Measurement of dose within tissues and tissue interfaces having sharp density discontinuities and heterogeneities (such as in the lung, esophagus, and rectum) is essential for treatment plan verification and accurate prediction of the prescribed dose. This study examines the feasibility and utility of simplifying standard film dosimetry to measure dose distributions deposited by megavoltage beams in tissue substitutes (such as cork for lung) and anthropomorphic phantoms which closely resemble human tissues having large density heterogeneities and having sharp tissue interfaces. In addition, film dosimetry determined the dose distribution involving superposition of multiple radiation fields and helped evaluate the accuracy of a commercial treatment planning program which incorporates tissue heterogeneity effects through the "effective path length" algorithm. This study shows that these treatment planning programs and simple calculations overestimate the dose delivered within the lower density material in heterogeneous regions.

This study offers an in-depth examination of the experiences of early childhood educators, focusing on their work with Ethiopian immigrant children and their families. We aim to describe and analyze the teachers' insider views vis-à-vis the challenges faced by these children and their parents in the Israeli preschool system. Using narrative methodology, the analysis of findings is based upon 20 stories written by 10 early childhood educators. It reveals that for these teachers, the chief struggle is their relationship with the parents of their Ethiopian pupils, one characterized by difficulties, frustrations, and burdens. The engagement with parents of Ethiopian children exhibited a range of possibilities: from the expression of patronizing, hierarchical viewpoints, to a search for ad hoc ways of coping with a persistent cultural gap, to the attainment of genuine, successful partnerships. Lack of sufficient knowledge and understanding of the unique cultural attributes of the Ethiopian community appears to be the basis for the teachers' view of the parents as lacking faith in them and in the educational system as a whole. In addition, suggestions are made about implications for educational practice and for policies that might assist teachers in ameliorating these challenges via the development of, and professional training in, skills which help coping with the problems and dilemmas unique to the multicultural classroom.

Neonatal constipation is associated with long-term GI-related disorders and should be considered clinically significant even when the diagnosis of HD is excluded. Neonates with early-onset abnormal stooling patterns should be monitored with adequate pediatrician or pediatric gastroenterologist follow-up.

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