The Impact of the Iowa S-SCHIP Program on Access, Health Status, and the Family Environment

2003 ◽  
Vol 3 (5) ◽  
pp. 263-269 ◽  
Author(s):  
Peter C. Damiano ◽  
Jean C. Willard ◽  
Elizabeth T. Momany ◽  
Jyoti Chowdhury
2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e55-e56
Author(s):  
Jessica Teicher ◽  
Natalie Weiser ◽  
Danielle Arje ◽  
Julia Orkin

Abstract BACKGROUND Children with medical complexity (CMC) represent a growing population in the paediatric healthcare system. CMCs’ multiple health needs, illness severity, and fragility lead to a high degree of caregiver burnout, parental employment loss, and other social and financial consequences. Healthcare providers must consider a holistic view of the family, including consideration of social determinants of health [SDOH]: socio-economic status, employment, quality of housing, availability of social support, and access to healthcare services. This study addresses a gap in current research by exploring how caring for a CMC exacerbates social inequalities, and how these challenges may be mitigated. OBJECTIVES 1. What are the SDOH impacting CMC and their families? 2. How do families report the impact of their child’s medical complexity on their social circumstances? DESIGN/METHODS A qualitative description approach was used to enable rich data collection through semi-structured interviews until thematic saturation was reached. Nine interviews were conducted with CMC caregivers who were chosen by purposeful sampling. The interview guide was developed by expert consultation and iteratively refined. Ethics approval and written consent were obtained. Interviews were recorded and transcribed verbatim. Three team members independently coded the interviews for recurrent themes to inform qualitative content analysis. RESULTS Caregiving for a CMC is all-consuming, requiring parents to take on roles including planner, medical professional, medical educator, and advocate. Parents of CMC report three major areas negatively impacted by caregiving: 1) physical and mental health; 2) personal relationships; and 3) finances. Additionally, three themes emerged describing enablers for resiliency: 1) the CMC’s health status when well or stable in hospital; 2) acceptance of one’s limitations as a caregiver and of the family’s ‘new normal’; and 3) broad supports including medical, personal, financial, and educational. CONCLUSION The wellbeing of CMC families is impacted by medical and social factors. An interdisciplinary model of care may offset some of the caregiver’s advocacy and medical educator responsibilities. Paediatricians can support families of CMC by providing comprehensive care for all components of the child’s health status, and by including routine assessment of the family’s SDOH. Finally, explicit discussion about parental expectations and caregiver burnout helps foster a positive therapeutic relationship with the family.


2016 ◽  
Vol 1 (1) ◽  
pp. 43-56
Author(s):  
Luluk Atirotu Zahroh

Anti-violence education implemented in various educational environment, equally important the family environment. The impact of violence against spiritual emotional intelligence development of children leads to the negative things. Include that realize or not, violence that showed by parents have instilled hatred and excessive fear in children. Violence will infuse stubborn and rude in children, give wound in the hearts of children until they are adults. Islam teaches anti-violence education, especially on the early chilhood education, have to carry out with great affection. Many verses of the holy Koran which instruct to educate children with affection. The term like qaulan layyinan, qaulan ma'rufan and so on are some command to teach and interact with students full with love and through the good ways. Keyword: anti-violence education, early chilhood. Pendidikan anti kekerasan diterapkan di berbagai lingkungan pendidikan, dan tidak kalah pentingnya yaitu lingkungan keluarga. Dampak kekerasan orang tua terhadap perkembangan kecerdasan emosional spiritual anak ini mengarah pada hal-hal yang negatif. Dampak tersebut diantaranya adalah: sadar atau tidak kekerasan yang dilakukan orang tua telah menanamkan kebencian dan rasa takut yang berlebihan pada diri anak. Kekerasan akan menanamkan sifat keras dan sikap kasar pada diri anak, membekaskan luka di hati anak hingga mereka dewasa. Islam mengajarkan pendidikan yang bersifat anti kekerasan, apalagi dalam konteks mendidik anak usia dini, dilakukan dengan penuh kasih sayang. Banyak ayat al-Qur’an yang memerintahkan mendidik anak dengan kasih sayang kepada putra-putranya yang masih kecil. Bahasa qaulan layyinan, qaulan ma’rufan dan sebagainya merupakan perintah untuk mendidik dan berinteraksi dengan anak didik dengan penuh kasih sayang dan cara yang baik. Kata Kunci: Pendidikan Anti Kekerasan, Anak Usia Dini.


1969 ◽  
Vol 16 (3) ◽  
pp. 355-368 ◽  
Author(s):  
L. Voyé

The relatively hereditary character of diverse cultural phenomena has already drawn attention to the role that the family can play in this trans mission. It appears in particular that political orientations and the chances of access to different types and levels of education can frequently be explained by a specific family membership. Two types of argument are put forward here in order to explain how the family can appear as a privileged place of cultural apprenticeship: on the one hand psychological arguments linked with the primary and universal character of family education and the type of relations that this develops; on the other hand a more sociological explanation based on the repercussion that the more or less great complexity of learned language entails with regard to diverse exterior participations, and on the comparison between the impact of the family and those of other socializing agents on the successive choices which they will impose. To these explanatory elements of the existing link between cultural memberships and the family environment is added, for religion as much as for the family, the transition from the public to the private sphere. This parallel evolution will tend to increase the autonomy of religion on the plane of secondary elaborations for which it will borrow its mode of re-interpretation from the exigencies of daily life, particularly from the family.


2003 ◽  
Vol 33 (5) ◽  
pp. 817-825 ◽  
Author(s):  
K. S. KENDLER ◽  
S. H. AGGEN ◽  
K. C. JACOBSON ◽  
M. C. NEALE

Background. While the family environment can directly influence later risk for psychopathology, dysfunction in the family of origin may also moderate the impact of genetic factors on liability for psychiatric disorders. Can a similar pattern be seen for the personality trait of Neuroticism (N) – which is a risk factor for many psychiatric conditions?Method. Our sample of 957 complete female–female twin pairs from a population-based register had measures of self-reported N and multiple reporters (twin, co-twin, mother, father) for family dysfunction (FD). Statistical analysis was conducted by traditional regression analysis and a moderator structural equation twin model operationalized in the computer program Mx.Results. Dividing the sample into quartiles based on increasing levels of FD, the mean of N increased substantially while correlations of N in monozygotic (MZ) and dizygotic (DZ) twins were relatively constant. Regression analyses did not suggest greater twin resemblance for N with increasing levels of FD. The best-fit structural equation model was the standard un-moderated model in which the proportion of variance in N due to genetic (39%) and unique environmental effects (61%) remained constant across values of FD.Conclusions. Although a false-negative result due to limited power cannot be excluded, these analyses do not support the hypothesis that FD moderates the impact of genetic factors on levels of N.


2020 ◽  
Vol 11 (01) ◽  
pp. 1-9
Author(s):  
Fenny Etrawati

An increase in cases of sexual violence against children triggers various health problems in children, both physical, psychological and social. This paper aims to explore the sexual violence on children, risk factors and the impact of sexual violence on children. This study of sexual violence in children refers to various empirical literature studies. Furthermore, the collection of information was analyzed using the problem tree analysis approach to find out the risk factors and their impact on children. Cases of sexual violence in the community are difficult to detect because of the lack of recognition from victims. This is because the offender called pedophile comes from within the family (familial abuse) or can come from outside the family environment (extra-familial abuse) who have established close relationships with children. Sexual violence is generally motivated by the problem of weak protection from parents which is also strengthened by socio-economic problems, low access to reproductive health education and less optimal law enforcement. Therefore, children who have experienced sexual violence find it difficult to avoid physical, biological, psychological and social risks. Children who have experienced sexual violence find it difficult to avoid physical, biological, psychological and social risks. Therefore, it is necessary to increase the capacity of parents in the prevention of sexual violence against children and law enforcement needs to complete the system of early detection and rapid response to the incidence of sexual violence against children.


Nursing Arts ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 22-24
Author(s):  
Ruth Faidiban ◽  
Hosiana Sombuk

Children will develop their abilities both in learning, interacting socially outside the family environment, this happens in the school environment. Parents are required to be able to prepare their children well before entering the school environment, this is so that children can follow the learning process well. School learning outcomes are strongly influenced by the general abilities measured by the intelligence quotient. The purpose of this study was to identify the effect of health status on the learning outcomes of students of the 14th Maranatha YPK Elementary School in Manokwari City. The population in this study were all students in grades 3,4 and 5. Samples were 103 students. The sampling technique is total sampling. The results showed that the health status of students was healthy 78%, while the learning outcomes of 74% were quite good, the results of the analysis showed no effect on health status on student learning outcomes in odd semester with the results of p> 0.05 (p = 0.8) in even semester and p> 0.05 (p = 0.5). It is still necessary to improve the health status of students by emphasizing more on school health efforts in detecting students' health when health problems occur or suffer from illness.


2015 ◽  
Vol 3 (6) ◽  
pp. 118-127
Author(s):  
Nikhat Yasmin Shafeeq ◽  
Aliya Tazeen

This study investigated the impact of family climate on the academic achievement of government and private secondary school students. Three hundred (Boys =150; Girls =150) secondary school students were randomly chosen as the sample of the study from 8 schools (4 government and 4 private) of Aligarh. Family Climate Scale by Dr. Beena Shah (1990) was used to study respondent’s family climate, while their IX class examination results were used as the measure of academic achievement. The hypotheses were tested using the product moment coefficient of correlation to find out the relationship between the family climate and academic achievement, and for measuring the effect of the type of family climate (favorable and unfavorable) on the academic achievement of the students the investigator applied t-test. The results showed that the academic achievements of students are independent of the family environment and parental support provided to them. The study also revealed that private students have good academic records in comparison of government students.


2021 ◽  
Vol 1 (11) ◽  
pp. 1-14
Author(s):  
Santiago BOIRA ◽  
Maria Teresa MUÑOZ ◽  
Anita NUDELMAN

Objectives. Sexual violence against women is a major social problem for governments and institutions. International reports warn about its magnitude and its global nature and findings from Latin America have also confirmed the seriousness of the issue. The objective of this article is to address the problem of sexual violence against women in Ecuador, with emphasis on rural and indigenous areas. Material and methods. The official data offered by the Attorney General of the State of Ecuador is analyzed. Likewise, the qualitative information provided by professionals in the province of Imbabura through interviews and focus groups. Results. Quantitative data shows a very significant increase in the number of crimes of sexual violence against women in practically all the provinces of Ecuador in the past three years. Likewise, from a qualitative perspective, patriarchal culture is very present as one of the causes that explain violence. As for the manifestation of sexual violence, its most frequent form is within partner relationships. However, cases of incest, sexual abuse and aggression against minors within the family environment are also common. Conclusions. Data for disaggregated and specific monitoring of sexual violence in Ecuador is limited. In this regard, the use of qualitative methodology to complement such information is recommended. This study identifies a serious situation both in terms of the prevalence and of the impact of sexual violence in Ecuador. Keywords: sexual violence, Ecuador, abuse, rural areas, violence against women.


2015 ◽  
Vol 1 (1) ◽  
pp. 63
Author(s):  
Miftahul Jannah

Style of parenting can`t be separated by moral behavior in educating children, how to have morals in life, especially in the family environment and parents this sekolah.Dewasa many difficulties and problems in educating children, from academics, intellectuals, state officials moreover from lower socioeconomic circles who have no education and mature economies. The problem lies in the failure of parents to educate generations obedient to Allah and will understand Islamic values. Various problems occur for example brawl, free sex, lack incapacity to control children in the associate, drugs, and various other criminal. Events and these events often occur in big cities but now shifts to all levels of society, both in rural and metropolitan cities. The teenagers went along with all the negative behavior without thinking about the impact of the negative impacts that will be experienced both for himself and his parents have failed to maintain the good name of both parents in the world and in the presence of Allah, for failing to do good deeds as an eternal charity before Allah Swt. Our country is far backward from the Islamic civilization since leaving the values of Islam, the developed world have left their ignorance and are following Islamic law that is believed to be true in the welfare of the ummah. Generani Islamic Ummah and Islam must educate by parents who have the foundation of Islam in the household so that kusesesan begins within the family nucleus and then continues into the school environment and the community. Abstrak: gaya pengasuhan orang tua tidak terlepas dengan moral dalam mendidik perilaku anak, bagaimana agar memiliki moral dalam kehidupan, terutama di lingkungan keluarga dan sekolah.Dewasa ini orang tua banyak mengalami kesulitan dan permasalahan dalam mendidik anak, b aik dari kalangan akademisi, intelektual, petinggi negara apalagi dari kalangan sosial ekonomi bawah yang tidak memiliki pendidikan dan ekonomi yang matang. Permasalahan orang tua terletak pada gagalnya mendidik generasi yang taat pada Allah Swt dan paham akan nilai-nilai keislaman. Berbagai masalah terjadi misalnya tawuran, free sex, ketidak sanggupan mengontrol anak dalam bergaul, narkoba, dan berbagai macam kriminal lainnya. Kejadian dan peristiwa ini sering terjadi di kota besar namun sekarang bergeser ke semua tingkatan masyarakat baik di desa, dan kota metropolitan. Para remaja ikut - ikutan dengan segala dampak perilaku negatif tanpa memikirkan dampak negatif yang akan dialami baik untuk dirinya dan orang tuanya telah gagal menjaga nama baik orang tua baik di dunia dan di hadapan Allah Swt, karena gagal dalam beramal shalih sebagai amal yang kekal di hadapan Allah Swt. Negara kita jauh mundur ke belakang dari peradaban Islam karena meninggalkan nilai-nilai islam, dunia maju telah meninggalkan kejahilan mereka dan sedang mengikuti syariat islam yang diyakini kebenarannya dalam mensejahterakan ummat. Ummat islam dan generani Islam harus didik oleh orang tua yang memiliki landasan keislaman dalam rumah tangga sehingga kusesesan di mulai dalam keluarga inti kemudian berlanjut ke dalam lingkungan sekolah dan masyarakat Kata kunci: Pola Pengasuhan orang tua, moral dan remaja


2018 ◽  
Vol 51 ◽  
pp. 03008
Author(s):  
Julija Cirule-Galuza ◽  
Strale Ilze ◽  
Solvita Jegorenko ◽  
Liga Priedena ◽  
Erika Gintere ◽  
...  

Down syndrome (DS) is a genetic disorder. From 1997 to 2015, 473 DS patients were born in Latvia. Prenatal diagnosis allows terminating pregnancies with high risk of DS. The aim of our research was to assess the impact of environmental quality (family and extra-familial care) on the child's development, range of services for DS patients, and to identify the optimal early support system. Families and specialists were interviewed to analyze differences between children in families and institutional care clients. State financial support for a DS child in the family is less than to a child in institutional care, and does not provide adequate rehabilitation services. Conclusion: the environment (family/institution, available resources, and rehabilitation services) where the child grows up after the birth, determines both their quality of life and level of independence development. If the somatic problem-solving path is clear, then social integration needs to be improved. Support of inter-professional teams for the families is necessary immediately after the diagnostic statement in order to ensure a more favourable family environment and to reduce the risk of institutionalization. Despite the potentially higher early intensive rehabilitation costs, in the course of time we can predict that it will provide an economic effect on the state and improve the patient and their family's quality of life.


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