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Why the United States has failed to establish a comprehensive high-quality child care program is the question at the center of this book. Edward Zigler has been intimately involved in this issue since the 1970s, and here he presents a firsthand history of the policy making and politics surrounding this important debate. Good-quality child care supports cognitive, social, and emotional development, school readiness, and academic achievement. This book examines the history of child care policy since 1969, including the inside story of America's one great attempt to create a comprehensive system of child care, its failure, and the lack of subsequent progress. Identifying specific issues that persist today, Zigler and his coauthors conclude with an agenda designed to lead us successfully toward quality care for America's children. © 2009 by Yale University. All rights reserved.

There have been a large number of projects based on the Distributed Object Oriented (DOO) approach for solving complex problems in various scientific fields. The Mismatch problem is one of the most important problems facing the DOO system, where the initial design of the DOO application does not give the best class distribution. In such a case, the DOO software may need to be restructured. In this paper, we propose a methodology for efficiently restructuring the DOO software classes to be mapped on a distributed system consisting of a set of nodes. The proposed methodology consists of two phases. The first phase introduces a recursive graph clustering technique to partition the OO system into subsystems with low coupling. The second phase is concerned with mapping the generated partitions to the set of available machines in the target distributed architecture. A simulation evaluation was carried out for a set of randomly generated DOO software designs. Then the results were compared with those of the K-Partitioning algorithm in terms of the overall inter-class communication cost. © 2008 IEEE.

All in all, citation searching is a wonderful way to build a comprehensive body of knowledge. The databases allow you to follow a trail of cited references that weaves a web of information across the boundaries of time and subject limitations. It eliminates your need to know appropriate synonyms or subject-specific lingo in order to perform effective searches that yield inclusive results. Citation searching saves time while also increasing the likelihood that your search results will be appropriate for your needs. Citation searching is not just useful for librarians but for other searchers as well. If you need a comprehensive literature review - whether you're a librarian, faculty member, student, or scientist - you would benefit greatly from the capabilities of citation searching databases. The training program for citation searching at the University of Connecticut taught graduate students all these tricks and more. Students who attended our sessions now know how to do broad, interdisciplinary searches after they have searched their primary subject database. They also understand how to "chain" from the original article to the "backward" citations in that article and to the "forward" articles that cited the original. Finally, they see how they can use citation databases to find information about who's citing their articles, which they can use for job searching and grant proposals, promotion, and tenure. Try it yourself - you're sure to find something new!

Arthritic conditions affect more than 40 million americans and are a major cause of physical disability. Resistance training has been found to improve muscular performance in persons with osteoarthritis and rheumatoid arthritis. This column discusses the benefits of resistance training in persons with osteoarthritis and rheumatoid arthritis and provides general suggestions for developing safe, effective resistance training programs. © National Strength and Conditioning Association.

As a model of care, CARELINK promotes self-care and self-management of chronic illnesses for homebound older adults no longer eligible for skilled nursing services. A case-study method is used to highlight the key constructs and outcomes related to the model. The benefits of applying the CARELINK model as a cardiac management program for home care are discussed.

Nursing students entering psychiatric settings for clinical practice need a solid foundation of therapeutic communication skills. This article presents an innovative strategy for nursing students to practice therapeutic communication skills with psychiatric patients by using hi fidelity simulation with Laerdal SimMan. Using the SimMan vocal function enabled nurse educators to develop communication algorithms that allowed students to interact with SimMan as they would with psychiatric patients. The SimMan algorithms can be designed to mimic many scenarios typically found in psychiatric settings. Nursing students can use this technology to take the therapeutic communication skills they have learned in the classroom and practice them in a safe laboratory environment before entering actual psychiatric settings. The ability of students to practice communication skills prior to entering psychiatric settings can promote effective therapeutic communication skills and decrease student anxiety. Copyright ©2008 The Berkeley Electronic Press. All rights reserved.

Postmodernism and the Politics of ‘Culture’ is a comparative critical analysis of the political and intellectual ambitions of postmodernist critical theory and the academic discipline of cultural studies. Katz’s polemical aim is to show that cultural studies comes up short in both areas, because its practitioners focus on too-narrow issues-primarily, celebrating the folkways of micro-communities-while denying the very possibility of studying, understanding, and changing society in any comprehensive way and to any universally beneficial purpose. He argues that scholars and activists alike would do well to make use of the analytical tools of postmodernist critical theory, whose practitioners acknowledge the political significance of the differences between social groups, but do not consider them to be unbridgeable, and so seek to develop a set of practices for creating a truly inclusive, truly democratic public sphere. © 2000 Taylor & Francis. All rights reserved.

Have you ever watched as care providers, be they student nurses or staff nurses, display behaviors that seem to indicate that they are becoming overwhelmed by situations in the acute care setting? Have you also observed other providers who seem to thrive on the "challenges" presented by these same situations? The same situation stimulates responses that reflect opposite ends of a continuum, the continuum of tolerance of ambiguity. The nurse educator needs to develop a greater understanding of the elements in the clinical situation (the ambiguities) that have stimulated the behavioral responses, and how an individual's level of tolerance of ambiguity influences reactions to the ambiguous situations. These understandings provide the nurse educator with the foundation for developing teaching strategies to facilitate effective management of ambiguous situations in clinical settings.

Recently published consensus statements and conference proceedings from the Cystic Fibrosis Foundation provide new direction with regard to the etiology, diagnosis, and treatment of the adult patient with cystic fibrosis (CF). Survival has improved through early diagnosis and improved treatment, and aggressive management of complications. The current state of knowledge, the most recent evidence-based treatment options, and essentials of nursing care for the adult patient with CF are outlined.

Since the advent of medical treatments for HIV, the promotion of adherence to these difficult treatment regimens has proven critical to disease management. Three Connecticut state-funded HIV medication adherence programs were evaluated.1 The purpose of this process evaluation was to explore and compare the goals and modality of each adherence program, assess client and staff satisfaction, and provide recommendations for the improvement of these programs. Focus group interviews with clients and individual interviews with staff were conducted at each of the programs. Interviews were transcribed, coded and analyzed with a code and retrieve method of theme identification. Focus group themes included the importance of social support on medication adherence and the "lifesaving" effect the program has had. The staff expressed that although complete adherence should be the long-term objective, more intermediate objectives should be considered (e.g., behavioral changes to increase clients' ability, self-esteem, and self-efficacy to take medications).