A Comparison of Parent and Child Mental Health Outcomes, Parenting Skills and Family Functioning of Adult Treatment Court and Family Treatment Court Participants

Background: Parental substance use puts children at risk for poor outcomes. Estimates indicate that 66% of substantiated cases of maltreatment are of parents with substance use disorders (SUD). Some parents with SUD have the opportunity to be treated through two accountability courts including Drug Courts (DC) and family treatment courts (FTC). Purpose: Little is known about the children of parents who participate in treatment through DC’s via the criminal justice system. This study examined differences in parents and their children who receive treatment through FTC’s and DC’s with the notion that DC’s could serve as an important treatment venue for improving child outcomes, which is a major focus of FTCs. Methods: The data used for these analyses are the baseline data of a quasi-experimental study involving two DC’s and two FTC’s across Georgia. The intervention included the implementation of evidence-based parenting and trauma services at one drug court and at one family treatment court, while the other courts served as controls. At each court, participants, one other caregiver, and one child were invited to participate in the project by completing an annual assessment. This included computerized surveys and a videotaped play and talking activity with each adult with the child. Measures included demographics, parenting behaviors, mental health measures, social support, and child mental health measures. All data used in the analyses were collected at baseline and thus prior to intervention. Participants were 80 DC triads and 25 FTC triads (DCP, another caregiver, and child). Results: Compared to DC, FTC clients were more likely to be female (p = p = p =.014). They also had younger children (p = .05) and were more likely to have custody of those children (p =.0015). Parents in FTCs compared to those in DC reported greater social support (p =.05) and better family functioning (p =.03). Parents in DCs reported poorer parental involvement and poorer monitoring of children than FTCs, but no differences in positive parenting (p =.13), inconsistent discipline (p =.27), or child abuse potential (total risk \u3e 9, p =.42; total risk \u3e12, p =.37). Regarding mental health, DC clients reported a greater number of symptoms or poor mental health than FTC. No differences were found for education level (p =.96), parent-child communication skills (p =.38), post-traumatic stress symptom severity (p =.62), or child behavior problems. Conclusion: These data show some differences between FTC participants and DC participants that can affect child outcomes. FTC parents were more involved in their children’s lives and DC parents had greater mental health problems that could interfere with parenting. Interventions are needed, especially for DC client to strengthen the parent-child relationship and improve parenting outcomes

A Software Development Simulation Model of a Spiral Process

There is a need for simulation models of software development processes other than the waterfall because processes such as spiral development are becoming more and more popular. The use of a spiral process can make the inherently difficult job of cost and schedule estimation even more challenging due to its evolutionary nature, but this allows for a more flexible process that can better meet customers' needs. This paper will present a discrete event simulation model of spiral development that can be used to analyze cost and schedule effects of using such a process in comparison to a waterfall process

A Project Management Approach to Using Simulation for Cost Estimation on Large, Complex Software Development Projects

It is very difficult for project managers to develop accurate cost and schedule estimates for large, complex software development projects. None of the approaches or tools available today can estimate the true cost of software with any high degree of accuracy early in a project. This paper provides an approach that utilizes a software development process simulation model that considers and conveys the level of uncertainty that exists when developing an initial estimate. A NASA project will be analyzed using simulation and data from the Software Engineering Laboratory to show the benefits of such an approach

A Decision Tool that Combines Discrete Event Software Process Models with System Dynamics Pieces for Software Development Cost Estimation and Analysis

The development process for a large software development project is very complex and dependent on many variables that are dynamic and interrelated. Factors such as size, productivity and defect injection rates will have substantial impact on the project in terms of cost and schedule. These factors can be affected by the intricacies of the process itself as well as human behavior because the process is very labor intensive. The complex nature of the development process can be investigated with software development process models that utilize discrete event simulation to analyze the effects of process changes. The organizational environment and its effects on the workforce can be analyzed with system dynamics that utilizes continuous simulation. Each has unique strengths and the benefits of both types can be exploited by combining a system dynamics model and a discrete event process model. This paper will demonstrate how the two types of models can be combined to investigate the impacts of human resource interactions on productivity and ultimately on cost and schedule

Saint-Bénigne et sa rotonde. Archéologie d’une église bourguignonne de l’an Mil

Dans son histoire du monde, écrite vers 1030, Rodolfus Glaber décrivait l’église de Saint-Bénigne de Dijon (1001-1018) comme « plus admirable que les basiliques de toute la Gaule, et de plus, incomparable dans sa configuration ». Les siècles ont été particulièrement durs envers ce chef-d’œuvre, dont seule la crypte de la rotonde subsiste. En 1271, l’église de l’an Mil fut remplacée par le monument gothique actuel, mais sa rotonde fut préservée à l’est de l’église gothique jusqu’à sa démolitio..

Dijon, abbaye Saint-Bénigne

Une intervention de courte durée, en août 2003, avait pour objet de déterminer par sondages diagnostics l’authenticité des structures romanes ou préromanes dans deux secteurs de la crypte de Saint-Bénigne de Dijon, construite par Guillaume de Volpiano entre 1001 et 1018. En effet, si les sources d’archives et un examen rapide des maçonneries peuvent convaincre aisément de l’importance des reconstructions du site entre 1850 et 1890, un examen plus archéologique par secteur reste indispensable ..

Exercise Interventions for Adults with Burn Injuries

The purpose of this critically appraised topic (CAT) is to provide the highest quality of evidence available on the implementation of exercise interventions in the early burn rehabilitation phase in adult burn victims. This portfolio contains four peer-reviewed research articles from national and international journals. The study designs include one systematic review and meta analyses, one retrospective cohort study and two randomized control trials. These articles covered three types of exercise interventions including resistance training, mobility training, and physiotherapy. Overall, the clinical bottom line of this CAT is that exercise interventions in early burn rehabilitation may be effective in improving upper extremity function, muscle strength, range of motion, quality of life, and decreasing length of stay and inflammation. Further research is needed to determine the effects of early exercise interventions in adults in the burn ICU

Mental Health Outcomes, Parenting Skills and Family Functioning of Adult and Family Treatment Court Participants

Background: Parental substance use places children at risk for poor social, emotional, and behavioral outcomes. Many parents with substance use disorders (SUD) are treated through accountability drug courts including adult drug courts (ADC) through the criminal justice system and family drug treatment courts (FTC) through the child welfare system. Little is known about the children of parents who participate in treatment through adult drug courts, which could serve as an important treatment venue for improving child outcomes. Children treated through family treatment courts are often the center of treatment. This research compared outcomes of parents and children involved in adult drug and family treatment courts. Methods: Participants were 105 drug court clients (80 from ADC; 25 from FTC) from four Georgia based drug courts. Participants completed computerized interviews containing a variety of measures focusing on adult mental health, parenting behaviors and communication, and child mental health and behavior. Results: Parents in FTC compared to those in ADC reported greater social support (p =.05) and better family functioning (p =.03). Parents in ADC reported poorer parental involvement and poorer monitoring of children than FTC, but no differences in positive parenting (p =.13), inconsistent discipline (p =.27), or child abuse potential (total risk \u3e 9, p =.42; total risk \u3e12, p =.37). Regarding mental health, ADC parents reported a greater number of symptoms or poor mental health than FTC. No differences were found for parent-child communication skills (p =.38), post-traumatic stress symptom severity (p =.62), or child behavior problems. Conclusions: This data suggests that children of caregivers in drug treatment via ADC are at equal and perhaps greater risk than children of caregivers in FTC because of increased parental risk factors. ADC should consider offering family -based treatments that can enhance the parent-child relationship and promote recovery by reducing family conflict

Multiple forms of atypical rearrangements generating supernumerary derivative chromosome 15

<p>Abstract</p> <p>Background</p> <p>Maternally-derived duplications that include the imprinted region on the proximal long arm of chromosome 15 underlie a complex neurobehavioral disorder characterized by cognitive impairment, seizures and a substantial risk for autism spectrum disorders<abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. The duplications most often take the form of a supernumerary pseudodicentric derivative chromosome 15 [der(15)] that has been called inverted duplication 15 or isodicentric 15 [idic(15)], although interstitial rearrangements also occur. Similar to the deletions found in most cases of Angelman and Prader Willi syndrome, the duplications appear to be mediated by unequal homologous recombination involving low copy repeats (LCR) that are found clustered in the region. Five recurrent breakpoints have been described in most cases of segmental aneuploidy of chromosome 15q11-q13 and previous studies have shown that most idic(15) chromosomes arise through BP3:BP3 or BP4:BP5 recombination events.</p> <p>Results</p> <p>Here we describe four duplication chromosomes that show evidence of atypical recombination events that involve regions outside the common breakpoints. Additionally, in one patient with a mosaic complex der(15), we examined homologous pairing of chromosome 15q11-q13 alleles by FISH in a region of frontal cortex, which identified mosaicism in this tissue and also demonstrated pairing of the signals from the der(15) and the normal homologues.</p> <p>Conclusion</p> <p>Involvement of atypical BP in the generation of idic(15) chromosomes can lead to considerable structural heterogeneity.</p

“No One Can Make that Choice for You”: Exploring Power in the Sexual Narratives of Black Collegians

Power is enacted to oppress others, pursue wellness, or resist oppression. For Black people, societal and relational oppression influences racialized and gendered expressions of power within sexual encounters. The current study analyzed power dynamics within Black university students’ first and most recent sexual encounters. Using narrative inquiry within a critical paradigm, five narrative strategies were identified within participants’ interviews: 1) Offering a Peek into Powerlessness, 2) Detailing Disempowerment, 3) Privileging Stereotypical Power, 4) Reclaiming Power, and 5) Emphasizing Empowered Sex. Racialized, gendered sexual socialization among Black students is discussed. Counseling considerations to increase sexual wellness for Black people are explored