CHILD WELFARE ASSESSMENTS AND BEST PRACTICES WHEN WORKING WITH PARENTS OF PRENATALLY EXPOSED INFANTS

The estimated number of children born with effects from prenatal alcohol or illicit drugs is over 600,000 per year in the United States. In 2017, California had 5,050 babies test positive at birth for substance use exposure, equating to 14 babies a day. This overwhelming epidemic is mainly placed on the shoulders of Child Welfare Agencies. The emerging themes in the literature is that states, counties and regions are doing things drastically different from one another in terms of substance exposed infants. Some states are doing more than others, and some have established some best practice techniques, assessments and programs. However, long waitlists remain for substance abuse treatment, and more needs to be done to coordinate between agencies. Research on this topic was done to help identify any significant contributing factors that might be hindering unbiased child welfare assessments bringing thousands of newborns into foster care unnecessarily. The evaluation of this research topic was accomplished by the gathering of qualitative data via the completion of six semi-structured interviews with a variety of child welfare social workers from three different counties in California. During the data analysis process, the important concepts that emerged from the data were indications that social workers felt they did not have enough time to properly assess and safety plan with this population and felt that parents had an uphill battle in finding and getting into treatment for their substance use disorders in a timely manner. Another theme that emerged were the tools that child welfare social workers use to assess these situations. Most social workers in this study used Standard Decision Making tool and Circles of Support to help identify safety supports for the family. This data provides insight on the need for barriers to be removed for families struggling with substance use in order to keep families more intact and out of the child welfare system

Measuring Science Teachers\u27 Emotional Experiences with Evolution Using Real World Scenarios

Low acceptance of evolution remains an obstacle to quality biology instruction. We develop and utilize a novel assessment which measures emotional experience in light of real-world evolution education scenarios. We presented 296 science teachers 4 pro-evolution and 8 anti-evolution scenarios and asked them to rate their levels of joy, anger, sadness, fear, disgust, shame, and guilt elicited by that scenario on an ordinal 5-point scale. We used exploratory factor analysis to extract the most important dimensions in the teachers’ responses, Rasch analysis to explore the validity of the extracted subscales, and stepwise regression to find the most important factors driving emotional dispositions. We extracted 3 factors: (1) pro-evolution experience (positive emotions on pro-evolution and negative emotions on anti-evolution scenarios), (2) anti-evolution experience (negative emotions on pro-evolution and positive emotions on anti-evolution scenarios), and (2) feelings of regret over anti-evolution scenarios (shame and guilt on anti-evolution scenarios). Acceptance of evolution facts and a non-theistic religious orientation were positively related to pro-evolution experience. Anti-evolution experience was predicted by lack of microevolution acceptance and lack of teacher preparation. Feelings of regret around anti-evolution scenarios were driven by acceptance of evolution facts and lower levels of teacher preparation. This work advances our understanding of how teachers relate affectively to the theory of evolution and offers empirical insight into ways to improve dispositions about evolution

What Side Are You On? An Examination of the Persuasive Message Factors in Proposition 37 Videos on YouTube

California’s Proposition 37 was a ballot initiative to mandate labeling for products containing genetically modified organisms (GMOs). Although it eventually failed, it generated immense media exposure regarding GMOs and their possible regulatory, health, and economic impacts. The purpose of this study was to compare persuasive message factors in Proposition 37 videos on YouTube. A purposive sample was taken from an auto-generated YouTube channel, which resulted in 174 videos. Using content analysis, researchers identified the message position (for, against, or neutral), sources used, message frames, and message appeals. The majority of videos in the sample presented messages in support of the proposition. Citizens were the most common on-camera source. Proponent videos used more emotional appeals, while both videos against and neutral to the proposition incorporated more logical appeals. In addition, the research found three frames were used more by the videos in favor of the proposition than in videos identified as neutral or against. Overall, the results provide insight to how the videos representing for, against, and neutral message positions utilized various sources, frames, and message appeals. Recommendations for future research and practice are provided

The Impact of Study Strategies on Knowledge Growth and Summative Exam Performance in the First Year of Medical School

Although the distinction between deep and surface processing strategies, their potential to differentially impact learning, and data supporting the superiority of deep processing strategies on summative exam scores are well supported by the literature, more work is needed to understand: (1) how medical students combine study strategies into learning practices, and (2) the effectiveness of these learning practices in facilitating knowledge gains as measured by standardized test scores

Triad Relationships and Member Satisfaction with Paired Placement of Student Teachers

Abstract: This study determined triad (a mentor teacher and two student teachers) members’ level of satisfaction (LOS) with paired-placement student teaching, focusing on mutuality and homophily to explore how triad relationships were linked to LOS. The constant comparative method was used to code interview transcripts and field notes. Results showed that of the six satisfied triads, five had mutuality, homophily, strong triad cohesion, and collaborative student teachers. Partially satisfied (four) and dissatisfied (two) triads experienced lack of mutuality and homophily, weak triad cohesion, and uncollaborative student teachers. Recommendations include providing formal training about triad relationships, considering mutuality and homophily when making placements, and placing weaker students in a solo experience

Harmful Algal Blooms Threaten the Health of Peri-Urban Fisher Communities: A Case Study in Kisumu Bay, Lake Victoria, Kenya

Available guidance to mitigate health risks from exposure to freshwater harmful algal blooms (HABs) is largely derived from temperate ecosystems. Yet in tropical ecosystems, HABs can occur year-round, and resource-dependent populations face multiple routes of exposure to toxic components. Along Winam Gulf, Lake Victoria, Kenya, fisher communities rely on lake water contaminated with microcystins (MCs) from HABs. In these peri-urban communities near Kisumu, we tested hypotheses that MCs exceed exposure guidelines across seasons, and persistent HABs present a chronic risk to fisher communities through ingestion with minimal water treatment and frequent, direct contact. We tested source waters at eleven communities across dry and rainy seasons from September 2015 through May 2016. We measured MCs, other metabolites, physicochemical parameters, chlorophyll-a, phytoplankton abundance and diversity, and fecal indicators. We then selected four communities for interviews about water sources, usage, and treatment. Greater than 30% of source water samples exceeded WHO drinking water guidelines for MCs (1 µg/L), and over 60% of source water samples exceeded USEPA guidelines for children and immunocompromised individuals. 50% of households reported a sole source of raw lake water for drinking and household use, with alternate sources including rain and boreholes. Household chlorination was the most widespread treatment utilized. At this tropical, eutrophic lake, HABs pose a year-round health risk for fisher communities in resource -limited settings. Community-based solutions and site-specific guidance for Kisumu Bay and similarly impacted regions is needed to address a chronic health exposure likely to increase in severity and duration with global climate change

Impacts of algal blooms and microcystins in fish on small-scale fishers in Winam Gulf, Lake Victoria: implications for health and livelihood

Lake Victoria, bordered by Kenya, Tanzania, and Uganda, provides one of the largest freshwater fisheries in the world and supports millions in small-scale fishing communities. Historical environmental change, including population growth, nutrient loading, introduced invasive species, and rising temperatures, has resulted in eutrophication and persistent cyanobacterial harmful algae blooms (cyanoHABs) over recent decades, particularly in the shallower gulfs, bays, and inlets. CyanoHABs impact fisheries and food web dynamics and compromise food and water security for nearshore fisher populations. In this study, we examine the socialecological impact of freshwater blooms on fisher health in one of these eutrophic regions, Winam Gulf in Lake Victoria. CyanoHABs persist for months and produce microcystins and hepatotoxins at levels unsafe for human health. We assessed potential risk and contribution of microcystin exposure through fish consumption, in addition to exposure through water source, and conducted 400 fisher and 400 household surveys. Average microcystin concentrations exceeded the World Health Organization (WHO) guideline for drinking water consistently during the long dry season, and cyanobacterial cell counts surpassed WHO standards for recreational risk in 84% of samples. Hazard quotients for fish consumed by young children were 5 to 10 times higher than permissible levels. In addition, fishers chronicled profound ecosystem changes with direct impact on livelihood, fisheries, and water quality with 77.4% reporting a decline in profit or catch, 83.1% reporting adverse impacts of cyanoHABs on fish in the lake, and 98.2% reporting indicators of declining water quality in the lake overall. Through the application of a social-ecological lens to a public health model, we identified spheres of influence that modify how fishers experience HABs related stressors and risks to provide a starting point at which to identify sustainable strategies to improve food and water security and livelihood for the millions in nearshore communities

Choice of home blood pressure monitoring device: the role of device characteristics among Alaska Native and American Indian peoples

Background: Home blood pressure monitoring (HBPM) is an effective tool in treatment and long-term management of hypertension. HBPM incorporates more data points to help patients and providers with diagnosis and management. The characteristics of HBPM devices matter to patients, but the relative importance of the characteristics in choosing a device remains unclear. Methods: We used data from a randomized cross-over pilot study with 100 Alaska Native and American Indian (ANAI) people with hypertension to assess the choice of a wrist or arm HBPM device. We use a random utility framework to evaluate the relationship between stated likely use, perceived accuracy, ease of use, comfort, and participant characteristics with choice of device. Additional analyses examined willingness to change to a more accurate device. Results: Participants ranked the wrist device higher compared to the arm on a 5-point Likert scale for likely use, ease of use, and comfort (0.3, 0.5, 0.8 percentage points, respectively). Most participants (66%) choose the wrist device. Likely use (wrist and arm devices) was related to the probability of choosing the wrist (0.7 and − 1.4 percentage points, respectively). Independent of characteristics, 75% of participants would be willing to use the more accurate device. Ease of use (wrist device) and comfort (arm device) were associated with the probability of changing to a more accurate device (− 1.1 and 0.5 percentage points, respectively). Conclusion: Usability, including comfort, ease, and likely use, appeared to discount the relative importance of perceived accuracy in the device choice. Our results contribute evidence that ANAI populations value accurate HBPM, but that the devices should also be easy to use and comfortable to facilitate long-term management.Sociolog