A structured management approach to implementation of health promotion interventions in Head Start.

Improving the health and health literacy of low-income families is a national public health priority in the United States. The federal Head Start program provides a national infrastructure for implementation of health promotion interventions for young children and their families. The Health Care Institute (HCI) at the Anderson School of Management at the University of California, Los Angeles, developed a structured approach to health promotion training for Head Start grantees using business management principles. This article describes the HCI approach and provides examples of implemented programs and selected outcomes, including knowledge and behavior changes among Head Start staff and families. This prevention-focused training platform has reached 60,000 Head Start families in the United States since its inception in 2001. HCI has demonstrated consistent outcomes in diverse settings and cultures, suggesting both scalability and sustainability

Site‐dependent vibrational coupling of CO adsorbates on well‐defined step and terrace sites of monocrystalline platinum: Mixed‐isotope studies at Pt(335) and Pt(111) in the aqueous electrochemical environment

Infrared spectroscopy is applied to probe qualitative structural features of the adlayers formed by CO at step sites and on terrace planes of Pt(335){Pt(S)‐[4(111)×(100)]} in the aqueous electrochemical environment. The C–O stretching vibrational features are reported for adlayers formed from 12CO/13CO isotopic mixtures over a wide range of CO surface coverages. At saturation, the predominant spectral features are associated with the vibrational modes of terrace‐CO in terminal (atop) coordination environments. The position of the 12CO and 13CO spectral features and their relative intensity are examined for several 12CO/13CO fractions, and they are shown to display the characteristics of a strongly coupled system.In comparison with corresponding mixed isotope spectra for CO at Pt(111) electrodes, intermolecular coupling for terrace‐CO on the (111) surface planes of Pt(335) is observed to be significantly stronger, reflecting the higher CO surface coverages on the edge sites and the terrace sites of the Pt(335) surface plane. At low coverages, spectral features associated with edge‐CO are discerned, and the intermolecular coupling for atop CO is weaker than for corresponding coverages of CO at Pt(111). The weak coupling at low coverages is attributed to the exclusive CO occupation at the step edges, which confines the intermolecular coupling to one dimension, in the direction along the step edges. For all coverages, values are determined for the dynamic dipole–dipole coupling parameter (Δνd) and the chemical (static–dipole) shift parameter (Δνs). Values for Δνs are generally small at all coverages. Values for Δνd are small (<8 cm−1) at low coverages, where CO forms one‐dimensional structures along the step edges, and they increase to large values (∼42 cm−1) at coverages that coincide with the growth of two‐dimensional structures on the terrace planes. The majority of measurements were made for the Pt(335) electrode at potentials in the classical double‐layer region, although dipole coupling parameters are also reported for Pt(335)/CO at potentials in the hydrogen adsorption region, where Δνd approaches zero at low coverages.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/70025/2/JCPSA6-101-10-9113-1.pd

Site specific co‐adsorption at Pt(335) as probed by infrared spectroscopy: Structural alterations in the CO adlayer under aqueous electrochemical conditions

Experiments probe the effect of hydrogen co‐adsorption on the infrared spectral features of carbon monoxide adsorbed at Pt(335) {Pt(S)‐[4(111)×(100)]} under aqueous electrochemical conditions. Using intermediate CO coverages, where it is possible to discern infrared spectral features for CO bound terminally (atop) at edge sites and at terrace sites, the present experiments observe greater alterations in the atop CO population at the step edge compared to the atop CO population on the terrace plane when hydrogen is co‐adsorbed under aqueous electrochemical conditions. These findings suggest that hydrogen is preferentially adsorbed at step sites on the Pt(335) surface plane and they coincide with what has been revealed by recent UHV experiments which probed the effect of co‐adsorbing oxygen at Pt(335) in the presence of a partial CO monolayer.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/70726/2/JCPSA6-100-1-628-1.pd

Comparative Microscopy and Morphometry of Skeletal Muscle Fibers in Poultry

Two experiments comparing microscopic analyses were performed using two cooking methods an:t two different muscles from both chickens and turkeys. In the first experiment, breast (pectoralis) and thigh (quadriceps) muscle taken from male and female Rhode Island Red chickens at three ages (10 weeks, 25 weeks and 52 weeks) were cooked in a microwave oven . Samples were collected for observation with brightfield, phase contrast, interference contrast (Nomarski) and transmission electron microscopy. Samples from the same muscle areas were provided for taste pane l evaluation . In the second experiment, breast and thigh samples were collected from 10-week old male and female turkeys with one control sample uncooked while duplicate samples we re cooked via a dry heat convection oven . Samples from the same muscle areas were taken for microscopic analyses, taste panel evaluation and shear press analysis. A decrease in sarcomerelength and an increase in Z-disc f r agmentation were no ted in breast and thigh muscles with both cooking methods. Results indicated that type of microscopy (and the ancillary tissue preparative techniques used) significantly affected the morphometrical data. Using similar muscle samples , brightfield microscopy of paraffin sections resulted in significantly shorter (

Zac1 plays a key role in the development of specific neuronal subsets in the mouse cerebellum

<p>Abstract</p> <p>Background</p> <p>The cerebellum is composed of a diverse array of neuronal subtypes. Here we have used a candidate approach to identify <it>Zac1</it>, a tumor suppressor gene encoding a zinc finger transcription factor, as a new player in the transcriptional network required for the development of a specific subset of cerebellar nuclei and a population of Golgi cells in the cerebellar cortex.</p> <p>Results</p> <p>We found that Zac1 has a complex expression profile in the developing cerebellum, including in two proliferating progenitor populations; the cerebellar ventricular zone and the external granular layer overlying posterior cerebellar lobules IX and X. Zac1 is also expressed in some postmitotic cerebellar neurons, including a subset of GABAergic interneurons in the medial cerebellar nuclei. Notably, GABAergic interneurons in the cerebellar nuclei are derived from the cerebellar ventricular zone, where Zac1 is also expressed, consistent with a lineage relationship between these two Zac1⁺populations. Zac1 is also expressed in a small subset of cells in the posterior vermis, including some neurogranin-immunoreactive (NG⁺) Golgi cells, which, based on short-term birthdating, are derived from the EGL, where Zac1 is also expressed. However, Zac1⁺cells and NG⁺Golgi cells in the cerebellar cortex also display unique properties, as they are generated within different, albeit overlapping, time windows. Finally, consistent with the expression profile of Zac1, two conspicuous abnormalities were found in the cerebellum of <it>Zac1 </it>null mice: the medial cerebellar nuclei, and not the others, were significantly reduced in size; and the number of Golgi cells in cerebellar lobule IX was reduced by approximately 60% compared to wild-type littermates.</p> <p>Conclusions</p> <p>The data presented here indicate that the tumor suppressor gene <it>Zac1 </it>is expressed in a complex fashion in the developing cerebellum, including in two dividing progenitor populations and in specific subsets of postmitotic neurons, including Golgi cells and GABAergic neurons in the medial nuclei, which require Zac1 for their differentiation. We thus conclude that Zac1 is a critical regulator of normal cerebellar development, adding a new transcriptional regulator to the growing list of factors involved in generating neuronal diversity in the developing cerebellum.</p

Sleep hygiene behaviours in Iranian adolescents: an application of the Theory of Planned Behavior

Poor sleep quality and inadequate sleep in adolescents are a rising trend globally. The Theory of Planned Behaviour (TPB)—which centres on an individual’s attitude toward performing the behaviour, subjective norms and perceived behavioural control—has been applied to examine sleep hygiene behaviours in young adults. We expanded on prior works by using a longitudinal design to examine the effects of TPB factors, together with sleep hygiene knowledge and planning constructs, on sleep hygiene behaviours and on sleep quality and health in a group of Iranian adolescents. A total of 1822 healthy adolescents (mean age = 13.97) from 25 high schools in Qazvin, Iran, completed a selfreported survey at baseline and 6 months later. Structural equation modelling (SEM) was used to delineate the pathway from adolescents’ sleep hygiene knowledge, TPB constructs of their behavioural intentions and sleep hygiene behaviours and their sleep quality and self-reported health. The SEM model demonstrated that although behavioural intention, coping planning and action planning predicted the sleep hygiene behaviours positively 6 months later with acceptable model fit [comparative fit index (CFI) = 0.936; Tucker–Lewis index (TLI) = 0.902; root mean square error of approximation (RMSEA) = 0.080; standardized root mean square residual (SRMR) = 0.044], sleep hygiene knowledge did not predict behavioural intentions significantly. Sleep hygiene behaviours were associated with sleep quality and psychiatric wellbeing. Thus, the TPB, combined with coping and action planning, is useful in understanding the sleep hygiene behaviours of adolescents. Health-care providers may want to emphasize TPB constructs and coping and action planning to improve adolescents’ sleep hygiene behaviours, rather than rely solely upon increasing adolescents’ sleep hygiene knowledge

Psychological Pathway from Obesity-Related Stigma to Anxiety via Internalized Stigma and Self-Esteem among Adolescents in Taiwan

The objective of this research was to examine the pathway from public stigma, to perceived stigma, to depression in adolescents via internalized stigma. Adolescents in grade 7 through 9 from a junior high school in Changhua County in Taiwan completed self-administered surveys from March to July in 2018. Adolescents were asked questions regarding depressive symptoms, obesity-related perceived stigma, and internalized stigma. Structural equation modeling was used to fit the pathway model. The pathway was first analyzed with the full sample and then stratified by actual and perceived weight status. Our final analytic sample consisted of 464 adolescents. The pathway model suggested an acceptable model fit. Perceived weight stigma (PWS) was significantly associated with internalized stigma regardless of actual or self-perceived weight status. Internalized stigma was significantly associated with anxiety for both actual (β = 0.186) and self-perceived nonoverweight (non-OW) participants (β = 0.170) but not for overweight (OW) participants (neither actual nor self-perceived). For OW adolescents, perceived weight stigma was associated with anxiety. However, the internalization process did not exist. It may be that the influence of perceived weight stigma is larger than internalized stigma on anxiety. It may also be that the level of internalization was not yet high enough to result in anxiet

Effects of Childhood Adversity and Resilience on Taiwanese Youth Health Behaviors

Adverse childhood experiences (ACEs) can leave negative impacts on one\u27s health behaviors or social functioning later in life. Resilient characteristics have been shown to mitigate effects against risk behaviors in developing adolescents. However, clinical and research attention has rarely been given to jointly consider the effects of ACEs and resilient characteristics on health behaviors in Taiwanese youth. Method: A total of 200 individuals aged 15–22 years were recruited from primary care settings, communities, and schools. Participants completed questionnaires assessing their ACEs, resilient characteristics, and health behaviors. Univariate analysis was firstly used to describe the correlates of ACEs and resilient characteristics. Further multivariate logistic regression analysis was used to examine the association of both factors with health behaviors. Results: More than half (61.5%) of those surveyed had been exposed to at least one category of ACE. Verbal (37%) and physical (21%) abuses were the most common types of ACEs. The counts in the ACE categories were associated with being involved in physical fights (odds ratio 1.28 [confidence interval 1.01–1.63]), property damage (1.29 [1.03–1.61]), running away from home (1.30 [1.05–1.60]), bullying victimization (1.37 [1.16–1.61]), and sleep problems/tiredness (1.25 [1.03–1.52]). Meanwhile, resilience scores were associated with decreased odds of infrequent seatbelt use (0.47 [0.23–0.97]), low fruit and vegetable intake (0.42 [0.21–0.86]) unsatisfied body image (0.46 [0.22–0.97]), and sleep problems/tiredness (0.37 [0.18–0.79]). Conclusions: ACEs and resilience characteristics play a significant role in shaping youth health behaviors. Further research should be undertaken to identify ways to build resilience against health risks in youth with prior ACE exposure

Gender-Differential Associations between Attention Deficit and Hyperactivity Symptoms and Youth Health Risk Behaviors

Attention deficit and hyperactivity disorder (ADHD) is one of the common developmental disorders that generally receives clinical attention at learning ages, and some symptoms may persist in young adulthood.1 Past research has demonstrated a consistent association between ADHD and youth health risk behaviors (e.g., cigarette smoking), which often develop during adolescence and contribute to early morbidity and mortality among young adults.2 However, ADHD symptoms are not routinely screened in adolescents and emerging adults during their visits to healthcare providers.3 The six-item Adult Self-Report Scale (ASRS-6) for ADHD has been validated in the young population for screening purposes.4 This short form is time-saving and also provides a comparable predictivity of ADHD diagnosis as that of the original long version.5 Although accumulating evidence has demonstrated the association between ADHD symptoms and youth health risk behaviors, this issue has scarcely been explored in the Taiwanese youth population.6 Therefore, this study was conducted to validate the psychometric property of the Chinese version of ASRS-6 and examine the gender-stratified association between ADHD symptoms and youth health risk behaviors