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Sexual abuse in the developmentally disabled: Dilemmas of diagnosis   总被引:1,自引:0,他引:1  
Evaluation of developmentally disabled persons for physical signs of sexual abuse presents many challenges to the practitioner. This group is especially vulnerable to all types of abuse. A group of 35 mentally retarded females from a residential treatment facility was examined by the child abuse medical team at Harbor/UCLA Medical Center after one inpatient was found to be pregnant. Patients ranged in age from 13 to 55 years (median, 26 years; mean, 31.3 +/- 13.6 years). All of the women had some degree of disability, with 24 (69%) being categorized as profoundly retarded. No patient was able to provide a history. There were 13 (37%) patients who had genital findings we believe are consistent with prior vaginal penetration. Dilemmas which arose during evaluation included the significance of healed genital lesions in this population and the implications of the findings for the residential facility. While developmentally disabled persons need an advocate in the medical and legal systems, these patients can overwhelm the practitioner. Whenever possible, a team approach is recommended to decrease the work load and frustration and provide collegial support and affirmation of findings.  相似文献   
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The present article investigates the effects of individual and contextual variables on children’s early learning in French nursery schools and German kindergartens. Our study of 552 children at preschools in France (299 children from French nursery schools) and Germany (253 children from German kindergartens) measured skills that facilitate the learning of reading, writing and arithmetic at primary school. We also evaluated educational family practices and parents’ expectations of their children’s pre-school education. In order to take into account the hierarchical structure of our data, multilevel models were used in the analysis, which was carried out using MLwiN software version 2.02 (Rasbash et al. 2005). Although French nursery schools emphasise academic learning, we did not find any significant differences in overall performances between the French and German samples. However, significant differences were obtained for some subscale results. In addition, our results indicate that individual and contextual variables have an impact on the differences observed between children from the two countries.  相似文献   
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An understanding of how missed class and work are influenced by psychosocial factors is important. The authors collected data from 303 college students through self‐report questionnaires. Moderation analysis indicated that with higher perceived stress, students were more likely to miss class if they were less satisfied with social support and less likely to miss work if they engaged in avoidant coping strategies. College counselors can provide students with skills to enhance academic performance and engagement in academic life.  相似文献   
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To better understand the growing trend of 1:1 learning, researchers conducted an evaluation of a laptop initiative in 18 North Carolina high schools. The goal of the study was to provide information about the value of the initiative to enhance student learning, as well as to identify challenges to the successful implementation of 1:1 programs, strategies for meeting those challenges, and services and supports needed to enable successful programs throughout the state. This paper focuses on ways in which the initiative enhanced the learning experiences of students with disabilities in areas such as communication, reading ability, assessment, organisation and confidence. Data sources include teacher, student and administrator focus groups, which enable scholars to gain an array of insight regarding technology initiatives and students with special needs. Implications for educators and administrators are discussed.  相似文献   
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Purpose: To begin investigating the impact of electronic journals on research processes such as information seeking, the authors conducted a pilot journal-use study to test the hypothesis that patrons use print and electronic journals differently.Methodology: We placed fifteen high-use print titles also available in electronic format behind the circulation desk; patrons were asked to complete a survey upon requesting a journal. We also conducted a parallel survey of patrons using library computers. Both surveys asked patrons to identify themselves by user category and queried them about their journal use.Results: During the month-long study, patrons completed sixty-nine surveys of electronic and ninety surveys of print journal use. Results analysis indicated that fellows, students, and residents preferred electronic journals, and faculty preferred print journals. Patrons used print journals for reading articles and scanning contents; they employed electronic journals for printing articles and checking references. Users considered electronic journals easier to access and search than print journals; however, they reported that print journals had higher quality text and figures.Discussion/Conclusion: This study is an introductory step in examining how electronic journals affect research processes. Our data revealed that there were distinct preferences in format among categories. In addition to collection management implications for libraries, these data also have implications for publishers and educators; current electronic formats do not facilitate all types of uses and thus may be changing learning patterns as well.  相似文献   
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Pervasive digitization and aggregation of personal health information (PHI), along with artificial intelligence (AI) and other advanced analytical techniques, hold promise of improved health and healthcare services. These advances also pose significant data governance challenges for ensuring value for individual, organizational, and societal stakeholders as well as individual privacy and autonomy. Through a case study of a controversial public-private partnership between Royal Free Trust, a National Health Service hospital system in the United Kingdom, and Alphabet’s AI venture DeepMind Health, we investigate how forms of data governance were adapted, as PHI data flowed into new use contexts, to address concerns of contextual integrity, which is violated when personal information collected in one use context moves to another use context with different norms of appropriateness.  相似文献   
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This article focuses on the impact of a professional play that we developed in order to introduce elementary learners of an urban school to the research of a scientist working at a local university. The play was written in a way that might increase student understandings of the nature of science, scientific inquiry, the identity of scientists, and the work that scientists do. We collected pre-and post-play questionnaire responses and drawings of scientists from third and fourth grade students who attended the play. We also interviewed five of the ten teachers whose students attended the play. Findings indicated that most of these teachers felt strongly that their students had learned about scientific inquiry, the identity of scientists, and the work that scientists do as a result of attending the play. However, less than half of the student questionnaires and drawings of scientists indicated such growth as a result of the play. That being said, numerous students were able to tell us what they learned from the play and many questionnaire responses and drawings indicated such learning. Implications for partnerships between schools and university faculty from various disciplines in order to develop potentially impactful plays that portray authentic scientific research are discussed.  相似文献   
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