Are global and regional improvements in life expectancy and in child, adult and senior survival slowing?

Directory of Open Access Journals (Sweden)

Ryan J Hum

Full Text Available Improvements in life expectancy have been considerable over the past hundred years. Forecasters have taken to applying historical trends under an assumption of continuing improvements in life expectancy in the future. A linear mixed effects model was used to estimate the trends in global and regional rates of improvements in life expectancy, child, adult, and senior survival, in 166 countries between 1950 and 2010. Global improvements in life expectancy, including both child and adult survival rates, decelerated significantly over the study period. Overall life expectancy gains were estimated to have declined from 5.9 to 4.0 months per year for a mean deceleration of -0.07 months/year2; annual child survival gains declined from 4.4 to 1.6 deaths averted per 1000 for a mean deceleration of -0.06 deaths/1000/year2; adult survival gains were estimated to decline from 4.8 to 3.7 deaths averted per 1000 per year for a mean deceleration of -0.08 deaths/1000/year2. Senior survival gains however increased from 2.4 to 4.2 deaths averted per 1000 per year for an acceleration of 0.03 deaths/1000/year2. Regional variation in the four measures was substantial. The rates of global improvements in life expectancy, child survival, and adult survival have declined since 1950 despite an increase in the rate of improvements among seniors. We postulate that low-cost innovation, related to the last half-century progress in health-primarily devoted to children and middle age, is reaping diminishing returns on its investments. Trends are uneven across regions and measures, which may be due in part to the state of epidemiological transition between countries and regions and disparities in the diffusion of innovation, accessible only in high-income countries where life expectancy is already highest.

Transformation of India's transport sector under Global Warming of 2oC and 1.5oC Scenario

DEFF Research Database (Denmark)

Dhar, Subash; Pathak, Minal; Shukla, P.R.

2018-01-01

The Paris agreement stresses on concerted efforts to limit global temperature increase to 2°C and make efforts towards achieving 1.5°C temperature stabilization. Countries announced actions under the Nationally Determined Contributions outlining domestic mitigation actions to achieve the global...

Global, regional, and national levels of neonatal, infant, and under-5 mortality during 1990-2013 : a systematic analysis for the Global Burden of Disease Study 2013

NARCIS (Netherlands)

Wang, Haidong; Liddell, Chelsea A.; Coates, Matthew M.; Mooney, Meghan D.; Levitz, Carly E.; Schumacher, Austin E.; Apfel, Henry; Iannarone, Marissa; Phillips, Bryan; Lofgren, Katherine T.; Sandar, Logan; Dorrington, Rob E.; Rakovac, Ivo; Jacobs, Troy A.; Liang, Xiaofeng; Zhou, Maigeng; Zhu, Jun; Yang, Gonghuan; Wang, Yanping; Liu, Shiwei; Li, Yichong; Ozgoren, Ayse Abbasoglu; Abera, Semaw Ferede; Abubakar, Ibrahim; Achoki, Tom; Adelekan, Ademola; Ademi, Zanfina; Alemu, Zewdie Aderaw; Allen, Peter J.; AlMazroa, Mohammad AbdulAziz; Alvarez, Elena; Amankwaa, Adansi A.; Amare, Azmeraw T.; Ammar, Walid; Anwari, Palwasha; Cunningham, Solveig Argeseanu; Asad, Majed Masoud; Assadi, Reza; Banerjee, Amitava; Basu, Sanjay; Bedi, Neeraj; Bekele, Tolesa; Bell, Michelle L.; Bhutta, Zulfi Qar; Blore, Jed D.; Basara, Berrak Bora; Boufous, Soufiane; Breitborde, Nicholas; Bruce, Nigel G.; Linh Ngoc Bui, [No Value; Carapetis, Jonathan R.; Cardenas, Rosario; Carpenter, David O.; Caso, Valeria; Estanislao Castro, Ruben; Catala-Lopez, Ferran; Cavlin, Alanur; Che, Xuan; Chiang, Peggy Pei-Chia; Chowdhury, Rajiv; Christophi, Costas A.; Chuang, Ting-Wu; Cirillo, Massimo; Leite, Iuri da Costa; Courville, Karen J.; Dandona, Lalit; Dandona, Rakhi; Davis, Adrian; Dayama, Anand; Deribe, Kebede; Dharmaratne, Samath D.; Dherani, Mukesh K.; Dilmen, Ugur; Ding, Eric L.; Edmond, Karen M.; Ermakov, Sergei Petrovich; Farzadfar, Farshad; Fereshtehnejad, Seyed-Mohammad; Fijabi, Daniel Obadare; Foigt, Nataliya; Forouzanfar, Mohammad H.; Garcia, Ana C.; Geleijnse, Johanna M.; Gessner, Bradford D.; Goginashvili, Ketevan; Gona, Philimon; Goto, Atsushi; Gouda, Hebe N.; Green, Mark A.; Greenwell, Karen Fern; Gugnani, Harish Chander; Gupta, Rahul; Hamadeh, Randah Ribhi; Hammami, Mouhanad; Harb, Hilda L.; Hay, Simon; Hedayati, Mohammad T.; Hosgood, H. Dean; Hoy, Damian G.; Idrisov, Bulat T.; Islami, Farhad; Ismayilova, Samaya; Jha, Vivekanand; Jiang, Guohong; Jonas, Jost B.; Juel, Knud; Kabagambe, Edmond Kato; Kazi, Dhruv S.; Kengne, Andre Pascal; Kereselidze, Maia; Khader, Yousef Saleh; Khalifa, Shams Eldin Ali Hassan; Khang, Young-Ho; Kim, Daniel; Kinfu, Yohannes; Kinge, Jonas M.; Kokubo, Yoshihiro; Kosen, Soewarta; Defo, Barthelemy Kuate; Kumar, G. Anil; Kumar, Kaushalendra; Kumar, Ravi B.; Lai, Taavi; Lan, Qing; Larsson, Anders; Lee, Jong-Tae; Leinsalu, Mall; Lim, Stephen S.; Lipshultz, Steven E.; Logroscino, Giancarlo; Lotufo, Paulo A.; Lunevicius, Raimundas; Lyons, Ronan Anthony; Ma, Stefan; Mahdi, Abbas Ali; Marzan, Melvin Barrientos; Mashal, Mohammad Taufi Q.; Mazorodze, Tasara T.; McGrath, John J.; Memish, Ziad A.; Mendoza, Walter; Mensah, George A.; Meretoja, Atte; Miller, Ted R.; Mills, Edward J.; Mohammad, Karzan Abdulmuhsin; Mokdad, Ali H.; Monasta, Lorenzo; Montico, Marcella; Moore, Ami R.; Moschandreas, Joanna; Msemburi, William T.; Mueller, Ulrich O.; Muszynska, Magdalena M.; Naghavi, Mohsen; Naidoo, Kovin S.; Narayan, K. M. Venkat; Nejjari, Chakib; Ng, Marie; de Dieu Ngirabega, Jean; Nieuwenhuijsen, Mark J.; Nyakarahuka, Luke; Ohkubo, Takayoshi; Omer, Saad B.; Paternina Caicedo, Angel J.; Pillay-van Wyk, Victoria; Pope, Dan; Pourmalek, Farshad; Prabhakaran, Dorairaj; Rahman, Sajjad U. R.; Rana, Saleem M.; Reilly, Robert Quentin; Rojas-Rueda, David; Ronfani, Luca; Rushton, Lesley; Saeedi, Mohammad Yahya; Salomon, Joshua A.; Sampson, Uchechukwu; Santos, Itamar S.; Sawhney, Monika; Schmidt, Juergen C.; Shakh-Nazarova, Marina; She, Jun; Sheikhbahaei, Sara; Shibuya, Kenji; Shin, Hwashin Hyun; Shishani, Kawkab; Shiue, Ivy; Sigfusdottir, Inga Dora; Singh, Jasvinder A.; Skirbekk, Vegard; Sliwa, Karen; Soshnikov, Sergey S.; Sposato, Luciano A.; Stathopoulou, Vasiliki Kalliopi; Stroumpoulis, Konstantinos; Tabb, Karen M.; Talongwa, Roberto Tchio; Teixeira, Carolina Maria; Terkawi, Abdullah Sulieman; Thomson, Alan J.; Thorne-Lyman, Andrew L.; Toyoshima, Hideaki; Dimbuene, Zacharie Tsala; Uwaliraye, Parfait; Uzun, Selen Beguem; Vasankari, Tommi J.; Nogales Vasconcelos, Ana Maria; Vlassov, Vasiliy Victorovich; Vollset, Stein Emil; Waller, Stephen; Wan, Xia; Weichenthal, Scott; Weiderpass, Elisabete; Weintraub, Robert G.; Westerman, Ronny; Wilkinson, James D.; Williams, Hywel C.; Yang, Yang C.; Yentur, Gokalp Kadri; Yip, Paul; Yonemoto, Naohiro; Younis, Mustafa; Yu, Chuanhua; Jin, Kim Yun; Zaki, Maysaa El Sayed; Zhu, Shankuan; Vos, Theo; Lopez, Alan D.; Murray, Christopher J. L.

2014-01-01

Background Remarkable financial and political efforts have been focused on the reduction of child mortality during the past few decades. Timely measurements of levels and trends in under-5 mortality are important to assess progress towards the Millennium Development Goal 4 (MDG 4) target of

The global burden of child burn injuries in light of country level economic development and income inequality.

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Sengoelge, Mathilde; El-Khatib, Ziad; Laflamme, Lucie

2017-06-01

Child burn mortality differs widely between regions and is closely related to material deprivation, but reports on their global distribution are few. Investigating their country level distribution in light of economic level and income inequality will help assess the potential for macro-level improvements. We extracted data for child burn mortality from the Global Burden of Disease study 2013 and combined data into 1-14 years to calculate rates at country, region and income levels. We also compiled potential lives saved. Then we examined the relationship between country level gross domestic product per capita from the World Bank and income inequality (Gini Index) from the Standardized World Income Inequality Database and child burn mortality using Spearman coefficient correlations. Worldwide, the burden of child burn deaths is 2.5 per 100,000 across 103 countries with the largest burden in Sub-Saharan Africa (4.5 per 100,000). Thirty-four thousand lives could be saved yearly if all countries in the world had the same rates as the best performing group of high-income countries; the majority in low-income countries. There was a negative graded association between economic level and child burns for all countries aggregated and at regional level, but no consistent pattern existed for income inequality at regional level. The burden of child burn mortality varies by region and income level with prevention efforts needed most urgently in middle-income countries and Sub-Saharan Africa. Investment in safe living conditions and access to medical care are paramount to achieving further reductions in the global burden of preventable child burn deaths.

Association between coverage of maternal and child health interventions, and under-5 mortality: a repeated cross-sectional analysis of 35 sub-Saharan African countries.

Science.gov (United States)

Corsi, Daniel J; Subramanian, S V

2014-01-01

Infant and child mortality rates are among the most important indicators of child health, nutrition, implementation of key survival interventions, and the overall social and economic development of a population. In this paper, we investigate the role of coverage of maternal and child health (MNCH) interventions in contributing to declines in child mortality in sub-Saharan Africa. Data are from 81 Demographic and Health Surveys from 35 sub-Saharan African countries. Using ecological time-series and child-level regression models, we estimated the effect of MNCH interventions (summarized by the percent composite coverage index, or CCI) on child mortality with in the first 5 years of life net of temporal trends and covariates at the household, maternal, and child levels. At the ecologic level, a unit increase in standardized CCI was associated with a reduction in under-5 child mortality rate (U5MR) of 29.0 per 1,000 (95% CI: -43.2, -14.7) after adjustment for survey period effects and country-level per capita gross domestic product (pcGDP). At the child level, a unit increase in standardized CCI was associated with an odds ratio of 0.86 for child mortality (95% CI: 0.82-0.90) after adjustment for survey period effect, country-level pcGDP, and a set of household-, maternal-, and child-level covariates. MNCH interventions are important in reducing U5MR, while the effects of economic growth in sub-Saharan Africa remain weak and inconsistent. Improved coverage of proven life-saving interventions will likely contribute to further reductions in U5MR in sub-Saharan Africa.

Association between coverage of maternal and child health interventions, and under-5 mortality: a repeated cross-sectional analysis of 35 sub-Saharan African countries

Directory of Open Access Journals (Sweden)

Daniel J. Corsi

2014-09-01

Full Text Available Background: Infant and child mortality rates are among the most important indicators of child health, nutrition, implementation of key survival interventions, and the overall social and economic development of a population. In this paper, we investigate the role of coverage of maternal and child health (MNCH interventions in contributing to declines in child mortality in sub-Saharan Africa. Design: Data are from 81 Demographic and Health Surveys from 35 sub-Saharan African countries. Using ecological time-series and child-level regression models, we estimated the effect of MNCH interventions (summarized by the percent composite coverage index, or CCI on child mortality with in the first 5 years of life net of temporal trends and covariates at the household, maternal, and child levels. Results: At the ecologic level, a unit increase in standardized CCI was associated with a reduction in under-5 child mortality rate (U5MR of 29.0 per 1,000 (95% CI: −43.2, −14.7 after adjustment for survey period effects and country-level per capita gross domestic product (pcGDP. At the child level, a unit increase in standardized CCI was associated with an odds ratio of 0.86 for child mortality (95% CI: 0.82–0.90 after adjustment for survey period effect, country-level pcGDP, and a set of household-, maternal-, and child-level covariates. Conclusions: MNCH interventions are important in reducing U5MR, while the effects of economic growth in sub-Saharan Africa remain weak and inconsistent. Improved coverage of proven life-saving interventions will likely contribute to further reductions in U5MR in sub-Saharan Africa.

The global burden of child burn injuries in light of country level economic development and income inequality

Directory of Open Access Journals (Sweden)

Mathilde Sengoelge

2017-06-01

Full Text Available Child burn mortality differs widely between regions and is closely related to material deprivation, but reports on their global distribution are few. Investigating their country level distribution in light of economic level and income inequality will help assess the potential for macro-level improvements. We extracted data for child burn mortality from the Global Burden of Disease study 2013 and combined data into 1–14 years to calculate rates at country, region and income levels. We also compiled potential lives saved. Then we examined the relationship between country level gross domestic product per capita from the World Bank and income inequality (Gini Index from the Standardized World Income Inequality Database and child burn mortality using Spearman coefficient correlations. Worldwide, the burden of child burn deaths is 2.5 per 100,000 across 103 countries with the largest burden in Sub-Saharan Africa (4.5 per 100,000. Thirty-four thousand lives could be saved yearly if all countries in the world had the same rates as the best performing group of high-income countries; the majority in low-income countries. There was a negative graded association between economic level and child burns for all countries aggregated and at regional level, but no consistent pattern existed for income inequality at regional level. The burden of child burn mortality varies by region and income level with prevention efforts needed most urgently in middle-income countries and Sub-Saharan Africa. Investment in safe living conditions and access to medical care are paramount to achieving further reductions in the global burden of preventable child burn deaths.

Global Human Trafficking and Child Victimization.

Science.gov (United States)

Greenbaum, Jordan; Bodrick, Nia

2017-12-01

Trafficking of children for labor and sexual exploitation violates basic human rights and constitutes a major global public health problem. Pediatricians and other health care professionals may encounter victims who present with infections, injuries, posttraumatic stress disorder, suicidality, or a variety of other physical or behavioral health conditions. Preventing child trafficking, recognizing victimization, and intervening appropriately require a public health approach that incorporates rigorous research on the risk factors, health impact, and effective treatment options for child exploitation as well as implementation and evaluation of primary prevention programs. Health care professionals need training to recognize possible signs of exploitation and to intervene appropriately. They need to adopt a multidisciplinary, outward-focused approach to service provision, working with nonmedical professionals in the community to assist victims. Pediatricians also need to advocate for legislation and policies that promote child rights and victim services as well as those that address the social determinants of health, which influence the vulnerability to human trafficking. This policy statement outlines major issues regarding public policy, medical education, research, and collaboration in the area of child labor and sex trafficking and provides recommendations for future work. Copyright © 2017 by the American Academy of Pediatrics.

Trends, causes, and risk factors of mortality among children under 5 in Ethiopia, 1990-2013 : findings from the Global Burden of Disease Study 2013

NARCIS (Netherlands)

Deribew, Amare; Tessema, Gizachew Assefa; Deribe, Kebede; Melaku, Yohannes Adama; Lakew, Yihunie; Amare, Azmeraw T.; Abera, Semaw F.; Mohammed, Mesoud; Hiruye, Abiy; Teklay, Efrem; Misganaw, Awoke; Kassebaum, Nicholas

2016-01-01

Background: Ethiopia has made remarkable progress in reducing child mortality over the last two decades. However, the under-5 mortality rate in Ethiopia is still higher than the under-5 mortality rates of several low-and middle-income countries (LMIC). On the other hand, the patterns and causes of

Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980-2015 : A systematic analysis for the Global Burden of Disease Study 2015

NARCIS (Netherlands)

Wang, Haidong; Bhutta, Zulfiqar A.; Coates, Matthew M.; Coggeshall, Megan; Dandona, Lalit; Diallo, Khassoum; Franca, Elisabeth Barboza; Fraser, Maya; Fullman, Nancy; Gething, Peter W.; Hay, Simon I.; Kinfu, Yohannes; Kita, Maaya; Kulikoff, Xie Rachel; Larson, Heidi J.; Liang, Juan; Liang, Xiaofeng; Lim, Stephen S.; Lind, Margaret; Lopez, Alan D.; Lozano, Rafael; Mensah, George A.; Mikesell, Joseph B.; Mokdad, Ali H.; Mooney, Meghan D.; Naghavi, Mohsen; Nguyen, Grant; Rakovac, Ivo; Salomon, Joshua A.; Silpakit, Naris; Sligar, Amber; Sorensen, Reed J. D.; Vos, Theo; Zhu, Jun; Abajobir, Amanuel Alemu; Abate, Kalkidan Hassen; Abbas, Kaja M.; Abd-Allah, Foad; Abdulle, Abdishakur M.; Abera, Semaw Ferede; Aboyans, Victor; Abraham, Biju; Abubakar, Ibrahim; Abu-Raddad, Laith J.; Abu-Rmeileh, Niveen M. E.; Abyu, Gebre Yitayih; Achoki, Tom; Adebiyi, Akindele Olupelumi; Adedeji, Isaac Akinkunmi; Adelekan, Ademola Lukman; Adou, Arsene Kouablan; Agarwal, Arnav; Ajala, Oluremi N.; Akinyemiju, Tomi F.; Akseer, Nadia; Alam, Khurshid; Alam, Noore K. M.; Alasfoor, Deena; Aldridge, Robert William; Alegretti, Miguel Angel; Alemu, Zewdie Aderaw; Ali, Raghib; Alkerwi, Ala'a; Alla, Francois; Al-Raddadi, Rajaa; Alsharif, Ubai; Altirkawi, Khalid A.; Martin, Elena Alvarez; Alvis-Guzman, Nelson; Amare, Azmeraw T.; Amberbir, Alemayehu; Amegah, Adeladza Kofi; Ameh, Emmanuel A.; Ammar, Walid; Amrock, Stephen Marc; Andersen, Hjalte H.; Anderson, Gregory M.; Antonio, Carl Abelardo T.; Arlov, Johan; Artaman, Al; Asayesh, Hamid; Asghar, Rana Jawad; Assadi, Reza; Atique, Suleman; Avokpaho, Euripide Frinel G. Arthur; Awasthi, Ashish; Quintanilla, Beatriz Paulina Ayala; Bacha, Umar; Badawi, Alaa; Balakrishnan, Kalpana; Banerjee, Amitava; Banigbe, Bolanle F.; Barac, Aleksandra; Barber, Ryan M.; Barker-Collo, Suzanne L.; Barnighausen, Till; Barrero, Lope H.; Bayou, Tigist Assefa; Bayou, Yibeltal Tebekaw; Bazargan-Hejazi, Shahrzad; Beardsley, Justin; Bedi, Neeraj; Bekele, Tolesa; Bell, Michelle L.; Bello, Aminu K.; Bennett, Derrick A.; Bensenor, Isabela M.; Berhane, Adugnaw; Bernabe, Eduardo; Betsu, Balem Demtsu; Beyene, Addisu Shunu; Bhatt, Samir; Biadgilign, Sibhatu; Bikbov, Boris; Birlik, Sait Mentes; Bisanzio, Donal; Bjertness, Espen; Blore, Jed D.; Bourne, Rupert R. A.; Brainin, Michael; Brazinova, Alexandra; Breitborde, Nicholas J. K.; Brown, Alexandria; Colin Buckle, Geoff Rey; Burch, Michael; Butt, Zahid A.; Ricardo Campos-Nonato, Ismael; Cesar Campuzano, Julio; Cardenas, Rosario; Carpenter, David O.; Jesus Carrero, Juan; Carter, Austin; Casey, Daniel C.; Castaneda-Orjuela, Carlos A.; Rivas, Jacqueline Castillo; Castro, Ruben Estanislao; Catala-Lopez, Ferran; Cercy, Kelly; Chang, Hsing-Yi; Chang, Jung-Chen; Chibueze, Chioma Ezinne; Chisumpa, Vesper Hichilombwe; Choi, Jee-Young Jasmine; Chowdhury, Rajiv; Christopher, Devasahayam Jesudas; Ciobanu, Liliana G.; Colquhoun, Samantha M.; Cooper, Cyrus; Cornaby, Leslie; Damtew, Solomon Abrha; Danawi, Hadi; Dandona, Rakhi; das Neves, Jose; Davis, Adrian C.; de Jager, Pieter; De Leo, Diego; Degenhardt, Louisa; Deribe, Kebede; Deribew, Amare; Jarlais, Don C. Des; deVeber, Gabrielle A.; Dharmaratne, Samath D.; Dhillon, Preet K.; Ding, Eric L.; Doshi, Pratik Pinal; Doyle, Kerrie E.; Duan, Leilei; Dubey, Manisha; Ebrahimi, Hedyeh; Ellingsen, Christian Lycke; Elyazar, Iqbal; Endries, Aman Yesuf; Ermakov, Sergey Petrovich; Eshrati, Babak; Esteghamati, Alireza; Faraon, Emerito Jose Aquino; Farid, Talha A.; Farinha, Carla Sofia e Sa; Faro, Andre; Farvid, Maryam S.; Farzadfar, Farshad; Fereshtehnejad, Seyed-Mohammad; Fernandes, Joao C.; Fischer, Florian; Fitchett, Joseph R. A.; Foigt, Nataliya; Franklin, Richard C.; Friedman, Joseph; Furst, Thomas; Gambashidze, Ketevan; Gamkrelidze, Amiran; Ganguly, Parthasarathi; Gebre, Teshome; Gebrehiwot, Tsegaye Tewelde; Gebremedhin, Amanuel Tesfay; Gebru, Alemseged Aregay; Geleijnse, Johanna M.; Gessner, Bradford D.; Ginawi, Ibrahim Abdelmageem Mohamed; Giref, Ababi Zergaw; Gishu, Melkamu Dedefo; Gomez-Dantes, Hector; Gona, Philimon; Goodridge, Amador; Gopalani, Sameer Vali; Goto, Atsushi; Gouda, Hebe N.; Gugnani, Harish Chander; Guo, Yuming; Gupta, Rahul; Gupta, Rajeev; Gupta, Vipin; Gyawali, Bishal; Haagsma, Juanita A.; Hafezi-Nejad, Nima; Haile, Demewoz; Hailu, Alemayehu Desalegne; Hailu, Gessessew Bugssa; Hamadeh, Randah Ribhi; Hamidi, Samer; Hancock, Jamie; Handal, Alexis J.; Hankey, Graeme J.; Harb, Hilda L.; Harikrishnan, Sivadasanpillai; Harun, Kimani M.; Havmoeller, Rasmus; Hay, Roderick J.; Heredia-Pi, Ileana Beatriz; Hoek, Hans W.; Horino, Masako; Horita, Nobuyuki; Hosgood, H. Dean; Hotez, Peter J.; Hoy, Damian G.; Hsairi, Mohamed; Hu, Guoqing; Huang, Cheng; Huang, John J.; Huang, Hsiang; Huiart, Laetitia; Huynh, Chantal; Iburg, Kim Moesgaard; Idrisov, Bulat T.; Innos, Kaire; Jacobsen, Kathryn H.; Jahanmehr, Nader; Javanbakht, Mehdi; Jayatilleke, Achala Upendra; Jee, Sun Ha; Jeemon, Panniyammakal; Jha, Vivekanand; Jiang, Guohong; Jiang, Ying; Jibat, Tariku; Jin, Ye; Jonas, Jost B.; Kabir, Zubair; Kalkonde, Yogeshwar; Kamal, Ritul; Kan, Haidong; Kang, Gagandeep; Karch, Andre; Karema, Corine Kakizi; Kasaeian, Amir; Kaul, Anil; Kawakami, Norito; Kayibanda, Jeanne Francoise; Kazanjan, Konstantin; Keiyoro, Peter Njenga; Kemp, Andrew Haddon; Kengne, Andre Pascal; Keren, Andre; Kereselidze, Maia; Kesavachandran, Chandrasekharan Nair; Khader, Yousef Saleh; Khalil, Ibrahim A.; Khan, Abdur Rahman; Khan, Ejaz Ahmad; Khang, Young-Ho; Khonelidze, Irma; Khubchandani, Jagdish; Kim, Cho-il; Kim, Daniel; Kim, Yun Jin; Kissoon, Niranjan; Kivipelto, Miia; Knibbs, Luke D.; Kokubo, Yoshihiro; Kosen, Soewarta; Koul, Parvaiz A.; Koyanagi, Ai; Defo, Barthelemy Kuate; Bicer, Burcu Kucuk; Kudom, Andreas A.; Kumar, G. Anil; Kutz, Michael J.; Kyu, Hmwe H.; Lal, Dharmesh Kumar; Lalloo, Ratilal; Lam, Hilton; Lam, Jennifer O.; Lansingh, Van C.; Larsson, Anders; Leigh, James; Leung, Ricky; Li, Yichong; Li, Yongmei; Lindsay, M. Patrice; Liu, Patrick Y.; Liu, Shiwei; Lloyd, Belinda K.; Lo, Warren D.; Logroscino, Giancarlo; Low, Nicola; Lunevicius, Raimundas; Lyons, Ronan A.; Ma, Stefan; Abd El Razek, Hassan Magdy; Abd El Razek, Mohammed Magdy; Mahdavi, Mahdi; Majdan, Marek; Majeed, Azeem; Malekzadeh, Reza; Mapoma, Chabila C.; Marcenes, Wagner; Martinez-Raga, Jose; Marzan, Melvin Barrientos; Masiye, Felix; McGrath, John J.; Meaney, Peter A.; Mehari, Alem; Mehndiratta, Man Mohan; Mekonnen, Alemayehu B.; Melaku, Yohannes Adama; Memiah, Peter; Memish, Ziad A.; Mendoza, Walter; Meretoja, Atte; Meretoja, Tuomo J.; Mhimbira, Francis Apolinary; Miller, Ted R.; Mills, Edward J.; Mirarefin, Mojde; Misganaw, Awoke; Mock, Charles N.; Mohammad, Karzan Abdulmuhsin; Mohammadi, Alireza; Mohammed, Shafi U.; Monasta, Lorenzo; Hernandez, Julio Cesar Montanez; Montico, Marcella; Moore, Ami R.; Moradi-Lakeh, Maziar; Morawska, Lidia; Mori, Rintaro; Mueller, Ulrich O.; Murphy, Georgina A. V.; Murthy, Srinivas; Nachega, Jean B.; Naheed, Aliya; Naidoo, Kovin S.; Naldi, Luigi; Nand, Devina; Nangia, Vinay; Neupane, Subas; Newton, Charles R.; Newton, John N.; Ng, Marie; Ngalesoni, Frida Namnyak; Nguhiu, Peter; Quyen Le Nguyen, [Unknown; Nisar, Muhammad Imran; Pete, Patrick Martial Nkamedjie; Norheim, Ole F.; Norman, Rosana E.; Ogbo, Felix Akpojene; Oh, In-Hwan; Ojelabi, Foluke Adetola; Olivares, Pedro R.; Olusanya, Bolajoko Olubukunola; Olusanya, Jacob Olusegun; Oren, Eyal; Ota, Erika; Mahesh, P. A.; Park, Eun-Kee; Park, Hye-Youn; Parsaeian, Mahboubeh; Caicedo, Angel J. Paternina; Patten, Scott B.; Pedro, Joao Mario; Pereira, David M.; Perico, Norberto; Pesudovs, Konrad; Petzold, Max; Phillips, Michael Robert; Pillay, Julian David; Pishgar, Farhad; Polinder, Suzanne; Pope, Daniel; Popova, Svetlana; Pourmalek, Farshad; Qorbani, Mostafa; Rabiee, Rynaz H. S.; Rafay, Anwar; Rahimi-Movaghar, Vafa; Rahman, Mahfuzar; Rahman, Mohammad Hifz Ur; Rahman, Sajjad Ur; Rai, Rajesh Kumar; Raju, Murugesan; Ram, Usha; Rana, Saleem M.; Ranabhat, Chhabi Lal; Rao, Puja; Refaat, Amany H.; Remuzzi, Giuseppe; Resnikoff, Serge; Reynolds, Alex; Rojas-Rueda, David; Ronfani, Luca; Roshandel, Gholamreza; Roth, Gregory A.; Roy, Ambuj; Ruhago, George Mugambage; Sagar, Rajesh; Saleh, Muhammad Muhammad; Sanabria, Juan R.; Sanchez-Nino, Maria Dolores; Santos, Itamar S.; Santos, Joao Vasco; Sarmiento-Suarez, Rodrigo; Sartorius, Benn; Satpathy, Maheswar; Savic, Miloje; Sawhney, Monika; Schneider, Ione J. C.; Schottker, Ben; Schwebel, David C.; Seedat, Soraya; Sepanlou, Sadaf G.; Servan-Mori, Edson E.; Setegn, Tesfaye; Shahraz, Saeid; Shaikh, Masood Ali; Shakh-Nazarova, Marina; Sharma, Rajesh; She, Jun; Sheikhbahaei, Sara; Shen, Jiabin; Sheth, Kevin N.; Shibuya, Kenji; Shin, Hwashin Hyun; Shin, Min-Jeong; Shiri, Rahman; Shuie, Ivy; Sigfusdottir, Inga Dora; Silva, Diego Augusto Santos; Silverberg, Jonathan; Simard, Edgar P.; Sindi, Shireen; Singh, Abhishek; Singh, Jasvinder A.; Singh, Om Prakash; Singh, Prashant Kumar; Singh, Virendra; Soriano, Joan B.; Soshnikov, Sergey; Sposato, Luciano A.; Sreeramareddy, Chandrashekhar T.; Stathopoulou, Vasiliki; Steel, Nicholas; Stroumpoulis, Konstantinos; Sturua, Lela; Sunguya, Bruno F.; Swaminathan, Soumya; Sykes, Bryan L.; Szoeke, Cassandra E. I.; Tabares-Seisdedos, Rafael; Tavakkoli, Mohammad; Taye, Bineyam; Tedla, Bemnet Amare; Tefera, Worku Mekonnen; Tekle, Tesfaye; Shifa, Girma Temam; Terkawi, Abdullah Sulieman; Tesfay, Fisaha Haile; Tessema, Gizachew Assefa; Thapa, Kiran; Thomson, Alan J.; Thorne-Lyman, Andrew L.; Tobe-Gai, Ruoyan; Tonelli, Marcello; Topor-Madry, Roman; Topouzis, Fotis; Tran, Bach Xuan; Troeger, Christopher; Truelsen, Thomas; Dimbuene, Zacharie Tsala; Tura, Abera Kenay; Tyrovolas, Stefanos; Ukwaja, Kingsley N.; Uneke, Chigozie Jesse; Uthman, Olalekan A.; Vaezghasemi, Masoud; Vasankari, Tommi; Vasconcelos, Ana Maria Nogales; Venketasubramanian, Narayanaswamy; Verma, Raj Kumar; Violante, Francesco S.; Vladimirov, Sergey K.; Vlassov, Vasiliy Victorovich; Vollset, Stein Emil; Wang, Linhong; Wang, Yanping; Weichenthal, Scott; Weiderpass, Elisabete; Weintraub, Robert G.; Weiss, Daniel J.; Werdecker, Andrea; Westerman, Ronny; Widdowson, Marc-Alain; Wijeratne, Tissa; Williams, Thomas Neil; Wiysonge, Charles Shey; Wolfe, Charles D. A.; Wolfe, Ingrid; Won, Sungho; Wubshet, Mamo; Xiao, Qingyang; Xu, Gelin; Yadav, Ajit Kumar; Yakob, Bereket; Yano, Yuichiro; Yaseri, Mehdi; Ye, Pengpeng; Yebyo, Henock Gebremedhin; Yip, Paul; Yonemoto, Naohiro; Yoon, Seok-Jun; Younis, Mustafa Z.; Yu, Chuanhua; Zaidi, Zoubida; Zaki, Maysaa El Sayed; Zeeb, Hajo; Zhang, Hao; Zhao, Yong; Zheng, Yingfeng; Zhou, Maigeng; Zodpey, Sanjay; Murray, Christopher J. L.

2016-01-01

Background Established in 2000, Millennium Development Goal 4 (MDG4) catalysed extraordinary political, financial, and social commitments to reduce under-5 mortality by two-thirds between 1990 and 2015. At the country level, the pace of progress in improving child survival has varied markedly,

Perspectives on Child Abuse and Labour: Global Ethical Ideals Versus African Cultural Realities

Science.gov (United States)

Ajayi, A. O.; Torimiro, D. O.

2004-01-01

This article focuses on the global and African postures on the issues of child abuse and child labour. The global ethical ideals of the issues are characterized within their various theoretical perspectives while the African cultural realities are explored through the use of focus group discussion sessions, which were organized in six rural…

Child Prostitution: Global Health Burden, Research Needs, and Interventions

OpenAIRE

Willis, Brian M.; Levy, Barry S.

2002-01-01

Child prostitution is a significant global problem that has yet to receive appropriate medical and public health attention. Worldwide, an estimated 1 million children are forced into prostitution every year and the total number of prostituted children could be as high as 10 million. Inadequate data exist on the health problems faced by prostituted children, who are at high risk of infectious disease, pregnancy, mental illness, substance abuse, and violence. Child prostitution, like other form...

Poverty Mapping Project: Global Subnational Prevalence of Child Malnutrition

Data.gov (United States)

National Aeronautics and Space Administration — The Global Subnational Prevalence of Child Malnutrition dataset consists of estimates of the percentage of children with weight-for-age z-scores that are more than...

[Accomplices under influence, teachers-lovers, "Incestigators" or pimps… Who are females child abusers?

Science.gov (United States)

Cailleau, Virginie; Thirioux, Bérangère; Harika-Germaneau, Ghina; Jaafari, Nematollah

2017-12-01

According to victimization surveys, the percentage of females among child abusers is much higher than 2 or 5% as usually reported in the devoted literature. The under-estimated percentage of child sexual abuses committed by females would result from the dissimulation of sexual acts within nursing care, a gender bias in favor of women among child protection system professionals and low disclosures. Sexual abuses committed by females are often more harmful for children than sexual abuses committed by males. Although a few female child abusers suffers from psychiatric disorders, most of them are psychologically and emotionally dependent from a man or have psychopathic, manipulative and sometimes sadistic personality traits. Female child abusers are a heterogeneous population either acting under the influence of a man or initiating actively the offending for pedophile or financial motivations. Deconstructing the persistent myths about female child abusers is necessary to better identify these women, treat them and prevent relapse. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Hydrological Responses of Chaobai River Basin under 1.5° and 2.0° Global Warming Using Multi-GCMs and Multi-RCPs

Science.gov (United States)

Hao, Y.; Ma, J.

2017-12-01

The global warming of 1.5° and 2.0° proposed in Paris Agreement has became the iconic threshold of climate change impact research and discussion. In order to provide useful reference to the effective water resource management and planning for the capital city of China, this study aims to assessing the potential impact of 1.5° and 2.0° global warming on river discharge in Chaobai River Basin(CRB) which is main water supply source of Beijing. A semi-distributed hydrological model SWAT was driven by climate projections from five General Circulation Models(GCMs) under three Representative Concentration Pathways (RCP4.5, RCP6.0 and RCP8.5) to simulate the future discharge in CRB under 1.5° and 2.0° global warming respectively. On this basis, climate change impact on annual and monthly discharge, seasonal discharge distribution, extreme monthly discharge in CRB were assessed and the uncertainty associated with GCMs and RCPs were analyzed quantitatively. The results indicate that the average annual discharge will increase slightly and more concentrate in midsummer and early autumn under 1.5° global warming. When the global average temperature rise 2°, the annual discharge in CRB show an evident positive tendency with the magnitude increasing by approximate 30% and the extreme monthly runoff will significantly increase. However, the proportion of discharge in summer which is the peak water usage period will decline. It is obvious that the increment of 0.5° will lead to more flood events and bring great challenge to water resource management. There is a certain uncertainty in the projection of temperature, precipitation and discharge, by contrast, uncertainty of discharge projection is far greater than that of other two meteorological elements. Compared with RCPs, GCMs are proved to be the main factor which are responsible for the impact uncertainty in CRB under two global warming horizons. The uncertainty will be larger as the warming magnitude increase. In a word

Scenario dependence of future changes in climate extremes under 1.5 °C and 2 °C global warming.

Science.gov (United States)

Wang, Zhili; Lin, Lei; Zhang, Xiaoye; Zhang, Hua; Liu, Liangke; Xu, Yangyang

2017-04-20

The 2015 Paris Agreement aims to limit global warming below 2 °C and pursue efforts to even limit it to 1.5 °C relative to pre-industrial levels. Decision makers need reliable information on the impacts caused by these warming levels for climate mitigation and adaptation measures. We explore the changes in climate extremes, which are closely tied to economic losses and casualties, under 1.5 °C and 2 °C global warming and their scenario dependence using three sets of ensemble global climate model simulations. A warming of 0.5 °C (from 1.5 °C to 2 °C) leads to significant increases in temperature and precipitation extremes in most regions. However, the projected changes in climate extremes under both warming levels highly depend on the pathways of emissions scenarios, with different greenhouse gas (GHG)/aerosol forcing ratio and GHG levels. Moreover, there are multifold differences in several heavily polluted regions, among the scenarios, in the changes in precipitation extremes due to an additional 0.5 °C warming from 1.5 °C to 2 °C. Our results demonstrate that the chemical compositions of emissions scenarios, not just the total radiative forcing and resultant warming level, must be considered when assessing the impacts of global 1.5/2 °C warming.

Gender Differences in Homicide of Neonates, Infants, and Children under 5 y in South Africa: Results from the Cross-Sectional 2009 National Child Homicide Study.

Science.gov (United States)

Abrahams, Naeemah; Mathews, Shanaaz; Martin, Lorna J; Lombard, Carl; Nannan, Nadine; Jewkes, Rachel

2016-04-01

Homicide of children is a global problem. The under-5-y age group is the second largest homicide age group after 15-19 y olds, but has received little research attention. Understanding age and gender patterns is important for assisting with developing prevention interventions. Here we present an age and gender analysis of homicides among children under 5 y in South Africa from a national study that included a focus on neonaticide and infanticide. A retrospective national cross-sectional study was conducted using a random sample of 38 medico-legal laboratories operating in 2009 to identify homicides of children under 5 y. Child data were abstracted from the mortuary files and autopsy reports, and both child and perpetrator data data were collected from police interviews. We erred towards applying a conservative definition of homicide and excluded sudden infant death syndrome cases. We estimated that 454 (95% CI 366, 541) children under the age of 5 y were killed in South Africa in 2009. More than half (53.2%; 95% CI 46.7%, 59.5%) were neonates (0-28 d), and 74.4% (95% CI 69.3%, 78.9%) were infants (under 1 y), giving a neonaticide rate of 19.6 per 100,000 live births and an infanticide rate of 28.4 per 100,000 live births. The majority of the neonates died in the early neonatal period (0-6 d), and abandonment accounted for 84.9% (95% CI 81.5%, 87.8%) of all the neonates killed. Distinct age and gender patterns were found, with significantly fewer boy children killed in rural settings compared to urban settings (odds ratio 0.6; 95% CI 0.4, 0.9; p = 0.015). Abuse-related killings and evidence of sexual assault were more common among older girls than in all other age and gender groups. Mothers were identified as the perpetrators in all of the neonaticides and were the most common perpetrators overall (71.0%; 95% CI 63.9%, 77.2%). Abandoned neonates were mainly term babies, with a mean gestational age of 38 wk. We did not have information on abandonment motives for all

Gender Differences in Homicide of Neonates, Infants, and Children under 5 y in South Africa: Results from the Cross-Sectional 2009 National Child Homicide Study.

Directory of Open Access Journals (Sweden)

Naeemah Abrahams

2016-04-01

Full Text Available Homicide of children is a global problem. The under-5-y age group is the second largest homicide age group after 15-19 y olds, but has received little research attention. Understanding age and gender patterns is important for assisting with developing prevention interventions. Here we present an age and gender analysis of homicides among children under 5 y in South Africa from a national study that included a focus on neonaticide and infanticide.A retrospective national cross-sectional study was conducted using a random sample of 38 medico-legal laboratories operating in 2009 to identify homicides of children under 5 y. Child data were abstracted from the mortuary files and autopsy reports, and both child and perpetrator data data were collected from police interviews. We erred towards applying a conservative definition of homicide and excluded sudden infant death syndrome cases. We estimated that 454 (95% CI 366, 541 children under the age of 5 y were killed in South Africa in 2009. More than half (53.2%; 95% CI 46.7%, 59.5% were neonates (0-28 d, and 74.4% (95% CI 69.3%, 78.9% were infants (under 1 y, giving a neonaticide rate of 19.6 per 100,000 live births and an infanticide rate of 28.4 per 100,000 live births. The majority of the neonates died in the early neonatal period (0-6 d, and abandonment accounted for 84.9% (95% CI 81.5%, 87.8% of all the neonates killed. Distinct age and gender patterns were found, with significantly fewer boy children killed in rural settings compared to urban settings (odds ratio 0.6; 95% CI 0.4, 0.9; p = 0.015. Abuse-related killings and evidence of sexual assault were more common among older girls than in all other age and gender groups. Mothers were identified as the perpetrators in all of the neonaticides and were the most common perpetrators overall (71.0%; 95% CI 63.9%, 77.2%. Abandoned neonates were mainly term babies, with a mean gestational age of 38 wk. We did not have information on abandonment

Assessment of Global Functioning in Adolescents with Autism Spectrum Disorders: Utility of the Developmental Disability-Child Global Assessment Scale

Science.gov (United States)

White, Susan W.; Smith, Laura A.; Schry, Amie R.

2014-01-01

Assessment of global functioning is an important consideration in treatment outcome research; yet, there is little guidance on its evidence-based assessment for children with autism spectrum disorders. This study investigated the utility and validity of clinician-rated global functioning using the Developmental Disability-Child Global Assessment…

Extreme heat waves under 1.5 °C and 2 °C global warming

Science.gov (United States)

Dosio, Alessandro; Mentaschi, Lorenzo; Fischer, Erich M.; Wyser, Klaus

2018-05-01

Severe, extreme, and exceptional heat waves, such as those that occurred over the Balkans (2007), France (2003), or Russia (2010), are associated with increased mortality, human discomfort and reduced labour productivity. Based on the results of a very high-resolution global model, we show that, even at 1.5 °C warming, a significant increase in heat wave magnitude is expected over Africa, South America, and Southeast Asia. Compared to a 1.5 °C world, under 2 °C warming the frequency of extreme heat waves would double over most of the globe. In a 1.5 °C world, 13.8% of the world population will be exposed to severe heat waves at least once every 5 years. This fraction becomes nearly three times larger (36.9%) under 2 °C warming, i.e. a difference of around 1.7 billion people. Limiting global warming to 1.5 °C will also result in around 420 million fewer people being frequently exposed to extreme heat waves, and ~65 million to exceptional heat waves. Nearly 700 million people (9.0% of world population) will be exposed to extreme heat waves at least once every 20 years in a 1.5 °C world, but more than 2 billion people (28.2%) in a 2 °C world. With current emission trends threatening even the 2 °C target, our study is helpful to identify regions where limiting the warming to 1.5 °C would have the strongest benefits in reducing population exposure to extreme heat.

Projection of Heat Waves over China under Different Global Warming Targets

Science.gov (United States)

Guo, Xiaojun; Luo, Yong; Huang, Jianbin; Zhao, Zongci

2015-04-01

Global warming targets, which are determined in terms of global mean temperature increases relative to pre-industrial temperature levels, have been one of the heated issues recently. And the climate change (especially climate extremes) and its impacts under different targets have been paid extensive concerns. In this study, evaluation and projection of heat waves in China were carried out by five CMIP5 global climate models (GCMs) with a 0.5°×0.5° horizontal resolution which were derived from EU WATCH project. A new daily observed gridded dataset CN05.1 (0.5°×0.5°) was also used to evaluate the GCMs. And four indices (heat waves frequency, longest heat waves duration, heat waves days and high temperature days) were adopted to analyze the heat waves. Compared with the observations, the five GCMs and its Multi-Model Ensemble (MME) have a remarkable capacity of reproducing the spatial and temporal characteristic of heat waves. The time correlation coefficients between MME and the observation results can all reach 0.05 significant levels. Based on the projection data of five GCMs, both the median year of crossing 1.5°C, 2°C, 2.5°, 3°C, 3.5°C, 4°C, 4.5°C and 5°C global warming targets and the corresponding climate change over China were analyzed under RCP 4.5 and RCP 8.5 scenarios, respectively. The results show that when the global mean surface air temperature rise to different targets with respect to the pre-industrial times (1861-1880), the frequency and intensity of heat waves will increase dramatically. To take the high emission scenario RCP8.5 as an example, under the RCP8.5 scenario, the warming rate over China is stronger than that over the globe, the temperature rise(median year) over China projected by MME are 1.77°C(2025), 2.63°C(2039), 3.39°C(2050), 3.97°C(2060), 4.82°C(2070), 5.47°C(2079) and 6.2°C(2089) under 1.5°C, 2°C, 2.5°C, 3°C, 3.5°C, 4°C and 4.5°C global warming targets, respectively. With the increase of the global

Gender Differences in Homicide of Neonates, Infants, and Children under 5 y in South Africa: Results from the Cross-Sectional 2009 National Child Homicide Study.

OpenAIRE

Naeemah Abrahams; Shanaaz Mathews; Lorna J Martin; Carl Lombard; Nadine Nannan; Rachel Jewkes

2016-01-01

Editors' Summary Background Child mortality (death) is a global public health concern. In 2015, 5.9 million children (43 out of every 1,000 children born alive) died before their fifth birthday. Nearly half of these deaths occurred among neonates (babies 28 days old or younger); three-quarters of them occurred among infants (children less than one year old). Most of these deaths happened in resource-limited countries following delivery complications, infections, and other natural causes. Some...

Scenario dependence of future changes in climate extremes under 1.5 °C and 2 °C global warming

Science.gov (United States)

Wang, Zhili; Lin, Lei; Zhang, Xiaoye; Zhang, Hua; Liu, Liangke; Xu, Yangyang

2017-01-01

The 2015 Paris Agreement aims to limit global warming below 2 °C and pursue efforts to even limit it to 1.5 °C relative to pre-industrial levels. Decision makers need reliable information on the impacts caused by these warming levels for climate mitigation and adaptation measures. We explore the changes in climate extremes, which are closely tied to economic losses and casualties, under 1.5 °C and 2 °C global warming and their scenario dependence using three sets of ensemble global climate model simulations. A warming of 0.5 °C (from 1.5 °C to 2 °C) leads to significant increases in temperature and precipitation extremes in most regions. However, the projected changes in climate extremes under both warming levels highly depend on the pathways of emissions scenarios, with different greenhouse gas (GHG)/aerosol forcing ratio and GHG levels. Moreover, there are multifold differences in several heavily polluted regions, among the scenarios, in the changes in precipitation extremes due to an additional 0.5 °C warming from 1.5 °C to 2 °C. Our results demonstrate that the chemical compositions of emissions scenarios, not just the total radiative forcing and resultant warming level, must be considered when assessing the impacts of global 1.5/2 °C warming. PMID:28425445

Child prostitution: global health burden, research needs, and interventions.

Science.gov (United States)

Willis, Brian M; Levy, Barry S

2002-04-20

Child prostitution is a significant global problem that has yet to receive appropriate medical and public health attention. Worldwide, an estimated 1 million children are forced into prostitution every year and the total number of prostituted children could be as high as 10 million. Inadequate data exist on the health problems faced by prostituted children, who are at high risk of infectious disease, pregnancy, mental illness, substance abuse, and violence. Child prostitution, like other forms of child sexual abuse, is not only a cause of death and high morbidity in millions of children, but also a gross violation of their rights and dignity. In this article we estimate morbidity and mortality among prostituted children, and propose research strategies and interventions to mitigate such health consequences. Our estimates underscore the need for health professionals to collaborate with individuals and organisations that provide direct services to prostituted children. Health professionals can help efforts to prevent child prostitution through identifying contributing factors, recording the magnitude and health effects of the problem, and assisting children who have escaped prostitution. They can also help governments, UN agencies, and non-governmental organisations (NGOs) to implement policies, laws, and programmes to prevent child prostitution and mitigate its effects on children's health.

Child organ trafficking: global reality and inadequate international response.

Science.gov (United States)

Bagheri, Alireza

2016-06-01

In organ transplantation, the demand for human organs has grown far faster than the supply of organs. This has opened the door for illegal organ trade and trafficking including from children. Organized crime groups and individual organ brokers exploit the situation and, as a result, black markets are becoming more numerous and organized organ trafficking is expanding worldwide. While underprivileged and vulnerable men and women in developing countries are a major source of trafficked organs, and may themselves be trafficked for the purpose of illegal organ removal and trade, children are at especial risk of exploitation. With the confirmed cases of children being trafficked for their organs, child organ trafficking, which once called a "modern urban legend", is a sad reality in today's world. By presenting a global picture of child organ trafficking, this paper emphasizes that child organ trafficking is no longer a myth but a reality which has to be addressed. It argues that the international efforts against organ trafficking and trafficking in human beings for organ removal have failed to address child organ trafficking adequately. This chapter suggests that more orchestrated international collaboration as well as development of preventive measure and legally binding documents are needed to fight child organ trafficking and to support its victims.

Developmental pathways from child maltreatment to adolescent marijuana dependence: Examining moderation by FK506 binding protein 5 gene (FKBP5).

Science.gov (United States)

Handley, Elizabeth D; Rogosch, Fred A; Cicchetti, Dante

2015-11-01

The current study examined the prospective association between child maltreatment and the development of substance use disorder in adolescence with the aim of investigating pathways underlying this relation, as well as genetic moderation of these developmental mechanisms. Specifically, we tested whether youth who experienced maltreatment prior to age 8 were at risk for the development of marijuana dependence in adolescence by way of a childhood externalizing pathway and a childhood internalizing pathway. Moreover, we tested whether variation in FK506 binding protein 5 gene (FKBP5) CATT haplotype moderated these pathways. The participants were 326 children (n =179 maltreated; n = 147 nonmaltreated) assessed across two waves of data collection (childhood: ages 7-9 and adolescence: ages 15-18). Results indicated that higher levels of child externalizing symptoms significantly mediated the effect of child maltreatment on adolescent marijuana dependence symptoms for individuals with one or two copies of the FKBP5 CATT haplotype only. We did not find support for an internalizing pathway from child maltreatment to adolescent marijuana dependence, nor did we find evidence of moderation of the internalizing pathway by FKBP5 haplotype variation. Findings extend previous research by demonstrating that whether a maltreated child will traverse an externalizing pathway toward substance use disorder in adolescence is dependent on FKBP5 genetic variation.

High-resolution multimodel projections of soil moisture drought in Europe under 1.5, 2 and 3 degree global warming

Science.gov (United States)

Samaniego, L. E.; Kumar, R.; Zink, M.; Pan, M.; Wanders, N.; Marx, A.; Sheffield, J.; Wood, E. F.; Thober, S.

2017-12-01

Droughts are creeping hydro-meteorological events that may bring societies and natural systems to their limits by inducing significant environmental changes and large socio-economic losses. Little is know about the effects of varios degrees of warming (i.e., 1.5 , 2 and 3 K) and their respective uncertainties on extreme characteristics such as drought duration and area under drought in general, and in Europe in particular. In this study we investigate the evolution of droughts characteristics under three levels of warming using an unprecedented high-resolution multi-model hydrologic ensemble over the Pan-EU domain at a scale of 5x5 km2 from 1950 until 2100. This multi-model ensemble comprises four hydrologic models (HMs: mHM, Noah-MP, PCR-GLOBWB, VIC) which are forced by five CMIP-5 Global Climate Models (GFDL-ESM2M, HadGEM2-ES, IPSL-CM5A-LR, MIROC-ESM-CHEM, NorESM1-M) under three RCP scenarios 2.6, 6.0, and 8.5. This results in a 60-member ensemble. The contribution GCM/HM uncertainties were analyzed based on a sequential sampling algorithm proposed by Samaniego et al. 2016. This study is carried out within the EDgE project funded by the Copernicus Climate Change Service (edge.climate.copernicus.eu) and the HOKLIM project funded by the German Ministry of Education (BMBF)(www.ufz.de/hoklim). The changes under three levels of warming indicate significant increase (more than 10%) of the number of droughts and area under drought with respect to 30-year climatological means obtained with E-OBS observations. Furthermore, we found that: 1) the number of drought events exhibit significant regional changes. Largest changes are observed in the Mediterrinian where frequency of droughts increases from 25% under 1.5 K to 33% under 2 K, and to more than 50% under 3 K warming. Minor changes are seen in Central-Europe and the British Isles. 2) The GCMs/HMs uncertainties have marked regional differences too, with GCM uncertainty appear to be larger everywhere. The uncertainty of

Multi-model ensemble simulations of low flows in Europe under a 1.5, 2, and 3 degree global warming

Science.gov (United States)

Marx, A.; Kumar, R.; Thober, S.; Zink, M.; Wanders, N.; Wood, E. F.; Pan, M.; Sheffield, J.; Samaniego, L. E.

2017-12-01

There is growing evidence that climate change will alter water availability in Europe. Here, we investigate how hydrological low flows are affected under different levels of future global warming (i.e., 1.5, 2 and 3 K). The analysis is based on a multi-model ensemble of 45 hydrological simulations based on three RCPs (rcp2p6, rcp6p0, rcp8p5), five CMIP5 GCMs (GFDL-ESM2M, HadGEM2-ES, IPSL-CM5A-LR, MIROC-ESM-CHEM, NorESM1-M) and three state-of-the-art hydrological models (HMs: mHM, Noah-MP, and PCR-GLOBWB). High resolution model results are available at the unprecedented spatial resolution of 5 km across the pan-European domain at daily temporal resolution. Low river flow is described as the percentile of daily streamflow that is exceeded 90% of the time. It is determined separately for each GCM/HM combinations and the warming scenarios. The results show that the change signal amplifies with increasing warming levels. Low flows decrease in the Mediterranean, while they increase in the Alpine and Northern regions. In the Mediterranean, the level of warming amplifies the signal from -12% under 1.5 K to -35% under 3 K global warming largely due to the projected decreases in annual precipitation. In contrast, the signal is amplified from +22% (1.5 K) to +45% (3 K) because of the reduced snow melt contribution. The changes in low flows are significant for regions with relatively large change signals and under higher levels of warming. Nevertheless, it is not possible to distinguish climate induced differences in low flows between 1.5 and 2 K warming because of the large variability inherent in the multi-model ensemble. The contribution by the GCMs to the uncertainty in the Alpine and Northern region as well as the Mediterranean, the uncertainty contribution by the HMs is partly higher than those by the GCMs due to different representations of processes such as snow, soil moisture and evapotranspiration.

Water vapor changes under global warming and the linkage to present-day interannual variabilities in CMIP5 models

Science.gov (United States)

Takahashi, Hanii; Su, Hui; Jiang, Jonathan H.

2016-12-01

The fractional water vapor changes under global warming across 14 Coupled Model Intercomparison Project Phase 5 simulations are analyzed. We show that the mean fractional water vapor changes under global warming in the tropical upper troposphere between 300 and 100 hPa range from 12.4 to 28.0 %/K across all models while the fractional water vapor changes are about 5-8 %/K in other regions and at lower altitudes. The "upper-tropospheric amplification" of the water vapor change is primarily driven by a larger temperature increase in the upper troposphere than in the lower troposphere per degree of surface warming. The relative contributions of atmospheric temperature and relative humidity changes to the water vapor change in each model vary between 71.5 to 131.8 % and 24.8 to -20.1 %, respectively. The inter-model differences in the water vapor change is primarily caused by differences in temperature change, except over the inter-tropical convergence zone within 10°S-10°N where the model differences due to the relative humidity change are significant. Furthermore, we find that there is generally a positive correlation between the rates of water vapor change for long-tem surface warming and those on the interannual time scales. However, the rates of water vapor change under long-term warming have a systematic offset from those on the inter-annual time scales and the dominant contributor to the differences also differs for the two time scales, suggesting caution needs to be taken when inferring long-term water vapor changes from the observed interannual variations.

Empowering the Girl Child, Improving Global Health.

Science.gov (United States)

Cesario, Sandra K; Moran, Barbara

The health and productivity of a global society is dependent upon the elimination of gender inequities that prevent girls from achieving their full potential. Although some progress has been made in reducing social, economic, and health disparities between men and women, gender equality continues to be an elusive goal. The Millennium Development Goals (2000-2015) and the Sustainable Development Goals (2015-2030) include intergovernmental aspirations to empower women and stress that change must begin with the girl child. Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

Developmental pathways from child maltreatment to adolescent marijuana dependence: Examining moderation by FKBP5

Science.gov (United States)

Handley, Elizabeth D.; Rogosch, Fred A.; Cicchetti, Dante

2015-01-01

The current study examined the prospective association between child maltreatment and the development of substance use disorder (SUD) in adolescence with the aim of investigating pathways underlying this relation, as well as genetic moderation of these developmental mechanisms. Specifically, we tested whether youth who experienced maltreatment prior to age 8 were at risk for the development of marijuana dependence in adolescence by way of a childhood externalizing pathway and a childhood internalizing pathway. Moreover, we tested whether variation in FKBP5 CATT haplotype moderated these pathways. The participants were 326 children (n=179 maltreated; n=147 nonmaltreated) assessed across two waves of data collection (childhood: ages 7–9 and adolescence: ages 15–18). Results indicated that higher levels of child externalizing symptoms significantly mediated the effect of child maltreatment on adolescent marijuana dependence symptoms for individuals with 1–2 copies of the FKBP5 CATT haplotype only. We did not find support for an internalizing pathway from child maltreatment to adolescent marijuana dependence, nor did we find evidence of moderation of the internalizing pathway by FKBP5 haplotype variation. Findings extend previous research by demonstrating that whether a maltreated child will traverse an externalizing pathway toward SUD in adolescence is dependent on FKBP5 genetic variation. PMID:26535939

Incidence and risk factors for Malaria, pneumonia and diarrhea in children under 5 in UNHCR refugee camps: A retrospective study

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Hershey Christine L

2011-10-01

Full Text Available Abstract Background United Nations High Commissioner for Refugees (UNHCR refugee camps are located predominantly in rural areas of Africa and Asia in protracted or post-emergency contexts. Recognizing the importance of malaria, pneumonia and diarrheal diseases as major causes of child morbidity and mortality in refugee camps, we analyzed data from the UNHCR Health Information System (HIS to estimate incidence and risk factors for these diseases in refugee children younger than five years of age. Methods Data from 90 UNHCR camps in 16 countries, including morbidity, mortality, health services and refugee health status, were obtained from the UNHCR HIS for the period January 2006 to February 2010. Monthly camp-level data were aggregated to yearly estimates for analysis and stratified by location in Africa (including Yemen or Asia. Poisson regression models with random effects were constructed to identify factors associated with malaria, pneumonia and diarrheal diseases. Spatial patterns in the incidence of malaria, pneumonia and diarrheal diseases were mapped to identify regional heterogeneities. Results Malaria and pneumonia were the two most common causes of mortality, with confirmed malaria and pneumonia each accounting for 20% of child deaths. Suspected and confirmed malaria accounted for 23% of child morbidity and pneumonia accounted for 17% of child morbidity. Diarrheal diseases were the cause of 7% of deaths and 10% of morbidity in children under five. Mean under-five incidence rates across all refugee camps by region were: malaria [Africa 84.7 cases/1000 U5 population/month (95% CI 67.5-102.0, Asia 2.2/1000/month (95% CI 1.4-3.0]; pneumonia [Africa 59.2/1000/month (95% CI 49.8-68.7, Asia 254.5/1000/month (95% CI 207.1-301.8]; and diarrheal disease [Africa 35.5/1000/month (95% CI 28.7-42.4, Asia 69.2/1000/month (95% CI 61.0-77.5]. Measles was infrequent and accounted for a small proportion of child morbidity (503 cases, Conclusions As in

5 CFR 831.673 - Rates of child annuities.

Science.gov (United States)

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Rates of child annuities. 831.673 Section... (CONTINUED) RETIREMENT Survivor Annuities Children's Annuities § 831.673 Rates of child annuities. (a) (1) The rate of annuity payable to a child survivor whose annuity commenced before February 27, 1986, is...

Public health strategies to minimize the global incidence of child abuse

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Saurabh RamBihariLal Shrivastava

2014-08-01

Full Text Available Child abuse is an extremely complicated and a multi-faceted public health concern, significantly influenced by the victim's age, the settings in which the abuse occurs, and the relationship between the victim and perpetrator. The global estimates are just the tip of the iceberg as most of it takes place in the privacy of domestic life and often goes unreported and undetected. In fact, occurrence of child abuse can be best explained by exploring the complex interaction among multiple factors at different levels. In order to counter this menace there is a definite need to involve all the stakeholders and ensure mandatory reporting of child abuse with the help of a surveillance system. To conclude, comprehensive and integrated package of services is desired to minimize the incidence of child abuse and neglect, supplemented with community-based initiatives to facilitate early detection and prolonged follow-up of victims of the abuse. [Cukurova Med J 2014; 39(4.000: 955-958

Are child eating patterns being transformed globally?

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Adair, Linda S; Popkin, Barry M

2005-07-01

To examine the extent to which child dietary patterns and trends are changing globally. Diets of children 2 to 19 years of age were studied with nationally representative data from Russia and the United States, nationwide data from China, and regional data from metropolitan Cebu, Philippines. Twenty-four-hour dietary recalls were examined at several points in time to examine trends in calories consumed away from home, snacking behavior, and soft drink and modern fast food consumption. Urban-rural trends were compared. U.S. and Cebu youth consume more than one-third of their daily calories and a higher proportion of snack calories from foods prepared away from home. In contrast, away from home food consumption is minimal in Chinese and Russian children. U.S. and Cebu youth consume about one-fifth of their total daily energy from snacks, but snacks provide a much lower proportion of energy in Russia ( approximately 16%) and China (where snacks provide only approximately 1% of energy). Fast food plays a much more dominant role in the American diet ( approximately 20% of energy vs. 2% to 7% in the other countries), but as yet does not contribute substantially to children's diets in the other countries. Urban-rural differences were found to be important, but narrowing over time, for China and Cebu, whereas they are widening for Russia. This research suggests that globalization of the fast food and other modern food sectors is beginning to affect child eating patterns in several countries undergoing nutrition transition. However, the contribution of fast food and soft drinks to the diet of children remains relatively small in China, Russia, and Cebu, Philippines, relative to the United States.

Inequities in under-five child malnutrition in South Africa

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McIntyre Diane

2003-09-01

Full Text Available Abstract Objectives To assess and quantify the magnitude of inequalities in under-five child malnutrition, particularly those ascribable to socio-economic status and to consider the policy implications of these findings. Methods Data on 3765 under-five children were derived from the Living Standards and Development Survey. Household income, proxied by per capita household expenditure, was used as the main indicator of socio-economic status. Socio-economic inequality in malnutrition (stunting, underweight and wasting was measured using the illness concentration index. The concentration index was calculated for the whole sample, as well as for different population groups, areas of residence (rural, urban and metropolitan and for each province. Results Stunting was found to be the most prevalent form of malnutrition in South Africa. Consistent with expectation, the rate of stunting is observed to be the highest in the Eastern Cape and the Northern Province – provinces with the highest concentration of poverty. There are considerable pro-rich inequalities in the distribution of stunting and underweight. However, wasting does not manifest gradients related to socio-economic position. Among White children, no inequities are observed in all three forms of malnutrition. The highest pro-rich inequalities in stunting and underweight are found among Coloured children and metropolitan areas. There is a tendency for high pro-rich concentration indices in those provinces with relatively lower rates of stunting and underweight (Gauteng and the Western Cape. Conclusion There are significant differences in under-five child malnutrition (stunting and underweight that favour the richest of society. These are unnecessary, avoidable and unjust. It is demonstrated that addressing such socio-economic gradients in ill-health, which perpetuate inequalities in the future adult population requires a sound evidence base. Reliance on global averages alone can be

Household bed net ownership and use among under-5 children in Nigeria

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Osuorah DC

2013-07-01

Full Text Available D Chidiebere Osuorah,1,2 Chijioke Elias Ezeudu,2 Stanley Kenechi Onah,2 Obinna Tochukwu Anyabolu31Child Survival Unit, Medical Research Council UK, The Gambia Unit, Banjul, The Gambia; 2Department of Pediatrics, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra, Nigeria; 3School of Health and Social Care, Oxford Brookes University, Oxford, UKBackground: Malaria remains the leading cause of morbidity and mortality in sub-Saharan Africa, with children under 5 years accounting for 86% of all malaria deaths. For effective control of malaria, WHO recommends rapid diagnosis and effective treatment, insecticide-treated bed nets, and indoor residual spraying. The use of insecticide-treated bed nets has been shown to be the most cost-effective strategy in preventing this infection. However, despite the Roll Back Malaria subsidized and free bed net distribution initiatives in some Africa countries, bed net uptake and usage still remains low in many households.Aim: This study aimed to investigate household characteristics and child factors that determine bed net ownership and use amongst under-5 children and the effect of its usage on malaria parasitemia in under-5 children in Nigeria.Methods: Data from a nationally representative sample of 5895 households was obtained from the 36 states and the Federal Capital Territory in the 2010 Nigeria demographic and health survey, with a minimum of 67 households enrolled per state. Appropriate statistical tools were used to identify the characteristics of households that owned a bed net and to examine the association between the households and child-level factors that predict the use of bed net and malaria prevalence among under-5 children within these households.Results: The rate of households bed net ownership in Nigeria is about 45.5%. About 48.5% of under-5 children in 33.9% of households surveyed, use a bed net during sleep. There was a strong correlation between households ownership and child

Global Changes in Drought Conditions Under Different Levels of Warming

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Naumann, G.; Alfieri, L.; Wyser, K.; Mentaschi, L.; Betts, R. A.; Carrao, H.; Spinoni, J.; Vogt, J.; Feyen, L.

2018-04-01

Higher evaporative demands and more frequent and persistent dry spells associated with rising temperatures suggest that drought conditions could worsen in many regions of the world. In this study, we assess how drought conditions may develop across the globe for 1.5, 2, and 3°C warming compared to preindustrial temperatures. Results show that two thirds of global population will experience a progressive increase in drought conditions with warming. For drying areas, drought durations are projected to rise at rapidly increasing rates with warming, averaged globally from 2.0 month/°C below 1.5°C to 4.2 month/°C when approaching 3°C. Drought magnitudes could double for 30% of global landmass under stringent mitigation. If contemporary warming rates continue, water supply-demand deficits could become fivefold in size for most of Africa, Australia, southern Europe, southern and central states of the United States, Central America, the Caribbean, north-west China, and parts of Southern America. In approximately 20% of the global land surface, drought magnitude will halve with warming of 1.5°C and higher levels, mainly most land areas north of latitude 55°N, but also parts of South America and Eastern and South-eastern Asia. A progressive and significant increase in frequency of droughts is projected with warming in the Mediterranean basin, most of Africa, West and Southern Asia, Central America, and Oceania, where droughts are projected to happen 5 to 10 times more frequent even under ambitious mitigation targets and current 100-year events could occur every two to five years under 3°C of warming.

Climate Impacts in Europe Under +1.5°C Global Warming

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Jacob, Daniela; Kotova, Lola; Teichmann, Claas; Sobolowski, Stefan P.; Vautard, Robert; Donnelly, Chantal; Koutroulis, Aristeidis G.; Grillakis, Manolis G.; Tsanis, Ioannis K.; Damm, Andrea; Sakalli, Abdulla; van Vliet, Michelle T. H.

2018-02-01

The Paris Agreement of the United Nations Framework Convention on Climate Change aims not only at avoiding +2°C warming (and even limit the temperature increase further to +1.5°C), but also sets long-term goals to guide mitigation. Therefore, the best available science is required to inform policymakers on the importance of and the adaptation needs in a +1.5°C warmer world. Seven research institutes from Europe and Turkey integrated their competencies to provide a cross-sectoral assessment of the potential impacts at a pan-European scale. The initial findings of this initiative are presented and key messages communicated. The approach is to select periods based on global warming thresholds rather than the more typical approach of selecting time periods (e.g., end of century). The results indicate that the world is likely to pass the +1.5°C threshold in the coming decades. Cross-sectoral dimensions are taken into account to show the impacts of global warming that occur in parallel in more than one sector. Also, impacts differ across sectors and regions. Alongside the negative impacts for certain sectors and regions, some positive impacts are projected. Summer tourism in parts of Western Europe may be favored by climate change; electricity demand decreases outweigh increases over most of Europe and catchment yields in hydropower regions will increase. However, such positive findings should be interpreted carefully as we do not take into account exogenous factors that can and will influence Europe such as migration patterns, food production, and economic and political instability.

33 CFR 55.5 - Who is eligible for child development services?

Science.gov (United States)

2010-07-01

... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Who is eligible for child development services? 55.5 Section 55.5 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PERSONNEL CHILD DEVELOPMENT SERVICES General § 55.5 Who is eligible for child development services...

Child Labor in the Global Economy

OpenAIRE

Eric V. Edmonds; Nina Pavcnik

2005-01-01

Few issues in developing countries draw as much popular attention as child labor. This paper begins by quantifying the extent and main characteristics of child labor. It then considers the evidence on a range of issues about child labor. Fundamentally, child labor is a symptom of poverty. Low income and poor institutions are driving forces behind the prevalence of child labor worldwide. This study concludes by assessing the policy options to reduce worldwide child labor.

Climate change alters low flows in Europe under global warming of 1.5, 2, and 3 °C

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Marx, Andreas; Kumar, Rohini; Thober, Stephan; Rakovec, Oldrich; Wanders, Niko; Zink, Matthias; Wood, Eric F.; Pan, Ming; Sheffield, Justin; Samaniego, Luis

2018-02-01

There is growing evidence that climate change will alter water availability in Europe. Here, we investigate how hydrological low flows are affected under different levels of future global warming (i.e. 1.5, 2, and 3 K with respect to the pre-industrial period) in rivers with a contributing area of more than 1000 km2. The analysis is based on a multi-model ensemble of 45 hydrological simulations based on three representative concentration pathways (RCP2.6, RCP6.0, RCP8.5), five Coupled Model Intercomparison Project Phase 5 (CMIP5) general circulation models (GCMs: GFDL-ESM2M, HadGEM2-ES, IPSL-CM5A-LR, MIROC-ESM-CHEM, NorESM1-M) and three state-of-the-art hydrological models (HMs: mHM, Noah-MP, and PCR-GLOBWB). High-resolution model results are available at a spatial resolution of 5 km across the pan-European domain at a daily temporal resolution. Low river flow is described as the percentile of daily streamflow that is exceeded 90 % of the time. It is determined separately for each GCM/HM combination and warming scenario. The results show that the low-flow change signal amplifies with increasing warming levels. Low flows decrease in the Mediterranean region, while they increase in the Alpine and Northern regions. In the Mediterranean, the level of warming amplifies the signal from -12 % under 1.5 K, compared to the baseline period 1971-2000, to -35 % under global warming of 3 K, largely due to the projected decreases in annual precipitation. In contrast, the signal is amplified from +22 (1.5 K) to +45 % (3 K) in the Alpine region due to changes in snow accumulation. The changes in low flows are significant for regions with relatively large change signals and under higher levels of warming. However, it is not possible to distinguish climate-induced differences in low flows between 1.5 and 2 K warming because of (1) the large inter-annual variability which prevents distinguishing statistical estimates of period-averaged changes for a given GCM/HM combination, and (2

5 CFR 870.803 - Child incapable of self-support.

Science.gov (United States)

2010-01-01

.... The certificate must include the name of the child, the type of disability, how long it has existed... certificate stating that the child is incapable of self-support because of a physical or mental disability... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Child incapable of self-support. 870.803...

Factors Underlying the Relationship Between Parent and Child Grief.

Science.gov (United States)

Cipriano, David J; Cipriano, Madeline R

2017-01-01

The death of a parent in a child's life is a significant risk factor for later mental and physical health problems. While much has been written about the surviving parent's functioning and its effects on their bereaved children, little work has been done to look into factors underlying this effect such as how the parent copes. The present study recruited 38 parent-child dyads from a community-based grief support center. Parent and child, independently, completed various measures of emotional functioning, including grief symptoms and coping such as social support and locus of control. The results indicated that parental coping did have an impact on children's grief symptoms. This represents a unique view of adaptation in bereaved children: Parental coping strategies can have an impact on the child, independent of the child's coping strategies. By focusing on parent coping, we have highlighted another possible pathway through which parental functioning affects children's grief.

Spatial analysis of under-5 mortality and potential risk factors in the Basse Health and Demographic Surveillance System, the Gambia.

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Quattrochi, John; Jasseh, Momodou; Mackenzie, Grant; Castro, Marcia C

2015-07-01

To describe the spatial pattern in under-5 mortality rates in the Basse Health and Demographic Surveillance System (BHDSS) and to test for associations between under-5 deaths and biodemographic and socio-economic risk factors. Using data on child survival from 2007 to 2011 in the BHDSS, we mapped under-5 mortality by km(2) . We tested for spatial clustering of high or low death rates using Kulldorff's spatial scan statistic. Associations between child death and a variety of biodemographic and socio-economic factors were assessed with Cox proportional hazards models, and deviance residuals from the best-fitting model were tested for spatial clustering. The overall death rate among children under 5 was 0.0195 deaths per child-year. We found two spatial clusters of high death rates and one spatial cluster of low death rates; children in the two high clusters died at a rate of 0.0264 and 0.0292 deaths per child-year, while in the low cluster, the rate was 0.0144 deaths per child-year. We also found that children born to Fula mothers experienced, on average, a higher hazard of death, whereas children born in the households in the upper two quintiles of asset ownership experienced, on average, a lower hazard of death. After accounting for the spatial distribution of biodemographic and socio-economic characteristics, we found no residual spatial pattern in child mortality risk. This study demonstrates that significant inequality in under-5 death rates can occur within a relatively small area (1100 km(2) ). Risks of under-5 mortality were associated with mother's ethnicity and household wealth. If high mortality clusters persist, then equity concerns may require additional public health efforts in those areas. © 2015 John Wiley & Sons Ltd.

The global mean energy balance under cloud-free conditions

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Wild, Martin; Hakuba, Maria; Folini, Dois; Ott, Patricia; Long, Charles

2017-04-01

A long standing problem of climate models is their overestimation of surface solar radiation not only under all-sky, but also under clear-sky conditions (Wild et al. 1995, Wild et al. 2006). This overestimation reduced over time in consecutive model generations due to the simulation of stronger atmospheric absorption. Here we analyze the clear sky fluxes of the latest climate model generation from the Coupled Model Intercomparison Project Phase 5 (CMIP5) against an expanded and updated set of direct observations from the Baseline Surface Radiation Network (BSRN). Clear sky climatologies from these sites have been composed based on the Long and Ackermann (2000) clear sky detection algorithm (Hakuba et al. 2017), and sampling issues when comparing with model simulated clear sky fluxes have been analyzed in Ott (2017). Overall, the overestimation of clear sky insolation in the CMIP5 models is now merely 1-2 Wm-2 in the multimodel mean, compared to 4 Wm-2 in CMIP3 and 6 Wm-2 in AMIPII (Wild et al. 2006). Still a considerable spread in the individual model biases is apparent, ranging from -2 Wm-2 to 10 Wm-2 when averaged over 53 globally distributed BSRN sites. This bias structure is used to infer best estimates for present day global mean clear sky insolation, following an approach developped in Wild et al. (2013, 2015, Clim. Dyn.) for all sky fluxes. Thereby the flux biases in the various models are linearly related to their respective global means. A best estimate can then be inferred from the linear regression at the intersect where the bias against the surface observations becomes zero. This way we obtain a best estimate of 247 Wm-2 for the global mean insolation at the Earth surface under cloud free conditions, and a global mean absorbed solar radiation of 214 Wm-2 in the cloud-free atmosphere, assuming a global mean surface albedo of 13.5%. Combined with a best estimate for the net influx of solar radiation at the Top of Atmosphere under cloud free conditions

Universalism under siege? Exploring the association between targeting, child benefits and child poverty across 26 countries.

Science.gov (United States)

Van Lancker, Wim; Van Mechelen, Natascha

2015-03-01

The long-standing wisdom that universally designed benefits outperform targeted benefits in terms of poverty reduction has come under siege. Recent empirical studies tend to find that targeting is not necessarily associated anymore with lower levels of poverty reduction. In this study, we investigate for a broad set of European countries (1) the relationship between child benefits and child poverty reduction; (2) whether a universal or targeted approach is more effective in reducing child poverty; and (3) the causal mechanisms explaining the link between (1) and (2). In doing so, we take into account the general characteristics of the child benefit system, the size of the redistributive budget and the generosity of benefit levels. In contrast to previous studies, we construct an indicator of targeting that captures the design instead of the outcomes of child benefit systems. We find that targeting towards lower incomes is associated with higher levels of child poverty reduction, conditional on the direction of targeting and the characteristics of the benefit system. Copyright © 2014 Elsevier Inc. All rights reserved.

Global child health: challenges and goals in the 1990s.

Science.gov (United States)

Reid, R S

1994-01-01

The UNICEF message to the pediatricians and child health experts attending the Regional Pediatric Congress of the Union of National Pediatric Societies of Turkish Republics is that the way children are conceptualized in the development process has a major impact on poverty. UNICEF argues that human resource development is the safest way out of population pressure, vanishing forests, and despoiled rivers. Thailand, South Korea, Taiwan, and Singapore are examples of countries that "sacrificed, deferred consumer gratification of the elites, and disciplined themselves" in order to provide better care for their children in terms of good nutrition, good health care, and rigorous primary and secondary education for all children. Family planning was available to all parents. The emphasis was on hygiene, immunization, clean water supplies, and sanitation. Lower infant and child mortality created confidence in child survival and parental willingness to have fewer children. The working population is healthier due to the state nutrition programs and a better skilled labor force due to education and training. These countries are no longer underdeveloped because of the priority on children for over a generation and a half. Robert Heilbroner has described this strategy for development as based on social development, human development, and protection of children aged under 5 years. The Alma Ata conference in 1976 was instrumental in focusing on the health of the child by setting a standard of health for all by the year 2000. Many countries are moving in the direction proposed in these agendas. The result has been a 33% reduction in child mortality within 10 years and greater immunization in some developing countries than in Europe and North America. Immunization rates in Ankara, Turkey; Calcutta, India; Lagos, Nigeria; and Mexico City are higher than in Washington, D.C. or New York City. The 1990 World Summit for Children found that the following rules are applicable to

Disparities in Under-Five Child Injury Mortality between Developing and Developed Countries: 1990–2013

Directory of Open Access Journals (Sweden)

Yun Huang

2016-07-01

Full Text Available Objective: Using estimates from the 2013 Global Burden of Disease (GBD study, we update evidence on disparities in under-five child injury mortality between developing and developed countries from 1990 to 2013. Methods: Mortality rates were accessed through the online visualization tool by the GBD study 2013 group. We calculated percent change in child injury mortality rates between 1990 and 2013. Data analysis was conducted separately for <1 year and 1–4 years to specify age differences in rate changes. Results: Between 1990 and 2013, over 3-fold mortality gaps were observed between developing countries and developed countries for both age groups in the study time period. Similar decreases in injury rates were observed for developed and developing countries (<1 year: −50% vs. −50% respectively; 1–4 years: −56% vs. −58%. Differences in injury mortality changes during 1990–2013 between developing and developed nations varied with injury cause. There were greater reductions in mortality from transport injury, falls, poisoning, adverse effects of medical treatment, exposure to forces of nature, and collective violence and legal intervention in developed countries, whereas there were larger decreases in mortality from drowning, exposure to mechanical forces, and animal contact in developing countries. Country-specific analysis showed large variations across countries for both injury mortality and changes in injury mortality between 1990 and 2013. Conclusions: Sustained higher child injury mortality during 1990–2013 for developing countries merits the attention of the global injury prevention community. Countries that have high injury mortality can benefit from the success of other countries.

Child homicide perpetrators worldwide: a systematic review.

Science.gov (United States)

Stöckl, Heidi; Dekel, Bianca; Morris-Gehring, Alison; Watts, Charlotte; Abrahams, Naeemah

2017-01-01

This study aims to describe child homicide perpetrators and estimate their global and regional proportion to inform prevention strategies to reduce child homicide mortality worldwide. A systematic review of 9431 studies derived from 18 databases led to the inclusion of 126 studies after double screening. All included studies reported a number or proportion of child homicides perpetrators. 169 countries and homicide experts were surveyed in addition. The median proportion for each perpetrator category was calculated by region and overall and by age groups and sex. Data were obtained for 44 countries. Overall, parents committed 56.5% (IQR 23.7-69.6) of child homicides, 58.4% (0.0-66.7) of female and 46.8% (14.1-63.8) of male child homicides. Acquaintances committed 12.6% (5.9-31.3) of child homicides. Almost a tenth (9.2% (IQR 0.0-21.9) of child homicides had missing information on the perpetrator. The largest proportion of parental homicides of children was found in high-income countries (64.2%; 44.7-71.8) and East Asia and Pacific Region (61.7%; 46.7-78.6). Parents committed the majority (77.8% (61.5-100.0)) of homicides of children under the age of 1 year. For adolescents, acquaintances were the main group of homicide perpetrators (36.9%, 6.6-51.8). There is a notable lack of studies from low-income and middle-income countries and children above the age of 1 year. Children face the highest risk of homicide by parents and someone they know. Increased investment into the compilation of routine data on child homicide, and the perpetrators of this homicide is imperative for understanding and ultimately reducing child homicide mortality worldwide. PROSPERO registration number: CRD42015030125.

Perceived reciprocal value of health professionals' participation in global child health-related work.

Science.gov (United States)

Carbone, Sarah; Wigle, Jannah; Akseer, Nadia; Barac, Raluca; Barwick, Melanie; Zlotkin, Stanley

2017-05-22

Leading children's hospitals in high-income settings have become heavily engaged in international child health research and educational activities. These programs aim to provide benefit to the institutions, children and families in the overseas locations where they are implemented. Few studies have measured the actual reciprocal value of this work for the home institutions and for individual staff who participate in these overseas activities. Our objective was to estimate the perceived reciprocal value of health professionals' participation in global child health-related work. Benefits were measured in the form of skills, knowledge and attitude strengthening as estimated by an adapted Global Health Competency Model. A survey questionnaire was developed following a comprehensive review of literature and key competency models. It was distributed to all health professionals at the Hospital for Sick Children with prior international work experience (n = 478). One hundred fifty six health professionals completed the survey (34%). A score of 0 represented negligible value gained and a score of 100 indicated significant capacity improvement. The mean respondent improvement score was 57 (95% CI 53-62) suggesting improved overall competency resulting from their international experiences. Mean scores were >50% in 8 of 10 domains. Overall scores suggest that international work brought value to the hospital and over half responded that their international experience would influence their decision to stay on at the hospital. The findings offer tangible examples of how global child health work conducted outside of one's home institution impacts staff and health systems locally.

Parental Co-Construction of 5- to 13-Year-Olds' Global Self-Esteem Through Reminiscing About Past Events.

Science.gov (United States)

Harris, Michelle A; Donnellan, M B; Guo, Jen; McAdams, Dan P; Garnier-Villarreal, Mauricio; Trzesniewski, Kali H

2017-11-01

The current study explored parental processes associated with children's global self-esteem development. Eighty 5- to 13-year-olds and one of their parents provided qualitative and quantitative data through questionnaires, open-ended questions, and a laboratory-based reminiscing task. Parents who included more explanations of emotions when writing about the lowest points in their lives were more likely to discuss explanations of emotions experienced in negative past events with their child, which was associated with child attachment security. Attachment was associated with concurrent self-esteem, which predicted relative increases in self-esteem 16 months later, on average. Finally, parent support also predicted residual increases in self-esteem. Findings extend prior research by including younger ages and uncovering a process by which two theoretically relevant parenting behaviors impact self-esteem development. © 2017 The Authors. Child Development © 2017 Society for Research in Child Development, Inc.

World Health Organization perspectives on the contribution of the Global Alliance for Vaccines and Immunization on reducing child mortality.

Science.gov (United States)

Bustreo, F; Okwo-Bele, J-M; Kamara, L

2015-02-01

Child mortality has decreased substantially globally-from 12.6 million in 1990 to 6.3 million in 2013-due, in large part to of governments' and organisations' work, to prevent pneumonia, diarrhoea and malaria, the main causes of death in the postneonatal period. In 2012, the World Health Assembly adopted the Decade of Vaccines Global Vaccine Action Plan 2011-2020 as the current framework aimed at preventing millions of deaths through more equitable access to existing vaccines for people in all communities. The Global Alliance for Vaccines and Immunization (GAVI) plays a critical role in this effort by financing and facilitating delivery platforms for vaccines, with focused support for the achievements of improved vaccination coverage and acceleration of the uptake of WHO-recommended lifesaving new vaccines in 73 low-income countries. The GAVI Alliance has contributed substantially towards the progress of Millennium Development Goal 4 and to improving women's lives. By 2013, the GAVI Alliance had immunised 440 million additional children and averted six million future deaths from vaccine-preventable diseases in the world's poorest countries. The GAVI Alliance is on track to reducing child mortality to 68 per 1000 live births by 2015 in supported countries. This paper discusses the GAVI Alliance achievements related to Millennium Development Goal 4 and its broader contribution to improving women's lives and health systems, as well as challenges and obstacles it has faced. Additionally, it looks at challenges for the future and how it will continue its work related to reducing child mortality and improving women's health. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Does the Incredible Years reduce child externalizing problems through improved parenting? The role of child negative affectivity and serotonin transporter linked polymorphic region (5-HTTLPR) genotype.

Science.gov (United States)

Weeland, Joyce; Chhangur, Rabia R; Jaffee, Sara R; Van Der Giessen, Danielle; Matthys, Walter; Orobio De Castro, Bram; Overbeek, Geertjan

2018-02-01

In a randomized controlled trial, the Observational Randomized Controlled Trial of Childhood Differential Susceptibility (ORCHIDS study), we tested whether observed parental affect and observed and reported parenting behavior are mechanisms of change underlying the effects of the behavioral parent training program the Incredible Years (IY). Furthermore, we tested whether some children are more susceptible to these change mechanisms because of their temperamental negative affectivity and/or serotonin transporter linked polymorphic region (5-HTTLPR) genotype. Participants were 387 Dutch children between 4 and 8 years of age (M age = 6.31, SD = 1.33; 55.3% boys) and their parents. Results showed that although IY was successful in improving parenting behavior and increasing parental positive affect, these effects did not explain the significant decreases in child externalizing problems. We therefore found no evidence for changes in parenting behavior or parental affect being the putative mechanisms of IY effectiveness. Furthermore, intervention effects on child externalizing behavior were not moderated by child negative affectivity or 5-HTTLPR genotype. However, child 5-HTTLPR genotype did moderate intervention effects on negative parenting behavior. This suggests that in research on behavioral parent training programs, "what works for which parents" might also be an important question.

Unique contributions of dynamic versus global measures of parent-child interaction quality in predicting school adjustment.

Science.gov (United States)

Bardack, Sarah; Herbers, Janette E; Obradović, Jelena

2017-09-01

This study investigates the unique contribution of microsocial and global measures of parent-child positive coregulation (PCR) in predicting children's behavioral and social adjustment in school. Using a community sample of 102 children, ages 4-6, and their parents, we conducted nested path analytic models to identify the unique effects of 2 measures of PCR on school outcomes. Microsocial PCR independently predicted fewer externalizing and inattention/impulsive behaviors in school. Global PCR did not uniquely relate to children's behavioral and social adjustment outcomes. Household socioeconomic status was related to both microsocial and global measures of PCR, but not directly associated with school outcomes. Findings illustrate the importance of using dynamic measures of PCR based on microsocial coding to further understand how the quality of parent-child interaction is related to children's self-regulatory and social development during school transition. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Climate change alters low flows in Europe under global warming of 1.5, 2, and 3 °C

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A. Marx

2018-02-01

Full Text Available There is growing evidence that climate change will alter water availability in Europe. Here, we investigate how hydrological low flows are affected under different levels of future global warming (i.e. 1.5, 2, and 3 K with respect to the pre-industrial period in rivers with a contributing area of more than 1000 km2. The analysis is based on a multi-model ensemble of 45 hydrological simulations based on three representative concentration pathways (RCP2.6, RCP6.0, RCP8.5, five Coupled Model Intercomparison Project Phase 5 (CMIP5 general circulation models (GCMs: GFDL-ESM2M, HadGEM2-ES, IPSL-CM5A-LR, MIROC-ESM-CHEM, NorESM1-M and three state-of-the-art hydrological models (HMs: mHM, Noah-MP, and PCR-GLOBWB. High-resolution model results are available at a spatial resolution of 5 km across the pan-European domain at a daily temporal resolution. Low river flow is described as the percentile of daily streamflow that is exceeded 90 % of the time. It is determined separately for each GCM/HM combination and warming scenario. The results show that the low-flow change signal amplifies with increasing warming levels. Low flows decrease in the Mediterranean region, while they increase in the Alpine and Northern regions. In the Mediterranean, the level of warming amplifies the signal from −12 % under 1.5 K, compared to the baseline period 1971–2000, to −35 % under global warming of 3 K, largely due to the projected decreases in annual precipitation. In contrast, the signal is amplified from +22 (1.5 K to +45 % (3 K in the Alpine region due to changes in snow accumulation. The changes in low flows are significant for regions with relatively large change signals and under higher levels of warming. However, it is not possible to distinguish climate-induced differences in low flows between 1.5 and 2 K warming because of (1 the large inter-annual variability which prevents distinguishing statistical estimates of period

An explanation of the 25% male excess mortality for all children under 5

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Mage David T.

2015-12-01

Full Text Available BACKGROUND: To demonstrate that an epidemiologic probability model of a hypothesized X-linkage for Sudden Infant Death Syndrome (SIDS that predicted its 50% male excess, also predicts the 25% male excess of all child mortality for ages under 5 years.

Global crop yield response to extreme heat stress under multiple climate change futures

Science.gov (United States)

Deryng, D.; Conway, D.; Ramankutty, N.; Price, J.; Warren, R.

2014-12-01

Extreme heat stress during the crop reproductive period can be critical for crop productivity. Projected changes in the frequency and severity of extreme climatic events are expected to negatively impact crop yields and global food production. This study applies the global crop model PEGASUS to quantify, for the first time at the global scale, impacts of extreme heat stress on maize, spring wheat and soybean yields resulting from 72 climate change scenarios for the 21st century. Our results project maize to face progressively worse impacts under a range of RCPs but spring wheat and soybean to improve globally through to the 2080s due to CO2 fertilization effects, even though parts of the tropic and sub-tropic regions could face substantial yield declines. We find extreme heat stress at anthesis (HSA) by the 2080s (relative to the 1980s) under RCP 8.5, taking into account CO2 fertilization effects, could double global losses of maize yield (dY = -12.8 ± 6.7% versus -7.0 ± 5.3% without HSA), reduce projected gains in spring wheat yield by half (dY = 34.3 ± 13.5% versus 72.0 ± 10.9% without HSA) and in soybean yield by a quarter (dY = 15.3 ± 26.5% versus 20.4 ± 22.1% without HSA). The range reflects uncertainty due to differences between climate model scenarios; soybean exhibits both positive and negative impacts, maize is generally negative and spring wheat generally positive. Furthermore, when assuming CO2 fertilization effects to be negligible, we observe drastic climate mitigation policy as in RCP 2.6 could avoid more than 80% of the global average yield losses otherwise expected by the 2080s under RCP 8.5. We show large disparities in climate impacts across regions and find extreme heat stress adversely affects major producing regions and lower income countries.

Global crop yield response to extreme heat stress under multiple climate change futures

International Nuclear Information System (INIS)

Deryng, Delphine; Warren, Rachel; Conway, Declan; Ramankutty, Navin; Price, Jeff

2014-01-01

Extreme heat stress during the crop reproductive period can be critical for crop productivity. Projected changes in the frequency and severity of extreme climatic events are expected to negatively impact crop yields and global food production. This study applies the global crop model PEGASUS to quantify, for the first time at the global scale, impacts of extreme heat stress on maize, spring wheat and soybean yields resulting from 72 climate change scenarios for the 21st century. Our results project maize to face progressively worse impacts under a range of RCPs but spring wheat and soybean to improve globally through to the 2080s due to CO 2 fertilization effects, even though parts of the tropic and sub-tropic regions could face substantial yield declines. We find extreme heat stress at anthesis (HSA) by the 2080s (relative to the 1980s) under RCP 8.5, taking into account CO 2 fertilization effects, could double global losses of maize yield (ΔY = −12.8 ± 6.7% versus − 7.0 ± 5.3% without HSA), reduce projected gains in spring wheat yield by half (ΔY = 34.3 ± 13.5% versus 72.0 ± 10.9% without HSA) and in soybean yield by a quarter (ΔY = 15.3 ± 26.5% versus 20.4 ± 22.1% without HSA). The range reflects uncertainty due to differences between climate model scenarios; soybean exhibits both positive and negative impacts, maize is generally negative and spring wheat generally positive. Furthermore, when assuming CO 2 fertilization effects to be negligible, we observe drastic climate mitigation policy as in RCP 2.6 could avoid more than 80% of the global average yield losses otherwise expected by the 2080s under RCP 8.5. We show large disparities in climate impacts across regions and find extreme heat stress adversely affects major producing regions and lower income countries. (paper)

Prevalence of child abuse in Khorramabad junior high school students, 2012

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farideh Malekshahi

2014-03-01

Full Text Available Background: Child abuse is a global problem and occurs in a variety of forms and is deeply rooted in cultural, economic and social practices. Child abuse is a behaviour which causes physical, psychological, emotional or sexual abuses, consequentlylead to damage of children,s health, peace of mind and education. Based on these considerations, the present study was conducted to investigate the prevalence of child abuse among junior high school students of Khoramabad in 2012. Materials and Methods: In this cross sectional study, 907 junior high school students randomly selected .Data collection tool was a multiple questionnaire incloding child and parents’ demographic information, and a physical emotional abuse and neglect questionnaire. It,s validity and reliability was done by content validity and Test re test. Data were analysed using SPSS v. 19. Results: The findings of this study showed that average age of the cases was 13.36±1.04 and 5.4% of them were always under physical abuse and the most physical abuse was slap on the face , 7.3% emotional abuse and 5.5% neglect. Statistical test showed a significant relation between abuses and parents, educational level, job, addiction and divorce. Conclusion: Results showed that child abuse is common among families, therefore, monitoring of children, ratification of rules supporting children, planing and administration of preventive educational programs can be effective to reduce child abuse.

Comparison of child-parent and parent-only cognitive-behavioral therapy programs for anxious children aged 5 to 7 years: short- and long-term outcomes.

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Monga, Suneeta; Rosenbloom, Brittany N; Tanha, Azadeh; Owens, Mary; Young, Arlene

2015-02-01

Childhood anxiety disorders (AD) are prevalent, debilitating disorders. The most effective treatment approach for children less than 8 years old requires further investigation. The study's primary objective was to compare 2 cognitive-behavioral therapy (CBT) group programs. CBT was delivered to children 5 to 7 years old and their parents (child-parent) or only to parents (parent-only), whereas children attended group sessions but did not receive CBT. Using a prospective, repeated measures, longitudinal study design, 77 children (29 male, mean age = 6.8 years; SD = 0.8 year) with AD and their parents participated in either a 12-week child-parent or parent-only CBT group treatment after a 3-month no-treatment wait-time. Well-validated treatment outcome measures were completed at 5 assessment time points: initial assessment, pretreatment, immediately posttreatment, 6 months, and 12 months posttreatment. A mixed models analysis was used to assess change in AD severity and global functioning improvements from baseline within each treatment and between treatments. No significant changes were noted in child-parent or parent-only treatment during the 3-month no-treatment wait time. Both treatments saw significant improvements posttreatment and at longer-term follow-up with significant reductions in AD severity measured by clinician and parent report and increases in global functioning. Significantly greater improvements were observed in the child-parent compared to the parent-only treatment. This study suggests that both parent-only and child-parent group CBT improves AD severity in children 5 to 7 years old. Study results suggest that involvement of both children and parents in treatment is more efficacious than working with parents alone. Copyright © 2015 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

Child labour: a public health issue.

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Gulzar, Saleema Aziz; Vertejee, Samina; Pirani, Laila

2009-11-01

Child labour is a global practice and has many negative outcomes. According to International Labour Organization, child labour is the important source of child exploitation and child abuse in the world today. The Human Rights Commission of Pakistan has estimated the number of Pakistani working children to be around 11-12 millions, out of which, at least, half the children are under the age of ten years. It portrays the society's attitude towards child care. It is therefore, essential to break this vicious cycle and hence, enable the society to produce healthy citizens. This article analyzes the determinants of child labour in the Pakistani context and its implications for child's life, in specific, and for the nation, in general, utilizing the model developed by Clemen-stone & McGuire (1991). Since this practice has complex web of causation, a multidisciplinary approach is required to combat this issue through proposed recommendations.

Projected global ground-level ozone impacts on vegetation under different emission and climate scenarios

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P. Sicard

2017-10-01

Full Text Available The impact of ground-level ozone (O3 on vegetation is largely under-investigated at the global scale despite large areas worldwide that are exposed to high surface O3 levels. To explore future potential impacts of O3 on vegetation, we compared historical and projected surface O3 concentrations simulated by six global atmospheric chemistry transport models on the basis of three representative concentration pathways emission scenarios (i.e. RCP2.6, 4.5, 8.5. To assess changes in the potential surface O3 threat to vegetation at the global scale, we used the AOT40 metric. Results point out a significant exceedance of AOT40 in comparison with the recommendations of UNECE for the protection of vegetation. In fact, many areas of the Northern Hemisphere show that AOT40-based critical levels will be exceeded by a factor of at least 10 under RCP8.5. Changes in surface O3 by 2100 worldwide range from about +4–5 ppb in the RCP8.5 scenario to reductions of about 2–10 ppb in the most optimistic scenario, RCP2.6. The risk of O3 injury for vegetation, through the potential O3 impact on photosynthetic assimilation, decreased by 61 and 47 % under RCP2.6 and RCP4.5, respectively, and increased by 70 % under RCP8.5. Key biodiversity areas in southern and northern Asia, central Africa and North America were identified as being at risk from high O3 concentrations.

The role stratification on Indian ocean mixing under global warming

Science.gov (United States)

Praveen, V.; Valsala, V.; Ravindran, A. M.

2017-12-01

The impact of changes in Indian ocean stratification on mixing under global warming is examined. Previous studies on global warming and associated weakening of winds reported to increase the stratification of the world ocean leading to a reduction in mixing, increased acidity, reduced oxygen and there by a reduction in productivity. However this processes is not uniform and are also modulated by changes in wind pattern of the future. Our study evaluate the role of stratification and surface fluxes on mixing focusing northern Indian ocean. A dynamical downscaling study using Regional ocean Modelling system (ROMS) forced with stratification and surface fluxes from selected CMIP5 models are presented. Results from an extensive set of historical and Representative Concentration Pathways 8.5 (rcp8.5) scenario simulations are used to quantify the distinctive role of stratification on mixing.

CHILD RIGHTS IN SUB-SAHARAN AFRICA: A CALL FOR A RIGHTS-BASED GLOBAL RESEARCH AGENDA

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Dinbabo, Mulugeta

2013-05-01

Full Text Available Despite many achievements regarding child rights over the last 20 years, including improvements in many indicators such as the significant reduction in infant and child mortality; the more positive way of thinking about and listening to children; and increased response to those who abuse children, the rights of children are still insufficiently protected. Millions of children across the world suffer from the effects of extreme forms of poverty and their associated evils, such as malnourishment, stunted growth, nutritional-deficiency diseases and illiteracy. Recent figures from the International Labour Organisation (2010 show that, globally one in every six children work, 126 million children work in hazardous conditions, and the highest proportion of child labourers is in sub-Saharan Africa, where 26% of children (49 million are involved in work. These figures provide only a glimpse of the challenges and obstacles that a child faces around the world

Deciphering emerging Zika and dengue viral epidemics: Implications for global maternal–child health burden

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Ernest Tambo

2016-05-01

Full Text Available Summary: Since its discovery in 1947 in Uganda and control and eradication efforts have aimed at its vectors (Aedes mosquitoes in Latin America in the 1950s, an absolute neglect of Zika programs and interventions has been documented in Aedes endemic and epidemic-prone countries. The current unprecedented Zika viral epidemics and rapid spread in the Western hemisphere pose a substantial global threat, with associated anxiety and consequences. The lack of safe and effective drugs and vaccines against Zika or dengue epidemics further buttresses the realization from the West Africa Ebola outbreak that most emerging disease-prone countries are still poorly prepared for an emergency response. This paper examines knowledge gaps in both emerging and neglected arthropod-borne flavivirus infectious diseases associated with poverty and their implications for fostering local, national and regional emerging disease preparedness, effective and robust surveillance–response systems, sustained control and eventual elimination. Strengthening the regional and Global Health Flavivirus Surveillance-Response Network (GHFV-SRN with other models of socio-economic, climatic, environmental and ecological mitigation and adaptation strategies will be necessary to improve evidence-based national and global maternal–child health agenda and action plans. Keywords: Zika virus, Epidemics, Health, Preparedness, Surveillance, Maternal–child

Exploring the Relationship between Global Quality and Group Engagement in Toddler Child Care Classrooms

Science.gov (United States)

Hooper, Alison; Hallam, Rena

2017-01-01

Toddlers' engagement with their social and physical environment is an important aspect of their experience in early care and education programs. The purpose of this research study was to examine how global quality relates to children's engagement in toddler child care classrooms. Additionally, this study explored how toddlers' group engagement…

What Is the Association between Absolute Child Poverty, Poor Governance, and Natural Disasters? A Global Comparison of Some of the Realities of Climate Change.

Science.gov (United States)

Daoud, Adel; Halleröd, Björn; Guha-Sapir, Debarati

2016-01-01

The paper explores the degree to which exposure to natural disasters and poor governance (quality of governance) is associated with absolute child poverty in sixty-seven middle- and low-income countries. The data is representative for about 2.8 billion of the world´s population. Institutionalist tend to argue that many of society's ills, including poverty, derive from fragile or inefficient institutions. However, our findings show that although increasing quality of government tends to be associated with less poverty, the negative effects of natural disasters on child poverty are independent of a country´s institutional efficiency. Increasing disaster victims (killed and affected) is associated with higher rates of child poverty. A child´s estimated odds ratio to be in a state of absolute poverty increases by about a factor of 5.7 [95% CI: 1.7 to 18.7] when the average yearly toll of disasters in the child´s country increases by one on a log-10 scale. Better governance correlates with less child poverty, but it does not modify the correlation between child poverty and natural disasters. The results are based on hierarchical regression models that partition the variance into three parts: child, household, and country. The models were cross-sectional and based on observational data from the Demographic Health Survey and the Multiple Indicator Cluster Survey, which were collected at the beginning of the twenty-first millennium. The Sustainable Development Goals are a principle declaration to halt climate change, but they lack a clear plan on how the burden of this change should be shared by the global community. Based on our results, we suggest that the development agencies should take this into account and to articulate more equitable global policies to protect the most vulnerable, specifically children.

What Is the Association between Absolute Child Poverty, Poor Governance, and Natural Disasters? A Global Comparison of Some of the Realities of Climate Change.

Directory of Open Access Journals (Sweden)

Adel Daoud

Full Text Available The paper explores the degree to which exposure to natural disasters and poor governance (quality of governance is associated with absolute child poverty in sixty-seven middle- and low-income countries. The data is representative for about 2.8 billion of the world´s population. Institutionalist tend to argue that many of society's ills, including poverty, derive from fragile or inefficient institutions. However, our findings show that although increasing quality of government tends to be associated with less poverty, the negative effects of natural disasters on child poverty are independent of a country´s institutional efficiency. Increasing disaster victims (killed and affected is associated with higher rates of child poverty. A child´s estimated odds ratio to be in a state of absolute poverty increases by about a factor of 5.7 [95% CI: 1.7 to 18.7] when the average yearly toll of disasters in the child´s country increases by one on a log-10 scale. Better governance correlates with less child poverty, but it does not modify the correlation between child poverty and natural disasters. The results are based on hierarchical regression models that partition the variance into three parts: child, household, and country. The models were cross-sectional and based on observational data from the Demographic Health Survey and the Multiple Indicator Cluster Survey, which were collected at the beginning of the twenty-first millennium. The Sustainable Development Goals are a principle declaration to halt climate change, but they lack a clear plan on how the burden of this change should be shared by the global community. Based on our results, we suggest that the development agencies should take this into account and to articulate more equitable global policies to protect the most vulnerable, specifically children.

Did Child Restraint Laws Globally Converge? Examining 40 Years of Policy Diffusion.

Science.gov (United States)

Nazif-Muñoz, José Ignacio

2015-01-01

The objective of the current study is to determine what factors have been associated with the global adoption of mandatory child restraint laws (ChRLs) since 1975. In order to determine what factors explained the global adoption of mandatory ChRLs, Weibull models were analyzed. To carry out this analysis, 170 countries were considered and the time risk corresponded to 5,146 observations for the period 1957-2013. The dependent variable was first time to adopt a ChRL. Independent variables representing global factors were the World Health Organization (WHO) and World Bank's (WB) road safety global campaign; the Geneva Convention on Road Traffic; and the United Nation's (UN) 1958 Vehicle Agreement. Independent variables representing regional factors were the creation of the European Transport Safety Council and being a Commonwealth country. Independent variables representing national factors were population; gross domestic product (GDP) per capita; political violence; existence of road safety nongovernmental organizations (NGOs); and existence of road safety agencies. Urbanization served as a control variable. To examine regional dynamics, Weibull models for Africa, Asia, Europe, North America, Latin America, the Caribbean, and the Commonwealth were also carried out. Empirical estimates from full Weibull models suggest that 2 global factors and 2 national factors are significantly associated with the adoption of this measure. The global factors explaining adoption are the WHO and WB's road safety global campaign implemented after 2004 (P policy was global. Regional analysis showed that the UN's Convention on Road Traffic was significant in Asia, the creation of the European Transport Safety Council was significant in Europe and North America, and the global campaign was in Africa. In Commonwealth and European and North American countries, the existence of road safety agencies was also positively associated with ChRL adoption. Results of the world models suggest that

5 CFR 870.303 - Eligibility of foster children under Option C.

Science.gov (United States)

2010-01-01

... biological parent becomes unable to care for the child due to a disability; or (4) The employee, annuitant....303 Eligibility of foster children under Option C. (a) Effective October 30, 1998, foster children are eligible for coverage as family members under Option C. (b) To qualify for coverage as a foster child, the...

[Research on the social determinants of malnutrition among children under the age of 5 in China].

Science.gov (United States)

Man, S Lm; Guo, Y

2016-06-18

To understand the relationship between child malnutrition and social determinants among children under the age of 5 in China, and to provide evidence and useful information to help policy makers develop social policies to improve child nutritional status. Information of 2 434 children aged 0-5 was extracted from year 1991 to 2011 longitudinal survey data in the China Health and Nutrition Survey (CHNS) was extracted for analysis. Child underweight, child stunting, and child wasting were defined using World Health Organization Child Growth Standards for weight-for-age, height-for-age, and weight-for-height. Weight-for-age values, height-for-age values or weight-for-height values below 2 standard deviations were considered as underweight, stunting and wasting. World Health Organization igrowup software was used to calculate the prevalence of child underweight, child stunting, and child wasting. Multivariate Logistic regression model was used to analyze the relationship between child malnutrition and social determinants (household income, parents' educational level, living regions, and communities' urbanization level). The prevalence of child underweight and child stunting were decreased by 64.8% and 67.8%, respectively from 1991 to 2011, while the prevalence of child wasting had remained at a relatively low level (below 5%). The problem of child underweight and stunting had been significantly resolved in China. Female children had better outcomes than male children on improving nutritional status. Among all the non-socio-economic determinants of child malnutrition, children with low height mother and children had inadequate protein intake were both risk factors of malnutrition. The social determinants significantly associated to child malnutrition included: living in the western regions and central regions, living in low level urbanization communities, with low household incomes, and low maternal educational levels. In order to further decrease the prevalence of child

Effect of health education on hand washing of mothers of under five ...

African Journals Online (AJOL)

Diarrhea is a leading cause of morbidity and mortality in children under five years of age in middle and low income countries. Nearly one in five child deaths is due to diarrhea and globally it accounts for 1.5million deaths annually. Although hand washing with soap is effective for the prevention of transmission of diarrhea ...

Assessing carbon dioxide removal through global and regional ocean alkalinization under high and low emission pathways

Science.gov (United States)

Lenton, Andrew; Matear, Richard J.; Keller, David P.; Scott, Vivian; Vaughan, Naomi E.

2018-04-01

Atmospheric carbon dioxide (CO2) levels continue to rise, increasing the risk of severe impacts on the Earth system, and on the ecosystem services that it provides. Artificial ocean alkalinization (AOA) is capable of reducing atmospheric CO2 concentrations and surface warming and addressing ocean acidification. Here, we simulate global and regional responses to alkalinity (ALK) addition (0.25 PmolALK yr-1) over the period 2020-2100 using the CSIRO-Mk3L-COAL Earth System Model, under high (Representative Concentration Pathway 8.5; RCP8.5) and low (RCP2.6) emissions. While regionally there are large changes in alkalinity associated with locations of AOA, globally we see only a very weak dependence on where and when AOA is applied. On a global scale, while we see that under RCP2.6 the carbon uptake associated with AOA is only ˜ 60 % of the total, under RCP8.5 the relative changes in temperature are larger, as are the changes in pH (140 %) and aragonite saturation state (170 %). The simulations reveal AOA is more effective under lower emissions, therefore the higher the emissions the more AOA is required to achieve the same reduction in global warming and ocean acidification. Finally, our simulated AOA for 2020-2100 in the RCP2.6 scenario is capable of offsetting warming and ameliorating ocean acidification increases at the global scale, but with highly variable regional responses.

Child Labor: Global Offensive.

Science.gov (United States)

Sutcliffe, Peter; And Others

1993-01-01

Includes "An Evil Unbearable to the Human Heart" (Sutcliffe); "Fighting Indifference and Inaction" (Fromont); "Concerted International Action for Children"; "New Shelter for Street Kids of Ankara" (Fromont); "IPEC's International Program for Elimination of Child Labor Challenge to Brazilian…

Teaching corner: child family health international : the ethics of asset-based global health education programs.

Science.gov (United States)

Evert, Jessica

2015-03-01

Child Family Health International (CFHI) is a U.S.-based nonprofit, nongovernmental organization (NGO) that has more than 25 global health education programs in seven countries annually serving more than 600 interprofessional undergraduate, graduate, and postgraduate participants in programs geared toward individual students and university partners. Recognized by Special Consultative Status with the United Nations Economic and Social Council (ECOSOC), CFHI utilizes an asset-based community engagement model to ensure that CFHI's programs challenge, rather than reinforce, historical power imbalances between the "Global North" and "Global South." CFHI's programs are predicated on ethical principles including reciprocity, sustainability, humility, transparency, nonmaleficence, respect for persons, and social justice.

Global determinants of mortality in under 5s: 10 year worldwide longitudinal study.

Science.gov (United States)

Hanf, Matthieu; Nacher, Mathieu; Guihenneuc, Chantal; Tubert-Bitter, Pascale; Chavance, Michel

2013-11-08

To assess at country level the association of mortality in under 5s with a large set of determinants. Longitudinal study. 193 United Nations member countries, 2000-09. Yearly data between 2000 and 2009 based on 12 world development indicators were used in a multivariable general additive mixed model allowing for non-linear relations and lag effects. National rate of deaths in under 5s per 1000 live births The model retained the variables: gross domestic product per capita; percentage of the population having access to improved water sources, having access to improved sanitation facilities, and living in urban areas; adolescent fertility rate; public health expenditure per capita; prevalence of HIV; perceived level of corruption and of violence; and mean number of years in school for women of reproductive age. Most of these variables exhibited non-linear behaviours and lag effects. By providing a unified framework for mortality in under 5s, encompassing both high and low income countries this study showed non-linear behaviours and lag effects of known or suspected determinants of mortality in this age group. Although some of the determinants presented a linear action on log mortality indicating that whatever the context, acting on them would be a pertinent strategy to effectively reduce mortality, others had a threshold based relation potentially mediated by lag effects. These findings could help designing efficient strategies to achieve maximum progress towards millennium development goal 4, which aims to reduce mortality in under 5s by two thirds between 1990 and 2015.

20 CFR 416.415 - Amount of benefits; eligible individual is disabled child under age 18.

Science.gov (United States)

2010-04-01

... and your benefit rate will be $30 a month. (b) If you are a disabled child under age 18 and do not... payable if you received benefits as a child under § 416.1165(i), your benefit will be the amount payable... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Amount of benefits; eligible individual is...

Temperament in infancy and behavioral and emotional problems at age 5.5: The EDEN mother-child cohort.

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Xian Abulizi

Full Text Available Early temperamental characteristics may influence children's developmental pathways and predict future psychopathology. However, the environmental context may also shape or interact with infant temperament and indirectly contribute to increased vulnerability to adverse developmental outcomes. The aim of the present study is to explore the long-term contribution of temperamental traits at twelve months of age to the presence of emotional and behavioral problems later in childhood, and whether this association varies with the child's sex, parental separation, family socioeconomic status and maternal depression.1184 mother-child pairs from the EDEN mother-child birth cohort study based in France (2003-2011, were followed from 24-28 weeks of pregnancy to the child's fifth birthday. Infant temperament at 12 months was assessed with the Emotionality Activity and Sociability (EAS questionnaire and behavior at 5.5 years was assessed with the Strengths and Difficulties Questionnaire (SDQ.Emotional temperament in infancy predicts children's overall behavioral scores (β = 1.16, p<0.001, emotional difficulties (β = 0.30, p<0.001, conduct problems (β = 0.51, p<0.001 and symptoms of hyperactivity/inattention (β = 0.31, p = 0.01 at 5.5 years. Infants' active temperament predicts later conduct problems (β = 0.30, p = 0.02, while shyness predicts later emotional problems (β = 0.22, p = 0.04. The association between the child's temperament in infancy and later behavior did not vary with children's own or family characteristics.An emotional temperament in infancy is associated with higher levels of emotional and behavioral difficulties at the age of 5.5 years. Children who show high emotionality early on may require early prevention and intervention efforts to divert possible adverse developmental pathways.

Prioritizing child health interventions in Ethiopia: modeling impact on child mortality, life expectancy and inequality in age at death.

Directory of Open Access Journals (Sweden)

Kristine Husøy Onarheim

Full Text Available BACKGROUND: The fourth Millennium Development Goal calls for a two-thirds reduction in under-5 mortality between 1990 and 2015. Under-5 mortality rate is declining, but many countries are still far from achieving the goal. Effective child health interventions that could reduce child mortality exist, but national decision-makers lack contextual information for priority setting in their respective resource-constrained settings. We estimate the potential health impact of increasing coverage of 14 selected health interventions on child mortality in Ethiopia (2011-2015. We also explore the impact on life expectancy and inequality in the age of death (Gini(health. METHODS AND FINDINGS: We used the Lives Saved Tool to estimate potential impact of scaling-up 14 health interventions in Ethiopia (2011-2015. Interventions are scaled-up to 1 government target levels, 2 90% coverage and 3 90% coverage of the five interventions with the highest impact. Under-5 mortality rate, neonatal mortality rate and deaths averted are primary outcome measures. We used modified life tables to estimate impact on life expectancy at birth and inequality in the age of death (Gini(health. Under-5 mortality rate declines from 101.0 in 2011 to 68.8, 42.1 and 56.7 per 1000 live births under these three scenarios. Prioritizing child health would also increase life expectancy at birth from expected 60.5 years in 2015 to 62.5, 64.2 and 63.4 years and reduce inequality in age of death (Gini(health substantially from 0.24 to 0.21, 0.18 and 0.19. CONCLUSIONS: The Millennium Development Goal for child health is reachable in Ethiopia. Prioritizing child health would also increase total life expectancy at birth and reduce inequality in age of death substantially (Gini(health.

[Global child health--interventions that work].

Science.gov (United States)

Wathne, K O; Bøhler, E

2001-09-20

Over the last decades, better drinking water and hygiene, improved nutrition and vaccines and antibiotics have greatly reduced child mortality and morbidity. Still, 11 million children under the age of five die every year, many of them from diseases that could have been prevented or treated, given existing knowledge and technology. On the basis of a review of recent literature, this paper discusses current strategies to reduce childhood morbidity and mortality. Sufficient knowledge and technology exist to further improve the health of the worlds' children. Poverty and its consequences--weak implementation and organisation of health services--is a major obstacle. In order to improve health services in developing countries, additional resources are needed. There is also a need for better quality of service. This will require increased efforts in the field of health policy and systems research.

Climate extremes in Europe at 1.5 and 2 degrees of global warming

Science.gov (United States)

King, Andrew D.; Karoly, David J.

2017-11-01

There is an international effort to attempt to limit global warming to 1.5 °C above pre-industrial levels, however, there is a lack of quantitative analysis on the benefits of holding global warming to such a level. In this study, coupled climate model simulations are used to form large ensembles of simulated years at 1.5 °C and 2 °C of global warming. These ensembles are used to assess projected changes in the frequency and magnitude of European climate extremes at these warming levels. For example, we find that events similar to the European record hot summer of 2003, which caused tens of thousands of excess deaths, would be very likely at least 24% less frequent in a world at 1.5 °C global warming compared to 2 °C global warming. Under 2 °C of global warming, we could expect such extreme summer temperatures in the historical record to become commonplace, occurring in at least one-in-every-two years. We find that there are very clear benefits to limiting global warming for the European continent, including fewer and less intense heat and rainfall extremes when compared with higher levels of global warming.

Global distribution and evolvement of urbanization and PM2.5 (1998-2015)

Science.gov (United States)

Yang, Dongyang; Ye, Chao; Wang, Xiaomin; Lu, Debin; Xu, Jianhua; Yang, Haiqing

2018-06-01

PM2.5 concentrations increased and have been one of the major social issues along with rapid urbanization in many regions of the world in recent decades. The development of urbanization differed among regions, PM2.5 pollution also presented discrepant distribution across the world. Thus, this paper aimed to grasp the profile of global distribution of urbanization and PM2.5 and their evolutionary relationships. Based on global data for the proportion of the urban population and PM2.5 concentrations in 1998-2015, this paper investigated the spatial distribution, temporal variation, and evolutionary relationships of global urbanization and PM2.5. The results showed PM2.5 presented an increasing trend along with urbanization during the study period, but there was a variety of evolutionary relationships in different countries and regions. Most countries in East Asia, Southeast Asia, South Asia, and some African countries developed with the rapid increase in both urbanization and PM2.5. Under the impact of other socioeconomic factors, such as industry and economic growth, the development of urbanization increased PM2.5 concentrations in most Asian countries and some African countries, but decreased PM2.5 concentrations in most European and American countries. The findings of this study revealed the spatial distributions of global urbanization and PM2.5 pollution and provided an interpretation on the evolution of urbanization-PM2.5 relationships, which can contribute to urbanization policies making aimed at successful PM2.5 pollution control and abatement.

National, regional, and global sex ratios of infant, child, and under-5 mortality and identification of countries with outlying ratios: a systematic assessment

OpenAIRE

Alkema, Leontine; Chao, Fengqing; You, Danzhen; Pedersen, Jon; Sawyer, Cheryl C

2014-01-01

Background: Under natural circumstances, the sex ratio of male to female mortality up to the age of 5 years is greater than one but sex discrimination can change sex ratios. The estimation of mortality by sex and identification of countries with outlying levels is challenging because of issues with data availability and quality, and because sex ratios might vary naturally based on differences in mortality levels and associated cause of death distributions. Methods: For this systematic anal...

Multi-model ensemble projections of European river floods and high flows at 1.5, 2, and 3 degrees global warming

Science.gov (United States)

Thober, Stephan; Kumar, Rohini; Wanders, Niko; Marx, Andreas; Pan, Ming; Rakovec, Oldrich; Samaniego, Luis; Sheffield, Justin; Wood, Eric F.; Zink, Matthias

2018-01-01

Severe river floods often result in huge economic losses and fatalities. Since 1980, almost 1500 such events have been reported in Europe. This study investigates climate change impacts on European floods under 1.5, 2, and 3 K global warming. The impacts are assessed employing a multi-model ensemble containing three hydrologic models (HMs: mHM, Noah-MP, PCR-GLOBWB) forced by five CMIP5 general circulation models (GCMs) under three Representative Concentration Pathways (RCPs 2.6, 6.0, and 8.5). This multi-model ensemble is unprecedented with respect to the combination of its size (45 realisations) and its spatial resolution, which is 5 km over the entirety of Europe. Climate change impacts are quantified for high flows and flood events, represented by 10% exceedance probability and annual maxima of daily streamflow, respectively. The multi-model ensemble points to the Mediterranean region as a hotspot of changes with significant decrements in high flows from -11% at 1.5 K up to -30% at 3 K global warming mainly resulting from reduced precipitation. Small changes (impacts of global warming could be similar under 1.5 K and 2 K global warming, but have to account for significantly higher changes under 3 K global warming.

Malnutrition Status Among Under-5 Children in a Hill Community of Nepal.

Science.gov (United States)

Gaurav, K; Poudel, I S; Bhattarai, S; Pradhan, P M S; Pokharel, P K

2014-01-01

Malnutrition, especially under nutrition puts children at increased risk of morbidity and mortality and remains a serious barrier in child growth, development and survival. This is a major public health problem among under- 5 children in Nepal particularly in rural areas. To assess the burden and contributing factors for malnutrition in hill community of Ilam district in eastern Nepal. A cross sectional study was conducted in rural hill communities of Ilam district, Nepal with a sample of 240 under- 5 children. Anthropometric measurements were used as per WHO guidelines to asses three nutritional status: Underweight, Stunting, and Wasting using descriptive statistics and chi square test was applied using SPSS 12.0 to assess social and predisposing factors. Seventeen percent of under- 5 children were moderately and 10.4 % were severely underweight. Similarly, 22.9%, and 17.5% were found to be moderately and severely stunted respectively. Less than 10% were found to be moderately and severely wasted. Older age group of children, education level of mother, not exclusive breast feeding practice had significant (p children were affected with stunting, underweight and wasting at the same time. Significant proportion of under - 5 children were malnourished in the communities of the hilly areas. The study unveiled the importance of literacy and exclusive breast feeding for the prevention of malnutrition in under- 5 children.

Keeping global warming within 1.5 °C constrains emergence of aridification

Science.gov (United States)

Park, Chang-Eui; Jeong, Su-Jong; Joshi, Manoj; Osborn, Timothy J.; Ho, Chang-Hoi; Piao, Shilong; Chen, Deliang; Liu, Junguo; Yang, Hong; Park, Hoonyoung; Kim, Baek-Min; Feng, Song

2018-01-01

Aridity—the ratio of atmospheric water supply (precipitation; P) to demand (potential evapotranspiration; PET)—is projected to decrease (that is, areas will become drier) as a consequence of anthropogenic climate change, exacerbating land degradation and desertification1-6. However, the timing of significant aridification relative to natural variability—defined here as the time of emergence for aridification (ToEA)—is unknown, despite its importance in designing and implementing mitigation policies7-10. Here we estimate ToEA from projections of 27 global climate models (GCMs) under representative concentration pathways (RCPs) RCP4.5 and RCP8.5, and in doing so, identify where emergence occurs before global mean warming reaches 1.5 °C and 2 °C above the pre-industrial level. On the basis of the ensemble median ToEA for each grid cell, aridification emerges over 32% (RCP4.5) and 24% (RCP8.5) of the total land surface before the ensemble median of global mean temperature change reaches 2 °C in each scenario. Moreover, ToEA is avoided in about two-thirds of the above regions if the maximum global warming level is limited to 1.5 °C. Early action for accomplishing the 1.5 °C temperature goal can therefore markedly reduce the likelihood that large regions will face substantial aridification and related impacts.

5. Characteristics of Child Sexual Abuse in Zambia

African Journals Online (AJOL)

46987.2

The Child Sexual Abuse Centre at the Paediatric Centre of Excellence,. University ... As a result of its effects, CSA is a psychiatric emergency. .... Primary. 91. 47.4. Preschool. 29. 15.1. Not in School. 6. 3.1. Never been to School. 24. 12.5.

Enhanced or Weakened Western North Pacific Subtropical High under Global Warming?

OpenAIRE

He, Chao; Zhou, Tianjun; Lin, Ailan; Wu, Bo; Gu, Dejun; Li, Chunhui; Zheng, Bin

2015-01-01

The Western North Pacific Subtropical High (WNPSH) regulates East Asian climate in summer. Anomalous WNPSH causes floods, droughts and heat waves in China, Japan and Korea. The potential change of the WNPSH under global warming is concerned by Asian people, but whether the WNPSH would be enhanced or weakened remains inconclusive. Based on the multi-model climate change projection from the 5th phase of Coupled Model Intercomparison Project (CMIP5), we show evidences that the WNPSH tends to wea...

Explaining the slow transition of child-appropriate dosage formulations from the global to national level in the context of Uganda

DEFF Research Database (Denmark)

Nsabagasani, Xavier; Hansen, Ebba; Mbonye, Anthony

2015-01-01

validation meeting where preliminary findings were shared with stakeholders. Policy analysis and policy transfer theories were used to guide a deductive analysis for manifest and latent content. RESULTS: According to stakeholders, the transition to the globally recommended child-appropriate dosage...... formulations has been slow in Uganda due to a number of factors. These factors include resource constraints at the global and national levels, lack of Ministry of Health (MOH) formal commitment to the adoption of the child-appropriate dosage formulations policy and a lack of consensus between those who...... formulations still remains to be implemented in Uganda and other low income countries. This has been due to lack of resources that hindered formal transfer of the policy from the global to the local level. To achieve this transfer there is a need for resource mobilisation at both the international and local...

Socio-demographic and environmental determinants of infectious disease morbidity in children under 5 years in Ghana.

Science.gov (United States)

Amugsi, Dickson A; Aborigo, Raymond A; Oduro, Abraham R; Asoala, Victor; Awine, Timothy; Amenga-Etego, Lucas

2015-01-01

Globally, diarrhoea and acute respiratory infections (ARIs) have been identified as major threats to child survival. In Ghana, the two conditions are among the top three causes of morbidity and mortality among children under 5 years. An in-depth analysis of the factors associated with these two diseases is warranted, because of their high degree of fatality and also it provides a basis for intervention planning. To investigate socio-demographic and environmental factors associated with infectious disease morbidity in children under 5 years old in Ghana. Population-based cross-sectional survey. The study sample comprised 2,790 children aged 0-59 months, drawn from the Ghana Demographic and Health Surveys. The mothers reported whether their children under age 5 had been ill with a cough accompanied by short, rapid breathing (ARI), or diarrhoea with the presence of blood or mucus in the stool, in the 2 weeks preceding the survey. Children in the 6-11, 12-23, and 24-59 months age groups had, respectively, 3.48 (95% CI=2.23, 5.44), 4.57 (95% CI=3.03, 6.90), and 1.93 (95% CI=1.30, 2.87) increased odds of getting diarrhoea infection compared to those in the youngest age category (0-5). Similarly, children in the 6-11, 12-23, and 24-59 months age brackets were, respectively, 2.64 (95% CI=1.76, 3.97), 2.63 (95% CI=1.81, 3.83), and 1.83 (95% CI=1.29, 2.59) times more likely to have cough compared to children in 0-5 months age brackets. Children who were not breastfeeding had higher odds of childhood diarrhoea (OR=1.33, 95% CI=1.03, 1.73) compared to those who were breastfeeding. Compared to children who were living in households without co-wives, children who were living in households with co-wives had 1.74 increased odds of diarrhoea (95% CI=1.33, 2.27). A unit increase in maternal opinion regarding wife beating was associated with 14% reduced odds of diarrhoea (OR=0.86, 95% CI=0.80, 0.91), while a unit change in the women's attitude towards sex index was associated with 14

Socio-demographic and environmental determinants of infectious disease morbidity in children under 5 years in Ghana

Directory of Open Access Journals (Sweden)

Dickson A. Amugsi

2015-10-01

Full Text Available Background: Globally, diarrhoea and acute respiratory infections (ARIs have been identified as major threats to child survival. In Ghana, the two conditions are among the top three causes of morbidity and mortality among children under 5 years. An in-depth analysis of the factors associated with these two diseases is warranted, because of their high degree of fatality and also it provides a basis for intervention planning. Objectives: To investigate socio-demographic and environmental factors associated with infectious disease morbidity in children under 5 years old in Ghana. Design: Population-based cross-sectional survey. The study sample comprised 2,790 children aged 0–59 months, drawn from the Ghana Demographic and Health Surveys. The mothers reported whether their children under age 5 had been ill with a cough accompanied by short, rapid breathing (ARI, or diarrhoea with the presence of blood or mucus in the stool, in the 2 weeks preceding the survey. Results: Children in the 6–11, 12–23, and 24–59 months age groups had, respectively, 3.48 (95% CI=2.23, 5.44, 4.57 (95% CI=3.03, 6.90, and 1.93 (95% CI=1.30, 2.87 increased odds of getting diarrhoea infection compared to those in the youngest age category (0–5. Similarly, children in the 6–11, 12–23, and 24–59 months age brackets were, respectively, 2.64 (95% CI=1.76, 3.97, 2.63 (95% CI=1.81, 3.83, and 1.83 (95% CI=1.29, 2.59 times more likely to have cough compared to children in 0–5 months age brackets. Children who were not breastfeeding had higher odds of childhood diarrhoea (OR=1.33, 95% CI=1.03, 1.73 compared to those who were breastfeeding. Compared to children who were living in households without co-wives, children who were living in households with co-wives had 1.74 increased odds of diarrhoea (95% CI=1.33, 2.27. A unit increase in maternal opinion regarding wife beating was associated with 14% reduced odds of diarrhoea (OR=0.86, 95% CI=0.80, 0.91, while a unit

Climate change under a scenario near 1.5 °C of global warming: monsoon intensification, ocean warming and steric sea level rise

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J. Schewe

2011-03-01

Full Text Available We present climatic consequences of the Representative Concentration Pathways (RCPs using the coupled climate model CLIMBER-3α, which contains a statistical-dynamical atmosphere and a three-dimensional ocean model. We compare those with emulations of 19 state-of-the-art atmosphere-ocean general circulation models (AOGCM using MAGICC6. The RCPs are designed as standard scenarios for the forthcoming IPCC Fifth Assessment Report to span the full range of future greenhouse gas (GHG concentrations pathways currently discussed. The lowest of the RCP scenarios, RCP3-PD, is projected in CLIMBER-3α to imply a maximal warming by the middle of the 21st century slightly above 1.5 °C and a slow decline of temperatures thereafter, approaching today's level by 2500. We identify two mechanisms that slow down global cooling after GHG concentrations peak: The known inertia induced by mixing-related oceanic heat uptake; and a change in oceanic convection that enhances ocean heat loss in high latitudes, reducing the surface cooling rate by almost 50%. Steric sea level rise under the RCP3-PD scenario continues for 200 years after the peak in surface air temperatures, stabilizing around 2250 at 30 cm. This contrasts with around 1.3 m of steric sea level rise by 2250, and 2 m by 2500, under the highest scenario, RCP8.5. Maximum oceanic warming at intermediate depth (300–800 m is found to exceed that of the sea surface by the second half of the 21st century under RCP3-PD. This intermediate-depth warming persists for centuries even after surface temperatures have returned to present-day values, with potential consequences for marine ecosystems, oceanic methane hydrates, and ice-shelf stability. Due to an enhanced land-ocean temperature contrast, all scenarios yield an intensification of monsoon rainfall under global warming.

An unusual cause of glycosuria in a 5-year-old child

African Journals Online (AJOL)

A healthy 5½-year-old child was assessed together with her parents for an immigration medical. A thorough clinical examination was done and the child's height and weight were plotted on growth charts. All findings were unremarkable. As part of the medical a urine dipstick test was routinely performed. The urine dipstick ...

5 CFR 1651.6 - Child or children.

Science.gov (United States)

2010-01-01

... Administrative Personnel FEDERAL RETIREMENT THRIFT INVESTMENT BOARD DEATH BENEFITS § 1651.6 Child or children. If... representation, as provided in § 1651.2(a)(3), the following rules apply: (a) Child. A child includes a natural... representation” means that, if a child of the participant dies before the participant, all descendants of the...

Child prostitution in Thailand.

Science.gov (United States)

Lau, Carmen

2008-06-01

Child prostitution is an old, global and complex phenomenon, which deprives children of their childhood, human rights and dignity. Child prostitution can be seen as the commercial sexual exploitation of children involving an element of forced labour, and thus can be considered as a contemporary form of slavery. Globally, child prostitution is reported to be a common problem in Central and South America and Asia. Of all the south-east Asian nations, the problem is most prolific in Thailand. In Thailand, there appears to be a long history of child prostitution, and this article explores the factors that underpin the Thai child sex industry and the lessons and implications that can be drawn for health care and nursing around the world.

Globalization and pollution: tele-connecting local primary PM2.5 emissions to global consumption.

Science.gov (United States)

Meng, Jing; Liu, Junfeng; Xu, Yuan; Guan, Dabo; Liu, Zhu; Huang, Ye; Tao, Shu

2016-11-01

Globalization pushes production and consumption to geographically diverse locations and generates a variety of sizeable opportunities and challenges. The distribution and associated effects of short-lived primary fine particulate matter (PM 2.5 ), a representative of local pollution, are significantly affected by the consumption through global supply chain. Tele-connection is used here to represent the link between production and consumption activity at large distances. In this study, we develop a global consumption-based primary PM 2.5 emission inventory to track primary PM 2.5 emissions embodied in the supply chain and evaluate the extent to which local PM 2.5 emissions are triggered by international trade. We further adopt consumption-based accounting and identify the global original source that produced the emissions. We find that anthropogenic PM 2.5 emissions from industrial sectors accounted for 24 Tg globally in 2007; approximately 30% (7.2 Tg) of these emissions were embodied in export of products principally from Brazil, South Africa, India and China (3.8 Tg) to developed countries. Large differences (up to 10 times) in the embodied emissions intensity between net importers and exporters greatly increased total global PM 2.5 emissions. Tele-connecting production and consumption activity provides valuable insights with respect to mitigating long-range transboundary air pollution and prompts concerted efforts aiming at more environmentally conscious globalization.

Globalization and pollution: tele-connecting local primary PM2.5 emissions to global consumption

Science.gov (United States)

Meng, Jing; Xu, Yuan; Guan, Dabo; Liu, Zhu; Huang, Ye; Tao, Shu

2016-01-01

Globalization pushes production and consumption to geographically diverse locations and generates a variety of sizeable opportunities and challenges. The distribution and associated effects of short-lived primary fine particulate matter (PM2.5), a representative of local pollution, are significantly affected by the consumption through global supply chain. Tele-connection is used here to represent the link between production and consumption activity at large distances. In this study, we develop a global consumption-based primary PM2.5 emission inventory to track primary PM2.5 emissions embodied in the supply chain and evaluate the extent to which local PM2.5 emissions are triggered by international trade. We further adopt consumption-based accounting and identify the global original source that produced the emissions. We find that anthropogenic PM2.5 emissions from industrial sectors accounted for 24 Tg globally in 2007; approximately 30% (7.2 Tg) of these emissions were embodied in export of products principally from Brazil, South Africa, India and China (3.8 Tg) to developed countries. Large differences (up to 10 times) in the embodied emissions intensity between net importers and exporters greatly increased total global PM2.5 emissions. Tele-connecting production and consumption activity provides valuable insights with respect to mitigating long-range transboundary air pollution and prompts concerted efforts aiming at more environmentally conscious globalization. PMID:27956874

Globalization and pollution: tele-connecting local primary PM2.5 emissions to global consumption

Science.gov (United States)

Meng, Jing; Liu, Junfeng; Xu, Yuan; Guan, Dabo; Liu, Zhu; Huang, Ye; Tao, Shu

2016-11-01

Globalization pushes production and consumption to geographically diverse locations and generates a variety of sizeable opportunities and challenges. The distribution and associated effects of short-lived primary fine particulate matter (PM2.5), a representative of local pollution, are significantly affected by the consumption through global supply chain. Tele-connection is used here to represent the link between production and consumption activity at large distances. In this study, we develop a global consumption-based primary PM2.5 emission inventory to track primary PM2.5 emissions embodied in the supply chain and evaluate the extent to which local PM2.5 emissions are triggered by international trade. We further adopt consumption-based accounting and identify the global original source that produced the emissions. We find that anthropogenic PM2.5 emissions from industrial sectors accounted for 24 Tg globally in 2007; approximately 30% (7.2 Tg) of these emissions were embodied in export of products principally from Brazil, South Africa, India and China (3.8 Tg) to developed countries. Large differences (up to 10 times) in the embodied emissions intensity between net importers and exporters greatly increased total global PM2.5 emissions. Tele-connecting production and consumption activity provides valuable insights with respect to mitigating long-range transboundary air pollution and prompts concerted efforts aiming at more environmentally conscious globalization.

Child mortality in South Africa: Fewer deaths, but better data are ...

African Journals Online (AJOL)

2018-03-25

Mar 25, 2018 ... and complete data on the number and causes of child deaths to plan and monitor child health ... levels and trends of under-5 mortality rates, the causes of death among children under 5 ...... Our Future: Make it Work. National ...

25 CFR 63.32 - Under what authority are Indian child protection and family violence prevention program funds...

Science.gov (United States)

2010-04-01

... family violence prevention program funds awarded? 63.32 Section 63.32 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.32 Under what authority are Indian child...

Impact of Health Research Systems on Under-5 Mortality Rate: A Trend Analysis

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Bahareh Yazdizadeh

2017-07-01

Full Text Available Background Between 1990 and 2015, under-5 mortality rate (U5MR declined by 53%, from an estimated rate of 91 deaths per 1000 live births to 43, globally. The aim of this study was to determine the share of health research systems in this decrease alongside other influential factors. Methods We used random effect regression models including the ‘random intercept’ and ‘random intercept and random slope’ models to analyze the panel data from 1990 to 2010. We selected the countries with U5MRs falling between the first and third quartiles in 1990. We used both the total articles (TA and the number of child-specific articles (CSA as a proxy of the health research system. In order to account for the impact of other factors, measles vaccination coverage (MVC (as a proxy of health system performance, gross domestic product (GDP, human development index (HDI, and corruption perception index (CPI (as proxies of development, were embedded in the model. Results Among all the models, ‘the random intercept and random slope models’ had lower residuals. The same variables of CSA, HDI, and time were significant and the coefficient of CSA was estimated at -0.17; meaning, with the addition of every 100 CSA, the rate of U5MR decreased by 17 per 1000 live births. Conclusion Although the number of CSA has contributed to the reduction of U5MR, the amount of its contribution is negligible compared to the countries’ development. We recommend entering different types of researches into the model separately in future research andincluding the variable of ‘exchange between knowledge generator and user.’

Care-seeking patterns among families that experienced under-five child mortality in rural Rwanda.

Science.gov (United States)

Kagabo, Daniel M; Kirk, Catherine M; Bakundukize, Benjamin; Hedt-Gauthier, Bethany L; Gupta, Neil; Hirschhorn, Lisa R; Ingabire, Willy C; Rouleau, Dominique; Nkikabahizi, Fulgence; Mugeni, Catherine; Sayinzoga, Felix; Amoroso, Cheryl L

2018-01-01

Over half of under-five deaths occur in sub-Saharan Africa and appropriate, timely, quality care is critical for saving children's lives. This study describes the context surrounding children's deaths from the time the illness was first noticed, through the care-seeking patterns leading up to the child's death, and identifies factors associated with care-seeking for these children in rural Rwanda. Secondary analysis of a verbal and social autopsy study of caregivers who reported the death of a child between March 2013 to February 2014 that occurred after discharge from the child's birth facility in southern Kayonza and Kirehe districts in Rwanda. Bivariate analyses using Fisher's exact tests were conducted to identify child, caregiver, and household factors associated with care-seeking from the formal health system (i.e., community health worker or health facility). Factors significant at α = 0.10 significance level were considered for backwards stepwise multivariate logistic regression, stopping when remaining factors were significantly associated with care-seeking at α = 0.05 significance level. Among the 516 eligible deaths among children under-five, 22.7% (n = 117) did not seek care from the health system. For those who did, the most common first point of contact was community health workers (45.8%). In multivariate logistic regression, higher maternal education (OR = 3.36, 95% CI: 1.89, 5.98), having diarrhea (OR = 4.21, 95%CI: 1.95, 9.07) or fever (OR = 2.03, 95%CI: 1.11, 3.72), full household insurance coverage (3.48, 95%CI: 1.79, 6.76), and longer duration of illness (OR = 22.19, 95%CI: 8.88, 55.48) were significantly associated with formal care-seeking. Interventions such as community health workers and insurance promote access to care, however a gap remains as many children had no contact with the health system prior to death and those who sought formal care still died. Further efforts are needed to respond to urgent cases in communities and further

Inequalities in Under-5 Mortality in Nigeria: Do Ethnicity and Socioeconomic Position Matter?

Science.gov (United States)

Antai, Diddy

2011-01-01

Background Each ethnic group has its own cultural values and practices that widen inequalities in child health and survival among ethnic groups. This study seeks to examine the mediatory effects of ethnicity and socioeconomic position on under-5 mortality in Nigeria. Methods Using multilevel logistic regression analysis of a nationally representative sample drawn from 7620 females age 15 to 49 years in the 2003 Nigeria Demographic and Health Survey, the risk of death in children younger than 5 years (under-5 deaths) was estimated using odds ratios with 95% confidence intervals for 6029 children nested within 2735 mothers who were in turn nested within 365 communities. Results The prevalence of under-5 death was highest among children of Hausa/Fulani/Kanuri mothers and lowest among children of Yoruba mothers. The risk of under-5 death was significantly lower among children of mothers from the Igbo and other ethnic groups, as compared with children of Hausa/Fulani/Kanuri mothers, after adjustment for individual- and community-level factors. Much of the disparity in under-5 mortality with respect to maternal ethnicity was explained by differences in physician-provided community prenatal care. Conclusions Ethnic differences in the risk of under-5 death were attributed to differences among ethnic groups in socioeconomic characteristics (maternal education and to differences in the maternal childbearing age and short birth-spacing practices. These findings emphasize the need for community-based initiatives aimed at increasing maternal education and maternal health care services within communities. PMID:20877142

Gaps in international nutrition and child feeding guidelines: a look at the nutrition and young child feeding education of Ghanaian nurses.

Science.gov (United States)

Davis, Jennie N; Brown, Helen; Ramsay, Samantha A

2017-08-01

To examine the nutrition and young child feeding (YCF) education and training of nurses in public health clinics of Ghana's Komenda-Edina-Eguafo-Abrem region (KEEA) in relation to global health guidelines, and how nurses served as educators for caregivers with children aged 0-5 years. A qualitative study of semi-structured one-on-one and group interviews (n 21) following a questionnaire of closed- and open-ended questions addressing child feeding, nutrition and global health recommendations. Interviews were conducted in English, audio-recorded, transcribed and coded. Descriptive data were tabulated. Content analysis identified themes from open-ended questions. KEEA public health clinics (n 12). Nurses (n 41) purposefully recruited from KEEA clinics. A model capturing nurses' nutrition and YCF education emerged with five major themes: (i) adequacy of nurses' basic knowledge in breast-feeding, complementary feeding, iron-deficiency anaemia, YCF and hygiene; (ii) nurses' delivery of nutrition and YCF information; (iii) nurses' evaluation of children's health status to measure education effectiveness; (iv) nurses' perceived barriers of caregivers' ability to implement nutrition and YCF education; and (v) a gap in global health recommendations on YCF practices for children aged 2-5 years. Nurses demonstrated adequate nutrition and YCF knowledge, but reported a lack of in-depth nutrition knowledge and YCF education for children 2-5 years of age, specifically education and knowledge of YCF beyond complementary feeding. To optimize child health outcomes, a greater depth of nutrition and YCF education is needed in international health guidelines.

Effect of investment in malaria control on child mortality in sub-Saharan Africa in 2002-2008.

Directory of Open Access Journals (Sweden)

Yoko Akachi

Full Text Available BACKGROUND: Around 8.8 million children under-five die each year, mostly due to infectious diseases, including malaria that accounts for 16% of deaths in Africa, but the impact of international financing of malaria control on under-five mortality in sub-Saharan Africa has not been examined. METHODS AND FINDINGS: We combined multiple data sources and used panel data regression analysis to study the relationship among investment, service delivery/intervention coverage, and impact on child health by observing changes in 34 sub-Saharan African countries over 2002-2008. We used Lives Saved Tool to estimate the number of lives saved from coverage increase of insecticide-treated nets (ITNs/indoor residual spraying (IRS. As an indicator of outcome, we also used under-five mortality rate. Global Fund investments comprised more than 70% of the Official Development Assistance (ODA for malaria control in 34 countries. Each $1 million ODA for malaria enabled distribution of 50,478 ITNs [95%CI: 37,774-63,182] in the disbursement year. 1,000 additional ITNs distributed saved 0.625 lives [95%CI: 0.369-0.881]. Cumulatively Global Fund investments that increased ITN/IRS coverage in 2002-2008 prevented an estimated 240,000 deaths. Countries with higher malaria burden received less ODA disbursement per person-at-risk compared to lower-burden countries ($3.90 vs. $7.05. Increased ITN/IRS coverage in high-burden countries led to 3,575 lives saved per 1 million children, as compared with 914 lives in lower-burden countries. Impact of ITN/IRS coverage on under-five mortality was significant among major child health interventions such as immunisation showing that 10% increase in households with ITN/IRS would reduce 1.5 [95%CI: 0.3-2.8] child deaths per 1000 live births. CONCLUSIONS: Along with other key child survival interventions, increased ITNs/IRS coverage has significantly contributed to child mortality reduction since 2002. ITN/IRS scale-up can be more efficiently

Trends in causes of death among children under 5 in Bangladesh, 1993-2004: an exercise applying a standardized computer algorithm to assign causes of death using verbal autopsy data

Directory of Open Access Journals (Sweden)

Walker Neff

2011-08-01

Full Text Available Abstract Background Trends in the causes of child mortality serve as important global health information to guide efforts to improve child survival. With child mortality declining in Bangladesh, the distribution of causes of death also changes. The three verbal autopsy (VA studies conducted with the Bangladesh Demographic and Health Surveys provide a unique opportunity to study these changes in child causes of death. Methods To ensure comparability of these trends, we developed a standardized algorithm to assign causes of death using symptoms collected through the VA studies. The original algorithms applied were systematically reviewed and key differences in cause categorization, hierarchy, case definition, and the amount of data collected were compared to inform the development of the standardized algorithm. Based primarily on the 2004 cause categorization and hierarchy, the standardized algorithm guarantees comparability of the trends by only including symptom data commonly available across all three studies. Results Between 1993 and 2004, pneumonia remained the leading cause of death in Bangladesh, contributing to 24% to 33% of deaths among children under 5. The proportion of neonatal mortality increased significantly from 36% (uncertainty range [UR]: 31%-41% to 56% (49%-62% during the same period. The cause-specific mortality fractions due to birth asphyxia/birth injury and prematurity/low birth weight (LBW increased steadily, with both rising from 3% (2%-5% to 13% (10%-17% and 10% (7%-15%, respectively. The cause-specific mortality rates decreased significantly due to neonatal tetanus and several postneonatal causes (tetanus: from 7 [4-11] to 2 [0.4-4] per 1,000 live births (LB; pneumonia: from 26 [20-33] to 15 [11-20] per 1,000 LB; diarrhea: from 12 [8-17] to 4 [2-7] per 1,000 LB; measles: from 5 [2-8] to 0.2 [0-0.7] per 1,000 LB; injury: from 11 [7-17] to 3 [1-5] per 1,000 LB; and malnutrition: from 9 [6-13] to 5 [2-7]. Conclusions

Parental and Child Factors Associated with Under-Estimation of Children with Excess Weight in Spain.

Science.gov (United States)

de Ruiter, Ingrid; Olmedo-Requena, Rocío; Jiménez-Moleón, José Juan

2017-11-01

Objective Understanding obesity misperception and associated factors can improve strategies to increase obesity identification and intervention. We investigate underestimation of child excess weight with a broader perspective, incorporating perceptions, views, and psychosocial aspects associated with obesity. Methods This study used cross-sectional data from the Spanish National Health Survey in 2011-2012 for children aged 2-14 years who are overweight or obese. Percentages of parental misperceived excess weight were calculated. Crude and adjusted analyses were performed for both child and parental factors analyzing associations with underestimation. Results Two-five year olds have the highest prevalence of misperceived overweight or obesity around 90%. In the 10-14 year old age group approximately 63% of overweight teens were misperceived as normal weight and 35.7 and 40% of obese males and females. Child gender did not affect underestimation, whereas a younger age did. Aspects of child social and mental health were associated with under-estimation, as was short sleep duration. Exercise, weekend TV and videogames, and food habits had no effect on underestimation. Fathers were more likely to misperceive their child´s weight status; however parent's age had no effect. Smokers and parents with excess weight were less likely to misperceive their child´s weight status. Parents being on a diet also decreased odds of underestimation. Conclusions for practice This study identifies some characteristics of both parents and children which are associated with under-estimation of child excess weight. These characteristics can be used for consideration in primary care, prevention strategies and for further research.

Agricultural Water Use under Global Change

Science.gov (United States)

Zhu, T.; Ringler, C.; Rosegrant, M. W.

2008-12-01

Irrigation is by far the single largest user of water in the world and is projected to remain so in the foreseeable future. Globally, irrigated agricultural land comprises less than twenty percent of total cropland but produces about forty percent of the world's food. Increasing world population will require more food and this will lead to more irrigation in many areas. As demands increase and water becomes an increasingly scarce resource, agriculture's competition for water with other economic sectors will be intensified. This water picture is expected to become even more complex as climate change will impose substantial impacts on water availability and demand, in particular for agriculture. To better understand future water demand and supply under global change, including changes in demographic, economic and technological dimensions, the water simulation module of IMPACT, a global water and food projection model developed at the International Food Policy Research Institute, is used to analyze future water demand and supply in agricultural and several non-agricultural sectors using downscaled GCM scenarios, based on water availability simulation done with a recently developed semi-distributed global hydrological model. Risk analysis is conducted to identify countries and regions where future water supply reliability for irrigation is low, and food security may be threatened in the presence of climate change. Gridded shadow values of irrigation water are derived for global cropland based on an optimization framework, and they are used to illustrate potential irrigation development by incorporating gridded water availability and existing global map of irrigation areas.

Projection of actual evapotranspiration using the COSMO-CLM regional climate model under global warming scenarios of 1.5 °C and 2.0 °C in the Tarim River basin, China

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Su, Buda; Jian, Dongnan; Li, Xiucang; Wang, Yanjun; Wang, Anqian; Wen, Shanshan; Tao, Hui; Hartmann, Heike

2017-11-01

Actual evapotranspiration (ETa) is an important component of the water cycle. The goals for limiting global warming to below 2.0 °C above pre-industrial levels and aspiring to 1.5 °C were negotiated in the Paris Agreement in 2015. In this study, outputs from the regional climate model COSMO-CLM (CCLM) for the Tarim River basin (TRB) were used to calculate ETa with an advection-aridity model, and changes in ETa under global warming scenarios of 1.5 °C (2020 to 2039) and 2.0 °C (2040 to 2059) were analyzed. Comparison of warming at the global and regional scale showed that regional 1.5 °C warming would occur later than the global average, while regional 2.0 °C warming would occur earlier than the global average. For global warming of 1.5 °C, the average ETa in the TRB is about 222.7 mm annually, which represents an increase of 6.9 mm relative to the reference period (1986-2005), with obvious increases projected for spring and summer. The greatest increases in ETa were projected for the northeast and southwest. The increment in the annual ETa across the TRB considering a warming of 1.5 °C was 4.3 mm less than that for a warming of 2.0 °C, and the reduction between the two levels of warming was most pronounced in the summer, when ETa was 3.4 mm smaller. The reduction in the increment of annual ETa for warming of 1.5 °C relative to warming of 2.0 °C was most pronounced in the southwest and northeast, where it was projected to be 8.2 mm and 9.3 mm smaller, respectively. It is suggested that the higher ETa under a warming of 2.0 °C mainly results from an increase in the sunshine duration (net radiation) in the southwestern basin and an increase in precipitation in the northeastern basin. Vapor is removed from the limited surface water supplies by ETa. The results of this study are therefore particularly relevant for water resource planning in the TRB.

Future aridity under conditions of global climate change

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Asadi Zarch, Mohammad Amin; Sivakumar, Bellie; Malekinezhad, Hossein; Sharma, Ashish

2017-11-01

Global climate change is anticipated to cause some major changes in hydroclimatic conditions around the world. As aridity is a reliable indicator of potential available water, assessment of its changes under future climatic conditions is important for proper management of water. This study employs the UNESCO aridity/humidity index, which is a derivative of precipitation (P) and potential evapotranspiration (PET), for assessment of aridity. Historical (1901-2005) simulations and future (2006-2100) projections of 22 global climate models (GCMs) from the fifth phase of the Coupled Model Intercomparison Project (CMIP5) are studied. The Nested Bias Correction (NBC) approach is used to correct possible biases of precipitation (simulated directly by the GCMs) and PET (estimated by applying FAO56-Penman-Monteith model on simulated parameters of the GCMs). To detect future aridity changes, the areal extents of the aridity zones in the past and future periods as well as through four sub-periods (2006-2025, 2026-2050, 2051-2075, and 2076-2100) of the future are compared. The results indicate that changes in climate will alter the areal extents of aridity zones in the future. In general, from the first sub-period towards the last one, the area covered by hyper-arid, arid, semi-arid, and sub-humid zones will increase (by 7.46%, 7.01%, 5.80%, and 2.78%, respectively), while the area of the humid regions will decrease (by 4.76%), suggesting that there will be less water over the global land area in the future. To understand the cause of these changes, precipitation and PET are also separately assumed to be stationary throughout the four future sub-periods and the resulting aridity changes are then analyzed. The results reveal that the aridity changes are mostly caused by the positive PET trends, even though the slight precipitation increase lessens the magnitude of the changes.

Multi-model ensemble projections of European river floods and high flows at 1.5, 2, and 3 degree global warming

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Thober, S.; Kumar, R.; Wanders, N.; Marx, A.; Pan, M.; Rakovec, O.; Samaniego, L. E.; Sheffield, J.; Wood, E. F.; Zink, M.

2017-12-01

Severe river floods often result in huge economic losses and fatalities. Since 1980, almost 1500 such events have been reported in Europe. This study investigates climate change impacts on European floods under 1.5, 2, and 3 K global warming. The impacts are assessed employing a multi-model ensemble containing three hydrologic models (HMs: mHM, Noah-MP, PCR-GLOBWB) forced by five CMIP5 General Circulation Models (GCMs) under three Representative Concentration Pathways (RCPs 2.6, 6.0, and 8.5). This multi-model ensemble is unprecedented with respect to the combination of its size (45 realisations) and its spatial resolution, which is 5 km over entire Europe. Climate change impacts are quantified for high flows and flood events, represented by 10% exceedance probability and annual maxima of daily streamflow, respectively. The multi-model ensemble points to the Mediterranean region as a hotspot of changes with significant decrements in high flows from -11% at 1.5 K up to -30% at 3 K global warming mainly resulting from reduced precipitation. Small changes (< ±10%) are observed for river basins in Central Europe and the British Isles under different levels of warming. Projected higher annual precipitation increases high flows in Scandinavia, but reduced snow water equivalent decreases flood events in this region. The contribution by the GCMs to the overall uncertainties of the ensemble is in general higher than that by the HMs. The latter, however, have a substantial share of the overall uncertainty and exceed GCM uncertainty in the Mediterranean and Scandinavia. Adaptation measures for limiting the impacts of global warming could be similar under 1.5 K and 2 K global warming, but has to account for significantly higher changes under 3 K global warming.

Under-5 mortality in 2851 Chinese counties, 1996-2012: a subnational assessment of achieving MDG 4 goals in China.

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Wang, Yanping; Li, Xiaohong; Zhou, Maigeng; Luo, Shusheng; Liang, Juan; Liddell, Chelsea A; Coates, Matthew M; Gao, Yanqiu; Wang, Linhong; He, Chunhua; Kang, Chuyun; Liu, Shiwei; Dai, Li; Schumacher, Austin E; Fraser, Maya S; Wolock, Timothy M; Pain, Amanda; Levitz, Carly E; Singh, Lavanya; Coggeshall, Megan; Lind, Margaret; Li, Yichong; Li, Qi; Deng, Kui; Mu, Yi; Deng, Changfei; Yi, Ling; Liu, Zheng; Ma, Xia; Li, Hongtian; Mu, Dezhi; Zhu, Jun; Murray, Christopher J L; Wang, Haidong

2016-01-16

In the past two decades, the under-5 mortality rate in China has fallen substantially, but progress with regards to the Millennium Development Goal (MDG) 4 at the subnational level has not been quantified. We aimed to estimate under-5 mortality rates in mainland China for the years 1970 to 2012. We estimated the under-5 mortality rate for 31 provinces in mainland China between 1970 and 2013 with data from censuses, surveys, surveillance sites, and disease surveillance points. We estimated under-5 mortality rates for 2851 counties in China from 1996 to 2012 with the reported child mortality numbers from the Annual Report System on Maternal and Child Health. We used a small area mortality estimation model, spatiotemporal smoothing, and Gaussian process regression to synthesise data and generate consistent provincial and county-level estimates. We compared progress at the county level with what was expected on the basis of income and educational attainment using an econometric model. We computed Gini coefficients to study the inequality of under-5 mortality rates across counties. In 2012, the lowest provincial level under-5 mortality rate in China was about five per 1000 livebirths, lower than in Canada, New Zealand, and the USA. The highest provincial level under-5 mortality rate in China was higher than that of Bangladesh. 29 provinces achieved a decrease in under-5 mortality rates twice as fast as the MDG 4 target rate; only two provinces will not achieve MDG 4 by 2015. Although some counties in China have under-5 mortality rates similar to those in the most developed nations in 2012, some have similar rates to those recorded in Burkina Faso and Cameroon. Despite wide differences, the inter-county Gini coefficient has been decreasing. Improvement in maternal education and the economic boom have contributed to the fall in child mortality; more than 60% of the counties in China had rates of decline in under-5 mortality rates significantly faster than expected. Fast

A general psychopathology factor (P factor) in children: Structural model analysis and external validation through familial risk and child global executive function.

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Martel, Michelle M; Pan, Pedro M; Hoffmann, Maurício S; Gadelha, Ary; do Rosário, Maria C; Mari, Jair J; Manfro, Gisele G; Miguel, Eurípedes C; Paus, Tomás; Bressan, Rodrigo A; Rohde, Luis A; Salum, Giovanni A

2017-01-01

High rates of comorbidities and poor validity of disorder diagnostic criteria for mental disorders hamper advances in mental health research. Recent work has suggested the utility of continuous cross-cutting dimensions, including general psychopathology and specific factors of externalizing and internalizing (e.g., distress and fear) syndromes. The current study evaluated the reliability of competing structural models of psychopathology and examined external validity of the best fitting model on the basis of family risk and child global executive function (EF). A community sample of 8,012 families from Brazil with children ages 6-12 years completed structured interviews about the child and parental psychiatric syndromes, and a subsample of 2,395 children completed tasks assessing EF (i.e., working memory, inhibitory control, and time processing). Confirmatory factor analyses tested a series of structural models of psychopathology in both parents and children. The model with a general psychopathology factor ("P factor") with 3 specific factors (fear, distress, and externalizing) exhibited the best fit. The general P factor accounted for most of the variance in all models, with little residual variance explained by each of the 3 specific factors. In addition, associations between child and parental factors were mainly significant for the P factors and nonsignificant for the specific factors from the respective models. Likewise, the child P factor-but not the specific factors-was significantly associated with global child EF. Overall, our results provide support for a latent overarching P factor characterizing child psychopathology, supported by familial associations and child EF. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

The legacy of the Child Health and Nutrition Research Initiative (CHNRI).

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Black, Robert E

2016-06-01

Under the Global Forum for Health Research, the Child Health and Nutrition Research Initiative (CHNRI) began its operations in 1999 and became a Swiss foundation in 2006. The vision of CHNRI was to improve child health and nutrition of all children in low- and middle-income countries (LMIC) through research that informs health policy and practice. Specific objectives included expanding global knowledge on childhood disease burden and cost-effectiveness of interventions, promoting priority setting in research, ensuring inclusion of institutions and scientists in LMIC in setting priorities, promoting capacity development in LMIC and stimulating donors and countries to increase resources for research. CHNRI created a knowledge network, funded research through multiple rounds of a global competitive process and published research papers and policy briefs. A signature effort was to develop a systematic methodology for prioritizing health and nutrition research investments. The "CHNRI method" has been extensively applied to global health problems and is now the most commonly used method for prioritizing health research questions.

Effect of Investment in Malaria Control on Child Mortality in Sub-Saharan Africa in 2002–2008

Science.gov (United States)

Akachi, Yoko; Atun, Rifat

2011-01-01

Background Around 8.8 million children under-five die each year, mostly due to infectious diseases, including malaria that accounts for 16% of deaths in Africa, but the impact of international financing of malaria control on under-five mortality in sub-Saharan Africa has not been examined. Methods and Findings We combined multiple data sources and used panel data regression analysis to study the relationship among investment, service delivery/intervention coverage, and impact on child health by observing changes in 34 sub-Saharan African countries over 2002–2008. We used Lives Saved Tool to estimate the number of lives saved from coverage increase of insecticide-treated nets (ITNs)/indoor residual spraying (IRS). As an indicator of outcome, we also used under-five mortality rate. Global Fund investments comprised more than 70% of the Official Development Assistance (ODA) for malaria control in 34 countries. Each $1 million ODA for malaria enabled distribution of 50,478 ITNs [95%CI: 37,774–63,182] in the disbursement year. 1,000 additional ITNs distributed saved 0.625 lives [95%CI: 0.369–0.881]. Cumulatively Global Fund investments that increased ITN/IRS coverage in 2002–2008 prevented an estimated 240,000 deaths. Countries with higher malaria burden received less ODA disbursement per person-at-risk compared to lower-burden countries ($3.90 vs. $7.05). Increased ITN/IRS coverage in high-burden countries led to 3,575 lives saved per 1 million children, as compared with 914 lives in lower-burden countries. Impact of ITN/IRS coverage on under-five mortality was significant among major child health interventions such as immunisation showing that 10% increase in households with ITN/IRS would reduce 1.5 [95%CI: 0.3–2.8] child deaths per 1000 live births. Conclusions Along with other key child survival interventions, increased ITNs/IRS coverage has significantly contributed to child mortality reduction since 2002. ITN/IRS scale-up can be more efficiently

Permanent Housing for Child Welfare-Involved Families: Impact on Child Maltreatment Overview.

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Fowler, Patrick J; Schoeny, Michael

2017-09-01

A longitudinal randomized controlled trial tested whether access to permanent housing reduces child maltreatment among inadequately housed families under investigation for child abuse and neglect. The study followed homeless and child welfare-involved families randomly assigned to receive a referral for housing subsidies plus housing case management (n = 75, 196 children) or housing case management alone (n = 75, 186 children). Latent growth models examined change in caregiver-reported frequencies of psychological aggression, physical abuse, and neglect toward children at five time points across 2.5 years. Intent-to-treat analyses suggested treatment differences for minor assault and neglect that approached significance; families randomly assigned to permanent housing plus case management exhibited marginally greater declines compared to families referred for housing case management only. Caregiver psychological aggression remained high over time, regardless of treatment condition. No evidence indicated higher risk families benefitted more from permanent housing. Results show some promise of permanent housing and highlight the complex needs of homeless families under investigation for child maltreatment. Findings emphasize the importance of continued involvement from the child welfare system to connect families with important resources. © Society for Community Research and Action 2017.

Under Pressure: Job Security, Resource Allocation, and Productivity in Schools under No Child Left Behind

OpenAIRE

Randall Reback; Jonah Rockoff; Heather L. Schwartz

2014-01-01

We conduct the first nationwide study of incentives under the No Child Left Behind (NCLB) Act, which requires states to punish schools failing to meet target passing rates on students' standardized exams. States' idiosyncratic policies created variation in the risk of failure among very similar schools in different states, which we use to identify effects of accountability pressure. We find NCLB lowers teachers' perceptions of job security, shifts time towards specialist teachers in high-stak...

The Burden of Child Maltreatment Leading to Hospitalization in a Provincial Setting in Papua New Guinea.

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Rero, Allanie; Aipit, Jimmy; Yarong-Kote, Tina; Watch, Villa; Bolnga, John W; Vei, Robert; Morris, Marilyn; Lufele, Elvin; Laman, Moses

2016-08-01

Child maltreatment is prevalent globally. In Papua New Guinea (PNG), child maltreatment remains an under-reported problem. As part of a 10 month prospective observational study conducted at Modilon Hospital in PNG, we investigated the burden of child maltreatment in the form of sexual abuse, physical abuse and neglect, leading to hospitalization in children ≤14 years. Of 1061 screened admissions, 107 (10%) fulfilled the definition of child maltreatment. The in-hospital admission prevalence of sexual abuse was 5.7% [60 of 1061; 95% confidence interval (CI): 4.4-7.3]. Neglect accounted for 3.4% (36 of 1061; 95% CI: 2.4-4.7) of admissions, while physical abuse accounted for 1.0% (11 of 1061; 95% CI: 0.6-1.9). Mortality was highest in the neglected group, with severe acute malnutrition accounting for 89% of deaths. Improved awareness, establishment of appropriate channels for addressing child maltreatment and enforcement of child protection laws in PNG and other epidemiologically similar settings are urgently needed. © The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Under-Nutrition in Older People: A Serious and Growing Global Problem!

Directory of Open Access Journals (Sweden)

Visvanathan R

2003-01-01

Full Text Available Everyone agrees that adequate nutrient intake is important to all living things. Without food or water, life on earth would cease to exist. In the field of medical health, some gains have been made in meeting maternal and child nutritional needs. There is great community awareness regarding the importance of meeting the nutritional needs of the developing foetus and child. Malnutrition secondary to decreased intake in older people and weight loss is also a serious problem with unfortunately, very little notice from the community at large. As one ages, several physiological processes may contribute towards the development of protein energy malnutrition. Under-nutrition in older people is sadly far too common, even in developed countries. It is very likely that the same concerted effort used to address child malnutrition is required to combat under-nutrition in our elders. Protein energy malnutrition in older people comes at a significant cost to the individual, families, communities and the healthcare system. Failure to address this syndrome is not only unethical and unhealthy, but also costly. Vigilance and community awareness is important in ensuring that this important syndrome is detected and managed appropriately. This review mainly attempts to describe the pathophysiology, prevalence and consequences of under-nutrition and aims to highlight the importance of this clinical syndrome and the recent growth in our understanding of the processes behind its development. Some management strategies are also briefly described.

How does ocean ventilation change under global warming?

Directory of Open Access Journals (Sweden)

A. Gnanadesikan

2007-01-01

Full Text Available Since the upper ocean takes up much of the heat added to the earth system by anthropogenic global warming, one would expect that global warming would lead to an increase in stratification and a decrease in the ventilation of the ocean interior. However, multiple simulations in global coupled climate models using an ideal age tracer which is set to zero in the mixed layer and ages at 1 yr/yr outside this layer show that the intermediate depths in the low latitudes, Northwest Atlantic, and parts of the Arctic Ocean become younger under global warming. This paper reconciles these apparently contradictory trends, showing that the decreases result from changes in the relative contributions of old deep waters and younger surface waters. Implications for the tropical oxygen minimum zones, which play a critical role in global biogeochemical cycling are considered in detail.

Child labor. A matter of health and human rights.

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Mathews, Rahel; Reis, Chen; Iacopino, Vincent

2003-01-01

Despite the existence of laws in India that prohibit the labor of children under age 14, 70 to 115 million children between the ages of 5 and 14 are estimated to be part of India's labor force. Child labor in the agriculture sector accounts for 80% of child laborers in India and 70% of working children globally. From May 2001 to July 2001, Physicians for Human Rights (PHR) investigated the health experiences of 100 children in hybrid cottonseed production in rural Andhra Pradesh. Eighty-eight percent of the survey participants were girls, ages 7 to 14. PHR found that children worked on average 12 hours a day, were frequently exposed to pesticides, and were not provided with safety equipment, not even shoes or water to wash their hands and clothes. Children reported having frequent headaches and dizziness and skin and eye irritations after pesticide spraying. All 100 children reported that they were unable to go to school during the hybrid cottonseed season due to work demands. Ninety-four children reported to PHR that they would rather be in school. In addition, a majority of child workers interviewed by PHR reported physical and/or verbal abuse by their employers. Moreover, PHR interviews with representatives of multinational and national companies revealed knowledge of child labor practices for up to 10 years. Child labor is a significant health and human rights problem for children in India. The progressive elimination of child labor practices will require the support of a wide cross-section of civil society.

ASSESSMENT OF INFANT AND YOUNG CHILD FEEDING PRACTICES AMONG UNDER-3 YEARS CHILDREN IN URBAN SLUMS OF HUBBALLI CITY

Directory of Open Access Journals (Sweden)

Anjana P, Dattatreya D Bant

2015-11-01

Full Text Available Background: Malnutrition is a serious public health problem affecting the growth and development of children which have detrimental effect in later adolescent and adult life. Although Malnutrition is multifaceted problem, Infant and young child feeding practices by mothers is crucial for optimum growth and development of the children Objectives: 1 To Assess the Infant and Young child feeding practices followed by the Mothers. 2 To study the influence of feeding practices on weight of Under 3 years children. Methodology: Cross-sectional study conducted in an urban slum of Hubli. 110 mother-child pairs recruited , where the child was between 7 months to 3 years of age. Employed a pre-structured questionnaire as tool and Child’s Anthropometry done. Data presented as percentages and proportions. Chi square test is applied to test association between Feeding practices and underweight, P value less than 0.05 considered as significant. Results: 22.7 % mothers had Breast fed within recommended time following delivery, prelacteal feeding practices observed in 47.3 % and 37.3% followed Exclusively Breast Feeding. However Timely Initiation of complementary foods was seen only in 34.5%. Breast feeding continued in 47.3 % beyond 6 months. 53.6 % & 86.4% didn’t satisfy the Minimum meal frequency and dietary diversity respectively. 50.9% of children were Normal, 49.09% were Underweight. Conclusions: Nearly 50% of the children under this study were underweight. Mothers who had not Exclusively Breast fed for 6 months, not continued Breast feeding beyond 6 months and inadequate meal frequency of the child were significantly associated with underweight of the children.

“The child can remember your voice”: parent–child communication ...

African Journals Online (AJOL)

There is a wealth of research on parent–child communication about sexual and reproductive health and rights (SRHR) and its influence on young people's sexual behaviours. However, most of it is from the global North. The aim of this study was to explore parent–child communication in three South African provinces: ...

Characteristics of mother-child conflict and child sex predicting resolution.

Science.gov (United States)

Nelson, Jackie A; Boyer, Brittany P; Sang, Samantha A; Wilson, Elizabeth K

2014-04-01

Data from 190 mothers and their 5- to 7-year-old children were used to evaluate how characteristics of mother-child conflict discussions contribute to the likelihood of reaching a compromise, a win-loss resolution, or a standoff. Dyads discussed 2 topics they reported having disagreements about that were emotionally arousing. Coders rated global measurements of mothers' emotional responsiveness, intrusiveness, and negativity; children's negativity; and the frequency of mothers' and children's constructive and oppositional comments. Child sex was examined as a moderator of the relation between discussion characteristics and resolution reached. Results indicated that more constructive comments by mothers and children increased the likelihood of reaching a resolution versus a standoff, but only children's constructive comments differentiated between a compromise and a win-loss resolution favoring mothers. Dyads with more emotionally responsive mothers who made fewer oppositional comments were also more likely to reach a compromise versus a win-loss resolution. A significant interaction with child sex revealed that, for boys, the use of more child oppositional comments was associated with a higher likelihood of reaching a standoff versus a compromise. Girls' oppositional comments did not predict resolution type. These results are discussed in terms of the children's developmental level and parents' socialization goals. PsycINFO Database Record (c) 2014 APA, all rights reserved.

Child-rights & child development in India - a socio-economic analysis under regional perspective

OpenAIRE

Roy, Chandan

2013-01-01

Every human being below the age of eighteen years is known as ‘child’ according to the universally accepted definition of United Nations Convention on the Rights of the Child (UNCRC). The need for special safeguard for the child had been stated in the Geneva Declaration, 1924. It was also proclaimed in that declaration that the child by the reason of his physical and mental immaturity needs this special safeguard including appropriate legal protection. The need to extend particular care to th...

Effects of Prenatal Care on Child Health at Age 5

Science.gov (United States)

Noonan, Kelly; Corman, Hope; Schwartz-Soicher, Ofira; Reichman, Nancy E.

2012-01-01

Objectives The broad goal of contemporary prenatal care is to promote the health of the mother, child, and family through the pregnancy, delivery, and the child’s development. Although the vast majority of mothers giving birth in developed countries receive prenatal care, past research has not found compelling evidence that early or adequate prenatal care has favorable effects on birth outcomes. It is possible that prenatal care confers health benefits to the child that do not become apparent until after the perinatal period. Methods Using data from a national urban birth cohort study in the U.S., we estimate the effects of prenatal care on four markers of child health at age 5—maternal-reported health status, asthma diagnosis, overweight, and height. We implement a number of different strategies to address the issue of potential omitted variables bias as well as a large number of specification checks to validate the findings. Results and Conclusions Prenatal care, defined a number of different ways, does not appear to have any effect on the outcomes examined. The findings are robust and suggest that routine health care encounters during the prenatal period could potentially be used more effectively to enhance children’s health trajectories. However, future research is needed to explore the effects of prenatal care on additional child health and developmental outcomes as well as the effects of preconceptional and maternal lifetime helathcare on child health. PMID:22374319

Ending preventable child deaths from pneumonia and diarrhoea by 2025. Development of the integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea.

Science.gov (United States)

Qazi, Shamim; Aboubaker, Samira; MacLean, Rachel; Fontaine, Olivier; Mantel, Carsten; Goodman, Tracey; Young, Mark; Henderson, Peggy; Cherian, Thomas

2015-02-01

Despite the existence of low-cost and effective interventions for childhood pneumonia and diarrhoea, these conditions remain two of the leading killers of young children. Based on feedback from health professionals in countries with high child mortality, in 2009, WHO and Unicef began conceptualising an integrated approach for pneumonia and diarrhoea control. As part of this initiative, WHO and Unicef, with support from other partners, conducted a series of five workshops to facilitate the inclusion of coordinated actions for pneumonia and diarrhoea into the national health plans of 36 countries with high child mortality. This paper presents the findings from workshop and post-workshop follow-up activities and discusses the contribution of these findings to the development of the integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea, which outlines the necessary actions for elimination of preventable child deaths from pneumonia and diarrhoea by 2025. Though this goal is ambitious, it is attainable through concerted efforts. By applying the lessons learned thus far and continuing to build upon them, and by leveraging existing political will and momentum for child survival, national governments and their supporting partners can ensure that preventable child deaths from pneumonia and diarrhoea are eventually eliminated. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Globalization, Imperialism and Christianity: The Nigerian ...

African Journals Online (AJOL)

FIRST LADY

Musical instruments which Nigerian Christian churches use most often are those that depict .... the entire world”. Ekiyor (2007:51) states: “Globalization has aided and abetted the movement .... child-kidnapping and the local slave trade. 5. Christianity ..... Education and national development: A critique of NEPAD. Philosophy ...

Sources of variation in under-5 mortality across sub-Saharan Africa: a spatial analysis.

Science.gov (United States)

Burke, Marshall; Heft-Neal, Sam; Bendavid, Eran

2016-12-01

Detailed spatial understanding of levels and trends in under-5 mortality is needed to improve the targeting of interventions to the areas of highest need, and to understand the sources of variation in mortality. To improve this understanding, we analysed local-level information on child mortality across sub-Saharan Africa between 1980-2010. We used data from 82 Demographic and Health Surveys in 28 sub-Saharan African countries, including the location and timing of 3·24 million childbirths and 393 685 deaths, to develop high-resolution spatial maps of under-5 mortality in the 1980s, 1990s, and 2000s. These estimates were at a resolution of 0·1 degree latitude by 0·1 degree longitude (roughly 10 km × 10 km). We then analysed this spatial information to distinguish within-country versus between-country sources of variation in mortality, to examine the extent to which declines in mortality have been accompanied by convergence in the distribution of mortality, and to study localised drivers of mortality differences, including temperature, malaria burden, and conflict. In our sample of sub-Saharan African countries from the 1980s to the 2000s, within-country differences in under-5 mortality accounted for 74-78% of overall variation in under-5 mortality across space and over time. Mortality differed significantly across only 8-15% of country borders, supporting the role of local, rather than national, factors in driving mortality patterns. We found that by the end of the study period, 23% of the eligible children in the study countries continue to live in mortality hotspots-areas where, if current trends continue, the Sustainable Developent Goals mortality targets will not be met. In multivariate analysis, within-country mortality levels at each pixel were significantly related to local temperature, malaria burden, and recent history of conflict. Our findings suggest that sub-national determinants explain a greater portion of under-5 mortality than do country

Integrated assessment of global water scarcity over the 21st century under multiple climate change mitigation policies

Energy Technology Data Exchange (ETDEWEB)

Hejazi, Mohamad I.; Edmonds, James A.; Clarke, Leon E.; Kyle, G. Page; Davies, Evan; Chaturvedi, Vaibhav; Wise, Marshall A.; Patel, Pralit L.; Eom, Jiyong; Calvin, Katherine V.

2014-08-01

Water scarcity conditions over the 21st century both globally and regionally are assessed in the context of climate change and climate mitigation policies, by estimating both water availability and water demand within the Global Change Assessment Model (GCAM), a leading community integrated assessment model of energy, agriculture, climate, and water. To quantify changes in future water availability, a new gridded water-balance global hydrologic model – namely, the Global Water Availability Model (GWAM) – is developed and evaluated. Global water demands for six major demand sectors (irrigation, livestock, domestic, electricity generation, primary energy production, and manufacturing) are modeled in GCAM at the regional scale (14 geopolitical regions, 151 sub-regions) and then spatially downscaled to 0.5 o x 0.5o resolution to match the scale of GWAM. Using a baseline scenario (i.e., no climate change mitigation policy) with radiative forcing reaching 8.8 W/m2 (equivalent to the SRES A1Fi emission scenario) and three climate policy scenarios with increasing mitigation stringency of 7.7, 5.5, and 4.2 W/m2 (equivalent to the SRES A2, B2, and B1 emission scenarios, respectively), we investigate the effects of emission mitigation policies on water scarcity. Two carbon tax regimes (a universal carbon tax (UCT) which includes land use change emissions, and a fossil fuel and industrial emissions carbon tax (FFICT) which excludes land use change emissions) are analyzed. The baseline scenario results in more than half of the world population living under extreme water scarcity by the end of the 21st century. Additionally, in years 2050 and 2095, 36% (28%) and 44% (39%) of the global population, respectively, is projected to live in grid cells (in basins) that will experience greater water demands than the amount of available water in a year (i.e., the water scarcity index (WSI) > 1.0). When comparing the climate policy scenarios to the baseline scenario while maintaining

Global drought and severe drought-affected populations in 1.5 and 2 °C warmer worlds

Science.gov (United States)

Liu, Wenbin; Sun, Fubao; Lim, Wee Ho; Zhang, Jie; Wang, Hong; Shiogama, Hideo; Zhang, Yuqing

2018-03-01

The 2015 Paris Agreement proposed a more ambitious climate change mitigation target on limiting global warming to 1.5 °C instead of 2 °C above preindustrial levels. Scientific investigations on environmental risks associated with these warming targets are necessary to inform climate policymaking. Based on the Coupled Model Intercomparison Project phase 5 (CMIP5) climate models, we present the first risk-based assessment of changes in global drought and the impact of severe drought on populations from additional 1.5 and 2 °C warming conditions. Our results highlight the risk of drought on a global scale and in several hotspot regions such as the Amazon, northeastern Brazil, southern Africa and Central Europe at both 1.5 and 2 °C global warming relative to the historical period, showing increases in drought durations from 2.9 to 3.2 months. Correspondingly, more total and urban populations would be exposed to severe droughts globally (+132.5 ± 216.2 million and +194.5 ± 276.5 million total population and +350.2 ± 158.8 million and +410.7 ± 213.5 million urban populations in 1.5 and 2 °C warmer worlds) and regionally (e.g., East Africa, West Africa and South Asia). Less rural populations (-217.7 ± 79.2 million and -216.2 ± 82.4 million rural populations in 1.5 and 2 °C warmer worlds) would be exposed to severe drought globally under climate warming, population growth and especially the urbanization-induced population migration. By keeping global warming at 1.5 °C above the preindustrial levels instead of 2 °C, there is a decrease in drought risks (i.e., less drought duration, less drought intensity and severity but relatively more frequent drought) and the affected total, urban and rural populations would decrease globally and in most regions. While challenging for both East Africa and South Asia, the benefits of limiting warming to below 1.5 °C in terms of global drought risk and impact reduction are significant.

The legacy of the Child Health and Nutrition Research Initiative (CHNRI

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Robert E Black

2016-06-01

Full Text Available Under the Global Forum for Health Research, the Child Health and Nutrition Research Initiative (CHNRI began its operations in 1999 and became a Swiss foundation in 2006. The vision of CHNRI was to improve child health and nutrition of all children in low– and middle–income countries (LMIC through research that informs health policy and practice. Specific objectives included expanding global knowledge on childhood disease burden and cost-effectiveness of interventions, promoting priority setting in research, ensuring inclusion of institutions and scientists in LMIC in setting priorities, promoting capacity development in LMIC and stimulating donors and countries to increase resources for research. CHNRI created a knowledge network, funded research through multiple rounds of a global competitive process and published research papers and policy briefs. A signature effort was to develop a systematic methodology for prioritizing health and nutrition research investments. The “CHNRI method” has been extensively applied to global health problems and is now the most commonly used method for prioritizing health research questions.

Clinics in Mother and Child Health - Vol 5, No 1 (2008)

African Journals Online (AJOL)

Clinics in Mother and Child Health - Vol 5, No 1 (2008). Journal Home > Archives > Vol 5, No 1 (2008). Special Edition - Congress Abstracts. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register · Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue ...

Changes in tropical cyclones under stabilized 1.5 and 2.0 °C global warming scenarios as simulated by the Community Atmospheric Model under the HAPPI protocols

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Wehner, Michael F.; Reed, Kevin A.; Loring, Burlen; Stone, Dáithí; Krishnan, Harinarayan

2018-02-01

The United Nations Framework Convention on Climate Change (UNFCCC) invited the scientific community to explore the impacts of a world in which anthropogenic global warming is stabilized at only 1.5 °C above preindustrial average temperatures. We present a projection of future tropical cyclone statistics for both 1.5 and 2.0 °C stabilized warming scenarios with direct numerical simulation using a high-resolution global climate model. As in similar projections at higher warming levels, we find that even at these low warming levels the most intense tropical cyclones become more frequent and more intense, while simultaneously the frequency of weaker tropical storms is decreased. We also conclude that in the 1.5 °C stabilization, the effect of aerosol forcing changes complicates the interpretation of greenhouse gas forcing changes.

Undernutrition among children under 5 years of age in Yemen: Role of adequate childcare provided by adults under conditions of food insecurity.

Science.gov (United States)

Al-Sobaihi, Saber; Nakamura, Keiko; Kizuki, Masashi

2016-01-01

Objective: This study examined the associations between the adequacy of childcare provided by adult caretakers and childhood undernutrition in rural Yemen, independent of household wealth and food consumption. Methods: We analyzed data of 3,549 children under the age of 5 years living in rural areas of Yemen based on the 2013 Yemen Baseline Survey of Mother and Child Health. Nutritional status was evaluated by the presence of underweight, stunting, and wasting according to the World Health Organization child growth standards. The impact of childcare including leaving children alone, putting older children into labor force, and the use of antenatal care while pregnant on child undernutrition was assessed and adjusted for food consumption by children, household composition, demographic and educational background of caretakers, and household wealth. Results: The prevalence of underweight, stunting, and wasting was 46.2%, 62.6%, and 11.1%, respectively. Not leaving children alone, keeping children out of the labor force, and use of antenatal care were associated with a lower risk of underweight (odds ratio [OR] = 0.84, P = 0.016; OR = 0.84, P = 0.036; and OR = 0.85, P = 0.042) and stunting (OR = 0.80, P = 0.004; OR = 0.82, P = 0.024; and OR = 0.78, P = 0.003). After further adjustment for food consumption, the associations between adequate childcare indicators and lower odds of stunting remained significant (OR = 0.73, P = 0.025; OR = 0.72, P = 0.046; and OR = 0.76, P = 0.038). Conclusions: A marked prevalence of stunting among rural children in Yemen was observed. Adequate childcare by adult caretakers in families is associated with a lower incidence of underweight and stunting among children under 5 years of age. Promoting adequate childcare by adult household members is a feasible option for reducing undernutrition among children in rural Yemen.

Accidental head injuries in children under 5 years of age

International Nuclear Information System (INIS)

Johnson, K.; Fischer, T.; Chapman, S.; Wilson, B.

2005-01-01

AIM: To evaluate the type and nature of head injuries sustained by children under the age of 5 years who present to a busy accident and emergency (A and E) department following an accidental fall. MATERIALS AND METHODS: This study included all children under the age of 5 years, who over an 8-month period were referred to our A and E Department with head injury following an accidental fall. Data were collected regarding the height of the fall, whether or not stairs were involved, the type of surface that the child landed on and the height of the child. This was correlated with any soft-tissue injury or skull fracture. RESULTS: A total of 72 children (aged 4 months to 4.75 years) fulfilled all the criteria for an accidental fall. The heights of the falls ranged from less than 50 cm to over 3 m, with the majority below 1 m. Of the falls, 49 were onto a hard surface and 23 were onto a soft surface. Of the 72 children, 52 had visible evidence of head injury, 35 (71%) of 49 being the result of falls onto hard surfaces and 17 (74%) of 23 onto soft (carpeted) surfaces. There was no significant difference in the type of surface that resulted in a visible head injury. A visible head injury was seen in all children who fell from a height of over 1.5 m and in 95% of children who fell over 1 m. Of the 72 children, 32 (44%) had skull radiographs performed in accordance with established guidelines and 4 (12.5%) were identified as having a fracture. Of the 3 linear parietal fractures 2 were inflicted by falls of just over 1 m (from a work surface) and 1 by a fall of 80 to 90 cm onto the hard-edged surface of a stone fire surround. The 4th was a fracture of the base of skull following a fall from more than 3 m (from a first-storey window). CONCLUSIONS: In the vast majority of domestic accidents children do not suffer significant harm. Skull fractures are rare and probably occur in less than 5% of cases. To cause a skull fracture the fall needs to be from over 1 m or, if from a

How much might additional half a degree from a global warming of 1.5°C affects the extreme precipitation change in China?

Science.gov (United States)

Li, W.; Jiang, Z.

2017-12-01

In order to strengthen the global respond to the dangerous of global warming, Paris Agreement sets out two long-term warming goals: limiting global warming to well below 2˚C and purse effort to below 1.5˚C above pre-industrial levels. However, future climate change risks in those two warming targets show significant regional differences. This article aims to study the intensity and frequency of extreme precipitation change over China under those two global warming targets by using CMIP5 models under RCP4.5 and RCP8.5 scenario. Focus is put on the effects of the additional half degree in changing the extreme precipitation. Results show that the changes of extreme precipitation are independent of the RCP scenarios when global warming reaches the same threshold. Intensity of extreme precipitation averaged over China increase by around 6% and 11% when global warming reaches 1.5˚C and 2˚C, respectively. The additional half a degree increase makes the intensity of extreme precipitation averaged over China to increase by 4.5%, which translates to an increase close to the Clausius-Clapeyron scaling. Return period decreases by 5 years for the extra half degree warming when the 20-year return values are considered at the reference level.

Research inventory of child health: A report on roadmaps for the future of child health research in Europe

OpenAIRE

Ottova, Veronika; Alexander, Denise; Rigby, Michael; Staines, Anthony; Hjern, Anders; Leonardi, Matilde; Blair, Mitch; Tamburlini, Giorgio; Gaspar de Matos, Margarida; Bourek, Ales; Köhler, Lennart; Gunnlaugsson, Geir; Tomé, Gina; Ramiro, Lucia; Santos, Teresa

2013-01-01

RICHE was the response to a call under HEALTH-2009-3.3-5, with the title of 'European child health research platform'. The call text asked us to “address the diversity and fragmentation in child health research in Europe in an inclusive multidisciplinary way, identifying existing research programmes in Member States, recent advances and identification of gaps to explore road maps for the future of child health research in Europe”. Project structure A consortium, with a final total of 23 pa...

Validity and Reliability of the Turkish version of DSM-5 Social Anxiety Disorder Severity Scale- Child Form.

Science.gov (United States)

Yalin Sapmaz, Şermin; Ergin, Dilek; Şen Celasin, Nesrin; Karaarslan, Duygu; Öztürk, Masum; Özek Erkuran, Handan; Köroğlu, Ertuğrul; Aydemir, Ömer

2017-12-01

This study aimed to assess the validity and reliability of the Turkish version of the Diagnostic and statistical manual of Mental Disorders. (5 th ed.) (DSM-5) Social Anxiety Disorder Severity Scale- Child Form. The scale was prepared by carrying out the translation and back translation of the DSM-5 Social Anxiety Disorder Severity Scale - Child Form. The study group consisted of 31 patients that had been treated in a child psychiatry unit and diagnosed with social anxiety disorder and 99 healthy volunteers that were attending middle or high school during the study period. For the assessment, the Screen for Child Anxiety and Related Emotional Disorders (SCARED) was also used along with the DSM-5 Social Anxiety Disorder Severity Scale - Child Form. Regarding reliability analyses, Cronbach's alpha internal consistency coefficient was calculated as 0.941, while item-total score correlation coefficients were measured between 0.566 and 0.866. A test-retest correlation coefficient was calculated as r=0.711. As for construct validity, one factor that could explain 66.0 % of the variance was obtained. As for concurrent validity, the scale showed a high correlation with the SCARED. It was concluded that the Turkish version of the DSM-5 Social Anxiety Disorder Severity Scale - Child Form could be utilized as a valid and reliable tool both in clinical practice and for research purposes.

From global to heavy-light: 5-point conformal blocks

International Nuclear Information System (INIS)

Alkalaev, Konstantin; Belavin, Vladimir

2016-01-01

We consider Virasoro conformal blocks in the large central charge limit. There are different regimes depending on the behavior of the conformal dimensions. The most simple regime is reduced to the global sl(2,ℂ) conformal blocks while the most complicated one is known as the classical conformal blocks. Recently, Fitzpatrick, Kaplan, and Walters showed that the two regimes are related through the intermediate stage of the so-called heavy-light semiclassical limit. We study this idea in the particular case of the 5-point conformal block. To find the 5-point global block we use the projector technique and the Casimir operator approach. Furthermore, we discuss the relation between the global and the heavy-light limits and construct the heavy-light block from the global block. In this way we reproduce our previous results for the 5-point perturbative classical block obtained by means of the monodromy method.

The health and social situation of the mother during pregnancy and global quality of life of the child as an adult. Results from the prospective Copenhagen Perinatal Cohort 1959-1961

Directory of Open Access Journals (Sweden)

Søren Ventegodt

2005-01-01

Full Text Available A prospective cohort study (Copenhagen Perinatal Birth Cohort 1959-61 of 7,222 persons was used in order to explore the association between the social and health situation during pregnancy and the global quality of life (QOL of the adult child 31-33 years later. Two sets of questionnaires were used with one filled out by physicians during pregnancy and one filled out by the adult children 31-33 years later. The questionnaires included mother's situation during pregnancy and global QOL of the child at follow-up: Well-being, life satisfaction, happiness, fulfilment of needs, experience of life’s temporal and spatial domains, expression of life’s potentials and objective measures. The only indicators to have clear connections with a reduced quality of life were the cases of mother's with syphilis (8.5%, mother's congenital malformations (8.8%, low social group (6.9% and failing contraception (3.8%. The results obtained repudiate the common notion and hypothesis that the mother's situation during pregnancy is highly important for the quality of life that the child experience as an adult. This suggest that the aspects important for quality of life later on are not found solely in early conditions, but instead more dependent on later attitude towards life of that specific person.

Drought and Carbon Cycling of Grassland Ecosystems under Global Change: A Review

Directory of Open Access Journals (Sweden)

Tianjie Lei

2016-10-01

Full Text Available In recent years, the increased intensity and duration of droughts have dramatically altered the structure and function of grassland ecosystems, which have been forced to adapt to this change in climate. Combinations of global change drivers such as elevated atmospheric CO2 concentration, warming, nitrogen (N deposition, grazing, and land-use change have influenced the impact that droughts have on grassland C cycling. This influence, to some extent, can modify the relationship between droughts and grassland carbon (C cycling in the multi-factor world. Unfortunately, prior reviews have been primarily anecdotal from the 1930s to the 2010s. We investigated the current state of the study on the interactive impacts of multiple factors under drought scenarios in grassland C cycling and provided scientific advice for dealing with droughts and managing grassland C cycling in a multi-factor world. Currently, adequate information is not available on the interaction between droughts and global change drivers, which would advance our understanding of grassland C cycling responses. It was determined that future experiments and models should specifically test how droughts regulate grassland C cycling under global changes. Previous multi-factor experiments of current and future global change conditions have studied various drought scenarios poorly, including changes in precipitation frequency and amplitude, timing, and interactions with other global change drivers. Multi-factor experiments have contributed to quantifying these potential changes and have provided important information on how water affects ecosystem processes under global change. There is an urgent need to establish a systematic framework that can assess ecosystem dynamic responses to droughts under current and future global change and human activity, with a focus on the combined effects of droughts, global change drivers, and the corresponding hierarchical responses of an ecosystem.

Narrowing socioeconomic inequality in child stunting: the Brazilian experience, 1974-2007.

Science.gov (United States)

Monteiro, Carlos Augusto; Benicio, Maria Helena D'Aquino; Conde, Wolney Lisboa; Konno, Silvia; Lovadino, Ana Lucia; Barros, Aluisio J D; Victora, Cesar Gomes

2010-04-01

To assess trends in the prevalence and social distribution of child stunting in Brazil to evaluate the effect of income and basic service redistribution policies implemented in that country in the recent past. The prevalence of stunting (height-for-age z score below -2 using the Child Growth Standards of the World Health Organization) among children aged less than 5 years was estimated from data collected during national household surveys carried out in Brazil in 1974-75 (n = 34,409), 1989 (n = 7374), 1996 (n = 4149) and 2006-07 (n = 4414). Absolute and relative socioeconomic inequality in stunting was measured by means of the slope index and the concentration index of inequality, respectively. Over a 33-year period, we documented a steady decline in the national prevalence of stunting from 37.1% to 7.1%. Prevalence dropped from 59.0% to 11.2% in the poorest quintile and from 12.1% to 3.3% among the wealthiest quintile. The decline was particularly steep in the last 10 years of the period (1996 to 2007), when the gaps between poor and wealthy families with children under 5 were also reduced in terms of purchasing power; access to education, health care and water and sanitation services; and reproductive health indicators. In Brazil, socioeconomic development coupled with equity-oriented public policies have been accompanied by marked improvements in living conditions and a substantial decline in child undernutrition, as well as a reduction of the gap in nutritional status between children in the highest and lowest socioeconomic quintiles. Future studies will show whether these gains will be maintained under the current global economic crisis.

Uncertain impacts on economic growth when stabilizing global temperatures at 1.5°C or 2°C warming

Science.gov (United States)

Pretis, Felix; Schwarz, Moritz; Tang, Kevin; Haustein, Karsten; Allen, Myles R.

2018-05-01

Empirical evidence suggests that variations in climate affect economic growth across countries over time. However, little is known about the relative impacts of climate change on economic outcomes when global mean surface temperature (GMST) is stabilized at 1.5°C or 2°C warming relative to pre-industrial levels. Here we use a new set of climate simulations under 1.5°C and 2°C warming from the `Half a degree Additional warming, Prognosis and Projected Impacts' (HAPPI) project to assess changes in economic growth using empirical estimates of climate impacts in a global panel dataset. Panel estimation results that are robust to outliers and breaks suggest that within-year variability of monthly temperatures and precipitation has little effect on economic growth beyond global nonlinear temperature effects. While expected temperature changes under a GMST increase of 1.5°C lead to proportionally higher warming in the Northern Hemisphere, the projected impact on economic growth is larger in the Tropics and Southern Hemisphere. Accounting for econometric estimation and climate uncertainty, the projected impacts on economic growth of 1.5°C warming are close to indistinguishable from current climate conditions, while 2°C warming suggests statistically lower economic growth for a large set of countries (median projected annual growth up to 2% lower). Level projections of gross domestic product (GDP) per capita exhibit high uncertainties, with median projected global average GDP per capita approximately 5% lower at the end of the century under 2°C warming relative to 1.5°C. The correlation between climate-induced reductions in per capita GDP growth and national income levels is significant at the p economic inequality between countries and is relevant to discussions of loss and damage under the United Nations Framework Convention on Climate Change. This article is part of the theme issue `The Paris Agreement: understanding the physical and social challenges for a

Uncertain impacts on economic growth when stabilizing global temperatures at 1.5°C or 2°C warming

Science.gov (United States)

Schwarz, Moritz; Tang, Kevin; Haustein, Karsten; Allen, Myles R.

2018-01-01

Empirical evidence suggests that variations in climate affect economic growth across countries over time. However, little is known about the relative impacts of climate change on economic outcomes when global mean surface temperature (GMST) is stabilized at 1.5°C or 2°C warming relative to pre-industrial levels. Here we use a new set of climate simulations under 1.5°C and 2°C warming from the ‘Half a degree Additional warming, Prognosis and Projected Impacts' (HAPPI) project to assess changes in economic growth using empirical estimates of climate impacts in a global panel dataset. Panel estimation results that are robust to outliers and breaks suggest that within-year variability of monthly temperatures and precipitation has little effect on economic growth beyond global nonlinear temperature effects. While expected temperature changes under a GMST increase of 1.5°C lead to proportionally higher warming in the Northern Hemisphere, the projected impact on economic growth is larger in the Tropics and Southern Hemisphere. Accounting for econometric estimation and climate uncertainty, the projected impacts on economic growth of 1.5°C warming are close to indistinguishable from current climate conditions, while 2°C warming suggests statistically lower economic growth for a large set of countries (median projected annual growth up to 2% lower). Level projections of gross domestic product (GDP) per capita exhibit high uncertainties, with median projected global average GDP per capita approximately 5% lower at the end of the century under 2°C warming relative to 1.5°C. The correlation between climate-induced reductions in per capita GDP growth and national income levels is significant at the p economic inequality between countries and is relevant to discussions of loss and damage under the United Nations Framework Convention on Climate Change. This article is part of the theme issue ‘The Paris Agreement: understanding the physical and social challenges for

Definition of a Dependent Child

CERN Multimedia

Human Resources Department

2005-01-01

The Department of Human Resources wishes to remind members of the personnel that, under the provisions of § 6 of Administrative Circular No. 5 “Dependent child”, in the case of a child over 18 years of age the status of dependent child comes to an end once a course of studies is completed. Consequently, the payment of the dependent child allowance and the child's membership of the CERN Health Insurance Scheme terminate with effect from the last day of the month in which the course of study concerned ends. In this connection, members of the personnel are reminded that children who are no longer dependent according to the Staff Rules and Regulations and who are less than 26 years of age can nevertheless opt for membership of the normal health insurance under the terms and conditions laid down in the CERN Health Insurance Rules. The Department of Human Resources also wishes to remind members of the personnel that, pursuant to Article R IV 1.17 of the Staff Regulations, a member of the personnel is requ...

Germination Shifts of C3 and C4 Species under Simulated Global Warming Scenario

Science.gov (United States)

Zhang, Hongxiang; Yu, Qiang; Huang, Yingxin; Zheng, Wei; Tian, Yu; Song, Yantao; Li, Guangdi; Zhou, Daowei

2014-01-01

Research efforts around the world have been increasingly devoted to investigating changes in C3 and C4 species' abundance or distribution with global warming, as they provide important insight into carbon fluxes and linked biogeochemical cycles. However, changes in the early life stage (e.g. germination) of C3 and C4 species in response to global warming, particularly with respect to asymmetric warming, have received less attention. We investigated germination percentage and rate of C3 and C4 species under asymmetric (+3/+6°C at day/night) and symmetric warming (+5/+5°C at day/night), simulated by alternating temperatures. A thermal time model was used to calculate germination base temperature and thermal time constant. Two additional alternating temperature regimes were used to test temperature metrics effect. The germination percentage and rate increased continuously for C4 species, but increased and then decreased with temperature for C3 species under both symmetric and asymmetric warming. Compared to asymmetric warming, symmetric warming significantly overestimated the speed of germination percentage change with temperature for C4 species. Among the temperature metrics (minimum, maximum, diurnal temperature range and average temperature), maximum temperature was most correlated with germination of C4 species. Our results indicate that global warming may favour germination of C4 species, at least for the C4 species studied in this work. The divergent effects of asymmetric and symmetric warming on plant germination also deserve more attention in future studies. PMID:25137138

Germination shifts of C3 and C4 species under simulated global warming scenario.

Science.gov (United States)

Zhang, Hongxiang; Yu, Qiang; Huang, Yingxin; Zheng, Wei; Tian, Yu; Song, Yantao; Li, Guangdi; Zhou, Daowei

2014-01-01

Research efforts around the world have been increasingly devoted to investigating changes in C3 and C4 species' abundance or distribution with global warming, as they provide important insight into carbon fluxes and linked biogeochemical cycles. However, changes in the early life stage (e.g. germination) of C3 and C4 species in response to global warming, particularly with respect to asymmetric warming, have received less attention. We investigated germination percentage and rate of C3 and C4 species under asymmetric (+3/+6°C at day/night) and symmetric warming (+5/+5°C at day/night), simulated by alternating temperatures. A thermal time model was used to calculate germination base temperature and thermal time constant. Two additional alternating temperature regimes were used to test temperature metrics effect. The germination percentage and rate increased continuously for C4 species, but increased and then decreased with temperature for C3 species under both symmetric and asymmetric warming. Compared to asymmetric warming, symmetric warming significantly overestimated the speed of germination percentage change with temperature for C4 species. Among the temperature metrics (minimum, maximum, diurnal temperature range and average temperature), maximum temperature was most correlated with germination of C4 species. Our results indicate that global warming may favour germination of C4 species, at least for the C4 species studied in this work. The divergent effects of asymmetric and symmetric warming on plant germination also deserve more attention in future studies.

Perpetrators or Preventers? The Double Role of Corporations in Child Trafficking in a Global Context

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Silvia Rodríguez-López

2018-03-01

Full Text Available In recent years, the engagement of corporations in child trafficking has become a matter of growing importance. Many corporations have adopted global subcontracting systems and complex structures that boost their productivity and profits, but might also create more opportunities for trafficking and exploitation of both adults and children. Taking this context into account, the ways in which corporations can commit child trafficking will be explored and exemplified to highlight their diversity. This paper also offers a brief overview of the response given by international and European anti-trafficking instruments concerning corporate criminal liability for child trafficking. Moreover, the mechanisms adopted by some companies to prevent trafficking and promote transparency within their supply chains will also be addressed. Overall, this paper aims to illustrate the pivotal role of corporations from two perspectives: as potential perpetrators of this serious crime, and as necessary actors to prevent it.  El compromiso empresarial sobre el tráfico infantil es un asunto de creciente importancia. Muchas corporaciones han adoptado sistemas globales de subcontrataciones y complejas estructuras que incrementan su productividad y sus beneficios, pero que también podrían crear más oportunidades para la trata y la explotación de adultos y niños. Partiendo de este contexto, se exploran y ejemplifican las diversas formas en que las corporaciones pueden cometer tráfico infantil. El artículo repasa brevemente la respuesta de los instrumentos internacionales y europeos en lo tocante a la responsabilidad penal de las corporaciones por la trata infantil, y aborda los mecanismos adoptados por algunas empresas para prevenir la trata y promover la transparencia en sus cadenas de suministro. En suma, se pretende ilustrar el rol crucial de las corporaciones desde dos puntos de vista: como potenciales perpetradores de este grave crimen y como actores necesarios

Spatio-temporal variations of vegetation indicators in Eastern Siberia under global warming

Science.gov (United States)

Varlamova, Eugenia V.; Solovyev, Vladimir S.

2017-11-01

Study of spatio-temporal variations of NDVI (Normalized Difference Vegetation Index) and phenological parameters of Eastern Siberia vegetation cover under global warming was carried out on AVHRR/NOAA data (1982-2014). Trend maps of NDVI and annual variations of phenological parameters and NDVI are analyzed. A method based on stable transition of air temperature through +5°C was used to estimate the beginning, end and the length of the growing season. Correlation between NDVI and phenological parameters, surface air temperature and precipitation are discussed.

Dental avoidance behaviour in parent and child as risk indicators for caries in 5-year-old children.

Science.gov (United States)

Wigen, Tove I; Skaret, Erik; Wang, Nina J

2009-11-01

The aim of this study was to explore associations between avoidance behaviour and dental anxiety in both parents and children and caries experience in 5-year-old children. It was hypothesised that parents' dental avoidance behaviour and dental anxiety were related to dental caries in 5-year-old children. Data were collected from dental records and by clinical and radiographic examination of 523 children. The parents completed a questionnaire regarding education, national background, dental anxiety, dental attendance, and behaviour management problems. Bivariate and multivariate logistic regression was conducted. Children having one or more missed dental appointments (OR = 4.7), child behaviour management problems (OR = 3.3), child dental anxiety (OR = 3.1), and parents avoiding dental care (OR = 2.1) were bivariately associated with caries experience at the age of 5 years. In multivariate logistic regression, having one or more missed dental appointments (OR = 4.0) and child behaviour management problems (OR = 2.4) were indicators for dental caries in 5-year-old children, when controlling for parents education and national origin. Parents that avoid bringing their child to scheduled dental appointments and previous experiences of behaviour management problems for the child indicated risk for dental caries in 5-year-old children.

Why tell children: A synthesis of the global literature on reasons for disclosing or not disclosing an HIV diagnosis to children 12 and under

Directory of Open Access Journals (Sweden)

Beatrice J. Krauss

2016-09-01

Full Text Available While the psychological and health benefits of knowing one’s HIV diagnosis have been documented for adults and adolescents, practice is still in development for younger children. Moderating conditions for whether or not to tell a child he/she has HIV vary by region and local context. They include accessibility of treatment, consideration of HIV as a stigmatizing condition, prevalence of HIV and an accompanying presumption that any illness is HIV-related, parent or caregiver concerns about child reactions, child’s worsening health, assumptions about childhood and child readiness to know a diagnosis, and lack of policies such as those that would prevent bullying of affected children in schools. In this systematic review of the global literature, we summarize the reasons caregivers give for telling or not telling children 12 and under their HIV diagnosis. We also include articles in which children reflect on their desires for being told. While a broad number of reasons are given for telling a child—e.g., to aid in prevention, adaptation to illness (e.g., primarily to promote treatment adherence, understanding social reactions, and maintaining the child-adult relationship—a narrower range of reasons, often related to immediate child or caregiver well-being or discomfort, are given for not telling. Recommendations are made to improve the context for disclosure by providing supports before, during and after disclosure and to advance the research agenda by broadening samples and refining approaches.

The development of family alliance from pregnancy to toddlerhood and child outcomes at 5 years.

Science.gov (United States)

Favez, Nicolas; Lopes, Francesco; Bernard, Mathieu; Frascarolo, France; Lavanchy Scaiola, Chloe; Corboz-Warnery, Antoinette; Fivaz-Depeursinge, Elisabeth

2012-12-01

This article presents a longitudinal study of the development of "family alliance" from pregnancy to toddlerhood in a community sample, as well as its links with the emotional and cognitive development of the child at age 5 years. Family alliance is defined as the quality of the interactive coordination between family members. We consider that the alliance constitutes a context for the child to learn emotion regulation and to develop an understanding of inner states. Family interactions (N = 38) were observed at the 5th month of pregnancy and at 3, 9, and 18 months after birth in a standardized situation of observation (Lausanne Trilogue Play). Marital satisfaction and child temperament were assessed through self-reported questionnaires. Several outcomes of the child at age 5 years were measured: theory of mind performances, predominant emotional themes in pretend play, internalized and externalized symptoms. Results show that (a) three patterns of evolution of family alliance occur: "high stable" (n = 19), "high to low" (n = 10), and "low stable" (n = 9); (b) a high stable alliance is predictive of better outcomes in children at age 5 years, especially regarding theory of mind; (c) the temperament of the child is predictive of child outcomes; and (d) an interaction effect occurs between family alliance and temperament. These results highlight the importance of both family-level and individual-level variables for understanding individual differences in the social and cognitive development of children. © FPI, Inc.

Acceptability of Family Violence: Underlying Ties Between Intimate Partner Violence and Child Abuse.

Science.gov (United States)

Gracia, Enrique; Rodriguez, Christina M; Martín-Fernández, Manuel; Lila, Marisol

2017-05-01

Intimate partner violence (IPV) and child abuse (CA) are two forms of family violence with shared qualities and risk factors, and are forms of violence that tend to overlap. Acceptability of violence in partner relationships is a known risk factor in IPV just as acceptability of parent-child aggression is a risk factor in CA. We hypothesized that these acceptability attitudes may be linked and represent the expression of a general, underlying nonspecific acceptance of violence in close family relationships. The sample involved 164 male IPV offenders participating in a batterer intervention program. Implicit measures, which assess constructs covertly to minimize response distortions, were administered to assess acceptability of partner violence against women and acceptability of parent-child aggression. To determine whether acceptability attitudes regarding both forms of violence were related to a higher order construct tapping general acceptance of family violence, Bayesian confirmatory factor analyses were conducted. Findings supported a hierarchical (bifactor) model with a general factor expressing a nonspecific acceptance of family violence, and two specific factors reflecting acceptability of violence in intimate partner and parent-child relationships, respectively. This hierarchical model supporting a general acceptance of violence in close family relationships can inform future research aiming to better understand the connections between IPV and CA.

Household wealth and child health in India.

Science.gov (United States)

Chalasani, Satvika; Rutstein, Shea

2014-03-01

Using data from the Indian National Family Health Surveys (1992-93, 1998-99, 2005-06), this study examined how the relationship between household wealth and child health evolved during a time of significant economic change in India. The main predictor was an innovative measure of household wealth that captures changes in wealth over time. Discrete-time logistic models (with community fixed effects) were used to examine mortality and malnutrition outcomes: infant, child, and under-5 mortality; stunting, wasting, and being underweight. Analysis was conducted at the national, urban/rural, and regional levels, separately for boys and girls. The results indicate that the relationship between household wealth and under-5 mortality weakened over time but this result was dominated by infant mortality. The relationship between wealth and child mortality stayed strong for girls. The relationship between household wealth and malnutrition became stronger over time for boys and particularly for girls, in urban and (especially) rural areas.

School Nurses Avoid Addressing Child Sexual Abuse

Science.gov (United States)

Engh Kraft, Lisbet; Rahm, GullBritt; Eriksson, Ulla-Britt

2017-01-01

Child sexual abuse (CSA) is a global public health problem with major consequences for the individual child and society. An earlier Swedish study showed that the school nurses did not initially talk about nor mention CSA as one form of child abuse. For the child to receive adequate support, the disclosure is a precondition and is dependent on an…

A web of gaps: a discussion of research strands concerning Global South families with a disabled child.

Science.gov (United States)

Hunt, Xanthe; Watermeyer, Brian

2017-01-01

In low- and middle-income countries (LMICs), limited access to a range of supports means that families often carry primary responsibility for the care of a disabled child. The impact of this responsibility is poorly understood. To present a selective review, critique, and comparison of the prominent areas of research aimed at understanding families with disabled children in the Global South. We compare and critically discuss prominent bodies of literature concerning the family-disability-poverty nexus in LMICs. Three prominent bodies of literature concerned with families with a disabled child in LMICs are reviewed. These were selected based on their relative prevalence in a large review of the literature, and comprise (1) work concerning quality of life (FQOL) of families with a disabled child; (2) interventions aimed at supporting families with a disabled child in LMICs; and (3) the ways in which culture mediates the families' experience of disability. FQOL research points to poverty as a primary source of family distress, and directs our focus towards families' own expertise in coping with their circumstances. Intervention literature from LMICs highlights the family as the unit of analysis and praxis concerning disabled children, and reminds us of the contextual factors which must be considered when working with their families. Culturally oriented research on poverty, disability, and the family nuances our understanding of the locally-determined priorities of families with a disabled child in LMICs. All three research strands carry benefits, limitations and gaps. The complexity of understanding families with a disabled child in LMICs comes to the fore, directing us away from narrow application of any single theoretical or research framework. Future researchers may draw on insights provided here in creating a more integrated approach.

Modern-Day Child Slavery

Science.gov (United States)

van de Glind, Hans; Kooijmans, Joost

2008-01-01

Child slavery is a contemporary global problem existing since ancient times. The concept of slavery and practices similar to it are defined in a range of international instruments. Children are particularly vulnerable to slavery-like practices, and their special plight is addressed by the UN Convention on the Rights of the Child (CRC-in particular…

Reduced interdecadal variability of Atlantic Meridional Overturning Circulation under global warming.

Science.gov (United States)

Cheng, Jun; Liu, Zhengyu; Zhang, Shaoqing; Liu, Wei; Dong, Lina; Liu, Peng; Li, Hongli

2016-03-22

Interdecadal variability of the Atlantic Meridional Overturning Circulation (AMOC-IV) plays an important role in climate variation and has significant societal impacts. Past climate reconstruction indicates that AMOC-IV has likely undergone significant changes. Despite some previous studies, responses of AMOC-IV to global warming remain unclear, in particular regarding its amplitude and time scale. In this study, we analyze the responses of AMOC-IV under various scenarios of future global warming in multiple models and find that AMOC-IV becomes weaker and shorter with enhanced global warming. From the present climate condition to the strongest future warming scenario, on average, the major period of AMOC-IV is shortened from ∼50 y to ∼20 y, and the amplitude is reduced by ∼60%. These reductions in period and amplitude of AMOC-IV are suggested to be associated with increased oceanic stratification under global warming and, in turn, the speedup of oceanic baroclinic Rossby waves.

Reduced interdecadal variability of Atlantic Meridional Overturning Circulation under global warming

Science.gov (United States)

Cheng, Jun; Liu, Zhengyu; Zhang, Shaoqing; Liu, Wei; Dong, Lina; Liu, Peng; Li, Hongli

2016-01-01

Interdecadal variability of the Atlantic Meridional Overturning Circulation (AMOC-IV) plays an important role in climate variation and has significant societal impacts. Past climate reconstruction indicates that AMOC-IV has likely undergone significant changes. Despite some previous studies, responses of AMOC-IV to global warming remain unclear, in particular regarding its amplitude and time scale. In this study, we analyze the responses of AMOC-IV under various scenarios of future global warming in multiple models and find that AMOC-IV becomes weaker and shorter with enhanced global warming. From the present climate condition to the strongest future warming scenario, on average, the major period of AMOC-IV is shortened from ∼50 y to ∼20 y, and the amplitude is reduced by ∼60%. These reductions in period and amplitude of AMOC-IV are suggested to be associated with increased oceanic stratification under global warming and, in turn, the speedup of oceanic baroclinic Rossby waves. PMID:26951654

Global monodromy modulo 5 of quintic-mirror family

OpenAIRE

Shirakawa, Kennichiro

2011-01-01

The quintic-mirror family is a well-known one-parameter family of Calabi-Yau threefolds. A complete description of the global monodromy group of this family is not yet known. In this paper, we give a presentation of the global monodromy group in the general linear group of degree 4 over the ring of integers modulo 5.

Child maltreatment in DSM-5 and ICD-11.

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Slep, Amy M Smith; Heyman, Richard E; Foran, Heather M

2015-03-01

Child maltreatment is widespread and has a tremendous impact on child victims and their families. Over the past decade, definitions of child maltreatment have been developed that are operationalized, face valid, and can be reliably applied in clinical settings. These definitions have informed the revised Diagnostic and Statistical Manual (American Psychiatric Association, 2013) and are being considered for the International Classification of Disease-11 (World Health Organization). Now that these definitions are available in major diagnostic systems, primary healthcare providers and clinicians who see children and families are poised to help screen for, identify, prevent, and treat child maltreatment. This article reviews the definitions of maltreatment in these diagnostic systems, along with assessment and screening tools, and empirically supported prevention and intervention approaches. © 2015 Family Process Institute.

Changes in tropical cyclones under stabilized 1.5 and 2.0 °C global warming scenarios as simulated by the Community Atmospheric Model under the HAPPI protocols

Directory of Open Access Journals (Sweden)

M. F. Wehner

2018-02-01

Full Text Available The United Nations Framework Convention on Climate Change (UNFCCC invited the scientific community to explore the impacts of a world in which anthropogenic global warming is stabilized at only 1.5 °C above preindustrial average temperatures. We present a projection of future tropical cyclone statistics for both 1.5 and 2.0 °C stabilized warming scenarios with direct numerical simulation using a high-resolution global climate model. As in similar projections at higher warming levels, we find that even at these low warming levels the most intense tropical cyclones become more frequent and more intense, while simultaneously the frequency of weaker tropical storms is decreased. We also conclude that in the 1.5 °C stabilization, the effect of aerosol forcing changes complicates the interpretation of greenhouse gas forcing changes.

The epidemiology of child homicides in South Africa.

Science.gov (United States)

Mathews, Shanaaz; Abrahams, Naeemah; Jewkes, Rachel; Martin, Lorna J; Lombard, Carl

2013-08-01

To describe age- and sex-specific rates of child homicide in South Africa. A cross-sectional mortuary-based study was conducted in a national sample of 38 medicolegal laboratories operating in 2009. These were sampled in inverse proportion to the number that were operational in each of three strata defined by autopsy volume:  1499 annual autopsies. Child homicide data were collected from mortuary files, autopsy reports and police interviews. Cause of death, evidence of abuse and neglect or of sexual assault, perpetrator characteristics and circumstances surrounding the death were investigated. An estimated 1018 (95% confidence interval, CI: 843-1187) child homicides occurred in 2009, for a rate of 5.5 (95% CI: 4.6-6.4) homicides per 100 000 children younger than 18 years. The homicide rate was much higher in boys (6.9 per 100 000; 95% CI: 5.6-8.3) than in girls (3.9 per 100 000; 95% CI: 3.2-4.7). Child abuse and neglect had preceded nearly half (44.5%) of all homicides, but three times more often among girls than among boys. In children aged 15 to 17 years, the homicide rate among boys (21.7 per 100 000; 95% CI: 14.2-29.2) was nearly five times higher than the homicide rate among girls (4.6 per 100 000; 95% CI: 2.4-6.8). South Africa's child homicide rate is more than twice the global estimate. Since a background of child abuse and neglect is common, improvement of parenting skills should be part of primary prevention efforts.

Child health and child care of very young children in Bolivia, Colombia and Peru

OpenAIRE

Urke, Helga Bjørnøy

2017-01-01

With the global progress in reduction of child mortality, an increasing concern for the health, development and well-being of the surviving child has emerged. It is estimated that 250 million children are not reaching their developmental potential in developing countries, due to among others malnutrition, inadequate care and exposure to violence. In addition, structural and other social aspects of the immediate family and wider community environment of the child exert influence...

Towards a capability approach to child growth: A theoretical framework.

Science.gov (United States)

Haisma, Hinke; Yousefzadeh, Sepideh; Boele Van Hensbroek, Pieter

2018-04-01

Child malnutrition is an important cause of under-5 mortality and morbidity around the globe. Despite the partial success of (inter)national efforts to reduce child mortality, under-5 mortality rates continue to be high. The multidimensional approaches of the Sustainable Development Goals may suggest new directions for rethinking strategies for reducing child mortality and malnutrition. We propose a theoretical framework for developing a "capability" approach to child growth. The current child growth monitoring practices are based on 2 assumptions: (a) that anthropometric and motor development measures are the appropriate indicators; and (b) that child growth can be assessed using a single universal standard that is applicable around the world. These practices may be further advanced by applying a capability approach to child growth, whereby growth is redefined as the achievement of certain capabilities (of society, parents, and children). This framework is similar to the multidimensional approach to societal development presented in the seminal work of Amartya Sen. To identify the dimensions of healthy child growth, we draw upon theories from the social sciences and evolutionary biology. Conceptually, we consider growth as a plural space and propose assessing growth by means of a child growth matrix in which the context is embedded in the assessment. This approach will better address the diversities and the inequalities in child growth. Such a multidimensional measure will have implications for interventions and policy, including prevention and counselling, and could have an impact on child malnutrition and mortality. © 2017 The Authors. Maternal and Child Nutrition Published by John Wiley & Sons, Ltd.

The Potential Impact of Animal Science Research on Global Maternal and Child Nutrition and Health: A Landscape Review.

Science.gov (United States)

Odle, Jack; Jacobi, Sheila K; Boyd, R Dean; Bauman, Dale E; Anthony, Russell V; Bazer, Fuller W; Lock, Adam L; Serazin, Andrew C

2017-03-01

High among the challenges facing mankind as the world population rapidly expands toward 9 billion people by 2050 is the technological development and implementation of sustainable agriculture and food systems to supply abundant and wholesome nutrition. In many low-income societies, women and children are the most vulnerable to food insecurity, and it is unequivocal that quality nutrition during the first 1000 d of life postconception can be transformative in establishing a robust, lifelong developmental trajectory. With the desire to catalyze disruptive advancements in global maternal and child health, this landscape review was commissioned by the Bill & Melinda Gates Foundation to examine the nutritional and managerial practices used within the food-animal agricultural system that may have relevance to the challenges faced by global human health. The landscape was categorized into a framework spanning 1 ) preconception, 2 ) gestation and pregnancy, 3 ) lactation and suckling, and 4 ) postweaning and toddler phases. Twelve key findings are outlined, wherein research within the discipline of animal sciences stands to inform the global health community and in some cases identifies gaps in knowledge in which further research is merited. Notable among the findings were 1 ) the quantitative importance of essential fatty acid and amino acid nutrition in reproductive health, 2 ) the suggested application of the ideal protein concept for improving the amino acid nutrition of mothers and children, 3 ) the prospect of using dietary phytase to improve the bioavailability of trace minerals in plant and vegetable-based diets, and 4 ) nutritional interventions to mitigate environmental enteropathy. The desired outcome of this review was to identify potential interventions that may be worthy of consideration. Better appreciation of the close linkage between human health, medicine, and agriculture will identify opportunities that will enable faster and more efficient innovations

Impacts of climate extremes on gross primary production under global warming

International Nuclear Information System (INIS)

Williams, I N; Torn, M S; Riley, W J; Wehner, M F

2014-01-01

The impacts of historical droughts and heat-waves on ecosystems are often considered indicative of future global warming impacts, under the assumption that water stress sets in above a fixed high temperature threshold. Historical and future (RCP8.5) Earth system model (ESM) climate projections were analyzed in this study to illustrate changes in the temperatures for onset of water stress under global warming. The ESMs examined here predict sharp declines in gross primary production (GPP) at warm temperature extremes in historical climates, similar to the observed correlations between GPP and temperature during historical heat-waves and droughts. However, soil moisture increases at the warm end of the temperature range, and the temperature at which soil moisture declines with temperature shifts to a higher temperature. The temperature for onset of water stress thus increases under global warming and is associated with a shift in the temperature for maximum GPP to warmer temperatures. Despite the shift in this local temperature optimum, the impacts of warm extremes on GPP are approximately invariant when extremes are defined relative to the optimal temperature within each climate period. The GPP sensitivity to these relative temperature extremes therefore remains similar between future and present climates, suggesting that the heat- and drought-induced GPP reductions seen recently can be expected to be similar in the future, and may be underestimates of future impacts given model projections of increased frequency and persistence of heat-waves and droughts. The local temperature optimum can be understood as the temperature at which the combination of water stress and light limitations is minimized, and this concept gives insights into how GPP responds to climate extremes in both historical and future climate periods. Both cold (temperature and light-limited) and warm (water-limited) relative temperature extremes become more persistent in future climate projections

Germination shifts of C3 and C4 species under simulated global warming scenario.

Directory of Open Access Journals (Sweden)

Hongxiang Zhang

Full Text Available Research efforts around the world have been increasingly devoted to investigating changes in C3 and C4 species' abundance or distribution with global warming, as they provide important insight into carbon fluxes and linked biogeochemical cycles. However, changes in the early life stage (e.g. germination of C3 and C4 species in response to global warming, particularly with respect to asymmetric warming, have received less attention. We investigated germination percentage and rate of C3 and C4 species under asymmetric (+3/+6°C at day/night and symmetric warming (+5/+5°C at day/night, simulated by alternating temperatures. A thermal time model was used to calculate germination base temperature and thermal time constant. Two additional alternating temperature regimes were used to test temperature metrics effect. The germination percentage and rate increased continuously for C4 species, but increased and then decreased with temperature for C3 species under both symmetric and asymmetric warming. Compared to asymmetric warming, symmetric warming significantly overestimated the speed of germination percentage change with temperature for C4 species. Among the temperature metrics (minimum, maximum, diurnal temperature range and average temperature, maximum temperature was most correlated with germination of C4 species. Our results indicate that global warming may favour germination of C4 species, at least for the C4 species studied in this work. The divergent effects of asymmetric and symmetric warming on plant germination also deserve more attention in future studies.

Why are our children wasting: Determinants of wasting among under 5s in Ghana.

Science.gov (United States)

Darteh, Eugene Kofuor Maafo; Acquah, Evelyn; Darteh, Florie

2017-09-01

Wasting is one of the indicators of malnutrition known to contribute to the deaths occurring from childhood malnutrition. It is the measure of body mass in relation to body length used to explain recent nutritional status. This paper examines the determinants of wasting among under 5s in Ghana. Data were drawn from the 2014 Ghana Demographic and Health Survey children's records file to examine the determinants of wasting among children. A total of 2720 children under 5 years with valid anthropometric data were used. Data on wasting were collected by measuring the weight and height of all children under 5 years of age. Bi-variate and multi-variate statistics are used to examine the determinants of wasting. The bi-variate analysis showed significant differences ( p 5s according to age of the child, region, and wealth status. On the other hand, the multi-variate analysis revealed that the odds of wasting were lower among children aged 24-35 months (Odds ratio (OR) = 0.37; p 5s. Also, efforts should be made by the relevant government agencies and other stakeholders to strengthen the socio-economic status of mothers to enable them to provide adequate nutrition and improve access to health insurance for their children in order to reduce the incidence of wasting among these children.

Global hotspots of river erosion under global warming

Science.gov (United States)

Plink-Bjorklund, P.; Reichler, T.

2017-12-01

Extreme precipitation plays a significant role for river hydrology, flood hazards and landscape response. For example, the September 2013 rainstorm in the Colorado Front Range evacuated the equivalent of hundreds to thousands of years of hillslope weathering products. Although promoted by steep topography, the Colorado event is clearly linked to rainfall intensity, since most of the 1100 debris flows occurred within the highest rainfall contour. Additional evidence for a strong link between extreme precipitation and river erosion comes from the sedimentary record, and especially from that of past greenhouse climates. The existence of such a link suggests that information about global rainfall patterns can be used to define regions of increased erosion potential. However, the question arises what rainfall criteria to use and how well the method works. A related question is how ongoing climate change and the corresponding shifts in rainfall might impact the results. Here, we use atmospheric reanalysis and output from a climate model to identify regions that are particularly susceptible to landscape change in response to extreme precipitation. In order to define the regions, we combine several hydroclimatological and geomorphological criteria into a single index of erosion potential. We show that for current climate, our criteria applied to atmospheric reanalysis or to climate model data successfully localize known areas of increased erosion potential, such as the Colorado region. We then apply our criteria to climate model data for future climate to document how the location, extent, and intensity of erosion hotspots are likely to change under global warming.

Global Health Observatory (GHO)

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... global health estimates Health Equity Monitor 3.1 Maternal mortality Maternal health 3.2 Newborn and child mortality Child ... Programmes) Quick links Contact us Frequently asked questions Employment Feedback Privacy Email scams Regions Africa Americas South- ...

Parents' Death and its Implications for Child Survival.

Science.gov (United States)

Atrash, Hani K

Reduction of child mortality is a global public health priority. Parents can play an important role in reducing child mortality. The inability of one or both parents to care for their children due to death, illness, divorce or separation increases the risk of death of their children. There is increasing evidence that the health, education, and socioeconomic status of mothers and fathers have significant impact on the health and survival of their children. We conducted a literature review to explore the impact of the death of parents on the survival and wellbeing of their children and the mechanisms through which this impact is mediated. Studies have generally concluded that the death of a mother significantly increased the risk of death of her children, especially during the early years; the effect continues but is significantly reduced with increasing age through the age of 15 years. The effect of the loss of a father had less impact than the effect of losing a mother although it too had negative consequences for the survival prospect of the child. A mother's health, education, socioeconomic status, fertility behavior, environmental health conditions, nutritional status and infant feeding, and the use of health services all play an important role in the level of risk of death of her children. Efforts to achieve the Millennium Development Goal No. 4 of reducing children's under-5 mortality in developing countries by two thirds by 2015 should include promoting the health and education of women.

Uncertain impacts on economic growth when stabilizing global temperatures at 1.5°C or 2°C warming.

Science.gov (United States)

Pretis, Felix; Schwarz, Moritz; Tang, Kevin; Haustein, Karsten; Allen, Myles R

2018-05-13

Empirical evidence suggests that variations in climate affect economic growth across countries over time. However, little is known about the relative impacts of climate change on economic outcomes when global mean surface temperature (GMST) is stabilized at 1.5°C or 2°C warming relative to pre-industrial levels. Here we use a new set of climate simulations under 1.5°C and 2°C warming from the 'Half a degree Additional warming, Prognosis and Projected Impacts' (HAPPI) project to assess changes in economic growth using empirical estimates of climate impacts in a global panel dataset. Panel estimation results that are robust to outliers and breaks suggest that within-year variability of monthly temperatures and precipitation has little effect on economic growth beyond global nonlinear temperature effects. While expected temperature changes under a GMST increase of 1.5°C lead to proportionally higher warming in the Northern Hemisphere, the projected impact on economic growth is larger in the Tropics and Southern Hemisphere. Accounting for econometric estimation and climate uncertainty, the projected impacts on economic growth of 1.5°C warming are close to indistinguishable from current climate conditions, while 2°C warming suggests statistically lower economic growth for a large set of countries (median projected annual growth up to 2% lower). Level projections of gross domestic product (GDP) per capita exhibit high uncertainties, with median projected global average GDP per capita approximately 5% lower at the end of the century under 2°C warming relative to 1.5°C. The correlation between climate-induced reductions in per capita GDP growth and national income levels is significant at the p  < 0.001 level, with lower-income countries experiencing greater losses, which may increase economic inequality between countries and is relevant to discussions of loss and damage under the United Nations Framework Convention on Climate Change.This article is part of

Rainfall variation and child health: effect of rainfall on diarrhea among under 5 children in Rwanda, 2010.

Science.gov (United States)

Mukabutera, Assumpta; Thomson, Dana; Murray, Megan; Basinga, Paulin; Nyirazinyoye, Laetitia; Atwood, Sidney; Savage, Kevin P; Ngirimana, Aimable; Hedt-Gauthier, Bethany L

2016-08-05

Diarrhea among children under 5 years of age has long been a major public health concern. Previous studies have suggested an association between rainfall and diarrhea. Here, we examined the association between Rwandan rainfall patterns and childhood diarrhea and the impact of household sanitation variables on this relationship. We derived a series of rain-related variables in Rwanda based on daily rainfall measurements and hydrological models built from daily precipitation measurements collected between 2009 and 2011. Using these data and the 2010 Rwanda Demographic and Health Survey database, we measured the association between total monthly rainfall, monthly rainfall intensity, runoff water and anomalous rainfall and the occurrence of diarrhea in children under 5 years of age. Among the 8601 children under 5 years of age included in the survey, 13.2 % reported having diarrhea within the 2 weeks prior to the survey. We found that higher levels of runoff were protective against diarrhea compared to low levels among children who lived in households with unimproved toilet facilities (OR = 0.54, 95 % CI: [0.34, 0.87] for moderate runoff and OR = 0.50, 95 % CI: [0.29, 0.86] for high runoff) but had no impact among children in household with improved toilets. Our finding that children in households with unimproved toilets were less likely to report diarrhea during periods of high runoff highlights the vulnerabilities of those living without adequate sanitation to the negative health impacts of environmental events.

Estimated migration rates under scenarios of global climate change.

Science.gov (United States)

Jay R. Malcolm; Adam Markham; Ronald P. Neilson; Michael. Oaraci

2002-01-01

Greefihouse-induced warming and resulting shifts in climatic zones may exceed the migration capabilities of some species. We used fourteen combinations of General Circulation Models (GCMs) and Global Vegetation Models (GVMs) to investigate possible migration rates required under CO2 doubled climatic forcing.

Global assessment of river flood protection benefits and corresponding residual risks under climate change

Science.gov (United States)

Lim, Wee Ho; Yamazaki, Dai; Koirala, Sujan; Hirabayashi, Yukiko; Kanae, Shinjiro; Dadson, Simon J.; Hall, Jim W.

2016-04-01

substantially when flood protection level exceeds 20 years. These findings might be useful for decision-makers to weight the size of water infrastructure investment and emergency response capacity under climate change. References: Arnell, N.W, Gosling, S.N., 2014. The impact of climate change on river flood risk at the global scale. Climatic Change 122: 127-140, doi: 10.1007/s10584-014-1084-5. Hirabayashi et al., 2013. Global flood risk under climate change. Nature Climate Change 3: 816-821, doi: 10.1038/nclimate1911. Jongman et al., 2015. Declining vulnerability to river floods and the global benefits of adaptation. Proceedings of National Academy of the United States of America 112, E2271-E2280, doi: 10.1073/pnas.1414439112. Sadoff et al., 2015. Securing Water, Sustaining Growth: Report of the GWP/OECD Task Force on Water Security and Sustainable Growth, University of Oxford, UK, 180 pp. Yamazaki et al., 2011. A physically based description of floodplain inundation dynamics in a global river routing model. Water Resources Research 47, W04501, doi: 10.1029/2010wr009726. Yamazaki et al., 2014. Development of the Global Width Database for Large Rivers. Water Resources Research 50, 3467-3480, doi: 10.1002/2013WR014664.

Mechanisms underlying the effects of prenatal psychosocial stress on child outcomes: beyond the HPA axis

NARCIS (Netherlands)

Beijers, R.; Buitelaar, J.K.; Weerth, C. de

2014-01-01

Accumulating evidence from preclinical and clinical studies indicates that maternal psychosocial stress and anxiety during pregnancy adversely affect child outcomes. However, knowledge on the possible mechanisms underlying these relations is limited. In the present paper, we review the most often

Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970-2016: a systematic analysis for the Global Burden of Disease Study 2016.

Science.gov (United States)

2017-09-16

Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify exemplars for best practice. To accomplish this, the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) estimated age-specific and sex-specific all-cause mortality between 1970 and 2016 for 195 countries and territories and at the subnational level for the five countries with a population greater than 200 million in 2016. We have evaluated how well civil registration systems captured deaths using a set of demographic methods called death distribution methods for adults and from consideration of survey and census data for children younger than 5 years. We generated an overall assessment of completeness of registration of deaths by dividing registered deaths in each location-year by our estimate of all-age deaths generated from our overall estimation process. For 163 locations, including subnational units in countries with a population greater than 200 million with complete vital registration (VR) systems, our estimates were largely driven by the observed data, with corrections for small fluctuations in numbers and estimation for recent years where there were lags in data reporting (lags were variable by location, generally between 1 year and 6 years). For other locations, we took advantage of different data sources available to measure under-5 mortality rates (U5MR) using complete birth histories, summary birth histories, and incomplete VR with adjustments; we measured adult mortality rate (the probability of death in individuals aged 15-60 years) using adjusted incomplete VR, sibling histories, and household death recall. We used the U5MR and adult mortality rate, together with crude death rate due to HIV in the GBD model life table system, to estimate age

Parental Depressive Symptoms and Marital Intimacy at 4.5 Years: Joint Contributions to Mother-Child and Father-Child Interaction at 6.5 Years

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Engle, Jennifer M.; McElwain, Nancy L.

2013-01-01

Using data from a subset of 606 families who participated in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development, we assessed emotional intimacy in the marriage as a buffer of the negative effects of parental depression on the quality of parent-child interaction. Maternal and paternal…

'Mixed blessings': parental religiousness, parenting, and child adjustment in global perspective.

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Bornstein, Marc H; Putnick, Diane L; Lansford, Jennifer E; Al-Hassan, Suha M; Bacchini, Dario; Bombi, Anna Silvia; Chang, Lei; Deater-Deckard, Kirby; Di Giunta, Laura; Dodge, Kenneth A; Malone, Patrick S; Oburu, Paul; Pastorelli, Concetta; Skinner, Ann T; Sorbring, Emma; Steinberg, Laurence; Tapanya, Sombat; Tirado, Liliana Maria Uribe; Zelli, Arnaldo; Alampay, Liane Peña

2017-08-01

Most studies of the effects of parental religiousness on parenting and child development focus on a particular religion or cultural group, which limits generalizations that can be made about the effects of parental religiousness on family life. We assessed the associations among parental religiousness, parenting, and children's adjustment in a 3-year longitudinal investigation of 1,198 families from nine countries. We included four religions (Catholicism, Protestantism, Buddhism, and Islam) plus unaffiliated parents, two positive (efficacy and warmth) and two negative (control and rejection) parenting practices, and two positive (social competence and school performance) and two negative (internalizing and externalizing) child outcomes. Parents and children were informants. Greater parent religiousness had both positive and negative associations with parenting and child adjustment. Greater parent religiousness when children were age 8 was associated with higher parental efficacy at age 9 and, in turn, children's better social competence and school performance and fewer child internalizing and externalizing problems at age 10. However, greater parent religiousness at age 8 was also associated with more parental control at age 9, which in turn was associated with more child internalizing and externalizing problems at age 10. Parental warmth and rejection had inconsistent relations with parental religiousness and child outcomes depending on the informant. With a few exceptions, similar patterns of results held for all four religions and the unaffiliated, nine sites, mothers and fathers, girls and boys, and controlling for demographic covariates. Parents and children agree that parental religiousness is associated with more controlling parenting and, in turn, increased child problem behaviors. However, children see religiousness as related to parental rejection, whereas parents see religiousness as related to parental efficacy and warmth, which have different

Child labor and severe functioning difficulties and disability in Mexican children and adolescents 5-17 years of age

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Aremis Villalobos

2017-07-01

Full Text Available Objective. To describe the characteristics of Mexican children and adolescents 5-17 years with severe functioning difficulties and disability and explore their participation in child labor. Materials and methods. Using data from the National Survey of Boys, Girls and Women in Mexico 2015 we estimated prevalence of functioning difficulties and disability and used logistic regression to explore the association between this condition and child labor. Results. While 11.2% of Mexicans 5-17 years-old has severe functioning difficulties or disability, 13.4% work. The functioning difficulty and disability domains with the highest prevalence are experiencing anxiety (5.4% and depression (1.5% daily. Children and adolescents with severe functioning difficulties and disability are 70% more likely to do child labor [OR=1.7, 95%CI:1.2,2.4]. Educational lag doubles the likelihood of doing child labor [OR=2.2, 95%CI:1.5,3.3]. Conclusions. Guaranteeing educational opportunities and respect for the rights of children with severe functioning difficulties and disability is essential to achieve development of their full potential.

Locations of Joint Physical Activity in Parent-Child Pairs Based on Accelerometer and GPS Monitoring

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Dunton, Genevieve Fridlund; Liao, Yue; Almanza, Estela; Jerrett, Micheal; Spruijt-Metz, Donna; Pentz, Mary Ann

2012-01-01

Background Parental factors may play an important role in influencing children’s physical activity levels. Purpose This cross-sectional study sought to describe the locations of joint physical activity among parents and children. Methods Parent-child pairs (N = 291) wore an Actigraph GT2M accelerometer and GlobalSat BT-335 Global Positioning Systems (GPS) device over the same 7-day period. Children were ages 8–14 years. Joint behavior was defined by a linear separation distance of less than 50m between parent and child. Land use classifications were assigned to GPS data points. Results Joint physical activity was spread across residential locations (35%), and commercial venues (24%), and open spaces/parks (20%). Obese children and parents performed less joint physical activity in open spaces/parks than under/normal weight children and parents (p’s parent-child physical activity naturally occurs may inform location-based interventions to promote these behaviors. PMID:23011914

5 CFR 843.406 - Proof of dependency.

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2010-01-01

... natural child who lived with the employee or retiree in a regular parent-child relationship at the time of... who did not live with the employee or retiree in a regular parent-child relationship and for whom a... considerable value; (5) Proof of coverage of the child as a family member under the employee's or retiree's...

Stabilization of global temperature at 1.5°C and 2.0°C: implications for coastal areas.

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Nicholls, Robert J; Brown, Sally; Goodwin, Philip; Wahl, Thomas; Lowe, Jason; Solan, Martin; Godbold, Jasmin A; Haigh, Ivan D; Lincke, Daniel; Hinkel, Jochen; Wolff, Claudia; Merkens, Jan-Ludolf

2018-05-13

The effectiveness of stringent climate stabilization scenarios for coastal areas in terms of reduction of impacts/adaptation needs and wider policy implications has received little attention. Here we use the Warming Acidification and Sea Level Projector Earth systems model to calculate large ensembles of global sea-level rise (SLR) and ocean pH projections to 2300 for 1.5°C and 2.0°C stabilization scenarios, and a reference unmitigated RCP8.5 scenario. The potential consequences of these projections are then considered for global coastal flooding, small islands, deltas, coastal cities and coastal ecology. Under both stabilization scenarios, global mean ocean pH (and temperature) stabilize within a century. This implies significant ecosystem impacts are avoided, but detailed quantification is lacking, reflecting scientific uncertainty. By contrast, SLR is only slowed and continues to 2300 (and beyond). Hence, while coastal impacts due to SLR are reduced significantly by climate stabilization, especially after 2100, potential impacts continue to grow for centuries. SLR in 2300 under both stabilization scenarios exceeds unmitigated SLR in 2100. Therefore, adaptation remains essential in densely populated and economically important coastal areas under climate stabilization. Given the multiple adaptation steps that this will require, an adaptation pathways approach has merits for coastal areas.This article is part of the theme issue 'The Paris Agreement: understanding the physical and social challenges for a warming world of 1.5°C above pre-industrial levels'. © 2018 The Authors.

Stabilization of global temperature at 1.5°C and 2.0°C: implications for coastal areas

Science.gov (United States)

Nicholls, Robert J.; Brown, Sally; Goodwin, Philip; Wahl, Thomas; Lowe, Jason; Solan, Martin; Godbold, Jasmin A.; Haigh, Ivan D.; Lincke, Daniel; Hinkel, Jochen; Wolff, Claudia; Merkens, Jan-Ludolf

2018-05-01

The effectiveness of stringent climate stabilization scenarios for coastal areas in terms of reduction of impacts/adaptation needs and wider policy implications has received little attention. Here we use the Warming Acidification and Sea Level Projector Earth systems model to calculate large ensembles of global sea-level rise (SLR) and ocean pH projections to 2300 for 1.5°C and 2.0°C stabilization scenarios, and a reference unmitigated RCP8.5 scenario. The potential consequences of these projections are then considered for global coastal flooding, small islands, deltas, coastal cities and coastal ecology. Under both stabilization scenarios, global mean ocean pH (and temperature) stabilize within a century. This implies significant ecosystem impacts are avoided, but detailed quantification is lacking, reflecting scientific uncertainty. By contrast, SLR is only slowed and continues to 2300 (and beyond). Hence, while coastal impacts due to SLR are reduced significantly by climate stabilization, especially after 2100, potential impacts continue to grow for centuries. SLR in 2300 under both stabilization scenarios exceeds unmitigated SLR in 2100. Therefore, adaptation remains essential in densely populated and economically important coastal areas under climate stabilization. Given the multiple adaptation steps that this will require, an adaptation pathways approach has merits for coastal areas. This article is part of the theme issue `The Paris Agreement: understanding the physical and social challenges for a warming world of 1.5°C above pre-industrial levels'.

Future precipitation changes over China under 1.5 °C and 2.0 °C global warming targets by using CORDEX regional climate models.

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Li, Huixin; Chen, Huopo; Wang, Huijun; Yu, Entao

2018-06-01

This study aims to characterize future changes in precipitation extremes over China based on regional climate models (RCMs) participating in the Coordinated Regional Climate Downscaling Experiment (CORDEX)-East Asia project. The results of five RCMs involved in CORDEX-East Asia project that driven by HadGEM2-AO are compared with the simulation of CMA-RegCM driven by BCC-CSM1.1. Eleven precipitation extreme indices that developed by the Expert Team on Climate Change Detection and Indices are employed to evaluate precipitation extreme changes over China. Generally, RCMs can reproduce their spatiotemporal characteristics over China in comparison with observations. For future climate projections, RCMs indicate that both the occurrence and intensity of precipitation extremes in most regions of China will increase when the global temperature increases by 1.5/2.0 °C. The yearly maximum five-day precipitation (RX5D) averaged over China is reported to increase by 4.4% via the CMA-RegCM under the 1.5 °C warming in comparison with the baseline period (1986-2005); however, a relatively large increase of 11.1% is reported by the multi-model ensemble median (MME) when using the other five models. Furthermore, the reoccurring risks of precipitation extremes over most regions of China will further increase due to the additional 0.5 °C warming. For example, RX5D will further increase by approximately 8.9% over NWC, 3.8% over NC, 2.3% over SC, and approximately 1.0% over China. Extremes, such as the historical 20-year return period event of yearly maximum one-day precipitation (RX1D) and RX5D, will become more frequent, with occurrences happening once every 8.8 years (RX1D) and 11.5 years (RX5D) under the 1.5 °C warming target, and there will be two fewer years due to the additional 0.5 °C warming. In addition, the intensity of these events will increase by approximately 9.2% (8.5%) under the 1.5 °C warming target and 12.6% (11.0%) under the 2.0 °C warming

Psychometrics of a Child Report Measure of Maternal Support following Disclosure of Sexual Abuse.

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Smith, Daniel W; Sawyer, Genelle K; Heck, Nicholas C; Zajac, Kristyn; Solomon, David; Self-Brown, Shannon; Danielson, Carla K; Ralston, M Elizabeth

2017-04-01

The study examined a new child report measure of maternal support following child sexual abuse. One hundred and forty-six mother-child dyads presenting for a forensic evaluation completed assessments including standardized measures of adjustment. Child participants also responded to 32 items considered for inclusion in a new measure, the Maternal Support Questionnaire-Child Report (MSQ-CR). Exploratory factor analysis of the Maternal Support Questionnaire-Child Report resulted in a three factor, 20-item solution: Emotional Support (9 items), Skeptical Preoccupation (5 items), and Protection/Retaliation (6 items). Each factor demonstrated adequate internal consistency. Construct and concurrent validity of the new measure were supported in comparison to other trauma-specific measures. The Maternal Support Questionnaire-Child Report demonstrated sound psychometric properties. Future research is needed to determine whether the Maternal Support Questionnaire-Child Report provides a more sensitive approximation of maternal support following disclosure of sexual abuse, relative to measures of global parent-child relations and to contextualize discrepancies between mother and child ratings of maternal support.

Understanding the association between stunting and child development in low- and middle-income countries: Next steps for research and intervention.

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Perkins, Jessica M; Kim, Rockli; Krishna, Aditi; McGovern, Mark; Aguayo, Victor M; Subramanian, S V

2017-11-01

Stunting, caused by experiences of chronic nutritional deprivation, affects approximately 25% of children under age five globally (i.e., 156 million children). In this review, evidence of a relationship between stunting and child development in low- and middle-income countries is summarized, and issues for further research are discussed. We focus on studies that measured low height-for-age among children less than 5 years old as the exposure and gross/fine motor skills, psychosocial competencies, cognitive abilities, or schooling and learning milestones as the outcomes. This review highlights three key findings. First, the variability in child development tools and metrics used among studies and the differences in the timing and frequency of the assessments complicate comparisons across study findings. Second, considerable evidence from across many countries supports an association between stunting and poor child development despite methodological differences and heterogeneity in the magnitude of associations. Further, effect sizes differ by developmental domain with greater associations shown for cognitive/schooling outcomes. How stunting influences child development, which domains of child development are more affected, and how the various domains of child development influence one another require further experimental research to test causal pathways. Finally, there is mixed evidence of the additive effect of nutrition + stimulation interventions on child development. However, understanding best methods for improving child developmental outcomes - either through nutrition programs or through integrated nutrition + psychosocial stimulation programs (or nutrition + other program interventions) - is a key area of further inquiry. Given that nearly 40% of children under age five suffer from loss of developmental potential - for which stunting is likely one of the key risk factors - reductions in stunting could have tremendous implications for child development

Rainfall variation and child health: effect of rainfall on diarrhea among under 5 children in Rwanda, 2010

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Assumpta Mukabutera

2016-08-01

Full Text Available Abstract Background Diarrhea among children under 5 years of age has long been a major public health concern. Previous studies have suggested an association between rainfall and diarrhea. Here, we examined the association between Rwandan rainfall patterns and childhood diarrhea and the impact of household sanitation variables on this relationship. Methods We derived a series of rain-related variables in Rwanda based on daily rainfall measurements and hydrological models built from daily precipitation measurements collected between 2009 and 2011. Using these data and the 2010 Rwanda Demographic and Health Survey database, we measured the association between total monthly rainfall, monthly rainfall intensity, runoff water and anomalous rainfall and the occurrence of diarrhea in children under 5 years of age. Results Among the 8601 children under 5 years of age included in the survey, 13.2 % reported having diarrhea within the 2 weeks prior to the survey. We found that higher levels of runoff were protective against diarrhea compared to low levels among children who lived in households with unimproved toilet facilities (OR = 0.54, 95 % CI: [0.34, 0.87] for moderate runoff and OR = 0.50, 95 % CI: [0.29, 0.86] for high runoff but had no impact among children in household with improved toilets. Conclusion Our finding that children in households with unimproved toilets were less likely to report diarrhea during periods of high runoff highlights the vulnerabilities of those living without adequate sanitation to the negative health impacts of environmental events.

AgMIP Coordinated Global and Regional Assessments for 1.5°C and 2.0°C

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Rosenzweig, C.

2017-12-01

The Agricultural Model Intercomparison and Improvement Project (AgMIP) has developed novel methods for Coordinated Global and Regional Assessments (CGRA) of agriculture and food security in a changing world. The present study performs a proof-of-concept of the CGRA to demonstrate advantages and challenges of the framework. This effort responds to the request by UNFCCC for the implications of limiting global temperature increases to 1.5°C and 2.0°C above pre-industrial conditions. The protocols for the 1.5°C/2.0°C assessment establish explicit and testable linkages across disciplines and scales, connecting outputs and inputs from the Shared Socio-economic Pathways (SSPs), Representative Agricultural Pathways (RAPs), HAPPI and CMIP5 ensemble scenarios, global gridded crop models, global agricultural economic models, site-based crop models, and within-country regional economic models. CGRA results show that at the global scale, mixed areas of positive and negative simulated yield changes, with declines in some breadbasket regions led to overall declines in productivity at both 1.5°C and 2.0°C. These projected global yield changes resulted in increases in prices of major commodities in a global economic model. Simulations for 1.5°C and 2.0°C using site-based crop models had mixed results depending on region and crop, but with more negative effects on productivity at 2.0°C than at 1.5°C for the most part. In conjunction with price changes from the global economics models, these productivity declines resulted generally in small positive effects on regional farm livelihoods, showing that farming systems should continue to be viable under high mitigation scenarios. CGRA protocols focus on how mitigation actions and effects differ across scales, with main mechanisms studied in the integrated assessment models being policies and technologies that reduce direct non-CO2 emissions from agriculture, reduce CO2 emissions from land use change and forest sink enhancement

Increase in best practice child car restraint use for children aged 2-5 years in low socioeconomic areas after introduction of mandatory child restraint laws.

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Brown, Julie; Keay, Lisa; Hunter, Kate; Bilston, Lynne E; Simpson, Judy M; Ivers, Rebecca

2013-06-01

To examine changes in child car restraint practices in low socioeconomic areas following the introduction of mandatory child car restraint legislation in New South Wales (NSW), Australia. Data from two cross-sectional studies of child car restraint use at pre-schools, early childhood centres and primary schools before and after the introduction of legislating mandatory age-appropriate car restraint use for children up to the age of seven years was used in this analysis. All included observations were from local government areas with socioeconomic status in the lowest 30% of urban Sydney. Children aged 2-5 years were observed in their vehicles as they arrived at observation sites (107 pre-legislation, 360 post-legislation). Multilevel logistic regression was used to examine changes in observed age-appropriate and correct use of car restraints. Age-appropriate car restraint use was higher post-legislation than pre-legislation. After controlling for child's age, parental income, language spoken at home and adjusting for clustering, the odds of children being appropriately restrained post-legislation were 2.3 times higher than in the pre-legislation sample, and the odds of them being correctly restrained were 1.6 times greater. Results indicate an improvement in car restraint practices among children aged 2-5 in low socioeconomic areas after introduction of child restraint laws. Implications : Despite improvements observed with enhanced legislation, further efforts are required to increase optimal child car restraint use. © 2013 The Authors. ANZJPH © 2013 Public Health Association of Australia.

Nitrogen leaching from natural ecosystems under global change: a modelling study

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Braakhekke, Maarten C.; Rebel, Karin T.; Dekker, Stefan C.; Smith, Benjamin; Beusen, Arthur H. W.; Wassen, Martin J.

2017-12-01

To study global nitrogen (N) leaching from natural ecosystems under changing N deposition, climate, and atmospheric CO2, we performed a factorial model experiment for the period 1901-2006 with the N-enabled global terrestrial ecosystem model LPJ-GUESS (Lund-Potsdam-Jena General Ecosystem Simulator). In eight global simulations, we used either the true transient time series of N deposition, climate, and atmospheric CO2 as input or kept combinations of these drivers constant at initial values. The results show that N deposition is globally the strongest driver of simulated N leaching, individually causing an increase of 88 % by 1997-2006 relative to pre-industrial conditions. Climate change led globally to a 31 % increase in N leaching, but the size and direction of change varied among global regions: leaching generally increased in regions with high soil organic carbon storage and high initial N status, and decreased in regions with a positive trend in vegetation productivity or decreasing precipitation. Rising atmospheric CO2 generally caused decreased N leaching (33 % globally), with strongest effects in regions with high productivity and N availability. All drivers combined resulted in a rise of N leaching by 73 % with strongest increases in Europe, eastern North America and South-East Asia, where N deposition rates are highest. Decreases in N leaching were predicted for the Amazon and northern India. We further found that N loss by fire regionally is a large term in the N budget, associated with lower N leaching, particularly in semi-arid biomes. Predicted global N leaching from natural lands rose from 13.6 Tg N yr-1 in 1901-1911 to 18.5 Tg N yr-1 in 1997-2006, accounting for reductions of natural land cover. Ecosystem N status (quantified as the reduction of vegetation productivity due to N limitation) shows a similar positive temporal trend but large spatial variability. Interestingly, this variability is more strongly related to vegetation type than N input

Child Care Subsidy Use and Child Development: Potential Causal Mechanisms

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Hawkinson, Laura E.

2011-01-01

Research using an experimental design is needed to provide firm causal evidence on the impacts of child care subsidy use on child development, and on underlying causal mechanisms since subsidies can affect child development only indirectly via changes they cause in children's early experiences. However, before costly experimental research is…

A Canonical Response in Rainfall Characteristics to Global Warming: Projections by IPCC CMIP5 Models

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Lau, William K. M.; Wu, H. T.; Kim, K. M.

2012-01-01

Changes in rainfall characteristics induced by global warming are examined based on probability distribution function (PDF) analysis, from outputs of 14 IPCC (Intergovernmental Panel on Climate Change), CMIP (5th Coupled Model Intercomparison Project) models under various scenarios of increased CO2 emissions. Results show that collectively CMIP5 models project a robust and consistent global and regional rainfall response to CO2 warming. Globally, the models show a 1-3% increase in rainfall per degree rise in temperature, with a canonical response featuring large increase (100-250 %) in frequency of occurrence of very heavy rain, a reduction (5-10%) of moderate rain, and an increase (10-15%) of light rain events. Regionally, even though details vary among models, a majority of the models (>10 out of 14) project a consistent large scale response with more heavy rain events in climatologically wet regions, most pronounced in the Pacific ITCZ and the Asian monsoon. Moderate rain events are found to decrease over extensive regions of the subtropical and extratropical oceans, but increases over the extratropical land regions, and the Southern Oceans. The spatial distribution of light rain resembles that of moderate rain, but mostly with opposite polarity. The majority of the models also show increase in the number of dry events (absence or only trace amount of rain) over subtropical and tropical land regions in both hemispheres. These results suggest that rainfall characteristics are changing and that increased extreme rainfall events and droughts occurrences are connected, as a consequent of a global adjustment of the large scale circulation to global warming.

The Potential Impact of Animal Science Research on Global Maternal and Child Nutrition and Health: A Landscape Review12

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Jacobi, Sheila K; Boyd, R Dean; Bauman, Dale E; Anthony, Russell V; Bazer, Fuller W; Lock, Adam L; Serazin, Andrew C

2017-01-01

High among the challenges facing mankind as the world population rapidly expands toward 9 billion people by 2050 is the technological development and implementation of sustainable agriculture and food systems to supply abundant and wholesome nutrition. In many low-income societies, women and children are the most vulnerable to food insecurity, and it is unequivocal that quality nutrition during the first 1000 d of life postconception can be transformative in establishing a robust, lifelong developmental trajectory. With the desire to catalyze disruptive advancements in global maternal and child health, this landscape review was commissioned by the Bill & Melinda Gates Foundation to examine the nutritional and managerial practices used within the food-animal agricultural system that may have relevance to the challenges faced by global human health. The landscape was categorized into a framework spanning 1) preconception, 2) gestation and pregnancy, 3) lactation and suckling, and 4) postweaning and toddler phases. Twelve key findings are outlined, wherein research within the discipline of animal sciences stands to inform the global health community and in some cases identifies gaps in knowledge in which further research is merited. Notable among the findings were 1) the quantitative importance of essential fatty acid and amino acid nutrition in reproductive health, 2) the suggested application of the ideal protein concept for improving the amino acid nutrition of mothers and children, 3) the prospect of using dietary phytase to improve the bioavailability of trace minerals in plant and vegetable-based diets, and 4) nutritional interventions to mitigate environmental enteropathy. The desired outcome of this review was to identify potential interventions that may be worthy of consideration. Better appreciation of the close linkage between human health, medicine, and agriculture will identify opportunities that will enable faster and more efficient innovations in global

Child support and alimony: 1985 (supplemental report).

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Hanlon, R A

1989-03-01

This report on child support and alimony is based on data from the 1987 and 1986 US Current Population Surveys. As of spring 1986, 8.8 million mothers were living with children under 21 years of age whose fathers were not living in the household; 61%, or about 5.4 million, of these women were awarded or had an agreement to receive child support payments for their children as of the survey date. Of the 5.4 million women awarded child support, 4.4 million were supposed to receive child support for their children in 1985. Of those due payment, about half received the full amount they were due. Of the remaining women, there was no evidence of a difference between the proportion receiving partial payment and those receiving no payment at all--about 26% each. Of the 5.4 million women with awards for their children, 45% had health insurance included as part of the award. Of the 3.4 million women without child support awards, about half (48%) wanted but could not obtain awards for their children. The child support award rate reported in 1986 showed a slight increase from that of 1984 (up 2.2% to 58%). The proportion of women awarded child support payments in 1986 was higher for Whites (71%) than for Blacks (36%) or Hispanics (42%). Women with 4 or more years of college were more likely to have been awarded support payments (77%) than women with 4 years of high school (63%). The average (mean) amount of child support received in 1985 was $2200.

Maternal factors contributing to under-five mortality at birth order 1 to 5 in India: a comprehensive multivariate study.

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Singh, Rajvir; Tripathi, Vrijesh

2013-01-01

The objective of the study is to assess maternal factors contributing to under-five mortality at birth order 1 to 5 in India. Data for this study was derived from the children's record of the 2007 India National Family Health Survey, which is a nationally representative cross-sectional household survey. Data is segregated according to birth order 1 to 5 to assess mother's occupation, Mother's education, child's gender, Mother's age, place of residence, wealth index, mother's anaemia level, prenatal care, assistance at delivery , antenatal care, place of delivery and other maternal factors contributing to under-five mortality. Out of total 51555 births, analysis is restricted to 16567 children of first birth order, 14409 of second birth order, 8318 of third birth order, 5021 of fourth birth order and 3034 of fifth birth order covering 92% of the total births taken place 0-59 months prior to survey. Mother's average age in years for birth orders 1 to 5 are 23.7, 25.8, 27.4, 29 and 31 years, respectively. Most mothers whose children died are Hindu, with no formal education, severely anaemic and working in the agricultural sector. In multivariate logistic models, maternal education, wealth index and breastfeeding are protective factors across all birth orders. In birth order model 1 and 2, mother's occupation is a significant risk factor. In birth order models 2 to 5, previous birth interval of lesser than 24 months is a risk factor. Child's gender is a risk factor in birth order 1 and 5. Information regarding complications in pregnancy and prenatal care act as protective factors in birth order 1, place of delivery and immunization in birth order 2, and child size at birth in birth order 4. Prediction models demonstrate high discrimination that indicates that our models fit the data. The study has policy implications such as enhancing the Information, Education and Communication network for mothers, especially at higher birth orders, in order to reduce under

Creative Industries: Development Processes Under Contemporary Conditions of Globalization

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Valerija Kontrimienė

2017-06-01

Full Text Available The article deals with the processes of developing creative industries under conditions of a growth in the worldwide economy and globalization, discloses the role of the sector of creative industries and shows its place in the system of the modern global economy. The paper presents a comparative analysis of theories and theoretical approaches intended for the sector of creative industries and its development as well as defines regularities and specificities characteristic of the development of creative industries. Particular attention is shifted on the growth and development of creative industries considering the current challenges of globalization and on the most important specificities of the developing sector in the context of the challenges of economic globalization. The paper examines the trends reflecting the place of the sector of creative industries in the economy of the modern world, including the tendencies indicating changes in the export of the products created in this sector. The article considers the issues of developing creative industries and reveals priorities of future research.

Discourse, ideas and power in global health policy networks: political attention for maternal and child health in the millennium development goal era.

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McDougall, Lori

2016-05-18

Maternal and child health issues have gained global political attention and resources in the past 10 years, due in part to their prominence on the Millennium Development Goal agenda and the use of evidence-based advocacy by policy networks. This paper identifies key factors for this achievement, and raises questions about prospective challenges for sustaining attention in the transition to the post-2015 Sustainable Development Goals, far broader in scope than the Millennium Development Goals. This paper relies on participant observation methods and document analysis to develop a case study of the behaviours of global maternal and child health advocacy networks during 2005-2015. The development of coordinated networks of heterogeneous actors facilitated the rise in attention to maternal and child health during the past 10 years. The strategic use of epidemiological and economic evidence by these networks enabled policy attention and promoted network cohesion. The time-bound opportunity of reaching the 2015 Millennium Development Goals created a window of opportunity for joint action. As the new post-2015 goals emerge, networks seek to sustain attention by repositioning their framing of issues, network structures, and external alliances, including with networks that lay both inside and outside of the health domain. Issues rise on global policy agendas because of how ideas are constructed, portrayed and positioned by actors within given contexts. Policy networks play a critical role by uniting stakeholders to promote persuasive ideas about policy problems and solutions. The behaviours of networks in issue-framing, member-alignment, and strategic outreach can force open windows of opportunity for political attention -- or prevent them from closing.

Global drought and severe drought-affected populations in 1.5 and 2 °C warmer worlds

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W. Liu

2018-03-01

Full Text Available The 2015 Paris Agreement proposed a more ambitious climate change mitigation target on limiting global warming to 1.5 °C instead of 2 °C above preindustrial levels. Scientific investigations on environmental risks associated with these warming targets are necessary to inform climate policymaking. Based on the Coupled Model Intercomparison Project phase 5 (CMIP5 climate models, we present the first risk-based assessment of changes in global drought and the impact of severe drought on populations from additional 1.5 and 2 °C warming conditions. Our results highlight the risk of drought on a global scale and in several hotspot regions such as the Amazon, northeastern Brazil, southern Africa and Central Europe at both 1.5 and 2 °C global warming relative to the historical period, showing increases in drought durations from 2.9 to 3.2 months. Correspondingly, more total and urban populations would be exposed to severe droughts globally (+132.5 ± 216.2 million and +194.5 ± 276.5 million total population and +350.2 ± 158.8 million and +410.7 ± 213.5 million urban populations in 1.5 and 2 °C warmer worlds and regionally (e.g., East Africa, West Africa and South Asia. Less rural populations (−217.7 ± 79.2 million and −216.2 ± 82.4 million rural populations in 1.5 and 2 °C warmer worlds would be exposed to severe drought globally under climate warming, population growth and especially the urbanization-induced population migration. By keeping global warming at 1.5 °C above the preindustrial levels instead of 2 °C, there is a decrease in drought risks (i.e., less drought duration, less drought intensity and severity but relatively more frequent drought and the affected total, urban and rural populations would decrease globally and in most regions. While challenging for both East Africa and South Asia, the benefits of limiting warming to below 1.5 °C in terms of global drought risk

Child development at 5 years of age predicted mathematics ability and schooling outcomes in Malawian adolescents.

Science.gov (United States)

Gandhi, Mihir; Teivaanmaki, Tiina; Maleta, Kenneth; Duan, Xiaolian; Ashorn, Per; Cheung, Yin Bun

2013-01-01

This study aimed to examine the association between child development at 5 years of age and mathematics ability and schooling outcomes at 12 years of age in Malawian children. A prospective cohort study looking at 609 rural Malawian children. Outcome measures were percentage of correctly answered mathematics questions, highest school grade completed and number of times repeating school grades at 12 years of age. A child development summary score obtained at 5 years of age was the main exposure variable. Regression analyses were used to estimate the association and adjust for confounders. Sensitivity analysis was performed by handling losses to follow-up with multiple imputation (MI) method. The summary score was positively associated with percentage of correctly answered mathematics questions (p = 0.057; p = 0.031 MI) and with highest school grade completed (p = 0.096; p = 0.070 MI), and negatively associated with number of times repeating school grades (p = 0.834; p = 0.339 MI). Fine motor score at 5 years was independently associated with the mathematic score (p = 0.032; p = 0.011 MI). The association between child development and mathematics ability did not depend on school attendance. Child development at 5 years of age showed signs of positive association with mathematics ability and possibly with highest school grade completed at 12 years of age. © 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica.

THE INSTITUTIONAL INVESTORS’ BEHAVIOUR UNDER THE IMPACT OF THE GLOBAL FINANCIAL CRISIS

Directory of Open Access Journals (Sweden)

PIRTEA MARILEN

2013-02-01

Full Text Available On the subject of financial globalization a lot of literature has been written, annalyzing all sorts of effects ithad. Still, the changes induced by globalization at the level of the financial markets are not always clear. The veritableflooding of capitals, constantly moving, created a continuous game of investment opportunities, of arbitrationpossibilities and funding sources, made institutional investors adopt various attitudes, the role of institutional investorsin the activation of capital markets being sustained by the financial globalization and the extension of multinationalfinancial groups, on one side, and by the increased performance of the share and bond markets, on the other side.By the present paper, we propose to underline the behaviour of the main institutional investors (mutual funds,pension funds and hedge funds under the impact of the current global financial crisis, the modifications whichintervened in asset assignment and investment relocation, showing that the instability generated in the global financialsystem had immediate effects on all the portfolios of institutional investors, regardless of their classificationcategory.Under conditions of capital flow increase, adjusted by the global financial crisis, the presented analysis andempirical proofs show a tendency of institutional investors’ asset reallocation on developed markets and thewithdrawal from the emergent ones.

Application of random survival forests in understanding the determinants of under-five child mortality in Uganda in the presence of covariates that satisfy the proportional and non-proportional hazards assumption.

Science.gov (United States)

Nasejje, Justine B; Mwambi, Henry

2017-09-07

age of five in a household, number of births in the past 5 years, wealth index, total number of children ever born and the child's birth order. The results further indicated that the predictive performance for random survival forests built using covariates including those that violate the PH assumption was higher than that for random survival forests built using only covariates that satisfy the PH assumption. Random survival forests are appealing methods in analysing public health data to understand factors strongly associated with under-five child mortality rates especially in the presence of covariates that violate the proportional hazards assumption.

Projection of heat waves over China for eight different global warming targets using 12 CMIP5 models

Science.gov (United States)

Guo, Xiaojun; Huang, Jianbin; Luo, Yong; Zhao, Zongci; Xu, Ying

2017-05-01

Simulation and projection of the characteristics of heat waves over China were investigated using 12 CMIP5 global climate models and the CN05.1 observational gridded dataset. Four heat wave indices (heat wave frequency, longest heat wave duration, heat wave days, and high temperature days) were adopted in the analysis. Evaluations of the 12 CMIP5 models and their ensemble indicated that the multi-model ensemble could capture the spatiotemporal characteristics of heat wave variation over China. The inter-decadal variations of heat waves during 1961-2005 can be well simulated by multi-model ensemble. Based on model projections, the features of heat waves over China for eight different global warming targets (1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, and 5.0 °C) were explored. The results showed that the frequency and intensity of heat waves would increase more dramatically as the global mean temperature rise attained higher warming targets. Under the RCP8.5 scenario, the four China-averaged heat wave indices would increase from about 1.0 times/year, 2.5, 5.4, and 13.8 days/year to about 3.2 times/year, 14.0, 32.0, and 31.9 days/year for 1.5 and 5.0 °C warming targets, respectively. Those regions that suffer severe heat waves in the base climate would experience the heat waves with greater frequency and severity following global temperature rise. It is also noteworthy that the areas in which a greater number of severe heat waves occur displayed considerable expansion. Moreover, the model uncertainties exhibit a gradual enhancement with projected time extending from 2006 to 2099.

Appropriate food policies and investments could reduce child malnutrition by 43% in 2020.

Science.gov (United States)

Rosegrant, Mark W; Meijer, Siet

2002-11-01

This report describes past trends in global child malnutrition and assesses future prospects for reducing child malnutrition. Most developing countries have significantly reduced the proportion of malnourished children during the past three decades. However, because of population growth, the absolute number of malnourished children has fallen much less sharply. Moreover, the number of malnourished children has increased in Sub-Saharan Africa. A global food supply-and-demand model is used to project child malnutrition to 2020 under alternative assumptions on policies and investments that influence food security outcomes in education, clean water, agricultural research, irrigation and rural infrastructure. The baseline "best-estimate" projection shows that the number of malnourished children will continue to decline slowly but that child malnutrition will continue to increase in Sub-Saharan Africa. The optimistic scenario shows that better policy and more rapid economic and agricultural growth can lead to substantial food security improvements, but the pessimistic scenario shows that significantly worse outcomes are also possible with relatively small declines in policy and investment efforts relative to the baseline. A concerted effort to eliminate childhood malnutrition would require policy reform and significant increases in public investment to produce long-term gains in income growth, agricultural productivity and social indicators.

Child life services.

Science.gov (United States)

Wilson, Jerriann M

2006-10-01

Child life programs have become standard in most large pediatric centers and even on some smaller pediatric inpatient units to address the psychosocial concerns that accompany hospitalization and other health care experiences. The child life specialist focuses on the strengths and sense of well-being of children while promoting their optimal development and minimizing the adverse effects of children's experiences in health care or other potentially stressful settings. Using play and psychological preparation as primary tools, child life interventions facilitate coping and adjustment at times and under circumstances that might prove overwhelming otherwise. Play and age-appropriate communication may be used to (1) promote optimal development, (2) present information, (3) plan and rehearse useful coping strategies for medical events or procedures, (4) work through feelings about past or impending experiences, and (5) establish therapeutic relationships with children and parents to support family involvement in each child's care, with continuity across the care continuum. The benefits of this collaborative work with the family and health care team are not limited to the health care setting; it may also optimize reintegration into schools and the community.

Insecticide-Treated Nets Utilization and Associated Factors among under-5 Years Old Children in Mirab-Abaya District, Gamo-Gofa Zone, Ethiopia.

Science.gov (United States)

Admasie, Amha; Zemba, Amanuel; Paulos, Wondimagegn

2018-01-01

Malaria can be prevented using cost-effective interventions. It can be prevented at large via the use of insecticide-treated mosquito nets (ITNs). The use of ITNs decreases malaria mortality rates by 55% in under-5 years old children in Africa, Ethiopia, realizing the effectiveness, scaling up distribution and utilization of ITNs to cover 100% of children less than 5 years of age. However, little is known about ITNs utilization and factors associated with the utilization in under-5 years old children in the study area yet. The purpose of this study was to assess the level and associated factors of ITNs utilization in under-5 years old children among households with under-5 years old children of Mirab Abaya District, Gamo Gofa Zone, Ethiopia. A community-based cross-sectional study was conducted during August-September, 2016. Six study Kebeles were identified by simple random sampling technique and 398 households with at least one under-5 years old children were selected by random sampling technique using computer generated random numbers from health post family folders. Structured, interviewer questionnaire was administered to mothers or care givers of the children. Data were entered to Epi Info Version 3.5 and analyzed in SPSS version 21 statistical software. Bivariate and multivariate logistic regression analysis was done. P -value used for the determination of associations between dependent and predictor variables. Results were presented in narrations, tables, and graph. Among 398 under-5 years old children assessed, the majority, 362 (91.0%) of them had access to ITN, but only 137 (37.2%) of the child had ITNs utilization during the previous night prior to the survey. Households with age of mothers or caretakers 31-44 years, AOR = 0.03, 95% CI (0.01-0.07) and ≥45 years of age; AOR = 0.05, 95% CI (0.01-0.58); households with family size ≤5 members, AOR = 11.23, 95% CI (4.31-29.24); and households with sleeping space ≥2, AOR�

45 CFR 98.20 - A child's eligibility for child care services.

Science.gov (United States)

2010-10-01

..., ethnic background, sex, religious affiliation, or disability; (2) Limit parental rights provided under... 45 Public Welfare 1 2010-10-01 2010-10-01 false A child's eligibility for child care services. 98.20 Section 98.20 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD...

Raising objectives: how global PV production could reach 5 GWp by 2010

International Nuclear Information System (INIS)

Cameron, A.; Jones, J.

2006-01-01

A recent international workshop for the solar photovoltaic (PV) industry organised by the European Photovoltaic Industry Association (EPIA) examined market trends and technological developments. Under a business-as-usual (BAU) scenario, the EPIA predicts that the global PV market would only reach 3.2 GWp by 2010. But workshop participants believe that, given sufficient support measures to encourage investment, the global market could be accelerated to reach 5400 MW per year by 2010, with an achievable annual installed capacity of over 5 GWp and production of 30,000 tonnes of solar-grade silicon per year at a cost of 30-40 euros/kg. Major markets are expected to be Germany, Japan, USA, China and Spain. Examples of the type of policies and strategies necessary for accelerated growth are given and countries with potential for a significant increase in annual PV installation rates are identified. The current main constraint on market growth is the global shortage of suitable silicon, but confidence in the solar market is now sufficient for significant new manufacturing plant to be planned. Investment in other PV technologies is also required, plus a decrease in the price of PV modules. EPIA does not expect a short-term price reduction for PV until after 2007 but the workshop concluded that the PV industry could expect to see an average price reduction of around 5% per year (for cells, modules and complete systems) by 2011

Missed Immunization Opportunities Among Children Under 5 Years Of Age Dwelling In Karachi City.

Science.gov (United States)

Khaliq, Asif; Sayed, Sayeeda Amber; Hussaini, Syed Abdullah; Azam, Kiran; Qamar, Mehak

2017-01-01

Immunization is the safest and effective measure for preventing and eradicating various communicable diseases. A glaring immunization gap exists between developing and industrialized countries towards immunization, because the developing countries including Pakistan are still striving to provide basic immunization to their children. The purpose of this study was to access the prevalence and factors of missing immunization among under 5-year children of Karachi.. A cross sectional study was conducted from June 2015 to October 2015 among different outpatient clinics of Karachi. Parents who had child less than 5 year of age were approached by non-probability purposive sampling. Data was analysed by using Statistical Package of Social Sciences. There were around 59.09% (n=156) and 64.43% (n=165) parents who have correctly responded regarding the number of essential immunization visit during the first and second year of their child life respectively. About 28.12% (n=108) parents responded that they do not know about the name and number of missed doses of vaccines. 31.78% (n=122) parents responded that their children have missed either one or more than one doses of routine immunization vaccines. Of which 34.42% (n=42) children have missed more than one vaccine. Lack of knowledge regarding immunization schedule 28.68% (n=34), concern about vaccine side effects 21.31%, (n=26), child sickness 17.21% (n=21), and lack of trust about government 10.65%, (n=13) were the major barriers identified by parents for missed immunization opportunities. Parents have inadequate knowledge regarding routine immunization visits, immunization schedule and vaccine doses. The practices of parents for routine childhood immunization are also poor. Parents refuse to immunize their child because of lack of immunization visit knowledge and also because of their doubts regarding vaccine potency and side effects. A proper system of immunization promotion, advocacy and reminder systems with proper

5 CFR 792.217 - Are part-time Federal employees eligible for the child care subsidy program?

Science.gov (United States)

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Are part-time Federal employees eligible... the Child Care Subsidy Program Legislation and to Whom Does It Apply? § 792.217 Are part-time Federal employees eligible for the child care subsidy program? Federal employees who work part-time are eligible for...

Scenarios towards limiting global mean temperature increase below 1.5 °C

Science.gov (United States)

Rogelj, Joeri; Popp, Alexander; Calvin, Katherine V.; Luderer, Gunnar; Emmerling, Johannes; Gernaat, David; Fujimori, Shinichiro; Strefler, Jessica; Hasegawa, Tomoko; Marangoni, Giacomo; Krey, Volker; Kriegler, Elmar; Riahi, Keywan; van Vuuren, Detlef P.; Doelman, Jonathan; Drouet, Laurent; Edmonds, Jae; Fricko, Oliver; Harmsen, Mathijs; Havlík, Petr; Humpenöder, Florian; Stehfest, Elke; Tavoni, Massimo

2018-04-01

The 2015 Paris Agreement calls for countries to pursue efforts to limit global-mean temperature rise to 1.5 °C. The transition pathways that can meet such a target have not, however, been extensively explored. Here we describe scenarios that limit end-of-century radiative forcing to 1.9 W m-2, and consequently restrict median warming in the year 2100 to below 1.5 °C. We use six integrated assessment models and a simple climate model, under different socio-economic, technological and resource assumptions from five Shared Socio-economic Pathways (SSPs). Some, but not all, SSPs are amenable to pathways to 1.5 °C. Successful 1.9 W m-2 scenarios are characterized by a rapid shift away from traditional fossil-fuel use towards large-scale low-carbon energy supplies, reduced energy use, and carbon-dioxide removal. However, 1.9 W m-2 scenarios could not be achieved in several models under SSPs with strong inequalities, high baseline fossil-fuel use, or scattered short-term climate policy. Further research can help policy-makers to understand the real-world implications of these scenarios.

Health care seeking practices of caregivers of children under 5 with diarrhea in two informal settlements in Nairobi, Kenya.

Science.gov (United States)

Mukiira, Carol; Ibisomi, Latifat

2015-06-01

In Kenya, as in other developing countries, diarrhea is among the leading causes of child mortality. Despite being easy to prevent and treat, care seeking for major child illnesses including diarrhea remains poor in the country. Mortality due to diarrhea is even worse in informal settlements that are characterized by poor sanitary conditions and largely unregulated health care system among other issues. The study aims to examine the health care seeking practices of caregivers of children under 5 with diarrhea in two informal settlements in Nairobi, Kenya. The article used data from a maternal and child health (MCH) prospective study conducted between 2006 and 2010. Results show that more than half (55%) of the caregivers sought inappropriate health care in the treatment of diarrhea of their child. Of the 55%, about 35% sought no care at all. Use of oral rehydration solution and zinc supplements, which are widely recommended for management of diarrhea, was very low. The critical predictors of health care seeking identified in the study are duration of illness, informal settlement of residence, and the child's age. The study showed that appropriate health care seeking practices for childhood diarrhea remain a great challenge among the urban poor in Kenya. © The Author(s) 2013.

Validity and Reliability of the Turkish Version of the DSM-5 Posttraumatic Stress Symptom Severity Scale-Child Form.

Science.gov (United States)

Yalin Sapmaz, Şermin; Ergin, Dilek; Özek Erkuran, Handan; Şen Celasin, Nesrin; Öztürk, Masum; Karaarslan, Duygu; Köroğlu, Ertuğrul; Aydemir, Ömer

2017-09-01

This study assessed the validity and reliability of the Turkish version of the DSM-5 Posttraumatic Stress Symptom Severity Scale-Child Form for use among the Turkish population. The study group consisted of 30 patients that had been treated in a child psychiatry unit and diagnosed with posttraumatic stress disorder and 83 healthy volunteers that were attending middle or high school during the study period. For reliability analyses, the internal consistency coefficient and the test-retest correlation coefficient were measured. For validity analyses, the exploratory factor analysis and correlation analysis with the Child Posttraumatic Stress Reaction Index for concurrent validity were measured. The Cronbach's alpha (the internal consistency coefficient) of the scale was 0.909, and the test-retest correlation coefficient was 0.663. One factor that could explain 58.5% of the variance was obtained and was congruent with the original construct of the scale. As for concurrent validity, the scale showed high correlation with the Child Posttraumatic Stress Reaction Index. It was concluded that the Turkish version of the DSM-5 Posttraumatic Stress Symptom Severity Scale-Child Form can be used as a valid and reliable tool.

Perceptions of Child Body Size and Health Care Seeking for Undernourished Children in Southern Malawi.

Science.gov (United States)

Flax, Valerie L; Thakwalakwa, Chrissie; Ashorn, Ulla

2016-12-01

Child undernutrition affects millions of children globally, but little is known about the ability of adults to detect different types of child undernutrition in low-income countries. We used focused ethnographic methods to understand how Malawian parents and grandparents describe the characteristics they use to identify good and poor child growth, their actual or preferred patterns of health seeking for undernourished children, and the perceived importance of child undernutrition symptoms in relation to other childhood illnesses. Malawians value adiposity rather than stature in assessing child growth. Symptoms of malnutrition, including wasting and edema, were considered the least severe childhood illness symptoms. Parents delayed health care seeking when a child was ill. When they sought care, it was for symptoms such as diarrhea or fever, and they did not recognize malnutrition as the underlying cause. These findings can be used to tailor strategies for preventing and treating growth faltering in Malawian children. © The Author(s) 2015.

Towards the IPCC Special Report on Global Warming of 1.5°C

Science.gov (United States)

Masson-Delmotte, Valérie

2017-04-01

The Intergovernemental Panel on Climate Change (IPCC) has accepted the invitation from the Paris Agreement to prepare a special report on the impacts of global warming of 1.5 °C above pre-industrial levels and related global greenhouse gas emission pathways, in the context of strengthening the global response to the threat of climate change, sustainable development, and efforts to eradicate poverty. This special report is prepared under the scientific leadership of the co-chairs of the IPCC Working Groups I, II and III, and with operational support from the Technical Support Unit of Working Group I. It will consist of 5 chapters, providing (i) framing and context, (ii) exploring mitigation pathways compatible with 1.5°C in the context of sustainable development, (iii) assessing impacts of 1.5°C global warming on natural and human systems, and (iv) options for strengthening and implementing the global response to the threat of climate change, with a final chapter on sustainable development, poverty eradication and reducing inequalities. The timeline of preparation of the report is extremely short, with four lead author meetings taking place from March 2017 to April 2018, and an approval session scheduled in September 2018. It is crucial that new knowledge is being produced and submitted / published in the literature in time for contributing new material to be assessed by the authors of the report (with deadlines in late fall 2017 and spring 2018). With respect to the additional impacts expected for 1.5°C warming compared to present-day, and impacts avoided with respect to larger warming, new research is expected to build on existing CMIP5 projections, including new information on regional change, methods to provide knowledge for the most vulnerable ecosystems and regions, but also information from ongoing projects aiming to produce large ensembles of simulations, and new simulations driven by low carbon pathways. This is important for identifying climate change

Vulnerability of Hidropower Generation in Amazon's Tributaries Under Global Change Scenarios

Science.gov (United States)

Von Randow, R.; Siqueira, J. L., Jr.; Rodriguez, D. A.; Tomasella, J.; Floriano, L. E.

2014-12-01

The Brazilian energy sector is under continued expansion. The majority of energy power generation in the country is done through hydropower, which represents around 88% of the energy originated from renewable sources in the country. Still, only 10% of the high potential for production of the Amazon basin is currently availed, and this raises attention for the implantation of new hydropower plants in the region. When a hydropower plant is considered to be built, the natural characteristics of the region are taken into account, considering that the rainfall regime follows certain stationarity. However, under the possibility of global change, the expected capacity of the plants may be compromised. The objective of this study is to evaluate if the current hydropower plants of some Amazon River tributaries can maintain their functionality under global environmental change conditions. For that, based on the discharge data and hydropower information available by Brazilian National Agency of Water and Energy we will infer the energy potential of these hydropower dams for the historic period that will be compared with the energy potential for future discharge under global environmental change conditions. The future discharge will be generated by the Distributed Hydrological Model developed at the Brazilian National Institute for Space Research (MHD-INPE), driven by different climate change scenarios projected by regional and global atmospheric models, associated with land use scenarios projected by a dynamic land use model (LUCC-ME/INPE). MHD-INPE will be calibrated through observed discharges for 1970-1990 using current land use conditions, and will generate discharges for the period of 2000 to 2050. In addition, special attention will be given to the presence of secondary forest growth in the land use scenarios in order to identify the importance of considering this use in the modelling exercise, since that use is not usually considered in hydrological modelling studies.

5 CFR 792.220 - What are the requirements that child care providers must meet in order to participate in this...

Science.gov (United States)

2010-01-01

..., where applicable, by local authorities where the child care service is delivered. Outside of the United States, agencies may adopt or create criteria to ensure a child care center or family child care home is... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false What are the requirements that child care...

Enhancing the child survival agenda to promote, protect, and support early child development.

Science.gov (United States)

Jensen, Sarah K G; Bouhouch, Raschida R; Walson, Judd L; Daelmans, Bernadette; Bahl, Rajiv; Darmstadt, Gary L; Dua, Tarun

2015-08-01

High rates of child mortality and lost developmental potential in children under 5 years of age remain important challenges and drivers of inequity in the developing world. Substantive progress has been made toward Millennium Development Goal (MDG) 4 to improve child survival, but as we move into the post-2015 sustainable development agenda, much more work is needed to ensure that all children can realize their full and holistic physical, cognitive, psychological, and socio-emotional development potential. This article presents child survival and development as a continuous and multifaceted process and suggests that a life-course perspective of child development should be at the core of future policy making, programming, and research. We suggest that increased attention to child development, beyond child survival, is key to operationalize the sustainable development goals (SDGs), address inequities, build on the demographic dividend, and maximize gains in human potential. An important step toward implementation will be to increase integration of existing interventions for child survival and child development. Integrated interventions have numerous potential benefits, including optimization of resource use, potential additive impacts across multiple domains of health and development, and opportunity to realize a more holistic approach to client-centered care. However, a notable challenge to integration is the continued division between the health sector and other sectors that support child development. Despite these barriers, empirical evidence is available to suggest that successful multisectoral coordination is feasible and leads to improved short- and long-term outcomes in human, social, and economic development. Copyright © 2015 Elsevier Inc. All rights reserved.

Underlying Constructs in the Development and Institutionalization of the Child Drama Field.

Science.gov (United States)

Woodson, Stephani Etheridge

1998-01-01

Examines the invisible incorporation of constructions from the Victorian and Progressive eras regarding children, women, and theatre art, into the field of child drama. Discusses child drama as a moral calling; women and the gendered status of child drama; child drama as an amateur field; child drama as education in democracy; and the construction…

Global agricultural land resources--a high resolution suitability evaluation and its perspectives until 2100 under climate change conditions.

Directory of Open Access Journals (Sweden)

Florian Zabel

Full Text Available Changing natural conditions determine the land's suitability for agriculture. The growing demand for food, feed, fiber and bioenergy increases pressure on land and causes trade-offs between different uses of land and ecosystem services. Accordingly, an inventory is required on the changing potentially suitable areas for agriculture under changing climate conditions. We applied a fuzzy logic approach to compute global agricultural suitability to grow the 16 most important food and energy crops according to the climatic, soil and topographic conditions at a spatial resolution of 30 arc seconds. We present our results for current climate conditions (1981-2010, considering today's irrigated areas and separately investigate the suitability of densely forested as well as protected areas, in order to investigate their potentials for agriculture. The impact of climate change under SRES A1B conditions, as simulated by the global climate model ECHAM5, on agricultural suitability is shown by comparing the time-period 2071-2100 with 1981-2010. Our results show that climate change will expand suitable cropland by additionally 5.6 million km2, particularly in the Northern high latitudes (mainly in Canada, China and Russia. Most sensitive regions with decreasing suitability are found in the Global South, mainly in tropical regions, where also the suitability for multiple cropping decreases.

Projected changes in prevailing winds for transatlantic migratory birds under global warming.

Science.gov (United States)

La Sorte, Frank A; Fink, Daniel

2017-03-01

A number of terrestrial bird species that breed in North America cross the Atlantic Ocean during autumn migration when travelling to their non-breeding grounds in the Caribbean or South America. When conducting oceanic crossings, migratory birds tend to associate with mild or supportive winds, whose speed and direction may change under global warming. The implications of these changes for transoceanic migratory bird populations have not been addressed. We used occurrence information from eBird (1950-2015) to estimate the geographical location of population centres at a daily temporal resolution across the annual cycle for 10 transatlantic migratory bird species. We used this information to estimate the location and timing of autumn migration within the transatlantic flyway. We estimated how prevailing winds are projected to change within the transatlantic flyway during this time using daily wind speed anomalies (1996-2005 and 2091-2100) from 29 Atmosphere-Ocean General Circulation Models implemented under CMIP5. Autumn transatlantic migrants have the potential to encounter strong westerly crosswinds early in their transatlantic journey at intermediate and especially high migration altitudes, strong headwinds at low and intermediate migration altitudes within the Caribbean that increase in strength as the season progresses, and weak tailwinds at intermediate and high migration altitudes east of the Caribbean. The CMIP5 simulations suggest that, during this century, the likelihood of autumn transatlantic migrants encountering strong westerly crosswinds will diminish. As global warming progresses, the need for species to compensate or drift under the influence of strong westerly crosswinds during the initial phase of their autumn transatlantic journey may be diminished. Existing strategies that promote headwind avoidance and tailwind assistance will likely remain valid. Thus, climate change may reduce time and energy requirements and the chance of mortality or

Role of Protein and Amino Acids in Infant and Young Child Nutrition: Protein and Amino Acid Needs and Relationship with Child Growth.

Science.gov (United States)

Uauy, Ricardo; Kurpad, Anura; Tano-Debrah, Kwaku; Otoo, Gloria E; Aaron, Grant A; Toride, Yasuhiko; Ghosh, Shibani

2015-01-01

Over a third of all deaths of children under the age of five are linked to undernutrition. At a 90% coverage level, a core group of ten interventions inclusive of infant and young child nutrition could save one million lives of children under 5 y of age (15% of all deaths) (Lancet 2013). The infant and young child nutrition package alone could save over 220,000 lives in children under 5 y of age. High quality proteins (e.g. milk) in complementary, supplementary and rehabilitation food products have been found to be effective for good growth. Individual amino acids such as lysine and arginine have been found to be factors linked to growth hormone release in young children via the somatotropic axis and high intakes are inversely associated with fat mass index in pre-pubertal lean girls. Protein intake in early life is positively associated with height and weight at 10 y of age. This paper will focus on examining the role of protein and amino acids in infant and young child nutrition by examining protein and amino acid needs in early life and the subsequent relationship with stunting.

Care for overweight children attending the 5-year preventive child health examination in general practice.

Science.gov (United States)

Andersen, Merethe Kousgaard; Christensen, Bo; Søndergaard, Jens

2013-02-01

The purpose of this study was to analyse general practitioners' (GPs) care for children with a weight-for-height above normal based on the GPs' clinical evaluation, that is, 'GP-assessed overweight'. This study is a cross-sectional survey targeting GPs' care for children with GP-assessed overweight at the 5-year preventive child health examination (PCHE). Out of 1135 children attending the 5-year PCHE, 171 were assessed overweight by the GP. According to the Danish body mass index (kg/m(2)) growth charts, 147 children were overweight. The GPs addressed their concern about the child's weight to the parents in 58% of the 171 cases with GP-assessed overweight. The national guideline was reported consulted in 6% of the cases. Diet, physical activity and dispositions were evaluated by the GPs in 68%, 57% and 34% of cases, respectively. An appointment for a follow-up was made in 12% of cases. Various care activities were carried out for most children with GP-assessed overweight at the 5-year PCHE. However, the GP did not raise concern about the child's weight with the parents in almost one third of the children. It seems that there is a potential for improving the overweight care at the 5-year PCHE beginning with the involvement of the parents.

Enzymology under global change: organic nitrogen turnover in alpine and sub-Arctic soils

NARCIS (Netherlands)

Weedon, J.T.; Aerts, R.; Kowalchuk, G.A.; van Bodegom, P.M.

2011-01-01

Understanding global change impacts on the globally important carbon storage in alpine, Arctic and sub-Arctic soils requires knowledge of the mechanisms underlying the balance between plant primary productivity and decomposition. Given that nitrogen availability limits both processes, understanding

Enzymology under global change: organic nitrogen turnover in alpine and sub-Arctic soils.

NARCIS (Netherlands)

Weedon, J.T.; Aerts, R.; Kowalchuk, G.A.; van Bodegom, P.M.

2011-01-01

Understanding global change impacts on the globally important carbon storage in alpine, Arctic and sub-Arctic soils requires knowledge of the mechanisms underlying the balance between plant primary productivity and decomposition. Given that nitrogen availability limits both processes, understanding

Terminating a Child’s Life? Religious, Moral, Cognitive, and Emotional Factors Underlying Non-Acceptance of Child Euthanasia

Directory of Open Access Journals (Sweden)

Csilla Deak

2017-04-01

Full Text Available Is opposition to child euthanasia motivated only by ideology, or also by other personality characteristics and individual differences? In Belgium, the first country to legalize child euthanasia (in 2014, we investigated religious, moral, emotional, and cognitive factors underlying the (disapproval of this legalization ('N' = 213. Disapproval was associated with religiousness, collectivistic morality (loyalty and purity, and prosocial dispositions, in terms of emotional empathy and behavioral generosity, but not values (care and fairness. It was also associated with low flexibility in existential issues and a high endorsement of slippery slope arguments, but not necessarily low openness to experience. A regression analysis showed that in addition to religiousness, low flexibility in existential issues and high empathy and generosity distinctly predicted opposition to child euthanasia. Whereas most of the findings parallel those previously reported for adult euthanasia, the role of prosocial inclinations in predicting moral opposition seems to be specific to child euthanasia.

View Point: Economic growth and child health in Sub Saharan Africa ...

African Journals Online (AJOL)

View Point: Economic growth and child health in Sub Saharan Africa. BA O'Hare, N Bar-Zeev, L Chiwaula. Abstract. After independence most African countries witnessed growth in their economies and decreases in child mortality. However both economic growth and the gains in under 5 mortality slowed dramatically in the ...

Child prostitution: magnitude and related problems.

Science.gov (United States)

Ayalew, T; Berhane, Y

2000-07-01

In Ethiopia, very little is known about prostitution in general and about child prostitution in particular. The objective of this study was to determine the magnitude of child prostitution and to identify problems associated with it. A cross-sectional study design was utilized. Data were collected using structured questionnaire. A total of 650 commercial sex workers were interviewed. Eighty eight (13.5%) were below the age of 18 years at the time of data collection. At the time of joining prostitution 268 (41.2%) were under 18 years of age. Poverty, disagreement with family, and peer influence were the major reasons leading to prostitution. Child prostitutes were likely to be victim of physical violence [OR = (95% C.I.) = 1.93(1.18,3.15)] and sexual violence [OR = (95% C.I.) = 2.20(1.36,3.35)] compared to adult prostitutes. Child prostitutes were about five times more likely to desire rejoining their family than the adult prostitutes [OR = (95% C.I) = 5.47(3.01;9.93)]. Strategies need to be developed to rescue child prostitutes from on-job violence, and to establish a rehabilitation program for those interested to discontinue prostitution along with efforts to minimize entry into prostitution.

Child Labor Facts in the Worldwide: A Review Article

Directory of Open Access Journals (Sweden)

Ali Khakshour

2015-02-01

Full Text Available The economic exploitation of children is an insult to humanity. All over the world children continue to work, putting at stake their education, their health, their normal development to adulthood, and even their lives. Millions of them work under hazardous conditions which present dangers to their health, safety and welfare. They toil in mines and quarries, are exposed to agrochemicals in agriculture, squat in crippling positions to weave rugs and carpets, and scavenge in rubbish tips. Too many are enslaved in bonded labour, isolated in domestic service, and traumatized and abused in the commercial sex trade. Today many people and organizations are concerned about child labour. The number of children working in the world today is higher than most people think, although it is difficult to obtain anything more than an educated global estimate. This is firstly because many kinds of child labour are underreported, and secondly because many countries have no desire or incentive to publicize how many of their young people work. Nevertheless, statistical techniques allow us to estimate that 211 million children aged 5 to 14 and an additional 141 million children aged 15 to 17 are “economically active”, i.e. are involved in some form of work.

Environmental and radiological remediation under Canada's global partnership program 2004-11 - 59185

International Nuclear Information System (INIS)

Washer, Michael J.

2012-01-01

Following the '911' attack on the USA in 2001 the international community under Canada's G8 leadership established a $20 billion Global Partnership initiative in 2002 to collaboratively address threats to global security posed by the proliferation and potential terrorist use of Weapons and Materials of Mass Destruction (WMMD) and related materials and knowledge. This major international initiative addressed four priority areas: (1) Chemical Weapon Destruction (2) Nuclear powered submarine eliminations (3) Nuclear and radiological security; and (4) Employment for former weapon scientists. Additionally the initiative has addressed Biological Non- Proliferation. Canada's execution of all these program areas has resulted in substantial environmental benefits aside from the eradication and securing of WMMD. This paper reviews the environmental and radiological remediation achievements of the four primary Global Partnership program areas addressed under Canadian funding 2004 through 2011. (author)

Child health inequalities and its dimensions in Pakistan.

Science.gov (United States)

Murtaza, Fowad; Mustafa, Tajammal; Awan, Rabia

2015-01-01

Poverty and inequality in health is pervasive in Pakistan. The provisions and conditions of health are very dismal. A significant proportion of the population (16.34%) of Pakistan is under 5 years, but Pakistan is in the bottom 5% of countries in the world in terms of spending on health and education. It is ranked the lowest in the world with sub-Sahara Africa in terms of child health equality. The objective of this study was to examine child health inequalities in Pakistan. We analyzed data from Pakistan Integrated Household Survey/Household Integrated Economic Survey 2001-2002, collected by the Pakistan Bureau of Statistics, Government of Pakistan. Coverage of diarrhea and immunization were used as indicators of child health. Stata 11.0 was used for data analysis. Descriptive statistics including frequency distribution and proportions for categorical variables and mean for continuous variables were computed. Children under 5 years of age account for about 16.34% of the total population, 11.76% (2.5 million) of whom suffered from diarrhea in 1-month. The average duration of a diarrheal episode was 7 days. About 72% of the children who had diarrhea lived in a house without pipe-borne water supply. Around 22% children who had diarrhea had no advice or treatment. More than one-third of the households had no toilet in the house, and only 29% of the households were connected with pipe-borne drinking water. About 7.73% (1.6 million) children had never been immunized. The main reason for nonimmunization was parents' lack of knowledge and of immunization. Child health inequalities in Pakistan are linked with several factors such as severe poverty, illiteracy, lack of knowledge, and awareness of child healthcare, singularly inadequate provision of health services, and poor infrastructure.

Child health inequalities and its dimensions in Pakistan

Directory of Open Access Journals (Sweden)

Fowad Murtaza

2015-01-01

Full Text Available Background and Objective: Poverty and inequality in health is pervasive in Pakistan. The provisions and conditions of health are very dismal. A significant proportion of the population (16.34% of Pakistan is under 5 years, but Pakistan is in the bottom 5% of countries in the world in terms of spending on health and education. It is ranked the lowest in the world with sub-Sahara Africa in terms of child health equality. The objective of this study was to examine child health inequalities in Pakistan. Materials and Methods: We analyzed data from Pakistan Integrated Household Survey/Household Integrated Economic Survey 2001-2002, collected by the Pakistan Bureau of Statistics, Government of Pakistan. Coverage of diarrhea and immunization were used as indicators of child health. Stata 11.0 was used for data analysis. Descriptive statistics including frequency distribution and proportions for categorical variables and mean for continuous variables were computed. Results: Children under 5 years of age account for about 16.34% of the total population, 11.76% (2.5 million of whom suffered from diarrhea in 1-month. The average duration of a diarrheal episode was 7 days. About 72% of the children who had diarrhea lived in a house without pipe-borne water supply. Around 22% children who had diarrhea had no advice or treatment. More than one-third of the households had no toilet in the house, and only 29% of the households were connected with pipe-borne drinking water. About 7.73% (1.6 million children had never been immunized. The main reason for nonimmunization was parents′ lack of knowledge and of immunization. Conclusion: Child health inequalities in Pakistan are linked with several factors such as severe poverty, illiteracy, lack of knowledge, and awareness of child healthcare, singularly inadequate provision of health services, and poor infrastructure.

Women's empowerment in agriculture and child nutritional status in rural Nepal.

Science.gov (United States)

Cunningham, Kenda; Ploubidis, George B; Menon, Purnima; Ruel, Marie; Kadiyala, Suneetha; Uauy, Ricardo; Ferguson, Elaine

2015-12-01

To examine the association between women's empowerment in agriculture and nutritional status among children under 2 years of age in rural Nepal. Cross-sectional survey of 4080 households conducted in 2012. Data collected included: child and maternal anthropometric measurements; child age and sex; maternal age, education, occupation and empowerment in agriculture; and household size, number of children, religion, caste and agro-ecological zone. Associations between the Women's Empowerment in Agriculture Index (WEAI)'s Five Domains of Empowerment (5DE) sub-index and its ten component indicators and child length-for-age Z-scores (LAZ) and weight-for-length Z-scores (WLZ) were estimated, using ordinary least-squares regression models, with and without adjustments for key child, maternal and household level covariates. Two hundred and forty rural communities across sixteen districts of Nepal. Children under 24 months of age and their mothers (n 1787). The overall WEAI 5DE was positively associated with LAZ (β=0·20, P=0·04). Three component indicators were also positively associated with LAZ: satisfaction with leisure time (β=0·27, Pempowerment in agriculture was associated with WLZ. Women's empowerment in agriculture, as measured by the WEAI 5DE and three of its ten component indicators, was significantly associated with LAZ, highlighting the potential role of women's empowerment in improving child nutrition in Nepal. Additional studies are needed to determine whether interventions to improve women's empowerment will improve child nutrition.

Child Domestic Labour: A Modern Form of Slavery

Science.gov (United States)

Blagbrough, Jonathan

2008-01-01

This article provides a global scene for the scope of child domestic labour and explores the inter-woven relationship between the practice and slavery, as well as the consequences for this uniquely vulnerable group of child workers. In doing so, it seeks to dispel the myths that child domestic work is a safe form of employment for girls…

Island development: Local governance under globalization

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Huei-Min Tsai

2014-12-01

Full Text Available Issues surrounding island development have generated a growing volume of research. What does it mean to develop? How can island communities maintain control over development processes to the benefit of the local economy, rather than seeing economic flows enter and exit the island with little or a primarily negative impact? And how important is local knowledge for edifying local governance and enhancing potentials for innovation in island development? Island histories have repeatedly been forwarded as exemplars and ‘lessons’ for global learning on (unsustainability. To consider these issues, we have selected a number of papers from among the presentations given at the International Geographical Union’s Commission on Islands Conference, Island Development: Local Economy, Culture, Innovation and Sustainability, which took place in the Penghu Archipelago, Taiwan, 1–5 October 2013. These papers serve as examples of how the processes of globalization have penetrated the borders and changed the political and economic structures of islands. They also explore how island-based innovations in science, technology, culture, and formal or informal governance might contribute to sustainable island development.

When will we reach 1.5 of global warming?

Science.gov (United States)

Matthews, D.

2017-12-01

Recent global temperature trends indicate that we may be rapidly approaching 1.5 degrees of global warming. However, rigorous estimates of when this target will be breached are rare, and are highly sensitive to small errors in observed and model-simulated historical warming, as well as widely-varying estimates of the allowable emissions for 1.5°C. Here, I present a proposed method to estimate the time remaining to 1.5°C using a new estimate of human-attributable warming, updated CO2 emissions trends, and the latest estimates of the 1.5°C carbon budget. The resulting calculation suggests that a continuation of recent CO2 emission trends would take us past 1.5°C in 2033, a little less than 16 years from now. Uncertainties in this calculation remain large, reflecting both fundamental scientific uncertainties associated with the climate response to emissions, as well as uncertainties associated with human mitigation decisions and their effect on future CO2 and non-CO2 greenhouse gas emissions. However, it is nevertheless important to provide a robust and widely-accepted best estimate of the time remaining before we breach the climate targets that have been adopted in the Paris climate agreement, so as to clearly communicate our scientific understanding to policy makers and the general public. To this end, in an effort to visualize and track our progress towards these target, we have develop an online and projectable climate clock, which shows a real-time countdown of the time remaining to 1.5 and 2°C of global warming (see www.climateclock.net). This clock will be updated annually in light of the most recent emissions and global temperature data, and accounting for improved estimates of the remaining carbon budget associated with these climate targets. As countries around the world move forward with climate mitigation efforts, this climate clock will be able to clearly mark our progress towards the objective of adding time to the countdown so as to ultimately

Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015

DEFF Research Database (Denmark)

Moesgaard Iburg, Kim; Gyawali, Bishal

2016-01-01

in 2015. Unless these countries are able to accelerate reductions in child deaths at an extraordinary pace, their achievement of proposed SDG targets is unlikely. Improving the evidence base on drivers that might hasten the pace of progress for child survival, ranging from cost-effective intervention...

Assessing Shifts of Mediterranean and Arid Climates Under RCP4.5 and RCP8.5 Climate Projections in Europe

Science.gov (United States)

Barredo, José I.; Mauri, Achille; Caudullo, Giovanni; Dosio, Alessandro

2018-04-01

The Mediterranean basin is the richest biodiversity region in Europe and a global hotspot of biological diversity. In spite of that, anthropogenic climate change is one of the most serious concerns for nature conservation in this region. One of the climatic threats is represented by shifts of the Mediterranean climate and expansion of the arid climate. In this paper, we present an assessment of changes in the spatial range of the Mediterranean climate in Europe and the conversion into arid climate under different greenhouse gas forcings, namely RCP4.5 and RCP8.5. We used 11 simulations in two future 30-year periods of state-of-the-art regional climate models from EURO-CORDEX. Our results indicate that by the end of the century under RCP8.5 the present Mediterranean climate zone is projected to contract by 16%, i.e. an area ( 157,000 km2) equivalent to half the size of Italy. This compares with the less severe scenario RCP4.5 that projected only a 3% reduction. In addition, the Mediterranean climate zone is projected to expand to other zones by an area equivalent to 24 and 50% of its present extent under RCP4.5 and RCP8.5, respectively. Our study indicates that expansion of the arid zone is almost always the cause for contraction of the Mediterranean zone. Under RCP8.5 the arid zone is projected to increase by more than twice its present extent, equivalent to three times the size of Greece. Results of this study are useful for identifying (1) priority zones for biodiversity conservation, i.e. stable Mediterranean climate zones, (2) zones requiring assisted adaptation, such as establishment of new protected areas, implementation of buffer zones around protected areas and creating ecological corridors connecting stable Mediterranean zones.

Estimating spatial inequalities of urban child mortality

Directory of Open Access Journals (Sweden)

John R. Weeks

2013-01-01

Full Text Available BACKGROUND Recent studies indicate that the traditional rural-urban dichotomy pointing to cities as places of better health in the developing world can be complicated by poverty differentials. Knowledge of spatial patterns is essential to understanding the processes that link individual demographic outcomes to characteristics of a place. A significant limitation, however, is the lack of spatial data and methods that offer flexibility in data inputs. OBJECTIVE This paper tackles some of the issues in calculating intra-urban child mortality by combining multiple data sets in Accra, Ghana and applying a new method developed by Rajaratnam et al. (2010 that efficiently uses summary birth histories for creating local-level measures of under-five child mortality (5q0. Intra-urban 5q0 rates are then compared with characteristics of the environment that may be linked to child mortality. METHODS Rates of child mortality are calculated for 16 urban zones within Accra for birth cohorts from 1987 to 2006. Estimates are compared to calculated 5q0 rates from full birth histories. 5q0 estimates are then related to zone measures of slum characteristics, housing quality, health facilities, and vegetation using a simple trendline R2 analysis. RESULTS Results suggest the potential value of the Rajaratnam et al. method at the micro-spatial scale. Estimated rates indicate that there is variability in child mortality between zones, with a spread of up to 50 deaths per 1,000 births. Furthermore, there is evidence that child mortality is connected to environmental factors such as housing quality, slum-like conditions, and neighborhood levels of vegetation.

Factors During Pregnancy, Delivery and Birth Affecting Global Quality of Life of the Adult Child at Long-term Follow-up. Results from the Prospective Copenhagen Perinatal Birth Cohort 1959-61

Directory of Open Access Journals (Sweden)

Søren Ventegodt

2005-01-01

Full Text Available This paper presents a prospective cohort study, where we explore associations between pregnancy, delivery and the global quality of life (QOL of the adult child 31-33 years later. The data is from the Copenhagen Perinatal Birth Cohort 1959-61 using two sets of questionnaires send to 7,222 persons: one filled out by physicians during pregnancy and delivery, while the follow-up questionnaire was completed by the adult children 31-33 years later. The main outcome measures were objective factors describing pregnancy and delivery along with global quality of life, including: Well-being, life satisfaction, happiness, fulfilment of needs, experience of life's temporal and spatial domains, expression of life's potentials and objective measures. Results showed two main factors in pregnancy that seemed to be associated with a reduced quality of life for the child 31-33 years later: the mother's smoking habits and the mother's medication–especially painkillers and different psychopharmacological drugs with the association being most prevalent early in pregnancy. Considering what can and do go wrong during the various stages of labour and delivery and considering how few connections we found between the factors examined and the later global QOL, it seems that the child is remarkably resilient to external influences during pregnancy and delivery concerned with global QOL, as an adult.

Prediction of Typhoon Wind Speeds under Global Warming Conditions

International Nuclear Information System (INIS)

Choun, Young Sun; Kim, Min Kyu; Kang, Ju Whan; Kim, Yang Seon

2016-01-01

The continuous increase of SST by global warming conditions in the western North Pacific Ocean results in an increased occurrence of supertyphoons in East Asia and the Korean Peninsula. Recent numerical experiments have found that the central pressures of two historical typhoons, Maemi (2003) and Rusa (2002), which recorded the highest storm surges along the coasts of the Korean Peninsula, dropped about 19 and 17 hPa, respectively, when considering the future SST (a warming of 3.9 .deg. C for 100 years) over the East China Sea. The maximum wind speeds increase under global warming conditions. The probability of occurrence of super-typhoons increases in the future. The estimated return period for supertyphoons affecting the Younggwang site is about 1,000,000 years.

Prediction of Typhoon Wind Speeds under Global Warming Conditions

Energy Technology Data Exchange (ETDEWEB)

Choun, Young Sun; Kim, Min Kyu [KAERI, Daejeon (Korea, Republic of); Kang, Ju Whan; Kim, Yang Seon [Mokpo National University, Muan (Korea, Republic of)

2016-05-15

The continuous increase of SST by global warming conditions in the western North Pacific Ocean results in an increased occurrence of supertyphoons in East Asia and the Korean Peninsula. Recent numerical experiments have found that the central pressures of two historical typhoons, Maemi (2003) and Rusa (2002), which recorded the highest storm surges along the coasts of the Korean Peninsula, dropped about 19 and 17 hPa, respectively, when considering the future SST (a warming of 3.9 .deg. C for 100 years) over the East China Sea. The maximum wind speeds increase under global warming conditions. The probability of occurrence of super-typhoons increases in the future. The estimated return period for supertyphoons affecting the Younggwang site is about 1,000,000 years.

Mother and Child Health International Research Network | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

Building a virtual global research institute to support maternal and child health ... Learning Initiatives for Network Economies in Asia (LIRNEasia) : Building ... to information and communication technology (ICT) initiatives through its global ...

The German Version of the Child Behavior Checklist 1.5-5 to Identify Children with a Risk of Autism Spectrum Disorder

Science.gov (United States)

Limberg, Katharina; Gruber, Karolin; Noterdaeme, Michele

2017-01-01

A long delay between the first registered symptoms of autism spectrum disorder and a final diagnosis has been reported. The reasons for this are the spare use of specialized autism instruments, missing clinical expertise, and the late referral to specialized centers in primary care. Previous studies recommending the Child Behavior Checklist 1.5-5…

Child Maltreatment and Neural Systems Underlying Emotion Regulation.

Science.gov (United States)

McLaughlin, Katie A; Peverill, Matthew; Gold, Andrea L; Alves, Sonia; Sheridan, Margaret A

2015-09-01

The strong associations between child maltreatment and psychopathology have generated interest in identifying neurodevelopmental processes that are disrupted following maltreatment. Previous research has focused largely on neural response to negative facial emotion. We determined whether child maltreatment was associated with neural responses during passive viewing of negative and positive emotional stimuli and effortful attempts to regulate emotional responses. A total of 42 adolescents aged 13 to 19 years, half with exposure to physical and/or sexual abuse, participated. Blood oxygen level-dependent (BOLD) response was measured during passive viewing of negative and positive emotional stimuli and attempts to modulate emotional responses using cognitive reappraisal. Maltreated adolescents exhibited heightened response in multiple nodes of the salience network, including amygdala, putamen, and anterior insula, to negative relative to neutral stimuli. During attempts to decrease responses to negative stimuli relative to passive viewing, maltreatment was associated with greater recruitment of superior frontal gyrus, dorsal anterior cingulate cortex, and frontal pole; adolescents with and without maltreatment down-regulated amygdala response to a similar degree. No associations were observed between maltreatment and neural response to positive emotional stimuli during passive viewing or effortful regulation. Child maltreatment heightens the salience of negative emotional stimuli. Although maltreated adolescents modulate amygdala responses to negative cues to a degree similar to that of non-maltreated youths, they use regions involved in effortful control to a greater degree to do so, potentially because greater effort is required to modulate heightened amygdala responses. These findings are promising, given the centrality of cognitive restructuring in trauma-focused treatments for children. Copyright © 2015 American Academy of Child and Adolescent Psychiatry

Maternal emotion regulation during child distress, child anxiety accommodation, and links between maternal and child anxiety.

Science.gov (United States)

Kerns, Caroline E; Pincus, Donna B; McLaughlin, Katie A; Comer, Jonathan S

2017-08-01

Environmental contributions are thought to play a primary role in the familial aggregation of anxiety, but parenting influences remain poorly understood. We examined dynamic relations between maternal anxiety, maternal emotion regulation (ER) during child distress, maternal accommodation of child distress, and child anxiety. Mothers (N=45) of youth ages 3-8 years (M=4.8) participated in an experimental task during which they listened to a standardized audio recording of a child in anxious distress pleading for parental intervention. Measures of maternal and child anxiety, mothers' affective states, mothers' ER strategies during the child distress, and maternal accommodation of child anxiety were collected. Mothers' resting respiratory sinus arrhythmia (RSA) reactivity during the recording was also acquired. Higher maternal negative affect and greater maternal ER switching (i.e., using multiple ER strategies in a short time without positive regulatory results) during child distress were associated with child anxiety. Sequential mediation modeling showed that maternal anxiety predicted ineffective maternal ER during child distress exposure, which in turn predicted greater maternal accommodation, which in turn predicted higher child anxiety. Findings support the mediating roles of maternal ER and accommodation in linking maternal and child anxiety, and suggest that ineffective maternal ER and subsequent attempts to accommodate child distress may act as mechanisms underlying the familial aggregation of anxiety. Copyright © 2017 Elsevier Ltd. All rights reserved.

Drylands face potential threat under 2 °C global warming target

Science.gov (United States)

Huang, Jianping; Yu, Haipeng; Dai, Aiguo; Wei, Yun; Kang, Litai

2017-06-01

The Paris Agreement aims to limit global mean surface warming to less than 2 °C relative to pre-industrial levels. However, we show this target is acceptable only for humid lands, whereas drylands will bear greater warming risks. Over the past century, surface warming over global drylands (1.2-1.3 °C) has been 20-40% higher than that over humid lands (0.8-1.0 °C), while anthropogenic CO2 emissions generated from drylands (~230 Gt) have been only ~30% of those generated from humid lands (~750 Gt). For the twenty-first century, warming of 3.2-4.0 °C (2.4-2.6 °C) over drylands (humid lands) could occur when global warming reaches 2.0 °C, indicating ~44% more warming over drylands than humid lands. Decreased maize yields and runoff, increased long-lasting drought and more favourable conditions for malaria transmission are greatest over drylands if global warming were to rise from 1.5 °C to 2.0 °C. Our analyses indicate that ~38% of the world's population living in drylands would suffer the effects of climate change due to emissions primarily from humid lands. If the 1.5 °C warming limit were attained, the mean warming over drylands could be within 3.0 °C therefore it is necessary to keep global warming within 1.5 °C to prevent disastrous effects over drylands.

Credit where credit is due: Pakistan?s role in reducing the global burden of reproductive, maternal, newborn, and child health (RMNCH)

OpenAIRE

Ghaffar, Abdul; Qazi, Shamim; Shah, Iqbal

2015-01-01

Factors contributing to Pakistan?s poor progress in reducing reproductive, maternal, newborn, and child health (RMNCH) include its low level of female literacy, gender inequity, political challenges, and extremism along with its associated relentless violence; further, less than 1% of Pakistan?s GDP is allocated to the health sector. However, despite these disadvantages, Pakistani researchers have been able to achieve positive contributions towards RMNCH-related global knowledge and evidence ...

Child Neglect in the Military Community: Are We Neglecting the Child?

Science.gov (United States)

1995-04-01

absent a state statute, charges for child neglect under clauses 1 and 2, disorders or neglects to the prejudice of good order and discipline, may not...DOarMRET ROCIuCsiz KMW nuavmm Mr B2ID urn "LA NrOC DO CUMAE•N LOAN DOCUMENT CHILD NEGLECT IN THE MILITARY COMMUNITY: ARE WE NEGLECTING THE CHILD ? A Thesis...M. Schenck United States Army 43D JUDGE ADVOCATE OFFICER GRADUATE COURSE April 1995 Published: 148 Mil. L. Rev. 1 (1995). CHILD NEGLECT IN THE

Development and verification of child observation sheet for 5-year-old children.

Science.gov (United States)

Fujimoto, Keiko; Nagai, Toshisaburo; Okazaki, Shin; Kawajiri, Mie; Tomiwa, Kiyotaka

2014-02-01

The aim of the study was to develop a newly devised child observation sheet (COS-5) as a scoring sheet, based on the Childhood Autism Rating Scale (CARS), for use in the developmental evaluation of 5-year-old children, especially focusing on children with autistic features, and to verify its validity. Seventy-six children were studied. The children were recruited among participants of the Japan Children's Cohort Study, a research program implemented by the Research Institute of Science and Technology for Society (RISTEX) from 2004 to 2009. The developmental evaluation procedure was performed by doctors, clinical psychologists, and public health nurses. The COS-5 was also partly based on the Kyoto Scale of Psychological Development 2001 (Kyoto Scale 2001). Further, the Developmental Disorders Screening Questionnaire for 5-Years-Olds, PDD-Autism Society Japan Rating Scale (PARS), doctor interview questions and neurological examination for 5-year-old children, and the Draw-a-Man Test (DAM) were used as evaluation scales. Eighteen (25.4%) children were rated as Suspected, including Suspected PDD, Suspected ADHD and Suspected MR. The COS-5 was suggested to be valid with favorable reliability (α=0.89) and correlation with other evaluation scales. The COS-5 may be useful, with the following advantages: it can be performed within a shorter time frame; it facilitates the maintenance of observation quality; it facilitates sharing information with other professions; and it is reliable to identify the autistic features of 5-year-old children. In order to verify its wider applications including the screening of infants (18months to 3years old) by adjusting the items of younger age, additional study is needed. Copyright © 2013 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

DSM 5 and child psychiatric disorders: what is new? What has changed?

Science.gov (United States)

Eapen, Valsamma; Črnčec, Rudi

2014-10-01

The significant changes in DSM 5 as these relate to a number of the child psychiatric disorders are reviewed by several authors in this special issue: In this paper we address some of the changes in the conceptual organisation of DSM 5 and specifically focus on anxiety and related disorders. In the case of child and adolescent psychiatry, the most notable feature is that the chapter on Disorders Usually First Diagnosed in infancy, Childhood or Adolescence has been deleted. Instead, a new chapter in DSM 5 describes Neurodevelopmental Disorders which typically manifest early in development. Further, an expectation had been built that DSM would be based on the latest data in neuroscience and that a clear direction towards a mixed dimensional and categorical approach would be evident. This has been the case with some disorders and a notable example is the removal of Obsessive Compulsive Disorder (OCD) from the Anxiety Disorder chapter and placement with other related disorders that share similar neurobiology and treatment response. In this regard, the addition in DSM 5 of a new specifier "tic-related" to OCD is worth noting as there is emerging evidence that differential treatment response exists when tics are associated with OCD. The same situation applies to tics with ADHD, thus presenting the argument for a dimensional approach to Tic Spectrum Disorder (TSD) incorporating categories such as those with tics only, tics with OCD, tics with ADHD etc. to be given due consideration in the future. Another important change that clinicians in the field of child psychiatry will no doubt notice is the demise of the multiaxial classification. Instead, DSM 5 has moved back to a nonaxial documentation of diagnosis with separate notations for important psychosocial and contextual factors as well as level of functioning and disability. Clinicians are urged, however, to continue to recognise the need to understand how symptoms and behaviours might have arisen and assess relevant

Observed magnified runoff response to rainfall intensification under global warming

International Nuclear Information System (INIS)

Huang, Jr-Chuan; Lee, Tsung-Yu; Lee, Jun-Yi

2014-01-01

Runoff response to rainfall intensification under global warming is crucial, but is poorly discussed due to the limited data length and human alteration. Historical rainfall and runoff records in pristine catchments in Taiwan were investigated through trend analysis and cross temperature difference analysis. Trend analysis showed that both rainfall and runoff in the 99.9-percentile have been significantly increasing in terms of frequency and intensity over the past four decades. Cross temperature difference analysis quantified that the rainfall and runoff extremes (including the 99.0–99.9-percentiles) may increase by 69.5% and 99.8%, respectively, under a future scenario of 1  ° C increase in temperature. This increase in intensity resembles the increase in intensity observed between 1971–1990 and 1991–2010. The amplified runoff response can be related to the limited catchment storage capacity being preoccupied by rainfall extremes. The quantified temperature effect on rainfall and runoff intensification can be a strong basis for designing scenarios, confirming and fusing GCMs’ results. In addition, the runoff amplification should be a warning for other regions with significant rainfall intensification. Appropriate strategies are indispensable and urgently needed to maintain and protect the development of societies. (paper)

Study on nutritional status of children under 5 years in palpa district, nepal: speacial reference to baal vita

Directory of Open Access Journals (Sweden)

Deelip Kumar Karki

2013-12-01

Full Text Available Background: Malnutrition is a pathological state resulting from a relative or absolute deficiency or excess of one or more essential nutrients. Malnutrition is a major underlying cause of the child morbidity and mortality in Nepal. Adequate nutrition is a fundamental right for every human being. Malnourished child is depriving from physical and mental development. Objectives: To assess the nutritional status of children under 5 years and to find out the knowledge and practice regarding micronutrient powder “Baal vita” Materials and Methods: Descriptive cross sectional community based study was conducted in Palpa district, total of 390 respondents at the age of 6-59 months were selected with the help of multistage sampling. Through anthropometry, prevalence of underweight, stunting and wasting was determined. Results: Prevalence of underweight, stunting and wasting was 25.9%, 27.2% and 7.3% respectively. The association between age of the mother at the birth of the children and nutritional status of children is not statistically significant. Majority of the children (80.5% used to take junk foods sometimes, followed by 16.7% very often, 2.8% children never used to take. Majority of the children (52.6% were taken the micronutrient powder (first course but the coverage of second course of micronutrient powder was 29.5% and followed by third course coverage was only 18.9%. Conclusion: The nutritional status of children in this study were found to be satisfactory because compared to the Millennium Development Goals (MDGs target but the coverage of micronutrient powder is low.

[Assessment of non-carcinogenic risk for the health of the child population under the consumption of drinking water].

Science.gov (United States)

Stepanova, N V; Valeeva, E R; Fomina, S F; Ziyatdinova, A I

In the article there are given results of the evaluation of non-carcinogenic risks for the health of the child population residing in different areas (districts) of the city of Kazan with the aim of the subsequent comprehensive assessment of the pollutants in drinking water. Assessment of the risk for the human health was performed correspondingly to with the P 2.1.10.1920-04 for oral route of exposure in accordance to the chemical composition of drinking water with account for the standard and regional factors of the exposure. The results of the risk assessment under the consumption of drinking tap water by the child population with localized place of residence permit to reveal areas with a high level of health risk in the city. The screening assessment of carcinogenic risk due to the consumption of chemicals with drinking water revealed differences in regional and standard values of the exposure factors. This affects both on the value of the chronic average daily intake of chemical contaminants in drinking water and the level of risk under the consumption of drinking water by the child population.

Impacts of global warming of 1.5 °C and 2.0 °C on precipitation patterns in China by regional climate model (COSMO-CLM)

Science.gov (United States)

Sun, Hemin; Wang, Anqian; Zhai, Jianqing; Huang, Jinlong; Wang, Yanjun; Wen, Shanshan; Zeng, Xiaofan; Su, Buda

2018-05-01

Regional precipitation patterns may change in a warmer climate, thereby increasing flood and drought risks. In this paper, annual, annual maximum, intense, heavy, moderate, light, and trace precipitation are employed as indicators to assess changes in precipitation patterns under two scenarios in which the global mean temperature increases by 1.5 °C and 2.0 °C relative to pre-industrial levels using the regional climate model COSMO-CLM (CCLM). The results show that annual precipitation in China will be approximately 2.5% higher under 1.5 °C warming relative to the present-day baseline (1980-2009), although it will decrease by approximately 4.0% under an additional 0.5 °C increase in global mean temperature. This trend is spatially consistent for regions with annual precipitation of 400-800 mm, which has experienced a drying trend during the past half century; thus, limiting global warming to 1.5 °C may mitigate these drying conditions. The annual maximum precipitation continues to increase from present day levels to the 2.0 °C warming scenario. Relative to the baseline period, the frequency of trace and light precipitation days exhibits a negative trend, while that of moderate, heavy, and intense precipitation days has a positive trend under the 1.5 °C warming scenario. For the 2.0 °C warming world, the frequency of days is projected to decrease for all precipitation categories, although the intensity of intense precipitation increases. Spatially, a decrease in the number of precipitation days is expected to continue in central and northern China, where a drying trend has persisted over the past half century. Southeastern China, which already suffers greatly from flooding, is expected to face more heavy and intense precipitation with an additional 0.5 °C increase in global mean temperature. Meanwhile, the intensity of intense precipitation is expected to increase in northern China, and the contribution of light and moderate precipitation to the annual

Preschool Psychopathology Reported by Parents in 23 Societies: Testing the Seven-Syndrome Model of the Child Behavior Checklist for Ages 1.5-5

Science.gov (United States)

Ivanova, Masha Y.; Achenbach, Thomas M.; Rescorla, Leslie A.; Harder, Valerie S.; Ang, Rebecca P.; Bilenberg, Niels; Bjarnadottir, Gudrun; Capron, Christiane; De Pauw, Sarah S. W.; Dias, Pedro; Dobrean, Anca; Doepfner, Manfred; Duyme, Michele; Eapen, Valsamma; Erol, Nese; Esmaeili, Elaheh Mohammad; Ezpeleta, Lourdes; Frigerio, Alessandra; Goncalves, Miguel M.; Gudmundsson, Halldor S.; Jeng, Suh-Fang; Jetishi, Pranvera; Jusiene, Roma; Kim, Young-Ah; Kristensen, Solvejg; Lecannelier, Felipe; Leung, Patrick W. L.; Liu, Jianghong; Montirosso, Rosario; Oh, Kyung Ja; Plueck, Julia; Pomalima, Rolando; Shahini, Mimoza; Silva, Jaime R.; Simsek, Zynep; Sourander, Andre; Valverde, Jose; Van Leeuwen, Karla G.; Woo, Bernardine S. C.; Wu, Yen-Tzu; Zubrick, Stephen R.; Verhulst, Frank C.

2010-01-01

Objective: To test the fit of a seven-syndrome model to ratings of preschoolers' problems by parents in very diverse societies. Method: Parents of 19,106 children 18 to 71 months of age from 23 societies in Asia, Australasia, Europe, the Middle East, and South America completed the Child Behavior Checklist for Ages 1.5-5 (CBCL/1.5-5). Confirmatory…

Global Entrepreneurship and the United States

Science.gov (United States)

2010-09-01

Global Entrepreneurship and the United States by Zoltan J. Acs Laszlo Szerb Ruxton, MD 21204 for under contract number SBAHQ-09...SUBTITLE Global Entrepreneurship and the United States 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT...3 2.1. Assessing Entrepreneurship ..................................................................................4 2.2. Stages of Development

Infant and Young Child Feeding Behavior among Working Mothers in India: Implications for Global Health Policy and Practice

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Vinay Kumar, MD, MPH

2014-12-01

Full Text Available Background: The National Guidelines on Infant and Young Child Feeding introduced in 2006 recommended the initiation of breastfeeding immediately after birth, preferably within one hour; exclusive breastfeeding for the first six months; appropriate and adequate complementary feeding from six months of age while continuing breastfeeding; and continued breastfeeding up to the age of two years or beyond. Working women in India constitute a dominant and expanding pool of mothers. There is paucity of research focused on feeding behavior within this group. Method: One hundred and fifty working women answered a structured questionnaire about their demographics, birth history, levels of awareness and practice of feeding guidelines, and perceptions about breastfeeding and counseling. Data analysis was carried out using Microsoft Excel and the Statistical Package for the Social Sciences. Results: Majority of participants belonged to 21-39 years age group, had nuclear families, received college education, and delivered in institutional setups. Gaps were observed between the mother’s levels of awareness and practice for different tenets of national guidelines. Higher education, longer maternity leave, higher income, and utilization of counseling services facilitated adoption of optimal feeding behavior. Most women perceived breast milk to be superior to any alternative and favored provision of counseling during last trimester. Conclusions and Global Health Implications: Counseling women on optimal feeding behavior is a potential intervention to convert its awareness into actual practice. The lessons learned from this study can help refine both national and global Mother and Child Health policies and programs.

PLAYING LEGO INCREASE COGNITIVE DEVELOPMENT ON PRESCHOOL CHILD (4-5 YEARS OLD

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Sri Utami

2017-07-01

Full Text Available Introduction: The preschool cognitive development can be stimulated with playing activity. The preschool child who stimulateless, their creativity will be checked and it can effect their cognitive development. Playing lego is one of the stimulation which give chance to the preschool child to express creativity and explorate their skill in playing construction. This research was aimed to analyze the effect of playing lego to the preschool cognitive development. Method: Quasy experimental pre post test design was used in this research. Total sample were 18 preschool child (4-5 years old. The independent variable was playing lego and the dependent variable was the cognitive development. Data were analyzed by Wilcoxon Signed Rank Test and Mann Whitney U Test with the significance α<0.05. Result: Result showed that the control group has significance level p=0.059 and the treatment group has significance level p=0.008. The result of Mann Whitney U Test showed p=0.001. Discussion: It can be concluded that playing lego can effect the preschool cognitive development in spatial factor, reasoning, memory, and perceptual speed. It can be suggested to the further research to examine the effect of playing lego to the motoric development or social development.

The European climate under a 2 °C global warming

International Nuclear Information System (INIS)

Vautard, Robert; Stegehuis, Annemiek; Gobiet, Andreas; Mendlik, Thomas; Sobolowski, Stefan; Kjellström, Erik; Nikulin, Grigory; Watkiss, Paul; Landgren, Oskar; Teichmann, Claas; Jacob, Daniela

2014-01-01

A global warming of 2 °C relative to pre-industrial climate has been considered as a threshold which society should endeavor to remain below, in order to limit the dangerous effects of anthropogenic climate change. The possible changes in regional climate under this target level of global warming have so far not been investigated in detail. Using an ensemble of 15 regional climate simulations downscaling six transient global climate simulations, we identify the respective time periods corresponding to 2 °C global warming, describe the range of projected changes for the European climate for this level of global warming, and investigate the uncertainty across the multi-model ensemble. Robust changes in mean and extreme temperature, precipitation, winds and surface energy budgets are found based on the ensemble of simulations. The results indicate that most of Europe will experience higher warming than the global average. They also reveal strong distributional patterns across Europe, which will be important in subsequent impact assessments and adaptation responses in different countries and regions. For instance, a North–South (West–East) warming gradient is found for summer (winter) along with a general increase in heavy precipitation and summer extreme temperatures. Tying the ensemble analysis to time periods with a prescribed global temperature change rather than fixed time periods allows for the identification of more robust regional patterns of temperature changes due to removal of some of the uncertainty related to the global models’ climate sensitivity. (paper)

Future changes in global warming potentials under representative concentration pathways

Energy Technology Data Exchange (ETDEWEB)

Reisinger, Andy [New Zealand Agricultural Greenhouse Gas Research Centre, PO Box 10002, Wellington 6143 (New Zealand); Meinshausen, Malte [Earth System Analysis, Potsdam Institute for Climate Impact Research (Germany); Manning, Martin, E-mail: andy.reisinger@nzagrc.org.nz [Climate Change Research Institute, Victoria University of Wellington (New Zealand)

2011-04-15

Global warming potentials (GWPs) are the metrics currently used to compare emissions of different greenhouse gases under the United Nations Framework Convention on Climate Change. Future changes in greenhouse gas concentrations will alter GWPs because the radiative efficiencies of marginal changes in CO{sub 2}, CH{sub 4} and N{sub 2}O depend on their background concentrations, the removal of CO{sub 2} is influenced by climate-carbon cycle feedbacks, and atmospheric residence times of CH{sub 4} and N{sub 2}O also depend on ambient temperature and other environmental changes. We calculated the currently foreseeable future changes in the absolute GWP of CO{sub 2}, which acts as the denominator for the calculation of all GWPs, and specifically the GWPs of CH{sub 4} and N{sub 2}O, along four representative concentration pathways (RCPs) up to the year 2100. We find that the absolute GWP of CO{sub 2} decreases under all RCPs, although for longer time horizons this decrease is smaller than for short time horizons due to increased climate-carbon cycle feedbacks. The 100-year GWP of CH{sub 4} would increase up to 20% under the lowest RCP by 2100 but would decrease by up to 10% by mid-century under the highest RCP. The 100-year GWP of N{sub 2}O would increase by more than 30% by 2100 under the highest RCP but would vary by less than 10% under other scenarios. These changes are not negligible but are mostly smaller than the changes that would result from choosing a different time horizon for GWPs, or from choosing altogether different metrics for comparing greenhouse gas emissions, such as global temperature change potentials.

Oligarchy versus Democracy and Regulation versus Deregulation under the Globalization Effect

Directory of Open Access Journals (Sweden)

Dumitru-Alexandru BODISLAV

2012-05-01

Full Text Available On capitalism that is created under the pressure of globalization there are created many economic systems that derived into a new model: the asymmetric model created from propriety rights’ perspective and the influence of interest groups, an asymmetric model that is called “oligarchy”(1. For a better understanding of oligarchy we consider an oligarchic society, where the political power is in the hands of the producers of goods, that tend to protect their propriety rights, but this way they create entry barriers, destroying the propriety rights of future potential producers. Capitalism was and is stressed by the (deregulation phenomena created by the competition which is shaped through globalization. With ease we can go from (deregulating to oligarchic pressure, which from the globalization’s perspective can give birth to the lagging or decoupling in the global economic system. This paper researches these two cases and inserts them into the global framework to result the evolution of society’s members’ welfare.

Impact of integrated child development scheme on child malnutrition in West Bengal, India.

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Dutta, Arijita; Ghosh, Smritikana

2017-10-01

With child malnutrition detected as a persistent problem in most of the developing countries, public policy has been directed towards offering community-based supplementary feeding provision and nutritional information to caregivers. India, being no exception, has initiated these programs as early as 1970s under integrated child development scheme. Using propensity score matching technique on primary data of 390 households in two districts of West Bengal, an Eastern state in India, the study finds that impact of being included in the program and receiving supplementary feeding is insignificant on child stunting measures, though the program can break the intractable barriers of child stunting only when the child successfully receives not only just the supplementary feeding but also his caregiver collects crucial information on nutritional awareness and growth trajectory of the child. Availability of regular eggs in the feeding diet too can reduce protein-related undernutrition. Focusing on just feeding means low depth of other services offered under integrated child development scheme, including pre-school education, nutritional awareness, and hygiene behavior; thus repealing a part of the apparent food-secure population who puts far more importance on the latter services. © 2016 John Wiley & Sons Ltd.

Impacts of caring for a child with the CDKL5 disorder on parental wellbeing and family quality of life.

Science.gov (United States)

Mori, Yuka; Downs, Jenny; Wong, Kingsley; Anderson, Barbara; Epstein, Amy; Leonard, Helen

2017-01-19

Although research in this area remains sparse, raising a child with some genetic disorders has been shown to adversely impact maternal health and family quality of life. The aim of this study was to investigate such impacts in families with a child with the CDKL5 disorder, a newly recognised genetic disorder causing severe neurodevelopmental impairments and refractory epilepsy. Data were sourced from the International CDKL5 Disorder Database to which 192 families with a child with a pathogenic CDKL5 mutation had provided data by January 2016. The Short Form 12 Health Survey Version 2, yielding a Physical Component Summary and a Mental Component Summary score, was used to measure primary caregiver's wellbeing. The Beach Center Family Quality of Life Scale was used to measure family quality of life. Linear regression analyses were used to investigate relationships between child and family factors and the various subscale scores. The median (range) age of the primary caregivers was 37.0 (24.6-63.7) years and of the children was 5.2 (0.2-34.1) years. The mean (SD) physical and mental component scores were 53.7 (8.6) and 41.9 (11.6), respectively. In mothers aged 25-54 years the mean mental but not the physical component score was lower than population norms. After covariate adjustment, caregivers with a tube-fed child had lower mean physical but higher mean mental component scores than those whose child fed orally (coefficient = -4.80 and 6.79; p = 0.009 and 0.012, respectively). Child sleep disturbances and financial hardship were negatively associated with the mental component score. The mean (SD) Beach Center Family Quality of Life score was 4.06 (0.66) and those who had used respite services had lower scores than those who had not across the subscales. Emotional wellbeing was considerably impaired in this caregiver population, and was particularly associated with increased severity of child sleep problems and family financial difficulties. Family quality

Preschool Child Care and Child Well-being in Germany

DEFF Research Database (Denmark)

Kaiser, Micha; Bauer, Jan M.

Because the value of preschool child care is under intensive debate among both policymakers and society in general, this paper analyzes the relation between preschool care and the well-being of children and adolescents in Germany. It also examines differences in outcomes based on child...... socioeconomic background by focusing on the heterogeneous effects for migrant children. Our findings, based on data from the German Health Interview and Examination Survey of Children and Adolescents, suggest that children who have experienced child care have a slightly lower well-being overall. For migrant...

Going with the flow: the role of ocean circulation in global marine ecosystems under a changing climate.

Science.gov (United States)

van Gennip, Simon J; Popova, Ekaterina E; Yool, Andrew; Pecl, Gretta T; Hobday, Alistair J; Sorte, Cascade J B

2017-07-01

Ocean warming, acidification, deoxygenation and reduced productivity are widely considered to be the major stressors to ocean ecosystems induced by emissions of CO 2 . However, an overlooked stressor is the change in ocean circulation in response to climate change. Strong changes in the intensity and position of the western boundary currents have already been observed, and the consequences of such changes for ecosystems are beginning to emerge. In this study, we address climatically induced changes in ocean circulation on a global scale but relevant to propagule dispersal for species inhabiting global shelf ecosystems, using a high-resolution global ocean model run under the IPCC RCP 8.5 scenario. The ¼ degree model resolution allows improved regional realism of the ocean circulation beyond that of available CMIP5-class models. We use a Lagrangian approach forced by modelled ocean circulation to simulate the circulation pathways that disperse planktonic life stages. Based on trajectory backtracking, we identify present-day coastal retention, dominant flow and dispersal range for coastal regions at the global scale. Projecting into the future, we identify areas of the strongest projected circulation change and present regional examples with the most significant modifications in their dominant pathways. Climatically induced changes in ocean circulation should be considered as an additional stressor of marine ecosystems in a similar way to ocean warming or acidification. © 2017 John Wiley & Sons Ltd.

A possible constraint on regional precipitation intensity changes under global warming

DEFF Research Database (Denmark)

Gutowski, William J.; Kozak, K. A.; Arritt, R. W.

2007-01-01

Changes in daily precipitation versus intensity under a global warming scenario in two regional climate simulations of the United States show a well-recognized feature of more intense precipitation. More important, by resolving the precipitation intensity spectrum, the changes show a relatively...

Potential Child Abuse Screening in Emergency Department; a Diagnostic Accuracy Study

Directory of Open Access Journals (Sweden)

Hossein Dinpanah

2017-01-01

Full Text Available Introduction: Designing a tool that can differentiate those at risk of child abuse with great diagnostic accuracyis of great interest. The present study was designed to evaluate the diagnostic accuracy of Escape instrumentin triage of at risk cases of child abuse presenting to emergency department (ED. Methods: The present diagnosticaccuracy study performed on 6120 of the children under 16 years old presented to ED during 3 years,using convenience sampling. Confirmation by the child abuse team (pediatrician, a socialworker, and a forensicphysician was considered as the gold standard. Screening performance characteristics of Escape were calculatedusing STATA 21. Results: 6120 children with the mean age of 2.19 § 1.12 years were screened (52.7% girls.137 children were suspected victims of child abuse. Based on child abuse team opinion, 35 (0.5% children wereconfirmed victims of child abuse. Sensitivity, specificity, positive and negative likelihood ratio and positive andnegative predictive values of this test with 95% CI were 100 (87.6 – 100, 98.3 (97.9 – 98.6, 25.5 (18.6 – 33.8, 100(99.9 – 100, 0.34 (0.25 – 0.46, and 0 (0 – NAN, respectively. Area under the ROC curve was 99.2 (98.9 – 99.4.Conclusion: It seems that Escape is a suitable screening instrument for detection of at risk cases of child abusepresenting to ED. Based on the results of the present study, the accuracy of this screening tool is 99.2%, which isin the excellent range.

Validation of Copernicus Height-resolved Ozone data Products from Sentinel-5P TROPOMI using global sonde and lidar networks (CHEOPS-5P)

Science.gov (United States)

Keppens, Arno; Lambert, Jean-Christopher; Hubert, Daan; Verhoelst, Tijl; Granville, José; Ancellet, Gérard; Balis, Dimitris; Delcloo, Andy; Duflot, Valentin; Godin-Beekmann, Sophie; Koukouli, Marilisa; Leblanc, Thierry; Stavrakou, Trissevgeni; Steinbrecht, Wolfgang; Stübi, Réné; Thompson, Anne

2017-04-01

Monitoring of and research on air quality, stratospheric ozone and climate change require global and long-term observation of the vertical distribution of atmospheric ozone, at ever-improving resolution and accuracy. Global tropospheric and stratospheric ozone profile measurement capabilities from space have therefore improved substantially over the last decades. Being a part of the space segment of the Copernicus Atmosphere and Climate Services that is currently under implementation, the upcoming Sentinel-5 Precursor (S5P) mission with its imaging spectrometer TROPOMI (Tropospheric Monitoring Instrument) is dedicated to the measurement of nadir atmospheric radiance and solar irradiance in the UV-VIS-NIR-SWIR spectral range. Ozone profile and tropospheric ozone column data will be retrieved from these measurements by use of several complementary retrieval methods. The geophysical validation of the enhanced height-resolved ozone data products, as well as support to the continuous evolution of the associated retrieval algorithms, is a key objective of the CHEOPS-5P project, a contributor to the ESA-led S5P Validation Team (S5PVT). This work describes the principles and implementation of the CHEOPS-5P quality assessment (QA) and validation system. The QA/validation methodology relies on the analysis of S5P retrieval diagnostics and on comparisons of S5P data with reference ozone profile measurements. The latter are collected from ozonesonde, stratospheric lidar and tropospheric lidar stations performing network operation in the context of WMO's Global Atmosphere Watch, including the NDACC global and SHADOZ tropical networks. After adaptation of the Multi-TASTE versatile satellite validation environment currently operational in the context of ESA's CCI, EUMETSAT O3M-SAF, and CEOS and SPARC initiatives, a list of S5P data Quality Indicators (QI) will be derived from complementary investigations: (1) data content and information content studies of the S5P data retrievals

Child mortality: preventing future child deaths and optimizing family support

NARCIS (Netherlands)

Knoeff-Gijzen, Sandra

2017-01-01

Worldwide 6.1 million live-born children under the age of five died from natural and external causes in 2014. According to the Convention on the Rights of the Child appropriate measures should be taken by State Parties to ensure the survival and development of the child to a maximum extent and to

"Who Cares for the Children?" Lessons from a Global Perspective of Child Care Policy

Science.gov (United States)

Lokteff, Maegan; Piercy, Kathleen W.

2012-01-01

We present the argument that the meaning of child care and the policies that address it are explicitly linked with national ideologies, work force participation, economic success, and child outcomes. The relationship between family and child care policies is cyclical in nature, with a nation's ideology and vision of family often driving child care…

Functional somatic symptoms and associated impairment in 5-7-year-old children: the Copenhagen Child Cohort 2000

DEFF Research Database (Denmark)

Rask, Charlotte Ulrikka; Olsen, Else Marie; Elberling, Hanne

2009-01-01

(FSS) and their impairment in a population-based sample of Danish 5-7-year-old children. Data were obtained from a 5-7-year follow-up of the Copenhagen Child Cohort 2000. The entire study population included 3,000 randomly sampled children from the cohort. Among these FSS measures were obtained for 1......,327 children. The newly introduced parent interview, the soma assessment interview, was used to assess the child's FSS. Impairing symptoms were defined as FSS that caused substantial discomfort, impairment of everyday life, absence from day-care or school and/or help-seeking in the health care system. The 1...

Globalization

DEFF Research Database (Denmark)

Plum, Maja

Globalization is often referred to as external to education - a state of affair facing the modern curriculum with numerous challenges. In this paper it is examined as internal to curriculum; analysed as a problematization in a Foucaultian sense. That is, as a complex of attentions, worries, ways...... of reasoning, producing curricular variables. The analysis is made through an example of early childhood curriculum in Danish Pre-school, and the way the curricular variable of the pre-school child comes into being through globalization as a problematization, carried forth by the comparative practices of PISA...

Parents' perceptions of child abuse and child discipline in Bangkok, Thailand.

Science.gov (United States)

Auemaneekul, Naruemon

2013-12-01

Violation of a child's right to protection is an issue for children all over the world. In Thailand, the greatest barrier to intervening in child abuse issues is the lack of awareness and the positive attitudes and beliefs on using violence as a way to discipline children. The incongruent definition used amongst Thai society and relevant sectors, causes incidences to be under reported and an obstacle to child survival and development. The present study is a qualitative study and aims to explore the perceptions of child abuse and child discipline definitions amongst parents in the Bangkok Metropolitan Area in order to extend broader knowledge for interpretation, definitions and to differentiate the line between child abuse and child discipline. Focus group discussions were used as the primary data collection method and content analysis was applied as the data analysis. The results produced two categories of parents' perceptions regarding child abuse and discipline. First, was the perception of the causes of child punishment and child discipline, and second was the meaning and difference between child abuse and child discipline. The study results would be beneficial for policy makers, health and related sectors to understand the meaning of the terms used amongst family members in order to apply and promote child protection strategies in culturally appropriate

The willingness for using mobile phone for health education among women caregivers of under 5 children in an urban resettlement colony in Delhi, India

Directory of Open Access Journals (Sweden)

Saurav Basu

2017-12-01

Full Text Available Background: The delivery of health education through mobile phones either through voice calls or text messages (mHealth provide valuable opportunities for bridging gaps in maternal and child healthcare in resource constrained settings. Aims & Objectives: The objective of the present study was to assess willingness to receive m-Health services among women caregivers of under-5 children. Material & Methods: We conducted a cross sectional study in an urban resettlement colony of North East District of Delhi during the period from September’ 2016 to Feb’ 2017.  We enrolled 201 adult women up to 35 years of age who were active caregiver of at-least one under 5 child in their familial household. Results: The mean age of the women was 26.4 and mean years of schooling was 10.1 years. Nearly three-fourth (73.2% could read text messages (SMS while more than a third (36.8% were using mobile internet services. The willingness to receive mHealth services for health promotion was affirmed by 157 (78.2% subjects but it was significantly lower in women with low educational attainment. Conclusion: There exists a strong unmet need for mHealth services among young women caregivers of under 5 children. However, bridging the digital divide is a key challenge towards advancing mHealth for all.

Serious anaphylactic shock induced by hemocoagulase agkistrodon during anesthesia in a 5-year-old child.

Science.gov (United States)

Xu, Ying-Yi; Li, Bi-Lian; Jin, Yu-Lin; Wang, Zi-Xin; Song, Xing-Rong; Ni, Jin

2015-01-01

We report a case of serious anaphylactic shock in a 5-year-old child undergoing scheduled surgery blank space of a right femoral intramedullary nail removal. The boy had undergone right femoral elastic intramedullary nail fixation surgery 14 months prior, but had no history of allergies. Within 5 minutes of intravenous bonus injection of hemocoagulase agkistrodon (HCA) 1 unit, a widespread transient diffuse erythema was seen on the front of his chest. After 20 minutes, sudden, profound cardiovascular collapse occurred. The child was treated effectively and sent to a ward 5 hours later. In this period, he received intravenously infused 200 ml hydroxyethyl starch solution and epinephrine at a rate of 0.05-0.01 μg kg(-1) min(-1). Total amount of dexamethasone sodium phosphate 14 mg was used. To the best of our knowledge, few case reports of HCA-induced anaphylactic shock in children exist. Our report will, therefore, increase awareness of the allergic potential of HCA among pediatric anesthesiologists.

Expansion of plants with Crassulacean Acid Metabolism under global environment change

Science.gov (United States)

Yu, K.; D'Odorico, P.; Collins, S. L.; Carr, D.

2016-12-01

The abundance of plants with Crassulacean Acid Metabolism (CAM) has increased in many drylands worldwide. This is hypothesized to occur because CAM plants store water, take up CO2 at night, exhibit photosynthetic plasticity, and have high water use efficiency. The increased dominance of CAM plants, however, also depends on their competitive relationship with other functional groups, an aspect of CAM plant sensitivity to global environmental change that has remained largely understudied. Here, we investigated the response of CAM plants and their competitive relationships with C3 and C4 plants under global environmental change. We focused on two pairs of CAM and non-CAM species, namely Cylindropuntia imbricata (a constitutive CAM species) and Bouteloua eriopoda (C4 grass), which co-occur in desert grasslands in northern Mexico, and invasive Mesembryanthemum crystallinum (a facultative CAM species) and Bromus mollis (a C3 invasive grass), which coexist in California's coastal grasslands. A set of growth chamber experiments under altered CO2 and water conditions show that C. imbricata outcompeted B. eriopoda under drought conditions, while in well-watered conditions B. eriopoda was a stronger competitor for soil water than C. imbricata. Under drought conditions a more positive response to CO2 enrichment by C. imbricata indirectly disfavored B. eriopoda, which suggests that interspecific competition can outweigh the favorable direct effect of CO2 enrichment on plant growth. A set of greenhouse experiments under water, N, and soil salinity manipulations showed that drought, N deposition, and/or increased soil salinity served as important drivers for success of M. crystallinum invasion, while B. mollis exerted strong competitive effects on M. crystallinum for light and soil nutrients in well-watered conditions. M. crystallinum switched from C3 photosynthesis to CAM photosynthesis as an adaptive strategy in response to moderate intensity of competition from B. mollis, in

5 CFR 843.409 - Rates of annuities.

Science.gov (United States)

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Rates of annuities. 843.409 Section 843... (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Child Annuities § 843.409 Rates of annuities. (a) For each month, the amount of annuity payable to each surviving child under this...

The global impact of ozone on agricultural crop yields under current and future air quality legislation

Science.gov (United States)

Van Dingenen, Rita; Dentener, Frank J.; Raes, Frank; Krol, Maarten C.; Emberson, Lisa; Cofala, Janusz

In this paper we evaluate the global impact of surface ozone on four types of agricultural crop. The study is based on modelled global hourly ozone fields for the year 2000 and 2030, using the global 1°×1° 2-way nested atmospheric chemical transport model (TM5). Projections for the year 2030 are based on the relatively optimistic "current legislation (CLE) scenario", i.e. assuming that currently approved air quality legislation will be fully implemented by the year 2030, without a further development of new abatement policies. For both runs, the relative yield loss due to ozone damage is evaluated based on two different indices (accumulated concentration above a 40 ppbV threshold and seasonal mean daytime ozone concentration respectively) on a global, regional and national scale. The cumulative metric appears to be far less robust than the seasonal mean, while the seasonal mean shows satisfactory agreement with measurements in Europe, the US, China and Southern India and South-East Asia. Present day global relative yield losses are estimated to range between 7% and 12% for wheat, between 6% and 16% for soybean, between 3% and 4% for rice, and between 3% and 5% for maize (range resulting from different metrics used). Taking into account possible biases in our assessment, introduced through the global application of "western" crop exposure-response functions, and through model performance in reproducing ozone-exposure metrics, our estimates may be considered as being conservative. Under the 2030 CLE scenario, the global situation is expected to deteriorate mainly for wheat (additional 2-6% loss globally) and rice (additional 1-2% loss globally). India, for which no mitigation measures have been assumed by 2030, accounts for 50% of these global increase in crop yield loss. On a regional-scale, significant reductions in crop losses by CLE-2030 are only predicted in Europe (soybean) and China (wheat). Translating these assumed yield losses into total global economic

Risk Assessment: How Crucial in Determining Child's Susceptibility ...

African Journals Online (AJOL)

There is a global concern to curtail the prevalence of child abuse. However, certain difficulties are posed in meeting this objective in Nigeria, because child social workers often lack the practical or theoretical skills for detecting those children that are susceptible to abuse and thus, in need of early protective measures.

HOUSEHOLD NUCLEATION, DEPENDENCY AND CHILD HEALTH OUTCOMES IN GHANA.

Science.gov (United States)

Annim, Samuel Kobina; Awusabo-Asare, Kofi; Amo-Adjei, Joshua

2015-09-01

This study uses three key anthropometric measures of nutritional status among children (stunting, wasting and underweight) to explore the dual effects of household composition and dependency on nutritional outcomes of under-five children in Ghana. The objective is to examine changes in household living arrangements of under-five children to explore the interaction of dependency and nucleation on child health outcomes. The concept of nucleation refers to the changing structure and composition of household living arrangements, from highly extended with its associated socioeconomic system of production and reproduction, social behaviour and values, towards single-family households - especially the nuclear family, containing a husband and wife and their children alone. A negative relationship between levels of dependency, as measured by the number of children in the household, and child health outcomes is premised on the grounds that high dependency depletes resources, both tangible and intangible, to the disadvantage of young children. Data were drawn from the last four rounds of the Ghana Demographic and Health Surveys (GDHSs), from 1993 to 2008, for the first objective - to explore changes in household composition. For the second objective, the study used data from the 2008 GDHS. The results show that, over time, households in Ghana have been changing towards nucleation. The main finding is that in households with the same number of dependent children, in nucleated households children under age 5 have better health outcomes compared with children under age 5 in non-nucleated households. The results also indicate that the effect of dependency on child health outcomes is mediated by household nucleation and wealth status and that, as such, high levels of dependency do not necessarily translate into negative health outcomes for children under age 5, based on anthropometric measures.

Survey of atypical antipsychotic prescribing by Canadian child psychiatrists and developmental pediatricians for patients aged under 18 years.

Science.gov (United States)

Doey, Tamison; Handelman, Kenneth; Seabrook, Jamie A; Steele, Margaret

2007-06-01

To describe self-reported patterns of prescribing atypical antipsychotics (ATAs) and monitoring practices of child psychiatrists and developmental pediatricians in Canada. We surveyed members of the Canadian Academy of Child and Adolescent Psychiatry and members of the Developmental Paediatrics Section of the Canadian Paediatric Society regarding the types and frequencies of ATAs they prescribed, the ages and diagnoses of patients for whom they prescribed these medications, and the types and frequencies of monitoring used. Ninety-four percent of the child psychiatrists (95% CI, 90% to 97%) and 89% of the developmental pediatricians (95% CI, 75% to 96%) prescribed ATAs, most commonly risperidone (69%). Diagnoses included psychotic, mood, anxiety, externalizing, and pervasive developmental disorders. Prescribing for symptoms such as aggression, low frustration tolerance, and affect dysregulation was also common. Twelve percent of all prescriptions were for children under age 9 years. Most clinicians monitored patients, but there were wide variations in the type and frequency of tests performed. Despite the lack of formal indications, ATAs were prescribed by this group of clinicians for many off-label indications in youth under age 18 years, including very young children. Neither evidence-based guidelines nor a consensus on monitoring exist for this age group.

Regional Climate Impacts of Stabilizing Global Warming at 1.5 K Using Solar Geoengineering

Science.gov (United States)

Jones, Anthony C.; Hawcroft, Matthew K.; Haywood, James M.; Jones, Andy; Guo, Xiaoran; Moore, John C.

2018-02-01

The 2015 Paris Agreement aims to limit global warming to well below 2 K above preindustrial levels, and to pursue efforts to limit global warming to 1.5 K, in order to avert dangerous climate change. However, current greenhouse gas emissions targets are more compatible with scenarios exhibiting end-of-century global warming of 2.6-3.1 K, in clear contradiction to the 1.5 K target. In this study, we use a global climate model to investigate the climatic impacts of using solar geoengineering by stratospheric aerosol injection to stabilize global-mean temperature at 1.5 K for the duration of the 21st century against three scenarios spanning the range of plausible greenhouse gas mitigation pathways (RCP2.6, RCP4.5, and RCP8.5). In addition to stabilizing global mean temperature and offsetting both Arctic sea-ice loss and thermosteric sea-level rise, we find that solar geoengineering could effectively counteract enhancements to the frequency of extreme storms in the North Atlantic and heatwaves in Europe, but would be less effective at counteracting hydrological changes in the Amazon basin and North Atlantic storm track displacement. In summary, solar geoengineering may reduce global mean impacts but is an imperfect solution at the regional level, where the effects of climate change are experienced. Our results should galvanize research into the regionality of climate responses to solar geoengineering.

Epidemiological transitions in maternal and child health in Peru: 1990–2013

OpenAIRE

C Watson, BS; G Kang, MPH; K Redican, PhD; K Abbas, PhD

2015-01-01

Background: Millennium Development Goal (MDG) 4 set the target of reducing the under-5 mortality rate by two-thirds between 1990 and 2015. MDG 5 set the target of reducing the maternal mortality ratio (MMR) by three-quarters over the same time period, and also achieve universal access to reproductive health. The objective of this study is to analyse the epidemiological transitions in maternal and child health in Peru from 1990 to 2013. Methods: We analysed the risk of child mortality by ag...

The child behavior checklist dysregulation profile predicts adolescent DSM-5 pathological personality traits 4 years later.

Science.gov (United States)

De Caluwé, Elien; Decuyper, Mieke; De Clercq, Barbara

2013-07-01

Emotional dysregulation in childhood has been associated with various forms of later psychopathology, although no studies have investigated the personality related adolescent outcomes associated with early emotional dysregulation. The present study uses a typological approach to examine how the child behavior checklist-dysregulation profile (CBCL-DP) predicts DSM-5 pathological personality traits (as measured with the personality inventory for the diagnostic and statistical manual of mental disorders 5 or PID-5 by Krueger et al. (Psychol Med 2012)) across a time span of 4 years in a sample of 243 children aged 8-14 years (57.2 % girls). The results showed that children assigned to the CBCL-DP class are at risk for elevated scores on a wide range of DSM-5 personality pathology features, including higher scores on hostility, risk taking, deceitfulness, callousness, grandiosity, irresponsibility, impulsivity and manipulativeness. These results are discussed in the context of identifying early manifestations of persistent regulation problems, because of their enduring impact on a child's personality development.

Child mortality in South Africa: Fewer deaths but better data are needed

Directory of Open Access Journals (Sweden)

P Barron

2018-03-01

Full Text Available South Africa is committed to reducing under-5 mortality rates in line with the Sustainable Development Goal (SDG targets. Policymakers and healthcare service managers require accurate and complete data on the number and causes of child deaths to plan and monitor healthcare service delivery and health outcomes. This study aimed to review nationally representative data on under-5 mortality and the cause of deaths among children under 5 years of age. We also reviewed systems that are currently used for generating these data. Child mortality has declined substantially in the past decade. Under-5 mortality in 2015 is estimated at 37 - 40 deaths per 1 000 live births, with an estimated infant mortality rate of 27 - 33 deaths per 1 000 live births. Approximately one-third of under-5 deaths occur during the newborn period, while diarrhoea, pneumonia and HIV infection remain the most important causes of death outside of the newborn period. The proportion of deaths owing to non-natural causes, congenital disorders and non-communicable diseases has increased. However, many discrepancies in data collected through different systems are noted, especially at the sub-national level. There is a need to improve the completeness and accuracy of existing data systems and to strengthen reconciliation and triangulation of data.

Letters in the Forest: Global precedence effect disappears for letters but not for non-letters under reading-like conditions

Directory of Open Access Journals (Sweden)

Thomas eLachmann

2014-07-01

Full Text Available Normally-skilled reading involves special processing strategies for letters, which are habitually funneled into an abstract letter code. On the basis of previous studies we argue that this habit leads to the preferred usage of an analytic strategy for the processing of letters, while non-letters are preferably processed via a holistic strategy. The well-known Global Precedence Effect (GPE seems to contradict to this assumption, since, with compound, hierarchical figures, including letter items, faster responses are observed to the global than to the local level of the figure, as well as an asymmetric interference effect from global to local level. We argue that with letters these effects depend on presentation conditions; only when they elicit the processing strategies automatized for reading, an analytic strategy for letters in contrast to non-letters is to be expected. We compared the GPE for letters and non-letters in central viewing, with the global stimulus size close to the functional visual field in whole word reading (6.5o of visual angle and local stimuli close to the critical size for fluent reading of individual letters (.5o of visual angle. Under these conditions, the GPE remained robust for non-letters. For letters, however, it disappeared: letters showed no overall response time advantage for the global level and symmetric congruence effects (local-to-global as well as global-to local interference. We interpret these results as according to the view that reading is based on resident analytic visual processing strategies for letters.

Stressful Life Events and Child Anxiety: Examining Parent and Child Mediators

Science.gov (United States)

Platt, Rheanna; Williams, Sarah R.; Ginsburg, Golda S.

2015-01-01

While a number of factors have been linked with excessive anxiety (e.g., parenting, child temperament), the impact of stressful life events remains under-studied. Moreover, much of this literature has examined bivariate associations rather than testing more complex theoretical models. The current study extends the literature on life events and child anxiety by testing a theory-driven meditational model. Specifically, one child factor (child cognitions/locus of control), two parent factors (parent psychopathology and parenting stress), and two parent-child relationship factors (parent-child dysfunctional interaction and parenting style) were examined as mediators in the relationship between stressful life events and severity of child anxiety. One hundred and thirty anxious parents and their nonanxious, high-risk children (ages ranged from 7 to 13 years) participated in this study. Results indicated that levels of parenting stress, parental anxious rearing, and dysfunctional parent-child interaction mediated the association between stressful life events and severity of anxiety symptoms. Child cognition and parent psychopathology factors failed to emerge as mediators. Findings provide support for more complex theoretical models linking life events and child anxiety and suggest potential targets of intervention. PMID:25772523

Child injuries in Ethiopia: A review of the current situation with projections.

Science.gov (United States)

Li, Qingfeng; Alonge, Olakunle; Lawhorn, Collene; Ambaw, Yirga; Kumar, Smita; Jacobs, Troy; Hyder, Adnan A

2018-01-01

Heavy burden of child injuries and lack of policy response in Ethiopia call for an improved understanding of the situation and development of action plans from multiple governmental agencies and stakeholders. A consortium of international and Ethiopian researchers and stakeholders used extensive literature review and mixed analytical methods to estimate and project the burden of fatal and non-fatal child unintentional injuries in Ethiopia from 2015 to 2030. Estimates were derived for children aged 0-14 years. Data sources include a longitudinal study conducted by the Central Statistics Agency of Ethiopia and the World Bank as well as model-based estimates from World Health Organization 2017 and Global Burden of Disease 2016 project. Injuries caused about 25 thousand deaths among 0-14-year olds in Ethiopia in 2015. The leading cause of fatal child unintentional injuries in Ethiopia was road-traffic injuries, followed by fire, heat and hot substances and drowning. The death rate due to injuries among 0-14 years olds was about 50 percent higher in males than females. Rural children were exposed to a greater risk of injury than their urban peers. The longitudinal survey suggests that the incidence rate of child injuries increased during the period 2011-2014. The annual mortality caused by injuries is projected to increase from 10,697 in 2015 to 11,279 in 2020 and 11,989 in 2030 among children under 5 years, an increase of 12 percentage points in 15 years. The number of deaths among 0-14-year olds will be 26,463, 27,807, and 30,364 respectively in 2015, 2020, and 2030. As the first multisectoral collaboration on child injuries in Ethiopia, this study identified gaps in understanding of the burden of child injuries in Ethiopia. In consultation with Ethiopian government and other stakeholders, we propose starting an injury surveillance system at health clinics and hospitals and building an intervention package based on existing platforms.

Globalization, localization and food culture: perceived roles of social and cultural capitals in healthy child feeding practices in Japan.

Science.gov (United States)

Goto, Keiko; Ominami, Chihiro; Song, Chunyan; Murayama, Nobuko; Wolff, Cindy

2014-03-01

The current study examined parental perceptions of sociocultural factors associated with healthy child feeding practices among parents of preschool-age children in rural Japan. Fifteen Japanese mothers of preschool-age children participated in this qualitative study. These participants were aged 22-39 years and resided in a rural town in western Japan. We conducted semi-structured qualitative interviews to assess parental perceptions of healthy child feeding practices and their relationships with globalization and localization. These interviews were transcribed, translated into English and coded, based on the principles of grounded theory. A codebook was developed and pre-identified, and the newly-identified themes from this codebook were examined and compared. Overall, local and seasonal foods, along with traditional Japanese foods and simple foods (soshoku), were considered to be beneficial for children. Participants also noted that children were expected to be mindful and exhibit good table manners that reflect cultural values related to meal-time socializing or family bonding, and food appreciation. On the other hand, the majority of the participants stated that foods containing food additives and imported foods were unsuitable for children. Participants noted that strong social capital, especially social support from their mothers or mothers-in-law, as well as social networks for obtaining fresh local foods, contributed to healthy child feeding practices. Cultural capital (including the preservation of traditional Japanese dietary habits, eating rules and inter-generational commensality), was also identified as being key to healthy feeding practices. Identifying and promoting the social and cultural capital that positively support healthy child feeding practices may be an important component of nutrition education programs.

Future ecological studies of Brazilian headwater streams under global-changes

Directory of Open Access Journals (Sweden)

Marcos Callisto

Full Text Available This paper results from discussions triggered during the "Stream Ecology Symposium" that took place at the XIII Congress of the Brazilian Society of Limnology in September of 2011 in Natal, Brazil. Based on our experiences, we have raised several questions regarding ecological studies of headwater streams facing threats under global-changes and proposed numerous subjects to be addressed in future studies in Brazil. These studies deal with the necessity of knowing species biology and the elaboration of models to assess changes (which implies the availability of time-series or large-scale data sets; the ecology of riparian zones and the interchange of materials and energy across the land-water boundaries; forest conversions and standardized sampling strategies and data treatment to assess global change.

Neural Global Pattern Similarity Underlies True and False Memories.

Science.gov (United States)

Ye, Zhifang; Zhu, Bi; Zhuang, Liping; Lu, Zhonglin; Chen, Chuansheng; Xue, Gui

2016-06-22

The neural processes giving rise to human memory strength signals remain poorly understood. Inspired by formal computational models that posit a central role of global matching in memory strength, we tested a novel hypothesis that the strengths of both true and false memories arise from the global similarity of an item's neural activation pattern during retrieval to that of all the studied items during encoding (i.e., the encoding-retrieval neural global pattern similarity [ER-nGPS]). We revealed multiple ER-nGPS signals that carried distinct information and contributed differentially to true and false memories: Whereas the ER-nGPS in the parietal regions reflected semantic similarity and was scaled with the recognition strengths of both true and false memories, ER-nGPS in the visual cortex contributed solely to true memory. Moreover, ER-nGPS differences between the parietal and visual cortices were correlated with frontal monitoring processes. By combining computational and neuroimaging approaches, our results advance a mechanistic understanding of memory strength in recognition. What neural processes give rise to memory strength signals, and lead to our conscious feelings of familiarity? Using fMRI, we found that the memory strength of a given item depends not only on how it was encoded during learning, but also on the similarity of its neural representation with other studied items. The global neural matching signal, mainly in the parietal lobule, could account for the memory strengths of both studied and unstudied items. Interestingly, a different global matching signal, originated from the visual cortex, could distinguish true from false memories. The findings reveal multiple neural mechanisms underlying the memory strengths of events registered in the brain. Copyright © 2016 the authors 0270-6474/16/366792-11$15.00/0.

Child support and alimony: 1983 (supplemental report).

Science.gov (United States)

Sanders, R A

1986-10-01

The concern has continued over the financial situation of US women and their children after divorce and separation and over the situation of never-married mothers, in part due to the low average incomes and accompanying high incidence of poverty among families with family householders and no husband present. This report presents information on both the award and actual receipt of child support to women on behalf of their children and on alimony for their own support. Additional data concerning receipt and type of property settlement following divorce is provided for ever-divorced women. As of spring 1984, 8.7 million mothers were living with children under 21 years of age whose fathers were not living in the household; 58% or about 5 million of these women were awarded or had an agreement to receive child support payments for their children as of the survey date. Of the 5 million women awarded child support, 4 million were supposed to receive child support for their children in 1983. Of those due payment, about half received the full amount they were due. The child support award rate reported in 1984 (58%) was not significantly different from that of 1982; however, the proportion of women receiving payments in 1983 (76%) increased slightly over that of the previous survey (72%). The average (mean) amount of child support received in 1983 was $2340. About 43% of the 2.9 million women below the poverty level were awarded child support. Whites and college-educated women were more likely to be awarded child support. Only about 14% of the 17.4 million ever-divorced or currently separated women as of spring 1984 were awarded or had an agreement to receive alimony or maintenance payments In spring 1984, about 37% of the 14.8 million women who had ever been divorced reported receiving some form of property settlement.

20 CFR 222.53 - When a legally adopted child is dependent-child adopted after entitlement.

Science.gov (United States)

2010-04-01

... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false When a legally adopted child is dependent-child adopted after entitlement. 222.53 Section 222.53 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD RETIREMENT ACT FAMILY RELATIONSHIPS Child Support and Dependency § 222.53 When...

Quantifying PM2.5-Meteorology Sensitivities in a Global Climate Model

Science.gov (United States)

Westervelt, D. M.; Horowitz, L. W.; Naik, V.; Tai, A. P. K.; Fiore, A. M.; Mauzerall, D. L.

2016-01-01

Climate change can influence fine particulate matter concentrations (PM2.5) through changes in air pollution meteorology. Knowledge of the extent to which climate change can exacerbate or alleviate air pollution in the future is needed for robust climate and air pollution policy decision-making. To examine the influence of climate on PM2.5, we use the Geophysical Fluid Dynamics Laboratory Coupled Model version 3 (GFDL CM3), a fully-coupled chemistry-climate model, combined with future emissions and concentrations provided by the four Representative Concentration Pathways (RCPs). For each of the RCPs, we conduct future simulations in which emissions of aerosols and their precursors are held at 2005 levels while other climate forcing agents evolve in time, such that only climate (and thus meteorology) can influence PM2.5 surface concentrations. We find a small increase in global, annual mean PM2.5 of about 0.21 micro-g/cu m3 (5%) for RCP8.5, a scenario with maximum warming. Changes in global mean PM2.5 are at a maximum in the fall and are mainly controlled by sulfate followed by organic aerosol with minimal influence of black carbon. RCP2.6 is the only scenario that projects a decrease in global PM2.5 with future climate changes, albeit only by -0.06 micro-g/cu m (1.5%) by the end of the 21st century. Regional and local changes in PM2.5 are larger, reaching upwards of 2 micro-g/cu m for polluted (eastern China) and dusty (western Africa) locations on an annually averaged basis in RCP8.5. Using multiple linear regression, we find that future PM2.5 concentrations are most sensitive to local temperature, followed by surface wind and precipitation. PM2.5 concentrations are robustly positively associated with temperature, while negatively related with precipitation and wind speed. Present-day (2006-2015) modeled sensitivities of PM2.5 to meteorological variables are evaluated against observations and found to agree reasonably well with observed sensitivities (within 10e50

Detecting latitudinal and altitudinal expansion of invasive bamboo Phyllostachys edulis and Phyllostachys bambusoides (Poaceae) in Japan to project potential habitats under 1.5°C-4.0°C global warming.

Science.gov (United States)

Takano, Kohei Takenaka; Hibino, Kenshi; Numata, Ayaka; Oguro, Michio; Aiba, Masahiro; Shiogama, Hideo; Takayabu, Izuru; Nakashizuka, Tohru

2017-12-01

Rapid expansion of exotic bamboos has lowered species diversity in Japan's ecosystems by hampering native plant growth. The invasive potential of bamboo, facilitated by global warming, may also affect other countries with developing bamboo industries. We examined past (1975-1980) and recent (2012) distributions of major exotic bamboos ( Phyllostachys edulis and P. bambusoides ) in areas adjacent to 145 weather stations in central and northern Japan. Bamboo stands have been established at 17 sites along the latitudinal and altitudinal distributional limit during the last three decades. Ecological niche modeling indicated that temperature had a strong influence on bamboo distribution. Using mean annual temperature and sun radiation data, we reproduced bamboo distribution (accuracy = 0.93 and AUC (area under the receiver operating characteristic curve) = 0.92). These results infer that exotic bamboo distribution has shifted northward and upslope, in association with recent climate warming. Then, we simulated future climate data and projected the climate change impact on the potential habitat distribution of invasive bamboos under different temperature increases (i.e., 1.5°C, 2.0°C, 3.0°C, and 4.0°C) relative to the preindustrial period. Potential habitats in central and northern Japan were estimated to increase from 35% under the current climate (1980-2000) to 46%-48%, 51%-54%, 61%-67%, and 77%-83% under 1.5°C, 2.0°C, 3.0°C, and 4.0°C warming levels, respectively. These infer that the risk areas can increase by 1.3 times even under a 1.5°C scenario and expand by 2.3 times under a 4.0°C scenario. For sustainable ecosystem management, both mitigation and adaptation are necessary: bamboo planting must be carefully monitored in predicted potential habitats, which covers most of Japan.

Niger's Child Survival Success, Contributing Factors and Challenges to Sustainability: A Retrospective Analysis.

Directory of Open Access Journals (Sweden)

Donela Besada

Full Text Available Household surveys undertaken in Niger since 1998 have revealed steady declines in under-5 mortality which have placed the country 'on track' to reach the fourth Millennium Development goal (MDG. This paper explores Niger's mortality and health coverage data for children under-5 years of age up to 2012 to describe trends in high impact interventions and the resulting impact on childhood deaths averted. The sustainability of these trends are also considered.Estimates of child mortality using the 2012 Demographic and Health Survey were developed and maternal and child health coverage indicators were calculated over four time periods. Child survival policies and programmes were documented through a review of documents and key informant interviews. The Lives Saved Tool (LiST was used to estimate the number of child lives saved and identify which interventions had the largest impact on deaths averted. The national mortality rate in children under-5 decreased from 286 child deaths per 1000 live births (95% confidence interval 177 to 394 in the period 1989-1990 to 128 child deaths per 1000 live births in the period 2011-2012 (101 to 155, corresponding to an annual rate of decline of 3.6%, with significant declines taking place after 1998. Improvements in the coverage of maternal and child health interventions between 2006 and 2012 include one and four or more antenatal visits, maternal Fansidar and tetanus toxoid vaccination, measles and DPT3 vaccinations, early and exclusive breastfeeding, oral rehydration salts (ORS and proportion of children sleeping under an insecticide-treated bed net (ITN. Approximately 26,000 deaths of children under-5 were averted in 2012 due to decreases in stunting rates (27%, increases in ORS (14%, the Hib vaccine (14%, and breastfeeding (11%. Increases in wasting and decreases in vitamin A supplementation negated some of those gains. Care seeking at the community level was responsible for an estimated 7,800 additional deaths

Child Sexual Abuse and the Media

OpenAIRE

Lee, J.

2016-01-01

This is the first book to explore child sexual abuse within global religious and media organisations. Termed here the dual narrative, there is, on the one hand, the view that everyone is a potential paedophile, and, on the other, the notion of a witch-hunt falsely accusing people. Beginning with a re-examination of historic claims of satanic ritual abuse, the author moves on to investigate global celebrity culture, the global religious context as well as an analysis of technology. The interna...

The global burden of conduct disorder and attention-deficit/hyperactivity disorder in 2010.

Science.gov (United States)

Erskine, Holly E; Ferrari, Alize J; Polanczyk, Guilherme V; Moffitt, Terrie E; Murray, Christopher J L; Vos, Theo; Whiteford, Harvey A; Scott, James G

2014-04-01

The Global Burden of Disease Study 2010 (GBD 2010) is the first to include conduct disorder (CD) and attention-deficit/hyperactivity disorder (ADHD) for burden quantification. A previous systematic review pooled the available epidemiological data for CD and ADHD, and predicted prevalence by country, region, age and sex for each disorder. Prevalence was then multiplied by a disability weight to calculate years lived with disability (YLDs). As no evidence of deaths resulting directly from either CD or ADHD was found, no years of life lost (YLLs) were calculated. Therefore, the number of disability-adjusted life years (DALYs) was equal to that of YLDs. Globally, CD was responsible for 5.75 million YLDs/DALYs with ADHD responsible for a further 491,500. Collectively, CD and ADHD accounted for 0.80% of total global YLDs and 0.25% of total global DALYs. In terms of global DALYs, CD was the 72nd leading contributor and among the 15 leading causes in children aged 5-19 years. Between 1990 and 2010, global DALYs attributable to CD and ADHD remained stable after accounting for population growth and ageing. The global burden of CD and ADHD is significant, particularly in male children. Appropriate allocation of resources to address the high morbidity associated with CD and ADHD is necessary to reduce global burden. However, burden estimation was limited by data lacking for all four epidemiological parameters and by methodological challenges in quantifying disability. Future studies need to address these limitations in order to increase the accuracy of burden quantification. © 2014 The Authors. Journal of Child Psychology and Psychiatry © 2014 Association for Child and Adolescent Mental Health.

Global environment outlook GEO5. Environment for the future we want

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-05-15

The main goal of UNEP's Global Environment Outlook (GEO) is to keep governments and stakeholders informed of the state and trends of the global environment. Over the past 15 years, the GEO reports have examined a wealth of data, information and knowledge about the global environment; identified potential policy responses; and provided an outlook for the future. The assessments, and their consultative and collaborative processes, have worked to bridge the gap between science and policy by turning the best available scientific knowledge into information relevant for decision makers. The GEO-5 report is made up of 17 chapters organized into three distinct but linked parts. Part 1 - State and trends of the global environment; Part 2 - Policy options from the regions; Part 3 - Opportunities for a global response.

Global environment outlook GEO5. Environment for the future we want

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-05-15

The main goal of UNEP's Global Environment Outlook (GEO) is to keep governments and stakeholders informed of the state and trends of the global environment. Over the past 15 years, the GEO reports have examined a wealth of data, information and knowledge about the global environment; identified potential policy responses; and provided an outlook for the future. The assessments, and their consultative and collaborative processes, have worked to bridge the gap between science and policy by turning the best available scientific knowledge into information relevant for decision makers. The GEO-5 report is made up of 17 chapters organized into three distinct but linked parts. Part 1 - State and trends of the global environment; Part 2 - Policy options from the regions; Part 3 - Opportunities for a global response.

Advanced paternal age and mortality of offspring under 5 years of age

DEFF Research Database (Denmark)

Urhoj, S K; Jespersen, Louise Norman; Nissen, Marie

2014-01-01

Study question: Do children born to fathers of advanced age have an increased risk of dying before the age of 5 years? Summary answer: Children born to fathers aged 40 years or more have an increased risk of dying in early childhood due to an excess risk of fatal congenital anomalies, malignancies...... and external causes. What is known already: Advanced paternal age has previously been associated with adverse reproductive outcomes and some long term health problems in the offspring. This is possibly due to specific point mutations, a condition known to increase in the sperm with increasing paternal age....... Study design, size, duration: A Danish population-based register study, designed as a prospective cohort study, of 1 575 521 live born children born from 1978 to 2004. The age of the child (in days) was used as the underlying time and the children entered the cohort the day they were born and were...

Evaluation of Military Criminal Investigative Organizations’ Child Sexual Assault Investigations

Science.gov (United States)

2014-09-09

the definition of child abuse that includes the rape , molestation, prostitution , or other such form of sexual exploitation of a child; or incest...data gleaned from comparable statistical samples. See Appendix B for details. The primary offenses that occurred were rape of a child, aggravated...Offense/Manual for Courts-Martial Rape of a child under 12 Rape of a child over 12 but under 16 Sexual assault of a child under 16 Sexual abuse of a

Leadership for child health in the developing countries of the Western Pacific

OpenAIRE

Subhi, Rami; Duke, Trevor

2011-01-01

The content and landscape of global child health is increasingly complex. There is strong evidence for the effectiveness of local, national and institutional leadership in reducing child mortality, but this has not been a focus of global health initiatives. Interventions to strengthen health systems should include support for local leadership: building-up institutions of training, empowering national paediatric professional associations, creating opportunities for contribution and leadership ...

Child Mortality as Predicted by Nutritional Status and Recent Weight Velocity in Children under Two in Rural Africa.

LENUS (Irish Health Repository)

2012-01-31

WHO has released prescriptive child growth standards for, among others, BMI-for-age (BMI-FA), mid-upper arm circumference-for-age, and weight velocity. The ability of these indices to predict child mortality remains understudied, although growth velocity prognostic value underlies current growth monitoring programs. The study aims were first to assess, in children under 2, the independent and combined ability of these indices and of stunting to predict all-cause mortality within 3 mo, and second, the comparative abilities of weight-for-length (WFL) and BMI-FA to predict short-term (<3 mo) mortality. We used anthropometry and survival data from 2402 children aged between 0 and 24 mo in a rural area of the Democratic Republic of Congo with high malnutrition and mortality rates and limited nutritional rehabilitation. Analyses used Cox proportional hazard models and receiver operating characteristic curves. Univariate analysis and age-adjusted analysis showed predictive ability of all indices. Multivariate analysis without age adjustment showed that only very low weight velocity [HR = 3.82 (95%CI = 1.91, 7.63); P < 0.001] was independently predictive. With age adjustment, very low weight velocity [HR = 3.61 (95%CI = 1.80, 7.25); P < 0.001] was again solely retained as an independent predictor. There was no evidence for a difference in predictive ability between WFL and BMI-FA. This paper shows the value of attained BMI-FA, a marker of wasting status, and recent weight velocity, a marker of the wasting process, in predicting child death using the WHO child growth standards. WFL and BMI-FA appear equivalent as predictors.

Avoiding Extremes: Benefits of Staying below +1.5 °C Compared to +2.0 °C and +3.0 °C Global Warming

Directory of Open Access Journals (Sweden)

Claas Teichmann

2018-03-01

Full Text Available The need to restrict global mean temperature to avoid irreversible climate change is supported by scientific evidence. The need became political practice at the Conference of the Parties in 2015, where the participants decided to limit global warming to not more than +2.0 °C compared to pre-industrial times and to rather aim for a limit of +1.5 °C global warming. Nevertheless, a clear picture of what European climate would look like under +1.5 °C, +2.0 °C and +3.0 °C global warming level (GWL is still missing. In this study, we will fill this gap by assessing selected climate indices related to temperature and precipitation extremes, based on state of the art regional climate information for Europe taken from the European branch of the World Climate Research Program Coordinated Regional Downscaling Experiment (EURO-CORDEX ensemble. To assess the impact of these indices under climate change, we investigate the spatial extent of the area of the climate change signal in relation to the affected population. This allows us to demonstrate which climate extremes could be avoided when global warming is kept well below +2.0 °C or even +1.5 °C compared to higher GWLs. The European north–south gradient of tropical nights and hot days is projected to be intensified with an increasing global warming level. For precipitation-related indices, an overall increase in precipitation extremes is simulated, especially under +3.0 °C GWL, for mid- and northern Europe, whereas an increase in dry days is projected for many regions in southern Europe. The benefit of staying below +1.5 °C GWL compared to +2.0 °C GWL is the avoidance of an additional increase in tropical nights and hot days parallel to an increase in dry days in parts of southern Europe as well as an increase in heavy precipitation in parts of Scandinavia. Compared to +3.0 °C GWL, the benefit of staying at +1.5 °C GWL is to avoid a substantial increase (i.e., an increase of more than five dry

CGH Celebrates Take Your Child To Work Day 2015

Science.gov (United States)

Shady Grove celebrated Take Your Child To Work Day this year with a variety of activities and sessions aimed at inspiring school-aged children to explore career paths in science and public service. CGH hosted its inaugural Take Your Child To Work Day session: An Introduction to Global Health.

Teaching the pre-primary child reading and writing: a challenge for ...

African Journals Online (AJOL)

Teaching the pre-primary child reading and writing: a challenge for pre-primary school teachers in rivers state, Nigeria. ... Global Journal of Educational Research ... of the child's interactive learning and emphasizes specific teaching methods ...

Systematic screening of child abuse in out-of-hours primary care

NARCIS (Netherlands)

Schouten, MCM

2017-01-01

Child abuse is a serious global health problem. This thesis focused on – improving – the detection of child abuse in the out-of-hours primary care (OOH-PC). The main aim was to assess the diagnostic value of the screening instrument SPUTOVAMO-R2 for child abuse. We found that the detection rate of

Exploring Cultural Differences in Children's Exposure to Television in Home-Based Child Care Settings

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Shivers, Eva Marie; Barr, Rachel

2007-01-01

This article compares patterns of television use between African American and Latino child care providers in low-income households that are caring for children under the age of 5 years. Everyday experiences such as television viewing may impede or support healthy child development. Because both poverty and minority status put children at risk for…

Global Water Scarcity Assessment under Post-SRES Scenarios

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Hanasaki, N.; Fujimori, S.

2011-12-01

A large number of future projections contributed to the fourth Assessment Report of IPCC were based on Special Report on Emission Scenarios (SRES). Processes toward the fifth Assessment Report are under way, and post-SRES scenarios, called Shared Socio-economic Pathways (SSP) are being prepared. One of the key challenges of SSP is provision of detailed socio-economic scenarios compared to SRES for impact, adaptation and vulnerability studies. In this study, a comprehensive global water scarcity assessment was conducted, using a state of the art global water resources model H08 (Hanasaki et al., 2008a, 2008b, 2010). We used a prototype of SSP developed by National Institute for Environmental Studies, Japan. Two sets of socio economic scenarios and two sets of climate scenarios were prepared to run H08 for the period 2001-2100. Socio-economic scenarios include Business As Usual and High Mitigation Capacity. Climate scenarios include Reference and Mitigation which stabilizes green house gas concentration at a certain level. We analyzed the simulation results of four combinations, particularly focusing on the sensitivity of socio-economic scenarios to major water resources indices.

ECC delivery to lower plenum under downcomer injection part 2. RELAP5 assessment

International Nuclear Information System (INIS)

Bang, Young Seok; Shin, An Dong; Kim, Hho Jung

2000-01-01

In the present study, the capability of the thermal-hydraulic codes, RELAP5/MOD3.2.2 gamma, in predicting the steam-water interaction and the related ECC delivery to lower plenum under downcomer injection condition during refill phase is evaluated using the experimental data of the UPTF Test 21A. The facility is modeled in detail, and the test condition simulated for code calculations. The calculation result is compared with the applicable measurement data and discussed for the pressure response, ECC bypass behavior, lower plenum delivery, global water mass distribution, and local behavior in downcomer

Climate change hotspots in the CMIP5 global climate model ensemble.

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Diffenbaugh, Noah S; Giorgi, Filippo

2012-01-10

We use a statistical metric of multi-dimensional climate change to quantify the emergence of global climate change hotspots in the CMIP5 climate model ensemble. Our hotspot metric extends previous work through the inclusion of extreme seasonal temperature and precipitation, which exert critical influence on climate change impacts. The results identify areas of the Amazon, the Sahel and tropical West Africa, Indonesia, and the Tibetan Plateau as persistent regional climate change hotspots throughout the 21 st century of the RCP8.5 and RCP4.5 forcing pathways. In addition, areas of southern Africa, the Mediterranean, the Arctic, and Central America/western North America also emerge as prominent regional climate change hotspots in response to intermediate and high levels of forcing. Comparisons of different periods of the two forcing pathways suggest that the pattern of aggregate change is fairly robust to the level of global warming below approximately 2°C of global warming (relative to the late-20 th -century baseline), but not at the higher levels of global warming that occur in the late-21 st -century period of the RCP8.5 pathway, with areas of southern Africa, the Mediterranean, and the Arctic exhibiting particular intensification of relative aggregate climate change in response to high levels of forcing. Although specific impacts will clearly be shaped by the interaction of climate change with human and biological vulnerabilities, our identification of climate change hotspots can help to inform mitigation and adaptation decisions by quantifying the rate, magnitude and causes of the aggregate climate response in different parts of the world.

[Child maltreatment and new morbidity in pediatrics : Consequences for early child support and child protective interventions].

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Kindler, Heinz

2016-10-01

The effects of child maltreatment on children's chronic health conditions have become more visible during recent years. This is true for mental health problems as well as some chronic physical conditions, both summarized as new morbidity within pediatrics. As several Bradford Hill criteria (criteria from epidemiology for the determination of the causal nature of a statistical association) are met, the likely causal nature of underlying associations is discussed. Early family support may have the potential to modify such associations, although empirical evidence is lacking. At least for attachment-based interventions with foster carerers after child maltreatment, positive effects on child HPA axis dysregulation have been demonstrated.

Gender bias in child care and child health: global patterns.

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Khera, Rohan; Jain, Snigdha; Lodha, Rakesh; Ramakrishnan, Sivasubramanian

2014-04-01

Gender-based discrimination is reported across the spectrum of paediatric healthcare including emergency, inpatient, outpatient and preventive care and is mostly reported from South Asia and China with sporadic reports from Africa and South America. Biases against young girls have been documented even in immunisation percentage, home food allocation, seeking medical care for childhood ailments and percentage of household healthcare expenditures allocated to them. Such gender discrimination in access to medical care is likely to have an influence on the overall health of female children. Over the last five decades, the under-5 sex ratios are worsening in India with declining number of girls. Deliberate parental neglect of girls' essential and life-saving medical care is also an important contributing factor apart from sex-selective abortions to the declining gender ratios. Corrective measures and focused action are needed.

Changes in Extreme Maximum Temperature Events and Population Exposure in China under Global Warming Scenarios of 1.5 and 2.0°C: Analysis Using the Regional Climate Model COSMO-CLM

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Zhan, Mingjin; Li, Xiucang; Sun, Hemin; Zhai, Jianqing; Jiang, Tong; Wang, Yanjun

2018-02-01

We used daily maximum temperature data (1986-2100) from the COSMO-CLM (COnsortium for Small-scale MOdeling in CLimate Mode) regional climate model and the population statistics for China in 2010 to determine the frequency, intensity, coverage, and population exposure of extreme maximum temperature events (EMTEs) with the intensity-area-duration method. Between 1986 and 2005 (reference period), the frequency, intensity, and coverage of EMTEs are 1330-1680 times yr-1, 31.4-33.3°C, and 1.76-3.88 million km2, respectively. The center of the most severe EMTEs is located in central China and 179.5-392.8 million people are exposed to EMTEs annually. Relative to 1986-2005, the frequency, intensity, and coverage of EMTEs increase by 1.13-6.84, 0.32-1.50, and 15.98%-30.68%, respectively, under 1.5°C warming; under 2.0°C warming, the increases are 1.73-12.48, 0.64-2.76, and 31.96%-50.00%, respectively. It is possible that both the intensity and coverage of future EMTEs could exceed the most severe EMTEs currently observed. Two new centers of EMTEs are projected to develop under 1.5°C warming, one in North China and the other in Southwest China. Under 2.0°C warming, a fourth EMTE center is projected to develop in Northwest China. Under 1.5 and 2.0°C warming, population exposure is projected to increase by 23.2%-39.2% and 26.6%-48%, respectively. From a regional perspective, population exposure is expected to increase most rapidly in Southwest China. A greater proportion of the population in North, Northeast, and Northwest China will be exposed to EMTEs under 2.0°C warming. The results show that a warming world will lead to increases in the intensity, frequency, and coverage of EMTEs. Warming of 2.0°C will lead to both more severe EMTEs and the exposure of more people to EMTEs. Given the probability of the increased occurrence of more severe EMTEs than in the past, it is vitally important to China that the global temperature increase is limited within 1.5°C.

Assessing climate change impacts, benefits of mitigation, and uncertainties on major global forest regions under multiple socioeconomic and emissions scenarios

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Kim, John B.; Monier, Erwan; Sohngen, Brent; Pitts, G. Stephen; Drapek, Ray; McFarland, James; Ohrel, Sara; Cole, Jefferson

2017-04-01

We analyze a set of simulations to assess the impact of climate change on global forests where MC2 dynamic global vegetation model (DGVM) was run with climate simulations from the MIT Integrated Global System Model-Community Atmosphere Model (IGSM-CAM) modeling framework. The core study relies on an ensemble of climate simulations under two emissions scenarios: a business-as-usual reference scenario (REF) analogous to the IPCC RCP8.5 scenario, and a greenhouse gas mitigation scenario, called POL3.7, which is in between the IPCC RCP2.6 and RCP4.5 scenarios, and is consistent with a 2 °C global mean warming from pre-industrial by 2100. Evaluating the outcomes of both climate change scenarios in the MC2 model shows that the carbon stocks of most forests around the world increased, with the greatest gains in tropical forest regions. Temperate forest regions are projected to see strong increases in productivity offset by carbon loss to fire. The greatest cost of mitigation in terms of effects on forest carbon stocks are projected to be borne by regions in the southern hemisphere. We compare three sources of uncertainty in climate change impacts on the world’s forests: emissions scenarios, the global system climate response (i.e. climate sensitivity), and natural variability. The role of natural variability on changes in forest carbon and net primary productivity (NPP) is small, but it is substantial for impacts of wildfire. Forest productivity under the REF scenario benefits substantially from the CO2 fertilization effect and that higher warming alone does not necessarily increase global forest carbon levels. Our analysis underlines why using an ensemble of climate simulations is necessary to derive robust estimates of the benefits of greenhouse gas mitigation. It also demonstrates that constraining estimates of climate sensitivity and advancing our understanding of CO2 fertilization effects may considerably reduce the range of projections.

Under 5 mortality rate and its contributors in Zhejiang Province of China from 2000 to 2009

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Huang, Xin-Wen; Yang, Ru-Lai

2013-01-01

Objective By analyzing the under 5 mortality rate (U5MR) and its contributors in Zhejiang Province of China from 2000 to 2009, we tried to understand the trend of U5MR change in Zhejiang Province and thus propose strategies to reduce child mortality. Methods Thirty cities/counties/districts from Zhejiang Province were selected using stratified cluster sampling approach. Children under five years in these areas were enrolled as the subjects. The U5MR and its contributors were analyzed in terms of age, migration status of mothers, and other indicators using classic descriptive methods and Chi square test. Results The U5MR in Zhejiang Province showed a declining trend from 14.83‰ in 2000 to 9.49‰ in 2009. In 2009, the U5MR was significantly higher in the rural areas than in the urban areas (9.14‰ vs.6.50‰, Pbirth/low birth weight was the leading cause of U5MR in 2009. More specifically, preterm birth/low birth weight, congenital heart disease, and birth asphyxia were the top three causes of deaths among infants (falls were the leading causes of deaths among children (1-4 years). Conclusion The U5MR in Zhejiang Province in 2009 differed between urban areas and rural areas and between floating populations and local residents. The main causes of death differ between infants and young children. Prevention of preterm birth/low birth weight and congenital anomalies will reduce infant death, while the main intervention for young children is to avoid accidental injuries. PMID:26835282

Care for Child Development: an intervention in support of responsive caregiving and early child development.

Science.gov (United States)

Lucas, J E; Richter, L M; Daelmans, B

2018-01-01

An estimated 43% of children younger than 5 years of age are at elevated risk of failing to achieve their human potential. In response, the World Health Organization and UNICEF developed Care for Child Development (CCD), based on the science of child development, to improve sensitive and responsive caregiving and promote the psychosocial development of young children. In 2015, the World Health Organization and UNICEF identified sites where CCD has been implemented and sustained. The sites were surveyed, and responses were followed up by phone interviews. Project reports provided information on additional sites, and a review of published studies was undertaken to document the effectiveness of CCD for improving child and family outcomes, as well as its feasibility for implementation in resource-constrained communities. The inventory found that CCD had been integrated into existing services in diverse sectors in 19 countries and 23 sites, including child survival, health, nutrition, infant day care, early education, family and child protection and services for children with disabilities. Published and unpublished evaluations have found that CCD interventions can improve child development, growth and health, as well as responsive caregiving. It has also been reported to reduce maternal depression, a known risk factor for poor pregnancy outcomes and poor child health, growth and development. Although CCD has expanded beyond initial implementation sites, only three countries reported having national policy support for integrating CCD into health or other services. Strong interest exists in many countries to move beyond child survival to protect and support optimal child development. The United Nations Sustainable Development Goals depend on children realizing their potential to build healthy and emotionally, cognitively and socially competent future generations. More studies are needed to guide the integration of the CCD approach under different conditions. Nevertheless

A Global Investigation of Child Labor: Case Studies from India, Uganda, and the United States.

Science.gov (United States)

Lai, Selena

This curriculum guide was developed to help students gain a broader perspective about child labor and become more familiar with the issues, controversies, and debates that surround it. Three case studies are highlighted: (1) a street child in India; (2) child soldiers in Uganda; and (3) a migrant farm worker child in the United States. Each case…

Study Of Social Problems And Correlates Of Child Labourers In Slums Of Nagpur

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Ambadekar Nitin N

1998-01-01

Full Text Available Research question: What are the social and work related problems of child labourers? Objectives:1.To study social problems of child labourers. 2. To study some work related problems of child labourers. 3. To study some factors associated with child labourers. Study design: cross sectional study with comparison group. Setting: shivankarnagar & Hasanbagh slums under field practice area of PSM deptt., Govt. Medical College, Nagapur. Participants: 223 child labourers and 223 randomly selected controls from same area aged upto 15 years, sex matched and group matched for age. Results: Prevalence of child labourers in study areas was 21.3%, 43(19.3 females and 180 (80.7% males. Lower socio-economic status, large family size(>6, parental illiteracy and single parenthood were significantly associated with child labour. They were working in varied occupations â€" majority (32.7% being in garage and workshops. Inadequate family income (74.4% and parental compulsion (20.6% were the common reasons cited by child labourers for their jobs â€" school drop â€" outs 173(78.3%, bad habits 56(25.1%, prolonged working hours (mean-8.5+4.5, no holidays and rest hours, inadequate daily wages, verbal (29% & physical abuse (2.7% were the common problems of child labourers, observed in the present study.

Child Labour: The View from the North.

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McKechnie, Jim; Hobbs, Sandy

1999-01-01

Reports British research findings that challenge the bias that child labor is a problem of only economically underdeveloped countries. Argues that child employment is evident within developed countries, but is largely invisible. Addresses positive and negative effects, and challenges to child labor/child work dichotomy. Debates underlying causes…

[The influence of caregivers' anxiety and the home environment on child abuse. A study of children attending child-care centers].

Science.gov (United States)

Mochizuki, Yukiko; Tanaka, Emiko; Shinohara, Ryoji; Sugisawa, Yuka; Tomisaki, Etsuko; Watanabe, Taeko; Tokutake, Kentaro; Matsumoto, Misako; Sugita, Chihiro; Anme, Tokie

2014-01-01

The prevalence of child abuse is increasing in Japan. Therefore, we need appropriate and practical approaches for implementing feasible prevention, early detection, and support services for abused children. The purpose of this study was to examine child-rearing anxieties and the home environment as factors affecting caregivers of suspected abused children who attend child-care centers . First, we applied the millennium edition of the Japan Child and Family Research Institute (JCFRI) Child Rearing Support Questionnaire, and the Index of Child Care Environment (ICCE), for 1,801 caregivers whose children were enrolled in child-care centers based in City A. The millennium edition of the JCFRI Child Rearing Support Questionnaire measures difficulties in childcare for caregivers in terms of feelings, anxiety, and tendencies toward depression. The ICCE measures the quality and frequency of involvement of caregivers with their children and the child-care environment. Next, we interviewed the directors and child-care professionals in the centers to collect information on child abuse. The children were divided into two groups: abused and non-abused. The "abused group" consisted of the children whom the directors and professionals of the child-care centers suspected of being "possibly abused" and so had been placed under the protection of the center; furthermore, the center exchanged information with the City A Municipality "City A municipal government" about these children. We conducted Fisher's exact test to examine the relationship between the "abused group" and the "non-abused group," in relation to child-rearing anxiety and the children's home environments. Questionnaire scores from the two groups were assessed. We calculated odds ratios to examine the significant factors related to child abuse. Our dependent variable was child abuse, our main independent variables were items related to child-care difficulties and the child-care environment, and the moderating variables

Stochastic Delay Population Dynamics under Regime Switching: Global Solutions and Extinction

Directory of Open Access Journals (Sweden)

Zheng Wu

2013-01-01

Full Text Available This paper is concerned with a delay Lotka-Volterra model under regime switching diffusion in random environment. By using generalized Itô formula, Gronwall inequality and Young’s inequality, some sufficient conditions for existence of global positive solutions and stochastically ultimate boundedness are obtained, respectively. Finally, an example is given to illustrate the main results.

Parent-Child Co-Viewing of Television and Cognitive Development of the Chinese Child

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Jinqiu, Zhao; Xiaoming, Hao

2004-01-01

This study examined the relationship between parent-child co-viewing of television and the cognitive development of the child. Both survey and experiment methods were employed to determine the participants' television viewing habits and their cognitive achievements after watching a pre-recorded programme under different conditions. The…

Use of local and global limit load solutions for plates with surface cracks under tension

Energy Technology Data Exchange (ETDEWEB)

Lei, Y. [British Energy Generation Ltd, Barnett Way, Bamwood, Gloucester GL4 3RS (United Kingdom)], E-mail: yuebao.lei@british-energy.com

2007-09-15

Some available experimental results for the ductile failure of plates with surface cracks under tension are reviewed. The response of crack driving force, J, and the ligament strain near the local and global limit loads are investigated by performing elastic-perfectly plastic finite element (FE) analysis of a plate with a semi-elliptical crack under tension. The results show that a ligament may survive until the global collapse load is reached when the average ligament strain at the global collapse load, which depends on the uniaxial strain corresponding to the flow stress of the material and the crack geometry, is less than the true fracture strain of the material obtained from uniaxial tension tests. The FE analysis shows that ligament yielding corresponding to the local limit load has little effect on J and the average ligament strain, whereas approach to global collapse corresponds to a sharp increase in both J and the average ligament strain. The prediction of the FE value of J using the reference stress method shows that the global limit load is more relevant to J-estimation than the local one.

Use of local and global limit load solutions for plates with surface cracks under tension

International Nuclear Information System (INIS)

Lei, Y.

2007-01-01

Some available experimental results for the ductile failure of plates with surface cracks under tension are reviewed. The response of crack driving force, J, and the ligament strain near the local and global limit loads are investigated by performing elastic-perfectly plastic finite element (FE) analysis of a plate with a semi-elliptical crack under tension. The results show that a ligament may survive until the global collapse load is reached when the average ligament strain at the global collapse load, which depends on the uniaxial strain corresponding to the flow stress of the material and the crack geometry, is less than the true fracture strain of the material obtained from uniaxial tension tests. The FE analysis shows that ligament yielding corresponding to the local limit load has little effect on J and the average ligament strain, whereas approach to global collapse corresponds to a sharp increase in both J and the average ligament strain. The prediction of the FE value of J using the reference stress method shows that the global limit load is more relevant to J-estimation than the local one

A stochastic global identification framework for aerospace structures operating under varying flight states

Science.gov (United States)

Kopsaftopoulos, Fotis; Nardari, Raphael; Li, Yu-Hung; Chang, Fu-Kuo

2018-01-01

In this work, a novel data-based stochastic "global" identification framework is introduced for aerospace structures operating under varying flight states and uncertainty. In this context, the term "global" refers to the identification of a model that is capable of representing the structure under any admissible flight state based on data recorded from a sample of these states. The proposed framework is based on stochastic time-series models for representing the structural dynamics and aeroelastic response under multiple flight states, with each state characterized by several variables, such as the airspeed, angle of attack, altitude and temperature, forming a flight state vector. The method's cornerstone lies in the new class of Vector-dependent Functionally Pooled (VFP) models which allow the explicit analytical inclusion of the flight state vector into the model parameters and, hence, system dynamics. This is achieved via the use of functional data pooling techniques for optimally treating - as a single entity - the data records corresponding to the various flight states. In this proof-of-concept study the flight state vector is defined by two variables, namely the airspeed and angle of attack of the vehicle. The experimental evaluation and assessment is based on a prototype bio-inspired self-sensing composite wing that is subjected to a series of wind tunnel experiments under multiple flight states. Distributed micro-sensors in the form of stretchable sensor networks are embedded in the composite layup of the wing in order to provide the sensing capabilities. Experimental data collected from piezoelectric sensors are employed for the identification of a stochastic global VFP model via appropriate parameter estimation and model structure selection methods. The estimated VFP model parameters constitute two-dimensional functions of the flight state vector defined by the airspeed and angle of attack. The identified model is able to successfully represent the wing

Updates in the genetic evaluation of the child with global developmental delay or intellectual disability.

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Flore, Leigh Anne; Milunsky, Jeff M

2012-12-01

Global developmental delay (GDD) and intellectual disability (ID) occur in up to 3% of the general population and are even more commonly encountered in the setting of the pediatric neurology clinic. New advances in technology and in the understanding of genetic disorders have led to changes in the diagnostic approach to a child with unexplained GDD or ID. Chromosomal microarray has become a first-line test for evaluation of patients in this population and has both significantly increased diagnostic yield and introduced new challenges in the interpretation of copy number variants of uncertain significance. The G-banded karyotype is now frequently utilized as an adjunct to the microarray rather than as a first-line test in individuals with GDD or ID. Fragile X DNA testing continues to be recommended in the initial evaluation of the child with GDD or ID. The presence or absence of certain cardinal features (such as microcephaly or macrocephaly, seizures, autism, abnormal neurologic examination, and facial dysmorphism) can be utilized to direct single-gene molecular testing. The availability of next-generation and massively parallel sequencing technologies has enabled the use of genetic testing panels, in which dozens of genes associated with GDD or ID may be rapidly analyzed. Most recently, the clinical availability of whole-genome and whole-exome sequencing has opened new possibilities for the evaluation of individuals with GDD or ID who have previously eluded a genetic diagnosis. Consultation with a medical geneticist is recommended when progressing beyond first-tier analyses to most efficiently prioritize testing. Copyright © 2012 Elsevier Inc. All rights reserved.

Regional to global changes in drought and implications for future changes under global warming

Science.gov (United States)

Sheffield, J.; Wood, E. F.; Kam, J.

2012-12-01

Drought can have large impacts on multiple sectors, including agriculture, water resources, ecosystems, transport, industry and tourism. In extreme cases, regional drought can lead to food insecurity and famine, and in intensive agricultural regions, extend to global economic impacts in a connected world. Recent droughts globally have been severe and costly but whether they are becoming more frequent and severe, and the attribution of this, is a key question. Observational evidence at large scales, such as satellite remote sensing are often subject to short-term records and inhomogeneities, and ground based data are sparse in many regions. Reliance on model output is also subject to error and simplifications in the model physics that can, for example, amplify the impact of global warming on drought. This presentation will show the observational and model evidence for changes in drought, with a focus on the interplay between precipitation and atmospheric evaporative demand and its impact on the terrestrial water cycle and drought. We discuss the fidelity of climate models to reproduce our best estimates of drought variability and its drivers historically, and the implications of this on uncertainties in future projections of drought from CMIP5 models, and how this has changed since CMIP3.

Child Sexual Abuse in Zimbabwe.

Science.gov (United States)

Mantula, Fennie; Saloojee, Haroon

2016-01-01

Although child sexual abuse is a significant public health problem globally, its incidence, prevention, and management is less well described in resource-poor settings. In poorer settings prevention initiatives assume even more importance since resources for managing abused children are severely limited. This article examines the current status of policy and practice related to the prevention of child sexual abuse in Zimbabwe. It identifies implementation challenges and highlights opportunities that could be embraced to reduce CSA in Zimbabwe, based on evidence synthesized from recent work. Although Zimbabwe has a well-established legal and regulatory framework to protect children from child sexual abuse, implementation of existing policies is weak. Financial, human, and material resource constraints are frequently cited to explain limited prevention activity. Effective strategies for the prevention of child sexual abuse should focus on implementing existing legislation, targeting schoolchildren, and getting community involvement. A dedicated budget would help entrench these strategies, but gains can be achieved even in the absence of this.

Implications of geoengineering under the 1.5 °C target: Analysis and policy suggestions

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Ying Chen

2017-06-01

Full Text Available The Paris Agreement introduced a 1.5 °C target to control the rise in global temperature, but clear arrangements for feasible implementation pathways were not made. Achieving the 1.5 °C target imposes high requirements on global emission reduction. Nationally Determined Contributions of all Parties are far from the 1.5 °C target, and conventional emission reduction technologies and policies will also have difficulty in fulfilling this task. In this context, geoengineering is gaining interest in the international arena. The Paris Agreement includes afforestation, carbon capture, utilization and storage, and negative emission technologies such as bio-energy with carbon capture and store. All of these techniques are CO2 removal technologies that belong to geoengineering. Solar radiation management, which is highly controversial, has also attracted increased attention in recent years. Although the outline of the IPCC Special Report on 1.5 °C does not include a specific section on geoengineering issues yet, geoengineering is an unconventional technical option that cannot be avoided in research and discussions on impact assessment, technical options, ethics, and international governance under the 1.5 °C target. On the basis of analyzing and discussing abovementioned issues, this paper proposes several policy suggestions for China to strengthen research on and response to geoengineering.

Multi-Model Projections of River Flood Risk in Europe under Global Warming

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Lorenzo Alfieri

2018-01-01

Full Text Available Knowledge on the costs of natural disasters under climate change is key information for planning adaptation and mitigation strategies of future climate policies. Impact models for large scale flood risk assessment have made leaps forward in the past few years, thanks to the increased availability of high resolution climate projections and of information on local exposure and vulnerability to river floods. Yet, state-of-the-art flood impact models rely on a number of input data and techniques that can substantially influence their results. This work compares estimates of river flood risk in Europe from three recent case studies, assuming global warming scenarios of 1.5, 2, and 3 degrees Celsius from pre-industrial levels. The assessment is based on comparing ensemble projections of expected damage and population affected at country level. Differences and common points between the three cases are shown, to point out main sources of uncertainty, strengths, and limitations. In addition, the multi-model comparison helps identify regions with the largest agreement on specific changes in flood risk. Results show that global warming is linked to substantial increase in flood risk over most countries in Central and Western Europe at all warming levels. In Eastern Europe, the average change in flood risk is smaller and the multi-model agreement is poorer.

Asian climate change under 1.5–4 °C warming targets

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Ying Xu

2017-06-01

Full Text Available Based on simulations of 18 CMIP5 models under three RCP scenarios, this article investigates changes in mean temperature and precipitation and their extremes over Asia in the context of global warming targets of 1.5–4 °C, and further compares the differences between 1.5 °C and 2 °C targets. Results show that relative to the pre-industrial era, the mean temperature over Asia increases by 2.3 °C, 3.0 °C, 4.6 °C, and 6.0 °C at warming targets of 1.5 °C, 2 °C, 3 °C, and 4 °C, respectively, with stronger warming in high latitudes than in low latitudes. The corresponding enhancement in mean precipitation over the entire Asian region is 4.4%, 5.8%, 10.2%, and 13.0%, with significant regional differences. In addition, an increase in warm extremes, a decrease in cold extremes, and a strengthening in the variability of amounts of extreme precipitation are projected. Under the 1.5 °C target, compared with the climate under the 2 °C target, the mean temperature will be lower by 0.5–1 °C over Asia; the mean precipitation will be less by 5%–20% over most of Asia, but will be greater by about 10%–15% over West Asia and western South Asia; extreme high temperatures will be uniformly cooler throughout the Asian region, and the warming in extreme low temperatures will decrease significantly in high latitudes of Asia; extreme precipitation will be weaker over most of Asia but will be stronger over West Asia and western South Asia. Under the 1.5 °C and 2 °C warming targets, the probability of very hot weather (anomalies greater than 1σ, σ is standard deviation, extremely hot weather (anomalies greater than 3σ, and extremely heavy precipitation (anomalies greater than 3σ occurring will increase by at least once, 10%, and 10%, respectively, compared to the reference period (1861–1900.

Global burden of sickle cell anaemia in children under five, 2010-2050: modelling based on demographics, excess mortality, and interventions.

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Frédéric B Piel

Full Text Available The global burden of sickle cell anaemia (SCA is set to rise as a consequence of improved survival in high-prevalence low- and middle-income countries and population migration to higher-income countries. The host of quantitative evidence documenting these changes has not been assembled at the global level. The purpose of this study is to estimate trends in the future number of newborns with SCA and the number of lives that could be saved in under-five children with SCA by the implementation of different levels of health interventions.First, we calculated projected numbers of newborns with SCA for each 5-y interval between 2010 and 2050 by combining estimates of national SCA frequencies with projected demographic data. We then accounted for under-five mortality (U5m projections and tested different levels of excess mortality for children with SCA, reflecting the benefits of implementing specific health interventions for under-five patients in 2015, to assess the number of lives that could be saved with appropriate health care services. The estimated number of newborns with SCA globally will increase from 305,800 (confidence interval [CI]: 238,400-398,800 in 2010 to 404,200 (CI: 242,500-657,600 in 2050. It is likely that Nigeria (2010: 91,000 newborns with SCA [CI: 77,900-106,100]; 2050: 140,800 [CI: 95,500-200,600] and the Democratic Republic of the Congo (2010: 39,700 [CI: 32,600-48,800]; 2050: 44,700 [CI: 27,100-70,500] will remain the countries most in need of policies for the prevention and management of SCA. We predict a decrease in the annual number of newborns with SCA in India (2010: 44,400 [CI: 33,700-59,100]; 2050: 33,900 [CI: 15,900-64,700]. The implementation of basic health interventions (e.g., prenatal diagnosis, penicillin prophylaxis, and vaccination for SCA in 2015, leading to significant reductions in excess mortality among under-five children with SCA, could, by 2050, prolong the lives of 5,302,900 [CI: 3

Global burden of sickle cell anaemia in children under five, 2010-2050: modelling based on demographics, excess mortality, and interventions.

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Piel, Frédéric B; Hay, Simon I; Gupta, Sunetra; Weatherall, David J; Williams, Thomas N

2013-01-01

The global burden of sickle cell anaemia (SCA) is set to rise as a consequence of improved survival in high-prevalence low- and middle-income countries and population migration to higher-income countries. The host of quantitative evidence documenting these changes has not been assembled at the global level. The purpose of this study is to estimate trends in the future number of newborns with SCA and the number of lives that could be saved in under-five children with SCA by the implementation of different levels of health interventions. First, we calculated projected numbers of newborns with SCA for each 5-y interval between 2010 and 2050 by combining estimates of national SCA frequencies with projected demographic data. We then accounted for under-five mortality (U5m) projections and tested different levels of excess mortality for children with SCA, reflecting the benefits of implementing specific health interventions for under-five patients in 2015, to assess the number of lives that could be saved with appropriate health care services. The estimated number of newborns with SCA globally will increase from 305,800 (confidence interval [CI]: 238,400-398,800) in 2010 to 404,200 (CI: 242,500-657,600) in 2050. It is likely that Nigeria (2010: 91,000 newborns with SCA [CI: 77,900-106,100]; 2050: 140,800 [CI: 95,500-200,600]) and the Democratic Republic of the Congo (2010: 39,700 [CI: 32,600-48,800]; 2050: 44,700 [CI: 27,100-70,500]) will remain the countries most in need of policies for the prevention and management of SCA. We predict a decrease in the annual number of newborns with SCA in India (2010: 44,400 [CI: 33,700-59,100]; 2050: 33,900 [CI: 15,900-64,700]). The implementation of basic health interventions (e.g., prenatal diagnosis, penicillin prophylaxis, and vaccination) for SCA in 2015, leading to significant reductions in excess mortality among under-five children with SCA, could, by 2050, prolong the lives of 5,302,900 [CI: 3,174,800-6,699,100] newborns with

Fragmented implementation of maternal and child health home-based records in Vietnam: need for integration

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Aiga, Hirotsugu; Nguyen, Vinh Duc; Nguyen, Cuong Dinh; Nguyen, Tho Thi Thi; Nguyen, Lien Thi Phuong

2016-01-01

Background Home-based records (HBRs) are globally implemented as the effective tools that encourage pregnant women and mothers to timely and adequately utilise maternal and child health (MCH) services. While availability and utilisation of nationally representative HBRs have been assessed in several earlier studies, the reality of a number of HBRs subnationally implemented in a less coordinated manner has been neither reported nor analysed. Objectives This study is aimed at estimating the prevalence of HBRs for MCH and the level of fragmentation of and overlapping between different HBRs for MCH in Vietnam. The study further attempts to identify health workers’ and mothers’ perceptions towards HBR operations and utilisations. Design A self-administered questionnaire was sent to the provincial health departments of 28 selected provinces. A copy of each HBR available was collected from them. A total of 20 semi-structured interviews with health workers and mothers were conducted at rural communities in four of 28 selected provinces. Results Whereas HBRs developed exclusively for maternal health and exclusively for child health were available in four provinces (14%) and in 28 provinces (100%), respectively, those for both maternal health and child health were available in nine provinces (32%). The mean number of HBRs in 28 provinces (=5.75) indicates over-availability of HBRs. All 119 minimum required items for recording found in three different HBRs under nationwide scale-up were also included in the Maternal and Child Health Handbook being piloted for nationwide scaling-up. Implementation of multiple HBRs is likely to confuse not only health workers by requiring them to record the same data on several HBRs but also mothers about which HBR they should refer to and rely on at home. Conclusions To enable both health workers and pregnant women to focus on only one type of HBR, province-specific HBRs for maternal and/or child health need to be nationally standardised

Infant and Young Child Feeding: a Key area to Improve Child Health

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Habibolah Taghizade Moghaddam

2015-11-01

Full Text Available Good nutrition is essential for survival, physical growth, mental development, performance, productivity, health and well-being across the entire life-span: from the earliest stages of fetal development, at birth, and through infancy, childhood, adolescence and on into adulthood. Poor nutrition in the first 1,000 days of children’s lives can have irreversible consequences. For millions of children, it means they are, forever, stunted. Every infant and child has the right to good nutrition according to the Convention on the Rights of the Child; so the World Health Assembly has adopted a new target of reducing the number of stunted children under the age of 5 by 40 percent by 2025. The first 2 years of a child’s life are particularly important, as optimal nutrition during this period lowers morbidity and mortality, reduces the risk of chronic disease, and fosters better development overall. Breastfeeding and complementary feeding are a critical aspect of caring for infants and young children.

Spatial-temporal changes in runoff and terrestrial ecosystem water retention under 1.5 and 2 °C warming scenarios across China

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Zhai, Ran; Tao, Fulu; Xu, Zhihui

2018-06-01

The Paris Agreement set a long-term temperature goal of holding the global average temperature increase to below 2.0 °C above pre-industrial levels, pursuing efforts to limit this to 1.5 °C; it is therefore important to understand the impacts of climate change under 1.5 and 2.0 °C warming scenarios for climate adaptation and mitigation. Here, climate scenarios from four global circulation models (GCMs) for the baseline (2006-2015), 1.5, and 2.0 °C warming scenarios (2106-2115) were used to drive the validated Variable Infiltration Capacity (VIC) hydrological model to investigate the impacts of global warming on runoff and terrestrial ecosystem water retention (TEWR) across China at a spatial resolution of 0.5°. This study applied ensemble projections from multiple GCMs to provide more comprehensive and robust results. The trends in annual mean temperature, precipitation, runoff, and TEWR were analyzed at the grid and basin scale. Results showed that median change in runoff ranged from 3.61 to 13.86 %, 4.20 to 17.89 %, and median change in TEWR ranged from -0.45 to 6.71 and -3.48 to 4.40 % in the 10 main basins in China under 1.5 and 2.0 °C warming scenarios, respectively, across all four GCMs. The interannual variability of runoff increased notably in areas where it was projected to increase, and the interannual variability increased notably from the 1.5 to the 2.0 °C warming scenario. In contrast, TEWR would remain relatively stable, the median change in standard deviation (SD) of TEWR ranged from -10 to 10 % in about 90 % grids under 1.5 and 2.0 °C warming scenarios, across all four GCMs. Both low and high runoff would increase under the two warming scenarios in most areas across China, with high runoff increasing more. The risks of low and high runoff events would be higher under the 2.0 than under the 1.5 °C warming scenario in terms of both extent and intensity. Runoff was significantly positively correlated to precipitation, while increase in maximum

Web-based child pornography: The global impact of deterrence efforts and its consumption on mobile platforms.

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Steel, Chad M S

2015-06-01

Our study is the first to look at mobile device use for child sexual exploitation material (CSEM) consumption, and at the global impact of deterrence efforts by search providers. We used data from Google, Bing, and Yandex to assess how web searches for CSEM are being conducted, both at present and historically. Our findings show that the blocking efforts by Google and Microsoft have resulted in a 67% drop in the past year in web-based searches for CSEM. Additionally, our findings show that mobile devices are a substantial platform for web-based consumption of CSEM, with tablets and smartphones representing 32% of all queries associated with CSEM conducted on Bing. Further, our findings show that a major search engine not located in the United States, Yandex, did not undertake blocking efforts similar to those implemented by Google and Microsoft and has seen no commensurate drop in CSEM searches and continues to profit from ad revenue on these queries. While the efforts by Google and Microsoft have had a deterrence effect in the United States, searchers from Russia and other locations where child pornography possession is not criminalized have continued to use these services. Additionally, the same lax enforcement environment has allowed searchers from the United States to utilize Yandex with little fear of detection or referral to United States law enforcement from the Russian authorities. Copyright © 2015 Elsevier Ltd. All rights reserved.

Leadership for child health in the developing countries of the Western Pacific

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Subhi, Rami; Duke, Trevor

2011-01-01

The content and landscape of global child health is increasingly complex. There is strong evidence for the effectiveness of local, national and institutional leadership in reducing child mortality, but this has not been a focus of global health initiatives. Interventions to strengthen health systems should include support for local leadership: building-up institutions of training, empowering national paediatric professional associations, creating opportunities for contribution and leadership at national, provincial and local level, and networks of support for staff working in child health in remote areas. In the poorer high mortality burden countries of the Pacific, to meet the clinical and public health gaps, there is a need for increases in the education of child health nurse practitioners, and development of systems of continuing professional development for paediatric doctors and nurses. Involvement in local research, especially that which contributes directly to critical issues in child health policy or strengthening national data systems builds capacity for leadership. PMID:23198107

Leadership for child health in the developing countries of the Western Pacific

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Rami Subhi

2011-06-01

Full Text Available The content and landscape of global child health is increasingly complex. There is strong evidence for the effectiveness of local, national and institutional leadership in reducing child mortality, but this has not been a focus of global health initiatives. Interventions to strengthen health systems should include support for local leadership: building-up institutions of training, empowering national paediatric professional associations, creating opportunities for contribution and leadership at national, provincial and local level, and networks of support for staff working in child health in remote areas. In the poorer high mortality burden countries of the Pacific, to meet the clinical and public health gaps, there is a need for increases in the education of child health nurse practitioners, and development of systems of continuing professional development for paediatric doctors and nurses. Involvement in local research, especially that which contributes directly to critical issues in child health policy or strengthening national data systems builds capacity for leadership.

Approaches used by parents to keep their children safe at home: a qualitative study to explore the perspectives of parents with children aged under five years.

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Ablewhite, Joanne; McDaid, Lisa; Hawkins, Adrian; Peel, Isabel; Goodenough, Trudy; Deave, Toity; Stewart, Jane; Watson, Michael; Kendrick, Denise

2015-09-29

Childhood unintentional injury represents an important global health problem. Many unintentional injuries experienced by children aged under 5 years occur within the home and are preventable. The aim of this study was to explore the approaches used by parents of children under five in order to help prevent unintentional injuries in the home and the factors which influence their use. Understanding how parents approach risk-management in the home has important implications for injury practitioners. A multi-centre qualitative study using semi-structured interviews. A thematic approach was used to analyse the data. Sixty five parents of children aged under 5 years, from four study areas were interviewed: Bristol, Newcastle, Norwich and Nottingham. Three main injury prevention strategies used by parents were: a) Environmental such as removal of hazards, and use of safety equipment; b) parental supervision; and c) teaching, for example, teaching children about safety and use of rules and routine. Strategies were often used in combination due to their individual limitations. Parental assessment of injury risk, use of strategy and perceived effectiveness were fluid processes dependent on a child's character, developmental age and the prior experiences of both parent and child. Some parents were more proactive in their approach to home safety while others only reacted if their child demonstrated an interest in a particular object or activity perceived as being an injury risk. Parents' injury prevention practices encompass a range of strategies that are fluid in line with the child's age and stage of development; however, parents report that they still find it challenging to decide which strategy to use and when.

Mechanisms of Contextual Risk for Adolescent Self-Injury: Invalidation and Conflict Escalation in Mother-Child Interactions

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Crowell, Sheila E.; Baucom, Brian R.; McCauley, Elizabeth; Potapova, Natalia V.; Fitelson, Martha; Barth, Heather; Smith, Cindy J.; Beauchaine, Theodore P.

2013-01-01

OBJECTIVE According to developmental theories of self-injury, both child characteristics and environmental contexts shape and maintain problematic behaviors. Although progress has been made toward identifying biological vulnerabilities to self-injury, mechanisms underlying psychosocial risk have received less attention. METHOD In the present study, we compared self-injuring adolescents (n=17) with typical controls (n=20) during a mother-child conflict discussion. Dyadic interactions were coded using both global and microanalytic systems, allowing for a highly detailed characterization of mother-child interactions. We also assessed resting state psychophysiological regulation, as indexed by respiratory sinus arrhythmia (RSA). RESULTS Global coding revealed that maternal invalidation was associated with adolescent anger. Furthermore, maternal invalidation and coerciveness were both related to adolescent opposition/defiance. Results from the microanalytic system indicated that self-injuring dyads were more likely to escalate conflict, suggesting a potential mechanism through which emotion dysregulation is shaped and maintained over time. Finally, mother and teen aversiveness interacted to predict adolescent resting RSA. Low-aversive teens with highly aversive mothers had the highest RSA, whereas teens in high-high dyads showed the lowest RSA. CONCLUSIONS These findings are consistent with theories that emotion invalidation and conflict escalation are possible contextual risk factors for self-injury. PMID:23581508

[Child psychoanalysis and child psychiatry in Russia, from Lenin to the present day].

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Katchalov, Pavel V; Makouchkine, Eugène V; Potapova, Victoria A; Gourevitch, Michel

2010-01-01

Russian child psychiatry and psychoanalysis painfully recover after being brought under the subjection of "paedology", a synthetic so-called science, and enslaved to the utopian Soviet expectation of building a "new man" in 1920-1930. Later on, in 1940-1980, under the precarious shelter of Soviet social work, they could indulge in the psychodynamic viewpoint. Liberated in 1985-1991, Russian child psychiatry and psychoanalysis take up again with Western science to answer the urgent demand for care for the psychic sufferings of young Russians.

IMPACT OF AN L5 MAGNETOGRAPH ON NONPOTENTIAL SOLAR GLOBAL MAGNETIC FIELD MODELING

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Mackay, Duncan H.; Yeates, Anthony R.; Bocquet, Francois-Xavier

2016-01-01

We present the first theoretical study to consider what improvement could be obtained in global nonpotential modeling of the solar corona if magnetograph data were available from the L5 Lagrange point, in addition to from the direction of Earth. To consider this, we first carry out a “reference Sun” simulation over two solar cycles. An important property of this simulation is that random bipole emergences are allowed across the entire solar surface at any given time (such as can occur on the Sun). Next, we construct two “limited data” simulations, where bipoles are only included when they could be seen from (i) an Earth-based magnetograph and (ii) either Earth- or L5-based magnetographs. The improvement in reproducing the reference Sun simulation when an L5 view is available is quantified through considering global quantities in the limited data simulations. These include surface and polar flux, total magnetic energy, volume electric current, open flux, and the number of flux ropes. Results show that when an L5 observational viewpoint is included, the accuracy of the global quantities in the limited data simulations can increase by 26%–40%. This clearly shows that a magnetograph at the L5 point could significantly increase the accuracy of global nonpotential modeling and with this the accuracy of future space weather forecasts.

IMPACT OF AN L5 MAGNETOGRAPH ON NONPOTENTIAL SOLAR GLOBAL MAGNETIC FIELD MODELING

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Mackay, Duncan H. [School of Mathematics and Statistics, University of St Andrews, North Haugh, St Andrews, Fife, Scotland, KY16 9SS (United Kingdom); Yeates, Anthony R. [Department of Mathematical Sciences, Durham University, Science Laboratories, South Road, Durham, DH1 3LE (United Kingdom); Bocquet, Francois-Xavier, E-mail: dhm@st-andrews.ac.uk [Met Office, FitzRoy Road, Exeter, EX1 3PB (United Kingdom)

2016-07-10

We present the first theoretical study to consider what improvement could be obtained in global nonpotential modeling of the solar corona if magnetograph data were available from the L5 Lagrange point, in addition to from the direction of Earth. To consider this, we first carry out a “reference Sun” simulation over two solar cycles. An important property of this simulation is that random bipole emergences are allowed across the entire solar surface at any given time (such as can occur on the Sun). Next, we construct two “limited data” simulations, where bipoles are only included when they could be seen from (i) an Earth-based magnetograph and (ii) either Earth- or L5-based magnetographs. The improvement in reproducing the reference Sun simulation when an L5 view is available is quantified through considering global quantities in the limited data simulations. These include surface and polar flux, total magnetic energy, volume electric current, open flux, and the number of flux ropes. Results show that when an L5 observational viewpoint is included, the accuracy of the global quantities in the limited data simulations can increase by 26%–40%. This clearly shows that a magnetograph at the L5 point could significantly increase the accuracy of global nonpotential modeling and with this the accuracy of future space weather forecasts.

Changes in Extremely Hot Summers over the Global Land Area under Various Warming Targets.

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Wang, Lei; Huang, Jianbin; Luo, Yong; Yao, Yao; Zhao, Zongci

2015-01-01

Summer temperature extremes over the global land area were investigated by comparing 26 models of the fifth phase of the Coupled Model Intercomparison Project (CMIP5) with observations from the Goddard Institute for Space Studies (GISS) and the Climate Research Unit (CRU). Monthly data of the observations and models were averaged for each season, and statistics were calculated for individual models before averaging them to obtain ensemble means. The summers with temperature anomalies (relative to 1951-1980) exceeding 3σ (σ is based on the local internal variability) are defined as "extremely hot". The models well reproduced the statistical characteristics evolution, and partly captured the spatial distributions of historical summer temperature extremes. If the global mean temperature increases 2°C relative to the pre-industrial level, "extremely hot" summers are projected to occur over nearly 40% of the land area (multi-model ensemble mean projection). Summers that exceed 5σ warming are projected to occur over approximately 10% of the global land area, which were rarely observed during the reference period. Scenarios reaching warming levels of 3°C to 5°C were also analyzed. After exceeding the 5°C warming target, "extremely hot" summers are projected to occur throughout the entire global land area, and summers that exceed 5σ warming would become common over 70% of the land area. In addition, the areas affected by "extremely hot" summers are expected to rapidly expand by more than 25%/°C as the global mean temperature increases by up to 3°C before slowing to less than 16%/°C as the temperature continues to increase by more than 3°C. The area that experiences summers with warming of 5σ or more above the warming target of 2°C is likely to maintain rapid expansion of greater than 17%/°C. To reduce the impacts and damage from severely hot summers, the global mean temperature increase should remain low.

Revealing the underlying drivers of disaster risk: a global analysis

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Peduzzi, Pascal

2017-04-01

Disasters events are perfect examples of compound events. Disaster risk lies at the intersection of several independent components such as hazard, exposure and vulnerability. Understanding the weight of each component requires extensive standardisation. Here, I show how footprints of past disastrous events were generated using GIS modelling techniques and used for extracting population and economic exposures based on distribution models. Using past event losses, it was possible to identify and quantify a wide range of socio-politico-economic drivers associated with human vulnerability. The analysis was applied to about nine thousand individual past disastrous events covering earthquakes, floods and tropical cyclones. Using a multiple regression analysis on these individual events it was possible to quantify each risk component and assess how vulnerability is influenced by various hazard intensities. The results show that hazard intensity, exposure, poverty, governance as well as other underlying factors (e.g. remoteness) can explain the magnitude of past disasters. Analysis was also performed to highlight the role of future trends in population and climate change and how this may impacts exposure to tropical cyclones in the future. GIS models combined with statistical multiple regression analysis provided a powerful methodology to identify, quantify and model disaster risk taking into account its various components. The same methodology can be applied to various types of risk at local to global scale. This method was applied and developed for the Global Risk Analysis of the Global Assessment Report on Disaster Risk Reduction (GAR). It was first applied on mortality risk in GAR 2009 and GAR 2011. New models ranging from global assets exposure and global flood hazard models were also recently developed to improve the resolution of the risk analysis and applied through CAPRA software to provide probabilistic economic risk assessments such as Average Annual Losses (AAL

Non-replication of the association between 5HTTLPR and response to psychological therapy for child anxiety disorders

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Lester, Kathryn J.; Roberts, Susanna; Keers, Robert; Coleman, Jonathan R. I.; Breen, Gerome; Wong, Chloe C. Y.; Xu, Xiaohui; Arendt, Kristian; Blatter-Meunier, Judith; Bögels, Susan; Cooper, Peter; Creswell, Cathy; Heiervang, Einar R.; Herren, Chantal; Hogendoorn, Sanne M.; Hudson, Jennifer L.; Krause, Karen; Lyneham, Heidi J.; McKinnon, Anna; Morris, Talia; Nauta, Maaike H.; Rapee, Ronald M.; Rey, Yasmin; Schneider, Silvia; Schneider, Sophie C.; Silverman, Wendy K.; Smith, Patrick; Thastum, Mikael; Thirlwall, Kerstin; Waite, Polly; Wergeland, Gro Janne; Eley, Thalia C.

2016-01-01

Background We previously reported an association between 5HTTLPR genotype and outcome following cognitive–behavioural therapy (CBT) in child anxiety (Cohort 1). Children homozygous for the low-expression short-allele showed more positive outcomes. Other similar studies have produced mixed results, with most reporting no association between genotype and CBT outcome. Aims To replicate the association between 5HTTLPR and CBT outcome in child anxiety from the Genes for Treatment study (GxT Cohort 2, n = 829). Method Logistic and linear mixed effects models were used to examine the relationship between 5HTTLPR and CBT outcomes. Mega-analyses using both cohorts were performed. Results There was no significant effect of 5HTTLPR on CBT outcomes in Cohort 2. Mega-analyses identified a significant association between 5HTTLPR and remission from all anxiety disorders at follow-up (odds ratio 0.45, P = 0.014), but not primary anxiety disorder outcomes. Conclusions The association between 5HTTLPR genotype and CBT outcome did not replicate. Short-allele homozygotes showed more positive treatment outcomes, but with small, non-significant effects. Future studies would benefit from utilising whole genome approaches and large, homogenous samples. PMID:26294368

Will Half a Degree Make a Difference? Robust Projections of Indices of Mean and Extreme Climate in Europe Under 1.5°C, 2°C, and 3°C Global Warming

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Dosio, Alessandro; Fischer, Erich M.

2018-01-01

Based on high-resolution models, we investigate the change in climate extremes and impact-relevant indicators over Europe under different levels of global warming. We specifically assess the robustness of the changes and the benefits of limiting warming to 1.5°C instead of 2°C. Compared to 1.5°C world, a further 0.5°C warming results in a robust change of minimum summer temperature indices (mean, Tn10p, and Tn900p) over more than 70% of Europe. Robust changes (more than 0.5°C) in maximum temperature affect smaller areas (usually less than 20%). There is a substantial nonlinear change of fixed-threshold indices, with more than 60% increase of the number of tropical nights over southern Europe and more than 50% decrease in the number of frost days over central Europe. The change in mean precipitation due to 0.5°C warming is mostly nonsignificant at the grid point level, but, locally, it is accompanied by a more marked change in extreme rainfall.

From safe motherhood, newborn, and child survival partnerships to the continuum of care and accountability: moving fast forward to 2015.

Science.gov (United States)

Bustreo, Flavia; Requejo, Jennifer Harris; Merialdi, Mario; Presern, Carole; Songane, Francisco

2012-10-01

The present paper provides an overview of the Safe Motherhood Initiative, Healthy Newborn Partnership, and Child Survival Partnership and their eventual merge into the Partnership for Maternal, Newborn and Child Health (PMNCH) in 2005. The promise and past successes of the PMNCH are highlighted, with a particular focus on the PMNCH's partner-centric approach showing the importance of collaboration for progress. The aims of the strategic framework for 2012-2015 are presented within the context of the Global Strategy for Women's and Children's Health, launched in 2010, and growing political momentum to achieve Millennium Development Goals 4 and 5 (reduce child mortality and improve maternal health, respectively). The next 4 years leading to 2015 are critical, and the global community must continue to work together to ensure all women and children are reached with key interventions proven to reduce mortality. Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Credit where credit is due: Pakistan's role in reducing the global burden of reproductive, maternal, newborn, and child health (RMNCH).

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Ghaffar, Abdul; Qazi, Shamim; Shah, Iqbal

2015-11-25

Factors contributing to Pakistan's poor progress in reducing reproductive, maternal, newborn, and child health (RMNCH) include its low level of female literacy, gender inequity, political challenges, and extremism along with its associated relentless violence; further, less than 1% of Pakistan's GDP is allocated to the health sector. However, despite these disadvantages, Pakistani researchers have been able to achieve positive contributions towards RMNCH-related global knowledge and evidence base, in some cases leading to the formulation of WHO guidelines, for which they should feel proud. Nevertheless, in order to improve the health of its own women and children, greater investments in human and health resources are required to facilitate the generation and use of policy-relevant knowledge. To accomplish this, fair incentives for research production need to be introduced, policy and decision-makers' capacity to demand and use evidence needs to be increased, and strong support from development partners and the global health community must be secured.

Changes to extreme wave climates of islands within the Western Tropical Pacific throughout the 21st century under RCP 4.5 and RCP 8.5, with implications for island vulnerability and sustainability

Science.gov (United States)

Shope, James B.; Storlazzi, Curt; Erikson, Li; Hegermiller, Christie

2016-01-01

Waves are the dominant influence on coastal morphology and ecosystem structure of tropical Pacific islands. Wave heights, periods, and directions for the 21st century were projected using near-surface wind fields from four atmosphere-ocean coupled global climate models (GCM) under representative concentration pathways (RCP) 4.5 and 8.5. GCM-derived wind fields forced the global WAVEWATCH-III wave model to generate hourly time-series of bulk wave parameters around 25 islands in the mid to western tropical Pacific Ocean for historical (1976–2005), mid-, and end-of-century time periods. Extreme significant wave heights decreased (~10.0%) throughout the 21st century under both climate scenarios compared to historical wave conditions and the higher radiative forcing 8.5 scenario displayed a greater and more widespread decrease in extreme significant wave heights compared to the lower forcing 4.5 scenario. An exception was for the end-of-century June–August season. Offshore of islands in the central equatorial Pacific, extreme significant wave heights displayed the largest changes from historical values. The frequency of extreme events during December–February decreased under RCP 8.5, whereas the frequency increased under RCP 4.5. Mean wave directions often rotated more than 30° clockwise at several locations during June–August, which could indicate a weakening of the trade winds’ influence on extreme wave directions and increasing dominance of Southern Ocean swell or eastern shift of storm tracks. The projected changes in extreme wave heights, directions of extreme events, and frequencies at which extreme events occur will likely result in changes to the morphology and sustainability of island nations.

The burden of child maltreatment in China: a systematic review.

Science.gov (United States)

Fang, Xiangming; Fry, Deborah A; Ji, Kai; Finkelhor, David; Chen, Jingqi; Lannen, Patricia; Dunne, Michael P

2015-03-01

To estimate the health and economic burdens of child maltreatment in China. We did a systematic review for studies on child maltreatment in China using PubMed, Embase, PsycInfo, CINAHL-EBSCO, ERIC and the Chinese National Knowledge Infrastructure databases. We did meta-analyses of studies that met inclusion criteria to estimate the prevalence of child neglect and child physical, emotional and sexual abuse. We used data from the 2010 global burden of disease estimates to calculate disability-adjusted life-years (DALYs) lost as a result of child maltreatment. From 68 studies we estimated that 26.6% of children under 18 years of age have suffered physical abuse, 19.6% emotional abuse, 8.7% sexual abuse and 26.0% neglect. We estimate that emotional abuse in childhood accounts for 26.3% of the DALYs lost because of mental disorders and 18.0% of those lost because of self-harm. Physical abuse in childhood accounts for 12.2% of DALYs lost because of depression, 17.0% of those lost to anxiety, 20.7% of those lost to problem drinking, 18.8% of those lost to illicit drug use and 18.3% of those lost to self-harm. The consequences of physical abuse of children costs China an estimated 0.84% of its gross domestic product - i.e. 50 billion United States dollars - in 2010. The corresponding losses attributable to emotional and sexual abuse in childhood were 0.47% and 0.39% of the gross domestic product, respectively. In China, child maltreatment is common and associated with large economic losses because many maltreated children suffer substantial psychological distress and might adopt behaviours that increase their risk of chronic disease.

On the differences between 1.5oC and 2oC of global warming

Science.gov (United States)

King, A.

2017-12-01

The Paris Agreement of 2015 has resulted in a drive to limit global warming to 2oC with an aim for a lower 1.5oC target. It is therefore vital that we understand some of the differences we would expect between these two levels of global warming. My research uses coupled climate model projections to investigate where and for what variables we can differentiate between worlds of 1.5oC and 2oC global warming. I place a particular focus on climate extremes and population exposure to those extremes. I have found that there are perceptible benefits in limiting global warming to 1.5oC as opposed to 2oC through reduced frequency and intensity of heat extremes, both over land and in ocean areas where thermal stress on coral has resulted in bleaching. Differences in high and low precipitation extremes between the 1.5oC and 2oC global warming levels are projected for some regions. I have also examined how "scalable" changes from the 1.5oC to 2oC level are. In areas of the world such as Eastern China I find that changes in anthropogenic aerosol concentrations will influence the level of change projected at 1.5oC and 2oC, such that past warming is likely to be a poor indicator of future changes. Overall, my research finds clear benefits to limiting global warming to 1.5oC relative to higher levels.