Negotiating time. The significance of timing in ending inpatient work

This paper discusses work with young people during their stay on an NHS psychiatric inpatient unit, especially focusing on the end of treatment and the appropriate timing of discharge into the community. When approaching the end of an admission, various factors are considered that seem particularly relevant to the decision of when a young person may be ready to leave and cope with the transition back to life outside the unit. Indications of medical stability, in patients where this has been an issue, is a factor of prime importance. Other important factors include family functioning; the availability of adequate ongoing local CAMHS support for the child and family; suitable school provision; and the identity of the child within a peer group. The reality of NHS resources and the demand for inpatient beds is another pressing consideration. The young person's own motivation emerges as crucial at this stage - towards the end of treatment - not only in terms of what is said, and therefore evident verbally, but also through signs of internal shifts in the child that indicate a capacity to re-engage with life outside in a lasting way. Decisions about when to stop are taken with all this in mind and when the decision does not seem straightforward, it can provoke considerable anxiety in the multi-disciplinary team. Clinical material from psychotherapy with a young adolescent boy with anorexia nervosa is used to illustrate some of the dilemmas

Results of a study of bivalve molluscs of central Asia = Итоги исследования двустворчатых моллюсков Центральной Азии

The article is devoted to many years’ research (1972 - 2001) of bivalve mollusks of Central Asia. It is established that it is inhabited by 51 species of molluscs belonging to 16 genera, 8 families and three orders. Among them 13 species and 1 subgenus are described as new for science. Their ecology, distribution by basin types, byotopes, life forms and economic significance have been studied

Social and environmental factors influencing in-prison drug use

Purpose – There is a strong political imperative to regard the prison as a key social setting for health promotion, but evidence indicates that drug misuse continues to be a significant issue for many prisoners. This paper aims to examine the social and environmental factors within the setting that influence individuals' drug taking. Design/methodology/approach – Focus groups and interviews were conducted with prisoners and staff in three male training prisons in England. The sampling approach endeavoured to gain “maximum variation” so that a broad based understanding of the prison setting could be gathered. The data were analysed in accordance with Attride-Stirling's thematic network approach. Findings – The findings suggest a myriad of social and environmental factors influencing drug use. While staff recognised the scale of the drugs problem, they struggled to cope with creative inmates who were not perturbed by taking risks to gain their supplies. Fellow prisoners played a major role in individuals' decision making, as did the boredom of institutional life and Mandatory Drug Testing (MDT) policies within the institutions. Practical implications – Drug treatment is an essential component of prison healthcare, but it only forms a small part of creating a health-promoting setting. If the health-promoting prison is to be fully realised, a more radical, upstream and holistic outlook is required. Originality/value – The settings approach is an important theoretical and practical approach in health promotion. In comparison to other settings (such as schools), however, there has been limited research on the prison as a health-promoting environment

Are Airlines' Price Setting Strategies Different?

Using a sample of fare quotes for non-stop travel from New York to London, this paper investigates the dynamics of offered fares as the departure date nears. We find that the general trend is toward fare increase at an accelerated rate as the departure date approaches. Clear differences in price-setting strategies among the carriers competing on a particular route are documented

Why Do We Study Soil

The purpose of this resource is to introduce students to the importance of soil. In the first activity, students generate a list of why soils are important. In the second activity, students are asked to describe the five factors that form a unique soil profile and to explore these concepts. In the third activity, students are shown a demonstration of how much soil there is on Earth that is available for human use. Educational levels: Primary elementary, Intermediate elementary, Middle school, High school

Circular 100

Factors influencing calf survival are predation, insects, weather, diseases, and-ultimately-dam condition. In addition, reindeer calves on the Seward Peninsula are also subjected to annual herding and handling. The effects of any of these factors were unknown in reindeer herds on the Seward Peninsula. Our objectives were to determine the causes of mortality, particularly through purportedly high grizzly bear (Ursus arctos) predation; and to determine the survival rates of reindeer calves in one herd and provide management recommendations, based on a simple model, attempting to increase the herd numbers

Latest Experiments with GDV Technique in Agronomy

We have recorded coronas of ripe apples as a follow up to last year’s study [6]. The results indicate that we are unable to detect differences between organically and conventionally grown apples of very similar standard quality. We are, however, able to pick up differences between plants grown using different fertilization schemes

Distributed-order fractional Cauchy problems on bounded domains

In a fractional Cauchy problem, the usual first order time derivative is replaced by a fractional derivative. The fractional derivative models time delays in a diffusion process. The order of the fractional derivative can be distributed over the unit interval, to model a mixture of delay sources. In this paper, we provide explicit strong solutions and stochastic analogues for distributed-order fractional Cauchy problems on bounded domains with Dirichlet boundary conditions. Stochastic solutions are constructed using a non-Markovian time change of a killed Markov process generated by a uniformly elliptic second order space derivative operator.Comment: 29 page