Homelessness & Adverse Childhood Experiences: The Health and Behavioral Health Consequences of Childhood Trauma

This fact sheet was developed by the National Health Care for the Homeless Council and the National Network to End Family Homelessness, an initiative of The Bassuk Center on Homelessness and Vulnerable Children and Youth. The purpose is to ensure clinicians working with people experiencing homelessness understand the role of Adverse Childhood Experiences (ACEs) in health outcomes as well as the options for responding

Breathlessness is associated with urinary incontinence in men: A community-based study

<p>Abstract</p> <p>Background</p> <p>Urinary incontinence (UI) is a distressing problem for older people. To investigate the relationship between UI and respiratory symptoms among middle-aged and older men, a community-based study was conducted in Japan.</p> <p>Methods</p> <p>A convenience sample of 668 community-dwelling men aged 40 years or above was recruited from middle and southern Japan. The International Consultation on Incontinence Questionnaire-Short Form, the Medical Research Council's dyspnoea scale and the Australian Lung Foundation's Feeling Short of Breath scale, were administered by face-to-face interviews to ascertain their UI status and respiratory symptoms.</p> <p>Results</p> <p>The overall prevalence of UI was 7.6%, with urge-type leakage (59%) being most common among the 51 incontinent men. The presence of respiratory symptoms was significantly higher among incontinent men than those without the condition, especially for breathlessness (45% versus 30%, <it>p </it>= 0.025). The odds of UI for breathlessness was 2.11 (95% confidence interval 1.10-4.06) after accounting for age, body mass index, smoking and alcohol drinking status of each individual.</p> <p>Conclusions</p> <p>The findings suggested a significant association between UI and breathlessness in middle-aged and older men.</p

Observation of the diphoton decay of the Higgs boson and measurement of its properties

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Nietzsches gelijk: Waarom wijsheid achteraf onbillijk is

A search is performed for a massive new vector-like quark T, with charge 2/3, that is pair produced together with its antiparticle in proton-proton collisions. The data were collected by the CMS experiment at the Large Hadron Collider in 2012 at sqrt(s) = 8 TeV and correspond to an integrated luminosity of 19.5 inverse femtobarns. The T quark is assumed to decay into three different final states, bW, tZ, and tH. The search is carried out using events with at least one isolated lepton. No deviations from standard model expectations are observed, and lower limits are set on the T quark mass at 95% confidence level. The lower limit lies between 687 and 782 GeV for all possible values of the branching fractions into the three different final states assuming strong production. These limits are the most stringent constraints to date on the existence of such a quark

Measurement of the Zγ production cross section in pp collisions at 8 TeV and search for anomalous triple gauge boson couplings

Open Access, Copyright CERN, for the benefit of the CMS Collaboration. Article funded by SCOAP3.Abstract: The cross section for the production of Zγ in proton-proton collisions at 8 TeV is measured based on data collected by the CMS experiment at the LHC corresponding to an integrated luminosity of 19.5 fb−1. Events with an oppositely-charged pair of muons or electrons together with an isolated photon are selected. The differential cross section as a function of the photon transverse momentum is measured inclusively and exclusively, where the exclusive selection applies a veto on central jets. The observed cross sections are compatible with the expectations of next-to-next-to-leading-order quantum chromodynamics. Limits on anomalous triple gauge couplings of ZZγ and Zγγ are set that improve on previous experimental results obtained with the charged lepton decay modes of the Z boson

Search for lepton-flavour-violating decays of the Higgs boson

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Search for neutral resonances decaying into a Z boson and a pair of b jets or tau leptons

Peer reviewe

How Do Healthcare Providers Address the Needs of Children and Families Experiencing Housing Instability? A Multisite Qualitative Study

Background Over two million children experience homelessness annually in the United States, often disrupting their healthcare. The purpose of this study, spearheaded by the National Network to End Family Homelessness (NNEFH), was to understand the role of primary care providers who serve children and families experiencing homelessness. Specifically, we sought to describe best practices for screening for housing-unstable families and providing optimal care for these patients once identified. MethodsWe conducted a qualitative study employing semi-structured, in-depth interviews with clinicians and administrators working in healthcare organizations serving children and families. Recruitment occurred by invitation from NNEFH Health Committee members. Stratified purposeful sampling ensured representation from a range of organizations that provided care to persons experiencing homelessness. The selection criteria captured rural and urban locations, and three organizational types: academic health affiliates, community health centers, and Health Care for the Homeless (HCH) sites. We analyzed interview transcripts through a deductive coding process and grounded theory approach, facilitated by Dedoose software.ResultsWe completed 13 in-depth interviews procuring both qualitative and quantitative data. Of the 13 clinics there were 4 academic health affiliates, 5 community health centers, and 4 HCH sites. Clinics provided services to a broad range of clients including children, immigrants, elderly, pregnant mothers, and LGBTQ+ community members. The estimated number of yearly visits varied from 1,000 to 30,000, with most clinics offering both appointment-based and walk-in options. All clinics performed housing screening, applying a mix of validated and unique tools based on their patient population; also providers were well-versed on common health challenges among persons experiencing homelessness. Most clinics reported that they addressed mental health needs of children and of their caregivers. Every clinic identified at least one barrier to optimum care provision, most commonly: access to reliable transportation, communication with patients, lack of affordable housing, and patient load and complexity. As one participant described, “one case manager for like 7,500 primary care visits, not to mention the specialty case visits, it\u27s just like an impossible task for just one person.” ConclusionThis study specifically examined strategies for optimum care provision for housing-unstable children and families. Similar to existing literature on adults experiencing homelessness, the most prominent challenges reported in this study were structural and resource barriers. In developing technical assistance for sites similar to those in our study, interviewees recommended support for the development and maintenance of collaboration across sectors and mechanisms for facilitating policy and systems change