Ethel teichberg ref 970313

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Over one-third of children with developmental disabilities in foster care in this study were cared for by individuals over age 65. Specifically, 42% of children in kinship foster care and 26% of children in non-kinship foster care had caregivers over 65. The study examined 82 children and found that many factors like substance abuse, poverty, and family violence can result in grandparents and other relatives taking on caretaking roles. It concludes that more research is needed to determine if older caretakers are receiving sufficient support services.

Health & Medicine Self Improvement

SUPPORT NEEDED FOR OLD ADULTS AS CARETAKERS OF PERSONS WITH DEVELOPMENTAL DISABILITIES Ethel Teichberg-Sabath, PsyD, LCSW, Maria Valicenti-McDermott MD, MS, Howard Demb MD Children’s Evaluation and Rehabilitation Center-Kennedy Center, Albert Einstein College of Medicine, Bronx, NY USA

2 BACKGROUND According the National Survey of America’s Families in 1999 1.3 million children or 1.8% of the child population, were cared for by their grandparents, without a parent present. FACTORS THAT ACCOUNT FOR THE INCREASE IN GRANDPARENTS AND OTHER RELATIVES RASING CHILDREN ,[object Object]

Academic research about Attention Deficit Hyperactivity Disorder (ADHD) resulted in exposing faulty scientific publication by Centers for Disease Control (CDC) which caused significant under-reporting and deprivation of care and education of hundreds of thousands of children. Given the very limited number and quality of research, the subject work by CDC continues to be cited by lazy researchers, resulting in a huge percentage of society being deprived of appropriate education and economic opportunity.

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Centerstone - Children's Mental Health Initiative 2.0

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The Longest Shadow: Lifelong Pervasive Impacts of Adverse Childhood Events (...

Université de Montréal

Childhood adversity casts the longest shadow across the entire human life cycle with lifelong pervasive impacts. This presentation integrates three ways to investigate these issues using a mixed methods (quantitative and qualitative) approach: (1) retrospective quantitative epidemiological studies of Adverse Childhood Events (ACE) by Fellitti and associates and the Social Determinants of Health (SDH) headed by Marmot with the WHO; (2) quantitative child psychiatric epidemiology prevalence studies, focusing on Canadian studies in two provinces: the Ontario Child Health Study (OCHS) (Boyle, et al, 2019) and the Quebec Child Mental Health Survey (QCMHS) (Bergeron, et al, 2000); and (3) Bruner’s more qualitative narrative approach integrating work from developmental psychology and anthropology (Mattingly, et al., 2008). After a brief overview of North American and worldwide comparisons in child psychiatric epidemiology whose populational surveys of 6-14 year old children show a worldwide average of 20% affected with mental health problems, the focus shifts to Canadian studies in Ontario and Quebec. A detailed portrait of the Quebec survey contrasts the overall Quebec population results of 15% prevalence of mental health problems in children versus the alarming rate of 60% in a sub-study of the disadvantaged neighborhood I have worked in for the last 20 years. This sub-study offers a complex portrait of the negative impacts of ACE and SDH. My own sub-study of single parent families in the same disadvantaged neighborhood demonstrates that SDH are multifactorial and multigenerational, affecting both more intimate family attachments and broader social belonging. Informed by ACE, SDH and QCMS studies, our community-based child psychiatry program works on more complex and subtle social determinants affecting children’s lives: narrative resources based on the work of Jerome Bruner (Mattingly, et al., 2008), which are rich and nourishing when present yet lead to the impoverishment of affective and social capacities throughout the lifecycle in their absence. The presentation concludes with the need for translational research – from populational studies to community programs and clinical interventions.

Mental Health Challenges Are 4 Times Higher Among Young Mothers, Study Finds

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A new study from McMaster Children's Hospital published in the Journal of Adolescen Health has found that two out of three young mothers (aged 21 and younger) have at least one mental health problem after the birth of their child. Young mothers have been found to have a prevalence of mental health challenges that is up to four times higher than their peers and mothers older than 21 years of age, with almost 40% of young moms having more than one mental health issue, including depression, a range of anxiety disorders, and hyperactivity. The findings, while disquieting, shed better light o the mental health challenges of young mothers and open the door for researchers and physicians to create more inclusive screening processes to insure the health and safety young mothers and their children

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Dementia is one of the most devastating illnesses affecting older persons. According to a survey from the Myers-JDC-Brookdale Institute, approximately 5% of Israeli elderly living in the community have advanced dementia. This first study of the care of older people with advanced dementia in Israel reveals a wide range of unmet health and social service needs. It points to the need for a comprehensive policy for developing services to improve the quality of care and reduce the burden on the families. The findings are contributing to the implementation of the national strategic plan for addressing the challenges of dementia, currently being implemented by the Ministry of Health, and to a new national program for palliative care for people with terminal illnesses, which is in the planning stages as a joint initiative of the Ministry of Health, JDC-ESHEL, and MJB. The study was funded with the assistance of the Helen Daniels Bader Fund of Bader Philanthropies of Milwaukee, Wisconsin.

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Article Effect of a Paraprofessional Home-Visiting Intervention on American Indian Teen Mothers’ and Infants’ Behavioral Risks: A Randomized Controlled Trial Allison Barlow, M.A., M.P.H. Britta Mullany, Ph.D., M.H.S. Nicole Neault, M.P.H. Scott Compton, Ph.D. Alice Carter, Ph.D. Ranelda Hastings, B.S. Trudy Billy, B.S. Valerie Coho-Mescal Sherilynn Lorenzo John T. Walkup, M.D. Objective: The authors sought to exam- ine the effectiveness of Family Spirit, a paraprofessional-delivered, home-visiting pregnancy and early childhood intervention, in improving American Indian teen mothers’ parenting outcomes and mothers’ and children’s emotional and behavioral functioning 12 months postpartum. Method: Pregnant American Indian teens (N=322) from four southwestern tribal reservation communities were randomly assigned in equal numbers to the Family Spirit intervention plus optimized standard care or to optimized standard care alone. Parent and child emotional and behavioral outcome data were collected at baseline and at 2, 6, and 12 months postpartum using self-reports, interviews, and observational measures. Results: At 12 months postpartum, mothers in the intervention group had sig- nificantly greater parenting knowledge, parenting self-efficacy, and home safety attitudes and fewer externalizing behav- iors, and their children had fewer externalizing problems. In a subsample of mothers with any lifetime substance use at baseline (N=285; 88.5%), children in the intervention group had fewer externalizing and dysregulation problems than those in the standard care group, and fewer scored in the clinically “at risk” range ($10th percentile) for externalizing and internal- izing problems. No between-group differ- ences were observed for outcomes measured by the Home Observation for Measurement of the Environment scale. Conclusions: Outcomes 12 months postpartum suggest that the Family Spirit intervention improves parenting and in- fant outcomes that predict lower lifetime behavioral and drug use risk for participating teen mothers and children. (Am J Psychiatry 2013; 170:83–93) Nearly half (41%) of American Indian and Alaska Native females begin child-rearing in adolescence, compared with 21% for all races overall in the United States, and bear twice as many children while in their teens compared with the general U.S. population (1, 2). Teen pregnancy and child-rearing are associated with negative maternal outcomes and poor parenting, which put teens’ children at higher risk for behavioral health problems in their lifetime (3–5). Compounding the challenge of teen parenting, American Indian and Alaska Native adolescent females experience higher drug use rates and related conduct problems than other U.S. ethnic groups, including school dropout, intentional and unintentional injury, and sexually transmitted disease (1, 6, 7). Native communities have limited professional health care resources for young families and face s ...

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Running head: CHILDREN OF THE SUBSTANCE ABUSE WARS 6 Children of the Substance Abuse Wars Tiffany Seace, Veronica Webb, Julia Krueger, Rachel Losey, Emelda Isaac, Angel Reid BSHS/435 October 3, 2016 Dr. Vanessa Byrd Children of the Substance Abuse Wars Approximately 12% of children in the United States have one or both parents with substance abuse issues. According to David Sack (2013), more than 28 million American children have one parent who is addicted to alcohol but this addiction is not being discussed at home (Sack, 2013) and of those 11 million are under the age of 18 (Rodriquez, 2004). These children are at a higher risk of developing complex behavioral, academic, and emotional difficulties than other children. Children of addicts are four times more likely to marry an addict and are at risk of becoming a victim of abuse, neglect, or violence. Children of addicted parents are fiercely loyal to the parent. Adolescents are hesitant to open up and are vulnerable. They are reluctant to reveal parental confidences, even if they urgently need the help (Sack, 2013). Statistics of Children from Parental Substance Abuse Backgrounds It is important to analyze the severity of the problem before analyzing the effectiveness of counseling as a corrective measure. It is estimated that nearly 8.3 million children under the age of 18 live with at least one substance abusing/ dependent parent. Also, approximately more than half of child maltreatment cases in the United States were because of parental substance abuse in one way or another. Kirisci et al. (2002) stated that recent research has found that children of substance-addicted parents are more likely to suffer neglect or abuse than those children who do not have an addicted parent. Additionally, comparable to inattentive mothers and fathers, numerous substance-addicted parents were also mistreated and/or neglected as children (Dunn et al., 2001; Connors et al., 2004; Cash & Wilke, 2003), and describe other disturbing incidents as adults and children (Cohen et al., 2008). Wulczyn, Ernst & Fisher (2011) hypothesize that nearly 61% of infants and 41% of older children in the welfare system stem from families with active parental alcohol abuse issues. Children who enter the system as infants are more likely to spend a longer duration in care. Infants, especially those aged three months or younger, are more apt to be adopted and spend less or no time in group home placement. All children who enter out-of-home care are vulnerable to delays in social, emotional and cognitive development, which increases the risk of school failure, drug and alcohol abuse and criminality. The toxic stress levels that some infants endure links with developmental delays and poor outcomes for children who are the victims of abuse and neglect. Up to 80% of parents who are involved in the child welfare system are substance abusers, and many have had prior involvement with the system, either as chi ...

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ADHD attention deficit hyperactive disorder is a condition of the brain that makes it difficult for children to control their behavior .It is one of the most common chronic conditions of childhood. It affects 4 12 of school aged children about 3 times more boys than girls are diagnosed with attention deficit hyperactive disorder. ADHD attention deficit hyperactive disorder is a disorder make by an ongoing pattern of inattention and hyperactivity impulsivity that interferes with functioning or development. In this study a descriptive research design was used to assess the level of knowledge and attitude regarding attention deficit hyperactive disorder among 3rd year nursing students in a selected college of nursing in Lucknow with a view to develop an information booklet. Study result revealed that the majority of the subjects had good knowledge i.e. 50 , 30 of the subjects had average knowledge and 20 had poor knowledge regarding ADHD. Majority of the subjects 28 70 belong to the age group of 19 21 years, followed by 12 30 of the student belong to the age group of 22 24 year. In this study 5 12.50 were male and remaining 35 87.50 were female. The mean of knowledge score is 11.4 with SD 3.20415.The chi square test depict that education status of father and gender is associated with knowledge score, else no demographic variable shows any significant association with their demographic variable. In attitude score majority of the student 65 belong to the attitude score 21 40 had average attitude, 30 student belong to the attitude score 41 50 had good attitude and 5 student belong to the attitude score 1 20 had poor attitude regarding ADHD.The study results conclude that majority of the student has good knowledge and average attitude regarding ADHD. This study shows that there is a significant association between the level of knowledge with their demographic variables i.e. gender and father education .In attitude score there is a significant association between the level of knowledge and gender and age of 3rd year nursing student and there is no significant association between other demographic variables. Hence the curriculum needs to include behavior therapy for the health benefit of the students. The benefits of this study are that, by participating in the study, the students become aware of their existing knowledge and attitude regarding ADHD. Rajesh Singh | Adarsh Yadav | Basanti Kumari | Jyoti Patel | Khushi Verma | Rupal Gautam "A Descriptive Study to Assess the Level of Knowledge and Attitude Regarding Attention Deficit Hyperactive Disorder (ADHD)" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-6 , October 2021, URL: https://www.ijtsrd.com/papers/ijtsrd46482.pdf Paper URL : https://www.ijtsrd.com/medicine/nursing/46482/a-descriptive-study-to-assess-the-level-of-knowledge-and-attitude-regarding-attention-deficit-hyperactive-disorder-adhd/rajesh-singh

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Physiology of Special Chemical Sensation of Taste

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Title: Sense of Taste Presenter: Dr. Faiza, Assistant Professor of Physiology Qualifications: MBBS (Best Graduate, AIMC Lahore) FCPS Physiology ICMT, CHPE, DHPE (STMU) MPH (GC University, Faisalabad) MBA (Virtual University of Pakistan) Learning Objectives: Describe the structure and function of taste buds. Describe the relationship between the taste threshold and taste index of common substances. Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation. Recognize different abnormalities of taste perception and their causes. Key Topics: Significance of Taste Sensation: Differentiation between pleasant and harmful food Influence on behavior Selection of food based on metabolic needs Receptors of Taste: Taste buds on the tongue Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper) Primary and Secondary Taste Sensations: Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami Chemical basis and signal transduction mechanisms for each taste Taste Threshold and Index: Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine) Taste index relationship: Inversely proportional to taste threshold Taste Blindness: Inability to taste certain substances, particularly thiourea compounds Example: Phenylthiocarbamide Structure and Function of Taste Buds: Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers Location of Taste Buds: Found in papillae of the tongue (Fungiform, Circumvallate, Foliate) Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus Mechanism of Taste Stimulation: Interaction of taste substances with receptors on microvilli Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes Taste Sensitivity and Adaptation: Decrease in sensitivity with age Rapid adaptation of taste sensation Role of Saliva in Taste: Dissolution of tastants to reach receptors Washing away the stimulus Taste Preferences and Aversions: Mechanisms behind taste preference and aversion Influence of receptors and neural pathways Impact of Sensory Nerve Damage: Degeneration of taste buds if the sensory nerve fiber is cut Abnormalities of Taste Detection: Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia) Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels Neurotransmitters and Taste Threshold: Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity Supertasters: 25% of the population with heightened sensitivity to taste, especially bitterness Increased number of fungiform papillae

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DR SETH JOTHAM

The prostate is an exocrine gland of the male mammalian reproductive system It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ). It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes It’s work is regulated by androgens which are responsible for male sex characteristics Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS

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Physiology of Special Chemical Sensation of Taste

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Ethel teichberg ref 970313

1. SUPPORT NEEDED FOR OLD ADULTS AS CARETAKERS OF PERSONS WITH DEVELOPMENTAL DISABILITIES Ethel Teichberg-Sabath, PsyD, LCSW, Maria Valicenti-McDermott MD, MS, Howard Demb MD Children’s Evaluation and Rehabilitation Center-Kennedy Center, Albert Einstein College of Medicine, Bronx, NY USA

3. Unemployment

4. Child abuse and/or neglect

5. Incarceration

6. Abandonment

7. Divorce

8. Teenage pregnancy

9. Mental health problems

10. Death of a parent

11. Family violence

12. HIV/AIDS

13.

14. RESULTS Of the 82, 42(52%) children were in kinship homes and overall 27 were male.At completion of evaluation: Mean ages: - children who were in Kinship homes 4.1 +/- 2 y.o and 42(52%); - foster mother’s: 60.8 +/- 10 y.o., Twenty three caregivers, 34% of the overall sample were older than 65, 14 (42%)of the kinship vs 9 (26%) of the non kinship caregivers (p=NS).

15.

16. Parent support group

17. Education and Information

18. Companion aide or escort service

19. Personal care

20. Financial support

21. Counseling about the importance of monitoring physical health and cognitive competency.CONCLUSION This study suggests that 1/3 of a sample of young children with developmental disabilities in foster care are cared by a person who is older than 65. Future studies are needed to determine if these caretakers received enough support.

Ethel teichberg ref 970313

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Ethel teichberg ref 970313