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Inherent Challenges (inherent + challenge)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

Uncovering Cover Stories: Tensions and Entailments in the Development of Teacher Knowledge

CURRICULUM INQUIRY, Issue 2 2005
MARGARET R. OLSON
ABSTRACT Building on the research of Crites in theology and Clandinin and Connelly in education, the authors map out three variations of cover stories lived and told by preservice and in-service teachers in order to clarify their scholarship and inform the research of others. We examine how these narratives are formed around canonical stories that teachers publicly claim to know (or show) and actually do know (but not as favored interpretations), and personally authorized stories that teachers publicly claim not to know (or show) but that they personally do know (as favored interpretations). We illustrate how this necessarily deceptive double storying may give rise to miseducative situations. We then offer our conceptualizations of knowledge communities and teachers' narrative authority as ways to create spaces for all stories to be reflectively heard and examined, and to address inherent challenges that arise when narrative knowledge goes unacknowledged because of pervasive sacred stories embedded in institutional prescriptions, stories of school, and competing philosophical positions. [source]

Injuries Related to Snow Blowers in the United States: 2002 Through 2008

ACADEMIC EMERGENCY MEDICINE, Issue 5 2010
Bart Hammig PhD
Abstract Objectives:, The objective was to examine injuries related to the use of a snow blower among patients treated in an emergency department (ED). Methods:, Data were obtained from the National Electronic Injury Surveillance System (NEISS) for the years 2002,2008. National estimates of ED visits for injuries associated with the use of a snow blower were obtained, and descriptive epidemiologic characteristics assessed. Results:, From 2002 through 2008, there were an estimated 32,307 ED visits for injuries related to the use of a snow blower in the United States. Older adults had a higher proportion of ED visits for such injuries than younger age groups. The majority of injuries involved injuries to the hand, with 42% of cases diagnosed with fractures and 20% resulting in amputations. Conclusions:, Findings indicate that injuries from snow blowers remain a public health problem. Efforts to reduce injury incidence are discussed in accordance with inherent challenges of prevention of injuries associated with these products. ACADEMIC EMERGENCY MEDICINE 2010; 17:566,569 © 2010 by the Society for Academic Emergency Medicine [source]

Dementia in Older Adults With Intellectual Disabilities,Epidemiology, Presentation, and Diagnosis

JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES, Issue 2 2010
Andre Strydom
Abstract As life expectancy of people with intellectual disabilities (ID) extends into older age, dementia is an increasing cause of morbidity and mortality. To update and summarize current knowledge on dementia in older adults with ID, the authors conducted a comprehensive review of the published literature from 1997,2008 with a specific focus on: (1) epidemiology of dementia in ID in general as well as in specific genetic syndromes; (2) presentation; and (3) diagnostic criteria for dementia. The review drew upon a combination of searches in electronic databases Medline, EMBASE, and PsycINFO for original research papers in English, Dutch, or German. The authors report that varied methodologies and inherent challenges in diagnosis yield a wide range of reported prevalence rates of dementia. Rates of dementia in the population with intellectual disability not because of Down syndrome (DS) are comparable with or higher than the general population. Alzheimer's disease onset in DS appears earlier and the prevalence increases from under 10% in the 40s to more than 30% in the 50s, with varying prevalence reported for those 60 and older. Incidence rates increase with age. Few studies of dementia in other genetic syndromes were identified. Presentation differs in the ID population compared with the general population; those with DS present with prominent behavioral changes believed to be because of frontal lobe deficits. Authors recommend large-scale collaborative studies of high quality to further knowledge on the epidemiology and clinical presentation of dementia in this population. [source]

Challenges in implementing evidence-based treatment practices for co-occurring disorders in the criminal justice system,

BEHAVIORAL SCIENCES & THE LAW, Issue 4 2004
Redonna K. Chandler Ph.D.
The presence of adults with mental health and substance abuse disorders within the criminal justice system has become increasingly evident over the past decade. Interventions and treatment services have been designed and research conducted in an effort to establish evidence-based practices that effectively address the complex needs of this population. However, adopting and implementing these evidence-based interventions and practices within the real-world setting of criminal justice environments is challenging. This article reviews the research literature related to evidence-based treatment practices for offenders with co-occurring mental health and substance abuse disorders and explores the inherent challenges of fitting these interventions and services within criminal justice settings. Copyright © 2004 John Wiley & Sons, Ltd. [source]