85 research outputs found

    Choosing a Discovery Layer

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    Implementation of a discovery service at Gonzaga University librar

    Prenatal Risk Factors For Neurological Abnormalities In The Term And Near Term Neonate

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    An abnormal neurological examination in the neonatal hospital stay may indicate a transient or permanent neurological disturbance. Abnormal neurological symptoms therefore place an infant at increased risk for subsequent neurological problems.;This case-control study was designed to investigate prenatal and perinatal risk factors for an abnormal neurological examination in the term infant. Infants were born between 1 January, 1988 and 30 June, 1990. The sample consisted of 222 neonates with neurological abnormalities and 666 controls who were free of such problems. Data on the prenatal histories of their mothers, course of the pregnancy, intrapartum events and status of the infant after birth were collected by chart review. Risk factors were identified through univariate analysis of possible factors, followed by multivariate logistic regression.;First delivery, 2 or more spontaneous abortions, maternal diabetes, rh positive blood type, and a history of migraine headaches were identified as prepregnancy risk factors. Diminished weight or length for gestational age and pregnancy-induced hypertension were risk factors of pregnancy. Intra- and postpartum factors which were found to confer risk included placental abruption, disproportion, maternal fever in labour, placental abnormalities and respiratory distress, hypoglycaemia, anaemia and sepsis in the infant. Other risk factors which appeared in various sub-analyses included maternal drug allergies, maternal hypertension, fetal anomalies and placental infection.;When variables of all three time periods were allowed to compete, 2 or more previous abortions, maternal drug allergies, diminished weight for gestational age in the fetus, maternal-fetal disproportion and placental abruption remained significant prenatal risk factors, after controlling for respiratory distress, hypoglycaemia, anaemia and sepsis in the infant, as well as maternal age, marital status, height, body mass index, weight gain in pregnancy, first delivery and sex of the infant. In women whose family history was available, diabetes in family members, pregnancy-induced hypertension and diminished length for gestational age in the infant appeared as additional significant risk factors, but drug allergies was not significant.;This study concentrates on part of a postulated causal pathway between prenatal events and neurological impairment, and focuses on term infants. The associations identified here should be confirmed in prospective studies

    Attachment Relationships Across Siblings and their Common Mother: Patterns and Predictors

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    Traditional attachment theory suggests that because maternal state of mind regarding attachment is generally stable by adulthood, mothers should interact similarly with their children and, consequently, should share a similar quality of attachment with each. Early empirical work, however, suggests that the quality of siblings’ relationships is frequently different. Using varied theoretical and methodological approaches, this dissertation expanded upon the existing literature to further explore the nature and underpinnings of variability in the quality of mother-infant attachment across siblings. Study 1 comprehensively described patterns of attachment within the family, investigating the extent to which the quality of siblings’ relationships with their common mother are a) similar to each other; and b) consistent with the quality of maternal state of mind. While concordance in family classifications was common, so was non-concordance – unexpectedly so, from the perspective of traditional theory, indicating that patterns of attachment within the family are complex and warrant further exploration. Studies 2 and 3 explored the roots of variability in family attachment relationships. Study 2 examined links between family attachment patterns and maternal mentalization, which reflects mothers’ capacity to represent their child in terms of mental states. Patterns of mentalization across siblings did not vary with maternal state of mind, nor were they linked with similarity in siblings’ attachment classifications. However, when attachment security was represented as a continuous dimension, similarity in mentalization across siblings was associated with similarity in their relationship quality. Study 3 returned to the field’s traditional focus on maternal sensitivity, but examined its role from a family systems perspective including shared and non-shared components. Shared sensitivity contributed to similarity in the quality of siblings’ relationships, but non-shared sensitivity did not account for differences. This work also revealed that siblings’ relationship quality diverged even when assessed continuously and contemporaneously, complementing previous work based on categories assigned at different ages. Together, these studies highlighted that variability in family attachment is a normative phenomenon requiring more comprehensive integration into theory and research. Future directions for the field are discussed, including the utility of applying approaches from beyond the realm of attachment to advance research in this area

    EXPLORING THE ROOTS OF ATTACHMENT WITHIN THE FAMILY: EVIDENCE OF THE ROLE OF NON-SHARED SOCIAL EXPERIENCE

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    This study examined patterns of attachment shared between 50 mothers and their 2 children when each was 12 months old, and explored the extent to which maternal sensitivity, interactive behaviour, and sibling gender might account for concordance in sibling attachment relationships. Concordance was highest (62%) when based on 2-way secondary attachment classifications, and decreased when Disorganization was considered. Global sensitivity scores could not distinguish between the quality of maternal interaction with concordant-secure and non-concordant infants. Examining the content of maternal interaction suggested that, contrary to theoretical prediction, mothers of non-concordant infants interacted similarly with each, while mothers of concordant infants adopted a flexible style of interaction across siblings. This pattern also appeared in mothers’ representations of each child’s attachment relationship. Although sibling gender correspondence was unrelated to concordance, mothers of different-gendered siblings appeared more flexible in their representations and interactive behaviour. Implications for theory and clinical intervention are discussed

    Senior Recital: Kathleen Kelly O\u27Connor, mezzo-soprano

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