WorldWideScience

Sample records for providing on-site child

  1. Elderly Persons as Intergenerational Child Care Providers.

    Science.gov (United States)

    Miller, Marilyn J.

    1986-01-01

    Programs involving elderly persons in the provision of child care services have evolved as a possible solution to problems identified by working parents and the elderly. Community members must work together on clearly defined objectives if opportunities are to be provided for elderly persons to participate in meaningful intergenerational child…

  2. Back to sleep: can we influence child care providers?

    Science.gov (United States)

    Moon, Rachel Y; Oden, Rosalind P

    2003-10-01

    Despite the fact that 20% of sudden infant death syndrome (SIDS) deaths occur in child care settings, many child care providers continue to be unaware of the association of SIDS and infant sleep position and/or are misinformed as to the risks and benefits of the various sleep positions. The objective of this study was to determine whether an educational program for child care providers regarding SIDS and safe sleep environment is effective in 1) providing basic information and understanding regarding SIDS risk reduction practices, 2) changing child care provider behavior, and 3) promoting development of written sleep position policies. We designed a 60-minute educational in-service for child care providers, to be led by a trained health educator. All providers who attended the in-service were asked to complete surveys before and after the in-service. Surveys assessed provider knowledge, beliefs, and practices. A 6-month follow-up interview was conducted with child care centers that had providers participating in the in-service. A total of 96 child care providers attended the educational in-service. Providers who were using the supine position exclusively increased from 44.8% to 78.1%. This change in behavior was sustained, with 85% of centers placing infants exclusively supine 6 months after the intervention. Awareness of the American Academy of Pediatrics recommendation of supine as the preferred position for infants increased from 47.9% to 78.1%, and 67.7% of centers continued to recognize supine as the recommended position 6 months later. The percentage of centers that reported written sleep position policies increased from 18.8% to 44.4%. A targeted educational in-service for child care providers is effective in increasing awareness and knowledge, changing child care provider behavior, and promoting development of written sleep position policies. This change is sustained over at least a 6-month period.

  3. Promoting child development and behavioral health: family child care providers' perspectives.

    Science.gov (United States)

    Rosenthal, Marjorie S; Crowley, Angela A; Curry, Leslie

    2009-01-01

    Given the significant proportion of children in nonparental child care and the importance of early life experiences on development, interventions to improve a child care provider's ability to enhance a young child's development and behavior are essential. Such interventions require understanding of and responsiveness to the provider's self-perceived roles, responsibilities, and willingness to engage in such interventions, yet prior research is limited. The purpose of the study was to characterize licensed family child care provider perspectives as a first step toward designing effective provider-based interventions to improve children's development and behavior. We conducted a qualitative study using in-depth interviews with licensed family child care providers serving economically disadvantaged children. Interviews were audiotaped, transcribed, and synthesized into common themes using the constant comparative method of qualitative data analysis. The family child care providers described five domains related to their role in child development and behavior: (a) promotion, (b) assessment, (c) advising parents, (d) acknowledging barriers, and (e) their own skill development. The family child care providers we interviewed describe how the developmental and behavioral health of children is an important aspect of their role and identify innovative and feasible ways to enhance their skills. Understanding the self-perceived role, responsibility, and willingness of child care providers is an important foundation to designing effective interventions to achieve high-quality child care.

  4. How Childcare Providers Interpret "Reasonable Suspicion" of Child Abuse

    Science.gov (United States)

    Levi, Benjamin H.; Crowell, Kathryn; Walsh, Kerryann; Dellasega, Cheryl

    2015-01-01

    Background: Childcare providers are often "first responders" for suspected child abuse, and how they understand the concept of "reasonable suspicion" will influence their decisions regarding which warning signs warrant reporting. Objective: The purpose of this study was to investigate how childcare providers interpret the…

  5. The Relationship between Practices and Child Care Providers' Beliefs Related to Child Feeding and Obesity Prevention

    Science.gov (United States)

    Lanigan, Jane D.

    2012-01-01

    Objective: To examine the association between child care practices and child care provider knowledge and beliefs about their role in supporting children's healthful eating. Design: Longitudinal design using survey and observation data from baseline and year 1 of the Encouraging Healthy Activity and Eating in Childcare Environments (ENHANCE) pilot…

  6. Competence and Burnout in Family Child Care Providers.

    Science.gov (United States)

    Thornburg, Kathy R; Crompton, Dwayne; Townley, Kimberly

    1998-01-01

    Examined the relationship between competence and burnout in 226 family child care providers. Identified the combination of variables that contribute to competence and burnout in caregivers, including age and educational level, use of lesson plans, perceived adequacy of space, and satisfaction with equipment and materials. Findings posed…

  7. A partnership approach to providing on-site HIV services for probationers and parolees: a pilot study from Alabama, USA

    Directory of Open Access Journals (Sweden)

    Bronwen Lichtenstein

    2016-07-01

    Full Text Available Introduction: HIV in the United States is concentrated in the South, an impoverished region with marked health disparities and high rates of incarceration, particularly among African Americans. In the Deep South state of Alabama, a policy directive to reduce prison overcrowding has diverted large numbers of convicted felons to community supervision. Probation and parole offices have yet to provide the HIV education and testing services that are offered in state prisons. This study sought to implement on-site HIV services for probationers and parolees through an intersectoral programme involving law enforcement, university and HIV agency employees. The three main objectives were to (1 involve probation/parole officers in planning, execution and assessment of the programme, (2 provide HIV education to the officers and (3 offer voluntary pretest HIV counselling and testing to probationers and parolees. Methods: The partnered programme was conducted between October and December 2015. Offenders who were recently sentenced to probation (“new offenders”, received HIV education during orientation. Offenders already under supervision prior to the programme (“current offenders” learned about the on-site services during scheduled office visits. Outcomes were measured through officer assessments, informal feedback and uptake of HIV services among offenders. Results: A total of 86 new and 249 current offenders reported during the programme (N=335. Almost one-third (31.4% of new offenders sought HIV testing, while only 3.2% of current offenders were screened for HIV. Refusals among current offenders invoked monogamy, time pressures, being tested in prison, fear of positive test results and concerns about being labelled as gay or unfaithful to women partners. Officers rated the programme as worthwhile and feasible to implement at other offices. Conclusions: The partnership approach ensured support from law enforcement and intersectoral cooperation

  8. A partnership approach to providing on-site HIV services for probationers and parolees: a pilot study from Alabama, USA.

    Science.gov (United States)

    Lichtenstein, Bronwen; Barber, Brad Wayne

    2016-01-01

    HIV in the United States is concentrated in the South, an impoverished region with marked health disparities and high rates of incarceration, particularly among African Americans. In the Deep South state of Alabama, a policy directive to reduce prison overcrowding has diverted large numbers of convicted felons to community supervision. Probation and parole offices have yet to provide the HIV education and testing services that are offered in state prisons. This study sought to implement on-site HIV services for probationers and parolees through an intersectoral programme involving law enforcement, university and HIV agency employees. The three main objectives were to (1) involve probation/parole officers in planning, execution and assessment of the programme, (2) provide HIV education to the officers and (3) offer voluntary pretest HIV counselling and testing to probationers and parolees. The partnered programme was conducted between October and December 2015. Offenders who were recently sentenced to probation ("new offenders"), received HIV education during orientation. Offenders already under supervision prior to the programme ("current offenders") learned about the on-site services during scheduled office visits. Outcomes were measured through officer assessments, informal feedback and uptake of HIV services among offenders. A total of 86 new and 249 current offenders reported during the programme (N=335). Almost one-third (31.4%) of new offenders sought HIV testing, while only 3.2% of current offenders were screened for HIV. Refusals among current offenders invoked monogamy, time pressures, being tested in prison, fear of positive test results and concerns about being labelled as gay or unfaithful to women partners. Officers rated the programme as worthwhile and feasible to implement at other offices. The partnership approach ensured support from law enforcement and intersectoral cooperation throughout the programme. HIV training for officers reduced discomfort

  9. 5 CFR 792.218 - Does the law apply only to on-site Federal child care centers that are utilized by Federal families?

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Does the law apply only to on-site Federal child care centers that are utilized by Federal families? 792.218 Section 792.218 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH AND COUNSELING PROGRAMS Agency Us...

  10. Not Babysitting: Work Stress and Well-Being for Family Child Care Providers

    Science.gov (United States)

    Gerstenblatt, Paula; Faulkner, Monica; Lee, Ahyoung; Doan, Linh Thy; Travis, Dnika

    2014-01-01

    Family child care providers contend with a number of work stressors related to the dual roles of operating a small business and providing child care in their home. Research has documented many sources of work related stress for family child care providers; however, research examining family child care providers' experiences outside of the…

  11. Quality in Family Child Care Networks: An Evaluation of All Our Kin Provider Quality

    Science.gov (United States)

    Porter, Toni; Reiman, Kayla; Nelson, Christina; Sager, Jessica; Wagner, Janna

    2016-01-01

    This article presents findings from a quasi-experimental evaluation of quality with a sample of 28 family child care providers in the All Our Kin Family Child Care Network, a staffed family child care network which offers a range of services including relationship-based intensive consultation, and 20 family child care providers who had no…

  12. Family child care home providers as role models for children: Cause for concern?

    Directory of Open Access Journals (Sweden)

    Alison Tovar

    2017-03-01

    Full Text Available Health behaviors associated with chronic disease, particularly healthy eating and regular physical activity, are important role modeling opportunities for individuals working in child care programs. Prior studies have not explored these risk factors in family child care home (FCCH providers which care for vulnerable and at-risk populations. To address this gap, we describe the socio-demographic and health risk behavior profiles in a sample of providers (n = 166 FCCH taken from baseline data of an ongoing cluster-randomized controlled intervention (2011–2016 in North Carolina. Data were collected during on-site visits where providers completed self-administered questionnaires (socio-demographics, physical activity, fruit and vegetable consumption, number of hours of sleep per night and perceived stress and had their height and weight measured. A risk score (range: 0–6; 0 no risk to 6 high risk was calculated based on how many of the following were present: not having health insurance, being overweight/obese, not meeting physical activity, fruit and vegetable, and sleep recommendations, and having high stress. Mean and frequency distributions of participant and FCCH characteristics were calculated. Close to one third (29.3% of providers reported not having health insurance. Almost all providers (89.8% were overweight or obese with approximately half not meeting guidelines for physical activity, fruit and vegetable consumption, and sleep. Over half reported a “high” stress score. The mean risk score was 3.39 (±1.2, with close to half of the providers having a risk score of 4, 5 or 6 (45.7%. These results stress the need to promote the health of these important care providers.

  13. Service-Learning Linking Family Child Care Providers, Community Partners, and Preservice Professionals

    Science.gov (United States)

    Garner, Pamela W.; Parker, Tameka S.

    2016-01-01

    This article describes the implementation of a service-learning project, which was infused into a child development course. The project linked family child care providers, their licensing agency, and 39 preservice teachers in a joint effort to develop a parent handbook to be used by the providers in their child care businesses and to support…

  14. High School Child Development Courses Provide a Valuable Apprenticeship

    Science.gov (United States)

    McCombie, Sally M.

    2009-01-01

    The current media are laden with reports of the many significant problems facing today's youth. In fact, parenting has become a national topic of discussion. Parenting instruction, a responsibility that had previously rested in the home, has become part of educational curricula. Courses in child development are offered for high school students in…

  15. Striving to provide the best start to every child.

    Science.gov (United States)

    Triggle, Nick

    2014-09-01

    IT IS IMPOSSIBLE to view Northern Ireland's approach to improving the health of children without seeing it through the prism of poverty. The legacy of the Troubles, the recession and a high cost of living mean that child poverty levels remain well above the UK average.

  16. CHILD WELFARE AGENCY TIES TO PROVIDERS AND SCHOOLS AND SUBSTANCE ABUSE TREATMENT USE BY ADOLESCENTS

    Science.gov (United States)

    Wells, Rebecca; Chuang, Emmeline; Haynes, Lindsey E.; Lee, I-Heng; Bai, Yu

    2010-01-01

    Policy makers and advocates are increasingly encouraging child-serving organizations to work together. The current study examined how child welfare agency ties with substance abuse treatment providers and schools correlated with substance abuse treatment for adolescents receiving child protective services. A sample of adolescents with substance use risk was extracted from a national survey of families engaged with child welfare. Logistic regressions with adjustments for complex survey design used child welfare agency ties to substance abuse treatment providers and schools to predict treatment. As expected, adolescents were more likely to report treatment when child protective services and substance abuse treatment were in the same agency and when child welfare agency directors reported joint planning with schools. However, child welfare agency agreements with substance abuse treatment providers were negatively associated with treatment. This unexpected finding implies that agencies may sometimes cooperate to address problems as well as to improve service utilization. PMID:20870374

  17. Recommendation 1071 on child welfare -- Providing institutional care for infants and children, 23 March 1988.

    Science.gov (United States)

    1988-01-01

    This document contains the text of a 1988 Recommendation of the Council of Europe on child welfare, particularly on providing institutional care for infants and children. The recommendation is based on an assessment of the dangers and costs to society which result from the inadequate provision of child care, such as an increase in juvenile delinquency and a breakdown in parent-child relationships. The recommendation also acknowledges 1) the right of all children to care provisions which complement those received in their families and 2) the enormous efforts currently being made by child care professionals. With these factors in mind, the governments of member states are invited to create a permanent body to monitor the decompartmentalization of government child welfare services and departments, to promote the development of child care policies, and to foster the preparation of a charter of children's rights. Governments are also encouraged to create administrative units to perform advisory and training functions, to assess child care needs, to increase the sums devoted to early childhood research and the protection of children's rights, to create pilot child care projects for children under three years old, to rebudget at all levels to meet child care needs, to assess local programs regularly, to guarantee education to all children, to integrate child welfare services, to give financial support to innovative forms of child care, to set up information programs for parents and child-care staff, and to hold a European conference on children.

  18. Modification of the "Preventing Child Abuse and Neglect" (PCAN) Curriculum for IDEA Part C Providers

    Science.gov (United States)

    Kilburn, Janice E.; Shapiro, Cheri J.

    2015-01-01

    Strategic workforce training of organizations that provide services to families of young children with special needs can help strengthen families and prevent child maltreatment, but few curriculua are available for this purpose. One professional development curriculum, "Preventing Child Abuse and Neglect: Parent-Provider Partnerships in Child…

  19. I Confess, I've Changed--Confessions of a Child Care Provider, and a Parent.

    Science.gov (United States)

    Schweikert, Gigi

    1996-01-01

    Explores problems occurring in the communication between child care providers and parents, through the eyes of a child care educator who is also a parent. Describes how her opinion changed as a result of experiencing the frustration of working parents, and provides ideas on how to achieve a better communication and understanding among parents and…

  20. Child Care Providers' Strategies for Supporting Healthy Eating: A Qualitative Approach

    Science.gov (United States)

    Lynch, Meghan; Batal, Malek

    2012-01-01

    Recent research has revealed child care settings and providers to be important influences on children's developing behaviors. Yet most research on children's nutritional development has focused on home settings and parents. Thus, through semistructured interviews with child care providers, this study aimed to develop a better understanding of the…

  1. Early Intervention Provider Use of Child Caregiver-Teaching Strategies

    Science.gov (United States)

    Campbell, Philippa H.; Coletti, Catherine Ehret

    2013-01-01

    The purpose of this study was to identify the extent to which multidiscipline early intervention providers identified and demonstrated caregiver-teaching strategies. A total of 78 providers submitted 205 videotaped segments to illustrate 1 of 5 caregiver-teaching strategies (i.e., demonstration; caregiver practice with feedback; guided practice;…

  2. Child center closures: Does nonprofit status provide a comparative advantage?

    Science.gov (United States)

    Lam, Marcus; Klein, Sacha; Freisthler, Bridget; Weiss, Robert E

    2013-03-01

    Reliable access to dependable, high quality childcare services is a vital concern for large numbers of American families. The childcare industry consists of private nonprofit, private for-profit, and governmental providers that differ along many dimensions, including quality, clientele served, and organizational stability. Nonprofit providers are theorized to provide higher quality services given comparative tax advantages, higher levels of consumer trust, and management by mission driven entrepreneurs. This study examines the influence of ownership structure, defined as nonprofit, for-profit sole proprietors, for-profit companies, and governmental centers, on organizational instability, defined as childcare center closures. Using a cross sectional data set of 15724 childcare licenses in California for 2007, we model the predicted closures of childcare centers as a function of ownership structure as well as center age and capacity. Findings indicate that for small centers (capacity of 30 or less) nonprofits are more likely to close, but for larger centers (capacity 30+) nonprofits are less likely to close. This suggests that the comparative advantages available for nonprofit organizations may be better utilized by larger centers than by small centers. We consider the implications of our findings for parents, practitioners, and social policy.

  3. Teaching Child Care Providers to Reduce the Risk of SIDS (Sudden Infant Death Syndrome)

    Science.gov (United States)

    Byington, Teresa; Martin, Sally; Reilly, Jackie; Weigel, Dan

    2011-01-01

    Keeping children safe and healthy is one of the main concerns of parents and child care providers. SIDS (Sudden Infant Death Syndrome) is the leading cause of death in infants 1 month to 12 months of age. Over 2,000 infants die from SIDS every year in the United States, and almost 15% of these deaths occur in child care settings. A targeted…

  4. Make Time to Talk: Language Building Tips for Center-Based Child Care Providers

    Science.gov (United States)

    National Institute for Literacy, 2010

    2010-01-01

    Everyone knows that it's important to talk every day with each child, using the kind of talk that builds language and thinking skills. The phrase MAKE TIME TO TALK is to help child care providers remember things they can do when talking to children to help them learn new vocabulary and how to use language to express their ideas and needs, and that…

  5. Child Care Provider Awareness and Prevention of Cytomegalovirus and Other Infectious Diseases

    Science.gov (United States)

    Thackeray, Rosemary; Magnusson, Brianna M.

    2016-01-01

    Background: Child care facilities are prime locations for the transmission of infectious and communicable diseases. Children and child care providers are at high risk for cytomegalovirus (CMV) infection which causes severe birth defects and developmental delays. Objective: The goals of study were: (1) to determine the level of cytomegalovirus…

  6. Ultra Efficient CHHP Using a High Temperature Fuel Cell to Provide On-Site Process Reducing Gas, Clean Power, and Heat

    Energy Technology Data Exchange (ETDEWEB)

    Jahnke, Fred C. [Fuelcell Energy, Inc., Danbury, CT (United States)

    2015-06-30

    FuelCell Energy and ACuPowder investigated and demonstrated the use of waste anode exhaust gas from a high temperature fuel cell for replacing the reducing gas in a metal processing furnace. Currently companies purchase high pressure or liquefied gases for the reducing gas which requires substantial energy in production, compression/liquefaction, and transportation, all of which is eliminated by on-site use of anode exhaust gas as reducing gas. We performed research on the impact of the gas composition on product quality and then demonstrated at FuelCell Energy’s manufacturing facility in Torrington, Connecticut. This demonstration project continues to operate even though the research program is completed as it provides substantial benefits to the manufacturing facility by supplying power, heat, and hydrogen.

  7. The impact of child care providers' feeding on children's food consumption.

    Science.gov (United States)

    Hughes, Sheryl O; Patrick, Heather; Power, Thomas G; Fisher, Jennifer O; Anderson, Cheryl B; Nicklas, Theresa A

    2007-04-01

    In young children, the eating environment is an important social context within which eating behaviors develop. Among many low-income young children, the responsibility for feeding may have shifted from family members to child care providers because these children spend the majority of their day in child care settings. To examine the influence of feeding among low-income children in child care settings, feeding behaviors of child care providers in Head Start were observed and food consumption was assessed. Head Start, a comprehensive child development program that serves children from ages 3 to 5, was chosen because of the large percentage of minorities, the low-income status of the families, and the age of the children. Fifty child care providers (25 African-American; 25 Hispanic) randomly selected from Head Start centers in a large, urban southwestern city were observed on three mealtime occasions and self-reported feeding styles were assessed. Observed feeding behaviors were categorized into four feeding patterns based on their conceptual similarity to a general parenting typology (i.e., authoritarian, authoritative, indulgent, and uninvolved). Measures of food consumption were assessed on 549 children sitting with the child care providers during lunch at the Head Start centers. Indulgent feeding behaviors were positively related to children's consumption of vegetables, dairy, entrée, and starch; authoritative feeding behaviors were positively related to dairy consumption. This research highlights the important influence that child care providers have in the development of healthy and unhealthy eating behaviors in minority children. Implications for intervention training for child care providers to promote healthy eating among Head Start children are discussed.

  8. Child Care Providers' Knowledge About Dental Injury First Aid in Preschool-age Children.

    Science.gov (United States)

    Sienkiewicz, Kristine L; Rainchuso, Lori; Boyd, Linda D; Giblin, Lori

    2017-06-01

    Purpose: The aim of this study was to assess child care providers' level of knowledge of first aid management and attitudes towards dental injuries among preschool-age children within Fairfield County, Connecticut and Boston, Massachusetts.Methods: This descriptive cross-sectional study used a web-based, validated questionnaire adapted from several studies with permission from authors. A panel of 5 dental experts determined the relevance of the questions and overall content (I-CVI range 0.8-1; S-CVI = 0.95). The 28 question survey included demographics, level of knowledge, attitudes about traumatic dental injuries, emergency management, and 2 case study questions on management of luxation and tooth fracture. Survey data was coded and analyzed for associations and trends using STATA® statistics/data analysis software v. 11.2.Results: A total of 100 child care providers completed the online questionnaire. Eighty-four percent self-reported little to no knowledge about dental injury management. Sixty percent of child care providers agreed that they are responsible for managing dental injuries. Approximately two-thirds of child care providers reported not feeling adequately informed about dental injuries, with 77% expressing interest in receiving more information.Conclusions: The majority of child care providers' do not have the knowledge to perform adequate first aid following a dental injury. Professional development on first aid for dental injuries is recommended among this workforce population. Copyright © 2017 The American Dental Hygienists’ Association.

  9. Keeping Kids Safe: A Guide for Safe Food Handling & Sanitation for Child Care Providers.

    Science.gov (United States)

    Food Safety and Inspection Service (USDA), Washington, DC.

    Because children under age 5 are susceptible to food-borne illnesses and children in diapers present special sanitation and health problems, food safety and sanitation are emerging as important issues for child care providers. This booklet is designed to give providers and parents a quick and easy reference for food safety and sanitation. The…

  10. Training Family Child Care Providers To Work with Children Who Have Special Needs.

    Science.gov (United States)

    Crowley, Abby L. Winkler

    1999-01-01

    Notes the difficulty of finding quality day care for special needs children. Discusses Project Specialcare, designed to support family child-care providers who accept such children into their programs. Describes how providers participated in Saturday sessions focused on a topic followed by open discussion and how the advice and counsel of a…

  11. Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance.

    Science.gov (United States)

    Alphonso, Aimee; Auerbach, Marc; Bechtel, Kirsten; Bilodeau, Kyle; Gawel, Marcie; Koziel, Jeannette; Whitfill, Travis; Tiyyagura, Gunjan Kamdar

    2017-01-01

    To develop and provide validity evidence for a performance checklist to evaluate the child abuse screening behaviors of prehospital providers. Checklist Development: We developed the first iteration of the checklist after review of the relevant literature and on the basis of the authors' clinical experience. Next, a panel of six content experts participated in three rounds of Delphi review to reach consensus on the final checklist items. Checklist Validation: Twenty-eight emergency medical services (EMS) providers (16 EMT-Basics, 12 EMT-Paramedics) participated in a standardized simulated case of physical child abuse to an infant followed by one-on-one semi-structured qualitative interviews. Three reviewers scored the videotaped performance using the final checklist. Light's kappa and Cronbach's alpha were calculated to assess inter-rater reliability (IRR) and internal consistency, respectively. The correlation of successful child abuse screening with checklist task completion and with participant characteristics were compared using Pearson's chi squared test to gather evidence for construct validity. The Delphi review process resulted in a final checklist that included 24 items classified with trichotomous scoring (done, not done, or not applicable). The overall IRR of the three raters was 0.70 using Light's kappa, indicating substantial agreement. Internal consistency of the checklist was low, with an overall Cronbach's alpha of 0.61. Of 28 participants, only 14 (50%) successfully screened for child abuse in simulation. Participants who successfully screened for child abuse did not differ significantly from those who failed to screen in terms of training level, past experience with child abuse reporting, or self-reported confidence in detecting child abuse (all p > 0.30). Of all 24 tasks, only the task of exposing the infant significantly correlated with successful detection of child abuse (p child abuse checklist that demonstrated strong content validity and

  12. Predictors of Quality and Commitment in Family Child Care: Provider Education, Personal Resources, and Support.

    Science.gov (United States)

    Weaver, Ruth Harding

    2002-01-01

    Examined the personal characteristics and resources in 65 licensed family child care providers' lives that influence developmentally enhancing caregiving and professional commitment. Unique predictors to higher quality of care were higher levels of formal education and training, college coursework in early childhood education, higher psychological…

  13. The Impact of Parents, Child Care Providers, Teachers, and Peers on Early Externalizing Trajectories

    Science.gov (United States)

    Silver, Rebecca B.; Measelle, Jeffrey R.; Armstrong, Jeffrey M.; Essex, Marilyn J.

    2010-01-01

    This study utilized growth mixture modeling to examine the impact of parents, child care providers, teachers, and peers on the prediction of distinct developmental patterns of classroom externalizing behavior in elementary school. Among 241 children, three groups were identified. 84.6% of children exhibited consistently low externalizing behavior.…

  14. Home, School Partnerships in Family Child Care: Providers' Relationships within Their Communities

    Science.gov (United States)

    Freeman, Ramona

    2011-01-01

    Professional family child care providers' work with children from birth through age five can be exemplary, particularly with regard to building stable and substantive relational ties. Such long-term engagements with client children and their families offer potential for strong partnership with families and local contexts over time. This paper…

  15. Making Their Voices Heard: A Conversation with Two Child Care Providers Serving the Legislature

    Science.gov (United States)

    Karolak, Eric

    2009-01-01

    This article presents an interview with two child care providers who are also legislators, Representative Shannon Erickson and Representative Mary Jane Wallner. Shannon Erickson is a Republican member of the South Carolina House of Representatives, representing District 124 in Beaufort County. While coming to office in a special election in…

  16. Child care providers who commit sexual offences: a description of offender, offence, and victim characteristics.

    Science.gov (United States)

    Moulden, Heather M; Firestone, Philip; Wexler, Audrey F

    2007-08-01

    The aim of this investigation was to undertake an exploratory analysis of child care providers who sexually offend against children and adolescents and the circumstances related to these offences. Archival Violent Crime Linkage Analysis System (ViCLAS) reports were obtained from the Royal Canadian Mounted Police (RCMP), and demographic and criminal characteristics for the offender, as well as information about the victim and offence, were selected for analyses. A descriptive approach was used to analyze the qualitative reports for a group of 305 Canadian sexual offenders between 1995 and 2002. Adult male (N = 163) and female ( N = 14), along with juvenile male (N = 100) and female (N = 28) child care providers who were involved in a sexual offence against a child or adolescent are described. This article provides unique information about the crimes committed by child care providers in that it is focused on crime characteristics, rather than on personality or treatment variables. Furthermore, it represents a comprehensive examination of this type of offender by including understudied groups, namely juvenile and female offenders.

  17. Child Care Providers' Competence and Confidence in Referring Children at Risk for Developmental Delays

    Science.gov (United States)

    Branson, Diane; Bingham, Ann

    2017-01-01

    Despite the benefits of early intervention for children, the majority of children with developmental delays are not identified prior to the age of 5 years. Child care providers could aid in recognition of children at risk for developmental delays; however, there is little research on this topic. This article reports on a qualitative research study…

  18. Assessing an Infant Feeding Web Site as a Nutrition Education Tool for Child Care Providers

    Science.gov (United States)

    Clark, Alena; Anderson, Jennifer; Adams, Elizabeth; Baker, Susan; Barrett, Karen

    2009-01-01

    Objective: Determine child care providers' infant feeding knowledge, attitude and behavior changes after viewing the infant feeding Web site and determine the effectiveness of the Web site and bilingual educational materials. Design: Intervention and control groups completed an on-line pretest survey, viewed a Web site for 3 months, and completed…

  19. African-American parents' perceptions of partnership with their child's primary care provider.

    Science.gov (United States)

    Horn, Ivor B; Mitchell, Stephanie J; Joseph, Jill G; Wissow, Lawrence S

    2011-08-01

    To identify family, provider, and healthcare setting characteristics associated with African-American parents' perceptions of partnership with their child's primary care provider. Data were collected via a telephone survey of 425 African-American parents of 0- to 5-year-old children who had presented for a health visit 1 to 2 weeks earlier at participating pediatric primary care practices in Washington, DC. Parents' perceptions of the level of partnership building by their child's provider were assessed using the Street Provider Communication Style instrument. Multivariate logistic regression models indicated that, after adjusting for other family and provider/setting characteristics, parents seen in community health centers were more likely to report high partnership building compared with parents seen at private or hospital-based practices. Parents with at least a college education and those who described their child's provider's race as "other" were most likely to report moderate partnership building. Future studies should examine elements of care delivery at community health centers that may lead to better partnerships between parents and providers in private and hospital-based practice settings. Copyright © 2011 Mosby, Inc. All rights reserved.

  20. Fragmentation of maternal, child and HIV services: A missed opportunity to provide comprehensive care

    Directory of Open Access Journals (Sweden)

    Lyn J. Haskins

    2016-03-01

    Full Text Available Background: In South Africa, coverage of services for mothers and babies in the first year of life is suboptimal despite high immunisation coverage over the same time period. Integration of services could improve accessibility of services, uptake of interventions and retention in care.Aim: This study describes provision of services for mothers and babies aged under 1 year.Setting: Primary healthcare clinics in one rural district in KwaZulu-Natal, South Africa.Methods: All healthcare workers on duty and mothers exiting the clinic after attending well-child services were interviewed. Clinics were mapped to show the route through the clinic taken by mother–baby pairs receiving well-child services, where these services were provided and by whom.Results: Twelve clinics were visited; 116 health workers and 211 mothers were interviewed. Most clinics did not provide comprehensive services for mothers and children. Challenges of structural layout and deployment of equipment led to fragmented services provided by several different health workers in different rooms. Well-child services were frequently provided in public areas of the clinic or with other mothers present. In some clinics mothers and babies did not routinely see a professional nurse. In all clinics HIV-positive mothers followed a different route. Enrolled nurses led the provision of well-child services but did not have skills and training to provide comprehensive care.Conclusions: Fragmentation of clinic services created barriers in accessing a comprehensive package of care resulting in missed opportunities to provide services. Greater integration of services alongside immunisation services is needed.

  1. Barriers and Facilitators to Recognition and Reporting of Child Abuse by Prehospital Providers.

    Science.gov (United States)

    Tiyyagura, Gunjan Kamdar; Gawel, Marcie; Alphonso, Aimee; Koziel, Jeannette; Bilodeau, Kyle; Bechtel, Kirsten

    2017-01-01

    Prehospital care providers are in a unique position to provide initial unadulterated information about the scene where a child is abusively injured or neglected. However, they receive minimal training with respect to detection of Child Abuse and Neglect (CAN) and make few reports of suspected CAN to child protective services. To explore barriers and facilitators to the recognition and reporting of CAN by prehospital care providers. Twenty-eight prehospital care providers participated in a simulated case of infant abusive head trauma prior to participating in one-on-one semi-structured qualitative debriefs. Researchers independently coded transcripts from the debriefing and then collectively refined codes and created themes. Data collection and analysis continued past the point of thematic saturation. Providers described 3 key tasks when caring for a patient thought to be maltreated: (1) Medically managing the patient, which included assessment of the patient's airway, breathing, and circulation and management of the chief complaint, followed by evaluation for CAN; (2) Evaluating the scene and family interactions for signs suggestive of CAN, which included gathering information on the presence of elicit substances and observing how the child behaves in the presence of caregivers; and (3) Creating a safety plan, which included, calling police for support, avoiding confrontation with the caregivers and sharing suspicion of CAN with hospital providers and child protective services. Reported barriers to recognizing CAN included discomfort with pediatric patients; uncertainty related to CAN (accepting parental story about alternative diagnosis and difficulty distinguishing between accidental and intentional injuries); a focus on the chief complaint; and limited opportunity for evaluation. Barriers to reporting included fear of being wrong; fear of caregiver reactions; and working in a fast-paced setting. In contrast, facilitators to reporting included understanding of

  2. The impact of parents, child care providers, teachers, and peers on early externalizing trajectories.

    Science.gov (United States)

    Silver, Rebecca B; Measelle, Jeffrey R; Armstrong, Jeffrey M; Essex, Marilyn J

    2010-12-01

    This study utilized growth mixture modeling to examine the impact of parents, child care providers, teachers, and peers on the prediction of distinct developmental patterns of classroom externalizing behavior in elementary school. Among 241 children, three groups were identified. 84.6% of children exhibited consistently low externalizing behavior. The externalizing behavior of the Chronic High group (5.8%) remained elevated throughout elementary school; it increased over time in the Low Increasing group (9.5%). Negative relationships with teachers and peers in the kindergarten classroom increased the odds of having chronically high externalizing behavior. Teacher-child conflict increased the likelihood of a developmental pattern of escalating externalizing behavior. Boys were overrepresented in the behaviorally risky groups, and no sex differences in trajectory types were found. Copyright © 2010 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.

  3. The Impact of Home-Based Child Care Provider Unionization on the Cost, Type, and Availability of Subsidized Child Care in Illinois

    Science.gov (United States)

    Grindal, Todd; West, Martin R.; Willett, John B.; Yoshikawa, Hirokazu

    2015-01-01

    In February 2005, Illinois became the first U.S. state to grant home-based child care providers (HBCPs) the right to form a labor union in order to bargain collectively with the state government. This policy inspired similar efforts across the country and represents a potentially important direction for child care policy. To date, the implications…

  4. Perceptions of the characteristics of the Alberta Nutrition Guidelines for Children and Youth by child care providers may influence early adoption of nutrition guidelines in child care centres.

    Science.gov (United States)

    Nikolopoulos, Hara; Farmer, Anna; Berry, Tanya R; McCargar, Linda J; Mager, Diana R

    2015-04-01

    In 2008, the Alberta government released the Alberta Nutrition Guidelines for Children and Youth (ANGCY) as a resource for child care facilities to translate nutrition recommendations into practical food choices. Using a multiple case study method, early adoption of the guidelines was examined in two child care centres in Alberta, Canada. Key constructs from the Diffusion of Innovations framework were used to develop an interview protocol based on the perceived characteristics of the guidelines (relative advantage, compatibility, complexity, trialability and observability) by child care providers. Analysis of the ANGCY was conducted by a trained qualitative researcher and validated by an external qualitative researcher. This entailed reviewing guideline content, layout, organisation, presentation, format, comprehensiveness and dissemination to understand whether characteristics of the guidelines affect the adoption process. Data were collected through direct observation, key informant interviews and documentation of field notes. Qualitative data were analysed using content analysis. Overall, the guidelines were perceived positively by child care providers. Child care providers found the guidelines to have a high relative advantage, be compatible with current practice, have a low level of complexity, easy to try and easy to observe changes. It is valuable to understand how child care providers perceive characteristics of guidelines as this is the first step in identifying the needs of child care providers with respect to early adoption and identifying potential educational strategies important for dissemination. © 2012 Blackwell Publishing Ltd.

  5. Providers perspectives on self-regulation impact their use of responsive feeding practices in child care.

    Science.gov (United States)

    Dev, Dipti A; Speirs, Katherine E; Williams, Natalie A; Ramsay, Samantha; McBride, Brent A; Hatton-Bowers, Holly

    2017-11-01

    Supporting children's self-regulation in eating through caregivers' practice of responsive feeding is paramount to obesity prevention, and while much attention has been given to supporting children's self-regulation in eating through parents' responsive feeding practices in the home setting, little attention has been given to this issue in childcare settings. This qualitative study examines childcare providers' perspectives on using responsive feeding practices with young children (2-5years). Individual semi-structured interviews were conducted with providers until saturation was reached. Data was analyzed using thematic analysis. The final sample included 18 providers who were employed full-time in Head Start or state-licensed center-based childcare programs, cared for children (2-5y), and were directly responsible for serving meals and snacks. Providers were primarily (67%) employed in childcare programs that served children from low-income families and received reimbursement for meals and snacks from the US Department of Agriculture's Child and Adult Care Food Program. Three factors emerged that shaped childcare providers' experiences using responsive feeding practices: the providers' perspectives about whether or not young children can self-regulate food intake, their understanding of Child and Adult Care Food Program (CACFP) portion size regulations, and the availability of food at the center where they worked. Future research should examine how childcare providers' understanding of children's ability to self-regulate their food intake, the appropriate use of the CACFP regulations in relationship to serving sizes, and having food available to offer seconds promotes providers' use of responsive feeding practices in center-based childcare programs and children's dietary behaviors. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Online Professional Development for Child Care Providers: Do They Have Appropriate Access to and Comfort with the Internet?

    Directory of Open Access Journals (Sweden)

    Lindsay E. Wright

    2014-10-01

    Full Text Available With the expansion of online trainings today, Extension professionals have an opportunity to reach child care providers in more convenient ways. However, having convenient, reliable Internet access can be a barrier to online training for some child care providers, especially those with limited financial resources. This study investigated child care providers’ ability to access online training through convenient, reliable Internet access by asking 494 child care providers in Georgia about their access to and comfort with the Internet. Participants completed a brief 12-question survey that included questions about their Internet access and use for both personal and professional purposes (i.e., whether or not they have Internet access, where they have access, how often they use it, and how comfortable they feel using it. The majority of child care providers reported having Internet access (89.68% and feeling comfortable using the Internet (68.62%, and therefore, have the technological resources to participate in online professional development.

  7. The Oncology Family App: Providing Information and Support for Families Caring for Their Child With Cancer.

    Science.gov (United States)

    Slater, Penelope J; Fielden, Philippa E; Bradford, Natalie K

    2017-11-01

    The Oncology Family App supports families across the vast state of Queensland, Australia, with easy access to vital information, including management plans for a deteriorating child, patient specific information and other resources. This article describes the development and evaluation of this mobile app. The app was developed and tested in collaboration with parents, caregivers, and clinicians and released in November 2015. This first version featured "Statewide Hospital Contacts," including phone numbers, links to Google maps, and 24-hour emergency contacts with click to call functionality; "When to Call" describing symptoms to look out for in a deteriorating child; "Blood Results Table"; and "Information" listing recommended websites, health care team contacts, appointments, and notes. The app was evaluated through interviews with parents, caregivers and patients and download metrics. Six months after the app release, 68% of the 38 parents and caregivers surveyed had downloaded the app. The most used modules were "Blood Results Table," "When to Call," and "Statewide Hospital Contacts," but families reported using all features available. Families were enthusiastic about the support the app provided and gave useful feedback to direct future development. Using mobile health technology to support families is a novel, but rapidly growing concept. Family and caregiver feedback showed that the Oncology Family App was an efficient and convenient way to provide much needed information. A new version of the app is under development and evaluation of outcomes will be ongoing.

  8. Nutrition education and counselling provided during pregnancy: effects on maternal, neonatal and child health outcomes.

    Science.gov (United States)

    Girard, Amy Webb; Olude, Oluwafunke

    2012-07-01

    Nutrition education and counselling (NEC) is a commonly applied strategy to improve maternal nutrition during pregnancy. However, with the exception special populations and specific diets, the effect of NEC on maternal, neonatal and child health outcomes has not been systematically reviewed. Using a modified Child Health Epidemiology Reference Group method we systematically reviewed the literature and identified and abstracted 37 articles. We conducted meta-analyses for the effect of NEC on maternal, neonatal and infant health outcomes including gestational weight gain, maternal anaemia, birthweight, low birthweight and preterm delivery. NEC significantly improved gestational weight gain by 0.45 kg, reduced the risk of anaemia in late pregnancy by 30%, increased birthweight by 105 g and lowered the risk of preterm delivery by 19%. The effect of NEC on risk of low birthweight was not significant. The effect of NEC was greater when provided with nutrition support, for example, food or micronutrient supplements or nutrition safety nets. The overall quality of the body of evidence was deemed low for all outcomes due to high heterogeneity, poor study designs and other biases. Additional well-designed research that is grounded in appropriate theories of behaviour change is needed to improve confidence in the effect of NEC. Further, cost-effectiveness research is needed to clarify the added benefit and sustainability of providing NEC with nutritional support and/or safety nets, especially in areas where food insecurity and gender bias may limit women's capacity to adhere to NEC messages. © 2012 Blackwell Publishing Ltd.

  9. Child Poverty in Vietnam: Providing Insights Using a Country-Specific and Multidimensional Model

    Science.gov (United States)

    Roelen, Keetie; Gassmann, Franziska; de Neubourg, Chris

    2010-01-01

    Despite a wide under-prioritization, the issue of child poverty has received increasing attention worldwide over the last decade. The acknowledgement in Vietnam that child-specific poverty measurement is crucial for poverty efforts directed towards children, and the current lack thereof, instigated the development of a Vietnam child poverty…

  10. Factors associated with time provided to children for physical activity in family child care: a cross-sectional study.

    Science.gov (United States)

    Figueroa, Roger; Wiley, Angela

    2016-01-01

    Childhood obesity has increased in the past 30 years, and physical inactivity is a major contributor. Factors related to physical activity promotion in the family child care context are understudied. A convenience sample of participants in a mid-sized city in the Midwestern U.S. was recruited through the local child care resource and referral agency and were invited through flyers and emails to take part in an online or paper survey. Survey results in a sample of 107 family child care providers indicate that many did not meet physical activity recommendations and are missing the opportunity to enable children's physical activity via important practices and resources. Provider self-efficacy about being physically active, and indoor physical activity space positively associated with time provided for child physical activity. Health training is negatively associated with time provided for child physical activity. Practice implications include: (1) develop activities that promote physical activity in the tight confines of family child care homes and yard; (2) develop trainings that can influence the integration of suitable portable play equipment in the space constraints of family child care homes (3) Propose creative ideas for active free play even when in a shared space; (4) prioritize providing separate play areas by age group and strategize ways to do this in family child care contexts (for example, alternate access to spaces by age); (5) engage providers and children in joint activities that increase provider physical activity efficacy and physical activity time as well as that of children; (6) promote health and physical activity among family child care providers themselves.

  11. The importance of including both a child perspective and the child's perspective within health care settings to provide truly child-centred care.

    Science.gov (United States)

    Söderbäck, Maja; Coyne, Imelda; Harder, Maria

    2011-06-01

    The UN Convention on the Rights of the Child (1989) asserts the right of every child to self-determination, dignity, respect, non-interference, and the right to make informed decisions. The provision of quality care in health services tailored to children's preferences means that health professionals have a responsibility to ensure children's rights, and that the child is encouraged and enabled to make his or her view known on issues that affect them. This paper will help illuminate and differentiate between a child perspective and the child's perspective in health care settings. The issues are supported with research which illustrates the different perspectives. Both perspectives are required to perceive and encounter children as equal human beings in child-centred health care settings.

  12. Accessing maternal and child health services in Melbourne, Australia: Reflections from refugee families and service providers

    Directory of Open Access Journals (Sweden)

    Riggs Elisha

    2012-05-01

    Full Text Available Abstract Background Often new arrivals from refugee backgrounds have experienced poor health and limited access to healthcare services. The maternal and child health (MCH service in Victoria, Australia, is a joint local and state government operated, cost-free service available to all mothers of children aged 0–6 years. Although well-child healthcare visits are useful in identifying health issues early, there has been limited investigation in the use of these services for families from refugee backgrounds. This study aims to explore experiences of using MCH services, from the perspective of families from refugee backgrounds and service providers. Methods We used a qualitative study design informed by the socioecological model of health and a cultural competence approach. Two geographical areas of Melbourne were selected to invite participants. Seven focus groups were conducted with 87 mothers from Karen, Iraqi, Assyrian Chaldean, Lebanese, South Sudanese and Bhutanese backgrounds, who had lived an average of 4.7 years in Australia (range one month-18 years. Participants had a total of 249 children, of these 150 were born in Australia. Four focus groups and five interviews were conducted with MCH nurses, other healthcare providers and bicultural workers. Results Four themes were identified: facilitating access to MCH services; promoting continued engagement with the MCH service; language challenges; and what is working well and could be done better. Several processes were identified that facilitated initial access to the MCH service but there were implications for continued use of the service. The MCH service was not formally notified of new parents arriving with young children. Pre-arranged group appointments by MCH nurses for parents who attended playgroups worked well to increase ongoing service engagement. Barriers for parents in using MCH services included access to transportation, lack of confidence in speaking English and making

  13. The diffusion of innovation in nursing regulatory policy: removing a barrier to medication administration training for child care providers.

    Science.gov (United States)

    Torre, Carolyn T; Crowley, Angela A

    2011-08-01

    Safe medication administration is an essential component of high-quality child care. Its achievement in New Jersey was impeded by a controversy over whether teaching child care providers medication administration involves registered nurses in the process of nursing delegation. Through the theoretical framework of the Diffusion of Innovation, this paper examines how the interpretation of regulatory policy related to nursing practice in New Jersey was adjusted by the Board of Nursing following a similar interpretation of regulatory policy by the Board of Nursing in Connecticut. This adjustment enabled New Jersey nurses to continue medication administration training for child care providers. National data supporting the need for training child care providers in medication administration is presented, the Diffusion of Innovation paradigm is described; the Connecticut case and the New Jersey dilemma are discussed; the diffusion process between the two states is analyzed and an assessment of the need for further change is made.

  14. Child Care Provider Adherence to Infant and Toddler Feeding Recommendations: Findings from the Baby Nutrition and Physical Activity Self-Assessment for Child Care (Baby NAP SACC) Study.

    Science.gov (United States)

    Blaine, Rachel E; Davison, Kirsten K; Hesketh, Kathryn; Taveras, Elsie M; Gillman, Matthew W; Benjamin Neelon, Sara E

    2015-06-01

    Identifying characteristics associated with the Institute of Medicine's (IOM) recommended feeding practices among infant and toddler care providers in child care centers could help in preventing childhood obesity. In 2009, at baseline in a pilot intervention study of 29 licensed Massachusetts child care centers with at least 50% of enrolled children identified as racial minorities, 57 infant and 109 toddler providers completed feeding questionnaires. To assess provider adherence to six IOM-recommended behaviors, we used cluster-adjusted multivariable logistic regression models including provider type (infant or toddler), race, education, and center Child and Adult Care Food Program (CACFP) participation. In multivariable analysis, CACFP participation was associated with providers sitting with children at meals (odds ratio [OR], 5.2; 95% confidence interval [CI], 1.2-21.7), offering fruits and vegetables (OR, 3.3; 95% CI 1.7-6.2), and limiting fast food (OR, 3.5; 95% CI, 1.8-6.7). Providers at centers serving meals family style were less likely to allow children to leave food unfinished (OR, 0.27; 95% CI, 0.09-0.77). Infant providers were more likely than toddler providers to sit with children at meals (OR, 6.98; 95% CI, 1.51-32.09), allow children to eat when hungry (OR, 3.50; 95% CI, 1.34-9.16), and avoid serving sugary (OR, 8.74; 95% CI, 3.05-25.06) or fast foods (OR, 11.56; 95% CI, 3.20-41.80). CACFP participation may encourage IOM-recommended feeding practices among infant and toddler providers. Child care providers may benefit from education about how to feed infants and toddlers responsively, especially when offering foods family style. Future research should explore ways to promote child-centered feeding practices, while addressing barriers to providing children with nutrient-rich foods.

  15. Knowledge of Child Abuse and Reporting Practices among Early Care and Education Providers

    Science.gov (United States)

    Dinehart, Laura; Kenny, Maureen C.

    2015-01-01

    This study sought to assess child abuse knowledge and reporting practices of a diverse sample of early care and education (ECE) practitioners. One hundred and thirty-seven practitioners in the state of Florida completed the "Early Childhood Educators Child Abuse Questionnaire." Results revealed that only a minority of participants have…

  16. New Policies Allow High School Child Development Programs to Provide CDA Licensure

    Science.gov (United States)

    Langlais, Amanda G.

    2012-01-01

    Recent changes made by the Council for Professional Recognition to the Child Development Associate (CDA) credentialing program create an opportunity to redesign high school child development programs. On April 1, 2011, the Council for Professional Recognition lifted the age restriction in the CDA credentialing requirements, now allowing students…

  17. Older parents providing child care for adult children: Does it pay off?

    NARCIS (Netherlands)

    Geurts, T.; Poortman, A.R.; van Tilburg, T.G.

    2012-01-01

    This study examined whether past grandparental child care is related to present support from adult children. On the basis of social exchange theory, the authors expected that grandparental child care creates a debt that is repaid in the form of receiving support later in life. Using data from the

  18. Family child care providers' self-perceived role in obesity prevention: working with children, parents, and external influences.

    Science.gov (United States)

    Rosenthal, Marjorie S; Crowley, Angela A; Curry, Leslie

    2013-01-01

    To describe the perspective and strategies of family child care providers (FCCPs) to reduce children's suboptimal weight trajectories. In-person, in-depth interviews with FCCPs. Family child care homes. Seventeen FCCPs caring for children 6 weeks to 9 years old; 94% caring for children paying with a state subsidy. Strategies of FCCP to reduce children's suboptimal weight trajectories. Constant comparative method of qualitative data analysis. Family child care providers described 3 core strategies: (1) improving children's behavior, (2) engaging and educating parents, and (3) leveraging influences external to their relationship with parents to effect positive change and to avoid parental conflict. These strategies were framed within their knowledge of child development, parental communication, and community services. The findings suggest that FCCPs' role in obesity prevention may be framed within knowledge that may be commonly expected of a child care provider. Partnerships between public health policy makers and FCCP may reduce obesigenic environments by employing training and resources that link obesity prevention and child care provider expertise. Copyright © 2013 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  19. Interventions to improve child-parent-medical provider communication: A systematic review.

    Science.gov (United States)

    Kodjebacheva, Gergana Damianova; Sabo, Tina; Xiong, Janet

    2016-10-01

    Research related to effective communication between children/parents and medical providers is limited. To review interventions seeking to improve communication between children/parents and medical providers. The inclusion criteria were interventions in peer-reviewed articles and dissertations in English. Because of the limited availability of pediatric communication research, no restrictions were placed on the year, design, and length of follow-up of the interventions. Out of 4163 articles in the CINAHL, Cochrane, EMBASE, ERIC, MEDLINE, and PsycINFO databases, 34 met the inclusion criteria. The design, strategies, measurement tools, results, and conflicts of interest of the interventions were reviewed. Most interventions were conducted in the United States, had a small sample size, and used a pre-posttest design. Fifteen were randomized controlled trials (RCTs). The most frequent intervention strategies were role-playing sessions and seminars for medical providers. Standardized children (i.e., fictitious child patients) were frequently used to help train physicians. Most interventions improved providers' interpersonal, patient-centered interviewing skills. Interventions that targeted parents involved booklets and role-playing to encourage questions. They improved parents' satisfaction and communication. An intervention that targeted youth used a video portraying how children can communicate better with physicians. Once the children aged 5-15 years watched the video, they wrote questions for their physicians prior to the medical visit. The experimental group of children had better rapport with physicians and could recall recommendations about medications more often than the control group. More RCTs involving children as active participants are needed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. Primary Care Providers' Use of a Child Psychiatry Telephone Support Program.

    Science.gov (United States)

    Van Cleave, Jeanne; Holifield, Chloe; Perrin, James M

    2017-11-29

    The Massachusetts Child Psychiatry Access Project (MCPAP) provides telephone support from mental health specialists to primary care providers (PCPs). Understanding PCPs' use may inform implementation of similar programs. We sought to examine PCPs' decision-making process to use or not use MCPAP when encountering mental health problems. We analyzed data regarding calls from PCPs to MCPAP from October 1, 2010, to July 31, 2011, and interviewed 14 PCPs with frequent use (≥7 calls) and infrequent use (≤4 calls). PCPs were asked about recent patients with mental health problems, and they were asked to describe reasons for calling or not calling MCPAP. Frequent callers were asked what sustained use; infrequent callers were asked about alternative management strategies. Comparisons were made between these groups in qualitative analysis. PCPs (n = 993) made 6526 calls (mean = 6.6; median = 3). Factors influencing calling included: MCPAP's guidance is timely and tailored to individual scope of practice; MCPAP's ability to arrange therapy referrals exceeds PCPs' ability; providing a plan at point of care relieves anxious families; and MCPAP's assistance helps accommodate families' preference to keep mental health in primary care. Some infrequent callers had gained skills through MCPAP before 2010 and now called only for complex cases. Other reasons for infrequent calling: PCPs have other consultation sources, have fear of being asked to manage more than they are comfortable, or have misperceptions of MCPAP's offerings. MCPAP enhanced PCPs' ability to deliver mental health care consistent with families' preferences. PCPs applied knowledge gained from calls to subsequent patients. Promoting MCPAP components through outreach and tailoring guidance to PCPs' scope of practice may entice greater use. Copyright © 2018. Published by Elsevier Inc.

  1. Effects of providing personalized feedback of child's obesity risk on mothers' food choices using a virtual reality buffet.

    Science.gov (United States)

    McBride, C M; Persky, S; Wagner, L K; Faith, M S; Ward, D S

    2013-10-01

    Providing personalized genetic-risk feedback of a child's susceptibility to adult-onset health conditions is a topic of considerable debate. Family health history (FHH), specifically parental overweight/obesity status, is a useful assessment for evaluating a child's genetic and environmental risk of becoming obese. It is unclear whether such risk information may influence parents' efforts to reduce their child's risk of obesity. To evaluate whether telling mothers the magnitude of their child's risk of becoming obese based on personal FHH influenced food choices for their young child from a virtual reality-based buffet restaurant. Overweight/obese mothers of a child aged 4-5 years who met eligibility criteria (N=221) were randomly assigned to one of three experimental arms, which emphasized different health information: arm 1, food safety control (Control); arm 2, behavioral-risk information (BRI) alone or arm 3, behavioral-risk information plus personal FHH-based risk assessment (BRI+FHH). Mothers donned a head-mounted display to be immersed in a virtual restaurant buffet, where they selected virtual food and beverages as a lunch for their child. Mothers who were randomized to BRI+FHH filled the index child's plate with an average of 45 fewer calories than those in the Control arm (Pparent). The influence of communicating a child's inherited risk of obesity on mothers' feeding practices may vary by the risk level conveyed. High-risk messages may best be coupled with strategies to increase mother's perceptions that efforts can be undertaken to reduce risk and build requisite behavioral skills to reduce risk.

  2. Implementing the Academy of Nutrition and Dietetics Benchmarks for Nutrition Education for Children: Child-Care Providers' Perspectives.

    Science.gov (United States)

    Dev, Dipti A; Carraway-Stage, Virginia; Schober, Daniel J; McBride, Brent A; Kok, Car Mun; Ramsay, Samantha

    2017-12-01

    National childhood obesity prevention policies recommend that child-care providers educate young children about nutrition to improve their nutrition knowledge and eating habits. Yet, the provision of nutrition education (NE) to children in child-care settings is limited. Using the 2011 Academy of Nutrition and Dietetics benchmarks for NE in child care as a guiding framework, researchers assessed child-care providers' perspectives regarding delivery of NE through books, posters, mealtime conversations, hands-on learning, and sensory exploration of foods to young children (aged 2 to 5 years). Using a qualitative design (realist method), individual, semistructured interviews were conducted until saturation was reached. The study was conducted during 2012-2013 and used purposive sampling to select providers. Final sample included 18 providers employed full-time in Head Start or state-licensed center-based child-care programs in Central Illinois. Child-care providers' perspectives regarding implementation of NE. Thematic analysis to derive themes using NVivo software. Three overarching themes emerged, including providers' motivators, barriers, and facilitators for delivering NE to children. Motivators for delivering NE included that NE encourages children to try new foods, NE improves children's knowledge of healthy and unhealthy foods, and NE is consistent with children's tendency for exploration. Barriers for delivering NE included that limited funding and resources for hands-on experiences and restrictive policies. Facilitators for delivering NE included providers obtain access to feasible, low-cost resources and community partners, providers work around restrictive policies to accommodate NE, and mealtime conversations are a feasible avenue to deliver NE. Providers integrated mealtime conversations with NE concepts such as food-based sensory exploration and health benefits of foods. Present study findings offer insights regarding providers' perspectives on

  3. Child Poverty in Vietnam: Providing Insights Using a Country-Specific and Multidimensional Model.

    Science.gov (United States)

    Roelen, Keetie; Gassmann, Franziska; de Neubourg, Chris

    2010-08-01

    Despite a wide under-prioritization, the issue of child poverty has received increasing attention worldwide over the last decade. The acknowledgement in Vietnam that child-specific poverty measurement is crucial for poverty efforts directed towards children, and the current lack thereof, instigated the development of a Vietnam child poverty approach. This paper proposes a country-specific, multidimensional and outcome-based approach for the measurement of the incidence, depth and severity of child poverty. It does so at the level of the individual child using household survey data. The development of such an approach at the level of the individual child presents an appropriate alternative for or supplement to the widely used monetary poverty approach, allowing for the use of compatible analytical methods. Findings suggest that 37% of all children in Vietnam live in poverty, with the most pressing areas of deprivation being water, sanitation and leisure. We do not find evidence for a gender bias but do observe a large urban-rural divide, regional disparities and large ethnic inequalities. We argue that this tailor-made approach is a valuable new tool for policy makers and analysts in Vietnam as it enables identification and analysis of poor children, their characteristics and most pressing areas of deprivation within the country's specific social and cultural context.

  4. Big Impact on Small Children: Child-Care Providers' Perceptions of Their Role in Early Childhood Healthy Lifestyle Behaviours

    Science.gov (United States)

    Sisson, Susan B.; Smith, Chelsea L.; Cheney, Marshall

    2017-01-01

    The purpose of this study is to examine childcare providers' perceptions of their role in child health behaviors and attitudes pertaining to physical activity and nutrition. Part and full-time providers in a childcare center or family childcare home were interviewed (n = 30) in this cross-sectional, qualitative study. Transcripts were digitally…

  5. Parent and child care provider partnerships: Protocol for the Healthy Me, Healthy We (HMHW) cluster randomized control trial.

    Science.gov (United States)

    Hennink-Kaminski, Heidi; Vaughn, Amber E; Hales, Derek; Moore, Reneé H; Luecking, Courtney T; Ward, Dianne S

    2018-01-01

    Formation of diet and physical activity habits begins during early childhood. However, many preschool-aged children in the United States do not achieve recommendations for a nutritious diet or active lifestyle. Two important spheres of influence, home and child care, could ensure that children receive consistent health messages. Innovative approaches that engage both parents and child care providers in a substantial way are needed. Social marketing, a promising approach for health promotion targeting children, uses principles that recognize the need to engage multiple stakeholders and to emphasize benefits and overcome barriers associated with behavior change. Yet, application of social marketing principles in interventions for preschool-age children is limited. Healthy Me, Healthy We (HMHW) is 2-arm, cluster randomized controlled trial to evaluate the effect of a 8-month social marketing campaign on the diet and physical activity behaviors of preschool children (3-4years old), their parents, and child care providers. The campaign is delivered by the child care center and includes branded classroom and at-home activities and materials. Primary outcomes are children's diet quality (assessed with Healthy Eating Index scores) and minutes of non-sedentary activity (measured via accelerometers). Secondary outcomes assess children's body mass index, nutrition and physical activity practices at the child care center and at home, and health behaviors of child care providers and parents. HMHW is an innovative approach to promoting healthy eating and physical activity in preschool children. The campaign targets children during a key developmental period and leverages a partnership between providers and parents to affect behavior change. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Quality in Family Child Care: A Focus Group Study with Canadian Providers

    Science.gov (United States)

    Doherty, Gillian

    2015-01-01

    A substantial proportion of American, Canadian and English preschoolers regularly participate in family child care making its quality of vital importance for the children concerned, their parents, the school system and the society in which they live. This article discusses the seven key caregiver behaviors and physical space characteristics…

  7. Providing Opportunities to Learn in Home-Based Child Care Settings: Observations of Learning Contexts and Behavior

    Science.gov (United States)

    Rusby, Julie C.; Crowley, Ryann; Jones, Laura B.; Smolkowski, Keith

    2017-01-01

    Research Findings: This observation study investigated the prevalence and correlates of learning contexts provided to preschool-age children in 133 registered child care homes in below-average-income neighborhoods in the U.S. Pacific Northwest. On average, 30% of the observed proportion of time was spent in structured teacher-led activities, 51%…

  8. Language facilitates event memory in early childhood: Child comprehension, adult-provided linguistic support and delayed recall at 16 months.

    Science.gov (United States)

    Lukowski, Angela F; Phung, Janice N; Milojevich, Helen M

    2015-01-01

    Adult-provided supportive language facilitates memory for the past in preverbal and verbal children. Work conducted with 18-month-olds indicates that children benefit from supportive adult language when tested after a 4-week delay but not when tested immediately after sequence demonstration; moreover, findings reveal that supportive language provided only at test may be more facilitative of recall after a delay relative to supportive language provided only at encoding. In the present study, we examined whether child language comprehension abilities moderated the extent to which preverbal children benefitted from supportive language provided at encoding and test. The findings indicated that child language comprehension and supportive language provided at encoding were unassociated with performance at baseline or immediate imitation; however, the moderating effect of child language comprehension on adult-provided supportive language at encoding and test was observed after a 1-week delay. Correlations revealed continuous associations between general comprehension scores and recall performance after the 1-week delay on sequences presented in the most supportive condition at encoding. Taken together, the presented findings reveal that the complex interplay between language and cognition is established in early childhood, with foundational relations emerging before children are capable of verbally reporting on the past.

  9. Educating early childhood care and education providers to improve knowledge and attitudes about reporting child maltreatment: A randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Ben Mathews

    Full Text Available Early childhood care and education providers (CCPs work with over 7 million young children. These children are vulnerable to physical, sexual and emotional abuse, and neglect. However, CCPs make less than 1% of all reports of suspected child abuse and neglect that are made to child protective services. CCPs are therefore an untapped resource in the public health response to child maltreatment. However, their knowledge and attitudes about duties to report child maltreatment are poorly understood. Moreover, no rigorous research has tested whether their knowledge and attitudes about reporting child maltreatment can be improved. These gaps in knowledge are important because knowledge of the duty and positive attitudes towards it produce more effective reporting, and little evidence exists about how to enhance cognitive and affective attributes. Using the CONSORT approach, we report a single-blind test-retest randomized controlled trial evaluating iLook Out for Child Abuse, a customized online educational intervention for CCPs to increase knowledge and attitudes towards the reporting duty. 762 participants were randomized with results analyzed for 741 participants (372 in the intervention group; 369 in the control. Knowledge of the reporting duty increased in the intervention group from 13.54 to 16.19 out of 21 (2.65 increase, 95% CI: (2.37, 2.93; large effect size 0.95, p < 0.001; the control group remained stable, moving from 13.54 to 13.59 (0.05 increase, 95% CI: (-0.12, 0.22; negligible effect size 0.03, p = 0.684. Attitudes were enhanced on all 13 items for the intervention group, remaining stable in the control, with significant differences between groups on all items (p < 0.05. Gains were largely sustained at four month follow-up. Findings support education for CCPs and other professions. Future research should also explore effects of education on reporting behavior.US National Institutes of Health NCT02225301.

  10. California Child Care Workforce Study: Family Child Care Providers and Assistants in Alameda County, Kern County, Monterey County, San Benito County, San Francisco County, San Mateo County, Santa Cruz County, and Santa Clara County.

    Science.gov (United States)

    Whitebook, Marcy; Almaraz, Mirella; Jo-Yung, Joon; Sakai, Laura; Boots, Shelley Waters; Voisin, Irene; Young, Marci; Burton, Alice; Duff, Brian; Laverty, Kassin; Bellm, Dan; Jay, E. Deborah; Krishnaswamy, Nandini; Kipnis, Fran

    An important first step toward more effectively addressing the complexities of child care as a service for families and as an employment setting for workers in California is to develop a detailed picture of the child care workforce. On this premise, a study examined licensed family child care provider demographics, professional preparation, length…

  11. Provider perspectives on constraints in providing maternal, neonatal and child health services in the Lao People's democratic republic: a qualitative study.

    Science.gov (United States)

    Sychareun, Vanphanom; Phommachanh, Sysavanh; Soysouvanh, Soudavanh; Lee, Chaeun; Kang, Minah; Oh, Juhwan; Durham, Jo

    2013-12-27

    To reduce its high maternal and neonatal mortality rate and meet Millennium Development Goals four and five, Lao PDR has adopted a national 'Strategy and Planning Framework of Implementation of Maternal, Neonatal and Child Health Services'. This paper reports on implementation constraints identified in three demonstration sites. The objectives of this paper are to analyse health worker perceptions of the implementation of the strategy and constraints faced during implementation. A qualitative design was used with interviews conducted at health facilities in three demonstration provinces. Data were collected through key interviews with provincial/district hospital providers (n = 27), health centre staff (n = 8) and village health volunteers (n = 10). Data was analysed informed by Hanson et al's health system constraint framework. In each of the demonstration sites, the Maternal, Neonatal and Child Health program was generally well-understood and the different activities were being implemented. Perceived implementation constraints related mainly to a mix of supply and demand factors. Supply-side constraints related to inadequate human resources, poor remuneration, weak technical guidance, minimal supervision and limited equipment. Demand-side constraints related mainly to cost, limited access to transport, cultural practices and language. Other constraints related to broader strategic management and cross-sectoral contextual constraints. Contextual constraints included low levels of limited education, women's position in society and poor transport and communications networks. These factors influenced the implementation process and if not addressed, may reduce the effectiveness of the policy and scale-up. The Lao PDR has a well-defined Maternal, Neonatal and Child Health program. Analysis of the constraints experienced by service providers in implementing the program however, is essential for scaling-up the initiative. To achieve effective implementation

  12. Provider ambivalence about using forensic medical evaluation to respond to child abuse: A content and discourse analysis.

    Science.gov (United States)

    Morris, Marian; Rivaux, Stephanie; Faulkner, Monica

    2017-03-01

    Forensic medical evaluation rates for child abuse victims in Texas are low relative to national rates. In exploring reasons, researchers collected quantitative and qualitative interview and focus group data from multidisciplinary child abuse response team members across the state. This paper presents results of a secondary analysis of (N=19) health care providers' interview and focus group transcripts, looking specifically at experiences with conducting forensic evaluations - thoughts, struggles, and ethical issues. The analysis was conducted from a critical realist perspective using content and discourse analysis. A theme of ambivalence was identified and explored. Three discursive themes were identified: ambivalence about the legal role, the health care role, and about unintended outcomes of evaluations. Extra-discursive elements related to the physical body, resource distribution, and funding policy were examined for their interaction with discursive patterns. Implications of findings include addressing issues in the current approach to responding to child abuse (e.g., uniting around common definitions of abuse; refining parameters for when FME is helpful; shoring up material resources for the abuse response infrastructure) and considering modification of providers' roles and activities relative to forensic work (e.g., deploying providers for prevention activities versus reactive activities). Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care.

    Science.gov (United States)

    Jacobs, Lee D; Judd, Thomas M; Bhutta, Zulfiqar A

    2016-01-01

    The neonatal, infant, child, and maternal mortality rates in Haiti are the highest in the Western Hemisphere, with rates similar to those found in Afghanistan and several African countries. We identify several factors that have perpetuated this health care crisis and summarize the literature highlighting the most cost-effective, evidence-based interventions proved to decrease these mortality rates in low- and middle-income countries.To create a major change in Haiti's health care infrastructure, we are implementing two strategies that are unique for low-income countries: development of a countrywide network of geographic "community care grids" to facilitate implementation of frontline interventions, and the construction of a centrally located referral and teaching hospital to provide specialty care for communities throughout the country. This hospital strategy will leverage the proximity of Haiti to North America by mobilizing large numbers of North American medical volunteers to provide one-on-one mentoring for the Haitian medical staff. The first phase of this strategy will address the child and maternal health crisis.We have begun implementation of these evidence-based strategies that we believe will fast-track improvement in the child and maternal mortality rates throughout the country. We anticipate that, as we partner with private and public groups already working in Haiti, one day Haiti's health care system will be among the leaders in that region.

  14. Child sex trafficking in the United States: Challenges for the healthcare provider.

    Directory of Open Access Journals (Sweden)

    V Jordan Greenbaum

    2017-11-01

    Full Text Available V. Jordan Greenbaum discusses ways healthcare providers can identify children trafficked for sex to provide for their physical and mental health and their social and educational needs.

  15. Child disaster mental health interventions, part II: Timing of implementation, delivery settings and providers, and therapeutic approaches.

    Science.gov (United States)

    Pfefferbaum, Betty; Sweeton, Jennifer L; Newman, Elana; Varma, Vandana; Noffsinger, Mary A; Shaw, Jon A; Chrisman, Allan K; Nitiéma, Pascal

    This review summarizes current knowledge on the timing of child disaster mental health intervention delivery, the settings for intervention delivery, the expertise of providers, and therapeutic approaches. Studies have been conducted on interventions delivered during all phases of disaster management from pre event through many months post event. Many interventions were administered in schools which offer access to large numbers of children. Providers included mental health professionals and school personnel. Studies described individual and group interventions, some with parent involvement. The next generation of interventions and studies should be based on an empirical analysis of a number of key areas.

  16. Provider perspectives on constraints in providing maternal, neonatal and child health services in the Lao People’s democratic republic: a qualitative study

    Science.gov (United States)

    2013-01-01

    Background To reduce its high maternal and neonatal mortality rate and meet Millennium Development Goals four and five, Lao PDR has adopted a national ‘Strategy and Planning Framework of Implementation of Maternal, Neonatal and Child Health Services’. This paper reports on implementation constraints identified in three demonstration sites. Methods The objectives of this paper are to analyse health worker perceptions of the implementation of the strategy and constraints faced during implementation. A qualitative design was used with interviews conducted at health facilities in three demonstration provinces. Data were collected through key interviews with provincial/district hospital providers (n = 27), health centre staff (n = 8) and village health volunteers (n = 10). Data was analysed informed by Hanson et al’s health system constraint framework. Results In each of the demonstration sites, the Maternal, Neonatal and Child Health program was generally well-understood and the different activities were being implemented. Perceived implementation constraints related mainly to a mix of supply and demand factors. Supply-side constraints related to inadequate human resources, poor remuneration, weak technical guidance, minimal supervision and limited equipment. Demand-side constraints related mainly to cost, limited access to transport, cultural practices and language. Other constraints related to broader strategic management and cross-sectoral contextual constraints. Contextual constraints included low levels of limited education, women’s position in society and poor transport and communications networks. These factors influenced the implementation process and if not addressed, may reduce the effectiveness of the policy and scale-up. Conclusion The Lao PDR has a well-defined Maternal, Neonatal and Child Health program. Analysis of the constraints experienced by service providers in implementing the program however, is essential for scaling-up the

  17. Present on Site

    DEFF Research Database (Denmark)

    Ingemann, Bruno

    Why are exhibitions and museums so important? What can they be used for? Who determines relevance in a transformative process? Transforming exhibitions is not just something you do, it is something that gets better the more you do it. This book looks at the intersection of the visitor or user, who...... gets personal and cultural meaning from their visit and the museum as it appears in the design of the exhibition. It examines on-site communication for intentional and hidden content and messages, and reveals possible relations to the visitor, his or her world and society in general. This investigation...

  18. Providing Child Care to Military Families: The Role of the Demand Formula in Defining Need and Informing Policy

    Science.gov (United States)

    Moini, Joy S.; Zellman, Gail L.; Gates, Susan M.

    2006-01-01

    The Department of Defense (DoD) is committed to meeting the need for child care among military families. DoD supports the largest employer-sponsored system of high-quality child care in the country. Through accredited child development centers (CDCs), family child care (FCC) homes, youth centers, and other after-school programs, DoD currently…

  19. Barriers to communication between HIV care providers (HCPs) and women living with HIV about child bearing

    DEFF Research Database (Denmark)

    Ddumba-Nyanzi, Ismael; Kaawa-Mafigiri, David; Johannessen, Helle

    2016-01-01

    Objectives: In the context of HIV clinical care, open discussion regarding sexual health and reproductive plans has become increasingly relevant. The aim of this paper is to explore barriers to communication between providers and women living with HIV regarding childbearing. Methods: In-depth int......Objectives: In the context of HIV clinical care, open discussion regarding sexual health and reproductive plans has become increasingly relevant. The aim of this paper is to explore barriers to communication between providers and women living with HIV regarding childbearing. Methods: In....... Results: Four themes emerged describing barriers to communication, from the HIV-positive women’s point of view: (i) provider indifference or opposition to childbearing post HIV diagnosis, (ii) anticipation of negative response from provider, (iii) provider’s emphasis on ‘scientific’ facts, (iv...

  20. Providing High Quality Care in Low-Income Areas of Maryland: Definitions, Resources, and Challenges from Parents and Child Care Providers' Perspectives. Publication #2012-45

    Science.gov (United States)

    Forry, Nicole; Simkin, Shana; Wessel, Julia; Rodrigues, Katherine

    2012-01-01

    Early life experiences are critical to a child's development. Research has shown that, for a variety of reasons, children born into low-income families are at a disadvantage when compared to their higher-income peers. Fortunately, research has also shown a positive association between high quality child care and the academic and social-emotional…

  1. Impact of a service provider incentive payment scheme on quality of reproductive and child-health services in Egypt.

    Science.gov (United States)

    Huntington, Dale; Zaky, Hassan H M; Shawky, Sherine; Fattah, Faten Abdel; El-Hadary, Eman

    2010-06-01

    A case-control, quasi-experimental study was designed (post-test only) to investigate the effect of a performance-based incentive payment scheme on behaviours of public-sector service providers in delivering a basic package of maternal and child-health services in Egyptian primary healthcare units. The results showed significant improvements in the quality of family-planning, antenatal care, and child-care services as reported by women seen in clinics where the incentive payment scheme was in operation as measured by various indicators, including both technical and inter-personal communication content. An analysis of characteristics of the service providers and clients found no significant or meaningful differences between the study groups, and the facilities of both the study groups were essentially the same. Some findings are suggestive of other influences on behaviours of the service providers not captured by the data-collection instruments of the study. Subsequent to this study, the payment scheme has been rolled out to other districts in Egypt.

  2. Nutrition and Physical Activity Environments of Home-Based Child Care: What Hispanic Providers Have to Say.

    Science.gov (United States)

    Tovar, Alison; Mena, Noereem Z; Risica, Patricia; Gorham, Gemma; Gans, Kim M

    2015-10-01

    It is important to understand the perceptions and beliefs of family child care providers (FCCPs) regarding which factors influence children's physical activity (PA), screen-time (ST), and dietary behaviors in order to develop and implement appropriate obesity prevention interventions. The aim of this qualitative study was to explore the aforementioned perceptions and beliefs of FCCPs in Rhode Island. Four focus groups (n = 30) were held with FCCPs. Providers were female, Hispanic, and Spanish speaking. Providers were asked about different aspects of feeding, PA, and ST behaviors. Themes were coded using NVivo10 (QSR International Pty Ltd, Doncaster, Victoria, Australia). Content analysis was used to analyze final themes. Providers understood the importance of providing opportunities for healthy eating and PA for the children they cared for, but there was room for improvement, especially with regard to certain feeding and ST practices. Several barriers were evident, including the lack of physical infrastructure for PA, cultural beliefs and practices related to child feeding, and difficulties working with parents to provide consistent messages across environments. Given that FCCPs are aware of the importance of healthy eating and PA, there is a need to address the specific barriers they face, and operationalize some of their knowledge into practical everyday actions. This formative work will inform the development of a culturally relevant, multicomponent intervention for ethnically diverse FCCPs to improve the food and PA environments of their homes, which should, in turn, improve the dietary, PA, and ST behaviors of the 2- to 5-year-old children they care for.

  3. "Are You Done?" Child Care Providers' Verbal Communication at Mealtimes that Reinforce or Hinder Children's Internal Cues of Hunger and Satiation

    Science.gov (United States)

    Ramsay, Samantha A.; Branen, Laurel J.; Fletcher, Janice; Price, Elizabeth; Johnson, Susan L.; Sigman-Grant, Madeleine

    2010-01-01

    Objective: To explore the verbal communication of child care providers regarding preschool children's internal and non-internal hunger and satiation cues. Methods: Video observation transcripts of Head Start staff (n=29) at licensed child care centers in Colorado, Idaho, and Nevada were analyzed for common themes. Results: Adults' verbal…

  4. Welcoming expertise: Bereaved parents' perceptions of the parent-healthcare provider relationship when a critically ill child is admitted to the paediatric intensive care unit.

    Science.gov (United States)

    Butler, Ashleigh E; Copnell, Beverley; Hall, Helen

    2017-11-15

    Entering the paediatric intensive care unit with a critically ill child is a stressful experience for parents. In addition to fearing for their child's well-being, parents must navigate both a challenging environment and numerous new relationships with healthcare staff. How parents form relationships with staff and how they perceive both their own and the healthcare providers' roles in this early stage of their paediatric intensive care journey is currently unknown. This paper explores bereaved parents' perceptions of their role and their relationships with healthcare providers when their child is admitted to the intensive care unit, as part of a larger study exploring their experiences when their child dies in intensive care. A constructivist grounded theory approach was utilised to recruit 26 bereaved parents from 4 Australian intensive care units. Parents participated in audio-recorded, semi-structured interviews lasting 90-150min. All data were analysed using the constant comparative analysis processes, supported by theoretical memos. Upon admission, parents viewed healthcare providers as experts, both of their child's medical care and of the hospital system. This expertise was welcomed, with the parent-healthcare provider relationship developing around the child's need for medical care. Parents engaged in 2 key behaviours in their relationships with staff: prioritising survival, and learning 'the system'. Within each of these behaviours are several subcategories, including 'Stepping back', 'Accepting restrictions' and 'Deferring to medical advice'. The relationships between parents and staff shift and change across the child's admission and subsequent death in the paediatric intensive care unit. However, upon admission, this relationship centres around the child's potential survival and their need for medical care, and the parent's recognition of the healthcare staff as experts of both the child's care and the hospital system. Copyright © 2017 Australian

  5. Factors that influence evidence-based program sustainment for family support providers in child protection services in disadvantaged communities.

    Science.gov (United States)

    Hodge, Lauren M; Turner, Karen M T; Sanders, Matthew R; Forster, Michell

    2017-08-01

    This paper evaluates program, workplace and process factors associated with implementation and sustainment of an evidence-based parenting support program (EBP) in disadvantaged communities. Correlation analyses and binary logistic regressions were used to assess the associations between key implementation support factors and program implementation (at 18 months) and sustainment (at 36 months) post training with (N=35) Australian Aboriginal and Torres Strait Islander family support providers using the Triple P - Positive Parenting Program in Indigenous child protection agencies. This study demonstrated that for implementation at 18 months, there was a trend for implementing providers to report higher levels of partnership support, perceived program benefit, workplace support and workplace cohesion. However, the only significant relationship was with partnership support (r=.31 pprogram implementation. For sustained implementation at 36 months, no relationship was found between sustainment and program characteristics, workplace characteristics, supervision and peer support or sustainability planning. Supportive coaching was the only significant correlate (r=0.46, pp=0.009] in the program sustainment model. Overall, these findings suggest the need for further exploration of program and workplace variables and provide evidence to consider incorporating partnership support and supportive coaching in real world implementation models to improve the likelihood of EBP implementation and sustainment in Indigenous communities. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Providing High-Quality Support Services to Home-Based Child Care: A Conceptual Model and Literature Review

    Science.gov (United States)

    Bromer, Juliet; Korfmacher, Jon

    2017-01-01

    Research Findings: Home-based child care accounts for a significant proportion of nonparental child care arrangements for young children in the United States. Yet the early care and education field lacks clear models or pathways for how to improve quality in these settings. The conceptual model presented here articulates the components of…

  7. A crisis of credibility: professionals' concerns about the psychiatric care provided to clients of the child welfare system.

    Science.gov (United States)

    McMillen, J Curtis; Fedoravicius, Nicole; Rowe, Jill; Zima, Bonnie T; Ware, Norma

    2007-05-01

    This study examined child welfare and mental health professionals' views of the quality of psychiatric services received by consumers of the child welfare system and explored root causes of perceived quality problems. One hundred and thirty child welfare, mental health and court professionals participated in qualitative interviews individually or in groups. Data analyses identified perceived problems in quality and perceived causes of quality problems. Participants in member checking groups were then asked to comment on and further clarify the results. The participants reported concerns related to overuse of psychotropic medication, overmedicated children, short inpatient stays, and continuity of psychiatric care. Overuse of psychotropic medications and overmedication were perceived to be driven by short evaluations, liability concerns, short inpatient stays and a lack of clinical feedback to psychiatrists from child welfare partners. Medicaid reimbursement policies were at the heart of several quality concerns. These problems contributed to a distrust of psychiatric practices among child welfare professionals. These findings underscore the adverse effects of modern marketplace medicine coupled with low Medicaid reimbursement rates on quality of care for vulnerable groups. Child welfare and mental health professionals and their associated stakeholders may together possess substantial clout to advocate for a reimbursement system and structure that promotes quality service. The findings also point to a crisis of credibility toward psychiatric practice among social service and other non-psychiatrist mental health professionals. Efforts are needed to increase the capacity for psychiatrists and child welfare professionals to communicate effectively with each other and for psychiatrists to receive the information that they need from their child welfare partners to ensure accurate diagnosis and effective treatment.

  8. What's for lunch? An analysis of lunch menus in 83 urban and rural Oklahoma child-care centers providing all-day care to preschool children.

    Science.gov (United States)

    Frampton, Ashley M; Sisson, Susan B; Horm, Diane; Campbell, Janis E; Lora, Karina; Ladner, Jennifer L

    2014-09-01

    More than half of 3- to 6-year-old children attend child-care centers. Dietary intakes of children attending child-care centers tend to fall short of Dietary Reference Intakes (DRIs). Our aim was to examine macro-/micronutrient content of child-care center menus, compare menus to one third of DRIs, and determine menu differences by population density. A stratified, random, geographically proportionate sample of Oklahoma child-care centers was obtained. Child-care centers providing all-day care for 2- to 5-year-old children were contacted to complete a telephone questionnaire and asked to send in that month's menus for the 3- to 4-year-old children. Overall means and standard deviations of the nutrient content of 5 days of lunch menus were calculated. Comparisons were made to both the 1- to 3-year-old and 4- to 8-year-old DRIs. One-sample t tests compared mean nutrient content of lunches to one third of the DRIs for the overall sample and urban/rural classification. Independent t tests compared nutrient content of urban and rural lunches. One hundred sixty-seven child-care centers were contacted; 83 completed the study (50% response). Menus provided statistically significantly insufficient carbohydrate, dietary fiber, iron, vitamin D, and vitamin E. Calcium was higher than the 1- to 3-year-old DRI, but lower than the 4- to 8-year-old DRI. Folate was higher than the 1- to 3-year-old DRI, but not different from the 4- to 8-year-old DRI. Sodium was higher than the DRI for both age groups. Thirty-four child-care centers (41%) were classified as urban and 49 (59%) as rural. Urban menus provided less than the 4- to 8-year-old DRI for folate, but rural child-care center menus did not. Oklahoma child-care center menus appear to provide adequate protein, magnesium, zinc, vitamin A, and vitamin C, but may be deficient in key nutrients required for good health and proper development in preschool-aged children. These issues can be addressed by including food and nutrition

  9. Developing indicators of service integration for child health: perceptions of service providers and families of young children in a region of high need in New Zealand.

    Science.gov (United States)

    Pullon, Susan; McKinlay, Brodie; Yager, Jess; Duncan, Bruce; McHugh, Patrick; Dowell, Anthony

    2015-03-01

    Children in many areas of New Zealand have poor health indices; statistics indicate health inequalities. Existing international indicators of child health currently take little account of local context. There are few composite indicators of how child health services are integrated at a community level. This study aimed to explore what local people consider would be useful indicators of better child health. Data for this qualitative study were collected via 24 individual interviews and two focus groups in a rural area of New Zealand. A total of 13 in-depth interviews were conducted with parents/families of small children. Participants were asked about wide-ranging aspects of child health. Also, 11 interviews and two focus groups were conducted with front line health professionals/stakeholders. Key themes from the content thematic analysis: include child health should be measured in multidimensional ways; essential interdependence of family-child health; universal access to culturally appropriate care, free primary care services and parenting education and support is needed; and there is a lack of integration and communication between health, education and social services. There is an important need to measure and monitor communication/integration across existing health, education and social services, provide better parenting support and health education and improve access to culturally appropriate primary care. © The Author(s) 2013.

  10. Evaluation of input and process components of quality of child health services provided at 24 × 7 primary health centers of a district in Central Gujarat.

    Science.gov (United States)

    Chavda, Paragkumar; Misra, Shobha

    2015-01-01

    With the critical Indian challenge on child survival and health, time is ripe to initiate focus on quality of services apart from measuring coverage, to bring about improvements. To assess the quality of child health services provided at 24 × 7 Primary Health Centers of Vadodara District in Gujarat in terms of Input and Process Indicators. The study was carried out in 12 randomly chosen 24 × 7 Primary Health Centers (PHCs) of Vadodara district using a modified quality assessment checklist of the Program on District Quality Assurance for Reproductive and Child Health (RCH) services with use of scores from May 2010 to June 2011. Inputs assessment was done by facility survey. Process assessment for the four child health service components used actual observation of service, review of records and interview of service providers and clients. The mean obtained score for facilities in Input section was 65%. Highest score was obtained for Drugs and Consumables (86%) followed by Equipments and Supplies (74%). The score obtained for Infrastructure facility was 65%, Personnel and training was 56% and Essential protocols and guidelines scored 43%. The mean obtained score in the process section was 55%. Highest scores were obtained for immunization at 76%. This was followed by newborn care (52%), growth monitoring (52%). management of sick child (41%). Quality improvement efforts should focus not only on resource-intensive structural improvements, but also on cost-effective measures at improving service delivery process, especially adherence to service guidelines by providers.

  11. Interventions by Health Care Professionals Who Provide Routine Child Health Care to Reduce Tobacco Smoke Exposure in Children: A Review and Meta-analysis.

    Science.gov (United States)

    Daly, Justine B; Mackenzie, Lisa J; Freund, Megan; Wolfenden, Luke; Roseby, Robert; Wiggers, John H

    2016-02-01

    Reducing child exposure to tobacco smoke is a public health priority. Guidelines recommend that health care professionals in child health settings should address tobacco smoke exposure (TSE) in children. To determine the effectiveness of interventions delivered by health care professionals who provide routine child health care in reducing TSE in children. A secondary analysis of 57 trials included in a 2014 Cochrane review and a subsequent extended search was performed. Controlled trials (published through June 2015) of interventions that focused on reducing child TSE, with no restrictions placed on who delivered the interventions, were identified. Secondary data extraction was performed in August 2015. Controlled trials of routine child health care delivered by health care professionals (physicians, nurses, medical assistants, health educators, and dieticians) that addressed the outcomes of interest (TSE reduction in children and parental smoking behaviors) were eligible for inclusion in this review and meta-analysis. Study details and quality characteristics were independently extracted by 2 authors. If outcome measures were sufficiently similar, meta-analysis was performed using the random-effects model by DerSimonian and Laird. Otherwise, the results were described narratively. The primary outcome measure was reduction in child TSE. Secondary outcomes of interest were parental smoking cessation, parental smoking reduction, and maternal postpartum smoking relapse prevention. Sixteen studies met the selection criteria. Narrative analysis of the 6 trials that measured child TSE indicated no intervention effects relative to comparison groups. Similarly, meta-analysis of 9 trials that measured parental smoking cessation demonstrated no overall intervention effect (n = 6399) (risk ratio 1.05; 95% CI, 0.74-1.50; P = .78). Meta-analysis of the 3 trials that measured maternal postpartum smoking relapse prevention demonstrated a significant overall intervention effect (n

  12. Physical Activity for Young Children: A Quantitative Study of Child Care Providers' Knowledge, Attitudes, and Health Promotion Practices

    Science.gov (United States)

    Lanigan, Jane

    2014-01-01

    Many preschool children fail to achieve the National Association for Sport and Physical Education physical activity recommendations placing themselves at increased risk of overweight and its associated health consequences. The early learning and care system is well positioned to intervene. Yet few child obesity prevention efforts have focused on…

  13. Care provided by the father to the child with cancer under the influence of masculinities: qualitative meta-synthesis

    Directory of Open Access Journals (Sweden)

    Naiara Barros Polita

    Full Text Available ABSTRACT Objective: To synthesize and interpret findings and conclusions of qualitative research addressing the experience of the father in the care of the child with cancer. Method: Meta-synthesis of 16 qualitative studies from six databases, analyzed through taxonomic analysis. Results: Child and adolescent cancer have several repercussions on the daily life of the father, especially related to the stigma around the disease, the fear of the unknown and the social and family role. Faced with the illness and the need to care for the child, the father seeks to recover normality in the family and transitions between hegemonic masculine behaviors and practices culturally recognized as female. Final Considerations: The complex experience of the father, influenced by masculinities, was evidenced. The limitations regard the restricted understanding of the contextual specificities of the experiences, due to the limited characteristics of the parents and children described in the studies. The knowledge produced is useful to promote involvement of fathers in the care of the child, as well as to strengthen and assist him in this task.

  14. Providing Individually Tailored Academic and Behavioral Support Services for Youth in the Juvenile Justice and Child Welfare Systems. Practice Guide

    Science.gov (United States)

    Gonsoulin, S.; Darwin, M. J.; Read, N. W.

    2012-01-01

    Youth who are involved with the juvenile justice and child welfare systems face many challenges and barriers to academic and vocational success. Regardless of the reasons for their involvement, youth in these systems are "disproportionately children and youth of color who currently have, or have experienced, a host of risk factors that are…

  15. Early Childhood Interventionists' Perceptions of the Child Abuse Prevention and Treatment Act: Provider Characteristics and Organizational Climate

    Science.gov (United States)

    Herman-Smith, Robert L.

    2013-01-01

    Research Findings: A 2003 amendment to the Child Abuse Prevention and Treatment Act (CAPTA) required states to develop plans to ensure that children younger than the age of 3 years who are victims of substantiated abuse or neglect have access to developmental screenings. Programs authorized under Part C of the Individuals with Disabilities…

  16. Influence of pay-for-performance programs on information technology use among child health providers: the devil is in the details.

    Science.gov (United States)

    Menachemi, Nir; Struchen-Shellhorn, Wendy; Brooks, Robert G; Simpson, Lisa

    2009-01-01

    Pay-for-performance programs are used to promote improved health care quality, often through increased use of health information technology. However, little is known about whether pay-for-performance programs influence the adoption of health information technology, especially among child health providers. This study explored how various pay-for-performance compensation methods are related to health information technology use. Survey data from 1014 child health providers practicing in Florida were analyzed by using univariate and multivariate techniques. Questions asked about the adoption of electronic health records and personal digital assistants, as well as types of activities that affected child health provider compensation or income. The most common reported method to affect respondents' compensation was traditional productivity or billing (78%). Of the pay-for-performance-related methods of compensation, child health providers indicated that measures of clinical care (41%), patient surveys and experience (34%), the use of health information technology (29%), and quality bonuses or incentives (27%) were a major or minor factor in their compensation. In multivariate logistic regression analyses, only pay-for-performance programs that compensated directly for health information technology use were associated with an increased likelihood of electronic health record system adoption. Pay-for-performance programs linking measures of clinical quality to compensation were positively associated with personal digital assistant use among child health providers. Pay-for-performance programs that do not directly emphasize health information technology use do not influence the adoption of electronic health records among Florida physicians treating children. Understanding how different pay-for-performance compensation methods incentivize health information technology adoption is important for improving quality.

  17. Child Abuse

    Science.gov (United States)

    ... puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse. Most abused children suffer greater emotional than physical damage. An abused child may become depressed. He ...

  18. [Early child development inequalities and associated factors between public and private providers at metropolitan region in Chile].

    Science.gov (United States)

    Bedregal, Paula; Hernández, Viviana; Mingo, M Verónica; Castañón, Carla; Valenzuela, Patricia; Moore, Rosario; de la Cruz, Rolando; Castro, Daniela

    Early child development is a population determinant of physical, mental and social health. To know the base line situation prior to the implementation of "Chile grows with you" (Chile Crece Contigo) is key to its evaluation. To compare early child development and associated factors at baseline in pre-school children from public and private health sectors. The sample consisted of 1045 children aged 30-58 months, 52% male, and 671 from the public and 380 from the private sector of the metropolitan region in Chile were evaluated using Battelle Developmental Inventory-1 and a household interview of primary carer. Abnormal child development was found in 14.4% of children in the private sector compared to 30.4% in the public sector. There were no differences in adaptive area (26.3% vs 29.2%), but there were statistically significant differents in cognitive (8.8% vs 12.1%), social-personal (13.2% vs 32.5%), motor (19.2% vs 35.3%), and communication (19% vs 36.8%) development. The logistic regression showed that, independent of socioeconomic level, the risk factors are: Apgar<7 (OR: 5.4; 95% CI: 1.24-23.84); having childhood chronic diseases (OR: 1.3; 95% CI: 1.11-1.42). Protective factor is: home with resources to learn and play (OR: 0.8; 95% CI: 0.76-0.89). These results are another input about early child development situation and its importance for paediatric social policy. Copyright © 2016 Sociedad Chilena de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  19. Nutritional health attitudes and behaviors and their associations with the risk of overweight/obesity among child care providers in Michigan Migrant and Seasonal Head Start centers.

    Science.gov (United States)

    Song, Won O; Song, SuJin; Nieves, Violeta; Gonzalez, Andie; Crockett, Elahé T

    2016-07-27

    Children enrolled in Migrant and Seasonal Head Start (MSHS) programs are at high risks of health problems. Although non-family child care providers play important roles on children's health status as role models, educators, program deliverers, and information mediators, little is known about their nutritional health attitudes and behaviors, and weight status. Therefore, we investigated nutritional health attitudes and behaviors and their associations with overweight/obesity among child care providers in Michigan MSHS centers. A total of 307 child care providers aged ≥ 18 years working in 17 Michigan MSHS centers were included in this cross-sectional study conducted in 2013. An online survey questionnaire was used to collect data on nutritional health attitudes and behaviors of child care providers. Weight status was categorized into normal weight (18.5 ≤ BMI obese (BMI ≥ 30 kg/m(2)) based on child care providers' self-reported height and weight. Factor analysis was performed to investigate patterns of nutritional health attitudes and behaviors. Multivariate logistic regression was conducted to estimate the odds ratios (ORs) and 95 % confidence intervals (CIs) of overweight/obesity across tertiles of pattern scores taking the lowest tertile group as the reference group after adjustment for potential confounding variables. Three patterns of nutritional health attitudes and behaviors were identified: pattern 1) "weight loss practices with weight dissatisfaction", pattern 2) "healthy eating behaviors", and pattern 3) "better knowledge of nutrition and health". The pattern 1 scores were positively associated with overweight/obesity (Tertile 2 vs. Tertile 1: OR = 5.81, 95 % CI = 2.81-12.05; Tertile 3 vs. Tertile 1: OR = 14.89, 95 % CI = 6.18-35.92). Within the pattern 2, the OR for overweight/obesity in individuals with the highest scores was 0.37 (95 % CI = 0.19-0.75) compared with those with the lowest scores. However, the

  20. Nutritional health attitudes and behaviors and their associations with the risk of overweight/obesity among child care providers in Michigan Migrant and Seasonal Head Start centers

    Directory of Open Access Journals (Sweden)

    Won O. Song

    2016-07-01

    Full Text Available Abstract Background Children enrolled in Migrant and Seasonal Head Start (MSHS programs are at high risks of health problems. Although non-family child care providers play important roles on children’s health status as role models, educators, program deliverers, and information mediators, little is known about their nutritional health attitudes and behaviors, and weight status. Therefore, we investigated nutritional health attitudes and behaviors and their associations with overweight/obesity among child care providers in Michigan MSHS centers. Methods A total of 307 child care providers aged ≥ 18 years working in 17 Michigan MSHS centers were included in this cross-sectional study conducted in 2013. An online survey questionnaire was used to collect data on nutritional health attitudes and behaviors of child care providers. Weight status was categorized into normal weight (18.5 ≤ BMI < 25 kg/m2, overweight (25 ≤ BMI < 30 kg/m2, and obese (BMI ≥ 30 kg/m2 based on child care providers’ self-reported height and weight. Factor analysis was performed to investigate patterns of nutritional health attitudes and behaviors. Multivariate logistic regression was conducted to estimate the odds ratios (ORs and 95 % confidence intervals (CIs of overweight/obesity across tertiles of pattern scores taking the lowest tertile group as the reference group after adjustment for potential confounding variables. Results Three patterns of nutritional health attitudes and behaviors were identified: pattern 1 “weight loss practices with weight dissatisfaction”, pattern 2 “healthy eating behaviors”, and pattern 3 “better knowledge of nutrition and health”. The pattern 1 scores were positively associated with overweight/obesity (Tertile 2 vs. Tertile 1: OR = 5.81, 95 % CI = 2.81–12.05; Tertile 3 vs. Tertile 1: OR = 14.89, 95 % CI = 6.18–35.92. Within the pattern 2, the OR for overweight/obesity in

  1. The impact of the social and physical environments on parent-healthcare provider relationships when a child dies in PICU: Findings from a grounded theory study.

    Science.gov (United States)

    Butler, Ashleigh E; Copnell, Beverley; Hall, Helen

    2017-12-30

    This study explores the influences of the paediatric intensive care environment on relationships between parents and healthcare providers when children are dying. It forms part of a larger study, investigating parental experiences of the death of their child in intensive care. Constructivist grounded theory. Four Australian paediatric intensive care units. Audio-recorded, semi-structured interviews were conducted with twenty-six bereaved parents. Data were analysed using the constant comparison and memoing techniques common to grounded theory. The physical and social environment of the intensive care unit influenced the quality of the parent-healthcare provider relationship. When a welcoming, open environment existed, parents tended to feel respected as equal and included members of their child's care team. In contrast, environments that restricted parental presence or lacked resources for parental self-care could leave parents feeling like 'watchers', excluded from their child's care. The paediatric intensive care unit environment either welcomes and includes parents of dying children into the care team, or demotes them to the status of 'watcher'. Such environments significantly influence the relationships parents form with healthcare staff, their ability to engage in elements of their parental role, and their experiences as a whole. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Training Artisans On-Site

    Directory of Open Access Journals (Sweden)

    Edoghogho Ogbeifun

    2011-09-01

    Full Text Available The decline in apprenticeship in both the public and private sectors, the increasing use of sub-contractors as well as the uncoordinated approach in the informal sector are contributing factors to the shortage of skilled artisans in the construction industry. Artisans training can be introduced and implemented through the adoption of progressive implementation of construction processes commencing work from areas requiring low skill demands to areas of high skill demand. The success of this principle hinges on the collaborative effort of the key project stakeholders. The client should be willing to absorb extra cost and delays in the project; the design and contract documentation should facilitate on-site training, and  the consultant actively guide the contractor and the construction processes to achieve the training objectives. The exploratory research method was adopted in this study and research revealed that this principle was used in a project in the UK and in the development of infrastructure in the tourism industry of South Africa .It is being recommended that the principle be adapted by the public sector for the development of small size infrastructures that can be repeated in many places. This will boost the quality and quantity of artisans, enhance employability, reduce rural urban migration and alleviate poverty.Keywords: Skilled artisans, on-site training, progressive construction processes, project stakeholders, contract documentation. 

  3. Providing care to a child with cancer: a longitudinal study on the course, predictors, and impact of caregiving stress during the first year after diagnosis.

    Science.gov (United States)

    Sulkers, Esther; Tissing, Wim J E; Brinksma, Aeltsje; Roodbol, Petrie F; Kamps, Willem A; Stewart, Roy E; Sanderman, Robbert; Fleer, Joke

    2015-03-01

    This study investigated the course, predictors, and impact of caregiving stress on the functioning of primary caregivers of children with cancer during the first year after a child's cancer diagnosis. Primary caregivers (N = 95, 100% mother, 86% response rate) of consecutive newly diagnosed paediatric cancer patients (0-18 years) completed measures of caregiving stress, depressive symptoms, anxiety, and self-reported health at diagnosis, and 3, 6, and 12 months thereafter. Results indicated a significant decrease in caregiving stress (especially during the first 3 months after diagnosis). Caregiving stress was predicted by single marital status and the ill child being the mother's only child. Multilevel analyses, controlled for socio-demographic and medical covariates, showed that, over time, the decline in caregiving stress was accompanied by a reduction in depressive symptoms and anxiety. The amount of variance explained by caregiving stress was 53% for depressive symptoms, 47% for anxiety, and 3% for self-reported health. The present study suggests that caregiving stress is an important factor in understanding parental adjustment to childhood cancer. This offers possibilities for developing interventions aimed at preventing caregiving stress, and strengthening mothers' confidence in their ability to provide good care. Copyright © 2014 John Wiley & Sons, Ltd.

  4. What Providers Should Know about Child Care Assistance for Families: A Targeted Effort to Reach Hispanic Families and Providers = Lo que Deben Saber los Proveedores Sobre el Programa de Ayuda de Cuidado Infantil para las Familias: Un Esfuerzo Especial para Alcanzar Familias y Proveedores Hispanos

    Science.gov (United States)

    Child Care Bureau, 2004

    2004-01-01

    Federal and State governments can help families pay for child care. The families one serves may be eligible for this assistance, and one may receive this funding for services one provides, thus becoming a "participating provider." This paper provides answers to the following questions: (1) How can parents receive child care assistance?; (2) How do…

  5. Efficient on-site construction

    DEFF Research Database (Denmark)

    Thuesen, Christian Langhoff; Hvam, Lars

    2011-01-01

    selected market – optimising cost and value. Based on the platform, the company has managed to create a high-quality product at low cost. In fact, they have managed to reduce costs by more than 30 per cent, enabling the company to sell houses to people that normally would not be able to afford a house...... from the German platform such as: platform does not imply that “off-site manufacturing” is the most optimal production method, rather it is a matter of handling complexity; strong commitment and loyalty from the whole organization is needed; importance of having a specific customer focus (target...... costing); and incremental rather than radical innovation. Originality/value – The findings challenge the predominant understanding of industrialisation of the construction processes, illustrating how substantial improvements can be achieved through platform thinking, on-site production and traditional...

  6. On Site Inspection Radionuclide Measurements

    Science.gov (United States)

    Hayes, J. C.; Haas, D.; Milbrath, B. D.; Miley, H.; Seifert, C. E.

    2013-12-01

    The goal of an On Site Inspection for the CTBT is the clarification of the nature of a triggering event - probably a seismic signal. After a request for inspection is made and accepted, an inspection team proceeds to the environs of the triggering event and uses visual, seismic, radiological, or other location-finding methods to narrow down the search area. Survey, environmental sampling, and field-lab measurement methods then are used to try to collect definitive facts to support decisions of an Executive Council of the Treaty. Refining and optimizing the science methods for practical survey, sampling, and measurement requires reasonable measurement objectives to be stated. The authors will present a few scenario-dependant objectives such that the field approaches and equipment specifications could follow.

  7. Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance: an impact evaluation.

    Science.gov (United States)

    Basinga, Paulin; Gertler, Paul J; Binagwaho, Agnes; Soucat, Agnes L B; Sturdy, Jennifer; Vermeersch, Christel M J

    2011-04-23

    Evidence about the best methods with which to accelerate progress towards achieving the Millennium Development Goals is urgently needed. We assessed the effect of performance-based payment of health-care providers (payment for performance; P4P) on use and quality of child and maternal care services in health-care facilities in Rwanda. 166 facilities were randomly assigned at the district level either to begin P4P funding between June, 2006, and October, 2006 (intervention group; n=80), or to continue with the traditional input-based funding until 23 months after study baseline (control group; n=86). Randomisation was done by coin toss. We surveyed facilities and 2158 households at baseline and after 23 months. The main outcome measures were prenatal care visits and institutional deliveries, quality of prenatal care, and child preventive care visits and immunisation. We isolated the incentive effect from the resource effect by increasing comparison facilities' input-based budgets by the average P4P payments made to the treatment facilities. We estimated a multivariate regression specification of the difference-in-difference model in which an individual's outcome is regressed against a dummy variable, indicating whether the facility received P4P that year, a facility-fixed effect, a year indicator, and a series of individual and household characteristics. Our model estimated that facilities in the intervention group had a 23% increase in the number of institutional deliveries and increases in the number of preventive care visits by children aged 23 months or younger (56%) and aged between 24 months and 59 months (132%). No improvements were seen in the number of women completing four prenatal care visits or of children receiving full immunisation schedules. We also estimate an increase of 0·157 standard deviations (95% CI 0·026-0·289) in prenatal quality as measured by compliance with Rwandan prenatal care clinical practice guidelines. The P4P scheme in Rwanda had

  8. How much is a child worth? Providers' and patients' views and responses concerning ethical and policy challenges in paying for ART.

    Science.gov (United States)

    Klitzman, Robert

    2017-01-01

    Infertility treatments remain expensive and in many countries are covered by little, if any, insurance, raising critical questions concerning how patients and providers view and make decisions regarding these challenges. In-depth semi-structured interviews of approximately 1 hour were conducted with 37 IVF providers and 10 patients (17 physicians, 10 other providers and 10 patients), and were systematically analyzed. These data suggest current insurance policies and legislation pose critical ethical and logistical challenges for both patients and providers. These individuals face multiple uncertainties about costs and insurance, related to unclear causes of fertility, treatment length, costs and outcomes, and odds that insurers will cover expenses. Insurers frequently decline to agree to reimbursement beforehand, and decide only afterwards, case-by-case, generating stress. Patients and providers thus may not be able to predict how best to allocate limited resources. Providers may advocate for patients, but are usually unsuccessful. Patients may adopt several strategies: e.g., moving/seeking treatment elsewhere, switching or feeling "stuck" in jobs because of insurance, seeking "free" medications, going into debt, or using funds intended for other purposes. Patients do not perceive and respond to resource limitations as fixed phenomena-i.e., patients do not see treatment simply as "affordable" or not. Rather, patients face quandaries of how much to keep spending-how much a child is worth-and are forced to make complex risk/benefit calculations. Couples can disagree, straining relationships. In sum, these data, the first to explore how providers and patients struggle, view, and make decisions regarding limited insurance and resources for infertility, raise several critical ethical and policy issues. These data suggest that individuals have difficulty translating profoundly life-altering, deeply personal quests for meaning and fulfillment into purely economic terms

  9. Community Health Workers Providing Government Community Case Management for Child Survival in Sub-Saharan Africa: Who Are They and What Are They Expected to Do?

    Science.gov (United States)

    George, Asha; Young, Mark; Nefdt, Rory; Basu, Roshni; Sylla, Mariame; Clarysse, Guy; Bannicq, Marika Yip; de Sousa, Alexandra; Binkin, Nancy; Diaz, Theresa

    2012-01-01

    We describe community health workers (CHWs) in government community case management (CCM) programs for child survival across sub-Saharan Africa. In sub-Saharan Africa, 91% of 44 United Nations Children's Fund (UNICEF) offices responded to a cross-sectional survey in 2010. Frequencies describe CHW profiles and activities in government CCM programs (N = 29). Although a few programs paid CHWs a salary or conversely, rewarded CHWs purely on a non-financial basis, most programs combined financial and non-financial incentives and had training for 1 week. Not all programs allowed CHWs to provide zinc, use timers, dispense antibiotics, or use rapid diagnostic tests. Many CHWs undertake health promotion, but fewer CHWs provide soap, water treatment products, indoor residual spraying, or ready-to-use therapeutic foods. For newborn care, very few promote kangaroo care, and they do not provide antibiotics or resuscitation. Even if CHWs are as varied as the health systems in which they work, more work must be done in terms of the design and implementation of the CHW programs for them to realize their potential. PMID:23136282

  10. A Beneficial Collaboration: Child Care and Child Support.

    Science.gov (United States)

    Children Today, 1997

    1997-01-01

    Describes potential collaborations between child care and child support enforcement agencies (CSEA). Child care resource and referral agencies can distribute information about child support enforcement and paternity establishment. CSEAs can provide training to child care providers. Child care subsidies may be linked to cooperation with the CSEA.…

  11. LiST modelling with monitoring data to estimate impact on child mortality of an ORS and zinc programme with public sector providers in Bihar, India.

    Science.gov (United States)

    Ayyanat, Jayachandran A; Harbour, Catherine; Kumar, Sanjeev; Singh, Manjula

    2018-01-05

    Many interventions have attempted to increase vulnerable and remote populations' access to ORS and zinc to reduce child mortality from diarrhoea. However, the impact of these interventions is difficult to measure. From 2010 to 15, Micronutrient Initiative (MI), worked with the public sector in Bihar, India to enable community health workers to treat and report uncomplicated child diarrhoea with ORS and zinc. We describe how we estimated programme's impact on child mortality with Lives Saved Tool (LiST) modelling and data from MI's management information system (MIS). This study demonstrates that using LiST modelling and MIS data are viable options for evaluating programmes to reduce child mortality. We used MI's programme monitoring data to estimate coverage rates and LiST modelling software to estimate programme impact on child mortality. Four scenarios estimated the effects of different rates of programme scale-up and programme coverage on estimated child mortality by measuring children's lives saved. The programme saved an estimated 806-975 children under-5 who had diarrhoea during five-year project phase. Increasing ORS and zinc coverage rates to 19.8% & 18.3% respectively under public sector coverage with effective treatment would have increased the programme's impact on child mortality and could have achieved the project goal of saving 4200 children's lives during the five-year programme. Programme monitoring data can be used with LiST modelling software to estimate coverage rates and programme impact on child mortality. This modelling approach may cost less and yield estimates sooner than directly measuring programme impact with population-based surveys. However, users must be cautious about relying on modelled estimates of impact and ensure that the programme monitoring data used is complete and precise about the programme aspects that are modelled. Otherwise, LiST may mis-estimate impact on child mortality. Further, LiST software may require modifications

  12. On-Site Renewable Energy Generation

    Science.gov (United States)

    This guide describes a variety of approaches that local governments can use to advance climate and energy goals by meeting some or all of their electricity needs through on-site renewable energy generation.

  13. Perceived effective and feasible strategies to promote healthy eating in young children: focus groups with parents, family child care providers and daycare assistants.

    Science.gov (United States)

    Vandeweghe, Laura; Moens, Ellen; Braet, Caroline; Van Lippevelde, Wendy; Vervoort, Leentje; Verbeken, Sandra

    2016-10-04

    The aim of the current study is to identify strategies to promote healthy eating in young children that can be applied by caregivers, based on their own perceptions of effectiveness and feasibility. Whereas previous research mainly focused on parental influences on children's eating behavior, the growing role of other caregivers in the upbringing of children can no longer be denied. Four focus groups were conducted with three types of caregivers of post-weaning children under 6 years old: parents (n = 14), family child care providers (n = 9), and daycare assistants (n = 10). The audiotaped focus group discussions were transcribed and imported into Nvivo 10.0 for thematic analysis. The behaviors put forward by the caregivers were categorized within three broad dimensions: global influences, general behaviors, and specific feeding practices. Perceived effective strategies to promote healthy eating behavior in children included rewards, verbal encouragement, a taste-rule, sensory sensations, involvement, variation, modeling, repeated exposure, and a peaceful atmosphere. Participants mainly disagreed on the perceived feasibility of each strategy, which largely depended on the characteristics of the caregiving setting (e.g. infrastructure, policy). Based on former research and the current results, an intervention to promote healthy eating behaviors in young children should be adapted to the caregiving setting or focus on specific feeding practices, since these involve simple behaviors that are not hindered by the limitations of the caregiving setting. Due to various misconceptions regarding health-promoting strategies, clear instructions about when and how to use these strategies are necessary.

  14. Perceived effective and feasible strategies to promote healthy eating in young children: focus groups with parents, family child care providers and daycare assistants

    Directory of Open Access Journals (Sweden)

    Laura Vandeweghe

    2016-10-01

    Full Text Available Abstract Background The aim of the current study is to identify strategies to promote healthy eating in young children that can be applied by caregivers, based on their own perceptions of effectiveness and feasibility. Whereas previous research mainly focused on parental influences on children’s eating behavior, the growing role of other caregivers in the upbringing of children can no longer be denied. Methods Four focus groups were conducted with three types of caregivers of post-weaning children under 6 years old: parents (n = 14, family child care providers (n = 9, and daycare assistants (n = 10. The audiotaped focus group discussions were transcribed and imported into Nvivo 10.0 for thematic analysis. The behaviors put forward by the caregivers were categorized within three broad dimensions: global influences, general behaviors, and specific feeding practices. Results Perceived effective strategies to promote healthy eating behavior in children included rewards, verbal encouragement, a taste-rule, sensory sensations, involvement, variation, modeling, repeated exposure, and a peaceful atmosphere. Participants mainly disagreed on the perceived feasibility of each strategy, which largely depended on the characteristics of the caregiving setting (e.g. infrastructure, policy. Conclusions Based on former research and the current results, an intervention to promote healthy eating behaviors in young children should be adapted to the caregiving setting or focus on specific feeding practices, since these involve simple behaviors that are not hindered by the limitations of the caregiving setting. Due to various misconceptions regarding health-promoting strategies, clear instructions about when and how to use these strategies are necessary.

  15. Dietary analysis of randomly selected meals from the Child Hunger and Education Program School Nutrition Program in Saskatchewan, Canada, suggests that nutrient target levels are being provided.

    Science.gov (United States)

    Gougeon, Laura A R; Henry, Carol J; Ramdath, Dan; Whiting, Susan J

    2011-03-01

    In Canada, school meals are regarded as important for social, educational, and nutritional reasons and have been provided for several years because of concerns about the health and welfare of children, especially those from low-income households. They are generally offered as local community organization and individual schools, are not regulated by law, and have no set national nutrition standards. The Canadian scientific literature lacks quantitative information on the nutritional adequacy of school meals. Better and more evaluation of such programs would encourage and guide administrators to assess other local programs in a similar fashion. Here, we describe the dietary assessment process of 1 school meal program in Canada and the nutritional adequacy of the meals. Throughout 10 years (1997-2007), the contents of 159 lunches and 90 breakfasts were collected mainly from elementary schools participating in the Child Hunger and Education Program Good Food, Inc's school nutrition program initiative in Saskatoon, Saskatchewan, Canada. We collected, weighed, and analyzed food samples from meals served to children at participating schools. We then compared their nutrient content against standards based on the Dietary Recommended Intakes for children aged 4 to 8 and 9 to 13 years using one third of the recommendations as the standard for lunches and one fourth for breakfasts. Overall, both meals had a good nutrient profile and met the standards for most analyzed macronutrients and micronutrients throughout the years. Although energy was persistently low, vitamin and mineral contents were often above the standards, reflecting a tendency to offer nutrient-dense foods in lieu of energy-dense foods. The rigorous methodology described in this manuscript can be followed to assess other small local programs. Furthermore, the dietary assessment presented can encourage not only the implementation of school meal programs in other locations but also the assessment of already

  16. Providing care to a child with cancer: a longitudinal study on the course, predictors, and impact of caregiving stress during the first year after diagnosis

    NARCIS (Netherlands)

    Suikers, Esther; Tissing, Wim J.E.; Brinksma, Aeltsje; Roodbol, Petrie F.; Kamps, Willem A.; Stewart, Roy E.; Sanderman, Robbert; Fleer, Joke

    2015-01-01

    Objective This study investigated the course, predictors, and impact of caregiving stress on the functioning of primary caregivers of children with cancer during the first year after a child's cancer diagnosis. Methods Primary caregivers (N = 95, 100% mother, 86% response rate) of consecutive newly

  17. Providing care to a child with cancer : a longitudinal study on the course, predictors, and impact of caregiving stress during the first year after diagnosis

    NARCIS (Netherlands)

    Sulkers, Esther; Tissing, Wim J. E.; Brinksma, Aeltsje; Roodbol, Petrie F.; Kamps, Willem A.; Stewart, Roy E.; Sanderman, Robbert; Fleer, Joke

    OBJECTIVE: This study investigated the course, predictors, and impact of caregiving stress on the functioning of primary caregivers of children with cancer during the first year after a child's cancer diagnosis. METHODS: Primary caregivers (N = 95, 100% mother, 86% response rate) of consecutive

  18. Child sexual abuse in religiously affiliated and secular institutions: a retrospective descriptive analysis of data provided by victims in a government-sponsored reappraisal program in Germany.

    Science.gov (United States)

    Spröber, Nina; Schneider, Thekla; Rassenhofer, Miriam; Seitz, Alexander; Liebhardt, Hubert; König, Lilith; Fegert, Jörg M

    2014-03-27

    The disclosure of widespread sexual abuse committed by professional educators and clergymen in institutions in Germany ignited a national political debate, in which special attention was paid to church-run institutions. We wanted to find out whether the nature of the abuse and its effect on victims differed depending on whether the abuse had been experienced in religiously affiliated versus secular institutions. In 2010, the German government established a hotline that victims could contact anonymously to describe their experiences of sexual abuse. The information provided by callers was documented and categorized. Our analysis looked at a subset of the data collected, in order to compare the nature of the abuse experienced at three types of institutions: Roman Catholic, Protestant, and non-religiously affiliated. Non-parametric tests were used to compare frequency distributions, and qualitative data were analyzed descriptively. Of the 1050 victims in our sample, 404 had been in Roman Catholic, 130 in Protestant, and 516 in non-religious institutions. The overall mean age at the time of reporting was 52.2 years. Males (59.8%) outnumbered females. Victims who had been in religiously affiliated institutions were significantly older than those who had been in secular institutions. Almost half the victims had been abused physically as well as sexually, and most victims reported that the abuse had occurred repeatedly and that the assaults had been committed by males. Patterns of abuse (time, type, and extent), and the gender of the offenders did not differ between the three groups. Intercourse was more frequently reported by older victims and by females. Similar percentages of victims in all groups reported current psychiatric diagnoses (depression, anxiety disorders, PTSD). Significantly more victims from Protestant institutions reported having current psychosocial problems. The results suggest that child sexual abuse in institutions is attributable to the nature of

  19. Being the parent of a ventilator-assisted child: perceptions of the family-health care provider relationship when care is offered in the family home.

    Science.gov (United States)

    Lindahl, Berit; Lindblad, Britt-Marie

    2013-11-01

    The number of medically fragile children cared for at home is increasing; however, there are few studies about the professional support these families receive in their homes. The aim of the study was to understand the meanings that parents had about the support they received from health care professionals who offered care for their ventilator-assisted child in the family home. A phenomenological-hermeneutic method was used. Data included the narratives of five mother-father couples living in Sweden who were receiving professional support for their ventilator-assisted child. The findings indicate that receiving professional support meant being at risk of and/or exposed to the exercise of control over family privacy. The professional support system in the families' homes worked more by chance than by competent and sensible planning. In good cases, caring encounters were characterized by a mutual relationship where various occupational groups were embraced as a part of family life. The findings are discussed in light of compassionate care, exercise of power, and the importance of holistic educational programs.

  20. Child Labor

    OpenAIRE

    Christopher Udry

    2003-01-01

    In recent years, there has been an astonishing proliferation of empirical work on child labor. An Econlit search of keywords "child lab*r" reveals a total of 6 peer reviewed journal articles between 1980 and 1990, 65 between 1990 and 2000, and 143 in the first five years of the present decade. The purpose of this essay is to provide a detailed overview of the state of the recent empirical literature on why and how children work as well as the consequences of that work. Section 1 defines terms...

  1. Widening the circle of security: a quasi-experimental evaluation of attachment-based professional development for family child care providers.

    Science.gov (United States)

    Gray, Sarah A O

    2015-01-01

    This pilot program evaluation was undertaken to examine the effectiveness of an attachment-based, group professional-development experience, Circle of Security-Parenting, on family childcare (FCC) providers' psychological resources and self-efficacy in managing children's challenging behaviors and supporting children's socioemotional development. Licensed FCC providers with children actively in their care (n = 34) self-selected into the program, offered in English and Spanish through a regional support network for FCC providers; a comparison group of providers was recruited from the state database of licensed providers (n = 17). A significant Time × Group interaction was observed for self-efficacy in managing challenging behaviors, F(1, 46) = 30.59, p = .000, partial η(2) = .40, with participating providers' mean self-efficacy scores increasing, p = .000, d = .78, while comparison providers' decreased, p = .003, d = 1.40. Mean depressive symptoms decreased over time for both groups whereas job stress-related resources were stable over time in both groups. Patterns of association were found between providers' self-report of difficulties considering children's mental states and depressive symptoms, job stress resources, and self-efficacy. Limitations and implications for future research are reviewed, including the impact of conducting this work within an organized support network for FCC providers. © 2015 Michigan Association for Infant Mental Health.

  2. On-site test for cannabinoids in oral fluid.

    Science.gov (United States)

    Desrosiers, Nathalie A; Lee, Dayong; Schwope, David M; Milman, Garry; Barnes, Allan J; Gorelick, David A; Huestis, Marilyn A

    2012-10-01

    Oral fluid (OF) testing offers noninvasive sample collection for on-site drug testing; however, to date, test performance for Δ(9)-tetrahydrocannabinol (THC) detection has had unacceptable diagnostic sensitivity. On-site tests must accurately identify cannabis exposure because this drug accounts for the highest prevalence in workplace drug testing and driving under the influence of drugs (DUID) programs. Ten cannabis smokers (9 males, 1 female) provided written informed consent to participate in this institutional review board-approved study and smoked 1 6.8%-THC cigarette ad libitum. OF was collected with the Draeger DrugTest(®) 5000 test cassette and Quantisal™ device 0.5 h before and up to 22 h after smoking. Test cassettes were analyzed within 15 min (n = 66), and Quantisal GC-MS THC results obtained within 24 h. Final THC detection times and test performances were assessed at different cannabinoid cutoffs. Diagnostic sensitivity, diagnostic specificity, and efficiency at DrugTest 5000's 5 μg/L screening cutoff and various THC confirmation cutoffs were 86.2-90.7, 75.0-77.8, and 84.8-87.9%, respectively. Last detection times were >22 h, longer than previously suggested. Confirmation of 11-nor-9-carboxy-THC, absent in THC smoke, minimized the potential for passive OF contamination and still provided 22-h windows of detection, appropriate for workplace drug testing, whereas confirmation of cannabidiol, and/or cannabinol yielded shorter 6-h windows of detection, appropriate for DUID OF testing. The DrugTest 5000 on-site device provided high diagnostic sensitivity for detection of cannabinoid exposure, and the selection of OF confirmation analytes and cutoffs provided appropriate windows of detection to meet the goals of different drug testing programs. © 2012 American Association for Clinical Chemistry

  3. The Infant Care Project: A Mother-Child Intervention Model Directed at Cocaine Use during Pregnancy. Final Report.

    Science.gov (United States)

    O'Donnell, Karen J.; And Others

    This final report discusses the outcomes of the federally funded Infant Care Project (ICP) that provided comprehensive and continuous services to 99 women who had used cocaine during pregnancy and their infants. The ICP model combined high risk obstetric care, infant and child development services, and substance abuse services on site in the…

  4. Leveraging the private sector for child health: a qualitative examination of caregiver and provider perspectives on private sector care for childhood pneumonia in Uttar Pradesh, India.

    Science.gov (United States)

    Brunie, Aurélie; Lenzi, Rachel; Lahiri, Anamika; Izadnegahdar, Rasa

    2017-02-22

    The private health sector is a primary source of curative care for childhood illnesses in many low- and middle-income countries. Therefore ensuring appropriate private sector care is an important step towards improving outcomes from illnesses like pneumonia, which is the leading infectious cause of childhood mortality worldwide. This study aimed to provide evidence on private sector care for childhood pneumonia in Uttar Pradesh, India, by simultaneously exploring providers' knowledge and practices and caregivers' experiences. We conducted in-depth interviews with a purposive sample of 36 practitioners and 34 caregivers in two districts. Practitioners included allopathic doctors, AYUSH providers, and drug sellers. Caregivers were mothers of children under the age of five with symptoms consistent with pneumonia who had seen one of those practitioners. Interview transcripts were analyzed thematically. Caregivers were generally prompt in seeking care outside the home, but many initially favored local informal providers based on access and cost. Drug sellers were not commonly consulted for treatment. Formal providers had imperfect, but reasonable, knowledge of pneumonia and followed appropriate steps for diagnosis, though some gaps were noticed that were primarily related to lack of (or failure to use) diagnostic tools. Most practitioners prescribed antibiotics and supportive symptomatic treatment. Relational and structural factors encouraged overuse of antibiotics and treatment interruption. Caregivers often had a limited understanding of treatment but wanted rapid symptomatic improvements, frequently leading to sequentially consulting multiple providers and interrupting treatment when symptoms improved. Providers were confronted with these expectations and care-seeking patterns. This study contributes in-depth evidence on private sector care for childhood pneumonia in UP. Achieving appropriate care requires an enriched perspective that simultaneously considers the

  5. Child slavery and child labour

    OpenAIRE

    McKinney, Stephen J.; Hill, R. J.; Hania, Honor

    2015-01-01

    Child slavery and child labour deny children their God-given dignity and freedom, and their right to education. Catholic Social Teaching is unequivocal in resolute condemnation of child slavery and child labour, in all of their forms.

  6. Home-Based Child Care Provider Education and Specialized Training: Associations with Caregiving Quality and Toddler Social-Emotional and Cognitive Outcomes

    Science.gov (United States)

    Schaack, Diana D.; Le, Vi Nhuan; Messan Setodji, Claude

    2017-01-01

    Research Findings: Although there has been considerable research on the associations between the qualifications of teachers in center-based settings and preschool-age children's developmental outcomes, very little is known about the relationships between home provider qualifications and the developmental outcomes of toddlers who attend licensed…

  7. Child Advocacy: Today's Answer for Child Abuse Prevention.

    Science.gov (United States)

    McNees, Penny A.

    This document examines the sociological, psychological, and biological aspects of child abuse. It provides definitions of child abuse and historical perspectives of child abuse, the juvenile court system, and child sexual abuse. The psychology of the victim and of the offender is discussed, bibliotherapy is presented as one way of helping children…

  8. On site DNA barcoding by nanopore sequencing.

    Directory of Open Access Journals (Sweden)

    Michele Menegon

    Full Text Available Biodiversity research is becoming increasingly dependent on genomics, which allows the unprecedented digitization and understanding of the planet's biological heritage. The use of genetic markers i.e. DNA barcoding, has proved to be a powerful tool in species identification. However, full exploitation of this approach is hampered by the high sequencing costs and the absence of equipped facilities in biodiversity-rich countries. In the present work, we developed a portable sequencing laboratory based on the portable DNA sequencer from Oxford Nanopore Technologies, the MinION. Complementary laboratory equipment and reagents were selected to be used in remote and tough environmental conditions. The performance of the MinION sequencer and the portable laboratory was tested for DNA barcoding in a mimicking tropical environment, as well as in a remote rainforest of Tanzania lacking electricity. Despite the relatively high sequencing error-rate of the MinION, the development of a suitable pipeline for data analysis allowed the accurate identification of different species of vertebrates including amphibians, reptiles and mammals. In situ sequencing of a wild frog allowed us to rapidly identify the species captured, thus confirming that effective DNA barcoding in the field is possible. These results open new perspectives for real-time-on-site DNA sequencing thus potentially increasing opportunities for the understanding of biodiversity in areas lacking conventional laboratory facilities.

  9. Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child

    Directory of Open Access Journals (Sweden)

    Ana Cristina Lindsay

    2017-11-01

    Full Text Available Latina women in the United States (U.S. are disproportionately affected by obesity and are more likely to begin pregnancy overweight and gain excessive weight during pregnancy. The prenatal care period represents a window of opportunity for women to access the healthcare system and receive preventive services, education, nutritional support, and other social services to improve pregnancy outcomes. Excessive gestational weight gain (GWG has numerous negative short- and long-term consequences for both the mother and newborn. We explored nulliparous Latina women’s perceptions about their experiences communicating with their primary healthcare provider about GWG and physical activity (PA to identify possible intervention targets using in-depth, semi-structured interviews. Bilingual, trained research staff conducted 23 interviews with first-time pregnant Latinas between 22 and 36 weeks of gestation. Interviews were transcribed verbatim and analyzed using content analysis. Salient text passages were extracted, shortened, coded, and grouped into categories. Women, including those who self-identified as being overweight or obese prior to pregnancy, reported receiving limited or no advice from their healthcare providers about GWG or PA. Additionally, analysis revealed that although participants value information received from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC program counselors, they would like to receive more information from their primary healthcare providers about adequate GWG. Furthermore, study findings indicate that some participants received conflicting information regarding PA during pregnancy. Study findings suggest the need for increased integration of communication and counseling about GWG and PA into prenatal care services to promote healthy weight gain and PA among low-income Latina women.

  10. Child neglect and emotional abuse

    Science.gov (United States)

    ... abuse: Not providing the child with a safe environment. The child witnesses violence or severe abuse between parents or ... as low self-esteem, depression, and anxiety Extreme behavior such as acting out, trying hard ... CHILD NEGLECT These are examples of child neglect: Rejecting ...

  11. Evaluation of the overweight/obese child--practical tips for the primary health care provider: recommendations from the Childhood Obesity Task Force of the European Association for the Study of Obesity

    DEFF Research Database (Denmark)

    Baker, Jennifer L; Farpour-Lambert, Nathalie J; Nowicka, Paulina

    2010-01-01

    Association for the Study of Obesity (EASO). We have attempted to use an evidence-based approach while allowing flexibility for the practicing clinician in domains where evidence is currently lacking and ensuring that treating the obese child involves the entire family as well.......The prevalence of obesity among children and adolescents is on the rise. The majority of overweight or obese children are treated by primary health care providers including paediatricians, family practitioners, dieticians, nurses, and school health services - and not by specialists. The majority...... of obese children have no underlying medical disorder causing their obesity yet a significant proportion might suffer from obesity-related co-morbidities. This text is aimed at providing simple and practical tools for the identification and management of children with or at risk of overweight and obesity...

  12. Assessment of the impact of quality improvement interventions on the quality of sick child care provided by Health Extension Workers in Ethiopia.

    Science.gov (United States)

    Miller, Nathan P; Amouzou, Agbessi; Hazel, Elizabeth; Legesse, Hailemariam; Degefie, Tedbabe; Tafesse, Mengistu; Black, Robert E; Bryce, Jennifer

    2016-12-01

    Ethiopia has scaled up integrated community case management of childhood illness (iCCM), including several interventions to improve the performance of Health Extension Workers (HEWs). We assessed associations between interventions to improve iCCM quality of care and the observed quality of care among HEWs. We assessed iCCM implementation strength and quality of care provided by HEWs in Ethiopia. Multivariate logistic regression analyses were performed to assess associations between interventions to improve iCCM quality of care and correct management of iCCM illnesses. Children who were managed by an HEW who had attended a performance review and clinical mentoring meeting (PRCMM) had 8.3 (95% confidence interval (CI) 2.34-29.51) times the odds of being correctly managed, compared to children managed by an HEW who did not attend a PRCMM. Management by an HEW who received follow-up training also significantly increased the odds of correct management (odds ratio (OR) = 2.09, 95% CI 1.05-4.18). Supervision on iCCM (OR = 0.63, 95% CI 0.23-1.72) did not significantly affect the odds of receiving correct care. These results suggest PRCMM and follow-up training were effective interventions, while implementation of supportive supervision needs to be reviewed to improve impact.

  13. ``Gauging'' Non-on-site Symmetries and Symmetry Protected Topological Phases

    Science.gov (United States)

    Hsieh, Chang-Tse; Cho, Gil Young; Ryu, Shinsei

    2015-03-01

    We gauge non-on-site symmetries, such as parity symmetries, for a general (1+1)D conformal field theory (CFT) which is the boundary of (2+1)D symmetry protected topological (SPT) phases. This provides an efficient method to diagnose stability of SPT phases with the discrete non-on-site symmetries. To gauge the non-on- site symmetries, we are naturally led to consider field theories defined on a non-orientied manifold, such as Klein bottle. The partner states of the ``vortices'' (or twist operators) of the gauged non-on-site symmetries, the so-called crosscap states, provide information about the classification of the corresponding SPT phases. Our method also provide a way to gauging time-reversal symmetry, which is ``topologically'' related to parity symmetry by CPT theorem. NSF Grants DMR-1064319.

  14. Child Poverty and Child Outcomes.

    Science.gov (United States)

    Bradshaw, Jonathan

    2002-01-01

    Reviews the evidence on the prevalence of child poverty in Britain including: (1) how child poverty has changed over the last 20 years; (2) how child poverty in Britain compares with that in other countries; (3) characteristics of poor children; (4) impact of poverty on child well-being; and (5) government attempts to abolish child poverty. (SD)

  15. Child Day Care Centers, This dataset contains the licensed daycare center locations in MD. Addresses were provided by the Department of Labor Licensing and Regulation (DLLR), and geocoded using Maryland Statewide Addressing Initiative Centerline., Published in 2012, 1:2400 (1in=200ft) scale, Towson University.

    Data.gov (United States)

    NSGIC Education | GIS Inventory — Child Day Care Centers dataset current as of 2012. This dataset contains the licensed daycare center locations in MD. Addresses were provided by the Department of...

  16. Associating child sexual abuse with child victimization in China.

    Science.gov (United States)

    Chan, Ko Ling; Yan, Elsie; Brownridge, Douglas A; Ip, Patrick

    2013-05-01

    To provide a comprehensive profile of the prevalence of child sexual abuse as well as other forms of child victimization in China and to examine the associations between child sexual abuse, demographic factors, and other forms of child victimization. Using a 2-staged stratified sampling procedure, we recruited a total of 18,341 students in grades 9-12 (girls 46.7%, mean age 15.86 years) from 150 randomly sampled schools during November 2009 through July 2010 in 6 Chinese cities. We assessed the students' demographic background and their experience of child sexual abuse and other forms of victimization. The independent effect on child sexual abuse of each demographic factor and form of child victimization was examined after controlling for other variables. The overall lifetime and preceding-year prevalence of child sexual abuse was 8.0% and 6.4%, respectively. Boys were more likely to report child sexual abuse than were girls. Apart from having experienced other forms of child victimization, several characteristics were associated with greater risk of child sexual abuse: being a boy; being older; having sibling(s); having divorced, separated, or widowed parents; or having an unemployed father. This study provides reliable estimates of child victimization to facilitate resource allocation in health care settings in China. The strong associations between child sexual abuse and other forms of child victimization warrant screening for additional forms of child victimization once any one of them has been identified. Copyright © 2013 Mosby, Inc. All rights reserved.

  17. Electrochemical microdevice for on-site determination of rice freshness.

    Science.gov (United States)

    Koyachi, Eri; Kojima, Kenichi; Qiu, Xiaoli; Satake, Takaaki; Suzuki, Hiroaki

    2013-04-15

    An electrochemical microdevice was fabricated for on-site rapid freshness determination of rice. The activity of peroxidase was used as an indicator for freshness. With hydrogen peroxide and hydroquinone as substrates, the enzymatic reaction of peroxidase produced benzoquinone, which was subsequently reduced on a gold working electrode electrochemically. The progress of the enzymatic reaction could clearly be observed in the change of cyclic voltammograms. Distinct differences were observed in the current change between fresh rice and aged rice, reflecting the remaining activity of peroxide. The current also depended on the time at which rice grains were milled. The result agreed well with those obtained by the conventional fluorometric and guaiacol methods. Comparison of results obtained with different numbers of grains showed that even the measurement with a single grain provided fairly consistent data. Furthermore, the existence of grains of different freshness could be identified using a device with multiple sensing sites. Copyright © 2012 Elsevier B.V. All rights reserved.

  18. Comparison of conventional vs. modular hydrogen refueling stations and on-site production vs. delivery.

    Energy Technology Data Exchange (ETDEWEB)

    Hecht, Ethan S. [Sandia National Lab. (SNL-CA), Livermore, CA (United States); Pratt, Joseph William [Sandia National Lab. (SNL-CA), Livermore, CA (United States)

    2017-03-01

    To meet the needs of public and private stakeholders involved in the development, construction, and operation of hydrogen fueling stations needed to support the widespread roll-out of hydrogen fuel cell electric vehicles, this work presents publicly available station templates and analyses. These ‘Reference Stations’ help reduce the cost and speed the deployment of hydrogen stations by providing a common baseline with which to start a design, enable quick assessment of potential sites for a hydrogen station, identify contributors to poor economics, and suggest areas of research. This work presents layouts, bills of materials, piping and instrumentation diagrams, and detailed analyses of five new station designs. In the near term, delivered hydrogen results in a lower cost of hydrogen compared to on-site production via steam methane reforming or electrolysis, although the on-site production methods have other advantages. Modular station concepts including on-site production can reduce lot sizes from conventional assemble-on-site stations.

  19. What works in practice: user and provider perspectives on the acceptability, affordability, implementation, and impact of a family-based intervention for child overweight and obesity delivered at scale.

    Science.gov (United States)

    Lucas, Patricia J; Curtis-Tyler, Katherine; Arai, Lisa; Stapley, Sally; Fagg, Jamie; Roberts, Helen

    2014-06-17

    As part of a study considering the impact of a child weight management programme when rolled out at scale following an RCT, this qualitative study focused on acceptability and implementation for providers and for families taking part. Participants were selected on the basis of a maximum variation sample providing a range of experiences and social contexts. Qualitative interviews were conducted with 29 professionals who commissioned or delivered the programme, and 64 individuals from 23 families in 3 English regions. Topic guides were used as a tool rather than a rule, enabling participants to construct a narrative about their experiences. Transcripts were analysed using framework analysis. Practical problems such as transport, work schedules and competing demands on family time were common barriers to participation. Delivery partners often put considerable efforts into recruiting, retaining and motivating families, which increased uptake but also increased cost. Parents and providers valued skilled delivery staff. Some providers made adaptations to meet local social and cultural needs. Both providers and parents expressed concerns about long term outcomes, and how this was compromised by an obesogenic environment. Concerns about funding together with barriers to uptake and engagement could translate into barriers to commissioning. Where these barriers were not experienced, commissioners were enthusiastic about continuing the programme. Most families felt that they had gained something from the programme, but few felt that it had 'worked' for them. The demands on families including time and emotional work were experienced as difficult. For commissioners, an RCT with positive results was an important driver, but family barriers, alongside concerns about recruitment and retention, a desire for local adaptability with qualified motivated staff, and funding changes discouraged some from planning to use the intervention in future.

  20. Greenhouse gas emissions from on-site wastewater treatment systems

    Science.gov (United States)

    Somlai-Haase, Celia; Knappe, Jan; Gill, Laurence

    2016-04-01

    Nearly one third of the Irish population relies on decentralized domestic wastewater treatment systems which involve the discharge of effluent into the soil via a percolation area (drain field). In such systems, wastewater from single households is initially treated on-site either by a septic tank and an additional packaged secondary treatment unit, in which the influent organic matter is converted into carbon dioxide (CO2) and methane (CH4) by microbial mediated processes. The effluent from the tanks is released into the soil for further treatment in the unsaturated zone where additional CO2 and CH4 are emitted to the atmosphere as well as nitrous oxide (N2O) from the partial denitrification of nitrate. Hence, considering the large number of on-site systems in Ireland and internationally, these are potential significant sources of greenhouse gas (GHG) emissions, and yet have received almost no direct field measurement. Here we present the first attempt to quantify and qualify the production and emissions of GHGs from a septic tank system serving a single house in the County Westmeath, Ireland. We have sampled the water for dissolved CO2, CH4 and N2O and measured the gas flux from the water surface in the septic tank. We have also carried out long-term flux measurements of CO2 from the drain field, using an automated soil gas flux system (LI-8100A, Li-Cor®) covering a whole year semi-continuously. This has enabled the CO2 emissions from the unsaturated zone to be correlated against different meteorological parameters over an annual cycle. In addition, we have integrated an ultraportable GHG analyser (UGGA, Los Gatos Research Inc.) into the automated soil gas flux system to measure CH4 flux. Further, manual sampling has also provided a better understanding of N2O emissions from the septic tank system.

  1. Child health, child education.

    Science.gov (United States)

    Rao, A R

    1989-06-01

    Although child survival programs may help to increase the life span of poor children in developing countries such as India, the quality of life will remain unchanged unless the value of involving children in health education efforts is recognized. The primary health care strategy seeks to involve children and communities in making decisions and taking actions to improve their health. Children can be engaged in the learning process through activities such as helping to care for younger siblings, educating children of their own age who are not attending school, and spreading preventive health messages to their homes and communities. Numerous studies have confirmed that children are easily motivated to play such roles and have the desire to transfer their knowledge to others; however, it is essential that health education messages are appropriate for the level of the child. Specific messages with tested effectiveness in child-to-child programs include accident prevention, dental hygiene, neighborhood hygiene, use of oral rehydration in cases of diarrhea, recognition of signs of major illness, care of sick children, use of play and mental stimulation to enhance children's development, and the making of toys and games to aid growth. Children can further be instructed to identify peers with sight and hearing problems as well as those with nutritional deficiencies. In the Malvani Project in Bombay, children are given responsibility for the health care of 3-4 families in their neighborhood. In the NCERT Project in New Delhi, children are organizing artistic exhibitions and plays to convey health messages to their peers who are not in school. Also in New Delhi, the VHAI Project has enlisted children in campaigns to prevent diarrhea and dehydration, smoking, and drug use.

  2. On-site energy consumption at softwood sawmills in Montana

    Science.gov (United States)

    Dan Loeffler; Nathaniel Anderson; Todd A. Morgan; Colin B. Sorenson

    2016-01-01

    Total on-site energy requirements for wood product manufacturing are generally not well understood or publicly available, particularly at subregional scales, such as the state level. This article uses a mail survey of softwood sawmills in Montana to develop a profile of all on-site energy consumption. Energy use is delineated by fuel type on a production basis...

  3. Child Care Subsidy Use and Child Development: Potential Causal Mechanisms

    Science.gov (United States)

    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…

  4. Child Development

    Science.gov (United States)

    ... grow older, they develop in several different ways. Child development includes physical, intellectual, social, and emotional changes. ... same sex. Peer approval becomes very important. Your child may try new behaviors to be part of " ...

  5. A Preventative Child Abuse Program.

    Science.gov (United States)

    Kiernan, Bette Unger; And Others

    This article describes the Child Development and Parenting Program (CDP), a preventative child abuse program that assists single women who are pregnant or have preschool children to cope constructively with the problems of single parenting. The short-term goals of the program, i.e., providing education in child development and parenting skills and…

  6. An Analysis of the Child and Adult Care Food Programs in Child Care Centers

    National Research Council Canada - National Science Library

    Kapur, Kanika

    1999-01-01

    ...) that provides healthy meals and snacks in child and adult day care facilities. This report uses the Cost, Quality and Child Outcomes study to analyze the characteristics of three types of child care centers: (1...

  7. Family and child labour: a study of child hawkers in Calabar ...

    African Journals Online (AJOL)

    Hawking is an ordered and organized activity which thrives among low-income parents and guardians as a coping strategy. Child hawking is a socialization process which prepares the child for adult economic life. It provides child-to-child learning and training for skill development. Child hawking becomes exploitative when ...

  8. Advancing family health through the Garden of Eatin': on-site food gardens in early childhood education.

    Science.gov (United States)

    Chaufan, Claudia; Yeh, Jarmin; Sigal, Byron

    2015-04-01

    Nutritional practices develop over the life course. Developing healthy habits at an early age can contribute to combating increasing child obesity rates. Through a range of activities that rely on the presence of an on-site food garden, North Bay Children's Center (NBCC), an early childhood education program, has enacted a "culture of health" into all aspects of the curriculum to promote healthy eating practices among children, families, teachers and staff. NBCC's garden program serves as a model in early childhood education and as a community-based intervention to improve family health and prevent child obesity.

  9. Child-Directed Speech: Relation to Socioeconomic Status, Knowledge of Child Development and Child Vocabulary Skill

    Science.gov (United States)

    Rowe, Meredith L.

    2008-01-01

    This study sought to determine why American parents from different socioeconomic backgrounds communicate in different ways with their children. Forty-seven parent-child dyads were videotaped engaging in naturalistic interactions in the home for ninety minutes at child age 2 ; 6. Transcripts of these interactions provided measures of child-directed…

  10. Child Dental Health

    Science.gov (United States)

    ... a dentist or doctor suggests it. Provide healthy foods and limit sweet snacks and drinks Schedule regular dental check-ups Forming good habits at a young age can help your child have healthy teeth for life. NIH: National Institute ...

  11. Child abuse.

    Science.gov (United States)

    Troiano, Maryann

    2011-12-01

    Child abuse can have a long-lasting and devastating effect on the growth and development of infants, children, and adolescents. Studies of abused and neglected children indicate that they have a higher rate of delayed intellectual development, poor school performance, aggressive behaviors, and social and relationship deficits compared with nonmaltreated children. Early recognition and appropriate treatment is one of the most important factors in preventing further child abuse and maltreatment. Every practitioner should be educated on the signs and symptoms of child abuse. The referral to child protective services is a necessity for the future well-being of the child. Copyright © 2011 Elsevier Inc. All rights reserved.

  12. Pre-Mix and on-site mixing of fumigants

    OpenAIRE

    Ryan, R F; Shore, W. P.

    2010-01-01

    Pre-Mix or On-Site mixing, a common practice with liquid insecticides, has benefits of increased synergy with fumigants. Both Pre-Mix and On-Site mixing have some issues with compatibility (e.g., active ingredient chemical stability; material compatibility; reaction with other ingredients). In addition to its fumigant properties, carbon dioxide (CO₂), has a synergistic effect on other fumigants and reduces flammability. The general consensus on the amount of CO₂ to improve efficacy is in the ...

  13. Child-directed speech: relation to socioeconomic status, knowledge of child development and child vocabulary skill.

    Science.gov (United States)

    Rowe, Meredith L

    2008-02-01

    This study sought to determine why American parents from different socioeconomic backgrounds communicate in different ways with their children. Forty-seven parent-child dyads were videotaped engaging in naturalistic interactions in the home for ninety minutes at child age 2;6. Transcripts of these interactions provided measures of child-directed speech. Children's vocabulary comprehension skills were measured using the Peabody Picture Vocabulary Test at 2;6 and one year later at 3;6. Results indicate that: (I) child-directed speech with toddlers aged 2;6 predicts child vocabulary skill one year later, controlling for earlier toddler vocabulary skill; (2) child-directed speech relates to socioeconomic status as measured by income and education; and (3) the relation between socioeconomic status and child-directed speech is mediated by parental knowledge of child development. Potential mechanisms through which parental knowledge influences communicative behavior are discussed.

  14. Pi-EEWS: a low cost prototype for on-site earthquake early warning system

    Science.gov (United States)

    Pazos, Antonio; Vera, Angel; Morgado, Arturo; Rioja, Carlos; Davila, Jose Martin; Cabieces, Roberto

    2017-04-01

    The Royal Spanish Navy Observatory (ROA), with the participation of the Cadiz University (UCA), have been developed the ALERTES-SC3 EEWS (regional approach) based on the SeisComP3 software package. This development has been done in the frame of the Spanish ALERT-ES (2011-2013) and ALERTES-RIM (2014-2016) projects, and now a days it is being tested in real time for south Iberia. Additionally, the ALERTES-SC3 system integrates an on-site EEWS software, developed by ROA-UCA, which is running for testing in real time in some seismic broad band stations of the WM network. Regional EEWS are not able to provide alerts in the area closet to the epicentre (blind zone), so a dense on-site EEWS is necessary. As it was mentioned, ALERTES-SC3 inludes the on-site software running on several WM stations but a more dense on-site stations are necessary to cover the blind zones. In order to densify this areas, inside of the "blind zones", a low cost on-site prototype "Pi-EEWS", based on a Raspberry Pi card and low cost acelerometers. In this work the main design ideas, the components and its capabilities will be shown.

  15. Assessment of On-Site Power Opportunities in the Industrial Sector

    Energy Technology Data Exchange (ETDEWEB)

    Bryson, T.

    2001-10-08

    The purpose of this report is to identify the potential for on-site power generation in the U.S. industrial sector with emphasis on nine industrial groups called the ''Industries of the Future'' (IOFs) by the U.S. Department of Energy (DOE). Through its Office of Industrial Technologies (OIT), the DOE has teamed with the IOFs to develop collaborative strategies for improving productivity, global competitiveness, energy usage and environmental performance. Total purchases for electricity and steam for the IOFs are in excess of $27 billion annually. Energy-related costs are very significant for these industries. The nine industrial groups are (1) Agriculture (SIC 1); (2) Forest products; (3) Lumber and wood products (SIC 24); (4) Paper and allied products (SIC 26); (5) Mining (SIC 11, 12, 14); (6) Glass (SIC 32); (7) Petroleum (SIC 29); (8) Chemicals (SIC 28); and (9) Metals (SIC 33): Steel, Aluminum, and Metal casting. Although not currently part of the IOF program, the food industry is included in this report because of its close relationship to the agricultural industry and its success with on-site power generation. On-site generation provides an alternative means to reduce energy costs, comply with environmental regulations, and ensure a reliable power supply. On-site generation can ease congestion in the local utility's electric grid. Electric market restructuring is exacerbating the price premium for peak electricity use and for reliability, creating considerable market interest in on-site generation.

  16. The Preschool Child Who is Blind.

    Science.gov (United States)

    Office of Child Development (DHEW), Washington, DC.

    The pamphlet contains general information and guidelines for parents of a preschool blind child. It is explained that a blind child needs what every child needs: love, good health, attention. Parents are urged to play with their blind child, give him opportunities to explore and grow, and to provide many and varied experiences for him. Although…

  17. A integralidade no cuidado à saúde materno-infantil em um contexto rural: um relato de experiência Integrality in the care provided for maternal and child health in a rural context: an experience report

    Directory of Open Access Journals (Sweden)

    Livia Rocha Beheregaray

    2010-03-01

    Full Text Available Trata-se de um relato de experiência sobre a prática da integralidade em saúde na assistência à população materno-infantil do meio rural em um município do sul do Brasil. As reflexões são oriundas de uma pesquisa sobre a saúde nutricional e o contexto de vida do universo de crianças menores de cinco anos residentes nesse contexto. Tem como base as anotações em diário de campo. Constatou-se que a população rural vive em condição de desvantagem, uma vez que os serviços e a atenção à saúde são quase exclusivamente projetados para a população urbana. Ainda, o modelo assistencial e o processo de trabalho desenvolvido dificultam a prática da integralidade. Essa situação é traduzida por questões que envolvem o acesso, o acolhimento, o vínculo e a responsabilização por parte dos profissionais. Dessa forma, parece necessário repensar a saúde da população rural desenvolvendo políticas específicas às peculiaridades epidemiológicas e culturais, serviços acessíveis geograficamente e atendidos por equipes que desempenham cuidado acolhedor e resolutivo.This is an experience report on the practice of integrality in health in the assistance provided for the mother-child population in the rural area of a city in south Brazil. The reflections come from research on the nutritional health and context of life in the universe of children who are under five years old and live in the countryside. It is mainly based on field notes. It was observed that the rural population lives in conditions of disadvantage, since the healthcare services and assistance are designed almost exclusively for the urban population. Also, the assistance model and the developed working process hinder the practice of integrality. This situation is translated by questions that involve the access, sheltering, bond and responsibility on the part of professionals. Thus, it is necessary to re-think the rural population's health, developing specific

  18. International Symposium on Site Characterization for CO2Geological Storage

    Energy Technology Data Exchange (ETDEWEB)

    Tsang, Chin-Fu

    2006-02-23

    Several technological options have been proposed to stabilize atmospheric concentrations of CO{sub 2}. One proposed remedy is to separate and capture CO{sub 2} from fossil-fuel power plants and other stationary industrial sources and to inject the CO{sub 2} into deep subsurface formations for long-term storage and sequestration. Characterization of geologic formations for sequestration of large quantities of CO{sub 2} needs to be carefully considered to ensure that sites are suitable for long-term storage and that there will be no adverse impacts to human health or the environment. The Intergovernmental Panel on Climate Change (IPCC) Special Report on Carbon Dioxide Capture and Storage (Final Draft, October 2005) states that ''Site characterization, selection and performance prediction are crucial for successful geological storage. Before selecting a site, the geological setting must be characterized to determine if the overlying cap rock will provide an effective seal, if there is a sufficiently voluminous and permeable storage formation, and whether any abandoned or active wells will compromise the integrity of the seal. Moreover, the availability of good site characterization data is critical for the reliability of models''. This International Symposium on Site Characterization for CO{sub 2} Geological Storage (CO2SC) addresses the particular issue of site characterization and site selection related to the geologic storage of carbon dioxide. Presentations and discussions cover the various aspects associated with characterization and selection of potential CO{sub 2} storage sites, with emphasis on advances in process understanding, development of measurement methods, identification of key site features and parameters, site characterization strategies, and case studies.

  19. Medicare Provider Data - Hospice Providers

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Hospice Utilization and Payment Public Use File provides information on services provided to Medicare beneficiaries by hospice providers. The Hospice PUF...

  20. Child Care

    Science.gov (United States)

    ... to choose the one that works for your family. It is important to get to know your child's caregivers. They will be a big part of your child's life. The caregiver's training should involve Knowledge of how young children learn and grow Positive, consistent discipline Knowledge of the signs that ...

  1. On-site assessment of environmental and sanitary qualities of ...

    African Journals Online (AJOL)

    On-site assessment of the sanitary location of the RWH system showed that 5% were located near a septic tank and another 5% in flooded area. The harvested rainwater was used for several domestic purposes including drinking. All respondent agreed that they use rainwater for washing while 10% of the respondent ...

  2. On-Site School Library Automation: Automation Anywhere with Laptops.

    Science.gov (United States)

    Gunn, Holly; Oxner, June

    2000-01-01

    Four years after the Halifax Regional School Board was formed through amalgamation, over 75% of its school libraries were automated. On-site automation with laptops was a quicker, more efficient way of automating than sending a shelf list to the Technical Services Department. The Eastern Shore School Library Automation Project was a successful…

  3. 7 CFR 205.403 - On-site inspections.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false On-site inspections. 205.403 Section 205.403 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM...

  4. On-site screening for syphilis at an antenatal clinic

    African Journals Online (AJOL)

    Objective. To determine the validity, predictive value and accuracy of the rapid plasma reagin card test performed on site to diagnose active syphilis in pregnant women so that immediate treatment can be offered to prevent congenital syphilis. Design. Open, descriptive study. Setting. Antenatal clinic, Mamelodi Hospital, ...

  5. Child health in Greenland

    DEFF Research Database (Denmark)

    Niclasen, Birgit V L; Bjerregaard, Peter

    2007-01-01

    of problems might differ. The child mortality is relatively high and unevenly distributed. The acute disease pattern is dominated by infections, mostly airway infections. Otitis and its sequelae is a problem. An increase in chronic conditions such as atopy, asthma, obesity, and disabilities has taken place......AIM: To review the knowledge on child health and child health problems in Greenland. METHOD: The review was based on theses, national statistics, national and international reports, and a search in Pub Med, PsycINFO, Web of Science, and WHOLIB databases from 1985 to 2005. The resulting articles...... were sorted by topic, type, quality of study, and relevance for child health today, providing 47 articles. RESULTS: Children in Greenland have become taller and have improved their general health. The morbidity found in Greenlandic children is similar to that found elsewhere even though the magnitude...

  6. Child Care and Child Nutrition

    Science.gov (United States)

    Karolak, Eric

    2009-01-01

    The weak economy is challenging the child care program budget. Fluctuations in enrollment come up against rising costs making every penny count. So for many reasons a federal program that helps defray the costs of snacks and meals in child care programs is particularly important and timely. In this article, the author pushes for the…

  7. Family environment and child development

    Directory of Open Access Journals (Sweden)

    Tina Kavčič

    2005-04-01

    Full Text Available The paper presents an overview of research findings on influence of family environment, especially parental behaviour, on child's development. Contemporary authors question early socialization researchers' claims that family characteristics and parental behaviour have important influence on behaviour of their children. Later researchers examined the size and durability of possible effects of family environment on child development. In addition, they focused on establishing whether it is actually the parental behaviour that influences child's development or, on the contrary, parental behaviour represents mainly a reaction to child's characteristics. Behaviour genetic studies have provided evidence that many traditional measures of family environment, including measures of parental behaviour, show genetic influence, thus reflecting genetically influenced child characteristics. Behaviour geneticists also suggest that environmental influences on child (personality development include predominantly non-shared environment, i.e. individual child's specific experiences, his/her own perceptions and interpretations of objectively same events. Based on empirically determined significant genetic effects on most behavioural traits and inconclusive results of studies on effects of family environment on child development some authors believe that it is not the parents, but rather genetic factor and/or peers who have the key role in child development. With respect to findings of behaviour genetics numerous recent studies of relations between family environment and child development involve child specific measures of (extrafamilial environment and examine the interactions between characteristics of an individual and those of his/her environment.

  8. REPORT OF ON-SITE INSPECTION WORKSHOP-16

    Energy Technology Data Exchange (ETDEWEB)

    Sweeney, J J

    2009-07-07

    The central issue addressed by this workshop was the task of making the on-site inspection (OSI) part of the Comprehensive Nuclear-Test-Ban Treaty verification system operationally ready at entry into force of the Treaty. It is recognized, and this was emphasized by the 2008 OSI Integrated Field Exercise (IFE), that it is not possible to develop every part of the OSI regime simultaneously. Therefore, it is necessary to prioritize the approach to OSI readiness. The reviews of the IFE have pointed to many elements of OSI readiness that still need development. The objective of this workshop was to provide priorities for the path forward for Working Group B to consider. Several critical areas have been identified that are related to the development of OSI readiness: (1) Technology development: Priorities are radionuclide and noble gas sampling and analysis, visual observation, multispectral/infrared imaging methods, active seismic methods and the recognition of the importance of signatures. (2) Organizational development: Priorities are health and safety, the Operations Support Centre, the Equipment Storage and Maintenance Facility, information technology data flow and communications. (3) Resources: The expertise to develop key parts of the OSI regime is not available within the current OSI Division staff. To develop these aspects of the regime will require more staff or supplements to the staff with cost-free experts or other means. Aspects of the system that could benefit from more staff include radionuclide and noble gas detection methods, data flow and communications, visual observation, multispectral/infrared methods and health and safety. As the path forward, participants of this workshop recognized a need to optimize the development of OSI priorities. The outcome of this workshop is to suggest for consideration an operational approach to OSI readiness that utilizes results of an evaluation of the relative effectiveness of OSI elements versus their relative

  9. Global Scale Methane Emissions from On-Site Wastewater Management

    Science.gov (United States)

    Reid, M. C.; Guan, K.; Mauzerall, D. L.

    2013-12-01

    Pit latrines and other on-site sanitation methods are important forms of wastewater management at the global scale, providing hygienic and low-cost sanitation for more than 1.7 billion people in developing and middle-income regions. Latrines have also been identified as major sources of the greenhouse gas methane (CH4) from the anaerobic decomposition of organic waste in pits. Understanding the greenhouse gas footprint of different wastewater systems is essential for sustainable water resource development and management. Despite this importance, CH4 emissions from decentralized wastewater treatment have received little attention in the scientific literature, and the rough calculations underlying government inventories and integrated assessment models do not accurately capture variations in emissions within and between countries. In this study, we improve upon earlier efforts and develop the first spatially explicit approach to quantifying latrine CH4 emissions, combining a high-resolution geospatial analysis of population, urbanization, and water table (as an indicator of anaerobic decomposition pathways) with CH4 emissions factors from the 2006 IPCC Guidelines for National Greenhouse Gas Inventories. Country-level health and sanitation surveys were used to determine latrine utilization in 2000 and predict usage in 2015. 18 representative countries in Asia, Africa, and Latin America were selected for this analysis to illustrate regional variations in CH4 emissions and to include the greatest emitting nations. Our analysis confirms that pit latrines are a globally significant anthropogenic CH4 source, emitting 4.7 Tg CH4 yr-1 in the countries considered here. This total is projected to decrease ~25% by 2015, however, driven largely by rapid urbanization in China and decreased reliance on latrines in favor of flush toilets. India has the greatest potential for large growth in emissions in the post-2015 period, since public health campaigns to end open defecation

  10. Child CPR

    Medline Plus

    Full Text Available Refresher Center Home FIRST AID, CPR and AED LIFEGUARDING Refresher Child - CPR (1:11) QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our Store Contact Us Privacy Policy Terms and ...

  11. Substantiated Reports of Child Maltreatment From the Canadian Incidence Study of Reported Child Abuse and Neglect 2008: Examining Child and Household Characteristics and Child Functional Impairment.

    Science.gov (United States)

    Afifi, Tracie O; Taillieu, Tamara; Cheung, Kristene; Katz, Laurence Y; Tonmyr, Lil; Sareen, Jitender

    2015-07-01

    Identifying child and household characteristics that are associated with specific child maltreatment types and child functional impairment are important for informing prevention and intervention efforts. Our objectives were to examine the distribution of several child and household characteristics among substantiated child maltreatment types in Canada; to determine if a specific child maltreatment type relative to all other types was associated with increased odds of child functional impairment; and to determine which child and household characteristics were associated with child functional impairment. Data were from the Canadian Incidence Study of Reported Child Abuse and Neglect (collection 2008) from 112 child welfare sites across Canada (n = 6163 children). Physical abuse, sexual abuse, and emotional maltreatment were highly prevalent among children aged 10 to 15 years. For single types of child maltreatment, the highest prevalence of single-parent homes (50.6%), social assistance (43.0%), running out of money regularly (30.7%), and unsafe housing (30.9%) were reported for substantiated cases of neglect. Being male, older age, living in a single-parent home, household running out of money, moving 2 or more times in the past year, and household overcrowding were associated with increased odds of child functional impairment. More work is warranted to determine if providing particular resources for single-parent families, financial counselling, and facilitating adequate and stable housing for families with child maltreatment histories or at risk for child maltreatment could be effective for improving child functional outcomes.

  12. What Is Child Abuse and Neglect?

    Science.gov (United States)

    US Department of Health and Human Services, 2006

    2006-01-01

    Each State provides its own definitions of child abuse and neglect based on minimum standards set by Federal law. This fact sheet provides the answers to the following questions: (1) How is child abuse and neglect defined in Federal law?; and (2) What are the major types of child abuse and neglect? Additional resources are listed. (Contains 2…

  13. Child Care Lead Poisoning Prevention. Training Curriculum.

    Science.gov (United States)

    California Dept. of Health Services, Oakland. Childhood Lead Poisoning Prevention Branch.

    In an effort to address young children's substantial risk for exposure to lead in out-of-home child care programs, outreach and training were developed for child care providers. This workshop curriculum consists of training activities and materials appropriate for child care providers in centers or homes for the purpose of educating them about the…

  14. The feasibility of mobile computing for on-site inspection.

    Energy Technology Data Exchange (ETDEWEB)

    Horak, Karl Emanuel; DeLand, Sharon Marie; Blair, Dianna Sue

    2014-09-01

    With over 5 billion cellphones in a world of 7 billion inhabitants, mobile phones are the most quickly adopted consumer technology in the history of the world. Miniaturized, power-efficient sensors, especially video-capable cameras, are becoming extremely widespread, especially when one factors in wearable technology like Apples Pebble, GoPro video systems, Google Glass, and lifeloggers. Tablet computers are becoming more common, lighter weight, and power-efficient. In this report the authors explore recent developments in mobile computing and their potential application to on-site inspection for arms control verification and treaty compliance determination. We examine how such technology can effectively be applied to current and potential future inspection regimes. Use cases are given for both host-escort and inspection teams. The results of field trials and their implications for on-site inspections are discussed.

  15. On-site early-warning system for Bishkek (Kyrgyzstan

    Directory of Open Access Journals (Sweden)

    Dino Bindi

    2015-04-01

    Full Text Available In this work, the development of an on-site early warning system for Bishkek (Kyrgyzstan is outlined. Several low cost sensors equipped with MEMS accelerometers are installed in eight buildings distributed within the urban area. The different sensing units communicate each other via wireless links and the seismic data are streamed in real-time to the data center using internet. Since each single sensing unit has computing capabilities, software for data processing can be installed to perform decentralized actions. In particular, each sensing unit can perform event detection task and run software for on-site early warning. If a description for the vulnerability of the building is uploaded in the sensing unit, this piece of information can be exploited to introduce the expected probability of damage in the early-warning protocol customized for a specific structure.

  16. Field sampling and selecting on-site analytical methods for explosives in soil

    Energy Technology Data Exchange (ETDEWEB)

    Crockett, A.B.; Craig, H.D.; Jenkins, T.F.; Sisk, W.E.

    1996-12-01

    A large number of defense-related sites are contaminated with elevated levels of secondary explosives. Levels of contamination range from barely detectable to levels above 10% that need special handling because of the detonation potential. Characterization of explosives-contaminated sites is particularly difficult because of the very heterogeneous distribution of contamination in the environment and within samples. To improve site characterization, several options exist including collecting more samples, providing on-site analytical data to help direct the investigation, compositing samples, improving homogenization of the samples, and extracting larger samples. This publication is intended to provide guidance to Remedial Project Managers regarding field sampling and on-site analytical methods for detecting and quantifying secondary explosive compounds in soils, and is not intended to include discussions of the safety issues associated with sites contaminated with explosive residues.

  17. Talking to your child about smoking

    Science.gov (United States)

    ... help quitting, talk to your health care provider. Alternative Names Nicotine - talking to your child; Tobacco - talking to your children; Cigarettes - talking to your child References Hanewinkel R, Isensee ...

  18. On-Site Field-Feeding Waste to Energy Converter

    Science.gov (United States)

    2008-12-01

    operator’s duty is to feed relatively dry paper and plastic trash into the OFWEC’s shredder, having previously se- parated cans, glass bottles , and...ON-SITE FIELD- FEEDING WASTE TO ENERGY CONVERTER L. Knowlton* and D. Pickard U.S. Army Natick Soldier Research, Development and Engineering...field- feeding generates tons of solid waste that is a costly logistic burden, requiring personnel, vehi- cles, and fuel that could otherwise be used for

  19. 5 CFR 792.224 - Are child care subsidies paid to the Federal employee using the child care?

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Are child care subsidies paid to the... the Child Care Subsidy Program Legislation and to Whom Does It Apply? § 792.224 Are child care subsidies paid to the Federal employee using the child care? Agencies must pay the child care provider...

  20. Upflow evapotranspiration system for the treatment of on-site wastewater effluent

    OpenAIRE

    Sean Curneen; Laurence Gill

    2015-01-01

    Full-scale willow evapotranspiration systems fed from the base with septic tank or secondary treated domestic effluent from single houses have been constructed and instrumented in Ireland in order to investigate whether the technology could provide a solution to the problem of on-site effluent disposal in areas with low permeability subsoils. Continuous monitoring of rainfall, reference evapotranspiration, effluent flows and water level in the sealed systems revealed varying evapotranspiratio...

  1. Limitations of on-site dairy farm regulatory debits as milk quality predictors.

    Science.gov (United States)

    Borneman, Darand L; Stiegert, Kyle; Ingham, Steve

    2015-03-01

    In the United States, compliance with grade A raw fluid milk regulatory standards is assessed via laboratory milk quality testing and by on-site inspection of producers (farms). This study evaluated the correlation between on-site survey debits being marked and somatic cell count (SCC) or standard plate count (SPC) laboratory results for 1,301 Wisconsin grade A dairy farms in 2012. Debits recorded on the survey form were tested as predictors of laboratory results utilizing ordinary least squares regression to determine if results of the current method for on-site evaluation of grade A dairy farms accurately predict SCC and SPC test results. Such a correlation may indicate that current methods of on-site inspection serve the primary intended purpose of assuring availability of high-quality milk. A model for predicting SCC was estimated using ordinary least squares regression methods. Step-wise selected regressors of grouped debit items were able to predict SCC levels with some degree of accuracy (adjusted R2=0.1432). Specific debit items, seasonality, and farm size were the best predictors of SCC levels. The SPC data presented an analytical challenge because over 75% of the SPC observations were at or below a 25,000 cfu/mL threshold but were recorded by testing laboratories as at the threshold value. This classic censoring problem necessitated the use of a Tobit regression approach. Even with this approach, prediction of SPC values based on on-site survey criteria was much less successful (adjusted R2=0.034) and provided little support for the on-site survey system as a way to inform farmers about making improvements that would improve SPC. The lower level of correlation with SPC may indicate that factors affecting SPC are more varied and differ from those affecting SCC. Further, unobserved deficiencies in postmilking handling and storage sanitation could enhance bacterial growth and increase SPC, whereas postmilking sanitation will have no effect on SCC because

  2. Industrial paramedics, out on site but not out of mind.

    Science.gov (United States)

    Acker, Joseph J; Johnston, Tania M; Lazarsfeld-Jensen, Ann

    2014-01-01

    (MOEMS). There is no single definition or comprehensive role description for industrial paramedic practice within the literature. Worldwide, there is little high-quality published evidence to adequately reflect all aspects of industrial paramedic practice. However, based on the literature available, this definition is offered: 'An industrial paramedic is an advanced clinical practitioner in paramedicine with an expanded scope of practice. The industrial paramedic provides emergency response, primary health care, chronic disease management, injury prevention, health promotion, medical referral, and repatriation coordination at remote mining sites, offshore installations, and other isolated industry settings. The industrial paramedic is resourceful, adaptable, and comfortable working independently. Industrial paramedics practice on site with limited resources, remotely located from tertiary care, and use telemedicine to consult with other health professionals as required. Industrial paramedics are experts at rapidly assessing, prioritising, and establishing control in their unpredictable workspace to reduce risks and create an environment conducive to quality patient care. The industrial paramedic preferably holds a specialised tertiary qualification and is committed to maintaining their clinical competency through continuing professional development.' Further research is required to validate, refute, or expand this proposed definition.

  3. Child physical abuse and neglect.

    Science.gov (United States)

    Schilling, Samantha; Christian, Cindy W

    2014-04-01

    This article provides an overview of child physical abuse and neglect, and describes the magnitude of the problem and the triggers and factors that place children at risk for abuse and neglect. After examining the legal and clinical definitions of child abuse and neglect, common clinical outcomes and therapeutic strategies are reviewed, including the lifelong poor physical and mental health of victims and evidence-supported treatment interventions. Mandated reporting laws, and facilitating collaboration among child welfare, judicial, and health care systems are considered. Important tools and resources for addressing child maltreatment in clinical practice are discussed, and future approaches posited. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Optimal selection of on-site generation with combined heat andpower applications

    Energy Technology Data Exchange (ETDEWEB)

    Siddiqui, Afzal S.; Marnay, Chris; Bailey, Owen; HamachiLaCommare, Kristina

    2004-11-30

    While demand for electricity continues to grow, expansion of the traditional electricity supply system, or macrogrid, is constrained and is unlikely to keep pace with the growing thirst western economies have for electricity. Furthermore, no compelling case has been made that perpetual improvement in the overall power quality and reliability (PQR)delivered is technically possible or economically desirable. An alternative path to providing high PQR for sensitive loads would generate close to them in microgrids, such as the Consortium for Electricity Reliability Technology Solutions (CERTS) Microgrid. Distributed generation would alleviate the pressure for endless improvement in macrogrid PQR and might allow the establishment of a sounder economically based level of universal grid service. Energy conversion from available fuels to electricity close to loads can also provide combined heat and power (CHP) opportunities that can significantly improve the economics of small-scale on-site power generation, especially in hot climates when the waste heat serves absorption cycle cooling equipment that displaces expensive on-peak electricity. An optimization model, the Distributed Energy Resources Customer Adoption Model (DER-CAM), developed at Berkeley Lab identifies the energy bill minimizing combination of on-site generation and heat recovery equipment for sites, given their electricity and heat requirements, the tariffs they face, and a menu of available equipment. DER-CAM is used to conduct a systemic energy analysis of a southern California naval base building and demonstrates atypical current economic on-site power opportunity. Results achieve cost reductions of about 15 percent with DER, depending on the tariff.Furthermore, almost all of the energy is provided on-site, indicating that modest cost savings can be achieved when the microgrid is free to select distributed generation and heat recovery equipment in order to minimize its over all costs.

  5. Girl child and social change.

    Science.gov (United States)

    Seth, P

    1995-01-01

    This article discusses the state of social change and the disparity between India's Constitutional aims and actual practice in addressing gender inequality and the special risks of female children in India. The second part of this article summarizes Constitutional articles and laws relating to protection of women and a girl child. Before birth, a female child is at risk of fetal death. A woman is at risk of poorly performed abortions and maternal mortality. After birth, a girl child is at risk of child care of younger siblings, housework, lack of education, wage work for the household, sexual abuse, vulnerability at work or school or on the street, murder by her parents, abuse, malnutrition, and desertion. The SAARC summit declared 1990 the Year of the Girl Child. UN conventions and a world summit focused on the Rights of the Child. A child has a right to freedom from exploitation, neglect and abuse, and access to food, health care, and education. Articles 14, 15, and 16 of India's Constitution guarantee protection from discrimination on grounds of religion, race, caste, sex, or place of birth and equality of opportunity in public employment. Article 23 prohibits trafficking in humans and forced labor. Article 24 prohibits child labor under the age of 14 years. Article 39 assures an adequate means of livelihood, equal pay, and protection from child abuse and economic pressure to work in jobs unsuitable to a child's age and strength. Article 45 provides for free and compulsory education up to 14 years of age. Article 51 prohibits derogatory practices against women. Article 325 and 326 prohibits sex discrimination. Other laws pertain to dowry, marriage age, prostitution, abortion, juvenile justice, kidnapping, obscenity, procurement of a minor, sexual offenses, divorce and child support, child care, maternity benefits, and cruelty by a husband or relatives. The girl child in India continues to live in perpetual threat, both physiological and psychological.

  6. Procurement Specifications Templates for On-Site Solar Photovoltaic: For Use in Developing Federal Solicitations

    Energy Technology Data Exchange (ETDEWEB)

    Robinson, G. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2017-01-16

    With the increasing adaption of on-site renewable energy systems designed to feed site loads, there is a critical need to develop tools that allow the federal sector to become a mature and sophisticated consumer. This document is intended to reduce project development and operational risks while increasing the speed at which projects are completed; two necessary components to reach the scale required to meet mandates and achieve cost savings for taxpayers. This guide is intended to act as a living document where lessons learned from the increasing number of projects can be incorporated and provide guidance for efforts. While additional guides will be developed to cover other renewable technologies, this guide covers on-site solar photovoltaic systems with an emphasis on third-party designed, financed, owned, and operated systems.

  7. CHILD ALLOWANCE

    CERN Multimedia

    Human Resources Division

    2001-01-01

    HR Division wishes to clarify to members of the personnel that the allowance for a dependent child continues to be paid during all training courses ('stages'), apprenticeships, 'contrats de qualification', sandwich courses or other courses of similar nature. Any payment received for these training courses, including apprenticeships, is however deducted from the amount reimbursable as school fees. HR Division would also like to draw the attention of members of the personnel to the fact that any contract of employment will lead to the suppression of the child allowance and of the right to reimbursement of school fees.

  8. Child abuse

    Energy Technology Data Exchange (ETDEWEB)

    Dorst, J.P.

    1982-08-01

    Child abuse is common in most, if not all, Western nations; it probably occurs worldwide. It may be a major factor in the increase in violence throughout much of the world. Radiologists who treat children should think of the possibilitys of abuse whenever they diagnose a fracture, intracranial bleeding or visceral injury, especially when the history is not compatible with their findings. Metaphyseal 'corner' fractures in infants usually are caused by abuse. Less than 20% of abused children, however, present injuries that can be recognized by radiologic techniques. Consequently normal roentgenograms, nuclear medicine scans, ultrasound studies, and computed tomograms do not exclude child abuse.

  9. The On-Site Analysis of the Cherenkov Telescope Array

    CERN Document Server

    Bulgarelli, Andrea; Zoli, Andrea; Aboudan, Alessio; Rodríguez-Vázquez, Juan José; De Cesare, Giovanni; De Rosa, Adriano; Maier, Gernot; Lyard, Etienne; Bastieri, Denis; Lombardi, Saverio; Tosti, Gino; Bergamaschi, Sonia; Beneventano, Domenico; Lamanna, Giovanni; Jacquemier, Jean; Kosack, Karl; Antonelli, Lucio Angelo; Boisson, Catherine; Borkowski, Jerzy; Buson, Sara; Carosi, Alessandro; Conforti, Vito; Colomé, Pep; Reyes, Raquel de los; Dumm, Jon; Evans, Phil; Fortson, Lucy; Fuessling, Matthias; Gotz, Diego; Graciani, Ricardo; Gianotti, Fulvio; Grandi, Paola; Hinton, Jim; Humensky, Brian; Inoue, Susumu; Knödlseder, Jürgen; Flour, Thierry Le; Lindemann, Rico; Malaguti, Giuseppe; Markoff, Sera; Marisaldi, Martino; Neyroud, Nadine; Nicastro, Luciano; Ohm, Stefan; Osborne, Julian; Oya, Igor; Rodriguez, Jerome; Rosen, Simon; Ribo, Marc; Tacchini, Alessandro; Schüssler, Fabian; Stolarczyk, Thierry; Torresi, Eleonora; Testa, Vincenzo; Wegner, Peter

    2015-01-01

    The Cherenkov Telescope Array (CTA) observatory will be one of the largest ground-based very high-energy gamma-ray observatories. The On-Site Analysis will be the first CTA scientific analysis of data acquired from the array of telescopes, in both northern and southern sites. The On-Site Analysis will have two pipelines: the Level-A pipeline (also known as Real-Time Analysis, RTA) and the level-B one. The RTA performs data quality monitoring and must be able to issue automated alerts on variable and transient astrophysical sources within 30 seconds from the last acquired Cherenkov event that contributes to the alert, with a sensitivity not worse than the one achieved by the final pipeline by more than a factor of 3. The Level-B Analysis has a better sensitivity (not be worse than the final one by a factor of 2) and the results should be available within 10 hours from the acquisition of the data: for this reason this analysis could be performed at the end of an observation or next morning. The latency (in part...

  10. Portable Infrared Laser Spectroscopy for On-site Mycotoxin Analysis

    Science.gov (United States)

    Sieger, Markus; Kos, Gregor; Sulyok, Michael; Godejohann, Matthias; Krska, Rudolf; Mizaikoff, Boris

    2017-03-01

    Mycotoxins are toxic secondary metabolites of fungi that spoil food, and severely impact human health (e.g., causing cancer). Therefore, the rapid determination of mycotoxin contamination including deoxynivalenol and aflatoxin B1 in food and feed samples is of prime interest for commodity importers and processors. While chromatography-based techniques are well established in laboratory environments, only very few (i.e., mostly immunochemical) techniques exist enabling direct on-site analysis for traders and manufacturers. In this study, we present MYCOSPEC - an innovative approach for spectroscopic mycotoxin contamination analysis at EU regulatory limits for the first time utilizing mid-infrared tunable quantum cascade laser (QCL) spectroscopy. This analysis technique facilitates on-site mycotoxin analysis by combining QCL technology with GaAs/AlGaAs thin-film waveguides. Multivariate data mining strategies (i.e., principal component analysis) enabled the classification of deoxynivalenol-contaminated maize and wheat samples, and of aflatoxin B1 affected peanuts at EU regulatory limits of 1250 μg kg-1 and 8 μg kg-1, respectively.

  11. Laboratory and On-Site Tests for Rapid Runway Repair

    Directory of Open Access Journals (Sweden)

    Federico Leonelli

    2017-11-01

    Full Text Available The attention to rapid pavement repair has grown fast in recent decades: this topic is strategic for the airport management process for civil purposes and peacekeeping missions. This work presents the results of laboratory and on-site tests for rapid runway repair, in order to analyse and compare technical and mechanical performances of 12 different materials currently used in airport. The study focuses on site repairs, a technique adopted most frequently than repairs with modular elements. After describing mechanical and physical properties of the examined materials (2 bituminous emulsions, 5 cement mortars, 4 cold bituminous mixtures and 1 expanding resin, the study presents the results of carried out mechanical tests. The results demonstrate that the best performing material is a one-component fast setting and hardening cement mortar with graded aggregates. This material allows the runway reopening 6 h after the work. A cold bituminous mixture (bicomponent premixed cold asphalt with water as catalyst and the ordinary cement concrete allow the reopening to traffic after 18 h, but both ensure a lower service life (1000 coverages than the cement mortar (10,000 coverages. The obtained results include important information both laboratory level and field, and they could be used by airport management bodies and road agencies when scheduling and evaluating pavement repairs.

  12. Child Care Assistance: Helping Parents Work and Children Succeed

    Science.gov (United States)

    Matthews, Hannah; Walker, Christina

    2014-01-01

    Quality child care enables parents to work or go to school while also providing young children with the early childhood education experiences needed for healthy development. The Child Care and Development Block Grant (CCDBG) is the primary federal program that provides funding for child care assistance for low-income working parents. Child care…

  13. Child CPR

    Medline Plus

    Full Text Available Refresher Center Home FIRST AID, CPR and AED LIFEGUARDING Refresher Child - CPR (1:11) QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our Store Contact Us Privacy Policy Terms and Conditions All rights reserved. 2011 American National Red Cross.

  14. Disobedient Child

    Science.gov (United States)

    ... be related to the child's temperament, or to school problems, family stress, or conflicts between his parents. What parents can do When you have a ... you are seeking, including cooperation and resolution of disagreements. These ... both at school and at home. If the patterns of disobedience ...

  15. Child CPR

    Medline Plus

    Full Text Available ... Home FIRST AID, CPR and AED LIFEGUARDING Refresher Child - CPR (1:11) QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our Store Contact Us Privacy Policy Terms and Conditions All rights reserved. 2011 American National Red Cross.

  16. An Ounce of Prevention: Child Protection.

    Science.gov (United States)

    Merrill, Barbara, Ed.

    One of a series of three intended for day care center staff, this training manual on child protection consists of descriptions of four workshops. In workshops one and two, respectively, the detection and reporting of general child abuse/neglect and child sexual abuse are explained. In workshop three, information is provided on the sexual…

  17. 38 CFR 3.57 - Child.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Child. 3.57 Section 3.57..., and Dependency and Indemnity Compensation Relationship § 3.57 Child. (a) General. (1) Except as provided in paragraphs (a)(2) and (3) of this section, the term child of the veteran means an unmarried...

  18. Revising Child Support Orders: The Wisconsin Experience.

    Science.gov (United States)

    Kost, Kathleen A.; And Others

    1996-01-01

    Provides an overview of the Wisconsin child support system. Explores policy and program implications of the child support revision process and makes recommendations for improving revision. Advocates expressing child support orders as a percentage of the noncustodial parents' income to keep the orders updated automatically and replace the need for…

  19. Ash cap influences on site productivity and fertilizer response in forests of the Inland Northwest

    Science.gov (United States)

    Mariann T. Garrison-Johnston; Peter G. Mika; Dan L. Miller; Phil Cannon; Leonard R. Johnson

    2007-01-01

    Data from 139 research sites throughout the Inland Northwest were analyzed for effects of ash cap on site productivity, nutrient availability and fertilization response. Stand productivity and nitrogen (N) fertilizer response were greater on sites with ash cap than on sites without. Where ash was present, depth of ash had no effect on site productivity or N fertilizer...

  20. Prevent Child Abuse America

    Science.gov (United States)

    ... call the police . Crisis and support contacts For Child Abuse Reporting Numbers in your State please visit: Child ... suspected child abuse and neglect. Parent Resources Prevent Child Abuse America (800) CHILDREN A resource for tips, referrals, ...

  1. My Child Is Stealing

    Science.gov (United States)

    ... Teens a Voice in Health Care Decisions My Child Is Stealing KidsHealth > For Parents > My Child Is ... between parents and kids. previous continue If a Child Keeps Stealing If your child has stolen more ...

  2. The post-conflict treatment of child soldiers: A study of Liberian child ...

    African Journals Online (AJOL)

    of child soldiering. This article takes issue with this universalism as neither deterring the use of children in conflict nor providing appropriate post-conflict reintegration of child soldiers. The article instead provides a critical pluralist approach to the post-conflict treatment of child soldiers. In particular, the discussion focuses on ...

  3. Game Concept for Seual Child Abuse Anticipation

    OpenAIRE

    Fajar As'ari; Ridwan Sanjaya; Hendra Prasetya

    2017-01-01

    Sexual child abuse are direct or indirect action from people who is older than children are. People whose close and known by children 90% of them are being sexual child abuse offenders. Sexual child abuse preventive measure delivered through sexual education by media such as pictures, comic, and video. Create this media as a tool to guide parents to teach their children to keep them safe from child sexual abuse. Parents could choose video that provide animation with stories detailing and ...

  4. On-Site Chiropractic Care as an Employee Benefit: A Single-Location Case Study.

    Science.gov (United States)

    Minicozzi, Salvatore J; Russell, Brent S

    2017-09-01

    The purpose of this report is to describe the role of on-site chiropractic care in one corporate environment. A part-time chiropractic practice that provides services to a single company on site, 1 day per week, is described. Most care is oriented toward "wellness," is paid for by the employer, and is limited only by the chiropractor's few weekly hours of on-site availability. With approval from the company, the authors conducted an absenteeism analysis after obtaining ethics approval and consent from employee-patients who received care between 2012 and 2014. Comparisons of absenteeism rates of the sample were compared with lost worktime rates from the US Bureau of Labor Statistics' Labor Force Statistics. Of 40 current employees, 35 used chiropractic services; 17 employee-patients met the inclusion criteria. The lost worktime rates of those using chiropractic services (0.72%, 0.55%, and 0.67%, for 2012, 2013, and 2014, respectively) were lower than corresponding rates from Labor Force Statistics (1.5%, 1.2%, and 1.1%). Absenteeism for the employee-patients was lower than equivalent national figures in this sample of workers. Though these results may or may not be related to the chiropractic care, these findings prompt further investigation into this relationship.

  5. The Influence of Seismic Parameters on Site Response

    Directory of Open Access Journals (Sweden)

    Asakereh A.

    2015-09-01

    Full Text Available Geotechnical earthquake engineers have been trying to determine the most appropriate solution techniques for ground response analysis under earthquake loadings. This paper presents the importance of the adequate soil behavior model to simulate earthquake site response analysis. The influence of nonlinearity and linearity of soils on the site response is also investigated. Many methods have been proposed for the analysis of one-dimensional ground response such as nonlinear methods and equivalent linear with reduced modulus. Using 13 well known earthquake records and geotechnical information of sand in the Qeshm Island (Iran and classification of earthquakes based on seismic parameters, the influence of each parameter on the Response spectra and Fourier Spectrum of surface of ground becomes evident. Analysis was done using two softwares; EERA (equivalent linear analysis and NERA (nonlinear analysis and compared. Finally, output of the software is compared with the reference result on site.

  6. ADVANTAGES AND DISADVANTAGES TO OPERATING AN ON-SITE LABORATORY AT THE SANDIA NATIONAL LABORATORIES CHEMICAL WASTE LANDFILL

    Energy Technology Data Exchange (ETDEWEB)

    Young, S.G.; Creech, M.N.

    2003-02-27

    During the excavation of the Sandia National Laboratories, New Mexico (SNL/NM) Chemical Waste Landfill (CWL), operations were realized by the presence of URS' (formerly known as United Research Services) On-site Mobile Laboratory (OSML) and the close proximity of the SNL/NM Environmental Restoration Chemical Laboratory (ERCL). The laboratory was located adjacent to the landfill in order to provide soil characterization, health and safety support, and waste management data. Although the cost of maintaining and operating an analytical laboratory can be higher than off-site analysis, there are many benefits to providing on site analytical services. This paper describes the synergies between the laboratory, as well as the advantages and disadvantages to having a laboratory on-site during the excavation of SNL/NM CWL.

  7. Parents' and healthcare providers perspectives about hospitalised ...

    African Journals Online (AJOL)

    Despite this, however, majority of the healthcare providers and the parents acknowledged the importance of the hospitalised children being visited by other children. This is because it promotes healing, gives the sick child psychological satisfaction and relieves anxiety in the hospitalised child, the accompanying parent and ...

  8. The "child size medicines" concept

    DEFF Research Database (Denmark)

    Nsabagasani, Xavier; Okeng, Jasper Ogwal; Mbonye, Anthony

    2015-01-01

    Background In 2007, the World Health Organization (WHO) launched the ‘make medicines child size’ (MMCS) campaign by urging countries to prioritize procurement of medicines with appropriate strengths for children’s age and weight and, in child-friendly formulations of rectal and flexible oral solid...... of policy provisions for the MMCS recommendations. Results For most medicines for the selected diseases, appropriate strength for children’s age and weight was addressed especially in the EMHSLU 2012. However, policy documents neither referred to ‘child size medicines’ concept nor provided for flexible oral...... health policy documents reflected limited adherence to the MMCS recommendations. This and failure to use evidence based medicines may result into treatment failure and or death. A revision of the current policies and guidelines to better reflect ‘child size’, child appropriate and evidence based...

  9. Morphosyntactic annotation of CHILDES transcripts*

    Science.gov (United States)

    SAGAE, KENJI; DAVIS, ERIC; LAVIE, ALON; MACWHINNEY, BRIAN; WINTNER, SHULY

    2014-01-01

    Corpora of child language are essential for research in child language acquisition and psycholinguistics. Linguistic annotation of the corpora provides researchers with better means for exploring the development of grammatical constructions and their usage. We describe a project whose goal is to annotate the English section of the CHILDES database with grammatical relations in the form of labeled dependency structures. We have produced a corpus of over 18,800 utterances (approximately 65,000 words) with manually curated gold-standard grammatical relation annotations. Using this corpus, we have developed a highly accurate data-driven parser for the English CHILDES data, which we used to automatically annotate the remainder of the English section of CHILDES. We have also extended the parser to Spanish, and are currently working on supporting more languages. The parser and the manually and automatically annotated data are freely available for research purposes. PMID:20334720

  10. System for controlling child safety seat environment

    Science.gov (United States)

    Dabney, Richard W. (Inventor); Elrod, Susan V. (Inventor)

    2008-01-01

    A system is provided to control the environment experienced by a child in a child safety seat. Each of a plurality of thermoelectric elements is individually controllable to be one of heated and cooled relative to an ambient temperature. A first portion of the thermoelectric elements are positioned on the child safety seat such that a child sitting therein is positioned thereover. A ventilator coupled to the child safety seat moves air past a second portion of the thermoelectric elements and filters the air moved therepast. One or more jets coupled to the ventilator receive the filtered air. Each jet is coupled to the child safety seat and can be positioned to direct the heated/cooled filtered air to the vicinity of the head of the child sitting in the child safety seat.

  11. Evaluation of the overweight/obese child--practical tips for the primary health care provider: recommendations from the Childhood Obesity Task Force of the European Association for the Study of Obesity

    DEFF Research Database (Denmark)

    Baker, Jennifer L; Farpour-Lambert, Nathalie J; Nowicka, Paulina

    2010-01-01

    in the primary care setting. The tips and tools provided are based on data from the recent body of work that has been published in this field, official statements of several scientific societies along with expert opinion provided by the members of the Childhood Obesity Task Force (COTF) of the European......The prevalence of obesity among children and adolescents is on the rise. The majority of overweight or obese children are treated by primary health care providers including paediatricians, family practitioners, dieticians, nurses, and school health services - and not by specialists. The majority...... of obese children have no underlying medical disorder causing their obesity yet a significant proportion might suffer from obesity-related co-morbidities. This text is aimed at providing simple and practical tools for the identification and management of children with or at risk of overweight and obesity...

  12. Mother-Child Conversations and Child Memory Narratives: The Roles of Child Gender and Attachment

    Directory of Open Access Journals (Sweden)

    Kelly Kimberly R.

    2016-10-01

    Full Text Available This study examined the roles of child gender and attachment in mother-child narrative conversations and child independent narratives. Children (Mage = 56 months told personal narratives independently and while engaged in narrative conversations with their mothers. The Attachment Story Completion Task-Revised (Verschueren & Marcoen, 1994 measured child attachment representations. Results indicated that attachment was linked to maternal conversational style and child independent narratives. Mothers with secure sons continued their topics more than mothers of secure daughters, and secure boys’ independent narratives were less elaborative than those of secure girls. However, no gender differences were found among insecure dyads. We argue that mothers of secure boys sensitively recognize their sons’ cues within the conversational context and respond to the need for further verbal assistance, thus providing more on-topic replies in narrative conversations.

  13. 75 FR 22629 - Kenco Logistic Services, LLC, Electrolux Webster City, Including On-Site Leased Workers From...

    Science.gov (United States)

    2010-04-29

    ... Employment and Training Administration Kenco Logistic Services, LLC, Electrolux Webster City, Including On... of Kenco Logistic Services, LLC, Electrolux Webster City, including on-site leased workers of... certification for workers of the subject firm. The workers provided third party logistic services for the...

  14. An On-Site Presentation of Invisible Prehistoric Landscapes

    Directory of Open Access Journals (Sweden)

    Jiri Unger

    2017-03-01

    Full Text Available The rapid development of information technology has enabled the creation of entirely new presentation frameworks and this article will attempt to explore the subject of on-site presentation of archaeological sites. The most frequently used environment currently has been in the form of a variety of virtual museums that are accessible on the Internet; in essence these keep their visitors stuck in front of a PC monitor. One option that allows leaving the monitor and stepping directly out-of-doors into a virtual open-air museum is by means of applications for mobile phones. Terms such as 'virtual' or 'augmented reality' no longer represent a million light-years away science-fiction concepts, but rather a new tool for public archaeology and for the preservation of the archaeological heritage. This article presents several projects that have been implemented by the Archaeological Institute in Prague, who, by using mobile applications, built virtual open-air museums directly in the locations of archaeological excavations.

  15. SCC and conventional concrete on site: property assessment

    Directory of Open Access Journals (Sweden)

    S. Nunes

    Full Text Available The present paper deals with comparing properties of hardened SCC cast during first full-scale tests in a precast factory and similar conventional concrete currently used in the same factory. The main goal was to evaluate viability of replacing the C45/55 conventional concrete, in use at the precast factory, by a SCC of the same class of resistance and maintaining the constituent materials. A wide number of specimens (cubes, cylinders, prisms and full size precast elements were cast with both SCC and conventional vibrated concrete to enable comparing different properties of both types of hardened concrete. In order to implement SCC in this precast factory, suitability of actual current processes involved in production, mixing, transport and placing had to be evaluated. SCC exhibited improved mechanical behavior, higher resistance to fluid ingress and a more uniform strength along the full-size element due to a combination of proper mixdesign together with controlled mixing and placing on site.

  16. Benefits of On-Site Management of Environmental Restoration Wastes

    Energy Technology Data Exchange (ETDEWEB)

    Irwin, Michael J. ,P.E.; Wood, Craig, R.E.M.; Kwiecinski, Daniel, P.E.; Alanis, Saul

    2003-02-27

    As Sandia National Laboratories/New Mexico (SNL/NM) began assessing options under which to conduct the remediation of environmental restoration sites, it became clear that the standard routes for permanent disposal of waste contaminated with hazardous materials would be difficult. Publicly, local citizens' groups resisted the idea of large volumes of hazardous waste being transported through their communities. Regulations for the off-site disposal are complicated due to the nature of the environmental restoration waste, which included elevated tritium levels. Waste generated from environmental restoration at SNL/NM included debris and soils contaminated with a variety of constituents. Operationally, disposal of environmental restoration waste was difficult because of the everchanging types of waste generated during site remediation. As an alternative to standard hazardous waste disposal, SNL/NM proposed and received regulatory approval to construct a Corrective Action Management Unit (CAMU). By containing the remediation wastes on-site, SNL/NM's Environmental Restoration (ER) Program managed to eliminate transportation concerns from the public, worked with regulatory agencies to develop a safe, permanent disposal, and modified the waste disposal procedures to accommodate operational changes. SNL/NM accomplished the task and saved approximately $200 million over the life of the CAMU project, as compared to off-site disposal options.

  17. Child Care and Development Block Grant Participation in 2012

    Science.gov (United States)

    Matthews, Hannah; Reeves, Rhiannon

    2014-01-01

    The Child Care and Development Block Grant (CCDBG) is the primary funding source for federal child care subsidies to low-income working families, as well as improving child care quality. Based on preliminary state-reported data from the federal Office of Child Care, this fact sheet provides a snapshot of CCDBG program participation in 2012, noting…

  18. The Odense Child Cohort

    DEFF Research Database (Denmark)

    Kyhl, Henriette Boye; Jensen, Tina Kold; Barington, Torben

    2015-01-01

    BACKGROUND: The importance of the environment on the development of the fetus and infant throughout early life is increasingly recognised. To study such effects, biological samples and accurate data records are required. Based on multiple data collection from a healthy pregnant population......, the Odense Childhood Cohort (OCC) study aims to provide new information about the environmental impact on child health by sequential follow-up to 18 years of age among children born between 2010 and 2012. METHODS: A total of 2874 of 6707 pregnancies (43%) were recruited between January 2010 and December 2012...... provides material for in-depth analysis of environmental and genetic factors that are important for child health and disease. Registry data from non-participating women and infants are available which ensures a high degree of comparable data....

  19. Foster Care and Child Health.

    Science.gov (United States)

    McDavid, Lolita M

    2015-10-01

    Children in foster care need more from health providers than routine well-child care. The changes in legislation that were designed to prevent children from languishing in foster care also necessitate a plan that works with the child, the biological family, and the foster family in ensuring the best outcome for the child. This approach acknowledges that most foster children will return to the biological family. Recent research on the effect of adverse childhood experiences across all socioeconomic categories points to the need for specifically designed, focused, and coordinated health and mental health services for children in foster care. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Diagnostic imaging of child abuse

    Energy Technology Data Exchange (ETDEWEB)

    Kleinman, P.K.

    1987-01-01

    This book provides a description for all the known radiological alterations occurring in child abuse. This allows for precise interpretation of findings by radiologists. It also helps eliminate the confusion among both clinicians and non-medical personnel involved in the diagnosis, management, and legal issues related to child abuse. CONTENTS: Introduction; Skeletal trauma: general considerations; Extremity trauma; Bony thoracic trauma; Spinal trauma; Dating fractures; Visceral trauma; Head trauma; Miscellaneous forms of abuse and neglect; The postmortem examination; Differential diagnosis of child abuse; Legal considerations; Psychosocial considerations; Technical considerations and dosimetry.

  1. Working for Quality Child Care: An Early Childhood Education Text from the Child Care Employee Project.

    Science.gov (United States)

    Whitebook, Marcy, Comp.; And Others

    This early childhood education text was designed to help students and child care staff become effective advocates for the improvement of quality, salaries, and working conditions in child care programs. Unit I provides literature on the issues affecting the child care field and focuses on strategies to improve salaries and working conditions.…

  2. "International Criminalisation and Child Welfare Protection": The Optional Protocol to the Convention on the Rights of the Child

    Science.gov (United States)

    Buck, Trevor

    2008-01-01

    The Optional Protocol to the Convention on the Rights of the Child (CRC) on the Sale of Children, Child Prostitution and Child Pornography has two overall aims: (i) to strengthen international criminalisation and (ii) to provide welfare protection for child victims. This article reviews the context of the Protocol including the work of the Special…

  3. [On-site quality control of acupuncture randomized controlled trial: design of content and checklist of quality control based on PICOST].

    Science.gov (United States)

    Li, Hong-Jiao; He, Li-Yun; Liu, Zhi-Shun; Sun, Ya-Nan; Yan, Shi-Yan; Liu, Jia; Zhao, Ye; Liu, Bao-Yan

    2014-02-01

    To effectively guarantee quality of randomized controlld trial (RCT) of acupuncture and develop reasonable content and checklist of on-site quality control, influencing factors on quality of acupuncture RCT are analyzed and scientificity of quality control content and feasibility of on-site manipulation are put into overall consideration. Based on content and checklist of on-site quality control in National 11th Five-Year Plan Project Optimization of Comprehensive Treatment Plan for TCM in Prevention and Treatment of Serious Disease and Clinical Assessment on Generic Technology and Quality Control Research, it is proposed that on-site quality control of acupuncture RCT should be conducted with PICOST (patient, intervention, comparison, out come, site and time) as core, especially on quality control of interveners' skills and outcome assessment of blinding, and checklist of on-site quality control is developed to provide references for undertaking groups of the project.

  4. 76 FR 43349 - General Motors Corporation, Renaissance Center, including On-Site Leased Workers From Accretive...

    Science.gov (United States)

    2011-07-20

    ... Employment and Training Administration General Motors Corporation, Renaissance Center, including On-Site... 23, 2010, applicable to workers of General Motors Corporation, Renaissance Center, including on-site... Detroit, Michigan location of General Motors Corporation, Renaissance Center. The Department has...

  5. The Roots of Quality Care: Strengths of Master Providers.

    Science.gov (United States)

    Weaver, Ruth Harding

    2002-01-01

    Reviews research on characteristics and resources of family child caregivers providing high quality care. Focuses on regulation, lifelong learning in early childhood education, psychological well-being, commitment to child care, supportive child care connections, and a solid financial foundation. Maintains that consumer education can help parents…

  6. 75 FR 55613 - General Motors Corporation, Renaissance Center, Including On-Site Leased Workers From Accretive...

    Science.gov (United States)

    2010-09-13

    ... Employment and Training Administration General Motors Corporation, Renaissance Center, Including On-Site... of General Motors Corporation, Renaissance Center, including on-site leased workers from Accretive... location of General Motors Corporation, Renaissance Center. The Department has determined that on-site...

  7. 77 FR 13351 - Polaris Industries, Including On-site Leased Workers From Westaff, Supply Technologies, Aerotek...

    Science.gov (United States)

    2012-03-06

    ... Employment and Training Administration Polaris Industries, Including On-site Leased Workers From Westaff..., applicable to workers of Polaris Industries, including on-site leased workers from Westaff, Osceola... were employed on-site at the Osceola, Wisconsin location of Polaris Industries. The Department has...

  8. 76 FR 4724 - Polaris Industries, Including On-Site Leased Workers From Westaff and Supply Technologies...

    Science.gov (United States)

    2011-01-26

    ... Employment and Training Administration Polaris Industries, Including On-Site Leased Workers From Westaff and... Assistance on August 26, 2010, applicable to workers of Polaris Industries, including on-site leased workers... employed on-site at the Osceola, Wisconsin location of Polaris Industries. The Department has determined...

  9. 75 FR 77666 - Polaris Industries, Including On-Site Leased Workers From Westaff and Supply Technologies...

    Science.gov (United States)

    2010-12-13

    ... Employment and Training Administration Polaris Industries, Including On-Site Leased Workers From Westaff and... Assistance on August 26, 2010, applicable to workers of Polaris Industries, including on-site leased workers... employed on-site at the Osceola, Wisconsin location of Polaris Industries. The Department has determined...

  10. Bilateral sequential cochlear implantation in the congenitally deaf child: evidence to support the concept of a 'critical age' after which the second ear is less likely to provide an adequate level of speech perception on its own.

    Science.gov (United States)

    Graham, John; Vickers, Debi; Eyles, Julie; Brinton, Julie; Al Malky, Ghada; Aleksy, Wanda; Martin, Jane; Henderson, Lise; Mawman, Deborah; Robinson, Philip; Midgley, Elizabeth; Hanvey, Kate; Twomey, Tracey; Johnson, Susan; Vanat, Zebunnisa; Broxholme, Cath; McAnallen, Cecilia; Allen, Agnes; Bray, Monica

    2009-09-01

    This study attempts to answer the question of whether there is a 'critical age' after which a second contralateral cochlear implant is less likely to provide enough speech perception to be of practical use. The study was not designed to predict factors that determine successful binaural implant use, but to see if there was evidence to help determine the latest age at which the second ear can usefully be implanted, should the first side fail and become unusable.Outcome data, in the form of speech perception test results, were collected from 11 cochlear implant programmes in the UK and one centre in Australia. Forty-seven congenitally bilaterally deaf subjects who received bilateral sequential implants were recruited to the study. The study also included four subjects with congenital unilateral profound deafness who had lost all hearing in their only hearing ear and received a cochlear implant in their unilaterally congenitally deaf ear. Of those 34 subjects for whom complete sets of data were available, the majority (72%) of those receiving their second (or unilateral) implant up to the age of 13 years scored 60 per cent or above in the Bamford Kowal Bench (BKB) sentence test, or equivalent. In contrast, of those nine receiving their second or unilateral implant at the age of 15 or above, none achieved adequate levels of speech perception on formal testing: two scored 29 per cent and 30 per cent, respectively, and the rest seven per cent or less.A discriminant function analysis performed on the data suggests that it is unlikely that a second contralateral implant received after the age of 16 to 18 years will, on its own, provide adequate levels of speech perception. As more children receive sequential bilateral cochlear implants and the pool of data enlarges the situation is likely to become clearer.The results provide support for the concept of a 'critical age' for implanting the second ear in successful congenitally deaf unilateral cochlear implant users. This

  11. Well-child visits

    Science.gov (United States)

    ... how your child is growing compared to normal developmental milestones. The child's height, weight, and head circumference are ... Preschooler development School-age child development Adolescent ... milestones record -- 2 months Developmental milestones record -- ...

  12. Asthma - child - discharge

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000001.htm Asthma - child - discharge To use the sharing features on this ... care for your child. Take Charge of Your Child's Asthma at Home Make sure you know the ...

  13. Teaching child-care skills to mothers with developmental disabilities.

    OpenAIRE

    Feldman, M A; Case, L; Garrick, M; MacIntyre-Grande, W; Carnwell, J; Sparks, B

    1992-01-01

    The present study identified and remediated child-care skill deficits in parents with developmental disabilities to reduce their risk of child neglect. Eleven mothers with developmental disabilities who were considered by social service and child welfare agencies to be providing neglectful child care were found in baseline to have several important child-care skill deficits (e.g., bathing, diaper rash treatment, cleaning baby bottles) compared to nonhandicapped mothers. Parent training (consi...

  14. Child Maltreatment and the School Psychologist

    Science.gov (United States)

    Viezel, Kathleen D.; Davis, Andrew S.

    2015-01-01

    Child maltreatment remains a relevant issue for school psychologists. This special issue was designed to provide school psychology practitioners, researchers, and other school personnel with current, empirically sound information about child maltreatment. This introduction provides context for the articles in this volume, including definitions of…

  15. Essentials for Attorneys in Child Support Enforcement.

    Science.gov (United States)

    Henry, Michael R.; And Others

    This handbook presents a course developed to provide a national perspective for attorneys who represent state and local child support enforcement agencies operating under Title IV-D of the Social Security Act. The introduction provides an overview of the child support problem in the United States, citing causes and effects of the problem and…

  16. Child-Directed Interaction Training for Young Children With Autism Spectrum Disorders: Parent and Child Outcomes.

    Science.gov (United States)

    Ginn, Nicole C; Clionsky, Leah N; Eyberg, Sheila M; Warner-Metzger, Christina; Abner, John-Paul

    2017-01-01

    This study examined the efficacy of the Child-Directed Interaction Training (CDIT) phase of Parent-Child Interaction Therapy for children with an Autism Spectrum Disorder (ASD). Thirty mother-child dyads with children ages 3-7 years with a diagnosis of ASD participated in this randomized controlled study. Following manualized CDIT, statistically significant and meaningful improvements in child disruptive behavior and social awareness as well as maternal distress associated with child disruptive behavior occurred. Across 8 sessions, mothers learned to provide positive attention to their children's appropriate social and play behaviors. Both child and parent changes were maintained at 6-week follow-up. A relatively brief, time-limited, and accessible intervention may be efficacious for improving child and parent behaviors in families of young children with ASD. By decreasing child disruptive behaviors, CDIT may also help to prepare children to benefit further from future interventions.

  17. On-Site Oxy-Lance Size Reduction of South Texas Project Reactor Vessel Heads - 12324

    Energy Technology Data Exchange (ETDEWEB)

    Posivak, Edward [WMG, inc. (United States); Keeney, Gilbert; Wheeler, Dean [Shaw Group (United States)

    2012-07-01

    On-Site Oxy-Lance size reduction of mildly radioactive large components has been accomplished at other operating plants. On-Site Oxy-Lance size reduction of more radioactive components like Reactor Vessel Heads had previously been limited to decommissioning projects. Building on past decommissioning and site experience, subcontractors for South Texas Project Nuclear Operating Company (STPNOC) developed an innovative integrated system to control smoke, radioactive contamination, worker dose, and worker safety. STP's innovative, easy to use CEDM containment that provided oxy lance access, smoke control, and spatter/contamination control was the key to successful segmentation for cost-effective and ALARA packaging and transport for disposal. Relative to CEDM milling, STP oxy-lance segmentation saved approximately 40 person- REM accrued during 9,000 hours logged into the radiological controlled area (RCA) during more than 3,800 separate entries. Furthermore there were no personnel contamination events or respiratory uptakes of radioactive material during the course of the entire project. (authors)

  18. Behavioural consequences of child abuse

    Science.gov (United States)

    Al Odhayani, Abdulaziz; Watson, William J.; Watson, Lindsay

    2013-01-01

    Abstract Objective To discuss the consequences of abuse on childhood behavioural development, to highlight some behavioural clues that might alert physicians to ongoing child abuse, and to explore the specific role of the family physician in this clinical situation. Sources of information A systematic search was used to review relevant research, clinical review articles, and child protection agency websites. Main message A child’s behaviour is an outward manifestation of inner stability and security. It is a lens through which the family physician can observe the development of the child throughout his or her life. All types of abuse are damaging to children—physically, emotionally, and psychologically—and can cause long-term difficulties with behaviour and mental health development. Family physicians need to be aware of and alert to the indicators of child abuse and neglect so that appropriate interventions can be provided to improve outcomes for those children. Conclusion Child abuse might cause disordered psychological development and behaviour problems. Family physicians have an important role in recognizing behaviour clues that suggest child abuse and in providing help to protect children. PMID:23946022

  19. Helping Your Child through Early Adolescence -- Helping Your Child Series

    Science.gov (United States)

    ... CHILD'S ACADEMIC SUCCESS Helping Your Child Through Early Adolescence -- Helping Your Child Series PDF (1 MB) For ... Acknowledgements Tips to Help Your Child through Early Adolescence No Child Left Behind < Previous page | ^ Top ^ | Next ...

  20. An on-site alert level early warning system for Italy

    Science.gov (United States)

    Caruso, Alessandro; Colombelli, Simona; Elia, Luca; Zollo, Aldo

    2017-04-01

    An Earthquake Early Warning (EEW) system is a real-time seismic monitoring infrastructure that has the capability to provide warnings to target cities before the arrival of the strongest shaking waves. In order to provide a rapid alert when targets are very close to the epicenter of the events, we developed an on-site EEW approach and evaluated its performance at the nation-wide scale of Italy. We use a single-station, P-wave based method that measures in real-time two ground motion quantities along the early P-wave signal: the initial Peak Displacement (Pd) and the average period parameter (τc). In output, the system provides the predicted ground shaking intensity at the monitored site, the alert level (as defined by Zollo et al., 2010) and a qualitative classification of both earthquake magnitude and source-to-receiver distance. We applied the on-site EEW methodology to a dataset of Italian earthquakes, recorded by the Italian accelerometric network, with magnitude ranging from 3.8 to 6, and evaluated the performance of the system in terms of correct warning and lead-times (i.e., time available for security actions at the target). The results of this retrospective analysis show that, for the large majority of the analyzed cases, the method is able to deliver a correct warning shortly after the P-wave detection, with more than 80% of successful intensity predictions at the target site. The lead-times increase with distance, with a value of 2-6 seconds at 30 km, 8-10 seconds at 50 km and 15-18 seconds at 100 km.

  1. Parent-Child Interaction Therapy: Enhancing Parent-Child Relationships

    Directory of Open Access Journals (Sweden)

    Anthony J. Urquiza

    2012-07-01

    Full Text Available Disruptive child behavior problems are common problems for parents and can be associated with serious delinquent behaviors and aggressive/violent behaviors in adolescence and adulthood. Parenting interventions to address disruptive child behavior problems has gained widespread acceptance. One of these parenting interventions is Parent-Child Interaction Therapy (PCIT. PCIT is a 14- to 20-week, founded on social learning and attachment theories, designed for children between 2 and 7 years of age with disruptive, or externalizing, behavior problems. This article will provide a brief review of the history of PCIT, a description of the basic components of PCIT, and an overview of recent developments that highlight the promise of PCIT with maltreating parent-child relationships, traumatized children, and in developing resilience in young children. In addressing the three basic treatment objectives for PCIT (i.e., reduction in child behavior problems, improving parenting skills, enhancing the quality of parent-child relationships, there is an abundance of research demonstrating very strong treatment effects and therefore, its value to the field. Recent research has also demonstrated the value of PCIT in reducing trauma symptoms in young children.

  2. Older Adults Caring for Children: Intergenerational Child Care.

    Science.gov (United States)

    Helfgott, Kim Pawley

    The result of a project that also developed a database of intergenerational child care program, this publication summarizes intergenerational child care programs in which adults age 55 or older provide child care services to infants, toddlers, and school-age children on a volunteer or salaried basis. Chapter 1 provides a rationale for…

  3. Rights in the Workplace: A Guide for Child Care Teachers.

    Science.gov (United States)

    Owens, Christine; Stoken, Amy; Fritts, Jonathan; Magar, Michele; Bellm, Dan; Shukla, Renu; Vardell, Rosemarie; Wayne, Claudia; Whitebook, Marcy

    Research on child care quality and experience in the field shows that the quality of working conditions are linked to a caregiver's ability to provide quality care. Noting that legal rights that generally apply to most child care teachers are not upheld in every workplace, this guide provides information on federal legal rights of child care…

  4. Parent Emotion Socialization Practices and Child Self-regulation as Predictors of Child Anxiety: The Mediating Role of Cardiac Variability.

    Science.gov (United States)

    Williams, Sarah R; Woodruff-Borden, Janet

    2015-08-01

    The importance of the parent-child relationship in emotional development is well supported. The parental role of facilitating a child's self-regulation may provide a more focused approach for examining the role of parenting in child anxiety. The current study hypothesized that parent emotion socialization practices would predict a child's abilities in self-regulation. Given that physiological arousal has been implicated in emotional development, this was hypothesized to mediate the relationship between parental emotion socialization and child emotion regulation to predict child anxiety. Eighty-five parent and child dyads participated in the study. Parents reporting higher degrees of unsupportive emotion socialization were more likely to have children with fewer abilities in emotion regulation. Cardiac responsiveness mediated the relationship between unsupportive emotion socialization and child emotion regulation. The model of cardiac responsiveness mediating the relationship between unsupportive emotion socialization and child emotion regulation failed to reach statistical significance in predicting child anxiety symptoms.

  5. Image enhancement for on-site X-ray nondestructive inspection of reinforced concrete structures.

    Science.gov (United States)

    Pei, Cuixiang; Wu, Wenjing; Ueaska, Mitsuru

    2016-11-22

    The use of portable and high-energy X-ray system can provide a very promising approach for on-site nondestructive inspection of inner steel reinforcement of concrete structures. However, the noise properties and contrast of the radiographic images for thick concrete structures do often not meet the demands. To enhance the images, we present a simple and effective method for noise reduction based on a combined curvelet-wavelet transform and local contrast enhancement based on neighborhood operation. To investigate the performance of this method for our X-ray system, we have performed several experiments with using simulated and experimental data. With comparing to other traditional methods, it shows that the proposed image enhancement method has a better performance and can significantly improve the inspection performance for reinforced concrete structures.

  6. Rapid Analytical Methods for On-Site Triage for Traumatic Brain Injury

    Science.gov (United States)

    North, Stella H.; Shriver-Lake, Lisa C.; Taitt, Chris R.; Ligler, Frances S.

    2012-07-01

    Traumatic brain injury (TBI) results from an event that causes rapid acceleration and deceleration of the brain or penetration of the skull with an object. Responses to stimuli and questions, loss of consciousness, and altered behavior are symptoms currently used to justify brain imaging for diagnosis and therapeutic guidance. Tests based on such symptoms are susceptible to false-positive and false-negative results due to stress, fatigue, and medications. Biochemical markers of neuronal damage and the physiological response to that damage are being identified. Biosensors capable of rapid measurement of such markers in the circulation offer a solution for on-site triage, as long as three criteria are met: (a) Recognition reagents can be identified that are sufficiently sensitive and specific, (b) the biosensor can provide quantitative assessment of multiple markers rapidly and simultaneously, and (c) both the sensor and reagents are designed for use outside the laboratory.

  7. On-Site Measurements for Voltage Unbalance Studies Associated with the AC Railway Operation

    DEFF Research Database (Denmark)

    Stamatopoulos, Athanasios; Bak, Claus Leth; Silva, Filipe Miguel Faria da

    2017-01-01

    -conventional types of loads, such as the AC railway, has raised concerns regarding the secure operation of power transmission networks. This renders the monitoring and reporting of various aspects of system’s power quality even more necessary. For the Danish transmission grid, in particular, the relevance of voltage......On-site measurements in Electrical Power Systems can provide valuable information about the performance of the network and also, can be of great assistance to the validation and assessment of simulation models developed for power system studies. Lately, the noticeable increase of non...... unbalance with regards to traction loads has been augmented since the decision to expand the electric railway. Towards this direction, and on the occasion of a newly built electrified line, voltage unbalance measurements were carried out and are presented in this paper. The information from the extracted...

  8. Corrosion rate of steel in concrete - Evaluation of confinement techniques for on-site corrosion rate

    DEFF Research Database (Denmark)

    Nygaard, Peter Vagn; Geiker, Mette Rica; Elsener, Bernhard

    2009-01-01

    Earlier on-site investigations and laboratory studies have shown that varying corrosion rates are obtained when different commercially available instruments are used. The different confinement techniques, rather than the different electrochemical techniques used in the instruments, are considered...... to be the main reason for the discrepancies. This paper presents a method for the quantitative assessment of confinement techniques based on monitoring the operation of the corrosion rate instrument and the current distribution between the electrode assembly on the concrete surface and a segmented reinforcement...... bar embedded in the concrete. The applicability of the method was demonstrated on two commercially available corrosion rate instruments based on different confinement techniques. The method provided an explanation of the differences in performance of the two instruments. Correlated measurements...

  9. Use TV to Improve Your Child's Reading Skills.

    Science.gov (United States)

    Criscuolo, Nicholas

    1986-01-01

    Suggestions are provided for parents of ways in which they can use the television to encourage and improve their child's reading. Activities include: discussing television characters; watching television specials geared for the child's age; and researching favorite television stars. (CB)

  10. Report of On-Site Inspection Workshop-19

    Energy Technology Data Exchange (ETDEWEB)

    Sweeney, J. J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2011-07-12

    The objective of this workshop was to carry out discussions on the OSI Equipment List for the initial period techniques and to provide further contribution to the development of the OSI Equipment List. The report of the 36th session of WGB included guidance to develop corresponding concepts of operations for the equipment, identify logistics and infrastructure requirements, and to address software issues related to the equipment.

  11. The Impact of Child, Family, and Child Protective Services Factors on Reports of Child Sexual Abuse Recurrence

    Science.gov (United States)

    Sinanan, Allison N.

    2011-01-01

    This study identified selected child factors (e.g., age, gender, race/ethnicity, disabilities, prior victimization, and relationship to perpetrator of abuse), family risk factors (e.g., substance abuse, domestic violence, inadequate housing, and financial problems), and services provided by child protective services that likely increased reports…

  12. child bride and child sex: combating child marriages in nigeria

    African Journals Online (AJOL)

    Mofasony

    Abstract. This paper considers the basis of child marriages in Northern Nigeria. It is an Islamic practice rooted in the interpretation of the Quran. Significantly, the caveat that copulation should be delayed until such girls are mature is often ignored as these child brides are engaged in sex. This paper analyzes the report of a ...

  13. Child Bride and Child Sex: Combating Child Marriages in Nigeria ...

    African Journals Online (AJOL)

    This paper considers the basis of child marriages in Northern Nigeria. It is an Islamic practice rooted in the interpretation of the Quran. Significantly, the caveat that copulation should be delayed until such girls are mature is often ignored as these child brides are engaged in sex. This paper analyzes the report of a Senator in ...

  14. Toxic stress and child refugees.

    Science.gov (United States)

    Murray, John S

    2018-01-01

    The purpose of this article was to describe the phenomenon of toxic stress and its impact on the physical and mental health of child refugees. Almost two decades ago, researchers found that recurring adverse childhood events (ACEs; e.g., physical, psychological, and sexual abuse, neglect, and household dysfunction such as substance abuse, mental illness, and criminal behavior) were associated with a significant increase in serious illnesses during adulthood. Illnesses include heart, lung, and liver disease, cancer, and bone fractures. The scientists reported that experiencing four or more ACEs during childhood significantly increases the risk for toxic stress. Toxic stress is defined as the exposure to extreme, frequent, and persistent adverse events without the presence of a supportive caretaker. There is a paucity of literature related to toxic stress and child refugees. However, it has been clearly established that the prolonged brutal and traumatizing war in Syria is having a profound impact on the physical and mental health of child refugees at a distressing rate. Prevention of toxic stress should be a primary goal of all pediatric healthcare professionals working with child refugees. While this seems daunting given the population, and the seemingly insurmountable stressors they experience, some basic interventions should be considered. Providing basic anticipatory guidance to parents and caregivers of child refugees, to encourage positive parenting and strengthening support networks, will be highly effective in developing the requisite buffers that mitigate the effects of stress and avoid toxic stress. Efforts should also be focused on addressing caregiver stress and improving their ability to provide safe, reliable, and nurturing care that will help to mitigate any stress response experienced by a child. It is critical that greater awareness be placed on the effects of toxic stress on child refugees who are exposed to significant adverse events early in life

  15. Treatment and management of child pornography use.

    Science.gov (United States)

    Seto, Michael C; Ahmed, A G

    2014-06-01

    Advances in Internet and other digital technologies have created ready and affordable access to pornography involving real children or computer-generated images of children. To better understand and manage child pornography users, clinicians must acquaint themselves with the characteristics and behaviors of these offenders. This article distinguishes motivations to use child pornography and different types of child pornography offenders and provides a brief overview of the assessment, diagnosis, and management options available. The authors conclude with recommendations on future directions in the assessment, diagnosis, and management of child pornography offenders. Copyright © 2014 Elsevier Inc. All rights reserved.

  16. Global and Regional Trends in Child Marriage

    OpenAIRE

    Wodon, Quentin; Nguyen, Minh Cong

    2015-01-01

    Nguyen and Wodon suggest that better measurement of child marriage can be obtained by adopting the techniques used for the measurement of poverty. The objective of this article is to use that approach to provide estimates of global and regional trends over time in the extent of child marriage – not only its incidence, but also what we refer to as the child marriage gap and the squared child marriage gap, two measures that take into account how young girls are when they marry.

  17. PILL series. Management of child abuse.

    Science.gov (United States)

    Wong, Pei Ying; How, Choon How; Wong, Peter Choong Yi

    2013-10-01

    Children deserve a childhood free from abuse, where their basic physical, intellectual, emotional and social needs are met. Child abuse is defined as any act of omission or commission by a parent or guardian that would endanger or impair the child's physical or emotional well-being, or that is judged by a mixture of community values and professionals to be inappropriate. A total of 247 cases of suspected child abuse in Singapore was investigated in 2012. Physical abuse, sexual abuse, and physical neglect or emotional abuse accounted for 60%, 30% and 10% of these cases, respectively. Primary care providers play an important role in the early detection and referral of child abuse cases, which enable timely intervention to ensure the well-being of the child and prevent further abuse. Hospitals and other medical centres form the largest source of referrals of suspected child abuse.

  18. Staff Data and Materials on Child Support.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Finance.

    The purpose of Part D of Title IV of the Social Security Act is to enforce the support obligations owed by absent parents to their children, locate absent parents, establish paternity and obtain child support from parents. This Senate report provides an overview of the child support enforcement program and 23 tables of statistical data. Many of…

  19. My Child Redeems My Broken Dreams: On Parents Transferring Their Unfulfilled Ambitions onto Their Child.

    Science.gov (United States)

    Brummelman, Eddie; Thomaes, Sander; Slagt, Meike; Overbeek, Geertjan; de Castro, Bram Orobio; Bushman, Brad J

    2013-01-01

    From the early days of psychology, theorists have observed that parents sometimes transfer their own unfulfilled ambitions onto their child. We propose that parents are especially inclined to do so when they see their child as part of themselves, more so than as a separate individual. When parents see their child as part of themselves, their child's achievements may easily come to function as a surrogate for parents' own unfulfilled ambitions. In the present experiment, 73 parents (89% women, M age = 43 years) were randomly assigned to reflect on either their own or others' unfulfilled ambitions. Results showed that, when faced with their own unfulfilled ambitions, parents who see their child as part of themselves want their child to fulfill their unfulfilled ambitions. This study provides the first experimental evidence to suggest that parents may desire their child to redeem their broken dreams.

  20. Non-cognitive Child Outcomes and Universal High Quality Child Care

    DEFF Research Database (Denmark)

    Datta Gupta, Nabanita; Simonsen, Marianne

    2010-01-01

    Exploiting a rich panel data child survey merged with administrative records along with a pseudoexperiment generating variation in the take-up of preschool across municipalities, we provide evidence of the effects on non-cognitive child outcomes of participating in large scale publicly provided u...

  1. Child Social Exclusion Risk and Child Health Outcomes in Australia.

    Directory of Open Access Journals (Sweden)

    Itismita Mohanty

    Full Text Available This paper studies the relationship between the risk of child social exclusion, as measured by the Child Social Exclusion (CSE index and its individual domains, and child health outcomes at the small area level in Australia. The CSE index is Australia's only national small-area index of the risk of child social exclusion. It includes five domains that capture different components of social exclusion: socio-economic background, education, connectedness, housing and health services.The paper used data from the National Centre for Social and Economic Modelling (NATSEM, University of Canberra for the CSE Index and its domains and two key Australian Institute of Health and Welfare (AIHW data sources for the health outcome measures: the National Hospital Morbidity Database and the National Mortality Database.The results show positive associations between rates of both of the negative health outcomes: potentially preventable hospitalisations (PPH and avoidable deaths, and the overall risk of child social exclusion as well as with the index domains. This analysis at the small-area level can be used to identify and study areas with unexpectedly good or bad health outcomes relative to their estimated risk of child social exclusion. We show that children's health outcomes are worse in remote parts of Australia than what would be expected solely based on the CSE index.The results of this study suggest that developing composite indices of the risk of child social exclusion can provide valuable guidance for local interventions and programs aimed at improving children's health outcomes. They also indicate the importance of taking a small-area approach when conducting geographic modelling of disadvantage.

  2. Child Social Exclusion Risk and Child Health Outcomes in Australia.

    Science.gov (United States)

    Mohanty, Itismita; Edvardsson, Martin; Abello, Annie; Eldridge, Deanna

    2016-01-01

    This paper studies the relationship between the risk of child social exclusion, as measured by the Child Social Exclusion (CSE) index and its individual domains, and child health outcomes at the small area level in Australia. The CSE index is Australia's only national small-area index of the risk of child social exclusion. It includes five domains that capture different components of social exclusion: socio-economic background, education, connectedness, housing and health services. The paper used data from the National Centre for Social and Economic Modelling (NATSEM), University of Canberra for the CSE Index and its domains and two key Australian Institute of Health and Welfare (AIHW) data sources for the health outcome measures: the National Hospital Morbidity Database and the National Mortality Database. The results show positive associations between rates of both of the negative health outcomes: potentially preventable hospitalisations (PPH) and avoidable deaths, and the overall risk of child social exclusion as well as with the index domains. This analysis at the small-area level can be used to identify and study areas with unexpectedly good or bad health outcomes relative to their estimated risk of child social exclusion. We show that children's health outcomes are worse in remote parts of Australia than what would be expected solely based on the CSE index. The results of this study suggest that developing composite indices of the risk of child social exclusion can provide valuable guidance for local interventions and programs aimed at improving children's health outcomes. They also indicate the importance of taking a small-area approach when conducting geographic modelling of disadvantage.

  3. First On-Site Data Analysis System for Subaru/Suprime-Cam

    Science.gov (United States)

    Furusawa, Hisanori; Okura, Yuki; Mineo, Sogo; Takata, Tadafumi; Nakata, Fumiaki; Tanaka, Manobu; Katayama, Nobuhiko; Itoh, Ryosuke; Yasuda, Naoki; Miyazaki, Satoshi; Komiyama, Yutaka; Utsumi, Yousuke; Uchida, Tomohisa; Aihara, Hiroaki

    2011-03-01

    We developed an automated on-site quick analysis system for mosaic CCD data of Suprime-Cam, which is a wide-field camera mounted at the prime focus of the Subaru Telescope, Mauna Kea, Hawaii. The first version of the data-analysis system was constructed, and started to operate in general observations. This system is a new function of observing support at the Subaru Telescope to provide the Subaru user community with an automated on-site data evaluation, aiming at improvements of observers' productivity, especially in large imaging surveys. The new system assists the data evaluation tasks in observations by the continuous monitoring of the characteristics of every data frame during observations. The evaluation results and data frames processed by this system are also useful for reducing the data-processing time in a full analysis after an observation. The primary analysis functions implemented in the data-analysis system are composed of automated realtime analysis for data evaluation and on-demand analysis, which is executed upon request, including mosaicing analysis and flat making analysis. In data evaluation, which is controlled by the organizing software, the database keeps track of the analysis histories, as well as the evaluated values of data frames, including seeing and sky background levels; it also helps in the selection of frames for mosaicing and flat making analysis. We examined the system performance and confirmed an improvement in the data-processing time by a factor of 9 with the aid of distributed parallel data processing and on-memory data processing, which makes the automated data evaluation effective.

  4. Diagnostic performance of on-site CT-derived fractional flow reserve versus CT perfusion.

    Science.gov (United States)

    Yang, Dong Hyun; Kim, Young-Hak; Roh, Jae Hyung; Kang, Joon-Won; Ahn, Jung-Min; Kweon, Jihoon; Lee, Jung Bok; Choi, Seong Hoon; Shin, Eun-Seok; Park, Duk-Woo; Kang, Soo-Jin; Lee, Seung-Whan; Lee, Cheol Whan; Park, Seong-Wook; Park, Seung-Jung; Lim, Tae-Hwan

    2017-04-01

    To compare the diagnostic accuracy of on-site computed tomography (CT)-derived fractional flow reserve (FFR) and stress CT myocardial perfusion (CTP) in patients with coronary artery disease. Using a prospective CTP registry, 72 patients with invasive FFR were enrolled. CT-derived FFR was computed on-site using rest-phase CTP data. The diagnostic accuracies of coronary CT angiography (CCTA), CT-derived FFR, and stress CTP were evaluated using an area under the receiver-operating characteristic curve (AUC) with invasive FFR as a reference standard. Logistic regression and the net reclassification index (NRI) were used to evaluate incremental differences in CT-derived FFR or CTP compared with CCTA alone. The per-vessel prevalence of haemodynamically significant stenosis (FFR ≤ 0.80) was 39% (54/138). Per-vessel sensitivity and specificity were 94 and 66% for CCTA, 87 and 77% for CT-derived FFR, and 79 and 91% for CTP, respectively. There was no significant difference in the AUC values of CT-derived FFR and CTP (P = 0.845). The diagnostic performance of CCTA (AUC = 0.856) was improved by combining it with CT-derived FFR (AUC = 0.919, P = 0.004, NRI = 1.01) or CTP (AUC = 0.913, P = 0.004, NRI = 0.66). CT-derived FFR values had a moderate correlation with invasive FFR (r = 0.671, P derived FFR combined with CCTA provides an incremental diagnostic improvement over CCTA alone in identifying haemodynamically significant stenosis defined by invasive FFR, with a diagnostic accuracy comparable with CTP.

  5. Non-cognitive Child Outcomes and Universal High Quality Child Care

    DEFF Research Database (Denmark)

    Datta Gupta, Nabanita; Simonsen, Marianne

    Exploiting a rich panel data child survey merged with administrative records along with a pseudo-experiment generating variation in the take-up of pre-school across municipalities, we provide evidence of the effects on non-cognitive child outcomes of participating in large scale publicly provided...... universal pre-school programs and family day care vis-à-vis home care. We find that, compared to home care, being enrolled in pre-school at age three does not lead to significant differences in child outcomes at age seven no matter the gender or mother's level of education. Family day care, on the other...... poorer child outcomes....

  6. Non-cognitive Child Outcomes and Universal High Quality Child Care

    DEFF Research Database (Denmark)

    Datta Gupta, Nabanita; Simonsen, Århus Universitet, Marianne

    Exploiting a rich panel data child survey merged with administrative records along with a pseudo-experiment generating variation in the take-up of pre-school across municipalities, we provide evidence of the effects on non-cognitive child outcomes of participating in large scale publicly provided...... universal pre-school programs and family day care vis-à-vis home care. We find that, compared to home care, being enrolled in pre-school at age three does not lead to significant differences in child outcomes at age seven no matter the gender or mother’s level of education. Family day care, on the other...... poorer child outcomes....

  7. PORTSMOUTH ON-SITE DISPOSAL CELL HIGH DENSITY POLYETHYLENE GEOMEMBRANE LONGEVITY

    Energy Technology Data Exchange (ETDEWEB)

    Phifer, M.

    2012-01-31

    It is anticipated that high density polyethylene (HDPE) geomembranes will be utilized within the liner and closure cap of the proposed On-Site Disposal Cell (OSDC) at the Portsmouth Gaseous Diffusion Plant. The likely longevity (i.e. service life) of HDPE geomembranes in OSDC service is evaluated within the following sections of this report: (1) Section 2.0 provides an overview of HDPE geomembranes, (2) Section 3.0 outlines potential HDPE geomembranes degradation mechanisms, (3) Section 4.0 evaluates the applicability of HDPE geomembrane degradation mechanisms to the Portsmouth OSDC, (4) Section 5.0 provides a discussion of the current state of knowledge relative to the longevity (service life) of HDPE geomembranes, including the relation of this knowledge to the Portsmouth OSDC, and (5) Section 6.0 provides summary and conclusions relative to the anticipated service life of HDPE geomembranes in OSDC service. Based upon this evaluation it is anticipated that the service life of HDPE geomembranes in OSDC service would be significantly greater than the 200 year service life assumed for the OSDC closure cap and liner HDPE geomembranes. That is, a 200 year OSDC HDPE geomembrane service life is considered a conservative assumption.

  8. Lead Exposure and Child Behavior.

    Science.gov (United States)

    Sciarillo, William G.; And Others

    1992-01-01

    Provides evidence of detrimental effects of lead exposure on child behavior at levels typical of present-day exposure. Behavior and lead-blood level were examined for 201 African-American children aged 2 through 5 years. A standardized parent report measure and consideration of maternal morale are features of study methodology. (SLD)

  9. Creativity and the Young Child

    Science.gov (United States)

    Mindham, Carole

    2005-01-01

    There is a Chinese proverb which tells that a child is like a piece of paper: everyone who touches it leaves a mark, so one should make sure those marks are positive. In this article, the author raises an issue which concerns providing for, recognizing and celebrating creativity in children's play. It involves challenging the set of ideas about…

  10. CHILD DEVELOPMENT BIBLIOGRAPHY. SUPPLEMENT I.

    Science.gov (United States)

    Harvard Univ., Cambridge, MA. Graduate School of Education.

    THIS BIBLIOGRAPHY SUPPLEMENT LISTS MATERIAL ON VARIOUS ASPECTS OF CHILD DEVELOPMENT. APPROXIMATELY 90 UNANNOTATED REFERENCES ARE PROVIDED TO DOCUMENTS DATING FROM 1956 TO 1966. JOURNALS, BOOKS, AND REPORT MATERIALS ARE LISTED. SUBJECT AREAS INCLUDED ARE BEHAVIOR TESTS, CONDITIONING, MATERNAL REACTIONS, GRADE PREDICTABILITY, EXPERIMENTAL STUDIES,…

  11. Child-Computer Interaction SIG

    DEFF Research Database (Denmark)

    Hourcade, Juan Pablo; Revelle, Glenda; Zeising, Anja

    2016-01-01

    This SIG will provide child-computer interaction researchers and practitioners an opportunity to discuss four topics that represent new challenges and opportunities for the community. The four areas are: interactive technologies for children under the age of five, technology for inclusion, privacy...

  12. 76 FR 22729 - Polaris Industries, Including On-Site Leased Workers From Westaff, Supply Technologies, Aerotek...

    Science.gov (United States)

    2011-04-22

    ... Employment and Training Administration Polaris Industries, Including On-Site Leased Workers From Westaff..., applicable to workers of Polaris Industries, including on-site leased workers from Westaff, Osceola... location of Polaris Industries. The Department has determined that these workers were sufficiently under...

  13. 78 FR 48468 - Delphi Corporation, Electronics and Safety Division, Including On-Site Leased Workers From...

    Science.gov (United States)

    2013-08-08

    ... Employment and Training Administration Delphi Corporation, Electronics and Safety Division, Including On-Site... to workers of Delphi Corporation, Electronics and Safety Division, including on-site leased workers... Delphi Corporation, Electronics and Safety Division. The Department has determined that these workers...

  14. The extent of on-site leakage in selected suburbs of Johannesburg ...

    African Journals Online (AJOL)

    This study investigated on-site leakage on 182 properties with relatively new municipal water meters in well-established suburbs of Johannesburg. A methodology was developed to estimate the on-site leakage rate from readings taken from these municipal water meters, which was then adjusted to account for metering ...

  15. 76 FR 14101 - Commercial Furniture Group, Inc., Including On-Site Leased Workers From Staffing Solutions...

    Science.gov (United States)

    2011-03-15

    ... Employment and Training Administration Commercial Furniture Group, Inc., Including On-Site Leased Workers From Staffing Solutions; Morristown, TN; Commercial Furniture Group, Inc., Chicago, IL; Amended..., applicable to workers of Commercial Furniture Group, Inc., including on-site leased workers from Staffing...

  16. 78 FR 19530 - Eastman Kodak Company (GCG), Electrographic Print Solutions, Including On-Site Leased Workers...

    Science.gov (United States)

    2013-04-01

    ... workers from Adecco, Dayton, Ohio, were affected by the shift in production to a foreign country which... On-Site Leased Workers From Adecco and Datrose, Spencerport, New York; Eastman Kodak Company, IPS, Including On-Site Leased Workers From Adecco, Dayton, Ohio; Amended Certification Regarding Eligibility To...

  17. 78 FR 54487 - Abbott Laboratories; Diagnostic-Hematology; Including On-Site Leased Workers From Manpower...

    Science.gov (United States)

    2013-09-04

    ... Employment and Training Administration Abbott Laboratories; Diagnostic--Hematology; Including On-Site Leased... Laboratories, Diagnostic--Hematology division, including on-site leased workers from Manpower Service Group... to the production of hematology reagents and instruments. The company reports that workers leased...

  18. 75 FR 28295 - Cummins Filtration, Including On-Site Leased Workers From Manpower and Spherion Staffing...

    Science.gov (United States)

    2010-05-20

    ... Employment and Training Administration Cummins Filtration, Including On-Site Leased Workers From Manpower and... workers of Cummins Filtration, including on-site leased workers from Manpower, Lake Mills, Iowa. The... engaged in the production of oil and fuel filters, Stratpore media and other metal components for engines...

  19. 75 FR 62423 - Barnstead Thermolyne Corporation, a Subsidiary of Thermo Fisher Scientific, Including On-Site...

    Science.gov (United States)

    2010-10-08

    ... engaged in activities related to the production of scientific laboratory equipment. New information shows...] Barnstead Thermolyne Corporation, a Subsidiary of Thermo Fisher Scientific, Including On-Site Leased Workers... subsidiary of Thermo Fisher Scientific, including on- site leased workers from Sedona Staffing, Dubuque, Iowa...

  20. CHILD ABUSE, FENOMENA DAN KEBIJAKAN DI INDONESIA

    Directory of Open Access Journals (Sweden)

    Suci Wulansari

    2012-11-01

    Full Text Available Research about child abuse in Indonesia done by United Nations Children's Funds (UNICEF results a concerned condition. The same opinion is also declared by Indonesian Commission on Children Protection. The increasing number of child abuse in Indonesia is highlighted in international society. Child abuse causes many negative effects for physical, mental, and or sexual of children, that effect for the growth and development of child thus leads to rise the lost generation. Medical officers hope to be able to do an early diagnose, prevention, and right therapy to minimize the negative impacts that can happen. Raising competencies of health care providers and building more hospitals that can be an integrated crisis centre in child abuse is a must. The government has built some policies to prevent children from child abuse, that has to be socialized, implemented an evaluated. It is hoped that Health Department has to make a continued and integrated systems and make a standard procedures for all of health care providers to prevent and provide the right therapy for the victim of child abuse. Key words: Child Abuse, growth and development, policies

  1. Infant and child motor development.

    Science.gov (United States)

    Edwards, Sara L; Sarwark, John F

    2005-05-01

    Identifying infant and child developmental delay is a skill important for orthopaedic surgeons to master because they often are asked to distinguish between normal and abnormal movement. An emphasis has been placed on early detection and referral for intervention, which has been shown to enhance the lives of the infant or child and his or her family. Appropriate recognition of delay is necessary for referral to early intervention services, which serve to help these children overcome or improve motor dysfunction and to help families grow more confident in caring for children with special needs. We define early intervention, discuss normal and abnormal motor development, and provide useful examination tools to assess motor development.

  2. Child Care Subsidies and Child Development

    Science.gov (United States)

    Herbst, Chris M.; Tekin, Erdal

    2010-01-01

    Child care subsidies are an important part of federal and state efforts to move welfare recipients into employment. One of the criticisms of the current subsidy system, however, is that it overemphasizes work and does little to encourage parents to purchase high-quality child care. Consequently, there are reasons to be concerned about the…

  3. Child-to-Child programme in Malaysia.

    Science.gov (United States)

    Kasim, M S; Abraham, S

    1982-09-01

    Even though Malaysia is a relatively prosperous country amongst the developing nations, it is still be set by problems of a rapidly increasing population. The economic cake is also unevenly distributed and there are pockets of poverty in the slums surrounding the towns as well as in the rural areas. Added to that is the problem of ignorance and superstition especially amongst its adult population. It is due to these problems that the Child-to-Child programme has found special application in Malaysia. The Child-to-Child has been introduced through either the government agencies or the voluntary organizations. Through the Ministry of Education, the concept has found its ways through the schools and the state department of education. The Ministry of Information and Broadcasting has also introduced the concept of Child-to-Child in the media. The voluntary organizations have also introduced the concept of Child-to-Child in their projects. The Sang Kancil project has to some extent used the idea in the running of its activities. The Health and Nutrition Education House have found that by applying the concept and using older children to help in running its activities, its over all objective which is the improvement of the health of the children in the slums could be reached more easily.

  4. Child poverty and changes in child poverty.

    Science.gov (United States)

    Chen, Wen-Hao; Corak, Miles

    2008-08-01

    This article offers a cross-country overview of child poverty, changes in child poverty, and the impact of public policy in North America and Europe. Levels and changes in child poverty rates in 12 Organisation for Economic Co-operation and Development (OECD) countries during the 1990s are documented using data from the Luxembourg Income Study project, and a decomposition analysis is used to uncover the relative role of demographic factors, labor markets, and income transfers from the state in determining the magnitude and direction of the changes. Child poverty rates fell noticeably in only three countries and rose in three others. In no country were demographic factors a force for higher child poverty rates, but these factors were also limited in their ability to cushion children from adverse shocks originating in the labor market or the government sector. Increases in the labor market engagement of mothers consistently lowered child poverty rates, while decreases in the employment rates and earnings of fathers were a force for higher rates. Finally, there is no single road to lower child poverty rates. Reforms to income transfers intended to increase labor supply may or may not end up lowering the child poverty rate.

  5. Holocaust Child Survivors and Child Sexual Abuse

    Science.gov (United States)

    Lev-Wiesel, Rachel; Amir, Marianne

    2005-01-01

    This study utilized a qualitative analysis of child survivors of the Holocaust who were sexually abused during World War II. The research study aimed to give this specific group of survivors a voice and to explore the impact of multiple extreme traumas, the Holocaust and childhood sexual abuse, on the survivors. Twenty-two child survivors of the…

  6. Assessment of Geophysical Techniques Application during CTBTO On-Site inspections using the Evaluation Matrix concept

    Science.gov (United States)

    Gaya-Piqué, Luis R.; Stefanova, Stefka; Hawkins, Ward L.; Sweeney, Jerry J.; Melamud, Mordechai; Prah, Matjaz

    2010-05-01

    Application of geophysical methods to collect evidence of possible conduct of an underground nuclear explosion is an essential element of the on-site inspection (OSI) verification component of the Comprehensive Nuclear Test Ban Treaty (CTBT). As with any geophysical survey, effective use of resources during an OSI is essential. The evaluation matrix approach can be applied to both assess in a comprehensive manner the suitability of OSI techniques with respect to an ensemble of different conditions based on a specific OSI scenario (Technology Evaluation Matrix, TEM) and to estimate the technical readiness status of a specific technology (Technical Readiness Status Matrix, TRSM). Applied to the work of the OSI Division of the Provisional Secretariat of the Comprehensive Nuclear-Test Ban Treaty Organization (CTBTO), the TRSM will support policy planning and operational projects that need to be thoroughly analyzed, providing a flexible mechanism that allows for fast and rationale decision making for resource allocation; on the other hand, the TEM will improve the functionality of an OSI by providing the inspection team a reference tool for a particular OSI scenario (e.g., yield and depth of the triggering event, geology of the inspection area, possible emplacement conditions). This assessment is important because of the limited time and number of team members provided to the inspection team for the conduct of an inspection. In this work we discuss the application of the TEM concept to the set of geophysical techniques that can be applied during an OSI for two basic underground nuclear explosion (UNE) scenarios: explosions conducted in a vertical emplacement (i.e. borehole) and explosions conducted in a horizontal emplacement (i.e. tunnel). After introducing the natural and manmade signatures usually associated with an UNE and the geophysical techniques allowed by the Treaty (with imposed constraints), examples of evaluation matrices are given for each scenario. The

  7. Smoke-Free Child Care = Proyecto de Cuidado Diurno Para Ninos Donde "No se Fuma."

    Science.gov (United States)

    Massachusetts State Dept. of Public Health, Boston.

    This packet of materials on smoke-free child care contains: (1) "Smoke Free Child Care," a booklet warning child care providers about the dangers of second-hand smoke and the fact that children often imitate adult behaviors, such as smoking; (2) "Smoke-Free Child Care: A Booklet for Family Day Care Providers," warning about the…

  8. Child Care Aware

    Science.gov (United States)

    ... this special celebration at the conclusion of our 2018 Symposium. Learn More + Breaking News Transforming the Financing of Early Care and Education ... Child Care Workforce Back Emergency Preparedness Child Care Disaster Relief ... Resources August Recess Public Policy Research Calendar ...

  9. Child abuse - physical

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/001552.htm Child abuse - physical To use the sharing features on this page, please enable JavaScript. Physical child abuse is a serious problem. Here are some facts: ...

  10. Your child's first vaccines

    Science.gov (United States)

    ... multi.html . CDC review information for Multi Pediatric Vaccines: Your Child's First Vaccines: What you need to know (VIS): ... of that vaccine. Tell the person giving the vaccines if your child has ever had a severe reaction after any ...

  11. Normal Child Behavior

    Science.gov (United States)

    ... age. Development can be uneven, too, with a child's social development lagging behind his intellectual growth, or vice versa. ... members, and others. They may interfere with the child's intellectual development. ... or social mores. They might include very aggressive or destructive ...

  12. FPG Child Development Institute

    Science.gov (United States)

    ... Development, Teaching, and Learning The Frank Porter Graham Child Development Institute will partner with Zero to Three to ... Center October 6, 2017 More Frank Porter Graham Child Development Institute The University of North Carolina at Chapel ...

  13. Child Mental Health

    Science.gov (United States)

    ... develops, it becomes a regular part of your child's behavior. This makes it more difficult to treat. ... it's not always easy to know when your child has a serious problem. Everyday stresses can cause ...

  14. Child Care Aware

    Science.gov (United States)

    ... out a stream of our activity across multiple social networks by visiting the Child Care Aware® of America ... 2016-2017 Millennial Generation: How the Changing Economic Environment Impacts Parents’ Ability to Afford Child Care Parents ...

  15. Dental care - child

    Science.gov (United States)

    ... Supplements Videos & Tools Español You Are Here: Home → Medical Encyclopedia → Dental care - child URL of this page: //medlineplus.gov/ency/article/002213.htm Dental care - child To use the ...

  16. Child Sexual Abuse

    Science.gov (United States)

    ... children or pressuring them for sex is sexual abuse. Using a child for pornography is also sexual abuse. Most sexual abusers know the child they abuse. They may be family friends, neighbors or babysitters. ...

  17. Child Deaths due to Neglect

    Directory of Open Access Journals (Sweden)

    Işıl Pakiş

    2008-08-01

    Full Text Available Child neglect or passive child abuse can be defined as failure to provide for the child’s basic needs or disregard to care which results in serious harm. Although neglect is the most common form of child abuse, it is rarely diagnosed properly. The number of neglect cases referred to the judicial system is limited, as well. Since neglect cases are not identified and diagnosed easily, their mortality rates seem to be low. On the basis of venue, history, postmortem external and internal as well as microscopical examinations 4 cases between 2 months and 3 years of age, autopsi-ed at the Council of Forensic Medicine Morgue Department were evaluated regarding child abuse and neglect. In three of the cases, height and weight was found lower than the growth percentiles established by Istanbul Medical Faculty. In three cases general hygiene was poor and turgor tonus was diminished. Description of the venue; case, family and medical history are of critical importance in cases claimed to be neglect or abuse. Postmortem examination should include detailed external and internal examinations, appropriate microscopical sampling and supportive tests. Key words: Child, neglect, death, abuse

  18. Addressing Child Maltreatment in New Zealand: Is Poverty Reduction Enough?

    Science.gov (United States)

    Dare, Tim; Vaithianathan, Rhema; De Haan, Irene

    2014-01-01

    Jonathan Boston provides an insightful analysis of the emergence and persistence of child poverty in New Zealand (Boston, 2014, "Educational Philosophy and Theory"). His remarks on why child poverty matters are brief but, as he reports, "there is a large and robust body of research on the harmful consequences of child poverty"…

  19. State Child Welfare Program Self-Assessment Manual.

    Science.gov (United States)

    Sundel, Martin; And Others

    This manual provides a systematic method for administrators and child welfare specialists to assess a child welfare service delivery system. The management of child welfare programs is considered within the framework of five management functions: planning, resource development, implementation, monitoring and evaluation. The manual contains seven…

  20. Innocent Victims: NCJW Manual on Child Abuse and Neglect Programs.

    Science.gov (United States)

    National Council of Jewish Women, New York, NY.

    The manual was written by the National Council of Jewish Women to provide guidelines for volunteer legislative action and community service for individuals in the area of child abuse and neglect. After an overview which details some of the causes of child abuse, information on child abuse and neglect legislation in each state is presented.…

  1. Child and Family Development Research. OPRE Report 2014-89

    Science.gov (United States)

    Administration for Children & Families, 2014

    2014-01-01

    This catalog provides short descriptions of major Division of Child and Family Development (DCFD) projects from Fiscal Year 2014. Multiple projects are described in the areas of child care, Head Start/Early Head Start, child welfare promotion, and the recognition of cultural diversity. An additional section features projects that fall into more…

  2. 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…

  3. A Gifted Child Is More than Just a Brain.

    Science.gov (United States)

    Bradley, Terry

    2002-01-01

    The parent of a gifted child provides the following recommendations for parents: encourage learning and growth in areas of the child's passion; explain to the child that the way he feels is normal for him; make available resources written for children that explain giftedness; and educate yourself. (Contains 3 references.) (CR)

  4. Shared Caregiving: Comparisons between Home and Child-Care Settings.

    Science.gov (United States)

    Ahnert, Lieselotte; Rickert, Heike; Lamb, Michael E.

    2000-01-01

    Described experiences of 84 German toddlers enrolled or not enrolled in child care. Found total amount of care per weekday did not differ by child-care status; child-care toddlers received lower care levels from center providers; their mothers engaged in more social interactions during nonworking hours than did mothers of home-only toddlers; and…

  5. Factors Influencing the Food Purchases of Early Care and Education Providers.

    Science.gov (United States)

    Otten, Jennifer J; Hirsch, Tad; Lim, Catherine

    2017-05-01

    With the majority of US children enrolled in some form of early care and education, the settings for early care and education represent a valuable opportunity to positively impact young children's diets and their interactions with food. Little evidence exists on how early care and education providers make food purchasing and service decisions for this population of young children. Our aim was to explore the factors that influence early care and education providers' food purchasing and service decisions. A qualitative design consisting of individual, in-person, and semi-structured interviews with providers and on-site observations was used. Sixteen early care and education providers-selected across a variety of characteristics that might affect food selection (eg, size of site, participation in reimbursement programs, presence of staff assigned to foodservice) using maximum variation purposive sampling-based in the Puget Sound region, Washington, were interviewed from June to September 2014. Provider perspectives on food purchasing and service decisions. Inductive analysis of transcribed interviews using TAMS Analyzer software (GPL version 2, 2012) to identify themes. Ten main influencers emerged from the data. These were grouped into four categories based on an ecological framework: macro-level environments (ie, regulations; suppliers and vendors, including stores); physical environment and settings (ie, organizational mission, budget, and structure; the facility itself); social environments (ie, professional networks; peers; the site-specific parent and child community); and individual factors at both a provider and child-level (ie, providers' skills, behaviors, motivations, attitudes, knowledge, and values; child food preferences; and, child allergies). A model was then developed to identify potential pathways of intervention and underscore the need for a comprehensive approach to improve early care and education nutrition. This study suggests that a more

  6. Causes of Child Abuse

    Directory of Open Access Journals (Sweden)

    S. Erhan Deveci

    2003-08-01

    Full Text Available Child abuse is an important public health problem that is present almost in every society and environment at different level and intensities. For implementation of child abuse protection measures it is necessary to investigate its causes. In this review, causes of child abuse was attempted to investigate with respects to the society and institution, family and individual and child related factors. [Archives Medical Review Journal 2003; 12(4.000: 396-405

  7. Child Labour and Inequality

    OpenAIRE

    D'Alessandro, Simone; Fioroni, Tamara

    2013-01-01

    This paper focuses on the evolution of child labour, fertility and human capital in an economy characterized by two type of individuals, low and high skilled workers. This heterogeneity allows for an endogenous analysis of inequality generated by child labour. More specifically, according to empirical evidence, we oer an explanation for the emergence of a vicious cycle between child labour and inequality. The basic intuition behind this result is the interdependence between child labour and f...

  8. Economics of child labour

    OpenAIRE

    Fatima, Ambreen.

    2013-01-01

    The dissertation aims to explore the supply and demand side determinant of child labour at macro, meso and micro level. At macro level it explores the effect of globalization (defined as openness to trade and inflow of foreign direct investment) and credit market imperfections on child labour. At meso level it explores the effect of labour market conditions on child labour. As the above two levels of analysis are mainly concerned with the demand for child labour, the micro level analysis expl...

  9. Every Child Is Our Child.

    Science.gov (United States)

    Baker, Gwendolyn Calvert

    Young people deserve to grow and thrive in good times and bad, in poverty and prosperity, in war and peace. Yet children still suffer from hunger, poverty, and maltreatment, even in a country as rich as the United States. This paper provides a historical background of the United Nations Children's Fund (UNICEF), the kinds and nature of the…

  10. Factors affecting the performance and risks to human health of on-site wastewater treatment systems.

    Science.gov (United States)

    Levett, K J; Vanderzalm, J L; Page, D W; Dillon, P J

    2010-01-01

    Aerobic wastewater treatment systems (aerobic systems) are the preferred choice in a region overlying a karstic aquifer used for drinking water supplies, as they are thought to provide better protection to groundwater and human health than standard septic systems. However, aerobic systems in operation do not always perform to design standard; while this is often blamed on lack of maintenance, few studies have investigated the link directly. This study investigates the performance of domestic on-site wastewater treatment systems in South Australia, and compares effluent quality to maintenance records. Effluent from 29 septic tanks and 31 aerobic systems was analysed for nutrients, physico-chemical parameters and microbiological indicators. Aerobic systems generally provided greater treatment than septic tanks, yet most aerobic systems did not meet regulatory guidelines with high levels of indicator bacteria in 71% of samples. The effect of system size, number of household occupants and maintenance on aerobic system treatment performance was analysed: chlorine levels were positively correlated with time of last service, and nutrient concentrations were positively correlated with the number of occupants. A microbial risk assessment revealed the observed irrigation practices to be high risk; and sufficient residence time in the aquifer cannot be guaranteed for protection of groundwater used for drinking. Additional preventive measures such as irrigation management or post treatment of drinking water supply (such as UV disinfection) are required to meet public health targets.

  11. Toilet Teaching Your Child

    Science.gov (United States)

    ... KidsHealth in the Classroom What Other Parents Are Reading How to Talk to Your Child About the News Brain and Nervous System Cancers When Your Child Needs a Kidney Transplant Vision Facts and Myths Toilet Teaching Your Child KidsHealth > For Parents > Toilet Teaching Your ...

  12. Mother-Child Bonding.

    Science.gov (United States)

    Pearce, Joseph Chilton

    1994-01-01

    Examines the nature of mother-child bonding from the prenatal stage through early infancy, discussing how the mother's actions, even before birth, stimulate her child's senses. Explains the crucial role that physical contact, breastfeeding, and visual stimuli have on mother-child bonding in human and animal newborns. (MDM)

  13. Nurturing the child's creativity.

    Science.gov (United States)

    Anandalakshmy, S

    1991-01-01

    A much neglected but vital aspect of a child's development, creativity; needs to be vigorously promoted. India's child survival strategy has focused on immunization, oral rehydration, education, and limiting family size. No policy exists, however, that seeks to nurture a child's curiosity, joy and hopefulness. Many people place art and science in separate realms, not realizing that both depend on the unhindered flow of imagination. India's educational system emphasizes practical and utilitarian knowledge. This systems stresses the accumulation of information, academic performance, and competition. A child acquired value according to how well he or she performs in an exam, a fact that can have only a negative impact on the child's psyche. At home, parents push a child to achieve results, discouraging curiosity in the process. All of these tendencies serve to stifle the creative impulses of the child, making him or her apathetic or frustrated. Society needs to recognize that every child is a gifted child, one who has the inalienable right to explore, seek information, and use his or her imagination. Parents, schools, and the country as a whole need to foster such creativity. Stories, songs, poems, parables--all of these can stimulate a child's imagination. Parents should encourage a child to read for fun, and should help the child differentiate between good literature and mediocre writing, between the aesthetic and the gaudy. Parents should invite children to talk about their feelings and thoughts and should share their own.

  14. Child Sexual Abuse

    Science.gov (United States)

    ... A child who is the victim of prolonged sexual abuse usually develops low self-esteem, a feeling of worthlessness and an abnormal or distorted view of sex. The child may become withdrawn and mistrustful of adults, ... except on sexual terms. Some sexually abused children become child abusers ...

  15. Validation of the Child Abuse Potential Inventory in Italy

    OpenAIRE

    Sarah Miragoli; Elena Camisasca; Paola Di Blasio

    2015-01-01

    The aim of this study was to provide preliminary findings on the reliability and the validity of the Italian Child Abuse Potential (CAP) Inventory, a screening tool that measures parents’ potential for child physical abuse. The CAP Inventory and measures on parenting stress (Parenting Stress Index–Short Form [PSI-SF]) and parents’ perceptions of child adjustment (Child Behavior Checklist [CBCL]) were administered in a ...

  16. Dual-Military Couples, Child Care and Retention

    Science.gov (United States)

    2016-04-01

    ACSC/Williams, Ja Rai A./AY16 1 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY Dual-Military Couples , Child Care & Retention...program standards for child care, the DoD repeatedly comes out on top. Military child care has long been praised by many parents, but there is also the...eligible families, e.g. single parents and parents with a spouse employed outside of the home. The first type of military child care is provided at CDCs

  17. Associations of Caregiver Stress with Working Conditions, Caregiving Practices, and Child Behaviour in Home-Based Child Care

    Science.gov (United States)

    Rusby, Julie C.; Jones, Laura Backen; Crowley, Ryann; Smolkowski, Keith

    2013-01-01

    Home-based child caregivers face unique stressors related to the nature of their work. One hundred and fifty-five home-based child care providers in Oregon, USA, participated in this cross-sectional correlational study. We investigated associations between indicators of caregiver stress and child care working conditions, the quality of caregiver…

  18. A P-wave based, on-site method for Earthquake Early Warning

    Science.gov (United States)

    Zollo, Aldo

    2016-04-01

    Can we rapidly predict the potential damage of earthquakes by-passing the estimation of its location and magnitude? One possible approach is to predict the expected peak ground shaking at the site and the earthquake magnitude from the initial P-peak amplitude and characteristic period, respectively. The idea, first developed by Wu and Kanamori (2005), is to combine the two parameters for declaring the alert once the real-time measured quantities have passed pre-defined thresholds. Our proposed on-site early warning method generalized this approach, based on the analysis of strong motion data from modern accelerograph networks in Japan, Taiwan and Italy (Zollo et al., 2010). It is based on the real-time measurement of the period (τc) and peak displacement (Pd) parameters at one or more co-located stations at a given target site to be protected against the earthquake effects. By converting these real-time proxies in predicted values of Peak Ground Velocity (PGV) or instrumental intensity (IMM) and magnitude, an alert level is issued at the recording site based on a decisional table with four entries defined upon threshold values of the parameters Pd and Tc. The latter ones are set according to the error bounds estimated on the derived prediction equations. A near-source network of stations running the onsite method can provide the event location and transmit the information about the alert levels recorded at near-source stations to more distant sites, before the arrival of the most destructive phase. The network-based approach allows for the rapid and robust estimation of the Potential Damage Zone (PDZ), that is the area where most of earthquake damage is expected (Colombelli et al., 2012). A new strategy for a P-wave based, on-site earthquake early warning system has been developed and tested on Japanese strong motion data and under testing on Italian data. The key elements are the real-time, continuous measurement of three peak amplitude parameters and their

  19. Child restraint systems for civil aircraft.

    Science.gov (United States)

    1978-03-01

    Child restraint systems have been developed to provide protection to children involved in automobile crashes. These systems are not yet approved for use in civil aircraft. Six typical systems were exposed to controlled impacts on a test sled to simul...

  20. School food, politics and child health

    National Research Council Canada - National Science Library

    Bundy, Donald A P; Drake, Lesley J; Burbano, Carmen

    2013-01-01

    An analysis undertaken jointly in 2009 by the UN World Food Programme, The Partnership for Child Development and the World Bank was published as Rethinking School Feeding to provide guidance on how...

  1. 75 FR 32145 - Safeguarding Child Support Information

    Science.gov (United States)

    2010-06-07

    ... State law with respect to a parental kidnapping or making or enforcing a child custody or visitation... parental kidnapping case. Appendix C provides the authorities for State IV-D agencies to release...

  2. The evaluation of suspected child physical abuse.

    Science.gov (United States)

    Christian, Cindy W

    2015-05-01

    Child physical abuse is an important cause of pediatric morbidity and mortality and is associated with major physical and mental health problems that can extend into adulthood. Pediatricians are in a unique position to identify and prevent child abuse, and this clinical report provides guidance to the practitioner regarding indicators and evaluation of suspected physical abuse of children. The role of the physician may include identifying abused children with suspicious injuries who present for care, reporting suspected abuse to the child protection agency for investigation, supporting families who are affected by child abuse, coordinating with other professionals and community agencies to provide immediate and long-term treatment to victimized children, providing court testimony when necessary, providing preventive care and anticipatory guidance in the office, and advocating for policies and programs that support families and protect vulnerable children. Copyright © 2015 by the American Academy of Pediatrics.

  3. European Council of Legal Medicine (ECLM) principles for on-site forensic and medico-legal scene and corpse investigation.

    Science.gov (United States)

    Cusack, D; Ferrara, S D; Keller, E; Ludes, B; Mangin, P; Väli, M; Vieira, N

    2017-07-01

    Forensic medical practitioners need to define the general principles governing procedures to be used for the on-site examination of a body where the death has occurred in unnatural, violent or suspicious circumstances. These principles should be followed whenever a medical expert is required to perform an on-site corpse inspection and should be utilised as a set of general guidelines to be adapted to the specific situation in hand and interpreted using common sense and scientific knowledge of the relevant procedures and facts of the case. The aim of these principles is to ensure that forensic evidence at the scene of a death is properly observed and assessed and all necessary relevant evidence gathered in order to ensure that a comprehensive report is available to the judicial authority (investigating judge or coroner) in the justice system. The on-site corpse inspection by a forensic practitioner is a mandatory and essential stage of the forensic and medico-legal autopsy, as it may provide important information for subsequent investigation stages.

  4. Key components of a service model providing early childhood support for women attending opioid treatment clinics: an Australian state health service review.

    Science.gov (United States)

    Harvey, Susan R; Schmied, Virginia; Nicholls, Daniel; Dahlen, Hannah

    2012-09-01

    To report the findings of a service review--specifically the strategy to provide early childhood services 'on site' at opioid treatment clinics to address access difficulties. Child and family health nurses are skilled in the assessment and support of families during early childhood. However, women with a history of substance abuse are often cautious when engaging with universal and other health services, with the result that the infant may miss recommended developmental screening and early referral to improve health outcomes. In 2006, an internal review was undertaken of the integration of early childhood and parenting services at opioid treatment clinics in a large Area Health Service of New South Wales, Australia. A qualitative study design, using semi-structured interview questions was used. Data were collected via six focus groups (4-15 participants in each group) and individual interview of child and family health nurses, nurse unit managers and clinical staff (n=58). Three key components of a model for providing early childhood support in collaboration with opioid treatment services were identified. First, the importance of building a trusting relationship between the woman and the child and family health nurses, second, maintaining continuity of care and a multidisciplinary/multiagency approach, and finally the importance of staff education, support and professional development. The provision of early childhood and parenting services on site, as part of a multidisciplinary 'one stop shop' approach to service delivery was a clear recommendation of the review. Reduction of access difficulties to specialised early childhood support is of benefit to clients, community health services attempting to provide a service to this difficult to reach population and to drug and alcohol services seeking to provide a high level of holistic care for clients. © 2012 Blackwell Publishing Ltd.

  5. On-site audits to investigate the quality of radiation physics of radiation therapy institutions in the Republic of Korea.

    Science.gov (United States)

    Park, Jong Min; Park, So-Yeon; Chun, Minsoo; Kim, Sang-Tae

    2017-08-01

    To investigate and improve the domestic standard of radiation therapy in the Republic of Korea. On-site audits were performed for 13 institutions in the Republic of Korea. Six items were investigated by on-site visits of each radiation therapy institution, including collimator, gantry, and couch rotation isocenter check; coincidence between light and radiation fields; photon beam flatness and symmetry; electron beam flatness and symmetry; physical wedge transmission factors; and photon beam and electron beam outputs. The average deviations of mechanical collimator, gantry, and couch rotation isocenter were less than 1mm. Those of radiation isocenter were also less than 1mm. The average difference between light and radiation fields was 0.9±0.6mm for the field size of 20cm×20cm. The average values of flatness and symmetry of the photon beams were 2.9%±0.6% and 1.1%±0.7%, respectively. Those of electron beams were 2.5%±0.7% and 0.6%±1.0%, respectively. Every institutions showed wedge transmission factor deviations less than 2% except one institution. The output deviations of both photon and electron beams were less than ±3% for every institution. Through the on-site audit program, we could effectively detect an inappropriately operating linacs and provide some recommendations. The standard of radiation therapy in Korea is expected to improve through such on-site audits. Copyright © 2017 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  6. Child categorization.

    Science.gov (United States)

    Gelman, Susan A; Meyer, Meredith

    2011-01-01

    Categorization is a process that spans all of development, beginning in earliest infancy yet changing as children's knowledge and cognitive skills develop. In this review article, we address three core issues regarding childhood categorization. First, we discuss the extent to which early categories are rooted in perceptual similarity versus knowledge-enriched theories. We argue for a composite perspective in which categories are steeped in commonsense theories from a young age but also are informed by low-level similarity and associative learning cues. Second, we examine the role of language in early categorization. We review evidence to suggest that language is a powerful means of expressing, communicating, shaping, and supporting category knowledge. Finally, we consider categories in context. We discuss sources of variability and flexibility in children's categories, as well as the ways in which children's categories are used within larger knowledge systems (e.g., to form analogies, make inferences, or construct theories). Categorization is a process that is intrinsically tied to nearly all aspects of cognition, and its study provides insight into cognitive development, broadly construed. WIREs Cogn Sci 2011 2 95-105 DOI: 10.1002/wcs.96 For further resources related to this article, please visit the WIREs website. Copyright © 2010 John Wiley & Sons, Ltd.

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

    Science.gov (United States)

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

    2016-02-01

    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.

  8. 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

  9. Optical technologies applied alongside on-site and remote approaches for climate gas emission quantification at a wastewater treatment plant.

    Science.gov (United States)

    Samuelsson, Jerker; Delre, Antonio; Tumlin, Susanne; Hadi, Safa; Offerle, Brian; Scheutz, Charlotte

    2017-12-28

    Plant-integrated and on-site gas emissions were quantified from a Swedish wastewater treatment plant by applying several optical analytical techniques and measurement methods. Plant-integrated CH4 emission rates, measured using mobile ground-based remote sensing methods, varied between 28.5 and 33.5 kg CH4 h-1, corresponding to an average emission factor of 5.9% as kg CH4 (kg CH4production) -1, whereas N2O emissions varied between 4.0 and 6.4 kg h-1, corresponding to an average emission factor of 1.5% as kg N2O-N (kg TN influent) -1. Plant-integrated NH3 emissions were around 0.4 kg h-1, corresponding to an average emission factor of 0.11% as kg NH3-N (kg TN removed) -1. On-site emission measurements showed that the largest proportions of CH4 (70%) and NH3 (66%) were emitted from the sludge treatment line (mainly biosolid stockpiles and the thickening and dewatering units), while most of the N2O (82%) was emitted from nitrifying trickling filters. In addition to being the most important CH4 source, stockpiles of biosolids exhibited different emissions when the sludge digesters were operated in series compared to in parallel, thus slightly increasing substrate retention time in the digesters. Lower CH4 emissions and generally higher N2O and NH3 emissions were observed when the digesters were operated in series. Loading biosolids onto trucks for off-site treatment generally resulted in higher CH4, N2O, and NH3 emissions from the biosolid stockpiles. On-site CH4 and N2O emission quantifications were approximately two-thirds of the plant-integrated emission quantifications, which may be explained by the different timeframes of the approaches and that not all emission sources were identified during on-site investigation. Off-site gas emission quantifications, using ground-based remote sensing methods, thus seem to provide more comprehensive total plant emissions rates, whereas on-site measurements provide insights into emissions from individual sources. Copyright

  10. [Child psychiatry and social security].

    Science.gov (United States)

    Riquelme García, E; Dallal y Castillo, E

    1978-01-01

    The historic development of the units that provided psychiatric care to children and adolescents, which finally yielded the first child guidance clinic early this century is briefly reviewed. We describe the organization of a child psychiatry unit within a social security institute (ISSSTE). The importance of a child psychiatrist, a psychologist and a social worker working together in a team approach to the evaluation and treatment of children is emphasized. The ISSSTE has provided psychiatric care to children and adolescents since 1961. For this purpose the Institute has five psychiatric units, four of them within a general hospital, the other in a neuropsychiatry out-patient clinic. This clinic admitted 749 new cases to the Child Psychiatry department during 1976. Up to December 1976, the total population of the clinic was 14 271 patients, of which 5 471 are children and adolescents. Last but not least, we describe an ambitious project for an in-patient unit for children and adolescents as part of a psychiatric hospital.

  11. Recognizing child maltreatment in Bangladesh.

    Science.gov (United States)

    Khan, N Z; Lynch, M A

    1997-08-01

    Concern is increasing in Bangladesh over child abuse, neglect, and exploitation. Children from all walks of life are being treated at the Child Development Center (CDC) Dhaka Shishu Hospital for neurodevelopmental problems resulting from abuse and neglect. Efforts to protect children from sexual harassment result in girls being isolated at home or married at an early age. Some young brides are eventually abandoned and forced into prostitution. Early marriage reflects the lack of acknowledgement of a period of adolescence and the belief that puberty is a marker of adulthood. Many girls aged 8-16 are employed as live-in domestic servants, and many suffer sexual as well as emotional abuse. Garment factories, on the other hand, offer girls an escape from extreme poverty, domestic service, and early marriage but are threatened by forces that condemn child labor. Rather than ending such opportunities, employers should be encouraged to provide employees with educational and welfare facilities. The CDC seeks to explore the extent and depth of the problem of child abuse while recognizing the special circumstances at work in Bangladesh. It is also necessary to raise awareness of these issues and of the discrepancies between the law and cultural practices. For example, the legal marriage age of 18 years for a woman and 21 years for a man is often ignored. Additional forms of abuse receiving the attention of women's organizations and human rights groups include the trafficking of children. A network of concerned organizations should be created to work against the child abuse, neglect, and exploitation that Bangladesh has pledged to overcome by signing the UN Convention on the Rights of the Child.

  12. Parental responses to child support obligations

    DEFF Research Database (Denmark)

    Rossin-Slater, Maya; Wüst, Miriam

    contact with existing children. Finally, we find evidence that some fathers reduce their labor supply to avoid facing higher support obligations. Our findings suggest that government efforts to increase child investments through mandates on parents can be complicated by their behavioral responses to them.......We leverage non-linearities in Danish child support guidelines together with rich administrative data to provide causal estimates of parental behavioral responses to child support obligations. We estimate that among families with formal child support agreements, a 1, 000 DKK ($183) increase...... in a father’s annual obligation is associated with a 573 DKK ($104) increase in his annual payment. However, we also show that an increase in the obligation reduces the likelihood that the father lives with his child, pointing to some substitution between financial and non-pecuniary investments. Further, we...

  13. Child Abuse, Child Protection, and Defensive "Touch" in PE Teaching and Sports Coaching

    Science.gov (United States)

    Piper, Heather; Garratt, Dean; Taylor, Bill

    2013-01-01

    This text introduces recently completed research on "no touch" sports coaching, by placing it in a broader social context which problematises the way child abuse and child protection (or safeguarding) are conceived and discussed in terms of policy and practice. It also provides a brief indicative summary of the research findings and…

  14. Child Care Teachers' Perspectives on Including Children with Challenging Behavior in Child Care Settings

    Science.gov (United States)

    Quesenberry, Amanda C.; Hemmeter, Mary Louise; Ostrosky, Michaelene M.; Hamann, Kira

    2014-01-01

    In this study, 9 teachers from 5 child care centers were interviewed to examine their perceptions on including children with challenging behavior in their classrooms. The findings provide a firsthand view into how child care teachers support children's social and emotional development and address challenging behavior. Results confirm previous…

  15. Towards sustainable and robust on-site domestic wastewater treatment for all citizens

    NARCIS (Netherlands)

    Mgana, S.

    2003-01-01

    In most developing countries commonly practiced domestic wastewater treatment systems predominantly constitute anaerobic treatment process. The anaerobic treatment units mostly installed are on-site at residential dwellings.However the commonly installed units, viz., traditional pit latrines and

  16. Stream habitat connectivity in the Canadian Arctic: an on-site approach to design and construction

    National Research Council Canada - National Science Library

    Baki, Abul Basar M; Zhu, David Z; Tonn, William M; Cahill, Christopher L; Courtice, Gregory J

    2016-01-01

    We developed a successful on-site approach for design and construction of stream modifications that addressed challenging remote-site conditions of limited field data and available construction materials...

  17. 78 FR 8587 - Thomson Reuters, Finance Operations & Technology Division, Including On-Site Leased Workers From...

    Science.gov (United States)

    2013-02-06

    ... Employment and Training Administration Thomson Reuters, Finance Operations & Technology Division, Including... Worker Adjustment Assistance on August 2, 2012, applicable to workers of Thomson Reuters, Finance... that workers of Thomson Reuters, Finance Operations & Technology Division, including on-site leased...

  18. Wilderness Recreation Demand: A Comparison of Travel Cost and On-Site Cost Models

    Science.gov (United States)

    J.M. Bowker; A. Askew; L. Seymour; J.P. Zhu; D. English; C.M. Starbuck

    2009-01-01

    This study used travel cost and on-site day cost models, coupled with the Forest Service’s National Visitor Use Monitoring data, to examine the demand for and value of recreation access to designated Wilderness.

  19. On-site toxicity of irrigation drainwater from Stillwater National Wildlife Refuge to aquatic organisms

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The toxicity of water from seven locations in the Stillwater Wildlife Management Area was evaluated in a series of on-site tests conducted over a 10 day period with...

  20. A sensitive rapid on-site immunoassay for heavy metal contamination

    Energy Technology Data Exchange (ETDEWEB)

    Blake, R.; Blake, D.; Flowers, G.

    1996-05-02

    This project concerns the development of immunoassays for heavy metals that will permit the rapid on-site analysis of specific heavy metals, including lead and chromium in water and soil samples. 2 refs.

  1. AMCO On-Site Air Monitoring Map Service, Oakland CA, Live 2017, US EPA Region 9

    Data.gov (United States)

    U.S. Environmental Protection Agency — This map service contains the following layers: All On-Site Air Monitors, TCE, PCE, and Vinyl Chloride. The layers draws at all scales. Full FGDC metadata for the...

  2. 78 FR 12358 - UBS Financial Services, Inc., Wealth Management Americas Operations, Including On-Site Leased...

    Science.gov (United States)

    2013-02-22

    ... Employment and Training Administration UBS Financial Services, Inc., Wealth Management Americas Operations..., applicable to workers of UBS Financial Services, Inc., Wealth Management Americas Operations (UBS), Weehawken... Management Americas Operations, including on-site leased workers from Leafstone, Cognizant Technology...

  3. On-Site Additive Manufacturing by Selective Laser Melting of Composite Objects

    Science.gov (United States)

    Fateri, M.; Khosravi, M.

    2012-06-01

    This paper proposes a method for cost reduction of future space missions by manufacturing parts on foreign planets. The suitability of Selective Laser Melting process for on-site production of metallic, ceramic and glass products on mars is examined.

  4. Child and adolescent violence.

    Science.gov (United States)

    Daane, Diane M

    2003-01-01

    Although the juvenile violent crime rate has decreased steadily during the past 5 years, the problem of violence and violence-related behaviors in the lives of our children and adolescents remains. The incidence of violent victimization against children and violence and violence-related behavior by today's youth is related to a variety of factors. Exposure to violence in the home, school, community, or video games and other entertainment significantly influences aggressive behaviors among children and adolescents. Other childhood violence predictors include alcohol and drug use, gender, and low self-esteem. The childhood violence risk indicators have implications for child and adolescent violence prevention and intervention programs. Nurses who recognize dangerous and potentially dangerous behavior in children and adolescents are better able to provide violence prevention and intervention services and referrals to children at risk or in danger. Because orthopaedic nurses often see adolescents who have already sustained injury from violence, identification of those at risk is particularly important.

  5. Lightdrum—Portable Light Stage for Accurate BTF Measurement on Site

    Directory of Open Access Journals (Sweden)

    Vlastimil Havran

    2017-02-01

    Full Text Available We propose a miniaturised light stage for measuring the bidirectional reflectance distribution function (BRDF and the bidirectional texture function (BTF of surfaces on site in real world application scenarios. The main principle of our lightweight BTF acquisition gantry is a compact hemispherical skeleton with cameras along the meridian and with light emitting diode (LED modules shining light onto a sample surface. The proposed device is portable and achieves a high speed of measurement while maintaining high degree of accuracy. While the positions of the LEDs are fixed on the hemisphere, the cameras allow us to cover the range of the zenith angle from 0 ∘ to 75 ∘ and by rotating the cameras along the axis of the hemisphere we can cover all possible camera directions. This allows us to take measurements with almost the same quality as existing stationary BTF gantries. Two degrees of freedom can be set arbitrarily for measurements and the other two degrees of freedom are fixed, which provides a tradeoff between accuracy of measurements and practical applicability. Assuming that a measured sample is locally flat and spatially accessible, we can set the correct perpendicular direction against the measured sample by means of an auto-collimator prior to measuring. Further, we have designed and used a marker sticker method to allow for the easy rectification and alignment of acquired images during data processing. We show the results of our approach by images rendered for 36 measured material samples.

  6. Lightdrum—Portable Light Stage for Accurate BTF Measurement on Site

    Science.gov (United States)

    Havran, Vlastimil; Hošek, Jan; Němcová, Šárka; Čáp, Jiří; Bittner, Jiří

    2017-01-01

    We propose a miniaturised light stage for measuring the bidirectional reflectance distribution function (BRDF) and the bidirectional texture function (BTF) of surfaces on site in real world application scenarios. The main principle of our lightweight BTF acquisition gantry is a compact hemispherical skeleton with cameras along the meridian and with light emitting diode (LED) modules shining light onto a sample surface. The proposed device is portable and achieves a high speed of measurement while maintaining high degree of accuracy. While the positions of the LEDs are fixed on the hemisphere, the cameras allow us to cover the range of the zenith angle from 0∘ to 75∘ and by rotating the cameras along the axis of the hemisphere we can cover all possible camera directions. This allows us to take measurements with almost the same quality as existing stationary BTF gantries. Two degrees of freedom can be set arbitrarily for measurements and the other two degrees of freedom are fixed, which provides a tradeoff between accuracy of measurements and practical applicability. Assuming that a measured sample is locally flat and spatially accessible, we can set the correct perpendicular direction against the measured sample by means of an auto-collimator prior to measuring. Further, we have designed and used a marker sticker method to allow for the easy rectification and alignment of acquired images during data processing. We show the results of our approach by images rendered for 36 measured material samples. PMID:28241466

  7. Upflow Evapotranspiration System for the Treatment of On-Site Wastewater Effluent

    Directory of Open Access Journals (Sweden)

    Sean Curneen

    2015-05-01

    Full Text Available Full-scale willow evapotranspiration systems fed from the base with septic tank or secondary treated domestic effluent from single houses have been constructed and instrumented in Ireland in order to investigate whether the technology could provide a solution to the problem of on-site effluent disposal in areas with low permeability subsoils. Continuous monitoring of rainfall, reference evapotranspiration, effluent flows and water level in the sealed systems revealed varying evapotranspiration rates across the different seasons. No system managed to achieve zero discharge in any year remaining at maximum levels for much of the winter months, indicating some loss of water by lateral exfiltration at the surface. Water sampling and analysis however, showed that the quality of any surface overflow from the systems was similar to rainfall runoff. The performance results have then been used to formulate design guidelines for such systems in Ireland’s temperate maritime climate. The effect of varying different combinations of design parameters (plan area, soil depth, etc. has been evaluated with respect to the simulated number of overflow days over a five-year period using a water balance model. Design guidelines have then been based upon minimising the amount of runoff, in conjunction with other practical and financial considerations.

  8. Evaluation of evapotranspiration in small on-site HSF constructed wetlands.

    Science.gov (United States)

    Papaevangelou, Vassiliki A; Gikas, Georgios D; Tsihrintzis, Vassilios A

    2012-01-01

    Experimental results on evapotranspiration (ET), relevant to small on-site facilities are presented, derived from one-year controlled experiments in five pilot-scale horizontal subsurface flow (HSF) constructed wetlands (CW) used as lysimeters. The CW units operated in Northern Greece. They were rectangular tanks made of steel, with dimensions 3m long, 0.75m wide and 1m deep. Three different porous media were used, i.e., medium gravel, fine gravel and cobbles. Two plants were used, namely common reed (R, Phragmites australis) and cattails (C, Typha latifolia). One unit was unplanted. ET was estimated based on the water budget method. Conclusions were drawn on its relation to season and vegetation density. Furthermore, Pearson correlation coefficient analysis identified the main factors affecting wetland plant ET. Seven well-known ET empirical methods were applied to estimate ET using the measured meteorological and wetland data. ET estimated by the empirical methods were multiplied with appropriate correction coefficients to match measured ET, providing this way appropriate plant coefficient (K(c)) values, and equations for predicting HSF CW evapotranspiration. The suitability of these methods for the particular constructed wetland type is discussed through comparison with the measured data. The Blaney-Criddle method was found as best. Furthermore, stepwise multiple linear regression analysis was used with the measured ET and meteorological data to produce simple empirical equations to predict ET rates according to meteorological factors, plant and substrate material.

  9. First On-Site True Gamma-Ray Imaging-Spectroscopy of Contamination near Fukushima Plant

    Science.gov (United States)

    Tomono, Dai; Mizumoto, Tetsuya; Takada, Atsushi; Komura, Shotaro; Matsuoka, Yoshihiro; Mizumura, Yoshitaka; Oda, Makoto; Tanimori, Toru

    2017-02-01

    We have developed an Electron Tracking Compton Camera (ETCC), which provides a well-defined Point Spread Function (PSF) by reconstructing a direction of each gamma as a point and realizes simultaneous measurement of brightness and spectrum of MeV gamma-rays for the first time. Here, we present the results of our on-site pilot gamma-imaging-spectroscopy with ETCC at three contaminated locations in the vicinity of the Fukushima Daiichi Nuclear Power Plants in Japan in 2014. The obtained distribution of brightness (or emissivity) with remote-sensing observations is unambiguously converted into the dose distribution. We confirm that the dose distribution is consistent with the one taken by conventional mapping measurements with a dosimeter physically placed at each grid point. Furthermore, its imaging spectroscopy, boosted by Compton-edge-free spectra, reveals complex radioactive features in a quantitative manner around each individual target point in the background-dominated environment. Notably, we successfully identify a “micro hot spot” of residual caesium contamination even in an already decontaminated area. These results show that the ETCC performs exactly as the geometrical optics predicts, demonstrates its versatility in the field radiation measurement, and reveals potentials for application in many fields, including the nuclear industry, medical field, and astronomy.

  10. parents' and healthcare providers perspectives about hospitalised

    African Journals Online (AJOL)

    2013-04-04

    Apr 4, 2013 ... and the parents and healthcare providers' views on hospitalised children being visited by other children. ... Subjects: Nurses, paediatricians and parents of hospitalised children. Results: A total of 161 ... because it promotes healing, gives the sick child psychological satisfaction and relieves anxiety in the ...

  11. On-site investigations of hydrocarbon contaminated soil by the Pollut-Eval methodology

    Energy Technology Data Exchange (ETDEWEB)

    Benoit, Y.; Prigent, S.; Haeseler, F

    2005-07-01

    characterisation. By the lack of sample pre-treatment and the adaptation of a cooled auto-sampler, short time analysis suited for light petroleum pollutant such as gasoline and kerosene. The simple protocol applied to the soil appeared rapidly suitable for keeping the track of depollution process efficiency. During its qualification, the analyser has been involved in rehabilitation process evaluation by analysing various contaminated soils before and after clean-up treatment. From 1999, IFP was frequently asked for on-site diagnosis involving Pollut-Eval methodology. So, IFP installed this lab equipment in a mobile van in order to qualify the methodology through real time and on-site diagnosis. In addition to the qualification program, the aim of the project was also to identify the analytical parameters available in the method and sufficient for field contaminated soil characterisation. During 2 years, all over France, IFP, Gester and Vinci Technologies gathered their effort to ensure 10-site diagnosis. The variety of pollutants encountered has enriched a data base that has been included in a user guide. The gathered experience ended by the design of a compact apparatus dedicated to field analyses. Its small size and weight (less than 20 kg) was designed to perform on-site and autonomous characterisations. (authors)

  12. On-site and laboratory evaluations of soundscape quality in recreational urban spaces.

    Science.gov (United States)

    Bjerre, Lærke C; Larsen, Thea M; Sørensen, A Josefine; Santurette, Sébastien; Jeong, Cheol-Ho

    2017-01-01

    Regulations for quiet urban areas are typically based on sound level limits alone. However, the nonacoustic context may be crucial for subjective soundscape quality. This study aimed at comparing the role of sound level and nonacoustic context for subjective urban soundscape assessment in the presence of the full on-site context, the visual context only, and without context. Soundscape quality was evaluated for three recreational urban spaces by using four subjective attributes: loudness, acceptance, stressfulness, and comfort. The sound level was measured at each site and simultaneous sound recordings were obtained. Participants answered questionnaires either on site or during laboratory listening tests, in which the sound recordings were presented with or without each site's visual context consisting of two pictures. They rated the four subjective attributes along with their preference toward eight sound sources. The sound level was found to be a good predictor of all subjective parameters in the laboratory, but not on site. Although all attributes were significantly correlated in the laboratory setting, they did not necessarily covary on site. Moreover, the availability of the visual context in the listening experiment had no significant effect on the ratings. The participants were overall more positive toward natural sound sources on site. The full immersion in the on-site nonacoustic context may be important when evaluating overall soundscape quality in urban recreational areas. Laboratory evaluations may not fully reflect how subjective loudness, acceptance, stressfulness, and comfort are affected by sound level.

  13. Next Generation Programmable Bio-Nano-Chip System for On-Site Detection in Oral Fluids

    Science.gov (United States)

    Christodoulides, Nicolaos; De La Garza, Richard; Simmons, Glennon W; McRae, Michael P; Wong, Jorge; Newton, Thomas F; Kosten, Thomas R.; Haque, Ahmed; McDevitt, John T

    2016-01-01

    Current on-site drug of abuse detection methods involve invasive sampling of blood and urine specimens, or collection of oral fluid, followed by qualitative screening tests using immunochromatographic cartridges. Test confirmation and quantitative assessment of a presumptive positive are then provided by remote laboratories, an inefficient and costly process decoupled from the initial sampling. Recently, a new noninvasive oral fluid sampling approach that is integrated with the chip-based Programmable Bio-Nano-Chip (p-BNC) platform has been developed for the rapid (~ 10 minutes), sensitive detection (~ ng/ml) and quantitation of 12 drugs of abuse. Furthermore, the system can provide the time-course of select drug and metabolite profiles in oral fluids. For cocaine, we observed three slope components were correlated with cocaine-induced impairment using this chip-based p-BNC detection modality. Thus, this p-BNC has significant potential for roadside drug testing by law enforcement officers. Initial work reported on chip-based drug detection was completed using ‘macro’ or “chip in the lab” prototypes, that included metal encased “flow cells”, external peristaltic pumps and a bench-top analyzer system instrumentation. We now describe the next generation miniaturized analyzer instrumentation along with customized disposables and sampling devices. These tools will offer real-time oral fluid drug monitoring capabilities, to be used for roadside drug testing as well as testing in clinical settings as a non-invasive, quantitative, accurate and sensitive tool to verify patient adherence to treatment. PMID:26925466

  14. On-site Rapid Diagnosis of Intracranial Hematoma using Portable Multi-slice Microwave Imaging System

    Science.gov (United States)

    Mobashsher, Ahmed Toaha; Abbosh, A. M.

    2016-11-01

    Rapid, on-the-spot diagnostic and monitoring systems are vital for the survival of patients with intracranial hematoma, as their conditions drastically deteriorate with time. To address the limited accessibility, high costs and static structure of currently used MRI and CT scanners, a portable non-invasive multi-slice microwave imaging system is presented for accurate 3D localization of hematoma inside human head. This diagnostic system provides fast data acquisition and imaging compared to the existing systems by means of a compact array of low-profile, unidirectional antennas with wideband operation. The 3D printed low-cost and portable system can be installed in an ambulance for rapid on-site diagnosis by paramedics. In this paper, the multi-slice head imaging system’s operating principle is numerically analysed and experimentally validated on realistic head phantoms. Quantitative analyses demonstrate that the multi-slice head imaging system is able to generate better quality reconstructed images providing 70% higher average signal to clutter ratio, 25% enhanced maximum signal to clutter ratio and with around 60% hematoma target localization compared to the previous head imaging systems. Nevertheless, numerical and experimental results demonstrate that previous reported 2D imaging systems are vulnerable to localization error, which is overcome in the presented multi-slice 3D imaging system. The non-ionizing system, which uses safe levels of very low microwave power, is also tested on human subjects. Results of realistic phantom and subjects demonstrate the feasibility of the system in future preclinical trials.

  15. Evaluation of the on-site immunoassay drug-screening device Triage-TOX in routine forensic autopsy.

    Science.gov (United States)

    Tominaga, Mariko; Michiue, Tomomi; Maeda, Hitoshi

    2015-11-01

    Instrumental identification of drugs with quantification is essential in forensic toxicology, while on-site immunoassay urinalysis drug-screening devices conveniently provide preliminary information when adequately used. However, suitable or sufficient urine specimens are not always available. The present study evaluated the efficacy of a new on-site immunoassay drug-screening device Triage-TOX (Alere Inc., San Diego, CA, USA), which has recently been developed to provide objective data on the one-step automated processor, using 51 urine and 19 pericardial fluid samples from 66 forensic autopsy cases, compared with Triage-Drug of Abuse (DOA) and Monitect-9. For benzodiazepines, the positive predictive value and specificity of Triage-TOX were higher than those of Triage-DOA; however, sensitivity was higher with Monitect-9, despite frequent false-positives. The results for the other drugs with the three devices also included a few false-negatives and false-positives. These observations indicate the applicability of Triage-TOX in preliminary drug screening using urine or alternative materials in routine forensic autopsy, when a possible false-negative is considered, especially for benzodiazepines, providing objective information; however, the combined use of another device such as Monitect-9 can help minimize misinterpretation prior to instrumental analysis. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  16. 45 CFR 1306.30 - Provisions of comprehensive child development services.

    Science.gov (United States)

    2010-10-01

    ... for the child as well as home visits to the parents. The major purpose of the classroom or socialization activities is to help meet the child's development needs and to foster the child's social... Start grantees must provide comprehensive child development services, as defined in the Head Start...

  17. Adapting Child Care Market Price Surveys to Support State Quality Initiatives. White Paper

    Science.gov (United States)

    Branscome, Kenley

    2016-01-01

    Recent changes to the Child Care and Development Fund (CCDF) require a state's child care market price survey to: (1) be statistically valid and reliable and (2) reflect variations in the cost of child care services by geographic area, type of provider, and age of child. States may use an alternative methodology for setting payment rates--such as…

  18. The Nonprofit Advantage: Producing Quality in Thick and Thin Child Care Markets

    Science.gov (United States)

    Cleveland, Gordon; Krashinsky, Michael

    2009-01-01

    Nonprofit child care centers are frequently observed to produce child care which is, on average, of higher quality than care provided in commercial child care centers. In part, this nonprofit advantage is due to different input choices made by nonprofit centers--lower child--staff ratios, better-educated staff and directors, higher rates of…

  19. The Economics of Child Care: Taking Care of Vermont's Most Valuable Resource.

    Science.gov (United States)

    Davenport, Amy; And Others

    To investigate the gap between the supply of and demand for child care in Vermont, the Child Care Task Force (CCTF) held a series of hearings. Testimony was taken from more than 40 persons involved with child care programs, including parents, child care providers, employers, professionals in the early childhood development field, and…

  20. Teacher-Child Relationships: Contribution of Teacher and Child Characteristics

    Science.gov (United States)

    Choi, Ji Young; Dobbs-Oates, Jennifer

    2016-01-01

    This study investigates potential predictors of teacher-child relationships (i.e., closeness and conflict) focusing on child gender, teacher-child ethnicity match, and teacher education. Additionally, the study explores the possible moderation effect of teacher education on the associations between teacher-child relationships and child gender or…

  1. 75 FR 62424 - EDS, an HP Company (Re-Branded as HP-Enterprise Services) Including On-Site Workers From: Abel...

    Science.gov (United States)

    2010-10-08

    ... Floyd and Company, Trinity Government SYS a Private Co, Verizon Network Integration Corp, Vision... Provider Inc., Teksystems, The Experts Inc., TM Floyd and Company, Trinity Government SYS a Private Co... Company (Re-Branded as HP--Enterprise Services) Including On-Site Workers From: Abel Personnel Inc...

  2. The Design and Implementation of an Intergenerational Program at a Private Long-Term Healthcare Facility with On-Site Childcare.

    Science.gov (United States)

    Rosenberg, Marcia Kasper

    A practicum project addressed the problem of separation of generations. An intergenerational program was designed to provide elders at a long-term care facility and children at the on-site daycare center with opportunities to interact with one another for the social and emotional betterment of both groups. Participants in the program included 17…

  3. International child health

    DEFF Research Database (Denmark)

    Kruse, Alexandra Y; Høgh, Birthe

    2007-01-01

    International child health has improved. Better healthcare strategies, like IMCI, have contributed implementing basic interventions: vaccinations, nutrition supplement, oral rehydration and antibiotics. But 11 million children still die every year before they turn five, most from infectious...... diseases and neonatal complications, over half associated with malnutrition. Conditions we could prevent and treat. One of UN's Millennium Development Goals is to reduce child mortality. However child health is more than mortality and morbidity indicators, it includes growth and development. Udgivelsesdato...

  4. International child health

    DEFF Research Database (Denmark)

    Kruse, Alexandra Y; Høgh, Birthe

    2007-01-01

    diseases and neonatal complications, over half associated with malnutrition. Conditions we could prevent and treat. One of UN's Millennium Development Goals is to reduce child mortality. However child health is more than mortality and morbidity indicators, it includes growth and development. Udgivelsesdato......International child health has improved. Better healthcare strategies, like IMCI, have contributed implementing basic interventions: vaccinations, nutrition supplement, oral rehydration and antibiotics. But 11 million children still die every year before they turn five, most from infectious...

  5. Measuring child marriage

    OpenAIRE

    Minh Cong Nguyen; Quentin Wodon

    2012-01-01

    Child or early marriage is recognized as an important development and human rights issue that affects girls especially in many developing countries. The practice has been linked to psychological, health, and education risks. These negative impacts explain why in many countries child marriage has been prohibited by law but often with little effect. While child marriage has been recognized as a major issue, its measurement has remained unsophisticated. Existing studies tend to simply report the...

  6. The child accident repeater: a review.

    Science.gov (United States)

    Jones, J G

    1980-04-01

    The child accident repeater is defined as one who has at least three accidents that come to medical attention within a year. The accident situation has features in common with those of the child who has a single accident through simple "bad luck", but other factors predispose him to repeated injury. In the child who has a susceptible personality, a tendency for accident repetition may be due to a breakdown in adjustment to a stressful environment. Prevention of repeat accidents should involve the usual measures considered appropriate for all children as well as an attempt to provide treatment of significant maladjustment and modification of a stressful environment.

  7. Correlates of child-father and child-mother attachment in the preschool years.

    Science.gov (United States)

    Bureau, Jean-François; Martin, Jodi; Yurkowski, Kim; Schmiedel, Sabrina; Quan, Jeffry; Moss, Ellen; Deneault, Audrey-Ann; Pallanca, Dominique

    2017-04-01

    The increase in fathers' involvement in childrearing, particularly beyond infancy, warrants research exploring factors influencing the quality of child-father attachment relationships, and the impact of these relationships on children's social development. The current investigation explored various correlates of preschoolers' child-father attachment security to both parents, including contextual factors (i.e., socioeconomic status, child temperament, parenting stress), parental play sensitivity, and child social adaptation. Participants included 107 preschool-aged children (59 girls; M = 46.67 months, SD = 8.57) and their fathers and mothers. Results revealed that both mothers' and fathers' play sensitivity were associated with child attachment security after controlling for different contextual factors. Furthermore, the magnitude of the association between child conduct problems and child-father attachment insecurity was stronger than the corresponding association with child-mother attachment insecurity. Findings provide important information on caregiving factors associated with child-father attachment security in the preschool years and the importance of this bond to children's social adaptation.

  8. Child and adolescent advocacy through research: introduction to special section.

    Science.gov (United States)

    Budd, Karen S; Eyberg, Sheila M

    2005-12-01

    In this special section, Clinical Child and Adolescent Advocacy Through Research, luminaries in advocacy for children tell important, personal stories of how research and values intertwine to influence the policies that affect children and families. In this introduction, we provide a brief historical overview of child advocacy in the United States, its link to American child psychology, and the roles of the Society of Clinical Child and Adolescent Psychology and the Division of Child, Youth, and Family Services of the American Psychological Association in educating and showing us how to use our science wisely in the service of children. We then preview the individual themes of the articles of this special section.

  9. The Intersection of Medical Child Abuse and Medical Complexity.

    Science.gov (United States)

    Petska, Hillary W; Gordon, John B; Jablonski, Debra; Sheets, Lynn K

    2017-02-01

    Children with medical complexity and victims of medical child abuse may have similar clinical presentations. Atypical or unexplained signs and symptoms due to rare diseases may lead providers to suspect medical child abuse when not present. Conversely, medical child abuse may be the cause of or coexist with medical complexity. Careful consideration of whether or not medical child abuse is present is essential when assessing a child with medical complexity since either diagnosis has significant consequences for children and families. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Skeletal trauma in child abuse.

    Science.gov (United States)

    Swoboda, Sara L; Feldman, Kenneth W

    2013-11-01

    Fractures and other skeletal injuries are common in childhood. Most are the result of falls, motor vehicle accidents, and other forms of accidental trauma. However, skeletal trauma is present in a significant number of abused children. Age and developmental abilities are key components in raising clinical suspicion for child abuse. Children who are unable to provide their own history because of age or developmental delay require increased attention. Younger children are more likely to have abusive fractures, whereas accidental fractures increase with age and developmental abilities. The consequences of missing abuse are high because children returned to their homes without intervention are likely to face further abuse and have an increased mortality risk. Because of the potentially high cost of undiagnosed child abuse, diagnosis of a skeletal injury is incomplete without diagnosing its etiology. All health providers for children should be able to recognize patterns of skeletal injury secondary to abusive trauma and understand the process for initiating Child Protective Services (CPS) investigations when necessary. Although they can occur accidentally, fractures in nonmobile children should always increase the clinician's concern for abusive trauma. In light of the significant consequences for children when abuse is missed by a primary care provider, abuse should be on the differential diagnosis for all presenting childhood injuries. Copyright 2013, SLACK Incorporated.

  11. Medical Neglect — a Form of Child Abuse

    Directory of Open Access Journals (Sweden)

    N.V. Kotova

    2013-11-01

    Full Text Available Medical neglect is the postponement or denial of necessary medical care for child by the parents, which may cause substantial harm to the health of the child and threatened his life. Pediatricians and family physicians should always act in the interests of the child. If parents do not provide adequate care to a child, the health care providers should take a number of actions aimed at identifying and elimination the causes of medical neglect. Health care providers should always choose the best type of intervention to eliminate medical neglect, which ensures the health and safety of the child’s life.

  12. [Child maltreatment in binge eating disorder: a systematic literature review].

    Science.gov (United States)

    Röhr, Susanne; Dölemeyer, Ruth; Klinitzke, Grit; Steinig, Jana; Wagner, Birgit; Kersting, Annette

    2015-04-01

    This review is to provide a first overview about prevalences and associations of forms of child maltreatment in binge eating disorder (BED). Systematic literature search in PubMed and Web of Science in December 2013. Terms considered were "binge eating disorder" AND "child* maltreatment", "child* abuse", "child* sexual abuse", "child* emotional abuse", "child* physical abuse", "child* emotional neglect" as well as "child* physical neglect". Inclusion criteria were studies published between 1990 and 2013, publications in English or German, adult patients, studies that considered patients with full DSM criteria for BED, and studies that reported prevalences of forms of child maltreatment. Eight studies out of 366 met criteria. Child maltreatment rates in BED were more than two times higher than in representative samples, but they were similar to psychiatric comparisons. Up to 83 % of patients with BED reported at least one form of child maltreatment. There were associations to psychiatric comorbidity, but not to gender, obesity and specific features of the eating behaviour. Child maltreatment is very prevalent among BED. Its contribution to the development and the maintenance of BED is not understood yet. © Georg Thieme Verlag KG Stuttgart · New York.

  13. Evaluation of the activity of the child welfare commission in pursuance of the minimal care of the child

    Directory of Open Access Journals (Sweden)

    Merfeldaite O.

    2012-10-01

    Full Text Available The Law on Minimal and Average Care of the Child of the Republic of Lithuania (in effect since 1 January 2008 established the procedure for provision of minimal and average care for the child having behavioural problems and susceptible to crime. The article analyses activities of child welfare commission in implementing the minimal care of the child: the first part of the article provides a description of the concept of minimal care of the child and the responsibilities of implementing institutions; the second part analyses obstacles in implementing the law and envisages possible measures for a more effective activity of preventive work groups in municipalities and schools.

  14. Slope stability and bearing capacity of landfills and simple on-site test methods.

    Science.gov (United States)

    Yamawaki, Atsushi; Doi, Yoichi; Omine, Kiyoshi

    2017-07-01

    This study discusses strength characteristics (slope stability, bearing capacity, etc.) of waste landfills through on-site tests that were carried out at 29 locations in 19 sites in Japan and three other countries, and proposes simple methods to test and assess the mechanical strength of landfills on site. Also, the possibility of using a landfill site was investigated by a full-scale eccentric loading test. As a result of this, landfills containing more than about 10 cm long plastics or other fibrous materials were found to be resilient and hard to yield. An on-site full scale test proved that no differential settlement occurs. The repose angle test proposed as a simple on-site test method has been confirmed to be a good indicator for slope stability assessment. The repose angle test suggested that landfills which have high, near-saturation water content have considerably poorer slope stability. The results of our repose angle test and the impact acceleration test were related to the internal friction angle and the cohesion, respectively. In addition to this, it was found that the air pore volume ratio measured by an on-site air pore volume ratio test is likely to be related to various strength parameters.

  15. Pedagogical Environment for Strengthening of Child Health

    OpenAIRE

    Ivanova, Sandra

    2015-01-01

    Preservation and strengthening of human health problem is acute in the world and in our country. Implementation of the preschool education program, one of the tasks is to strengthen and to protect the child's safety and health. The program does not set, unfortunately, at the child's healthy lifestyle habits. It only indirectly provides life without harmful habits valuable skills and implementation, in co-operation with the children's parents. It also said the aim: to attempt to develop pedago...

  16. Child sexual abuse: evaluation and treatment.

    Science.gov (United States)

    Crane, S

    1994-12-01

    Child sexual abuse and its disturbingly high prevalence have received increased attention during the past 2 decades, but the availability of adequate training and support services for this complex problem remain deficient. The identification of victims and early, effective intervention are necessary goals. This review provides a brief summary on the subject of child sexual abuse with an emphasis on recent progress in optimal evaluation.

  17. Maternal and child reflective functioning in the context of child sexual abuse: pathways to depression and externalising difficulties

    Directory of Open Access Journals (Sweden)

    Karin Ensink

    2016-01-01

    Full Text Available Background: Sexual abuse is a well-recognised risk factor for child psychopathology. Little is known regarding whether child and maternal mentalization can be considered a potential resource or protective factor in this context, respectively, mediating or moderating the relationship between sexual abuse and psychopathology. Objective: The aims of this study were (1 to explore the relationships between child and maternal mentalizing, measured as reflective functioning (RF, and child depressive symptoms and externalising difficulties; and (2 to examine whether child mentalizing mediates the relationship between child sexual abuse (CSA and psychopathology. Method: A total of 168 children aged 7–12 years and their mothers participated in the study. The sample included 74 dyads where children had experienced sexual abuse. The Child Attachment Interview was rated by using the Child Reflective Functioning Scale to assess children's mentalization, and the Child Depression Inventory was used to assess depressive symptoms. Mothers completed the Parent Development Interview to assess maternal RF and the Child Behavior Checklist to assess their child's externalising difficulties. A model involving direct and indirect paths from CSA, child and maternal RF to child psychopathology was examined using Mplus software. Results: Child mentalization partially mediated the relationships between CSA and depressive symptoms, as well as the relationship between CSA and externalising difficulties. Maternal mentalization was an independent predictor of child externalising difficulties, with higher maternal RF associated with less externalising difficulties. Discussion: The findings indicate that by ages 7–12, child mentalization is an important inner resource associated with lower depression and externalising. In addition, this study provides new evidence of the importance of the parent's mentalizing stance for the development of self-regulation and externalising

  18. Maternal and child reflective functioning in the context of child sexual abuse: pathways to depression and externalising difficulties.

    Science.gov (United States)

    Ensink, Karin; Bégin, Michaël; Normandin, Lina; Fonagy, Peter

    2016-01-01

    Sexual abuse is a well-recognised risk factor for child psychopathology. Little is known regarding whether child and maternal mentalization can be considered a potential resource or protective factor in this context, respectively, mediating or moderating the relationship between sexual abuse and psychopathology. The aims of this study were (1) to explore the relationships between child and maternal mentalizing, measured as reflective functioning (RF), and child depressive symptoms and externalising difficulties; and (2) to examine whether child mentalizing mediates the relationship between child sexual abuse (CSA) and psychopathology. A total of 168 children aged 7-12 years and their mothers participated in the study. The sample included 74 dyads where children had experienced sexual abuse. The Child Attachment Interview was rated by using the Child Reflective Functioning Scale to assess children's mentalization, and the Child Depression Inventory was used to assess depressive symptoms. Mothers completed the Parent Development Interview to assess maternal RF and the Child Behavior Checklist to assess their child's externalising difficulties. A model involving direct and indirect paths from CSA, child and maternal RF to child psychopathology was examined using Mplus software. Child mentalization partially mediated the relationships between CSA and depressive symptoms, as well as the relationship between CSA and externalising difficulties. Maternal mentalization was an independent predictor of child externalising difficulties, with higher maternal RF associated with less externalising difficulties. The findings indicate that by ages 7-12, child mentalization is an important inner resource associated with lower depression and externalising. In addition, this study provides new evidence of the importance of the parent's mentalizing stance for the development of self-regulation and externalising difficulties in both abused and non-abused children. The clinical

  19. Child human trafficking victims: challenges for the child welfare system.

    Science.gov (United States)

    Fong, Rowena; Berger Cardoso, Jodi

    2010-08-01

    Since the passing of the Victims of Trafficking and Violence Protection Act in 2000 and its reauthorization by President George Bush in 2008, federal, state and community efforts in identifying and providing services for victims of human trafficking have significantly improved. However, most of the research and resources for trafficking victims have been directed towards adults rather than children. Researchers agree that there is a growing number of sexually exploited and trafficked children in the United States yet few programs emphasize the unique experiences and special needs of this population. This article examines commercial sexual exploitation of children; differentiates the needs and problems between child prostitution and victims of human trafficking; reviews and critiques current treatment practices; and summarizes challenges and successes in working with child victims of human trafficking, offering practice and policy recommendations. Published by Elsevier Ltd.

  20. Fuzzy logic controllers for electrotechnical devices - On-site tuning approach

    Science.gov (United States)

    Hissel, D.; Maussion, P.; Faucher, J.

    2001-12-01

    Fuzzy logic offers nowadays an interesting alternative to the designers of non linear control laws for electrical or electromechanical systems. However, due to the huge number of tuning parameters, this kind of control is only used in a few industrial applications. This paper proposes a new, very simple, on-site tuning strategy for a PID-like fuzzy logic controller. Thanks to the experimental designs methodology, we will propose sets of optimized pre-established settings for this kind of fuzzy controllers. The proposed parameters are only depending on one on-site open-loop identification test. In this way, this on-site tuning methodology has to be compared to the Ziegler-Nichols one's for conventional controllers. Experimental results (on a permanent magnets synchronous motor and on a DC/DC converter) will underline all the efficiency of this tuning methodology. Finally, the field of validity of the proposed pre-established settings will be given.

  1. On-site and laboratory evaluations of soundscape quality in recreational urban spaces

    DEFF Research Database (Denmark)

    Bjerre, Lærke Cecilie; Larsen, Thea Mathilde; Sørensen, Anna Josefine

    2017-01-01

    Regulations for quiet urban areas are typically based on sound level limits alone. However, the nonacoustic context may be crucial for subjective soundscape quality. Aims: This study aimed at comparing the role of sound level and nonacoustic context for subjective urban soundscape assessment...... in the presence of the full on-site context, the visual context only, and without context. Materials and Methods: Soundscape quality was evaluated for three recreational urban spaces by using four subjective attributes: loudness, acceptance, stressfulness, and comfort. The sound level was measured at each site......, the availability of the visual context in the listening experiment had no significant effect on the ratings. The participants were overall more positive toward natural sound sources on site. Conclusion: The full immersion in the on-site nonacoustic context may be important when evaluating overall soundscape...

  2. Your Child's Vision

    Science.gov (United States)

    ... the Flu Vaccine? Eating Disorders Arrhythmias Your Child's Vision KidsHealth > For Parents > Your Child's Vision Print A A A What's in this article? ... La vista de su hijo Healthy eyes and vision are a critical part of kids' development. Their ...

  3. CRIMINAL PROCEEDINGS AGAINST CHILD

    Directory of Open Access Journals (Sweden)

    Marija Jovanova

    2015-07-01

    Full Text Available Juvenile criminal law is part of the criminal law of a country, it is set of rules and regulations governing the rights and obligations of the minors concerned. Criminal proceedings against a child will raise if there is a crime which has been committed by the child when the child or minor may be answerable for the deed pursuant to justice for children. When it comes to criminal proceedings against a child that is significantly different from the procedure against adult offenders because here we have a special category of people who still do not have sufficient mental maturity and procedures that would guide could have negative consequences child. What characterizes proceedings against a child is that the main emphasis is on offense but the offender. Another feature of the criminal proceedings against children that have some direct criminal proceeding in the direction of an alternative procedure , for example in front of Social Work or a procedure in which a whole would raise concerns about the child's personality , there are numerous variations and entire procedure is conducted in the best interest of the child.

  4. Your Child's Immunizations

    Science.gov (United States)

    ... to help reduce the number of shots a child receives. What Vaccines Do Kids Need? The following vaccinations and schedules ... about the right vaccinations and schedule for your child. Recommended vaccinations: Chickenpox (varicella) vaccine Diphtheria, tetanus, and pertussis vaccine (DTaP) Hepatitis A ...

  5. Fathers with Child Custody.

    Science.gov (United States)

    Woody, Robert H.

    1978-01-01

    Since recent laws prescribe equal rights for both parents, more fathers will be receiving custody of their children. Counseling psychology must prepare these fathers for their new parental roles. Ten suggestions are listed, including professional training in child custody and the encouragement of father-mother and father-child relationships. (LPG)

  6. Media and child development

    NARCIS (Netherlands)

    Piotrowski, J.T.; Vossen, H.G.M.; Valkenburg, P.M.; Wright, J.D.

    2015-01-01

    Decades of research have shown that the relationship between media and childhood is not unidirectional but reciprocal. In this article, both directions of the media-child development relationship are presented. We discuss how child development predisposes children's media use and preferences by

  7. Bullying and Your Child

    Science.gov (United States)

    McGee, Christy D.

    2011-01-01

    Bullying happens every day in classrooms and on playgrounds all over the world. Parents, when faced with the fact that their child has become the target of a bully, experience a stream of emotions: anger, fear, the need to protect, and the realization that the child must go back to school or out to play and face the bully again the next day. Many…

  8. Ileostomy and your child

    Science.gov (United States)

    ... Now your child has an opening called a stoma in their belly. Waste will pass through the stoma into a pouch that collects it. You and ... child will need to take care of the stoma and empty the pouch many times a day. ...

  9. Nurturing a Special Child.

    Science.gov (United States)

    Kelso, Jill

    1987-01-01

    A mother of a son with epilepsy and dyslexia offers 10 guidelines for parents including: acknowledge your grief; recognize assets and limitations; encourage independence; ignore unsolicited advice; be proud of your child's achievements; make use of financial aid; subscribe to newsletters; get to know your child's physician; and make time for…

  10. Child Developmental Theorist Paper

    OpenAIRE

    Margaret L. Johnson

    2017-01-01

    Many different child developmental theories have contributed to the better understanding and development of the child. This paper researches the theories of Margaret Mahler. It first aims to develop an understanding of her background and the different elements of her theory. Then, it compares Mahler with Daniel Stern, and finally it will understand the relevance of the theory in today’s world.

  11. The Child Welfare Cartel

    Science.gov (United States)

    Stoesz, David

    2016-01-01

    The probity of the Children's Bureau's National Child Welfare Workforce Institute (NCWWI) is examined with respect to the status of child welfare as well as the performance of social work education. By requiring that funding go only to accredited schools of social work, which is not authorized by relevant provisions of the Social Security Act,…

  12. Household food insecurity and child health.

    Science.gov (United States)

    Schmeer, Kammi K; Piperata, Barbara A

    2017-04-01

    Food insecurity, the lack of consistent access to sufficient quality and quantity of food, affects an estimated 800 million people around the world. Although household food insecurity is generally associated with poor child nutrition and health in the USA, we know less about household food insecurity and child health in developing countries. Particularly lacking is research assessing how associations between household food insecurity and children's health outcomes may differ by child age and among children beyond age 5 years in low-income settings. We use data from a population-based sample of households with children ages 3-11 years (N = 431) in León, Nicaragua to consider how household food insecurity is associated with three measures of child health: illness, anaemia and low height-for-age. Our results provide new evidence that even mild household food insecurity is detrimental to children's health; and that child age conditions the associations between household food insecurity and child health. We find that food insecurity is especially harmful to health during early childhood, but continues to have significant associations with health into middle childhood (up to ages 7-8 years). We discuss the potential implications of these results for future child health research and policies in low-income countries. © 2016 John Wiley & Sons Ltd. © 2016 John Wiley & Sons Ltd.

  13. On-Site Inspection RadioIsotopic Spectroscopy (Osiris) System Development

    Energy Technology Data Exchange (ETDEWEB)

    Caffrey, Gus J. [Idaho National Laboratory, Idaho Falls, ID (United States); Egger, Ann E. [Idaho National Laboratory, Idaho Falls, ID (United States); Krebs, Kenneth M. [Idaho National Laboratory, Idaho Falls, ID (United States); Milbrath, B. D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Jordan, D. V. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Warren, G. A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Wilmer, N. G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2015-09-01

    We have designed and tested hardware and software for the acquisition and analysis of high-resolution gamma-ray spectra during on-site inspections under the Comprehensive Nuclear-Test-Ban Treaty (CTBT). The On-Site Inspection RadioIsotopic Spectroscopy—Osiris—software filters the spectral data to display only radioisotopic information relevant to CTBT on-site inspections, e.g.,132I. A set of over 100 fission-product spectra was employed for Osiris testing. These spectra were measured, where possible, or generated by modeling. The synthetic test spectral compositions include non-nuclear-explosion scenarios, e.g., a severe nuclear reactor accident, and nuclear-explosion scenarios such as a vented underground nuclear test. Comparing its computer-based analyses to expert visual analyses of the test spectra, Osiris correctly identifies CTBT-relevant fission product isotopes at the 95% level or better.The Osiris gamma-ray spectrometer is a mechanically-cooled, battery-powered ORTEC Transpec-100, chosen to avoid the need for liquid nitrogen during on-site inspections. The spectrometer was used successfully during the recent 2014 CTBT Integrated Field Exercise in Jordan. The spectrometer is controlled and the spectral data analyzed by a Panasonic Toughbook notebook computer. To date, software development has been the main focus of the Osiris project. In FY2016-17, we plan to modify the Osiris hardware, integrate the Osiris software and hardware, and conduct rigorous field tests to ensure that the Osiris system will function correctly during CTBT on-site inspections. The planned development will raise Osiris to technology readiness level TRL-8; transfer the Osiris technology to a commercial manufacturer, and demonstrate Osiris to potential CTBT on-site inspectors.

  14. 75 FR 11921 - Heritage Aviation, Ltd., Including On-Site Leased Workers From Global Technical Services and...

    Science.gov (United States)

    2010-03-12

    ... Employment and Training Administration Heritage Aviation, Ltd., Including On-Site Leased Workers From Global... workers of Heritage Aviation, including on-site leased workers from Heritage Aviation, Ltd, including on... leased from Global Inc., were employed on-site at the Grand Prairie, Texas location of Heritage Aviation...

  15. 75 FR 453 - FLSMidth, Inc., Cement Division, Product Engineering, Including On-Site Leased Workers of Aerotek...

    Science.gov (United States)

    2010-01-05

    ...., Cement Division, Product Engineering, Including On-Site Leased Workers of Aerotek Contract Engineering..., applicable to workers of FLSmidth, Inc., Cement Division, Product Engineering, including on-site leased...-site leased workers from Clarke Consulting, Inc. were also employed on-site at FLSmidth, Inc., Cement...

  16. 78 FR 52974 - Gamesa Technology Corporation, Including On-Site Leased Workers From A & A Wind Pros Inc., ABB...

    Science.gov (United States)

    2013-08-27

    ..., Fairless Hills, Pennsylvania; Gamesa Technology Corporation, Including On-Site Leased Workers From Work..., Pennsylvania (TA-W-82,288A), Gamesa Technology Corporation, including on-site leased workers from Work Link... Employment and Training Administration Gamesa Technology Corporation, Including On-Site Leased Workers From A...

  17. 77 FR 31643 - Siltronic Corporation FAB1 Plant Including On-Site Leased Workers From Express Temporaries...

    Science.gov (United States)

    2012-05-29

    ... Employment and Training Administration Siltronic Corporation FAB1 Plant Including On-Site Leased Workers From... Corporation, Fab1 Plant, including on-site leased workers from Express Temporaries and Aerotek Commercial... workers leased from the afore-mentioned agencies who work(ed) on-site at subject firm. The amended notice...

  18. 77 FR 21588 - Hart and Cooley, Inc., A Subsidiary of Tomkins, PLC Including On-Site Leased Workers from...

    Science.gov (United States)

    2012-04-10

    ... Employment and Training Administration Hart and Cooley, Inc., A Subsidiary of Tomkins, PLC Including On- Site... subsidiary of Tomkins, PLC, including on-site leased workers from Reliable, Masiello Employment Services... workers from Hart and Cooley, Inc., a subsidiary of Tomkins, PLC, including on-site leased workers from...

  19. What Is Child Traumatic Stress?

    Science.gov (United States)

    ... Awareness Sustainability Policy Issues What Is Child Traumatic Stress? Order NCTSN documents and other products where you ... these challenging times. Questions & Answers about Child Traumatic Stress Network experts answer questions about child trauma and ...

  20. On-Site or Off-Site Renewable Energy Supply Options?

    DEFF Research Database (Denmark)

    Marszal, Anna Joanna; Heiselberg, Per; Jensen, Rasmus Lund

    2012-01-01

    five technologies, i.e., two on-site options: (1) photovoltaic, (2) micro combined heat and power, and three off-site options: (1) off-site windmill, (2) share of a windmill farm and (3) purchase of green energy from the 100% renewable utility grid. The results indicate that in case of the on......-site renewable supply options, the energy efficiency should be the first priority in order to design a cost-optimal Net ZEB. However, the results are opposite for the off-site renewable supply options, and thus it is more costeffective to invest in renewable energy technologies than in energy efficiency....

  1. Child labour in developing countries

    OpenAIRE

    Dvořáková, Pavla

    2014-01-01

    Child labour in developing countries Abstract This bachelor thesis deals with the child labour and its occurence in developing countries. The main aim is to present the basic view of this problem. The term of child labour relies here on Convention on the Rights of the Child and conventions of International Labour Organization. There are several types of child labour, in which children appear most, including the worst forms of child labour. Every type includes description of activities perform...

  2. Substance abuse and child maltreatment.

    Science.gov (United States)

    Wells, Kathryn

    2009-04-01

    Pediatricians and other medical providers caring for children need to be aware of the dynamics in the significant relationship between substance abuse and child maltreatment. A caregiver's use and abuse of alcohol, marijuana, heroin, cocaine, methamphetamine, and other drugs place the child at risk in multiple ways. Members of the medical community need to understand these risks because the medical community plays a unique and important role in identifying and caring for these children. Substance abuse includes the abuse of legal drugs as well as the use of illegal drugs. The abuse of legal substances may be just as detrimental to parental functioning as abuse of illicit substances. Many substance abusers are also polysubstance users and the compounded effect of the abuse of multiple substances may be difficult to measure. Often other interrelated social features, such as untreated mental illness, trauma history, and domestic violence, affect these families.

  3. On-site Destruction of Radioactive Oily Wastes Using Adsorption Coupled with Electrochemical Regeneration - 12221

    Energy Technology Data Exchange (ETDEWEB)

    Brown, N.W. [Arvia Technology Ltd, Daresbury Innovation Centre, Daresbury, WA4 4FS (United Kingdom); Wickenden, D.A. [Magnox Ltd, Berkeley Centre, Gloucestershire, GL13 9PB (United Kingdom); Roberts, E.P.L. [School of Chemical Engineering, University of Manchester, Manchester, M60 1QD (United Kingdom)

    2012-07-01

    Arvia{sup R}, working with Magnox Ltd, has developed the technology of adsorption coupled with electrochemical regeneration for the degradation of orphan radioactive oil wastes. The process results in the complete destruction of the organic phase where the radioactivity is transferred to liquid and solid secondary wastes that can then be processed using existing authorised on-site waste-treatment facilities.. Following on from successful laboratory and pilot scale trials, a full scale, site based demonstrator unit was commissioned at the Magnox Trawsfynydd decommissioning site to destroy 10 l of LLW and ILW radioactive oils. Over 99% of the emulsified oil was removed and destroyed with the majority of activity (80 - 90%) being transferred to the aqueous phase. Secondary wastes were disposed of via existing routes with the majority being disposed of via the sites active effluent treatment plant. The regeneration energy required to destroy a litre of oil was 42.5 kWh/l oil. This on-site treatment approach eliminates the risks and cost associated with transporting the active waste oils off site for incineration or other treatment. The Arvia{sup R} process of adsorption coupled with electrochemical regeneration has successfully demonstrated the removal and destruction of LLW and ILW radioactive oils on a nuclear site. Over 99.9% of the emulsified oil was removed, with the majority of the radioactive species transferred to the aqueous, supernate, phase (typically 80 - 90 %). The exception to this is Cs-137 which appears to be more evenly distributed, with 43% associated with the liquid phase and 33 % with the Nyex, the remainder associated with the electrode bed. The situation with Plutonium may be similar, but this requires confirmation, hence further work is underway to understand the full nature of the electrode bed radioactive burden and its distribution within the body of the electrodes. - Tritium gaseous discharges were negligible; hence no off-gas treatment

  4. The Business of Child Care; Management and Financial Strategies

    Science.gov (United States)

    Jack, Gail

    2004-01-01

    Unpleasant as it sounds, how providers care for the business aspects of child care can be as vital as how children are cared for. When your business runs smoothly it allows staff to focus on the most important task of all -- providing the best care for children. "The Business of Child Care" supplies guidance for successfully completing the…

  5. Therapy Provider Phase Information

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Therapy Provider Phase Information dataset is a tool for providers to search by their National Provider Identifier (NPI) number to determine their phase for...

  6. Caring for Children in Your Home: A Business Guide for Unregulated Providers. Redleaf Business Series.

    Science.gov (United States)

    Copeland, Tom

    Addressed to individuals providing unregulated child care in their homes, this booklet presents basic recordkeeping and tax rules. The booklet discusses the following topics: (1) child care regulations, focusing on the benefits of being regulated; (2) the business of child care, listing possible tax deductions; (3) the tax consequences of caring…

  7. Child abuse and mental disorders in Canada.

    Science.gov (United States)

    Afifi, Tracie O; MacMillan, Harriet L; Boyle, Michael; Taillieu, Tamara; Cheung, Kristene; Sareen, Jitender

    2014-06-10

    Nationally representative Canadian data on the prevalence of child abuse and its relation with mental disorders are lacking. We used contemporary, nationally representative data to examine the prevalence of 3 types of child abuse (physical abuse, sexual abuse and exposure to intimate partner violence) and their association with 14 mental conditions, including suicidal ideation and suicide attempts. We obtained data from the 2012 Canadian Community Health Survey: Mental Health, collected from the 10 provinces. Respondents aged 18 years and older were asked about child abuse and were selected for the study sample (n = 23,395). The survey had a multistage stratified cluster design (household response rate 79.8%). The prevalence of any child abuse was 32% (individual types ranged from 8% to 26%). All types of child abuse were associated with all mental conditions, including suicidal ideation and suicide attempts, after adjustment for sociodemographic variables (adjusted odds ratios ranged from 1.4 to 7.9). We found a dose-response relation, with increasing number of abuse types experienced corresponding with greater odds of mental conditions. Associations between child abuse and attention deficit disorder, suicidal ideation and suicide attempts showed stronger effects for women than men. We found robust associations between child abuse and mental conditions. Health care providers, especially those assessing patients with mental health problems, need to be aware of the relation between specific types of child abuse and certain mental conditions. Success in preventing child abuse could lead to reductions in the prevalence of mental disorders, suicidal ideation and suicide attempts. © 2014 Canadian Medical Association or its licensors.

  8. Child abuse and mental disorders in Canada

    Science.gov (United States)

    Afifi, Tracie O.; MacMillan, Harriet L.; Boyle, Michael; Taillieu, Tamara; Cheung, Kristene; Sareen, Jitender

    2014-01-01

    Background: Nationally representative Canadian data on the prevalence of child abuse and its relation with mental disorders are lacking. We used contemporary, nationally representative data to examine the prevalence of 3 types of child abuse (physical abuse, sexual abuse and exposure to intimate partner violence) and their association with 14 mental conditions, including suicidal ideation and suicide attempts. Methods: We obtained data from the 2012 Canadian Community Health Survey: Mental Health, collected from the 10 provinces. Respondents aged 18 years and older were asked about child abuse and were selected for the study sample (n = 23 395). The survey had a multistage stratified cluster design (household response rate 79.8%). Results: The prevalence of any child abuse was 32% (individual types ranged from 8% to 26%). All types of child abuse were associated with all mental conditions, including suicidal ideation and suicide attempts, after adjustment for sociodemographic variables (adjusted odds ratios ranged from 1.4 to 7.9). We found a dose–response relation, with increasing number of abuse types experienced corresponding with greater odds of mental conditions. Associations between child abuse and attention deficit disorder, suicidal ideation and suicide attempts showed stronger effects for women than men. Interpretation: We found robust associations between child abuse and mental conditions. Health care providers, especially those assessing patients with mental health problems, need to be aware of the relation between specific types of child abuse and certain mental conditions. Success in preventing child abuse could lead to reductions in the prevalence of mental disorders, suicidal ideation and suicide attempts. PMID:24756625

  9. 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

  10. Facing suspected child abuse--what keeps Swedish general practitioners from reporting to child protective services?

    Science.gov (United States)

    Talsma, Marijke; Bengtsson Boström, Kristina; Östberg, Anna-Lena

    2015-03-01

    The aim of this study was to examine the reporting of suspected child abuse among Swedish general practitioners (GPs), and to investigate factors influencing them in their decision whether or not to report to child protective services (CPS). A cross-sectional questionnaire study. Primary health care centres in western Sweden. 177 GPs and GP trainees. Demographic and educational background, education on child abuse, attitudes to reporting and CPS, previous experience of reporting suspected child abuse, and need of support. Despite mandatory reporting, 20% of all physicians had at some point suspected but not reported child abuse. Main reasons for non-reporting were uncertainty about the suspicion and use of alternative strategies; for instance, referral to other health care providers or follow-up of the family by the treating physician. Only 30% of all physicians trusted CPS's methods of investigating and acting in cases of suspected child abuse, and 44% of all physicians would have wanted access to expert consultation. There were no differences in the failure to report suspected child abuse that could be attributed to GP characteristics. However, GPs educated abroad reported less frequently to CPS than GPs educated in Sweden. This study showed that GPs see a need for support from experts and that the communication and cooperation between GPs and CPS needs to be improved. The low frequency of reporting indicates a need for continued education of GPs and for updated guidelines including practical advice on how to manage child abuse.

  11. Gender and age aspects of child psychological defenses in child-mother relationships

    Directory of Open Access Journals (Sweden)

    Bogdanova, Maria V.

    2016-09-01

    Full Text Available The high level of stress in modern society poses a need to study family factors and resources for the development of children’s defense mechanisms in the current social environment. This study investigates correlations between maternal and child psychological defense mechanisms, using interviews, a structured clinical survey, projective drawing, and a projective game. Analysis of data from 240 people (120 children and 120 mothers revealed specifics of the formation of psychological defense mechanisms among children aged 4 to 12 years in child-mother relationships. We suggest that maternal and child defense mechanisms have some isomorphic traits, but the level and quality of isomorphism changes with each age period of the child. Certain defensive mechanisms of mother and child appear with the same frequency. The child’s gender influences the correlation between the mother’s and child’s psychological defense mechanisms. Initially, children are more likely to directly copy defense mechanisms observed from the mother’s behavior. As they grow older, they use defenses that they have learned consciously. Based on empirical data, we also found a correlation between the maturity of the maternal psychological defense mechanisms and specifics of child psychological defense mechanisms. We propose that the maturity of maternal psychological defense mechanisms has the greatest meaning for child psychological defense mechanisms at the earliest stages of ontogenesis — it provides consistency between the mother’s own psychological defense mechanisms and the psychological defense mechanisms that she teaches her child.

  12. Comprehensive on-site medical and public health training for local medical practitioners in a refugee setting.

    Science.gov (United States)

    Asgary, Ramin; Jacobson, Karen

    2013-02-01

    In refugee settings, local medical personnel manage a broad range of health problems but commonly lack proper skills and training, which contributes to inefficient use of resources. To fill that gap, we designed, implemented, and evaluated a curriculum for a comprehensive on-site training for medical providers. The comprehensive teaching curriculum provided ongoing on-site training for medical providers (4 physicians, 7 medical officers, 15 nurses and nurse aids, and 30 community health workers) in a sub-Saharan refugee camp. The curriculum included didactic sessions, inpatient and outpatient practice-based teaching, and case-based discussions, which included clinical topics, refugee public health, and organizational skills. The usefulness and efficacy of the training were evaluated through pretraining and posttraining tests, anonymous self-assessment surveys, focus group discussions, and direct clinical observation. Physicians had a 50% (95% CI 17%-82%; range, 25%-75%) improvement in knowledge and skills. They rated the quality and usefulness of lectures 4.75 and practice-based teaching 5.0 on a 5-point scale (1=poor to 5=excellent). Evaluation of medical officers' knowledge revealed improvements in (1) overall test scores (52% [SD 8%] to 80% [SD 5%]; P training prioritization, time constraints, and limited ancillary support. A long-term, ongoing training curriculum for medical providers initiated by aid agencies but integrated into horizontal peer-to-peer education is feasible and effective in refugee settings. Such programs need prioritizing, practice and system-based personnel training, and a comprehensive curriculum to improve clinical decision making.

  13. Primer on Use of Multi-Spectral and Infra Red Imaging for On-Site Inspections

    Energy Technology Data Exchange (ETDEWEB)

    Henderson, J R

    2010-10-26

    The purpose of an On-Site Inspection (OSI) is to determine whether a nuclear explosion has occurred in violation of the Comprehensive Nuclear Test Ban Treaty (CTBT), and to gather information which might assist in identifying the violator (CTBT, Article IV, Paragraph 35) Multi-Spectral and Infra Red Imaging (MSIR) is allowed by the treaty to detect observables which might help reduce the search area and thus expedite an OSI and make it more effective. MSIR is permitted from airborne measurements, and at and below the surface to search for anomalies and artifacts (CTBT, Protocol, Part II, Paragraph 69b). The three broad types of anomalies and artifacts MSIR is expected to be capable of observing are surface disturbances (disturbed earth, plant stress or anomalous surface materials), human artifacts (man-made roads, buildings and features), and thermal anomalies. The purpose of this Primer is to provide technical information on MSIR relevant to its use for OSI. It is expected that this information may be used for general background information, to inform decisions about the selection and testing of MSIR equipment, to develop operational guidance for MSIR use during an OSI, and to support the development of a training program for OSI Inspectors. References are provided so readers can pursue a topic in more detail than the summary information provided here. The following chapters will provide more information on how MSIR can support an OSI (Section 2), a short summary what Multi-Spectral Imaging and Infra Red Imaging is (Section 3), guidance from the CTBT regarding the use of MSIR (Section 4), and a description of several nuclear explosion scenarios (Section 5) and consequent observables (Section 6). The remaining sections focus on practical aspects of using MSIR for an OSI, such as specification and selection of MSIR equipment, operational considerations for deployment of MISR equipment from an aircraft, and the conduct of field exercises to mature MSIR for an OSI

  14. [The child and society].

    Science.gov (United States)

    Diagne, A

    1990-04-01

    This article describes how important it is in traditional Africa to integrate a child to his group and environment from the time of infancy and throughout adulthood. Unfortunately today, African children are exposed to materialistic and psychological conditions that negatively affect their psychological and sociological development. This process of socialization begins during breastfeeding; the stage involves the child among his extended family and community; between 6-7 a child is separated and integrated into gender-specific and socio-cultural institutions. An African child learns at an early age the importance of remaining a close part of traditional life and must remain responsive to the needs of the collective. The traditional child differs from the modern African child in how much deviant behavior he is allowed. The process of modernization and urbanization is changing the development of the traditional African family; the needs to the collective are diminishing to that of the nuclear family. Schools' are only educating the intellect of students and leaving the psychosocial aspects of education to the family. In modern Africa where urban parents work and do not have the time to devote to their children, and there is no longer an extended family and community to socialize the child, children are growing up without the security of a community and culture and are, instead, learning to emulate marginal and materialistic values. Recommendations include redefining the roles of mothers and fathers to become sensitive to the needs of children and adolescents during their years of development.

  15. Performance of on-site Medical waste disinfection equipment in hospitals of Tabriz, Iran

    Directory of Open Access Journals (Sweden)

    Hassan Taghipour

    2016-10-01

    Full Text Available Background: The number of studies available on the performance of on-site medical waste treatment facilities is rare, to date. The aim of this study was to evaluate the performance of onsite medical waste treatment equipment in hospitals of Tabriz, Iran. Methods: A various range of the on-site medical waste disinfection equipment (autoclave, chemical disinfection, hydroclave, and dry thermal treatment was considered to select 10 out of 22 hospitals in Tabriz to be included in the survey. The apparatus were monitored mechanically, chemically, and biologically for a six months period in all of the selected hospitals. Results: The results of the chemical monitoring (Bowie-Dick tests indicated that 38.9% of the inspected autoclaves had operational problems in pre-vacuum, air leaks, inadequate steam penetration into the waste, and/or vacuum pump. The biological indicators revealed that about 55.55% of the samples were positive. The most of applied devices were not suitable for treating anatomical, pharmaceutical, cytotoxic, and chemical waste. Conclusion: Although on-site medical waste treating facilities have been installed in all the hospitals, the most of infectious-hazardous medical waste generated in the hospitals were deposited into a municipal solid waste landfill, without enough disinfection. The responsible authorities should stringently inspect and evaluate the operation of on-site medical waste treating equipment. An advanced off-site central facility with multi-treatment and disinfection equipment and enough capacity is recommended as an alternative.

  16. On-Site Renewable Energy and Green Buildings: A System-Level Analysis.

    Science.gov (United States)

    Al-Ghamdi, Sami G; Bilec, Melissa M

    2016-05-03

    Adopting a green building rating system (GBRSs) that strongly considers use of renewable energy can have important environmental consequences, particularly in developing countries. In this paper, we studied on-site renewable energy and GBRSs at the system level to explore potential benefits and challenges. While we have focused on GBRSs, the findings can offer additional insight for renewable incentives across sectors. An energy model was built for 25 sites to compute the potential solar and wind power production on-site and available within the building footprint and regional climate. A life-cycle approach and cost analysis were then completed to analyze the environmental and economic impacts. Environmental impacts of renewable energy varied dramatically between sites, in some cases, the environmental benefits were limited despite the significant economic burden of those renewable systems on-site and vice versa. Our recommendation for GBRSs, and broader policies and regulations, is to require buildings with higher environmental impacts to achieve higher levels of energy performance and on-site renewable energy utilization, instead of fixed percentages.

  17. 76 FR 5833 - Polaris Industries, Including On-Site Leased Workers From Westaff, Supply Technologies, Aerotek...

    Science.gov (United States)

    2011-02-02

    ... Employment and Training Administration Polaris Industries, Including On-Site Leased Workers From Westaff... Eligibility to Apply for Worker Adjustment Assistance on August 26, 2010, applicable to workers of Polaris... Polaris Industries. The Department has determined that these workers were sufficiently under the control...

  18. On-site energy consumption and selected emissions at softwood sawmills in the southwestern United States

    Science.gov (United States)

    Dan Loeffler; Nathaniel Anderson; Todd A. Morgan; Colin B. Sorenson

    2016-01-01

    Presently there is a lack of information describing US southwestern energy consumption and emissions generated from the sawmilling industry. This article uses a mail survey of softwood sawmills in the states of Arizona, Colorado, and New Mexico to develop a profile of on-site energy consumption and selected emissions for the industry. Energy consumption is...

  19. Enhanced On-Site Waste Management of Plasterboard in Construction Works: A Case Study in Spain

    Directory of Open Access Journals (Sweden)

    Ana Jiménez-Rivero

    2017-03-01

    Full Text Available On-site management of construction waste commonly determines its destination. In the case of plasterboard (PB, on-site segregation becomes crucial for closed-loop recycling. However, PB is commonly mixed with other wastes in Spain. In this context, the involvement of stakeholders that can contribute to reversing this current situation is needed. This paper analyzes on-site waste management of PB in Spain through a pilot study of a construction site, with the main objective of identifying best practices to increase waste prevention, waste minimization, and the recyclability of the waste. On-site visits and structured interviews were conducted. The results show five management stages: PB distribution (I; PB installation (II; Construction waste storage at the installation area (III; PB waste segregation at the installation area (IV and PB waste transfer to the PB container and storage (V. The proposed practices refer to each stage and include the merging of Stages III and IV. This measure would avoid the mixing of waste fractions in Stage III, maximizing the recyclability of PB. In addition, two requisites for achieving enhanced management are analyzed: ‘Training and commitment’ and ‘fulfilling the requirements established by the current regulation’. The results show that foremen adopted a more pessimistic attitude than installers towards a joint commitment for waste management. Moreover, not all supervisors valued the importance of a site waste management plan, regulated by the Royal Decree 105/2008 in Spain.

  20. Test methods for on site measurement of resistivity of concrete. A RILEM TC-154 Technical Recommendation

    NARCIS (Netherlands)

    Polder, R.B.

    2000-01-01

    This paper describes methods to assess concrete resistivity on site for various purposes related to corrosion and protection of reinforcement. It is based on a first draft of a RILEM Technical Recommendation. The electrical resistivity of concrete can be related to the two processes involved in

  1. Cost-effective on-site screening for anaemia in pregnancy in primary ...

    African Journals Online (AJOL)

    Objective. To determine the feasibility, accuracy and cost of developing a system of on-site screening for anaemia in pregnancy in primary care clinics. Setting. Mobile clinic team in Hlabisa health district, Kwazulu-Natal. Methods. Four hundred and forty-nine consecutive women attending antenatal clinics were screened for ...

  2. The On-Site Mentor of Counseling Interns: Perceptions of Ideal Role and Actual Role Performance

    Science.gov (United States)

    Lazovsky, Rivka; Shimoni, Aviva

    2007-01-01

    This study examined the role of the ideal on-site mentor and the actual mentor's role performance, as perceived by 158 mentor counselors and 171 school counseling interns. Results indicated that the ideal mentor's professional traits were given priority by both groups and that the teacher role was the most salient among role domains. In the actual…

  3. Technology development for phosphoric acid fuel cell powerplant (phase 2). [on site integrated energy systems

    Science.gov (United States)

    Christner, L.

    1980-01-01

    Progress is reported in the development of material, cell components, and reformers for on site integrated energy systems. Internal resistance and contact resistance were improved. Dissolved gases (O2, N2, and CO2) were found to have no effect on the electrochemical corrosion of phenolic composites. Stack performance was increased by 100 mV over the average 1979 level.

  4. Cost-effective on-site screening for anaemia in pregnancy in primary ...

    African Journals Online (AJOL)

    cost-savings, which are considerable, the opportunity costs of switching to on-site screening are noteworthy. Testing antenatal specimens in this district requires several hours of laboratory time each week :- time that could probably be more usefully spent on other tasks. Antenatal clinics in KwaZulu-Natal currently screen for.

  5. Design review package for the on-site monitor for solar heating and cooling systems

    Science.gov (United States)

    1977-01-01

    The performance specification and verification matrix for the on-site monitor (OSM) is presented. The OSM is a portable device which, when connected to the Site Data Acquisition subsystem, allows readout of data on solar heating and cooling operational test sites.

  6. A rapid assay for on-site monitoring of infliximab trough levels: a feasibility study

    NARCIS (Netherlands)

    Corstjens, Paul L. A. M.; Fidder, Herma H.; Wiesmeijer, Karien C.; de Dood, Claudia J.; Rispens, Theo; Wolbink, Gert-Jan; Hommes, Daniel W.; Tanke, Hans J.

    2013-01-01

    Monitoring levels of biologicals against tumor necrosis factor (TNF) has been suggested to improve therapeutic outcomes in inflammatory bowel diseases (IBDs). This pilot study describes a rapid lateral flow (LF)-based assay for on-site monitoring of serum trough levels of humanized monoclonal

  7. On-site screening for maternal syphilis in an antenatal clinic

    African Journals Online (AJOL)

    Abstract Study objective. To determine the sensitivity, specificity, negative predictive value and positive predictive value of the rapid plasma reagin (RPR) test as performed on site in an antenatal clinic to facilitate immediate diagnosis and treatment of maternal syphilis. Design. Open, descriptive study. Setting. Antenatal ...

  8. On-site screening for syphilis at an antenatal clinic | Delport | South ...

    African Journals Online (AJOL)

    Objective. To determine the validity, predictive value and accuracy of the rapid plasma reagin card test performed on site to diagnose active syphilis in pregnant women so that immediate treatment can be offered to prevent congenital syphilis. Design. Open, descriptive study. Setting. Antenatal clinic, Mamelodi Hospital, ...

  9. On-site screening for maternal syphilis in an antenatal clinic ...

    African Journals Online (AJOL)

    Study objective. To determine the sensitivity, specificity, negative predictive value and positive predictive value of the rapid plasma reagin (RPR) test as performed on site in an antenatal clinic to facilitate immediate diagnosis and treatment of maternal syphilis. Design. Open, descriptive study. Setting. Antenatal clinic ...

  10. 75 FR 66796 - Multina, USA, Including On-Site Leased Workers From Westaff, Plattsburgh, NY; Amended...

    Science.gov (United States)

    2010-10-29

    ... Employment and Training Administration Multina, USA, Including On-Site Leased Workers From Westaff... accordance with section 223 of the Trade Act of 1974, as amended (``Act''), 19 U.S.C. 2273, the Department of..., applicable to workers of Multina, USA, Plattsburgh, New York. The notice was published in the Federal...

  11. On-Site Effects and Cost of Fertility Erosion from Five Small ...

    African Journals Online (AJOL)

    A study was carried out in the Upper East Region of Ghana to assess the on-site effects and the cost of fertility erosion from five small reservoir catchments (Dua, Doba, Zebilla, Kumpalgogo and Bugri). The catchment soils and reservoir sediments were sampled and analyzed for their bulk density and nutrient content.

  12. 13 CFR 120.1050 - On-site reviews and examinations.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false On-site reviews and examinations. 120.1050 Section 120.1050 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS...: (1) Capital adequacy; (2) Asset quality (including credit administration and allowance for loan...

  13. Artificial neural network for on-site quantitative analysis of soils using laser induced breakdown spectroscopy

    Energy Technology Data Exchange (ETDEWEB)

    El Haddad, J. [Univ. Bordeaux, LOMA, UMR 5798, F-33400 Talence (France); CNRS, LOMA, UMR 5798, F-33400 Talence (France); Villot-Kadri, M.; Ismaël, A.; Gallou, G. [IVEA Solution, Centre Scientifique d' Orsay, Bât 503, 91400 Orsay (France); Michel, K.; Bruyère, D.; Laperche, V. [BRGM, Service Métrologie, Monitoring et Analyse, 3 avenue Claude Guillemin, B.P 36009, 45060 Orléans Cedex (France); Canioni, L. [Univ. Bordeaux, LOMA, UMR 5798, F-33400 Talence (France); CNRS, LOMA, UMR 5798, F-33400 Talence (France); Bousquet, B., E-mail: bruno.bousquet@u-bordeaux1.fr [Univ. Bordeaux, LOMA, UMR 5798, F-33400 Talence (France); CNRS, LOMA, UMR 5798, F-33400 Talence (France)

    2013-01-01

    Nowadays, due to environmental concerns, fast on-site quantitative analyses of soils are required. Laser induced breakdown spectroscopy is a serious candidate to address this challenge and is especially well suited for multi-elemental analysis of heavy metals. However, saturation and matrix effects prevent from a simple treatment of the LIBS data, namely through a regular calibration curve. This paper details the limits of this approach and consequently emphasizes the advantage of using artificial neural networks well suited for non-linear and multi-variate calibration. This advanced method of data analysis is evaluated in the case of real soil samples and on-site LIBS measurements. The selection of the LIBS data as input data of the network is particularly detailed and finally, resulting errors of prediction lower than 20% for aluminum, calcium, copper and iron demonstrate the good efficiency of the artificial neural networks for on-site quantitative LIBS of soils. - Highlights: ► We perform on-site quantitative LIBS analysis of soil samples. ► We demonstrate that univariate analysis is not convenient. ► We exploit artificial neural networks for LIBS analysis. ► Spectral lines other than the ones from the analyte must be introduced.

  14. 75 FR 71464 - Metlife Technology, Operations, and Information Technology Groups Including On-Site Leased...

    Science.gov (United States)

    2010-11-23

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF LABOR Employment and Training Administration Metlife Technology, Operations, and Information Technology Groups Including On-Site Leased Workers From Adecco, Cognizant, IBM, Infosys, Kana, Patni, Siemens, Tapfin, Veritas Moosic, PA, Metlife Technology, Operations,...

  15. Rapid on-site evaluation of axillary fine-needle aspiration cytology in breast cancer.

    LENUS (Irish Health Repository)

    O'Leary, D P

    2012-06-01

    Axillary ultrasonography (AUS) and fine-needle aspiration cytology (FNAC) can establish axillary lymph node status before surgery, although this technique is hampered by poor adequacy rates. To achieve consistently high rates of FNAC adequacy, rapid on-site evaluation (ROSE) of FNAC samples was introduced.

  16. Solitary heat waves in nonlinear lattices with squared on-site potential

    Indian Academy of Sciences (India)

    A model Hamiltonian is proposed for heat conduction in a nonlinear lattice with squared on-site potential using the second quantized operators and averaging the same using a suitable wave function, equations are derived in discrete form for the field amplitude and the properties of heat transfer are examined theoretically.

  17. An aptamer based lateral flow strip for on-site rapid detection of ochratoxin A in Astragalus membranaceus.

    Science.gov (United States)

    Zhou, Weilu; Kong, Weijun; Dou, Xiaowen; Zhao, Ming; Ouyang, Zhen; Yang, Meihua

    2016-06-01

    An aptamer based lateral flow strip based on competitive format was developed for on-site rapid detection of ochratoxin A (OTA) in Astragalus membranaceus. Some crucial parameters that might influence the sensitive detection, such as the characterization of the colloidal gold, size and shape of gold nanoparticles (AuNPs), amount of AuNPs-aptamer conjugate, migration rate and the addition amount of methanol, were investigated to provide the optimum assay performance. To perform the test, 1g sample was extracted with 2.5mL of methanol-water (80:20, v/v) and diluted by 4-fold running buffer to eliminate the matrix and methanol interferences. Under optimized conditions, the aptamer-based assay showed a visual limit of detection (LOD) of 1ngmL(-1), and with no significant cross-reactivity with several homologous toxins. The whole detection could be completed within 15min without special equipment because of available visual results. One out of nine A. membranaceus samples was found to be positive of OTA, which was in a good agreement with those obtained from LC-MS/MS analysis. The results demonstrated that the aptamer-based lateral flow assay could be used as a rapid, reliable, cost-effective and robust on-site screening technique for mycotoxins at trace level in complex matrices without special instrumentation. Copyright © 2016 Elsevier B.V. All rights reserved.

  18. Integrated Smartphone-App-Chip System for On-Site Parts-Per-Billion-Level Colorimetric Quantitation of Aflatoxins.

    Science.gov (United States)

    Li, Xiaochun; Yang, Fan; Wong, Jessica X H; Yu, Hua-Zhong

    2017-09-05

    We demonstrate herein an integrated, smartphone-app-chip (SPAC) system for on-site quantitation of food toxins, as demonstrated with aflatoxin B1 (AFB1), at parts-per-billion (ppb) level in food products. The detection is based on an indirect competitive immunoassay fabricated on a transparent plastic chip with the assistance of a microfluidic channel plate. A 3D-printed optical accessory attached to a smartphone is adapted to align the assay chip and to provide uniform illumination for imaging, with which high-quality images of the assay chip are captured by the smartphone camera and directly processed using a custom-developed Android app. The performance of this smartphone-based detection system was tested using both spiked and moldy corn samples; consistent results with conventional enzyme-linked immunosorbent assay (ELISA) kits were obtained. The achieved detection limit (3 ± 1 ppb, equivalent to μg/kg) and dynamic response range (0.5-250 ppb) meet the requested testing standards set by authorities in China and North America. We envision that the integrated SPAC system promises to be a simple and accurate method of food toxin quantitation, bringing much benefit for rapid on-site screening.

  19. A smartphone-based colorimetric reader coupled with a remote server for rapid on-site catechols analysis.

    Science.gov (United States)

    Wang, Yun; Li, Yuanyuan; Bao, Xu; Han, Juan; Xia, Jinchen; Tian, Xiaoyu; Ni, Liang

    2016-11-01

    The search of a practical method to analyze cis-diol-containing compounds outside laboratory settings remains a substantial scientific challenge. Herein, a smartphone-based colorimetric reader was coupled with a remote server for rapid on-site analysis of catechols. A smallest-scale 2×2 colorimetric sensor array composed of pH indicators and phenylboronic acid was configured. The array was able to distinguish 13 catechols at 6 serial concentrations, through simultaneous treatment via principal component analysis, hierarchical cluster analysis, and linear discriminant analysis. After both the discriminatory power of the array and the prediction ability of the partial least squares quantitative models were proved to be predominant, the smartphone was coupled to the remote server. All the ΔRGB data were uploaded to the remote server wherein linear discriminant analysis and partial least squares processing modules were established to provide qualitative discrimination and quantitative calculation, respectively, of the analytes in real time. The applicability of this novel method to a real-life scenario was confirmed by the on-site analysis of various catechols from a water sample of the Yangtze River; the feedback result in the smartphone showed the method was able to identify the catechols with 100% accuracy and predict the concentrations to within 0.706-2.240 standard deviation. Copyright © 2016 Elsevier B.V. All rights reserved.

  20. Child Abuse and Neglect in India.

    Science.gov (United States)

    Seth, Rajeev

    2015-08-01

    India is home to the largest child population in the world, with almost 41 % of the total population under 18 y of age. The health and security of the country's children is integral to any vision for its progress and development. Doctors and health care professionals are often the first point of contact for abused and neglected children. They play a key role in detecting child abuse and neglect, provide immediate and longer term care and support to children. Despite being important stakeholders, often physicians have a limited understanding on how to protect these vulnerable groups. There is an urgent need for systematic training for physicians to prevent, detect and respond to cases of child abuse and neglect in the clinical setting. The purpose of the present article is to provide an overview of child abuse and neglect from a medical assessment to a socio-legal perspective in India, in order to ensure a prompt and comprehensive multidisciplinary response to victims of child abuse and neglect. During their busy clinical practice, medical professionals can also use the telephone help line (CHILDLINE telephone 1098) to refer cases of child abuse, thus connecting them to socio-legal services. The physicians should be aware of the new legislation, Protection of Children from Sexual Offences (POCSO) Act, 2012, which requires mandatory reporting of cases of child sexual abuse, failing which they can be penalized. Moreover, doctors and allied medical professionals can help prevent child sexual abuse by delivering the message of personal space and privacy to their young patients and parents.

  1. Child abuse: a common problem in Curaçao?

    Science.gov (United States)

    Klein, K; Boersma, A A; Meyboom-de Jong, B; de Bruijn, J

    2013-02-01

    To assess the prevalence of child abuse among high school students in Curacao. A questionnaire survey among high school students up to 17 years of age was conducted. The questionnaire was based on existing literature and validated questionnaires. The questionnaire used was analysed and adapted to the situation in Curaçao by a panel of experts on child abuse. The primary objective was to gain insight into the incidence, prevalence and various forms of child abuse among students in Curaçao. Five forms of child abuse are distinguished in the literature: physical abuse, emotional abuse, sexual abuse, neglect and exploitation. Furthermore, the degree of confidence of the students in general practitioners (GPs) as care providers in the field of child abuse was explored. Questionnaires from 545 of the 628 respondents were included. In total, 43% of the respondents had ever-experienced an event which could be defined as (a form of) child abuse. More than one-third of the respondents reporting child abuse ever had an experience that could be interpreted as physical abuse. More than 15% of the respondents reporting child abuse had experienced sexual abuse. Girls experienced significantly more sexual abuse than boys. Emotional abuse in the last year was experienced by 3% of the respondents. One per cent of the respondents ever-experienced neglect. According to most respondents, GPs were not seen as care providers in cases of child abuse; they believed that GPs were mainly to be consulted for illnesses or physical symptoms and not for forms of child abuse. The prevalence of ever-having-experienced a form of child abuse is estimated at 431 per 1000 students. Child abuse, particularly physical abuse, is common in Curaçao, and is probably comparable to other surrounding countries. General practitioners were not seen as care providers in identifying and reporting cases of child abuse according to most respondents.

  2. Rural Child Sexual Abuse Prevention and Treatment.

    Science.gov (United States)

    Ray, JoAnn; Murty, Susan A.

    1990-01-01

    Reviews literature on rural child sexual abuse and treatment. Surveys providers in rural Washington treatment programs. Responses describe agency characteristics, services, delivery problems, and suggested solutions. Reports providers' perceptions of service quality and interagency cooperation. Cites as problems heavy caseloads, lack of staff, and…

  3. CHILD-to-Child Trial Program. Ajoya, Sinaloa, Mexico.

    Science.gov (United States)

    Werner, David

    1983-01-01

    The CHILD-to-Child program is based on the recognition that older siblings often influence their younger family members. Activities of the CHILD-to-Child Program in Ajoya, Sinaloa, Mexico, relating to teaching about diarrhea and breast-feeding, are described. (CJ)

  4. Calm child programme.

    Science.gov (United States)

    Gobrial, Ereny; Raghavan, Raghu

    2017-01-01

    Children with autism spectrum disorder (ASD) and intellectual disabilities (IDs) are more vulnerable to experiencing anxiety disorders. Parental involvement in intervention is crucial for successful management of the interventions in the population of people with ASDs. This article describes the design and evaluation of parenting programme for anxiety disorders in children and young people with ASD and ID. In phase 1 semi-structured interviews were conducted to explore management strategies for anxiety at home and in school settings. A total of 34 participants (14 parents, 20 teachers) participated in the interviews. A Delphi process was conducted with health professionals to develop consensus on appropriate anxiety interventions. In phase 2 the intervention programme was implemented by seven parents who also participated in focus group to evaluate the developed programme. A parental programme, calm child programme (CCP), was developed, implemented and evaluated. The evaluations show significant decrease in children's anxiety as a result of implementing the programme. This study contributes further evidence to parental involvement in interventions for children and young people with ASD and IDs. The CCP is a useful and cost-effective approach in enabling parents to provide anxiety interventions in a home setting.

  5. Refugee child oral health.

    Science.gov (United States)

    Riggs, E; Rajan, S; Casey, S; Kilpatrick, N

    2017-04-01

    The number of people forced to flee their homes and move around the world is increasing rapidly. Such refugee populations are not only more likely to have poor physical, mental and social health outcomes but also to experience difficulties accessing health services in their new country. In particular, children from refugee backgrounds are at increased risk of poor oral health which in time is associated with poor adult oral health and impacts on child health (e.g. growth and development) and well-being. To date, there is little evidence about the nature and extent of their oral health problems nor interventions to improve their oral health status. This article summarises the evidence surrounding the oral health status of children from refugee backgrounds. In addition, a systematic review of the international literature over the past 10 years is presented which identifies interventions to improve the oral health of these vulnerable paediatric populations. Based on this evidence, potential strategies available to dental service providers to optimise provision of responsive dental care are discussed. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  6. CAN CHILD-CARE SUPPORT POLICIES HALT DECREASING FERTILITY?

    Directory of Open Access Journals (Sweden)

    Masaya Yasuoka

    2013-04-01

    Full Text Available Some earlier papers examine whether child allowances can raise fertility or not in an endogenous fertility model with a defined contribution pension system. They derive that a child allowance can raise fertility. This paper is aimed at deriving the level of child allowances or education subsidies to make the pension system sustainable. A child allowance can raise fertility instantaneously. However, in the long run, fertility might continue decreasing and the pension system might not be sustainable if less child allowance is provided. In a defined benefit system, tax burdens for pension benefits are heavy in an aging society with fewer children. A heavy tax burden reduces the household income and then decreases fertility. Therefore, child allowances must be provided to halt decreasing fertility in the long run. Nevertheless, given parametric conditions, education subsidy of more than a certain level can not halt the decrease of fertility in the long run.

  7. The role of child life in pediatric pain management: a survey of child life specialists.

    Science.gov (United States)

    Bandstra, Nancy F; Skinner, Linda; Leblanc, Chantal; Chambers, Christine T; Hollon, Ellen C; Brennan, Debbie; Beaver, Chantal

    2008-04-01

    Pain management is often described as a component of child life specialists' work. No research has described the specific pain management strategies used by child life specialists. The objectives of this study were to determine child life specialists' use of nonpharmacological strategies, to describe the perceived efficacy of these strategies, to determine how much training child life specialists had in these various strategies, and to determine what demographic characteristics predict the use of evidence-based techniques. Six hundred seven child life specialists from hospitals and health centers across North America responded to an online survey (response rate: 85.4%). Results indicate that child life specialists use a variety of techniques with varying degrees of perceived efficacy. The most commonly endorsed techniques were providing information/preparation, comforting/reassurance, and positive reinforcement. Respondents reported receiving substantial training in some techniques (eg, providing information/preparation, medical play) and high interest in receiving additional training in all techniques. Certification status, the proportion of patients for whom participants reported providing pain management services, and participants' perceived levels of knowledge and skill emerged as significant predictors of the use of evidence-based strategies. The results of this survey suggest that child life specialists are actively involved in pediatric pain management. American and Canadian child life specialists were surveyed to assess their involvement in managing the pain of pediatric patients. Findings of the survey indicate that child life specialists are involved in the management of pediatric pain and are receptive to additional training in evidence-based techniques.

  8. When to use the emergency room - child

    Science.gov (United States)

    Emergency room - child; Emergency department - child; Urgent care - child; ER - when to use ... How quickly does your child need care? If your child could die or be permanently disabled, it is an emergency. Call 911 to have the ...

  9. Living with Worry: The Experience of Mothers with Deaf Child

    OpenAIRE

    Hossein Ebrahimi; Eissa Mohammadi; Akbar Pirzadeh; Mahmood Shamshiri; Mohammad Ali Mohammadi

    2017-01-01

    Background Born of a child with hearing loss is a stressful and unexpected experience for the parents. Understanding the experience of the mothers of children with hearing loss is a crucial to provide an appropriate care for this group of mothers.This study aimed to understand the concerns of the mothers who have a child with congenitally hearing loss. Materials and Methods In this qualitative content analysis, 35 mothers with child hearing loss participated in the semi-structural and deep i...

  10. CDC Child Growth Charts

    Data.gov (United States)

    U.S. Department of Health & Human Services — CDC child growth charts consist of a series of percentile curves that illustrate the distribution of selected body measurements in U.S. children. Pediatric growth...

  11. Weaning Your Child

    Science.gov (United States)

    ... transitions from breast milk to other sources of nourishment. When to wean is a personal decision. A ... when you would typically be nursing. For an older child, try a healthy snack, offering a cup, ...

  12. Child public health

    National Research Council Canada - National Science Library

    Blair, Mitch

    2010-01-01

    .... It combined clinical and academic perspectives to explore the current state of health of our children, the historical roots of the speciality and the relationship between early infant and child...

  13. Your Child's Weight

    Science.gov (United States)

    ... your child's health, level of physical activity, and eating habits, as well as your family medical history. The ... members may share. It's also true that unhealthy eating habits can be passed down. The eating and exercise ...

  14. Scoliosis surgery - child

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007383.htm Scoliosis surgery - child To use the sharing features on this page, please enable JavaScript. Scoliosis surgery repairs abnormal curving of the spine ( scoliosis ). ...

  15. Child Behavior Disorders

    Science.gov (United States)

    ... misbehave some times. And some may have temporary behavior problems due to stress. For example, the birth ... family may cause a child to act out. Behavior disorders are more serious. They involve a pattern ...

  16. Concussion - child - discharge

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000125.htm Concussion in children - discharge To use the sharing features ... enable JavaScript. Your child was treated for a concussion . This is a mild brain injury that can ...

  17. Disciplining Your Child

    Science.gov (United States)

    ... are ways to ease frustration and avoid unnecessary conflict with your child. Be Aware of What Your ... Spanking increases aggression and anger instead of teaching responsibility. Parents may intend to stay calm but often ...

  18. ChILD Family Education.

    Science.gov (United States)

    McDougal, Julie; Gettys, Ann; Hagood, James S

    2010-03-01

    The Children's Interstitial Lung Disease (chILD) Foundation and chILD Research Cooperative identified a need for accurate and understandable chILD-related information for families. As a result, collaboration with the University of Alabama at Birmingham (UAB) Pediatric Pulmonary Center (PPC) produced "Get Up And Go With chILD!," a comprehensive, chILD-specific family education resource. Families and clinicians from multiple backgrounds and perspectives submitted content suggestions and copies of currently used family education and health management materials. Families provided information about the helpful and unhelpful information they had received in the past, the information they wished they had received, and their educational preferences. The resultant booklet is comprehensive, containing the education topics identified as critical for inclusion by families and clinicians, and is written at a seventh grade reading level. Available both in print and online, the online version contains live links to interactive Web sites, support groups, teaching videos, and downloadable forms and tools. If health education is to be understandable, useable, efficient, cost-effective, and of superior quality, if it is to improve people's lives by facilitating a change in their attitudes, beliefs, knowledge, skill levels, and behavior, an interdisciplinary, family-centered approach is crucial. This is resource intensive, but the initial costs of producing materials in this manner far outweigh the potential costs of poorly developed and delivered health education. Through an iterative, well-coordinated, collaborative process between families and clinicians from a variety of backgrounds and perspectives, "Get Up And Go With chILD!" exemplified this approach.

  19. The Child Abuse

    OpenAIRE

    Hossein abbasnezhadriyabi; Mozhganjalali

    2016-01-01

    While a large number of children are losing their lives due to poverty, malnutrition, contagious diseases and war, we are witnessing hundreds of children death by reason of misbehaving. Today, "child abuse" as a social-cultural phenomenon which shows crisis in a society, has a growing process in our country. The goal of this research was to investigate the base factors of child abuse that according to the results are consist as follows, poverty, unemployment, addiction, large families, single...

  20. Child's Play: Therapist's Narrative

    OpenAIRE

    Reddy, Rajakumari P.; Hirisave, Uma

    2014-01-01

    Play has been recognized as an essential component to children′s healthy development. Schools of play therapy differ philosophically and technically, but they all embrace the therapeutic and developmental properties of play. This case report is an illustration of how a 6-year-old child with emotional disorder was facilitated to express concerns in child-centered play therapy. The paper discusses the therapist′s narration of the child′s play.

  1. Child Abuse Amendments of 1983.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. House Committee on Education and Labor.

    The booklet presents the report of the U.S. House of Representatives Committee on Education and Labor regarding the 1983 Child Abuse Amendments to the Child Abuse Prevention and Treatment Act and the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978. The Amendment expands the definition of child abuse to include abuse by…

  2. CHILD LABOR ABUSE: LEGAL ASPECTS

    OpenAIRE

    Darko Majhoshev; Viktor Angelovski

    2016-01-01

    The paper addresses the problem of child labor and ways of protection from child labor abuse. Child labor is a negative social phenomenon that is widespread throughout the world, and also in Republic of Macedonia. International and national institutions and organizations are making serious efforts to eradicate this negative phenomenon, through the adoption of numerous international legal instruments (conventions, recommendations, declarations, etc.). Child labor ...

  3. Supporting Nutrition in Early Care and Education Settings: The Child and Adult Care Food Program (CACFP)

    Science.gov (United States)

    Stephens, Samuel A.

    2016-01-01

    Child care centers, Head Start programs, and family child care providers serving young children--as well as after school programs and homeless shelters that reach older children, adults, and families--are supported in providing healthy meals and snacks by reimbursements through the Child and Adult Care Food Program (CACFP). Administered by the…

  4. Adapting Systems of Care for Child Welfare Practice with Immigrant Latino Children and Families

    Science.gov (United States)

    Dettlaff, Alan J.; Rycraft, Joan R.

    2010-01-01

    Recent reform efforts in the child welfare system have called for child welfare agencies to provide community-based services and to increase the involvement of external stakeholders in identifying and developing services within the community. At the same time, child welfare agencies are faced with the challenge of providing services to an…

  5. On-Site Energy Management by Integrating Campus Buildings and Optimizing Local Energy Systems, Case Study of the Campus in Finland

    Directory of Open Access Journals (Sweden)

    Genku Kayo

    2016-12-01

    Full Text Available This research work describes the potential study on the impact of energy improvements of existing campus buildings by on-site energy management and operational strategies. The focus buildings in the campus are mainly built in the 1960s, and therefore it is time to carry out renovation work. In connection with renovations, the aim is to improve the energy efficiency of the buildings, and to develop the functionality of the properties to meet the current requirements. Thus, in this study, the potentials of on-site energy generation and sharing in the cluster of campus buildings in Finland were studied. By means of optimisation method, the optimal combined heat and power systems (CHP capacity distribution and operation mode for minimizing annual primary energy consumption were simulated. The results show the integration of buildings has advantage for on-site energy management as 23% of primary energy reduction compared with current situation. Consequently, integrating buildings and optimizing on-site energy management can be one of effective strategies for minimizing primary energy consumption. Furthermore, the study to improve operation strategies of building service system considering current space use in the building clarified that up to 13% of total energy use reduction is expected. The research work also proposes the way of providing environmental information to increase awareness of building energy usage in the campus.

  6. [Legal consequences in cases of child abuse].

    Science.gov (United States)

    Clauß, D; Richter, C; Klohs, G; Heide, S

    2013-09-01

    Medical child protection includes besides interdisciplinary diagnostics and treatment of physical and psychological symptoms also a discussion that looks at the ensuing legal consequences.This study analyses 21 criminally investigated cases of suspected child abuse from a 2 year study period and compares severity of injury to legal outcome.7 of those 21 criminal proceedings were already dropped by the prosecution and never went to trial. 4 of the 8 cases that led to a trial ended with a conviction. In all of the 4 cases that resulted in an acquittal the judges had been convinced that the child had been abused but found themselves unable to exactly identify the perpetrator. Our study's cases did not show a positive correlation between severity of injury and legal outcome.Diagnosing and treating children and minors within the context of medical child protection should always also include the ques-tion of possible legal consequences. The judicial process in cases of serious child abuse requires high medical expertise. Such expertise particularly includes the ability to determine the time of injury as exactly as possible and to provide precise written documentation of any medical findings. However, our study also shows that medical assessment is only one of many aspects in the legal response to child abuse. © Georg Thieme Verlag KG Stuttgart · New York.

  7. REGIONAL VARIATIONS IN CHILD MARRIAGE IN BANGLADESH.

    Science.gov (United States)

    Islam, Md Kamrul; Haque, Md Rabiul; Hossain, Mohammad Bellal

    2016-09-01

    This study aimed to investigate the regional variations in the prevalence of child marriage in Bangladesh with a view to providing recommendations for division-specific policy interventions. Data from the 2011 Bangladesh Demographic and Health Survey were analysed using multivariate logistic regression. Substantial regional variations in child marriage were found in Bangladesh. Rangpur and Khulna had more than four times higher odds of child marriage than Sylhet (4.57 and 4.11 times, respectively). Barisal and Rajshahi had more than three times higher odds of child marriage than Sylhet (3.70 and 3.48 times, respectively). Chittagong and Dhaka had about two times odds of child marriage than Sylhet (1.98 and 2.67 times, respectively), even after controlling for selected socio-demographic, economic and cultural characteristics. Respondent's education, employment status, husband's education and wealth index were inversely associated with the prevalence of child marriage. The policy implications of these findings are discussed in the context of Bangladesh.

  8. Measurement of 37Ar to support technology for On-site Inspection under the Comprehensive Nuclear-Test-Ban Treaty

    CERN Document Server

    Aalseth, C E; Haas, D A; Hoppe, E W; Hyronimus, B J; Keillor, M E; Mace, E K; Orrell, J L; Seifert, A; Woods, V T

    2010-01-01

    On-Site Inspection (OSI) is a key component of the verification regime for the Comprehensive Nuclear-Test-Ban Treaty (CTBT). Measurements of radionuclide isotopes created by an underground nuclear explosion are a valuable signature of a Treaty violation. Argon-37 is produced from neutron interaction with calcium in soil, 40Ca(n,{\\alpha})37Ar. For OSI, the 35-day half-life of 37Ar provides both high specific activity and sufficient time for completion of an inspection before decay limits sensitivity. This paper presents a low-background internal-source gas proportional counter with an 37Ar measurement sensitivity level equivalent to 45.1 mBq/SCM in whole air.

  9. Projections of cost, duration, and on-site manual labor requirements for constructing electric generating plants, 1979-1983

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, Ray; Duncan, Charles W.

    1979-09-01

    The study provides a consistent set of base-line estimates of future capital costs and labor requirements for power plant construction that can be used by the government, utilities, constructors, labor organizations, industry vendors, and the general public for policy making and planning purposes. Separate projections for nuclear, hydroelectric, and fossil-fueled generating facilities are included. Within each category, estimates of on-site labor requirements are provided for 14 separate craft classifications. Projections also are presented for each of 10 geographical regions of the United States. It should be noted that the estimates are based upon power plants already under construction as well as those in advanced planning stages which are expected to be under construction during the 1979-1983 interval. Part I presents forecasts of work-hour requirements per kilowatt of installed capacity, detailed by type of power plant. Part II provides the forecast of work-year requirements, by craft. Within Part III are presented regional requirements of construction labor. Part IV discusses the forecasts of costs for constructing electric power plants. Appendix A contains information on the conceptual framework of the forecasting model and the econometric procedures used to estimate trend functions. Appendix B provides tabular information on unit work-hour requirements for constructing electric power plants. Appendix C presents tabular information on forecasted unit plant costs. Appendix D discusses methods for converting constant dollars to current dollars for nuclear power plant construction. Appendix E provides a listing of data sources and references.

  10. 1000kW on-site PAFC power plant development and demonstration

    Energy Technology Data Exchange (ETDEWEB)

    Satomi, Tomohide; Koike, Shunichi [Phosphoric Acid Fuel Cell Technology Research Association (PAFC-TRA), Osaka (Japan); Ishikawa, Ryou [New Energy and Industrial Technology Development Organization (NEDO), Tokyo (Japan)

    1996-12-31

    Phosphoric Acid Fuel Cell Technology Research Association (PAFC-TRA) and New Energy and Industrial Technology Development Organization (NEDO) have been conducting a joint project on development of a 5000kW urban energy center type PAFC power plant (pressurized) and a 1000kW on-site PAFC power plant (non-pressurized). The objective of the technical development of 1000kW on-site PAFC power plant is to realize a medium size power plant with an overall efficiency of over 70% and an electrical efficiency of over 36%, that could be installed in a large building as a cogeneration system. The components and system integration development work and the plant design were performed in 1991 and 1992. Manufacturing of the plant and installation at the test site were completed in 1994. PAC test was carried out in 1994, and generation test was started in January 1995. Demonstration test is scheduled for 1995 and 1996.

  11. On-site treatment and landfilling of MSWI air pollution control residues

    DEFF Research Database (Denmark)

    Lundtorp, Kasper; Jensen, Dorthe Lærke; Sørensen, Mette Abildgaard

    2003-01-01

    Air pollution control (APC) residues from municipal solid waste incineration (MSWI) are difficult to landfill due to substantial leaching of trace metals. An on-site pretreatment prior to landfilling of APC-residues was investigated in terms of bench-scale experiments with a semidry APC-residue a......Air pollution control (APC) residues from municipal solid waste incineration (MSWI) are difficult to landfill due to substantial leaching of trace metals. An on-site pretreatment prior to landfilling of APC-residues was investigated in terms of bench-scale experiments with a semidry APC......-residue and a fly ash. The treatment involved mixing of the residues with a ferrous sulphate solution and subsequent oxidation of the suspension. Afterwards, the suspension was spread on a dedicated landfill section and allowed to drain by gravity through the drainage system of the landfill. The wastewater from...

  12. On-Site Surface Functionalization for Titanium Dental Implant with Nanotopography: Review and Outlook

    Directory of Open Access Journals (Sweden)

    Byung Gyu Kim

    2016-01-01

    Full Text Available Titanium (Ti has been the first choice of material for dental implant due to bonding ability to natural bone and great biocompatibility. Various types of surface roughness modification in nanoscale have been made as promising strategy for accelerating osseointegration of Ti dental implant. To have synergetic effect with nanotopography oriented favors in cell attachment, on-site surface functionalization with reproducibility of nanotopography is introduced as next strategy to further enhance cellular bioactivity. Extensive research has been conducted to investigate the potential of nanotopography preserved on-site surface functionalization for Ti dental implant. This review will discuss nonthermal atmospheric pressure plasma, ultraviolet, and low level of laser therapy on Ti dental implant with nanotopography as next generation of surface functionalization due to its abilities to induce superhydrophilicity or biofunctionality without change of nanotopography.

  13. Nutrition and Physical Activity Policies and Practices in Family Child Care Homes in Oregon: Baseline Findings from the Healthy Home Child Care Project

    Science.gov (United States)

    Gunter, Katherine B.; Rice, Kelly R.; Trost, Stewart G.

    2012-01-01

    Baseline findings from the Healthy Home Child Care Project include data from Family Child Care Providers (FCCPs) in Oregon (n=53) who completed assessments of nutrition and physical activity policies and practices and BMI data for children in the care of FCCPs (n=205). Results show that a significant percentage of FCCPs failed to meet child care…

  14. Using Automated On-Site Monitoring to Calibrate Empirical Models of Trihalomethanes Concentrations in Drinking Water

    OpenAIRE

    Thomas E. Watts III; Robyn A. Snow; Brown, Aaron W.; J. C. York; Greg Fantom; Paul S. Simone Jr.; Emmert, Gary L.

    2015-01-01

    An automated, on-site trihalomethanes concentration data set from a conventional water treatment plant was used to optimize powdered activated carbon and pre-chlorination doses. The trihalomethanes concentration data set was used with commonly monitored water quality parameters to improve an empirical model of trihalomethanes formation. A calibrated model was used to predict trihalomethanes concentrations the following year. The agreement between the models and measurements was evaluated. The...

  15. Training of medical teams on-site for individual and coordinated response in emergency management

    DEFF Research Database (Denmark)

    Andersen, Verner

    2003-01-01

    A system for training of coordination and cooperation of decision makers in emergency management has been under construction for some time. A first prototype of the system was developed in the MUSTER system. The system is being developed modularly with one module for each of the suborganisations ...... system for specific training set-ups for specific groups of trainees. The first module completed as a commercial system, "Training of medical teams on site", will be presented....

  16. Preferred provider organizations.

    Science.gov (United States)

    Davy, J D

    1984-05-01

    The 1980s has marked the beginning of a new alternative health care delivery system: the preferred provider organization ( PPO ). This system has developed from the health maintenance organization model and is predominant in California and Colorado. A PPO is a group of providers, usually hospitals and doctors, who agree to provide health care to subscribers for a negotiated fee that is usually discounted. Preferred provider organizations are subject to peer review and strict use controls in exchange for a consistent volume of patients and speedy turnaround on claims payments. This article describes the factors leading to the development of PPOs and the implications for occupational therapy.

  17. Professional services for child rape survivors: A child-centred perspective on helpful and harmful experiences.

    Science.gov (United States)

    Collings, Steven J

    2011-06-01

    The aim of this study was to explore child rape survivors' perceptions of helpful and harmful experiences at the hands of professional service providers. Focused interviews were conducted with a convenience sample of 20 child rape survivors who had presented for counselling services at a non-governmental organisation located in the coastal region of KwaZulu-Natal, South Africa. For each case, information was obtained regarding children's perceptions of helpful and harmful experiences at the hands of police, medical and criminal justice system personnel. A thematic analysis of children's responses indicated that the concerns expressed by respondents reflected four basic inter-related needs and rights including the need and right: to be given a voice, to be informed and consulted, to be protected from harm, and for competent and efficient service provision. Study findings provided little support to the view that the medico-legal examination or the adversarial nature of legal proceedings are likely to be experienced as particularly distressing or traumatising for the child. Study findings indicate that the professional services provided to some child rape survivors fail to adequately address the child's basic needs and rights, with there being an associated need for improved codes of practice designed to better serve the interests of child rape survivors.

  18. On-Site 3D Printing of Functional Custom Mallet Splints for Mars Analogue Crewmembers.

    Science.gov (United States)

    Wong, Julielynn Y

    2015-10-01

    The first off-Earth fused deposition modeling (FDM) 3D printer is investigating acrylonitrile butadiene styrene (ABS) thermoplastic manufacturing applications for long-duration space missions. This study assessed the feasibility of FDM 3D printing ABS thermoplastic customized mallet splints on site for Mars analogue crewmembers. Seven caliper measurements were taken of the right ring finger of 13 healthy Mars Desert Research Station mission crewmembers. These measurements were input into a free 3D modeling software program to create customized digital splint models. These digital files were uploaded to a desktop FDM 3D printer and custom splints were printed on site with ABS thermoplastic. Splint fit was assessed via subject feedback. Joint active range of motion was recorded when the splint was worn briefly. The time it took the software program to digitally render each splint model was less than 2 min and 30 s. The print duration for the splints ranged from 21 to 29 min. All 13 subjects reported that their 3D printed custom mallet splints fit securely and comfortably. All splints permitted full active range of motion of the proximal interphalangeal joint (0-100°) while maintaining the distal interphalangeal joint in extension. It is feasible to 3D print functional ABS thermoplastic custom mallet splints on site for Mars analogue crewmembers. This technology could be used clinically in the future when a custom mallet splint is required in a remote, resource-constrained setting.

  19. Assessment of On-site sanitation system on local groundwater regime in an alluvial aquifer

    Science.gov (United States)

    Quamar, Rafat; Jangam, C.; Veligeti, J.; Chintalapudi, P.; Janipella, R.

    2017-12-01

    The present study is an attempt to study the impact of the On-site sanitation system on the groundwater sources in its vicinity. The study has been undertaken in the Agra city of Yamuna sub-basin. In this context, sampling sites (3 nos) namely Pandav Nagar, Ayodhya Kunj and Laxmi Nagar were selected for sampling. The groundwater samples were analyzed for major cations, anions and faecal coliform. Critical parameters namely chloride, nitrate and Faecal coliform were considered to assess the impact of the On-site sanitation systems. The analytical results shown that except for chloride, most of the samples exceeded the Bureau of Indian Standard limits for drinking water for all the other analyzed parameters, i.e., nitrate and faecal coliform in the first two sites. In Laxmi Nagar, except for faecal coliform, all the samples are below the BIS limits. In all the three sites, faecal coliform was found in majority of the samples. A comparison of present study indicates that the contamination of groundwater in alluvial setting is less as compared to hard rock where On-site sanitation systems have been implemented.

  20. Assessment of On-site sanitation system on local groundwater regime in an alluvial aquifer

    Science.gov (United States)

    Quamar, Rafat; Jangam, C.; Veligeti, J.; Chintalapudi, P.; Janipella, R.

    2017-06-01

    The present study is an attempt to study the impact of the On-site sanitation system on the groundwater sources in its vicinity. The study has been undertaken in the Agra city of Yamuna sub-basin. In this context, sampling sites (3 nos) namely Pandav Nagar, Ayodhya Kunj and Laxmi Nagar were selected for sampling. The groundwater samples were analyzed for major cations, anions and faecal coliform. Critical parameters namely chloride, nitrate and Faecal coliform were considered to assess the impact of the On-site sanitation systems. The analytical results shown that except for chloride, most of the samples exceeded the Bureau of Indian Standard limits for drinking water for all the other analyzed parameters, i.e., nitrate and faecal coliform in the first two sites. In Laxmi Nagar, except for faecal coliform, all the samples are below the BIS limits. In all the three sites, faecal coliform was found in majority of the samples. A comparison of present study indicates that the contamination of groundwater in alluvial setting is less as compared to hard rock where On-site sanitation systems have been implemented.

  1. Redefining parenthood: surviving the death of a child.

    Science.gov (United States)

    Nuss, Suzanne L

    2014-01-01

    Although dying children are often aware of their impending death, parents are reluctant to communicate with their dying child about death. The objective of this study was to examine how parents of children in the advanced stage of a life-threatening disease trajectory communicated about death. Using grounded theory methods, data were collected via interviews with 18 parents of children who had died of an advanced life-threatening disease. Ways in which parents communicated with their dying child were impacted by the degree of threat to the parental role. From the onset of their child's life-threatening illness, the sense of parental self was threatened, resulting in "Parental Vulnerability." To endure parental vulnerability, parents confronted a process of "Redefining Parenthood." Before the child's death, parents experienced (1) Protecting From Fears, (2) Protecting Normalcy, (3) Protecting Faith, (4) Experiencing Protection From Their Child, and (5) Bookmarking Memories. After the child's death, parents experienced (1) Telling the Story, (2) Making Meaning, (3) Protecting the Child's Memory, (4) Defining a New Normal, and (5) Learning to Live With Regret. Results provide new information about the experiences of parents of dying children as they communicated with their child during the dying process and as they found ways to go on with life after their child's death. Findings can be used by healthcare professionals to help support families of dying children. The field of pediatric oncology nursing would benefit from exploration of the dying child's perspective.

  2. The involvement of family in child protection cases in Iceland

    Directory of Open Access Journals (Sweden)

    Anni Haugen

    2015-07-01

    Full Text Available The aim of this study is to examine the involvement of families in child protection cases in Iceland, as well as to shed light on the attitudes of child protection workers on the importance of including families while working on child protection cases. The study is part of an international comparative analysis called: Social Work with Families: Social Workers’ Constructions of Family in Professional Practice. This article only addresses the Icelandic segment of the research. In the study, qualitative methods were used and three focus groups were conducted, in which the same three-step vignette about a child protection case was presented. The findings highlighted how difficult child protection workers found it to define the family. The main element is that family are those individuals closest to the child and connected to them through emotional ties, as Icelandic child protection workers seem to strive to involve family in child protection cases. However, there are signs which show that when working with more complicated cases the definition of a family becomes narrower, and involvement is restricted mostly to parents and grandparents. The findings also show that attitudes toward fathers differ from those toward mothers. The mother is expected to support and create security for the child, while the father is judged mostly on his violent behaviour and is not automatically regarded as providing support or actively taking responsibility for his child.

  3. [Child abuse from a pediatric perspective].

    Science.gov (United States)

    Meyer, S; Poryo, M; Clasen, O; Schlote, J; Schmidt, P; Schöndorf, D; Lehmann-Kannt, S; Gortner, L

    2016-05-01

    Child abuse is the physical, sexual or emotional maltreatment, or neglect of a child or children. Child maltreatment is defined as any act or series of acts of commission or omission by a parent or other caregiver that results in harm, potential for harm, or threat of harm to a child. Child abuse can occur in a child's home, or in the organizations, schools or communities the child interacts with. There are four major categories of child abuse: neglect, physical abuse, psychological or emotional abuse, and sexual abuse. In child abuse, establishing an early diagnosis is essential. Apart from taking a detailed history and performing a meticulous physical examination, including forensic evaluation as indicated, further diagnostic steps (imaging studies, ophthalmic examination/funduscopy, laboratory studies, etc.) may be warranted. In addition to providing acute medical help, longer-term, multidisciplinary interventions have to be put in place in cases of child abuse. This article summarizes the most important facts pertinent to this subject.

  4. Child care subsidies, maternal health, and child-parent interactions: evidence from three nationally representative datasets.

    Science.gov (United States)

    Herbst, Chris M; Tekin, Erdal

    2014-08-01

    A complete account of the US child care subsidy system requires an understanding of its implications for both parental and child well-being. Although the effects of child care subsidies on maternal employment and child development have been recently studied, many other dimensions of family well-being have received little attention. This paper attempts to fill this gap by examining the impact of child care subsidy receipt on maternal health and the quality of child-parent interactions. The empirical analyses use data from three nationally representative surveys, providing access to numerous measures of family well-being. In addition, we attempt to handle the possibility of non-random selection into subsidy receipt by using several identification strategies both within and across the surveys. Our results consistently indicate that child care subsidies are associated with worse maternal health and poorer interactions between parents and their children. In particular, subsidized mothers report lower levels of overall health and are more likely to show symptoms consistent with anxiety, depression, and parenting stress. Such mothers also reveal more psychological and physical aggression toward their children and are more likely to utilize spanking as a disciplinary tool. Together, these findings suggest that work-based public policies aimed at economically disadvantaged mothers may ultimately undermine family well-being. Copyright © 2013 John Wiley & Sons, Ltd.

  5. Training in clinical child psychology: doing it right.

    Science.gov (United States)

    Roberts, M C; Sobel, A B

    1999-12-01

    Discusses (a) what roles the specialty of clinical child psychology fulfills and how societal and professional changes have enhanced the need for the specialty, (b) how the field defines itself, (c) how models of training are conceptualized for the specialty, and (d) how some training programs implement specialty training with broad, interdisciplinary components. Clinical child psychology is a professional field of research and practice that, when adequate training is provided, properly deserves a places as a specialty. The dangers of overspecialization and narrowness are more likely present in traditional clinical (adult) psychology than in clinical child psychology, especially when the clinical child training is done in a broadly comprehensive and integrated manner.

  6. Forensic nurses' experiences of receiving child abuse disclosures.

    Science.gov (United States)

    Finn, Cris

    2011-10-01

    A child's self-disclosure of abuse is a critical component in initiating intervention to stop abuse and decrease the likelihood of long-term negative outcomes. This study described the context in which child abuse victims disclosed to forensic nurses. Thirty interviews were conducted at the International Forensic Nurses Scientific Assembly 2007 and then analyzed using narrative inquiry methodology. Five themes emerged: child-friendly environment, building rapport, engaged listening, believing unconditionally, and the potential for false disclosures.   Nurses can provide an environment that allows a child the perception of limitless time to share their unique stories. © 2011, Wiley Periodicals, Inc.

  7. Building Service Provider Capabilities

    DEFF Research Database (Denmark)

    Brandl, Kristin; Jaura, Manya; Ørberg Jensen, Peter D.

    In this paper we study whether and how the interaction between clients and the service providers contributes to the development of capabilities in service provider firms. In situations where such a contribution occurs, we analyze how different types of activities in the production process...

  8. Providing free autopoweroff plugs

    DEFF Research Database (Denmark)

    Jensen, Carsten Lynge; Hansen, Lars Gårn; Fjordbak, Troels

    2012-01-01

    Experimental evidence of the effect of providing households with cheap energy saving technology is sparse. We present results from a field experiment in which autopoweroff plugs were provided free of charge to randomly selected households. We use propensity score matching to find treatment effects...

  9. Geophysical detection of on-site wastewater plumes in the North Carolina Coastal Plain, USA

    Science.gov (United States)

    Smith, Matthew

    Nonpoint source pollution (NPS) continues to be the leading cause of water quality degradation in the United States. On-site wastewater systems (OWS) contribute to NPS; however, due to the range of system designs and complexity of the subsurface, OWS contributions to groundwater pollution are not well understood. As the population of coastal North Carolina continues to increase, better methods to locate and characterize wastewater impacted groundwater are needed. Previous studies have demonstrated the ability of non-intrusive geophysical methods to provide high resolution information on various contaminants in different geologic settings. The goals of this study were to evaluate the utility of ground penetrating radar (GPR) and capacitively coupled resistivity (CCR) for detecting OWS components, delineating associated wastewater plumes, and monitoring temporal variations in groundwater quality. Cross-sectional and three dimensional (3D) geophysical surveys were conducted periodically over a one year period (February 2011--January 2012) at two schools utilizing OWS in the lower Neuse River Basin (NRB) in the North Carolina Coastal Plain (NCCP). Cores were collected at both study sites; as well as monthly groundwater depth, temperature, and specific conductivity measurements to better constrain the geophysical interpretations. Additionally, dissolved inorganic nitrogen (DIN) and Cl concentrations were monitored bi-monthly to assess nutrient transport at the sites. The 3D GPR surveys effectively located the wastewater drainage trenches at both sites, in close agreement with locations described in as-built OWS blueprints. Regression analysis of resistivity versus groundwater specific conductivity revealed an inverse relationship, suggesting resistivity ≤ 250 ohm.m was indicative of wastewater impacted groundwater at both sites. The 3D resistivity models identified regions of low resistivity beneath the drainfields relative to background values. Regression analysis of

  10. Mapping and Imaging Methodologies within the Comprehensive Test Ban Treaty's On-Site Inspection Framework

    Science.gov (United States)

    Hawkins, W.; Sussman, A. J.; Kelley, R. E.; Wohletz, K. H.; Schultz-Fellenz, E. S.

    2013-12-01

    On-site inspection (OSI) is the final verification measure of the Comprehensive Nuclear Test Ban Treaty (CTBT). OSIs rely heavily on geologic and geophysical investigations. The objective is to apply methods that are effective, efficient and minimally intrusive. We present a general overview of the OSI as provisioned in the CTBT, specifying the allowed techniques and the timeline for their application. A CTBT OSI relies on many geological, geophysical and radiological methods. The search area for an OSI is mostly defined by uncertainty in the location of a suspect event detected by the International Monitoring System (IMS) and reported through the International Data Center and can be as large as 1000 km2. Thus OSI methods are fundamentally divided into general survey methods that narrow the search area and more focused, detailed survey methods to look for evidence of a potential underground explosion and try to find its location within an area of several km2. The purpose and goal of a CTBT OSI, as specified in the Article IV of the Treaty, is 'to clarify whether a nuclear explosion has been carried out in violation of the Treaty' and to 'gather any facts which might assist in identifying any possible violator.' Through the use of visual, geophysical, and radiological techniques, OSIs can detect and characterize anomalies and artifacts related to the event that triggered the inspection. In the context of an OSI, an 'observable' is a physical property that is important to recognize and document because of its relevance to the purpose of the inspection. Potential observables include: (1) visual observables such as ground/environmental disturbances and manmade features, (2) geophysical techniques that provide measurements of altered and damaged ground and buried artifacts, and (3) radiological measurements on samples. Information provided in this presentation comes from observations associated with historical testing activities that were not intended to go undetected

  11. ALERTES-SC3 Early Warning System prototype for South Iberian Peninsula: on-site approach.

    Science.gov (United States)

    Pazos, Antonio; Lopez de Mesa, Mireya; Gallego Carrasco, Javier; Martín Davila, José; Rioja del Rio, Carlos; Morgado, Arturo; Vera, Angel; Ciberia, Angel; Cabieces, Roberto; Strollo, Angelo; Hanka, Winfried; Carranza, Marta

    2016-04-01

    In recent years several Earthquake Early Warning Systems (EEWS) have been developed for different parts of the world. The area between SW Cape St. Vicente and the Strait of Gibraltar is one of the most seismically active zones in the Ibero-Maghrebian region, with predominantly moderate and superficial seismicity, but also big events with associated tsunamis are well documented in the area, like the 1755 Lisbon earthquake. In the frame of the ALERT-ES (2011-2013) and ALERTES-RIM (2014-2016) Spanish projects, the ALERTES-SC3 EEWS, regional approach, prototype has been developed at the Royal Spanish Navy Observatory (ROA) and is being tested in near real time for south Iberia. This prototype, based on the SeisComP3 software package, is largely based on algorithms derived from the analysis of the first seconds of the P wave records. Calculation of several parameters are carried out, mainly the characteristic period (τc) and the displacement peak (Pd), but also the velocity peak (Pv), the maximum period (τPmáx), among others. In order to warm the areas closest to the hypocentre, places located inside the "blind zone", a on-site EEWS has also been developed by ROA and integrated in the ALERTES-SC3 prototype. From the on-site approach, a warm level is declared from one station as a function of the estimated characteristic period (τc) and the displacement Peak (Pd), although the earthquake location and therefore the lead time available remains unknown. This on-site EEWS is being tested in several Western Mediterranean net (WM) stations as ARNO (Arenosillo, Huelva,Spain) or CHAS (Chafarinas island, North Africa, Spain). Also an on-site low cost station is being developed based in low cost accelerometers. In this work the current state of the on-site EEWS developed, its integration in the ALERTES-SC3 EEWS system and the low cost seismic stations are shown.

  12. Testing the applicability of rapid on-site enzymatic activity detection for surface water monitoring

    Science.gov (United States)

    Stadler, Philipp; Vogl, Wolfgang; Juri, Koschelnik; Markus, Epp; Maximilian, Lackner; Markus, Oismüller; Monika, Kumpan; Peter, Strauss; Regina, Sommer; Gabriela, Ryzinska-Paier; Farnleitner Andreas, H.; Matthias, Zessner

    2015-04-01

    On-site detection of enzymatic activities has been suggested as a rapid surrogate for microbiological pollution monitoring of water resources (e.g. using glucuronidases, galactosidases, esterases). Due to the possible short measuring intervals enzymatic methods have high potential as near-real time water quality monitoring tools. This presentation describes results from a long termed field test. For twelve months, two ColiMinder devices (Vienna Water Monitoring, Austria) for on-site determination of enzymatic activity were tested for stream water monitoring at the experimental catchment HOAL (Hydrological Open Air Laboratory, Center for Water Resource Systems, Vienna University of Technology). The devices were overall able to follow and reflect the diverse hydrological and microbiological conditions of the monitored stream during the test period. Continuous data in high temporal resolution captured the course of enzymatic activity in stream water during diverse rainfall events. The method also proofed sensitive enough to determine diurnal fluctuations of enzymatic activity in stream water during dry periods. The method was able to capture a seasonal trend of enzymatic activity in stream water that matches the results gained from Colilert18 analysis for E. coli and coliform bacteria of monthly grab samples. Furthermore the comparison of ColiMinder data with measurements gained at the same test site with devices using the same method but having different construction design (BACTcontrol, microLAN) showed consistent measuring results. Comparative analysis showed significant differences between measured enzymatic activity (modified fishman units and pmol/min/100ml) and cultivation based analyses (most probable number, colony forming unit). Methods of enzymatic activity measures are capable to detect ideally the enzymatic activity caused by all active target bacteria members, including VBNC (viable but nonculturable) while cultivation based methods cannot detect VBNC

  13. An innovation in child health: Globally reaching out to child health professionals

    Directory of Open Access Journals (Sweden)

    Russell Jones

    2016-08-01

    Full Text Available Worldwide deaths of children younger than 5 years reduced from 12.7 million in 1990 to 6.3 million in 2013. Much of this decline is attributed to an increase in the knowledge, skills, and abilities of child health professionals. In turn this increase in knowledge, skills, and abilities has been brought about by increased child-health-focused education available to child health professionals. Therefore child-health-focused education must be part of the strategy to eliminate the remaining 6.3 million deaths and to achieve the United Nations Millennium Development Goals. This article describes a child-health-focused program that was established in 1992 and operates in 20 countries: Australia, Bangladesh, Botswana, Cambodia, China, Ethiopia, Hong Kong, India, Kenya, Malawi, Mongolia, Myanmar, Sierra Leone, the Seychelles, the Solomon Islands, Tanzania, Tonga, Vanuatu, Vietnam, and Zimbabwe. The Diploma in Child Health/International Postgraduate Paediatric Certificate (DCH/IPPC course provides a comprehensive overview of evidence-based current best practice in pediatrics. This includes all subspecialty areas from infectious diseases and emergency medicine through to endocrinology, respiratory medicine, neurology, nutrition, and dietetics. Content is developed and presented by international medical experts in response to global child health needs. Content is provided to students via a combination of learning outcomes, webcasts, lecture notes, personalized study, tutorials, case studies, and clinical practice. One hundred eleven webcasts are provided, and these are updated annually. This article includes a brief discussion of the value and focus of medical education programs; a description of the DCH/IPPC course content, approaches to teaching and learning, course structure and the funding model; the most recent evaluation of the DCH/IPPC course; and recommendations for overcoming the challenges for implementing a multinational child

  14. Household Size and Composition as Correlates of Child Labour in ...

    African Journals Online (AJOL)

    Abstract. This paper draws on interviews with 1,535 parents and their children to exam- ine the relationship between child labour and various household variables in urban Nigeria, where child labour studies have been very limited. We provide a comprehensive overview ol“ the household Factors and residential dynamics.

  15. Safeguarding maternal and child health in South Africa by starting ...

    African Journals Online (AJOL)

    the harms of maternal deprivation during pregnancy. Conversely, providing ... Deprivation during pregnancy and the neonatal period increases maternal morbidity, reduces birth weight and impairs child development, with ... Women more able to rest in late pregnancy, with reduced physical and mental stress. Child health.

  16. Child Sexual Abuse: Help Is on the Way.

    Science.gov (United States)

    Thomas, Jane Kay

    This report was written to provide educators with information on their role in dealing with the problem of child sexual abuse. A review of current literature was conducted to give educators accurate child sexual abuse information, and an annotated bibliography of relevant citations from that review is included. Twenty-seven entries are organized…

  17. The Use of Board Games in Child Psychotherapy

    Science.gov (United States)

    Oren, Ayala

    2008-01-01

    Playing checkers, football or more recently, computer games, is an important part of the latency child's culture. The ability to play games demands a level of emotional development similar to that needed to cope with the emotional/developmental demands characteristic of latency. A game shared by the therapist and child provides a picture of the…

  18. Case note: The automatic review of child offenders' sentences ...

    African Journals Online (AJOL)

    This case note considers the automatic review of child offenders' cases. Adult offenders' cases go on 'review in the ordinary course' in limited circumstances, but section 85 of the Child Justice Act aims to provide automatic review in a wider range of cases. The wording of section 85 and how it should be read with the ...

  19. Child Abuse and Academic Performance of Secondary School ...

    African Journals Online (AJOL)

    The need to provide research information about the prevalence of street hawking, its effects and educational factors was the focus of this research. The focus of this study is on street hawking as an aspect of child labour, abuse and neglect. The goal of the research on child abuse and academic performance of children who ...

  20. child abuse and academic performance of secondary school ...

    African Journals Online (AJOL)

    The need to provide research information about the prevalence of street hawking, its effects and educational factors was the focus of this research. The focus of this study is on street hawking as an aspect of child labour, abuse and neglect. The goal of the research on child abuse and academic performance of children who ...