西安市城区初中生健康危险行为调查

目的:健康相关危险行为是产生常见病、多发病的重要原因,其形成受社会、家庭等多种环境因素和自身因素影响。初中阶段是养成良好健康行为的关键时期,了解初中生健康危险行为现状,可为制定干预措施提供科学依据。方法:对西安市城区1608名初中生进行健康危险行为问卷调查,分析各种健康危险行为检出率的性别差别。结果:34.3%的初中生存在偏食行为,42.6%的初中生在过去30天内采取过减肥措施;62.2%的初中生最多有2天运动超过30分钟;65.3%的初中生骑自行车违规;9.6%的初中生目前吸烟。过去1个月有大量饮酒行为者占8.4%。因上网影响学习者占17.0%;参与过类似赌博的娱乐活动者占9.8%。多数健康危险行为检出率男生高于女生(P值均0.05)。结论:西安市城区初中生健康危险行为发生率较高,男女生间存在差异,应针对男女生不同健康危险行为,采取有针对性的综合干预措施进行干预,以及早纠正健康危险行为,促进青少年健康发展。     

Parental enforcement of bedtime during childhood modulates preference of Japanese junior high school students for eveningness chronotype.

We examined the effect of home bedtime discipline during childhood on morningness and eveningness (M-E) preference by Japanese junior high school students. M-E was assessed by the M-E Questionnaire (MEQ) of Torsvall and Akerstedt (the higher the score, the greater the preference for morningness), and parental determination of bedtime during childhood was ascertained using an original questionnaire. The average M-E score of adolescents living in urban Kochi City (mean +/- SD; 15.10 +/- 3.42) was significantly lower (P < .01) than the score of those in suburban districts (16.14 +/- 3.44). Overall, 43.1% of the junior high school students in Kochi City compared to 53.0% of the students living in suburban districts had their bedtime decided during childhood by parents (P < .01). In Kochi City, the M-E score for boys (14.62 +/- 3.51) was lower (P < .01) than girls (15.53 +/- 3.28). During childhood, parents decided the bedtime for 49% of the girls compared to 36.6% of the boys (P < .01). Boys whose bedtime was not decided by parents during childhood had a somewhat stronger preference for eveningness (14.20 +/- 3.53) (P < .05) compared to those whose bedtime was decided by parents (15.12 +/- 3.36). The results suggest bedtime discipline at home during childhood has an effect on adolescent chronotype, modulating the extent of shift to evening ness in Japanese junior high school boys in particular.     

Factors Affecting Unhappiness at School among Japanese Adolescents: An Epidemiological Study

Background

Unhappiness at school is one of the main reasons for truancy among adolescents. In order to assess this problem more thoroughly in the context of Japanese adolescents, the present study examined the associations between feelings of unhappiness at school and lifestyle habits, school life realities, and mental health status.

Method

This study was designed as a cross-sectional survey. A self-administered questionnaire was provided to students enrolled in randomly selected junior and senior high schools throughout Japan. We calculated the percentages of both junior and senior high school students who felt unhappy at school based on factors related to school life, lifestyle habits, and mental health status. Multiple logistic regression analyses were performed in order to examine the associations between those factors and students'' feelings of unhappiness at school.

Results

A total of 98,867 valid responses were analysed, 7.9% (Boys: 8.4%, Girls: 7.4%) of which came from students who responded that they felt unhappy at school. For both junior and senior high school students, the percentages of those who felt unhappy at school were significantly higher among those who had not yet decided on their future life course, who did not participate in extracurricular activities, did not eat breakfast every day, went to bed late, had used tobacco or alcohol in the previous 30 days, and had poor mental health compared with others. The results of multiple logistic regression analyses indicated that the adjusted odds ratios for feeling unhappy at school with regard to the above-mentioned factors were significantly high for both junior and senior high school students.

Conclusions

The present results suggest that school employees and administrators must provide health guidance to students, considering that irregular lifestyle habits, lower school engagement, smoking, drinking alcohol, and poor mental health status are all associated with maladaptation to school among adolescents.     

An Exploration of Computer Game-Based Instruction in the “World History” Class in Secondary Education: A Comparative Study in China

So far, many studies on educational games have been carried out in America and Europe. Very few related empirical studies, however, have been conducted in China. This study, combining both quantitative with qualitative research methods, possibly compensated for this regret. The study compared data collected from two randomly selected classes (out of 13 classes) under computer game-based instruction (CGBI) and non-computer game-based instruction (NCGBI), respectively, in a senior high school located in Nanjing, Capital of Jiangsu Province, in China. The participants were 103 students, composed of 52 boys and 51 girls (aged 17-18 years old). The following conclusion was reached: (1) participants under CGBI obtained significantly greater learning achievement than those under NCGBI; (2) participants were significantly more motivated by CGBI compared with NCGBI; (3) there were no significant differences in learning achievement between boys and girls; although (4) boys were significantly more motivated by CGBI than girls. Both disadvantages and advantages were discussed, together with directions for future research.     

PARENTAL ENFORCEMENT OF BEDTIME DURING CHILDHOOD MODULATES PREFERENCE OF JAPANESE JUNIOR HIGH SCHOOL STUDENTS FOR EVENINGNESS CHRONOTYPE

We examined the effect of home bedtime discipline during childhood on morningness and eveningness (M-E) preference by Japanese junior high school students. M-E was assessed by the M-E Questionnaire (MEQ) of Torsvall and Åkerstedt (the higher the score, the greater the preference for morningness), and parental determination of bedtime during childhood was ascertained using an original questionnaire. The average M-E score of adolescents living in urban Kochi City (mean ± SD; 15.10 ± 3.42) was significantly lower (P <. 01) than the score of those in suburban districts (16.14 ± 3.44). Overall, 43.1% of the junior high school students in Kochi City compared to 53.0% of the students living in suburban districts had their bedtime decided during childhood by parents (P <. 01). In Kochi City, the M-E score for boys (14.62 ± 3.51) was lower (P <. 01) than girls (15.53 ± 3.28). During childhood, parents decided the bedtime for 49% of the girls compared to 36.6% of the boys (P <. 01). Boys whose bedtime was not decided by parents during childhood had a somewhat stronger preference for eveningness (14.20 ± 3.53) (P <. 05) compared to those whose bedtime was decided by parents (15.12 ± 3.36). The results suggest bedtime discipline at home during childhood has an effect on adolescent chronotype, modulating the extent of shift to eveningness in Japanese junior high school boys in particular. (Chronobiology International, 18(5), 823–829, 2001)     

Constructing a Cotton-Ball Catapult: An Interdisciplinary STS Learning Experience

The need for all students to develop a stronger ability to express their science knowledge in writing is important. In this article, the authors take you on a journey in an elementary school classroom with tools to help foster deeper learning and stronger writing skills in science content. With many students in high school required to pass end-of-semester science exams to receive a diploma, teaching writing at an early age across various content areas is an even more critical component of today’s curriculum. Presenting curriculum material through multiple means (Universal Design for Learning-Representation) allows students to gain information through a learning approach that best fits the students’ learning needs. The authors examine multiple means of representing science curriculum to engage students in creating detailed and comprehensive concept maps and to provide supportive scientific evidence in written explanations as they gain more content knowledge in science.     

A survey on growth and sexual development of adolescent students in Changhua City: growth of body height and weight

In order to understand the physical growth and sexual development of contemporary adolescents, a cross-sectional survey was conducted during the period September 1983 to May 1984. The population came from all the pupils from 4th grade up, and all the junior and senior high students of Changhua City. By using stratified cluster sampling, 1419 boys and 1599 girls participated, ranging in age from 8 to 19 years. Body weight and height were measured. Growth spurt is a unique event during adolescence. It is well shown in the distance curves and pseudo-velocity curves of body height and weight. In boys, the growth spurt of height spanned from 12.0 to 14.8 years, with peak height velocity (PHV) at 13.5 years. In girls it was from 10.0 to 12.6 years and peaked at 11.5 years. The growth spurt of weight occurred from 12.0 to 15.9 years in boys with peak weight velocity (PWV) at 14.5 years, while girls had a growth spurt at 10.0-12.7 years with PWV at 11.5 years. Girls entered into the growth spurt about 2 years earlier, and also entered into PHV, PWV, two and three years earlier respectively than boys, while boys had a more intense and longer growth during the growth spurt than girls. Between 10.0-13.0 years girls were taller than boys, and between 12.0-13.0 years they were heavier than boys. However, from 13.5 years onward girls were soon surpassed by boys both in height and weight. Growth in height after 16.5 years in boys and after 15.5 in girls was minimal. Growth in weight in boys also became minimal after 16.5 years while girls weight even dropped a little bit after 16.5 years. At the mean age of 17.5 years, boys were 168.1 cm, girls were 156.2 cm in average, boys being 12 cm taller than girls after reaching their final height.     

Meteorological conditions and sports deaths at school in Japan, 1993–1998

We evaluated the association between meteorological conditions and sports deaths at elementary, junior high and senior high schools. Data were collected from attached documents such as accident reports and death certificate records in the National Agency for the Advancement of Sports and Health in Japan. Evaluation of seasonal variation showed a significant concentration of deaths from heat disorders and drowning in July and August. When heart disease was evaluated according to the sports situation, significant seasonal variation with a high number of deaths in September–December was observed in sports events. Concerning circadian variation, deaths from heart disease showed a high peak at 10:00–11:00 a.m. in physical education classes and sports events, and at 2:00–5:00 p.m. in sports club activities. Analysis using a multiple logistic model showed a significantly lower odds ratio from heart disease and a significantly higher odds ratio from heat disorders at a wet bulb globe temperature of 21.0°C than at <21.0°C. According to the sports situation in heart disease, the odds ratio in sports club activities was significantly lower on days with rainfall than on days without rainfall. According to the school categories in heart diseases, the odds ratio in girls in elementary school was significantly higher than that in boys, but the odds ratio in girls in senior high school was significantly lower than that in boys.     

Fostering critical thinking, reasoning, and argumentation skills through bioethics education

Developing a position on a socio-scientific issue and defending it using a well-reasoned justification involves complex cognitive skills that are challenging to both teach and assess. Our work centers on instructional strategies for fostering critical thinking skills in high school students using bioethical case studies, decision-making frameworks, and structured analysis tools to scaffold student argumentation. In this study, we examined the effects of our teacher professional development and curricular materials on the ability of high school students to analyze a bioethical case study and develop a strong position. We focused on student ability to identify an ethical question, consider stakeholders and their values, incorporate relevant scientific facts and content, address ethical principles, and consider the strengths and weaknesses of alternate solutions. 431 students and 12 teachers participated in a research study using teacher cohorts for comparison purposes. The first cohort received professional development and used the curriculum with their students; the second did not receive professional development until after their participation in the study and did not use the curriculum. In order to assess the acquisition of higher-order justification skills, students were asked to analyze a case study and develop a well-reasoned written position. We evaluated statements using a scoring rubric and found highly significant differences (p<0.001) between students exposed to the curriculum strategies and those who were not. Students also showed highly significant gains (p<0.001) in self-reported interest in science content, ability to analyze socio-scientific issues, awareness of ethical issues, ability to listen to and discuss viewpoints different from their own, and understanding of the relationship between science and society. Our results demonstrate that incorporating ethical dilemmas into the classroom is one strategy for increasing student motivation and engagement with science content, while promoting reasoning and justification skills that help prepare an informed citizenry.     

Predictors of Intention to Smoke among Junior High School Students in Shanghai,China: An Empirical Test of the Information-Motivation-Behavioral Skills (IMB) Model

Background

Adolescent smoking is a worldwide problem that is particularly severe in low- and middle-income countries. Many endogenous and environmental factors affect the intention to smoke, so a comprehensive model is needed to understand the significance and relationship of predictors. The study aimed to test the associations among information-motivation-behavioral skills (IMB) model constructs as predictors of intention to smoke in junior high school students in Shanghai, China.

Methods

We conducted a cross-sectional study of 16,500 junior high school students in Shanghai, China. Data on tobacco-related information, motivation, behavioral skills, and behaviors were collected from students. Structural equation model (SEM) was used to assess the IMB model.

Results

The mean age of participants was 13.8 years old (standard deviation = 1.02; range 11–17). The experimental smoking rate among junior high school students was 6.6% and 8.7% of the participants expected that they would be smokers in 5 years. The IMB model provided acceptable fit to the data (comparative fit index = 0.984, root mean square error of approximation = 0.04). Intention to smoke was predicted by behavioral skills (β= 0.670, P < 0.001) and motivation (β= 0.095, P<0.001) among junior high school students.

Conclusion

The IMB model provides a good understanding of the predictors of intention to smoke and it suggests future interventions among junior high school students should focus on improving motivation and behavioral skills.     

Parameters of Microcirculation in Both Sexes at Different Ages

We have used laser Doppler flowmetry with wavelet analysis of the amplitude–frequency spectrum of blood flow oscillations to investigate the microcirculation and the mechanisms of its control in both sexes at different ages: junior school age, adolescence, and preadult age. It was shown that adolescents (both boys and girls) had more intense tissue perfusion and root-mean-square deviation of microcirculation as compared with junior school age. We observed an increase in the basal indexes of microcirculation in adolescents, which is caused by the activation of regulatory processes. In preadult girls, the microcirculatory flow index (MFI) was lower compared to adolescent girls; in preadult boys, MFI is higher compared to adolescent boys. It probably results from redistribution of influence between regulatory mechanisms. The analysis of the amplitude–frequency spectrum of preadults shows a decrease in oscillation amplitudes in all active and passive oscillation ranges compared to adolescents. Thus, we have detected the differences in microcirculation parameters and in the effects of active and passive regulatory factors of microcirculation. The findings are indicative of certain age-related changes in the microcirculation system.     

Age- and sex-related differences in brainstem auditory evoked potentials in secondary school students living in Northern European Russia

Brainstem auditory evoked potentials (BAEPs) were studied in 46 1st- to 11th-year students (22 boys and 24 girls) of a rural secondary school in Arkhangel’sk oblast. The objective of this work was to study age- and sex-related differences in BAEP characteristics in children and adolescents, living in the North and assess the BAEP characteristics as compared to reference values. In all three age groups of students, interpeak intervals I–III, III–V, and I–V characterizing the peripheral and central conduction times were shorter in girls than in boys. Interpeak interval III–V tended to increase with age only in boys (at puberty), with a significant increase in the latencies of waves I, III, and V. The BAEP characteristics in the subjects examined included a shorter peak latency and a greater amplitude of wave I (except senior students), relatively prolonged interpeak interval I–III, and more pronounced sex-related differences in BAEPs, especially at puberty. These findings show that it is necessary to revise regional reference values for BAEPs, differentiated by sex and age, including at puberty.     

Comparison of emotion recognition from facial expression and music

The recognition of basic emotions in everyday communication involves interpretation of different visual and auditory clues. The ability to recognize emotions is not clearly determined as their presentation is usually very short (micro expressions), whereas the recognition itself does not have to be a conscious process. We assumed that the recognition from facial expressions is selected over the recognition of emotions communicated through music. In order to compare the success rate in recognizing emotions presented as facial expressions or in classical music works we conducted a survey which included 90 elementary school and 87 high school students from Osijek (Croatia). The participants had to match 8 photographs of different emotions expressed on the face and 8 pieces of classical music works with 8 offered emotions. The recognition of emotions expressed through classical music pieces was significantly less successful than the recognition of emotional facial expressions. The high school students were significantly better at recognizing facial emotions than the elementary school students, whereas girls were better than boys. The success rate in recognizing emotions from music pieces was associated with higher grades in mathematics. Basic emotions are far better recognized if presented on human faces than in music, possibly because the understanding of facial emotions is one of the oldest communication skills in human society. Female advantage in emotion recognition was selected due to the necessity of their communication with the newborns during early development. The proficiency in recognizing emotional content of music and mathematical skills probably share some general cognitive skills like attention, memory and motivation. Music pieces were differently processed in brain than facial expressions and consequently, probably differently evaluated as relevant emotional clues.     

What Time Periods of the Day Are Concerning for Parents of Children with Attention Deficit Hyperactivity Disorder?

Background/Aim

The questionnaire-children with difficulties (QCD) is a parent-assessed questionnaire designed to evaluate a child’s difficulties in functioning during specific time periods of the day. In this study, the QCD was applied to determine the time periods of the day that are concerning for the parents of children with attention deficit hyperactivity disorder (ADHD). The results were compared with those for a community sample.

Methods

Elementary and junior high school students with ADHD (243 boys, 55 girls) and a community sample of children (518 boys, 618 girls) were enrolled in this study. Their behaviors were assessed by the QCD, the ADHD-rating scale (ADHD-RS), and the Oppositional Defiant Behavior Inventory (ODBI). The effects of gender (boy/girl) and diagnosis (ADHD/community sample) on the total QCD score were analyzed across each school grade (elementary/junior high school). Correlation coefficients between QCD and ADHD-RS/ODBI scores were analyzed.

Results

The QCD score for the ADHD group was significantly lower than that for the community sample (P < 0.001). There were significantly strong correlations between “evening” and ADHD-RS and ODBI scores for all children with ADHD (r > 0.41, P < 0.001) and between “night” and inattention and oppositional symptoms for the girls with ADHD (r > 0.40, P < 0.001).

Conclusions

Parents reported that children with ADHD faced greater difficulties in completing basic daily activities compared with the community controls, particularly in the evening. Furthermore, these difficulties were related to the severity of ADHD symptoms. The parents’ perceptions depended on the gender, ADHD and oppositional symptoms, and the time period of the day. This study determined that children with ADHD face greater difficulties in daily functioning compared with community sample children, that these difficulties are time-dependent, and that these difficulties were particularly experienced in the evening.     

Changes in anthropometrical characteristics during two years in 6 year old children

The purpose of this study was to investigate changes in anthropometrical characteristics during the last year (autumn-spring) in preschool and first year (autumn-spring) in school. Changes in anthropometrical characteristics during summer months were also studied (spring-autumn). The subjects were 130 boys and 122 girls, 6 years of age at the beginning of the investigation. The body height and mass were measured and the BMI (kg/m2) was calculated. In total, eight skinfolds, 10 girths and two bone widths were measured. In boys, the body height and mass were higher than in girls, while the skinfold thicknesses were thicker in girls. There were only very few significant differences between sexes in girth parameters. The width parameters were higher in boys. Our results indicated that there were more significant changes in skinfold thickness, girths and width parameters during winter in preschool in comparison with first year in school in boys, while there were only a very few significant changes during summer months in boys. In contrast, there were more significant changes in school in girls. The Spearman correlations between baseline and after 6, 12 and 18 months of study indicated that the tracking of body height was high in boys and girls. Body mass tracking was high in girls and moderate in boys, while BMI tracking was moderate in both groups. The tracking coefficients of skinfold thicknesses were relatively stable during the two years of study and mostly at the moderate level (r = 0.3-0.6). Tracking coefficients of girths measures were at moderate level, but lower in boys in comparison with girls. It was concluded that social changes and probably changes in the physical activity during transition from preschool to school slightly influenced the measured anthropometrical parameters.     

Biochemistry at mercer

Our curriculum is a problem-based, self-learning case-oriented approach in which the students raise issues and answer them. The faculty set limits on the depth and breadth of the information via the tutors, resource sessions, one-on-one interactions, and written objectives. Both students and faculty learn in a multidisciplinary fashion consistent with the practice of medicine. The students are evaluated at three levels: by tutor, by interdisciplinary orals and by written multidisciplinary exams. The students excel in their problem-solving ability and in their application of basic science information to patient cases that they encounter not only in the junior and senior years, but also during the first two years as they participate in preceptor rotations in physicians' offices.     

Changes in total body water during adolescent growth

Total body water was determined on 59 boys and 59 girls and on 40 boys and 45 girls attending junior and senior high schools, respectively. The volunteers were studied for three years. They were given D2O (99.8%) orally, and urine samples were used for determination of the ratio of heavy hydrogen to normal hydrogen by mass spectrometry. Total body water was calculated. The height of boys aged 12 to 13 years increased from 159.1 cm to 177.7 cm at age 17 to 18 years. The girls' height changed from 158.5 cm to 165.7 cm for the same time period. Similarly, the weight of boys increased concomitantly from 49.44 kg to 66.1 kg, whereas the girls' weight increased from 49.0 kg to 58.3 kg. Total body water of boys aged 12 to 13 years and expressed in absolute values increased from 31.9 L to 43.3 L at age 17 to 18. Similar changes of smaller magnitude occurred in girls, where total body water increased from 29.0 L to 31.9 L for the same period of time. In relative terms, total body water of boys increased from 62.1% to 65.9%, reached at the age of 15 to 16 years, and then a slight decrease to 64.2% was found in boys 17 to 18 years old. The girls showed continuous decrease in relative values from 60.3% to 53.6% during the same period of time.(ABSTRACT TRUNCATED AT 250 WORDS)     

达斡尔族学生皮下脂肪发育的研究

作者内蒙古莫力达瓦达斡尔族自治旗１７５９例中小学生项项皮褶厚度及体脂发育情况进行了调查研究。结果表明：（１）达斡尔族学生进入青春期后,随着年龄的增长,男性躯干部皮变厚,四肢部皮褶变薄,女性躯干、四肢部皮褶均增厚。（２）１２岁后,女性皮褶厚度显著大于男性。（３）青春发育早期,男性体脂逐渐有下降,女性于１２－１４岁体脂迅速增加。（４）总体说来,达斡尔族学生并不偏于肥胖。     

More than Half of High School Students Report Disordered Eating: A Cross Sectional Study among Norwegian Boys and Girls

Disordered eating and eating disorders are of great concern due to their associations with physical and mental health risks. Even if adolescence has been identified as the most vulnerable time for developing disordered eating, few studies have used a broad spectrum of criteria to investigate the prevalence of disordered eating among high school students of both genders, in different programs of study, nor assessed correlates of disordered eating among this important target group. The purposes of this study were therefore to investigate the prevalence and correlates of disordered eating among both male and female high school students in sport-, general and vocational programs. A comprehensive questionnaire was completed by 2,451 students (98.7%), aged 15–17 years. The total prevalence of disordered eating was 54.9%, with 64.3% among girls and 45.0% among boys (p<0.001). The highest prevalence of disordered eating was found among vocational students (60.7%), followed by students in general programs (49.8%) and sport students (38.3%) (p<0.001). Female gender, school program (vocational and general), overweight/obesity and weight regulation were positively associated with disordered eating. The high prevalence indicates the importance of tailored prevention efforts directed at high school students, particularly in vocational programs. Furthermore, a smaller girls–boys ratio than expected indicates that the efforts to identify and manage disordered eating among high school students should include both genders.     

Stress management with adolescents at the junior high transition: an outcome evaluation of coping skills intervention

This paper reports an outcome study of coping skills intervention to help adolescents manage stress associated with the transition from elementary school to junior high. In a randomized design, sixth grade students from four elementary schools were pretested, then two schools each were assigned to an intervention condition and to a control condition. Intervention condition subjects received eight sessions of instruction and practice in coping skills intervention. Following intervention, all subjects were posttested. At posttest and relative to control condition subjects, intervention condition subjects scored more positively on measures of problem solving, assertive direct refusals, adequacy of information about junior high school, ability to handle stress, ability to deal with peer pressure, and general readiness for junior high school.