This study is the first to show that a preschool-based intervention can lead to reductions in young children's television/video viewing. Further research is needed to determine the long-term effects associated with reductions in young children's television viewing.

A B S T R A C TChildhood overweight has received increased national attention as a social and health problem. Childcare providers play an increasingly prominent role in the lives of young children and are therefore important in initiating change. This qualitative study determined the role of childcare professionals in the prevention of childhood overweight. Facilitated focus group sessions were conducted with childcare professionals to ascertain their beliefs and practices in four domains: 1) foods and beverages; 2) physical activity; 3) TV, video, and computer game viewing; and 4) behaviors with respect to eating and/or activity. The researchers and childcare staff then collaboratively identified ways to develop innovative policy and environmental changes to improve the health and fitness of young children. Though more research is needed, engaging the support of the childcare profession is a promising avenue to improve the health and fitness of young children.K E Y W O R D S child day care centers, child, obesity, preschool and environmental design journal of early childhood research

Methods of asset-based community development are an effective way to engage community participation in public health initiatives.

Family dynamics and the individual differences of each family member can impact their stress. For families in the military, stress occurs regularly due to factors such a reassignments, deployments, and the frequency of changes. For some families, the stress that occurs over time helps family members to develop resiliency. Learning to cope with stress can teach skills in adapting to stressful lifestyle factors (e.g., mobility and relocation). Members of many military families develop these skills, while other families need a strong supportive network to facilitate their adjustment to military lifestyle stress. This is a review of the literature on the issues of how families and their children cope with and adapt to the stress of the military lifestyle. Suggestion are given for how families and school can work together to support children in military families to adapt to the military lifestyle. These suggestions can be applied to other types of transient families.

Patients admitted to in-patient rehabilitation programs have an increased risk for developing deep venous thrombosis (DVT). However, the utility of screening for lower extremity DVT using duplex ultrasound in this high-risk population is not well characterized. The purpose of this study is to identify whether or not screening lower-extremity duplex exams are indicated in this high-risk population. Screening lower extremity duplex exams were performed on all patients admitted to the rehabilitation center at Mt. Sinai Hospital over a 3-year period. Charts were reviewed for patient age, gender, diagnosis, date of screening and follow-up duplex exams, presence and location of venous thrombosis at each duplex exam, history of anticoagulation, and medical DVT prophylaxis. The presence of DVT at screening, the location of DVT along the lower extremity, and the outcome of calf DVT were analyzed in terms of gender, underlying diagnosis, and history of DVT prophylaxis. Lower extremity DVT was detected in 34% of patients. Twenty-three percent of patients had isolated calf vein thrombosis. Men were more likely than women to have DVT. Calf DVTs progressed in 3% of patients over an average follow-up of 2 weeks. The presence of DVT, its location along the lower extremity, and the outcome of calf vein DVT had no significant relationship to underlying diagnosis or history of prophylaxis. Screening duplex exams to detect lower extremity DVT in rehabilitation patients is useful. Screening altered management in 26% of patients, prompting either anticoagulation or repeat duplex exam.