Sufficient Efforts Research Articles

A Comprehensive Review of the Key Deterioration Factors of Concrete Bridge Decks

Bridges are generally acknowledged as one of the vital structures of transportation systems. Meanwhile, they are prone to time-variant damage and deterioration mechanisms over their life span. With that in mind, this research study aims to explore state-of-the-art work in relation to deterioration models and related critical factors of reinforced concrete bridges. Particularly, this study presents a mixed review methodology (scientometric and systematic) that reviews over 300 publications in Scopus and Web of Science databases over the period 1985–2023. The study scrutinized and categorized the wide spectrum of deterioration factors in reinforced concrete bridges with the help of deterioration models. Results manifested that implicating deterioration factors can be grouped into seven main clusters, namely chemical, material properties, design & construction, physical, operational, environmental, and force majeure. In addition, it is noted that hitherto, there has been a lack of sufficient research efforts on non-destructive evaluation-based deterioration models.

Alternative Pharmaceutical Innovation Models in Competitive Markets: A Collaborative Approach to Develop a Novel Drug for Hepatitis C.

Alternative innovation models have emerged to address failures of the traditional pharmaceutical system, particularly for diseases where market incentives do not attract sufficient research and development efforts. However, the feasibility of such models for diseases with significant markets is not well-established. This article analyses the development of a novel drug (ravidasvir) for the treatment of hepatitis C, a highly profitable market. Data from qualitative research methods, including literature reviews and semi-structured interviews, was analyzed using a novel conceptual framework focusing on actors, resources, organizational practices, and outcomes. Dissimilar to other projects, ravidasvir did not involve any major pharmaceutical companies. Rather, it leveraged the capacities of actors less traditionally involved in the development of novel medicines by constructing a collaborative network of private and public partners from low- and middle-income countries with a shared goal. The collaboration was successful in developing a highly effective, easy-to-use, and affordable medicine and contributed significantly to capacity-strengthening. However, the case also highlighted that strategic behavior by competing for-profit firms could pose significant challenges and that changing external conditions reduced the potential public health impact of the drug. Lessons from ravidasvir can inform future efforts to develop alternative innovation models for therapeutic areas with significant commercial interest.

Black and White Americans’ Perceptions of Community Equity Efforts Diverge Following the Removal of Confederate Monuments

Communities across the United States are removing Confederate monuments from public spaces. Little work, however, has considered downstream consequences of these decisions. Across three experiments and four replications in Supplemental Material, we examine impacts of community decisions on individuals’ perceptions of communities’ efforts toward racial equity. We find that the removal of monuments leads White Americans—but not Black Americans—to believe that communities will sufficiently prioritize policies aimed at redressing racial inequity in the future. Taken together, these findings suggest that the symbolic removal of Confederate monuments may signal different structural equity investments to different constituencies, with Whites anticipating that communities will engage in sufficient racial equity policy efforts and Black Americans remaining skeptical.

Influence of development factors of manufacturing industry on the economy of the North-Western Federal District

Due to constant tightening of the sanctions policy against Russia, the stable manufacturing industry is among fundamental factors of sustainability and active growth of the country’s economy. Since the beginning of 2022, sufficient efforts have been made to neutralise the negative consequences of foreign companies leaving the market and replace imported goods and technologies with domestic ones. An urgent issue is to assess importance of stable manufacturing industry for the economy of the country and its regions. For the industrially developed North-Western macroregion, which has been seriously affected by the disruption of relations with the European Union and the United States of America, the rapid restructuring and reorientation of commodity flows is an important task, alongside with the increase in production of high value-added goods based on the resources of the macroregion. The purpose of the study was to identify how much factors of development of the manufacturing industry influence gross regional product (hereinafter referred to as GRP) per capita in the North-Western Federal District (hereinafter referred to as NWFD). The constructed econometric model made it possible to assess the most serious factors, the increase of which will allow to influence the economy of the macroregion. It is proved that the average number of employees of small enterprises has the strongest positive impact on GRP per capita in the NWFD as its increase by 1 person leads to an increase in the resulting variable by 1,055.76 rubles, all other things being equal. Thus, currently, the activation of the manufacturing industry with more employees of small business will become a driver of recovery and sustainable development of the macroregion’s economy.

Evaluation of risk factors of postpartum urinary retention after vaginal delivery

BackgroundUrinary retention is a condition where a person is unable to urinate even after making sufficient efforts. It can be classified as either acute or chronic, as well as overt or covert. Urinary retention can be caused by various factors such as poor detrusor muscle contraction, a decrease in bladder contractility, anatomical anomalies, impaired neurological coordination while urinating, and disruption of outlet relaxation. The objective of this study was to identify the risk factors of postpartum urinary retention (PPUR) after vaginal delivery. MethodsA cross-sectional study was conducted involving 500 female subjects who were in labor. All data obtained including variables such as age, parity, perineal rupture, episiotomy, history of using assisted vaginal birth during labor, and newborn weight, were compared between female subjects with and without postpartum urinary retention. The data were was analyzed using chi square test and multiple logistic regression analyses as a means to identify risk factors for PPUR. Results Among the 500 patients recruited to our study, 68 (13.6%) had PPUR. Episiotomy and parity were found to be potential risk factors for PPUR (OR=1.84;95% CI = 1.06-3.18 and OR=2.19;95% CI = 1.16-4.12, respectively). Severe perineal rupture was not a risk factor of PPUR (OR= 0.82;95% CI =0.82-5.89). ConclusionThe prevalence of PPUR was quite high. Risk factors identified for PPUR were parity and episiotomy. In clinical practice, healthcare providers should pay more attention to women with these risk factors to prevent PPUR.

COVID-19 Vaccination Hesitancy: A Review of the Literature and Recommendations.

Vaccines are important to improve immunity against pathogens and diseases. The current COVID-19 disease is rapidly evolving and spreading among people; therefore, it is important to utilize a proper vaccination strategy against it. Currently, many approved vaccines are available and accessible; however, there is a reported hesitancy against taking them among the public and even the health care workers. Mainly, this is attributed to the fear of the possible side effects and complications. Moreover, inaccurate knowledge disseminated through the media/social media especially by those who lack proper expertise adds confusion and more fear that affects the vaccination decision. For such reasons, it is essential to find strategies to increase the acceptability of vaccines and to enhance confidence in the vaccination process. This should be accompanied by sufficient efforts and proper clinical studies to confirm the value and the safety of the vaccines. Those strategies are important to avoid the further spread of the COVID-19 disease and to abort the pandemic worldwide, especially when considering the likely approach towards a COVID-19 booster vaccination program, in which booster vaccines are re-taken along intervals to adequately contain the rapidly evolving nature of the virus. This review article highlights the factors influencing the acceptability of the COVID-19 vaccination and enrollment in clinical trials among the public and some specific populations. Furthermore, it summarizes the suggested strategies and recommendations that can improve the attitudes towards COVID-19 vaccination programs.

Air pollutant emissions caused by receiving international industrial transfer in Southeast Asian developing countries from 1990 to 2018

Receiving international industrial transfer (mainly foreign direct investment, FDI) is extremely important for economic development but also brings negative environmental impacts for Southeast Asian developing countries (SEADCs). Due to relatively low labor costs and large market potential, SEADCs have become an attractive destination for industrial transfer after China, while studies were far from sufficient on the associated air pollutant emissions that would worsen air quality and threaten human health. We develop an exploratory framework to estimate the long-term trends of relevant air pollutant emissions in eight major SEADCs, including Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Thailand, and Vietnam. During 1990–2018, the emissions generally show a fluctuating upward trend and increased significantly in Cambodia, Laos, Philippines, and Vietnam. The total emissions of CO, NMVOC, SO2, NOX, PM2.5, and NH3 from the eight SEADCs increased from 19.0, 4.3, 3.6, 1.5, 0.5, and 0.4 kilotons (kt) to 391.6, 260.9, 271.1, 182.4, 48.4, and 12.2 kt, respectively. The emission growth in almost all SEADCs accelerated after 2008 and faster than FDI growth. The disparities in emissions among SEADCs basically grew first and then declined to a level lower than that of 1990, but generally exceeded the disparities in FDI. Productivity gain and emission intensity decrease primarily caused the emission growth and reduction, respectively. Relatively small reductions in emission intensity are found for NOX and SO2. In general, most SEADCs have utilized FDI for economic development without sufficient efforts on air pollutant emission controls. Our outcomes can inform the formulation and optimization of relevant policies reconciling economic development and air quality improvement in SEADCs.

(339) Malpractice Litigation Related to Management of Varicocele: A Legal Database Review

Abstract Introduction Varicocele may be associated with pain and subfertility which comes with a range of treatment options, from observation to pain management to surgical correction. Urologists are defendants in more malpractice suits than the average physician and litigation may be a concern when determining their management strategy. Objective The purpose of the study was to investigate the factors associated with malpractice litigation surrounding the management of varicoceles. Methods Using the Casetext online legal database, we searched for cases with the query “(Malpractice and (Varicocele or Varicocelectomy)).” Cases were only included if they were related to varicocele management. We documented the following variables: date of case, whether the plaintiff was incarcerated, alleged breaches of duty, alleged damages, and legal outcome. Data were analyzed using descriptive characteristics. Results Our database search yielded a total of 26 cases. Of these, 10 were related to the management of varicocele and included in our analysis. The cases occurred between the years 1931 and 2022, with 60% (6/10) having happened since 2013. 60% (6/10) of the cases involved an inmate as the plaintiff. The alleged breaches of duty included violation of the 8th Amendment (50%, 5/10), with all those cases involving inmates; negligence (40%, 4/10); and disability discrimination (10%, 1/10). The most common alleged damages included pain (80%, 8/10), infertility (30%, 3/10), and loss of testicle (30%, 3/10). A urologist was included among the defendants in half the cases. Other defendants included prison wardens, healthcare institutions, prison complexes, and other physicians. The verdict in 90% (9/10) of these cases favored the defendant. The lone case which favored the plaintiff occurred in 1951, included a urologist in the defense, and involved a retained drain inside the scrotum which led to infection and ultimately orchiectomy. 100% (6/6) of the cases involving inmates favored the defendant. Conclusions There have been relatively few legal cases on varicoceles, and most of them involved inmates. This may reflect differences in approach or treatment of urologic issues in inmates amongst medical care facilities. Violation of the 8th Amendment, which prohibits cruel and unusual punishment, was a common breach of duty alleged by incarcerated plaintiffs. However, all those cases favored the defense, with the explanation of these decisions often stating that the act of treating the varicocele, even if not successful, was proof that sufficient efforts were made. Most of the alleged damages involved pain because of insufficient or negligent treatment. Infertility as well as loss of testicle were less common claims. A major limitation of this study is that it does not capture cases which settled prior to trial. Nonetheless, providers should be reassured that malpractice claims regarding varicoceles are uncommon and that most cases are ruled in favor of the defense. Disclosure No.

Do China's pilot emissions trading schemes lead to domestic carbon leakage? Perspective from the firm relocation

The limited geographical coverage of pilot emissions trading schemes (ETS) raises domestic carbon leakage risks. Since relocation represents a primary channel that causes carbon leakage, this paper investigates the impact of China's pilot ETSs on firms' cross-provincial relocation with a method combining propensity score matching and staggered difference-in-differences. The empirical results, based on the data of Chinese listed industrial firms from 2009 to 2020, show that the ETS has accelerated firm relocation by increasing negative attention and social capital investments. According to the threshold analysis, firms with sufficient abatement efforts do not undertake relocation strategies. The theoretical analysis can also be confirmed by further investigations on the price signal distortions and the negative impact of relocation on carbon prices. Moreover, the study also demonstrates the heterogeneous effects across firm characteristics, industry types, and policy design features. Overall, these findings provide a reference for China's government to prioritize the establishment of domestic leakage prevention mechanisms for ETS.

Pre-disaster and response activities in disaster management: Insights from an experts’ survey and document analysis

Emergencies, disasters, and catastrophes require urgent attention from communities and governments to both prevent and mitigate their impacts. Disaster management is a field of academic research and practical application that encompasses a comprehensive range of activities divided into three main phases: pre-disaster (preparedness and mitigation), response, and recovery. The pre-disaster phase includes efforts such as risk assessments as well as emergency planning and preparedness, while the response phase includes activities such as aid delivery. In this paper, the authors analyze how pre-disaster and response activities impact societies differently when facing various kinds of catastrophes. Specifically, scientific articles and official disaster management reports were reviewed to develop a document analysis that focuses on the pre-disaster and response operations performed in four different types of catastrophes: nuclear power plant accidents, volcanic eruptions, hurricanes, and landslides with distinct features around the world. Next, the study presents an experts’ survey and compares the findings with the document analysis. The results show that adequate and sufficient efforts in pre-disaster activities have a more significant impact on preserving lives and reducing the economic impact of catastrophes than response activities. Nevertheless, both pre-disaster and response activities are essential in confronting catastrophes and should be carried out. Operations managers working in humanitarian logistics should direct efforts and resources toward developing effective pre-disaster strategies in areas vulnerable to these risks.

SOCIAL ENGAGEMENT AMONG COMMUNITY-DWELLING OLDER ADULTS: A QUALITY-OF-LIFE ANALYSIS

Abstract Older adults are living longer without sufficient efforts from health and social service systems to improve their quality of life (QoL). QoL is a nuanced, dynamic aspect to analyze. Literature shows that higher levels of social engagement provide a range of benefits to physical, mental, and cognitive health, all broad indicators of overall QoL. Social engagement comprises the person’s subjective experience of the richness of their relationships. The purpose of this study was to examine empirically the connection among this richness of relationships — specifically social engagement and perceived quality of relationships — and overall QoL among older adults. The study used a large sample (N=746) of non-institutionalized adults, ages 65 and older, from the nationally representative, AARP Social Engagement and Brain Health Survey. Two primary independent variables (IVs) were quantifiable measures of social engagement and perceived quality of social relationships; covariance controlled for several demographic factors (e.g., sex, ethnicity, income) and general health measures of physical, mental, and emotional health. The outcome variable was a composite score from a popular QoL measure. Analyses involved bivariate regression for the primary IVs, then multivariate OLS regression with each IV to predict quality of life. Results showed that QoL significantly regressed with predictors of social engagement (positively); each health variable (positively); unmarried status; ethnicity of Black/African American or Asian; and male gender. These results enhance our understanding of the relationship between social engagement, relationship quality, and QoL in older adults, particularly those who identify within the aforesaid demographic brackets. Implications are discussed.

Choice of primer pairs and PCR polymerase affect the detection of fish eDNA

Efficient biomonitoring is essential for fish protection and management. Environmental DNA (eDNA) has become a promising tool for fish surveys, and its accuracy and robustness are closely related to the primer pairs and DNA polymerases, especially for different environmental samples. However, there is still a lack of sufficient efforts to assess the effects of both two factors on fish biomonitoring. Here, we selected ten primer pairs in the mitochondrial 12S rRNA gene region and three commercial DNA polymerases and analyzed their effects on fish eDNA monitoring in surface water and sediment samples of Dianchi Lake. We found that primer pairs and DNA polymerases significantly affected fish biomonitoring in surface water and sediments of Dianchi Lake. First, there were significant variations in annotated fish eDNA sequences in different groups of primer pairs and DNA polymerases, the percentage of fish sequences amplified by the groups related to primers Riaz-12S and 12S-V5 was more than 90% of the total sequences. Second, the composition of different classification levels of fish taxa varied considerably across groups of primer pairs and DNA polymerases, and the groups related to primers Riaz-12S (i.e., Taq Master‒Riaz-12S, Rapid Taq‒Riaz-12S) and 12S-V5 (i.e., Taq Master‒12S-V5, Rapid Taq‒12S-V5) identified more taxa than other groups. Third, primer pairs had greater impacts on the structure of fish communities than DNA polymerases, and the interactions between two factors had more significant effects than any single one. This study highlights that primer pairs and DNA polymerases play critical roles in fish biomonitoring, and this work aimed to provide methodological guidance for assisting the design of the fish eDNA survey scheme.

Uniformly Hybrid Surface Containing Adjustable Hydrophobic/Hydrophilic Components Obtained by Programmed Strain for Synergistic Anti-Icing.

Sufficient efforts have been put into the design of anti-icing materials to eliminate the icing hazard. Among the currently approved anti-icing concepts, hydrophilic/hydrophobic hybrid anti-icing materials inspired by antifreeze proteins show excellent properties in inhibiting ice nucleation, inhibiting ice crystal growth, and reducing ice adhesion. However, it is still a great challenge to accurately regulate the hydrophilic and hydrophobic hybrid components of the coating surface to clarify the synergistic mechanism. This work proposes a strain-manipulated surface modification strategy, and an anti-icing coating with adjustable hydrophilic/hydrophobic hybrid components prepared by combining chemical vapor deposition and siloxane chemistry is obtained. According to the ice resistance experiment at -15 °C, the performance of anti-icing is closely related to the proportion of hydrophilic and hydrophobic hybrids. The icing delay time and ice adhesion strength of the material with the optimal hydrophilic/hydrophobic components are 280 s and 18.6 kPa, respectively. These unique properties can be attributed to the synergistic effect of hydrophilic and hydrophobic structures on the regulation of interfacial water.

Fostering Entrepreneurship through the Assessment of Business Risks for SMEs in V4 countries

SME owners and managers are intuitively aware of risks but do not make sufficient efforts to assess them realistically and implement strategies to reduce them. The relationship between SME risk perception and the consistency of this perception during the length of their business has not been investigated yet. The main aim of this article is to identify the most significant risks in the SMEs, to analyze the dependence among the degree of intensity of the observed financial, market and economic risks and the SME timeframe by selected statistical methods and tools. Building upon the empirical research implemented in 2017- 2018 and 2019-2020, it is possible to consider the market, financial and economic risks as the crucial risks negatively affecting the current business environment of the SMEs. The secondary aim of the article is to evaluate and compare the results of our research with the results of identical investigations in the Czech Republic, Hungary, and Poland. Drawing from these findings, market risks affect the SME business environment highly negatively and are considered the most significant risks in all the examined countries. SME entrepreneurs in the V4 countries should thus increasingly support the process of applying risk management to ensure higher stability, performance and resilience of their businesses. The results are valuable for SMEs and institutions providing business support to strengthen the competitiveness of entrepreneurs in the V4 countries. Concerning their impact, they are significant at the national and international level of the V4 countries and can assist SMEs in gradually moving towards the global trends in this field.

Climate Change Litigation – A Promising Perspective?

Like climate change, climate lawsuits are a global phenomenon. Under the guise of “strategic litigation”, individuals and groups try to advance sufficient efforts to mitigate climate change by states and companies, citing constitutional fundamental and human rights. The majority of the litigation has so far been unsuccessful. With the Dutch judgments in the Urgenda and Shell cases and the decision of the German Federal Constitutional Court of March 2021, case-law precedent for concrete measures has recently become available. The article sheds light on the discussion on climate lawsuits, lets critics have their say and concludes with an outlook on the effects of these proceedings on liberal parliamentary democracies and the emergence of global ecological human rights and possibly even of nature’s rights for its own sake.

PRIORITY AREAS AND MEANS OF PUBLIC ADMINISTRATION COUNTERING RAIDING

Each business entity should make sufficient efforts to respond appropriately to the existing challenges (including the threat of a raider attack); however, not always and not all of them are able to cope with this on their own, and therefore require external assistance, which is expressed in the use of appropriate means of public administration to counteract raiding. The objective of the article is to improve the list of means and priority areas of public administration addressing raiding. The generalization of the developments of leading scholars and practitioners, as well as the results of the author's own research in this area, allow improving the list of means of public administration of countering raiding in the following priority areas: organisational and methodological support of public administration of countering raiding; prevention of raiding; localisation of raider attacks; minimisation of the negative consequences of the spread of raiding. The key to success in this area is the proper use of advanced methodological support, balanced application of administrative, economic, organisational, legal and socio-psychological methods of public administration, as well as consideration of market mechanisms and social norms which, to a certain extent, affect the functioning of business entities. The author proves the inadmissibility of the following: involvement of public administration officials in unfair competition; use of public authority to appropriate or gain influence over a company that has been subjected to a raider attack; use of anti-raider measures as a way of dealing with «inconvenient» public administration officials; preservation of the practice when the principle of «presumption of innocence» is applied instead of the principle of «presumption of impunity».

A Mobile Self-Management App (CanSelfMan) for Children With Cancer and Their Caregivers: Usability and Compatibility Study.

Despite the increasing development of different smartphone apps in the health care domain, most of these apps lack proper evaluation. In fact, with the rapid development of smartphones and wireless communication infrastructure, many health care systems around the world are using these apps to provide health services for people without sufficient scientific efforts to design, develop, and evaluate them. The objective of this study was to evaluate the usability of CanSelfMan, a self-management app that provides access to reliable information to improve communication between health care providers and children with cancer and their parents/caregivers, facilitating remote monitoring and promoting medication adherence. We performed debugging and compatibility tests in a simulated environment to identify possible errors. Then, at the end of the 3-week period of using the app, children with cancer and their parents/caregivers filled out the User Experience Questionnaire (UEQ) to evaluate the usability of the CanSelfMan app and their level of user satisfaction. During the 3 weeks of CanSelfMan use, 270 cases of symptom evaluation and 194 questions were recorded in the system by children and their parents/caregivers and answered by oncologists. After the end of the 3 weeks, 44 users completed the standard UEQ user experience questionnaire. According to the children's evaluations, attractiveness (mean 1.956, SD 0.547) and efficiency (mean 1.934, SD 0.499) achieved the best mean results compared with novelty (mean 1.711, SD 0.481). Parents/caregivers rated efficiency at a mean of 1.880 (SD 0.316) and attractiveness at a mean of 1.853 (SD 0.331). The lowest mean score was reported for novelty (mean 1.670, SD 0.225). In this study, we describe the evaluation process of a self-management system to support children with cancer and their families. Based on the feedback and scores obtained from the usability evaluation, it seems that the children and their parents find CanSelfMan to be an interesting and practical idea to provide reliable and updated information on cancer and help them manage the complications of this disease.

Modeling the Country’s Participation in Armed Conflict Resolution: Case of Germany’s Activity in Mali

In the early 2020s, the challenges of maintaining a Western presence in the zones of armed conflicts in Asia and Africa increased dramatically. This was most evident in Afghanistan, while notable difficulties were also observed in the Sahara-Sahel region. In trying to understand the reasons for this, the author turned to the situation in Mali, trying to correlate the Germany’s actions in Mali with the author’s theoretical-practical scheme of participation of an outside actor in the resolution of an armed conflict. Reaching the position of a full-fledged global actor, Germany is especially interested in creating a strategic presence in the instability zones and is sensitive to its loss. At the first stage of the resolution, the key tasks are the bracketing of radical forces, especially terrorist groups, and the reconciliation of the moderate ones, which are interested in preserving the institution of the state as such. The second stage is the time for full-scale international peacekeeping. The third stage is the nationalization of the resolution, i.e. the transfer of control over the process to the authorities and security forces in the country of conflict’s origin. The study explores the forms, scale, and geographical features of Germany’s use of military tools and diplomatic capabilities in the first two stages of the 2013-2019 resolution. The main “bottlenecks” of the approach are identified, including the persistent delay in applying sufficient efforts and the determinism of this trend. For 2020-2021, two contradictory paths are shown against the background of a new wave of activation of terrorist groups in the south of Mali: an accelerated transition to nationalization with a possible withdrawal of German and French support, and a postponement of the third stage, linked to the preparations for the continued presence of Western countries in Mali.

Review on Electrode Degradation at Fast Charging of Li-Ion and Li Metal Batteries from a Kinetic Perspective

With the surge of electric vehicles, fast charging has become one of the major challenges for the development of Li-ion and Li metal batteries. The degradation of battery electrodes at fast charging has been identified as among the gating factors. While there have been extensive studies on anode and cathode degradation modes, not sufficient efforts have been made to dive deep into the kinetics of battery charging and its influence on electrode degradation, especially during fast charging. This review presents a comprehensive yet concentrated perspective into such issues. By tracing back to the kinetic origins of battery charging, it is revealed that the intrinsic properties of electrode active materials and the microstructures of electrode are of great importance in determining electrode kinetics. Most of the electrode degradation modes are closely related to the high overpotentials and the spatial inhomogeneity in Li concentration and pertinent characteristics, which are results of the sluggish electrode kinetics during fast charging. Approaches to mitigate electrode degradation are summarized from the aspect of improving electrode kinetics and circumventing detrimental side reactions.

PENGARUH DUKUNGAN KELUARGA TERHADAP TUMBUH KEMBANG BALITA

Family members are the most important part in the process of developing toddlers in carrying out positive socialization in the surrounding environment. Basically, children have a need to achieve growth and development. This is a challenge for family members to be more alert and sensitive to the actions around them that can impact the child's development in the future. The focus of the problem in this study refers to the role of parents in supporting the growth and development of toddlers. Respondents in this study were 40 respondents who had toddlers at the Sidorejo Hilir Sub-Health Center. The sampling technique used is using the non-probability sampling method, because this study aims to find out in depth how the response of family support to toddlers. The purpose of this study was to find out how much influence family support had on the growth and development of toddlers at the Sidorejo Hilir Community Health Center. Research results, as many as 52.5% of respondents had toddlers aged 20-35 years, toddlers aged 2-3 years, toddler growth of 47.5% was categorized as thin, and 50% of toddlers' development was stated to be doubtful, 62.5% family support has made sufficient efforts for the growth and development of toddlers. In conclusion, the role of the family is very significantly related to the growth and development of toddlers. This can be seen from toddlers who are declared thin growth and are declared doubtful in their development because the role of support is in the sufficient category.