13 results on '"R, Stelter"'
Search Results
2. Profiles of the parenting experience in families of autistic children
- Author
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Jessica L Greenlee, Emily Hickey, Claire R Stelter, Tuyen Huynh, and Sigan L Hartley
- Subjects
Developmental and Educational Psychology - Abstract
Parents of autistic children experience more parenting stress and are at increased risk for poor mental and physical health compared with parents of neurotypical children; however, not all parents are distressed. The present study used a person-centered analytic approach to identify profiles of the parenting experience in a sample of 183 mothers and fathers of an autistic child (5–12 years old) and to examine associations between profile membership and child outcomes. Results indicated three profiles for mothers: Adaptive (41.1%; high authoritative parenting, lowest stress, and highest competence), Average (42.1%; sample average of all parenting indicators), and Distressed (16.8%; high stress, low competence, maladaptive parenting strategies). Fathers were classified into four profiles: Adaptive (33.3%), Average (37.7%), Distressed—Permissive (15.3%; high stress, low competence, permissive parenting strategies), and Distressed—Authoritarian (13.6%; some stress, lowest competence, authoritarian parenting strategies). The profiles differed on child internalizing and externalizing symptoms and autism symptom severity. Comparative analysis also revealed that children did better when at least one parent was included in the Adaptive group. Implications of these findings are discussed and include fostering empowering messages to parents as well as providing useful new insight in the context of family-focused interventions. Lay abstract Research shows that parents of autistic children, on average, are stressed; however, there is likely an array of factors that characterize the parenting experience in the context of autism other than stress. Understanding the diversity in the parenting experiences of both mothers and fathers of autistic children is important in the development of family-based intervention. A total of 188 co-habiting couples with an autistic child described their parenting experiences using a series of questionnaires examining their feelings of stress, parenting competence, and parenting attitudes and behaviors. We then sorted responses into profiles—three for mothers and four for fathers. We found that children of parents who reported the least amount of stress, highest feeling of competence, and use of responsive and directive parenting strategies (the Adaptive profile) had children with the least severe behavioral problems and autism symptoms. It was not necessary for both parents to be in the Adaptive category for child emotional and behavioral problems to less severe. We found that children did just as well when one parent was Adaptive compared with when both parents fell into this category.
- Published
- 2023
3. Exploring the Perspectives of Parents and Siblings Toward Future Planning for Individuals With Intellectual and Developmental Disabilities
- Author
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Meghan M. Burke, Chung eun Lee, and Claire R Stelter
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Adult ,Male ,Parents ,Developmental Disabilities ,Family support ,Adult offspring ,Health Services Accessibility ,Patient Care Planning ,Education ,Developmental psychology ,Interviews as Topic ,Young Adult ,Family relations ,Intellectual Disability ,Intellectual disability ,Developmental and Educational Psychology ,medicine ,Humans ,Young adult ,Aged ,Community and Home Care ,Health Services Needs and Demand ,Siblings ,Middle Aged ,medicine.disease ,Psychiatry and Mental health ,Caregivers ,Pediatrics, Perinatology and Child Health ,Female ,Family Relations ,Psychology - Abstract
Parents often provide the bulk of caregiving supports for their adult offspring with intellectual and developmental disabilities (IDD). Given the longer lives of people with IDD, however, such caregiving roles may transition to siblings. Thus, it is critical to conduct future planning among family members (e.g., parents, siblings) to prepare for the transition of caregiving roles. To this end, we interviewed 10 parent-sibling dyads (N = 20) of people with IDD about long-term planning. Both parents and siblings reported family-related and systemic barriers to developing future plans. Siblings (unlike parents) reported wanting more communication among family members about planning. Implications for future research and practice are discussed.
- Published
- 2019
- Full Text
- View/download PDF
4. One Health operations: a critical component in the International Health Regulations Monitoring and Evaluation Framework
- Author
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Allan Bell, Julio Pinto, S de la Rocque, Frederik A Copper, Landry Ndriko Mayigane, A Di Giacinto, A H El Idrissi, L Suryantoro, S Corning, G. Belot, Q Huda, Stella Chungong, Nicolas Isla, J Stratton, F Caya, M. Carron, Rajesh Sreedharan, R Stelter, L Mumford, and H J Ormel
- Subjects
0106 biological sciences ,Process management ,Corporate governance ,General Medicine ,Monitoring and evaluation ,010603 evolutionary biology ,01 natural sciences ,International Health Regulations ,03 medical and health sciences ,0302 clinical medicine ,One Health ,Work (electrical) ,General partnership ,Action plan ,Animal Science and Zoology ,030212 general & internal medicine ,Business ,Inclusion (education) - Abstract
Under the International Health Regulations (IHR, 2005), a legally binding document adopted by 196 States Parties, countries are required to develop their capacity to rapidly detect, assess, notify and respond to unusual health events of potential international concern. To support countries in monitoring and enhancing their capacities and complying with the IHR (2005), the World Health Organization (WHO) developed the IHR Monitoring and Evaluation Framework (IHR MEF). This framework comprises four complementary components: the State Party Annual Report, the Joint External Evaluation, after-action reviews and simulation exercises. The first two are used to review capacities and the second two to help to explore their functionality. The contribution of different disciplines, sectors, and areas of work, joining forces through a One Health approach, is essential for the implementation of the IHR (2005). Therefore, WHO, in partnership with the Food and Agriculture Organization of the United Nations (FAO), the World Organisation for Animal Health (OIE), and other international and national partners, has actively worked on facilitating the inclusion of the relevant sectors, in particular the animal health sector, in each of the four components of the IHR MEF. Other tools complement the IHR MEF, such as the WHO/OIE IHR-PVS [Performance of Veterinary Services] National Bridging Workshops, which facilitate the optimal use of the results of the IHR MEF and the OIE Performance of Veterinary Services Pathway and create an opportunity for stakeholders from animal health and human health services to work on the coordination of their efforts. The results of these various tools are used in countries' planning processes and are incorporated in their National Action Plan for Health Security to accelerate the implementation of IHR core capacities. The present article describes how One Health is incorporated in all components of the IHR MEF.
- Published
- 2019
- Full Text
- View/download PDF
5. Trajectories of Dysregulation in Children with Autism Spectrum Disorder
- Author
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Brianna Piro-Gambetti, Jessica L Greenlee, Claire R Stelter, and Sigan L. Hartley
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Male ,Parents ,Autism Spectrum Disorder ,05 social sciences ,MEDLINE ,medicine.disease ,Article ,03 medical and health sciences ,Clinical Psychology ,0302 clinical medicine ,Cognition ,Autism spectrum disorder ,Child, Preschool ,Adaptation, Psychological ,Developmental and Educational Psychology ,medicine ,Humans ,0501 psychology and cognitive sciences ,Female ,Parent-Child Relations ,Psychology ,Child ,030217 neurology & neurosurgery ,050104 developmental & child psychology ,Clinical psychology - Abstract
OBJECTIVE: This study determined whether child and family environment factors are associated with differences in developmental trajectories of emotional and behavioral dysregulation in children with autism spectrum disorder (ASD). METHOD: Participants included 186 families of a child with ASD (5-12 years old at baseline; 86% male; 83% non-Hispanic Caucasian; 35% comorbid intellectual disability). At each of the four time points (each spaced 12 months apart), mothers and fathers within each family completed well-validated measures on their own mental health, their child’s dysregulation, their parent-child relationship, and their parent couple relationship. Longitudinal multi-level modeling was used to describe trajectories of dysregulation across three years and test whether parent depression, closeness in the parent-child relationship, and positive parent dyadic coping were associated with differences in child trajectories. RESULTS: On average, child dysregulation decreased across time. Closer mother-child and father-child relationship quality was associated with lower baseline dysregulation. More severe child restricted and repetitive behaviors, fewer maternal depression symptoms, and more positive parent dyadic coping were associated with declines in child dysregulation over time. CONCLUSIONS: On average, children with ASD become less dysregulated across time. However, there is important variability in dysregulation trajectories of children with ASD. Children with ASD who have a high (versus low) severity of restricted and repetitive behaviors appear to be at risk for greater dysregulation. The family environment, and specifically a closer parent-child relationship, better maternal mental health, and more positive couple coping, may contribute to a pattern of improved child regulation across time in ASD.
- Published
- 2021
6. One Health operations: a critical component in the International Health Regulations Monitoring and Evaluation Framework
- Author
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S, De La Rocque, F, Caya, A H, El Idrissi, L, Mumford, G, Belot, M, Carron, R, Sreedharan, L, Suryantoro, R, Stelter, F, Copper, N, Isla, L N, Mayigane, A, Bell, Q, Huda, J, Stratton, A, Di Giacinto, S, Corning, J, Pinto, H J, Ormel, and S, Chungong
- Subjects
International Cooperation ,Animals ,Humans ,International Health Regulations ,One Health ,Global Health ,World Health Organization ,Disease Outbreaks - Abstract
Under the International Health Regulations (IHR, 2005), a legally binding document adopted by 196 States Parties, countries are required to develop their capacity to rapidly detect, assess, notify and respond to unusual health events of potential international concern. To support countries in monitoring and enhancing their capacities and complying with the IHR (2005), the World Health Organization (WHO) developed the IHR Monitoring and Evaluation Framework (IHR MEF). This framework comprises four complementary components: the State Party Annual Report, the Joint External Evaluation, after-action reviews and simulation exercises. The first two are used to review capacities and the second two to help to explore their functionality. The contribution of different disciplines, sectors, and areas of work, joining forces through a One Health approach, is essential for the implementation of the IHR (2005). Therefore, WHO, in partnership with the Food and Agriculture Organization of the United Nations (FAO), the World Organisation for Animal Health (OIE), and other international and national partners, has actively worked on facilitating the inclusion of the relevant sectors, in particular the animal health sector, in each of the four components of the IHR MEF. Other tools complement the IHR MEF, such as the WHO/OIE IHR-PVS [Performance of Veterinary Services] National Bridging Workshops, which facilitate the optimal use of the results of the IHR MEF and the OIE Performance of Veterinary Services Pathway and create an opportunity for stakeholders from animal health and human health services to work on the coordination of their efforts. The results of these various tools are used in countries' planning processes and are incorporated in their National Action Plan for Health Security to accelerate the implementation of IHR core capacities. The present article describes how One Health is incorporated in all components of the IHR MEF.En vertu du Règlement sanitaire international (RSI, 2005), instrument juridique ayant force obligatoire pour les 196 États Parties dans le monde, les pays s’engagent à renforcer leurs capacités de détection, d’évaluation, de notification et de réaction en cas d’événements sanitaires inhabituels ou présentant une dimension internationale inquiétante. Le Cadre de suivi et d’évaluation du RSI (2005) a été élaboré par l’Organisation mondiale de la santé (OMS) afin de soutenir les pays souhaitant évaluer et améliorer leurs capacités et leur niveau de conformité avec le RSI (2005). Ce cadre comprend quatre composantes complémentaires : le rapport annuel de l’État Partie, l’Évaluation extérieure conjointe, les examens « après action» et les exercices de simulation. Les deux premières composantes permettent de faire le point sur les capacités tandis que les deux dernières visent une connaissance détaillée de leur fonctionnement. La mise en oeuvre du RSI (2005) demande aux différentes disciplines, secteurs et domaines d’activités de fédérer leurs forces dans une approche Une seule santé. Par conséquent, en partenariat avec l’Organisation des Nations Unies pour l’alimentation et l’agriculture (FAO), avec l’Organisation mondiale de la santé animale (OIE) et avec d’autres partenaires internationaux et nationaux, l’OMS a fait en sorte de faciliter l’intégration de tous les secteurs concernés, en particulier celui de la santé animale, dans les diverses composantes du Cadre d’évaluation du RSI. D’autres outils complètent celui-ci, en particulier les ateliers de liaison nationaux OMS/OIE sur le RSI et le Processus d’évaluation des performances des Services vétérinaires (PVS), dont le but est de faciliter l’utilisation optimale des résultats du Cadre d’évaluation du RSI et du Processus PVS de l’OIE et de fournir aux acteurs des services de santé animale et de santé publique la possibilité de se concerter sur les modalités d’une synergie de leur action. Les résultats de ces outils sont ensuite pris en compte par les pays lors des procédures de planification et intégrés dans les Plans d’action nationaux pour la sécurité sanitaire afin d’accélérer la mise en oeuvre des capacités fondamentales décrites dans le RSI. Les auteurs décrivent l’intégration du concept Une seule santé dans chacune des composantes du Cadre d’évaluation du RSI.Según lo dispuesto en el Reglamento Sanitario Internacional (RSI, 2005), documento jurídicamente vinculante suscrito por 196 Estados Partes, los países están obligados a dotarse de la capacidad necesaria para detectar, evaluar, notificar y afrontar con rapidez todo evento sanitario inusual que pueda revestir importancia internacional. Para ayudar a los países a dotarse de mejores capacidades, a seguir de cerca su evolución al respecto y a dar cumplimiento al RSI (2005), la Organización Mundial de la Salud (OMS) elaboró el marco de seguimiento y evaluación del RSI, que consta de cuatro elementos complementarios: el informe anual que debe presentar cada Estado Parte; la evaluación externa conjunta; exámenes posteriores a las intervenciones; y ejercicios de simulación. Los dos primeros sirven para examinar las capacidades, y los dos segundos para ayudar a estudiar su funcionalidad. Para la aplicación del RSI (2005) es fundamental la contribución de diferentes disciplinas, sectores y ámbitos de trabajo, que aúnen esfuerzos actuando desde los postulados de Una sola salud. Por ello la OMS, en colaboración con la Organización de las Naciones Unidas para la Alimentación y la Agricultura (FAO), la Organización Mundial de Sanidad Animal (OIE) y otros asociados internacionales y nacionales, ha trabajado activamente para facilitar la integración de los sectores pertinentes, en particular el de la sanidad animal, en cada uno de los cuatro componentes del marco de seguimiento y evaluación del RSI. Hay otros dispositivos que vienen a complementar este marco, por ejemplo los talleres nacionales dedicados a la creación de nexos entre el RSI y el proceso PVS (Prestaciones de los Servicios Veterinarios) de la OIE, organizados conjuntamente por la OMS y la OIE, que facilitan un uso idóneo de los resultados del marco de seguimiento y evaluación del RSI y del proceso PVS y brindan a las partes interesadas de los servicios sanitarios y zoosanitarios la oportunidad de trabajar sobre la coordinación de sus respectivas actividades. Los resultados de estas diversas herramientas alimentan después los procesos de planificación de los países y son incorporados a su Plan de acción nacional de seguridad sanitaria para acelerar la implantación de las capacidades básicas prescritas en el RSI. Los autores explican cómo se incorpora la filosofía de Una sola salud a todos los componentes del marco de seguimiento y evaluación del RSI.
- Published
- 2019
7. First detection of Macrorhabdus ornithogaster in wild Eurasian Siskins (Carduelis spinus) in Germany. A case study
- Author
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A. Jung, Marko Legler, R. Stelter, N Kummerfeld, and Peter Wohlsein
- Subjects
0301 basic medicine ,Pathology ,medicine.medical_specialty ,Salmonella ,040301 veterinary sciences ,030106 microbiology ,Population ,Macrorhabdus ornithogaster ,Zoology ,Captivity ,Biology ,medicine.disease_cause ,0403 veterinary science ,03 medical and health sciences ,Germany ,medicine ,Animals ,Colonization ,Passeriformes ,Small Animals ,education ,education.field_of_study ,Bird Diseases ,Proventriculus ,04 agricultural and veterinary sciences ,Chronic wasting disease ,Clostridium perfringens ,medicine.disease ,medicine.drug_formulation_ingredient ,Mycoses ,Saccharomycetales - Abstract
SummaryThe colonization of the gastric ascomycetous yeast Macrorhabdus (M.) ornithogaster could be associated with a chronic wasting disease in several bird species in captivity. The prevalence and clinical relevance of M. ornithogaster in wild birds is unknown in detail.In the wintering season 2012/13 injured Eurasian Siskins (Carduelis spinus, n = 8) from the area of Hannover, Lower Saxony, Germany were examined microbiologically and pathologically.In six out of eight injured Eurasian Siskins M. ornithogaster were detected. The yeast was diagnosed microscopically in wet smears from the gastric isthmus and/or in faecal samples. Histopathological examination (n = 4) of the macroscopically slightly enlarged proventriculus in infected birds demonstrated the growth of M. ornithogaster in the mucosal surface and in the ducts of the glands without an inflammatory reaction. As a possible sign of a lowered fitness, all six infected siskins had a reduced body weight (mean: 11.8 ± 1.64 g) in the lower normal weight range compared to the two injured Eurasian Siskins without M. ornithogaster (15.0 g) as well as to data from the literature. Concurrent intestinal bacterial infections comprised Escherichia coli, Clostridium perfringens or Salmonella Typhimurium, that are regarded as an abnormal bacterial flora for Eurasian Siskins.Infections with M. ornithogaster can be found in the wild population of Eurasian Siskins in Germany. The frequent occurrence of secondary bacterial infections associated with M. ornithogaster infections should be considered in the treatment and rehabilitation of finches.
- Published
- 2014
8. Experiencing flow in different types of physical activity intervention programs: three randomized studies
- Author
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A-M, Elbe, K, Strahler, P, Krustrup, J, Wikman, and R, Stelter
- Subjects
Adult ,Male ,Young Adult ,Weight Lifting ,Physical Fitness ,Surveys and Questionnaires ,Soccer ,Humans ,Female ,Middle Aged ,Running - Abstract
This study explores whether inactive individuals can experience flow, a rewarding, psychological state, during an exercise intervention and if there are differences according to the type of intervention they perform. Furthermore, the study investigates if experiencing flow is connected to physiological improvements attained during the exercise intervention. The 12- to 16-week interventions included six randomized intervention groups, two female and four male groups performing continuous running, football, interval running and strength training. The results indicate that all six randomized exercise intervention groups experience rather high levels of flow regardless of whether the intervention is a team or individual sport. Differences in experiencing flow, worry and exertion as well as physiological improvements could be found for the different types of sports and the two genders, with the male football group having the highest score for physiological improvement and the lowest score for worry. A connection between experiencing flow and physiological improvement could not be found. Future research should investigate the influence that the participant's gender and also the type of sport have on experiencing flow, worry and perceived exertion. Furthermore, it should be investigated whether experiencing flow is linked to the long-term compliance of regular physical activity.
- Published
- 2010
9. Analyse des dynamischen Verhaltens einer Rohrgasleitung / Analysis of a gas pipeline's dynamical behaviour
- Author
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R. Stelter and H.A. Nour Eldin
- Subjects
Petroleum engineering ,Control and Systems Engineering ,Electrical and Electronic Engineering ,Gas pipeline ,Geology ,Computer Science Applications - Published
- 1986
- Full Text
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10. Control of Gas Transport Systems–A Multilevel Approach
- Author
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R. Stelter
- Subjects
Nonlinear system ,Engineering ,Observer (quantum physics) ,Control theory ,Pressure control ,Distributed parameter system ,business.industry ,Mass flow ,Compression ratio ,Control engineering ,Look-ahead ,business ,Gas compressor - Abstract
In the presented paper a four level control concept for gas networks will be introduced. The first level deals with the compressor control and is completely local. It consists of a set-point control for the mass flow and a security control to prevent surging. The local operating optimization and a global network observer are placed in the second leve14 The former determins how the compression stages in a station have to be connected and the flow rate of each of them. From the latter the unknown states in the net are obtained. These are necessary for a look ahead simulation. Furthermore the observer can be used for a leak detection . Using the short range optimization in the third level the optimal compression ratios and flow rates are obtained taking the dynamics of the network in to consideration. The strategic planning for the gasnet operation is carried out in the fourth level. Here normally a steady state model is required.
- Published
- 1988
- Full Text
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11. Testing of wet fibre-reinforced plastics at elevated temperatures
- Author
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G. Maier, H. Ott, H. Kreil, and R. Stelter
- Subjects
Measurement method ,Absorption of water ,Materials science ,Compressive strength ,visual_art ,visual_art.visual_art_medium ,Testing equipment ,General Materials Science ,Epoxy ,Composite material ,Marked effect ,Water content - Abstract
A test apparatus has been devised for testing of wet fibre-reinforced composites at elevated temperatures. The apparatus allows the determination of the compression strength of a laminate at temperatures greater than 100°C without drying out of the specimens. Test results for two different laminates; with bismaleimide and epoxy resin matrices, showed that prevention of drying out has a marked effect on the compression strength measured for ‘wet’ specimens
- Published
- 1989
- Full Text
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12. Two Stage Singular Perturbation Model Reduction for Gas Transmission Networks
- Author
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R. Stelter
- Subjects
Singular perturbation ,Nonlinear system ,Partial differential equation ,Discretization ,Distributed parameter system ,Control theory ,Pipeline (computing) ,Ordinary differential equation ,MathematicsofComputing_NUMERICALANALYSIS ,Applied mathematics ,Network model ,Mathematics - Abstract
The instationary gasflow in large gas transmission networks is modelled by a coupled system of partial differential equations. The simulation model for a single pipeline can be normalized in a way that exploits the dominant role of the mach number (M) and the tube factor (RW) for characterizing the flow's and the pipeline's parameters. Introducing a spatial discretization leads to a nonlinear system of ordinary differential equations that - dependent on the values of M and RW - is stiff. In the first stage the discretized model for a single pipeline is reduced by the means of ‘Singular Perturbation’. Inspecting the eigenvalues of the appertaining Jacobian Matrix shows a good representation of the slow modes. The network's dynamic model consists of several reduced models for a single pipeline and an auxilary flow and pressure condition at the nodes. By defining time constants it is shown that also the network model may be stiff. In the second stage the network's dynamic model is reduced by explicit and implicit ‘Singular Perturbation’ methods. Using the reduced model makes it possible to adapt simple explicit integration algorithms which decrease the computing time for simulation.
- Published
- 1987
- Full Text
- View/download PDF
13. [Cytochrome C therapy of acute carbon monoxide poisoning]
- Author
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R, STELTER
- Subjects
Carbon Monoxide ,Carbon Monoxide Poisoning ,Cytochromes ,Cytochromes c ,Humans - Published
- 1953
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