Factors influencing young children's risk of unintentional injury: Parenting style and strategies for teaching about home safety

This study examined mothers' teaching about home-safety issues to 24–30 month and 36–42 month old children, explored the relationship of teaching strategies to parenting styles, and assessed how these factors are related to children's risk of unintentional injury. A structured interview assessed home-safety issues relevant to falls, burns, cuts, poisoning, and suffocation/strangulation/choking. Mothers identified safety issues relevant to her child, and indicated the type and extent to which she utilized teaching as a strategy to address each safety issue. Standardized questionnaires provided information about parenting style and children's history of injuries. Results revealed that mothers' endorsements of home-safety issues did not vary with child age, mothers used teaching to manage safety issues for all types of injuries, and type of teaching strategy (explanations, rules, behavior modification) varied with parenting style. Greater use of explaining and less rule usage was linked to permissive parenting; these teaching strategies predicted children's medically-attended injury among highly-permissive mothers. Thus, teaching about safety is a common risk-management strategy mothers use to address hazards in the home. However, the specific type of teaching strategy used varies with parenting style, which has implications for children's risk of injury.     

Predicting treatment response for childhood attention-deficit/hyperactivity disorder: Introduction of a heuristic model to guide research

Efficacious treatments for childhood attention-deficit/hyperactivity disorder (ADHD) have been clearly documented in the extant literature. However, significant challenges remain in delivering these treatments to the children and families they were developed to benefit. With the aim of better understanding the obstacles that impede delivery of treatments for ADHD, this paper reviews what is known regarding predictors of treatment acceptance, adherence, and success among families of children with ADHD. We identify several gaps in this literature, including the need for a strong, theoretically-driven model that encompasses parental cognitive variables in understanding the treatment experiences of these families.     

术后镇痛的实践思维

从外科医师和麻醉科医师传统临床思维方法特点分析,认为传统术后镇痛具有明显的片面性、专一性等临床诊疗的局限性。而从实践思维和循证医学理论角度分析,认为术后镇痛在围手术期“人性化”诊疗、防治全身炎症反应综合征或围手术期癌转移等方面具有的重要性与广阔前景。     

老年病诊疗中的几个问题

老年医学是哲学思维和理论含量很高的科学,老年病科医生要学会科学应用哲学的思维方法,克服临床思维过程中的缺点,将哲学思维应用于实际临床实践中,既要科学地分析,又要哲学地概括,在实际工作中做到主观与客观、理论与实践的具体统一,避免误诊、误治,提高老年病人的生活质量。     

人类辅助生殖技术中的伦理监督与实践

我国人类辅助生殖技术的开展以及相关法律规范的实施为该技术的运用带来伦理管理的新课题。分别阐述辅助生殖技术中伦理监督的重要意义、重点与难点,对我院具体管理工作与实践探索作了介绍,并对该技术伦理监督管理中的几个问题进行了讨论。     

Dilemmas of Practice: Challenges to Program Quality Encountered by Youth Program Leaders

To create and sustain high quality youth development programs it is important to understand the challenging situations and dilemmas that emerge in program leaders’ daily work with youth. In this research the experiences of leaders in 12 programs were followed over a 2–9 month period, which led to the identification of 250 dilemma situations. Qualitative analyses identified 5 categories and 12 subcategories of dilemmas that reflected distinct types of considerations (e.g., youth’s personalities, relationships with the community). The analyses also found that the experienced leaders in the study typically responded to these dilemmas in ways that were youth-centered and that balanced multiple considerations. It is argued that researchers need to go beyond identifying features of high quality programs, and more fully examine how effective leaders create and sustain high quality in response to the challenging situations of practice.     

轻重学说在唐代的接受与实践

轻重学说是封建政府加强财政收入的理财理论。本文在简要分析唐代财政状况的基础上,分别论述了刘彤、刘秩、第五琦、刘晏、陆贽、白居易对轻重学说的理论接受与财政实践。     

Maternal Distress and Parenting in the Context of Cumulative Disadvantage

To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience ( http://interscience.wiley.com/journal/famp ). This article presents an emergent conceptual model of the features and links between cumulative disadvantage, maternal distress, and parenting practices in low‐income families in which parental incarceration has occurred. The model emerged from the integration of extant conceptual and empirical research with grounded theory analysis of longitudinal ethnographic data from Welfare, Children, and Families: A Three‐City Study. Fourteen exemplar family cases were used in the analysis. Results indicated that mothers in these families experienced life in the context of cumulative disadvantage, reporting a cascade of difficulties characterized by neighborhood worries, provider concerns, bureaucratic difficulties, violent intimate relationships, and the inability to meet children's needs. Mothers, however, also had an intense desire to protect their children, and to make up for past mistakes. Although, in response to high levels of maternal distress and disadvantage, most mothers exhibited harsh discipline of their children, some mothers transformed their distress by advocating for their children under difficult circumstances. Women's use of harsh discipline and advocacy was not necessarily an “either/or” phenomenon as half of the mothers included in our analysis exhibited both harsh discipline and care/advocacy behaviors. Maternal distress characterized by substance use, while connected to harsh disciplinary behavior, did not preclude mothers engaging in positive parenting behaviors.     

Pathways Between Marriage and Parenting for Wives and Husbands: The Role of Coparenting

As family systems research has expanded, so have investigations into how marital partners coparent together. Although coparenting research has increasingly found support for the influential role of coparenting on both marital relationships and parenting practices, coparenting has traditionally been investigated as part of an indirect system which begins with marital health, is mediated by coparenting processes, and then culminates in each partner's parenting. The field has not tested how this traditional model compares with the equally plausible alternative model, in which coparenting simultaneously predicts both marital relationships and parenting practices. Furthermore, statistical and practical limitations have typically resulted in only one parent being analyzed in these models. This study used model-fitting analyses to include both wives and husbands in a test of these two alternative models of the role of coparenting in the family system. Our data suggested that both the traditional indirect model (marital health to coparenting to parenting practices), and the alternative predictor model where coparenting alliance directly and simultaneously predicts marital health and parenting practices, fit for both spouses. This suggests that dynamic and multiple roles may be played by coparenting in the overall family system, and raises important practical implications for family clinicians.