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  • 1
    Language: English
    In: Journal of Child and Family Studies, 2012, Vol.21(5), pp.767-774
    Description: Significant gaps exist in children’s mental healthcare, and barriers prevent access to existing services. Current federal initiatives call for state governmental agencies to recognize and resolve deficits in their systems of care. Previous work has acknowledged some of the problems in meeting the mental health needs of children within a system of care. This current project sought to discriminate between gaps (e.g., non-existent services) and barriers (e.g., problems that prevent access to existing services) within state mental health care plans. Because acknowledging barriers and gaps in mental health services is a step towards systems improvement, the present project describes how state governments recognize the limits of their children’s mental health care systems. We analyzed state mental health plans submitted to the federal government in applications for block grant funds. Results illustrate that a varied number of gaps and barriers are acknowledged in state plans. Overall, 90% of state plans discussed barriers and 84% of state plans discussed service gaps. The gap most frequently recognized was lack of providers (74%), while lack of funding (52%) was the most common barrier. This project points to some recognition of system limits in the states and reflects potential efforts to create policies for system improvement for children and families.
    Subject(s): Mental health system ; State mental health plans ; Mental health policy ; Gaps in services ; Barriers in services
    ISSN: 1062-1024
    E-ISSN: 1573-2843
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  • 2
    In: International Journal of Eating Disorders, July 2018, Vol.51(7), pp.710-721
    Description: Despite changes to the diagnostic criteria for eating disorders (EDs) in the DSM-5, the current diagnostic system for EDs has limited ability to inform treatment planning and predict outcomes. Our objective was to test the clinical utility of a novel dimensional approach to understanding the structure of ED psychopathology. Participants (N = 243; 82.2% women) were community-recruited adults with a DSM-5 ED assessed at baseline, 6-month, and 1-year follow-up. Hierarchical factor analysis was used to identify a joint hierarchical-dimensional structure of eating, mood, and anxiety symptoms. Exploratory structural equation modeling was used to test the ability of the dimensional model to predict outcomes. At the top of the hierarchy, we identified a broad Internalizing factor that reflected diffuse symptoms of eating, mood, and anxiety disorders. Internalizing branched into three subfactors: distress, fear-avoidance (fears of certain stimuli and behaviors to neutralize fears, including ED behaviors designed to reduce fear of weight gain), and body dissatisfaction, which was nested within distress. The lowest level of the hierarchy was characterized by 15 factors. The hierarchical model predicted 60.1% of the variance in outcomes at 6-month follow-up, whereas all DSM eating, mood, and anxiety disorders combined predicted 35.8% of the variance in outcomes. A dimensional approach to understanding and diagnosing EDs improved the ability to prospectively predict clinical course above-and-beyond the traditional categorical (DSM-based) approach. Our findings have implications for endeavors to improve the prediction of ED prognosis and course, and to develop more effective trans-diagnostic treatments.
    Subject(s): Dimensions ; Hitop ; Hi‐Tide ; Diagnosis ; Dsm‐5 ; Outcomes
    ISSN: 0276-3478
    E-ISSN: 1098-108X
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  • 3
    Language: English
    In: Sports Medicine - Open, 2018, Vol.4(1), pp.1-3
    Description: A female with gestational diabetes presented with hip pain characteristic of meralgia paresthetica and trochanteric bursitis. She had similar episodes prior to pregnancy that were treated successfully with non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections. However, NSAID use during pregnancy poses risks to the fetus and corticosteroids carry a risk of hyperglycemia, especially in those with diabetes. Unfortunately, all attempts made to treat her conservatively failed to improve her symptoms. The use of antenatal corticosteroids as an intervention for preterm labor has been documented, but to our knowledge, there are no published reports of corticosteroid injections for orthopedic complaints in someone with gestational diabetes. Review of her glucose log showed well-controlled levels, and subsequently, a corticosteroid injection was administered. Blood glucose levels were monitored for the next 48 h, and all measurements were within normal limits. The patient’s symptoms resolved, and she went on to vaginally deliver a healthy term infant without complications, suggesting that gestational diabetes should not be used as absolute criteria to withhold corticosteroid injections for orthopedic complaints.
    Subject(s): Gestational diabetes mellitus ; Blood glucose ; Corticosteroid injection
    ISSN: 2199-1170
    E-ISSN: 2198-9761
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  • 4
    Language: English
    In: Sports (Basel), 01 November 2018, Vol.6(4), p.138
    Description: It is well established that exercise has numerous health benefits, especially in regard to weight management for the obese and overweight population. However, there is limited data to support the safety or effects of exercise in the obese and overweight pregnant population despite the fact that exercise and weight management in this demographic is particularly important. In an effort to establish the safety profile of exercise during pregnancy in this population, we tested the hypothesis that exercise would not result in adverse birth outcomes. We surveyed postpartum women with an average BMI of 34.7 regarding their participation in exercise during pregnancy. Our primary outcome of interest was small for gestational age (SGA). Secondary outcomes included gestational age at delivery, mode of delivery, head circumference, length and birthweight as compared to those who did not exercise. SGA occurred in 12.5% of women who exercised in the first trimester compared to 14.9% in those...
    Subject(s): Obesity ; Exercise ; Pregnancy ; Small for Gestational Age ; Recreation & Sports
    E-ISSN: 2075-4663
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  • 5
    Language: English
    In: Sports Health: A Multidisciplinary Approach, May 2014, Vol.6(3), pp.274-278
    Description: Context: Sidelines coverage presents unique challenges in the evaluation of injured athletes. Health care providers may be confronted with the question of when to obtain radiographs following an injury. Given that most sidelines coverage occurs outside the elite level, radiographs are not readily available at the time of injury, and the decision of when to send a player for radiographs must be made based on physical examination. Clinical tools have been developed to aid in identifying injuries that are likely to result in radiographically important fractures or dislocations. Evidence Acquisition: A search for the keywords x-ray and decision rule along with the anatomic locations shoulder, elbow, wrist, knee, and ankle was performed using the PubMed database. No limits were set regarding year of publication. We selected meta-analyses, randomized controlled trials, and survey results. Our selection focused on the largest, most well-studied published reports. We also attempted...
    Subject(s): Clinical Decision Tools ; Sidelines ; Extremity Injury ; Radiographs ; Medicine
    ISSN: 1941-7381
    E-ISSN: 1941-0921
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  • 6
    Language: English
    In: The Physician and Sportsmedicine, 03 April 2017, Vol.45(2), pp.178-183
    Description: Concussion policies are increasingly being developed and adopted among professional sports organizations. We sought to compare the policies of the National Hockey League (NHL), the National Basketball Association (NBA), the National Football League (NFL), and Major League Baseball (MLB). Our objective was to summarize each policy and evaluate the extent to which each policy is organization-specific and/or consistent with medical guidelines. We visited websites for the NHL, NBA, NFL, and MLB. We searched media articles reporting concussion policy. We utilized only publically available data. We collected information on each league's approach to the definition of concussion, education provided about concussion, baseline testing requirements, minimum return to play time and return to play protocol. We found that concussion policies vary across these organizations. Most organizations utilize the Concussion in Sport Group (CISG) definition (2013) to define concussion. The NFL and NBA...
    Subject(s): Concussion ; Sport Injury ; Professional Sport ; Policy ; Medicine
    ISSN: 0091-3847
    E-ISSN: 2326-3660
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  • 7
    Language: English
    In: Education Sciences, 2018, Vol.8, p.15
    Description: The history of vocabulary research has specified a rich and complex construct, resulting in calls for vocabulary research, assessment, and instruction to take into account the complex problem space of vocabulary. At the intersection of vocabulary theory and assessment modeling, this paper suggests a suite of modeling techniques that model the complex structures present in vocabulary data in ways that can build an understanding of vocabulary development and its links to instruction. In particular, we highlight models that can help researchers and practitioners identify and understand construct-relevant and construct-irrelevant aspects of assessing vocabulary knowledge. Drawing on examples from recent research and from our own three-year project to develop a standardized measure of language and vocabulary, we present four types of confirmatory factor analysis (CFA) models: single-factor, correlated-traits, bi-factor, and tri-factor models. We highlight how each of these approaches offers...
    Subject(s): Factor Analysis ; Correlation ; Language Tests ; Standardized Tests ; Literacy ; Semantics ; Syntax ; Word Frequency ; Vocabulary Skills ; Computer Assisted Testing
    ISSN: 22277102
    E-ISSN: 22277102
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  • 8
    Language: English
    In: Cureus, 25 August 2018, Vol.10(8), pp.e3204
    Description: Purpose Obesity and excessive weight gain during pregnancy is a growing problem, conferring severe health risks for both mother and fetus. Exercise can help combat this epidemic. However, many pregnant women are not meeting the American Congress of Obstetricians and Gynecologists' (ACOG's) 2015 guidelines for exercise during pregnancy. The objective of this study was to evaluate obstetricians' beliefs and recommendations regarding exercise during pregnancy compared to ACOG's 2015 recommendations. Method Obstetricians were recruited via three different forums to complete a twenty-question survey: at a regional conference for Alabama and Mississippi ACOG members, at the University of Alabama at Birmingham's Obstetrics and Gynecology Department's Grand Rounds, and via telephone. Univariate statistical analysis was conducted with RedCap. Results  Seventy-one surveys were completed: 33 from the ACOG conference, 27 from Grand Rounds, and 11 from those recruited by telephone. Eighty-eight percent...
    Subject(s): Aerobic ; Exercise ; Guidelines ; Pregnancy ; Recommendations ; Strength Training ; Survey
    ISSN: 2168-8184
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  • 9
    Language: English
    In: British Journal of Sports Medicine, 3 March 2020, Vol.54(Suppl 1), p.A121
    Description: Peak fertility and athletic performance coincide, placing a subset of women into competition with sparse guidance. The Valsalva maneuver has been hypothesized to increase maternal blood pressure and intra-abdominal pressure, resulting in decreased blood flow to the fetus during resistance training.
    Subject(s): Fetuses ; Strength Training ; Ultrasonic Imaging;
    ISSN: 0306-3674
    ISSN: 03063674
    E-ISSN: 1473-0480
    E-ISSN: 14730480
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  • 10
    Language: English
    In: Education Sciences, 2018, Vol.8, p.15
    Description: The history of vocabulary research has specified a rich and complex construct, resulting in calls for vocabulary research, assessment, and instruction to take into account the complex problem space of vocabulary. At the intersection of vocabulary theory and assessment modeling, this paper suggests a suite of modeling techniques that model the complex structures present in vocabulary data in ways that can build an understanding of vocabulary development and its links to instruction. In particular, we highlight models that can help researchers and practitioners identify and understand construct-relevant and construct-irrelevant aspects of assessing vocabulary knowledge. Drawing on examples from recent research and from our own three-year project to develop a standardized measure of language and vocabulary, we present four types of confirmatory factor analysis (CFA) models: single-factor, correlated-traits, bi-factor, and tri-factor models. We highlight how each of these approaches offers particular insights into the complex problem space of assessing vocabulary in ways that can inform vocabulary assessment, theory, research, and instruction. Examples include identifying construct-relevant general or specific factors like skills or different aspects of word knowledge that could link to instruction while at the same time preventing an overly-narrow focus on construct-irrelevant factors like task-specific or word-specific demands. Implications for theory, research, and practice are discussed.
    Subject(s): Factor Analysis ; Correlation ; Language Tests ; Standardized Tests ; Literacy ; Semantics ; Syntax ; Word Frequency ; Vocabulary Skills ; Computer Assisted Testing
    E-ISSN: 2227-7102
    Source: © ProQuest LLC All rights reserved〈img src="https://exlibris-pub.s3.amazonaws.com/PQ_Logo.jpg" style="vertical-align:middle;margin-left:7px"〉
    Source: ERIC (ProQuest)
    Source: ProQuest Social Sciences Premium Collection
    Source: ProQuest Sociology Collection
    Source: Education Collection
    Source: Social Science Premium Collection
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