612 research outputs found

    Supporting Father Involvement: An Intervention with Community and Child Welfare–Referred Couples

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    Objective: To expand the evidence base of the Supporting Father Involvement (SFI) intervention to include child welfare families. Background: Taking a preventive father-inclusive approach, SFI aims to strengthen coparenting, parent–child relationships, and child outcomes. This study replicates 4 prior iterations of the program using the same 32-hour curriculum facilitated by clinically trained staff, case managers, and onsite child care and family meals. Method: Participants (N = 239) included low-income (median = $24,000) coparenting pairs, typically mothers and fathers/father figures, half of whom were Mexican American, with toddlers (median age \u3c 3 years). Questionnaires assessing multiple family domains were administered verbally over an 18-month period. Intervention effectiveness was tested through a randomized control trial with immediate treatment or waitlist–control groups using a moderated mediator structural equation model. Results: The model explained 49% to 56% of the variance in children\u27s problem behaviors (intervention and autoregressive effects). The intervention reduced couple conflict, which reduced anxious and harsh parenting, leading to better child outcomes. The intervention was equally effective for community and child welfare–referred families and family dynamics pathways were similar across conditions. Conclusion: With its intentional outreach and inclusion of fathers, SFI offers an effective intervention for lower risk child welfare–involved families. Implications: Results argue for the utility of treating community and child welfare parents in mixed-gender prevention groups that focus on strengthening multiple levels of family relationships

    Relativistic central--field Green's functions for the RATIP package

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    From perturbation theory, Green's functions are known for providing a simple and convenient access to the (complete) spectrum of atoms and ions. Having these functions available, they may help carry out perturbation expansions to any order beyond the first one. For most realistic potentials, however, the Green's functions need to be calculated numerically since an analytic form is known only for free electrons or for their motion in a pure Coulomb field. Therefore, in order to facilitate the use of Green's functions also for atoms and ions other than the hydrogen--like ions, here we provide an extension to the Ratip program which supports the computation of relativistic (one--electron) Green's functions in an -- arbitrarily given -- central--field potential \rV(r). Different computational modes have been implemented to define these effective potentials and to generate the radial Green's functions for all bound--state energies E<0E < 0. In addition, care has been taken to provide a user--friendly component of the Ratip package by utilizing features of the Fortran 90/95 standard such as data structures, allocatable arrays, or a module--oriented design.Comment: 20 pages, 1 figur

    Assistive technology to monitor activity, health and wellbeing in old age : The wrist wearable unit in the USEFIL project

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    This paper presents the assistive technology used to perform activity monitoring in the USEFIL (Unobtrusive Smart Environments for Independent Living) project, particularly the wrist wearable unit. USEFIL includes a number of activity monitoring devices alongside some condition specific medical devices, a dedicated electronic health record database and communication backend. The system is designed as an assistive technology to provide long-term monitoring for older people in their own home and communicate the data that is gathered into a decision support system that can be used by the older person's carers to improve their care and allow them to remain independent in their own home. The wrist wearable device developed for the USEFIL project, the various health indicators extracted from its inbuilt sensors and how these are used to understand the health and wellbeing of the older person are discussed in this paper

    Elective Open Suprarenal Aneurysm Repair in England from 2000 to 2010 an Observational Study of Hospital Episode Statistics

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    Background: Open surgery is widely used as a benchmark for the results of fenestrated endovascular repair of complex abdominal aortic aneurysms (AAA). However, the existing evidence stems from single-centre experiences, and may not be reproducible in wider practice. National outcomes provide valuable information regarding the safety of suprarenal aneurysm repair. Methods: Demographic and clinical data were extracted from English Hospital Episodes Statistics for patients undergoing elective suprarenal aneurysm repair from 1 April 2000 to 31 March 2010. Thirty-day mortality and five-year survival were analysed by logistic regression and Cox proportional hazards modeling. Results: 793 patients underwent surgery with 14% overall 30-day mortality, which did not improve over the study period. Independent predictors of 30-day mortality included age, renal disease and previous myocardial infarction. 5-year survival was independently reduced by age, renal disease, liver disease, chronic pulmonary disease, and known metastatic solid tumour. There was significant regional variation in both 30-day mortality and 5-year survival after risk-adjustment. Regional differences in outcome were eliminated in a sensitivity analysis for perioperative outcome, conducted by restricting analysis to survivors of the first 30 days after surgery. Conclusions: Elective suprarenal aneurysm repair was associated with considerable mortality and significant regional variation across England. These data provide a benchmark to assess the efficacy of complex endovascular repair of supra-renal aneurysms, though cautious interpretation is required due to the lack of information regarding aneurysm morphology. More detailed study is required, ideally through the mandatory submission of data to a national registry of suprarenal aneurysm repair

    Schumpeterian economic dynamics as a quantifiable minimum model of evolution

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    We propose a simple quantitative model of Schumpeterian economic dynamics. New goods and services are endogenously produced through combinations of existing goods. As soon as new goods enter the market they may compete against already existing goods, in other words new products can have destructive effects on existing goods. As a result of this competition mechanism existing goods may be driven out from the market - often causing cascades of secondary defects (Schumpeterian gales of destruction). The model leads to a generic dynamics characterized by phases of relative economic stability followed by phases of massive restructuring of markets - which could be interpreted as Schumpeterian business `cycles'. Model timeseries of product diversity and productivity reproduce several stylized facts of economics timeseries on long timescales such as GDP or business failures, including non-Gaussian fat tailed distributions, volatility clustering etc. The model is phrased in an open, non-equilibrium setup which can be understood as a self organized critical system. Its diversity dynamics can be understood by the time-varying topology of the active production networks.Comment: 21 pages, 11 figure
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