The influence of non-haematological factors on the development of ankle arthropathy in haemophilia

Haemophilia is an inherited condition in which circulating blood clotting factors are much reduced or absent resulting in the tendency to bleed into joint cavities where the ankle is the most commonly affected. Prophylactic replacement of clotting factors has much improved joint health in the majority of people with haemophilia however many continue to develop joint disease. Purpose. To explore the potential for non-haematological factors to influence the development of haemophilic arthropathy at the ankle. Methods. This study had two phases. Factors for investigation were determined using a Delphi process and subsequently preliminary clinical instrument testing occurred. Finally a case-control correlational study was carried out to investigate the presence of selected factors in a haemophilia cohort compared with normal volunteers. Results. Forty-two factors reached consensus from the Delphi Process of which 22 were selected for onward investigation comprising musculoskeletal, exercise, and haematological factors. In a case-control study with 90 participants, six factors successfully differentiated the Haemophilia Ankle group from the others. A further three factors separated people with haemophilia from normal volunteers representing musculoskeletal differences that cannot be attributed to arthropathy. A regression model was developed comprising: the Ankle Lunge Test, Foot and Ankle Ability Measure (FAAM), Duration of Exposure to a key sport and Subtalar joint inversion which correctly predicted 89.7% of cases with 86.7% sensitivity and 92.9% specificity. Conclusions. These results represent the first attempt to understand the interaction of factors that influence the arthropathy development. The FAAM sports subscale and Duration of Exposure to a key sport were identified as independent variables with the strongest association with haemophilic arthropathy at the ankle. Avenues for physiotherapeutic intervention have been identified with preventative screening tools and pre-habilitation programmes possible for young boys with haemophilia at risk of developing this debilitating condition

Childhood, children and family lives in China

In this chapter we bring into focus those aspects of family lives in China that are concerned with children’s family relationships, and the ways in which such issues are part and parcel of the broader institutionalisation of childhood. We draw on theoretical frameworks in the sociology of childhood and childhood studies (e.g., Prout, 2004; Qvortrup, 2000; Smith and Greene, 2014). Since these theoretical perspectives have developed predominantly in Anglophone literature, some researchers have considered their relevance to, and utility for, China and Chinese childhoods (Goh, 2011; Miao, 2013; Wang YY, 2011, 2014a, 2014b; Zheng, 2012a, 2012b; Ribbens McCarthy et al., 2017). In engaging with existing theories, and applying them to, Chinese children’s family lives, we seek to go beyond any tendency to just ‘add in the missing children’ to existing discussions (Kesby et al., 2006: 186), and give consideration to a variety of cultural and local contexts that characterise China and illuminate why it is necessary to decentre universalist thinking (Jullien, 2008/2014

Twitter Use During Hurricane Irma: How the Local Government Agencies Amplify and Attenuate Risk Factors for the Vulnerable Populations

Twitter has become a popular channel for local governments to explore crisis communication during a hurricane. Local governments use Twitter to distribute crisis messages to the public, and are able to amplify or attenuate risk perception. Many factors attribute to individuals’ risk perception including control, choice, children, novelty, and risk-benefit tradeoff. The Social Amplification of Risk Framework (SARF) provides a guide to understanding the intensifying or weakening of these risk messages. While these crisis messages are directed to the general public, the local governments may be neglecting information for the vulnerable populations. In order to prepare for a hurricane, vulnerable populations need updates from local governments and emergency agencies before, during, and after the hurricane. Relationships among stages of a hurricane, tweet categories, and risk perception were explored. A sample of 1,043 tweets from six Twitter accounts of local governments in Florida were analyzed to provide insight into what type of messages local governments tweet and what risk perceptions local governments emphasize during the stages of Hurricane Irma. Using a Cross-tabulation analysis, researchers analyzed significant differences for stages of a hurricane, tweet categories, and risk perceptions. Findings for this study indicate that results were significant through each stage of the hurricane. Keywords: Twitter, Hurricane, Risk Factors, SARF, Vulnerable Population

Adult Women in the Wizarding World : Rowling’s Ideal Female in the Harry Potter Novels

This study focuses on the perceptions of gender and its expressions in the Harry Potter series, primarily regarding the adult female characters in the novels. Through the Harry Potter novels, J. K. Rowling asserts her belief that women must fit into a traditional role that a heteronormative society dictates or else they are not a “true” woman. Rowling’s recent public transphobic statements also lend credence to this heteronormative perspective. This phenomenon is seen through the analysis of the “good” adult female characters—Lily Potter, Molly Weasley, and Minerva McGonagall. Their treatment in the text differs from the “bad” adult female characters—Dolores Umbridge, Rita Skeeter, and Olympe Maxime. Literary scholars Tison Pugh and David L. Wallace’s “Heteronormative Heroism and Queering the School Story in J. K. Rowling’s Harry Potter Series” provides a framework for this thesis in that they outline the traditional structures within Rowling’s world—home, school, and government. The structures are utilized to examine the female character’s roles, and how they obey or defy the men within these systems. I conclude that the Harry Potter novels and their portrayal and treatment of “good” and “bad” women can influence how young readers view other female characters in the series and in other texts, as well as women and womanhood in their real lives

The Role of Art in the Complete Development of a Christian Personality

A survey of ancient literature reveals that art as an area in school life is becoming increasingly recognized as tremendously significant to a complete participation in the creative activities of life. A critical point has been reached in so far as art has begun to be recognized as an integral part of the school program rather than an educational frill offered for those students who have difficulty with the academic program or as a concession to the few talented students. It is the purpose of this study (1) to outline briefly the theory of art education as applied to the Catholic high school curriculum; (2) to show that art satisfied a basic need of man and is an integrating force in his life; and (3) to present examples relating this theory to Christian education

Start With Your Hair

Jerita Douglas wants a new an individual hair style to harmonize with her oval face, high cheekbones and broad forehead. She also knows that as long as women\u27s fashions feature high necklines and the turned up collar, short hair will be the calling card for flattery

Barriers to parental involvement in an urban parochial school.

Current literature and research in education underscores the importance that parent participation and involvement play in a child\u27s academic progress and successful educational experience. The importance of involvement has been traced through all educational levels from preschool through high school and in both American and foreign academic settings. American educational reform movements focus on efforts to restructure our schools to include all interested parties in the decision making process. Crucial to this restructuring is an active parental component. If schools are to overcome this crisis of public confidence they must work with the community, including its citizens and business members, to meet the unique individual needs of their setting. No where is this involvement more crucial than in America\u27s inner-city, urban neighborhoods. However, it is here where we have seen minimal parent-school contact. This study explored parental involvement practices in a multi-racial, multi-ethnic, inner city parochial school setting and attempted to identify and analyze the various barriers which prevent a more involvement role for our inner city parents even in this selective setting where the element of parental choice and monetary investment became evident. The descriptive study utilized a questionnaire format to identify these barriers to participation and compare the responses across various racial groups including Hispanic, African American, Native American, White, and Asian American

Uncovering the methadone counseling process among recovering and non recovering chemical dependency counselors

The purpose of this study was to uncover the methadone counseling process among recovering and non-recovering chemical dependency counselors by examining the concepts and techniques utilized throughout the counseling process. This study examined whether the recovery status of a counselor affected the counselor\u27s theoretical addiction model and the concepts and techniques that were utilized throughout the counseling process