14 research outputs found

    Gifted and talented main characters in children\u27s fiction

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    The purpose of this study was to compare findings about the personal characteristics of gifted and talented children, their families, and their friendships in research studies with the content in children·s fiction books with gifted and talented main characters. The research included how realistically the gifted and talented main characters, their fam1lies, and their friendships are portrayed in books for children and young adults

    RAMESES publication standards: realist syntheses

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    PMCID: PMC3558331This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

    In search of quality evidence for lifestyle management and glycemic control in children and adolescents with type 2 diabetes: A systematic review

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    <p>Abstract</p> <p>Background</p> <p>Our purpose was to evaluate the impact of lifestyle behavior modification on glycemic control among children and youth with clinically defined Type 2 Diabetes (T2D).</p> <p>Methods</p> <p>We conducted a systematic review of studies (randomized trials, quasi-experimental studies) evaluating lifestyle (diet and/or physical activity) modification and glycemic control (HbA1c). Our data sources included bibliographic databases (EMBASE, CINAHL<sup>®</sup>, Cochrane Library, Medline<sup>®</sup>, PASCAL, PsycINFO<sup>®</sup>, and Sociological Abstracts), manual reference search, and contact with study authors. Two reviewers independently selected studies that included any intervention targeting diet and/or physical activity alone or in combination as a means to reduce HbA1c in children and youth under the age of 18 with T2D.</p> <p>Results</p> <p>Our search strategy generated 4,572 citations. The majority of citations were not relevant to the study objective. One study met inclusion criteria. In this retrospective study, morbidly obese youth with T2D were treated with a very low carbohydrate diet. This single study received a quality index score of < 11, indicating poor study quality and thus limiting confidence in the study's conclusions.</p> <p>Conclusions</p> <p>There is no high quality evidence to suggest lifestyle modification improves either short- or long-term glycemic control in children and youth with T2D. Additional research is clearly warranted to define optimal lifestyle behaviour strategies for young people with T2D.</p

    Strength of evidence for perioperative use of statins to reduce cardiovascular risk: systematic review of controlled studies

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    Objective To determine the strength of evidence underlying recommendations for use of statins during the perioperative period to reduce the risk of cardiovascular events. Design Systematic review of studies with concurrent control groups. Data sources Four electronic databases, the references of identified studies, international experts on perioperative medicine, and the authors of the primary studies. Review methods Two reviewers independently extracted data from studies that reported acute coronary syndromes or mortality in patients receiving or not receiving statins during the perioperative period. Main outcome measure Random effects summary odds ratios for death or acute coronary syndrome during the perioperative period. Results 18 studies—two randomised trials (n=177), 15 cohort studies (n=799 632), and one case-control study (n=480)—assessed whether statins provide perioperative cardiovascular protection; 12 studies enrolled patients undergoing non-cardiac vascular surgery, four enrolled patients undergoing coronary bypass surgery, and two enrolled patients undergoing various surgical procedures. In the randomised trials the summary odds ratio for death or acute coronary syndrome during the perioperative period with statin use was 0.26 (95% confidence interval 0.07 to 0.99) and the summary odds ratio in the cohort studies was 0.70 (0.57 to 0.87). Although the pooled cohort data provided a statistically significant result, statins were not randomly allocated, results in retrospective studies were larger (odds ratio 0.65, 0.50 to 0.84) than those in the prospective cohorts (0.91, 0.65 to 1.27), and dose, duration, and safety of statin use was not reported. Conclusion The evidence base for routine administration of statins to reduce perioperative cardiovascular risk is inadequate

    The BBC's role in the changing production ecology of preschool television in Britain

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    CBeebies, the BBC’s brand for young children, has become a successful public service undertaking, lauded by parents and policy makers alike. Nevertheless, it operates in a complex and highly competitive "ecology," where recent funding crises in commercial television have left CBeebies as the main commissioner of U.K.–originated content. Having outlined the broader industry context of CBeebies, this article examines changes in its organization, target audience, scheduling and commissioning practices, and relationship with the BBC’s commercial subsidiary, BBC Worldwide, to explain how wider commercial, cultural, and technological forces have impacted the Corporation’s strategies for preschool content. It suggests that growing pressures to locate funding for "fewer, bigger, better" programs may have an adverse impact on the range of content and sources of supply
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