Intervention Models for Mothers and Children at Risk for Injuries

We review risk factors commonly associated with childhood unintentional injuries and highlight adolescent mothers and their young children as a high risk group. Several intervention models of injury, including the epidemiological model, Peterson and Brown's working model, and the socioecological model have been proposed to explain the events that lead to injuries. Discussion of these models is provided and a synthesis of the adolescent parenting model and the socioecological model of injury is suggested as way to address the complex variables that lead to an injury causing event for adolescent mothers and their young children. Finally, we suggest areas of future investigation and their implications for prevention and treatment.     

Natural sequence of recovery from child post-traumatic amnesia: A retrospective cohort study

The aim of this study was to determine the sequence of skills recovery during post-traumatic amnesia (PTA) in children with moderate to severe traumatic brain injuries (TBIs). Setting: Fifty children aged 8 to 15 years consecutively admitted to a children’s hospital with TBI and PTA>24 were tested in a retrospective cohort study where the main measure was the Westmead PTA Scale (WPTAS). The group analyses show that orientation to time took longer to recover than orientation to person and place, but not memory, while the individual analyses revealed that when orientation to time was grouped with memory, 94% of children recovered orientation to person and place before orientation to time and memory (examiner and pictures). Correlation coefficients between age and the number of days taken to recover skills were not found to be significant. It was established that, in terms of the natural sequence of skills recovery in children aged 8 to 15 years following moderate to severe TBI, recovery of orientation to time is more closely aligned to memory than to orientation to person and place. It was also established that WPTAS items are developmentally appropriate for children aged 8 to 15 years who have sustained TBI. These findings are clinically important because monitoring recovery from PTA both impacts the rehabilitation offered to individuals during acute care and aids discharge planning.     

A Review of The Anthropology of Eastern Religions: Ideas,Organizations, and Constituencies

ABSTRACT

This paper examines the cultural factors that may lead to plagiarism by ESL students from Confucian-influenced societies and suggests steps that can be taken to address “cultural plagiarism,” hoping to aid students in their transition into a Western educational culture.     

Teaching preschoolers with disabilities to seek adult assistance in response to simulated injuries

Four preschool-aged children with disabilities received training to seek adult assistance in response to simulated injuries. The children first watched while the instructor modeled and verbalized a first-aid procedure for obtaining adult assistance when injured, and then they practiced the skill with instructor praise or correction. Following this practice with feedback, the children demonstrated their skill without instructor feedback. Generalization probes were conducted before and after training on the school playground and at the children's homes. A multiple baseline design across children was used to evaluate the effects of the program. Rapid increases in the children 's performances of this skill was demonstrated. Further, the posttraining generalization data indicated that the children's performance had generalized across the two settings (school playground and children's homes). More importantly, this skill maintained at 100% at a 1-month follow-up generalization probe.     

Parental ratings of daily behavior and child cognitive test performance after pediatric mild traumatic brain injury

This study aimed to evaluate the degree to which the Behavior Rating Inventory of Executive Function (BRIEF) and Child Behavior Checklist (CBCL) measure overlapping vs. distinct constructs in pediatric patients with mild traumatic brain injury (TBI), and to examine the demographic and injury correlates of such constructs as well as those of cognitive test performance. A total of 100 parents completed the BRIEF and the CBCL within 1 to 12 months after the injury of their child. Groups were contrasted based on the presence vs. absence of impairment on, respectively, the BRIEF and the CBCL. Exploratory maximum likelihood factor analysis was used to evaluate latent constructs. Correlates of the various factor scores were evaluated through regression analysis and contrasted with those of a test of verbal learning and memory.The results revealed that the BRIEF and the CBCL disagree about the presence vs. absence of impairment in about one quarter of cases. A prior history of attention deficit/hyperactivity disorder (ADHD) was associated with an increased likelihood of impairment on both the BRIEF and the CBCL, whereas prior outpatient psychiatric treatment was associated with the increased likelihood of selective impairment on the CBCL. Latent constructs manifested themselves along cognitive regulation, emotional adjustment and behavioral regulation factors. Whereas premorbid characteristics were the exclusive correlates of these factors, performance on a test of verbal learning and memory was negatively affected by intracranial lesions on neuroimaging.It is concluded that the BRIEF and the CBCL offer complementary and non-redundant information about daily functioning after pediatric mild TBI. The correlates of cognitive test performance and parental behavior ratings after such injuries are different and reflect a divergence between premorbid and injury-related influences.     

防范儿童意外伤害的人文策略

意外伤害是危害儿童健康的主要因素,虽然其发生具有一定的随机性和不可预料性,但仍然是可防、可控的;在掌握了儿童意外伤害的流行特征之后,我们可以采取一系列具有人文策略的干预措施,来增加儿童及家长的依从性,从而降低致残率和致死率;有关儿童意外伤害的研究工作还存在一些问题。     

非故意损害下的过度补偿效应

个体的补偿和报复行为是人际损害领域的研究重点。本研究通过将损害者和受害者置于同一情境,揭示了非故意损害中的过度补偿效应。实验包括虚拟和真实两种非故意损害情境,损害方式包括经济损失和肉体伤害。组间变量是损害者、受害者和中立者三种角色,因变量是被试在分配任务中留给搭档或自己的分数或金钱。结果表明,在阅读或经历了相同的非故意损害事件后,损害者补偿给受害者的分数和金钱会显著高于受害者留给自己的数量,即过度补偿效应。     

Characteristics of Unintentional Movements by a Multijoint Effector

The authors explored the phenomenon of unintentional changes in the equilibrium state of a multijoint effector produced by transient changes in the external force. The subjects performed a position-holding task against a constant force produced by a robot and were instructed not to intervene voluntarily with movements produced by changes in the robot force. The robot produced a smooth force increase leading to a hand movement, followed by a dwell time. Then, the force dropped to its initial value leading to hand movement toward the initial position, but the hand stopped short of the initial position. The undershoot magnitude increased linearly with the peak hand displacement and exponentially with dwell time (time constant of about 1 s). For long dwell times, the hand stopped at about half the total distance to the initial position. The authors interpret the results as consequences of a drift of the referent hand coordinate. Our results provide support for back-coupling between the referent and actual body configurations during multijoint actions and produce the first quantitative analysis of this phenomenon. This mechanism can also explain the phenomena of slacking and force drop after turning visual feedback off during accurate force production task.