Proposing a model for promoting Children's Health in Early Childhood Education and Care Settings

This pilot study was conducted in one early childhood pre-school nursery setting in an area of high deprivation in England to explore the under-researched area of how practitioners promote the health of children. The research used an original tool, Child Health Promotion: A Toolkit for Early Childhood Education and Care Practitioners, containing a 5 Step Programme as a model to guide practitioners in identifying and implementing a health promotion activity. The findings will help to set the onward agenda for a larger scale study which will foreground the voices of practitioners and highlight the role that ECEC practitioners can play in promoting the health of children.     

Funding Civil Society? Bilateral Government Support for Development NGOs

Research on the determinants of foreign aid tends to focus on the relationship between donor country priorities and recipient state characteristics, but donors also make decisions about which organizations and programs within countries will receive assistance. Although NGOs increasingly have been recipients of foreign aid, few data are available to investigate which organizations within a given country receive that funding. Donors may prioritize structural characteristics of NGOs or their local ties—or they may seek a combination that blends concern about efficiency and accountability with an interest in developing national civil society. We use original data from Cambodia to explore whether aid is likely to go to managerial organizations (professionalized NGOs and NGOs that utilize modern management tools) or to organizations that are embedded in the domestic context. We argue that managerialism provides legitimacy for NGOs by signaling capacity and accountability to donors, increasing the likelihood of government funding. We argue that local embeddedness also confers legitimacy by aligning community ties and networks to rights-based development, increasing the likelihood of government funding. We find general support for the managerialism argument, but donor agencies do not prioritize direct funding for “indigenous” NGOs—not even among those with high levels of managerialism.     

The Congruence Between Adolescents and Their Parents’ Gender-Role Attitudes in Urban Slums of Allahabad,India

Gender role differentiation intensifies during adolescence. The current study explores gender-role attitudes among unmarried young men and women aged 15–21 residing in the slums of Allahabad, India. The survey asked a series of questions about gender role attitudes to young men and women and to their parents (relating to work and educational attainment for girls, marriage and husband–wife relations). Since either the father or mother responded to the parent questionnaire, data analyses are based on subsets of mother–daughter pairs (n = 2124), mother–son pairs (n = 2135), father–son pairs (n = 788), and father–daughter pairs (n = 452). No significant differences emerged in terms of adolescent background characteristics of the four groups and the adolescent population of the study. A fair amount of congruence in gender role attitudes was found in the mother–daughter and father–son pairs for most items. However, a similar pattern was not visible in the father–daughter or mother–son pairs. Multivariate regression analysis indicated strong influence of parental attitudes on the adolescent’s attitudes. While education led to a shift in girls’ attitudes to gender egalitarian ones, it did not impact the attitudes of adolescent boys.     

Vacant land conversion to community gardens: influences on generalist arthropod predators and biocontrol services in urban greenspaces

Due to economic decline and the recent rise in home foreclosure, many U.S. cities are faced with managing large acreages of vacant land. Interest in local food production on this land has the potential to dramatically reshape the composition of greenspace found within urban landscapes. This study examined how the conversion of vacant land to urban gardens and farms influenced arthropod generalist predator populations and their ability to support biocontrol services. We found that the abundance of Coccinellidae and Syrphidae, and the activity density of Carabidae, Formicidae, and Lycosidae were equivalent among vacant lot and urban garden sites. Dolichopodidae abundance and the activity density of Linyphiidae and Opiliones were reduced in urban gardens whereas Anthocoridae abundance and the activity density of Staphylinidae were greater within urban gardens relative to vacant lots. The biocontrol service supplied by generalist predators was measured using sentinel eggs (Helicoverpa zea (Noctuiidae)) and pupae (Sarcophaga bullata (Sarcophagidae) and Musca domestica (Muscidae)). We found no difference in the biocontrol of H. zea eggs or M. domestica pupae among the focal greenspaces. We found no difference in the removal of S. bullata pupae by predators in June 2010, whereas in August 2010 a greater proportion of pupae were removed in urban garden sites relative to vacant lots. Based on these findings, we discuss the potential of the urban landscape to support generalist predators and sustainable urban gardening and farming.     

Substance Use,Distress, and Adolescent School Networks

This study examined the associations of substance use, psychological distress, and mental health services receipt with the structure and content of adolescent school‐based networks. Using data from the National Longitudinal Study of Adolescent Health, we found that substance use was associated with receiving more, but making fewer, peer nominations. It also was associated with less favorable network characteristics, such as low GPA. Services receipt was associated with receiving and making fewer nominations, less favorable network characteristics, and a lower likelihood of reciprocated best friendships. Psychological distress had fewer significant associations. All associations were modest in magnitude. Our results suggest the importance of considering multiple indicators of socioemotional problems and multiple dimensions of social networks in research on adolescent peer relations.     

Improving Weight of Evidence Approaches to Chemical Evaluations

Federal and other regulatory agencies often use or claim to use a weight of evidence (WoE) approach in chemical evaluation. Their approaches to the use of WoE, however, differ significantly, rely heavily on subjective professional judgment, and merit improvement. We review uses of WoE approaches in key articles in the peer‐reviewed scientific literature, and find significant variations. We find that a hypothesis‐based WoE approach, developed by Lorenz Rhomberg et al., can provide a stronger scientific basis for chemical assessment while improving transparency and preserving the appropriate scope of professional judgment. Their approach, while still evolving, relies on the explicit specification of the hypothesized basis for using the information at hand to infer the ability of an agent to cause human health impacts or, more broadly, affect other endpoints of concern. We describe and endorse such a hypothesis‐based WoE approach to chemical evaluation.     

Curved versus straight scissors to avoid 3rd and 4th degree perineal tears: A randomised feasibility study

BackgroundSevere perineal tears sustained during childbirth cause significant distress and morbidity amongst women. The objective of this study was to compare the use of straight scissors for cutting an episiotomy with the use of curved scissors, which are designed to curve away from the anal sphincter.MethodsWe used a single-centre, randomised feasibility trial. The intervention was the use of curved scissors. Women were recruited during a prenatal visit and randomised in the delivery suite, when it became clear that an episiotomy was required. The feasibility outcomes were the proportion of women able to be recruited, randomised and followed up. We also calculated the incidence of obstetric anal sphincter injury when either straight or curved scissors were used to cut an episiotomy. Other outcomes assessed were pain, length of hospital stay, perineal infection and perineal dehiscence.ResultsOf the 155 patients recruited in the prenatal period, only 20 (12.9%) were eventually randomised at birth. The main reasons for the high loss were that women either did not have a vaginal delivery (38, 24.5%), or they did not need an episiotomy (72, 46.5%). Rates of obstetric anal sphincter injury and other outcomes were similar between groups.DiscussionAnal sphincter injury during childbirth remains an important problem. Although the use of curved scissors provides a theoretical solution, we found that the high attrition rate made feasibility of conducting a suitably powered, randomised trial using the current design untenable. Alternative strategies have been suggested to make any future study more viable.