Publications by authors named "Steven Howard"

Background: Enough is known about self-regulation to establish it as a priority target for education and intervention efforts beginning in early childhood, yet not enough to meaningfully and reliably alter developmental trajectories. Rather than resigning our aspirations, we need more nuanced and integrative understanding of self-regulation abilities and change.

Methods: Launching in 2024, SPROUTS is a 3-year longitudinal study of early self-regulation, beginning in the pre-school period (3-5 years old at Wave 1) with retrospective data back to birth and annual data collection across the transition to school period (ages 5-7 years at Wave 3).

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Compelling evidence supports the foundational importance of early self-regulation (SR). It also supports parents in the home environment as having the foremost influence on early development. Yet, prevailing approaches to support early SR growth have tended to leverage early education and clinical settings.

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Background: The use of both clinical factors and social determinants of health (SDoH) in referral decision-making for case management may improve optimal use of resources and reduce outcome disparities among patients with diabetes.

Objective: This study proposes the development of a data-driven decision-support system incorporating interactions between clinical factors and SDoH into an algorithm for prioritizing who receives case management services. The paper presents a design for prediction validation and preimplementation assessment that uses a mixed methods approach to guide the implementation of the system.

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Background: Previous research has characterised EEG changes associated with resting activation in primary school children and adults, while task-related activation has only been considered in adults. The current study characterises physiological activation in preschool children and examines the potential value of activation indices for predicting mental health status at two time points.

Aims: To investigate how resting activation and task-related activation are represented in 4- to 5-year-old preschool children and examine if these activation indices can predict current and future mental health status.

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Article Synopsis
  • A study found that only 18.3% of adults with heart failure in the U.S. received palliative care within five years of diagnosis, despite its benefits.
  • Shorter wait times for palliative care were linked to more recent diagnoses, advanced heart failure, and certain medical interventions.
  • The research highlights underutilization of palliative care and suggests that factors like race and geography may affect access, indicating a need for further exploration of barriers to service utilization.
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Importance: The multifaceted nature of screen use has been largely overlooked in favor of a simplistic unidimensional measure of overall screen time when evaluating the benefits and risks of screen use to early childhood development.

Objective: To conduct a systematic review and meta-analysis to examine associations of screen use contexts in early childhood with cognitive and psychosocial outcomes.

Data Sources: PsycINFO, Embase, MEDLINE Ovid, ProQuest, CINAHL, Web of Science, and Scopus were searched from inception to December 31, 2023.

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  • The study investigates how air pollution impacts chronic respiratory disease (CRD) risk by analyzing metabolomic data from over 171,000 participants without COPD or asthma.
  • Researchers found that higher exposure to particulate matter and nitrogen oxides correlated with increased CRD incidence, identifying specific metabolites linked to these pollutants.
  • The results suggest that certain metabolic processes, specifically inflammatory and erythrocyte-related pathways, mediate the effects of air pollution on CRD risk.
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Executive function (EF) theory and research continues to under-represent the contexts in which the majority of the world's children reside, despite their potential to support, refute, or refine our current understandings. The current study sought to contribute to our understanding of EF in low-income settings in South Africa by investigating longitudinal associations of context-specific risk and protective factors for EF development in three- to five-year-old children who had limited access to ECCE services before the age of five. Child-caregiver dyads (N = 171) participated in two rounds of data collection (approximately seven months apart) during which child EF was assessed using the Early Years Toolbox; context-specific risk and protective factors were assessed through a caregiver questionnaire.

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Background And Aim: Physical activity may have positive effects on preschoolers' mental health and self-regulation. The preschool setting provides children with opportunities to meet physical activity guidelines and could improve with staff training in delivering physical activity. This study examined the effect of physical activity professional development for preschool staff on preschoolers' proxy-measured mental health and self-regulation.

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  • - Mammary Paget's disease (MPD) can occur as a rare sign of breast cancer recurrence, even years after initial treatment.
  • - Non-cancerous conditions can mimic MPD symptoms, potentially delaying important cancer evaluations.
  • - This case underscores the necessity for ongoing cancer monitoring in patients previously treated for breast cancer, highlighting that they are still at risk even if they seem cured.
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Introduction: Global interest is growing in new value-based models of financing, delivering, and paying for health care services that could produce higher-quality and lower cost outcomes for patients and for society. However, research indicates evidence gaps in knowledge related to alternative payment models (APMs) in early experimentation phases or those contracted between private insurers and their health care provider-partners. The aim of this research was to understand and update the literature related to learning how industry experts design and implement APMs, including specific elements of their models and their choice of stakeholders to be involved in the design and contractual details.

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Background: Patients with grade 2 glioma exhibit highly variable survival. Re-irradiation for recurrent disease has limited mature clinical data. We report treatment results of pulsed reduced-dose rate (PRDR) radiation for patients with recurrent grade 2 glioma.

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Two working memory (WM) measures were contrasted, to clarify the nature of advantages in gifted children's cognitive processing. It was predicted that cognitively gifted children would excel in WM tasks taxing mental attention (i.e.

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Direct assessments of executive functions (EFs) are increasingly used in research and clinical settings, with a central assumption that they assess "universal" underlying skills. Their use is spreading globally, raising questions about the cultural appropriateness of assessments devised in Western industrialized countries. We selectively reviewed multidisciplinary evidence and theory to identify sets of cultural preferences that may be at odds with the implicit assumptions of EF assessments.

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Background: Water and sanitation are vital to human health and well-being. While these factors have been studied in relation to health, very little has been done to consider such environmental risk factors with child development. Here, we investigated possible relations between household water access/storage and early childhood development in four low-income settlements in the City of Cape Town, Western Cape province of South Africa.

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Background: Value-based healthcare (VBHC), which can be viewed as a strategy to organize and improve healthcare services, has far-reaching organizational and managerial consequences. It is common managerial practice to support the execution of a strategy by monitoring the ensuing activities. Such monitoring provides feedback and guidance on the execution of these activities to the management of an organization and helps to realize organizational strategies.

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  • The study found that a higher dietary diversity score (DDS) and a lower energy-adjusted dietary inflammatory index (E-DII) are linked to reduced risks of developing type 2 diabetes (T2D) and overall mortality.
  • Participants from the UK Biobank and US NHANES were analyzed, revealing significant associations where higher DDS correlated with lower rates of all-cause mortality and new T2D cases.
  • No interactive effects between DDS and E-DII were found, and the research concluded that better dietary patterns can potentially lead to better health outcomes for adults.
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This study sought to systematically review the full body of research on test anxiety in primary (elementary) school children aged 5-12 years. A comprehensive electronic and manual literature search identified 76 studies (85 independent samples; N = 53,617 children) that satisfied inclusion criteria. Inverse-variance weighted random effects meta-analysis showed that test anxiety related negatively to academic achievement in Mathematics (r = 0.

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Executive functions (EFs) in early childhood are predictors of later developmental outcomes and school readiness. Much of the research on EFs and their psychosocial correlates has been conducted in high-income, minority world countries, which represent a small and biased portion of children globally. The aim of this study is to examine EFs among children aged 3-5 years in two African countries, South Africa (SA) and The Gambia (GM), and to explore shared and distinct predictors of EFs in these settings.

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  • Radiation-induced gliomas (RIGs) are rare tumors that can develop after childhood radiation therapy to the central nervous system, but there has been little research on effective treatments for these patients.
  • In this report, two adults diagnosed with glioblastoma after previous radiation for childhood cancers showed an unusual complete response to initial treatment, a rare outcome in standard glioblastoma cases.
  • Genetic analysis of these tumors revealed traits more typical of high-grade pediatric gliomas, indicating that radiation-based therapies may be very effective even in tissues previously exposed to radiation, challenging previous limitations in treatment approaches.
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Young children's use of digital technologies has presented challenges for parents, particularly in response to an increased reliance on digital resources during the Covid-19 pandemic. This mixed-methods study explored young children's digital practices within the context of their families and homes. Although this study was originally planned, the timing of data collection meant that it was uniquely positioned to capture parent perspectives as the pandemic and first lockdown was unfolding in Australia.

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Background: No prior study has examined the effects of air pollution on the progression from healthy to chronic lung disease, subsequent chronic lung multimorbidity and further to death.

Methods: We used data from the UK Biobank of 265 506 adults free of chronic lung disease at recruitment. Chronic lung multimorbidity was defined as the coexistence of at least two chronic lung diseases, including asthma, chronic obstructive pulmonary disease and lung cancer.

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Introduction: Substantial research indicates that high quality early childhood education and care (ECEC) confers a wide range of benefits for children, yet quality in ECEC remains inconsistent. Given the variability in training and qualifications, one strategy for improving ECEC quality is in-service professional development (PD).

Methods: The current study evaluated an evidence-based in-service PD programme, Leadership for Learning, via a cluster randomised controlled trial involving 83 ECEC services and 1,346 children in their final year of pre-school.

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This study examined changes in physical activity (PA), sedentary behavior (SB), screen time, sleep, and executive function among Japanese preschoolers between COVID-19 pre-pandemic and pandemic periods, using cross-sectional and longitudinal data. Accelerometer data from 63 children aged 5-6 years were collected from three kindergartens in Tokyo, Japan, in late 2019 (pre-COVID-19). This was compared to the data of 49 children aged 5-6 years from the same kindergartens, collected in late 2020 (during COVID-19).

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