Brief Assessment (brief + assessment)

Distribution by Scientific Domains
Medical Sciences50%
Humanities and Social Sciences50%

Selected Abstracts

The Paradoxes of Environmental Policy and Resource Management in Reform-Era China,

ECONOMIC GEOGRAPHY, Issue 3 2000
Joshua Muldavin
Abstract: Over the last 5,000 years serious environmental problems,deforestation, desertification, erosion, and widespread pollution of air, land, and water,have prevailed throughout most of China, brought about by a diverse set of social and political contexts. In this paper I focus on an enduring contradiction associated with the post-1978 reforms, namely accelerated environmental resource degradation in rural areas amid unprecedented national economic growth. Declining entitlements to assets and social capital in China's rural village populations are a crucial aspect of altered state-peasant relations, as these are increasingly mediated by the market during China's transition to a hybrid economy. This has resulted in changing patterns of resource use, impacting both the environment and peasant livelihoods. A brief assessment of China's postrevolutionary environmental policy and management practices provides the context for detailed case studies in Henan Province. These examples highlight the relationship between political-economic changes and environmental policy and management. Contrary to reform rhetoric, rural peasants' embracing of reform policies does not necessarily optimize their welfare or promote sustainable use of resources. The case studies reveal alternative pathways for villages, ones that ought to be brought into the policy debate spotlight. [source]

Revisiting the Micro and Small Enterprise Sector in Kenya

HISTORY COMPASS (ELECTRONIC), Issue 6 2009
Bessie House-Soremekun
The purpose of this article is to review the state of the literature on the Micro and Small Enterprise (MSE) sector in Kenya to examine how entrepreneurs affect economic growth and development. First, it provides a brief assessment of Kenya's development prospects in the 21st century. Second, it interrogates the literature with regard to some of the theoretical and empirical studies performed on the microenterprise sector in the global south on a general level, and in Kenya, from 1970,2009. Third, it discusses the important role of women in economic development and entrepreneurship. [source]

Emotional response to the ano-genital examination of suspected sexual abuse

JOURNAL OF FORENSIC NURSING, Issue 3 2009
Gail Hornor RNC
Abstract Introduction: Concerns have arisen among professionals working with children regarding potential emotional distress as a result of the ano-genital examination for suspected child sexual abuse. The purpose of this study was to describe and compare children's anxiety immediately preceding and immediately following the medical assessment of suspected child sexual abuse, including the ano-genital exam, and to examine demographic characteristics of those children reporting clinically significant anxiety. Method: In this descriptive study, children between the ages of 8 to 18 years of age requiring an ano-genital examination for concerns of suspected sexual abuse presenting to the Child Assessment Center of the Center for Child and Family Advocacy at Nationwide Children's Hospital were asked to participate. The Multidimensional Anxiety Scale for Children (MASC-10) was utilized in the study. The MASC-10 was completed by the child before and after the physical exam for suspected sexual abuse. Results: Although most (86%) children gave history of sexual abuse during their forensic interview, the majority (83%) of children in this study did not report clinically significant anxiety before or after the child sexual abuse examination. Children reporting clinically significant anxiety were more likely to have a significant cognitive disability, give history of more invasive forms of sexual abuse, have a chronic medical diagnosis, have a prior mental health diagnosis, have an ano-genital exam requiring anal or genital cultures, and lack private/public medical insurance. Discussion: A brief assessment of child demographics should be solicited prior to exam. Children sharing demographic characteristics listed above may benefit from interventions to decrease anxiety regardless of provider ability to detect anxiety. [source]

Intimate Partner Violence: Development of a Brief Risk Assessment for the Emergency Department

ACADEMIC EMERGENCY MEDICINE, Issue 11 2009
Carolyn Snider MD
Abstract Objectives:, Women assaulted by intimate partners are frequently patients in emergency departments (EDs). Many victims and health care providers fail to take into account the potential risks of repeat partner violence. The objective of this study was to use data from a larger study of domestic violence risk assessment methods to develop a brief assessment for acute care settings to identify victims at highest risk for suffering severe injury or potentially lethal assault by an intimate partner or former partner. Methods:, Victims of intimate partner violence (IPV) were interviewed twice between 2002 and 2004. The baseline interview included the 20 items of Campbell's Danger Assessment (DA; predictor). The follow-up interview, conducted 9 months later on average, assessed abuse inflicted since the baseline interview (outcome). Multiple logistic regression was used to identify questions on the DA most predictive of severe abuse and potentially lethal assaults. Female IPV victims were recruited from New York City family courts, Los Angeles County Sheriff's Department 9-1-1 calls, New York City and Los Angeles shelters, and New York City hospitals; 666 women responded to the DA at baseline, and 60% participated in follow-up interviews. Results:, Severe injuries or potentially lethal assaults were experience by 14.9% of retained study participants between the baseline and follow-up interviews. The best brief prediction instrument has five questions. A positive answer to any three questions has a sensitivity of 83% (95% confidence interval = 70.6% to 91.4%). Conclusions:, This instrument can help predict which victims may be at increased risk for severe injury or potentially lethal assault and can aid clinicians in differentiating which patients require comprehensive safety interventions. [source]