WorldWideScience

Sample records for survey system family

  1. National Survey of Family Growth

    Data.gov (United States)

    U.S. Department of Health & Human Services — The National Survey of Family Growth (NSFG) gathers information on family life, marriage and divorce, pregnancy, infertility, use of contraception, and men's and...

  2. Key Statistics from the National Survey of Family Growth: Vasectomy

    Science.gov (United States)

    ... Collection Systems Vital Statistics: Birth Data NCHS Key Statistics from the National Survey of Family Growth - V ... NCHS Listservs Surveys and Data Collection Systems Vital Statistics: Birth Data File Formats Help: How do I ...

  3. Validation of the Family Inpatient Communication Survey.

    Science.gov (United States)

    Torke, Alexia M; Monahan, Patrick; Callahan, Christopher M; Helft, Paul R; Sachs, Greg A; Wocial, Lucia D; Slaven, James E; Montz, Kianna; Inger, Lev; Burke, Emily S

    2017-01-01

    Although many family members who make surrogate decisions report problems with communication, there is no validated instrument to accurately measure surrogate/clinician communication for older adults in the acute hospital setting. The objective of this study was to validate a survey of surrogate-rated communication quality in the hospital that would be useful to clinicians, researchers, and health systems. After expert review and cognitive interviewing (n = 10 surrogates), we enrolled 350 surrogates (250 development sample and 100 validation sample) of hospitalized adults aged 65 years and older from three hospitals in one metropolitan area. The communication survey and a measure of decision quality were administered within hospital days 3 and 10. Mental health and satisfaction measures were administered six to eight weeks later. Factor analysis showed support for both one-factor (Total Communication) and two-factor models (Information and Emotional Support). Item reduction led to a final 30-item scale. For the validation sample, internal reliability (Cronbach's alpha) was 0.96 (total), 0.94 (Information), and 0.90 (Emotional Support). Confirmatory factor analysis fit statistics were adequate (one-factor model, comparative fit index = 0.981, root mean square error of approximation = 0.62, weighted root mean square residual = 1.011; two-factor model comparative fit index = 0.984, root mean square error of approximation = 0.055, weighted root mean square residual = 0.930). Total score and subscales showed significant associations with the Decision Conflict Scale (Pearson correlation -0.43, P communication experiences for hospital surrogates. The scale has promise for measurement of communication quality and is predictive of important outcomes, such as surrogate satisfaction and well-being. Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  4. Intensive care unit family satisfaction survey.

    Science.gov (United States)

    Lam, S M; So, H M; Fok, S K; Li, S C; Ng, C P; Lui, W K; Heyland, D K; Yan, W W

    2015-10-01

    To examine the level of family satisfaction in a local intensive care unit and its performance in comparison with international standards, and to determine the factors independently associated with higher family satisfaction. Questionnaire survey. A medical-surgical adult intensive care unit in a regional hospital in Hong Kong. Adult family members of patients admitted to the intensive care unit for 48 hours or more between 15 June 2012 and 31 January 2014, and who had visited the patient at least once during their stay. Of the 961 eligible families, 736 questionnaires were returned (response rate, 76.6%). The mean (± standard deviation) total satisfaction score, and subscores on satisfaction with overall intensive care unit care and with decision-making were 78.1 ± 14.3, 78.0 ± 16.8, and 78.6 ± 13.6, respectively. When compared with a Canadian multicentre database with respective mean scores of 82.9 ± 14.8, 83.5 ± 15.4, and 82.6 ± 16.0 (Pcare were concern for patients and families, agitation management, frequency of communication by nurses, physician skill and competence, and the intensive care unit environment. A performance-importance plot identified the intensive care unit environment and agitation management as factors that required more urgent attention. This is the first intensive care unit family satisfaction survey published in Hong Kong. Although comparable with published data from other parts of the world, the results indicate room for improvement when compared with a Canadian multicentre database. Future directions should focus on improving the intensive care unit environment, agitation management, and communication with families.

  5. Survey of photovoltaic systems

    Energy Technology Data Exchange (ETDEWEB)

    1979-08-01

    In developing this survey of photovoltaic systems, the University of Alabama in Huntsville assembled a task team to perform an extensive telephone survey of all known photovoltaic manufacturers. Three US companies accounted for 77% of the total domestic sales in 1978. They are Solarex Corporation, Solar Power Croporation, and ARCO Solar, Inc. This survey of solar photovoltaic (P/V) manufacturers and suppliers consists of three parts: a catalog of suppliers arranged alphabetically, data sheets on specific products, and typical operating, installation, or maintenance instructions and procedures. This report does not recommend or endorse any company product or information presented within as the results of this survey.

  6. Family Medicine's Waltz with Systems

    Science.gov (United States)

    Downing, Raymond

    2012-01-01

    Family Medicine first formally confronted systems thinking with the adoption of the biopsychosocial model for understanding disease in a holistic manner; this is a description of a natural system. More recently, Family Medicine has been consciously engaged in developing itself as a system for delivering health care, an artificial system. We make…

  7. Alcoholism: A Family System Approach

    Science.gov (United States)

    Foley, Vincent D.

    1976-01-01

    One approach to the problem of alcohol is to see it less as that of an individual's and more as the result of the interaction of a given family system. A structural approach is suggested in which the family system is examined and rearranged into a new and functioning system. (Author/NG)

  8. Distributed Systems Technology Survey.

    Science.gov (United States)

    1987-03-01

    S-106 WMh IN7 Distributed Systems Technology Survey Eric C. Cooper Aooousion For DTUC TAIB 1hanUMMOMOd 03 .Tustrifitles AVailability Codes T I F.E .CT...should be connected redundantly, so that there we several paths or routs between any two nodes. In message, swiching , Individuial messages we routed...ADDRESS (City. State and ZIP Cod) -7b. ADDRESS (City. State and ZIP Code ) CARENGIE-HELLON UNIVERSITY ESD/XRSI PITTSBURGH, PA 15213 HANSCOM AIR FORCE

  9. Searching for a Differentiated Asteroid Family: A Spectral Survey of the Massalia, Merxia, and Agnia Families

    Science.gov (United States)

    Thomas, Cristina A.; Moskovitz, Nicholas; Lim, Lucy F.; Trilling, David E.

    2017-10-01

    Asteroid families were formed by catastrophic collisions or large cratering events that caused fragmentation of the parent body and ejection of asteroidal fragments with velocities sufficient to prevent re-accretion. Due to these formation processes, asteroid families provide us with the opportunity to probe the interiors of the former parent bodies. Differentiation of a large initially chondritic parent body is expected to result in an “onion shell" object with an iron-nickel core, a thick olivine-dominated mantle, and a thin plagioclase/pyroxene crust. However, most asteroid families tend to show similar spectra (and therefore composition) among the members. Spectroscopic studies have observed a paucity of metal-like materials and olivine-dominated assemblages within Main Belt asteroid families.The deficit of olivine-rich mantle material in the meteorite record and in asteroid observations is known as the “Missing Mantle" problem. For years the best explanation has been the “battered to bits" hypothesis: differentiated parent bodies (aside from Vesta) were disrupted very early in the Solar System and the olivine-rich material was collisionally broken down over time. Alternatively, Elkins-Tanton et al. (2013) have suggested that previous work has overestimated the amount of olivine produced by the differentiation of a chondritic parent body.We have completed a visible and near-infrared wavelength spectral survey of asteroids in the Massalia, Merxia, and Agnia S-type Main Belt asteroid families. These families were carefully chosen for the spectroscopic survey because they have compositions most closely associated with a history of thermal metamorphism and because they represent a range of collisional formation scenarios. Additionally, members of the Merxia and Agnia families were identified as products of differentiation by Sunshine et al. (2004).Our spectral analyses suggest that the observed families contain products of partial differentiation. We will

  10. Modeling of System Families

    National Research Council Canada - National Science Library

    Feiler, Peter

    2007-01-01

    .... The Society of Automotive Engineers (SAE) Architecture Analysis & Design Language (AADL) is an industry-standard, architecture-modeling notation specifically designed to support a component- based approach to modeling embedded systems...

  11. Fort Riley Military Family Survey: Family Decisions to Accompany Soldiers Study

    Science.gov (United States)

    2008-06-30

    autistic and we have struggled for almost two years to get increased services, i.e., speech therapy and the system is so backlogged that appointments are...the mission when your family is still in need of assistance... (Survey Participant) AER would not help me or my Soldiers when they needed it. Pay Day...loans and Pioneer loans are what they had to use. If AER did their job ight there wouldn’t be 10 Pay Day loan places within feet of the Ft Riley Gate

  12. Validity of the Family Quality of Life Survey-2006

    Science.gov (United States)

    Perry, Adrienne; Isaacs, Barry

    2015-01-01

    Background: Family Quality of Life (FQOL) is an important construct in the Intellectual Disabilities field. Several measures exist, including one developed by an international group, the Family Quality of Life Survey-2006 (FQOLS-2006; Brown et al.2006). However, the psychometric properties of this measure have yet to be fully investigated. This…

  13. Geophex Airborne Unmanned Survey System

    Energy Technology Data Exchange (ETDEWEB)

    Won, I.J.; Keiswetter, D. [Geophex, Ltd., Raleigh, NC (United States)

    1995-10-01

    The purpose of this effort is to design, construct, and evaluate a portable, remotely-piloted, airborne, geophysical survey system. This non-intrusive system will provide {open_quotes}stand-off{close_quotes} capability to conduct surveys and detect buried objects, structures, and conditions of interest at hazardous locations. This system permits rapid geophysical characterization of hazardous environmental sites. During a survey, the operators remain remote from, but within visual distance of, the site. The sensor system never contacts the Earth, but can be positioned near the ground so that weak geophysical anomalies can be detected.

  14. Fort Riley Military Family Survey: Family Decisions to Accompany Soldiers Study

    National Research Council Canada - National Science Library

    Goff, Briana; Anderson, Jared; Wiedower, Sarah; Gurss, Holly; McCluney, Stefani

    2008-01-01

    .... The survey was conducted online, hard-copy, and over the phone with FRKS-based personnel and family members that are currently living in the Fort Riley area as well as those not currently residing...

  15. Where is family in the family nurse practitioner program? Results of a U.S. family nurse practitioner program survey.

    Science.gov (United States)

    Nyirati, Christina M; Denham, Sharon A; Raffle, Holly; Ware, Lezlee

    2012-08-01

    Though recent progress in family nursing science can serve the family nurse practitioner (FNP) to intervene in the regulation of family health, whether those advances are taught to FNP students has been unclear. All 266 FNP programs in the United States were invited to participate in a survey to assess the content and clinical application of family nursing theories in the curriculum. The majority of FNP programs frame family as the context of care for the individual. Though FNP students receive a foundation in family nursing theory in core courses, they are not usually expected to use family assessment methods in clinical practicum courses or to plan interventions for the family as the unit of care. The authors challenge educators to consider family nursing science as an essential component of the FNP program as the Doctor of Nursing Practice (DNP) evolves and becomes requisite for entry into advanced practice.

  16. Medical Expert Systems Survey

    OpenAIRE

    Abu-Nasser, Bassem S.

    2017-01-01

    International audience; There is an increase interest in the area of Artificial Intelligence in general and expert systems in particular. Expert systems are rapidly growing technology. Expert system is a branch of Artificial Intelligence which is having a great impact on many fields of human life. Expert systems use human expert knowledge to solve complex problems in many fields such as Health, science, engineering, business, and weather forecasting. Organizations employing the technology of ...

  17. Family Counseling Interventions: Understanding Family Systems and the Referral Process.

    Science.gov (United States)

    McWhirter, Ellen Hawley; And Others

    1993-01-01

    This article describes concepts underlying the idea of the "family as a system"; compares and contrasts four approaches to family therapy (those of Virginia Satir, Jay Haley, Murray Bowen, and Salvador Minuchin); and offers suggestions to teachers referring parents for family counseling. (DB)

  18. Survey of Inductive Communication Systems

    Science.gov (United States)

    1975-04-01

    A survey is made of various inductive systems proposed for low frequency train communication. It is found that thick dielectric jackets or coaxial and metallic shields may be required to reduce the environmental effects that lead to high attenuation....

  19. Concurrent Validity of the International Family Quality of Life Survey.

    Science.gov (United States)

    Samuel, Preethy S; Pociask, Fredrick D; DiZazzo-Miller, Rosanne; Carrellas, Ann; LeRoy, Barbara W

    2016-01-01

    The measurement of the social construct of Family Quality of Life (FQOL) is a parsimonious alternative to the current approach of measuring familial outcomes using a battery of tools related to individual-level outcomes. The purpose of this study was to examine the internal consistency and concurrent validity of the International FQOL Survey (FQOLS-2006), using cross-sectional data collected from 65 family caregivers of children with developmental disabilities. It shows a moderate correlation between the total FQOL scores of the FQOLS-2006 and the Beach Center's FQOL scale. The validity of five FQOLS-2006 domains was supported by the correlations between conceptually related domains.

  20. Responding to families with complex needs: a national survey of child and family health nurses.

    Science.gov (United States)

    Rossiter, Chris; Schmied, Virginia; Kemp, Lynn; Fowler, Cathrine; Kruske, Sue; Homer, Caroline S E

    2017-02-01

    The aim of this study was to explore the extent to which Australian child and family health nurses work with families with complex needs and how their practice responds to the needs of these families. Many families with young children face challenges to their parenting capacity, potentially placing their children at risk of poorer developmental outcomes. Nurses increasingly work with families with mental health problems, trauma histories and/or substance dependence. Universal child health services must respond effectively to these challenges, to address health inequalities and to promote the best outcomes for all children and families. The descriptive study used cross-sectional data from the first national survey of child and family health nurses in Australia, conducted during 2011. Survey data reported how often, where and how child and family health nurses worked with families with complex needs and their confidence in nursing tasks. Many, but not all, of the 679 respondents saw families with complex needs in their regular weekly caseload. Child and family health nurses with diverse and complex caseloads reported using varied approaches to support their clients. They often undertook additional professional development and leadership roles compared with nurses who reported less complex caseloads. Most respondents reported high levels of professional confidence. For health services providing universal support and early intervention for families at risk, the findings underscore the importance of appropriate education, training and support for child and family health professionals. The findings can inform the organization and delivery of services for families in Australia and internationally. © 2016 John Wiley & Sons Ltd.

  1. Teaching the family system concept in family medicine.

    Science.gov (United States)

    Christie-Seely, J

    1981-09-01

    Teaching the family system concept to physicians is difficult, as it entails a new way of thinking, at odds with the familiar linear medical model that focuses on the individual patient. This conceptual difference and the confusion between working with families in family medicine and family therapy explain the slow or superficial acceptance of family as the unit of care. Five principles have been found to be useful in teaching: (1) specific teaching techniques should take into account previous training and current time constraints; (2) evidence for the relevance of system theory to diagnosis, treatment, and prevention should be evaluated early in the teaching program; (3) clarity of expectations is crucial; (4) emphasis should be on the natural role of the family physician as first-line family advisor and the use of interviewing and observational skills already well developed; and (5) synthesis of the psychosocial and physical aspects of illness will occur naturally if the family physician is the teacher of family system concepts and the role model for their application in practice.

  2. Resident-as-teacher in family medicine: a CERA survey.

    Science.gov (United States)

    Al Achkar, Morhaf; Davies, M Kelly; Busha, Michael E; Oh, Robert C

    2015-06-01

    Teaching has been increasingly recognized as a primary responsibility of residents. Residents enjoy teaching, and their majority report interest in the continuation of teaching activities after graduation. Resident-as-teacher programs have emerged nationally as a means of enhancing teaching skills. This study examined the current use of residents-as-teachers programs in family medicine residencies through a national survey of family medicine residency program directors. This survey project was part of the Council of Academic Family Medicine Education Research Alliance (CERA) 2014 survey to family medicine program directors that was conducted between February 2014 and May 2014. The response rate of the survey was 49.6% (224/451). The majority (85.8%) of residency programs offer residents formal instruction in teaching skills. The vast majority (95.6%) of programs mandated the training. The average total hours of teaching instruction residents receive while in residency training was 7.72. The residents are asked to formally evaluate the teaching instruction in 68.1% of the programs. Less than a quarter (22.6%) of residency programs offer the teaching instruction in collaboration with other programs. "Retreat, workshop, and seminars" were identified as the main form of instruction by 33.7% of programs. In 83.3% of programs not offering instruction, lack of resources was identified as the primary barrier. The majority of family medicine residency programs provide resident-as-teacher instructions, which reflects increasing recognition of importance of the teaching role of residents. Further research is needed to assess the effectiveness of such instruction on residents' teaching skills and their attitudes toward teaching.

  3. Burnout levels among Portuguese family doctors: a nationwide survey.

    Science.gov (United States)

    Marcelino, Gisela; Cerveira, João Melich; Carvalho, Inês; Costa, João Azeredo; Lopes, Marta; Calado, Nelson Encarnação; Marques-Vidal, Pedro

    2012-01-01

    To characterise the prevalence of burnout syndrome in a sample of family doctors (FDs) working in the Portuguese National Health System. Cross-sectional survey. Primary healthcare centres from the 18 continental districts and two archipelagos of Portugal. The Portuguese version of the Maslach Burnout Inventory-Human Services Survey was sent to 40 randomly selected healthcare centres and distributed to the FDs employed. Socio-demographic and work-related data were also collected. Participants were classified as having high, average or low levels of emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA) dimensions of burnout. 371 questionnaires were sent, of which 153 (83 women, age range 29-64 years; response rate 41%) returned. One-quarter (25.3%, 95% CI 18.6% to 33.1%) of FDs scored high for EE, 16.2% (10.7% to 23.2%) for DP and 16.7% (11.1% to 23.6%) for lack of PA. On multivariate analysis, being married, of older age, having many years of practice or working in a personalised healthcare unit tended to be associated with increased burnout components. Men tended to present higher EE and DP but lower lack of PA than women. Finally, the prevalence (95% CI) of burnout ranged between 4.1% (1.5% to 8.6%) and 32.4% (25.0% to 40.6%), depending on the definition used. High burnout is relatively common among Portuguese FDs. Burnout relief measures should be developed in order to prevent a further increase of burnout syndrome among Portuguese FDs.

  4. Assessment of the Measurement Properties of the NHCAHPS Family Survey: A Rasch Scaling Approach

    Science.gov (United States)

    O'Connor, Matthew S.

    2013-01-01

    The introduction of the Consumer Assessment of Healthcare Providers and Systems (CAHPS), a family of survey instruments designed to capture and report people's experiences obtaining health care could soon add satisfaction as a consistent dimension of quality that skilled nursing facilities (SNFs) are required to assess and report. The SNF setting…

  5. Mental health professionals' family-focused practice with families with dependent children: a survey study.

    Science.gov (United States)

    Tungpunkom, Patraporn; Maybery, Darryl; Reupert, Andrea; Kowalenko, Nick; Foster, Kim

    2017-12-08

    Many people with a mental illness are parents caring for dependent children. These children are at greater risk of developing their own mental health concerns compared to other children. Mental health services are opportune places for healthcare professionals to identify clients' parenting status and address the needs of their children. There is a knowledge gap regarding Thai mental health professionals' family-focused knowledge and practices when working with parents with mental illness and their children and families. This cross -sectional survey study examined the attitudes, knowledge and practices of a sample (n = 349) of the Thai mental health professional workforce (nurses, social workers, psychologists, psychiatrists) using a translated version of the Family-Focused Mental Health Practice Questionnaire (FFMHPQ). The majority of clinicians reported no training in family (76.8%) or child-focused practice (79.7%). Compared to other professional groups, psychiatric nurses reported lower scores on almost all aspects of family-focused practice except supporting clients in their parenting role within the context of their mental illness. Social workers scored highest overall including having more workplace support for family-focused practice as well as a higher awareness of family-focused policy and procedures than psychiatrists; social workers also scored higher than psychologists on providing support to families and parents. All mental health care professional groups reported a need for training and inter-professional practice when working with families. The findings indicate an important opportunity for the prevention of intergenerational mental illness in whose parents have mental illness by strengthening the professional development of nurses and other health professionals in child and family-focused knowledge and practice.

  6. Time Difference Survey System (TDSS).

    Science.gov (United States)

    1981-04-01

    M8655) Asynchron- ous Data Control Card is provided with two dual in line switches for setting the device code and transmission speed. The switches are...cartridge in "T15" - Load "SURVEY" Program - RUN 3.1.2 AUSTRON 5000 SYSTEM - Turn power on - Allow 15 minutes warmup - Start PDP-8 at Address 400 - Set...the keyboard is in the teletype mode, the only special function key active is OFF-KBO (K4). - Press: K8 (ON-KBD) - "TELETYPE ON" appears on the

  7. Arabic translation and adaptation of Critical Care Family Satisfaction Survey.

    Science.gov (United States)

    Brown, Alison; Hijazi, Mohammed

    2008-08-01

    To translate and adapt the Critical Care Family Satisfaction Survey (CCFSS), and test its validity and reliability for use in Saudi Arabia. Seven hundred-bed tertiary care hospital in Saudi Arabia. Seventy-six adult relatives of patients who had been cared for in an intensive care unit for 24 hrs or more. The CCFSS, a battery of 20 items divided into five subscales, was translated into Arabic. After transfer of patients to regular inpatient units, interviewers administered the survey to their next-of-kin. Respondents ranked their satisfaction with each item on a 5-point Likert scale. Subscale scores were calculated as the average of the individual item scores. The total scale score was the sum of the subscale scores. The total scale and 'Information', 'Support', 'Comfort' and 'Assurance' subscales showed acceptable internal consistency (Spearman's correlation coefficient of the total score with each of the subscale scores = 0.52-0.81, Ptranslation and adaptation of the CCFSS is a valid, reliable and feasible tool to evaluate family satisfaction in Saudi Arabian intensive care units.

  8. Indian family systems, collectivistic society and psychotherapy.

    Science.gov (United States)

    Chadda, Rakesh K; Deb, Koushik Sinha

    2013-01-01

    Indian society is collectivistic and promotes social cohesion and interdependence. The traditional Indian joint family, which follows the same principles of collectivism, has proved itself to be an excellent resource for the care of the mentally ill. However, the society is changing with one of the most significant alterations being the disintegration of the joint family and the rise of nuclear and extended family system. Although even in today's changed scenario, the family forms a resource for mental health that the country cannot neglect, yet utilization of family in management of mental disorders is minimal. Family focused psychotherapeutic interventions might be the right tool for greater involvement of families in management of their mentally ill and it may pave the path for a deeper community focused treatment in mental disorders. This paper elaborates the features of Indian family systems in the light of the Asian collectivistic culture that are pertinent in psychotherapy. Authors evaluate the scope and effectiveness of family focused psychotherapy for mental disorders in India, and debate the issues and concerns faced in the practice of family therapy in India.

  9. Screening and Treatment for Alcohol, Tobacco and Opioid Use Disorders: A Survey of Family Physicians across Ontario

    OpenAIRE

    Genane Loheswaran; Sophie Soklaridis; Peter Selby; Bernard Le Foll

    2015-01-01

    Introduction As a primary point of contact within the health care system, family physicians are able to play a vital role in identifying individuals with substance use disorders and connecting them to the appropriate treatment. However, there is very little data available on whether family physicians are actively screening for and treating substance use disorders. The objective of the current survey was to assess whether family physicians in Ontario are screening for alcohol, opioid and tobac...

  10. Survey burden for family members surveyed about end-of-life care in the intensive care unit.

    Science.gov (United States)

    Kross, Erin K; Nielsen, Elizabeth L; Curtis, J Randall; Engelberg, Ruth A

    2012-11-01

    Family surveys are an important source of information about quality of end-of-life care in the intensive care unit (ICU). The burden associated with completing such surveys is not well studied. 1) To assess the predictors of burden that families report with completing surveys for patients who died in the ICU and 2) to examine associations between quality-of-care ratings and survey burden. Data were collected from 14 hospitals as part of a cluster randomized trial to integrate palliative care into the ICU. Survey questions included demographics, quality of dying, satisfaction with care, and overall level of burden associated with survey completion. Patient characteristics were identified from chart abstraction and death certificates. Multivariable linear regression with robust SEs was used to examine associations between survey burden, subject characteristics, and family ratings of quality of care. Of the families surveyed, 62% rated the survey to be no or low burden. Family members of older patients reported less survey burden (P = 0.016), and those who lived with the patient reported higher survey burden (P = 0.043). Family members reporting lower ratings of satisfaction with care and quality of dying reported higher survey burden (P families reported no to low burden. Family members who live with their loved one are particularly vulnerable to survey burden and those of older patients report less burden. The association between low quality-of-care ratings and survey burden suggests that the response bias in this type of research is toward overestimating quality of care. Copyright © 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  11. Survey Comparison: DMDCs 2015 Survey of Active Duty Spouses and Blue Star Families 2015 Military Family Lifestyle Survey

    Science.gov (United States)

    2016-09-07

    emerged, including the spouse unemployment rate, desire to work and educational enrollment among unemployed spouses, and spouses’ use of financial...the two surveys. The 2015 ADSS included unique response options for child care/development, animal services, skilled trades, and communications and...reported that they were unemployed by choice (an additional 21% were unsure) (p. 34).  Unemployment and Education : The 2015 ADSS found that nearly

  12. [Alcohol's impact on children and families. A population survey].

    Science.gov (United States)

    Florenzano, Ramón; Echeverría, Ángela; Sieverson, Catalina; Barr, Michelle; Fernández, Miguel Ángel

    2016-01-01

    Alcohol is widely used among young families, and leisure time is frequently family time. Heavy alcohol consumption can adversely affect children. The objective of this work is to measure the harm to others in Chile. This descriptive and probabilistic study forms part of a collaborative research funded by Thai Health and WHO. The survey was adapted by co-researchers and applied to a nationally representative sample of 1500 Chileans over 18years of age. A total of 408 respondents (27.2%) lived with children at home. Of this total, 10.5% felt that the use of alcohol by any member of the family had adversely affected a child. The most common adverse effects were verbal violence (29.7%), domestic violence (23.1%), unsupervised homes (18.7%), lack of money to provide basic needs of the child (14.3%), and physical violence (7.7%). Furthermore, in 6.6% of the cases child or family services agencies became involved. In almost half of the cases (46.3%), the drinker was the father, mother or step-parents. This was followed by other relatives (24.4%) and brothers (4.9%), or guardian of the child (2.4%). These data support the clinical observation that alcohol is common in Chilean homes. Its consumption not only damages the physical and mental health of the drinker but also those around him. Verbal violence and witnessing serious physical violence are frequent issues, as well as economic problems that end up with the inability to provide the child with its basic needs. Copyright © 2016. Publicado por Elsevier España, S.L.U.

  13. Five Percent Post Survey Check Of National Family Health Survey (NFHS In ORISSA

    Directory of Open Access Journals (Sweden)

    Kumar Benera Sudhir

    1999-01-01

    Full Text Available Research questions: How well a post survey sample check of NFHS correlates with the findings of NFHS? Objective: Post survey check of National Family Health Survey carried out in 1992-93. Study design: Multistage sampling method with 5 percent sample of original NFHS sample. Setting: Study covered 5 percent sample of original NFHS sample. Subjects: Five percent household sample (1093 members of original NFHS sample was studied and compared with NFHS data. Method: Information from five percent house-holds of NFHS in which either there likely to be no change was likely to be only in one direction such as age group, sex-ratio, literacy, family planning knowledge and adoption etc. were collected in a predesigned questionnaire and compared with NFHS data. Results: The demographic characteristics were similar to those of NFHS. TFR and number of children ever borne were also found to be same. The awareness of FP methods and its uses were within acceptable margin of error. Thus on comparison of data of post survey check and NFHS sample error was within acceptable margin.

  14. Career Indecision: A Family Systems Perspective.

    Science.gov (United States)

    Lopez, Frederick G.; Andrews, Scott

    1987-01-01

    Presents a family systems perspective on career indecision as an alternative to existing theories of vocational development which generally contribute career indecision to character deficits in young adults. Speculates on family patterns that contribute to career indecisiveness and on the functions that this problem may serve within the larger…

  15. A Family Systems Nursing Approach for Families Following a Stroke: Family Health Conversations.

    Science.gov (United States)

    Östlund, Ulrika; Bäckström, Britt; Saveman, Britt-Inger; Lindh, Viveca; Sundin, Karin

    2016-05-01

    Stroke in midlife is a life altering, challenging experience for the whole family thereby necessitating a family approach to intervention. The aim of this study was to describe the experiences of 17 family members living in Sweden, including seven adult stroke patients (six males; one female) under the age of 65 who participated in a series of three nurse-led family conversations that were offered in each family's home. These Family Health Conversations (FamHC) were guided by the conceptual lens of Family System Nursing. Individual, semi-structured, evaluative interviews conducted with each participant one month after the FamHC were analyzed by qualitative content analysis. The FamHC were described by family members as a unique conversation that they had not previously experienced in health care contexts. Family members described possibilities for relational sharing and meaningful conversations as well as changes in family functioning that support the suitability of FamHC for family stroke care. © The Author(s) 2016.

  16. SURVEY OF INFORMATION SYSTEMS FOR STRATEGIC MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Olga M. Balakhonova

    2015-01-01

    Full Text Available The article contains survey of information systems for strategic management. There is a numeration and description of the IT-system classes that may be applied in strategic management; survey and analytics for computer-based corporate performance management system; the scope of problems which is unsettled in CPM systems.

  17. DORIS system and integrity survey

    Science.gov (United States)

    Jayles, C.; Chauveau, J. P.; Didelot, F.; Auriol, A.; Tourain, C.

    2016-12-01

    DORIS, as other techniques for space geodesy (SLR, VLBI, GPS) has regularly progressed to meet the ever increasing needs of the scientific community in oceanography, geodesy or geophysics. Over the past 10 years, a particular emphasis has been placed on integrity monitoring of the system, which has contributed to the enhancement of the overall availability and quality of DORIS data products. A high level of monitoring is now provided by a centralized control of the whole system, including the global network of beacons and the onboard instruments, which perform a constant end-to-end survey. At first signs of any unusual behavior, a dedicated team is activated with well-established tools to investigate, to anticipate and to contain the impact of any potential failures. The procedure has increased the availability of DORIS beacons to 90%. The core topic of this article is to demonstrate that DORIS has implemented a high-level integrity control of its data. Embedded in the DORIS receiver, DIODE (DORIS Immediate Orbit Determination) is a Real-Time On-Board Orbit Determination software. Its accuracy has also been dramatically improved when compared to Precise Orbit Ephemeris (P.O.E.), down to 2.7 cm RMS on Jason-2, 3.0 cm on Saral and 3.3 cm on CryoSat-2. Specific quality indices were derived from the DIODE-based Kalman filters and are used to monitor network and system performance. This paper covers the definition of these indices and how the reliability and the reactiveness to incidents or anomalies of the system are improved. From these indices, we have provided detailed diagnostic information about the DORIS system, which is available in real-time, on-board each DORIS satellite. Using these capabilities, we have developed real-time functions that give an immediate diagnosis of the status of key components in the DORIS system. The Near-Real Time navigation system was improved and can distinguish and handle both satellite events and beacon anomalies. The next missions

  18. Prevalence and predictors of conflict in the families of patients with advanced cancer: A nationwide survey of bereaved family members.

    Science.gov (United States)

    Hamano, Jun; Morita, Tatsuya; Mori, Masanori; Igarashi, Naoko; Shima, Yasuo; Miyashita, Mitsunori

    2017-07-25

    Family conflict has several adverse impacts on caregivers. Thus, there is significant value in determining the prevalence and predictors of family conflict, which can enable the health care provider to intervene if family conflict arises during end-of-life care. Accordingly, we aimed to explore the prevalence and predictors of conflict among the families of patients with advanced cancer who died in palliative care units. This study was a nationwide multicenter questionnaire survey of bereaved family members of cancer patients who died in Japanese palliative care units participating in evaluation of the quality of end-of-life care. We sent out 764 questionnaires, and 529 questionnaires (69.2%) were returned. As 70 family members refused to participate and we could not identify the answers in one questionnaire, we analyzed a total of 458 responses. The average Outcome-Family Conflict score was 13.5 ± 4.9 (maximum score: 39.5), and 42.2% of family members reported at least one family conflict during end-of-life care. Greater family conflict was significantly associated with younger family age, with family members asserting control over decision making for patient care and with communication constraints among family members, although absent family members "coming out of the woodwork" reduced family conflict. Many families of patients with advanced cancer experienced conflict during end-of-life care. Family members asserting control over decision making and communication constraints among family members after diagnosis of cancer can predict the occurrence of family conflict. Absent family members "coming out of the woodwork" might reduce family conflict in particular cultures. Copyright © 2017 John Wiley & Sons, Ltd.

  19. iPads, mobile technologies, and communication applications: a survey of family wants, needs, and preferences.

    Science.gov (United States)

    Meder, Allison M; Wegner, Jane R

    2015-03-01

    Families of children with communication disabilities were surveyed to explore wants and preferences relative to mobile media technology, including iPads, as a form of augmentative and alternative communication (AAC). The families surveyed reported wanting information and support from professionals, including speech language pathologists (SLPs), who are knowledgeable about AAC. These families wanted devices to meet their children's individual needs and reported that ease of use and affordability were the most influential characteristics in the purchase of mobile media devices and communication applications. SLPs who understand family decision making can utilize collaborative clinical decision making that respects families' wants and needs, while also focusing on device feature matching and family education.

  20. A survey of photovoltaic systems

    Science.gov (United States)

    1980-01-01

    Results of extensive telephone survey of photovoltaic manufacturers are compiled in 220 page report. Three part report includes catalog of suppliers, data sheets on specific products, and typical operating, installation, and maintenance procedures.

  1. Impact of individual and team features of patient safety climate: a survey in family practices.

    Science.gov (United States)

    Hoffmann, Barbara; Miessner, Carolin; Albay, Zeycan; Schröber, Jakob; Weppler, Katrin; Gerlach, Ferdinand M; Güthlin, Corina

    2013-01-01

    Knowledge about safety climate is fundamental to improving patient safety in health care organizations. Because individual and organizational factors influence the safety climate, we conducted a health care survey of German family practices so we could analyze the impact of the professional group, the professional experience of practice staff, and practice characteristics on perceptions of the safety climate. We wrote to health care assistants and doctors in 1,800 randomly selected family practices in Germany and asked them to complete a newly developed and validated Frankfurt Patient Safety Climate Questionnaire. We conducted a descriptive analyses of items and climate factors, as well as regression analysis, to identify potential predictors of the safety climate in family practice. The response rate from the participating practices was 36.1%. Safety climate was perceived to be generally positive with the exception of the factors of error management and perception of the causes of errors. We discovered that whether or not the entire team had taken part in the survey had a positive influence on most factors. Doctors had more positive perceptions of 4 of 7 factors addressed to both professions. Male participants and doctors showed the most willingness to admit they had made an error. Though the safety climate in German family practices was positive overall, health care professionals' use of incident reporting and a system's approach to errors was fairly rare. When evaluating the safety climate in primary health care practices, respondents' individual characteristics, as well as organizational features, should be taken into account.

  2. NMFS Fishery-Independent Survey System (FINSS)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fishery Independent Survey System (FINSS) is a national system that characterizes NMFS ocean observation activities, stock and ecosystem data collections during...

  3. A survey of chemical information systems

    Science.gov (United States)

    Dominick, Wayne D. (Editor); Shaikh, Aneesa Bashir

    1985-01-01

    A survey of the features, functions, and characteristics of a fairly wide variety of chemical information storage and retrieval systems currently in operation is given. The types of systems (together with an identification of the specific systems) addressed within this survey are as follows: patents and bibliographies (Derwent's Patent System; IFI Comprehensive Database; PULSAR); pharmacology and toxicology (Chemfile; PAGODE; CBF; HEEDA; NAPRALERT; MAACS); the chemical information system (CAS Chemical Registry System; SANSS; MSSS; CSEARCH; GINA; NMRLIT; CRYST; XTAL; PDSM; CAISF; RTECS Search System; AQUATOX; WDROP; OHMTADS; MLAB; Chemlab); spectra (OCETH; ASTM); crystals (CRYSRC); and physical properties (DETHERM). Summary characteristics and current trends in chemical information systems development are also examined.

  4. The family of a child with cancer - changes within the family system

    National Research Council Canada - National Science Library

    Siemińska, Maria J; Greszta, Elżbieta

    2008-01-01

    .... A semistructured questionnaire was used to interview 116 parents from 58 such families. Changes occurring within the family system from the parents' perspective have been determined and recorded...

  5. The "Family Tree" of Air Distribution Systems

    DEFF Research Database (Denmark)

    Nielsen, Peter V.

    2011-01-01

    that all the known types of air distribution systems are interconnected in a “family tree”. The influence of supplied momentum flow versus buoyancy forces is discussed, and geometries for high ventilation effectiveness are indicated as well as geometries for fully mixed flow. The paper will also show...

  6. Teaching Family Systems Theory through Service Learning

    Science.gov (United States)

    Murray, Christine E.; Lampinen, Autumn; Kelley-Soderholm, Erin L.

    2006-01-01

    The authors present a rationale for incorporating service-learning projects into courses that teach family systems theory. A model program is presented to provide an example of the objectives, practical considerations, and student responses to such a project. Recommendations for counselor educators are made based on experience with the model…

  7. Spanish Adaptation and Validation of the Family Quality of Life Survey

    Science.gov (United States)

    Verdugo, M. A.; Cordoba, L.; Gomez, J.

    2005-01-01

    Background: Assessing the quality of life (QOL) for families that include a person with a disability have recently become a major emphasis in cross-cultural QOL studies. The present study examined the reliability and validity of the Family Quality of Life Survey (FQOL) on a Spanish sample. Method and Results: The sample comprised 385 families who…

  8. An ethnomedicinal survey of cucurbitaceae family plants used in the folk medicinal practices of Bangladesh 1

    Directory of Open Access Journals (Sweden)

    Mohammed Rahmatullah

    2012-01-01

    Full Text Available Background: The Cucurbitaceae family comprising about 125 genera and 960 species is a family that is further characterized by commonly having five-angled stems and coiled tendrils and is also known as gourd family of flowering plants. Plant species belonging to this family have a worldwide distribution, but most species can be found in tropical and subtropical countries. A number of the plants belonging to this family have reported important pharmacological activities. Cucurbitaceae family plants are also in use in the folk medicinal system of Bangladesh-a traditional medicinal system, which mainly relies on medicinal plants for treatment of diverse ailments. Aims: Since folk medicinal practitioners form the first tier of primary health care in Bangladesh, the objective of this study was to conduct ethnomedicinal surveys among 75 folk medicinal practitioners (Kavirajes practicing among the mainstream Bengali-speaking population of randomly selected 75 villages in 64 districts of Bangladesh and 8 tribal practitioners (1 each from 8 major indigenous communities or tribes, namely, Bede, Chakma, Garo, Khasia, Marma, Murong, Santal, and Tripura of the country. Materials and Methods: Surveys were carried out with the help of a semi-structured questionnaire and the guided field-walk method. Results: It was observed that the folk and tribal medicinal practitioners use a total of 19 Cucurbitaceae family species for treatment of ailments such as dysentery, diabetes, edema, skin disorders, leukoderma, hypertension, jaundice, typhoid, spleen disorders, respiratory problems, leprosy, rheumatoid arthritis, chicken pox, and cancer. The 19 species of Cucurbitaceae family plants in use were Benincasa hispida, Bryonopsis laciniosa, Citrullus colocynthis, Citrullus lanatu, Coccinia grandis, Cucumis melo, Cucumis sativus, Cucurbita maxima, Cucurbita pepo, Hodgsonia macrocarpa, Lagenaria vulgaris, Luffa acutangula, Luffa cylindrica, Momordica charantia, Momordica

  9. Verbal communication of families with cancer patients at end of life: A questionnaire survey with bereaved family members.

    Science.gov (United States)

    Nakazato, Kazuhiro; Shiozaki, Mariko; Hirai, Kei; Morita, Tatsuya; Tatara, Ryuhei; Ichihara, Kaori; Sato, Shinichi; Simizu, Megumi; Tsuneto, Satoru; Shima, Yasuo; Miyasita, Mitsunori

    2018-01-01

    To clarify the verbal communication of feelings between families and patients in Japanese palliative care units from the perspective of bereaved family members by examining (1) proportions of families' and patients' verbalization of six feelings (gratitude, love, seeking forgiveness, giving forgiveness, wishes after death, and continuing bonds), (2) recognition of receiving these feelings through verbalization from the family's perspective, and (3) the specific attitudes of family members that influence their verbalizations. In 2010, a cross-sectional survey was conducted with 968 bereaved families of cancer patients in palliative care units across Japan. Five hundred thirty-seven responses were analyzed. (1) "Gratitude" was verbalized most often (families: 47%; patients: 61%), and "expressing forgiveness" least often (families: 16%; patients: 11%). (2) Even if the words were not used, 81.2% to 88.2% of families answered that they had received the patient's feelings, and 71.8% to 85.4% of families felt the patient had received their feelings. (3) Multiple logistic regression analyses indicated that the strongest attitudes determining verbalizing were "not wanting to say farewell without conveying feelings," "a daily basis of expressing," and "heart-to-heart communication" (ishin-denshin). For both families and patients, verbalizing feelings was difficult. Our results showed that families' and patients' verbalizing and receiving of feelings must be aligned to understand their communication at the end of life in Japan. Future research is needed to verify how attitude helps promote or inhibit verbalization. Copyright © 2017 John Wiley & Sons, Ltd.

  10. Potential for response bias in family surveys about end-of-life care in the ICU.

    Science.gov (United States)

    Kross, Erin K; Engelberg, Ruth A; Shannon, Sarah E; Curtis, J Randall

    2009-12-01

    After-death surveys are an important source of information about the quality of end-of-life care, but response rates generally are low. Our goal was to understand the potential for nonresponse bias in survey studies of family members after a patient's death in the hospital ICU by identifying differences in patient demographics and delivery of palliative care between patients whose families respond to a survey about end-of-life care and those whose families do not. We performed a cohort study of patients who died in the ICU at 14 hospitals. Surveys were mailed to family members 1 to 2 months after the patient's death. Chart abstraction was completed on all patients, assessing demographic characteristics and previously validated indicators of palliative care. Of the 2,016 surveys sent to families, 760 were returned, for a response rate of 38%. Patients whose family members returned the surveys were more likely to be white (88% vs 74%, respectively; p care, including medical record documentation of family present at death, involvement of spiritual care, and dying after a decision to limit life-sustaining therapies (p family members responded to a survey about end-of-life care were more likely to be white, older, and have indicators of palliative care documented in the medical record. Because these patients likely received higher quality palliative care, these findings suggest that the response bias in end-of-life care research is toward overestimating the quality of palliative care. ClinicalTrials.gov Identifier: NCT00685893.

  11. [Family satisfaction in intensive care unit: a prospective survey].

    Science.gov (United States)

    Soumagne, N; Levrat, Q; Frasca, D; Dahyot, C; Pinsard, M; Debaene, B; Mimoz, O

    2011-12-01

    To assess family satisfaction in the intensive care unit (ICU) and to identify parameters for improvement. Prospective observational monocentric study. One hundred and twenty families were given a questionnaire of twenty-four items covering: satisfaction with reception and waiting areas, satisfaction with care and satisfaction with information/decision-making. Each item was evaluated by families according to three levels: high, intermediate, and poor satisfaction. Opinions concerning accessibility time, information notice and visitor limitations were also gathered. Several factors, such as waiting time, respect of family's wishes, visiting hours, lack of social support, and examination's results communication were associated with poor level of satisfaction. Twenty-three percent of families felt restricted by visitation policy for children and 17 % by visitor's number limitation. Quality of family reception in the ICU needs to be improved concerning waiting time, visiting hours, social and emotional support. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  12. [Systemic-psychodynamic model for family evaluation].

    Science.gov (United States)

    Salinas, J L; Pérez, M P; Viniegra, L; Armando Barriguete, J; Casillas, J; Valencia, A

    1992-01-01

    In this paper a family evaluation instrument called systemic-psychodynamic family evaluation model is described. Also, the second stage of the validation study of this instrument is presented (which deals with the inter-observers variation). Twenty families were studied. They were assessed always by the same interviewers designated as experts. They are all family therapy specialists and their assessment was used as the evaluation reference standard or "gold standard". The observers were psychiatrists without previous training in family therapy. For the purpose of the interview, both experts and observers were blind to the medical diagnosis of the patients. During the first stage of the validation study the observers did not have a reference guide which resulted in a low concordance rating. For the second stage, a 177 item guide was used and a considerable increase in the concordance rating was observed. Validation studies like the one used here are of considerable value to increase the reliability and further utilisation of evaluation instruments of this type.

  13. Modular Product Families and Assembly Systems

    DEFF Research Database (Denmark)

    Thyssen, Jesper

    2005-01-01

    of the rela-tionship between variables associated with configuration of modular product families and the interacting assembly system. One core result is the development of a system model based on the longitudinal case study incorporating both structural and performance elements. Based on the system model...... a number of theoretical and managerial implications are identified. From a management point of view, the most im-portant finding is that modularization needs to be configured for the two competitive situations, i.e. 1) the volume flexible configuration focusing on generational product variety and 2...... one important contribution to the understanding and utilization of product modularization....

  14. Family inclusion in diabetes education: a nationwide survey of diabetes educators.

    Science.gov (United States)

    Denham, Sharon A; Ware, Lezlee J; Raffle, Holly; Leach, Kimberly

    2011-01-01

    The purpose of this study was to investigate perceptions about family inclusion and support in diabetes self-management education. Surveys were mailed to certified diabetes educators (CDEs) in all 50 states and the District of Columbia, with a return of 225 surveys. Descriptive and inferential statistics (eg, t test, analysis of variance, correlation, and chi-square) were used as appropriate. Levels of importance placed on family involvement in diabetes education were significantly related to the emphasis placed on family during CDEs' formal or preprofessional education. CDEs' formal exposure to family theory influenced perceptions of their knowledge about family and the frequency that family support was emphasized in self-management activities but was unrelated to perceptions of their skillfulness in educating family members. Diabetes educators' personal values of family support were significantly related to how frequently family members were asked to participate in formal diabetes education classes. CDEs perceived that they were meeting individuals' self-management needs significantly better than those of families. Regional differences did not appear to be a factor in how CDEs incorporated family in diabetes education. Diabetes educators without formal exposure to family theory may be overestimating how much they emphasize family support in diabetes education. Increasing formal education about the importance of family involvement in self-management behaviors could positively affect individual diabetes self-management outcomes.

  15. Use of information sources by family physicians: a literature survey

    NARCIS (Netherlands)

    Verhoeven, A.A.H.; Boerma, E.J.; Meyboom-de Jong, B

    Analysis of the use of information sources by family physicians is important for both practical and theoretical reasons. First, analysis of the ways in which family physicians handle information may point to opportunities for improvement. Second, such efforts may lead to improvements in the

  16. The SASPREN primary care survey - who consults the family doctor ...

    African Journals Online (AJOL)

    Data were collected by family practitioners in private practice who were affiliated to the South African Sentinel Practitioner Research Network (SASPREN). Participants. ... This study provides essential information on patients seen in family practice. ... There is an urgent need for smoking cessation interventions in the region.

  17. Survey of electronic payment methods and systems

    NARCIS (Netherlands)

    Havinga, Paul J.M.; Smit, Gerardus Johannes Maria; Helme, A.; Verbraeck, A.

    1996-01-01

    In this paper an overview of electronic payment methods and systems is given. This survey is done as part of the Moby Dick project. Electronic payment systems can be grouped into three broad classes: traditional money transactions, digital currency and creditdebit payments. Such payment systems have

  18. Teale Public Land Survey System

    Data.gov (United States)

    California Department of Resources — California Spatial Information System (CaSIL) is a project designed to improve access to geo-spatial and geo-spatial related data information throughout the state of...

  19. Scope of Practice and Family Medicine Match Rates: Results From a CERA Clerkship Directors' Survey.

    Science.gov (United States)

    Anthony, David; White, Jordan; Margo, Katherine; Tarn, Derjung M

    2017-03-01

    Family medicine clerkship directors depend on community preceptors to teach and attract medical students to family medicine. Many community preceptors do not provide the full range of family medicine services, and some are not family physicians. This study aimed to determine the types of practices in which family medicine clerkship students train and whether scope of practice is associated with family medicine Match rates. Data were collected as part of the 2014 Council of Academic Family Medicine Educational Research Alliance (CERA) Family Medicine Clerkship Director Survey. Clerkship directors estimated the percentage of their preceptor sites providing each of nine clinical services and the percentage of students placed with internal medicine physicians for their family medicine rotations. We devised a Scope of Practice Index (SPI) to assess scope of practice and measured the association between a clerkship's SPI and family medicine Match rate. Limited scopes of practice were common. SPI was lowest in the Northeast and highest in the West. In bivariate and multivariable analyses, a lower SPI was associated with lower family medicine Match rates. Preventive gynecological care was the service most highly associated with family medicine Match rates. Family medicine Match rates were lower when programs used internal medicine sites for their family medicine rotations. Many clerkship students are exposed to practices with limited scopes of family medicine practice, and this is associated with lower family medicine Match rates. These findings have implications for the specialty as preceptor scope of practice declines.

  20. Development and preliminary evaluation of a structured family system intervention for adolescents with brain injury and their families.

    Science.gov (United States)

    Gan, Caron; Gargaro, Judith; Kreutzer, Jeffrey S; Boschen, Kathryn A; Wright, F Virginia

    2010-01-01

    To develop and conduct a preliminary evaluation of a manualized family system intervention for adolescents with acquired brain injury (ABI). Descriptive/exploratory design using mixed methods: modified-Delphi technique, self-administered questionnaires and semi-structured interviews. Topic modules and content areas for the adolescent version (BIFI-A) were developed, building on topic areas from the empirically-based Brain Injury Family Intervention (BIFI) for adults. Eight adolescents with ABI, their families and three clinicians who implemented the BIFI-A participated in evaluation of the BIFI-A. Evaluation data were obtained from all participants at the end of each session and post-intervention. Content validity of the revised version was formally evaluated. A seven-session curriculum, focusing on education, skill building and emotional support, was developed and tested. Clinical utility evaluation survey results indicated 81-89% mean agreement, with positive statements rating helpfulness, importance, relevance, and satisfaction with the BIFI-A. Ninety per cent of adolescent, family and clinician participants said they would recommend the intervention to families of adolescents with an ABI. Survey and qualitative findings from families and test clinicians were used to refine the BIFI-A into a 12-session curriculum. The findings provide evidence that BIFI-A is a promising family system intervention. Additional research is needed to determine its benefits.

  1. Family Agritourist Enterprises in Poland: Preliminary Survey Results

    Directory of Open Access Journals (Sweden)

    Sławomir Dorocki

    2015-05-01

    Issues analysed in this study are relatively new and poorly covered by the literature in the field. It is a certain novelty to analyse family entrepreneurship in agritourism in addition to being an interesting area of scientific exploration.

  2. Polyautoimmunity and familial autoimmunity in systemic sclerosis.

    Science.gov (United States)

    Hudson, Marie; Rojas-Villarraga, Adriana; Coral-Alvarado, Paola; López-Guzmán, Silvia; Mantilla, Ruben D; Chalem, Philippe; Baron, Murray; Anaya, Juan-Manuel

    2008-09-01

    Characterization of the extent to which particular combinations of autoimmune diseases occur in excess of that expected by chance may offer new insights into possible common pathophysiological mechanisms. The goal of this study was to investigate the spectrum of polyautoimmunity (i.e. autoimmune diseases co-occurring within patients) and familial autoimmunity (i.e. diverse autoimmune diseases co-occurring within families) in patients with systemic sclerosis (SSc). A cross-sectional study of two convenience samples of patients with SSc, one in Canada and the other in Colombia, was performed. History of other autoimmune diseases in the SSc patients as well as a family history of autoimmunity was obtained. Of 719 patients, 273 (38%) had at least one other autoimmune disease. A total of 366 autoimmune diseases were reported, of which the most frequent were autoimmune thyroid disease (AITD, 38%), rheumatoid arthritis (RA, 21%), Sjögren's syndrome (18%), and primary biliary cirrhosis (4%). There were 260 (36%) patients with first-degree relatives with at least one autoimmune disease, of which the most frequent were RA (18%) and AITD (9%). Having at least one first-degree relative with autoimmune disease was a significant predictor of polyautoimmunity in SSc patients. No significant differences in polyautoimmunity or familial autoimmunity were noted between diffuse and limited subsets of disease. Our results indicate that polyautoimmunity is frequent in patients with SSc and autoimmune diseases cluster within families of these patients. Clinically different autoimmune phenotypes might share common susceptibility variants, which acting in epistatic pleiotropy may represent risk factors for autoimmunity.

  3. Property Owners and Managers Survey - Single Family Microdata

    Data.gov (United States)

    Department of Housing and Urban Development — The Property Owners and Managers Survey (POMS) Overview, Summary Tables, and Source and Accuracy Statement are available from the U.S. Census Bureau. POMS was...

  4. National Woodland Owner Survey: family forest ownerships with 1 to 9 acres, 2011-2013

    Science.gov (United States)

    Brett J. Butler; Stephanie A. Snyder

    2017-01-01

    This report summarizes results from the 2011-2013 National Woodland Owner Survey (NWOS) conducted by the U.S. Forest Service, Forest Inventory and Analysis program for family forest ownerships with forest holdings of 1-9 acres. Summaries are based on responses from 1,025 family ownerships with 1-9 acres of forest across 39 U.S. states. Survey summary tables are...

  5. Family-Focused Autism Spectrum Disorder Research: A Review of the Utility of Family Systems Approaches

    Science.gov (United States)

    Cridland, Elizabeth K.; Jones, Sandra C.; Magee, Christopher A.; Caputi, Peter

    2014-01-01

    A family member with an autism spectrum disorder presents pervasive and bidirectional influences on the entire family system, suggesting a need for family-focused autism spectrum disorder research. While there has been increasing interest in this research area, family-focused autism spectrum disorder research can still be considered relatively…

  6. Circumplex Model of Family Systems: A Treatment Tool in Family Counseling.

    Science.gov (United States)

    Maynard, Peter E.; Olson, David H.

    1987-01-01

    Describes the Circumplex Model of Marital and Family Systems and its diagnostic inventory, the Family Adaptation and Coping Evaluation Scales, as important tools for the family counselor. A brief case example demonstrates how the model can be used in counseling a multiproblem family. (NB)

  7. An Online Survey of Family Members' Beliefs and Attitudes About Smoking and Mental Illness.

    Science.gov (United States)

    Aschbrenner, Kelly A; Dixon, Lisa B; Naslund, John A; Bienvenida, John Carlo M; McManus, Kinsey L; Bartels, Stephen J; Brunette, Mary F

    2017-01-01

    Family beliefs about smoking and cessation may influence whether individuals with mental illness who smoke use effective cessation treatment. We surveyed family members online regarding beliefs about smoking and cessation among people with mental illness. Method: Two hundred fifty-six family members of individuals with mental illness completed an online survey. Responses were summarized and t tests were used to compare responses based on the family member's smoking status. One-quarter of respondents agreed that people with mental illness must smoke to manage mental health symptoms, nearly half (48%) expressed uncertainty about the whether nicotine replacement therapy is harmful for this population, and 69% believed that family members do not have the skills to help an individual with mental illness quit smoking. Misconceptions about smoking and mental illness and uncertainty about the safety of cessation treatment may interfere with family support for quitting smoking among people with mental illness.

  8. Knowledge and attitude of pediatricians and Family Physicians in Chennai on Pediatric Dentistry: A survey.

    Science.gov (United States)

    Nammalwar, Rangeeth Bollam; Rangeeth, Priyaa

    2012-09-01

    The aim of this study was to study the knowledge and attitude of the pediatricians and family physicians on the dental counterpart, i.e. pediatric dentistry and the objective of this study were to determine what can improve the knowledge and attitude on pediatric dentistry and suggest certain methodologies to more participation of physicians in improving oral health. A systematic random survey of 400 pediatricians and 400 family physicians received a questionnaire pertaining to individual details, approach towards pediatric dentistry, knowledge level and the training on oral health received. Most of pediatricians and family physicians acknowledged the importance of pediatric dentistry. Less of pediatricians and more of family physicians predicted the parents may pose a barrier for referral. More number of pediatricians were aware of the oral benefits of breast feeding when compared to the family physician. Most of the practitioners in both groups were less aware of the first dental visit including ECC. Acknowledgement of the role in cleft lip and palate was more or less same in both groups of practitioners were as the effect of systemic disease on oral health was recognized by more number of pediatricians. Only a small percentage in both the groups acknowledged the cariogenicity of medicated syrups, which was substantiated by the fact that only a small number of physicians underwent dental training and most of them were accepting to undergo training. When basic medical training is provided in dental school, medical schools can also provide dental training. Dental lectures can also be incorporated into CME programs and recognition of pediatric dentistry by providing referral to needy patients have been suggested.

  9. Are Jewish Families Different? Some Evidence from the General Social Survey.

    Science.gov (United States)

    Cherlin, Andrew; Celebuski, Carin

    1983-01-01

    Used the 1972 through 1980 National Opinion Research Center's General Social Survey to examine differences between Jewish and non-Jewish family patterns. General indicators showed little difference, although Jews were less likely to have divorced or separated, had smaller families, and placed a higher value on children's autonomy. (JAC)

  10. A Report of Survey on Conditions of Preschool Children's Family Music Education

    Science.gov (United States)

    Bi, Yujuan

    2011-01-01

    The author composes a questionnaire about conditions of preschool children's family music education. The survey includes 280 preschool children in a city of Shandong province. It finds that most parents have recognized the importance of early childhood music education, but there is the tendency of utilitarian. The content of family music education…

  11. Characteristics and Clinical Practices of Marriage and Family Therapists: A National Survey

    Science.gov (United States)

    Northey, William F., Jr.

    2002-01-01

    This report presents data from a telephone survey of a randomly selected sample of 292 marriage and family therapists (MFTs) who were Clinical Members of the American Association for Marriage and Family Therapy. The study, designed to better understand the current state of the field of MFT, provides descriptive data on the demographic…

  12. Medicinal Plants Used as Home Remedies: A Family Survey by First ...

    African Journals Online (AJOL)

    Medicinal Plants Used as Home Remedies: A Family Survey by First Year Medical Students. ... Chronic diseases such as hypertension, diabetes, cancer and reproductive ailments also formed a large group of diseases self-managed at home (29 plants). Conclusion: Family members hold knowledge of medicinal plant use.

  13. Women's Employment and Family Stability In Nigeria: A Survey of ...

    African Journals Online (AJOL)

    The study examined the experiences of working women in Ibadan metropolis and its impact on family stability. A total of 156 working women, both in the formal and informal sectors of the economy, participated in the study. Since the majority of Nigerian women are engaged in the informal sector, a larger proportion of ...

  14. Mudular Product Families and Assembly Systems

    DEFF Research Database (Denmark)

    Thyssen, Jesper

      The main objective of this thesis is to investigate the phenomenon of product modularization as an apparently both powerful and complex means. The focal research objective is to obtain an improved insight and understanding of the relationship between variables associated with configuration...... of modular product families and the interacting assembly system.   The thesis reviews extant theory and provides various classifications and discussions guided by the overall theme of product modularity and assembly systems. The empirical system analysis, based upon a longitudinal single case study...... of theoretical and managerial implications are identified. From a management point of view, the most important finding is that modularization needs to be configured for two competitive situations, i.e. the volume flexible configuration focusing on generational product variety and the mix flexible configuration...

  15. Family centred care before and during life-sustaining treatment withdrawal in intensive care: A survey of information provided to families by Australasian critical care nurses.

    Science.gov (United States)

    Ranse, Kristen; Bloomer, Melissa; Coombs, Maureen; Endacott, Ruth

    2016-11-01

    A core component of family-centred nursing care during the provision of end-of-life care in intensive care settings is information sharing with families. Yet little is known about information provided in these circumstances. To identify information most frequently given by critical care nurses to families in preparation for and during withdrawal of life-sustaining treatment. An online cross-sectional survey. During May 2015, critical care nurses in Australia and New Zealand were invited to complete the Preparing Families for Treatment Withdrawal questionnaire. Data analysis included descriptive statistics to identify areas of information most and least frequently shared with families. Cross tabulations with demographic data were used to explore any associations in the data. From the responses of 159 critical care nurses, information related to the emotional care and support of the family was most frequently provided to families in preparation for and during withdrawal of life-sustaining treatment. Variation was noted in the frequency of provision of information across body systems and their associated physical changes during the dying process. Significant associations (pnursing experience and critical care experiences and some of the information items most and least frequently provided. The provision of information during end-of-life care reflects a family-centred care approach by critical care nurses with information pertaining to emotional care and support of the family paramount. The findings of this study provide a useful framework for the development of interventions to improve practice and support nurses in communicating with families at this time. Copyright © 2016 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  16. Circumplex model of marital and family systems: III. Empirical evaluation with families.

    Science.gov (United States)

    Russell, C S

    1979-03-01

    This study was designed to test the circumplex model of family systems that hypothesizes moderate family cohesion and moderate adaptability to be more functional than either extreme. Thirty-one Catholic family triads with daughters ranging in age from 14 to 17 years participated in a structured family interaction game (SIMFAM) and filled out questionnaires that measured the variables of cohesion and adaptability and the facilitative variables of support and creativity. All families were considered normal but were subdivided into those that had more and less difficulty with this adolescent. Analysis of the data yielded considerable support for the circumplex model. High family functioning was associated with moderate family cohesion and adaptability, and low family functioning had extreme scores on these dimensions. As predicted, high family support and creativity were also related to high family functioning. Implications of these findings for family therapy are discussed.

  17. Measuring Family System Characteristics in Families Caring for Dementia Patients.

    Science.gov (United States)

    Niederehe, George; And Others

    This paper describes an ongoing study evaluating families that provide in-home care to elderly relatives wth dementia. Characteristics of the study, which include a focus on progressive senile dementia, use of a clinical approach, longitudinal design, descriptive nature, focus on the dyad of patient and primary caregiver, and use of videotaping…

  18. The Dark Energy Survey Data Management System

    Energy Technology Data Exchange (ETDEWEB)

    Mohr, Joseph J.; /Illinois U., Urbana, Astron. Dept. /Illinois U., Urbana; Barkhouse, Wayne; /North Dakota U.; Beldica, Cristina; /Illinois U., Urbana; Bertin, Emmanuel; /Paris, Inst. Astrophys.; Dora Cai, Y.; /NCSA, Urbana; Nicolaci da Costa, Luiz A.; /Rio de Janeiro Observ.; Darnell, J.Anthony; /Illinois U., Urbana, Astron. Dept.; Daues, Gregory E.; /NCSA, Urbana; Jarvis, Michael; /Pennsylvania U.; Gower, Michelle; /NCSA, Urbana; Lin, Huan; /Fermilab /Rio de Janeiro Observ.

    2008-07-01

    The Dark Energy Survey (DES) collaboration will study cosmic acceleration with a 5000 deg2 griZY survey in the southern sky over 525 nights from 2011-2016. The DES data management (DESDM) system will be used to process and archive these data and the resulting science ready data products. The DESDM system consists of an integrated archive, a processing framework, an ensemble of astronomy codes and a data access framework. We are developing the DESDM system for operation in the high performance computing (HPC) environments at the National Center for Supercomputing Applications (NCSA) and Fermilab. Operating the DESDM system in an HPC environment offers both speed and flexibility. We will employ it for our regular nightly processing needs, and for more compute-intensive tasks such as large scale image coaddition campaigns, extraction of weak lensing shear from the full survey dataset, and massive seasonal reprocessing of the DES data. Data products will be available to the Collaboration and later to the public through a virtual-observatory compatible web portal. Our approach leverages investments in publicly available HPC systems, greatly reducing hardware and maintenance costs to the project, which must deploy and maintain only the storage, database platforms and orchestration and web portal nodes that are specific to DESDM. In Fall 2007, we tested the current DESDM system on both simulated and real survey data. We used TeraGrid to process 10 simulated DES nights (3TB of raw data), ingesting and calibrating approximately 250 million objects into the DES Archive database. We also used DESDM to process and calibrate over 50 nights of survey data acquired with the Mosaic2 camera. Comparison to truth tables in the case of the simulated data and internal crosschecks in the case of the real data indicate that astrometric and photometric data quality is excellent.

  19. Uniqueness of family therapists as family business systems consultants: a cross-disciplinary investigation.

    Science.gov (United States)

    Lee, Jinhee; Danes, Sharon M

    2012-06-01

    The purpose of this study is to address how the consulting approaches of family therapists working with family businesses differ from those of business consultants. The logic of analytic induction was used to analyze qualitative data from family business consultants with and without training in family therapy. Consultants were asked to respond to two vignettes: one emphasized primarily family system problems, whereas the other emphasized business problems with influencing issues at the family/business intersection. Both similarities and differences were found in reference to problem assessment, consulting goal orientation, intervention strategy focus, consultant role and function, and consulting setting preference between consultants with and without family therapy training. Results indicate that consultants of each discipline provide a unique perspective and expertise that allow them to successfully address the spectrum of issues that family firms face. Further, findings highlight the unique contribution of family therapists to an interdisciplinary consulting team. © 2012 American Association for Marriage and Family Therapy.

  20. Families in need of domestic violence services reported to the child welfare system: Changes in the National Survey of Child and Adolescent Well-Being between 1999-2000 and 2008-2009.

    Science.gov (United States)

    Casanueva, Cecilia; Smith, Keith; Ringeisen, Heather; Dolan, Melissa; Tueller, Stephen

    2014-10-01

    This study aimed to determine if identification of intimate partner violence (IPV) has improved by caseworkers that investigate reports of child maltreatment and if mothers who are victims of IPV are more likely to report receipt of services. The study data were drawn from the two cohorts of the National Survey of Child and Adolescent Well-Being (NSCAW I and II), the first in 1999-2000 with a sample of 5,501 children reported for maltreatment and the second in 2008-2009 with a sample of 5,872 children reported for maltreatment. The analyses focused on IPV victimization of 3,625 mothers in NSCAW I and 3,351 mothers in NSCAW II whose children remained in home after the maltreatment investigation. Multiple group logistic regression was used to compare NSCAW I and II. A significant decrease in mother-reported IPV victimization (28.9-24.7%) was observed, representing a 15% decline. There were no significant changes in caseworker identification of history of domestic violence or active domestic violence. In both cohorts, substance abuse by the secondary caregiver was associated with a lower likelihood for the caseworker to miss a history of active domestic violence, while substantiation reduced the likelihood that the caseworker will miss active domestic violence. There were no changes in caseworkers' service referral, or service receipt among victims. The next decade of efforts to reduce IPV and child maltreatment should focus simultaneously on increasing caseworkers' ability to identify IPV and on funding needed services for families impacted by IPV and child maltreatment. Copyright © 2014 Elsevier Ltd. All rights reserved.

  1. Family Self-tailoring: Applying a Systems Approach to Improving Family Healthy Living Behaviors

    OpenAIRE

    Moore, Shirley M.; Jones, Lenette; Alemi, Farrokh

    2016-01-01

    The adoption and maintenance of healthy living behaviors by individuals and families is a major challenge. We describe a new model of health behavior change, SystemCHANGE? (SC), which focuses on the redesign of family daily routines using system improvement methods. In the SC intervention families are taught a set of skills to engage in a series of small, family self-designed experiments to test ideas to change their daily routines. The family system-oriented changes brought about by these ex...

  2. Familial systemic autoimmune rheumatic disease in Nigerians: a ...

    African Journals Online (AJOL)

    SARDs occasionally run in families - among mothers and daughters, among siblings. Such clustering has however not been documented among black Africans. We present four Nigerian families with clustering of systemic autoimmune rheumatic disease. Keywords: Systemic autoimmune disease, Familial clustering, ...

  3. Leadership training in a family medicine residency program: Cross-sectional quantitative survey to inform curriculum development.

    Science.gov (United States)

    Gallagher, Erin; Moore, Ainsley; Schabort, Inge

    2017-03-01

    To assess the current status of leadership training as perceived by family medicine residents to inform the development of a formal leadership curriculum. Cross-sectional quantitative survey. Department of Family Medicine at McMaster University in Hamilton, Ont, in December 2013. A total of 152 first- and second-year family medicine residents. Family medicine residents' attitudes toward leadership, perceived level of training in various leadership domains, and identified opportunities for leadership training. Overall, 80% (152 of 190) of residents completed the survey. On a Likert scale (1 = strongly disagree, 4 = neutral, 7 = strongly agree), residents rated the importance of physician leadership in the clinical setting as high (6.23 of 7), whereas agreement with the statement "I am a leader" received the lowest rating (5.28 of 7). At least 50% of residents desired more training in the leadership domains of personal mastery, mentorship and coaching, conflict resolution, teaching, effective teamwork, administration, ideals of a healthy workplace, coalitions, and system transformation. At least 50% of residents identified behavioural sciences seminars, a lecture and workshop series, and a retreat as opportunities to expand leadership training. The concept of family physicians as leaders resonated highly with residents. Residents desired more personal and system-level leadership training. They also identified ways that leadership training could be expanded in the current curriculum and developed in other areas. The information gained from this survey might facilitate leadership development among residents through application of its results in a formal leadership curriculum. Copyright© the College of Family Physicians of Canada.

  4. Using a family systems approach to investigate cancer risk communication within melanoma families.

    Science.gov (United States)

    Harris, Julie N; Hay, Jennifer; Kuniyuki, Alan; Asgari, Maryam M; Press, Nancy; Bowen, Deborah J

    2010-10-01

    The family provides an important communication nexus for information and support exchange about family cancer history, and adoption of family-wide cancer risk reduction strategies. The goals of this study were to (1) use the family systems theory to identify characteristics of this sample of families at increased risk of developing melanoma and (2) to relate familial characteristics to the frequency and style of familial risk communication. Participants were first-degree relatives (n=313) of melanoma patients, recruited into a family web-based intervention study. We used multivariable logistic regression models to analyze the association between family functioning and family communication. Most participants were female (60%), with an average age of 51 years. Fifty percent of participants reported that they spoke to their relatives about melanoma risk and people were more likely to speak to their female family members. Familial adaptation, cohesion, coping, and health beliefs were strongly associated with an open style of risk communication within families. None were associated with a blocked style of risk communication. Only cohesion and adaptation were associated with the amount of risk communication that occurred within families. Overall, individuals who came from families that were more highly cohesive, adaptable, and shared strong beliefs about melanoma risk were more likely to communicate openly about melanoma. The fact that this association was not consistent across blocked communication and communication frequency highlights the multifaceted nature of this process. Future research should focus on the interplay between different facets of communication. Copyright © 2010 John Wiley & Sons, Ltd.

  5. Capturing the Family Context of Emotion Regulation: A Family Systems Model Comparison Approach

    Science.gov (United States)

    Fosco, Gregory M.; Grych, John H.

    2013-01-01

    Several dimensions of family functioning are recognized as formative influences on children's emotion regulation. Historically, they have been studied separately, limiting our ability to understand how they function within the family system. The present investigation tested models including family emotional climate, interparental conflict, and…

  6. A survey on impulsive dynamical systems

    Directory of Open Access Journals (Sweden)

    Everaldo Bonotto

    2016-08-01

    Full Text Available In this survey we provide an introduction to the theory of impulsive dynamical systems in both the autonomous and nonautonomous cases. In the former, we will show two different approaches which have been proposed to analyze such kind of dynamical systems which can experience some abrupt changes in their evolution (impulses. But, unlike the autonomous framework, the nonautonomous one is being developed right now and some progress is being obtained over the recent years. We will provide some results on how the theory of autonomous impulsive dynamical systems can be extended to cover such nonautonomous situations, which are more often to occur in the real world.

  7. Screening and Treatment for Alcohol, Tobacco and Opioid Use Disorders: A Survey of Family Physicians across Ontario.

    Directory of Open Access Journals (Sweden)

    Genane Loheswaran

    Full Text Available As a primary point of contact within the health care system, family physicians are able to play a vital role in identifying individuals with substance use disorders and connecting them to the appropriate treatment. However, there is very little data available on whether family physicians are actively screening for and treating substance use disorders. The objective of the current survey was to assess whether family physicians in Ontario are screening for alcohol, opioid and tobacco use disorders, using validated tools and providing treatment.An online survey consisting of a series of 38 primarily close-ended questions was circulated to family physicians in Ontario. Rates of screening for alcohol, opioid and tobacco dependence, use of validated tools for screening, providing treatment for dependent individuals and the current barriers to the prescription of pharmacotherapies for these drug dependences were assessed.The use of validated screening tools was limited for all three substances. Screening by family physicians for the substance use disorders among adolescents was much lower than screening among adults. Pharmacotherapy was more commonly used as an intervention for tobacco dependence than for alcohol and opioid dependence. This was explained by the lack of knowledge among family physicians on the pharmacotherapies for alcohol and opioid dependence.Findings from the current study suggest there is a need for family physicians to integrate screening for substance use disorders using validated tools into their standard medical practice. Furthermore, there is a need for increased knowledge on pharmacotherapies for alcohol and opioid use disorders. It is important to note that the low response rate is a major limitation to this study. One possible reason for this low response rate may be a lack of interest and awareness among family physicians on the importance of screening and treatment of substance use disorders in Ontario.

  8. Screening and Treatment for Alcohol, Tobacco and Opioid Use Disorders: A Survey of Family Physicians across Ontario.

    Science.gov (United States)

    Loheswaran, Genane; Soklaridis, Sophie; Selby, Peter; Le Foll, Bernard

    2015-01-01

    As a primary point of contact within the health care system, family physicians are able to play a vital role in identifying individuals with substance use disorders and connecting them to the appropriate treatment. However, there is very little data available on whether family physicians are actively screening for and treating substance use disorders. The objective of the current survey was to assess whether family physicians in Ontario are screening for alcohol, opioid and tobacco use disorders, using validated tools and providing treatment. An online survey consisting of a series of 38 primarily close-ended questions was circulated to family physicians in Ontario. Rates of screening for alcohol, opioid and tobacco dependence, use of validated tools for screening, providing treatment for dependent individuals and the current barriers to the prescription of pharmacotherapies for these drug dependences were assessed. The use of validated screening tools was limited for all three substances. Screening by family physicians for the substance use disorders among adolescents was much lower than screening among adults. Pharmacotherapy was more commonly used as an intervention for tobacco dependence than for alcohol and opioid dependence. This was explained by the lack of knowledge among family physicians on the pharmacotherapies for alcohol and opioid dependence. Findings from the current study suggest there is a need for family physicians to integrate screening for substance use disorders using validated tools into their standard medical practice. Furthermore, there is a need for increased knowledge on pharmacotherapies for alcohol and opioid use disorders. It is important to note that the low response rate is a major limitation to this study. One possible reason for this low response rate may be a lack of interest and awareness among family physicians on the importance of screening and treatment of substance use disorders in Ontario.

  9. Proteomics survey of Solanaceae family: Current status and challenges ahead.

    Science.gov (United States)

    Ghatak, Arindam; Chaturvedi, Palak; Paul, Puneet; Agrawal, Ganesh Kumar; Rakwal, Randeep; Kim, Sun Tae; Weckwerth, Wolfram; Gupta, Ravi

    2017-10-03

    Solanaceae is one of the major economically important families of higher plants and has played a central role in human nutrition since the dawn of human civilization. Therefore, researchers have always been interested in understanding the complex behavior of Solanaceae members to identify key transcripts, proteins or metabolites, which are potentially associated with major traits. Proteomics studies have contributed significantly to understanding the physiology of Solanaceae members. A compilation of all the published reports showed that both gel-based (75%) and gel-free (25%) proteomic technologies have been utilized to establish the proteomes of different tissues, organs, and organelles under normal and adverse environmental conditions. Among the Solanaceae members, most of the research has been focused on tomato (42%) followed by potato (28%) and tobacco (20%), owing to their economic importance. This review comprehensively covers the progress made so far in the field of Solanaceae proteomics including novel methods developed to isolate the proteins from different tissues. Moreover, key proteins presented in this review can serve as a resource to select potential targets for crop improvement. We envisage that information presented in this review would enable us to design the stress tolerant plants with enhanced yields. Copyright © 2017 Elsevier B.V. All rights reserved.

  10. Can family pediatricians in Italy identify child abuse? A survey.

    Science.gov (United States)

    Romeo, Lucia; Gibelli, Daniele; Giannotta, Federica; Zocchi, Maria T; Rossi, Roberto C; Kustermann, Alessandra; Cattaneo, Cristina

    2016-06-01

    The introduction of the concept of child abuse has radically changed the mode of interaction between pediatricians and children, but also the practice of sanitary personnel in primary care centers, who are often the first to see victims of maltreatment. This study aims at illustrating the results of a questionnaire sent to family doctors, pediatricians and hospitals in Milan and surrounding areas concerning child abuse. Among all the operators, 273 returned the questionnaires. The results show scarce knowledge on how to report to judicial authority in cases of child abuse (51.5%), mainly because of lack of basilar information concerning the manner of reporting. For what concerns specific training, almost half the subjects recruited for the study admitted not to have attended any congress or meeting concerning child maltreatment in the last three years. In the same time span, more than one third has not read any scientific articles concerning child abuse. In addition, 75.6% admit to not ever having attended any professional training course concerning child maltreatment. This study highlights the scarce knowledge on the behalf of pediatricians and general practitioners regarding how to deal with child abuse and the importance of proper training programs.

  11. Family self-tailoring: Applying a systems approach to improving family healthy living behaviors.

    Science.gov (United States)

    Moore, Shirley M; Jones, Lenette; Alemi, Farrokh

    2016-01-01

    The adoption and maintenance of healthy living behaviors by individuals and families is a major challenge. We describe a new model of health behavior change, SystemCHANGE (SC), which focuses on the redesign of family daily routines using system improvement methods. In the SC intervention, families are taught a set of skills to engage in a series of small, family self-designed experiments to test ideas to change their daily routines. The family system-oriented changes brought about by these experiments build healthy living behaviors into family daily routines so that these new behaviors happen as a matter of course, despite wavering motivation, willpower, or personal effort on the part of individuals. Case stories of the use of SC to improve family healthy living behaviors are provided. Results of several pilot tests of SC indicate its potential effectiveness to change health living behaviors across numerous populations. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Factors Affecting Succession Decisions in Family Farm Businesses: Evidence from a National Survey

    OpenAIRE

    Mishra, Ashok; El-Osta, Hisham

    2007-01-01

    Succession planning is a component of a household’s risk management strategy for its farm business in as much as it is aimed at continuity of the business' management team. The family farm sector relies heavily on intergenerational succession. Succession and retirement are inter-linked and are reflective of the life cycles of the farm household and the farm business. This study uses Agricultural Resource Management Survey (ARMS) of the USDA to examine farm, operator, and family characterist...

  13. Survey report of the historical documents preserved by the shogunate astronomical officer, the Shibukawa family (I).

    Science.gov (United States)

    Nakamura, T.; Ito, S.; Kanda, T.

    1993-02-01

    The authors have made a survey investigation of the historical documents, preserved in the Shibukawa family (now called the Asano family) who were one of the most eminent astronomical officers of the Tokugawa shogunate. About 270 documents were found, classified, and photographed as micro-films, with an intent to be available to the interested researchers. In this report, abbreviated explanations of each document are presented in the form of extended tables with some annotations.

  14. Family and Gender in the Spanish Welfare System

    Directory of Open Access Journals (Sweden)

    Mari-Klose, Pau

    2015-02-01

    Full Text Available This document is an attempt to understand how family and gender policies have developed within the general process of consolidation of the Spanish welfare system. The study examines different factors that account for an “atypical trajectory of change”: institutional predispositions, the timing of key political and social developments, the role of external pressures, societal changes, the activity of political actors and the enactment of broader policy reforms. The paper poses as research question the extent to which and the ways in which the Spanish welfare system has responded to new social risks, setting up new arrangements to meet emerging needs and demands related to care and the reconciliation of work and family life. The work that is presented here is the result of a systematic review of research conducted by Spanish scholars in the last two decades and my own work in the field, which includes both quantitative analyses of the main existing survey data about these issues as well as in-depth interviews with key actors in these policy domains.

  15. The SASPREN primary care survey - who consults the family doctor?

    African Journals Online (AJOL)

    Pickles W. EpidemJoIogy in a Coonuy PriKoce. Bristol: Wright. 1939. 7. Van Casteren V.lnvert/ory of Sentinel HeaJr1IlnfrJnrlcl.Doi1 Systems WIth GPs in ri¥. European CommunItY. Brussels: IllSlrtUte of Hygleoe and epidemiology. 1991. 8. Green lA. Wood M, Becker L er al. The Ambulatory 5efltirlel PractiCe Networ1c.

  16. A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families.

    Science.gov (United States)

    Southwick, Frederick S; Cranley, Nicole M; Hallisy, Julia A

    2015-10-01

    Preventable medical errors continue to be a major cause of death in the USA and throughout the world. Many patients have written about their experiences on websites and in published books. As patients and family members who have experienced medical harm, we have created a nationwide voluntary survey in order to more broadly and systematically capture the perspective of patients and patient families experiencing adverse medical events and have used quantitative and qualitative analysis to summarise the responses of 696 patients and their families. Harm was most commonly associated with diagnostic and therapeutic errors, followed by surgical or procedural complications, hospital-associated infections and medication errors, and our quantitative results match those of previous provider-initiated patient surveys. Qualitative analysis of 450 narratives revealed a lack of perceived provider and system accountability, deficient and disrespectful communication and a failure of providers to listen as major themes. The consequences of adverse events included death, post-traumatic stress, financial hardship and permanent disability. These conditions and consequences led to a loss of patients' trust in both the health system and providers. Patients and family members offered suggestions for preventing future adverse events and emphasised the importance of shared decision-making. This large voluntary survey of medical harm highlights the potential efficacy of patient-initiated surveys for providing meaningful feedback and for guiding improvements in patient care. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  17. When doctors marry doctors: a survey exploring the professional and family lives of young physicians.

    Science.gov (United States)

    Sobecks, N W; Justice, A C; Hinze, S; Chirayath, H T; Lasek, R J; Chren, M M; Aucott, J; Juknialis, B; Fortinsky, R; Youngner, S; Landefeld, C S

    1999-02-16

    Soon, half of all physicians may be married to other physicians (that is, in dual-doctor families). Little is known about how marriage to another physician affects physicians themselves. To learn how physicians in dual-doctor families differ from other physicians in their professional and family lives and in their perceptions of career and family. Cross-sectional survey. Two medical schools in Ohio. A random sample of physicians from the classes of 1980 to 1990. Responses to a questionnaire on hours worked, income, number of children, child-rearing arrangements, and perceptions about work and family. Of 2000 eligible physicians, 1208 responded (752 men and 456 women). Twenty-two percent of male physicians and 44% of female physicians were married to physicians (P families differed (P family lives: They earned less money, less often felt that their career took precedence over their spouse's career, and more often played a major role in child-rearing. These differences were greater for female physicians than for male physicians. Men and women in dual-doctor families were similar to other physicians in the frequency with which they achieved career goals and goals for their children and with which they felt conflict between professional and family roles. Marriage to another physician had distinct benefits (P family incomes. Men and women in dual-doctor families differed from other physicians in many aspects of their professional and family lives, but they achieved their career and family goals as frequently. These differences reflect personal choices that will increasingly affect the profession as more physicians marry physicians.

  18. Familial determinants of current smoking among adolescents of Lithuania: a cross-sectional survey 2014.

    Science.gov (United States)

    Zaborskis, Apolinaras; Sirvyte, Dainora

    2015-09-14

    Understanding the role of the family in shaping adolescent health risk behaviours has recently been given increased attention. This study investigated association between current smoking and a range of familial factors in a representative sample of Lithuanian adolescents. Study subjects (N = 3696) were adolescents aged 13- and 15-years from the schools in Lithuania who were surveyed in Spring 2014 according to the methodology of the cross-national Health Behaviour in School-aged Children (HBSC). A standard HBSC international questionnaire was translated into Lithuanian and used anonymously to obtain information about current smoking patterns and family life (family structure, quality of communication in family, parental monitoring, bonding, parenting style, family time, etc.). Logistic regression was used to assess association between smoking and familial variables. The prevalence of current smoking was 16.5 % (20.8 % in boys and 11.9 % in girls; P adolescents from non-intact families were significantly more likely to be current smokers (OR = 2.10; 95 % CI: 1.74-2.54) compared with intact families. Five independent familial factors were significantly related to increased risk for adolescent smoking: low maternal monitoring (OR = 2.79; 95 % CI: 1.98-3.92), low satisfaction with family relationships (OR = 1.89; 95 % CI: 1.27-2.83), low school-related parental support (OR = 1.40; 95 % CI: 1.01-1.95), easy communication with the father (OR = 0.56; 95 % CI: 0.38-0.80) and often use of electronic media for communication with parents (OR = 0.66; 95 % CI: 0.50-0.88). The last two determinants showed an inverse effect than it was hypothesized. Higher prevalence of smoking among adolescents of Lithuania is associated with a non- intact family structure as well as weaker parental support and bonding. Family life practices are critical components to be incorporated in prevention and intervention programs for adolescent smoking in Lithuania.

  19. Chinese family adaptation during the postpartum period and its influencing factors: A questionnaire survey.

    Science.gov (United States)

    Lu, Hong; Zhu, Xiu; Hou, Rui; Wang, De-hui; Zhang, Hai-juan; While, Alison

    2012-04-01

    this study aimed to explore new parents' views and experiences during their transition to parenthood. in China the one-child birth policy may bring more stress and challenges for the new parents due to the lack of experience and greater expectations of their new role. China is also at a stage of rapid economic and social development which creates new conditions for parenthood. a cross-sectional survey was conducted from February to September 2009 among 232 mothers and fathers, yielding a 83.6% response rate (n=194 couples). The questionnaire included: the Family Assessment Device-General Function Scale, the Family Resources Scale, the Family Adaptation Scale, and the Chinese Perceived Stress Scale. there were no significant differences between mothers' adaptation and fathers' adaptation during the postpartum period, as well as their perceived stress, family function and family resources (p>0.05). Method of childbirth was not related to adaptation. About 29% of variance in mothers' adaptation could be explained by satisfaction with the infant's gender (B=0.295, pfathers' adaptation (B=0.236, pfathers' adaptation could be explained by mothers' adaptation (B=0.268, pimportance of family resources to family adaptation and antenatal and postnatal education programmes as part of family-centred care. The possible influences of culture and policies need to be considered by health-care professionals developing strategies to facilitate family adaptation to the early parenthood. Copyright © 2011 Elsevier Ltd. All rights reserved.

  20. Survey of caregiver opinions on the practicalities of family-centred care in intensive care units.

    Science.gov (United States)

    Soury-Lavergne, Aude; Hauchard, Inès; Dray, Sandrine; Baillot, Marie-Lou; Bertholet, Emmanuelle; Clabault, Karine; Jeune, Sylvie; Ledroit, Christelle; Lelias, Isabelle; Lombardo, Véronique; Maetens, Yves; Meziani, Ferhat; Reignier, Jean; Souweine, Bertrand; Tabah, Alexis; Barrau, Karine; Roch, Antoine

    2012-04-01

    To determine caregiver opinion on their intensive care unit's policies with regard to visiting hours, how families are informed and participate in patient care. Benefits of improving family access to the intensive care unit, information delivery and participation of families in care have been suggested. Survey of caregivers working in French-speaking intensive care units. An e-mail invitation to complete an online, closed-ended questionnaire was issued to caregivers registered in the mailing list of the French society of intensive care. Caregivers (n = 731) working in 222 adult and 41 paediatric intensive care units completed the questionnaire. Unlike in paediatric intensive care units, 58% of adult intensive care unit had restricted visiting hours (caregivers thought that families should be informed of patient progress in a designated room in the presence of the patient's nurse and that patient records should report family meetings. This policy was only implemented in half of the cases. Family participation in care procedures was strongly encouraged in only 0·5% of adult intensive care units. Intensive care unit caregivers are in favour of longer visiting hours, increased use of designated rooms for, and nurse participation in, meetings with families. Although caregivers do not associate families with care procedures, they considered that their presence during most interventions should be authorised. Our results could help in implementing intensive care unit policies concerning visiting hours, how families are informed and participate in patient care. © 2011 Blackwell Publishing Ltd.

  1. Whole-building systems integration laboratory survey

    Energy Technology Data Exchange (ETDEWEB)

    Crawley, D.B. (American Consulting Engineers Council, Washington, DC (USA). Research and Management Foundation)

    1989-09-01

    This report was prepared for the Pacific Northwest Laboratory as a subcontracted activity by the Research Management Foundation of the American Consulting Engineers Council. The objective of the survey reported herein was to independently assess the need for a Building System Integration Laboratory from the viewpoint of academicians in the field of building science. The subcontractor-developed questionnaire was sent to 200 professors of architecture and engineering at US universities. In view of this diverse population, the 10% rate of return on the questionnaire was considered acceptable. Although the responses probably do not reflect an unbiased summary of the collective perceptions of the original population surveyed, they do provide a valid insight into the interests and concerns of the academic community with respect to building sciences issues.

  2. Predicting medical professionals' intention to allow family presence during resuscitation: A cross sectional survey.

    Science.gov (United States)

    Lai, Meng-Kuan; Aritejo, Bayu Aji; Tang, Jing-Shia; Chen, Chien-Liang; Chuang, Chia-Chang

    2017-05-01

    Family presence during resuscitation is an emerging trend, yet it remains controversial, even in countries with relatively high acceptance of family presence during resuscitation among medical professionals. Family presence during resuscitation is not common in many countries, and medical professionals in these regions are unfamiliar with family presence during resuscitation. Therefore, this study predicted the medical professionals' intention to allow family presence during resuscitation by applying the theory of planned behaviour. A cross-sectional survey. A single medical centre in southern Taiwan. Medical staffs including physicians and nurses in a single medical centre (n=714). A questionnaire was constructed to measure the theory of planned behaviour constructs of attitudes, subjective norms, perceived behavioural control, and behavioural intentions as well as the awareness of family presence during resuscitation and demographics. In total, 950 questionnaires were distributed to doctors and nurses in a medical centre. Among the 714 valid questionnaires, only 11 participants were aware of any association in Taiwan that promotes family presence during resuscitation; 94.7% replied that they were unsure (30.4%) or that their unit did not have a family presence during resuscitation policy (74.8%). Regression analysis was performed to predict medical professionals' intention to allow family presence during resuscitation. The results indicated that only positive attitudes and subjective norms regarding family presence during resuscitation and clinical tenure could predict the intention to allow family presence during resuscitation. Because Family presence during resuscitation practice is not common in Taiwan and only 26.19% of the participants agreed to both items measuring the intention to allow family presence during resuscitation, we recommend the implementation of a family presence during resuscitation education program that will enhance the positive beliefs

  3. Domestic Violence in India: Insights from the 2005-2006 National Family Health Survey

    Science.gov (United States)

    Kimuna, Sitawa R.; Djamba, Yanyi K.; Ciciurkaite, Gabriele; Cherukuri, Suvarna

    2013-01-01

    This article assesses the prevalence and risk factors of domestic violence in India. The study uses the 2005-2006 India National Family Health Survey-III (NFHS-III) and focuses on the 69,484 ever-married women ages 15 to 49 from all regions, who were administered the domestic violence module. The results show that 31% of respondents experienced…

  4. MediaQuotient[TM]: National Survey of Family Media Habits, Knowledge, and Attitudes.

    Science.gov (United States)

    Gentile, Douglas A.; Walsh, David A.

    This study examined family media habits, including the use of television, movies, videos, computer and video games, the Internet, music, and print media. The study was conducted by mail with telephone follow-ups, surveying a national random sample of 527 parents of 2- to 17-year-olds who completed MediaQuotient questionnaires. Findings were…

  5. Targeting Family Risk Factors in the Context of Treating Youth Depression: A Survey of Psychologists

    Science.gov (United States)

    Parra, Gilbert R.; Buckholdt, Kelly E.; Olsen, James P.; Jobe-Shields, Lisa; Davis, Genevieve L.; Gamble, Heather L.

    2011-01-01

    This study investigated the practices and perceptions of psychologists related to targeting family risk factors when treating youth depression. Participants were practicing psychologists recruited through the National Register of Health Service Providers in Psychology (N = 279). Psychologists completed a brief anonymous survey about addressing…

  6. Measuring families' perceptions of care across a health care system: preliminary experience with the Family Assessment of Treatment at End of Life Short form (FATE-S).

    Science.gov (United States)

    Casarett, David; Shreve, Scott; Luhrs, Carol; Lorenz, Karl; Smith, Dawn; De Sousa, Maysa; Richardson, Diane

    2010-12-01

    Because the Family Evaluation of Treatment at End of Life (FATE) survey was too long for routine use in the Veterans Administration (VA) health care system to measure quality of care, a shorter instrument was developed. To evaluate the short version of the FATE survey for use as a nationwide quality measure in the VA health care system. Fifty-one VA medical centers, including acute and long-term care, participated in this nationwide telephone survey. Family members of the patients were eligible if the patients died in a participating facility. One family member per patient was selected from medical records using predefined eligibility criteria and invited to participate. The survey consists of 14 items describing key aspects of the patient's care in his or her last month of life, one global rating, and two open-ended questions for additional comments. Interviews were completed with 2827 family members. Overall, the survey showed excellent psychometric characteristics, with good homogeneity (e.g., Cronbach's α=0.84) and strong evidence of discriminant validity. Two survey items have been targeted for quality improvement efforts in multisite collaboratives. Surveys of surrogates offer an important source of quality data that can be used to improve the quality of end-of-life care and promote accountability. Published by Elsevier Inc.

  7. Electrocardiography teaching in Canadian family medicine residency programs: a national survey.

    Science.gov (United States)

    Paul, Baldeep; Baranchuk, Adrian

    2011-04-01

    Electrocardiography (ECG) interpretation is an essential skill for a family physician. Teaching and learning electrocardiography is a difficult task, in part due to the erosion of knowledge when interpretation is not part of a daily activity. The objective of this study was to assess the current status of electrocardiography teaching in Canadian family medicine residency programs. A national survey was designed to specifically address the status of the ECG teaching curricula. This national survey was electronically sent to the family medicine program directors of all 17 Canadian accredited medical schools. Approximately 75% of the schools responded to the survey. There was a great variance among Canadian family medicine residency programs with respect to the time allotment, ECG training location, training faculty, and teaching methods utilized. The goals of each respective program are also quite wide-ranging. Family medicine residency programs across Canada are quite diverse regarding ECG training curricula and its goals. The need for a homogeneous way of teaching and evaluating has been identified.

  8. A national study of male involvement among families in contact with the child welfare system.

    Science.gov (United States)

    Bellamy, Jennifer L

    2009-08-01

    Few studies inform the frequency and type of adult male involvement in families in contact with child welfare, and even fewer explore how male involvement relates to child welfare outcomes. This study employed data from a sample of 3,978 families in contact with the U.S. child welfare system, drawn from the National Survey of Child and Adolescent Well-Being. The nature of male involvement in these families and its relationship to (a) caseworkers' perception of children's risk for maltreatment rereport and (b) entry into out-of-home care were explored. Results indicate that most caregivers report male involvement, distinct types of male involvement are related to the likelihood of out-of-home care, and households that include nonparental adult males are perceived by caseworkers as relatively risky. No male involvement indicator tested, however, was related to maltreatment rereport. Implications include the need to appropriately assess, include, and engage adult male family members across diverse family systems.

  9. Examining pedagogical practices in family systems nursing: intentionality, complexity, and doing well by families.

    Science.gov (United States)

    Moules, Nancy J; Bell, Janice M; Paton, Brenda I; Morck, Angela C

    2012-05-01

    Teaching graduate family nursing students the important and delicate practice of entering into and mitigating families' illness suffering signifies an educational practice that is rigorous, intense, and contextual, yet not articulated as expounded knowledge. This study examined the pedagogical practices of the advanced practice of Family Systems Nursing (FSN) as taught to master's and doctoral nursing students at the Family Nursing Unit, University of Calgary, using observation of expert and novice clinical practice, live supervision, videotape review, presession hypothesizing, clinical documentation, and the writing of therapeutic letters to families. A triangulation of research methods and data collection strategies, interpretive ethnography, autoethnography, and hermeneutics, were used. Students reported an intensity of learning that had both useful and limiting consequences as they developed skills in therapeutic conversations with families experiencing illness. Faculty used an intentional pedagogical process to encourage growth in perceptual, conceptual, and executive knowledge and skills of working with families.

  10. Are the Contraceptive Recommendations of Family Medicine Educators Evidence-Based? A CERA Survey.

    Science.gov (United States)

    Wu, Justine P; Gundersen, Daniel A; Pickle, Sarah

    2016-05-01

    Our study aims were to: (1) describe the scope of contraceptive methods provided by US family medicine educators and (2) assess the extent to which US family medicine educators' recommendations regarding eligibility criteria for contraceptive methods are consistent with Centers for Disease Control and Prevention (CDC) guidelines. We contributed survey items as part of the 2014 Council of Academic Family Medicine Educational Research Alliance (CERA) omnibus survey, which is distributed annually to a national cohort of US family medicine educators. We created two summary scales, comprised of clinical scenarios, to assess the extent to which provider recommendations regarding eligibility criteria for oral contraceptive pills (OCPs, six scenarios) and the intrauterine device (IUD, eight scenarios) were consistent with CDC guidelines. Among the 1,054 respondents (33% response rate), 98% prescribe OCPs and 66% insert IUDs. The OCP scale mean was 4.6 ± SD 1.6 (range 0-6), and the IUD scale mean was 4.8 SD ± 2.3 (range 0-8). These scores reflect that 23% of providers' OCP recommendations and 40% of their IUD recommendations were inconsistent with CDC guidelines. The contraceptive recommendations of this cohort of family medicine educators only partially reflected evidence-based guidelines. More misconceptions were noted regarding eligibility criteria for the IUD than for OCPs. To avoid denying safe and effective contraception to otherwise appropriate candidates and putting women at risk of unintended pregnancy, evidence-based contraceptive recommendations must be improved among family medicine educators.

  11. The Dark Energy Survey Data Management System

    Energy Technology Data Exchange (ETDEWEB)

    Sevilla, I.; /Madrid, CIEMAT; Armstrong, R.; Jarvis, M.; /Pennsylvania U.; Bertin, E.; /Paris, Inst. Astrophys.; Carlson, A.; Desai, S.; Mohr, J.; /Munich U.; Daues, G.; Gower, M.; Gruendl, R.; Petravick, D.; /Illinois U., Urbana /Illinois U., Urbana /Chicago U. /Fermilab /Brookhaven /Harvard-Smithsonian Ctr. Astrophys.

    2011-09-01

    The Dark Energy Survey (DES) is a project with the goal of building, installing and exploiting a new 74 CCD-camera at the Blanco telescope, in order to study the nature of cosmic acceleration. It will cover 5000 square degrees of the southern hemisphere sky and will record the positions and shapes of 300 million galaxies up to redshift 1.4. The survey will be completed using 525 nights during a 5-year period starting in 2012. About O(1 TB) of raw data will be produced every night, including science and calibration images. The DES data management system has been designed for the processing, calibration and archiving of these data. It is being developed by collaborating DES institutions, led by NCSA. In this contribution, we describe the basic functions of the system, what kind of scientific codes are involved and how the Data Challenge process works, to improve simultaneously the Data Management system algorithms and the Science Working Group analysis codes.

  12. Family burden related to mental and physical disorders in the world: results from the WHO World Mental Health (WMH) surveys.

    Science.gov (United States)

    Viana, Maria Carmen; Gruber, Michael J; Shahly, Victoria; Alhamzawi, Ali; Alonso, Jordi; Andrade, Laura H; Angermeyer, Matthias C; Benjet, Corina; Bruffaerts, Ronny; Caldas-de-Almeida, Jose Miguel; Girolamo, Giovanni de; Jonge, Peter de; Ferry, Finola; Florescu, Silvia; Gureje, Oye; Haro, Josep Maria; Hinkov, Hristo; Hu, Chiyi; Karam, Elie G; Lépine, Jean-Pierre; Levinson, Daphna; Posada-Villa, Jose; Sampson, Nancy A; Kessler, Ronald C

    2013-01-01

    To assess prevalence and correlates of family caregiver burdens associated with mental and physical conditions worldwide. Cross-sectional community surveys asked 43,732 adults residing in 19 countries of the WHO World Mental Health (WMH) Surveys about chronic physical and mental health conditions of first-degree relatives and associated objective (time, financial) and subjective (distress, embarrassment) burdens. Magnitudes and associations of burden are examined by kinship status and family health problem; population-level estimates are provided. Among the 18.9-40.3% of respondents in high, upper-middle, and low/lower-middle income countries with first-degree relatives having serious health problems, 39.0-39.6% reported burden. Among those, 22.9-31.1% devoted time, 10.6-18.8% had financial burden, 23.3-27.1% reported psychological distress, and 6.0-17.2% embarrassment. Mean caregiving hours/week was 12.9-16.5 (83.7-147.9 hours/week/100 people aged 18+). Mean financial burden was 15.1% of median family income in high, 32.2% in upper-middle, and 44.1% in low/lower-middle income countries. A higher burden was reported by women than men, and for care of parents, spouses, and children than siblings. The uncompensated labor of family caregivers is associated with substantial objective and subjective burden worldwide. Given the growing public health importance of the family caregiving system, it is vital to develop effective interventions that support family caregivers.

  13. Bridging the gap from values to actions: a family systems framework for family-centered AAC services.

    Science.gov (United States)

    Mandak, Kelsey; O'Neill, Tara; Light, Janice; Fosco, Gregory M

    2017-03-01

    Despite the growing recognition of the importance of family involvement in augmentative and alternative communication (AAC) intervention, little guidance exists on how professionals can establish successful collaborative relationships with families. In this paper, we discuss family systems theory and ecological systems theory as a framework to guide family-centered AAC practice, review family-focused research in AAC, consider how AAC may impact the family system, and provide examples of the clinical implications of using the proposed family systems framework to improve family-centered AAC practice.

  14. [Proposal for a survey for assisting the family and caregivers of patients with spinal cord injuries].

    Science.gov (United States)

    Mancussi e Faro, A C

    1999-12-01

    This study proposes a basis survey for assistance to the family and caregivers because we believe there is necessity of family participation on the treatment, trying to understand and share the disease or deficiency situation. We objectified to sketch the relationship degree and the people's gender that accompanied the spinal cord injured hurt medular patient in nursing consultations and to discuss the necessity of basis survey to the assistance family and to the caregiver. 101 nursing consultations were accomplished, in clinic health, to the spinal cord injured patient and his/her relative and 36 patients were totalized, from this number 26 (72.22%) were male and 10 (27.78%), were female. It was verified that the men with medular lesion, in the greater number (27-80.7 O/o), were accompanied with his relatives specially mother and wife, while the women with medular lesion, in the greater number too (7-70%) were accompanied with her relatives of diversified proximity. In reference to the basis survey that comprehend the care at house and the caregiver necessity, we can affirm its relevance, trying to context the family support identified attending the caregivers.

  15. Human-animal bonds II: the role of pets in family systems and family therapy.

    Science.gov (United States)

    Walsh, Froma

    2009-12-01

    The vast majority of pet owners regard their companion animals as family members, yet the role of pets in family systems and family therapy has received little attention in research, training, and practice. This article first notes the benefits of family pets and their importance for resilience. It then examines their role in couple and family processes and their involvement in relational dynamics and tensions. Next, it addresses bereavement in the loss of a cherished pet, influences complicating grief, and facilitation of mourning and adaptation. Finally, it explores the ways that clients' pets and the use of therapists' companion animals in animal-assisted therapy can inform and enrich couple and family therapy as valuable resources in healing.

  16. Digital inequalities of family life information seeking and family well-being among Chinese adults in Hong Kong: a population survey.

    Science.gov (United States)

    Wang, Man Ping; Wang, Xin; Viswanath, Kasisomayajula; Wan, Alice; Lam, Tai Hing; Chan, Sophia S

    2014-10-03

    Inequalities in Internet use and health information seeking are well documented, but less is known about information for family life activities. We investigated the social determinants of online family life information seeking behaviors and its associations with family well-being among Chinese adults in Hong Kong. A probability-based telephone survey was conducted in 2012 to record family life information seeking behaviors, including frequency of seeking and paying attention to family life information, levels of trust, and perceived usefulness of family life information. Family well-being was assessed using 3 single items on perceived family harmony, happiness, and health, with higher scores indicating greater well-being. Adjusted odds ratios for family life information seeking behaviors by socioeconomic characteristics and lifestyle behaviors, and adjusted beta coefficients for family well-being by family life information seeking behaviors were calculated. Of 1537 respondents, 57.57% (855/1537) had ever and 26.45% (407/1537) sought monthly family life information through the Internet. Lower educational attainment and household income, smoking, and physical inactivity were associated with less frequent seeking and paying attention (all Pinequalities of online family life information seeking behaviors. The association between family life information seeking behavior and family well-being needs to be confirmed in prospective studies.

  17. Sibling Subsystem Therapy in Family System Reorganization.

    Science.gov (United States)

    Nichols, William C.

    1986-01-01

    Focuses on the sibling subsystem in the period following separation/divorce and remarriage of one/both of the parents. Considers treatment of the sibling subsystem and through the sibling subsystem. Deals primarily with focusing attention on this neglected area, not on the tactics to be used with particular families or sibling subsystems.…

  18. Employment Impact and Financial Burden for Families of Children with Fragile X Syndrome: Findings from the National Fragile X Survey

    Science.gov (United States)

    Ouyang, L.; Grosse, S.; Raspa, M.; Bailey, D.

    2010-01-01

    Background: The employment impact and financial burden experienced by families of children with fragile X syndrome (FXS) has not been quantified in the USA. Method: Using a national fragile X family survey, we analysed data on 1019 families with at least one child who had a full FXS mutation. Out-of-pocket expenditures related to fragile X were…

  19. Are smokers rational addicts? Empirical evidence from the Indonesian Family Life Survey

    Directory of Open Access Journals (Sweden)

    Thabrany Hasbullah

    2011-02-01

    Full Text Available Abstract Background Indonesia is one of the largest consumers of tobacco in the world, however there has been little work done on the economics addiction of tobacco. This study provides an empirical test of a rational addiction (henceforth RA hypothesis of cigarette demand in Indonesia. Methods Four estimators (OLS, 2SLS, GMM, and System-GMM were explored to test the RA hypothesis. The author adopted several diagnostics tests to select the best estimator to overcome econometric problems faced in presence of the past and future cigarette consumption (suspected endogenous variables. A short-run and long-run price elasticities of cigarettes demand was then calculated. The model was applied to individuals pooled data derived from three-waves a panel of the Indonesian Family Life Survey spanning the period 1993-2000. Results The past cigarette consumption coefficients turned out to be a positive with a p-value Conclusions Health policymakers should redesign current public health campaign against cigarette smoking in the country. Given the demand for cigarettes to be more prices sensitive for the long run (and female than the short run (and male, an increase in the price of cigarettes could lead to a significant fall in cigarette consumption in the long run rather than as a constant source of government revenue.

  20. Family physicians understanding about Mantoux test: A survey from a high endemic TB country.

    Science.gov (United States)

    Ali, Niloufer Sultan; Jamal, Kishwar; Khuwaja, Ali Khan

    2010-05-31

    Tuberculosis is a global health emergency and is a big challenge to diagnose and manage it. Family physicians being first contact health persons should be well competent to diagnose and manage the patients with tuberculosis. This study was aimed to assess the level of understanding about Mantoux Test amongst Family Physicians in Karachi, Pakistan and to determine the difference of level of understanding by gender and number of tuberculosis patients seen in a month. A cross sectional survey was conducted among 200 Family Physicians working in Karachi; the largest city and economic hub of Pakistan. Family Physicians who attended Continuous Medical Education sessions were approached after taking consent. Pre-tested, self administered questionnaire was filled consisting of: basic demographic characteristics, questions regarding knowledge about Mantoux Test, its application and interpretation. Data of 159 questionnaires was analyzed for percentages, as rest were incomplete. Chi square test was used to calculate the difference of understanding levels between various groups. Almost two thirds of respondents were males and above 35 years of age. Majority of Family Physicians were private practitioners and seeing more than five tuberculosis patients per month. Overall, a big gap was identified about the knowledge of Mantoux Test among study participants. Only 18.8% of Family Physicians secured Excellent (>/= 80% correct responses). This poor level of understanding was almost equally distributed in all comparative groups (Male = 20.8% versus Female = 15.9%; p - 0.69) and (Seen /= 5 tuberculosis patients per month = 19.3%; p - 0.32). A huge majority of Family Physicians (92%) however, showed keen interest in obtaining further knowledge regarding Mantoux Test and amongst them 72% suggested Continued Medical Education sessions as preferable mode of updating themselves. Our study revealed an overall major deficit in understanding and interpretation of Mantoux Test amongst Family

  1. A Survey of Wireless Communications for the Electric Power System

    Energy Technology Data Exchange (ETDEWEB)

    Akyol, Bora A.; Kirkham, Harold; Clements, Samuel L.; Hadley, Mark D.

    2010-01-27

    A key mission of the U.S. Department of Energy (DOE) Office of Electricity Delivery and Energy Reliability (OE) is to enhance the security and reliability of the nation’s energy infrastructure. Improving the security of control systems, which enable the automated control of our energy production and distribution, is critical for protecting the energy infrastructure and the integral function that it serves in our lives. The DOE-OE Control Systems Security Program provides research and development to help the energy industry actively pursue advanced security solutions for control systems. The focus of this report is analyzing how, where, and what type of wireless communications are suitable for deployment in the electric power system and to inform implementers of their options in wireless technologies. The discussions in this report are applicable to enhancing both the communications infrastructure of the current electric power system and new smart system deployments. The work described in this report includes a survey of the following wireless technologies: • IEEE 802.16 d and e (WiMAX) • IEEE 802.11 (Wi-Fi) family of a, b, g, n, and s • Wireless sensor protocols that use parts of the IEEE 802.15.4 specification: WirelessHART, International Society of Automation (ISA) 100.11a, and Zigbee • The 2, 3, and 4 generation (G )cellular technologies of GPRS/EDGE/1xRTT, HSPA/EVDO, and Long-Term Evolution (LTE)/HSPA+UMTS.

  2. Internalizing symptoms and disorders in families of adolescents: a review of family systems literature.

    Science.gov (United States)

    Hughes, Elizabeth K; Gullone, Eleonora

    2008-01-01

    Internalizing symptoms and disorders are relatively common during adolescence and impact considerably on social and emotional functioning. Using a family systems framework, this paper reviews the current literature examining the impact of internalizing symptoms and disorders on the functioning of the family system, the spouse subsystem and the parent-child subsystem. Moreover, literature examining the relationship between parents' and adolescents' internalizing symptoms and disorders is reviewed. The reviewed research demonstrates that there exists an association between internalizing symptoms and disorders and poorer functioning at various levels of the family system. Longitudinal studies have generally reported that parent internalizing symptoms and disorders predict poorer functioning in the family system as well as internalizing symptoms and disorders in adolescents. However, few longitudinal studies have examined whether adolescent internalizing symptoms and disorders predict poorer family functioning and internalizing symptoms and disorders in parents. Those that have examined such effects report mixed results. On the basis of our review, we make recommendations about future research directions. In particular, it is argued that more research on the reciprocal effects of internalizing symptoms and disorders within families is needed to better understand the antecedents and consequences of these conditions for families of adolescents.

  3. Hungaria Asteroid Region Telescopic Spectral Survey (HARTSS) II: Spectral Homogeneity Among Hungaria Family Asteroids

    Science.gov (United States)

    Lucas, Michael P.; Emery, Joshua; Pinilla-Alonso, Noemi; Lindsay, Sean S.; MacLennan, Eric M.; Cartwright, Richard; Reddy, Vishnu; Sanchez, Juan A.; Thomas, Cristina A.; Lorenzi, Vania

    2017-10-01

    Spectral observations of asteroid family members provide valuable information regarding parent body interiors, the source regions of near-Earth asteroids, and the link between meteorites and their parent bodies. Hungaria family asteroids constitute the closest samples to the Earth from a collisional family (~1.94 AU), permitting observations of smaller fragments than accessible for Main Belt families. We have carried out a ground-based observational campaign - Hungaria Asteroid Region Telescopic Spectral Survey (HARTSS) - to record reflectance spectra of these preserved samples from the inner-most primordial asteroid belt. During HARTSS phase one (Lucas et al. [2017]. Icarus 291, 268-287) we found that ~80% of the background population is comprised of stony S-complex asteroids that exhibit considerable spectral and mineralogical diversity. In HARTSS phase two, we turn our attention to family members and hypothesize that the Hungaria collisional family is homogeneous. We test this hypothesis through taxonomic classification, albedo estimates, and spectral properties.During phase two of HARTSS we acquired near-infrared (NIR) spectra of 50 new Hungarias (19 family; 31 background) with SpeX/IRTF and NICS/TNG. We analyzed X-type family spectra for NIR color indices (0.85-J J-K), and a subtle ~0.9 µm absorption feature that may be attributed to Fe-poor orthopyroxene. Surviving fragments of an asteroid collisional family typically exhibit similar taxonomies, albedos, and spectral properties. Spectral analysis of X-type Hungaria family members and independently calculated WISE albedo determinations for 428 Hungaria asteroids is consistent with this scenario. Furthermore, ~1/4 of the background population exhibit similar spectral properties and albedos to family X-types.Spectral observations of 92 Hungaria region asteroids acquired during both phases of HARTSS uncover a compositionally heterogeneous background and spectral homogeneity down to ~2 km for collisional family

  4. [Epidemiologic survey of teniasis in Health and Family Program in Uberaba, MG].

    Science.gov (United States)

    Esteves, Flavia Maria; Silva-Vergara, Mario León; Carvalho, Angela C F Banzatto de

    2005-01-01

    An epidemiologic survey was carried out on 110,144 people from the Health Family Program to evaluate some Epidemiologic aspects of teniasis. Previous history of passing proglottides was registered in 185 (0.2%) of them, and 112 (60.5%) received praziquantel. After this 97 (86.6%) passed proglottides characterized as Taenia Saginata and Taenia Solium in 36 (37.1%) and 4 (4.1%) respectively.

  5. The 1993 Indonesian Family Life Survey: Appendix B, Community-Facility Questionnaires and Interviewer Manual. Revised.

    Science.gov (United States)

    1996-04-01

    student parents in school to discuss problems related with students and school. h. Make comparative study School principal, in order to increase ...contains information on the First and Second Malaysian Family Life Surveys conducted in 1976-1977 and in 1988-1989. Subsequent information about the...pressure ? 2. History of diabetes ? 3. History of heart disease ? 4. Any hereditary disease ? 5. Do you smoke

  6. The Impact of Economic Migration on Children's Cognitive Development: Evidence from the Mexican Family Life Survey

    OpenAIRE

    Elizabeth T. Powers

    2011-01-01

    This paper uses data from the Mexican Family Life Survey to estimate the impact of a household member's migration to the United States on the cognitive development of children remaining in Mexico. While there is no developmental effect of a child's sibling migrating to the United States, there is an adverse effect when another household member-typically the child's parent- migrates. This is particularly true for pre-school to early-school-age children with older siblings, for whom the effect ...

  7. Marriage and Family Therapy Graduate Student Stress: A Survey of AAMFT Student Members

    OpenAIRE

    Klick, Patricia David

    2005-01-01

    Marriage and Family Therapy Graduate Student Stress: A Survey of AAMFT Student Members Patricia David Klick Eric E. McCollum, Ph.D. (Committee Chair) Human Development Abstract The purpose of this study was to examine stress that MFT graduate students experience in their personal lives. The researcher developed a 31-item quantitative and qualitative questionnaire to identify factors that relate to stress experienced by MFT graduate students and coping resources and strategi...

  8. Evaluation of family history as a risk factor and screening tool for detecting undiagnosed diabetes in a nationally representative survey population.

    Science.gov (United States)

    Hariri, Susan; Yoon, Paula W; Moonesinghe, Ramal; Valdez, Rodolfo; Khoury, Muin J

    2006-12-01

    We examined the utility of a three-level familial risk stratification system as a screening tool for diabetes in a nationally representative sample of the U.S. adult population. National Health and Nutrition Examination Survey data were used to assess the prevalence and distribution of familial risk for diabetes, the association between three levels of familial risk and undiagnosed diabetes, and the use of familial risk as a screening tool for diabetes, alone and in combination with body mass index and age. The prevalence of undiagnosed diabetes was 3% and increased with increasing familial risk (average = 2%, moderate = 4%, high = 10%). High familial risk was significantly associated with undiagnosed diabetes (adjusted odds ratio = 4.6; 95% confidence interval: 1.9-11.3). The use of a three-tiered familial risk stratification for diabetes screening yielded higher specificity (94%) and positive predictive value (9.9%) for high familial risk than body mass index > or = 25 (specificity = 38%, positive predictive value = 4.2%). High familial risk and body mass index > or = 25 combined had higher specificity (97%) and positive predictive value (13.4%); the addition of age > or = 45 years further improved positive predictive value (21.0%) without reducing specificity. There was a strong and proportional association between familial risk and undiagnosed diabetes, suggesting that a three-tiered assessment of familial diabetes risk may increase the effectiveness of diabetes screening.

  9. Family systems and ecological perspectives on the impact of deployment on military families.

    Science.gov (United States)

    Paley, Blair; Lester, Patricia; Mogil, Catherine

    2013-09-01

    The scope of sustained military operations in Iraq and Afghanistan has placed great demands on the Armed Forces of the United States, and accordingly, military families have been faced with deployments in more rapid succession than ever before. When military parents fulfill occupational duties during wartime, military children and families face multiple challenges, including extended separations, disruptions in family routines, and potentially compromised parenting related to traumatic exposure and subsequent mental health problems. Such challenges can begin to exert a significant toll on the well-being of both individuals and relationships (e.g., marital, parent-child) within military families. In order to respond more effectively to the needs of military families, it is essential that mental health clinicians and researchers have a better understanding of the challenges faced by military families throughout the entire deployment experience and the ways in which these challenges may have a cumulative impact over multiple deployments. Moreover, the mental health field must become better prepared to support service members and families across a rapidly evolving landscape of military operations around the world, including those who are making the transition from active duty to Veteran status and navigating a return to civilian life and those families in which parents will continue to actively serve and deploy in combat zones. In this article, we utilize family systems and ecological perspectives to advance our understanding of how military families negotiate repeated deployment experiences and how such experiences impact the well-being and adjustment of families at the individual, dyadic, and whole family level.

  10. Public Land Survey System - Sections on USDA Forest Service Lands

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This feature class depicts the boundaries of Land Survey features called sections, defined by the Public Lands Survey System Grid. Normally, 36 sections make up a...

  11. Chinese American Family Food Systems: Impact of Western Influences

    Science.gov (United States)

    Lv, Nan; Brown, J. Lynne

    2010-01-01

    Objective: To investigate the family food system in first-generation Chinese American families. Design: Qualitative interviews using reciprocal determinism constructs to understand influences on food choices. Setting: Weekend Chinese schools in Pennsylvania. Participants: Twenty couples with at least 1 child aged 5 or older enrolled in a Chinese…

  12. Family physicians understanding about Mantoux test: A survey from a high endemic TB country

    Directory of Open Access Journals (Sweden)

    Ali Niloufer

    2010-05-01

    Full Text Available Abstract Background Tuberculosis is a global health emergency and is a big challenge to diagnose and manage it. Family physicians being first contact health persons should be well competent to diagnose and manage the patients with tuberculosis. Aims This study was aimed to assess the level of understanding about Mantoux Test amongst Family Physicians in Karachi, Pakistan and to determine the difference of level of understanding by gender and number of tuberculosis patients seen in a month. Methods A cross sectional survey was conducted among 200 Family Physicians working in Karachi; the largest city and economic hub of Pakistan. Family Physicians who attended Continuous Medical Education sessions were approached after taking consent. Pre-tested, self administered questionnaire was filled consisting of: basic demographic characteristics, questions regarding knowledge about Mantoux Test, its application and interpretation. Data of 159 questionnaires was analyzed for percentages, as rest were incomplete. Chi square test was used to calculate the difference of understanding levels between various groups. Results Almost two thirds of respondents were males and above 35 years of age. Majority of Family Physicians were private practitioners and seeing more than five tuberculosis patients per month. Overall, a big gap was identified about the knowledge of Mantoux Test among study participants. Only 18.8% of Family Physicians secured Excellent (≥ 80% correct responses. This poor level of understanding was almost equally distributed in all comparative groups (Male = 20.8% versus Female = 15.9%; p - 0.69 and (Seen Conclusion Our study revealed an overall major deficit in understanding and interpretation of Mantoux Test amongst Family Physicians which needs to be addressed. Continues Medical Education sessions for Family Physicians should be organized in regular basis for upgrading their knowledge in this regards.

  13. Survey of remote data monitoring systems

    Energy Technology Data Exchange (ETDEWEB)

    Logee, T.L.; Kendall, P.W.; Pollock, E.O.; Raymond, M.G.; Knapp, R.C. Jr.

    1984-09-01

    A self-contained data-logger device called an SDAS (Site Data Acquisition Subsystem) was built for the National Solar Data Network (NSDN) which could collect analog data from 96 channels, store the data for up to three days, and then transmit the stored data on request to a central facility by voice-grade telephone lines. This system has worked fairly well for the eight years that it has been in service. However, the design and components are getting old and newer dataloggers may be more reliable and accurate and less expensive. This report discusses the results of an extensive search for an SDAS replacement. The survey covered 62 models from 36 manufacturers. These numbers are not indicative of all the dataloggers or manufacturers available, but only those which appeared to have some qualifications for the NSDN datalogger replacement. This report views the datalogger as a system which is made up of sensors, a data acquisition and storage unit, a telecommunications subsystem, and a data processing subsystem. Therefore, there is a section on sensors used in the NSDN, telecommunications technology, and data processing requirements. These four components or subsystems are all necessary in order to have an integrated, successful remote data monitoring network.

  14. A family systems nursing intervention model for paediatric health crisis.

    Science.gov (United States)

    Tomlinson, Patricia Short; Peden-McAlpine, Cynthia; Sherman, Suzan

    2012-03-01

    This article discusses the development of a family systems nursing intervention for clinical use in health crisis. Although studies in paediatric critical care provide evidence that family stress is an important clinical phenomenon, studies have demonstrated that few nurses have the requisite family intervention skills to provide family members with adequate support during crisis. In addition, few intervention studies that focus on provider-family relationships with the goal of reducing stress have been reported. This article contributes to the literature by redressing this lack. Data sources.  The literature search supporting this project spanned from 1980 to 2009 and included searches from classic nursing theory, family theory and relevant nursing research specific to the design of the intervention reported. The goal of the intervention is to provide a theoretical and practical foundation for explicit action that enhances relationships with caregivers thereby supporting the integrity of the family and enhancing their coping abilities. The intervention, based on the Family Systems Model and the family's understandings of the situation, defines specific goals and desired outcomes to guide strategic actions. Discussion of the conceptual foundation, procedural development and an example of the protocol is provided. Implications for nursing.  The intervention is designed for nurses with limited knowledge in family theory to aid them to better help families dealing with stress. The proposed intervention can be used to increase nurses' skills in family centred nursing care. Although designed for use in paediatric critical care, it can, with modifications, be used in other nursing specialty areas. © 2011 Blackwell Publishing Ltd.

  15. Systemic family therapy can be manualized: research process and findings

    National Research Council Canada - National Science Library

    Pote, H; Stratton, P; Cottrell, D; Shapiro, D; Boston, P

    2003-01-01

    .... This can limit their validity and applicability to standard clinical practice. In addition, no manuals exist which reflect less structured forms of family therapy aimed at incorporating systemic, post...

  16. [The role of families in the Quebec mental health system].

    Science.gov (United States)

    Bonin, Jean-Pierre; Chicoine, Gabrielle; Fradet, Hélène; Larue, Caroline; Racine, Hélène; Jacques, Marie-Claude; St-Cyr Tribble, Denise

    2014-01-01

    Purpose. This paper aims to summarize the current situation regarding the role of families of persons with mental disorders within the mental health system in Quebec.Methods. We made a research in the most recent and pertinent papers or books regarding: 1) the history of the family involvement in the mental health system in Quebec; 2) the present situation of these families and the models that we can see and 3) identify in recent governmental or research documents recommendations regarding a greater empowerment of the families in the mental health system.Results. The research provides a historical perspective to the roles occupied by families. First the family was described as a causal agent; the work of the psychoanalyst Freud described the family unit as a source of conflicts in the areas of affect and sexual dynamics, and which results in the appearance of psychiatric symptoms. Later, this view of a causal agent came both from the point of view of genetic and from expressed emotions. In the 70's new perspectives such as general systems theory (von Bertalanffy, 1968), described the family as responsive to mental disorder of one of its members rather than a responsible agent. With the deinstitutionalization movement, the family was perceived as a source of solutions for persons with mental illness, but also as persons who can live some burden. This subject became well described and a several studies reported about adverse effects of caring for a person with mental disorder on the health, well-being and feeling of caregiver burden. In the 90's, some government action plans called for the relationship between the family and the health system as a partnership. Also, families want to be involved in decisions about care and to be informed about the diagnosis and treatment options. ( Lefley et Wasow, 1993)A new model developed by FFAPAMM that identifies three main roles enables to contextualize the current role in the current system. This model, called CAP lists and

  17. Duchenne Muscular Dystrophy: a Survey of Perspectives on Carrier Testing and Communication Within the Family.

    Science.gov (United States)

    Hayes, Brenna; Hassed, Susan; Chaloner, Jae Lindsay; Aston, Christopher E; Guy, Carrie

    2016-06-01

    Carrier testing is widely available for multiple genetic conditions, and several professional organizations have created practice guidelines regarding appropriate clinical application and the testing of minors. Previous research has focused on carrier screening, predictive testing, and testing for X-linked conditions. However, family perspectives on carrier testing for X-linked lethal diseases have yet to be described. In this study, we explored communication within the family about carrier testing and the perspectives of mothers of sons with an X-linked lethal disease, Duchenne muscular dystrophy (DMD). Twenty-five mothers of sons with DMD participated in an anonymous online survey. Survey questions included multiple choice, Likert scale, and open ended, short answer questions. Analysis of the multiple choice and Likert scale questions revealed that most mothers preferred a gradual style of communication with their daughters regarding risk status. In addition, most participants reported having consulted with a genetic counselor and found it helpful. Comparisons between groups, analyzed using Fisher's exact tests, found no differences in preferred style due to mother's carrier status or having a daughter. Thematic analysis was conducted on responses to open ended questions. Themes identified included the impact of family implications, age and maturity, and a desire for autonomy regarding the decision to discuss and undergo carrier testing with at-risk daughters, particularly timing of these discussions. Implications for genetic counseling practice are discussed.

  18. Family Health Strategy Coverage in Brazil, according to the National Health Survey, 2013.

    Science.gov (United States)

    Malta, Deborah Carvalho; Santos, Maria Aline Siqueira; Stopa, Sheila Rizzato; Vieira, José Eudes Barroso; Melo, Eduardo Alves; dos Reis, Ademar Arthur Chioro

    2016-02-01

    to present Family Health Strategy (ESF) coverage according to the National Health Survey (PNS), comparing to administrative data and previous coverage of the National Household Sample Survey (PNAD 2008), and describe the frequencies of home visiting teams. it was compared data from 2013 according to PNS and data from the Ministry of Health and the National Household Sample Survey (PNAD 2008). Home visiting indicators of PNS were stratified by education and Major Regions. the proportion of households registered in Family Health Teams in Brazil was 53.4% (95%CI: 52.1-54.6), being higher in rural areas and in the Northeast. The proportion of residents in registered households was 56.2%, similar to the Ministry of Health (56.4%) and showed growth compared to PNAD 2008 (50.9%). There was variation between regions, UF and capitals. People with lower education level have received more home visiting monthly. the ESF is an important promoter of health equity and its coverage and scope increase is successful in the country.

  19. Energy Systems Training Programs and Certifications Survey White Paper

    Energy Technology Data Exchange (ETDEWEB)

    Cox, Daryl [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Nimbalkar, Sachin U. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Wenning, Thomas J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Thirumaran, Kiran [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Guo, Wei [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2017-02-01

    Compressed air system, industrial refrigeration system, chilled water system, pump system, fan system, steam system, process heating system, and combined heat and power system are the major industrial energy systems. By helping enhance knowledge and skills of workforce, training and certification programs on these systems are essential to improve energy efficiency of manufacturing facilities. A literature survey of currently available training and certification programs on these systems was conducted.

  20. Experimentation in family planning delivery systems: an overview.

    Science.gov (United States)

    Cuca, R; Pierce, C S

    1977-12-01

    Experiments in the delivery of family planning services are an important means of testing new approaches on a relatively small scale. Over the past 20 years, extensive experimental efforts have explored such key aspects of service delivery as personnel, the use of mass media, integration of family planning with other services, intensive efforts and camps, incentive payments to acceptors, and inudation or community-based distribution. Approaches that proved successful have often been incorporated into regular programs. An examination of the methodology and findings of family planning experiments, based on a survey of 96 projects testing various approaches, highlights successes, failures, and continuing problems. The discussion of past experience halps point to criteria that might be followed in formulating future experimental projects.

  1. Families and educational systems in sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Miquel Reynés Ramón

    2012-10-01

    Full Text Available Studies and analysis of African educational systems’ performance do not pay much attention to the role of families; to the value they give to school and to how this may affect their decisions. By contrast, there are numerous researches focused on the most subjective elements of the relation between families and school: the attitudes, meanings and representations families, separately or as members of a social class or ethnic group, have of school. In this paper we will give five examples, drawn on sociological and anthropological studies, of different schooling practices and family representations of school. These are examples situated in different contexts and geographical areas that will allow us to appreciate the level of heterogeneity of family-school relationships in Africa and that may contribute to make us think otherwise the evolution of these educational systems.

  2. Family Formation Processes: Assessing the Need for a New Nationally Representative Household Panel Survey in the United States

    Science.gov (United States)

    Manning, Wendy D.

    2015-01-01

    The American family has undergone rapid transformation. Careful measurement attention to family formation is important because families are at the heart of numerous decisions, roles, and responsibilities with implications for understanding the well-being of families, adults and children. This paper considers whether there is a need for a new household panel study that addresses family formation. This paper consists of a review of the recent body of population-based, American surveys and finds a considerable gap in the ability to study the implications of families for the health and well-being of Americans. Earlier panel surveys used to assess family life anchored questions around marital events, but changes in family patterns require attention to a more diverse set of family forms. The paper concludes with recommendations for a multi-purpose panel study. The key challenge is to keep to pace with complexity and changes in American family life while at the same time maintaining a parsimonious set of survey questions. PMID:26612969

  3. Familial occurrence of systemic mast cell activation disease.

    Directory of Open Access Journals (Sweden)

    Gerhard J Molderings

    Full Text Available Systemic mast cell activation disease (MCAD comprises disorders characterized by an enhanced release of mast cell mediators accompanied by accumulation of dysfunctional mast cells. Demonstration of familial clustering would be an important step towards defining the genetic contribution to the risk of systemic MCAD. The present study aimed to quantify familial aggregation for MCAD and to investigate the variability of clinical and molecular findings (e.g. somatic mutations in KIT among affected family members in three selected pedigrees. Our data suggest that systemic MCAD pedigrees include more systemic MCAD cases than would be expected by chance, i.e., compared with the prevalence of MCAD in the general population. The prevalence of MCAD suspected by symptom self-report in first-degree relatives of patients with MCAD amounted to approximately 46%, compared to prevalence in the general German population of about 17% (p<0.0001. In three families with a high familial loading of MCAD, the subtype of MCAD and the severity of mediator-related symptoms varied between family members. In addition, genetic alterations detected in KIT were variable, and included mutations at position 816 of the amino acid sequence. In conclusion, our data provide evidence for common familial occurrence of MCAD. Our findings observed in the three pedigrees together with recent reports in the literature suggest that, in familial cases (i.e., in the majority of MCAD, mutated disease-related operator and/or regulator genes could be responsible for the development of somatic mutations in KIT and other proteins important for the regulation of mast cell activity. Accordingly, the immunohistochemically different subtypes of MCAD (i.e. mast cell activation syndrome and systemic mastocytosis should be more accurately regarded as varying presentations of a common generic root process of mast cell dysfunction, than as distinct diseases.

  4. A survey of formal training in the care of children in family practice residency programs.

    Science.gov (United States)

    Baldor, R A; Luckmann, R

    1992-08-01

    Declining hospitalization rates for children and an increased emphasis on ambulatory care may be affecting the way family practice residency programs train their residents in the care of children. We surveyed all US family practice residency program directors to determine the nature of the child care training that programs currently provide to residents. Responses were received from 78% of the programs. Residencies required a mean of 5.2 months of formal pediatric training (range: 1 to 11 months). Thirty percent of programs noted a declining inpatient census on inpatient pediatric teaching services, but since 1978, the mean duration of inpatient pediatric training increased by 0.4 months to a required mean of 2.7 months of general pediatric inpatient training (range: 0 to 6 months). The mean time devoted to structured outpatient pediatric training was only 1.6 months (range: 0 to 6 months). Nine percent of responding programs required no formal pediatric outpatient training other than family health center experience. Despite declining inpatient census and increased emphasis on comprehensive ambulatory care, family practice residencies require more formal inpatient pediatric training than formal outpatient training.

  5. Secondary Victimization: Domestic Violence Survivors Navigating the Family Law System.

    Science.gov (United States)

    Laing, Lesley

    2016-08-23

    This qualitative study explored the experiences of 22 domestic violence survivors attempting to negotiate safe post-separation parenting arrangements through the Australian family law system. Their allegations of violence put them at odds with a system that values mediated settlements and shared parenting. Skeptical responses, accusations of parental alienation, and pressure to agree to unsafe arrangements exacerbated the effects of post-separation violence. Core themes in the women's narratives of engagement with the family law system-silencing, control, and undermining the mother-child relationship-mirrored domestic violence dynamics, suggesting the concept of secondary victimization as a useful lens for understanding their experiences. © The Author(s) 2016.

  6. Sharing Family Life Information Through Video Calls and Other Information and Communication Technologies and the Association With Family Well-Being: Population-Based Survey.

    Science.gov (United States)

    Shen, Chen; Wang, Man Ping; Chu, Joanna Tw; Wan, Alice; Viswanath, Kasisomayajula; Chan, Sophia Siu Chee; Lam, Tai Hing

    2017-11-23

    The use of information and communication technologies (ICTs) for information sharing among family members is increasing dramatically. However, little is known about the associated factors and the influence on family well-being. The authors investigated the pattern and social determinants of family life information sharing with family and the associations of different methods of sharing with perceived family health, happiness, and harmony (3Hs) in Hong Kong, where mobile phone ownership and Internet access are among the most prevalent, easiest, and fastest in the world. A territory-wide population-based telephone survey was conducted from January to August 2016 on different methods of family life information (ie, information related to family communication, relationships with family members, emotion and stress management) sharing with family members, including face-to-face, phone, instant messaging (IM), social media sites, video calls, and email. Family well-being was assessed by three single items on perceived family health, happiness, and harmony, with higher scores indicating better family well-being. Adjusted prevalence ratios were used to assess the associations of sociodemographic factors with family life information sharing, and adjusted beta coefficients for family well-being. Of 2017 respondents, face-to-face was the most common method to share family life information (74.45%, 1502/2017), followed by IM (40.86%, 824/2017), phone (28.10%, 567/2017), social media sites (11.91%, 240/2017), video calls (5.89%, 119/2017), and email (5.48%, 111/2017). Younger age and higher education were associated with the use of any (at least one) method, face-to-face, IM, and social media sites for sharing family life information (all P for trend information was associated with a higher level of perceived family well-being (beta=0.56, 95% CI 0.37-0.75), especially by face-to-face (beta=0.62, 95% CI 0.45-0.80) and video calls (beta=0.34, 95% CI 0.04-0.65). The combination of

  7. The Multivariate Roles of Family Instability and Interparental Conflict in Predicting Children's Representations of Insecurity in the Family System and Early School Adjustment Problems.

    Science.gov (United States)

    Coe, Jesse L; Davies, Patrick T; Sturge-Apple, Melissa L

    2017-02-01

    This study examined the moderating role of family instability in relations involving destructive interparental conflict, children's internal representations of insecurity in the family system, and their early school maladjustment. Two hundred forty-three preschool children (M age = 4.60 years; 56 % girls) and their families participated in this multi-method (i.e., observations, structured interview, surveys) multi-informant (i.e., observer, parent, teacher), longitudinal study. Findings indicated that the mediational role of children's insecure family representations in the pathway between destructive interparental conflict and children's adjustment problems varied significantly depending on the level of family instability. Interparental conflict was specifically associated with insecure family representations only under conditions of low family instability. In supporting the role of family instability as a vulnerable-stable risk factor, follow up analyses revealed that children's concerns about security in the family were uniformly high under conditions of heightened instability regardless of their level of exposure to interparental conflict.

  8. The Multivariate Roles of Family Instability and Interparental Conflict in Predicting Children’s Representations of Insecurity in the Family System and Early School Adjustment Problems

    Science.gov (United States)

    Coe, Jesse L.; Davies, Patrick T.; Sturge-Apple, Melissa L.

    2016-01-01

    This study examined the moderating role of family instability in relations involving destructive interparental conflict, children’s internal representations of insecurity in the family system, and their early school maladjustment. Two hundred forty-three preschool children (M age = 4.60 years; 56% girls) and their families participated in this multi-method (i.e., observations, structured interview, surveys) multi-informant (i.e., observer, parent, teacher), longitudinal study. Findings indicated that the mediational role of children’s insecure family representations in the pathway between destructive interparental conflict and children’s adjustment problems varied significantly depending on the level of family instability. Interparental conflict was specifically associated with insecure family representations only under conditions of low family instability. In supporting the role of family instability as a vulnerable-stable risk factor, follow up analyses revealed that children’s concerns about security in the family were uniformly high under conditions of heightened instability regardless of their level of exposure to interparental conflict. PMID:27146062

  9. Accurate conjugate gradient methods for families of shifted systems

    NARCIS (Netherlands)

    Eshof, J. van den; Sleijpen, G.L.G.

    We present an efficient and accurate variant of the conjugate gradient method for solving families of shifted systems. In particular we are interested in shifted systems that occur in Tikhonov regularization for inverse problems since these problems can be sensitive to roundoff errors. The

  10. The Durham Family Initiative: A Preventive System of Care

    Science.gov (United States)

    Dodge, Kenneth A.; Berlin, Lisa J.; Epstein, Matthew; Spitz-Roth, Adele; O'Donnell, Karen; Kaufman, Martha; Amaya-Jackson, Lisa; Rosch, Joel; Christopoulos, Christina

    2004-01-01

    This article describes the Durham Family Initiative (DFI), an innovative effort to bring together child welfare and juvenile justice systems to reach DFI's goal of reducing the child abuse rate in Durham, North Carolina, by 50% within the next 10 years. DFI will follow principles of a preventive system of care (PSoC), which focuses on nurturing…

  11. Ocular and systemic findings in a survey of aniridia subjects.

    Science.gov (United States)

    Netland, Peter A; Scott, Michele L; Boyle, John W; Lauderdale, James D

    2011-12-01

    To determine the prevalence of ocular and systemic abnormalities in a group of subjects with aniridia. Survey forms developed by Aniridia Foundation International were sent to all members prior to the 2010 AFI member conference. An additional form was provided for completion by physicians caring for patients. Forms were then collected from all members who attended the meeting. A total of 155 surveys were distributed, of which 83 (53%) were completed. The mean age was 25.4 ± 18.4 years, with 65% sporadic and 35% familial cases, and 2.4% with WAGR (Wilms' tumor, aniridia, genitourinary anomalies, and mental retardation) syndrome. Ocular abnormalities included nystagmus (83%), cataract (71%), dry eye (53%), glaucoma (46%), keratopathy (45%), foveal hypoplasia (41%), strabismus (31%), and retinal disease (5%). The mean age at diagnosis of aniridia was 22.1 months (median, 1.5 months) and glaucoma was 13.6 years (median, 8.5 years). Of 38 subjects with aniridia and glaucoma, 76% were treated medically, and 58% had been treated surgically. In subjects with glaucoma, the mean number (± SD) of glaucoma medications was 1.8 ± 1.3, and number of surgical procedures was 1.7 ± 2.0. Developmental delay was reported in 17%. The mean body mass index and the prevalence of obesity in subjects with aniridia was significantly greater (P = 0.003) than in siblings without aniridia. In this study, aniridia was associated with nystagmus and other motility problems, cataract, glaucoma, and keratopathy. Systemic abnormalities included increased average body mass index and obesity, which appeared to occur not only in WAGR syndrome but more broadly in aniridia. Copyright © 2011 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

  12. Family burden related to mental and physical disorders in the world : results from the WHO World Mental Health (WMH) surveys

    NARCIS (Netherlands)

    Viana, Maria Carmen; Gruber, Michael J.; Shahly, Victoria; Alhamzawi, Ali; Alonso, Jordi; Andrade, Laura H.; Angermeyer, Matthias C.; Benjet, Corina; Bruffaerts, Ronny; Caldas-de-Almeida, Jose Miguel; de Girolamo, Giovanni; de Jonge, Peter; Ferry, Finola; Florescu, Silvia; Gureje, Oye; Haro, Josep Maria; Hinkov, Hristo; Hu, Chiyi; Karam, Elie G.; Lepine, Jean-Pierre; Levinson, Daphna; Posada-Villa, Jose; Sampson, Nancy A.; Kessler, Ronald C.

    2013-01-01

    Objective: To assess prevalence and correlates of family caregiver burdens associated with mental and physical conditions worldwide. Methods: Cross-sectional community surveys asked 43,732 adults residing in 19 countries of the WHO World Mental Health (WMH) Surveys about chronic physical and mental

  13. Integrated alarm annunciation and entry control systems -- Survey results

    Energy Technology Data Exchange (ETDEWEB)

    Clever, J.J.; Arakaki, L.H.; Monaco, F.M.; Juarros, L.E.; Quintana, G.R.

    1993-10-01

    This report provides the results and analyses of a detailed survey undertaken in Summer 1993 to address integrated intrusion detection alarm annunciation and entry control system issues. This survey was undertaken as a first attempt toward beginning to answer questions about integrated systems and commercial capabilities to meet or partially meet US Department of Energy (DOE) site needs.

  14. Security of Electronic Payment Systems: A Comprehensive Survey

    OpenAIRE

    Solat, Siamak

    2017-01-01

    This comprehensive survey deliberated over the security of electronic payment systems. In our research, we focused on either dominant systems or new attempts and innovations to improve the level of security of the electronic payment systems. This survey consists of the Card-present (CP) transactions and a review of its dominant system i.e. EMV including several researches at Cambridge university to designate variant types of attacks against this standard which demonstrates lack of a secure "o...

  15. Prospective relations between family conflict and adolescent maladjustment: security in the family system as a mediating process.

    Science.gov (United States)

    Cummings, E Mark; Koss, Kalsea J; Davies, Patrick T

    2015-04-01

    Conflict in specific family systems (e.g., interparental, parent-child) has been implicated in the development of a host of adjustment problems in adolescence, but little is known about the impact of family conflict involving multiple family systems. Furthermore, questions remain about the effects of family conflict on symptoms of specific disorders and adjustment problems and the processes mediating these effects. The present study prospectively examines the impact of family conflict and emotional security about the family system on adolescent symptoms of specific disorders and adjustment problems, including the development of symptoms of anxiety, depression, conduct problems, and peer problems. Security in the family system was examined as a mediator of these relations. Participants included 295 mother-father-adolescent families (149 girls) participating across three annual time points (grades 7-9). Including auto-regressive controls for initial levels of emotional insecurity and multiple adjustment problems (T1), higher-order emotional insecurity about the family system (T2) mediated relations between T1 family conflict and T3 peer problems, anxiety, and depressive symptoms. Further analyses supported specific patterns of emotional security/insecurity (i.e., security, disengagement, preoccupation) as mediators between family conflict and specific domains of adolescent adjustment. Family conflict was thus found to prospectively predict the development of symptoms of multiple specific adjustment problems, including symptoms of depression, anxiety, conduct problems, and peer problems, by elevating in in adolescent's emotional insecurity about the family system. The clinical implications of these findings are considered.

  16. Family perceptions of early hearing, detection, and intervention systems: listening to and learning from families.

    Science.gov (United States)

    DesGeorges, Janet

    2003-01-01

    As universal newborn hearing systems (screening, diagnosis, intervention) are being established around the world, the success of children who are identified to be deaf and hard of hearing is critically impacted by parent's reactions, acceptance, and advocacy for their child. It is imperative for professionals who are creating systems for Early Hearing, Detection, and Intervention to understand and learn from families' experiences in order to improve this process. This manuscript will identify the areas in which parents have spoken out about the professionals they have encountered through the system: what parents wish for in a healthy, productive relationship with professionals; and how parents can play a part in advocating for a system in which families needs are met so that infants identified to be deaf or hard of hearing can reach their full potential. Copyright 2003 Wiley-Liss, Inc.

  17. Testing Hardy-Weinberg equilibrium using family data from complex surveys.

    Science.gov (United States)

    She, Dewei; Zhang, Hong; Li, Zhaohai

    2009-07-01

    Genetic data collected during the second phase of the Third National Health and Nutrition Examination Survey (NHANES III) enable us to investigate the association of a wide variety of health factors with regard to genetic variation. The classic question when looking into the genetic variations in a population is whether the population is in the state of Hardy-Weinberg Equilibrium (HWE). Our objective was to develop test procedures using family data from complex surveys such as NHANES III. We developed six Pearson chi(2) based tests for a diallelic locus of autosomal genes. The finite sample properties of the proposed test procedures were evaluated via Monte Carlo simulation studies and the Rao-Scott first order corrected test was recommended. Test procedures were applied to three loci from NHANES III genetic databases, i.e., ADRB2, TGFB1, and VDR. HWE was shown to hold at 0.05 level for all three loci when only families with genotypic information available for two parents and for one or more children were used in the analysis.

  18. DWARF – a data warehouse system for analyzing protein families

    Science.gov (United States)

    Fischer, Markus; Thai, Quan K; Grieb, Melanie; Pleiss, Jürgen

    2006-01-01

    Background The emerging field of integrative bioinformatics provides the tools to organize and systematically analyze vast amounts of highly diverse biological data and thus allows to gain a novel understanding of complex biological systems. The data warehouse DWARF applies integrative bioinformatics approaches to the analysis of large protein families. Description The data warehouse system DWARF integrates data on sequence, structure, and functional annotation for protein fold families. The underlying relational data model consists of three major sections representing entities related to the protein (biochemical function, source organism, classification to homologous families and superfamilies), the protein sequence (position-specific annotation, mutant information), and the protein structure (secondary structure information, superimposed tertiary structure). Tools for extracting, transforming and loading data from public available resources (ExPDB, GenBank, DSSP) are provided to populate the database. The data can be accessed by an interface for searching and browsing, and by analysis tools that operate on annotation, sequence, or structure. We applied DWARF to the family of α/β-hydrolases to host the Lipase Engineering database. Release 2.3 contains 6138 sequences and 167 experimentally determined protein structures, which are assigned to 37 superfamilies 103 homologous families. Conclusion DWARF has been designed for constructing databases of large structurally related protein families and for evaluating their sequence-structure-function relationships by a systematic analysis of sequence, structure and functional annotation. It has been applied to predict biochemical properties from sequence, and serves as a valuable tool for protein engineering. PMID:17094801

  19. The Sociocultural Context of Family Size Preference, Ideal Sex Composition, and Induced Abortion in India: Findings From India’s National Family Health Surveys

    Science.gov (United States)

    Agrawal, Sutapa

    2017-01-01

    In this study, the author examined the effect of family size preference and sex composition of living children as determinants of induced abortion among women in India by analyzing 90,303 ever-married women aged 15–49, included in India’s second National Family Health Survey, conducted in 1998–99. Multivariate logistic regression methods were used to examine the association between induced abortion and possible determinants. The results indicated that a woman’s desire to limit family size with preferred sex composition of children, coupled with her autonomy and the sociocultural context, largely determines her experience of induced abortion in India. PMID:23066963

  20. An implicit ambivalence-indifference dimension of childbearing desires in the National Survey of Family Growth

    Directory of Open Access Journals (Sweden)

    Warren Miller

    2016-01-01

    Full Text Available Background: It is common in fertility surveys to ask women to retrospectively rate on a bipolar scale how much they wanted a pregnancy right before they became pregnant. Using a theoretical framework based on the interaction between positive and negative desires for pregnancy, we argue that the mid-point response to a bipolar survey question about preconception childbearing desires implicitly measures an ambivalence/indifference dimension of their preconception motivation. Objective: We create a variable that measures this dimension and examine its construct validity by testing hypotheses about how scores on this dimension predict the postconception wantedness of a pregnancy and how certain social and demographic contexts influence that prediction. Methods: Using data from the 2006−2010 National Survey of Family Growth, we use linear regression analyses to test these hypotheses on over 5,000 pregnancies that occurred in the 3 years prior to the survey interview. Results: The results confirm our general hypothesis that women who endorse the bipolar scale at or near the mid-point, and thus are high scorers on the proposed ambivalent/indifferent dimension, tend to resolve their preconception mixed feelings in the direction of wanting their pregnancies after they have occurred. The results also confirm that whether or not preconception mixed feelings are resolved in the direction of postconception wantedness depends upon the woman's relationship status at the time of conception, her age at conception, her income, and -within certain racial/ethnic groups, her level of education and income. Conclusions: We conclude that the dimension of ambivalent/indifferent desires provides additional explanatory power for the construct of postconception pregnancy wantedness and that our findings support the development of measures of positive and negative desires for pregnancy so that the constructs of ambivalent and indifferent childbearing desires may be

  1. Impact of an in-built monitoring system on family planning performance in rural Bangladesh

    Directory of Open Access Journals (Sweden)

    Ashraf Ali

    2007-06-01

    Full Text Available Abstract Background During 1982–1992, the Maternal and Child Health Family Planning (MCH-FP Extension Project (Rural of International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B, in partnership with the Ministry of Health and Family Welfare (MoHFW of the Government of Bangladesh (GoB, implemented a series of interventions in Sirajganj Sadar sub-district of Sirajganj district. These interventions were aimed at improving the planning mechanisms and for reviewing the problem-solving processes to build an effective monitoring system of the interventions at the local level of the overall system of the MOHFW, GoB. Methods The interventions included development and testing of innovative solutions in service-delivery, provision of door-step injectables, and strengthening of the management information system (MIS. The impact of an in-built monitoring system on the overall performance was assessed during the period from June 1995 to December 1996, after the withdrawal of the interventions in 1992. Results The results of the assessment showed that Family Welfare Assistants (FWAs increased household-visits within the last two months, and there was a higher use of service-delivery points even after the withdrawal of the interventions. The results of the cluster surveys, conducted in 1996, showed that the selected indicators of health and family-planning services were higher than those reported by the Bangladesh Demographic and Health Survey (BDHS 1996–1997. During June 1995-December, 1996, the contraceptive prevalence rate (CPR increased by 13 percentage points (i.e. from 40% to 53%. Compared to the national CPR (49%, this increase was statistically significant (p Conclusion The in-built monitoring systems, including effective MIS, accompanied by rapid assessments and review of performance by the programme managers, have potentials to improve family planning performance in low-performing areas.

  2. Beyond the Two-Parent Family: How Teenagers Fare in Cohabiting Couple and Blended Families. New Federalism: National Survey of America's Families, Series B, No. B-31. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies.

    Science.gov (United States)

    Nelson, Sandi; Clark, Rebecca L.; Acs, Gregory

    This brief uses data from the 1997 National Survey of America's Families to examine whether children living with their mothers and their mothers' boyfriends (who are not related to the children) are any better or worse off than children living with just a single mother. The brief also compares outcomes for children living in families in which…

  3. Autosomal dominant spastic paraplegias: a review of 89 families resulting from a portuguese survey.

    Science.gov (United States)

    Loureiro, José Leal; Brandão, Eva; Ruano, Luis; Brandão, Ana F; Lopes, Ana M; Thieleke-Matos, Carolina; Miller-Fleming, Leonor; Cruz, Vitor T; Barbosa, Mafalda; Silveira, Isabel; Stevanin, Giovanni; Pinto-Basto, Jorge; Sequeiros, Jorge; Alonso, Isabel; Coutinho, Paula

    2013-04-01

    Hereditary spastic paraplegias (HSPs) are a group of diseases caused by corticospinal tract degeneration. Mutations in 3 genes (SPG4, SPG3, and SPG31) are said to be the cause in half of the autosomal dominant HSPs (AD-HSPs). This study is a systematic review of families with HSP resulting from a population-based survey. Novel genotype-phenotype correlations were established. To describe the clinical, genetic, and epidemiological features of Portuguese AD-HSP families. Retrospective medical record review. A population-based systematic survey of hereditary ataxias and spastic paraplegias conducted in Portugal from 1993 to 2004. Families with AD-HSP. Mutation detection in the most prevalent genes. We identified 239 patients belonging to 89 AD-HSP families. The prevalence was 2.4 in 100 000. Thirty-one distinct mutations (26 in SPG4, 4 in SPG3, and 1 in SPG31) segregated in 41% of the families (33.7%, 6.2%, and 1.2% had SPG4, SPG3 and SPG31 mutations, respectively). Seven of the SPG4 mutations were novel, and 7% of all SPG4 mutations were deletions. When disease onset was before the first decade, 31% had SPG4 mutations and 27% had SPG3 mutations. In patients with SPG4 mutations, those with large deletions had the earliest disease onset, followed by those with missense, frameshift, nonsense, and alternative-splicing mutations. Rate of disease progression was not significantly different among patients with SPG3 and SPG4 mutations in a multivariate analysis. For patients with SPG4 mutations, disease progression was worst in patients with later-onset disease. The prevalence of AD-HSP and frequency of SPG3 and SPG4 mutations in the current study were similar to what has been described in other studies except that the frequency of SPG4 deletions was lower. In contrast, the frequency of SPG31 mutations in the current study was rare compared with other studies. The most interesting aspects of this study are that even in patients with early-onset disease the probability of

  4. Satisfaction with obstetric care. Patient survey in a family practice shared-call group.

    Science.gov (United States)

    Shapiro, J. L.

    1999-01-01

    OBJECTIVE: To examine patients' satisfaction with their obstetric care in a family medicine shared-call group. DESIGN: A survey was given to a convenience sample of patients who came to see their doctors over a 6-week period. SETTING: Brameast Family Practice in Brampton, Ont, where eight doctors participate in a shared obstetrics call group with 16 other physicians, each taking call 1 day in 23 days. PARTICIPANTS: Mothers in the practice who had delivered in the previous 8 months. MAIN OUTCOME MEASURES: Demographic data, interventions during delivery, and satisfaction ratings. RESULTS: Of the 70% of women who responded, 96% were delivered by a doctor other than their own. Eighty-eight percent of these women were satisfied with their medical care at delivery and 96% were satisfied with their prenatal care. Nearly 79% said they would choose this shared-call group again. CONCLUSIONS: This pilot study demonstrated a high level of patient satisfaction with obstetric care, despite the fact that most patients were delivered by a doctor other than their own. Family practice groups sharing obstetric call offer a feasible alternative for physicians who wish to avoid the interference with lifestyle and office appointments that practising obstetrics usually entails. PMID:10099804

  5. What drives attitude towards telemedicine among families of pediatric patients? A survey.

    Science.gov (United States)

    Russo, Luisa; Campagna, Ilaria; Ferretti, Beatrice; Agricola, Eleonora; Pandolfi, Elisabetta; Carloni, Emanuela; D'Ambrosio, Angelo; Gesualdo, Francesco; Tozzi, Alberto E

    2017-01-17

    Telemedicine has been recognized as a way to improve accessibility, quality, and efficiency of care. In view of the introduction of new telemedicine services, we conducted a survey through a self-administered questionnaire among families of children attending the Bambino Gesù Children's Hospital IRCCS, a tertiary care children's hospital located in Rome, Italy. We investigated sociodemographic data, clinical information, technological profile, attitude towards telemedicine, perceived advantages of telemedicine, fears regarding telemedicine, willingness to use a smartphone app providing telemedicine services and willingness to use a televisit service. Through logistic regression, we explored the effect of sociodemographic and clinical variables and technological profile on willingness of using a telemedicine app and a televisit service. We enrolled a total of 751 families. Most patients had a high technological profile, 81% had at least one account on a social network. Whatsapp was the most popular messaging service (76%). Seventy-two percent of patients would use an app for telemedicine services and 65% would perform a televisit. Owning a tablet was associated with both outcome variables - respectively: OR 2.216, 95% CI 1.358-3.616 (app) and OR 2.117, 95% CI 1.415-3.168 (televisit). Kind of hospitalization, diagnosis of a chronic disease, disease severity and distance from the health care center were not associated with the outcome variables. Families of pediatric patients with different clinical problems are keen to embark in telemedicine programs, independently from severity of disease or chronicity, and of distance from the hospital.

  6. Medicinal plants used as home remedies: a family survey by first year medical students.

    Science.gov (United States)

    Sewani-Rusike, Constance R; Mammen, Marykutty

    2014-01-01

    There is a hierarchical organisation of knowledge in the use of medicinal plants in communities. Medicinal use knowledge starts in the home and is passed on to family members. Next in the hierarchy are neighbours, village elders and finally, traditional healers being the most knowledgeable. For primary health care this hierarchy is actively followed in seeking remedies for ailments. This study was a survey of medicinal plant knowledge from family members of 1(st) year medical students registered at Walter Sisulu University. A total of 206 first year medical students participated in this study in 2010 and 2011. Results revealed 47 species used as home remedies, 32% of which are food plants. Leaves and roots were reported as most commonly used. The top five ailments managed at home were gastrointestinal problems (25 plants), wounds (19 plants), respiratory tract problems (19 plants), infections, including sexually transmitted diseases (19 plants) and pain including headaches (19 plants). Chronic diseases such as hypertension, diabetes, cancer and reproductive ailments also formed a large group of diseases self-managed at home (29 plants). Family members hold knowledge of medicinal plant use. From this study, first year medical students were made aware of the relationship between common ailments and associated home remedies. This study forms a basis for further study of medicinal plants to validate their use as medicinal remedies.

  7. Protocol for implementation of family health history collection and decision support into primary care using a computerized family health history system.

    Science.gov (United States)

    Orlando, Lori A; Hauser, Elizabeth R; Christianson, Carol; Powell, Karen P; Buchanan, Adam H; Chesnut, Blair; Agbaje, Astrid B; Henrich, Vincent C; Ginsburg, Geoffrey

    2011-10-11

    The CDC's Family History Public Health Initiative encourages adoption and increase awareness of family health history. To meet these goals and develop a personalized medicine implementation science research agenda, the Genomedical Connection is using an implementation research (T3 research) framework to develop and integrate a self-administered computerized family history system with built-in decision support into 2 primary care clinics in North Carolina. The family health history system collects a three generation family history on 48 conditions and provides decision support (pedigree and tabular family history, provider recommendation report and patient summary report) for 4 pilot conditions: breast cancer, ovarian cancer, colon cancer, and thrombosis. All adult English-speaking, non-adopted, patients scheduled for well-visits are invited to complete the family health system prior to their appointment. Decision support documents are entered into the medical record and available to provider's prior to the appointment. In order to optimize integration, components were piloted by stakeholders prior to and during implementation. Primary outcomes are change in appropriate testing for hereditary thrombophilia and screening for breast cancer, colon cancer, and ovarian cancer one year after study enrollment. Secondary outcomes include implementation measures related to the benefits and burdens of the family health system and its impact on clinic workflow, patients' risk perception, and intention to change health related behaviors. Outcomes are assessed through chart review, patient surveys at baseline and follow-up, and provider surveys. Clinical validity of the decision support is calculated by comparing its recommendations to those made by a genetic counselor reviewing the same pedigree; and clinical utility is demonstrated through reclassification rates and changes in appropriate screening (the primary outcome). This study integrates a computerized family health

  8. Small Solar System Objects Spectroscopic Survey: First Results

    Science.gov (United States)

    Lazzaro, D.; Angeli, C. A.; Florczak, M.; Betzler, A.; Barucci, M. A.; Fulchignoni, M.

    1997-07-01

    We began a systematic study of primitive bodies, called S(3OS^2) , Small Solar System Objects Spectroscopic Survey. Among the objects we are studying are: Near-Earth objects, asteroid families, asteroids near resonances, dark objects, Centaurs, objects representing a possible transition comet-asteroid, and asteroids with a very slow or complex rotation. The chemical and mineralogical composition of an asteroid's surface is studied through the analysis of its reflectance spectra in different wavelenghts. Four observation missions were carried out at the European Southern Observatory (La Silla, Chile), when we obtained a mineral characterization of about 300 asteroids. The observations were realized with a 1.52 m telescope with a Boller & Chivens spectrograph and a 2048x2048 CCD. The spectra were obtained in wavelenghts from 3000 to 9200 { Angstroms} and were reduced using the IRAF reduction package with usual techniques like flat-field, He-Ar lamps and solar analogs. Concerning concentrations in the Main Belt due to resonances with Jupiter, we present the initial results of Cybeles, Hildas, Hungarias, NEAs and Phocaea. We observed also, along all its opposition, the Centaur object 2060 Chiron, that displays a small cometary activity represented by variations in its reflectance spectrum. Concerning asteroid families, concentrations we believe are debris of an energetic collision causing the total breakup of the original bodies, we observed members of Adeona, Dora, Eos, Eunomia, Flora, Merxia and Themis. The Main Belt is represented in our sample by Flora, in the most inner region, Eunomia, Adeona, Dora and Merxia in the intermediary region, and Themis and Eos representing the most outer region of the belt. *Based on observations made with the 1.52 m telescope at the European Southern Observatory (La Silla, Chile) under the agreement with the CNPq/Observatorio Nacional (Brazil).

  9. Methodological reflections on some contributions of the systemic family therapy to an anthropological study of family

    Directory of Open Access Journals (Sweden)

    Marta Maffia

    2014-04-01

    Full Text Available The migratory phenomenon has been dealt from different historical, sociological, demographic and anthropological studies. Several times these approaches only offer partial answers to the issues involved in migration. Our research was focused on the study of Cape Verdean immigrant groups in Argentina, providing models about the organization and interaction of these groups in order to explore critical topics such as immigration and family, identity and ethnicity, among others. After long years of work, we have adjusted methodologies, especially those resulting from the traditional anthropology, looking for alternatives, “recycling” premises, guidelines and techniques from other disciplines, such as psychology (in particular family therapy of systemic orientation. In this work, we reflect on some methodological issues, especially the use of genograms implemented in the kinship study and Cape Verdean family in a migratory context, whose analysis was one of the objectives considered in the research project on the mentioned group in Argentina.

  10. Asthma education material for children and their families; a global survey of current resources.

    Science.gov (United States)

    Everard, Mark L; Wahn, Ulrich; Dorsano, Sofia; Hossny, Elham; Le Souef, Peter

    2015-01-01

    One of the keys to high quality paediatric asthma management is the provision of age appropriate information regarding the disease and its management. In order to determine whether the generation of a minimum dataset of information which can be translated into a wide range of languages might be used to assist children and their parents around the world, we undertook a survey of national Member Societies of the World Allergy Organization (WAO) to determine what educational material on asthma for children and their families already exists. A questionnaire was developed using Survey Monkey and distributed in 2014 to 263 representatives of the WAO member Societies from 95 countries. Thirty-three replies were received from thirty-one countries. The survey highlighted a considerable disparity in availability of material among the responding countries, with some countries reporting that information was freely available in hard copy and online and others reporting a lack of suitable material locally. The results highlight the need to develop a core set of simple, clear and consistent age appropriate information that can be easily translated and delivered in a cultural and educationally effective format.

  11. Organizational Factors and the Implementation of Family to Family: Contextual Elements of Systems Reform

    Science.gov (United States)

    Crea, Thomas M.; Crampton, David S.; Knight, Nelson; Paine-Wells, Lisa

    2011-01-01

    In efforts to reform the child welfare system, agency leaders must involve staff at all levels; yet, little research has been done to determine which organizational factors encourage or inhibit staff engagement. Employees from an urban child welfare agency were invited to complete a survey regarding organizational effectiveness and its influence…

  12. The Effectiveness of “Bowen’s Family System Therapy” on Differentiation and the Functions of Families with Addicted Child

    Directory of Open Access Journals (Sweden)

    Fatemeh Ghaffari

    2010-02-01

    Full Text Available Objective: The purpose of this study was to investigate the effectiveness of Bowen’s Family System therapy on increasing of differentiation and improving of family function in families with addicted children. Method: The research design of this research was semi experimental design namely: pre test-post test with witness group. The sample was selected voluntarily among referred bachelor addicts and their family members in 4 therapeutic centers, and divided to experimental (5families with 4 members, and witness groups (5families with 4 members, randomly. The experimental group was under training on the basis of Bowen’s family system therapy in 8 sessions. Each session was done for 2 hours. The witness group was under standard treatment of national protocols of Ministry and Health and Social Welfare Organization. The differentiation questionnaire and family function assessment were administered among two groups. Results: The result showed that Bowen’s Family System therapy increased differentiation and improved the function of addicted persons and their families. Conclusion: The addicted persons and their families have low differentiation that can be caused to family dysfunction. Bowen’s Family System therapy can be useful in this purpose.

  13. Family medicine in post-communist Europe needs a boost. Exploring the position of family medicine in healthcare systems of Central and Eastern Europe and Russia.

    Science.gov (United States)

    Oleszczyk, Marek; Svab, Igor; Seifert, Bohumil; Krztoń-Królewiecka, Anna; Windak, Adam

    2012-03-12

    The countries of Central and Eastern Europe have experienced a lot of changes at the end of the 20th century, including changes in the health care systems and especially in primary care. The aim of this paper is to systematically assess the position of family medicine in these countries, using the same methodology within all the countries. A key informants survey in 11 Central and Eastern European countries and Russia using a questionnaire developed on the basis of systematic literature review. Formally, family medicine is accepted as a specialty in all the countries, although the levels of its implementation vary across the countries and the differences are important. In most countries, solo practice is the most predominant organisational form of family medicine. Family medicine is just one of many medical specialties (e.g. paediatrics and gynaecology) in primary health care. Full introduction of family medicine was successful only in Estonia. Some of the unification of the systems may have been the result of the EU request for adequate training that has pushed the policies towards higher standards of training for family medicine. The initial enthusiasm of implementing family medicine has decreased because there was no initiative that would support this movement. Internal and external stimuli might be needed to continue transition process.

  14. A Bowen Family Systems Model of Generalized Anxiety Disorder and Romantic Relationship Distress.

    Science.gov (United States)

    Priest, Jacob B

    2015-07-01

    Many individuals with generalized anxiety disorder (GAD) do not respond well to currently available treatments. Moreover, treatments are less effective when GAD is accompanied by romantic relationship distress. In order to develop effective treatments for GAD and relationship distress, it is necessary to conduct theory-based research to identify links common to both GAD and romantic relationship distress. Drawing on Bowen's family systems theory, the roles of family abuse/violence and differentiation in GAD and romantic relationship distress were examined using existing data from the National Comorbidity Survey Replication (n = 2,312; 2005). As predicted, family abuse/violence was directly linked to both GAD and romantic relationship distress. Differentiation mediated the relationship between family abuse/violence and GAD, and partially mediated the relationship between family abuse/violence and romantic relationship distress. Findings suggest that current and past relationship processes may help maintain chronic anxiety and that Bowen's theory may be a useful framework for developing couple therapy treatment of GAD and romantic relationship distress. © 2013 American Association for Marriage and Family Therapy.

  15. Conflict in Nigeria family system: causative and strategic ...

    African Journals Online (AJOL)

    Many scholars have discussed issues relating to conflicts particularly gender violence as they affect the home. The family system in African culture bestows certain rights to women gender. Women inherited the life style of pampering but subjected to men domination particularly in political, social, economical and ...

  16. Agoraphobia and Paradigm Strain: A Family Systems Perspective.

    Science.gov (United States)

    Shean, Glenn; Rohrbaugh, Michael

    Agoraphobia is an increasingly common, often chronically incapacitating anxiety disorder. Both behavior therapy and pharmacotherapy can be effective in reducing the intensity of agoraphobic symptoms. There are promising new developments, however, from a family systems perspective. Researchers are finding that an agoraphobic's marriage and family…

  17. Circumplex model of marital and family systems: VI. Theoretical update.

    Science.gov (United States)

    Olson, D H; Russell, C S; Sprenkle, D H

    1983-03-01

    This paper updates the theoretical work on the Circumplex Model and provides revised and new hypotheses. Similarities and contrasts to the Beavers Systems Model are made along with comments regarding Beavers and Voeller's critique. FACES II, a newly revised assessment tool, provides both "perceived" and "ideal" family assessment that is useful empirically and clinically.

  18. SURVEY OF BIOMETRIC SYSTEMS USING IRIS RECOGNITION

    OpenAIRE

    S.PON SANGEETHA; Dr. M. Karnan

    2014-01-01

    The security plays an important role in any type of organization in today’s life. Iris recognition is one of the leading automatic biometric systems in the area of security which is used to identify the individual person. Biometric systems include fingerprints, facial features, voice recognition, hand geometry, handwriting, the eye retina and the most secured one presented in this paper, the iris recognition. Biometric systems has become very famous in security systems because it is not possi...

  19. Brief Survey of Operational Decision Support Systems

    Science.gov (United States)

    1979-02-01

    Controls Contardo Chesapeake Instruments Electronic Systems Hydrosysterns Ocean Systems Government Systems . WEEKLY STATUS ITEMS Receivable Days...Crosn Salps -KxtocnaI (T,i-l!ltiTcr>. (T.C.D) Sales DoductLotis (T,C,r)) Net Sains (T,(J,D) Cost of Good;! Sold <T,C,D) Cross

  20. Port-Hamiltonian systems: an introductory survey

    NARCIS (Netherlands)

    van der Schaft, Arjan; Sanz-Sole, M.; Soria, J.; Varona, J.L.; Verdera, J.

    2006-01-01

    The theory of port-Hamiltonian systems provides a framework for the geometric description of network models of physical systems. It turns out that port-based network models of physical systems immediately lend themselves to a Hamiltonian description. While the usual geometric approach to Hamiltonian

  1. Testing the theory of holism: A study of family systems and adolescent health.

    Science.gov (United States)

    Michaelson, Valerie; Pickett, William; King, Nathan; Davison, Colleen

    2016-12-01

    Holism is an ancient theory that can be applied contemporarily to adolescent health and its determinants. This theory suggests that there is value in considering factors that influence health together as integrated wholes, in addition to consideration of individual components. Characteristics of families are fundamental determinants of health and provide opportunity for exploration of this theory. In a "proof-of-concept" analysis we therefore: (1) developed a multidimensional, composite (holistic) measure to be used to characterize family systems; and (2) related this measure and its individual components to adolescent health outcomes, in order to test the theory of holism. Cross-sectional analyses of survey reports from the 2014 Canadian Health Behaviour in School-aged Children study (weighted n = 19,333) were performed. Factor analysis was used to confirm the psychometric properties of the holistic measure to describe a family system (the "holistic measure"). Associations between this holistic measure, its individual components, and various indicators of health were examined descriptively and using binomial regression. The holistic measure (4 items, α = 0.62; RMSEA = .04; SRMR = 0.01; AGFI = 0.99) included components describing family: material wealth, meal practices, neighbourhood social capital, and social connections. It was consistently associated with various health behaviours, and social and emotional health outcomes. In 22/24 comparisons, this holistic measure related to positive health outcomes more strongly than did its individual components; for negative health outcomes this occurred in 20/24 comparisons. Study findings suggest that it is possible to assess family systems holistically. Such systems are strongly associated with adolescent health outcomes, and there is etiological and theoretical value in considering family systems as integrated wholes.

  2. Too close and too rigid: applying the Circumplex Model of Family Systems to first-generation family firms.

    Science.gov (United States)

    Michael-Tsabari, Nava; Lavee, Yoav

    2012-06-01

    Despite growing research interest in family businesses, little is known about the characteristics of the families engaging in them. The present paper uses Olson's (Journal of Psychotherapy & the Family, 1988, 4(12), 7-49; Journal of Family Therapy, 2000, 22, 144-167) Circumplex Model of Marital and Family Systems to look at first-generation family firms. We describe existing typologies of family businesses and discuss similarities between the characteristics of first-generation family firms and the rigidly enmeshed family type described in the Circumplex Model. The Steinberg family business (Gibbon & Hadekel (1990) Steinberg: The breakup of a family empire. ON, Canada: MacMillan) serves to illustrate the difficulties of rigidly enmeshed first-generation family firms. Implications for understanding troubled family businesses are discussed together with guidelines for the assessment of a family business in crisis and for intervention: enhancing open communication; allowing for more flexible leadership style, roles, and rules; and maintaining a balance between togetherness and separateness. © 2012 American Association for Marriage and Family Therapy.

  3. Preparing Future Teachers to Collaborate with Families: Contributions of Family Systems Counselors to a Teacher Preparation Program

    Science.gov (United States)

    Amatea, Ellen S.; Mixon, Kacy; McCarthy, Shannon

    2013-01-01

    Systemically trained counselors have a distinctive set of skills that make them well suited to prepare teachers to work with students' families. In this article, we discuss our experiences as family counselors in developing and teaching a required course in family-school collaboration to elementary teachers in training. We first describe the…

  4. Beetles of Peru: a survey of the Families. Eucnemidae Eschscholtz, 1829

    Directory of Open Access Journals (Sweden)

    Robert L. Otto

    2017-04-01

    Full Text Available A checklist of the eucnemid beetles of Peru is presented, based on a literature survey and identification of specimens from two museums. The Peruvian fauna comprises ~107 species in 30 genera from eight tribes and three subfamilies. Nine genera are newly recorded for Peru. They include: Xylophilus Mannerheim 1823, Temnillus Bonvouloir 1871, Gastraulacus Guérin-Méneville 1843, Somahenecus Cobos 1964, Silveriola Cobos 1956, Onichodon Newman 1838, Cladus Bonvouloir 1872, Thambus Bonvouloir 1871 and Neomathion Fleutiaux 1930. Fifty-eight species are newly recorded for Peru. A familial diagnosis as well as notes on eucnemid habitat, collecting methods, and biology are provided. This contribution is part of the ‘Beetles of Peru’ project.

  5. Parent and Family Involvement in Education: Results from the National Household Education Surveys Program of 2016. First Look. NCES 2017-102

    Science.gov (United States)

    McQuiggan, Meghan; Megra, Mahi

    2017-01-01

    This report presents findings from the Parent and Family Involvement in Education Survey of the National Household Education Surveys Program of 2016 (NHES:2016). The Parent and Family Involvement in Education Survey collected data on children enrolled in public or private school for kindergarten through 12th grade or homeschooled for these grades.…

  6. [Compatibility of Work and Family Life: Survey of Physicians in the Munich Metropolitan Area].

    Science.gov (United States)

    Lauchart, Meike; Ascher, Philipp; Kesel, Karin; Weber, Sabine; Grabein, Beatrice; Schneeweiss, Bertram; Fischer-Truestedt, Cordula; Schoenberg, Michael; Rogler, Gudrun; Borelli, Claudia

    2017-05-15

    Aim Investigation of the compatibility of work and family life for physicians in the Munich metropolitan area. Methods Survey of a representative sample of 1,800 physicians using a questionnaire. Results Men were less satisfied (7% very satisfied vs. 21%) with compatibility between work and family life than women. The group least satisfied overall was hospital-based physicians (p=0.000, chi-square=122.75). Women rather than men cut back their career due to children, perceived their professional advancement as impaired, desisted from establishing private practice or quit hospital employment altogether. Respondents strove for flexible childcare and makeshift solution if the established service failed. Most did not have that at their disposal. Hospital-based physicians wished for predictable working hours, and would like to have a say in the structure of their schedule. For the majority this was not the case. While for 80% it would be important to participate in the definition of their working hours, this was only possible in 17%. 86% found the opportunity to work part-time important, but many doctors (more than 30%) did not have that option. The biggest help for office-based physicians would be an expedited procedure by the Bavarian Association of Statutory Health Insurance Physicians (KVB) when applying for a proxy. The second most important would be the ability to hand over on-call duties. 36% of respondents felt that compatibility of work and family life was best achieved outside of patient care, during residency 42% believed this to be the case. Only 6% of physicians felt the best compatibility to be achieved in a hospital. Among the physician owners of practices, 34% considered their model to be the best way to reconcile both aspects of life. Conclusion More flexible options for childcare and more influence on the definition of working hours are necessary in order to better reconcile work and family life. For office-based physicians it must be made easier to

  7. A survey of waterproofing membrane systems for bridge decks.

    Science.gov (United States)

    1972-01-01

    This survey was concerned with only a few of the many waterproof systems available for sealing concrete bridge decks, and made use of personal contacts with engineers of other highway agencies. The information gathered indicated that there were sever...

  8. Investigations of Intelligent Solar Heating Systems for Single Family House

    DEFF Research Database (Denmark)

    Andersen, Elsa; Chen, Ziqian; Fan, Jianhua

    2014-01-01

    Three differently designed intelligent solar heating systems are investigated experimentally in a test facility. The systems provide all the needed yearly heating demand in single family houses. The systems are based on highly stratified tanks with variable auxiliary heated volumes. The tank...... is a tank in tank heat storage with domestic hot water in the inner tank and space heating water in the outer tank. The total tank volume is 750 liters and the solar collector area is 9 m2. The auxiliary energy supply system is based on electrical heating element(s)/heat pump and is different for all three...... systems.The system will be equipped with an intelligent control system where the control of the electrical heating element(s)/heat pump is based on forecasts of the variable electricity price, the heating demand and the solar energy production.By means of numerical models of the systems made in Trnsys...

  9. Death with dignity from the perspective of the surviving family: A survey study among family caregivers of deceased older adults

    NARCIS (Netherlands)

    van Gennip, I.E.; Pasman, H.R.W.; Kaspers, P.J.; Oosterveld-Vlug, M.G.; Willems, D.L.; Deeg, D.J.H.; Onwuteaka-Philipsen, B.D.

    2013-01-01

    Background: Death with dignity has been identified as important both to patients and their surviving family. While research results have been published on what patients themselves believe may affect the dignity of their deaths, little is known about what family caregivers consider to be a dignified

  10. Death with dignity from the perspective of the surviving family: a survey study among family caregivers of deceased older adults

    NARCIS (Netherlands)

    van Gennip, Isis E.; Pasman, H. Roeline W.; Kaspers, Pam J.; Oosterveld-Vlug, Mariska G.; Willems, Dick L.; Deeg, Dorly J. H.; Onwuteaka-Philipsen, Bregje D.

    2013-01-01

    Death with dignity has been identified as important both to patients and their surviving family. While research results have been published on what patients themselves believe may affect the dignity of their deaths, little is known about what family caregivers consider to be a dignified death. (1)

  11. A Survey on Distributed File System Technology

    Science.gov (United States)

    Blomer, J.

    2015-05-01

    Distributed file systems provide a fundamental abstraction to location-transparent, permanent storage. They allow distributed processes to co-operate on hierarchically organized data beyond the life-time of each individual process. The great power of the file system interface lies in the fact that applications do not need to be modified in order to use distributed storage. On the other hand, the general and simple file system interface makes it notoriously difficult for a distributed file system to perform well under a variety of different workloads. This has lead to today's landscape with a number of popular distributed file systems, each tailored to a specific use case. Early distributed file systems merely execute file system calls on a remote server, which limits scalability and resilience to failures. Such limitations have been greatly reduced by modern techniques such as distributed hash tables, content-addressable storage, distributed consensus algorithms, or erasure codes. In the light of upcoming scientific data volumes at the exabyte scale, two trends are emerging. First, the previously monolithic design of distributed file systems is decomposed into services that independently provide a hierarchical namespace, data access, and distributed coordination. Secondly, the segregation of storage and computing resources yields to a storage architecture in which every compute node also participates in providing persistent storage.

  12. A Survey of Mainstream Indoor Positioning Systems

    Science.gov (United States)

    Zhou, Fangzheng

    2017-10-01

    Indoor positioning problems have been one of the most challenging research topics in recent years, which comprise smartphone-based indoor localization, tracking, and navigation. Many positioning systems have been designed to provide such reliable indoor location-based services (LBS). In this paper, we have compared different indoor positioning systems, and discussed its future improvements.

  13. A Survey of Civilian Dental Computer Systems.

    Science.gov (United States)

    1988-01-01

    r.arketplace, the orthodontic community continued to pioneer clinical automation through diagnosis, treat- (1) patient registration, identification...Compugnath Dental Diagnostic Systems DDS Articulate Publications - Dental Management Plus Dentalis System VI Dental Office Computer Artificial...Kamp Mixed Dentition Analysis Office Management Software Key Management - Dental Office Rocky Mountain Orthodontics Receivables Insurance . CADIAS/RDE

  14. Natural Language Generation for dialogue: system survey

    NARCIS (Netherlands)

    Theune, Mariet

    Many natural language dialogue systems make use of `canned text' for output generation. This approach may be su±cient for dialogues in restricted domains where system utterances are short and simple and use fixed expressions (e.g., slot filling dialogues in the ticket reservation or travel

  15. Computer Security: a Survey of Methods and Systems

    OpenAIRE

    Yampolskiy, Roman V.; Venu Govindaraju

    2007-01-01

    In this work we have reviewed studies which survey all aspects of computer security including attackers and attacks, software bugs and viruses as well as different intrusion detection systems and ways to evaluate such systems. The aim was to develop a survey of security related issues which would provide adequate information and advice to newcomers to the field as well as a good reference guide for security professionals.

  16. Family of Packaged Water/Packaged Water System

    Science.gov (United States)

    1994-03-01

    equipment were surveyed. These companies were selected from: a. Thomas Register - Pharmaceutical , Blood Processing Equipment, and Intravenous Equipment...Engineering Center, ASTM- CCM , Fort Lee, VA. 4. U.S. Army Quartermaster Center and School. 1992. Draft Study Plan for the Packaged Water System

  17. An Informal Survey of the CTI Backup System

    Directory of Open Access Journals (Sweden)

    Joseph Covino

    1981-06-01

    Full Text Available In order to help decide whether or not to purchase computer backup systems from Computer Translation, Inc. (CTI, for use when the CLSI LIBS 100 automated circulation system is not operating, Great Neck Library conducted an informal survey of libraries using both systems

  18. Information survey for microcomputer systems integration

    Energy Technology Data Exchange (ETDEWEB)

    Hake, K.A.

    1991-12-01

    One goal of the PM-AIM is to provide US Army Project Managers (PMs) and Project Executive Officers (PEOs) with a fundamental microcomputing resource to help perform acquisition information management and its concomitant reporting requirements. Providing key application software represents one means of accomplishing this goal. This workstation would furnish a broad range of capabilities needed in the PM and PEO office settings as well as software tools for specific project management and acquisition information. Although still in the conceptual phase, the practical result of this exercise in systems integration will likely be a system called the Project Manager's Information System (PMIS) or the AIM workstation. It would include such software as, Project Manager's System Software (PMSS), Defense Acquisition Executive Summary (DAES), and Consolidated Acquisition Reporting System (CARS) and would conform to open systems architecture as accepted by the Department of Defense. ORNL has assisted PM-AIM in the development of technology ideas for the PMIS workstation concept. This paper represents the compilation of information gained during this process. This information is presented as a body of knowledge (or knowledge domain) defining the complex technology of microcomputing. The concept of systems integration or tying together all hardware and software components reflects the nature of PM-AIM's task in attempting to field a PMIS or AIM workstation.

  19. Information survey for microcomputer systems integration

    Energy Technology Data Exchange (ETDEWEB)

    Hake, K.A.

    1991-12-01

    One goal of the PM-AIM is to provide US Army Project Managers (PMs) and Project Executive Officers (PEOs) with a fundamental microcomputing resource to help perform acquisition information management and its concomitant reporting requirements. Providing key application software represents one means of accomplishing this goal. This workstation would furnish a broad range of capabilities needed in the PM and PEO office settings as well as software tools for specific project management and acquisition information. Although still in the conceptual phase, the practical result of this exercise in systems integration will likely be a system called the Project Manager`s Information System (PMIS) or the AIM workstation. It would include such software as, Project Manager`s System Software (PMSS), Defense Acquisition Executive Summary (DAES), and Consolidated Acquisition Reporting System (CARS) and would conform to open systems architecture as accepted by the Department of Defense. ORNL has assisted PM-AIM in the development of technology ideas for the PMIS workstation concept. This paper represents the compilation of information gained during this process. This information is presented as a body of knowledge (or knowledge domain) defining the complex technology of microcomputing. The concept of systems integration or tying together all hardware and software components reflects the nature of PM-AIM`s task in attempting to field a PMIS or AIM workstation.

  20. Impact of family structure and socio-demographic characteristics on child health and wellbeing in same-sex parent families: A cross-sectional survey.

    Science.gov (United States)

    Crouch, Simon Robert; McNair, Ruth; Waters, Elizabeth

    2016-05-01

    Children with same-sex attracted parents develop well in terms of their health and wellbeing. There are many recognised factors that have an impact on child health, in general, including individual, family and wider social mediators. The aim of this study is to determine the impact of family structure and socio-demographic characteristics on child health and wellbeing in Australian same-sex parent families. A cross-sectional survey of self-identified same-sex attracted parents from across Australia was used to collect information on child health and wellbeing between May and December 2012. Mixed-effects multiple linear regression models were used to identify associations between family structure/socio-demographic characteristics and child wellbeing. Child health outcomes were measured using the Child Health Questionnaire and the Strengths and Difficulties Questionnaire. In same-sex parent families, biological relationships, parental gender and parental education were not significantly associated with health and wellbeing. Parental income, rurality and stable parental relationships were associated with health and wellbeing, and living in a single-parent household was associated with poorer wellbeing. Stable dual parent families offer good outcomes for children with same-sex attracted parents. Family processes are most important. This study does not support the assertion that children require both male and female parents, nor that biological relationships are essential to health and wellbeing. This study provides scientific data from a cross-sectional Australian-based study to describe and understand health determinants for children in family contexts that comprise same-sex parent and all family contexts. It recommends equitable, stigma-free family support. © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  1. Cross-sectional survey of the relationship of symptomatology, disability and family burden among patients with schizophrenia in Sichuan, China.

    Science.gov (United States)

    Zhang, Zhuoqiu; Deng, Hong; Chen, Ying; Li, Shuiying; Zhou, Qian; Lai, Hua; Liu, Lifang; Liu, Ling; Shen, Wenwu

    2014-02-01

    Schizophrenia is a chronic condition that leads to high rates of disability and high levels of family burden but the interactive relationship between these variables remains unclear, particularly in low- and middle-income countries where the vast majority of patients live with their families. Assess the symptom severity, level of disability, and family burden among clinically stable outpatients with schizophrenia in Sichuan, China. A total of 101 clinically stable outpatients with schizophrenia who had a median duration of illness of five years were assessed using the World Health Organization Disability Assessment Scale 2.0 (WHODAS II), the Positive and Negative Syndrome Scale (PANSS) and the Family Adaptation, Partnership, Growth, Affection and Resolve Index scale (APGAR); and their caregivers were surveyed using the Family Burden Interview Schedule (FBIS). Among the 101 patients, 92 lived with their immediate family members, 74 had clinically significant disability, and 73 were unemployed. The level of disability was associated with the severity of symptoms (r=0.50, pfamily support (r=-0.30, p=0.020). Disability was also associated with the overall level of family burden (r=0.40, pfamily burden: financial burden (r=0.21, p=0.040), the degree of disruption in family routines (r=0.33, p=0.001), the effect on family leisure activities (r=0.31, p=0.001) and the quality of family interactions (r=0.43, pfamily support, and the overall burden of the illness on the family. Even after adjusting for the severity of patients' symptoms, patient disability is independently associated with family burden. This highlights the importance of targeting both symptoms and disability in treatment strategies for this severe, often lifelong, condition. In countries like China where most individuals with schizophrenia live with their families, family burden is an important component of the impact of the illness on the community that should be included in measures of the relative social

  2. Resource Survey Relational Database Management System

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Mississippi Laboratories employ both enterprise and localized data collection systems for recording data. The databases utilized by these applications range from...

  3. A Survey on Mobile Payment Systems Security

    OpenAIRE

    Leila Esmaeili; Zeinab Borhani-Fard; Mohammad Ali Arasteh

    2012-01-01

    In recent years, increasing use of mobile devices and the emergence of new technologies have changed mobile commerce and mobile payment in all over the world. Although many attempts have been made to implement secure mobile payment systems and services, growing forgery, fraud and other related electronic crimes as well as security attacks and threats prove the necessity of paying special attention to security issues for development and extension of such systems. In this paper, we investigate ...

  4. Intent to Build Hepatitis C Treatment Capacity Within Family Medicine Residencies: A Nationwide Survey of Program Directors: A CERA Study.

    Science.gov (United States)

    Camminati, Camille Webb; Simha, Aditya; Kolb, N Randall; Prasad, Ramakrishna

    2016-09-01

    In the current interferon-free era, family medicine is in a unique position to deliver hepatitis C (HCV) treatment with adequate training. Little is known about attitudes of family medicine program directors (PDs) toward capacity building within their residency programs. We report the results of a nationwide survey of family medicine PDs to examine these attitudes. This study was part of a CERA (Council of Academic Family Medicine Educational Research Alliance) omnibus survey administered to family medicine PDs between February 2015 and March 2015. Attitudes were assessed using a Likert scale ranging from 1=strongly disagree to 6=strongly agree. We surveyed 452 physicians, with 273 responses (response rate 61%). The majority of PDs (78%) believed that chronic HCV represented a significant problem for primary care, and 61.9% believed their program should take steps to build capacity in HCV treatment. There was no effect of regional HCV prevalence, residency program context, or PD characteristics on intent to build capacity. This is the first report to examine PDs intent to build capacity in HCV treatment in this interferon-free, direct antiviral era. Our findings highlight a historic opportunity to train family physicians and position them on the frontline as HCV treatment providers.

  5. Sleep Bruxism-Tooth Grinding Prevalence, Characteristics and Familial Aggregation: A Large Cross-Sectional Survey and Polysomnographic Validation.

    Science.gov (United States)

    Khoury, Samar; Carra, Maria Clotilde; Huynh, Nelly; Montplaisir, Jacques; Lavigne, Gilles J

    2016-11-01

    Sleep bruxism (SB) is characterized by tooth grinding and jaw clenching during sleep. Familial factors may contribute to the occurrence of SB. This study aims are: (1) revisit the prevalence and characteristics of SB in a large cross-sectional survey and assess familial aggregation of SB, (2) assess comorbidity such as insomnia and pain, (3) compare survey data in a subset of subjects diagnosed using polysomnography research criteria. A sample of 6,357 individuals from the general population in Quebec, Canada, undertook an online survey to assess the prevalence of SB, comorbidities, and familial aggregation. Data on familial aggregation were compared to 111 SB subjects diagnosed using polysomnography. Regularly occurring SB was reported by 8.6% of the general population, decreases with age, without any gender difference. SB awareness is concomitant with complaints of difficulties maintaining sleep in 47.6% of the cases. A third of SB positive probands reported pain. A 2.5 risk ratio of having a first-degree family member with SB was found in SB positive probands. The risk of reporting SB in first-degree family ranges from 1.4 to 2.9 with increasing severity of reported SB. Polysomnographic data shows that 37% of SB subjects had at least one first-degree relative with reported SB with a relative risk ratio of 4.625. Our results support the heritability of SB-tooth grinding and that sleep quality and pain are concomitant in a significant number of SB subjects.

  6. The British Geological Survey seismic monitoring system

    Science.gov (United States)

    Ottemoller, L.; Baptie, B.; Luckett, R.

    2009-04-01

    The British Geological Survey (BGS) monitors the seismicity in and around the British Isles. The seismic network was started in the seventies and built up over the years to 146 short-period stations. An upgrade of this network started a few years ago and will result in a modern network with broadband seismometers, high dynamic range digitizers and real-time communication (Internet, ADSL, satellite). In total the network will comprise about 50 stations, with only few short-period stations remaining. Equipment is used from both Guralp and Nanometrics, and their respective software for data acquisition is used to bring the data to the centre in near real-time. The automated data processing is done through Earthworm. Event data are analysed using SEISAN. Continuous data are kept for all broadband stations and checked for quality and completeness. Real-time data is also exchanged with neighbouring networks. The data is used for routine monitoring, but also research. The main research objectives are to understand distribution of seismicity and relating earthquakes to tectonics, develop velocity and attenuation models and study the seismic hazard and earthquake effects.

  7. Tabulations of Responses from the 1999 Survey of Spouses of Active Duty Personnel. Volume 2. Programs and Services, Employment, Family, Economic Issues, and Background

    National Research Council Canada - National Science Library

    Deak, Mary

    2001-01-01

    The 1999 Active Duty Surveys (ADS) gather information on current location, spouse's military assignment, military life, programs and services, spouse employment, family information, economic issues, and background...

  8. Attitudes and perceptions of medical students about family medicine in Spain: protocol for a cross-sectional survey.

    Science.gov (United States)

    Alonso-Coello, Pablo; Villa, Josep Jiménez; Hijar, Antonio Monreal; Tuduri, Xavier Mundet; Puime, Angel Otero; Zurro, Amando Martín

    2011-01-01

    Background Despite the fact that family medicine (FM) has become established as a specialty in the past 25 years, this has not been reflected in the inclusion of the specialty in the majority of medical schools in Spain. Almost 40% of the students will work in primary care but, in spite of this, most universities do not have an assessed placement as such. There are only specific practice periods in health centres or some student-selected components with little weight in the overall curricula. Objectives To evaluate the attitudes and perceptions of medical students about FM in the health system and their perception about the need for specific training in FM at the undergraduate level. To explore change over time of these attitudes and perceptions and to examine potential predictive factors for change. Finally, we will review what teaching activity in FM is offered across the Spanish schools of medicine. Methods Descriptive cross-sectional survey. Each one of the different analyses will consist of two surveys: one for all the students in the first, third and fifth year of medical school in all the Spanish schools of medicine asking about their knowledge, perceptions and attitudes in relation to primary care and FM. There will be an additional survey for the coordinating faculty of the study in each university about the educational activities related to FM that are carried out in their centres. The repetition of the study every 2 years will allow for an analysis of the evolution of the cohort of students until they receive their degree and the potential predictive factors. Discussion This study will provide useful information for strategic planning decisions, content and educational methodology in medical schools in Spain and elsewhere. It will also help to evaluate the influence of the ongoing changes in FM, locally and at the European level, on the attitudes and perceptions of the students towards FM in Spain.

  9. Attitudes and perceptions of medical students about family medicine in Spain: protocol for a cross-sectional survey

    Science.gov (United States)

    Alonso-Coello, Pablo; Villa, Josep Jiménez; Hijar, Antonio Monreal; Tuduri, Xavier Mundet; Puime, Ángel Otero

    2011-01-01

    Background Despite the fact that family medicine (FM) has become established as a specialty in the past 25 years, this has not been reflected in the inclusion of the specialty in the majority of medical schools in Spain. Almost 40% of the students will work in primary care but, in spite of this, most universities do not have an assessed placement as such. There are only specific practice periods in health centres or some student-selected components with little weight in the overall curricula. Objectives To evaluate the attitudes and perceptions of medical students about FM in the health system and their perception about the need for specific training in FM at the undergraduate level. To explore change over time of these attitudes and perceptions and to examine potential predictive factors for change. Finally, we will review what teaching activity in FM is offered across the Spanish schools of medicine. Methods Descriptive cross-sectional survey. Each one of the different analyses will consist of two surveys: one for all the students in the first, third and fifth year of medical school in all the Spanish schools of medicine asking about their knowledge, perceptions and attitudes in relation to primary care and FM. There will be an additional survey for the coordinating faculty of the study in each university about the educational activities related to FM that are carried out in their centres. The repetition of the study every 2 years will allow for an analysis of the evolution of the cohort of students until they receive their degree and the potential predictive factors. Discussion This study will provide useful information for strategic planning decisions, content and educational methodology in medical schools in Spain and elsewhere. It will also help to evaluate the influence of the ongoing changes in FM, locally and at the European level, on the attitudes and perceptions of the students towards FM in Spain. PMID:22189348

  10. Sleep Bruxism-Tooth Grinding Prevalence, Characteristics and Familial Aggregation: A Large Cross-Sectional Survey and Polysomnographic Validation

    Science.gov (United States)

    Khoury, Samar; Carra, Maria Clotilde; Huynh, Nelly; Montplaisir, Jacques; Lavigne, Gilles J.

    2016-01-01

    Study Objectives: Sleep bruxism (SB) is characterized by tooth grinding and jaw clenching during sleep. Familial factors may contribute to the occurrence of SB. This study aims are: (1) revisit the prevalence and characteristics of SB in a large cross-sectional survey and assess familial aggregation of SB, (2) assess comorbidity such as insomnia and pain, (3) compare survey data in a subset of subjects diagnosed using polysomnography research criteria. Methods: A sample of 6,357 individuals from the general population in Quebec, Canada, undertook an online survey to assess the prevalence of SB, comorbidities, and familial aggregation. Data on familial aggregation were compared to 111 SB subjects diagnosed using polysomnography. Results: Regularly occurring SB was reported by 8.6% of the general population, decreases with age, without any gender difference. SB awareness is concomitant with complaints of difficulties maintaining sleep in 47.6% of the cases. A third of SB positive probands reported pain. A 2.5 risk ratio of having a first-degree family member with SB was found in SB positive probands. The risk of reporting SB in first-degree family ranges from 1.4 to 2.9 with increasing severity of reported SB. Polysomnographic data shows that 37% of SB subjects had at least one first-degree relative with reported SB with a relative risk ratio of 4.625. Conclusions: Our results support the heritability of SB-tooth grinding and that sleep quality and pain are concomitant in a significant number of SB subjects. Citation: Khoury S, Carra MC, Huynh N, Montplaisir J, Lavigne GJ. Sleep bruxism-tooth grinding prevalence, characteristics and familial aggregation: a large cross-sectional survey and polysomnographic validation. SLEEP 2016;39(11):2049–2056. PMID:27568807

  11. Prevalence and familial predictors of suicidal behaviour among adolescents in Lithuania: a cross-sectional survey 2014

    Directory of Open Access Journals (Sweden)

    Apolinaras Zaborskis

    2016-07-01

    Full Text Available Abstract Background In the past decades Lithuania has been experiencing a very high suicide rate among young people and there are scarce data on the role of the family in shaping these people suicidal behaviour. This study investigated the prevalence of suicidal ideation and attempts, as well as their association with a range of familial factors in a representative sample of Lithuanian adolescents. Methods Study subjects (N = 3572 were adolescents aged 13- and 15-years from the schools in Lithuania who were surveyed in Spring 2014 according to the methodology of the cross-national Health Behaviour in School-aged Children (HBSC. A standard HBSC international questionnaire was translated into Lithuanian and used anonymously to obtain information about suicidal behaviour (stopped doing activities, considered suicide, planned suicide, and suicide attempts and family life (family structure, quality of communication in family, parental monitoring and bonding, parenting style, family time, etc.. Logistic regression was used to assess association between suicidal behaviours and familial variables. Results Forty three percents of surveyed adolescents reported presence of emotions that stopped doing activities during the last 12 months, 23.8 % seriously considered attempting suicide, 13.7 % made a suicide plan, 13.2 % attempted suicide, and 4.1 % needed treatment because of suicide attempt in the previous year. Adolescents from non-intact families reported more suicidal ideation (OR ranged from 1.32 to 1.35, P < 0.05 and more suicide attempts (OR = 1.70, 95 % CI 1.38-2.09, P < 0.001. Among adolescents from intact families, some manisfestations of suicidal behaviour were significantly associated with low satisfaction in family relationships, low father’s and mother’s emotional support, low mother’s monitoring, low school-related parental support, authoritarian-repressive father’s parenting style and permissive

  12. Circumplex model of marital and family system: I. Cohesion and adaptability dimensions, family types, and clinical applications.

    Science.gov (United States)

    Olson, D H; Sprenkle, D H; Russell, C S

    1979-03-01

    The conceptual clustering of numerous concepts from family therapy and other social science fields reveals two significant dimensions of family behavior, cohesion and adaptability. These two dimensions are placed into a circumplex model that is used to identify 16 types of marital and family systems. The model proposes that a balanced level of both cohesion and adaptability is the most functional to marital and family development. It postulates the need for a balance on the cohesion dimension between too much closeness (which leads to enmeshed systems) and too little closeness (which leads to disengaged systems). There also needs to be a balance on the adaptability dimension between too much change (which leads to chaotic systems) and too little change (which leads to rigid systems). The model was developed as a tool for clinical diagnosis and for specifying treatment goals with couples and families.

  13. Work, family and daily mobility: a new approach to the problem through a mobility survey.

    Science.gov (United States)

    Olabarria, Marta; Pérez, Katherine; Santamariña-Rubio, Elena; Aragay, Josep Maria; Capdet, Mayte; Peiró, Rosana; Rodríguez-Sanz, Maica; Artazcoz, Lucía; Borrell, Carme

    2013-01-01

    To analyze gender inequalities in socioeconomic factors affecting the amount of time spent travelling for work-related and home-related reasons among working individuals aged between 30 and 44 years old during a weekday in Catalonia (Spain). A cross-sectional study was conducted. Data were obtained from employed individuals aged between 30 and 44 years of age who reported travelling on the day prior to the interview in the Catalan Mobility Survey 2006 (N = 23,424). Multivariate logistic regression models were adjusted to determine the factors associated with longer time spent travelling according to the reason for travelling (work- or home-related journeys). Odds ratios and 95% confidence intervals are presented. A higher proportion of men travelled and spent more time travelling for work-related reasons, while a higher proportion of women travelled and spend more time travelling for home-related reasons. A higher educational level was associated with greater time spent travelling for work-related reasons in both men and women but was related to an increase in travelling time for home-related reasons only in men. In women, a larger household was associated with greater travel time for home-related reasons and with less travel time for work-related reasons. This study confirms the different mobility patterns in men and women, related to their distinct positions in the occupational, family and domestic spheres. Gender inequalities in mobility within the working population are largely determined by the greater responsibility of women in the domestic and family sphere. This finding should be taken into account in the design of future transport policies. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

  14. Family Forest Ownerships of the United States, 2013: Findings from the USDA Forest Service's National Woodland Owner Survey

    Science.gov (United States)

    Brett J. Butler; Jaketon H. Hewes; Brenton J. Dickinson; Kyle Andrejczyk; Sarah M. Butler; Marla. Markowski-Lindsay

    2016-01-01

    There are an estimated 10.7 million family forest ownerships across the United States who collectively control 36% or 290 million acres of the nation's forestland. The US Department of Agriculture Forest Service National Woodland Owner Survey (NWOS) provides information on the characteristics, attitudes, and behaviors of these ownerships. Between 2011 and 2013, 8,...

  15. Kaiser/Harvard National Survey of Americans' views on consumer protection in managed care. Kaiser Family Foundation and Harvard University.

    Science.gov (United States)

    1998-03-01

    As the debate over regulation of the health care market takes shape, a new survey by the Kaiser Family Foundation and Harvard University finds that significant majorities of Americans favor the key measures intended to protect consumers in the President's Consumer Bill of Rights and in legislative proposals before the Congress.

  16. 76 FR 32991 - Request (ICR) for the Family Medical Leave Act (FMLA) Employee and Employer Surveys; Comment Request

    Science.gov (United States)

    2011-06-07

    ... regulatory options, craft interpretive guidance (such as plain language fact sheets), develop compliance.... The first FMLA study, in which workers and employers were surveyed to learn about family and medical... rounding, the numbers for the totals may differ from the sum of the component numbers. Comments submitted...

  17. Survey of Software Assurance Techniques for Highly Reliable Systems

    Science.gov (United States)

    Nelson, Stacy

    2004-01-01

    This document provides a survey of software assurance techniques for highly reliable systems including a discussion of relevant safety standards for various industries in the United States and Europe, as well as examples of methods used during software development projects. It contains one section for each industry surveyed: Aerospace, Defense, Nuclear Power, Medical Devices and Transportation. Each section provides an overview of applicable standards and examples of a mission or software development project, software assurance techniques used and reliability achieved.

  18. Family perception of unmet support needs following a diagnosis of congenital coronary anomaly in children: Results of a survey.

    Science.gov (United States)

    Agrawal, Hitesh; Wright, Oriana K; Carberry, Kathleen E; Sexson Tejtel, S Kristen; Mery, Carlos M; Molossi, Silvana

    2017-12-01

    Long-term outcome data on patients with anomalous aortic origin of coronary arteries (AAOCA) is sparse and they are often managed in a nonuniform manner. There is subjective perception of anxiety and unmet needs in these patients and families. An online survey of 13 questions was sent to 74 families of patients with AAOCA between May and October 2015. Descriptive statistics were performed. A total of 31 (47%) families responded. Of these, 27 expressed the need to interact with other patients/families with AAOCA. The majority were interested in either face-to-face meetings (77%) or online support groups (71%). Regarding content of the meeting, 74% were interested in brief talks by medical personnel/families, 58% suggested informal interactions with families, 55% proposed a structured discussion with a moderator and 39% mentioned fun activities/games. Regarding participants in these meetings, 90% would like to include healthcare providers, 61% suggested including family friends, 58% wished to include psychologists and 16% mentioned including social workers. The families currently use various social media including Facebook (87%), YouTube (39%), Google+ (36%), and LinkedIn (32%). For future online resources, 77% of families would like a Facebook site, an informative website (58%), a blog (52%), or an open forum (29%). The majority of the families (77%) were interested in attending a dedicated AAOCA meeting. There appears to be an unmet need for family support in those affected by AAOCA, a substantial life changing diagnosis for patients and families. Further research is needed to assess quality of life in this population. © 2017 Wiley Periodicals, Inc.

  19. Eating-related distress and need for nutritional support of families of advanced cancer patients: a nationwide survey of bereaved family members.

    Science.gov (United States)

    Amano, Koji; Maeda, Isseki; Morita, Tatsuya; Okajima, Yoshiro; Hama, Takashi; Aoyama, Maho; Kizawa, Yoshiyuki; Tsuneto, Satoru; Shima, Yasuo; Miyashita, Mitsunori

    2016-12-01

    A number of advanced cancer patients are suffering from physical and psychosocial burdens because of cancer cachexia, and these burdens also greatly impact on their family members and relationships between patients and family members. It is necessary to consider the psychosocial impact of cancer cachexia on family members of advanced cancer patients. A cross-sectional anonymous nationwide survey was conducted involving 925 bereaved family members of cancer patients who had been admitted to 133 inpatient hospices throughout Japan. A total of 702 bereaved family members returned the questionnaires (response rate, 75.9%). Concerning eating-related distress, 'I served what the patient wanted without consideration of calories and nutritional composition' was highest (75.1%), and 'I tried making many kinds of meals for the patient' and 'I was concerned about planning meals for the patient every day' followed (63.0% and 59.4%, respectively). The top 5 of the 19 items were categorized as 'fighting back'. Need for nutritional support was high (72.2%), and need for explanations about the reasons for anorexia and weight loss of patients was moderate (41.4%). Explanatory factor analysis of eating-related distress identified the following four domains: (factor 1) feeling that family members forced the patient to eat to avoid death, (factor 2) feeling that family members made great efforts to help the patient eat, (factor 3) feeling that eating was a cause of conflicts between the patient and family members, and (factor 4) feeling that correct information was insufficient. Results of multiple logistic regression analysis showed that spouse, fair/poor mental status, factors 1, and 4 were identified as independent determinants of major depression {odds ratio [OR] 3.27 [95% confidence interval (CI) 1.24-8.60], P  = 0.02; OR 4.50 [95% CI 2.46-8.25], P  nutritional support.

  20. Using a complex adaptive system lens to understand family caregiving experiences navigating the stroke rehabilitation system.

    Science.gov (United States)

    Ghazzawi, Andrea; Kuziemsky, Craig; O'Sullivan, Tracey

    2016-10-01

    Family caregivers provide the stroke survivor with social support and continuity during the transition home from a rehabilitation facility. In this exploratory study we examined family caregivers' perceptions and experiences navigating the stroke rehabilitation system. The theories of continuity of care and complex adaptive systems were integrated to examine the transition from a stroke rehabilitation facility to the patient's home. This study provides an understanding of the interacting complexities at the macro and micro levels. A convenient sample of family caregivers (n = 14) who provide care for a stroke survivor were recruited 4-12 weeks following the patient's discharge from a stroke rehabilitation facility in Ontario, Canada. Interviews were conducted with family caregivers to examine their perceptions and experiences navigating the stroke rehabilitation system. Directed and inductive content analysis and the theory of Complex Adaptive Systems were used to interpret the perceptions of family caregivers. Health system policies and procedures at the macro-level determined the types and timing of information being provided to caregivers, and impacted continuity of care and access to supports and services at the micro-level. Supports and services in the community, such as outpatient physiotherapy services, were limited or did not meet the specific needs of the stroke survivors or family caregivers. Relationships with health providers, informational support, and continuity in case management all influence the family caregiving experience and ultimately the quality of care for the stroke survivor, during the transition home from a rehabilitation facility.

  1. A Survey to Assess Family Physicians’ Motivation to Teach Undergraduates in Their Practices

    Science.gov (United States)

    May, Marcus; Mand, Peter; Biertz, Frank; Hummers-Pradier, Eva; Kruschinski, Carsten

    2012-01-01

    Background In Germany, family physicians (FPs) are increasingly needed to participate in undergraduate medical education. Knowledge of FPs’ motivation to teach medical students in their practices is lacking. Purpose To describe a novel questionnaire that assesses the motivation of FPs to teach undergraduates in their practices and to show the results of a subsequent survey using this instrument. Methods The questionnaire was developed based on a review of the literature. Previously used empirical instruments assessing occupational values and motivation were included. A preliminary version was pretested in a pilot study. The resulting 68-item questionnaire was sent to 691 FPs involved in undergraduate medical education. Reliability was assessed and subgroups were analyzed with regard to differences in motivation. Results A total of 523 physicians in n = 458 teaching practices participated (response rate 75.7%). ‘Helping others’ and ‘interest’ were revealed as the predominant motives. Responses showed a predominantly intrinsic motivation of the participating FPs. Their main incentives were an ambition to work as a medical preceptor, to generally improve undergraduate education and to share knowledge. Material compensation was of minor importance. Time restraints were indicated as a barrier by some FPs, but were not a general concern. Conclusion German FPs involved in medical education have altruistic attitudes towards teaching medical students in their practices. Motivational features give an important insight for the recruitment of FP preceptors as well as for their training in instructional methods. PMID:23029272

  2. A survey to assess family physicians' motivation to teach undergraduates in their practices.

    Science.gov (United States)

    May, Marcus; Mand, Peter; Biertz, Frank; Hummers-Pradier, Eva; Kruschinski, Carsten

    2012-01-01

    In Germany, family physicians (FPs) are increasingly needed to participate in undergraduate medical education. Knowledge of FPs' motivation to teach medical students in their practices is lacking. To describe a novel questionnaire that assesses the motivation of FPs to teach undergraduates in their practices and to show the results of a subsequent survey using this instrument. The questionnaire was developed based on a review of the literature. Previously used empirical instruments assessing occupational values and motivation were included. A preliminary version was pretested in a pilot study. The resulting 68-item questionnaire was sent to 691 FPs involved in undergraduate medical education. Reliability was assessed and subgroups were analyzed with regard to differences in motivation. A total of 523 physicians in n = 458 teaching practices participated (response rate 75.7%). 'Helping others' and 'interest' were revealed as the predominant motives. Responses showed a predominantly intrinsic motivation of the participating FPs. Their main incentives were an ambition to work as a medical preceptor, to generally improve undergraduate education and to share knowledge. Material compensation was of minor importance. Time restraints were indicated as a barrier by some FPs, but were not a general concern. German FPs involved in medical education have altruistic attitudes towards teaching medical students in their practices. Motivational features give an important insight for the recruitment of FP preceptors as well as for their training in instructional methods.

  3. Family medicine residents' beliefs, attitudes and performance with problem drinkers: a survey and simulated patient study.

    Science.gov (United States)

    Kahan, Meldon; Wilson, Lynn; Liu, Eleanor; Borsoi, Diane; Brewster, Joan M; Sobell, Linda C; Sobell, Mark B

    2004-03-01

    Fifty-six second-year family medicine residents completed a survey on their knowledge and beliefs about problem drinkers. Most residents felt responsible for screening and counseling, were confident in their clinical skills in these areas, and scored well on related knowledge questions. However, only 18% felt that problem drinkers would often respond to brief counseling sessions with physicians while 36% felt that moderate drinking was a reasonable goal for patients with severe alcohol dependence. Residents were then visited by unannounced simulated patients (SPs) presenting with alcohol-induced hypertension or insomnia. Residents detected the SP in 45 out of 104 visits. In the 59 undetected SP visits, residents asked about alcohol consumption in 47 visits (80%), discussed the relationship between alcohol use and the presenting complaint in 37 visits (63%), and recommended a specific weekly consumption in 35 visits (59%). Only 31% offered reduced drinking strategies, and most did not ask about features of alcohol dependence. These results suggest that residents have the fundamental clinical skills required to manage the problem drinker who gives a clear history and is receptive to advice. Educational efforts with residents should focus on the importance of systematic screening, taking an alcohol history under more challenging conditions, identifying the subtler presentations of alcohol problems, counselling the less receptive patient at an earlier stage of change, distinguishing the problem drinker from the alcohol-dependent patient, and offering specific behavioral strategies for the problem drinker.

  4. A survey to assess family physicians' motivation to teach undergraduates in their practices.

    Directory of Open Access Journals (Sweden)

    Marcus May

    Full Text Available BACKGROUND: In Germany, family physicians (FPs are increasingly needed to participate in undergraduate medical education. Knowledge of FPs' motivation to teach medical students in their practices is lacking. PURPOSE: To describe a novel questionnaire that assesses the motivation of FPs to teach undergraduates in their practices and to show the results of a subsequent survey using this instrument. METHODS: The questionnaire was developed based on a review of the literature. Previously used empirical instruments assessing occupational values and motivation were included. A preliminary version was pretested in a pilot study. The resulting 68-item questionnaire was sent to 691 FPs involved in undergraduate medical education. Reliability was assessed and subgroups were analyzed with regard to differences in motivation. RESULTS: A total of 523 physicians in n = 458 teaching practices participated (response rate 75.7%. 'Helping others' and 'interest' were revealed as the predominant motives. Responses showed a predominantly intrinsic motivation of the participating FPs. Their main incentives were an ambition to work as a medical preceptor, to generally improve undergraduate education and to share knowledge. Material compensation was of minor importance. Time restraints were indicated as a barrier by some FPs, but were not a general concern. CONCLUSION: German FPs involved in medical education have altruistic attitudes towards teaching medical students in their practices. Motivational features give an important insight for the recruitment of FP preceptors as well as for their training in instructional methods.

  5. Prevalence and familial predictors of suicidal behaviour among adolescents in Lithuania: a cross-sectional survey 2014.

    Science.gov (United States)

    Zaborskis, Apolinaras; Sirvyte, Dainora; Zemaitiene, Nida

    2016-07-12

    In the past decades Lithuania has been experiencing a very high suicide rate among young people and there are scarce data on the role of the family in shaping these people suicidal behaviour. This study investigated the prevalence of suicidal ideation and attempts, as well as their association with a range of familial factors in a representative sample of Lithuanian adolescents. Study subjects (N = 3572) were adolescents aged 13- and 15-years from the schools in Lithuania who were surveyed in Spring 2014 according to the methodology of the cross-national Health Behaviour in School-aged Children (HBSC). A standard HBSC international questionnaire was translated into Lithuanian and used anonymously to obtain information about suicidal behaviour (stopped doing activities, considered suicide, planned suicide, and suicide attempts) and family life (family structure, quality of communication in family, parental monitoring and bonding, parenting style, family time, etc.). Logistic regression was used to assess association between suicidal behaviours and familial variables. Forty three percents of surveyed adolescents reported presence of emotions that stopped doing activities during the last 12 months, 23.8 % seriously considered attempting suicide, 13.7 % made a suicide plan, 13.2 % attempted suicide, and 4.1 % needed treatment because of suicide attempt in the previous year. Adolescents from non-intact families reported more suicidal ideation (OR ranged from 1.32 to 1.35, P parental support, authoritarian-repressive father's parenting style and permissive-neglectful mother's parenting style, but rare family time together and rare electronic media communication with parents were inversely associated with suicidal behaviour. The boys, 15-year-olds and adolescents who indicated often activities together with their families were more likely than their counterparts to report suicide attempts treated by a doctor or nurse. The young people of Lithuania are at

  6. Psychological and psychiatric symptoms of terminally ill patients with cancer and their family caregivers in the home-care setting: A nation-wide survey from the perspective of bereaved family members in Japan.

    Science.gov (United States)

    Kobayakawa, Makoto; Ogawa, Asao; Konno, Michiko; Kurata, Akiko; Hamano, Jun; Morita, Tatsuya; Kizawa, Yoshiyuki; Tsuneto, Satoru; Shima, Yasuo; Aoyama, Maho; Miyashita, Mitsunori

    2017-12-01

    The psychological and psychiatric symptoms of terminally ill cancer patients are highly problematic and have been associated with greater burden among caregivers. Until now, the extent of these problems in the home care setting was unclear. This retrospective study was conducted as part of a nationwide survey from the perspective of bereaved family members in Japan (J-HOPE3). The bereaved family members rated the symptoms of delirium and suicidal ideation of patients with cancer, and the sleeplessness and depressed mood of family caregivers utilizing home care services in the one month before the patients' deaths. Regression analyses were performed to identify factors associated with caregivers' sleeplessness or depressed mood. Of the 532 subjects analyzed, between 17% and 65% of patients experienced various symptoms of delirium, and 27% suicidal ideation. Among family caregivers, 60% experienced sleeplessness and 35% experienced depressed mood at least once during the week. Caregivers' psychological symptoms were associated with their own poor health status, being the spouse of the patient, and the patients' psychological or psychiatric symptoms. To manage patients' symptoms, 11% of caregivers had consulted psychiatrists or psychologists while another 11% wanted to do so. Psychological problems assessed were common among patients with cancer and their family caregivers in the one month of home care prior to the patient's death. An effective complementary care system, run by home-visit physicians, nurses, and experts in mental disorders, is needed. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. The diverse values and motivations of family forest owners in the United States: An analysis of an open-ended question in the National Woodland Owner Survey

    Science.gov (United States)

    David N. Bengston; Stanley T. Asah; Brett J. Butler

    2011-01-01

    The number of family forest owners in the USA has increased continuously in recent decades, and the fate of much of US forests lies in the hands of this diverse and dynamic group of people. The National Woodland Owner Survey (NWOS) is a recurring and comprehensive national survey of US private forest owners, including family forest owners. The NWOS includes an open-...

  8. Dementia Care: Intersecting Informal Family Care and Formal Care Systems

    Directory of Open Access Journals (Sweden)

    Prabhjot Singh

    2014-01-01

    Full Text Available Dementia is one of the major causes of disability and dependence amongst older people and previous research has highlighted how the well-being of people with dementia is inherently connected to the quality of their relationships with their informal carers. In turn, these carers can experience significant levels of emotional stress and physical burden from the demands of caring for a family member with dementia, yet their uptake of formal services tends to be lower than in other conditions related to ageing. This paper is based on a qualitative study undertaken in the Australian state of Queensland and explores issues of access to and use of formal services in dementia care from the perspective of the informal family carers. It identifies three critical points at which changes in policy and practice in the formal care system could improve the capability of informal carers to continue to care for their family member with dementia: when symptoms first become apparent and a diagnosis is sought; when the condition of the person with dementia changes resulting in a change to their support needs; and when the burden of informal care being experienced by the carer is so great that some form of transition appears to be immanent in the care arrangement.

  9. Dementia care: intersecting informal family care and formal care systems.

    Science.gov (United States)

    Singh, Prabhjot; Hussain, Rafat; Khan, Adeel; Irwin, Lyn; Foskey, Roslyn

    2014-01-01

    Dementia is one of the major causes of disability and dependence amongst older people and previous research has highlighted how the well-being of people with dementia is inherently connected to the quality of their relationships with their informal carers. In turn, these carers can experience significant levels of emotional stress and physical burden from the demands of caring for a family member with dementia, yet their uptake of formal services tends to be lower than in other conditions related to ageing. This paper is based on a qualitative study undertaken in the Australian state of Queensland and explores issues of access to and use of formal services in dementia care from the perspective of the informal family carers. It identifies three critical points at which changes in policy and practice in the formal care system could improve the capability of informal carers to continue to care for their family member with dementia: when symptoms first become apparent and a diagnosis is sought; when the condition of the person with dementia changes resulting in a change to their support needs; and when the burden of informal care being experienced by the carer is so great that some form of transition appears to be immanent in the care arrangement.

  10. Intrusion Detection System using Self Organizing Map: A Survey

    Directory of Open Access Journals (Sweden)

    Kruti Choksi

    2014-12-01

    Full Text Available Due to usage of computer every field, Network Security is the major concerned in today’s scenario. Every year the number of users and speed of network is increasing, along with it online fraud or security threats are also increasing. Every day a new attack is generated to harm the system or network. It is necessary to protect the system or networks from various threats by using Intrusion Detection System which can detect “known” as well as “unknown” attack and generate alerts if any unusual behavior in the traffic. There are various approaches for IDS, but in this paper, survey is focused on IDS using Self Organizing Map. SOM is unsupervised, fast conversion and automatic clustering algorithm which is able to handle novelty detection. The main objective of the survey is to find and address the current challenges of SOM. Our survey shows that the existing IDS based on SOM have poor detection rate for U2R and R2L attacks. To improve it, proper normalization technique should be used. During the survey we also found that HSOM and GHSOM are advance model of SOM which have their own unique feature for better performance of IDS. GHSOM is efficient due to its low computation time. This survey is beneficial to design and develop efficient SOM based IDS having less computation time and better detection rate.

  11. Graduate survey of the South Carolina Area Health Education Consortium family practice residency programs.

    Science.gov (United States)

    Carek, P J; Abercrombie, S; Baughman, O; Buehler, J; Goforth, G; Hester, W; Lammie, J; Snape, P

    2001-06-01

    The results of this study demonstrate several interesting characteristics of the graduates of the SC AHEC associated family medicine residency programs: 45 percent practice in South Carolina, 63 percent live further than 120 miles from their residency program, 96 percent are satisfied with their specialty choice, and 56 percent are involved in teaching medical students and residents. Furthermore, these graduates have the following tendencies: to practice in the traditional solo or group practice; to practice in a suburban community, town or rural community and a setting size less than a population of 100,000 persons; to care for the aging adult and geriatric population; to provide nursing home care; and to utilize house calls to provide patient care). As the current health care system continues to be redesigned, this information will be essential for assessment and planning purposes.

  12. An online questionnaire survey of UK general practitioners' knowledge and management of familial hypercholesterolaemia.

    Science.gov (United States)

    Kwok, See; Pang, Jing; Adam, Safwaan; Watts, Gerald F; Soran, Handrean

    2016-11-09

    Early diagnosis and treatment of heterozygous familial hypercholesterolaemia (HeFH) is known to be associated with reduced mortality from premature coronary artery disease, but HeFH remains underdiagnosed. This survey aims to determine knowledge and current management of HeFH in general practice. An online questionnaire was administered to general practitioners' (GPs') in the North West of England to assess their knowledge and management of HeFH. Practising GPs in the North West of England were contacted by email and invited to complete an online questionnaire. Recruitment discontinued when the target of 100 was reached. An assessment of the knowledge and current management of HeFH in GPs. 100 GP responses were analysed. Although only 39% considered themselves to have reasonable knowledge of HeFH, 89% knew that HeFH was a genetic disorder and 74% selected the correct lipid profile for diagnosing the condition. More than half (61%) were aware of current guidelines on HeFH. Gaps in knowledge were evident when only 30% correctly identified the prevalence of HeFH and half were not aware of the pattern of inheritance. Increased cardiovascular risk was underestimated by majority. 33% thought that they had HeFH patients in their practice confirming underdiagnosis of the condition. Statin therapy was recognised by 94% to be the right medication for treating HeFH. The majority (82%) regarded GPs to be the most effective healthcare professional for early recognition of HeFH. GPs have an above-average knowledge of familial hypercholesterolaemia (FH) and almost universally consider that they have a key role in the early recognition of undiagnosed HeFH patients in the community. However, there are gaps in awareness that need to be addressed to further enhance the care of FH in the community. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  13. Predictors of job satisfaction among academic family medicine faculty: Findings from a faculty work-life and leadership survey.

    Science.gov (United States)

    Krueger, Paul; White, David; Meaney, Christopher; Kwong, Jeffrey; Antao, Viola; Kim, Florence

    2017-03-01

    To identify predictors of job satisfaction among academic family medicine faculty members. A comprehensive Web-based survey of all faculty members in an academic department of family medicine. Bivariate and multivariable analyses (logistic regression) were used to identify variables associated with job satisfaction. The Department of Family and Community Medicine at the University of Toronto in Ontario and its 15 affiliated community teaching hospitals and community-based teaching practices. All 1029 faculty members in the Department of Family and Community Medicine were invited to complete the survey. Faculty members' demographic and practice information; teaching, clinical, administration, and research activities; leadership roles; training needs and preferences; mentorship experiences; health status; stress levels; burnout levels; and job satisfaction. Faculty members' perceptions about supports provided, recognition, communication, retention, workload, teamwork, respect, resource distribution, remuneration, and infrastructure support. Faculty members' job satisfaction, which was the main outcome variable, was obtained from the question, "Overall, how satisfied are you with your job?" Of the 1029 faculty members, 687 (66.8%) responded to the survey. Bivariate analyses revealed 26 predictors as being statistically significantly associated with job satisfaction, including faculty members' ratings of their local department and main practice setting, their ratings of leadership and mentorship experiences, health status variables, and demographic variables. The multivariable analyses identified the following 5 predictors of job satisfaction: the Maslach Burnout Inventory subscales of emotional exhaustion and personal accomplishment; being born in Canada; the overall quality of mentorship that was received being rated as very good or excellent; and teamwork being rated as very good or excellent. The findings from this study show that job satisfaction among academic

  14. Marriage and Family Therapy and the Law: Discovering Systemic Common Ground

    Science.gov (United States)

    Richards, Jason C.

    2017-01-01

    Many important decisions regarding couples and families are made by the legal system. However, this system's adversarial nature often results in relational losses for clients, even when one "wins" a case. Some believe a solution may exist in legally-minded marriage and family therapists, who, as experts in family systems theory, are in a…

  15. Application of geographical information system (GIS) in soil survey ...

    African Journals Online (AJOL)

    Application of geographical information system (GIS) in soil survey exercise. A new methodology for increased precision. BO Nuga, GE Akinbola. Abstract. No Abstract. Nigeria Agricultural Journal Vol. 35 2004: pp. 112-117. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT.

  16. Survey On Management Systems And Gross Profit Analysis Of ...

    African Journals Online (AJOL)

    A survey to assess the different management systems of muturu cattle and the demographic characteristics of muturu cattle rearers in Southern Cross River state was carried out by means of well structured questionnaires. Primary data were obtained by randomly administering questionnaires to the respondents. Descriptive ...

  17. Conducting Sanitary Surveys of Water Supply Systems. Student Workbook.

    Science.gov (United States)

    1976

    This workbook is utilized in connection with a 40-hour course on sanitary surveys of water supply systems for biologists, chemists, and engineers with experience as a water supply evaluator. Practical training is provided in each of the 21 self-contained modules. Each module outlines the purpose, objectives and content for that section. The course…

  18. Mining the Kilo-Degree Survey for solar system objects

    NARCIS (Netherlands)

    Mahlke, M.; Bouy, H.; Altieri, B.; Kleijn, G. Verdoes; Carry, B.; Bertin, E.; Jong, J. T. A. de; Kuijken, K.; McFarland, J.; Valentijn, E.

    2017-01-01

    The search for minor bodies in the solar system promises insights into its formation history. Wide imaging surveys offer the opportunity to serendipitously discover and identify these traces of planetary formation and evolution. We aim to present a method to acquire position, photometry, and proper

  19. Offering extended use of the combined contraceptive pill: a survey of specialist family planning services

    Directory of Open Access Journals (Sweden)

    Sauer U

    2013-09-01

    Full Text Available Ulrike Sauer,1 Sue Mann,2 Nataliya Brima,3 Judith Stephenson21Reproductive and Sexual Health, Enfield Community Service, Enfield, 2Sexual and Reproductive Health Research Group, Institute for Women’s Health, 3Research Department of Infection and Population Health, University College London, London, UKBackground: The purpose of this study was to determine attitudes to, and provision of, extended regimens for taking the combined oral contraceptive pill (COC by specialist contraception practitioners from three contrasting specialist contraception services in London.Methods: An online cross-sectional survey was administered to all doctors and nurses, who counsel, provide, or prescribe the oral contraceptive pill at each clinic.Results: A total of 105 clinicians received the questionnaire and 67 (64% responded. Only one of three clinics initiated and maintained guidelines for extended COC use. In that service, 60% of staff prescribing COC advised more than 50% of patients regarding alternative COC regimens. In the other two services, this was discussed with 20% and 6% of patients, respectively (P < 0.001. The reasons for prescribing extended use included cyclic headaches, menorrhagia, patient request, menstrual-related cramps, and endometriosis, and did not differ between the three different settings. The most common extended regimens were 63 pills or continuous use until bleeding occurs, followed by a hormone-free interval. Concerns highlighted by providers and patients were “unhealthy not to have a monthly bleed”, “future fertility”, and “breakthrough bleeding”. Such comments highlight the need for further information for providers and patients.Conclusion: There is growing evidence, backed by national guidance, about extended COC use, but routine provision of this information is patchy and varies ten-fold, even within specialist family planning services. Targeted training, use of service guidelines, and implementation research will be

  20. Genome-wide survey and characterization of the WRKY gene family in Populus trichocarpa.

    Science.gov (United States)

    He, Hongsheng; Dong, Qing; Shao, Yuanhua; Jiang, Haiyang; Zhu, Suwen; Cheng, Beijiu; Xiang, Yan

    2012-07-01

    WRKY transcription factors participate in diverse physiological and developmental processes in plants. They have highly conserved WRKYGQK amino acid sequences in their N-termini, followed by the novel zinc-finger-like motifs, Cys₂His₂ or Cys₂HisCys. To date, numerous WRKY genes have been identified and characterized in a number of herbaceous species. Survey and characterization of WRKY genes in a ligneous species would facilitate a better understanding of the evolutionary processes and functions of this gene family. In this study, 104 poplar WRKY genes (PtWRKY) were identified in the latest poplar genome sequence. According to their structural features, the predicted members were divided into the previously defined groups I-III, as described in rice. In addition, chromosomal localization of the genes demonstrated that there might be WRKY gene hot spots in 2.3 Mb regions on chromosome 14. Furthermore, approximately 83% (86 out of 104) WRKY genes participated in gene duplication events, including 69% (29 out of 42) gene pairs which exhibited segmental duplication. Using semi-quantitative RT-PCR, the expression patterns of subgroup III genes were investigated under different stresses [cold, drought, salinity and salicylic acid (SA)]. The data revealed that these genes presented different expression levels in response to various stress conditions. Expression analysis exhibited PtWRKY76 gene induced markedly in 0.1 mM SA or 25% PEG-6000 treatment. The results presented here provide a fundamental clue for cloning specific function genes in further studies and applications. This study identified 104 poplar WRKY genes and demonstrated WRKY gene hot spots on chromosome 14. Furthermore, semi-quantitative RT-PCR showed variable stress responses in subgroup III.

  1. Psychometric evaluation of the Dutch language version of the Child and Family Follow-up Survey.

    Science.gov (United States)

    de Kloet, Arend J; Berger, Monique A M; Bedell, Gary M; Catsman-Berrevoets, Coriene E; van Markus-Doornbosch, Frederike; Vliet Vlieland, Thea P M

    2015-01-01

    The Child and Family Follow-up Survey (CFFS) is developed to monitor long-term outcomes of children and youth with acquired brain injury (ABI). The aim of this study was to translate and adapt it into the Dutch language and to evaluate its reliability and validity. The CFFS includes the Child and Adolescent Scale of Participation (CASP), the Child and Adolescent Factors Inventory (CAFI) and the Child and Adolescent Scale of Environment (CASE). The CFFS was translated into Dutch following international guidelines and adapted. The internal consistency, validity and test-retest reliability were examined among two groups of patients (n = 140 and n = 27) in the age of 5-22 years with ABI and their parents. The translation and adaptation resulted in the CFFS-DLV, Dutch language version. The CASP-DLV, CAFI-DLV and CASE-DLV had a good internal consistency, with Cronbach's alpha being 0.95, 0.89 and 0.83, respectively. There were statistically significant correlations among the three CFFS subscale scores. These scores were also significantly correlated with the total scores of the Pediatric Quality of Life Inventory (PedsQL, parent) and the Pediatric Stroke Outcome Measure, but not with the domain scores of the Children's Assessment of Participation and Enjoyment (CAPE). The test-retest reliability was good to moderate, with the intra-class correlation coefficients being 0.90 for the CASP-DLV, 0.95 for the CAFI-DLV and 0.81 for the CASE-DLV. The CFFS-DLV, as translation and adaptation of the CFFS into Dutch, proved to be a promising instrument to measure long-term outcomes of children and youth with ABI. Further research is needed to examine its responsiveness to change and potential in other patient groups.

  2. Consideration of family history of cancer in medical routine: a survey in the primary care setting in Germany.

    Science.gov (United States)

    Fiederling, Jonas; Ulrich, Cornelia M; Hemminki, Kari; Haug, Ulrike

    2014-05-01

    Family history of cancer (FHC) is important in the context of cancer prevention and risk counselling, but there is a lack of information about its consideration in medical routine. We aimed to characterize how FHC is assessed and taken into account in the primary care setting in Germany. We conducted a mail survey among 285 office-based physicians in south-west Germany. We sent a questionnaire to randomly selected general practitioners, dermatologists, gastroenterologists, gynaecologists, urologists and pulmonologists, asking about collection of information on FHC and implications for preventive counselling. A total of 207 physicians returned the questionnaire (response rate 73%), of whom 71% reported asking for FHC routinely, 17% reported using a standardized tool to collect the information and 35% reported regularly updating it. Implications of a positive FHC for counselling were heterogeneous, with priority on recommendations for screening. Referral to genetic counselling was considered by 34% of physicians, mainly gastroenterologists and gynaecologists. In the primary care setting in Germany, FHC is considered an important topic, but there is a lack of standardization in collecting the information and heterogeneity on the implications for counselling. Options to improve this situation, such as the implementation of standardized tools or centralized counselling systems, are needed.

  3. 45 CFR 1355.31 - Elements of the child and family services review system.

    Science.gov (United States)

    2010-10-01

    ..., YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY SERVICES GENERAL § 1355.31 Elements of the child and family services review system. Scope. Sections 1355.32 through... 45 Public Welfare 4 2010-10-01 2010-10-01 false Elements of the child and family services review...

  4. A Structural Approach to Unresolved Mourning in Single Parent Family Systems.

    Science.gov (United States)

    Fulmer, Richard H.

    1983-01-01

    Considers the mother's depression as a special problem in therapy of single-parent families, resulting from unresolved mourning maintained by the family system. Offers reasons why the single-parent family's structure seems inherently vulnerable to unresolved mourning. Suggests techniques of Structural Family Therapy to facilitate mourning in such…

  5. Women's attitudes towards mechanisms of action of family planning methods: survey in primary health centres in Pamplona, Spain.

    Science.gov (United States)

    de Irala, Jokin; Lopez del Burgo, Cristina; Lopez de Fez, Carmen M; Arredondo, Jorge; Mikolajczyk, Rafael T; Stanford, Joseph B

    2007-06-27

    Informed consent in family planning includes knowledge of mechanism of action. Some methods of family planning occasionally work after fertilization. Knowing about postfertilization effects may be important to some women before choosing a certain family planning method. The objective of this survey is to explore women's attitudes towards postfertilization effects of family planning methods, and beliefs and characteristics possibly associated with those attitudes. Cross-sectional survey in a sample of 755 potentially fertile women, aged 18-49, from Primary Care Health Centres in Pamplona, Spain. Participants were given a 30-item, self-administered, anonymous questionnaire about family planning methods and medical and surgical abortion. Logistic regression was used to identify variables associated with women's attitudes towards postfertilization effects. The response rate was 80%. The majority of women were married, held an academic degree and had no children. Forty percent of women would not consider using a method that may work after fertilization but before implantation and 57% would not consider using one that may work after implantation. While 35.3% of the sample would stop using a method if they learned that it sometimes works after fertilization, this percentage increased to 56.3% when referring to a method that sometimes works after implantation. Women who believe that human life begins at fertilization and those who consider it is important to distinguish between natural and induced embryo loss were less likely to consider the use of a method with postfertilization effects. Information about potential postfertilization effects of family planning methods may influence women's acceptance and choice of a particular family planning method. Additional studies in other populations are necessary to evaluate whether these beliefs are important to those populations.

  6. Women's attitudes towards mechanisms of action of family planning methods: survey in primary health centres in Pamplona, Spain

    Directory of Open Access Journals (Sweden)

    Mikolajczyk Rafael T

    2007-06-01

    Full Text Available Abstract Background Informed consent in family planning includes knowledge of mechanism of action. Some methods of family planning occasionally work after fertilization. Knowing about postfertilization effects may be important to some women before choosing a certain family planning method. The objective of this survey is to explore women's attitudes towards postfertilization effects of family planning methods, and beliefs and characteristics possibly associated with those attitudes. Methods Cross-sectional survey in a sample of 755 potentially fertile women, aged 18–49, from Primary Care Health Centres in Pamplona, Spain. Participants were given a 30-item, self-administered, anonymous questionnaire about family planning methods and medical and surgical abortion. Logistic regression was used to identify variables associated with women's attitudes towards postfertilization effects. Results The response rate was 80%. The majority of women were married, held an academic degree and had no children. Forty percent of women would not consider using a method that may work after fertilization but before implantation and 57% would not consider using one that may work after implantation. While 35.3% of the sample would stop using a method if they learned that it sometimes works after fertilization, this percentage increased to 56.3% when referring to a method that sometimes works after implantation. Women who believe that human life begins at fertilization and those who consider it is important to distinguish between natural and induced embryo loss were less likely to consider the use of a method with postfertilization effects. Conclusion Information about potential postfertilization effects of family planning methods may influence women's acceptance and choice of a particular family planning method. Additional studies in other populations are necessary to evaluate whether these beliefs are important to those populations.

  7. Solvable Family of Driven-Dissipative Many-Body Systems.

    Science.gov (United States)

    Foss-Feig, Michael; Young, Jeremy T; Albert, Victor V; Gorshkov, Alexey V; Maghrebi, Mohammad F

    2017-11-10

    Exactly solvable models have played an important role in establishing the sophisticated modern understanding of equilibrium many-body physics. Conversely, the relative scarcity of solutions for nonequilibrium models greatly limits our understanding of systems away from thermal equilibrium. We study a family of nonequilibrium models, some of which can be viewed as dissipative analogues of the transverse-field Ising model, in that an effectively classical Hamiltonian is frustrated by dissipative processes that drive the system toward states that do not commute with the Hamiltonian. Surprisingly, a broad and experimentally relevant subset of these models can be solved efficiently. We leverage these solutions to compute the effects of decoherence on a canonical trapped-ion-based quantum computation architecture, and to prove a no-go theorem on steady-state phase transitions in a many-body model that can be realized naturally with Rydberg atoms or trapped ions.

  8. Solvable Family of Driven-Dissipative Many-Body Systems

    Science.gov (United States)

    Foss-Feig, Michael; Young, Jeremy T.; Albert, Victor V.; Gorshkov, Alexey V.; Maghrebi, Mohammad F.

    2017-11-01

    Exactly solvable models have played an important role in establishing the sophisticated modern understanding of equilibrium many-body physics. Conversely, the relative scarcity of solutions for nonequilibrium models greatly limits our understanding of systems away from thermal equilibrium. We study a family of nonequilibrium models, some of which can be viewed as dissipative analogues of the transverse-field Ising model, in that an effectively classical Hamiltonian is frustrated by dissipative processes that drive the system toward states that do not commute with the Hamiltonian. Surprisingly, a broad and experimentally relevant subset of these models can be solved efficiently. We leverage these solutions to compute the effects of decoherence on a canonical trapped-ion-based quantum computation architecture, and to prove a no-go theorem on steady-state phase transitions in a many-body model that can be realized naturally with Rydberg atoms or trapped ions.

  9. The influence of contraception, abortion, and natural family planning on divorce rates as found in the 2006-2010 National Survey of Family Growth.

    Science.gov (United States)

    Fehring, Richard J

    2015-08-01

    The purpose of this study was to determine the influence of contraception, abortion, and natural family planning (NFP) on divorce rates of US women of reproductive age. The variables of importance of religion and frequency of church attendance were also included in the analysis. The study involved 5,530 reproductive age women in the (2006-2010) National Survey of Family Growth who indicate that they were ever married. Among the women who ever used NFP only 9.6 percent were currently divorced compared with the 14.4 percent who were currently divorced among the women who never used NFP (x (2) = 5.34, P NFP users the reason might be due to their religiosity. Lay summary: Providers of natural family planning (NFP) frequently mention that couples who practice NFP have fewer divorces compared to couples who use contraception. Evidence for this comment is weak. This study utilized a large data set of 5,530 reproductive age women to determine the influence that contraception, sterilization, abortion, and NFP has on divorce rates. Among the women participants who ever used NFP only 9.6 percent were currently divorced compared with the 14.4 percent who used methods of contraception, sterilization or abortion as a family planning method. Frequency of church attendance also reduced the likelihood of divorce.

  10. The influence of contraception, abortion, and natural family planning on divorce rates as found in the 2006–2010 National Survey of Family Growth

    Science.gov (United States)

    Fehring, Richard J.

    2015-01-01

    The purpose of this study was to determine the influence of contraception, abortion, and natural family planning (NFP) on divorce rates of US women of reproductive age. The variables of importance of religion and frequency of church attendance were also included in the analysis. The study involved 5,530 reproductive age women in the (2006–2010) National Survey of Family Growth who indicate that they were ever married. Among the women who ever used NFP only 9.6 percent were currently divorced compared with the 14.4 percent who were currently divorced among the women who never used NFP (x2 = 5.34, P NFP users the reason might be due to their religiosity. Lay summary: Providers of natural family planning (NFP) frequently mention that couples who practice NFP have fewer divorces compared to couples who use contraception. Evidence for this comment is weak. This study utilized a large data set of 5,530 reproductive age women to determine the influence that contraception, sterilization, abortion, and NFP has on divorce rates. Among the women participants who ever used NFP only 9.6 percent were currently divorced compared with the 14.4 percent who used methods of contraception, sterilization or abortion as a family planning method. Frequency of church attendance also reduced the likelihood of divorce. PMID:26912935

  11. The effectiveness of family therapy and systemic interventions for child-focused problems

    OpenAIRE

    CARR, ALAN

    2009-01-01

    This review updates a similar paper published in the Journal of Family Therapy in 2001. It presents evidence from meta-analyses, systematic literature reviews and controlled trials for the effectiveness of systemic interventions for families of children and adolescents with various difficulties. In this context, systemic interventions include both family therapy and other family-based approaches such as parent training. The evidence supports the effectiveness of systemic interventions either ...

  12. The evidence-base for family therapy and systemic interventions for child-focused problems

    OpenAIRE

    CARR, ALAN

    2014-01-01

    This review updates similar articles published in the Journal of Family Therapy in 2001 and 2009. It presents evidence from meta-analyses, systematic literature reviews and controlled trials for the effectiveness of systemic interventions for families of children and adolescents with various difficulties. In this context, systemic interventions include both family therapy and other family-based approaches such as parent training. The evidence supports the effectiveness of systemic interventio...

  13. Effects of Survey Mode on Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey Scores.

    Science.gov (United States)

    Parast, Layla; Elliott, Marc N; Hambarsoomian, Katrin; Teno, Joan; Anhang Price, Rebecca

    2018-01-23

    To examine the effect of mode of survey administration on response rates and response tendencies for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey and develop appropriate adjustments. Survey response data were obtained after sampling and fielding of the CAHPS Hospice Survey in 2015. Sampled caregivers and decedents were randomized to one of three modes: mail only, telephone only, and mixed mode (mail with telephone follow-up). Linear regression analysis was used to examine the effect of mode on individual responses to questions (6 composite measures and 2 global measures that examine hospice quality). U.S. hospice programs (N = 57). Primary caregivers of individuals who died in hospice (N = 7,349). Outcomes were 8 hospice quality measures (6 composite measures, 2 global measures). Analyses were adjusted for differences in case-mix (e.g., decedent age, payer for hospice care, primary diagnosis, length of final episode of hospice care, respondent age, respondent education, relationship of decedent to caregiver, survey language, and language spoken at home) between hospices. Response rates were 42.6% for those randomized to mail only, 37.9%, for those randomized to telephone only, and 52.6% for those randomized to mixed mode (P mode effects (P mode experiments for hospital CAHPS, hospice primary caregivers tend to respond more negatively by telephone than by mail. Valid comparisons of hospice performance require that reported hospice scores be adjusted for survey mode. © 2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society.

  14. Survey on multisensory feedback virtual reality dental training systems.

    Science.gov (United States)

    Wang, D; Li, T; Zhang, Y; Hou, J

    2016-11-01

    Compared with traditional dental training methods, virtual reality training systems integrated with multisensory feedback possess potentials advantages. However, there exist many technical challenges in developing a satisfactory simulator. In this manuscript, we systematically survey several current dental training systems to identify the gaps between the capabilities of these systems and the clinical training requirements. After briefly summarising the components, functions and unique features of each system, we discuss the technical challenges behind these systems including the software, hardware and user evaluation methods. Finally, the clinical requirements of an ideal dental training system are proposed. Future research/development areas are identified based on an analysis of the gaps between current systems and clinical training requirements. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  15. Healthcare worker and family caregiver hand hygiene in Bangladeshi healthcare facilities: results from the Bangladesh National Hygiene Baseline Survey.

    Science.gov (United States)

    Horng, L M; Unicomb, L; Alam, M-U; Halder, A K; Shoab, A K; Ghosh, P K; Opel, A; Islam, M K; Luby, S P

    2016-11-01

    Healthcare facility hand hygiene impacts patient care, healthcare worker safety, and infection control, but low-income countries have few data to guide interventions. To conduct a nationally representative survey of hand hygiene infrastructure and behaviour in Bangladeshi healthcare facilities to establish baseline data to aid policy. The 2013 Bangladesh National Hygiene Baseline Survey examined water, sanitation, and hand hygiene across households, schools, restaurants and food vendors, traditional birth attendants, and healthcare facilities. We used probability proportional to size sampling to select 100 rural and urban population clusters, and then surveyed hand hygiene infrastructure in 875 inpatient healthcare facilities, observing behaviour in 100 facilities. More than 96% of facilities had 'improved' water sources, but environmental contamination occurred frequently around water sources. Soap was available at 78-92% of handwashing locations for doctors and nurses, but just 4-30% for patients and family. Only 2% of 4676 hand hygiene opportunities resulted in recommended actions: using alcohol sanitizer or washing both hands with soap, then drying by air or clean cloth. Healthcare workers performed recommended hand hygiene in 9% of 919 opportunities: more after patient contact (26%) than before (11%). Family caregivers frequently washed hands with only water (48% of 2751 opportunities), but with little soap (3%). Healthcare workers had more access to hand hygiene materials and performed better hand hygiene than family, but still had low adherence. Increasing hand hygiene materials and behaviour could improve infection control in Bangladeshi healthcare facilities. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  16. Services for persons with dementia and their families: a survey of information and referral agencies in Michigan.

    Science.gov (United States)

    Shope, J T; Holmes, S B; Sharpe, P A; Goodman, C; Izenson, S; Gilman, S; Foster, N L

    1993-08-01

    In planning a statewide Dementia Program, Michigan agencies (N = 244) providing geriatric information and referral (I&R) were surveyed to determine service availability, families' needs, and problems providing I&R for persons with dementia and their families. Home-delivered meals, nursing and social work assessments were considered more available. Medical assessment, however, was considered "very available" by only 60%. Respite and adult day care were least available and most needed. Least was known about autopsy and financial services. For several services, non-urban areas reported less availability than urban areas. With additional information and training, existing agencies could provide more available and extensive I&R for persons with dementia and their families, forming a statewide network.

  17. Socio demographic determinants and knowledge, attitude, practice: survey of family planning.

    Science.gov (United States)

    Sharma, Vasundhara; Mohan, Uday; Das, Vinita; Awasthi, Shally

    2012-01-01

    Understanding of family planning scenario among different societies and communities, which by and large reside in urban slum and rural areas, might prove useful in increasing family planning acceptance by them and decreasing population growth. To assess the sociodemographic determinants and KAP of family planning among urban slum and rural areas of Lucknow. Cross sectional. Bal Mahila Chikitsalaya, Aliganj, in urban and Primary Health Centre, Bakshi Ka Talaab, in rural area of Lucknow. October 2008 to April 2009. Six hundred and eightytwo postpartum women (within 42 days of delivery) who came to these health facilities for their child's vaccination were interviewed, by a preformed and pretested schedule. Maximum utilization of family methods were seen among Hindu women, women of age group 30 or more, parity four and more, educational level upto high school and above and those of higher socioeconomic class. Although overall residential area (urban or rural) of women had no influence on the practice of family planning by them and all of them were willing to adopt family planning methods in future, urban women were found to have a higher level of knowledge and attitude toward modern methods of family planning. Only 2.8% were unsure of preferred method for future use. Family planning programs which effectively promotes the use of family planning methods, so that the trend toward increase in population could be arrested is the need of hour.

  18. Survey of health-system pharmacy leadership pathways.

    Science.gov (United States)

    Pollard, Sacha R; Clark, John S

    2009-05-15

    The results of a survey comparing the similarities and differences in health-system pharmacy leadership pathways are reported. The link to an online questionnaire was e-mailed to pharmacy leaders subscribing to ASHP's Pharmacy Practice Manager listserver. All respondents were asked to provide their career pathway, their thoughts on the most valued skill sets to a health-system pharmacy leader, and the influence that their leadership pathway had on these skill sets. Pharmacy middle managers were asked if they desired to become a health-system pharmacy director, and pharmacy directors were asked to provide their hiring preferences for new health-system pharmacy leaders. Two-hundred-five individuals responded to the survey. On-the-job experience (40%) was identified as the most common leadership pathway of current health-system pharmacy leaders. Respondents classified medication-use policy (26%), human resource management (20%), and interpersonal skills (18%) as the most valued skill sets to a health-system pharmacy leader. Residency and degree programs were most thought to prepare future health-system pharmacy leaders for interpersonal relations, ethical decision-making, and finance and budget management. Sixty percent of eligible respondents stated that they were interested in seeking health-system pharmacy director positions. The majority of director of pharmacy respondents stated that they preferred to hire leaders with previous on-the-job experience. On-the-job-experience was identified as the most common leadership pathway by survey respondents. Medication-use policy, human resource management, and interpersonal skills were identified by respondents as the most valued skill sets to a health-system pharmacy leader.

  19. Usability of a Wearable Camera System for Dementia Family Caregivers

    Directory of Open Access Journals (Sweden)

    Judith T. Matthews

    2015-01-01

    Full Text Available Health care providers typically rely on family caregivers (CG of persons with dementia (PWD to describe difficult behaviors manifested by their underlying disease. Although invaluable, such reports may be selective or biased during brief medical encounters. Our team explored the usability of a wearable camera system with 9 caregiving dyads (CGs: 3 males, 6 females, 67.00 ± 14.95 years; PWDs: 2 males, 7 females, 80.00 ± 3.81 years, MMSE 17.33 ± 8.86 who recorded 79 salient events over a combined total of 140 hours of data capture, from 3 to 7 days of wear per CG. Prior to using the system, CGs assessed its benefits to be worth the invasion of privacy; post-wear privacy concerns did not differ significantly. CGs rated the system easy to learn to use, although cumbersome and obtrusive. Few negative reactions by PWDs were reported or evident in resulting video. Our findings suggest that CGs can and will wear a camera system to reveal their daily caregiving challenges to health care providers.

  20. Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff.

    Science.gov (United States)

    Paavilainen, Eija; Mikkola, Riitta; Salminen-Tuomaala, Mari; Leikkola, Päivi

    2017-01-01

    Not much is known about emergency care delivered in patients' homes or other out-of-hospital settings. This study aims to describe out-of-hospital emergency staff's experiences of encountering and counseling patients and their family members. A descriptive cross-sectional design was applied. Data were collected from a hospital district in Finland from emergency care staff via an electronic survey questionnaire specifically developed for this purpose (N = 125, N = 142 reponse rate 59%, response rate 53%) and analyzed using descriptive statistics. Respondents succeeded in encountering (up to 3.88/4) and counseling (up to 3.89/4) patients and family members. Challenges were related to introducing themselves to family members (3.20/4), to interacting with patients from different cultures (3.38/4) and to allowing family members to be present in care situations (2.29/4). Providing emotional support (2.56/4), especially to family members, and confirming (3.16/4) and ensuring continuity of care instructions (3.00/4) were found to be challenging. High-level counseling in acute out-of-hospital situations demands that care providers can put themselves into the patient's and family's situation, ensure follow-up care and provide care instructions to both patients and families. The presence and participation of family members is essential in acute care situations outside hospital contexts. Ensuring that these contents are included and practiced during basic and continuing emergency care education for nurses and other emergency staff is crucial for developing counseling practices.

  1. Colours of the Outer Solar System Origins Survey: An Update

    Science.gov (United States)

    Schwamb, Megan E.; Fraser, Wesley C.; Pike, Rosemary E.; Bannister, Michele T.; Marsset, Michaël; Kavelaars, J. J.; Benecchi, Susan; Delsanti, Audrey C.; Lehner, Matthew J.; Wang, Shiang-Yu; Thirouin, Audrey; Nesvorný, David

    2018-01-01

    The vast majority of the known dwarf-planet sized bodies are bright enough to be studied through optical and infrared spectroscopy. As a result, we have an understanding of the surface properties for the largest Kuiper belt objects (KBOs) which retain their primordial inventory of volatile ices. For the typically smaller > 22 mag KBO, we must rely instead on what colors reveal by proxy; yet this picture remains incomplete. Most KBO physical property studies examine the hodgepodge set of objects discovered by various surveys with different and varying detection biases that make it difficult if not impossible to reliably estimate the sizes of the different surface color groupings (compositional classes) residing in the modern-day Kuiper belt.The Colours of the Outer Solar System Origins Survey (Col-OSSOS) probes the surface properties within the Kuiper belt primarily through near simultaneous g,r and J colors with the Gemini North Telescope and u-band with Canada-France-Hawaii Telescope. The project aims to target ~100 KBOs brighter than 23.6 r‧ mag found by the Outer Solar System Origins Survey (OSSOS), a survey with a well-measured detection efficiency. Thus, Col-OSSOS provides the first brightness-complete, compositional-dynamical map of the Outer Solar System, probing in a new light the radial color distribution in the primordial planetesimal disk from which KBOs originated. We will provide an update on the current status of the program highlighting results from the first two years of the survey; including size estimates of the two color KBO subgroups (the red and neutral surfaces) within the dynamically excited Kuiper belt and implications for the early planetesimal disk composition based on neutral-colored binaries found in the cold classical Kuiper belt.

  2. Early Family System Types Predict Children's Emotional Attention Biases at School Age

    Science.gov (United States)

    Lindblom, Jallu; Peltola, Mikko J.; Vänskä, Mervi; Hietanen, Jari K.; Laakso, Anu; Tiitinen, Aila; Tulppala, Maija; Punamäki, Raija-Leena

    2017-01-01

    The family environment shapes children's social information processing and emotion regulation. Yet, the long-term effects of early family systems have rarely been studied. This study investigated how family system types predict children's attentional biases toward facial expressions at the age of 10 years. The participants were 79 children from…

  3. A Novel EM Gradiometric Surveying System for Geophysical Reconnaissance

    CERN Document Server

    Veryaskin, Alexey V; Vaalsta, Timo P; Li, Ju; Blair, David G

    2011-01-01

    Interferometric principles are widely used in precision physics experiments and/or in advanced laboratory-based phase measurement systems. Phase resolution of such systems is a few orders of magnitude higher compared to that of standard mixer-based quadrature demodulators or lock-in technique. The first attempt of applying interferometric signal processing to transmitter-target-receiver based electromagnetic (EM) surveying in geophysical prospecting is described. It is shown that it is possible to build an EM single carrier surveying system that is, firstly, immune to amplitude variations of both the primary and the secondary EM fields, and, secondly, can directly measure phase variations between the primary and secondary EM fields. Its inherent phase noise floor, if limited by the interferometer itself, can be as low as tens of nanoradians/\\surdHz or below -140 dBc/\\surdHz level. A practical example of an EM gradiometric surveying system based on an interferometric principle and operating in the Extremely Lo...

  4. Testing survey methodology to measure patients' experiences and views of the emergency and urgent care system: telephone versus postal survey

    Directory of Open Access Journals (Sweden)

    Nicholl Jon

    2010-06-01

    Full Text Available Abstract Background To address three methodological challenges when attempting to measure patients' experiences and views of a system of inter-related health services rather than a single service: the feasibility of a population survey for identifying system users, the optimal recall period for system use, and the mode of administration which is most feasible and representative in the context of routine measurement of system performance. Methods Postal survey of a random sample of 900 members of the general population and market research telephone survey of quota sample of 1000 members of the general population. Results Response rates to the postal and market research telephone population surveys were 51% (457 out of 893 receiving the questionnaire and 9% (1014 out of 11924 contactable telephone numbers respectively. Both surveys were able to identify users of the system in the previous three months: 22% (99/457 of postal and 15% (151/1000 of telephone survey respondents. For both surveys, recall of event occurrence reduced by a half after four weeks. The telephone survey more accurately estimated use of individual services within the system than the postal survey. Experiences and views of events remained reasonably stable over the three month recall time period for both modes of administration. Even though the response rate was lower, the telephone survey was more representative of the population, was faster and cheaper to undertake, and had fewer missing values. Conclusions It is possible to identify users of a health care system using a population survey. A recall period of three months can be used to estimate experiences and views but one month is more accurate for estimating use of the system. A quota sample market research telephone survey gives a low response rate yet is more representative and accurate than a postal survey of a random sample of the population.

  5. Functional relatedness in the Inv/Mxi-Spa type III secretion system family.

    Science.gov (United States)

    Klein, Jessica A; Dave, Biren M; Raphenya, Amogelang R; McArthur, Andrew G; Knodler, Leigh A

    2017-03-01

    Type III Secretion Systems (T3SSs) are structurally conserved nanomachines that span the inner and outer bacterial membranes, and via a protruding needle complex contact host cell membranes and deliver type III effector proteins. T3SS are phylogenetically divided into several families based on structural basal body components. Here we have studied the evolutionary and functional conservation of four T3SS proteins from the Inv/Mxi-Spa family: a cytosolic chaperone, two hydrophobic translocators that form a plasma membrane-integral pore, and the hydrophilic 'tip complex' translocator that connects the T3SS needle to the translocon pore. Salmonella enterica serovar Typhimurium (S. Typhimurium), a common cause of food-borne gastroenteritis, possesses two T3SSs, one belonging to the Inv/Mxi-Spa family. We used invasion-deficient S. Typhimurium mutants as surrogates for expression of translocator orthologs identified from an extensive phylogenetic analysis, and type III effector translocation and host cell invasion as a readout for complementation efficiency, and identified several Inv/Mxi-Spa orthologs that can functionally substitute for the S. Typhimurium chaperone and translocator proteins. Functional complementation correlates with amino acid sequence identity between orthologs, but varies considerably between the four proteins. This is the first in-depth survey of the functional interchangeability of Inv/Mxi-Spa T3SS proteins acting directly at the host-pathogen interface. © 2016 John Wiley & Sons Ltd.

  6. Student Performance and Family Socioeconomic Status: Results from a Survey of Compulsory Education in Western China

    Science.gov (United States)

    Liu, Xiaofei; Lu, Ke

    2008-01-01

    This study used fifteen-year-old ninth-grade students from rural areas of five provinces in western China as samples to carry out research on the relationship between the socioeconomic status of Chinese families and student academic performance. Based on parents' educational background, occupation, family economic conditions, and other factors,…

  7. Measuring Parent Perceptions of Family-School Engagement: The Development of New Survey Tools

    Science.gov (United States)

    Schueler, Beth E.; McIntyre, Joseph C.; Gehlbach, Hunter

    2017-01-01

    Given family-school engagement is correlated with student academic achievement, educational researchers have long been interested in the construct. However, measuring parental engagement is deceptively challenging. The concept includes school-based engagement, home-based learning support, and family-school communication. In this article we focus…

  8. Survey into bereavement of family members of patients who died in the intensive care unit

    NARCIS (Netherlands)

    van der Klink, M.A.; Heijboer, L.; Hofhuis, J.G.M.; Hovingh, A.; Rommes, J.H.; Westerman, M.J.; Spronk, P.E.

    2010-01-01

    Background: The death of a family member in the intensive care unit (ICU) is often sudden and unexpected and may have a strong impact on family members. Objective: To describe the characteristics of bereavement, to find out if there is a need for follow-up bereavement service and to determine if the

  9. Familial Vulnerability to ADHD Affects Activity in the Cerebellum in Addition to the Prefrontal Systems

    Science.gov (United States)

    Mulder, Martijn J.; Baeyens, Dieter; Davidson, Matthew C.; Casey, B. J.; Van Den Ban, Els; Van Engeland, Herman; Durston, Sarah

    2008-01-01

    The study examines whether cerebellar systems are sensitive to familial risk for ADHD in addition to frontostriatal circuitry. The results conclude that familial vulnerability to ADHD affects activity in both the prefrontal cortex and cerebellum.

  10. It All Depends on Who Does What: A Survey of Patient and Family Member Comfort With Surgical Trainees Operating.

    Science.gov (United States)

    Petravick, Michael E; Edgington, Jonathan P; Idowu, Olumuyiwa A; Shi, Lewis L; Lee, Michael J

    To measure patient and family member comfort with surgical trainees of varying levels performing different portions of surgery. An electronic survey dividing surgery into 6 steps (prepping and positioning, initial incision, deep dissection, critical portions, deep suturing, and closing incision), differentiating surgical trainees by 4 levels of experience (medical student, intern, resident, and fellow), and specifying whether or not an attending surgeon is in the operating room (OR) was given to 200 patients and family members in the surgical waiting area of a single academic medical center. Responses were on a 7-point Likert scale from "Not Comfortable at All" to "Completely Comfortable". Patient and family member comfort significantly increased as trainee experience increased. It reached a nadir for all trainees performing "critical portions" of surgery. However, their average response was "Comfortable" for residents and fellows performing any surgical step when the attending surgeon is present in the OR. The percentage of "Comfortable" responses was significantly lower for all trainee levels performing any surgical step when the attending surgeon is absent from the OR. Patient and family member comfort with surgical trainees operating varies based on the trainee's level of experience, the step the trainee performs, and whether or not the attending surgeon is present in the OR. Patients and family members are on average "Comfortable" with surgical residents and fellows performing any surgical step when the attending surgeon is present. Copyright © 2017. Published by Elsevier Inc.

  11. Family carers' experiences of receiving the news of a diagnosis of Motor Neurone Disease: A national survey.

    Science.gov (United States)

    Aoun, Samar M; Breen, Lauren J; Oliver, David; Henderson, Robert D; Edis, Robert; O'Connor, Margaret; Howting, Denise; Harris, Rodney; Birks, Carol

    2017-01-15

    Family carers have a central role in the care and support of people with MND and face the challenges of the disease from diagnosis to progression and the multiple losses of MND, but their support needs are often neglected. This study aimed to investigate the experiences of family carers at the time of diagnosis and their satisfaction with receiving the news. An anonymous postal survey was facilitated by all MND Associations in Australia (2014) and 190 family carers completed the questionnaire. The questions centred on the SPIKES protocol for communicating bad news. Two-thirds of family carers rated the skills of their neurologists as above average and were satisfied with the delivery of the diagnosis, in terms of having a significantly longer consultation time, the neurologist being warm and caring, satisfaction with the amount and content of information they received and relevant supports, and a plan for following up support. Conversely those who rated the neurologist's skills as below average commented on the difficulties they encountered and the long term emotional stress engendered by poor communication. The study emphasises previous research that suggested that neurologists may require education and training in communicating the diagnosis and this should include family carers as a vital member in MND care. Copyright © 2016 Elsevier B.V. All rights reserved.

  12. The Integration of a Family Systems Approach for Understanding Youth Obesity, Physical Activity, and Dietary Programs

    OpenAIRE

    Kitzman-Ulrich, Heather; Wilson, Dawn K.; St. George, Sara M.; Lawman, Hannah; Segal, Michelle; Fairchild, Amanda

    2010-01-01

    Rates of overweight in youth have reached epidemic proportions and are associated with adverse health outcomes. Family-based programs have been widely used to treat overweight in youth. However, few programs incorporate a theoretical framework for studying a family systems approach in relation to youth health behavior change. Therefore, this review provides a family systems theory framework for evaluating family-level variables in weight loss, physical activity, and dietary approaches in yout...

  13. Operating systems for wireless sensor networks: a survey.

    Science.gov (United States)

    Farooq, Muhammad Omer; Kunz, Thomas

    2011-01-01

    This paper presents a survey on the current state-of-the-art in Wireless Sensor Network (WSN) Operating Systems (OSs). In recent years, WSNs have received tremendous attention in the research community, with applications in battlefields, industrial process monitoring, home automation, and environmental monitoring, to name but a few. A WSN is a highly dynamic network because nodes die due to severe environmental conditions and battery power depletion. Furthermore, a WSN is composed of miniaturized motes equipped with scarce resources e.g., limited memory and computational abilities. WSNs invariably operate in an unattended mode and in many scenarios it is impossible to replace sensor motes after deployment, therefore a fundamental objective is to optimize the sensor motes' life time. These characteristics of WSNs impose additional challenges on OS design for WSN, and consequently, OS design for WSN deviates from traditional OS design. The purpose of this survey is to highlight major concerns pertaining to OS design in WSNs and to point out strengths and weaknesses of contemporary OSs for WSNs, keeping in mind the requirements of emerging WSN applications. The state-of-the-art in operating systems for WSNs has been examined in terms of the OS Architecture, Programming Model, Scheduling, Memory Management and Protection, Communication Protocols, Resource Sharing, Support for Real-Time Applications, and additional features. These features are surveyed for both real-time and non-real-time WSN operating systems.

  14. Operating Systems for Wireless Sensor Networks: A Survey

    Directory of Open Access Journals (Sweden)

    Muhammad Omer Farooq

    2011-05-01

    Full Text Available This paper presents a survey on the current state-of-the-art in Wireless Sensor Network (WSN Operating Systems (OSs. In recent years, WSNs have received tremendous attention in the research community, with applications in battlefields, industrial process monitoring, home automation, and environmental monitoring, to name but a few. A WSN is a highly dynamic network because nodes die due to severe environmental conditions and battery power depletion. Furthermore, a WSN is composed of miniaturized motes equipped with scarce resources e.g., limited memory and computational abilities. WSNs invariably operate in an unattended mode and in many scenarios it is impossible to replace sensor motes after deployment, therefore a fundamental objective is to optimize the sensor motes’ life time. These characteristics of WSNs impose additional challenges on OS design for WSN, and consequently, OS design for WSN deviates from traditional OS design. The purpose of this survey is to highlight major concerns pertaining to OS design in WSNs and to point out strengths and weaknesses of contemporary OSs for WSNs, keeping in mind the requirements of emerging WSN applications. The state-of-the-art in operating systems for WSNs has been examined in terms of the OS Architecture, Programming Model, Scheduling, Memory Management and Protection, Communication Protocols, Resource Sharing, Support for Real-Time Applications, and additional features. These features are surveyed for both real-time and non-real-time WSN operating systems.

  15. Formal methods for industrial critical systems a survey of applications

    CERN Document Server

    Margaria-Steffen, Tiziana

    2012-01-01

    "Today, formal methods are widely recognized as an essential step in the design process of industrial safety-critical systems. In its more general definition, the term formal methods encompasses all notations having a precise mathematical semantics, together with their associated analysis methods, that allow description and reasoning about the behavior of a system in a formal manner.Growing out of more than a decade of award-winning collaborative work within the European Research Consortium for Informatics and Mathematics, Formal Methods for Industrial Critical Systems: A Survey of Applications presents a number of mainstream formal methods currently used for designing industrial critical systems, with a focus on model checking. The purpose of the book is threefold: to reduce the effort required to learn formal methods, which has been a major drawback for their industrial dissemination; to help designers to adopt the formal methods which are most appropriate for their systems; and to offer a panel of state-of...

  16. A High Redshift Survey of Lyman Limit Systems

    Science.gov (United States)

    Beltz, Hayley; Jorgenson, Regina A.; Rafelski, Marc

    2018-01-01

    Lyman Limit Systems (LLSs), a class of quasar absorption line system detected towards background quasars, are ubiquitous in quasar spectra and provide a crucial tool for understanding high redshift galaxy formation and evolution. At moderate neutral hydrogen (HI) column densities, 1017.5complement to these previous studies, we present a survey of LLSs in a sample of twenty-six, high redshift (z>5) quasars with VLT/X-Shooter spectra. These high redshift systems unlock information about the universe during its first few gigayears. We calculate the number of systems per unit redshift, l(X), at z >4.4, extending the redshift evolution of LLSs presented in Fumagalli et al. (2015). For those systems with associated metal line absorption, we provide an estimate of the LLSs metallicity. This project was supported in part by the NSF REU grant AST-1358980 and by the Nantucket Maria Mitchell Association.

  17. Social Media Use of Cooperative Extension Family Economics Educators: Online Survey Results and Implications

    Science.gov (United States)

    O'Neill, Barbara; Zumwalt, Andrew; Bechman, Janet

    2011-01-01

    This article describes results of an online survey conducted by the eXtension Financial Security for All (FSA) Community of Practice (CoP) to determine the social media capacity and activity of its members. The survey was conducted to inform two subsequent FSA CoP programs: an archived webinar on social media programs and impact evaluation methods…

  18. Family-related risk factors of obesity among preschool children: results from a series of national epidemiological surveys in China.

    Science.gov (United States)

    Zong, Xin-Nan; Li, Hui; Zhang, Ya-Qin

    2015-09-19

    Family-based child obesity prevention and control strategy has not yet established in many countries or regions, including China, thus what it needs to do now is to continuously develop and improve the strategies. The purpose of this study were to describe a wider spectrum of risk factors of obesity among preschool children and add to the mounting evidence for further improving suggested intervention measures in future family-based programs. Data was collected as part of a series of national epidemiological surveys in childhood conducted in 9 Chinese cities. A population-based, 1:1 matched case-control design was employed to examine risk factors of obesity by means of conditional logistic regression. Obesity was defined as the International Obesity Task Force (IOTF) BMI-for-age cut offs. Eligible subjects were 1234 boys and 610 girls aged 3-7 years in 1996 and 2290 boys and 1008 girls in 2006, including obese and non-obese. High birth weight, gestational hypertension and parents' BMI were closely associated with childhood obesity. Breast feeding in the first 4 months was a protective factor in univariate model in 2006 (OR = 0.834, P = 0.0234), but the association was not seen in multivariate. Appetite, eating speed, daily time and intensity for outdoor activities, night sleep time, and time for TV viewing were identified statistically by multivariate model. Those children brought up in extended family or mainly raised by their grandparents or lived in high income or low education families might have an increased risk of becoming obese. Parents' attitudes on weight control of their children significantly differed between obese and non-obese groups. A wider spectrum of risk factors and an empirical aggregation of family-related risk factors are discussed to further improve future family-based child obesity prevention and control strategies. Most of the risk factors identified by this study presented ranked or quantitative characteristics which might be

  19. Attitudes of Family Medicine Program Directors Toward Osteopathic Residents Under the Single Accreditation System.

    Science.gov (United States)

    Hempstead, Laura K; Shaffer, Todd D; Williams, Karen B; Arnold, Lt Col James

    2017-04-01

    Between 2015 and 2020, residency programs accredited through the American Osteopathic Association (AOA) are preparing the single graduate medical education (GME) system through the Accreditation Council for Graduate Medical Education (ACGME). (1) To assess the attitudes of family medicine program directors in programs accredited dually by the AOA and ACGME (AOA/ACGME) or ACGME only toward the clinical and academic preparedness of osteopathic residency candidates and (2) to determine program director attitudes toward the perceived value of osteopathic-focused education, including osteopathic manipulative treatment (OMT) curricula. A survey was sent to program directors of AOA/ACGME and ACGME-only accredited family medicine residency programs. Items concerned program directors' perception of the academic and clinical strength of osteopathic residents at the onset of residency, the presence of osteopathic faculty and residents currently in the program, and the presence of formal curricula for teaching OMT. The perceived value of osteopathic focus was obtained through a composite score of 5 items. A total of 38 AOA/ACGME family medicine residency program directors (17%) and 211 ACGME family medicine residency program directors (45.6%) completed the survey (N=249). No difference was found in the ranking of the perceived clinical preparation of osteopathic residents vs allopathic residents in programs with and without OMT curricula (P=.054). Directors of programs with OMT curricula perceived the academic preparation of their osteopathic residents vs allopathic residents more highly than those without OMT curricula (P=.039). Directors of AOA/ACGME programs perceived both the academic preparation and clinical preparation of their osteopathic residents more highly than those at ACGME-only programs (P=.004 and P=.002, respectively). Directors of AOA/ACGME programs, as well as those whose programs have an osteopathic focus in curricular offerings, were more likely to rank the

  20. Nurses' work demands and work-family conflict: a questionnaire survey.

    Science.gov (United States)

    Yildirim, Dilek; Aycan, Zeynep

    2008-09-01

    Work-family conflict is a type of interrole conflict that occurs as a result of incompatible role pressures from the work and family domains. Work role characteristics that are associated with work demands refer to pressures arising from excessive workload and time pressures. Literature suggests that work demands such as number of hours worked, workload, shift work are positively associated with work-family conflict, which, in turn is related to poor mental health and negative organizational attitudes. The role of social support has been an issue of debate in the literature. This study examined social support both as a moderator and a main effect in the relationship among work demands, work-to-family conflict, and satisfaction with job and life. This study examined the extent to which work demands (i.e., work overload, irregular work schedules, long hours of work, and overtime work) were related to work-to-family conflict as well as life and job satisfaction of nurses in Turkey. The role of supervisory support in the relationship among work demands, work-to-family conflict, and satisfaction with job and life was also investigated. The sample was comprised of 243 participants: 106 academic nurses (43.6%) and 137 clinical nurses (56.4%). All of the respondents were female. The research instrument was a questionnaire comprising nine parts. The variables were measured under four categories: work demands, work support (i.e., supervisory support), work-to-family conflict and its outcomes (i.e., life and job satisfaction). The structural equation modeling results showed that work overload and irregular work schedules were the significant predictors of work-to-family conflict and that work-to-family conflict was associated with lower job and life satisfaction. Moderated multiple regression analyses showed that social support from the supervisor did not moderate the relationships among work demands, work-to-family conflict, and satisfaction with job and life. Exploratory

  1. Family physicians understanding about Mantoux test: A survey from a high endemic TB country

    OpenAIRE

    Ali Niloufer; Jamal Kishwar; Khuwaja Ali

    2010-01-01

    Abstract Background Tuberculosis is a global health emergency and is a big challenge to diagnose and manage it. Family physicians being first contact health persons should be well competent to diagnose and manage the patients with tuberculosis. Aims This study was aimed to assess the level of understanding about Mantoux Test amongst Family Physicians in Karachi, Pakistan and to determine the difference of level of understanding by gender and number of tuberculosis patients seen in a month. Me...

  2. Applying a family systems lens to proxy decision making in clinical practice and research.

    Science.gov (United States)

    Rolland, John S; Emanuel, Linda L; Torke, Alexia M

    2017-03-01

    When patients are incapacitated and face serious illness, family members must make medical decisions for the patient. Medical decision sciences give only modest attention to the relationships among patients and their family members, including impact that these relationships have on the decision-making process. A review of the literature reveals little effort to systematically apply a theoretical framework to the role of family interactions in proxy decision making. A family systems perspective can provide a useful lens through which to understand the dynamics of proxy decision making. This article considers the mutual impact of family systems on the processes and outcomes of proxy decision making. The article first reviews medical decision science's evolution and focus on proxy decision making and then reviews a family systems approach, giving particular attention to Rolland's Family Systems Illness Model. A case illustrates how clinical practice and how research would benefit from bringing family systems thinking to proxy decisions. We recommend including a family systems approach in medical decision science research and clinical practices around proxy decisions making. We propose that clinical decisions could be less conflicted and less emotionally troubling for families and clinicians if family systems approaches were included. This perspective opens new directions for research and novel approaches to clinical care. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  3. The Family and Child Welfare System in Poland: Family Assistantship as a New Solution in Social Work with Families

    Science.gov (United States)

    Ciczkowska-Giedziun, Malgorzata; Zmyslowska, Magdalena

    2018-01-01

    Poland is a post-communist country rooted in the idea of a nanny state. Although the state is still highly involved in social policy, the social and constitutional transformation that began in 1989 led to many changes which in turn influenced the functioning of an individual and family life. Numerous reforms have gradually changed the shape of the…

  4. Violence Against Children Surveys (VACS): towards a global surveillance system.

    Science.gov (United States)

    Chiang, Laura F; Kress, Howard; Sumner, Steven A; Gleckel, Jessie; Kawemama, Philbert; Gordon, Rebecca N

    2016-04-01

    To describe the Violence Against Children Surveys (VACS). The survey is a national, household survey that systematically measures the prevalence, nature and consequences of sexual, physical and emotional violence against children. This report provides information about the history, implementation, ethical protections, utility, results, limitations, and future directions of the VACS work. The study has been implemented in 11 countries in Africa, Asia and the Caribbean, providing each of these countries with baseline data and momentum to address violence against children as a public health and human rights priority. These data are novel in each country, and VACS is well poised to contribute to an existing surveillance system or be used as the basis of a periodic surveillance system. Without ongoing surveillance to assess prevalence and the impact of policy, prevention and response programming, violence will likely continue to be overlooked as the linchpin public health crisis that it is, globally and in individual countries. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  5. Methodological reflections on some contributions of the systemic family therapy to an anthropological study of family

    National Research Council Canada - National Science Library

    Marta Maffia

    2014-01-01

    ... such as immigration and family, identity and ethnicity, among others. After long years of work, we have adjusted methodologies, especially those resulting from the traditional anthropology, looking for alternatives, “recycling...

  6. A survey on question answering systems with classification

    Directory of Open Access Journals (Sweden)

    Amit Mishra

    2016-07-01

    Full Text Available Question answering systems (QASs generate answers of questions asked in natural languages. Early QASs were developed for restricted domains and have limited capabilities. Current QASs focus on types of questions generally asked by users, characteristics of data sources consulted, and forms of correct answers generated. Research in the area of QASs began in 1960s and since then, a large number of QASs have been developed. To identify the future scope of research in this area, the need of a comprehensive survey on QASs arises naturally. This paper surveys QASs and classifies them based on different criteria. We identify the current status of the research in the each category of QASs, and suggest future scope of the research.

  7. The MEDIDO Survey: Dark Matter in Low Dispersion Stellar Systems

    Science.gov (United States)

    Noyola, Eva; Bustamante, Maria Jose

    2017-06-01

    We will present preliminary results of the Medido Survey. The Survey focuses on dwarf galaxies of various types, as well as Milky Way globular clusters. We have been gathering data at the McDonald Observatory using the VIRUS-W spectrograph, which is capable of resolving velocity dispersions slightly above 10 km/s. For the galaxies, our focus is to improve kinematics in the central regions in order to tackle the cusp/core discrepancy between observations and models. In the case of the globular clusters, we map kinematics out to about 2 half-light radii with the goal of testing if any dark matter content can be detected or if dark matter can be confidently ruled out for these systems.

  8. A New Blondin System for Surveying and Photogrammetry

    Directory of Open Access Journals (Sweden)

    Federico Cuesta

    2013-12-01

    Full Text Available The main objective of the system presented in this paper is to provide surveyors and engineers with a new photogrammetry device that can be easily integrated with surveying total stations and a global navigation satellite system (GNSS infrastructure at a construction site, taking advantage of their accuracy and overcoming limitations of aerial vehicles with respect to weight, autonomy and skilled operator requirements in aerial photogrammetry. The system moves between two mounting points, in a blondin ropeway configuration, at the construction site, taking pictures and recording the data of the position and the orientation along the cable path. A cascaded extended Kalman filter is used to integrate measurements from the on-board inertial measurement unit (IMU, a GPS and a GNSS. Experimental results taken in a construction site show the system performance, including the validation of the position estimation, with a robotic surveying total station, or the creation of a digital surface model (DSM, using the emergent structure from motion (SfM techniques and open software. The georeferencing of the DSM is performed based on estimated camera position or using ground control points (GCPs.

  9. [Aftermath of death of a seriously ill family member: Online survey of psychological distress and care satisfaction of relatives].

    Science.gov (United States)

    Gottschalk-Fleischer, Antje; Köhler, Norbert; Brähler, Elmar; Mehnert, Anja; Götze, Heide

    2017-05-12

    Aim of the study The aim of the study was to assess the level of psychosocial distress and satisfaction with care in family caregivers after the death of a close relative. Method Anxiety and depression (HADS) of family caregivers were evaluated in both bereaved family caregivers and a comparable group from the general population. Furthermore, satisfaction with care (ZUF-8) and social support (HOPE-Module, ESSI) were assessed after the patients had died. Regression models were employed to analyze associations between psychological distress and sociodemographic and care-related variables. Results We conducted an online survey with 200 bereaved family caregivers (93% female, time since death of the relative: M=306 days). Of these, 31% were the primary caregiver. The bereaved caregivers were highly psychologically distressed (high anxiety: 41%/high depression: 35%). From the survivors' point of view, care at the end of life was partially insufficient: about one in three of the dying patients had suffered from pain and 20% had not been treated with dignity. After the relative had passed away, 44% of the bereaved caregivers did not get information about support offers; one in three missed emotional assistance. Dissatisfaction with care and support was associated with increased psychological distress, higher age and a shorter period of care. Conclusion The high level of psychological distress in bereaved family caregivers suggests high supportive care needs, which are often not met in practice. Family caregivers need to be prepared for the time after their relative's death and should be offered psychosocial support. © Georg Thieme Verlag KG Stuttgart · New York.

  10. Working with families of persons with aphasia: a survey of Swedish speech and language pathologists.

    Science.gov (United States)

    Johansson, Monica B; Carlsson, Marianne; Sonnander, Karin

    2011-01-01

    The overall aim was to investigate how speech and language pathologists (SLPs), in Sweden are working with people with aphasia and their families and what their professional experiences are. A cross-sectional study with a descriptive and comparative design. An 84-item study-specific questionnaire was sent to all Swedish SLPs, affiliated to SLOF (the Swedish professional association and trade union). The response rate was 72.5% (n = 758). Thirty per cent worked with people with aphasia and typically met with their families. The participants considered the involvement of families as very important, especially concerning providing information of aphasia and training of communication strategies. However, involvement of families was limited due to a shortage of time, but also to perceived limited skill and knowledge. There was an evident discrepancy between what the participants claimed to be an important part of their work, and their actual practice. It is suggested that to facilitate family intervention, this should be explicitly expressed in both local and national guidelines. The content of the SLP education, and the need of further education and implementation of new knowledge into clinical practice also requires consideration.

  11. Reciprocal Family, Friendship and Church Support Networks of African Americans: Findings from the National Survey of American Life.

    Science.gov (United States)

    Taylor, Robert Joseph; Mouzon, Dawne M; Nguyen, Ann W; Chatters, Linda M

    2016-12-01

    This study examined reciprocal support networks involving extended family, friends and church members among African Americans. Our analysis examined specific patterns of reciprocal support (i.e., received only, gave only, both gave and received, neither gave or received), as well as network characteristics (i.e., contact and subjective closeness) as correlates of reciprocal support. The analysis is based on the African American sub-sample of the National Survey of American Life (NSAL). Overall, our findings indicate that African Americans are very involved in reciprocal support networks with their extended family, friends and church members. Respondents were most extensively involved in reciprocal supports with extended family members, followed closely by friends and church networks. Network characteristics (i.e., contact and subjective closeness) were significantly and consistently associated with involvement with reciprocal support exchanges for all three networks. These and other findings are discussed in detail. This study complements previous work on the complementary roles of family, friend and congregational support networks, as well as studies of racial differences in informal support networks.

  12. Three-dimensional Identification and Reconstruction of Galaxy Systems within Flux-limited Redshift Surveys

    Science.gov (United States)

    Marinoni, Christian; Davis, Marc; Newman, Jeffrey A.; Coil, Alison L.

    2002-11-01

    We have developed a new geometrical method for identifying and reconstructing a homogeneous and highly complete set of galaxy groups within flux-limited redshift surveys. Our method combines information from the three-dimensional Voronoi diagram and its dual, the Delaunay triangulation, to obtain group and cluster catalogs that are remarkably robust over wide ranges in redshift and degree of density enhancement. As free by-products, this Voronoi-Delaunay method (VDM) provides a nonparametric measurement of the galaxy density around each object observed and a quantitative measure of the distribution of cosmological voids in the survey volume. In this paper, we describe the VDM algorithm in detail and test its effectiveness using a family of mock catalogs that simulate the Deep Extragalactic Evolutionary Probe (DEEP2) Redshift Survey, which should present at least as much challenge to cluster reconstruction methods as any other near-future survey that is capable of resolving their velocity dispersions. Using these mock DEEP2 catalogs, we demonstrate that the VDM algorithm can be used to identify a homogeneous set of groups in a magnitude-limited sample throughout the survey redshift window 0.7method can construct a homogeneous sample of systems that reproduces major properties of the ``real'' cluster parent population down to ~200 km s-1 for systems with at least five members (and down to ~400 km s-1 for clusters as a whole). In a Λ cold dark matter cosmology, that limit translates into an identification rate of ~270 systems per square degree with 0.7volume. By comparing the galaxy cluster catalogs derived from mock observations to the underlying distribution of clusters as found in real space with much fainter galaxies included (which should more closely trace mass in the cluster), we can assess completeness in velocity dispersion directly. We conclude that if our VDM algorithm is used, the recovered DEEP2 group and cluster sample should be statistically complete

  13. Translating Knowledge From a Family Systems Approach to Clinical Practice: Insights From Knowledge Translation Research Experiences.

    Science.gov (United States)

    Duhamel, Fabie

    2017-11-01

    While there has been continued growth in family nursing knowledge, the complex process of implementing and sustaining family nursing in health care settings continues to be a challenge for family nursing researchers and clinicians alike. Developing knowledge and skills about how to translate family nursing theory to practice settings is a global priority to make family nursing more visible. There is a critical need for more research methods and research evidence about how to best move family nursing knowledge into action. Enhancing health care practice is a multifactorial process that calls for a systemic perspective to ensure its efficacy and sustainability. This article presents insights derived from lessons learned through recent research experiences of using a knowledge translation model to promote practice changes in health care settings. These insights aim to optimize (a) knowledge translation of a Family Systems Approach (FSA) in practice settings; (b) knowledge translation research processes; and (c) sustainability of desired changes in practice with families in health care settings.

  14. Evaluation of a family systems intervention for managing pediatric chronic illness: Mastering Each New Direction (MEND).

    Science.gov (United States)

    Distelberg, Brian; Williams-Reade, Jackie; Tapanes, Daniel; Montgomery, Susanne; Pandit, Mayuri

    2014-06-01

    Family systems play a crucial, albeit complex, role in pediatric chronic illness. Unfortunately, very few psychosocial interventions are available to help these stressed families navigate the developmental steps of chronic illness. A new intervention (MEND) addresses the needs of these families and applies to a broad range of chronic illnesses. This article presents this family systems intervention as well as includes preliminary program evaluation data on 22 families that graduated from the program. Results show consistently strong effects across an array of psychosocial measures. Conclusions from this preliminary study suggest that families entering MEND present with high levels of stress due to the child's chronic illness, but after MEND, the level of stress and other functioning measures are comparable to those seen in healthy families, suggesting that the program offers a significant benefit to families with pediatric chronic illness. © 2014 FPI, Inc.

  15. Evaluation of a Family Systems Intervention for Managing Pediatric Chronic Illness: Mastering Each New Direction (MEND)

    Science.gov (United States)

    Distelberg, Brian; Williams-Reade, Jackie; Tapanes, Daniel; Montgomery, Susanne; Pandit, Mayuri

    2015-01-01

    Family systems play a crucial, albeit complex, role in pediatric chronic illness. Unfortunately, very few psychosocial interventions are available to help these stressed families navigate the developmental steps of chronic illness. A new intervention (MEND) addresses the needs of these families and applies to a broad range of chronic illnesses. This article presents this family systems intervention as well as includes preliminary program evaluation data on 22 families that graduated from the program. Results show consistently strong effects across an array of psychosocial measures. Conclusions from this preliminary study suggest that families entering MEND present with high levels of stress due to the child's chronic illness, but after MEND, the level of stress and other functioning measures are comparable to those seen in healthy families, suggesting that the program offers a significant benefit to families with pediatric chronic illness. PMID:24635346

  16. Counseling Suicidal Adolescents within Family Systems: Ethical Issues

    Science.gov (United States)

    Berg, Rachelle; Hendricks, Bret; Bradley, Loretta

    2009-01-01

    Major ethical considerations must be taken into account when providing counseling services to suicidal adolescents and their families. This article explores these ethical issues and the American Counseling Association and International Association of Marriage and Family Counselors ethical codes relevant to these issues. Related liability and…

  17. The effects of systemic family violence on children's mental health.

    Science.gov (United States)

    McCloskey, L A; Figueredo, A J; Koss, M P

    1995-10-01

    This study examines the link between different forms of family aggression and children's symptoms of psychopathology. The goal of the study was to understand what forms children's problems might take in violent homes and whether close ties within the family (to the mother or a sibling) buffered children. Interviews with 365 mothers and 1 of their children between the ages of 6 and 12 about abuse in the home, support and closeness within the nuclear family, and mother's and children's mental health formed the basis of this study. Families were recruited from battered women's shelters and the community. We found that different forms of abuse in the home were highly interrelated and that children of battered women were at risk for child abuse. Domestic violence predicted children's general psychopathology, but we uncovered little evidence for the presence of specific sorts of disorders as a result of family dysfunction. Although mothers experiencing conjugal violence were more likely to have mental health problems, their mental health did not mediate the children's response to family conflict. Finally, there was less sibling and parental warmth in families marked by aggression, although when it was present, family social support failed to buffer children. Although the general pattern of results was consistent across respondents (mother and child), there was low agreement on symptoms of child psychopathology.

  18. Socioeconomic consequences of HIV/AIDS in the family system ...

    African Journals Online (AJOL)

    High school dropout seen in both groups was mainly due to economic reasons. HIV/AIDS status was known to other members of family for 84.8% of indoor patients out of which 15.4% experienced rejection by family members. Out of 72 ever married women indoor patients whose in-laws were aware of their HIV/AIDS status, ...

  19. Law and Legal Systems: The Family Connection. 1981 Burgess Address.

    Science.gov (United States)

    Sussman, Marvin B.

    1983-01-01

    Discusses the concept of law, presenting philosophical bases and historic antecedents. Reviews research studies which illustrate the connections of law to family structure as well as different family and legal issues, including inheritance, marriage contracts and common law, visitation rights, filial responsibility, and child support enforcement.…

  20. Family Consumer Behaviors, Adolescent Prediabetes and Diabetes in the National Health and Nutrition Examination Survey (2007-2010).

    Science.gov (United States)

    Nagarajan, Sairaman; Khokhar, Aditi; Holmes, Danielle Sweetnam; Chandwani, Sheenu

    2017-01-01

    Prediabetes or diabetes (characterized by hemoglobin A1c [HbA1c] levels ≥ 5.7 gm%) has been associated with numerous long-term complications. Family consumer behaviors are important risk factors that lead to impaired glucose tolerance or diabetes. However, few studies have studied the association between the family consumer environment and prediabetes and diabetes in adolescents. The aim of this study was to examine the association between family consumer behaviors (healthy food availability and supermarket spending) and adolescent prediabetes and diabetes (ClinicalTrials.gov identifier #NCT03136289.) Methods: Data from a nationwide survey conducted by the Centers for Disease Control and Prevention (National Health and Nutrition Examination Survey [NHANES] 2007-2010 data) were used for these analyses. Adolescents aged 12-19 years were selected for this study. Bivariate analyses and logistic regression models assessed the relationship between family consumer behaviors and the prevalence of adolescent prediabetes and diabetes. Multivariable models adjusted for age, gender, ethnicity, physical activity, education, income, and household size. A total of 2520 adolescents were eligible for this study. Adolescents with healthier household food availability had negative odds (odds ratio [OR] = 0.74, 95% confidence interval [CI], 0.55-1.00), as did higher log supermarket spending (OR = 0.69; 95% CI, 0.57-0.85). Interaction models demonstrated that adolescent females had more negative odds of prediabetes/diabetes for both healthier food availability (OR = 0.79, 95% CI, 0.39-1.29) and for greater log supermarket spending (OR = 0.69, 95% CI, 0.57-0.85). This study shows that both healthy food availability and an increase in supermarket spending were associated with a decreased adjusted prevalence of prediabetes and diabetes in adolescents, with a greater effect in females. These results suggest the need for policy and dietary interventions targeting the consumer

  1. Exploring with PAM: Prospecting ANTS Missions for Solar System Surveys

    Science.gov (United States)

    Clark, P. E.; Rilee, M. L.; Curtis, S. A.

    2003-01-01

    ANTS (Autonomous Nano-Technology Swarm), a large (1000 member) swarm of nano to picoclass (10 to 1 kg) totally autonomous spacecraft, are being developed as a NASA advanced mission concept. ANTS, based on a hierarchical insect social order, use an evolvable, self-similar, hierarchical neural system in which individual spacecraft represent the highest level nodes. ANTS uses swarm intelligence attained through collective, cooperative interactions of the nodes at all levels of the system. At the highest levels this can take the form of cooperative, collective behavior among the individual spacecraft in a very large constellation. The ANTS neural architecture is designed for totally autonomous operation of complex systems including spacecraft constellations. The ANTS (Autonomous Nano Technology Swarm) concept has a number of possible applications. A version of ANTS designed for surveying and determining the resource potential of the asteroid belt, called PAM (Prospecting ANTS Mission), is examined here.

  2. Empirical Study of Family Background and Higher Education: Relationship to Acceptance Opportunities and Trends--Based on Surveys at a Key Beijing University from 2007 to 2012

    Science.gov (United States)

    Silin, Huang; Ziqiang, Xin; Jiawei, Hou

    2015-01-01

    Which family had a child that was accepted at a key university? To investigate the relationship between family background and children obtaining higher education opportunities and developing trends, the authors analyze survey data from 2007 to 2012 at a key university in Beijing. The results show there is a clear trend of enlargement of the…

  3. The Effect of Family Capital on the Academic Performance of College Students--A Survey at 20 Higher Education Institutions in Jiangsu Province

    Science.gov (United States)

    Yao, Gao; Zhimin, Liu; Peng, Fang

    2015-01-01

    Based on survey data on college students from 20 higher education institutions in Jiangsu Province, the effects of family capital on the academic performances of college students is analyzed. The study finds that family capital, place of origin, and birthplace clearly affect the academic performance, the chances of being appointed student cadres,…

  4. Profession differences in family focused practice in the adult mental health system.

    Science.gov (United States)

    Maybery, Darryl; Goodyear, Melinda; O'Hanlon, Brendan; Cuff, Rose; Reupert, Andrea

    2014-12-01

    There is a large gulf between what psychiatric services should (or could) provide and what they do in practice. This article sought to determine practice differences between the differing professions working in adult mental health services in terms of their family focused work. Three hundred and seven adult mental health professionals completed a cross-sectional survey of family focused practices in adult mental health services. Findings highlight that social workers engaged in more family focused practice compared to psychiatric nurses, who performed consistently the lowest on direct family care, compared to both social workers and psychologists. Clear skill, knowledge, and confidence differences are indicated between the professions. The article concludes by offering direction for future profession education and training in family focused practices. © 2014 Family Process Institute.

  5. The Organic Anion Transporter (OAT) Family: A Systems Biology Perspective

    Science.gov (United States)

    Nigam, Sanjay K.; Bush, Kevin T.; Martovetsky, Gleb; Ahn, Sun-Young; Liu, Henry C.; Richard, Erin; Bhatnagar, Vibha; Wu, Wei

    2015-01-01

    The organic anion transporter (OAT) subfamily, which constitutes roughly half of the SLC22 (solute carrier 22) transporter family, has received a great deal of attention because of its role in handling of common drugs (antibiotics, antivirals, diuretics, nonsteroidal anti-inflammatory drugs), toxins (mercury, aristolochic acid), and nutrients (vitamins, flavonoids). Oats are expressed in many tissues, including kidney, liver, choroid plexus, olfactory mucosa, brain, retina, and placenta. Recent metabolomics and microarray data from Oat1 [Slc22a6, originally identified as NKT (novel kidney transporter)] and Oat3 (Slc22a8) knockouts, as well as systems biology studies, indicate that this pathway plays a central role in the metabolism and handling of gut microbiome metabolites as well as putative uremic toxins of kidney disease. Nuclear receptors and other transcription factors, such as Hnf4α and Hnf1α, appear to regulate the expression of certain Oats in conjunction with phase I and phase II drug metabolizing enzymes. Some Oats have a strong selectivity for particular signaling molecules, including cyclic nucleotides, conjugated sex steroids, odorants, uric acid, and prostaglandins and/or their metabolites. According to the “Remote Sensing and Signaling Hypothesis,” which is elaborated in detail here, Oats may function in remote interorgan communication by regulating levels of signaling molecules and key metabolites in tissues and body fluids. Oats may also play a major role in interorganismal communication (via movement of small molecules across the intestine, placental barrier, into breast milk, and volatile odorants into the urine). The role of various Oat isoforms in systems physiology appears quite complex, and their ramifications are discussed in the context of remote sensing and signaling. PMID:25540139

  6. Relationships between family physicians’ referral for palliative radiotherapy, knowledge of indications for radiotherapy, and prior training: a survey of rural and urban family physicians

    Directory of Open Access Journals (Sweden)

    Olson Robert A

    2012-05-01

    Full Text Available Abstract Background The primary objective of this research was to assess the relationship between FPs’ knowledge of palliative radiotherapy (RT and referral for palliative RT. Methods 1001 surveys were sent to FPs who work in urban, suburban, and rural practices. Respondents were tested on their knowledge of palliative radiotherapy effectiveness and asked to report their self-assessed knowledge. Results The response rate was 33%. FPs mean score testing their knowledge of palliative radiotherapy effectiveness was 68% (SD = 26%. The majority of FPs correctly identified that painful bone metastases (91%, airway obstruction (77%, painful local disease (85%, brain metastases (76% and spinal cord compression (79% can be effectively treated with RT, though few were aware that hemoptysis (42% and hematuria (31% can be effectively treated. There was a linear relationship between increasing involvement in palliative care and both self-assessed (p  Conclusions Self-assessed and tested knowledge of palliative RT is positively associated with referral for palliative RT. Since palliative RT is underutilized, further research is needed to assess whether family physician educational interventions improve palliative RT referrals. The current study suggests that studies could target family physicians already in practice, with educational interventions focusing on hemostatic and other less commonly known indications for palliative RT.

  7. Public Land Survey System of the United States - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This data set portrays the Public Land Surveys of the United States, including areas of private survey, Donation Land Claims, and Land Grants and Civil Colonies....

  8. Managing family healthcare with multimedia chat apps: A survey on what is missing

    NARCIS (Netherlands)

    B. Meixner (Britta); M. Lee (Matthew); S. Carter (Scott)

    2017-01-01

    textabstractChatting and messaging apps allow people to share information (text, images, etc.) using a simple, well-understood interaction metaphor of a conversational time-line. These apps can help small task-oriented user groups, like caregivers of a family member, to coordinate with each other in

  9. Modern Teenage Problems: Report of Family Life Education Survey of Ohio Schools.

    Science.gov (United States)

    Ojemann, Ralph H.; And Others

    The needs of Ohio schools were assessed in relation to the area of Family Life Education, including education in sexual behavior, the prevention of alcohol, drug, and smoking abuse, and related social problems. The study was carried out in two phases. The first phase developed the methods for assessing the needs of Ohio schools, which involved…

  10. Beliefs and Practices Regarding Autism in Indian Families Now Settled Abroad: An Internet Survey

    Science.gov (United States)

    Ravindran, Neeraja; Myers, Barbara J.

    2013-01-01

    Beliefs and practices regarding autism were explored in Indian families living outside India. Parents (N = 24) of children (3 to 15 years) with an autism spectrum disorder wrote open-ended answers in an online questionnaire regarding their beliefs about causes, treatments and services received, use of and preference for Indian medicine and…

  11. Mentorship perceptions and experiences among academic family medicine faculty: Findings from a quantitative, comprehensive work-life and leadership survey.

    Science.gov (United States)

    Stubbs, Barbara; Krueger, Paul; White, David; Meaney, Christopher; Kwong, Jeffrey; Antao, Viola

    2016-09-01

    To collect information about the types, frequency, importance, and quality of mentorship received among academic family medicine faculty, and to identify variables associated with receiving high-quality mentorship. Web-based survey of all faculty members of an academic department of family medicine. The Department of Family and Community Medicine of the University of Toronto in Ontario. All 1029 faculty members were invited to complete the survey. Receiving mentorship rated as very good or excellent in 1 or more of 6 content areas relevant to respondents' professional lives, and information about demographic and practice characteristics, faculty ratings of their local departments and main practice settings, teaching activities, professional development, leadership, job satisfaction, and health. Bivariate and multivariate analyses identified variables associated with receiving high-quality mentorship. The response rate was 66.8%. Almost all (95.0%) respondents had received mentorship in several areas, with informal mentorship being the most prevalent mode. Approximately 60% of respondents rated at least 1 area of mentoring as very good or excellent. Multivariate logistic regression identified 5 factors associated with an increased likelihood of rating mentorship quality as very good or excellent: positive perceptions of their local department (odds ratio [OR] = 4.02, 95% CI 2.47 to 6.54, P < .001); positive ratings of practice infrastructure (OR = 1.86, 95% CI 1.23 to 2.80, P = .003); increased frequency of receiving mentorship (OR = 2.78, 95% CI 1.59 to 4.89, P < .001); fewer years in practice (OR = 1.93, 95% CI 1.19 to 3.12, P = .007); and practising in a family practice teaching unit (OR = 1.51, 95% CI 1.01 to 2.27, P = .040). With increasing emphasis on distributed education and community-based teachers, family medicine faculties will need to develop strategies to support effective mentorship across a range of settings and career stages. Copyright© the College

  12. Patient Satisfaction With Care for Urgent Health Problems: A Survey of Family Practice Patients

    Science.gov (United States)

    Howard, Michelle; Goertzen, James; Hutchison, Brian; Kaczorowski, Janusz; Morris, Kelly

    2007-01-01

    PURPOSE Patient satisfaction is an important health care outcome. This study compared patients’ satisfaction with care received for an urgent health problem from their family physician, at an after-hours clinic in which their physician participated, at a walk-in clinic, at the emergency department, from telephone health advisory services, or from more than 1 of those services. METHODS We mailed a questionnaire to a random sample of patients from 36 family practices in Thunder Bay, Ontario. We elicited satisfaction with care for the most recent urgent health problem in the past 6 months on a 7-point scale (very dissatisfied to very satisfied). RESULTS The response rate was 62.3% (5,884 of 9,397). Of the 5,722 eligible patients 1,342 (23.4%) reported an urgent health problem, and data were available for both services used and satisfaction for 1,227 patients. After adjusting for sociodemographic characteristics and self-reported health status, satisfaction with care received for most recent urgent health problem was significantly higher among patients who visited or spoke to their family physician (mean 6.1; 95% confidence interval [CI], 5.8–6.4) compared with all other services (all P <.004, adjusted for multiple comparisons), with the exception of patients who used the after-hours clinic affiliated with their physician, whose satisfaction was not significantly different (mean 5.6; 95% CI, 5.2–6.0). CONCLUSIONS Satisfaction was highest for patients receiving care from their own family physician or their physician’s after-hours clinic. These results are important for new primary care models that emphasize continuity and after-hours availability of family physicians. PMID:17893383

  13. A profile of children with disabilities receiving SSI: highlights from the National Survey of SSI Children and Families.

    Science.gov (United States)

    Rupp, Kalman; Davies, Paul S; Newcomb, Chad; Iams, Howard; Becker, Carrie; Mulpuru, Shanti; Ressler, Stephen; Romig, Kathleen; Miller, Baylor

    This article provides a nationally representative profile of noninstitutionalized children 0 to 17 years of age who were receiving support from the Supplemental Security Income (SSI) program because of a disability. To assess the role of the SSI program in providing assistance to low-income children with disabilities and their families, it is important to obtain detailed information on demographic characteristics, income and assets, health and disabilities, and health care utilization. Yet administrative records of the Social Security Administration do not contain many of the relevant data items, and the records provide only an incomplete picture of the family relationships affecting the lives of children with disabilities. The National Survey of SSI Children and Families fills this gap. This summary article is based on survey interviews conducted between July 2001 and June 2002 and provides some highlights characterizing children with disabilities who were receiving SSI and their families. Most children receiving SSI (hereafter referred to as "SSI children") lived in a family headed by a single mother, and less than one in three lived with both parents. A very high proportion, about half, were living in a household with at least one other individual reported to have had a disability. About 70 percent of children received some kind of special education. SSI support was the most important source of family income, with earnings a close second. On average, SSI payments accounted for nearly half of the income for the children's families, and earnings accounted for almost 40 percent. When all sources of family income were considered, slightly more than half (54 percent) of SSI children lived in families above the poverty threshold, a notable fact given that the federal SSI program guarantees only a subpoverty level of income. However, beyond these averages there was substantial variation, with some children living in families with income well below the poverty threshold

  14. From early family systems to internalizing symptoms: The role of emotion regulation and peer relations.

    Science.gov (United States)

    Lindblom, Jallu; Vänskä, Mervi; Flykt, Marjo; Tolvanen, Asko; Tiitinen, Aila; Tulppala, Maija; Punamäki, Raija-Leena

    2017-04-01

    Research has demonstrated the importance of early family characteristics, such as the quality of caregiving, on children's later mental health. Information is, however, needed about the role of more holistic family systems and specific child-related socioemotional mechanisms. In this study, we conceptualize families as dynamic family system types, consisting of both marital and parenting trajectories over the transition to parenthood. First, we examine how early family system types predict children's anxiety, depression, peer exclusion, and emotion regulation. Second, we test whether couples' infertility history and other family related contextual factors moderate the effects of family system types on child outcomes. Third, we test whether children's emotion regulation and peer exclusion mediate the effects of family system types on anxiety and depression. The participants were 452 families representing cohesive, distant, authoritative, enmeshed, and discrepant family types, identified on the basis of relationship autonomy and intimacy from pregnancy to the child's age of 2 and 12 months. Children's anxiety, depression, emotion regulation, and peer exclusion were assessed at the age of 7-8 years. Structural equation modeling showed that distant, enmeshed, and discrepant families similarly predicted children's heightened anxiety and depression. Infertility history, parental education, and parity moderated the associations between certain family system types and child outcomes. Finally, emotion regulation, but not peer exclusion, was a common mediating mechanism between distant and enmeshed families and children's depression. The results emphasize the importance of early family environments on children's emotion regulation development and internalizing psychopathology. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  15. Transition and transfer from pediatric to adult health care in epilepsy: a families' survey on Dravet syndrome.

    Science.gov (United States)

    Kuchenbuch, Mathieu; Chemaly, Nicole; Chiron, Catherine; Dulac, Olivier; Nabbout, Rima

    2013-10-01

    We used a questionnaire to ascertain the perception of transition and transfer from pediatric to adult health-care system in patients with Dravet syndrome and their families. Sixty families received the questionnaire. We had a response rate of 85%. Sixty-one percent of patients experienced a transfer. Factors that positively impacted transfer were the quality of transition preparation (ptransfer into the adult health-care system after the age of 18 (ptransfer (ppediatric health-care system. Child neurologists were considered as welcoming, available, and helpful. Their experience in the adult health-care system was similar to pediatric care. Almost all patients who experienced "transfer" reported no gap in this process. © 2013.

  16. The development and implementation of family and child welfare system legislation in the frameworks of contemporary family life

    Directory of Open Access Journals (Sweden)

    Grbić Ana

    2017-01-01

    Full Text Available The demographic picture of Serbia over the last few decades has featured a negative trend, particularly fueled by the negative aspects of the transition process and adjustment to the new models of life functioning, and therefore the harmonization of family relationships is seriously undermined by the increased number of divorces, single-parent families and delayed parenthood. The research has confirmed that the parents opted for a larger number of children under the changed circumstances should relate to the government to take greater responsibility in this area. Programs do not necessarily have to be of material nature. They may include a variety of content-creative measures aimed at increasing the birth rate and the quality of family life by activating various discussions in the local community. National measures that would contribute to a harmonious family life are associated with an increased level of security, extended work of preschool institutions in order to harmonize work and family life and the introduction of discounts on equipment and clothing for the preschool children. In addition to reproductive functions, other functions of the family are: psychological, educational and socializing over the last decade (particularly after the introduction of compulsory pre-school program, which has led to the transformation of active strategies of the state and legislation in this regard and acceptance of the principle of lifelong learning in which preschool foundation plays a crucial role in the adaptation of compulsory education by providing equal starting conditions for all children. The existence of new forms of institutions such as family centers with a differentiated system of services (consulting, information, educational should compensate deficiencies of the existing system only on the basis of social protection embodied in the social welfare centers, which are available mostly in cases of pre-existing problems.

  17. Work-Family Life Courses and Metabolic Markers in the MRC National Survey of Health and Development.

    Science.gov (United States)

    Lacey, Rebecca E; Kumari, Meena; Sacker, Amanda; Stafford, Mai; Kuh, Diana; McMunn, Anne

    2016-01-01

    The aim was to investigate whether the combined work-family life courses of British men and women were associated with differences in metabolic markers-waist circumference, blood pressure, high density lipoprotein cholesterol, triglycerides, and glycated haemoglobin-in mid-life. We used data from the Medical Research Council's National Survey of Health and Development-the 1946 British birth cohort. Multi-channel sequence analysis was used to create a typology of eight work-family life course types combining information on work, partnerships and parenthood between ages 16-51. Linear regression tested associations between work-family types and metabolic outcomes at age 53 on multiply imputed data (20 imputations) of >2,400 participants. Compared with men with strong ties to employment and early transitions to family life, men who made later transitions to parenthood and maintained strong ties to paid work had smaller waist circumferences (-2.16cm, 95% CI: -3.73, -0.59), lower triglycerides (9.78% lower, 95% CI: 0.81, 17.94) and lower blood pressure (systolic: -4.03mmHg, 95% CI: -6.93, -1.13; diastolic: -2.34mmHg, 95% CI: -4.15, -0.53). Married men and women who didn't have children had increased high density lipoprotein cholesterol (7.23% higher, 95% CI: 0.68, 14.21) and lower waist circumferences (-4.67cm, 95% CI: -8.37, -0.97), respectively. For men later transitions to parenthood combined with strong ties to paid work were linked to reduced metabolic risk in mid-life. Fewer differences between work-family types and metabolic markers were seen for women.

  18. Work-Family Life Courses and Metabolic Markers in the MRC National Survey of Health and Development.

    Directory of Open Access Journals (Sweden)

    Rebecca E Lacey

    Full Text Available The aim was to investigate whether the combined work-family life courses of British men and women were associated with differences in metabolic markers-waist circumference, blood pressure, high density lipoprotein cholesterol, triglycerides, and glycated haemoglobin-in mid-life. We used data from the Medical Research Council's National Survey of Health and Development-the 1946 British birth cohort. Multi-channel sequence analysis was used to create a typology of eight work-family life course types combining information on work, partnerships and parenthood between ages 16-51. Linear regression tested associations between work-family types and metabolic outcomes at age 53 on multiply imputed data (20 imputations of >2,400 participants. Compared with men with strong ties to employment and early transitions to family life, men who made later transitions to parenthood and maintained strong ties to paid work had smaller waist circumferences (-2.16cm, 95% CI: -3.73, -0.59, lower triglycerides (9.78% lower, 95% CI: 0.81, 17.94 and lower blood pressure (systolic: -4.03mmHg, 95% CI: -6.93, -1.13; diastolic: -2.34mmHg, 95% CI: -4.15, -0.53. Married men and women who didn't have children had increased high density lipoprotein cholesterol (7.23% higher, 95% CI: 0.68, 14.21 and lower waist circumferences (-4.67cm, 95% CI: -8.37, -0.97, respectively. For men later transitions to parenthood combined with strong ties to paid work were linked to reduced metabolic risk in mid-life. Fewer differences between work-family types and metabolic markers were seen for women.

  19. Impact of Childbearing Decisions on Family Size of Korean Women with Systemic Lupus Erythematosus.

    Science.gov (United States)

    Kim, In Je; Kim, Hyoun-Ah; Suh, Chang-Hee; Park, Yong-Wook; Lee, Hye-Soon; Bang, So-Young; Bae, Sang-Cheol; Kang, Young Mo; Lee, Won Kyung; Park, Hyesook; Lee, Jisoo

    2016-05-01

    Systemic lupus erythematosus (SLE) predominantly affects women in their reproductive years and has a significant impact on childbearing. We investigated the influence of personal decision on family size among Korean women with SLE and factors that affect the decisions. A case-control study comparing childbearing history and decisions of 112 SLE patients and 135 controls was performed. Women with SLE participating in the Network for Lupus Clinical Research in South Korea and matching controls between ages of 18-45, who are/were married or living with a partner were included. Data regarding socio-demographics, reproductive history, and childbearing decisions were collected through a survey using a standardized questionnaire and medical record review. More women with SLE reported at least one pregnancy (85.7% vs. 71.9%, P = 0.009) or at least one live birth (85.7% vs. 71.9%, P = 0.003) compared with controls. Mean number of pregnancies was significantly higher (2.4 ± 1.6 vs. 1.4 ± 1.3, P influence the decision to limit childbearing in SLE women. The disease-related concerns had significant impact on family size and childbearing decisions among Korean women with SLE.

  20. Methods for increasing cooperation rates for surveys of family forest owners

    Science.gov (United States)

    Brett J. Butler; Jaketon H. Hewes; Mary L. Tyrrell; Sarah M. Butler

    2016-01-01

    To maximize the representativeness of results from surveys, coverage, sampling, nonresponse, measurement, and analysis errors must be minimized. Although not a cure-all, one approach for mitigating nonresponse errors is to maximize cooperation rates. In this study, personalizing mailings, token financial incentives, and the use of real stamps were tested for their...

  1. System Architecture of the Dark Energy Survey Camera Readout Electronics

    Energy Technology Data Exchange (ETDEWEB)

    Shaw, Theresa; /FERMILAB; Ballester, Otger; Cardiel-Sas, Laia; Castilla, Javier; /Barcelona, IFAE; Chappa, Steve; /Fermilab; de Vicente, Juan; /Madrid, CIEMAT; Holm, Scott; Huffman, Dave; Kozlovsky, Mark; /Fermilab; Martinez, Gustavo; /Madrid, CIEMAT; Moore, Todd; /Madrid, CIEMAT /Fermilab /Illinois U., Urbana /Fermilab

    2010-05-27

    The Dark Energy Survey makes use of a new camera, the Dark Energy Camera (DECam). DECam will be installed in the Blanco 4M telescope at Cerro Tololo Inter-American Observatory (CTIO). DECam is presently under construction and is expected to be ready for observations in the fall of 2011. The focal plane will make use of 62 2Kx4K and 12 2kx2k fully depleted Charge-Coupled Devices (CCDs) for guiding, alignment and focus. This paper will describe design considerations of the system; including, the entire signal path used to read out the CCDs, the development of a custom crate and backplane, the overall grounding scheme and early results of system tests.

  2. A survey of artificial immune system based intrusion detection.

    Science.gov (United States)

    Yang, Hua; Li, Tao; Hu, Xinlei; Wang, Feng; Zou, Yang

    2014-01-01

    In the area of computer security, Intrusion Detection (ID) is a mechanism that attempts to discover abnormal access to computers by analyzing various interactions. There is a lot of literature about ID, but this study only surveys the approaches based on Artificial Immune System (AIS). The use of AIS in ID is an appealing concept in current techniques. This paper summarizes AIS based ID methods from a new view point; moreover, a framework is proposed for the design of AIS based ID Systems (IDSs). This framework is analyzed and discussed based on three core aspects: antibody/antigen encoding, generation algorithm, and evolution mode. Then we collate the commonly used algorithms, their implementation characteristics, and the development of IDSs into this framework. Finally, some of the future challenges in this area are also highlighted.

  3. A Survey of Artificial Immune System Based Intrusion Detection

    Directory of Open Access Journals (Sweden)

    Hua Yang

    2014-01-01

    Full Text Available In the area of computer security, Intrusion Detection (ID is a mechanism that attempts to discover abnormal access to computers by analyzing various interactions. There is a lot of literature about ID, but this study only surveys the approaches based on Artificial Immune System (AIS. The use of AIS in ID is an appealing concept in current techniques. This paper summarizes AIS based ID methods from a new view point; moreover, a framework is proposed for the design of AIS based ID Systems (IDSs. This framework is analyzed and discussed based on three core aspects: antibody/antigen encoding, generation algorithm, and evolution mode. Then we collate the commonly used algorithms, their implementation characteristics, and the development of IDSs into this framework. Finally, some of the future challenges in this area are also highlighted.

  4. Survey of real-time processing systems for big data

    DEFF Research Database (Denmark)

    Liu, Xiufeng; Lftikhar, Nadeem; Xie, Xike

    2014-01-01

    In recent years, real-time processing and analytics systems for big data–in the context of Business Intelligence (BI)–have received a growing attention. The traditional BI platforms that perform regular updates on daily, weekly or monthly basis are no longer adequate to satisfy the fast-changing...... emerging in recent years. This paper presents a survey of the open source technologies that support big data processing in a real-time/near real-time fashion, including their system architectures and platforms....... business environments. However, due to the nature of big data, it has become a challenge to achieve the real-time capability using the traditional technologies. The recent distributed computing technology, MapReduce, provides off-the-shelf high scalability that can significantly shorten the processing time...

  5. Measuring the patient experience in primary care: Comparing e-mail and waiting room survey delivery in a family health team.

    Science.gov (United States)

    Slater, Morgan; Kiran, Tara

    2016-12-01

    To compare the characteristics and responses of patients completing a patient experience survey accessed online after e-mail notification or delivered in the waiting room using tablet computers. Cross-sectional comparison of 2 methods of delivering a patient experience survey. A large family health team in Toronto, Ont. Family practice patients aged 18 or older who completed an e-mail survey between January and June 2014 (N = 587) or who completed the survey in the waiting room in July and August 2014 (N = 592). Comparison of respondent demographic characteristics and responses to questions related to access and patient-centredness. Patients responding to the e-mail survey were more likely to live in higher-income neighbourhoods (P = .0002), be between the ages of 35 and 64 (P = .0147), and be female (P = .0434) compared with those responding to the waiting room survey; there were no significant differences related to self-rated health. The differences in neighbourhood income were noted despite minimal differences between patients with and without e-mail addresses included in their medical records. There were few differences in responses to the survey questions between the 2 survey methods and any differences were explained by the underlying differences in patient demographic characteristics. Our findings suggest that respondent demographic characteristics might differ depending on the method of survey delivery, and these differences might affect survey responses. Methods of delivering patient experience surveys that require electronic literacy might underrepresent patients living in low-income neighbourhoods. Practices should consider evaluating for nonresponse bias and adjusting for patient demographic characteristics when interpreting survey results. Further research is needed to understand how primary care practices can optimize electronic survey delivery methods to survey a representative sample of patients. Copyright© the College of Family Physicians of

  6. Impact of attention-deficit/hyperactivity disorder on the patient and family: results from a European survey

    Directory of Open Access Journals (Sweden)

    Lindback Trygve

    2008-10-01

    Full Text Available Abstract Background Children with attention-deficit/hyperactivity disorder (ADHD often experience problems with education, interaction with others and emotional disturbances. Families of ADHD children also suffer a significant burden, in terms of strain on relationships and reduced work productivity. This parent survey assessed daily life for children with ADHD and their families. Method This pan-European survey involved the completion of an on-line questionnaire by parents of children (6–18 years with ADHD (ADHD sample and without ADHD (normative population sample. Parents were questioned about the impact of their child's ADHD on everyday activities, general behaviour and family relationships. Results The ADHD sample comprised 910 parents and the normative population sample 995 parents. 62% of ADHD children were not currently receiving medication; 15% were receiving 6–8 hour stimulant medication and 23% 12-hour stimulant medication. Compared with the normative population sample, parents reported that ADHD children consistently displayed more demanding, noisy, disruptive, disorganised and impulsive behaviour. Significantly more parents reported that ADHD children experienced challenges throughout the day, from morning until bedtime, compared with the normative population sample. Parents reported that children with ADHD receiving 12-hour stimulant medication experienced fewer challenges during early afternoon and late afternoon/early evening than children receiving 6–8 hour stimulant medication; by late evening and bedtime however, this difference was not apparent. ADHD was reported to impact most significantly on activities such as homework, family routines and playing with other children. All relationships between ADHD children and others were also negatively affected, especially those between parent and child (72% of respondents. Parents reported that more children with ADHD experienced a personal injury in the preceding 12 months

  7. Chaperone use during intimate examinations in primary care: postal survey of family physicians

    OpenAIRE

    Upshur Ross EG; Tracy C Shawn; Price David H

    2005-01-01

    Abstract Background Physicians have long been advised to have a third party present during certain parts of a physical examination; however, little is known about the frequency of chaperone use for those specific intimate examinations regularly performed in primary care. We aimed to determine the frequency of chaperone use among family physicians across a variety of intimate physical examinations for both male and female patients, and also to identify the factors associated with chaperone use...

  8. Chaperone use during intimate examinations in primary care: postal survey of family physicians

    Directory of Open Access Journals (Sweden)

    Upshur Ross EG

    2005-12-01

    Full Text Available Abstract Background Physicians have long been advised to have a third party present during certain parts of a physical examination; however, little is known about the frequency of chaperone use for those specific intimate examinations regularly performed in primary care. We aimed to determine the frequency of chaperone use among family physicians across a variety of intimate physical examinations for both male and female patients, and also to identify the factors associated with chaperone use. Methods Questionnaires were mailed to a randomly selected sample of 500 Ontario members of the College of Family Physicians of Canada. Participants were asked about their use of chaperones when performing a variety of intimate examinations, namely female pelvic, breast, and rectal exams and male genital and rectal exams. Results 276 of 500 were returned (56%, of which 257 were useable. Chaperones were more commonly used with female patients than with males (t = 9.09 [df = 249], p Conclusion Clinical practice concerning the use of chaperones during intimate exams continues to be discordant with the recommendations of medical associations and medico-legal societies. Chaperones are used by only a minority of Ontario family physicians. Chaperone use is higher for examinations of female patients than of male patients and is highest for female pelvic exams. The availability of a nurse in the clinic to act as a chaperone is associated with more frequent use of chaperones.

  9. Optic Disc Drusen and Family History of Glaucoma-Results of a Patient-directed Survey.

    Science.gov (United States)

    Gramer, Gwendolyn; Gramer, Eugen; Weisschuh, Nicole

    2017-10-01

    Prospective evaluation of family history (FH) of glaucoma and FH of optic disc drusen (ODD) in patients with sonographically confirmed ODD. A total of 87 patients with ODD interviewed all their first-degree and second-degree relatives using a detailed questionnaire on whether an ophthalmologist had diagnosed or excluded glaucoma or ocular hypertension (OH). Using a second questionnaire, 62 of these patients also provided information about ODD in their FH. Control groups for FH of glaucoma consisted of 2170 patients with glaucoma or OH evaluated with the same methods and identical questions for FH of glaucoma in a previous study, and of 176 healthy individuals without glaucoma or ODD who were interviewed on family history of glaucoma. Glaucoma in FH was significantly more frequent in patients with ODD with an incidence of 20.7% compared with healthy controls with an incidence of 2.8%, and half as frequent as in glaucoma patients with an incidence of 40%. ODD in FH were found in 9.7% of patients with ODD. As there is a high frequency of family history of glaucoma in patients with ODD, evaluation of FH of ODD and FH of glaucoma is essential in patients with ODD. Glaucoma in FH of ODD patients requires intraocular pressure monitoring and whenever deemed beneficial timely initiation of intraocular pressure-lowering therapy.

  10. A comprehensive survey of the grapevine VQ gene family and its transcriptional correlation with WRKY proteins.

    Science.gov (United States)

    Wang, Min; Vannozzi, Alessandro; Wang, Gang; Zhong, Yan; Corso, Massimiliano; Cavallini, Erika; Cheng, Zong-Ming Max

    2015-01-01

    WRKY proteins are a class of transcription factors (TFs) involved in the regulation of various physiological processes, including the plant response to biotic and abiotic stresses. Recent studies in Arabidopsis have revealed that some WRKY TFs interact with a class of proteins designed as VQ proteins because of their typical conserved motif (FxxxVQxLTG). So far, no information is available about the genomic organization and the function of VQ motif-containing protein in grapevine (Vitis vinifera L). In the current study, we analyzed the 12X V1 prediction of the nearly homozygous PN40024 genotype identifying up to 18 predicted VQ genes (VvVQ). VvVQs phylogenetic and bioinformatic analyses indicated that the intron-exon structures and motif distribution are highly divergent between different members of the grapevine VQ family. Moreover, the analysis of the V. vinifera cv. Corvina expression atlas revealed a tissue- and stage-specific expression of several members of the family which also showed a significant correlation with WRKY TFs. Grapevine VQ genes also exhibited altered expression in response to drought, powdery mildew infection, salicylic acid (SA) and ethylene (ETH) treatments. The present study represents the first characterization of VQ genes in a grapevine genotype and it is a pivotal foundation for further studies aimed at functionally characterizing this mostly unknown grapevine multigenic family.

  11. Survey of Rice Cropping Systems in Kampong Chhnang Province, Cambodia

    Directory of Open Access Journals (Sweden)

    Volker KLEINHENZ

    2013-03-01

    Full Text Available Although Cambodia might have achieved self-sufficiency and an exported surplus in rice production, its rice-based farming systems are widely associated with low productivity, low farmer income and rural poverty. The study is based on a questionnaire village survey in 14 communes containing 97 villages of Kampong Chhnang Province from March to June, 2011. It analyzes the prevailing rice-based cropping systems and evaluates options for their improvement. Differences in cropping systems depend on the distance from the Tonle Sap water bodies. At distances greater than 10 km, transplanted wet-season rice cropping system with low productivity of about 1.6 t/hm2 prevails. This deficiency can be primarily attributed to soils with high coarse sand fractions and low pH ( 4.0. Farmers predominantly cultivate dry-season recession rice between January and April. Seventy-nine percent of the area is sown directly and harvested by combines. Adoption ratio of commercial rice seeds is 59% and yields average 3.2 t/hm2. Introduction of the second dry-season rice between April and July may double annual yields in this rice cropping system. Besides upgrading other cultivation technologies, using seeds from commercial sources will improve yield and rice quality. Along with rice, farmers grow non-rice crops at different intensities ranging from single annual crops to intensive sequences at low yields.

  12. Determinants of customer satisfaction with the health care system, with the possibility to choose a personal physician and with a family doctor in a transition country.

    Science.gov (United States)

    Kersnik, J

    2001-08-01

    Many Eastern and Central European counties are reforming their health care systems. The aim of this study was to determine customer satisfaction with a reformed health care system, with the possibility of free choice of a family physician and patient satisfaction with the family physician in Slovenia and their major determinants. We used a postal survey of the patients who attended their family physician's offices during the study period. We obtained an 84% response rate. Some 72.9% of the respondents were satisfied with the current organisation of health care services, 95.5% of the respondents were satisfied with the possibility of choosing their own family physician and 58% of participants were very satisfied with the level of care received from their personal family practitioners. It was shown that higher patient satisfaction with the family physician was the most powerful predictor of patients' satisfaction with the health care system. The results show that health care reform in Slovenia has a positive impact on the consumers' perceptions of health care quality, measured in terms of consumer satisfaction with the health care system, the possibility to choose a family physician and the overall satisfaction with the family physician.

  13. [Working with a family systems therapy approach as part of the routine treatment on acute psychiatric wards: sustained effects on team members' workload].

    Science.gov (United States)

    Haun, Markus W; Kordy, Henrike; Ochs, Matthias; Schweitzer, Jochen; Zwack, Julika

    2012-11-01

    Assessing long-term effects of a family systems therapy approach (systems therapy methods in acute psychiatry, SYMPA) on occupational stress and interdisciplinary cooperation of team members in three German psychiatric hospitals. Pre-post-follow-up survey using the Maslach Burnout Inventory (MBI) and Team Climate Inventory (TCI) questionnaires complemented by semi-structured in-depth interviews (N = 56). Three years after implementing a family systems therapy approach, experienced work load and staff burnout remain significantly lower than before. Interdisciplinary cooperation was intensified and nursing staff status increased. Following systemic case conceptualisations and interventions the therapeutic alliance moved towards a need-adapted treatment approach. Seven years after implementation, the family systems therapy approach still included significantly lower workload burden, an intensified interdisciplinary cooperation, and a need-adapted treatment orientation that strengthens the alliance between staff and client system. © Georg Thieme Verlag KG Stuttgart · New York.

  14. Antioxidant defense system and family environment in adolescents with family history of psychosis.

    Science.gov (United States)

    Gonzalez-Pinto, Ana; Martinez-Cengotitabengoa, Monica; Arango, Celso; Baeza, Immaculada; Otero-Cuesta, Soraya; Graell-Berna, Montserrat; Soutullo, César; Leza, Juan Carlos; Micó, Juan Antonio

    2012-11-16

    Our objective was to determine antioxidant defence activity in healthy controls (HC) and healthy unaffected second-degree relatives of patients with early onset psychosis (HC-FHP), and to assess its relationship with familiar environment measured using the Family Environment Scale (FES). We included 82 HC and 14 HC-FHP aged between 9 and 17 years. Total antioxidant status, lipid peroxidation, antioxidant enzyme activities and glutathione levels were determined in blood samples. There was a significant decrease in the total antioxidant level in the HC-FHP group compared with the HC group (OR = 2.94; p = 0.009), but no between-group differences in the Global Assessment of Functioning (GAF) scale scores. For the FES, the HC-FHP group had significantly higher scores in the cohesion (p = 0.007) and intellectual-cultural dimensions (p=0.025). After adjusting for these two FES dimensions, total antioxidant status remained significantly different between groups (OR = 10.86, p = 0.009). Although causal relationships cannot be assumed, we can state that family environment is not playing a role in inducing oxidative stress in these healthy subjects. It could be hypothesized that families with affected relatives protect themselves from psychosis with positive environmental factors such as cohesion and intellectual-cultural activities.

  15. Family System Nursing Intervention: Nurses' experiences and its impact on heart failure families' readjustment processes

    DEFF Research Database (Denmark)

    Voltelen, Barbara

    Baggrund: Alvorlig hjertesygdom berører ikke kun patienten, men hele familien. Familie sygepleje samtaler (FNTC) kunne måske hjælpe både patienten og deres familier til at håndtere livet under de nye omstændigheder bedre. Når nye tiltag i sygeplejepraksis evalueres er effektmål som overlevelse og...... sygdoms progression ikke tilstrækkelig. Det er også vigtigt, at udforske deltagernes erfaringer med FNTC, både de udøvende sygeplejersker og familierne, der deltager. Formål: At undersøge deltagernes erfaringer med FNTC gennem en kvalitativ proces evaluering; hvordan dokumentereres FNTC og hvordan oplever...... sygeplejerskerne at gennemføre samtalerne; hvordan oplever familier, hvor én er ny-diagnosticeret med hjertesvigt, livet efter de har deltaget i FNTC samt at belyse de etiske udfordringer i at udføre joint interview med familieenheden. Metode og resultater: Vi startede en undersøgelse af sygeplejerskernes...

  16. The role of family configuration in early childhood intellectual development in the context of an extended family system in Pakistan

    Directory of Open Access Journals (Sweden)

    Avan B

    2007-01-01

    Full Text Available Context: The confluence theory of intelligence by Zajonc and Markus emphasizes that individual intellectual difference of children manifests itself in the context of family configuration. Instead of assuming its generalizability, careful scientific work is required before applying the model to South Asian cultures where, predominantly, an extended family type exists. Aims: To assess the role of extended family configuration on the child′s intellectual development in a South Asian setting. Settings and Design: A cross-sectional study was conducted on 4-5-year-old preschool children residing in Karachi, Pakistan. Materials and Methods: Three hundred and forty-two child and mother dyads were assessed through a validated cognitive psychometric tool and through a structured questionnaire. Children who were registered at the main Mother and Child Health Centres (MCH of the Aga Khan Health Services, Pakistan (AKHSP Karachi and who were born between July 1st 1993-June 30th 1994 with traceable birth records at the maternity homes, were considered for this study. Statistical Analysis: Multivariate linear regression models were used to identify the individual effect of family configuration on the intellectual scores. Results: Family configuration variables such as number of co-residents ( P < 0.05 and the number of siblings ( P < 0.01 in the house were significantly correlated with the psychometric score. Even after controlling for gender, socio-economic status, birth order and birth intervals, significant differentials were observed in favor of an extended family system on a child′s intellectual development. Conclusion: The findings suggest the positive role of co-residents of an extended family environment on the intellectual development in early childhood.

  17. Family planning providers losing ground on salary front. 1998 salary survey results.

    Science.gov (United States)

    1998-11-01

    Findings from Contraceptive Technology Update's 1998 salary survey show that while physicians, administrators, and nurse midwives have realized gains in median income since 1997, nurse practitioners, registered nurses, physician assistants, and health educators have lost ground. 159 readers responded to the survey. 1998 median salaries for physicians, nurse midwives, and administrators were $100,000, $60,000, and $45,000, respectively. Nurse practitioners who held no other administrative titles reported a pay drop from the 1997 median of $42,500 to $41,111 in 1998, while the median pay for registered nurses fell from $32,500 in 1997 to $30,000 in 1998, physician assistants' median salary declined from $40,000 to $35,000, and health educators' median salary declined from $42,000 to $18,748. This is the second year of reduced salaries for nurse practitioners. 98% of survey participants were female; almost two-thirds of the responses were received from the Midwest and the South, two areas of traditionally lower salaries; almost all worked in a city or county health department; and more than 66% of responses came from respondents who worked in medium-size or rural communities. Nurses with master's degrees reported higher median salaries, and job placements for master's degree nursing graduates were among the highest for any degree level at graduation.

  18. An international survey and recommendations for modern hydrokinetic systems

    Science.gov (United States)

    Valyrakis, Manousos; Basnet, Bipin; Dunsmore, Ian

    2017-04-01

    This study presents the results of a survey on some of the advantages of the novel and uniquehydrokinetic energy generation systems over other technologies available today. Recently, a comprehensive assessment study for the application of internationally leading hydrokinetic technologies in water engineering has been conducted. The study was carried with the collaboration of the School of Engineering, University of Glasgow and Scottish Water Horizons Ltd. The assessment involved the information collection, critical analysis of various features and financial viability analysis of various hydrokinetic systems available at this time. The outcomes of the study are summarized below: - The preliminary assessment of the hydrokinetic system and their application were carried out. The technologies were divided into different categories as per their core theory, scope of application as well as positive and negatives effects of their application. - A variety of criteria were used to assess the technical, economical and ecological potential from the application of hydrokinetic systems. - A number of companies representing a wide range of technologies available worldwide were ranked considering the performance of these against the above criteria. - Only a couple of the companies could satisfy the selection condition to be adopted into select sites of low flow and low pressure head. - A more detailed assessment for specific sites and further testing of these technologies is recommended to further assess the advantages and optimal performance of the selected technologies. A preliminary evaluation of the best performing systems demonstrates its effectiveness, particularly over other existing hydrokinetic technologies, when ecology of the open water surface system is considered. Specifically it will be of interest to use the selected technology in combination with a fish passage, as compared with other technologies this system has a minimal amount of fast moving components.

  19. Systemic approach in rural administration: Study of the family production unit

    Directory of Open Access Journals (Sweden)

    Adilson R. Paz Stamberg

    2015-06-01

    Full Text Available This paper focuses on understanding the rationality of production management and available resources in agricultural production unit (UPA, identifying its main technical and socioeconomic characteristics in order to make a diagnosis to subsidize the rural manager in decision making.This study was part of the extension project approved in the Institutional Incentive Extension Program of the Farroupilha Federal Institute (Brazil, prioritizing as object of study a family UPA in the municipality of Santo Antônio das Missões/RS/Brazil, being conducted between October-November 2014.As methodological procedure a survey was done with qualitative and quantitative data, such as natural resources, utilized agricultural area, herd, plant, machinery and equipment, availability of labor force and yields of the various cultivation subsystems, breeding and processing. This data was organized in a spreadsheet, which identifies the adopted production system and its main technical and socioeconomic characteristics. As proposed, technical and managerial intervention in the production system, proposed strategically to enhance milk production opposed to the soybean production, considering its high contribution in relation to the value added per unit area.Key Words: Rural Administration - Production management - Systemic approach.

  20. Treatment of acute bronchitis in adults. A national survey of family physicians.

    Science.gov (United States)

    Oeffinger, K C; Snell, L M; Foster, B M; Panico, K G; Archer, R K

    1998-06-01

    The purpose of this study was to determine how family physicians in the United States treat acute bronchitis in an otherwise healthy adult. A 33-item questionnaire on the diagnosis and treatment of acute bronchitis was mailed to a random sample of 500 physicians who are members of the American Board of Family Practice. Thirty-two of the 500 sampled physicians could not be located by mail; 265 of those who received the questionnaire responded. The response rate was 57% (265/468). Sixty-three percent of responding physicians indicated that antibiotics are their first choice of treatment for the otherwise healthy, nonsmoking adult with acute bronchitis. The decision to use antibiotics as the first choice of treatment did not vary by physician's sex, age, years in practice, practice location, practice type, or percentage of HMO patients. Only 6% of responding physicians reported using beta 2 agonist bronchodilators as their first choice of treatment. Physicians in this study stated that they prescribe an antibiotic 75% of the time in treating nonsmoking patients with acute bronchitis (first choice or otherwise). If the patient is a smoker, physicians reported that they prescribe antibiotics 90% of the time (F = 110.25; df = 1; P > .0001). Physicians reported that for patients who smoke it takes longer for coughs to totally resolve and longer for them to return to a normal activity level than for nonsmokers. Family physicians report that antibiotics are their most common treatment for acute bronchitis in the otherwise healthy adult. Previous clinical trials have shown only marginal improvement in symptoms when patients with this condition are treated with an antibiotic. With antibiotic resistance emerging as a major global health problem, it is essential that other methods of treatment be evaluated.

  1. Genome-wide survey and expression analysis of the OSCA gene family in rice.

    Science.gov (United States)

    Li, Yunshuang; Yuan, Fang; Wen, Zhaohong; Li, Yihao; Wang, Fang; Zhu, Tao; Zhuo, Wenqing; Jin, Xi; Wang, Yingdian; Zhao, Heping; Pei, Zhen-Ming; Han, Shengcheng

    2015-10-26

    Reception of and response to exogenous and endogenous osmotic changes is important to sustain plant growth and development, as well as reproductive formation. Hyperosmolality-gated calcium-permeable channels (OSCA) were first characterised as an osmosensor in Arabidopsis and are involved in the perception of extracellular changes to trigger hyperosmolality-induced [Ca(2+)]i increases (OICI). To explore the potential biological functions of OSCAs in rice, we performed a bioinformatics and expression analysis of the OsOSCA gene family. A total of 11 OsOSCA genes were identified from the genome database of Oryza sativa L. Japonica. Based on their sequence composition and phylogenetic relationship, the OsOSCA family was classified into four clades. Gene and protein structure analysis indicated that the 11 OsOSCAs shared similar structures with their homologs in Oryza sativa L. ssp. Indica, Oryza glaberrima, and Oryza brachyantha. Multiple sequence alignment analysis revealed a conserved DUF221 domain in these members, in which the first three TMs were conserved, while the others were not. The expression profiles of OsOSCA genes were analysed at different stages of vegetative growth, reproductive development, and under osmotic-associated abiotic stresses. We found that four and six OsOSCA genes showed a clear correlation between the expression profile and osmotic changes during caryopsis development and seed imbibition, respectively. Orchestrated transcription of three OsOSCAs was strongly associated with the circadian clock. Moreover, osmotic-related abiotic stress differentially induced the expression of 10 genes. The entire OSCA family is characterised by the presence of a conserved DUF221 domain, which functions as an osmotic-sensing calcium channel. The phylogenetic tree of OSCA genes showed that two subspecies of cultivated rice, Oryza sativa L. ssp. Japonica and Oryza sativa L. ssp. Indica, are more closely related than wild rice Oryza glaberrima, while Oryza

  2. Microgrid Controller and Advanced Distribution Management System Survey Report

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Guodong [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Starke, Michael R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Herron, Andrew N. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-07-01

    A microgrid controller, which serves as the heart of a microgrid, is responsible for optimally managing the distributed energy resources, energy storage systems, and responsive demand and for ensuring the microgrid is being operated in an efficient, reliable, and resilient way. As the market for microgrids has blossomed in recently years, many vendors have released their own microgrid controllers to meet the various needs of different microgrid clients. However, due to the absence of a recognized standard for such controllers, vendor-supported microgrid controllers have a range of functionalities that are significantly different from each other in many respects. As a result the current state of the industry has been difficult to assess. To remedy this situation the authors conducted a survey of the functions of microgrid controllers developed by vendors and national laboratories. This report presents a clear indication of the state of the microgrid-controller industry based on analysis of the survey results. The results demonstrate that US Department of Energy funded research in microgrid controllers is unique and not competing with that of industry.

  3. [Compatibility of family and profession. Survey of radiologists and medical technical personnel in clinics with different organizations].

    Science.gov (United States)

    Bundy, B D; Bellemann, N; Burkholder, I; Heye, T; Radeleff, B A; Grenacher, L; Kauczor, H U; Weber, M A

    2012-03-01

    The compatibility of family and profession is especially difficult for employees in medical professions because of shift work and overtime. It seems that in the future women are going to represent the majority of medical professionals in Germany. Hence, with the forthcoming lack of physicians in Germany social aspects will also play a greater role in the choice of the place of employment. Therefore a statistical survey was made among employees on how they judge the compatibility of family and job and what they would like to improve. From autumn 2009 until spring 2010 a total of 115 questionnaires were distributed to 8 different academic radiology departments. The anonymous questionnaire with partially open, partially graded questions and partially multiple answer questions was designed with the help of an expert for statistics and analytics and included questions about the employment and family situation, plans for the future, requested flexible working hours and childcare models, as well as ideas for improvement. Of the questionnaires 87 were analyzed with a specially designed access database using, for example descriptive statistics and histogram analyses. Of the interviewees 68% were female and 31% were male (1% not significant n.s.), 46% had children and 49% were childless (5% n.s.), 63% were medical doctors, 33% radiographers (3% other) and 82% worked full-time. Of the male respondents with children 42% indicated that their spouse was at home, 18% of female respondents with children indicated that their spouse was at home and only mothers worked part-time. Of the male respondents 73% would like to take parental leave, 44% of all respondents (70% of the male respondents and 34% of the female respondents) agreed that radiology is more compatible with family than other medical disciplines and 87% would like to have a childcare possibility in close proximity to the working place. In most of the families the classic role model prevails, although women are well

  4. A survey of Populus PIN-FORMED family genes reveals their diversified expression patterns.

    Science.gov (United States)

    Liu, Bobin; Zhang, Jin; Wang, Lin; Li, Jianbo; Zheng, Huanquan; Chen, Jun; Lu, Mengzhu

    2014-06-01

    The plant hormone auxin is a key regulator of plant development, and its uneven distribution maintained by polar intercellular auxin transport in plant tissues can trigger a wide range of developmental processes. Although the roles of PIN-FORMED (PIN) proteins in intercellular auxin flow have been extensively characterized in Arabidopsis, their roles in woody plants remain unclear. Here, a comprehensive analysis of PIN proteins in Populus is presented. Fifteen PINs are encoded in the genome of Populus, including four PIN1s, one PIN2, two PIN3s, three PIN5s, three PIN6s, and two PIN8s. Similar to Arabidopsis AtPIN proteins, PtPINs share conserved topology and transmembrane domains, and are either plasma membrane- or endoplasmic reticulum-localized. The more diversified expansion of the PIN family in Populus, comparing to that in Arabidopsis, indicates that some auxin-regulated developmental processes, such as secondary growth, may exhibit unique features in trees. More importantly, different sets of PtoPINs have been found to be strongly expressed in the roots, leaves, and cambium in Populus; the dynamic expression patterns of selected PtoPINs were further examined during the regeneration of shoots and roots. This genome-wide analysis of the Populus PIN family provides important cues for their potential roles in tree growth and development. © The Author 2014. Published by Oxford University Press on behalf of the Society for Experimental Biology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  5. A follow-up survey of family physicians' interest in and knowledge of nutrition.

    Science.gov (United States)

    Jack, B W; Lasswell, A B; McQuade, W; Culpepper, L

    1990-11-01

    Forty-two practicing family physicians completed a questionnaire about 33 nutrition topic areas. They were among 71 physicians who, over an eight-year period (1980-1988), completed an identical questionnaire upon entry to their first postgraduate year in the family practice residency program at Brown University/Memorial Hospital of Rhode Island. Specific topic areas were grouped into five scales. Perceived knowledge of these topics significantly increased (p less than .0001) in all areas except nutritional biochemistry. There was significantly less (p less than .0001) interest in learning more about nutrition. One major exception was that the physicians wanted to learn more about nutrition counseling. Another exception was that nutrition in the life cycle remained an area about which they wanted to learn more. The physicians rated nutritional skills as less relevant on the second questionnaire than on the first. The authors conclude that more emphasis on nutrition counseling skills and nutrition in the life cycle may be appropriate in medical education.

  6. Computer vision in roadway transportation systems: a survey

    Science.gov (United States)

    Loce, Robert P.; Bernal, Edgar A.; Wu, Wencheng; Bala, Raja

    2013-10-01

    There is a worldwide effort to apply 21st century intelligence to evolving our transportation networks. The goals of smart transportation networks are quite noble and manifold, including safety, efficiency, law enforcement, energy conservation, and emission reduction. Computer vision is playing a key role in this transportation evolution. Video imaging scientists are providing intelligent sensing and processing technologies for a wide variety of applications and services. There are many interesting technical challenges including imaging under a variety of environmental and illumination conditions, data overload, recognition and tracking of objects at high speed, distributed network sensing and processing, energy sources, as well as legal concerns. This paper presents a survey of computer vision techniques related to three key problems in the transportation domain: safety, efficiency, and security and law enforcement. A broad review of the literature is complemented by detailed treatment of a few selected algorithms and systems that the authors believe represent the state-of-the-art.

  7. Usability in telemedicine systems-A literature survey.

    Science.gov (United States)

    Klaassen, B; van Beijnum, B J F; Hermens, H J

    2016-09-01

    The rapid development of sensors and communication technologies enable the growth of new innovative services in healthcare, such as Telemedicine. An essential ingredient in the development of a telemedicine system and its final acceptance by end users are usability studies. The principles of usability engineering, evaluations and telemedicine are well established, and it may contribute to the adoption and eventually deployment of such systems and services. An in-depth usability analysis, including performance and attitude measures, requires knowledge about available usability techniques, and is depending on the amount of resources. Therefore it is worth investigating how usability methods are applied in developing telemedicine systems. Our hypothesis is: with increasing research and development of telemedicine systems, we expect that various usability methods are more equally employed for different end-user groups and applications. A literature survey was conducted to find telemedicine systems that have been evaluated for usability or ease of use. The elements of the PICO framework were used as a basis for the selection criteria in the literature search. The search was not limited by year. Two independent reviewers screened all search results first by title, and then by abstract for inclusion. Articles were included up to May 2015. In total, 127 publications were included in this survey. The number of publications on telemedicine systems significantly increased after 2008. Older adults and end-users with cardiovascular conditions were among largest target end-user groups. Remote monitoring systems were found the most, in 90 publications. Questionnaires are the most common means for evaluating telemedicine systems, and were found in 88 publications. Questionnaires are used frequently in studies focusing on cardiovascular diseases, Parkinson's disease and older adult conditions. Interviews are found the most in publications related to stroke. In total 71% of the

  8. Parent-reported measures of child health and wellbeing in same-sex parent families: a cross-sectional survey.

    Science.gov (United States)

    Crouch, Simon R; Waters, Elizabeth; McNair, Ruth; Power, Jennifer; Davis, Elise

    2014-06-21

    It has been suggested that children with same-sex attracted parents score well in psychosocial aspects of their health, however questions remain about the impact of stigma on these children. Research to date has focused on lesbian parents and has been limited by small sample sizes. This study aims to describe the physical, mental and social wellbeing of Australian children with same-sex attracted parents, and the impact that stigma has on them. A cross-sectional survey, the Australian Study of Child Health in Same-Sex Families, was distributed in 2012 to a convenience sample of 390 parents from Australia who self-identified as same-sex attracted and had children aged 0-17 years. Parent-reported, multidimensional measures of child health and wellbeing and the relationship to perceived stigma were measured. 315 parents completed the survey (completion rate = 81%) representing 500 children. 80% of children had a female index parent while 18% had a male index parent. Children in same-sex parent families had higher scores on measures of general behavior, general health and family cohesion compared to population normative data (β = 2.93, 95% CI = 0.35 to 5.52, P = .03; β = 5.60, 95% CI = 2.69 to 8.52, P = scale scores. Physical activity, mental health, and family cohesion were all negatively associated with increased stigma (β = -3.03, 95% CI = -5.86 to -0.21, P = .04; β = -10.45, 95% CI = -18.48 to -2.42, P = .01; and β = -9.82, 95% CI = -17.86 to -1.78, P = .02 respectively) and the presence of emotional symptoms was positively associated with increased stigma (β =0.94, 95% CI = 0.08 to 1.81, P = .03). Australian children with same-sex attracted parents score higher than population samples on a number of parent-reported measures of child health. Perceived stigma is negatively associated with mental health. Through improved awareness of stigma these findings play an important role in health

  9. Genetic Programming for Medicinal Plant Family Identification System

    Directory of Open Access Journals (Sweden)

    Indra Laksmana

    2014-11-01

    Full Text Available Information about medicinal plants that is available in text documents is generally quite easy to access, however, one needs some efforts to use it. This research was aimed at utilizing crucial information taken from a text document to identify the family of several species of medicinal plants using a heuristic approach, i.e. genetic programming. Each of the species has its unique features. The genetic program puts the characteristics or special features of each family into a tree form. There are a number of processes involved in the investigated method, i.e. data acquisition, booleanization, grouping of training and test data, evaluation, and analysis. The genetic program uses a training process to select the best individual, initializes a generate-rule process to create several individuals and then executes a fitness evaluation. The next procedure is a genetic operation process, which consists of tournament selection to choose the best individual based on a fitness value, the crossover operation and the mutation operation. These operations have the purpose of complementing the individual. The best individual acquired is the expected solution, which is a rule for classifying medicinal plants. This process produced three rules, one for each plant family, displaying a feature structure that distinguishes each of the families from each other. The genetic program then used these rules to identify the medicinal plants, achieving an average accuracy of 86.47%.

  10. Stress among Farm Women: Work and Family as Interacting Systems.

    Science.gov (United States)

    Berkowitz, Alan D.; Perkins, H. Wesley

    1984-01-01

    Examined a sample of dairy farm wives (N=126) regarding stress symptoms, husband support, farm and home task loads, and perceived role conflict between farm and home responsibilities. Results indicated that the content of home and work roles may not be as important as interpersonal dynamics in rural farm families. (LLL)

  11. Development of an air heating system for single Family housing

    DEFF Research Database (Denmark)

    Afshari, Alireza; Gunner, Amalie; Nikolaisen, Christian Grønborg

    2017-01-01

    The initial objective of the project was to break with common thinking about Space heating and to document that air heating can be used as the sole source of heating in a single Family house. The basic idea is that the ventilation must be installed in any case and it may equally well form the heat...

  12. How do Ontario family medicine residents perform on global health competencies? A multi-institutional survey

    Directory of Open Access Journals (Sweden)

    Mirella Veras

    2013-09-01

    Results: The response rate ranged from 29% to 66% across the five universities. Self-perceived knowledge scores revealed that 34.3% of the respondents were very confident, 51.9% were somewhat confident, and 13.8% were not at all confident about their global health knowledge. Participants' confidence scores were lower in relation to knowledge of access to health care for low income nations (44.3%, and were better on their global health skills related to working in a team (70.9% and listening actively to patients' concerns (64.6%. Conclusions: The global health competency scale has identified key areas of strengths and weaknesses of family medicine programs in global health education. This can be used to evaluate and analyze progress over time.

  13. Public Land Survey System (PLSS) Quarter Section Polygons, California, 2015, Bureau of Land Management

    Data.gov (United States)

    U.S. Environmental Protection Agency — PLSSSecondDivision: This data set represents the GIS Version of the Public Land Survey System including both rectangular and non-rectangular surveys. The primary...

  14. Public Land Survey System (PLSS) Township Range Polygons, California, 2015, Bureau of Land Management

    Data.gov (United States)

    U.S. Environmental Protection Agency — PLSSTownship: This dataset represents the GIS Version of the Public Land Survey System including both rectangular and non-rectangular surveys. The primary source for...

  15. Position of the family Scrophulariaceae from Ukrainian flora in APG system

    Directory of Open Access Journals (Sweden)

    Myroslava R. Hrytsyna

    2013-04-01

    Full Text Available In molecular phylogenetic system polyphyletic family Scrophulariaceae R.B.R is disintegrated into seven monophyletic groups: Scrophulariaceae, Veronicaceae, Orobanchaceae, Calceolariaceae, Stilbaceae, Phrymaceae and Linderniaceae within order Lamiales. They are composed mainly by the members of this family and also by small families of this order. Нoloparasitic and hemiparasitic genera re identified as a separate group. The genera of Ukrainian flora belonging to such tribes as Scrophulariaceae, Veronicaceae, Orobanchaceae.

  16. National Geothermal Data System: State Geological Survey Contributions to Date

    Science.gov (United States)

    Patten, K.; Allison, M. L.; Richard, S. M.; Clark, R.; Love, D.; Coleman, C.; Caudill, C.; Matti, J.; Musil, L.; Day, J.; Chen, G.

    2012-12-01

    In collaboration with the Association of American State Geologists the Arizona Geological Survey is leading the effort to bring legacy geothermal data to the U.S. Department of Energy's National Geothermal Data System (NGDS). NGDS is a national, sustainable, distributed, interoperable network of data and service (application) providers entering its final stages of development. Once completed the geothermal industry, the public, and policy makers will have access to consistent and reliable data, which in turn, reduces the amount of staff time devoted to finding, retrieving, integrating, and verifying information. With easier access to information, the high cost and risk of geothermal power projects (especially exploration drilling) is reduced. This presentation focuses on the scientific and data integration methodology as well as State Geological Survey contributions to date. The NGDS is built using the U.S. Geoscience Information Network (USGIN) data integration framework to promote interoperability across the Earth sciences community and with other emerging data integration and networking efforts. Core to the USGIN concept is that of data provenance; by allowing data providers to maintain and house their data. After concluding the second year of the project, we have nearly 800 datasets representing over 2 million data points from the state geological surveys. A new AASG specific search catalog based on popular internet search formats enables end users to more easily find and identify geothermal resources in a specific region. Sixteen states, including a consortium of Great Basin states, have initiated new field data collection for submission to the NGDS. The new field data includes data from at least 21 newly drilled thermal gradient holes in previously unexplored areas. Most of the datasets provided to the NGDS are being portrayed as Open Geospatial Consortium (OGC) Web Map Services (WMS) and Web Feature Services (WFS), meaning that the data is compatible with a

  17. DeepSurveyCam—A Deep Ocean Optical Mapping System

    Science.gov (United States)

    Kwasnitschka, Tom; Köser, Kevin; Sticklus, Jan; Rothenbeck, Marcel; Weiß, Tim; Wenzlaff, Emanuel; Schoening, Timm; Triebe, Lars; Steinführer, Anja; Devey, Colin; Greinert, Jens

    2016-01-01

    Underwater photogrammetry and in particular systematic visual surveys of the deep sea are by far less developed than similar techniques on land or in space. The main challenges are the rough conditions with extremely high pressure, the accessibility of target areas (container and ship deployment of robust sensors, then diving for hours to the ocean floor), and the limitations of localization technologies (no GPS). The absence of natural light complicates energy budget considerations for deep diving flash-equipped drones. Refraction effects influence geometric image formation considerations with respect to field of view and focus, while attenuation and scattering degrade the radiometric image quality and limit the effective visibility. As an improvement on the stated issues, we present an AUV-based optical system intended for autonomous visual mapping of large areas of the seafloor (square kilometers) in up to 6000 m water depth. We compare it to existing systems and discuss tradeoffs such as resolution vs. mapped area and show results from a recent deployment with 90,000 mapped square meters of deep ocean floor. PMID:26828495

  18. DeepSurveyCam--A Deep Ocean Optical Mapping System.

    Science.gov (United States)

    Kwasnitschka, Tom; Köser, Kevin; Sticklus, Jan; Rothenbeck, Marcel; Weiß, Tim; Wenzlaff, Emanuel; Schoening, Timm; Triebe, Lars; Steinführer, Anja; Devey, Colin; Greinert, Jens

    2016-01-28

    Underwater photogrammetry and in particular systematic visual surveys of the deep sea are by far less developed than similar techniques on land or in space. The main challenges are the rough conditions with extremely high pressure, the accessibility of target areas (container and ship deployment of robust sensors, then diving for hours to the ocean floor), and the limitations of localization technologies (no GPS). The absence of natural light complicates energy budget considerations for deep diving flash-equipped drones. Refraction effects influence geometric image formation considerations with respect to field of view and focus, while attenuation and scattering degrade the radiometric image quality and limit the effective visibility. As an improvement on the stated issues, we present an AUV-based optical system intended for autonomous visual mapping of large areas of the seafloor (square kilometers) in up to 6000 m water depth. We compare it to existing systems and discuss tradeoffs such as resolution vs. mapped area and show results from a recent deployment with 90,000 mapped square meters of deep ocean floor.

  19. DeepSurveyCam—A Deep Ocean Optical Mapping System

    Directory of Open Access Journals (Sweden)

    Tom Kwasnitschka

    2016-01-01

    Full Text Available Underwater photogrammetry and in particular systematic visual surveys of the deep sea are by far less developed than similar techniques on land or in space. The main challenges are the rough conditions with extremely high pressure, the accessibility of target areas (container and ship deployment of robust sensors, then diving for hours to the ocean floor, and the limitations of localization technologies (no GPS. The absence of natural light complicates energy budget considerations for deep diving flash-equipped drones. Refraction effects influence geometric image formation considerations with respect to field of view and focus, while attenuation and scattering degrade the radiometric image quality and limit the effective visibility. As an improvement on the stated issues, we present an AUV-based optical system intended for autonomous visual mapping of large areas of the seafloor (square kilometers in up to 6000 m water depth. We compare it to existing systems and discuss tradeoffs such as resolution vs. mapped area and show results from a recent deployment with 90,000 mapped square meters of deep ocean floor.

  20. Relations of income inequality and family income to chronic medical conditions and mental health disorders: national survey

    Science.gov (United States)

    Sturm, Roland; Gresenz, Carole Roan

    2002-01-01

    Objectives To analyse the relation between geographical inequalities in income and the prevalence of common chronic medical conditions and mental health disorders, and to compare it with the relation between family income and these health problems. Design Nationally representative household telephone survey conducted in 1997-8. Setting 60 metropolitan areas or economic areas of the United States. Participants 9585 adults who participated in the community tracking study. Main outcome measures Self report of 17 common chronic medical conditions; current depressive disorder or anxiety disorder assessed by clinical screeners. Results A strong continuous association was seen between health and education or family income. No relation was found between income inequality and the prevalence of chronic medical problems or depressive disorders and anxiety disorders, either across the whole population or among poorer people. Only self reported overall health, the measure used in previous studies, was significantly correlated with inequality at the population level, but this correlation disappeared after adjustment for individual characteristics. Conclusions This study provides no evidence for the hypothesis that income inequality is a major risk factor for common disorders of physical or mental health. What is already known on this topicSeveral studies have found a relation between income inequality and self reported health or mortalityWhat this study addsThere is a strong social gradient in health, as measured by the prevalence of chronic medical conditions and specific mental health disorders, by income or educationNo such association is seen between income inequality and health PMID:11777799

  1. Survey of Wife Abuse and Influencing Social Factors Incidence of Domestic Violence in Tehranian Families

    Directory of Open Access Journals (Sweden)

    M. Latifi

    2014-01-01

    Full Text Available Background & Aims: Violence against wives has been one of the things that are of interest to researchers, sociologists and psychologists. In all countries, despite the social and economic and cultural differences between them, Domestic violence occurs by husbands. It encompasses any behavior between them in close relationship. It causes physical, psychological and sexual abuse. Therefore this study is aimed to impact of social factors effective in the incidence of domestic violence in the Tehranian families who are referred to the parks. Materials and Methods: This study is a descriptive - analytical. The data collection tools are questionnaires. The questionnaires consist of 4 parts: Demographic data, physical, Sexual and psychological violence. Then 224 persons of married women referring to Tehran parks were completed these questionnaires, so data were analyzed by SPPS software (version 16 using descriptive, inferential statistics. Results: 33.6% of women participating in the study have experienced physical violence at least one during the last year, also between variables female age, remarried women, Gender of children, who Have adopted children, income, property, A separate bank account, type of married are significant relationship with violence. Conclusion: Economic problem, low education and type of job connected to Domestic violence. To combat of domestic violence as a global challenge, should be promoted the men's knowledge about women's rights and educated couple before marriage about their right and created an environment and support and counseling services and psychotherapy for individuals who are victims of violence.

  2. Has mifepristone medical abortion expanded abortion access in New Mexico? A survey of OB-GYN and Family Medicine physicians.

    Science.gov (United States)

    Espey, Eve; Leeman, Larry; Ogburn, Tony; Skipper, Betty; Eyman, Candace; North, Mariah

    2011-08-01

    The FDA approval of mifepristone in 2000 broadened the available options for abortion. The aim of this study was to evaluate whether physicians in New Mexico have integrated the use of mifepristone into their practice. We performed a mail-out survey of New Mexico Obstetrician Gynecologists (Ob-Gyn) and Family Medicine (FM) physicians in 2001 and 2008. Questions addressed integration of abortion services, attitudes towards providing abortion in different scenarios and barriers to offering abortion services. The response rates were 59% for the 2001 survey and 54% in 2008. In 2001 and 2008, 11% and 15% (p=.26) of physicians, respectively, provided any abortion - medical or surgical. Similarly, in 2001 and 2008, 5% and 10% (p=.07) provided medical abortion. Commonly cited barriers to provision of abortion in both years were beliefs against abortion and lack of training. The number of physicians offering any abortion or medical abortion in New Mexico has not changed since the FDA approval of mifepristone. Residency training programs in FM and in Ob-gyn should include training in medical abortion. Copyright © 2011 Elsevier Inc. All rights reserved.

  3. The Integration of a Family Systems Approach for Understanding Youth Obesity, Physical Activity, and Dietary Programs

    Science.gov (United States)

    Kitzman-Ulrich, Heather; Wilson, Dawn K.; St. George, Sara M.; Lawman, Hannah; Segal, Michelle; Fairchild, Amanda

    2010-01-01

    Rates of overweight in youth have reached epidemic proportions and are associated with adverse health outcomes. Family-based programs have been widely used to treat overweight in youth. However, few programs incorporate a theoretical framework for studying a family systems approach in relation to youth health behavior change. Therefore, this…

  4. Family System Characteristics and Parental Behaviors as Predictors of Adolescent Substance Use.

    Science.gov (United States)

    Anderson, Allan R.; Henry, Carolyn S.

    1994-01-01

    Examined adolescent perceptions of family system characteristics and parental behaviors as predictors of adolescent substance use. Findings from 489 high school students indicated that frequency of parental substance use was positively related to adolescent substance use, whereas family bonding and parental support were negatively related to…

  5. Longitudinal analysis of flexibility and reorganization in early adolescence: A dynamic systems study of family interactions

    NARCIS (Netherlands)

    Granic, I.; Hollenstein, T.P.; Dishion, T.J.; Patterson, G.R.

    2003-01-01

    A dynamic systems (DS) approach was used to study changes in the structure of family interactions during the early adolescent transition period. Longitudinal observational data were collected in 5 waves prior to, during, and after the transition. Boys (n = 149 families) were videotaped problem

  6. Fearing Fat: A Literature Review of Family Systems Understandings and Treatments of Anorexia and Bulimia.

    Science.gov (United States)

    Killian, Kyle D.

    1994-01-01

    Reviews literature examining family variables associated with anorexia nervosa and bulimia nervosa and family systems treatments for these eating disorders. Presents definitions of and diagnostic criteria for anorexia and bulimia, and discusses prevalence of these disorders. Reviews role played by psychopathological, sociological, and…

  7. Contributions of School-Based Parenting and Family Literacy Centres in an Early Childhood Service System

    Science.gov (United States)

    Underwood, Kathryn; Trent-Kratz, Marion

    2015-01-01

    Increasingly, governments are seeking ways to integrate early childhood education and care services as a social policy strategy to maximize child and family outcomes. This study examines the role of a school-based parenting and family literacy program to a system of services in one community in Ontario, Canada. Using an appreciative inquiry…

  8. The experiences of homicide victims' families with the criminal justice system: an exploratory study.

    Science.gov (United States)

    Englebrecht, Christine; Mason, Derek T; Adams, Margaret J

    2014-01-01

    Although the crime of homicide has received significant attention from scholars, little research exists that examines the impact of homicide on surviving family members. Because opportunities for victims and family members of victims to participate in the criminal justice system are increasing, it is important to understand the impact of these forms of participation on those who choose to participate. This study uses data from focus groups to examine the experiences of homicide survivors within the criminal justice system, including views about how system involvement and specific outcomes (i.e., sentencing) may help or hinder healing. Findings suggest that many families leave the criminal justice system feeling marginalized and revictimized. This study calls into question the current criminal justice system's ability to meet the needs of crime victim and their families.

  9. First freshwater member ever reported for the family Bathycoccaceae (Chlorophyta; Archaeplastida) from Argentinean Patagonia revealed by environmental DNA survey.

    Science.gov (United States)

    Lara, Enrique; Fernández, Leonardo D; Schiaffino, M Romina; Izaguirre, Irina

    2017-08-01

    We characterized molecularly the first freshwater member ever reported for the family Bathycoccaceae in Lake Musters (Argentinean Patagonia). Members of this family are extremely numerous and play a key ecological role in marine systems as primary producers. We cloned a fragment comprising the SSU rRNA gene+ITS region from environmental DNA using specific mamiellophyte primers. The unique SSU rRNA gene sequence obtained clustered robustly with Bathycoccus prasinos. Analysis of the two-dimensional structure of the ITS region showed the presence of a typical supplementary helix in the ITS-2 region, a synapomorphy of Bathycoccaceae, which confirmed further its phylogenetic placement. We finally discuss the possible causes for the presence of this organism in Lake Musters. Copyright © 2017 Elsevier GmbH. All rights reserved.

  10. Educating vocationally trained family physicians: a survey of graduates from a postgraduate medical education programme.

    Science.gov (United States)

    Cunningham, Wayne K; Dovey, Susan M

    2016-06-01

    INTRODUCTION Since 1991 the University of Otago, Dunedin, New Zealand has offered postgraduate qualifications specifically designed to educate general practitioners (GPs) about their unique work environment. AIM To determine motivations and impacts of postgraduate education for practising GPs. METHODS Survey of the 100 graduates of the University of Otago, Dunedin postgraduate general practice programme. Ninety five living graduates were approached and 70 (73.7%) responded. Quantitative data about disposition of respondents before enrolling and after completion of the programme were analysed using chi-square and paired t-tests. Free text responses about motivations, impacts and outcomes of the program were thematically analysed. RESULTS 64 GPs graduated with a postgraduate diploma and 36 with a masters degree in general practice. Although the mean number of graduates was 3.5 and 2.0 (respectively), annual enrolments averaged 25.1. Most graduates (60.9%) were aged in their 40s when they started studying and most (94.3%) had a spouse and/or children at home. DISCUSSION This voluntary postgraduate medical education complements traditional medical training but has low external value despite personal, practising and professional benefits. Graduates valued engagement above completion of a qualification. KEYWORDS Medical education; general practitioners; scholarship; professionalism.

  11. A qualitative study of factors that influence active family involvement with patient care in the ICU: Survey of critical care nurses.

    Science.gov (United States)

    Hetland, Breanna; McAndrew, Natalie; Perazzo, Joseph; Hickman, Ronald

    2017-11-20

    Family caregiver involvement may improve patient and family outcomes in the intensive care unit. This study describes critical care nurses' approaches to involving family caregivers in direct patient care. This is a qualitative content analysis of text captured through an electronic survey. A convenience sample of 374 critical care nurses in the United States who were subscribers to one of the American Association of Critical Care Nurses social media sites or electronic newsletters. Critical care nurses' responses to five open-ended questions about their approaches to family involvement in direct patient care. Nurse, patient, and family caregiver factors intersected in the context of the professional practice environment and the available resources for family care. Two main themes were identified: "Involving family caregivers in patient care in the intensive care unit requires careful ssessment" and "There are barriers and facilitators to caregiver involvement in patient care in the intensive care unit." Patient care demands, the professional practice environment and a lack of resources for families hindered nursing family caregiver involvement. Greater attention to these barriers as they relate to family caregiver involvement and clinical outcomes should be a priority in future research. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Childhood illness in households using biomass fuels in India: secondary data analysis of nationally representative national family health surveys.

    Science.gov (United States)

    Patel, Archana B; Dhande, Leena A; Pusdekar, Yamini V; Borkar, Jitesh A; Badhoniya, Neetu B; Hibberd, Patricia L

    2013-01-01

    Half of the world's population uses solid fuels for energy and cooking, resulting in 1.5 million deaths annually, approximately one-third of which occur in India. Most deaths are linked to childhood pneumonia or acute lower respiratory tract infection (ALRI), conditions that are difficult to diagnose. The overall effect of biomass combustion on childhood illness is unclear. To evaluate whether type of household fuel is associated with symptoms of ALRI (cough and difficulty breathing), diarrhea or fever in children aged 0-36 months. We analyzed nationally representative samples of households with children aged 0-36 months from three national family health surveys conducted between 1992 and 2006 in India. Households were categorized as using low (liquid petroleum gas/electricity), medium (coal/kerosene) or high polluting fuel (predominantly wood/agricultural waste). Odds ratios adjusted for confounders for exposure to high and medium polluting fuel were compared with low polluting fuel (LPF). Use of high polluting fuel (HPF) in India changed minimally (82 to 78 %), although LPF use increased from 8% to 18%. HPF was consistently associated with ALRI [adjusted odds ratio (95% confidence interval) 1.48 (1.08-2.03) in 1992-3; 1.54 (1.33-1.77) in 1998-9; and 1.53 (1.21-1.93) in 2005-6). Fever was associated with HPF in the first two surveys but not in the third survey. Diarrhea was not consistently associated with HPF. There is an urgent need to increase the use of LPF or equivalent clean household fuel to reduce the burden of childhood illness associated with IAP in India.

  13. US Decadal Survey Outer Solar System Missions: Trajectory Options

    Science.gov (United States)

    Spilker, T. R.; Atkinson, D. H.; Strange, N. J.; Landau, D.

    2012-04-01

    The report of the US Planetary Science Decadal Survey (PSDS), released in draft form March 7, 2011, identifies several mission concepts involving travel to high-priority outer solar system (OSS) destinations. These include missions to Europa and Jupiter, Saturn and two of its satellites, and Uranus. Because travel to the OSS involves much larger distances and larger excursions out of the sun's gravitational potential well than inner solar system (ISS) missions, transfer trajectories for OSS missions are stronger drivers of mission schedule and resource requirements than for ISS missions. Various characteristics of each planet system, such as obliquity, radiation belts, rings, deep gravity wells, etc., carry ramifications for approach trajectories or trajectories within the systems. The maturity of trajectory studies for each of these destinations varies significantly. Europa has been the focus of studies for well over a decade. Transfer trajectory options from Earth to Jupiter are well understood. Current studies focus on trajectories within the Jovian system that could reduce the total mission cost of a Europa orbiter mission. Three missions to the Saturn system received high priority ratings in the PSDS report: two flagship orbital missions, one to Titan and one to Enceladus, and a Saturn atmospheric entry probe mission for NASA's New Frontiers Program. The Titan Saturn System Mission (TSSM) studies of 2007-2009 advanced our understanding of trajectory options for transfers to Saturn, including solar electric propulsion (SEP) trajectories. But SEP trajectories depend more on details of spacecraft and propulsion system characteristics than chemical trajectories, and the maturity of SEP trajectory search tools has not yet caught up with chemical trajectory tools, so there is still more useful research to be done on Saturn transfers. The TSSM studies revealed much about Saturn-orbiting trajectories that yield efficient and timely delivery to Titan or Enceladus

  14. The validity and reliability of the Finnish Family Empowerment Scale (FES): a survey of parents with small children.

    Science.gov (United States)

    Vuorenmaa, M; Halme, N; Åstedt-Kurki, P; Kaunonen, M; Perälä, M-L

    2014-07-01

    The Family Empowerment Scale (FES) is a widely used instrument which measures the parents' own sense of their empowerment at the level of the family, service system and community. It was originally developed for parents of children with emotional disabilities. The aims of this study were to evaluate the validity and reliability of the Finnish FES and to examine its responsiveness in measuring the empowerment of parents with small children. The English FES was translated into Finnish using back translation and modified so as to be generic and convenient for all families. The construct, convergent, discriminant and concurrent validities, reliability and responsiveness of the Finnish FES were examined. Participants (n = 955) were the parents of children aged 0-9 years who had been selected using stratified random sampling. Confirmatory factor analysis proved that the Finnish FES had three subscales based on the original FES. Convergent and discriminant validities confirmed and supported the same construct. The relationship between parents' participation and empowerment was tested for concurrent validity. As in previous FES studies, the participating parents were more empowered, which supported the concurrent validity. The reliability of the Finnish FES proved acceptable for both parents. The Finnish FES could also discriminate the responses of the parents. Participation in the activities organized by the family service system influenced parents' perceptions of empowerment more than did their background characteristics. The Finnish FES is a valid and reliable instrument and it is suitable for measuring the empowerment of parents. However, it is necessary to consider how the FES would identify in the best way the parents who perhaps need some help. © 2013 John Wiley & Sons Ltd.

  15. Survey of systems safety analysis methods and their application to nuclear waste management systems

    Energy Technology Data Exchange (ETDEWEB)

    Pelto, P.J.; Winegardner, W.K.; Gallucci, R.H.V.

    1981-11-01

    This report reviews system safety analysis methods and examines their application to nuclear waste management systems. The safety analysis methods examined include expert opinion, maximum credible accident approach, design basis accidents approach, hazard indices, preliminary hazards analysis, failure modes and effects analysis, fault trees, event trees, cause-consequence diagrams, G0 methodology, Markov modeling, and a general category of consequence analysis models. Previous and ongoing studies on the safety of waste management systems are discussed along with their limitations and potential improvements. The major safety methods and waste management safety related studies are surveyed. This survey provides information on what safety methods are available, what waste management safety areas have been analyzed, and what are potential areas for future study.

  16. SURVEY

    DEFF Research Database (Denmark)

    SURVEY er en udbredt metode og benyttes inden for bl.a. samfundsvidenskab, humaniora, psykologi og sundhedsforskning. Også uden for forskningsverdenen er der mange organisationer som f.eks. konsulentfirmaer og offentlige institutioner samt marketingsafdelinger i private virksomheder, der arbejder...

  17. A survey of French general practitioners on the epidemiology of wounds in family practice

    Directory of Open Access Journals (Sweden)

    Sarazin M

    2015-06-01

    Full Text Available Marianne Sarazin,1–3 Florence Roberton,4 Rodolphe Charles,4 Alessandra Falchi,1,2,5 Solange Gonzales Chiappe,1–3 Thierry Blanchon,1,2 Frédéric Lucht,6 Thomas Hanslik1,2,7,8 1INSERM, UMR_S 1136, F-75012, Paris, France; 2Sorbonne Universités, UPMC University Paris 06, UMR_S 1136, F-75012, Paris, France; 3DIM, Centre Hospitalier, 42 700 Firminy, France; 4Département de médecine générale, Faculté de médecine Jacques Lisfranc, F-42023 Saint Etienne, CE France; 5EA 7310, Laboratoire de Virologie, Université de Corse, F-20250 Corte, France; 6CIC-EC3, CHU Saint Etienne, F-42277 Saint-Priest en Jarez, CE France; 7UVSQ, Université de Versailles Saint Quentin, F-78000 Versailles, France; 8Assistance Publique Hôpitaux de Paris, service de Médecine Interne, Hôpital Ambroise Paré, F-92100 Boulogne Billancourt, France Background: To measure the frequency and nature of wounds in patients treated in general practice and to describe the patients' tetanus vaccination status and the sources providing information about this status. Methods: A descriptive, prospective, week-long, national electronic survey was conducted among general practitioners within the Sentinelles network. Results: The participation rate was 12.6% (95% confidence interval [CI], 10.6%–14.6%; 130 general practitioners: 197 patients with wounds were reported, and 175 of them were described. Wound frequency was 1.4 (95% CI, 1.2–1.6 per 100 consultations. These wounds had an acute character in 76 (95% CI, 69.7–82.3 of cases, were mostly of traumatic origin (54.8% of cases; 95% CI, 47.5%–62.1%, were more than 24 hours old (67.1%; 95% CI, 59.1%–75.1%, and were clean, without bone and/or muscle decay (94%; 95% CI, 90.5%–97.5%. Vaccination status was known for 71 (95% CI, 64–78 patients. According to the 2013 immunization schedule, 21% (95% CI, 13.9%–28.1% of the patients had not updated their vaccinations, mostly among the patients older than 75 years. Conclusion

  18. Is the Family System in Romania Similar to those of Southern European Countries?

    Directory of Open Access Journals (Sweden)

    Maria Castiglioni

    2016-06-01

    Full Text Available In his influential 1998 study, David S. Reher discusses historical differences between countries with strong and weak family ties. He focuses on the “Western World”, comparing Italy and the Iberian Peninsula with Scandinavia, the British Isles, the Low Countries, Germany and Austria, together with North America. In this paper, we explore whether Romania, in Eastern Europe, can be characterised as having a strong family system, given the increasingly important role family has played for individual well-being following the end of the socialist regime. We observe a number of similarities between Romania and Southern European countries in terms of behaviours associated with “strong family ties”, opinions on family care and mutual intergenerational support. Differences can be explained in light of Romania’s economic and housing crisis. Overall, it is likely that the importance of family ties in Romania increased after the end of the socialist regime.

  19. System Dynamics Model and Simulation of Employee Work-Family Conflict in the Construction Industry.

    Science.gov (United States)

    Wu, Guangdong; Duan, Kaifeng; Zuo, Jian; Yang, Jianlin; Wen, Shiping

    2016-10-28

    The construction industry is a demanding work environment where employees' work-family conflict is particularly prominent. This conflict has a significant impact on job and family satisfaction and performance of employees. In order to analyze the dynamic evolution of construction industry employee's work-family conflict between work and family domains, this paper constructs a bi-directional dynamic model framework of work-family conflict by referring to the relevant literature. Consequently, a system dynamics model of employee's work-family conflict in the construction industry is established, and a simulation is conducted. The simulation results indicate that construction industry employees experience work interference with family conflict (WIFC) levels which are significantly greater than the family interference with work conflict (FIWC) levels. This study also revealed that improving work flexibility and organizational support can have a positive impact on the satisfaction and performance of construction industry employees from a work and family perspective. Furthermore, improving family support can only significantly improve employee job satisfaction.

  20. System Dynamics Model and Simulation of Employee Work-Family Conflict in the Construction Industry

    Directory of Open Access Journals (Sweden)

    Guangdong Wu

    2016-10-01

    Full Text Available The construction industry is a demanding work environment where employees’ work-family conflict is particularly prominent. This conflict has a significant impact on job and family satisfaction and performance of employees. In order to analyze the dynamic evolution of construction industry employee’s work-family conflict between work and family domains, this paper constructs a bi-directional dynamic model framework of work-family conflict by referring to the relevant literature. Consequently, a system dynamics model of employee’s work-family conflict in the construction industry is established, and a simulation is conducted. The simulation results indicate that construction industry employees experience work interference with family conflict (WIFC levels which are significantly greater than the family interference with work conflict (FIWC levels. This study also revealed that improving work flexibility and organizational support can have a positive impact on the satisfaction and performance of construction industry employees from a work and family perspective. Furthermore, improving family support can only significantly improve employee job satisfaction.

  1. System Dynamics Model and Simulation of Employee Work-Family Conflict in the Construction Industry

    Science.gov (United States)

    Wu, Guangdong; Duan, Kaifeng; Zuo, Jian; Yang, Jianlin; Wen, Shiping

    2016-01-01

    The construction industry is a demanding work environment where employees’ work-family conflict is particularly prominent. This conflict has a significant impact on job and family satisfaction and performance of employees. In order to analyze the dynamic evolution of construction industry employee’s work-family conflict between work and family domains, this paper constructs a bi-directional dynamic model framework of work-family conflict by referring to the relevant literature. Consequently, a system dynamics model of employee’s work-family conflict in the construction industry is established, and a simulation is conducted. The simulation results indicate that construction industry employees experience work interference with family conflict (WIFC) levels which are significantly greater than the family interference with work conflict (FIWC) levels. This study also revealed that improving work flexibility and organizational support can have a positive impact on the satisfaction and performance of construction industry employees from a work and family perspective. Furthermore, improving family support can only significantly improve employee job satisfaction. PMID:27801857

  2. Image data processing system requirements study. Volume 1: Analysis. [for Earth Resources Survey Program

    Science.gov (United States)

    Honikman, T.; Mcmahon, E.; Miller, E.; Pietrzak, L.; Yorsz, W.

    1973-01-01

    Digital image processing, image recorders, high-density digital data recorders, and data system element processing for use in an Earth Resources Survey image data processing system are studied. Loading to various ERS systems is also estimated by simulation.

  3. Family influences in a cross-sectional survey of higher child attendance.

    Science.gov (United States)

    Little, P; Somerville, J; Williamson, I; Warner, G; Moore, M; Wiles, R; George, S; Smith, A; Peveler, R

    2001-12-01

    higher attenders were more likely to be depressed (HAD depression scale = 0-7, 8-10, 11+ respectively; adjusted ORs (95% CIs) = 1, 2.04 (1.27-3.27), 1.60 (0.75-3.42)) or anxious (anxiety scale 0-7, 8-10, 11+, respectively; adjusted ORs [95% CIs] = 1, 1.60 [0.99-2.58], 1.97 [1.20-3.26]). Important parental factors are council house tenancy, the parents' perception of and willingness to tolerate, somatic symptoms in the child, and the parents' own attendance history, health anxiety, and perception of somatic symptoms Doctors should be sensitive to the parental and family factors that underlie the decision to consult and of the needs of parents of high-attending children.

  4. The eye in systemic disease | Lenake | South African Family Practice

    African Journals Online (AJOL)

    The eye is a unique organ which is often involved in systemic disease. Patients with systemic disease may first present with eye pathology, and patients with known systemic illnesses may need to have their eyes specifically checked for ocular complications. It is thus useful for the physician to be familiar with the ocular ...

  5. Depression in the elderly: Does family system play a role? A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Qidwai Waris

    2007-10-01

    Full Text Available Abstract Background The most common geriatric psychiatric disorder is depression. The role of family systems in depression among the elderly has not been studied extensively. It has been suggested that urbanization promotes nucleation of family systems and a decrease in care and support for the elderly. We conducted this study in Karachi, a large urban city of Pakistan, to determine the relationship between the type of family system and depression. We also determined the prevalence of depression in the elderly, as well as correlation of depression with other important socio-demographic variables. Methods A cross-sectional study was carried out in the premises of a tertiary care hospital in Karachi, Pakistan. Questionnaire based interviews were conducted among the elderly people visiting the hospital. Depression was assessed using the 15-item Geriatric Depression Scale. Results Four hundred subjects aged 65 and above were interviewed. The age of majority of the subjects ranged from 65 to 74 years. Seventy eight percent of the subjects were male. The prevalence of depression was found to be 19.8%. Multiple logistic regression analysis revealed that the following were significant (p independent predictors of depression: nuclear family system, female sex, being single or divorced/widowed, unemployment and having a low level of education. The elderly living in a nuclear family system were 4.3 times more likely to suffer from depression than those living in a joint family system (AOR = 4.3 [95% CI = 2.4–7.6]. Conclusion The present study found that residing in a nuclear family system is a strong independent predictor of depression in the elderly. The prevalence of depression in the elderly population in our study was moderately high and a cause of concern. The transition in family systems towards nucleation may have a major deleterious effect on the physical and mental health of the elderly.

  6. Relationship between the number of family members and stress by gender: Cross-sectional analysis of the fifth Korea National Health and Nutrition Examination Survey.

    Science.gov (United States)

    Noh, Jin-Won; Kim, Kyoung-Beom; Park, Jumin; Hong, Janghun; Kwon, Young Dae

    2017-01-01

    Due to gendered inequalities in the division of domestic work, women with paid employment and family caregiving responsibilities can feel extremely tired with general distress and depression. Therefore, the purpose of this study was to examine the association between the number of family members and stress level by gender among Korean adults using a nationally representative dataset. We used a sample of 6,293 subjects aged 19 or older (3,629 female and 2,264 male) from the fifth Korea National Health and Nutrition Examination Survey. A multivariable logistic regression analysis with sociodemographic and health-related characteristics was conducted. Because there were gender differences, a stratified analysis was performed for each gender. Age, number of family members, education level, occupational status, depression, self-rated health status, and chronic diseases were found to have a significant association with stress level in the study subjects (pfamily with two members (OR 1.521), three family members (OR 1.893), or four or more family members without spouse (OR 2.035) compared to those who live alone. We found that unmarried women are more likely to be stressed as the number of family members increases. Gender expectations giving women the main responsibility for domestic and care work may become a source of stress. Reconciliation of family and work remains women's responsibility in Korea. As family problems are recently becoming a big issue, our study shows the importance of considering gender difference in studies on stress according to family roles and functions.

  7. The family house control system based on Raspberry Pi

    National Research Council Canada - National Science Library

    Sysala Tomas; Fogl David; Neumann Petr

    2017-01-01

    .... That all together composes a control system based on Raspberry Pi, which manages indoor and outdoor temperature measurement, the lighting control, RF transmitter, jalousie, motion sensor control etc...

  8. Foundational Report Series: Advanced Distribution Management Systems for Grid Modernization, DMS Industry Survey

    Energy Technology Data Exchange (ETDEWEB)

    Singh, Ravindra [Argonne National Lab. (ANL), Argonne, IL (United States); Uluski, Robert [Argonne National Lab. (ANL), Argonne, IL (United States); Reilly, James T. [Reilly Associates, Pittston, PA (United States); Martino, Sal [Electric Power Research Inst. (EPRI), Palo Alto, CA (United States); Lu, Xiaonan [Argonne National Lab. (ANL), Argonne, IL (United States); Wang, Jianhui [Argonne National Lab. (ANL), Argonne, IL (United States)

    2017-04-01

    The objective of this survey is to benchmark current practices for DMS implementation to serve as a guide for future system implementations. The survey sought information on current plans to implement DMS, DMS functions of interest, implementation challenges, functional benefits achieved, and other relevant information. These survey results were combined (where possible) with results of similar surveys conducted in the previous four years to observe trends over time.

  9. Information and Analysis System Stages of Family Welfare in District Balong

    Directory of Open Access Journals (Sweden)

    Eka Arynda Ayu

    2017-05-01

    Full Text Available Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN is a family that formed due to legal marriage, is able to meet the needs of the spiritual and the material that is decent, devoted to God Almighty, have a relationship that is harmonious and balanced between members and between families with the community and the environment. Every year the government to collect data on the status of a prosperous family stage where the purpose of the data collection is in the framework of development and poverty alleviation programs. Data collection process in the District Balong is still done manually so that the risk of error in determining the status of a family stage could happen. Information and analysis system of status stages of family welfare is designed to make web-based officers in the input data and determine the status of a prosperous family stages based on selected indicators of the sheet R/1/KS. Sample of data from Bulukidul village and sub-district village of Balong Ngraket 2014. Results of the system in the form of data reports the results of process steps and the results can be viewed in graphical form. Comparison chart to show the status of the highest percentage of poor welfare families stages. Instead lowest percentage shows the stages of a prosperous family able or rich. 

  10. Knowledge and Perception of Bariatric Surgery Among Primary Care Physicians: a Survey of Family Doctors in Ontario.

    Science.gov (United States)

    Auspitz, Mark; Cleghorn, Michelle C; Azin, Arash; Sockalingam, Sanjeev; Quereshy, Fayez A; Okrainec, Allan; Jackson, Timothy D

    2016-09-01

    The primary objective of this study was to identify Ontario family physicians' knowledge and perceptions of bariatric surgery. The study population included all physicians practicing family medicine in Ontario who were listed in the Canadian Medical Directory. A self-administered questionnaire consisting of 28 questions was developed and validated using a focus group of seven primary care physicians. The questionnaire was distributed to 1328 physicians. One hundred sixty-five surveys were completed. 8.8 % of physicians did not have any bariatric surgical patients, and 71.3 % had no more than five in their practice. 70.2 % referred no more than 5 % of their morbidly obese patients for surgery. Only 32.1 % had the appropriate equipment and resources to manage obese patients. 92.5 % of physicians would like to receive more education about bariatric surgery. Physicians with no history of referral (n = 21) were earlier into their practices and had less morbidly obese patients than physicians with previous referrals (n = 141). They were also less likely to discuss bariatric surgery with their patients (30 vs. 79.3 %; p surgery, compared to 85.4 % of physicians with previous referrals; p = 0.002. There appears to be a knowledge gap in understanding the role of bariatric surgery in the treatment of obesity. There is an opportunity to improve education and available resources for primary care physicians surrounding patient selection and follow-up care. This may improve access to treatment.

  11. Systemic family psychotherapy in China: a qualitative analysis of therapy process.

    Science.gov (United States)

    Liu, Liang; Miller, John K; Zhao, Xudong; Ma, Xiquan; Wang, Jikun; Li, Wentian

    2013-12-01

    Although the procedure of systemic family therapy has been extensively researched in Western culture, few studies on this subject have been conducted in China. The aim of this study was to specify the therapy-delivered interventions in Chinese systemic family therapy and to explore how Western-imported systemic therapy model is delivered in Chinese culture. A qualitative and exploratory research approach was taken in which thematic analysis was used to analyse the transcribed psychotherapy videotapes with Chinese families. Twenty-six hours of video-recorded systemic family therapy sessions from 14 Chinese family cases were sampled. Thematic analysis was used to analyse the transcriptions of therapy sessions and identify therapist-generated interventions in therapy. Frequencies of different interventions were counted, and correspondence analysis (CA) was used to reveal the corresponding relationships between different interventions. Analysis led to two main themes related to therapists-delivered interventions: Therapist's intention and therapy technique. Results revealed 15 types of therapist's intentions and 16 categories of therapy techniques. CA indicated that therapists' intentions changed across different therapy stages and specific techniques were used to achieve corresponding intentions. Interventions delivered in Chinese systemic therapy are mainly adherent with Milan and post-Milan systemic models. Due to the shortage in systemic therapy service in China and Chinese culture advocating reverence to authority, components of psycho-education, guidance, and metaphor are adopted in Chinese systemic practice. Some directions for future research are suggested. © 2012 The British Psychological Society.

  12. Employment and Welfare Reform in the National Survey of America's Families. Discussion Papers. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies.

    Science.gov (United States)

    Loprest, Pamela; Wissoker, Douglas

    Data from the National Survey of America's Families (NSAF) in 13 states for 1997 and 1999 was used to study how welfare reform policies, mandated by the 1996 passage of the Personal Responsibility and Work Opportunity Reconciliation Act, affected employment of single mothers with children. The states were Alabama, California, Colorado, Florida,…

  13. Parentification in late adolescence and selected features of the family system

    Directory of Open Access Journals (Sweden)

    Judyta Borchet

    2015-12-01

    Full Text Available Background Parentification is a pattern of family interactions when either a child or an adolescent accepts roles and obligations fulfilled by adults. Being burdened with duties and taking care of parents makes separation, as well as fulfilment of development tasks and acceptance of roles suitable for a child, difficult. Simultaneously parentification might constitute a factor which forms resilience and functional coping manners. The aim of the study was to broaden the knowledge about parentification and its connections with the features of the family system. Participants and procedure The participants were 89 people divided into triads including the youngster in his/her late teens and his/her parents. The youngsters filled in Hooper’s Parentification Inventory and Olson’s Family Evaluation Scale (FES, in Margasiński’s adaptation, and assessed the bond with family members using a drawing scale. The parents also filled in the FES, and additionally they evaluated the level of conflict intensity and tension in a partner relationship by means of a modified version of the Cantril Ladder. Results Perception of the benefits of parentification differentiated the adolescents from well-balanced and ill-balanced families. Additionally, the stronger the bond the adolescents shared with their parents and the higher they assessed their satisfaction with family life and communications in the family, the more positive was their view of the effects of parentification. The predictor for the perception of the benefits of parentification by adolescents turned out to be the family’s cohesion. Conclusions The assessment of the functioning of the family system is essential. When, according to adolescents, the family system is functioning effectively, they can use the family resources and positively reformulate even negative experiences concerned with parentification.

  14. Social protection systems in vulnerable families: their importance for the public health

    Science.gov (United States)

    Arcos, Estela; Sanchez, Ximena; Toffoletto, Maria Cecilia; Baeza, Margarita; Gazmuri, Patricia; Muñoz, Luz Angélica; Vollrath, Antonia

    2014-01-01

    OBJECTIVE To analyze the effectiveness of the Chilean System of Childhood Welfare in transferring benefits to socially vulnerable families. METHODS A cross-sectional study with a sample of 132 families from the Metropolitan Region, Chile, stratified according to degree of social vulnerability, between September 2011 and January 2012. Semi-structured interviews were conducted with mothers of the studied families in public health facilities or their households. The variables studied were family structure, psychosocial risk in the family context and integrated benefits from the welfare system in families that fulfill the necessary requirements for transfer of benefits. Descriptive statistics to measure location and dispersion were calculated. A binary logistic regression, which accounts for the sample size of the study, was carried out. RESULTS The groups were homogenous regarding family size, the presence of biological father in the household, the number of relatives living in the same dwelling, income generation capacity and the rate of dependency and psychosocial risk (p ≥ 0.05). The transfer of benefits was low in all three groups of the sample (≤ 23.0%). The benefit with the best coverage in the system was the Single Family Subsidy, whose transfer was associated with the size of the family, the presence of relatives in the dwelling, the absence of the father in the household, a high rate of dependency and a high income generation capacity (p ≤ 0.10). CONCLUSIONS The effectiveness of benefit transfer was poor, especially in families that were extremely socially vulnerable. Further explanatory studies of benefit transfers to the vulnerable population, of differing intensity and duration, are required in order to reduce health disparities and inequalities. PMID:25119935

  15. Job control, work-family balance and nurses' intention to leave their profession and organization: A comparative cross-sectional survey.

    Science.gov (United States)

    Yamaguchi, Yoshiko; Inoue, Takahiro; Harada, Hiroko; Oike, Miyako

    2016-12-01

    The shortage of nurses is a problem in many countries. In Japan, the distribution of nurses across different care settings is uneven: the shortage of nurses in home healthcare and nursing homes is more serious than in hospitals. Earlier research has identified numerous factors affecting nurses' intention to leave work (e.g., job control, family-related variables, work-family conflict); however, these factors' levels and effect size may vary between nurses in hospitals, home healthcare, and nursing homes. This study measured job control, family-related variables, and work-family conflict among nurses in hospitals, home healthcare, and nursing homes, and compared these variables' levels and effect size on nurses' intention to leave their organization or profession between these care settings. The research design was cross-sectional. Participating nurses from hospitals, home healthcare facilities, and nursing homes self-administered an anonymous questionnaire survey; nurses were recruited from the Kyushu district of Japan. Nurses from nine hospitals, 86 home healthcare offices, and 107 nursing homes participated. We measured nurses' intention to leave nursing or their organization, perceived job control, family variables and work-family conflict. We analyzed 1461 participants (response rate: 81.7%). The level of job control, family variables, and work-family conflict affecting nurses varied between hospitals, home healthcare, and nursing homes; additionally, these variables' effect on nurses' intention to leave their organization or profession varied between these care settings. Work-family conflict, family variables, and job control most strongly predicted nurses' intention to leave their organization or profession in hospitals, home healthcare, and nursing homes, respectively. Interventions aiming to increase nurse retention should distinguish between care settings. Regarding hospitals, reducing nurses' work-family conflict will increase nurse retention. Regarding

  16. Family caregivers require mental health specialists for end-of-life psychosocial problems at home: a nationwide survey in Japan.

    Science.gov (United States)

    Kobayakawa, Makoto; Okamura, Hitoshi; Yamagishi, Akemi; Morita, Tatsuya; Kawagoe, Shohei; Shimizu, Megumi; Ozawa, Taketoshi; An, Emi; Tsuneto, Satoru; Shima, Yasuo; Miyashita, Mitsunori

    2016-06-01

    Psychological distress is problematic for patients and their family caregivers in the oncological setting. The level of stress is influenced by the health status of the patient and their family members as well as the support system for home care. However, it remains unclear how best to support distressed caregivers providing end-of-life care at home. The present study was performed as part of the Japan Hospice and Palliative Care Evaluation study among caregivers whose family members are provided home palliative care. The caregivers were asked whether they wished to receive psychological support from mental health specialists, and factors associated with the need for psychological support were analyzed. Of the 1052 caregivers, 628 completed the questionnaire. As a whole, 169 subjects [27%; 23-30% (95% confidence interval)] reported needing psychological support from a mental health specialist. According to a multiple regression analysis, factors associated with the need for psychological support included (1) emotional distress due to the need to adapt to rapid worsening of the patient's condition [adjusted odds ratio: 2.62 (95% CI 1.77-3.88), p health conditions of the caregivers [2.93 (1.61-5.36), p < 0.001], and (3) having someone else available to care for the patient in place of the caregiver [0.51 (0.34-0.78), p = 0.002]. Psychological support is required for caregivers tending to patients at home. Further studies are needed to construct a system to provide continuous support to caregivers. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  17. A Survey of Stellar Families: Multiplicity of Solar-type Stars

    Science.gov (United States)

    Raghavan, Deepak; McAlister, Harold

    2009-11-01

    We owe a lot to our Sun. The Earth was formed as a by-product of the Sun's birth and life on Earth is sustained by the Sun's energy. But our Sun is just one among billions. So we wonder -- is our Sun unique in harboring conditions favorable to life, or is the Universe, like the Earth, teeming with life? Do other Sun-like stars have planets? Do they have other stellar companions? My Ph.D. work was dedicated to answering these questions and in this talk, I will present the results. In the most comprehensive effort yet on this study, I analyzed 454 stars by synthesizing the vast body of knowledge about them and augmenting them with targeted new observations. The resulting statistics show that about 55% of solar-type stars are even more Sun-like, for they are single, reversing prior expectations. Other results, consistent with expectations, show that younger stars are more likely to have companions, as are more massive stars. Stellar binaries seem to disproportionately favor twins, i.e. stars of nearly identical masses. The results also show that planets are as likely to form around single stars as they are around components of binary or multiple star systems, increasing the real estate available for planets, and perhaps life.

  18. Awareness and treatment of alcohol dependence in Japan: results from internet-based surveys in persons, family, physicians and society.

    Science.gov (United States)

    Taguchi, Yurie; Takei, Yoshiyuki; Sasai, Ryoko; Murteira, Susana

    2014-01-01

    To understand current awareness of, and views on, treatment of alcohol dependence in Japan. (a) Nationwide internet-based survey of 520 individuals, consisting of 52 diagnosed alcohol-dependent (AD) persons, 154 potentially alcohol-dependent (ADP) persons, 104 family members and 106 friends/colleagues of AD persons, and 104 general individuals, derived from a consumer panel where the response rate was 64.3%. We enquired into awareness about the treatment of alcohol dependence and patient pathways through the healthcare network. (b) Nationwide internet-based survey of physicians (response rate 10.1% (2395/23,695) to ask 200 physicians about their management of alcohol use disorders). We deduced that 10% of alcohol-dependent Japanese persons had ever been diagnosed with alcohol dependence, with only 3% ever treated. Regarding putative treatment goals, 20-25% of the AD and ADP persons would prefer to attempt to abstain, while 60-75% preferred 'reduced drinking.' A half of the responding physicians considered abstinence as the primary treatment goal in alcohol dependence, while 76% considered reduced drinking as an acceptable goal. AD and ADP persons in Japan have low 'disease awareness' defined as 'understanding of signs, symptoms and consequences of alcohol use disorders,' which is in line with the overseas situation. The Japanese drinking culture and stigma toward alcohol dependence may contribute to such low disease awareness and current challenging treatment environment. While abstinence remains the preferred treatment goal among physicians, reduced drinking seems to be an acceptable alternative treatment goal to many persons and physicians in Japan. © The Author 2014. Medical Council on Alcohol and Oxford University Press.

  19. Infertility service use in the United States: data from the National Survey of Family Growth, 1982-2010.

    Science.gov (United States)

    Chandra, Anjani; Copen, Casey E; Stephen, Elizabeth Hervey

    2014-01-22

    This report presents nationally representative estimates and trends for infertility service use among women aged 15-44 and 25-44 in the United States in 1982-2010. While greater detail on types of infertility service is shown for women, basic data on types of infertility service use, as reported by men aged 25-44, are also presented. Data for this report come primarily from the 2006-2010 National Survey of Family Growth (NSFG), consisting of 22,682 interviews with men and women aged 15-44, conducted from June 2006 through June 2010. The response rate for females in the 2006-2010 NSFG was 78%, and for males was 75%. Selected trends are shown based on prior NSFG cycles. Twelve percent of women aged 15-44 in 2006-2010 (7.3 million women), or their husbands or partners, had ever used infertility services. Among women aged 25-44, 17% (6.9 million) had ever used any infertility service, a significant decrease from 20% in 1995. Thirty-eight percent of nulliparous women with current fertility problems in 2006-2010 had ever used infertility services, significantly less than 56% of such women in 1982. In all survey years, ever-use of medical help to get pregnant was highest among older and nulliparous women, non-Hispanic white women, women with current fertility problems, and women with higher levels of education and household income. The most commonly used infertility services among women aged 25-44 in 2006-2010 were advice, testing, medical help to prevent miscarriage, and ovulation drugs. Ever-use of infertility services was reported by 9.4% of men aged 25-44 in 2006-2010, similar to levels seen in 2002. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  20. Teenagers in the United States: sexual activity, contraceptive use, and childbearing, 2006-2010 national survey of family growth.

    Science.gov (United States)

    Martinez, Gladys; Copen, Casey E; Abma, Joyce C

    2011-10-01

    This report presents national estimates of sexual activity, contraceptive use, and births among males and females aged 15-19 in the United States in 2006-2010 from the National Survey of Family Growth (NSFG). For selected indicators, data are also presented from the 1988, 1995, and 2002 NSFG, and from the 1988 and 1995 National Survey of Adolescent Males, conducted by the Urban Institute. Descriptive tables of numbers and percentages are presented and discussed. Data were collected through in-person interviews of the household population of males and females aged 15-44 in the United States, between July 2006 and June 2010. Interviews were conducted with 22,682 men and women, including 4,662 teenagers (2,284 females and 2,378 males). For both the teen subsample and the total sample, the response rate was 77%. In 2006-2010, about 43% of never-married female teenagers (4.4 million), and about 42% of never-married male teenagers (4.5 million) had had sexual intercourse at least once. These levels of sexual experience have not changed significantly from 2002. Seventy-eight percent of females and 85% of males used a method of contraception at first sex according to 2006-2010 data, with the condom remaining the most popular method. Teenagers' contraceptive use has changed little since 2002, with a few exceptions: there was an increase among males in the use of condoms alone and in the use of a condom combined with a partner's hormonal contraceptive; and there was a significant increase in the percentage of female teenagers who used hormonal methods other than a birth-control pill, such as injectables and the contraceptive patch, at first sex. Six percent of female teenagers used a nonpill hormonal method at first sex.

  1. Teenagers in the United States: sexual activity, contraceptive use, and childbearing, national survey of family growth 2006-2008.

    Science.gov (United States)

    Abma, Joyce C; Martinez, Gladys M; Copen, Casey E

    2010-06-01

    This report presents national estimates of sexual activity, contraceptive use, and births among males and females 15-19 years of age in the United States in 2006-2008 from the National Survey of Family Growth (NSFG). Selected data are also presented from the 1988, 1995, and 2002 NSFGs, and from the 1988 and 1995 National Survey of Adolescent Males (NSAM), conducted by the Urban Institute. Descriptive tables of numbers and percents are presented and discussed. Data were collected through in-person interviews of the household population in the United States, conducted between July 2006 and December 2008. Interviews were conducted with 7,356 females-1,381 of whom were teenagers--and 6,140 males--1,386 of whom were teenagers-for a total of 2,767 teenagers. The overall response rate for the 2006-2008 NSFG was 75%. The response rate for female teenagers was 77% and for male teenagers 75%. In 2006-2008, about 42% of never-married female teenagers (4.3 million), and about 43% of never-married male teenagers (4.5 million) had had sexual intercourse at least once. These levels of sexual experience have not changed significantly from 2002, the last time the NSFG collected these data. Among never-married teenagers, 79% of females and 87% of males used a method of contraception at first sex. With a few exceptions, teenagers' use of contraceptives has changed little since 2002, and the condom remained the most commonly used method. One exception was an increase in the use of condoms and the use of a condom combined with a hormonal contraceptive (dual method use) among males. Another exception was a significant increase in the percent of female teenagers who had ever used periodic abstinence, or the "calendar rhythm" method. This method had been used by 17% of female teenagers in 2006-2008.

  2. Contraceptive Failure in the United States: Estimates from the 2006-2010 National Survey of Family Growth.

    Science.gov (United States)

    Sundaram, Aparna; Vaughan, Barbara; Kost, Kathryn; Bankole, Akinrinola; Finer, Lawrence; Singh, Susheela; Trussell, James

    2017-03-01

    Contraceptive failure rates measure a woman's probability of becoming pregnant while using a contraceptive. Information about these rates enables couples to make informed contraceptive choices. Failure rates were last estimated for 2002, and social and economic changes that have occurred since then necessitate a reestimation. To estimate failure rates for the most commonly used reversible methods in the United States, data from the 2006-2010 National Survey of Family Growth were used; some 15,728 contraceptive use intervals, contributed by 6,683 women, were analyzed. Data from the Guttmacher Institute's 2008 Abortion Patient Survey were used to adjust for abortion underreporting. Kaplan-Meier methods were used to estimate the associated single-decrement probability of failure by duration of use. Failure rates were compared with those from 1995 and 2002. Long-acting reversible contraceptives (the IUD and the implant) had the lowest failure rates of all methods (1%), while condoms and withdrawal carried the highest probabilities of failure (13% and 20%, respectively). However, the failure rate for the condom had declined significantly since 1995 (from 18%), as had the failure rate for all hormonal methods combined (from 8% to 6%). The failure rate for all reversible methods combined declined from 12% in 2002 to 10% in 2006-2010. These broad-based declines in failure rates reverse a long-term pattern of minimal change. Future research should explore what lies behind these trends, as well as possibilities for further improvements. © 2017 The Authors. Perspectives on Sexual and Reproductive Health published by Wiley Periodicals, Inc., on behalf of the Guttmacher Institute.

  3. Studying circular questioning "in situ": discourse analysis of a first systemic family therapy session.

    Science.gov (United States)

    Diorinou, Maria; Tseliou, Eleftheria

    2014-01-01

    The present article focuses on the study of circular questioning "in situ," that is, in the context of the discursive arena of an actual first systemic family therapy session. Two typical circular questions are selected, and discourse analysis heavily drawing from the discursive action model is deployed with the aim to highlight their function in the context of therapist and family members' problem talk. The analysis demonstrates the gradual building of two respective patterns, which both exhibit signs of shifts toward the instillment of a systemic epistemology in relation to problem talk: a shift from homogeneity to heterogeneity in family members' voices, which legitimizes the existence of different viewpoints within a system, and a shift from the construction of an accusation toward its deconstruction, which challenges the linear perception of causality underlying the accusation, thus introducing a more circular perspective. Implications are discussed in relation to contemporary, constructionist systemic family therapy practice, and reference is made to the methodological "promises" and challenges of the deployment of discourse analysis for the scrutiny of systemic family therapy therapeutic techniques and tools under a discursively informed light. © 2012 American Association for Marriage and Family Therapy.

  4. Mobile geographic information system (GIS) solution for pavement condition surveys.

    Science.gov (United States)

    2012-06-28

    This report discusses the design and implementation of a software-based solution that will improve the data collection processes during the Pavement Condition Surveys (PCS) conducted by the State Materials Office (SMO) of the Florida Department of Tr...

  5. Mobile geographic information system solution for pavement condition surveys [summary].

    Science.gov (United States)

    2012-01-01

    The State Materials Office (SMO) of the Florida : Department of Transportation (FDOT) performs : annual Pavement Condition Surveys (PCS) of : the Departments extensive pavement network. : This work is performed by single-person crews in : inertial...

  6. Experimental diet based on the foods listed in the Family Budget Survey is more detrimental to growth than to the reflex development of rats

    Directory of Open Access Journals (Sweden)

    Michelle Figueiredo Carvalho

    2013-04-01

    Full Text Available OBJECTIVE: The present study assessed the pregnancy and lactation performances of rats fed an experimental diet based on the foods listed in the Family Budget Survey (Pesquisa de Orçamento Familiar 2002/2003 and the impact of said diet on the growth and development of the pups until weaning. METHODS: Wistar (n=12 rats were randomly divided into two groups: a control group (control group, n=6 fed a commercial chow (Labina®, Brazil and an experimental group (n=6 fed the Family Budget Survey diet during the entire pregnancy and lactation period. All animals had free access to food and water during the entire study period. RESULTS: The Family Budget Survey diet increased the duration of pregnancy (control group=21.00±0.00; POFG=21.57±0.55, p=0.025 and made the dams lose weight during the lactation period (control group=27.92±18.47g; POFG=-15.66±16.90g. The Family Budget Survey group presented low food, energy and nutrient intakes during pregnancy, which became even lower during lactation. Pups from Family Budget Survey dams presented lower body weight at weaning (control group=52.38±4.49g; POFG=39.88±2.78g, p=0.001 and lower nose-to-anus length (control group= 117.37±0.64mm; POFG=125.62±0.96mm, p=0.001. However, some physical milestones and reflexes occurred earlier, such as the placing response reflex [control group= 12.00 (9.00-15.00 days; POFG=9.50 (9.00-14.00 days] aerial righting reflex [control group=18.00 (17.00-20.00 days; POFG=16.00 (13.00-18.00 days] and unfolding of the external ear [control group=3.00 (3.00-3.00 days; POFG=2.00 (2.00-3.00 days]. CONCLUSION: The Family Budget Survey diet seems to be more detrimental to the physical growth of the pups than to their brain growth, according to the assessed reflexes and physical milestones and measures. This may be due to the low protein content of the diet for rat reproduction and growth combined with adequate fat and essential fatty acid contents. Providing an adequate amount of

  7. FP/MIS: a management information system for a community family planning clinic.

    Science.gov (United States)

    Herson, J; Crocker, C L; Butts, E; Phong, L T; Haynes, J A

    1977-05-01

    The management information system (FP/MIS) used by the Howard University Center for Family Planning Services, which operates community family planning clinics in Washington, D.C. is described. The system was developed to satisfy program objectives in patient management, program planning and evaluation, resource management, federal reporting systems and clinical, epidemiological and health services research. The data collection forms used in the system and the output from the four data display groups--patient profile, resource management, quality of care and epidemiology-are described along with examples of their use.

  8. Psychosemantic System of Social Psychological Goal-Directedness in Families: A Structural Analysis

    Directory of Open Access Journals (Sweden)

    Nozikova N.V.,

    2016-01-01

    Full Text Available This paper aims to carry out a structural analysis of the psychosemantic system of goal-directedness in families. The hypothesis suggests that family semantic criterion makes it possible to differentiate the structure/level organization of meaning elements and their associative connections and to reveal the content of the object. The research involved 135 young women and 134 young men (aged 15—18; 150 women (aged 21—64 and 38 men (aged 20—55, married, with children. A modified version of I.L. Solomin’s technique of semantic differential was used. A comparative analysis of structural and hierarchical levels of psychosemantics of social psychological goal-directedness of families was carried out basing on the family semantic criterion. The general system level consists of structures representing two generations of a fam¬ily – parents and modern generation. The structure of the subsystem level is common for all groups of respondents and consists of five sublevels with different functional tasks: “My parental family”, “My father”, “My future family”/ “My family”, “My husband”/ “My wife”, and “Birth of a child”. Concepts that define members of the family and family groups, ideal representations of them, events and types of activity related to family life, constitute the component level. The concept of divorce due to its semantics does not belong to the family psychosemantic system. The component content of the subsystem level differs according to age, sex and marital status, which highlights the necessity of further functional research and complex analysis of the psychosemantic system relevant for practical family psychology.

  9. Family Shopping Recommendation System Using User Profile and Behavior Data

    OpenAIRE

    Jiacheng, Xu

    2017-01-01

    With the arrival of the big data era, recommendation system has been a hot technology for enterprises to streamline their sales. Recommendation algorithms for individual users have been extensively studied over the past decade. Most existing recommendation systems also focus on individual user recommendations, however in many daily activities, items are recommended to the groups not one person. As an effective means to solve the problem of group recommendation problem,we extend the single use...

  10. Contraceptive sterilization use among married men in the United States: results from the male sample of the National Survey of Family Growth.

    Science.gov (United States)

    Anderson, John E; Warner, Lee; Jamieson, Denise J; Kissin, Dmitry M; Nangia, Ajay K; Macaluso, Maurizio

    2010-09-01

    Surgical sterilization has many advantages. Previous information on prevalence and correlates was based on surveys of women. We estimated the prevalence of vasectomy and tubal ligation of partners for male participants in the 2002 National Survey of Family Growth, a nationally representative survey of US residents aged 15-44 years. We identified factors associated with sterilizations using bivariate and multivariate techniques. The findings revealed that 13.3% of married men reported having had a vasectomy and 13.8% reported tubal sterilization in their partners. Vasectomy increased with older age and greater number of biological children, non-Hispanic white ethnicity, having ever gone to a family planning clinic. Tubal sterilization use was more likely among men who had not attended college, those of older age and those with live births. One in eight married men reported having vasectomies. Men who rely on vasectomies have a somewhat different profile than those whose partners have had tubal sterilizations. Published by Elsevier Inc.

  11. Snow measurement system for airborne snow surveys (GPR system from helicopter) in high mountian areas.

    Science.gov (United States)

    Sorteberg, Hilleborg K.

    2010-05-01

    In the hydropower industry, it is important to have precise information about snow deposits at all times, to allow for effective planning and optimal use of the water. In Norway, it is common to measure snow density using a manual method, i.e. the depth and weight of the snow is measured. In recent years, radar measurements have been taken from snowmobiles; however, few energy supply companies use this method operatively - it has mostly been used in connection with research projects. Agder Energi is the first Norwegian power producer in using radar tecnology from helicopter in monitoring mountain snow levels. Measurement accuracy is crucial when obtaining input data for snow reservoir estimates. Radar screening by helicopter makes remote areas more easily accessible and provides larger quantities of data than traditional ground level measurement methods. In order to draw up a snow survey system, it is assumed as a basis that the snow distribution is influenced by vegetation, climate and topography. In order to take these factors into consideration, a snow survey system for fields in high mountain areas has been designed in which the data collection is carried out by following the lines of a grid system. The lines of this grid system is placed in order to effectively capture the distribution of elevation, x-coordinates, y-coordinates, aspect, slope and curvature in the field. Variation in climatic conditions are also captured better when using a grid, and dominant weather patterns will largely be captured in this measurement system.

  12. Correlates of Heterosexual Anal Intercourse among Women in the 2006-2010 National Survey of Family Growth.

    Science.gov (United States)

    Benson, Lyndsey S; Martins, Summer L; Whitaker, Amy K

    2015-08-01

    Heterosexual anal intercourse (HAI) is common among U.S. women. Receptive anal intercourse is a known risk factor for HIV, yet there is a paucity of data on HAI frequency and distribution in the United States. Condom use is lower with HAI vs. vaginal intercourse, but little is known regarding of correlates of HAI with and without condoms. The aims of this study were to describe recent (past 12 months) and lifetime HAI among sexually active reproductive-aged U.S. women, and to characterize women who engage in HAI with and without condoms. We analyzed a sample of 10,463 heterosexually active women aged 15-44 years for whom anal intercourse data were available in the 2006-2010 National Survey of Family Growth. Weighted bivariate and multivariable analyses were used to determine HAI prevalence and correlates. Primary outcomes were lifetime HAI, recent (last 12 months) HAI, and condom use at last HAI. In our sample, 13.2% of women had engaged in recent HAI and 36.3% in lifetime HAI. Women of all racial and ethnic backgrounds and religions reported recent anal intercourse. Condom use was more common at last vaginal intercourse than at last anal intercourse (28% vs. 16.4%, P Women of all ages and ethnicities engage in HAI, at rates higher than providers might realize. Condom use is significantly lower for HAI vs. vaginal intercourse, putting these women at risk for acquisition of sexually transmitted infections. © 2015 International Society for Sexual Medicine.

  13. European Health Examination Survey--towards a sustainable monitoring system.

    Science.gov (United States)

    Tolonen, Hanna; Koponen, Päivikki; Mindell, Jennifer; Männistö, Satu; Kuulasmaa, Kari

    2014-04-01

     Health examination surveys (HESs), including both questionnaire and physical measurements, and in most cases also collection of biological samples, can provide objective health indicators. This information complements data from health interview surveys and administrative registers, and is important for evidence-based planning of health policies and prevention activities. HESs are valuable data sources for research. The first national HESs in Europe were conducted in the late 1950s and early 1960s. They have recently been carried out in an increasing number of countries, but there has been no joint standardization between the countries. The European Health Examination Survey Pilot Project was conducted in 2009-2012. The European Health Examination Survey Pilot Reference Centre was established and pilot surveys were conducted in 12 countries.  European standardized protocols for key measurements on main chronic disease risk factors (height, weight, waist circumference, blood pressure, blood lipids and fasting glucose or HbA1c) were prepared. European-level training and external quality assessment were organized. Although the level of earlier experience, infrastructures, economic status and cultural settings varied between the pilot countries, it was possible to standardize measurements of HESs across the populations. Obtaining high participation rates was challenging.  HESs provide high-quality and representative population data to support policy decisions and research. For future national HESs, centralized coordination, training and external quality assessment are needed to ensure comparability of the results. Further studies on effects of different survey methods on comparability of the results and on recruitment and motivation of survey participants are needed.

  14. Periodic orbits for an infinite family of classical superintegrable systems

    Energy Technology Data Exchange (ETDEWEB)

    Tremblay, Frederick; Winternitz, Pavel [Centre de recherches mathematiques and Departement de mathematiques et de statistique, Universite de Montreal, C.P. 6128, Succ. Centre-Ville, Montreal (QC) H3C 3J7 (Canada); Turbiner, Alexander V [Instituto de Ciencias Nucleares, UNAM, A.P. 70-543, 04510 (Mexico)], E-mail: tremblaf@crm.umontreal.ca, E-mail: wintern@crm.umontreal.ca, E-mail: turbiner@nucleares.unam.mx

    2010-01-08

    We show that all bounded trajectories in the two-dimensional classical system with the potential V(r,{phi})={omega}{sup 2}r{sup 2}+({alpha}k{sup 2})/(r{sup 2}cos{sup 2}k{phi})+({beta}k{sup 2})/(r{sup 2}sin{sup 2}k{phi}) are closed for all integer and rational values of k. The period is T={pi}/2{omega} and does not depend on k. This agrees with our earlier conjecture suggesting that the quantum version of this system is superintegrable.

  15. Chinese educational system and culture family education to development

    Directory of Open Access Journals (Sweden)

    Camila Silveira Stangherlin

    2017-12-01

    Full Text Available This study aims to demonstrate the nuances of the current communist China, and present the main progress achieved in the educational system of that country, aiming the insertion in the global economy . Carried out bibliographical study with scholars experts in that area , using the deductive method of approach , and interview technique. The communist regime currently present in China has odd quirks resulting in a very Chinese communism . One of the pillars of the overhaul is the opening of the education system and significant investments as well as on the perception by the population of the need for a substantial familiar application in education.

  16. [Design and implementation of information management system for Chinese materia medica resources survey].

    Science.gov (United States)

    Wang, Hui; Zhang, Xiao-Bo; Ge, Xiao-Guang; Jin, Yan; Jing, Zhi-Xian; Wang, Ling; Zhao, Yu-Ping; Guo, Lan-Ping; Huang, Lu-Qi

    2017-11-01

    By means of the established Information Management System for Chinese materia medica resources survey, the national, provincial and county level organization, personnel and the implementation of the program of Chinese materia medica resources survey, and the survey team of medicinal plant investigation, photos, Chinese herbal medicine market survey, the traditional Chinese materia medica resources knowledge survey, germplasm resources investigation and the data collation and summary specimen have been realised. Throughout the whole working process of the fourth national Chinese materia medica resources survey, it is ensured that all data were no missing, no repeat, and well stored and managed. The Information Management System can improve the standardization degree of Chinese materia medica resources survey, and maintain the continuity. Copyright© by the Chinese Pharmaceutical Association.

  17. Distributed Cooperative Regulation for Multiagent Systems and Its Applications to Power Systems: A Survey

    Science.gov (United States)

    Li, Yaping; Yong, Taiyou; Yu, Jie; Mao, Wenbo

    2014-01-01

    Cooperative regulation of multiagent systems has become an active research area in the past decade. This paper reviews some recent progress in distributed coordination control for leader-following multiagent systems and its applications in power system and mainly focuses on the cooperative tracking control in terms of consensus tracking control and containment tracking control. Next, methods on how to rank the network nodes are summarized for undirected/directed network, based on which one can determine which follower should be connected to leaders such that partial followers can perceive leaders' information. Furthermore, we present a survey of the most relevant scientific studies investigating the regulation and optimization problems in power systems based on distributed strategies. Finally, some potential applications in the frequency tracking regulation of smart grids are discussed at the end of the paper. PMID:25243199

  18. Functional requirements with survey results for integrated intrusion detection and access control annunciator systems

    Energy Technology Data Exchange (ETDEWEB)

    Arakaki, L.H.; Monaco, F.M.

    1995-09-01

    This report contains the guidance Functional Requirements for an Integrated Intrusion Detection and Access Control Annunciator System, and survey results of selected commercial systems. The survey questions were based upon the functional requirements; therefore, the results reflect which and sometimes how the guidance recommendations were met.

  19. Family System Dynamics, Peer Relationships, and Adolescents' Psychological Adjustment.

    Science.gov (United States)

    Sabatelli, Ronald M.; Anderson, Stephen A.

    1991-01-01

    Examined differentiation patterns within marital, parental, and parent/child relationships and support level experienced within peer relationships as predictors of anxiety and depression in college students (n=60). Peer support and system of dynamics significantly covaried with reported levels of depression. Only differentiation level found within…

  20. Design and Experiment of Onboard Field 3D Topography Surveying System

    OpenAIRE

    Guo, Mingming; Liu, Gang; Li, Xinlei

    2010-01-01

    International audience; Laser-controlled land leveling system can obviously improve the planeness of the field and enhance the efficiency of irrigation. The 3D topographic information was needed for project design and evaluation of laser land leveling. In order to obtain the topographic information efficiently, an onboard field 3D topography surveying system was developed. The surveying system consisted of a measuring laser receiver, a GPS receiver, a controller and a hydraulic system. Beside...

  1. A population-based survey on family intentions and fertility awareness in women and men in the United Kingdom and Denmark

    DEFF Research Database (Denmark)

    Vassard, Ditte; Lallemant, Camille; Nyboe Andersen, Anders

    2016-01-01

    -related decrease in female fertility, most desired having children at an age when female fertility has declined. Women who were not sufficiently aware of the impact of advanced age were significantly more likely to have their first child at a higher age. There is a need for developing educational programs......BACKGROUND: Across several European countries family formation is increasingly postponed. The aims of the study were to investigate the desire for family building and fertility awareness in the UK and Denmark. METHODS: A population-based internet survey was used among women (n = 1,000) and men (n...... = 237) from the UK (40%) and Denmark (60%). Data covered socio-demographics, family formation, and awareness of female age-related fertility. Data analysis used descriptive statistics and logistic regression analysis for studying associations between low fertility awareness and desired family formation...

  2. The family house control system based on Raspberry Pi

    Directory of Open Access Journals (Sweden)

    Sysala Tomas

    2017-01-01

    Full Text Available The article deals with the design and implementation of a smart household based on simple wireless modules, which are monitoring (collecting data and controlling smart household supporting devices. The central unit processes measured parameters, and in relation to resulting values, a pre-set action is performed. Those actions variety can be configured by user via the user interface so that a set of smart rules for reaction on by household devices generated stimuli or problems can be created. That all together composes a control system based on Raspberry Pi, which manages indoor and outdoor temperature measurement, the lighting control, RF transmitter, jalousie, motion sensor control etc. There is a GUI for a PC and for a mobile phone as a part of that system.

  3. Child Support Offers Some Protection against Poverty. New Federalism: National Survey of America's Families, Series B, No. B-10. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies.

    Science.gov (United States)

    Sorensen, Elaine; Zibman, Chava

    This brief relies on data from the National Survey of America's Families, a survey of 44,461 households, to examine the extent to which children receive money from and spend time with their nonresident parents. Part of the Assessing the New Federalism project, the brief also examines how much child support contributes to family income, whether…

  4. Family Ties

    OpenAIRE

    Alesina, Alberto; Giuliano, Paola

    2009-01-01

    We study the role of the most primitive institution in society: the family. Its organization and relationship between generations shape values formation, economic outcomes and influences national institutions. We use a measure of family ties, constructed from the World Values Survey, to review and extend the literature on the effect of family ties on economic behavior and economic attitudes. We show that strong family ties are negatively correlated with generalized trust; they imply more hous...

  5. System Thinking Scales and Learning Environment of Family Planning Field Workers in East Java, Indonesia

    Science.gov (United States)

    Listyawardani, Dwi; Hariastuti, Iswari

    2016-01-01

    Systems thinking is needed due to the growing complexity of the problems faced family planning field workers in the external environment that is constantly changing. System thinking ability could not be separated from efforts to develop learning for the workers, both learning at the individual, group, or organization level. The design of the study…

  6. 75 FR 12557 - Office of Family Assistance; Privacy Act of 1974; System of Records

    Science.gov (United States)

    2010-03-16

    ...://www.hhs.gov/ocio/securityprivacy/index.html . RETENTION AND DISPOSAL: Records will be retained by ACF...; System of Records AGENCY: Office of Family Assistance, ACF, HHS. ACTION: Notice to establish a new system of records. SUMMARY: In accordance with the requirements of the Privacy Act of 1974 (5 U.S.C. 552a...

  7. TYPOLOGY OF FAMILY PRODUCTION UNITS OF TRADICIONAL AGROFORESTY SYSTEM OF COFFEE-BANANA-CITRUS IN THE COUNTRY TLAPACOYAN, VERACRUZ

    Directory of Open Access Journals (Sweden)

    R. Cruz A.

    2015-12-01

    Full Text Available Coffee production is one of the most important activities in the town of Tlapacoyan, Veracruz unfortunately, prices and technologies focused on the monoculture production system have reduced the activity. The study of family production units (FPU, with the construction of a typology and an agronomic characterization of producers, carried out in the traditional agroforestry system of coffee-banana-citrus contributes to further analysis in public policies. This study was conducted in six communities through field work, coffee producers records and open interviews with authorities. A census of 33 individuals was built and questionnaires were applied as a part of the survey, which used multivariate analysis to establish categories of UPF. Each category was described in agronomic terms based on incomes and costs. Three categories were determined according to surface size, labor work and technological level, including diversification of costs of incomes. As a conclusion, this study has contributed to rethink about new supporting strategies for coffee producers, and government policies and supporting programs which will mean a better family income that will take into account differences such as the size varying from 5 to 27 ha. Labor work available varies among categories and technification defines the type and number of vehicles, because it refers to an activity that generates beneficial incomes to producers. We conclude that this heads of the UPF have traditional management of the 3 components, integrating productive practical and the system is dependent on labor.

  8. Using Systems Theory to Understand and Respond to Family Influences on Children's Bullying Behavior: Friendly Schools Friendly Families Program

    Science.gov (United States)

    Cross, Donna; Barnes, Amy

    2014-01-01

    This article addresses Systems Theory as it applies to school-age children's bullying behavior. It focuses on the interrelationships, mutual influences, and dynamics of relationships within the family, and how these may affect children's behavior toward their peers. The theory helps to explain the ways family patterns are reflected in…

  9. Global Tobacco Surveillance System (GTSS) - Global Youth Tobacco Survey (GYTS)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 1999-2011. The GYTS is a school-based survey that collects data on students aged 13–15 years using a standardized methodology for constructing the sample frame,...

  10. Optimal BRUVs (baited remote underwater video system) survey ...

    African Journals Online (AJOL)

    Marine protected areas (MPAs) play an important role in coastal conservation, but there is presently no uniformly applied methodology for monitoring the efficacy of coastal fish protection. Whereas underwater visual census and controlled angling surveys have been used, their skilled-labour requirements and environmental ...

  11. The beneficial effect of family meals on obesity differs by race, sex, and household education: the national survey of children's health, 2003-2004.

    Science.gov (United States)

    Rollins, Brandi Y; Belue, Rhonda Z; Francis, Lori A

    2010-09-01

    Studies have indicated that family meals may be a protective factor for childhood obesity; however, limited evidence is available in children with different racial, socioeconomic, and individual characteristics. The purpose of this study was to examine family meal frequency as a protective factor for obesity in a US-based sample of non-Hispanic white, non-Hispanic black, and Hispanic children age 6 to 11 years, and to identify individual, familial, and socioeconomic factors that moderate this association. Data were from the 2003 National Survey of Children's Health (n=16,770). Multinomial logistic regression analyses were used to test the association between family meal frequency and weight status, and the moderating effects of household structure, education, poverty level, and sex, by racial group. Non-Hispanic white children who consumed family meals every day were less likely to be obese than those eating family meals zero or a few days per week. A moderating effect for sex was observed in non-Hispanic black children such that family meal frequency was marginally protective in boys but not in girls. Higher family meal frequency was a marginal risk factor for obesity in Hispanic boys from low-education households, but not in girls from similar households. In conclusion, family meals seem to be protective of obesity in non-Hispanic white children and non-Hispanic black boys, whereas they may put Hispanic boys living in low-education households at risk. Greater emphasis is needed in future research on assessing why this association differs among different race/ethnic groups, and evaluating the influence of the quality and quantity of family meals on child obesity. Copyright 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.

  12. Refractory Materials for Flame Deflector Protection System Corrosion Control: Coatings Systems Literature Survey

    Science.gov (United States)

    Calle, Luz M.; Hintze, Paul E.; Parlier, Christopher R.; Sampson, Jeffrey W.; Coffman, Brekke E.; Coffman, Brekke E.; Curran, Jerome P.; Kolody, Mark R.; Whitten, Mary; Perisich, Steven; hide

    2009-01-01

    When space vehicles are launched, extreme heat, exhaust, and chemicals are produced and these form a very aggressive exposure environment at the launch complex. The facilities in the launch complex are exposed to this aggressive environment. The vehicle exhaust directly impacts the flame deflectors, making these systems very susceptible to high wear and potential failure. A project was formulated to develop or identify new materials or systems such that the wear and/or damage to the flame deflector system, as a result of the severe environmental exposure conditions during launches, can be mitigated. This report provides a survey of potential protective coatings for the refractory concrete lining on the steel base structure on the flame deflectors at Kennedy Space Center (KSC).

  13. Do improvements in outreach, clinical, and family and community-based services predict improvements in child survival? An analysis of serial cross-sectional national surveys.

    Science.gov (United States)

    Binkin, Nancy; Chopra, Mickey; Simen-Kapeu, Aline; Westhof, Dirk

    2011-06-09

    There are three main service delivery channels: clinical services, outreach, and family and community. To determine which delivery channels are associated with the greatest reductions in under-5 mortality rates (U5MR), we used data from sequential population-based surveys to examine the correlation between changes in coverage of clinical, outreach, and family and community services and in U5MR for 27 high-burden countries. Household survey data were abstracted from serial surveys in 27 countries. Average annual changes (AAC) between the most recent and penultimate survey were calculated for under-five mortality rates and for 22 variables in the domains of clinical, outreach, and family- and community-based services. For all 27 countries and a subset of 19 African countries, we conducted principal component analysis to reduce the variables into a few components in each domain and applied linear regression to assess the correlation between changes in the principal components and changes in under-five mortality rates after controlling for multiple potential confounding factors. AAC in under 5-mortality varied from 6.6% in Nepal to -0.9% in Kenya, with six of the 19 African countries all experiencing less than a 1% decline in mortality. The strongest correlation with reductions in U5MR was observed for access to clinical services (all countries: p = 0.02, r² = 0.58; 19 African countries p family planning services, while AAC in immunization services showed no association. In the family- and community services domain, improvements in breastfeeding were associated with significant changes in mortality in the 30 countries but not in the African subset; while in the African countries, nutritional status improvements were associated with a significant decline in mortality. Our findings support the importance of increasing access to clinical services, certain outreach services and breastfeeding and, in Africa, of improving nutritional status. Integrated programs that

  14. Association of respondent psychiatric comorbidity with family history of comorbidity: Results from the National Epidemiologic Survey on Alcohol and Related Conditions-III.

    Science.gov (United States)

    Jung, Jeesun; Goldstein, Risë B; Grant, Bridget F

    2016-11-01

    Substance use disorders and major psychiatric disorders are common, highly comorbid with each other, and familial. However, the extent to which comorbidity is itself familial remains unclear. The purpose of this study is to investigate associations between comorbidity among respondents with family history of comorbidity. We analyzed data from the National Epidemiologic Survey on Alcohol and Related Conditions-III to study the associations of family history (FH) of comorbidity among alcoholism, drug problems, depression, antisocial behavior, and anxiety disorders in parents and maternal and paternal grandparents with corresponding DSM-5 diagnostic comorbidity among respondents. We utilized multivariable multinomial logistic regression models controlling for age, sex, race, education, family income, marital status, and adverse childhood experiences (ACEs). All comorbid associations of any two disorders with FH were statistically significant; almost all adjusted odds ratios (ORs) for respondent comorbidity in the presence of FH of the parallel comorbidity exceeded 10. ORs involving antisocial behavior in relatives and antisocial personality disorder in respondents were consistently larger than those for any other pairs of disorders. After further adjustment for ACEs, most patterns of association were similar but the ORs were reduced twofold to threefold. ACEs may be mediators in relationships between familial and respondent comorbidities. Further investigations of relationships among familial comorbidity, ACEs, and respondents' diagnoses may improve understanding of comorbidity. Published by Elsevier Inc.

  15. Family affluence and cultural capital as indicators of social inequalities in adolescent's eating behaviours: a population-based survey.

    Science.gov (United States)

    Fismen, Anne-Siri; Samdal, Oddrun; Torsheim, Torbjørn

    2012-11-28

    Dietary inequality, via socio-economic inequality, may involve several mechanisms. Different aspects of adolescents' socio-economic circumstances should therefore be considered in order to make effective interventions to promote healthy eating in the young population. Indicators designed to tap socio-economic status among adolescents in particular will facilitate a better understanding of the concept of socio-economic status and how it influences health behaviour among young people. The purpose of this study was to evaluate if material capital and cultural capital individually and independently contribute to the prediction of eating habits in the Norwegian adolescent population. The analysis is based on survey data from the Health Behaviour in School-Aged Children study. The Family Affluence Scale (number of cars, holidays, PC and bedrooms) and number of books in the household were used as indicators of socio-economic status, respectively measuring material capital and cultural capital. Their influence on adolescent's consumption of fruit, vegetables, sweets, soft drinks, and consumption of breakfast and dinner was evaluated. Pearson's correlation, logistic regression and ridit transformation analysis were used to analyse the data. Higher family affluence was shown to predict consumption of more fruit (OR 1.52) and vegetables (OR 1.39) and consumption of breakfast (OR 1.61) and dinner (1.35). Cultural capital was significantly associated to consumption of fruit (OR 1.85), vegetables (OR 2.38) sweets (OR .45), sugary soft drinks (OR .26), breakfast (OR 2.13) and dinner (OR 1.54). Cultural capital was the strongest predictor to healthy eating among adolescents in Norway. Material capital and cultural capital individually and independently contributed to the prediction of healthy eating patterns among adolescents in Norway. Cultural capital is an understudied dimension of the socio-economic status concept and the influence on health behaviour needs to be explored in

  16. Distribution of cardiovascular disease and associated risk factors by county type and health insurance status: results from the 2008 Ohio Family Health Survey.

    Science.gov (United States)

    Kariisa, Mbabazi; Seiber, Eric

    2015-01-01

    Epidemiologic studies have documented a disproportionate burden of chronic diseases in Appalachia, showing the area to be underserved by the health-care system. Nothing is known about how the health status of the Appalachian population compares with other rural or non-rural populations in the same state. We examined the associations among county type, health insurance category, and health outcomes in poorer adult Ohioans. We obtained data from the 2008 Ohio Family Health Survey, a complex landline- and cell phone-based survey of 50,944 noninstitutionalized households. We constructed bivariate analyses examining health status measures across various insurance categories and metropolitan, suburban, rural, and Appalachian counties in Ohio. Medicaid enrollees living in Appalachian and rural counties tended to be in poorer health and have a greater prevalence of smoking than non-Medicaid enrollees. Within rural and Appalachian regions, Medicaid enrollees were more likely than non-Medicaid enrollees to have lower self-rated health (54.8%, 95% confidence interval [CI] 44.1, 65.5 in rural regions and 52.1%, 95% CI 44.7, 59.5 in Appalachian regions). Appalachian and rural Medicaid enrollees were at an increased likelihood of having several chronic diseases compared with non-Medicaid enrollees. Our findings suggest that rural and Ohio Appalachian Medicaid enrollees were more likely to have hypertension, cardiovascular disease, and overall poorer health than non-Medicaid enrollees. These findings have important policy implications for health-care reform, highlighting regional disparities in provider coverage. These underserved regions would need an increase in the provider base to positively impact proposed Medicaid expansion programs.

  17. Tabulations of Responses from the 2000 Survey of Reserve Component Personnel: Volume 4. Individual and Family Characteristics

    Science.gov (United States)

    2002-08-01

    Spouse’s Employment Status -- Managing or Working in a Family Business : By Reserve Component...Status -- Managing or Working in a Family Business : By Paygrade and Gender...1619 104e.3 Spouse’s Employment Status -- Managing or Working in a Family Business : By Reserve Program and Ever Deployed

  18. Who’s Afraid of Islamic Family Law? Dealing with Shari‘a-based Family Law Systems in the Netherlands

    Directory of Open Access Journals (Sweden)

    Iris Sportel

    2017-06-01

    Full Text Available In the Netherlands, where views of Muslims and Islamic family law are highly politicised, the application of Islamic family laws by Dutch courts is a topic of heated political debate. Especially polygamy and unilateral divorce by men (talaq are thought to have a strongly negative impact on the position of Muslim women in the family. In order to assess the gendered impact of Islamic family laws in a European context, this article takes a closer look at Dutch state courts’ decisions. It asks how the application of Islamic family laws can be understood against the background of Dutch political discourses on Islam, family law and women’s rights. While in public and political debates, Islamic family laws are frequently thought to be women-unfriendly, this article shows that the encounter between Islamic family laws and Dutch law often has severe impact on the position of Muslim men living in the Netherlands.

  19. Social Policies in Contemporary Latin America: Families and Poverty in the Social Protection Systems

    Directory of Open Access Journals (Sweden)

    Cristina González

    2015-02-01

    Full Text Available This article examines the impact of social policies on the living conditions of poor families—particularly women—in Latin America from the late 1980s to the present. It identifies three distinct trends of familialism in the region’s social protection systems. The first social policy trend is characterized by poverty alleviation policies addressing the family in an “elliptical” way, taking for granted the idea of a nuclear family. The distinguishing trait of the second trend is the appearance of social programs aimed at families and stressing the role of women as chief caregivers and administrators. And finally, the third policy trend is defined by an expansion of more universal social programs targeting children and the elderly. Despite the recent emergence of programs with gender specific goals, social policies continue to put a great burden on female workers. For example, many subsidies to poor families deliver money directly to women, improving their intra-family bargaining power, but this translates also into an increase of responsibilities and the ensuing overload of work. Consequently, social policies in Latin America need to aim at encouraging a more egalitarian distribution of housework and care work within the family, especially given how well-established androcentrism is in the region.

  20. Interpregnancy Intervals in the United States: Data From the Birth Certificate and the National Survey of Family Growth.

    Science.gov (United States)

    Copen, Casey E; Thoma, Marie E; Kirmeyer, Sharon

    2015-04-16

    To describe data on interpregnancy intervals (IPI), defined as the timing between a live birth and conception of a subsequent live birth, from a subset of jurisdictions that adopted the 2003 revised birth certificate. Because this information is available among revised jurisdictions only, the national representativeness of IPI and related patterns to the entire United States were assessed using the 2006-2010 National Survey of Family Growth (NSFG). Birth certificate data are based on 100% of births registered in 36 states and the District of Columbia that adopted the 2003 revised birth certificate in 2011 (83% of 2011 U.S. births). The "Date of last live birth" item on the birth certificate was used to calculate months between the birth occurring in 2011 and the previous birth. These data were compared with pregnancy data from a nationally representative sample of women from the 2006-2010 NSFG. Jurisdiction-specific median IPI ranged from 25 months (Idaho, Montana, North Dakota, South Dakota, Utah, and Wisconsin) to 32 months (California) using birth certificate data. Overall, the distribution of IPI from the birth certificate was similar to NSFG for IPI less than 18 months (30% and 29%), 18 to 59 months (50% and 52%), and 60 months or more (21% and 18%). Consistent patterns in IPI distribution by data source were seen by age at delivery, marital status, education, number of previous live births, and Hispanic origin and race, with the exception of differences in IPI of 60 months or more among non-Hispanic black women and women with a bachelor's degree or higher. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  1. A survey of well conserved families of C2H2 zinc-finger genes in Daphnia

    Directory of Open Access Journals (Sweden)

    Bai Yang

    2010-04-01

    Full Text Available Abstract Background A recent comparative genomic analysis tentatively identified roughly 40 orthologous groups of C2H2 Zinc-finger proteins that are well conserved in "bilaterians" (i.e. worms, flies, and humans. Here we extend that analysis to include a second arthropod genome from the crustacean, Daphnia pulex. Results Most of the 40 orthologous groups of C2H2 zinc-finger proteins are represented by just one or two proteins within each of the previously surveyed species. Likewise, Daphnia were found to possess a similar number of orthologs for all of these small orthology groups. In contrast, the number of Sp/KLF homologs tends to be greater and to vary between species. Like the corresponding mammalian Sp/KLF proteins, most of the Drosophila and Daphnia homologs can be placed into one of three sub-groups: Class I-III. Daphnia were found to have three Class I proteins that roughly correspond to their Drosophila counterparts, dSP1, btd, CG5669, and three Class II proteins that roughly correspond to Luna, CG12029, CG9895. However, Daphnia have four additional KLF-Class II proteins that are most similar to the vertebrate KLF1/2/4 proteins, a subset not found in Drosophila. Two of these four proteins are encoded by genes linked in tandem. Daphnia also have three KLF-Class III members, one more than Drosophila. One of these is a likely Bteb2 homolog, while the other two correspond to Cabot and KLF13, a vertebrate homolog of Cabot. Conclusion Consistent with their likely roles as fundamental determinants of bilaterian form and function, most of the 40 groups of C2H2 zinc-finger proteins are conserved in kind and number in Daphnia. However, the KLF family includes several additional genes that are most similar to genes present in vertebrates but missing in Drosophila.

  2. Similarities and differences in contraceptive use reported by women and men in the National Survey of Family Growth.

    Science.gov (United States)

    Aiken, Abigail Ra; Wang, Yu; Higgins, Jenny; Trussell, James

    2017-04-01

    To compare use of contraceptive methods at last heterosexual intercourse among 15-44year-old women and men at risk of unintended pregnancy in the United States. We employed data from the National Survey of Family Growth 2006-2013. We considered women and men to be at risk of unintended pregnancy if they had intercourse in the last month, regardless of contraceptive use, and if they or their partner had the ability to get pregnant and was not trying to become pregnant. We categorized multiple method use according to the most effective method reported. To explore the contributions of age and relationship status to differences in reporting between women and men, we conducted sensitivity analyses, limiting age to 25-44years and union status to married and cohabiting. Distributions of methods used at last intercourse differed for women and men. A positive difference reflects higher reporting among women, while a negative difference reflects higher reporting among men. Percentage-point differences were largest for reported use of no method (-7.6) and female sterilization (+7.4), each pmen's contraceptive use may be subject to underreporting of their partners' method use, particularly when their female partner is sterilized. Neither older age nor married and cohabiting relationship status accounted for the observed differences. Further research is needed to explore the factors underlying reporting differences between women and men with respect to female sterilization and use of no method. IMPLICATIONS (50): Characterizing the determinants of contraceptive use among men and the relationship of men's pregnancy intentions, feelings and desires to contraceptive use are important future research goals. To ensure valid results, researchers must be aware of the potential for underreporting of method use among men, particularly with respect to female sterilization. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Infertility and impaired fecundity in the United States, 1982-2010: data from the National Survey of Family Growth.

    Science.gov (United States)

    Chandra, Anjani; Copen, Casey E; Stephen, Elizabeth Hervey

    2013-08-14

    This report presents nationally representative estimates and trends for infertility and impaired fecundity-two measures of fertility problems-among women aged 15-44 in the United States. Data are also presented on a measure of infertility among men aged 15-44. Data for this report come primarily from the 2006-2010 National Survey of Family Growth (NSFG), which consisted of 22,682 interviews with men and women aged 15-44, conducted from June 2006 through June 2010. The response rate for women in the 2006-2010 NSFG was 78%, and for men was 75%. Selected trends are shown based on prior NSFG years. The percentage of married women aged 15-44 who were infertile fell from 8.5% in 1982 (2.4 million women) to 6.0% (1.5 million) in 2006-2010. Impaired fecundity among married women aged 15-44 increased from 11% in 1982 to 15% in 2002, but decreased to 12% in 2006-2010. Among all women, 11% had impaired fecundity in 2006-2010. Both infertility and impaired fecundity remain closely associated with age for nulliparous women. Among married, nulliparous women aged 35-44, the percentage infertile declined from 44% in 1982 to 27% in 2006-2010, reflecting greater delays in childbearing over this period. Among married women in 2006-2010, non-Hispanic black women were more likely to be infertile than non-Hispanic white women. Some form of infertility (either subfertility or nonsurgical sterility) was reported by 9.4% of men aged 15-44 and 12% of men aged 25-44 in 2006-2010, similar to levels seen in 2002.

  4. The association between health information technology adoption and family physicians' practice patterns in Canada: evidence from 2007 and 2010 National Physician Surveys.

    Science.gov (United States)

    Sarma, Sisira; Hajizadeh, Mohammad; Thind, Amardeep; Chan, Rick

    2013-08-01

    To describe the association between health information technology (HIT) adoption and family physicians' patient visit length in Canada after controlling for physician and practice characteristics. HIT adoption is defined in terms of four types of HIT usage: no HIT use (NO), basic HIT use without electronic medical record system (HIT), basic HIT use with electronic medical record (EMR) and advanced HIT use (EMR + HIT). The outcome variable is the average time spent on a patient visit (visit length). The data for this study came from the 2007 and 2010 National Physician Surveys. A log-linear model was used to analyze our visit length outcome. The average time worked per week was found to be in the neighbourhood of 36 hours in both 2007 and 2010, but users of EMR and EMR + HIT were undertaking fewer patient visits per week relative to NO users. Multivariable analysis showed that EMR and EMR + HIT were associated with longer average time spent per patient visit by about 7.7% (pCanada relative to NO users, but this association weakened in the multivariable analysis of 2010. Copyright © 2013 Longwoods Publishing.

  5. Fair equality of opportunity critically reexamined: the family and the sustainability of health care systems.

    Science.gov (United States)

    Engelhardt, H Tristram

    2012-12-01

    A complex interaction of ideological, financial, social, and moral factors makes the financial sustainability of health care systems a challenge across the world. One difficulty is that some of the moral commitments of some health care systems collide with reality. In particular, commitments to equality in access to health care and to fair equality of opportunity undergird an unachievable promise, namely, to provide all with the best of basic health care. In addition, commitments to fair equality of opportunity are in tension with the existence of families, because families are aimed at advantaging their own members in preference to others. Because the social-democratic state is committed to fair equality of opportunity, it offers a web of publicly funded entitlements that make it easier for persons to exit the family and to have children outside of marriage. In the United States, in 2008, 41% of children were born outside of wedlock, whereas, in 1940, the percentage was only 3.8%, and in 1960, 5%, with the further consequence that the social and financial capital generated through families, which aids in supporting health care in families, is diminished. In order to explore the challenge of creating a sustainable health care system that also supports the traditional family, the claims made for fair equality of opportunity in health care are critically reconsidered. This is done by engaging the expository device of John Rawls's original position, but with a thin theory of the good that is substantively different from that of Rawls, one that supports a health care system built around significant copayments, financial counseling, and compulsory savings, with a special focus on enhancing the financial and social capital of the family. This radical recasting of Rawls, which draws inspiration from Singapore, is undertaken as a heuristic to aid in articulating an approach to health care allocation that can lead past the difficulties of social-democratic policy.

  6. Pain medication management processes used by oncology outpatients and family caregivers part I: health systems contexts.

    Science.gov (United States)

    Schumacher, Karen L; Plano Clark, Vicki L; West, Claudia M; Dodd, Marylin J; Rabow, Michael W; Miaskowski, Christine

    2014-11-01

    Oncology patients with persistent pain treated in outpatient settings and their family caregivers have significant responsibility for managing pain medications. However, little is known about their practical day-to-day experiences with pain medication management. The aim was to describe day-to-day pain medication management from the perspectives of oncology outpatients and their family caregivers who participated in a randomized clinical trial of a psychoeducational intervention called the Pro-Self(©) Plus Pain Control Program. In this article, we focus on pain medication management by patients and family caregivers in the context of multiple complex health systems. We qualitatively analyzed audio-recorded intervention sessions that included extensive dialogue between patients, family caregivers, and nurses about pain medication management during the 10-week intervention. The health systems context for pain medication management included multiple complex systems for clinical care, reimbursement, and regulation of analgesic prescriptions. Pain medication management processes particularly relevant to this context were getting prescriptions and obtaining medications. Responsibilities that fell primarily to patients and family caregivers included facilitating communication and coordination among multiple clinicians, overcoming barriers to access, and serving as a final safety checkpoint. Significant effort was required of patients and family caregivers to insure safe and effective pain medication management. Health systems issues related to access to needed analgesics, medication safety in outpatient settings, and the effort expended by oncology patients and their family caregivers require more attention in future research and health-care reform initiatives. Copyright © 2014 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  7. Cancer and Anorexia Nervosa in the Adolescence: A Family-Based Systemic Intervention

    Directory of Open Access Journals (Sweden)

    Gabriella De Benedetta

    2011-01-01

    Full Text Available Objective. Anorexia nervosa is difficult to diagnose in cancer patients since weight loss, aversion for food, and eating disturbances are frequent in patients undergoing chemotherapy and radiotherapy. Nevertheless, efforts are mandatory to recognize and manage this condition which may occur also in cancer patients with a special regard to adolescents. Methods. Through the clinical history of Anna, a 15-year-old adolescent with advanced cancer, we describe the effectiveness of a family-based systemic intervention to manage anorexia nervosa occurring in concomitance to osteosarcoma. Results. Through a two-year psychotherapy period involving different techniques applied to the whole family such as family genogram, family collage, and sculpture of family time, Anna was relieved from her condition. Conclusions. Upon early diagnosis and appropriate treatment, anorexia nervosa can be effectively approached in adolescent cancer patients. The presence of a life-threatening medical condition such as cancer may provide motivation for a patient to control disordered eating behavior in the context of an appropriate family-based systemic intervention. The general frame of anorexia occurring in cancer-bearing adolescents is reviewed and discussed.

  8. DeepSurveyCam—A Deep Ocean Optical Mapping System

    OpenAIRE

    Tom Kwasnitschka; Kevin Köser; Jan Sticklus; Marcel Rothenbeck; Tim Weiß; Emanuel Wenzlaff; Timm Schoening; Lars Triebe; Anja Steinführer; Colin Devey; Jens Greinert

    2016-01-01

    Underwater photogrammetry and in particular systematic visual surveys of the deep sea are by far less developed than similar techniques on land or in space. The main challenges are the rough conditions with extremely high pressure, the accessibility of target areas (container and ship deployment of robust sensors, then diving for hours to the ocean floor), and the limitations of localization technologies (no GPS). The absence of natural light complicates energy budget considerations for deep ...

  9. National Survey of Veterans, Active Duty Service Members, Demobilized National Guard and Reserve Members, Family Members, and Surviving Spouses

    Data.gov (United States)

    Department of Veterans Affairs — The 2010 National Survey of Veterans (NSV) is the sixth in a series of comprehensive nationwide surveys designed to help the Department of Veterans Affairs (VA) plan...

  10. Therapy for Childhood Sexual Abuse Survivors using Attachment and Family Systems Theory Orientations.

    Science.gov (United States)

    Karakurt, Gunnur; Silver, Kristin E

    2014-01-01

    The aim of this paper is to understand the effects of childhood sexual abuse on a survivor's later life. For understanding and treating the emotional distress and interpersonal problems resulting from childhood sexual abuse, attachment theory provides a valuable framework. When this framework is combined with family systems theory, it can help therapists understand the family context where sexual abuse occurs and how this affects health and functioning throughout the lifespan. Case examples of female adult sexual abuse survivors are also explored, with insight from the intersection of systems and attachment theories.

  11. Solar energy heating system design package for a single-family residence at New Castle, Pennsylvania

    Energy Technology Data Exchange (ETDEWEB)

    1977-08-01

    The design of a solar heating and hot water system for the New Castle Redevelopment Authority's single-family dwelling located at New Castle, Pennsylvania is described. Documentation submitted by the contractor for Government review of plans, specifications, cost trade studies and verification status for approval to commit the system to fabrication is presented. Also included are system integration drawings, major subsystems drawings, and architect's specifications and plans.

  12. Knowledge of women in family planning and future desire to use contraception: a cross sectional survey in Urban Cameroon.

    Science.gov (United States)

    Ajong, Atem Bethel; Njotang, Philip Nana; Kenfack, Bruno; Yakum, Martin Ndinakie; Mbu, Enow Robinson

    2016-07-18

    The rate of modern contraceptive use will be on an increase and maternal mortality on a decrease if women had a good knowledge on family planning and its methods. This survey was designed to evaluate the knowledge and determine the future desires to use contraception among women in Urban Cameroon. We conducted a cross sectional community based survey from March 2015 to April 2015 targeting women of childbearing age in the Biyem-Assi Health District. Participants were included using a multistep cluster sampling and the data collected face to face by well-trained surveyors using a pretested and validated questionnaire. The data were then analysed using the statistical software Epi-Info version 3.5.4. Proportions and their 95 % confidence intervals were calculated and in a multiple logistic regression model with threshold of significance set at p value ≤0.05, the odds ratio was used as the measure of association between selected covariates and future desire to use contraception. Among the 712 women included in the survey, the mean age was 27.5 ± 6.5 years. A good proportion (95.6 %) identified contraception as used to prevent unwanted pregnancy and this showed an increasing trend with increasing level of education. Also, 77.5 % thought that contraception should be used by all sexually active women. The most cited contraceptive methods were; condom 689 (96.8 %), oral pills 507 (71.2 %), and implants 390 (54.8 %). Their main sources of information were the health personnel (47.7 %) and the school (23.6 %). It was estimated that 31.0 [25.5-37.0] % of current contraceptive non-users had no desire of adopting a contraceptive method in the future. With the level of education, age, and marital status controlled, the number of unplanned pregnancies more than 3 (OR 0.66 [0.45-0.97], p = 0.035), and past adoption of more than 2 modern contraceptive methods (OR 0.45 [0.21-0.97], p = 0.041) were statistically significantly associated to decreased desire to

  13. Influence of family structure on obesogenic behaviors and placement of bedroom TVs of American children: National Survey of Children's Health 2007.

    Science.gov (United States)

    Sisson, Susan B; Sheffield-Morris, Amanda; Spicer, Paul; Lora, Karina; Latorre, Chelsea

    2014-04-01

    To explore the relation between family structure and obesogenic attributes. Publicly available data from the 2007 National Survey of Children's Health (n=55,094; 11.6 ± 0.04 years; 51.2% male) was analyzed in fall 2012. Predictor variables included marital status (two-parent biological [referent], two-parent blended, single-mother, and other) and number of children. Outcome variables included the presence of a bedroom television (BTV), elevated television (TV) viewing time, insufficient physical activity, and infrequent family meals. Analysis of family structure revealed 63% biological, 11% blended, and 20% single-mother families. Twenty-three percent of children did not have siblings. When family structure variables were considered independently, children in blended (odds ratio (OR): 1.75; 95% confidence interval (CI) 1.45, 2.10) and single-mother homes (1.49; 1.28, 1.74) had higher odds of BTV. Children in blended families had higher odds of elevated TV viewing time (1.28; 1.08, 1.51). Single-mother homes had higher odds of infrequent family meals (1.28; 1.07, 1.52). Families with ≥ 2 children were less likely to have BTV (0.60; 0.54, 0.66) or elevated TV viewing time (0.74; 0.67, 0.82), and to irregularly dine together (0.89; 0.80, 0.99). Diverse family structure was associated with more obesogenic behaviors and environments. The presence of siblings diminished, but did not eliminate, the risk. Copyright © 2014. Published by Elsevier Inc.

  14. Association between family history of diabetes and cardiovascular disease and lifestyle risk factors in the United States population: The 2009-2012 National Health and Nutrition Examination Survey.

    Science.gov (United States)

    Akhuemonkhan, Eboselume; Lazo, Mariana

    2017-03-01

    Family history is a well-known risk factor for diabetes and cardiovascular disease (CVD) and modification of lifestyle risk factors can significantly lessen such risk. Our aim was to assess the association between family history of diabetes and/or CVD and lifestyle behaviors and risk factors (smoking, low physical activity, excessive dietary sodium and cholesterol intake and obesity) in a nationally representative sample of U.S. adults. We conducted a cross-sectional analysis of the National Health and Nutrition Examination Survey (NHANES) 2009-2012. Family history, lifestyle behaviors and risk factors were defined using self-reported and physical examination data. The study sample included 10,988 participants with a mean age of 47years. Among the U.S. adult population, 29.5%, 5.7% and 6.5% had a family history of diabetes, CVD and both diseases respectively. Compared to participants with no family history, participants with a family history of diabetes, CVD and both diabetes and CVD were more likely to be current smokers (OR=1.18[95% CI, 1.03-1.35], OR=1.68[95% CI, 1.31-2.17] and OR=1.71[95% CI, 1.30-2.26] respectively). Participants with a family history of diabetes (OR=1.42[95% CI, 1.26-1.61]) and both diabetes and CVD were more likely to be overweight/obese (OR=2.06[95% CI, 1.57-2.69]). There was no association between family history and dietary factors or physical activity. In the U.S., there is a high prevalence of modifiable risk factors among persons with a family history of diabetes and/or CVD. Healthcare providers have a significant role to play in targeting these individuals for lifestyle changes. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. NASA technology transfer network communications and information system: TUNS user survey

    Science.gov (United States)

    1992-01-01

    Applied Expertise surveyed the users of the deployed Technology Utilization Network System (TUNS) and surveyed prospective new users in order to gather background information for developing the Concept Document of the system that will upgrade and replace TUNS. Survey participants broadly agree that automated mechanisms for acquiring, managing, and disseminating new technology and spinoff benefits information can and should play an important role in meeting NASA technology utilization goals. However, TUNS does not meet this need for most users. The survey describes a number of systematic improvements that will make it easier to use the technology transfer mechanism, and thus expedite the collection and dissemination of technology information. The survey identified 26 suggestions for enhancing the technology transfer system and related processes.

  16. STFM Behavioral Science/Family Systems Educator Fellowship: Evaluation of the First 4 Years.

    Science.gov (United States)

    Gorski, Victoria; Taylor, Deborah A; Fletcher, Jason; Burge, Sandra K

    2015-01-01

    The discipline of family medicine has long valued the behavioral sciences. Most residency training programs employ a clinical psychologist, social worker, or family therapist to deliver behavioral science curriculum to their residents. However, the cultures and content of training for behavioral sciences and medical professions are quite different, leaving the lone behavioral scientist feeling professionally isolated and unprepared to translate knowledge and skills into tools for the family physician. In response to this need, a group of family medicine educators developed an STFM-sponsored fellowship for behavioral science faculty. The goals of the program were to improve fellows' understanding of the culture of family medicine, provide a curricular toolbox for the behavioral sciences, promote scholarship, and develop a supportive professional network. Senior behavioral science faculty at STFM developed a 1-year fellowship program, featuring "classroom learning" at relevant conferences, mentored small-group interactions, and scholarly project requirements. Achievement of program goals was evaluated annually with pre- and post-fellowship surveys. From 2010 to 2014, 59 fellows completed the program; most were psychologists or social workers; two thirds were women. One month after graduation, fellows reported significant increases in understanding the culture of medicine, improved confidence in their curricula and scholarship, and expanded professional networks, compared to pre-fellowship levels. The program required many hours of volunteer time by leaders, faculty, and mentors plus modest support from STFM staff. Leaders in family medicine education, confronted by the need for inter-professional development, designed and implemented a successful training program for behavioral science faculty.

  17. Analysis of Psychosemantic System of Family Goal-Directedness in Men

    Directory of Open Access Journals (Sweden)

    Nozikova N.V.,

    2016-07-01

    Full Text Available The paper presents outcomes of an empirical study on the psychosemantic system of goal-directedness in men. The hypothesis of our study was that family semantic criterion would help reveal psychosemantic integrity and explore its structural and functional organization. A modified version of I.L. Solomin’s technique of semantic differential allowed us to obtain dendrograms of concepts in men who are married and have children and to carry out comparative analysis. The family semantic criterion help to reveal the following: 1 the psychosemantic integrity and its meaning-making concepts that dominate according to the value factor: “My future wife and holidays” in young adult- hood and “Birth of a child” in middle adulthood; 2 the structural organization of integrity revealing representations about parents’ and modern generations of family; 3 the functional organization of the system, procedural quality of which is determined by the dynamics of meaning-making values and psychosemantic content of functional categories. The paper concludes that exploring the psy- chosemantic system of family goal-directedness contributes to expand theoretical and practical approaches in family psychology.

  18. The Role of Family Environment in Depressive Symptoms among University Students: A Large Sample Survey in China.

    Science.gov (United States)

    Yu, Yunmiao; Yang, Xiuxian; Yang, Yanjie; Chen, Lu; Qiu, Xiaohui; Qiao, Zhengxue; Zhou, Jiawei; Pan, Hui; Ban, Bo; Zhu, Xiongzhao; He, Jincai; Ding, Yongqing; Bai, Bing

    2015-01-01

    To explore the relationship between family environment and depressive symptoms and to evaluate the influence of hard and soft family environmental factors on depression levels in a large sample of university students in China. A multi-stage stratified sampling procedure was used to select 6,000 participants. The response rate was 88.8%, with 5,329 students completing the Beck Depression Inventory (BDI) and the Family Environment Scale Chinese Version (FES-CV), which was adapted for the Chinese population. Differences between the groups were tested for significance by the Student's t-test; ANOVA was used to test continuous variables. The relationship between soft family environmental factors and BDI were tested by Pearson correlation analysis. Hierarchical linear regression analysis was conducted to model the effects of hard environmental factors and soft environmental factors on depression in university students. A total of 11.8% of students scored above the threshold of moderate depression (BDI≧14). Hard family environmental factors such as parent relationship, family economic status, level of parental literacy and non-intact family structure were associated with depressive symptoms. The soft family environmental factors--conflict and control--were positively associated with depression, while cohesion was negatively related to depressive symptom after controlling for other important associates of depression. Hierarchical regression analysis indicated that the soft family environment correlates more strongly with depression than the hard family environment. Soft family environmental factors--especially cohesion, conflict and control--appeared to play an important role in the occurrence of depressive symptoms. These findings underline the significance of the family environment as a source of risk factors for depression among university students in China and suggest that family-based interventions and improvement are very important to reduce depression among

  19. The Role of Family Environment in Depressive Symptoms among University Students: A Large Sample Survey in China.

    Directory of Open Access Journals (Sweden)

    Yunmiao Yu

    Full Text Available To explore the relationship between family environment and depressive symptoms and to evaluate the influence of hard and soft family environmental factors on depression levels in a large sample of university students in China.A multi-stage stratified sampling procedure was used to select 6,000 participants. The response rate was 88.8%, with 5,329 students completing the Beck Depression Inventory (BDI and the Family Environment Scale Chinese Version (FES-CV, which was adapted for the Chinese population. Differences between the groups were tested for significance by the Student's t-test; ANOVA was used to test continuous variables. The relationship between soft family environmental factors and BDI were tested by Pearson correlation analysis. Hierarchical linear regression analysis was conducted to model the effects of hard environmental factors and soft environmental factors on depression in university students.A total of 11.8% of students scored above the threshold of moderate depression (BDI≧14. Hard family environmental factors such as parent relationship, family economic status, level of parental literacy and non-intact family structure were associated with depressive symptoms. The soft family environmental factors--conflict and control--were positively associated with depression, while cohesion was negatively related to depressive symptom after controlling for other important associates of depression. Hierarchical regression analysis indicated that the soft family environment correlates more strongly with depression than the hard family environment.Soft family environmental factors--especially cohesion, conflict and control--appeared to play an important role in the occurrence of depressive symptoms. These findings underline the significance of the family environment as a source of risk factors for depression among university students in China and suggest that family-based interventions and improvement are very important to reduce

  20. Brake System Design Optimization : Volume 1. A Survey and Assessment.

    Science.gov (United States)

    1978-06-01

    Existing freight car braking systems, components, and subsystems are characterized both physically and functionally, and life-cycle costs are examined. Potential improvements to existing systems previously proposed or available are identified and des...

  1. Quality of life of family caregivers 8 years after a relative's cancer diagnosis: follow-up of the National Quality of Life Survey for Caregivers.

    Science.gov (United States)

    Kim, Youngmee; Shaffer, Kelly M; Carver, Charles S; Cannady, Rachel S

    2016-03-01

    The long-term impact of cancer caregiving on the family caregivers' quality of life (QOL) is currently not known. This study aimed (a) to characterize family caregivers of cancer survivors at 8 years post-diagnosis in terms of multidimensional aspects of QOL and (b) to identify demographic and early caregiving experience characteristics that may play significant roles in predicting the caregivers' longer-term QOL. A total of 1087 caregivers participated in the 8-year follow-up National Quality of Life Survey for Caregivers. Demographics and early caregiving experiences were measured 2 years post-diagnosis of their relative's cancer. Multidimensional aspects of QOL were assessed, including mental and physical health, psychological adjustment, and spirituality at both 2-year and 8-year post-diagnosis. Approximately 90% of family caregivers ceased the caregiver role by 8 years. One-fourth of them were due to bereavement. Caregivers' demographic and early caregiving characteristics were significantly associated with QOL. In addition, being bereaved by the 8-year mark predicted poorer mental health and greater psychological distress independent of contributions of demographic and early caregiving characteristics. Findings provided the first evidence that 8 years after the initial cancer diagnosis in the family, family members who became bereaved suffer from poorer mental health and greater psychological distress. Findings have theoretical implications for better understanding bereavement to cancer and practical implications for developing integrative programs to improve QOL among family members in the various phases of caregivership. Copyright © 2015 John Wiley & Sons, Ltd.

  2. A survey of small-scale cattle farming systems in the North West ...

    African Journals Online (AJOL)

    Unknown

    A survey of small-scale cattle farming systems in the North West Province of. South Africa ... Abstract. A questionnaire-based survey was conducted among a purposive sample of 60 small-scale cattle farmers in the .... has a negative impact on pasture and soil resources and represents a potential threat to the sustainability of.

  3. The evolution of neutral gas in damped Lyman α systems from the XQ-100 survey

    DEFF Research Database (Denmark)

    Sánchez-Ramírez, R.; Ellison, S. L.; Prochaska, J. X.

    2015-01-01

    We present a sample of 38 intervening Damped Lyman $\\alpha$ (DLA) systems identified towards 100 $z>3.5$ quasars, observed during the XQ-100 survey. The XQ-100 DLA sample is combined with major DLA surveys in the literature. The final combined sample consists of 742 DLAs over a redshift range app...

  4. Evaluating Recommender Systems for Technology Enhanced Learning: A Quantitative Survey

    Science.gov (United States)

    Erdt, Mojisola; Fernandez, Alejandro; Rensing, Christoph

    2015-01-01

    The increasing number of publications on recommender systems for Technology Enhanced Learning (TEL) evidence a growing interest in their development and deployment. In order to support learning, recommender systems for TEL need to consider specific requirements, which differ from the requirements for recommender systems in other domains like…

  5. Surveying the critical success factors of BPM-systems implementation.

    NARCIS (Netherlands)

    Ravesteyn, P.; Batenburg, R.

    2010-01-01

    Purpose – The purpose of this paper is to explore if there is a common ground for the definition of business process management (BPM) and BPM-systems, as well as the critical success factors (CSFs) for BPM-system implementation. A BPM-system implementation framework is validated that classifies the

  6. The provision of family-centred intensive care bereavement support in Australia and New Zealand: Results of a cross sectional explorative descriptive survey.

    Science.gov (United States)

    Mitchell, Marion; Coombs, Maureen; Wetzig, Krista

    2017-05-01

    Caring for the bereaved is an intrinsic part of intensive care practice with family bereavement support an important aspect of the nursing role at end of life. However, reporting on provision of intensive care family bereavement support at a national level has not been well reported since an Australian paper published ten years ago. The objective was to investigate provision of family bereavement support in intensive care units (ICU) across New Zealand (NZ) and Australia. A cross-sectional exploratory descriptive web-based survey was used. All ICUs [public/private, neonatal/pediatrics/adults] were included. The survey was distributed to one nursing leader from each identified ICU (n=229; 188 in Australia, 41 in NZ). Internal validity of the survey was established through piloting. Descriptive statistics were used to analyse the data. Ethical approval was received by the ethics committees of two universities. One-hundred and fifty-three (67%) responses were received from across New Zealand and Australia with 69.3% of respondents from the public sector. Whilst respondents reported common bereavement practices to include debriefing for staff after a traumatic death (87.9%), there was greater variation in sending a sympathy card to families (NZ 54.2%, Australia 20.8%). Fifty percent of responding New Zealand units had a bereavement follow-up service compared to 28.3% of Australian unit respondents. Of those with follow-up services, 92.3% of New Zealand units undertook follow-up calls to families compared to 76.5% of Australian units. Bereavement follow-up services were mainly managed by social workers in Australia and nursing staff in New Zealand. This is the first Australia and New Zealand-wide survey on ICU bereavement support services. Whilst key components of family bereavement support remain consistent over the past decade, there were fewer bereavement follow-up services in responding Australian ICUs in 2015. As a quality improvement initiative, support for this

  7. Parent-led or baby-led? Associations between complementary feeding practices and health-related behaviours in a survey of New Zealand families

    OpenAIRE

    Cameron, Sonya L; Taylor, Rachael W; Heath, Anne-Louise M

    2013-01-01

    Objective To determine feeding practices and selected health-related behaviours in New Zealand families following a ?baby-led? or more traditional ?parent-led? method for introducing complementary foods. Design, setting and participants 199 mothers completed an online survey about introducing complementary foods to their infant. Participants were classified into one of four groups: ?adherent baby-led weaning (BLW)?, the infant mostly or entirely fed themselves at 6?7?months; ?self-identified ...

  8. Experimental investigations on solar heating/heat pump systems for single family houses

    DEFF Research Database (Denmark)

    Andersen, Elsa; Perers, Bengt

    In the period 2013-2017 the project “Experimental investigations on solar heat pump systems for single family houses” is carried out at Department of Civil Engineering, Technical University of Denmark. The aim of this project is to increase the knowledge of the heat and mass transfer in the combi......In the period 2013-2017 the project “Experimental investigations on solar heat pump systems for single family houses” is carried out at Department of Civil Engineering, Technical University of Denmark. The aim of this project is to increase the knowledge of the heat and mass transfer...... in the combined solar heating/heat pump system type when the heat pump makes use of a horizontal ground source heat exchanger. The knowledge is gained by experimental investigations on a solar heating/heat pump system and forms the basis for improved marketed combined solar heating/heat pump systems....

  9. Robotic systems for architectural survey and conservation of Cultural Heritage

    Directory of Open Access Journals (Sweden)

    Michela Cigola

    2015-01-01

    Full Text Available HeritageBot is a project on technological andmarket development of robotic patents for culturalheritage (mainly archaeological and architecturaland the development of services foroperational applications (industrial, cultural,educational, etc. of the identified technologicalsolutions.The article focuses on hexapods robot designedto be applied to the analysis of architecture. Therobot must perform many of the operations neededin Architectural survey through automatedmanoeuvres. These manoeuvres could improveprocedures and results, both in terms of speedand accuracy of execution.An interdisciplinary research group of the Universityof Cassino has been working designing tworobots. The group built two prototypes. Currentlywe are developing validation test and solutionstests for general background and specific cases.

  10. Acquisition Information Management system telecommunication site survey results

    Energy Technology Data Exchange (ETDEWEB)

    Hake, K.A. [Oak Ridge National Lab., TN (United States); Key, B.G. [COR, Inc., Oak Ridge, TN (United States)

    1993-09-01

    The Army acquisition community currently uses a dedicated, point-to-point secure computer network for the Army Material Plan Modernization (AMPMOD). It must transition to the DOD supplied Defense Secure Network 1 (DSNET1). This is one of the first networks of this size to begin the transition. The type and amount of computing resources available at individual sites may or may not meet the new network requirements. This task surveys these existing telecommunications resources available in the Army acquisition community. It documents existing communication equipment, computer hardware, associated software, and recommends appropriate changes.

  11. [Family health nursing care: weaknesses and strengths in the Unified Health System].

    Science.gov (United States)

    Silva, Simone Santana da; Assis, Marluce Maria Araújo

    2015-08-01

    To analyze the weaknesses and strengths of nursing care in the Family Health Strategy and its interfaces with the Unified Health System network. A qualitative study performed by means of semi-structured interviews and systematic observations, with the participation of a nursing team of 15 people from October of 2012 to January of 2013. Strengths that were emphasized: the nurse's versatility in conducting users within the unit and the health system, therefore directly acting upon access to these services. The nurse is the main subject that participates in the care processes for the person, family and social groups. Weaknesses that were highlighted: fragile embracement and low resolution of users' and families' problems. The nursing care process in health units still lacks collective articulation, involvement of the team, and decentralization of the decisions.

  12. Identification of Patients with Family History of Pancreatic Cancer--Investigation of an NLP System Portability.

    Science.gov (United States)

    Mehrabi, Saeed; Krishnan, Anand; Roch, Alexandra M; Schmidt, Heidi; Li, DingCheng; Kesterson, Joe; Beesley, Chris; Dexter, Paul; Schmidt, Max; Palakal, Mathew; Liu, Hongfang

    2015-01-01

    In this study we have developed a rule-based natural language processing (NLP) system to identify patients with family history of pancreatic cancer. The algorithm was developed in a Unstructured Information Management Architecture (UIMA) framework and consisted of section segmentation, relation discovery, and negation detection. The system was evaluated on data from two institutions. The family history identification precision was consistent across the institutions shifting from 88.9% on Indiana University (IU) dataset to 87.8% on Mayo Clinic dataset. Customizing the algorithm on the the Mayo Clinic data, increased its precision to 88.1%. The family member relation discovery achieved precision, recall, and F-measure of 75.3%, 91.6% and 82.6% respectively. Negation detection resulted in precision of 99.1%. The results show that rule-based NLP approaches for specific information extraction tasks are portable across institutions; however customization of the algorithm on the new dataset improves its performance.

  13. Social support and antenatal depression in extended and nuclear family environments in Turkey: a cross-sectional survey

    OpenAIRE

    Berksun Oguz; Abas Melanie; Senturk Vesile; Stewart Robert

    2011-01-01

    Abstract Background Social support is strongly implicated in the aetiology of perinatal mental disorder: particularly the quality of the marital and family environment. Family structures are important under-researched potential modifiers. Turkey offers particular advantages for research in this area because of long-standing coexistence of Western and Middle Eastern family structures. We aimed to investigate associations between the quality of key relationships and depression in women in their...

  14. The Role of Quality Service Systems in Involving Families in Mental Health Treatment for Children with Severe Emotional Disturbances

    Science.gov (United States)

    Mayberry, Lindsay Satterwhite; Heflinger, Craig Anne

    2012-01-01

    Family involvement in the planning and execution of mental health treatment has been shown to positively influence child outcomes; however, there is wide variability in the levels of involvement by families. The current study investigated the influence of child, family caregiver, service system, and community factors on the level of family…

  15. RNArchitecture: a database and a classification system of RNA families, with a focus on structural information.

    Science.gov (United States)

    Boccaletto, Pietro; Magnus, Marcin; Almeida, Catarina; Zyla, Adriana; Astha, Astha; Pluta, Radoslaw; Baginski, Blazej; Jankowska, Elzbieta; Dunin-Horkawicz, Stanislaw; Wirecki, Tomasz K; Boniecki, Michal J; Stefaniak, Filip; Bujnicki, Janusz M

    2018-01-04

    RNArchitecture is a database that provides a comprehensive description of relationships between known families of structured non-coding RNAs, with a focus on structural similarities. The classification is hierarchical and similar to the system used in the SCOP and CATH databases of protein structures. Its central level is Family, which builds on the Rfam catalog and gathers closely related RNAs. Consensus structures of Families are described with a reduced secondary structure representation. Evolutionarily related Families are grouped into Superfamilies. Similar structures are further grouped into Architectures. The highest level, Class, organizes families into very broad structural categories, such as simple or complex structured RNAs. Some groups at different levels of the hierarchy are currently labeled as 'unclassified'. The classification is expected to evolve as new data become available. For each Family with an experimentally determined three-diemsional (3D) structure(s), a representative one is provided. RNArchitecture also presents theoretical models of RNA 3D structure and is open for submission of structural models by users. Compared to other databases, RNArchitecture is unique in its focus on structure-based RNA classification, and in providing a platform for storing RNA 3D structure predictions. RNArchitecture can be accessed at http://iimcb.genesilico.pl/RNArchitecture/. © The Author(s) 2017. Published by Oxford University Press on behalf of Nucleic Acids Research.

  16. The role of family background on cigarette smoking among adolescent school children in Slovakia: findings from the 2007 Slovakia Global Youth Tobacco Survey.

    Science.gov (United States)

    Baška, Tibor; Warren, Charles W; Hudečková, Henrieta; Ochaba, Róbert; Sťastný, Peter; Lea, Veronica; Lee, Juliette

    2010-12-01

    To analyse Global Youth Tobacco Survey (GYTS) data to determine the role of family background on cigarette smoking among adolescents in Slovakia. The GYTS is a school-based survey of students aged 13-15 years developed by the World Health Organization and the Centers for Disease Control and Prevention. The GYTS was conducted in Slovakia in 2007. Students from families where one or more parents were smokers were significantly more likely to report lifetime smoking, current cigarette smoking and signs of nicotine dependence (only girls). Socioeconomic status of parents as measured by parent educational level and employment status was not statistically associated with students' smoking status. Girls from families with lower socioeconomic status showed more frequently positive attitudes regarding smoking of their peers. Considering family background, parental smoking plays the most important role in smoking of their children regardless of employment status and educational level. The findings suggest that the tobacco control program effort in Slovakia needs to focus on implementation and enforcement for those policies already in place as well as expansion into additional measures.

  17. Trends in Alcohol's Harms to Others (AHTO and Co-occurrence of Family-Related AHTO: The Four US National Alcohol Surveys, 2000–2015

    Directory of Open Access Journals (Sweden)

    Thomas K. Greenfield

    2015-01-01

    Full Text Available Various harms from others’ drinking have been studied individually and at single points in time. We conducted a US population 15-year trend analysis and extend prior research by studying associations of depression with combinations of four harms – family/marriage difficulties, financial troubles, assault, and vandalism – attributed to partners or family members. Data come from four National Alcohol Surveys conducted by telephone in 2000, 2005, 2010, and 2015 (analytic sample = 21,184. Weighted logistic regression models estimated time trends adjusting for victim characteristics (gender, age, race/ethnicity, marital status, poverty, employment, family history of alcohol problems, and drinking maximum. The 2015 survey asked the source of the harm; we used similar models to examine characteristics, including anxiety and depression, associated with various combinations of family/marriage, financial, and assault harms due to partner's/spouse's/family members’ drinking. A significant upward trend ( P < 0.001 from 2000 to 2015 was seen for financial troubles but not for other harms due to someone else's drinking. In 2015, depression and/or anxiety were strongly associated with exposures to harms and combinations of harms identified as stemming from drinking spouse/partner and/or family members. The results shed new light on 15-year trends and associations of harms with personal characteristics. A replicated finding is how the victim's own heavy drinking pattern is implicated in risks for exposures to harms from someone else's drinking. Documenting risk factors for and mental health impacts is important for interventions to reduce alcohol's harm to others.

  18. Survey on the virtual commissioning of manufacturing systems

    OpenAIRE

    Lee, Chi G.; Park, Sang C.

    2014-01-01

    This paper reviews and identifies issues in the application of virtual commissioning technology for automated manufacturing systems. While the real commissioning of a manufacturing system involves a real plant system and a real controller, the virtual commissioning deals with a virtual plant model and a real controller. The expected benefits of virtual commissioning are the reduction of debugging and correction efforts during the subsequent real commissioning stage. However, it requires a vir...

  19. HIV/AIDS and family support systems: A situation analysis of people ...

    African Journals Online (AJOL)

    HIV/AIDS and family support systems: A situation analysis of people living with HIV/AIDS in Lagos State. ... Findings revealed that as HIV/AIDS strikes at parents, grand parents are assuming responsibility for bringing up the children of the infected persons and the orphans of those killed by the virus. It was striking that some ...

  20. Stress in adolescents with a chronically ill parent: inspiration from Rolland's Family Systems-Illness model

    NARCIS (Netherlands)

    Sieh, D.S.; Dikkers, A.L.C.; Visser-Meily, J.M.A.; Meijer, A.M.

    2012-01-01

    This article was inspired by Rolland’s Family Systems-Illness (FSI) model, aiming to predict adolescent stress as a function of parental illness type. Ninety-nine parents with a chronic medical condition, 82 partners, and 158 adolescent children (51 % girls; mean age = 15.1 years) participated in

  1. Systemic Family Therapy Using the Reflecting Team: The Experiences of Adults with Learning Disabilities

    Science.gov (United States)

    Anslow, Katharine

    2014-01-01

    This research aimed to illuminate the experiences of adults with learning disabilities of the reflecting team, in the context of their systemic family therapy. Five adults with learning disabilities were recruited from one community learning disability team. A qualitative design using interpretative phenomenological analysis (IPA) was appropriate…

  2. The Application of Family Systems Theory to Organizational Consultation: A Content Analysis.

    Science.gov (United States)

    Matheny, Aaron Clayton; Zimmerman, Toni Schindler

    2001-01-01

    A content analysis was performed on 43 articles published between 1970 and 1998 discerned as relating family systems theory (FST) frameworks and constructs to organizational consultation. Frameworks and constructs were investigated in relation to four independent variables: type of organization; decade of article publication; gender; and…

  3. A new family of donor–acceptor systems comprising tin (IV ...

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Chemical Sciences; Volume 114; Issue 6. A new family of donor-acceptor systems comprising tin(IV) porphyrin and anthracene subunits: Synthesis, spectroscopy and energy transfer studies. A Ashok Kumar L Giribabu Bhaskar G Maiya. Volume 114 Issue 6 December 2002 pp 565-578 ...

  4. Nutrition: Intervention Guidance for Service Providers and Families. Connecticut Birth to Three System, Service Guideline 6.

    Science.gov (United States)

    Connecticut Birth to Three System, Hartford.

    This guide was developed to assist families and service providers in Connecticut with nutrition services for infants and toddlers with disabilities. Individual sections provide information about the following topics: laws and regulations related to nutrition services; eligibility for the Connecticut Birth to Three System and nutrition; nutrition…

  5. CENTER CONDITIONS AND CYCLICITY FOR A FAMILY OF CUBIC SYSTEMS: COMPUTER ALGEBRA APPROACH.

    Science.gov (United States)

    Ferčec, Brigita; Mahdi, Adam

    2013-01-01

    Using methods of computational algebra we obtain an upper bound for the cyclicity of a family of cubic systems. We overcame the problem of nonradicality of the associated Bautin ideal by moving from the ring of polynomials to a coordinate ring. Finally, we determine the number of limit cycles bifurcating from each component of the center variety.

  6. The Barrett-Lennard Relationship Inventory (BLRI): current and potential uses with family systems.

    Science.gov (United States)

    Ganley, R M

    1989-03-01

    The search for and measurement of important relationship qualities have always been of interest to family therapists. Within a Rogerian perspective, empathy, regard, and congruence are believed to be among the most important indicators of the quality of human relationships. These variables, or conceptually similar ones, are also important in several current models of family functioning. Barrett-Lennard (1,2) developed an instrument, the Barrett-Lennard Relationship Inventory (BLRI), to measure empathy, regard, and congruence. Although the major use of the BLRI has been in psychotherapy outcome research (13), several studies have shown that it is a sensitive indicator of marital satisfaction and of changes occurring in marital-improvement programs. The present study is a factor analysis of the BLRI based on data from 345 women who rated levels of empathy, regard, and congruence in their relationship with their husbands. The results robustly confirm the three-factor structure of the BLRI in what is believed to be the first factor analysis in the context of a family member rating a relationship within the family. The replication of the BLRI's structure in a new relationship context suggests that the dimensions tapped by the BLRI may have some generality and warrant further exploration in a family-systems context. Several advantages of the BLRI over other currently available instruments are discussed, as are potential uses of the BLRI in systems research beyond the marital unit.

  7. [Design and implementation of data checking system for Chinese materia medica resources survey].

    Science.gov (United States)

    Wang, Hui; Zhang, Xiao-Bo; Ge, Xiao-Guang; Jin, Yan; Jing, Zhi-Xian; Qi, Yuan-Hua; Wang, Ling; Zhao, Yu-Ping; Wang, Wei; Guo, Lan-Ping; Huang, Lu-Qi

    2017-11-01

    The Chinese material medica resources (CMMR) national survey information management system has collected a large amount of data. To help dealing with data recheck, reduce the work of inside, improve the recheck of survey data from provincial and county level, National Resource Center for Chinese Materia Medical has designed a data checking system for Chinese material medica resources survey based on J2EE technology, Java language, Oracle data base in accordance with the SOA framework. It includes single data check, check score, content manage, check the survey data census data with manual checking and automatic checking about census implementation plan, key research information, general survey information, cultivation of medicinal materials information, germplasm resources information the medicine information, market research information, traditional knowledge information, specimen information of this 9 aspects 20 class 175 indicators in two aspects of the quantity and quality. The established system assists in the completion of the data consistency and accuracy, pushes the county survey team timely to complete the data entry arrangement work, so as to improve the integrity, consistency and accuracy of the survey data, and ensure effective and available data, which lay a foundation for providing accurate data support for national survey of the Chinese material medica resources (CMMR) results summary, and displaying results and sharing. Copyright© by the Chinese Pharmaceutical Association.

  8. Racial Residential Segregation and Risky Sexual Behavior Among Non-Hispanic Blacks, National Survey of Family Growth, 2006 – 2010

    Science.gov (United States)

    Lutfi, Khaleeq; Trepka, Mary Jo; Fennie, Kristopher P.; Ibanez, Gladys; Gladwin, Hugh

    2015-01-01

    Sexually transmitted infections (STIs) including human immunodeficiency virus (HIV) have disproportionately affected the non-Hispanic black population in the United States. A person’s community can affect his or her STI risk by the community’s underlying prevalence of STIs, sexual networks, and social influences on individual behaviors. Racial residential segregation—the separation of racial groups in a residential context across physical environments—is a community factor that has been associated with negative health outcomes. The objective of this study was to examine if non-Hispanic blacks living in highly segregated areas were more likely to have risky sexual behavior. Demographic and sexual risk behavior data from non-Hispanic blacks aged 15 – 44 years participating in the National Survey of Family Growth were linked to Core-Based Statistical Area segregation data from the U.S. Census Bureau. Five dimensions measured racial residential segregation, each covering a different concept of spatial variation. Multilevel logistic regressions were performed to test the effect of each dimension on sexual risk behavior controlling for demographics and community poverty. Of the 3,643 participants, 588 (14.5%) reported risky sexual behavior as defined as two or more partners in the last 12 months and no consistent condom use. Multilevel analysis results show that racial residential segregation was associated with risky sexual behavior with the association being stronger for the centralization [aOR (95% CI)][2.07 (2.05 – 2.08)] and concentration [2.05 (2.03 – 2.07)] dimensions. This suggests risky sexual behavior is more strongly associated with neighborhoods with high concentrations of non-Hispanic blacks and an accumulation of non-Hispanic blacks in an urban core. Findings suggest racial residential segregation is associated with risky sexual behavior in non-Hispanic blacks 15 – 44 years of age with magnitudes varying by dimension. Incorporating

  9. Survey of embedded OS specialized for a microsensor system

    Science.gov (United States)

    Yu, Min; Cen, Ming

    2009-07-01

    Compared with traditional sensor system, the modern micro-sensor system was characterized with intelligent and internet, and required the sensor system was less volume, much lighter, using less energy and was able to process the great amount of received data by itself, so as to get the best results. But good results often required more resources such as more computing ability and more volume and more power. The traditional embedded OS (Operating System) which often required more resources did not apply to modern micro-sensor system. New embedded OS specialized for modern micro-sensor system had to be developed. The general characters of modern micro-sensor system and its requirements for embedded OS were discussed at first in this paper. Then a variety of embedded OS for micro-sensor system were presented and classified by the realizing principle (realized by methods of components, virtual machine, layered structured, state machine and function library.etc.). The using effect and applied domains of the embedded OS were discussed explicitly. At last the severely key problems, the status and new hot field of the embedded OS were pointed.

  10. Multimode lasers as analogs of complex biological systems (a survey)

    Science.gov (United States)

    Danilov, O. B.; Rosanov, N. N.; Solov'ev, N. A.; Soms, L. N.

    2016-04-01

    Simulating the activity of complex biological systems, in particular, the human brain, is a topical problem the solution of which is necessary both for understanding their functioning and for developing new classes of computational system based on operating principles of the brain. Some features and analogies that can be found in the operation of laser systems and brain and used for developing new generation computational systems are discussed. The appropriateness of such analogies is justified by the fact that both laser systems and the brain are open (interacting with the environment) dissipative spatially distributed nonlinear systems. Therefore, laser optical systems and, in particular, systems with dissipative optical solitons offer an opportunity to experimentally and theoretically model some important cognitive brain functions. One of particularities of the brain operation is the ability to manipulate images. Proceeding from this, in this work, problems related to generation and amplification with laser of spatial structures (images), as well as to amplification of signals coming to it from outside are discussed.

  11. A survey of literature on automated storage and retrieval systems

    NARCIS (Netherlands)

    Roodbergen, K.J.; Vis, I.F.A.

    2009-01-01

    Automated Storage and Retrieval Systems (AS/RSs) are warehousing systems that are used for the storage and retrieval of products in both distribution and production environments. This paper provides an overview of literature from the past 30 years. A comprehensive explanation of the current state of

  12. Sensor Systems Based on FPGAs and Their Applications: A Survey

    Directory of Open Access Journals (Sweden)

    Abdellah Touhafi

    2012-09-01

    Full Text Available In this manuscript, we present a survey of designs and implementations of research sensor nodes that rely on FPGAs, either based upon standalone platforms or as a combination of microcontroller and FPGA. Several current challenges in sensor networks are distinguished and linked to the features of modern FPGAs. As it turns out, low-power optimized FPGAs are able to enhance the computation of several types of algorithms in terms of speed and power consumption in comparison to microcontrollers of commercial sensor nodes. We show that architectures based on the combination of microcontrollers and FPGA can play a key role in the future of sensor networks, in fields where processing capabilities such as strong cryptography, self-testing and data compression, among others, are paramount.

  13. Low Cost Embedded Stereo System for Underwater Surveys

    Science.gov (United States)

    Nawaf, M. M.; Boï, J.-M.; Merad, D.; Royer, J.-P.; Drap, P.

    2017-11-01

    This paper provides details of both hardware and software conception and realization of a hand-held stereo embedded system for underwater imaging. The designed system can run most image processing techniques smoothly in real-time. The developed functions provide direct visual feedback on the quality of the taken images which helps taking appropriate actions accordingly in terms of movement speed and lighting conditions. The proposed functionalities can be easily customized or upgraded whereas new functions can be easily added thanks to the available supported libraries. Furthermore, by connecting the designed system to a more powerful computer, a real-time visual odometry can run on the captured images to have live navigation and site coverage map. We use a visual odometry method adapted to low computational resources systems and long autonomy. The system is tested in a real context and showed its robustness and promising further perspectives.

  14. A Survey of Current Pre-School Education of/for Children from Urban Low-Income Families in Beijing

    Science.gov (United States)

    Jin-Qinghua; Liu-Yan; Zhang-Yan; Li-Qiong

    2005-01-01

    This study investigated the pre-school education of children from low-income families in six urban districts of Beijing, using questionnaires and in-depth interviews with respondents from district educational committees, sub-district and resident's committees, nursery schools, and low-income families. The results indicated that (1) the number of…

  15. School- and Family-Level Socioeconomic Status and Health Behaviors: Multilevel Analysis of a National Survey in Wales, United Kingdom

    Science.gov (United States)

    Moore, Graham F.; Littlecott, Hannah J.

    2015-01-01

    Background: Interventions to address inequalities in adolescent health behaviors often target children from less affluent families, or schools in poorer areas. Few studies have examined whether school- or family-level affluence predicts health behaviors independently, or in combination. Methods: This article reports secondary analysis of the Welsh…

  16. Condition Help: A Patient- and Family-Initiated Rapid Response System.

    Science.gov (United States)

    Eden, Elizabeth L; Rack, Laurie L; Chen, Ling-Wan; Bump, Gregory M

    2017-03-01

    Rapid response teams (RRTs) help in delivering safe, timely care. Typically they are activated by clinicians using specific parameters. Allowing patients and families to activate RRTs is a novel intervention. The University of Pittsburgh Medical Center developed and implemented a patient- and family-initiated rapid response system called Condition Help (CH). When the CH system is activated, a patient care liaison or an on-duty administrator meets bedside with the unit charge nurse to address the patient's concerns. In this study, we collected demographic data, call reasons, call designations (safety or nonsafety), and outcome information for all CH calls made during the period January 2012 through June 2015. Two hundred forty patients/family members made 367 CH calls during the study period. Most calls were made by patients (76.8%) rather than family members (21.8%). Of the 240 patients, 43 (18%) made multiple calls; their calls accounted for 46.3% of all calls (170/367). Inadequate pain control was the reason for the call in most cases (48.2%), followed by dissatisfaction with staff (12.5%). The majority of calls involved nonsafety issues (83.4%) rather than safety issues (11.4%). In 41.4% of cases, a change in care was made. Patient- and family-initiated RRTs are designed to engage patients and families in providing safer care. In the CH system, safety issues are identified, but the majority of calls involve nonsafety issues. Journal of Hospital Medicine 2017;12:157-161.

  17. Adversarial courts, therapeutic justice and protecting children in the family justice system*

    OpenAIRE

    Welbourne, PA

    2016-01-01

    Publication date to be confirmed - estimated date. Abstract There are indications of a marked and growing move towards less adversarial approaches to justice for child protection cases in the English and Welsh family court. This article explores the advantages and some challenges of such a move, and some implications for the legal system and social work working as part of a wider system for protecting children from harm.

  18. Photovoltaic battery & charge controller market & applications survey. An evaluation of the photovoltaic system market for 1995

    Energy Technology Data Exchange (ETDEWEB)

    Hammond, R.L.; Turpin, J.F.; Corey, G.P. [and others

    1996-12-01

    Under the sponsorship of the Department of Energy, Office of Utility Technologies, the Battery Analysis and Evaluation Department and the Photovoltaic System Assistance Center of Sandia National Laboratories (SNL) initiated a U.S. industry-wide PV Energy Storage System Survey. Arizona State University (ASU) was contracted by SNL in June 1995 to conduct the survey. The survey included three separate segments tailored to: (a) PV system integrators, (b) battery manufacturers, and (c) PV charge controller manufacturers. The overall purpose of the survey was to: (a) quantify the market for batteries shipped with (or for) PV systems in 1995, (b) quantify the PV market segments by battery type and application for PV batteries, (c) characterize and quantify the charge controllers used in PV systems, (d) characterize the operating environment for energy storage components in PV systems, and (e) estimate the PV battery market for the year 2000. All three segments of the survey were mailed in January 1996. This report discusses the purpose, methodology, results, and conclusions of the survey.

  19. Solar System Planetary Science Decadal Survey and Missions in the Next Decade, 2013-2022

    Science.gov (United States)

    Reh, Kim

    2011-01-01

    In 2010, the National Research Council Space Studies Board established a decadal survey committee to develop a comprehensive science, mission, and technology strategy for planetary science that updates and extends the Board's 2003 Solar System Exploration Decadal Survey, "New Frontiers in the Solar System: An Integrated Exploration Strategy." The scope of the survey encompasses the inner planets (Mercury, Venus, and Mars), the Earth's Moon, the giant planets (Jupiter, Saturn, Uranus, and Neptune), the moons of the giant planets, dwarf planets and small bodies, primitive bodies including comets and Kuiper Belt objects, and astrobiology. Over this past year, the decadal survey committee has interacted with the broad solar system science community to determine the current state of knowledge and to identify the most important scientific questions expected to face the community during the interval 2013-2022. The survey has identified candidate missions that address the most important science questions and has conducted, through NASA sponsorship, concept studies to assess the cost of such missions as well as technology needs. The purpose of this paper is to provide an overview of the 2012 Solar System Planetary Science Decadal Survey study approach and missions that were studied for implementation in the upcoming decade. Final results of the decadal survey, including studies that were completed and the specific science, programmatic, and technology recommendations will be disclosed publically in the spring of 2011 and are not the subject of this paper.

  20. A Field Survey on Measuring the Attidudes of Owners/Managers in the Dilemma of Families and Companies

    Directory of Open Access Journals (Sweden)

    Mustafa Atilla Aricioglu

    2010-06-01

    Full Text Available In fact, as a special field of management appears to have emergedin the management of the family business, with its own directionhas been the subject of many researches. One of the importantareas of research subjects have management attitudes of managers,reasons or results oriented to the attitudes have been tested withdifferent variables and parameters. In terms of sustainability offamily businesses, one of the important factors of managersattitudes, are becoming more meaningful with family and businessconcepts to be discussed separately. In fact, each of the twoconcepts together or separately to be addressed reveals animportant dilemma. The owner of the family business which has thedilemma investigate how manages this two-legged process in practice.Presence of family separated from business with an understandingin the form of autonomous areas will be approached to process orboth of them without any problem in the common fieldunderstanding will be discussed. That option is not seen too much.But, basic problem here is how to perform selected. Sometimes,originality which provides benefit in family businesses may not bevalidated for the others.This study also made operating in Konya,Machinery Manufacturing and Automotive Supply Industryenterprises have been selected as study area. Family firms whichcontinue its activities as an important part of family business hasbeen examined whether perceive the business and family togetheror not and as an important indicator this relationship children’splace in the process are discussed. The study, scale which wasdeveloped by Birley et. al. (1999 used, the factors related to thevalidity of test results has been identified 16 sub-hypothesis as 16sub-factors and has been tested this basic hypothesis “Ownermanagers is viewed family and company as a whole, in theirdilemma their children as the basic successor.” Results of theanalysis of the basic hypothesis have been accepted and family andbusiness as a