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A standardized and controlled assessment of compliance involves observing different children's responses to the same types of instructions in similar contexts directly, as well as using the same implementation and scoring criteria for compliance and noncompliance. This type of assessment would allow evaluation of the impact of a range of independent variables and comparison across studies conducted by different applied researchers. The use of standardized assessment here should not be confused with a call for a large-scale, norm-referenced analysis; we are using the term to indicate that the compliance-assessment procedures be implemented in precisely the same manner across all participants to gain a comparable measure of preschoolers' compliance. These measures should be less biased by features of the assessment context, which often vary in assessments of compliance, because relevant features of the assessment context remain invariable across administrations.

Although treatment packages that involve changes to both the antecedents and consequences of compliance and noncompliance have been demonstrated to be effective (e.g., Everett et al., 2005; Harding et al., 1994; Mandal et al., 2000), the compliance literature is lacking an integrative analysis of the effects of multiple antecedent- and consequence-based strategies. A logical next step in compliance research is to determine the interaction between combinations of antecedent- and consequence-based strategies designed to promote compliance with preschoolers.

A final and relatively understudied area of child compliance pertains to the integrity of procedural variables. Challenges to the integrity of procedural implementation are important to evaluate because of the potential for treatments to be compromised when implemented by teachers or other nonresearcher behavior-change agents. Vollmer, Roane, Ringdahl, and Marcus (1999) provided a model evaluation of procedural (treatment) integrity in the context of a differential-reinforcement-of-alternative-behavior (DRA) intervention for problem behavior. They found that when treatment was implemented with less than perfect integrity, inappropriate behavior increased and alternative behavior tended to persist at less than desirable levels. More recently, Wilder et al. (2006) found that compliance percentages for 2 preschool-aged children were between 79% and 91% with 100% treatment integrity, between 41% and 54% with 50% integrity, and between 0% and 6% with 0% treatment integrity, thus providing an important demonstration that treatment integrity and effectiveness were positively correlated. However, because only three integrity levels were evaluated for a single type of intervention for noncompliance, additional analyses of varying levels of integrity of different compliance treatments are warranted.

An analysis of compliance across instructional categories showed that all instructions from all instructional categories could be completed within 6 s and that no instructional category was associated with significantly higher or lower levels of compliance (data available from the second author). These outcomes suggest that low levels of compliance were a function of weak motivating operations rather than skill deficits (or faulty stimulus control).

In sum, the impact of six antecedent variables (proximity, position, physical contact, eye contact, vocal attention, and play interruption) was assessed on compliance by 4 children. For 2 children (Kevin and Abby), the experimental analyses showed that compliance was most probable when multiple target antecedent variables were in place, suggesting that for some children, a more involved teacher presence prior to delivering an instruction may be an important variable for increasing or maintaining compliance.

The research presented in this article was completed in partial fulfillment of MA requirements by the first author at the University of Kansas. Kasey Stephenson is now at the Munroe Meyer Institute. We thank Kelsey Collins and Jeffrey Gordon for their assistance with data collection and analysis.

Sometimes people call them "anal glands" instead of "anal sacs". I believe this may be to avoid the aural confusion between "anal sacs" and "anal sex". Believe me, that is not nearly as funny as you think it is when it really happens in the exam room.

Dogs and cats both have these things. The actual anal glands are very tiny and surround the anus. Their secretions accumulate in the anal sacs. At the end of each bowel movement, the animal gives things one last squeeze and this empties a few drops from the sac. They fall freely and land on top of the waste-pile. The pheromones (hormone-like chemicals) act as a scent territorial marker.

I took my dog to my vet because he was having pain on his right hand flank area . He said that he believed it was probably anal glands issues . He did squeeze the glands. But the next day he still is in pain and actually secreted more today ? his leg is still hurting and is on pains

The second is what to do about an infected anal sac. I would recommend a warm compress on the area three times daily. Run a pan of water as warm as you can keep your hand in it comfortably. Use a clean cloth to apply heat to the area for 10 to 15 minutes, three times daily.

It smells like rotten shrimp! I just lost my dog to anal gland adenocarcinoma cancer (not sure if I spelled that right) but he was 14 and for months his anal glands would leak and finally his last visit the vet was able to check him there & she said it was a very aggressive form of cancer and he was way to old to treat but she was right, he went down so fast he passed less than a week later. Just wanted to share incase anyone else had this issue and they can afford to please bring them to get checked by the vet.

The anal sacs can become infected, needing treatment with systemic (i.e. oral) antibiotics and sometimes infusion of antibiotic ointment directly into the sacs. There is also a condition called perianal fistula.

My dog was diagnosed with perianal fistula in August. She was succesfully treated with Atopica and Protopic. She was spayed a month ago and the vet decided to decrease her dosage of Atopica from once a day to every other day. She now has an odd odor. She has no discharge, there are no fistulas visible to the eye, is not in distress, no visible symptoms of pain. Could this odd odor be caused from her anal glands themselves? The smell is not a feces type odor. It almost smells like a yeast infection. Have any suggestions for me vets or techs out there?

My dog, a Great Dane, anal glands were leaking. Took her to the vet who expelled her glands. One was bloody. Dr. Put her on anti-biotics and Carfonell? She has been on these medications for over 2 weeks and continues to leak bloody smelly discharge although not as bad & has quite eating. Does this take a long time to clear up or do I have a different issue?

Hello, Michelle,I would recommend that you let your veterinarian examine your dog. It often takes a rectal examination to evaluate the anal sacs properly. I would be very concerned about allergic problems, and your veterinarian can help with some trial therapies.

This does indeed sound like a ruptured anal sac. Most will respond to hot compresses and antibiotic therapy, but other diagnoses are possible and so are complications. You should take your dog to see her doctor.

Hi Doc, very informative thank you! I had been a little concerned about my min pins anal sacs because he sometimes has attacks of fish butt in the car, when that happens he seems fairly concerned and licks the seat, it sometimes happens at other times and it is pretty stinky but sounds like I have nothing to worry about. No scooting, no discernable discomfort. It is kind of gross when he sits on my arm or my chest and has that problem going on but no one is perfect I suppose.

It is very unusual for the anal sacs to leak while the dog is at rest. It is possible that they just do not fully empty in the natural fashion that they should, resulting in them being over-full and leaking.

For several weeks my Bichonhas been emitting that realputrid odor and we wash herhind area. My husband doesgroom her and squeeze her anal sac, but why is she releasing it herself so much in the past few weeks?Appreciate your opinion andsuggestions, thanks.

We have an 11 yr old Min Pin who has an infected anal sac. He is overweight, but otherwise healthy and energetic for his age. We didnt notice any symtems until we noticed some bleeding from a rupture. He had one other espisode some years earlier and the vet emptied the sacs manually. However they were not able to empty them this time. They prescribed antibiotics and suggested removal of the glands might be the best course of action. What do you think of the chances of success of the operation? Are there any other courses of treatment you would recommend?

If there are recurrences, I would consider having the sacs removed. However, some dogs have this problem once and have no futher trouble. After he heals (assuming that he does), you should have your veterinarian check his anal sacs monthly for a while to keep tabs on things.

The removal of the entire sac is the only one of these procedures that most people would consider moderately expensive. It is not a major surgery in regard to the amount of tissue removed, but it is a delicate surgery and one must be very careful not to damage the anal sphincter. It certainly requires a skilled and careful surgeon for a successful outcome.


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