del entretenimiento, acuerdo a las posibilidades ofrecidas a la comunidad.This qualitative study seeks the understanding of the perception of the elderly, users of Basic Health Unit of São Paulo, on aging, coping strategies and impact on family. Interviews

  10. Families and Educators Supporting Bilingualism in Early Childhood

    Science.gov (United States)

    Rodríguez, M. Victoria

    2015-01-01

    This article explores the strategies that three Latino families in the U.S. employed in raising their children bilingually in Spanish and English. It also looks at their rationale for bilingualism as well as the challenges the parents failed to anticipate in implementing their strategies. The data were gleaned from comparative case studies over a…

  11. Harsh, Firm, and Permissive Parenting in Low-Income Families.

    Science.gov (United States)

    Shumow, Lee; Vandell, Deborah Lowe; Posner, Jill K.

    1998-01-01

    Parents' reports of their child-rearing expectations and intentions were measured for 184 low-income urban families when children were in the third and fifth grades. Parenting strategies were stable over time. Parenting strategies were related to measures of adjustment at school, behavior problems in the home, academic achievement, and…

  12. Family governance practices and teambuilding : Paradox of the enterprising family

    NARCIS (Netherlands)

    Berent-Braun, M.M.; Uhlaner, L.M.

    2012-01-01

    This paper explores the relationship between family governance practices and financial performance of the business and family assets of business-owning families. A business-owning family that shares a focus on preserving and growing wealth as a family is defined as the enterprising family. Results

  13. Extended family medicine training

    Science.gov (United States)

    Slade, Steve; Ross, Shelley; Lawrence, Kathrine; Archibald, Douglas; Mackay, Maria Palacios; Oandasan, Ivy F.

    2016-01-01

    Abstract Objective To examine trends in family medicine training at a time when substantial pedagogic change is under way, focusing on factors that relate to extended family medicine training. Design Aggregate-level secondary data analysis based on the Canadian Post-MD Education Registry. Setting Canada. Participants All Canadian citizens and permanent residents who were registered in postgraduate family medicine training programs within Canadian faculties of medicine from 1995 to 2013. Main outcome measures Number and proportion of family medicine residents exiting 2-year and extended (third-year and above) family medicine training programs, as well as the types and numbers of extended training programs offered in 2015. Results The proportion of family medicine trainees pursuing extended training almost doubled during the study period, going from 10.9% in 1995 to 21.1% in 2013. Men and Canadian medical graduates were more likely to take extended family medicine training. Among the 5 most recent family medicine exit cohorts (from 2009 to 2013), 25.9% of men completed extended training programs compared with 18.3% of women, and 23.1% of Canadian medical graduates completed extended training compared with 13.6% of international medical graduates. Family medicine programs vary substantially with respect to the proportion of their trainees who undertake extended training, ranging from a low of 12.3% to a high of 35.1% among trainees exiting from 2011 to 2013. Conclusion New initiatives, such as the Triple C Competency-based Curriculum, CanMEDS–Family Medicine, and Certificates of Added Competence, have emerged as part of family medicine education and credentialing. In acknowledgment of the potential effect of these initiatives, it is important that future research examine how pedagogic change and, in particular, extended training shapes the care family physicians offer their patients. As part of that research it will be important to measure the breadth and uptake of

  14. Family dynamics and family psychotherapy of psychosomatic.

    Science.gov (United States)

    Wirsching, M; Stierlin, H

    1979-01-01

    Family therapy of psychosomatic disorders is oftern difficult and comparable to the therapy of psychotic patients. Nonetheless, the results published today by authors such as Minuchin and Selvini and our own experiences are promising indeed. We have found that what seemed to be a deep-rooted psychic structure changed rapidly and enduringly if the relationship field changed. Amelioration of symptoms is in many cases easily attained if they are understood in their function within a relational system. Also, we regard the system or family approach as a chance for medical practice. The general practioner who usually deals with family systems has, in our view, an ideal position to bring about change if he uses his authority and trust properly. He has to obtain a positive, not pathology-oriented view and should use family and social resources in spite of engaging in an often fruitless and endless contact with the designated patient, which only serves to maintain and even to increase the homeostatic lock of the family system.

  15. Mental health care in the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Edyr Marcelo Costa Hermeto

    2011-06-01

    Full Text Available A Revista Brasileira em Promoção da Saúde (RBPS, com enfoque nas políticas públicas e promoção da saúde, cumpre um papel de importância na produção do conhecimento em que o nacional e o universal se relacionam e se fertilizam de forma particularmente interessante. A cientificidade tem que ser pensada como uma ideiareguladora de alta abstração e não como sinônimo de modelos e normas a serem seguidos. A história da ciência revela não um “a priori”, mas o que foi produzido em um determinado momento histórico com toda a relatividade do processo de conhecimento(1.É nesse sentido que a pesquisa científica caminha sempre em duas direções:numa, elabora suas teorias, seus métodos, seus princípios e estabelece seus resultados; noutra, inventa, ratifica seu caminho, abandona certas vias e encaminhase para direções privilegiadas. E, ao fazer tal percurso, os investigadores aceitam os critérios da historicidade, da colaboração e, sobretudo, imbuem-se da humildade dequem sabe que qualquer conhecimento é aproximado, é construído(1.Na última década, o campo da atenção em saúde mental no Brasil tem sido marcado por um conjunto de iniciativas que buscam a superação do paradigma asilar e a produção de novas instituições, saberes e culturas na relação com os sujeitos com sofrimento psíquico. Os movimentos que emergiram no final dos anos70 deram início ao projeto de transformação, denominado de Reforma Psiquiátrica.Mediante este princípio, a Atenção em Saúde Mental se propõe a trabalhar junto às equipes da Estratégia Saúde da Família (ESF. É importante ressaltar que as ações desenvolvidas na ESF confrontam o modelo manicomial, pois rompem com a lógica da especialização, e, portanto, ampliam para fora do hospital psiquiátricotodas as ações de atenção em Saúde Mental.A representação que se formou na nossa sociedade em relação à loucurafez com que o doente mental ocupasse um lugar de total anomia, alienação e despersonalização. Perdeu sua garantia de crédito social, de respeitabilidade,diante de um estigma que o reduziu a quase nada, gerando quebras de comunicação com o resto da sociedade, através da “surdez”, da indiferença, num processo de estigmatização e consequente exclusão e confinamento.Sair da “surdez”, ouvir o outro e ajudar a resgatar as perdas implica em aceitarmos o caos dentro de nós; caos no sentido de abandonar o velho e assumir o novo, de abertura para novos conceitos, novas ações(2. Só será possível mudar esseparadigma, se, verdadeiramente, nos responsabilizarmos enquanto trabalhadores de saúde, enquanto cidadãos.Assim, é necessário restituir a vida do indivíduo, devolver aquilo que lhe é próprio, reconhecendo que ele é sujeito com direitos e necessidades. Portanto, torna-se essencial que os trabalhadores de Saúde Mental estejam envolvidos nesse processo, tendo sempre como meta a cidadania e a luta contra o estigma.Considerando a complexidade das demandas em Saúde Mental, há necessidade de se articular à ESF na assistência prestada ao sujeito com transtorno mental. Os profissionais envolvidos devem assumir o importante papel de mediadores no processo de reinserção social, já que este sujeito está imerso nos territórios, bem como devemser disponibilizados espaços de promoção, prevenção e tratamento da saúde, tanto para os usuários como para os familiares, possibilitando, assim, o fortalecimento dosvínculos sociais e familiares.O processo de extensão da cobertura da ESF demonstra a crescente e intensiva difusão da rede substitutiva de Saúde Mental numa trajetória frutífera de reversão do modelo assistencial centrado no hospital psiquiátrico para um modelo baseado no restabelecimento das relações afetivas e sociais dos sujeitos e na reconquista de seu poder social(3.É importante o tema em pauta e que não se cessem jamais os questionamentos e os novos dispositivos de atenção em Saúde Mental e da relação com a ESF no âmbito nacional.

  16. Using family literacy in a multifaceted intervention strategy to ...

    African Journals Online (AJOL)

    This article briefly discusses a multifaceted reading programme initiated by the Academic Literacy Research Unit (ALRU) at UNISA that runs in three primary schools in Atteridgeville, a township in Tshwane. A holistic approach is followed that involves teachers, learners, parents and to some extent the community. As part of ...

  17. Components of user satisfaction of the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Laelson Rochelle Milanês Sousa

    2017-09-01

    Conclusion: Reliability was the preponderant dimension in the perception of the quality of services and the tested model was validated, making possible its replicas in other empirical contexts and the expansion of its scope.

  18. Clinical Cartographies, Gender Devices. Strategies of Family Health

    Directory of Open Access Journals (Sweden)

    Wiliam Siqueira Peres

    2010-01-01

    Full Text Available Subjectivity is the bond of all and any kind of production (GUATTARI; ROLNIK 1986 and through it we notice the processes of subjectivation present in the making of subjects, of groups and institutions. As analysis tools we set on the idea of device (FOUCAULT, 1985; DELEUZE, 1988 as an entangled of lines that weave human relationships and, among their several lines we highlight genders as important elements in the clinical/listening intervention. With that, we aim to enlarge the universes of references in the encounters, in which the bodies affect and are affected within the contexts marked by socio-psychological, political and cultural processes which are relevant for an expansion of the ‘psi’ practices. In this paper we analyze the experience that we have been having as supervisor of psychology students in Institutional Clinical Psychology practice which we run in the Family’s Health Programme, at Vila Progresso, in Assis, interior of São Paulo, Brazil. In it, we put in evidence the need of dialoguing with other knowledges such as: Cultural Studies, Queer Theory and Squizoanalyzis. As preliminary results we noticed in our trainees’ reports a larger concern with people’s care assisted in the place that are beyond the psychological readings. That is, that dialogues with social, economical, sexual, genders, political and cultural issues, increasing the analysis and conceiving human beings as hybrid, machinics and different, putting in evidence, in that way, the perspective of subjectivities in permanent construction. The need for references towards a critical and broader clinic emerges as a vital point in this process.

  19. Sexual behavior in the elderly watched family health strategy

    Directory of Open Access Journals (Sweden)

    Adão Charles Gomes Luz

    2015-04-01

    Full Text Available Objetivo: Analisar o comportamento sexual de idosos assistidos na atenção primária em saúde. Método: Estudo transversal, exploratório e quantitativo. Resultados: A amostra foi composta por 130 idosos, destes 60,8% eram do sexo masculino, apresentando idade entre 60 e 92 anos, com média de 69 ± 7,04 anos. Com relação ao perfil sexual, 63,1% idosos tinham vida sexual ativa, sendo comportamento mais frequente entre os homens com união estável ou casados. No que diz respeito ao desejo sexual, 30% referiram não ter mais desejo pelas práticas sexuais, representado em sua maioria por mulheres e 12,3% mantiveram desejo total, com maioria masculina. Entre os idosos sexualmente ativos, 17% utilizam algum método preventivo para Doenças Sexualmente Transmissíveis. Conclusão: Destaca-se que há uma diminuição gradual na frequência do interesse e das práticas sexuais com a idade, reforça-se a necessidade da ação educativa do enfermeiro na atenção primária voltada para idosos. Descritores: Sexualidade, Idoso, Atenção primária à saúde.

  20. Knowledge Translation in Job Development: Strategies for Involving Families

    Science.gov (United States)

    Hall, Allison; Bose, Jennifer; Winsor, Jean; Migliore, Alberto

    2014-01-01

    Background: Although United States employment policies have increased support for people with disabilities working in community settings, the unemployment rate for this population remains very high, particularly for people with intellectual or developmental disabilities. Research shows that job developers (direct support professionals who assist…