Supporting children and young people to assume responsibility from their parents for the self-management of their long-term condition: An integrative review

© 2019 John Wiley & Sons Ltd Background: Children and young people with long-term conditions (LTCs) are usually dependent on, or share management with, their families and are expected to develop self-management skills as they mature. However, during adolescence, young people can find it challenging to follow prescribed treatment regimens resulting in poor clinical outcomes. Though reviews have looked at children's and parents' experiences of self-management, none have explicitly examined the parent-to-child transfer of self-management responsibility. Methods: An integrative review was conducted with the aim of exploring the parent-to-child transfer of LTC self-management responsibility, through addressing two questions: (a) How do children assume responsibility from their parents for self-management of their LTC? (b) What influences the parent-to-child transfer of this responsibility? Eight databases were searched for papers published from 1995 to 2017. Methodological quality was assessed; included papers were synthesized to identify themes. Results: Twenty-nine papers were identified. Most papers used qualitative designs and focused on children with diabetes. Participants were predominantly children and/or parents; only two studies included health professionals. Assuming self-management responsibility was viewed as part of normal development but was rarely explored within the context of the child gaining independence in other areas of their life. Children and parents adopted strategies to help the transfer, but there was limited evidence around health professionals' roles and ambivalence around what was helpful. There was a lack of clarity over whether children and parents were aiming for shared management, or self-management, and whether this was a realistic or desired goal for families. Multiple factors such as the child, family, social networks, health professional, and LTC influenced how a child assumed responsibility. Conclusions: Evidence suggests that the parent-to-child transfer of self-management responsibility is a complex, individualized process. Further research across childhood LTCs is needed to explore children's, parents', and professionals' views on this process and what support families require as responsibilities change

Sovereignty this Century - Maori and the Common Law Constitution

This paper is an attempt to give a panorama of constitutional life in New Zealand this century as viewed through a particularly important window, the status of the aboriginal Maori people of these islands. Questions of Maori rights and their position in the constitutional order have become burning issues in this final quarter century and represent an immense challenge for the next. This exploration is particularly appropriate as we celebrate a century of law teaching in this capital city at a University which has produced many if not most of this country's distinguished and influential public lawyers. In many respects, the history we are about to review is also a history of common law constitutionalism in this country as well to a lesser extent as similar Anglophonic jurisdictions. We are looking not just at how that part of the common law we call "public law" has dealt with a particular ethnic group. Through this aboriginal window we are looking at the changing logic and reach of public law through the past century and at the nature and character of the common law itself

The evolution of local administration in English elementary education during the period 1833 – 1930 with special consideration of the problems of finance, administrative areas and inspection

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Sir John Salmond and the Moral Agency of the State

New Zealand scholars have yet to develop a "tradition" of writing legal history outside the historiographically problematic field of Treaty claims. This essay uses Sir John Salmond as emblematic of the methodological features that such a tradition might carry. Any self-congratulatory and Whiggish vision of a good-hearted people incapable of anything other than a fundamentally decent past – itself a fiction punctured by the Treaty claims processes – should be discarded. Instead the New Zealand constitutional and legal system should be seen as a site of ongoing struggle, reflection and constant engagement amongst a series of actors whose thought – so much as that was articulated – is to be regarded as important as their action. A non-corrupt legal system is not the outcome of a complacent so much as vigilant past. Sir John Salmond's concern with the moral agency of the State not only placed him inside the mainstream of early twentieth century political thought, its "Idealist" thread in particular. It also underpinned his intendancy of the Crown Law Office, as Dr Hickford's subsequent (and important) essay demonstrates

Constitutional Voices

This article discusses the epistemic and historiographical properties of Anglo-settler constitutionalism in contemporary New Zealand. It draws in particular on the writing of James Tully and Judith Binney to illuminate how our constitutional framework and national mindset need not be monoform and narrowly focused, as the Anglo-settler state has tended to suggest. Instead, the Crown has been required to take account of other forces, especially Maori demands. This is leading to an emergent "constitutionalism", founded on a willingness to listen to the range of "constitutional voices". The author concludes that if the emergent constitutionalism in New Zealand/Aotearoa – its law and its history – becomes one of dialogue and compromise founded upon a willingness to listen to these constitutional voices and predicated also upon a realisation of the sheer difficulty of living together on these small islands, then the politics of mana can be no bad thing

Large-area sheet task advanced dendritic web growth development

The thermal models used for analyzing dendritic web growth and calculating the thermal stress were reexamined to establish the validity limits imposed by the assumptions of the models. Also, the effects of thermal conduction through the gas phase were evaluated and found to be small. New growth designs, both static and dynamic, were generated using the modeling results. Residual stress effects in dendritic web were examined. In the laboratory, new techniques for the control of temperature distributions in three dimensions were developed. A new maximum undeformed web width of 5.8 cm was achieved. A 58% increase in growth velocity of 150 micrometers thickness was achieved with dynamic hardware. The area throughput goals for transient growth of 30 and 35 sq cm/min were exceeded

Comparison of Three Exit-Area Control Devices on an N.A.C.A. Cowling, Special Report

Adjustable cowling flaps, an adjustable-length cowling skirt, and a bottom opening with adjustable flap were tested as means of controlling the rate of cooling-air flow through an air-cooled radial-engine cowling. The devices were tested in the NACA 20-foot tunnel on a model wing-nacelle-propeller combination, through an airspeed range of 20 to 80 miles per hour, and with the propeller blade angle set 23 degrees at 0.75 of the tip radius. The resistance of the engine to air flow through the cowling was simulated by a perforated plate. The results indicated that the adjustable cowling flap and the bottom opening with adjustable flap were about equally effective on the basis of pressure drop obtainable and that both were more effective means of increasing the pressure drop through the cowling than the adjustable-length skirt. At conditions of equal cooling-air flow, the net efficiency obtained with the adjustable cowling flaps and the adjustable-length cowling skirt was about 1% greater than the net efficiency obtained with the bottom opening with adjustable flap

Tests of Several Model Nacelle-Propeller Arrangements in Front of a Wing

An investigation was conducted in the N.A.C.A. 20-foot wind tunnel to determine the drag, the propulsive and net efficiencies, and the cooling characteristics of severa1 scale-model arrangements of air-cooled radial-engine nacelles and present-day propellers in front of an 18- percent-thick, 5- by 15-foot airfoil. This report deals with an investigation of wing-nacelle arrangements simulating the geometric proportions of airplanes in the 40,000- to 70,000- pound weight classification and having the nacelles located in the vicinity of the optimum location determined from the earlier tests

Large-area sheet task: Advanced dendritic-web-growth development

Thermally generated stresses in the growing web crystal were reduced. These stresses, which if too high cause the ribbon to degenerate, were reduced by a factor of three, resulting in the demonstrated growth of high-quality web crystals to widths of 5.4 cm. This progress was brought about chiefly by the application of thermal models to the development of low-stress growth configurations. A new temperature model was developed which can analyze the thermal effects of much more complex lid and top shield configurations than was possible with the old lumped shield model. Growth experiments which supplied input data such as actual shield temperature and melt levels were used to verify the modeling results. Desirable modifications in the melt level-sensing circuitry were made in the new experimental web growth furnace, and this furnace has been used to carry out growth experiments under steady-state conditions. New growth configurations were tested in long growth runs at Westinghouse AESD which produced wider, lower stress and higher quality web crystals than designs previously used