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131.
We examined the impact of parenting behaviors on preschool children’s social development in low-income families from three cultural groups: European American (n = 286), African American (n = 399), and Hispanic American (n = 164) using Spanish as the primary language in the home. Observed parenting behaviors of stimulation, responsivity, and acceptance of the child in European American and African American families showed positive impacts on children’s social development with notable exceptions discussed. Corporal punishment had a negative impact on children’s social development. With the exception of corporal punishment, none of the parenting behaviors predicted social development outcomes for Hispanic children.  相似文献   
132.
Using the Biobehavioral Family Model and data from five Midlife in the United States projects (N = 793), this study tests whether allostatic load and negative affect reactivity convey the effects of categorizations of family emotional climate on health appraisal and morbidity (chronic conditions) across 20 years. Results indicated that negative family emotional climate (high strain, low support/parental affection) was indirectly associated with health appraisal 20 years later via negative affect reactivity at 10 years. Ambivalent family emotional climate (high strain/support) was directly associated with greater morbidity. Allostatic load did not serve as a significant mediator in the models tested. Findings suggest that family emotional climates marked by strain and intensity may be especially problematic for health, partly by exacerbating negative affect reactivity.  相似文献   
133.
In spite of policies advocating the involvement of families in the care of mental health service users in the UK, there are few examples of initiatives to develop staff confidence and skills in partnership working. This article describes a whole team training initiative and family liaison service to promote family inclusive working on in‐patient wards for older people in Somerset, UK. A three‐day staff‐training programme is described and training outcomes are reported. Staff report a substantial increase in confidence and family meetings held. A pre‐and post‐ training case note audit shows increased consideration of the needs of families. To further increase face to face meetings with families a family liaison service has been established, whereby a staff member with systemic family therapy training joins ward staff to hold family meetings as part of the assessment/admission process. Evaluation of this service has shown it to be effective with positive feedback from families and staff.  相似文献   
134.
The articles in this Special Issue on system change within systems of care (SOCs) provide guidance regarding strategies for modifying SOCs to address the needs of different populations, and ways for changing systems to support more positive child and family outcomes. This paper frames central needs, unanswered questions, and issues that remain for those working to implement SOCs. Specific needs and new directions considered include: (1) rigorous implementation-focused research to identify the necessary and sufficient elements of SOCs and the primary practice approach currently used in SOCs, wraparound; (2) applied research to assess SOCs and document their effectiveness in non-standard or non-traditional settings (i.e., non-mental health settings, including child welfare, juvenile justice, local housing authorities); (3) controlled outcome studies for school-based wraparound initiatives; (4) research to document the effectiveness of the family support efforts that are part of most SOCs; and (5) attention to context, for families, service providers, and collaborative implementation efforts, by researchers and providers alike. Progress in these areas can inform well-targeted system change efforts in the context of SOCs, a critical need given changes in federal funding for these initiatives.  相似文献   
135.
Abstract

In current military operations in Iraq and Afghanistan, US National Guard (NG) troops are serving longer deployments than ever before. Little is known, however, about how such deployments affect this population of individuals, relative to active component (AC) troops. This study investigated the extent of combat exposure, severity of post-deployment psychological symptoms, and general interpersonal functioning, as well as the interrelationships of these variables, in 50 NG soldiers who served a 12-month deployment in Iraq from 2005 to 2006. The results indicate that combat exposure and post-deployment post-traumatic stress symptoms in this sample are greater than those in NG veterans of past military operations, and similar to those of full-time soldiers in current operations. Furthermore, the patterns of interrelationships between combat exposure, psychological symptoms, and interpersonal variables were similar to those detected in prior research on AC troops. These results suggest that NG veterans of current military operations may require similar services as active duty veterans. Given that NG troops are less integrated into the military structure, specific outreach efforts may be needed to help NG veterans to receive such services.  相似文献   
136.
Using data from the Birth to Three Phase (1996–2001) of the Early Head Start Research and Evaluation Project, we investigated whether family routines at 14, 24, and 36 months play a role in the development of children's self-regulation and cognitive ability at 36 months. The moderating effects of child sex and race/ethnicity were also examined. Analyses revealed that routines do matter for child outcomes; concurrent routines appear to be critical for fostering self-regulation at 36 months, whereas early routines may be important for children's later cognitive ability. Second, the effects differed by child sex, with early routines having a stronger association for girls and concurrent routines having a stronger association for boys. Associations also varied by race/ethnicity such that routines appear to matter slightly more for African–American children than European–American and Hispanic children. Implications of these findings with respect to strength-based interventions for low-income preschoolers and their families are discussed.  相似文献   
137.
Power Quality (PQ) is becoming more and more important day by day in the electric network. Signal processing, pattern recognition and machine learning are increasingly being studied for the automatic recognition of any disturbances that may occur during the generation, transmission, and distribution of electricity. There are three main steps to identify the PQ disturbances. These include the use of signal processing methods to calculate the features representing the disturbances, the selection of those that are more useful than these feature sets to prevent the creation of a complex classification model, the creating a classification model that recognizes multiple classes using the selected feature subsets. In this study, one-dimensional (1D) PQ disturbances signals are transformed into two-dimensional (2D) signals, 2D discrete wavelet transforms (2D-DWT) are used to extract the features. The features are extracted by using the wavelet families such as Daubechies, Biorthogonal, Symlets, Coiflets and Fejer-Korovkin in 2D-DWT to analyze PQ disturbances. Whale Optimization Algorithm (WOA) and k-nearest neighbor (KNN) classifier determine the feature subsets. Then, WOA and k nearest neighbor (KNN) classifier are used to determine the feature group. By using KNN and Support Vector Machines (SVM) classification methods, Classifier models that distinguish PQ disturbances are formed. The main aim of the study is to determine the features derived from 2D wavelet coefficients for different wavelet families and to determine which of them has a better classification performance to distinguish PQ disturbances signals. At the same time, different classification methods are simulated and a model which can classify PQ disturbances signals with high performance is created. Also, the generated models are analysed for their performance in terms of different noise levels (40 dB, 30 dB, 20 dB). The result of this simulation study shows that the model developed to classify PQ disturbances is superior to conventional models and other 2D signal processing methods in the literature. In addition, it was concluded that the proposed method can cope better with noisy signals by low computational complexity and higher classification rate.  相似文献   
138.
For many years the prevailing paradigm for medical decision making for children has been the best interest standard. Recently, some authors have proposed that Mill’s “harm principle” should be used to mediate or to replace the best interest standard. This article critically examines the harm principle movement and identifies serious defects within the project of using Mill’s harm principle for medical decision making for children. While the harm principle proponents successfully highlight some difficulties in present-day use of the best interest standard, the use of the harm principle suffers substantial normative and conceptual problems. A medical decision-making framework for children is suggested, grounded in the four principles. It draws on the best interest standard, incorporates concepts of harm, and provides two questions that can act as guide and limit in medical decision making for children.  相似文献   
139.
When shared decision making breaks down and parents and medical providers have developed entrenched and conflicting views, ethical frameworks are needed to find a way forward. This article reviews the evolution of thought about the best interest standard and then discusses the advantages of the harm principle (HP) and the zone of parental discretion (ZPD). Applying these frameworks to parental refusals in situations of complexity and uncertainty presents challenges that necessitate concrete substeps to analyze the big picture and identify key questions. I outline and defend a new decision-making tool that includes three parts: identifying the nature of the disagreement, checklists for key elements of the HP and ZPD, and a “think list” of specific questions designed to enhance use of the HP and ZPD in clinical decision making. These tools together will assist those embroiled in complex disagreements to disentangle the issues to find a path to resolution.  相似文献   
140.
ABSTRACT

This review synthesizes the literature on how Asia-Pacific children and families living in poverty cope with disasters. A systematic search yielded 26 studies from six low- and middle-income countries (LMIC) in the region. Findings emphasized the role of socioeconomic factors, sociocultural factors, and indigenous knowledge. Coping strategies related to finances were most prominently described in the studies, in contrast to health and psychosocial strategies. Substantial gender issues were identified. The review highlights gaps regarding child involvement in research and coping strategies used by children living in poverty.  相似文献   
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