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Sample records for child institutionalized

  1. Orphan rocker tracks: a variant of friction melanosis in an institutionalized child.

    PubMed

    Diamond, Gary; Ben Amitai, Dan

    2013-01-01

    Friction melanosis is an acquired pigmentary disorder consisting of diffuse, brown pigmentation resulting from repeated rubbing of affected areas of the skin. An institutionalized child whose lower back was subjected to intense and repeated rocking displayed the characteristic lesions. PMID:23278271

  2. Child Maltreatment and Social Connectedness Among Formerly Institutionalized Females: Links With Depression.

    PubMed

    van Delft, Ivanka; Finkenauer, Catrin; Verbruggen, Janna

    2016-05-01

    This study aimed to examine the effects of child maltreatment subtypes (physical abuse, sexual abuse, neglect, and exposure to domestic violence) and cumulative child maltreatment on depressive symptoms in adulthood, and examine the protective effects of social connectedness in a sample of formerly institutionalized females. The sample consisted of 124 females who were institutionalized in a Dutch juvenile justice institution during adolescence and were followed-up when they were on average 32 years old. Information about child maltreatment was extracted from treatment files. Retrospective data on social connectedness in young adulthood were established during interviews using a Life History Calendar. Relationship quality at follow-up was assessed with items derived from the Rochester Youth Development Study. The Center for Epidemiological Studies Scale for Depression (CES-D) was used to measure depressive symptoms in adulthood. Results showed that 85.5% of the females experienced child maltreatment, and co-occurrence of subtypes was high. Cumulative child maltreatment increased the risk of depression in adulthood. Furthermore, social connectedness, that is, more employment over time and the quality of the romantic relationship at follow-up, protected against the development of depression. However, social connectedness did not buffer the effect of maltreatment on depression. Our findings indicate that treatment of these girls should focus on improving the social-emotional development to promote positive interpersonal relationships and include educational and vocational components to guide these girls toward increased opportunities on the labor market. PMID:25586915

  3. Controlling Child Abuse in America: An Effort Doomed to Failure and Effects of Preinstitutional History and Institutionalization on the Behavior of the Retarded.

    ERIC Educational Resources Information Center

    Zigler, Edward

    Two papers, one on child abuse and the other on effects of preinstitutional history and institutionalization on the behavior of the retarded, are presented. In the first paper the author stresses the need to document the scope and nature of child abuse in American society and discusses the difficulties in defining where on the continuum discipline…

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

    ERIC Educational Resources Information Center

    Woodson, Stephani Etheridge

    1998-01-01

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

  5. Institutionalizing Ethics in Government.

    ERIC Educational Resources Information Center

    Brumback, Gary B.

    1992-01-01

    Ways to institutionalize ethics in government agencies include demonstrating moral leadership, making it a job qualification, training, establishing and enforcing a code, and including ethics in personnel management and performance appraisal. (SK)

  6. Institutionalization of Evaluation

    ERIC Educational Resources Information Center

    Finn, James D.

    1969-01-01

    Writing as a member of the Second National Evaluation Team for ESEA Title III, the late James Finn discusses the reasons for evaluation in education and the problem of evaluation becoming institutionalized. (LS)

  7. Early Institutionalization: Neurobiological Consequences and Genetic Modifiers

    PubMed Central

    Drury, Stacy; McLaughlin, Kate; Almas, Alisa

    2011-01-01

    Children raised in the profound deprivation associated with institutionalization are at elevated risk for negative outcomes across a host of social and cognitive domains. This risk appears to be mitigated by early foster care or adoption into a family setting. Although pervasive developmental problems have been noted in a substantial proportion of previously institutionalized children, marked variation exists in the nature and severity of these deficits. Increasing evidence suggests that institutional deprivation impacts the developing brain, potentially underlying the wide range of outcomes with which it is associated. In the current review we examine the neural consequences of institutionalization and genetic factors associated with differences in outcome in an effort to characterize the consequences of early deprivation at a neurobiological level. Although the effects of institutional deprivation have been studied for more than 50 years much remains unanswered regarding the pathways through which institutionalization impacts child development. Through a more complete and nuanced assessment of the neural correlates of exposure and recovery as well as a better understanding of the individual factors involved we will be better able to delineate the impact of early adversity in the setting of severe social deprivation. PMID:21042937

  8. Institutionalizing Catholic Identity

    ERIC Educational Resources Information Center

    Heft, James L.

    2012-01-01

    The organizers of the conference on Renewing Mission and Identity in Business Education invited me to offer a description of the efforts made at the University of Dayton to institutionalize its Catholic identity. Until 2006, when I left Dayton to begin leading full-time the Institute for Advanced Catholic Studies at the University of Southern…

  9. Institutionalizing Diversity Initiatives.

    ERIC Educational Resources Information Center

    Kirkpatrick, Samuel A.; Van Natta, Carol

    1999-01-01

    Metropolitan universities are in the forefront of developing new administrative approaches to support and expand minority opportunities in higher education. Three design principles are at the heart of successful efforts to institutionalize diversity: strategic planning; the learning model; and integration across goals and functions. The experience…

  10. Institutionalizing Environmental Education.

    ERIC Educational Resources Information Center

    Warfield, John N.

    1985-01-01

    Examines the major reasons for the slow pace of institutionalization of environmental education in schools. Offers the Regional Environmental Learning System (RELS) as a model of a coordinating base for program evaluation and maintenance. Also identifies this concept's specific characteristics and its set of primary roles. (ML)

  11. Positive Consequences of Institutionalization: Solidarity Between Elderly Parents and Their Middle-Aged Children.

    ERIC Educational Resources Information Center

    Smith, Kristen Falde; Bengtson, Vern L.

    This research questions the frequent observation that elderly persons in long-term care institutions are isolated from their families, and that institutionalization is the final step in the breakdown of family relations. Data consisted of open-ended interviews with institutionalized elderly parents and with the child most involved with the parent…

  12. The Challenge of Institutionalizing Technology.

    ERIC Educational Resources Information Center

    Anandam, Kamala

    In order to meet the challenge of institutionalizing technology, community college educators must first define their needs; second, delineate the physical, social, and cultural conditions that affect the environment; and third, examine the knowledge made available through the computer and its paraphernalia. Institutionalizing technology requires:…

  13. Institutionalizing solar energy education

    SciTech Connect

    Arwood, J.W.

    1997-12-31

    As America entered the final decade of the 20th century, millions of people turned out to celebrate Earth Day`s 20th anniversary. Environmental awareness was on an upswing, and as a result, environmental education became a priority across the country. Environmental education was making significant headway into the public school system, and recycling emerged as the vanguard of this movement. At first the exclusive province of school children, recycling soon became a household habit. As children collected cans for cash, they also taught their parents to recycle. In its movement from classroom to curbside, recycling rode the school bus to Main Street and, within a few short years, became institutionalized. In this paper, the author demonstrates how the Solar Information and Education Program has evolved to the point where it has become an institutionalized, lasting part of the school experience for thousands of Arizona students. It is hoped that the solar experience for the state`s young people will duplicate the recycling experience of a decade ago, this time taking solar technology from chalkboard to rooftop.

  14. Demonstration Projects: Implementation and Institutionalization.

    ERIC Educational Resources Information Center

    Bina, James V.; Hull, William L.

    Three purposes are listed for this paper: (1) to share the results of a national survey of vocational education exemplary projects; (2) to emphasize the importance of a project director's communication with five clientele audiences; and (3) to suggest specific actions likely to result in institutionalization of a demonstration project. A brief…

  15. Assessing Institutionalization of Educational Reforms

    ERIC Educational Resources Information Center

    Aypay, Ahmet; Kalayci, Serpil Sezer

    2008-01-01

    This study aims to assess the institutionalization of a major reform in the faculties of education in Turkey in the 1990s. A survey was administered to faculty members in eight faculties of education in the academic year 2005-2006. Factor analysis, t-tests and ANOVAs, and OLS regressions were used. Findings indicate that the most problematic area…

  16. Institutionalizing Diversity: Transforming Higher Education

    ERIC Educational Resources Information Center

    McRae-Yates, Velda

    2009-01-01

    This case study examines plausible efforts to institutionalize diversity in a higher education setting so it becomes part of the strategic mission, and permeates the interactions, discussions, and operations. Review of literature, surveys, and in-depth interviews are conducted at a Massachusetts institution to gather information from faculty,…

  17. The Institutionalized Geriatric Patient Considered in a Framework of Developmental Deprivation.

    ERIC Educational Resources Information Center

    Erber, Joan T.

    1979-01-01

    An overview is presented of several areas of deprivation research (animal, child, young adult) and methods of conceptualizing and measuring deprivation is applied to institutionalized geriatric patients. Suggestions are made for more precise approaches to studying and treating deprivation in this population. (Author/SS)

  18. Understanding psychiatric institutionalization: a conceptual review

    PubMed Central

    2013-01-01

    Background Since Goffman’s seminal work on psychiatric institutions, deinstitutionalization has become a leading term in the psychiatric debate. It described the process of closure or downsizing of large psychiatric hospitals and the establishment of alternative services in the community. Yet, there is a lack of clarity on what exactly the concept of institutionalization means in present-day psychiatry. This review aims to identify the meaning of psychiatric institutionalization since the early 1960s to present-day. Method A conceptual review of institutionalization in psychiatry was conducted. Thematic analysis was used to synthesize the findings. Results Four main themes were identified in conceptualizing institutionalization: bricks and mortar of care institutions; policy and legal frameworks regulating care; clinical responsibility and paternalism in clinician-patient relationships; and patients’ adaptive behavior to institutionalized care. Conclusions The concept of institutionalization in psychiatry reflects four distinct themes. All themes have some relevance for the contemporary debate on how psychiatric care should develop and on the role of institutional care in psychiatry. PMID:23773398

  19. Longitudinal Predictors of Institutionalization in Old Age

    PubMed Central

    Hajek, André; Brettschneider, Christian; Lange, Carolin; Posselt, Tina; Wiese, Birgitt; Steinmann, Susanne; Weyerer, Siegfried; Werle, Jochen; Pentzek, Michael; Fuchs, Angela; Stein, Janine; Luck, Tobias; Bickel, Horst; Mösch, Edelgard; Wagner, Michael; Jessen, Frank; Maier, Wolfgang; Scherer, Martin

    2015-01-01

    Objective To investigate time-dependent predictors of institutionalization in old age using a longitudinal approach. Methods In a representative survey of the German general population aged 75 years and older predictors of institutionalization were observed every 1.5 years over six waves. Conditional fixed-effects logistic regressions (with 201 individuals and 960 observations) were performed to estimate the effects of marital status, depression, dementia, and physical impairments (mobility, hearing and visual impairments) on the risk of admission to old-age home or nursing home. By exploiting the longitudinal data structure using panel econometric models, we were able to control for unobserved heterogeneity such as genetic predisposition and personality traits. Results The probability of institutionalization increased significantly with occurrence of widowhood, depression, dementia, as well as walking and hearing impairments. In particular, the occurrence of widowhood (OR = 78.3), dementia (OR = 154.1) and substantial mobility impairment (OR = 36.7) were strongly associated with institutionalization. Conclusion Findings underline the strong influence of loss of spouse as well as dementia on institutionalization. This is relevant as the number of old people (a) living alone and (b) suffering from dementia is expected to increase rapidly in the next decades. Consequently, it is supposed that the demand for institutionalization among the elderly will increase considerably. Practitioners as well as policy makers should be aware of these upcoming challenges. PMID:26658776

  20. Nutritional assessment of institutionalized elderly

    PubMed Central

    Volpini, Milena Maffei; Frangella, Vera Silvia

    2013-01-01

    ABSTRACT Objective: To define the nutritional profile of institutionalized elderly individuals. Methods: Comparative correlation and quantitative field study conducted in a Long-Stay Institution in Sao Paulo (SP), Brazil, between December 2010 and January 2012. To define nutritional diagnosis, data were collected from patient files, such as body mass index, circumferences, triceps skinfold, muscle area of the arm, thickness of the adductor pollicis, handgrip strength, and biochemical test results. The anthropometric variables were presented as mean, standard deviation, and percentages, and were grouped by gender and stratified by age. The level of statistical significance was p<0.05. Results: One hundred and two elderly individuals were selected, and 84 were females. Excess weight was the most common anthropometric diagnosis in men (n=11; 61%), with the detection of protein depletion in those aged 70 years, and possible cases of sarcopenic obesity. All women were in good health conditions (n=84; 100%). However, in 27% (n=23) of them, protein depletion was evident. Conclusion: More anthropometric studies are necessary which would allow a definition of local reference standards, stratified by gender and age group. The difference between populations and factors, such as inclusion and exclusion criteria, and methodological characteristics, limit the use of international standards, interfering in the reliability of the nutritional diagnosis. PMID:23579741

  1. The consequences of early institutionalization: can institutions be improved? – should they?

    PubMed Central

    McCall, Robert B.

    2013-01-01

    Background and scope The focus of this review is on institutionalized children, one of the most inequitably and severely treated groups of children. Although institutions vary, many share some common characteristics, including large groups, high children: caregiver ratios, many and changing caregivers, and caregiver-child interactions that lack warm, sensitive, contingently-responsive, and child-directed behaviors. Resident children develop poorly physically, mentally, and social-emotionally, but those adopted from institutions display substantial catch-up growth in many domains of development. If they are adopted at an early age, there have been no long-term consequences of institutionalization yet measured; but if institutionalization is prolonged, they display higher rates of long-term deficiencies and problems in many domains. Methods This review is based on a database search of the literature, focusing on the development of children while residents, and the development of post-institutionalized children who have been transitioned from institutions to family care. It also draws on the reports and findings of the St. Petersburg–USA Orphanage Intervention. Findings A combination of theories pertaining to attachment (especially caregiver attachment to the infant/toddler), chronic stress, and genetics may explain these outcomes. It appears that caregiver-child interactions are a major contributor to children’s outcomes, and interventions in institutions that improve such interactions produce substantial increases in children’s physical, mental, and social-emotional development, including for children with disabilities. Conclusions Deinstitutionalization and the creation of comprehensive professional child welfare systems emphasizing family care alternatives is a preferred goal, but this is likely to take many low-resource countries decades to develop. If substantial numbers of children remain in institutions despite best efforts to find families for them

  2. Attachment security representations in institutionalized children and children living with their families: links to problem behaviour.

    PubMed

    Torres, Nuno; Maia, Joana; Veríssimo, Manuela; Fernandes, Marilia; Silva, Filipa

    2012-01-01

    The present work analyses differences in the attachment representations of institutionalized children as compared with children from low and high educational level living with their natural families. Participants were 91 Portuguese children, 52% girls, aged 48-96 months. There were three different groups: 19 institutionalized children, 16 low educational level families' children and 56 from high educational level families'. Attachment representations were assessed for Security of the narratives of the Attachment Story Completion Task (ASCT). Psychopathological symptoms were assessed using the Child Behaviour Checklist for parents and caretakers. Verbal skills were assessed using the Wechsler Preschool and Primary Scale of Intelligence--Revised. Results show that institutionalized children have significantly lower security of attachment representations, less verbal skills and higher aggressive behaviour than the other two groups. Attachment representations were associated with social/withdrawal and aggression, independently of age, verbal skills and parents' education. The main effect of institutionalization on externalizing aggressive behaviour was completely mediated by the security of attachment representations.  PMID:21210496

  3. On Lasting Innovation in Schools: Beyond Institutionalization.

    ERIC Educational Resources Information Center

    Jansen, Theo; van der Vegt, Rein

    1991-01-01

    Institutionalization is widely recognized as a rounded-off conclusion of the innovation process. This article suggests that innovation means more than achieving stability and should be conceived in more dynamic terms. A specific innovation (open project education in a Dutch secondary school) is used to illustrate the theoretical analysis. (21…

  4. Attachment Representation of Institutionalized Children in Japan

    ERIC Educational Resources Information Center

    Katsurada, Emiko

    2007-01-01

    This exploratory study represents one of the first attachment investigations of Japanese children who have been institutionalized. Mental representation of attachment was assessed using George and Solomon's (1990, 1996, 2000) Attachment Doll Play Classification System of the Bretherton et al. (1990) doll play story stems. Participants were 32…

  5. Peer Relationships Among Institutionalized Juvenile Boys

    ERIC Educational Resources Information Center

    Preveaux, Neal E.; Ray, Glen E.; LoBello, Steven G.; Mehta, Sheila

    2004-01-01

    This study examined peer relationships (sociometric status and friendship) of institutionalized juvenile males ages 12 to 18. Results replicated previous studies using "normal" nondelinquent samples demonstrating that sociometrically popular status juveniles were evaluated higher on sociability and leadership than were average- or rejected-status…

  6. Career Salience of Institutionalized Adolescent Offenders.

    ERIC Educational Resources Information Center

    Munson, Wayne W.; Strauss, Christine F.

    1993-01-01

    Investigated self-esteem and career salience of institutionalized male adolescent offenders (n=185) in context of Super's lifespan career development theory. Results indicated that participation, commitment, and values expectations in home-family roles contributed significantly to self-esteem in adolescent offenders. Adolescent offenders differed…

  7. Depressive symptoms in institutionalized older adults

    PubMed Central

    Santiago, Lívia Maria; Mattos, Inês Echenique

    2014-01-01

    OBJECTIVE To estimate the prevalence of depressive symptoms among institutionalized elderly individuals and to analyze factors associated with this condition. METHODS This was a cross-sectional study involving 462 individuals aged 60 or older, residents in long stay institutions in four Brazilian municipalities. The dependent variable was assessed using the 15-item Geriatric Depression Scale. Poisson’s regression was used to evaluate associations with co-variables. We investigated which variables were most relevant in terms of presence of depressive symptoms within the studied context through factor analysis. RESULTS Prevalence of depressive symptoms was 48.7%. The variables associated with depressive symptoms were: regular/bad/very bad self-rated health; comorbidities; hospitalizations; and lack of friends in the institution. Five components accounted for 49.2% of total variance of the sample: functioning, social support, sensory deficiency, institutionalization and health conditions. In the factor analysis, functionality and social support were the components which explained a large part of observed variance. CONCLUSIONS A high prevalence of depressive symptoms, with significant variation in distribution, was observed. Such results emphasize the importance of health conditions and functioning for institutionalized older individuals developing depression. They also point to the importance of providing opportunities for interaction among institutionalized individuals. PMID:24897042

  8. Cognitive Changes among Institutionalized Elderly People

    ERIC Educational Resources Information Center

    Navarro, Jose I.; Menacho, Inmaculada; Alcalde, Concepcion; Marchena, Esperanza; Ruiz, Gonzalo; Aguilar, Manuel

    2009-01-01

    The efficiency of different cognitive training procedures in elderly people was studied. Two types of methods to train cognitive and memory functions were compared. One method was based on new technologies and the other one on pencil-and-paper activities. Thirty-six elderly institutionalized people aged 68-94 were trained. Quantitative and memory…

  9. Grandparents in law: investigating the institutionalization of extended family roles.

    PubMed

    Hill, Twyla J

    2002-01-01

    Previous research on grandparents has focused on the individual and familial level and has characterized grandparent roles as ambiguous and contingent. Emphasizing instead structural phenomena, this theoretical paper argues that grandmother and grandfather roles are being institutionalized through state and federal legislation. This phenomenon provides an opportunity to investigate the process of institutionalization as it happens. Grandparenthood is evaluated as a potential site for institutionalization and law as a source of institutionalization is discussed. Preliminary evidence of the legal institutionalization of grandparenthood is presented and implications and directions for further research are suggested. PMID:12003500

  10. Sexual Knowledge and Attitudes of Institutionalized and Noninstitutionalized Retarded Adolescents

    ERIC Educational Resources Information Center

    Hall, Judy E.; Morris, Helen L.

    1976-01-01

    Sixty-one noninstitutionalized and 61 institutionalized educable mentally retarded adolescents were psychometrically assessed on three measures: sexual knowledge, sexual attitudes, and self-concept. (Author)

  11. Institutionalization of Gerontological Curricular Change in Schools of Social Work

    ERIC Educational Resources Information Center

    Wernet, Stephen P.; Singleton, Judy L.

    2010-01-01

    This study addresses factors associated with sustainability and institutionalization of change in the 67 Geriatric Enrichment in Social Work Education (GeroRich) projects, and the ways innovations introduced became institutionalized at the respective colleges and universities. An unobtrusive qualitative-descriptive research design was used to…

  12. 43 CFR 17.252 - Education of institutionalized persons.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Education at 34 CFR 104.33(b). Nothing in this section shall be interpreted as altering in any way the... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Education of institutionalized persons. 17... § 17.252 Education of institutionalized persons. A recipient that operates or supervises a program...

  13. 7 CFR 15b.39 - Education of institutionalized persons.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false Education of institutionalized persons. 15b.39 Section... § 15b.39 Education of institutionalized persons. A recipient to which this subpart applies that operates...)(2), in its program or activity is provided an appropriate education, as defined in §...

  14. 43 CFR 17.252 - Education of institutionalized persons.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Education at 34 CFR 104.33(b). Nothing in this section shall be interpreted as altering in any way the... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Education of institutionalized persons. 17... § 17.252 Education of institutionalized persons. A recipient that operates or supervises a program...

  15. 45 CFR 84.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Education of institutionalized persons. 84.54..., Welfare, and Social Services § 84.54 Education of institutionalized persons. A recipient to which this... its program or activity is provided an appropriate education, as defined in § 84.33(b). Nothing...

  16. 45 CFR 84.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Education of institutionalized persons. 84.54..., Welfare, and Social Services § 84.54 Education of institutionalized persons. A recipient to which this... its program or activity is provided an appropriate education, as defined in § 84.33(b). Nothing...

  17. 43 CFR 17.252 - Education of institutionalized persons.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Education at 34 CFR 104.33(b). Nothing in this section shall be interpreted as altering in any way the... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Education of institutionalized persons. 17... § 17.252 Education of institutionalized persons. A recipient that operates or supervises a program...

  18. 45 CFR 84.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Education of institutionalized persons. 84.54..., Welfare, and Social Services § 84.54 Education of institutionalized persons. A recipient to which this... its program or activity is provided an appropriate education, as defined in § 84.33(b). Nothing...

  19. 7 CFR 15b.39 - Education of institutionalized persons.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 1 2012-01-01 2012-01-01 false Education of institutionalized persons. 15b.39 Section... § 15b.39 Education of institutionalized persons. A recipient to which this subpart applies that operates...)(2), in its program or activity is provided an appropriate education, as defined in §...

  20. 43 CFR 17.252 - Education of institutionalized persons.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Education at 34 CFR 104.33(b). Nothing in this section shall be interpreted as altering in any way the... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Education of institutionalized persons. 17... § 17.252 Education of institutionalized persons. A recipient that operates or supervises a program...

  1. 7 CFR 15b.39 - Education of institutionalized persons.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 1 2011-01-01 2011-01-01 false Education of institutionalized persons. 15b.39 Section... § 15b.39 Education of institutionalized persons. A recipient to which this subpart applies that operates...)(2), in its program or activity is provided an appropriate education, as defined in §...

  2. 7 CFR 15b.39 - Education of institutionalized persons.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 1 2014-01-01 2014-01-01 false Education of institutionalized persons. 15b.39 Section... § 15b.39 Education of institutionalized persons. A recipient to which this subpart applies that operates...)(2), in its program or activity is provided an appropriate education, as defined in §...

  3. 45 CFR 84.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Education of institutionalized persons. 84.54..., Welfare, and Social Services § 84.54 Education of institutionalized persons. A recipient to which this... its program or activity is provided an appropriate education, as defined in § 84.33(b). Nothing...

  4. Institutionalizing Equitable Policies and Practices for Contingent Faculty

    ERIC Educational Resources Information Center

    Kezar, Adrianna; Sam, Cecile

    2013-01-01

    This study is a qualitative inquiry into the institutionalization of equitable policies for non-tenure-track faculty. Through the theoretical framework of institutionalization, we examine factors and strategies forwarding various policies and practices and the challenges that arise. The results highlight themes throughout the stages of…

  5. Suicide Experiences among Institutionalized Older Veterans in Taiwan

    ERIC Educational Resources Information Center

    Ku, Yan-Chiou; Tsai, Yun-Fang; Lin, Yan-Chiou; Lin, Yea-Pyng

    2009-01-01

    Purpose: Institutionalized veterans in Taiwan are a high-risk group for completing suicide due to their institutionalization and social minority status. The purpose of this study was to understand the suicide experiences, especially the triggers of suicide in this group. Design and Methods Data: about suicide experiences were collected from 19…

  6. 43 CFR 17.252 - Education of institutionalized persons.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Education at 34 CFR 104.33(b). Nothing in this section shall be interpreted as altering in any way the... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Education of institutionalized persons. 17... § 17.252 Education of institutionalized persons. A recipient that operates or supervises a program...

  7. 45 CFR 605.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Education of institutionalized persons. 605.54... ASSISTANCE Health, Welfare, and Social Services § 605.54 Education of institutionalized persons. A recipient... appropriate education, as defined in § 605.33(b). Nothing in this section shall be interpreted as altering...

  8. 45 CFR 84.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Education of institutionalized persons. 84.54..., Welfare, and Social Services § 84.54 Education of institutionalized persons. A recipient to which this... its program or activity is provided an appropriate education, as defined in § 84.33(b). Nothing...

  9. 7 CFR 15b.39 - Education of institutionalized persons.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Education of institutionalized persons. 15b.39 Section... § 15b.39 Education of institutionalized persons. A recipient to which this subpart applies that operates...)(2), in its program or activity is provided an appropriate education, as defined in §...

  10. On the Production of China Universities' Non-Institutionalized Power Structure and the Dialectical Analysis

    ERIC Educational Resources Information Center

    Liu, Yuting

    2011-01-01

    By analyzing reasons for and problems in China universities' non-institutionalized power structure, this paper tries to prove the limits of non-institutionalized power structure making up for institutionalized power structure in universities, with the hope of revealing the deep reasons for the institutionalized structure imbalance in universities.

  11. Forced Conscription of Children during Armed Conflict: Experiences of Former Child Soldiers in Northern Uganda

    ERIC Educational Resources Information Center

    Vindevogel, Sofie; Coppens, Kathleen; Derluyn, Ilse; De Schryver, Maarten; Loots, Gerrit; Broekaert, Eric

    2011-01-01

    Objective: Child soldiering can be considered as one of the worst practices of institutionalized child abuse. However, little is known about the scope and nature of this abuse and the consequent experiences of children enrolled in an armed faction. This research aims at enriching the knowledge on the experiences of child soldiers in the Lord's…

  12. Institutionalization of gerontological curricular change in schools of social work.

    PubMed

    Wernet, Stephen P; Singleton, Judy L

    2010-01-01

    This study addresses factors associated with sustainability and institutionalization of change in the 67 Geriatric Enrichment in Social Work Education (GeroRich) projects, and the ways innovations introduced became institutionalized at the respective colleges and universities. An unobtrusive qualitative-descriptive research design was used to analyze the content of the GeroRich projects' annual reports over the initiative's 3-year period. Diffusion of innovation and institutional theories provided the framework for the finding that mimetic and normative processes, rather than coercive ones, had more direct impact on institutionalization of the curriculum innovations. Provision of resources transformed mimetic to normative isomorphic pressure thereby assisting with the progression of innovation from periphery to core. Programmatic and student-focused factors were the primary aspects associated with sustaining and institutionalizing innovation and changes. Barriers to innovation, such as budget constraints and reaccreditation issues, were also addressed by the projects. PMID:20390625

  13. [Nutritional status of institutionalized Venezuelan elderly].

    PubMed

    Rodríguez, Nahir; Hernández, Rosa; Herrera, Héctor; Barbosa, Johanna; Hernández-Valera, Yolanda

    2005-09-01

    With the aim of evaluating the nutritional status of institutionalized elders in different geriatric units of the metropolitan area of Caracas, 126 subjects with ages between 60 and 96 years old were evaluated. The Mini Nutritional Assessment was applied and were identified 48.4% individuals with nutritional risk, 5.6% malnourished and 46% without nutritional problems. Females presented higher prevalences of malnutrition and risk, while males presented an adequate nutritional state. By sex and age, females and males over 80 years presented a higher prevalence of malnutrition and risk when they were compared whit those younger. A low dayly liquid intake, a BMI equal or under of 23 kg/m2 and a limited physical performance were the items that presented the highest prevalence among the studied elders. In conclusion, the high prevalence of malnutrition risk in this population group, remarks the necessity to include into the global geriatric evaluation, a quick, simple and non-invasive instrument that allows to estimate the nutritional status of the elders. PMID:16152778

  14. Potential Selective Responding in a Parent Questionnaire Study of Post-Institutionalized Children.

    PubMed

    Hawk, Brandi N; Wright, Amanda; Julian, Megan M; Rosas, Johana M; Merz, Emily C; McCall, Robert B

    2013-01-01

    Selective responding bias, though under-researched, is of particular concern in the study of post-institutionalized children because many studies rely on mailed questionnaires and response rates are often low. The current study addresses the impact of selective responding in a single wave of data collection and in a multi-wave study. Participants were 121 parents from a larger four-wave study of post-institutionalized children, identified as Never Responders, Previous Responders (but not to the current wave), or Wave 4 Responders. Parents were telephoned and asked about their adopted child's family, school, peer, and behavioral adjustment. The children (47% male) ranged in age from 2 to 20 years (M = 10.79, SD = 4.59) and had been adopted between 5 and 54 months of age (M = 15.49, SD = 9.94). There were no differences in parent ratings of adjustment for a single wave of data collection; however, participants who never responded reported poorer family and peer adjustment than those who had responded to at least one wave of data collection. Within a single wave of data collection, there was no evidence that selective responding contributes much bias. Over a multi-wave study, however, results may under-represent adjustment difficulties, especially with family and friends. PMID:23710124

  15. Indiscriminate Behaviors in Previously Institutionalized Young Children

    PubMed Central

    Fox, Nathan A.; Drury, Stacy S.; Smyke, Anna T.; Nelson, Charles A.; Zeanah, Charles H.

    2014-01-01

    OBJECTIVE: This study included 54-month-old children with a history of institutional care. Our goal was to: (1) examine differences in indiscriminate social behaviors in children with a history of institutional care compared with home-reared children; (2) test whether foster care reduces indiscriminate social behaviors in a randomized controlled trial; and (3) examine early predictors of indiscriminate behaviors. METHODS: Participants were 58 children with a history of institutional care and 31 never-institutionalized control (NIG) subjects enrolled in a randomized controlled trial of foster care for institutional care, assessed from toddlerhood to 54 months. Indiscriminate social behaviors were measured naturalistically by using the Stranger at the Door procedure. RESULTS: In the Stranger at the Door procedure, children with a history of institutional care left with a stranger at higher rates than NIG subjects (33% vs 3.5%; P < .001). Children in the care as usual group left more than NIG subjects (41.9% vs 3.6%; P ≤ .001). The differences between the foster care group (24.1%) and the care as usual group and between foster care group and NIG were not significant. In a logistic regression, early disorganized attachment behaviors, baseline developmental quotient, and caregiving quality after randomization contributed to variance at 54 months. In the same analysis using only children with a history of institutional care, only disorganized attachment contributed significantly to 54-month indiscriminate social behaviors (Exp[B] = 1.6 [95% confidence interval: 1.1–2.5]). CONCLUSIONS: Observed socially indiscriminate behaviors at 54 months were associated with prolonged exposure to institutional care. Young children raised in conditions of deprivation who fail to develop organized attachments as toddlers are at increased risk for subsequent indiscriminate behaviors. PMID:24488743

  16. Linking young and old institutionalized people.

    PubMed

    Solon, J A; Amthor, R P; Rabb, M Y; Shelley, J C

    1977-01-01

    A proprietary nursing home for the elderly in the State of North Carolina succeeded in pairing itself for joint activities of residents with an institution for the young mentally retarded. The young and old residents of the two homes were thus enabled to help each other, and thereby to help themselves as well. For the nursing home residents, this program provided an opportunity to engage in respected volunteer work and to regain a meaningful role in the community. It is believed that indications drawn from this demonstration of interaction between a nursing home and a home for the mentally retarded can aid in farther planning of such arrangements and in identifying research needs and potentials. Although only relatively few of the mildly impaired elderly in the nursing home volunteered for the joint activity, the ripple effect of the project extended beyond the direct participants. Since residents of the two institutions alternated visits, nonparticipants had a chance to observe and even participate in the activities for short periods. Even those who chose not to participate at all shared in the enriched conversation that resulted from this experience. The project was obviously a source of satisfaction and pride to residents of the nursing home, and the activity was eagerly received by the mentally retarded youngsters. The program demonstrates that aged persons in nursing homes can be tapped as a resource for providing service to institutionalized mentally retarded children and that a mutually beneficial relationship between the two institutions can accompany such service. Many leads for worthwhile research emerge from this pilot project. PMID:834844

  17. A Case Study of the Institutionalization of Service-Learning at a Baptist College

    ERIC Educational Resources Information Center

    Long, Jody Thomas

    2013-01-01

    This qualitative study, utilizing the case study method, sought to address the issues associated with the lack of institutionalization of service-learning practices on college campus by describing the institutionalization of service-learning practices at a Baptist-affiliated college. The study describes the development and institutionalization of…

  18. Family Involvement Following Institutionalization: Modeling Nursing Home Visits over Time

    ERIC Educational Resources Information Center

    Gaugler, Joseph E.; Zarit, Steven H.; Pearlin, Leonard I.

    2003-01-01

    Gerontological research has emphasized family members' continued involvement in the lives of loved ones following institutionalization. However, many of these studies are cross-sectional in design and do not ascertain how family members' visits change over time. The present study utilized a growth curve analysis to examine preplacement and…

  19. Under Constriction: Colonization and Synthetic Institutionalization of Web Space.

    ERIC Educational Resources Information Center

    Killoran, John B.

    2002-01-01

    Draws on a study of 106 personal homepages in order to present a theoretical model of how citizens' potentials as Web publishers are being compromised by the leadership of institutional discourses. Proposes an analogous process of synthetic institutionalization, in which personal homepage publishers affect institutional poses by adapting Norman…

  20. Social Communication Difficulties and Autism in Previously Institutionalized Children

    PubMed Central

    Levin, April R.; Fox, Nathan A.; Zeanah, Charles H.; Nelson, Charles A.

    2015-01-01

    Objective To determine the risk of difficulties with social communication and restricted/repetitive behaviors as well as the rate of autism in children institutionalized in early infancy and to assess the impact of a foster care intervention on ameliorating this risk. Method Children abandoned at birth and raised in institutions in Bucharest, Romania were randomly assigned to a care-as-usual group (institutional care, CAUG), or placed in family-centered foster care (FCG) as part of the Bucharest Early Intervention Project (BEIP). At approximately 10 years of age, the Social Communication Questionnaire (SCQ) was administered to caregivers of children in both groups, as well as to parents of a typically developing community sample (Never Institutionalized group, NIG) residing in Bucharest, Romania. Children scoring ≥ 12 on the SCQ underwent clinical evaluation for autism spectrum disorder (ASD). Results Caregivers of children with a history of institutionalization reported that these children had significantly more deviant behavior than never institutionalized children on all subdomains of the SCQ (all p<0.001). Children in the FCG had significantly lower scores on the SCQ than children in the CAUG (p<.001), particularly in the reciprocal social interaction domain, indicating that the intervention reduced problems in social communication. Three of 60 CAUG children, 2 of 57 FCG children, and none of the NIG children received a formal ASD diagnosis. Conclusion Early institutional rearing was associated with an increased risk of social communication difficulties and ASD. A family-centered foster care intervention improved social communication skills. PMID:25617251

  1. Institutionalization of Community Partnerships: The Challenge for Academic Health Centers

    PubMed Central

    Magwood, Gayenell S.; Andrews, Jeannette O.; Zapka, Jane; Cox, Melissa J.; Newman, Susan; Stuart, Gail W.

    2014-01-01

    Summary Current public health priorities emphasize the elimination of health disparities, translational research, and transdisciplinary and community alliances. The Center for Community Health Partnerships is a proactive initiative to address new paradigms and priorities in health care through institutionalization of community-university partnerships. This report highlights innovative strategies and lessons learned. PMID:23698666

  2. Filipino Arts among Elders in Institutionalized Care Settings

    ERIC Educational Resources Information Center

    de Guzman, Allan B.; Satuito, James Cyril B.; Satumba, Miko Anne E.; Segui, Diego Rey A.; Serquina, Faith Evelyn C.; Serrano, Lawrence Jan P.; Sevilla, Madelyn D.

    2011-01-01

    The use of traditional art in recreational therapies is unexplored. This paper, thus, attempts to surface the unique power of traditional Filipino arts (TFA) as synergizing lens in capturing the individual and the collective experiences of a select group of Filipino elderly in an institutionalized care setting relative to their feelings of…

  3. The Effects of Duration of Caregiving on Institutionalization

    ERIC Educational Resources Information Center

    Gaugler, Joseph E.; Kane, Robert L.; Kane, Rosalie A.; Clay, Ted; Newcomer, Robert C.

    2005-01-01

    Purpose: Our objective in this analysis was to determine how the duration of caregiving interacts with key care demands (i.e., severity of problem behaviors) to influence the institutionalization of individuals suffering from dementia. Methods: We utilized multiregional data from 4,761 caregivers of individuals with dementia over a 3-year period.…

  4. Predictors of Increased Death Following Relocation in Institutionalized Elderly.

    ERIC Educational Resources Information Center

    Mosty, Mark; And Others

    Because research studies on post-relocation mortality in the elderly have come to inconsistent and contradictory conclusions, clinical teams recommending patients for placement are still relying on educated intuition as a basis for clinical decisions in what may be a life-or-death matter for elderly institutionalized patients. This study was…

  5. Long-Term Adaptation to Institutionalization in Dementia Caregivers

    ERIC Educational Resources Information Center

    Gaugler, Joseph E.; Pot, Anne Margriet; Zarit, Steven H.

    2007-01-01

    Purpose: Longitudinal research in dementia has acknowledged the importance of transitions during the course of family caregiving. However, long-term adaptation to institutionalization has received little attention. This study attempts to describe caregivers' adaptation (changes in stress, well-being, and psychosocial resources) to placement up to…

  6. Institutionalization of Technology Transfer Organizations in Chinese Universities

    ERIC Educational Resources Information Center

    Cai, Yuzhuo; Zhang, Han; Pinheiro, Rómulo

    2015-01-01

    There is a lack of in-depth studies on how technology transfer organizations (TTOs) are organized and developed. This paper examines the evolution/institutionalization of TTOs in Tsinghua University (TU), as a microcosm of the development of TTOs in Chinese universities. It explores two issues in particular: what kinds of TTOs have been developed…

  7. Institutionalized Adolescents' Perceptions of a Summer Camp Program

    ERIC Educational Resources Information Center

    Herr, David E.

    1977-01-01

    Describes the use of the facilities of Camp Easter Seal, Virginia, for institutionalized adolescents from different hospitals in Virginia. Also includes the attitudes of the patients toward their camping experience, their camp counselors, and what they learned from their camping experience. (Author/RK)

  8. 34 CFR 104.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 1 2014-07-01 2014-07-01 false Education of institutionalized persons. 104.54 Section 104.54 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES...

  9. 38 CFR 18.454 - Education of institutionalized persons.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false Education of... Social Services § 18.454 Education of institutionalized persons. A recipient that operates or supervises... is provided an appropriate education, as defined in § 18.433(b). Nothing in this section shall...

  10. 34 CFR 104.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 1 2011-07-01 2011-07-01 false Education of institutionalized persons. 104.54 Section 104.54 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES...

  11. 38 CFR 18.454 - Education of institutionalized persons.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Education of... Social Services § 18.454 Education of institutionalized persons. A recipient that operates or supervises... is provided an appropriate education, as defined in § 18.433(b). Nothing in this section shall...

  12. 38 CFR 18.454 - Education of institutionalized persons.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false Education of... Social Services § 18.454 Education of institutionalized persons. A recipient that operates or supervises... is provided an appropriate education, as defined in § 18.433(b). Nothing in this section shall...

  13. 38 CFR 18.454 - Education of institutionalized persons.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 false Education of... Social Services § 18.454 Education of institutionalized persons. A recipient that operates or supervises... is provided an appropriate education, as defined in § 18.433(b). Nothing in this section shall...

  14. 34 CFR 104.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 1 2013-07-01 2013-07-01 false Education of institutionalized persons. 104.54 Section 104.54 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES...

  15. 34 CFR 104.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 1 2012-07-01 2012-07-01 false Education of institutionalized persons. 104.54 Section 104.54 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES...

  16. Institutionalizing Innovation in an Organization: A Model and Case Study.

    ERIC Educational Resources Information Center

    Slawski, Carl

    A policy systems theoretical analysis of the problem of institutionalizing innovation in an organization is summarized in a flow diagram. The model is presented in terms of specific hypotheses, and then illustrated with a case of frustrated innovation, the 1968-69 crisis and strike at San Francisco State College. The model is set up (1) to help…

  17. Institutionalization of Information Security: Case of the Indonesian Banking Sector

    ERIC Educational Resources Information Center

    Nasution, Muhamad Faisal Fariduddin Attar

    2012-01-01

    This study focuses on the institutionalization of information security in the banking sector. This study is important to pursue since it explicates the internalization of information security governance and practices and how such internalization develops an organizational resistance towards security breach. The study argues that information…

  18. Institutionalization of evidence-informed practices in healthcare settings

    PubMed Central

    2012-01-01

    Background The effective and timely integration of the best available research evidence into healthcare practice has considerable potential to improve the quality of provided care. Knowledge translation (KT) approaches aim to develop, implement, and evaluate strategies to address the research-practice gap. However, most KT research has been directed toward implementation strategies that apply cognitive, behavioral, and, to a lesser extent, organizational theories. In this paper, we discuss the potential of institutional theory to inform KT-related research. Discussion Despite significant research, there is still much to learn about how to achieve KT within healthcare systems and practices. Institutional theory, focusing on the processes by which new ideas and concepts become accepted within their institutional environments, holds promise for advancing KT efforts and research. To propose new directions for future KT research, we present some of the main concepts of institutional theory and discuss their application to KT research by outlining how institutionalization of new practices can lead to their ongoing use in organizations. In addition, we discuss the circumstances under which institutionalized practices dissipate and give way to new insights and ideas that can lead to new, more effective practices. Summary KT research informed by institutional theory can provide important insights into how knowledge becomes implemented, routinized, and accepted as institutionalized practices. Future KT research should employ both quantitative and qualitative research designs to examine the specifics of sustainability, institutionalization, and deinstitutionalization of practices to enhance our understanding of these complex constructs. PMID:23171660

  19. 45 CFR 605.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 3 2012-10-01 2012-10-01 false Education of institutionalized persons. 605.54 Section 605.54 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL...

  20. 45 CFR 605.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 3 2011-10-01 2011-10-01 false Education of institutionalized persons. 605.54 Section 605.54 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL...

  1. 45 CFR 605.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 3 2013-10-01 2013-10-01 false Education of institutionalized persons. 605.54 Section 605.54 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Health, Welfare, and Social...

  2. 45 CFR 605.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 3 2014-10-01 2014-10-01 false Education of institutionalized persons. 605.54 Section 605.54 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL...

  3. Institutionalization of Higher Vocational Education in China: A Neoinstitutionalist Perspective

    ERIC Educational Resources Information Center

    Xiong, Jie

    2013-01-01

    From the perspective of neoinstitutionalism, higher vocational education has become an emerging institution in Chinese society. Its development over three decades entails a trend of institutionalization of higher vocational education. In such a process, higher vocational education is gaining legitimacy and experiencing isomorphic changes. Various…

  4. Nutritional Status of Institutionalized Children and Adolescents with Developmental Disabilities.

    ERIC Educational Resources Information Center

    Pesce, Kathleen A.; And Others

    1989-01-01

    A comprehensive nutritional assessment was conducted of 37 institutionalized developmentally disabled children/adolescents. Variables included dietary intake, serum laboratory values, anthropometric measurements, feeding skills assessment, and clinical assessment. Findings suggested that the children/adolescents were adequately nourished and had…

  5. Pharmacotherapy for Institutionalized Adolescents: Report of a Panel.

    ERIC Educational Resources Information Center

    Kalogerakis, Michael G., Ed.

    Presented are 34 guidelines and related charts developed by a New York panel of experts on psychotherapy with disturbed institutionalized adolescents. The guidelines are organized into general principles, specific indications (acute disturbances subacute, and chronic disturbances), and the patient's rights. Charts include a list of commonly used…

  6. False Belief and Emotion Understanding in Post-Institutionalized Children

    ERIC Educational Resources Information Center

    Tarullo, Amanda R.; Bruce, Jacqueline; Gunnar, Megan R.

    2007-01-01

    Deficits in social cognition may impair the ability to negotiate social transactions and relationships and contribute to socio emotional difficulties experienced by some post-institutionalized children. We examined false belief and emotion understanding in 40 institutional care-adopted children, 40 foster care-adopted children and 40 birth…

  7. Institutionalizing in Loco Parentis after Gott v. Berea College (1913)

    ERIC Educational Resources Information Center

    Loss, Christopher P.

    2014-01-01

    Background/Context: The institutionalization of in loco parentis in the wake of Gott v. Berea College (1913) marked a major turning point in the evolution of student management theory and practice. Focusing on the crucial decade of the 1920s, when American higher education first became a mass enterprise, this study explores the interaction of…

  8. Institutionalizing Retention Activity: Toward a Theory-Based Model.

    ERIC Educational Resources Information Center

    Saunders, Martha Dunagin

    2003-01-01

    Examines Appreciative Inquiry, a relatively new approach to organizational change and growth, as a method for institutionalizing retention activity. Results of a case study in a college of arts and sciences suggest the method to be effective in creating a shared vision for the organization, energized participants, improved morale, and increased…

  9. 42 CFR 441.13 - Prohibitions on FFP: Institutionalized individuals.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Prohibitions on FFP: Institutionalized individuals. 441.13 Section 441.13 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES General Provisions...

  10. Mechanisms for Institutionalizing Service-Learning and Community Partner Outcomes

    ERIC Educational Resources Information Center

    Stater, Keely Jones; Fotheringham, Eric

    2009-01-01

    Using data on service-learning partnerships from 255 universities receiving Learn and Serve America Grants in 2005, we ask (1) how different strategies used to institutionalize service-learning shape the perceived impact of the partnership on community groups, (2) how the level of service-learning program formality affects the perceived impact of…

  11. 34 CFR 104.54 - Education of institutionalized persons.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Education of institutionalized persons. 104.54 Section 104.54 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES...

  12. 38 CFR 18.454 - Education of institutionalized persons.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Education of... Social Services § 18.454 Education of institutionalized persons. A recipient that operates or supervises... is provided an appropriate education, as defined in § 18.433(b). Nothing in this section shall...

  13. Challenges to institutionalizing strategic environmental assessment: The case of Vietnam

    SciTech Connect

    Slunge, Daniel; Tran, Trang Thi Huyen

    2014-09-15

    Building on new institutional theory, this paper develops an analytical framework for analyzing constraints to the institutionalization of strategic environmental assessment (SEA) at four different institutional levels. The framework is tested in an empirical analysis of the environmental assessment system in Vietnam, which is a frontrunner among developing countries regarding the introduction and use of SEA. Building on interviews with Vietnamese and international experts, as well as an extensive literature review, we identify institutional constraints which challenge the effective use of SEA in Vietnam. We conclude that commonly identified constraints, such as inadequate training, technical guidelines, baseline data and financial resources, are strongly linked to constraints at higher institutional levels, such as incentives to not share information between ministries and severe restrictions on access to information and public participation. Without a thorough understanding of these institutional constraints, there is a risk that attempts to improve the use of SEA are misdirected. Thus, a careful institutional analysis should guide efforts to introduce and improve the use of SEA in Vietnam and other developing countries. The analytical framework for analyzing constraints to institutionalization of SEA presented in this paper represents a systematic effort in this direction. - Highlights: • A framework for analyzing constraints to institutionalizing SEA is developed • Empirical analysis of the strategic environmental assessment system in Vietnam • Constraints in the action arena linked to deeper institutional constraints • Institutional analysis needed prior to introducing SEA in developing countries.

  14. M*A*S*H: A Program of Social Interaction Between Institutionalized Aged and Adult Mentally Retarded Persons

    ERIC Educational Resources Information Center

    Kalson, Leon

    1976-01-01

    Restoration of a major social role to institutionalized aged through a program of social interaction and socialization with adult mentally retarded is described and evaluated. The over-all findings encourage this innovative opportunity for institutionalized aged. (Author)

  15. Theorizing Teacher Agency and Reform: How Institutionalized Instructional Practices Change and Persist

    ERIC Educational Resources Information Center

    Bridwell-Mitchell, E. N.

    2015-01-01

    One reason reform does not dramatically change public schools is because instructional practices are highly institutionalized. This article advances a theory for how teacher agency can both change and maintain institutionalized instructional practices in schools. Based on findings from one U.S. urban public school undergoing state-mandated reform,…

  16. Will It Last? Evidence of Institutionalization at Carnegie Classified Community Engagement Institutions

    ERIC Educational Resources Information Center

    Holland, Barbara A.

    2009-01-01

    The traditional question inferred by attention to institutionalization is, "Will it last?" or "Will it die out when there is a new leader or when the grant ends?" In the case of community engagement, attention to institutionalization reveals a more complex portrait of organizational change that includes a critical reflection on not only the…

  17. Change at Big School and Little School: Institutionalization and Contestation in Participatory Action Research

    ERIC Educational Resources Information Center

    Flores-Kastanis, Eduardo

    2009-01-01

    Participatory action research (PAR) assumes a dialectic model of change where the tension between institutionalization and contestation practices leads to change in schools. This view openly contradicts the three dominating views of institutionalization in the educational change literature. Over the past 11 years, research has been conducted to…

  18. How Institutionalized Is Distance Learning? A Study of Institutional Role, Locale and Academic Level

    ERIC Educational Resources Information Center

    Piña, Anthony A.

    2008-01-01

    The purpose of this study was to determine areas of strengths and weaknesses in the institutionalization of distance learning at colleges and universities. To accomplish this goal, 30 factors found to influence the institutionalization of innovations were identified from the literature of several area. These factors were rated by distance learning…

  19. An Alcohol Education and Traffic Safety Program for Institutionalized Juvenile Offenders.

    ERIC Educational Resources Information Center

    Rohrer, Glenn E.; And Others

    1984-01-01

    Describes a preventive, educational program on alcohol and traffic safety conducted with institutionalized delinquents (N=66) identified as a high risk group for drinking and driving. Results supported the success of the program and confirmed that institutionalized delinquents were in fact an extremely high risk group. (LLL)

  20. Institutionalization of Organizational Change: A Study of HRD Interventions in Singaporean, US, Japanese, and German Companies

    ERIC Educational Resources Information Center

    Osman-Gani, AAhad M.; Jacobs, Ronald L.

    2004-01-01

    Institutionalizing organizational change has emerged as an issue among organization researchers and managers alike. Institutionalization of change is derived from change management theory in its emphasis on understanding the roots of organizational success and failure. The field of HRD appears particularly poised to help organizations…

  1. Dental Survey of Institutionalized Children with Autistic Disorder

    PubMed Central

    Kakodkar, Pradnya; Chaugule, Vishwas; Nimbalkar, Vidya

    2012-01-01

    ABSTRACT The objective of this study was to assess the oral hygiene practices, dietary pattern, dental caries status and needs of institutionalized autistic children. The sample consisted of 35 children (28 males and 7 females) in the age group of 5 to 10 years from two institutions in Maharashtra, India. The parents of the children were interviewed regarding oral hygiene practices of their respective ward and instructed to maintain a 4-day diet chart for their children. A clinical examination was conducted using WHO dentition status and treatment needs index and a simplified oral hygiene index for ages 4 to 6 years and 7 to 10 years (deciduous and mixed dentition) was used to assess the oral hygiene. The results of diet chart analysis according to Nizel AE and Papas AS score showed the ‘at meal’ sugar exposure close to nil, while the ‘in between’ meal sugar exposure was observed to be more than three times per day among maximum children. The oral hygiene status was poor with abundance of soft debris and fair calculus accumulation. The mean caries experience (deft) in these children was 6.4. The present study provided baseline data which has been used for planning a comprehensive oral health care program. How to cite this article: Chadha GM, Kakodkar P, Chaugule V, Nimbalkar V. Dental Survey of Institutionalized Children with Autistic Disorder. Int J Clin Pediatr Dent 2012;5(1):29-32. PMID:25206131

  2. Institutionalize Reciprocity to Overcome the Public Goods Provision Problem

    PubMed Central

    2016-01-01

    Cooperation is fundamental to human societies, and one of the important paths for its emergence and maintenance is reciprocity. In prisoner’s dilemma (PD) experiments, reciprocal strategies are often effective at attaining and maintaining high cooperation. In many public goods (PG) games or n-person PD experiments, however, reciprocal strategies are not successful at engendering cooperation. In the present paper, we attribute this difficulty to a coordination problem against free riding among reciprocators: Because it is difficult for the reciprocators to coordinate their behaviors against free riders, this may lead to inequality among players, which will demotivate them from cooperating in future rounds. We propose a new mechanism, institutionalized reciprocity (IR), which refers to embedding the reciprocal strategy as an institution (i.e., institutionalizing the reciprocal strategy). We experimentally demonstrate that IR can prevent groups of reciprocators from falling into coordination failure and achieve high cooperation in PG games. In conclusion, we argue that a natural extension of the present study will be to investigate the possibility of IR to serve as a collective punishment system. PMID:27248493

  3. Institutionalize Reciprocity to Overcome the Public Goods Provision Problem.

    PubMed

    Ozono, Hiroki; Kamijo, Yoshio; Shimizu, Kazumi

    2016-01-01

    Cooperation is fundamental to human societies, and one of the important paths for its emergence and maintenance is reciprocity. In prisoner's dilemma (PD) experiments, reciprocal strategies are often effective at attaining and maintaining high cooperation. In many public goods (PG) games or n-person PD experiments, however, reciprocal strategies are not successful at engendering cooperation. In the present paper, we attribute this difficulty to a coordination problem against free riding among reciprocators: Because it is difficult for the reciprocators to coordinate their behaviors against free riders, this may lead to inequality among players, which will demotivate them from cooperating in future rounds. We propose a new mechanism, institutionalized reciprocity (IR), which refers to embedding the reciprocal strategy as an institution (i.e., institutionalizing the reciprocal strategy). We experimentally demonstrate that IR can prevent groups of reciprocators from falling into coordination failure and achieve high cooperation in PG games. In conclusion, we argue that a natural extension of the present study will be to investigate the possibility of IR to serve as a collective punishment system. PMID:27248493

  4. Factors Associated with Anemia in the Institutionalized Elderly.

    PubMed

    Silva, Emanuelle Cruz da; Roriz, Anna Karla Carneiro; Eickemberg, Michaela; Mello, Adriana Lima; Côrtes, Elvira Barbosa Quadros; Feitosa, Caroline Alves; Medeiros, Jairza Maria Barreto; Ramos, Lílian Barbosa

    2016-01-01

    As a common problem in long-term care facilities (LTCFs), anemia affects 25-63% of the elderly. The aim of the present study was to describe the prevalence and characteristics of anemia and its associated factors in the institutionalized elderly. The cross-sectional study was carried out with three hundred thirteen individuals aged ≥ 60 years, of both genders, living in long-term care facilities for the elderly in Salvador, Bahia, Brazil. Poisson regression (PR) with robust variance estimates was used to assess the factors related to anemia. The prevalence of anemia was 38%. Mild anemia was predominant in both genders (male: 26.8%; female: 21.1%), as normocytic and normochromic anemia, with no anisocytosis (69.75%). Anemia was associated with thinness (PR: 1.68; 95% CI: 1.04-2.72) and with moderate (PR: 1.98; 95% CI: 1.07-3.63) and total (PR: 2.61; 95% CI: 1.34-5.07) dependence in the final model. Severe dependence exhibited borderline significance (PR: 1.94; 95% CI: 1.00-3.77). The prevalence of anemia was high in the institutionalized elderly in both genders, with characteristics suggesting chronic diseases as the causal factor, and the frequency of occurrence was higher in thinness elderly with moderate to total dependence. PMID:27607057

  5. [Understanding homicides in Latin America: poverty or institutionalization?].

    PubMed

    Briceño-León, Roberto

    2012-12-01

    Homicides occur the world over, but they are not homogeneously distributed by geographical areas (continents, countries, regions), either over long or short periods of time, or in social groups, namely age, gender, social class or ethnicity. Why are there more homicides in some countries than in others? Why do killings increase in some countries, while they decrease in others? There are two fundamental schools of thought for social explanations of crime and violence: those attributing its origins to poverty and inequality and those blaming institutionalization or social norms. To discuss these theories, this paper analyzes and compares the changes in Colombia, Venezuela and Brazil in the first decade of the twenty-first century, where the homicide rate has decreased, increased and remained the same, respectively. Using the measurement of six variables (poverty, inequality, unemployment, national wealth, human development and the rule of law) and the technique of trajectory analysis, the results revealed that institutionalization is more to blame for the change than poverty and inequality. The text concludes that poverty and inequality affect crime and homicides, although not directly, but mediated by the institutions instead. PMID:23175393

  6. Developing proper mealtime behaviors of the institutionalized retarded1

    PubMed Central

    O'Brien, F.; Azrin, N. H.

    1972-01-01

    The institutionalized mentally retarded display a variety of unsanitary, disruptive, and improper table manners. A program was developed that included (1) acquisition-training of a high standard of proper table manners and (2) maintenance procedures to provide continued motivation to maintain proper mealtime behaviors and decrease improper skills. Twelve retardates received acquisition training, individually, by a combination of verbal instruction, imitation, and manual guidance. The students then ate in their group dining arrangement where the staff supervisor provided continuing approval for proper manners and verbal correction and timeout for improper manners. The results were: (1) the trained retardates showed significant improvement, whereas those untrained did not; (2) the trained retardates ate as well in the institution as non-retarded customers did in a public restaurant; (3) proper eating was maintained in the group dining setting; (4) timeout was rarely needed; (5) the program was easily administered by regular staff in a regular dining setting. The rapidity, feasibility, and effectiveness of the program suggests the program as a solution to improper mealtime behaviors by the institutionalized mentally retarded. PMID:16795363

  7. The Effects of Early Experience on Face Recognition: An Event-Related Potential Study of Institutionalized Children in Romania

    ERIC Educational Resources Information Center

    Moulson, Margaret C.; Westerlund, Alissa; Fox, Nathan A.; Zeanah, Charles H.; Nelson, Charles A.

    2009-01-01

    Data are reported from 3 groups of children residing in Bucharest, Romania. Face recognition in currently institutionalized, previously institutionalized, and never-institutionalized children was assessed at 3 time points: preintervention (n = 121), 30 months of age (n = 99), and 42 months of age (n = 77). Children watched photographs of caregiver…

  8. A Long Road to an Unresolved Problem: Comprehensive Child Care in the U.S.

    ERIC Educational Resources Information Center

    Rauth, Marilyn

    This booklet reviews the history, current conditions, and future prospects of child care programs in America. Institutionalization of children, placement in foster homes and nurseries, the professionalization of day nurseries, federal monetary assistance to nursery schools, increases in the number of working mothers, and recent proposals for…

  9. Institutionalization of Migration Policy Frameworks in Armenia, Azerbaijan and Georgia

    PubMed Central

    Makaryan, Shushanik; Chobanyan, Haykanush

    2015-01-01

    This article is a comparative study of the institutionalization of the migration policy frameworks of post-Soviet states Armenia, Azerbaijan and Georgia since the collapse of the Soviet Union in 1991. All three countries share common historical legacies: a Soviet past, wars and conflicts, unemployment, high emigration, and commitment to integration into European bodies. To what extent do the migration policies of these three countries (driven by contextual forces, i.e. domestic challenges) address country-specific migration dynamics? Or are they imposed by the European Union? In which dimensions have the national policies on migration of Armenia, Azerbaijan and Georgia evolved, and around which issues have they converged or diverged? Have these trends led to an integration of migration policymaking at the regional level in the South Caucasus? PMID:26435548

  10. Sentence comprehension in post-institutionalized school-aged children

    PubMed Central

    Desmarais, Chantal; Roeber, Barbara J.; Smith, Mary E.; Pollak, Seth D.

    2012-01-01

    Purpose This study investigated sentence comprehension and spatial working memory abilities in a sample of internationally adopted, post-institutionalized (PI) children. We compared the performance of these PI children to an age-matched group of children living with their birth families. We hypothesized that PI children would perform below clinical threshold on tasks of sentence comprehension and that poor sentence comprehension would be associated with poor performance in working memory. Method Twenty-three PI children and 36 comparison children were administered sentence comprehension and spatial memory tasks from standardized assessments. Results Some oral sentence comprehension skills and the spatial working memory skills were weaker in the school-aged PI children than in the age-matched comparison children. A mediational analysis demonstrated that poor spatial working memory performance partially explains the sentence comprehension differences between the two groups. Conclusion These findings provide valuable information to better plan early intervention and special education for PI children. PMID:22199198

  11. Institutionalizing Support for Undocumented Latino/a Students in American Higher Education

    ERIC Educational Resources Information Center

    Gildersleeve, Ryan Evely; Vigil, Darsella

    2015-01-01

    This chapter investigates the institutionalization of support for undocumented students across states that either extend or deny in-state resident tuition (ISRT) benefits. In their review, the authors highlight promising practices.

  12. Caring for our own: the role of institutionalized support structures in Native American nursing student success.

    PubMed

    Cech, Erin A; Metz, Anneke M; Babcock, Tracy; Smith, Jessi L

    2011-09-01

    In this project, the authors asked 19 Native American baccalaureate nursing students to discuss their experiences with a formal institutionalized student support program called "Caring for Our Own: A Reservation/University Partnership Program." The authors investigated the importance of different types of support structures within this program, as viewed by Native American nursing students. They distinguished between four institutionalized support structures: tangible, informational, emotional, and belonging. The authors found that students consider tangible support (such as stipends) to be comparatively less important than other types of support, particularly emotional and belonging support. Responses also revealed the importance of a fifth type of institutionalized support-motivational. The authors further discuss how these institutionalized support structures might lead to successful outcomes for Native American nursing students. PMID:21598863

  13. Maltreatment and mental health in institutional care--comparing early and late institutionalized children in Tanzania.

    PubMed

    Hermenau, Katharin; Hecker, Tobias; Elbert, Thomas; Ruf-Leuschner, Martina

    2014-01-01

    Research has shown the harmful potential of institutional care on young children; however, little is known about the consequences of institutional care on infants in Sub-Saharan Africa. We compared 35 Tanzanian children who were institutionalized at birth to 4 years of age with a matched group of 35 children who were institutionalized at 5 to 14 years of age. We examined adverse childhood experiences over the course of their entire lives, in their family of origin and in institutional care, and mental health problems at primary school age, such as depressive symptoms, aggressive behavior, and internalizing and externalizing problems. Results showed that early institutionalized children reported more adverse experiences during their time in institutional care and a greater variety of mental health problems than did late institutionalized children. Moreover, maltreatment in institutional care was positively related to mental health problems only in early institutionalized children. We conclude that adverse experiences in institutional care play an important role for early institutionalized children who need special care from adequately educated caregivers. Therefore, training concepts focusing on the needs of the youngest children have to be developed, tested, and established. Countries such as Tanzania need policies that apply to all orphanages to ensure an adequate standard of quality in childcare. PMID:25798516

  14. Child Development

    MedlinePlus

    ... content Start of Search Controls Search Form Controls Child Development Cancel Submit Search The CDC CDC A-Z ... Z # Start of Search Controls Search Form Controls Child Development Cancel Submit Search The CDC Child Development Note: ...

  15. Child Abuse

    MedlinePlus

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

  16. Child Poverty and Child Outcomes.

    ERIC Educational Resources Information Center

    Bradshaw, Jonathan

    2002-01-01

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

  17. Dental caries and the need for treatment among institutionalized elderly.

    PubMed

    Vigild, M

    1989-04-01

    The main purpose for the study was to determine the occurrence of untreated dental decay, and to assess the expressed demand for operative caries therapy among dentate institutionalized elderly in Denmark. The study population comprised all dentate elderly in eight nursing homes (n = 126) and in five hospital long-term care facilities (n = 75). In both groups of elderly 70% had untreated decay. The mean number of surfaces with untreated decay among the elderly in nursing homes (NH) and in hospital long-term care facilities (LTC) was respectively 9.7 and 7.5. The predominant factors influencing the occurrence of untreated decay were the use of dental services and the degree of helplessness. Regular use of dental services reduced the amount of untreated decay among the NH elderly, and the totally helpless LTC elderly had more decay than those able to manage alone. Half of the NH residents who had decay did not want treatment or were not able to express their demand for treatment due to poor mental or physical health. The realistic need for traditional operative filling therapy is discussed and it is concluded that the goal of an oral health care program for NH elderly should be to meet not only the demand for such treatment but also the need for emergency treatment and non-operative caries treatment. PMID:2522034

  18. Inhibitory Control and Working Memory in Post-Institutionalized Children

    PubMed Central

    Merz, Emily C.; McCall, Robert B.; Wright, Amanda J.; Luna, Beatriz

    2013-01-01

    Inhibitory control and working memory were examined in post-institutionalized (PI) children adopted into United States families from Russian institutions. The PI sample originated from institutions that were less severely depriving than those represented in previous studies and approximated the level of psychosocial deprivation, which is characterized by adequate physical resources but a lack of consistent and responsive caregiving. PI children (N=75; 29 male) ranged in age from 8–17 years (M=12.97; SD=3.03) and were grouped according to whether they were adopted after 14 months or before 9 months. A non-adopted comparison group (N=133; 65 male) ranged in age from 8–17 years (M=12.26; SD=2.75). PI children adopted after 14 months of age displayed poorer performance on the stop-signal and spatial span tasks relative to PI children adopted before 9 months of age after controlling for age at assessment. The two PI groups did not differ in their performance on a spatial self-ordered search task. Older-adopted PI children also showed poorer spatial span task performance compared to non-adopted children, but younger-adopted PI children did not. Task performance was significantly associated with parent-rated hyperactive-impulsive behavior in everyday contexts. These findings suggest that exposure to prolonged early institutional deprivation may be linked with inhibitory control and working memory difficulties years after adoption. PMID:23519375

  19. INSTITUTIONALIZATION OF THE MENTALLY RETARDED, A SUMMARY AND ANALYSIS OF STATE LAWS GOVERNING ADMISSION TO RESIDENTIAL FACILITIES, AND LEGAL RIGHTS AND PROTECTIONS OF INSTITUTIONALIZED PATIENTS.

    ERIC Educational Resources Information Center

    NEWMAN, ROGER W., ED.

    SUMMARIZING AND ANALYZING LAWS GOVERNING THE ADMISSION OF THE MENTALLY RETARDED TO RESIDENTIAL FACILITIES AND THE LEGAL RIGHTS AND PROTECTIONS OF INSTITUTIONALIZED PATIENTS, THIS REPORT COVERS THE 50 STATES AND THE DISTRICT OF COLUMBIA AT THE END OF 1966. AFTER A CONSIDERATION OF THE METHOD OF REPORTING, TERMINOLOGY, AND DEFINITIONS, 13 TABLES AND…

  20. The Self-Concept and Academic Performance of Institutionalized and Non-Institutionalized HIV/AIDS Orphaned Children in Kisumu Municipality

    ERIC Educational Resources Information Center

    Kimani, Chege Gabriel; Cheboswony, M.; Kodero, H. M.; Misigo, Benard L.

    2009-01-01

    The HIV/AIDS pandemic has increasingly become a major factor in the emergence of orphans in the developing countries. These orphans are usually traumatized due to the multiple losses, isolation, stigma and grief. The study sought to investigate the effect of institutionalization of children on the self-concept of the AIDS-orphaned children and to…

  1. Child Abuse

    MedlinePlus

    ... or become violent. An older child may use drugs or alcohol, try to run away or abuse others. Child abuse is a serious problem. If you suspect a child is being abused or neglected, call the police or your local child welfare agency.

  2. Issues in the creation of organizations: initiation, innovation, and institutionalization.

    PubMed

    Kimberly, J

    1979-09-01

    Kimberly presents a case study of the birth and early development of an innovative medical school. When the school opened in 1971, the existing 86 medical schools all offered similar programs: two years of basic science training in lecture halls and laboratories, followed by two years of direct contact with patients in clinical settings. In the new school, students were taught didactically only during the first year. During the second year, each student was assigned to a community physician who acted as an advisor and who discussed with students those patients afflicted with the diseases the student was currently studying. Available evidence indicated that the school's innovative curriculum was favorably received by the students and that they performed as well as their peers on standardized year-end exams. The author found the case of this medical school to be of particular interest from an organizational viewpoint in that: (1) the early development of the school was shaped by the first dean's entrepreneurial activity, ambitions, visions, strengths, and weaknesses; (2) the uncertainty resulting from the school's novelty forced individuals to assume new roles and face unclear performance criteria; and (3) the transition of an innovative school to an institutionalized one was problematic because it modified the decision-making process. The author suggests that those things which lead to an organization's success during its early years are not the same as those that lead to longer-run success. He says that a new organization creates new norms, values, and procedures whereas the elements of an existing organization interact within an established culture. He concludes that organizational birth is a phenomenon about which relatively little is known, but which may be an important constraint on later development. A comparative analysis of the birth, life, and death of organization is advocated. PMID:10248231

  3. Deciding to institutionalize: why do family members cease caregiving at home?

    PubMed

    McLennon, Susan M; Habermann, Barbara; Davis, Linda Lindsey

    2010-04-01

    The primary purpose of this secondary analysis was to identify common themes from the statements of caregivers who ultimately decided to institutionalize their relative with Alzheimer or Parkinson disease. Content analysis of transcripts from caregivers (n=11) who institutionalized their relative during their participation in a caregiver intervention study was performed. Two categories identified from the caregivers' stories were anticipating the inevitable and reaching the limit. The results of the descriptive analysis indicated that 3 to 4 months before institutionalization, caregivers discussed knowing that they would not be able to continue caring for their relative. The most frequent reasons for institutionalization were serious health events. The incidental finding that there were more institutionalizations in the Alzheimer disease participant group than in the Parkinson disease group may indicate that caregiving is more difficult for caregivers in Alzheimer disease than in Parkinson disease. This analysis contributes new and important information about the time interval between caregivers' anticipation of the need for alternative care arrangements and the subsequent placement in formal care. Nurses and other healthcare providers should be alert to the fact that when caregivers express anticipation of the need for change in care arrangements, it may be a signal for immediate assessment and referral to appropriate resources for assistance. PMID:20422795

  4. Health Care Service Utilization of Dementia Patients before and after Institutionalization: A Claims Data Analysis

    PubMed Central

    Schwarzkopf, Larissa; Hao, Yi; Holle, Rolf; Graessel, Elmar

    2014-01-01

    Background Community-based and institutional dementia care has been compared in cross-sectional studies, but longitudinal information on the effect of institutionalization on health care service utilization is sparse. Methods We analyzed claims data from 651 dementia patients via Generalized Estimation Equations to assess health care service utilization profiles and corresponding expenditures from four quarters before to four quarters after institutionalization. Results In all domains, utilization increased in the quarter of institutionalization. Afterwards, the use of drugs, medical aids, and non-physician services (e.g., occupational therapy and physiotherapy) remained elevated, but use of in- and outpatient treatment decreased. Cost of care showed corresponding profiles. Conclusion Institutional dementia care seems to be associated with an increased demand for supportive services but not necessarily for specialized medical care. PMID:25337076

  5. The Effects of Foster Care Intervention on Socially Deprived Institutionalized Children's Attention and Positive Affect: Results from the BEIP Study

    ERIC Educational Resources Information Center

    Ghera, Melissa M.; Marshall, Peter J.; Fox, Nathan A.; Zeanah, Charles H.; Nelson, Charles A.; Smyke, Anna T.; Guthrie, Donald

    2009-01-01

    Background: We examined the effects of a foster care intervention on attention and emotion expression in socially deprived children in Romanian institutions. Methods: Institutionalized children were randomized to enter foster care or to remain under institutional care. Subsequently, the institutionalized and foster care groups, along with a…

  6. Leadership Behavior and Job Performance of Teachers in Public and Private Kindergartens: The Perspectives of Institutionalization, Reason, and Feeling

    ERIC Educational Resources Information Center

    Chen, Yigean; Cheng, Jaonan

    2012-01-01

    Chinese society is accustomed to using feelings, reasons, and institutionalizations to determine how to deal with events, which raises a number of questions. How can the directors of early education institutions incorporate feelings, reasons, and institutionalizations into their management? How can they enhance the job performance of teachers?…

  7. 42 CFR 435.725 - Post-eligibility treatment of income of institutionalized individuals in SSI States: Application...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... institutionalized individuals in SSI States: Application of patient income to the cost of care. 435.725 Section 435... § 435.725 Post-eligibility treatment of income of institutionalized individuals in SSI States... medical institutions and intermediate care facilities. (1) Individuals receiving cash assistance under...

  8. Paired-Associate Learning in Institutionalized and Noninstitutionalized Old People: An Analysis of Interference and Context Effects.

    ERIC Educational Resources Information Center

    Winocur, Gordon; Moscovitch, Morris

    1983-01-01

    Compared the performance of institutionalized and noninstitutionalized older adults in five negative transfer studies. Results showed that, in general, the performance of institutionalized old people resembled that of brain-damaged amnesic patients tested under similar conditions; old people living at home generally behaved more like normal, young…

  9. Deepening the Institutionalization of Service-Learning: The Added Value of Assessing the Social Return of Investment

    ERIC Educational Resources Information Center

    Stanton-Nichols, Kathleen; Hatcher, Julie; Cecil, Amanda

    2015-01-01

    Strategies to institutionalize service-learning are well documented (Furco 1996; Holland, 2000). Using Kecskes (2009) Community-Engaged Department Rubric we evaluated service-learning institutionalization within a school at a metropolitan campus. As a result, we propose adding an additional dimension, social return on investment. This added…

  10. Child Care

    MedlinePlus

    ... go to the caregiver's home. Finally, there are child care centers. You need to choose the one that works for your family. It is important to get to know your child's caregivers. They will be a big part of ...

  11. Child Development

    MedlinePlus

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

  12. Educational Support Group in Changing Caregivers' Psychological Elder Abuse Behavior toward Caring for Institutionalized Elders

    ERIC Educational Resources Information Center

    Hsieh, Hsiu-Fang; Wang, Jing-Jy; Yen, Maiofen; Liu, Tzu-Ti

    2009-01-01

    Institutionalized elderly who are frail and dependent are vulnerable to be abused by overwhelmed caregivers especially caregiver psychological abusive behavior is a growing but hidden problem with few evidence-based interventions. The purpose of this study was to examine the effectiveness of an educational support group in alleviating caregiver's…

  13. Political Parties and the Institutionalization of Education: A Comparative Analysis of Party Manifestos

    ERIC Educational Resources Information Center

    Jakobi, Anja P.

    2011-01-01

    Education has been featured prominently in recent election campaigns in different countries. This article explains this observation by the idea of a world culture and the global institutionalization of education. It compares party manifestors of 25 OECD countries from 1946 onward, analyzing how education developed in election campaigns over time…

  14. Quality of Life, Family Support, and Comorbidities in Institutionalized Elders With and Without Symptoms of Depression.

    PubMed

    de Araújo, Aurigena Antunes; Rebouças Barbosa, Rosa Angélica Silveira; de Menezes, Marília Stefani Souza; de Medeiros, Ingrid Iana Fernandes; de Araújo, Raimundo Fernandes; de Medeiros, Caroline Addison Carvalho Xavier

    2016-06-01

    The institutionalization of elders can decrease the health status and quality of life in this population. The aim of this study was to analyze the socio-demographic, quality of life, family support, and comorbidities variables in institutionalized elders with and without symptoms of depression. This was a cross-sectional study in institutions for long permanence for the elderly in the State of Rio Grande do Norte, Brazil. Two institutionalized elderly groups were compared (138 elders: 69 with and 69 without depressive symptoms). The instruments used were: mini-mental state examination, geriatric depression scale in the reduced version, socio-demographic questionnaire, quality of life (World Health Organization Quality of Life abbreviated-WHOQOL-bref), and inventory of perception of family support. Elders with depressive symptoms had inferior quality of life than those without depressive symptoms. Other factors that negatively influenced the quality of life in this population include: low economic conditions, occurrence of comorbidities, and deficient family assistance. These results have important implications in the decision making process with regard to strategies for improving the health status of institutionalized elders. PMID:26195233

  15. Placement in Foster Care Enhances Quality of Attachment among Young Institutionalized Children

    ERIC Educational Resources Information Center

    Smyke, Anna T.; Zeanah, Charles H.; Fox, Nathan A.; Nelson, Charles A.; Guthrie, Donald

    2010-01-01

    This study examined classifications of attachment in 42-month-old Romanian children (N = 169). Institutionalized since birth, children were assessed comprehensively, randomly assigned to care as usual (CAU) or to foster care, and compared to family-reared children. Attachment classifications for children in foster care were markedly different from…

  16. Institutionalizing Alcohol and Other Drug Prevention Programs. Alcohol and Other Drug Prevention Bulletin Series.

    ERIC Educational Resources Information Center

    DeJong, William; Moeykens, Barbara A.

    This bulletin is intended to help school administrators at the higher education level who are responsible for developing and institutionalizing alcohol and other drug prevention programs. Stressed is the importance of thinking about the program's long-term prospects during early stages of program planning. The information is based on interviews…

  17. Corporate social policy - problems of institutionalization and experience of Russian oil and gas companies

    NASA Astrophysics Data System (ADS)

    Nekhoda, E.; Kolbysheva, Yu; Makoveeva, V.

    2015-11-01

    The article examines a range of problems related to the process of institutionalization in the corporate social policy, characterizing the social responsibility of business and representing a part of the general strategy of corporate social responsibility. The experience of the social policy implementation in oil and gas companies is analyzed.

  18. Vitamin/Mineral Supplements and Intelligence of Institutionalized Mentally Retarded Adults.

    ERIC Educational Resources Information Center

    Ellis, Norman R.; Tomporowski, Phillip D.

    1983-01-01

    Vitamin/mineral supplements were administered to 19 institutionalized mentally retarded adults in a double-blind study over a seven-month period. No changes were observed in IQ nor in adaptive behavior. This was a replication with adults of a previous study of children that had obtained positive results. (Author/CL)

  19. A Diffusion of Innovations Approach to Gerontological Curriculum Enrichment: Institutionalizing and Sustaining Curricular Change

    ERIC Educational Resources Information Center

    Dorfman, Lorraine T.; Murty, Susan A.

    2005-01-01

    This article describes a gerontological enrichment model for institutionalizing and sustaining curricular change utilizing Rogers' (1995, 2003) diffusion of innovations approach to organizational change. The goal of the project, funded by the John A. Hartford Foundation, is to transform the social work curriculum at a major state university so…

  20. Waves of Educational Model Production: The Case of Higher Education Institutionalization in Malawi, 1964-2004

    ERIC Educational Resources Information Center

    Holland, Dana G.

    2010-01-01

    The domain of national education systems has been identified as one of the richest areas for exploring questions about globalization, particularly the degree of worldwide convergence in educational institutions. This article addresses questions about the transnational production and institutionalization of educational models through a historical…

  1. Iron Deficiency and the Cognitive and Psychomotor Development of Children: A Pilot Study with Institutionalized Children.

    ERIC Educational Resources Information Center

    Driva, A.; And Others

    1985-01-01

    Describes a pilot study, involving 48 institutionalized infants and toddlers, which aimed to treat iron deficiency anemia and to discover other factors contributing to the problem. Results indicate improvement in cognitive development after the administration of iron among three groups, while no significant differences were observed in psychomotor…

  2. Retrospective Study of Lithium Use for Institutionalized Mentally Retarded Individuals with Behavior Disorders.

    ERIC Educational Resources Information Center

    Langee, Harvey R.

    1990-01-01

    Severely and profoundly mentally retarded institutionalized residents (N=74) who received lithium carbonate for behavior disorders were followed in a 10-year retrospective study. Thirty-one subjects demonstrated a sustained major reduction or elimination of behavioral symptoms. Lithium responders were likely to be older and to present symptoms of…

  3. Is There an Alternative to Institutionalization for Indigent and Neglected Youth

    ERIC Educational Resources Information Center

    Crump, Harriet B.; And Others

    1977-01-01

    Nineteen youth from a state institution for indigent and neglected youth were placed in 4 home settings and allowed to attend public schools for 18 months. Results indicated that the currently accepted theory that the de-institutionalization of juveniles promotes social adjustment is valid. (JC)

  4. Changing District Priorities for School-Business Collaboration: Superintendent Agency and Capacity for Institutionalization

    ERIC Educational Resources Information Center

    Bennett, Jeffrey V.; Thompson, Hugh C.

    2011-01-01

    Background: School district superintendents continue to favor collaborative relationships with their local business communities amid concerns over free-market competition, maintaining public legitimacy, and scarce financial resources. Prior research is inadequate regarding the development, implementation, and institutionalization of school and…

  5. Institutionalization: How Can We Continue Good Practices and Functions When Funding Ends? Part II.

    ERIC Educational Resources Information Center

    Emory, Ruth

    Based on the conference for which the related document (EA 015 290) was prepared, this document reports the discussions and results of the meeting of the Northwest Regional Exchange (NWRx) Advisory Board with its staff and several consultants on the problem of how to institutionalize dissemination functions in the region's states--that is, how to…

  6. Peer Attachment, Coping, and Self-Esteem in Institutionalized Adolescents: The Mediating Role of Social Skills

    ERIC Educational Resources Information Center

    Mota, Catarina Pinheiro; Matos, Paula Mena

    2013-01-01

    This study analyzes the contribution of peer attachment in predicting active coping and self-esteem in a sample of 109 institutionalized adolescents. It also explores the mediating role of social skills in the association between peer attachment, coping, and self-esteem. Structural equation modeling identified a model able to predict a positive…

  7. Activity Level, Organization, and Social-Emotional Behaviors in Post-Institutionalized Children.

    ERIC Educational Resources Information Center

    Kadlec, Mary Beth; Cermak, Sharon A.

    2002-01-01

    Compared activity and behaviors of 36- to 82-month-olds adopted from Romanian orphanages and with varying lengths of institutionalization (more than 6 months or less than 2 months) with those of age- and gender-matched American-born control groups. Found that each Romanian group exhibited more problems in activity level, organization, and…

  8. Toward a Model of Academic Integrity Institutionalization: Informing Practice in Postsecondary Education

    ERIC Educational Resources Information Center

    Gallant, Tricia Bertram; Drinan, Patrick

    2008-01-01

    The strategic choices facing higher education in confronting problems of academic misconduct need to be rethought. Using institutional theory, a model of academic integrity institutionalization is proposed that delineates four stages and a pendulum metaphor. A case study is provided to illustrate how the model can be used by postsecondary…

  9. Reactions to the Labels "Institutionalized" and "Mentally Retarded" by Retarded and Nonretarded Persons.

    ERIC Educational Resources Information Center

    Gibbons, Frederick X.; Gibbons, Barbara N.

    The effects of labels, "mentally retarded" and "institutionalized" on the evaluations and causal attributions of nonretarded persons, and on the social distance preferences of EMR persons, were assessed. In addition, each group was asked to predict the likelihood of a labeled (mentally retarded) or a nonlabeled target person achieving success at a…

  10. Factors Determining the Decision to Institutionalize Dementing Individuals: A Prospective Study.

    ERIC Educational Resources Information Center

    Cohen, Carole A.; And Others

    1993-01-01

    Conducted longitudinal study of 196 caregiver/care receiver dyads to determine variables predictive of caregiver decision to institutionalize dependent with dementia. Use of services, enjoyment of caregiving, caregiver burden and health, caregiver rating and reaction to care receiver behavior and memory problems, and presence of troublesome…

  11. Why Innovation Fails. The Institutionalization and Termination of Innovation in Higher Education.

    ERIC Educational Resources Information Center

    Levine, Arthur

    Focus is on the institutionalization-termination phase of change in an attempt to explain why innovation fails or why it declines prior to achieving its intended purposes. Four questions are asked: (1) Why do innovations decline or fail after being adopted? (2) In what manner do innovations decline or fail? (3) Why do innovations persist or…

  12. Identification and Vocational Training of the Institutionalized Deaf-Retarded Patient. Part I, The Diagnostic Study.

    ERIC Educational Resources Information Center

    Michigan State Dept. of Mental Health, Lansing.

    In planning vocational rehabilitation, 169 institutionalized deaf retardates (aged 10 to 40) were studied. The 106 males and 63 females were divided into two groups with the median age, 22 years, used as a cutoff point. All received various tests and evaluations. Results indicated that IQ scores ranged from 58 (verbal) to 61 (performance) on the…

  13. The Effects of Early Institutionalization on the Discrimination of Facial Expressions of Emotion in Young Children

    ERIC Educational Resources Information Center

    Jeon, Hana; Moulson, Margaret C.; Fox, Nathan; Zeanah, Charles; Nelson, Charles A., III

    2010-01-01

    The current study examined the effects of institutionalization on the discrimination of facial expressions of emotion in three groups of 42-month-old children. One group consisted of children abandoned at birth who were randomly assigned to Care-as-Usual (institutional care) following a baseline assessment. Another group consisted of children…

  14. Oral Health and Nutritional Status of Semi-Institutionalized Persons with Mental Retardation in Brazil

    ERIC Educational Resources Information Center

    Batista, Luciana Rodrigues Vieira; Moreira, Emilia Addison Machado; Rauen, Michelle Soares; Corso, Arlete Catarina Tittoni; Fiates, Giovanna Medeiros Rataichesck

    2009-01-01

    Association between oral health status and nutritional status was investigated in 200 semi-institutionalized persons with mental retardation aged 5-53 years, 45.5% female, in the cities of Florianopolis and Sao Jose, province of Santa Catarina, Brazil. In this cross-sectional study, clinical-odontological examination revealed a high percentage of…

  15. The Institutionalization of Scientific Information: A Scientometric Model (ISI-S Model).

    ERIC Educational Resources Information Center

    Vinkler, Peter

    2002-01-01

    Introduces a scientometric model (ISI-S model) for describing the institutionalization process of scientific information. ISI-S describes the information and knowledge systems of scientific publications as a global network of interdependent information and knowledge clusters that are dynamically changing by their content and size. (Author/LRW)

  16. Rett Syndrome Symptomatology of Institutionalized Adults with Mental Retardation: Comparison of Males and Females.

    ERIC Educational Resources Information Center

    Burd, Larry; And Others

    1991-01-01

    The study of 297 institutionalized adults with mental retardation found no symptom of Rett syndrome occurred more frequently in males than in females and no single cluster of symptoms appeared to differentiate males from females. Only females were found to meet the necessary criteria for diagnosis of Rett syndrome. (Author/DB)

  17. Incidence of Short-Sleep Patterns in Institutionalized Individuals with Profound Mental Retardation.

    ERIC Educational Resources Information Center

    Poindexter, Ann R.; Bihm, Elson M.

    1994-01-01

    Sleep patterns of 103 institutionalized individuals with profound mental retardation were explored. Almost 40% were found to have short-sleep patterns. Short-sleep was predicted by blindness; nonshort-sleep was predicted by diagnosis of cerebral palsy and sodium valproate usage. Techniques for minimizing possible negative consequences of…

  18. INSTITUTIONALIZING SAFEGUARDS-BY-DESIGN: HIGH-LEVEL FRAMEWORK

    SciTech Connect

    Trond Bjornard PhD; Joseph Alexander; Robert Bean; Brian Castle; Scott DeMuth, Ph.D.; Phillip Durst; Michael Ehinger; Prof. Michael Golay, Ph.D.; Kevin Hase, Ph.D.; David J. Hebditch, DPhil; John Hockert, Ph.D.; Bruce Meppen; James Morgan; Jerry Phillips, Ph.D., PE

    2009-02-01

    participation in facility design options analysis in the conceptual design phase to enhance intrinsic features, among others. The SBD process is unlikely to be broadly applied in the absence of formal requirements to do so, or compelling evidence of its value. Neither exists today. A formal instrument to require the application of SBD is needed and would vary according to both the national and regulatory environment. Several possible approaches to implementation of the requirements within the DOE framework are explored in this report. Finally, there are numerous barriers to the implementation of SBD, including the lack of a strong safeguards culture, intellectual property concerns, the sensitive nature of safeguards information, and the potentially divergent or conflicting interests of participants in the process. In terms of SBD implementation in the United States, there are no commercial nuclear facilities that are under IAEA safeguards. Efforts to institutionalize SBD must address these issues. Specific work in FY09 could focus on the following: finalizing the proposed SBD process for use by DOE and performing a pilot application on a DOE project in the planning phase; developing regulatory options for mandating SBD; further development of safeguards-related design guidance, principles and requirements; development of a specific SBD process tailored to the NRC environment; and development of an engagement strategy for the IAEA and other international partners.

  19. Disruptions of working memory and inhibition mediate the association between exposure to institutionalization and symptoms of attention deficit hyperactivity disorder

    PubMed Central

    Tibu, F.; Sheridan, M. A.; McLaughlin, K. A.; Nelson, C. A.; Fox, N. A.; Zeanah, C. H.

    2016-01-01

    Background Young children raised in institutions are exposed to extreme psychosocial deprivation that is associated with elevated risk for psychopathology and other adverse developmental outcomes. The prevalence of attention deficit hyperactivity disorder (ADHD) is particularly high in previously institutionalized children, yet the mechanisms underlying this association are poorly understood. We investigated whether deficits in executive functioning (EF) explain the link between institutionalization and ADHD. Method A sample of 136 children (aged 6–30 months) was recruited from institutions in Bucharest, Romania, and 72 never institutionalized community children matched for age and gender were recruited through general practitioners’ offices. At 8 years of age, children’s performance on a number of EF components (working memory, response inhibition and planning) was evaluated. Teachers completed the Health and Behavior Questionnaire, which assesses two core features of ADHD, inattention and impulsivity. Results Children with history of institutionalization had higher inattention and impulsivity than community controls, and exhibited worse performance on working memory, response inhibition and planning tasks. Lower performances on working memory and response inhibition, but not planning, partially mediated the association between early institutionalization and inattention and impulsivity symptom scales at age 8 years. Conclusions Institutionalization was associated with decreased EF performance and increased ADHD symptoms. Deficits in working memory and response inhibition were specific mechanisms leading to ADHD in previously institutionalized children. These findings suggest that interventions that foster the development of EF might reduce risk for psychiatric problems in children exposed to early deprivation. PMID:26470598

  20. Child Development

    MedlinePlus

    As children grow older, they develop in several different ways. Child development includes physical, intellectual, social, and emotional changes. Children grow and mature at very different rates. It's ...

  1. The Avahan Transition: Effects of Transition Readiness on Program Institutionalization and Sustained Outcomes

    PubMed Central

    Singh, Suneeta; Singh, Kriti; Chhabra, Vibha; Bennett, Sara

    2016-01-01

    Background With declines in development assistance for health and growing interest in country ownership, donors are increasingly faced with the task of transitioning health programs to local actors towards a path to sustainability. Yet there is little available guidance on how to measure and evaluate the success of a transition and its subsequent effects. This study assesses the transition of the Avahan HIV/AIDS prevention program in India to investigate how preparations for transition affected continuation of program activities post-transition. Methods Two rounds of two surveys were conducted and supplemented by data from government and Avahan Computerized Management Information Systems (CMIS). Exploratory factor analysis was used to develop two measures: 1) transition readiness pre-transition, and 2) institutionalization (i.e. integration of initial program systems into organizational procedures and behaviors) post-transition. A fixed effects model was built to examine changes in key program delivery outcomes over time. An ordinary least square regression was used to assess the relationship between transition readiness and sustainability of service outcomes both directly, and indirectly through institutionalization. Results Transition readiness data revealed 3 factors (capacity, alignment and communication), on a 15-item scale with adequate internal consistency (alpha 0.73). Institutionalization was modeled as a unidimensional construct, and a 12-item scale demonstrated moderate internal consistency (alpha 0.60). Coverage of key populations and condom distribution were sustained compared to pre-transition levels (p<0.01). Transition readiness, but not institutionalization, predicted sustained outcomes post-transition. Transition readiness did not necessarily lead to institutionalization of key program elements one year after transition. Conclusion Greater preparedness prior to transition is important to achieve better service delivery outcomes post

  2. Institutionalizing evidence-based practice: an organizational case study using a model of strategic change

    PubMed Central

    2009-01-01

    Background There is a general expectation within healthcare that organizations should use evidence-based practice (EBP) as an approach to improving the quality of care. However, challenges exist regarding how to make EBP a reality, particularly at an organizational level and as a routine, sustained aspect of professional practice. Methods A mixed method explanatory case study was conducted to study context; i.e., in terms of the presence or absence of multiple, inter-related contextual elements and associated strategic approaches required for integrated, routine use of EBP ('institutionalization'). The Pettigrew et al. Content, Context, and Process model was used as the theoretical framework. Two sites in the US were purposively sampled to provide contrasting cases: i.e., a 'role model' site, widely recognized as demonstrating capacity to successfully implement and sustain EBP to a greater degree than others; and a 'beginner' site, self-perceived as early in the journey towards institutionalization. Results The two sites were clearly different in terms of their organizational context, level of EBP activity, and degree of institutionalization. For example, the role model site had a pervasive, integrated presence of EBP versus a sporadic, isolated presence in the beginner site. Within the inner context of the role model site, there was also a combination of the Pettigrew and colleagues' receptive elements that, together, appeared to enhance its ability to effectively implement EBP-related change at multiple levels. In contrast, the beginner site, which had been involved for a few years in EBP-related efforts, had primarily non-receptive conditions in several contextual elements and a fairly low overall level of EBP receptivity. The beginner site thus appeared, at the time of data collection, to lack an integrated context to either support or facilitate the institutionalization of EBP. Conclusion Our findings provide evidence of some of the key contextual elements

  3. Child Maltreatment

    PubMed Central

    Al-Saadoon, Muna; Al-Sharbati, Marwan; Nour, Ibtisam El; Al-Said, Basma

    2012-01-01

    Child maltreatment (CM) is common worldwide, and can take many forms. It may even endanger the child’s life, especially when younger children are the victims. CM affects the child’s quality of life and consequently leads to long term issues to be dealt with by the child, family and community. This case series discusses six children who have been subjected to CM, and diagnosed by the child protection team of the departments of Child Health and Behavioural Medicine at Sultan Qaboos University Hospital (SQUH), Oman. The aim of this case series is to increase the level of awareness of CM among Oman’s medical professionals and to highlight the difficulties encountered in diagnosing and providing optimal care for these children. Although treatment is provided in Oman’s health care system, it is clear that there are gaps in the existing system which affect the quality of child protection services provided to the children and their families. PMID:22375265

  4. Complex Families and Late-Life Outcomes Among Elderly Persons: Disability, Institutionalization, and Longevity.

    PubMed

    Pezzin, Liliana E; Pollak, Robert A; Schone, Barbara S

    2013-10-01

    The authors examined the effects of marital status and family structure on disability, institutionalization, and longevity for a nationally representative sample of elderly persons using Gompertz duration models applied to longitudinal data from 3 cohorts of the Health and Retirement Study (N = 11,481). They found that parents with only stepchildren have worse outcomes than parents with only biological children. Elderly mothers with only stepchildren become disabled and institutionalized sooner, and elderly men with only stepchildren have shorter longevity relative to their counterparts with only biological children. The effect of membership in a blended family differs by gender. Relative to those with only biological children, women in blended families have greater longevity and become disabled later, whereas men in blended families have reduced longevity. The findings indicate that changing marital patterns and increased complexity in family life have adverse effects on late-life health outcomes. PMID:24031097

  5. A prospective study of long-term care institutionalization among the aged.

    PubMed

    Branch, L G; Jette, A M

    1982-12-01

    A statewide probability sample of 1,625 elders living in Massachusetts are studied prospectively to identify key determinants of long-term care (LTC) institutionalization. One-hundred forty-seven elders, 9 per cent of the original cohort, entered a LTC institution during the six-year investigation. Using logistic multiple regression, we examine the predictive power of 19 independent variables grouped into six categories: demographic characteristics, attitude, social context, long-term care needs, physical disability, and mental/emotional disability. Five variables are significantly related to institutionalization: advancing age, using ambulatory aids, mental disorientation, living alone, and using assistance to perform "instrumental" ADL (activities of daily living). These results may be helpful to those trying to target non-institutional services to elders for use as substitutes for institutional long-term care. They may also help explain why recent experimental tests of substituting non-institutional care for institutional services have been less than successful. PMID:6814269

  6. [Factors associated with institutionalization: perspectives for children who suffered domestic violence].

    PubMed

    Gabatz, Ruth Irmgard Bärtschi; Padoin, Stela Maris de Mello; Neves, Eliane Tatsch; Terra, Marlene Gomes

    2010-12-01

    This is a qualitative study aimed to understand the factors associated with institutionalization of children who suffered domestic violence. It was carried out in two institutions for shelter in Southern Brazil in June and July, 2008. The creative sensitive method was chosen for data production and involved two dynamics of creativity and sensibility: playing on stage and body knowledge with four school-age children. The data were submitted to French discourse analysis. The results pointed out as factors associated to institutionalization: mother's mental disorders and alcohol abuse and aggression. We believe that the reconnaissance of the factors associated with domestic violence enables a preventive work, minimizing its deleterious effects to family as a whole. In this way, caring must be directed not only to the children whom suffered domestic violence but also to their families involving victims and aggressors. PMID:21805876

  7. Institutionalizing the academic health department within the context of the 3-fold academic mission.

    PubMed

    Livingood, William C; Goldhagen, Jeffrey; Bryant, Thomas; Harmon, Robert G; Wood, David L

    2014-01-01

    A mature model of an academic health department (AHD) that has been institutionalized over 2 decades is described within the context of the 3-fold traditional mission of academics (teaching, research, and service/practice). This adaptive model for AHDs, based on mutual benefits that can be viewed through the lenses of both the academic health center mission and the public health functions and services, has important implications for AHD sustainability. Continued collaboration in any academic-public health partnership will depend in part on the commitments of the changing leadership. However, institutionalizing support for the academic mission enables this collaboration to transcend changing leadership styles and priorities. The collaboration of Duval County Health Department and University of Florida College of Medicine-Jacksonville is an example of a model of AHD that has endured major changes in leadership within both the academic center and the Duval County Health Department. PMID:24667196

  8. Scoliosis surgery - child

    MedlinePlus

    Spinal curvature surgery - child; Kyphoscoliosis surgery - child; Video-assisted thoracoscopic surgery - child; VATS - child ... Before surgery, your child will receive general anesthesia. This will make ... and unable to feel pain during the operation. During ...

  9. Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study

    PubMed Central

    Maseda, Ana; Balo, Aránzazu; Lorenzo–López, Laura; Lodeiro–Fernández, Leire; Rodríguez–Villamil, José Luis; Millán–Calenti, José Carlos

    2014-01-01

    Purpose Cognitive decline and depression are two common mental health problems that may create a need for long-term care among the elderly. In the last decade, the percentage of older adults who receive health care in nursing homes, day care centers, or home support services has increased in Europe. The objectives of this descriptive and nonrandomized longitudinal study were to evaluate and to compare the cognitive and affective evolution of day care versus institutionalized older patients through a 1-year period, and to assess the presence of cognitive and affective impairment as a function of the care setting. Patients and methods Ninety-four patients were assessed at baseline, and 63 (67.0%) were reassessed 1 year later. Neuropsychological assessment included measures of cognitive performance (general cognitive status, visuospatial, and language abilities) and affective status (depressive symptoms). Results Our findings indicated that the majority of the participants (day care and institutionalized patients) had mild–moderate cognitive impairment at baseline, which significantly increased in both groups after 1-year follow-up. However, the rate of change in global cognitive function did not significantly differ between groups over time. Regarding language abilities, naming function maintained among day care patients in comparison with institutionalized patients, who showed worse performance at follow-up. As regards to affective status, results revealed that institutionalized patients had a significant reduction in depressive symptoms at follow-up, when compared to day care patients. Results also highlight the high frequency of cognitive impairment and depressive symptoms regardless of the care setting. Conclusion Our findings revealed a similar global cognitive decline rate between patients receiving day care services and those residing in a nursing home at the 1-year follow-up, and slightly different trajectories in other outcomes such as naming function and

  10. Child Care and Child Nutrition

    ERIC Educational Resources Information Center

    Karolak, Eric

    2009-01-01

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

  11. Relationship between Inflammation and Oxidative Stress and Cognitive Decline in the Institutionalized Elderly

    PubMed Central

    Baierle, Marília; Nascimento, Sabrina N.; Moro, Angela M.; Brucker, Natália; Freitas, Fernando; Gauer, Bruna; Durgante, Juliano; Bordignon, Suelen; Zibetti, Murilo; Trentini, Clarissa M.; Duarte, Marta M. M. F.; Grune, Tilman; Breusing, Nicolle; Garcia, Solange C.

    2015-01-01

    Objective. Cognitive impairment reduces quality of life and is related to vascular and neurodegenerative disorders. However, there is also a close relationship between these diseases and oxidative stress. Thus, the purpose of this study was to assess whether inflammation and oxidative damage are associated with low cognitive performance in the elderly with different housing conditions. Methods. The study groups consisted of 32 institutionalized and 25 noninstitutionalized Brazilian elderly subjects. Oxidative damage, inflammation markers, and cognitive function were evaluated. Results. The results demonstrated pronounced oxidative stress in the institutionalized elderly group, which also had a lower antioxidant status compared to noninstitutionalized subjects. High levels of proinflammatory cytokines were also observed in the institutionalized elderly. Furthermore, the raised levels of inflammatory markers were correlated with increased oxidative stress, and both were associated with low cognitive performance. However, based on multiple linear regression analysis, oxidative stress appears to be the main factor responsible for the cognitive decline. Conclusions. The findings suggest that individuals with lower antioxidant status are more vulnerable to oxidative stress, which is associated with cognitive function, leading to reduced life quality and expectancy. PMID:25874023

  12. Which factors are associated with mortality in institutionalized older adults with dementia?

    PubMed

    Navarro-Gil, Patricia; González-Vélez, Abel E; Ayala, Alba; Martín-García, Salomé; Martínez-Martín, Pablo; Forjaz, Maria João

    2014-01-01

    Residential facilities are increasingly used as a resource for dependent older adults and a high percentage of patients with dementia die there. Information about the leading medical causes and exposures to risk factors of mortality in institutionalized older patients with dementia could guide the development of clinical management interventions. The data of 387 institutionalized adults aged over 60, diagnosed with dementia, was analyzed retrospectively. Information about sociodemographic, comorbidities, quality of life and leisure and free time variables was collected in a survey answered by caregivers; after 19 months, information was collected on the result variable (living vs. deceased). A multivariate logistic regression model was created to determine the factors associated with mortality, which were: age (odds ratio (OR)=1.986; 95% confidence interval (CI): 1.229-3.209); diabetes (OR=2.322; 1.350-3.996); hypertension (OR=1.695; 1.044-2.752); diseases of the genitourinary system (OR=2.455;1.419-4.248), worsening of health over last twelve months (OR=1.653; 1.018-2.685) and not performing passive (OR=1.616; 0.968-2.700) or social (OR=2.242; 1.170-4.299) leisure activities. Besides age, the number of comorbid illnesses and the inability to perform leisure activities predicted mortality in institutionalized adults with dementia. These predictors might be useful clinical markers for identifying patients at increased risk for mortality. PMID:25103852

  13. Disobedient Child

    MedlinePlus

    ... friendless, or even suicidal If your family has developed a pattern of responding to disagreements with physical or emotional abuse If you or your spouse or child use alcohol or other drugs to feel better ...

  14. Child Care

    MedlinePlus

    Children's healthy development depends on safe and positive experiences when they are very young. If you work or go to school, you want to know that your child is in good hands while you are away. You may ...

  15. Determinants of Child Malnutrition and Infant and Young Child Feeding Approaches in Cambodia.

    PubMed

    Reinbott, Anika; Jordan, Irmgard

    2016-01-01

    nutrition education programme carried out by government and community health volunteers as well as local NGOs addressing caregivers with a child between 5 and 18 months of age has great potential to improve IYCF practices. Since no impact on average height-for-age Z-scores could be demonstrated in this RCT, we suggest for Cambodia that (1) more emphasis be put on animal-source food and other protein sources in nutrition education, (2) nutrition education be implemented in the community through trained government and community members including peers as trainers, (3) sessions on family nutrition be included in the curriculum and the continuation of breastfeeding be emphasized, and (4) nutrition education be institutionalized, including continuous in-service training for sustainability. PMID:27197522

  16. Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP

    PubMed Central

    Stetler, Cheryl B; Ritchie, Judith A; Rycroft-Malone, Jo; Charns, Martin P

    2014-01-01

    Background Making evidence-based practice (EBP) a reality throughout an organization is a challenging goal in healthcare services. Leadership has been recognized as a critical element in that process. However, little is known about the exact role and function of various levels of leadership in the successful institutionalization of EBP within an organization. Aims To uncover what leaders at different levels and in different roles actually do, and what actions they take to develop, enhance, and sustain EBP as the norm. Methods Qualitative data from a case study regarding institutionalization of EBP in two contrasting cases (Role Model and Beginner hospitals) were systematically analyzed. Data were obtained from multiple interviews of leaders, both formal and informal, and from staff nurse focus groups. A deductive coding schema, based on concepts of functional leadership, was developed for this in-depth analysis. Results Participants’ descriptions reflected a hierarchical array of strategic, functional, and cross-cutting behaviors. Within these macrolevel “themes,” 10 behavioral midlevel themes were identified; for example, Intervening and Role modeling. Each theme is distinctive, yet various themes and their subthemes were interrelated and synergistic. These behaviors and their interrelationships were conceptualized in the framework “Leadership Behaviors Supportive of EBP Institutionalization” (L-EBP). Leaders at multiple levels in the Role Model case, both formal and informal, engaged in most of these behaviors. Linking Evidence to Action Supportive leadership behaviors required for organizational institutionalization of EBP reflect a complex set of interactive, multifaceted EBP-focused actions carried out by leaders from the chief nursing officer to staff nurses. A related framework such as L-EBP may provide concrete guidance needed to underpin the often-noted but abstract finding that leaders should “support” EBP. PMID:24986669

  17. Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up

    PubMed Central

    Dias E Dias de Macedo, Liliane; De Oliveira, Thaís Cristina Galdino; Soares, Fernanda Cabral; Bento-Torres, João; Bento-Torres, Natáli Valim Oliver; Anthony, Daniel Clive; Picanço-Diniz, Cristovam Wanderley

    2015-01-01

    We previously demonstrated the beneficial effects of a multisensory and cognitive stimulation program, consisting of 48 sessions, twice a week, to improve the cognition of elderly subjects living either in long-term care institutions (institutionalized – I) or in communities with their families (noninstitutionalized – NI). In the present study, we evaluated these subjects after the end of the intervention and compared the rate of age-related cognitive decline of those living in an enriched community environment (NI group, n=15, 74.1±3.9 years old) with those living in the impoverished environment of long-term care institutions (I group, n=20, 75.1±6.8 years old). Both groups participated fully in our stimulation program. Over 1 year, we conducted revaluations at five time points (2 months, 4 months, 6 months, 8 months, and 12 months) after the completion of the intervention. Both elderly groups were evaluated with the mini-mental state examination and selected language tests. Progressive cognitive decline was observed in both groups over the period. Indeed, it took only 4–6 months after the end of the stimulation program for significant reductions in language test scores to become apparent. However, earlier reductions in test scores were mainly associated with I group, and linguistic prosody test scores were significantly affected by institutionalization and time, two variables that interacted and reduced these scores. Moreover, I group reduced the Montréal cognitive assessment battery language tests scores 4 months before NI group. It remains to be investigated what mechanisms may explain the earlier and more intense language losses in institutionalized elderly. PMID:26316730

  18. Scoliosis surgery - child

    MedlinePlus

    Spinal curvature surgery - child; Kyphoscoliosis surgery - child; Video-assisted thoracoscopic surgery - child; VATS - child ... may also do the procedure using a special video camera. A surgical cut in the back is ...

  19. Your Child's Checkups

    MedlinePlus

    ... Ones & When? Smart School Lunches Emmy-Nominated Video "Cerebral Palsy: Shannon's Story" 5 Things to Know About Zika & ... Your Child's Checkup: 13 Years Your Child's Checkup: 14 Years Your Child's Checkup: 15 Years Your Child's ...

  20. More Vesalian Second Thoughts. The Annotations to the Institutiones anatomicae secundum Galeni sententiam, 1538.

    PubMed

    Nutton, Vivian

    2015-01-01

    In 1538 Andreas Vesalius published his unauthorised revision of Guinther von Andernach's little anatomical textbook, the Institutiones anatomicae. Immediately on publication he set to work on a further revision, making around 250 changes. This paper presents these changes for the first time, discussing them in the context of Vesalius as a reviser of his own work and as anatomist moving away from reliance on Galen towards the independence of the 1543 Fabrica. As well as simple proof corrections, the notes show corrections to Vesalius' earlier anatomical observations as well as page references to passages in Galen discussed at greater length in the Fabrica. PMID:26403057

  1. Exergames: neuroplastic hypothesis about cognitive improvement and biological effects on physical function of institutionalized older persons.

    PubMed

    Monteiro-Junior, Renato Sobral; Vaghetti, César Augusto Otero; Nascimento, Osvaldo José M; Laks, Jerson; Deslandes, Andrea Camaz

    2016-02-01

    Exergames can be considered a dual task because the games are performed by a man-videogame interface, requiring cognitive and motor functions simultaneously. Although the literature has shown improvements of cognitive and physical functions due to exergames, the intrinsic mechanisms involved in these functional changes have still not been elucidated. The aims of the present study were (1) to demonstrate the known biological mechanisms of physical exercise regarding muscle adaptation and establish a relationship with exergames; and (2) to present a neurobiological hypothesis about the neuroplastic effects of exergames on the cognitive function of institutionalized older persons. These hypotheses are discussed. PMID:27073355

  2. Exergames: neuroplastic hypothesis about cognitive improvement and biological effects on physical function of institutionalized older persons

    PubMed Central

    Monteiro-Junior, Renato Sobral; Vaghetti, César Augusto Otero; Nascimento, Osvaldo José M.; Laks, Jerson; Deslandes, Andrea Camaz

    2016-01-01

    Exergames can be considered a dual task because the games are performed by a man-videogame interface, requiring cognitive and motor functions simultaneously. Although the literature has shown improvements of cognitive and physical functions due to exergames, the intrinsic mechanisms involved in these functional changes have still not been elucidated. The aims of the present study were (1) to demonstrate the known biological mechanisms of physical exercise regarding muscle adaptation and establish a relationship with exergames; and (2) to present a neurobiological hypothesis about the neuroplastic effects of exergames on the cognitive function of institutionalized older persons. These hypotheses are discussed. PMID:27073355

  3. Child Find

    ERIC Educational Resources Information Center

    Arizona Department of Education, 2006

    2006-01-01

    This brochure describes "Child Find," a component of the Individuals with Disabilities Education Act (IDEA) that requires states to identify, locate, and evaluate all children with disabilities, aged birth through 21, who are in need of early intervention or special education services.

  4. Child Nutrition

    MedlinePlus

    ... on your child's plate fruits and vegetables Choose healthy sources of protein, such as lean meat, nuts, and eggs Serve whole-grain breads and cereals because they are high in fiber. Reduce refined grains. Broil, grill, or steam foods instead of frying them Limit fast food and ...

  5. Child CPR

    MedlinePlus

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

  6. Deciding to institutionalize: caregiving crisis, intergenerational communication, and uncertainty management for elders and their children in Shanghai.

    PubMed

    Chen, Lin

    2015-01-01

    This phenomenological study integrated crisis theory, social identity theory, and uncertainty management theory to conceptualize the decision-making process around institutionalization among nursing home residents and their children in Shanghai. I conducted face-to-face, semistructured interviews with 12 dyads of matched elders and their children (N = 24). The findings suggest that caregiving crises triggered intergenerational communication about caregiving alternatives and new arrangements, although each generation had different stances and motivations. Children finalized the decision by helping their parents to manage the uncertainties pertaining to institutionalization. This study sheds light on caregiving decision-making dynamics for the increasing aging population across cultures. PMID:25000532

  7. Federal Assistance to States to Prevent the Abuse of Children in Child Care Facilities. Hearings before the Subcommittee on Juvenile Justice of the Committee on the Judiciary. United States Senate, Ninety-Eighth Congress, Second Session (April 11 and September 18, 1984).

    ERIC Educational Resources Information Center

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

    These Congressional hearings provide the text of and materials related to proposed Senate Bill S. 521, intended to promote the public welfare by protecting institutionalized children from abuse, and Senate Bill S.1924, which would create a central federal file of sexual assault and child molesting arrests and convictions. This federal file would…

  8. Childhood Abuse and Delinquency: A Descriptive Study of Institutionalized Female Youth in Singapore

    PubMed Central

    Chu, Chi Meng; Thomas, Stuart D. M.; Ng, Vivienne P. Y.

    2009-01-01

    Childhood abuse experiences appear prevalent in institutionalized children and youth, but research to date has been limited. Moreover, there is no published study that has examined the issue of childhood abuse and delinquency within institutionalized children and youth in Singapore. This study was cross-sectional in design with follow-up criminal record checks. Data were collected from multiple data sources including official records, structured clinical interviews, and self-report questionnaires on 79 adolescent female residential youth. Two thirds reported having experienced childhood abuse and a higher proportion reported having previously engaged in self-harming behaviours. Participants with multiple types of abuse reported being abused at a younger age, were more likely to be subjected to repeated physical abuse, to have overdosed on medication, and to have reported more health and sexual concerns and trauma symptomatology than those who reported either experiencing one or no previous types of abuse. Fourteen (18%) of the sample had been convicted of further criminal offences over a 6½-year follow-up. The adolescents with histories of multiple types of abuse in childhood presented with more health concerns and traumatic symptomatology, self-reported delinquency, as well as past self-harming behaviour during their institutional stay. Identification of these additionally vulnerable adolescents has important clinical implications for identification, assessment and intervention planning. PMID:25892943

  9. Validation Analysis of a Geriatric Dehydration Screening Tool in Community-Dwelling and Institutionalized Elderly People

    PubMed Central

    Rodrigues, Susana; Silva, Joana; Severo, Milton; Inácio, Cátia; Padrão, Patrícia; Lopes, Carla; Carvalho, Joana; do Carmo, Isabel; Moreira, Pedro

    2015-01-01

    Dehydration is common among elderly people. The aim of this study was to perform validation analysis of a geriatric dehydration-screening tool (DST) in the assessment of hydration status in elderly people. This tool was based on the DST proposed by Vivanti et al., which is composed by 11 items (four physical signs of dehydration and seven questions about thirst sensation, pain and mobility), with four questions extra about drinking habits. The resulting questionnaire was evaluated in a convenience sample comprising institutionalized (n = 29) and community-dwelling (n = 74) elderly people. Urinary parameters were assessed (24-h urine osmolality and volume) and free water reserve (FWR) was calculated. Exploratory factor analysis was used to evaluate the scale’s dimensionality and Cronbach’s alpha was used to measure the reliability of each subscale. Construct’s validity was tested using linear regression to estimate the association between scores in each dimension and urinary parameters. Two factors emerged from factor analysis, which were named “Hydration Score” and “Pain Score”, and both subscales showed acceptable reliabilities. The “Hydration Score” was negatively associated with 24-h urine osmolality in community-dwelling; and the “Pain Score” was negatively associated with 24-h urine osmolality, and positively associated with 24-h urine volume and FWR in institutionalized elderly people. PMID:25739005

  10. Oral health and treatment needs in institutionalized psychiatric patients in India.

    PubMed

    Kenkre, A M; Spadigam, A E

    2000-01-01

    The caries prevalence, oral hygiene status, periodontal health and treatment needs were evaluated in a group of institutionalized psychiatric patients in Goa, India. Of the total 153 inmates, males constituted 59 percent, the mean age was 25 years, 96 percent were self sufficient and the response rate was 84 percent. 63 percent were diagnosed with schizophrenia. They did not receive any assistance in daily self-care activities including oral hygiene maintenance. None of the 5 edentulous patients had dentures, 5% had been referred for emergency dental care during the period of institutionalization. 15 subjects (12%) were caries-free, the stepwise linear regression analysis showed that the mean DMFT index significantly increased with age (t = 2-819, PL 0.05). Two third of the study population (88%) were in need of conservative dental treatment. The stepwise linear regression analysis showed that the mean OHI-S index significantly increased with age (t = 2.412, P < 0.01). Only 5.4% reported a healthy periodontium whereas 16.27% required complex periodontal therapy. Soft tissue lesions included dorsal lingual depapillation/heavily coated areas and angular cheilitis in addition to incidental observations such as mucosal hyperpigmentation, gingival hyperplasia, and leucoedema. Bruxism and factitious injuries were also noted. The onus of meeting the oral health needs of this marginalized patient population therefore depends on the effectiveness of community dentistry programs vis a vis the efforts of the staff of the institution to provide such services on a regular basis. PMID:11307250

  11. Teriparatide is safe and effectively increases bone biomarkers in institutionalized individuals with osteoporosis.

    PubMed

    Ryder, Kathryn M; Tanner, S Bobo; Carbone, Laura; Williams, John E; Taylor, Henry M; Bush, Andrew; Pintea, Victorina; Watsky, Mitchell A

    2010-03-01

    Institutionalized adults with severe developmental disabilities have a high rate of minimal trauma and appendicular fracture. There is little information about osteoporosis treatment in this population. In this efficacy and safety study, men and women with severe developmental disabilities and osteoporosis received 20 mcg teriparatide subcutaneously daily for 18-24 months. Markers of bone formation [procollagen type 1 intact N-terminal propeptide (P1NP)] and resorption [C-telopeptide (CTx)] were measured at three-month intervals. Serum calcium was measured at two-week intervals for 12 weeks and thereafter at three-month intervals. Twenty-seven individuals received at least one injection. The incidence of hypercalcemia was 11.1% but was persistent and led to medication discontinuation in only one participant. Biomarkers of bone formation increased rapidly, doubling by three months. At 12 months, P1NP and CTx remained elevated from baseline; P1NP had risen from 66.95 +/- 83.71 microg/l (mean +/- SD) to 142.42 +/- 113.85 microg/l (P = 0.05), and CTx had increased from 0.377 +/- 0.253 to 1.016 +/- 1.048 ng/ml (P = 0.01). The majority of participants had an increase in P1NP of over 10 microg/l. In conclusion, teriparatide is safe and effective in developmentally disabled institutionalized adults. Serial calcium measurements are warranted, particularly during the first three months of therapy. PMID:19806302

  12. Duration of early adversity and structural brain development in post-institutionalized adolescents.

    PubMed

    Hodel, Amanda S; Hunt, Ruskin H; Cowell, Raquel A; Van Den Heuvel, Sara E; Gunnar, Megan R; Thomas, Kathleen M

    2015-01-15

    For children reared in institutions for orphaned or abandoned children, multiple aspects of the early environment deviate from species-typical experiences, which may lead to alterations in neurobehavioral development. Although the effects of early deprivation and early life stress have been studied extensively in animal models, less is known about implications for human brain development. This structural neuroimaging study examined the long-term neural correlates of early adverse rearing environments in a large sample of 12-14 year old children (N = 110) who were internationally adopted from institutional care as young children (median age at adoption = 12 months) relative to a same age, comparison group reared with their biological families in the United States. History of institutional rearing was associated with broad changes in cortical volume even after controlling for variability in head size. Results suggested that prefrontal cortex was especially susceptible to early adversity, with significant reductions in volume (driven primarily by differences in surface area rather than cortical thickness) in post-institutionalized youth. Hippocampal volumes showed an association with duration of institutional care, with later-adopted children showing the smallest volumes relative to non-adopted controls. Larger amygdala volumes were not detected in this sample of post-institutionalized children. These data suggest that this temporally discrete period of early deprivation is associated with persisting alterations in brain morphology even years after exposure. Furthermore, these alterations are not completely ameliorated by subsequent environmental enrichment by early adolescence. PMID:25451478

  13. Increased infection risk after hip hemiarthroplasty in institutionalized patients with proximal femur fracture.

    PubMed

    Gallardo-Calero, Irene; Larrainzar-Coghen, Thais; Rodriguez-Pardo, Dolors; Pigrau, Carles; Sánchez-Raya, Judith; Amat, Carles; Lung, Maily; Carrera, Luis; Corona, Pablo S

    2016-04-01

    In patients undergoing hip hemiarthroplasty (HHA) secondary to proximal femur fracture, acute periprosthetic joint infection (PJI) is one of the most important complications. We have detected an increased risk of PJI in chronic institutionalized patients (CIPs), and a higher number of early postoperative infections are caused by Gram-negative bacteria (GNB), not covered by the current prophylaxis (cefazolin in noninstitutionalized patients (NIPs) and cotrimoxazole in CIPs). We sought to compare infection characteristics between NIPs and CIPs, analyzing predisposing factors, causative pathogens, and antibiotic prophylaxis-related microbiological characteristics. We performed a retrospective review of our prospective institutional database to identify all patients consecutively admitted for HHA to treat proximal femur fracture at our centre between 2011 and 2013. PJI was diagnosed in 21 of 381 (5.51%) patients, with 10 of 105 (9.52%) in the CIP group and 11 of 276 (3.99%) in the NIP group, and statistical significance was achieved. GNB accounted for PJI in 14 (66.67%) patients. We detected a single case of methicillin-resistant Staphylococcus aureus (MRSA) infection in the NIP group. We confirm a higher risk of acute PJI among institutionalized patients, commonly caused by Gram-negative microorganisms, which are not covered by the current prophylaxis. New prophylactic strategies should be investigated in order to reduce this problem. PMID:26857632

  14. The role of civil society organizations in the institutionalization of indigenous medicine in Bolivia.

    PubMed

    Babis, Deby

    2014-12-01

    December 2013 marked a significant shift in Bolivia with the enactment of a law for the inclusion of indigenous doctors in the National Health System. This article traces the constellation of forces that led to the institutionalization of indigenous medicine in Bolivia. It identifies three factors contributing to this health policy change. The first factor is the crystallization of a strong indigenous movement fighting for the recognition of cultural rights through the foundation of civil society organizations. Second is the rise to power of Evo Morales, the first Latin American president of indigenous origin, who has promoted multicultural policies, formally supported through the promulgation of a new constitution. Lastly is the influence of the global acceptance of alternative medicine. Indigenous doctor organizations in Bolivia have been highly involved throughout the entire process of institutionalization and have played a crucial role in it. An analysis of the relationship between these civil society organizations and the Bolivian government reveals a strong partnership. This dynamic can be described in terms of Interdependence Theory, as each party relied on the other in the promotion and practice of the law to achieve the integration of indigenous medicine as part of the Bolivian Health System. PMID:25043560

  15. Sociodemographic and health factors associated with chronic pain in institutionalized elderly

    PubMed Central

    Barbosa, Maria Helena; Bolina, Alison Fernandes; Tavares, Jordânia Lumênia; Cordeiro, Aldenora Laísa Paiva de Carvalho; Luiz, Raíssa Bianca; de Oliveira, Karoline Faria

    2014-01-01

    OBJECTIVES: to characterize chronic pain in institutionalized elderly and verify the associated factors. METHOD: observational, cross-sectional and non-experimental study with a quantitative approach. The study participants were 124 elderly living in Long-Term Care Institutions for the Elderly (LTCIs) in a city in Minas Gerais (Brazil). Approval for the project was obtained from the Research Ethics Committee. The elderly's clinical and sociodemographic variables and pain-related aspects were assessed. The data were analyzed through descriptive statistics and bivariate analysis (chi-squared). RESULTS: the prevalence of chronic pain corresponded to 58.1%; for more than 10 years (26.4%); in lower limbs (31.9%); characterized as "twinges" (33.3%); 33.3% adopted medication treatment; the pain did not improve (41.7 %); or worsen (34.7 %). It was evidenced that elderly aged 60├ 70 old had 70% less chances of chronic pain than those aged 80 years and older (p=0.018). CONCLUSION: institutionalized elderly have a high prevalence of chronic pain, mainly in the lower limbs. No factors of pain improvement or worsening were identified and medication was evidenced as the preferred treatment. Age showed to be associated with the presence of pain. It is considered important to accomplish multiprofessional actions at the LTCIs to guide prevention and rehabilitation actions of the pain episodes in these elderly. PMID:25591097

  16. The Relationship between Ego Identity Status and Erikson's Notions of Institutionalized Moratoria, Value Orientation Stage, and Ego Dominance.

    ERIC Educational Resources Information Center

    Cote, James E.; Levine, Charles

    1988-01-01

    The results of an empirical investigation with 122 university students are discussed in terms of J. E. Marcia's identity status paradigm. E. H. Erikson's notions of institutionalized moratoria, value orientation stages, and the ego-superego struggle for dominance of the personality are related to the identity status categories to the degree that…

  17. Exploring the Current Theoretical Background about Adoption until Institutionalization of Online Education in Universities: Needs for Further Research

    ERIC Educational Resources Information Center

    Casanovas, Ines

    2010-01-01

    Online education in institutional contexts means new organizational problems. The fact that universities need to change to accommodate the impact of technology on learning is already known and accepted. Coping with changes from adoption until institutionalization of online education represents a formidable management challenge for universities.…

  18. 34 CFR 461.32 - What are programs for corrections education and education for other institutionalized adults?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... education for other institutionalized adults? 461.32 Section 461.32 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION ADULT EDUCATION STATE-ADMINISTERED BASIC GRANT PROGRAM How Does a State Make an Award to...

  19. 34 CFR 461.32 - What are programs for corrections education and education for other institutionalized adults?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... education for other institutionalized adults? 461.32 Section 461.32 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION ADULT EDUCATION STATE-ADMINISTERED BASIC GRANT PROGRAM How Does a State Make an Award to...

  20. 34 CFR 461.32 - What are programs for corrections education and education for other institutionalized adults?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... education for other institutionalized adults? 461.32 Section 461.32 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION ADULT EDUCATION STATE-ADMINISTERED BASIC GRANT PROGRAM How Does a State Make an Award to...

  1. 34 CFR 461.32 - What are programs for corrections education and education for other institutionalized adults?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... education for other institutionalized adults? 461.32 Section 461.32 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION ADULT EDUCATION STATE-ADMINISTERED BASIC GRANT PROGRAM How Does a State Make an Award to...

  2. 34 CFR 461.32 - What are programs for corrections education and education for other institutionalized adults?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false What are programs for corrections education and education for other institutionalized adults? 461.32 Section 461.32 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION ADULT EDUCATION STATE-ADMINISTERED...

  3. 42 CFR 436.832 - Post-eligibility treatment of income of institutionalized individuals: Application of patient...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Medicaid on the basis of blindness or disability; (ii) $60 a month for an institutionalized couple if both... significant change occurs, the agency must reconcile estimates with income received. (f) Determination of...) of this section, or when any significant change occurs, the agency must reconcile estimates...

  4. 42 CFR 435.725 - Post-eligibility treatment of income of institutionalized individuals in SSI States: Application...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) $60 a month for an institutionalized couple if both spouses are aged, blind, or disabled and their...) Optional deduction: Allowance for home maintenance. For single individuals and couples, an amount (in addition to the personal needs allowance) for maintenance of the individual's or couple's home if— (1)...

  5. 42 CFR 435.733 - Post-eligibility treatment of income of institutionalized individuals in States using more...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Medicaid on the basis of blindness or disability; (ii) $60 a month for an institutionalized couple if both... home maintenance. For single individuals and couples, an amount (in addition to the personal needs allowance) for maintenance of the individual's or couple's home if— (1) The amount is deducted for not...

  6. 42 CFR 436.832 - Post-eligibility treatment of income of institutionalized individuals: Application of patient...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Medicaid on the basis of blindness or disability; (ii) $60 a month for an institutionalized couple if both... deduction: Allowance for home maintenance. For single individuals and couples, an amount (in addition to the personal needs allowance) for maintenance of the individual's or couple's home if— (1) The amount...

  7. 42 CFR 435.832 - Post-eligibility treatment of income of institutionalized individuals: Application of patient...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) $60 a month for an institutionalized couple if both spouses are aged, blind, or disabled and their... individuals and couples, an amount (in addition to the personal needs allowance) for maintenance of the individual's or couple's home if— (1) The amount is deducted for not more than a 6-month period; and (2)...

  8. 42 CFR 435.733 - Post-eligibility treatment of income of institutionalized individuals in States using more...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... institutionalized individuals in States using more restrictive requirements than SSI: Application of patient income... individuals in States using more restrictive requirements than SSI: Application of patient income to the cost....110 and individuals eligible under § 435.121. (2) Individuals who would be eligible for AFDC, SSI,...

  9. Institutionalization and indiscriminate social behavior: Differential-susceptibility versus diathesis-stress models for the 5-HTTLPR and BDNF genotypes.

    PubMed

    Mesquita, A R; Belsky, J; Li, Z; Baptista, J; Carvalho-Correia, E; Maciel, P; Soares, I

    2015-12-01

    Institutionalization adversely impacts children's emotional functioning, proving related to attachment disorders, perhaps most notably that involving indiscriminate behavior, the subject of this report. In seeking to extend work in this area, this research on gene X environment (GXE) interplay investigated whether the serotonin transporter (5-HTTLPR) and val66met Brain-Derived Neurotrophic Factor (BDNF) polymorphisms moderated the effect of institutional care on indiscriminate behavior in preschoolers. Eighty-five institutionalized and 135 home-reared Portuguese children were assessed using Disturbances of Attachment Interview (DAI). GXE results indicated that s/s homozygotes of the 5-HTTLPR gene displayed significantly higher levels of indiscriminate behavior than all other children if institutionalized, something not true of such children when family reared. These findings proved consistent with the diathesis-stress rather than differential-susceptibility model of person×environment interaction. BDNF proved unrelated to indiscriminate behavior. Results are discussed in relation to previous work on this subject of indiscriminate behavior, institutionalization and GXE interaction. PMID:26386404

  10. Validity and Reliability of the European Portuguese Version of Neuropsychiatric Inventory in an Institutionalized Sample

    PubMed Central

    Ferreira, Ana Rita; Martins, Sonia; Ribeiro, Orquidea; Fernandes, Lia

    2015-01-01

    Background Neuropsychiatric symptoms are very common in dementia and have been associated with patient and caregiver distress, increased risk of institutionalization and higher costs of care. In this context, the neuropsychiatric inventory (NPI) is the most widely used comprehensive tool designed to measure neuropsychiatric Symptoms in geriatric patients with dementia. The aim of this study was to present the validity and reliability of the European Portuguese version of NPI. Methods A cross-sectional study was carried out with a convenience sample of institutionalized patients (≥ 50 years old) in three nursing homes in Portugal. All patients were also assessed with mini-mental state examination (MMSE) (cognition), geriatric depression scale (GDS) (depression) and adults and older adults functional assessment inventory (IAFAI) (functionality). NPI was administered to a formal caregiver, usually from the clinical staff. Inter-rater and test-retest reliability were assessed in a subsample of 25 randomly selected subjects. Results The sample included 166 elderly, with a mean age of 80.9 (standard deviation: 10.2) years. Three out of the NPI behavioral items had negative correlations with MMSE: delusions (rs = -0.177, P = 0.024), disinhibition (rs = -0.174, P = 0.026) and aberrant motor activity (rs = -0.182, P = 0.020). The NPI subsection of depression/dysphoria correlated positively with GDS total score (rs = 0.166, P = 0.038). NPI showed good internal consistency (overall α = 0.766; frequency α = 0.737; severity α = 0.734). The inter-rater reliability was excellent (intraclass correlation coefficient (ICC): 1.00, 95% confidence interval (CI) 1.00 - 1.00), as well as test-retest reliability (ICC: 0.91, 95% CI 0.80 - 0.96). Conclusion The results found for convergent validity, inter-rater and test-retest reliability, showed that this version appears to be a valid and reliable instrument for evaluation of neuropsychiatric symptoms in institutionalized elderly

  11. Oral health care activities performed by caregivers for institutionalized elderly in Barcelona-Spain

    PubMed Central

    Cornejo-Ovalle, Marco; Costa-de-Lima, Kenio; Pérez, Glória; Borrell, Carme; Casals-Peidro, Elías

    2013-01-01

    Objectives: To describe the frequency of brushing teeth and cleaning of dentures, performed by caregivers, for institutionalized elderly people. Methods: A cross-sectional study in a sample of 196 caregivers of 31 health centers in Barcelona. The dependent variables were frequency of dental brushing and frequency of cleaning of dentures of the elderly by caregivers. The independent variables were characteristics of caregivers and institutions. We performed bivariate and multivariate descriptive analyses. Robust Poisson regression models were fitted to determine factors associated with the dependent variables and to assess the strength of the association. Results: 83% of caregivers were women, 79% worked on more than one shift, 42% worked only out of necessity, 92% were trained to care for elderly persons, 67% were trained in oral hygiene care for the elderly, and 73% recognized the existence of institutional protocols on oral health among residents. The variables explaining the lower frequency of brushing teeth by caregivers for the elderly, adjusted for the workload, were: no training in the care of elderly persons (PRa 1.7 CI95%: 1.6-1.8), not fully agreeing with the importance of oral health care of the elderly (PRa 2.5 CI95%: 1.5-4.1) and not knowing of the existence of oral health protocols (PRa 1.8 CI95%: 1.2-2.6). The variables that explain the lower frequency of cleaning dentures, adjusted for the workload, were lack of training in elderly care (PRa 1.7 CI95%: 1.3-1.9) and not knowing of the existence of protocols (PRa 3.7 CI95%: 1.6-8.7). Conclusion: The majority of caregivers perform activities of oral health care for the elderly at least once per day. The frequency of this care depends mainly on whether caregivers are trained to perform these activities, the importance given to oral health, the workload of caregivers and the existence of institutional protocols on oral health of institutionalized elderly persons. Key words:Institutionalized elderly

  12. Foundations of Child Psychiatry.

    ERIC Educational Resources Information Center

    Miller, Emanuel, Ed.; And Others

    Twenty-eight papers examine basic theories and clinical methods in child psychiatry. Theories and methods discussed concern child psychiatry and the World Health Organization, pediatrics, child disturbances, observation, the psychodiagnostic approach, longitudinal research in child development, the comparative approach to early child development,…

  13. Sustainable institutionalized punishment requires elimination of second-order free-riders

    NASA Astrophysics Data System (ADS)

    Perc, Matjaž

    2012-03-01

    Although empirical and theoretical studies affirm that punishment can elevate collaborative efforts, its emergence and stability remain elusive. By peer-punishment the sanctioning is something an individual elects to do depending on the strategies in its neighborhood. The consequences of unsustainable efforts are therefore local. By pool-punishment, on the other hand, where resources for sanctioning are committed in advance and at large, the notion of sustainability has greater significance. In a population with free-riders, punishers must be strong in numbers to keep the ``punishment pool'' from emptying. Failure to do so renders the concept of institutionalized sanctioning futile. We show that pool-punishment in structured populations is sustainable, but only if second-order free-riders are sanctioned as well, and to a such degree that they cannot prevail. A discontinuous phase transition leads to an outbreak of sustainability when punishers subvert second-order free-riders in the competition against defectors.

  14. Predictions of violent and total infractions among institutionalized male juvenile offenders.

    PubMed

    Hicks, M M; Rogers, R; Cashel, M

    2000-01-01

    Forensic practitioners in settings with institutionalized adolescent offenders are frequently responsible for the accurate classification of problematic and potentially violent youths. Methods of assessment often include traditional tests, such as the MMPI and MMPI-A, and interview-based determinations of psychopathy. In a study of residential male adolescent offenders, the MMPI-A and the Screening Version of the Psychopathy Checklist (PCL:SV) were used to predict total, violent, self-injurious, and nonviolent infractions in a treatment-oriented facility for delinquents. In predicting the overall number of infractions, the MMPI-A was superior to the PCL:SV. Psychopaths manifested a significantly higher rate of violent infractions than nonpsychopaths. Finally, ethnic differences raise serious concerns about the generalizability of the PCL:SV; differences were found in the relationship between psychopathy and infractions based on ethnicity. PMID:10888186

  15. Appendicular fractures: a significant problem among institutionalized adults with developmental disabilities.

    PubMed

    Ryder, K M; Williams, J; Womack, C; Nayak, N G; Nasef, S; Bush, A; Tylavsky, F A; Carbone, L

    2003-09-01

    A high incidence of nontraumatic fracture in adults with developmental disabilities living in a state-run facility was described. Risk factors for fracture, including bone mineral density (BMD), were investigated to determine whether people at highest risk for fracture could be prospectively identified. There was a 7.3% incidence of fracture among 391 adults. Risk factors were examined for 23 residents with fracture and 23 age-, race-, and gender-matched controls. There was a trend for antiepileptic medication usage to be associated with fractures. Estimated BMD by heel ultrasound did not predict fracture; however, values were much lower than those for the general population. Fractures and low BMD are significant problems among institutionalized adults with severe developmental disabilities. Further studies to identify therapies to prevent fractures are warranted. PMID:12901709

  16. [Influence of chronic pain in the functional capacity of institutionalized elderly].

    PubMed

    Reis, Luciana Araújo; Torres, Gilson de Vasconcelos

    2011-01-01

    The aim of this study was to analyze the influence of pain, in terms of its duration, location and intensity, on the functional capacity of institutionalized elderly. That was a cross-sectional study carried out with a sample of 60 elderly patients. The instrument was composed by sociodemographic and health variables, the numerical pain scale and the Barthel scale. The Chi-square test showed a significant statistical difference between the presence of pain and the following activities: bathing (p=0.015) dressing (p=0.041), toilet use (p=0.001), bed-chair transfer (p=0.032), ambulation (p=0.010) and stairs climbing (p=0.008) and between total Barthel score and the presence of pain, p<0,000. The results of this study show that pain has a negative effect on the functional capacity of the elderly. PMID:21755210

  17. Effects of socialization games on proximity and prosocial behavior of aggressive mentally retarded institutionalized women.

    PubMed

    Edmonson, B; Han, S S

    1983-01-01

    Socialization games, designed to reinforce prosocial behavior between moderately and severely mentally retarded aggressive institutionalized women, were presented to two groups on 12 occasions over 8 weeks, randomly interspersed with 12 sessions of arts and crafts or filmstrip stories. Half of the sessions were presented in the morning and half in the afternoon. Video-taped observations of interpersonal behavior for 10 minutes after each session were analyzed in terms of friendly, unfriendly, and inactive behavior, and the distance of each subject from each other subject was measured. The rate of friendly behavior was significantly greater after the games and was higher in morning than afternoon sessions. The games also significantly decreased interpersonal distance. Both unfriendly behavior and inactivity were higher after the "placebo" sessions. The relevance of these results to institutional programming was discussed. PMID:6829621

  18. Institutionalizing dissent: a proposal for an adversarial system of pharmaceutical research.

    PubMed

    Biddle, Justin

    2013-12-01

    There are serious problems with the way in which pharmaceutical research is currently practiced, many of which can be traced to the influence of commercial interests on research. One of the most significant is inadequate dissent, or organized skepticism. In order to ameliorate this problem, I develop a proposal that I call the "Adversarial Proceedings for the Evaluation of Pharmaceuticals," to be instituted within a regulatory agency such as the Food and Drug Administration for the evaluation of controversial new drugs and controversial drugs already in the market. This proposal is an organizational one based upon the "science court" proposal by Arthur Kantrowitz in the 1960s and 1970s. The primary benefit of this system is its ability to institutionalize dissent, thereby ensuring that one set of interests does not dominate all others. PMID:24552075

  19. Spiritual Religious Coping is Associated with Quality of Life in Institutionalized Older Adults.

    PubMed

    Vitorino, Luciano Magalhães; Lucchetti, Giancarlo; Santos, Ana Eliza Oliveira; Lucchetti, Alessandra L G; Ferreira, Eric Batista; Adami, Nilce Piva; Vianna, Lucila Amaral Carneiro

    2016-04-01

    The purpose of this study was to investigate the relationship between spiritual/religious coping (SRCOPE) strategies and quality of life (QoL) in institutionalized older adults. This is a cross-sectional, correlational study, with a sample of 77 older adults in Brazil. The present study found long-term care patients use religious and spiritual coping strategies to deal with their chronic health conditions. Positive SRCOPE and Total SRCOPE have positive correlations with most QoL domains from the WHOQOL-OLD and WHOQOL-BREF. On the other hand, Negative SRCOPE strategies correlated negatively with the facets of "death and dying" from the WHOQOL-OLD. These results suggest the need for an integrative approach for long-term care patients, considering the positive and negative aspects of coping. PMID:26649565

  20. [The emergence and institutionalization of sexology in Portugal: processes, actors, and specificities].

    PubMed

    Alarcão, Violeta; Machado, Fernando Luís; Giami, Alain

    2016-01-01

    Based on Bourdieu's field theory, this article analyzes the emergence and institutionalization of sexology as a science and profession in Portugal, identifying relevant institutions, actors, and professional practices and discussing its relations and specificities. The analysis begins by contextualizing the emergence of modern Western sexology in order to comprehend the Portuguese case in the international sexology context. The second section describes the social, cultural, and institutional factors that have driven the professionalization of sexology. The third section describes the emergence of Portuguese sexology and its principal historical milestones, institutions, and actors. Finally, the article discusses some implications of this process for the role of sexology as a science and profession. The study reveals the dynamics of national and international processes in the field, in the transition from a holistic perspective of sexology to the hegemony of sexual medicine, and sheds light on its mechanisms of legitimation as a transdisciplinary science of sexuality, suggesting future perspectives. PMID:27598015

  1. The institutionalization of River Basin Management as politics of scale - Insights from Mongolia

    NASA Astrophysics Data System (ADS)

    Houdret, Annabelle; Dombrowsky, Ines; Horlemann, Lena

    2014-11-01

    River Basin Management (RBM) as an approach to sustainable water use has become the dominant model of water governance. Its introduction, however, entails a fundamental realignment and rescaling of water-sector institutions along hydrological boundaries. Creating such a new governance scale is inherently political, and is being described as politics of scale. This paper analyzes how the politics of scale play out in the institutionalization of RBM in Mongolia. It furthermore scrutinizes the role of the broader political decentralization process in the introduction of RBM, an issue that has so far received little attention. Finally, it assesses whether the river basin is an adequate water management scale in Mongolia. This article finds that institutionalizing RBM in Mongolia is indeed a highly political negotiation process that does not only concern the choice of the governance scale, but also its detailed institutional design. It furthermore reveals that Mongolia's incomplete political decentralization process has for a long time negatively impacted the decentralization of water-related tasks and the implementation of RBM. However, the 2011 Budget Law and the 2012 Water Law provide for a fiscal strengthening of local governments and clearer sharing of responsibilities among the various different institutions involved in water management. Nevertheless, only if the 2012 Water Law is complemented by adequate by-laws - and if the newly created river basin institutions are adequately equipped - can RBM be effectively put into practice. This article confirms the usefulness of a politics-of-scale approach to understand scalar practices and changes in water management. However, the article also argues for a broadening of the analytical perspective to take the interdependencies between changes in water governance and other political processes, such as decentralization, into account.

  2. Ileostomy and your child

    MedlinePlus

    ... gov/ency/patientinstructions/000069.htm Ileostomy and your child To use the sharing features on this page, ... health counselor may help you. Caring for Your Child's Ileostomy Your child will need help and support. ...

  3. Child Sexual Abuse

    MedlinePlus

    Sexual abuse is one form of child abuse. It includes a wide range of actions between a child ... to children or pressuring them for sex is sexual abuse. Using a child for pornography is also sexual ...

  4. Child Care Aware

    MedlinePlus

    ... Connected With Enews Subscribe Child Care Aware® of America Overview Vision & Mission Audience Partners Child Care Providers ... Public Policy Agenda 2016-2017 Child Care in America: 2016 State Fact Sheets We Can Do Better – ...

  5. Asthma - child - discharge

    MedlinePlus

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

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

    MedlinePlus

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

  7. Child Welfare Workers, Police, and Child Placement.

    ERIC Educational Resources Information Center

    Shireman, Joan; And Others

    1981-01-01

    Uses three different samples of child abuse and neglect complaints drawn from the files of a juvenile court, a child welfare agency, and a police department, to investigate the factors which contribute to the decision to remove a child from his/her family. (Author/CM)

  8. Child Abuse: Definition.

    ERIC Educational Resources Information Center

    Wilson, Timothy L.-Y.

    The purpose of this paper was to elaborate on the definitions of child abuse in order to improve the understanding of child abuse. The definitions given by the U.S. House Joint Committee on Child Abuse in the Child Abuse Prevention and Treatment Act, and in research by Holden (1984), are cited. These definitions refer to the nature of abusive acts…

  9. Child Support Report, 1998.

    ERIC Educational Resources Information Center

    Sharman, Phil, Ed.

    1998-01-01

    This document is comprised of the 12 monthly issues of the 1998 "Child Support Report," which explores problems related to child support enforcement, reports on federal and state government child support enforcement initiatives, and summarizes research related to child support. Editorials and information on events and conferences of interest and…

  10. Child Support Report, 2001.

    ERIC Educational Resources Information Center

    Sharman, Phil, Ed.

    2001-01-01

    This document comprises the 12 issues for 2001 of the "Child Support Report," which explores problems related to child support enforcement, reports on federal and state government child support enforcement initiatives, and summarizes research related to child support. Featured regularly are editorials and information on events of interest and…

  11. Child Support Report, 1997.

    ERIC Educational Resources Information Center

    Sharman, Phil, Ed.

    1997-01-01

    This document consists of the twelve issues of "Child Support Report" newsletter published during 1997. Monthly issues typically explore problems related to child support enforcement, report on federal and state government child support enforcement initiatives, and summarize research related to child support. Editorials and information on events…

  12. Child Support Report, 2002.

    ERIC Educational Resources Information Center

    Sharman, Phil, Ed.

    2002-01-01

    This document comprises the 12 issues for 2002 of the Child Support Report, which explores problems related to child support enforcement, reports on federal and state government child support enforcement initiatives, and summarizes research related to child support. Featured regularly are editorials and information on events of interest and…

  13. Child Support Report, 2000.

    ERIC Educational Resources Information Center

    Sharman, Phil, Ed.

    2000-01-01

    This document comprises the 12 issues for 2000 of the "Child Support Report," which explores problems related to child support enforcement, reports on federal and state government child support enforcement initiatives, and summarizes research related to child support. Featured regularly are editorials and information on events of interest and…

  14. THE DIFFICULT CHILD.

    ERIC Educational Resources Information Center

    ROUCEK, JOSEPH S.

    THIS BOOK CONSISTS OF 16 ESSAYS BY SPECIALISTS ON PROBLEMS WHICH MAY MAKE A CHILD DIFFICULT. EACH AUTHOR DISCUSSES ETIOLOGICAL FACTORS, CHARACTERISTICS, AND HOW DIFFICULTIES MAY BE REDUCED. THE FOLLOWING TOPICS ARE CONSIDERED--(1) "THE CREATIVE CHILD" BY E.P. TORRANCE, (2) "THE INATTENTIVE CHILD" BY I.W. SCHERER, (3) "THE CHILD WITH LANGUAGE…

  15. Child Support Report, 1999.

    ERIC Educational Resources Information Center

    Sharman, Phil, Ed.

    1999-01-01

    This document comprises the 12 issues for 1999 of the "Child Support Report," which explores problems related to child support enforcement, reports on federal and state government child support enforcement initiatives, and summarizes research related to child support. Editorials and information on events and conferences of interest and funding…

  16. Toilet Training Your Child

    MedlinePlus

    ... to be present when you go to the bathroom and make your child feel comfortable in the bathroom. Allow your child to see urine and bowel ... begin teaching your child to go to the bathroom. Keep your child in loose, easily removable pants. ...

  17. From institutionalization of user fees to their abolition in West Africa: a story of pilot projects and public policies

    PubMed Central

    2015-01-01

    This article analyzes the historical background of the institutionalization of user fees and their subsequent abolition in West Africa. Based on a narrative review, we present the context that frames the different articles in this supplement. We first show that a general consensus has emerged internationally against user fees, which were imposed widely in Africa in the 1980s and 1990s; at that time, the institutionalization of user fees was supported by evidence from pilot projects funded by international aid agencies. Since then there have been other pilot projects studying the abolition of user fees in the 2000s, but these have not yet had any real influence on public policies, which are often still chaotic. This perplexing situation might be explained more by ideologies and political will than by insufficient financial capacity of states. PMID:26559564

  18. Child labor: a forgotten focus for child welfare.

    PubMed

    Otis, J; Pasztor, E M; McFadden, E J

    2001-01-01

    Child labor is driven by child and family impoverishment, market forces, and political apathy concerning the rights of the child. Although a fundamental concern of the early 20th century child welfare system, today child labor is often seen as outside the scope of child welfare and child protective services. Making child labor a focus of child advocacy activity once again could do much to better the lives of children. PMID:11678418

  19. Emotional intelligence and depressive symptoms in Spanish institutionalized elders: does emotional self-efficacy act as a mediator?

    PubMed Central

    2016-01-01

    Background. This work examines the relationship between emotional intelligence (EI) and depressive symptomatology in institutionalized older adults, delving into the mechanisms underlying this relationship. Considering that previous evidence of the variation of the EI-depression relationship depending on whether the emotional ability or the perception of that ability is evaluated, a model of multiple mediation was tested in which the dimensions of emotional self-efficacy (ESE) act as mediators in the relationship between ability EI and depressive symptomatology. Methods. The sample consisted of 115 institutionalized older adults (47.82% women; 80.3 ± 7.9 years of age) from the province of Jaén (Spain) who completed a test of ESE, a measure of ability EI, and a self-administered questionnaire of depressive symptoms. Results. The results showed a positive association between older adults’ emotional performance and depressive symptomatology, finding stronger associations with ESE than with EI abilities. In addition, multiple mediation analyses showed that two of the four dimensions of ESE fully mediated the relationship between ability EI and depressive symptoms. Discussion. These findings suggest that older adults’ high levels of emotional competence generate a feeling of ESE which can protect them against depressive symptoms. This work supports the predictive validity of emotional abilities and ESE for the mental health of a group that is particularly vulnerable to depression, institutionalized older adults. The limitations of the work are discussed, and future lines of research were considered. PMID:27547553

  20. Emotional intelligence and depressive symptoms in Spanish institutionalized elders: does emotional self-efficacy act as a mediator?

    PubMed

    Luque-Reca, Octavio; Augusto-Landa, José María; Pulido-Martos, Manuel

    2016-01-01

    Background. This work examines the relationship between emotional intelligence (EI) and depressive symptomatology in institutionalized older adults, delving into the mechanisms underlying this relationship. Considering that previous evidence of the variation of the EI-depression relationship depending on whether the emotional ability or the perception of that ability is evaluated, a model of multiple mediation was tested in which the dimensions of emotional self-efficacy (ESE) act as mediators in the relationship between ability EI and depressive symptomatology. Methods. The sample consisted of 115 institutionalized older adults (47.82% women; 80.3 ± 7.9 years of age) from the province of Jaén (Spain) who completed a test of ESE, a measure of ability EI, and a self-administered questionnaire of depressive symptoms. Results. The results showed a positive association between older adults' emotional performance and depressive symptomatology, finding stronger associations with ESE than with EI abilities. In addition, multiple mediation analyses showed that two of the four dimensions of ESE fully mediated the relationship between ability EI and depressive symptoms. Discussion. These findings suggest that older adults' high levels of emotional competence generate a feeling of ESE which can protect them against depressive symptoms. This work supports the predictive validity of emotional abilities and ESE for the mental health of a group that is particularly vulnerable to depression, institutionalized older adults. The limitations of the work are discussed, and future lines of research were considered. PMID:27547553

  1. Association between complaints of dizziness and hypertension in non-institutionalized elders

    PubMed Central

    Lopes, Anália Rosário; Moreira, Michelle Damasceno; Trelha, Celita Salmaso; Marchiori, Luciana Lozza de Moraes

    2013-01-01

    Summary Introduction: Advancing age increases the risk for a number of chronic diseases. Hypertension and dizziness are highly prevalent in the elderly population and represent major health problems. Objective: To verify the association between complaints of dizziness and the presence of hypertension in non-institutionalized elders. Method: This was a prospective cross-sectional cohort study of the elderly population of Londrina, Paraná in terms of aging and longevity. The required sample size was calculated, and subjects e” 60 years of age of both genders were selected at random. Data were collected using a questionnaire covering socio-demographic information and self-reported cases of hypertension and dizziness. Statistical analysis was performed using the chi-square test with p d” 0.05 as the level of significance. Results: The study included 493 elderly subjects, of whom 257 (52.1%) complained of dizziness and 308 (62.5%) reported a diagnosis of arterial systemic hypertension. Dizziness was significantly associated with hypertension (χ2 = 6.26, p = 0.01) and female sex. Conclusions: Hypertension and dizziness were both highly prevalent and were significantly associated, showing the great need for investments in preventive measures. PMID:25992007

  2. Effects of early institutionalization on the development of emotion processing: a case for relative sparing?

    PubMed

    Moulson, Margaret C; Shutts, Kristin; Fox, Nathan A; Zeanah, Charles H; Spelke, Elizabeth S; Nelson, Charles A

    2015-03-01

    We tested the capacity to perceive visual expressions of emotion, and to use those expressions as guides to social decisions, in three groups of 8- to 10-year-old Romanian children: children abandoned to institutions then randomly assigned to remain in 'care as usual' (institutional care); children abandoned to institutions then randomly assigned to a foster care intervention; and community children who had never been institutionalized. Experiment 1 examined children's recognition of happy, sad, fearful, and angry facial expressions that varied in intensity. Children assigned to institutional care had higher thresholds for identifying happy expressions than foster care or community children, but did not differ in their thresholds for identifying the other facial expressions. Moreover, the error rates of the three groups of children were the same for all of the facial expressions. Experiment 2 examined children's ability to use facial expressions of emotion to guide social decisions about whom to befriend and whom to help. Children assigned to institutional care were less accurate than foster care or community children at deciding whom to befriend; however, the groups did not differ in their ability to decide whom to help. Overall, although there were group differences in some abilities, all three groups of children performed well across tasks. The results are discussed in the context of theoretical accounts of the development of emotion processing. PMID:25039290

  3. Risk Factors of High Burden Caregivers of Dementia Patients Institutionalized at Day-Care Centres.

    PubMed

    Maseda, Ana; González-Abraldes, Isabel; de Labra, Carmen; Marey-López, José; Sánchez, Alba; Millán-Calenti, José C

    2015-08-01

    We examined which variables are associated with day care centres utilization among caregivers of dementia patients. A cross-sectional analysis of socio-demographic variables, relationship with caring and psychological aspects was conducted in 58 informal caregivers with intense burden. 58.6 % used day care assistance and 41.4 % did not. The results showed the importance of the commitment between the caregiver and their family and friends. The use of day care services is independent of the age, gender, educational level, marital status, occupation and relationship with the patient. However, in the multivariate analysis the provision of help by families and friends predicted the use of day care assistance. The bivariate analysis showed a significant relationship between depressive symptoms and self-rated health with day care attendance. Screening the help provision from families and friends in caregivers of dementia patients with intense burden would be relevant to design interventions which delay their institutionalization and reduce costs. PMID:25535044

  4. Increased freezing and decreased positive affect in post-institutionalized children

    PubMed Central

    Stellern, Sarah; Esposito, Elisa; Mliner, Shanna; Pears, Katherine; Gunnar, Megan

    2013-01-01

    Background Early neglect is associated with increased risk of internalizing disorders in humans and with increased fear behavior in animals. When children are adopted out of orphanages in which they experienced institutional neglect, anxiety and depressive disorders often are not seen until adolescence. What has not been examined is whether even young children adopted from institutional care exhibit heightened fear or behavioral inhibition. Method Children adopted between 15 and 35 months from institutional care were examined twice during their first year post-adoption and compared to children of the same age reared in their birth families. A modified version of the Laboratory Temperament Assessment Battery for Preschoolers was used with the children being exposed to two mechanical toys designed to be highly arousing and fear-eliciting. Because children in institutions tend to exhibit low levels of positive affect, the children were also examined during exposure to two positive stimuli. Sessions were videotaped and coded by observers blind to the study purpose. Results Post-institutionalized children froze more in fear vignettes and were less positive in both fear and positive vignettes than non-adopted children. Group differences did not diminish significantly from the first session to the next, 6 months later. Conclusions Children exposed to early institutional neglect exhibit emotional biases that are consistent with their previously demonstrated risk for the development of internalizing disorders. PMID:24482804

  5. Academic Institutionalization of Community Health Services: Way Ahead in Medical Education Reforms

    PubMed Central

    Kumar, Raman

    2012-01-01

    Policy on medical education has a major bearing on the outcome of health care delivery system. Countries plan and execute development of human resource in health, based on the realistic assessments of health system needs. A closer observation of medical education and its impact on the delivery system in India reveals disturbing trends. Primary care forms backbone of any system for health care delivery. One of the major challenges in India has been chronic deficiency of trained human resource eager to work in primary care setting. Attracting talent and employing skilled workforce seems a distant dream. Talking specifically of the medical education, there are large regional variations, urban - rural divide and issues with financing of the infrastructure. The existing design of medical education is not compatible with the health care delivery system of India. Impact is visible at both qualitative as well as quantitative levels. Medical education and the delivery system are working independent of each other, leading outcomes which are inequitable and unjust. Decades of negligence of medical education regulatory mechanism has allowed cropping of multiple monopolies governed by complex set of conflict of interest. Primary care physicians, supposed to be the community based team leaders stand disfranchised academically and professionally. To undo the distorted trajectory, a paradigm shift is required. In this paper, we propose expansion of ownership in medical education with academic institutionalization of community health services. PMID:24478994

  6. Early deprivation and autonomic nervous system functioning in post-institutionalized children.

    PubMed

    Esposito, Elisa A; Koss, Kalsea J; Donzella, Bonny; Gunnar, Megan R

    2016-04-01

    The relations between early deprivation and the development of the neuroendocrine and central components of the mammalian stress response have been examined frequently. However, little is known about the impact of early deprivation on the developmental trajectories of autonomic function. Children adopted between 15-36 months from institutional care were examined during their first 16 months post-adoption (N = 60). Comparison groups included same-aged peers reared in their birth families (N = 50) and children adopted internationally from overseas foster care (N = 46). The present study examined trajectories of baseline autonomic nervous system function longitudinally following entry into adopted families. Post-institutionalized children had higher sympathetic tone, measured by pre-ejection period (PEP). Individual differences in PEP soon after adoption served as a mediator between early deprivation and parent-reported behavioral problems 2 years post-adoption. There were no group differences in parasympathetic function, indexed by respiratory sinus arrhythmia. All three groups showed similar trajectories of ANS function across the 16 month period. PMID:26497289

  7. Educational support group in changing caregivers' psychological elder abuse behavior toward caring for institutionalized elders.

    PubMed

    Hsieh, Hsiu-Fang; Wang, Jing-Jy; Yen, Maiofen; Liu, Tzu-Ti

    2009-08-01

    Institutionalized elderly who are frail and dependent are vulnerable to be abused by overwhelmed caregivers especially caregiver psychological abusive behavior is a growing but hidden problem with few evidence-based interventions. The purpose of this study was to examine the effectiveness of an educational support group in alleviating caregiver's psychological abusive behavior, reducing work stress and promoting knowledge of geriatric care-giving among a group of caregivers. A quasi-experimental design using a case control pre-post test approach was conducted. A total of 100 participants completed the study with 50 caregivers in each group. The research instruments included the Caregiver Psychological Elder Abuse Behavior Scale (CPEAB), the Work Stressors Inventory (WSI), and the Knowledge of Gerontology Nursing Scale (KGNS). The results showed that the intervention had significant effects in alleviating caregiver psychological abuse behavior and increasing care-giving knowledge in the experimental group (p = .048; .018). However, the intervention had no measurable effect on work stress (p = .66). Findings have important implications for education and programming for facility administers and long-term care policy makers when planning quality improvement for elderly care. PMID:18516696

  8. Institutionalization of African traditional medicine in health care systems in Africa.

    PubMed

    Kofi-Tsekpo, Mawuli

    2004-01-01

    In recent times, the phrase " traditional medicine" has become a catchword among the peoples in all countries in Africa. This has been due partly because the use of herbal remedies has gained popularity worldwide and the exploitation of these remedies has become a multimillion industry. The term "African traditional medicine" is not synonymous with "Alternative and complimentary medicine" which is a misnomer which is sometimes used. African traditional medicine is the African indigenous system of health care and therefore cannot be an alternative. In Africa, there is an important reason why African traditional medicine has become increasingly popular. The high cost of allopathic medical health care and the expensive pharmaceutical products have become unavailable to a majority of people. Naturally, the many centuries-old alternative sources of health care have become handy, often in desperate situations. In fact, the frequently quoted statement that 85 per cent of the people in Africa use traditional medicine, is an understatement because this figure is much higher and continues to increase. At the Alma Atta Declaration of 1978, it was resolved that traditional medicine had to be incorporated in the health care systems in developing countries if the objective of the "Health for All by the Year 2000" was to be realized. Notwithstanding this strategy, African countries did not come near the objective at the end of the 20th century. Therefore, the Member States of the WHO African Region adopted a resolution in 2000 called "Promoting the role of traditional medicine in health care systems: A strategy for the African Region". This strategy provides for the institutionalization of traditional medicine in health care systems of the member states of the WHO African Region. Furthermore, the OAU (African Union) Heads of State and Government declared the period 2000 - 2010 as the African Decade on African Traditional Medicine. In addition, the Director General of the World

  9. Local institutionalization, discontinuity, and German textbooks of psychology, 1816-1854.

    PubMed

    Teo, Thomas

    2007-01-01

    In the context of social and intellectual developments and the changing role of German universities in the first half of the nineteenth century, which led to the local institutionalization of the discipline of psychology at German universities, the structure and content of textbooks of psychology are discussed. Textbooks in the first half of the nineteenth century had a pedagogical function in training teachers, in socializing students into the field, and in providing students and readers with knowledge about the subject matter, methodology, and topics of psychology. The textbooks, representative of influence, philosophical-psychological orientations, and different decades in the first half of the nineteenth century, are reconstructed with regard to the definition of psychology, the ways of studying the soul, and how to conceptually organize the field. The textbooks by Herbart, Beneke, and Waitz, which were written within a natural-scientific programmatic vision for psychology, are contrasted with the traditional philosophically intended textbooks of Reinhold, Mussmann, George, and Schilling. Fischhaber's textbook for Gymnasien is summarized. Issues regarding the continuity of psychology are discussed, and discontinuous developments in the history of German psychology are identified. PMID:17421032

  10. Emergence, institutionalization and renewal: Rhythms of adaptive governance in complex social-ecological systems.

    PubMed

    Chaffin, Brian C; Gunderson, Lance H

    2016-01-01

    Adaptive governance provides the capacity for environmental managers and decision makers to confront variable degrees of uncertainty inherent to complex social-ecological systems. Current theoretical conceptualizations of adaptive governance represent a series of structures and processes best suited for either adapting or transforming existing environmental governance regimes towards forms flexible enough to confront rapid ecological change. As the number of empirical examples of adaptive governance described in the literature grows, the conceptual basis of adaptive governance remains largely under theorized. We argue that reconnecting adaptive governance with foundational concepts of ecological resilience-specifically Panarchy and the adaptive cycle of complex systems-highlights the importance of episodic disturbances and cross-scale interactions in triggering reorganizations in governance. By envisioning the processes of adaptive governance through the lens of Panarchy, scholars and practitioners alike will be better able to identify the emergence of adaptive governance, as well as take advantage of opportunities to institutionalize this type of governance in pursuit of sustainability outcomes. The synergistic analysis of adaptive governance and Panarchy can provide critical insight for analyzing the role of social dynamics during oscillating periods of stability and instability in social-ecological systems. A deeper understanding of the potential for cross-scale interactions to shape adaptive governance regimes may be useful as society faces the challenge of mitigating the impacts of global environmental change. PMID:26426283

  11. Clinical outcome of root caries restorations using ART and rotary techniques in institutionalized elders.

    PubMed

    Cruz Gonzalez, Alberto Carlos; Marín Zuluaga, Dairo Javier

    2016-05-31

    The aim of this study was to compare the clinical performance of root caries restorations after a six-month period using two methods, a conventional technique with rotary instruments and an atraumatic restorative technique (ART), in an institutionalized elderly population in the city of Bogotá, Colombia. Root caries represents a multifactorial, progressive, chronic lesion with softened, irregular and darkened tissue involving the radicular surface; it is highly prevalent in the elderly, especially in those who are physically or cognitively impaired. A quasi-experimental, double-blind, longitudinal study was carried out after cluster randomization of the sample. Two different experienced dentists, previously trained, performed the restorations using each technique. After six months, two new investigators performed a blind evaluation of the condition of the restorations. The results showed a significantly higher rate of success (92.9%) using the conventional technique (p < 0.03). However, we concluded that ART may have been the preferred technique in the study population because 81% of those restorations survived or were successful during the observation period. PMID:27253146

  12. A Pilot Physical Activity Initiative to Improve Mental Health Status amongst Iranian Institutionalized Older People

    PubMed Central

    Matlabi, Hossein; Shaghaghi, Abdolreza; Amiri, Shahriar

    2014-01-01

    Background: Sufficient level of physical activity may promote overall and mental health of old people. This study was carried out to investigate the practi­cability of a physical activity promotion initiative amongst institutionalized older people in Tabriz, Iran. Methods: Purposive sampling method was used in this semi-experimental study to recruit 31 older people living in a selected residential care in Tabriz. Moderate-intensity aerobic and mus­cle-strengthening activity was planned for those who had not severe baseline cognitive impairment or were not too frail to undertake the survey. The General Health Questionnaire (GHQ-28) was used to measure mental health status be­fore and after intervention through a face-to-face interview. Descriptive statistics, Wilkcoxon rank-sum, Mann-Whitney U and Chi-Square tests were employed to analyses the data. Results: The applied intervention was significantly improved status of physical health, anxiety and insomnia, social dysfunction and severe depression. Conclusion: Incorporation of physical activity promotion programs into routines of older people residential care homes in Iran is feasible but may need training of physical activity specialists to work with older people based on their physical endurance and limitations. PMID:25097839

  13. Effects of early institutionalization on the development of emotion processing: A case for relative sparing?

    PubMed Central

    Moulson, Margaret C.; Shutts, Kristin; Fox, Nathan A.; Zeanah, Charles H.; Spelke, Elizabeth S.; Nelson, Charles A.

    2014-01-01

    We tested the capacity to perceive visual expressions of emotion, and to use those expressions as guides to social decisions, in three groups of 8- to 10-year-old Romanian children: children abandoned to institutions then randomly assigned to remain in “care as usual” (institutional care); children abandoned to institutions then randomly assigned to a foster care intervention; and community children who had never been institutionalized. Experiment 1 examined children's recognition of happy, sad, fearful, and angry facial expressions that varied in intensity. Children assigned to institutional care had higher thresholds for identifying happy expressions than foster care or community children, but did not differ in their thresholds for identifying the other facial expressions. Moreover, the error rates of the three groups of children were the same for all of the facial expressions. Experiment 2 examined children's ability to use facial expressions of emotion to guide social decisions about whom to befriend and whom to help. Children assigned to institutional care were less accurate than foster care or community children at deciding whom to befriend; however, the groups did not differ in their ability to decide whom to help. Overall, although there were group differences in some abilities, all three groups of children performed well across tasks. The results are discussed in the context of theoretical accounts of the development of emotion processing. PMID:25039290

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

    ERIC Educational Resources Information Center

    Children Today, 1997

    1997-01-01

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

  15. Office of Child Care

    MedlinePlus

    ... 2014 OCC has a variety of resources and tools related to the law. Visit our Reauthorization site to find webinars, program instructions, and other guidance and information. > What is the Office of Child Care (OCC)? The Office of Child ...

  16. Fussy or irritable child

    MedlinePlus

    ... home Irregular day-to-day schedule Using your parenting skills, you should be able to calm your child and make things better. Getting your child on a regular eating, sleeping, and daily schedule can also help.

  17. Surviving Your Child's Hospitalization.

    ERIC Educational Resources Information Center

    Cohen, David A.

    1988-01-01

    The parent of a young child who required major open heart surgery shares his suggestions for coping with a young child's hospitalization including parent visitation, relating to the hospital staff, getting answers to questions, and utilizing available services. (DB)

  18. Normal Child Behavior

    MedlinePlus

    ... age. Development can be uneven, too, with a child's social development lagging behind his intellectual growth, or vice versa. ... members, and others. They may interfere with the child's intellectual development. They may be forbidden by law, ethics, religion, ...

  19. Child Dental Health

    MedlinePlus

    Healthy teeth are important to your child's overall health. From the time your child is born, there are things you can do to promote healthy teeth and prevent cavities. For babies, you should clean ...

  20. Child Mental Health

    MedlinePlus

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

  1. Child Behavior Disorders

    MedlinePlus

    ... a death in the family may cause a child to act out. Behavior disorders are more serious. ... The behavior is also not appropriate for the child's age. Warning signs can include Harming or threatening ...

  2. Toilet Teaching Your Child

    MedlinePlus

    ... KidsHealth in the Classroom What Other Parents Are Reading Upsetting News Reports? What to Say Vaccines: Which ... child small rewards, such as stickers or time reading with Mommy, every time your child goes in ...

  3. What makes a child a 'competent' child?

    PubMed

    van Rooyen, Amanda; Water, Tineke; Rasmussen, Shayne; Diesfeld, Kate

    2015-12-01

    Competence is a vital component of the informed consent process. The perceived level of a child's competence may influence their degree of participation in health decisions that affect them. It is the responsibility of the health professional to gauge a child's level of competence. Child competence, however, is not a static attribute that is linked to age. Rather, it is dynamic, changing in nature and dependent on a child's previous experiences, personal attributes, network of relationships around them and cultural and environmental context. Consequently, there is no single verified assessment tool to assist in the recognition of competence for New Zealand children. Adding to this complexity are the unclear interpretations of New Zealand health legislation and policy regarding whether or not a child can legally consent or refuse healthcare advice and treatment without the consent of a legal guardian. Under the Care of Children Act 2004 and the Code of Health and Disability Services Consumers' Rights 1996, the Health and Disability Commissioner states "a child may consent themselves [to health treatment] if and when the child achieves sufficient understanding and maturity to understand fully what is proposed". This paper poses the question: What is 'competency' and how is this decided? For the purpose of this article, 'child' pertains to those under the age of 16 years. PMID:26913912

  4. Child Care Subsidies and Child Development

    ERIC Educational Resources Information Center

    Herbst, Chris M.; Tekin, Erdal

    2010-01-01

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

  5. Mother-Child Planning and Child Compliance

    ERIC Educational Resources Information Center

    Gauvain, Mary; Perez, Susan M.

    2008-01-01

    This study investigated child compliance and maternal instruction during planning. Based on the Child Behavior Checklist and free-play observations, 40 mothers and their 4- to 5-year-old children were assigned to a group with children who behaved within the normal range of compliance (n = 20) or a group with children with high rates of…

  6. Psychiatry and Military Conscription in Brazil: The Search for Opportunity and Institutionalized Therapy

    PubMed Central

    Béhague, Dominique Pareja

    2010-01-01

    Since the fall of the Brazilian military dictatorship in 1984, a number of structural and ideological changes associated with demilitarization and democracy have changed the face of psychiatric theory and practice. Around the country, pockets of innovative, politically sensitive and Marxist-inspired community-based forms of “psi” practice are developing. This emergent psi movement is making a range of positive contributions to the lives of average citizens, including those of poor disenfranchized youth. This paper, however, explores one particular dimension of the work of psi practitioners that has proven antithetical to the psi community’s current politicized community-based aims. Based on qualitative and quantitative longitudinal ethnographic fieldwork with therapists and young men in Pelotas, this paper analyzes how certain kinds of psi interventions being carried out in schools for a subset of lower-class young men during their early teen years are encouraging some youth to seek military training as a life option. Although these young men initially had quite captivating, engaged and politicized—if also conflicting—interactions with therapists, their eventual disillusionment with their therapeutic and scholastic experiences resulted in high levels of social alienation and depoliticization. In these young men’s search for what can best be described as formulaic solutions to troubling psychological experiences associated with a tumultuous institutionalized transition to adulthood, military training came to represent a form of self-cultivation and self-therapy. Several youth also hoped military training would enable them to actively disengage with local political processes and find shelter from troubling social inequities and injustice. The paper ends by reviewing the implications of these results for the future of psi knowledge and practice in Brazil. PMID:18347961

  7. Risk-Taking and Sensation Seeking Propensity in Post-Institutionalized Early Adolescents

    PubMed Central

    Loman, Michelle M.; Johnson, Anna E.; Quevedo, Karina; Lafavor, Theresa L.; Gunnar, Megan R.

    2014-01-01

    Background Youth with histories of institutional/orphanage care are at increased risk for externalizing and internalizing problems during childhood and adolescence. Although these problems have been well described, the related adolescent behaviors of risk-taking and sensation seeking have not yet been explored in this population. This study examined risk-taking and sensation seeking propensity, and associations with conduct problems and depressive symptoms, in early adolescents who were adopted as young children from institutional care. Methods Risk-taking and sensation seeking propensities of 12- and 13-year-old post-institutionalized (PI; n=54) adolescents were compared to two groups: youth internationally adopted early from foster care (PFC; n=44) and non-adopted youth (NA; n=58). Participants were recruited to equally represent pre/early- and mid/late-pubertal stages within each group. Participants completed the youth version of the Balloon Analogue Risk Task (Lejuez et al., 2007) and the Sensation Seeking Scale for Children (Russo et al., 1991). Parents completed clinical ratings of participants’ conduct problems and depressive symptoms. Results PI adolescents demonstrated lower risk-taking than PFC and NA peers. Pre/early-pubertal PI youth showed lower sensation seeking, while mid/late pubertal PI youth did not differ in from other groups. PI adolescents had higher levels of conduct problems but did not differ from the other youth in depressive symptoms. In PI youth only, conduct problems were negatively correlated with risk-taking and positively correlated with sensation seeking, while depressive symptoms were negatively correlated with both risk-taking and sensation seeking. Conclusions Early institutional care is associated with less risk-taking and sensation seeking during adolescence. The deprived environment of an institution likely contributes to PI youth having a preference for safe choices, which may only be partially reversed with puberty. Whether

  8. Trace elements in the blood of institutionalized elderly in the Czech Republic.

    PubMed

    Rambousková, Jolana; Krsková, Andrea; Slavíková, Miroslava; Cejchanová, Mája; Wranová, Kateřina; Procházka, Bohumír; Cerná, Milena

    2013-01-01

    Whole blood selenium, copper, zinc and manganese concentrations of 197 institutionalized senior citizens (46 males, 151 females) aged 61-100 years (mean age 83.6 years) were determined using atomic absorption spectrometry and inductively coupled plasma mass spectrometry from two localities in the Czech Republic (Prague and Teplice) from 2009 through 2011. Geometric means (GM) of whole blood selenium (B-Se), copper (B-Cu), zinc (B-Zn) and manganese (B-Mn) levels were 74.0 μg/l, 941.0 μg/l, 5898.0 μg/l and 10.9 μg/l, respectively. Gender-related differences were found with significantly higher B-Cu levels in women and significantly higher B-Zn levels in men. The percentage of seniors with B-Se levels lower than 56 μg/l (which is equivalent to the critical value of 45 μg/l of Se in serum (S-Se)) was 8.6%. A negative correlation between age and B-Se levels was found. B-Zn positively correlated with serum albumin and prealbumin whereas a negative correlation between age and B-Zn was observed. Seniors with diabetes mellitus and atherosclerosis had higher B-Cu and B-Mn levels, respectively, than those without these diagnoses. The elderly from Prague had significantly higher B-Mn concentrations than those from Teplice. We found no evidence of serious essential elements deficiencies or excesses in the seniors who participated in this study. PMID:23245729

  9. The effects of early foster care intervention on attention biases in previously institutionalized children in Romania.

    PubMed

    Troller-Renfree, Sonya; McDermott, Jennifer Martin; Nelson, Charles A; Zeanah, Charles H; Fox, Nathan A

    2015-09-01

    Children raised in institutions experience psychosocial deprivation that can negatively impact attention skills and emotion regulation, which subsequently may influence behavioral regulation and social relationships. The current study examined visual attention biases in 8-year-old children who were part of the Bucharest Early Intervention Project (BEIP). Relations among attention biases and concurrent social outcomes were also investigated. In early childhood, 136 children abandoned at birth or shortly thereafter into institutional care were randomized to receive a high-quality foster care intervention or care-as-usual within the context of the Bucharest Early Intervention Project (BEIP). At 8 years of age, 50 care-as-usual, 55 foster care, and 52 community controls performed a behavioral dot-probe task, and indices of attention biases to threat and positive stimuli were calculated. Concurrent data on social behavior were collected. Children placed into the foster care intervention had a significant attention bias toward positive stimuli, while children who received care-as-usual had a significant bias toward threat. Children in the foster care intervention had a significantly larger positive bias when compared to the care-as-usual group. A positive bias was related to more social engagement, more prosocial behavior, less externalizing disorders, and less emotionally withdrawn behavior. The magnitude of positive bias was predicted by age of placement into foster care among children with a history of institutionalization. An attention bias towards positive stimuli was associated with reduced risk for behavioral problems amongst children who experienced early psychosocial deprivation. Research assessing attention biases in children experiencing early environmental stress may refine our understanding of the mechanisms underlying risk for later psychiatric and social disorders and inform prevention efforts. PMID:25439678

  10. Psychiatry and military conscription in Brazil: the search for opportunity and institutionalized therapy.

    PubMed

    Béhague, Dominique Pareja

    2008-06-01

    Since the fall of the Brazilian military dictatorship in 1984, a number of structural and ideological changes associated with demilitarization and democracy have changed the face of psychiatric theory and practice. Around the country, pockets of innovative, politically sensitive and Marxist-inspired community-based forms of "psi" practice are developing. This emergent psi movement is making a range of positive contributions to the lives of average citizens, including those of poor disenfranchized youth. This paper, however, explores one particular dimension of the work of psi practitioners that has proven antithetical to the psi community's current politicized community-based aims. Based on qualitative and quantitative longitudinal ethnographic fieldwork with therapists and young men in Pelotas, this paper analyzes how certain kinds of psi interventions being carried out in schools for a subset of lower-class young men during their early teen years are encouraging some youth to seek military training as a life option. Although these young men initially had quite captivating, engaged and politicized-if also conflicting-interactions with therapists, their eventual disillusionment with their therapeutic and scholastic experiences resulted in high levels of social alienation and de-politicization. In these young men's search for what can best be described as formulaic solutions to troubling psychological experiences associated with a tumultuous institutionalized transition to adulthood, military training came to represent a form of self-cultivation and self-therapy. Several youth also hoped military training would enable them to actively disengage with local political processes and find shelter from troubling social inequities and injustice. The paper ends by reviewing the implications of these results for the future of psi knowledge and practice in Brazil. PMID:18347961

  11. Antipsychotic withdrawal-induced relapse predicts future relapses in institutionalized adults with severe intellectual disability.

    PubMed

    Janowsky, David S; Barnhill, L Jarrett; Khalid, Abdul S; Davis, John M

    2008-08-01

    Severe intellectual and developmental disabilities are frequently associated with aggression toward self and others, destruction of property, and disruption. Antipsychotic medications are a mainstay of treatment of such behaviors. National and state guidelines suggest stopping these medications or decreasing their dosages when possible if patients have maintained stability. The current study evaluated the likelihood of future antipsychotic drug withdrawal-induced relapses in those individuals where such a relapse had occurred previously. Subjects were 57 institutionalized adults with severe or profound intellectual disability. Between 1990 and 2000, each had experienced an initial activation of maladaptive aggressive behaviors after an attempt at antipsychotic drug withdrawal and/or termination. Quarterly behavioral reports were evaluated to determine whether subsequent antipsychotic drug withdrawal attempts were also associated with future relapses. Initial relapse was followed by subsequent antipsychotic drug withdrawal attempts in 49 of the 57 individuals. Between 1990 and 2005, 28.6% of these 49 subjects had experienced 1, 38.7% had 2, 20.4% had 3, and 8.2% had 4 additional relapses. Two (4.1%) had not relapsed. Eight individuals remained on antipsychotic agents without a subsequent withdrawal attempt. By the end of 2005, only 4 (7%) of the 57 individuals had become antipsychotic drug free, 22.8% were receiving first-generation antipsychotic agents alone, 45.6% were receiving second-generation antipsychotic agents alone, and 24.6% were receiving a combination of first- and second-generation antipsychotic agents. Thus, if relapse occurs after an antipsychotic drug withdrawal attempt, subsequent attempts at withdrawal are also very likely to lead to further relapses. PMID:18626266

  12. Spleen removal - child - discharge

    MedlinePlus

    ... for your child to return to school or daycare. This may be as soon as 2 to 3 weeks after surgery. Your child's activity restrictions will depend on: The type of surgery (open or laparoscopic) Your child's age The reason for ...

  13. Child Care Bulletin, 1997.

    ERIC Educational Resources Information Center

    McGhee, Marilyn, Ed.

    1997-01-01

    This document is comprised of six issues of the Child Care Bulletin, a bimonthly publication of the National Child Care Information Center. The January-February issue focuses on involving communities in child care planning. Topics discussed in this issue include: community mobilization strategies, assessing needs and establishing goals, and…

  14. Child Nutrition. Beginnings Workshop.

    ERIC Educational Resources Information Center

    Hayden, Jacqueline; Eastman, Wayne; Aird, Laura Dutil; McCrea, Nadine L.

    2002-01-01

    Four workshops focus on nutrition for infants and children in child care settings. Articles are: (1) "Nutrition and Child Development: Global Perspectives" (Jacqueline Hayden); (2) "Working with Families around Nutritional Issues" (Wayne Eastman); (3) "Breastfeeding Promotion in Child Care" (Laura Dutil Aird); and (4) "Food as Shared…

  15. Child Care Design Guide.

    ERIC Educational Resources Information Center

    Olds, Anita Rui

    This book provides architects, interior designers, developers, and child-care professionals with detailed information on the planning and design of child care centers. Part 1 examines the current state of child care in the United States and offers an overall philosophical concert--the spirit of place--as the framework for all center design. Part 2…

  16. Supporting Each Child's Spirit

    ERIC Educational Resources Information Center

    Baumgartner, Jennifer J.; Buchanan, Teresa

    2010-01-01

    In using developmentally appropriate practices, teachers should intentionally address all aspects of a child's being, the spiritual along with the physical and the cognitive. Because spirituality is a vital part of human nature, a whole-child teaching approach must include the part of the child some call spirituality. Many have attempted to…

  17. Child Care Update: 1987.

    ERIC Educational Resources Information Center

    Levy, Vic; And Others

    This paper provides information on child care needs, existing services, and special topics related to child care in Dane County, Wisconsin. Section I describes and compares needs and services; indicates locations of current full-day services; and offers specific recommendations for expanding child care. Section II concerns cost and affordability…

  18. [Costs of maternal-infant care in an institutionalized health care system].

    PubMed

    Villarreal Ríos, E; Salinas Martínez, A M; Guzmán Padilla, J E; Garza Elizondo, M E; Tovar Castillo, N H; García Cornejo, M L

    1998-01-01

    Partial and total maternal and child health care costs were estimated. The study was developed in a Primary Care Health Clinic (PCHC) and a General Hospital (GH) of a social security health care system. Maternal and child health care services, type of activity and frequency utilization during 1995, were defined; cost examination was done separately for the PCHC and the GH. Estimation of fixed cost included departmentalization, determination of inputs, costs, basic services disbursements, and weighing. These data were related to depreciation, labor period and productivity. Estimation of variable costs required the participation of field experts; costs corresponded to those registered in billing records. The fixed cost plus the variable cost determined the unit cost, which multiplied by the of frequency of utilization generated the prenatal care, labor and delivery care, and postnatal care cost. The sum of these three equaled the maternal and child health care cost. The prenatal care cost was $1,205.33, the labor and delivery care cost was $3,313.98, and the postnatal care was $559.91. The total cost of the maternal and child health care corresponded to $5,079.22. Cost information is valuable for the health care personnel for health care planning activities. PMID:9528219

  19. Body mass index as discriminator of the lean mass deficit and excess body fat in institutionalized elderly people.

    PubMed

    Barbosa, Maria Helena; Bolina, Alisson F; Luiz, Raíssa B; de Oliveira, Karoline F; Virtuoso, Jair S; Rodrigues, Rosalina A P; Silva, Larissa C; da Cunha, Daniel F; De Mattia, Ana Lúcia; Barichello, Elizabeth

    2015-01-01

    The objective of this study was to identify the discriminating criterion for body mass index (BMI) in the prediction of low fat free mass and high body fat percentage according to sex among older people. Observational analytical study with cross-sectional design was used for this study. All institutionalized older people from the city of Uberaba (Minas Gerais, Brazil) who fit within the inclusion and exclusion criteria were approached. Sixty-five institutionalized older people were evaluated after signing a Free and Informed Consent Form. Descriptive and inferential statistical procedures were employed for the analysis, using Student's t-test and multiple linear regression. Receiver Operating Characteristic (ROC) curves were constructed to determine the BMI (kg/m(2)) cut-off points. The study complied with all the ethical norms for research involving human beings. In comparing the anthropometric measurements obtained via bioimpedance, elder male had higher mean height and body water volume than females. However, women had higher mean triceps skinfold and fat free mass than men. The BMI cut-off points, as discriminators of low fat free mass percentage and high body fat percentage in women, were ≤22.4 kg/m(2) and >26.6 kg/m(2), respectively; while for men they were ≤19.2 kg/m(2) and >23.8 kg/m(2). The results of this study indicate the need for multicenter studies aimed at suggesting BMI cut-off points for institutionalized older people, taking into account specific sex characteristics. PMID:25771958

  20. The favoured child?

    PubMed

    Jones, D; Dickenson, D; Devereux, J

    1994-06-01

    This case conference concerns a child who has been in care following a diagnosis of emotional abuse and a serious incident of physical abuse. She wants to return home again, and her parents, who had previously scapegoated her, now blame the family's previous ills on her sister instead. The Children Act 1989 gives considerable weight to the child's wishes, but what if the child returns home and is re-abused? In this case conference a child psychiatrist, a philosopher and a lawyer discuss the issues of clinicians' responsibilities, moral luck, and child care law. PMID:8083871

  1. Developmental logics: Brain science, child welfare, and the ethics of engagement in Japan.

    PubMed

    Goldfarb, Kathryn E

    2015-10-01

    This article explores the unintended consequences of the ways scholars and activists take up the science of child development to critique the Japanese child welfare system. Since World War II, Japan has depended on a system of child welfare institutions (baby homes and children's homes) to care for state wards. Opponents of institutional care advocate instead for family foster care and adoption, and cite international research on the developmental harms of institutionalizing newborns and young children during the "critical period" of the first few years. The "critical period" is understood as the time during which the caregiving a child receives shapes neurological development and later capacity to build interpersonal relationships. These discourses appear to press compellingly for system reform, the proof resting on seemingly objective knowledge about child development. However, scientific evidence of harm is often mobilized in tandem with arguments that the welfare system is rooted in Japanese culture, suggesting durability and resistance to change. Further, reform efforts that use universalizing child science as "proof" of the need for change are prone to slip into deterministic language that pathologizes the experiences of people who grew up in the system. This article explores the reasons why deterministic models of child development, rather than more open-ended models like neuroplasticity, dominate activist rhetorics. It proposes a concept, "ethics of engagement," to advocate for attention to multiple scales and domains through which interpersonal ties are experienced and embodied over time. Finally, it suggests the possibility of child welfare reform movements that take seriously the need for caring and transformative relationships throughout life, beyond the first "critical years," that do not require deterministic logics of permanent delay or damage. PMID:25530189

  2. From child to child: children as communicators.

    PubMed

    Phinney, R; Evans, J

    1993-01-01

    Older children commonly care for their younger siblings while parents work to provide for the household. Through play, dance, and talk, children tend to interact with each other more intensely than do adults. In so doing, messages and awareness are exchanged more effectively. Child-to-Child is an active, child-centered learning approach which aims to capitalize on this phenomenon by training older siblings to be effective communicators. This approach has been formally practiced in over 70 countries since 1979. Child-to-Child encourages children to learn the meaning and importance of health messages on their own. Children will then be most likely to retain and communicate information throughout the family, to neighbors, and to the general community. No blueprint exists, however, on which program planners may base the design of new programs. Programs should instead be adapted by those living within the community and culture to fit local needs and circumstances. Nonetheless, the Aga Khan Foundation supported the study of 7 highly different Child-to-Child projects over 3 years in India to obtain some sense of which program elements are successful and potentially useful in other settings. The study revealed that all of the programs helped increase the health knowledge of children and teachers. Little information was obtained on the extent to which information was diffused by children within the community. Overall, the study produced the following results: planners should consider using Child-to-Child projects in schools; teacher training should be made a priority; administrative support should be provided; entire staffs should be made to feel involved in the decision making process; obstacles to changing teaching methods should not be underestimated; teaching materials should be locally made; projects should be integrated into official curricula; program topics should be relevant to local realities; respected authorities should be called upon to reinforce the validity

  3. How Nigeria built child survival themes into national television.

    PubMed

    Gleason, G

    1990-01-01

    As part of the Government of Nigeria's goal of providing universal child immunization, a strategy was developed to strengthen the production capacity of the Nigerian Television Authority (NTA) and to award higher priority to health issues in NTA programming. At the national level, a child survival-oriented training, coordination, and production unit was established to produce "spot messages" on primary health care. In 1985-86, radio and television staff from all Nigerian states attended workshops at which Ministry of Health officials outlined Nigeria's maternal-child health problems and emphasized the potential of the broadcast media in health education. Each station was linked with an officer in the local Ministry of Health to ensure ongoing collaboration on technical problems and health programs in need of promotion. Another set of state-level workshops brought together media producers and radio and television writers to encourage them to integrate primary health care themes into their programs. In addition, a Nigerian nongovernmental organization has organized workshops for electronic media writers and producers aimed at incorporating family planning themes into several popular television programs. In 1986, both NTA and the Federal Radio Corporation of Nigeria signed agreements further committing their networks to the child survival campaign. The Nigerian experience exemplifies the potential for creating and institutionalizing long-term efforts to use the mass media to bring new information to the general population on health-related issues. Needed at this point is more knowledge about specific communication strategies that are most effective in promoting sustainable behavioral change on the family and community levels in a country with much social and cultural diversity. PMID:12343010

  4. Using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) for Predicting Institutionalization of Patients With Dementia in Taiwan.

    PubMed

    Huang, Shih-Wei; Chang, Kwang-Hwa; Escorpizo, Reuben; Hu, Chaur-Jong; Chi, Wen-Chou; Yen, Chia-Feng; Liao, Hua-Fang; Chiu, Wen-Ta; Liou, Tsan-Hon

    2015-11-01

    World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is an assessment tool and it has been applied for disability status assessment of Taiwanese dementia patients since July 2012. The aim of this study was to investigate the predicting accuracy of WHODAS 2.0 for institutionalization of dementia patients.Of these patients, 13,774 resided in a community and 4406 in a long-term care facility. Demographic data and WHODAS 2.0 standardized scores were analyzed using the Chi-square test and independent t test to compare patients with dementia in an institution with those in a community. The receiver operating characteristic (ROC) curve was applied to investigate accuracy in predicting institutionalization, and the optimal cutoff point was determined using the Youden index. Binary logistic regression was used to analyze variables to determine risk factors for the institutionalization of patients with dementia.WHODAS 2.0 scores in all domains were higher in patients with dementia in a long-term care facility than in those in a community (P < 0.01). The ROC curve showed moderate accuracy for all domains of WHODAS 2.0 (area under curve 0.6~0.8). Binary logistic regression revealed that the male gender, severity of disease, and standardized WHODAS 2.0 scores surpassing the cutoff values were risk factors for the institutionalization of patients with dementia.Although the accuracy of WHODAS 2.0 in predicting institutionalization is not considerably high for patients with dementia, our study found that the WHODAS 2.0 scores, the male gender, education status, urbanization level, and severity of disease were risk factors for institutionalization in long-term care facilities. PMID:26632747

  5. Oral Health-Related Quality of Life in institutionalized elderly in Barcelona (Spain)

    PubMed Central

    Pérez, Glòria; de Lima, Kenio C.; Casals-Peidro, Elías; Borrell, Carme

    2013-01-01

    Objective: The objective of this study is to describe the oral health status and the factors associated with oral health-related quality of life (OHRQoL) in people aged 65 and older institutionalized in Barcelona in 2009. Study Design: Cross sectional study in 194 elderly. The dependent variable was poor OHRQoL, according to the Geriatric Oral Health Assessment Index (GOHAI). The independent variables were socio-demographic data, last dental visit, subjective and objective oral health status. Robust Poisson regression analysis was used to determine the factors associated with OHRQoL as well as the strengths of association (Prevalence Ratios with respective confidence intervals at 95%). Results: According to GOHAI, 94 women (68.1%) and 36 men (64.3%) had poor OHRQoL. The average DMFT index (number of decayed, missing and filled teeth) was 22.8, with mean 10.2 remaining teeth. According to the Community Periodontal Index only 1.9% were healthy. 33.8% of the sample (35.5% of women and 30.4% of men) presented edentulism, 54.2% needed upper dental prostheses (51.1% of women and 60.7% of men) and 64.7% needed lower ones (61.6% of women and 71.4% of men). Only 7.2% had visited a dentist in the past year (8.8% of women and 3.6% of men). After fitting several multivariate adjusted robust Poisson regression models, poor OHRQoL was found to be associated to self-reporting problems with teeth or gums, self-reporting poor opinion about teeth/gums/denture and also associated to functional edentulism, needing upper denture, but not to socio-demographic factors or time since last dental visit. Conclusions: The study population has poor objective oral health. A high percentage has poor OHRQoL associated to subjective and objective oral health conditions. Dental care is required and these services should be included in the Spanish National Health System. Key words:Oral health, homes for the aged, elderly, self-assessment, quality of life, geriatric oral health assessment index

  6. Increased Physical Activity and Fitness above the 50(th) Percentile Avoid the Threat of Older Adults Becoming Institutionalized: A Cross-sectional Pilot Study.

    PubMed

    Pereira, Catarina; Fernandes, Jorge; Raimundo, Armando; Biehl-Printes, Clarissa; Marmeleira, José; Tomas-Carus, Pablo

    2016-02-01

    The objective of this study was to analyze the impact of physical fitness and physical activity on the threat of older adults without cognitive impairment becoming institutionalized. This cross-sectional study involved 195 non-institutionalized (80.1 ± 4.4 years) and 186 institutionalized (83.8 ± 5.2years) participants. Cognitive impairment was assessed using Mini-Mental State Examination, measures of physical fitness were determined by the Senior Fitness Test, and physical activity was assessed using the International Physical Activity Questionnaire. Multivariate binary logistic analysis selected four main determinants of institutionalization in both genders: The likelihood of becoming institutionalized increased by +18.6% for each additional year of age, whereas it decreased by -24.8% by each fewer kg/m(2) in body mass index (BMI), by -0.9% for each additional meter performed in the aerobic endurance test, and by -2.0% for each additional 100 metabolic equivalent of task (MET)-min/week of physical activity expenditure (p < 0.05). Values ≤50(th) percentile (age ≥81 years, BMI ≥26.7 kg/m(2), aerobic endurance ≤367.6 meters, and physical activity ≤693 MET-min/week) were computed using receiver operating characteristics analysis as cutoffs discriminating institutionalized from non-institutionalized older adults. The performance of physical activity, allied to an improvement in physical fitness (mainly BMI and aerobic endurance), may avoid the threat of institutionalization of older adults without cognitive impairment only if they are above the 50(th) percentile. The following parameters are highly recommended: Expending ≥693 MET-min/week on physical activity, having a BMI ≤26.7 kg/m(2), and being able to walk ≥367.6 meters in the aerobic endurance test, especially above the age of 80 years. The discovery of this trigger justifies the development of physical activity programs targeting the pointed cutoffs in old and very old adults

  7. Mother-child planning and child compliance.

    PubMed

    Gauvain, Mary; Perez, Susan M

    2008-01-01

    This study investigated child compliance and maternal instruction during planning. Based on the Child Behavior Checklist and free-play observations, 40 mothers and their 4- to 5-year-old children were assigned to a group with children who behaved within the normal range of compliance (n = 20) or a group with children with high rates of noncompliance for this age (n = 20). Mothers in the noncompliant group provided more low-level, directive, and negative instruction; requested more compliance; and shared less task responsibility with children. Mothers in both groups responded to child compliance by increasing or maintaining the level of instruction. Results are discussed in relation to the role of child compliance in regulating opportunities for cognitive development in social context. PMID:18489426

  8. Increased Health Service Utilization Costs in the Year Prior to Institutionalization: Findings from the Canadian Study of Health and Aging

    PubMed Central

    Naslund, John A.; Sauter, Agnes H.; Gutman, Gloria; Beattie, B. Lynn

    2014-01-01

    Objectives The objective of this study was to characterize patterns of formal health service utilization costs during older adults’ transition from community to institutional care. Methods Participants were 127 adults (age ≥ 65) from the British Columbia sample (N = 2,057) of the Canadian Study of Health and Aging who transitioned from community to institutional care between 1991 and 2001. Health service utilization costs were measured using Cost-Per-Day-At-Risk at five time points: > 12 months, 6–12 months, and ≤ 6 months preinstitutionalization, and ≤ 6 months and 6–12 months postinstitutionalization. Cost-Per-Day-At-Risk was measured for Continuing Care, Medical Services Plan, and PharmaCare costs by calculating total health service use over time, divided by the number of days the participant was alive. Results Significant differences in Cost-Per-Day-At-Risk were observed for Continuing Care, Medical Services Plan, and PharmaCare costs over time. All health service utilization costs increased significantly during the 6–12 months and ≤ 6 months prior to institutionalization. Postinstitutionalization Continuing Care costs continued to increase at ≤ 6 months before decreasing at 6–12 months, while decreases occurred for Medical Services Plan and PharmaCare costs relative to preinstitutionalization costs. Conclusions The increases in costs observed during the year prior to institutionalization, characterized by a flurry of health service utilization, provide evidence of distinct cost patterns over the transition period. PMID:24883162

  9. Influence of the cognitive impairment level on the performance of the Timed "Up & Go" Test (TUG) in elderly institutionalized people.

    PubMed

    Ayan, Carlos; Cancela, J M; Gutiérrez, Alfonso; Prieto, Iván

    2013-01-01

    The purpose of this study was to determine clinical variables influence (comorbid medical condition, functional independence, depressive and neuropsychiatric symptoms) on the performance of the TUG, taking into account the level of cognitive impairment in elderly institutionalized people. A cross-sectional analysis of 405 sedentary older adults living in rural home care facilities was carried out. All the participants performed the TUG and the Mini Mental State Examination (MMSE). Those who were screened positive for cognitive impairment carried out a battery of specific test aimed to assess their functional independence (Katz Index (KI)), memory function (Fuld Object Memory Evaluation (FOME)), depressive symptoms (Cornell Scale) and neuropsychiatric disturbances (Neuropsychiatric Inventory (NPI)). Applying multiple linear regression, TUG was associated with age (β=0.161, p<0.001), MMSE (β=-0.013, p<0.001) and KI (β=0.621, p<0.001). According to the defined regression model, it was noticed that the higher the level of cognitive impairment, the lower the adjustment of the model (R(2)=0.593; R(2)=0.493; R(2)=0.478). In conclusion, it seems that the performance of the TUG in institutionalized elderly people who screened positive for dementia, is mainly influenced by their functional independence and their age. Comorbid medical condition, depressive and neuropsychiatric symptoms do not seem to show any association, regardless of the level of cognitive impairment. PMID:22748218

  10. One-year follow-up of non-institutionalized dependent older adults: mortality, hospitalization, and mobility.

    PubMed

    Sarria Cabrera, Marcos Aparecido; Gomes Dellaroza, Mara Solange; Trelha, Celita Salmaso; Cecilio, Celso Henrique; Souza, Sara Ellias de

    2012-09-01

    Non-institutionalized dependent older adults present high morbidity and mortality, demand care from their families, and consume primary health care resources. To expand knowledge about this group, we conducted a population-based one-year prospective cohort study of 130 non-institutionalized dependent older persons (age 60 and older), stratified according to baseline mobility: independent walking (group A), use of walking aids (group B), and bedridden or confined to a wheelchair (group C). The outcomes analysed were death, hospitalization, and mobility disability. Total mortality was 8.5 per cent (p = .05). Overall hospitalization rate was 34.6 per cent; the main causes were stroke and pneumonia. After one year, there was a decline in the proportion of subjects classified as independent walking (57% vs. 43%; p = .03). We conclude that there was a high rate of mortality and hospitalization in this group of dependent older people, and an increase in disability after a one-year follow-up. PMID:22805052

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

    ERIC Educational Resources Information Center

    Choi, Ji Young; Dobbs-Oates, Jennifer

    2016-01-01

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

  12. Early Mother-Child Interaction.

    ERIC Educational Resources Information Center

    d'Agostino, Micheline

    1986-01-01

    This journal issue presents an overview of mother-child interaction during the first year of the child's life. Contents of the first section, which concern the development of the mother-child relationship, focus on the concept of the maternal instinct, mother and child during intrauterine life, birth of the child, the postnatal period (including…

  13. Beginning Child Care Fact Sheets.

    ERIC Educational Resources Information Center

    Tweedie, Pat

    These six fact sheets from Child Care Aware are designed to help parents ease their children's transition to child care. The first fact sheet, "Before Your Child's First Day," discusses tips such as: (1) "prepare your child"; (2) read and look at picture books about child care; and (3) "prepare yourself." The second fact sheet, "First Day Tips,"…

  14. Child's Play: Therapist's Narrative

    PubMed Central

    Reddy, Rajakumari P.; Hirisave, Uma

    2014-01-01

    Play has been recognized as an essential component to children's healthy development. Schools of play therapy differ philosophically and technically, but they all embrace the therapeutic and developmental properties of play. This case report is an illustration of how a 6-year-old child with emotional disorder was facilitated to express concerns in child-centered play therapy. The paper discusses the therapist's narration of the child's play. PMID:24860228

  15. FAQ: Child Sexual Exploitation

    MedlinePlus

    ... permanent memorialization of the crimes committed against them. Studies indicate that child victims endure depression, withdrawal, anger, and other psychological disorders. Victims also experience feelings ...

  16. Adolescents and child maltreatment.

    PubMed

    Beard, Joyce W

    2014-03-01

    Child maltreatment is a very complex medical and social problem. Many children have died as a result of child maltreatment; others are depressed, engaging in risky behaviors and substance abuse and running away from home. The purpose of this article is to provide an overview of child maltreatment in the United States. Characteristics and contributing factors of maltreatment are described, and health and behavior problems associated with maltreated adolescents will be reviewed. Additionally the role of the school nurse will be discussed. It is imperative that school nurses are aware of the significance of the problem and the effects that child maltreatment has on children as they mature into early adulthood. PMID:24707655

  17. The Role of the University of Wisconsin - Eau Claire in the Consortium Effort to Implement, Maintain and Institutionalize Individually Guided Education and the Multiunit Elementary School.

    ERIC Educational Resources Information Center

    Wisconsin Univ., Eau Claire.

    This case study focuses on the role of the University of Wisconsin-Eau Claire (UW-EC) in a consortium effort to implement, maintain, and institutionalize individually guided education and the multi-unit elementary school (IGE/MUS-E). The framework for the study is based on the chronological academic involvement of UW-EC with the various facets of…

  18. High School E.C.I.A. Chapter 1, Part B, Institutionalized Facilities Program 1989-90. State Report. OREA Report.

    ERIC Educational Resources Information Center

    New York City Board of Education, Brooklyn, NY. Office of Research, Evaluation, and Assessment.

    This report describes and evaluates high school programs funded under Chapter 1, Part B, of the Education Consolidation and Improvement Act (ECIA) and administered by the Institutionalized Facilities Program of the New York City Public Schools in 1989-90. The program is designed to address the educational needs of students in facilities for…

  19. P.L. 89-313 Supplementary Services for Previously Non-Public-School Institutionalized Students. O.E.E. Evaluation Report, 1981-82.

    ERIC Educational Resources Information Center

    New York City Board of Education, Brooklyn, NY. Office of Educational Evaluation.

    Results of an evaluation of the 1981-82 Public Law 89-313 program, "Supplementary Services for Previously Non-Public-School Institutionalized Students," are presented in this report. The program was operated by the Division of Special Education of the New York City public schools and served 527 students (6-21 years old) in 227 schools, including…

  20. P.L. 89-313 Supplementary Services for Previously Non-Public-School Institutionalized Students, 1982-1983. O.E.E. Evaluation Report.

    ERIC Educational Resources Information Center

    New York City Board of Education, Brooklyn, NY. Office of Educational Evaluation.

    The Supplementary Services for Previously Non-Public-School Institutionalized Students in New York City was designed to assist students who were formerly educated at state-operated or state-supported schools to adapt to public school education. The 1982-83 program served 1054 students in 367 sites, which included community schools, high schools, a…

  1. How Institutionalized Are Model License Use Terms? An Analysis of E-Journal License Use Rights Clauses from 2000 to 2009

    ERIC Educational Resources Information Center

    Eschenfelder, Kristin R.; Tsai, Tien-I; Zhu, Xiaohua; Stewart, Brenton

    2013-01-01

    This paper explored the degree to which use terms proposed by model licenses have become institutionalized across different publishers' licenses. It examined model license use terms in four areas: downloading, scholarly sharing, interlibrary loan, and electronic reserves. Data collection and analysis involved content analysis of 224 electronic…

  2. The Institutionalization of NSF-ADVANCE at Lamont-Doherty Earth Observatory, Columbia University

    NASA Astrophysics Data System (ADS)

    Dutt, K.

    2011-12-01

    proportion of women on the entire scientific staff, senior and junior (excluding postdoctoral scholars) has risen from 19% in 2005 to 27% in 2011. With the revised search processes, diversity in the applicant pool (defined as the number of women and/or racial minorities as a percent of the total number of applicants) increased dramatically, with 8 out of 10 searches over the period 2009-2010 showing a diversity of at least 70% in the applicant pool compared to an average diversity of less than 50% over the period 2007-2009. Of the new scientific hires in 2009-2010 almost half were either female or a racial minority. Postdoctoral scholars at LDEO have seen the greatest increase in racial diversity, from approximately 91% white in 2005 to 67% white in 2011. This group also has the most gender diversity at LDEO - approximately 47% female in 2011 up from 41% in 2005. Overall, the LDEO experience of institutionalizing ADVANCE has the potential to serve as a model for other scientific research institutions.

  3. Enteral nutrition - child - managing problems

    MedlinePlus

    ... your child is sitting up. Check the tube placement. If your child has diarrhea and cramping: Make ... provider about choice of formula and adding more fiber. If your child is dried out (dehydrated), ask ...

  4. Loss of a child - resources

    MedlinePlus

    Child death - resources; Resources - loss of a child ... The following organizations are good resources for information on the loss of a child: The Compassionate Friends -- www.compassionatefriends.org Bereaved Parents of the USA -- www.bereavedparentsusa. ...

  5. Simplification in Child Phonology.

    ERIC Educational Resources Information Center

    Oller, Kimbrough

    The pronunciations of children do not merely represent accidental misses with respect to adult pronunciation. Children employ substitutions and deletions in highly systematic ways; child pronunciations reflect a set of simplification strategies. The major common processes of both normal and abnormal child phonology result in simplification of…

  6. The Chicano Migrant Child.

    ERIC Educational Resources Information Center

    Alfaro, Manuel R., Jr.; Hawkins, Homer C.

    The paper deals with the culture and background of the Chicano migrant child and with his frustrations and conflicts in encountering the Anglo culture as represented by the school. It is pointed out that the Chicano migrant child, whose home base is in the Rio Grande Valley, lives in either a barrio or, in summer, a migrant camp and has little…

  7. The Only Child.

    ERIC Educational Resources Information Center

    Allen, Marcia Ellen McGuire

    This review of the literature on the "only child" indicates that the single child is likely to be oriented more toward adults than towards peers, to be subjected more to an adult culture, to be an achiever who strikes out on his own, and to have a heightened sense of responsibility compared with children who have siblings. Statistics show only…

  8. Introduction: Understanding Child Labour.

    ERIC Educational Resources Information Center

    Miljeteig, Per

    1999-01-01

    Explores contributions from the Urban Childhood Conference for the purpose of developing the child-labor discourse further and indicating the implications of the new understandings for further research and policy development. Highlights the nine articles in this issue, which address child labor at the international level, children's viewpoints,…

  9. Building the Biocentric Child.

    ERIC Educational Resources Information Center

    Hutchison, David

    2002-01-01

    Advocates an environmentally congruent conception of child development and includes Montessori theory as part of a biocentric view where child development connects to the laws of nature. Explains orientations to the world informing development of a biocentric vision of childhood: mastery, immersion, and engagement. Discusses how mastery and…

  10. Bullying and Your Child

    ERIC Educational Resources Information Center

    McGee, Christy D.

    2011-01-01

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

  11. Your Child's Immunizations

    MedlinePlus

    ... Things to Know About Zika & Pregnancy Your Child's Immunizations KidsHealth > For Parents > Your Child's Immunizations Print A A A Text Size What's in ... But in both cases, the protection is temporary. Immunization (vaccination) is a way of creating immunity to ...

  12. Child Development and Playgrounds.

    ERIC Educational Resources Information Center

    Frost, Joe L.

    Four major issues are explored in this study of child development research and its implications for children's playgrounds: (1) theories and philosophies of play; (2) the historical evolution of playgrounds; (3) research on child development, play, and playgrounds; and (4) creating playgrounds that meet children's developmental needs. Discussion…

  13. [Child Abuse: 1979 Report].

    ERIC Educational Resources Information Center

    Pennsylvania State Dept. of Public Welfare, Harrisburg.

    As mandated by Pennsylvania's Child Protective Services Law (Act 124), the document presents the Department of Public Welfare's 1979 report on child abuse. Following an introductory section is a brief section on the nature and scope of the problem. Section III outlines the past year's activities of the Department of Public Welfare's Office of…

  14. Child Maltreatment: An Introduction.

    ERIC Educational Resources Information Center

    Miller-Perrin, Cindy L.; Perrin, Robin D.

    Since the 1960s, when the research community, grassroots organizations, mental health professionals, and lawmakers became involved in the treatment of child maltreatment, progress in the field has been rapid. This book draws together research literature that describes the magnitude and consequences of child maltreatment. It is designed to provide…

  15. Child Poverty & Public Policy.

    ERIC Educational Resources Information Center

    Chafel, Judith A., Ed.

    This collection documents how far we still are in the United States from putting our knowledge about child well being and policy into practice. It provides an overview of the changing nature of child poverty in the United States through the contributions of authors who use a number of qualitative and quantitative approaches to look at children in…

  16. Tutoring Your Child.

    ERIC Educational Resources Information Center

    Cohn, Joanne

    The parents' role as teacher is important to a child's learning process. Parents tutoring their children are advised to remain positive and patient, be aware of the child's feelings, keep the tutoring time short, select a quiet place away from distractions, use games and manipulative objects rather than more abstract experiences, etc. Informal…

  17. Headstart for Every Child.

    ERIC Educational Resources Information Center

    Butler, Annie L.

    An early learning kit provides a booklet of ten articles on educational head starts for children along with an activity packet for classroom use. The articles deal with: the crucial early school years; emotional preparation of the child; broadening a child's background; selecting toys and games; reading readiness; mathematical skills; learning to…

  18. Child Wellness and Happiness

    ERIC Educational Resources Information Center

    Rettew, David C.

    2009-01-01

    Wellness and happiness should be considered in the clinical treatment of child and adolescent psychiatry, in addition with thinking about illness. Meanwhile, various studies on child and adolescent psychiatry,which includes an article from the "Journal of Happiness Studies," are discussed.

  19. CHILD HEALTH USA 2002

    EPA Science Inventory

    Child Health USA 2002, the thirteenth annual report on the health status and service needs of America's children is presented by the Health Resources and Services Administration's Maternal and Child Health Bureau (MCHB). To assess the bureau's progress toward achieving its vision...

  20. Child Transportation Safety Tips.

    ERIC Educational Resources Information Center

    National Highway Traffic Safety Administration (DOT), Washington, DC.

    This document presents nine tips regarding safe infant and child transportation, each tip explained in one to two pages. The tips are as follows: (1) quick safety seat checkup; (2) where should your child ride? (3) how to protect your new baby in the car; (4) what safety seat to use for a big baby or toddler? (5) how should preschool and school…

  1. Child Care '92.

    ERIC Educational Resources Information Center

    Mitchell, Anne; Gage, Diane

    1992-01-01

    This special issue on child care presents articles on children's health, day care, grandparents, father-child relationships, pregnancy after age 40, children's dental care, children's moral development, parties for children, children's fighting, fashions in children's clothes, sibling relationships, and health care programs for children. (BC)

  2. Child Safety Curriculum Standards.

    ERIC Educational Resources Information Center

    National School Safety Center, Malibu, CA.

    This document presents a set of child safety curriculum guidelines intended to help prevent child victimization and to promote safer living and learning environments for children and adolescents across America. These guidelines were developed to help educators, law enforcement personnel, and members of other youth-serving agencies teach children…

  3. Every Child, Every Day

    ERIC Educational Resources Information Center

    Allington, Richard L.; Gabriel, Rachael E.

    2012-01-01

    We know more now than we ever did before about how to make every child a successful reader, write Allington and Gabriel in this research review. Yet, few students regularly receive the best reading instruction we know how to give. The authors present research supporting their recommendation that every child, every day, should (1) read something he…

  4. The incompetent developmentally disabled person's right of self-determination: right-to-die, sterilization and institutionalization.

    PubMed

    Krais, W A

    1989-01-01

    The developmentally disabled, specifically those mentally incompetent from birth, are entitled to a full panoply of constitutional rights and protections. These rights include the right to terminate life-sustaining treatment, the right of procreative integrity and the right not to be involuntarily institutionalized. However, the mentally incompetent developmentally disabled are generally unable to exercise these rights. This Note asserts first that proper procedural safeguards are necessary to guarantee the exercise of these constitutional rights by the incompetent disabled individual. Second, the Note focuses upon how best to preserve the disabled person's autonomy. The Note subsequently rejects the substituted judgment standard as a legal fiction, and endorses the best interest test which necessarily comports with the evidence, and properly accounts for the disabled person's incompetency. PMID:2603868

  5. Predictors of female worker attitudes towards menstruation and the provision of help to institutionalized women with intellectual disabilities in Taiwan.

    PubMed

    Chou, Yueh-Ching; Lu, Zxy-yann J; Pu, Cheng-yun; Lan, Chung-Fu

    2008-08-01

    No previous research has examined the importance of both individual and environmental factors for predicting caregivers' menstrual attitudes. To explore the predictors of female caregivers' attitudes towards menstruation and the help they give to women with intellectual disabilities, we conducted a cross-sectional questionnaire survey which was completed by 725 female workers from 12 institutions in Taiwan. The Menstrual Attitudes Questionnaire (MAQ) and a structured questionnaire were used. Logistic regression analysis revealed that individual characteristics such as age and education were significantly associated with menstrual attitudes of female caregivers working with institutionalized women with intellectual disabilities. Furthermore, the environmental context, such as the frequency of discussions with colleagues, training in menstrual management care and the level of difficulty when giving help in menstruation management, was important for improving caregivers' menstrual attitudes. This study contributes to the existing literature by determining both individual and environmental predictors of caregivers' menstrual attitudes. PMID:18550241

  6. [Development and institutionalization of the first online certificate and Master Program of Biomedical Informatics in global health in Peru].

    PubMed

    García, Patricia J; Egoavil, Miguel S; Blas, Magaly M; Alvarado-Vásquez, Eduardo; Curioso, Walter H; Zimic, Mirko; Castagnetto, Jesus M; Lescano, Andrés G; Lopez, Diego M; Cárcamo, Cesar P

    2015-01-01

    Training in Biomedical Informatics is essential to meet the challenges of a globalized world. However, the development of postgraduate training and research programs in this area are scarce in Latin America. Through QUIPU: Andean Center for Training and research in Iformatics for Global Health, has developed the first Certificate and Master’s Program on Biomedical Informatics in the Andean Region. The aim of this article is to describe the experience of the program. To date, 51 students from Peru, Chile, Ecuador, Colombia and Venezuela have participated; they come from health ministries, hospitals, universities, research centers, professional associations and private companies. Seventeen courses were offered with the participation of faculty from Argentina, Chile, Colombia, USA, Mexico and Peru. This program is already institutionalized at the School of Public Health and Administration from the Universidad Peruana Cayetano Heredia. PMID:26338399

  7. Reliability of Malayalam version of Geriatric Oral Health Assessment Index among institutionalized elderly in Alleppey, Kerala (India): A pilot study

    PubMed Central

    Shekhawat, Kuldeep Singh; Chauhan, Arunima; Koshy, Anitha Ann; Rekha, P.; Kumar, Hemanth

    2016-01-01

    Background: Oral health has a profound effect on the daily activities of geriatric group. India being a multilingual country, it is essential that instruments used to evaluate the quality of life is in local languages. However, the validation and translational aspect are important before involving a larger cohort of geriatrics. Aim: To assess the reliability of Malayalam version of Geriatric Oral Health Assessment Index (GOHAI-m). Settings and Design: Institutionalized elderly in Alleppey, Kerala, cross-sectional study. Materials and Methods: The 12 items in GOHAI were translated into Malayalam using a back-translation technique. The comprehensibility of the Malayalam version was assessed by a pilot study. Fifty institutionalized elderly answered the questionnaire. Impact based on age and marital status was also assessed. Statistical Analysis: Independent sample t-test, Cronbach's alpha, test–retest reliability using intraclass correlation coefficient (ICC). Results: The mean GOHAI-m scores were higher for elderly participants with slightly more impact on quality of life such as for biting or chewing food, and lower mean GOHAI-m scores indicated a positive impact on quality of life such as their self-conscious of oral health. Cronbach's alpha of 0.677 was reached with 12 items. Item 12 had a negative item-total correlation, −0.016, the deletion of Item-12 increased the item correlation to 0.7. Test–retest reliability of 0.65 for ICC indicated moderate stability. Females had more impact than males (P < 0.05). Age and marital status had no impact on their quality of life. Conclusion: The primary analysis of GOHAI-m indicated moderate stability. The elimination of negative items depends on the objectives of the study and/or after conducting a larger study keeping in view various parameters of the study. PMID:27307659

  8. Mother/Child, Father/Child Relationships.

    ERIC Educational Resources Information Center

    Stevens, Joseph H., Jr., Ed.; Mathews, Marilyn, Ed.

    This collection of papers on parent-child relationships consists of three research reports, six research reviews and two position papers on issues critical to research and practice. Papers included were selected on the basis of their relevance to the work of practitioners who counsel parents. The volume's four thematic sections are entitled: (1)…

  9. Child Outcome Measures in the Study of Child Care Quality

    ERIC Educational Resources Information Center

    Zaslow, Martha; Halle, Tamara; Martin, Laurie; Cabrera, Natasha; Calkins, Julia; Pitzer, Lindsay; Margie, Nancy Geyelin

    2006-01-01

    This article assesses whether there are methodological problems with child outcome measures that may contribute to the small associations between child care quality and child outcomes found in the literature. Outcome measures used in 65 studies of child care quality published between 1979 and December 2005 were examined, taking the previous review…

  10. Child Death Review Teams: A Vital Component of Child Protection

    ERIC Educational Resources Information Center

    Hochstadt, Neil J.

    2006-01-01

    The alarming number of children killed and seriously injured as a result of child maltreatment and neglect has led to increased calls for action. In response, interdisciplinary and multiagency child death review teams have emerged as an important component of child protection. Paradoxically, child death review teams are among the least visible and…

  11. CHILD-to-Child Trial Program. Ajoya, Sinaloa, Mexico.

    ERIC Educational Resources Information Center

    Werner, David

    1983-01-01

    The CHILD-to-Child program is based on the recognition that older siblings often influence their younger family members. Activities of the CHILD-to-Child Program in Ajoya, Sinaloa, Mexico, relating to teaching about diarrhea and breast-feeding, are described. (CJ)

  12. Child abuse in Nigeria.

    PubMed

    Okeahialam, T C

    1984-01-01

    Although child abuse occurs in Nigeria, it has received little attention. This is probably due to the emphasis placed on the more prevalent childhood problems of malnutrition and infection. Another possible reason is the general assumption that in every African society the extended family system always provides love, care and protection to all children. Yet there are traditional child rearing practices which adversely affect some children, such as purposeful neglect or abandonment of severely handicapped children, and twins or triplets in some rural areas. With the alteration of society by rapid socioeconomic and political changes, various forms of child abuse have been identified, particularly in the urban areas. These may be considered the outcome of abnormal interactions of the child, parents/ guardians and society. They include abandonment of normal infants by unmarried or very poor mothers in cities, increased child labour and exploitation of children from rural areas in urban elite families, and abuse of children in urban nuclear families by childminders . Preventive measures include provision of infrastructural facilities and employment opportunities in the rural areas in order to prevent drift of the young population to the cities. This would sustain the supportive role of the extended family system which is rapidly being eroded. There is need for more effective legal protection for the handicapped child, and greater awareness of the existence of child abuse in the community by health and social workers. PMID:6232976

  13. Child maltreatment in India.

    PubMed

    Singhi, Pratibha; Saini, Arushi Gahlot; Malhi, Prabhjot

    2013-11-01

    Child maltreatment is a global problem but is more difficult to assess and manage in developing countries such as India where one-fifth of the world's total child population resides. Certain forms of maltreatment such as feticide, infanticide, abandonment, child labour, street-begging, corporal punishment and battered babies are particularly prevalent in India. Most physicians still need to be sensitized in order to suspect child abuse on the basis of unexplained trauma, multiple fractures, parental conflict and other corroborative evidence. This article summarizes the various aspects of this major problem in resource-poor settings in the hope that it will assist in the planning of services addressing child physical and sexual abuse and neglect in India and in other developing countries. A culture of non-violence towards children needs to be built into communities in order to provide an environment conducive to the overall development of the child. Rehabilitation of abused children and their families requires a multi-disciplinary service including paediatricians, child psychologists and social workers, and the training of police forces in how to tackle the problem. PMID:24070123

  14. Child effects and child care: Implications for risk and adjustment.

    PubMed

    Snell, Emily K; Hindman, Annemarie H; Belsky, Jay

    2015-11-01

    Evocative effects of child characteristics on the quality and quantity of child care were assessed in two studies using longitudinal data from the NICHD Study of Early Child Care. We focus on the influence of child characteristics on two important aspects of the child care experience: language stimulation provided by caregivers and quantity of care. In Study 1, associations between the developmental status of children aged 15 to 54 months and the language stimulation provided by their caregivers were examined using path models, and longitudinal child effects were detected across the earliest time points of the study. In Study 2, the associations among child behavior, temperament, development, and time in care were examined. Little evidence was found for such child effects on time in care. The results are discussed in terms of the effects of child care on child development and implications for developmental processes, particularly for children at greatest risk for developmental delay or psychopathology. PMID:26439062

  15. Cyber child sexual exploitation.

    PubMed

    Burgess, Ann Wolbert; Mahoney, Meghan; Visk, Julie; Morgenbesser, Leonard

    2008-09-01

    A 2-year review of 285 child cyber crime cases reported in the newspaper revealed how the Internet offenders were apprehended, the content of child pornography, and crime classification. A subsample of 100 cases with data on offender occupation revealed 73% of cases involved people in positions of authority. The dynamics of child cyber crime cases direct the implications for nursing practice in terms of evidence-based suspicion for reporting, categorizing the content of Internet images, referral of children for counseling, and treatment of offenders. PMID:18822999

  16. The Politics of Child Care.

    ERIC Educational Resources Information Center

    Phillips, Deborah; Lande, Jeff

    1988-01-01

    Considers child care as a political issue and examines the positions of 1988 presidential candidates on child care. Discusses whether concern over the issue of child care is good politics and suggests that readers write to candidates and elicit their positions on child care. (RWB)

  17. Child Care Data and Services.

    ERIC Educational Resources Information Center

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

    A publication releasing the most important current statistics, reports, statutory language, and regulations on child care is presented. Data are presented under the following general topics: (1) Child Care Services and Working Mothers, (2) Child Care Arrangements of Working Mothers Today, (3) Federal Assistance for Child Care, (4) How Much Does…

  18. Trends in Family Child Care

    ERIC Educational Resources Information Center

    Neugebauer, Roger

    2011-01-01

    The author presents insights from various readers of "ExchangeEveryDay" regarding trends in the world of family child care. Kathleen Reticker of Acre Family Child Care in Lowell, Massachusetts thinks an increasing trend in Family Child Care is the pressure to emulate a Center, instead of seeing family child care as a different model. Over the…

  19. A Psychodynamic Child Rating Scale.

    ERIC Educational Resources Information Center

    Szapocznik, Jose; And Others

    Research showing psychodynamic child therapy to be less effective than other forms of child treatment have used outcome measures focusing on symptomatic and behavioral change rather than on psychodynamic processes. A child therapy assessment procedure than measures the psychological functioning of the child in a psychodynamically meaningful way is…

  20. Concussion - child - discharge

    MedlinePlus

    ... avoid activities that need concentration, such as reading, homework, and complex tasks. When you go home from ... missed work right away Reducing the amount of homework or class work your child does for a ...

  1. Fats and Your Child

    MedlinePlus

    ... Story" 5 Things to Know About Zika & Pregnancy Fats and Your Child KidsHealth > For Parents > Fats and ... an important part of a healthy diet. About Fat Fats are nutrients in food that the body ...

  2. Easing Your Child's Allergies

    MedlinePlus

    ... Your Child's Allergies For starters, pay attention to pollen levels, FDA advises To use the sharing features ... be caused by outdoor allergens such as plant pollens (seasonal allergies) or indoor allergens such as mold, ...

  3. Choosing Child Care

    MedlinePlus

    ... child is safe and happy in a childcare environment that is fun, educational, and nurturing. Here are ... the opportunity to learn and grow in this environment? If none of the caregivers or childcare centers ...

  4. Child Maltreatment Prevention

    MedlinePlus

    ... abuse and neglect reported to child protective services (CPS) in 2014. The youngest children are the most ... reported victims being under the age of three. CPS reports may underestimate the true occurrence of abuse ...

  5. Child safety seats

    MedlinePlus

    ... seat's instructions), the vehicle's own lap and shoulder belts can be used to keep your child strapped ... up so the vehicle's own lap and shoulder belts fit correctly. The lap belt should fall across ...

  6. Spleen removal - child - discharge

    MedlinePlus

    ... throat from the breathing tube. Sucking on ice chips or gargling (if your child is old enough ... New Haven, CT. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla ...

  7. Dental care - child

    MedlinePlus

    ... dental exams, and getting necessary treatments such as fluoride, extractions, fillings, or braces and other orthodontics. ... provider if your infant needs to take oral fluoride . THE FIRST TRIP TO THE DENTIST Your child's ...

  8. Office of Child Care

    MedlinePlus

    ... for parents. Learn more about this project > EHS Expansion and EHS-CCP Funding Opportunity Announcements Posted Use ... Reporting Guide Latest from OCC Early Head Start Expansion and Early Head Start-Child Care Partnership Funding ...

  9. Child Behavior Disorders

    MedlinePlus

    ... misbehave some times. And some may have temporary behavior problems due to stress. For example, the birth ... family may cause a child to act out. Behavior disorders are more serious. They involve a pattern ...

  10. Feeding Your Child Athlete

    MedlinePlus

    ... snacks. The child athlete, however, will have higher energy and fluid requirements. Kids and teens who are ... consume more food to keep up with increased energy demands. Most athletes will naturally eat the right ...

  11. Your Child's Growth

    MedlinePlus

    ... and eat healthy. Bicycling, hiking, in-line skating, sports, or any enjoyable activity that will motivate kids ... have concerns about dating, driving, and participating in sports. It's important to try to understand your child's ...

  12. Easing Your Child's Allergies

    MedlinePlus

    ... your child has seasonal allergies, pay attention to pollen counts and try to keep him or her inside ... in the fall, the FDA said. Besides monitoring pollen counts, it often helps to keep windows closed in ...

  13. Concussion - child - discharge

    MedlinePlus

    ... child's doctor about: Playing contact sports, such as football, hockey, and soccer Riding a bicycle, motorcycle, or ... PA Elsevier Mosby; 2015: Appendix V-Managing your: concussion. Halstead ME, Walter KD. Clinical report -- sport-related ...

  14. Your Child's Cough

    MedlinePlus

    ... KidsHealth in the Classroom What Other Parents Are Reading Upsetting News Reports? What to Say Vaccines: Which ... should help your child breathe more easily. Try reading a book together to pass the time. A ...

  15. Child Development & Behavior Topics

    MedlinePlus

    ... Children about September 11th Talking to Kids about War and Terrorism Tantrums: Behavior Problems Tantrums Podcast Teen ... Video Games Back to top W Walking Safety Water and Pool Safety Welcome to Your Child: Development ...

  16. Helping Your Overweight Child

    MedlinePlus

    ... in calories, sugar, and salt like sugary drinks, chips, cookies, fries, and candy refined grains (white flour, ... Buy fewer high-calorie foods like sugary drinks, chips, cookies, fries, and candy. Offer your child water ...

  17. Prevention of Child Maltreatment

    PubMed Central

    Lane, Wendy Gwirtzman

    2014-01-01

    Pediatricians and other health care providers can play a number of important roles in the prevention of child maltreatment. As part of routine patient care, pediatricians can provide anticipatory guidance for effective discipline and parent-child communication, screen for maltreatment risk factors, and refer parents and families to effective community-based programs. This article will help pediatricians incorporate child abuse prevention into their practice. Resources for systematizing anticipatory guidance and child maltreatment risk factor screening will be described. The modalities and strengths and weaknesses of community-based prevention programs will be discussed, and providers will be given tools to identify the effectiveness of available community-based programs. At a broader level, the article will describe ways that pediatricians can advocate at the local, state, and national level for policies and programs that support families and children. PMID:25242703

  18. Child Mental Health

    MedlinePlus

    ... important to recognize and treat mental illnesses in children early on. Once mental illness develops, it becomes a regular part of your child's behavior. This makes it more difficult to treat. ...

  19. Fussy or irritable child

    MedlinePlus

    ... Cold or flu Bladder infection Stomach pain or stomach flu Headache Constipation Pinworm Poor sleep patterns Although less common, your child's fussiness may be an early sign of a more serious problem, such as: Diabetes, asthma, anemia (low blood count), ...

  20. Asthma - child - discharge

    MedlinePlus

    ... asthma symptoms worse. Know which triggers make your child's asthma worse and what to do when this happens. Common triggers include: Pets Smells from chemicals and cleaners Grass and weeds Smoke Dust Cockroaches Rooms that are moldy or damp Know ...

  1. Well-child visits

    MedlinePlus

    ... listening to heart, breath, and stomach sounds) Heart sounds Infantile reflexes and deep tendon reflexes as the child gets older Neonatal jaundice -- first few visits only Palpation Percussion Standard ophthalmic exam Temperature measurement (see also normal body temperature ) Immunization information: ...

  2. Disciplining Your Child

    MedlinePlus

    ... Give your child one warning (unless it is aggression). If it happens again, send her to the ... are less likely to be consistent. Spanking increases aggression and anger instead of teaching responsibility. Parents may ...

  3. The child in hospital*

    PubMed Central

    1955-01-01

    In 1951 the WHO Regional Office for Europe as a part of its long-term activities in child health initiated plans for a meeting between paediatricians and child psychiatrists, at which they could discuss their respective roles and the co-ordination of their work. Early in 1953 an ad hoc committee was called together to discuss the possibility of holding a conference which would delineate the role of the paediatrician in the management of psychosomatic and behaviour disorders in young children. This committee, consisting of leading specialists in paediatrics and child psychiatry, under the chairmanship of Professor R. Debré (France), felt that any wider conference should be devoted to considering more fully the inter-relation of somatic and psychological processes in sick children, the respective roles of paediatricians and child psychiatrists in their treatment, and the working relations between the different disciplines responsible for the care of children. In order to avoid diffusion of effort, and to arrive as far as possible at practical conclusions, the study group that was subsequently convened in Stockholm concentrated on one important aspect of child care—the child in hospital. PMID:14364192

  4. The Psychometric Properties of a Modified Sit-to-Stand Test With Use of the Upper Extremities in Institutionalized Older Adults.

    PubMed

    Le Berre, Melanie; Apap, David; Babcock, Jade; Bray, Sarah; Gareau, Esther; Chassé, Kathleen; Lévesque, Nicole; Robbins, Shawn M

    2016-08-01

    Current sit-to-stand protocols do not permit use of upper extremities, limiting the protocols' utility for institutionalized older adults with diminished physical function. The objective of this study was to modify a 30-s sit-to-stand protocol to allow for arm use and to examine test-retest reliability and convergent validity; 54 institutionalized older adult men (age = 91 ± 3 year) performed the 30-s sit-to-stand twice within a span of 3 to 7 days. Results suggest good test-retest reliability (intraclass correlation coefficient = .84) and convergent validity with the Timed Up and Go Test (r = -.62). This modified 30-s sit-to-stand can be used to assess physical function performance in institutionalized older adults and will ensure that individuals with lower physical function capacity can complete the test, thus eliminating the floor effect demonstrated with other sit-to-stand protocols. PMID:27280453

  5. The effect of six months of elastic band resistance training, nutritional supplementation or cognitive training on chromosomal damage in institutionalized elderly.

    PubMed

    Franzke, Bernhard; Halper, Barbara; Hofmann, Marlene; Oesen, Stefan; Pierson, Béatrice; Cremer, Ariane; Bacher, Evelyn; Fuchs, Birgit; Baierl, Andreas; Tosevska, Anela; Strasser, Eva-Maria; Wessner, Barbara; Wagner, Karl-Heinz

    2015-05-01

    Increased DNA and chromosomal damage are linked to aging and age-related diseases like cardiovascular diseases, diabetes or cancer. Physical activity and an optimal status of micro- and macronutrients are known to reduce the incidence of MN, a marker for chromosomal instability and mutagenicity. Once older people reach a certain age they change from a home-living situation to an institutionalized situation, which is often accompanied by malnutrition, depression and inactivity. We conducted the current study to investigate the effect of a six month progressive resistance training (RT), with or without protein and vitamin supplementation (RTS) or cognitive training (CT) only, on chromosomal damage measured by the cytokinesis block micronucleus cytome assay in 97 Austrian institutionalized women and men (65-98years). All three intervention groups demonstrated a tendency of a reduced frequency of cells with MN (-15%) as well as for the total number of MN (-20%), however no significant time-effect was observed. Besides a significant increase in plasma B12 and red blood cell folate status, the six month change of B12 was negatively correlated with the six month change of the MN frequency in the RTS group (r=-0.584, p=0.009). Our results suggest that in this age group either physical or cognitive training may result in similar biochemical changes and therefore enhance resistance against genomic instability. Supplementation with the vitamins B12 and folic acid could contribute to reduced chromosomal damage in institutionalized elderly. PMID:25747997

  6. Child life services.

    PubMed

    2014-05-01

    Child life programs are an important component of pediatric hospital-based care to address the psychosocial concerns that accompany hospitalization and other health care experiences. Child life specialists focus on the optimal development and well-being of infants, children, adolescents, and young adults while promoting coping skills and minimizing the adverse effects of hospitalization, health care, and/or other potentially stressful experiences. Using therapeutic play, expressive modalities, and psychological preparation as primary tools, in collaboration with the entire health care team and family, child life interventions facilitate coping and adjustment at times and under circumstances that might otherwise prove overwhelming for the child. Play and developmentally appropriate communication are used to: (1) promote optimal development; (2) educate children and families about health conditions; (3) prepare children and families for medical events or procedures; (4) plan and rehearse useful coping and pain management strategies; (5) help children work through feelings about past or impending experiences; and (6) establish therapeutic relationships with patients, siblings, and parents to support family involvement in each child's care. PMID:24777212

  7. Seven institutionalized children and their adaptation in late adulthood: the children of Duplessis (Les Enfants de Duplessis).

    PubMed

    Perry, J Christopher; Sigal, John J; Boucher, Sophie; Paré, Nikolas

    2006-01-01

    War, societal and familial upheaval, disease, and natural disasters have resulted in orphaned children throughout time. One societal response to providing care for orphans has been institutionalization or the orphanage. We studied a sample of adults, known as les enfants de Duplessis or Duplessis's children, who were raised in Quebec institutions from birth onward and followed up in late adulthood. Systematic study indicated a high prevalence of adverse outcomes and found high levels of gross psychological trauma and adversity which, moderated by the childhood strengths of the individuals, had adverse effects on adult outcome (Sigal, Perry, Rossignol, & Ouimet, 2003; Perry, Sigal, Boucher, Paré, & Ouimet, 2005a; Perry, Sigal, Boucher, Paré, Ouimet, Norman, & Henry, 2005b). This report describes the experiences of seven individuals in the institutions and their subsequent life history and current functioning. The individual cases reflect a wide range of childhood strengths and experiences of trauma and other adversity in relationship to adult caretakers. While the group overall appears to have had seriously diminished functioning in late adulthood, several individuals had positive outcomes. We hope that by highlighting the potentially adverse effects of institutional rearing on subsequent development into late adulthood, these stories may inform those concerned with the care of orphans. PMID:17326727

  8. Differences in social skills performance between institutionalized juvenile male offenders and a comparable group of boys without offence records.

    PubMed

    Spence, S H

    1981-09-01

    Eighteen institutionalized young male offenders and 18 boys without criminal records, comparable in terms of age, academic performance and social background, were videotaped during a five-minute standardized interview with a previously unknown adult. The videotapes were then subjected to a behavioural analysis of 13 responses which had previously been suggested to be important social skill components. The tapes were also shown to six independent judges who rated each tape in terms of social skills performance, social anxiety, friendliness, and employability. The offender group was found to differ significantly from the non-offender group in terms of the level of eye-contact, head movements, amount spoken, fiddling movements, and gross body movements. The offender group was also rated in significantly less favourably terms on the scales of social skills performance, social anxiety, and employability, compared to the non-offender groups. No significant difference was found in terms of friendliness ratings. Correlation analyses between the specific behavioural measures and the subjective rating scales revealed statistically significant associations between six of the 13 behavioural measures and one or more of the subjective rating scales. The provides some indication of the type of responses important in determining the impression made by adolescent male in an interview situation. PMID:7284650

  9. Assessing the risk of imminent aggression in institutionalized youth offenders using the dynamic appraisal of situational aggression

    PubMed Central

    Chu, Chi Meng; Hoo, Eric; Daffern, Michael; Tan, Jolie

    2012-01-01

    Aggressive behavior in incarcerated youth presents a significant problem for staff, co-residents and the functioning of the institution. This study aimed to examine the predictive validity of an empirically validated measure, designed to appraise the risk of imminent aggression within institutionalized adult psychiatric patients (Dynamic Appraisal of Situational Aggression; DASA), in adolescent male and female offenders. The supervising staff members on the residential units rated the DASA daily for 49 youth (29 males and 20 females) over two months. The results showed that DASA total scores significantly predicted institutional aggression in the following 24 and 48 hrs; however, the predictive validity of the DASA for institutional aggression was, at best, modest. Further analyses on male and female subsamples revealed that the DASA total scores only predicted imminent institutional aggression in the male subsample. Item analyses showed that negative attitudes, anger when requests are denied, and unwillingness to follow instructions predicted institutional aggression more strongly as compared with other behavioral manifestations of an irritable and unstable mental state as assessed by the DASA. PMID:25999797

  10. Trinucleotide repeat expansion in the FRAXE locus is not common among institutionalized individuals with non-specific developmental disabilities

    SciTech Connect

    Holden, J.J.A.; Julien-Inalsingh, C.; Fidler, K.

    1996-08-09

    Expansion of a polymorphic GCC-repeat at the FRAXE locus has been associated with expression of chromosome fragility at this site and cognitive impairment in some individuals previously testing negative for CGG-repeat expansion in the fragile X mental retardation-1 (FMR1) gene. To determine the frequency of FRAXE triplet repeat expansion among persons with developmental disability, 396 individuals from two institutions were studied, all of whom were negative for FMR1 repeat expansion. Clinically, there was a wide range of mental impairment, with the majority (61.1%) being severely to profoundly affected. The distribution of FRAXE GCC-repeat numbers in the study population was 5-38:28 (5.6%) with 10-14 repeats; 366 (73.8%) with 15-19 repeats; 74 (14.9%) with 20-24 repeats; 20 (4.0%) with 25-29 repeats; and 5 (1.0%) with 30-38 repeats, with no individuals demonstrating repeat expansion. One profoundly retarded male was found to have a deletion of about 40 bp. Southern blots of HindIII-digested DNAs from individuals with {ge}26 repeats all showed normal patterns. These results suggest that FRAXE GCC-repeat expansion is not a common cause of developmental disability in institutionalized persons with mild to profound mental retardation. 15 refs., 1 fig., 2 tabs.

  11. [Managing an autistic child].

    PubMed

    Bonnet-Brilhault, Frédérique

    2010-03-20

    General practitioners and pediatricians are on the front line to detect atypical developmental trajectories in children, They have to inform parents and to guide them toward specialized centers where further multidisciplinary evaluation will be conducted. It is admitted that early intervention is a factor of better prognosis in autism. To help starting early intervention, general practitioners may first indicate sensorymotor or language and communication evaluations. A specific project will then be defined for each child according to the results of the multidisciplinary evaluation. Each individualized project will be based on different behavioral and developpemental interventions, speech therapy, sensorymotor therapy, and psychotherapy. General practitioners and pediatricians will keep up following the child evolution as part of the child care team with parents and specialized centers. PMID:20402134

  12. Death of a Special Needs Child

    MedlinePlus

    ... iGive.com Purchase Through AmazonSmile Contact Us Donate Death of a Special Needs Child When a child ... Needs Child Dies The grief that follows the death of a special-needs child comes not only ...

  13. CPR - child (1 to 8 years old)

    MedlinePlus

    Rescue breathing and chest compressions - child; Resuscitation - cardiopulmonary - child; Cardiopulmonary resuscitation - child ... take care of children should learn infant and child CPR if they have not already. See www. ...

  14. Marital Problems and the Exceptional Child

    ERIC Educational Resources Information Center

    Araoz, Daniel

    1977-01-01

    The exceptional child, because he/she does not fulfill the parental expectations of a child's behavior, becomes a disturbing child and frequently is labeled as disturbed. The case of one such child is presented and conclusions are drawn. (Author)

  15. CPR - child (1 to 8 years old)

    MedlinePlus

    Rescue breathing and chest compressions - child; Resuscitation - cardiopulmonary - child; Cardiopulmonary resuscitation - child ... All parents and those who take care of children should learn infant and child CPR if they ...

  16. Kindergarten Child Care Experiences and Child Achievement and Socioemotional Skills

    ERIC Educational Resources Information Center

    Claessens, Amy

    2012-01-01

    Young children's experiences outside of both home and school are important for their development. As women have entered the labor force, child care has become an increasingly important context for child development. Child care experiences prior to school entry have been well-documented as important influences on children's academic and…

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

    ERIC Educational Resources Information Center

    Hawkinson, Laura E.

    2011-01-01

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

  18. Reporting Child Abuse: Rights and Responsibilities for Child Care Providers.

    ERIC Educational Resources Information Center

    Child Care Law Center, San Francisco, CA.

    This booklet provides answers to 12 questions about the rights and responsibilities of child care providers in California concerning the issue of child abuse. The questions are (1) Who is a "Child Care Custodian?" (2) How do I decide whether or not to report? (3) How do I recognize 'abuse' and 'neglect'? (4) How and when should I tell the parent…

  19. Mother-Child Agreement on the Child's Past Food Exposure

    ERIC Educational Resources Information Center

    Thongudomporn, Udom; Chongsuvivatwong, Virasakdi; Geater, Alan F.

    2010-01-01

    Objective: To assess mother-child agreement on the child's past food exposure, and factors affecting response discrepancy. Methods: Twelve- to 14-year-old children and their mothers (n = 78) in an urban community, a rural community, and 2 orthodontic clinics completed a 69-item food questionnaire to determine mother-child level of agreement on the…

  20. Structural Predictors of Child Care Quality in Child Care Homes.

    ERIC Educational Resources Information Center

    Burchinal, Margaret; Howes, Carollee; Kontos, Susan

    2002-01-01

    Used data from a family child care study and a licensing study to identify dimensions best predicting global day care quality in over 300 child care homes. Found that caregiver training most consistently predicted global quality. Found no reliable association between care quality and child-caregiver ratio or age-weighted group size recommendations…

  1. Child Labor: A Forgotten Focus for Child Welfare.

    ERIC Educational Resources Information Center

    Otis, Jack; Pasztor, Eileen Mayers; McFadden, Emily Jean

    2001-01-01

    Discusses the worldwide problem of child labor and efforts to advocate for the welfare of these impoverished children. Considers factors that contribute to the continued use of child labor and the resistance of these labor practices to reform. Discusses child labor in the United States, and urges public advocacy for labor reform within child…

  2. The Role of Child Care Providers in Child Abuse Prevention

    ERIC Educational Resources Information Center

    Seibel, Nancy L.; Gillespie, Linda G.; Temple, Tabitha

    2008-01-01

    Child care providers are likely to be the professionals who most frequently interact with families with young children. Thus, infant and toddler child care providers are uniquely positioned to recognize and respond to families' needs for information and support. This article describes knowledge, skills, and strategies that support child care…

  3. Child Care Workers' Knowledge about Reporting Suspected Child Sexual Abuse.

    ERIC Educational Resources Information Center

    Wurtele, Sandy K.; Schmitt, Ann

    1992-01-01

    This study examined the knowledgeability of child care workers (n=97) regarding their rights and responsibilities in reporting suspected child sexual abuse. Day care personnel knew significantly less about procedures for reporting suspected abuse and their protection under the law (when compared to child sexual abuse experts). (Author/DB)

  4. The visually impaired child.

    PubMed

    Thompson, Lisa; Kaufman, Lawrence M

    2003-02-01

    This article discusses the causes of childhood blindness and how the primary care provider may begin the appropriate steps toward diagnosing and managing the visually impaired child. Community resources (see Box 3) and low-vision programs in schools should be used so that parents do not need to reinvent strategies to raise a blind child. Worldwide, childhood blindness, which places is a tremendous burden on families and communities of the third world, is mostly preventable with improved hygiene, diet, and immunization. PMID:12713115

  5. Child Labor in America's History

    ERIC Educational Resources Information Center

    Goldstein, Harold

    1976-01-01

    A brief history of child labor and the fight for legislation to control it at both the state and federal level. The current legal status and the continued existence of child labor in modern times are also discussed. (MS)

  6. Does Your Child Have Glaucoma?

    MedlinePlus

    ... Involved News About Us Donate In This Section Does Your Child Have Glaucoma? email Send this article ... for in children under the age of two: Does your child have unusually large eyes? Is there ...

  7. Child Abuse: The Hidden Bruises

    MedlinePlus

    ... AACAP Facts for Families Guide Skip breadcrumb navigation Child Abuse - The Hidden Bruises Quick Links Facts For Families ... 5; Updated November 2014 The statistics on physical child abuse are alarming. It is estimated hundreds of thousands ...

  8. Legal issues in child maltreatment.

    PubMed

    Narang, Sandeep K; Melville, John D

    2014-10-01

    The most common medicolegal issues include reporting child maltreatment, the presentation of ethical and effective expert testimony, informed consent in child maltreatment cases, and various liability risks related to child maltreatment cases. The health care professional who remains knowledgeable about the laws within their jurisdiction, the mandates of their professional society and state medical board, and the local resources (eg, child abuse pediatrician and hospital counsel) available to them minimizes medicolegal risk. PMID:25242715

  9. Child Care: A Level III Review.

    ERIC Educational Resources Information Center

    Florida State Board of Community Colleges, Tallahassee.

    This report describes the state-mandated review of Florida's child care programs. Florida's community colleges offer a total of six different degree or certificate programs in child care: Child Development and Education; Child Care Center Management; Child Development Early Intervention; Child Care Provider (discontinued in 98-99); Early Childhood…

  10. Campus Child Care News, 1998.

    ERIC Educational Resources Information Center

    Newton, Marion F., Ed.

    1998-01-01

    This document is comprised of the three 1998 issues of a newsletter disseminating information on the National Coalition for Campus Child Care Centers (NCCCC) and providing a forum for news, research, and information concerning campus child care centers. The February issue contains stories on the White House Conference on Child Care, registration…

  11. Women, Work and Child Care.

    ERIC Educational Resources Information Center

    Mercer, Elizabeth

    This fact sheet provides an array of statistical data on working mothers, such as the need for child care, the child care providers, who supports child care, and work and family. Data sources include a number of federal government and private organizations. Among the statistics highlighted are the following: (1) in 1988, 65 percent of all women…

  12. Family Interactions and Child Psychopathology.

    ERIC Educational Resources Information Center

    Donenberg, Geri R.; Nelson, Dana

    Previous research has not correlated parent-child interaction patterns with different forms of child psychopathology. This study examined whether parent-child interaction corresponded with childhood depression/anxiety and childhood aggression. Forty-two clinically-referred children and adolescents, 8 to 16 years old, were classified into four…

  13. The Only Child. ERIC Digest.

    ERIC Educational Resources Information Center

    Steiner, Karen

    Smaller families in general (including the one-child option) are becoming more popular. This ERIC Digest focuses on changing trends in family size, reasons for choosing to have only one child, differences between only children and those with siblings, and the advantages of being an only child. Changing family patterns, economic concerns, and new…

  14. Death of an Adult Child

    MedlinePlus

    ... iGive.com Purchase Through AmazonSmile Contact Us Donate Death of an Adult Child The death of any child, regardless of cause or age, ... the situations that may have caused their child’s death. Judgmental statements from others indicating that the child ...

  15. Child Care as Welfare Prevention.

    ERIC Educational Resources Information Center

    Working for Change, 1995

    1995-01-01

    Part of a series from the Child Care Law Center, this issue of "Working for Change" discusses the need for quality, affordable child care as a support for working parents trying to break out of welfare dependency. This report details the current realities of poor parents who struggle to find and pay for child care while they work and those who…

  16. Child Care Health Connections, 2002.

    ERIC Educational Resources Information Center

    Guralnick, Eva, Ed.; Zamani, Rahman, Ed.; Evinger, Sara, Ed.; Dailey, Lyn, Ed.; Sherman, Marsha, Ed.; Oku, Cheryl, Ed.; Kunitz, Judith, Ed.

    2002-01-01

    This document is comprised of the six 2002 issues of a bimonthly newsletter on children's health for California's child care professionals. The newsletter provides information on current and emerging health and safety issues relevant to child care providers and links the health, safety, and child care communities. Regular features include columns…

  17. Social Structure and Child Poverty

    ERIC Educational Resources Information Center

    Ferriss, Abbott L.

    2006-01-01

    Child poverty, as a critical indicator of the QOL, is intricately related to the social structure of the community. This hypothesis is explored for the 159 counties of Georgia for the year 2000. The influence of demographic, economic, family and health factors upon child poverty are explored through models of total, black and white child poverty.…

  18. What Works in Child Welfare.

    ERIC Educational Resources Information Center

    Kluger, Miriam P., Ed.; Alexander, Gina, Ed.; Curtis, Patrick A., Ed.

    Noting the importance of identifying the effectiveness of child welfare programs for future policy planning, this book examines features of successful programs. The book is presented in six sections: family preservation and family support services, child protective services, out-of-home care, adoption, child care, and adolescent services. Each…

  19. CURRICULUM GUIDE, CHILD CARE CENTERS.

    ERIC Educational Resources Information Center

    California State Dept. of Education, Sacramento.

    CALIFORNIA CHILD CARE CENTERS WERE ESTABLISHED IN 1943 TO SUPPLY SERVICES TO CHILDREN OF WORKING MOTHERS. THE CHILD CARE PROGRAM PROVIDES, WITHIN NURSERY AND SCHOOLAGE CENTERS, CARE AND EDUCATIONAL SUPERVISION FOR PRESCHOOL AND ELEMENTARY SCHOOL AGE CHILDREN. THE PHILOSOPHY OF THE CHILD CENTER PROGRAM IS BASED UPON THE BELIEF THAT EACH CHILD…

  20. Child neglect and emotional abuse

    MedlinePlus

    ... depressed, shows bizarre behavior, or uses alcohol or drugs WHAT YOU CAN DO TO HELP If you think a child is in immediate danger because of abuse or neglect, call 911. Call the Childhelp National Child Abuse Hotline (1-800-4-A-CHILD). Know that ...

  1. Child Care and the Economy

    ERIC Educational Resources Information Center

    Karolak, Eric

    2009-01-01

    Unemployment has topped 7% nationally and economists predict it will approach 10% by 2010. Child care programs experience a trickle-down effect: when businesses cut back hours or lay people off, parents cut back child care hours or pull children from programs. "We're seeing more and more families lose their child care assistance and have nowhere…

  2. The "Discovery" of Child Abuse

    ERIC Educational Resources Information Center

    Pfohl, Stephen J.

    1977-01-01

    Surveys the history of social reaction to child abuse, discusses the cultural values promoting the protection of children, points out how much pediatric radiology benefited from its "discovery" of "the battered child syndrome" in the early sixties, and concludes that the labeling of child abusers as "sick" has shielded them from criminal…

  3. Trends in Child Maltreatment Literature.

    ERIC Educational Resources Information Center

    Behl, Leah E.; Conyngham, Heather A.; May, Patricia F.

    2003-01-01

    Child maltreatment articles (n=2090) published from 1977-1998 were reviewed. Across the period studied, quantitative articles and articles on child sexual abuse increased and theoretical articles and articles on physical abuse decreased. Articles examining child neglect or emotional abuse remained consistently low. Participant recruitment from…

  4. Employment-Related Child Care.

    ERIC Educational Resources Information Center

    Galpern, Lois; Hills, Tynette W.

    The two major sections of this report discuss issues in employer-sponsored child care, specifically describing four child-care service alternatives. Issues emphasized in the discussion include the advantages of employment-related child care, financial considerations, and implications of various forms of sponsorship. Additional issues discussed are…

  5. Alabama's Child Nutrition Certification Program.

    ERIC Educational Resources Information Center

    Alabama State Dept. of Education, Montgomery. Div. of Administration and Finance.

    This handbook presents the plan for the Alabama computerized certification program for school food service employees. The first section contains the following information and materials pertaining to the child nutrition certification program: rationale; position titles (Child Nutrition Program Director or Supervisor, Child Nutrition Program…

  6. All About Child Care.

    ERIC Educational Resources Information Center

    Segal, Marilyn, Ed.; Manburg, Abbey, Ed.

    This resource book for child care practitioners has been written for administrators, nursery school teachers and preschool or Head Start teachers who are interested in practical suggestions (1) for setting up classrooms, (2) for developing a curriculum for infants, toddlers and preschool children, (3) for meeting the social-emotional needs of…

  7. Toward Communal Child Rearing

    ERIC Educational Resources Information Center

    Sands, Rosalind M.

    1973-01-01

    Social work's preoccupation with the preservation of the nuclear family has blinded it to the necessity of finding new ways to care for children. This myopia has impeded recognition of the forces in American life that are bringing social change and new forms of child rearing. This article describes some of these phenomena and concludes that…

  8. Rights of the Child.

    ERIC Educational Resources Information Center

    Cahn, Claude, Ed.

    2000-01-01

    This newsletter examines problems and rights of Romani children in East Central Europe, focusing on such topics as: the displaced childhoods of Romani children; snapshots of living conditions in various European countries; Roma child rights; Romani and non-Romani schools in Bulgaria; Romani children's rights to education in Central and Eastern…

  9. Measuring Child Rhythm

    ERIC Educational Resources Information Center

    Payne, Elinor; Post, Brechtje; Astruc, Lluisa; Prieto, Pilar; Vanrell, Maria del Mar

    2012-01-01

    Interval-based rhythm metrics were applied to the speech of English, Catalan and Spanish 2, 4 and 6 year-olds, and compared with the (adult-directed) speech of their mothers. Results reveal that child speech does not fall into a well-defined rhythmic class: for all three languages, it is more "vocalic" (higher %V) than adult speech and has a…

  10. Preventing Child Abuse

    ERIC Educational Resources Information Center

    Alvy, Kerby T.

    1975-01-01

    Focuses on two major and general approaches to analyzing the problems of child abuse; briefly discusses the prevention implications; deals with the individual physical abuse of children, with particular emphasis on the relationship between theoretical formulations of the causes of individual physical abuse and preventative programs; and, finally,…

  11. The Child Whisperer

    ERIC Educational Resources Information Center

    Peters, Dane L.

    2012-01-01

    Unquestionably, Maria Montessori's insights into child development were both innate and learned, derived from her many years of working with children. Her work, practices, philosophy, and passion have staying power that, so far, spans a century and are a testament to her dedication and abilities. In this article, the author explains why he sees…

  12. Child Study Manual.

    ERIC Educational Resources Information Center

    Polk County Public Schools, Bartow, FL.

    This manual from the Polk County Public Schools in Bartow, Florida, was developed for school personnel and parents to aid in their efforts to develop successful behavioral and academic interventions to enhance the educational outcomes for students. Section 1 describes the child study team which is comprised of an administrator, guidance counselor,…

  13. Helping Your Overweight Child.

    ERIC Educational Resources Information Center

    National Inst. of Diabetes and Digestive and Kidney Diseases (NIH), Bethesda, MD.

    Currently, at least one child in five is overweight. Although children have fewer health problems from weight than adults, overweight children are at high risk for many health problems including heart disease, diabetes, high blood pressure, and stroke. Several factors are cited as to why children become overweight. Genetics, lack of exercise, and…

  14. The Child Development Project.

    ERIC Educational Resources Information Center

    Developmental Studies Center, San Ramon, CA.

    In the context of a regular academic program, the Child Development Project (CDP) helps teachers and parents promote characteristics such as helpfulness and responsibility in children in kindergarten through sixth grade. The CDP program contains five major elements: (1) cooperative activities; (2) helping activities; (3) the highlighting of…

  15. Child Care in Canada

    ERIC Educational Resources Information Center

    Graham, Kathy

    2005-01-01

    In this article, the author describes early learning and care arrangements in Canada and how the country faced the challenges in the development of a National Child Care System. While the provincial/territorial governments are responsible for early learning and care, the federal government has formed health and social programs including some child…

  16. The Hyperactive Child.

    ERIC Educational Resources Information Center

    Murphy, Linda; Della Corte, Suzanne

    1987-01-01

    The newsletter's main article focuses on hyperactivity and attention deficit disorder. The causes of hyperactivity, which affects 3-5 percent of all children, are elusive but may include neurological immaturity, inherent genetic problems, or fetal exposure to harmful substances. Patterns of behavior that typify a hyperactive child include a short…

  17. The Multiply Handicapped Child.

    ERIC Educational Resources Information Center

    Wolf, James M., Ed.; Anderson, Robert M., Ed.

    Articles presented in the area of the medical and educational challenge of the multiply handicapped child are an overview of the problem, the increasing challenge, congenital malformations, children whose mothers had rubella, prematurity and deafness, the epidemiology of reproductive casualty, and new education for old problems. Discussions of…

  18. Literacy and Child Rearing.

    ERIC Educational Resources Information Center

    Hoffman, Sandra Josephs

    Fourteen examples of "literacy events" in the reading development of one preschool-age boy are described by the boy's mother, a parent-researcher who conducted a case study of her son's interaction with his literate home environment. Field notes were kept in a household diary, and audiotapes were made of the child's storytelling and retelling, of…

  19. Child Lifestyles Predictors

    ERIC Educational Resources Information Center

    Özpolat, Ahmet Ragip

    2014-01-01

    The purpose of this study is to explain the effectiveness of parental attitudes, socio-economic status and gender in determining the predictors of child lifestyles. The study group consists of three hundred and fifty (350) eighth grade students studying in the province of Erzincan during the 2012-2013 academic year; the students are selected by…

  20. Child and Storying.

    ERIC Educational Resources Information Center

    Alparaque, Idrenne

    The power of language gives children (and the rest of us) that "magic" talent of bringing to life that which is otherwise hidden from conscious awareness. From the viewpoint of one attempting to listen to children's languaging within experience so that the listening becomes a dialogic experience, the child storyteller seems to experience a…

  1. Child Labor: Global Offensive.

    ERIC Educational Resources Information Center

    Sutcliffe, Peter; And Others

    1993-01-01

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

  2. Child Welfare Policy Manual

    ERIC Educational Resources Information Center

    Administration for Children & Families, 2008

    2008-01-01

    This document conveys mandatory policies that have their basis in Federal Law and/or program regulations. It also provides interpretations of Federal Statutes and program regulations initiated by inquiries from State Child Welfare agencies or Administration for Children and Families (ACF) Regional Offices. The manual replaces the Children's…

  3. Child Care Centres.

    ERIC Educational Resources Information Center

    Australian Dept. of Labour and National Service, Melbourne. Women's Bureau.

    Based on a survey of legislation relating to full-day care for preschool children of working mothers and a study of records, this report: (1) covers the number of registered child care centers in Australia and the number of children being served, (2) sets the conditions applying to registration of centers, (3) indicates the extent and levels of…

  4. Feeding the Handicapped Child.

    ERIC Educational Resources Information Center

    Smith, Mary Ann Harvey, Ed.

    Presented are 35 brief papers on nutrition and handicapped children (particularly mentally retarded children) which were given at nutrition workshops at the Child Development Center of the University of Tennessee. Topics such as the following are examined: interdisciplinary approaches to nutrition services; the relationship of social work,…

  5. Child Psychopathology, Second Edition.

    ERIC Educational Resources Information Center

    Mash, Eric J.; Barkley, Russell A.

    This text integrates state-of-the-art theory and empirical research on a wide range of child and adolescent disorders. Featuring contributions from leading scholars and clinicians, the volume provides comprehensive coverage of the biological, psychological, and social-contextual determinants of childhood problems. Each chapter focuses on a…

  6. The Migrant Child.

    ERIC Educational Resources Information Center

    Reyes, Manuel C.

    A migrant child is one who has moved with his family from one school district to another during the preceding 12 months so that a parent or other immediate family member might secure employment in agricultural or fishery activity. In California, the 92,000 migrants living in 48 of the state's 58 counties include Chicanos, Mexican Americans,…

  7. The Overscheduled Child?

    ERIC Educational Resources Information Center

    Chronicle of Higher Education, 2007

    2007-01-01

    Before all those extracurricular activities and community-service projects listed on college applications, there were play groups, library hours, Pop Warner football games, swimming lessons, ballet, drama, soccer. Not to mention preparation for high-stakes tests mandated by the No Child Left Behind law, or the mounting minutes, even hours, of…

  8. Parent-child Interactions.

    ERIC Educational Resources Information Center

    Erlich, A. C., Ed.

    This survey investigates 6 major questions: (1) do adolescents and their parents perceive youth as overindulged; (2) are parent-child communication channels open; (3) has understanding between parents and their children broken down; (4) do children identify with their parents; (5) has discipline been permissive; and (6) do adolescents reject the…

  9. The Shy Child.

    ERIC Educational Resources Information Center

    Honig, Alice Sterling

    1987-01-01

    To further practitioners' understanding of shyness, this review of research discusses (1) origins of shyness, (2) cognition and shyness, (3) situational factors affecting shy behavior, (4) social difficulties of shy children, (5) shyness and sex differences, (6) persistence of shyness, and (7) ways for caregivers to help the shy child. (RH)

  10. Child Health and Maltreatment.

    ERIC Educational Resources Information Center

    Sherrod, Kathryn B.; And Others

    1984-01-01

    Examines the temporal relationship between child abuse and children's illnesses by analyzing hospital records of 11 abused children and 6 of their siblings, 14 neglected children, 31 children with nonorganic failure to thrive and 24 control children. Results suggest that having ill children is a source of stress that may trigger abuse. (Author/CB)

  11. My Child Is Stealing

    MedlinePlus

    ... behavior and address other underlying problems, like drug abuse, that may surface. continue What Should I Do? When a child has been caught stealing, a parent's reaction should depend on whether it's the first time or there's a pattern of stealing. With very ...

  12. Child abuse - physical

    MedlinePlus

    ... Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. Related MedlinePlus Health Topics Child Abuse Browse the Encyclopedia A.D.A.M., Inc. ...

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

    ERIC Educational Resources Information Center

    Rowe, Meredith L.

    2008-01-01

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

  14. The Relationships between Child Temperament, Teacher-Child Relationships, and Teacher-Child Interactions

    ERIC Educational Resources Information Center

    Oren, Meral; Jones, Ithel

    2009-01-01

    The purpose of the study was to examine the relationships between child temperament, teacher-child relationships, and teacher-child interactions in four preschool classrooms. The preliminary analyses revealed classroom differences for all variables. In all the classrooms except one, the temperament factor Reactivity had positive and high…

  15. Global Threats to Child Safety.

    PubMed

    Mace, Sharon E

    2016-02-01

    Children have rights, as enumerated in the Declaration of the Rights of the Child, and need protection from violence, exploitation, and abuse. Global threats to child safety exist. These threats include lack of basic needs (food, clean water, sanitation), maltreatment, abandonment, child labor, child marriage, female genital mutilation, child trafficking, disasters, and armed conflicts/wars. Recent disasters and armed conflicts have led to a record number of displaced people especially children and their families. Strategies and specific programs can be developed and implemented for eliminating threats to the safety of children. PMID:26613687

  16. TRENDS IN DENTAL VISITS AMONG THE US NON-INSTITUTIONALIZED CIVILIAN POPULATION: FINDINGS FROM BRFSS 1995 – 2008

    PubMed Central

    Lucas-Perry, Evelyn

    2013-01-01

    Objective To examine the 13-year trend in annual dental care utilization among the US non-institutionalized civilian population. Methods Data from the BRFSS from 1995–2008 for adults’ age 18 and older were abstracted and analyzed using the NIDCR/CDC data query system. Point-estimates, confidence-intervals, trends and differences in trends for self-reported annual dental visits by socio-demographic factors and behavioral factor (smoking) were tested with chi-square tests using Stata® (v11). Results The overall, median percent of reported dental visits increased marginally (1.3%; p=0.99) from 68.6% (66.2%, 70.9%) in 1995 to 69.9% (69.1%, 71.7%) in 2008. Trend lines remained flat for most age groups except for those aged 65 and older, which showed a steady rise from 58.9% (52.9%, 64.9%) in 1995 to 66.3% (63.9%, 68.7%) in 2008. Disparities in median annual dental visits between non-Hispanic whites and other racial/ethnic groups increased from a range of a 2–7% point difference (1995) to a 7–11% point difference (2008). A higher percentage of women relative to men reported a visit 70.1% (66.9%, 73.2%) vs. 66.6 % (63.8%, 69.3%) in 1995 and 71.2% (69.2%, 73.2%) vs. 67.4% (65.0%, 69.7%) in 2008; trends and differences in trends among gender remained similar over time (4–5%). No meaningful change in reported dental visit by race/ethnicity; income, education or smoking was seen. Conclusion Over 13 years, the proportion of persons visiting a dentist has remained relatively constant. Of note is that disparities in dental visits by socio-demographic factors also remained the same over time. PMID:24416728

  17. 42 CFR 435.832 - Post-eligibility treatment of income of institutionalized individuals: Application of patient...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... disabled individual, including a child applying for Medicaid on the basis of blindness or diability. (ii... the highest income standard, in the appropriate category of age, blindness, or disability, used to... specified in paragraph (e)(1) of this section, or when any significant change occurs, the agency...

  18. Can Doll therapy preserve or promote attachment in people with cognitive, behavioral, and emotional problems? A pilot study in institutionalized patients with dementia

    PubMed Central

    Pezzati, Rita; Molteni, Valentina; Bani, Marco; Settanta, Carmen; Di Maggio, Maria Grazia; Villa, Ivan; Poletti, Barbara; Ardito, Rita B.

    2014-01-01

    Doll therapy is a non-pharmacological intervention aimed at reducing behavioral and psychological disorders in institutionalized patients with dementia. This therapy as a care tool has been integrated into the context of long-term care institutions, in which the need to find solutions to cognitive, behavioral and emotional problems showed by people with dementia meets the primary objective of developing good care practices focusing on patients and their needs. In the present work we adopt the Bowlby’s theory of attachment to investigate the effectiveness of Doll therapy. The hypothesis that we here propose is that the emotional experience of the person with dementia during Doll therapy activates caregiving and exploration systems together with the attachment one. To test this hypothesis we compared institutionalized patients with dementia undergoing Doll therapy with a control group and assessed measures of the relational dimension with the environment, such as gaze direction, behaviors of exploration, and behaviors of caregiving. We used an experimental protocol consisting of 10 non-consecutive sessions structured with the goal of recreating a situation of (1) separation from a known figure and (2) interaction with the environment in order to partially recreate the prototypical phases of the “Strange situation.” All sessions were videotaped and analyzed through an observational grid. Results support the effectiveness of Doll therapy in promoting and maintaining the affective-relational dimension of attachment-caregiving and the attentive dimension of exploration in patients with advanced stage of dementia. Thus, our results suggest that the use of Doll therapy promotes clinically significant improvements in the ability to relate with the surrounding world. This may be important for managing and caring for patients with dementia in institutionalized context. PMID:24795682

  19. The best possible child

    PubMed Central

    Parker, Michael

    2007-01-01

    Julian Savulescu argues for two principles of reproductive ethics: reproductive autonomy and procreative beneficence, where the principle of procreative beneficence is conceptualised in terms of a duty to have the child, of the possible children that could be had, who will have the best opportunity of the best life. Were it to be accepted, this principle would have significant implications for the ethics of reproductive choice and, in particular, for the use of prenatal testing and other reproductive technologies for the avoidance of disability, and for enhancement. In this paper, it is argued that this principle should be rejected, and it is concluded that while potential parents do have important obligations in relation to the foreseeable lives of their future children, these obligations are not best captured in terms of a duty to have the child with the best opportunity of the best life. PMID:17470505

  20. Managing the unwell child

    PubMed Central

    2010-01-01

    Managing the unwell child can be a frightening experience for everyone involved. As GPs become more involved in delivery of care in Urgent Care Centres and Emergency Units, it is more likely that they will come across a child who is sicker than those attending the surgery. This article will help the GP and the rest of the team to be prepared for this situation – to identify the unwell infant or toddler, to know general management principles and some specific treatment pathways for common emergencies and to take steps to try and prevent children becoming critically ill wherever possible. Local management pathways may vary so please refer to your local guidelines. Advice from national bodies such as the UK Resuscitation Council, the Advanced Life Support Group and the British National Formulary for Children has been included. Please revisit these resources for updated material. PMID:25949613

  1. Child homicide spectrum.

    PubMed

    Jason, J

    1983-06-01

    Violence toward children is an acknowledged pediatric problem, but physicians may not be aware that it is a leading cause of pediatric mortality. Therefore, I used homicide data for persons younger than 18 years of age to characterize child homicide. There are two broad categories: The first predominates until the victim age of 3 years, is intrafamilial, and is associated with bodily force and poorly defined precipitating events. It might be described as fatal child abuse. The second type predominates after the victim age of 12 years, is extrafamilial, involves guns or knives, occurs during arguments or criminal acts by the offender, and may represent children unsupervised in an adult environment. Homicides that occur in children between 3 and 12 years of age are a mixture of these two types. PMID:6846292

  2. Are community-living and institutionalized dementia patients cared for differently? Evidence on service utilization and costs of care from German insurance claims data

    PubMed Central

    2013-01-01

    Background Dementia patients are often cared for in institutional arrangements, which are associated with substantial spending on professional long-term care services. Nevertheless, there is little evidence on the exact cost differences between community-based and institutional dementia care, especially when it comes to the distinct health care services. Adopting the perspective of the German social security system, which combines Statutory Health Insurance and Compulsory Long-Term Care Insurance (payer perspective), our study aimed to compare community-living and institutionalized dementia patients regarding their health care service utilization profiles and to contrast the respective expenditures. Methods We analysed 2006 claims data for 2,934 institutionalized and 5,484 community-living individuals stratified by so-called care levels, which reflect different needs for support in activities of daily living. Concordant general linear models adjusting for clinical and demographic differences were run for each stratum separately to estimate mean per capita utilization and expenditures in both settings. Subsequently, spending for the community-living and the institutionalized population as a whole was compared within an extended overall model. Results Regarding both settings, health and long-term care expenditures rose the higher the care level. Thus, long-term care spending was always increased in nursing homes, but health care spending was comparable. However, the underlying service utilization profiles differed, with nursing home residents receiving more frequent visits from medical specialists but fewer in-hospital services and anti-dementia drug prescriptions. Altogether, institutional care required additional yearly per capita expenses of ca. €200 on health and ca. €11,200 on long-term care. Conclusion Community-based dementia care is cost saving from the payer perspective due to substantially lower long-term care expenditures. Health care spending is

  3. [Child sexual exploitation].

    PubMed

    Cabello, María F; Castaldi, Paula D; Cataldo, Andrea M

    2009-01-01

    Child Sexual Exploitation is a complex phenomenon in our country and the world; it dates back to an ancient past but it has a very recent conceptualization and specific approach. This article proposes a tour through this process as well as some inputs for its categorization, the attention to the affected subjects by the very design of public policies taken from a concrete institutional experience. PMID:19812796

  4. Cohabitation and Child Wellbeing.

    PubMed

    Manning, Wendy D

    2015-01-01

    In recent decades, writes Wendy Manning, cohabitation has become a central part of the family landscape in the United States-so much so that by age 12, 40 percent of American children will have spent at least part of their lives in a cohabiting household. Although many children are born to cohabiting parents, and cohabiting families come in other forms as well, the most common cohabiting arrangement is a biological mother and a male partner. Cohabitation, Manning notes, is associated with several factors that have the potential to reduce children's wellbeing. Cohabiting families are more likely than married families to be poor, and poverty harms children in many ways. Cohabiting parents also tend to have less formal education-a key indicator of both economic and social resources-than married parents do. And cohabiting parent families don't have the same legal protections that married parent families have. Most importantly, cohabitation is often a marker of family instability, and family instability is strongly associated with poorer outcomes for children. Children born to cohabiting parents see their parents break up more often than do children born to married parents. In this way, being born into a cohabiting family sets the stage for later instability, and children who are born to cohabiting parents appear to experience enduring deficits of psychosocial wellbeing. On the other hand, stable cohabiting families with two biological parents seem to offer many of the same health, cognitive, and behavioral benefits that stable married biological parent families provide. Turning to stepfamilies, cohabitation's effects are tied to a child's age. Among young children, living in a cohabiting stepfamily rather than a married stepfamily is associated with more negative indicators of child wellbeing, but this is not so among adolescents. Thus the link between parental cohabitation and child wellbeing depends on both the type of cohabiting parent family and the age of the

  5. [Child marriage in India].

    PubMed

    Wen, J

    1984-07-29

    Child marriages have been practiced in India for thousands of years. Even though its popularity has now decreased due to changes in law and society, it is still a major problem, causing a great deal of hardship. Even though laws prohibited child marriage as early as 1860, statistics show that, on the average, Indians marry very young (1972: females at age 17; males at age 22 years of age; 34 females and 13 males under age 15). The following are incentives to marry young and have large families: 1) religion teaches that only those with descendants go to heaven; 2) unmarried women are traditionally scorned; and 3) most importantly, economic reasons encourage people to have large families as soon as possible, e.g., male children are encouraged to marry to obtain the dowry as soon as possible and children are considered a source of income in India. Child marriage in India causes the following problems: 1) a high infant mortality rate, as much as 75% in rural areas; 2) an imbalance in the male to female ratio (1901: 970 females/1000 males; 1971: 930 females/1000 males) because women who marry young tend to lose their health earlier; 3) a population explosion: in 1971, the Indian population was found to be increasing at the rate of 225/1000. PMID:12159404

  6. Child passenger safety.

    PubMed

    Durbin, Dennis R

    2011-04-01

    Child passenger safety has dramatically evolved over the past decade; however, motor vehicle crashes continue to be the leading cause of death of children 4 years and older. This policy statement provides 4 evidence-based recommendations for best practices in the choice of a child restraint system to optimize safety in passenger vehicles for children from birth through adolescence: (1) rear-facing car safety seats for most infants up to 2 years of age; (2) forward-facing car safety seats for most children through 4 years of age; (3) belt-positioning booster seats for most children through 8 years of age; and (4) lap-and-shoulder seat belts for all who have outgrown booster seats. In addition, a fifth evidence-based recommendation is for all children younger than 13 years to ride in the rear seats of vehicles. It is important to note that every transition is associated with some decrease in protection; therefore, parents should be encouraged to delay these transitions for as long as possible. These recommendations are presented in the form of an algorithm that is intended to facilitate implementation of the recommendations by pediatricians to their patients and families and should cover most situations that pediatricians will encounter in practice. The American Academy of Pediatrics urges all pediatricians to know and promote these recommendations as part of child passenger safety anticipatory guidance at every health-supervision visit. PMID:21422088

  7. Child passenger safety.

    PubMed

    Durbin, Dennis R

    2011-04-01

    Despite significant reductions in the number of children killed in motor vehicle crashes over the past decade, crashes continue to be the leading cause of death for children 4 years and older. Therefore, the American Academy of Pediatrics continues to recommend inclusion of child passenger safety anticipatory guidance at every health-supervision visit. This technical report provides a summary of the evidence in support of 5 recommendations for best practices to optimize safety in passenger vehicles for children from birth through adolescence that all pediatricians should know and promote in their routine practice. These recommendations are presented in the revised policy statement on child passenger safety in the form of an algorithm that is intended to facilitate their implementation by pediatricians with their patients and families. The algorithm is designed to cover the majority of situations that pediatricians will encounter in practice. In addition, a summary of evidence on a number of additional issues that affect the safety of children in motor vehicles, including the proper use and installation of child restraints, exposure to air bags, travel in pickup trucks, children left in or around vehicles, and the importance of restraint laws, is provided. Finally, this technical report provides pediatricians with a number of resources for additional information to use when providing anticipatory guidance to families. PMID:21422094

  8. Primary prevention of child abuse.

    PubMed

    Bethea, L

    1999-03-15

    In 1993, the U.S. Advisory Board on Child Abuse and Neglect declared a child protection emergency. Between 1985 and 1993, there was a 50 percent increase in reported cases of child abuse. Three million cases of child abuse are reported in the United States each year. Treatment of the abuser has had only limited success and child protection agencies are overwhelmed. Recently, efforts have begun to focus on the primary prevention of child abuse. Primary prevention of child abuse is defined as any intervention that prevents child abuse before it occurs. Primary prevention must be implemented on many levels before it can be successful. Strategies on the societal level include increasing the "value" of children, increasing the economic self-sufficiency of families, discouraging corporal punishment and other forms of violence, making health care more accessible and affordable, expanding and improving coordination of social services, improving the identification and treatment of psychologic problems, and alcohol and drug abuse, providing more affordable child care and preventing the birth of unwanted children. Strategies on the familial level include helping parents meet their basic needs, identifying problems of substance abuse and spouse abuse, and educating parents about child behavior, discipline, safety and development. PMID:10193598

  9. Girl child and social change.

    PubMed

    Seth, P

    1995-01-01

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

  10. Special needs and child welfare: healing the child.

    PubMed

    Lederman, Cindy S

    2007-01-01

    Passage of the Adoption and Safe Families Act of 1997 has placed the child at the center of the child welfare system. Courts bear the ultimate responsibility for the safety and well-being of these children, including those with disabilities. Findings from the Child and Family Service Reviews, however, indicate less-than-optimal conformity in a number of states regarding the physical and mental well-being of children. A multidisciplinary approach involving jurisprudence, science, and financing is required to bring about better compliance. Collaboration among legal, medical, dental, and child advocacy organizations is necessary for healing children in the welfare system to become a national imperative. PMID:17566535

  11. The relation between child death and child maltreatment

    PubMed Central

    Jenny, C; Isaac, R

    2006-01-01

    The death of a child is a sentinel event in a community, and a defining marker of a society's policies of safety and health. Child death as a result of abuse and neglect is a tragic outcome that occurs in all nations of the world. The true incidence of fatal child abuse and neglect is unknown. The most accurate incidence data of such deaths have been obtained from countries where multi‐agency death review teams analyse the causes of child fatalities, as is done in the United States and Australia. PMID:16492892

  12. State Plan for Child Day Care [Virginia].

    ERIC Educational Resources Information Center

    Gravett, Marty; And Others

    Virginia's first state plan for child day care begins with 14 sections covering several aspects of child care. Section I reviews child care history and trends. Sections II, III, IV, and V argue, respectively, that child day care is important to government, business, families, and children. Elements of a comprehensive child day care delivery system…

  13. Child Care in 1976: Goals and Reflections.

    ERIC Educational Resources Information Center

    Provence, Sally

    Goals for future child care services are discussed in this address. It is stressed that social service agencies should consider the family as a unit in providing flexible child care services. Other goals include: (1) tailoring child care programs to parent development as well as child development, (2) insuring that child care workers are motivated…

  14. How To Define Child Abuse and Neglect?

    ERIC Educational Resources Information Center

    Wasserman, Nora M.

    This paper examines definitions of child abuse and neglect as put forth by the Child Abuse Prevention and Treatment Act and the Child Abuse Amendments of 1984. Four types of child abuse and neglect are identified and briefly described: physical abuse, child neglect, sexual abuse, and mental injury (also referred to as emotional/psychological…

  15. Child-Visiting and Domestic Abuse.

    ERIC Educational Resources Information Center

    Shepard, Melanie

    1992-01-01

    Explains problems with child visiting in cases of domestic abuse. Data on domestic abuse, child care concerns, and child adjustment problems were collected from 25 mothers and 22 fathers at a child visiting program serving separated and abusive families. Psychological abuse of mothers correlated with child adjustment problems. (BB)

  16. Diarrhea - what to ask your doctor - child

    MedlinePlus

    What to ask your doctor about diarrhea - child; Loose stools - what to ask your doctor - child ... FOODS What foods can make my child's diarrhea worse? How should I prepare the foods for my child? If my child is still breastfeeding or bottle feeding, do I ...

  17. Struggle for the Soul: John Lawrence Childs

    ERIC Educational Resources Information Center

    Stallones, Jared

    2010-01-01

    John Lawrence Childs was born in Eau Claire, Wisconsin on January 11, 1889, the second child of John Nelson Childs and Helen Janette (Nettie) Smith. In childhood Childs absorbed the values of industry, democracy, and a traditional, but socially conscious, religion. Childs was a Methodist and an intensely private person not given to talking about…

  18. Defining Quality Child Care: Multiple Stakeholder Perspectives

    ERIC Educational Resources Information Center

    Harrist, Amanda W.; Thompson, Stacy D.; Norris, Deborah J.

    2007-01-01

    Multiple perspectives regarding the definition of quality child care, and how child care quality can be improved, were examined using a focus group methodology. Participants were representatives from stakeholder groups in the child care profession, including child care center owners and directors (3 groups), parents (3 groups), child caregivers (3…

  19. The Child Care Problem: An Economic Analysis.

    ERIC Educational Resources Information Center

    Blau, David M.

    Addressed to both social scientists and to nonacademic readers, this book provides an overview of the United States child care market, analyzes the main aspects of child care and child care policy, and proposes a new child care policy. The main thesis of the book is that the child care market functions much better than is commonly believed.…

  20. Effect of melatonin-rich night-time milk on sleep and activity in elderly institutionalized subjects.

    PubMed

    Valtonen, Maija; Niskanen, Leo; Kangas, Antti-Pekka; Koskinen, Teuvo

    2005-01-01

    Melatonin production decreases with advancing age, leading to insomnia and changes in circadian rhythmicity. Administration of melatonin in variable doses resulting in supraphysiological or physiological night-time blood levels of melatonin has been shown to improve sleep quality in the elderly. To study the effect of low doses of melatonin, which do not affect daytime blood melatonin concentrations, night-time milk containing 10-40 ng/l melatonin was used as a drink with meals. The effect of about 0.5 l night-time milk daily on sleep quality and circadian activity was studied in elderly institutionalized subjects in two long-term double-blind, placebo-controlled, crossover studies. Night-time milk was given for 8 weeks and normal day-time milk for 8 weeks with a 1-week washout period in between. In the first study, which was performed during spring with sleep quality evaluated subjectively by specially trained nurses, 70 demented patients showed only a seasonal effect on their sleep quality. In the second study performed around the winter solstice, 81 fairly healthy subjects living in rest-homes were divided into three groups, two for the crossover study as in the first investigation with a third group consuming only normal daytime milk as a control group to evaluate the effect of season. Caregivers graded the sleep quality and activity that was monitored separately for the morning before noon and for the evening after noon. In the second study, the effect of season was recognizable in the scores for sleep quality, which increased in all groups after the winter solstice. However, there were no changes in activity in the control group or in the group that consumed night-time milk during the first period of the crossover study, whereas both morning and evening activity increased significantly in the group that consumed night-time milk during the later period. Even ultra-low doses of melatonin may benefit the elderly by increasing their daytime activity. PMID

  1. The institutionalization of pharmaceutical administration after the korean liberation: focusing on regulating the pharmaceutical affairs law(yaksabeop) in 1953.

    PubMed

    Sihn, Kyu-Hwan

    2013-12-01

    pharmaceutical disputes such as pharmacist voluntary prescription, the separation of pharmacy and clinic, the compounding of traditional medicines, and the traditional pharmacist system. However, it was meaningful that the law was the turning point of the institutionalization of pharmaceutical administration after the Korean Liberation. PMID:24503923

  2. Family ties and child placement.

    PubMed

    Colón, F

    1978-09-01

    The fundamental premise of this paper is the primacy of the child's experience of biological-familial continuity in establishing his sense of self and personal significance. This paper examines the effects of current child placement practices on the child's ties to his biological, foster, and adoptive families. It explores alternative practices that would take into account biological-familial continuity. Comment is invited. PMID:744218

  3. Child physical abuse and neglect.

    PubMed

    Schilling, Samantha; Christian, Cindy W

    2014-04-01

    This article provides an overview of child physical abuse and neglect, and describes the magnitude of the problem and the triggers and factors that place children at risk for abuse and neglect. After examining the legal and clinical definitions of child abuse and neglect, common clinical outcomes and therapeutic strategies are reviewed, including the lifelong poor physical and mental health of victims and evidence-supported treatment interventions. Mandated reporting laws, and facilitating collaboration among child welfare, judicial, and health care systems are considered. Important tools and resources for addressing child maltreatment in clinical practice are discussed, and future approaches posited. PMID:24656582

  4. The Ciência & Saúde Coletiva journal and the process of institutionalization of a field of knowledge and practices.

    PubMed

    Nunes, Everardo Duarte

    2015-07-01

    This paper takes as its starting point the concepts that make up the process of institutionalization of a field of knowledge in the following phases: 1. Differentiation of subjects, methods and techniques of knowledge or existing disciplines, 2. The subject previously considered as peripheral is now seem as part of a particular field of knowledge, 3. The new field becomes significant in the set of an area and starts the standardization of recruitment of human resources, selection of experts and financial resources, and 4. Consolidation of the new field, building its culture within the scientific community, with its social networks of communication, scientific associations and its own publications. Our central objective is to analyze the role of the Ciência e Saúde Coletiva Journal in the process of institutionalization of the Collective Health; we situate the Collective Health and its stages, make a brief report on the history of scientific publications by emphasizing the Brazilian studies on the public health field, and work the early stages of the Journal. PMID:26132236

  5. Curbing child marriages.

    PubMed

    Rajan, S I

    Demographers are interested in marriage age because women who marry early are exposed to conceptions through the most fecund years of their lives. Women who marry young are exposed comparatively to a longer duration and tend to shorten the intergenerational years, consequently influencing the fertility to be higher. In India, despite the law, child marriages occur in many states, more prevalent among the backward conservative communities. According to India's Child Marriage Restraint Act, a woman must be 18 to marry (a man 21), but in fact in 1981 the marriage age of females was 15. This young marriage age is substantiated by available survey and report data. For example, in a mass marriage solemnized at Wardha village in Vidisha district in 1981, there was not 1 of the 110 couples of the prescribed marriage age. 55 of the brides were below age 10 and 48 were between 10-12 years. Only 8 brides were older than 14 years. A survey conducted by the Population Research Center, Lucknow University, revealed that more than half of the females surveyed were married before age 15. The census data for 1981 provide the following information: 1.19 million or 2.63% of the total 45.18 million boys aged 10-14 years and 2.67 million or 6.59% of the total 40.49 million girls were married. Christians had the highest mean age at marriage followed by Sikhs and Jains, but all religious groups had shown an improvement in their age at marriage. Several factors are responsible for child marriage. Consequently, a multidimensional approach to dealing with the problem is needed. The way to bring about this change is through creating more job and educational opportunities for women. PMID:12280896

  6. Nigeria: child health.

    PubMed

    Amobi, I

    The child in Nigeria is loved and pampered but food may be scarce or inadequate in nutrients, and he/she has overcrowding and poor sanitation to deal with as well as a maze of conflicting and hybrid values and way of life. Statistics show that in black Africa 1 child out of 5 will survive up to his 5th birthday. The infant mortality rate is high primarily because of inadequate nutrition and communicable diseases. The 10 most common diseases in Africa from 4 sample countries, i.e., Ethiopia, Nigeria, Uganda, and Kenya are: malaria; gastroenteritis, measles; respiratory tract infections; malnutrition; intestinal worm, anemias; tetanus; meningitis; and tuberuclosis. All these diseases are preventable, but prevention is more difficult because there are few health workers and inadequate facilities. 80 pediatricians and a few unrecognized pediatric trained nurses look after about 40 million children in Nigeria. Nutrition plays a prominent role in both growth and development. Local food may be plentiful but some families are unable to balance their diets. There is malnutrition or undernutrition because of ignorance, poverty, and feeding habits. In Africa the effect of malnutrition is most marked during weaning. In a traditional African society a child does not lack for love and affection. There are no unwanted pregnancies, no motherless children, no unmarried women, for the extended family system absorbs many of these shocks. The circumstances of the family are related to the incidence of child abuse, which is increasing. Children are used as cheap labor by both parents and guardians. In the current 5-year development plan, the government is making a bold step in health care. Some of the major goals of this 4th 5-year development plan in health care delivery include: rapid expansion of facilities to achieve 100% primary health care coverage by the year 2000; emphasizing preventive care; decentralization so that the local government areas are implementation units

  7. Child health in Colombia.

    PubMed

    Nieto, G Arias; Mutis, F Suescun; Mercer, R; Bonati, M; Choonara, I

    2009-11-01

    Colombia is a country with major problems, mainly a high degree of inequality and an unacceptably high level of violence (both armed military conflict and crime related). There are unacceptably high variations in health and health provision. Despite these difficulties, there are important steps being taken by both the government and independent organisations to try and improve child health and to achieve the Millennium Development Goals in relation to poverty, hunger and health issues. The participation of different sectors and stakeholders (including government, non-governmental organisations and other organisations of civil society) is essential to overcome Colombian history and to promote a better place for children. PMID:19586926

  8. Planning for Child Development: Manual. Appalachian Child Care Project.

    ERIC Educational Resources Information Center

    Corbett, Franklin, Jr.

    This group facilitator manual which forms the basis of a package of materials (including a handbook and media presentation) is designed for use with child care councils, policy advisory committees, and child advocacy groups which want to become more effective in developing programs for children. The manual is divided into two major sections. The…

  9. Prevalence and Development of Child Delinquency. Child Delinquency Bulletin Series.

    ERIC Educational Resources Information Center

    Snyder, Howard N.; Espiritu, Rachele C.; Huizinga, David; Loeber, Rolf; Petechuk, David

    The number of child delinquents entering the juvenile justice system is increasing, as evidenced by rising arrest rates and court caseloads. Compared with adolescents who become involved in delinquency in their teens, child delinquents between the ages of 7 and 12 have a two- to threefold greater risk of becoming serious, violent, and chronic…

  10. Child Support, Child Care and Head Start Collaboration: Innovations & Ideas

    ERIC Educational Resources Information Center

    Child Care Bureau, 2003

    2003-01-01

    This monograph highlights and compares approaches of six demonstration grant projects designed to promote collaboration between state Child Support Enforcement, Child Care, and Head Start programs. These demonstration grant projects were awarded to Alaska, Connecticut, Illinois, Maryland, Minnesota, and Missouri. These three-year projects were…

  11. Child Delinquency: Early Intervention and Prevention. Child Delinquency Bulletin Series.

    ERIC Educational Resources Information Center

    Loeber, Rolf; Farrington, David P.; Petechuk, David

    Sparked by high-profile cases involving children who commit violent crimes, public concerns regarding child delinquents have escalated. Compared with juveniles who first become involved in delinquency in their teens, child delinquents (offenders younger than age 13) face a much greater risk of becoming serious, violent, and chronic juvenile…

  12. Children, Child Abuse and Child Protection: Placing Children Centrally.

    ERIC Educational Resources Information Center

    1999

    This book provides an overview of the political, moral, and social context within which British child welfare practitioners and managers attempt to work with children, families, and others. The book reviews the development of improved policy and practices in child protection. Placing children at the center of policy, practice, and discourse, it…

  13. Child-to-Child Evangelism Hits on Parents' Religious Rights

    ERIC Educational Resources Information Center

    Boston, Rob

    2004-01-01

    In this article, the author discusses the "child-to-child evangelism" technique designed by evangelist Franklin Graham to convert America's children to his brand of Christianity. Starting in local public schools, Graham put out this plan whereby children could study evangelism techniques over the Internet and then march into their schools to…

  14. Musings: Does Criticizing Your Child's Teacher Disempower Your Child?

    ERIC Educational Resources Information Center

    Gross, Miraca U. M.

    2003-01-01

    This article discusses the negative effects of criticizing a child's teacher in front of the child and the positive effects of modeling a healthy respect of the educational system. Study findings are discussed which indicate high-achieving children saw themselves as active partners with their teachers or coaches, not empty vessels. (Contains 6…

  15. Take Care of Your Child's Teeth

    MedlinePlus

    ... Baby teeth hold space for adult teeth. Take care of your child’s teeth to protect your child from tooth decay (cavities). Tooth decay can: Cause your child pain Make it hard for your child to chew ...

  16. Anesthesia - what to ask your doctor - child

    MedlinePlus

    ... this page: //medlineplus.gov/ency/patientinstructions/000184.htm Anesthesia - what to ask your doctor - child To use ... with your child's doctor about the type of anesthesia that will be best for your child. Below ...

  17. Fever and Taking Your Child's Temperature

    MedlinePlus

    ... About Zika & Pregnancy Fever and Taking Your Child's Temperature KidsHealth > For Parents > Fever and Taking Your Child's ... a mercury thermometer.) previous continue Tips for Taking Temperatures As any parent knows, taking a squirming child's ...

  18. Helping your child understand a cancer diagnosis

    MedlinePlus

    ... medlineplus.gov/ency/patientinstructions/000844.htm Helping your child understand a cancer diagnosis To use the sharing ... with a child about having cancer. Why Your Child Needs to Know It can be tempting NOT ...

  19. Diarrhea - what to ask your doctor - child

    MedlinePlus

    What to ask your doctor about diarrhea - child; Loose stools - what to ask your doctor - child ... still breastfeeding or bottle feeding, do I need to stop? Should I water down my child's formula? ...

  20. Latina mothers' influences on child appetite regulation

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Parents influence child weight through interactions that shape the development of child eating behaviors. In this study we examined the association between maternal autonomy promoting serving practices and child appetite regulation. We predicted that maternal autonomy promoting serving practices wou...

  1. Will the Child be Normal? Ask Mother

    ERIC Educational Resources Information Center

    Science News, 1977

    1977-01-01

    Reports that a mother's perception of her newborn infant frequently predicts how well the child will adjust in later childhood. The more positive the mother perceives the child, the more emotionally healthy the child will later become. (SL)

  2. Institutionalizing Information Literacy

    ERIC Educational Resources Information Center

    Weiner, Sharon A.

    2012-01-01

    There is increasing recognition that information literacy is essential for individual and community empowerment, workforce readiness, and global competitiveness. However, there is a history of difficulty in integrating information literacy with the postsecondary educational process. This paper posits that a greater understanding of the…

  3. Peru: Institutionalizing Quechua

    ERIC Educational Resources Information Center

    Lagoria, Consuelo Alfaro; Ballon, Lourdes Zegarra

    1976-01-01

    Discusses the 1975 decision of the Peruvian government to designate Quechua as an official language. Specific programs carried out as a result of this law are analyzed and assessed with respect to their effects and implications. The problems encountered in producing instructional materials for languages which are fragmented into dialects are…

  4. The sick child's predicament.

    PubMed

    Taylor, D C

    1985-06-01

    There is widespread criticism of medicine which contrasts with its manifest success in biotechnology. Medicine's failure to convince stems partly from the fact that its successful biotechnology distracts it from the mundane task of responding appropriately to components of commonplace sicknesses which do not stem from disease (things) or illness (symptoms) but from predicaments. Predicaments are painful social situations or circumstances, complex, unstable, morally charged and varying in their import in time and place, which are readily discernible from a good history. Predicaments are distinguished from environmental agents by being an aspect of social organisation rather than structures. Dangerous and excruciating predicaments are described as well as the predicaments of being sick, and being in hospital. Child psychiatrists are often presented with problems where diagnosis of disease or illness in the child is inappropriate and resolution of its predicament alleviates the distress that had been presented in the language of sickness. The model is capable of broader application in psychiatry and medicine. Doctors should be more concerned to know about the context and background of their patients' sickness, as patients give this information very freely if asked. If patients' complaints are misunderstood then medical responses, made in good faith, may be seen as dangerous intrusions leading to a loss of trust, anger, and litigiousness. PMID:3863603

  5. [Child social welfare service].

    PubMed

    Bouyx, A; Rosset, D J

    1989-03-01

    In France, the Child Welfare Service is the public agency responsible for the protection of children and adolescents. Since the enaction of the decentralization laws, this Service is under the authority of the president of the Regional Council of each district. The Child Welfare Service provides material and/or educational support to families and youngsters in need of help. It also ensures the placement of children, adolescents and youngsters of age in institutions or foster homes according to the therapeutic indication. The CWS's role is to prevent the disruption of families, promote the reconstruction of broken families, and ensure the adoption of neglected children. As a result of the intense efforts provided over a great number of years, the numbers of families and children eligible for CWS intervention are falling. In Paris, in 1987, 5,000 youngsters separated from their families benefited from CWS actions, and approximately one hundred neglected children were adopted into new families. In this article, we describe the current work of the CWS by means of a few figures and comments. PMID:2729836

  6. Valuing Your Child Care Business.

    ERIC Educational Resources Information Center

    Linsmeier, Dave; Richards, Dick; Routzong, Ed

    2003-01-01

    Offers guidelines for putting a monetary value on a child care business. Discusses reasons for valuing the business, types of valuations (book, liquidation, and fair market), fair market valuation formulas, the corporate valuation, valuing assets included in a sale, and using experts. Also offers several tips for selling a child care business. (EV)

  7. Child Labour Remains "Massive Problem."

    ERIC Educational Resources Information Center

    World of Work, 2002

    2002-01-01

    Despite significant progress in efforts to abolish child labor, an alarming number of children are engaged in its worst forms. Although 106 million are engaged in acceptable labor (light work for those above the minimum age for employment), 246 million are involved in child labor that should be abolished (under minimum age, hazardous work). (JOW)

  8. The Shy Child. ERIC Digest.

    ERIC Educational Resources Information Center

    Hyson, Marion C.; Van Trieste, Karen

    This ERIC digest: (1) describes types and manifestations of shyness among children; (2) briefly reviews research on genetic, temperamental, and environmental influences on shyness; (3) distinguishes between normal and problematic shyness; and (4) suggests ways for parents and teachers to help the shy child by accepting the whole child, building…

  9. Child Maltreatment and Adolescent Development

    ERIC Educational Resources Information Center

    Trickett, Penelope K.; Negriff, Sonya; Ji, Juye; Peckins, Melissa

    2011-01-01

    Child abuse and neglect, often collectively called child maltreatment, are huge social problems affecting millions of children and adolescents in America. Adolescents are affected both by maltreatment which occurred during childhood with lingering effects and by maltreatment that continues into or begins in adolescence. Several decades of research…

  10. The Child's Right To Play.

    ERIC Educational Resources Information Center

    Morris, Beverley

    This paper argues that play is an important and fundamental educational process and that the child's right to play should be respected. The paper also comments on the 1990 Tokyo International Conference on the Child's Right to Play. Several issues related to children's play, both in and out of school, are discussed. The focus is on the state of…

  11. Indian Child Welfare in Montana.

    ERIC Educational Resources Information Center

    Dull Knife Memorial Coll., Lame Deer, MT.

    This report is based upon a 1985-86 survey conducted by the Dull Knife Memorial College Indian Child Welfare Project. A series of workshops were conducted throughout Montana to acquaint providers of services for abused and neglected Indian children with the requirements of and issues associated with the Indian Child Welfare Act of 1978.…

  12. Influential Papers in Child Abuse.

    ERIC Educational Resources Information Center

    Oates, R. Kim; Donnelly, Anne Cohn

    1997-01-01

    Child protection professionals (N=242) were surveyed regarding their picks for the best papers or book chapters in the field. A citation search was also conducted. Eight papers appeared in the top 15 of both the professional survey and the citation search, with "The Battered Child Syndrome" (Kempe, et al., 1962) appearing at the top of both lists.…

  13. An Introduction to Child Psychiatry.

    ERIC Educational Resources Information Center

    Chess, Stella

    The role of child psychiatry is discussed, and the child is described as a developing organism. Genetic factors in behavior are considered as are the presenting problems. Methods treated involve taking the history, conducting the diagnostic interview, using special diagnostic procedures, and applying diagnostic classification. Problem areas dealt…

  14. Modern-Day Child Slavery

    ERIC Educational Resources Information Center

    van de Glind, Hans; Kooijmans, Joost

    2008-01-01

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

  15. What Are Good Child Outcomes?

    ERIC Educational Resources Information Center

    Moore, Kristin Anderson; Evans, V. Jeffery; Brooks-Gunn, Jeanne; Roth, Jodie

    This paper considers the question "What are good child outcomes?" from the perspectives of developmental psychology, economics, and sociology. Section 1 of the paper examines good child outcomes as characteristics of stage-salient tasks of development. Section 2 emphasizes the acquisition of "human capital," the development of productive traits…

  16. Child Rearing on the Farm.

    ERIC Educational Resources Information Center

    Clark, Sam; And Others

    During the second year of a 3-year study involving 112 Iowa farm families, mothers of children aged 4 to 10 years old expressed expectations of independence, responsibility, and hard work from their children during home interviews. The importance of the parent-child relationship together with the lack of sufficient child-rearing research on rural…

  17. Help Your Child Get Organized

    MedlinePlus

    ... Have your child gather the supplies where the work will take place. As the project progresses, show your child how ... kind way, that you expect your kids to work on these skills and that you'll be there ... the natural place to begin. Get Comfortable in Your Role For ...

  18. Child Abuse and Mandated Reporting

    ERIC Educational Resources Information Center

    Woika, Shirley; Bowersox, Carissa

    2013-01-01

    Teachers and teachers-in-training are mandated reporters; they are legally required to report any suspected child abuse or neglect. This article describes: (1) How to file a report; (2) How prevalent child abuse is; (3) What abuse is; (4) What it means to be a mandated reporter; (5) When the report should be made; and (6) What to do if abuse is…

  19. Young Child. [SITE 2001 Section].

    ERIC Educational Resources Information Center

    Yelland, Nicola, Ed.; DeVoogd, Glenn, Ed.

    This document contains the following papers on the young child from the SITE (Society for Information Technology & Teacher Education) 2001 conference: (1) "Young Children and Technology: Building Computer Literacy" (Michael J. Bell and Caroline M. Crawford); (2) "Integrating Technology into the Young Child Lesson Plan" (Michael J. Bell and…

  20. Model Child Care Health Policies.

    ERIC Educational Resources Information Center

    Aronson, Susan; Smith, Herberta

    Drawn from a review of policies at over 100 child care programs nationwide, the model health policies presented in this report are intended for adaptation and selective use by out-of-home child care facilities. Following an introduction, the report presents model policy forms with blanks for adding individualized information for the following…