565 research outputs found
PRISMA2009_Checklist_JAN2018 – Supplemental material for Sleep Outcomes for Parents of Children With Neurodevelopmental Disabilities: A Systematic Review
No full textSupplemental material, PRISMA2009_Checklist_JAN2018 for Sleep Outcomes for Parents of Children With Neurodevelopmental Disabilities: A Systematic Review by Samantha K. Micsinszki, Marilyn Ballantyne, Kristin Cleverley, Pamela Green and Robyn Stremler in Journal of Family Nursing</p
JFNAppendix_(JAN24) – Supplemental material for Sleep Outcomes for Parents of Children With Neurodevelopmental Disabilities: A Systematic Review
No full textSupplemental material, JFNAppendix_(JAN24) for Sleep Outcomes for Parents of Children With Neurodevelopmental Disabilities: A Systematic Review by Samantha K. Micsinszki, Marilyn Ballantyne, Kristin Cleverley, Pamela Green and Robyn Stremler in Journal of Family Nursing</p
Richard Dawkins in conversation with Robyn Williams
No full textDawkins and Williams discuss the intricacies, the fascinating patterns and the anomalies produced by the process of evolution on earth.
At the Melbourne Town Hall, presented by the Melbourne Writers Festival, outspoken and influential author and scientist Richard Dawkins speaks to Robyn Williams (ABC RN) about the ideas underpinning his new book, The Greatest Show on Earth. They discuss the intricacies, the fascinating patterns and the anomalies produced by the process of evolution on earth. Dawkins then takes further questions from the audience about the theory of evolution, genetic determinism, the climate change denial movement and the place of religion in the world of science. Melbourne, March 2010.
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Farm to Fork Quantitative Microbial Risk Assessment for Norovirus on Frozen Strawberries
No full textFoodborne illness outbreaks have been increasingly linked to the consumption of fresh and frozen berries that were contaminated with pathogenic viruses, such as human norovirus (NoV). Contamination of berries is assumed to take place at harvest by the use of contaminated water for pesticide dilution, irrigation water source or by shedding berry pickers in the field. A quantitative microbial risk assessment simulation model was built to replicate the largest known NoV outbreak which sickened about 11,000 people over a 3-week period. The outbreak occurred in Germany in 2012 when contaminated frozen strawberries were served at nearly 400 schools and daycare centers. The risk model explicitly assumed that all contamination would arise from NoV contamination of surface water used for pesticide dilution. Input data was collected from the published literature, observational studies and assumptions. The model starts with contamination of the berries in the field, and proceeds through transportation to processing facility, washing, sanitizing, freezing, frozen transport to cargo ship, transport view of cargo ship, transport to distribution center, frozen storage at the distribution center, transport to the catering facility, food service preparation and consumption, dose response, and predicted illnesses. A total of 21 scenarios were chosen to evaluate the impact of model parameters on the number of illness associated with NoV contamination of berries. Scenarios evaluated include the initial level of NoV in surface water, the effect of seasonality on the prevalence of NoV in surface water, the strength of the pesticide used, the volume of water used to dilute the pesticide, temperature during transportation to processing facility, washing and sanitizing conditions at processing facility and preparation (heat-treatment) of berries prior to consumption. Scenarios were compared via the Factor Sensitivity technique where the logarithm of the ratio of mean illnesses was used to compare different assumptions. The input that had the greatest effect on increasing in the number of illnesses was a high NoV concentration in the water (8 log Genome Copies/L) when compared to the baseline scenario with resulting mean illnesses of 7,964 illnesses and ~2 illnesses, respectively. This assumption about the concentration of virus in the pesticide makeup water was the only variable capable of producing an outbreak similar to that observed in Germany in 2012. Heat-treatment of the berries, use of a pesticide with strong antiviral effect, and assumption about the virus concentration in the pesticide make-up water had the largest impact on decreasing illnesses.Peer reviewe
Correlates of Canadian mothers’ anger during the postpartum period: a cross-sectional survey
No full textThis infographic summarizes findings from the publication: Ou, C. H., Hall, W. A., Rodney, P., & Stremler, R. (2022). Correlates of Canadian mothers’ anger during the postpartum period: a cross-sectional survey. BMC Pregnancy and Childbirth, 22(1), 1-12.Pathways to Impact: Mobilizing Knowledge Fund, a joint initiative of the UVic Office of the Vice-President Research and Innovation’s Research Partnerships and Knowledge Mobilization (RPKM) unit, in partnership with UVic Libraries.FacultyUnreviewe
Seeing red: A grounded theory study of women’s anger after childbirth
No full textThis infographic summarizes findings from the publication: Ou, C. H., Hall, W. A., Rodney, P., & Stremler, R. (2022). Seeing red: A grounded theory study of women’s anger after childbirth. Qualitative Health Research, 32(12), 1780-1794.Pathways to Impact: Mobilizing Knowledge Fund, a joint initiative of the UVic Office of the Vice-President Research and Innovation’s Research Partnerships and Knowledge Mobilization (RPKM) unit, in partnership with UVic Libraries.FacultyUnreviewe
"Exploring Our Sexualities" - Noted Author and Activist Robyn Ochs to Present Workshop and Interactive Presentation at U of M Crookston on Wednesday, April 22, 2009
No full textTollefson, Elizabeth. (2009). "Exploring Our Sexualities" - Noted Author and Activist Robyn Ochs to Present Workshop and Interactive Presentation at U of M Crookston on Wednesday, April 22, 2009. Retrieved from the University Digital Conservancy, https://hdl.handle.net/11299/222053
Examining Factors Associated with Sleep Quality in Parents of Children 4-10 Years with Autism Spectrum Disorder
No full textBackground/Rationale: Sleep quality is an important health indicator, yet parents of children with Autism Spectrum Disorder (ASD) often report poorer sleep compared to parents of typically developing children. When parents do not obtain enough good quality sleep, health and daytime functioning may be compromised. This means that the onus of care is placed on already stressed and exhausted parents. Although poor sleep quality may lead to significant negative health consequences, it has been remarkably understudied in parents of children with ASD.
Purpose: This study examined the prevalence of poor sleep quality in parents of children 4-10 years with ASD and tested a model of parent factors (i.e., resources, appraisals, and coping) expected to moderate the relationships between child sleep problems, parenting stress, and parent sleep quality at a single point in time.
Methods: In this cross-sectional observational research, 214 parents of children with ASD
completed the study. Parent sleep quality was examined using survey methods. Sleep measures included the Pittsburgh Sleep Quality Index (PSQI) (parent sleep) and the Children’s Sleep Habits Questionnaire (CSHQ) (sleep in children of parents in this study). Six regression models were tested using multivariable linear and moderated regression.
Results: Mean (SD) PSQI scores for parents in this sample was 8.81 (3.76), with most parents scoring above the clinical cut-off of >5 (152, 77.6%). Mean (SD) CSHQ scores for children of the parents in this sample was 54.03 (8.32), which exceeds the clinical cut-off of >41, with most parents scoring their child above the clinical cut-off (182, 96.3 %). Overall, when parenting stress, child sleep problems, and all expected moderators were modelled together with parent sleep quality, child sleep problems was the only significant predictor (Beta = 0.081, p = 0.031).
Significance/Implications: Findings from this study suggest that children’s sleep problems was the single most important factor when considering what impacts parent sleep quality. However, both parents and their 4-10-year old children with ASD experienced sleep disturbances. Although the expected moderators help to explain the variance in parent sleep quality, their buffering effects may not be enough when parents sleep poorly.Ph.D
Examining Cross-sector Collaboration to Support Implementation of the Ontario Public Health Standards – School Health Standard Guideline
No full textIn Canada and beyond, schools have been an ideal setting to promote the health of children and youth, and the Comprehensive School Health approach has been an evidence-based way to engage in this work with a demonstrated return on investment. Ontario has established commitment to the Comprehensive School Health approach through provincial level policy, such as the Ontario Public Health Standards (OPHS). Through the OPHS School Health Standard, Public Health Units (PHUs) in Ontario are directed to work in partnership and collaboration with school boards and schools to develop a Comprehensive School Health promotion approach to promote the health of children and youth. Literature has identified that collaboration between the health and education sectors is an important facilitator of the Comprehensive School Health approach and related policy direction.
Through a qualitative descriptive study this thesis project sought to examine the structures, practices, mechanisms, as well as facilitators and barriers to partnership and collaboration between Ontario PHUs and school boards. The Health in All Policies (HiAP) model was used to guide data collection and analysis. Data were collected from 13 PHUs through an electronic survey and document collection.
Findings identified different provincial level policies that facilitate collaboration between PHUs and school boards (e.g. OPHS, PPMs); however, a barrier noted was the lack of one consistent or overarching provincial policy across the health and education sectors that supports or facilitates collaboration. At the local level, PHUs and school boards declare and demonstrate their partnership commitments in a variety of ways, from formal practices such as the development of
partnership declarations and committees, to informal practices such as verbal agreements and ad hoc consultations.
PHUs dedicate resources to collaboration with school boards which is dependent on PHU funding and capacity. A critical resource identified was human resources, with the School Health Manager and Public Health Nurses identified as two important roles that champion and facilitate collaborative practices with school boards and schools.
To monitor and evaluate the effectiveness of partnership and collaboration, PHUs and school boards engage in a variety of informal and formal practices, such as the provision of ongoing feedback, to monitoring collective key performance indicators.D.N
The Feasibility and Acceptability of a Behavioral-educational Intervention - the Relax to Sleep Program - to Increase Pediatric Sleep during Hospitalization: A Pilot Randomized Controlled Trial
No full textBackground: Hospitalization can contribute to common sleep difficulties related to environmental, physiological, and psychological factors. Interventions aimed at hospitalized children need to be developed and piloted with rigorous evaluative methods. The primary purpose of this study was to examine the feasibility and acceptability of a behavioral-educational intervention - the RELAX TO SLEEP program - aimed at increasing nighttime sleep for hospitalized children. Methods: This study was a pilot randomized controlled trial. Children between the ages of 4 and 10 years, expected to stay for 3 nights in hospital, with a parent staying overnight were included. Children were excluded if they were receiving palliative care; were diagnosed with a sleep or anxiety disorder; had limited movements of extremities or had cognitive impairment; or received sedation. Forty-eight children and their caregivers consented and were randomized to either the RELAX TO SLEEP intervention group (n=24) or the Usual Care control group (n=24). The RELAX TO SLEEP program consisted of a one-on-one discussion with the researcher about sleep and sleep hygiene, a standardized educational booklet about sleep, and a relaxation breathing (RB) exercise for the child. Usual Care participants received no information about sleep or relaxation. Children wore actigraphs for 3 days and nights and completed sleep diaries. Sleep outcomes included: total nocturnal sleep (19h30-07h29), number of nighttime awakenings, longest period of uninterrupted nocturnal sleep, and total daytime (07h30-19h29) sleep. Other outcomes measured at baseline and at 7 days post-discharge, included anxiety (Spence Pre-school/Children Anxiety Subscales), sleep habits (Children's Sleep Habits Questionnaire [CSHQ]), and post-hospital maladaptive behaviours (Post-Hospital Behaviour Questionnaire [PHBQ]). Results: Of the 68 eligible families approached, 71% (n=48) agreed to participate. Both the RELAX TO SLEEP and Usual Care group were compliant in wearing the actigraph and completing sleep diaries. Eighty-five per cent (n=19/22) of the Relax to Sleep participants reported using the RB at least once per day in hospital, and over half used it 2-3 times per day. Parental reports indicated that their child enjoyed using RB (18/22; 82%), that it was easy to use (21/22; 95%), and would use it again in the future (18/22; 82%). Parents also reported that they enjoyed the discussion about sleep and found the information helpful (21/22; 95%). Children in the RELAX TO SLEEP group obtained a mean of 50 minutes more nighttime sleep compared to the UC group (419 Âą 7.84 min vs. 369.7 Âą 106.4 min, group difference 49.64 min, t= 1.76, p=0.085), despite having the same number of nighttime awakenings (14.7 [SD 5.83) and 14.7 [SD 4.7] respectively). Improved CSHQ scores at follow-up were noted for the RELAX TO SLEEP group (baseline score 44.04 [SD 7.17] to follow-up 42.38 [SD 5.41]) compared to the increase in sleep disturbance behaviour noted in the Usual Care group (baseline score 45.58 [7.82] to follow-up 47.52 [7.47]). There were no notable differences in anxiety or PHBQ scores; however, the majority of children in this sample (73%, n=32/44) scored 81 or higher on the PHBQ indicating the development of at least one new-onset maladaptive behaviour during the post-discharge period. Conclusion: The RELAX TO SLEEP program proposed in this study was feasible and acceptable to children and their caregivers. Further evaluation of the intervention with a large scale, multicenter RCT is needed.Ph.D
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