366 research outputs found

    The nervous child

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    First Foods Nutrition Curriculum for New Immigrant Families: A Pilot Study

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    Background: Immigrant families arrive in the US from a variety of nutritional landscapes and educational experiences. Early childhood is a key time to intervene to set children on a healthy path. Creating nutritional education programs tailored for immigrant families may improve nutrition and health outcomes. Objective: To evaluate the First Foods curriculum as a tool for knowledge and behavior change for new immigrant families of young children. Methods: Immigrant caregivers of children less than 2 years old were invited to attend First Foods, a 4-class series. Each series was offered in 1 of 5 different languages (Arabic, Dari, Somali, Burmese, and Nepali). Recruitment occurred through community organizations, primary care clinics and Women, Infants, and Children (WIC), and classes were held in King County, Washington. The curriculum was developed and taught by a registered pediatric dietitian with input from general pediatricians, all experienced in the care of immigrant families. Classes were interpreted in the relevant language and course materials were translated. The classes were based on 4 themes -- 1) Child Eating and Development, 2) Eating Together, 3) Food Safety, and 4) Health Living -- and incorporated positive parenting and child development. Attendees completed pre- and post-surveys in their respective languages or in English. Descriptive statistics, chi-squared analyses, t-tests, and a multi-level linear regression model were conducted in Stata v14.0. Results: Participants in the classes included 47 caregivers (91% mothers). Nearly one-third had previously lived in a refugee camp. They had lived in the US a mean 5.5 years (95% CI: 3.8-7.2 years), attended a mean 8.6 years of school (95% CI: 7.1-10.1 years), and had a mean of 2.8 children (95% CI: 2.3-3.3 children). Classes ranged in size from 5 to 14 caregivers. Caregivers reported an improved understanding of 2 out of 4 methods to decrease risk of dental caries (drinking tap water, p = \u3c0.001; going to the dentist, p=0.02). They reported a decreased use of food as a reward from the pre- to the post-survey (p=0.027). Additionally, the caregivers reported increased frequency of considering sugar content in family foods (p=0.033), and decreased frequency of purchasing food at a convenience store, after participating in the curriculum (p=0.001). Conversely, there were several domains where caregivers did not show a change in their response. Conclusion: First Foods, a community-tailored, early childhood feeding curriculum for immigrant parents of young children, improved knowledge and behavior among caregivers from a variety of immigrant communities in some domains. In the other domains, there may be opportunities to further optimize the educational messages and approach

    Addressing Prediabetes in Childhood Obesity Treatment Programs: Support from Research and Current Practice

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    Background: Type 2 diabetes mellitus (T2DM) and prediabetes have increased in prevalence among overweight and obese children, with significant implications for long-term health. There is little published evidence on the best approaches to care of prediabetes among overweight youth or the current practices used across pediatric weight management programs. Methods: This article reviews the literature and summarizes current practices for screening, diagnosis, and treatment of prediabetes at childhood obesity treatment centers. Findings regarding current practice were based on responses to an online survey from 28 pediatric weight management programs at 25 children's hospitals in 2012. Based on the literature reviewed, and empiric data, consensus support statements on prediabetes care and T2DM prevention were developed among representatives of these 25 children's hospitals' obesity clinics. Results: The evidence reviewed demonstrates that current T2DM and prediabetes diagnostic parameters are derived from adult-based studies with little understanding of clinical outcomes among youth. Very limited evidence exists on preventing progression of prediabetes. Some evidence suggests that a significant proportion of obese youth with prediabetes will revert to normoglycemia without pharmacological management. Evidence supports lifestyle modification for children with prediabetes, but further study of specific lifestyle changes and pharmacological treatments is needed. Conclusion: Evidence to guide management of prediabetes in children is limited. Current practice patterns of pediatric weight management programs show areas of variability in practice, reflecting the limited evidence base. More research is needed to guide clinical care for overweight youth with prediabetes.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140337/1/chi.2013.0158.pd

    Guiding neutral atoms around curves with lithographically patterned current-carrying wires

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    Laser-cooled neutral atoms from a low-velocity atomic source are guided via a magnetic field generated between two parallel wires on a glass substrate. The atoms bend around three curves, each with a 15-cm radius of curvature, while traveling along a 10-cm-long track. A maximum flux of 2*10^6 atoms/sec is achieved with a current density of 3*10^4 A/cm^2 in the 100x100-micrometer-cross-section wires. The kinetic energy of the guided atoms in one transverse dimension is measured to be 42 microKelvin.Comment: 9 page

    Proximity to Sports Facilities and Sports Participation for Adolescents in Germany

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    Objectives - To assess the relationship between proximity to specific sports facilities and participation in the corresponding sports activities for adolescents in Germany. Methods - A sample of 1,768 adolescents aged 11–17 years old and living in 161 German communities was examined. Distances to the nearest sports facilities were calculated as an indicator of proximity to sports facilities using Geographic Information Systems (GIS). Participation in specific leisure-time sports activities in sports clubs was assessed using a self-report questionnaire and individual-level socio-demographic variables were derived from a parent questionnaire. Community-level socio-demographics as covariates were selected from the INKAR database, in particular from indicators and maps on land development. Logistic regression analyses were conducted to examine associations between proximity to the nearest sports facilities and participation in the corresponding sports activities. Results - The logisitic regression analyses showed that girls residing longer distances from the nearest gym were less likely to engage in indoor sports activities; a significant interaction between distances to gyms and level of urbanization was identified. Decomposition of the interaction term showed that for adolescent girls living in rural areas participation in indoor sports activities was positively associated with gym proximity. Proximity to tennis courts and indoor pools was not associated with participation in tennis or water sports, respectively. Conclusions - Improved proximity to gyms is likely to be more important for female adolescents living in rural areas

    The science of choice: an introduction

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    Introduction In October 2015, around 30 scholars convened at the Max Planck Institute for Demographic Research (MPIDR) in Rostock to discuss: (a) how individuals and families make decisions about marriage, child-birth, migration, retirement, and other transitions in the life course; and (b) how these decision processes can be operationalized in demographic models. The workshop was organized by the Scientific Panel on Microsimulation and Agent-Based Modelling con- vened by the International Union for the Scientific Study of Population (IUSSP) and by MPIDR. The report of this ‘Science of choice’ workshop and the papers presented are available from the workshop’s website (see IUSSP 2015). The five papers included in this Supplement are revised versions of papers presented at the workshop in Rostock

    Two-stage evolution of mantle peridotites from the Stalemate Fracture Zone, northwestern Pacific

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    This paper reports the results of a mineralogical study of 14 mantle peridotite samples dredged in 2009 from the eastern slope of the northwestern segment of the Stalemate Ridge in the northwestern Pacific during cruise SO201-KALMAR Leg 1b of the R/V Sonne. The sample collection included four serpentinized and silicified dunites and ten variably serpentinized lherzolites. The compositions of primary minerals (clinopyroxene, orthopyroxene, and spinel) change systematically from the lherzolites to dunites. Spinel from the lherzolites shows higher Mg# and lower Cr# values (0.65-0.68 and 0.26-0.33, respectively) compared with spinel from the dunites (Mg# = 0.56-0.64 and Cr# = 0.38-0.43). Clinopyroxene from the lherzolites is less magnesian (Mg# = 91.7-92.4) than clinopyroxene from dunite sample DR37-3 (Mg# = 93.7). Based on the obtained data, it was concluded that the lherzolites of the Stalemate Fracture Zone were derived by 10-12% near-fractional melting of a DMM-type depleted mantle reservoir beneath the Kula-Pacific spreading center. The dunites were produced by interaction of residual lherzolites with sodium- and titaniumrich melt and are probably fragments of a network of dunite channels in the shallow mantle. The moderately depleted composition of minerals clearly distinguishes the lherzolites from the strongly depleted peridotites of the East Pacific Rise and indicates the existence of slow-spreading mid-ocean ridges in the Pacific Ocean during the Cretaceous-Paleogene

    Comparing Skill Acquisition Under Varying Onsets of Differential Reinforcement: A Preliminary Analysis

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    The purpose of the current study was to evaluate the effect of implementing differential reinforcement at different times relative to the onset of teaching new skills to learners with autism spectrum disorder. Specifically, we first determined the most efficient differential reinforcement arrangement for each participant. Using the most efficient arrangement, we evaluated if differential reinforcement from the immediate onset, early onset, or late onset is the most efficient for learners to acquire a new skill. Three children diagnosed with autism spectrum disorder who have a history of receiving intervention based on the principles of applied behavior analysis participated in this study. The immediate onset of differential reinforcement resulted in the most efficient instruction in 6 of 7 comparisons. The results are discussed in light of previous studies and suggestions for future research are provided
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