My main question in this essay has been: why does the preschool advocate being outdoors? How should we respond to parents who have a different view on this? Children's right to participation and influence is also a question that I raise. How should we preschool teachers do when we stand between the child's desire to be out and the parents wish that their child should be indoors? By reading what is written in the preschool curriculum on children's influence, I have come to the conclusion that we preschool teachers must listen to what the children express that they wish to do, otherwise we go against our policy documents. My dilemma is about how to respond to parents who have a different opinion on being outdoors than we have. Many parents express an aversionagainst their children having to be outdoors. Us preschool teachers have to explain to them why it is important to be outdoors. Through literature, I have come to the conclusion that the only way for the children to get an understanding about natural science, is to be outdoors. In order to acquire knowledge of nature and the environment, you have to experience it with your senses. Cultural clashes between preschool teachers and parents can occur because many of the parents come from different cultures than we do. You must therefore have an interest in learning about other cultures and also have an open approach towards the cultural differences that may arise between the teachers and the parents. What I have learned by writing this essay is, that it is important to have the ability to understand what other people think and also show an interest in their culture, norms and values. By taking the time to listen to the parent’s feelings and explain to them why we believe it is important to be outdoors, I think that the parents can get a better understanding of why it is good to be outdoors. By explaining to them that it is about giving their child a natural science learning, which is useful in their future life, I believe that they can see this from a different point of view. I also discuss, from a historical perspective, how the idea of the “competent child” has developed in Sweden.

Natural disasters disrupt African American communities in the United States and can exacerbate the degree of poverty for individuals within these communities, necessitating greater aid from local, state, and federal governments. The purpose of this study was to investigate the role of cultural competence in disaster response serving African American communities. This research study focused on emergency manager's comprehension and education of cultural competence, what they recognized to be vital elements of a culturally competent emergency manager, and what the obstacles and components are to bring about the changes to the profession. This study used a qualitative case study design and a theoretical framework based on the Campinha-Bacote model for care for cultural competence. Study data from interviews with 15 emergency manager practitioners and African American disaster survivors were inductively coded and thematically analyzed. The study produced data regarding cultural competence, values, ethics, beliefs, and thought processes of the participants. The findings showed that the emergency managers and survivors had diverging or contrasting beliefs of the emergency managers' cultural competency levels; this difference in perception was the major theme of the study. The study also concluded that implementing the Campinha-Bacote model for Cultural Competence in the Delivery of Healthcare Services, emergency managers dramatically improve disaster response and recovery efforts not only to the African American community but other diverse minority communities as well. This study contributes to positive social change by helping U.S. emergency managers become more culturally competent and better equipped to serve diverse minority communities during a disaster.

Bereavement is an experience that most people will encounter multiple times across their lifetime. Some people who experience grief are going to seek support in this process from a therapist. The NASW Code of Ethics suggests that social workers only practice in fields in which they are competent. This study will look at the self-perceived grief competency of master’s level therapists. Demographic data and a survey designed to measure the competency of a master’s level therapist was utilized to collect data to measure the self-perceived grief competency. Data collected was analyzed using descriptive statistics, one-way between groups ANOVA, and correlation analysis. The results of this study were mixed. Overall, there was no significant difference between MSWs, MFT and other therapists in their grief experience. However, among other significant findings, years in the field is associated with higher levels of training and experience. Further research will be needed to better assess for preparedness. However, findings suggest the importance of training social workers to adequately meet the needs of grieving individuals in lieu of years of experience.

Because of the increasing number of serious risk factors which predispose a normally immune competent host to infection, the incidence of systemic fungal infections is steadily increasing. This epidemiological rise has especially become apparent since the onset of the AIDS epidemic. Amphotericin B is the drug of choice for these life-threatening mycotic infections. Complications due to drug toxicity, however, severely limit amphotericin B's clinical usefulness. The major complication associated with the administration of amphotericin B is renal toxicity. Research has indicated, however, that besides its antifungal activities, amphotericin B may act as an immune stimulant of both humoral and cellular responses. A new formulation, liposomal amphotericin B, has been developed which has proven to be significantly less toxic to the kidneys. Research has suggested that liposomal amphotericin B may also act as an immune stimulant. Recent reports have also suggested that its stimulatory capabilities may possibly exceed those of the non-liposomal preparations. The purpose of this study was to quantify the specific effects of amphotericin B and liposomal amphotericin B on the in vitro indices: cellular viability, B- and T-lymphocyte proliferation and macrophage activation as indicators of immune system functions. Spleen cells from immune normal, and immune compromised BALB/c female mice were harvested following euthanasia and incubated in the presence of the two drugs. Drug doses were chosen to correlate with those surrounding clinically relevant plasma concentrations. Cyclosporine and cyclophosphamide were used as immune suppressants to simulate organ transplant patients and patients receiving cancer chemotherapy, respectively. Results indicated that amphotericin B consistently reduces the ability of B-cells and T-cells to proliferate and the ability of macrophages to produce interleukin-1. Though direct cytotoxicity may play a part in these assays, it is probably minor because viability studies show no more than a ten percent reduction due to amphotericin B compared with its liposomal analogue. Liposomal amphotericin B was shown to be non-toxic in each of the immune parameters. It appeared that liposomes may be an important means of delivering more drug to a host infected with a fungal organism without further compromising the patient's already suppressed immune system.

Thesis (Ph. D.)--University of Missouri-Columbia, 2003. / Typescript. Vita. Includes bibliographical references (leaves 46-49). Also available on the Internet.

Thesis (Ph. D.)--University of Missouri-Columbia, 2003. / Typescript. Vita. Includes bibliographical references (leaves 46-49). Also available on the Internet.

The purpose of this study was to identify the knowledge and skills required for competent therapeutic recreation practice in Canada. Research participants were 244 members of therapeutic recreation professional associations in Canada. Results from this study indicated that significant differences in competency areas exist between certified and non-certified therapeutic recreation practitioners, between practitioners with a degree and diploma, between practitioners in varying demographic regions in Canada and between practitioners with varying years practicing in the profession of Therapeutic Recreation. Implications for therapeutic recreation practice and future research are presented for discussion.

A phenomenological interview study on preschool teachers approach to children´s conflicts Our intention was to study six preschool teachers approach to child conflicts in preschool and the strategies they use to deal with conflicts. The aim of the study is to provide knowledge about how the values of the preschool teachers express themselves in the educational environment and how they relate to children's conflicts. The following two inquiries are examined in this study: What strategies does the preschool teacher describe that she applies in different conflict management situations? What values are expressed in the preschool teacher's strategies in conflict between children?                                   This study follows a quantitative method with a phenomenological research approach. It is based on material from interviews with six different preschool teachers who work in the preschool and preschool class. The theoretical starting point for the study is Vygotsky’s sociocultural theory, which proceeds from children learning by social interactions. The result shows that preschool teachers use different strategies depending on the nature of the conflict. It furthermore shows that all preschool teachers perceive children as competent and they emphasise the importance of letting the children be a part of the conflict management. Their experience is that the environment plays a determinant part in children’s interactions. All preschool teachers had a view of children with the purpose of always acting in their best interests. All pointed out the important part the presence of a pedagogue has to get the conflict management to work.

Purpose: This DNP project examines the effectiveness of a brief educational presentation to improve cultural competency care for obesity among African Immigrants. This project focused on providers at southwestern urban primary care clinic to become culturally competent in caring for African immigrants with obesity. The findings and recommendations of this project also serve as resource for other providers locally and nation-wide who provide care for African immigrant population. Method: Utilizing a purposeful sampling method, quantitative pre-test and post-test questionnaires were used to evaluate cultural knowledge and intended clinical practices of participants (N =5), feasibility and satisfaction of the educational activity. Aggregate data collected from the pre-and post-test questionnaires were analyzed and discussed through thematic and descriptive analysis. Results: All participants demonstrated significant enhancement in cultural competency in knowledge in regard to nutrition, physical activity and linguistics/communication, body image perception and obesity management in African cultural context. Also, one hundred percent (n=5) of the participants recorded very high level of satisfaction of the intervention content and delivery. Conclusion: The education intervention was successful in enhancing providers’ cultural knowledge and competence in caring for African immigrants with obesity. It also serves as valuable initiative to further develop culturally competent care based on evidence-based practice to enhance the quality of care delivery for African immigrants as well as other vulnerable minority populations. For the over two million African Immigrants in the United States, obesity and its related complications is a constant struggle for this minority population. Health disparities exist for all minority groups suffering from poverty in the US, and the immigrant population is at a higher risk for these disparities due to the slower rate of acculturation. The effort to address obesity among immigrants especially those of African descent is significantly influenced by providers’ cultural knowledge, sensitivity and competency in healthcare delivery. This project outlines the development, implementation and evaluation of a brief PowerPoint presentation aiming to educate healthcare providers on cultural competency and appropriateness in caring for African Immigrants with obesity.

Research suggests that social work students' attitudes towards the LGBTQ populations fail to mirror the expectations of the National Association of Social Workers (NASW), and its code of ethics. In this cross-sectional research study, a survey distributed to undergraduate and post-graduate part-time and full-time social work students conducted by two students of a post-graduate social work program, is an assessment of social work students' attitudes and knowledge of competent practice with lesbian, gay, bisexual, transgender and questioning clients. This researcher used the findings of the study used to analyze: the relationship between social work students' age and knowledge of competent practice with LGBTQ clients, the relationship between social work students' gender and attitudes toward practice with LGBTQ clients, the relationship between social work students' race and attitudes toward practice with LGBTQ clients, the relationship between social work students' campus region and attitude and knowledge of competent practice with LGBTQ clients, the relationship between social work students' degree program/level and knowledge of competent practice with LGBTQ clients, and students' knowledge of effective responses to ethical dilemmas involving LGBTQ clients. The goal of this researcher is to use the study's findings to contribute to the literature on this topic and to influence changes in social work schools' methods of preparing students for practice with this population.