381 research outputs found

    The Role of Mission Studies in Theological Education

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    https://place.asburyseminary.edu/firstfruitspapers/1145/thumbnail.jp

    Screening for Major Depressive Disorder in Children and Adolescents: A Systematic Review for the U.S. Preventive Services Task Force

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    BACKGROUND: Major depressive disorder (MDD) is common among children and adolescents and is associated with functional impairment and suicide. PURPOSE: To update the 2009 U.S. Preventive Services Task Force (USPSTF) systematic review on screening for and treatment of MDD in children and adolescents in primary care settings. DATA SOURCES: Several electronic searches (May 2007 to February 2015) and searches of reference lists of published literature. STUDY SELECTION: Trials and recent systematic reviews of treatment, test-retest studies of screening, and trials and large cohort studies for harms. DATA EXTRACTION: Data were abstracted by 1 investigator and checked by another; 2 investigators independently assessed study quality. DATA SYNTHESIS: Limited evidence from 5 studies showed that such tools as the Beck Depression Inventory and Patient Health Questionnaire for Adolescents had reasonable accuracy for identifying MDD among adolescents in primary care settings. Six trials evaluated treatment. Several individual fair- and good-quality studies of fluoxetine, combined fluoxetine and cognitive behavioral therapy, escitalopram, and collaborative care demonstrated benefits of treatment among adolescents, with no associated harms. LIMITATION: The review included only English-language studies, narrow inclusion criteria focused only on MDD, high thresholds for quality, potential publication bias, limited data on harms, and sparse evidence on long-term outcomes of screening and treatment among children younger than 12 years. CONCLUSION: No evidence was found of a direct link between screening children and adolescents for MDD in primary care or similar settings and depression or other health-related outcomes. Evidence showed that some screening tools are accurate and some treatments are beneficial among adolescents (but not younger children), with no evidence of associated harms. PRIMARY FUNDING SOURCE: Agency for Healthcare Research and Quality

    AN ANALYSIS of the 20-year use of a deep Broward County lime-rock pit as a natural advanced wastewater treatment and groundwater recycling facility, with a recommendation that: with the large number of similar lime-rock pits in Southeast Florida, the opportunity for expanding the benefits of such inland wastewater retention should be given serious consideration instead of wastefully discharging the water into the ocean.

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    The benefits of the inland retention of freshwaters in South Florida are indisputable. During periods of prolonged drought, the maintenance of a higher groundwater table, which benefits terrestrial vegetation and retards saltwater intrusion, is clearly preferable to the alternative of discharging up to 400,000 gallons of freshwater per day into the ocean. Therefore, the only objections to the retention of treated sewage effluent in an inland lime-rock pit, with the physical, chemical and biologic characteristics of our pits, would have to do with possible detrimental effects to public health or the environment. The major public health concern involves the possible discharge of human pathogens. This can be prevented by high-level chlorination of well-treated effluent such as that of the Ferncrest Utilities. With the cooperation and help of the Nova University Oceanographic Center, the Florida Agricultural Research and Education Station, the Broward County Environmental Quality Control Board and the landowners, the Tindall Hammock Irrigation and Soil Conservation District and the Ferncrest Utilities respectfully submit that retention of the excellent tertiary-treated Ferncrest Utilities effluent in such a lime-rock pit accomplishes the following: • Provides an inexpensive, safe, practical, alternative, non-structural, natural, and environmentally sound drainage and wastewater pollutant treatment and inactivation facility that uses no energy except sunlight. • Conserves, stores and recycles stormwater and wastewater instead of wasteful discharge into canals or the ocean. • Helps to maintain a higher groundwater elevation, thereby reducing the volume of irrigation water needed for area lawns and shrubbery, and the energy and expense thereof. • Retards the rate of saltwater intrusion into the aquifer. • Enhances the U.S. EPA\u27s goal of fishable, swimmable public waters by complexing and precipitating runoff and wastewater pollutants, thereby keeping them out of the North New River Canal, the New River and the ocean. With the large number of similar lime-rock pits in Southeast Florida, the opportunity for expanding the benefits of such inland wastewater retention should be given serious consideration

    On the triple nature of the X-ray source 4U2129+47 (= V1727 Cyg)

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    Context. In quiescence, the proposed optical counterpart to the neutron star low mass X-ray binary 4U 2129+47 (V1727 Cyg) shows a spectrum consistent with a late F-type subgiant and no radial velocity variations on the 5.24 hour binary period. This could imply that V1727 Cyg is a chance line of sight interloper. Radial velocity measurements, however, showed evidence for a longer term ~40 km/s shift, which suggested that 4U 2129+47 could be a hierarchical triple system, with the F-type star in a wide orbit about the inner low mass X-ray binary. Aims. In order to confirm the long-term radial velocity shift reported in Garcia et al. (1989) and its amplitude, we obtained spectroscopic observations of V1727 Cyg during 1996 and 1998 with the William Herschel Telescope using the ISIS spectrograph. Methods. We determined radial velocities from the ISIS spectra by means of the cross-correlation technique with a template spectrum. Results. The resulting radial velocities show variations with a maximum amplitude of ~40 km/s, confirming previous results and supporting the F-type star as being the third body in a hierarchical triple system. The odds that this star could be an interloper are ~3e-6Comment: 3 Pages, 2 Figures. Revised version in form accepted for publication in A&
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