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161.
Eardrum perforation as evidence of child abuse   总被引:2,自引:0,他引:2  
  相似文献   
162.
Mental health care for foster children in California   总被引:3,自引:0,他引:3  
This paper reports on a study conducted to assess the health care needs of foster children in California. To evaluate foster children's mental health problems and the services provided to meet them, 154 program administrators, social workers, foster parents, and health care providers were interviewed in 14 counties. Foster parents and social workers were interviewed in groups, and foster parents and administrators also completed questionnaires. We found that although all counties care immediately for children who are injured, abused, or ill, only one county performs routine mental health evaluations of all children, and in most counties less than a third of children ever receive such evaluations. Informants identified mental health problems as more severe than medical problems in this population, and they identified four major barriers to access to appropriate therapy. Recommendations are that all children should receive comprehensive mental health evaluations, and procedures for immediate and ongoing care with consistent providers who are sensitive to foster children's needs should be included in case management plans, and covered by improved payment mechanisms. Additionally, communication, coordination and joint planning should be instituted among relevant agencies to address foster children's needs, and increased resources and training should be directed towards social service agencies and foster parents.  相似文献   
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β-hydroxy-β-methylbutyrate (calcium: HMB-Ca and free acid: HMB-FA) and α-hydroxyisocaproic acid (α-HICA) are leucine metabolites that have been proposed to improve body composition and strength when combined with resistance exercise training (RET). In this double-blind randomized controlled pragmatic trial, we evaluated the effects of off-the-shelf supplements: α-HICA, HMB-FA and HMB-Ca, on RET-induced changes in body composition and performance. Forty men were blocked randomized to receive α-HICA (n?=?10, fat-free mass [FFM]?=?62.0?±?7.1?kg), HMB-FA (n?=?11, FFM?=?62.7?±?10.5?kg), HMB-Ca (n?=?9, FFM?=?65.6?±?10.1?kg) or placebo (PLA; n?=?10, FFM?=?64.2?±?5.7?kg). The training protocol consisted of a whole-body resistance training routine, thrice weekly for 8 weeks. Body composition was assessed by dual-energy x-ray absorptiometry (DXA) and total body water (TBW) by whole-body bioimpedance spectroscopy (BIS), both at baseline and at the end of weeks 4 and 8. Time-dependent changes were observed for increase in trunk FFM (p?相似文献   
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166.
During soccer matches, performance decrements have been reported that relate to both physical abilities and technical skills. To investigate the effects of low-frequency electrical stimulation LFES (VeinoplusSport®, Ad Rem Technology, France) administered during half-time recovery on performance alterations during the second half. Twenty-two highly trained young players undertook a soccer-match simulation (SAFT90). During half-time, they were randomly assigned to LFES group or Placebo group. Each half was split into 3 bouts of 12 minutes. Following each bout, maximal strike speed (MSS), sprint test (ST), maximal sprint accelerations (MA) and metabolic power (MP) were determined in both groups. Arterial (AF) and venous flows (VF) were measured at rest and at the end of half-time. LEFS group exhibited beneficial effects on performance compared to the Placebo group with a likely effect for MSS, ST, MA, and a possible effect for MP. AF and VF increased statistically more in LEFS group compared to Placebo group. The use of specific calf-pump LFES during half-time of a youth simulated soccer match attenuated the decrease in performance during the second half compared to Placebo group. This effect is most marked at the beginning of the second half with regards to explosive parameters.  相似文献   
167.
Sixth grade students were compared by sex for their performance on two perspective coordination tasks. Responses were compared with understanding of the principle that still water remains invariantly horizontal. Forty-eight randomly selected sixth grade students (24 girls and 24 boys) and 12 college women were individually shown a standardized three-dimensional scene. While seated in a single position, subjects completed two tasks: (1) selecting from a set of 12 pictures (displayed together) the one which could be seen from each of eight positions marked on the displayed scene and (2) choosing the positions from which could be seen eight of the 12 pictures (shown one at a time). Four of the 12 pictures were mirror images which were impossible views. Males outperformed females on both of the coordination-of-perspective tasks. For both males and females, choosing the place was more difficult than choosing the picture. Strong relationships were found between understanding of horizontality and performance on the perspective tasks. Selection of mirror images (impossible views) indicated more understanding of perspective than other, less systematic errors. Finally, female teacher trainees performed only marginally better than sixth grade students, suggesting possible remediation needs.  相似文献   
168.
How does public transport both enable and restrict one’s negotiation and interaction with cultural, social and material landscapes? The understanding of social space and self is guided by one’s journey through those spaces, by witnessing events and public conduct. This article presents autoethnographic accounts of two communication studies researchers placed in Cape Town, South Africa, and Helsinki, Finland, for more than three months. In both situations, researchers relied on public transport with which they were unfamiliar. This study considers how those experiences were perceived, and how the researchers encountered and experienced the new social environments, local population and themselves.  相似文献   
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170.
Considering the growth in research, examining the development of mainstream sport athletes over the past two decades, studies examining development of athletes with disabilities have been surprisingly limited. While similarities in developmental trajectories between the two cohorts may exist regarding factors such as the value of practice, which tend to be universal regardless of context, disability-related issues (e.g. whether the disability was congenital or acquired) may influence the course of development, affecting variables such as starting age, training and developmental milestones. Fifty-two male and female athletes training with the Wheelchair Basketball Canada National Academy provided detailed training histories. Athletes illustrated similar developmental patterns (e.g. milestones, training adjustments) as they progressed through their sporting career. However, athletes with congenital disabilities started participation in wheelchair basketball and unorganised practice at significantly younger ages (t49?=??4.35, p?<?.001, d =?1.32; t49?=??3.49, p?<?.001, d =?1.03, respectively). While athletes with congenital disabilities continued to reach a majority of the sporting milestones at younger ages, athletes with acquired disabilities were able to reach late career milestones (e.g. national debuts) at similar ages. Athletes’ disability severity did not influence their progress through the developmental milestones and time devoted to training throughout their sporting career. Future work may consider examining developmental trajectories and training histories of athletes in various parasports to extend our understanding of their development and skill acquisition.  相似文献   
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