Munchausen syndrome by proxy is an unusual form of child abuse: a child presents with an illness that has been factitiously produced by a parent, typically the mother. A case of chronic illicit insulin administration to a one-year-old girl is described. Despite temporary separation of the child from the mother and long-term psychiatric intervention, factitious illnesses continued, including urine specimen contamination, laxative-induced diarrhea, suspected bladder catheterization, and suspected poisoning. Retrospective review of the medical records of the mother and two siblings demonstrated previously unrecognized evidence of factitious illnesses. The medical records contained evidence of 30 separate episodes of suspected or documented factitious illness in these four members of the same family. This unique family illustrates the significant morbidity of Munchausen syndrome by proxy and a poor response to psychiatric treatment. 相似文献
This paper summarizes the legislation upon which the current welfare-to-work transition in the United States is based and describes characteristics of the former welfare population from which various tiers of employment options have emerged: unsubsidized-employed workers, subsidized-employed workers, subsidized-unemployed recipients, and unsubsidized-unemployed individuals. It also discusses current program emphases, and presents a format for directions for future program development which includes academic programs, situated cognition programs, integrated literacy/occupational skills programs, and integrated literacy/soft skills training. 相似文献
Common core standards, interdisciplinary education, and discipline-specific literacy are common international education reforms. The constructive–interpretative language arts pairs (speaking–listening, writing–reading, representing–viewing) and the communication, construction, and persuasion functions of language are central in these movements. This research developed and validated a communication progression in science education for elementary–secondary schooling in Taiwan. The framework for the communication progression was based on relevant literature, international curricula, and focus-group deliberations; it consisted of three dimensions: presentation, reaction, and negotiation. Delphi deliberations with questionnaires were applied to experts to evaluate the theoretical considerations and to experienced science teachers to evaluate the practical considerations. Results confirmed the importance of communications in science learning and the developmental nature of communications across elementary, middle, and secondary schools and validated the proposed framework and progression. The communication progression has application to other international education systems as they address common core standards and curricula in language and science.
The aim of this study was to determine the precision and accuracy of the vertical and anterior–posterior force components of the portable PASCO PS-2142 force plate. Impulse, peak force, and time to peak force were assessed and compared to a gold standard force plate in three different tasks: vertical jump, forward jump, and sprint start. Two healthy male participants performed ten trials for each task, resulting in 60 trials. Data analyses revealed good precision and accuracy for the vertical component of the portable force plate, with relative bias and root mean square (RMS) error values nearly the same in all tasks for the impulse, time to peak force, and peak force parameters. Precision and accuracy of the anterior–posterior component were lower for the impulse and time to peak force, with relative bias and RMS error values nearly the same between tasks. Despite the lower precision and accuracy of the anterior–posterior component of the portable force plate, these errors were systematic, reflecting a good repeatability of the measure. In addition, all variables presented good agreement between the portable and gold standard platforms. Our results provide a good perspective for using the aforementioned portable force plate in sports and clinical biomechanics. 相似文献
The current research represented a pilot study to assess the use of the Bender Gestalt Visual-Motor Test with school-age adolescents over 11 years of age. Research regarding the accuracy of the hypothesis that visual-motor integration functioning is normally intact by age 11 was presented. In addition, initial data to extend the Koppitz scoring system of the Bender for ages 11 years, 6 months through 15 years, 11 months was proposed. Mean error scores from the pilot study suggested that visual-motor development is not maturationally complete by age 11 years, 11 months. Additional research focusing on extending the normative sample or developing a new scoring system for adolescents is suggested. 相似文献
The purpose of the present study was to determine if a nonrational model of decision-making was used by college administrators in three typical areas of college operations. Were the value positions taken by three college constituency groups (faculty, students, community board) on problems in curriculum, student affairs, and personnel influencing decisions made by administrative groups? In a simulation study, information describing a mythical community college was prepared, using the dimensions of the management-information system CAMPUS (Comprehensive Analytical Methods for Planning in University Systems). Three simulated problems within the hypothetical community college setting were administered to teams of decision makers each composed of three junior college administrators. Junior college administrators did not use the nonrational model in reaching group or individual decisions in the three simulated problem areas. Administrators did not respond in a significant manner to the influence of college constituency groups in reaching decisions. The type of problem being considered (curriculum, student affairs, and personnel) was a significant factor in determining decision alternatives selected by administrators. Both the rational and nonrational models of decision-making as used in this study appear inadequate to explain administrative decisions. It is tenable to posit that decision-making is influenced at least as much by previously learned responses of the decision-makers, and it may need to be considered as an important element in any model of decision-making. 相似文献