A Cluster Randomised Trial Evaluation of the Media Initiative for Children: Respecting Difference Programme

Evaluates trial outcomes of a preschool program designed to raise awareness of diversity issues, increase empathy, and promote inclusive behaviors among children, early childhood practitioners, and parents. Considers implications for further development

Returning Veterans’ Experiences of a Holistic Therapeutic Program

Since 2001, over 2.7 million U.S. military service members have been deployed (Wenger et al., 2018). Many of these soldiers have encountered serious challenges readjusting upon their return home and many may not access the services needed to achieve successful reintegration. Current literature calls for holistic approaches to service provision, involving collaboration of support services to address the underutilization of services. To better understand the gap in treatment utilization, a qualitative approach was used to examine returning veterans’ experiences of an intensive and holistic service delivery program implemented in coordination with local veterans’ organizations. Within the study, a generic qualitative approach was used to analyze interviews with 6 military veterans who had previously been deployed and were participating in the holistic therapeutic program. Results of the analysis revealed the following themes pertaining to participants’ experiences of the treatment process: (a) the importance of trusting relationships in the therapeutic setting; (b) importance of gaining adaptive coping strategies; (c) maintaining a sense of strength and independence; (d) difficulty with adjusting to civilian life and access of support services; and (e) difficulty with self-expression in civilian contexts. Limitations and recommendations are also provided

Prevalence of alcohol-related attendance at an inner-city emergency department and its impact: a dual prospective and retrospective cohort study

Background: Alcohol-related hospital attendances at Emergency Departments (ED) are a potentially avoidable burden on National Health Services (NHS) resources. Understanding the number and type of patients attending EDs with alcohol intoxication is important in estimating the workload and cost implications. We used best practice from previous studies to establish the prevalence of adult alcohol-related ED attendances and estimate the costs of clinical management and subsequent health service use. Methods: The setting was a large inner-city ED in northeast England, United Kingdom. Data were collected via (i) retrospective review of hospital records for all ED attendances for four pre-specified weeks in 2010/11 to identify alcohol-related cases along with 12 months follow-up of the care episode, and (ii) prospective 24/7 assessment via breath alcohol concentration testing of patients presenting to ED in the corresponding weeks in 2012/13. Results: The prevalence rates of alcohol-related attendances were 12% and 15% for the retrospective and prospective cohorts. Prospectively, the rates ranged widely from 4% to 60% during the week, rising to over 70% at weekends. Younger males attending in the early morning hours at weekends made up the largest proportion of alcohol-related attendances. The mean cost per attendance was £249 (SD £1,064); the mean total cost for those admitted was £851 (SD £2,549). The most common reasons for attending were trauma-related injuries, followed by psychiatric problems. Conclusions: Alcohol-related attendances are a major and avoidable burden on emergency care. However, targeted interventions at weekends and early morning hours could capture the majority of cases and help prevent future re-attendance

The Grizzly, February 21, 1986

It\u27s Bid Day!: Three Weeks of Frat Pledging get Underway • Suite Living in Reimert • Unique Paper Sculptures get Positive Reactions • Intra-Mural Season Opens • Demerits, Profanity, Attack on Deans Mark Alcohol Policing in the Past • Disease, Dissent, Dissemblance: Mills of Bureaucracy Grind Exceeding Slow, But Grind Old Folks Exceeding Fine • U.C. Hosts MAC Wrestling Tourney • Men\u27s Track: Strong MAC Lineup • Gym Women get Trimmed • Missing Refs, Fan Riot: The Best Game Ever ? • SAC Funds Available • Women\u27s Studies Surveyhttps://digitalcommons.ursinus.edu/grizzlynews/1158/thumbnail.jp

The Grizzly, October 3, 1986

Berman Collection • Former Phila. Cop Anchors Security Force • Letters: Not Ones to Dampen Festive Spirits; What is this thing?; It\u27s Aluminating! • Not a Dichotomous Community • Temple Fires Conversation Perhaps More Than Unger Imagined • Grizzlies Pound Green Terrors • Hockey Upsets Temple, Falls to Lock Haven • Nolan Institutes In-Service RA Training • Soccer: Bears Choose Tri-Captains • Parker Parked in Injury Garage • Athlete of the Week: Schoenherr Shows her Stuff • Resume Workshophttps://digitalcommons.ursinus.edu/grizzlynews/1170/thumbnail.jp

Reply to Lipworth et al.

We thank Dr. Lipworth and colleagues for their interest in our work published recently in the Journal (1). They rightly point out that the biology of asthma attacks is more complex than blood eosinophils alone and that corticosteroids have a wide range of other potentially relevant antiinflammatory effects. However, local treatment with inhaled corticosteroids (ICS) is usually the mainstay of patients with frequent eosinophilic exacerbations, and therefore in the great majority of patients, the key question is what oral corticosteroids (OCS) add to ICS in an acute attack (2) and whether this effect is seen with benralizumab. We suggest that depletion of circulating eosinophils is the only effect OCS are likely to have that are not shared with ICS (3)

Evaluation of independent child trafficking advocates trial: final report

This report presents the findings from an evaluation of a 1 year trial of the independent child trafficking advocates

Early Clinical and Subclinical Visual Evoked Potential and Humphrey's Visual Field Defects in Cryptococcal Meningitis.

Cryptococcal induced visual loss is a devastating complication in survivors of cryptococcal meningitis (CM). Early detection is paramount in prevention and treatment. Subclinical optic nerve dysfunction in CM has not hitherto been investigated by electrophysiological means. We undertook a prospective study on 90 HIV sero-positive patients with culture confirmed CM. Seventy-four patients underwent visual evoked potential (VEP) testing and 47 patients underwent Humphrey's visual field (HVF) testing. Decreased best corrected visual acuity (BCVA) was detected in 46.5% of patients. VEP was abnormal in 51/74 (68.9%) right eyes and 50/74 (67.6%) left eyes. VEP P100 latency was the main abnormality with mean latency values of 118.9 (±16.5) ms and 119.8 (±15.7) ms for the right and left eyes respectively, mildly prolonged when compared to our laboratory references of 104 (±10) ms (p<0.001). Subclinical VEP abnormality was detected in 56.5% of normal eyes and constituted mostly latency abnormality. VEP amplitude was also significantly reduced in this cohort but minimally so in the visually unimpaired. HVF was abnormal in 36/47 (76.6%) right eyes and 32/45 (71.1%) left eyes. The predominant field defect was peripheral constriction with an enlarged blind spot suggesting the greater impact by raised intracranial pressure over that of optic neuritis. Whether this was due to papilloedema or a compartment syndrome is open to further investigation. Subclinical HVF abnormalities were minimal and therefore a poor screening test for early optic nerve dysfunction. However, early optic nerve dysfunction can be detected by testing of VEP P100 latency, which may precede the onset of visual loss in CM