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Selected AbstractsPromoting ecologic health resilience for minority youth: Enhancing health care access through the school health centerPSYCHOLOGY IN THE SCHOOLS, Issue 3 2003Caroline C.C. Clauss-Ehlers Ethnic minority youth experience problems in access to healthcare, yet little is known about how to enhance utilization. This article will discuss the demographic realities of children of color in the United States, with a focus on health care needs and access issues that have an enormous influence on health status. The article will consider health policy as it describes the considerable barriers to quality health care for minority youth such as a lack of a usual source of care and limited health insurance. An ecologic model is presented that incorporates cultural values and community structures into the school health center. Enhancing access and utilization through the school setting is viewed as promoting ecologic resilience in youth. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 265,278, 2003. [source] THE COMMODIFICATION OF THE DANISH DEFENCE FORCES AND THE TROUBLED IDENTITIES OF ITS OFFICERSFINANCIAL ACCOUNTABILITY & MANAGEMENT, Issue 3 2007Peter Skærbæk The accounting literature has given much attention to the New Public Management and attempts at making the government's performances auditable while influencing the core working of the public sector. This paper contributes to this debate by demonstrating how particular accounting devices participate in the definition of the identities of the officers in the Danish Defence. It shows how the definition of the officers' identities is complex and dynamic and does not necessarily have outcomes of stability and closure. Applying Actor-Network Theory we demonstrate how their identities are caught up in processes of continual or never ending reconfigurations. The major implication is that the occupational identity of the Danish officers is subject to attempts of being defined as ,a manager' in the period 1989-2006. The paper demonstrates how accounting devices participated in defining a hybrid identity of the officers as ,warrior' and ,manager' and that officers in different spaces and times experienced problems with the hybrid identity. [source] Elementary Students' Sleep Habits and Teacher Observations of Sleep-Related ProblemsJOURNAL OF SCHOOL HEALTH, Issue 2 2005Denise H. Amschler PhD Professor ABSTRACT: Sleep affects the health and well-being of children and plays a key role in preventing disease and injury, stability of mood, and ability to learn. Unfortunately, children often do not get adequate sleep on a regular basis. This study surveyed 199 fifth-grade students regarding their sleep habits using the Sleep Self-Report (SSR) instrument (child's form), the Morningness/Eveningness (M/E) Scale, and additional demographic questions. Students' teachers also were asked to evaluate their students' behavior using the Teacher's Daytime Sleepiness Questionnaire (TDSQ). Results indicated many students experienced problems with sleep-related behavior. However, correlating the TDSQ scale with the SSR Daytime Sleepiness Subscale produced a weak correlation coefficient, indicating teachers may not be able to accurately identify students with sleep problems. Overall findings indicated these students displayed sleep behavior similar to other US children. However, research involving children's sleep behavior is limited, and more research is needed. Parents should monitor their children's sleep times, and teachers need to be aware how sleep deprivation can affect children's mood, reaction time, and concentration. Health education curricula need to include sleep-related instruction at all grade levels to address this concern. [source] Following the path of ICU survivors: a quality-improvement activityNURSING IN CRITICAL CARE, Issue 4 2003Wendy Chaboyer Summary ,,Recent interest in continuity of care has meant that the illness trajectory experienced by intensive care unit (ICU) patients has received more attention ,,Using continuous quality improvement as a framework, this paper describes information obtained during a 3-year period relating to ICU patients' long-term experiences after being discharged from hospital ,,This information identified that most participants had been discharged home but that many experienced problems with mobility, disability and fatigue. Changes in employment status and the need for financial assistance were noted ,,As a result of the information provided by this activity, clinical practice has changed and a number of formal research studies have been undertaken [source] The feasibility of pain treatment at home after adenoidectomy with ketoprofen tablets in small childrenPEDIATRIC ANESTHESIA, Issue 5 2000Hannu Kokki MD In this study, we investigated the feasibility of pain treatment using ketoprofen 25 mg tablets (5 mg·kg,1·day,1) at home in children after daycase adenoidectomy. We also determined the adverse events and the incidence of postoperative bleeding during the first week after surgery. Initially, we studied 611 children aged 1,9 years. The study design was prospective, longitudinal, and open. The final data consisted of 555 (91%) children, and 522 children who received ketoprofen at home. The parents administered four (1,10, median with 10th and 90th percentiles) ketoprofen tablets to their children during the first week. A total of 20% of the parents experienced problems in administering tablets, and problems were three times more common in children under 48 months compared to older children. The main problems were swallowing difficulties and the unpleasant taste of the tablet. Neither serious adverse events, nor clinically significant bleeding occurred. Ketoprofen at the dose of 5 mg·kg,1·day,1 proved to be a safe analgesic in children for short-term use after adenoidectomy. [source] Special needs of children with type 1 diabetes at primary school: perceptions from parents, children, and teachersPEDIATRIC DIABETES, Issue 1 2009Blanca Amillategui Objective:, To identify the special needs of children with type 1 diabetes at primary school taking into account the perceptions reported by parents, children, and teachers. Methods:, This was a cross-sectional survey carried out at nine public hospitals with a cohort of 6- to 13-yr-old children. Parents were personally informed about the objectives of the survey and the necessity to involve their children and the teachers. The self-reporting questionnaire included demographic information as well as some questions that helped to evaluate the general situation of children with type 1 diabetes at primary school, main worries about the disease, and possible improvement measures. Results:, A total of 430 questionnaires were completed and validated of which 39% were filled in by parents, 35% by children, and 26% by teachers. The majority of children were 10,13 yr old and came from public schools. At school, most children required glucose monitoring, but few of them (9,12%) needed insulin administration. Some parents (7%) experienced problems at their schools when they informed them about their children's disease, 2% were finally not accepted, and 1% were forced to change school. Major children's concerns included the ability to recognize hypoglycemia or to self-administer insulin. Parents, teachers, and children demanded better information at school about diabetes and about emergency management. Conclusions:, The three population groups agreed about the necessity of having more available information on diabetes at schools. Although some discriminatory behavior was still occurring, it seemed it has been diminishing in recent years. [source] Endaural or postaural incision for myringoplasty: does it make a difference to the patient?CLINICAL OTOLARYNGOLOGY, Issue 5 2003J.L. Inwood The aim of this study was to find out from patients who had undergone a myringoplasty via either an endaural or postaural approach whether or not they had experienced problems or symptoms relating to their scar, and if these differed depending on which incision had been used. A questionnaire was sent to 91 patients who had undergone myringoplasty between 18 and 62 months earlier. Thirty-four patients who had undergone previous or subsequent ear surgery were excluded. The only statistically significant difference found between groups having either a postauricular or endaural incision was in how likely others were to comment on their scar. There seem to be few long-term sequealae relating to the scar from myringoplasty. From a patient perspective, between 18 and 62 months postoperatively, there was very little difference in symptoms or problems whether or not an endaural or a postaural incision had been used for the surgery. [source] |