567 research outputs found

    The burden of parenting children with frontal lobe epilepsy

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    Objective: Caring for a child with a chronic illness adds stress to the typical parenting stress in healthy developing children. This stress can place a heavy burden on parents and may increase when a child displays problem behavior. In general, parenting and child's behavior problems are associated. Furthermore, externalizing (more outgoing) behavior is reported frequently in children with frontal lobe epilepsy (FLE). Therefore, in this study, we first investigated the burden of parents of children with FLE, and second, we investigated the relation between the experienced burden and reported behavioral problems. The validity of parents' reports on proxy measures as well as duration of epilepsy is taken into account. Methods: Thirty-one parents of children with FLE completed validated questionnaires about behavioral problems and burden of parenting. To examine if parents tend to be inconsistent or unusually negative, we used the two validity scales of the Behavioral Rating Inventory of Executive Function (BRIEF) (Negativity and Inconsistency). Results: Only parents of children with FLE who have had epilepsy for 5 years or longer report more problems on the Nijmeegse Vragenlijst voor de Opvoedingssituatie (NVOS) subscales 'Able to manage', 'Child is a burden', and 'Good Interaction' compared with the healthy controls. The subscale 'Child is a burden' significantly predicts scores in about 20% to 49% on the main scales of the Child Behavior Checklist (CBCL), the Global Executive Composite (GEC), and Behavioral Regulation Index (BRI) of the BRIEF. Only 6% of parents scored in the dinical range of the negativity scale of the BRIEF. For the inconsistency scale, this was 45%. Conclusion: Parents of children with FLE do not report excessive parental burden. Longer duration of epilepsy might be a risk factor in experiencing burden. The findings suggest a link between parental burden and behavioral problems in children with FLE. Externalizing behavioral problems are the most marked behavioral problems, which relate to the parental burden. Parents tend to be inconsistent in their ratings. (C) 2019 Elsevier Inc. All rights reserved

    Aeolian Sediment Flux Derived from a Natural Sand Trap

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    In 2011, a mega-nourishment (the ‘Sand Motor’) was constructed along the Dutch Coast. Since it is a pilot project, its evolution is closely monitored. This paper presents first results on the temporal variation in aeolian sediment transport across the nourishment, based on (a) the rate of infill over a 4 year period of a small lake in the nourishment, (b) one year of semi-hourly collected video imagery and (c) four year of hourly-averaged wind data. It appeared that, apart from approximately the first half year, the infill occurred quite linearly over time at an average rate of about 1.9·104 m3/yr. The rate of infill in the first half year period was equivalent to an annual rate of 8.4·104 m3/yr. From the combination of video image data and wind data, it was derived that aeolian sand transport (by saltation) was only observed at hourly averaged wind speeds of at least 7 m/s. The monthly frequency of occurrence of above 7 m/s wind speed, was reasonably well correlated with monthly frequency of occurrence of aeolian transport (r=0.79). Nevertheless, when hourly wind speed exceeded 7 m/s, transport was only observed about 23% of the time, indicating the importance of supply limiting conditions for aeolian transport from the Sand Motor
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