How the Bachelor of Social Work (BSW) Prepares One for Working in a Residential Youth Care Setting:A Thematic Analysis of Youth workers’ Experiences in the Netherlands

The aim of this study is to gain insight into the experiences of social work practitioners’, on how a social work bachelor’s degree program prepares them for working in residential youth care settings. Semi-structured interviews were conducted to explore experiences of social workers. The interviews were thematically analyzed and three themes were identified: theoretical knowledge, practical skills and work setting. Participants reported that the theoretical knowledge they gained during their education was very valuable, but that the relevance of this knowledge depended on the specific work setting. Participants further wished they had received more practical training during their education, especially regarding dealing with severe problem behavior like aggression. Concerning the work setting, participants often felt insufficiently informed on and ill-prepared for understaffing, high turnover rates, the extensive list of tasks, and irregular working hours. Finally, findings imply a need to enrich the curriculum using role-playing and addressing gaps between education and the specific work setting by offering continued education after graduation in a flexible and modular way. Adjustments to the BSW curriculum may help social workers to be better prepared for the demanding workplace and thereby contributes to better outcomes of residential youth care.</p

How the Bachelor of Social Work (BSW) Prepares One for Working in a Residential Youth Care Setting:A Thematic Analysis of Youth workers’ Experiences in the Netherlands

The aim of this study is to gain insight into the experiences of social work practitioners’, on how a social work bachelor’s degree program prepares them for working in residential youth care settings. Semi-structured interviews were conducted to explore experiences of social workers. The interviews were thematically analyzed and three themes were identified: theoretical knowledge, practical skills and work setting. Participants reported that the theoretical knowledge they gained during their education was very valuable, but that the relevance of this knowledge depended on the specific work setting. Participants further wished they had received more practical training during their education, especially regarding dealing with severe problem behavior like aggression. Concerning the work setting, participants often felt insufficiently informed on and ill-prepared for understaffing, high turnover rates, the extensive list of tasks, and irregular working hours. Finally, findings imply a need to enrich the curriculum using role-playing and addressing gaps between education and the specific work setting by offering continued education after graduation in a flexible and modular way. Adjustments to the BSW curriculum may help social workers to be better prepared for the demanding workplace and thereby contributes to better outcomes of residential youth care.</p

How the Bachelor of Social Work (BSW) Prepares One for Working in a Residential Youth Care Setting:A Thematic Analysis of Youth workers’ Experiences in the Netherlands

The aim of this study is to gain insight into the experiences of social work practitioners’, on how a social work bachelor’s degree program prepares them for working in residential youth care settings. Semi-structured interviews were conducted to explore experiences of social workers. The interviews were thematically analyzed and three themes were identified: theoretical knowledge, practical skills and work setting. Participants reported that the theoretical knowledge they gained during their education was very valuable, but that the relevance of this knowledge depended on the specific work setting. Participants further wished they had received more practical training during their education, especially regarding dealing with severe problem behavior like aggression. Concerning the work setting, participants often felt insufficiently informed on and ill-prepared for understaffing, high turnover rates, the extensive list of tasks, and irregular working hours. Finally, findings imply a need to enrich the curriculum using role-playing and addressing gaps between education and the specific work setting by offering continued education after graduation in a flexible and modular way. Adjustments to the BSW curriculum may help social workers to be better prepared for the demanding workplace and thereby contributes to better outcomes of residential youth care.</p

How the Bachelor of Social Work (BSW) Prepares One for Working in a Residential Youth Care Setting:A Thematic Analysis of Youth workers’ Experiences in the Netherlands

The aim of this study is to gain insight into the experiences of social work practitioners’, on how a social work bachelor’s degree program prepares them for working in residential youth care settings. Semi-structured interviews were conducted to explore experiences of social workers. The interviews were thematically analyzed and three themes were identified: theoretical knowledge, practical skills and work setting. Participants reported that the theoretical knowledge they gained during their education was very valuable, but that the relevance of this knowledge depended on the specific work setting. Participants further wished they had received more practical training during their education, especially regarding dealing with severe problem behavior like aggression. Concerning the work setting, participants often felt insufficiently informed on and ill-prepared for understaffing, high turnover rates, the extensive list of tasks, and irregular working hours. Finally, findings imply a need to enrich the curriculum using role-playing and addressing gaps between education and the specific work setting by offering continued education after graduation in a flexible and modular way. Adjustments to the BSW curriculum may help social workers to be better prepared for the demanding workplace and thereby contributes to better outcomes of residential youth care.</p

How the Bachelor of Social Work (BSW) Prepares One for Working in a Residential Youth Care Setting:A Thematic Analysis of Youth workers’ Experiences in the Netherlands

The aim of this study is to gain insight into the experiences of social work practitioners’, on how a social work bachelor’s degree program prepares them for working in residential youth care settings. Semi-structured interviews were conducted to explore experiences of social workers. The interviews were thematically analyzed and three themes were identified: theoretical knowledge, practical skills and work setting. Participants reported that the theoretical knowledge they gained during their education was very valuable, but that the relevance of this knowledge depended on the specific work setting. Participants further wished they had received more practical training during their education, especially regarding dealing with severe problem behavior like aggression. Concerning the work setting, participants often felt insufficiently informed on and ill-prepared for understaffing, high turnover rates, the extensive list of tasks, and irregular working hours. Finally, findings imply a need to enrich the curriculum using role-playing and addressing gaps between education and the specific work setting by offering continued education after graduation in a flexible and modular way. Adjustments to the BSW curriculum may help social workers to be better prepared for the demanding workplace and thereby contributes to better outcomes of residential youth care.</p

High Discordance of Chest X-ray and CT for Detection of Pulmonary Opacities in ED Patients: Implications for Diagnosing Pneumonia

Objective To evaluate the diagnostic performance of chest x-ray (CXR) compared to computed tomography (CT) for detection of pulmonary opacities in adult emergency department (ED) patients. Methods We conducted an observational cross-sectional study of adult patients presenting to 12 EDs in the United States from July 1, 2003, through November 30, 2006, who underwent both CXR and chest CT for routine clinical care. CXRs and CT scans performed on the same patient were matched. CXRs and CT scans were interpreted by attending radiologists and classified as containing pulmonary opacities if the final radiologist report noted opacity, infiltrate, consolidation, pneumonia, or bronchopneumonia. Using CT as a criterion standard, the diagnostic test characteristics of CXR to detect pulmonary opacities were calculated. Results The study cohort included 3423 patients. Shortness of breath, chest pain and cough were the most common complaints, with 96.1% of subjects reporting at least one of these symptoms. Pulmonary opacities were visualized on 309 (9.0%) CXRs and 191 (5.6 %) CT scans. CXR test characteristics for detection of pulmonary opacities included: sensitivity 43.5% (95% CI, 36.4%-50.8%); specificity 93.0% (95% CI, 92.1%-93.9%); positive predictive value 26.9% (95% CI, 22.1%-32.2%); and negative predictive value 96.5% (95% CI, 95.8%-97.1%). Conclusion In this multicenter cohort of adult ED patients with acute cardiopulmonary symptoms, CXR demonstrated poor sensitivity and positive predictive value for detecting pulmonary opacities. Reliance on CXR to identify pneumonia may lead to significant rates of misdiagnosis

Supported Housing and Supported Independent Living in the Netherlands, with a Comparison with England

Research into community housing programs for people with severe mental illness is underexposed. The Dutch UTOPIA study describes characteristics of their service users, which may predict their allocation to either supported housing or supported independent living programs. Additionally, a comparison is made with English studies. 119 Care coordinators of Dutch residential care institutes and 534 service users participated in a cross-sectional survey which includes socio-demographic data, clinical data, measures of functioning, needs for care and quality of life. Differences between Dutch residents and independent living service users were small, making predictions of care allocation difficult. This similarity suggests a possible lack of methodical assessment in the allocation procedure of people who are eligible for residential housing or independent living programs. This is largely comparable to the English situation. In comparison with their English counterparts, Dutch service users have more met needs and are more engaged in occupational activities

Some Siegel modular standard L-values, and Shafarevich–Tate groups

AbstractWe explain how the Bloch–Kato conjecture leads us to the following conclusion: a large prime dividing a critical value of the L-function of a classical Hecke eigenform f of level 1, should often also divide certain ratios of critical values for the standard L-function of a related genus two (and in general vector-valued) Hecke eigenform F. The relation between f and F (Harderʼs conjecture in the vector-valued case) is a congruence involving Hecke eigenvalues, modulo the large prime. In the scalar-valued case we prove the divisibility, subject to weak conditions. In two instances in the vector-valued case, we confirm the divisibility using elaborate computations involving special differential operators. These computations do not depend for their validity on any unproved conjecture

Common chronic conditions do not affect performance of cell cycle arrest biomarkers for risk stratification of acute kidney injury

Background Identification of acute kidney injury (AKI) can be challenging in patients with underlying chronic disease, and biomarkers often perform poorly in this population. In this study we examined the performance characteristics of the novel biomarker panel of urinary tissue inhibitor of metalloproteinases-2 (TIMP2) and insulin-like growth factor-binding protein 7 ([IGFBP7]) in patients with a variety of comorbid conditions. Methods We analyzed data from two multicenter studies of critically ill patients in which [TIMP2]•[IGFBP7] was validated for prediction of Kidney Disease: Improving Global Outcomes (KDIGO) Stage 2 or 3 AKI within 12 h. We constructed receiver operating characteristic (ROC) curves for AKI prediction both overall and by comorbid conditions common among patients with AKI, including diabetes mellitus, congestive heart failure (CHF) and chronic kidney disease (CKD). Results In the overall cohort of 1131 patients, 139 (12.3%) developed KDIGO Stage 2 or 3 AKI. [TIMP2]•[IGFBP7] was significantly higher in AKI versus non-AKI patients, both overall and within each comorbidity subgroup. The AUC for [TIMP2]•[IGFBP7] in predicting AKI was 0.81 overall. Higher AUC was noted in patients with versus without CHF (0.89 versus 0.79; P = 0.026) and CKD (0.91 versus 0.80; P = 0.024). Conclusions We observed no significant impairment in the performance of cell cycle arrest biomarkers due to the presence of chronic comorbid conditions

A clinical evaluation committee assessment of recombinant human tissue factor pathway inhibitor (tifacogin) in patients with severe community-acquired pneumonia

INTRODUCTION: The purpose of this analysis was to determine the potential efficacy of recombinant human tissue factor pathway inhibitor (tifacogin) in a subpopulation of patients with community-acquired pneumonia (CAP) from a phase III study of severe sepsis. METHODS : A retrospective review of patients with suspected pneumonia was conducted by an independent clinical evaluation committee (CEC) blinded to treatment assignment. The CEC reanalyzed data from patients enrolled in an international multicenter clinical trial of sepsis who had a diagnosis of pneumonia as the probable source of sepsis. The primary efficacy measure was all-cause 28-day mortality. RESULTS: Of 847 patients identified on case report forms with a clinical diagnosis of pneumonia, 780 (92%) were confirmed by the CEC to have pneumonia. Of confirmed pneumonia cases, 496 (63.6%) met the definition for CAP. In the CEC CAP population, the mortality rates of the tifacogin and placebo groups were 70/251 (27.9%) and 80/245 (32.7%), respectively. The strongest signals were seen in patients with CAP not receiving concomitant heparin, having microbiologically confirmed infection, or having the combination of documented infection and no heparin. The reduction in mortality in this narrowly defined subgroup when treated with tifacogin compared with placebo was statistically significant (17/58 [29.3%] with tifacogin and 28/54 [51.9%] with placebo; unadjusted P value of less than 0.02). CONCLUSIONS: Tifacogin administration did not significantly reduce mortality in any severe CAP patient. Exploratory analyses showed an improved survival in patients who did not receive concomitant heparin with microbiologically confirmed infections. These data support the rationale of an ongoing phase III study exploring the potential benefit of tifacogin in severe CAP. TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT00084071