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81.
Roles of Response Inhibition and Gene–Environment Interplay in Pathways to Adolescents' Externalizing Problems
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Frances L. Wang Laurie Chassin Matthew Lee Moira Haller Kevin King 《Journal of research on adolescence》2017,27(2):258-277
This study used two waves of data to investigate pathways through which adolescents' response inhibition related to later externalizing problems. A polygenic risk score indexed genetic risk for poor response inhibition. Adolescents' performance on a response inhibition task mediated the relation between adolescents' polygenic risk scores and mother's inconsistent parenting (i.e., evocative rGE), even after controlling for mothers' genetic risk (i.e., passive rGE). Mothers' inconsistent parenting subsequently prospectively predicted adolescents' externalizing problems. Adolescents' response inhibition also prospectively predicted later externalizing behaviors. These findings were subgroup‐specific, with greater risk for non‐Hispanic Caucasian boys with substance‐disordered parents. Results suggest that poor response inhibition may increase risk for adolescents' externalizing problems both directly and by evoking certain environmental conditions. 相似文献
82.
Khlood Bookari Heather Yeatman Moira Williamson 《Women and birth : journal of the Australian College of Midwives》2017,30(1):9-17
Background
Maternal diets are not consistent with dietary guidance and this may affect the health of mothers and their infants. Nutrition knowledge and motivation may be important factors.Aims
To assess pregnant women's diets in relation to consistency with the Australian Guidelines for Healthy Eating (AGHE); factors influencing women's adherence to the recommendations; and women's attitudes towards pregnancy-specific nutrition information.Methods
A cross-sectional study using convenience sampling was undertaken at five hospitals in New South Wales (Australia) and through an online link (October 2012 to July 2013). N = 388 pregnant women completed the survey. Categorical data were analysed using Chi square and logistic regression with significance set at P < 0.05.Findings
Most participants were highly motivated to adopt a healthy diet, believed they were trying to do so and that knowing about nutrition in pregnancy was highly important. Reported dietary intakes were poor. No pregnant women met the recommended intakes for all five food groups. Poor knowledge of these recommendations was evident. Knowledge of selected recommendations (for Fruit, Vegetables, and Breads and Cereals) increased the likelihood of those foods’ consumption 8 (95% confidence interval [CI], 2.3–27.7), 9.1 (95% CI, 2.6–31.3) and 6.8 (95% CI, 3.4–13.7) times respectively.Conclusion
Pregnant women had high levels of motivation and confidence in their ability to achieve a healthy diet and understand dietary recommendations, but actually demonstrated poor knowledge and poor adherence to guidelines. Mistaken or false beliefs may be a barrier to effective nutrition education strategies. 相似文献83.
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Local Safeguarding Children Boards (LSCBs) were established under the Children Act 2004 and have responsibility for coordinating and ensuring the effectiveness of the work of partner bodies to safeguard and promote the welfare of children. Drawing on data from a Department for Children, Schools and Families and Department of Health‐funded evaluation, the paper examines the development of LSCBs and the challenges and issues that have been encountered by Boards in implementing new arrangements. In doing so, the paper contributes to current debates about some of the limitations of New Labour's safeguarding reforms as a vehicle for improving outcomes for children and families. 相似文献
86.
Paula Olsen Moira Williamson Victoria Traynor Chris Georgiou 《Women and birth : journal of the Australian College of Midwives》2018,31(1):31-37
Objective
To perform a pilot project to determine if this research design was appropriate to explore potential causal relationships between oral probiotic use and vaginal Group B Streptococcal (GBS) colonisation rates in pregnant women.Method
Thirty-four GBS-positive women at 36 weeks pregnant were recruited. The participants were randomly allocated to the control group, who received standard antenatal care, or to the intervention group, who received standard antenatal care and a daily oral dose of probiotics for three weeks or until they gave birth. A vaginal GBS swab was collected three weeks post consent or during labour.Findings
No significant difference was found in vaginal GBS rates between the control and intervention groups. Only seven of 21 women in the intervention group completed the entire 21 days of probiotics. A subgroup analysis, including only those who had completed 14 days or more of probiotics (n = 16), also showed no significant difference in vaginal GBS when compared to the control. The findings did show significantly more vaginal commensals in the probiotics group (p = 0.048).Discussion
Five possible reasons for the lack of significant results are: the length of the intervention was too short; the dosage of the probiotics was too low; the wrong strains of probiotics were used; the sample size was inadequate; or oral probiotics are ineffective in impacting vaginal GBS.Implications
The finding of a significant increase of vaginal commensals in women who completed 14 days or more of probiotics supports the potential of probiotics to impact vaginal GBS in pregnancy. 相似文献87.
Heather Munro Prescott PhD 《Journal of American college health : J of ACH》2013,61(6):464-469
Abstract This article examines how the field of college health has evolved over time to address the needs of an increasingly diverse student population. The central argument is that college and university health programs developed in conjunction with shifting standards of medical care and public health practices in the United States. The author reviews the role of college health programs as public health agencies for campus communities, and describes contemporary public health challenges facing college campuses. She shows how the history of college health is intertwined with the history of diversity in higher education. In particular, the author outlines how the growth of health services made higher education accessible to women, racial minorities, veterans, and persons with disabilities. 相似文献
88.
This article argues that England is in the process of introducing a mandatory reporting system, not based on the requirement to report child abuse but on the basis of ‘a cause for concern’ for a child's welfare. It describes Section 12 of the Children Act 2004, which is fundamental to the development, and the rationale upon which it is based. The second part of the article summarizes the key criticisms that have been made of mandatory reporting systems and discusses how these are likely to apply in the English situation. Copyright © 2007 John Wiley & Sons, Ltd. 相似文献
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A new systemic approach to investigating child abuse deathsis proposed, drawing on the lessons learned in engineering.Investigations have traditionally taken the approach of concludingonce faults in professional practice are identified. Solutionstake the form of trying to control erratic practitioners: psychologicalpressure to achieve higher standards, increasing formalizationand guidelines to reduce the scope for individual fallibility,and stricter management surveillance. The inquiry into the deathof Victoria Climbie fits this model. However, thirty years ofsuch inquiries have not led to the expected improvement in professionalpractice. Indeed, the Climbie report describes several agenciesoperating at a very low level, and failing to implement themost basic elements of good practice. A similar history of failurein engineering has led to the development of a systems approach.Human error is taken as the starting point, not the conclusion,and the investigation tries to understand why the mistake wasmade, by studying interacting factors in the practitioners,the resources available and the organizational context. Theway this approach could be adopted in child protection workis outlined. 相似文献