Improving Medicaid Managed Care for Youth With Serious Behavioral Health Needs: A Quality Improvement Toolkit

Profiles successful initiatives by Medicaid managed care organizations in a collaboration to implement systems of care emphasizing early identification, coordination and management, and various services and supports in the least restrictive settings

An investigation of the phonological awareness skills of third grade Xhosa language speakers, with special reference to their levels of spelling and reading skills in English

Includes bibliographical references (leaves 121-124).The aim of the study was to examine the relationship between phonological awareness skills and literacy levels in disadvantaged third grade Xhosa language speakers who are learning to read and write in English

Invisible Threads

SUMMARY This article explores some aspects of the widespread, though largely invisible, labour of people (mainly women) working for wages in their own homes. It is argued that this labour is an essential part of capitalist production, providing a flexible and cheap form of labour for a wide range of manufacturing industry. Its continued existence is not explicable by the characteristics of the workers, though some are relevant to understanding the low level of wages imposed on a fragmented and completely unprotected labour force. RESUME Des fils invisibles Cet article explore certains aspects du travail à domicile (le plus souvent féminin), phénomène très répandu mais pratiquement invisible. L'auteur soutient qu'il constitue une part essentielle de la production capitaliste, four n issant une main?d'oeuvre adaptable et bon marché à de nombreuses industries manufacturières. Sa persistance ne s'explique pas par les caractéristiques des travailleurs, bien que certaines permettent de comprendre le faible niveau des salaires imposés à une force de travail fragmentée et sans protection aucune. RESUMEN Hilos invisibles En este artículo se exploran algunos aspectos del extendido, aunque en gran parte invisible, trabajo de gente (principalmente mujeres) que trabajan a jornal en sus propios hogares. Se alega que este trabajo es una parte fundamental de la producción capitalista y provee una forma flexible y barata de mano de obra para una amplia gama de la industria manufacturera. Su continuada existencia no se puede explicar por medio de las características de los trabajadores, aunque algunas permiten comprender el bajo nivel de salarios impuesto en una mano de obra fragmentaria y completamente desprovista de protección

Multi-Omic Profiling of Melophlus Sponges Reveals Diverse Metabolomic and Microbiome Architectures that Are Non-overlapping with Ecological Neighbors.

Marine sponge holobionts, defined as filter-feeding sponge hosts together with their associated microbiomes, are prolific sources of natural products. The inventory of natural products that have been isolated from marine sponges is extensive. Here, using untargeted mass spectrometry, we demonstrate that sponges harbor a far greater diversity of low-abundance natural products that have evaded discovery. While these low-abundance natural products may not be feasible to isolate, insights into their chemical structures can be gleaned by careful curation of mass fragmentation spectra. Sponges are also some of the most complex, multi-organismal holobiont communities in the oceans. We overlay sponge metabolomes with their microbiome structures and detailed metagenomic characterization to discover candidate gene clusters that encode production of sponge-derived natural products. The multi-omic profiling strategy for sponges that we describe here enables quantitative comparison of sponge metabolomes and microbiomes to address, among other questions, the ecological relevance of sponge natural products and for the phylochemical assignment of previously undescribed sponge identities

Partnering with Medicaid to Advance and Sustain the Goals of the Child Welfare System

The purpose of this paper is to serve as a practical guide for child welfare directors who are looking to expand or sustain services for the children and families that they serve. This paper focuses on ways to partner with Medicaid to leverage opportunities to provide high quality services for children in child welfare who have behavioral health needs. It also includes information that will provide a foundational understanding of the behavioral health needs of children involved with the child welfare system, with an emphasis on describing child behavior through the lens of child development, adaptive functioning, and trauma; the services that can effectively address those behavioral and trauma related responses that can disrupt a child's skills and abilities; and, examples from states and counties who are providing these services and supports

Decrease in health-related quality of life associated with awareness of hepatitis C virus infection among people who inject drugs in Scotland

Chronic hepatitis C virus (HCV) infection can significantly reduce health-related quality of life (QoL), but it is not clear if reduction is associated with the infection or with being aware of one's infection status. Understanding the impact of a HCV diagnosis on QoL is essential to inform decision-making regarding screening/testing and treatment. Using a cross-sectional design, we assessed QoL in 2898 people who inject drugs (PWID), surveyed in Scotland during 2010 using EQ-5D. Multifactorial regression compared self-reported QoL between PWID who were (i) chronically HCV-infected and aware of their infected status, (ii) chronically HCV-infected but unaware, and (iii) not chronically infected. Median time since onset of injecting was 10years; not chronically infected PWID were younger and had shorter injecting careers than chronically infected PWID. Median EQ-5D was highest for the not chronically infected and the chronic/unaware groups (0.73) compared with the chronic/aware group (0.66). After adjustment for demographic and behavioural co-factors, QoL was significantly reduced in chronic/aware compared with chronic/unaware PWID (adjusted B=-0.09, p=0.005); there was no evidence for a difference in QoL between not chronically infected and chronic/unaware PWID (adjusted B=-0.03, p=0.13). Awareness of one's chronic HCV status was associated with reduced health-related QoL, but there was no evidence for further reduction attributable to chronic infection itself after adjusting for important covariate differences

Student learning outcomes with hybrid computer simulations and hands-on labs

Published versio

An Experimental Treatment of Inaccurate Singers in the Intermediate Grades

A study of the causes and remedial treatment of inaccurate singing through experimentation and research was chosen by the writer as a practical problem urgently in need of solution

Xenorhodopsins, an enigmatic new class of microbial rhodopsins horizontally transferred between archaea and bacteria

Based on unique, coherent properties of phylogenetic analysis, key amino acid substitutions and structural modeling, we have identified a new class of unusual microbial rhodopsins related to the Anabaena sensory rhodopsin (ASR) protein, including multiple homologs not previously recognized. We propose the name xenorhodopsin for this class, reflecting a taxonomically diverse membership spanning five different Bacterial phyla as well as the Euryarchaeotal class Nanohaloarchaea. The patchy phylogenetic distribution of xenorhodopsin homologs is consistent with historical dissemination through horizontal gene transfer. Shared characteristics of xenorhodopsin-containing microbes include the absence of flagellar motility and isolation from high light habitats