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As Sternberg proposed women's health clinic killeen discount arimidex 1 mg with amex, research has found that creativity is not highly correlated with analytical intelligence (Furnham & Bachtiar menstruation night sweats buy generic arimidex line, 2008) and exceptionally creative scientists menstruation 6 weeks buy arimidex 1 mg fast delivery, artists women's health center fredericksburg va generic 1 mg arimidex fast delivery, mathematicians, and engineers do not score higher on intelligence than do their less, creative peers (Simonton, 2000). On the other hand, being creative often takes some of the basic abilities measured by "g", including the abilities to learn from experience, to remember information, and to think abstractly (Bink & Marsh, 2000). Ericsson (1998), Weisberg (2006), Hennessey and Amabile (2010) and Simonton (1992) studied creative people and identified at least five components that are likely to be important for creativity as listed in Table 5. Practical intelligence represents a type of "street smarts" or "common sense" that is learned from life experiences. Although a number of tests have been devised to measure practical intelligence (Sternberg, Wagner, & Okagaki, 1993; Wagner & Sternberg, 1985), research has not found much evidence that practical intelligence is distinct from "g" or that it is predictive of success at any particular tasks (Gottfredson, 2003). Practical intelligence may include, at least in part, certain abilities that help people perform well at specific jobs, and these abilities may not always be highly correlated with general intelligence (Sternberg et al. Theory of Multiple Intelligences: Another champion of the idea of specific types of intelligences rather than one overall intelligence is the psychologist Howard Gardner (1983, 1999). Gardner argued that it would be evolutionarily functional for different people to have different talents and skills and proposed that there are eight intelligences that can be differentiated from each other. A potential ninth intelligence; that is, existential still needs empirical support. Gardner investigated intelligences by focusing on children who were talented in one or more areas and adults who suffered from strokes that compromised some capacities, but not others. Gardner also noted that some evidence for multiple intelligences comes from the abilities of autistic savants, people who score low on intelligence tests overall, but who nevertheless may have exceptional skills in a given domain, such as math, music, art, or in being 177 able to recite statistics in a given sport (Treffert & Wallace, 2004). In addition to brain damage and the existence of savants, Gardner identified these 8 intelligences based on other criteria including a set developmental history and psychometric findings. The idea of multiple intelligences has been influential in the field of education, and teachers have used these ideas to try to teach differently to different students. For instance, to teach math problems to students who have particularly good kinesthetic intelligence, a teacher might encourage the students to move their bodies or hands according to the numbers. On the other hand, some have argued that these "intelligences" sometimes seem more like "abilities" or "talents" rather than real intelligence. Furthermore, and again demonstrating the underlying 178 power of a single intelligence, the many different intelligences are, in fact, correlated and thus represent, in part, "g" (Brody, 2003). Measuring Intelligence: Standardization and the Intelligence Quotient the goal of most intelligence tests is to measure "g", the general intelligence factor. Good intelligence tests are reliable, meaning that they are consistent over time, and also demonstrate validity, meaning that they actually measure intelligence rather than something else. Because intelligence is such an important individual difference dimension, psychologists have invested substantial effort in creating and improving measures of intelligence, and these tests are now considered the most accurate of all psychological tests. In fact, the ability to accurately assess intelligence is one of the most important contributions of psychology to everyday public life. A 3-year-old who could accurately multiply 183 by 39 would certainly be intelligent, but a 25-year-old who could not do so would be seen as unintelligent. Thus, understanding intelligence requires that we know the norms or standards in a given population of people at a given age. The standardization of a test involves giving it to a large number of people at different ages and computing the average score on the test at each age level. It is important that intelligence tests be standardized on a regular basis, because the overall level of intelligence in a population may change over time. The Flynn effect refers to the observation that scores on intelligence tests worldwide have increased substantially over the past decades (Flynn, 1999). There are many explanations for the Flynn effect, including better nutrition, increased access to information, and more familiarity with multiple-choice tests (Neisser, 1998). Whether people are actually getting smarter, however, is debatable (Neisser, 1997). It consists of 15 different tasks, each designed to assess intelligence, including working memory, arithmetic ability, spatial ability, and general knowledge about the world. It also shows significant correlations with measures of everyday functioning among people with intellectual disabilities. Intelligence changes with experience, and intelligence quotients or scores do not reflect that ability to change. What is considered smart varies culturally as well, and most intelligence tests do not take this variation into account. A person who answers a question the fastest is seen as the smartest, but in some cultures being smart is associated with considering an idea thoroughly before giving an answer.

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A modified Delphi process utilizing electronic survey techniques was used to narrow the list to the Top 5 over three rounds pregnancy buy discount arimidex on-line. During the initial round womens health expo kingston purchase arimidex toronto, the panel reduced the top 22 general categories of tests and treatments to 13 women's health center waldorf buy arimidex 1 mg low price. The reintroduction of specific clinical contexts menopause kansas city theater order discount arimidex on-line, derived from the original survey, resulted in 24 items that were reduced to 12 in the second round. Bloodstream infections in neonatal intensive care unit patients: results of a multicenter study. Are there risks associated with empiric acid suppression treatment of infants and children suspected of having gastroesophageal reflux disease Association of H2-blocker therapy and higher incidence of necrotizing enterocolitis in very low birth weight infants. Metoclopramide for the treatment of gastroesophageal reflux disease in infants: a systematic review. Risk factors for nosocomial infections in selected neonatal intensive care units in Colombia, South America. Ranitidine is associated with infections, necrotizing enterocolitis, and fatal outcome in newborns. Efficacy of proton-pump inhibitors in children with gastroesophageal reflux disease: a systematic review. Cross-over trial of treatment for bradycardia attributed to gastroesophageal reflux in preterm infants. Duration of empirical antibiotic therapy for infants suspected of early-onset sepsis. Prolonged duration of initial empirical antibiotic treatment is associated with increased rates of necrotizing enterocolitis and death for extremely low birth weight infants. Rapid detection of microorganisms in blood cultures of newborn infants utilizing an automated blood culture system. The clinical value of screening chest radiography in the neonate with lung disease. Early brain injury in premature newborns detected with magnetic resonance imaging is associated with adverse early neurodevelopmental outcome. Neonatal white matter abnormalities an important predictor of neurocognitive outcome for very preterm children. About the American Academy of Pediatrics Section on Perinatal Pediatrics the American Academy of Pediatrics is an organization of 62,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. The Section on Perinatal Pediatrics, the largest specialty subgroup of the Academy, is the home organization for 3500 specialists in Neonatal-Perinatal Medicine and focuses on ensuring the optimal health and well-being of babies and mothers through core activities in advocacy, education, outreach, and clinical and academic support. American Academy of Pediatrics-Section on Orthopaedics and the Pediatric Orthopaedic Society of North America Five Things Physicians and Patients Should Question Do not order a screening hip ultrasound to rule out developmental hip dysplasia or developmental hip dislocation if the baby has no risk factors and has a clinically stable hip examination. Hip dysplasia/dislocation is relatively rare, with incidence of approximately 7 per 1,000 births. Studies have shown that universal screening programs for developmental hip instability using ultrasounds to assess otherwise normal appearing hips have a nearly negligible positive yield. There is a substantial false positive rate, with an associated increase in treatment rate, suggesting that babies without hip pathology are being treated. When there are no physical findings or underlying risk factors for hip dysplasia/dislocation in a newborn, a hip ultrasound is costly, time-intensive and the findings may be misleading to parents and physicians. Mild in-toeing is usually a physiologic phenomenon reflecting ongoing maturation of the skeleton. Metatarsus adductus, femoral anteversion, and tibial torsion all contribute to in-toeing and tend to improve with growth. It is not possible to alter the natural evolution using physical therapy, bracing or shoe inserts. Flexible flat feet are normal physiologic variants commonly found in children and adults. Unlike a painful or rigid flatfoot that requires further workup, if an arch is present when standing on tiptoe, the foot can be managed with observation or over-the-counter orthotics. The use of custom orthotic devices to provide support for the foot does not aid in the development of the arch.

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Time to implement: An active helmet-law enforcement program requires planning an effective enforcement strategy womens health center purchase arimidex amex, training law enforcement officers to identify noncompliant helmets and to carry out the enforcement 3 menstrual cycles in 6 weeks buy arimidex 1mg free shipping, and training for prosecutors and judges to assure that citations will be prosecuted and adjudicated menstrual cramps 7 weeks pregnant arimidex 1mg low price. Many States have conducted communications and outreach campaigns directed at drinking and riding breast cancer lump feels like 1mg arimidex with visa. Consequently, they believe that government efforts to discourage drinking and riding are inappropriate. The campaign sought to educate motorcycle riders about the dangers of drinking and riding, encourage them to make safer choices, and provide impaired motorcycle riders with secure storage of their motorcycles so that they could find safe transport home. While there is evidence that riders were willing to leave their motorcycles in secure storage containers, only small changes in rider behavior and alcohol-related motorcycle crashes were observed following the program (Aguilar & Delehanty, 2009). Rider groups can play critical roles in planning and implementing activities to reduce drinking and riding. Some State and local rider groups sponsor alcohol-free events or adopt alcohol-free policies. It also is not known how many States have included messages directed to motorcyclists in their overall alcohol-impaired-driving campaigns. Most States will waive the skills test, and sometimes the knowledge test, for motorcyclists who have completed approved motorcycle rider training courses, if the student passes the knowledge and skills tests administered at the conclusion of the course. This is perhaps not surprising given the variability of licensing tests and procedures. This quick and inexpensive strategy caused 1,700 owners to become licensed within 4 months. California also tried this approach with similar licensure results (Limrick & Masten, 2013). Effectiveness: the effectiveness of current licensing and testing on crashes and safety has not been evaluated. The costs of changing the licensing tests and procedures depend on the extent of changes and the amount of retraining needed for licensing examiners as well as what portion of costs are covered by licensing fees. This effort requires cooperation on the part of multiple agencies, including those responsible for collecting and analyzing crash data and those responsible for training and licensing. Riders in both groups participated in a pre-test, which included a questionnaire and on-road ride. This same result was found for the long-term post-test; however, it was not statistically significant indicating that the impact on hazard perception was not sustained in the long term. Costs: Rider training programs are funded in part by the States and in part by fees paid by the students who take them. Training capacity is limited by the number of available training sites (a broad expanse of paved surface such as a school parking lot is required), qualified instructors, and motorcycles and helmets for students to use during training. Some measures to increase capacity can be implemented quickly while others may take 6 to 12 months. There is some evidence that certain approaches may lead to limited positive outcomes; however, there is insufficient evaluation data to determine the extent of effectiveness. Most motorcycles manufactured since 1979 have headlights that turn on automatically when the vehicle is started (Raborn et al. Adoption of these technologies may be useful to promote among the motorcycling community, may require changes in laws if visibility enhancing technologies are restricted by States, and may also involve working with manufacturers and producers of motorcycles and auxiliary devices (Raborn et al. An Australian study found that the observed proportion of riders wearing full body protection increased in the month following an enforcement/educational campaign with an emphasis on conspicuous and protective clothing (among other safety issues). Effectiveness: There are no evaluations of the effectiveness of campaigns to increase driver awareness of motorcyclists (Raborn et al. Time to implement: A proper campaign, including market research, message development and testing, and implementation, will require at least 6 months to plan and implement. The use of protective clothing by motorcyclists in Victoria: Evaluation of the Community Policing and Education Program. Persuasion and licensure: A randomized controlled intervention trial to increase licensure rates among Maryland motorcycle owners. Cost to implement: $$$: requires extensive new facilities, staff, equipment, or publicity, or makes heavy demands on current resources $$: requires some additional staff time, equipment, facilities, and/or publicity $: can be implemented with current staff, perhaps with training; limited costs for equipment or facilities these estimates do not include the costs of enacting legislation or establishing policies.

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