PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Mainstreaming”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 901 records · Page 50Linked to original sources

Co-ordination screening for children with and without moderate learning difficulties: further experience with Gubbay's tests.

Modified Gubbay tests, assessing various aspects of motor performance, were administered to 885 Manchester children in mainstream primary education, and centile tables were drawn up by age. Children who had performed badly on one of the four tests were retested two years later, when they were found to have 'caught up' with controls. The primary-school children reached a ceiling in their performance by the age of nine or 10 years. A further 482 children, aged eight years to 16 years 11 months and attending schools for children with moderate learning difficulties, were assessed. These children showed continuing improvement up to the age of 14, after which little further improvement was seen. Thus this ceiling occurred some five years later than for the children in mainstream schools. On the more complex tests performance was worse than would have been predicted by general intelligence. Implications for policies of integration into mainstream schooling are discussed.

Adolescent↗

The relationship between youth substance use and area-specific self-esteem.

A cross-sectional survey design investigated the relationship of school and home self-esteem to history of substance use, membership in alternative education (non-mainstream) school programs, gender, and race. Self-esteem was assessed using the Hare Self-Esteem Scale. Four hundred eleven sixth grade students completed the survey. Results revealed home self-esteem related inversely to tobacco use (F = 15.39, df = 2,343, p < .0001), alcohol use (F = 12.08, df = 2,343, p < .0001), and use of other drugs (F = 12.28, df = 2,338, p < .0001). Similarly, school self-esteem related inversely to tobacco use (F = 15.47, df = 2,354, p < .0001), alcohol use (F = 8.74, df = 2,353, p = .0002), and use of other drugs (F = 9.30, df = 2,350, p < .0001). Regardless of type of drug, recent users had the lowest self-esteem scores on both subscales and never users had the highest scores. Subjects enrolled in non-mainstream programs had significantly lower home and school self-esteem scores than did subjects in mainstream classes. Race and gender were not associated significantly with self-esteem. Implications for youth substance use prevention and research are discussed.

Adolescent↗

Film cooling performance on curved walls with compound angle hole configuration.

In order to explore the effect of compound angle holes on film cooling over a convex wall and a concave wall, the present study adopts the transient liquid crystal thermography for conducting the film cooling measurement on simple hole and expanded-hole configurations. Two compound angles of 0 and 45 deg are tested at an elevated mainstream turbulence condition (Tu) of 3.8%. The test pieces have the different radius of curvature (2r/D) of 92.5 on convex and 86.5 on concave, and the same pitch to diameter ratio (P/D) of 3 on both convex and concave walls. All measurements were conducted under the mainstream Reynolds number (Re(d)) of 1700 on convex and 2300 on concave with the density ratio between coolant and mainstream (rho c/rho m) of 0.98. In current study, the effect of blowing ratio (M) on film cooling performance is investigated by varying the range of blowing ratio from 0.5 and 2.0. The present measured results show that the forward-expanded hole injection provides better surface protection than the simple hole injection. As far as the injection angle is concerned, compound angle injection provides higher film effectiveness than simple angle injection. However, the forward-expanded hole in injection (beta = 0 degree) has the best performance on both convex and concave surfaces.

Journal Article↗

Ethnic health workers in primary health care.

Ethnic health workers were employed to increase the access of communities of non-English-speaking background to health services, but their role has remained unclear in a national health system that has been criticised for being slow to respond to the needs of these communities. Interviews and a questionnaire were used to survey a convenience sample of 40 South Australian ethnic health workers, how they should perform their roles and their ability to fulfil them. Interviews with 11 staff from the New South Wales Ethnic Health Worker Program then provided a broader perspective to the South Australian findings. High-priority roles were to provide help to solve immediate health problems. Roles included providing access as well as services. There were pressures on ethnic health workers to become service providers: clients from non-English-speaking backgrounds expected assistance with a wide range of problems, and mainstream staff lacked competence in meeting these needs. Ethnic health workers' involvement in needs assessment and health agency change was limited by these pressures, by ethnic health workers' separation from the work of mainstream staff and because systematic planning of services to non-English-speaking communities was lacking. The appropriate role for an ethnic health worker is as an access provider, with a greater emphasis on needs assessment and agency change. Agencies need to develop culturally appropriate service plans and training so that ethnic health workers and mainstream staff are better able to work together.

Australia↗

Inhalation of sidestream cigarette smoke accelerates development of arteriosclerotic plaques.

BACKGROUND: Environmental tobacco smoke has been blamed for approximately 40,000 excess deaths from heart disease annually in the United States. As yet, no pathophysiological process that could be responsible for these deaths has been identified. Environmental tobacco smoke is composed mainly of aged and diluted sidestream smoke but also contains 15% to 20% exhaled mainstream smoke. Carcinogens, including nitrosamines and polynuclear aromatic hydrocarbons, are present in mainstream smoke and sidestream smoke. Carcinogen levels in sidestream smoke, unlike those in mainstream smoke, are not reduced in filtered cigarettes. The US Environmental Protection Agency has designated environmental tobacco smoke as a human (class A) carcinogen. In cockerels, subtumorigenic doses of polynuclear aromatic hydrocarbons carcinogens accelerate aortic arteriosclerotic plaque development. METHODS AND RESULTS: To determine whether sidestream smoke inhalation affects arteriosclerotic plaque development, we exposed cockerels to sidestream smoke (n = 30) or to filtered air (n = 12) in inhalation chambers for 6 hours per day, 5 days a week from 6 to 22 weeks of age (0.4% of projected lifespan). Chamber levels of carbon monoxide, total suspended particulates, and nicotine were measured regularly during the exposures. The abdominal aorta from each cockerel was cut into 10 segments, and the plaque index (mean plaque cross-sectional area [mm2]/mean luminal circumference [mm] x 100) was calculated for each segment. There were no differences in plaque incidence or distribution between sidestream smoke-exposed and control cockerels; however, plaque indexes were significantly greater for sidestream smoke-exposed than control cockerels in all segments. CONCLUSIONS: Thus, relatively brief exposures to sidestream smoke early in life are sufficient to enhance arteriosclerotic plaque development.

Animals↗

The use of folk healing and healers by six Latinos living in New England: a preliminary study.

The purpose of this qualitative study is to describe Latinos' use of folk medicine and the values associated with it in the context of mainstream health care. The research questions focused on the meaning of folk medicine in the Latino culture and how participants made decisions regarding the use of folk medicine or modern biomedicine. Interviews were conducted with six Latinos living in a New England city who had used folk medicine. Three themes were identified: being sick, healers and healing, and faith and believing. The participants in this study valued their cultural folk medicine and folk healers. However, none relied exclusively on folk medicine. All used mainstream health care providers for specific purposes. A major reason for not using mainstream health care providers more frequently was the perceived lack of holistic care and the use of medicines that are not natural.

Adult↗

Considering the interplay of cultural context and service provision in intimate partner violence: the case of Haitian immigrant women.

This qualitative study explored how the cultural context of intimate partner violence affected accessibility to mainstream services for one immigrant group: Haitian women. Analysis of the data revealed two major themes. First, the nature and context of intimate partner violence in the Haitian immigrant community contribute to Haitian women's reluctance to seek services as well as their overall vulnerability to intimate partner violence. Second, mainstream services are largely inaccessible to Haitian women. The authors conclude with suggestions for overcoming cultural barriers through education, increasing cultural competency of mainstream services, and creating alternative community-based services.

Adult↗

Social skills assessment of children with autism in free-play situations.

Poor social functioning and limited play are characteristic of children with autism. Increasingly, education for children with autism is provided within mainstream settings, but given their particular difficulties, the adequate provision of educational services in such settings is challenging. This study presents observational data of the play behaviour and social interaction patterns of 10 children with autism in mainstream kindergartens and primary school playgrounds. The target children differed significantly in terms of their play and social interactions from typically developing children in the same settings. The adequacy of the provision of services for children with autism in mainstream provision is discussed.

Adaptation, Psychological↗

The health bus: healthcare for marginalized populations.

The Health Bus, an innovative outreach program, serves the marginalized population of a large Canadian city. In this article, a needs assessment/evaluation study of its services is discussed. Barriers to mainstream healthcare and solutions are examined. This study was qualitative, descriptive, and exploratory and surveyed 58 client volunteers of the program through semistructured interviews and focus groups. Thematic analysis of data was carried out. The Health Bus was found to provide basic healthcare and supplies effectively. Clients value respectful treatment, competency of healthcare professionals, and accessibility, whereas disrespectful treatments and lack of transportation are barriers to mainstream healthcare. A conclusion of this study is that Health Bus services should be expanded with clients' input. Mainstream institutions need flexibility and a change in attitudes toward the marginalized.

Adult↗

Health disparities and advertising content of women's magazines: a cross-sectional study.

BACKGROUND: Disparities in health status among ethnic groups favor the Caucasian population in the United States on almost all major indicators. Disparities in exposure to health-related mass media messages may be among the environmental factors contributing to the racial and ethnic imbalance in health outcomes. This study evaluated whether variations exist in health-related advertisements and health promotion cues among lay magazines catering to Hispanic, African American and Caucasian women. METHODS: Relative and absolute assessments of all health-related advertising in 12 women's magazines over a three-month period were compared. The four highest circulating, general interest magazines oriented to Black women and to Hispanic women were compared to the four highest-circulating magazines aimed at a mainstream, predominantly White readership. Data were collected and analyzed in 2002 and 2003. RESULTS: Compared to readers of mainstream magazines, readers of African American and Hispanic magazines were exposed to proportionally fewer health-promoting advertisements and more health-diminishing advertisements. Photographs of African American role models were more often used to advertise products with negative health impact than positive health impact, while the reverse was true of Caucasian role models in the mainstream magazines. CONCLUSION: To the extent that individual levels of health education and awareness can be influenced by advertising, variations in the quantity and content of health-related information among magazines read by different ethnic groups may contribute to racial disparities in health behaviors and health status.

Adolescent↗

New paradigms for research on heterosexual and sexual-minority development.

As psychological research on sexual-minority (i.e., nonheterosexual) adolescents has increased over the past 20 years, it has become increasingly segregated from research on mainstream heterosexual youths, as if the knowledge gleaned from each population had nothing to offer our understanding of the other. To the contrary, understanding of both populations would be greatly improved by integrating investigations of sexual-minority issues into mainstream psychological research on adolescents. I outline 4 weaknesses in contemporary research on sexual-minority youth that stem from--and perpetuate--its historical isolation from mainstream developmental research: misspecification of the populations under study, lack of attention to within-group diversity, failure to test alternative explanations for--and moderators of--"sexual-minority effects," and insufficient attention to the underlying processes and mechanisms through which sexual-minority effects operate. Correcting these weaknesses has important implications for future research on how same-sex and other-sex sexuality shape adolescent psychosocial development and clinical child and adolescent problems.

Adolescent↗

Future migratory behaviour predicted from premigratory levels of gill Na+/K+-ATPase activity in individual wild brown trout (Salmo trutta).

The relationship between premigratory gill Na+/K+-ATPase activity, determined at two dates during spring, and future migratory behaviour was investigated using non-lethal gill biopsies and PIT-tagging in wild brown trout (Salmo trutta) from two tributaries. No significant relationship between future migratory strategy (individuals eventually becoming migrants or residents) and gill Na+/K+-ATPase activity was found in late February-early March. By contrast, in mid-April, a highly significant logistic regression equation identifying the migratory strategy in 93% of the 75 individuals was obtained. The ability of this regression model from the tributaries to predict future migratory behaviour in an independent group of trout caught in early April in the mainstream was evaluated. A threshold probability of migration was used to predict the behaviour of the mainstream individuals as either future migrants or residents. The maximum percentage of correct predictions of future migratory behaviour in mainstream fish was observed at threshold probabilities between approximately 0.15 and 0.45 (corresponding to threshold gill Na+/K+-ATPase activities between 2.7 and 3.7 micromol ADP mg(-1) protein h(-1)), with an average of 91% of the predictions being correct. The present study shows that a non-lethal premigratory biochemical measurement can successfully select individual brown trout with high probability of migration.

Animal Migration↗

By women, for women: the continuing appeal of women's health centres.

During the 1970s and '80s, several dozen women's health centres (WHCs) were established in Australia. Most of these centres are government-funded feminist community health facilities run by women, for women. With other women's health initiatives, WHCs are subject to financial and political pressure. This paper draws on data from a study of nearly 400 women clients of women's health and generalist community health centres to examine the continuing appeal of WHCs in the increasingly conservative political environment of the late 1990s. I explore such questions as: Does Australia still need WHCs? Do they offer anything that cannot be obtained elsewhere, and if so, what? This discussion focuses particularly on women's comments about the centre where they were interviewed and their views--both positive and negative--about WHCs more generally. The appeal of WHCs appears to be based on several qualities and resources: best-practice in certain clinical domains; sympathetic care for clients who find it difficult to obtain good care elsewhere; time for complex or distressing health problems; both general and specific health information; sociability and empowerment through participation in groups; and opportunities for active health development. In some cases, a woman private practitioner might supply an alternative to a WHC. Other valued elements are probably results of the fact that these are publicly funded community health agencies with salaried staff and similar qualities might be found in a mixed-sex community health facility. But only women's health centres combine the two, and embed them in a feminist philosophy and analysis of women's health and health care. In addition, WHCs' influence on the mainstream may benefit many more women than those who go to a centre. WHCs serve as models, innovate and collaborate with mainstream agencies, train service providers, and develop information and educational resources. These twin aims of supplying gender-specific services and enriching the mainstream continue to guide the work of WHCs.

Attitude to Health↗

Prospects for single payer coverage after Harry and Louise.

PURPOSE OF THE STUDY: This paper considers evidence of indirect influences of the Harry and Louise media campaign on public support of single payer health coverage in a conservative state. DESIGN AND METHODS: Data from a statewide, representative public opinion survey on health reform conducted in Oklahoma over a two-year period, 1992-1994, were combined with data on the Harry and Louise media campaign broadcasts. A two-stage structural-equation model tested the hypothesis that support for single payer varied inversely with support for "mainstream" health reform. RESULTS: Findings support the hypothesis, providing evidence that a campaign affecting support for mainstream health reform inversely affects support for single payer, despite the tendency for support for health reform to correlate with support for single payer. IMPLICATIONS: Findings suggest that an unintended indirect effect of a campaign against mainstream health reform may have been increased support for single payer. Those proposing future reforms should be aware of available media technologies and how they will be used.

Adult↗

Social experiences of hearing-impaired high school youth.

The purpose of the present study is to investigate the reasons why hearing-impaired students describe their high school experiences as positive or negative and to identify the specific classroom dynamics that contribute to or detract from social development. Data were collected from 49 hearing-impaired undergraduate students who were asked to describe their high school experiences on an open-ended questionnaire with a follow-up interview. The results indicated that graduates of residential programs described their social experiences significantly more positively than graduates of mainstream programs. Reasons included their teachers' ability to sign, socializing with friends and participation in after-school activities. Positive feelings in mainstream programs were associated with such factors as availability of supportive services, ability to voice and lipread, parent involvement, encouragement of interaction and deaf awareness by the teachers. Mainstream students who had the benefit of supportive services reported different perceptions of supportiveness of the academic environment and of teachers' expectations than did those who had no such services in high schools. Implications are drawn for the improved academic and social development of hearing-impaired high school students.

Adolescent↗

Formaldehyde exposures from tobacco smoke: a review.

Reports of formaldehyde levels in mainstream, sidestream, and environmental tobacco smoke from nine studies are reviewed. Considerable disparity exists between formaldehyde production rates determined from mainstream-sidestream studies and those reporting levels in environmental tobacco smoke. Tobacco smoke does not appear to increase vapor-phase formaldehyde levels significantly in indoor environments, but formaldehyde exposure in mainstream smoke may pose a risk of upper respiratory system cancer and increase the risk of cancer in smokers.

Environmental Exposure↗

Nitrogen contamination in the Yellow River basin of China.

Nitrogen contamination is one of the most serious problems in the Yellow River of China. This study was conducted to analyze monitoring data on nitrogen contamination for the Yellow River basin in the years 1980, 1990, 1997, and 1999. Several significant results have arisen from the study. First, in conjunction with an increase in economic indexes from the Yellow River's upper basin to its lower basin, the nitrogen concentration in the tributaries also showed an increasing trend from the upper to the lower basin, which, in turn, led to an increase in the nitrogen concentration of the mainstream from the upper to the lower reaches. Second, nitrogen in the river water in the mainstream and the tributaries of the Yellow River was attributed mainly to point sources. In spite of the fact that the ratio of point to nonpoint sources decreased from 2.7 in 1990 to 1.8 in 1997 for total inorganic nitrogen in river water at the Tongguan Station in the lower basin, point sources increased more than nonpoint sources. Third, the ammonium nitrogen and total inorganic nitrogen content of the river water increased significantly in the mainstream and the tributaries during the 1980-1999 period, a change caused by an increase in wastewater discharge and nitrogenous fertilizer application in the Yellow River catchment.

Ammonia↗

Is political conservatism synonymous with authoritarianism?

The authors performed 2 studies that tested the distinction between conservative political ideology and right-wing authoritarianism (RWA). Across these studies, moderate relationships emerged between RWA and our measures of cognitive rigidity, whereas the relationship between rigidity and mainstream conservative ideology was not as strong. The authors used partial-correlation and path analyses to assess the possibility that RWA mediates the relationship between (a) cognitive rigidity and (b) mainstream conservative attitudes and self-identified conservatism. The results indicated that conservatism is not synonymous with RWA. Additionally, RWA appeared to partially mediate the relationship between cognitive rigidity and mainstream conservatism.

Adolescent↗