Miracle-dz/UniFAR-FTUs huggingface dataset:
Indigenous Families and Children: Coordination and Provision of Services

The paper, ‘Indigenous families and children: coordination and provision of services’ examines service provision, service coordination, Indigenous families and children in Communities for Children (CfC) sites, identifies factors that facilitate or hinder service provision and outcomes, and considers sustainability issues. The paper documents one of three themed studies undertaken as part of the national evaluation (2004-2008) of the Stronger Families and Communities Strategy 2004-2009.Research has shown that if Indigenous families’ access to services is to increase, both Indigenous-specific and mainstream services need to be safe, comfortable and culturally appropriate for Indigenous families and children.
Sexual behavior and contraception among young Polish women

Objective. To analyze sexual behavior and the use of contraception among young women in Poland. Design. Cross‐sectional study. Population. 1,478 young women in higher (78.9%) and secondary (21.1%) education. Setting. Gdansk region in Poland. Methods. The data were gathered between September and December 2008 by the use of a questionnaire prepared for the purpose of this study, completed anonymously and in person by the young women. Results. Sexual activity had been initiated by 67.2% of the women studied at a mean age of 18.7 years (±1.97). Assessment was made of changes in their contraceptive practice between the time of sexual initiation and later sexual activity. Since their first experience of intercourse 67.0% did not change their contraceptive methods. As many as 40.1% continued using either low effective methods or no contraception. Early sexual initiation was linked to a significantly lower likelihood of highly effective contraception, more frequent unprotected sexual intercourse and more sexual partners (p < 0.05). Over half of women assigned to a ‘high‐risk’ group with regard to the chance of unintended pregnancy and sexually transmitted infection, declared that their behavior did not carry any risk, similar (p > 0.05) to those who did not have a history of hazardous behavior. Conclusion. Sexual behavior differentiates Polish women from the women in Western Europe. Despite the welcome tendency toward choosing reliable contraceptives, use of appropriate contraception is still insufficient.
Bimanual hand use in children with unilateral hand dysfunction : – differences related to diagnosis investigated by the Children’s Hand-use Experience Questionnaire

Introduction: Everyday activities assume the use of two hands; hence, unilateral hand dysfunction is commonly targeted for interventions. Purpose: To explore how the use of the affected hand is experienced in bimanual activities, and the influence of diagnosis on use and experience. Methods: The Children’s Hand-use Experience Questionnaire (CHEQ) was completed for 110 individuals aged 6-18 years diagnosed with unilateral cerebral palsy (CP), obstetric brachial plexus palsy (OBPP), or upper limb reduction deficiency (ULRD) in a cross-sectional study. Results: The children experienced problems when performing the activities, with mean CHEQ experience scores (0-100) of: Time taken 66.9, Grasp efficacy 68.7, and Feeling bothered 68.7. Participants with unilateral CP had significantly lower scores on all scales. The ULRD group performed most activities and used both hands more than the unilateral CP or OBPP groups. Conclusion: Unilateral dysfunction has differential impact on use and experience of the hand depending on diagnosis.
Occupational performance and grip function following distal radius fracture: A longitudinal study over a six-month period

Introduction Recovery following distal radius fracture (DRF) is generally achieved within six months. However, a minority of patients experience functional impairments over a longer period. Traditional outcome measures are grip strength and range of movement. However, this may not reflect all parameters that are important. This study focuses on grip function as well as occupational performance in these patients over a six-month period. Method A longitudinal study with follow-up at three to four weeks (n = 27) and six months (n = 22) after plaster removal. Patients with a DRF treated with cast or with closed reduction and cast immobilisation were included. Instruments used were the Sollerman Hand Function Test, Visual Analogue Scale, Patient-Rated Wrist Evaluation Outcome Questionnaire and Disabilities of the Arm, Shoulder and Hand. Changes over time and correlation between grip function, pain after grip function test and occupational performance were calculated. Results Improvements in grip function, experienced pain after grip test and occupational performance were significant. A significant correlation was found between grip function and feeling of capability, confidence and usefulness. Grip function was close to normal after six months with no differences between the two treatment methods. A wide distribution of the result in occupational performance after six months indicates the possibility of multi-dimensional reasons for remaining problems. Discussion The results highlight the importance of a combination of functional assessment and questionnaires addressing complexity in order to acquire a more complete picture of limitations following a DRF.
Comparison of Weekly Treatment of Postmenopausal Osteoporosis with Alendronate Versus Risedronate Over Two Years

Objective: A 1-yr extension of the Fosamax Actonel Comparison Trial was completed to compare changes in bone mineral density (BMD), bone turnover, and upper gastrointestinal tolerability over 2 yr of treatment. Design: This was a randomized, double-blind extension conducted at 72 U.S. sites. Patients and Methods: Of the 1053 women who completed yr 1, 833 postmenopausal women with low BMD entered the extension, continuing their same treatment allocation [once-weekly (OW) alendronate 70 mg or OW risedronate 35 mg]. Changes in BMD at the hip trochanter, total hip, femoral neck, and lumbar spine and in markers of bone turnover were compared at 24 months. Tolerability was assessed by adverse experience reporting. Results: Alendronate produced greater increases from baseline in BMD at 24 months than did risedronate at the trochanter (alendronate, 4.6%; risedronate, 2.5%, P < 0.001) as well as at all other BMD sites. Significantly more alendronate than risedronate patients had measured BMD increases of 0% or mor.
Whispered Gently through Time. First Nations Quality Child Care: A National Study.

Beginning in 1994, various national and First Nations initiatives in Canada have increased the availability of child care for Aboriginal children. However, the speed of these initiatives has not allowed time for First Nations communities to define their wishes for the care of their children. This report documents the opinions of First Nations communities on quality child care and presents recommendations for program development. An extensive literature review examines Canada's Aboriginal population, the historical context of Aboriginal-White relations in Canada, the need for Aboriginal child care services, traditional child-rearing practices, First Nations jurisdiction and authority in child care, research on quality child care, and diversity issues in child care. Interviews with key informants and focus groups in First Nations communities were conducted in British Columbia, Saskatchewan, and Ontario, which have very different contexts in terms of provincial legislation and licensing and the extent and duration of First Nations child care programs. Participants identified historical, social, and political influences affecting development of Aboriginal child care services; aspects of quality child care related to the physical environment, caregivers, caregiver training, educational and cultural programming, content of teaching, parent and community involvement, and child grouping; and supports and barriers created by child care regulatory schemes. Extensive recommendations are offered in each of these areas and are summarized in tabular form. Appendices include study questionnaires list of Steering Committee members, study permission forms and letters, and individual reports on the three provinces. (Contains 124 references.) (SV) Reproductions supplied by EDRS are the best that can be made from the ori inal document. U.S. DEPARTMENT OF EDLi6ATION Office of Educational Research,and Improvement EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) This document has been reproduced as received from the person or orgaMzahon originating it. O Minor changes.have been made to improve reproduction Quality. Points of view or opmiPris stated in this document do not necessarily represent official OERI position Or policy. 1 PERMISSION TO REPRODUCE AND DISSEMINATE THIS MATERIAL HAS BEEN GRANTED BY Gee-ie) vd_c9Dcl TO THE EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) First Nations Quality Child Care: A NATIONAL STUDY Margo Greenwood & Perry Shawana BEST COPY AVAILABLE I
Do psychological factors and general health influence the short-term efficacy of resilient appliance therapy in patients with temporomandibular disorder pain?

Abstract Objectives. To study how sense of coherence (SOC), grade of depression and non-specific physical symptoms and general health influence the efficacy of intraoral appliance therapy in patients with temporomandibular disorder (TMD) pain. A second objective was to study the association between SOC, grade of depression, grade of non-specific physical symptoms and general health. Material and methods. A total of 73 TMD pain patients participated; 36 were treated with a resilient appliance and 37 with a non-occluding control appliance in a randomized controlled trial for a period of 10 weeks. All patients had at least one pain diagnosis according to the research diagnostic criteria for TMD, including both the Symptom Checklist-90-Revised (Axis II) measuring grade of depression and non-specific physical symptoms, and general health (physical characteristics). Patients also filled in the 29-item SOC questionnaire. Results. A low grade of SOC was found in eight of the patients in the treatment group and in 17 of the control group at baseline, with a statistically significant difference between the groups. Logistic regression analyses revealed that, after correcting for the background variables, the resilient appliance did not differ from the non-occluding control appliance in terms of treatment outcome. No statistically significant differences were found when correlating mean SOC with grade of depression, grade of non-specific physical symptoms and general health. Conclusions. These findings indicate that none of the studied background variables (age, gender, SOC, depression, non-specific physical symptoms or general health) seemed to influence the short-term efficacy of intraoral appliances. No association was found between SOC and depression, non-specific physical symptoms or general health in TMD pain patients.
Health Promoting Hospitals - Assessing developments in the network

Hospitals are specific organizational settings for health promotion efforts. As health care institutions they are already oriented at health, or better at ill health, but with a rather limited focus on health outcomes for patients. Therefore, the Ottawa Charter explicitly asks for the reorientation of health services. And, hospitals also have considerable health effects for other stakeholder populations. This specific potential and challenge has been taken up by the WHO network of Health Promoting Hospitals (HPH), in the last two decades. Based on available literature the article relates the HPH concept to a more general paradigm of health promoting organizational settings; reconstructs the developmental phases of the international WHO HPH Network; elaborates on its concept development and implementation experiences, and discusses its rather limited investments in evaluation studies and the few assessments from outside. HPH has developed a convincing comprehensive concept by demonstration projects, using systematically action and evaluation research. To a lesser degree, the same holds true for its developments of health promotion policies for selected vulnerable groups and linking HPH to quality methodology. But there is no systematic evaluation of health promotion in and by hospitals, especially for the networks and member hospitals of HPH. Even if much of the relevant evidence for HPH comes and will have to come from more general clinical epidemiological, health promotion, quality, organizational and management research, there is need for specific HPH evaluation research, to better utilize, what can be learned from the social experiment of HPH.
THE EFFECT OF SKILL-BASED MAXIMAL INTENSITY INTERVAL TRAINING ON AEROBIC AND ANAEROBIC PERFORMANCE OF FEMALE FUTSAL PLAYERS

This study examined the effects of skill-based maximal intensity interval training on aerobic and anaerobic performance variables among female futsal players. The study included 12 elite female futsal players (training group, TG) from university league division I and 12 physically active female sports-school students (control group, CG). The CG completed volleyball and basketball courses (each 2 hours per week) as part of their school programs; the TG completed an 8-week training program (non-sequential, 4 days per week). Aerobic and anaerobic performance variables were measured before and after the training program via a 20m shuttle run and running anaerobic sprint tests (RAST). Average anaerobic power, fatigue index and VO2max of TG improved by 10.7%, 22.1% and 9.6% (p<0.05), respectively. These findings demonstrate that skill-based maximal intensity interval training had significant effects on both aerobic and anaerobic performance variables of female futsal players. The results suggest that this training model may be useful as a training efficiency tool among futsal coaches.
Impact of electrode positions and harmonic frequency components in SSVEP-based BCIs

Steady state visual evoked potential SSVEP based brain computer interfaces BCIs have been recognised as having major potential to be used practically in everyday daily life as they typically outperform more traditional BCIs in terms of detection accuracy and information transfer rates. It is also essential to improve the ease of use such as reducing the number of necessary electrodes without decreasing speed or accuracy. This study investigated the extent to which electrode positions, derivation methods, and harmonics will affect the performance of a SSVEP-based BCI. A pilot study was carried out on a 4-class SSVEP-based BCI with six healthy subjects. Detection accuracy increased from 63.75 ± 5.62% mean ± SD with monopolar derivation to 89.42 ± 5.58% with two-channel bipolar derivation using only harmonic H1. The significantly improved detection accuracy with two electrodes implies that it is possible to achieve high classification accuracy with a very low number of electrodes.
Developing and sustaining a healthy school community: Essential elements identified by school health champions

Background: Comprehensive School Health (CSH) approaches to developing a healthy school community can be effective in supporting chronic disease prevention while positively impacting on student behaviour and academic performance. Although a CSH framework provides principles for action, there is a lack of evidence regarding the processes that best facilitate CSH work, and enable action. Objective: The purpose of this study was to identify and describe the elements of practice-based evidence that contribute to the success and sustainability of healthy school communities, through the identification of positive practices and lessons learned from a sample of projects in Alberta, Canada. Setting: School communities in Alberta, Canada. Design and methods: Key individuals from a list of operating CSH projects were invited for interview. An exploratory, qualitative design examined the perspectives of these ‘school health champions’. A total of 12 one-on-one interviews and one focus group with seven participants were completed, resulting in input from 19 individuals in total. Results: Elements to develop and sustain a healthy school community fall into one of two categories: (1) stakeholder buy-in and (2) adequate resources in the form of human resources, partnerships and peer support. Participants identified successful strategies for establishing buy-in from administrators, teachers, parents and students. Conclusion: To effectively mobilise a comprehensive school health framework, practical strategies for implementation are needed. While some of these strategies are context-specific, practice-based evidence that transcends the local context does exist and can be used more widely to support the development of a healthy school community.
Association of dental anxiety to personality traits in a general population sample of Finnish university students

Abstract Objective. To estimate the association between personality and dental anxiety among Finnish University students. Materials and methods. A total of 880 university students in Finland returned the questionnaires addressing dental anxiety by using the Modified Dental Anxiety Scale (MDAS) questionnaire. In addition, the personality of traits (neuroticism, extraversion, agreeableness, conscientiousness and openness to experience) were noted. Personality traits of students were compared with the level (high, mild or none) of dental anxiety derived from the MDAS questionnaire. The relative odds of dental anxiety associated with the level of dental anxiety were estimated by logistic regression, Chi-Square tests and one-way analysis of variance (ANOVA). Results. Median age of the respondents was 22 years. Of the respondents, 99 (11.3%) were classified as dentally anxious patients (90, 12.2% of females; 9, 6.6% of males)). Neuroticism was the only personality trait that was significantly associated with dental fear (p < 0.001). A tendency, although not significant, was seen between high dental fear and lower extraversion and agreeableness. Conclusions. Of the five different personality traits, neuroticism was a significant risk factor for developing dental anxiety, and this should be recognized in clinical practice.
Metabolic disorders increase the risk to incident cardiovascular disease in middle-aged and elderly Chinese.

OBJECTIVE The association of metabolic syndrome (MetS) with cardiovascular diseases (CVD) has not been adequately explored in middle-aged and elderly Chinese. This study aimed to investigate MetS' prevalence and its impact on the CVD incidence in this specific population group. METHODS A data set of a community-based prospective cohort study was analyzed. A total of 2300 subjects aged 40-94 years were followed up for the CVD events. MetS defined according to the JCDCG criteria was assessed at baseline, and the middle-aged and elderly groups were classified by the WHO definition. RESULTS As compared with the middle-aged group, the prevalence of MetS increased by 0.6 times (34.6% vs. 21.3%) and the incidence density of CVD increased by 4.9 times in the elderly group (52.3/1000 person-year vs. 8.9/1000 person-year). Furthermore, the multivariate Cox regression revealed that the risk to CVD incidence was independently related to increased waist circumference in the middle-aged group (HR=2.23, P<0.01) and to elevated blood glucose in the elderly group (HR=1.39, P<0.01). CONCLUSION MetS was highly prevalent in middle-aged and elderly Chinese. MetS significantly increased the risk to CVD incidence in the elderly. All individuals with metabolic disorders should receive active clinical care to reduce the incidence of CVD.
Relationships of Lymphedema, the Shoulder Range of Motion, Fatigue and Social Support to the Health Related Quality of Life in Patients with Breast Cancer

Purpose: The purpose of this study was to identify the variables that are associated with the health related quality of life (HRQOL) for patients with breast cancer. Methods: A total of 112 subjects were recruited from a cancer center at a university hospital by using convenience sampling. The subjects were asked to complete questionnaires about HRQOL, fatigue and social support (family and medical team support). A trained research assistant then measured the subjects’ shoulder range of motion (ROM) and the arm parameters for lymphedema. The data was analyzed using t-tests, MannWhitney tests, ANOVA, Pearson’s correlation coefficient and hierarchical multiple regression analysis. Results: The HRQOL was strongly correlated with fatigue (r=-0.80, p< 0.01). It was also positively correlated with family support (r=0.57, p<0.01) and medical team support (r=0.33, p<0.01). The HRQOL was significantly lower for the patients who had limited shoulder rotation. Fatigue and family support together explained 65% of the variance in the HRQOL for the patients with breast cancer, after controlling for education and income. Of them, fatigue uniquely explained 32% of the variance in the HRQOL. Conclusion: Fatigue was the strong predictor of the HRQOL. This result suggests that fatigue might be primary managed for improving the HRQOL of patients with breast cancer.
Durability of bond between an indirect composite veneering material and zirconium dioxide ceramics

Abstract Objective. The purpose of the present study was to evaluate the durability of bond strength between an indirect composite material and zirconia ceramics after thermocycling (100 000 cycles) and to assess the effect of various priming agents for zirconia surface treatments. Materials and methods. A CAD/CAM system (Katana, Noritake Dental Supply) was used to fabricate 96 zirconia disks as a bonding substrate. The specimens were randomly divided into six groups (n = 16) and treated with one of the following acidic priming agents: Alloy Primer (ALP, Kuraray), Clearfil Ceramic Primer (CCP, Kuraray), Clearfil Photo Bond (CPB, Kuraray), Clearfil Photo Bond with Clearfil Porcelain Bond Activator (CPB + Activator, Kuraray), Estenia Opaque Primer (EOP, Kuraray) and Porcelain Liner M Liquid A (PLA, Sun Medical). The specimens were bonded with an indirect composite material (Estenia C&B Dentin, Kuraray). Shear bond strengths were tested before and after 100 000 thermocycles and the data were analyzed by using the Steel-Dwass test and Mann-Whitney U-test. Results. After 100 000 thermocycles, the PLA group showed the lowest bond strength (p = 0.010), whereas the CPB + Activator (23.9 MPa; p < 0.014) and CPB (22.7 MPa; p < 0.028) groups had significantly higher bond strengths than the other groups. The Mann-Whitney U-test revealed that bond strengths did not significantly decrease after thermocycling, except for specimens in the PLA (p = 0.038) and CCP (p = 0.028) groups. Conclusions. Application of a combination of hydrophobic phosphate monomer (MDP) and initiator results in a durable long-term bond between Katana zirconia and Estenia C&B composite material.