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391.
OBJECTIVE: To examine whether and to what extent specific chronic health conditions place young children at risk of maltreatment. METHODS: The study used a sample of Illinois children (born between January 1990 and March 1996) who were through age 3 continuously enrolled in Medicaid, a public health insurance program for low-income families. The study used "paid claims" data and ICD-9-CM health codes to identify children with one or more of three chronic conditions: chronic physical illness, developmental delay/mental retardation (dd/mr), and behavior/mental health conditions (b/mh). The analysis used Cox proportional hazard models to estimate the risk of substantiated child maltreatment that each of these health conditions confer on children under age 6. RESULTS: Among children under age 6, 24.1% had chronic physical health conditions, 6.1% had b/mh conditions, and 4.2% had dd/mr. Among the children, 11.7% were maltreated (abused or neglected). Children with b/mh conditions were 1.95 times more likely than children without such conditions to be victims of child abuse or neglect. Children with chronic physical health conditions were 1.1 time more likely to be maltreated (p相似文献   
392.
ABSTRACT

Case studies have been a central methodology employed by scholars working in the rhetoric of science and technical communication. However, concerns have been raised about how cases are constructed and collected, and what they convey. The authors reflect on how rhetoricians of science and technical communication researchers can – and do – construct a variety of case-based mixed-methods studies in ways that may make our research more portable and durable without undercutting the important and central role of case-based analysis.  相似文献   
393.
This article is a case study of the use of the Indicators of Engaged Learning Online (IELO) framework (See Appendix 1) as a guide to evaluate the quality of online courses. The framework lends itself well to measures of engagement, particularly, in terms of online course design because of its comprehensiveness. Six online courses were evaluated for quality in terms of engaged learning based on thirty indicators contained within the framework. Results ranged from a score of 21 to 71 out of a potential total score of 90. This 0–90 scale represented a continuum of passive to engaged learning. The purpose of the pilot study was to explore how the Indicators of Engaged Learning Online (IELO) framework could be used as a tool for evaluating the quality of online courses by instructional designers (IDs) and instructors. Insights into the practical use of the IELO framework and the need for improved guidelines for IDs and instructors as they assess the amount of student engagement designed in a course are provided. Recommendations for practice have implications for both aspects of engagement: how a course is designed and how it is delivered.  相似文献   
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Use data from the Portuguese HBSC (Health Behaviour in School-Aged Children) survey, which was conducted by one of the authors who is the national representative of the European Study HBSC, a World Health Organisation collaborative study (Currie, Hurrelmann, Setterbulte, Smith, & Todd, 2000; Matos, Simões, Carvalhosa, Reis & Canha 2000), to examine correlates of depression and anxiety in a large, representative sample of adolescents. The study had four aims: (1) to examine the relationship between feelings of anxiety and depression; (2) to examine the association of positive peer relationships, and anxiety and depression in school-age adolescents; (3) to examine the relationship between health, peer relationships, depression and anxiety; and finally, (4) to assess age and gender differences with regard to the above issues. Measures were constructed of depression, anxiety, peer relationships, and health. Consistent with previous studies, anxiety and depression were found to be significantly correlated. A MANOVA revealed that females and adolescents in grades 8 and 10 were more likely to report high anxiety and/or depressive symptoms. High anxiety and depression in adolescence was associated with poor peer relationships and poorer health. Implications of these results and directions for further research are discussed.  相似文献   
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397.
The purpose of the study was to expand our knowledge of older children's understanding of the unique features and potential relations existing among mental activities. 8- and 10-year-olds as well as adults were asked to rate the similarity of pairs of mental activity scenarios in terms of how their mind would be used for each one. The scenarios involved primarily Prospective Memory, List Memory, Recognition Memory, Comprehension, Inference, Planning, Comparison, or Selective Attention. There was a developing tendency to organize mental activities on the degree to which memory was a component of the activity. Several distinctions were also more likely to be made with age: the distinction between recall and recognition, the distinction between the roles of internal and external cues in mediating cognitive activity, and the distinction among the various roles of attentional processes in regulating input from the sensory world. Together, these findings suggest that a constructivist theory of mind develops in later childhood.  相似文献   
398.
Gendered expectations are deeply embedded within the fabric of a society and the classroom is no exception; binaries habitually pervade attitudes, practices and pedagogies. This small-scale qualitative-interpretive study, undertaken in one rural primary school in North Wales, explores how the learning of gender is constructed, enacted and challenged by participants functioning within Key Stage 2 (children aged 8–11 years), issues experienced by, both girls and boys, to cogitate implications for gender equity and for teachers' work. The fieldwork revealed that many school participants continue to draw upon essentialist binary discourse, predominantly based on biological theories, to explain differences between boys and girls relating to classroom behaviour, subject attainment, curricular preferences and career pathways. Constant reference was made to acceptable ways of ‘doing masculinity’ and the ‘high-achieving, conforming school girl culture’. Children recognised gender binaries used by teachers and were aware of societal advances in gender equity. Despite decades of research and policies, we are still some way to ameliorating gender binaries and stereotypes in this phase of schooling. Therefore, there is an urgent need for practitioners to become more reflexively aware about the complex ways in which gendered dualisms and hierarchies perpetuate and dictate relations and pedagogical practices, which constrain experiences and opportunities for girls and boys and, to incorporate multiple ways of thinking and doing gender in classrooms.  相似文献   
399.
400.
ABSTRACT

Health services organisations are increasingly incorporating patient engagement strategies as a form of quality improvement. Such strategies take form in programmes where organisations partner with patients in order to learn from their experiences and thereby change how services are designed, delivered, and implemented. In this study, we examined the enactment of patient engagement programmes within an academic health science organisation in Canada. This was accomplished through an exploration of the various constructions of patient participants’ legitimacy, credibility, and expertise as manifesting through participation in the various practices associated with the programmes. Analysis was based on a selection of international, national, and organisational texts, as well as interviews with patient participants (n?=?20) and hospital staff members (n?=?6). Through this analysis, we argue that organisations are not learning from patients per se, but are learning from particular constructions of patient subjectivities in the form of patient advisers. We argue that if patient engagement programmes are premised upon opportunities to learn from patients, these programmes require a coherent theory of workplace learning. We suggest attention to the politics of knowledge production as a fruitful way to conceptualise how clinicians and administrators might learn from patients at the organisational level.  相似文献   
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