This article investigates the impact of an early intervention program, which experimentally modifies the parenting and home environment of disadvantaged families, on child physical health in the first 3 years of life. We recruited and randomized 233 (115 intervention, 118 control) pregnant women from a socioeconomically disadvantaged community in Dublin, Ireland into an intervention or control group. The treatment includes regular home visits commencing antenatally and an additional parenting course commencing at 2 years. Maternal reports of child health are assessed at 6, 12, 18, 24, and 36 months. Treatment effects are estimated using permutation testing to account for small sample size, inverse probability weighting to account for differential attrition, and both the stepdown procedure and an indices approach to account for multiple hypothesis testing. Following adjustment for multiple testing and attrition, we observe a positive and statistically significant main treatment effect for wheezing/asthma. The intervention group are 15.5 percentage points (pp) less likely to require medical attention for wheezing/asthma compared to the control group. Subgroup analysis reveals more statistically significant adjusted treatment effects for boys than girls regarding fewer health problems (d=0.63), accidents (23.9pp), and chest infections (22.8-37.9pp). Our results suggest that a community-based home visiting program may have favorable impacts on early health conditions.

The study demonstrates some potential to alter early childhood dietary patterns through community-based intervention programmes.

ObjectiveThis study estimates the effect of a targeted early childhood intervention program on global and experienced measures of maternal well-being utilizing a randomized controlled trial design. The primary aim of the intervention is to improve children’s school readiness skills by working directly with parents to improve their knowledge of child development and parenting behavior. One potential externality of the program is well-being benefits for parents given its direct focus on improving parental coping, self-efficacy, and problem solving skills, as well as generating an indirect effect on parental well-being by targeting child developmental problems.MethodsParticipants from a socio-economically disadvantaged community are randomly assigned during pregnancy to an intensive 5-year home visiting parenting program or a control group. We estimate and compare treatment effects on multiple measures of global and experienced well-being using permutation testing to account for small sample size and a stepdown procedure to account for multiple testing.ResultsThe intervention has no impact on global well-being as measured by life satisfaction and parenting stress or experienced negative affect using episodic reports derived from the Day Reconstruction Method (DRM). Treatment effects are observed on measures of experienced positive affect derived from the DRM and a measure of mood yesterday.ConclusionThe limited treatment effects suggest that early intervention programs may produce some improvements in experienced positive well-being, but no effects on negative aspects of well-being. Different findings across measures may result as experienced measures of well-being avoid the cognitive biases that impinge upon global assessments.

Aural myiasis is a rare but benign fly infestation of the ear, most commonly by species of the Sarcophagidae family. The overwhelming majority of cases can be successfully managed without the need for surgical intervention.

Discussion/Reply The authors of paper SPE 150515, titled “Downhole Steam Generation Pushes Recovery Beyond Conventional Limits,” (JPT June 2012), are commended for bringing the topic to the forefront. However, the article is a little too optimistic and may lead the reader to wrong conclusions. With all the perceived promise over the decades, this technology is still in the conceptual stage, especially in the reservoir EOR mechanisms envisioned by the authors and in the basic operational design. Playing devil’s advocate, here is a short list of possible “cons” to accompany the article’s list of “pros” for the process: Conventional steam-enhanced oil recovery (EOR) depends on the latent fraction of heat contained in quality steam. Sensible heat in water has proven to be of little help in the recovery of incremental oil. For the typical project that operates at <<100 psig, the latent fraction of heat in the steam is in the range of 80%. For steam at the proposed >2,000 psig the latent fraction falls to about 35%. If applicable, this changes the mechanism displacing oil from the reservoir; it is no longer a conventional steamflood. In general, the deeper the reservoir, the hotter the formation. The hotter the formation, the lower the oil viscosity and less need for steam. In California, the typical reservoir at 2,000 ft is 130°F and at 5,500 ft, it is 200°F. Granted, other parts of the world have lower temperatures at depth (e.g., the Alberta fields are about 130°F at 5,000 ft); however, this is a limiting factor for deep thermal processes. Deeper reservoirs tend to be tighter sands and the downhole steam generation (DHSG) demands that all the fluid sent downhole is injected. This will require either reduction of injection, which has implications for the reservoir process, or injecting at fracture pressures, which has its own set of problems. There are few better filters in the oil field than a wellbore sand face. Couple this with the inevitable particulate generation in DHSG, and well plugging problems are likely to occur.