ERIC Educational Resources Information Center
Windsor, Jennifer; Moraru, Ana; Nelson, Charles A., III.; Fox, Nathan A.; Zeanah, Charles H.
2013-01-01
This study reports on language outcomes at eight years from the Bucharest Early Intervention Project, a randomized controlled study of foster care. We previously have shown that children placed in foster care by age two have substantially stronger preschool language outcomes than children placed later and children remaining in institutional care.…
Humphreys, Kathryn L; McGoron, Lucy; Sheridan, Margaret A; McLaughlin, Katie A; Fox, Nathan A; Nelson, Charles A; Zeanah, Charles H
2015-12-01
Callous-unemotional (CU) traits in childhood are a developmental precursor to psychopathy, yet the origins and etiology of CU traits are not known. We examined CU traits among 12-year-old children exposed to severe early deprivation and evaluated whether a high-quality foster care intervention mitigated the development of high levels of CU traits. Participants were from the Bucharest Early Intervention Project, a randomized controlled trial of foster care for children in institutions. Children were recruited from institutions in Bucharest, Romania, along with age- and sex-matched children who were never institutionalized. Children raised in institutional settings were randomized (mean age = 22 months) to either a foster care group (n = 68) or a care-as-usual group (n = 68). CU traits were assessed at age 12.75 years in available participants from the randomized trial (n = 95) and children who were never institutionalized (n = 50). Children who experienced institutional rearing as young children had significantly higher levels of CU traits in early adolescence compared to children who were never institutionalized. Intent-to-treat analysis indicated that, among boys, CU traits were significantly lower among those who received the foster care intervention compared to those randomized to care as usual. Caregiver responsiveness to distress, but not caregiver warmth, mediated the intervention effect on CU traits in boys. These findings provide the first evidence to date that psychosocial intervention can prevent the onset of CU traits. Although severe early deprivation predicted higher levels of CU traits, high-quality foster care that emphasized responsive caregiving reduced the impact of deprivation on CU trait development for boys. The Bucharest Early Intervention Project; http://clinicaltrials.gov; NCT00747396. Copyright © 2015 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.
Almas, Alisa N.; Degnan, Kathryn A.; Nelson, Charles A.; Zeanah, Charles H.; Fox, Nathan A.
2016-01-01
Young children removed from institutions and placed into foster care or adoptive homes have been shown to experience significant gains in IQ relative to children who remain in institutions. Less is known about the long-term impact of severe early deprivation on development in late childhood. Data are presented from a follow-up of children at 12 years of age in the Bucharest Early Intervention Project, a randomized clinical trial of foster care for institutionally reared children. One hundred and seven of the original 136 children in the study were tested with the WISC IV. Results revealed continued benefit from the intervention through age 12, with 12-year-old children placed in foster care scoring significantly higher on full scale IQ compared to their peers who received prolonged institutional care. Longitudinal IQ data revealed two IQ profiles from early to late childhood. Attachment security emerged as a significant predictor of a profile of stable, typical IQ scores over time. We demonstrate the continued importance of foster care intervention and the negative effects of severe, early psychosocial deprivation on IQ into late childhood. PMID:27709994
Almas, Alisa N; Degnan, Kathryn A; Nelson, Charles A; Zeanah, Charles H; Fox, Nathan A
2016-11-01
Young children removed from institutions and placed into foster care or adoptive homes have been shown to experience significant gains in IQ relative to children who remain in institutions. Less is known about the long-term impact of severe early deprivation on development in late childhood. Data are presented from a follow-up of children at 12 years of age in the Bucharest Early Intervention Project, a randomized clinical trial of foster care for institutionally reared children. Of the original 136 children in the study, 107 were tested with the Wechsler Intelligence Scale for Children-IV. Results revealed continued benefit from the intervention through age 12, with 12-year-old children placed in foster care scoring significantly higher on full-scale IQ compared to their peers who received prolonged institutional care. Longitudinal IQ data revealed 2 IQ profiles from early to late childhood. Attachment security emerged as a significant predictor of a profile of stable, typical IQ scores over time. We demonstrate the continued importance of foster care intervention and the negative effects of severe, early psychosocial deprivation on IQ into late childhood. (PsycINFO Database Record (c) 2016 APA, all rights reserved).
Social Communication Difficulties and Autism in Previously Institutionalized Children
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
Social communication difficulties and autism in previously institutionalized children.
Levin, April R; Fox, Nathan A; Zeanah, Charles H; Nelson, Charles A
2015-02-01
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. 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). 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. 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. Copyright © 2015 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.
Case Study in Ethics of Research: The Bucharest Early Intervention Project
Zeanah, Charles H.; Fox, Nathan A.; Nelson, Charles A.
2014-01-01
The Bucharest Early Intervention Project is the first ever randomized controlled trial of foster care as an alternative to institutional care for young abandoned children. This paper examines ethical issues in the conceptualization and implementation of the study, which involved American investigators conducting research in another country, as well as vulnerable participants. We organize discussion of ethical questions about the study around several key issues. These include the nature and location of the vulnerable study population, the social value of conducting the study, risks and benefits of participating in the study to participants, and the post-trial obligations of the investigators. In discussing how these questions were addressed as the study was designed and after it was initiated, we describe our attempts to wed sound scientific practices with meaningful ethical protections for participants. PMID:22373763
ERIC Educational Resources Information Center
Drury, Stacy S.; Theall, Katherine P.; Smyke, Anna T.; Keats, Bronya J. B.; Egger, Helen L.; Nelson, Charles A.; Fox, Nathan A.; Marshall, Peter J.; Zeanah, Charles H.
2010-01-01
Objective: To examine the impact of the catechol-O-methyltransferase (COMT) val[superscript 158]met allele on depressive symptoms in young children exposed to early severe social deprivation as a result of being raised in institutions. Methods: One hundred thirty six children from the Bucharest Early Intervention Project (BEIP) were randomized…
Effect of Foster Care on Young Children's Language Learning
ERIC Educational Resources Information Center
Windsor, Jennifer; Benigno, Joann P.; Wing, Christine A.; Carroll, Patrick J.; Koga, Sebastian F.; Nelson, Charles A., III; Fox, Nathan A.; Zeanah, Charles H.
2011-01-01
This report examines 174 young children's language outcomes in the Bucharest Early Intervention Project, the first randomized trial of foster placement after institutional care. Age of foster placement was highly correlated with language outcomes. Placement by 15 months led to similar expressive and receptive language test scores as typical age…
ERIC Educational Resources Information Center
Almas, Alisa N.; Degnan, Kathryn A.; Nelson, Charles A.; Zeanah, Charles H.; Fox, Nathan A.
2016-01-01
Young children removed from institutions and placed into foster care or adoptive homes have been shown to experience significant gains in IQ relative to children who remain in institutions. Less is known about the long-term impact of severe early deprivation on development in late childhood. Data are presented from a follow-up of children at 12…
Almas, Alisa N; Degnan, Kathryn A; Radulescu, Anca; Nelson, Charles A; Zeanah, Charles H; Fox, Nathan A
2012-10-16
The present study examined the social skills of previously institutionalized, 8-y-old Romanian children from the Bucharest Early Intervention Project and the influence of attachment security and brain electrical activity (alpha power) on these skills. Participants included children randomized to an intervention involving foster care [Foster Care Group (FCG)], children randomized to remain in institutions [Care As Usual Group (CAUG)], and never-institutionalized children living with their families in the Bucharest community [Never-Institutionalized Group (NIG)]. A continuous rating of children's attachment security to their primary caregiver was assessed at 42 mo of age. When children were 8 y old, teachers rated their social skills, and the children's resting electroencephalogram alpha power was recorded. Teachers rated social skills of FCG children who were placed into foster care before 20 mo of age as no different from NIG children, and both of these groups were higher than CAUG children and FCG children placed after 20 mo. Electroencephalogram alpha power at age 8 significantly moderated the relations between attachment security and social skills. These findings characterize institutionalized children's social skills in middle childhood within the context of a randomized intervention while highlighting the roles of both relational and biological factors in these developmental trajectories.
Lamm, Connie; Troller-Renfree, Sonya; Zeanah, Charles H; Nelson, Charles A; Fox, Nathan A
2018-06-14
Institutional rearing is associated with deficits in executive functions, such as inhibitory control, and may contribute to later externalizing behavior problems. In the current study, we explored the impact of institutional rearing on attention in the context of inhibiting a planned action. As part of the Bucharest Early Intervention Project (BEIP), children were randomized to either remain in the institutions in which they lived (Care as Usual Group) or be placed into foster family homes (Foster Care Group). We also recruited age and gender matched never-institutionalized (NIG) children from the Bucharest community. We examined differences in behavioral and Event Related Potentials (ERPs) during a go-no-go task when children were 12 years old. Results revealed that the ever-institutionalized group (CAUG and FCG combined) showed slower reaction times, worse performance accuracy, larger P2 activation, and smaller (less negative) N2 activation than the NIG group. Results of a moderation analysis revealed that children who spent more time in institutions and had small N2s showed more externalizing symptoms. These results have implications for the design of treatment approaches for previously institutionalized children with externalizing behavior problems. Copyright © 2018. Published by Elsevier Ltd.
Psychiatric Outcomes in Young Children with a History of Institutionalization
Bos, Karen; Zeanah, Charles H.; Fox, Nathan A.; Drury, Stacy S.; McLaughlin, Katie A.; Nelson, Charles A.
2012-01-01
Children raised in institutions, considered an extreme example of social deprivation, are one group through which we can better understand the impact of neglect on child health and development. The Bucharest Early Intervention Project (BEIP) is the first randomized, controlled trial of foster care as an intervention for institutionalized children. In this review we describe the mental health outcomes from the BEIP. Specifically, we report findings on attachment styles, attachment disorders, emotional reactivity, and psychiatric symptomatology for children in the BEIP. We describe the impact of the foster care intervention on these outcomes and also describe how outcomes differ by gender and by length of time spent in the institution. In addition, we explore the influence of genetic variation on individual outcomes and recovery from early severe social deprivation, as well as the role of differences in brain development in mediating later psychiatric morbidity. The results from the BEIP confirm and extend the previous findings on the negative sequelae of early institutional care on mental health. The results also underscore the benefit of early family placement for children living in institutions. PMID:21250893
NASA Astrophysics Data System (ADS)
Marmureanu, G.; Ionescu, C.; Marmureanu, A.; Grecu, B.; Cioflan, C.
2007-12-01
EWS made by NIEP is the first European system for real-time early detection and warning of the seismic waves in case of strong deep earthquakes. EWS uses the time interval (28-32 seconds) between the moment when earthquake is detected by the borehole and surface local accelerometers network installed in the epicenter area (Vrancea) and the arrival time of the seismic waves in the protected area, to deliver timely integrated information in order to enable actions to be taken before a main destructive shaking takes place. Early warning system is viewed as part of an real-time information system that provide rapid information, about an earthquake impeding hazard, to the public and disaster relief organizations before (early warning) and after a strong earthquake (shake map).This product is fitting in with other new product on way of National Institute for Earth Physics, that is, the shake map which is a representation of ground shaking produced by an event and it will be generated automatically following large Vrancea earthquakes. Bucharest City is located in the central part of the Moesian platform (age: Precambrian and Paleozoic) in the Romanian Plain, at about 140 km far from Vrancea area. Above a Cretaceous and a Miocene deposit (with the bottom at roundly 1,400 m of depth), a Pliocene shallow water deposit (~ 700m thick) was settled. The surface geology consists mainly of Quaternary alluvial deposits. Later loess covered these deposits and the two rivers crossing the city (Dambovita and Colentina) carved the present landscape. During the last century Bucharest suffered heavy damage and casualties due to 1940 (Mw = 7.7) and 1977 (Mw = 7.4) Vrancea earthquakes. For example, 32 high tall buildings collapsed and more then 1500 people died during the 1977 event. The innovation with comparable or related systems worldwide is that NIEP will use the EWS to generate a virtual shake map for Bucharest (140 km away of epicentre) immediately after the magnitude is estimated (in 3-4 seconds after the detection in epicentre) and later make corrections by using real time dataflow from each K2 accelerometers installed in Bucharest area, inclusively nonlinear effects. Thus, developing of a near real-time shake map for Bucharest urban area is of highest interest, providing valuable information to the civil defense, decision makers and general public on the area where the ground motion is most severe. EWS made by NIEP can be considered the first stage to generate and develop the shake map for Bucharest to deep Vrancea earthquakes.
Bick, Johanna; Zhu, Tong; Stamoulis, Catherine; Fox, Nathan A; Zeanah, Charles; Nelson, Charles A
2015-03-01
Severe neglect in early life is associated with compromises in brain development and associated behavioral functioning. Although early intervention has been shown to support more normative trajectories of brain development, specific improvements in the white matter pathways that underlie emotional and cognitive development are unknown. To examine associations among neglect in early life, early intervention, and the microstructural integrity of white matter pathways in middle childhood. The Bucharest Early Intervention Project is a randomized clinical trial of high-quality foster care as an intervention for institutionally reared children in Bucharest, Romania, from 2000 through the present. During infancy, children were randomly selected to remain in an institution or to be placed in foster care. Those who remained in institutions experienced neglect, including social, emotional, linguistic, and cognitive impoverishment. Developmental trajectories of these children were compared with a group of sociodemographically matched children reared in biological families at baseline and several points throughout development. At approximately 8 years of age, 69 of the original 136 children underwent structural magnetic resonance imaging scans. Four estimates of white matter integrity (fractional anisotropy [FA] and mean [MD], radial [RD], and axial [AD] diffusivity) for 48 white matter tracts throughout the brain were obtained through diffusion tensor imaging. Significant associations emerged between neglect in early life and microstructural integrity of the body of the corpus callosum (FA, β = 0.01 [P = .01]; RD, β = -0.02 [P = .005]; MD, β = -0.01 [P = .02]) and tracts involved in limbic circuitry (fornix crus [AD, β = 0.02 (P = .046)] and cingulum [RD, β = -0.01 (P = .02); MD, β = -0.01 (P = .049)]), frontostriatal circuitry (anterior [AD, β = -0.01 (P = .02)] and superior [AD, β = -0.02 (P = .02); MD, β = -0.01 (P = .03)] corona radiata and external capsule [right FA, β = 0.01 (P = .03); left FA, β = 0.01 (P = .03); RD, β = -0.01 (P = .01); MD, β = -0.01 (P = .03)]), and sensory processing (medial lemniscus [AD, β = -0.02 (P = .045); MD, β = -0.01 (P = .04)] and retrolenticular internal capsule [FA, β = -0.01 (P = .002); RD, β = 0.01 (P = .003); MD, β = 0.01 (P = .04)]). Follow-up analyses revealed that early intervention promoted more normative white matter development among previously neglected children who entered foster care. Results suggest that removal from conditions of neglect in early life and entry into a high-quality family environment can support more normative trajectories of white matter growth. Our findings have implications for public health and policy efforts designed to promote normative brain development among vulnerable children. clinicaltrials.gov Identifier: NCT00747396.
Sheridan, Margaret A; McLaughlin, Katie A; Winter, Warren; Fox, Nathan; Zeanah, Charles; Nelson, Charles A
2018-06-07
Exposure to psychosocial deprivation is associated with elevations in numerous forms of impairment throughout the life-course. Disruptions in associative learning may be a key mechanism through which adversity, particularly psychosocial deprivation, increases risk for impairment. Existing data consistent with this claim come entirely from correlational studies. Here, we present the first experimental evidence relating psychosocial deprivation and disruptions in multiple forms of associative learning. Using data from the Bucharest Early Intervention Project, we demonstrate that randomized placement into a family caregiving environment during the infant/toddler period as compared to prolonged institutional care normalizes two forms of associative learning in early adolescence: reward responsivity and implicit motor learning. These forms of associative learning significantly mediate the effect of institutional rearing on depressive symptoms and peer relationships. In sum, we provide evidence for a novel pathway linking early experience to psychopathology and peer relationships through basic associative learning mechanisms.
Early adversity and neural correlates of executive function: implications for academic adjustment.
McDermott, Jennifer M; Westerlund, Alissa; Zeanah, Charles H; Nelson, Charles A; Fox, Nathan A
2012-02-15
Early adversity can negatively impact the development of cognitive functions, although little is known about whether such effects can be remediated later in life. The current study examined one facet of executive functioning - inhibitory control - among children who experienced institutional care and explored the impact of a foster care intervention within the context of the Bucharest Early Intervention Project (BEIP). Specifically, a go/nogo task was administered when children were eight years old and behavioral and event-related potential (ERP) measures were collected. Results revealed that children assigned to care as usual (i.e. institutional care) were less accurate and exhibited slower neural responses compared to children assigned to the foster care intervention and children who had never been institutionalized. However, children in both the care as usual and foster care groups exhibited diminished attention processing of nogo cues as assessed via P300 amplitude. Foster care children also showed differential reactivity between correct and error responses via the error-related negativity (ERN) as compared to children in the care as usual group. Combined, the results highlight perturbations in neural sources of behavioral and attention problems among children experiencing early adversity. Potential implications for academic adjustment in at risk children are discussed. Copyright © 2011 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Lizurek, Grzegorz; Marmureanu, Alexandru; Wiszniowski, Jan
2017-03-01
Bucharest, with a population of approximately 2 million people, has suffered damage from earthquakes in the Vrancea seismic zone, which is located about 170 km from Bucharest, at a depth of 80-200 km. Consequently, an earthquake early warning system (Bucharest Rapid earthquake Early Warning System or BREWS) was constructed to provide some warning about impending shaking from large earthquakes in the Vrancea zone. In order to provide quick estimates of magnitude, seismic moment was first determined from P-waves and then a moment magnitude was determined from the moment. However, this magnitude may not be consistent with previous estimates of magnitude from the Romanian Seismic Network. This paper introduces the algorithm using P-wave spectral levels and compares them with catalog estimates. The testing procedure used waveforms from about 90 events with catalog magnitudes from 3.5 to 5.4. Corrections to the P-wave determined magnitudes according to dominant intermediate depth events mechanism were tested for November 22, 2014, M5.6 and October 17, M6 events. The corrections worked well, but unveiled overestimation of the average magnitude result of about 0.2 magnitude unit in the case of shallow depth event ( H < 60 km). The P-wave spectral approach allows for the relatively fast estimates of magnitude for use in BREWS. The average correction taking into account the most common focal mechanism for radiation pattern coefficient may lead to overestimation of the magnitude for shallow events of about 0.2 magnitude unit. However, in case of events of intermediate depth of M6 the resulting M w is underestimated at about 0.1-0.2. We conclude that our P-wave spectral approach is sufficiently robust for the needs of BREWS for both shallow and intermediate depth events.
Early deprivation, atypical brain development, and internalizing symptoms in late childhood
Bick, Johanna; Fox, Nathan; Zeanah, Charles; Nelson, Charles A.
2015-01-01
Children exposed to extreme early life neglect such as in institutional rearing are at heightened risk for developing depression and anxiety disorders, and internalizing problems more broadly. These outcomes are believed to be due to alterations in the development of neural circuitry that supports emotion regulation. The specific neurodevelopmental changes that contribute to these difficulties are largely unknown. This study examined whether microstructural alterations in white matter pathways predicted long term risk for internalizing problems in institutionally reared children. Data from 69 children were drawn from the Bucharest Early Intervention Project, a randomized clinical trial of foster care for institutionally reared children. White matter was assessed using Diffusion Tensor Imaging (DTI) when children were between 8 and 10 years of age. Internalizing symptoms were assessed at the time of the MRI scan, and once children reached 12 to 14 years of age. Results indicated that neglect-associated alterations in the external capsule and corpus callosum partially explained links between institutional rearing status and internalizing symptoms in middle childhood and early adolescence. Findings shed light on neural mechanisms contributing to increased risk for emotional difficulties among children reared in adverse conditions and have implications for prevention and intervention. PMID:26384960
Recovering from Early Deprivation: Attachment Mediates Effects of Caregiving on Psychopathology
McGoron, Lucy; Gleason, Mary Margaret; Smyke, Anna T.; Drury, Stacy S.; Nelson, Charles A.; Gregas, Mathew C.; Fox, Nathan A.; Zeanah, Charles H.
2014-01-01
Objective Children exposed to early institutional rearing are at risk for developing psychopathology. The present investigation examines caregiving quality and the role of attachment security as they relate to symptoms of psychopathology in young children exposed to early institutionalization. Methods Participants were enrolled in the Bucharest Early Intervention Project (BEIP), a longitudinal intervention study of children abandoned and placed in institutions at or shortly after birth. Measures included observed caregiving when children were 30 months of age, observed attachment security at 42 months and caregiver reports of children’s psychopathology at 54 months. At 54 months, some children remained in institutions, others were in foster care, others had been adopted domestically, and still others had been returned to their biological families. Thus, the children had experienced varying amounts of institutional rearing. Results After controlling for gender, quality of caregiving when children were 30 months old was associated with symptoms of multiple domains of psychopathology at 54 months of age. Ratings of security of attachment at 42 months mediated the associations between quality caregiving at 30 months and fewer symptoms of psychopathology at 54 months. Conclusions Among deprived young children, high quality caregiving at 30 months predicted reduced psychopathology and functional impairment at 54 months. Security of attachment mediated this relationship. Interventions for young children who have experienced deprivation may benefit from explicitly targeting caregiver-child attachment relationships. PMID:22721591
Cognitive recovery in socially deprived young children: the Bucharest Early Intervention Project.
Nelson, Charles A; Zeanah, Charles H; Fox, Nathan A; Marshall, Peter J; Smyke, Anna T; Guthrie, Donald
2007-12-21
In a randomized controlled trial, we compared abandoned children reared in institutions to abandoned children placed in institutions but then moved to foster care. Young children living in institutions were randomly assigned to continued institutional care or to placement in foster care, and their cognitive development was tracked through 54 months of age. The cognitive outcome of children who remained in the institution was markedly below that of never-institutionalized children and children taken out of the institution and placed into foster care. The improved cognitive outcomes we observed at 42 and 54 months were most marked for the youngest children placed in foster care. These results point to the negative sequelae of early institutionalization, suggest a possible sensitive period in cognitive development, and underscore the advantages of family placements for young abandoned children.
Recovering from early deprivation: attachment mediates effects of caregiving on psychopathology.
McGoron, Lucy; Gleason, Mary Margaret; Smyke, Anna T; Drury, Stacy S; Nelson, Charles A; Gregas, Matthew C; Fox, Nathan A; Zeanah, Charles H
2012-07-01
Children exposed to early institutional rearing are at risk for developing psychopathology. The present investigation examines caregiving quality and the role of attachment security as they relate to symptoms of psychopathology in young children exposed to early institutionalization. Participants were enrolled in the Bucharest Early Intervention Project (BEIP), a longitudinal intervention study of children abandoned and placed in institutions at or shortly after birth. Measures included observed caregiving when children were 30 months of age, observed attachment security at 42 months, and caregiver reports of children's psychopathology at 54 months. At 54 months, some children remained in institutions, others were in foster care, others had been adopted domestically, and still others had been returned to their biological families. Thus, the children had experienced varying amounts of institutional rearing. After controlling for gender, quality of caregiving when children were 30 months old was associated with symptoms of multiple domains of psychopathology at 54 months of age. Ratings of security of attachment at 42 months mediated the associations between quality caregiving at 30 months and fewer symptoms of psychopathology at 54 months. Among deprived young children, high-quality caregiving at 30 months predicted reduced psychopathology and functional impairment at 54 months. Security of attachment mediated this relationship. Interventions for young children who have experienced deprivation may benefit from explicitly targeting caregiver-child attachment relationships. Copyright © 2012 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.
Humphreys, Kathryn L; Esteves, Kyle; Zeanah, Charles H; Fox, Nathan A; Nelson, Charles A; Drury, Stacy S
2016-12-30
Studies examining the association between early adversity and longitudinal changes in telomere length within the same individual are rare, yet are likely to provide novel insight into the subsequent lasting effects of negative early experiences. We sought to examine the association between institutional care history and telomere shortening longitudinally across middle childhood and into adolescence. Buccal DNA was collected 2-4 times, between the ages of 6 and 15 years, in 79 children enrolled in the Bucharest Early Intervention Project (BEIP), a longitudinal study exploring the impact of early institutional rearing on child health and development. Children with a history of early institutional care (n=50) demonstrated significantly greater telomere shortening across middle childhood and adolescence compared to never institutionalized children (n=29). Among children with a history of institutional care, randomization to high quality foster care was not associated with differential telomere attrition across development. Cross-sectional analysis of children randomized to the care as usual group indicated shorter telomere length was associated with greater percent of the child's life spent in institutional care up to age 8. These results suggest that early adverse care from severe psychosocial deprivation may be embedded at the molecular genetic level through accelerated telomere shortening. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Humphreys, Kathryn L.; Esteves, Kyle; Zeanah, Charles H; Fox, Nathan A; Nelson, Charles A.; Drury, Stacy S.
2016-01-01
Studies examining the association between early adversity and longitudinal changes in telomere length within the same individual are rare, yet are likely to provide novel insight into the subsequent lasting effects of negative early experiences. We sought to examine the association between institutional care history and telomere shortening longitudinally across middle childhood and into adolescence. Buccal DNA was collected 2 to 4 times, between the ages of 6 and 15 years, in 79 children enrolled in the Bucharest Early Intervention Project (BEIP), a longitudinal study exploring the impact of early institutional rearing on child health and development. Children with a history of early institutional care (n=50) demonstrated significantly greater telomere shortening across middle childhood and adolescence compared to never institutionalized children (n=29). Among children with a history of institutional care, randomization to high quality foster care was not associated with differential telomere attrition across development. Cross-sectional analysis of children randomized to the care as usual group indicated shorter telomere length was associated with greater percent of the child’s life spent in institutional care up to age 8. These results suggest that early adverse care from severe psychosocial deprivation may be embedded at the molecular genetic level through accelerated telomere shortening. PMID:27677058
Non, Amy L.; Hollister, Brittany M.; Humphreys, Kathryn L.; Childebayeva, Ainash; Esteves, Kyle; Zeanah, Charles H.; Fox, Nathan A.; Nelson, Charles A.; Drury, Stacy S.
2017-01-01
Objectives Differences in DNA methylation have been associated with early life adversity, suggesting that alterations in methylation function as one pathway through which adverse early environments are biologically embedded. This study examined associations between exposure to institutional care, quantified as the percent time in institutional care at specified follow-up assessment ages, and DNA methylation status in two stress-related genes: FKBP5 and SLC6A4. Materials and Methods We analyzed data from the Bucharest Early Intervention Project, which is a prospective study in which children reared in institutional settings were randomly assigned (mean age 22 months) to either newly created foster care or care as usual (to remain in their current placement) and prospectively followed. A group of children from the same geographic area, with no history of institutionalized caregiving, were also recruited. DNA methylation status was determined in DNA extracted from buccal epithelial cells of children at age 12. Results An inverse association was identified such that more time spent in institutional care was associated with lower DNA methylation at specific CpG sites within both genes. Discussion These results suggest a lasting impact of early severe social deprivation on methylation patterns in these genes, and contribute to a growing literature linking early adversity and epigenetic variation in children. PMID:27218411
Non, Amy L; Hollister, Brittany M; Humphreys, Kathryn L; Childebayeva, Ainash; Esteves, Kyle; Zeanah, Charles H; Fox, Nathan A; Nelson, Charles A; Drury, Stacy S
2016-09-01
Differences in DNA methylation have been associated with early life adversity, suggesting that alterations in methylation function as one pathway through which adverse early environments are biologically embedded. This study examined associations between exposure to institutional care, quantified as the proportion of time in institutional care at specified follow-up assessment ages, and DNA methylation status in two stress-related genes: FKBP5 and SLC6A4. We analyzed data from the Bucharest Early Intervention Project, which is a prospective study in which children reared in institutional settings were randomly assigned (mean age 22 months) to either newly created foster care or care as usual (to remain in their current placement) and prospectively followed. A group of children from the same geographic area, with no history of institutionalized caregiving, were also recruited. DNA methylation status was determined in DNA extracted from buccal epithelial cells of children at age 12. An inverse association was identified such that more time spent in institutional care was associated with lower DNA methylation at specific CpG sites within both genes. These results suggest a lasting impact of early severe social deprivation on methylation patterns in these genes, and contribute to a growing literature linking early adversity and epigenetic variation in children. Am J Phys Anthropol 161:84-93, 2016.. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.
Humphreys, Kathryn L; Zeanah, Charles H; Nelson, Charles A; Fox, Nathan A; Drury, Stacy S
2015-01-01
To test whether genotype of the serotonin transporter-linked polymorphic region (5HTTLPR) and atypical attachment interact to predict externalizing psychopathology prospectively in a sample of children with a history of early institutional care. Caregiver report of externalizing behavior at 54 months was examined in 105 children initially reared in institutional care and enrolled in the Bucharest Early Intervention Project, a randomized controlled trial of high quality foster care. 5HTTLPR genotype, attachment status at 42 months of age (typical [secure, avoidant, or ambivalent] or atypical [disorganized-controlling, insecure-other]), and their interaction were examined as predictors of externalizing behavior at age 54 months. 5HTTLPR genotype and atypical attachment at age 42 months interacted to predict externalizing behavior at age 54 months. Specifically, children with the s/s genotype with an atypical attachment had the highest externalizing scores. However, s/s children with a typical attachment demonstrated the lowest externalizing scores, even after controlling for intervention group status. There was no association between attachment status and externalizing behavior among children carrying at least 1 copy of the l allele. These findings indicate that genetic variation in the serotonergic system moderates the association between atypical attachment status and externalizing in young children. Our findings suggest that children, as a result of genetic variability in the serotonergic system, demonstrate differential sensitivity to the attachment relationship.
Humphreys, Kathryn L.; Zeanah, Charles H.; Nelson, Charles A.; Fox, Nathan A.; Drury, Stacy S.
2015-01-01
Objective To test whether genotype of the serotonin transporter-linked polymorphic region (5HTTLPR) and atypical attachment interact to predict externalizing psychopathology prospectively in a sample of children with a history of early institutional care. Methods Caregiver report of externalizing behavior at 54 months was examined in 105 children initially reared in institutional care and enrolled in the Bucharest Early Intervention Project, a randomized controlled trial of high quality foster care. 5HTTLPR genotype, attachment status at 42 months of age (typical [secure, avoidant, or ambivalent] or atypical [disorganized-controlling, insecure-other]), as well as their interaction, were examined as predictors of externalizing behavior at age 54 months. Results 5HTTLPR genotype and atypical attachment at age 42 months interacted to predict externalizing behavior at age 54 months. Specifically, children with the s/s genotype with an atypical attachment had the highest externalizing scores. However, s/s children with a typical attachment demonstrated the lowest externalizing scores, even after controlling for intervention group status. There was no association between attachment status and externalizing behavior among children carrying at least one copy of the l allele. Discussion These findings indicate that genetic variation in the serotonergic system moderates the association between atypical attachment status and externalizing in young children. Our findings suggest that children, as a result of genetic variability in the serotonergic system, demonstrate differential sensitivity to the attachment relationship. PMID:25933228
Notes on the Early History of Technical Higher
NASA Astrophysics Data System (ADS)
Teodorescu, Horia Nicolai
We perform a brief analysis of the economical and political context of establishing the first technical higher school in Romania. We urge for a revision of the current point of view on the educational level in Yashi (Iaši) and Bucharest at the epoch, highlighting that these were, at the time, important academic centers we may not recognize or may not be aware of today. We also plead for a long due serious approach about the history of early modern education 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…
Telomere length and early severe social deprivation: linking early adversity and cellular aging
Drury, SS; Theall, K; Gleason, MM; Smyke, AT; De Vivo, I; Wong, JYY; Fox, NA; Zeanah, CH; Nelson, CA
2012-01-01
Accelerated telomere length attrition has been associated with psychological stress and early adversity in adults; however, no studies have examined whether telomere length in childhood is associated with early experiences. The Bucharest Early Intervention Project is a unique randomized controlled trial of foster care placement compared with continued care in institutions. As a result of the study design, participants were exposed to a quantified range of time in institutional care, and represented an ideal population in which to examine the association between a specific early adversity, institutional care and telomere length. We examined the association between average relative telomere length, telomere repeat copy number to single gene copy number (T/S) ratio and exposure to institutional care quantified as the percent of time at baseline (mean age 22 months) and at 54 months of age that each child lived in the institution. A significant negative correlation between T/S ratio and percentage of time was observed. Children with greater exposure to institutional care had significantly shorter relative telomere length in middle childhood. Gender modified this main effect. The percentage of time in institutional care at baseline significantly predicted telomere length in females, whereas the percentage of institutional care at 54 months was strongly predictive of telomere length in males. This is the first study to demonstrate an association between telomere length and institutionalization, the first study to find an association between adversity and telomere length in children, and contributes to the growing literature linking telomere length and early adversity. PMID:21577215
The Outreach Session. Round Table: ``Science And Society. Do (All) Countries Need Science?!''
NASA Astrophysics Data System (ADS)
Trache, Livius
2010-11-01
These are moderator's remarks about the round table in the afternoon of Saturday June 26, which was part of the Carpathian Summer School of Physics 2010. Guests from outside the school have taken part: from the government of Romania, the management of the IFIN-HH, University of Bucharest and the media. The starting ideas of the organizers are listed only, and brief descriptions of several of the presentations or interventions are made.
Sandulescu, Elena
2004-12-01
Waste management is a key process to protect the environment and conserve resources. The contribution of appropriate waste management measures to the reduction of greenhouse gas (GHG) emissions from the city of Bucharest was studied. An analysis of the distribution of waste flows into various treatment options was conducted using the material flows and stocks analysis (MFSA). An optimum scenario (i.e. municipal solid waste stream managed as: recycling of recoverable materials, 8%; incineration of combustibles, 60%; landfilling of non-combustibles, 32%) was modelled to represent the future waste management in Bucharest with regard to its relevance towards the potential for GHG reduction. The results indicate that it can contribute by 5.5% to the reduction of the total amount of GHGs emitted from Bucharest.
Paraskevis, Dimitrios; Paraschiv, Simona; Sypsa, Vana; Nikolopoulos, Georgios; Tsiara, Chryssa; Magiorkinis, Gkikas; Psichogiou, Mina; Flampouris, Andreas; Mardarescu, Mariana; Niculescu, Iulia; Batan, Ionelia; Malliori, Meni; Otelea, Dan; Hatzakis, Angelos
2015-10-01
A significant increase in HIV-1 diagnoses was reported among Injecting Drug Users (IDUs) in the Athens (17-fold) and Bucharest (9-fold) metropolitan areas starting 2011. Molecular analyses were conducted on HIV-1 sequences from IDUs comprising 51% and 20% of the diagnosed cases among IDUs during 2011-2013 for Greece and Romania, respectively. Phylodynamic analyses were performed using the newly developed birth-death serial skyline model which allows estimating of important epidemiological parameters, as implemented in BEAST programme. Most infections (>90%) occurred within four and three IDU local transmission networks in Athens and Bucharest, respectively. For all Romanian clusters, the viral strains originated from local circulating strains, whereas in Athens, the local strains seeded only two of the four sub-outbreaks. Birth-death skyline plots suggest a more explosive nature for sub-outbreaks in Bucharest than in Athens. In Athens, two sub-outbreaks had been controlled (Re<1.0) by 2013 and two appeared to be endemic (Re∼1). In Bucharest one outbreak continued to expand (Re>1.0) and two had been controlled (Re<1.0). The lead times were shorter for the outbreak in Athens than in Bucharest. Enhanced molecular surveillance proved useful to gain information about the origin, causal pathways, dispersal patterns and transmission dynamics of the outbreaks that can be useful in a public health setting. Copyright © 2015 Elsevier B.V. All rights reserved.
Earthquake early warning for Romania - most recent improvements
NASA Astrophysics Data System (ADS)
Marmureanu, Alexandru; Elia, Luca; Martino, Claudio; Colombelli, Simona; Zollo, Aldo; Cioflan, Carmen; Toader, Victorin; Marmureanu, Gheorghe; Marius Craiu, George; Ionescu, Constantin
2014-05-01
EWS for Vrancea earthquakes uses the time interval (28-32 sec.) between the moment when the earthquake is detected by the local seismic network installed in the epicenter area (Vrancea) and the arrival time of the seismic waves in the protected area (Bucharest) to send earthquake warning to users. In the last years, National Institute for Earth Physics (NIEP) upgraded its seismic network in order to cover better the seismic zones of Romania. Currently the National Institute for Earth Physics (NIEP) operates a real-time seismic network designed to monitor the seismic activity on the Romania territory, dominated by the Vrancea intermediate-depth (60-200 km) earthquakes. The NIEP real-time network consists of 102 stations and two seismic arrays equipped with different high quality digitizers (Kinemetrics K2, Quanterra Q330, Quanterra Q330HR, PS6-26, Basalt), broadband and short period seismometers (CMG3ESP, CMG40T, KS2000, KS54000, KS2000, CMG3T,STS2, SH-1, S13, Ranger, gs21, Mark l22) and acceleration sensors (Episensor). Recent improvement of the seismic network and real-time communication technologies allows implementation of a nation-wide EEWS for Vrancea and other seismic sources from Romania. We present a regional approach to Earthquake Early Warning for Romania earthquakes. The regional approach is based on PRESTo (Probabilistic and Evolutionary early warning SysTem) software platform: PRESTo processes in real-time three channel acceleration data streams: once the P-waves arrival have been detected, it provides earthquake location and magnitude estimations, and peak ground motion predictions at target sites. PRESTo is currently implemented in real- time at National Institute for Earth Physics, Bucharest for several months in parallel with a secondary EEWS. The alert notification is issued only when both systems validate each other. Here we present the results obtained using offline earthquakes originating from Vrancea area together with several real-time detection of significant earthquakes from Vrancea and Transylvania areas that occurred in the last months. Currently the warning notification is sent to several users including emergency response units from 12 counties, a big bridge located in Bucharest, a nuclear sterilization facility in Măgurele city and to the nuclear power plant from Cernavoda.
NASA Astrophysics Data System (ADS)
Sandric, Ionut; Onose, Diana; Vanau, Gabriel; Ioja, Cristian
2016-04-01
The present study is focusing on the identification of urban heat island in Bucharest using both remote sensing products and low cost temperature sensors. The urban heat island in Bucharest was analyzed through a network of sensors located in 56 points (47 inside the administrative boundary of the city, 9 outside) 2009-2011. The network lost progressively its initial density, but was reformed during a new phase, 2013-2015. Time series satellite images from MODIS were intersected with the sensors for both phases. Statistical analysis were conducted to identify the temporal and spatial pattern of extreme temperatures in Bucharest. Several environmental factors like albedou, presence and absence of vegetation were used to fit a regression model between MODIS satellite products sensors in order to upscale the temperatures values recorded by MODIS For Bucharest, an important role for air temperature values in urban environments proved to have the local environmental conditions that leads to differences in air temperature at Bucharest city scale between 3-5 °C (both in the summer and in the winter). The UHI maps shows a good correlation with the presence of green areas. Differences in air temperature between higher tree density areas and isolated trees can reach much higher values, averages over 24 h periods still are in the 3-5 °C range The results have been obtained within the project UCLIMESA (Urban Heat Island Monitoring under Present and Future Climate), ongoing between 2013 and 2015 in the framework of the Programme for Research-DevelopmentInnovation for Space Technology and Advanced Research (STAR), administrated by the Romanian Space Agency Keywords: time series, urban heat island
NASA Astrophysics Data System (ADS)
Ionescu, Constantin; Marmureanu, Alexandru; Marmureanu, Gheorghe; Ortansa Cioflan, Carmen
2017-04-01
Earthquake represents a major natural disaster for Romanian territory. The main goal following the occurrence of a strong earthquake is to minimize the total number of fatalities. A rapid early warning system (REWS) was developed in Romania in order to provide 25-35 seconds warning time to Bucharest facilities for the earthquakes with M>5.0. The system consists of four components: a network of strong motion sensors installed in the epicentral area, a redundant communication network, an automatic analyzing system located in the Romanian Data Centre and an alert distribution system. The detection algorithm is based on the magnitude computation using strong motion data and rapid evaluation and scaling relation between the maximum P-wave acceleration measured in the epicentral area and the higher ground motion amplitude recorded in Bucharest. In order to reduce the damages caused by earthquakes, the exploitation of the up to date technology is very important. The information is the key point in the disaster management, and the internet is one of the most used instrument, implying also low costs. The Rapid Early Warning System was expanded to cover all countries affected by major earthquakes originating in the Vrancea seismic area and reduce their impact on existing installations of national interest in neighbouring Romania and elsewhere. REWS provides an efficient instrument for prevention and reaction based on the integrated system for seismic detection in South-Eastern Europe. REWS has been operational since 2013 and sends alert the authorities, hazardous facilities in Romania and Bulgaria (NPP, emergency response agencies etc.) and to public via twitter and some smartphone applications developed in the house. Also, NIEP is part of the UNESCO initiative case on developing a platform on earthquake early warning systems (IP-MEP) that aims to promote and strengthen the development of earthquake early warning systems in earthquake-prone regions of the world by sharing scientific knowledge, capacity building and international cooperation.
Programme Note: Street Children in Bucharest.
ERIC Educational Resources Information Center
Alexandrescu, Gabriela
1996-01-01
Interviewed Bucharest street children, most between 11 and 15 years of age. Found that most left families, not institutions. Half were from intact families characterized by many children, an incarcerated parent, physical violence, sexual abuse, or alcoholism. Most worked either begging or in casual labor, and engaged in substance abuse.…
Romanian MRE Rocket Engines Program - An Early Endeavor
NASA Astrophysics Data System (ADS)
Rugescu, R. E.
2002-01-01
(MRE) was initiated in the years '60 of the past century at the Chair of Aerospace Sciences "Elie Carafoli" from the "Politehnica" University in Bucharest (PUB). Consisting of theoretical and experimental investigations in the form of computational methods and technological solutions for small size MRE-s and the concept of the test stand for these engines, the program ended in the construction of the first Romanian liquid rocket motors. Hermann Oberth and Dorin Pavel, were known from 1923, no experimental practice was yet tempted, at the time level of 1960. It was the intention of the developers at PUB to cover this gap and initiate a feasible, low-cost, demonstrative program of designing and testing experimental models of MRE. The research program was oriented towards future development of small size space carrier vehicles for scientific applications only, as an independent program with no connection to other defense programs imagined by the authorities in Bucharest, at that time. Consequently the entire financial support was assured by "Politehnica" university. computerized methods in the thermochemistry of heterogeneous combustion, for both steady and unsteady flows with chemical reactions and two phase flows. The research was gradually extended to the production of a professional CAD program for steady-state heat transfer simulations and the loading capacity analyses of the double wall, cooled thrust chamber. The resulting computer codes were run on a 360-30 IMB machine, beginning in 1968. Some of the computational methods were first exposed at the 9th International Conference on Applied Mechanics, held in Bucharest between June 23-27, 1969. hot testing of a series of storable propellant, variable thrust, variable geometry, liquid rocket motors, with a maximal thrust of 200N. A remotely controlled, portable test bad, actuated either automatically or manually and consisting of a 6-modules construction was built for this motor series, with a simple 8 analog-channel and 5 digital-channel data measuring and recording system. The first hot test firing of the MRE-1B motor took place successfully on April 9th, 1969 in Bucharest, at the "Elie Carafoli" Chair of UPB. The research program continued with the development of a series of solid, double base propellant rocket and ram-rocket motors, with emphasize on the optimization of the gasdynamic contour of the engine, in order to increase the flight performances. Increments of up to 8% in specific thrust were measured on the test stand, with mass savings and no extra costs. The test firing of the first Romanian, air-breathing ram-rocket engine took place successfully in august 1987 at the Chemical Works in Fagaras, Romania. Astronautics", founded in Bucharest. The principles and history of the "MRE" research program are presented in the proposed paper.
Drury, Stacy S; Theall, Katherine P; Smyke, Anna T; Keats, Bronya JB; Egger, Helen L; Nelson, Charles A; Fox, Nathan A; Marshall, Peter J; Zeanah, Charles H
2014-01-01
Objective To examine the impact of the Catechol-O-Methyltransferase (COMT) val158met allele on depressive symptoms in young children exposed to early severe social deprivation as a result of being raised in institutions. Methods 136 children from the Bucharest Early Intervention Project (BEIP) were randomized before 31 months of age to either care as usual (CAU) in institutions or placement in newly created foster care (FCG). At 54 months of age, a psychiatric assessment using the Preschool Age Psychiatric Assessment (PAPA) was completed. DNA was collected and genotyped for the COMT val158met polymorphism. Multivariate analysis examined the relationship between COMT alleles and depressive symptoms. Results Mean level of depressive symptoms was lower among participants with the met allele compared to those with two copies of the val allele (p <0.05). Controlling for group and gender, the rate of depressive symptoms was significantly lower among participants with the met/met or the met/val genotype (adjusted relative risk (aRR) = 0.67, 95% CI = 0.45, 0.99) compared to participants with the val/val genotype, indicating an intermediate impact for heterozygotes consistent with the biological impact of this polymorphism. The impact of genotype within groups differed significantly. There was a significant protective effect of the met allele on depressive symptoms within the CAU group, however there was no relationship seen within the FCG group. Conclusions This is the first study, to our knowledge, to find evidence of a gene × environment interaction in the setting of early social deprivation. These results support the hypothesis that individual genetic differences may explain some of the variability in recovery amongst children exposed to early severe social deprivation. PMID:20403637
Spataru, Radu; Mark, Hans
2014-12-01
In "Maria Sklodowska Curie" (MSC) Children's Hospital, Bucharest, Romania, cleft palate repair has been performed according to von Langenbeck since 1984. The speech was good in most patients but wide clefts had a high percentage of fistulas, abnormal speech due to short length and limited mobility of the soft palate. In 2009, the protocol was changed to Gothenburg Delayed Hard Palate Closure, (DHPC) technique. The present evaluation was performed to study the implementation of this technique. One hundred and sixty-eight patients with cleft palate were admitted, 89 isolated cleft palate (ICP), 53 unilateral (UCLP) and 26 bilateral (BCLP). In these, 228 surgical interventions were performed. Soft Palate Repair (SPR) and Hard Palate Repair (HPR) were performed with the DHPC procedure. The transfer to this technique was successfully performed in three steps: one team visit to Gothenburg by a surgeon from MSC and two visits by surgeons from Gothenburg to the MSC. Patients with SPR and HPR were operated on without major complications and there were no differences in results between Gothenburg surgeons and MSC surgeons. The interventions with SPR and HPR technique were proven to be easy to teach and learn and successfully performed without major complications. For cleft patients at MSC hospital it has meant earlier surgery, less re-operations and complications. This report shows a successful change of strategy for palatal repair with improved outcome regarding surgery. In future, speech and growth will be followed on a regular basis and will be compared with results from the Gothenburg Cleft Team.
NASA Astrophysics Data System (ADS)
Toma-Danila, Dragos; Florinela Manea, Elena; Ortanza Cioflan, Carmen
2014-05-01
Bucharest, capital of Romania (with 1678000 inhabitants in 2011), is one of the most exposed big cities in Europe to seismic damage. The major earthquakes affecting the city have their origin in the Vrancea region. The Vrancea intermediate-depth source generates, statistically, 2-3 shocks with moment magnitude >7.0 per century. Although the focal distance is greater than 170 km, the historical records (from the 1838, 1894, 1908, 1940 and 1977 events) reveal severe effects in the Bucharest area, e.g. intensities IX (MSK) for the case of 1940 event. During the 1977 earthquake, 1420 people were killed and 33 large buildings collapsed. The nowadays building stock is vulnerable both due to construction (material, age) and soil conditions (high amplification, generated within the weak consolidated Quaternary deposits, their thickness is varying 250-500m throughout the city). A number of 373 old buildings, out of 2563, evaluated by experts are more likely to experience severe damage/collapse in the next major earthquake. The total number of residential buildings, in 2011, was 113900. In order to guide the mitigation measures, different studies tried to estimate the seismic risk of Bucharest, in terms of buildings, population or economic damage probability. Unfortunately, most of them were based on incomplete sets of data, whether regarding the hazard or the building stock in detail. However, during the DACEA Project, the National Institute for Earth Physics, together with the Technical University of Civil Engineering Bucharest and NORSAR Institute managed to compile a database for buildings in southern Romania (according to the 1999 census), with 48 associated capacity and fragility curves. Until now, the developed real-time estimation system was not implemented for Bucharest. This paper presents more than an adaptation of this system to Bucharest; first, we analyze the previous seismic risk studies, from a SWOT perspective. This reveals that most of the studies don't use a very local-dependent hazard. Also, for major earthquakes, nonlinear effects need to be considered. This problem is treated accordingly, by using recent microzonation studies, together with real data recorded at 4 events with Mw≥6. Different ground motion prediction equations are also analyzed, and improvement of them is investigated. For the buildings and population damage assessment, two open-source software are used and compared: SELENA and ELER. The damage probability for buildings is obtained through capacity-spectrum based methods. The spectral content is used for spectral acceleration at 0.2, 0.3 and 1 seconds. As the level of analysis (6 sectors for all the city) has not the best resolution with respect to the Bucharest hazard scenarios defined, we propose a procedure on how to divide the data into smaller units, taking into consideration the construction code (4 periods) and material. This approach relies on free data available from real estate agencies web-sites. The study provides an insight view on the seismic risk analysis for Bucharest and an improvement of the real-time emergency system. Most important, the system is also evaluated through real data and relevant scenarios. State-of-the art GIS maps are also presented, both for seismic hazard and risk.
Ground based and airborne atmospheric measurements near bucharest
NASA Astrophysics Data System (ADS)
Nemuc, Anca; Boscornea, Andreea; Belegante, Livio; Vasilescu, Jeni; Vajaiac, Sorin; Ene, Dragos; Marmureanu, Luminita; Andrei, Simona
2018-04-01
This paper presents the results from a coordinated approach for atmospheric investigation, exploring synergies between different techniques. A wide range of instruments have been used during an intensive measurement period both from ground (lidar, sunphotometer, aethalometer and Aerosol Chemical Speciation Monitor) and airborne (aerodynamic particle sizer, the Picarro gas analyzer and the NO2 CAPS analyzer) in 2016 over Magurele, 6 km South West of Bucharest.
1991-06-14
ROBOTNICZA 28 May] .... 1 Eger Conference on Transylvania Criticized [Bucharest ROMANIA LIBERA 11 May] 1 Views of Parties on Eger Seminar...Transylvania Criticized 91BA0757A Bucharest ROMANIA LIBERA in Romanian 11 May 91 pp 1-2 [Article by Ion Pavelescu: "Too Much Fanaticism, Too Little...reduced to learning from UDMR [Democratic Associations of Hungarians in Romania ] sources that the filmed document had been edited in the style in
The Resonance of the Surface Waves. The H/V Ratio in the Metropolitan Area of Bucharest
DOE Office of Scientific and Technical Information (OSTI.GOV)
Balan, Stefan F.; Cioflan, Carmen O.; Apostol, Bogdan F.
2008-07-08
The purpose of this work is to evaluate the natural period of oscillation T{sub 0} for soils in Bucharest city area. We will start by examine the elastic waves excited at the surface of an isotropic body by an oscillatory, localized force (Rayleigh waves). We define the 'H/V'-ratio as the ratio of the intensity of the in-plane waves (horizontal waves) to the intensity of the perpendicular-to-the-plane waves (vertical waves). It is shown that this ratio exhibits a resonance at a frequency which is close to the frequency of the transverse waves. It may serve to determine Poison's ratio of themore » body. We consider the ratio H/V of the horizontal to the vertical component of the Fourier spectrum for the seismic events recorded at 34 locations during the period October 2003 to August 2004. The method gives reliable data regarding the fundamental frequencies for soil deposits and the results of this experiment allows us to improve the known distribution of T{sub 0}--regularly calculated with the approximate formula T = 4h/v{sub s}. The earthquakes with M{sub w}>4 that occurred on 21.01.2004, 07.02.2004, 17.03.2004 and 04.04.2004 will be used as input to compute H/V ratios for each site of a URS stations in the area of Bucharest city. The H/V ratio is also calculated from noise recordings in the same areas. Computation of H/V spectral ratios are performed by means of the SeismicHandler and J-SESAME software showing the reliability of the method used for the sites located in Bucharest. The fundamental period obtained for the majority of sites is in accordance with already known results. By obtaining the fundamental period for much more and different spots situated in the Bucharest area we covered the zones where these data did not exist before. This study is significant in seismic risk mitigation for the Bucharest city area, for a safer seismic design and for the improvement of microzonation efforts.« less
Tibu, F; Sheridan, M A; McLaughlin, K A; Nelson, C A; Fox, N A; Zeanah, C H
2016-02-01
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. 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. 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. 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.
Advanced educational program in optoelectronics for undergraduates and graduates in electronics
NASA Astrophysics Data System (ADS)
Vladescu, Marian; Schiopu, Paul
2015-02-01
The optoelectronics education included in electronics curricula at Faculty of Electronics, Telecommunications and Information Technology of "Politehnica" University of Bucharest started in early '90s, and evolved constantly since then, trying to address the growing demand of engineers with a complex optoelectronics profile and to meet the increased requirements of microelectronics, optoelectronics, and lately nanotechnologies. Our goal is to provide a high level of theoretical background combined with advanced experimental tools in laboratories, and also with simulation platforms. That's why we propose an advanced educational program in optoelectronics for both grades of our study program, bachelor and master.
Translations on Eastern Europe, Political, Sociological, and Military Affairs, Number 1496.
1978-01-19
had to retreat with the ships to Feodosia, where we stayed until the end of March 1918 . "After this I returned to Romania and settled in Bucharest...withdrawn as a result of his release from this position by the Synod of the Romanian Orthodox Church . [Bucharest BULETINUL OFICIAL in Romanian Part I No...X International Affairs ■& Albania Bulgaria X Czechoslovakia X East Germany Hungary X Poland X Romania X
NASA Technical Reports Server (NTRS)
Costescu, M.; Gherghel, C.; Curtoglu, A.
1974-01-01
Aircraft noise, especially in the region adjoining airports, constitutes a problem that will be aggravated in the near future because of increasing aircraft traffic and the appearance of new types of large tonnage aircraft with continuously increasing powers and speeds. Criteria for the evaluation of aircraft noise are reported and some results of studies carried out in the region of Bucharest-Otopeni Airport are detailed.
NASA Astrophysics Data System (ADS)
Armas, I.; Dumitrascu, S.
2009-04-01
The urban environment often deals with issues concerning the deterioration of the constructed space and the quality of the environmental factors, in general terms meaning an unsatisfactory quality of life. Taking into account the complexity of the urban environment and the strong human impact, this ambience can be considered the ideal place for a varied range of risks to appear, being favoured by the external interventions and the dynamics of the internal changes that occur in the urban system, often unexpectedly. In this context, historic centre areas are even more vulnerable because of the age of the buildings and their socio-cultural value. The present study focuses on the development of a rapid assessment system of urban risks, putting emphasis on earthquakes. The importance of the study is shown by the high vulnerability that defines urban settlements, which can be considered socio-ecological systems characterized by a maximum risk level. In general, cities are highly susceptible areas because of their compactness and elevated degree of land occupancy, the Bucharest municipality being no exception. The street and sewerage networks disorganized the natural system resulted from the evolution of the lake-river system in Superior Pleistocene-Holocene and the intense construction activity represents a pressure that hasn't been measured and that is in need for a methodological interdisciplinary approach. In particular, the specific of Bucharest is given by the seismic risk based on an explosive urban evolution and the advanced state of degradation of the buildings. In this context, the Lipscani sector from the historic centre of the capital city is a maximum seismic vulnerability area, this being the result of its location in the Dâmbovita River meadow, on the brow and 80 m terrace, but more precisely because of the degradation of the buildings that cumulated the effects of the repeated earthquakes. The historic centre of Bucharest has not only a cultural function, but is also a very populated area, this being factors that favour a high susceptibility level. In addition, the majority of the buildings are included in the first and second categories of seismic risk, being built between 1875 and 1940, the age of the buildings establishing an increased vulnerability to natural hazards. The methodology was developed through the contribution of three partner universities from Bucharest: the University of Bucharest, the Academy for Economic Studies and the Technical University of Constructions. The method suggested was based on the analysis and processing of digital and statistical spatial information resulted from 1:500 topographical plans, satellite pictures, archives and historical maps used for the identification of the age of the buildings. Also, an important stage was represented by the field investigations that resulted with the data used in the assessment of the buildings: year of construction, location and vicinity, height, number of floors, state and function of the building, equipment and construction type. The information collected from the field together with the data resulted from the digitization of the ortophotoplans were inserted in ArcGIS in order to compile the database. Furthermore, the team from the Cybernetics Faculty developed a special software package in Visual Studio and SQL server in order to insert the sheets in GIS so that they could be statistically processed. The final product of the study is a program that includes as main functions editing, the analysis based on selected factors (individual or group) and viewing of building information in the shape of maps or 3D visualization. The strengths of the informational system resulted are given by the extended range of applicability, the short processing period, accessibility, capacity of support for a large amount of information and, thus, standing out as an adequate instrument to fit the needs of a susceptible population.
Translations on Eastern Europe Political, Sociological, and Military Affairs, Number 1418
1977-07-18
such as [Text] or [Excerpt] in the first line of each item, or following the last line of a brief, indicate how the original information was...ADDRESSES BUCHAREST DINNER HONORING HUSAK VISIT Bucharest SCINTEIA in Romanian 23 Jun 77 pp 1, 3 AU [ Toast by Romanian President Nicolae Ceausescu at...problem is how to preserve the liveliness of the former formats under present day conditions. The technology, of course, is only a means. It is no
Bionic hand exoprosthesis – Perspectives for the future in Romania
Pogarasteanu, ME; Barbilian, AG
2014-01-01
Prosthetics is a modern area of interest and a challenge in Orthopedics. Over time, there has been a transition from an artisanal method of prosthetics production to modern concepts and materials, including a re-education through virtual reality. The conditions for an efficient fitting of a prosthesis include the necessity that the prosthesis respects the form and function of the lost limb, both anatomically and biomechanically. Prosthetics are made individually, personalized according to sex, age, physiological characteristics, profession and preference. In our country, thoracic limb prosthetics has a relatively short-recorded history of approximately a century, the most preeminent centers being in Iasi, Cluj and Bucharest. Currently, thoracic limb prosthetics, and particularly hand prosthetics, are in a period of development. A technique for amputation and stump reamputation called “circumferential osteoneuromioplasty” (CONM) is currently being used in the Orthopedics and Trauma Clinic of the Central Military University Emergency Hospital in Bucharest. The method was created with the purpose of obtaining distinct myoelectric signals of better quality, following the contraction of each muscle. The CONM method can be used in conjuncture with both the new hand prostheses that are currently available in Romania, and with the model that is being developed by a mixed team from the Polytechnic University in Bucharest, in collaboration with the Central Military University Emergency Hospital in Bucharest. PMID:25713630
A hydrogeological conceptual approach to study urban groundwater flow in Bucharest city, Romania
NASA Astrophysics Data System (ADS)
Boukhemacha, Mohamed Amine; Gogu, Constantin Radu; Serpescu, Irina; Gaitanaru, Dragos; Bica, Ioan
2015-05-01
Management of groundwater systems in urban areas is necessary and can be reliably performed by means of mathematical modeling combined with geospatial analysis. A conceptual approach for the study of urban hydrogeological systems is presented. The proposed approach is based on the features of Bucharest city (Romania) and can be adapted to other urban areas showing similar characteristics. It takes into account the interaction between groundwater and significant urban infrastructure elements that can be encountered in modern cities such as subway tunnels and water-supply networks, and gives special attention to the sewer system. In this respect, an adaptation of the leakage factor approach is proposed, which uses a sewer-system zoning function related to the conduits' location in the aquifer system and a sewer-conduits classification function related to their structural and/or hydraulic properties. The approach was used to elaborate a single-layered steady state groundwater flow model for a pilot zone of Bucharest city.
Savage, H M; Ceianu, C; Nicolescu, G; Karabatsos, N; Lanciotti, R; Vladimirescu, A; Laiv, L; Ungureanu, A; Romanca, C; Tsai, T F
1999-10-01
Between July and October 1996, a West Nile (WN) fever epidemic occurred in the southern plain and Danube Valley of Romania and in the capital city of Bucharest, resulting in hundreds of neurologic cases and 17 fatalities. In early October 1996, entomologic and avian investigations of the epidemic were conducted in the city of Bucharest and nearby rural areas. Thirty (41%) of 73 domestic fowl sampled had neutralizing antibody to WN virus, including 5 of 13 ducks (38%), 1 of 1 goose, 19 of 52 chickens (37%), 1 of 1 peahen, and 4 of 6 turkeys (67%). Seroprevalence in domestic fowl (27%, or 7 of 26) from the urban Bucharest site was not significantly different (P = 0.08, by Fisher's exact test) than rates at three rural sites (50%, or 23 of 46). Serum collected from one of 12 Passeriformes, an Erithacus rubecula, was positive for neutralizing antibody to WN virus. A total of 5,577 mosquitoes representing seven taxa were collected. Culex pipiens pipiens accounted for 96% of the mosquitoes collected. A single virus isolate, RO97-50, was obtained from a pool of 30 Cx. p. pipiens females aspirated from the walls and ceiling of a blockhouse located near the center of Bucharest, resulting in a minimum infection rate of 0.19 per 1,000. Antisera prepared against RO97-50 failed to distinguish among RO97-50, WN virus strain Eg101, and Kunjin (KUN) virus strain MRM16. A 2,323-basepair DNA fragment of the envelope (E) glycoprotein gene from RO97-50 and a Romanian WN virus strain obtained from a human cerebrospinal fluid sample, RO96-1030, were sequenced. Phylogenetic analyses of 23 WN virus strains and one KUN virus strain using the amino acid and nucleotide sequences for a small portion of the E gene suggest the existence of two large lineages of viruses. Bootstrap analysis of the nucleotide alignment indicated strong support (95%) for a lineage composed of WN virus strains from northern Africa, including isolates from Egypt and Algeria, and west, central, and east Africa, all of the European isolates, those from France and Romania, an Israeli isolate, and an isolate of KUN virus from Australia. The nucleotide sequence of RO97-50 was identical to the sequence of a WN virus isolate obtained from Cx. neavei mosquitoes from Senegal and Cx. univittatus mosquitoes from Kenya. The phylogenetic analyses were compatible with the introduction of virus into Romania by birds migrating from sub-Saharan Africa, to northern Africa, and into southern Europe.
A new and compact system at the AMS laboratory in Bucharest
NASA Astrophysics Data System (ADS)
Stan-Sion, C.; Enachescu, M.; Petre, A. R.; Simion, C. A.; Calinescu, C. I.; Ghita, D. G.
2015-10-01
AMS research started more than 15 years ago at our National Institute for Physics and Nuclear Engineering (IFIN-HH), Bucharest. A first facility was constructed based on our multipurpose 9 MV tandem accelerator and was upgraded several times. In May 2012 a new Cockcroft Walton type 1 MV HVEE tandetron AMS system, was commissioned. Two chemistry laboratories were constructed and are routinely performing the target preparation for carbon dating and for other isotope applications such as for geology, environment physics, medicine and forensic physics. Performance parameters of the new system are shown.
Hepcare Europe - bridging the gap in the treatment of hepatitis C: study protocol.
Swan, Davina; Cullen, Walter; Macias, Juan; Oprea, Cristiana; Story, Alistair; Surey, Julian; Vickerman, Peter; Lambert, John S
2018-03-01
Hepatitis C (HCV) infection is highly prevalent among people who inject drugs (PWID). Many PWID are unaware of their infection and few have received HCV treatment. Recent developments in treatment offer cure rates >90%. However, the potential of these treatments will only be realised if HCV identification among PWID with linkage to treatment is optimised. This paper describes the Hepcare Europe project, a collaboration between five institutions across four member states (Ireland, UK, Spain, Romania), to develop, implement and evaluate interventions to improve the identification, evaluation and treatment of HCV among PWID. A service innovation project and a mixed-methods, pre-post intervention study, Hepcare will design and deliver interventions in Dublin, London, Seville and Bucharest to enhance PWID engagement and retention in the cascade of HCV care. The feasibility, acceptability, potential efficacy and cost-effectiveness of these interventions to improve care processes and outcomes among PWID will be evaluated. Hepcare has the potential to make an important impact on patient care for marginalised populations who might otherwise go undiagnosed and untreated. Lessons learned from the study can be incorporated into national and European guidelines and strategies for HCV.
Social Amplification of Risk and Crisis Communication Planing - Case Study
NASA Astrophysics Data System (ADS)
Stanciugelu, I.; Frunzaru, V.; Armas, I.; Duntzer, A.; Stan, S.
2012-04-01
Risk management has become a dominant concern of public policy and the ability of government to anticipate the strength and focus of public concerns remains weak. The Social Amplification of Risk Framework (SARF) was designed to assist in this endeavor. It aims to facilitate a greater understanding of the social processes that can mediate between a hazard event and its consequences. SARF identifies categories of mediator/moderator that intervene between risk event and its consequences and suggests a causal and temporal sequence in which they act. Information flows first through various sources and then channels, triggering social stations of amplification, initiating individual station of amplification and precipitating behavioral reactions. The International Risk Governance Council Framework is an interdisciplinary and multilevel approach, linking risk management and risk assessment sphere through communication. This study aims to identify categories of mediator/moderator that intervene between the risk event and its consequences, using a survey on earthquake risk perception addressing population of Bucharest city. Romania has a unique seismic profile in Europe, being the country with the biggest surface affected in case of a serious earthquake. Considering the development of the urban area that took place in the last two decades and the growing number of inhabitants, Bucharest is the largest city in Romania and is exposed to extensive damages in case of an earthquake. The sociological survey has been conducted in December 2009 on a representative sample of the Bucharest population aged 18 and over (N=1376) using one stage sampling design. We used a stratified sample method shearing the investigated populations in six layers according to the six sectors of Bucharest. The respondents were selected using random digit dialling method (RDD) and the questionnaires were administered by research staff with computer assisted telephone interviewing method (CATI). The results of the field inquiries are used in developing risk/crisis communication plans. The survey has been made during the project Multihazard and vulnerability in the seismic context of the Bucharest Municipality. The research project has been financed by Romania National Authority of Scientific Research.
NASA Astrophysics Data System (ADS)
Armaş, I.; Gavriş, A.
2013-06-01
In recent decades, the development of vulnerability frameworks has enlarged the research in the natural hazards field. Despite progress in developing the vulnerability studies, there is more to investigate regarding the quantitative approach and clarification of the conceptual explanation of the social component. At the same time, some disaster-prone areas register limited attention. Among these, Romania's capital city, Bucharest, is the most earthquake-prone capital in Europe and the tenth in the world. The location is used to assess two multi-criteria methods for aggregating complex indicators: the social vulnerability index (SoVI model) and the spatial multi-criteria social vulnerability index (SEVI model). Using the data of the 2002 census we reduce the indicators through a factor analytical approach to create the indices and examine if they bear any resemblance to the known vulnerability of Bucharest city through an exploratory spatial data analysis (ESDA). This is a critical issue that may provide better understanding of the social vulnerability in the city and appropriate information for authorities and stakeholders to consider in their decision making. The study emphasizes that social vulnerability is an urban process that increased in a post-communist Bucharest, raising the concern that the population at risk lacks the capacity to cope with disasters. The assessment of the indices indicates a significant and similar clustering pattern of the census administrative units, with an overlap between the clustering areas affected by high social vulnerability. Our proposed SEVI model suggests adjustment sensitivity, useful in the expert-opinion accuracy.
Earthquake risk perception in Bucharest, Romania.
Armaş, Iuliana
2006-10-01
The Municipality of Bucharest is one of the capitals with the highest seismic risk in the world. Bucharest is particularly vulnerable to seismic hazard due to: the high density of inhabitants, especially within the residential districts with blocks of flats; the old public utility fund; the out-of-date infrastructure; the numerous industrial parks that are undergoing a restructuring process, not to mention the inefficient organization of civil protection and poor education of the population regarding seismic risk. This research was designed to examine the attitudes and perceptions of people living with the risk of an earthquake hazard in Bucharest. We were interested in how attitudes and perceptions differ depending on gender, age, education, residential area and socioeconomic status, characteristics of seismic hazard, degree of risk exposure, degree of danger, and casualty awareness. At the same time, we compare the results of this study with those from a previous and similar enquiry in 1997. The statistical processing has indicated a significant difference between the declared perception of seismic risk and the independent variables of gender, age, level of education, level of attachment to the residential area, and degree to which the subjects consider they may be affected and could retrieve their losses. Due to the continuous decrease of their living standard, the most vulnerable is the aged population. The feelings toward the residential area is another factor of statistical significance for the population's seismic danger perception. A strong affective bond offers a feeling of safety and leads to the neglect and even total denial of the hazard. In the case of independent variables regarding the type of dwelling, its age, and property form, deviations of empiric values from the theoretical distribution are not relevant for the correlation searched for, which indicates that this issue goes beyond the above-mentioned criteria.
Improving the shear wave velocity structure beneath Bucharest (Romania) using ambient vibrations
NASA Astrophysics Data System (ADS)
Manea, Elena Florinela; Michel, Clotaire; Poggi, Valerio; Fäh, Donat; Radulian, Mircea; Balan, Florin Stefan
2016-11-01
Large earthquakes from the intermediate-depth Vrancea seismic zone are known to produce in Bucharest ground motion characterized by predominant long periods. This phenomenon has been interpreted as the combined effect of both seismic source properties and site response of the large sedimentary basin. The thickness of the unconsolidated Quaternary deposits beneath the city is more than 200 m, the total depth of sediments is more than 1000 m. Complex basin geometry and the low seismic wave velocities of the sediments are primarily responsible for the large amplification and long duration experienced during earthquakes. For a better understanding of the geological structure under Bucharest, a number of investigations using non-invasive methods have been carried out. With the goal to analyse and extract the polarization and dispersion characteristics of the surface waves, ambient vibrations and low-magnitude earthquakes have been investigated using single station and array techniques. Love and Rayleigh dispersion curves (including higher modes), Rayleigh waves ellipticity and SH-wave fundamental frequency of resonance (f0SH) have been inverted simultaneously to estimate the shear wave velocity structure under Bucharest down to a depth of about 8 km. Information from existing borehole logs was used as prior to reduce the non-uniqueness of the inversion and to constrain the shallow part of the velocity model (<300 m). In this study, we use data from a 35-km diameter array (the URS experiment) installed by the National Institute for Earth Physics and by the Karlsruhe Institute of Technology during 10 months in the period 2003-2004. The array consisted of 32 three-component seismological stations, deployed in the urban area of Bucharest and adjacent zones. The large size of the array and the broad-band nature of the available sensors gave us the possibility to characterize the surface wave dispersion at very low frequencies (0.05-1 Hz) using frequency-wavenumber techniques. This is essential to explore and resolve the deeper portions of the basin. The horizontal to vertical spectral ratio (H/V) curves provide important additional information about the structure and are here characterized by two major peaks. The first is attributed to the fundamental frequency of the basin, while the second can be interpreted as a mixture of the second higher mode of Rayleigh waves and other types of waves such as SH waves. This hypothesis has been verified by comparing the H/V curves with the SH-wave transfer function from the retrieved velocity structure. We could also approximate the SH transfer function with H/V ratios of earthquake recordings, providing additional verification of the robustness of the proposed velocity model. The Cretaceous bedrock depth was then inverted at each URS station from the fundamental frequency of resonance and using this model. A 3-D geophysical model for Bucharest has been constructed based on the integration of the inverted velocity profiles and the available geological information using a geographic information system.
NASA Astrophysics Data System (ADS)
Balaceanu, Cristina; Iorga, Gabriela
2010-05-01
City of Bucharest is the largest and most populated (about 2.8 million inhabitants) city in the Romanian Plain and encounters environmental problems and meteorology typical for several cities in southeastern Europe. City environment includes intense emissions arising from traffic (about 1 million cars per day), five thermo-electrical power-generation stations, that use both natural gas and oil derivatives for power generation and domestic heating, and from industrial sources (more than 800 small and medium plants). In the present work we performed an extensive analysis of the air pollution state for the Bucharest area (inside and outside the city) using filter measurement aerosol data PM10 and PM2.5. Data spanning over first year of continuous sampling (2005) were taken from the city Air Quality Monitoring Network, which consists of eight sampling stations: three industrial and two traffic, one EPA urban background, one suburban and one regional station located outside of Bucharest. The objective was to assess the PM10 recorded levels and their degree of compliance with the EU-legislated air quality standards and to provide a statistical investigation of the factors controlling seasonal and spatial variations of PM levels. PM10 relationships with other measured air pollutants (SO2, CO, NOx) and meteorological parameters (temperature, relative humidity, atmospheric pressure, wind velocity and direction) were investigated by statistical analysis. Back trajectory modeling and wind direction frequency distributions were used to identify the origin of the polluted air masses. Contribution of combustion (slopes) and non-combustion (intercepts) sources to PM10 recorded levels was quantified by linear analysis, for two seasonal periods: cold (15 October-14 April) and warm (15 April-14 October). PM10 and PM2.5 concentrations were compared with corresponding values in other European urban areas. Main conclusions are as follows: Traffic and industrial sites contribute to the PM10 urban background with about 86%; relative contribution of urban background to regional background is about 37%; Relatively low inter-sites correlation coefficients and no significant geographic differences between sites, more or less uniform traffic pattern suggests local sources may play an important role; PM10average and median values systematically exceed the limit value of 50 ?g/m3 at traffic and industrial sites; at background sites the PM10 are below 50?g/m3 but are higher that values at similar sites in Europe; CO and SO2 do not put serious problems relative to their limits values as NOx does; NOx shows a temporal variation with higher values during the cold season; All gaseous pollutants contribute to the PM10 levels but a significant inter-annual variation of this contribution seems not to be observed; Pollution level in Bucharest seems to be higher than in other European cities for traffic, industrial and suburban background sites; regional background in the larger area of Bucharest seems to be similar with the suburban background sites in other European sites. Seven pollution episodes were identified, from which only one in the cold season has been attributed to the long-range transport. During this episode PM10 levels varied between 161-205 ?g/m3 for all sites, the dominant wind direction was NE (10.2%), with an average wind speed of 1.6 m/s. This shows that local pollution sources seem to have more impact on AQ than the long-range transport. Data presented here give an overview of the range of air pollution concentrations to expect under typical meteorological and seasonal conditions in the larger area of Bucharest. Acknowledgements: Dr. Ing. Danut Cociorva, Leader of the Air Quality Control Group-NIRD-ICIM Bucharest, is gratefully acknowledged for his permission to analyse the data. The air mass back trajectories were calculated using HYSPLIT transport and dispersion model: www.arl.noaa.gov/ ready.html. Financial support from ÖAD Austria, Programm WTZ, Project No: RO 02/2009 and from ANCS Romania, Programm PN II, Contract No: 304/27.04.2009 is gratefully acknowledged.
Comparative Analysis of InSAR Digital Surface Models for Test Area Bucharest
NASA Astrophysics Data System (ADS)
Dana, Iulia; Poncos, Valentin; Teleaga, Delia
2010-03-01
This paper presents the results of the interferometric processing of ERS Tandem, ENVISAT and TerraSAR- X for digital surface model (DSM) generation. The selected test site is Bucharest (Romania), a built-up area characterized by the usual urban complex pattern: mixture of buildings with different height levels, paved roads, vegetation, and water bodies. First, the DSMs were generated following the standard interferometric processing chain. Then, the accuracy of the DSMs was analyzed against the SPOT HRS model (30 m resolution at the equator). A DSM derived by optical stereoscopic processing of SPOT 5 HRG data and also the SRTM (3 arc seconds resolution at the equator) DSM have been included in the comparative analysis.
Satellite and in-situ monitoring of urban air pollution in relation with children's asthma
NASA Astrophysics Data System (ADS)
Dida, Mariana R.; Zoran, Maria A.
2013-10-01
Urban air pollution and especially aerosols have significant negative health effects on urban population, of which children are most exposed for the rapid increase of asthma disease. An allergic reaction to different allergens is a major contributor to asthma in urban children, but new research suggests that the allergies are just one part of a more complex story. Very early exposure to certain components of air pollution can increase the risk of developing of different allergies by age 7. The epidemiological research on the mutagenic effects of airborne particulate matter pointed their capability to reach deep lung regions, being vehicles of toxic substances. The current study presents a spatio-temporal analysis of the aerosol concentrations in relation with meteorological parameters in two size fractions (PM10 and PM2.5) and possible health effects in Bucharest metropolitan area. Both in-situ monitoring data as well as MODIS Terra/Aqua time-series satellite data of particle matter PM2.5 and PM10 concentrations have been used to qualitatively assess distribution of aerosols in the greater metropolitan are of Bucharest comparative with some other little towns in Romania during 2010- 2011 period. It was found that PM2.5 and PM10 aerosols exhibit their highest concentration mostly in the central part of the towns, mainly due to road traffic as well as in the industrialized parts outside of city's centre. Pediatric asthma can be managed through medications prescribed by a healthcare provider, but the most important aspect is to avoid urban locations with high air pollution concentrations of air particles and allergens.
Bucharest: poverty or population?
1974-01-01
The controversy that occurred in Bucharest over the World Population Plan of Action had not been totally anticipated. Prior to the Conference, there appeared to be a general consensus that population growth was the crucial issue although it was recognized that population growth had to be considered in the context of socioeconomic and cultural development. What developed at Bucharest was a clear division between the developed countries who favored population control and implementation of family planning programs by 1986 and the developing countries who rejected the idea of population control unless it was associated with the redistribution of world resources. The reality of people having large families because they are poor cannot be denied, but, simultaneously, the problem of increasing numbers and their impact on the quality of life, nutrition, housing, education, and employment must be faced. Since affluent countries cannot be relied upon concerning the redistribution of their wealth, developing countries can bring about some change by redistributing the wealth within their countries. Adult literacy programs have been identified as a means to promote socioeconomic development, but these programs will only prove successful if they involve the adults in the process of learning by means of problem solving and cause them to reflect on their socioeconomic situation with the result of reinvolving themselves in society in order to change it.
Prioritization of information using decision support systems for seismic risk in Bucharest city
NASA Astrophysics Data System (ADS)
Armas, Iuliana; Gheorghe, Diana
2014-05-01
Nowadays, because of the ever increasing volume of information, policymakers are faced with decision making problems. Achieving an objective and suitable decision making may become a challenge. In such situations decision support systems (DSS) have been developed. DSS can assist in the decision making process, offering support on how a decision should be made, rather than what decision should be made (Simon, 1979). This in turn potentially involves a huge number of stakeholders and criteria. Regarding seismic risk, Bucharest City is highly vulnerable (Mandrescu et al., 2007). The aim of this study is to implement a spatial decision support system in order to secure a suitable shelter in case of an earthquake occurrence in the historical centre of Bucharest City. In case of a seismic risk, a shelter is essential for sheltering people who lost their homes or whose homes are in danger of collapsing while people at risk receive first aid in the post-disaster phase. For the present study, the SMCE Module for ILWIS 3.4 was used. The methodology included structuring the problem by creating a decision tree, standardizing and weighting of the criteria. The results showed that the most suitable buildings are Tania Hotel, Hanul lui Manuc, The National Bank of Romania, The Romanian Commercial Bank and The National History Museum.
Functional Zoning and Urban Development Tendencies of Bucharest City/Romania
NASA Astrophysics Data System (ADS)
Armas, Iuliana; Dumitrascu, Silvia
2010-05-01
Any form of urban development policy for environmental management should be based on the differentiation of the structure of a territory that can be found in the shape of functional zoning. Identifying the patterns of morphological structure of the urban space can provide essential clues concerning the proper measures to take into consideration during the activity of urban planning. In this sense, the Bucharest municipality study case provides the example of a dynamic urban space with a complex and distinctive evolutionary structure. The aim of the study is to set out the main events that shaped the Bucharest city space and the patterns resulted from their impact at the functional level of the Romanian capital. In order to identify the development tendencies of the Bucharest municipality, a series of aspects concerning urban morphology should be highlighted that reveal the impact of the socio-economical policies at the structural level of the territory. In this sense, three images of the urban space stand out, representative for the period when they materialized: the Post-Byzantine (XV-XVIII), the Fanariot (XVIII) and the Modern periods (XIX-XX). The corresponding cartographic documents analyzed are: the Franz Purcel Plan (dated 1789), the Romanian Guide Print Plan and, respectively, the AGC Busman Print Plan. The analysis reveals three distinctive morphological types: radial-concentric in the 17th century, polynuclear in the 18th century, leading to the mixed character in the Modern period. The latest trait of the urban territory is based on the concentric character of the street network (three circles were identified at the level of the capital city that point out the evolution of the urban space: Dacia bv-Mircea Vulcanescu, Stefan cel Mare bv-Iancu de Hunedoara and the last circle outlined by the ring road) and the presence of multiple nuclei that accumulate the commercial, administrative and business functions of the city.
Course and predictors of rehospitalization in adolescent anorexia nervosa in a multisite study.
Steinhausen, Hans-Christoph; Grigoroiu-Serbanescu, Maria; Boyadjieva, Svetlana; Neumärker, Klaus-Jürgen; Winkler Metzke, Christa
2008-01-01
The course and clinical predictors of rehospitalization were studied in a large sample of adolescent patients with anorexia nervosa who had been treated at five European sites and been followed-up. Two-hundred and twelve adolescent patients first admitted for in-patient treatment, aged 10-18 (Mean 14.9) years and 94.8% female, were followed-up for an average of 8.3 years after first admission at sites in (former East and West Berlin, Zurich, Sofia, and Bucharest). Clinical history data were collected by use of standardized item-sheets at first admission. Semi-structured interviews including ratings of eating pathology and psychosocial outcome were performed at follow-up. About 44.8% (95/212) of the patients required at least one readmission. Rates of rehospitalization were significantly higher at the Eastern sites (Sofia and Bucharest). Significant predictors of readmission were paternal alcoholism, history of anorexia nervosa in the family, eating disorder in infancy, periodic overactivity, lower weight increase at first admission, and lower BMI at first discharge. In a model of logistic regression analysis, five variables (paternal alcoholism, eating disorder in infancy, periodic overactivity, low weight increase during first admission, and low BMI at first discharge) correctly classified 69% of the participants into cases with single or repeated admissions. Patients with repeated admissions had a less favorable long term outcome and had higher rates of persisting psychopathology at follow-up. Rehospitalization reflects the chronic course in a sizable proportion of adolescent patients with anorexia nervosa. Family psychopathology may have an effect both in terms of genetic vulnerability and environmental stress leading to unfavorable courses. The strong effect of insufficient weight gain during first admission and lower BMI at first discharge emphasizes the importance of adequate interventions. Readmissions carry the risk for later poor psychosocial and psychiatric outcomes.
Economic analysis of medical management applied for left colostomy.
Savlovschi, C; Serban, D; Andreescu, Cv; Dascalu, Am; Pantu, H
2013-01-01
This paper presents an analysis of surgical treatment costs for left colostomy, aiming to calculate a medium cost per procedure and to identify the means to maximize the economic management of this type of surgicale procedure. A retrospective study was conducted on a group of 8 patients hospitalized in the 4th Surgery Department,Emergency University Hospital Bucharest, during the year 2012 for left colic neoplasms with obstruction signs that were operated on with a left colostomy. The followed parameters in the studied group of patients were represented by medical expenses, divided in: preoperative, intra-operative and immediate postoperative (postop. hospitalization). Two major types of colostomy were performed: left loop colostomy with intact tumour for 6 patients and left end colostomy and tumour resection (Hartmann's procedure) for 2 patients. The medium cost of this type of surgical intervention was 4396.807 RON, representing 1068.742 euro. Statistic data analysis didn't reveal average costs to vary with the type of procedure. The age of the study subjects was between 49 and 88, with an average of 61 years, without it being possible to establish a correlation between patient age and the level of medical spendings. Reducing the costs involved by left colostomy can be efficiently done by decreasing the number of days of hospitalisation in the following ways: preoperative preparation and assessment of the subject in an outpatient regimen; the accuracy of the surgical procedure with the decrease of early postoperative complications and antibiotherapy- the second major cause of increased postoperative costs. Celsius.
Moments of astronomy education in Bucharest
NASA Astrophysics Data System (ADS)
Rusu, Mircea V.; Stavinschi, Magda
2008-09-01
Selection from past astronomy education, activities, textbooks and curricula will be presented. Didactic aspects and comparison with physics education will be exemplified. The astronomy/science education along the time in Romania was roughly divided in four directions: very broad information texts for everybody, popular science, school textbooks, science fictions and astronomy/science literature, and exemplified using original texts. All categories were intended to extend literacy in science, but in different ways. The trends for different periods were outlined. The teaching of astronomy and astrophysics in high school and universities, with special attention to the Faculty of Physic from University of Bucharest are presented. Suggestions for future improvement of both related fields, physics and astronomy, will be one of the outcomes of our communication.
City landscape changes effects on land surface temperature in Bucharest metropolitan area
NASA Astrophysics Data System (ADS)
Savastru, Dan M.; Zoran, Maria A.; Savastru, Roxana S.; Dida, Adrian I.
2017-10-01
This study investigated the influences of city land cover changes and extreme climate events on land surface temperature in relationship with several biophysical variables in Bucharest metropolitan area of Romania through satellite and in-situ monitoring data. Remote sensing data from IKONOS, Landsat TM/ETM+ and time series MODIS Terra/Aqua and NOAA AVHRR sensors have been used to assess urban land cover- temperature interactions over 2000 - 2016 period. Time series Thermal InfraRed (TIR) satellite remote sensing data in synergy with meteorological data (air temperatureAT, precipitations, wind, solar radiation, etc.) were applied mainly for analyzing land surface temperature (LST) pattern and its relationship with surface landscape characteristics, assessing urban heat island (UHI), and relating urban land cover temperatures (LST). The land surface temperature, a key parameter for urban thermal characteristics analysis, was also analyzed in relation with the Normalized Difference Vegetation Index (NDVI) at city level. Results show that in the metropolitan area ratio of impervious surface in Bucharest increased significantly during investigated period, the intensity of urban heat island and heat wave events being most significant. The correlation analyses revealed that, at the pixel-scale, LST and AT possessed a strong positive correlation with percent impervious surfaces and negative correlation with vegetation abundances at metropolitan scale respectively. The NDVI was significantly correlated with precipitation. The spatial average air temperatures in urban test areas rise with the expansion of the urban size.
Assessing and monitoring of urban vegetation using multiple endmember spectral mixture analysis
NASA Astrophysics Data System (ADS)
Zoran, M. A.; Savastru, R. S.; Savastru, D. M.
2013-08-01
During last years urban vegetation with significant health, biological and economical values had experienced dramatic changes due to urbanization and human activities in the metropolitan area of Bucharest in Romania. We investigated the utility of remote sensing approaches of multiple endmember spectral mixture analysis (MESMA) applied to IKONOS and Landsat TM/ETM satellite data for estimating fractional cover of urban/periurban forest, parks, agricultural vegetation areas. Because of the spectral heterogeneity of same physical features of urban vegetation increases with the increase of image resolution, the traditional spectral information-based statistical method may not be useful to classify land cover dynamics from high resolution imageries like IKONOS. So we used hierarchy tree classification method in classification and MESMA for vegetation land cover dynamics assessment based on available IKONOS high-resolution imagery of Bucharest town. This study employs thirty two endmembers and six hundred and sixty spectral models to identify all Earth's features (vegetation, water, soil, impervious) and shade in the Bucharest area. The mean RMS error for the selected vegetation land cover classes range from 0.0027 to 0.018. The Pearson correlation between the fraction outputs from MESMA and reference data from all IKONOS images 1m panchromatic resolution data for urban/periurban vegetation were ranging in the domain 0.7048 - 0.8287. The framework in this study can be applied to other urban vegetation areas in Romania.
Established Population of the Invasive Mosquito Species Aedes albopictus in Romania, 2012-14.
Prioteasa, Liviu F; Dinu, Sorin; Fălcuţă, Elena; Ceianu, Cornelia S
2015-06-01
During an entomological investigation carried out in Bucharest and surroundings in fall of 2012, 45 adult mosquitoes (38 females and 7 males) of Aedes albopictus were collected in a neighborhood from the southern area of the city. The morphological identification of the species was further confirmed by sequencing 2 mitochondrial DNA markers: the cytochrome c oxidase subunit I and NADH dehydrogenase subunit 5 genes. Aedes albopictus was collected again in 2013 in the same area from July until October. During late summer the species was found also in another location in the city, downtown Bucharest. Larvae were found in water barrels and other types of household containers, as well as in rain catch basins. In 2014, following a nuisance complaint of a Bucharest inhabitant, the entomological investigation found aggressive Ae. albopictus adults on his property that harbored many mosquito larvae in container-type breeding habitats. These findings are the 1st records of this invasive species and of its breeding population in Romania, and show maintenance of the species over 2 winter seasons. Surveillance of the species outside the area of the capital city was not performed, therefore it is not known whether Ae. albopictus has been introduced in other regions of the country. The presence of Ae. albopictus has been reported every year (2012-14) to competent public health authorities, stressing on the importance of surveillance and of implementation of control measures.
Drury, Stacy S; Gleason, Mary Margaret; Theall, Katherine; Smyke, Anna T; Nelson, Charles A; Fox, Nathan A; Zeanah, Charles H
2014-01-01
Evidence that gene x environment interactions can reflect differential sensitivity to the environmental context, rather than risk or resilience, is increasing. To test this model, we examined the genetic contribution to indiscriminate social behavior, in the setting of a randomized controlled trial of foster care compared to institutional rearing. Children enrolled in the Bucharest Early Intervention Project (BEIP) were assessed comprehensively before the age of 30 months and subsequently randomized to either care as usual (CAUG) or high quality foster care (FCG). Indiscriminate social behavior was assessed at four time points, baseline, 30 months, 42 months and 54 months of age, using caregiver report with the Disturbances of Attachment Interview (DAI). General linear mixed-effects models were used to examine the effect of the interaction between group status and functional polymorphisms in Brain Derived Neurotrophic Factor (BDNF) and the Serotonin Transporter (5htt) on levels of indiscriminate behavior over time. Differential susceptibility, relative to levels of indiscriminate behavior, was demonstrated in children with either the s/s 5httlpr genotype or met 66 BDNF allele carriers. Specifically children with either the s/s 5httlpr genotype or met66 carriers in BDNF demonstrated the lowest levels of indiscriminate behavior in the FCG and the highest levels in the CAUG. Children with either the long allele of the 5httlpr or val/val genotype of BDNF demonstrated little difference in levels of indiscriminate behaviors over time and no group x genotype interaction. Children with both plasticity genotypes had the most signs of indiscriminate behavior at 54 months if they were randomized to the CAUG in the institution, while those with both plasticity genotypes randomized to the FCG intervention had the fewest signs at 54 months. Strikingly children with no plasticity alleles demonstrated no intervention effect on levels of indiscriminate behavior at 54 months. These findings represent the first genetic associations reported with Indiscriminate social behavior, replicate previous gene x gene x environment findings with these polymorphisms, and add to the growing body of literature supporting a differential susceptibility model of gene x environment interactions in developmental psychopathology. PMID:22133521
A Century of changes for Razelm-Sinoe Lagoon System
NASA Astrophysics Data System (ADS)
Scrieciu, Marian-Albert; Stanica, Adrian
2014-05-01
A Century of changes for Razelm-Sinoe Lagoon System Marian-Albert Scrieciu (a), Adrian Stanica (a) (a) National Institute of Marine Geology and Geoecology e GeoEcoMar, Str. Dimitrie Onciul 23e25, Sector 2, 024053 Bucharest, Romania Razelm-Sinoe Lagoon System, situated in the NW part of the Black Sea, in tight connection with the Danube Delta, has been subject to major changes due to human interventions in the past century. These changes have resulted into a complete change of the Lagoon specific ecosystems compared to its pristine state. In its natural state, as brackish - transitional environment, Antipa (1894) mentions Razelm Lagoon as one of the places with the greatest fisheries around the Black Sea coast (about 1879 - 1884, there were approximately 10,000 fishermen, all working on the Razelm Sinoe Lagoon System). Starting with the end of the XIXth Century, new canals were dug and existing channels were dredged in order to develop tighter connections with the Danube River. The natural inlet of Portita was blocked four decades ago and connections between the various parts of the lagoon system were controlled by the building of locks and sluices. The 2 inlets of Sinoe Lagoon were also controlled during early 1980s. Under these conditions, the lagoon ecosystem changed from brackish towards freshwater, with major effects on the existing flora and fauna. The period of brutal interventions ended in 1989 and the Razelm-Sinoe Lagoon System became part of the Danube Delta Biosphere Reserve in 1991, with a strict policy of nature protection and restoration. Spatial planning has been the major management option for the entire reserve, lagoon system included. Plans for sustainable development of the Razelm-Sinoe Lagoon System have been built in a participative manner, involving the local stakeholders, as part of FP7 ARCH project. Special attention has been given to impacts of climate change. The study presents the vision for the development Razelm-Sinoe Lagoon System over the next 2 decades.
Analysis of the seismic wavefield in the Moesian Platform (Bucharest area)
NASA Astrophysics Data System (ADS)
-Florinela Manea, Elena; Hobiger, Manuel-Thomas; Michel, Clotaire; Fäh, Donat; -Ortanza Cioflan, Carmen
2016-04-01
Bucharest is located in the center of the Moesian platform, in a large and deep sedimentary basin (450 km long, 300 km wide and in some places up to 20 km depth). During large earthquakes generated by the Vrancea seismic zone, located approximately 140 km to the North, the ground motion recorded in Bucharest area is characterized by predominant long periods and large amplification. This phenomenon has been explained by the influence of both source mechanism (azimuth and type of incident waves) and mechanical properties of the local structure (geological layering and geometry). The main goal of our study is to better characterize and understand the seismic wave field produced by earthquakes in the area of Bucharest. We want to identify the contribution of different seismic surface waves, such as the ones produced at the edges of the large sedimentary basin or multipath interference waves (Airy phases of Love and Rayleigh waves) to the ground motion. The data from a 35 km diameter array (URS experiment) installed by the National Institute for Earth Physics during 10 months in 2003 and 2004 in the urban area of Bucharest and adjacent zones was used. In order to perform the wave field characterization of the URS array, the MUSIQUE technique was used. This technique consists in a combination of the classical MUSIC and the quaternion-MUSIC algorithms and analyzes the three-component signals of all sensors of a seismic array together in order to analyze the Love and Rayleigh wave dispersion curves as well as the Rayleigh wave ellipticity curve. The analysis includes 20 regional earthquakes with Mw >3 and 5 teleseismic events with Mw> 7 that have enough energy at low frequency (0.1 - 1 Hz), i.e. in the resolution range of the array. For all events, the greatest energy is coming from the backazimuth of the source and the wave field is dominated by Love waves. The results of the array analyses clearly indicate a significant scattering corresponding to 2D or 3D effects in the Moesian Platform. The backazimuth distribution of energy shows that the scattering comes primarily from the southern and northern edges of the basin. The Airy phases of Love waves were identified in the direction of the backazimuth and its reflection around the fundamental frequency (0.15 - 0.25 Hz). Love and Rayleigh wave dispersion curves are successfully retrieved after combining the records of all events, and show a good match with the ones obtained in previous studies using ambient vibration measurements. Additionally, the first higher mode of Rayleigh waves was retrieved using earthquakes records. We could also identify the Rayleigh wave ellipticity curves, distinguishing between prograde and retrograde particle motion.
Monitoring and assessment of the outdoor thermal comfort in Bucharest (Romania)
NASA Astrophysics Data System (ADS)
Cheval, Sorin; Ciobotaru, Ana-Maria; Andronache, Ion; Dumitrescu, Alexandru
2017-04-01
Bucharest is one of the European cities most at risk of being affected by meteorological hazards. Heat or cold waves, extreme temperature events, heavy rains or prolonged precipitation deficits are all-season phenomena, triggering damages, discomfort or even casualties. Temperature hazards may occur annually and challenge equally the public, local business and administration to find adequate solutions for securing the thermal comfort in the outdoor environment of the city. The accurate and fine resolution monitoring of the air temperature pledges for the comprehensive assessment of the thermal comfort in order to capture as much as possible the urban influence. This study uses sub-hourly temperature data (10-min temporal resolution) retrieved over the period November 2014 - November 2016 collected from nine sensors placed either in plain urban conditions or within the three meteorological stations of the national network which are currently monitoring the climate of Bucharest (Băneasa, Filaret, Afumați). The relative humidity was estimated based on the data available at the three stations placed in WMO standard conditions, and the 10-min values of 8 Thermal Comfort Indices were computed, namely: Heat Index, Humidex, Relative Strain Index, Scharlau, Summer Simmer Index, Physiological Equivalent Index, Temperature-Humidity Index, Thom Discomfort Index. The indices were analysed statistically, both individually and combined. Despite the short range of the available data, this study emphasizes clear spatial differentiations of the thermal comfort, in a very good agreement with the land cover and built zones of the city, while important variations were found in the temporal regime, due to large variations of the temperature values (e.g. >4 centigrade between consecutive hours or >15 centigrade between consecutive days). Ultimately, this study has revealed that the continuous monitoring of the urban climate, at fine temporal and spatial resolution, may deliver fundamental information for supporting the immediate measures and the long-term urban planning and the sustainable thermal comfort of the urban inhabitants. Acknowledgements: The urban meteorological network of Bucharest was developed within the project UCLIMESA (Urban Heat Island Monitoring under Present and Future Climate), in the framework of the Programme for Research-Development-Innovation for Space Technology and Advanced Research (STAR), administrated by the Romanian Space Agency. (STAR CDI Programme, contract no 92/2013, Contractor Romanian Spatial Agency). This work was supported by a grant of the University of Bucharest- "Spatial projection of the human pressure on forest ecosystems in Romania" (UB/1365)-and was supported by a grant of the Romanian National Authority for Scientific Research and Innovation, CNCS - UEFISCDI, project number PN-II-RU-TE-2014-4-0835-Development of the theory of the dynamic context by analyzing the role of the aridization in generating and amplifying the regressive phenomena from the territorial systems.
NASA Astrophysics Data System (ADS)
Constantinescu, Dan; Ochinciuc, Cristina Victoria; Cheval, Sorin; Comşa, Ionuţ; Sîrodoev, Igor; Andone, Radu; Caracaş, Gabriela; Crăciun, Cerasella; Dumitrescu, Alexandru; Georgescu, Mihaela; Ianoş, Ioan; Merciu, Cristina; Moraru, Dan; Opriş, Ana; Paraschiv, Mirela; Raeţchi, Sonia; Saghin, Irina; Schvab, Andrei; Tătui-Văidianu, Nataşa
2017-04-01
In the recent decades, extreme temperature events and derived hazards are frequent and trigger noteworthy impacts in Romania, especially over the large urban areas. The cities produce significant disturbances of many elements of the regional climate, and generates adverse effects such as Urban Heat Islands (UHI). This presentation condenses the outputs of an ongoing research project (REDBHI) developed through (2013-2017) focused on developing a methodology for monitoring and forecasting indoor climate and energy challenges related to the intensity of UHI of Bucharest (Romania), based on relevant urban climate zones (UCZs). Multi-criteria correlations between the UHI and architectural, urban and landscape variables were determined, and the vulnerability of buildings expressed in the form of transfer function between indoor micro-climate and outdoor urban environment. The vulnerability of civil buildings was determined in relation with the potential for amplifying the thermal hazards intensity through the anthropogenic influence. The project REDBHI aims at developing innovative and original products, with direct applicability, which can be used in any urban settlement and have market potential with regards to energy design and consulting. The concrete innovative outcomes consist of a) localization of the Bucharest UCZs according to the UHI intensity, identifying reference buildings and sub-zones according to urban anthropic factors and landscape pattern; b) typology of representative buildings with regards to energy consumption and CO2 emitted as a result of building exploitation; c) 3D modelling of the reference buildings and of the thermal/energy reaction to severe climatic conditions d) empirical validation of the dynamic thermal/energy analysis; d) development of an pilot virtual studio capable to simulate climate alerts, analyse scenarios and suggest measures to mitigate the UHI effects, and disseminate the outcomes for educational purposes; e) compendium of technical solutions for mitigating the UHI impacts and sustainable reconfiguration of urban settlements, comprising packages of architectural and urban and landscape planning solutions. This study was funded by the Romanian Programme Partnership in Priority Domains, PN - II - PCCA - 2013 - 4 - 0509 - Reducing UHI effects to improve urban comfort and balance energy consumption in Bucharest (REDBHI).
Harry Minti- a project for a book
NASA Astrophysics Data System (ADS)
Gaina, Alex
2011-08-01
A short biography and an account of scientific research of the Associated Professor of the Hebrew University in Jerusalem (Israel), Dr. Harry Minti (b. 1938, Bucharest) is given. His activity as translator was also mentioned.
NASA Astrophysics Data System (ADS)
Armas, Iuliana; Dumitrascu, Silvia; Bostenaru, Maria
2010-05-01
In the context of an explosive increase in value of the damage caused by natural disasters, an alarming challenge in the third millennium is the rapid growth of urban population in vulnerable areas. Cities are, by definition, very fragile socio-ecological systems with a high level of vulnerability when it comes to environmental changes and that are responsible for important transformations of the space, determining dysfunctions shown in the state of the natural variables (Parker and Mitchell, 1995, The OFDA/CRED International Disaster Database). A contributing factor is the demographic dynamic that affects urban areas. The aim of this study is to estimate the overall vulnerability of the urban area of Bucharest in the context of the seismic hazard, by using environmental, socio-economic, and physical measurable variables in the framework of a spatial multi-criteria analysis. For this approach the capital city of Romania was chosen based on its high vulnerability due to the explosive urban development and the advanced state of degradation of the buildings (most of the building stock being built between 1940 and 1977). Combining these attributes with the seismic hazard induced by the Vrancea source, Bucharest was ranked as the 10th capital city worldwide in the terms of seismic risk. Over 40 years of experience in the natural risk field shows that the only directly accessible way to reduce the natural risk is by reducing the vulnerability of the space (Adger et al., 2001, Turner et al., 2003; UN/ISDR, 2004, Dayton-Johnson, 2004, Kasperson et al., 2005; Birkmann, 2006 etc.). In effect, reducing the vulnerability of urban spaces would imply lower costs produced by natural disasters. By applying the SMCA method, the result reveals a circular pattern, signaling as hot spots the Bucharest historic centre (located on a river terrace and with aged building stock) and peripheral areas (isolated from the emergency centers and defined by precarious social and economic conditions). In effect, the example of Bucharest demonstrates how the results shape the ‘vulnerability to seismic hazard profile of the city, based on which decision makers could develop proper mitigation strategies. To sum up, the use of an analytical framework as the standard Spatial Multi-Criteria Analysis (SMCA) - despite all difficulties in creating justifiable weights (Yeh et al., 1999) - results in accurate estimations of the state of the urban system. Although this method was often mistrusted by decision makers (Janssen, 2001), we consider that the results can represent, based on precisely the level of generalization, a decision support framework for policy makers to critically reflect on possible risk mitigation plans. Further study will lead to the improvement of the analysis by integrating a series of daytime and nighttime scenarios and a better definition of the constructed space variables.
Dr. Lenke Horvath (1917-1991): Creator of Pediatric Neurosurgery in Romania.
Mohan, Dumitru; Moisa, Horatiu Alexandru; Nica, Dan Aurel; Ciurea, Alexandru Vlad
2016-04-01
The development of neurosurgery as an independent specialty took place with great difficulty in Romania. In this respect, the most revered personalities are those of Professor Alexandru Moruzzi (1900-1957) (in Iasi) and Professor Dimitrie Bagdasar (1893-1946) (in Bucharest), who are the fathers of modern neurosurgery in Romania. Professor Bagdasar was schooled in Professor Harvey Cushing's clinic in Boston and is credited with creating the first completely independent neurosurgical unit in Romania. His legacy was carried on with honor by Professor Constantin Arseni (1912-1994), who, in 1975, tasked Dr. Lenke Horvath (1917-1991) with creating the first autonomous pediatric neurosurgery unit in Bucharest. This article is a small tribute to the founder of pediatric neurosurgery in Romania and one of the female pioneer neurosurgeons, who, by personal example of dedication and hard work, radically changed medical thinking and neurosurgery in Romania. Copyright © 2016 Elsevier Inc. All rights reserved.
Comfort air temperature influence on heating and cooling loads of a residential building
NASA Astrophysics Data System (ADS)
Stanciu, C.; Șoriga, I.; Gheorghian, A. T.; Stanciu, D.
2016-08-01
The paper presents the thermal behavior and energy loads of a two-level residential building designed for a family of four, two adults and two students, for different inside comfort levels reflected by the interior air temperature. Results are intended to emphasize the different thermal behavior of building elements and their contribution to the building's external load. The most important contributors to the building thermal loss are determined. Daily heating and cooling loads are computed for 12 months simulation in Bucharest (44.25°N latitude) in clear sky conditions. The most important aspects regarding sizing of thermal energy systems are emphasized, such as the reference months for maximum cooling and heating loads and these loads’ values. Annual maximum loads are encountered in February and August, respectively, so these months should be taken as reference for sizing thermal building systems, in Bucharest, under clear sky conditions.
The recoil implantation technique developed at the U-120 cyclotron in Bucharest
NASA Astrophysics Data System (ADS)
Muntele, C. I.; Simil, L. Popa; Racolta, P. M.; Voiculescu, D.
1999-06-01
At the U-120 cyclotron in Bucharest was developed 15 years ago the thin layer activation (TLA) technique for radioactive labeling of metallic components on depths ranging between 100 μm and 300 μm, for wear/corrosion studies. Aiming to extend these kinds of studies on non-metallic components and at sub-micrometric level we were led to the development of the recoil implantation technique for ultra thin layer activation (UTLA) applications. Due to the low energy of the recoils obtained in a sacrificial target from a nuclear reaction, the surface layer of material to be labeled must be as thick as a few hundred nanometers. Also, since the radiotracer is externally created, there are no restrictions for the kind of material to be labeled, except to be a solid. In this paper we present some results of our studies concerning the actual status of this application at our accelerator.
Epidemiology of gingivitis in schoolchildren in Bucharest, Romania: a cross-sectional study.
Funieru, C; Klinger, A; Băicuș, C; Funieru, E; Dumitriu, H T; Dumitriu, A
2017-04-01
Gingivitis is the most prevalent oral disease in children, being strongly associated to social gradients. Many studies have reported different results concerning the extent and intra-oral distribution of gingivitis in children. The aim of this study was to investigate the epidemiologic parameters and socio-related risk factors of gingivitis in the 10-17-year-old Bucharest schoolchildren population and to analyze its intra-oral distribution. Cross-sectional data were obtained from 1595 schoolchildren, social condition being assigned using a simple questionnaire. Classes of students were used as clusters in a single-stage cluster sampling method. An intra-oral exam was performed for all the children included in this study. Silness and Löe scores, prevalence and the extent of gingivitis were calculated. The gingival scores showed a mild inflammation and the prevalence of gingivitis was 91%. Boys had a higher gingival (0.19 vs. 0.18; p < 0.05) and plaque scores (0.71 vs. 0.59; p < 0.01) than girls. Children who did not live in overcrowded households, whose parents had a better education and those who had direct access to school dental services displayed better gingival conditions (p < 0.05). Gingivitis was more severe on the upper teeth, with the maximum score being reached at the right upper lateral incisor (0.63 on distal surface). Gingival condition in Bucharest schoolchildren population was associated to social gradients. School dental services are also another factor that seems to be related with gingivitis. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Diagnosis and management of acute appendicitis. EAES consensus development conference 2015.
Gorter, Ramon R; Eker, Hasan H; Gorter-Stam, Marguerite A W; Abis, Gabor S A; Acharya, Amish; Ankersmit, Marjolein; Antoniou, Stavros A; Arolfo, Simone; Babic, Benjamin; Boni, Luigi; Bruntink, Marlieke; van Dam, Dieuwertje A; Defoort, Barbara; Deijen, Charlotte L; DeLacy, F Borja; Go, Peter Mnyh; Harmsen, Annelieke M K; van den Helder, Rick S; Iordache, Florin; Ket, Johannes C F; Muysoms, Filip E; Ozmen, M Mahir; Papoulas, Michail; Rhodes, Michael; Straatman, Jennifer; Tenhagen, Mark; Turrado, Victor; Vereczkei, Andras; Vilallonga, Ramon; Deelder, Jort D; Bonjer, Jaap
2016-11-01
Unequivocal international guidelines regarding the diagnosis and management of patients with acute appendicitis are lacking. The aim of the consensus meeting 2015 of the EAES was to generate a European guideline based on best available evidence and expert opinions of a panel of EAES members. After a systematic review of the literature by an international group of surgical research fellows, an expert panel with extensive clinical experience in the management of appendicitis discussed statements and recommendations. Statements and recommendations with more than 70 % agreement by the experts were selected for a web survey and the consensus meeting of the EAES in Bucharest in June 2015. EAES members and attendees at the EAES meeting in Bucharest could vote on these statements and recommendations. In the case of more than 70 % agreement, the statement or recommendation was defined as supported by the scientific community. Results from both the web survey and the consensus meeting in Bucharest are presented as percentages. In total, 46 statements and recommendations were selected for the web survey and consensus meeting. More than 232 members and attendees voted on them. In 41 of 46 statements and recommendations, more than 70 % agreement was reached. All 46 statements and recommendations are presented in this paper. They comprise topics regarding the diagnostic work-up, treatment indications, procedural aspects and post-operative care. The consensus meeting produced 46 statements and recommendations on the diagnostic work-up and management of appendicitis. The majority of the EAES members supported these statements. These consensus proceedings provide additional guidance to surgeons and surgical residents providing care to patients with appendicitis.
The summer urban heat island of Bucharest (Romania) as retrieved from satellite imagery
NASA Astrophysics Data System (ADS)
Cheval, Sorin; Dumitrescu, Alexandru
2014-05-01
The summer Urban Heat Island (UHI) of the city of Bucharest (Romania) has been investigated in terms of its shape, intensity, extension, and links to land cover. The study integrates land surface temperature (LST) data retrieved by the MODIS sensors aboard the Terra and Aqua NASA satellites, and SEVIRI sensors on board of the geostationary platform MSG, along 2000-2012. Based on the Rodionov Regime Shift Index, the significant changing points in the land surface temperature values along transverse profiles crossing the city's centre were considered as UHI's limits. The study shows that the intensity calculated as the difference between the LST within the UHI limits and several surrounding buffers is an objective and flexible tool for describing the average thermal state of the urban-rural transition. The method secures the weight of comparing the UHI's intensity of different urban areas. There are little variations from one month to another, but UHI's shapes and intensities under clear-sky conditions are very specific to nighttime (more regular and 2-3°C less in the 7-km width buffer), and daytime (more twisted and more steep temperature decrease). For both cases, strong relationships with the land cover can be assumed. The nighttime UHI's geometry is more regular, and the intensity lower than the day situation, while the land cover exerts a strong influence on the Bucharest LST. After all, the study promotes an objective manner to delimitate and quantify the UHI based on satellite imagery. The study was performed within the STAR project 92/2013 (Urban Heat Island Monitoring under Present and Future Climate - UCLIMESA).
Ion-Nedelcu, Niculae; Iordăchescu, Corina; Gherasim, Patricia; Mihailovici, Rodica; Dragomirescu, Cornelia; Dumitrache-Marian, Ruxanda; Moculescu, Cristina
2009-01-01
Analysis of risk factors for achieving clinically overt hepatitis B and hepatitis C in the population of Bucharest municipality. retrospective and descriptive study on hospital patients cohort. Cases - in the study have been enrolled all acute viral hepatitis B and C confirmed by the two infectious diseases university clinics of Bucharest municipality, during the time interval 2001-2008, among the residents of the municipality. Infection risk factors - for every case of hepatitis B and hepatitis C with the simptoms onset placed during the time interval 2001-2008, it was associated "the most plausible" risk factor, detected by case investigation. For contemplation of control strategies the risk factors were stratified by mechanisms of virus transmission and by age groups. The analysis consists mainly in statistical comparing of cases prevalence in each etiology by risk factors and mechanisms of visus transmission. Patients cohort included 1440 hepatitis B cases and 227 hepatitis C cases, respectively. The most prevalent individual risk factor in hepatitis B was the sexual contact with multiple partners (51,0%) while in hepatitis C the use of ilegal injectable drugs (46,3%). The prevalences of hepatitis B and hepatitis C cases by the four mechanisms of virus transmmission were similar (p = 0,52). For both etiologies the high risk behaviours represented the principal mechanism of virus transmission (64,1% in hepatitis B and 63,4% in hepatitis C, respectively); additionaly, for both etiologies the most prevalent mechanisms of virus transmission by age groups were indentically, namely: (a) consumption of medical services in the age group 55+ years, (b) high risk behaviours in the age group 13-54 years and (c) contact with case or virus carrier in the age group 0-12 years, respectively. in the time period 2001 - 2008 the structure by mechanisms of virus transmission in hepatitis B and hepatitis C cases reported in the population of Bucharest municipaly was statistically similar, for both etiologies the most prevalent mechanism (> 60%) was represented by high risk behaviours. This reality strongly suggests that additionaly to the current strategies for prevention of the infection with hepatitic visuses B and C, the decisive strategy to control of the two infection needs to be extended with an effective education satelite focused on high risk groups.
Heavy metal contamination in the vicinity of an industrial area near Bucharest.
Velea, Teodor; Gherghe, Liliana; Predica, Vasile; Krebs, Rolf
2009-08-01
Heavy metals such as lead are well known to cause harmful health effects. Especially children are particularly susceptible to increased levels of lead in their blood. It is also a fact that lead concentration is increasing in the environment due to increased anthropogenic activity. The risk of heavy metal contamination is pronounced in the environment adjacent to large industrial complexes. In a combined case study, the environmental pollution by heavy metals was related to children's health in the vicinity of an industrial area located 4 km south-east from Bucharest about 2 km east from the nearest town-Pantelimon. This site includes companies processing different, nonferrous solid wastes for recovery of heavy metals and producing different nonferrous alloys and lead batteries. In this paper, mainly the results of environmental sampling and analyses are summarized. Water, soil, and atmospheric deposition samples were collected from different locations within 3 km from the industrial area. For comparison, samples were also taken from Bucharest. Water samples were filtered (<0.45 microm), extracted by salpetric acid, and quantified by ICP-OES and ICP-MS. Soil samples were dried, sieved (<2 mm), extracted by aqua regia and analyzed by AAS. In order to quantify the atmospheric deposition, three kinds of permanently open collecting pots were used on nine different sites between August and November 2006. At most sampling locations, the heavy metal concentrations in soil decrease with increasing distance to the presumably major source of pollution. Highest heavy metal concentrations were found in 10-20 cm soil depths. There were also decreasing heavy metal concentrations for atmospheric deposition with increasing distance to the industrial site. In surface and groundwater samples, traces of zinc, copper and lead were detected. The heavy metal concentrations in soil were increased in the study area, mostly under legal action limits in low-concern areas (e.g., 1,000 mg Pb/kg dry soil), but often above action limits for high-concern areas (100 mg Pb/kg dry soil) such as populated areas. The soluble lead concentrations in water samples indicate a need for monitoring and assessing water quality in more detail. The results for atmospheric deposition showed increased dust precipitation and heavy metal loads in the study area compared to Bucharest. However, based on mass flow balance calculations, the actual atmospheric deposition of heavy metals must be much lower than it was in the past decades. It was shown that highest lead values in water, soil and atmospheric deposition are rather to be found near the investigated industrial site than at the control sites in Bucharest. Our results correspond very well with results that show that children from Pantelimon have significantly increased lead concentrations in their blood compared to children in Bucharest. The increased lead contamination around the investigated industrial area is likely to have caused the increased exposure for children living in Pantelimon. In high-concern areas, such as found in populated areas, further measures have to be taken to avoid health risks for people living in these areas. The measures already taken to reduce emissions from the industrial site will help to avoid further increases in heavy metal concentrations. In areas with exceeded action limits, measures have to be taken as required by law. Detailed risk assessments could help to take necessary actions to protect public health in this area. The public should be informed about the potential hazards of eating plants grown in that area. Educational programs for schools, informing children about the contamination, should lead to a better understanding of environmental problems and a more sustainable behavior in the future.
The recoil implantation technique developed at the U-120 cyclotron in Bucharest
DOE Office of Scientific and Technical Information (OSTI.GOV)
Muntele, C. I.; Simil, L. Popa; Racolta, P. M.
1999-06-10
At the U-120 cyclotron in Bucharest was developed 15 years ago the thin layer activation (TLA) technique for radioactive labeling of metallic components on depths ranging between 100 {mu}m and 300 {mu}m, for wear/corrosion studies. Aiming to extend these kinds of studies on non-metallic components and at sub-micrometric level we were led to the development of the recoil implantation technique for ultra thin layer activation (UTLA) applications. Due to the low energy of the recoils obtained in a sacrificial target from a nuclear reaction, the surface layer of material to be labeled must be as thick as a few hundredmore » nanometers. Also, since the radiotracer is externally created, there are no restrictions for the kind of material to be labeled, except to be a solid. In this paper we present some results of our studies concerning the actual status of this application at our accelerator.« less
Some Epistemological Considerations Concerning Quantitative Analysis
ERIC Educational Resources Information Center
Dobrescu, Emilian
2008-01-01
This article presents the author's address at the 2007 "Journal of Applied Quantitative Methods" ("JAQM") prize awarding festivity. The festivity was included in the opening of the 4th International Conference on Applied Statistics, November 22, 2008, Bucharest, Romania. In the address, the author reflects on three theses that…
Alternative Views of Moral Priorities in Population Policy
ERIC Educational Resources Information Center
Dyck, Arthur J.
1977-01-01
Describes three major sources of agreement and disagreement about population policy, i.e., the crisis environmentalists, the family planners, and the developmental distributivists. Discusses moral considerations relating to population policy. Lists types of policies suggested in the World Plan of Action at Bucharest (Population Council, 1974). (CS)
Partial Ordering and Stochastic Resonance in Discrete Memoryless Channels
2012-05-01
Methods for Underwater Wireless Sensor Networks”, which is to analyze and develop noncoherent communication methods at the physical layer for target...Capacity Behavior for Simple Models of Optical Fiber Communication,” 8 th International conf. on Communications, COMM 2010, Bucharest, pp.1-6, July 2010
Psychological Vulnerability and Earthquake Risk Perception in Bucharest/Romania
NASA Astrophysics Data System (ADS)
Romeo Cretu, Zeno; Armas, Iuliana; Stanciugelu, Irina
2010-05-01
The importance of studying the relationship with the natural hazard events from a psycho-social perspective is fundamental by the experience with past disasters as much as by the research in the field that proved that the people's psychologic structures may constitute a starting point for risk reduction. People's psycho-behavioural patterns contain conscious or unconscious references to the environmental risk, thus creating certain adjustment strategies and mechanisms, with a certain degree of psychological vulnerability. In modern man's case, the high level of awareness in front of natural dangers, doubled by the perception of the environment's unsafety, experienced as a lack of control, brings to attention nowadays the problematic of the analysis of natural risk perception, as a main factor in the adjustment of human communities' capacity of adapting to the natural environment's dynamics. The major objective of this present work is, based on the development of an efficient evaluation methodology, to identify specific relational patterns to seismic risk in Bucharest, function the characteristics of the urban environment, the social, economical and psychological vulnerability, with results that can be applied for disaster management. For explaining human reactions and the way in which they perceive and evaluate the psychological resources, on a daily basis, but also in risk situations (earthquakes), a multi-modal questionnaire was conceived through qualitative methods (a focus group, along with experts from the Public and Administrative Sciences National School, Risk Communication Center). The questionnaire was structured on a 49 items sequence, in which were included different type of questions (with single or multiple answers, open questions etc), and also questions using different scaling methods. The items caught cognitive elements (expectations, anticipations and negative or positive judgments regarding risk element), affective (feelings) and behavioral (activities, strategies in case of disaster). The psychological module included 21 encoded items with answers on a five-level Likert scale (1 - strongly disagree, 5 - strongly agree). The research hypotheses were centered on testing the connection between psychological control factors and demographic determinants (subject's sex and age), economical status and the building conditions/characteristics which they live in. Another hypothesis to be checked was focused on behavioral changes related with the experience level of investigated subjects. The final questionnaire was applied by phone to Bucharest representative sample of 1376 people. The sample type was the probabilistic, single-staged, layered one. There had been selected families/households from Bucharest, which had a telephone or a Mobil phone. The households were elected using the RDD (Random Digit Dialing) Method for undifferentiated phone numbers generation. The layer criterion was the district.
Satellite and Ground-Based Measurements of Urban Air Quality in Relation with Children's Asthma
NASA Astrophysics Data System (ADS)
Zoran, Maria; Dida, Mariana Rodica
2016-08-01
The adverse health effects from aerosol particulate matter PM pollution, especially with aerodynamic diameter ≤2.5 μm PM2.5 must be considered in developing policies to improve air quality. Epidemiologic studies demonstrated that exposure to ambient particulate matter PM is associated with increased morbidity and mortality, particularly associated with cardiopulmonary disease and asthma of which children are most exposed for the rapid increase of asthma disease. Very early exposure to certain components of air pollution can increase the risk of developing of different allergies by age 7. The present study attempts to retrieve the aerosol load in terms of aerosol optical depth (AOD) related to air quality in the Bucharest metropolitan area. In this study is presented a spatio-temporal analysis of the aerosol concentrations in relation with meteorological parameters in two size fractions (PM10 and PM2.5) and Air Qualiy Index and possible health effects on children's asthma.
Hué, Stéphane; Buckton, Andrew J.; Myers, Richard E.; Duiculescu, Dan; Ene, Luminita; Oprea, Cristiana; Tardei, Gratiela; Rugina, Sorin; Mardarescu, Mariana; Floch, Corinne; Notheis, Gundula; Zöhrer, Bettina; Cane, Patricia A.; Pillay, Deenan
2012-01-01
Abstract In the late 1980s an HIV-1 epidemic emerged in Romania that was dominated by subtype F1. The main route of infection is believed to be parenteral transmission in children. We sequenced partial pol coding regions of 70 subtype F1 samples from children and adolescents from the PENTA-EPPICC network of which 67 were from Romania. Phylogenetic reconstruction using the sequences and other publically available global subtype F sequences showed that 79% of Romanian F1 sequences formed a statistically robust monophyletic cluster. The monophyletic cluster was epidemiologically linked to parenteral transmission in children. Coalescent-based analysis dated the origins of the parenteral epidemic to 1983 [1981–1987; 95% HPD]. The analysis also shows that the epidemic's effective population size has remained fairly constant since the early 1990s suggesting limited onward spread of the virus within the population. Furthermore, phylogeographic analysis suggests that the root location of the parenteral epidemic was Bucharest. PMID:22251065
Architectural layout and vulnerability to earthquakes of housing buildings of the Modernism
NASA Astrophysics Data System (ADS)
Bostenaru, M.
2009-04-01
Bucharest, the capital of Romania, lays in a high seismic risk zone, being affected about three times a century by strong earthquakes. These occur in the mountainous region of Vrancea, at about 150 km from Bucharest, but given the fact that Bucharest is situated on alluvial soil deposits the effect of the earthquakes is stronger than in other regions of the country. In the 20th century damaging earthquakes occurred in 1940 and 1977. In both of them mostly affected were the interwar buildings, built 1920-1940 in the style of Romanian Modernism. There is little data about the 1940 earthquake, but the effects of the 1977 earthquake were extensively studied and last year 30 years since this earthquake passed. Scope of this contribution is to examine the architectural characteristics of the buildings of Modernism which lead to this high vulnerability, more precisely the criterion of zoning in the layout of the plans. This is the scope of a research project funded 2007-2010 by the European Commission with a Marie Curie Reintegration Grant; contract MERG-CT-2007-200636. Not only the buildings from Bucharest will be considered, but also from Athens, Greece and from Milan, Italy. Both Greece and Italy are countries with high seismic risk; however, Athens did not experience such damaging earthquakes until 1999 and Milan ever. The buildings of Romanian Modernism are characterised by a highly irregular shape in plan in both the overall contour as well as in the distribution of columns and beams. This is due to the following the architectural layout as well as to a lacking local seismic culture to apply at high rise buildings. It will be explained that Vrancea earthquakes, with their specific vibration periods, affect high rise buildings, and previously the style of living in Romania was the single family house, low rise, and thus less affected. Strong earthquakes used to affect slender high constructions, like the towers of churches, for example, and this is where the local seismic culture developed. The buildings of Greek Modernism and those of the Milanese Novecento however, are more regular in shape and in the distribution of columns and beams. It will be investigated if this is a consequence of the local seismic culture or if it was simply allowed by the regular shape of the lots in the urban tissue. Buildings of Greek Modernism were raised, unlike those in Bucharest, in more peripheral zones of the city, mainly in the neighbourship of the train station. In Bucharest they were raised in the city centre, following a major urban redevelopment. The buildings of Milanese Novecento, however, are spread over the whole city and here it is more difficult to find a reason in the argumentative discourse. It will be looked at the vernacular types of the houses in the country. The Modernist buildings were raised in a time when no seismic codes yet were released. All of the mentioned building types have a reinforced concrete skeleton. When conducting studies about historical buildings, mainly those with masonry structure are considered, for which reason the project CA'REDIVIVUS was run 2005-2007, with support from the European Commission, aiming exactly at this: the preservation of historic housing buildings with reinforced concrete structure across Europe. This research aims to continue that research, considering buildings from the same geographical locations but from the point of view of the way of living which led to the architectural shape which rendered vulnerable or not these buildings. It is an argumentative discourse to be conducted about to which amount the Modernism negated the historical links and thus also the vernacular one. Sure is, that at least on Romania, there had to be a change in living habits to move from single family to multi-family building. These buildings were also not typical for Modernism in Europe, since they were thought for luxus dwellings in the city centre. In Western Europe it was social housing at the periphery. Previous to this research a study was conducted to compare the vernacular housing and the Modernist housing in multi-storey dwellings in South-West Germany.
Some principles governing the establishment of meteorological stations along air routes
NASA Technical Reports Server (NTRS)
Aujames, P
1922-01-01
The organization of a meteorological service for an air route involves the solution of two distinct problems: distribution and grouping of meteorological stations and communications. Experience gained in the establishment of two lines, Paris-Warsaw and Constantinople-Bucharest enables us to establish certain principles, which may be of interest to note here.
Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-21
..., WA; SeeRoo Information Co., Ltd., Songpa-gu, Seoul, REBUPLIC OF KOREA; Simartis Telecom SRL, Bucharest, ROMANIA; Smartontech Co., Ltd., Ebene, Mauritius, DENMARK; Songdo Telecom, Inc., Yeonsu-gu... names: Motorola Mobility Inc. to Motorola Mobility LLC, Schaumburg, IL; SK Telecom to SK Planet, Seoul...
Climate regulation services by urban lakes in Bucharest city
NASA Astrophysics Data System (ADS)
Ioja, Cristian; Cheval, Sorin; Vanau, Gabriel; Sandric, Ionut; Onose, Diana; Carstea, Elfrida
2017-04-01
Urban ecosystems services assessment is an important challenge for practitioners, due to the high complexity of relations between urban systems components, high vulnerability to climate change, and consequences in social-economical systems. Urban lakes represent a significant component in more European cities (average 5% of total surface). Adequate urban management supports diverse benefits of urban lakes: clean water availability, mediation of waste, toxics and other nuisance, air quality and climate regulation, support for physical, intelectual or spiritual interactions. Due to underestimation of climate change and misfit urban planning decision, these benefits may be lost or chaged into diservices. The aim of the paper is to assess the changes in terms of the urban lakes contribution role to regulate urban climate, using the Bucharest as case study. Using sensors and Modis, Sentinel and Landsat images, the paper experiments the evolution of climate regulation services of urban lakes under the pressure of urbanisation and climate change between 2008 and 2015. Urban lakes management has to include specific measures in order to help the cities to become more sustainable, resilient, liveable and healthly.
Liquid water content variation with altitude in clouds over Europe
NASA Astrophysics Data System (ADS)
Andreea, Boscornea; Sabina, Stefan
2013-04-01
Cloud water content is one of the most fundamental measurements in cloud physics. Knowledge of the vertical variability of cloud microphysical characteristics is important for a variety of reasons. The profile of liquid water content (LWC) partially governs the radiative transfer for cloudy atmospheres, LWC profiles improves our understanding of processes acting to form and maintain cloud systems and may lead to improvements in the representation of clouds in numerical models. Presently, in situ airborne measurements provide the most accurate information about cloud microphysical characteristics. This information can be used for verification of both numerical models and cloud remote sensing techniques. The aim of this paper was to analyze the liquid water content (LWC) measurements in clouds, in time of the aircraft flights. The aircraft and its platform ATMOSLAB - Airborne Laboratory for Environmental Atmospheric Research is property of the National Institute for Aerospace Research "Elie Carafoli" (INCAS), Bucharest, Romania. The airborne laboratory equipped for special research missions is based on a Hawker Beechcraft - King Air C90 GTx aircraft and is equipped with a sensors system CAPS - Cloud, Aerosol and Precipitation Spectrometer (30 bins, 0.51-50 m). The processed and analyzed measurements are acquired during 4 flights from Romania (Bucharest, 44°25'57″N 26°06'14″E) to Germany (Berlin 52°30'2″N 13°23'56″E) above the same region of Europe. The flight path was starting from Bucharest to the western part of Romania above Hungary, Austria at a cruse altitude between 6000-8500 m, and after 5 hours reaching Berlin. In total we acquired data during approximately 20 flight hours and we presented the vertical and horizontal LWC variations for different cloud types. The LWC values are similar for each type of cloud to values from literature. The vertical LWC profiles in the atmosphere measured during takeoff and landing of the aircraft have shown their dependence of the meteorological parameters.
Developments in early intervention for psychosis in Hong Kong.
Wong, G H Y; Hui, C L M; Wong, D Y; Tang, J Y M; Chang, W C; Chan, S K W; Lee, E H M; Xu, J Q; Lin, J J X; Lai, D C; Tam, W; Kok, J; Chung, D W S; Hung, S F; Chen, E Y H
2012-09-01
The year 2011 marked the 10-year milestone of early intervention for psychosis in Hong Kong. Since 2001, the landscape of early psychosis services has changed markedly in Hong Kong. Substantial progress has been made in the areas of early intervention service implementation, knowledge generation, and public awareness promotion. Favourable outcomes attributable to the early intervention service are supported by solid evidence from local clinical research studies; early intervention service users showed improved functioning, ameliorated symptoms, and decreased hospitalisation and suicide rates. Continued development of early intervention in Hong Kong over the decade includes the introduction and maturation of several key platforms, such as the Hospital Authority Early Assessment Service for Young People with Psychosis programme, the Psychosis Studies and Intervention Unit by the University of Hong Kong, the Hong Kong Early Psychosis Intervention Society, the Jockey Club Early Psychosis Project, and the postgraduate Psychological Medicine (Psychosis Studies) programme. In this paper, we reviewed some of the major milestones in local service development with reference to features of the Hong Kong mental health system. We describe chronologically the implementation and consolidation of public early intervention services as well as recent progresses in public awareness work that are tied in with knowledge generation and transfer, and outline the prospects for early intervention in the next decade and those that follow.
34 CFR 303.11 - Early intervention program.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 34 Education 2 2010-07-01 2010-07-01 false Early intervention program. 303.11 Section 303.11... AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND... intervention program. As used in this part, early intervention program means the total effort in a State that...
34 CFR 303.11 - Early intervention program.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 34 Education 2 2011-07-01 2010-07-01 true Early intervention program. 303.11 Section 303.11... AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND... intervention program. As used in this part, early intervention program means the total effort in a State that...
1987-10-29
nonferrous ores in quarries and underground; Installations for desulfurization , cleaning, and dry- ing of gas , turbocompressors for methane gas ; Mining...Products Exportation Bucharest Minis- "Indus- try of trial- Foreign Drilling installations and equipment for oil and gas ; export- Trade...equipment; try of Refineries, complex installations, parts, and equip- the ment for the oil- and gas -refining industry; Heavy Factories, complex
World Population: U.N. on the Move but Grounds for Optimism Are Scant
ERIC Educational Resources Information Center
Holden, Constance
1974-01-01
Discusses current trends and problems relating to world population, and focuses on action being taken by the United Nations. This year (1974) has been designated World Population Year, and will be highlighted by a conference in Bucharest in which all 130 member governments will meet to confront the issue of population control. (JR)
Early Nutrition and Physical Activity Interventions in Childhood Cancer Survivors
Zhang, Fang Fang; Kelly, Michael J.; Must, Aviva
2017-01-01
Purpose of review Childhood cancer survivors experience excessive weight gain early in treatment. Lifestyle interventions need to be initiated early in cancer care to prevent the early onset of obesity and cardiovascular disease (CVD). We reviewed the existing literature on early lifestyle interventions in childhood cancer survivors and consider implications for clinical care. Recent findings Few lifestyle interventions focus on improving nutrition in childhood cancer survivors. A consistent effect on reducing obesity and CVD risk factors is not evident from the limited number of studies with heterogeneous intervention characteristics, although interventions with a longer duration and follow-up show more promising trends. Summary Future lifestyle interventions should be of a longer duration and include a nutrition component. Interventions with a longer duration and follow-up are needed to assess the timing and sustainability of the intervention effect. Lifestyle interventions introduced early in cancer care are both safe and feasible. PMID:28455678
34 CFR 303.112 - Availability of early intervention services.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 34 Education 2 2014-07-01 2013-07-01 true Availability of early intervention services. 303.112... SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR... System Minimum Components of A Statewide System § 303.112 Availability of early intervention services...
34 CFR 303.112 - Availability of early intervention services.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 34 Education 2 2012-07-01 2012-07-01 false Availability of early intervention services. 303.112... SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR... System Minimum Components of A Statewide System § 303.112 Availability of early intervention services...
34 CFR 303.112 - Availability of early intervention services.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 34 Education 2 2013-07-01 2013-07-01 false Availability of early intervention services. 303.112... SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR... System Minimum Components of A Statewide System § 303.112 Availability of early intervention services...
Fuengfoo, Adidsuda; Sakulnoom, Kim
2014-06-01
Queen Sirikit National Institute of Child Health is a tertiary institute of children in Thailand, where early intervention programs have been provided since 1990 by multidisciplinary approach especially in Down syndrome children. This aim of the present study is to follow the impact of early intervention on the outcome of Down syndrome children. The school attendance number of Down syndrome children was compared between regular early intervention and non-regular early intervention. The present study group consists of 210 Down syndrome children who attended early intervention programs at Queen Sirikit National Institute of Child Health between June 2008 and January 2012. Data include clinical features, school attendance developmental quotient (DQ) at 3 years of age using Capute Scales Cognitive Adaptive Test/Scale (CAT/CLAMS). Developmental milestones have been recorded as to the time of appearance of gross motor, fine motor, language, personal-social development compared to those non-regular intervention patients. Of 210 Down syndrome children, 117 were boys and 93 were girls. About 87% received regular intervention, 68% attended speech training. Mean DQ at 3 years of age was 65. Of the 184 children who still did follow-up at developmental department, 124 children (59%) attended school: mainstream school children 78 (63%) and special school children 46 (37%). The mean age at entrance to school was 5.8 ± 1.4 years. The school attendance was correlated with maternal education and regular early intervention attendance. Regular early intervention starts have proven to have a positive effect on development. The school attendance number of Down syndrome children receiving regular early intervention was statistically and significantly higher than the number of Down syndrome children receiving non-regular early intervention was. School attendance correlated with maternal education and attended regularly early intervention. Regular early intervention together with maternal education are contributing factors influencing school attendance in Down syndrome children in the present study
Herghelegiu, Anna Marie; Moser, André; Prada, Gabriel Ioan; Born, Stephan; Wilhelm, Matthias; Stuck, Andreas E
2017-01-01
Interventions to increase physical activity (PA) among older community-dwelling adults may be enhanced by using multidimensional health risk assessment (HRA) as a basis for PA counselling. The study was conducted among nondisabled but mostly frail persons 65 years of age and older at an ambulatory geriatric clinic in Bucharest, Romania. From May to July 2014, 200 participants were randomly allocated to intervention and control groups. Intervention group participants completed an initial HRA questionnaire and then had monthly counselling sessions with a geriatrician over a period of six months that were aimed at increasing low or maintaining higher PA. Counselling also addressed the older persons' concomitant health risks and problems. The primary outcome was PA at six months (November 2014 to February 2015) evaluated with the International Physical Activity Questionnaire. At baseline, PA levels were similar in intervention and control groups (median 1089.0, and 1053.0 MET [metabolic equivalent of task] minutes per week, interquartile ranges 606.0-1401.7, and 544.5-1512.7 MET minutes per week, respectively). Persons in the intervention group had an average of 11.2 concomitant health problems and risks (e.g., pain, depressive mood, hypertension). At six months, PA increased in the intervention group by a median of 180.0 MET minutes per week (95% confidence interval (CI) 43.4-316.6, p = 0.01) to 1248.8 MET minutes per week. In the control group, PA decreased by a median of 346.5 MET minutes per week (95% CI 178.4-514.6, p<0.001) to 693.0 MET minutes per week due to a seasonal effect, resulting in a difference of 420.0 MET minutes per week (95% CI 212.7-627.3, p< 0.001) between groups. The use of HRA to inform individualized PA counselling is a promising method for achieving improvements in PA, and ultimately health and longevity among large groups of community-dwelling older persons. International Standard Randomized Controlled Trial Number: ISRCTN11166046.
34 CFR 303.12 - Early intervention service provider.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 34 Education 2 2014-07-01 2013-07-01 true Early intervention service provider. 303.12 Section 303... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.12 Early intervention service...
34 CFR 303.126 - Early intervention services in natural environments.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 34 Education 2 2012-07-01 2012-07-01 false Early intervention services in natural environments...) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION... Statewide System Minimum Components of A Statewide System § 303.126 Early intervention services in natural...
34 CFR 303.11 - Early intervention service program.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 34 Education 2 2014-07-01 2013-07-01 true Early intervention service program. 303.11 Section 303... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.11 Early intervention service...
34 CFR 303.12 - Early intervention service provider.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 34 Education 2 2012-07-01 2012-07-01 false Early intervention service provider. 303.12 Section 303... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.12 Early intervention service...
34 CFR 303.11 - Early intervention service program.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 34 Education 2 2013-07-01 2013-07-01 false Early intervention service program. 303.11 Section 303... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.11 Early intervention service...
34 CFR 303.11 - Early intervention service program.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 34 Education 2 2012-07-01 2012-07-01 false Early intervention service program. 303.11 Section 303... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.11 Early intervention service...
34 CFR 303.12 - Early intervention service provider.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 34 Education 2 2013-07-01 2013-07-01 false Early intervention service provider. 303.12 Section 303... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.12 Early intervention service...
34 CFR 303.126 - Early intervention services in natural environments.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 34 Education 2 2014-07-01 2013-07-01 true Early intervention services in natural environments. 303...) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION... Statewide System Minimum Components of A Statewide System § 303.126 Early intervention services in natural...
34 CFR 303.126 - Early intervention services in natural environments.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 34 Education 2 2013-07-01 2013-07-01 false Early intervention services in natural environments...) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION... Statewide System Minimum Components of A Statewide System § 303.126 Early intervention services in natural...
Banu, P; Popa, F; Constantin, V D; Bălălău, C; Nistor, M
2013-09-15
The surgical treatment of umbilical hernia in cirrhosis patients raises special management challenges. The attitude upon the repair of these hernias varies from expectancy or elective treatment in early stages of the disease to the surgical treatment only if complications occur. We have assessed 22 consecutive cases of cirrhosis patients treated for complicated umbilical hernia in the Surgical Department of "Sf. Pantelimon" Emergency Hospital in Bucharest between January 2008 and December 2012. The patients' stratification was done in stages of liver disease based upon Child-Pugh classification. Complications that required emergency repair were the following: strangulation, incarceration and hernia rupture. The postoperative complications were ordered in five grades of severity based upon Clavien classification. The severity of the complications was higher in advanced stages of liver cirrhosis, Child B and C. There were 5 deaths representing 22,7%, four of them in patients with Child C disease stage. The incidence of morbidity and mortality after umbilical hernia repair in emergencies increases in advanced stages of liver cirrhosis. It is advisable to prevent complications occurrence and perform surgical repair of umbilical hernia in elective condition.
Human Gait and Postural Control after Unilateral Total Knee Arthroplasty
STAN, Gabriel; ORBAN, Horia
2014-01-01
Introduction: This study assesses the changes in human gait in the early postoperative phase of unilateral TKA, by evaluating the variability of free moment. Materials and method: The study group consisted of 10 patients from the Orthopedic Department of the 'Elias' University Hospital in Bucharest who undergone unilateral knee arthroplasty with the same type of posterior cruciate ligament substituting prosthesis. For the evaluation of free moment an AMTI AccuGait force platform was used. Results: Regarding the free moment peaks, for the operated and non-operated limb, increased significantly (p <0.05) in the postoperative period. The stance time was higher post-surgery for both limbs. Discussion: In the early postoperative phase of unilateral TKA, free moment is higher on both the operated and the non-operated limbs, which means that the knees are subjected to higher torques. Shortly after TKA, patients tend to walk with lower speed, with small steps and reduced cadence. Stance time differences between the operated and the non-operated limbs can lead to overuse of the latter, worsening its condition. Conclusions: It is highly important to adopt a well-managed rehabilitation program in order to increase walking stability. The cost effectiveness of this procedure could be highly dependent on the rehab program. The parameters studied in this article are useful in assessing the rehabilitation protocol. PMID:25705305
The Effectiveness of Early Intervention.
ERIC Educational Resources Information Center
Guralnick, Michael J., Ed.
This book reviews research on the effectiveness of early intervention for children with disabilities or who are at risk. Program factors for children at risk and with disabilities, the effects of early intervention on different types of disabilities, and the outcomes of early intervention are explored. Chapters include: "Second-Generation Research…
12 CFR 1024.39 - Early intervention requirements for certain borrowers.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 12 Banks and Banking 8 2014-01-01 2014-01-01 false Early intervention requirements for certain... SETTLEMENT PROCEDURES ACT (REGULATION X) Mortgage Servicing § 1024.39 Early intervention requirements for... of the user, the revised text is set forth as follows: § 1024.39 Early intervention requirements for...
Synovial inflammation in patients with different stages of knee osteoarthritis.
Ene, Răzvan; Sinescu, Ruxandra Diana; Ene, Patricia; Cîrstoiu, Monica Mihaela; Cîrstoiu, Florin Cătălin
2015-01-01
The synovium is an intra-articular mesenchymal tissue and essential for the normal joint function. It is involved in many pathological characteristic processes and sometimes specific for this distinctive tissue. In this study, we refer to synovial proliferative disorders according to the stage of osteoarthritis (OA) disease. Forty-three patients with knee OA were treated in the Department of Orthopedics and Traumatology, Emergency University Hospital of Bucharest, Romania, in the last two years. In all cases, we used at least five criteria for the knee OA: knee pain, knee joint tenderness, no palpable warmth over the knee, stiffness, erythrocyte sedimentation rate and C-reactive protein levels. In all the cases the synovial tissue was selected by the orthopedic surgeon. X-ray examination was taken in every case of the affected joint. Patients who were considered to have early OA underwent arthroscopic synovial biopsy of the symptomatic joint. Synovial tissue samples from patients with late OA were obtained at the time of knee joint arthroplasty. Microscopic examination in early osteoarthritis revealed for more than half of patients with synovial biopsy through arthroscopic technique having synovitis lesions with mononuclear infiltrates, diffuse fibrosis, thickening of the lining layer, macrophages appearance and neoformation vessels also. The synovitis seen in advanced OA knees tends to be diffuse and is not mandatory localized to areas of chondral defects, although an association has been reported between chondral defects and associated synovitis in the knee medial tibio-femoral compartment. The overexpression of mediators of inflammation and the increased mononuclear cell infiltration were seen in early OA, compared with late OA.
A Solution to Bring the National Astronomical-Geodetic Network from S/42 System to WGS-84 System
NASA Astrophysics Data System (ADS)
Radu, Ion
In the framework of a Romanian-Bulgarian cooperation, the Military Astronomical Observatory Bucharest integrated GPS measurements with points in the Southern zone of the national geodetic network. Molodensky's, Zhogolovich's and Ihde's relations were used to pass from S/42 system to WGS-84 system. Six variants for the choice of common points were considered.
NASA Astrophysics Data System (ADS)
Perrault, Matthieu; Gueguen, Philippe; Aldea, Alexandru; Demetriu, Sorin
2013-12-01
The lack of knowledge concerning modelling existing buildings leads to signifiant variability in fragility curves for single or grouped existing buildings. This study aims to investigate the uncertainties of fragility curves, with special consideration of the single-building sigma. Experimental data and simplified models are applied to the BRD tower in Bucharest, Romania, a RC building with permanent instrumentation. A three-step methodology is applied: (1) adjustment of a linear MDOF model for experimental modal analysis using a Timoshenko beam model and based on Anderson's criteria, (2) computation of the structure's response to a large set of accelerograms simulated by SIMQKE software, considering twelve ground motion parameters as intensity measurements (IM), and (3) construction of the fragility curves by comparing numerical interstory drift with the threshold criteria provided by the Hazus methodology for the slight damage state. By introducing experimental data into the model, uncertainty is reduced to 0.02 considering S d ( f 1) as seismic intensity IM and uncertainty related to the model is assessed at 0.03. These values must be compared with the total uncertainty value of around 0.7 provided by the Hazus methodology.
Armaş, Iuliana; Mendes, Diana A.; Popa, Răzvan-Gabriel; Gheorghe, Mihaela; Popovici, Diana
2017-01-01
The aim of this exploratory research is to capture spatial evolution patterns in the Bucharest metropolitan area using sets of single polarised synthetic aperture radar (SAR) satellite data and multi-temporal radar interferometry. Three sets of SAR data acquired during the years 1992–2010 from ERS-1/-2 and ENVISAT, and 2011–2014 from TerraSAR-X satellites were used in conjunction with the Small Baseline Subset (SBAS) and persistent scatterers (PS) high-resolution multi-temporal interferometry (InSAR) techniques to provide maps of line-of-sight displacements. The satellite-based remote sensing results were combined with results derived from classical methodologies (i.e., diachronic cartography) and field research to study possible trends in developments over former clay pits, landfill excavation sites, and industrial parks. The ground displacement trend patterns were analysed using several linear and nonlinear models, and techniques. Trends based on the estimated ground displacement are characterised by long-term memory, indicated by low noise Hurst exponents, which in the long-term form interesting attractors. We hypothesize these attractors to be tectonic stress fields generated by transpressional movements. PMID:28252103
Armaş, Iuliana; Mendes, Diana A; Popa, Răzvan-Gabriel; Gheorghe, Mihaela; Popovici, Diana
2017-03-02
The aim of this exploratory research is to capture spatial evolution patterns in the Bucharest metropolitan area using sets of single polarised synthetic aperture radar (SAR) satellite data and multi-temporal radar interferometry. Three sets of SAR data acquired during the years 1992-2010 from ERS-1/-2 and ENVISAT, and 2011-2014 from TerraSAR-X satellites were used in conjunction with the Small Baseline Subset (SBAS) and persistent scatterers (PS) high-resolution multi-temporal interferometry (InSAR) techniques to provide maps of line-of-sight displacements. The satellite-based remote sensing results were combined with results derived from classical methodologies (i.e., diachronic cartography) and field research to study possible trends in developments over former clay pits, landfill excavation sites, and industrial parks. The ground displacement trend patterns were analysed using several linear and nonlinear models, and techniques. Trends based on the estimated ground displacement are characterised by long-term memory, indicated by low noise Hurst exponents, which in the long-term form interesting attractors. We hypothesize these attractors to be tectonic stress fields generated by transpressional movements.
Preliminary investigation of thermal behaviour of PCM based latent heat thermal energy storage
NASA Astrophysics Data System (ADS)
Pop, Octavian G.; Fechete Tutunaru, Lucian; Bode, Florin; Balan, Mugur C.
2018-02-01
Solid-liquid phase change is used to accumulate and release cold in latent heat thermal energy storage (LHTES) in order to reduce energy consumption of air cooling system in buildings. The storing capacity of the LHTES depends greatly on the exterior air temperatures during the summer nights. One approach in intensifying heat transfer is by increasing the air's velocity. A LHTES was designed to be integrated in the air cooling system of a building located in Bucharest, during the month of July. This study presents a numerical investigation concerning the impact of air inlet temperatures and air velocity on the formation of solid PCM, on the cold storing capacity and energy consumption of the LHTES. The peak amount of accumulated cold is reached at different air velocities depending on air inlet temperature. For inlet temperatures of 14°C and 15°C, an increase of air velocity above 50% will not lead to higher amounts of cold being stored. For Bucharest during the hottest night of the year, a 100 % increase in air velocity will result in 5.02% more cold being stored, at an increase in electrical energy consumption of 25.30%, when compared to the reference values.
Study of cloud properties using airborne and satellite measurements
NASA Astrophysics Data System (ADS)
Boscornea, Andreea; Stefan, Sabina; Vajaiac, Sorin Nicolae
2014-08-01
The present study investigates cloud microphysics properties using aircraft and satellite measurements. Cloud properties were drawn from data acquired both from in situ measurements with state of the art airborne instrumentation and from satellite products of the MODIS06 System. The used aircraft was ATMOSLAB - Airborne Laboratory for Environmental Atmospheric Research, property of the National Institute for Aerospace Research "Elie Carafoli" (INCAS), Bucharest, Romania, which is specially equipped for this kind of research. The main tool of the airborne laboratory is a Cloud, Aerosol and Precipitation Spectrometer - CAPS (30 bins, 0.51- 50 μm). The data was recorded during two flights during the winter 2013-2014, over a flat region in the south-eastern part of Romania (between Bucharest and Constanta). The analysis of cloud particle size variations and cloud liquid water content provided by CAPS can explain cloud processes, and can also indicate the extent of aerosols effects on clouds. The results, such as cloud coverage and/or cloud types, microphysical parameters of aerosols on the one side and the cloud microphysics parameters obtained from aircraft flights on the other side, was used to illustrate the importance of microphysics cloud properties for including the radiative effects of clouds in the regional climate models.
NASA Astrophysics Data System (ADS)
Niculescu, E.; Maghiar, R.
2012-04-01
An interdisciplinary study of water realized in High Schools of Bucharest and Oradea The paper studies the importance and the properties of water from different points of view. In the curricula the water is studied by sciences as Chemistry, Physics, Biology, Geography and Environmental Sciences, but the water is important also for History, Economy, Sociology, Religion, Arts, Sport, and so on. The students from "C.A.Rosetti High-school" from Bucharest and "Mihai Viteazul" from Oradea, guided by their teachers realized some interesting studies about water as physical, biological and chemical properties but also about economical importance of the water in our life, or about the aesthetic value of the water. The final products (CD-s, PowerPoint presentations, movies, drawings, posters and so on) are realized during the lessons from the curricula but also in non-formal education activities. So the students accomplished some research about water in specialised institutes, but also in the middle of nature. They studied the plants, insects and animals living in wetland areas. The students went to the springs, rivers , lakes, the Danube Delta and to the Black Sea and after that they organised workshops and seminars in order to disseminate their work.
Vulnerability of housing buildings in Bucharest, Romania
NASA Astrophysics Data System (ADS)
Bostenaru, M.
2009-04-01
The author participates to the World Housing Encyclopedia project (www.world-housing.net), an internet based database of housing buildings in earthquake prone areas of the world. This is a voluntary project run by the Earthquake Engineering Research Institute, Oakland, California and the International Association of Earthquake Engineering, financial means being available only for the website where the information is shared. For broader dissemination in 2004 a summary publication of the reports to date was published. The database can be querried for various parameters and browsed after geographic distribution. Participation is open to any housing experts. Between 2003 and 2006 the author was also member of the editorial board. The author contributed numerous reports about building types in Romania, and each one about building types in Germany and Switzerland. This presentation will be about the contributed reports on building types in Romania. To the Encyclopedia eight reports on building types from Bucharest were contributed, while in further research of the author one more was similarly described regarding the vulnerability and the seismic retrofit. The selection of these types was done considering the historic development of the built substance in Bucharest from 1850 on, time from which a representative amount of housing buildings which can be classified in typologies can be found in Bucharest. While the structural types are not necessarily characteristic for the style, since the style has other time limits, often appearing before the type became common and then remaining being practiced also after another style gained ground, a historic succession can be seen also in this case. The nine types considered can be grouped in seven time categories: - the time 1850-1880, for a vernacular housing type with masonry load bearing walls and timber floors, - the time 1880-1920, for the type of two storey or multi-storey house with masonry walls and timber floors (in which stylistically the "national style" flourished), - the time 1920-1940 for the type with reinforced concrete skeleton for gravitational loads only (in which the "interwar style" or Romanian Modernism flourished), - the time immediately after 1940 (when a strong earthquake struck Bucharest), somehow 1940-1947, when the former structural type was continued, but with some improvements, for which a type with reinforced concrete diagonals was considered, - the time 1947-1977, before the strong earthquake from 1977, when cast-in-situ reinforced concrete structural wall buildings were spread. Two types are considered, one which displayed low earthquake vulnerability and one which displayed high earthquake vulnerability, - the time 1977-1989, after the strong earthquake from 1977 and before the fall on the communist regime, when taking as a reason the strong earthquake the regime started to implement another type of buildings, which structurally often were still reinforced concrete structural wall type, but prefabricated, - the time after 1989, when for more flexibility moment resisting frame was built, and also some of the unfinished moment resisting frame buildings were completed. To have such a complete description of all the building type in a country is not common for the World Housing Encyclopedia, and having them for Romania was due to a particular effort of the author. At the same time the database allows finding similar types in other parts of the world. Broadly speaking, each report included two sections, the first one more extended, on the vulnerability of buildings and the second on the seismic retrofit. The reports contain completed check lists, descriptions of the structural system, photographs and drawings. The accent in this presentation will be on the identification of seismic deficiencies and earthquake resilient features, and the connected typical damages, which all describe the vulnerability.
McLaughlin, Katie A.; Zeanah, Charles H.; Fox, Nathan A.; Nelson, Charles A.
2011-01-01
Background Children reared in institutions experience elevated rates of psychiatric disorders. Inability to form a secure attachment relationship to a primary caregiver is posited to be a central mechanism in this association. We determined whether the ameliorative effect of a foster care (FC) intervention on internalizing disorders in previously institutionalized children was explained by the development of secure attachment among children placed in FC and evaluated the role of lack of attachment in an institutionalized sample on the etiology of internalizing disorders within the context of a randomized trial. Methods A sample of 136 children (aged 6-30 months) residing in institutions was recruited in Bucharest, Romania. Children were randomized to FC (n=68) or to care as usual (CAU; n=68). Foster parents were recruited, trained, and overseen by the investigative team. Attachment security at 42 months was assessed using the Strange Situation Procedure, and internalizing disorders at 54 months were assessed using the Preschool Age Psychiatric Assessment. Results Girls in FC had fewer internalizing disorders than girls in CAU (OR=0.17, p=006). The intervention had no effect on internalizing disorders in boys (OR=0.47, p=.150). At 42 months, girls in FC were more likely to have secure attachment than girls in CAU (OR=12.5, p<.001), but no difference was observed in boys (OR=2.0, p=.205). Greater attachment security predicted lower rates of internalizing disorders in both sexes. Development of attachment security fully mediated intervention effects on internalizing disorders in girls. Conclusion Placement into FC facilitated the development of secure attachment and prevented the onset of internalizing disorders in institutionalized girls. The differential effects of FC on attachment security in boys and girls explained gender differences in the intervention effects on psychopathology. Findings provide evidence for the critical role of disrupted attachment in the etiology of internalizing disorders in children exposed to institutionalization. PMID:21733136
Overview of Play: Its Uses and Importance in Early Intervention/Early Childhood Special Education
ERIC Educational Resources Information Center
Lifter, Karin; Foster-Sanda, Suzanne; Arzamarski, Caley; Briesch, Jacquelyn; McClure, Ellen
2011-01-01
Play is a natural activity of early childhood, which has great relevance to the fields of early intervention, early childhood special education, and early childhood education. Within these fields, ongoing tensions persist in how play is described and used. These tensions compromise activities of assessment, intervention, and curriculum development…
Israel, Howard A; Behrman, David A; Friedman, Joel M; Silberstein, Jennifer
2010-11-01
The goal of this study was to determine if there were differences in outcomes of arthroscopic surgery in patients with inflammatory/degenerative temporomandibular joint (TMJ) disease who underwent early surgical intervention versus late surgical intervention. The study population included 44 consecutive patients who met the criteria for TMJ operative arthroscopy who were divided into early and late intervention groups. The time between the onset of symptoms and the performance of arthroscopy was used to determine entry into the early versus late intervention group. All groups were evaluated for changes in preoperative versus postoperative pain levels based on visual analog scale (VAS) scores and maximum interincisal opening distance. Statistical analyses included the Student t test to determine if there were significant differences between preoperative and postoperative assessments in the early and late intervention groups. The mean time between onset of symptoms in the early intervention group (21 patients) was 5.4 months compared with 33 months in the late intervention group (23 patients). All patient groups had statistically significant decreases in pain and improvement in maximum interincisal opening distance after arthroscopy. The early intervention group had a mean decrease in VAS pain scores of 5.14 compared with the late intervention group with a mean decrease in VAS pain scores of 2.84, and this difference was significant (P = .012). The early intervention group had a mean increase in maximum interincisal opening of 12.38 mm compared with the late intervention group with a mean increase of 7.70. Although statistical significance was not achieved for increases in maximum interincisal opening between the early and late intervention groups (P = .089), the difference between the 2 groups was suggestive of a trend. There were no surgical complications for either group; however, 2 patients in the late intervention group developed persistent chronic neuropathic pain, requiring pain management. TMJ arthroscopy reliably decreased pain and increased the maximum interincisal opening distance in the early and late intervention groups. The early intervention group had better surgical outcomes than the late intervention group. Arthroscopic surgery should be considered early in the management of patients with inflammatory/degenerative TMJ disease. Copyright © 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
34 CFR 303.1 - Purpose of the early intervention program for infants and toddlers with disabilities.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 34 Education 2 2012-07-01 2012-07-01 false Purpose of the early intervention program for infants... EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Purpose and Applicable Regulations § 303.1 Purpose of the early intervention program for infants and toddlers with...
34 CFR 303.1 - Purpose of the early intervention program for infants and toddlers with disabilities.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 34 Education 2 2010-07-01 2010-07-01 false Purpose of the early intervention program for infants... EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Purpose, Eligibility, and Other General Provisions § 303.1 Purpose of the early intervention program for infants and...
34 CFR 303.1 - Purpose of the early intervention program for infants and toddlers with disabilities.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 34 Education 2 2013-07-01 2013-07-01 false Purpose of the early intervention program for infants... EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Purpose and Applicable Regulations § 303.1 Purpose of the early intervention program for infants and toddlers with...
34 CFR 303.1 - Purpose of the early intervention program for infants and toddlers with disabilities.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 34 Education 2 2011-07-01 2010-07-01 true Purpose of the early intervention program for infants... EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Purpose, Eligibility, and Other General Provisions § 303.1 Purpose of the early intervention program for infants and...
34 CFR 303.1 - Purpose of the early intervention program for infants and toddlers with disabilities.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 34 Education 2 2014-07-01 2013-07-01 true Purpose of the early intervention program for infants... EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Purpose and Applicable Regulations § 303.1 Purpose of the early intervention program for infants and toddlers with...
Early detection and intervention for attention-deficit/hyperactivity disorder.
Sonuga-Barke, Edmund J S; Koerting, Johanna; Smith, Elizabeth; McCann, Donna C; Thompson, Margaret
2011-04-01
Attention-deficit/hyperactivity disorder (ADHD) is a high-cost/high-burden disorder. Early detection and intervention may prevent or ameliorate the development of the disorder and reduce its long-term impact. In this article, we set out a rationale for an early detection and intervention program. First, we highlight the costs of the condition and second, we discuss the limitations of the current treatments. We then outline the potential value of an early detection and intervention program. We review evidence on predictors of poor outcomes for early ADHD signs and discuss how these might allow us to target early intervention more cost-effectively. We then examine potential barriers to engagement with at-risk samples. This leads to a discussion of possible intervention approaches and how these could be improved. Finally, we describe the Program for Early Detection and Intervention for ADHD (PEDIA), a 5-year program of research supported by the UK National Institute for Health Research and conducted at the University of Southampton (Southampton, UK), which aims to develop and evaluate a strategy for early intervention.
Early intervention for psychotic disorders: Real-life implementation in Hong Kong.
Wong, Gloria H Y; Hui, Christy L M; Tang, Jennifer Y M; Chang, Wing-Chung; Chan, Sherry K W; Xu, Jia-Qi; Lin, Jessie J X; Lai, Dik-Chee; Tam, Wendy; Kok, Joy; Chung, Dicky; Hung, S F; Chen, Eric Y H
2012-03-01
Hong Kong is among the first few cities in Asia to have implemented early intervention for psychosis in 2001. Substantial changes in psychosis service have since taken place. We reviewed available outcome data in Hong Kong, with reference to the philosophy of early intervention in psychosis, discussing experience and lessons learned from the implementation process, and future opportunities and challenges. Data accumulated in the past decade provided evidence for the benefits and significance of early intervention programmes: patients under the care of early intervention service showed improved functioning, milder symptoms, and fewer hospitalizations and suicides. Early intervention is more cost-effective compared with standard care. Stigma and misconception remains an issue, and public awareness campaigns are underway. In recent years, a critical mass is being formed, and Hong Kong has witnessed the unfolding of public service extension, new projects and organizations, and increasing interest from the community. Several major platforms are in place for coherent efforts, including the public Early Assessment Service for Young people with psychosis (EASY) programme, the Psychosis Studies and Intervention (PSI) research unit, the independent Hong Kong Early Psychosis Intervention Society (EPISO), the Jockey Club Early Psychosis (JCEP) project, and the postgraduate Psychological Medicine (Psychosis Studies) programme. The first decade of early intervention work has been promising; consolidation and further development is needed on many fronts of research, service and education. Copyright © 2012 Elsevier B.V. All rights reserved.
Preterm birth-associated cost of early intervention services: an analysis by gestational age.
Clements, Karen M; Barfield, Wanda D; Ayadi, M Femi; Wilber, Nancy
2007-04-01
Characterizing the cost of preterm birth is important in assessing the impact of increasing prematurity rates and evaluating the cost-effectiveness of therapies to prevent preterm delivery. To assess early intervention costs that are associated with preterm births, we estimated the program cost of early intervention services for children who were born in Massachusetts, by gestational age at birth. Using the Pregnancy to Early Life Longitudinal Data Set, birth certificates for infants who were born in Massachusetts between July 1999 and June 2000 were linked to early intervention claims through 2003. We determined total program costs, in 2003 dollars, of early intervention and mean cost per surviving infant by gestational age. Costs by plurality, eligibility criteria, provider discipline, and annual costs for children's first 3 years also were examined. Overall, 14,033 of 76,901 surviving infants received early intervention services. Program costs totaled almost $66 million, with mean cost per surviving infant of $857. Mean cost per infant was highest for children who were 24 to 31 weeks' gestational age ($5393) and higher for infants who were 32 to 36 weeks' gestational age ($1578) compared with those who were born at term ($725). Cost per surviving infant generally decreased with increasing gestational age. Among children in early intervention, mean cost per child was higher for preterm infants than for term infants. At each gestational age, mean cost per surviving infant was higher for multiples than for singletons, and annual early intervention costs were higher for toddlers than for infants. Compared with their term counterparts, preterm infants incurred higher early intervention costs. This information along with data on birth trends will inform budget forecasting for early intervention programs. Costs that are associated with early childhood developmental services must be included when considering the long-term costs of prematurity.
NASA Astrophysics Data System (ADS)
Manea, Elena Florinela; Michel, Clotaire; Hobiger, Manuel; Fäh, Donat; Cioflan, Carmen Ortanza; Radulian, Mircea
2017-09-01
During large earthquakes generated at intermediate depth in the Vrancea seismic zone, the ground motion recorded in Bucharest (Romania) is characterized by predominant long periods with strong amplification. Time-frequency analysis highlights the generation of low frequency surface waves (<1 Hz) for sufficiently strong and superficial events. This phenomenon has been explained by the influence of both source mechanism (radiation pattern, directivity effects) and mechanical properties of the local geological structure (geological layering and geometry). The main goal of our study is to better characterize and understand the seismic wavefield produced by earthquakes in the area of Bucharest, taking into account its location in the centre of the Moesian Platform, a large sedimentary basin (450 km long, 300 km wide and up to 20 km deep). To this aim, we identify the contribution of different seismic surface waves, such as the ones produced at the edges of this large sedimentary basin or multipath interference waves (Airy phases of Love and Rayleigh waves), on ground motion. The data from a 35 km diameter array (URS experiment) were used. The array was installed by the National Institute for Earth Physics in cooperation with the Karlsruhe Institute for Technology and operated during 10 months in 2003 and 2004 in the urban area of Bucharest and adjacent zones. The earthquake wavefield recorded by the URS array was analysed using the MUSIQUE technique. This technique analyses the three-component signals of all sensors of a seismic array together. The analysis includes 19 earthquakes with epicentral distances from 100 to 1560 km and with various backazimuths with enough energy at low frequencies (0.1-1 Hz), within the resolution range of the array. For all events, the largest portion of energy is arriving from the source direction and the wavefield is dominated by Love waves. The results of the array analyses clearly indicate a significant scattering corresponding to 2-D or 3-D effects of the Moesian Platform. The azimuthal distribution shows that the scattering comes primarily from the southern and northern edges of the basin. The Airy phase of Love waves was clearly identified as the main contributor in the range of the fundamental frequency of resonance of the basin (0.15-0.25 Hz), with directionality along the backazimuth and its opposite direction. Moreover, two further distinct frequency bands around 0.4 and 0.7 Hz with higher amplitudes were identified. Their complex nature is a combination of the higher modes of Rayleigh waves, Airy phases of Love waves and SH waves. Love and Rayleigh wave dispersion curves were successfully retrieved by combining the information of all events and show a good match with the ones obtained using ambient vibrations. Additionally, the first higher mode of Rayleigh waves could be retrieved using data from earthquakes. Also, the prograde and retrograde Rayleigh wave ellipticity was computed.
... teacher of the visually impaired. What is Early Intervention? Early Intervention comprises a team of special education professionals. The early intervention team works with parents and caregivers to develop ...
ERIC Educational Resources Information Center
Popp, Tierney K.; You, Hyun-Kyung
2016-01-01
The mediating role of parental satisfaction in the relation between family involvement in early intervention service planning and parental self-efficacy was explored. Participants included families of children with disability or delay involved in early intervention (n = 2586). Data were examined upon entry into early intervention (T1) and at…
ERIC Educational Resources Information Center
Pungello, Elizabeth P.; Kainz, Kirsten; Burchinal, Margaret; Wasik, Barbara H.; Sparling, Joseph J.; Ramey, Craig T.; Campbell, Frances A.
2010-01-01
The extent to which early educational intervention, early cumulative risk, and the early home environment were associated with young adult outcomes was investigated in a sample of 139 young adults (age 21) from high-risk families enrolled in randomized trials of early intervention. Positive effects of treatment were found for education attainment,…
Daniel Navon
1978-01-01
These 14 papers were submitted to a conference of Project Group P4.07 Division IV, International Union of Forestry Research Organizations. Topics discussed included the uses of simulations, analytical techniques, and mathematical programming techniques in land management planning, reforestation programs, intensive forestry, timber management and production, tree growth...
ERIC Educational Resources Information Center
Ploae-Hanganu, Mariana
1996-01-01
This article reflects the most significant advances made in the teaching and promotion of Portuguese in Romania in the past 20 years. The Portuguese program at the University of Bucharest is described as are special courses given in commemoration of landmark dates in Portuguese history and special events celebrating Portuguese history and culture.…
Translations on Eastern Europe, Political, Sociological, and Military Affairs, No. 1566
1978-07-20
Germany x Hungary x Poland x Romania Yugoslavia 17b. ldcntificr.s/Open-Ended Terms Propaganda Political Science Sociology Military...Energy Supply Problems (Slawomir Popowski; TRYBUNA LUDU, 29 Jun 78) 82 ROMANIA Manescu Addresses CEMA Session in Bucharest (Manea Manescu...the RCP Central Committee, the government of the Socialist Republic of Romania and to you personally, Comrade Manescu, for the warm reception
1987-02-18
17 Oct 86) 66 Plans To Develop Tourism in Danube Delta Zone (Marin Nitu; REVISTA ECONOMICA, No 42, 17 Oct 86) 71 MILITARY GERMAN DEMOCRATIC...20.3 14.7 among these: Musical instruments, sports equipment, toys, jewelry Wood products Textiles Products of agriculture and foodstuff...this advanced branch in Romania’s industry. 11,023 CSO: 2700/83 70 ECONOMY ROMANIA PLANS TO DEVELOP TOURISM IN DANUBE DELTA ZONE Bucharest
1986-10-28
the great church of the Cozia monastery affords us an opportunity to travel through the Romanian cultural space of the second half of the 14th...the twentieth century. In 1918 -1920 and again in 1941-1945 great regional, ethnic, material and political destruction affected the country. During the...2600/630 86 JPRS-EER-86-162 28 October 1986 POLITICS ROMANIA DRIVING PROBLEMS DISCUSSED, REMEDIES SUGGESTED Bucharest FLACARA in Romanian No 39
High-resolution airborne imaging DOAS measurements of NO2 above Bucharest during AROMAT
NASA Astrophysics Data System (ADS)
Meier, Andreas Carlos; Schönhardt, Anja; Bösch, Tim; Richter, Andreas; Seyler, André; Ruhtz, Thomas; Constantin, Daniel-Eduard; Shaiganfar, Reza; Wagner, Thomas; Merlaud, Alexis; Van Roozendael, Michel; Belegante, Livio; Nicolae, Doina; Georgescu, Lucian; Burrows, John Philip
2017-05-01
In this study we report on airborne imaging DOAS measurements of NO2 from two flights performed in Bucharest during the AROMAT campaign (Airborne ROmanian Measurements of Aerosols and Trace gases) in September 2014. These measurements were performed with the Airborne imaging Differential Optical Absorption Spectroscopy (DOAS) instrument for Measurements of Atmospheric Pollution (AirMAP) and provide nearly gapless maps of column densities of NO2 below the aircraft with a high spatial resolution of better than 100 m. The air mass factors, which are needed to convert the measured differential slant column densities (dSCDs) to vertical column densities (VCDs), have a strong dependence on the surface reflectance, which has to be accounted for in the retrieval. This is especially important for measurements above urban areas, where the surface properties vary strongly. As the instrument is not radiometrically calibrated, we have developed a method to derive the surface reflectance from intensities measured by AirMAP. This method is based on radiative transfer calculation with SCIATRAN and a reference area for which the surface reflectance is known. While surface properties are clearly apparent in the NO2 dSCD results, this effect is successfully corrected for in the VCD results. Furthermore, we investigate the influence of aerosols on the retrieval for a variety of aerosol profiles that were measured in the context of the AROMAT campaigns. The results of two research flights are presented, which reveal distinct horizontal distribution patterns and strong spatial gradients of NO2 across the city. Pollution levels range from background values in the outskirts located upwind of the city to about 4 × 1016 molec cm-2 in the polluted city center. Validation against two co-located mobile car-DOAS measurements yields good agreement between the datasets, with correlation coefficients of R = 0.94 and R = 0.85, respectively. Estimations on the NOx emission rate of Bucharest for the two flights yield emission rates of 15.1 ± 9.4 and 13.6 ± 8.4 mol s-1, respectively.
Solar efficient technologies for valorising an archaeological site in the rural area Romania
NASA Astrophysics Data System (ADS)
Tǎmǎşan, Maria; Mǎrǎcineanu, Cristian; Bica, Smaranda Maria
2015-12-01
The purpose of the study is finding viable methods of rehabilitation and re-use of the cultural heritage in rural areas by efficient contemporary technological and architectural solutions. In this respect, this paper describes the phases of an environmental-friendly intervention on an archaeological site near the village Şiria, Arad County, as case study, the expected results and the steps which must be taken in order to implement the proposal. The final aim is to create a complex and sustainable tourist attraction through musealisation, integrated in the already known, but poorly promoted tourist itinerary, known as The Wine Path - Şiria is in a wine-growing region first documented in the 9th century. The proposed design reflects our sustainable approach by combining local materials with non-invasive structural solutions and efficient solar technologies. The purpose of this approach is to reduce the building's maintenance costs nearly to 0 and to extend the visiting time of the archaeological site during the entire year, whatever the weather or season. The proposals are to be submitted to the County Council, having issued the Strategy for Tourist Development for Arad County, elaborated in 2011 by The Analysis for Institutional Development Centre - Bucharest.
ERIC Educational Resources Information Center
Nathanson, Jeanne H., Ed.
1992-01-01
This theme issue focuses on early intervention. The four articles presented on this theme are: (1) "Deaf Infants, Hearing Mothers: A Research Report" (Kathryn P. Meadow-Orlans, and others), reporting findings on effects of auditory loss on early development; (2) "Maintaining Involvement of Inner City Families in Early Intervention Programs through…
32 CFR Appendix E to Part 57 - DoD-CC on Early Intervention, Special Education, and Related Services
Code of Federal Regulations, 2013 CFR
2013-07-01
... 32 National Defense 1 2013-07-01 2013-07-01 false DoD-CC on Early Intervention, Special Education... SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN PROVISION OF EARLY INTERVENTION AND SPECIAL EDUCATION SERVICES TO ELIGIBLE DOD DEPENDENTS Pt. 57, App. E Appendix E to Part 57—DoD-CC on Early Intervention...
32 CFR Appendix E to Part 57 - DoD-CC on Early Intervention, Special Education, and Related Services
Code of Federal Regulations, 2014 CFR
2014-07-01
... 32 National Defense 1 2014-07-01 2014-07-01 false DoD-CC on Early Intervention, Special Education... SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN PROVISION OF EARLY INTERVENTION AND SPECIAL EDUCATION SERVICES TO ELIGIBLE DOD DEPENDENTS Pt. 57, App. E Appendix E to Part 57—DoD-CC on Early Intervention...
32 CFR Appendix E to Part 57 - DoD-CC on Early Intervention, Special Education, and Related Services
Code of Federal Regulations, 2012 CFR
2012-07-01
... 32 National Defense 1 2012-07-01 2012-07-01 false DoD-CC on Early Intervention, Special Education... SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN PROVISION OF EARLY INTERVENTION AND SPECIAL EDUCATION SERVICES TO ELIGIBLE DOD DEPENDENTS Pt. 57, App. E Appendix E to Part 57—DoD-CC on Early Intervention...
Early Intervention for Children with Disabilities: The Australian Experience.
ERIC Educational Resources Information Center
Pieterse, Moira, Ed.; And Others
A collection of papers on the Australian experience with early intervention for children with disabilities gives regional overviews, describes specific intervention programs, and discusses a variety of issues. Overviews are given of early intervention in Australia in general, New South Wales, Victoria, Queensland, South Australia, Western…
Fast Facts about Early Support for Infants and Toddlers (ESIT)
ERIC Educational Resources Information Center
Washington State Department of Early Learning, 2017
2017-01-01
This brief report provides facts about Early Support for Infants and Toddlers (ESIT) on the following topics: (1) What is the purpose of the IDEA Part C early intervention?; (2) Early intervention service delivery in Washington, July 1, 2015 through June 30, 2016; (3) Primary early intervention services; (4) What are the expected child outcomes?;…
Challenges and Limitations in Early Intervention
ERIC Educational Resources Information Center
Hadders-Algra, Mijna
2011-01-01
Research over the past three decades has shown that early intervention in infants biologically at risk of developmental disorders, irrespective of the presence of a brain lesion, is associated with improved cognitive development in early childhood without affecting motor development. However, at present it is unknown whether early intervention is…
Early Interventions: Keys to Successful Readers.
ERIC Educational Resources Information Center
Jeffreys, JoAnn; Spang, Joan
This action research outlines an early reading intervention project for improving students' reading skills and promoting the implementation of early reading intervention programs. The targeted population includes first and second grade students in one school located in the suburbs of a major city in Illinois. The problem of early reading…
[In-patient (early) rehabilitation].
Wallesch, Claus-W; Lautenschläger, Sindy
2017-04-01
It is difficult to develop the financing and hospital provision of interventions for early rehabilitation within the diagnosis-related group (DRG) system. In addition to a range of partially rehabilitative complex interventions, the system recognizes three main forms of early rehabilitative interventions: geriatric, neurological/neurosurgical, and interdisciplinary and others. In this article, the appropriate definitions and cost-effectiveness of these procedures are analyzed and compared. The early rehabilitative interventions are characterized by constant cooperation in the therapeutic team, especially neurological early rehabilitation through the incorporation of nursing as a therapeutic profession. Whereas geriatric and neurological early rehabilitation are reflected in the DRG system, the former provided in many general hospitals and the latter mainly in specialized institutions, interdisciplinary early rehabilitation has only occasionally been represented in the DRG system so far. If all acute in-patients who require early rehabilitation should receive such an intervention, an additional fee must be implemented for this this interdisciplinary service.
Fiorillo, Andrea; Sampogna, Gaia; Del Vecchio, Valeria; Luciano, Mario; Del Gaudio, Lucia; De Rosa, Corrado; Catapano, Francesco; Maj, Mario
2015-02-01
To assess: (i) trainees' educational needs on early intervention in psychiatry; (ii) their satisfaction and competence in early detection and management of patients with severe mental disorders; (iii) characteristics of training on prevention and on early intervention in psychiatry; and (iv) organizational and clinical differences of early intervention programmes and services in different countries. Sixty early career psychiatrists, recruited from the early career psychiatrists' network of the World Psychiatric Association, were invited to participate in the survey. Respondents were asked to provide the collective input of their trainees' association rather than that of any individual officer or member. An online survey was conducted using an ad hoc questionnaire consisting of 18 items. Thirty-five countries sent back the questionnaire (58.3%). University training in early intervention for mental disorders was provided in 13 countries (38%); 54% of respondents were not satisfied with received training and about half of them did not feel enough confident to provide specialistic interventions to patients at the onset of the disorder. Services for early intervention existed in 22 countries (63%). The most frequently available were those for schizophrenia (75%). Informative campaigns on mental disorders were usually carried out in almost all surveyed countries (85%). Although prevention and early intervention represent one of the current paradigms of psychiatric practice and research, efforts are still needed in order to improve training programmes at university sites. © 2013 Wiley Publishing Asia Pty Ltd.
Bond, G R; Drake, R E; Luciano, A
2015-10-01
Young adults with early psychosis want to pursue normal roles - education and employment. This paper summarises the empirical literature on the effectiveness of early intervention programmes for employment and education outcomes. We conducted a systematic review of employment/education outcomes for early intervention programmes, distinguishing three programme types: (1) those providing supported employment, (2) those providing unspecified vocational services and (3) those without vocational services. We summarised findings for 28 studies. Eleven studies evaluated early intervention programmes providing supported employment. In eight studies that reported employment outcomes separately from education outcomes, the employment rate during follow-up for supported employment patients was 49%, compared with 29% for patients receiving usual services. The two groups did not differ on enrolment in education. In four controlled studies, meta-analysis showed that the employment rate for supported employment participants was significantly higher than for control participants, odds ratio = 3.66 [1.93-6.93], p < 0.0001. Five studies (four descriptive and one quasi-experimental) of early intervention programmes evaluating unspecified vocational services were inconclusive. Twelve studies of early intervention programmes without vocational services were methodologically heterogeneous, using diverse methods for evaluating vocational/educational outcomes and precluding a satisfactory meta-analytic synthesis. Among studies with comparison groups, 7 of 11 (64%) reported significant vocational/education outcomes favouring early intervention over usual services. In early intervention programmes, supported employment moderately increases employment rates but not rates of enrolment in education. These improvements are in addition to the modest effects early programmes alone have on vocational/educational outcomes compared with usual services.
Fadeout in an Early Mathematics Intervention: Constraining Content or Preexisting Differences?
ERIC Educational Resources Information Center
Bailey, Drew H.; Nguyen, Tutrang; Jenkins, Jade Marcus; Domina, Thurston; Clements, Douglas H.; Sarama, Julie S.
2016-01-01
A robust finding across research on early childhood educational interventions is that the treatment effect diminishes over time, with children not receiving the intervention eventually catching up to children who did. One popular explanation for fadeout of early mathematics interventions is that elementary school teachers may not teach the kind of…
Intervention of Behavioural, Cognitive and Sex on Early Childhood's Aggressive Behaviour
ERIC Educational Resources Information Center
Purwati; Japar, Muhammad
2015-01-01
This study aims to find out the effect of behavioural intervention, cognitive intervention, and sex intervention toward the aggressive behaviour of early childhood. The study is conducted at two non-formal institutions of Education on Early Childhood in Magelang. This study obtains the data from two experimental groups consisting of 14 early…
The Early Risers Preventive Intervention: Testing for Six-year Outcomes and Mediational Processes
ERIC Educational Resources Information Center
Bernat, Debra H.; August, Gerald J.; Hektner, Joel M.; Bloomquist, Michael L.
2007-01-01
We examined effects of the Early Risers "Skills for Success" early-age-targeted prevention program on serious conduct problems following 5 years of continuous intervention and one year of follow-up. We also examined if intervention effects on proximally-targeted variables found after 3 years mediated intervention effects on conduct…
A Community-Based Early Intervention Program for Toddlers with Autism Spectrum Disorders
ERIC Educational Resources Information Center
Rollins, Pamela Rosenthal; Campbell, Michelle; Hoffman, Renee Thibodeau; Self, Kayli
2016-01-01
This study examined Pathways Early Autism Intervention, a community-based, parent-mediated, intensive behavioral and developmental intervention program for children with autism spectrum disorders that could be used as a model for state-funded early intervention programs. A single-subject, multiple-baseline, across-participants design was used.…
1988-02-03
validity of decades old dogmas are being openly questioned and the revelation of the historic truth concerning little known passages of development...agreements between the Little Entente and Hungary. Related negotiations took place in July, in Bucharest. At that point in time Roma- nia experienced one...convention was demanded in such cases. It has to be stressed that the word spontaneous is a little misleading, since there were usually groups behind the
East Europe Report, Political, Sociological and Military Affairs, No. 2102
1983-01-31
Sport and Tourism Publishing House/ of Bucharest. It is an inexpensive mass publication .costing a mere 8 lei, and according to the appendix, the...educational function. The primary work of the groups of occupational artistic activity are yearly reviews, competitions, festivals and celebrations of... festival of drama and the artistic word in Medzilaborcie, the festival of Ukrainian folklore and group singing in in Kamienka and finally the annual
ERIC Educational Resources Information Center
Saunders, Lyle; Harkavy, Oscar
This essay traces the actions taken by governments and private agencies in the past two decades to limit population growth and examines the growing emphasis on linking population and development concerns. It was presented to the annual conference of the Ford Foundation's International Division on September 22, 1975. The time between the end of…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Cook, W.J.; Brown, W.R.; Siwajek, L.
1998-09-01
The project is a landfill gas to energy project rated at about 4 megawatts (electric) at startup, increasing to 8 megawatts over time. The project site is Boului Landfill, near Bucharest, Romania. The project improves regional air quality, reduces emission of greenhouse gases, controls and utilizes landfill methane, and supplies electric power to the local grid. The technical and economic feasibility of pre-treating Boului landfill gas with Acrion`s new landfill gas cleanup technology prior to combustion for power production us attractive. Acrion`s gas treatment provides several benefits to the currently structured electric generation project: (1) increase energy density of landfillmore » gas from about 500 Btu/ft{sup 3} to about 750 Btu/ft{sup 3}; (2) remove contaminants from landfill gas to prolong engine life and reduce maintenance;; (3) recover carbon dioxide from landfill gas for Romanian markets; and (4) reduce emission of greenhouse gases methane and carbon dioxide. Greenhouse gas emissions reduction attributable to successful implementation of the landfill gas to electric project, with commercial liquid CO{sub 2} recovery, is estimated to be 53 million metric tons of CO{sub 2} equivalent of its 15 year life.« less
Zwönitzer, Annabel; Ziegenhain, Ute; Bovenschen, Ina; Pillhofer, Melanie; Spangler, Gottfried; Gerlach, Jennifer; Gabler, Sandra; Kindler, Heinz; Fegert, Jörg M; Künster, Anne Katrin
2016-01-01
Early intervention programs aiming at developing parents’ relationship and parenting skills and supporting young families have become increasingly established in Germany throughout the last decade. The present longitudinal study analyzed 53 children and their mothers receiving early intervention due to their psychosocially highly challenging life situations and personal circumstances. The children were examined at birth and at an age of twelve months as well as between ages two and four. The results revealed that the child’s cognitive development could be predicted by both maternal sensitivity and mother’s psychosocial stress. However, the amount, type, and intensity of early intervention did not have any effect on the child’s development. In terms of the effectiveness of early interventions the results implicate that interventions seems to be offered in an unspecific manner and does not contribute to an improvement of the child’s developmental status.
Early Intervention: A Multicultural Perspective on d/Deaf and Hard of Hearing Multilingual Learners.
Sandy, K Bowen
2016-01-01
Today's pluralistic society is characterized by families from many linguistic and cultural backgrounds, including families with infants and toddlers who are deaf or hard of hearing (d/Dhh). Taking a multicultural perspective, the author examines family-centered early intervention (FCEI) and the transition to school services for children who are d/Dhh. Working with d/Dhh Multilingual Learners (DMLs) and their families presents a unique challenge to early intervention professionals: ensuring that families have adequate information and resources to make informed choices, particularly regarding communication. The author presents information and research related to (a) family and professional partnerships, (b) cultural contexts for early intervention, (c) family communication decisions and linguistic diversity, (d) emerging research on DMLs, (e) considerations for early intervention providers and interpreters who work with culturally and linguistically diverse d/Dhh infants and toddlers, and (f) cultural reflections on ensuring smooth transitions from early intervention into preschool programs.
Early Services for Children with Special Needs: Transactions for Family Support.
ERIC Educational Resources Information Center
Healy, Alfred; And Others
The book is intended to link knowledge and application in early intervention services for very young disabled and at-risk children. An introductory chapter analyzes major issues and sources of controversy in the field: family support and the nature of early intervention, parental empowerment and involvement, the science of early intervention,…
34 CFR 303.361 - Personnel standards.
Code of Federal Regulations, 2010 CFR
2010-07-01
... trained personnel to provide early intervention services to eligible children, including, in a geographic... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Program and Service Components of a Statewide System of Early Intervention Services Personnel...
Behavioural and skill-based early interventions in children with autism spectrum disorders
Weinmann, Stefan; Schwarzbach, Christoph; Begemann, Matthias; Roll, Stephanie; Vauth, Christoph; Willich, Stefan N.; Greiner, Wolfgang
2009-01-01
Introduction Autism spectrum disorders (ASD) comprise typical or infantile autism (Kanner syndrome), Asperger’s disorder and atypical autism or pervasive developmental disorder - not otherwise specified. The syndrome is characterized by deficits in (1) verbal and nonverbal communication, (2) reciprocal social interaction and (3) repetitive patterns of behaviour, interests and activities. Early behavioural interventions are based on learning theory and behaviour therapy. They take into account specific deficits in perception, emotional reactions, social interaction and communication. In Germany, these comprehensive models are not widely evaluated and implemented. Research questions What are the clinical effectiveness and safety of early behavioural or skills-based early interventions in autism compared to other interventions or to treatment as usual? What are specific factors responsible for the effectiveness? What are the cost-effectiveness and cost consequences of different early interventions in autism? Which legal, social and ethical aspects are relevant with regard to the implementation of the respective interventions in persons with autism? Methods Following a systematic review of the literature, controlled studies on early behavioural or skills-based interventions published since 2000 in English or German with children until the age of twelve are included and critically appraised. Studies must have at least ten participants per intervention group. Results In total, 15 publications based on 14 studies, eight systematic reviews and one health economic study are included. Most studies evaluate early interventions based upon the Lovaas model (Early intensive behavioural treatment (EIBT), Applied behavioural analysis (ABA)). Other evaluate pragmatic interventions or interventions based on other theoretical models like specific parent interventions, responsive education and prelinguistic milieu teaching, joint attention, symbolic play, and picture exchange communication system. Behaviour analytic interventions referring to the Lovaas model remain the most empirically evaluated early interventions in autism. Preschool children with autism can achieve improvements in cognitive and functional domains when treated within behavioural interventions with a frequency of at least 20 hours per week. It is not clear which is the minimum duration of effective interventions, and which active components are necessary for the effectiveness. There was no high quality evidence for other comprehensive early interventions. The identified health economic study is not suitable to evaluate the cost-effectiveness or cost consequences of early interventions. No publications concerning legal, ethical or social aspects were identified. The financial situation of persons with autisms and their families will be improved through the implementation of the “Pflege-Weiterententwicklungsgesetz” (Pf-WG). Further questions concern the organisation of care and the legal representation of autistic patients. Ethical questions arise mainly in the context of the equal supply of care to each individual patient in all regions of the country and the situation of the caregivers. Discussion There are only a few studies with high methodology evaluating early interventions in children with autism. Most studies have a short duration with a lack of blinded outcome assessment in many cases. The lack of high quality comparative studies does not allow answering questions of comparative effectiveness of early interventions in autism. It can be concluded that interventions referring to the Lovaas model seem to have the highest effectiveness. This seems to be especially true when they are run clinic-based. However, there was no solid evidence with regard to factors responsible for the effectiveness of programms according to the ABA model. With regard to communication improvement, a systematic parent training seems to be superior to treatment as usual where a mixture of therapeutic elements is used. As well for clinical and health economic studies there is a substantial problem of generalisability into the German context. The identified health economic study is not suitable to evaluate the cost-effectiveness or cost consequences of early interventions. Conclusion Based on the available studies, there is no sufficient evidence for any of the evaluated behavioural early intervention programmes. Studies suggest that preschool children with autism in behavioural intervention programmes with a frequency of at least 20 hours per week can achieve improvements in cognitive and functional domains. There is no evidence that in a substantial portion of the children a normal development can be achieved by early interventions. Most research evidence is available for ABA. A minimal necessary intensity of interventions to achieve positive outcomes cannot be derived from literature. There are no valid statements possible as to cost-effectiveness or consequences of these interventions. Effective early interventions may reduce total autism costs in the long run. This may be achieved when the initial high treatment expenditures are more than compensated later if persons with this disorder have better social functioning. PMID:21289897
Behavioural and skill-based early interventions in children with autism spectrum disorders.
Weinmann, Stefan; Schwarzbach, Christoph; Begemann, Matthias; Roll, Stephanie; Vauth, Christoph; Willich, Stefan N; Greiner, Wolfgang
2009-07-29
Autism spectrum disorders (ASD) comprise typical or infantile autism (Kanner syndrome), Asperger's disorder and atypical autism or pervasive developmental disorder - not otherwise specified. The syndrome is characterized by deficits in (1) verbal and nonverbal communication, (2) reciprocal social interaction and (3) repetitive patterns of behaviour, interests and activities. Early behavioural interventions are based on learning theory and behaviour therapy. They take into account specific deficits in perception, emotional reactions, social interaction and communication. In Germany, these comprehensive models are not widely evaluated and implemented. What are the clinical effectiveness and safety of early behavioural or skills-based early interventions in autism compared to other interventions or to treatment as usual?What are specific factors responsible for the effectiveness?What are the cost-effectiveness and cost consequences of different early interventions in autism?Which legal, social and ethical aspects are relevant with regard to the implementation of the respective interventions in persons with autism? Following a systematic review of the literature, controlled studies on early behavioural or skills-based interventions published since 2000 in English or German with children until the age of twelve are included and critically appraised. Studies must have at least ten participants per intervention group. In total, 15 publications based on 14 studies, eight systematic reviews and one health economic study are included. Most studies evaluate early interventions based upon the Lovaas model (Early intensive behavioural treatment (EIBT), Applied behavioural analysis (ABA)). Other evaluate pragmatic interventions or interventions based on other theoretical models like specific parent interventions, responsive education and prelinguistic milieu teaching, joint attention, symbolic play, and picture exchange communication system. Behaviour analytic interventions referring to the Lovaas model remain the most empirically evaluated early interventions in autism. Preschool children with autism can achieve improvements in cognitive and functional domains when treated within behavioural interventions with a frequency of at least 20 hours per week. It is not clear which is the minimum duration of effective interventions, and which active components are necessary for the effectiveness. There was no high quality evidence for other comprehensive early interventions. The identified health economic study is not suitable to evaluate the cost-effectiveness or cost consequences of early interventions. No publications concerning legal, ethical or social aspects were identified. The financial situation of persons with autisms and their families will be improved through the implementation of the "Pflege-Weiterententwicklungsgesetz" (Pf-WG). Further questions concern the organisation of care and the legal representation of autistic patients. Ethical questions arise mainly in the context of the equal supply of care to each individual patient in all regions of the country and the situation of the caregivers. There are only a few studies with high methodology evaluating early interventions in children with autism. Most studies have a short duration with a lack of blinded outcome assessment in many cases. The lack of high quality comparative studies does not allow answering questions of comparative effectiveness of early interventions in autism. It can be concluded that interventions referring to the Lovaas model seem to have the highest effectiveness. This seems to be especially true when they are run clinic-based. However, there was no solid evidence with regard to factors responsible for the effectiveness of programms according to the ABA model. With regard to communication improvement, a systematic parent training seems to be superior to treatment as usual where a mixture of therapeutic elements is used. As well for clinical and health economic studies there is a substantial problem of generalisability into the German context. The identified health economic study is not suitable to evaluate the cost-effectiveness or cost consequences of early interventions. Based on the available studies, there is no sufficient evidence for any of the evaluated behavioural early intervention programmes. Studies suggest that preschool children with autism in behavioural intervention programmes with a frequency of at least 20 hours per week can achieve improvements in cognitive and functional domains. There is no evidence that in a substantial portion of the children a normal development can be achieved by early interventions. Most research evidence is available for ABA. A minimal necessary intensity of interventions to achieve positive outcomes cannot be derived from literature. There are no valid statements possible as to cost-effectiveness or consequences of these interventions. Effective early interventions may reduce total autism costs in the long run. This may be achieved when the initial high treatment expenditures are more than compensated later if persons with this disorder have better social functioning.
Early Intervention and AAC: What a Difference 30 Years Makes.
Romski, MaryAnn; Sevcik, Rose A; Barton-Hulsey, Andrea; Whitmore, Ani S
2015-01-01
This article provides an overview of early intervention and AAC over the 30-year period since the founding of the journal Augmentative and Alternative Communication in 1985. It discusses the global context for early intervention and addresses issues pertaining to young children from birth to 6 years of age. It provides a narrative review and synthesis of the evidence base in AAC and early intervention. Finally, it provides implications for practice and future research directions.
Responses to Struggling, K-2 Readers and Writers: Early Literacy Intervention in Three Urban Schools
ERIC Educational Resources Information Center
Mooney, Kathleen C.
2009-01-01
An abundance of research on early literacy intervention indicates that struggling, K-2 readers and writers can be effectively supported through the receipt of intervention services in school; however, research in the area has not yet addressed study of the unique, contextualized design and implementation of early literacy intervention in different…
ERIC Educational Resources Information Center
Lyons, Rena; O'Malley, Mary Pat; O'Connor, Patricia; Monaghan, Una
2010-01-01
Little research to date explores parental experiences of early intervention. This study uses action research over a six-month period to explore the expectations and experiences of parents whose children attended an early-intervention group for speech/language impairments. This intervention programme was facilitated by a speech and language…
ERIC Educational Resources Information Center
Amendum, Steven J.
2014-01-01
The purpose of the current mixed-methods study was to investigate a model of professional development and classroom-based early reading intervention implemented by the 1st-grade teaching team in a large urban/suburban school district in the southeastern United States. The intervention provided teachers with ongoing embedded professional…
ERIC Educational Resources Information Center
Wainer, Allison L.; Hepburn, Susan; McMahon Griffith, Elizabeth
2017-01-01
The goal of this review is to advance the discussion regarding meaningful outcomes of early intervention for children with autism spectrum disorder. The rapid growth in the development and evaluation of early intervention approaches for autism spectrum disorder includes both therapist-driven and parent-mediated interventions. The majority of…
34 CFR 303.361 - Personnel standards.
Code of Federal Regulations, 2011 CFR
2011-07-01
... with State law, regulations, or written policy, to assist in the provision of early intervention... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Program and Service Components of a Statewide System of Early Intervention Services Personnel...
34 CFR 303.119 - Personnel standards.
Code of Federal Regulations, 2012 CFR
2012-07-01
... accordance with State law, regulation, or written policy to assist in the provision of early intervention... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH... apply to the profession, discipline, or area in which personnel are providing early intervention...
34 CFR 303.119 - Personnel standards.
Code of Federal Regulations, 2013 CFR
2013-07-01
... accordance with State law, regulation, or written policy to assist in the provision of early intervention... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH... apply to the profession, discipline, or area in which personnel are providing early intervention...
34 CFR 303.523 - Interagency agreements.
Code of Federal Regulations, 2010 CFR
2010-07-01
... agency for paying for early intervention services (consistent with State law and the requirements of this... AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND... interagency agreements with other State-level agencies involved in the State's early intervention program...
34 CFR 303.523 - Interagency agreements.
Code of Federal Regulations, 2011 CFR
2011-07-01
... agency for paying for early intervention services (consistent with State law and the requirements of this... AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND... interagency agreements with other State-level agencies involved in the State's early intervention program...
34 CFR 303.119 - Personnel standards.
Code of Federal Regulations, 2014 CFR
2014-07-01
... accordance with State law, regulation, or written policy to assist in the provision of early intervention... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH... apply to the profession, discipline, or area in which personnel are providing early intervention...
34 CFR 303.301 - Central directory.
Code of Federal Regulations, 2010 CFR
2010-07-01
... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Program and Service Components of a Statewide System of Early Intervention Services General § 303...) Public and private early intervention services, resources, and experts available in the State; (2...
Code of Federal Regulations, 2010 CFR
2010-07-01
... written plan for providing early intervention services to a child eligible under this part and the child's... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Program and Service Components of a Statewide System of Early Intervention Services Individualized...
34 CFR 303.301 - Central directory.
Code of Federal Regulations, 2011 CFR
2011-07-01
... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Program and Service Components of a Statewide System of Early Intervention Services General § 303...) Public and private early intervention services, resources, and experts available in the State; (2...
Fowler, David; Hodgekins, Jo; French, Paul; Marshall, Max; Freemantle, Nick; McCrone, Paul; Everard, Linda; Lavis, Anna; Jones, Peter B; Amos, Tim; Singh, Swaran; Sharma, Vimal; Birchwood, Max
2018-01-01
Provision of early intervention services has increased the rate of social recovery in patients with first-episode psychosis; however, many individuals have continuing severe and persistent problems with social functioning. We aimed to assess the efficacy of early intervention services augmented with social recovery therapy in patients with first-episode psychosis. The primary hypothesis was that social recovery therapy plus early intervention services would lead to improvements in social recovery. We did this single-blind, phase 2, randomised controlled trial (SUPEREDEN3) at four specialist early intervention services in the UK. We included participants who were aged 16-35 years, had non-affective psychosis, had been clients of early intervention services for 12-30 months, and had persistent and severe social disability, defined as engagement in less than 30 h per week of structured activity. Participants were randomly assigned (1:1), via computer-generated randomisation with permuted blocks (sizes of four to six), to receive social recovery therapy plus early intervention services or early intervention services alone. Randomisation was stratified by sex and recruitment centre (Norfolk, Birmingham, Lancashire, and Sussex). By necessity, participants were not masked to group allocation, but allocation was concealed from outcome assessors. The primary outcome was time spent in structured activity at 9 months, as measured by the Time Use Survey. Analysis was by intention to treat. This trial is registered with ISRCTN, number ISRCTN61621571. Between Oct 1, 2012, and June 20, 2014, we randomly assigned 155 participants to receive social recovery therapy plus early intervention services (n=76) or early intervention services alone (n=79); the intention-to-treat population comprised 154 patients. At 9 months, 143 (93%) participants had data for the primary outcome. Social recovery therapy plus early intervention services was associated with an increase in structured activity of 8·1 h (95% CI 2·5-13·6; p=0·0050) compared with early intervention services alone. No adverse events were deemed attributable to study therapy. Our findings show a clinically important benefit of enhanced social recovery on structured activity in patients with first-episode psychosis who received social recovery therapy plus early intervention services. Social recovery therapy might be useful in improving functional outcomes in people with first-episode psychosis, particularly in individuals not motivated to engage in existing psychosocial interventions targeting functioning, or who have comorbid difficulties preventing them from doing so. National Institute for Health Research. Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.
O'Connor, Amanda; Blewitt, Claire; Nolan, Andrea; Skouteris, Helen
2018-06-01
Supporting children's social and emotional learning benefits all elements of children's development and has been associated with positive mental health and wellbeing, development of values and life skills. However, literature relating to the creation of interventions designed for use within the early childhood education and care settings to support children's social and emotional skills and learning is lacking. Intervention Mapping (IM) is a systematic intervention development framework, utilising principles centred on participatory co-design methods, multiple theoretical approaches and existing literature to enable effective decision-making during the development process. Early childhood pedagogical programs are also shaped by these principles; however, educators tend to draw on implicit knowledge when working with families. IM offers this sector the opportunity to formally incorporate theoretical, evidence-based research into the development of early childhood education and care social and emotional interventions. Emerging literature indicates IM is useful for designing health and wellbeing interventions for children within early childhood education and care settings. Considering the similar underlying principles of IM, existing applications within early childhood education and care and development of interventions beyond health behaviour change, it is recommended IM be utilised to design early childhood education and care interventions focusing on supporting children's social and emotional development. Copyright © 2018 Elsevier Ltd. All rights reserved.
A Small Group Model for Early Intervention in Literacy: Group Size and Program Effects.
ERIC Educational Resources Information Center
Homan, Susan; King, James R.; Hogarty, Kris
Over the last 2 years, Accelerated Literacy Learning (ALL) has experimented with the small group model in early literacy intervention, with success comparable to that in one-to-one intervention. There can be little doubt that intervention provided to struggling readers is most effectively initiated at an early stage. The ALL program was conceived…
Raghubar, Kimberly P; Barnes, Marcia A
2017-02-01
The goals are to (1) provide a review of the typical and atypical development of early numeracy; (2) present what is known about the neurocognitive underpinnings of early numeracy; and (3) discuss the implications for early assessment and intervention. Studies on the development of typical and atypical early numeracy are reviewed with a particular focus on longitudinal findings including those from our work on spina bifida myelomeningocele. Implications of this research for assessment are presented. The paper ends with a discussion of early math interventions. Learning to count, identify numbers, and compare and manipulate quantities are key early numeracy skills. These are powerful predictors of school-age mathematical learning and performance. General neurocognitive abilities such as working memory and language, are also important for the development of early numeracy. It is recommended that early assessment for risk of mathematical learning difficulties include tests of both early number knowledge and key neurocognitive abilities. Math-specific interventions are most effective for improving early numeracy. There is currently little evidence that training of general cognitive functions transfers to mathematical learning. Understanding the development of early numeracy skills and their neurocognitive predictors offer important insights into early assessment and intervention for children at risk for or with mathematical learning difficulties.
Prevention and early intervention to improve mental health in higher education students: a review.
Reavley, Nicola; Jorm, Anthony F
2010-05-01
The age at which most young people are in higher education is also the age of peak onset for mental and substance use disorders, with these having their first onset before age 24 in 75% of cases. In most developed countries, over 50% of young people are in higher education. To review the evidence for prevention and early intervention in mental health problems in higher education students. The review was limited to interventions targeted to anxiety, depression and alcohol misuse. Interventions to review were identified by searching PubMed, PsycINFO and the Cochrane Database of Systematic Reviews. Interventions were included if they were designed to specifically prevent or intervene early in the general (non-health professional) higher education student population, in one or more of the following areas: anxiety, depression or alcohol misuse symptoms, mental health literacy, stigma and one or more behavioural outcomes. For interventions to prevent or intervene early for alcohol misuse, evidence of effectiveness is strongest for brief motivational interventions and for personalized normative interventions delivered using computers or in individual face-to-face sessions. Few interventions to prevent or intervene early with depression or anxiety were identified. These were mostly face-to-face, cognitive-behavioural/skill-based interventions. One social marketing intervention to raise awareness of depression and treatments showed some evidence of effectiveness. There is very limited evidence that interventions are effective in preventing or intervening early with depression and anxiety disorders in higher education students. Further studies, possibly involving interventions that have shown promise in other populations, are needed.
ERIC Educational Resources Information Center
Fukkink, Ruben; Jilink, Lisanne; Oostdam, Ron
2017-01-01
Following on from successful early intervention programs abroad, the Netherlands also introduced a number of different programs to tackle educational disadvantage in preschool and early years education. Studies that investigate the effects of Dutch early childhood interventions have been published since 2000. This meta-analytic review study…
ERIC Educational Resources Information Center
Larmar, Stephen; Gatfield, Terry
2007-01-01
The Early Impact (EI) program is an early intervention and prevention program for reducing the incidence of conduct problems in pre-school aged children. The EI intervention framework is ecological in design and includes universal and indicated components. This paper delineates key principles and associated strategies that underpin the EI program.…
Design, delivery, and evaluation of early interventions for children exposed to acute trauma
Kassam-Adams, Nancy
2014-01-01
Background Exposure to acute, potentially traumatic events is an unfortunately common experience for children and adolescents. Posttraumatic stress (PTS) responses following acute trauma can have an ongoing impact on child development and well-being. Early intervention to prevent or reduce PTS responses holds promise but requires careful development and empirical evaluation. Objectives The aims of this review paper are to present a framework for thinking about the design, delivery, and evaluation of early interventions for children who have been exposed to acute trauma; highlight targets for early intervention; and describe next steps for research and practice. Results and conclusions Proposed early intervention methods must (1) have a firm theoretical grounding that guides the design of intervention components; (2) be practical for delivery in peri-trauma or early post-trauma contexts, which may require creative models that go outside of traditional means of providing services to children; and (3) be ready for evaluation of both outcomes and mechanisms of action. This paper describes three potential targets for early intervention—maladaptive trauma-related appraisals, excessive early avoidance, and social/interpersonal processes—for which there is theory and evidence suggesting an etiological role in the development or persistence of PTS symptoms in children. PMID:25018860
34 CFR 303.501 - Permissive use of funds by the lead agency.
Code of Federal Regulations, 2014 CFR
2014-07-01
... SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR... and necessary for implementing the State's early intervention program for infants and toddlers with disabilities including funds— (a) For direct early intervention services for infants and toddlers with...
34 CFR 303.501 - Permissive use of funds by the lead agency.
Code of Federal Regulations, 2013 CFR
2013-07-01
... SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR... and necessary for implementing the State's early intervention program for infants and toddlers with disabilities including funds— (a) For direct early intervention services for infants and toddlers with...
34 CFR 303.443 - Impartial due process hearing.
Code of Federal Regulations, 2014 CFR
2014-07-01
... AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND... early intervention services of the infant or toddler, as determined under State statute, State... in the early intervention services or care of the infant or toddler; or (B) A person having a...
34 CFR 303.443 - Impartial due process hearing.
Code of Federal Regulations, 2013 CFR
2013-07-01
... AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND... early intervention services of the infant or toddler, as determined under State statute, State... in the early intervention services or care of the infant or toddler; or (B) A person having a...
34 CFR 303.501 - Permissive use of funds by the lead agency.
Code of Federal Regulations, 2012 CFR
2012-07-01
... SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR... and necessary for implementing the State's early intervention program for infants and toddlers with disabilities including funds— (a) For direct early intervention services for infants and toddlers with...
34 CFR 303.405 - Parent right to decline service.
Code of Federal Regulations, 2011 CFR
2011-07-01
... members will accept or decline any early intervention service under this part in accordance with State law, and may decline such a service after first accepting it, without jeopardizing other early intervention... AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND...
34 CFR 303.346 - Responsibility and accountability.
Code of Federal Regulations, 2010 CFR
2010-07-01
... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Program and Service Components of a Statewide System of Early Intervention... agency or person who has a direct role in the provision of early intervention services is responsible for...
A Literature Review of Early Intervention.
ERIC Educational Resources Information Center
Panitch, Melanie
This review of the literature on early childhood intervention with special needs children provides a Canadian perspective on theory, models, program development, effects, and training. After an introductory chapter, the second chapter identifies theoretical influences on early childhood intervention, including the work of Piaget, Bronfenbrenner,…
Pira, Shamira; Durr, Georges; Pawliuk, Nicole; Joober, Ridha; Malla, Ashok
2013-11-01
Specialized early intervention services for first-episode psychosis should treat a proportion of patients without using inpatient beds. This study compared such service users by their initial mode of treatment before entry-inpatient (N=157) or outpatient (N=102). On entry to a Montreal early intervention service, the groups were compared on baseline clinical and functional variables and on hospitalizations during two years of treatment. Initial presentation at an emergency service, shorter duration of untreated psychosis, lower functioning level, and aggressive and bizarre behavior were associated with the inpatient entry mode to early intervention services. During follow-up, individuals entering as inpatients spent more days hospitalized than those entering as outpatients, and their time to rehospitalization was shorter. Results suggest that entry into early intervention services via the hospital emergency department and presentation with behavioral and functional disturbances were more predictive than core psychotic symptoms of hospital inpatient status on referral to an early intervention service.
Flying Reactors: The Political Feasibility of Nuclear Power in Space
2005-04-01
compared to the naval nuclear submarine program. It is also clear that SNP quickly became a victim of the general fear and anxiety that ground-based...in the body, particularly the lungs, are thought to cause lung cancer . Fear of a plutonium release is not without precedent. In 1964 a US navigational...Jonah House (Baltimore, MD) Kalamazoo Area Coalition for Peace and Justice Leicester Campaign for Nuclear Disarmament Mama Terra Romania (Bucharest
Translations on Eastern Europe Scientific Affairs No. 541.
1977-04-08
studies of seismic risk and zoning were also presented at two conferences, one held in Bucharest in May 197^, and the other in Skopje in April 1975...That is where the experts and specialists presented the results of their research in seismic zoning, recurrence periods for earthquakes...Urancei region around the year 2D8D. This forecast is based on the theory of extreme values and seismic cycles. At the present time, other
Translations on Eastern Europe, Political, Sociological and Military Affairs, Number 1598.
1978-10-17
Approved for Public Release Distribution Unlimited 20000414 091 U. S. JOINT PUBLICATIONS RESEARCH SERVICE Reproduced From Best Available Copy i M ■1...MUNCA DE PARTID, Aug 78) 52 More Militancy Needed in Publications for Youth ( Alecu Popovici; ERA SOCIALISTA, 20 Aug 78) 58 Briefs...PUBLICATIONS FOR YOUTH Bucharest ERA SOCIALISTA in Romanian No 16, 20 Aug 78 pp 36, 37 /Article by Alecu Popovici_7 ZText/ Analyzing all the great literary
Epidemiological and etiological aspects of burning mouth syndrome.
Coculescu, E C; Tovaru, S; Coculescu, B I
2014-09-15
Burning mouth syndrome (BMS) is defined as a chronic pain condition characterized by a burning sensation in clinically healthy oral mucosa. Incidence BMS diagnosed in the Department of Oral Medicine - Oral Pathology Dental Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy Bucharest is 16,23%. The etiology of BMS remains far less known. This article makes an overview of the latest theories about possible etiopathogenic factors involved in the occurrence of BMS.
Translations on Eastern Europe, Economic and Industrial Affairs, Number 1805
1978-10-26
agriculture must also be men - tioned. Partly because those who requested loans here, pledge for the most part not additional export, but production of...through the joint efforts of the millions of builders of socialism — men and women, Romanians, Hungarians, Germans, and other nationals, young and old...Bucharest, Farmec of Cluj-IMapoca, and Nivea of Brasov; synthetic washing products manufactured by the detergent enterprises of Timisoara and Ploesti; a
Stop the Insanity: Halt NATO Enlargement to Salvage Relations with Russia
2009-02-12
America’s Undeclared War, 1918 -1920 (Dulles, VA: Brassey’s, 2003), iii. 9 For further discussion of Nazi operations within Russia, see Colonel...2009). 10 against communist authority, by the year’s end Bulgaria, Czechoslovakia, Hungary, Poland and Romania had joined East Germany in...Bucharest, Romania , 4 April 2008, http://www.kremlin.ru/eng/text/speeches/2008/04/04/1949_type82915_163150.shtml (accessed December 2008). 57 Adam
Translations on Eastern Europe, Scientific Affairs, Number 526.
1976-10-28
by Maria Preda] [Question]^ Last week, Bucharest played host to the International Apitherapy Symposium, whose topic was "Apicultural Products and...their Technology." Could you tell us what was the goal of this meeting? [Answer] During the last 10-15 years, apitherapy — the use of apicultural...specialists — the symposium heard some very fruitful discussions of a high scientific level. More than 70 papers on various aspects of apitherapy were
ERIC Educational Resources Information Center
Cartledge, Gwendolyn; Yurick, Amanda; Singh, Angella Harjani; Keyes, Starr E.; Kourea, Lefki
2011-01-01
Early intervention to mitigate special education and reading risk is especially critical for low socioeconomic and minority learners. This study examined the lasting effects of an early reading intervention package of phonemic awareness on the reading skills of 38 second-grade students one and two years after intervention ended. The participants…
The EHDI and Early Intervention Connection
ERIC Educational Resources Information Center
Nelson, Lauri; Bradham, Tamala S.; Houston, K. Todd
2011-01-01
State coordinators of early hearing detection and intervention (EHDI) programs completed a strengths, weaknesses, opportunities, and threats, or SWOT, analysis that examined 12 areas within state EHDI programs. For the early intervention focus question, 48 coordinators listed 273 items, and themes were identified within each SWOT category. A…
Entitled to What? Public Policy and the Responsibilities of Early Intervention.
ERIC Educational Resources Information Center
Brown, Wesley; Conroy, Maureen
1999-01-01
Examines early-intervention entitlements currently extended by all states. Perspectives from the legislative process, federal and state implementation, judicial interpretation, and professional views are included. Distinctions among the key provisions for differing early intervention service systems are presented, legal cases are reviewed, and…
Collaboration: Putting the Puzzle Pieces Together.
ERIC Educational Resources Information Center
Bruder, Mary Beth
These training materials derive from a personnel preparation special project that developed, implemented, and evaluated a teaching model on collaborations necessary for effective delivery of early intervention. Module 1 provides an overview of the history of early intervention and the legal statutes that define early intervention. Module 2…
Ethics and Early Intervention: Toward More Relationship-Focused Interventions.
ERIC Educational Resources Information Center
Able-Boone, Harriet
1996-01-01
The ethical issues surrounding early intervention services to young children with disabilities are discussed. The conflict between parental autonomy and paternalistic interventions is evaluated. Value-based intervention decisions, such as parent choice of alternative therapies, refusal of services, and family-centered versus child-centered care,…
Tonge, Bruce J; Bull, Kerry; Brereton, Avril; Wilson, Rebecca
2014-03-01
This article reviews recent evidence and other earlier relevant articles regarding early intervention studies for children with autism spectrum disorder (ASD). There is a well-established body of empirical evidence for the effectiveness of Early Intensive Behavioural Intervention (EIBI) with young children with ASD. The importance of parent skills training, education and positive behaviour support is also a key factor in influencing outcomes. Drug treatment is of short-term benefit for disruptive behaviour but long-term outcome and metabolic side-effects have not been studied. Few studies have measured the long-term value and effectiveness of early intervention treatments, and currently there are no articles published on effects into adulthood of such treatments. Such research would indicate whether early intervention results in reduced reliance on health services into adulthood.
Osborne, Lisa A; McHugh, Louise; Saunders, Jo; Reed, Phil
2008-07-01
This community-based study examined the influence of early teaching interventions on children diagnosed with Autistic Spectrum Disorders, and the dynamics between the time intensity of the interventions and parenting stress, on child outcomes. Intellectual, educational, and adaptive behavior and social functioning were all measured. Sixty-five children were divided into four groups, based on the levels of time intensity of their intervention, and on their parents' stress levels. There were gains in intellectual, educational, and adaptive behavioral and social skills, and there was a positive relationship between the time intensity of the early teaching interventions and child outcome gains. More importantly, however, high levels of parenting stress counteracted the effectiveness of the early teaching interventions.
Behan, Caragh; Cullinan, John; Kennelly, Brendan; Turner, Niall; Owens, Elizabeth; Lau, Adam; Kinsella, Anthony; Clarke, Mary
2015-06-01
Early intervention in psychosis is an accepted policy internationally. When 'A Vision for Change', the national blueprint for mental health policy in Ireland, was published in 2007 there was one Irish pilot service for early intervention in psychosis. The National Clinical Mental Health Programme Plan (2011) identified early intervention in psychosis as one of three areas for roll out nationally. There is limited economic evaluation in the field of mental health in Ireland to guide service development. This is in part due to lack of robust patient level data. The aim of the study was to investigate whether the introduction of an early intervention service in psychosis resulted in any change to the number and duration of admissions in people with first-episode psychosis. We examined two prospective epidemiological cohorts of individuals presenting with first-episode psychosis to an urban community mental health service (population 172,000). The historical cohort comprised of individuals presenting from 1995 to 1998 and received treatment as usual (n=132). The early intervention cohort presented to the same catchment area between 2008 and 2011 (n=97) following the introduction of an early intervention service in 2005. We found significant reductions in the rates admitted for treatment across the two time periods. Reduction in the rate of admission was larger in this catchment than the reduction in the rate of admission in the country as a whole. There were significant reductions in the duration of untreated psychosis arising from the early intervention programme. Significant reductions in length of stay were accounted for by differences in baseline age and marital status. The average cost of admission declined from 15,821 to 9,398 in the early intervention cohort. The comparison pre and post early intervention service showed cost savings consistent with other studies internationally. Key issues are whether changes in the admission pattern were due to the implementation of early intervention or were explained by other factors. Examination of local and national factors showed that the dominant effect was from the implementation of early intervention. Limitations are that this is a comparison with a historical cohort and analysis is limited to in-patient costs only. While there are cost savings, these represent opportunity cost savings, as the majority of costs associated with in-patient care are fixed. Studies such as this provide evidence that it is feasible to consider disinvestment strategies such as home care in the community. It is difficult to generalize interventions shown to work in one country to other countries, as health service structures differ and there are both local and national variations in service structure and delivery. It remains important to evaluate whether a policy is applicable within its local context. Further research in this area is required to evaluate contemporaneous services and to examine whether increased costs in the community incurred through implementation of early intervention negate the savings made through reduction of admissions.
"How Early Is Early?" or "How Late Is Late?": Thinking through Some Issues in Early Intervention
ERIC Educational Resources Information Center
Mercieca, Daniela; Mercieca, Duncan P.
2014-01-01
Early intervention comes in-between the lives of children, families and teachers. This article uses part of a report written by an educational psychologist about a little girl to question the nature of intervention through Rancière's writings. As children and parents are seen as put into the position of inadequacy, they require such…
NASA Astrophysics Data System (ADS)
Bostenaru, M.
2009-04-01
The research discussed in this contribution contains two aspects: on one side the economic efficiency of seismic retrofit measures, and on the other their applicability. The research was limited to housing buildings. Bucharest, the capital of Romania, was the object of the research. Strong earthquakes affect Bucharest about three times in a century, the damaging earthquakes of the 20th century being in 1940 and 1977. Other strong earthquakes occurred in 1986 and 1990. Since it is a broad topic, first the building type was determined, which should serve further research. For this scope the building types of the 20th century, which are common in Bucharest, Romania, were investigated. For each building type reports have been written, which comprised the earthquake resilient features, the seismic defficiencies, the damage patterns and the retrofit measures. Each of these features was listed for elements of the building. A first result of the research was an integrated system in order to include latter aspects in the planning in the first steps. So already at the building survey attention has to be paid on how a building is subdivided in order to be able to determine the economic efficiency of the planned action. So were defined the `retrofit elements`. In a first step the characteristics were defined, through which these retrofit elements (for example column, wall part between two windows) can be recognised in the building survey. In a further one, which retrofit measures can be connected to these. Diagrams were built, in order to visualise these findings. For each retrofit element and the corresponding measure the costs were calculated. Also, these retrofit elements and the measures connected to them were modelled for the simulation with the structural software, so that the benefit of the measures could be determined. In the part which regarded the economic efficiency, benefits and costs of retrofit measures had to be compared, so the improvement in the rigidity, ductility and/or strength of the structure at different retrofit measures with its costs. In order to investigate the improvement in the seismic characteristics numerous simulations of the earthquake impact on reinforced concrete frame buildings were conducted and in that context conventional strengthening measures with reinforced concrete and steel were considered. In these reinforced concrete frame buildings interwar buildings from Bucharest were modelled, as these proved to be the most vulnerable in the initial investigation. For the investigation of the economic efficiency also the damages through earthquakes were simulated. With help of a characteristic of the software used so called performance points could be set, so at the end of the simulation it could be seen how strongly was damaged the steel and respectively the concrete in the reinforced concrete element and so was conducted a classification of the strength of the damages in different retrofit elements. These simulations were done for the 1977, 1986 and 1990 earthquakes, as for these the strong motion records were digitally available. For two simple models alternatives of retrofit actions and their locations were fully simulated, while for real building models customised retrofit strategies considering more retrofit elements within the strategy were employed. To the benefit belong not only the improvement of the structural behaviour, as often assumed in earthquake engineering circles. There belong also aesthetical and sociologic aspects. In order to give these aspects their rights, a decision tree was developed, in which the actors are the engineer, the architect, the investor and the user. The retrofit measures were evaluated with two different decision systems. This was the part about the applicability. Further research would serve to see how can be used the developed method for the strategic planning, in which not only single buildings but whole urban areas build the object. The research was funded by the Research Training Network 450 "Natural Disasters" supported by the DFG (German Research Network), 2000-2004 while the result was published with support from a subsequent research project of the author, CA'REDIVIVUS, which continued the research, supported by the European Commission, in 2006.
34 CFR 303.420 - Parental consent and ability to decline services.
Code of Federal Regulations, 2014 CFR
2014-07-01
... decline any early intervention service under this part at any time, in accordance with State law; and (2...) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION... conducted under § 303.321; (3) Early intervention services are provided to the child under this part; (4...
34 CFR 303.420 - Parental consent and ability to decline services.
Code of Federal Regulations, 2013 CFR
2013-07-01
... decline any early intervention service under this part at any time, in accordance with State law; and (2...) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION... conducted under § 303.321; (3) Early intervention services are provided to the child under this part; (4...
34 CFR 303.420 - Parental consent and ability to decline services.
Code of Federal Regulations, 2012 CFR
2012-07-01
... decline any early intervention service under this part at any time, in accordance with State law; and (2...) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION... conducted under § 303.321; (3) Early intervention services are provided to the child under this part; (4...
Early Intervention: Parental Involvement, Child Agency and Participation in Creative Play
ERIC Educational Resources Information Center
Matthews, Alice; Rix, Jonathan
2013-01-01
Early intervention activities for very young disabled children are frequently linked to developmental targets and goals. A key challenge for parents and practitioners involved in early intervention programmes is to encourage their child to play and develop creatively through enjoyable, everyday childhood experiences. This paper reports on a…
Effects of Critical Thinking Intervention for Early Childhood Teacher Candidates
ERIC Educational Resources Information Center
Han, Heejeong Sophia; Brown, E. Todd
2013-01-01
This study is based on an intervention designed to enhance early childhood teacher candidates' critical thinking abilities. The concept, elements, standards, and traits of critical thinking were integrated into the main course contents, and the effects of the intervention were examined. The results indicated that early childhood teacher…
Using and Providing Services: Case Studies in Early Intervention.
ERIC Educational Resources Information Center
McWilliam, Robin; Tocci, Lynn; Sideris, John; Harbin, Gloria
A case study approach was used to examine the complexities of service utilization in early intervention with infants, toddlers, and young children with disabilities. Seventy-two families of children (ages birth to 4) participating in nine early intervention programs in three states (Colorado, North Carolina, and Pennsylvania) and their service…
Mapping the Early Intervention System in Ontario, Canada
ERIC Educational Resources Information Center
Underwood, Kathryn
2012-01-01
This study documents the wide range of early intervention services across the province of Ontario. The services are mapped across the province showing geographic information as well as the scope of services (clinical, family-based, resource support, etc.), the range of early intervention professionals, sources of funding and the populations served…
Velocardiofacial Syndrome and Early Intervention Providers: Recommendations for Intervention
ERIC Educational Resources Information Center
Boyer, Valerie E.; Fullman, Leah I.; Bruns, Deborah A.
2012-01-01
Velocardiofacial syndrome (VCFS), the most common microdeletion syndrome, is increasingly diagnosed in young children because of advances in diagnostic testing. The result is an increase in the number of young children with VCFS referred for early intervention (EI) services. We describe early development of children with VCFS and strategies to…
34 CFR 303.527 - Payor of last resort.
Code of Federal Regulations, 2010 CFR
2010-07-01
... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH... used only for early intervention services that an eligible child needs but is not currently entitled to... this section may be made for— (i) Early intervention services, as described in § 303.12; (ii) Eligible...
Promotion, Prevention and Early Intervention for Mental Health: National Consultation.
ERIC Educational Resources Information Center
2003
This report provides a description of a national consultation that was undertaken in 2001-2002 to provide feedback on two companion national policy documents: "National Action Plan for Promotion, Prevention and Early Intervention for Mental Health 2000" and "Promotion, Prevention and Early Intervention for Mental Health: A…
"Dosage" Decisions for Early Intervention Services
ERIC Educational Resources Information Center
Kuhn, Miriam; Marvin, Christine A.
2016-01-01
Part C of the Individuals With Disabilities Education Improvement Act (IDEA) of 2004 requires early intervention teams craft individualized and effective plans to meet the needs of young children with special needs and their families (Küpper, 2012). Many early intervention teams, however, may struggle to follow a process that results in…
A National Look at Children and Families Entering Early Intervention
ERIC Educational Resources Information Center
Scarborough, Anita A.; Spiker, Donna; Mallik, Sangeeta; Hebbeler, Kathleen M.; Bailey Jr., Donald B.; Simeonsson, Rune J.
2004-01-01
The National Early Intervention Longitudinal Study (NEILS) is the first study of Part C of the Individuals With Disabilities Education Act (IDEA) early intervention system with a nationally representative sample of infants and toddlers with disabilities. This article presents national estimates of characteristics of infants and toddlers and their…
Parent Involvement in Early Intervention: What Role Does Setting Play?
ERIC Educational Resources Information Center
Kellar-Guenther, Yvonne; Rosenberg, Steven A.; Block, Stephen R.; Robinson, Cordelia C.
2014-01-01
This study compared levels of parent involvement in early intervention services for children under three which were delivered in community settings (children's homes and child care programs) and specialized settings (early intervention centers and provider offices) in the USA. Respondents reported the highest levels of parental involvement in the…
45 CFR 96.128 - Requirements regarding human immunodeficiency virus.
Code of Federal Regulations, 2014 CFR
2014-10-01
... projects to make available to the individuals early intervention services for HIV disease as defined in... without regard to whether the program has been providing early intervention services for HIV disease. (d... to the provision of early intervention services for HIV disease to an individual, the State shall...
45 CFR 96.128 - Requirements regarding human immunodeficiency virus.
Code of Federal Regulations, 2010 CFR
2010-10-01
... projects to make available to the individuals early intervention services for HIV disease as defined in... without regard to whether the program has been providing early intervention services for HIV disease. (d... to the provision of early intervention services for HIV disease to an individual, the State shall...
45 CFR 96.128 - Requirements regarding human immunodeficiency virus.
Code of Federal Regulations, 2011 CFR
2011-10-01
... projects to make available to the individuals early intervention services for HIV disease as defined in... without regard to whether the program has been providing early intervention services for HIV disease. (d... to the provision of early intervention services for HIV disease to an individual, the State shall...
45 CFR 96.128 - Requirements regarding human immunodeficiency virus.
Code of Federal Regulations, 2012 CFR
2012-10-01
... projects to make available to the individuals early intervention services for HIV disease as defined in... without regard to whether the program has been providing early intervention services for HIV disease. (d... to the provision of early intervention services for HIV disease to an individual, the State shall...
75 FR 3746 - Ryan White HIV/AIDS Part C Early Intervention Services (EIS) Program
Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-22
... HIV/AIDS Part C Early Intervention Services (EIS) Program AGENCY: Health Resources and Services... Department, Orlando, Florida, that will ensure continuity of Part C, Early Intervention Services (EIS), HIV...: Critical funding for HIV/AIDS care and treatment to the target populations in Orange County, Orlando...
45 CFR 96.128 - Requirements regarding human immunodeficiency virus.
Code of Federal Regulations, 2013 CFR
2013-10-01
... projects to make available to the individuals early intervention services for HIV disease as defined in... without regard to whether the program has been providing early intervention services for HIV disease. (d... to the provision of early intervention services for HIV disease to an individual, the State shall...
Early Intervention for Families and Children Experiencing Homelessness
ERIC Educational Resources Information Center
Hurley, Jennifer J.; Looby, Winnie; Goodrum, Ashley R.; Campbell, Elizabeth M.; Bonti, Gregg K.; Raymon, Becca A.; Condon, Rebecca; Schwaeber, Sami E.; Mauceri, Melina E.; Bourne, Erin M.; Callahan, Elizabeth D.; Hardy, Danielle L.; Mathews, Pamela
2018-01-01
Early intervention (EI) services are provided for families and children at risk for or with developmental delays. Early intervention includes services that are provided in the natural environment as mandated by the Individuals with Disabilities Education Act (IDEA; 2004). The natural environment is where children and families would naturally spend…
Mathematical Difficulty: Does Early Intervention Enhance Mathematical Performance?
ERIC Educational Resources Information Center
Graham, Jennifer
2008-01-01
The need to ask educators about their opinions on the subject to what extent early intervention methods enhance mathematical performance is long overdue. The purpose of this quantitative research is to examine the extent to which teachers agree that early intervention methods enhance the mathematical performance of students with mathematical…
Early Diagnosis and Early Intervention in Cerebral Palsy
Hadders-Algra, Mijna
2014-01-01
This paper reviews the opportunities and challenges for early diagnosis and early intervention in cerebral palsy (CP). CP describes a group of disorders of the development of movement and posture, causing activity limitation that is attributed to disturbances that occurred in the fetal or infant brain. Therefore, the paper starts with a summary of relevant information from developmental neuroscience. Most lesions underlying CP occur in the second half of gestation, when developmental activity in the brain reaches its summit. Variations in timing of the damage not only result in different lesions but also in different neuroplastic reactions and different associated neuropathologies. This turns CP into a heterogeneous entity. This may mean that the best early diagnostics and the best intervention methods may differ for various subgroups of children with CP. Next, the paper addresses possibilities for early diagnosis. It discusses the predictive value of neuromotor and neurological exams, neuroimaging techniques, and neurophysiological assessments. Prediction is best when complementary techniques are used in longitudinal series. Possibilities for early prediction of CP differ for infants admitted to neonatal intensive care and other infants. In the former group, best prediction is achieved with the combination of neuroimaging and the assessment of general movements, in the latter group, best prediction is based on carefully documented milestones and neurological assessment. The last part reviews early intervention in infants developing CP. Most knowledge on early intervention is based on studies in high-risk infants without CP. In these infants, early intervention programs promote cognitive development until preschool age; motor development profits less. The few studies on early intervention in infants developing CP suggest that programs that stimulate all aspects of infant development by means of family coaching are most promising. More research is urgently needed. PMID:25309506
Preventing Obesity Across Generations: Evidence for Early Life Intervention.
Haire-Joshu, Debra; Tabak, Rachel
2016-01-01
To prevent the intergenerational transfer of obesity and end the current epidemic, interventions are needed across the early life stages, from preconception to prenatal to infancy through the age of 2 years. The foundation for obesity is laid in early life by actions and interactions passed from parent to child that have long-lasting biologic and behavioral consequences. The purpose of this paper is to examine the best evidence about (a) factors in parents and offspring that promote obesity during the early life stages, (b) the social determinants and dimensions of obesity in early life, (c) promising and effective interventions for preventing obesity in early life, and (d) opportunities for future research into strategies to disrupt the intergenerational cycle of obesity that begins early in life. The pathway for halting the intergenerational obesity epidemic requires the discovery and development of evidence-based interventions that can act across multiple dimensions of influence on early life.
Preventing Obesity Across Generations: Evidence for Early Life Intervention
Haire-Joshu, Debra; Tabak, Rachel
2017-01-01
To prevent the intergenerational transfer of obesity and end the current epidemic, interventions are needed across the early life stages, from preconception to prenatal to infancy through the age of 2 years. The foundation for obesity is laid in early life by actions and interactions passed from parent to child that have long-lasting biologic and behavioral consequences. The purpose of this paper is to examine the best evidence about (a) factors in parents and offspring that promote obesity during the early life stages, (b) the social determinants and dimensions of obesity in early life, (c) promising and effective interventions for preventing obesity in early life, and (d) opportunities for future research into strategies to disrupt the intergenerational cycle of obesity that begins early in life. The pathway for halting the intergenerational obesity epidemic requires the discovery and development of evidence-based interventions that can act across multiple dimensions of influence on early life. PMID:26989828
[The community-oriented experience of early intervention services in Taipei City].
Chu, Feng-Ying
2007-10-01
The purpose of this paper is to emphasize the importance of early intervention. The purpose of early intervention in Taipei City is to help child development, promote parenting skills, and reduce educational and social costs. In order to meet these goals, parenting groups and Taipei City Council have made great efforts to make early intervention work in Taipei City. In April 1995, Taipei City Government started planning and setting up the service network. To date, Taipei City has set up one reporting and referral center?, ?six community resources centers, 22 medical assessment and intervention clinics, 12 child development centers, one early intervention training center, three non-profit foundations and more than 300 inclusion schools, such as kindergartens and day care centers. With parent participation, professional devotion and Taipei City Government's commitment, the number of assisted children has increased from 98 to 2,523 /year. By the end of 2006, Taipei had already funded 25,277 children. We estimate Taipei City early intervention services to have affected at least 75,000 persons, including development-delayed and disabled children, their parents?, ?grandparents and siblings. We found that early intervention services help the children to build up self esteem, grow their potential, learn how to socialize, and receive an education, while the most important aim is to help them to reduce their level of disability or to prevent them from getting worse. At the same time, their families get support and a diverse range of services. An integrated early intervention program should include children, families, and multidisciplinary professionals. The system should therefore be more "family-centered" and "community-oriented" to provide appropriate services to children and families through a positive and aggressive attitude.
Devescovi, Raffaella; Monasta, Lorenzo; Mancini, Alice; Bin, Maura; Vellante, Valerio; Carrozzi, Marco; Colombi, Costanza
2016-01-01
Early diagnosis combined with an early intervention program, such as the Early Start Denver Model (ESDM), can positively influence the early natural history of autism spectrum disorders. This study evaluated the effectiveness of an early ESDM-inspired intervention, in a small group of toddlers, delivered at low intensity by the Italian Public Health System. Twenty-one toddlers at risk for autism spectrum disorders, aged 20-36 months, received 3 hours/wk of one-to-one ESDM-inspired intervention by trained therapists, combined with parents' and teachers' active engagement in ecological implementation of treatment. The mean duration of treatment was 15 months. Cognitive and communication skills, as well as severity of autism symptoms, were assessed by using standardized measures at pre-intervention (Time 0 [T0]; mean age =27 months) and post-intervention (Time 1 [T1]; mean age =42 months). Children made statistically significant improvements in the language and cognitive domains, as demonstrated by a series of nonparametric Wilcoxon tests for paired data. Regarding severity of autism symptoms, younger age at diagnosis was positively associated with greater improvement at post-assessment. Our results are consistent with the literature that underlines the importance of early diagnosis and early intervention, since prompt diagnosis can reduce the severity of autism symptoms and improve cognitive and language skills in younger children. Particularly in toddlers, it seems that an intervention model based on the ESDM principles, involving the active engagement of parents and nursery school teachers, may be effective even when the individual treatment is delivered at low intensity. Furthermore, our study supports the adaptation and the positive impact of the ESDM entirely sustained by the Italian Public Health System.
Luecking, C T; Hennink-Kaminski, H; Ihekweazu, C; Vaughn, A; Mazzucca, S; Ward, D S
2017-12-01
Social marketing is a promising planning approach for influencing voluntary lifestyle behaviours, but its application to nutrition and physical activity interventions in the early care and education setting remains unknown. PubMed, ISI Web of Science, PsycInfo and the Cumulative Index of Nursing and Allied Health were systematically searched to identify interventions targeting nutrition and/or physical activity behaviours of children enrolled in early care centres between 1994 and 2016. Content analysis methods were used to capture information reflecting eight social marketing benchmark criteria. The review included 135 articles representing 77 interventions. Two interventions incorporated all eight benchmark criteria, but the majority included fewer than four. Each intervention included behaviour and methods mix criteria, and more than half identified audience segments. Only one-third of interventions incorporated customer orientation, theory, exchange and insight. Only six interventions addressed competing behaviours. We did not find statistical significance for the effectiveness of interventions on child-level diet, physical activity or anthropometric outcomes based on the number of benchmark criteria used. This review highlights opportunities to apply social marketing to obesity prevention interventions in early care centres. Social marketing could be an important strategy for early childhood obesity prevention efforts, and future research investigations into its effects are warranted. © 2017 World Obesity Federation.
Promoting equity through integrated early child development and nutrition interventions.
Black, Maureen M; Dewey, Kathryn G
2014-01-01
Sustainable development, a foundation of the post-2015 global agenda, depends on healthy and productive citizens. The origins of adult health begin early in life, stemming from genetic-environmental interactions that include adequate nutrition and opportunities for responsive learning. Inequities associated with inadequate nutrition and early learning opportunities can undermine children's health and development, thereby compromising their productivity and societal contributions. Transactional theory serves as a useful framework for examining the associations that link early child development and nutrition because it emphasizes the interplay that occurs between children and the environment, mediated through caregiver interactions. Although single interventions targeting early child development or nutrition can be effective, there is limited evidence on the development, implementation, evaluation, and scaling up of integrated interventions. This manuscript introduces a special edition of papers on six topics central to integrated child development/nutrition interventions: (1) review of integrated interventions; (2) methods and topics in designing integrated interventions; (3) economic considerations related to integrated interventions; (4) capacity-building considerations; (5) examples of integrated interventions; and (6) policy implications of integrated interventions. Ensuring the health and development of infants and young children through integrated child development/nutrition interventions promotes equity, a critical component of sustainable development. © 2014 New York Academy of Sciences.
Arango, Celso; Bernardo, Miguel; Bonet, Pere; Cabrera, Ana; Crespo-Facorro, Benedicto; Cuesta, Manuel J; González, Nel; Parrabera, Sílvia; Sanjuan, Julio; Serrano, Alfonso; Vieta, Eduard; Lennox, Belinda R; Melau, Marianne
There is now sufficient evidence to support the importance of interventions in the early stages of psychosis. The delay in the detection and treatment of the first-episode psychosis is related to a lower and slower recovery, as well as a higher risk of relapse. Despite this fact, early intervention units or teams are still not regularly implemented in mental health service settings in Spain. In this opinion article, a review is presented of the main arguments for defending the need to implement these programs and strategies in order to achieve this aim. There are a number of programs for early intervention for psychosis currently working in other countries, with a therapeutic program that includes pharmacological and psychosocial interventions, together with public awareness, information dissemination, and family-professional collaboration activities. Published literature on the experience of these programs indicates that early intervention is not only effective in terms of the improvement of health status, but is also economically efficient. The main steps and recommendations needed to implement such early intervention programs in our country are described. Copyright © 2017 SEP y SEPB. All rights reserved.
Clauß, D; Fleischer, S; Mattern, E; Ayerle, G
2016-07-01
Early childhood interventions positively contribute to health related child development. For these interventions, networks are a necessary prerequisite as they promote interdisciplinary and interprofessional cooperation. This holds especially true for the integration of health system protagonists. In a cross-sectional survey local paediatrists, gynaecologists, general practitioners, and psychotherapists were asked about their knowledge, experiences, desires, and reservations regarding cooperation in early childhood intervention networks. 64 out of 1747 (3.7%) eligible clinicians answered the survey. On average they estimated that 10.1% of the families they are treating would benefit from early childhood interventions. Participants rated themselves as competent to offer appropriate early childhood interventions. The youth welfare service was judged as the most important institution for their own professional practice by 84.4%. Additionally to an applicable agenda, a fair group moderation of network meetings was seen as a substantial requirement in order to take part in network meetings. Health professionals are important protagonists in early childhood interventions. Clinicians should assess relevant problems in families and offer appropriate support on a regular basis. Alongside clearly defined regional contacts, interprofessional continuing education seems mandatory. © Georg Thieme Verlag KG Stuttgart · New York.
Richards, Jennifer L; Kramer, Michael S; Deb-Rinker, Paromita; Rouleau, Jocelyn; Mortensen, Laust; Gissler, Mika; Morken, Nils-Halvdan; Skjærven, Rolv; Cnattingius, Sven; Johansson, Stefan; Delnord, Marie; Dolan, Siobhan M; Morisaki, Naho; Tough, Suzanne; Zeitlin, Jennifer; Kramer, Michael R
2016-07-26
Clinicians have been urged to delay the use of obstetric interventions (eg, labor induction, cesarean delivery) until 39 weeks or later in the absence of maternal or fetal indications for intervention. To describe recent trends in late preterm and early term birth rates in 6 high-income countries and assess association with use of clinician-initiated obstetric interventions. Retrospective analysis of singleton live births from 2006 to the latest available year (ranging from 2010 to 2015) in Canada, Denmark, Finland, Norway, Sweden, and the United States. Use of clinician-initiated obstetric intervention (either labor induction or prelabor cesarean delivery) during delivery. Annual country-specific late preterm (34-36 weeks) and early term (37-38 weeks) birth rates. The study population included 2,415,432 Canadian births in 2006-2014 (4.8% late preterm; 25.3% early term); 305,947 Danish births in 2006-2010 (3.6% late preterm; 18.8% early term); 571,937 Finnish births in 2006-2015 (3.3% late preterm; 16.8% early term); 468,954 Norwegian births in 2006-2013 (3.8% late preterm; 17.2% early term); 737,754 Swedish births in 2006-2012 (3.6% late preterm; 18.7% early term); and 25,788,558 US births in 2006-2014 (6.0% late preterm; 26.9% early term). Late preterm birth rates decreased in Norway (3.9% to 3.5%) and the United States (6.8% to 5.7%). Early term birth rates decreased in Norway (17.6% to 16.8%), Sweden (19.4% to 18.5%), and the United States (30.2% to 24.4%). In the United States, early term birth rates decreased from 33.0% in 2006 to 21.1% in 2014 among births with clinician-initiated obstetric intervention, and from 29.7% in 2006 to 27.1% in 2014 among births without clinician-initiated obstetric intervention. Rates of clinician-initiated obstetric intervention increased among late preterm births in Canada (28.0% to 37.9%), Denmark (22.2% to 25.0%), and Finland (25.1% to 38.5%), and among early term births in Denmark (38.4% to 43.8%) and Finland (29.8% to 40.1%). Between 2006 and 2014, late preterm and early term birth rates decreased in the United States, and an association was observed between early term birth rates and decreasing clinician-initiated obstetric interventions. Late preterm births also decreased in Norway, and early term births decreased in Norway and Sweden. Clinician-initiated obstetric interventions increased in some countries but no association was found with rates of late preterm or early term birth.
Rajesh, Kumar; Xiangying, Kong
2015-01-01
Objective To study the effect of early intervention and rehabilitation in the expression of aquaporin-4 and ultrastructure changes on cerebral palsy pups model induced by intrauterine infection. Methods 20 pregnant Wistar rats were consecutively injected with lipopolysaccharide intraperitoneally. 60 Pups born from lipopolysaccharide group were randomly divided into intervention group (n=30) and non-intervention group (n=30); intervention group further divided into early intervention and rehabilitation group (n=10), acupuncture group (n=10) and consolidate group (n=10). Another 5 pregnant rats were injected with normal saline intraperitoneally; 30 pups born from the normal saline group were taken as control group. The intervention group received early intervention, rehabilitation and acupuncture treatment. The motor functions of all pups were assessed via suspension test and modified BBB locomotor score. Aquaporin-4 expression in brain tissue was studied through immunohistochemical and western-blot analysis. Ultrastructure changes in damaged brain and control group were studied electron-microscopically. Results The scores of suspension test and modified BBB locomotor test were significantly higher in the control group than the intervention and non intervention group (p<0.01); higher in the intervention group than the non-intervention group (p<0.01). The expression of Aquaporin-4 was lower in intervention and non intervention group than in the control group (p<0.01); also lower in non-intervention group than the intervention group (p<0.01). Marked changes were observed in ultrastructure of cortex and hippocampus CAI in brain damaged group. Conclusion Early intervention and rehabilitation training can improve the motor function in offspring with brain injury and reduce the expression of aquaporin-4 in damaged brain. PMID:26279808
McLaughlin, Katie A; Zeanah, Charles H; Fox, Nathan A; Nelson, Charles A
2012-01-01
Children reared in institutions experience elevated rates of psychiatric disorders. Inability to form a secure attachment relationship to a primary caregiver is posited to be a central mechanism in this association. We determined whether the ameliorative effect of a foster care (FC) intervention on internalizing disorders in previously institutionalized children was explained by the development of secure attachment among children placed in FC. Second we evaluated the role of lack of attachment in an institutionalized sample on the etiology of internalizing disorders within the context of a randomized trial. A sample of 136 children (aged 6-30 months) residing in institutions was recruited in Bucharest, Romania. Children were randomized to FC (n = 68) or to care as usual (CAU; n = 68). Foster parents were recruited, trained, and overseen by the investigative team. Attachment security at 42 months was assessed using the Strange Situation Procedure, and internalizing disorders at 54 months were assessed using the Preschool Age Psychiatric Assessment. Girls in FC had fewer internalizing disorders than girls in CAU (OR = 0.17, p = .006). The intervention had no effect on internalizing disorders in boys (OR = 0.47, p = .150). At 42 months, girls in FC were more likely to have secure attachment than girls in CAU (OR = 12.5, p < .001), but no difference was observed in boys (OR = 2.0, p = .205). Greater attachment security predicted lower rates of internalizing disorders in both sexes. Development of attachment security fully mediated intervention effects on internalizing disorders in girls. Placement into FC facilitated the development of secure attachment and prevented the onset of internalizing disorders in institutionalized girls. The differential effects of FC on attachment security in boys and girls explained gender differences in the intervention effects on psychopathology. Findings provide evidence for the critical role of disrupted attachment in the etiology of internalizing disorders in children exposed to institutionalization. © 2011 The Authors. Journal of Child Psychology and Psychiatry © 2011 Association for Child and Adolescent Mental Health.
Response to Intervention: Providing Reading Intervention to Low Income and Minority Students
ERIC Educational Resources Information Center
Graves, Emily; McConnell, Tess
2014-01-01
With a renewed focus on early intervention, teachers must address the difficulties students are having as early as possible to promote their progress. Culturally and linguistically diverse students may not respond to universal interventions that have shown efficiency for mainstream populations. In order for Response to Intervention to be…
ERIC Educational Resources Information Center
Caldarella, Paul; Williams, Leslie; Hansen, Blake D.; Wills, Howard
2015-01-01
Comprehensive evidence-based interventions are needed to help early childhood educators manage challenging student behaviors. One such intervention, class-wide function-related intervention teams (CW-FIT), is a multi-tiered behavioral intervention program based on positive behavior support principles, including four main elements: (a) teaching…
Early Intervention Practices in China: Present Situation and Future Directions
ERIC Educational Resources Information Center
Hu, Xiaoyi; Yang, Xijie
2013-01-01
Early intervention services to young children with developmental delays in China have experienced significant growth since 1978, the beginning of the period of Reform and Opening. This article described the present situation of early intervention practices in mainland China, framed around the key components and guiding principles of Guralnick's…
Travelling Policy Reforms Reconfiguring the Work of Early Childhood Educators in Australia
ERIC Educational Resources Information Center
Nuttall, Joce; Thomas, Louise; Wood, Elizabeth
2014-01-01
Interventions in the field of early childhood education policy, drawn from global policy flows, are reconfiguring the work of early childhood educators in Australia. One such intervention is the requirement to designate an "educational leader" (EL) in each service for young children and their families. This policy intervention has its…
ERIC Educational Resources Information Center
Rivero, Estela M.; Cimini, M. Dolores; Bernier, Joseph E.; Stanley, Judith A.; Murray, Andrea D.; Anderson, Drew A.; Wright, Heidi R.
2014-01-01
Objective: This case study examined the effects of an early intervention program designed to respond to residential college students demonstrating risk for suicide. Participants: Participants were 108 undergraduates at a large northeastern public university referred to an early intervention program subsequent to presenting with risk factors for…
SIFT-OUT: Training for Systems Change in Early Intervention. Final Report.
ERIC Educational Resources Information Center
Winton, Pamela J.; Catlett, Camille
This report summarizes the activities of the SIFT-OUT program, a federally funded project designed to prepare teams of university faculty, family members, practitioners, and agency representatives from six states, to serve as leaders in providing early intervention training in their states. A total of 166 state-level early intervention leaders…
Brief Report: An Evaluation of an Australian Autism-Specific, Early Intervention Programme
ERIC Educational Resources Information Center
Paynter, Jessica M.; Riley, Emma P.; Beamish, Wendi; Scott, James G.; Heussler, Helen S.
2015-01-01
There is a relative paucity of evidence examining the effectiveness of early intervention for young children with Autism Spectrum Disorder, in particular those delivered through educationally-based programmes. This study aimed to evaluate the real world effectiveness of a community-based autism-specific early learning and intervention programme in…
The Feasibility of Virtual Home Visits to Provide Early Intervention: A Pilot Study
ERIC Educational Resources Information Center
Kelso, Ginger L.; Fiechtl, Barbara J.; Olsen, Susan T.; Rule, Sarah
2009-01-01
Although videoconferencing has been used to deliver distance education, tutoring for children, and telemedicine observations, there is limited information on the efficacy of its use in delivering part C early intervention services. Four families receiving early intervention services in a rural program participated in a pilot study to test the…
Mothers' Satisfaction with a Home Based Early Intervention Programme for Children with ASD
ERIC Educational Resources Information Center
Rodger, Sylvia; Keen, Deb; Braithwaite, Michelle; Cook, Shannon
2008-01-01
Background: Early intervention services adopting a family-centred approach are considered important for ensuring parent satisfaction. This study investigated the satisfaction of two mothers with an early intervention programme for young children with autistic spectrum disorder. Materials and Methods: While 16 mother-child dyads participated in a…
Early Intervention Practices for Children with Hearing Loss: Impact of Professional Development
ERIC Educational Resources Information Center
Martin-Prudent, Angi; Lartz, Maribeth; Borders, Christina; Meehan, Tracy
2016-01-01
Early identification and appropriate intervention services for children who are deaf or hard of hearing significantly increase the likelihood of better language, speech, and social-emotional development. However, current research suggests that there is a critical shortage of professionals trained to provide early intervention services to deaf and…
ERIC Educational Resources Information Center
Luby, Joan; Lenze, Shannon; Tillman, Rebecca
2012-01-01
Background: Validation for depression in preschool children has been established; however, to date no empirical investigations of interventions for the early onset disorder have been conducted. Based on this and the modest efficacy of available treatments for childhood depression, the need for novel early interventions has been emphasized. Large…
Tier 1 and Tier 2 Early Intervention for Handwriting and Composing
ERIC Educational Resources Information Center
Berninger, Virginia W.; Rutberg, Judith E.; Abbott, Robert D.; Garcia, Noelia; Anderson-Youngstrom, Marci; Brooks, Allison; Fulton, Cynthia
2006-01-01
Three studies evaluated Tier 1 early intervention for handwriting at a critical period for literacy development in first grade and one study evaluated Tier 2 early intervention in the critical period between third and fourth grades for composing on high stakes tests. The results contribute to knowledge of research-supported handwriting and…
ERIC Educational Resources Information Center
Bowyer, Patricia; Moore, Cary C.; Tiongco, Cynthia G.; Tkach, Melanie M.; Thom, Carly
2017-01-01
Occupational therapists in the field of early intervention (EI) are challenged with limited opportunities for communication and collaboration with colleagues and other EI team members. One hundred and two occupational therapists and occupational therapy assistants with early intervention experience completed a descriptive survey. Questions on the…
A Consumer's Guide To Outcomes in Early Childhood Intervention.
ERIC Educational Resources Information Center
Accreditation Council on Services for People with Disabilities, Landover, MD.
This collection of 21 suggested outcome measures for early childhood intervention services is designed to assist families in evaluating the quality of early intervention services they receive. The measures apply to all types of service and support program models for children with various developmental delays and/or disabilities and their families.…
Early Child Disaster Mental Health Interventions: A Review of the Empirical Evidence
ERIC Educational Resources Information Center
Pfefferbaum, Betty; Nitiéma, Pascal; Tucker, Phebe; Newman, Elana
2017-01-01
Background: The need to establish an evidence base for early child disaster interventions has been long recognized. Objective: This paper presents a descriptive analysis of the empirical research on early disaster mental health interventions delivered to children within the first 3 months post event. Methods: Characteristics and findings of the…
Fighting Fires in Early Intervention Supervision: Trading the Axe for Mr. Rogers's Slippers
ERIC Educational Resources Information Center
Alexander, Laura; Gallen, Robert T.; Salazar, Ruby; Shahmoon-Shanok, Rebecca
2012-01-01
When Pennsylvania's Early Intervention system implemented an early intervention-reflective supervision project, modest expectations for change were anticipated, given the limited amount of time and funding for the project. In this article, one participant tells the story of her professional development, which enabled her to augment her skills as…
Student Preparation for Professional Practice in Early Intervention
ERIC Educational Resources Information Center
Francois, Jennifer R.; Coufal, Kathy L.; Subramanian, Anu
2015-01-01
The preparation of students for professional practice in the field of early intervention has changed as a result of mandates through Part C, Individuals With Disabilities Education Act (IDEA). The purpose of this survey research was to describe the knowledge and skill areas, specific to early intervention, included in pre-professional curricula…
Young Children with Disabilities in Israel: System of Early Intervention Service Delivery
ERIC Educational Resources Information Center
Shulman, Cory; Meadan, Hedda; Sandhaus, Yoram
2012-01-01
This article aims to analyze early intervention programs in Israel according to the Developmental Systems Model (Guralnick, 2001), in an attempt to identify strengths and areas for further development for service delivery for young children with disabilities in Israel. Early intervention in Israel is part of a comprehensive healthcare model…
Seven Elements Important to Successful Implementation of Early Literacy Intervention
ERIC Educational Resources Information Center
Foorman, Barbara; Dombek, Jennifer; Smith, Kevin
2016-01-01
The objective of this article is to describe seven elements important to successful implementation of early literacy intervention. The seven elements are drawn from research as well as from the authors' recent randomized controlled trial of effective early literacy interventions in kindergarten through second grade in 55 schools across Florida.…
Infusing Early Childhood Mental Health into Early Intervention Services
ERIC Educational Resources Information Center
Grabert, John C.
2009-01-01
This article describes the process of enhancing early childhood mental health awareness and skills in non-mental health staff. The author describes a pilot training model, conducted the U.S. Army's Early Intervention Services, that involved: (a) increasing early childhood mental health knowledge through reflective readings, (b) enhancing…
Interventions to promote cancer awareness and early presentation: systematic review
Austoker, J; Bankhead, C; Forbes, L J L; Atkins, L; Martin, F; Robb, K; Wardle, J; Ramirez, A J
2009-01-01
Background: Low cancer awareness contributes to delay in presentation for cancer symptoms and may lead to delay in cancer diagnosis. The aim of this study was to review the evidence for the effectiveness of interventions to raise cancer awareness and promote early presentation in cancer to inform policy and future research. Methods: We searched bibliographic databases and reference lists for randomised controlled trials of interventions delivered to individuals, and controlled or uncontrolled studies of interventions delivered to communities. Results: We found some evidence that interventions delivered to individuals modestly increase cancer awareness in the short term and insufficient evidence that they promote early presentation. We found limited evidence that public education campaigns reduce stage at presentation of breast cancer, malignant melanoma and retinoblastoma. Conclusions: Interventions delivered to individuals may increase cancer awareness. Interventions delivered to communities may promote cancer awareness and early presentation, although the evidence is limited. PMID:19956160
Popa-Velea, Ovidiu; Diaconescu, Liliana; Mihăilescu, Alexandra; Jidveian Popescu, Mara; Macarie, George
2017-05-25
Medical school students often experience emotional difficulties when handling the challenges of their formation, occasionally leading to burnout. In this study, we measured the prevalence of burnout and its relationships with perceived stress, perceived social support, and alexithymia in medical students from the largest academic medical community in Romania. A cross-sectional survey was administered to a randomized sample of 299 preclinical medical students at the University of Medicine in Bucharest. Participants completed four standardized questionnaires. In addition to the assessment of burnout prevalence, stepwise backward regression was used to establish which variables had the highest correlation to burnout components. Further, t -tests were run to assess gender-related differences. Overall, burnout prevalence was 15.05%. Perceived stress was found to be the strongest predictor of emotional exhaustion and lack of accomplishment, while the strongest predictors of depersonalization were low perceived social support (in women) and alexithymia (in men). Women appear to be more vulnerable to two of the components of burnout (emotional exhaustion and low personal accomplishment) and associate higher perceived stress and alexithymia. These results suggest that interventions addressing academic burnout could benefit from being gender-specific, with focus on key elements, such as perceived stress and alexithymia.
Popa-Velea, Ovidiu; Diaconescu, Liliana; Mihăilescu, Alexandra; Jidveian Popescu, Mara; Macarie, George
2017-01-01
Medical school students often experience emotional difficulties when handling the challenges of their formation, occasionally leading to burnout. In this study, we measured the prevalence of burnout and its relationships with perceived stress, perceived social support, and alexithymia in medical students from the largest academic medical community in Romania. A cross-sectional survey was administered to a randomized sample of 299 preclinical medical students at the University of Medicine in Bucharest. Participants completed four standardized questionnaires. In addition to the assessment of burnout prevalence, stepwise backward regression was used to establish which variables had the highest correlation to burnout components. Further, t-tests were run to assess gender-related differences. Overall, burnout prevalence was 15.05%. Perceived stress was found to be the strongest predictor of emotional exhaustion and lack of accomplishment, while the strongest predictors of depersonalization were low perceived social support (in women) and alexithymia (in men). Women appear to be more vulnerable to two of the components of burnout (emotional exhaustion and low personal accomplishment) and associate higher perceived stress and alexithymia. These results suggest that interventions addressing academic burnout could benefit from being gender-specific, with focus on key elements, such as perceived stress and alexithymia. PMID:28587094
Analysis of the Long Period Terms of Local and Global Data of UT1-AT
NASA Astrophysics Data System (ADS)
Stavinschi, Magdalena; Souchay, Jean; Donea, Alina-Catalina
In our analysis of UTO and UTI, the long period terms 18.6y, 13.9y, 12.5y, 11.1y, 9.2y have been emphasized. To be sure that the results are trustworthy, different methods (Scargle for data unevenly distributed,the classical least square method and Fourier analysis) have been used for the data recorded as well at the Bucharest Observatory and the data of IERS.
Translations on Eastern Europe, Political, Sociological, and Military Affairs, Number 1555
1978-06-29
Available Copy - a - [III - EE - 6.3J J INTERNATIONAL AFFAIRS HUNGARIAN WRITER FROM ROMANIA PUBLICIZES NEW LITERARY WORKS Budapest ELET ES...8217 In Budapest "] [Text] Sandor Huszar, chief editor of our sister paper, A HET in Bucharest, visited us last in March 1977. And because he returned...what business are you this time? [Answer] I flew to Budapest as a human advertisement. I came to our friends with the problems of A HET. [Questions
Epidemiological and etiological aspects of burning mouth syndrome
Coculescu, EC; Ţovaru, Ş; Coculescu, BI
2014-01-01
Abstract Burning mouth syndrome (BMS) is defined as a chronic pain condition characterized by a burning sensation in clinically healthy oral mucosa. Incidence BMS diagnosed in the Department of Oral Medicine - Oral Pathology Dental Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy Bucharest is 16,23%. The etiology of BMS remains far less known. This article makes an overview of the latest theories about possible etiopathogenic factors involved in the occurrence of BMS. PMID:25408745
Theoretical and experimental research on the phenomenon of stick-slip at traction railway vehicles
NASA Astrophysics Data System (ADS)
Sebesan, Ioan; Manea, Ion; Spiroiu, Marius Adrian; Arsene, Sorin
2018-01-01
The stick-slip phenomenon may occur when the limit adhesion force is exceeded at one of the motor axles of the vehicle. In the present paper is analysed the physical phenomenon stick-slip, the conditions for its occurrence and the mechanical model recommended for the study of the phenomenon. Regarding the experimental research, it is presented the stand built in the laboratory of the Rolling Stock Department at Politehnica University of Bucharest.
NASA Astrophysics Data System (ADS)
Armas, Iuliana; Bostenaru Dan, Maria
2010-05-01
The COST action TU0801 "Semantic enrichment of 3D city models for sustainable urban development" aims at using ontologies to enrich three dimensional models of cities. Such models can be used for various purposes, one of them being disaster management. COST actions are European networks of nationally funded projects, the European Science Foundation funding the networking activities. Romania adhered to the above mentioned COST action in 2009, the nationally funded project being concerned with the use of GIS for the vulnerability to hazards of the city of Bucharest. Among the networking activites Romanian representatives participated in are a training school on 3D GIS for disaster management (with two trainees) and a working group and management committee meeting. It is aimed to further develop the issues of usability and guidance of semantically enriched city models as task from the working group within the Action for the nationally funded project. In this contribution there will be shown how it is aimed to achieve this. One of the issues is on how to extrude GIS to achieve a simple 3D representation for a pilot area in the historic centre of Bucharest. Another one is on how to use this for the study of urbanism aspects, ranging from visual urban composition to the complex 3D aspects in restoration projects, including addition of new floors to buildings.
ERIC Educational Resources Information Center
Cochran, Deborah C.; Gallagher, Peggy A.; Stayton, Vicki D.; Dinnebeil, Laurie A.; Lifter, Karin; Chandler, Lynette K.; Christensen, Kimberly A.
2012-01-01
Results of the field validation survey of the revised initial and new advanced Council for Exceptional Children (CEC) Division for Early Childhood (DEC) early childhood special education (ECSE)/early intervention (EI) personnel standards are presented. Personnel standards are used as part of educational accountability systems and in teacher…
ERIC Educational Resources Information Center
Bruns, Deborah A.; LaRocco, Diana J.; Sharp, Olga L.; Sopko, Kim Moherek
2017-01-01
In 2015, the Division for Early Childhood of the Council for Exceptional Children released a position statement on leadership in early intervention and early childhood special education (EI/ECSE). Division for Early Childhood emphasized the importance of developing and supporting high-quality leadership within and across all levels of EI/ECSE…
Early intervention for post-traumatic stress disorder.
Bryant, Richard A
2007-02-01
The potentially debilitating effect of posttraumatic stress disorder (PTSD) has created much interest in early intervention strategies that can reduce PTSD. This review critiques the evidence for psychological debriefing approaches and alternate early intervention strategies. The review critiques the randomized controlled trials of psychological debriefing, and early provision of cognitive behavior therapy. The latter approach involves therapy attention on acutely traumatized individuals who are high risk for PTSD development, and particularly in people with acute stress disorder (ASD). Psychological debriefing does not prevent PTSD. Cognitive behaviour therapy strategies have proven efficacy in reducing subsequent PTSD in ASD populations. Despite the promising evidence for early provision of CBT, many people do not benefit from CBT. This review concludes with consideration of major challenges facing early intervention approaches in the context of terrorist attacks and mass disasters.
Goodrich, J. Marc; Lonigan, Christopher J.; Farver, Jo Ann M.
2017-01-01
Spanish-speaking language-minority (LM) children are at an elevated risk of struggling academically and display signs of that risk during early childhood. Therefore, high-quality research is needed to identify instructional techniques that promote the school readiness of Spanish-speaking LM children. The primary purpose of this study was to evaluate the effectiveness of an intervention that utilized an experimental curriculum and two professional development models for the development of English and Spanish early literacy skills among LM children. We also evaluated whether LM children's proficiency in one language moderated the effect of the intervention on early literacy skills in the other language, as well as whether the intervention was differentially effective for LM and monolingual English-speaking children. Five hundred twenty-six Spanish-speaking LM children and 447 monolingual English-speaking children enrolled in 26 preschool centers in Los Angeles, CA participated in this study. Results indicated that the intervention was effective for improving LM children's code-related but not language-related English early literacy skills. There were no effects of the intervention on children's Spanish early literacy skills. Proficiency in Spanish did not moderate the effect of the intervention for any English early literacy outcomes; however, proficiency in English significantly moderated the effect of the intervention for Spanish oral language skills, such that the effect of the intervention was stronger for children with higher proficiency in English than it was for children with lower proficiency in English. In general, there were not differential effects of the intervention for LM and monolingual children. Taken together, these findings indicate that high-quality, evidence-based instruction can improve the early literacy skills of LM children and that the same instructional techniques are effective for enhancing the early literacy skills of LM and monolingual children. PMID:28970649
White, Barry A. B.; Temple, Judy A.; Reynolds, Arthur J.
2016-01-01
Recent analyses of the long-term societal benefits from early intervention (prenatal care, home visitation, and high quality preschool) for at-risk children commonly include significant savings to society in the form of reduced juvenile delinquency and adult criminal behavior. However, a nontrivial proportion of the reported benefits of several early intervention programs are based on forecasts of criminal behavior throughout adulthood conditional on intervention effects on delinquency in adolescence. Data from the Chicago Longitudinal Study (CLS), an investigation of the life course of 1,539 children from low-income families born in 1979–1980, are used to investigate the bias resulting from predicting the effect of early intervention on adult criminal behavior from the effect on delinquency in adolescence. The investigation concludes that the general method used to predict adult criminal behavior results in a conservative estimate of the reduction in the cost of adult criminal behavior attributed to early intervention. PMID:27867324
White, Barry A B; Temple, Judy A; Reynolds, Arthur J
2010-12-01
Recent analyses of the long-term societal benefits from early intervention (prenatal care, home visitation, and high quality preschool) for at-risk children commonly include significant savings to society in the form of reduced juvenile delinquency and adult criminal behavior. However, a nontrivial proportion of the reported benefits of several early intervention programs are based on forecasts of criminal behavior throughout adulthood conditional on intervention effects on delinquency in adolescence. Data from the Chicago Longitudinal Study (CLS), an investigation of the life course of 1,539 children from low-income families born in 1979-1980, are used to investigate the bias resulting from predicting the effect of early intervention on adult criminal behavior from the effect on delinquency in adolescence. The investigation concludes that the general method used to predict adult criminal behavior results in a conservative estimate of the reduction in the cost of adult criminal behavior attributed to early intervention.
ERIC Educational Resources Information Center
Teti, Douglas M.; Black, Maureen M.; Viscardi, Rose; Glass, Penny; O'Connell, Melissa A.; Baker, Linda; Cusson, Regina; Reiner Hess, Christine
2009-01-01
This study evaluates the efficacy of an early intervention program targeting African American mothers and their premature, low birth weight infants at 3 to 4 months' corrected age from four neonatal intensive care units, 173 families are recruited (84 intervention, 89 control). The 8-session, 20-week intervention consists of a psychoeducational…
Improving the Use of Data in Early Reading Intervention Programs in Northwest Florida
ERIC Educational Resources Information Center
Thompson, Carla J.
2012-01-01
Improving student performance for high-need student populations by improving the use of data in decision-making for early reading intervention programs in northwest Florida is the focus of this research to practice effort. The study is conceptually based on using a relational-feedback intervention (RFI) database model in early learning…
ERIC Educational Resources Information Center
Amendum, Steven J.; Bratsch-Hines, Mary; Vernon-Feagans, Lynne
2018-01-01
The purpose of this study was to evaluate whether the Targeted Reading Intervention (TRI), a professional development and early reading intervention program delivered via webcam technology, could support the early reading progress of English learners (ELs). Participants for the current study were drawn from a larger three-year randomized…
ERIC Educational Resources Information Center
Moxley, Kathleen M.; Squires, Jane; Lindstrom, Lauren
2012-01-01
Current literature regarding the prevalence of child abuse and neglect, resulting developmental impacts on children, and early intervention services for children and families involved in the child welfare system is summarized. While early intervention eligibility referrals are mandated for this population under the Child Abuse Prevention and…
Code of Federal Regulations, 2013 CFR
2013-07-01
... EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES State Application and... eligible for preschool services under section 619 of the Act and who previously received early intervention services under this part, may choose the continuation of early intervention services under this part for...
Code of Federal Regulations, 2014 CFR
2014-07-01
... EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES State Application and... eligible for preschool services under section 619 of the Act and who previously received early intervention services under this part, may choose the continuation of early intervention services under this part for...
Code of Federal Regulations, 2012 CFR
2012-07-01
... EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES State Application and... eligible for preschool services under section 619 of the Act and who previously received early intervention services under this part, may choose the continuation of early intervention services under this part for...
A Study of Family Centered Help Giving Practices in Early Intervention
ERIC Educational Resources Information Center
Coogle, Christan Grygas
2012-01-01
The purpose of this qualitative study is to investigate the early intervention experiences of mothers who have a young child at risk for an autism spectrum disorder (ASD). More specifically, the goal was to explore the family centered help giving practices mothers identify and how these practices affect their early intervention experiences. Five…
ERIC Educational Resources Information Center
Litt, Jonathan S.; Perrin, James M.
2014-01-01
This study aims to characterize participation of neonatal intensive care unit (NICU) graduates in early intervention (EI). We used data from the National Early Intervention Longitudinal Study. We fit models of days from referral to Individualized Family Service Plan creation (plan time), days from referral to initiation of services (service time),…
The Top 10 Mistakes in Early Intervention in Natural Environments--And the Solutions
ERIC Educational Resources Information Center
McWilliam, R. A.
2011-01-01
Early intervention for infants and toddlers with disabilities and their families has strayed from its conceptual roots and the intent of the original legislation. The author describes the top 10 mistakes commonly made in early intervention, including what happens at intake, assessment, plan development, and delivery of services. He proposes five…
ERIC Educational Resources Information Center
Blanton, Maria; Stephens, Ana; Knuth, Eric; Gardiner, Angela Murphy; Isler, Isil; Kim, Jee-Seon
2015-01-01
This article reports results from a study investigating the impact of a sustained, comprehensive early algebra intervention in third grade. Participants included 106 students; 39 received the early algebra intervention, and 67 received their district's regularly planned mathematics instruction. We share and discuss students' responses to a written…
Current Trends in Early Hearing Diagnosis and Intervention in North Carolina
ERIC Educational Resources Information Center
Pretto, Aneesha Patrice
2010-01-01
In North Carolina, the eligibility criteria for enrollment in Part C early intervention services do not exclude infants and toddlers based on the severity or laterality of hearing loss. As such, the state's early intervention population represents a widely diverse array of children ranging from those with minimal to profound hearing losses. While…
Family-Centered Early Intervention Visual Impairment Services through Matrix Session Planning
ERIC Educational Resources Information Center
Ely, Mindy S.; Gullifor, Kateri; Hollinshead, Tara
2017-01-01
Early intervention visual impairment services are built on a model that values family. Matrix session planning pulls together parent priorities, family routines, and identified strategies in a way that helps families and early intervention professionals outline a plan that can both highlight long-term goals and focus on what can be done today.…
ERIC Educational Resources Information Center
Colgan, Siobhan Eileen
2012-01-01
This study investigated the relationship between maternal depression and children's access to early intervention services among a sample of children with developmental delay at age two who were determined to be eligible for early intervention services, were full term and of normal birth weight, and were not previously identified with any special…
12 CFR Appendix Ms - 4-Model Clauses for the Written Early Intervention Notice
Code of Federal Regulations, 2014 CFR
2014-01-01
... 12 Banks and Banking 8 2014-01-01 2014-01-01 false 4-Model Clauses for the Written Early Intervention Notice MS Appendix MS Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION REAL ESTATE...-4 Appendix MS-4—Model Clauses for the Written Early Intervention Notice MS-4(A)—Statement...
Comparing Brief Experimental Analysis and Teacher Judgment for Selecting Early Reading Interventions
ERIC Educational Resources Information Center
Wagner, Dana L.; Coolong-Chaffin, Melissa; Deris, Aaron R.
2017-01-01
The purpose of this study was to examine the use of brief experimental analysis (BEA) to identify early reading interventions for students in the primary grades and to compare teachers' judgments about their students' early reading intervention needs to BEA results. In addition, the research was conducted to explore how teachers make decisions…
Code of Federal Regulations, 2010 CFR
2010-07-01
... 34 Education 3 2010-07-01 2010-07-01 false What requirements apply to a State that served students under the National Early Intervention Scholarship and Partnership program (NEISP) and that receives a... students under the National Early Intervention Scholarship and Partnership program (NEISP) and that...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-24
... HIV/AIDS Program, Part C Early Intervention Services Grant Under the Ryan White HIV/AIDS Program.... ACTION: Notice of Ryan White HIV/AIDS Program Part C Early Intervention Services One-Time Noncompetitive Award to Ensure Continued HIV Primary Medical Care. SUMMARY: To prevent a lapse in comprehensive primary...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-13
... HIV/AIDS Program, Part C Early Intervention Services Grant Under the Ryan White HIV/AIDS Program.... ACTION: Notice of Ryan White HIV/AIDS Program Part C Early Intervention Services One-Time Noncompetitive Award to Ensure Continued HIV Primary Medical Care. SUMMARY: To prevent a lapse in comprehensive primary...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-13
... HIV/AIDS Program, Part C Early Intervention Services Grant Under the Ryan White HIV/AIDS Program.... ACTION: Notice of Ryan White HIV/AIDS Program (Part C) Early Intervention Services One-Time Noncompetitive Award to Ensure Continued HIV Primary Medical Care. SUMMARY: To prevent a lapse in comprehensive...
Modeling the Effects of Early Childhood Intervention Variables on Parent and Family Well-Being
ERIC Educational Resources Information Center
Dunst, Carl J.; Hamby, Deborah W.; Brookfield, Jeffri
2007-01-01
Structural equation modeling was used to evaluate the effects of family, child, and both early childhood intervention process and structural variables on parent and family well-being in a sample of 250 parents involved in birth to age three early childhood intervention programs. Family SES and income had direct positive effects, family-centered…
Reynolds, Arthur J; Ou, Suh-Ruu
2016-10-01
This article reviews methodological and analytic approaches and impact evidence for understanding the mechanisms of effects of early childhood interventions, including delinquency and violence prevention. Illustrations from longitudinal studies of preschool preventive interventions are provided. We restrict our attention to preventive interventions for children from birth to age 5, including evidence from the Chicago Longitudinal Study (CLS), which investigates the impact of an established school-based early childhood intervention. Frameworks and evidence will be organized according to the Five-Hypothesis Model (5HM), which postulates that a variety of early childhood interventions impact later well-being through the promotion of cognitive and scholastic advantages, motivational advantages, social adjustment, family support behaviors, and school supports. Recommendations are made for advancing confirmatory approaches for identifying the most effective prevention programs using identification of generative mechanisms as a major methodological criterion.
ERIC Educational Resources Information Center
Hopwood, Christopher J.
2007-01-01
Second-generation early intervention research typically involves the specification of multivariate relations between interventions, outcomes, and other variables. Moderation and mediation involve variables or sets of variables that influence relations between interventions and outcomes. Following the framework of Baron and Kenny's (1986) seminal…
ERIC Educational Resources Information Center
Santana, Altagracia A.; Bottino, Patti M.
This early intervention kit includes a Comprehensive Early Stimulation Program for Infants (CESPI) instruction manual, an early interventionist workbook, and ten parent/caregiver workbooks. The CESPI early intervention program is designed to provide therapists, teachers, other health professionals, and parents with a common-sense, practical guide…
NASA Astrophysics Data System (ADS)
Zoran, Maria; Savastru, Roxana; Savastru, Dan; Tautan, Marina; Miclos, Sorin; Cristescu, Luminita; Carstea, Elfrida; Baschir, Laurentiu
2010-05-01
Urban systems play a vital role in social and economic development in all countries. Their environmental changes can be investigated on different spatial and temporal scales. Urban and peri-urban environment dynamics is of great interest for future planning and decision making as well as in frame of local and regional changes. Changes in urban land cover include changes in biotic diversity, actual and potential primary productivity, soil quality, runoff, and sedimentation rates, and cannot be well understood without the knowledge of land use change that drives them. The study focuses on the assessment of environmental features changes for Bucharest metropolitan area, Romania by satellite remote sensing and in-situ monitoring data. Rational feature selection from the varieties of spectral channels in the optical wavelengths of electromagnetic spectrum (VIS and NIR) is very important for effective analysis and information extraction of remote sensing data. Based on comprehensively analyses of the spectral characteristics of remote sensing data is possibly to derive environmental changes in urban areas. The information quantity contained in a band is an important parameter in evaluating the band. The deviation and entropy are often used to show information amount. Feature selection is one of the most important steps in recognition and classification of remote sensing images. Therefore, it is necessary to select features before classification. The optimal features are those that can be used to distinguish objects easily and correctly. Three factors—the information quantity of bands, the correlation between bands and the spectral characteristic (e.g. absorption specialty) of classified objects in test area Bucharest have been considered in our study. As, the spectral characteristic of an object is influenced by many factors, being difficult to define optimal feature parameters to distinguish all the objects in a whole area, a method of multi-level feature selection was suggested. On the basis of analyzing the information quantity of bands, correlation between different bands, spectral absorption characteristics of objects and object separability in bands, a fundamental method of optimum band selection and feature extraction from remote sensing data was discussed. Spectral signatures of different terrain features have been used to extract structural patterns aiming to separate surface units and to classify the general categories. The synergetic analysis and interpretation of the different satellite images (LANDSAT: TM, ETM; MODIS, IKONOS) acquired over a period of more than 20 years reveals significant aspects regarding impacts of climate and anthropogenic changes on urban/periurban environment. It was delimited residential zones of industrial zones which are very often a source of pollution. An important role has urban green cover assessment. Have been emphasized the particularities of the functional zones from different points of view: architectural, streets and urban surface traffic, some components of urban infrastructure as well as habitat quality. The growth of Bucharest urban area in Romania has been a result of a rapid process of industrialization, and also of the increase of urban population. Information on the spatial pattern and temporal dynamics of land cover and land use of urban areas is critical to address a wide range of practical problems relating to urban regeneration, urban sustainability and rational planning policy.
Ethnic variations in pathways into early intervention services for psychosis.
Ghali, Sharif; Fisher, Helen L; Joyce, John; Major, Barnaby; Hobbs, Lorna; Soni, Sujata; Chisholm, Brock; Rahaman, Nikola; Papada, Peggy; Lawrence, Jo; Bloy, Sally; Marlowe, Karl; Aitchison, Katherine J; Power, Paddy; Johnson, Sonia
2013-04-01
Ethnic variations have previously been identified in the duration of untreated psychosis (DUP) and pathways into psychiatric services. These have not been examined in the context of early intervention services, which may alter these trajectories. To explore ethnic differences in the nature and duration of pathways into early intervention services. In a naturalistic cohort study, data were collected for 1024 individuals with psychotic disorders accepted for case management by eight London early intervention services. Duration of untreated psychosis was prolonged in the White British group compared with most other ethnic groups. White British individuals were more likely to make contact with their general practitioner and less likely to be seen within emergency medical services. All Black patient groups were more likely than their White British counterparts to experience involvement of criminal justice agencies. Variations continue to exist in how and when individuals from different ethnic groups access early intervention services. These may account for disparities in DUP.
[Basics of early intervention in children with autism spectrum disorders].
Zalaquett, Daniela F; Schönstedt, Marianne G; Angeli, Milagros; Herrrera, Claudia C; Moyano, Andrea C
2015-01-01
Autism Spectrum Disorders (ASD) are characterized by impairments in communication and social interaction, as well as restricted and repetitive patterns of behavior. They have a prevalence of 0.6% in the general population, although there are no national statistics. Even though their evolution is variable, it has been observed that early intervention is an important factor determining prognosis. The aim of this study is to update concepts regarding the current available evidence on the importance of early intervention. After analyzing the collected information, the importance of early intervention programs for children with ASD is confirmed, as well as the role of pediatricians and other health professionals in the early detection of these disorders. Copyright © 2015. Publicado por Elsevier España, S.L.U.
Stockwell-Smith, G; Moyle, W; Kellett, U
2018-05-13
To evaluate the effect of a targeted community-based psychosocial intervention on self-efficacy outcomes for care recipient/carer dyads living with early-stage dementia. There is increasing interest in the role of self-efficacy and self-management structures in determining positive outcomes for people with dementia. The assumption is that care recipient/carer dyads who receive early support to identify and adjust to dementia related changes will cope better in the long-term. An explanatory sequential mixed-method design was employed. Primarily quantitative with qualitative data providing a supportive secondary role to expand on and illuminate the quantitative findings. 88 dyads were recruited and allocated on a regional basis to an intervention or control group. Intervention group dyads received the Early Diagnosis Dyadic Intervention. Control group dyads received two information manuals. Quantitative data were collected at three time-points. Qualitative data were collected via evaluation questionnaires and semi-structured interviews. Intervention structure, content and delivery were acceptable to the dyads but few quantitative self-efficacy findings reached statistical significance. Improvements in self-efficacy were evident in the post-intervention evaluation qualitative responses where dyads expressed greater confidence in identifying and accessing community support. There is an urgent need for effective psychosocial interventions to help reduce the impact of dementia symptoms on patients, carers and society. This study makes an important contribution to our understanding of the capacity of psychosocial interventions to improve self-efficacy outcomes for care recipient/carer dyads with early-stage dementia while also illustrating the challenges associated with measuring self-efficacy in the early stages of the condition. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
Discerning the Future of Early Childhood Intervention.
ERIC Educational Resources Information Center
Zigler, Edward; Berman, Winnie
1983-01-01
Examines the recent history of early childhood intervention efforts; discusses principles that guided the formation of intervention programs in the 1960s and 1970s; describes the Head Start program and lessons learned from its development; considers issues in evaluating intervention programs; and presents suggestions for future directions in early…
Utilisation of Evidence-Based Practices by ASD Early Intervention Service Providers
ERIC Educational Resources Information Center
Paynter, Jessica M.; Ferguson, Sarah; Fordyce, Kathryn; Joosten, Annette; Paku, Sofia; Stephens, Miranda; Trembath, David; Keen, Deb
2017-01-01
A number of autism intervention practices have been demonstrated to be effective. However, the use of unsupported practices persists in community early intervention settings. Recent research has suggested that personal, professional and workplace factors may influence intervention choices. The aim of this research was to investigate knowledge and…
Teachers' Perceptions of Georgia's Early Reading Intervention Program: A Qualitative Study
ERIC Educational Resources Information Center
Hobby, Patti Tennant
2012-01-01
This qualitative study used an ethnographic method to investigate teachers' perceptions of reading interventions delivered in a state-funded early intervention program (EIP). Academically at-risk students struggle to meet grade-level standards year after year, even with interventions involving small group, targeted assistance. Teacher perceptions…
Richards, Jennifer L.; Kramer, Michael S.; Deb-Rinker, Paromita; Rouleau, Jocelyn; Mortensen, Laust; Gissler, Mika; Morken, Nils-Halvdan; Skjærven, Rolv; Cnattingius, Sven; Johansson, Stefan; Delnord, Marie; Dolan, Siobhan M.; Morisaki, Naho; Tough, Suzanne; Zeitlin, Jennifer; Kramer, Michael R.
2017-01-01
IMPORTANCE Clinicians have been urged to delay the use of obstetric interventions (eg, labor induction, cesarean delivery) until 39 weeks or later in the absence of maternal or fetal indications for intervention. OBJECTIVE To describe recent trends in late preterm and early term birth rates in 6 high-income countries and assess association with use of clinician-initiated obstetric interventions. DESIGN Retrospective analysis of singleton live births from 2006 to the latest available year (ranging from 2010 to 2015) in Canada, Denmark, Finland, Norway, Sweden, and the United States. EXPOSURES Use of clinician-initiated obstetric intervention (either labor induction or prelabor cesarean delivery) during delivery. MAIN OUTCOMES AND MEASURES Annual country-specific late preterm (34–36 weeks) and early term (37–38 weeks) birth rates. RESULTS The study population included 2 415 432 Canadian births in 2006–2014 (4.8% late preterm; 25.3% early term); 305 947 Danish births in 2006–2010 (3.6% late preterm; 18.8% early term); 571 937 Finnish births in 2006–2015 (3.3% late preterm; 16.8% early term); 468 954 Norwegian births in 2006–2013 (3.8% late preterm; 17.2% early term); 737 754 Swedish births in 2006–2012 (3.6% late preterm; 18.7% early term); and 25 788 558 US births in 2006–2014 (6.0% late preterm; 26.9% early term). Late preterm birth rates decreased in Norway (3.9% to 3.5%) and the United States (6.8% to 5.7%). Early term birth rates decreased in Norway (17.6% to 16.8%), Sweden (19.4% to 18.5%), and the United States (30.2% to 24.4%). In the United States, early term birth rates decreased from 33.0% in 2006 to 21.1% in 2014 among births with clinician-initiated obstetric intervention, and from 29.7% in 2006 to 27.1% in 2014 among births without clinician-initiated obstetric intervention. Rates of clinician-initiated obstetric intervention increased among late preterm births in Canada (28.0% to 37.9%), Denmark (22.2% to 25.0%), and Finland (25.1% to 38.5%), and among early term births in Denmark (38.4% to 43.8%) and Finland (29.8% to 40.1%). CONCLUSIONS AND RELEVANCE Between 2006 and 2014, late preterm and early term birth rates decreased in the United States, and an association was observed between early term birth rates and decreasing clinician-initiated obstetric interventions. Late preterm births also decreased in Norway, and early term births decreased in Norway and Sweden. Clinician-initiated obstetric interventions increased in some countries but no association was found with rates of late preterm or early term birth. PMID:27458946
Coles, Emma; Cheyne, Helen; Daniel, Brigid
2015-06-06
Child health and wellbeing is influenced by multiple factors, all of which can impact on early childhood development. Adverse early life experiences can have lasting effects across the life course, sustaining inequalities and resulting in negative consequences for the health and wellbeing of individuals and society. The potential to influence future outcomes via early intervention is widely accepted; there are numerous policy initiatives, programmes and interventions clustered around the early years theme, resulting in a broad and disparate evidence base. Existing reviews have addressed the effectiveness of early years interventions, yet there is a knowledge gap regarding the mechanisms underlying why interventions work in given contexts. This realist review seeks to address the question 'what works, for whom and in what circumstances?' in terms of early years interventions to improve child health and wellbeing. The review will be conducted following Pawson's five-stage iterative realist methodology: (1) clarify scope, (2) search for evidence, (3) appraise primary studies and extract data, (4) synthesise evidence and draw conclusions and (5) disseminate findings. The reviewers will work with stakeholders in the early stages to refine the focus of the review, create a review framework and build programme theory. Searches for primary evidence will be conducted iteratively. Data will be extracted and tested against the programme theory. A review collaboration group will oversee the review process. The review will demonstrate how early years interventions do or do not work in different contexts and with what outcomes and effects. Review findings will be written up following the RAMESES guidelines and will be disseminated via a report, presentations and peer-reviewed publications. PROSPERO CRD42015017832.
Early Intervention Paraprofessional Standards: Development and Field Validation
ERIC Educational Resources Information Center
Banerjee, Rashida; Chopra, Ritu V.; DiPalma, Geraldine
2017-01-01
Personnel standards are the foundations for how states and nations approve a program, engage in systemic assessment, and provide effective professional development to its early childhood professionals. However, despite the extensive use of paraprofessionals in early intervention/early childhood special education programs, there is a lack of…
ERIC Educational Resources Information Center
Corwin, Joanne
2011-01-01
Relative to Early Hearing Detection and Intervention (EHDI), New Mexico struggles with multiple points of referral into early intervention in the same way most states do. Referrals are not systematized through a single point of entry. The Step*Hi (statewide Parent-Infant) Program of the New Mexico School for the Deaf (NMSD) receives referrals from…
ERIC Educational Resources Information Center
Vinen, Zoe; Clark, Megan; Paynter, Jessica; Dissanayake, Cheryl
2018-01-01
This study followed children with Autism Spectrum Disorder (ASD) from early intervention into their early schooling years, when they were aged between 6 and 9 years, on autism symptom severity and cognitive functioning. The children, matched at pre-intervention, were compared on type of community provided service: 31 were in receipt of…
ERIC Educational Resources Information Center
Hazell, Philip
The need for guidelines for early intervention of children experiencing Attention Deficit Hyperactivity Disorders (ADHD) was identified by the Australian Early Intervention Network (AusEinet). This document attempts to guide appropriate practice in the care of children and adolescents with ADHD. The guidelines are designed to provide information…
Developing a Home-Based Early Intervention Personnel Training Program in Southeast China
ERIC Educational Resources Information Center
Xie, Huichao; Chen, Ching-I; Chen, Chieh-Yu; Squires, Jane; Li, Wenge; Liu, Tian
2017-01-01
China is expected to have a rapid growth in specialized early intervention (EI) services for young children ages birth to 6 and their families. A major barrier in the provision of EI services in China is the shortage of well-trained EI personnel. In 2013, a Home-Based Early Intervention Program (HBEIP) was started at South China Normal University…
32 CFR Appendix E to Part 57 - DoD-CC on Early Intervention, Special Education, and Related Services
Code of Federal Regulations, 2010 CFR
2010-07-01
... 32 National Defense 1 2010-07-01 2010-07-01 false DoD-CC on Early Intervention, Special Education... SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN PROVISION OF EARLY INTERVENTION AND SPECIAL EDUCATION..., Special Education, and Related Services A. Committee Membership The DoD-CC shall meet at least yearly to...
32 CFR Appendix E to Part 57 - DoD-CC on Early Intervention, Special Education, and Related Services
Code of Federal Regulations, 2011 CFR
2011-07-01
... 32 National Defense 1 2011-07-01 2011-07-01 false DoD-CC on Early Intervention, Special Education... SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN PROVISION OF EARLY INTERVENTION AND SPECIAL EDUCATION..., Special Education, and Related Services A. Committee Membership The DoD-CC shall meet at least yearly to...
ERIC Educational Resources Information Center
MacDonald, Colleen; Figueredo, Lauren
2010-01-01
A history of poverty and low academic achievement in four urban schools pointed to the need to implement an early intervention focused on oral language and emergent literacy. The Kindergarten Early Literacy Tutoring (KELT) Program was designed to target senior (5 year old) kindergarten students most at-risk. The intervention consisted of an extra…
ERIC Educational Resources Information Center
Dimian, Adele F.
2017-01-01
Introduction: Early Intensive Behavioral Interventions (EIBI) is an applied behavior analysis approach that can be effective for remediating autism spectrum disorder (ASD) symptoms for some individuals (Reichow, 2012). From a population perspective, timely access to early intervention services is assumed to be important for facilitating long term…
ERIC Educational Resources Information Center
Orton, Jane; Spittle, Alicia; Doyle, Lex; Anderson, Peter; Boyd, Roslyn
2009-01-01
Aim: The aim of this study was to review the effects of early developmental intervention after discharge from hospital on motor and cognitive development in preterm infants. Method: Randomized controlled trials (RCTs) or quasi-RCTs of early developmental intervention programmes for preterm infants in which motor or cognitive outcomes were reported…
Code of Federal Regulations, 2010 CFR
2010-07-01
... chooses to use the cohort approach in its project, serve under the program's early intervention component... cohort approach in its project, serve under the program's early intervention component? A Partnership, or a State that chooses to use a cohort approach in its GEAR UP early intervention component, must...
Code of Federal Regulations, 2013 CFR
2013-07-01
... chooses to use the cohort approach in its project, serve under the program's early intervention component... chooses to use the cohort approach in its project, serve under the program's early intervention component? A Partnership, or a State that chooses to use a cohort approach in its GEAR UP early intervention...
Code of Federal Regulations, 2012 CFR
2012-07-01
... chooses to use the cohort approach in its project, serve under the program's early intervention component... chooses to use the cohort approach in its project, serve under the program's early intervention component? A Partnership, or a State that chooses to use a cohort approach in its GEAR UP early intervention...
Code of Federal Regulations, 2014 CFR
2014-07-01
... chooses to use the cohort approach in its project, serve under the program's early intervention component... chooses to use the cohort approach in its project, serve under the program's early intervention component? A Partnership, or a State that chooses to use a cohort approach in its GEAR UP early intervention...
Code of Federal Regulations, 2011 CFR
2011-07-01
... chooses to use the cohort approach in its project, serve under the program's early intervention component... chooses to use the cohort approach in its project, serve under the program's early intervention component? A Partnership, or a State that chooses to use a cohort approach in its GEAR UP early intervention...
Code of Federal Regulations, 2010 CFR
2010-07-01
... for postsecondary education to students under the GEAR UP early intervention component? 694.11 Section... education to students under the GEAR UP early intervention component? A GEAR UP Partnership that does not... early intervention component of GEAR UP if— (a) The financial assistance is directly related to, and in...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-13
... HIV/AIDS Program, Part C Early Intervention Services Grant Under the Ryan White HIV/AIDS Program... persons living with HIV/AIDS, HRSA will be providing a one-time noncompetitive Part C funds award to DFHS... provided critical Ryan White HIV/AIDS Program (Part C) Early Intervention Services for over 427 persons...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-12-27
... HIV/AIDS Program Part C Early Intervention Services Grant Under the Ryan White HIV/AIDS Program AGENCY...: Notice of Ryan White HIV/AIDS Program Part C Early Intervention Services One-Time Noncompetitive Award To Ensure Continued HIV Primary Medical Care. SUMMARY: To prevent a lapse in comprehensive primary care...
Schmitt, Steven; MacIntyre, Ann T; Bleasdale, Susan C; Ritter, J Trees; Nelson, Sandra B; Berbari, Elie F; Burdette, Steven D; Hewlett, Angela; Miles, Matthew; Robinson, Philip A; Siddiqui, Javeed; Trotman, Robin; Martinelli, Lawrence; Zeitlin, Gary; Rodriguez, Andrés; Smith, Mark W; McQuillen, Daniel P
2018-06-13
Intervention by infectious diseases (ID) physicians improves outcomes for inpatients in Medicare, but patients with other insurance types could fare differently. We assessed whether ID involvement leads to better outcomes among privately insured patients under age 65 hospitalized with common infections. We performed a retrospective analysis of administrative claims data from community hospital and post-discharge ambulatory care. Patients were privately insured individuals under 65 years old with an acute-care stay in 2014 for selected infections, classed as having early (by day 3) or late (after day 3) ID intervention, or none. Key outcomes were mortality, cost, length of the index stay; readmission rate, mortality and total cost of care over the first 30 days after discharge. Patients managed with early ID involvement had shorter length of stay, lower spending, and lower mortality in the index stay than those patients managed without ID involvement. Relative to late, early ID involvement was associated with shorter length of stay and lower cost. Individuals with early ID intervention during hospitalization had fewer readmissions and lower healthcare payments after discharge. Relative to late, those with early ID intervention experienced lower readmission, lower spending, and lower mortality. Among privately insured patients under 65 years old, treated in a hospital, early intervention with an ID physician was associated with lower mortality rate and shorter length of stay. Patients who received early ID intervention during their hospital stay were less likely to be readmitted after discharge and had lower total healthcare spending.
Designing Studies to Test Causal Questions About Early Math: The Development of Making Pre-K Count.
Mattera, Shira K; Morris, Pamela A; Jacob, Robin; Maier, Michelle; Rojas, Natalia
2017-01-01
A growing literature has demonstrated that early math skills are associated with later outcomes for children. This research has generated interest in improving children's early math competencies as a pathway to improved outcomes for children in elementary school. The Making Pre-K Count study was designed to test the effects of an early math intervention for preschoolers. Its design was unique in that, in addition to causally testing the effects of early math skills, it also allowed for the examination of a number of additional questions about scale-up, the influence of contextual factors and the counterfactual environment, the mechanism of long-term fade-out, and the role of measurement in early childhood intervention findings. This chapter outlines some of the design considerations and decisions put in place to create a rigorous test of the causal effects of early math skills that is also able to answer these questions in early childhood mathematics and intervention. The study serves as a potential model for how to advance science in the fields of preschool intervention and early mathematics. © 2017 Elsevier Inc. All rights reserved.
Reynolds, Arthur J.; Ou, Suh-Ruu
2015-01-01
This article reviews methodological and analytic approaches, and impact evidence for understanding the mechanisms of effects of early childhood interventions, including delinquency and violence prevention. Illustrations from longitudinal studies of preschool preventive interventions are provided. We restrict our attention to preventive interventions for children from birth to age 5, including evidence from the Chicago Longitudinal Study (CLS), which investigates the impact of an established school-based early childhood intervention. Frameworks and evidence will be organized according to the 5-Hypothesis Model (5HM), which postulates that a variety of early childhood interventions impact later well-being through the promotion of cognitive and scholastic advantages, motivational advantages, social adjustment, family support behaviors, and school supports. Recommendations are made for advancing confirmatory approaches for identifying the most effective prevention programs using identification of generative mechanisms as a major methodological criterion. PMID:26497315
Smith, Ashlyn L.; Hustad, Katherine C.
2015-01-01
The current study examined parent perceptions of communication, the focus of early intervention goals and strategies, and factors predicting the implementation of augmentative and alternative communication (AAC) for 26, 2-year-old children with cerebral palsy. Parents completed a communication questionnaire and provided early intervention plans detailing child speech and language goals. Results indicated that receptive language had the strongest association with parent perceptions of communication. Children who were not talking received a greater number of intervention goals, had a greater variety of goals, and had more AAC goals than children who were emerging and established talkers. Finally, expressive language had the strongest influence on AAC decisions. Results are discussed in terms of the relationship between parent perceptions and language skills, communication as an emphasis in early intervention, AAC intervention decisions, and the importance of receptive language. PMID:26401966
1998-06-12
Bucharest, Romania 257 TO THE THEORY OF A PLASMA FILLED ION DIODE L.I. Rudakov, RRC Kurchatov Institute, Moscow, Russia, A.S. Chuvatin, Ecole...B. Moosman, S.J. Stephanakis, Naval Research Laboratory, Washington DC, USA 306 -XVII- PLASMA EVOLUTION OF A POS: COMPARISON OF THEORY AND...POSs. INTRODUCTION The POS is a critical component of the multi-module DECADE generator.’ At present, maximum bremsstrahlung is produced on DECADE Module
ERIC Educational Resources Information Center
De Vel Muller, Robert
The major objectives of this briefing are to inform non-governmental organizations (NGOs) of population problems and progress worldwide and to provide information on the International Conference on Population to be held in Mexico City in 1984. The bulk of the report summarizes the group meetings and followup discussions held to examine four major…
Applications of Ultra-Intense, Short Laser Pulses
NASA Astrophysics Data System (ADS)
Ledingham, Ken W. D.
The high intensity laser production of electron, proton, ion and photon beams is reviewed particularly with respect to the laser-plasma interaction which drives the acceleration process. A number of applications for these intense short pulse beams is discussed e.g. ion therapy, PET isotope production and laser driven transmutation studies. The future for laser driven nuclear physics at the huge new, multi-petawatt proposed laser installation ELI in Bucharest is described. Many people believe this will take European nuclear research to the next level.
1991-09-01
jet engine (even rocket engine ) rotating components. Examples have been presented for compressor and turbine profile designs. Both methods are...used for experimental studies on plasmatrons and gasdynamic stands in which the gas jets are created by special aviation and rocket engines . Similar... Aviation Institute, Bd. Pacli 220, 77538 Bucharest, ROMANIA 45 --’, Inverse Airfoil Design Procedure .Uging a Mliitigrid Navier-Stokes ,Method) J.B
Romania’s Intelligence Community: From an Instrument of Dictatorship to Serving Democracy
2007-01-01
Control of Armed Forces (DCAF), (Bucharest, 2004). 32 Profil, nr. 7, March 2005, p. 9. http://www.sri.ro/index.php?nav= biblioteca &subnav=publicatii&tabela...pp. 14–17, http://www.sri.ro/ index.php?nav= biblioteca &subnav=publicatii&tabela=publicatii_bl 66 Interview by Ion Petrescu with General Lieutenant dr... biblioteca &subnav=publicatii&tabela=publicatii_bl 83 Radu Tudor, ‘‘Romania Creates New Counterterrorism Unit,’’ Jane’s Intelligence Review, 1 January 2005
Some considerations concerning cochlear implantation in IFACF-ORL
Hainarosie, M; Zainea, V; Serban, S; Georgescu, MG; Hainarosie, R; Marinescu, A; Georgescu, G
2014-01-01
The article analyzes the patients who have received a cochlear implant at “Prof. Dr. Dorin Hociota” Institute of Phonoaudiology and Functional ENT Surgery, Bucharest, over a period of 13 years, from the beginning of this program in the year 2000. It presents the types of devices used, the particularities of the patients, the surgical techniques and the outcome, critically analyzing the complications encountered. The authors’ comments on the selection of patient protocol, surgical intraoperative challenges and cochlear implant technologies and capabilities are presented. PMID:25870683
[Vasile Tonoiu and the modern scientific spirit a romanian approach of Gaston Bachelard's work].
Buse, Ionel
2013-01-01
One of the Romanian scholars who studied extensively the work of Bachelard in Romania is Professor Vasile Tonoiu from the University of Bucharest. We analyze in this article some of his thoughts regarding the epistemology of the French philosopher. Even though he lacks a historical vision of the epistemological works of Bachelard, Tonoiu did not fail to understand the spirit of the French neo-rationalism, which he compared to the field of Anglo-American epistemology.
Science and journalism: friend or foe?
NASA Astrophysics Data System (ADS)
Mosoia, Cătălin
2011-06-01
A journalist's view on science and journalism. The presentation is based on personal experience gained over the past few years as editor of the minute of science broadcasted at Radio Europa FM, Bucharest, Romania, and as editor and writer for the Romanian electronic science newspaper Ziarul stiintelor. Is it possible to have science with or without journalism? Who is waiting for whom, science or journalism? Is astronomy more attractive to the public than other disciplines? Can it be used as a growing factor for the public understanding of science?
Thin layer activation techniques at the U-120 cyclotron of Bucharest
NASA Astrophysics Data System (ADS)
Constantinescu, B.; Ivanov, E. A.; Pascovici, G.; Popa-Simil, L.; Racolta, P. M.
1994-05-01
The Thin Layer Activation (TLA) technique is a nuclear method especially used for different types of wear (or corrosion) investigations. Experimental results for selection criteria of nuclear reactions for various tribological studies, using the IPNE U-120 classical variable energy Cyclotron are presented. Measuring methods for the main types of wear phenomena and home made instrumentations dedicated for TLA industrial applications are also reported. Some typical TLA tribological applications, a nuclear scanning method to obtain wear profile of piston-rings are presented as well.
An Experimental Test of Parenting Practices as a Mediator of Early Childhood Physical Aggression
ERIC Educational Resources Information Center
Brotman, Laurie Miller; O'Neal, Colleen R.; Huang, Keng-Yen; Gouley, Kathleen Kiely; Rosenfelt, Amanda; Shrout, Patrick E.
2009-01-01
Background: Parenting practices predict early childhood physical aggression. Preventive interventions that alter parenting practices and aggression during early childhood provide the opportunity to test causal models of early childhood psychopathology. Although there have been several informative preventive intervention studies that test mediation…
Evaluation of Young Children for Early Intervention and Early Childhood Special Education.
ERIC Educational Resources Information Center
Allen, Diana
This technical assistance document provides guidelines for child assessment and eligibility determination for early intervention and early childhood special education programs in Oregon. An overview of the assessment process explains screening, eligibility evaluation, and assessment for the Individual Family Service Plan (IFSP). Legal requirements…
Early Childhood Special Music Education
ERIC Educational Resources Information Center
Darrow, Alice-Ann
2011-01-01
The process of early intervention is a critical component of Early Childhood Special Music Education. Early intervention is the process of providing services, education, and support to young children who have disabilities or to children who are at-risk of developing needs that may affect their physical, cognitive, or emotional development. The…
News in early intervention in autism.
Geoffray, Marie-Maude; Thevenet, Marion; Georgieff, Nicolas
2016-09-01
Autism Spectrum Disorder (ASD) is a complex neurodevelopmental trouble which prevents the child from socio-communicative interaction, and learning from his environment. Non-medical early intervention attempts to improve prognosis. We will review the main current hypothesis, intervention models and scientific supports about early intervention. We conducted a search of the literature published on Medline between 2010 and 2015 related to intervention models provided to children with ASD aged less than 3 years. Data were extracted from systematic reviews and recent randomized controlled trials with moderate to high GRADE quality of evidence. Early intervention refers to brain plasticity theory. With the epidemiological studies of infant "at risk" there is an attempt to intervene earlier before full syndrome is present. Interventions tend to follow more on a developmental hierarchy of socio-communicative skills and to focus on the dyadic relation between the child and the caregivers to improve the core autistic symptoms. Over the last 6 years, there's been news and fine-tuned ways about early intervention, and more and more systematic evaluation. However, there are only few interventions which were evaluated in trial with a strong GRADE recommendation and all of them have methodological concerns. It is important to be cautious in recommendations for mental health politic, even if it is important to improve access to services for all children and their families, hence finance and design rigorous project in research.
Long-Term Outcomes of Early Intervention in 6-Year-Old Children With Autism Spectrum Disorder
Estes, Annette; Munson, Jeffrey; Rogers, Sally J.; Greenson, Jessica; Winter, Jamie; Dawson, Geraldine
2015-01-01
Objective We prospectively examine evidence for the sustained effects of early intervention based on a follow-up study of 39 children with ASD who began participation in a randomized clinical trial testing the effectiveness of the Early Start Denver Model (ESDM) at age 18–30 months. The intervention, conducted at a high level of intensity in-home for 2 years, showed evidence of efficacy immediately posttreatment. Method This group of children was assessed at age 6, two years after the intervention ended, across multiple domains of functioning by clinicians naïve to previous intervention group status. Results The ESDM group, on average, maintained gains made in early intervention during the 2-year follow-up period in overall intellectual ability, adaptive behavior, symptom severity, and challenging behavior. No group differences in core autism symptoms were found immediately posttreatment; however, two years later, the ESDM group demonstrated improved core autism symptoms and adaptive behavior as compared with the community-intervention-as-usual (COM) group. The two groups were not significantly different in terms of intellectual functioning at age 6. The two groups received equivalent intervention hours during the original study, but the ESDM group received fewer hours during the follow-up period. Conclusion These results provide evidence that gains from early intensive intervention are maintained 2 years later. Notably, core autism symptoms improved in the ESDM group over the follow-up period relative to the COM group. This improvement occurred at the same time the ESDM group received significantly fewer services. This is the first study to examine the role of early ESDM behavioral intervention initiated below 30 months of age in altering the longer term developmental course of autism. PMID:26088663
Long-Term Outcomes of Early Intervention in 6-Year-Old Children With Autism Spectrum Disorder.
Estes, Annette; Munson, Jeffrey; Rogers, Sally J; Greenson, Jessica; Winter, Jamie; Dawson, Geraldine
2015-07-01
We prospectively examined evidence for the sustained effects of early intervention based on a follow-up study of 39 children with ASD who began participation in a randomized clinical trial testing the effectiveness of the Early Start Denver Model (ESDM) at age 18 to 30 months. The intervention, conducted at a high level of intensity in-home for 2 years, showed evidence of efficacy immediately posttreatment. This group of children was assessed at age 6 years, 2 years after the intervention ended, across multiple domains of functioning by clinicians naive to previous intervention group status. The ESDM group, on average, maintained gains made in early intervention during the 2-year follow-up period in overall intellectual ability, adaptive behavior, symptom severity, and challenging behavior. No group differences in core autism symptoms were found immediately posttreatment; however, 2 years later, the ESDM group demonstrated improved core autism symptoms and adaptive behavior as compared with the community-intervention-as-usual (COM) group. The 2 groups were not significantly different in terms of intellectual functioning at age 6 years. Both groups received equivalent intervention hours during the original study, but the ESDM group received fewer hours during the follow-up period. These results provide evidence that gains from early intensive intervention are maintained 2 years later. Notably, core autism symptoms improved in the ESDM group over the follow-up period relative to the COM group. This improvement occurred at the same time that the ESDM group received significantly fewer services. This is the first study to examine the role of early ESDM behavioral intervention initiated at less than 30 months of age in altering the longer-term developmental course of autism. Copyright © 2015 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.
ERIC Educational Resources Information Center
Jackson, Jane B.; Paratore, Jeanne R.; Chard, David J.; Garnick, Sheila
1999-01-01
A study examined the degree to which eight teachers would faithfully implement an early literacy intervention plan. Teachers implemented the intervention with a high degree of fidelity and benefited from the community approach to intervention for struggling readers. Most children made substantial gains in phonemic blending and segmenting…
Predictors of Responsiveness to Early Literacy Intervention: A 10-Year Update
ERIC Educational Resources Information Center
Lam, Elizabeth A.; McMaster, Kristen L.
2014-01-01
The purpose of this review was to update previous reviews on factors related to students' responsiveness to early literacy intervention. The 14 studies in this synthesis used experimental designs, provided small-group or one-on-one reading interventions, and analyzed factors related to responsiveness to those interventions. Participants were…
Promoting Early Intervention Referral through a Randomized Controlled Home-Visiting Program
ERIC Educational Resources Information Center
Schwarz, Donald F.; O'Sullivan, Ann L.; Guinn, Judith; Mautone, Jennifer A.; Carlson, Elyse C.; Zhao, Huaqing; Zhang, Xuemei; Esposito, Tara L.; Askew, Megan; Radcliffe, Jerilynn
2012-01-01
The MOM Program is a randomized, controlled trial of an intervention to promote mothers' care for the health and development of their children, including accessing early intervention (EI) services. Study aims were to determine whether, relative to controls, this intervention increased receipt of and referral to EI services. Mothers (N = 302)…
A Comparison of Responsive Interventions on Kindergarteners' Early Reading Achievement
ERIC Educational Resources Information Center
Little, Mary E.; Rawlinson, D'Ann; Simmons, Deborah C.; Kim, Minjung; Kwok, Oi-man; Hagan-Burke, Shanna; Simmons, Leslie E.; Fogarty, Melissa; Oslund, Eric; Coyne, Michael D.
2012-01-01
This study compared the effects of Tier 2 reading interventions that operated in response-to-intervention contexts. Kindergarten children (N = 90) who were identified as at risk for reading difficulties were stratified by school and randomly assigned to receive (a) Early Reading Intervention (ERI; Pearson/Scott Foresman, 2004) modified in response…
34 CFR 303.405 - Access rights.
Code of Federal Regulations, 2014 CFR
2014-07-01
... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Procedural Safeguards Confidentiality of Personally Identifiable Information and Early... review any early intervention records relating to their children that are collected, maintained, or used...
34 CFR 303.405 - Access rights.
Code of Federal Regulations, 2012 CFR
2012-07-01
... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Procedural Safeguards Confidentiality of Personally Identifiable Information and Early... review any early intervention records relating to their children that are collected, maintained, or used...
34 CFR 303.405 - Access rights.
Code of Federal Regulations, 2013 CFR
2013-07-01
... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Procedural Safeguards Confidentiality of Personally Identifiable Information and Early... review any early intervention records relating to their children that are collected, maintained, or used...
Autism Spectrum Disorder Updates - Relevant Information for Early Interventionists to Consider.
Allen-Meares, Paula; MacDonald, Megan; McGee, Kristin
2016-01-01
Autism spectrum disorder (ASD) is a pervasive developmental disorder characterized by deficits in social communication skills as well as repetitive, restricted or stereotyped behaviors (1). Early interventionists are often found at the forefront of assessment, evaluation, and early intervention services for children with ASD. The role of an early intervention specialist may include assessing developmental history, providing group and individual counseling, working in partnership with families on home, school, and community environments, mobilizing school and community resources, and assisting in the development of positive early intervention strategies (2, 3). The commonality among these roles resides in the importance of providing up-to-date, relevant information to families and children. The purpose of this review is to provide pertinent up-to-date knowledge for early interventionists to help inform practice in working with individuals with ASD, including common behavioral models of intervention.
The Neurobiology of Intervention and Prevention in Early Adversity.
Fisher, Philip A; Beauchamp, Kate G; Roos, Leslie E; Noll, Laura K; Flannery, Jessica; Delker, Brianna C
2016-01-01
Early adverse experiences are well understood to affect development and well-being, placing individuals at risk for negative physical and mental health outcomes. A growing literature documents the effects of adversity on developing neurobiological systems. Fewer studies have examined stress neurobiology to understand how to mitigate the effects of early adversity. This review summarizes the research on three neurobiological systems relevant to interventions for populations experiencing high levels of early adversity: the hypothalamic-adrenal-pituitary axis, the prefrontal cortex regions involved in executive functioning, and the system involved in threat detection and response, particularly the amygdala. Also discussed is the emerging field of epigenetics and related interventions to mitigate early adversity. Further emphasized is the need for intervention research to integrate knowledge about the neurobiological effects of prenatal stressors (e.g., drug use, alcohol exposure) and early adversity. The review concludes with a discussion of the implications of this research topic for clinical psychology practice and public policy.
Autism Spectrum Disorder Updates – Relevant Information for Early Interventionists to Consider
Allen-Meares, Paula; MacDonald, Megan; McGee, Kristin
2016-01-01
Autism spectrum disorder (ASD) is a pervasive developmental disorder characterized by deficits in social communication skills as well as repetitive, restricted or stereotyped behaviors (1). Early interventionists are often found at the forefront of assessment, evaluation, and early intervention services for children with ASD. The role of an early intervention specialist may include assessing developmental history, providing group and individual counseling, working in partnership with families on home, school, and community environments, mobilizing school and community resources, and assisting in the development of positive early intervention strategies (2, 3). The commonality among these roles resides in the importance of providing up-to-date, relevant information to families and children. The purpose of this review is to provide pertinent up-to-date knowledge for early interventionists to help inform practice in working with individuals with ASD, including common behavioral models of intervention. PMID:27840812
Ethical considerations in preventive interventions for bipolar disorder.
Ratheesh, Aswin; Cotton, Susan M; Davey, Christopher G; Adams, Sophie; Bechdolf, Andreas; Macneil, Craig; Berk, Michael; McGorry, Patrick D
2017-04-01
Early intervention and prevention of serious mental disorders such as bipolar disorder has the promise of decreasing the burden associated with these disorders. With increasing early and preventive intervention efforts among cohorts such as those with a familial risk for bipolar disorder, there is a need to examine the associated ethical concerns. The aim of this review was to examine the ethical issues underpinning the clinical research on pre-onset identification and preventive interventions for bipolar disorder. We undertook a PubMed search updated to November 2014 incorporating search terms such as bipolar, mania, hypomania, ethic*(truncated), early intervention, prevention, genetic and family. Fifty-six articles that were identified by this method as well as other relevant articles were examined within a framework of ethical principles including beneficence, non-maleficence, respect for autonomy and justice. The primary risks associated with research and clinical interventions include stigma and labelling, especially among familial high-risk youth. Side effects from interventions are another concern. The benefits of preventive or early interventions were in the amelioration of symptoms as well as the possibility of minimizing disability, cognitive impairment and progression of the illness. Supporting the autonomy of individuals and improving access to stigma-free care may help moderate the potential challenges associated with the risks of interventions. Concerns about the risks of early identification and pre-onset interventions should be balanced against the potential benefits, the individuals' right to choice and by improving availability of services that balance such dilemmas. © 2016 John Wiley & Sons Australia, Ltd.
ERIC Educational Resources Information Center
Almsbhieen, Moneera Meheel
2016-01-01
This study aims to highlight the importance of early intervention as to intellectual disabled children, level of its availability through the point of view generated from workers in Intellectual disability centers at Ma'an-Jordan. Moreover, we shall discuss herein the differences that carry statistical significance in early intervention services…
ERIC Educational Resources Information Center
Dunst, Carl J.
2012-01-01
The term parapatric speciation, borrowed from biogeography, is used as a metaphor for describing and illustrating a little acknowledged change in the field of early intervention that occurred at the time of the passage of the Education of the Handicapped Act Part H early intervention legislation. The term refers to the formation of a new species…
ERIC Educational Resources Information Center
Bohjanen, Sharon L.
2016-01-01
Infants and toddlers who live in poverty are more likely to experience developmental delays or disabilities and less likely to access early intervention (EI) services. The federal initiative Race to the Top--Early Learning Challenge (RTT-ELC) was designed to increase access to high quality early learning programs for children at risk for…
NASA Astrophysics Data System (ADS)
Baltesiu, L.; Gomoiu, M. T.; Mudura, R.; Nicolescu, G.; Purcarea-Ciulacu, V.
2012-04-01
After 1990 there were environmental changes at national, European and global level which led to the emergence and re-emergence of infectious diseases. Among these diseases, those transmitted by vectors were installed on very large areas where pathogens entered the complex transmission cycles within the local ecosystems. Environmental changes were generated by climatic (temperature and precipitation), geomorphologic (altitude) and anthropogenic (land cover / land use) changes. Due to these environmental changes it became necessary to anticipate, prevent and control the epidemics in order to avoid major crises of natural and socio-economic systems. In these circumstances, the risk of re-emergence of West Nile virus infection increased, thus becoming a public health problem for Romania. Our research consisted in assessing this risk, depending on environmental changes that can influence the presence and space-time distribution as well as the dynamics of the elements of virus transmission cycle. Study areas were selected so that they should meet, on the one hand, very different natural ecosystems and on the other hand should include continuously changing anthropogenic ecosystems that provide optimal conditions for the vector-borne West Nile virus. These areas were: the Danube Delta including Razim-Sinoe complex (Tulcea County), Bucharest Metropolitan Area (BMA) (Bucharest and Ilfov & Giurgiu Counties). The Danube Delta lagoon area is the gateway to West Nile virus in Romania. During the neurological infection epidemic with West Nile virus in 1996, in BMA were recorded 60% of the total number of human cases. For the period 2009 - 2011 the authors developed risk maps to West Nile virus vectors to vertebrate hosts depending on climatic, geomorphologic and anthropogenic changes. Maps were made using ArcGis - ArcMap software, depending on the mean annual temperature and precipitation. We were used by the altitude risk map the hypsographic map of Romania and for the risk map by land cover/land use, information provided by the Land Cover/Land Use Classification System for Romania (2003) data. The four (4) types of risk maps (depending on temperature, precipitation, altitude and cover / land use) were overlaid, thus achieving the final risk maps. Also, space-time distribution maps were made at national and regional level for vertebrate hosts and vectors. On the basis of the information forecasts are developed concerning the occurrence of these diseases in different types of ecosystems, as well as early warnings and strategies at national and European level in order to protect the human population.
The At Risk Child: Early Identification, Intervention, and Evaluation of Early Childhood Strategies.
ERIC Educational Resources Information Center
Lennon, Joan M.
A review of literature was conducted in order to: (1) determine whether factors placing the young child at risk for school failure can be identified; (2) determine whether early family interventions and early childhood programs are effective; and (3) identify policy implications. Findings are summarized, and recommendations are offered. Research…
ERIC Educational Resources Information Center
Al-Hadad, Nawal Khalil
2010-01-01
Family-professional partnership has been considered a recommended practice in Early Intervention/Early Childhood Special Education (EI/ECSE) programs for young children with disabilities and their families for the past two decades. The importance of establishing successful partnerships between families and professionals in educational planning has…
Feasibility of an Online Professional Development Program for Early Intervention Practitioners
ERIC Educational Resources Information Center
Kyzar, Kathleen B.; Chiu, Caya; Kemp, Peggy; Aldersey, Heather Michelle; Turnbull, Ann P.; Lindeman, David P.
2014-01-01
This article reports findings from 2 studies situated within a larger scope of design research on a professional development program, "Early Years," for Part C early intervention practitioners, working with families in home and community settings. Early Years includes online modules and onsite mentor coaching, and its development has…
Assessing Early Intervention Provider Needs: Insights from One State
ERIC Educational Resources Information Center
Spence, Christine M.; Connor, Susan M.; Burke, Ted; Cheema, Jehanzeb R.; Ostrosky, Michaelene M.
2018-01-01
A statewide needs assessment was conducted with early interventionists to gather information on perceived professional development (PD) needs. Across 3 years, 4,455 early interventionists responded to an online survey. Data were analyzed for reported needs on PD topics in seven broad areas related to early intervention processes and content.…
Improving Early Reading: A Resource Guide for Elementary Schools.
ERIC Educational Resources Information Center
St. John, Edward P.; Loescher, Siri Ann
Indiana's Early Intervention Grant Program (EIGP) provides funding for Reading Recovery and other early interventions focused on improvement in early reading programs (Grades 1-5). This resource guide provides information that schools in Indiana can use to plan for proposals for EIGP and other grant programs, such as comprehensive school reform…
Benefits of Early Childhood Interventions across the World: (Under) Investing in the Very Young
ERIC Educational Resources Information Center
Nores, Milagros; Barnett, W. Steven
2010-01-01
This paper reviews the international (non-U.S.) evidence on the benefits of early childhood interventions. A total of 38 contrasts of 30 interventions in 23 countries were analyzed. It focuses on studies applying a quasi-experimental or random assignment. Studies were coded according to: the type of intervention (cash transfer, nutritional,…
ERIC Educational Resources Information Center
Fettig, Angel; Barton, Erin E.; Carter, Alice S.; Eisenhower, Abbey S.
2016-01-01
This study examined the effects of e-coaching on the implementation of a functional assessment-based intervention delivered by an early intervention provider in reducing challenging behaviors during home visits. A multiple baseline design across behavior support plan components was used with a provider-child dyad. The e-coaching intervention…
Narrowing the Gap: Effects of Intervention on Developmental Trajectories in Autism
ERIC Educational Resources Information Center
Klintwall, Lars; Eldevik, Sigmund; Eikeseth, Svein
2015-01-01
Although still a matter of some debate, there is a growing body of research supporting Early and Intensive Behavioral Intervention as the intervention of choice for children with autism. Learning rate is an alternative to change in standard scores as an outcome measure in studies of early intervention. Learning rates can be displayed graphically…
Early Literacy Instruction and Intervention
Al Otaiba, Stephanie; Foorman, Barbara
2014-01-01
The purpose of this paper is to describe the efficacy of early literacy interventions and to discuss possible roles for volunteer tutors in helping prevent reading difficulties within the Response to Intervention process. First, we describe a landmark study that evaluated the impact of primary classroom instruction on reducing the proportion of students at risk for reading failure, and a more recent series of studies exploring the effects of individualizing classroom reading instruction based on students’ initial skills. Second, we review studies of more intensive early intervention to demonstrate how these interventions substantially reduce the proportion of students at risk. Third, we examine effective tutoring models that utilize volunteers. Finally, we discuss the potential role of community tutors in supporting primary classroom instruction and secondary interventions. PMID:25221452
Early intensive behavioral intervention: Emergence of a consumer-driven service model
Jacobson, John W.
2000-01-01
Parents are becoming influential stimulators and shapers of public policy in regard to educational services for their children. Increasingly, this advocacy has created a controversy about the role of applied behavior analysis as a foundation for early intensive behavioral intervention in autism. Uncertainties exist in policy regarding the role of behavior analysis in early intervention and the capacity of behavior analysis to field a trained work force. Based on contacts with parents of children with autism and information available in a variety of forms on the Internet, there is a rising demand for fundamentally better early intervention services that are available and accessible, provide active intervention, and are based on principles of behavior analysis. Contemporary movements in special and early education, however, appear to be nonconducive to scientifically based treatments, and school districts seem hostile to an increasing role for behavior analysis and to the establishment of services that are responsive to changing parental priorities for the education of their children with autism and related disorders. PMID:22478344
ERIC Educational Resources Information Center
Joseph, Tracy A.
2012-01-01
Increasing numbers of children with autism are being identified at a younger age, before the age of 3, when their intervention services are coordinated through early intervention service providers. Shortly after starting with services families are faced with their first major transition regarding intervention services when their child turns 3 and…
The origins of scientific cinematography and early medical applications.
Barboi, Alexandru C; Goetz, Christopher G; Musetoiu, Radu
2004-06-08
To examine the neurologic cinematographic contributions of Gheorghe Marinescu. Near the end of the 19th century, cinematography developed and was immediately recognized as a new technique applicable to medical documentation. After studying with several prominent European neurologists and deeply influenced by Jean-Martin Charcot, Marinescu returned to Bucharest in 1897 and applied moving picture techniques to the study of neurologic patients. The Romanian State Archives were researched for original Marinescu films, and related publications were translated from Romanian and French. Between 1899 and 1902, Marinescu perfected the use of cinematography as a research method in neurosciences and published five articles based on cinematographic documents. He focused his studies particularly on organic gait disorders, locomotor ataxia, and hysteria. He adapted Charcot's method of lining up several patients with the same disorder and showing them together to permit appreciation of archetypes and formes frustes. He decomposed the moving pictures into sequential tracings for publication. He documented treatment results with cases filmed before and after therapy. Processed and digitized excerpts of these films accompany this manuscript. Marinescu's cinematographic studies led to several original contributions in clinical neurology. Remaining film archives include examples of many neurologic diseases, his examination techniques, and the working medical environment of the young founder of the Romanian school of neurology.
Einfeld, Stewart L; Tonge, Bruce J; Clarke, Kristina S
2013-05-01
To review the recent evidence regarding early intervention and prevention studies for children with developmental disabilities and behaviour problems from 2011 to 2013. Recent advances in the field are discussed and important areas for future research are highlighted. Recent reviews and studies highlight the utility of antecedent interventions and skills training interventions for reducing behaviour problems. There is preliminary evidence for the effectiveness of parent training interventions when delivered in minimally sufficient formats or in clinical settings. Two recent studies have demonstrated the utility of behavioural interventions for children with genetic causes of disability. Various forms of behavioural and parent training interventions are effective at reducing the behaviour problems in children with developmental disabilities. However, research on prevention and early intervention continues to be relatively scarce. Further large-scale dissemination studies and effectiveness studies in clinical or applied settings are needed.
ERIC Educational Resources Information Center
Nave, Gary; Nishioka, Vicki; Burke, Arthur
2009-01-01
This study reports on the developmental functioning levels of children from birth through age 2 in early intervention services and children ages 3-5 in early childhood special education services at the time of entry into services, using data from the Oregon Early Childhood Assessment System. The assessment system contains data on the assessed…
ERIC Educational Resources Information Center
Diken, Ibrahim H.; Bayhan, Pinar; Turan, Figen; Sipal, R. Firat; Sucuoglu, Bulbin; Ceber-Bakkaloglu, Hatice; Gunel, Mintaze Kerem; Kara, Ozgun Kaya
2012-01-01
The purpose of this article was to provide an overview of early childhood intervention and early childhood special education (ECI/ECSE) services and practices in Turkey by using the Developmental System Approach (M. J. Guralnick, 2001). After pointing out the history of early childhood and ECI/ECSE services and current legislations with regard to…
Liabsuetrakul, Tippawan; Oumudee, Nurlisa; Armeeroh, Masuenah; Nima, Niamina; Duerahing, Nurosanah
2018-01-01
Although antenatal care (ANC) coverage has been increasing in low- and middle-income countries, the adherence to the ANC initiation standards at gestational age <12 weeks was inadequate including Thailand. The study aimed to improve the rate of early ANC initiation by training the existing local health volunteers (LHVs) in 3 southernmost provinces of Thailand. A clustered nonrandomized intervention study was conducted from November 2012 to February 2014. One district of each province was selected to be the study intervention districts for that province. A total of 124 LHVs in the intervention districts participated in the knowledge-counseling intervention. It was organized as half-day workshop using 2 training modules each comprising a 30-minute lecture followed by counseling practice in pairs for 1 hour. Outcome was the rate of early ANC initiation among women giving birth, and its association with intervention, meeting an LHV, and months after training was analyzed. Of 6677 women, 3178 and 3499 women were in the control and intervention groups, respectively. Rates of early ANC were significantly improved after the intervention (adjusted odds ratio [OR]: 1.29, 95% confidence interval [CI]: 1.17-1.43, P < .001) and meeting an LHV (adjusted OR: 2.06, 95% CI: 1.86-2.29, P < .001), but lower at 6 months after training (adjusted OR: 0.76, 95% CI: 0.60-0.96, P = .002). Almost all women (99.7%) in the intervention group who met an LHV reported that they were encouraged to attend early ANC. Training LHVs in communities by knowledge-counseling intervention significantly improved early ANC initiation, but the magnitude of change was still limited.
Improvement of Early Antenatal Care Initiation
Oumudee, Nurlisa; Armeeroh, Masuenah; Nima, Niamina; Duerahing, Nurosanah
2018-01-01
Background: Although antenatal care (ANC) coverage has been increasing in low- and middle-income countries, the adherence to the ANC initiation standards at gestational age <12 weeks was inadequate including Thailand. The study aimed to improve the rate of early ANC initiation by training the existing local health volunteers (LHVs) in 3 southernmost provinces of Thailand. Methods: A clustered nonrandomized intervention study was conducted from November 2012 to February 2014. One district of each province was selected to be the study intervention districts for that province. A total of 124 LHVs in the intervention districts participated in the knowledge–counseling intervention. It was organized as half-day workshop using 2 training modules each comprising a 30-minute lecture followed by counseling practice in pairs for 1 hour. Outcome was the rate of early ANC initiation among women giving birth, and its association with intervention, meeting an LHV, and months after training was analyzed. Results: Of 6677 women, 3178 and 3499 women were in the control and intervention groups, respectively. Rates of early ANC were significantly improved after the intervention (adjusted odds ratio [OR]: 1.29, 95% confidence interval [CI]: 1.17-1.43, P < .001) and meeting an LHV (adjusted OR: 2.06, 95% CI: 1.86-2.29, P < .001), but lower at 6 months after training (adjusted OR: 0.76, 95% CI: 0.60-0.96, P = .002). Almost all women (99.7%) in the intervention group who met an LHV reported that they were encouraged to attend early ANC. Conclusion: Training LHVs in communities by knowledge–counseling intervention significantly improved early ANC initiation, but the magnitude of change was still limited. PMID:29657959
Web-GIS platform for green infrastructure in Bucharest, Romania
NASA Astrophysics Data System (ADS)
Sercaianu, Mihai; Petrescu, Florian; Aldea, Mihaela; Oana, Luca; Rotaru, George
2015-06-01
In the last decade, reducing urban pollution and improving quality of public spaces became a more and more important issue for public administration authorities in Romania. The paper describes the development of a web-GIS solution dedicated to monitoring of the green infrastructure in Bucharest, Romania. Thus, the system allows the urban residents (citizens) to collect themselves and directly report relevant information regarding the current status of the green infrastructure of the city. Consequently, the citizens become an active component of the decision-support process within the public administration. Besides the usual technical characteristics of such geo-information processing systems, due to the complex legal and organizational problems that arise in collecting information directly from the citizens, additional analysis was required concerning, for example, local government involvement, environmental protection agencies regulations or public entities requirements. Designing and implementing the whole information exchange process, based on the active interaction between the citizens and public administration bodies, required the use of the "citizen-sensor" concept deployed with GIS tools. The information collected and reported from the field is related to a lot of factors, which are not always limited to the city level, providing the possibility to consider the green infrastructure as a whole. The "citizen-request" web-GIS for green infrastructure monitoring solution is characterized by a very diverse urban information, due to the fact that the green infrastructure itself is conditioned by a lot of urban elements, such as urban infrastructures, urban infrastructure works and construction density.
NASA Astrophysics Data System (ADS)
Zoran, Maria A.; Savastru, Roxana S.; Savastru, Dan M.; Tautan, Marina N.; Baschir, Laurentiu V.
2013-10-01
In frame of global warming, the field of urbanization and urban thermal environment are important issues among scientists all over the world. This paper investigated the influences of urbanization on urban thermal environment as well as the relationships of thermal characteristics to other biophysical variables in Bucharest metropolitan area of Romania based on satellite remote sensing imagery Landsat TM/ETM+, time series MODIS Terra/Aqua data and IKONOS acquired during 1990 - 2012 period. Vegetation abundances and percent impervious surfaces were derived by means of linear spectral mixture model, and a method for effectively enhancing impervious surface has been developed to accurately examine the urban growth. The land surface temperature (Ts), a key parameter for urban thermal characteristics analysis, was also retrieved from thermal infrared band of Landsat TM/ETM+, from MODIS Terra/Aqua datasets. Based on these parameters, the urban growth, urban heat island effect (UHI) and the relationships of Ts to other biophysical parameters have been analyzed. Results indicated that the metropolitan area ratio of impervious surface in Bucharest increased significantly during two decades investigated period, the intensity of urban heat island and heat wave events being most significant. The correlation analyses revealed that, at the pixel-scale, Ts possessed a strong positive correlation with percent impervious surfaces and negative correlation with vegetation abundances at the regional scale, respectively. This analysis provided an integrated research scheme and the findings can be very useful for urban ecosystem modeling.
Laying the Foundations of Contemporary Romanian Astronomy
NASA Astrophysics Data System (ADS)
Marin, Sorin
2017-11-01
This article describes the first stage in the history of Romanian astronomy represented by the events, processes and evolution which led to the formation of great scientific personalities, development drives and the creation of the material base for the contemporary Romanian astronomy, having a focus point on the activity of Bucharest Observatory. The article discusses the roots of an evolution pathway determined and inspired by the activity of several scientific personalities of Romania such as Stefan Hepites, Spiru Haret, Nicolae Coculescu and others. It also underlines that a great importance for the astronomical research in Romania was given by the outstanding technical value of the main instruments used at the Observatory in the first decades of activity and, consequentially, by their longevity in service: in the Equatorial Dome - the impressive 6 m. Prin-Mertz telescope and in the Meridian Hall - the GautierPrin telescope. This determined the formation of a powerful astrometry division and a research drive which led over time to important scientific works such as the ultraprecise stellar catalogues developed in Romania at Bucharest Observatory, which were appreciated and awarded nationally and internationally. Therefore, the article includes the moments and the people which determined the success of laying the foundations of the Observatory in 1908 and then having completed the initial scientific infrastructure in 1912 when the construction work was finished, and briefly presents the features, scientific utilisation and outputs of its telescopes, some of the best in the world in their golden years.
Immunotherapy with rituximab in follicular lymphomas.
Saguna, Carmen; Mut, Ileana Delia; Lupu, Anca Roxana; Tevet, Mihaela; Bumbea, Horia; Dragan, Cornel
2011-04-01
Non-Hodgkin Lymphomas (NHL) represent a recent and fascinating domain of hemato-oncology, in which remarkable progress has been made. The conventional treatments of indolent lymphomas do not extend the survival rate, nor do they cure. Recent directions are centered on using several new drugs that are capable of overcoming the mechanisms that are resistant to recovery. The initiation of immunotherapy (Rituximab in 1997) seems to have changed the natural evolution of follicular lymphomas (FL). It is possible that resistance to healing in follicular lymphomas may be neutralized with Rituximab by suppressing STAT-1 positive macrophages that are present in the cellular microenvironment.Thereinafter, the re-evaluation of recent models of prognostic and therapeutic paradigmas that were used in FL became compulsory.The purpose of the paper is to compare the evolution of patients with follicular lymphoma and the period of response, according to the treatments. The study group consisted of the 71 patients diagnosed with follicular lymphoma, out of a total of 767 malignant lymphatic proliferations with B cells, for a period of 7 years (2002-2008), at the Hematology Department, Hospital Coltea, Bucharest and Hematology Department, Universitary Hospital, BucharestResults and conclusions: Combining chemotherapy with Rituximab had better results compared to the same chemotherapy, administered alone, both in induction and in case of relapse. The overall response rate in our study group was 74.7%, out of which 42.3% complete remissions. The overall response rate was 84.61% in the Rituximab group, compared to 68.88% in patients without Rituximab.
ERIC Educational Resources Information Center
Dunst, Carl J.
2017-01-01
A conceptualization-operationalization-measurement framework is described for developing evidence-informed early childhood intervention performance checklists. Performance checklists include lists of practice indicators where the indicators, taken together, operationally define particular types of intervention practices that, when used as…
Narrowing the gap: effects of intervention on developmental trajectories in autism.
Klintwall, Lars; Eldevik, Sigmund; Eikeseth, Svein
2015-01-01
Although still a matter of some debate, there is a growing body of research supporting Early and Intensive Behavioral Intervention as the intervention of choice for children with autism. Learning rate is an alternative to change in standard scores as an outcome measure in studies of early intervention. Learning rates can be displayed graphically as developmental trajectories, which are easy to understand and avoid some of the counter-intuitive properties of changes in standard scores. The data used in this analysis were from 453 children with autism, previously described by Eldevik et al. Children receiving Early and Intensive Behavioral Intervention exhibited significantly steeper developmental trajectories than children in the control group, in both intelligence and adaptive behaviors. However, there was a considerable variability in individual learning rates within the group receiving Early and Intensive Behavioral Intervention. This variability could partly be explained by the intensity of the treatment, partly by children's intake intelligence quotient age-equivalents. Age at intake did not co-vary with learning rate. © The Author(s) 2013.
ERIC Educational Resources Information Center
Greenwood, Charles R.; Walker, Dale; Buzhardt, Jay
2010-01-01
The Early Communication Indicator (ECI) is a measure relevant to intervention decision making and progress monitoring for infants and toddlers. With increasing recognition of the importance of quality early childhood education and intervention for all children, measurement plays an important role in documenting children's progress and outcomes of…
ERIC Educational Resources Information Center
Steele, Marcee M.
2004-01-01
The early identification of children with learning disabilities (LD) is difficult but can be accomplished. Observation of key behaviors which are indicators of LD by preschool and kindergarten teachers can assist in this process. This early identification facilitates the use of intervention strategies to provide a positive early experience for…
ERIC Educational Resources Information Center
Dunst, Carl J.; Trivette, Carol M.; Deal, Angela G.
2011-01-01
The effectiveness of three types of in-service training designed to improve early intervention practitioners' abilities to use family-systems intervention practices was evaluated in the study of 473 participants. Participants attended either conference presentations or one of two types of workshops (half day/full day or multi-day), or received one…
ERIC Educational Resources Information Center
Martin, Anne; Brooks-Gunn, Jeanne; Klebanov, Pamela; Buka, Stephen L.; McCormick, Marie C.
2008-01-01
The Infant Health and Development Program (IHDP) was a randomized clinical trial of early intervention services for low birth weight, premature infants. Mothers and infants received services for 3 years beginning at neonatal discharge. At the intervention's conclusion, mothers in the intervention group who had lighter (less than 2001 g) birth…
VIA Family - Family Based Early Intervention Versus Treatment as Usual
2018-04-12
Early Intervention; Child of Impaired Parents; Child; Adolescent; Mental Disorders, Severe; Schizophrenia; Bipolar Disorder; Depressive Disorder, Recurrent; Psychotic Disorders; Parent-Child Relations
Furr-Holden, C Debra M; Ialongo, Nicholas S; Anthony, James C; Petras, Hanno; Kellam, Sheppard G
2004-02-07
Prior investigations have linked behavioral competencies in primary school to a reduced risk of later drug involvement. In this randomized prevention trial, we sought to quantify the potential early impact of two developmentally inspired universal preventive interventions on the risk of early-onset alcohol, inhalant, tobacco, and illegal drug use through early adolescence. Participants were recruited as they entered first grade within nine schools of an urban public school system. Approximately, 80% of the sample was followed from first to eighth grades. Two theory-based preventive interventions, (1) a family-school partnership (FSP) intervention and (2) a classroom-centered (CC) intervention, were developed to improve early risk behaviors in primary school. Generalized estimating equations (GEE) multivariate response profile regressions were used to estimate the relative profiles of drug involvement for intervention youths versus controls, i.e. youth in the standard educational setting. Relative to control youths, intervention youths were less likely to use tobacco, with modestly stronger evidence of protection associated with the CC intervention (RR=0.5; P=0.008) as compared to protection associated with the FSP intervention (RR=0.6; P=0.042). Intervention status was not associated with risk of starting alcohol, inhalants, or marijuana use, but assignment to the CC intervention was associated with reduced risk of starting to use other illegal drugs by early adolescence, i.e. heroin, crack, and cocaine powder (RR=0.32, P=0.042). This study adds new evidence on intervention-associated reduced risk of starting illegal drug use. In the context of 'gateway' models, the null evidence on marijuana is intriguing and merits attention in future investigations.
2016-12-01
1 Award Number: W81XWH-12-2-0118 TITLE: Early Diagnosis and Intervention Strategies for Post -Traumatic Heterotopic Ossification in Severely...December 2016 TYPE OF REPORT: Final PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 DISTRIBUTION...COVERED 30Sep2012 - 29Sep2016 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Early Diagnosis and Intervention Strategies for Post -Traumatic Heterotopic
ERIC Educational Resources Information Center
Conroy, Maureen A., Ed.
This document presents discussions of current research and activities by experts in early intervention and behavior disorders. It offers a range of evidence-based strategies, procedures, and models appropriate for prevention and early intervention programs with young children at risk for emotional and/or behavioral disorders. Following an…
Vinen, Zoe; Clark, Megan; Paynter, Jessica; Dissanayake, Cheryl
2018-05-01
This study followed children with Autism Spectrum Disorder (ASD) from early intervention into their early schooling years, when they were aged between 6 and 9 years, on autism symptom severity and cognitive functioning. The children, matched at pre-intervention, were compared on type of community provided service: 31 were in receipt of community-based group Early Start Denver Model and 28 had received other community provisions for ASD. Irrespective of groups, cognitive functioning was found to have significantly improved by school age compared to pre-intervention. Autism symptom severity increased during the same developmental period, seemingly driven by an increase in restricted and repetitive behaviours over time. In contrast, both groups displayed improved social affect by school age.
Bloom, Julia; Dorsett, Pat; McLennan, Vanette
2017-01-01
Introduction: The design was a narrative review. The objective of the study was to investigate the potential for early vocational rehabilitation (VR) interventions for people with spinal cord injury (SCI) in overcoming barriers in returning to work, and to pinpoint factors contributing to effectiveness in early VR intervention for this population. The setting was at Queensland, Australia. Materials and methods: Synthesis of the findings of a literature search of online databases ProQuest and CINAHL, using keywords relating to the employment situation and VR of people with SCI. Themes were identified and analysed in accordance with the research objectives. Results: Despite increasing government commitment to the workforce and social participation of people with disabilities, Australians living with SCI have significantly diminished employment outcomes compared with the general population. Current VR approaches usually do not commence until some months post discharge, potentially missing a window of opportunity to preserve pre-existing employment or assist in vocational decision making. The review found that there are opportunities for enhancing VR service provision following SCI, namely integrating the VR programme within the primary rehabilitation team thus facilitating early VR intervention. Discussion: Emerging evidence shows promising results for early intervention in VR; however, questions remain regarding ideal intervention approaches, and it is clear that further empirical investigation is required to support the use of early intervention models post SCI. The study was sponsored by Motor Accident Insurance Commission (MAIC). PMID:28382213
Father's involvement and its effect on early breastfeeding practices in Viet Nam.
Bich, Tran Huu; Hoa, Dinh Thi Phuong; Ha, Nguyen Thanh; Vui, Le Thi; Nghia, Dang Thi; Målqvist, Mats
2016-10-01
Fathers have an important but often neglected role in the promotion of healthy breastfeeding practices in developing countries. A community-based education intervention was designed to mobilize fathers' support for early breastfeeding. This study aimed to evaluate an education intervention targeting fathers to increase the proportion of early breastfeeding initiation and to reduce prelacteal feeding. Quasi-experimental study design was used to compare intervention and control areas located in two non-adjacent rural districts that shared similar demographic and health service characteristics in northern Viet Nam. Fathers and expectant fathers with pregnant wives from 7 to 30 weeks gestational age were recruited. Fathers in the intervention area received breastfeeding education materials, counselling services at a commune health centre and household visits. They were also invited to participate in a breastfeeding promotion social event. After intervention, early breastfeeding initiation rate was 81.2% in the intervention area and 39.6% in the control area (P < 0.001). Babies in the intervention area were more likely to be breastfed within the first hour after birth [odds ratio (OR) 7.64, 95% confidence interval (CI) 4.81-12.12] and not to receive any prelacteal feeding (OR 4.43, 95% CI 2.88-6.82) compared with those in the control area. Fathers may positively influence the breastfeeding practices of mothers, and as a resource for early childcare, they can be mobilized in programmes aimed at improving the early initiation of breastfeeding. © 2015 John Wiley & Sons Ltd.
Code of Federal Regulations, 2014 CFR
2014-07-01
... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH... years or younger. (2) At least 20 percent of the members must be public or private providers of early... agencies involved in the provision of, or payment for, early intervention services to infants and toddlers...
Code of Federal Regulations, 2012 CFR
2012-07-01
... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH... years or younger. (2) At least 20 percent of the members must be public or private providers of early... agencies involved in the provision of, or payment for, early intervention services to infants and toddlers...
Code of Federal Regulations, 2013 CFR
2013-07-01
... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH... years or younger. (2) At least 20 percent of the members must be public or private providers of early... agencies involved in the provision of, or payment for, early intervention services to infants and toddlers...
Early Risers. What Works Clearinghouse Intervention Report
ERIC Educational Resources Information Center
What Works Clearinghouse, 2012
2012-01-01
"Early Risers" is a multi-year prevention program for elementary school children demonstrating early aggressive and disruptive behavior. The intervention model includes two child-focused components and two parent/family components. The Child Skills component is designed to teach skills that enhance children's emotional and behavioral…
Unick, Jessica L; Pellegrini, Christine A; Demos, Kathryn E; Dorfman, Leah
2017-09-01
There is a large variability in response to behavioral weight loss (WL) programs. Reducing rates of obesity and diabetes may require more individuals to achieve clinically significant WL post-treatment. Given that WL within the first 1-2 months of a WL program is associated with long-term WL, it may be possible to improve treatment outcomes by identifying and providing additional intervention to those with poor initial success (i.e., "early non-responders"). We review the current literature regarding early non-response to WL programs and discuss how adaptive interventions can be leveraged as a strategy to "rescue" early non-responders. Preliminary findings suggest that adaptive interventions, specifically stepped care approaches, offer promise for improving outcomes among early non-responders. Future studies need to determine the optimal time point and threshold for intervening and the type of early intervention to employ. Clinicians and researchers should consider the discussed factors when making treatment decisions.
Matvienko-Sikar, Karen; Toomey, Elaine; Delaney, Lisa; Harrington, Janas; Byrne, Molly; Kearney, Patricia M
2018-04-01
Childhood obesity is a global public health challenge. Parental feeding practices, such as responsive feeding, are implicated in the etiology of childhood obesity. This systematic review aimed to examine of effects of healthcare professional-delivered early feeding interventions, on parental feeding practices, dietary intake, and weight outcomes for children up to 2 years. The role of responsive feeding interventions was also specifically examined. Databases searched included: CINAHL, the Cochrane Library, EMBASE, Medline, PubMed, PsycINFO, and Maternity and Infant Care. participants are parents of children ≤2 years; intervention includes focus on early child feeding to prevent overweight and obesity; intervention delivered by healthcare professionals. Sixteen papers, representing 10 trials, met inclusion criteria for review. Six interventions included responsive feeding components. Interventions demonstrated inconsistent effects on feeding practices, dietary intake, and weight outcomes. Findings suggest some reductions in pressure to eat and infant consumption of non-core beverages. Responsive feeding based interventions demonstrate greater improvements in feeding approaches, and weight outcomes. The findings of this review highlight the importance of incorporating responsive feeding in healthcare professional delivered early feeding interventions to prevent childhood obesity. Observed inconsistencies across trials may be explained by methodological limitations. Copyright © 2017 Elsevier Ltd. All rights reserved.
Benefits of Early Intervention for Special Children.
ERIC Educational Resources Information Center
Bailey, Pamela W.; Trohanis, Pascal L.
The document contains summaries of over 50 publicly available publications which support the case for early intervention for handicapped children and their families. Section 1 contains studies pertaining to the effectiveness of any intervention. This section also describes projects approved by the United States Department of Education's Joint…
Pungello, Elizabeth P.; Kainz, Kirsten; Burchinal, Margaret; Wasik, Barbara H.; Sparling, Joseph J.; Ramey, Craig T.; Campbell, Frances A.
2009-01-01
The extent to which early educational intervention, early cumulative risk, and the early home environment were associated with young adult outcomes was investigated in a sample of 139 young adults (age 21) from high-risk families enrolled in randomized trials of early intervention. Positive effects of treatment were found for education attainment, attending college, and skilled employment; negative effects of risk were found for education attainment, graduating high school, being employed and avoiding teen parenthood. The home mediated the effects of risk for graduating high school, but not being employed or teen parenthood. Evidence for moderated mediation was found for educational attainment; the home mediated the association between risk and educational attainment for the control group, but not the treated group. PMID:20331676
34 CFR 303.21 - Public agency.
Code of Federal Regulations, 2010 CFR
2010-07-01
... responsible for providing early intervention services to children eligible under this part and their families... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH...
34 CFR 303.124 - Prohibition against supplanting.
Code of Federal Regulations, 2010 CFR
2010-07-01
... amount of State and local funds actually expended for early intervention services for these children and.... Allowance may be made for— (1) Decreases in the number of children who are eligible to receive early... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND...
34 CFR 303.345 - Provision of services before evaluation and assessment are completed.
Code of Federal Regulations, 2010 CFR
2010-07-01
... System of Early Intervention Services Individualized Family Service Plans (ifsps) § 303.345 Provision of services before evaluation and assessment are completed. Early intervention services for an eligible child... Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY...
The Parent Component of the Kindergarten and Elementary Intervention Project (KEIP).
ERIC Educational Resources Information Center
Taylor, Linda
This paper describes an experimental early intervention program called the Kindergarten and Elementary Intervention Program, which provides support for at-risk students, their parents, and teachers. It aims at the improvement of early school adjustment through approaches designed to accommodate a wide range of individual differences; improve and…
Early Intervention, Maternal Development and Children's Play.
ERIC Educational Resources Information Center
Slaughter, Diana T.
The purposes of this longitudinal study of early intervention with 83 black mother-child dyads were (a) to test the thesis that sociocultural transmission influences childhood development in educationally significant ways, and (b) to describe the process through which such transmission can occur. Two social intervention programs were contrasted;…
Effect of a Targeted Early Literacy Intervention for English Learners
ERIC Educational Resources Information Center
Arellano, Elizabeth Michelle
2013-01-01
This study examined the effectiveness of a targeted early literacy intervention among Spanish-speaking kindergarten English Learners (ELs). Using a Response to Intervention (RtI) framework, participants were screened in English to ensure a need for additional literacy support. Selected students were then screened in Spanish, and students with…
Reducing the Matthew Effect: Lessons from the "ExCELL" Head Start Intervention
ERIC Educational Resources Information Center
Hindman, Annemarie H.; Erhart, Amber C.; Wasik, Barbara A.
2012-01-01
Evidence shows that the Matthew effect is a persistent problem among early education interventions. The current study examined the degree to which the "ExCELL" ("Ex"ceptional "C"oaching for "E"arly "L"anguage and "L"iteracy) language and literacy professional development intervention for…
Couple-Focused Group Intervention for Women With Early Stage Breast Cancer
ERIC Educational Resources Information Center
Manne, Sharon L.; Ostroff, Jamie S.; Winkel, Gary; Fox, Kevin; Grana, Generosa; Miller, Eric; Ross, Stephanie; Frazier, Thomas
2005-01-01
This study examined the efficacy of a couple-focused group intervention on psychological adaptation of women with early stage breast cancer and evaluated whether perceived partner unsupportive behavior or patient functional impairment moderated intervention effects. Two hundred thirty-eight women were randomly assigned to receive either 6 sessions…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-15
... Early Warning and Intervention Monitoring System AGENCY: Institute of Education Sciences/National Center... Intervention Monitoring System. OMB Control Number: 1850-NEW. Type of Review: New collection. Respondents... planning a two-part evaluation of the Early Warning and Intervention Monitoring System (EWIMS), consisting...
SKIPing with Teachers: An Early Years Motor Skill Intervention
ERIC Educational Resources Information Center
Brian, Ali; Goodway, Jacqueline D.; Logan, Jessica A.; Sutherland, Sue
2017-01-01
Background: Fundamental motor skill (FMS) interventions when delivered by an expert can significantly improve the FMS of young children with and without developmental delays. However, there is a gap in the literature as few early childhood centers employ experts with the professional background to deliver FMS intervention. Purpose: The primary…
[Parental self-efficacy in family-centered early intervention].
Sarimski, Klaus; Hintermair, Manfred; Lang, Markus
2012-01-01
Parental self-efficacy is seen as an important concern in family-centered early intervention. This article reports the data from 125 parents of young children with intellectual disabilities, hearing impairment or visual impairment. The relationship between parental self-efficacy, parental stress and several parent and child variables is analyzed. The results support the relevance of parental self-efficacy for parental coping. Some recommendations for promoting their experience of participation and partnership in early intervention services are discussed.
ERIC Educational Resources Information Center
Wang, Ye; Spychala, Heather; Harris, Regina S.; Oetting, Tara L.
2013-01-01
The study explored the effects of a phonics-based early intervention package on the early reading skills of three preschool students who were d/Deaf or hard of hearing who differed in regard to degree of hearing loss, use of amplification, and communication mode. The 40-week intervention (50-week in one case) was delivered through individual and…
Chang, Wing Chung; Kwong, Vivian Wing Yan; Or Chi Fai, Philip; Lau, Emily Sin Kei; Chan, Gloria Hoi Kei; Jim, Olivia Tsz Ting; Hui, Christy Lai Ming; Chan, Sherry Kit Wa; Lee, Edwin Ho Ming; Chen, Eric Yu Hai
2018-02-01
Functional remission represents an intermediate functional milestone toward recovery. Differential relationships of negative symptom sub-domains with functional remission in first-episode psychosis are understudied. We aimed to examine rate and predictors of functional remission in people with first-episode psychosis in the context of a 3-year follow-up of a randomized controlled trial comparing 1-year extension of early intervention (i.e. 3-year early intervention) with step-down psychiatric care (i.e. 2-year early intervention). A total of 160 participants were recruited upon completion of a 2-year specialized early intervention program for first-episode psychosis in Hong Kong and underwent a 1-year randomized controlled trial comparing 1-year extended early intervention with step-down care. Participants were followed up and reassessed 3 years after inclusion to the trial (i.e. 3-year follow-up). Functional remission was operationalized as simultaneous fulfillment of attaining adequate functioning (measured by Social and Occupational Functioning Scale and Role Functioning Scale) at 3-year follow-up and sustained employment in the last 6 months of 3-year study period. Negative symptom measure was delineated into amotivation (i.e. motivational impairment) and diminished expression (i.e. reduced affect and speech output). Data analysis was based on 143 participants who completed follow-up functional assessments. A total of 31 (21.7%) participants achieved functional remission status at 3-year follow-up. Multivariate regression analysis showed that lower levels of amotivation ( p = 0.010) and better functioning at study intake ( p = 0.004) independently predicted functional remission (Final model: Nagelkerke R 2 = 0.40, χ 2 = 42.9, p < 0.001). Extended early intervention, duration of untreated psychosis and diminished expression did not predict functional remission. Only approximately one-fifths of early psychosis patients were found to achieve functional remission. Functional impairment remains an unmet treatment need in the early stage of psychotic illness. Our results further suggest that amotivation may represent a critical therapeutic target for functional remission attainment in early psychosis.
Resource Guide: Selected Early Childhood/Early Intervention Training Materials. 8th Edition.
ERIC Educational Resources Information Center
Catlett, Camille, Comp.; Winton, Pamela J., Comp.
This resource guide is intended to identify both primary and supplementary resources for designing preservice and inservice training on early intervention programs for children with disabilities. The instructional materials are described and listed in three sections. The first section provides annotated descriptions of instructional materials in…
ERIC Educational Resources Information Center
Shulman, Shanna
This 1997 Kids Count report examines challenges to Colorado children and youth and how prevention and early intervention can enhance their well-being. The report includes a summary of recent research on brain development and the importance of early experience and stimulation in early intervention programs. The levels of state funding for various…
Identifying At-Risk Students for Early Reading Intervention: Challenges and Possible Solutions
ERIC Educational Resources Information Center
McAlenney, Athena Lentini; Coyne, Michael D.
2011-01-01
Accurate identification of at-risk kindergarten and 1st-grade students through early reading screening is an essential element of responsiveness to intervention models of reading instruction. The authors consider predictive validity and classification accuracy of early reading screening assessments with attention to sensitivity and specificity.…
Assessment and Decision-Making in Early Childhood Education and Intervention
ERIC Educational Resources Information Center
Strand, Paul S.; Cerna, Sandra; Skucy, Jim
2007-01-01
Assessment within the fields of early childhood education and early childhood intervention is guided by the "deductive-psychometric model", which is a framework for legitimizing constructs that arise from theories. An alternative approach, termed the "inductive-experimental model", places significantly more restrictions on what constitutes a…
Partnership Patterns: Addressing Emotional Needs in Early Intervention
ERIC Educational Resources Information Center
Brotherson, Mary Jane; Summers, Jean Ann; Naig, Lisa A.; Kyzar, Kathleen; Friend, Anna; Epley, Pamela; Gotto, George S., IV; Turnbull, Ann P.
2010-01-01
Home visiting in early intervention is the primary model for delivering services and building partnerships with children and families. Using interviews with early interventionists and family members, this study investigated the extent to which families' and professionals' emotional needs were met during home visits and what factors contributed to…
Early Intervention: Key Issues from Research.
ERIC Educational Resources Information Center
Fraser, Helen
1998-01-01
As the preschool and early years of schooling were becoming the focus of increasing attention, the Scottish Office Education and Industry Department commissioned a review of United Kingdom and international literature on the use of early intervention schemes for disadvantaged students. The resulting review presents evidence on the most appropriate…
Promoting Professional Development for Physical Therapists in Early Intervention
ERIC Educational Resources Information Center
Catalino, Tricia; Chiarello, Lisa A.; Long, Toby; Weaver, Priscilla
2015-01-01
Early intervention service providers are expected to form cohesive teams to build the capacity of a family to promote their child's development. Given the differences in personnel preparation across disciplines of service providers, the Early Childhood Personnel Center is creating integrated and comprehensive professional development models for…
Promoting Health in Early Childhood Environments: A Health-Promotion Approach
ERIC Educational Resources Information Center
Minniss, Fiona Rowe; Wardrope, Cheryl; Johnston, Donni; Kendall, Elizabeth
2013-01-01
This paper investigates the mechanisms by which a health-promotion intervention might influence the health-promoting behaviours of staff members working in early childhood centres. The intervention was an ecological health-promotion initiative that was implemented within four early childhood centres in South-East Queensland, Australia. In-depth,…
A Parent-Focused Early Intervention Program for Autism: Who Gets Access?
ERIC Educational Resources Information Center
Birkin, Christina; Anderson, Angelika; Seymour, Fred; Moore, Dennis W.
2008-01-01
Background: The EarlyBird program is a psycho-educational early intervention program for parents of children with autistic spectrum disorder (ASD). It aims to provide parents with skills to increase their child's communication and manage challenging behaviour using behavioural techniques. Method: Two interlinked studies examined access to the…
Sleep Problems and Early Developmental Delay: Implications for Early Intervention Programs
ERIC Educational Resources Information Center
Bonuck, Karen; Grant, Roy
2012-01-01
Sleep disorders negatively impact behavior, cognition, and growth--the same areas targeted by early intervention. Conversely, developmental delays and disabilities may themselves precipitate sleep disorders. Young children with developmental delays experience sleep disorders at a higher rate than do typically developing children; the most common…
Working Together with Children and Families: Case Studies in Early Intervention.
ERIC Educational Resources Information Center
McWilliam, P. J., Ed.; Bailey, Donald B., Jr., Ed.
This book presents 21 case studies of young children with disabilities in a variety of family situations and settings, for early interventionists to study in planning and applying recommended practices. Section I, "Defining and Delivering Quality Services in Early Intervention," provides two introductory chapters: "The Search for Quality…
Early Communication Development and Intervention for Children with Autism
ERIC Educational Resources Information Center
Landa, Rebecca
2007-01-01
Autism is a neurodevelopmental disorder defined by impairments in social and communication development, accompanied by stereotyped patterns of behavior and interest. The focus of this paper is on the early development of communication in autism, and early intervention for impairments in communication associated with this disorder. An overview of…
2014-06-01
la prise de décision du commandement militaire, aux opérations de santé et de sûreté publique...comporter la dénomination « STO », « RTO » ou « AGARD » selon le cas, suivi du numéro de série. Des informations analogues, telles que le titre est la date...Bibliothécaire des ressources du savoir Secretariat General of Defence 061353 Bucharest R et D pour la défense Canada National Armaments
Intercomparison of photon dose measurements at the 8 MeV electron accelerator
NASA Astrophysics Data System (ADS)
Angelescu, T.; Ghiordănescu, N.; Băl ţă ţeanu, N.; Labău, V.; Vasilescu, A.
1997-02-01
Measurements of dose with thermoluminescent detectors (TLD) and an ionisation chamber were performed in the range of 5-70 Gy in the electron bremsstrahlung field with a maximum energy of 8 MeV of the Bucharest linear accelerator. Previous calibration was done with a 60Co source. The results of the intercomparison were used in dosimetry of the n - γ field of the ΣΣ irradiation facility, with a photon spectrum similar to the 8 MeV bremsstrahlung field [T. Angelescu et al., Nucl. Instr. and Meth. A 378 (1996) 594].
[Cortico-suprarenal carcinoma].
Alecu, L; Costan, I; Viţalariu, Adriana; Lungu, C; Obrocea, F; Gulinescu, L
2002-01-01
The authors show the case of a 69 years old male with a large corticosuprarenalian tumor that was detected on an random abdominal echographic examination. The patient was operated in the General Surgery Department. of Prof. Agrippa Ionescu Hospital, Bucharest. We performed ablation of the large left suprarenalian gland malign tumor with left nephrectomy, splenectomy and partial pancreatectomy. The hystopathological examination reveals a diffuse corticosuprenalian carcinoma. The case is interesting because of low incidence of this kind of malign tumor and also of the unusual tumor evolution in a long time up to its large size (12 cm in diameter).
Rigas Velestinlis and Astronomy in his ``Anthology of Physics''
NASA Astrophysics Data System (ADS)
Theodossiou, Efstratios Th.; Manimanis, Vassilios N.; Dimitrijević, Milan S.; Danezis, Emanouel
2008-09-01
Rigas Velestinlis (Velestino 1757-Belgrade 1798), Greek national hero of fight against Turkish Empire and one of the forerunners of the Greek enlightenment movement, an important part of his life lived in Bucharest and tragically died in Belgrade, so that he is important and for Romanian and Serbian history. For the history of astronomy, interesting is his Anthology of Physics, where astronomical contents are present. In this contribution, his life and work are presented and analyzed, with a particular attention to the astronomical aspects of the mentioned work and his connections with Romania.
Absolute cross sections of the 86Sr(α,n)89Zr reaction at energies of astrophysical interest
NASA Astrophysics Data System (ADS)
Oprea, Andreea; Glodariu, Tudor; Filipescu, Dan; Gheorghe, Ioana; Mitu, Andreea; Boromiza, Marian; Bucurescu, Dorel; Costache, Cristian; Cata-Danil, Irina; Florea, Nicoleta; Ghita, Dan Gabriel; Ionescu, Alina; Marginean, Nicolae; Marginean, Raluca; Mihai, Constantin; Mihai, Radu; Negret, Alexandru; Nita, Cristina; Olacel, Adina; Pascu, Sorin; Sotty, Cristophe; Suvaila, Rares; Stan, Lucian; Stroe, Lucian; Serban, Andreea; Stiru, Irina; Toma, Sebastian; Turturica, Andrei; Ujeniuc, Sorin
2017-09-01
Absolute cross sections for the 86Sr(α,n)89Zr reaction at energies close to the Gamow window are reported. Three thin SrF2 targets were irradiated using the 9 MV Tandem facility in IFIN-HH Bucharest that delivered α beams for the activation process. Two high-purity Germanium detectors were used to measure the induced activity of 89Zr in a low background environment. The experimental results are in very good agreement with Hauser-Feshbach statistical model calculations performed with the TALYS code.
Campbell, Karen J; Hesketh, Kylie D; McNaughton, Sarah A; Ball, Kylie; McCallum, Zoë; Lynch, John; Crawford, David A
2016-02-18
Understanding how we can prevent childhood obesity in scalable and sustainable ways is imperative. Early RCT interventions focused on the first two years of life have shown promise however, differences in Body Mass Index between intervention and control groups diminish once the interventions cease. Innovative and cost-effective strategies seeking to continue to support parents to engender appropriate energy balance behaviours in young children need to be explored. The Infant Feeding Activity and Nutrition Trial (InFANT) Extend Program builds on the early outcomes of the Melbourne InFANT Program. This cluster randomized controlled trial will test the efficacy of an extended (33 versus 15 month) and enhanced (use of web-based materials, and Facebook® engagement), version of the original Melbourne InFANT Program intervention in a new cohort. Outcomes at 36 months of age will be compared against the control group. This trial will provide important information regarding capacity and opportunities to maximize early childhood intervention effectiveness over the first three years of life. This study continues to build the evidence base regarding the design of cost-effective, scalable interventions to promote protective energy balance behaviors in early childhood, and in turn, promote improved child weight and health across the life course. ACTRN12611000386932. Registered 13 April 2011.
34 CFR 303.654 - Annual report to the Secretary.
Code of Federal Regulations, 2010 CFR
2010-07-01
... Secretary on the status of early intervention programs operated within the State for children eligible under... AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND...
ERIC Educational Resources Information Center
Çelik, Seçil; Arikan, Azru; Diken, Ibrahim H.; Aksoy, Funda; Çolak, Aysun; Tomris, Gözde
2016-01-01
Preventing antisocial behaviors appearing at an early age--before they become chronic--through effective early intervention programs, has become an important issue in recent years. In Turkey, the increase in the number of children at risk of antisocial behavior makes it necessary to get these behaviors under control at an early age through some…
ERIC Educational Resources Information Center
Marvin, Chris; Nugent, Gwen; Doll, Beth
2006-01-01
Anecdotal information has recently suggested that families of infants and toddlers with disabilities in Nebraska were seeking early intervention services from providers not affiliated with the free, state-sanctioned "Early Development Network" and children's "Individualized Family Service Plans" (IFSPs). The purpose of this…
Pan, Jia-Yan; Ng, Yat-Nam Petrus; Young, Kim-Wan Daniel
2016-12-01
The prevalence rate of mental illness in Chinese communities is high, but Chinese clients tend to underutilize mental health services. Caregivers may play an important role in mental health early detection and intervention, but few studies have investigated their roles in community mental health services. This study compared the effectiveness of an early detection and intervention programme, the Community Mental Health Intervention Project, for two groups in the context of Hong Kong - clients with and without caregivers. A comparison group pre-post-test design was adopted. A total of 170 service users joined this study, including 100 with caregivers and 70 without caregivers. Both groups showed a significant decrease in psychiatric symptoms and increase in community living skills; the group without caregivers indicated a greater reduction in psychiatric symptoms. Different social work intervention components had different predictive effects on these changes. The Community Mental Health Intervention Project is an effective early detection and intervention programme in working with Hong Kong Chinese people who are suspected of having mental health problems, especially for those without caregivers. © 2014 Wiley Publishing Asia Pty Ltd.
Shaw, Daniel S.; Connell, Arin; Dishion, Thomas J.; Wilson, Melvin N.; Gardner, Frances
2009-01-01
Maternal depression has been consistently linked to the development of child problem behavior, particularly in early childhood, but few studies have examined whether reductions in maternal depression serve as a mediator in relation to changes associated with a family-based intervention. The current study addressed this issue with a sample of 731 families receiving services from a national food supplement and nutrition program. Families with toddlers between ages 2 and 3 were sereened and then randomized to a brief family intervention, the Family Check-Up, which included linked interventions that were tailored and adapted to the families needs. Follow-up intervention services were provided at age 3 and follow-up of child outcomes oecurred at ages 3 and 4. Latent growth models revealed intervention effects for early externalizing and internalizing problems from 2 to 4, and reductions in maternal depression from ages 2 to 3. In addition, reductions in maternal depression mediated improvements in both child externalizing and internalizing problem behavior after accounting for the potential mediating effects of improvements in positive parenting. The results are discussed with respect to targeting maternal depression in future intervention studies aimed at improving early child problem behavior. PMID:19338691
A systematic review of early intensive intervention for autism spectrum disorders.
Warren, Zachary; McPheeters, Melissa L; Sathe, Nila; Foss-Feig, Jennifer H; Glasser, Allison; Veenstra-Vanderweele, Jeremy
2011-05-01
Early intensive behavioral and developmental interventions for young children with autism spectrum disorders (ASDs) may enhance developmental outcomes. To systematically review evidence regarding such interventions for children aged 12 and younger with ASDs. We searched Medline, PsycINFO, and ERIC (Education Resources Information Center) from 2000 to May 2010. Two reviewers independently assessed studies against predetermined inclusion/exclusion criteria. Two reviewers independently extracted data regarding participant and intervention characteristics, assessment techniques, and outcomes and assigned overall quality and strength-of-evidence ratings using predetermined criteria. Thirty-four unique studies met inclusion criteria. Seventeen studies were case series; 2 were randomized controlled trials. We rated 1 study as good quality, 10 as fair quality, and 23 as poor quality. The strength of the evidence overall ranged from insufficient to low. Studies of University of California Los Angeles/Lovaas-based interventions and variants reported clinically significant gains in language and cognitive skills in some children, as did 1 randomized controlled trial of an early intensive developmental intervention approach (the Early Start Denver Model). Specific parent-training approaches yielded gains in short-term language function and some challenging behaviors. Data suggest that subgroups of children displayed more prominent gains across studies, but participant characteristics associated with greater gains are not well understood. Studies of Lovaas-based approaches and early intensive behavioral intervention variants and the Early Start Denver Model resulted in some improvements in cognitive performance, language skills, and adaptive behavior skills in some young children with ASDs, although the literature is limited by methodologic concerns.
McLaughlin, Katie A.; Fox, Nathan A.; Zeanah, Charles H.; Sheridan, Margaret A.; Marshall, Peter; Nelson, Charles A.
2010-01-01
Background Children raised in institutional settings are exposed to social and environmental circumstances that may deprive them of expected environmental inputs during sensitive periods of brain development that are necessary to foster healthy development. This deprivation is thought to underlie the abnormalities in neurodevelopment that have been found in previously institutionalized children. It is unknown whether deviations in neurodevelopment explain the high rates of developmental problems evident in previously institutionalized children, including psychiatric disorders. Methods We present data from a sample of children raised in institutions in Bucharest, Romania (n = 117) and an age- and sex-matched sample of community control subjects (n = 49). Electroencephalogram data were acquired following entry into the study at age 6 to 30 months, and a structured diagnostic interview of psychiatric disorders was completed at age 54 months. Results Children reared in institutions evidenced greater symptoms of attention-deficit/hyperactivity disorder, anxiety, depression, and disruptive behavior disorders than community controls. Electroencephalogram revealed significant reductions in alpha relative power and increases in theta relative power among children reared in institutions in frontal, temporal, and occipital regions, suggesting a delay in cortical maturation. This pattern of brain activity predicted symptoms of hyperactivity and impulsivity at age 54 months, and significantly mediated the association between institutionalization and attention-deficit/hyperactivity disorder symptoms. Electroencephalogram power was unrelated to depression, anxiety, or disruptive behaviors. Conclusions These findings document a potential neurodevelopmental mechanism underlying the association between institutionalization and psychiatric morbidity. Deprivation in social and environmental conditions may perturb early patterns of neurodevelopment and manifest as psychiatric problems later in life. PMID:20497899
Batura, Neha; Hill, Zelee; Haghparast-Bidgoli, Hassan; Lingam, Raghu; Colbourn, Timothy; Kim, Sungwook; Sikander, Siham; Pulkki-Brannstrom, Anni-Maria; Rahman, Atif; Kirkwood, Betty; Skordis-Worrall, Jolene
2015-01-01
There is growing evidence of the effectiveness of early childhood interventions to improve the growth and development of children. Although, historically, nutrition and stimulation interventions may have been delivered separately, they are increasingly being tested as a package of early childhood interventions that synergistically improve outcomes over the life course. However, implementation at scale is seldom possible without first considering the relative cost and cost-effectiveness of these interventions. An evidence gap in this area may deter large-scale implementation, particularly in low- and middle-income countries. We conduct a literature review to establish what is known about the cost-effectiveness of early childhood nutrition and development interventions. A set of predefined search terms and exclusion criteria standardized the search across five databases. The search identified 15 relevant articles. Of these, nine were from studies set in high-income countries and six in low- and middle-income countries. The articles either calculated the cost-effectiveness of nutrition-specific interventions (n = 8) aimed at improving child growth, or parenting interventions (stimulation) to improve early childhood development (n = 7). No articles estimated the cost-effectiveness of combined interventions. Comparing results within nutrition or stimulation interventions, or between nutrition and stimulation interventions was largely prevented by the variety of outcome measures used in these analyses. This article highlights the need for further evidence relevant to low- and middle-income countries. To facilitate comparison of cost-effectiveness between studies, and between contexts where appropriate, a move towards a common outcome measure such as the cost per disability-adjusted life years averted is advocated. Finally, given the increasing number of combined nutrition and stimulation interventions being tested, there is a significant need for evidence of cost-effectiveness for combined programmes. This too would be facilitated by the use of a common outcome measure able to pool the impact of both nutrition and stimulation activities. PMID:24963156
ERIC Educational Resources Information Center
Finigan-Carr, Nadine M.; Copeland-Linder, Nikeea; Haynie, Denise L.; Cheng, Tina L.
2014-01-01
Interventions targeting parents of young children have shown effectiveness, but research is lacking about best practices for engaging parents of early adolescents. Low levels of enrollment and attendance in parenting interventions present major problems for researchers and clinicians. Effective and efficient ways to engage and collaborate with…
Coaching with Parents in Early Intervention: An Interdisciplinary Research Synthesis
ERIC Educational Resources Information Center
Kemp, Peggy; Turnbull, Ann P.
2014-01-01
The purpose of this article was to synthesize intervention studies using coaching with parents in early intervention with a focus on (a) definitions and descriptions of coaching with parents; (b) characteristics of families and coaches; (c) parameters such as settings, contexts, dosage, and professional development related to coaching; and (d)…
The DEBT Project: Early Intervention for Handicapped Children and Their Parents.
ERIC Educational Resources Information Center
Macy, Daniel J.; And Others
Project DEBT (Developmental Education Birth through Two), an early identification and intervention program for handicapped and at risk children and their parents, is described. The Koontz Child Developmental Program, the core curriculum for instructional planning and intervention in DEBT, is reviewed, and new data are presented. It is explained…
ERIC Educational Resources Information Center
Boyce, Lisa K.; Seedall, Ryan B.; Innocenti, Mark S.; Roggman, Lori A.; Cook, Gina A.; Hagman, Amanda M.; Jump Norman, Vonda K.
2017-01-01
We examined the effects of our parent-child interaction focused bookmaking intervention with 89 families and their toddlers receiving early intervention services. Participating early intervention providers (N = 24) were assigned to either continue providing services as usual or participate in training to implement the bookmaking approach in their…
An Intervention for Relational and Physical Aggression in Early Childhood: A Preliminary Study
ERIC Educational Resources Information Center
Ostrov, Jamie M.; Massetti, Greta M.; Stauffacher, Kirstin; Godleski, Stephanie A.; Hart, Katie C.; Karch, Kathryn M.; Mullins, Adam D.; Ries, Emily E.
2009-01-01
A preventive intervention for reducing physical and relational aggression, peer victimization, and increasing prosocial behavior was developed for use in early childhood classrooms. Nine classrooms were randomly assigned to be intervention rooms (N = 202 children) and nine classrooms were control rooms (N = 201 children). Classroom was the unit of…
ERIC Educational Resources Information Center
Webster, Alec; Feiler, Anthony; Webster, Valerie; Lovell, Claire
2004-01-01
Previous research on early intensive intervention in autistic spectrum disorder (ASD) has largely focused on outcomes of treatment for children. Although some account has been taken of parental viewpoints, the potential impact of intervention on families has not achieved the same kind of research prominence. This contrasts with the considerable…
ERIC Educational Resources Information Center
Siller, Michael; Morgan, Lindee; Turner-Brown, Lauren; Baggett, Kathleen M.; Baranek, Grace T.; Brian, Jessica; Bryson, Susan E.; Carter, Alice S.; Crais, Elizabeth R.; Estes, Annette; Kasari, Connie; Landa, Rebecca J.; Lord, Catherine; Messinger, Daniel S.; Mundy, Peter; Odom, Samuel L.; Reznick, J. Steven; Roberts, Wendy; Rogers, Sally J.; Schertz, Hannah H.; Smith, Isabel M.; Stone, Wendy L.; Watson, Linda R.; Wetherby, Amy M.; Yoder, Paul J.; Zwaigenbaum, Lonnie
2013-01-01
Given recent advances in science, policy, and practice of early identification in autism spectrum disorder (ASD), questions about the effectiveness of early intervention have far-reaching service and policy implications. However, rigorous research evaluating the efficacy and effectiveness of intervention programs for toddlers with ASD faces a…
When Texts Become Action. The Institutional Circuit of Early Childhood Intervention
ERIC Educational Resources Information Center
Nilsen, Ann Christin E.
2017-01-01
Building on ideals of social cohesion, equality of opportunities and socio-economic benefits, there has been an increasing awareness in Norway of kindergarten employees' responsibility to initiate early childhood intervention. The process of identifying children in need of intervention involves a complex chain of actions in which documentation is…
Program Monitoring Practices for Teachers of the Deaf and Hard of Hearing in Early Intervention
ERIC Educational Resources Information Center
Thomas, Anne E.; Marvin, Christine A.
2016-01-01
Program monitoring is an important and necessary assessment practice within the field of early childhood deaf education. Effective program monitoring requires a focus on both the consistent implementation of intervention strategies (fidelity) and the assessment of children's ongoing progress in response to interventions (progress monitoring).…
Early Numeracy Intervention: Does Quantity Discrimination Really Work?
ERIC Educational Resources Information Center
Hansmann, Paul
2013-01-01
Scope and Method of Study: The current study demonstrates that a taped problem intervention is an effective tool for increasing the early numeracy skill of QD. A taped problems intervention was used with two variations of the quantity discrimination measure (triangle and traditional). A 3x2 doubly multivariate multivariate analysis of variance was…
Effects of an Early Numeracy Intervention on Struggling Kindergarteners' Mathematics Performance
ERIC Educational Resources Information Center
Bryant, Brian R.; Bryant, Diane Pedrotty; Roberts, Greg; Fall, Anna-Maria
2016-01-01
The purpose of this study was to investigate the effects of an early numeracy intervention delivered by kindergarten teachers to students identified as having mathematics difficulties. A multigroup growth-modeling-with-random-assignment-to-intervention-condition design was employed. Thirty-two teachers were randomly assigned to the treatment or…
Knowledge and Use of Intervention Practices by Community-Based Early Intervention Service Providers
ERIC Educational Resources Information Center
Paynter, Jessica M.; Keen, Deb
2015-01-01
This study investigated staff attitudes, knowledge and use of evidence-based practices (EBP) and links to organisational culture in a community-based autism early intervention service. An EBP questionnaire was completed by 99 metropolitan and regionally-based professional and paraprofessional staff. Participants reported greater knowledge and use…
Effective Mental Health Interventions and Treatments for Young Children with Diverse Needs
ERIC Educational Resources Information Center
Osofsky, Joy; Wieder, Serena; Noroña, Carmen Rosa; Lowell, Darcy; Worthy, D'Lisa Ramsey
2018-01-01
Infant and early childhood mental health interventions and treatment take place in many different settings including clinics serving adults and children, primary care centers, pediatric clinics, private practice offices, homes, early intervention offices, and child care centers. In addition, the types of evaluations and services offered in these…
ERIC Educational Resources Information Center
Jacob, Udeme Samuel; Olisaemeka, Angela Nneka; Edozie, Isioma Sitamalife
2015-01-01
The paper attempts to discuss the place of intervention in the developmental and communication disorders of children with intellectual disability for the purpose of providing effective inclusion programme. The definition of early intervention was stated, areas affected by children communication disorder such as language comprehension, fluency,…
ERIC Educational Resources Information Center
Osborne, Lisa A.; McHugh, Louise; Saunders, Jo; Reed, Phil
2008-01-01
This community-based study examined the influence of early teaching interventions on children diagnosed with Autistic Spectrum Disorders, and the dynamics between the time intensity of the interventions and parenting stress, on child outcomes. Intellectual, educational, and adaptive behavior and social functioning were all measured. Sixty-five…
Selective Prevention Approaches to Build Protective Factors in Early Intervention
ERIC Educational Resources Information Center
Shapiro, Cheri J.
2014-01-01
Young children with disabilities may be at elevated risk for behavior problems as well as maltreatment. preventive approaches that can be infused into early intervention services are needed to support parents, build competencies among young children, and enhance protective factors that may temper risk. Two interventions--Stepping Stones Triple P,…
ERIC Educational Resources Information Center
Green, Beth L.; Malsch, Anna M.; Kothari, Brianne Hood; Busse, Jessica; Brennan, Eileen
2012-01-01
This article describes the development, implementation, and outcomes of a pilot intervention designed to enhance preschool programs' ability to support children's social-emotional development. Working with two Head Start programs, the intervention included (1) restructuring existing early childhood mental health consultation services; (2) engaging…
At-Risk Readers: Part II--Breaking the Cycle (Research into Practice).
ERIC Educational Resources Information Center
Goetze, Sandra K.; McElroy, Linda J.; Beach, Sara Ann
1997-01-01
Asserts that the cycle of at-risk readers' self-perception and teachers' perception can be broken by providing rich, accelerated literacy instruction. Discusses early intervention programs, such as Reading Recovery and Early Intervention in Reading, and other intervention models such as Success for All. Describes teaching strategies used to…
Nurturing care: promoting early childhood development.
Britto, Pia R; Lye, Stephen J; Proulx, Kerrie; Yousafzai, Aisha K; Matthews, Stephen G; Vaivada, Tyler; Perez-Escamilla, Rafael; Rao, Nirmala; Ip, Patrick; Fernald, Lia C H; MacMillan, Harriet; Hanson, Mark; Wachs, Theodore D; Yao, Haogen; Yoshikawa, Hirokazu; Cerezo, Adrian; Leckman, James F; Bhutta, Zulfiqar A
2017-01-07
The UN Sustainable Development Goals provide a historic opportunity to implement interventions, at scale, to promote early childhood development. Although the evidence base for the importance of early childhood development has grown, the research is distributed across sectors, populations, and settings, with diversity noted in both scope and focus. We provide a comprehensive updated analysis of early childhood development interventions across the five sectors of health, nutrition, education, child protection, and social protection. Our review concludes that to make interventions successful, smart, and sustainable, they need to be implemented as multi-sectoral intervention packages anchored in nurturing care. The recommendations emphasise that intervention packages should be applied at developmentally appropriate times during the life course, target multiple risks, and build on existing delivery platforms for feasibility of scale-up. While interventions will continue to improve with the growth of developmental science, the evidence now strongly suggests that parents, caregivers, and families need to be supported in providing nurturing care and protection in order for young children to achieve their developmental potential. Copyright © 2017 Elsevier Ltd. All rights reserved.
Rodakowski, Juleen; Saghafi, Ester; Butters, Meryl A.; Skidmore, Elizabeth R.
2015-01-01
The purpose of this scoping review was to examine the science related to non-pharmacological interventions designed to slow decline for older adults with Mild Cognitive Impairment or early-stage dementia. We reviewed 32 unique randomized controlled trials that employed cognitive training (remediation or compensation approaches), physical exercise, or psychotherapeutic interventions that were published before November 2014. Evidence suggests that cognitive training focused on remediation and physical exercise interventions may promote small improvements in selected cognitive abilities. Cognitive training focused on compensation interventions and selected psychotherapeutic interventions may influence how cognitive changes impact daily living. However, confidence in these findings is limited due methodological limitations. To better assess the value of non-pharmacological interventions for this population, we recommend: 1) adoption of universal criteria for “early stage cognitive decline” among studies, 2) adherence to guidelines for the conceptualization, operationalization, and implementation of complex interventions, 3) consistent characterization of the impact of interventions on daily life, and 3) long-term follow-up of clinical outcomes to assess maintenance and meaningfulness of reported effects over time. PMID:26070444
Dowdall, Nicholas; Cooper, Peter J; Tomlinson, Mark; Skeen, Sarah; Gardner, Frances; Murray, Lynne
2017-03-09
Children in low and middle-income countries (LMICs) are at risk for problems in their cognitive, social and behavioural development. Factors such as a lack of cognitive stimulation, harsh parenting practices, and severe and persistent aggression in early childhood are central to the genesis of these problems. Interventions that target the intersection between early childhood development, parenting, and early violence prevention are required in order to meaningfully address these problems. We are conducting a randomised controlled trial to evaluate a parenting intervention for caregivers of children aged between 23 and 27 months, designed to promote child cognitive and socioemotional development in Khayelitsha, a low-income peri-urban township in South Africa. Families are randomly allocated to a book-sharing intervention group or to a wait-list control group. In the intervention, we train caregivers in supportive book-sharing with young children. Training is carried out in small groups over a period of 8 weeks. Data are collected at baseline, post intervention and at 6 months post intervention. In addition to targeting child cognitive development, the intervention aims to improve child socioemotional functioning. The Benefits of Early Book Sharing (BEBS) trial aims to evaluate the impact of an early parenting intervention on several key risk factors for the development of violence, including aspects of parenting and child cognition, prosocial behaviour, aggression, and socioemotional functioning. The study is being carried out in a LMIC where violence constitutes a major social and health burden. Since the intervention is brief and, with modest levels of training, readily deliverable in LMIC contexts, a demonstration that it is of benefit to both child cognitive and socioemotional development would be of significance. The BEBS trial is registered on the International Standard Randomised Controlled Trial Number database, registration number ISRCTN71109104 . Registered on 9 February 2016. This is version 1 of the protocol for the BEBS trial.
Geddes, Rosemary; Frank, John; Haw, Sally
2011-06-01
Inequalities in health and educational outcomes in Scotland show a strong and persistent socioeconomic status gradient. Our aims were to provide policy-makers with a synthesis of international research evidence that assesses the effectiveness of early childhood interventions aimed at equitably promoting cognitive and social development and suggest potential areas for action in Scotland. A rapid review was conducted of review level studies of early childhood interventions with outcome measures relating to child cognitive-language or social-emotional development, subsequent academic and life achievement. Websites were searched and interviews were conducted to identify relevant interventions, policies and programmes delivered in Scotland. : Early childhood intervention programmes can reduce disadvantage due to social and environmental factors. Scottish health policy demonstrates a clear commitment to early childhood development but much work remains in terms of detail of policy implementation, identification of high risk children and families, and early childhood monitoring systems. Programmes should provide a universal seamless continuum of care and support from pregnancy through to school entry with the intensity of support graded according to need. The current information systems in Scotland would be inadequate for monitoring the effects of early childhood interventions especially in relation to cognitive-language and social-emotional development. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Frameworks for Response to Intervention in Early Childhood: Description and Implications
ERIC Educational Resources Information Center
Communication Disorders Quarterly, 2014
2014-01-01
In February, 2013, the Division of Early Childhood, the National Association for the Education of Young Children, and the National Head Start Association released a collaborative paper to provide clarification and assistance regarding the relationship of response to intervention (RTI) with the field of early childhood (EC). In addition to…
ERIC Educational Resources Information Center
McConnell, Scott R.
2000-01-01
This article discusses three future directions of early childhood assessment: attention to assessment of progress and growth, adaptation of methods typically associated with ecobehavioral research to assess environmental conditions that affect performance, and continued integration and linkage of assessment and intervention, which will yield more…
Organizing Schools to Address Early Warning Indicators (EWIs): Common Practices and Challenges
ERIC Educational Resources Information Center
Davis, Marcia; Herzog, Liza; Legters, Nettie
2013-01-01
An early warning system is an intentional process whereby school personnel collectively analyze student data to monitor students at risk of falling off track for graduation and to provide the interventions and resources to intervene. We studied the process of monitoring the early warning indicators and implementing interventions to ascertain…
A Data-Driven Coaching Model Used to Promote Students' Response to Early Reading Intervention
ERIC Educational Resources Information Center
Glover, Todd A.
2017-01-01
Given the importance of early reading performance as a foundational prerequisite for student achievement, schools have allocated significant attention over the past decade to training teachers to assess and monitor students' reading progress and to implement instruction or interventions targeting early reading skills (e.g., Fletcher & Vaughn,…
A Theater-Based Approach to Primary Prevention of Sexual Behavior for Early Adolescents
ERIC Educational Resources Information Center
Lieberman, Lisa D.; Berlin, Cydelle; Palen, Lori-Ann; Ashley, Olivia Silber
2012-01-01
Early adolescence is a crucial period for preventing teen pregnancy and sexually transmitted infections. This study evaluated STAR LO, a theater-based intervention designed to affect antecedents of sexual activity among urban early adolescents (N = 1,143). Public elementary/middle schools received the intervention or served as a wait-listed…
Transdisciplinary Model and Early Intervention: Building Collaborative Relationships
ERIC Educational Resources Information Center
Boyer, Valerie E.; Thompson, Stacy D.
2014-01-01
The National Early Childhood Technical Assistance Center (NECTAC) reported 348,604 children received services in the United States under Part C of the Individuals With Disabilities Education Act (IDEA) in 2009, representing 2.7% of the population (NECTAC, 2012). Early Intervention (EI), or Part C, is designed to provide services to families of…
A Web-Based Tool to Support Data-Based Early Intervention Decision Making
ERIC Educational Resources Information Center
Buzhardt, Jay; Greenwood, Charles; Walker, Dale; Carta, Judith; Terry, Barbara; Garrett, Matthew
2010-01-01
Progress monitoring and data-based intervention decision making have become key components of providing evidence-based early childhood special education services. Unfortunately, there is a lack of tools to support early childhood service providers' decision-making efforts. The authors describe a Web-based system that guides service providers…
Early Intervention Programs: Opening the Door to Higher Education. ERIC Digest.
ERIC Educational Resources Information Center
Fenske, Robert H.; Geranios, Christine A.; Keller, Jonathan E.; Moore, David E.
This digest summarizes a larger document of the same title which examines early intervention programs providing services and resources to encourage low-income/minority youth to finish high school and enter college. It notes provisions of federal law which encourage such programs and the unifying mission of the National Early Intervention…
The Importance of Effective Behaviour Screening in the Early Years
ERIC Educational Resources Information Center
Tyler-Merrick, Gaye; Church, John
2013-01-01
Early intervention for children with behavioural difficulties can be effective in terms of outcomes for both the children and their families. Early intervention can save a child from long-term outcomes such as school failure, peer rejection and later offending. However, in terms of accurate assessment of young children's behavioural difficulties,…
Effects of Early Writing Intervention Delivered within a Data-Based Instruction Framework
ERIC Educational Resources Information Center
Jung, Pyung-Gang; McMaster, Kristen L.; delMas, Robert C.
2017-01-01
We examined effects of research-based early writing intervention delivered within a data-based instruction (DBI) framework for children with intensive needs. We randomly assigned 46 students with and without disabilities in Grades 1 to 3 within classrooms to either treatment or control. Treatment students received research-based early writing…
Early Literacy Intervention for Preschoolers Who Need Tier 3 Support
ERIC Educational Resources Information Center
Kaminski, Ruth A.; Powell-Smith, Kelly A.
2017-01-01
Phonemic awareness has been consistently identified as an essential skill for as well as an important predictor of later reading achievement. Children who lack these early literacy skills at kindergarten entry are more likely to demonstrate both short- and long-term reading difficulties. Despite the importance of providing intervention early,…
Young Offenders: Early Intervention for Students with Behavioral and Emotional Disorders
ERIC Educational Resources Information Center
Hammond, Helen; Ingalls, Lawrence
2009-01-01
The value of early intervention programs for children with delays and/or disabilities has been well accepted in the research. Providing appropriate special education services at an early age of detecting academic and behavioral/social problems has proven to be effective at eliminating or decreasing special services at a later age. This…
Early Hearing Detection and Intervention in Developing Countries: Current Status and Prospects
ERIC Educational Resources Information Center
Olusanya, Bolajoko O.
2006-01-01
Infant hearing screening is emerging rapidly as a silent global revolution for the early detection of children with congenital or early onset hearing loss to ensure timely enrollment in family-oriented intervention programs for the development of spoken language. This article examines the overriding and interrelated scientific, ethical and…
K-6 Early Intervention Project: Evaluation of the First Year of Implementation.
ERIC Educational Resources Information Center
McDaid, Janet L.
California's K-6 Early Intervention Project was established in 1986 under the authority of California Assembly Bill 1535, Pilot Project on Hyperactivity, to provide a system of early identification and assistance to children in kindergarten through grade 6 whose behavior problems interfere with learning. This report contains evaluation findings…
ERIC Educational Resources Information Center
Dunst, Carl J.
2017-01-01
Findings from three field tests evaluations of early childhood intervention practitioner performance checklists and three parent practice guides are reported. Forty-two practitioners from three early childhood intervention programs reviewed the checklists and practice guides and made (1) social validity judgments of both products, (2) judgments of…
Are We Missing a Vulnerable Population in Early Intervention?
ERIC Educational Resources Information Center
Blasco, Patricia M.; Guy, Sybille; Saxton, Sage N.; Duvall, Susanne W.
2017-01-01
Infants with low birth weight (LBW = 2,500 g) are at high risk for developmental delays, including cognitive impairments. Retrospective studies have shown that these children often have learning and/or behavioral difficulties at school age. Early evaluation and enrollment in early intervention (EI) programs may reduce the impact of these…
Engle, Patrice L; Fernald, Lia C H; Alderman, Harold; Behrman, Jere; O'Gara, Chloe; Yousafzai, Aisha; de Mello, Meena Cabral; Hidrobo, Melissa; Ulkuer, Nurper; Ertem, Ilgi; Iltus, Selim
2011-10-08
This report is the second in a Series on early child development in low-income and middle-income countries and assesses the effectiveness of early child development interventions, such as parenting support and preschool enrolment. The evidence reviewed suggests that early child development can be improved through these interventions, with effects greater for programmes of higher quality and for the most vulnerable children. Other promising interventions for the promotion of early child development include children's educational media, interventions with children at high risk, and combining the promotion of early child development with conditional cash transfer programmes. Effective investments in early child development have the potential to reduce inequalities perpetuated by poverty, poor nutrition, and restricted learning opportunities. A simulation model of the potential long-term economic effects of increasing preschool enrolment to 25% or 50% in every low-income and middle-income country showed a benefit-to-cost ratio ranging from 6·4 to 17·6, depending on preschool enrolment rate and discount rate. Copyright © 2011 Elsevier Ltd. All rights reserved.
Pears, Katherine C; Kim, Hyoun K; Fisher, Philip A; Yoerger, Karen
2016-08-01
Two hundred and nine children receiving early childhood special education services for developmental disabilities or delays who also had behavioral, social, or attentional difficulties were included in a study of an intervention to increase school readiness, including early literacy skills. Results showed that the intervention had a significant positive effect on children's literacy skills from baseline to the end of summer before the start of kindergarten (d=.14). The intervention also had significant indirect effects on teacher ratings of children's literacy skills during the fall of their kindergarten year (β=.09). Additionally, when scores were compared to standard benchmarks, a greater percentage of the children who received the intervention moved from being at risk for reading difficulties to having low risk. Overall, this study demonstrates that a school readiness intervention delivered prior to the start of kindergarten may help increase children's early literacy skills. Copyright © 2016 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.